Minimally invasive interbody fusion
Methods and apparatus are disclosed for distracting tissue. The devices and methods may include insertion of first and second elongated members into the space between two tissue layers, with an augmenting elongated member at least partially inserted therebetween to form a distraction device between the tissues to be distracted. At least one of the first and second elongated members may be formed of a flexible core member with a plurality of rigid veneer members spaced along the length of the core member. At least one of the elongated members may include a shaping member that automatically moves from a generally linear configuration to a generally less linear configuration. A deployment catheter may include a deformable distal end to allow augmentation of the tissue distraction device during implantation. An injection aid may be provided for introducing a filler material into an interior defined by a deployed tissue distraction device.
1. A tissue distraction device comprising:
a first elongated member and a second elongated member,
an augmenting elongated member configured to cooperatively interact with the first elongated member and the second elongated member to increase a dimensional aspect of the tissue distraction device,
wherein each of the first elongated member and the second elongated member comprises a hybrid structure comprised of an elongated internal core member and a veneer at least partially surrounding the elongated internal core member and spaced along the length of the elongated internal core member, wherein the elongated internal core member and the veneer comprise different materials, wherein
the elongated internal core member is sufficiently flexible to change between a generally linear configuration and a generally less linear configuration, wherein the elongated internal core member comprises a polymer material, and
the veneer is substantially formed of a generally rigid material, wherein the veneer comprises a metallic material.
2. The tissue distraction device of claim 1 , wherein the elongated internal core member is substantially formed of polyetheretherketone.
3. The tissue distraction device of claim 1 , wherein said generally rigid material comprises a titanium material.
4. The tissue distraction device of claim 1 , wherein at least a portion of an outer surface of the veneer has a rough, porous surface.
5. The tissue distraction device of claim 1 , wherein the first elongated member and the second elongated member are configured to be in a generally annular configuration when the elongated internal core members are in said generally less linear configuration.
6. The tissue distraction device of claim 1 , further comprising a shaping member, wherein the shaping member is configured to automatically move the tissue distraction device from the generally linear configuration to the generally less linear configuration.
7. The tissue distraction device of claim 6 , wherein the shaping member is fully embedded within the augmenting elongated member.
8. The tissue distraction device of claim 1 , wherein the augmenting elongated member comprises a shape memory material and is configured to move the tissue distraction device from the generally linear configuration to the generally less linear configuration.
9. The tissue distraction device of claim 1 , wherein the second elongated member is a mirror image of the first elongated member.
10. The tissue distraction device of claim 1 , wherein the first elongated member comprises an inclined surface on an upper surface of a distal end to ease passage of the first elongated member through tissue.
11. The tissue distraction device of claim 10 , wherein the second elongated member comprises an inclined surface on a lower surface of a distal end to ease passage of the second elongated member through tissue.
12. The tissue distraction device of claim 1 , wherein the first elongated member and the second elongated member comprise a slot extending along a portion of their lengths to receive a raised rib of the augmenting elongated member.
13. The tissue distraction device of claim 1 , wherein the first elongated member and the second elongated member comprise a slot with a relatively narrow necked-down portion to receive a T-shaped raised rib of the augmenting elongated member.
14. The tissue distraction device of claim 1 , further comprising a shape memory rod configured to deflect the augmenting elongated member.
15. The tissue distraction device of claim 14 , wherein the shape memory rod remains in the augmenting elongated member following implantation of the tissue distraction device.
16. The tissue distraction device of claim 1 , wherein the veneer extends along at least a portion of an upper surface and lateral surfaces of the first elongated member.
17. The tissue distraction device of claim 16 , wherein the veneer extends along at least a portion of a lower surface and lateral surfaces of the second elongated member.
18. The tissue distraction device of claim 1 , wherein the augmenting elongated member is configured to be at least partially inserted between the first elongated member and the second elongated member.
19. The tissue distraction device of claim 6 , wherein the augmenting elongated member comprises the shaping member.
20. The tissue distraction device of claim 1 , wherein the augmenting elongated member is shorter or less elongated than the first elongated member.
21. The tissue distraction device of claim 20 , wherein the augmenting elongated member is shorter or less elongated than the second elongated member.