Vertebral joint implants and delivery tools
A spinal joint distraction system for treating a facet joint including articular surfaces having a contour is disclosed and may include a delivery device including a generally tubular structure adapted to engage a facet joint, an implant adapted to be delivered through the delivery device and into the facet joint, the implant comprising two members arranged in opposed position, and an implant distractor comprising a generally elongate member adapted to advance between the two members of the implant causing separation of the members and distraction of the facet joint, wherein the implant is adapted to conform to the shape of the implant distractor and/or the articular surfaces of the facet upon being delivered to the facet joint. Several embodiments of a system, several embodiments of an implant, and several methods are disclosed including a method for interbody fusion.
1. A minimally invasive spinal facet implant system, comprising:
an implant configured for placement in a spinal facet joint space, the implant comprising a leading distal portion and a trailing proximal portion;
a delivery device, comprising a proximal end, a distal end, a tubular body extending between the proximal and distal end and forming a lumen, and an anchoring fork at the distal end; and
a driver assembly, comprising:
a hollow implant shaft having a proximal end, a distal end, a lumen having an inner diameter, and an outer diameter configured to allow the implant shaft to extend through the lumen of the delivery device; and
a handle coupled with the proximal end of the implant shaft; and
an internal actuator comprising a shaft and a handle and configured to extend through the hollow implant shaft of the driver assembly to release the implant from the driver assembly,
wherein the delivery device and the driver assembly are configured such that, when the anchoring fork is positioned in the spinal facet joint space, the implant is positioned in the spinal facet joint space, and when the implant shaft of the driver assembly extends through the lumen of the delivery device, the implant is positioned within the anchoring fork.
2. The system of claim 1 , wherein the anchoring fork comprises two arms, each of which distally tapers towards a distal edge.
3. The system of claim 1 , wherein the implant further comprises a first lateral side and a second lateral side, which are configured to engage with a distal end of the driver assembly.
4. The system of claim 1 , further comprising:
a handle attached to the proximal end of the delivery device, wherein the handle of the delivery device and the handle of the driver assembly are configured to matingly engage with one another.
5. The system of claim 1 , wherein the internal actuator comprises a rod longitudinally displaceable within the lumen of the implant shaft to release the implant from the driver assembly.
6. The system of claim 5 , wherein the rod extending through the lumen of the implant shaft is further rotationally displaceable about a longitudinal axis of the rod to further assist in releasing the implant from the driver assembly.
7. The system of claim 1 , further comprising at least one of a screw or a nail to connect the implant to a vertebra immediately adjacent the spinal facet joint space.
8. The system of claim 1 , wherein the implant has a wedge shape.
9. The system of claim 1 , wherein an inner diameter of the lumen of the tubular body of the delivery device is substantially equal to the outer diameter of the implant shaft of the driver assembly, and a difference between the inner diameter of the lumen of the tubular body and the outer diameter of the implant shaft is such that the implant shaft can slide within the lumen of the tubular body.
10. The system of claim 1 , wherein the implant comprises a metal, a ceramic or a polymer.
11. The system of claim 1 , wherein upon implantation, the implant is sized and configured to be substantially located within the confines of the spinal facet joint space.
12. The system of claim 1 , further comprising a decorticator, comprising a tubular shaft sized to fit over the delivery device and an abrasive distal end for decorticating bone.
13. The system of claim 1 , further comprising a chisel, comprising an elongate shaft sized to fit through the lumen of the delivery device and having a chamfered distal tip.