公开(公告)号：US07811303B2

公开(公告)日：2010-10-12

申请号：US10648068

申请日：2003-08-26

申请人： T. Wade Fallin ,  Daniel J. Triplett ,  Daniel F. Justin

发明人： T. Wade Fallin ,  Daniel J. Triplett ,  Daniel F. Justin

IPC分类号： A61M29/00

CPC分类号： A61B17/3417 ,  A61B17/3421 ,  A61B2017/3443 ,  A61B2017/349

摘要： A dilating system for dilating bodily tissue includes a elongate tubular first dilator and a elongate tubular second dilator. The second dilator has an outer diameter greater than the outer diameter of the first dilator, the first dilator being configured to be received within the second dilator. In one embodiment, a first mating member is formed on the exterior surface of the first dilator while a second mating member is formed on the interior surface of the second dilator. The first mating member engages with the second mating member when the second dilator is passed over the first dilator so as to cause the second dilator to travel along a fixed path relative to the first dilator.

摘要翻译： 用于扩张身体组织的扩张系统包括细长管状第一扩张器和细长管状第二扩张器。 所述第二扩张器的外径大于所述第一扩张器的外径，所述第一扩张器构造成容纳在所述第二扩张器内。 在一个实施例中，第一配合构件形成在第一扩张器的外表面上，而第二配合构件形成在第二扩张器的内表面上。 当第二扩张器通过第一扩张器时，第一匹配构件与第二配合构件接合，以使第二扩张器相对于第一扩张器沿固定路径行进。

公开(公告)号：US20100204737A1

公开(公告)日：2010-08-12

申请号：US12640860

申请日：2009-12-17

申请人： Hyun W. Bae ,  Dylan M. Hushka ,  Joshua A. Butters ,  Nicholas Slater ,  Daniel F. Justin ,  Rick Delamarter

发明人： Hyun W. Bae ,  Dylan M. Hushka ,  Joshua A. Butters ,  Nicholas Slater ,  Daniel F. Justin ,  Rick Delamarter

IPC分类号： A61B17/88

CPC分类号： A61F2/4455 ,  A61B17/846 ,  A61B17/86 ,  A61F2/442 ,  A61F2/447 ,  A61F2002/3007 ,  A61F2002/3008 ,  A61F2002/30115 ,  A61F2002/30126 ,  A61F2002/30138 ,  A61F2002/30153 ,  A61F2002/30166 ,  A61F2002/30168 ,  A61F2002/30172 ,  A61F2002/30176 ,  A61F2002/30181 ,  A61F2002/30316 ,  A61F2002/30352 ,  A61F2002/30377 ,  A61F2002/30387 ,  A61F2002/30401 ,  A61F2002/30504 ,  A61F2002/30522 ,  A61F2002/30598 ,  A61F2002/30604 ,  A61F2002/30649 ,  A61F2002/30736 ,  A61F2002/30738 ,  A61F2002/30841 ,  A61F2002/30845 ,  A61F2002/30848 ,  A61F2002/30879 ,  A61F2002/30884 ,  A61F2002/30904 ,  A61F2002/3098 ,  A61F2002/30983 ,  A61F2002/4475 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2230/0006 ,  A61F2230/0008 ,  A61F2230/0017 ,  A61F2230/0019 ,  A61F2230/0028 ,  A61F2230/0043 ,  A61F2230/0052 ,  A61F2230/0054 ,  A61F2230/006 ,  A61F2250/0098 ,  A61F2310/00796

摘要： A system for spinal surgery includes a prosthesis comprising a plurality of bone anchors which engage an intervertebral construct for fusion or motion preservation. The fusion construct comprises a spacer optionally encircled by a jacket. The motion preservation construct may comprise an articulating disc assembly or an elastomeric disc assembly. Any of the constructs may occupy the intervertebral disc space between adjacent vertebrae after removal of an intervertebral disc. The anchors slidingly engage the construct to securely fix the prosthesis to the vertebrae. The anchors and jacket of the fusion construct provide a continuous load path across opposite sides of the prosthesis so as to resist antagonistic motions of the spine.

摘要翻译： 用于脊柱手术的系统包括假体，其包括多个骨锚固件，其接合用于融合或运动保持的椎间构造物。 融合构件包括任选地由护套包围的间隔物。 运动保持构造可以包括铰接盘组件或弹性体盘组件。 在去除椎间盘之后，任何构造物可能占据相邻椎骨之间的椎间盘间隙。 锚固件滑动地接合构造物以将假体牢固地固定到椎骨。 融合构件的锚固件和护套提供穿过假体相对侧的连续负载路径，以抵抗脊柱的对抗运动。

公开(公告)号：US07632575B2

公开(公告)日：2009-12-15

申请号：US11253850

申请日：2005-10-18

申请人： Daniel F. Justin ,  Brent E. Stucker

发明人： Daniel F. Justin ,  Brent E. Stucker

IPC分类号： B32B15/01 ,  B32B15/16 ,  C23C14/22 ,  C23C14/14 ,  A61F2/02

CPC分类号： A61C8/0012 ,  A61C13/0018 ,  A61F2/30767 ,  A61F2/36 ,  A61F2/3859 ,  A61F2/4225 ,  A61F2/4241 ,  A61F2002/30535 ,  A61F2250/0058 ,  A61L27/04 ,  A61L27/306 ,  A61L27/56 ,  B23K2103/14 ,  C23C4/02 ,  C23C4/12 ,  C23C4/18 ,  C23C24/10 ,  C23C26/00 ,  C23C26/02 ,  C23C28/021 ,  C23C28/023 ,  C23C28/028 ,  Y10T428/12458 ,  Y10T428/12493 ,  Y10T428/12806 ,  Y10T428/12812 ,  Y10T428/12826 ,  Y10T428/12847 ,  Y10T428/12931

摘要： A method of depositing a hard wear resistant surface onto a porous or non-porous base material of a medical implant. The medical implant device formed by a Laser Based Metal Deposition (LBMD) method. The porous material of the base promotes bone ingrowth allowing the implant to fuse strongly with the bone of a host patient. The hard wear resistant surface provides device longevity when applied to bearing surfaces such as artificial joint bearing surface or a dental implant bearing surface.

摘要翻译： 将耐磨损表面沉积到医用植入物的多孔或无孔基材上的方法。 通过激光基金属沉积（LBMD）方法形成的医用植入装置。 基底的多孔材料促进骨向内生长，允许植入物与宿主患者的骨骼牢固地融合。 当耐磨损表面应用于诸如人造关节轴承表面或牙科植入物支承表面的支承表面时，耐磨表面提供装置寿命。

公开(公告)号：US07618459B2

公开(公告)日：2009-11-17

申请号：US11534985

申请日：2006-09-25

申请人： Daniel F. Justin ,  Lytton A. Williams ,  Darin R. Ewer ,  Nathan Pierce

发明人： Daniel F. Justin ,  Lytton A. Williams ,  Darin R. Ewer ,  Nathan Pierce

IPC分类号： A61F2/44

CPC分类号： A61F2/442 ,  A61B17/025 ,  A61B2017/0256 ,  A61F2/4425 ,  A61F2/4455 ,  A61F2/4611 ,  A61F2002/2817 ,  A61F2002/2835 ,  A61F2002/30331 ,  A61F2002/30387 ,  A61F2002/30484 ,  A61F2002/30497 ,  A61F2002/305 ,  A61F2002/30517 ,  A61F2002/30538 ,  A61F2002/30604 ,  A61F2002/30607 ,  A61F2002/30614 ,  A61F2002/30617 ,  A61F2002/30772 ,  A61F2002/30841 ,  A61F2002/30901 ,  A61F2002/4622 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2250/0006 ,  A61F2250/0062 ,  A61F2250/0097

摘要： A revisable intervertebral implant may include two end plates designed to detachably receive a variety of intermediate components including articulating bearing inserts, elastic inserts, and fusion blocks. Each intermediate component may be secured to a snap insert that snaps into engagement with the corresponding end plate in response to pressure urging the intermediate component toward the end plate along a cephalad-caudal direction. The end plates may first be secured to the corresponding vertebral bodies, and then the intermediate component(s) may be snapped into locking engagement with the implanted end plates to complete in-situ assembly of the intervertebral implant. The implant may easily be revised by snapping the intermediate component(s) out of engagement with the end plates, removing the intermediate component(s), inserting the new intermediate component(s) into the space between the end plates, and snapping the new intermediate component(s) into engagement with the end plates.

摘要翻译： 可修改的椎间植入物可以包括设计成可拆卸地接收各种中间部件的两个端板，包括铰接轴承插入件，弹性插入件和熔合块。 每个中间部件可以被固定到卡扣插入件，该卡扣插入件响应于沿着头部 - 尾部方向将中间部件推向端板的压力而与相应的端板接合。 端板可以首先固定到相应的椎体上，然后可以将中间部件咬合成与植入的端板锁定接合，以完成椎间植入物的原位组装。 可以通过将中间组件与端板脱离接合而拆下植入物，去除中间组分，将新的中间组分插入到端板之间的空间中，并将新的 中间部件与端板接合。

公开(公告)号：US07615081B2

公开(公告)日：2009-11-10

申请号：US10444927

申请日：2003-05-23

申请人： Daniel F. Justin ,  E. Marlowe Goble

发明人： Daniel F. Justin ,  E. Marlowe Goble

IPC分类号： A61F2/38

CPC分类号： A61F2/3859 ,  A61F2002/30616

摘要： A femoral knee prosthesis system for resurfacing a resected articular surface at the distal end of a femur includes a femoral component adapted to mate with the resected articular surface; and an attachment member. The interior surface of the femoral component is configured to connect to the first attachment member when the femoral component is mated on the resected articular surface of the femur and when the first attachment member is passed through the medial side or the lateral side of the resected articular surface. The femoral component is available in one-piece and two-piece systems. Mating femoral components (e.g., tapered or with lips that interlock with grooves) are also disclosed.

摘要翻译： 用于在股骨远端重修表面的股骨膝关节假体系统包括适于与被切除的关节表面配合的股骨部件; 和附件。 股骨部件的内表面构造成当股骨部件配合在股骨的被切除的关节面上时以及当第一附接部件穿过切除的关节的内侧或侧面时，连接到第一附接部件 表面。 股骨组件可用于一体式和两件式系统。 还公开了股骨部件（例如，锥形或与凹槽互锁的唇缘）。

公开(公告)号：US20090216335A1

公开(公告)日：2009-08-27

申请号：US12429882

申请日：2009-04-24

申请人： Michael Ries ,  T. Wade Fallin ,  Daniel F. Justin ,  Mark A. Munt

发明人： Michael Ries ,  T. Wade Fallin ,  Daniel F. Justin ,  Mark A. Munt

IPC分类号： A61F2/36

CPC分类号： A61F2/36 ,  A61F2/367 ,  A61F2/3676 ,  A61F2002/30018 ,  A61F2002/30112 ,  A61F2002/30113 ,  A61F2002/30143 ,  A61F2002/30148 ,  A61F2002/30153 ,  A61F2002/30154 ,  A61F2002/30156 ,  A61F2002/30171 ,  A61F2002/3021 ,  A61F2002/30322 ,  A61F2002/30327 ,  A61F2002/30332 ,  A61F2002/30354 ,  A61F2002/30357 ,  A61F2002/30827 ,  A61F2002/30879 ,  A61F2002/30891 ,  A61F2002/3611 ,  A61F2002/3625 ,  A61F2002/3633 ,  A61F2002/365 ,  A61F2002/3696 ,  A61F2220/0033 ,  A61F2230/0004 ,  A61F2230/0006 ,  A61F2230/0017 ,  A61F2230/0019 ,  A61F2230/0021 ,  A61F2230/0023 ,  A61F2230/005 ,  A61F2230/0067 ,  A61F2250/0026 ,  A61F2250/0029 ,  A61F2250/0039 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029

摘要： Implants and methods are presented for surgically repairing a hip joint with a proximal femoral prosthesis that comprises femoral head component and a femoral stem component. The femoral stem component comprises a neck portion, a flange portion, a transitional body region and an elongated stem. The femur is prepared for implantation of the femoral hip prosthesis by resecting the proximal femur and reaming a symmetric intramedullary cavity in the femur. The femoral hip prosthesis is then inserted the on the resected femur and in the intramedullary cavity. The femoral hip prosthesis elastically deforms when loaded during use to apply dynamic compressive loads and displacement to the calcar region of the resected proximal femur.

摘要翻译： 提出了植入物和方法用于手术修复包括股骨头部件和股骨柄部件的近端股骨假体的髋关节。 股骨柄部件包括颈部，凸缘部分，过渡体区域和细长柄部。 股骨通过切除股骨近端和扩大股骨中的对称髓内腔而准备植入股骨髋假体。 然后将股骨髋假体插入切除的股骨和髓内腔中。 股骨髋关节假体在使用过程中加载时弹性变形，以将动态压缩载荷和位移施加到切除的近端股骨的钙质区域。

公开(公告)号：US20090216234A1

公开(公告)日：2009-08-27

申请号：US12357596

申请日：2009-01-22

申请人： Morteza M. Farr ,  Ephraim Akyuz ,  T. Wade Fallin ,  Daniel F. Justin ,  Joshua A. Butters ,  Daniel E. Gerbec

发明人： Morteza M. Farr ,  Ephraim Akyuz ,  T. Wade Fallin ,  Daniel F. Justin ,  Joshua A. Butters ,  Daniel E. Gerbec

IPC分类号： A61B17/00 ,  A61M25/00

CPC分类号： A61B17/025 ,  A61B17/1604 ,  A61B17/1659 ,  A61B17/320708 ,  A61B17/3421 ,  A61B17/3468 ,  A61B90/361 ,  A61B90/50 ,  A61B2017/0256 ,  A61B2017/2904 ,  A61B2017/320044 ,  A61B2017/320056 ,  A61B2017/3447 ,  A61B2090/3618 ,  A61F2/4455 ,  A61F2/447 ,  A61F2/4601 ,  A61F2/4611 ,  A61F2/4684 ,  A61F2002/30116 ,  A61F2002/30538 ,  A61F2002/30616 ,  A61F2002/30904 ,  A61F2002/4435 ,  A61F2002/4627 ,  A61F2002/4681 ,  A61F2002/4687 ,  A61F2230/0006 ,  A61F2250/0006

摘要： A system for accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate the spine. The location may be at the L4-L5 vertebral level, and the curved path may lie in a plane oblique to the transverse, coronal and sagittal planes of the spine, and avoid the iliac crest. A targeting post may be inserted adjacent the spine to determine the location, and a guide member may be inserted to establish the curved path. A micrometer assembly may adjust a cephalad-caudal displacement between the post and the guide member. One or more intermediate cannulas may be inserted over the guide member to dilate tissues prior to insertion of the main cannula. An interbody device may be implanted into an intervertebral space through the cannula.

摘要翻译： 用于从弯曲的后外侧方法进入脊柱的系统可以包括沿着从皮肤中的开口到靠近脊柱的位置的弯曲路径定位的弯曲插管。 该位置可能在L4-L5椎体水平，并且弯曲的路径可以位于倾斜于脊柱的横向，冠状和矢状平面的平面中，并且避免髂嵴。 可以在脊柱附近插入目标柱以确定位置，并且可以插入引导构件以建立弯曲路径。 测微计组件可以调节柱和引导构件之间的头端 - 尾端位移。 一个或多个中间插管可以在插入主插管之前插入引导构件上以扩张组织。 体间装置可以通过插管植入椎间空间。

公开(公告)号：US20090093880A1

公开(公告)日：2009-04-09

申请号：US12334047

申请日：2008-12-12

申请人： Daniel F. Justin

发明人： Daniel F. Justin

IPC分类号： A61F2/08 ,  A61B19/00

CPC分类号： A61F2/0805 ,  A61B17/1714 ,  A61B17/1735 ,  A61B17/8875 ,  A61B2017/564 ,  A61F2/0811 ,  A61F2002/0852 ,  A61F2002/0882

摘要： Apparatus and method is disclosed for securing a graft ligament in a bone tunnel. A method is disclosed comprising the steps of forming a first bone tunnel and a second bone tunnel being transverse to, and intersecting one another; positioning a closed loop of a flexible member within the first bone tunnel and a portion of the second bone tunnel such that the closed loop extends out of the first bone tunnel and the second bone tunnel, parting the closed loop outside the second bone tunnel so as to create a first free end and a second free end, and passing the second free end through the opposite end of a second free end through the opposite end of second bone tunnel, and positioning the graft ligament over a portion of the flexible member extending out of the first opening; and pulling the flexible member so as to draw the graft ligament into the first bone tunnel.

摘要翻译： 公开了用于将移植韧带固定在骨隧道中的装置和方法。 公开了一种方法，其包括以下步骤：形成横向于并相互交叉的第一骨隧道和第二骨隧道; 将柔性构件的闭环定位在所述第一骨隧道内以及所述第二骨隧道的一部分中，使得所述闭合环从所述第一骨隧道和所述第二骨隧道延伸出来，将所述闭合环分开在所述第二骨隧道外部，以便 以产生第一自由端和第二自由端，并且使第二自由端通过第二自由端的相对端穿过第二骨隧道的相对端，并将移植物韧带定位在柔性构件的延伸出的部分上 的第一个开口; 并拉动柔性构件以将移植韧带拉入第一骨隧道。

公开(公告)号：US20090030461A1

公开(公告)日：2009-01-29

申请号：US12240320

申请日：2008-09-29

申请人： Robert W. Hoy ,  Daniel J. Triplett ,  T. Wade Fallin ,  Alan Chervitz ,  Daniel F. Justin

发明人： Robert W. Hoy ,  Daniel J. Triplett ,  T. Wade Fallin ,  Alan Chervitz ,  Daniel F. Justin

IPC分类号： A61B17/70 ,  A61F2/44 ,  A61B19/00

CPC分类号： A61F2/4405 ,  A61B17/7049 ,  A61B17/7064 ,  A61B17/7067 ,  A61B17/8625 ,  A61B17/8695 ,  A61B2017/8655 ,  A61F2/30771 ,  A61F2/4611 ,  A61F2002/30125 ,  A61F2002/30154 ,  A61F2002/30156 ,  A61F2002/30163 ,  A61F2002/30171 ,  A61F2002/30426 ,  A61F2002/30433 ,  A61F2002/30448 ,  A61F2002/30514 ,  A61F2002/30574 ,  A61F2002/30576 ,  A61F2002/30578 ,  A61F2002/30579 ,  A61F2002/30616 ,  A61F2002/30663 ,  A61F2002/3082 ,  A61F2002/30841 ,  A61F2002/3085 ,  A61F2002/30934 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2220/005 ,  A61F2230/0008 ,  A61F2230/0021 ,  A61F2230/0023 ,  A61F2230/005 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00203 ,  A61F2310/00239 ,  A61F2310/00796 ,  A61F2310/00928

摘要： Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra.

摘要翻译： 一个或多个小关节的上和/或下小面可以由上和/或下小面关节假体代替。 在一个实施例中，提供了一种上或下假体的套件，其中所述假体具有至少两个尺寸，所述尺寸在所述套件的各个构件之间彼此独立地变化。 每个假体可以具有骨接合表面，其具有能够相对于脊椎的相应切除而被多轴旋转的表面。 每个假体还可以具有成形为使得在附接到脊柱之后，当脊柱弯曲时，被替换的或部分替换的小关节提供更大的内侧 - 内侧运动范围，而不是当脊柱延伸时。 交叉连接可以用于将左和右假体连接在一起，使得它们被稳定在它们直接抵靠椎骨的位置。

公开(公告)号：US20090030460A1

公开(公告)日：2009-01-29

申请号：US12240244

申请日：2008-09-29

申请人： Alan Chervitz ,  Daniel F. Justin ,  T. Wade Fallin ,  Robert W. Hoy

发明人： Alan Chervitz ,  Daniel F. Justin ,  T. Wade Fallin ,  Robert W. Hoy

IPC分类号： A61B17/70 ,  A61F2/44 ,  A61B19/00

CPC分类号： A61F2/4405 ,  A61B17/7049 ,  A61B17/7064 ,  A61B17/7067 ,  A61B17/8625 ,  A61B17/8695 ,  A61B2017/8655 ,  A61F2/30771 ,  A61F2/4611 ,  A61F2002/30125 ,  A61F2002/30154 ,  A61F2002/30156 ,  A61F2002/30163 ,  A61F2002/30171 ,  A61F2002/30426 ,  A61F2002/30433 ,  A61F2002/30448 ,  A61F2002/30514 ,  A61F2002/30574 ,  A61F2002/30576 ,  A61F2002/30578 ,  A61F2002/30579 ,  A61F2002/30616 ,  A61F2002/30663 ,  A61F2002/3082 ,  A61F2002/30841 ,  A61F2002/3085 ,  A61F2002/30934 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2220/005 ,  A61F2230/0008 ,  A61F2230/0021 ,  A61F2230/0023 ,  A61F2230/005 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00203 ,  A61F2310/00239 ,  A61F2310/00796 ,  A61F2310/00928

摘要： Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra.