Spin distraction implant and method

• US 6,478,796 B2
• Filed: 03/15/2001
• Issued: 11/12/2002
• Est. Priority Date: 01/02/1997
• Status: Expired due to Fees

• Current Assignee: Kyphon SARL (Medtronic Plc)
• Original Assignee: St. Francis Medical Technologies, Inc. (Medtronic Plc)
• Inventors: Klyce, Henry A., Zucherman, James F., Fallin, T. Wade, Hsu, Ken Y.
• Primary Examiner(s): REIP, DAVID OWEN
• Application Number:
  US09/808,827
• Publication Number:
  US 20010039452A1
• Time in Patent Office: 607 Days
• Field of Search: 606/61, 606/105, 623/17.11, 623/17.16, 128/898
• US Class Current: 606/86.00A
• CPC Class Codes: A61B 17/66 Alignment, compression or distraction mechanisms
• CPC Class Codes: A61B 17/7062 Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs rib fixation devices A61B17/8076; Tools for such devices
• 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. A method of relieving pain associated with at least one of the spinal column and associated tissues and structures including the steps of:

accessing first sides and second sides of adjacent first and second spinous processes of the spinal column with an incision;

distracting the first and second spinous processes a sufficient amount in order to increase the volume of the spinal canal and/or neural foramen in the spinal column in order to relieve pain; and

implanting a first portion of a device through said incision adjacent first sides of the spinous processes and a second portion of said device through said incision adjacent second sides of the spinous processes, until said portions can be mated;

said device including a fastener, with the fastener used in a step of securing the first portion to the second portion in the mated configuration in order to maintain the amount of distraction required to relieve the pain; and

using a tool having a first arm on to which is mounted the first portion of the device and a second arm on to which is mounted the second portion of the device in order to urge the first portion and the second portion through the incision and into the mating position.

2. The method of claim 1 wherein:

said distracting step and said implanting step occur substantially simultaneously.

3. A method using an implant for relieving pain associated with at least one of the spinal column and associated tissues and structures comprising the steps of:

accessing the space between a first spinous process and a second spinous process of the spinal column from sides of the spinous processes;

positioning an implant between, without altering, the first spinous process and the second spinous process;

wherein said implant includes a first means for not limiting flexion of the spinal column; and

said implant including a second means for limiting extension of the spinal column.

4. The method of claim 3 including the step of:

placing one of the first and the second spinous processes adjacent an arm of the first means in order to guide the movement of said one of the first and the second spinous processes.

5. The method of claim 3 wherein:

said spinous processes each have a first side and a second side and the implanting step includes implanting from the first sides of the spinous processes.

6. The method of claim 3 wherein:

said spinous processes each have a first side and a second side and the implanting step includes implanting from both the first sides of the spinous process and from the second sides of the spinous processes.

7. A method of relieving pain using a spinal implant comprising the steps of:

accessing the space between a first spinous process and a second process from sides of the spinous process;

positioning the implant between, without altering the first spinous process and the second spinous process;

wherein said device including a spinal column extension stop; and

said device includes a spinal column flexion non-inhibitor.

8. The method of claim 7 including the step of:

placing one of the first and the second spinous processes adjacent an arm of the spinal column flexion non-inhibitor in order to guide the movement of said one of the first and the second spinous processes.

9. The method of claim 7 wherein:

said spinous processes each have a first side and a second side and the implanting step includes implanting from the first sides of the spinous processes.

10. The method of claim 7 wherein:

said spinous processes each have a first side and a second side and the implanting step includes implanting from both the first sides of the spinous process and from the second sides of the spinous processes.

11. A method of relieving pain associated with at least one of the spine and surrounding structure and tissue, including the steps of:

accessing first sides and second sides adjacent first and second spinous processes of the spine with an incision;

implanting a first portion of a device through said incision adjacent the first sides of the spinous processes and a second portion of said device through said incision adjacent to the second sides of the spinous processes, until said devices can be mated, and simultaneously distracting, without altering, the first and second spinous processes a sufficient amount in order to relieve pain; and

said device including a fastener, with the fastener used in a step of securing the first portion to the second portion in the mated configuration in order to maintain the amount of distraction required to relieve the pain.

12. A method using an implant for relieving pain associated with at least one of the spine and surrounding structure and tissue, comprising the steps of:

accessing the space between a first spinous process and a second spinous process of the spine from sides of the first and second spinous processes;

positioning from the sides of the first and second spinous processes an implant between, without altering, the first spinous process and the second spinous process;

wherein said implant includes a first means for not limiting flexion of the spine; and

said implant including a second means for limiting extension of the spine.

13. A method of relieving pain using a spine implant comprising the steps of:

accessing the space between a first spinous process and a second process from sides of the first and second spinous processes;

positioning from the sides of the first and second spinous processes the implant between, without altering, the first spinous process and the second spinous process;

wherein said device including a spine extension stop; and

said device includes a spine flexion non-inhibitor.

14. An improved method for stabilizing a spinous process relative to another spinous process, said method being of the type wherein a device is implanted between the spinous process and another spinous process, wherein said improvement comprises:

implanting the device from the sides of the first and second processes without resecting the spinous processes to accommodate the implanted device.

15. An improved method for stabilizing a spinous process relative to another spinous process, said method being of the type wherein a device is implanted between the spinous process and another spinous process, wherein said improvement comprises:

implanting from the sides of the spinous processes the device having at least one surface adapted to be positioned between the adjacent spinous processes which conforms to a surface on a spinous process after the device is implanted.