公开(公告)号：US07771477B2

公开(公告)日：2010-08-10

申请号：US10833736

申请日：2004-04-28

Applicant: James D. Ralph ,  Stephen Tatar

Inventor： James D. Ralph ,  Stephen Tatar

IPC: A61F2/44

CPC classification number: A61F2/4425 ,  A61F2/30742 ,  A61F2/30767 ,  A61F2/442 ,  A61F2002/30171 ,  A61F2002/302 ,  A61F2002/3038 ,  A61F2002/30433 ,  A61F2002/30443 ,  A61F2002/30446 ,  A61F2002/30451 ,  A61F2002/30492 ,  A61F2002/30502 ,  A61F2002/30507 ,  A61F2002/30518 ,  A61F2002/30538 ,  A61F2002/30563 ,  A61F2002/30565 ,  A61F2002/30571 ,  A61F2002/30594 ,  A61F2002/30604 ,  A61F2002/30649 ,  A61F2002/30769 ,  A61F2002/30774 ,  A61F2002/30909 ,  A61F2002/3092 ,  A61F2002/30975 ,  A61F2002/443 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2220/0041 ,  A61F2220/0058 ,  A61F2230/005 ,  A61F2230/0065 ,  A61F2250/0006 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00365

Abstract: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by at least one spring mechanism. The preferred spring mechanism is at least one belleville washer having radially spaced concentric grooves. In a preferred embodiment there is a single such belleville washer which is modified to mount onto a ball-shaped head. The lower plate of this embodiment includes a post extending upwardly from the inner surface of the plate, the post including a ball-shaped head. The modified belleville washer can be rotatably mounted to the head such that the wider portion of the washer seats against the upper plate.

Abstract translation: 一种椎间隔器装置，具有一对相对的板，用于抵靠相对的椎骨表面，由至少一个弹簧机构隔开。 优选的弹簧机构是具有径向间隔开的同心凹槽的至少一个贝氏垫圈。 在一个优选实施例中，有一个这样的贝尔洗衣机被修改以安装在球形头上。 该实施例的下板包括从板的内表面向上延伸的柱，柱包括球形头。 改进的百叶窗垫圈可以可旋转地安装到头部，使得更宽的部分垫圈抵靠上板。

公开(公告)号：US20100131012A1

公开(公告)日：2010-05-27

申请号：US12276544

申请日：2008-11-24

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: A61B17/70 ,  A61B17/04

CPC classification number: A61B17/88 ,  A61B17/80 ,  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 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下面的骨骼，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：US07713302B2

公开(公告)日：2010-05-11

申请号：US10833737

申请日：2004-04-28

Applicant: James D. Ralph ,  Stephen Tatar

Inventor： James D. Ralph ,  Stephen Tatar

IPC: A61F2/44

CPC classification number: A61F2/4425 ,  A61F2/30742 ,  A61F2/30767 ,  A61F2002/30171 ,  A61F2002/302 ,  A61F2002/30433 ,  A61F2002/30444 ,  A61F2002/30451 ,  A61F2002/30492 ,  A61F2002/30502 ,  A61F2002/30518 ,  A61F2002/30565 ,  A61F2002/30571 ,  A61F2002/30594 ,  A61F2002/30604 ,  A61F2002/30769 ,  A61F2002/30774 ,  A61F2002/30909 ,  A61F2002/3092 ,  A61F2002/30975 ,  A61F2002/443 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2220/0058 ,  A61F2230/005 ,  A61F2230/0065 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00365

Abstract: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by at least one spring mechanism. The preferred spring mechanism is at least one spirally slotted belleville washer having radially spaced concentric grooves. In a preferred embodiment there is a single such belleville washer which is modified to mount onto a ball-shaped head. The lower plate of this embodiment includes a post extending upwardly from the inner surface of the plate, the post including a ball-shaped head. The modified belleville washer can be rotatably mounted to the head such that the wider portion of the washer seats against the upper plate.

Abstract translation: 一种椎间隔器装置，具有一对相对的板，用于抵靠相对的椎骨表面，由至少一个弹簧机构隔开。 优选的弹簧机构是至少一个具有径向间隔开的同心凹槽的螺旋形开槽的贝尔垫圈垫圈。 在一个优选实施例中，有一个这样的贝尔洗衣机被修改以安装在球形头上。 该实施例的下板包括从板的内表面向上延伸的柱，柱包括球形头。 改进的百叶窗垫圈可以可旋转地安装到头部，使得更宽的部分垫圈抵靠上板。

公开(公告)号：US20100094428A1

公开(公告)日：2010-04-15

申请号：US12248978

申请日：2008-10-10

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

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

IPC: A61F2/02 ,  A61B17/70

CPC classification number: A61B17/688 ,  A61B17/1695 ,  A61F2/2846 ,  A61F2002/30032 ,  A61F2013/00357 ,  A61F2250/003

Abstract: Craniotomy closure systems comprising surgical fasteners and a protective covering over the dura 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 optionally used in combination with the craniotomy closure systems are shaped to follow the perimeter contour of the skull flap. The craniotomy closure systems 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: 描述了包括手术紧固件和在硬脑膜上的保护性覆盖物的开颅闭合系统，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。 任选地与开颅闭合系统组合使用的手术条被成形为跟随颅骨瓣的周边轮廓。 开颅闭合系统旨在促进颅骨瓣的骨生长和愈合，并且它们可用于将药物和骨生长增强材料递送至手术部位。

公开(公告)号：US07563285B2

公开(公告)日：2009-07-21

申请号：US10175417

申请日：2002-06-19

Applicant: James D. Ralph ,  Stephen Tatar

Inventor： James D. Ralph ,  Stephen Tatar

IPC: A61F2/44

CPC classification number: A61F2/4425 ,  A61F2/30767 ,  A61F2002/30187 ,  A61F2002/30378 ,  A61F2002/30441 ,  A61F2002/30446 ,  A61F2002/30454 ,  A61F2002/30502 ,  A61F2002/30507 ,  A61F2002/30518 ,  A61F2002/30538 ,  A61F2002/30565 ,  A61F2002/30594 ,  A61F2002/30604 ,  A61F2002/30649 ,  A61F2002/30772 ,  A61F2002/30909 ,  A61F2002/30975 ,  A61F2002/443 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2220/0041 ,  A61F2220/0058 ,  A61F2230/0034 ,  A61F2250/0006 ,  A61F2310/00023

Abstract: An artificial intervertebral disc having a pair of opposing plate members for seating against opposing vertebral bone surfaces, separated by a ball joint coupling. One plate member has a centrally located ball-shaped protrusion that is rotatably coupled in a central socket in a cone-shaped protrusion on the other plate member. Thereby, the plate members are angulatable with respect to one another. Further, the disc assembly will not come apart under tension loads applied to the plate members, and the location of the ball joint coupling provides the disc assembly with a stationary centroid of motion that is centrally located between the vertebral bone surfaces, both causing the disc assembly to behave similarly in these respects to a healthy natural intervertebral disc.

Abstract translation: 一种人造椎间盘，其具有一对相对的板构件，用于抵靠相对的椎骨表面，由球接头联接分开。 一个板构件具有中心定位的球形突起，其可旋转地联接在另一个板构件上的锥形突起中的中心插座中。 因此，板构件相对于彼此可翘曲。 此外，盘组件在施加到板构件的张力下不会分开，并且球接头联接件的位置为圆盘组件提供了位于椎骨骨骼表面之间的中心位置的静止的运动中心， 组装在这些方面与健康的自然椎间盘的表现相似。

公开(公告)号：US20090112322A1

公开(公告)日：2009-04-30

申请号：US12316891

申请日：2008-12-17

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：US20080262504A1

公开(公告)日：2008-10-23

申请号：US12214334

申请日：2008-06-18

Applicant: James D. Ralph ,  Stephen Tatar

Inventor： James D. Ralph ,  Stephen Tatar

IPC: A61B17/58

CPC classification number: A61F2/4611 ,  A61F2/442 ,  A61F2002/4627 ,  A61F2002/4628

Abstract: An instrument for inserting an implant between vertebral bodies, including a holder adapted to hold the implant during insertion of the implant between the vertebral bodies, a retractor adapted to retract the holder away from the implant after the insertion, and a guard adapted to prevent the implant from being removed from between the vertebral bodies during the retraction.

公开(公告)号：US07404795B2

公开(公告)日：2008-07-29

申请号：US10715968

申请日：2003-11-18

Applicant: James D. Ralph ,  Stephen Tatar

Inventor： James D. Ralph ,  Stephen Tatar

IPC: A61B1/32 ,  A61B17/58

CPC classification number: A61F2/4611 ,  A61F2/442 ,  A61F2002/4627 ,  A61F2002/4628

Abstract: An instrument for inserting an implant between vertebral bodies, including a holder adapted to hold the implant during insertion of the implant between the vertebral bodies, a retractor adapted to retract the holder away from the implant after the insertion, and a guard adapted to prevent the implant from being removed from between the vertebral bodies during the retraction.

Abstract translation: 一种用于在椎体之间插入植入物的装置，包括适于在植入物在椎体之间插入期间保持植入物的保持器，适于在插入之后使支架远离植入物缩回的牵开器，以及适于防止 在退缩期间植入物从椎体之间被移除。

公开(公告)号：US20080177330A1

公开(公告)日：2008-07-24

申请号：US11585718

申请日：2006-10-24

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

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

IPC: A61B17/56

CPC classification number: A61B17/8038 ,  A61B17/8047 ,  A61B17/8695 ,  A61B2017/00004

Abstract: Self-locking surgical screw assemblies are described for fastening a medical implant to a bone. The invention also includes combinations of self-locking screws and implants, devices implanted with self-locking screws and related methods which insure the stable attachment of the implant to the bone. Each self-locking surgical screw assembly is comprised of a screw having a non-threaded head affixed to a shank, a threaded portion on the shank, a neck on the shank and a locking device externally affixed to or disposed on the head and/or neck. The locking device lockingly engages the head and/or neck of the screw when the screw is in fastening engagement with the medical implant and the bone.

Abstract translation: 描述了用于将医疗植入物固定到骨头上的自锁外科用螺钉组件。 本发明还包括自锁螺钉和植入物的组合，植入自锁螺钉的装置和相关方法，其确保植入物与骨骼的稳定附着。 每个自锁外科用螺钉组件包括螺钉，其具有固定到柄上的非螺纹头部，柄上的螺纹部分，柄上的颈部和外部固定到或设置在头部上的锁定装置和/或 颈部。 当螺钉与医用植入物和骨骼紧固接合时，锁定装置锁定地接合螺钉的头部和/或颈部。

公开(公告)号：US07270680B2

公开(公告)日：2007-09-18

申请号：US10725305

申请日：2003-12-01

Applicant: James D. Ralph ,  Stephen Tatar

Inventor： James D. Ralph ,  Stephen Tatar

IPC: A61F2/44

CPC classification number: A61F2/4425 ,  A61F2/30742 ,  A61F2/30767 ,  A61F2/442 ,  A61F2002/30171 ,  A61F2002/302 ,  A61F2002/3038 ,  A61F2002/30433 ,  A61F2002/30443 ,  A61F2002/30444 ,  A61F2002/30446 ,  A61F2002/30451 ,  A61F2002/30492 ,  A61F2002/30502 ,  A61F2002/30507 ,  A61F2002/30518 ,  A61F2002/30538 ,  A61F2002/30563 ,  A61F2002/30565 ,  A61F2002/30571 ,  A61F2002/30594 ,  A61F2002/30604 ,  A61F2002/30649 ,  A61F2002/30769 ,  A61F2002/30774 ,  A61F2002/30909 ,  A61F2002/3092 ,  A61F2002/30975 ,  A61F2002/443 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2220/0041 ,  A61F2220/0058 ,  A61F2230/005 ,  A61F2230/0065 ,  A61F2250/0006 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00365

Abstract: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by at least one spring mechanism. The preferred spring mechanism is at least one spirally slotted belleville washer having radially extending grooves. In a preferred embodiment there is a single such belleville which is modified to mount onto a ball-shaped head. The lower plate of this embodiment includes a post extending upwardly from the inner surface of the plate, the post including a ball-shaped head. The modified Belleville washer can be rotatably mounted to the head such that the wider portion of the washer seats against the upper plate. The belleville washer has at least one radially extending groove and at least one spiral slot.

Abstract translation: 一种椎间隔器装置，具有一对相对的板，用于抵靠相对的椎骨表面，由至少一个弹簧机构隔开。 优选的弹簧机构是至少一个具有径向延伸凹槽的螺旋形开槽的贝尔垫圈垫圈。 在优选实施例中，有一个这样的贝尔维尔修改成安装在球形头上。 该实施例的下板包括从板的内表面向上延伸的柱，柱包括球形头。 改进的Belleville垫圈可以可旋转地安装到头部，使得更宽的部分垫圈抵靠上板。 贝氏垫圈具有至少一个径向延伸的凹槽和至少一个螺旋槽。