# US 10,117,751 B2 · Arthoplasty revision system and method

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- Number: US 10,117,751 B2
- Document ID: US10117751B2
- Status: Granted
- Kind: B2
- Application number: 15/352,628
- Filed: 2016-11-16
- Published: 2017-05-04
- Granted: 2018-11-06
- Earliest claimed: 2005-03-02
- Assignees: Globus Medical, Inc.
- Applicants: Globus Medical, Inc.
- Inventors: Richard J. Broman; Thomas McCleer; Leonard Tokish, Jr.; Mark A. Reiley; Sean S. Suh
- Web page: https://patentgrep.com/patent/US10117751B2

## CPC

- A61F 2/4405: {for apophyseal or facet joints, i.e. between adjacent spinous or transverse processes (devices implanted between spinous or transverse processes A61B17/7062)}
- A61B 17/7011: {Longitudinal element being non-straight, e.g. curved, angled or branched (adjustable length longitudinal elements A61B17/7014; A61B17/7019 takes precedence, e.g. coil springs)}
- A61B 17/7041: {with single longitudinal rod offset laterally from single row of screws or hooks (A61B17/7044 takes precedence)}
- A61B 17/7049: {Connectors, not bearing on the vertebrae, for linking longitudinal elements together (A61B17/7055, A61B17/7053, A61B17/7019 take precedence)}
- A61F 2/4455: {for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages (intervertebral discs A61F2/442)}
- A61F 2002/30367: {with additional means for preventing said rotation}
- A61F 2002/30507: {using a threaded locking member, e.g. a locking screw or a set screw}
- A61F 2002/3069: {Revision endoprostheses}
- A61F 2220/0025: Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F 2220/0033: made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

The present method includes the following steps: removing a portion of a previously implanted spinal arthroplasty device; and attaching a revision component to a remaining portion of the previously implanted spinal arthroplasty device to alter a biomechanical characteristic of the implanted arthroplasty device. Another aspect of the invention provides a method of limiting motion between adjacent vertebrae including the steps of accessing an implanted spinal arthroplasty device comprising a cephalad component fixed to a first vertebra and a caudal component fixed to a second vertebra inferior to the first vertebra, the cephalad and caudal components having a range of motion between them, and attaching a revision component to the cephalad and caudal components to reduce the range of motion. The invention also includes revision devices for revising the biomechanics of implanted spinal arthroplasty devices.

## Claims

### Claim 1

A surgical method comprising:
removing a portion of an implanted arthroplasty device, wherein the implanted arthroplasty device is configured to articulate; and
revising the implanted arthroplasty device by eliminating movement of the arthroplasty device.

### Claim 2 (depends on 1)

The surgical method of claim 1, wherein the implanted arthroplasty device comprises a pair of cephalad arms and a pair of caudal cups.

### Claim 3 (depends on 2)

The surgical method of claim 2, wherein the implanted arthroplasty device further comprises a crossbar.

### Claim 4 (depends on 3)

The surgical method of claim 3, wherein the pair of cephalad arms are attachable to the crossbar.

### Claim 5 (depends on 3)

The surgical method of claim 3, wherein revising the implanted arthroplasty device comprises removing the pair of caudal cups.

### Claim 6 (depends on 5)

The surgical method of claim 5, wherein revising the implanted arthroplasty device comprises replacing the pair of caudal cups with a pair of attachment devices.

### Claim 7 (depends on 3)

The surgical method of claim 3, wherein revising the implanted arthroplasty device comprises removing the crossbar and replacing it with a pair rods.

### Claim 8 (depends on 7)

The surgical method of claim 7, wherein the pair of rods are fixed to a pair of mounts.

### Claim 9 (depends on 8)

The surgical method of claim 8, wherein revising the implanted arthroplasty device comprises attaching the pair of cephalad arms to the pair of mounts to reduce motion of the implanted arthroplasty device.

### Claim 10 (depends on 9)

The surgical method of claim 9, wherein revising the implanted arthroplasty device further comprises attaching a pair of cephalad attachment devices to the pair of cephalad arms.

### Claim 11

A surgical method comprising:
removing a portion of an implanted arthroplasty device, wherein the implanted arthroplasty device is configured to articulate, wherein the implanted arthroplasty device is configured to replace a portion of a facet joint of a patient; and
revising the implanted arthroplasty device by eliminating movement of the arthroplasty device.

### Claim 12 (depends on 11)

The surgical method of claim 11, wherein the implanted arthroplasty device comprises a pair of cephalad arms and a pair of caudal cups.

### Claim 13 (depends on 12)

The surgical method of claim 12, wherein the implanted arthroplasty device further comprises a crossbar.

### Claim 14 (depends on 13)

The surgical method of claim 13, wherein the pair of cephalad arms are attachable to the crossbar.

### Claim 15 (depends on 13)

The surgical method of claim 13, wherein revising the implanted arthroplasty device comprises removing the pair of caudal cups.

### Claim 16 (depends on 15)

The surgical method of claim 15, wherein revising the implanted arthroplasty device comprises replacing the pair of caudal cups with a pair of attachment devices.

### Claim 17 (depends on 13)

The surgical method of claim 13, wherein revising the implanted arthroplasty device comprises removing the crossbar and replacing it with a pair rods.

### Claim 18 (depends on 17)

The surgical method of claim 17, wherein the pair of rods are fixed to a pair of mounts.

### Claim 19 (depends on 18)

The surgical method of claim 18, wherein revising the implanted arthroplasty device comprises attaching the pair of cephalad arms to the pair of mounts to reduce motion of the implanted arthroplasty device.

### Claim 20 (depends on 19)

The surgical method of claim 19, wherein revising the implanted arthroplasty device further comprises attaching a pair of cephalad attachment devices to the pair of cephalad arms.
