System and method for minimally invasive spinal surgery

• US 7,648,521 B2
• Filed: 03/15/2007
• Issued: 01/19/2010
• Est. Priority Date: 03/15/2007
• Status: Active Grant

• Current Assignee: Zimmer Spine, Inc. (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Zimmer Spine, Inc. (Zimmer Biomet Holdings, Inc.)
• Inventors: Hestad, Hugh D.
• Primary Examiner(s): Robert; Eduardo C
• Assistant Examiner(s): NEGRELLIRODRIGUEZ, CHRISTINA
• Application Number:
  US11/686,453
• Publication Number:
  US 20080228184A1
• Time in Patent Office: 1,041 Days
• Field of Search: 606/54, 606/61, 606/86, 606/246, 606249-279
• US Class Current: 606/246
• CPC Class Codes: A61B 17/7031 made wholly or partly of flexible material
• CPC Class Codes: A61B 17/7032 Screws or hooks with U-shaped head or back through which longitudinal rods pass
• CPC Class Codes: A61B 17/7085 for insertion of a longitudinal element down one or more hollow screw or hook extensions, i.e. at least a part of the element within an extension has a component of movement parallel to the extension's axis

Abstract

A system for installing a cross member between first and second anchor members within a patient'"'"'s body generally includes first and second docking members configured to be removably coupled to the respective first and second anchor members. Each docking member has a first end with an opening, a second end, and a body extending between the first and second ends. The body includes an outer surface with an opening, and a bore extends from the opening on the first end of the body to the opening on the outer surface. The openings on the outer surface of each docking member are configured to be aligned so that the bore in the first docking member is able to direct a wire member into the bore in the second docking member. A method for minimally invasive surgery using the system is also disclosed.

Claims

1. A system for installing a cross member between first and second anchor members within a patient'"'"'s body using a wire member, the system comprising:

first and second docking members configured to be removably coupled to the first and second anchor members substantially along respective first and second axes, each docking member having a first end with an opening, a second end, a body extending between the first and second ends, the body having an outer surface with an opening, and a bore extending from the opening on the first end to the opening on the outer surface; and

a wire member, the wire member configured to extend into the opening in the first end of the first docking member, through the bore in the first docking member, out the opening in the outer surface of the first docking member, into the opening in the outer surface of the second docking member, through the bore of the second docking member, and out the opening in the first end of the second docking member;

wherein the opening on the outer surface of the first docking member is configured to be aligned with the opening on the outer surface of the second docking member, the bore in the first docking member being configured to direct the wire member from the opening on the first end, through the body, and out the opening on the outer surface of the first docking member toward the opening on the outer surface of the second docking member, the first docking member and wire member configured for controlled direction of the wire member from the opening of the outer surface of the first docking member.

2. The system of claim 1 wherein the bore in the first docking member is defined by an axial portion extending from the opening on the first end toward the second end and a transverse portion extending from the axial portion to the opening on the outer surface.

3. The system of claim 2 wherein the bore in the second docking member includes an axial portion extending from the opening on the first end toward the second end and a transverse portion extending from the axial portion to the opening on the outer surface.

4. The system of claim 1, further comprising:

a connection member removably coupled to and extending between the first and second docking members.

5. The system of claim 4 wherein the connection member is configured to maintain the opening on the outer surface of the first docking member in alignment with the opening on the outer surface of the second docking member.

6. The system of claim 5 wherein the connection member includes first and second receiving bores configured to receive the respective first and second docking members, the first and second receiving bores each having a key and the outer surface of each docking member having a groove configured to cooperate with the corresponding key to prevent relative rotation between the docking member and connection member.

7. The system of claim 1 wherein the opening on the outer surface of the second docking member is larger than the opening on the outer surface of the first docking member.

8. A minimally invasive spinal surgery system for positioning components within in a patient'"'"'s body, the system comprising:

first and second anchor members;

first and second docking members configured to be removably coupled to the respective first and second anchor members, each docking member having a first end with an opening, a second end, a body extending between the first and second ends, the body having an outer surface with an opening, and a bore extending from the opening on the first end to the opening on the outer surface, wherein the opening on the outer surface of the first docking member is configured to be aligned with the opening on the outer surface of the second docking member;

a wire member configured to be inserted through the bore in the first docking member and received in the bore of the second docking member, the first and second docking members being removable from the wire member after the wire member is positioned within the patient'"'"'s body; and

a cross member having a central bore configured to be guided over the wire member after the first and second docking members are removed, the cross member further configured to be secured to both the first and second anchor members.

9. The system of claim 8 wherein the first and second anchor members each comprise:

a pedicle screw having a shaft portion and a head portion; and

a cup-shaped retainer defining a socket with top and bottom ends, the top end being open and the bottom end having a bore sized to retain the head portion of the pedicle screw within the socket while allowing the shaft portion to extend there through.

10. The system of claim 9 wherein the respective bodies of the first and second docking members each have a bottom portion at the second end configured to be received in the socket of the retainer of the corresponding anchor member.

11. The system of claim 8 wherein the cross member is a flexible construct configured to provide dynamic stabilization.

12. The system of claim 8 wherein the cross member is a rigid rod for spinal fixation.

13. The system of claim 8 wherein the wire member is a guidewire constructed from nickel titanium.

14. The system of claim 8 wherein the respective bores in the first and second docking members are each defined by an axial portion extending from the opening on the first end toward the second end and a transverse portion extending from the axial portion to the opening on the outer surface.

15. The system of claim 8, further comprising:

a connection member removably coupled to and extending between the first and second docking members.

16. The system of claim 15 wherein the connection member is configured to maintain the opening on the outer surface of the first docking member in alignment with the opening on the outer surface of the second docking member.

17. The system of claim 16 wherein the connection member includes first and second receiving bores configured to receive the respective first and second docking members, the first and second receiving bores each having a key and the outer surface of each docking member having a groove configured to cooperate with the corresponding key to prevent relative rotation between the docking member and connection member.

18. A method for minimally invasive surgery, comprising the steps of:

creating a first and second access channels extending to respective first and second locations within a patient'"'"'s body;

inserting first and second anchor members in the patient'"'"'s body through the respective first and second access channels;

inserting first and second docking members into the patient'"'"'s body through the respective first and second access channels, each docking member having a first end with an opening, a second end, a body extending between the first and second ends, the body having an outer surface with an opening, and a bore extending from the opening on the first end to the opening on the outer surface;

aligning the opening on the outer surface of the first docking member with the opening on the outer surface of the second docking member; and

inserting a wire member into the opening in the first end of the first docking member, through the bore in the first docking member, out the opening in the outer surface of the first docking member, into the opening in the outer surface of the second docking member, through the bore of the second docking member, and out the opening in the first end of the second docking member.

19. The method of claim 18, further comprising:

removing the first and second docking members while maintaining the wire member within the patient'"'"'s body;

guiding a cross member over the wire member until the cross member extends between the first and second anchor members; and

securing the cross member to the first and second anchor members.

20. The method of claim 18 wherein the outer surface of each docking member includes a groove, and aligning the opening on the outer surface of the first docking member further comprises:

removably coupling a connection member to the first and second docking members, the connection member having first and second receiving bores configured to receive the respective first and second docking members, the first and second receiving bores configured to cooperate with the corresponding docking member to prevent relative rotation between the receiving bore and docking member.

21. The method of claim 18, further comprising:

assembling the first and second anchor members to the first and second docking members prior to insertion into the patient'"'"'s body.