Granted Patent B1

US 11,311,289 · App. 17/353,165 · Granted Apr 26, 2022

Inventors: Joseph Paul Ritz (Castroville, TX); Eric Alberto Marcano (San Antonio, TX); Daniel Paul Leas (Huntersville, NC)

Assignee: Pressio Inc.

A61B17/0642A61B17/10A61B17/1671A61B17/56A61B2017/00867A61B2017/0641A61B2017/564

Abstract

Claims (61)

1. A method, comprising:

positioning a first side of a body of a boring apparatus against a first vertebra of a pair of vertebrae, the pair of vertebrae comprising the first vertebra and a second vertebra adjacent to the first vertebra;

aligning the first side of the body against the first vertebra and the second vertebra;

inserting, through an affixing aperture extending from a second side of the body of the boring apparatus to the first side, a targeting pin into the first vertebra;

driving, through a plurality of boring apertures extending from the second side to the first side, a plurality of drill pins into a respective one of the first vertebra and the second vertebra;

removing, the boring apparatus from the first vertebra and the second vertebra;

inserting, via a staple installation tool, a nitinol staple into the pair of vertebrae in a constrained state, wherein:

the staple installation tool attaches to the nitinol staple;

the nitinol staple comprises a first pair of legs and a second pair of legs; and

inserting the nitinol staple into the pair of vertebrae comprises:

inserting the first pair of legs into a first set of a plurality of apertures corresponding to the first vertebra; and

inserting the second pair of legs into a second set of the plurality of apertures corresponding to the second vertebra; and

engaging, via the staple installation tool, contraction of the nitinol staple with the first pair of legs and the second pair of legs positioned in the plurality of apertures in the pair of vertebrae, thereby transitioning the nitinol staple from the constrained state to an unconstrained state.

2. The method of claim 1 , wherein transitioning the nitinol staple from the constrained state to the unconstrained state comprises detaching the staple installation tool from the nitinol staple.

3. The method of claim 2 , further comprising expanding, via the staple installation tool, the nitinol staple to the constrained state prior to inserting the nitinol staple into the pair of vertebrae.

4. The method of claim 2 , further comprising removing anterior osteophytes from the vertebrae.

5. The method of claim 4 , further comprising inserting an implant into an intervertebral space between the first vertebra and the second vertebra, wherein the step of aligning the first side of the body against the first vertebra and the second vertebra further comprises aligning an aperture of the body with the implant.

6. The method of claim 5 , further comprising exposing and preparing a fusion site.

7. The method of claim 6 , further comprising verifying, via a fluoroscopy image, a trajectory of the targeting pin relative to the first vertebra and the second vertebra.

8. The method of claim 7 , further comprising:

determining that a tip of the targeting pin is directed towards the first vertebra; and

verifying that a cranial side of the first side is in contact with the second vertebra.

9. The method of claim 8 , wherein driving, through the plurality of boring apertures extending from the second side to the first side, the plurality of drill pins into the respective one of the first vertebra and the second vertebra comprises:

driving, through a first boring aperture extending from the second side to the first side, a first drill pin into the second vertebra;

driving, through a second boring aperture extending from the second side to the first side, a second drill pin into the first vertebra;

driving, through a third boring aperture extending from the second side to the first side, a third drill pin into the second vertebra; and

driving, through a fourth boring aperture extending from the second side to the first side, a fourth drill pin into the first vertebra.

10. The method of claim 9 , wherein:

the first drill pin and the third drill pin comprise a first length;

the second drill pin and the fourth drill pin comprise a second length; and

the first length is greater than the second length.

11. The method of claim 10 , wherein engaging, via the staple installation tool, contraction of the nitinol staple comprises:

removing a rod of the staple installation tool from an aperture in a first shaft of the staple installation tool, the rod being removed from a first end of the staple installation tool opposite a second end coupled to the nitinol staple;

sliding a sleeve portion over and off of the first shaft and a second shaft in a direction of the first end;

moving the first shaft and the second shaft at the first end in opposite directions; and

removing a first hooked portion of the first shaft and a second hooked portion of the second shaft from the nitinol staple.

12. The method of claim 11 , wherein removing the rod of the staple installation tool comprises rotating, in a first direction, a knob coupled to the rod.

13. A method, comprising:

positioning a first side of a body of a boring apparatus against a first vertebra of a pair of vertebrae, the pair of vertebrae comprising the first vertebra and a second vertebra adjacent to the first vertebra;

aligning the first side of the body against the first vertebra and the second vertebra;

inserting, through an affixing aperture extending from a second side of the body of the boring apparatus to the first side, a targeting pin into the first vertebra;

driving, through a plurality of boring apertures extending from the second side to the first side, a plurality of drill pins into a respective one of the first vertebra and the second vertebra;

removing, the boring apparatus from the first vertebra and the second vertebra;

inserting, via a staple installation tool, a staple into the pair of vertebrae, wherein:

the staple installation tool attaches to the staple;

the staple comprises a first pair of legs and a second pair of legs; and

inserting the staple into the pair of vertebrae comprises:

inserting the first pair of legs into a first set of a plurality of apertures corresponding to the first vertebra; and

inserting the second pair of legs into a second set of the plurality of apertures corresponding to the second vertebra; and

engaging, via the staple installation tool, contraction of the staple with the first pair of legs and the second pair of legs positioned in the plurality of apertures in the pair of vertebrae.

14. The method of claim 13 , wherein the step of inserting the staple into the pair of vertebrae is performed while the staple is in a constrained state.

15. The method of claim 14 , wherein engaging contraction of the staple comprises allowing the staple to transition from the constrained state to an unconstrained state.

16. The method of claim 15 , wherein allowing the staple to transition from the constrained state to the unconstrained state comprises detaching the staple installation tool from the staple.

17. The method of claim 16 , further comprising expanding, via the staple installation tool, the staple to the constrained state prior to inserting the staple into the pair of vertebrae.

18. The method of claim 16 , wherein the staple comprises a trapezoidal-shaped nitinol bridge.

19. The method of claim 18 , further comprising inserting an implant into an intervertebral space between the first vertebra and the second vertebra, wherein the step of aligning the first side of the body against the first vertebra and the second vertebra further comprises aligning an aperture of the body with the implant.

20. The method of claim 19 , wherein engaging, via the staple installation tool, contraction of the staple comprises:

removing a rod of the staple installation tool from an aperture in a first shaft of the staple installation tool by rotating, in a first direction, a knob coupled to the rod, the rod being removed from a first end of the staple installation tool opposite a second end coupled to the staple;

sliding a sleeve portion over and off of the first shaft and a second shaft in a direction of the first end;

moving the first shaft and the second shaft at the first end in opposite directions; and

removing a first hooked portion of the first shaft and a second hooked portion of the second shaft from the staple.

Assignments (1)

Cited By (9)

US 1,120,327 US 12,453,552 US 12,569,285 US 12,636,045 US 12,685,528 US 12,708,380 US 12,727,895 US 12,733,925 US 12,733,926