US5860977A — Spine distraction implant and method

Claim 1

Independent Claim 170 words

An implant for relieving pain associated with the spinal column which is positionable between adjacent spinous processes of the spinal column, comprising: a first unit including a body and a first wing; said body having a longitudinal axis and said first wing being connected to an end of said body and extending substantially perpendicular to the longitudinal axis, said body adapted to be positioned between adjacent spinous processes; a second wing; said body including a groove that can receive said second wing, said groove being substantially perpendicular to the longitudinal axis, such that said second wing is urged toward said body along a direction that is substantially perpendicular to the longitudinal axis until said second wing is received in said groove with the first wing adapted to be positionable along first sides of the adjacent spinous processes and the second wing adapted to be positionable along opposite second sides of the spinous processes and opposite to the first wing; and a device that secures the second wing to the body.

Claim 2

Dependent Claim 170 words

An implant for relieving pain associated with the spinal column which is positionable between adjacent spinous processes of the spinal column, comprising: a first unit including a body and a first wing; said body having a longitudinal axis and said first wing being connected to an end of said body and extending substantially perpendicular to the longitudinal axis, said body adapted to be positioned between adjacent spinous processes; a second wing; said body including a groove that can receive said second wing, said groove being substantially perpendicular to the longitudinal axis, such that said second wing is urged toward said body along a direction that is substantially perpendicular to the longitudinal axis until said second wing is received in said groove with the first wing adapted to be positionable along first sides of the adjacent spinous processes and the second wing adapted to be positionable along opposite second sides of the spinous processes and opposite to the first wing; and a device that secures the second wing to the body.

Claim 3

Dependent Claim 30 words

The implant of claim 1 wherein: at least one of said first wing and said second wing include a recess in order to accommodate the anatomical form of the vertebrae.

Claim 4

Dependent Claim 41 words

The implant of claim 1 wherein: said first wing has upper and lower portions; said second wing has upper and lower portions; and at least one upper portion has a recess in order to accommodate the anatomical form of the vertebrae.

Claim 5

Dependent Claim 65 words

The implant of claim 1 wherein the spinous processes of the spinal column extend from respective vertebral bodies and wherein: at least one of the first and the second wings has an upper portion; said upper portion has a recess in order to accommodate the anatomical form of the spinal column; and wherein said recess is shaped for location adjacent to laminae of the vertebrae.

Claim 6

Dependent Claim 23 words

The implant of claim 1 wherein: said groove is tapered in order to assist the seating of the second wing in the groove.

Claim 7

Dependent Claim 76 words

The implant of claim 1 wherein: said device includes a first bore in the body; said second wing has a tab extending therefrom, which tab includes a second bore there through; wherein with said second wing received in said groove of said body, said first and second bores are aligned; and said device includes a member that is positioned through the first and the second bores in order to secure the second wing to the body.

Claim 8

Dependent Claim 20 words

The implant of claim 6 wherein: said body includes a recess that can receive said tab of said second wing.

Claim 9

Dependent Claim 21 words

The implant of claim 1 which does not limit flexion of the spinal column while limiting extension of the spinal column.

Claim 10

Dependent Claim 124 words

The implant of claim 1 wherein: said first wing has upper and lower portions; said second wing has upper and lower portions; an upper saddle is defined among the body and the upper portions of the first and second wings; a lower saddle is defined among the body and the lower portions of the first and second wing; wherein an upper width of the upper saddle is defined between the upper portions of the first and second wings; wherein a lower width of the lower saddle is defined between the lower portions of the first and second wings; and wherein at least one of the upper width and the lower width is wider than a spinous process around which the implant may be positioned.

Claim 11

Dependent Claim 148 words

The implant of claim 1 wherein: said first wing has upper and lower portions; said second wing has upper and lower portions; an upper saddle is defined among the body and the upper portions of the first and second wings; a lower saddle is defined among the body and the lower portions of the first and second wing; wherein an upper width of the upper saddle is defined between the upper portions of the first and second wings; wherein a lower width of the lower saddle is defined between the lower portions of the first and second wings; there is a height between the upper and the lower saddles; and wherein the upper width is from about 6 mm to about 8 mm, with the lower width being from about 5 mm to about 7 mm and the height is from about 8 mm to about 10 mm.

Claim 12

Dependent Claim 189 words

The implant of claim 1 wherein: said first wing has upper and lower portions; said second wing has upper and lower portions; an upper saddle is defined among the body and the upper portions of the first and second wings; a lower saddle is defined among the body and the lower portions of the first and second wing; wherein an upper width of the upper saddle is defined between the upper portions of the first and second wings; wherein a lower width of the lower saddle is defined between the lower portions of the first and second wings; there is a height between the upper and the lower saddles; and the implant has at least one of the following combinations of dimensions: (a) an upper width of about 6 mm, a lower width of about 5 mm and a height of about 8 mm; (b) an upper width of about 7 mm, a lower width of about 6 mm and a height of about 9 mm; and (c) an upper width of about 8 mm, a lower width of about 7 mm and a height of about 10 mm.

Claim 13

Dependent Claim 234 words

An implant for relieving pain associated with the spinal column which is positionable between adjacent spinous processes of the spinal column, comprising: a first unit including a body and a first wing; a second wing; said body including a groove that can receive said second wing, said body adapted for positioning between the adjacent spinous processes, with the first wing adapted to be positionable along first sides of the adjacent spinous processes and the second wing adapted to be positionable along second sides of the spinous processes and opposite to the first wing; a device that secures the second wing to the body; said first wing has upper and lower portions; said second wing has upper and lower portions; an upper saddle is defined among the body and the upper portions of the first and second wings; a lower saddle is defined among the body and the lower portions of the first and second wing; wherein an upper width of the upper saddle is defined between the upper portions of the first and second wings; wherein a lower width of the lower saddle is defined between the lower portions of the first and second wings; the implant comprising multiple second wings with each second wing having said lower portion of a different thickness; and wherein the lower width can be selected by choosing said second wing with said lower portion of the desired thickness.

Claim 14

Dependent Claim 234 words

An implant for relieving pain associated with the spinal column which is positionable between adjacent spinous processes of the spinal column, comprising: a first unit including a body and a first wing; a second wing; said body including a groove that can receive said second wing, said body adapted for positioning between the adjacent spinous processes, with the first wing adapted to be positionable along first sides of the adjacent spinous processes and the second wing adapted to be positionable along second sides of the spinous processes and opposite to the first wing; a device that secures the second wing to the body; said first wing has upper and lower portions; said second wing has upper and lower portions; an upper saddle is defined among the body and the upper portions of the first and second wings; a lower saddle is defined among the body and the lower portions of the first and second wing; wherein an upper width of the upper saddle is defined between the upper portions of the first and second wings; wherein a lower width of the lower saddle is defined between the lower portions of the first and second wings; the implant comprising multiple second wings with each second wing having said lower portion of a different thickness; and wherein the lower width can be selected by choosing said second wing with said lower portion of the desired thickness.

Claim 15

Dependent Claim 38 words

The implant of claim 12 wherein: each second wing has said upper portion with a different thickness; and wherein the upper width can be selected by choosing said second wing with said upper portion of the desired thickness.

Claim 16

Dependent Claim 233 words

An implant for relieving pain associated with the spinal column which is positionable between adjacent spinous processes of the spinal column, comprising: a first unit including a body and a first wing; a second wing; said body including a groove that can receive said second wing, said body adapted for positioning between the adjacent spinous processes, with the first wing adapted to be positionable along first sides of the adjacent spinous processes and the second wing adapted to be positionable along second sides of the spinous processes and opposite to the first wing; a device that secures the second wing to the guide; said first wing has upper and lower portions; said second wing has upper and lower portions; an upper saddle is defined among the body and the upper portions of the first and second wings; a lower saddle is defined among the body and the lower portions of the first and second wing; wherein an upper width of the upper saddle is defined between the upper portions of the first and second wings; wherein a lower width of the lower saddle is defined between the lower portions of the first and second wings; the implant comprising multiple second wings with each second wing having said upper portion of a different thickness; and wherein the upper width can be selected by choosing said second wing with said portion of the desired thickness.

Claim 17

Dependent Claim 233 words

An implant for relieving pain associated with the spinal column which is positionable between adjacent spinous processes of the spinal column, comprising: a first unit including a body and a first wing; a second wing; said body including a groove that can receive said second wing, said body adapted for positioning between the adjacent spinous processes, with the first wing adapted to be positionable along first sides of the adjacent spinous processes and the second wing adapted to be positionable along second sides of the spinous processes and opposite to the first wing; a device that secures the second wing to the guide; said first wing has upper and lower portions; said second wing has upper and lower portions; an upper saddle is defined among the body and the upper portions of the first and second wings; a lower saddle is defined among the body and the lower portions of the first and second wing; wherein an upper width of the upper saddle is defined between the upper portions of the first and second wings; wherein a lower width of the lower saddle is defined between the lower portions of the first and second wings; the implant comprising multiple second wings with each second wing having said upper portion of a different thickness; and wherein the upper width can be selected by choosing said second wing with said portion of the desired thickness.

Claim 18

Dependent Claim 188 words

An implant for relieving pain associated with the spinal column which is positionable between adjacent spinous processes of the spinal column, comprising: a first unit including a body, a guide extending from said body, and a first wing; a second wing; said body including a groove that can receive said second wing, said body adapted for positioning between the adjacent spinous processes, with the first wing adapted to be positionable along first sides of the adjacent spinous processes and the second wing adapted to be positionable along second sides of the spinous processes and opposite to the first wing; and a device that secures the second wing to the body; said guide is located distally from the first wing; and wherein said guide is bulbous so as to be adapted to guide the body between adjacent spinous processes without requiring that the shape of the spinous processes be altered, and wherein the guide extends in a direction of insertion of the body between the spinous processes; and wherein said guide is of sufficient length to extend beyond the spinous processes with the body remaining between the spinous processes.

Claim 19

Dependent Claim 188 words

An implant for relieving pain associated with the spinal column which is positionable between adjacent spinous processes of the spinal column, comprising: a first unit including a body, a guide extending from said body, and a first wing; a second wing; said body including a groove that can receive said second wing, said body adapted for positioning between the adjacent spinous processes, with the first wing adapted to be positionable along first sides of the adjacent spinous processes and the second wing adapted to be positionable along second sides of the spinous processes and opposite to the first wing; and a device that secures the second wing to the body; said guide is located distally from the first wing; and wherein said guide is bulbous so as to be adapted to guide the body between adjacent spinous processes without requiring that the shape of the spinous processes be altered, and wherein the guide extends in a direction of insertion of the body between the spinous processes; and wherein said guide is of sufficient length to extend beyond the spinous processes with the body remaining between the spinous processes.

Claim 20

Dependent Claim 31 words

The implant of claim 15 wherein: said first wing has a longitudinal axis and said body extends substantially perpendicular from said longitudinal axis; and said body has a substantially square cross-section.

Claim 21

Dependent Claim 37 words

The implant of claim 15 wherein: said first wing has a longitudinal axis and said body extends substantially perpendicular from said longitudinal axis; and said body has a cross-section that has about the same width as height.

Claim 22

Dependent Claim 52 words

The implant of claim 15 wherein: said first wing has a longitudinal axis and a length along said longitudinal axis and said body extends substantially perpendicular from said longitudinal axis; and said body has a cross-section which extends along said longitudinal axis for less than half the length of said first wing.

Claim 23

Dependent Claim 188 words

An implant for relieving pain associated with the spinal column which is positionable between adjacent spinous processes of the spinal column, comprising: a first unit including a body, a guide extending from said body, and a first wing; a second wing; said body including a groove that can receive said second wing, said body adapted for positioning between the adjacent spinous processes, with the first wing adapted to be positionable along first sides of the adjacent spinous processes and the second wing adapted to be positionable along second sides of the spinous processes and opposite to the first wing; and a device that secures the second wing to the body; said guide is located distally from the first wing; and wherein said guide is pointed so as to be adapted to guide the body between adjacent spinous processes without requiring that the shape of the spinous process be altered, and wherein the guide extends in a direction of insertion of the body between the spinous processes; and wherein said guide is of sufficient length to extend beyond the spinous processes with the body remaining between the spinous processes.

Claim 24

Dependent Claim 188 words

An implant for relieving pain associated with the spinal column which is positionable between adjacent spinous processes of the spinal column, comprising: a first unit including a body, a guide extending from said body, and a first wing; a second wing; said body including a groove that can receive said second wing, said body adapted for positioning between the adjacent spinous processes, with the first wing adapted to be positionable along first sides of the adjacent spinous processes and the second wing adapted to be positionable along second sides of the spinous processes and opposite to the first wing; and a device that secures the second wing to the body; said guide is located distally from the first wing; and wherein said guide is pointed so as to be adapted to guide the body between adjacent spinous processes without requiring that the shape of the spinous process be altered, and wherein the guide extends in a direction of insertion of the body between the spinous processes; and wherein said guide is of sufficient length to extend beyond the spinous processes with the body remaining between the spinous processes.

Claim 25

Dependent Claim 29 words

The implant of claim 19, wherein said pointed guide is shaped so that the guide distracts the adjacent spinous processes as the guide passes between the adjacent spinous processes.

Claim 26

Dependent Claim 210 words

An implant for relieving pain associated with the spinal column which is positionable between adjacent spinous processes of the spinal column, comprising: a first unit including a body, a guide extending from said body, and a first wing; a second wing; said body including a groove that can receive said second wing, said body adapted for positioning between the adjacent spinous processes, with the first wing adapted to be positionable along first sides of the adjacent spinous processes and the second wing adapted to be positionable along second sides of the spinous processes and opposite to the first wing; and a device that secures the second wing to the body; said guide is located distally from the first wing; and wherein said guide has first and second sides that are provided at an angle of about 30° to about 60° from a longitudinal axis of the body so as to be adapted to guide the body between adjacent spinous processes without requiring that the shape of the spinous process be altered, and wherein the guide extends in a direction of insertion of the body between the spinous processes; and wherein said guide is of sufficient length to extend beyond the spinous processes with the body remaining between the spinous processes.

Claim 27

Dependent Claim 210 words

An implant for relieving pain associated with the spinal column which is positionable between adjacent spinous processes of the spinal column, comprising: a first unit including a body, a guide extending from said body, and a first wing; a second wing; said body including a groove that can receive said second wing, said body adapted for positioning between the adjacent spinous processes, with the first wing adapted to be positionable along first sides of the adjacent spinous processes and the second wing adapted to be positionable along second sides of the spinous processes and opposite to the first wing; and a device that secures the second wing to the body; said guide is located distally from the first wing; and wherein said guide has first and second sides that are provided at an angle of about 30° to about 60° from a longitudinal axis of the body so as to be adapted to guide the body between adjacent spinous processes without requiring that the shape of the spinous process be altered, and wherein the guide extends in a direction of insertion of the body between the spinous processes; and wherein said guide is of sufficient length to extend beyond the spinous processes with the body remaining between the spinous processes.

Claim 28

Dependent Claim 28 words

The implant of claim 21, wherein said guide is shaped so that the guide distracts the adjacent spinous processes as the guide passes between the adjacent spinous processes.

Claim 29

Dependent Claim 146 words

An implant for relieving pain associated with the spinal column which is positionable between adjacent spinous processes of the spinal column, comprising: a first unit including a body and a first wing; said body having a longitudinal axis and said first wing being connected to an end of said body and extending substantially perpendicular to the longitudinal axis, said body adapted to be positioned between adjacent spinous processes; a second wing; said body including a means for engaging said second wing along a direction which is substantially perpendicular to said longitudinal axis with the first wing adapted to be positionable along first sides of the adjacent spinous processes and the second wing adapted to be positionable along second sides of the spinous processes and opposite to the first wing; and said engaging means is operable along said direction which is substantially perpendicular to said longitudinal axis.

Claim 30

Dependent Claim 146 words

An implant for relieving pain associated with the spinal column which is positionable between adjacent spinous processes of the spinal column, comprising: a first unit including a body and a first wing; said body having a longitudinal axis and said first wing being connected to an end of said body and extending substantially perpendicular to the longitudinal axis, said body adapted to be positioned between adjacent spinous processes; a second wing; said body including a means for engaging said second wing along a direction which is substantially perpendicular to said longitudinal axis with the first wing adapted to be positionable along first sides of the adjacent spinous processes and the second wing adapted to be positionable along second sides of the spinous processes and opposite to the first wing; and said engaging means is operable along said direction which is substantially perpendicular to said longitudinal axis.

Claim 31

Dependent Claim 21 words

The implant of claim 23 which does not limit flexion of the spinal column while limiting extension of the spinal column.

Claim 32

Dependent Claim 159 words

An implant for relieving pain associated with the spinal column which implant is positionable between adjacent spinous processes of the spinal column, comprising: a distracting unit including a body having a longitudinal axis and a first wing; said first wing being connected to an end of said body and extending substantially perpendicular to the longitudinal axis; a retaining unit unit including a second wing and a tab extending from said second wing; said distracting unit defining a groove that receives at least a portion of said second wing and said distraction unit also defining a recess for receiving said tab; said groove being substantially perpendicular to said longitudinal axis; said body including a first bore; said tab including a second bore; said first and second bores being alignable with the second wing received in said groove; and a device that is positionable through the first and second bores in order to secure the retaining unit to the distraction unit.

Claim 33

Dependent Claim 159 words

An implant for relieving pain associated with the spinal column which implant is positionable between adjacent spinous processes of the spinal column, comprising: a distracting unit including a body having a longitudinal axis and a first wing; said first wing being connected to an end of said body and extending substantially perpendicular to the longitudinal axis; a retaining unit unit including a second wing and a tab extending from said second wing; said distracting unit defining a groove that receives at least a portion of said second wing and said distraction unit also defining a recess for receiving said tab; said groove being substantially perpendicular to said longitudinal axis; said body including a first bore; said tab including a second bore; said first and second bores being alignable with the second wing received in said groove; and a device that is positionable through the first and second bores in order to secure the retaining unit to the distraction unit.

Claim 34

Dependent Claim 17 words

The implant of claim 25 wherein; said first bore is threaded; and said device is a screw.

Claim 35

Dependent Claim 24 words

The implant of claim 25: wherein said first and second bores are alignable along a line which is substantially perpendicular to said longitudinal axis.

Claim 36

Independent Claim 141 words

A method of relieving pain due to the development of spinal stenosis and the like in the spinal column including the steps of: accessing adjacent first and second spinous processes of the spinal column; implanting a distracting unit between the spinous processes, which distracting unit has (1) a body that can maintain a distraction between the first and second spinous processes, which body has a longitudinal axis and a groove which is substantially perpendicular to said longitudinal axis and (2) a wing which extends from an end of said body substantially perpendicular to said longitudinal axis and along the spinous processes; and positioning a retaining wing unit in the groove of said distracting unit by urging said retaining wing unit along a line which is substantially perpendicular to said longitudinal axis until said retaining wing unit is received in said groove.

Claim 37

Independent Claim 141 words

A method of relieving pain due to the development of spinal stenosis and the like in the spinal column including the steps of: accessing adjacent first and second spinous processes of the spinal column; implanting a distracting unit between the spinous processes, which distracting unit has (1) a body that can maintain a distraction between the first and second spinous processes, which body has a longitudinal axis and a groove which is substantially perpendicular to said longitudinal axis and (2) a wing which extends from an end of said body substantially perpendicular to said longitudinal axis and along the spinous processes; and positioning a retaining wing unit in the groove of said distracting unit by urging said retaining wing unit along a line which is substantially perpendicular to said longitudinal axis until said retaining wing unit is received in said groove.

Claim 38

Dependent Claim 33 words

The method of claim 28 wherein the positioning step includes: positioning a screw through the retaining wing unit and the distracting unit along a line which is substantially perpendicular to said longitudinal axis.

Claim 39

Dependent Claim 87 words

The method of claim 28 wherein said wing of said distracting unit is a first wing and said retaining unit is a second wing, and wherein said first and second wings have first and second planes respectively, and the method includes positioning said second wing relative to the first wing by moving the second wing such that the second plane of the second wing remains substantially parallel to the first plane of the first wing as the second wing is moved into engagement with the distracting unit.

Claim 40

Dependent Claim 46 words

The method of claim 30, wherein the second wing is secured to the distracting unit with a fastener which moved along a line that is substantially parallel to the second plane of the second wing in order to secure the retaining unit to the distracting unit.

Claim 41

Dependent Claim 30 words

The method of claim 28 including the step of: distracting the first and second spinous processes apart prior to inserting the distracting unit between the first and second spinous processes.

Claim 42

Independent Claim 38 words

The method of claim of 28 wherein: said implanting step includes using the distracting unit to distract the first and the second spinous processes as the distracting unit is inserted between the first and the second spinous processes.

Claim 43

Dependent Claim 224 words

An implant for relieving pain associated with the spinal column which is positionable between adjacent spinous processes of the spinal column, comprising: a first unit including a body and a first wing; a second wing; said body including a groove that can receive said second wing, said body adapted for positioning between the adjacent spinous processes, with the first wing adapted to be positionable along first sides of the adjacent spinous processes and the second wing adapted to be positionable along second sides of the spinous processes and opposite to the first wing; a device that secures the second wing to the body; said first wing has upper and lower portions; said second wing has upper and lower portions; an upper saddle is defined among the body and the upper portions of the first and second wings; a lower saddle is defined among the body and the lower portions of the first and second wing; wherein an upper width of the upper saddle is defined between the upper portions of the first and second wings; wherein a lower width of the lower saddle is defined between the lower portions of the first and second wings; and there is a height between the upper and the lower saddles; and wherein a trapezoidal shape is defined between the upper width, the lower width and the height.

Claim 44

Dependent Claim 224 words

An implant for relieving pain associated with the spinal column which is positionable between adjacent spinous processes of the spinal column, comprising: a first unit including a body and a first wing; a second wing; said body including a groove that can receive said second wing, said body adapted for positioning between the adjacent spinous processes, with the first wing adapted to be positionable along first sides of the adjacent spinous processes and the second wing adapted to be positionable along second sides of the spinous processes and opposite to the first wing; a device that secures the second wing to the body; said first wing has upper and lower portions; said second wing has upper and lower portions; an upper saddle is defined among the body and the upper portions of the first and second wings; a lower saddle is defined among the body and the lower portions of the first and second wing; wherein an upper width of the upper saddle is defined between the upper portions of the first and second wings; wherein a lower width of the lower saddle is defined between the lower portions of the first and second wings; and there is a height between the upper and the lower saddles; and wherein a trapezoidal shape is defined between the upper width, the lower width and the height.

Claim 45

Dependent Claim 120 words

An implant for relieving pain associated with the spinal column which is positionable between adjacent spinous processes of the spinal column, comprising: a first unit including a body and a first wing; a second wing; said body including a groove that can receive said second wing, said body adapted for positioning between the adjacent spinous processes, with the first wing adapted to be positionable along first sides of the adjacent spinous processes and the second wing adapted to be positionable along second sides of the spinous processes and opposite to the first wing; a device that secures the second wing to the body; and a portion of said body located between the first and second wings defines a trapezoidal shape.

Claim 46

Dependent Claim 120 words

An implant for relieving pain associated with the spinal column which is positionable between adjacent spinous processes of the spinal column, comprising: a first unit including a body and a first wing; a second wing; said body including a groove that can receive said second wing, said body adapted for positioning between the adjacent spinous processes, with the first wing adapted to be positionable along first sides of the adjacent spinous processes and the second wing adapted to be positionable along second sides of the spinous processes and opposite to the first wing; a device that secures the second wing to the body; and a portion of said body located between the first and second wings defines a trapezoidal shape.

Claim 47

Dependent Claim 120 words

An implant for relieving pain associated with the spinal column which implant is positionable between adjacent spinous processes of the spinal column, comprising: a distracting unit including a body and a first wing; a retaining unit including a second wing which is securable to the body; the first and second wings having upper portions and lower portions respectively; the upper portions of the first and second wings and the portion of the body located there between defining an upper saddle; the lower portions of the first and second wings and the portion of the body located there between defining a lower saddle; and the portion of the body located between the first and the second saddles defining a trapezoidal shape.

Claim 48

Dependent Claim 120 words

An implant for relieving pain associated with the spinal column which implant is positionable between adjacent spinous processes of the spinal column, comprising: a distracting unit including a body and a first wing; a retaining unit including a second wing which is securable to the body; the first and second wings having upper portions and lower portions respectively; the upper portions of the first and second wings and the portion of the body located there between defining an upper saddle; the lower portions of the first and second wings and the portion of the body located there between defining a lower saddle; and the portion of the body located between the first and the second saddles defining a trapezoidal shape.

Claim 49

Dependent Claim 107 words

An implant for relieving pain associated with the spinal column which implant is positionable between adjacent spinous processes of the spinal column, comprising: a distracting unit including a body; a retaining unit which is securable to the body; said distracting unit and the retaining unit together defining a first saddle and a second saddle, each saddle adapted for receiving a spinous process; wherein the first saddle has a first width and the second saddle has a second width and wherein the first width is different from the second width; and a portion of the body located between the first and the second saddles is substantially trapezoidal shaped.

Claim 50

Dependent Claim 107 words

An implant for relieving pain associated with the spinal column which implant is positionable between adjacent spinous processes of the spinal column, comprising: a distracting unit including a body; a retaining unit which is securable to the body; said distracting unit and the retaining unit together defining a first saddle and a second saddle, each saddle adapted for receiving a spinous process; wherein the first saddle has a first width and the second saddle has a second width and wherein the first width is different from the second width; and a portion of the body located between the first and the second saddles is substantially trapezoidal shaped.

Claim 51

Dependent Claim 27 words

The implant of claim 37 wherein: said first saddle is for receiving an upper spinous process and the second saddle is for receiving a lower spinous process.

Claim 52

Dependent Claim 263 words

An implant for relieving pain associated with the spinal column which is positionable between adjacent spinous processes of the spinal column, comprising: a first unit including a body and a guide extending from said body, and a first wing; a second wing; said body including a groove that can receive said second wing, said body adapted for positioning between the adjacent spinous processes, with the first wing adapted to be positionable along first sides of the adjacent spinous processes and the second wing adapted to be positionable along opposite second sides of the spinous processes and opposite to the first wing; and a device that secures the second wing to the body; said first wing has upper and lower portions; said second wing has upper and lower portions; an upper saddle is defined among the body and the upper portions of the first and second wings; a lower saddle is defined among the body and the lower portions of the first and second wing: wherein an upper width of the upper saddle is defined between the upper portions of the first and second wings; wherein a lower width of the lower saddle is defined between the lower portions of the first and second wings; the implant comprising multiple second wings with each second wing having at least one of said upper portion and said lower portion of a different thickness; and wherein at least one of said upper width and the lower width can be selected by choosing said second wing with said upper position and the lower portion of the desired thickness.

Claim 53

Dependent Claim 263 words

An implant for relieving pain associated with the spinal column which is positionable between adjacent spinous processes of the spinal column, comprising: a first unit including a body and a guide extending from said body, and a first wing; a second wing; said body including a groove that can receive said second wing, said body adapted for positioning between the adjacent spinous processes, with the first wing adapted to be positionable along first sides of the adjacent spinous processes and the second wing adapted to be positionable along opposite second sides of the spinous processes and opposite to the first wing; and a device that secures the second wing to the body; said first wing has upper and lower portions; said second wing has upper and lower portions; an upper saddle is defined among the body and the upper portions of the first and second wings; a lower saddle is defined among the body and the lower portions of the first and second wing: wherein an upper width of the upper saddle is defined between the upper portions of the first and second wings; wherein a lower width of the lower saddle is defined between the lower portions of the first and second wings; the implant comprising multiple second wings with each second wing having at least one of said upper portion and said lower portion of a different thickness; and wherein at least one of said upper width and the lower width can be selected by choosing said second wing with said upper position and the lower portion of the desired thickness.

Claim 54

Dependent Claim 100 words

An implant for relieving pain associated with the spinal column which is positionable between adjacent spinous processes of the spinal column, comprising: a body which includes a first wing; said body having a longitudinal axis and said body adapted to be positioned between adjacent spinous processes; a second wing; and said body including a means for receiving said second wing along a direction which is substantially perpendicular to the longitudinal axis, such that said second wing is urged toward said body along a direction which is substantially perpendicular to the longitudinal axis until said receiving means received said second wing.

Claim 55

Dependent Claim 100 words

An implant for relieving pain associated with the spinal column which is positionable between adjacent spinous processes of the spinal column, comprising: a body which includes a first wing; said body having a longitudinal axis and said body adapted to be positioned between adjacent spinous processes; a second wing; and said body including a means for receiving said second wing along a direction which is substantially perpendicular to the longitudinal axis, such that said second wing is urged toward said body along a direction which is substantially perpendicular to the longitudinal axis until said receiving means received said second wing.

Claim 56

Dependent Claim 28 words

The implant of claim 40 wherein: said means for receiving includes a groove provided in said body; and wherein said groove is substantially perpendicular to said longitudinal axis.

Claim 57

Dependent Claim 30 words

The implant of claim 40 including: a means for securing said second wing to said body along a direction which is substantially perpendicular to the longitudinal axis of said body.

Claim 58

Dependent Claim 35 words

The implant of claim 42 wherein: said securing means includes a bore provided in said body, which bore is substantially perpendicular to said longitudinal axis; and a screw which can be received in said bore.

Claim 59

Dependent Claim 81 words

The implant of claim 42 wherein said securing means includes: a first bore provided in said body, which bore is substantially perpendicular to said longitudinal axis; a tab extending from said second wing, said tab including a second bore, said second bore alignable with said first bore with said second wing engaged with said body; and a screw which can be received through said second bore and in said first bore in order to secure said second wing to said body.

Claim 60

Dependent Claim 141 words

An implant for relieving pain associated with the spinal column which implant is positionable between adjacent spinous processes of the spinal column, comprising: a distracting unit including a body which has a longitudinal axis and a first wing, said first wing being connected to an end of said body and extending substantially perpendicular to the longitudinal axis, with the body adapted to be positionable between adjacent spinous processes and said first wing adapted to be positionable along first sides of adjacent spinous processes; a retaining unit including a second wing, which second wing is adapted to be positionable along second sides of adjacent spinous processes which are opposite to the first sides of the spinous processes; and said body including a groove which is substantially perpendicular to said longitudinal axis, which groove receives at least a portion of said second wing.

Claim 61

Dependent Claim 141 words

An implant for relieving pain associated with the spinal column which implant is positionable between adjacent spinous processes of the spinal column, comprising: a distracting unit including a body which has a longitudinal axis and a first wing, said first wing being connected to an end of said body and extending substantially perpendicular to the longitudinal axis, with the body adapted to be positionable between adjacent spinous processes and said first wing adapted to be positionable along first sides of adjacent spinous processes; a retaining unit including a second wing, which second wing is adapted to be positionable along second sides of adjacent spinous processes which are opposite to the first sides of the spinous processes; and said body including a groove which is substantially perpendicular to said longitudinal axis, which groove receives at least a portion of said second wing.

Claim 62

Dependent Claim 164 words

An implant for relieving pain associated with the spinal column which is positionable between adjacent spinous processes of the spinal column, comprising: a first unit with a body and a first wing, and a guide which extends from the body and is located distally from the first wing and wherein said body has a longitudinal axis; wherein said guide has an increasingly reduced cross section in a direction extending along the longitudinal axis distally from the first wing so that said guide is shaped in order to guide the body into a location between the adjacent spinous processes without requiring the spinous processes to be modified; a second wing; and said body including a groove provide therein, said groove provided substantially perpendicular to and intersecting said longitudinal axis, said groove shaped to receive said second wing such that said second wing can be urged along a direction which is substantially perpendicular to said longitudinal axis until said second wing is received in said groove.

Claim 63

Dependent Claim 164 words

An implant for relieving pain associated with the spinal column which is positionable between adjacent spinous processes of the spinal column, comprising: a first unit with a body and a first wing, and a guide which extends from the body and is located distally from the first wing and wherein said body has a longitudinal axis; wherein said guide has an increasingly reduced cross section in a direction extending along the longitudinal axis distally from the first wing so that said guide is shaped in order to guide the body into a location between the adjacent spinous processes without requiring the spinous processes to be modified; a second wing; and said body including a groove provide therein, said groove provided substantially perpendicular to and intersecting said longitudinal axis, said groove shaped to receive said second wing such that said second wing can be urged along a direction which is substantially perpendicular to said longitudinal axis until said second wing is received in said groove.

Claim 64

Dependent Claim 28 words

The implant of claim 46, wherein said guide is shaped so that the guide distracts the adjacent spinous processes as the guide passes between the adjacent spinous processes.

Annuity Stage	Window Opens	Payment Deadline	Surcharge Period Until	Estimated Fee	Status
3.5 Years (Year 4)	2002-01-18	2002-07-20	2003-01-19	$2000.00	Window Closed / Lapsed
7.5 Years (Year 8)	2006-01-18	2006-07-20	2007-01-19	$3760.00	Window Closed / Lapsed
11.5 Years (Year 12)	2010-01-18	2010-07-20	2011-01-19	$7700.00	Window Closed / Lapsed

Spine distraction implant and method

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