Facet joint implants and delivery tools

• US 9,011,492 B2
• Filed: 09/13/2012
• Issued: 04/21/2015
• Est. Priority Date: 06/06/2008
• Status: Active Grant

• Current Assignee: Providence Medical Technology, Inc.
• Original Assignee: Providence Medical Technology, Inc.
• Inventors: McCormack, Bruce M., Smith, Jeffrey D.
• Primary Examiner(s): Ramana, Anu
• Application Number:
  US13/614,281
• Publication Number:
  US 20130006364A1
• Time in Patent Office: 950 Days
• Field of Search: 606247-249, 606/86.R, 606/99, 606/105, 623 1711- 1716
• US Class Current: 606/247
• CPC Class Codes: A61B 17/025 Joint distractors
• CPC Class Codes: A61B 17/0642 for bones, e.g. for osteosynthesis or connecting tendon to bone
• CPC Class Codes: A61B 17/1604 Chisels; Rongeurs; Punches; Stamps
• CPC Class Codes: A61B 17/1659 Surgical rasps, files, planes, or scrapers
• CPC Class Codes: A61B 17/1671 for the spine
• CPC Class Codes: A61B 17/1735 for rasps or chisels
• CPC Class Codes: A61B 17/1757 for the spine
• CPC Class Codes: A61B 17/7044 also having plates, staples or washers bearing on the vertebrae
• CPC Class Codes: A61B 17/7059 Cortical plates A61B17/7007, A61B17/7058 take precedence
• CPC Class Codes: A61B 17/7064 Devices acting on, attached to, or simulating the effect of, vertebral facets; Tools therefor
• CPC Class Codes: A61B 17/8004 with means for distracting or compressing the bone or bones
• CPC Class Codes: A61B 17/8625 Shanks, i.e. parts contacting bone tissue
• CPC Class Codes: A61B 2017/0256 for the spine
• CPC Class Codes: A61B 2090/037 with a frangible part, e.g. by reduced diameter

Abstract

A spinal joint distraction system is disclosed and may include a driver assembly with a tubular shaft, a pair of implant holder arms, an implant distractor, an internal actuator, and a distractor knob, the system also including a delivery device with a tubular shaft, a receiving assembly, and a pair of forks, where the delivery device is adapted for slidable insertion of the driver assembly, the system also including an implant, a chisel, and an injector. Several embodiments of an implant are disclosed as well a method of placing an implant.

Claims

1. A spinal joint distraction system, comprising:

a driver assembly, including;

a first tubular shaft having a longitudinal axis; and

a pair of implant holder arms positioned on a distal end of the first tubular shaft, the arms configured to hold a spinal implant;

an implant distractor positioned along the longitudinal axis near the distal end of the first tubular shaft;

an internal actuator positioned within the first tubular shaft and adapted to advance the implant distractor; and

a distractor knob adapted to control the internal actuator; and

a delivery device, including;

a second tubular shaft;

a receiving assembly positioned on a proximal end of the second tubular shaft; and

a pair of tines extending from a distal end of the second tubular shaft, the tines adapted to penetrate a facet joint,

wherein, the second tubular shaft is adapted to slidably receive the driver assembly.

2. The system of claim 1, wherein the implant holder arms of the driver assembly include an engagement feature for engaging a lateral portion of an implant.

3. The system of claim 2, wherein the engagement feature includes a tab structure.

4. The system of claim 2, wherein the engagement feature includes a bull nose feature adapted to engage a U-shaped slot.

5. The system of claim 1, wherein the distractor knob is rotatably engaged with the internal actuator and the internal actuator is free to move longitudinally relative to the distractor knob.

6. The system of claim 5, wherein the internal actuator is rotatably engaged with the implant distractor.

7. The system of claim 6, wherein the implant distractor is a threaded screw adapted for insertion into a proximal end of an implant.

8. The system of claim 1, wherein the receiving assembly is adapted to allow the distractor knob of the driver assembly to nest within it when the driver assembly is inserted into the second tubular shaft of the delivery device.

9. The system of claim 8, wherein the receiving assembly comprises an access opening, and wherein the distractor knob is rotatable by accessing the knob through the access opening.

10. The system of claim 1, wherein each of the tines comprises:

a V-shaped distal tip;

a superior serrated surface; and

an inferior serrated surface.

11. The system of claim 1, further comprising an implant adapted for holding by the implant holding arms of the driver assembly, the implant comprising:

upper and lower members with an inner surface and an outer surface,

the members connected to each other at respective distal ends; and

teeth protruding from the outer surface of at least one of the upper or lower arms;

wherein, the upper and lower members are adapted to be expanded by the implant distractor.

12. The system of claim 11, further comprising threaded slots in at least one of the members, the slots adapted to be engaged by the implant distractor.

13. The system of claim 11, further comprising a guide feature positioned at a proximal edge of at least one of the upper and lower members, the guide feature adapted to guide the implant distractor between the upper and lower members.

14. The system of claim 11, further comprising a U-member connecting the distal ends of the upper and lower member.

15. The system of claim 1, further comprising a chisel, the chisel including:

a shaft portion;

a tip at a distal end of the shaft; and

a head at a proximal end of the shaft,

wherein the delivery device is adapted to receive the chisel, and

wherein the head of the chisel is adapted to be tapped by a driving member to insert the tip of the chisel into a facet joint.

16. The system of claim 15, wherein the chisel includes a longitudinal lumen.

17. The system of claim 15, wherein the tip is a chamfered tip.

18. The system of claim 15, wherein the tip is a coped tip.

19. The system of claim 1, further comprising an injector, the injector comprising:

a cannula with a closed distal end and two exit doors positioned on opposite sides of the distal end;

a plunger with a seal positioned within the cannula;

a stop disc at a proximal end of the cannula; and

a handle positioned on a proximal end of the plunger;

wherein the delivery device is further adapted to receive the injector.