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US20210186475A1 - Intervertebral prosthesis placement instrument - Google Patents

Intervertebral prosthesis placement instrument Download PDF

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Publication number
US20210186475A1
US20210186475A1 US17/137,176 US202017137176A US2021186475A1 US 20210186475 A1 US20210186475 A1 US 20210186475A1 US 202017137176 A US202017137176 A US 202017137176A US 2021186475 A1 US2021186475 A1 US 2021186475A1
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US
United States
Prior art keywords
prosthesis
jaws
vertebrae
slots
instrument
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
US17/137,176
Inventor
Malan de Villiers
Ulrich Reinhard Hahnle
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Simplify Medical Pty Ltd
Original Assignee
Simplify Medical Pty Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US11/187,403 external-priority patent/US8685035B2/en
Application filed by Simplify Medical Pty Ltd filed Critical Simplify Medical Pty Ltd
Priority to US17/137,176 priority Critical patent/US20210186475A1/en
Assigned to SIMPLIFY MEDICAL, INC. reassignment SIMPLIFY MEDICAL, INC. CHANGE OF NAME (SEE DOCUMENT FOR DETAILS). Assignors: SPINALMOTION, INC.
Assigned to SIMPLIFY MEDICAL PTY LTD reassignment SIMPLIFY MEDICAL PTY LTD ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: SIMPLIFY MEDICAL, INC.
Assigned to SPINALMOTION, INC. reassignment SPINALMOTION, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: DE VILLIERS, MALAN, HAHNLE, ULRICH REINHARD
Publication of US20210186475A1 publication Critical patent/US20210186475A1/en
Abandoned legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/025—Joint distractors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4657—Measuring instruments used for implanting artificial joints
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1671—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the spine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/442—Intervertebral or spinal discs, e.g. resilient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1757—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the spine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/025—Joint distractors
    • A61B2017/0256—Joint distractors for the spine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3904—Markers, e.g. radio-opaque or breast lesions markers specially adapted for marking specified tissue
    • A61B2090/3916—Bone tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/3006—Properties of materials and coating materials
    • A61F2002/3008—Properties of materials and coating materials radio-opaque, e.g. radio-opaque markers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4657—Measuring instruments used for implanting artificial joints
    • A61F2002/4658—Measuring instruments used for implanting artificial joints for measuring dimensions, e.g. length
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
    • A61F2250/0098—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers radio-opaque, e.g. radio-opaque markers

Definitions

  • This invention relates to an intervertebral prosthesis placement instrument.
  • intervertebral prosthesis Various types are known. Examples are that marketed by Waldemar Link GmbH & Co under the trade mark LINK SB ChariteTM and those described in EP 0 560 140, EP 0 560 141 (both Waldemar Link GmbH & Co) and ZA 2002/7517.
  • an intervertebral prosthesis placement instrument comprising opposed jaws having tips shaped for insertion between adjacent vertebrae between which the prosthesis is to be placed, the jaws being movable apart from one another to cause distraction of the vertebrae and having opposing surfaces shaped to embrace the prosthesis between them and to guide the prosthesis into position between the distracted vertebrae.
  • the tips of the jaws are relatively sharp in relation to remaining portions of the jaws, thereby enabling the tips to be inserted between the vertebrae prior to distraction.
  • the opposing surfaces of the jaws may include slots in which fins carried by the prosthesis and projecting in opposite directions are slidably receivable, the slots serving in use to guide the fins into opposing slots formed in the vertebrae.
  • the jaws may be carried by a scissors, forceps or tongs type mechanism having handles operable to move the jaws apart from one another.
  • the jaws are inclined relative to one another and the handles are inclined relative to the slots, these features allowing the prosthesis to be inserted initially between the jaws.
  • the jaws may, for instance, inclined towards one another in a direction towards their tips with the maximum spacing between the jaws at positions remote from the tips being sufficient for the prosthesis to be inserted between the jaws.
  • FIG. 1 shows a perspective view of an instrument according to this invention
  • FIG. 2 shows a side view of a portion of the instrument seen in FIG. 1 ;
  • FIG. 3 shows a cross-section at the line 3 - 3 in FIG. 2 ;
  • FIG. 4 shows a view of the instrument in the direction of the arrow 4 in FIG. 2 ;
  • FIG. 5 shows the instrument in use.
  • the illustrated intervertebral prosthesis placement instrument 10 has a pair of jaws 12 carried by arms 14 which form part of a scissor-type mechanism having a single hinge point 15 and which are provided with handles 16 at their ends remote from the jaws.
  • the jaws have opposing surfaces 18 formed with inwardly projecting ribs 20 and transverse slots 22 which extend for the height of the jaws as viewed in FIG. 2 .
  • the jaws 12 are provided with relatively sharp tips or blades 24 having curved extremities 26 .
  • the arms 14 are inclined relative to the jaws. It will be understood that by appropriate manipulation of the handles 16 , in the illustrated case by moving them apart from one another, will serve to pivot the jaws apart from one another.
  • the invention also envisages embodiments in which a double hinge arrangement is provided whereby movement of the handles towards one another will pivot the jaws apart from one another.
  • FIGS. 1 to 4 The instrument illustrated in FIGS. 1 to 4 is designed for use in placement of such a prosthesis.
  • the prosthesis is indicated in FIG. 5 by the numeral 30 .
  • the abovementioned plates are indicated by the numeral 32 , the core by the numeral 34 and the fins by the numeral 36 .
  • FIG. 5 also shows portions of two adjacent vertebra 38 in which saw cuts have been made to form the slots 40 which will receive the fins.
  • the tips 24 of the jaws 12 are inserted between the vertebra with the slots 22 in the jaws aligned with the slots 40 .
  • the handles 14 may then be manipulated to force the jaws, and hence the vertebrae, apart from one another.
  • the prosthesis 30 is then slipped into the gap between the jaws so as to be embraced therein with the fins 36 in the slots 22 .
  • the prosthesis is then slipped downwardly through the inter-jaw gap. Throughout this movement the prosthesis is guided by the guidance of the fins 36 in the slots 22 .
  • the prosthesis is moved right through the inter-jaw gap and eventually past the tips 24 so as to locate between the vertebrae with the fins in the slots 40 .
  • the slots 22 serve to guide the fins into the slots 40 .
  • the jaws are inclined towards one another in a direction towards their tips 24 .
  • the gap 42 between them at the top, i.e. at their extremities remote from the tips 24 is sufficient for initial insertion of the prosthesis between them at this location.
  • the numeral 44 in FIG. 5 indicates a tool which is used to hold and position the prosthesis during the placement procedure. It will be possible to tap on the upper end of this instrument to drive the prosthesis downwardly as required.
  • the instrument 10 serves both to facilitate insertion of the prosthesis between the vertebrae and to ensure that the prosthesis is accurately guided into position so that its fins 36 locate properly in the slots 40 .

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Transplantation (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Neurology (AREA)
  • Biophysics (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Pathology (AREA)
  • Dentistry (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
  • Magnetic Resonance Imaging Apparatus (AREA)
  • Prostheses (AREA)
  • Radiation-Therapy Devices (AREA)

Abstract

The invention concerns an intervertebral prosthesis placement instrument which can be used to facilitate accurate positioning of a spinal disc prosthesis between adjacent spinal vertebrae. The instrument has opposed jaws formed with tips that are shaped for insertion between the vertebrae. The jaws can be moved apart from one another to distract the vertebrae, allowing the prosthesis to enter between the vertebrae. The jaws also have opposed surfaces which are shaped to embrace the prosthesis between them and to guide the prosthesis into position.

Description

    CROSS-REFERENCES TO RELATED APPLICATIONS
  • The present application is a continuation of U.S. patent application Ser. No. 16/239,335 (Attorney Docket No. 29850-707.304), filed Jan. 3, 2019, which is a continuation of U.S. patent application Ser. No. 16/021,696 (Attorney Docket No. 29850-707.303), filed Jun. 28, 2018, which is a continuation of U.S. patent application Ser. No. 15/194,405, filed Jun. 27, 2016, now U.S. Pat. No. 10,105,131, which is a continuation of U.S. patent application Ser. No. 12/624,631, filed Nov. 24, 2009 and now U.S. Pat. No. 9,402,745, which is a divisional of U.S. patent application Ser. No. 11/187,403, filed on Jul. 21, 2005 and now U.S. Pat. No. 8,685,035, which is a continuation of International Application No. PCT/M2004/000170 filed on Jan. 26, 2004, which claimed priority from South African application ZA 2003/0875 filed on Jan. 31, 2003; the full disclosures of which are incorporated herein by reference.
    • BACKGROUND OF THE INVENTION
  • This invention relates to an intervertebral prosthesis placement instrument.
  • Various types of intervertebral prosthesis are known. Examples are that marketed by Waldemar Link GmbH & Co under the trade mark LINK SB Charite™ and those described in EP 0 560 140, EP 0 560 141 (both Waldemar Link GmbH & Co) and ZA 2002/7517.
  • It is an object of the present invention to provide an instrument which can be used to place an intervertebral prosthesis, such as one of those mentioned above, in an intervertebral space.
    • BRIEF SUMMARY OF THE INVENTION
  • According to the present invention there is provided an intervertebral prosthesis placement instrument comprising opposed jaws having tips shaped for insertion between adjacent vertebrae between which the prosthesis is to be placed, the jaws being movable apart from one another to cause distraction of the vertebrae and having opposing surfaces shaped to embrace the prosthesis between them and to guide the prosthesis into position between the distracted vertebrae.
  • In the preferred embodiment, the tips of the jaws are relatively sharp in relation to remaining portions of the jaws, thereby enabling the tips to be inserted between the vertebrae prior to distraction. The opposing surfaces of the jaws may include slots in which fins carried by the prosthesis and projecting in opposite directions are slidably receivable, the slots serving in use to guide the fins into opposing slots formed in the vertebrae.
  • The jaws may be carried by a scissors, forceps or tongs type mechanism having handles operable to move the jaws apart from one another. Preferably the jaws are inclined relative to one another and the handles are inclined relative to the slots, these features allowing the prosthesis to be inserted initially between the jaws.
  • The jaws may, for instance, inclined towards one another in a direction towards their tips with the maximum spacing between the jaws at positions remote from the tips being sufficient for the prosthesis to be inserted between the jaws.
  • Further according to the invention there is provided the combination of an instrument as summarized above and a tool which is operable to drive the prosthesis through the jaws and into position between the vertebrae:
  • Other features of the invention are set forth in the appended claims.
    • BRIEF DESCRIPTION OF THE DRAWINGS
  • The invention will now be described in more detail, by way of example only, with reference to the accompanying drawings in which:
  • FIG. 1 shows a perspective view of an instrument according to this invention;
  • FIG. 2 shows a side view of a portion of the instrument seen in FIG. 1;
  • FIG. 3 shows a cross-section at the line 3-3 in FIG. 2;
  • FIG. 4 shows a view of the instrument in the direction of the arrow 4 in FIG. 2; and
  • FIG. 5 shows the instrument in use.
    •  DETAILED DESCRIPTION OF THE INVENTION
  • The illustrated intervertebral prosthesis placement instrument 10 has a pair of jaws 12 carried by arms 14 which form part of a scissor-type mechanism having a single hinge point 15 and which are provided with handles 16 at their ends remote from the jaws. The jaws have opposing surfaces 18 formed with inwardly projecting ribs 20 and transverse slots 22 which extend for the height of the jaws as viewed in FIG. 2. At their free ends the jaws 12 are provided with relatively sharp tips or blades 24 having curved extremities 26.
  • As will be apparent from FIGS. 1 and 2, the arms 14 are inclined relative to the jaws. It will be understood that by appropriate manipulation of the handles 16, in the illustrated case by moving them apart from one another, will serve to pivot the jaws apart from one another. The invention also envisages embodiments in which a double hinge arrangement is provided whereby movement of the handles towards one another will pivot the jaws apart from one another.
  • Reference is made, by way of example only, to the specification of applicant's international patent application PCT/IB03/01529 which describes an intervertebral prosthesis having opposing plates located on opposite sides of a central core on which the plates can articulate. The plates have projecting fins which, during placement of the prosthesis, locate in slots created for the purpose in opposing surfaces of adjacent vertebra between which the prosthesis is to be installed.
  • The instrument illustrated in FIGS. 1 to 4 is designed for use in placement of such a prosthesis. The prosthesis is indicated in FIG. 5 by the numeral 30. The abovementioned plates are indicated by the numeral 32, the core by the numeral 34 and the fins by the numeral 36.
  • FIG. 5 also shows portions of two adjacent vertebra 38 in which saw cuts have been made to form the slots 40 which will receive the fins.
  • In order to place the prosthesis 30 it is necessary to distract the vertebra, i.e separate them by a distance sufficient for entry of the prosthesis between them. To achieve this the tips 24 of the jaws 12 are inserted between the vertebra with the slots 22 in the jaws aligned with the slots 40. The handles 14 may then be manipulated to force the jaws, and hence the vertebrae, apart from one another. The prosthesis 30 is then slipped into the gap between the jaws so as to be embraced therein with the fins 36 in the slots 22. The prosthesis is then slipped downwardly through the inter-jaw gap. Throughout this movement the prosthesis is guided by the guidance of the fins 36 in the slots 22. The prosthesis is moved right through the inter-jaw gap and eventually past the tips 24 so as to locate between the vertebrae with the fins in the slots 40.
  • It will accordingly be understood that the slots 22 serve to guide the fins into the slots 40.
  • Referring to FIG. 4 it will be noted that the jaws are inclined towards one another in a direction towards their tips 24. The gap 42 between them at the top, i.e. at their extremities remote from the tips 24, is sufficient for initial insertion of the prosthesis between them at this location. Thus in an alternative placement procedure it is possible to locate the prosthesis initially in the gap 42 and then drive it downwardly so as to force the jaws, and hence the vertebrae, apart from one another instead of manipulating the handles to force the jaws apart. The numeral 44 in FIG. 5 indicates a tool which is used to hold and position the prosthesis during the placement procedure. It will be possible to tap on the upper end of this instrument to drive the prosthesis downwardly as required.
  • It will also be understood that the procedures described above may be combined, so that initial distraction of the vertebra is achieved by manipulation of the handles 14 and subsequent distraction to the distance necessary to accommodate the prosthesis between them is achieved by tapping or otherwise urging the prosthesis downwardly.
  • The instrument 10 serves both to facilitate insertion of the prosthesis between the vertebrae and to ensure that the prosthesis is accurately guided into position so that its fins 36 locate properly in the slots 40.

Claims (1)

What is claimed is:
1. An intervertebral prosthesis placement instrument comprising opposed jaws having tips shaped for insertion between adjacent vertebrae between which the prosthesis is to be placed, the jaws being movable apart from one another and having opposing inner surfaces shaped to receive the prosthesis between them and to guide the prosthesis into position between the distracted vertebrae, wherein each of the opposing surfaces of the jaws include slots therein to slidably receive projections carried by the prosthesis, the slots adapted to guide the projections into slots cut in the vertebrae.
US17/137,176 2003-01-31 2020-12-29 Intervertebral prosthesis placement instrument Abandoned US20210186475A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US17/137,176 US20210186475A1 (en) 2003-01-31 2020-12-29 Intervertebral prosthesis placement instrument

Applications Claiming Priority (9)

Application Number Priority Date Filing Date Title
USZA2003/0874 2003-01-31
ZA200300874 2003-01-31
PCT/IB2004/000170 WO2004066865A2 (en) 2003-01-31 2004-01-26 Spinal midline indicator
US11/187,403 US8685035B2 (en) 2003-01-31 2005-07-21 Intervertebral prosthesis placement instrument
US12/624,631 US9402745B2 (en) 2003-01-31 2009-11-24 Intervertebral prosthesis placement instrument
US15/194,405 US10105131B2 (en) 2003-01-31 2016-06-27 Intervertebral prosthesis placement instrument
US201816021696A 2018-06-28 2018-06-28
US16/239,335 US20190380690A1 (en) 2003-01-31 2019-01-03 Intervertebral prosthesis placement instrument
US17/137,176 US20210186475A1 (en) 2003-01-31 2020-12-29 Intervertebral prosthesis placement instrument

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US16/239,335 Continuation US20190380690A1 (en) 2003-01-31 2019-01-03 Intervertebral prosthesis placement instrument

Publications (1)

Publication Number Publication Date
US20210186475A1 true US20210186475A1 (en) 2021-06-24

Family

ID=32825832

Family Applications (5)

Application Number Title Priority Date Filing Date
US11/187,733 Expired - Fee Related US7637913B2 (en) 2003-01-31 2005-07-21 Spinal midline indicator
US12/616,697 Expired - Lifetime US8090428B2 (en) 2003-01-31 2009-11-11 Spinal midline indicator
US13/310,514 Abandoned US20120078374A1 (en) 2003-01-31 2011-12-02 Spinal midline indicator
US16/239,335 Abandoned US20190380690A1 (en) 2003-01-31 2019-01-03 Intervertebral prosthesis placement instrument
US17/137,176 Abandoned US20210186475A1 (en) 2003-01-31 2020-12-29 Intervertebral prosthesis placement instrument

Family Applications Before (4)

Application Number Title Priority Date Filing Date
US11/187,733 Expired - Fee Related US7637913B2 (en) 2003-01-31 2005-07-21 Spinal midline indicator
US12/616,697 Expired - Lifetime US8090428B2 (en) 2003-01-31 2009-11-11 Spinal midline indicator
US13/310,514 Abandoned US20120078374A1 (en) 2003-01-31 2011-12-02 Spinal midline indicator
US16/239,335 Abandoned US20190380690A1 (en) 2003-01-31 2019-01-03 Intervertebral prosthesis placement instrument

Country Status (5)

Country Link
US (5) US7637913B2 (en)
EP (2) EP2329778A3 (en)
JP (1) JP4398975B2 (en)
WO (1) WO2004066865A2 (en)
ZA (1) ZA200506029B (en)

Families Citing this family (83)

* Cited by examiner, † Cited by third party
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US7637913B2 (en) 2009-12-29
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