Instrument system for use with an interspinous implant
View Patent ↗A surgical instrument system comprises surgical instruments for use with an implantable interspinous device having at least one pair of wings for securing the implantable device to a spinous process. The instrument system may include a surgical instrument for expanding or spreading the pair of wings to accommodate the spinous process. Further, a surgical instrument may be provided for crimping or compressing the pair of wings against the spinous process for secure attachment of the device to a vertebra. The surgical instruments may be configured similar to pliers and apply force to the pair of wings within a predetermined range so as to avoid damage, weakening or breakage of the pair of wings. The surgical instrument system may also include interspinous devices of differing sizes.
1. A method of securing an implant adjacent a spinous process, comprising:
selecting an implant having a body portion and at least two elongated wing members configured to engage opposite sides of a vertebral spinous process;
positioning the body portion adjacent a first spinous process; and
substantially evenly displacing each wing member in a first direction relative to a center point between the two elongated wing members to move the two elongated wing members toward one another to secure the elongated wing members on opposite sides of a spinous process;
wherein the step of substantially evenly displacing includes using a surgical instrument having a guide member configured to center and hold the implant relative to the surgical instrument as the wing members are evenly displaced.
2. The method of claim 1 , wherein the step of substantially evenly displacing further includes engaging a first wing of the two wing members with a surface of a first elongated section of the surgical instrument and engaging a second wing of the two wing members with a surface of a second elongated section of the surgical instrument.
3. The method of claim 2 , wherein the elongated wing members are permanently attached to the implant body.
4. The method of claim 2 , wherein positioning the implant body includes positioning the implant body beneath the first spinous process such that the wing members attached to the implant body are positioned on opposite sides of the first spinous process.
5. The method of claim 2 , further including substantially evenly displacing the two elongated wing members in a second direction relative to the center point between the two elongated wing members, the second direction being opposite to the first direction, to spread apart the two elongated wing members before positioning the implant body portion adjacent the first spinous process.
6. The method of claim 5 , wherein the step of substantially evenly displacing the two elongated wing members in a second direction includes using the surgical instrument to substantially simultaneously engage the two wing members and move the two wing members away from one another.
7. The method of claim 6 , wherein the step of substantially evenly displacing the two elongated wing members in the second direction further includes engaging a first wing of the two wing members with a surface of a first elongated section of the surgical instrument and engaging a second wing of the two wing members with a surface of a second elongated section of the surgical instrument.
8. The method of claim 7 , wherein the step of substantially evenly displacing the two elongated wing members in the second direction further includes applying a first force to the first wing via the first elongated section and applying a second force to the second wing via the second elongated section, wherein the first and second forces are not equal.
9. The method of claim 8 , wherein the surgical instrument comprises spreading pliers.
10. The method of claim 2 , wherein the implant includes two elongated wing members extending in a superior direction with respect to the implant body and two elongated wing members extending in an inferior direction with respect to the implant body.
11. The method of claim 2 , wherein at least one of the at least two elongated wing members includes surface projections on at least one inner surface of a wing member to secure the implant to the bone of a spinous process.
12. The method of claim 11 , further including securing the two elongated wing members to the transversely-oriented opening in the first spinous process.
13. The method of claim 2 , wherein the implant body includes surface projections to secure the implant to the bone of a spinous process.
14. The method of claim 2 , further including creating a transversely-oriented opening through the first spinous process.
15. The method of claim 2 , wherein the step of substantially evenly displacing further includes applying a first force to the first wing via the first elongated section and applying a second force to the second wing via the second elongated section, wherein the first and second forces are not equal.
16. The method of claim 1 , wherein the surgical instrument comprises a crimping plier.