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US5891147A Expired / Lapsed US ⏱️ 0.0 years remaining

Minimally invasive spinal surgical methods & instruments

Assignee: SDGI Holdings Inc
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Filing: 1997-09-29
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Granted: 1999-04-06
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Expires: 2017-09-29
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Abstract

Abstract Minimally invasive spinal surgical techniques and tools are provided. The methods include separating the iliocostalis lumborum muscle from the anterior leaf of the thoracolumbar fascia to create a channel from the patient's skin to the intertransverse interval. In one embodiment, the method also includes delivering graft material through the channel to the intertransverse interval. A device according to one aspect of the present invention includes a retraction portion having a flattened plate configured to atraumatically retract tissue to create a working space within an endosurgical site and a curved shaft attached to the retraction portion. The shaft includes a bend having a radius of preferably 160 degrees. A gripping portion is attached to the shaft and is configured for manually gripping and manipulating the device.

Inventors

  • 👤 Peter A. Moskovitz
  • 👤 Scott Boden
  • 👤 William F. McKay
  • 👤 Joseph Moctezuma

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 11:53
CPC Classifications
A; A61; A61F; A61F2/00; A61F2/02; A61F2/30; A61F2/46; A61F2/4603; A61F2/4611; A61B; A61B17/00; A61B17/02; A61B17/0206; A61B17/025; A61B17/16; A61B17/1604; A61B17/1606; A61B17/1608; A61B17/1637; A61F2/44; A61F2/4455; A61F2/4601; A61B18/00; A61B18/04; A61B18/12; A61B18/14; A61B18/1442; A61B17/00234; A61B2017/00238; A61B2017/00261; A61B2017/0042; A61B2017/0256; A61B17/32; A61B2017/320044; A61F2/28; A61F2002/2835; A61F2002/30001; A61F2002/30003; A61F2002/3006; A61F2002/30062; A61F2002/30108; A61F2002/3011; A61F2002/30138; A61F2002/30153; A61F2002/30199; A61F2002/30261; A61F2002/4635; A61F2/4644; A61F2002/4649; A61F2210/00; A61F2210/0004; A61F2230/00; A61F2230/0002; A61F2230/0017; A61F2230/0019; A61F2230/0063; A61F2230/0082; A61F2310/00; A61F2310/00005; A61F2310/00179; A61F2310/00293; Y; Y10; Y10S; Y10S606/00; Y10S606/907

Claims Analysis

Total Claims: 12
Claim 1
Independent Claim 108 words
A device for inserting graft material into a fusion site, comprising: a carrier element including an elongated handle and a sheath attached to one end of said handle, said sheath sized to receive the graft material, said sheath including two side walls connected by a seat, said seat defining an opening sized to expose a portion of the graft material without permitting the graft material to exit said sheath through said opening; and an obturator portion including an elongated gripping portion and an impactor attached to an end of said gripping portion, said impactor sized to fit through said opening to eject graft material received within said sheath.
Claim 2
Independent Claim 108 words
A device for inserting graft material into a fusion site, comprising: a carrier element including an elongated handle and a sheath attached to one end of said handle, said sheath sized to receive the graft material, said sheath including two side walls connected by a seat, said seat defining an opening sized to expose a portion of the graft material without permitting the graft material to exit said sheath through said opening; and an obturator portion including an elongated gripping portion and an impactor attached to an end of said gripping portion, said impactor sized to fit through said opening to eject graft material received within said sheath.
Claim 3
Dependent Claim 20 words
The device of claim 1 wherein said sheath is rectangular shaped to receive graft material shaped in a rectangular block.
Claim 4
Independent Claim 56 words
A method for arthrodesis of motion segments of the spine, comprising: creating a channel between posterior aspects of the spine to a fusion site, the channel defined between fascia and muscle and terminating at a tissue barrier between the channel and the spinal canal; and delivering an osteogenic device through the channel to the fusion site.
Claim 5
Independent Claim 56 words
A method for arthrodesis of motion segments of the spine, comprising: creating a channel between posterior aspects of the spine to a fusion site, the channel defined between fascia and muscle and terminating at a tissue barrier between the channel and the spinal canal; and delivering an osteogenic device through the channel to the fusion site.
Claim 6
Dependent Claim 22 words
The method of claim 3 wherein the tissue barrier includes the posterolateral attachments of the longissimus thoracis muscle at the facet joint.
Claim 7
Dependent Claim 14 words
The method of claim 4 wherein the osteogenic device includes a bone morphogenetic protein.
Claim 8
Dependent Claim 12 words
The method of claim 5 wherein the osteogenic device includes a bioceramic.
Claim 9
Dependent Claim 15 words
The method of claim 6 wherein the osteogenic device includes a biphasic hydroxyapatite/tricalcium phophate ceramic.
Claim 10
Dependent Claim 57 words
The method of claim 4, further comprising: dissecting the longissimus thoracis muscle from its attachments to the thoracolumbar fascia, the transverse processes and the intertransverse membrane to expose the transverse processes while preserving the attachment of muscle to the facet joints of the motion segment thereby leaving a tissue barrier between the channel and the epidural space.
Claim 11
Independent Claim 100 words
A method for arthrodesis of a motion segment after laminectomy, comprising: developing the areolar plane between the iliocostalis lumborum muscle from the anterior leaf of the thoracolumbar fascia to create a channel from the patient's skin to the intertransverse interval; dissecting the longissimus thoracis muscle from its attachments to the thoracolumbar fascia, the transverse processes and the intertransverse membrane to expose the transverse processes while preserving the attachment of the longissimus thoracis to the facet joint thereby leaving a tissue barrier between the arthrodesis site and the epidural space; and delivering graft material through the channel to the intertransverse interval.
Claim 12
Independent Claim 100 words
A method for arthrodesis of a motion segment after laminectomy, comprising: developing the areolar plane between the iliocostalis lumborum muscle from the anterior leaf of the thoracolumbar fascia to create a channel from the patient's skin to the intertransverse interval; dissecting the longissimus thoracis muscle from its attachments to the thoracolumbar fascia, the transverse processes and the intertransverse membrane to expose the transverse processes while preserving the attachment of the longissimus thoracis to the facet joint thereby leaving a tissue barrier between the arthrodesis site and the epidural space; and delivering graft material through the channel to the intertransverse interval.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2002-04-05 2002-10-05 2003-04-06 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2006-04-05 2006-10-05 2007-04-06 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2010-04-05 2010-10-05 2011-04-06 $7700.00 Window Closed / Lapsed

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