公开(公告)号：US07208014B2

公开(公告)日：2007-04-24

申请号：US10781021

申请日：2004-02-18

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, coupled to one another by a convex element mounted to one of the plates and maintained against the other plate by a retaining wall and a retaining ring.

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，通过安装到一个板上的凸起元件彼此连接，并通过保持壁和保持环保持抵靠另一个板。

公开(公告)号：US07094242B2

公开(公告)日：2006-08-22

申请号：US10001078

申请日：2001-10-31

Applicant: James D. Ralph ,  Thomas N. Troxell

Inventor： James D. Ralph ,  Thomas N. Troxell

IPC: A61B17/58

CPC classification number: A61B17/1728 ,  A61B17/1757

Abstract: A polyaxial drill guide includes a body, a collet and a stem. The collet includes a collet shaft having distal and proximal ends and a longitudinal bore. The body includes a conical bore having narrow and wide ends. The distal end of the collet shaft rotatably mounts within the narrow end of the conical bore, with the collet shaft extending toward the wide end of the conical bore, such that the collet shaft (and consequently the longitudinal bore) can be angled within the conical bore at a plurality of angles. The stem includes a shaft having distal and proximal ends and a longitudinal bore. The distal end of the stem shaft mounts to the proximal end of the collet shaft such that the longitudinal bores are co-linear and a drill bit can be inserted into and rotated within the longitudinal bores during a drilling procedure.

公开(公告)号：US07014658B2

公开(公告)日：2006-03-21

申请号：US10706766

申请日：2003-11-12

Applicant: James D. Ralph ,  Stephen Tatar ,  Joseph P. Errico

Inventor： James D. Ralph ,  Stephen Tatar ,  Joseph P. Errico

IPC: A61F2/44

CPC classification number: A61F2/442 ,  A61F2/30742 ,  A61F2/30767 ,  A61F2/4425 ,  A61F2002/30133 ,  A61F2002/30171 ,  A61F2002/302 ,  A61F2002/30433 ,  A61F2002/30443 ,  A61F2002/30444 ,  A61F2002/30451 ,  A61F2002/30492 ,  A61F2002/30502 ,  A61F2002/30507 ,  A61F2002/30518 ,  A61F2002/30565 ,  A61F2002/30571 ,  A61F2002/30594 ,  A61F2002/30604 ,  A61F2002/30649 ,  A61F2002/30769 ,  A61F2002/30774 ,  A61F2002/30909 ,  A61F2002/3092 ,  A61F2002/30975 ,  A61F2002/443 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2220/0058 ,  A61F2230/0015 ,  A61F2230/005 ,  A61F2230/0065 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00365 ,  Y10S606/907

Abstract: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by a spring mechanism. The preferred spring mechanism is a multi-pronged domed spring which is coupled to the upper plate by set screws. The spring includes a socket formed in the peak thereof and mounts onto a ball-shaped head extending outwardly from the lower plate. The spring and post members are thereby flexibly coupled such that the upper and lower plates may rotate relative to one another.

公开(公告)号：US06989032B2

公开(公告)日：2006-01-24

申请号：US10256160

申请日：2002-09-26

Applicant: Joseph P. Errico ,  Michael W Dudasik ,  Rafail Zubok ,  James D. Ralph ,  Stephen Tatar

Inventor： Joseph P. Errico ,  Michael W Dudasik ,  Rafail Zubok ,  James D. Ralph ,  Stephen Tatar

IPC: A61F2/44

CPC classification number: A61F2/4425 ,  A61F2/30742 ,  A61F2/30767 ,  A61F2/442 ,  A61F2/446 ,  A61F2/4611 ,  A61F2/4684 ,  A61F2002/30171 ,  A61F2002/30187 ,  A61F2002/302 ,  A61F2002/30331 ,  A61F2002/30365 ,  A61F2002/30378 ,  A61F2002/30433 ,  A61F2002/30441 ,  A61F2002/30443 ,  A61F2002/30444 ,  A61F2002/30446 ,  A61F2002/30451 ,  A61F2002/30454 ,  A61F2002/30492 ,  A61F2002/30502 ,  A61F2002/30507 ,  A61F2002/30518 ,  A61F2002/30528 ,  A61F2002/30538 ,  A61F2002/30563 ,  A61F2002/30565 ,  A61F2002/30571 ,  A61F2002/30594 ,  A61F2002/30604 ,  A61F2002/30649 ,  A61F2002/30662 ,  A61F2002/30769 ,  A61F2002/30772 ,  A61F2002/30774 ,  A61F2002/30841 ,  A61F2002/30909 ,  A61F2002/3092 ,  A61F2002/30975 ,  A61F2002/443 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2220/0041 ,  A61F2220/0058 ,  A61F2230/0034 ,  A61F2230/005 ,  A61F2230/0065 ,  A61F2250/0006 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00365

Abstract: An artificial disc having a pair of opposing baseplates, for seating against opposing vertebral bone surfaces, separated by a ball and socket joint that includes a ball compression locked to a post extending from one of the baseplates. The ball is captured within a curvate socket formed in a peak of a convex structure attached to the other of the baseplates. The socket is formed by opposing curvate surfaces, one on the convex structure and one on the other of the baseplates. While the ball angulates freely in the socket, the rotation of the ball in the socket has a limited range due to interference between a protrusion on the convex structure that extends into the socket and a curvate recess on the ball. The ball and socket joint therefore permits the baseplates to rotate relative to one another through a limited range and also angulate relative to one another.

Abstract translation: 一种具有一对相对基板的人造盘，用于抵靠相对的脊骨表面，由球窝接头隔开，所述球窝接头包括锁定到从所述底板之一延伸的柱的球压缩。 球被捕获在形成在附接到另一个基板的凸起结构的峰中的弯曲插座中。 插座由相对的弯曲表面形成，一个在凸形结构上，一个在另一个基板上。 当球在插座中自由摆动时，由于插入插座中的凸起结构上的突起与球上的弯曲凹槽之间的干涉，球在插座中的旋转具有有限的范围。 因此，球窝接头允许底板相对于彼此旋转有限的范围，并且相对于彼此也是相对的。

公开(公告)号：US06918934B2

公开(公告)日：2005-07-19

申请号：US10177013

申请日：2002-06-21

Applicant: James D. Ralph ,  Stephen Tatar

Inventor： James D. Ralph ,  Stephen Tatar

IPC: A61F2/00 ,  A61F2/02 ,  A61F2/30 ,  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 artificial disc 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, and in some embodiments the belleville washer is also radially thinning or thickening. Various illustrated embodiments use two washers or one washer. For double washer embodiments, the wide ends of the washers seat against respective opposing plates, in some embodiments each being maintained thereagainst by a retaining wall and ring or a circular recess and retaining shield. For single washer embodiments, the narrow end of the washer can be modified to have a curvate socket for rotatably mounting onto a semispherical protuberance extending from one of the plates.

Abstract translation: 一种人造盘，具有一对相对的板，用于抵靠相对的脊骨表面，由至少一个弹簧机构隔开。 优选的弹簧机构是至少一个螺旋形开槽的贝氏垫圈，并且在一些实施例中，贝尔垫圈垫圈也径向变薄或增厚。 各种所示实施例使用两个垫圈或一个垫圈。 对于双垫圈实施例，垫圈的宽端部抵靠相应的相对的板抵靠，在一些实施例中，每个由保持壁和环或圆形凹部和保持屏蔽保持。 对于单垫圈实施例，垫圈的窄端可以改变为具有可旋转地安装到从一个板延伸的半球形突起的弯曲插座。

公开(公告)号：US06887274B2

公开(公告)日：2005-05-03

申请号：US09974154

申请日：2001-10-11

Applicant: James D. Ralph ,  Stephen Tatar

Inventor： James D. Ralph ,  Stephen Tatar

IPC: A61F2/00 ,  A61F2/02 ,  A61F2/30 ,  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：US06869446B2

公开(公告)日：2005-03-22

申请号：US10725296

申请日：2003-12-01

Applicant: James D. Ralph ,  Stephen Tatar ,  Joseph P. Errico

Inventor： James D. Ralph ,  Stephen Tatar ,  Joseph P. Errico

IPC: A61F2/00 ,  A61F2/30 ,  A61F2/44

CPC classification number: A61F2/442 ,  A61F2/30742 ,  A61F2/30767 ,  A61F2/4425 ,  A61F2002/30133 ,  A61F2002/30171 ,  A61F2002/302 ,  A61F2002/30433 ,  A61F2002/30443 ,  A61F2002/30444 ,  A61F2002/30451 ,  A61F2002/30492 ,  A61F2002/30502 ,  A61F2002/30507 ,  A61F2002/30518 ,  A61F2002/30565 ,  A61F2002/30571 ,  A61F2002/30594 ,  A61F2002/30604 ,  A61F2002/30649 ,  A61F2002/30769 ,  A61F2002/30774 ,  A61F2002/30909 ,  A61F2002/3092 ,  A61F2002/30975 ,  A61F2002/443 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2220/0058 ,  A61F2230/0015 ,  A61F2230/005 ,  A61F2230/0065 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00365 ,  Y10S606/907

Abstract: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by a spring mechanism. The preferred spring mechanism is a domed arched strip spring which is coupled to the upper plate by set screws. The spring includes a socket formed in the peak thereof and mounts onto a ball-shaped head extending outwardly from the lower plate. The spring and post members are thereby flexibly coupled such that the upper and lower plates may rotate relative to one another.

公开(公告)号：US06840940B2

公开(公告)日：2005-01-11

申请号：US10115747

申请日：2002-04-03

Applicant: James D. Ralph ,  Stephen Tatar

Inventor： James D. Ralph ,  Stephen Tatar

IPC: A61B17/70 ,  A61B17/86 ,  A61B17/88 ,  A61B17/58

CPC classification number: A61B17/7076 ,  A61B17/7032 ,  A61B17/7037 ,  A61B17/7082 ,  A61B17/7091 ,  A61B17/861

Abstract: A screw and coupling element assembly for use with an orthopedic rod implantation apparatus includes a screw with a head and a shaft extending from the head, a coupling element with a seat within which the head is seatable such that the shaft protrudes from the coupling element, and a locking element mateable with the coupling element and when mated is selectively movable through a plurality of positions including unlocked and locked positions. When in the unlocked position, the locking element presents a rod-receiving channel and the head is movable in the seat such that the shaft is directable in a plurality of angles relative to the coupling element. When in the locked position, a rod disposed within the rod-receiving channel is fixed relative to the coupling element and the head is immovable in the seat such that the shaft is fixed at an angle relative to the coupling element.

Abstract translation: 与矫形棒植入装置一起使用的螺钉和联接元件组件包括具有头部和从头部延伸的轴的螺钉，具有座的联接元件，头部可位于该座中，使得轴从联接元件突出， 以及与所述联接元件配合的锁定元件，并且当配合时可以选择性地移动通过包括解锁和锁定位置的多个位置。 当处于解锁位置时，锁定元件呈现杆接收通道，并且头部可在座中移动，使得轴可相对于联接元件以多个角度定向。 当处于锁定位置时，设置在杆接收通道内的杆相对于联接元件固定，并且头部不可移动到座中，使得轴相对于联接元件以一定角度固定。

公开(公告)号：US06764515B2

公开(公告)日：2004-07-20

申请号：US10040801

申请日：2002-01-07

Applicant: James D. Ralph ,  Thomas J. Errico

Inventor： James D. Ralph ,  Thomas J. Errico

IPC: A61F244

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 having opposing plates seatable against opposing vertebral bones, separated by at least one spring mechanism, preferably a spirally slotted belleville washer having a wide end rigidly fixed to an upper plate and a narrow end rotatably mounted to a lower plate. The lower plate includes an inwardly deflecting central post extending upwardly from the inner surface of the lower plate, the post including a head that is received through a central opening in the narrow end of the washer so that the washer is restricted from angulation with respect to the lower plate, but allowed to rotate with respect to the lower plate so that the plates can rotate relative to one another. The plates can angulate relative to one another because the washer deflects under lateral deflection forces and return to its undeflected shape when the forces are relieved.

Abstract translation: 一种椎间隔垫，其具有可抵靠相对的椎骨的相对的板，所述相对的板可通过至少一个弹簧机构分开，所述弹性机构优选为具有刚性地固定到上板的宽端的螺旋形开槽的贝氏垫圈，以及可旋转地安装到下板的窄端。 下板包括从下板的内表面向上延伸的向内偏转的中心柱，柱包括通过垫圈的窄端中的中心开口接收的头部，使得垫圈相对于 下板，但允许相对于下板旋转，使得板可以相对于彼此旋转。 板可以相对于彼此成角度，因为垫圈在横向偏转力下偏转并且当力被释放时返回到其未偏转的形状。

公开(公告)号：US06562047B2

公开(公告)日：2003-05-13

申请号：US09906126

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: A61F2/4684 ,  A61F2/44 ,  A61F2/442 ,  A61F2/4611 ,  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

Abstract: An orthopedic device set, including: a plurality of intervertebral spacers elements, each spacer element having a cylindrical shape and an annular groove formed therein, each spacer element further having a different axial thickness from each other spacer; and an instrument for holding each of the intervertebral spacer elements during the insertion and removal thereof into and out from between adjacent vertebral bones; the instrument comprising a shaft having a distal end, a spacer element holding structure formed at the distal end, which spacer element holding structure can hold the spacer at the annular groove thereof.

Abstract translation: 1.一种整形外科装置，包括：多个椎间隔元件，每个间隔元件具有圆柱形形状和形成在其中的环形槽，每个间隔元件还具有彼此不同的间隔件的轴向厚度; 以及用于在插入和移出相邻椎骨之间并将其从相邻的椎骨中移出时保持每个椎间隔元件的仪器; 所述仪器包括具有远端的轴，形成在所述远端处的间隔元件保持结构，所述间隔元件保持结构可将所述间隔件保持在其环形槽处。