Abstract: The present invention involves a system and methods for assessing the state of the neuromuscular pathway to ensure further nerve tests aimed at detecting at least one of a breach in a pedicle wall, nerve proximity, nerve direction, and nerve pathology, are not conducted when neuromuscular blockade levels may decrease the reliability of the results.
Type:
Application
Filed:
September 17, 2013
Publication date:
May 29, 2014
Applicant:
NuVasive, Inc.
Inventors:
James Gharib, Allen Farquhar, Kelli Howell, Doug Layman, Albert Pothier
Abstract: A surgical access system including a tissue distraction assembly and a tissue refraction assembly, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.
Type:
Application
Filed:
January 13, 2014
Publication date:
May 29, 2014
Applicant:
NuVasive, Inc.
Inventors:
Patrick Miles, Scot Martinelli, Eric Finley
Abstract: A surgical access system including a tissue distraction assembly and a tissue refraction assembly, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.
Type:
Application
Filed:
February 3, 2014
Publication date:
May 29, 2014
Applicant:
NuVasive, Inc.
Inventors:
Patrick Miles, Scot Martinelli, Eric Finley, James E. Gharib, Allen Farquhar, Norbert F. Kaula, Jeffrey J. Blewett
Abstract: The present invention involves systems and related methods for performing surgical procedures and assessments, including the use of neurophysiology-based monitoring to: (a) determine nerve proximity and nerve direction to surgical instruments employed in accessing a surgical target site; (b) assess the pathology (health or status) of a nerve or nerve root before, during, or after a surgical procedure; and/or (c) assess pedicle integrity before, during or after pedicle screw placement, all in an automated, easy to use, and easy to interpret fashion so as to provide a surgeon-driven system.
Type:
Grant
Filed:
February 11, 2013
Date of Patent:
May 27, 2014
Assignee:
NuVasive, Inc.
Inventors:
James Gharib, Allen Farquhar, Norbert F. Kaula, Jeffrey J. Blewett, Eric Finley, Scot Martinelli
Abstract: A method is provided for determining the shape of a surgical linking device that is to be attached to a bony body structure such as the spinal column based on digitized locations of a plurality of attachment elements engaged to the bony structure. The method is implemented by a computer system through a GUI to generate an initial bend curve to mate with the plurality of attachment elements. The initial bend curve may be simplified based on user input to the GUI to reduce the number of bends necessary to produce a well-fitting linking device and may be altered to help obtain the goals of surgery.
Abstract: The present disclosure relates to an intervertebral fusion cage that is equipped with generally planar elements disposed on at least one of the top, bottom or lateral wall of a fusion cage, such planar elements reversibly covering at least one opening to prevent leakage of fusion promoting material.
Abstract: A system for accessing a surgical target site and related methods, involving an initial distraction system for creating an initial distraction corridor, and an assembly capable of distracting from the initial distraction corridor to a secondary distraction corridor and thereafter sequentially receiving a plurality of retractor blades for retracting from the secondary distraction corridor to thereby create an operative corridor to the surgical target site, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.
Type:
Grant
Filed:
February 1, 2013
Date of Patent:
April 29, 2014
Assignee:
NuVasive, Inc.
Inventors:
Patrick Miles, Scot Martinelli, Eric Finley, James Gharib, Allen Farquhar
Abstract: A surgical access system including a tissue distraction assembly and a tissue refraction assembly, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.
Type:
Grant
Filed:
February 1, 2013
Date of Patent:
April 15, 2014
Assignee:
NuVasive, Inc.
Inventors:
Patrick Miles, Scot Martinelli, Eric Finley, James Gharib, Allen Farquhar, Norbert F. Kaula, Jeffrey J. Blewett
Abstract: A system and method for spinal fusion comprising a spinal fusion implant of non-bone construction releasably coupled to an insertion instrument dimensioned to introduce the spinal fusion implant into any of a variety of spinal target sites.
Type:
Grant
Filed:
October 29, 2013
Date of Patent:
April 1, 2014
Assignee:
NuVasive, Inc.
Inventors:
Matthew Curran, Mark Peterson, Luiz Pimenta
Abstract: A system for accessing a surgical target site and related methods, involving an initial distraction system for creating an initial distraction corridor, and an assembly capable of distracting from the initial distraction corridor to a secondary distraction corridor and thereafter sequentially receiving a plurality of retractor blades for retracting from the secondary distraction corridor to thereby create an operative corridor to the surgical target site, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.
Type:
Grant
Filed:
February 1, 2013
Date of Patent:
March 25, 2014
Assignee:
NuVasive, Inc.
Inventors:
Patrick Miles, Scot Martinelli, Eric Finley, James Gharib, Allen Farquhar, Norbert F. Kaula, Jeffrey J. Blewett
Abstract: A system and method for spinal fusion comprising a spinal fusion implant of non-bone construction releasably coupled to an insertion instrument dimensioned to introduce the spinal fusion implant into any of a variety of spinal target sites, in particular into the thoracic region of the spine.
Type:
Grant
Filed:
March 7, 2008
Date of Patent:
March 18, 2014
Assignee:
NuVasive, Inc.
Inventors:
Luiz Pimenta, Jared Arambula, Benjamin VerHage, Troy Woolley, Patrick Miles
Abstract: A system for accessing a surgical target site and related methods, involving an initial distraction system for creating an initial distraction corridor, and an assembly capable of distracting from the initial distraction corridor to a secondary distraction corridor and thereafter sequentially receiving a plurality of retractor blades for retracting from the secondary distraction corridor to thereby create an operative corridor to the surgical target site, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.
Type:
Grant
Filed:
May 8, 2012
Date of Patent:
March 18, 2014
Assignee:
NuVasive, Inc.
Inventors:
Patrick Miles, Scot Martinelli, Eric Finley, James Gharib, Allen Farquhar, Norbert Kaula, Goretti Medeiros
Abstract: A system for accessing a surgical target site and related methods, involving an initial distraction system for creating an initial distraction corridor, and an assembly capable of distracting from the initial distraction corridor to a secondary distraction corridor and thereafter sequentially receiving a plurality of retractor blades for retracting from the secondary distraction corridor to thereby create an operative corridor to the surgical target site, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.
Type:
Grant
Filed:
September 4, 2013
Date of Patent:
March 4, 2014
Assignee:
NuVasive, Inc.
Inventors:
Patrick Miles, Scot Martinelli, Eric Finley, James E. Gharib, Allen Farquhar, Norbert F. Kaula, Jeffrey J. Blewett
Abstract: A surgical access system including a tissue distraction assembly and a tissue retraction assembly, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site. Some embodiments of the surgical access system may be particularly suited for establishing an operative corridor to a surgical target site in the spine. Such an operative corridor may be established through the retroperitoneal space and the psoas muscle during a direct lateral, retroperitoneal approach to the spine.
Type:
Application
Filed:
October 29, 2013
Publication date:
February 27, 2014
Applicant:
NuVasive, Inc.
Inventors:
Luiz Pimenta, Patrick Miles, Scot Martinelli, Eric Finley
Abstract: A system and method for spinal fusion comprising a spinal fusion implant of non-bone construction releasably coupled to an insertion instrument dimensioned to introduce the spinal fusion implant into any of a variety of spinal target sites.
Type:
Application
Filed:
October 29, 2013
Publication date:
February 20, 2014
Applicant:
NuVasive, Inc.
Inventors:
Matthew Curran, Mark Peterson, Luiz Pimenta
Abstract: Systems and methods of treating spinal deformity, including one or more intervertebral implants to be introduced laterally into respective intervertebral spaces, a plurality of bone screws introduced generally laterally into vertebral bodies adjacent to the intervertebral implants and/or the intervertebral implants themselves, and a cable dimensioned to be coupled to the bone screws and manipulated to adjust and/or correct the spinal deformity.
Abstract: A surgical access system including a tissue distraction assembly and a tissue refraction assembly, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.
Type:
Application
Filed:
October 11, 2013
Publication date:
February 6, 2014
Applicant:
NuVasive, Inc.
Inventors:
Patrick Miles, Scot Martinelli, Eric Finley
Abstract: Methods for determining structural integrity of a bone within the spine of a patient, the bone having a first aspect and a second aspect, wherein the second aspect separated from the first aspect by a width and located adjacent to a spinal nerve. The methods involve (a) applying an electrical stimulus to the first aspect of the bone; (b) electrically monitoring a muscle myotome associated with the spinal nerve to detect if an onset neuro-muscular response occurs in response to the application of the electrical stimulus to the first aspect of the bone; (c) automatically increasing the magnitude of the electrical stimulus to until the onset neuro-muscular response is detected; and (d) communicating to a user via at least one of visual and audible means information representing the magnitude of the electrical stimulus which caused the onset neuro-muscular response.
Type:
Grant
Filed:
October 31, 2007
Date of Patent:
February 4, 2014
Assignee:
NuVasive, Inc.
Inventors:
Brian S. Kelleher, James F. Marino, Corbett W. Stone, Robin H. Vaughn, Jeffrey H. Owens
Abstract: An expandable tip cannula system, comprising: a hollow cannula shaft having a proximal end and a distal end; and an expandable tip mounted at the distal end of the hollow cannula shaft, the expandable tip comprising a plurality of generally-triangular shaped petals held together in a radially-inwardly tapered arrangement between adjacent petals, each petal comprising a nerve sensing electrode disposed therein.
Type:
Application
Filed:
July 16, 2013
Publication date:
January 23, 2014
Applicant:
NuVasive, Inc.
Inventors:
James F. Marino, Corbett W. Stone, Troy K. Christopher, Jeffrey J. Blewett, Brian S. Kelleher
Abstract: The present invention involves systems and methods for determining nerve proximity, nerve direction, and pathology relative to a surgical instrument based on an identified relationship between neuromuscular responses and the stimulation signal that caused the neuromuscular responses.
Type:
Grant
Filed:
November 8, 2011
Date of Patent:
January 21, 2014
Assignee:
NuVasive, Inc.
Inventors:
Norbert F. Kaula, James Gharib, Allen Farquhar, Goretti Medeiros