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US7500977B2 Expired / Lapsed US ⏱️ 0.0 years remaining

Method and apparatus for manipulating material in the spine

Assignee: Mis IP Holdings LLC
•
Filing: 2004-10-22
•
Granted: 2009-03-10
•
Expires: 2024-10-22
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Abstract

Abstract Disclosed are surgical tools, tool sets and methods for percutaneously accessing and preparing treatment sites within the spine for subsequent treatment procedures. The treatment site may be an inter-vertebral motion segments in the lumbar and sacral regions of the spine. The tool set may comprise introducer tools and bone dilators for accessing and tapping into a targeted site, such as, for example, the anterior surface of the S 1 vertebral body. The tool set may also comprise cutters and extractors for preparing the treatment site for subsequent treatment procedures. The tool set may additionally comprise a bone graft inserter, an exchange system, and/or a temporary distraction tool for further preparing the treatment site for subsequent treatment procedures.

Inventors

  • 👤 Robert L. Assell
  • 👤 Steven D. Ainsworth
  • 👤 Andrew L. Cragg
  • 👤 Eugene A. Dickhudt

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 13:57
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/02; A61B17/025; A61B17/56; A61B17/58; A61B17/88; A61B17/68; A61B17/70; A61B17/7074; A61B17/16; A61B17/1604; A61B17/1662; A61B17/1671; A61B17/1697; A61B17/17; A61B17/1739; A61B17/1757; A61B17/22; A61B17/84; A61B17/86; A61B17/8605; A61B17/861; A61B17/8615; A61B17/8875; A61B17/8877; A61B17/888; A61B17/8886; A61B17/8888; A61B17/92; A61B17/0218; A61B17/1613; A61B17/1615; A61B17/8897; A61B17/00234; A61B2017/00238; A61B2017/00261; A61B2017/0046; A61B2017/00469; A61B2017/0256; A61B2017/22038; A61B2017/22042; A61B2017/22044; A61B17/34; A61B17/3417; A61B17/3421; A61B2017/3445; A61B2017/922

Claims Analysis

Total Claims: 24
Claim 1
Independent Claim 333 words
A cutter, for disrupting material in an intervertebral space, the cutter adapted to extend through a trans-sacral axial bore along an axis extending cephalad from a sacral vertebral body through at least one vertebral body end plate cephalad of the S- 1 vertebral body, the cutter comprising: a cutter sheath having a sheath lumen extending between a sheath proximal end and a sheath distal end; a shaft extending along a longitudinal axis between a shaft proximal end and a shaft distal end, at least a portion of the shaft moveably positioned within the sheath lumen; a cutter blade coupled to the shaft proximate the shaft distal end, the cutter blade having an extended configuration and a retracted configuration, the extended configuration comprising the cutter blade extending generally transverse to the longitudinal axis away from the sheath, the retracted configuration comprising the cutter blade extending substantially parallel the longitudinal axis inside the sheath; a first side surface on the cutter blade for positioning adjacent a vertebral end plate when the cutter blade is oriented generally transverse to the longitudinal axis in the extended configuration; a second side surface on the cutter blade, separated from the first side surface by a blade thickness; a first edge on the cutter blade; a second edge on the cutter blade; and at least one cutting edge on at least one of the first and second edges; wherein the cutter blade further comprises an elongate ribbon that comprises a first end, a distal segment, a bend, a proximal segment and a second end, the first end and second end extending generally parallel to the longitudinal axis of the shaft, the distal segment and the proximal segment extending generally parallel to each other and being connected at the bend, at which the ribbon folds back upon itself such that the second side surface generally opposes itself, the bend being located on the ribbon proximate a maximum transverse distance away from the longitudinal axis of the shaft in the extended configuration.
Claim 2
Dependent Claim 333 words
A cutter, for disrupting material in an intervertebral space, the cutter adapted to extend through a trans-sacral axial bore along an axis extending cephalad from a sacral vertebral body through at least one vertebral body end plate cephalad of the S- 1 vertebral body, the cutter comprising: a cutter sheath having a sheath lumen extending between a sheath proximal end and a sheath distal end; a shaft extending along a longitudinal axis between a shaft proximal end and a shaft distal end, at least a portion of the shaft moveably positioned within the sheath lumen; a cutter blade coupled to the shaft proximate the shaft distal end, the cutter blade having an extended configuration and a retracted configuration, the extended configuration comprising the cutter blade extending generally transverse to the longitudinal axis away from the sheath, the retracted configuration comprising the cutter blade extending substantially parallel the longitudinal axis inside the sheath; a first side surface on the cutter blade for positioning adjacent a vertebral end plate when the cutter blade is oriented generally transverse to the longitudinal axis in the extended configuration; a second side surface on the cutter blade, separated from the first side surface by a blade thickness; a first edge on the cutter blade; a second edge on the cutter blade; and at least one cutting edge on at least one of the first and second edges; wherein the cutter blade further comprises an elongate ribbon that comprises a first end, a distal segment, a bend, a proximal segment and a second end, the first end and second end extending generally parallel to the longitudinal axis of the shaft, the distal segment and the proximal segment extending generally parallel to each other and being connected at the bend, at which the ribbon folds back upon itself such that the second side surface generally opposes itself, the bend being located on the ribbon proximate a maximum transverse distance away from the longitudinal axis of the shaft in the extended configuration.
Claim 3
Dependent Claim 18 words
A cutter as in claim 1 , wherein the cutting edge is coplanar with the first side surface.
Claim 4
Dependent Claim 18 words
A cutter as in claim 1 , wherein the cutting edge is coplanar with the second side surface.
Claim 5
Dependent Claim 27 words
A cutter as in claim 1 , wherein the cutting edge is centered on a plane positioned in-between the first side surface and the second side surface.
Claim 6
Dependent Claim 25 words
A cutter as in claim 1 , comprising a first cutting edge on the first edge and a second cutting edge on the second edge.
Claim 7
Dependent Claim 23 words
A cutter as in claim 1 , wherein the elongate ribbon inclines radially outwardly from an axis of rotation in the extended configuration.
Claim 8
Dependent Claim 25 words
A cutter as in claim 1 , wherein the first end and second end include an attachment structure for attachment to a rotatable drive shaft.
Claim 9
Dependent Claim 14 words
A cutter as in claim 7 , wherein the attachment structure comprises an aperture.
Claim 10
Dependent Claim 25 words
A cutter as in claim 7 , wherein both the first end and the second end are adapted for connection to the rotatable drive shaft.
Claim 11
Dependent Claim 26 words
A cutter as in claim 1 , wherein the cutter blade extends radially outwardly from an axis of rotation, and is inclined in a distal direction.
Claim 12
Dependent Claim 23 words
A cutter as in claim 1 , wherein the cutter blade inclines radially outwardly from an axis of rotation in a proximal direction.
Claim 13
Dependent Claim 14 words
A cutter as in claim 1 , wherein the cutter blade comprises a metal.
Claim 14
Dependent Claim 16 words
A cutter as in claim 12 , wherein the cutter blade comprises a nickel titanium alloy.
Claim 15
Dependent Claim 13 words
A cutter as in claim 1 , secured to a rotatable drive shaft.
Claim 16
Dependent Claim 14 words
A cutter as in claim 1 , wherein the blade comprises a teardrop shape.
Claim 17
Dependent Claim 37 words
A cutter as in claim 1 , wherein the distal segment comprises a first attachment structure secured proximate the shaft distal end and the proximal segment comprises a second attachment structure secured proximate the shaft distal end.
Claim 18
Dependent Claim 34 words
A cutter as in claim 16 , wherein one of the first and the second attachment structures comprises a slot and the other of the first and the second attachment structures comprises a hole.
Claim 19
Dependent Claim 27 words
A cutter as in claim 16 , wherein the first attachment structure and the second attachment structure are secured to the shaft distal end with a pin.
Claim 20
Dependent Claim 32 words
A cutter as in claim 1 , wherein axial movement of the sheath along the longitudinal axis of the shaft actuates the cutter blade between the extended configuration and the retracted configuration.
Claim 21
Dependent Claim 21 words
A cutter as in claim 1 , wherein the shaft further comprises a shaft slot dimensioned to accommodate the cutter blade.
Claim 22
Dependent Claim 27 words
A cutter as in claim 20 , wherein the shaft slot is dimensioned to accommodate at least a portion of the proximal segment of the cutter blade.
Claim 23
Dependent Claim 111 words
A cutter, for disrupting material in an intervertebral space, the cutter adapted to extend through a trans-sacral axial bore along an axis extending cephalad from a sacral vertebral body through at least one vertebral body end plate cephalad of the S- 1 vertebral body, the cutter comprising: a cutter sheath having a sheath lumen extending between a sheath proximal end and a sheath distal end; a shaft extending along a longitudinal axis between a shaft proximal end and a shaft distal end, at least a portion of the shaft moveably positioned within the sheath lumen; and a cutter blade coupled to the shaft, the cutter blade comprising an elongate ribbon comprising:
Claim 24
Dependent Claim 111 words
A cutter, for disrupting material in an intervertebral space, the cutter adapted to extend through a trans-sacral axial bore along an axis extending cephalad from a sacral vertebral body through at least one vertebral body end plate cephalad of the S- 1 vertebral body, the cutter comprising: a cutter sheath having a sheath lumen extending between a sheath proximal end and a sheath distal end; a shaft extending along a longitudinal axis between a shaft proximal end and a shaft distal end, at least a portion of the shaft moveably positioned within the sheath lumen; and a cutter blade coupled to the shaft, the cutter blade comprising an elongate ribbon comprising:

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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) 2012-03-09 2012-09-08 2013-03-10 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2016-03-09 2016-09-08 2017-03-10 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2020-03-09 2020-09-08 2021-03-10 $7700.00 Window Closed / Lapsed

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