Systems and methods for inserting a spinal device

• US 9,241,807 B2
• Filed: 12/21/2012
• Issued: 01/26/2016
• Est. Priority Date: 12/23/2011
• Status: Active Grant

• Current Assignee: Xtant Medical Holdings, Inc. (OrbiMed Advisors LLC (China))
• Original Assignee: Pioneer Surgical Technology Incorporated (Surgalign Holdings, Inc.)
• Inventors: Mohar, Joseph, Trudeau, Jeffrey L.
• Primary Examiner(s): COLEY, ZADE JAMES
• Application Number:
  US13/725,322
• Publication Number:
  US 20130204372A1
• Time in Patent Office: 1,131 Days
• Field of Search: 606/99
• US Class Current: 1/1
• CPC Class Codes: A61B 17/7059 Cortical plates A61B17/7007, A61B17/7058 take precedence
• CPC Class Codes: A61B 17/8014 the extension or compression force being caused by interaction of the plate hole and the screws
• CPC Class Codes: A61B 17/8038 the additional component being inserted in the screw head
• CPC Class Codes: A61B 17/8042 the additional component being a cover over the screw head
• CPC Class Codes: A61B 17/8047 wherein the additional element surrounds the screw head in the plate hole A61B17/8052 takes precedence
• CPC Class Codes: A61B 17/808 Instruments for holding or positioning bone plates, or for adjusting screw-to-plate locking mechanisms
• CPC Class Codes: A61B 17/861 specially shaped for gripping driver
• CPC Class Codes: A61B 17/8888 at its central region
• CPC Class Codes: A61F 2/442 Intervertebral or spinal discs, e.g. resilient non-disc-shaped intervertebral inflatable pockets A61F2/441; non-disc-shaped intervertebral fusion implants A61F2/4455

Abstract

An insertion device is provided for inserting a spinal device such as an intervertebral implant within a spinal joint. The implant includes at least first and second members, with the first having a convex articulation surface and the second member having a concave articulation surface. The two articulation surfaces provide an articulation interface to substantially mimic natural kinetic motion of the spine. The insertion device can be attached to at least one of the first and second members. In one form, the insertion device is configured such that the first and second members are movable relative to one another while being held to allow the members to form a compact wedge configuration. The insertion device is configured to actively pivot the implant about the implant gripping end of the device and to allow manipulation and release of the implant members in any pivoted orientation from approximately 0 to 90 degrees.

Claims

1. A tool for inserting an implant, comprising:

a handle;

a shaft assembly having a longitudinal axis and being operably connected to the handle;

a pivotable head portion pivotally connected to the shaft assembly;

a movable jaw member movably connected to the pivotable head portion for selectively gripping or releasing an implant;

a first actuator operably connected to the shaft assembly operable to selectively pivot the head portion to a plurality of different positions with respect to the shaft assembly;

a second actuator operably connected to the shaft assembly operable to selectively shift the movable jaw member relative to the pivotable head portion;

the shaft assembly and head portion being configured to allow the movable jaw member to be shifted independently of the pivotable head portion, such that the implant may be selectively gripped or released by the movable jaw member in each of the plurality of different positions of the pivotable head portion;

wherein the plurality of different positions of the pivotable head portion include an insertion configuration, wherein a longitudinal axis of the implant connected to the pivotable head portion is substantially parallel to the longitudinal axis of the shaft assembly, and a rotated configuration, wherein the longitudinal axis of the implant connected to the pivotable head portion is transverse to the longitudinal axis of the shaft assembly, and the pivotable head portion is biased to return to the insertion configuration when the pivotable head portion is shifted by the first actuator to the rotated configuration; and

a biasing member associated with the shaft assembly operable to bias the movable jaw member toward a gripping orientation for gripping the implant in each of the plurality of different positions of the pivotable head portion.

2. The tool of claim 1, wherein the pivotable head portion further comprises a stationary jaw member opposite from the movable jaw member for gripping the implant therebetween.

3. The tool of claim 1, wherein the movable jaw member comprises a plurality of protuberances for engaging corresponding recessed portions of the implant.

4. The tool of claim 3, wherein the plurality of protuberances of the movable jaw member comprise first and second protuberances, wherein the first and second protuberances each have arcuate configurations.

5. The tool of claim 1, wherein the shaft assembly is releasably connected to the handle portion to allow the shaft assembly to be removed from the handle portion for cleaning.

6. The tool of claim 5, further comprising a latch mechanism for releasably connecting the shaft assembly to the handle, wherein the latch mechanism is shiftable between a closed orientation for keeping the shaft assembly locked to the handle, and a released orientation, for removing the shaft assembly from the handle.

7. The tool of claim 1, wherein the shaft assembly comprises a plurality of shafts including an outer shaft comprised of a plurality of operably connected shaft portions.

8. The tool of claim 7, wherein the outer shaft portions are pivotally connected at a distal end of the shaft assembly.

9. The tool of claim 7, wherein the outer shaft portions include interior surfaces and the shaft portions extend along the longitudinal axis when in a closed orientation with the shaft portions in mating engagement with one another and are configured to shift between the closed orientation and an open orientation with the shaft portions splayed apart from one another for allowing cleaning access to the interior surfaces of the shaft portions.

10. The tool of claim 1, wherein the shaft assembly comprises a first shaft operably connected to the first actuator and the head portion for shifting the head portion via the first actuator, and a second shaft operably connected to the second actuator and the movable jaw member for shifting the movable jaw member via the second actuator.

11. The tool of claim 1, further comprising an additional biasing member associated with the shaft assembly operable to bias the pivotable head portion to return to the insertion configuration when the pivotable head portion is shifted by the first actuator to the rotated configuration.

12. The tool of claim 11, wherein the additional biasing member is a spring operably connected to the shaft assembly.

13. The tool of claim 1, wherein the first actuator comprises a lever configured to shift between a plurality of different positions corresponding with the plurality of different positions of the pivotable head portion, and the tool further comprises a latch member for holding the lever in at least one of the plurality of different positions corresponding to the rotated configuration of the pivotable head portion.

14. A tool for inserting an implant, comprising:

a handle;

a shaft assembly having a longitudinal axis and being operably connected to the handle;

a pivotable head portion pivotally connected to the shaft assembly;

a movable jaw member movably connected to the pivotable head portion for selectively gripping or releasing an implant;

a first actuator operably connected to the shaft assembly operable to selectively pivot the head portion to a plurality of different positions with respect to the shaft assembly;

a second actuator operably connected to the shaft assembly operable to selectively shift the movable jaw member relative to the pivotable head portion;

the shaft assembly and head portion being configured to allow the movable jaw member to be shifted independently of the pivotable head portion, such that the implant may be selectively gripped or released by the movable jaw member in each of the plurality of different positions of the pivotable head portion;

wherein the plurality of different positions of the pivotable head portion include an insertion configuration, wherein a longitudinal axis of the implant connected to the pivotable head portion is substantially parallel to the longitudinal axis of the shaft assembly, and a rotated configuration, wherein the longitudinal axis of the implant connected to the pivotable head portion is transverse to the longitudinal axis of the shaft assembly, and the pivotable head portion is biased to return to the insertion configuration when the pivotable head portion is shifted by the first actuator to the rotated configuration; and

wherein the movable jaw member is shiftable between a gripping orientation for gripping the implant and a releasing orientation for releasing the implant, and the movable jaw member is configured to return automatically to the gripping orientation from the releasing orientation when the pivotable head portion is shifted from the rotated configuration to the insertion configuration.

15. The tool of claim 14, wherein the pivotable head portion further comprises a stationary jaw member opposite from the movable jaw member for gripping the implant therebetween.

16. The tool of claim 14, further comprising a biasing member associated with the shaft assembly operable to bias the pivotable head portion to return to the insertion configuration when the pivotable head portion is shifted by the first actuator to the rotated configuration.

17. The tool of claim 14, wherein the shaft assembly comprises a plurality of shafts including an outer shaft that extends about the other of the plurality of shafts, the outer shaft having a plurality of operably connected shaft portions.

18. The tool of claim 17, wherein the outer shaft portions are pivotally connected at a distal end of the shaft assembly.

19. The tool of claim 17, wherein the outer shaft portions include interior surfaces and the outer shaft portions extend along the longitudinal axis when in a closed orientation with the shaft portions in mating engagement with one another and are configured to shift between the closed orientation and an open orientation with the shaft portions splayed apart from one another for allowing cleaning access to the interior surfaces of the shaft portions.

20. The tool of claim 14, further comprising a latch mechanism for releasably connecting the shaft assembly to the handle, wherein the latch mechanism is shiftable between a closed orientation for keeping the shaft assembly locked to the handle, and a released orientation, for removing the shaft assembly from the handle.