公开(公告)号：US06254602B1

公开(公告)日：2001-07-03

申请号：US09408197

申请日：1999-09-29

申请人： Jeff R. Justis

发明人： Jeff R. Justis

IPC分类号： A61B1756

CPC分类号： A61B17/7037 ,  A61B17/7032 ,  A61B17/7035 ,  A61B2017/00867 ,  F16B1/0014 ,  Y10S606/911

摘要： An advanced coupling device using shape-memory technology. The coupling device includes a coupling element defining a longitudinal passage extending therethrough, the passage bounded by a side wall having a first end and an opposing second end, the side wall defining a first slot extending from the first end toward the second end, and a second slot extending from the second end toward the first end, and wherein a portion of the second slot is positioned proximately adjacent and longitudinally overlapping a portion of the first slot. The device further includes a compression element at least partially formed of a shape-memory material and being disposed about at least a portion of the coupling element. The compression element has a configuration which contracts about the coupling element and compresses the side wall against a member disposed within the passage to limit movement of the member relative to the coupling element.

摘要翻译： 一种使用形状记忆技术的先进的耦合装置。 联接装置包括限定通过其延伸穿过的纵向通道的联接元件，该通道由具有第一端和相对的第二端的侧壁限定，该侧壁限定从第一端向第二端延伸的第一狭槽，以及 所述第二槽从所述第二端朝向所述第一端延伸，并且其中所述第二槽的一部分定位成邻近所述第一槽的一部分并且纵向重叠。 该装置还包括至少部分地由形状记忆材料形成并围绕联接元件的至少一部分设置的压缩元件。 压缩元件具有围绕联接元件收缩并且将侧壁压靠在设置在通道内的构件上以限制构件相对于联接元件的移动的构造。

公开(公告)号：US06210413B1

公开(公告)日：2001-04-03

申请号：US09408364

申请日：1999-09-29

申请人： Jeff R. Justis ,  Michael C. Sherman

发明人： Jeff R. Justis ,  Michael C. Sherman

IPC分类号： A61B1770

CPC分类号： A61B17/7041 ,  A61B2017/00867

摘要： An apparatus for connecting two members uses shape-memory technology. The connecting apparatus includes a first module having a connector portion adapted for connection to a first member, and a second module having a connector portion adapted for connection to a second member. Each module has a pair of flanges extending therefrom which are disposed about and overlap a portion of the connector portion of the other module. In one embodiment, a compression member at least partially formed of a shape-memory material is disposed adjacent to the flanges and has a first configuration at one temperature which allows relative movement between the modules, and a second configuration at a different temperature which limits relative movement between the modules. In another embodiment, each pair of flanges is at least partially formed of a shape-memory material and has a first configuration at one temperature which allows relative movement between the modules, and a second configuration at a different temperature which limits relative movement between the modules.

摘要翻译： 用于连接两个部件的装置使用形状记忆技术。 连接装置包括具有适于连接到第一构件的连接器部分的第一模块和具有适于连接到第二构件的连接器部分的第二模块。 每个模块具有从其延伸的一对凸缘，该对法兰围绕另一模块的连接器部分的一部分设置。 在一个实施例中，至少部分地由形状记忆材料形成的压缩构件设置成与凸缘相邻，并且在允许模块之间的相对移动的一个温度下具有第一构造，并且在不同温度下具有限制相对的第二构型 模块之间的移动。 在另一个实施例中，每对法兰至少部分地由形状记忆材料形成，并且在一个温度下具有允许模块之间相对移动的第一构型，以及限制模块之间的相对运动的不同温度的第二构型 。

公开(公告)号：US09066770B2

公开(公告)日：2015-06-30

申请号：US12906608

申请日：2010-10-18

申请人： Jeff R. Justis

发明人： Jeff R. Justis

IPC分类号： A61B17/84 ,  A61B17/86 ,  A61B17/88 ,  A61B17/16 ,  A61B19/00

CPC分类号： A61B17/8897 ,  A61B17/1604 ,  A61B2090/036

摘要： A surgical instrument includes a needle extending between a proximal end and a distal end. The needle defines a longitudinal axis. The needle includes an elongated cavity that defines an opening disposed proximal to the distal end. A wire extends between a proximal end and a distal end configured for fixation with tissue. The wire is configured for movable disposal within the cavity. The distal end of the wire includes a retainer configured to prevent advancement of the retainer within the tissue. Methods of use are disclosed.

摘要翻译： 手术器械包括在近端和远端之间延伸的针。 针限定纵向轴线。 针包括细长腔，其限定靠近远端设置的开口。 电线在构造成用于固定组织的近端和远端之间延伸。 线被配置为在腔内可移动处理。 线的远端包括保持器，该保持器构造成防止保持器在组织内的前进。 公开了使用方法。

公开(公告)号：US20140052180A1

公开(公告)日：2014-02-20

申请号：US13588686

申请日：2012-08-17

申请人： Jeff R. Justis ,  Larry T. McBride ,  John Stewart Young

发明人： Jeff R. Justis ,  Larry T. McBride ,  John Stewart Young

IPC分类号： A61B17/88 ,  A61B17/70

CPC分类号： A61B17/7032 ,  A61B17/7082

摘要： An extender comprises an outer member including a lateral opening, first and second extensions defining first and second axial cavities, the axial cavities including a first portion, a second portion and a third portion. An inner member includes a body defining a tab, first and second arms having first and second projections. The inner member is configured for axial translation relative to the outer member between a first position, a second position and a third position. The tab is movable into at least one locking cavity of the lateral opening to fix the inner member relative to the outer member. Methods of use are disclosed.

摘要翻译： 扩展器包括外部构件，该外部构件包括侧向开口，第一和第二延伸部限定第一和第二轴向空腔，所述轴向空腔包括第一部分，第二部分和第三部分。 内部构件包括限定突片的主体，第一和第二臂具有第一和第二突起。 内部构件构造成在第一位置，第二位置和第三位置之间相对于外部构件轴向平移。 突片可移动到侧向开口的至少一个锁定腔中，以相对于外部构件固定内部构件。 公开了使用方法。

公开(公告)号：US20130197581A1

公开(公告)日：2013-08-01

申请号：US13361497

申请日：2012-01-30

申请人： Jeff R. Justis ,  Gregory C. Marik ,  Charles S. Sullivan

发明人： Jeff R. Justis ,  Gregory C. Marik ,  Charles S. Sullivan

IPC分类号： A61B17/70 ,  A61B17/88

CPC分类号： A61B17/7068

摘要： Spinous process implants and methods relate to a spinal implant with two plates that are connected together by a post. The implant is configured for each plate to be positioned on outer lateral sides of spinous processes with the post extending through the interspinous space. The second of the two plates includes a bore that receives the post, and that plate is movable along the length of the post, and selectively lockable in position. A guide is removably attached to the distal end of the post and acts to guide the placement of the second plate during assembly, particularly assembly in situ during surgery. The guide is advantageously flexible, or at least more flexible than the post, so that the guide may be routed conveniently during surgery. The guide is removable from the distal end of the post after assembly, prior to closing the surgical site.

摘要翻译： 脊椎植入物和方法涉及一种脊柱植入物，两个板块通过柱连接在一起。 植入物构造成使得每个板被定位在棘突的外侧面上，柱延伸穿过椎间盘间隙。 两个板中的第二个板包括一个容纳柱的孔，该板可以沿柱的长度移动，并可选择性地锁定就位。 引导件可移除地附接到柱的远端，并且用于在组装期间引导第二板的放置，特别是在手术期间原位组装。 引导件有利地是柔性的，或至少比柱子更灵活，使得引导件可以在手术期间方便地布置。 在组装之后，在关闭手术部位之前，引导件可从柱的远端移除。

公开(公告)号：US08142476B2

公开(公告)日：2012-03-27

申请号：US11983911

申请日：2007-11-13

申请人： Fred J. Molz ,  Jeff R. Justis

发明人： Fred J. Molz ,  Jeff R. Justis

IPC分类号： A61B17/70

CPC分类号： A61B17/8085 ,  A61B17/7059 ,  A61B2017/00867

摘要： An implant for stabilizing a bony segment includes a flexible body sized and shaped to extend intravertebrally between at least first and second bony portions. In use the body is attachable intravertebrally to each of the first and second bony portions to distract each of the first and second bony portions while allowing motion between each of the first and second bony portions.

摘要翻译： 用于稳定骨段的植入物包括柔性体，其尺寸和形状可以在至少第一和第二骨部之间的椎间盘内延伸。 在使用中，身体可以在脊椎内附着到第一和第二骨部分中的每一个上，以分散第一和第二骨部分中的每一个，同时允许第一和第二骨部分中的每一个之间的运动。

公开(公告)号：US20110218581A1

公开(公告)日：2011-09-08

申请号：US12715908

申请日：2010-03-02

申请人： Jeff R. Justis

发明人： Jeff R. Justis

IPC分类号： A61B17/88

CPC分类号： A61B17/7085 ,  A61B17/708 ,  A61B17/7083 ,  A61B17/7086

摘要： One nonlimiting embodiment of the present application is directed to a system for positioning a connecting element adjacent one or more bones or bony portions, such as the spinal column, through a minimally invasive surgical approach. The system generally includes a number of bone anchors engageable to the one or more bones or bony portions and a number of anchor extenders removably engaged to the bone anchors. A connecting element inserter instrument is engageable with one of the anchor extenders and is movable along a longitudinal axis of the anchor extender. As the inserter instrument is moved along the longitudinal axis toward the bone anchors, a leading end of the connecting element is rotated away from the longitudinal axis and the connecting element is positioned at a location adjacent the number of bone anchors in a minimally invasive surgical procedure. However, in other embodiments, different forms and applications are envisioned.

摘要翻译： 本申请的一个非限制性实施例涉及一种用于通过微创手术方法将连接元件邻近一个或多个骨骼或骨部分（例如脊柱）定位的系统。 该系统通常包括可接合到一个或多个骨骼或骨部分的多个骨锚固件以及可拆卸地接合到骨锚固件的多个锚定器延伸器。 连接元件插入器具可与锚定器延伸器中的一个接合，并且可沿锚定延伸器的纵向轴线移动。 当插入器械沿着纵向轴线朝向骨锚固件移动时，连接元件的前端从纵向轴线旋转，并且连接元件以微创外科手术方式定位在与骨锚固件数量相邻的位置 。 然而，在其他实施例中，可以想到不同的形式和应用。

公开(公告)号：US07947046B2

公开(公告)日：2011-05-24

申请号：US11820964

申请日：2007-06-21

申请人： Jeff R. Justis ,  John D. Pond, Jr. ,  Larry T. McBride, Jr.

发明人： Jeff R. Justis ,  John D. Pond, Jr. ,  Larry T. McBride, Jr.

IPC分类号： A61B17/70

CPC分类号： A61B17/88 ,  A61B17/7089

摘要： Systems for positioning a connecting element adjacent the spinal column in minimally invasive surgical procedures include one or more extenders removably engaged to one or more anchors engaged to a bony segment. The anchor extenders provide a reference to the respective anchor locations within the patient even when the anchor is obstructed by skin and/or tissue of the patient. An inserter can be movably mounted to the one or more anchor extenders, or an inserter can be employed without mounting to the one or more anchor extenders. In either form, the inserter is operable to position a stabilization element relative to the anchors for engagement to the anchors to stabilize the bony segment to which the anchors are engaged. At least one of the one or more anchor extenders includes a reduction assembly that is operable to move one or more portions of the bony segment while maintaining the minimally invasive character of the procedure.

摘要翻译： 用于在微创手术过程中用于定位邻近脊柱的连接元件的系统包括可拆卸地接合到接合到骨段的一个或多个锚的一个或多个延伸器。 即使当锚固体被患者的皮肤和/或组织阻塞时，锚定器延伸器提供对患者内的相应锚定位置的参考。 插入器可以可移动地安装到一个或多个锚定器延伸器，或者可以使用插入器而不安装到一个或多个锚定器延伸器。 在任一种形式中，插入器可操作以相对于锚固件定位稳定元件以与锚固件接合以稳定锚固件所接合的骨段。 所述一个或多个锚定器延伸器中的至少一个包括还原组件，其可操作以移动所述骨段的一个或多个部分，同时保持所述程序的微创特征。

公开(公告)号：US20100199483A1

公开(公告)日：2010-08-12

申请号：US12762869

申请日：2010-04-19

申请人： Jeff R. Justis ,  Fred J. Molz, IV

发明人： Jeff R. Justis ,  Fred J. Molz, IV

IPC分类号： B23P11/02

CPC分类号： A61B17/7035 ,  A61B17/7011 ,  A61B17/7032 ,  A61B17/7055 ,  Y10T29/49863

摘要： Methods of assembling a vertebral anchor to a body shaped to receive a longitudinal member. The methods may include inserting a wear member and a head of an anchor into a cavity through an inlet in a first end of a body. The body may further include a second end with a channel to receive the longitudinal member. The method may include deforming the first end of the body and reducing a width of the inlet measured perpendicular to a longitudinal axis of the body and capturing the wear member and the head in the cavity. The method may also include compressing the wear member against the head of the anchor and increasing an amount of interference between the wear member and the head.

摘要翻译： 将椎骨锚固件组装成形状以容纳纵向构件的身体的方法。 所述方法可以包括通过身体的第一端中的入口将耐磨构件和锚的头部插入空腔中。 主体还可以包括具有用于容纳纵向构件的通道的第二端。 该方法可以包括使主体的第一端变形并且减小垂直于主体的纵向轴线测量的入口的宽度，并将磨损构件和头部捕获在空腔中。 该方法还可以包括将磨损构件压靠在锚的头部上并增加磨损构件和头部之间的干涉量。

公开(公告)号：US07699879B2

公开(公告)日：2010-04-20

申请号：US10689961

申请日：2003-10-21

申请人： Michael C. Sherman ,  Jeff R. Justis

发明人： Michael C. Sherman ,  Jeff R. Justis

IPC分类号： A61B17/80

CPC分类号： A61B17/7032 ,  A61B17/6491 ,  A61B17/68 ,  A61B17/686 ,  A61B17/7007 ,  A61B17/7059 ,  A61B17/8004 ,  A61B17/8042 ,  A61B2017/00004 ,  Y10S606/908

摘要： The present invention generally relates to orthopedic devices and methods for treating bone defects. The orthopedic devices can provide sufficient support to the bone defect while allowing bone ingrowth and minimizing the risk to stress shield and/or pseudo-arthrodesis. The bone fixation devices include a biodegradable material or component that further resists relative motion of attached bones and allows the device to gradually transfer at least some load from the device to the growing bone structure in vivo and permitting an increase in the relative motion of bones attached to the device.

摘要翻译： 本发明一般涉及矫形装置和治疗骨缺损的方法。 整形外科设备可以为骨缺损提供足够的支撑，同时允许骨向内生长并最小化应力屏蔽和/或伪关节固定的风险。 骨固定装置包括进一步抵抗附着骨的相对运动的可生物降解的材料或组分，并允许该装置在体内逐渐将至少一些载荷从装置转移到生长的骨骼结构，并允许增加附着的骨骼的相对运动 到设备。