Interspinous process implant having deployable wings and method of implantation
View Patent ↗An embodiment of a system in accordance with the present invention can include an implant having a spacer with a thickness and a wing, wherein a first configuration of the wing has a first height substantially similar to the thickness and wherein the wing is adapted to be selectably arranged in a second configuration such that the wing has a second height greater than the first height. A periphery of the implant has a shape generally conformal with a shape of an inner surface of a cannula and a cross-sectional diameter smaller than an inner diameter of the cannula. The cannula is inserted such that a proximal end of the cannula is arranged between the adjacent spinous processes. The implant is then urged into position between the adjacent spinous processes by way of the cannula, and subsequently arranged in a second configuration to fix the implant in position.
1. An interspinous-process spacer, comprising:
an expandable segment with an upper portion and a lower portion; the upper portion having an upper proximal member and an upper distal member; the lower portion having a lower proximal member and a lower distal member;
the upper proximal member being in contact with the lower proximal member when the expandable segment is in a collapsed configuration, the upper proximal member being spaced away from the lower proximal member when the expandable segment is in an expanded configuration;
an inner elongate member disposed between the upper and lower portions;
wherein a distal end of the inner elongate member is affixed to the upper distal member and the lower distal member;
wherein displacement of the inner elongate segment in a proximal direction relative to the expandable segment, when the expandable segment is in the collapsed configuration, causes the expandable segment to assume its expanded configuration;
wherein the distance between a proximal tip of the inner elongate member and a most proximal end of the expandable segment is greater in the expanded configuration than in the collapsed configuration.
2. The interspinous-process spacer of claim 1 wherein the upper portion includes a planar surface and the lower portion includes a planar surface; the planar surfaces of the upper and lower portions being in contact with each other when the expandable segment is in the collapsed configuration.
3. The interspinous-process spacer of claim 1 wherein:
the upper distal member is in contact with the lower distal member when the expandable segment is in the collapsed configuration.
4. The interspinous-process spacer of claim 1 wherein: the upper distal and upper proximal members are hingedly coupled together;
the lower distal and lower proximal members are hingedly coupled together.
5. The interspinous-process spacer of claim 1 wherein:
the upper distal and proximal members being hingedly coupled together by a first flexible strap;
the lower distal and proximal members being hingedly coupled together by a second flexible strap;
wherein the first and second flexible straps are distinct from their respective upper and lower portions.
6. The interspinous-process spacer of claim 1 wherein the expandable segment defines a cylindrical outer surface, an outer surface of the upper member defines a portion of the cylindrical outer surface, an outer surface of the lower member defines a remaining portion of the cylindrical outer surface.
7. The interspinous-process spacer of claim 1 further comprising:
a body, the body being disposed proximal relative to the expandable segment;
the upper proximal member being coupled to a distal end portion of the body.
8. The interspinous-process spacer of claim 3 wherein:
the upper proximal member has a first planar surface and the lower proximal member has a second planar surface, the first and second planar surfaces extending substantially parallel to each other when the expandable segment is in the collapsed configuration, the first and second planar surfaces extending transverse to one another when the expandable segment is in the expanded configuration.
9. The interspinous-process spacer of claim 1 wherein:
the upper portion has an inner concave surface formed therein and the lower portion has an inner concave surface formed therein, the inner concave surfaces facing each other;
each concave surface receives the inner elongate member when the expandable segment is in the collapsed configuration.
10. The interspinous-process spacer of claim 3 wherein:
the upper distal member is elongate along a first axis, the upper proximal member is elongate along a second axis;
the first axis being coaxial with the second axis when the expandable segment is in the collapsed configuration;
the first axis extending transverse to the second axis when the expandable segment is in the expanded configuration.
11. The interspinous-process spacer of claim 3 wherein in the collapsed configuration, the upper distal member and the lower distal member form a distraction tip, the distraction tip narrowing toward a longitudinal axis of the spacer in a distal direction.