公开(公告)号：US20090131956A1

公开(公告)日：2009-05-21

申请号：US12268369

申请日：2008-11-10

申请人： Jonathan Dewey ,  William Kaiser ,  Chris Pamichev ,  Thanh-Nga Doan ,  Jennifer Doan

发明人： Jonathan Dewey ,  William Kaiser ,  Chris Pamichev ,  Thanh-Nga Doan ,  Jennifer Doan

IPC分类号： A61B17/04

CPC分类号： A61B17/0469 ,  A61B17/0401 ,  A61B17/0482 ,  A61B17/29 ,  A61B2017/0437 ,  A61B2017/06042 ,  A61B2017/2837 ,  A61B2017/2927 ,  A61B2017/2937

摘要： A suture passer comprising: a handle; a shaft extending distally from the handle; first and second jaw members mounted to the distal end of the shaft, the first jaw member having a suture support for supporting a length of suture; a pitch adjustment mechanism for adjusting the pitch of the first and second jaw members relative to the shaft; a lever mechanism for opening and closing the first and second jaw members relative to one another; and a needle mechanism for selectively urging a needle having a groove therein so that the groove in the needle can engage a length of suture supported by the suture support.

摘要翻译： 缝合路人，包括：手柄; 从手柄向远侧延伸的轴; 第一和第二钳口构件安装到轴的远端，第一钳口构件具有用于支撑长度的缝合线的缝线支撑件; 用于调节第一和第二钳口构件相对于轴的间距的间距调节机构; 用于相对于彼此打开和关闭第一和第二钳口构件的杠杆机构; 以及针机构，其用于选择性地将具有凹槽的针施加到其中，使得针中的凹槽能够接合由缝合线支撑件支撑的缝合长度。

公开(公告)号：US20080177318A1

公开(公告)日：2008-07-24

申请号：US11624415

申请日：2007-01-18

申请人： Michael S. Veldman ,  Jonathan Dewey

发明人： Michael S. Veldman ,  Jonathan Dewey

IPC分类号： A61B17/58 ,  A61B17/56

CPC分类号： A61B17/7005 ,  A61B17/7008 ,  A61B17/701 ,  A61B17/7011

摘要： A bio-compatible stabilization system includes one or more inserters and a spinal stabilization connector for traversing a space between one or more bony structures. The stabilization system is designed to reduce or eliminate stress shielding effects while functioning as a tension band. The stabilization rod is shaped to define a fixed number of discrete positions of orientation.

摘要翻译： 生物相容性稳定系统包括一个或多个插入器和用于穿过一个或多个骨结构之间的空间的脊椎稳定连接器。 稳定系统设计用于在作为张力带的同时减少或消除应力屏蔽效应。 稳定杆被成形为限定定向的固定数量的离散位置。

公开(公告)号：US20070233068A1

公开(公告)日：2007-10-04

申请号：US11359070

申请日：2006-02-22

申请人： Aurelien Bruneau ,  Thomas Carls ,  Eric Lange ,  Fred Molz ,  Matthew Morrison ,  Jonathan Dewey ,  Kent Anderson

发明人： Aurelien Bruneau ,  Thomas Carls ,  Eric Lange ,  Fred Molz ,  Matthew Morrison ,  Jonathan Dewey ,  Kent Anderson

IPC分类号： A61F2/30

CPC分类号： A61B17/7067 ,  A61B17/7032 ,  A61B17/7049

摘要： A prosthetic assembly and method of implanting same, according to which a least one rod is secured to the spinal column. A spacer engages the spinous process of a vertebrae of the spinal column. The rod is connected to the spacer via an adapter.

摘要翻译： 一种假体组件及其植入方法，根据该方法，将至少一个杆固定到脊柱。 间隔物与脊柱的椎骨的棘突接合。 杆通过适配器连接到间隔件。

公开(公告)号：US20070027545A1

公开(公告)日：2007-02-01

申请号：US11194191

申请日：2005-08-01

申请人： Thomas Carls ,  Fred Molz ,  Matthew Morrison ,  Jonathan Dewey ,  Kent Anderson ,  Eric Lange ,  Aurelien Bruneau

发明人： Thomas Carls ,  Fred Molz ,  Matthew Morrison ,  Jonathan Dewey ,  Kent Anderson ,  Eric Lange ,  Aurelien Bruneau

IPC分类号： A61F2/44 ,  A61F2/46

CPC分类号： A61B17/70

摘要： One embodiment of the present application includes: performing a medical procedure on a segment of a patient's spine. This segment includes two vertebrae each in contact with a spinal disk positioned in an intervertebral disk space. A passage is formed that follows a pathway through the vertebrae and the intervertebral disk space. This passage extends from an extradiscal opening through one of the vertebrae along a path that turns to change direction. The tubular device is inserted in the passage and extends through the intervertebral disk space. A fluid material is introduced into the tubular device to at least partially fill it to provide a spinal prosthetic structure. Other embodiments and inventive aspects include other prosthetic device arrangements, implantation methods, systems, and techniques.

摘要翻译： 本申请的一个实施例包括：在患者脊柱的一段上执行医疗程序。 该段包括两个椎骨，每个椎骨与定位在椎间盘空间中的脊椎盘接触。 形成通过椎骨和椎间盘空间的通路。 该通道沿着沿着改变方向的路径从椎间盘开口穿过其中一个椎骨。 管状装置插入通道并延伸穿过椎间盘空间。 将流体材料引入管状装置中以至少部分地填充其以提供脊椎假体结构。 其他实施例和创造性方面包括其他假体装置布置，植入方法，系统和技术。

公开(公告)号：US20070005064A1

公开(公告)日：2007-01-04

申请号：US11167775

申请日：2005-06-27

申请人： Kent Anderson ,  Thomas Carls ,  Eric Lange ,  Fred Molz ,  Matthew Morrison ,  Jonathan Dewey ,  Aurelien Bruneau

发明人： Kent Anderson ,  Thomas Carls ,  Eric Lange ,  Fred Molz ,  Matthew Morrison ,  Jonathan Dewey ,  Aurelien Bruneau

IPC分类号： A61F2/30

CPC分类号： A61B17/7062

摘要： A prosthetic device and a method for inserting same between adjacent vertebrae, according to which two connected members are provided, one of which is formed by a relatively flexible material and the other of which is formed by a relatively stiff material.

摘要翻译： 一种假体装置及其在相邻椎骨之间插入的方法，根据该装置，设有两个连接构件，其中一个由相对柔性的材料形成，另一个由相对刚性的材料形成。

公开(公告)号：US20050234304A1

公开(公告)日：2005-10-20

申请号：US11152893

申请日：2005-06-15

申请人： Jonathan Dewey ,  Anthony Melkent ,  Eric Lange

发明人： Jonathan Dewey ,  Anthony Melkent ,  Eric Lange

IPC分类号： A61B1/32 ,  A61B17/02 ,  A61B17/28 ,  A61B17/34

CPC分类号： A61B17/3439 ,  A61B17/0206 ,  A61B17/0293 ,  A61B17/3423 ,  A61B2017/2829 ,  A61B2017/2837

摘要： Methods and devices retract tissue for minimally invasive surgery in a patient. A retractor includes a working channel formed by a first portion and a second portion. The first and second portions are movable relative to one another from a first configuration for insertion that minimizes trauma to skin and tissue to an enlarged configuration after insertion to further retract skin and tissue in a minimally invasive manner. An optional intermediate retractor assembly is positionable between the first and second retractor portions to provide further tissue retraction capabilities.

摘要翻译： 方法和装置缩回组织以在患者中进行微创手术。 牵开器包括由第一部分和第二部分形成的工作通道。 第一和第二部分可以相对于彼此移动，从用于插入的第一构造可以将插入后的皮肤和组织的创伤最小化到进一步缩回皮肤和组织的微小形式的扩大构型。 可选的中间牵开器组件可定位在第一和第二牵开器部分之间以提供进一步的组织缩回能力。

公开(公告)号：US08936620B2

公开(公告)日：2015-01-20

申请号：US12177082

申请日：2008-07-21

申请人： William Kaiser ,  Jonathan Dewey

发明人： William Kaiser ,  Jonathan Dewey

IPC分类号： A61B17/04

CPC分类号： A61B17/0401 ,  A61B2017/0409 ,  A61B2017/0412 ,  A61B2017/0414 ,  A61B2017/0446 ,  A61B2017/0451 ,  A61B2017/0456 ,  A61B2017/0459 ,  A61B2017/0461 ,  A61B2017/0496

摘要： Apparatus for securing an object to bone, the apparatus comprising: a suture anchor assembly comprising a suture anchor body and a suture; the suture anchor body being configured to be lockingly disposed within a hole formed in the bone, and having an opening formed therein for slidably receiving the suture therethrough; the suture having a first end, a second end and an intermediate portion extending therebetween; the suture extending through the opening in the suture anchor body so that the intermediate portion forms a loop on one side of the opening and the first and second ends are disposed on the other side of the opening, such that when the first end of the suture is passed through the loop and securingly engages the object, pulling on the second end of the suture draws the loop and a captured portion of the suture along a path toward the opening in the suture anchor body; the suture anchor body being configured so that when the suture anchor body is disposed in the hole in the bone, a tapered binding zone is established along the path followed by the loop and the captured portion of the suture when the second end of the suture is pulled, the tapered binding zone having a successively decreasing cross-sectional area such that continued pulling of the second end of the suture causes the loop and the captured portion of the suture to be jammed tightly in the tapered binding zone, whereby to bind the suture, and hence the object, to the suture anchor body, which is itself lockingly disposed within the bone.

摘要翻译： 用于将物体固定到骨头的装置，所述装置包括：缝合线锚组件，其包括缝合线锚固体和缝合线; 所述缝合锚固体构造成锁定地设置在形成在骨中的孔内，并且其中形成有用于可滑动地容纳缝合线的开口; 所述缝合线具有第一端部，第二端部和在其间延伸的中间部分; 缝合线延伸穿过缝合线锚固体中的开口，使得中间部分在开口的一侧上形成环，并且第一和第二端设置在开口的另一侧上，使得当缝合线的第一端 穿过该环并固定地接合物体，拉动缝合线的第二端沿着缝合线锚固体中的开口的路径吸引环和缝合线的捕获部分; 缝合锚固体被构造成使得当缝合锚固体设置在骨中的孔中时，当缝合线的第二端是缝合线时，沿着路径跟随环路和缝合线的捕获部分建立锥形结合区 所述锥形结合区域具有连续减小的横截面面积，使得缝合线的第二端的连续拉动引起环，并且缝合线的捕获部分紧紧地卡在锥形结合区域中，从而将缝合线 ，因此该物体到达本身被锁定地设置在骨内的缝合锚固体。

公开(公告)号：US08425608B2

公开(公告)日：2013-04-23

申请号：US12016662

申请日：2008-01-18

申请人： Jonathan Dewey ,  Marco D. Capote ,  Eric Potts

发明人： Jonathan Dewey ,  Marco D. Capote ,  Eric Potts

IPC分类号： A61F2/44

CPC分类号： A61F2/44 ,  A61F2/4455 ,  A61F2002/30131 ,  A61F2002/3055 ,  A61F2230/0013

摘要： An expandable medical implant for supporting bone structures includes a curved outer member to cooperatively engage a first bone structure and a curved inner member configured to cooperatively engage a second bone structure. The curved inner member is receivable within and movable relative to the curved outer member along an arc bounded by the curvature of the curved outer member. One of the curved outer and inner members may include a tapered surface and the other of the curved outer and inner members may include a scalloped surface. The implant may include a locking element disposed between the tapered and scalloped surface. The locking element is movable between a locked position engaging the tapered surface and a roughened locking surface to inhibit a decrease in the overall height of the implant and an unlocked position permitting at least an increase in the overall height of the implant.

摘要翻译： 用于支撑骨结构的可扩展医用植入物包括弯曲的外部构件，其协作地接合第一骨结构和构造成协作地接合第二骨结构的弯曲内部构件。 弯曲的内部构件可沿着由弯曲的外部构件的曲率限定的圆弧可接收在内部并相对于弯曲的外部构件移动。 弯曲的外部和内部构件中的一个可以包括锥形表面，并且弯曲的外部构件和内部构件中的另一个可以包括扇形表面。 植入物可以包括设置在锥形和扇形表面之间的锁定元件。 锁定元件可在接合锥形表面的锁定位置和粗糙的锁定表面之间移动，以阻止植入物的整体高度的降低以及允许至少增加植入物整体高度的解锁位置。

公开(公告)号：US08216240B2

公开(公告)日：2012-07-10

申请号：US11409774

申请日：2006-04-24

申请人： Jonathan Dewey

发明人： Jonathan Dewey

IPC分类号： A61B17/70 ,  A61F2/46

CPC分类号： A61B17/7086

摘要： A rod reduction instrument for urging a rod into an implant having a stabilization member receiving area is provided. The rod reduction instrument includes an arm with a first end connected with the implant. A ram lever is provided that is pivotally connected to the arm. The ram lever has a cam surface for contact with the rod. Pivotal movement of the ram lever reduces the rod into the implant stabilization member receiving area.

摘要翻译： 提供了一种用于将杆推入具有稳定构件接收区域的植入物中的杆减小装置。 杆减少器具包括具有与植入物连接的第一端的臂。 提供了一个可枢转地连接到臂上的拉杆杆。 活塞杆具有用于与杆接触的凸轮表面。 柱塞杆的枢转运动将杆减小到植入物稳定构件接收区域中。

公开(公告)号：US07695475B2

公开(公告)日：2010-04-13

申请号：US11213473

申请日：2005-08-26

申请人： Jeff R. Justis ,  Jonathan Dewey

发明人： Jeff R. Justis ,  Jonathan Dewey

IPC分类号： A61F5/00

CPC分类号： A61B17/7089 ,  Y10S606/914

摘要： Systems for positioning a connecting element adjacent the spinal column in minimally invasive procedures include installation instruments that guide the connecting element from a location remote from one or more anchors to a location proximate to the one or more anchors. The installation instruments include extensions mountable to anchors engageable to the spinal column or other bony structure, and inserters mountable to the anchor extensions for positioning the connecting element adjacent the anchors.

摘要翻译： 用于在微创程序中定位邻近脊柱的连接元件的系统包括将连接元件从远离一个或多个锚定点的位置引导到靠近该一个或多个锚固件的位置的安装仪器。 安装仪器包括可安装到可与脊柱或其他骨结构接合的锚固件的扩展器，以及可安装到锚固件延伸部上的插入器，用于将连接元件邻近锚固件定位。