Search Images Maps Play YouTube News Gmail Drive More »
Sign in
Screen reader users: click this link for accessible mode. Accessible mode has the same essential features but works better with your reader.

Patents

  1. Advanced Patent Search
Publication numberUS20050015095 A1
Publication typeApplication
Application numberUS 10/619,180
Publication dateJan 20, 2005
Filing dateJul 15, 2003
Priority dateJul 15, 2003
Also published asCA2532480A1, CN1822804A, CN100528105C, DE502004009361D1, EP1646341A1, EP1646341B1, US7569067, US20060004377, WO2005007044A1
Publication number10619180, 619180, US 2005/0015095 A1, US 2005/015095 A1, US 20050015095 A1, US 20050015095A1, US 2005015095 A1, US 2005015095A1, US-A1-20050015095, US-A1-2005015095, US2005/0015095A1, US2005/015095A1, US20050015095 A1, US20050015095A1, US2005015095 A1, US2005015095A1
InventorsArnold Keller
Original AssigneeCervitech, Inc.
Export CitationBiBTeX, EndNote, RefMan
External Links: USPTO, USPTO Assignment, Espacenet
Insertion instrument for cervical prostheses
US 20050015095 A1
Abstract
Insertion instrument for a multi-part intervertebral endoprosthesis (9) which comprises two closure plates (91, 92) and a sliding core (93) arranged between these, said insertion instrument having a handgrip part (21, 31), gripping members which hold the closure plates between them, and a force-receiving part for applying an insertion force to the intervertebral endoprosthesis (9), the gripping members being guided movably toward and away from one another via a hinge (4) and being able to be tensioned against the intervertebral endoprosthesis (9), projections (51, 52) pointing in the tensioning direction (12) or recesses for holding the intervertebral endoprosthesis (9) with form-fit being provided on the gripping members, and a block (61) guided in the longitudinal axis direction (10) and with an abutment surface (62) being provided which can be moved by means of an actuating device (7) so as to bear on the intervertebral endoprosthesis (9) and, in its forward position, secures the intervertebral endoprosthesis (9) against the projections (51 52) or recesses.
Images(3)
Previous page
Next page
Claims(12)
1. An insertion instrument for a multi-part intervertebral endoprosthesis comprising:
two closure plates and a sliding core arranged between the closure plates,
an insertion instrument comprising a handgrip part, gripping members which hold the closure plates between them a hinge, a force-receiving part for applying an insertion force to the intervertebral endoprosthesis, projections pointing in a tensioning direction or recesses for holding the intervertebral endoprosthesis with a form-fit formed on the gripping members, and a block guided in the longitudinal axis direction and provided with an abutment surface (62) is provided which configured to be movable by an actuating device so as to bear on the intervertebral endoprosthesis and, in a forward position, so as to secure the intervertebral endoprosthesis against the projections or recesses,
wherein the gripping members are configured to be guided movably toward and away from one another via the hinge and to be tensioned against the intervertebral endoprosthesis.
2. The insertion instrument according to claim 1, wherein the insertion instrument is designed as a forceps, whose jaw parts form the gripping parts.
3. Insertion The insertion instrument according to claim 1 or 2, wherein the actuating device is a rod with a handle arranged in the rear area of the handgrip part.
4. The insertion instrument according to claim 3, wherein the rod is provided with a screw thread and is guided in a counter thread which is fixed on the instrument and arranged in the hinge.
5. The insertion instrument according to claim 2, wherein the actuating device is guided through the hinge.
6. The insertion instrument according to claim 1 or 2, wherein the handle is designed as a strike head.
7. The insertion instrument according to claim 1 or 2, further comprising a locking device provided for securing the handgrip parts in the position when pressed together, the locking device having a guide for the actuating device.
8. The insertion instrument according to claim 1 or 2, wherein the projections are arranged on jaw inserts which are fastened releasably on the jaw parts.
9. The insertion instrument according to claim 7, wherein the actuating device is a rod with a handle arranged in the rear area of the handgrip part.
10. The insertion instrument according to claim 8, wherein the actuating device is a rod with a handle arranged in the rear area of the handgrip part.
11. The insertion instrument according to claim 4, further comprising a locking device provided for securing the handgrip parts in the position when pressed together, the locking device having a guide for the actuating device.
12. The insertion instrument according to claim 8, further comprising a locking device provided for securing the handgrip parts in the position when pressed together, the locking device having a guide for the actuating device.
Description
  • [0001]
    The invention relates to an insertion instrument for a multi-part intervertebral endoprosthesis which comprises two closure plates and a sliding core arranged between these, said insertion instrument having a handgrip part, gripping members which hold the closure plates between them, and a force-receiving part for applying an insertion force to the intervertebral endoprosthesis.
  • [0002]
    For inserting intervertebral prostheses, an insertion instrument is known (EP-A-1 306 064) which, at its front end, has two prosthesis holders for receiving in each case a prosthesis plate and which consist of two gripping members which are connected rigidly to one another and which hold the plates between them by friction. For very small implants, of the kind which are used in the area of the cervical spine and which have to be positioned very precisely, this may be too unreliable.
  • [0003]
    The object of the invention is to make available an improved instrument for implantation of intervertebral prostheses which is adapted in particular to the requirements of implantation in confined conditions, as apply in particular in the area of the cervical spine.
  • [0004]
    The solution according to the invention lies in an insertion instrument with the features of claim 1. Advantageous developments are the subject of the dependent claims.
  • [0005]
    In the case of an insertion instrument for a multi-part intervertebral endoprosthesis, in particular a cervical prosthesis, which comprises two closure plates and a sliding core arranged between these, said insertion instrument having a handgrip part, gripping members which hold the closure plates between them, and a force-receiving part for applying an insertion force to the intervertebral endoprosthesis, the invention provides that the gripping members are guided movably toward and away from one another via a hinge and are able to be tensioned against the intervertebral endoprosthesis, projections pointing in the tensioning direction or recesses for holding the intervertebral endoprosthesis with a form-fit are formed on the gripping members, and a block guided in the longitudinal axis direction and with an abutment surface is provided which can be moved to the intervertebral endoprosthesis by means of an actuating device and, in its forward position, secures the intervertebral endoprosthesis against the projections or recesses. When the forceps-like insertion instrument is closed, the gripping members connected to one another via a hinge move toward one another and engage with a form-fit via their projections (or recesses) in corresponding depressions (or elevations) of the intervertebral endoprosthesis and thus tension the latter in a direction transverse to the longitudinal axis of the insertion instrument. The longitudinally movably guided block can be moved toward the intervertebral endoprosthesis until its abutment surface bears on the intervertebral endoprosthesis and secures the latter against the projections (or recesses). In this way, the intervertebral endoprosthesis is also tensioned in the longitudinal direction. It is thus held by the insertion instrument in a manner free of play and in a precise position. By virtue of the block bearing firmly on the intervertebral endoprosthesis, considerable forces, such as arise when striking the intervertebral endoprosthesis into place, can also be safely transmitted. Since these considerable forces are transmitted via the block and its abutment surface, the projections (or recesses) do not have to take up these forces. They can be of fairly small dimension and therefore made very fine, as is desired for precise positioning, without having to take into consideration the high force transmission when striking the intervertebral endoprosthesis home. In addition, by bearing on the intervertebral endoprosthesis, the block ensures that the latter does not inadvertently turn and that its individual elements do not open. By virtue of the invention, the intervertebral endoprosthesis can thus be held easily, safely and with precise positioning on the insertion instrument and inserted.
  • [0006]
    A number of terms are explained below:
  • [0007]
    The longitudinal axis of the forceps is understood as the center line which is the angle bisector between the handgrip parts of the forceps halves and the jaw parts of the forceps halves.
  • [0008]
    The tensioning direction is understood as the direction in which the gripping members move toward one another. The opposite direction is the spreading direction. These directions are generally approximately transverse to the longitudinal axis of the insertion instrument.
  • [0009]
    A form-fit hold is understood as meaning that the projections engage in correspondingly shaped receiving openings of the intervertebral endoprosthesis, or vice versa. Viewed in the direction of the longitudinal axis, the projections grip into an undercut.
  • [0010]
    The insertion instrument is preferably designed as a forceps, whose jaw parts form the gripping members. This permits a space-saving construction and easy handling, which is of advantage particularly in the confined conditions in the area of the cervical spine.
  • [0011]
    To make it simpler to use, the actuating device has a rod with a handle arranged in the rear area of the handgrip part. This allows the operating surgeon to use the actuating device without awkward maneuvering. Because of the small space available in the case of cervical prostheses, this is of particular importance when removing the insertion instrument after introduction of the intervertebral endoprosthesis, when the block has to be moved back. For this purpose, the rod is expediently provided with a screw thread and is guided in a counterthread which is fixed on the instrument and arranged preferably in the hinge. Thus, by turning in one direction, the block can be guided toward the intervertebral endoprosthesis and thus secure it, whereas, by turning in the opposite direction, the block is moved away and releases the intervertebral endoprosthesis for the purpose of removal of the insertion instrument. The screw device also has the advantage of being self-locking, with the result that a separate securing device for protection against inadvertent displacement is not necessary. However, a screw device is not absolutely necessary, and, instead, other preferably self-locking actuating devices can also be provided.
  • [0012]
    In a particularly advantageous construction, the actuating device is guided through the hinge. This is not only a particularly space-saving design, it also guarantees a near-center arrangement. This arrangement ensures that the insertion instrument does not deviate to the side even under high forces when struck. A high degree of positioning precision when inserting the intervertebral endoprosthesis is achieved in this way.
  • [0013]
    It is expedient for the actuating device to have a strike head at its handgrip end. In this way, via the actuating device and the block, it is possible to act directly on the intervertebral endoprosthesis so as to bring it to its implantation site. For this purpose, it is expedient for the handle itself to be designed as a strike head. This permits a space-saving construction, which is of considerable value particularly in the confined conditions in the area of the cervical spine.
  • [0014]
    In order to ensure that the insertion instrument does not inadvertently spring open, even when acted upon by considerable force, a locking device is expediently provided for securing the handgrip parts in the position when pressed together, said locking device having a guide for the actuating device. This ensures that the actuating device does not deflect outward under high loads, particularly when the strike head is arranged far to the rear. The locking device can be provided at the rear end of the handgrip parts in a manner known per se. It is important that it is sufficiently strongly dimensioned to withstand the loads which occur during striking but can nevertheless be easily released for removing the instrument.
  • [0015]
    In an expedient embodiment, the projections or recesses are arranged on jaw inserts which are fastened releasably on the jaw parts. This means that, if necessary, it is easy to exchange the jaw inserts together with the projections or recesses arranged thereon, in order to adapt the insertion instrument to other types or sizes of intervertebral endoprostheses.
  • [0016]
    The invention is explained below with reference to the drawing in which an advantageous illustrative embodiment is shown, and where:
  • [0017]
    FIG. 1 shows an overall view of the insertion instrument according to the invention, seen from above, with an intervertebral endoprosthesis;
  • [0018]
    FIG. 2 shows an overall view of the insertion instrument according to the invention seen from below;
  • [0019]
    FIG. 3 shows an enlarged detail view of a jaw part of the insertion instrument, in a longitudinal axis section;
  • [0020]
    FIG. 4 shows a detail view of the other jaw insert; and
  • [0021]
    FIG. 5 shows a detail view of the insertion instrument with an intervertebral endoprosthesis arranged thereon.
  • [0022]
    The illustrative embodiment, shown in the figures, of an insertion instrument according to the invention is a forceps, labeled as a whole by reference number 1. It is used for inserting cervical prostheses 9 into the intervertebral space of two adjacent vertebral bodies of the cervical spine (not shown).
  • [0023]
    The forceps 1 is made up of two forceps halves 2, 3 which are connected to one another movably via a pivot hinge 4. In their rear area, the forceps halves 2, 3 have a respective handgrip part 21, 31 and in their front area they have a respective jaw part 22, 32. The pivot hinge 4 is arranged at the transition between the handgrip parts 21, 31 and the jaw parts 22, 32. It is formed by a pin 42 on the forceps half 2 (in FIG. 1 it extends upward from the plane of the drawing), which pin 42 is mounted in a matching opening 43 in the central area of the other forceps half 3. The bearing pin 42 has a through-bore 44 which runs from the handgrip area of the forceps halves 2, 3 to the jaw area. It will be discussed in more detail later. The pivot hinge 4 allows the handgrip parts 21, 31 of the forceps halves 2, 3 to be moved toward one another so that the jaw parts 22, 32 close, and vice versa.
  • [0024]
    The jaw parts 22, 32 function as gripping members. In the front area, on their mutually facing inner surfaces, they each have two projections 51, 52 pointing in the tensioning direction 12. These projections are not arranged directly on the jaw parts 22, 32, but instead on jaw inserts 53 which are secured exchangeably, by means of a screw (not shown), in a corresponding recess on the outer surfaces of the jaw parts 22, 32. Each jaw insert 53 has a projection 51 and a projection 52. The projection 51 is formed like a pin and is located in the upper area of the jaw insert 53, while the projection 52 is formed like a small plate and is located in the lower area of the jaw insert 53. The dimensions and arrangement of the projections 51, 52 are adapted to corresponding receiving openings on the cervical prostheses 9 to be received. This will be explained in more detail later.
  • [0025]
    Arranged on the jaw part 22 there is a guide rail 60 which holds a block 61 such that the latter is longitudinally displaceable in the forward and rearward directions on the forceps half 2. The guide rail 60 is designed as an elongate hole in the jaw insert 53 of the jaw part 32. A grub screw arranged laterally in the block 61 engages in the oblong hole forming the guide rail 60 and guides the block in the longitudinal direction. Instead of the oblong hole, other guide elements can also be provided which allow the block 61 to be guided in forward and rearward movement in the longitudinal direction, for example a dovetail guide. At its front end, the block 61 is provided with an abutment surface 62 designed to cooperate with the cervical prosthesis 9.
  • [0026]
    The block 61 is engaged by an actuating device 7 which extends from the rear area of the block 61 via the through-bore 44 and into the area between the handgrip parts 21, 31. The actuating device 7 comprises a coupling element 70 for connection to the block 61, which, in the illustrative embodiment shown, is a vertebra support suitable for transmitting shear forces, and it moreover comprises a rod 71 and a handle 72 for actuation. Provided in the front area of the rod 71 there is an external thread 73 which cooperates with a complementary internal thread (not shown) in the through-bore 44 of the pin 42 as an instrument-fixed guide. By turning the handle 72, it is thus possible for the rod 71, and with it the block 61 via the coupling element 70, to be moved backward and forward along the guide rail 60. The handle 72 is designed as a rotatable knob which, on its outer circumference 74, has a suitable surface finish, for example a coarse ribbing 75, to allow the operating surgeon a good grip.
  • [0027]
    The rear end of the handle 72 is provided with a convex bulge 76. It serves as a strike head for the actuating device 7. Impulses acting on the bulge 76 of the strike head are transmitted by this via the rod 71 of the actuating device 7, the shear-resistant vertebral support 70 and the block 61, to the latter's abutment surface 62.
  • [0028]
    A locking device 8 for the handgrip parts 21, 31 is provided in the rear area of the forceps 1. This locking device 8 comprises a pivotably movable catch element 83 and a locking pawl 84 (which are arranged opposite one another on the handgrip parts 21, 31), a release device 81, a base 82 and a spring 87. The rear end of the handgrip part 21 is designed as a fork, the locking pawl 84 being formed by a beveling of the base of the fork. The catch element 83 is mounted by the base 82 in the plane enclosed by the handgrip parts 21, 31. The spring 87 is designed as a leaf spring and acts on that end of the catch element 83 mounted in the base 82 in such a way that it is pressed forward to the locking pawl 84. Starting from the base 82, the catch element 83 has a wide area and a narrow area. In its narrow area, the catch element 83 has, on its front face, a toothing 86 into which, when the forceps 1 is closed, the locking pawl 84 engages and is locked, so that the handgrip parts 21, 31 cannot move away from one another and, as a result, the insertion instrument 1 is safeguarded against inadvertently springing open. In this way, it is possible for even substantial loads, for example hammer strikes, to be applied to the bulge 76 on the forceps 1 without any fear of inadvertent opening and without the operating surgeon needing to secure the handgrip parts 21, 31 by manual force against undesired opening. To open the forceps 1 after implantation has been carried out, the catch element 83 is pivoted rearward by applying rearward pressure on the release element 81, by which means the locking pawl 84 is freed from the catch element 83, and the handgrip parts 21, 31 thus move apart from one another under the action of the spring 11. With the forceps 1 in the opened state, the catch element 83 is pivoted rearward counter to the force of the spring 87. Provided in the wide area of the catch element 83 there is a guide 85 which is designed as an oblong hole and which is used to hold the rod 71, even when the forceps 1 is open, in a defined position in the longitudinal axis 10 and to avoid deflection of the rod 71 even under high loads.
  • [0029]
    Also fixed on the handgrip part 31 there is a leaf spring 11 which is guided round the rod 71 to the other handgrip part 21. With the forceps 1 closed, this leaf spring 11 is tensioned and has the effect that, after release of the catch elements 82 83, the insertion instrument 1 automatically opens to permit removal.
  • [0030]
    The cooperation with the cervical prosthesis 9 will be described now with reference to FIGS. 3 and 5. The cervical prosthesis 9 consists of an upper closure plate 91 and a lower closure plate 92, with a pivot [sic] element 93 arranged between them. The cervical prosthesis 9 is intended for implantation in the interspace between two adjacent vertebrae of a human cervical spine. The top closure plate 91 is secured to the upper vertebra and the bottom closure pate 92 is secured to the lower vertebra. To arrange the cervical prosthesis 9 securely on the forceps 1 for insertion into the intervertebral space, the top and bottom closure plates 91, 92 have receiving openings on their lateral flanks in the area of their front flange 94, 95. The receiving opening on the top closure plate 91 is designed as a bore 97 with an additional countersink. The receiving opening on the bottom closure plate 92 is designed as a slit 96. In its flange-side area, the sliding core 93 is likewise provided with a slit 96′ which is arranged in such a way that it is flush with the slit 96 of the bottom closure plate 92. The slits 96, 96′ thus result in a continuous groove.
  • [0031]
    To receive the cervical prosthesis 9 with the forceps 1, the cervical prosthesis 9 is brought into the area between the jaw parts 22, 32 and the forceps 1 is closed, as a result of which the jaw parts 22, 32 move toward one another. In so doing, the projections 51, 52 engage in the corresponding receiving openings of the two closure plates 91, 92, the pins 51 engaging in the bore 97 and the small plates 52 engaging in the slits 96, 96′. In this way, the cervical prosthesis 9, in the tensioning direction, is held free from play on the forceps 1. The different design of the projections 51, 52 and of the receiving openings configured as bores 97 and slits 96 ensures that the cervical prosthesis 9 can be held on the forceps 1 only with the correct orientation. If, as in the illustrated embodiment, the forceps 1 is additionally provided with a marking 14 for the top, this virtually eliminates the possibility of incorrect implantation as a result of incorrect orientation of the cervical prosthesis 9. After the cervical prosthesis 9 has in this way been received in the correct orientation on the forceps 1, the rod 71 can be moved forward via the actuating device 7 by turning the handle 72, with the result that the block 61 comes to lie, from the rear, with its abutment surface 62 on the flange 94, 95 of the cervical prosthesis 9. In doing so, the block 61 tensions the cervical prosthesis 9 against the projections 51, 52 and thus orients the cervical prosthesis 9 in a defined position. Any play existing in the longitudinal axis direction between the projections 51, 52 and the bores 97 and the slits 96 is compensated in this way. The cervical prosthesis 9 is thus held securely and in a precise position on the forceps 1. In addition, the fact that the block 61 bears on the flanges 93, 94 of the two closure plates 91, 92 ensures that the two closure plates 91, 92 do not move away from one another at their front end. This eliminates the possibility of the cervical prosthesis 9 opening, which would prevent successful introduction into the intervertebral space.
  • [0032]
    It is furthermore made possible to implant cervical prostheses of different height without making changes to the forceps 1. FIG. 3 b shows a cervical prosthesis 9′ which has a thicker sliding core 93′. Like the sliding core 93, it is provided with a slit 96″ which is flush with the slit 96 of the bottom closure plate 92. This configuration of the receiving opening on the bottom closure plate 92 as a slit 96 and its continuation as slit 96″ in the sliding core 93′ ensure that the thicker cervical prosthesis 9′ can be gripped and securely held with the same forceps 1 without changing the arrangement of the projections 51, 52. The positioning precision is in this case guaranteed by the pin-like projections 51 which engage in the bores 97.
  • [0033]
    If necessary, however, it is also possible to provide other jaw inserts 53′ which have a different arrangement of the projections 51′, 52′, as is shown in FIG. 4. In this way, the forceps 1 can be adapted to other intervertebral endoprostheses, for example to particularly small ones for treatment of children.
  • [0034]
    With its abutment surface 62, the block 61 affords a sufficiently large force transmission surface for transmitting to the cervical prosthesis 9 the impulses applied to the bulge 76 acting as the strike head. The great advantage of this is that the projections 51, 52, which have been finely dimensioned in the interest of precise positioning, do not have to transmit the strike forces, so that the risk of bending or even breaking of the projections 51, 52 as a result of overloading is excluded, by virtue of the block 61 and its abutment surface 62 assuming the role of force transmission.
  • [0035]
    The forceps 1 according to the invention allows the cervical prosthesis 9 to be arranged with precise positioning and without any risk of its being the wrong way round on the forceps 1, thereby preventing any undesired opening of the cervical prosthesis 9. Moreover, by virtue of the block 61 with the abutment surface 62, it also permits transmission of forces even in the case of forceps 1 of small dimensions. In this way, reliable implantation of the prosthesis is guaranteed. The small dimensioning of the forceps 1 also has the advantage that it gives the operating surgeon good access to and a good overall view of the implantation site.
Patent Citations
Cited PatentFiling datePublication dateApplicantTitle
US3960147 *Mar 10, 1975Jun 1, 1976Murray William MCompression bone staples and methods of compressing bone segments
US4759766 *Sep 9, 1987Jul 26, 1988Humboldt-Universitaet Zu BerlinIntervertebral disc endoprosthesis
US5431658 *Feb 14, 1994Jul 11, 1995Moskovich; RonaldFacilitator for vertebrae grafts and prostheses
US5720751 *Nov 27, 1996Feb 24, 1998Jackson; Roger P.Tools for use in seating spinal rods in open ended implants
US6368350 *Mar 11, 1999Apr 9, 2002Sulzer Spine-Tech Inc.Intervertebral disc prosthesis and method
US6478800 *May 8, 2000Nov 12, 2002Depuy Acromed, Inc.Medical installation tool
US20020072752 *Oct 31, 2001Jun 13, 2002Zucherman James F.Interspinous process implant sizer and distractor with a split head and size indicator and method
Referenced by
Citing PatentFiling datePublication dateApplicantTitle
US7824411Nov 2, 2010Depuy Spine, Inc.Instruments and methods for bone anchor engagement and spinal rod reduction
US7824413 *Nov 2, 2010Depuy Spine, Inc.Instruments and methods for bone anchor engagement and spinal rod reduction
US7842044Sep 26, 2005Nov 30, 2010Depuy Spine, Inc.Instruments and methods for bone anchor engagement and spinal rod reduction
US7887539Jan 20, 2004Feb 15, 2011Depuy Spine, Inc.Spinal rod approximators
US7887541Jul 26, 2007Feb 15, 2011Depuy Spine, Inc.Spinal rod reduction instruments and methods for use
US7922750Nov 29, 2007Apr 12, 2011Paradigm Spine, LlcInterlaminar-interspinous vertebral stabilization system
US7988698Jan 28, 2003Aug 2, 2011Depuy Spine, Inc.Spinal rod approximator
US8002834Apr 28, 2009Aug 23, 2011Spinalmotion, Inc.Intervertebral prosthetic disc with metallic core
US8062371Nov 22, 2011Spinalmotion, Inc.Intervertebral prosthetic disc with metallic core
US8083797Dec 27, 2011Spinalmotion, Inc.Intervertebral prosthetic disc with shock absorption
US8090428Jan 3, 2012Spinalmotion, Inc.Spinal midline indicator
US8092538Jan 10, 2012Spinalmotion, Inc.Intervertebral prosthetic disc
US8116841Sep 12, 2008Feb 14, 2012Corventis, Inc.Adherent device with multiple physiological sensors
US8123757Dec 31, 2003Feb 28, 2012Depuy Spine, Inc.Inserter instrument and implant clip
US8172847May 8, 2012Depuy Spine, Inc.In-line rod reduction device and methods
US8206394Jun 26, 2012Depuy Spine, Inc.Torque limited instrument for manipulating a spinal rod relative to a bone anchor
US8206447Jun 26, 2012Spinalmotion, Inc.Methods and apparatus for intervertebral disc prosthesis insertion
US8206449Jul 16, 2009Jun 26, 2012Spinalmotion, Inc.Artificial intervertebral disc placement system
US8216241May 31, 2007Jul 10, 2012Depuy Spine, Inc.Instruments and methods for manipulating a spinal fixation element
US8241294Aug 14, 2012Depuy Spine, Inc.Instruments for expandable corpectomy spinal fusion cage
US8241363Dec 19, 2007Aug 14, 2012Depuy Spine, Inc.Expandable corpectomy spinal fusion cage
US8249686Sep 12, 2008Aug 21, 2012Corventis, Inc.Adherent device for sleep disordered breathing
US8257439Jan 26, 2009Sep 4, 2012Ldr MedicalIntervertebral disc prosthesis
US8267999Apr 15, 2009Sep 18, 2012Ldr MedicalIntervertebral disc prosthesis
US8285356Oct 9, 2012Corventis, Inc.Adherent device with multiple physiological sensors
US8303601Jun 7, 2006Nov 6, 2012Stryker SpineCollet-activated distraction wedge inserter
US8343219Jun 6, 2008Jan 1, 2013Ldr MedicalIntersomatic cage, intervertebral prosthesis, anchoring device and implantation instruments
US8374688Feb 12, 2013Corventis, Inc.System and methods for wireless body fluid monitoring
US8398712Mar 19, 2013Spinalmotion, Inc.Intervertebral prosthetic disc with shock absorption
US8412317Apr 2, 2013Corventis, Inc.Method and apparatus to measure bioelectric impedance of patient tissue
US8444695May 21, 2013Spinalmotion, Inc.Prosthetic disc for intervertebral insertion
US8454698Jun 4, 2013Spinalmotion, Inc.Prosthetic disc for intervertebral insertion
US8460189Sep 12, 2008Jun 11, 2013Corventis, Inc.Adherent cardiac monitor with advanced sensing capabilities
US8465546Feb 16, 2007Jun 18, 2013Ldr MedicalIntervertebral disc prosthesis insertion assemblies
US8486147Feb 4, 2008Jul 16, 2013Spinalmotion, Inc.Posterior spinal device and method
US8500750Oct 21, 2010Aug 6, 2013DePuy Synthes Products, LLC.Instruments and methods for bone anchor engagement and spinal rod reduction
US8506631Sep 15, 2010Aug 13, 2013Spinalmotion, Inc.Customized intervertebral prosthetic disc with shock absorption
US8579910May 18, 2007Nov 12, 2013DePuy Synthes Products, LLCInsertion blade assembly and method of use
US8579911Jan 16, 2009Nov 12, 2013Spinecore, Inc.Instruments and methods for inserting artificial intervertebral implants
US8591430Sep 12, 2008Nov 26, 2013Corventis, Inc.Adherent device for respiratory monitoring
US8608746Mar 10, 2008Dec 17, 2013DePuy Synthes Products, LLCDerotation instrument with reduction functionality
US8636742Oct 20, 2010Jan 28, 2014Depuy Spine, Inc.Spinal rod reduction instruments and methods for use
US8636776Feb 22, 2011Jan 28, 2014Depuy Spine, Inc.Spinal rod approximator
US8636805May 21, 2012Jan 28, 2014Spinalmotion, Inc.Artificial intervertebral disc placement system
US8647347Jun 14, 2012Feb 11, 2014DePuy Synthes Products, LLCInstruments and methods for manipulating a spinal fixation element
US8679126Apr 11, 2012Mar 25, 2014DePuy Synthes Products, LLCTorque limited instrument for manipulating a spinal rod relative to a bone anchor
US8684925Sep 12, 2008Apr 1, 2014Corventis, Inc.Injectable device for physiological monitoring
US8685035Jul 21, 2005Apr 1, 2014Spinalmotion, Inc.Intervertebral prosthesis placement instrument
US8702719 *Dec 6, 2011Apr 22, 2014Aesculap Implant Systems, LlcSurgical instrument and method of use for inserting an implant between two bones
US8709015Mar 10, 2008Apr 29, 2014DePuy Synthes Products, LLCBilateral vertebral body derotation system
US8709044Jul 21, 2011Apr 29, 2014DePuy Synthes Products, LLCInstruments and methods for manipulating vertebra
US8718752Mar 11, 2009May 6, 2014Corventis, Inc.Heart failure decompensation prediction based on cardiac rhythm
US8734519Apr 12, 2007May 27, 2014Spinalmotion, Inc.Posterior spinal device and method
US8758441Oct 22, 2008Jun 24, 2014Spinalmotion, Inc.Vertebral body replacement and method for spanning a space formed upon removal of a vertebral body
US8764833Mar 9, 2009Jul 1, 2014Spinalmotion, Inc.Artificial intervertebral disc with lower height
US8771284Sep 15, 2012Jul 8, 2014Ldr MedicalIntervertebral disc prosthesis and instrumentation for insertion of the prosthesis between the vertebrae
US8771356Sep 14, 2012Jul 8, 2014Spinalmotion, Inc.Intervertebral prosthetic disc
US8777959May 24, 2006Jul 15, 2014Spinecore, Inc.Intervertebral disc and insertion methods therefor
US8790257Sep 12, 2008Jul 29, 2014Corventis, Inc.Multi-sensor patient monitor to detect impending cardiac decompensation
US8790259Oct 22, 2010Jul 29, 2014Corventis, Inc.Method and apparatus for remote detection and monitoring of functional chronotropic incompetence
US8790348Sep 28, 2007Jul 29, 2014Depuy Spine, Inc.Dual pivot instrument for reduction of a fixation element and method of use
US8801792Jul 22, 2010Aug 12, 2014Spinalmotion, Inc.Posterio spinal device and method
US8834482Apr 27, 2007Sep 16, 2014Paradigm Spine, LlcInstrument system for use with an interspinous implant
US8845729Nov 25, 2009Sep 30, 2014Simplify Medical, Inc.Prosthetic disc for intervertebral insertion
US8845730Jul 16, 2009Sep 30, 2014Simplify Medical, Inc.Posterior prosthetic intervertebral disc
US8858635Feb 4, 2005Oct 14, 2014Ldr MedicalIntervertebral disc prosthesis
US8876905Apr 29, 2009Nov 4, 2014DePuy Synthes Products, LLCMinimally invasive corpectomy cage and instrument
US8894662Aug 5, 2013Nov 25, 2014DePuy Synthes Products, LLCInstruments and methods for bone anchor engagement and spinal rod reduction
US8897868Sep 12, 2008Nov 25, 2014Medtronic, Inc.Medical device automatic start-up upon contact to patient tissue
US8906033Mar 30, 2009Dec 9, 2014DePuy Synthes Products, LLCCervical motion disc inserter
US8965498Mar 28, 2011Feb 24, 2015Corventis, Inc.Method and apparatus for personalized physiologic parameters
US8974531Dec 30, 2009Mar 10, 2015Simplify Medical, Inc.Methods and apparatus for intervertebral disc prosthesis insertion
US8974532Aug 22, 2011Mar 10, 2015Ldr MedicalIntervertebral disc prosthesis
US8974533Jan 8, 2014Mar 10, 2015Simplify Medical, Inc.Prosthetic disc for intervertebral insertion
US8979932Nov 29, 2010Mar 17, 2015Ldr MedicalIntervertebral disc prosthesis
US9011544Aug 17, 2010Apr 21, 2015Simplify Medical, Inc.Polyaryletherketone artificial intervertebral disc
US9034038Apr 7, 2009May 19, 2015Spinalmotion, Inc.Motion limiting insert for an artificial intervertebral disc
US9034046Nov 17, 2014May 19, 2015Aesculap Implant Systems, LlcVertebral body replacement device and method for use to maintain a space between two vertebral bodies within a spine
US9072610Nov 27, 2007Jul 7, 2015DePuy Synthes Products, Inc.Inserter instrument and implant clip
US9095379Apr 15, 2011Aug 4, 2015Medos International SarlConstrained motion bone screw assembly
US9095451Jan 13, 2014Aug 4, 2015Spinecore, Inc.Intervertebral disc and insertion methods therefor
US9101416Oct 21, 2010Aug 11, 2015DePuy Synthes Products, Inc.Spinal rod approximator
US9107762Nov 3, 2011Aug 18, 2015Spinalmotion, Inc.Intervertebral prosthetic disc with metallic core
US9173615Sep 23, 2014Nov 3, 2015Medtronic Monitoring, Inc.Method and apparatus for personalized physiologic parameters
US9186089Sep 12, 2008Nov 17, 2015Medtronic Monitoring, Inc.Injectable physiological monitoring system
US9220603Jul 1, 2009Dec 29, 2015Simplify Medical, Inc.Limited motion prosthetic intervertebral disc
US9226837Jun 22, 2015Jan 5, 2016Spinecore, Inc.Intervertebral disc and insertion methods therefor
US9265538Jun 17, 2014Feb 23, 2016DePuy Synthes Products, Inc.Dual pivot instrument for reduction of a fixation element and method of use
US9326798Dec 11, 2013May 3, 2016DePuy Synthes Products, Inc.Derotation instrument with reduction functionality
US9333095Feb 4, 2008May 10, 2016Ldr MedicalIntervertebral disc prosthesis, surgical methods, and fitting tools
US9351846Aug 25, 2014May 31, 2016Simplify Medical, Inc.Posterior prosthetic intervertebral disc
US9402745Nov 24, 2009Aug 2, 2016Simplify Medical, Inc.Intervertebral prosthesis placement instrument
US9411936Sep 12, 2008Aug 9, 2016Medtronic Monitoring, Inc.Dynamic pairing of patients to data collection gateways
US9439774Jan 7, 2011Sep 13, 2016Simplify Medical Pty LtdIntervertebral prosthetic disc
US9439775May 22, 2014Sep 13, 2016Simplify Medical Pty LtdArtificial intervertebral disc with lower height
US20040147936 *Jan 28, 2003Jul 29, 2004Rosenberg William S.Spinal rod approximator
US20040147937 *Jan 20, 2004Jul 29, 2004Depuy Spine, Inc.Spinal rod approximators
US20050143749 *Dec 31, 2003Jun 30, 2005Depuy Spine, Inc.Inserter instrument and implant clip
US20050149053 *Dec 15, 2004Jul 7, 2005Varieur Michael S.Instruments and methods for bone anchor engagement and spinal rod reduction
US20050197706 *Feb 4, 2005Sep 8, 2005Ldr Medical, Inc.Intervertebral disc prosthesis
US20060030857 *Aug 6, 2004Feb 9, 2006Spinalmotion, Inc.Methods and apparatus for intervertebral disc prosthesis insertion
US20060079909 *Sep 26, 2005Apr 13, 2006Runco Thomas JInstruments and methods for bone anchor engagement and spinal rod reduction
US20060178744 *Feb 4, 2005Aug 10, 2006Spinalmotion, Inc.Intervertebral prosthetic disc with shock absorption
US20070123985 *May 24, 2006May 31, 2007Spinecore, Inc.Intervertebral disc and insertion methods therefor
US20080015609 *Apr 27, 2007Jan 17, 2008Trautwein Frank TInstrument system for use with an interspinous implant
US20080071279 *Jun 7, 2006Mar 20, 2008Stryker SpineCollet-activated distraction wedge inserter
US20080071293 *Nov 27, 2007Mar 20, 2008Depuy Spine, Inc.Inserter instrument and implant clip
US20080125864 *Feb 4, 2008May 29, 2008Spinalmotion, Inc.Posterior Spinal Device and Method
US20080154382 *Mar 7, 2008Jun 26, 2008Spinalmotion, Inc.Methods and Apparatus for Intervertebral Disc Prosthesis Insertion
US20080200984 *Feb 16, 2007Aug 21, 2008Ldr MedicalIntervertebral Disc Prosthesis Insertion Assemblies
US20080215155 *Apr 15, 2008Sep 4, 2008Spinalmotion, Inc.Intervertebral prosthetic disc
US20080221696 *Apr 11, 2008Sep 11, 2008Spinalmotion, Inc.Intervertebral prosthetic disc
US20080228225 *Nov 29, 2007Sep 18, 2008Paradigm Spine, LlcInterlaminar-Interspinous Vertebral Stabilization System
US20090030419 *Jul 26, 2007Jan 29, 2009Depuy Spine, Inc.Spinal rod reduction instruments and methods for use
US20090043391 *Aug 9, 2007Feb 12, 2009Spinalmotion, Inc.Customized Intervertebral Prosthetic Disc with Shock Absorption
US20090073991 *Sep 12, 2008Mar 19, 2009Corventis, Inc.Dynamic Pairing of Patients to Data Collection Gateways
US20090076336 *Sep 12, 2008Mar 19, 2009Corventis, Inc.Medical Device Automatic Start-up Upon Contact to Patient Tissue
US20090076340 *Sep 12, 2008Mar 19, 2009Corventis, Inc.Adherent Cardiac Monitor with Advanced Sensing Capabilities
US20090076341 *Sep 12, 2008Mar 19, 2009Corventis, Inc.Adherent Athletic Monitor
US20090076342 *Sep 12, 2008Mar 19, 2009Corventis, Inc.Adherent Multi-Sensor Device with Empathic Monitoring
US20090076343 *Sep 12, 2008Mar 19, 2009Corventis, Inc.Energy Management for Adherent Patient Monitor
US20090076344 *Sep 12, 2008Mar 19, 2009Corventis, Inc.Multi-Sensor Patient Monitor to Detect Impending Cardiac Decompensation
US20090076345 *Sep 12, 2008Mar 19, 2009Corventis, Inc.Adherent Device with Multiple Physiological Sensors
US20090076349 *Sep 12, 2008Mar 19, 2009Corventis, Inc.Adherent Multi-Sensor Device with Implantable Device Communication Capabilities
US20090076350 *Sep 12, 2008Mar 19, 2009Corventis, Inc.Data Collection in a Multi-Sensor Patient Monitor
US20090076363 *Sep 12, 2008Mar 19, 2009Corventis, Inc.Adherent Device with Multiple Physiological Sensors
US20090076364 *Sep 12, 2008Mar 19, 2009Corventis, Inc.Adherent Device for Sleep Disordered Breathing
US20090076397 *Sep 12, 2008Mar 19, 2009Corventis, Inc.Adherent Emergency Patient Monitor
US20090076401 *Sep 12, 2008Mar 19, 2009Corventis, Inc.Injectable Physiological Monitoring System
US20090076405 *Sep 12, 2008Mar 19, 2009Corventis, Inc.Adherent Device for Respiratory Monitoring
US20090076410 *Sep 12, 2008Mar 19, 2009Corventis, Inc.System and Methods for Wireless Body Fluid Monitoring
US20090076559 *Sep 12, 2008Mar 19, 2009Corventis, Inc.Adherent Device for Cardiac Rhythm Management
US20090076614 *Sep 10, 2008Mar 19, 2009Spinalmotion, Inc.Intervertebral Prosthetic Disc with Shock Absorption Core
US20090105835 *Oct 22, 2008Apr 23, 2009Spinalmotion, Inc.Vertebral Body Replacement and Method for Spanning a Space Formed upon Removal of a Vertebral Body
US20090132054 *Jan 26, 2009May 21, 2009Ldr MedicalIntervertebral Disc Prosthesis
US20090164017 *Dec 19, 2007Jun 25, 2009Robert SommerichExpandable Corpectomy Spinal Fusion Cage
US20090164018 *Mar 26, 2008Jun 25, 2009Robert SommerichInstruments For Expandable Corpectomy Spinal Fusion Cage
US20090205188 *Apr 28, 2009Aug 20, 2009Spinalmotion, Inc.Intervertebral Prosthetic Disc With Metallic Core
US20090210060 *Apr 28, 2009Aug 20, 2009Spinalmotion, Inc.Intervertebral Prosthetic Disc With Metallic Core
US20090234410 *Mar 11, 2009Sep 17, 2009Corventis, Inc.Heart Failure Decompensation Prediction Based on Cardiac Rhythm
US20090234458 *Mar 9, 2009Sep 17, 2009Spinalmotion, Inc.Artificial Intervertebral Disc With Lower Height
US20090264792 *Apr 20, 2009Oct 22, 2009Corventis, Inc.Method and Apparatus to Measure Bioelectric Impedance of Patient Tissue
US20090276051 *Nov 5, 2009Spinalmotion, Inc.Polyaryletherketone Artificial Intervertebral Disc
US20090326656 *Sep 10, 2009Dec 31, 2009Spinalmotion, Inc.Intervertebral Prosthetic Disc
US20100004746 *Jan 7, 2010Spinalmotion, Inc.Limited Motion Prosthetic Intervertebral Disc
US20100016972 *Jul 16, 2009Jan 21, 2010Spinalmotion, Inc.Artificial Intervertebral Disc Placement System
US20100016973 *Jul 16, 2009Jan 21, 2010Spinalmotion, Inc.Posterior Prosthetic Intervertebral Disc
US20100030335 *Feb 4, 2010Spinalmotion, Inc.Compliant Implantable Prosthetic Joint With Preloaded Spring
US20100049040 *Nov 11, 2009Feb 25, 2010Spinalmotion, Inc.Spinal Midline Indicator
US20100069976 *Nov 24, 2009Mar 18, 2010Spinalmotion, Inc.Intervertebral Prosthesis Placement Instrument
US20100087868 *Apr 7, 2009Apr 8, 2010Spinalmotion, Inc.Motion Limiting Insert For An Artificial Intervertebral Disc
US20100191310 *Jul 27, 2009Jul 29, 2010Corventis, Inc.Communication-Anchor Loop For Injectable Device
US20100191338 *Apr 13, 2010Jul 29, 2010Spinalmotion, Inc.Intervertebral Prosthetic Disc
US20100249795 *Mar 30, 2009Sep 30, 2010Dimauro Thomas MCervical Motion Disc Inserter
US20100268344 *Jun 30, 2010Oct 21, 2010Spinalmotion, Inc.Posterior Spinal Device and Method
US20100280616 *Nov 4, 2010William FrasierMinimally invasive corpectomy cage and instrument
US20100292742 *May 13, 2009Nov 18, 2010Stad Shawn DTorque Limited Instrument For Manipulating A Spinal Rod Relative to a Bone Anchor
US20100312347 *Aug 17, 2010Dec 9, 2010Spinalmotion, Inc.Polyaryletherketone artificial intervertebral disc
US20110034961 *Oct 20, 2010Feb 10, 2011Depuy Spine, Inc.Spinal rod reduction instruments and methods for use
US20110077739 *Nov 29, 2010Mar 31, 2011Ldr MedicalIntervertebral disc prosthesis
US20110093022 *Apr 21, 2011Runco Thomas JInstruments and Methods for Bone Anchor Engagement and Spinal Rod Reduction
US20110144470 *Dec 2, 2010Jun 16, 2011Corventis, Inc.Body adherent patch with electronics for physiologic monitoring
US20110144695 *Jun 16, 2011Depuy Spine, Inc.Spinal rod approximator
US20110160862 *Jan 7, 2011Jun 30, 2011Spinalmotion, Inc.Intervertebral Prosthetic Disc
US20120310293 *Dec 6, 2011Dec 6, 2012Aesculap Implant Systems, Llc.Surgical instrument and method of use for inserting an implant between two bones
DE102011103252A1 *May 25, 2011Nov 29, 2012Human Tech Germany GmbhInstrument for insertion and repositioning of spinal rod in dorsal screw-rod implant to treat disease of patient, has module mechanism with spinal column rod insertion elements movably connected with rear handle of instrument by thread
EP1942815A2 *Sep 26, 2006Jul 16, 2008Depuy Spine, Inc.Medical installation tool and methods of use
EP1942815A4 *Sep 26, 2006Dec 8, 2010Depuy Spine IncMedical installation tool and methods of use
WO2007055819A2Sep 26, 2006May 18, 2007Depuy Spine, Inc.Medical device installation tool and methods of use
WO2007127918A1 *Apr 27, 2007Nov 8, 2007Paradigm Spine, L.L.C.Instrument system for use with an interspinous implant
Classifications
U.S. Classification606/99
International ClassificationA61F2/30, A61F2/44, A61F2/46
Cooperative ClassificationA61F2002/30616, A61F2002/4623, A61F2002/443, A61F2002/4628, A61F2/4611, A61F2002/4622, A61F2002/30904
European ClassificationA61F2/46B7
Legal Events
DateCodeEventDescription
Mar 26, 2004ASAssignment
Owner name: CERVITECH, INC., NEW JERSEY
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:KELLER, ARNOLD;REEL/FRAME:015142/0776
Effective date: 20040116