Spine distraction implant and method

• US 8,740,943 B2
• Filed: 10/20/2009
• Issued: 06/03/2014
• Est. Priority Date: 01/02/1997
• Status: Expired due to Fees

• Current Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Original Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Inventors: Zucherman, James F., Hsu, Ken Y., Fallin, T. Wade, Klyce, Henry A.
• Primary Examiner(s): Hammond, Ellen C
• Assistant Examiner(s): BRAY, STUART SAMUEL
• Application Number:
  US12/582,618
• Publication Number:
  US 20100042217A1
• Time in Patent Office: 1,687 Days
• Field of Search: 606246-279, 606/235, 446/85, 446/227, 446/69, 446/484, 446/124, 446/15
• US Class Current: 606/249
• CPC Class Codes: A61B 17/025 Joint distractors
• 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 17/7064 Devices acting on, attached to, or simulating the effect of, vertebral facets; Tools therefor
• 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 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/0256 for the spine
• CPC Class Codes: A61K 31/37 Coumarins, e.g. psoralen
• CPC Class Codes: Y10S 606/91 Polymer

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. An apparatus, comprising:

a body having a central portion extending along an axis between a first end and a second end, the body comprising a first arm, a second arm, a third arm and a fourth arm, the first and fourth arms extending in a diagonal manner from the body, and each comprising a first portion extending transverse to the axis from the central portion and a second portion extending substantially parallel to the axis from the first portion, the central portion of the body configured to be disposed between adjacent spinous processes, the first arm and the third arm at a first side of the body and the second arm and the fourth arm at a second side of the body opposite of the first side of the body, the first arm having a length greater than a length of the third arm such that the first arm is moveable through a space between the adjacent spinous processes and such that the third arm is moveable through the space to position the central body between the adjacent spinous processes,

wherein the arms are each free of any openings extending through opposite surfaces of a respective arm and the central portion is monolithically formed with the first, second, third and fourth arms.

2. The apparatus of claim 1, wherein the second arm has a length greater than a length of the fourth arm.

3. The apparatus of claim 1, wherein:

the length of the third arm is less than the length of the first arm such that the adjacent spinous processes are distracted when the first arm is moved through a space between the adjacent spinous processes and such that the central portion of the body is positioned between the spinous processes when the third arm is moved through the space between the adjacent spinous processes.

4. The apparatus of claim 1, wherein the central portion of the body defines a bore.

5. The apparatus of claim 1, wherein the central portion of the body defines a bore so that the central portion of the body has a modulus of elasticity compatible with a modulus of elasticity of bone.

6. The apparatus of claim 1, wherein the central portion of the body has a modulus of elasticity compatible with a modulus of elasticity of bone.

7. The apparatus of claim 1, wherein the central portion of the body has as modulus of elasticity approximately twice a modulus of elasticity of bone.

14. The apparatus of claim 1 wherein the first arm is configured to accommodate the shape of a vertebrae and comprises a width that narrows towards an end distal from the central portion and a sloping portion with a recess ending in a rounded portion at the distal end.

16. The apparatus of claim 1, wherein the central portion has a length between the first and second ends, the first arm has a maximum length that is 2.0 times the length of the central portion, the second arm has a maximum length that is 0.25 times the length of the central portion, the third arm has a maximum length that is 1.0 times the length of the central portion and the fourth arm has a maximum length that is 1.5 times the length of the central portion.

17. The apparatus of claim 1, wherein an outer surface of the central portion is concavely curved between the first arm and the third arm and between the second arm and the fourth arm.

18. The apparatus of claim 1, wherein an outer surface of the central portion is concavely curved between the first arm and the second arm and between the third arm and the fourth arm.

19. The apparatus of claim 1, wherein the second portion of the first arm is coaxial with the second portion of the third arm and the second portion of the second arm is coaxial with the second portion of the fourth arm.

8. An apparatus, comprising:

a body having a central portion extending along an axis between a first end and a second end, the body comprising a first arm, a second arm, a third arm and a fourth arm, the first and fourth arms extending in a diagonal manner from the body, and each comprising a first portion extending transverse to the axis from the central portion and a second portion extending substantially parallel to the axis from the first portion, the first arm and the fourth arm being longer than the central portion, the second arm and the third arm being no longer than the central portion,

the third arm having a length less than a length of the first arm such that the first arm is moveable through a space between the adjacent spinous processes and such that the third arm is moveable through the space to position the central portion of the body between the spinous processes

the central portion, the first arm and the third arm collectively defining a first saddle configured to receive a first spinous process from adjacent spinous processes, and

the central portion, the second arm and the fourth arm collectively defining a second saddle configured to receive a second spinous process from the adjacent spinous processes,

wherein the arms are each free of any openings extending through opposite surfaces of a respective arm and the central portion is monolithically formed with the first, second, third and fourth arms.

9. The apparatus of claim 8, wherein:

the third arm has a length less than a length of the first arm such that the adjacent spinous processes are distracted when the first arm is moved through a space between the adjacent spinous processes and such that the central portion of the body is positioned between the spinous processes when the third arm is moved through the space between the adjacent spinous processes.

10. The apparatus of claim 8, wherein the central portion of the body defines a bore.

11. The apparatus of claim 8, wherein the central portion of the body defines a bore so that the central portion of the body has a modulus of elasticity compatible with a modulus of elasticity of bone.

12. The apparatus of claim 8, wherein the central portion of the body has a modulus of elasticity compatible with a modulus of elasticity of bone.

13. The apparatus of claim 8 wherein the central portion of the body has a modulus of elasticity approximately twice a modulus of elasticity of bone.

15. The apparatus of claim 8 wherein the first arm is configured to accommodate the shape of a vertebrae and comprises a width that narrows towards an end distal from the central portion and a sloping portion with a recess ending in a rounded portion at the distal end.