Instrument system for preparing a disc space between adjacent vertebral bodies to receive a repair device

• US 7,153,304 B2
• Filed: 12/31/2001
• Issued: 12/26/2006
• Est. Priority Date: 12/29/2000
• Status: Expired due to Term

• Current Assignee: Zimmer Biomet Spine, Inc. (Zimvie Incorporated)
• Original Assignee: Zimmer Trabecular Metal Technology, Inc. (Zimmer Biomet Holdings, Inc.)
• Inventors: Robie, Bruce, Zubok, Rafael, Wilhelmy, John, Blouin, Felix
• Primary Examiner(s): Philogene, Pedro
• Application Number:
  US10/035,863
• Publication Number:
  US 20020161366A1
• Time in Patent Office: 1,821 Days
• Field of Search: 606/90, 606/60, 606/61, 606/79, 606/57, 606/105, 606/99, 606/96, 606/84, 623/17.11, 623/17.16, 621/17.11
• US Class Current: 606/90
• CPC Class Codes: A61B 17/1757 for the spine
• CPC Class Codes: A61B 2017/00464 for use with different instruments
• CPC Class Codes: A61B 2017/0256 for the spine
• CPC Class Codes: A61B 2090/033 Abutting means, stops, e.g. abutting on tissue or skin
• CPC Class Codes: Y10S 606/914 Toolkit for installing or removing spinal positioner or stabilizer

Abstract

An instrument system for preparing a disc space between adjacent vertebral bodies to receive a repair device includes a series of distractors for distracting the vertebral bodies in a manner that restores natural lordosis of the lumbar and cervical spine, a vertebrae immobilizing template to fix the positions of the bodies, a handle for employing the distractor and the template, and a reamer for cutting tissue from endplates of the vertebral bodies.

Claims

1. An instrument system for preparing a disc space between adjacent vertebral bodies to receive a repair device, the instrument system comprising:

at least one distractor including;

a tapered body section for distracting the vertebral bodies in a manner that restores natural lordosis of the lumbar and cervical spines, the tapered body section formed by;

an end wall;

a first pair of opposing wall portions converging toward the end wall; and

a second pair of opposing wall portions converging toward the end wall; and

a connector section opposite the body section, the connector section for coupling a handle to the distractor, the connector section including a detent element;

amd

a base portion connecting the tapered body section to the connector section;

wherein said tapered body section has a length that is substantially greater than a length of said base portion such that when said distractor is inserted between the adjacent verebral bodies the first pair of opposing wall portions engage the adjacent vertebral bodies to obtain said natural lordosis.

2. The instrument system according to claim 1, wherein the at least one distractor includes a longitudinal axis and at least one of the first pair of wall portions includes a groove that extends generally perpendicular to the longitudinal axis.

3. The instrument system according to claim 1, wherein the at least one distractor includes a longitudinal axis and each of the first pair of wall portions includes a groove that extends generally perpendicular to the longitudinal axis.

4. The instrument system according to claim 1, wherein the connector section includes a female coupling member.

5. The instrument system according to claim 4, wherein the female coupling member is formed by a T-shape slot.

6. The instrument systems according to claim 5, wherein the T-shape slot defines inwardly facing locking flanges.

7. The instrument system according to claim 5, wherein the T-shape slot defines a surface, the surface including a bore for receiving a pilot pin formed at an end of the handle.

8. The instrument system according to claim 1, further comprising indicia for indicating a dimension of the at least one distractor, the indicia provided by at least one of the walls of the first and second pairs of opposing walls.

9. The instrument system according to claim 1, further comprising a vertebrae immobilizing template, the template constructed as a sleeve member that can be placed about the at least one distractor when the at least one distractor is inserted into the disc space, to fix the positions of the bodies.

10. The instrument system according to claim 9, wherein the sleeve member includes opposing prongs extending therefrom for fixing the positions of the vertebral bodies when the prongs are impacted into the bodies.

11. The instrument system according to claim 10, further comprising a reamer assembly including a reamer having a surface with cutting elements for cutting tissue from endplates of the vertebral bodies.

12. The instrument system according to claim 11, wherein the surface of the reamer defines a tapered profile, the cutting elements simultaneously cutting tissue from opposing endplates of the adjacent vertebral bodies.

13. The instrument system according to claim 11, wherein the reamer assembly further includes a reamer sleeve that operates as a stop to limit reamer travel depth into the disc space.

14. The instrument system according to claim 11, wherein the sleeve member of the template includes opposing prongs extending therefrom for fixing the positions of the vertebral bodies when the prongs are impacted into the bodies, the prongs being impacted such that a surface of the template approximately aligns with a surface of the distractor thereby locating the template so that when the reamer assembly is used to cut tissue from endplates of the vertebral bodies, the reamer of the reamer assembly is disposed at a fixed distance from where a posterior wall of the distractor was positioned within the disc space.

15. The instrument system according to claim 11, further comprising a handle including a coupling member for coupling the handle to the at least one distractor or the template, the handle being useable with the at least one distractor for distracting the disc space and being further useable for placing the template about the at least one distractor after it has been used to distract the vertebral bodies.

16. The instrument system according to claim 15, wherein the handle further includes an impaction member for impacting the template.

17. The instrument system according to claim 15, wherein the template includes at least one ball detent extending from a side surface of the sleeve member that cooperates with the coupling member of the handle to couple the handle to the template.

18. The instrument system according to claim 1, further comprising a handle including a coupling member that connects the handle to the at least one distractor, the handle being useable with the at least one distractor for distracting the vertebral bodies.

19. The instrument system according to claim 1, further comprising a reamer having a surface with cutting elements for cutting tissue from endplates of the vertebral bodies.

20. The instrument system according to claim 1, wherein the at least one distractor further includes a connector section opposite the body section, the connector section for coupling a handle to the at least one distractor.

21. The instrument system according to claim 20, wherein the connector section includes at least one ball detent for use in coupling the handle to the at least one distractor.

22. A distractor for use in a system that prepares a disc space between adjacent vertebral bodies to receive a repair device, the distractor comprising:

a tapered body section for distracting the vertebral bodies in a manner that restores natural lordosis of the lumbar and cervical spines, the tapered body section formed by;

an end wall;

a first pair of opposing wall portions converging toward the end wall; and

a second pair of opposing wall portions converging toward the end wall; and

a connector section opposite the body section, the connector section for coupling a handle to the distractor, the connector section including a detent element;

a connector section opposite the body section, the connector section for coupling a handle to the distractor, the connector section including a detent element; and

a base portion connecting the tapered body section to the connector section;

wherein said tapered body section has a length that is substantially greater than a length of said base portion such that when said distractor is inserted between the adjacent vertebral bodies the first pair of opposing wall portions engage the adjacent vertebral bodies to obtain said natural lordosis.

23. The distractor according to claim 22, wherein the connector section includes a female coupling member.

24. The distractor according to claim 23, wherein the female coupling member is formed by a T-shape slot.

25. The distractor according to claim 24, wherein the T-shape slot is defined by inwardly facing locking flanges.

26. The distractor according to claim 25, wherein the T-shape slot is further defined by a surface, the surface including a bore for receiving a pilot pin formed at an end of the handle.

27. The distractor according to claim 22, further including a longitudinal axis, wherein at least one of the first pair of wall portions includes a groove that extends generally perpendicular to the longitudinal axis.

28. The distractor according to claim 22, further including a longitudinal axis, wherein each of the first pair of wall portions includes a groove that extends generally perpendicular to the longitudinal axis.

29. The distractor according to claim 22, further comprising indicia for indicating a dimension of the distractor, the indicia provided by at least one of the walls of the first and second pair of opposing walls.