Interspinous process implant and fusion cage spacer

Patent metadata

Field	Value
Publication number	US-9314276-B2
Application number	US-201414560006-A
Country	US
Kind code	B2
Filing date	Dec 4, 2014
Priority date	Mar 13, 2009
Publication date	Apr 19, 2016
Grant date	Apr 19, 2016

Abstract

A spinal implant includes an elongated body dimensioned and configured to function as a spacer, for placement in a target interspinous process space, between two adjacent spinous processes, a distal anchor associated with a distal end of the body, and a proximal anchor mounted for longitudinal movement along the body between a first position spaced apart from the head and a second position approximated with the head, adapted to compress the two adjacent spinous processes, in conjunction with the distal anchor.

First claim

What is claimed is:

1. A method of percutaneously performing interspinous process decompression, comprising the steps of:
a) providing a spinal implant having an elongated body dimensioned and configured to function as a spacer, for placement in a target interspinous process space, between two adjacent spinous processes, wherein an outer surface of the body is threaded, a distal anchor associated with a distal end of the body, and a proximal anchor mounted for longitudinal movement along the body between a first position spaced apart from the head and a second position approximated with the distal end, the proximal anchor being adapted to engage the two adjacent spinous processes, in conjunction with the distal anchor, wherein the proximal anchor includes an axially slideable plate and a nut threaded to the threaded outer surface of the body for axial movement of the proximal anchor by rotational movement of the nut;
b) forming an incision in a patient's skin, lateral from a target interspinous process space, in which the implant is to be placed;
c) inserting a stylet through the incision, laterally to the target interspinous process space, using an internal imaging technique, to form an entry path;
d) inserting one or more dilators, sequentially, along the entry path to dilate soft tissues between the incision and the target interspinous process space;
e) inserting a sleeve through the entry path;
f) selecting an implant having a size appropriate for a desired amount of interspinous distraction;
g) inserting the implant, held by an insertion device, through the sleeve, up to the target interspinous process space; and
h) advancing the implant into the interspinous process space,
wherein the inserting step includes inserting a tapered end of the distal anchor between two adjacent spinous processes such that a trailing skirt section of the tapered end transitions between a radially expanded condition to a radially compressed condition.

2. The method of claim 1 , wherein the step of advancing includes advancing the trailing skirt section beyond the spinous processes such that the trailing skirt section is urged back into the radially expanded condition.

Assignees

• Spinal Simplicity Llc

Inventors

• Hess Harold
• Frock Melissa

Classifications

• A61F2/4465

  having a circular or kidney shaped cross-section substantially perpendicular to the axis of the spine · CPC title

• A61B17/00234

  for minimally invasive surgery (A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence) · CPC title

• A61B2017/564

  Methods for bone or joint treatment · CPC title

• A61B17/7065 Primary

  Devices with changeable shape, e.g. collapsible or having retractable arms to aid implantation; Tools therefor · CPC title

• A61B17/7062 Primary

  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 title