THETWO TONDITIONUS 20170266382A1 MULTITUDUHAN (19 ) United States (12 ) Patent Application Publication ( 10) Pub . No. : US 2017/ 0266382 A1 Dewey et al. (43 ) Pub . Date : Sep . 21, 2017 ( 54 ) SURGICAL INJECTION SYSTEM AND A61F 2 /46 ( 2006 .01 ) METHOD A61B 17 /88 ( 2006 .01 ) (52 ) U . S . CI. (71 ) Applicant : Warsaw Orthopedic , Inc ., Warsaw , IN CPC .. A61M 5 / 19 (2013 .01 ) ; A61B 17 /8825 (US ) ( 2013 . 01 ) ; A61M 5 / 3129 (2013 .01 ) ; A61F (72 ) Inventors : Jonathan M . Dewey , Memphis , TN 2 /4601 ( 2013 . 01 ) ; A61M 2005/ 3128 ( 2013 .01 ) (US ) ; Anthony J . Melkent, Germantown , TN (US ) ; William D . Armstrong, Memphis , TN (US ) ; Daniel (37 ) ABSTRACT A . Shimko , Germantown, TN (US ) ( 21) Appl. No. : 15 /076 ,096 A surgical injection device includes at least one tubular element defining a passageway . The passageway is config ( 22 ) Filed : Mar . 21 , 2016 ured for disposal of a selected volume of an agent and an evacuator disposed within the passageway . An actuator is Publication Classification engageable with the evacuator to entirely expel the selected (51 ) Int. Ci. volume of the agent from the passageway to a selected site . A61M 5 / 19 ( 2006 .01 ) Spinal constructs , implants , systems and methods are dis A61M 5 /31 ( 2006 .01 ) closed . 41N borcunse 122 118 142 suren 120 144 - 166 160 uon voda an vom 116 162 X2 - Guuuuuuuuuuuuuuuuuuuu tour wa More neo min B Noitet oro 148. vomi wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww 244 - wwwwwwwwww www one Von X3 www ng withour wy Woo Ons Trum hvor RUANO WONE umetno am asen 164 249 242 272 1 22768 218 Patent Application Publication Sep . 21 , 2017 Sheet 1 of 12 US 2017 / 0266382 A1 48 VC w one vo orking owodu Wro og AVE womanwoman MI my worden wain wwy Oy a nd are 16 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 08 an w FIG . 1 Show co w O von WA porn wan powing ren any DEW meng Anuman nau WRRLO non wa momous S werden wwwwwww 18 FIG . 2 Sat 82 FIG . 3 FIG . 4 Patent Application Publication _ Sep. 21 , 2017 Sheet 2 Of 12 _ US 2017/ 0266382 41 M?????? , 4 2 3 78??_ q ? :??????? ???????????????????? ? ???? ? ? ? ? ? , 62 43 32 ? ? ? ???????? . & ? 38*????? 4 4 ??????? gia:???? ? ?? ?$ 8 ??? 50 _30 - _ $- ?? f . 6 * ?????????? ??????????????????????????????????????????????? ??????????????????????????? ??????????? ??????????????????????? ?? ? & 68 62 ? ??? ? ? # 2 ? ???3] ?88 32 - - T in ? ?, Patent Application Publication Sep . 21 , 2017 Sheet 3 of 12 US 2017 / 0266382 A1 112 122 118 142 - - 120 LLLLLLLLLLLLLLEEEEEEEEEEEEEEEEE L LLL O com 166 144 - poms - 160 V 144 162 van on X2 DDDD D D my an mono Nothorana von on Kouwen rotus onra 148menonton wiews w 244mm w On mo vor wwwwwww www ON m own X3muntana WDA 7* * sannon we owo worau Qanun JA 164164 242 168 20t 214214 67 227 mm 218 mm FIG . 8 Patent Application Publication Sep . 21 , 2017 Sheet 4 of 12 US 2017 / 0266382 A1 162 I P1 192 116 benecon190 ' ,18wameuws 174 124rema 70wenn 224 172 128com 226 232 228mm beson 2630170 214 150 ing yang C 246 114 146 rrrrrr m242 142 mnnnnnnnnnnnnn 144 148 248m 244- Patent Application Publication Sep . 21 , 2017 Sheet 5 of 12 US 2017 / 0266382 A1 162 mmg 116Persone 192w 182 mon7 164power 178 166 oooooo Arad180 m168 130 FIG.10 or on y sineegge men232 eyond 150 theoriginede wwwwwwwww b B propriaper 214 gyugyugangguanyumas memoriamStarburstunuttuuritius 114 wwwwwwxususiriwiyuuyuru mont 148 242 248mm Patent Application Publication Sep . 21 , 2017 Sheet 6 of 12 US 2017 / 0266382 A1 " nnnnnnnnnn mm162 n ponnnnnnnnnn 130 161merem 192192renom -182 > 164meno ww176 the180 FIG.11 130 urinn 232 150 thing h250 O CM ????????????????????????????? ngangganganyanginginyergrotingonly Wanitarnainnawananhhanggangmatinnhang 214214 114 wantumurcuuuuwwwwwwwwwwwwwwww menggunaangenangnyugyurgy 142 242 148 HER248 Patent Application Publication Sep . 21 , 2017 Sheet 7 of 12 US 2017 / 0266382 A1 314 916m318 912 2201230 344 342 a ce dana 320 328 314 344 BE www yenye 328 326 FIG . 13 bewww. o 357 Rawammoni 326 word trenino 362 318 318 be 314 wwwinan 330 mm estan 314 FIG . 14 FIG . 15 Patent Application Publication Sep . 21 , 2017 Sheet 8 of 12 US 2017 / 0266382 A1 arema cores 344 carem 330 29R SS . 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Kundeniniwanananananananatilinastusinsinddmammmmmmmmmmragmegmgmmragmamma TURUNUR wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww Bi mmmmmmmmmmmmmmmmm m 3 3 white 558 ben V3 Dongen ES ZLE FIG . 23 US 2017 /0266382 A1 Sep . 21, 2017 SURGICAL INJECTION SYSTEM AND [0012 ] FIG . 7 is a cross section view of the components METHOD shown in FIG . 5 ; [0013 ] FIG . 8 is a perspective view of components of one TECHNICAL FIELD embodiment of a surgical system in accordance with the principles of the present disclosure ; [0001 ] The present disclosure generally relates to medical [0014 ] FIG . 9 is a cross section view of components of one devices for the treatment of musculoskeletal disorders , and embodiment of a surgical system in accordance with the more particularly to a surgical system and a method for principles of the present disclosure ; treating a spine . [0015 ] FIG . 10 is a cross section view of the components shown in FIG . 9 ; BACKGROUND [0016 ] FIG . 11 is a cross section view of the components [ 0002 ] Spinal disorders such as degenerative disc disease , shown in FIG . 9 ; disc herniation , osteoporosis , spondylolisthesis , stenosis , [0017 ] FIG . 12 is a perspective view of components of one scoliosis and other curvature abnormalities , kyphosis , embodiment of a surgical system in accordance with the tumor, and fracture may result from factors including principles of the present disclosure ; trauma, disease and degenerative conditions caused by [0018 ] FIG . 13 is a perspective view of components of one injury and aging . Spinal disorders typically result in symp embodiment of a surgical system in accordance with the toms including pain , nerve damage , and partial or complete principles of the present disclosure ; loss of mobility . [ 0019 ] FIG . 14 is a break away view of components of one [ 0003 ] Non - surgical treatments , such as medication , reha embodiment of a surgical system in accordance with the bilitation and exercise can be effective , however , may fail to principles of the present disclosure ; relieve the symptoms associated with these disorders . Sur - (0020 ] FIG . 15 is a break away view of components of one gical treatment of these spinal disorders includes fusion , embodiment of a surgical system in accordance with the fixation , correction , discectomy, microdiscectomy, corpec principles of the present disclosure ; tomy, decompression , laminectomy, laminotomy, foramin [0021 ] FIG . 16 is a perspective view , with parts separated , otomy, facetectomy and implantable prosthetics . As part of of components of one embodiment of a surgical system in these surgical treatments , spinal constructs including accordance with the principles of the present disclosure ; implants , such as , for example , bone graft , bone fasteners , [0022 ] FIG . 17 is a cross section view of components of spinal rods and interbody devices can be delivered to a one embodiment of a surgical system in accordance with the surgical site for fixation with bone to immobilize a joint. The principles of the present disclosure ; spinal constructs can be used to provide stability to a treated 50023 ] FIG . 18 is a cross section of components of one region and facilitate healing . This disclosure describes an embodiment of a surgical system in accordance with the improvement over these technologies . principles of the present disclosure ; [0024 ] FIG . 19 is a cross section view of the components SUMMARY shown in FIG . 18 ; [0025 ) FIG . 20 is a perspective view of components of one [ 0004 ] In one embodiment, a surgical injection device is embodiment of a surgical system in accordance with the provided . The surgical injection device includes at least one principles of the present disclosure , with parts separated ; tubular element defining a passageway. The passageway is [0026 ] FIG . 21 is a cross section view of components of configured for disposal of a selected volume of an agent and one embodiment of a surgical system in accordance with the an evacuator disposed within the passageway. An actuator is principles of the present disclosure ; engageable with the evacuator to entirely expel the selected [0027 ] FIG . 22 is