Spinal stabilization installation instrumentation and methods
View Patent ↗A system for installing a vertebral stabilization system. The system includes an installation tool including a handle portion and a shaft extending distally from the handle portion. The shaft includes a conduit and a staple mechanism. The system also includes a flexible implant member extending along the conduit configured to be advanced out from a distal end of the shaft, and a staple housed in the staple mechanism. The staple is configured to secure the flexible implant member to a vertebra. The handle portion is configured to selectively advance the flexible implant member from the shaft and to selectively actuate the staple mechanism.
1. A method installing a vertebral stabilization system, the method comprising:
positioning a first anchor and a second anchor in a cartridge of an anchoring mechanism proximate a distal end of an installation tool;
inserting the installation tool through an incision toward a vertebral body of a first vertebra such that the distal end of the installation tool is positioned proximate the vertebral body of the first vertebra;
using the installation tool, securing the first anchor into the vertebral body of the first vertebra to secure a flexible implant member to the vertebral body of the first vertebra;
moving the distal end of the installation tool to a position proximate a vertebral body of a second vertebra without removing the installation tool from the incision;
manipulating the installation tool to apply a desired amount of tension on the flexible implant member, and
using the installation tool, securing the second anchor into the vertebral body of the second vertebra to secure the flexible implant member to the vertebral body of the second vertebra.
2. The method of claim 1 , wherein the desired amount of tension is applied on the flexible implant member by distracting the second vertebra from the first vertebra.
3. The method of claim 1 , wherein manipulating the installation tool includes attaining a desired spacing between the first vertebra and the second vertebra.
4. The method of claim 1 , wherein the flexible implant member is maintained in tension after securing the first and second anchors to the vertebral bodies of the first and second vertebrae, respectively.
5. The method of claim 1 , wherein the flexible implant member is inserted through the incision through a conduit of the installation tool.
6. The method of claim 5 , wherein the flexible implant member is positioned in the conduit prior to inserting the installation tool through the incision.
7. The method of claim 5 , further comprising:
advancing a portion of the flexible implant member out of the conduit while moving the distal end of the installation tool to the position proximate the vertebral body of the second vertebra.
8. The method of claim 1 , wherein the anchoring mechanism which is actuatable to secure the first and second anchors to the vertebral bodies of the first and second vertebrae, respectively.
9. The method of claim 1 , further comprising:
cutting away an excess portion of the flexible implant member after securing the flexible implant member to the vertebral bodies of the first and second vertebrae.
10. The method of claim 9 , further comprising:
withdrawing the excess portion of the flexible implant member while withdrawing the installation tool from the incision.
11. The method of claim 1 , wherein during the manipulating the installation tool step a portion of the installation tool is engaged with the vertebral body of the second vertebra.
12. The method of claim 11 , wherein the portion of the installation tool engaged with the vertebral body of the second vertebra is a prong.
13. The method of claim 12 , wherein the prong extends from the distal end of the installation tool.
14. The method of claim 1 , wherein the installation tool is inserted through the incision via a lateral approach.
15. The method of claim 1 , further comprising:
actuating a first handle of the installation tool to advance a portion of the flexible implant member out of the installation tool.
16. The method of claim 15 , further comprising:
actuating a second handle of the installation tool to secure the first anchor into the vertebral body of the first vertebra.
17. The method of claim 16 , further comprising:
actuating the second handle of the installation tool to secure the second anchor into the vertebral body of the second vertebra.
18. The method of claim 1 , wherein the installation tool includes a ramp to redirect the flexible implant member from the installation tool.
19. A method of installing a vertebral stabilization system, the method comprising:
inserting an installation tool through an incision toward a vertebral body of a first vertebra such that a distal end of the installation tool is positioned proximate the vertebral body of the first vertebra;
using the installation tool, securing a first staple into the vertebral body of the first vertebra to secure a flexible implant member to the vertebral body of the first vertebra;
moving the distal end of the installation tool to a position proximate a vertebral body of a second vertebra without removing the installation tool from the incision;
manipulating the installation tool to apply a desired amount of tension on the flexible implant member, and
using the installation tool, securing a second staple into the vertebral body of the second vertebra to secure the flexible implant member to the vertebral body of the second vertebra.
20. The method of claim 19 , wherein manipulating the installation tool includes attaining a desired spacing between the first vertebra and the second vertebra.