公开(公告)号：US08870958B2

公开(公告)日：2014-10-28

申请号：US13091324

申请日：2011-04-21

Applicant: James D. Ralph ,  Thomas N. Troxell

Inventor： James D. Ralph ,  Thomas N. Troxell

IPC: A61F2/44 ,  A61F2/46 ,  A61F2/30 ,  A61B17/02 ,  A61F2/28

CPC classification number: A61F2/4611 ,  A61B17/025 ,  A61B2017/0256 ,  A61F2/442 ,  A61F2/447 ,  A61F2002/2817 ,  A61F2002/30153 ,  A61F2002/30828 ,  A61F2002/4622 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2230/0019

Abstract: An intervertebral spacer has curvate upper and lower rough surfaces that stimulate bone growth and is formed from a porous material that facilitates bone growth thereinto. The spacer has a plurality of smooth linear grooves to facilitate insertion of the spacer into an intervertebral space using a spacer insertion tool that has a scissor-style body. Each of the insertion tool's arm's heads has an inner surface having a pair of smoothed linear protrusions that fit within the linear grooves of the spacer when the heads are closed about the spacer. When the spacer is held, spaces are present between the spacer's rough surfaces and the heads' inner surfaces so that when the protrusions are longitudinally slid from the grooves to leave the spacer in the intervertebral spacer, the rough surfaces are not disturbed.

Abstract translation: 椎间间隔物具有刺激骨生长的弯曲上部和下部粗糙表面，并且由促进骨生长的多孔材料形成。 间隔件具有多个平滑的线性槽，以便于使用具有剪刀式身体的间隔件插入工具将间隔件插入椎间空间。 插入工具的臂头中的每一个具有内表面，当内部表面围绕间隔件关闭时，该内表面具有一对平滑的线性突起，该平坦的线状突起装配在间隔物的线性槽内。 当保持间隔件时，间隔件的粗糙表面和头部内表面之间存在空间，使得当凸起从凹槽纵向滑动以将间隔件留在椎间隔件中时，粗糙表面不受干扰。

公开(公告)号：US20120136397A1

公开(公告)日：2012-05-31

申请号：US13306701

申请日：2011-11-29

Applicant: James D. Ralph ,  Thomas N. Troxell

Inventor： James D. Ralph ,  Thomas N. Troxell

IPC: A61B17/84

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。

公开(公告)号：US20110196500A1

公开(公告)日：2011-08-11

申请号：US13091324

申请日：2011-04-21

Applicant: James D. Ralph ,  Thomas N. Troxell

Inventor： James D. Ralph ,  Thomas N. Troxell

IPC: A61F2/44

CPC classification number: A61F2/4611 ,  A61B17/025 ,  A61B2017/0256 ,  A61F2/442 ,  A61F2/447 ,  A61F2002/2817 ,  A61F2002/30153 ,  A61F2002/30828 ,  A61F2002/4622 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2230/0019

Abstract: An intervertebral spacer has curvate upper and lower rough surfaces that stimulate bone growth and is formed from a porous material that facilitates bone growth thereinto. The spacer has a plurality of smooth linear grooves to facilitate insertion of the spacer into an intervertebral space using a spacer insertion tool that has a scissor-style body. Each of the insertion tool's arm's heads has an inner surface having a pair of smoothed linear protrusions that fit within the linear grooves of the spacer when the heads are closed about the spacer. When the spacer is held, spaces are present between the spacer's rough surfaces and the heads' inner surfaces so that when the protrusions are longitudinally slid from the grooves to leave the spacer in the intervertebral spacer, the rough surfaces are not disturbed.

Abstract translation: 椎间间隔物具有刺激骨生长的弯曲上部和下部粗糙表面，并且由促进骨生长的多孔材料形成。 间隔件具有多个平滑的线性槽，以便于使用具有剪刀式身体的间隔件插入工具将间隔件插入椎间空间。 插入工具的臂头中的每一个具有内表面，当内部表面围绕间隔件关闭时，该内表面具有一对平滑的线状突出部，该平面线形凸起装配在间隔件的线性槽内。 当保持间隔件时，间隔件的粗糙表面和头部内表面之间存在空间，使得当凸起从凹槽纵向滑动以将间隔件留在椎间隔件中时，粗糙表面不受干扰。

公开(公告)号：US20100324559A1

公开(公告)日：2010-12-23

申请号：US12635182

申请日：2009-12-10

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

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

IPC: A61B17/80 ,  A61B17/88

CPC classification number: A61B17/80 ,  A61B17/8023

Abstract: The invention pertains to adjustable bone plates which comprise one or more sets of first members and second members. The first members and second members are releaseably secured to each other by attachment means and locking means, and two or more set of first members and second members are connected by bridging means. The longitudinal and lateral dimensions of the bone plates may be adjustable.

Abstract translation: 本发明涉及包括一组或多组第一构件和第二构件的可调骨板。 第一构件和第二构件通过附接装置和锁定装置可释放地彼此固定，并且两个或更多组第一构件和第二构件通过桥接装置连接。 骨板的纵向和横向尺寸可以是可调节的。

公开(公告)号：US20100131013A1

公开(公告)日：2010-05-27

申请号：US12422533

申请日：2009-04-13

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

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

IPC: A61B17/80

CPC classification number: A61B17/80 ,  A61B17/8061 ,  A61B17/8085 ,  A61B17/8605 ,  A61B17/863

Abstract: A bone plate and system is provided. The bone fixation plate conforms to the contour of an irregularly shaped bone and eliminates the need for pre-bending or intraoperative bending of the plate. The bone plate is applied to the bone in a generally flat condition and the process of installing and tightening the bone screws in the prescribed order serves to contour the plate to the plate to the underlying bone while providing sufficient strength to effect bone healing. The geometry of the plate allows the plate to follow the contour of an irregularly shaped bone, preventing prominence and patient palpability and streamlining the surgical procedure.

Abstract translation: 提供骨板和系统。 骨固定板符合不规则形状骨的轮廓，并且不需要预弯曲或术中弯曲板。 将骨板以大致平坦的状态施用于骨骼，并且以规定的顺序安装和紧固骨螺钉的过程用于将板轮廓到板到下面的骨，同时提供足够的强度以实现骨愈合。 板的几何形状允许板跟随不规则形状的骨的轮廓，防止突出和患者的触觉和精简外科手术。

公开(公告)号：US20090076617A1

公开(公告)日：2009-03-19

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: A61F2/28

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：US06471725B1

公开(公告)日：2002-10-29

申请号：US09906123

申请日：2001-07-16

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

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

IPC: A61F244

CPC classification number: A61B17/025 ,  A61B17/70 ,  A61B2017/0256 ,  A61B2017/564 ,  A61F2/44 ,  A61F2/442 ,  A61F2/4455 ,  A61F2/4611 ,  A61F2/4684 ,  A61F2002/30113 ,  A61F2002/30166 ,  A61F2002/302 ,  A61F2002/3023 ,  A61F2002/30385 ,  A61F2002/30395 ,  A61F2002/305 ,  A61F2002/30574 ,  A61F2002/30616 ,  A61F2002/30617 ,  A61F2002/30672 ,  A61F2002/30772 ,  A61F2002/30822 ,  A61F2002/4623 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2220/0025 ,  A61F2230/0006 ,  A61F2230/0028 ,  A61F2230/0065 ,  A61F2230/0069 ,  A61F2250/0097 ,  A61F2310/00011

Abstract: An intervertebral space distraction and implantable device assembly provides sequentially axially wider spacers that are to be sequentially inserted into and removed from an intervertebral space to widen the space until a desired anatomical spacing of the adjacent vertebral bones is restored. The set of spacers includes a porous spacer that is as wide as the spacer that restores the desired anatomical spacing. The porous spacer can therefore be left implanted in the intervertebral space to promote fusion of the adjacent vertebral bones.

Abstract translation: 椎间空间牵引和可植入装置组件提供顺序地轴向更宽的间隔件，其将被顺序地插入椎间空间中并从脊椎间隙中移除，以加宽空间，直​​到恢复相邻椎骨的期望的解剖间距。 该组间隔件包括与间隔物一样宽的多孔间隔物，其恢复所需的解剖间距。 因此，多孔间隔物可以留在椎间空间中以促进相邻椎骨的融合。

公开(公告)号：US06428544B1

公开(公告)日：2002-08-06

申请号：US09906120

申请日：2001-07-16

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

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

IPC: A61B1758

CPC classification number: A61B17/025 ,  A61B2017/0256 ,  A61F2/4684

Abstract: An instrument for inserting and removing an intervertebral spacer into and out from an intervertebral space between adjacent vertebral bones, the spacer having a trunk portion having a longitudinal axis and flange portions at each longitudinal end of the trunk, the instrument including: a shaft having a proximal end and a distal end; the proximal end including a handle; and a holding structure provided at the distal end, which holding structure includes an enclosure within which the trunk of the spacer may be selectively introduced and maintained therein, the holding structure having an opening leading to the enclosure and through which opening the trunk of the spacer may be selectively passed to when forced therethrough.

Abstract translation: 一种用于将椎间隔垫插入和移出相邻椎骨之间的椎间空间的仪器，所述间隔件具有躯干部分，所述躯干部分具有纵向轴线，并且在躯干的每个纵向端处具有凸缘部分，所述器械包括：轴，其具有 近端和远端; 所述近端包括手柄; 以及保持结构，其设置在所述远端，所述保持结构包括外壳，所述间隔件的躯干可以选择性地引入并保持在所述外壳内，所述保持结构具有通向所述外壳的开口，并且所述保持结构通过所述开口穿过所述间隔件 可以被选择性地传递到被迫穿过。

公开(公告)号：US5947969A

公开(公告)日：1999-09-07

申请号：US174958

申请日：1998-10-19

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

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

IPC: A61B17/70 ,  A61B17/56

CPC classification number: A61B17/7044 ,  A61B17/7032

Abstract: A rod, screw, and staple assembly for use in conjunction with anterior or lateral spinal rod implant apparatus includes a vertebral body screw which has a shaft which is insertable into a vertebral bone, a tapered neck, and a head portion which includes a rod receiving channel and an annular recess. The vertebral body staple includes a flat portion which has a hole through it. The hole has a slotted rim which is downwardly sloped so that it may permit the expansion of the hole when a force is applied to it. The screw is advanced into the hole in the staple until the tapered neck thereof snaps through the hole and the rim seats in the annular recess of the screw. This permits the screw and staple to rotate relative to one another, but not to translate axially relative to one another. The staple also includes several barbs which independently hold the staple to the bone surface to which it is to be affixed. The staple may be inserted into the vertebral bone first, and then the screw is driven into the bone through the hole until the neck snaps through the hole. Alternatively, the screw and staple may first be coupled together, and then jointly driven into the bone. In either case, the rod is then inserted into the rod receiving channel and locked in the channel with a nut or set screw.

Abstract translation: 用于与前侧或外侧脊柱杆植入装置结合使用的杆，螺钉和钉组件包括：椎体螺钉，其具有可插入椎骨中的轴，锥形颈部和头部，该头部包括杆 通道和环形凹部。 椎体主体包括具有穿过其的孔的平坦部分。 孔具有向下倾斜的开槽边缘，使得当施加力时孔可以允许孔的膨胀。 螺钉进入订书钉中的孔，直到其锥形颈部通过孔咬合，并且边缘位于螺钉的环形凹部中。 这允许螺钉和订书钉相对于彼此旋转，但不能相对于彼此轴向地平移。 钉子还包括几个倒钩，它们将钉子独立地保持在要被固定的骨表面上。 首先将缝钉插入椎骨中，然后将螺钉通过孔驱动进入骨骼，直到颈部咬合穿过孔。 或者，螺钉和钉可以首先联接在一起，然后共同驱动进入骨中。 在任一情况下，杆被插入杆接收通道中，并用螺母或固定螺钉锁定在通道中。

公开(公告)号：US5904719A

公开(公告)日：1999-05-18

申请号：US899851

申请日：1997-07-24

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

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

IPC: A61F2/44 ,  A61F2/28 ,  A61F2/30

CPC classification number: A61F2/446 ,  A61F2002/2835 ,  A61F2002/30785 ,  A61F2002/30845 ,  A61F2002/30879 ,  A61F2002/4475 ,  A61F2002/448

Abstract: A tubular interbody fusion device having flat upper and lower surfaces including multiple parallel ratcheted blade ridges having opposing orientations, concave exterior side walls, an interior axial bore having inwardly directed ratcheted ridges, and a plurality of through holes extending from the upper and lower surfaces into the interior bore, from the sides into the interior bore, and from the upper and lower surfaces through the side walls.

Abstract translation: 一种具有平坦的上表面和下表面的管状体内融合装置，包括具有相反取向的多个平行棘轮叶片脊，凹入的外侧壁，具有向内指向的棘轮脊的内部轴向孔，以及从上表面和下表面延伸的多个通孔， 内孔，从侧面进入内孔，并且从上表面和下表面穿过侧壁。