US Patent No: 6,162,170

Number of patents in Portfolio can not be more than 2000

Devices and methods for percutaneous surgery

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Abstract

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A method for percutaneous surgery on the spine of a patient under direct visualization is performed through a single cannula having a predetermined length. The length is determined by measuring a distance from the lamina of a spinal vertebra to the skin of the patient, determining a first portion of the length to be less than the measured distance, and determining a second portion of the length to be about one fourth (1/4) the length of the first portion. The first portion is the length of the cannula to be introduced into the patient and the second portion extends external to the patient. This length is preferably 5.5 to 7.0 times greater than the transverse dimension of the cannula. Such dimensions for the cannula permits the longitudinal axis of a tool to be angled between 5 degrees and 8 degrees with respect to the longitudinal axis of the cannula.

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First Claim

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Patent Owner(s)

Patent OwnerAddressTotal Patents
SDGI HOLDINGS, INC.WILMINGTON, DE224

International Classification(s)

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Inventor(s)

Inventor Name Address # of filed Patents Total Citations
Clayton, John B Superior, CO 58 3722
Foley, Kevin Thomas Germantown, TN 15 2265
Moctezuma, Joseph Memphis, TN 22 3107
Smith, Maurice Mell Cordova, TN 13 2265

Cited Art Landscape

Patent Info (Count) # Cites Year
 
CLARUS MEDICAL, LLC (5)
5,667,472 Surgical instrument and method for use with a viewing system 56 1994
5,512,034 Surgical instrument including viewing optics and a ball probe 43 1994
5,667,478 Surgical instrument with stick-on fiber-optic viewing system and method of using 62 1995
5,667,473 Surgical instrument and method for use with a viewing system 87 1995
5,735,792 Surgical instrument including viewing optics and an atraumatic probe 108 1996
 
ETHICON ENDO-SURGERY, INC. (5)
5,334,150 Visually directed trocar for laparoscopic surgical procedures and method of using same 125 1992
5,376,076 Visually directed trocar for laparoscopic surgical procedures and method of using same 66 1993
5,380,291 Visually directed trocar for laparoscopic surgical procedures and method of using same 82 1993
5,551,947 Visually directed trocar for laparoscopic surgical procedures and method of using same 84 1993
5,445,142 Surgical trocars having optical tips defining one or more viewing ports 80 1994
 
OLYMPUS OPTICAL CO., LTD. (3)
4,700,694 Endoscope means and ovum picker employed by inserting through endoscope means 94 1985
4,807,593 Endoscope guide tube 58 1987
4,905,082 Rigid video endoscope having a detachable imaging unit 79 1988
 
SDGI HOLDINGS, INC. (3)
5,171,279 Method for subcutaneous suprafascial pedicular internal fixation 360 1992
5,357,983 Method for subcutaneous suprafascial pedicular internal fixation 161 1993
5,954,635 Devices and methods for percutaneous surgery 252 1997
 
LASERSCOPE (2)
4,762,120 Endoscopic device having handle assembly and catheter assembly 84 1987
5,201,729 Method for performing percutaneous diskectomy using a laser 187 1990
 
TYCO HEALTHCARE GROUP LP (2)
5,441,041 Optical trocar 106 1993
5,392,766 System and method for cleaning viewing scope lenses 87 1993
 
ANGIODYNAMICS, INC. (1)
5,439,449 Flow visualization needle system 35 1994
 
APPLIED MEDICAL RESOURCES CORPORATION (1)
5,569,205 Multiport trocar 142 1994
 
B. Braun Melsungen AG (1)
5,135,525 Catheter set for continuous spinal anaesthesia 116 1990
 
B.E.I. Medical (1)
5,472,426 Cervical discectomy instruments 151 1993
 
BIONIC GESELLSCHAFT FUR ANGEWANDET, MEDIZINTECHINK MBH + CO. KG (1)
4,368,738 Cannula 38 1981
 
BOARD OF REGENTS, THE UNIVERSITY OF TEXAS SYSTEM (1)
5,830,188 Curved cannula for continuous spinal anesthesia 88 1996
 
DANEK MEDICL, INC. (1)
5,396,880 Endoscope for direct visualization of the spine and epidural space 197 1992
 
EDWARDS LIFESCIENCES CORPORATION (1)
5,437,637 Transport catheter 54 1993
 
FUJI PHOTO OPTICAL CO., LTD. (1)
4,972,827 Guide device for percutaneous insertion of endoscope 88 1990
 
HEARTPORT, INC. (1)
5,957,832 Stereoscopic percutaneous visualization system 22 1996
 
HOL-MED CORPORATION (1)
5,125,396 Surgical retractor 106 1990
 
HOWMEDICA OSTEONICS CORP. (1)
5,395,317 Unilateral biportal percutaneous surgical procedure 283 1991
 
JOHNSON & JOHNSON PROFESSIONAL, INC. (1)
4,610,242 Endoscope insertion cannula assembly 32 1984
 
Kabushiki Kaisha Machida Seisakusho (1)
4,750,475 Operating instrument guide mechanism for endoscope apparatus 111 1986
 
LAI, NOBLES (1)
5,562,696 Visualization trocar 133 1995
 
MELBOURNE GREENBERG FAMILY LIMITED PARTNERSHIP (1)
4,674,501 Surgical instrument 120 1986
 
NATIONAL INSTITUTES OF HEALTH (NIH), U.S. DEPT. OF HEALTH AND HUMAN SERVICES (DHHS), U.S. GOVERNMENT (1)
5,004,457 Tissue transplantation system 41 1988
 
OLYMPUS AMERICA INC. (1)
5,846,182 Esophageal overtube for smoke evacuation 12 1997
 
OLYMPUS WINTER & IBE GMBH (1)
4,655,216 Combination instrument for laparoscopical tube sterilization 321 1985
 
PURDUE RESEARCH FOUNDATION (1)
4,498,902 Catheter guide 86 1983
 
Shapiro Partners Limited (1)
5,439,464 Method and instruments for performing arthroscopic spinal surgery 347 1993
 
SMITH & NEPHEW RICHARDS INC. (1)
4,573,448 Method for decompressing herniated intervertebral discs 487 1983
 
SUMITOMO BAKELITE CO., LTD. (1)
5,643,174 Endoscopic guide tube with embedded coil spring 22 1994
 
SURGICAL DYNAMICS INC. (1)
4,678,459 Irrigating, cutting and aspirating system for percutaneous surgery 202 1984
 
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (1)
4,875,897 Catheter assembly 57 1988
 
United States Surgical Corporation (1)
5,534,009 Trocar assembly with rotatable tip 78 1993
 
UNIVERSITY OF FLORIDA RESEARCH FOUNDATION, INC. (1)
5,242,444 Lumbosacral fixation and fusion method and device 145 1991
 
WARNER-LAMBERT TECHNOLOGIES, INC., A TX CORP. (1)
4,586,491 Bronchoscope with small gauge viewing attachment 68 1984
 
WARSAW ORTHOPEDIC, INC. (1)
5,772,661 Methods and instrumentation for the surgical correction of human thoracic and lumbar spinal disease from the antero-lateral aspect of the spine 513 1995
 
Other [Check patent profile for assignment information] (12)
4,461,281 Arthroscopic surgical apparatus and method 121 1977
4,545,374 Method and instruments for performing a percutaneous lumbar diskectomy 730 1982
4,736,738 Instrument kit and procedure for performing posterior lumbar interbody fusion 220 1985
4,638,799 Needle guide apparatus for discolysis procedures 68 1985
4,750,487 Stereotactic frame 316 1986
4,899,729 Expansible cannula 201 1988
5,158,543 Laparoscopic surgical system and method 143 1990
5,071,410 Arthroscopic surgery system 37 1991
5,195,541 Method of performing laparoscopic lumbar discectomy 254 1991
5,354,302 Medical device and method for facilitating intra-tissue visual observation and manipulation of distensible tissues 239 1992
5,746,720 Method and apparatus for insertion of a cannula and trocar 108 1995
5,807,237 Endoscopic device 16 1997

Patent Citation Ranking

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Patent Info (Count) # Cites Year
 
BAXANO SURGICAL, INC. (31)
6,575,979 Method and apparatus for providing posterior or anterior trans-sacral access to spinal vertebrae 150 2000
6,558,386 Axial spinal implant and method and apparatus for implanting an axial spinal implant within the vertebrae of the spine 135 2000
6,790,210 Methods and apparatus for forming curved axial bores through spinal vertebrae 113 2000
6,740,090 Methods and apparatus for forming shaped axial bores through spinal vertebrae 105 2000
6,558,390 Methods and apparatus for performing therapeutic procedures in the spine 263 2001
6,899,716 Method and apparatus for spinal augmentation 157 2002
6,921,403 Method and apparatus for spinal distraction and fusion 138 2002
7,309,338 Methods and apparatus for performing therapeutic procedures in the spine 63 2003
7,087,058 Method and apparatus for providing posterior or anterior trans-sacral access to spinal vertebrae 92 2003
7,569,056 Methods and apparatus for forming shaped axial bores through spinal vertebrae 29 2004
8,052,613 Spinal nucleus extraction tool 6 2004
7,740,633 Guide pin for guiding instrumentation along a soft tissue tract to a point on the spine 13 2004
7,588,574 Kits for enabling axial access and procedures in the spine 31 2004
7,530,993 Method of spinal fixation 24 2004
7,500,977 Method and apparatus for manipulating material in the spine 42 2004
7,608,077 Method and apparatus for spinal distraction and fusion 27 2005
7,547,317 Methods of performing procedures in the spine 21 2006
7,641,657 Method and apparatus for providing posterior or anterior trans-sacral access to spinal vertebrae 8 2006
7,744,599 Articulating spinal implant 10 2007
7,727,263 Articulating spinal implant 10 2007
7,799,032 Guide pin introducer for guiding instrumentation through soft tissue to a point on the spine 9 2007
7,763,025 Spinal fusion kit for guiding instrumentation through soft tissue to a point on the spine 20 2007
7,799,033 Access kits for enabling axial access and procedures in the spine 9 2007
7,794,463 Methods and apparatus for performing therapeutic procedures in the spine 10 2007
7,914,535 Method and apparatus for manipulating material in the spine 6 2009
8,034,055 Method and apparatus for providing access to a presacral space 6 2009
8,292,928 Method and apparatus for spinal distraction and fusion 0 2009
8,105,365 Methods and apparatus for performing therapeutic procedures in the spine 4 2010
8,308,777 Method and apparatus for removable spinal implant extending between at least two adjacent vertebral bodies 0 2010
8,317,867 Methods and apparatus for performing therapeutic procedures in the spine 1 2012
8,709,087 Methods and apparatus for performing therapeutic procedures in the spine 0 2012
 
DEPUY SYNTHES PRODUCTS, LLC (11)
7,008,431 Configured and sized cannula 93 2001
7,824,410 Instruments and methods for minimally invasive spine surgery 30 2004
8,192,437 Configured and sized cannula 2 2005
8,602,984 Surgical retractor systems and illuminated cannulae 0 2008
8,235,999 Configured and sized cannula 1 2010
8,517,935 Surgical retractors and methods of minimally invasive surgery 0 2010
8,444,678 Instruments and methods for minimally invasive spine surgery 0 2010
8,550,995 Surgical access devices and methods of minimally invasive surgery 0 2011
8,622,897 Surgical methods and surgical kits 0 2011
8,361,151 Configured and sized cannula 1 2012
8,556,905 Configured and sized cannula 1 2012
 
ETHICON ENDO-SURGERY, INC. (11)
8,100,929 Duckbill seal with fluid drainage feature 3 2007
7,976,501 Trocar seal with reduced contact area 2 2007
8,690,831 Gas jet fluid removal in a trocar 0 2008
8,579,807 Absorbing fluids in a surgical access device 0 2008
8,273,060 Fluid removal in a surgical access device 4 2008
7,981,092 Vibratory trocar 4 2008
8,568,362 Surgical access device with sorbents 1 2009
8,636,686 Surgical access device 0 2010
8,672,890 Trocar seal with reduced contact area 0 2011
D700326 Trocar housing 0 2011
8,771,307 Duckbill seal with fluid drainage feature 0 2012
 
DEPUY SPINE, INC. (10)
6,916,330 Non cannulated dilators 64 2001
RE42525 Cannula and sizing insertion method 5 2002
6,929,606 Retractor and method for spinal pedicle screw placement 166 2003
8,038,611 Surgical methods and surgical kits 6 2004
7,491,168 Surgical retractor systems and illuminated cannulae 15 2004
7,981,031 Surgical access devices and methods of minimally invasive surgery 12 2006
7,918,792 Surgical retractor for use with minimally invasive spinal stabilization systems and methods of minimally invasive surgery 34 2006
7,758,501 Surgical reactors and methods of minimally invasive surgery 18 2006
7,955,257 Non-rigid surgical retractor 15 2006
7,981,117 Screw placement guide 1 2007
 
ZIMMER SPINE, INC. (7)
6,361,488 Support apparatus for endoscopic surgery 59 2000
7,056,321 Method of securing vertebrae 143 2002
7,985,247 Methods and apparatuses for treating the spine through an access device 1 2003
7,722,530 Method of securing vertebrae 15 2003
8,277,486 System for performing a procedure at a spinal location 1 2003
7,699,877 Method of securing vertebrae 4 2004
7,850,695 Method of securing vertebrae 5 2004
 
AESCULAP (5)
6,945,974 Spinal stabilization implant and method of application 79 2003
6,945,975 Bone fixation assembly and method of securement 38 2003
7,311,712 Polyaxial locking screw plate assembly 13 2004
7,419,499 Spinal stabilization implant and method of application 5 2005
8,211,145 Spinal stabilization implant and method of application 1 2008
 
BOARD OF REGENTS, THE UNIVERSITY OF TEXAS SYSTEM (5)
7,455,666 Methods and apparatuses for navigating the subarachnoid space 3 2001
7,150,737 Methods and apparatuses for navigating the subarachnoid space 22 2002
7,011,647 Introducer sheath 30 2002
7,787,954 Methods and apparatuses for navigating the subaracnhnoid space 0 2008
8,131,353 Methods and apparatuses for navigating the subarachnoid space 0 2010
 
WARSAW ORTHOPEDIC, INC. (5)
8,163,018 Treatment of the vertebral column 0 2006
7,520,888 Treatment of the vertebral column 4 2006
8,021,399 Rod extension for extending fusion construct 9 2006
7,993,378 Methods for percutaneous spinal surgery 2 2007
8,080,041 Device and method for lumbar interbody fusion 0 2008
 
AESCULAP IMPLANT SYSTEMS, LLC (3)
8,048,131 Polyaxial locking screw plate assembly 0 2007
8,636,740 Minimally invasive spinal stabilization system 0 2008
8,123,785 Minimally invasive spinal stabilization system 0 2008
 
DISC DYNAMICS, INC. (3)
7,713,301 Intervertebral disc prosthesis 22 2006
7,766,965 Method of making an intervertebral disc prosthesis 32 2006
8,092,536 Retention structure for in situ formation of an intervertebral prosthesis 0 2008
 
THEKEN SPINE, LLC (3)
7,905,907 Internal structure stabilization system for spanning three or more structures 15 2004
7,569,061 Off-axis anchor guidance system 14 2004
8,506,636 Offset radius lordosis 1 2007
 
INNOVATIVE SPINE, INC. (2)
8,057,481 System and method for providing surgical access to a spine 0 2007
8,025,664 System and method for providing surgical access to a spine 0 2007
 
RITLAND, STEPHEN (2)
7,207,992 Connection rod for screw or hook polyaxial system and method of use 88 2002
7,166,073 Method and device for microsurgical intermuscular spinal surgery 55 2005
 
STRYKER SPINE (2)
7,955,355 Methods and devices for improving percutaneous access in minimally invasive surgeries 8 2004
8,685,063 Methods and devices for improving percutaneous access in minimally invasive surgeries 0 2011
 
TRANS1 INC. (2)
7,905,905 Spinal mobility preservation apparatus 1 2007
7,905,908 Spinal mobility preservation method 3 2007
 
ALPHATEC SPINE, INC. (1)
8,152,714 Curviliner spinal access method and device 1 2008
 
DEPUY ACROMED, INC. (1)
6,682,534 Endplate preparation instrument and associated method 19 2001
 
GLOBUS MEDICAL, INC. (1)
7,758,617 Percutaneous vertebral stabilization system 38 2005
 
INNOVATIVE SPINE, LLC (1)
8,632,550 System and method for providing surgical access to a spine 0 2011
 
KINGSLEY R. CHIN (1)
8,002,798 System and method for spinal implant placement 3 2005
 
LANX, LLC (1)
7,615,053 Surgical rongeur 0 2004
 
NJR MEDICAL, INC. (1)
8,715,171 Insertion aid device 0 2011
 
RHAUSLER, INC. (1)
7,736,380 Cervical plate system 8 2005
 
SDGI HOLDINGS, INC. (1)
6,520,907 Methods for accessing the spinal column 276 1999
 
SILVERBROOK RESEARCH PTY LTD (1)
6,979,334 Bone fixation assembly and method of securement 84 2004
 
THOMPSON SURGICAL INSTRUMENTS, INC. (1)
7,909,843 Elongateable surgical port and dilator 0 2004
 
Other [Check patent profile for assignment information] (17)
7,763,047 Pedicle screw connector apparatus and method 1 2003
6,966,910 Dynamic fixation device and method of use 234 2003
7,682,375 Dynamic fixation device and method of use 23 2003
7,214,186 Method and device for retractor for microsurgical intermuscular lumbar arthrodesis 58 2003
7,753,939 Polyaxial connection device and method 0 2004
8,262,571 Intermuscular guide for retractor insertion and method of use 0 2004
7,655,025 Adjustable rod and connector device and method of use 2 2005
7,455,639 Opposing parallel bladed retractor and method of use 5 2005
7,985,245 Connection rod for screw or hook polyaxial system and method of use 0 2005
8,486,111 Dynamic fixation device and method of use 0 2006
7,695,498 Connection rod for screw or hook polyaxial system and method of use 22 2007
7,959,564 Pedicle seeker and retractor, and methods of use 5 2007
8,048,109 Surgical retractor extensions 0 2009
8,690,922 Dynamic fixation device and method of use 0 2010
8,685,062 Dynamic fixation device and method of use 0 2010
8,585,739 Dynamic fixation device and method of use 0 2010
8,221,459 Pedicle screw connector apparatus and method 0 2010

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