摘要:
A polyaxial instrument suitable for preparing the intervertebral disc space of a patient through an anterior, posterior, transforaminal or anterolateral approach. The trial can be partially inserted into a disc space and then its angle adjusted to ease its further insertion into the disc space. The trial work tip can be interchangeable with the working tip of another type of instrument such as a curette, a rasp, a spreader, a shaver, a cobb elevator, a penfield, a woodson, a chisel and an osteotome.
摘要:
An intervertebral fusion cage having a first polyaxial joint portion adapted to connect to a corresponding polyaxial joint portion on an inserter so as to form an insertion assembly adapted for polyaxial movement. This assembly allows the cage to be laterally inserted into the problematic lower disc spaces of the spine in a manner such that the cage is desirably substantially parallel to the vertebral endplates upon entry.
摘要:
An installation tool that is useful for the efficient and effective placement of an article, such as an artificial disc, between adjacent vertebral bodies is provided. The installation tool can be provided as a kit having modular components which allow the surgeon to select from among a variety of components to assemble an installation tool that is optimized for its intended use. The installation tool of the invention generally includes a pair of opposed levers, each of which has a proximal handle portion and a distal portion. A fulcrum is disposed between the two levers to enable proper operation of the tool. The tool further includes a pusher block that is positioned between the two levers and is selectively movable between an initial location distal of the fulcrum and a final location adjacent the distal end of the levers. The pusher block includes a proximal end, a distal end, and a bore extending at least partially therethrough. A pusher rod, which facilitates movement of a pusher block, has a distal end extending into the bore in the pusher block and a proximal, handle end.
摘要:
The invention includes a system and method for the loosening of tissue. In one embodiment, a device for use in an intervertebral tissue removal procedure includes a cannula having a first end portion for insertion into tissue, a feed passage within the cannula, a return passage within the cannula, and a loosening member movable within the feed passage and the return passage and at least partially deployable away from the first end portion of the cannula.
摘要:
Disclosed herein are devices and methods for removing tissue. In one aspect, a device for removing tissue includes a hollow elongate member having an outer wall and a lumen, a selectively deployable tissue-cutting element extending from the hollow elongate member, and an actuation member extending through the lumen and coupled to the hollow elongate member at a location that is distal to the tissue-cutting element. Movement of the actuation member can cause the tissue-cutting element to move from the insertion configuration where the tissue-cutting element is not deployed to a tissue-cutting configuration where the tissue-cutting element is deployed such that it is radially extended relative to the insertion configuration.
摘要:
Disclosed herein are devices and methods for removing tissue. In one aspect, a device for removing tissue includes a hollow elongate member having an outer wall and a lumen, a selectively deployable tissue-cutting element extending from the hollow elongate member, and an actuation member extending through the lumen and coupled to the hollow elongate member at a location that is distal to the tissue-cutting element. Movement of the actuation member can cause the tissue-cutting element to move from the insertion configuration where the tissue-cutting element is not deployed to a tissue-cutting configuration where the tissue-cutting element is deployed such that it is radially extended relative to the insertion configuration.
摘要:
Several devices and methods for preparing the vertebral endplates while minimizing damage to the vertebral endplates. Each design incorporates flexible means to reduce endplate damage while enabling removal of the cartilage adhered to the endplate cortical bone.
摘要:
A gas-impervious container having a gas-permeable porous insert, wherein the insert contacts a flowable biomedical material, for improving access of the sterilant gas to the material.
摘要:
A method of correcting spinal deformity, which includes locating pharmaceutical-loaded implants adjacent to targeted spinal growth plates, and then eluting the pharmaceutical onto the growth plates. Preferably, the method involves correcting spinal deformity by simply inserting a pharmaceutical-eluting pedicle screw onto the concave side of a scoliotic curve. In some embodiments, the screw has a cannulated internal reservoir that contains a growth-inhibiting pharmaceutical (such as a tetracycline) and at least one fenestration that allows the pharmaceutical to elute onto the vertebral body growth plate.
摘要:
A mandrel is inserted into the tissue to be distracted and a filament is repeatedly wrapped around the mandrel to make a spool. As the mandrel turns, the filament coils around the mandrel to create of spool of increasing diameter. This spool can be used as a distractor, tamp, or implant. A spool implant can be cemented to further stabilize the device in situ, such as a vertebral body. The filament deposition upon the mandrel is controlled by rotation and the volume creation is incremental. This makes the spool ideal for creating highly controlled distraction forces or insertion of bulking material. In some embodiments, fibers having a low glass transition temperature are used.