Instruments and method for preparing an intervertebral space for receiving an artificial disc implant
View Patent ↗Instruments and methods for preparing an intervertebral space for receiving an implant. An adjustable trial implant has an adjustable stop mechanism having a stop member connected thereto to vary the distance that a body portion of the trial implant can move into the intervertebral space. Cutting tools for forming cutouts in the adjacent vertebrae use the trial implant and/or a guide to position a cutting tool which may be a burr or a chisel. The chisel cutting tool can be moveable relative to a selected trial implant or the chisel cutting tools can be fixed onto a trial implant shaped body portion.
1. An instrument for preparing an intervertebral space for receiving an implant, the intervertebral space defined between an upper vertebral body and a lower vertebral body instrument comprising:
a shaft defining a longitudinal axis;
an instrument body attached to the shaft and configured to be inserted into the intervertebral space in an insertion direction along the longitudinal axis of the shaft, the instrument body defining an upper surface configured to face the upper vertebral body and a lower surface spaced from the upper surface along a vertical direction that is perpendicular to the insertion direction, the lower surface configured to face the lower vertebral body,
the instrument body including an upper cutting arm and a lower cutting arm, each cutting arm having a trailing end and a leading end spaced from the trailing end in the insertion direction, the leading end of each cutting arm defining a pair of cutting edges that extend away from the longitudinal axis of the shaft along the vertical direction and forwardly in the insertion direction, wherein the leading end of each cutting arm is curved with respect to the vertical direction, and wherein the cutting edge is configured to cut into the respective one of the upper and lower vertebral bodies as the instrument body is inserted into the intervertebral space in the insertion direction.
2. The instrument of claim 1 , wherein the upper cutting arm extends away from the upper surface along the vertical direction, and the lower cutting arm extends away from the lower surface along the vertical direction.
3. The instrument of claim 2 , wherein the upper and lower cutting arms are perpendicular to the longitudinal axis of the shaft.
4. The instrument of claim 2 , wherein the upper cutting arm and the lower cutting arm are aligned with each other along the vertical direction.
5. The instrument of claim 1 , wherein the instrument body defines a front end with respect to the insertion direction, and the instrument body defines at least one recess that extends into the front end along a second direction opposite the insertion direction, the at least one recesses configured to receive bone chips produced as the at least one cutting arm cuts into the respective upper and lower vertebral bodies.
6. The instrument of claim 1 , further comprising a holding device configured to support the instrument body for insertion into the intervertebral space, wherein the instrument body defines a rear end and a forward end spaced from the rear end in the insertion direction and the holding device is configured to extend relative to the instrument body along a direction that is opposite to the insertion direction when the holding device supports the instrument body.
7. The instrument of claim 1 , wherein the instrument body is configured as a trial implant body, such that the upper surface is spaced from the lower surface in the vertical direction a sufficient distance such that the upper surface abuts the upper vertebral body when the trial implant is disposed in the intervertebral space, and the lower surface abuts the lower vertebral body when the trial implant is disposed in the intervertebral space.
8. A method for preparing an intervertebral space for receiving an implant, the intervertebral space defined between an upper vertebral body and a lower vertebral body the method comprising:
inserting an instrument body into the intervertebral space along an insertion direction along a longitudinal axis defined by a shaft attached to the instrument body, the instrument body defining an upper surface configured to face the upper vertebral body and a lower surface spaced from the upper surface along a vertical direction that is perpendicular to the insertion direction, the lower surface configured to face the lower vertebral body, causing a pair of cutting edges of a leading end of a pair of cutting arms to cut a respective grooves into the respective upper and lower vertebral bodies, wherein the leading end of each cutting arm is curved with respect to the vertical direction, and wherein the cutting edges extend away from the longitudinal axis of the shaft along the vertical direction and forwardly in the insertion direction.
9. The method of claim 8 , wherein the pair of cutting arms is an upper cutting arm that extends away from the upper surface along the vertical direction, and a lower cutting arm that extends away from the lower surface along the vertical direction, where the causing step includes:
cutting an upper groove into the upper vertebral body with the upper cutting arm and cutting a lower groove into the lower vertebral body with the lower cutting arm.
10. The method claim 9 wherein the upper cutting arm and the lower cutting arm are aligned with each other along the vertical direction.
11. The method of claim 8 , further comprising the step of positioning the instrument body relative to the intervertebral space along the insertion direction, with a holding device, wherein the holding device extends relative to the instrument body along a direction that is opposite to the insertion direction.
12. An instrument for preparing an intervertebral space for receiving an implant, the intervertebral space defined between an upper vertebral body and a lower vertebral body instrument comprising:
a shaft defining a longitudinal axis;
an instrument body attached to the shaft and configured to be inserted into the intervertebral space in an insertion direction along the longitudinal axis of the shaft, the instrument body defining an upper surface configured to face the upper vertebral body and a lower surface spaced from the upper surface along a vertical direction that is perpendicular to the insertion direction, the lower surface configured to face the lower vertebral body,
the instrument body including an upper cutting arm having a trailing end and a leading end spaced from the trailing end in the insertion direction, and a lower cutting arm having a trailing end and a leading end spaced from the trailing end in the insertion direction, wherein the leading end of each cutting arm is curved with respect to the vertical direction; and
a pair of cutting edges defined on the leading end of each arm.