摘要:
A method for implanting a prosthetic spinal disc nucleus in an intervertebral disc nucleus space includes providing a disc nucleus implant instrument having a passageway for passing a prosthetic disc nucleus and a dilator for dilating an opening in a disc annulus. The prosthetic disc nucleus has a first configuration and a second configuration, and is positioned in its second configuration in the passageway of the disc nucleus implant instrument and passed through the dilator and into the disc nucleus space while in its second configuration. The disc nucleus implant is caused or allowed to assume its first configuration when implanted.
摘要:
A disc nucleus implant instrument includes a passageway effective for passing a material for replacing or augmenting an intervertebral disc nucleus, and a dilator at the distal end of said passageway. The instrument is effective for dilating an opening in a disc annulus and for passing a disc nucleus repair material through the opening and into the disc nucleus.,
摘要:
A method for implanting a prosthetic spinal disc nucleus in an intervertebral disc nucleus space generally includes: (a) making a hole in the annulus of a disc, with the hole having an undilated size that is smaller than the cross-sectional size of a folded prosthetic disc nucleus; (b) using an implant instrument to dilate the hole in the disc annulus; (c) using the implant instrument to pass a straightened prosthetic disc nucleus through the dilated hole and into the disc nucleus space; (d) withdrawing the implant instrument and allowing the hole in the disc annulus to return to a size smaller that its dilated size; and (e) causing or allowing the prosthetic disc nucleus to assume a folded configuration with a cross-sectional size that is larger than its straightened size. A device for use in the method is also disclosed.
摘要:
Devices, methods and systems for stabilizing at least a portion of the spinal column are provided. Anchors are engageable to vertebra and a stabilization member is engageable between the anchors. The stabilization member includes an elongate tension member and a compression member in a passage of the tension member.
摘要:
A spinal implant is provided that includes a first component for engaging a first vertebra, a second component for engaging a second vertebrae, and a damping member is positioned therebetween. The damping member has at least two chambers connected by an opening. A fluid is disposed within the chambers such that compression of the first and second components towards one another causes the fluid to be displaced from one of the chambers to another chamber through an opening. The opening has a reduced size relative to the chambers to restrict the flow of the fluid between the chambers and provide a dampening effect. In some instances, the rheologic properties of the fluid positioned within the chambers are dependent upon the strength a magnetic field passing through the fluid. In other aspects of the present disclosure, prosthetic devices, intervertebral implants, spinal systems, implantation methods, and treatment methods are provided.
摘要:
A retractor system for percutaneous surgery in a patient includes first and second retractor portions positionable opposite one another in an incision of the patient. The system also includes at least one actuating member operable to provide an oscillating motion to at least one of the first and second retractor portions. The actuating member is in communication with a controller and is responsive to the controller to oscillate at least one of the first and second retractor portions between a first position and a second position. In another form, a method is directed to retracting tissue for percutaneous access to a surgical site in a patient. However, other embodiments, forms and applications are also envisioned.
摘要:
A deformable implant and a method for expanding an intervertebral disc space are provided. The method may include selecting a deformable implant with a predetermined physical configuration and deforming aspects, including temperature. The deformable implant of some embodiments is heated above the transition temperature or deforming temperature, collapsed to a collapsed configuration and cooled below the transition temperature. The collapsed implant may be inserted into the disc space without distracting adjacent vertebrae. The inserted implant absorbs ambient body heat and expands in place to a final shape thereby distracting adjacent vertebrae to expand the disc space.
摘要:
This invention relates to orthopedic implants and to methods of treating bone defects. More specifically, but not exclusively, the present invention is directed to non-metallic implants and to methods for intra-operative assembly and fixation of orthopedic implants to facilitate medical treatment. The non-metallic implant assembly can be secured to underlying tissue by a fastener, such as a bone screw, that is capable of swelling on contact with fluid in the underlying tissue. Alternatively, the non-metallic implant assembly can be assembled intra-operatively using a fastener that is adhesively bonded to a bone plate or the bone plate can be deformed using heat, force, or solvents to inhibit withdrawal of the fastener. In preferred embodiments, both the fastener and the bone plate are formed of biodegradable material.
摘要:
This invention relates to orthopedic implants and to methods of treating bone defects. More specifically, but not exclusively, the present invention is directed to non-metallic implants and to methods for intra-operative assembly and fixation of orthopedic implants to facilitate medical treatment. The non-metallic implant assembly can be secured to underlying tissue by a fastener, such as a bone screw, that is capable of swelling on contact with fluid in the underlying tissue. Alternatively, the non-metallic implant assembly can be assembled intra-operatively using a fastener that is adhesively bonded to a bone plate or the bone plate can be deformed using heat, force, or solvents to inhibit withdrawal of the fastener. In preferred embodiments, both the fastener and the bone plate are formed of biodegradable material.
摘要:
Orthopedic implants include a device that is non-rigid, i.e., flexible and/or malleable, in a first form for insertion into a desired in vivo site, and then transformable into a rigid, or hardened, form for providing a load-bearing function or providing other structural and/or mechanical function after implant. The device includes a biocompatible sheath and a curable material sealed within the sheath. The curable material is provided in a first form that provides flexibility to the device and is structured to rigidize in a second form after application of a quantity of an initiating energy to the material. Related methods and kits are also provided.