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US7115128B2
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Method for forming through a guard an implantation space in the human spine
Assignee: Warsaw Orthopedic Inc
•
Filing: 2003-10-15
•
Granted: 2006-10-03
•
Expires: 2023-10-15
Abstract
Abstract An artificial spinal implant is disclosed which when placed between two adjacent vertebrae directly participates and is incorporated in the ensuing fusion. Instrumentation and procedure is also disclosed.
Inventors
- 👤 Gary Karlin Michelson
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-26 12:34
CPC Classifications
A; A61; A61F; A61F2/00; A61F2/02; A61F2/30; A61F2/46; A61F2/4603; A61F2/4611; A61B; A61B17/00; A61B17/16; A61B17/1662; A61B17/1671; A61B17/17; A61B17/1739; A61B17/1757; A61F2/44; A61F2/4455; A61F2/446; A61B17/56; A61B17/58; A61B17/88; A61B17/8875; A61B17/8886; A61B17/8888; A61B17/02; A61B17/025; A61B2017/0256; A61B90/00; A61B90/03; A61B2090/033; A61B2090/036; A61F2/30721; A61F2/30744; A61F2/442; A61F2/28; A61F2002/2835; A61F2002/30001; A61F2002/30108; A61F2002/3011; A61F2002/30138; A61F2002/30143; A61F2002/30199; A61F2002/30224; A61F2002/30235; A61F2002/30316; A61F2002/30329; A61F2002/30405; A61F2002/30535; A61F2002/30593; A61F2/30767; A61F2/30771; A61F2002/30772; A61F2002/30774; A61F2002/30784; A61F2002/30785; A61F2002/30787; A61F2002/3085; A61F2002/448; A61F2002/4619; A61F2002/4625; A61F2002/4627; A61F2002/4629; A61F2002/4681; A61F2220/00; A61F2220/0025; A61F2230/00; A61F2230/0002; A61F2230/0017; A61F2230/0063; A61F2230/0069
Claims Analysis
Total Claims: 147
Claim 1
Independent Claim
136 words
A method for preparing an implantation space in a vertebra of the human spine, the method comprising the steps of: positioning one end of a hollow guard in contact with at least one vertebra, the one end of the guard having a height; placing an instrument into the hollow guard, the instrument having a longitudinal axis; moving the instrument along the longitudinal axis of the instrument to form an opening into the vertebra; and inserting, through the hollow guard and into the opening, an implantation material suitable for human implantation of sufficient strength to support the bone of the vertebra, the implantation material rigidly stabilizing the implantation space occupied by the implantation material, the method being performed without altering the height of the one end of the guard between the forming step and the inserting step.
Claim 2
Independent Claim
136 words
A method for preparing an implantation space in a vertebra of the human spine, the method comprising the steps of: positioning one end of a hollow guard in contact with at least one vertebra, the one end of the guard having a height; placing an instrument into the hollow guard, the instrument having a longitudinal axis; moving the instrument along the longitudinal axis of the instrument to form an opening into the vertebra; and inserting, through the hollow guard and into the opening, an implantation material suitable for human implantation of sufficient strength to support the bone of the vertebra, the implantation material rigidly stabilizing the implantation space occupied by the implantation material, the method being performed without altering the height of the one end of the guard between the forming step and the inserting step.
Claim 3
Dependent Claim
32 words
The method of claim 1 , wherein the moving step includes the sub-steps of removing the instrument from the guard; and inserting a second instrument through the guard to enlarge the opening.
Claim 4
Dependent Claim
17 words
The method of claim 1 , wherein the moving step includes the sub-step of drilling the vertebra.
Claim 5
Dependent Claim
24 words
The method of claim 1 , wherein the moving step includes inserting a drill into the guard to access the vertebra with the drill.
Claim 6
Dependent Claim
26 words
The method of claim 1 , wherein the positioning step includes the step of positioning at least a portion of the hollow guard in the vertebra.
Claim 7
Dependent Claim
19 words
The method of claim 1 , wherein the inserting step includes inserting the implantation material comprising a fusion-promoting substance.
Claim 8
Dependent Claim
18 words
The method of claim 1 , further comprising the step of inserting an inner sleeve within the guard.
Claim 9
Dependent Claim
24 words
The method of claim 1 , wherein the method is performed without removing the hollow guard between the positioning step and the inserting step.
Claim 10
Dependent Claim
38 words
The method of claim 1 , wherein the inserting step includes the sub-step of inserting an implant having at least upper and lower portions that are arcuate along at least a portion of the length of the implant.
Claim 11
Dependent Claim
70 words
The method of claim 9 , wherein the inserting step includes the sub-step of inserting the implant further comprising a hollow interior between the upper and lower arcuate portions of the implant for holding bone growth promoting material, each of the upper and lower portions of the implant having at least one opening in communication with the hollow interior to permit bone from the vertebra to grow through the implant.
Claim 12
Dependent Claim
22 words
The method of claim 10 , further comprising the step of loading the hollow interior of the implant with fusion promoting substances.
Claim 13
Dependent Claim
23 words
The method of claim 11 , wherein the loading step includes the sub-step of loading the hollow interior of the implant with bone.
Claim 14
Dependent Claim
28 words
The method of claim 1 , wherein the inserting step includes inserting the implantation material that comprises at least in part of an implantation material other than bone.
Claim 15
Dependent Claim
38 words
The method of claim 1 , wherein the inserting step includes the sub-step of inserting an implant having the upper and lower portions having at least one protrusion on the upper and lower portions for engaging the vertebra.
Claim 16
Dependent Claim
17 words
The method of claim 14 , wherein the protrusion is at least a portion of a thread.
Claim 17
Dependent Claim
48 words
The method of claim 1 , wherein the inserting step includes the sub-step of inserting an implant having a hollow interior and at least one of an insertion end and a trailing end that is open and adapted for loading bone growth promoting substances into the hollow interior.
Claim 18
Dependent Claim
23 words
The method of claim 16 , further comprising the step of engaging an end cap for closing the open end of the implant.
Claim 19
Dependent Claim
47 words
The method of claim 1 , wherein the inserting step includes the sub-step of inserting an implant having an insertion end and a trailing end, the trailing end being adapted to cooperatively engage a driver for inserting the implant through the hollow guard and into the opening.
Claim 20
Dependent Claim
25 words
The method of claim 1 , wherein the positioning step includes the step of engaging the one end of the hollow guard to the vertebra.
Claim 21
Dependent Claim
29 words
The method of claim 1 , wherein the positioning step includes the sub-step of positioning the guard that is a tubular sleeve that is at least in part hollow.
Claim 22
Dependent Claim
44 words
The method of claim 1 , wherein the positioning step includes the sub-step of positioning the guard having a length defined by a distal portion and a proximal portion forming the length, the guard having a substantially uniform cross section along its distal portion.
Claim 23
Dependent Claim
26 words
The method of claim 1 , wherein the positioning step includes the sub-step of positioning the guard having a substantially uniform cross section along its length.
Claim 24
Dependent Claim
30 words
The method of claim 22 , wherein the one end of the guard has a cross sectional configuration substantially the same as the substantially uniform cross section of the guard.
Claim 25
Dependent Claim
29 words
The method of claim 1 , wherein the positioning step includes the sub-step of positioning the guard having the one end having a circumference that is uninterrupted and constant.
Claim 26
Dependent Claim
27 words
The method of claim 24 , further comprising projections extending from the uninterrupted and constant circumference of the one end of the guard for engaging the spine.
Claim 27
Dependent Claim
20 words
The method of claim 1 , wherein the forming step includes the sub-step of forming an opening having arcuate portions.
Claim 28
Dependent Claim
21 words
The method of claim 1 , wherein the forming step includes the sub-step of forming an opening that is generally cylindrical.
Claim 29
Dependent Claim
31 words
The method of claim 1 , wherein the positioning step includes the step of positioning the one end of the guard in contact with the vertebra of the posterior lumbar spine.
Claim 30
Dependent Claim
18 words
The method of claim 1 , further comprising the step of placing pressed biomaterial into the implantation space.
Claim 31
Dependent Claim
11 words
The method of claim 1 , wherein the material is injectable.
Claim 32
Dependent Claim
21 words
The method of claim 30 , further comprising the step of injecting the material that is inserted into the implantation space.
Claim 33
Dependent Claim
37 words
The method of claim 1 , further comprising the step of providing the material to be inserted in the form of an elongated portion having a length and a maximum cross sectional dimension perpendicular to the length.
Claim 34
Dependent Claim
27 words
The method of claim 32 , further comprising the step of pressing the provided material prior to the step of inserting the material into the implantation space.
Claim 35
Dependent Claim
39 words
The method of claim 32 , further comprising the step of pressing the provided material to change the shape of the elongated portion to have a lesser length and a greater maximum cross sectional dimension perpendicular to the length.
Claim 36
Dependent Claim
21 words
The method of claim 32 , wherein the maximum cross sectional dimension perpendicular to the length is round in cross section.
Claim 37
Dependent Claim
18 words
The method of claim 32 , wherein the length of the elongated portion is at least 32 millimeters.
Claim 38
Dependent Claim
31 words
The method of claim 1 , wherein the moving step includes the step of rotating the instrument about the longitudinal axis of the instrument to form the opening into the vertebra.
Claim 39
Independent Claim
114 words
A method for preparing a vertebra of the human spine, comprising the steps of: positioning one end of a guard having a passage onto the vertebra with the passage of the guard overlapping a portion of the vertebra, the one end of the guard having a height; forming, through the passage of the guard, an opening at least in part into the portion of the vertebra overlapped by the passage of the guard; and inserting a biomaterial through the passage of the guard and into the opening formed in the vertebra, the method being performed without altering the height of the one end of the guard between the forming step and the inserting step.
Claim 40
Independent Claim
114 words
A method for preparing a vertebra of the human spine, comprising the steps of: positioning one end of a guard having a passage onto the vertebra with the passage of the guard overlapping a portion of the vertebra, the one end of the guard having a height; forming, through the passage of the guard, an opening at least in part into the portion of the vertebra overlapped by the passage of the guard; and inserting a biomaterial through the passage of the guard and into the opening formed in the vertebra, the method being performed without altering the height of the one end of the guard between the forming step and the inserting step.
Claim 41
Dependent Claim
27 words
The method of claim 38 , wherein the forming step includes the sub-step of inserting an instrument through the guard to access the bone of the vertebra.
Claim 42
Dependent Claim
17 words
The method of claim 38 , wherein the forming step includes the sub-step of milling the vertebra.
Claim 43
Dependent Claim
17 words
The method of claim 38 , wherein the forming step includes the sub-step of drilling the vertebra.
Claim 44
Dependent Claim
24 words
The method of claim 38 , further comprising the step of inserting a drill into the guard to access the vertebra with the drill.
Claim 45
Dependent Claim
13 words
The method of claim 38 , wherein the biomaterial comprises a fusion-promoting substance.
Claim 46
Dependent Claim
11 words
The method of claim 38 , wherein the biomaterial comprises bone.
Claim 47
Dependent Claim
25 words
The method of claim 38 , wherein the positioning step includes the step of positioning at least a portion of the guard in the vertebra.
Claim 48
Dependent Claim
18 words
The method of claim 38 , further comprising the step of inserting an inner sleeve within the guard.
Claim 49
Dependent Claim
23 words
The method of claim 38 , wherein the method is performed without removing the guard between the positioning step and the inserting step.
Claim 50
Dependent Claim
20 words
The method of claim 38 , wherein the forming step includes the sub-step of forming an opening having arcuate portions.
Claim 51
Dependent Claim
21 words
The method of claim 38 , wherein the forming step includes the sub-step of forming an opening that is generally cylindrical.
Claim 52
Dependent Claim
25 words
The method of claim 38 , wherein the positioning step includes the step of engaging the one end of the hollow guard to the vertebra.
Claim 53
Dependent Claim
34 words
The method of claim 38 , wherein the positioning step includes the sub-step of positioning the guard having projections projecting distally from the one end for penetrably engaging the posterior surface of the vertebra.
Claim 54
Dependent Claim
29 words
The method of claim 38 , wherein the positioning step includes the sub-step of positioning the guard that is a tubular sleeve that is at least in part hollow.
Claim 55
Dependent Claim
44 words
The method of claim 38 , wherein the positioning step includes the sub-step of positioning the guard having a length defined by a distal portion and a proximal portion forming the length, the guard having a substantially uniform cross section along its distal portion.
Claim 56
Dependent Claim
26 words
The method of claim 38 , wherein the positioning step includes the sub-step of positioning the guard having a substantially uniform cross section along its length.
Claim 57
Dependent Claim
30 words
The method of claim 54 , wherein the one end of the guard has a cross sectional configuration substantially the same as the substantially uniform cross section of the guard.
Claim 58
Dependent Claim
29 words
The method of claim 38 , wherein the positioning step includes the sub-step of positioning the guard having the one end having a circumference that is uninterrupted and constant.
Claim 59
Dependent Claim
27 words
The method of claim 56 , further comprising projections extending from the uninterrupted and constant circumference of the one end of the guard for engaging the spine.
Claim 60
Dependent Claim
31 words
The method of claim 38 , wherein the positioning step includes the step of positioning the one end of the guard in contact with the vertebra of the posterior lumbar spine.
Claim 61
Dependent Claim
17 words
The method of claim 38 , wherein the inserting step includes placing compressed biomaterial into the opening.
Claim 62
Dependent Claim
11 words
The method of claim 38 , wherein the biomaterial is injectable.
Claim 63
Dependent Claim
20 words
The method of claim 60 , further comprising the step of injecting the biomaterial that is inserted into the opening.
Claim 64
Dependent Claim
37 words
The method of claim 38 , further comprising the step of providing the biomaterial to be inserted in the form of an elongated portion having a length and a maximum cross sectional dimension perpendicular to the length.
Claim 65
Dependent Claim
26 words
The method of claim 62 , further comprising the step of pressing the provided biomaterial prior to the step of inserting the biomaterial into the opening.
Claim 66
Dependent Claim
39 words
The method of claim 62 , further comprising the step of pressing the provided biomaterial to change the shape of the elongated portion to have a lesser length and a greater maximum cross sectional dimension perpendicular to the length.
Claim 67
Dependent Claim
21 words
The method of claim 62 , wherein the maximum cross sectional dimension perpendicular to the length is round in cross section.
Claim 68
Dependent Claim
18 words
The method of claim 62 , wherein the length of the elongated portion is at least 32 millimeters.
Claim 69
Dependent Claim
34 words
The method of claim 39 , wherein the sub-step of inserting an instrument includes the sub-step of rotating the instrument about a longitudinal axis of the instrument to form the opening into the vertebra.
Claim 70
Independent Claim
164 words
A method for internal stabilization of at least a portion of the human spine, the method comprising the steps of: engaging one end of a hollow tubular member with at least one vertebra of the spine, the one end of the tubular member having a height; providing a first instrument that extends through the tubular member and beyond the one end of the tubular member; forming an opening into the vertebra with the first instrument; removing the first instrument from the tubular member; inserting a second instrument through the tubular member and into the opening; enlarging the opening with the second instrument; and inserting, through the hollow tubular member and into the enlarged opening, a material suitable for human implantation of sufficient strength to support the bone of the vertebra, the material rigidly stabilizing at least a portion of the human spine, the method being performed without removing the hollow tubular member from the vertebra between the engaging step and the inserting material step.
Claim 71
Independent Claim
164 words
A method for internal stabilization of at least a portion of the human spine, the method comprising the steps of: engaging one end of a hollow tubular member with at least one vertebra of the spine, the one end of the tubular member having a height; providing a first instrument that extends through the tubular member and beyond the one end of the tubular member; forming an opening into the vertebra with the first instrument; removing the first instrument from the tubular member; inserting a second instrument through the tubular member and into the opening; enlarging the opening with the second instrument; and inserting, through the hollow tubular member and into the enlarged opening, a material suitable for human implantation of sufficient strength to support the bone of the vertebra, the material rigidly stabilizing at least a portion of the human spine, the method being performed without removing the hollow tubular member from the vertebra between the engaging step and the inserting material step.
Claim 72
Dependent Claim
32 words
The method of claim 68 , wherein the method is performed without altering the height of the one end of the tubular member between the providing step and the inserting material step.
Claim 73
Dependent Claim
40 words
The method of claim 68 , wherein the inserting step further comprises inserting a material inserter having a distal end into the hollow tubular member, the material inserter having the material extending beyond the distal end of the material inserter.
Claim 74
Dependent Claim
26 words
The method of claim 70 , further comprising the step of positioning the material into the enlarged opening beyond the one end of the tubular member.
Claim 75
Dependent Claim
33 words
The method of claim 68 , further comprising the steps of inserting the first instrument into the tubular member and then extending the first instrument beyond the one end of the tubular member.
Claim 76
Dependent Claim
17 words
The method of claim 68 , wherein the providing step includes the sub-step of inserting a drill.
Claim 77
Dependent Claim
26 words
The method of claim 68 , wherein the inserting material step includes inserting the material comprising a biomaterial into the opening through the hollow tubular member.
Claim 78
Dependent Claim
19 words
The method of claim 68 , wherein the inserting material step includes inserting the material comprising a fusion-promoting substance.
Claim 79
Dependent Claim
19 words
The method of claim 68 , further comprising the step of inserting an inner sleeve within the tubular member.
Claim 80
Dependent Claim
39 words
The method of claim 68 , wherein the inserting material step includes the sub-step of inserting an implant having at least upper and lower portions that are arcuate along at least a portion of the length of the implant.
Claim 81
Dependent Claim
71 words
The method of claim 77 , wherein the inserting material step includes the sub-step of inserting the implant further comprising a hollow interior between the upper and lower arcuate portions of the implant for holding bone growth promoting material, each of the upper and lower portions of the implant having at least one opening in communication with the hollow interior to permit bone from the vertebra to grow through the implant.
Claim 82
Dependent Claim
22 words
The method of claim 78 , further comprising the step of loading the hollow interior of the implant with fusion promoting substances.
Claim 83
Dependent Claim
23 words
The method of claim 79 , wherein the loading step includes the sub-step of loading the hollow interior of the implant with bone.
Claim 84
Dependent Claim
27 words
The method of claim 68 , wherein the inserting material step includes inserting the material that comprises at least in part of a material other than bone.
Claim 85
Dependent Claim
39 words
The method of claim 68 , wherein the inserting material step includes the sub-step of inserting an implant having the upper and lower portions having at least one protrusion on the upper and lower portions for engaging the vertebra.
Claim 86
Dependent Claim
17 words
The method of claim 82 , wherein the protrusion is at least a portion of a thread.
Claim 87
Dependent Claim
49 words
The method of claim 68 , wherein the inserting material step includes the sub-step of inserting an implant having a hollow interior and at least one of an insertion end and a trailing end that is open and adapted for loading bone growth promoting substances into the hollow interior.
Claim 88
Dependent Claim
23 words
The method of claim 84 , further comprising the step of engaging an end cap for closing the open end of the implant.
Claim 89
Dependent Claim
48 words
The method of claim 68 , wherein the inserting material step includes the sub-step of inserting an implant having an insertion end and a trailing end, the trailing end being adapted to cooperatively engage a driver for inserting the implant through the tubular member and into the opening.
Claim 90
Dependent Claim
26 words
The method of claim 68 , wherein the engaging step includes the step of positioning at least a portion of the tubular member in the vertebra.
Claim 91
Dependent Claim
46 words
The method of claim 68 , wherein the engaging step includes the sub-step of engaging the tubular member having a length defined by a distal portion and a proximal portion forming the length, the tubular member having a substantially uniform cross section along its distal portion.
Claim 92
Dependent Claim
27 words
The method of claim 68 , wherein the engaging step includes the sub-step of engaging the tubular member having a substantially uniform cross section along its length.
Claim 93
Dependent Claim
32 words
The method of claim 89 , wherein the one end of the tubular member has a cross sectional configuration substantially the same as the substantially uniform cross section of the tubular member.
Claim 94
Dependent Claim
30 words
The method of claim 68 , wherein the engaging step includes the sub-step of engaging the tubular member having the one end having a circumference that is uninterrupted and constant.
Claim 95
Dependent Claim
28 words
The method of claim 91 , further comprising projections extending from the uninterrupted and constant circumference of the one end of the tubular member for engaging the spine.
Claim 96
Dependent Claim
27 words
The method of claim 68 , wherein the step of forming the opening with the first instrument includes the step of forming the opening having arcuate portions.
Claim 97
Dependent Claim
21 words
The method of claim 93 , wherein the forming step includes the sub-step of forming an opening that is generally cylindrical.
Claim 98
Dependent Claim
32 words
The method of claim 68 , wherein the engaging step includes the step of engaging the one end of the tubular member in contact with the vertebra of the posterior lumbar spine.
Claim 99
Dependent Claim
18 words
The method of claim 68 , further comprising the step of placing pressed material into the enlarged opening.
Claim 100
Dependent Claim
11 words
The method of claim 68 , wherein the material is injectable.
Claim 101
Dependent Claim
21 words
The method of claim 97 , further comprising the step of injecting the material that is inserted into the enlarged opening.
Claim 102
Dependent Claim
37 words
The method of claim 68 , further comprising the step of providing the material to be inserted in the form of an elongated portion having a length and a maximum cross sectional dimension perpendicular to the length.
Claim 103
Dependent Claim
27 words
The method of claim 99 , further comprising the step of pressing the provided material prior to the step of inserting the material into the enlarged opening.
Claim 104
Dependent Claim
39 words
The method of claim 99 , further comprising the step of pressing the provided material to change the shape of the elongated portion to have a lesser length and a greater maximum cross sectional dimension perpendicular to the length.
Claim 105
Dependent Claim
21 words
The method of claim 99 , wherein the maximum cross sectional dimension perpendicular to the length is round in cross section.
Claim 106
Dependent Claim
18 words
The method of claim 99 , wherein the length of the elongated portion is at least 32 millimeters.
Claim 107
Dependent Claim
33 words
The method of claim 68 , wherein the forming step includes the step of rotating the first instrument about a longitudinal axis of the first instrument to form the opening into the vertebra.
Claim 108
Dependent Claim
33 words
The method of claim 68 , wherein the enlarging step includes the step of rotating the second instrument about a longitudinal axis of the second instrument to enlarge the opening into the vertebra.
Claim 109
Independent Claim
150 words
A method for internal stabilization of at least a portion of the human spine, the method comprising the steps of: positioning one end of a hollow tubular member in contact with at least one vertebra of the spine, the one end of the tubular member having a height; providing a first instrument that extends through the tubular member and beyond the one end of the tubular member; forming an opening into the vertebra with the first instrument; removing the first instrument from the tubular member; inserting a second instrument through the tubular member and into the opening; enlarging the opening with the second instrument; removing the second instrument from the tubular member; and inserting a material suitable for human implantation into the enlarged opening through the tubular member, the method being performed without removing the hollow tubular member from the vertebra between the positioning step and the inserting material step.
Claim 110
Independent Claim
150 words
A method for internal stabilization of at least a portion of the human spine, the method comprising the steps of: positioning one end of a hollow tubular member in contact with at least one vertebra of the spine, the one end of the tubular member having a height; providing a first instrument that extends through the tubular member and beyond the one end of the tubular member; forming an opening into the vertebra with the first instrument; removing the first instrument from the tubular member; inserting a second instrument through the tubular member and into the opening; enlarging the opening with the second instrument; removing the second instrument from the tubular member; and inserting a material suitable for human implantation into the enlarged opening through the tubular member, the method being performed without removing the hollow tubular member from the vertebra between the positioning step and the inserting material step.
Claim 111
Dependent Claim
32 words
The method of claim 106 , wherein the method is performed without altering the height of the one end of the tubular member between the providing step and the inserting material step.
Claim 112
Dependent Claim
41 words
The method of claim 106 , wherein the inserting material step further comprises inserting a material inserter having a distal end into the hollow tubular member, the material inserter having the material extending beyond the distal end of the material inserter.
Claim 113
Dependent Claim
26 words
The method of claim 108 , further comprising the step of positioning the material into the enlarged opening beyond the one end of the tubular member.
Claim 114
Dependent Claim
33 words
The method of claim 106 , further comprising the steps of inserting the first instrument into the tubular member and then extending the first instrument beyond the one end of the tubular member.
Claim 115
Dependent Claim
17 words
The method of claim 106 , wherein the providing step includes the sub-step of inserting a drill.
Claim 116
Dependent Claim
26 words
The method of claim 106 , wherein the inserting material step includes inserting the material comprising a biomaterial into the opening through the hollow tubular member.
Claim 117
Dependent Claim
19 words
The method of claim 106 , wherein the inserting material step includes inserting the material comprising a fusion-promoting substance.
Claim 118
Dependent Claim
19 words
The method of claim 106 , further comprising the step of inserting an inner sleeve within the tubular member.
Claim 119
Dependent Claim
39 words
The method of claim 106 , wherein the inserting material step includes the sub-step of inserting an implant having at least upper and lower portions that are arcuate along at least a portion of the length of the implant.
Claim 120
Dependent Claim
71 words
The method of claim 115 , wherein the inserting material step includes the sub-step of inserting the implant further comprising a hollow interior between the upper and lower arcuate portions of the implant for holding bone growth promoting material, each of the upper and lower portions of the implant having at least one opening in communication with the hollow interior to permit bone from the vertebra to grow through the implant.
Claim 121
Dependent Claim
22 words
The method of claim 116 , further comprising the step of loading the hollow interior of the implant with fusion promoting substances.
Claim 122
Dependent Claim
23 words
The method of claim 117 , wherein the loading step includes the sub-step of loading the hollow interior of the implant with bone.
Claim 123
Dependent Claim
27 words
The method of claim 106 , wherein the inserting material step includes inserting the material that comprises at least in part of a material other than bone.
Claim 124
Dependent Claim
39 words
The method of claim 106 , wherein the inserting material step includes the sub-step of inserting an implant having the upper and lower portions having at least one protrusion on the upper and lower portions for engaging the vertebra.
Claim 125
Dependent Claim
17 words
The method of claim 120 , wherein the protrusion is at least a portion of a thread.
Claim 126
Dependent Claim
49 words
The method of claim 106 , wherein the inserting material step includes the sub-step of inserting an implant having a hollow interior and at least one of an insertion end and a trailing end that is open and adapted for loading bone growth promoting substances into the hollow interior.
Claim 127
Dependent Claim
23 words
The method of claim 122 , further comprising the step of engaging an end cap for closing the open end of the implant.
Claim 128
Dependent Claim
49 words
The method of claim 106 , wherein the inserting material step includes the sub-step of inserting an implant having an insertion end and a trailing end, the trailing end being adapted to cooperatively engage a driver for inserting the implant through the hollow tubular member and into the opening.
Claim 129
Dependent Claim
26 words
The method of claim 106 , wherein the positioning step includes the step of engaging the one end of the hollow tubular member to the vertebra.
Claim 130
Dependent Claim
46 words
The method of claim 106 , wherein the positioning step includes the sub-step of positioning the tubular member having a length defined by a distal portion and a proximal portion forming the length, the tubular member having a substantially uniform cross section along its distal portion.
Claim 131
Dependent Claim
27 words
The method of claim 106 , wherein the positioning step includes the sub-step of positioning the tubular member having a substantially uniform cross section along its length.
Claim 132
Dependent Claim
32 words
The method of claim 127 , wherein the one end of the tubular member has a cross sectional configuration substantially the same as the substantially uniform cross section of the tubular member.
Claim 133
Dependent Claim
30 words
The method of claim 106 , wherein the positioning step includes the sub-step of positioning the tubular member having the one end having a circumference that is uninterrupted and constant.
Claim 134
Dependent Claim
28 words
The method of claim 129 , further comprising projections extending from the uninterrupted and constant circumference of the one end of the tubular member for engaging the spine.
Claim 135
Dependent Claim
27 words
The method of claim 106 , wherein the step of forming the opening with the first instrument includes the step of forming the opening having arcuate portions.
Claim 136
Dependent Claim
21 words
The method of claim 131 , wherein the forming step includes the sub-step of forming an opening that is generally cylindrical.
Claim 137
Dependent Claim
32 words
The method of claim 106 , wherein the positioning step includes the step of positioning the one end of the tubular member in contact with the vertebra of the posterior lumbar spine.
Claim 138
Dependent Claim
18 words
The method of claim 106 , further comprising the step of placing pressed material into the enlarged opening.
Claim 139
Dependent Claim
11 words
The method of claim 106 , wherein the material is injectable.
Claim 140
Dependent Claim
21 words
The method of claim 135 , further comprising the step of injecting the material that is inserted into the enlarged opening.
Claim 141
Dependent Claim
37 words
The method of claim 106 , further comprising the step of providing the material to be inserted in the form of an elongated portion having a length and a maximum cross sectional dimension perpendicular to the length.
Claim 142
Dependent Claim
27 words
The method of claim 137 , further comprising the step of pressing the provided material prior to the step of inserting the material into the enlarged opening.
Claim 143
Dependent Claim
39 words
The method of claim 137 , further comprising the step of pressing the provided material to change the shape of the elongated portion to have a lesser length and a greater maximum cross sectional dimension perpendicular to the length.
Claim 144
Dependent Claim
21 words
The method of claim 137 , wherein the maximum cross sectional dimension perpendicular to the length is round in cross section.
Claim 145
Dependent Claim
18 words
The method of claim 137 , wherein the length of the elongated portion is at least 32 millimeters.
Claim 146
Dependent Claim
33 words
The method of claim 106 , wherein the forming step includes the step of rotating the first instrument about a longitudinal axis of the first instrument to form the opening into the vertebra.
Claim 147
Dependent Claim
33 words
The method of claim 106 , wherein the enlarging step includes the step of rotating the second instrument about a longitudinal axis of the second instrument to enlarge the opening into the vertebra.
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USPTO Annuity & Maintenance Windows
| Annuity Stage | Window Opens | Payment Deadline | Surcharge Period Until | Estimated Fee | Status |
|---|---|---|---|---|---|
| 3.5 Years (Year 4) | 2009-10-02 | 2010-04-03 | 2010-10-03 | $2000.00 | Window Closed / Lapsed |
| 7.5 Years (Year 8) | 2013-10-02 | 2014-04-03 | 2014-10-03 | $3760.00 | Window Closed / Lapsed |
| 11.5 Years (Year 12) | 2017-10-02 | 2018-04-03 | 2018-10-03 | $7700.00 | Window Closed / Lapsed |