Devices and methods for cervical lateral fixation

• US 9,724,132 B2
• Filed: 08/31/2011
• Issued: 08/08/2017
• Est. Priority Date: 08/31/2011
• Status: Active Grant

• Current Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Inventors: Sorrenti, Michael, Hawkins, John Riley, Gorhan, Michael, Gamache, Thomas J.
• Primary Examiner(s): Merene, Jan Christopher
• Assistant Examiner(s): Mahmud, Atiya
• Application Number:
  US13/222,776
• Publication Number:
  US 20130053893A1
• Time in Patent Office: 2,169 Days
• Field of Search: 606250-261, 606264, 606278
• CPC Class Codes: A61B 17/7007 Parts of the longitudinal elements, e.g. their ends, being specially adapted to fit around the screw or hook heads
• 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 17/7014 with means for adjusting the distance between two screws or hooks
• CPC Class Codes: A61B 17/7059 Cortical plates A61B17/7007, A61B17/7058 take precedence
• 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 17/844 with expandable anchors or anchors having movable parts
• CPC Class Codes: A61B 17/864 hollow, e.g. with socket or cannulated
• 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 2/446 having a circular or elliptical cross-section substantially parallel to the axis of the spine, e.g. cylinders or frustocones
• CPC Class Codes: A61F 2/4465 having a circular or kidney shaped cross-section substantially perpendicular to the axis of the spine
• CPC Class Codes: A61F 2002/2817 Bone stimulation by chemical reactions or by osteogenic or biological products for enhancing ossification, e.g. by bone morphogenetic or morphogenic proteins [BMP] or by transforming growth factors [TGF]
• CPC Class Codes: A61F 2002/2835 Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
• CPC Class Codes: A61F 2002/30062 (bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
• CPC Class Codes: A61F 2002/30092 using shape memory or superelastic materials, e.g. nitinol
• CPC Class Codes: A61F 2002/30578 having apertures, e.g. for receiving fixation screws
• CPC Class Codes: A61F 2002/30593 hollow
• CPC Class Codes: A61F 2002/30616 Sets comprising a plurality of prosthetic parts of different sizes or orientations
• CPC Class Codes: A61F 2002/30774 internally-threaded
• CPC Class Codes: A61F 2002/30777 Oblong apertures
• CPC Class Codes: A61F 2002/30779 arcuate
• CPC Class Codes: A61F 2002/30785 : parallel
• CPC Class Codes: A61F 2002/30797 : internally-threaded
• CPC Class Codes: A61F 2002/3085 : with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface
• CPC Class Codes: A61F 2002/30858 : Threads interrupted by grooves or sidewalls, e.g. flat sidewalls
• CPC Class Codes: A61F 2002/30904 : serrated profile, i.e. saw-toothed
• CPC Class Codes: A61F 2310/00017 : Iron- or Fe-based alloys, e.g. stainless steel
• CPC Class Codes: A61F 2310/00023 : Titanium or titanium-based alloys, e.g. Ti-Ni alloys

Abstract

Devices and methods are provided for treatment of the cervical spine. The devices and methods allow for treatment to be delivered from a lateral or posterior-lateral location of a subject, proximate to the cervical region of the spine. One exemplary embodiment of a spinal implant includes an elongate cage member and a plate member appended to a proximal end of the cage member. The plate member can be oriented in a manner such that it is asymmetric with respect to a long axis of the cage member. In another exemplary embodiment, an implant includes a cage member having a distal end that has an asymmetrical, bulleted shape such that the distal end is biased towards a superior or cranial direction. In a third exemplary embodiment, an implant includes a spinal fixation element and at least two mounting eyelets formed thereon. Exemplary methods related to implanting spinal implants from a lateral or posterior-lateral location are also provided.

Claims

1. An implantable spinal fixation device, comprising:

a continuous, unitary elongate rod member having a main body extending from a proximal terminal end to a distal terminal end to constitute a length of the rod member, the main body having a substantially circular or ovoid cross sectional shape;

a first mounting eyelet formed on the elongate rod member in proximity to the distal end of the rod member and having an opening formed therein, the opening having a first central axis extending therethrough, the first central axis intersecting the length and a longitudinal axis that extends between the proximal and distal terminal ends of the rod member; and

a second mounting eyelet formed on the elongate rod member remote from the first mounting eyelet and distal of the proximal terminal end, the second mounting eyelet having an opening formed therein that has a second central axis extending therethrough, the second central axis being offset from each of the length, the proximal terminal end, and the longitudinal axis that extends between the proximal and distal terminal ends of the rod member, the first and second mounting eyelets being configured to be fixedly located with respect to each other at all times, wherein top surfaces of the first and second mounting eyelets are not collinear,

wherein the main body of the rod member is curved in at least one plane along its length such that one side of the main body of the rod member has a concave portion and an opposed side of the main body of the rod member has a concurrent convex portion when viewed from a plane that is perpendicular to a central axis that extends through the opening of the second mounting eyelet without contacting a body of the second mounting eyelet and which is parallel to a plane extending through a substantial length of the main body of the rod member,

wherein the second mounting eyelet comprises an extension formed laterally offset from the main body of the elongate rod member; and

wherein the direction of curvature of the concave and convex portions is towards the second mounting eyelet.

2. The device of claim 1, further comprising a third mounting eyelet coupled to the elongate rod member, the third mounting eyelet being disposed between the first mounting eyelet and the second mounting eyelet.

3. The device of claim 2, wherein the third mounting eyelet is slidable with respect to the elongate rod member.

4. The device of claim 3, further comprising a securing member configured to set a location of the third mounting eyelet with respect to the rod member.

5. The device of claim 2, further comprising an anchor member configured to be located offset from the elongate rod member, the anchor member being coupled to the third mounting eyelet by way of a connector.

6. The device of claim 5, wherein the connector is coupled to the anchor member and to the third mounting eyelet, the third mounting eyelet being slidable such that a location of the connector with respect to the rod member is adjustable by sliding the third mounting eyelet along the rod member.

7. The device of claim 2, wherein the third mounting eyelet is disposed along the rod member such that the third mounting eyelet does not intersect either of the first mounting eyelet or the second mounting eyelet.

8. The device of claim 2, further comprising:

an anchor member configured to be located offset from the elongate rod member, the anchor member being coupled to the third mounting eyelet by way of a connector,

wherein the third mounting eyelet is configured to be selectively secured to the rod member such that a location of the connector with respect to the rod member is adjustable.

9. The device of claim 1, wherein the first and second eyelets are configured to each receive screws to anchor the implantable spinal fixation device against the spine.

10. The device of claim 9, further comprising:

a first screw; and

a second screw,

wherein the first eyelet receives the first screw to anchor the implantable spinal fixation device against the spine, and

wherein the second eyelet receives the second screw to anchor the implantable spinal fixation device against the spine.

11. The device of claim 1, wherein the second mounting eyelet is in proximity to the proximal end of the main body of the rod member.

12. The device of claim 1, wherein the first mounting eyelet is at the distal end of the elongate rod member.

13. The device of claim 1, wherein the first and second mounting eyelets are of a unitary construction with the rod member.

14. The device of claim 1, further comprising a notch formed in a surface of the rod member at a location between the second mounting eyelet and the proximal terminal end of the rod member.

15. An implantable spinal fixation device, comprising:

a continuous, unitary elongate rod member extending from a proximal terminal end to a distal terminal end to constitute a length of the rod member;

a first mounting eyelet formed on the elongate rod member in proximity to the distal terminal end of the rod member and having a central lumen extending therethrough, the central lumen having a first central axis extending therethrough, the first central axis intersecting the length and a longitudinal axis that extends between the proximal and distal terminal ends of the rod member; and

a second mounting eyelet formed on the elongate rod member in proximity to the proximal. terminal end of the rod member and having an central lumen extending therethrough, the central lumen having a second central axis extending therethrough, the second central axis being offset from the length and the central longitudinal axis that extends along the rod member between the proximal and distal terminal ends of the rod member, the first and second mounting eyelets being configured to be fixedly located with respect to each other at all times, wherein top surfaces of the first and second mounting eyelets are not collinear,

wherein, when viewed from a plane that is perpendicular to a central axis that extends through the opening of the second mounting eyelet without contacting a body of the second mounting eyelet, and which is parallel to a plane extending through a substantial length of the rod member, the rod member is curved along its length such that one side of the rod member has a concave portion extending along a majority of the length of the rod and an opposed side of the rod member has a concurrent convex portion extending along a majority of the length of the rod, with the direction of curvature of the concave and convex portions being towards the second mounting eyelet.

16. The device of claim 15, further comprising a third mounting eyelet selectively adjustably coupled to the elongate rod member, the third mounting eyelet being disposed between the first mounting eyelet and the second mounting eyelet.

17. The device of claim 16, further comprising an anchor member configured to be located offset from the elongate rod member, the anchor member being selectively adjustably coupled to the third mounting eyelet by way of a connector.

18. The device of claim 16, wherein the third mounting eyelet is disposed along the rod member such that the third mounting eyelet does not intersect either of the first mounting eyelet or the second mounting eyelet.

19. The device of claim 18, further comprising a securing member configured to set a location of the third mounting eyelet with respect to the rod member.

20. The device of claim 15, wherein the second mounting eyelet is in proximity to the proximal end of the rod member.

21. The device of claim 20, wherein the second mounting eyelet is distal of the proximal terminal end of the rod member.