Minimally invasive expanding spacer and method

    公开(公告)号:US07070598B2

    公开(公告)日:2006-07-04

    申请号:US10817024

    申请日:2004-04-02

    IPC分类号: A61B17/80

    摘要: A minimaly invasive spacer for positioning between vertebral members. The spacer is adjustable between a first orientation having a reduced size to facilitate insertion between the vertebral members. A second orientation has an enlarged size for contacting the vertebral members. The spacer includes linkages that are attached to a pair of plates. A pull arm is operatively connected to the linkages for adjusting the spacer from the first orientation to the second orientation. A delivery device is attached to the spacer for insertion between the vertebral members. In one embodiment, the delivery device is detachable to be removed from the spacer once positioned between the vertebral members. Methods of using the spacer include positioning the spacer between the vertebral members while in the first orientation. The spacer is then enlarged to the second orientation, and the delivery device is removed with only the spacer remaining within the patient.

    Spinal bone implant
    96.
    发明授权

    公开(公告)号:US06562073B2

    公开(公告)日:2003-05-13

    申请号:US09777702

    申请日:2001-02-06

    申请人: Kevin T. Foley

    发明人: Kevin T. Foley

    IPC分类号: A61F244

    摘要: Implantable devices useful for creating bony fusion particularly in intervetebral spinal fusion. The device is formed of bone and has a body portion with an upper flange member and an opposite lower flange member extending from the body portion. The upper and lower flange members are at least partially demineralized to create a flexible ligament extending from the body portion. In one application, the body portion is inserted into a disc space and the flexible ligament is secured to vertebrae on either side of the disc space. Techniques are also disclosed for making the implantable devices and for inserting the implantable device into an intervertebral disc space to promote interbody fusion.

    Instruments for stabilization of bony structures
    97.
    发明授权
    Instruments for stabilization of bony structures 有权
    用于稳定骨骼结构的仪器

    公开(公告)号:US06530929B1

    公开(公告)日:2003-03-11

    申请号:US09616581

    申请日:2000-07-14

    IPC分类号: A61B1790

    摘要: The present invention relates to a brace installation instrument placement that is mounted to anchors secured in an animal subject. The installation instrument includes anchor extensions coupled to the anchors. The instrument is movable with respect to the anchors to position a brace in a position more proximate the anchors. The brace can be indexed for insertion at a predetermined orientation with respect to the installation instrument. Methods and techniques for using the installation instrument are also provided.

    摘要翻译: 本发明涉及一种安装到固定在动物对象中的锚固件的支架安装仪器放置件。 安装仪器包括连接到锚固件的锚固件延伸件。 仪器可相对于锚固件移动,以将支架定位在更接近锚固件的位置。 可以将支架索引成相对于安装工具以预定取向插入。 还提供了使用安装仪器的方法和技术。

    System for reducing the displacement of a vertebra
    98.
    发明授权
    System for reducing the displacement of a vertebra 有权
    减少椎骨位移的系统

    公开(公告)号:US06248107B1

    公开(公告)日:2001-06-19

    申请号:US09526197

    申请日:2000-03-15

    IPC分类号: A61B1756

    摘要: A method and an assembly for reducing a displaced vertebra and connecting the displaced vertebra to a spinal implant rod. The assembly has a reduction bolt with machine threads on one end and coarse threads on the other. A connection unit attaches the spinal rod to the reduction bolt, and until it is tightened, the connection unit allows the reduction bolt to slide within the connection unit. The connection unit includes a washer that rides against the side of the reduction bolt, and a nut is threaded onto the machine threads of the reduction bolt over a collar. The collar open is open at both ends and is of a size to readily slide over the reduction bolt. The posterior face of the collar has a notch to accept that portion of the lateral side of the washer as it presses against the reduction bolt. The notch is part of the open end of the collar into which is slide over the reduction bolt and down onto the connection unit. Arranged in this fashion, the nut can be tightened against the collar to move the displaced vertebra toward the longitudinal member. The third clamp can be tightened to secure the reduction bolt to the longitudinal member, and then the nut and the collar can be removed from the patient without the vertebra moving away from the longitudinal member.

    摘要翻译: 一种用于减少移位的椎骨并将移位的椎骨连接到脊柱植入物杆的方法和组件。 该组件具有一端的机螺纹和另一端的粗螺纹的减压螺栓。 连接单元将脊柱杆附接到减压螺栓,并且直到其被紧固为止,连接单元允许还原螺栓在连接单元内滑动。 连接单元包括一个靠在减压螺栓侧面上的垫圈,并且一个螺母被拧到减速螺栓的机械螺纹上。 套环打开在两端是开放的,并且具有容易在减压螺栓上滑动的尺寸。 轴环的后表面具有凹口,以在垫圈压靠减速螺栓时接纳垫圈侧面的那部分。 凹口是套环的开口端的一部分,在其中滑过减压螺栓并向下滑动到连接单元上。 以这种方式布置,螺母可以紧紧地靠在套环上,以使移位的椎骨向纵向构件移动。 可以拧紧第三夹具以将还原螺栓固定到纵向构件上,然后可以从患者身上取下螺母和套环,而不会使椎骨从纵向构件移开。

    Apparatus for percutaneous surgery
    99.
    发明授权
    Apparatus for percutaneous surgery 有权
    经皮手术装置

    公开(公告)号:US6152871A

    公开(公告)日:2000-11-28

    申请号:US160882

    申请日:1998-09-25

    摘要: Devices and methods for performing percutaneous surgery under direct visualization through a single cannula are shown. A device includes an elongated cannula sized for percutaneous introduction that defines a working channel between its ends. The working channel is sized to receive one or more surgical tools therethrough. A clamp assembly is engaged to the outer surface of the cannula. The clamp assembly includes a viewing element receiving portion and a viewing element includes a clamp assembly engaging portion for removably engaging the viewing element to the clamp assembly. In one embodiment, the receiving portion defines a receptacle for receiving a dovetail included on the engaging portion of the viewing element. The receiving portion may also include a pivotable clip for removably engaging a protuberance of the engaging portion. The clamp includes a mechanism that allows translation, rotation, and removal of the clamp assembly and the viewing element with respect to the cannula. The cannula may also be engaged to a flexible arm that is securely mounted in order to stabilize the position of the cannula at the surgical site.

    摘要翻译: 示出了通过单个插管在直接可视化下进行经皮手术的装置和方法。 一种装置包括尺寸适于经皮引入的细长套管,其在其端部之间限定工作通道。 工作通道的尺寸适于接收一个或多个外科手术工具。 夹具组件接合到套管的外表面。 夹具组件包括观察元件接收部分,并且观察元件包括用于将观察元件可移除地接合到夹具组件的夹具组合接合部分。 在一个实施例中,接收部分限定用于接收包括在观察元件的接合部分上的燕尾榫的插座。 接收部分还可以包括用于可移除地接合接合部分的突起的可枢转夹子。 夹具包括允许夹具组件和观察元件相对于插管的平移,旋转和移除的机构。 套管还可以接合到柔性臂,该柔性臂被牢固地安装以便稳定插管在手术部位的位置。