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US 12,569,262 B2Granted
Decortication instrumentation for posterior sacroiliac joint fusion
AssigneeJcbd, LLC
InventorsEdward Jeffrey Donner, Christopher Thomas Donner
Life of this patent
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Abstract
A drill-less method of stabilizing a sacroiliac joint using a multimodal abrading device to create a rich environment for bony fusion. The unique decortication instrument includes an integral slap hammer assembly joined with a rasp-box osteotome tooling head to simultaneously remove cartilage from the joint while preparing the sacrum and ilium down to bleeding bone. Subsequent to joint preparation, an implant with a large bone graft window may be implanted into the prepared SI joint through a specially designed access cannula.
Claims30
A method of surgically preparing a sacroiliac joint having a sacrum, an ilium, and a sacroiliac joint space defined therebetween for a surgical fusion procedure, the method comprising:
- a) approaching the sacroiliac joint space with a joint preparation tool comprising:
- i) a proximal end, a distal end, a cutting element supported at the distal end, a shaft extending proximally from the cutting element, and a slap hammer assembly supported at the proximal end;
- and
- ii) the cutting element comprising a length extending between a proximal cutting element end and a distal cutting element end, a cutting element exterior surface having an abrading texture configured to abrade the sacroiliac joint, and a distal opening leading to a cutting element interior cavity in which is bounded by four walls and configured to receive tissue therein;
- b) delivering a portion of the cutting element non-transversely into the sacroiliac joint space;
- c) removing the cutting element from the sacroiliac joint space by proximally sliding the slap hammer assembly thereby forcing the joint preparation tool proximally;
- and
- d) implanting an implant into the sacroiliac joint space.
5 more elements
A method of surgically preparing a sacroiliac joint having a sacrum, an ilium, and a sacroiliac joint space defined therebetween for a surgical fusion procedure, the method comprising:
- preparing the sacroiliac joint by delivering a portion of a cutting element non-transversely into the sacroiliac joint space, the cutting element being part of a joint preparation tool including a tool shaft extending proximally from the cutting element, a first handle portion operably coupled to the tool shaft, and a second handle portion operably engaged with the tool shaft and moveable relative to the first handle portion, the cutting element comprising an external surface having an abrading texture, and a distal opening leading to an interior cavity configured to receive tissue therein;
- removing the cutting element from the sacroiliac joint space by moving the second handle portion relative to the first handle portion;
- and
- implanting an implant into the sacroiliac joint space.
1 more element
A method of surgically preparing a sacroiliac joint having a sacrum, an ilium, and a sacroiliac joint space defined therebetween for a surgical fusion procedure, the method comprising:
- preparing the sacroiliac joint by delivering a portion of a cutting element non-transversely into the sacroiliac joint space, the cutting element being part of a joint preparation tool including a tool shaft extending proximally from the cutting element, a first handle portion operably coupled to the tool shaft, and a second handle portion operably engaged with the tool shaft and moveable relative to the first handle portion, the cutting element comprising an external surface having an abrading texture, and a distal opening leading to an interior cavity configured to receive tissue therein;
- removing the cutting element from the sacroiliac joint space by moving the second handle portion relative to the first handle portion;
- and
- implanting an implant into the sacroiliac joint space,
- wherein the interior cavity is bounded by four walls and at least one wall of the four walls comprises an opening into the interior cavity configured to facilitate removal of biologic material received within the interior cavity.
2 more elements
A method of surgically preparing a sacroiliac joint having a sacrum, an ilium, and a sacroiliac joint space defined therebetween for a surgical fusion procedure, the method comprising:
- preparing the sacroiliac joint by delivering a portion of a cutting element non-transversely into the sacroiliac joint space, the cutting element being part of a joint preparation tool including a tool shaft extending proximally from the cutting element, a first handle portion operably coupled to the tool shaft, and a second handle portion operably engaged with the tool shaft and moveable relative to the first handle portion, the cutting element comprising an external surface having an abrading texture, and a distal opening leading to an interior cavity configured to receive tissue therein;
- removing the cutting element from the sacroiliac joint space by moving the second handle portion relative to the first handle portion;
- and
- implanting an implant into the sacroiliac joint space,
- wherein the cutting element further comprises a side opening extending through the external surface into the interior cavity, the side opening oriented on the cutting element in a transverse orientation relative to the distal opening.
2 more elements
A method of surgically preparing a sacroiliac joint having a sacrum, an ilium, and a sacroiliac joint space defined therebetween for a surgical fusion procedure, the method comprising:
- preparing the sacroiliac joint by delivering a portion of a cutting element non-transversely into the sacroiliac joint space, the cutting element being part of a joint preparation tool including a tool shaft extending proximally from the cutting element, a first handle portion operably coupled to the tool shaft, and a second handle portion operably engaged with the tool shaft and moveable relative to the first handle portion, the cutting element comprising an external surface having an abrading texture, and a distal opening leading to an interior cavity configured to receive tissue therein;
- removing the cutting element from the sacroiliac joint space by moving the second handle portion relative to the first handle portion;
- delivering a pin into the sacroiliac joint space;
- advancing a cannulated probe and a working cannula over the pin and up to the sacroiliac joint, the cannulated probe including a length between distal and proximal ends, a shaft extending the length, a cannulation extending through the shaft, and a handle at the proximal end, the cannulation receiving the pin therein, the working cannula including a tubular body including an interior passageway, at least one of an iliac contour and a sacral contour, and a distal projection, the interior passageway receiving the cannulated probe therein;
- removing the cannulated probe from the interior passageway of the tubular body of the working cannula;
- passing the cutting element through the interior passageway of the tubular body of the working cannula;
- grasping an implant with an implant inserter including a handle at a proximal end and an implant engagement structure at a distal end, the implant comprising a pair of indentations, the implant engagement structure engaging the pair of indentations on the implant;
- and
- implanting the implant into the sacroiliac joint space.
6 more elements
A method of surgically preparing a sacroiliac joint having a sacrum, an ilium, and a sacroiliac joint space defined therebetween for a surgical fusion procedure, the method comprising:
- preparing the sacroiliac joint by delivering a portion of a cutting element non-transversely into the sacroiliac joint space, the cutting element being part of a joint preparation tool including a tool shaft extending proximally from the cutting element, a first handle portion operably coupled to the tool shaft, and a second handle portion operably engaged with the tool shaft and moveable relative to the first handle portion, the cutting element comprising an external surface having an abrading texture, and a distal opening leading to an interior cavity configured to receive tissue therein;
- removing the cutting element from the sacroiliac joint space by moving the second handle portion relative to the first handle portion;
- and
- implanting an implant into the sacroiliac joint space,
- wherein the implant comprises:
- a body comprising:
- a proximal end;
- a distal end;
- a length extending between the distal end and the proximal end;
- a height;
- a width;
- an external surface having at least one anti-migration feature;
- a window extending through the body transverse to the length;
- a rounded nose at the distal end;
- and a pair of indentations extending distally from the proximal end configured to be engaged by an implant engagement structure of an implant inserter;
- the length being within a range of about 20 mm to about 30 mm;
- the height being within a range of about 10 mm to about 12 mm;
- the width being within a range of about 7 mm to about 9 mm;
- and
- the window including a window length within a range of about 10 mm to about 20 mm.
17 more elements
Dependencies are inferred from the claim text.