公开(公告)号：US06669699B2

公开(公告)日：2003-12-30

申请号：US10003000

申请日：2001-11-30

Applicant: James D. Ralph ,  Thomas N. Troxell

Inventor： James D. Ralph ,  Thomas N. Troxell

IPC: A61B1758

CPC classification number: A61F2/442 ,  A61B17/025 ,  A61B2017/0256 ,  A61F2/4611 ,  A61F2002/30616 ,  A61F2002/30828 ,  A61F2002/4622 ,  A61F2002/4627 ,  A61F2002/4628

Abstract: An intervertebral distraction tool has a clamshell head with upper and lower halves, each having a curvate outer surface and a flat inner surface. The distal side of the head is hinged so that the head opens and closes from the proximal side of the head. The hinge is a separating hinge that allows the halves to not only angulate with respect to one another about the hinge axis, but also to vertically separate from one another at the hinge. A distraction separator has decreasing taper at its distal end and a longitudinal bore that accommodates the elongate shaft of the trial so that the separator can be moved longitudinally relative to the shaft. Upon forward movement of the separator, the tapered upper and lower surfaces engage the flat inner surfaces of the head, causing the halves to angulate about the hinge axis of the head, thereby opening the head.

公开(公告)号：US6063089A

公开(公告)日：2000-05-16

申请号：US59162

申请日：1998-04-13

Applicant: Joseph P. Errico ,  Thomas J. Errico ,  James D. Ralph

Inventor： Joseph P. Errico ,  Thomas J. Errico ,  James D. Ralph

IPC: A61B17/70

CPC classification number: A61B17/7041 ,  A61B17/7035

Abstract: A polyaxial orthopedic device for use with rod implant apparatus which includes a screw having a head, a tubular body having holes in the top, side and bottom therof, and a rod coupling element. The head of the screw is disposed in the body with the shaft of the screw extending out the bottom hole, such that the body and the screw may initially rotate relative to one another. The rod coupling element has a ball shaped end which seats in the body with the remainder of the rod coupling element extending out of the side hole of the body, such that the rod coupling element and the body are initially polyaxially coupled relative to one another. The ball end of the rod coupling element is disposed on top of the head of the screw. A set screw is provided in the top of the body, the tightening of which causes the ball, head, and body to be crush locked together, thereby preventing further relative motion.

Abstract translation: 一种用于杆植入装置的多轴矫形装置，其包括具有头部的螺钉，具有顶部，侧面和底部底部的孔的管状体以及杆联接元件。 螺钉的头部设置在主体中，螺钉的轴延伸出底部孔，使得主体和螺钉可以最初相对于彼此旋转。 杆联接元件具有球形端，其位于主体中，其中杆联接元件的其余部分延伸出主体的侧孔，使得杆联接元件和主体最初彼此相对地多轴耦合。 杆联接元件的球端设置在螺钉头部的顶部。 一个固定螺钉设置在主体的顶部，其紧固使球，头部和主体被压紧在一起，从而防止进一步的相对运动。

公开(公告)号：US5941880A

公开(公告)日：1999-08-24

申请号：US2536

申请日：1998-01-02

Applicant: Joseph P. Errico ,  Thomas J. Errico ,  James D. Ralph

Inventor： Joseph P. Errico ,  Thomas J. Errico ,  James D. Ralph

IPC: A61B17/70 ,  A61F2/00 ,  A61F2/28 ,  A61F2/30 ,  A61F2/44

CPC classification number: A61F2/446 ,  A61B17/7059 ,  A61F2/30744 ,  A61F2/442 ,  A61F2002/2835 ,  A61F2002/30329 ,  A61F2002/30433 ,  A61F2002/30507 ,  A61F2002/30784 ,  A61F2002/3085 ,  A61F2002/4475 ,  A61F2002/448 ,  A61F2220/0025 ,  A61F2220/0041

Abstract: A cross-linking member for rigidly coupling interbody fusion devices such that they have reduced tendencies to dislocate subsequent to implantation as well as an interbody fusion assembly which includes at least two interbody fusion devices rigidly coupled together by a cross-linking member.

Abstract translation: 一种用于刚性联接体间融合装置的交联构件，使得它们具有减少的植入后脱位的倾向以及包括通过交联构件刚性地联接在一起的至少两个体内融合装置的体内融合组件。

公开(公告)号：US5713904A

公开(公告)日：1998-02-03

申请号：US799719

申请日：1997-02-12

Applicant: Joseph P. Errico ,  Thomas J. Errico ,  James D. Ralph

Inventor： Joseph P. Errico ,  Thomas J. Errico ,  James D. Ralph

IPC: A61B17/68 ,  A61B17/70 ,  A61B17/86

CPC classification number: A61B17/686 ,  A61B17/8685 ,  A61B17/7055

Abstract: The present invention is a selectively expandable bone fixation screw-sleeve device which provides substantially greater holding strength in human bone than other bone screw devices. The sleeve element of this invention includes several embodiments, each having at least one corresponding screw element for selectively expanding a portion of the sleeve once it has been inserted into the bone. More specifically, in several embodiments, the sleeve includes a series of vertical slots in the end, or ends, of the cylindrical body of the sleeve. The slots define, therebetween, sections which are contiguous with the remainder of the cylindrical body, and which may rotate radially outward. In these embodiments, the sections are designed having a varying thickness, for example a single or double wedge profile, such that the insertion of the screw element into the sleeve deforms the shape of the sleeve by causing the sections to flair outward. In a different embodiment, the slots, and sections, are designed into the axially intermediate central portion of the cylindrical sleeve, and therefore flair outwardly therefrom upon insertion of a screw within the sleeve. As this invention is intended to provide imporved fixation support for orthopedic implantation assemblies, each embodiment may further include means coupled or integral with the sleeve or screw for coupling an orthopedic implant to it.

Abstract translation: 本发明是一种选择性可扩张的骨固定螺钉套筒装置，其提供比其他骨螺钉装置在人骨中显着更大的保持强度。 本发明的套筒元件包括几个实施例，每个实施例具有至少一个对应的螺钉元件，用于选择性地将套筒的一部分一旦插入到骨中后扩张。 更具体地，在几个实施例中，套筒在套筒的圆柱体的端部或端部包括一系列垂直槽。 这些槽之间限定与圆筒体的其余部分相邻并且可径向向外旋转的部分。 在这些实施例中，这些部分被设计成具有变化的厚度，例如单个或双楔形轮廓，使得螺钉元件插入到套筒中通过使部分向外发展而使套筒的形状变形。 在不同的实施例中，槽和部分被设计到圆柱形套筒的轴向中间中间部分中，并且因此在将螺钉插入套筒内时从其向外摆动。 由于本发明旨在为整形外科植入组件提供有力的固定支撑，每个实施例还可以包括与用于将矫形植入物联接到其上的套筒或螺钉一体的装置。

公开(公告)号：US5683393A

公开(公告)日：1997-11-04

申请号：US772409

申请日：1996-12-23

Applicant: James D. Ralph

Inventor： James D. Ralph

IPC: A61B17/64 ,  A61B17/70

CPC classification number: A61B17/6466 ,  A61B17/7041

Abstract: A bidirectional rod locking mechanism for use with rod coupling elements of orthopaedic rod apparatus includes a rod coupling element having a hook-shaped rod receiving end and a threaded axial bore. The axial bore is disposed so close to the hook-shaped portion that the medial portion of the hole protrudes through the inner surface of the hook portion. A contoured threaded shaft is advanced into the bore such that the contoured medial portion thereof aligns with the inner surface of the hook to permit the receipt therein of a rod. The threadable translation of the shaft in the appropriate direction causes a misalignment of the contoured medial portion in a manner which prevents the rod from being removed from the hook-shaped receiving locus.

Abstract translation: 与矫形棒装置的杆联接元件一起使用的双向杆锁定机构包括具有钩形杆接收端和螺纹轴向孔的杆联接元件。 轴向孔被设置成靠近钩状部，孔部的内侧部分通过钩部的内表面突出。 成型的螺纹轴进入孔中，使得其轮廓的中间部分与钩的内表面对准，以允许在其中容纳杆。 轴在适当方向的可螺纹平移导致轮廓中间部分的不对准，以防止杆从钩状接收轨迹移除的方式。

公开(公告)号：US5667508A

公开(公告)日：1997-09-16

申请号：US641504

申请日：1996-05-01

Applicant: Thomas J. Errico ,  James D. Ralph ,  Steven Tatar

Inventor： Thomas J. Errico ,  James D. Ralph ,  Steven Tatar

IPC: A61B17/58 ,  A61B17/70 ,  A61B17/86 ,  A61F2/44

CPC classification number: A61B17/7032 ,  A61B2017/867

Abstract: A unitary locking cap mechanism, which is used with pedicle screws and other orthopaedic implant devices which couple bones to rods, includes rim and post portions which are rotationally freely coupled to one another to permit independent motion relative to one another. The rim element has a cylindrical body with an open end and a closed end; the closed end alternatively having a concentric hole defined by an inwardly directed flange. In one embodiment, the flange includes a series of slots, dividing into a plurality of wedge-shaped pie sections. In another embodiment, the sidewall of the cylindrical portion of the rim includes an annular recess. The post is a cylindrical shaft having surface elements at one end which provide for mutual engagement with the rim. These surface elements may be deflecting arms which seat into the annular recess of the rim, or an annular recess in the shaft into which the wedge-shaped pie sections of the flange portion may be resiliently snapped into. In an alternative embodiment, the shaft and the rim are coupled together through the concentric hole by a retaining ring which is placed around the shaft, in an annular recess therein, after the insertion of the shaft through the hole. Each embodiment are alternatively designed such that the post or the inner surface of the rim portions are threaded so that it can mate with a threading on the inner or outer upwardly extending, U-shaped channel forming, members of the heads of the pedicle screws.

Abstract translation: 与椎弓根螺钉和将骨骼连接到杆的其他矫形植入装置一起使用的单一锁定帽机构包括轮缘和后部，其相互旋转地自由联接以允许彼此独立运动。 轮辋元件具有开口端和封闭端的圆柱体; 封闭端可替代地具有由向内指向的凸缘限定的同心孔。 在一个实施例中，凸缘包括一系列狭槽，其分成多个楔形馅饼部分。 在另一个实施例中，边缘的圆柱形部分的侧壁包括环形凹部。 该柱是圆柱形轴，其一端具有表面元件，其提供与轮缘的相互接合。 这些表面元件可以是位于轮辋的环形凹部中的偏转臂或者轴中的环形凹部，凸缘部分的楔形饼形部分可以弹性地卡入其中。 在替代实施例中，轴和边缘通过保持环通过同心孔联接在一起，该保持环在轴插入孔之后围绕轴放置在环形凹部中。 每个实施例可选地设计成使得边缘部分的柱或内表面是螺纹的，使得其可以与形成椎弓根螺钉的头部构件的内部或外部向上延伸的U形通道上的螺纹配合。

公开(公告)号：US08460346B2

公开(公告)日：2013-06-11

申请号：US12249005

申请日：2008-10-10

Applicant: James D. Ralph ,  Thomas N. Troxell ,  Mark Michels

Inventor： James D. Ralph ,  Thomas N. Troxell ,  Mark Michels

IPC: A61B17/80

CPC classification number: A61B17/688 ,  A61B17/686

Abstract: Craniotomy closures comprising surgical fasteners are described for use in reattaching a skull flap removed from the skull of a patient during brain surgery. Methods of using the same are also described. Surgical strips used in combination with the fasteners are shaped to follow the perimeter contour of the skull flap. The craniotomy closures are designed to encourage bone growth and healing of the skull flap and they can be used to deliver medication and bone growth enhancement materials to the surgical site.

Abstract translation: 描述了包括外科紧固件的颅骨切开术闭合件用于重新附着在脑手术期间从患者的颅骨移除的颅骨瓣。 还描述了使用它们的方法。 与紧固件组合使用的手术条被成形为遵循颅骨瓣的周边轮廓。 开颅闭合器旨在促进颅骨瓣的骨生长和愈合，并且它们可以用于将药物和骨生长增强材料递送到手术部位。

公开(公告)号：US20120283739A1

公开(公告)日：2012-11-08

申请号：US13462928

申请日：2012-05-03

Applicant: James D. Ralph ,  Thomas N. Troxell ,  Mark Michels

Inventor： James D. Ralph ,  Thomas N. Troxell ,  Mark Michels

IPC: A61B17/56

CPC classification number: A61B17/068 ,  A61B17/92 ,  A61B2017/0409 ,  A61B2017/0647 ,  A61B2017/922 ,  F04C2270/0421

Abstract: A driver assembly for affixing a surgical fastener to a target location is provided. Operation of the driver assembly inserts the surgical fastener in two stages, first an alignment stage through application of a distally directed force to partially insert the surgical fastener, and then a fastening stage to fully insert and seat the surgical fastener to a proper depth or compression level. The driver assembly comprises a spring loaded automatic trigger mechanism that may be adapted for use with a linearly insertable or a rotationally insertable surgical fastener. Application of the distally directed force actuates the trigger mechanism, wherein a corresponding impact force is delivered for seating the surgical fastener, coupled to a distal end of the driver assembly, upon alignment of cam and receiver elements embodied within the trigger mechanism.

Abstract translation: 提供了一种用于将手术紧固件固定到目标位置的驱动器组件。 驱动器组件的操作将手术紧固件插入两个阶段，首先通过施加远端定向的力部分地插入外科紧固件，然后紧固台将手术紧固件完全插入和固定到适当的深度或压缩 水平。 驱动器组件包括弹簧加载的自动触发机构，其可以适于与可直线插入或可旋转插入的手术紧固件一起使用。 所述远侧定向力的施加致动所述触发机构，其中相应的冲击力被传递用于在所述触发器机构中体现的凸轮和接收器元件对准时将所述手术紧固件与所述驱动器组件的远端联接。

公开(公告)号：US08128670B2

公开(公告)日：2012-03-06

申请号：US11107610

申请日：2005-04-15

Applicant: James D. Ralph ,  Stephen L. Tatar ,  Thomas N. Troxell

Inventor： James D. Ralph ,  Stephen L. Tatar ,  Thomas N. Troxell

IPC: A61B17/58

CPC classification number: A61B17/8038 ,  A61B17/686 ,  A61B17/861 ,  A61B2090/037

Abstract: A biocompatible surgical fastener, comprising a sleeve and a screw or a pin, which expands when it is implanted in a patient. The sleeve is first implanted in a pre-drilled hole in the operating area of a patient, usually in a bone, cartilage or a bone and cartilage. When a screw or a pin is installed in the sleeve, the sleeve is caused to expand thereby stabilizing the fastener in the operating area. In many embodiments the screw or pin can be removed and reinserted without disturbing the tissue in the operating area. The surgical fastener can be used to repair tissue or to secure other implant devices in a patient.

Abstract translation: 一种生物相容性手术紧固件，包括套筒和螺钉或销，当植入患者时，该紧固件膨胀。 首先将套筒植入在患者的操作区域中的预先钻孔中，通常在骨，软骨或骨和软骨中。 当螺钉或销安装在套筒中时，使套筒膨胀，从而使紧固件在操作区域中稳定。 在许多实施例中，可以移除和重新插入螺钉或销，而不会干扰操作区域中的组织。 手术紧固件可用于修复组织或固定患者体内的其它植入装置。

公开(公告)号：US08083782B2

公开(公告)日：2011-12-27

申请号：US12710614

申请日：2010-02-23

Applicant: James D. Ralph ,  Thomas N. Troxell

Inventor： James D. Ralph ,  Thomas N. Troxell

IPC: A61B17/80 ,  A61F2/02

CPC classification number: A61B17/688 ,  Y10T403/7176

Abstract: Strip fasteners and cranial plugs for use in reattaching a skull flap removed during brain surgery and methods of using the same. The strip fasteners are flexible and can be shaped to follow the perimeter contour of the skull flap. The cranial plugs can be used to reattach the skull flap or they can be installed after the skull flap is reattached using the strip fasteners. In some embodiments, the cranial plug(s) and strip fasteners can be installed at the same time. The strip fasteners and cranial plugs are designed to encourage bone growth and healing of the skull flap and they can be used to deliver medication and bone growth enhancement compositions to the surgical site.

Abstract translation: 用于重新安装在脑手术期间移除的颅骨瓣的带状紧固件和头颅及其使用方法。 带状紧固件是柔性的，并且可以被成形为跟随颅骨瓣的周边轮廓。 颅骨插头可用于重新连接颅骨瓣，或者可以使用带状紧固件重新安装颅骨瓣后安装头盖。 在一些实施例中，可以同时安装颅骨塞和带状紧固件。 带状紧固件和颅骨塞被设计成促进颅骨瓣的骨生长和愈合，并且它们可以用于将药物和骨生长增强组合物递送到手术部位。