Implant placement

• US 9,839,448 B2
• Filed: 10/15/2014
• Issued: 12/12/2017
• Est. Priority Date: 10/15/2013
• Status: Active Grant

• Current Assignee: SI-Bone, Incorporated
• Original Assignee: SI-Bone, Incorporated
• Inventors: Reckling, W. Carlton, Reiley, Mark A., Yerby, Scott A., Farley, Sean, Leung, Joanne
• Primary Examiner(s): Robert, Eduardo C
• Assistant Examiner(s): ECKMAN, MICHELLE CHRISTINE
• Application Number:
  US14/515,416
• Publication Number:
  US 20150105828A1
• Time in Patent Office: 1,154 Days
• Field of Search: 606 86 R, 606 99, 623 1711
• CPC Class Codes: A61B 17/1659 Surgical rasps, files, planes, or scrapers
• CPC Class Codes: A61B 17/17 Guides or aligning means for drills , mills, pins or wires
• CPC Class Codes: A61B 17/1757 for the spine
• CPC Class Codes: A61B 17/7055 connected to sacrum, pelvis or skull
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• 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 2017/564 Methods for bone or joint treatment
• CPC Class Codes: A61B 2090/062 penetration depth

Abstract

Embodiments of the present invention relate generally to implant placement into bone. More specifically, embodiments of the invention relate to implant placement across the sacro-iliac joint. Placement can be facilitated using various CT imaging views that allow the implants to be placed in bone associated with articular cartilage.

Claims

1. A method of implanting a plurality of implants across an SI-joint, the method comprising:

identifying a plurality of anatomical landmarks in the lateral view including the alar line, the posterior sacral body line, the anterior sacral body line, and the anterior cortex of the sacral alar;

inserting a plurality of guide pins across an anterior portion of the SI-joint and through hyaline cartilage, wherein the plurality of guide pins are inserted with reference to at least one anatomical landmark;

creating a bore around each of the plurality of guide pins; and

inserting an implant into each bore such that each implant crosses the anterior portion of the SI-joint and passes through hyaline cartilage, wherein at least one guide pin and implant are inserted anterior of the anterior sacral body line in the lateral view.

2. The method of claim 1, wherein at least two guide pins and implants are inserted anterior of the anterior sacral body line in the lateral view.

3. The method of claim 1, wherein the at least one guide pin and implant that is inserted anterior of the anterior sacral body line in the lateral view is angled with respect to a horizontal axis in an inlet view.

4. The method of claim 1, wherein at least two guide pins and two implants are placed parallel to the alar line.

5. The method of claim 1, wherein the plurality of guide pins are parallel in an outlet view.

6. The method of claim 1, further comprising identifying a target for the plurality of guide pins in an inlet view, wherein the target is located in the middle of the sacral body.

7. The method of claim 6, further comprising advancing the guide pins towards the target in an inlet view.

8. The method of claim 1, wherein the implants are non-colinear in the lateral view.

9. The method of claim 1, wherein the implants have an elongate body with a longitudinal axis and a rectilinear cross-sectional profile transverse to the longitudinal axis.

10. The method of claim 1, wherein the implants are screws.