公开(公告)号：US20090105718A1

公开(公告)日：2009-04-23

申请号：US11873558

申请日：2007-10-17

申请人： Jeffrey ZHANG ,  John D. POND ,  Randy N. ALLARD ,  Larry T. MCBRIDE

发明人： Jeffrey ZHANG ,  John D. POND ,  Randy N. ALLARD ,  Larry T. MCBRIDE

IPC分类号： A61B17/88

CPC分类号： A61B17/8863 ,  A61B2090/037

摘要： A surgical instrument for use with a break-off device including a proximal portion removably attached to a distal portion by a region of reduced strength to allow selective removal of the proximal portion from the distal portion. The surgical instrument includes an inner drive shaft extending generally along a longitudinal axis and having a distal end portion engaged with the proximal portion of the break-off device, and an outer retention sleeve positioned about the drive shaft and including a distal receiver portion engaged about the proximal portion of the break-off device. A force applied to the proximal portion of the break-off device by the drive shaft causes the break-off device to fracture at the region of reduced strength to separate the proximal portion from the distal portion, with the proximal portion maintained in engagement with the surgical instrument by the retention sleeve.

摘要翻译： 一种用于与断开装置一起使用的手术器械，包括通过减小强度的区域可移除地附接到远侧部分的近端部分，以允许从远侧部分选择性地移除近端部分。 外科器械包括大致沿着纵向轴线延伸并且具有与断开装置的近端部分接合的远端部分的内部驱动轴和围绕驱动轴定位的外部保持套筒，并且包括远离接收器部分 断开装置的近端部分。 通过驱动轴施加到断开装置的近侧部分的力导致断裂装置在强度降低的区域断裂，以将近端部分与远端部分分离，其中近端部分保持与 手术器械由保持套管。

公开(公告)号：US20080110957A1

公开(公告)日：2008-05-15

申请号：US11559118

申请日：2006-11-13

申请人： Larry T. McBride ,  Robert B. Rice

发明人： Larry T. McBride ,  Robert B. Rice

IPC分类号： A61B17/10

CPC分类号： A61B17/064 ,  A61B17/068 ,  A61B2017/0641

摘要： A surgical staple inserter is disclosed and can include a shaft and a staple engagement arm pivotably engaged with the shaft. Further, the surgical staple inserter can include a spring that can be connected to the shaft and the staple engagement arm. The surgical staple inserter can be moved between a straight position and a bent position. In the straight position, the staple engagement arm can be substantially aligned with the shaft. In the bent position, the staple engagement arm can be rotated with respect to the shaft.

摘要翻译： 公开了外科缝合钉插入器，并且可以包括轴和与轴可枢转地接合的缝合接合臂。 此外，外科缝合钉插入器可以包括可连接到轴和钉接合臂的弹簧。 外科手术钉插入器可以在直线位置和弯曲位置之间移动。 在直线位置，订书钉接合臂可以与轴基本对齐。 在弯曲位置，订书针接合臂可以相对于轴旋转。

公开(公告)号：US20080065154A1

公开(公告)日：2008-03-13

申请号：US11518069

申请日：2006-09-08

申请人： Randall N. Allard ,  Larry T. McBride ,  Lehmann K. Li

发明人： Randall N. Allard ,  Larry T. McBride ,  Lehmann K. Li

IPC分类号： A61B17/08

CPC分类号： A61B17/064 ,  A61B17/0642 ,  A61B17/0644 ,  A61B2017/00867 ,  A61B2017/0641

摘要： A surgical staple is disclosed and can include a base and at least one tine that can extend from the base. The at least one tine includes an enlarged portion to provide a greater surface area to engage tissue when installed in a patient.

摘要翻译： 公开了一种外科手术钉，并且可以包括基部和至少一个可从基部延伸的齿。 所述至少一个齿包括放大的部分，以在安装在患者体内时提供更大的表面积以接合组织。

公开(公告)号：US20130103094A1

公开(公告)日：2013-04-25

申请号：US13280462

申请日：2011-10-25

申请人： Jeffrey W. Beale ,  Larry T. McBride ,  Keith E. Miller

发明人： Jeffrey W. Beale ,  Larry T. McBride ,  Keith E. Miller

IPC分类号： A61B17/70 ,  A61B17/88

CPC分类号： A61B17/7076 ,  A61B17/708 ,  A61B17/7082

摘要： A spinal implant system includes a first member including at least one wall, which includes a first axial end surface, a second axial end surface and an outer surface including a locking cavity. A second member includes a first extension defining an inner surface and a second extension defining an inner surface, the inner surfaces defining a first cavity therebetween. At least one of the inner surfaces includes a first angled portion and a second angled portion. A third member is disposed in the first cavity, and includes a first arm and a second arm, at least one of the arms includes a protrusion. The third member is configured for axial translation relative between a first orientation and a second orientation. Methods of use are disclosed.

摘要翻译： 脊柱植入系统包括包括至少一个壁的第一构件，其包括第一轴向端面，第二轴向端面和包括锁定腔的外表面。 第二构件包括限定内表面的第一延伸部和限定内表面的第二延伸部，所述内表面在它们之间限定第一腔。 内表面中的至少一个包括第一倾斜部分和第二倾斜部分。 第三构件设置在第一空腔中，并且包括第一臂和第二臂，至少一个臂包括突起。 第三构件构造成在第一取向和第二取向之间进行轴向平移。 公开了使用方法。

公开(公告)号：US20080319477A1

公开(公告)日：2008-12-25

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： A61B17/04

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：US08657825B2

公开(公告)日：2014-02-25

申请号：US13017679

申请日：2011-01-31

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： A method for stabilizing bony structures comprises attaching a bone anchor with a first extender extending therefrom and having a receiving portion to a first vertebra. A second bone anchor is then attached to a second extender extending therefrom and having a receiving portion to a second vertebra. A connecting element is manipulated into a desired position relative to the first bone anchor and the second bone anchor and into a pathway defined in the second extender. A securing member is delivered through a passage in the first extender. The connecting element is secured in the receiving portion of the first bone anchor with the securing member. The second extender is manipulated so that it contacts the connecting element. The second vertebra is moved toward the connecting element while the second extender is contacting the connecting element until the connecting element is seated in the receiving portion of the second bone anchor. The connecting element is secured in the receiving portion of the second bone anchor. Finally, the first extender is disengaged from the first bone anchor and the second extender is disengaged from the second bone anchor.

摘要翻译： 一种用于稳定骨骼结构的方法包括将骨锚固件与从其延伸的第一延伸器附接并且具有接收部分到第一椎骨。 然后将第二骨锚附接到从其延伸的第二延伸部并且具有到第二椎骨的接收部分。 连接元件相对于第一骨锚和第二骨锚被操纵到期望的位置并且进入限定在第二延伸器中的通路​​中。 固定构件通过第一延伸器中的通道输送。 连接元件用固定构件固定在第一骨锚的接收部分中。 第二个扩展器被操纵以使其与连接元件接触。 第二椎骨朝向连接元件移动，而第二延伸器与连接元件接触，直到连接元件位于第二骨锚的接纳部分中。 连接元件固定在第二骨锚的接收部分中。 最后，第一扩张器从第一骨锚脱离并且第二延伸器与第二骨锚分离。