Patent US7569056B2 successfully refreshed from Google Patents.
US7569056B2
Expired / Lapsed
US
⏱️ 0.0 years remaining
Methods and apparatus for forming shaped axial bores through spinal vertebrae
Assignee: Mis IP Holdings LLC
•
Filing: 2004-05-25
•
Granted: 2009-08-04
•
Expires: 2024-05-25
Abstract
Abstract One or more shaped axial bore extending from an accessed posterior or anterior target point are formed in the cephalad direction through vertebral bodies and intervening discs, if present, in general alignment with a visualized, trans-sacral axial instrumentation/fusion (TASIF) line in a minimally invasive, low trauma, manner. An anterior axial instrumentation/fusion line (AAIFL) or a posterior axial instrumentation/fusion line (PAIFL) that extends from the anterior or posterior target point, respectively, in the cephalad direction following the spinal curvature through one or more vertebral body is visualized by radiographic or fluoroscopic equipment. Preferably, curved anterior or posterior TASIF axial bores are formed in axial or parallel or diverging alignment with the visualized AAIFL or PAIFL, respectively, employing bore forming tools that can be manipulated from proximal portions thereof that are located outside the patient's body to adjust the curvature of the anterior or posterior TASIF axial bores as they are formed in the cephalad direction. Further bore enlarging tools are employed to enlarge one or more selected section of the anterior or posterior TASIF axial bore(s), e.g., the cephalad bore end or a disc space, so as to provide a recess therein that can be employed for various purposes, e.g., to provide anchoring surfaces for spinal implants inserted into the anterior or posterior TASIF axial bore(s).
Inventors
- 👤 Andrew H. Cragg
- 👤 Jonathan Kagan
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-23 10:00
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/32; A61B17/3205; A61B17/3207; A61B17/320758; A61B17/16; A61B17/1613; A61B17/1615; A61B17/1617; A61B17/1662; A61B17/1671; A61B17/17; A61B17/1739; A61B17/1757; A61B17/320016; A61B17/32002; A61B17/56; A61B17/58; A61B17/68; A61B17/70; A61F; A61F2/00; A61F2/02; A61F2/30; A61F2/44; A61F2/441; A61F2/4455; A61F2/4465; A61F2/46; A61F2/4601; A61F2/4603; A61F2/4611; A61B17/320725; A61B17/60; A61B17/66; A61B17/7055; A61B17/88; A61B17/8802; A61B17/8805; A61B17/00234; A61B2017/00238; A61B2017/00261; A61B2017/00681; A61B2017/00734; A61B2017/00831; A61B2017/00867; A61B17/28; A61B17/29; A61B2017/2901; A61B2017/2905; A61B2017/320733; A61F2/442; A61F2/28; A61F2002/2821; A61F2002/2835; A61F2002/30001; A61F2002/30003; A61F2002/3006; A61F2002/30092; A61F2002/30108; A61F2002/30199; A61F2002/30291; A61F2002/30316; A61F2002/30535; A61F2002/30537; A61F2002/3055; A61F2002/30563; A61F2002/30565; A61F2002/30566; A61F2002/30593; A61F2002/30667; A61F2002/30677; A61F2/30767; A61F2/30771; A61F2002/30772; A61F2002/30774; A61F2002/30841; A61F2002/3085; A61F2002/30878; A61F2002/30879; A61F2002/30884; A61F2002/30891; A61F2002/30892; A61F2002/30925; A61F2/3094; A61F2002/3097; A61F2002/448; A61F2210/00; A61F2210/0014; A61F2230/00; A61F2230/0063; A61F2230/0091; A61F2310/00; A61F2310/00005; A61F2310/00353; A61N; A61N5/00; A61N5/10; A61N5/1001; A61N5/1027; Y; Y10; Y10S; Y10S606/00; Y10S606/914
Claims Analysis
Total Claims: 24
Claim 1
Independent Claim
383 words
Apparatus for providing access to a series of adjacent vertebrae located within a human lumbar and sacral spine having an anterior aspect, a posterior aspect and an axial aspect from an anterior or posterior sacral target point of a sacral vertebra in alignment with a visualized, axial instrumentation/fusion line extending in the axial aspect through the series of adjacent vertebral bodies, wherein the axial aspect is curved in the posterior-anterior plane due to curvature of the spinal column, the vertebrae separated by intact or damaged spinal discs, the apparatus comprising: a controllable boring device configured for boring a curved trans-sacral axial bore from the accessed sacral target point in alignment with the axial instrumentation/fusion line cephalad and axially through the vertebral bodies of the series of adjacent vertebrae and any intervertebral spinal discs; and a bore enlarging tool sized to fit within the curved axial bore, the tool adapted to be inserted from the accessed sacral target point to a selected location along the curved axial bore, the tool operable to enlarge a section of the curved axial bore to form at least one recess therein; wherein the controllable boring device comprises an elongated drill shaft assembly comprising: a drill bit attached to a flexible drive shaft; a sheath with an inner lumen for receiving the flexible drive shaft, the sheath comprising a distal segment and one or more radially offset tip deflection wire lumens; and one or more tip deflection wires disposed in the one or more radially offset tip deflection wire lumens for imparting a desired curvature in the distal segment of the sheath; wherein the bore enlarging tool comprises a counterboring tool assembly comprising: an elongate drive shaft extending between a shaft proximal end and a shaft distal end, the shaft having a shaft lumen; a cutting head mounted to the shaft distal end, the cutting head comprising deployment/retraction means for deploying the cutting head from a retracted locked position to a deployed locked position and for retracting the cutting head from the deployed locked position to the retracted locked position, the cuffing head capable of cuffing away bone or intervertebral disc material while in the deployed locked position; and rotating means for rotating the cutting head from the shaft distal end to cut away vertebral bone or disc material.
Claim 2
Dependent Claim
383 words
Apparatus for providing access to a series of adjacent vertebrae located within a human lumbar and sacral spine having an anterior aspect, a posterior aspect and an axial aspect from an anterior or posterior sacral target point of a sacral vertebra in alignment with a visualized, axial instrumentation/fusion line extending in the axial aspect through the series of adjacent vertebral bodies, wherein the axial aspect is curved in the posterior-anterior plane due to curvature of the spinal column, the vertebrae separated by intact or damaged spinal discs, the apparatus comprising: a controllable boring device configured for boring a curved trans-sacral axial bore from the accessed sacral target point in alignment with the axial instrumentation/fusion line cephalad and axially through the vertebral bodies of the series of adjacent vertebrae and any intervertebral spinal discs; and a bore enlarging tool sized to fit within the curved axial bore, the tool adapted to be inserted from the accessed sacral target point to a selected location along the curved axial bore, the tool operable to enlarge a section of the curved axial bore to form at least one recess therein; wherein the controllable boring device comprises an elongated drill shaft assembly comprising: a drill bit attached to a flexible drive shaft; a sheath with an inner lumen for receiving the flexible drive shaft, the sheath comprising a distal segment and one or more radially offset tip deflection wire lumens; and one or more tip deflection wires disposed in the one or more radially offset tip deflection wire lumens for imparting a desired curvature in the distal segment of the sheath; wherein the bore enlarging tool comprises a counterboring tool assembly comprising: an elongate drive shaft extending between a shaft proximal end and a shaft distal end, the shaft having a shaft lumen; a cutting head mounted to the shaft distal end, the cutting head comprising deployment/retraction means for deploying the cutting head from a retracted locked position to a deployed locked position and for retracting the cutting head from the deployed locked position to the retracted locked position, the cuffing head capable of cuffing away bone or intervertebral disc material while in the deployed locked position; and rotating means for rotating the cutting head from the shaft distal end to cut away vertebral bone or disc material.
Claim 3
Dependent Claim
17 words
The apparatus of claim 1 , wherein the retracted locked position comprises a radially retracted locked position.
Claim 4
Dependent Claim
17 words
The apparatus of claim 1 , wherein the retracted locked position comprises an axially retracted locked position.
Claim 5
Dependent Claim
17 words
The apparatus of claim 1 , wherein the deployed locked position comprises a radially deployed locked position.
Claim 6
Dependent Claim
17 words
The apparatus of claim 1 , wherein the deployed locked position comprises an axially deployed locked position.
Claim 7
Dependent Claim
21 words
The apparatus of claim 1 , wherein the rotating means comprises a cutting head motor attached to the shaft proximal end.
Claim 8
Dependent Claim
68 words
The apparatus of claim 1 , wherein the cutting head further comprises: a thin, flexible, tubular member extending distally from a cutting head proximal end located at the shaft distal end to a cutting head distal end; and an elongated cutting wire extending between a cutting wire proximal end and a cutting wire distal end, the cutting wire proximal and distal ends extending into the flexible tubular member.
Claim 9
Dependent Claim
23 words
The apparatus of claim 1 , wherein the cutting head further comprises at least one abrading cable attached to the shaft distal end.
Claim 10
Dependent Claim
30 words
The apparatus of claim 8 , wherein the at least one cable is formed of a length of woven or braided metal or fabric tending to spring outward when unrestrained.
Claim 11
Dependent Claim
62 words
The apparatus of claim 8 , wherein the bore counterboring tool assembly further comprises an elongated, flexible, restraining sheath having a sheath lumen extending from a sheath proximal end to a sheath distal end through which the drive shaft extends and within which the at least one abrading cable is enclosed in a restrained configuration during passage through the curved axial bore.
Claim 12
Dependent Claim
350 words
Apparatus for providing access to a series of adjacent vertebrae located within a human lumbar and sacral spine having an anterior aspect, a posterior aspect and an axial aspect from an anterior or posterior sacral target point of a sacral vertebra in alignment with a visualized, axial instrumentation/fusion line extending in the axial aspect through the series of adjacent vertebral bodies, wherein the axial aspect is curved in the posterior-anterior plane due to curvature of the spinal column, the vertebrae separated by intact or damaged spinal discs, the apparatus comprising: a controllable boring device configured for boring a curved, trans-sacral axial bore from the accessed sacral target point in alignment with the axial instrumentation/fusion line cephalad and axially through the vertebral bodies of the series of adjacent vertebrae and any intervertebral spinal discs; and a bore enlarging tool sized to fit within the curved axial bore, the tool adapted to be inserted from the accessed sacral target point to a selected location along the curved axial bore, the tool operable to enlarge a section of the curved axial bore to form at least one recess therein; wherein the controllable boring device comprises an elongated drill shaft assembly comprising: a flexible drive shaft; an exposed drill bit attached to a distal end of the flexible drive shaft; and a pre-curved inner sheath, and an outer sheath configured to move over the pre-curved inner sheath; wherein the bore enlarging tool comprises a counterboring tool assembly comprising: an elongate drive shaft extending between a shaft proximal end and a shaft distal end, the shaft having a shaft lumen; a cutting head mounted to the shaft distal end, the cutting head comprising deployment/retraction means for deploying the cutting head from a retracted locked position to a deployed locked position and for retracting the cutting head from the deployed locked position to the retracted locked position, the cutting head capable of cuffing away bone or intervertebral disc material while in the deployed locked position; and rotating means for rotating the cutting head from the shaft distal end to cut away vertebral bone or disc material.
Claim 13
Dependent Claim
350 words
Apparatus for providing access to a series of adjacent vertebrae located within a human lumbar and sacral spine having an anterior aspect, a posterior aspect and an axial aspect from an anterior or posterior sacral target point of a sacral vertebra in alignment with a visualized, axial instrumentation/fusion line extending in the axial aspect through the series of adjacent vertebral bodies, wherein the axial aspect is curved in the posterior-anterior plane due to curvature of the spinal column, the vertebrae separated by intact or damaged spinal discs, the apparatus comprising: a controllable boring device configured for boring a curved, trans-sacral axial bore from the accessed sacral target point in alignment with the axial instrumentation/fusion line cephalad and axially through the vertebral bodies of the series of adjacent vertebrae and any intervertebral spinal discs; and a bore enlarging tool sized to fit within the curved axial bore, the tool adapted to be inserted from the accessed sacral target point to a selected location along the curved axial bore, the tool operable to enlarge a section of the curved axial bore to form at least one recess therein; wherein the controllable boring device comprises an elongated drill shaft assembly comprising: a flexible drive shaft; an exposed drill bit attached to a distal end of the flexible drive shaft; and a pre-curved inner sheath, and an outer sheath configured to move over the pre-curved inner sheath; wherein the bore enlarging tool comprises a counterboring tool assembly comprising: an elongate drive shaft extending between a shaft proximal end and a shaft distal end, the shaft having a shaft lumen; a cutting head mounted to the shaft distal end, the cutting head comprising deployment/retraction means for deploying the cutting head from a retracted locked position to a deployed locked position and for retracting the cutting head from the deployed locked position to the retracted locked position, the cutting head capable of cuffing away bone or intervertebral disc material while in the deployed locked position; and rotating means for rotating the cutting head from the shaft distal end to cut away vertebral bone or disc material.
Claim 14
Dependent Claim
17 words
The apparatus of claim 11 , wherein the retracted locked position comprises a radially retracted locked position.
Claim 15
Dependent Claim
17 words
The apparatus of claim 11 , wherein the retracted locked position comprises an axially retracted locked position.
Claim 16
Dependent Claim
17 words
The apparatus of claim 11 , wherein the deployed locked position comprises a radially deployed locked position.
Claim 17
Dependent Claim
17 words
The apparatus of claim 11 , wherein the deployed locked position comprises an axially deployed locked position.
Claim 18
Dependent Claim
21 words
The apparatus of claim 11 , wherein the rotating means comprises a cutting head motor attached to the shaft proximal end.
Claim 19
Dependent Claim
268 words
Apparatus for providing access to a series of adjacent vertebrae located within a human lumbar and sacral spine having an anterior aspect, a posterior aspect and an axial aspect from an anterior or posterior sacral target point of a sacral vertebra in alignment with a visualized, axial instrumentation/fusion line extending in the axial aspect through the series of adjacent vertebral bodies, wherein the axial aspect is curved in the posterior-anterior plane due to curvature of the spinal column, the vertebrae separated by intact or damaged spinal discs, the apparatus comprising: a controllable boring device configured for boring a curved, trans-sacral axial bore from the accessed sacral target point in alignment with the axial instrumentation/fusion line cephalad and axially though the vertebral bodies of the series of adjacent vertebrae and any intervertebral spinal discs; and a bore enlarging tool sized to fit within the curved axial bore, the tool adapted to be inserted from the accessed sacral target point to a selected location along the curved axial bore, the tool operable to enlarge a section of the curved axial bore to form at least one recess therein; wherein the controllable boring device comprises: a flexible drive shaft; a drill bit attached to a distal end of the flexible drive shaft; a sheath with an inner lumen for receiving the flexible drive shaft, the sheath comprising a distal segment and one or more radially offset tip deflection wire lumens; and one or more tip deflection wires disposed in the one or more radially offset tip deflection wire lumens for imparting a desired curvature in the distal segment of the sheath.
Claim 20
Dependent Claim
268 words
Apparatus for providing access to a series of adjacent vertebrae located within a human lumbar and sacral spine having an anterior aspect, a posterior aspect and an axial aspect from an anterior or posterior sacral target point of a sacral vertebra in alignment with a visualized, axial instrumentation/fusion line extending in the axial aspect through the series of adjacent vertebral bodies, wherein the axial aspect is curved in the posterior-anterior plane due to curvature of the spinal column, the vertebrae separated by intact or damaged spinal discs, the apparatus comprising: a controllable boring device configured for boring a curved, trans-sacral axial bore from the accessed sacral target point in alignment with the axial instrumentation/fusion line cephalad and axially though the vertebral bodies of the series of adjacent vertebrae and any intervertebral spinal discs; and a bore enlarging tool sized to fit within the curved axial bore, the tool adapted to be inserted from the accessed sacral target point to a selected location along the curved axial bore, the tool operable to enlarge a section of the curved axial bore to form at least one recess therein; wherein the controllable boring device comprises: a flexible drive shaft; a drill bit attached to a distal end of the flexible drive shaft; a sheath with an inner lumen for receiving the flexible drive shaft, the sheath comprising a distal segment and one or more radially offset tip deflection wire lumens; and one or more tip deflection wires disposed in the one or more radially offset tip deflection wire lumens for imparting a desired curvature in the distal segment of the sheath.
Claim 21
Dependent Claim
233 words
Apparatus for providing access to a series of adjacent vertebrae located within a human lumbar and sacral spine having an anterior aspect, a posterior aspect and an axial aspect from an anterior or posterior sacral target point of a sacral vertebra in alignment with a visualized, axial instrumentation/fusion line extending in the axial aspect though the series of adjacent vertebral bodies, wherein the axial aspect is curved in the posterior-anterior plane due to curvature of the spinal column, the vertebrae separated by intact or damaged spinal discs, the apparatus comprising: a controllable boring device configured for boring a curved, trans-sacral axial bore from the accessed sacral target point in alignment with the axial instrumentation/fusion line cephalad and axially though the vertebral bodies of the series of adjacent vertebrae and any intervertebral spinal discs; and a bore enlarging tool sized to fit within the curved axial bore, the tool adapted to be inserted from the accessed sacral target point to a selected location along the curved axial bore, the tool operable to enlarge a section of the curved axial bore to form at least one recess therein; wherein the controllable boring device comprises: a flexible drive shaft; a drill bit attached to a distal end of the flexible drive shaft; a pre-curved sheath with an inner lumen for receiving the flexible drive shaft and an outer sheath configured to move over the pre-curved sheath.
Claim 22
Dependent Claim
233 words
Apparatus for providing access to a series of adjacent vertebrae located within a human lumbar and sacral spine having an anterior aspect, a posterior aspect and an axial aspect from an anterior or posterior sacral target point of a sacral vertebra in alignment with a visualized, axial instrumentation/fusion line extending in the axial aspect though the series of adjacent vertebral bodies, wherein the axial aspect is curved in the posterior-anterior plane due to curvature of the spinal column, the vertebrae separated by intact or damaged spinal discs, the apparatus comprising: a controllable boring device configured for boring a curved, trans-sacral axial bore from the accessed sacral target point in alignment with the axial instrumentation/fusion line cephalad and axially though the vertebral bodies of the series of adjacent vertebrae and any intervertebral spinal discs; and a bore enlarging tool sized to fit within the curved axial bore, the tool adapted to be inserted from the accessed sacral target point to a selected location along the curved axial bore, the tool operable to enlarge a section of the curved axial bore to form at least one recess therein; wherein the controllable boring device comprises: a flexible drive shaft; a drill bit attached to a distal end of the flexible drive shaft; a pre-curved sheath with an inner lumen for receiving the flexible drive shaft and an outer sheath configured to move over the pre-curved sheath.
Claim 23
Dependent Claim
252 words
Apparatus for providing access to a series of adjacent vertebrae located within a human lumbar and sacral spine having an anterior aspect, a posterior aspect and an axial aspect from an anterior or posterior sacral target point of a sacral vertebra in alignment with a visualized, axial instrumentation/fusion line extending in the axial aspect through the series of adjacent vertebral bodies, wherein the axial aspect is curved in the posterior-anterior plane due to curvature of the spinal column, the vertebrae separated by intact or damaged spinal discs, the apparatus comprising: a controllable boring device configured for boring a curved, trans-sacral axial bore from the accessed sacral target point in alignment with the axial instrumentation/fusion line cephalad and axially through the vertebral bodies of the series of adjacent vertebrae and any intervertebral spinal discs; and a bore enlarging tool sized to fit within the curved axial bore, the tool adapted to be inserted from the accessed sacral target point to a selected location along the curved axial bore, the tool operable to enlarge a section of the curved axial bore to form at least one recess therein; wherein the controllable boring device comprises: a flexible drive shaft; a drill bit attached to a distal end of the flexible drive shaft; and a sheath with an inner lumen for receiving the flexible drive shaft, wherein the sheath comprises a sheath longitudinal axis, the inner lumen being radially offset from the sheath longitudinal axis to locate the drill bit offset from the sheath longitudinal axis.
Claim 24
Dependent Claim
252 words
Apparatus for providing access to a series of adjacent vertebrae located within a human lumbar and sacral spine having an anterior aspect, a posterior aspect and an axial aspect from an anterior or posterior sacral target point of a sacral vertebra in alignment with a visualized, axial instrumentation/fusion line extending in the axial aspect through the series of adjacent vertebral bodies, wherein the axial aspect is curved in the posterior-anterior plane due to curvature of the spinal column, the vertebrae separated by intact or damaged spinal discs, the apparatus comprising: a controllable boring device configured for boring a curved, trans-sacral axial bore from the accessed sacral target point in alignment with the axial instrumentation/fusion line cephalad and axially through the vertebral bodies of the series of adjacent vertebrae and any intervertebral spinal discs; and a bore enlarging tool sized to fit within the curved axial bore, the tool adapted to be inserted from the accessed sacral target point to a selected location along the curved axial bore, the tool operable to enlarge a section of the curved axial bore to form at least one recess therein; wherein the controllable boring device comprises: a flexible drive shaft; a drill bit attached to a distal end of the flexible drive shaft; and a sheath with an inner lumen for receiving the flexible drive shaft, wherein the sheath comprises a sheath longitudinal axis, the inner lumen being radially offset from the sheath longitudinal axis to locate the drill bit offset from the sheath longitudinal axis.
References Cited (Backward Citations)
US1630239A
Cited
US2336338A
Cited
US3367326A
Cited
US3554192A
Cited
US3892232A
Cited
US4135506A
Cited
US4170990A
Cited
US4175555A
Cited
US4265231A
Cited
US4401112A
Cited
US4453539A
Cited
US4541423A
Cited
US4609370A
Cited
US4554914A
Cited
US4573448A
Cited
US5190546A
Cited
US4553273A
Cited
USRE33258E
Cited
US4657550A
Cited
US4636217A
Cited
US4650466A
Cited
US4640271A
Cited
USRE33348E
Cited
US4756649A
Cited
US5002546A
Cited
US5147404A
Cited
US4844088A
Cited
US4862891A
Cited
US4858601A
Cited
US5505732A
Cited
US5741253A
Cited
US6210412B1
Cited
US20030065394A1
Cited
US6123705A
Cited
US5484437A
Cited
US6120502A
Cited
US6264656B1
Cited
US6447547B1
Cited
DE3840466A1
Cited
US4966604A
Cited
US4969888A
Cited
US5071437A
Cited
US5131382A
Cited
US5445639A
Cited
US5015255A
Cited
US5489308A
Cited
US5009659A
Cited
US5059193A
Cited
US5019079A
Cited
US5030201A
Cited
US5062850A
Cited
US5195968A
Cited
US5236460A
Cited
US5290289A
Cited
US6464713B2
Cited
US5935131A
Cited
US5269785A
Cited
US5192326A
Cited
US5242461A
Cited
US5584887A
Cited
US5545228A
Cited
US5480440A
Cited
US5242443A
Cited
US5285795A
Cited
US5360448A
Cited
US5313962A
Cited
US5762629A
Cited
US5395317A
Cited
US5242444A
Cited
US5366457A
Cited
US5258031A
Cited
US5534031A
Cited
US6033406A
Cited
US5171279A
Cited
US5496322A
Cited
US5728097A
Cited
US5357983A
Cited
US5569248A
Cited
US5396880A
Cited
US5383884A
Cited
US5653708A
Cited
US20060229622A1
Cited
US5336223A
Cited
US5700291A
Cited
EP0611116B1
Cited
US5403276A
Cited
US5415661A
Cited
US5702454A
Cited
US5785709A
Cited
US5445140A
Cited
US6436098B1
Cited
US5376094A
Cited
US5571190A
Cited
US5433739A
Cited
US5514137A
Cited
US5558674A
Cited
US5395188A
Cited
US5514180A
Cited
US6066154A
Cited
WO1995022285A1
Cited
USPTO Annuity & Maintenance Windows
| Annuity Stage | Window Opens | Payment Deadline | Surcharge Period Until | Estimated Fee | Status |
|---|---|---|---|---|---|
| 3.5 Years (Year 4) | 2012-08-03 | 2013-02-02 | 2013-08-04 | $2000.00 | Window Closed / Lapsed |
| 7.5 Years (Year 8) | 2016-08-03 | 2017-02-02 | 2017-08-04 | $3760.00 | Window Closed / Lapsed |
| 11.5 Years (Year 12) | 2020-08-03 | 2021-02-02 | 2021-08-04 | $7700.00 | Window Closed / Lapsed |