摘要:
A spinal implant including an interbody device and an anchor device. The interbody device is sized and shaped to be positioned within an intervertebral disc space between adjacent upper and lower vertebrae. The anchor device is at least partially formed of a resorbable material and is coupled to the interbody device and anchored to the upper and lower vertebrae. The anchor device is configured to temporarily secure the interbody device to the upper and lower vertebrae for a period of time sufficient to facilitate bone growth onto and/or through the interbody device and is thereafter resorbed into the body.
摘要:
Methods and devices for illuminating a surgical space during surgery in a patient are provided. A retractor provides a working path for access to a location in the patient. A light instrument is positionable in working channel to emit light at the surgical space without substantially obstructing access to the surgical space.
摘要:
Methods and devices retract tissue for minimally invasive surgery in a patient. A retractor includes a working channel formed by a first portion and a second portion. The first and second portions are movable relative to one another from a first configuration for insertion that minimizes trauma to skin and tissue to an enlarged configuration after insertion to further retract skin and tissue in a minimally invasive manner. Instruments are engageable to the first and second portions and operable to move the first and second portions relative to one another.
摘要:
A minimaly invasive spacer for positioning between vertebral members. The spacer is adjustable between a first orientation having a reduced size to facilitate insertion between the vertebral members. A second orientation has an enlarged size for contacting the vertebral members. The spacer includes linkages that are attached to a pair of plates. A pull arm is operatively connected to the linkages for adjusting the spacer from the first orientation to the second orientation. A delivery device is attached to the spacer for insertion between the vertebral members. In one embodiment, the delivery device is detachable to be removed from the spacer once positioned between the vertebral members. Methods of using the spacer include positioning the spacer between the vertebral members while in the first orientation. The spacer is then enlarged to the second orientation, and the delivery device is removed with only the spacer remaining within the patient.
摘要:
A bone mill for use in a surgical or otherwise sterile environment includes a particle reducer such as a pulverizing blade, a motor such as an electrical motor, and a coupling such as a rotary shaft for connecting the particle reducer to the motor.
摘要:
Implantable devices useful for creating bony fusion particularly in intervetebral spinal fusion. The device is formed of bone and has a body portion with an upper flange member and an opposite lower flange member extending from the body portion. The upper and lower flange members are at least partially demineralized to create a flexible ligament extending from the body portion. In one application, the body portion is inserted into a disc space and the flexible ligament is secured to vertebrae on either side of the disc space. Techniques are also disclosed for making the implantable devices and for inserting the implantable device into an intervertebral disc space to promote interbody fusion.
摘要:
The present invention relates to a brace installation instrument placement that is mounted to anchors secured in an animal subject. The installation instrument includes anchor extensions coupled to the anchors. The instrument is movable with respect to the anchors to position a brace in a position more proximate the anchors. The brace can be indexed for insertion at a predetermined orientation with respect to the installation instrument. Methods and techniques for using the installation instrument are also provided.
摘要:
A method and an assembly for reducing a displaced vertebra and connecting the displaced vertebra to a spinal implant rod. The assembly has a reduction bolt with machine threads on one end and coarse threads on the other. A connection unit attaches the spinal rod to the reduction bolt, and until it is tightened, the connection unit allows the reduction bolt to slide within the connection unit. The connection unit includes a washer that rides against the side of the reduction bolt, and a nut is threaded onto the machine threads of the reduction bolt over a collar. The collar open is open at both ends and is of a size to readily slide over the reduction bolt. The posterior face of the collar has a notch to accept that portion of the lateral side of the washer as it presses against the reduction bolt. The notch is part of the open end of the collar into which is slide over the reduction bolt and down onto the connection unit. Arranged in this fashion, the nut can be tightened against the collar to move the displaced vertebra toward the longitudinal member. The third clamp can be tightened to secure the reduction bolt to the longitudinal member, and then the nut and the collar can be removed from the patient without the vertebra moving away from the longitudinal member.
摘要:
Devices and methods for performing percutaneous surgery under direct visualization through a single cannula are shown. A device includes an elongated cannula sized for percutaneous introduction that defines a working channel between its ends. The working channel is sized to receive one or more surgical tools therethrough. A clamp assembly is engaged to the outer surface of the cannula. The clamp assembly includes a viewing element receiving portion and a viewing element includes a clamp assembly engaging portion for removably engaging the viewing element to the clamp assembly. In one embodiment, the receiving portion defines a receptacle for receiving a dovetail included on the engaging portion of the viewing element. The receiving portion may also include a pivotable clip for removably engaging a protuberance of the engaging portion. The clamp includes a mechanism that allows translation, rotation, and removal of the clamp assembly and the viewing element with respect to the cannula. The cannula may also be engaged to a flexible arm that is securely mounted in order to stabilize the position of the cannula at the surgical site.