Spinal surgery guidance platform

• US 6,221,082 B1
• Filed: 06/04/1999
• Issued: 04/24/2001
• Est. Priority Date: 06/09/1998
• Status: Expired due to Fees

• Current Assignee: Nuvasive Incorporated
• Original Assignee: Nuvasive Incorporated
• Inventors: Marino, James F., Stone, Corbett W., Christopher, Troy K., McKinley, James T., Ahlgren, Dan K.
• Primary Examiner(s): Mancene, Gene
• Assistant Examiner(s): Robert, Eduardo C.
• Application Number:
  US09/326,739
• Time in Patent Office: 690 Days
• Field of Search: 606/54, 606/53, 606/56, 606/96, 606/97, 606/98, 606/130, 604/116
• US Class Current: 606/130
• CPC Class Codes: A61B 17/1757 for the spine
• CPC Class Codes: A61B 17/3421 Cannulas
• CPC Class Codes: A61B 2017/00261 Discectomy
• CPC Class Codes: A61B 90/11 with guides for needles or instruments, e.g. arcuate slides or ball joints
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers

Abstract

A spinal surgery system having a base, a cross member suspended from the base, and a pair of cannula guides suspended from the cross member, wherein the cannula guides are adapted to hold cannulae received therein such that the canulae remain co-planar with one another as the cannula guides are moved to various positions in the patient'"'"'s intervertebral plane. By first suspending a pair of radiopaque markers in the cannual guides, and then viewing the image of the radiopaque markers, the cannulae guides can be aligned so that when the radiopaque markers have been removed and replaced with cannulae, the cannulae can be positioned along various paths which are disposed in the patient'"'"'s intervertebral plane such that surgical tools can be advanced in preferred paths toward the patient'"'"'s intervertebral space.

Claims

1. A spinal surgery instrument guidance platform, comprising:

a base;

a cross member suspended from the base; and

a pair of cannula guide holders suspended from the cross member,

a cannula guide suspended from each cannula guide holder, wherein each of the cannula guides remain co-planar with one another both when each of the cannula guides are rotated about an axis perpendicular to a longitudinal axis extending through the cross member and when each of the cannula guide holders are translated in a direction parallel to the longitudinal axis extending through the cross member.

2. The guidance platform of claim 1, wherein, the pair of cannula guides are adjustably positionable at desired positions along a length of the cross member.

3. The guidance platform of claim 1, wherein, the cross member has distance indicia printed therealong.

4. The guidance platform of claim 1, wherein, the pair of cannula guides are adjustably rotatable about the longitudinal axis extending through the cross member.

5. The guidance platform of claim 1, further comprising:

a pair of elongated radiopaque markers, each marker being adapted to be suspended within one of the pair of cannula guides.

6. The guidance platform of claim 5, wherein, at least one of the radiopaque markers has distance indicia printed thereon.

7. The guidance platform of claim 6, further comprising:

a surgical instrument received within one of the cannulae.

8. The guidance platform of claim 7, wherein, the surgical instrument is selected from the group consisting of a cannula, bone drill, expandable trocar, nerve surveillance probe, radiopaque marker, intervertebral insert, or intervertebral insert positioning system.

9. The guidance platform of claim 1, further comprising:

a pair of operating cannulae, each cannula being adapted to be suspended within one of the pair of cannula guides.

10. The guidance platform of claim 9, wherein, the pair of cannula guides are each adapted to rotate cannulae supported therein about a point at or near a distal end of the cannulae.

11. The guidance platform of claim 1, wherein, the pair of cannula guides are each adapted to support a cannula for rotation about an axis extending perpendicular to a central longitudinal axis of the cross member.

12. The guidance platform of claim 1, wherein the base comprises:

a pair of upwardly extending support members;

a pair of guide rails extending in a direction generally perpendicular to the cross member, each of the support members extending upwardly from one of the guide rails.

13. The guidance platform of claim 12, wherein, each upwardly extending support member can be adjustably positioned along a length of one of the guide rails.

14. A method of positioning a cannula along a path in a patient'"'"'s intervertebral plane, comprising:

suspending a cross member across a patient, the cross member having two cannula guides attached thereto, the cannula guides each being adjustably movable both along the length of the cross member and around a central longitudinally extending axis of the cross member;

suspending radiopaque markers from the cannula guides;

aligning the radiopaque markers with the intervertebral plane as viewed in a radio-image, thereby aligning the cannula guides with the intervertebral plane; and

advancing a cannula through the cannula guide.

15. The method of guiding a cannula of claim 14, further comprising:

viewing a radio-image to calculate a vertical distance from the cannula guides to the patient'"'"'s intervertebral space.

16. The method of claim 15, wherein calculating a vertical distance comprises:

suspending at least one of the radiopaque markers vertically beside the patient; and

viewing distance indicia on the at least one radiopaque marker in a radio-image.

17. The method of claim 15, further comprising:

orienting the cannula in a preferred posterolateral approach.

18. The method of claim 17, wherein, orienting the cannula in a preferred posterolateral approach, comprises:

positioning the cannula guide at a location on the cross member such that the cannula is oriented in a preferred posterolateral approach.

19. A guidance platform for positioning a cannula along a path in a patient'"'"'s intervertebral plane, comprising:

a cross member having two cannula guides attached thereto, the cannula guides each being adjustably movable both along a length of the cross member and around a central longitudinally extending axis of the cross member;

means for suspending the cross member across a patient;

means for suspending radiopaque markers from the cannula guides;

means for aligning the radiopaque markers with the intervertebral plane as viewed in a radio-image, thereby aligning the cannula guides with the intervertebral plane; and

means for advancing a cannula through the cannula guide.

20. The guidance platform of claim 19, further comprising:

means for viewing a radio-image to calculate a vertical distance from the cannula guides to the patient'"'"'s intervertebral space.

21. The guidance platform of claim 20, wherein the radiopaque markers are elongated and have distance indicia printed thereon.