US 11,883,064 B2
Multi-shield spinal access system
Daniel Thommen, Liestal (CH); Joern Richter, Kandern (DE); Michael Wang, North Miami, FL (US); Richard Assaker, Kain (BE); Richard Fessler, Winnetka, IL (US); Christoph Mehren, Munich (DE); Seang Beng Tan, Clementi (SG); William Taylor, Del Mar, CA (US); Eric Buehlmann, Duxbury, MA (US); and Michael White, Liestal (CH)
Assigned to Medos International Sarl, Le Locle (CH)
Filed by Medos International Sarl, Le Locle (CH)
Filed on Mar. 26, 2021, as Appl. No. 17/214,759.
Application 17/214,759 is a continuation of application No. 15/254,877, filed on Sep. 1, 2016, granted, now 10,987,129.
Claims priority of provisional application 62/214,297, filed on Sep. 4, 2015.
Prior Publication US 2021/0282806 A1, Sep. 16, 2021
Int. Cl. A61B 17/34 (2006.01); A61B 90/00 (2016.01); A61B 90/50 (2016.01); A61B 90/57 (2016.01); A61B 1/00 (2006.01); A61B 1/012 (2006.01); A61B 1/018 (2006.01); A61B 1/05 (2006.01); A61B 1/055 (2006.01); A61B 1/07 (2006.01); A61B 1/12 (2006.01); A61B 1/233 (2006.01); A61B 1/267 (2006.01); A61B 1/313 (2006.01); A61B 1/317 (2006.01); A61B 1/32 (2006.01); A61B 5/06 (2006.01); A61B 5/00 (2006.01); A61B 17/00 (2006.01); A61B 17/02 (2006.01); A61B 17/32 (2006.01); A61B 17/60 (2006.01); A61B 17/70 (2006.01); A61B 18/18 (2006.01); A61F 2/44 (2006.01); A61F 2/46 (2006.01); A61B 5/24 (2021.01); A61B 34/20 (2016.01); A61B 34/00 (2016.01); A61B 90/30 (2016.01); A61B 17/16 (2006.01); A61B 17/17 (2006.01); A61B 17/56 (2006.01); A61B 18/00 (2006.01); A61B 34/30 (2016.01)
CPC A61B 17/3421 (2013.01) [A61B 1/00045 (2013.01); A61B 1/00089 (2013.01); A61B 1/00091 (2013.01); A61B 1/00094 (2013.01); A61B 1/00096 (2013.01); A61B 1/00103 (2013.01); A61B 1/00128 (2013.01); A61B 1/00133 (2013.01); A61B 1/00135 (2013.01); A61B 1/00154 (2013.01); A61B 1/012 (2013.01); A61B 1/018 (2013.01); A61B 1/05 (2013.01); A61B 1/051 (2013.01); A61B 1/055 (2013.01); A61B 1/07 (2013.01); A61B 1/126 (2013.01); A61B 1/233 (2013.01); A61B 1/2676 (2013.01); A61B 1/317 (2013.01); A61B 1/3132 (2013.01); A61B 1/3135 (2013.01); A61B 1/32 (2013.01); A61B 5/068 (2013.01); A61B 5/24 (2021.01); A61B 5/407 (2013.01); A61B 5/4041 (2013.01); A61B 17/00234 (2013.01); A61B 17/025 (2013.01); A61B 17/0218 (2013.01); A61B 17/0293 (2013.01); A61B 17/320068 (2013.01); A61B 17/3423 (2013.01); A61B 17/3462 (2013.01); A61B 17/60 (2013.01); A61B 17/708 (2013.01); A61B 17/7032 (2013.01); A61B 17/7074 (2013.01); A61B 18/1815 (2013.01); A61B 90/03 (2016.02); A61B 90/361 (2016.02); A61B 90/50 (2016.02); A61B 90/57 (2016.02); A61F 2/4455 (2013.01); A61F 2/4611 (2013.01); A61B 1/00149 (2013.01); A61B 17/0206 (2013.01); A61B 17/1637 (2013.01); A61B 17/1671 (2013.01); A61B 17/1703 (2013.01); A61B 17/1757 (2013.01); A61B 17/3403 (2013.01); A61B 17/3439 (2013.01); A61B 17/70 (2013.01); A61B 17/7083 (2013.01); A61B 34/30 (2016.02); A61B 34/70 (2016.02); A61B 90/30 (2016.02); A61B 2017/0034 (2013.01); A61B 2017/00261 (2013.01); A61B 2017/00314 (2013.01); A61B 2017/00345 (2013.01); A61B 2017/00407 (2013.01); A61B 2017/00477 (2013.01); A61B 2017/00557 (2013.01); A61B 2017/00738 (2013.01); A61B 2017/00831 (2013.01); A61B 2017/00858 (2013.01); A61B 2017/00871 (2013.01); A61B 2017/00946 (2013.01); A61B 2017/00991 (2013.01); A61B 2017/0256 (2013.01); A61B 2017/0262 (2013.01); A61B 2017/320075 (2017.08); A61B 2017/345 (2013.01); A61B 2017/347 (2013.01); A61B 2017/3443 (2013.01); A61B 2017/3445 (2013.01); A61B 2017/3447 (2013.01); A61B 2017/3454 (2013.01); A61B 2017/3484 (2013.01); A61B 2017/564 (2013.01); A61B 2018/00339 (2013.01); A61B 2018/00565 (2013.01); A61B 2018/00577 (2013.01); A61B 2018/1861 (2013.01); A61B 2018/1869 (2013.01); A61B 2034/2055 (2016.02); A61B 2090/034 (2016.02); A61B 2090/036 (2016.02); A61B 2090/08021 (2016.02); A61B 2090/306 (2016.02); A61B 2090/371 (2016.02); A61B 2090/3983 (2016.02); A61B 2218/002 (2013.01); A61B 2218/007 (2013.01); A61F 2002/4635 (2013.01)] 22 Claims
OG exemplary drawing
 
1. A method of accessing an intervertebral disc in a patient, comprising:
a) making an incision in a skin of the patient,
b) percutaneously inserting through the incision an outer shield having a substantially tubular shape, the outer shield having a length adapted to extend from the incision to a superior articular process in the spine of the patient,
c) resecting at least a lateral portion of the superior articular process,
d) inserting an inner shield through the outer shield so that a distal end portion of the inner shield extends to the disc, the inner shield having an outer surface,
e) disposing a video chip in a distal end portion of a channel of the outer shield, wherein the channel opens into the inner surface of the outer shield at least at the distal end portion of the outer shield.