Spine distraction implant and method

• US 6,152,926 A
• Filed: 07/27/1999
• Issued: 11/28/2000
• Est. Priority Date: 01/02/1997
• Status: Expired due to Term

• Current Assignee: Kyphon SARL (Medtronic Plc)
• Original Assignee: St. Francis Medical Technologies, Inc. (Medtronic Plc)
• Inventors: Zucherman, James F., Hsu, Ken Y.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): REIP, DAVID OWEN
• Application Number:
  US09/361,512
• Time in Patent Office: 490 Days
• Field of Search: 606/60, 606/61, 623/17.11, 623/17.14, 623/17.16
• US Class Current: 606/279
• CPC Class Codes: A61B 17/66 Alignment, compression or distraction mechanisms
• CPC Class Codes: A61B 17/7053 with parts attached to bones or to each other by flexible wires, straps, sutures or cables
• CPC Class Codes: A61B 17/7065 Devices with changeable shape, e.g. collapsible or having retractable arms to aid implantation; Tools therefor
• CPC Class Codes: A61B 17/7068 Devices comprising separate rigid parts, assembled in situ, to bear on each side of spinous processes; Tools therefor
• CPC Class Codes: A61B 17/7071 Implants for expanding or repairing the vertebral arch or wedged between laminae or pedicles; Tools therefor
• CPC Class Codes: A61B 2017/0256 for the spine
• CPC Class Codes: A61K 31/37 Coumarins, e.g. psoralen

Abstract

A spine distraction implant alleviates pain associated with spinal stenosis and facet arthropathy by expanding the volume in the spine canal and/or neural foramen. The implant provides a spinal extension stop while allowing freedom of spinal flexion.

Claims

1. An improved method for stabilizing a spinous process relative to another spinous process, said method being of the type wherein a device having at least two pieces is implanted in a region between the spinous process and the another spinous process, wherein said improvement comprises:

introducing at least one of the two pieces into the region along a posterior-anterior direction, parallel to the spinous processes, to a position wherein said one of said two pieces extends along a side of at least one of the spinous process and the another spinous process.

2. The method of claim 1, which method is performed without altering the spinous processes.

3. The method of claim 1 which method is performed without severing any spinous ligaments.

4. An improved method for stabilizing a spinous process relative to another spinous process, said method being of the type wherein a device having at least two pieces is implanted in a region between the spinous process and the another spinous process, wherein said improvement comprises:

implanting a distracting unit between the spinous processes, which distracting unit has a body that can maintain a distraction between the first and second spinous processes; and

implanting a retaining unit relative to the distracting unit along a posterior-anterior direction, parallel to the spinous processes, to a position wherein said retaining unit extends along a side of at least one of the spinous process and the another spinous process.

5. The method of claim 4 wherein the step of implanting the retaining unit step includes:

positioning the retaining unit into the distracting unit along a posterior-anterior direction.

6. The method of claim 5 wherein the positioning step includes:

positioning a fastener through the retaining unit and into the distracting unit along a posterior-anterior direction in order to secure the retaining unit to the distracting unit.

7. The method of claim 4 wherein the step of implanting the retaining unit includes:

positioning a fastener through the retaining unit and into the distracting unit along a posterior-anterior direction in order to secure the retaining unit to the distracting unit.

8. The method of claim 4 including a wing extending from the distracting unit, wherein said wing and said retaining unit have first and second planes respectively, and the method includes positioning said retaining unit relative to the wing by moving the retaining unit such that the second plane of the retaining unit remains substantially parallel to the first plane of the wing in order to move the retaining unit into engagement with the distracting unit.

9. The method of claim 8 wherein including the step of securing the retaining unit to the distracting unit with a fastener moved along a line that is substantially parallel to the second plane of the retaining unit.

10. The method of claim 4 including the step of:

distracting the spinous processes apart prior to implanting the distracting unit between the first and second spinous processes.

11. The method of claim 4 wherein:

said first implanting step includes using the distracting unit to distract the spinous processes apart as the distracting unit is inserted between the first and the second spinous processes.

12. The method of claim 4, which method is for relieving paid due to the development of spinal stenosis.

13. The method of claim 4, which method is for relieving pain to a disfunction related to the spine.

14. The method of claim 4, which method is performed without altering the spinous processes.

15. The method of claim 4 which method is performed without severing any spinous ligaments.

16. An improved method for stabilizing a spinous process relative to another spinous process, said method being of the type wherein a device having at least two pieces is implanted in a region between the spinous process and the another spinous process, wherein said improvement comprises:

implanting a distracting unit between the spinous processes, which distracting unit has a body that can maintain a distracting between the spinous processes; and

securing a retaining unit to the distracting unit;

performing the implanting and securing steps without altering the spinous processes.

17. The method of claim 16 which method is for relieving pain due to the development of spinal stenosis.

18. The method of claim 16 which method is for relieving pain due to a disfunction related to the spine.

19. An improved method for stabilizing a spinous process relative to another spinous process, said method being of the type wherein a device having at least two pieces is implanted in a region between the spinous process and the another spinous process, wherein said improvement comprises:

implanting the distracting unit between the spinous processes, which distracting unit has a body that can maintain a distracting between the spinous processes;

securing a retaining unit to the distracting unit; and

performing the implanting and securing steps without severing any spinous ligaments.

20. The method of claim 19 which method is for relieving pain due to the development of spinal stenosis.

21. The method of claim 19 which method is for relieving pain due to a disfunction related to the spine.

22. An improved method for stabilizing a spinous process relative to another spinous process, said method being of the type wherein a device having at least two pieces is implanted in a region between the spinous process and the another spinous process, wherein said improvement comprises:

implanting a distracting unit between the spinous processes, which distracting unit has a body that can maintain a distracting between the spinous processes, which body has a longitudinal axis and

positioning a retaining wing unit adjacent to said distracting unit by urging said retaining wing unit along a line which is substantially perpendicular to said longitudinal axis, which retaining wing extends along a side of at least one of the spinous process and the another spin process.

23. The method of claim 22 which method is for relieving pain due to the development of spinal stenosis.

24. The method of claim 22 which method is for relieving pain due to a disfunction related to the spine.