Spinal surgery implants and delivery system
View Patent ↗A spinal surgery tool system including an elongated conduit and an implant is disclosed. The implant assumes a straight configuration within the elongated conduit and is deployable from the elongated conduit into a closed or nearly-closed loop configuration for deployment interposed between two tissue surfaces to define an enclosed volume. The conduit and the implant are configured such that, when the implant is deployed in the loop configuration, an opening formed in a proximal portion of the implant forms a contiguous channel with a passageway along the conduit so as to provide a continuous access channel along the elongated conduit into the enclosed volume.
1. A method for deploying an implant within a body comprising the steps of:
(a) providing:
(i) an elongated implant configured for forming a partial loop within the body and straightenable for delivery into the body along a guide, and
(ii) an elongated tensing element linked to a distal portion of the elongated implant, the tensing element comprising a flat strip;
(b) introducing the elongated implant along the guide into the body and applying tension to the tensing element continuously while said elongated implant is advanced beyond the guide so that the elongated implant deflects to form the partial loop on leaving the guide,
wherein, for at least part of said introducing, advancing of the elongated implant is accompanied by retraction of at least part of the tensing element so that the distal portion of the elongated implant is drawn towards a proximal portion of the elongated implant,
and wherein, in a final deployed form of the elongated implant, said elongated implant forms the partial loop with a gap between the distal portion and the proximal portion, and wherein a part of the tensing element remains as a bridging element bridging said gap between the distal portion and the proximal portion of the elongated implant, whereby the elongated implant and the bridging element form a closed loop, and wherein the closed loop formed by the elongated implant and the bridging element encloses an unobstructed central void, and wherein the unobstructed central void extends across a majority of a maximum external dimension of the closed loop in a plane of the closed loop.
2. The method of claim 1 , wherein the elongated tensing element is threaded through an opening formed in the proximal portion of the elongated implant.
3. The method of claim 1 , wherein the elongated tensing element is implemented as a spring element.
4. The method of claim 1 , wherein the elongated implant comprises at least two sequential segments interconnected at an effective hinge, and wherein said continuously applied tension is effective to deflect at least a first of said sequential segments about said effective hinge as said first segment leaves the guide.
5. The method of claim 1 , wherein the elongated implant is delivered to an intervertebral space as part of a vertebral fusion procedure.
6. The method of claim 1 , wherein the guide is implemented as a conduit.
7. The method of claim 6 , further comprising, prior to said introducing, inserting a surgical tool through the conduit to perform a surgical procedure on a target volume, wherein the surgical tool interacts with the conduit to define the target volume relative to a conduit position, said target volume being located laterally relative to a length of said conduit.
8. The method of claim 1 , wherein, for at least part of said introducing, advancing of the elongated implant is accompanied by retraction of at least part of the tensing element relative to the guide.
9. The method of claim 1 , further comprising, after formation of the closed loop, filling the unobstructed central void with bone particles or bone substitute.
10. The method of claim 1 , further comprising, after formation of the closed loop, filling the unobstructed central void with a biocompatible material.