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公开(公告)号：US06554864B2
公开(公告)日：2003-04-29
申请号：US09906124
申请日：2001-07-16
申请人： James D. Ralph , Steven Tatar , Thomas J. Errico
发明人： James D. Ralph , Steven Tatar , Thomas J. Errico
IPC分类号： A61F244
CPC分类号： 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 , A61F2002/4628 , A61F2220/0025 , A61F2230/0006 , A61F2230/0028 , A61F2230/0065 , A61F2230/0069 , A61F2250/0097 , A61F2310/00011
摘要： A surgical treatment for restoring proper anatomical spacing and alignment to vertebral bones including: determining an angular misalignment associated with adjacent vertebral bones; sequentially inserting and removing a series of progressively wider cylindrical spacer elements into the corresponding intervertebral space between the adjacent vertebral bones until the proper anatomical spacing between the adjacent vertebral bones is restored; for each intervertebral space, inserting a diametrically tapered cylindrical porous spacer element into the intervertebral space between the corresponding adjacent vertebral bones; rotating the diametrically tapered cylindrical porous spacer element such that the rotational orientation of the tapered cylindrical porous spacer element introduces the appropriate counter offset to the intervertebral space of the previously misaligned scoliotic vertebral bones, thereby restoring the proper anatomical alignment of the vertebral bones; and stabilizing the adjacent vertebral bones to permit infused growth of bone into the diametrically tapered cylindrical porous spacer element.
摘要翻译： 用于恢复适当的解剖间距和与椎骨对准的手术治疗，包括：确定与相邻椎骨相关的角度不对准; 顺序地将一系列逐渐更宽的圆柱形间隔元件插入并移除到相邻椎骨之间的相应椎间隙中，直到相邻椎骨之间的适当解剖间距恢复; 对于每个椎间空间，将径向锥形的圆柱形多孔间隔元件插入到相应的相邻椎骨之间的椎间隙中; 旋转直径锥形的圆柱形多孔间隔元件，使得锥形圆柱形多孔隔离元件的旋转取向将先前不对准的脊柱侧凸椎骨的椎间空间引入适当的计数器偏移，从而恢复椎骨的适当的解剖学对准; 并且使相邻的椎骨稳定以允许将骨注入径向圆锥形的多孔隔离元件中。
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12.发明授权Anterior spinal polyaxial locking screw plate assembly having recessed retaining rings 失效前脊椎多轴锁定螺钉板组件具有凹入的保持环
公开(公告)号：US5876402A
公开(公告)日：1999-03-02
申请号：US624110
申请日：1996-03-29
CPC分类号： A61B17/8042 , A61B17/7037 , A61B17/7059 , A61B17/8004 , A61B17/8047 , A61F2/30721 , A61F2/30744 , A61F2/30749 , A61F2/34 , A61B17/8033 , A61B17/809 , A61B17/86 , A61B17/8625 , A61F2002/3021 , A61F2002/30329 , A61F2002/30332 , A61F2002/30378 , A61F2002/30497 , A61F2002/30538 , A61F2002/30594 , A61F2002/30787 , A61F2002/3401 , A61F2220/0025 , A61F2220/0033 , A61F2230/0067 , A61F2250/0006 , A61F2310/00017 , A61F2310/00023
摘要： The present invention is a polyaxial locking screw plate assembly for immobilization of vertebral bones, via fixation to surfaces thereof. The assembly includes a plate, having an upper portion and a lower portion, each of which has a pair of tapered holes, into which holes coupling elements and bone screws may be inserted. The upper part of the holes further includes an annularly recessed channel in which a snap-ring is disposed. The coupling elements each have an axial taper which matches the taper of the holes, and an interior semi-spherical concave surface in which the semi-spherical head of a bone screw may be polyaxially mounted. The bone screws are inserted through the holes until the coupling element engages and expands the snap-ring. Once the coupling element is fully seated in the hole, thereby locking the screw in place and the coupling element in the hole, the snap-ring contracts to its undeflected position and prevents the coupling element and screw from backing out of the hole in the event of loosening.
摘要翻译： 本发明是一种用于固定椎骨的多轴锁定螺钉板组件，其通过固定到其表面。 组件包括具有上部和下部的板，每个板具有一对锥形孔，可插入孔连接元件和骨螺钉。 孔的上部还包括环形凹槽，其中设置有卡环。 联接元件各自具有与孔的锥形匹配的轴向锥度，以及内部半球形凹面，其中可以多轴安装骨螺钉的半球形头部。 骨螺钉通过孔插入，直到联接元件接合并膨胀卡环。 一旦联接元件完全就位在孔中，从而将螺钉锁定在适当位置并且联接元件在孔中，则卡环将收缩到其未偏转的位置，并且在事件中防止联接元件和螺丝从孔中脱离出来 松动。
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公开(公告)号：US5776135A
公开(公告)日：1998-07-07
申请号：US772407
申请日：1996-12-23
IPC分类号： A61B17/70
CPC分类号： A61B17/7041 , A61B17/7035
摘要： A polyaxial orthopedic device for use with rod implant apparatus includes a screw having a head, a tubular body having holes in the top, side and bottom thereof, and a rod coupling element. The head of the screw is disposed in the body with the shaft of the screw extending out the bottom hole, such that the body and the screw may initially rotate relative to one another. The rod coupling element has a ball shaped end which seats in the body with the remainder of the rod coupling element extending out of the side hole of the body, such that the rod coupling element and the body are initially polyaxially coupled relative to one another. The ball end of the rod coupling element is disposed on top of the head of the screw. A set screw is provided in the top of the body, the tightening of which causes the ball, head, and body to be crush locked together, thereby preventing further relative motion.
摘要翻译： 用于杆植入装置的多轴矫形装置包括具有头部的螺钉，在其顶部，侧面和底部具有孔的管状体和杆联接元件。 螺钉的头部设置在主体中，螺钉的轴延伸出底部孔，使得主体和螺钉可以最初相对于彼此旋转。 杆联接元件具有球形端，其位于主体中，其中杆联接元件的其余部分延伸出主体的侧孔，使得杆联接元件和主体最初彼此相对地多轴耦合。 杆联接元件的球端设置在螺钉头部的顶部。 一个固定螺钉设置在主体的顶部，其紧固使球，头部和主体被压紧在一起，从而防止进一步的相对运动。
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公开(公告)号：US5707372A
公开(公告)日：1998-01-13
申请号：US772408
申请日：1996-12-23
IPC分类号： A61B17/70
CPC分类号： A61B17/7052
摘要： A compression locking variable length cross-link device having modular components, including rod and/or pedicle screw coupling elements each having a hole which may be disposed co-linearly with respect to other such holes in opposing elements such that a threaded hinge-post may be inserted therein. A nut is utilized to compress the elements together to rigidly secure the elements once they have been properly positioned relative to one another. In an additional set of embodiments, a linkage member having an elongate hole therein may be used to couple similar elements thereto in a similar flexible hinge-post manner such that the elements may be coupled to the linkage member instead of to the opposing elements directly.
摘要翻译： 具有模块化部件的压缩锁定可变长度交联装置，包括杆和/或椎弓根螺钉联接元件，每个具有孔，该孔可相对于相对元件中的其它这样的孔共线设置，使得螺纹铰链柱可以 插入其中。 一旦螺母被适当地相对于彼此定位，则使用螺母将元件压缩在一起以刚性地固定元件。 在附加的一组实施例中，在其中具有细长孔的连杆构件可用于以相似的柔性铰链方式将类似的元件连接到其上，使得元件可以连接到连杆构件而不是直接连接到相对的元件。
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15.发明授权Advanced polyaxial locking hook and coupling element device for use with top loading rod fixation devices 失效高级多轴锁定钩和耦合元件装置用于顶部装载杆固定装置
公开(公告)号：US5609593A
公开(公告)日：1997-03-11
申请号：US542527
申请日：1995-10-13
IPC分类号： A61B17/70
CPC分类号： A61B17/7055 , A61B17/7037 , A61B17/7032 , A61B17/7034
摘要： A hook device for use with support rod implantation apparatus, having a rod receiving body polyaxially mounted to a blade portion such that the body may be polyaxially manuevered relative to the blade, for easy rod coupling. The blade portion has a semi-spherical head portion which sits above the lamina. The rod receiving portion is a separate coupling element having lower and upper portions. The lower portion is slotted and tapered, and has a semi-spherical interior chamber in which the semi-spherical head is initially polyaxially disposed. The upper portion has a pair of upwardly extending members, defining therebetween a channel for receiving the rod. The uppermost parts of the upwardly extending members include an threading for receiving a top locking nut. A locking ring is disposed about the coupling element, substantially below the side recess; the top of the coupling element being initially positioned above the lower ledge of the side recess such that the rod, when initially disposed therein, seats against the top surface of the locking ring. When the rod is in place, the top locking nut is tightened to provides a downward force onto the rod. The rod, in turn, applies a force against the locking ring to descend down the tapered lower portion, therein locking the semi-spherical head in the interior chamber of the coupling element, and locking it into position relative to the blade portion. In an alternative variation, a rod retaining sleeve may be provided between the locking ring and the nut.
摘要翻译： 一种与支撑杆植入装置一起使用的钩装置，其具有多个轴向安装到叶片部分上的杆接收体，使得该主体可以相对于叶片多重地被植入，以便于杆联接。 叶片部分具有位于层板上方的半球形头部。 杆接收部分是具有下部和上部的单独的联接元件。 下部是开槽和锥形的，并且具有半球形的内部室，其中半球形头部最初被多次布置。 上部具有一对向上延伸的构件，在其间限定用于容纳杆的通道。 向上延伸的构件的最上部分包括用于容纳顶部锁定螺母的螺纹。 锁定环围绕联接元件布置，基本上在侧凹部下方设置; 联接元件的顶部最初定位在侧凹槽的下凸缘上方，使得当初始设置在其中时，杆抵靠锁定环的顶表面。 当杆处于适当位置时，顶部锁紧螺母被拧紧以向杆施加向下的力。 该杆又向锁定环施加一个力，使锥形下部下降，其中将半球形头部锁定在联接元件的内部腔中，并将其锁定在相对于刀片部分的位置。 在替代方案中，可以在锁定环和螺母之间设置杆保持套筒。
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16.发明授权Polyaxial locking screw and coupling element assembly for use with rod fixation apparatus 失效用于杆固定装置的多轴锁定螺钉和联轴器组件
公开(公告)号：US5586984A
公开(公告)日：1996-12-24
申请号：US502803
申请日：1995-07-14
IPC分类号： A61B17/70
CPC分类号： A61B17/7037 , A61B17/7032 , A61B17/7034
摘要： A polyaxial orthopedic device for use with rod implant apparatus includes a screw having a curvate head and a coupling element. The coupling element has a tapered lower portion including a slotted interior chamber in which the curvate head is initially polyaxially disposed. The coupling element further includes a recess for receiving the rod of the implant apparatus, and an exterior threading disposed on its upper portion which receives a locking nut. A locking ring is disposed about the lower portion of the coupling element, and provides an inward force on the outwardly tapered portion upon downward translation thereof, thereby causing the vertical slots to close, and crush locking the screw head within the interior chamber, thus eliminating the polyaxial nature of the screw-element coupling. In several embodiments a hollow cylindrical rod securing sleeve is provided which fits over the coupling element and locks the rod to the coupling element. In the other embodiments, the locking nut seats against the top of the rod, locking it in place.
摘要翻译： 用于杆植入装置的多轴矫形装置包括具有弯曲头和联接元件的螺钉。 联接元件具有锥形下部，其包括开槽的内部腔室，其中最初多边布置有顶端头部。 联接元件还包括用于接收植入装置的杆的凹部和设置在其上部上的外部螺纹，其接收锁定螺母。 锁定环围绕联接元件的下部设置，并且在向下的锥形部分向下平移时提供向内的力，从而使垂直槽闭合，并将螺钉头压入内腔内，从而消除 螺丝元件联轴器的多轴性质。 在几个实施例中，提供了一种中空的圆柱形杆固定套筒，其配合在联接元件上方并将杆锁定到联接元件上。 在其他实施例中，锁紧螺母抵靠杆的顶部，将其锁定就位。
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公开(公告)号：US08361153B2
公开(公告)日：2013-01-29
申请号：US10667034
申请日：2003-09-22
申请人： James D. Ralph , Stephen Tatar , Thomas J. Errico
发明人： James D. Ralph , Stephen Tatar , Thomas J. Errico
IPC分类号： A61F2/44
CPC分类号： 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
摘要： 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.
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公开(公告)号：US08038717B2
公开(公告)日：2011-10-18
申请号：US10852518
申请日：2004-05-24
申请人： James D. Ralph , Stephen Tatar , Thomas J. Errico
发明人： James D. Ralph , Stephen Tatar , Thomas J. Errico
IPC分类号： A61F2/44
CPC分类号： A61F2/442 , A61B17/025 , A61B2017/0256 , A61B2017/564 , A61F2/4611 , A61F2/4684 , A61F2002/30113 , A61F2002/30166 , A61F2002/3023 , A61F2002/30616 , A61F2002/30822 , A61F2002/4627 , A61F2002/4628 , A61F2230/0006 , A61F2230/0028 , A61F2230/0069 , A61F2310/00011
摘要： A distraction method including inserting a spacer element into a space between bones to be distracted, removing the spacer element from the space, inserting a wider spacer element into the space, and removing the wider spacer element from the space.
摘要翻译： 一种牵引方法，包括将间隔元件插入到要分心的骨骼之间的空间中，从所述空间移除所述间隔元件，将更宽的间隔元件插入所述空间中，以及从所述空间移除所述较宽间隔元件。
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公开(公告)号：US20100152792A1
公开(公告)日：2010-06-17
申请号：US12709753
申请日：2010-02-22
申请人： James D. Ralph , Stephen Tatar , Thomas J. Errico
发明人： James D. Ralph , Stephen Tatar , Thomas J. Errico
IPC分类号： A61B17/56
CPC分类号： A61F2/442
摘要： An instrument for holding an intervertebral spacer, the instrument comprising a shaft having a proximal end and a distal end, the proximal end forming a handle and the distal end forming a spacer engaging subassembly, the spacer engaging subassembly comprising at least one selectively expanding and contracting enclosure into which at least a portion of the spacer is introduced when the engaging subassembly is expanded and an actuating mechanism, extending from the proximal end to the distal end, by which the spacer member engaging subassembly may be selectively expanded and contracted.
摘要翻译： 一种用于保持椎间隔垫的仪器，所述仪器包括具有近端和远端的轴，所述近端形成手柄，所述远端形成间隔件接合子组件，所述间隔件接合子组件包括至少一个选择性地膨胀和收缩 外壳，其中当接合子组件膨胀时引入间隔件的至少一部分，并且从近端延伸到远端的致动机构可以选择性地膨胀和收缩间隔件接合子组件。
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20.发明授权公开(公告)号：US07722675B2
公开(公告)日：2010-05-25
申请号：US10770821
申请日：2004-02-03
申请人： James D. Ralph , Stephen Tatar , Thomas J. Errico
发明人： James D. Ralph , Stephen Tatar , Thomas J. Errico
IPC分类号： A61F2/44
CPC分类号： A61F2/442 , A61B2017/0256 , A61F2/44 , A61F2/4455 , A61F2/4611 , A61F2/4684 , A61F2002/30166 , A61F2002/302 , A61F2002/3023 , A61F2002/30385 , A61F2002/30395 , A61F2002/305 , A61F2002/30574 , A61F2002/30616 , A61F2002/30617 , A61F2002/30672 , A61F2002/30772 , A61F2002/4623 , A61F2002/4627 , A61F2002/4628 , A61F2220/0025 , A61F2230/0028 , A61F2230/0065 , A61F2230/0069 , A61F2250/0097
摘要： An orthopedic device set, including: a plurality of intervertebral spacer elements, each spacer element having a different axial thickness from each other element, the axial thicknesses being selected to increase by an increment from one element to another; and an instrument for holding ones of the intervertebral spacer elements, the instrument comprising a shaft having a distal end, a selectively grasping subassembly for alternatively rigidly holding each spacer element at the distal end so that the spacer element cannot move relative to the instrument, and releasing the spacer element.
摘要翻译： 一种整形外科装置，包括：多个椎间间隔元件，每个间隔元件具有与每个其它元件不同的轴向厚度，所述轴向厚度被选择为增加从一个元件到另一个元件的增量; 以及用于保持椎间隔元件中的一个的器械，该器械包括具有远端的轴，选择性抓握子组件，用于替代地将远端的每个间隔元件保持固定，使得间隔元件不能相对于器械移动;以及 释放间隔元件。
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