Interspinous implant and instrument for implanting an interspinous implant
The present invention relates to an interspinous implant, intended to be implanted between two adjacent dorsal spines, each including an upper edge, a lower edge and two opposed lateral faces, wherein the implant includes at least one body with dimensions arranged so as to maintain or restore a distance between the adjacent edges of the two spinous processes and including at least two wings extending so that at least a part of each wing lies along at least a part of one lateral face of one of the two spinous processes and, additionally, at least one retainer for the implant, designed to retain the body of the implant between the two spinous processes and to be inserted from the same lateral face as the body.
1. An interspinous implant for implantation between a first dorsal spine and an adjacent second dorsal spine comprising:
a body elongated along a longitudinal axis and comprising a top and a bottom,
a right end,
an upper wing disposed proximal to the right end of the body and extending away from the top of the body in a direction generally transverse to the longitudinal axis,
a lower wing disposed proximal to the right end of the body and extending away from the bottom of the body in a direction generally transverse to the longitudinal axis, and
a passage having an opening on the right end of the body; a retainer comprising
an elongated upper arm having a free end and a pivot end articulated about an axis, and
an elongated lower arm having a free end and a pivot end articulated about an axis, with
the retainer having
an insertion position in which the upper arm and the lower arm are folded toward each other to form a profile that allows transit of the free ends of the upper and lower arms into the passage through the opening, and
an implant fixation position in which the upper arm and the lower arm are unfolded with the upper arm extending from the passage with the free end above the top of the body and the lower arm extending from the passage with the free end below the bottom of the body.
2. The interspinous implant if claim 1 further comprising a lock engagable to limit articulation of the upper arm and the lower arm with the retainer in the implant fixation position.
3. The interspinous implant if claim 2 in which the lock comprises a notch disposed on the upper arm and a mating notch disposed on the lower arm.
4. The interspinous implant if claim 1 further comprising a pin forming the axis articulating the upper arm and the axis articulating the lower arm.
5. The interspinous implant if claim 4 further comprising a nut fitted to the pin and disposed outside the passage, the tightening of which fixes the retainer within the passage.
6. The interspinous implant if claim 5 in which the opening comprises a chamfer.
7. The interspinous implant of claim 6 in which the upper arm has a first slot and a first leg and the lower arm has a second slot and a second leg, and assembly of the retainer places the first leg in the second slot and the second leg in the first slot.
8. The interspinous implant of claim 7 in which the upper arm and the lower arm each comprises laterally placed notches forming teeth.
9. An interspinous implant for implantation between a first dorsal spine and an adjacent second dorsal spine comprising:
a sigmoidal shaped retainer comprising a center section, a first end extending from the center section, and a second end extending from the center section,
a body comprising
a top, a bottom, a left side, a right side, a front, and back,
an upper wing disposed proximal to the left side of the body and extending away from the top of the body to an upper tip,
a lower wing disposed proximal to the right side of the body and extending away from the bottom of the body to a lower tip, and
an opening in the body configured to accept the retainer with the first end disposed proximally adjacent to the upper tip, the second end disposed proximally adjacent to the lower tip, and the center section disposed in the opening.
10. The interspinous implant of claim 9 further comprising a staple having a first pin projecting from an end of the staple and a second pin projecting from an opposite end of the staple, the staple having an installed configuration in which the first pin projects into an opening in the first end of the retainer and the second pin projects into an opening in the lower wing.
11. The interspinous implant of claim 9 in which the opening comprises a channel having a mouth open on the top proximal to the right side of the body and a mouth open on the bottom of the body proximal to the left side of the body.
12. The interspinous implant of claim 9 in which the first end of the retainer comprises an insertion stop.
13. The interspinous implant of claim 12 in which the second end of the retainer comprises a withdrawal stop.
14. The interspinous implant of claim 13 in which the withdrawal stop is disposed along an edge of the retainer.
15. The interspinous implant of claim 14 in which the center section has a plate-like shape having edges defining a width and edges defining a thickness that is less than the width, and the withdrawal stop projection from the center section between the edges defining the width.
16. The interspinous implant of claim 14 in which the center section has a plate-like shape having edges defining a width and edges defining a thickness that is less than the width, and the withdrawal stop projection from the center section between the edges defining the thickness.
17. The interspinous implant of claim 10 in which the opening in the first end of the retainer comprises a slot.
18. The interspinous implant of claim 9 in which the first end of the retainer comprises a hook.
19. The interspinous implant of claim 10 in which the second pin projects out of the opening in the lower wing and into an opening in the second end of the retainer with the staple in the installed configuration.