Systems, methods, devices and device kits for fixation of bones and spinal vertebrae

• US 8,021,401 B2
• Filed: 06/20/2003
• Issued: 09/20/2011
• Est. Priority Date: 05/10/1999
• Status: Expired due to Fees

• Current Assignee: K2M, Inc (Stryker Corporation)
• Original Assignee: K2M, Inc (Stryker Corporation)
• Inventors: Winkler, Josef K., Carl, Allen, Hart, Ricky D.
• Primary Examiner(s): Robert; Eduardo C
• Assistant Examiner(s): COMSTOCK, DAVID C
• Application Number:
  US10/601,014
• Publication Number:
  US 20040059333A1
• Time in Patent Office: 3,014 Days
• Field of Search: 606/60, 606/61, 606/79, 606/82, 606 87- 89, 606/96, 606/98, 623/17.11
• US Class Current: 606/279
• CPC Class Codes: A61B 17/15 Guides therefor arrangements for guiding straight saw blades in general B23D51/025
• CPC Class Codes: A61B 17/1604 Chisels; Rongeurs; Punches; Stamps
• CPC Class Codes: A61B 17/1642 for producing a curved bore
• CPC Class Codes: A61B 17/1671 for the spine
• CPC Class Codes: A61B 17/1757 for the spine
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 17/70 Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
• CPC Class Codes: A61B 17/7011 Longitudinal element being non-straight, e.g. curved, angled or branched adjustable length longitudinal elements A61B17/7014; A61B17/7019 takes precedence, e.g. coil springs
• CPC Class Codes: A61B 17/7083 Tools for guidance or insertion of tethers, rod-to-anchor connectors, rod-to-rod connectors, or longitudinal elements
• CPC Class Codes: A61B 17/92 Impactors or extractors, e.g. for removing intramedullary devices insertion or extraction of artificial joints A61F2/4603
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/0256 for the spine
• CPC Class Codes: A61B 2090/08021 of the patient or his organs
• CPC Class Codes: A61F 2/4455 for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages intervertebral discs A61F2/442
• CPC Class Codes: A61F 2/4611 of spinal prostheses
• CPC Class Codes: A61F 2002/4627 with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
• CPC Class Codes: A61F 2002/4687 Mechanical guides for implantation instruments
• CPC Class Codes: A61F 2310/00365 Proteins; Polypeptides; Degradation products thereof

Abstract

Featured are methods for fixing adjacent vertebrate of a spine that utilize an implant member, which preferably is arcuate. Preferred methods of the invention for stabilizing adjacent vertebrae of the spine, include forming an aperture in each of the adjacent vertebrae and inserting an implant into the apertures formed in each of the adjacent vertebrae so that the implant extends between the adjacent vertebrae and through the intervertebral space. An alternative method for fixing adjacent vertebrae of a spine includes the step of forming a common channel in and between the adjacent vertebrae and inserting an implant in the channel so as to bridge between the adjacent vertebrae. Also featured are methods for stabilizing adjacent segments of a bone, fixation systems and fixation kits.

Claims

1. A method for stabilizing adjacent segments of a mammalian bone, comprising the steps of:

forming a through aperture in each of the adjacent bone segments;

providing an arcuate implant member (a) having a length that is sufficient so the arcuate implant member extends between the two adjacent bone segments, (b) having a cross-section sized so that portions of the arcuate implant member including ends thereof extend through the preformed aperture that is formed in each of the two adjacent bone segments, and (c) being configured so that the arcuate implant member lies in a plane as it extends between the adjacent bone segments and as the portions thereof extend through the preformed apertures;

implanting the provided arcuate fixation member so that (i) it extends between the adjacent bone segments, and (ii) so that the portions of the arcuate fixation member including ends thereof extend through the preformed apertures in each of the adjacent bone segments; and

wherein the apertures formed in each of the two bone segments define an arcuate path in the plane and wherein the provided arcuate implant member is further configured so as to correspond to the arcuate path defined by the apertures.

2. The method of claim 1, further comprising the step of localizing opposing portions of the adjacent bone segments proximal to each other before said step of implanting.

3. The method of claim 1 wherein the preformed apertures are drilled in each of the adjacent bone segments.

4. The method of claim 1 wherein the preformed through apertures in each of the adjacent bone segments are formed so as to have a common axis of rotation.

5. The method of claim 4 wherein the through apertures in each of the adjacent bone segments are formed in the respective bone segment by one of drilling or ablation of the bone by an energy source.

6. The method of claim 1, wherein the step of implanting includes successively moving one of the portions of the arcuate fixation member through the preformed through aperture in one adjacent bone segment and into the preformed through aperture of the other adjacent bone segment.

7. The method of claim 1 wherein the arcuate fixation member is made from one or more of a metal, bone, morphogenic protein including a combination of bone and bone morphogenic protein, carbon fiber composite, nitinol, a biodegradable material including polyactic acid, polyglycolic acids, copolymers and derivatives thereof, collagen, collagen coated metal and collagen coated bone.

8. The method of claim 1 wherein the arcuate fixation member is formed in-situ using a polymer-based system, where the through apertures act as a mold for forming the arcuate fixation member.

9. A method for stabilizing adjacent segments of a mammalian bone, comprising the steps of:

forming an arcuate through aperture in each of the adjacent bone segments;

implanting an arcuate fixation member so that it extends in a plane between the adjacent bone segments and so portions of the arcuate fixation member including ends thereof extend through the preformed aperture in each of the adjacent bone segments and so the arcuate fixation member lies in a plane as it extends between the adjacent vertebrae and as the portions thereof extend through the preformed apertures; and

wherein the step of forming includes forming the through aperture by one of drilling or ablation of the bone by an energy source.

10. A method for stabilizing adjacent segments of a mammalian bone, comprising the steps of:

forming a through aperture in each of the adjacent bone segments;

wherein the step of forming includes drilling the through aperture in each of the adjacent bone segments so as to create intersecting apertures with convergent paths; and

implanting an arcuate fixation member so that it extends in a plane between the adjacent bone segments and so portions of the arcuate fixation member including ends thereof extend through the preformed through aperture in each of the adjacent bone segments and so the arcuate fixation member lies in a plane as it extends between the adjacent vertebrae and as the portions thereof extend through the preformed through apertures.

11. The method of claim 10, further comprising the step of localizing opposing portions of the adjacent bone segments proximal to each other before said step of implanting.

12. The method of claim 10 wherein the through apertures in each of the adjacent bone segments are formed so as to have a common axis of rotation.

13. The method of claim 10, wherein the step of implanting includes successively moving one of the portions of the arcuate fixation member through the through aperture in one adjacent bone segment and into the through aperture of the other adjacent bone segment.

14. The method of claim 10 wherein the arcuate fixation member is made from one or more of a metal, bone, morphogenic protein including a combination of bone and bone morphogenic protein, carbon fiber composite, nitinol, a biodegradable material including polyactic acid, polyglycolic acids, copolymers and derivatives thereof, collagen, collagen coated metal and collagen coated bone.

15. The method of claim 10 wherein the arcuate fixation member is formed in-situ using a polymer-based system, where the through apertures act as a mold for forming the arcuate fixation member.