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：US08376937B2

公开(公告)日：2013-02-19

申请号：US12695211

申请日：2010-01-28

申请人： Jusong Xia ,  Joseph Jude Saladino ,  Jeff R. Justis ,  Newton H. Metcalf, Jr. ,  Greg C. Marik ,  Nikolas F. Kerr ,  Hai H. Trieu

发明人： Jusong Xia ,  Joseph Jude Saladino ,  Jeff R. Justis ,  Newton H. Metcalf, Jr. ,  Greg C. Marik ,  Nikolas F. Kerr ,  Hai H. Trieu

IPC分类号： A61B1/32

CPC分类号： A61B1/32 ,  A61B17/0206 ,  A61B46/17 ,  A61B2017/00022 ,  A61B2017/00115 ,  A61B2017/00119 ,  A61B2017/00199 ,  A61B2017/00221 ,  G06F19/00

摘要： An apparatus for monitoring the characteristics of tissue adjacent a surgical site and communicating that information to a health care provider includes a retractor, a sensor, and a processing system. The sensor is disposed on the retractor and is configured to measure a parameter indicative of at least one characteristic of the tissue adjacent the first or the second blade. The processing system is in communication with the sensor and configured and arranged to receive information from the sensor indicative of the measured parameter. It includes a threshold stored therein indicative of excessive trauma to the tissue and it is configured in a manner such that it compares the received information to the stored threshold and communicates information to the health care provider regarding the comparison.

摘要翻译： 用于监测邻近手术部位的组织的特征并将该信息传达给医疗保健提供者的装置包括牵开器，传感器和处理系统。 传感器设置在牵开器上并被配置成测量指示邻近第一或第二叶片的组织的至少一个特征的参数。 处理系统与传感器通信并被配置和布置成从传感器接收指示测量参数的信息。 它包括存储在其中的阈值，其指示对组织的过度创伤，并且其被配置为使得其将所接收的信息与存储的阈值进行比较，并且将信息传达给医疗保健提供者以关于比较。

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：US20110265538A1

公开(公告)日：2011-11-03

申请号：US12770980

申请日：2010-04-30

申请人： Hai H. Trieu ,  Jeff R. Justis

发明人： Hai H. Trieu ,  Jeff R. Justis

IPC分类号： B21D11/02

CPC分类号： B21D7/066 ,  A61B17/7011 ,  A61B17/8863 ,  B21D37/02 ,  B21F1/00

摘要： Systems, devices and methods are provided for bending an elongate member used in association with a medical procedure. In one form, a device for bending an elongate member includes a support platform and a plurality of engaging members positioned on the support platform. Each of the plurality of engaging members includes at least one engaging portion configured for positioning in contact with the elongate member. Each of the plurality of engaging members is movable in at least three directions relative to the support platform to form one or more bends in the elongate member. In one aspect, the elongate member is formed of a heat deformable material and the device includes a heating member configured to apply heat to one or more portions of the elongate member to facilitate bending. However, other embodiments, forms and applications are also envisioned.

摘要翻译： 提供了用于弯曲与医疗程序相关联使用的细长构件的系统，装置和方法。 在一种形式中，用于弯曲细长构件的装置包括支撑平台和定位在支撑平台上的多个接合构件。 多个接合构件中的每一个包括构造成用于与细长构件接触定位的至少一个接合部分。 多个接合构件中的每一个可相对于支撑平台在至少三个方向上移动，以在细长构件中形成一个或多个弯曲部。 在一个方面，细长构件由热变形材料形成，并且该装置包括加热构件，该加热构件构造成将热量施加到细长构件的一个或多个部分以便于弯曲。 然而，也可以设想其他实施例，形式和应用。

公开(公告)号：US20110257687A1

公开(公告)日：2011-10-20

申请号：US12762421

申请日：2010-04-19

申请人： Hai H. Trieu ,  Jeff R. Justis

发明人： Hai H. Trieu ,  Jeff R. Justis

IPC分类号： A61B17/70 ,  A61B17/86

CPC分类号： A61B17/7001 ,  A61B17/7032 ,  A61B17/7038 ,  A61B17/866

摘要： A bone fastener includes a first section configured to support a bone construct. A second section is configured for fixation with bone and defines a longitudinal axis. An intermediate flexible section is disposed between the first section and the second section such that the first section is longitudinally aligned with the second section. The intermediate flexible section includes an inner surface that defines a cavity and an open end.

摘要翻译： 骨紧固件包括构造成支撑骨构件的第一部分。 第二部分构造成用于与骨固定并且限定纵向轴线。 中间柔性部分设置在第一部分和第二部分之间，使得第一部分与第二部分纵向对准。 中间柔性部分包括限定空腔和开口端的内表面。

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：US07857818B2

公开(公告)日：2010-12-28

申请号：US11694056

申请日：2007-03-30

申请人： Hai H. Trieu ,  Jeff R. Justis ,  Roy Lim

发明人： Hai H. Trieu ,  Jeff R. Justis ,  Roy Lim

IPC分类号： A61B17/58 ,  A61B17/60 ,  A61F2/00

CPC分类号： A61F2/4611 ,  A61B2017/0256 ,  A61F2/30767 ,  A61F2/30965 ,  A61F2/441 ,  A61F2/442 ,  A61F2002/2817 ,  A61F2002/30056 ,  A61F2002/30062 ,  A61F2002/3008 ,  A61F2002/30092 ,  A61F2002/30133 ,  A61F2002/30179 ,  A61F2002/302 ,  A61F2002/30224 ,  A61F2002/30291 ,  A61F2002/30563 ,  A61F2002/30596 ,  A61F2002/30604 ,  A61F2002/30677 ,  A61F2002/30719 ,  A61F2002/30827 ,  A61F2002/30838 ,  A61F2002/30891 ,  A61F2002/30906 ,  A61F2002/30909 ,  A61F2002/30925 ,  A61F2002/30957 ,  A61F2002/4415 ,  A61F2002/444 ,  A61F2002/4495 ,  A61F2002/4622 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2210/0004 ,  A61F2210/0014 ,  A61F2230/0015 ,  A61F2230/0058 ,  A61F2230/0065 ,  A61F2230/0069 ,  A61F2230/0091 ,  A61F2250/0032 ,  A61F2250/0092 ,  A61F2250/0098 ,  A61F2310/00017 ,  A61F2310/00023

摘要： A disc nucleus implant instrument includes a passageway effective for passing a material for replacing or augmenting an intervertebral disc nucleus, and a dilator at the distal end of said passageway. The instrument is effective for dilating an opening in a disc annulus and for passing a disc nucleus repair material through the opening and into the disc nucleus.,

摘要翻译： 椎间盘植入器械包括有效地通过用于替换或增加椎间盘细胞核的材料的通道，以及在所述通道的远端处的扩张器。 该仪器对于扩张椎间盘环中的开口并使椎间盘细胞核修复材料通过开口并进入椎间盘核中是有效的。 ，

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：US20100111631A1

公开(公告)日：2010-05-06

申请号：US12262760

申请日：2008-10-31

申请人： Hai H. Trieu ,  Jeff R. Justis

发明人： Hai H. Trieu ,  Jeff R. Justis

IPC分类号： B23C1/20

CPC分类号： B23B5/165 ,  A61B17/7005 ,  A61B17/7011 ,  A61B17/7026 ,  A61B17/8863 ,  B23B5/167 ,  B23D37/12 ,  B23D43/02 ,  Y10T409/30644

摘要： An apparatus for finishing an end of a rod including a shaping tool comprising a shaping assembly having a shaping housing and a shaping surface within the housing configured to engage an end of a rod and form a shaped rod end. The apparatus further including a finishing tool comprising a finishing assembly having a finishing surface for changing the contour of the shaped rod end to form a finished rod end.

摘要翻译： 一种用于完成杆的端部的装置，包括成形工具，该成形工具包括成形组件，该成形组件具有成形壳体和壳体内的成形表面，其构造成接合杆的端部并形成成形的杆端。 该装置还包括精加工工具，其包括具有用于改变成形杆端部的轮廓的精加工表面的精加工组件，以形成成品杆端部。