摘要:
Methods and instruments are provided for connecting a rod extending along a patient's spinal column to a misaligned vertebra. The method comprises implanting a bone anchor in the misaligned vertebra, attaching an approximating device to the implanted bone anchor and rod, approximating the vertebra toward the rod using the approximating device, and connecting the rod to the bone anchor on the approximated vertebra. In certain embodiments the approximating device may include a winch mechanism. In other embodiments the approximating device is a cannula used in conjunction with a guide system.
摘要:
The present invention provides a device and methodology for use in spinal fusion surgeries. An implant is proved for forming a rigid structure between adjoining vertebrae in a patient. The implant is a cage defined by at least a first end, second end, first side, and second side surface, wherein first and second side surfaces extend substantially parallel to each other to span a space between adjoining vertebrae and first and second ends interconnect said first side surface and second side surface. The cage incorporates one or more flexible joints that allow the cage to be deformed for insertion into a patient. The ability to deform the cage allows a greater ease and flexibility in inserting and positioning the implant.
摘要:
A tissue expander system for expanding tissue, skin and muscle along a pathway to a surgical site through a minimally invasive incision includes a tissue expander having a plurality of arms adapted to bear against tissue, the plurality of arms coupled at a first end to an actuating member and at a second end to a shaft, movement of the actuating member relative to the shaft adjusts the arms between a first position having a first diameter and a second position having second diameter greater than the first diameter and an outer sleeve having a lumen sized and shaped to receive the tissue expander in the second position.
摘要:
A surgical access system for providing access to a surgical site in a patient includes a surgical access device defining a working channel for accessing a surgical site and an integrated annular light emitter for illuminating the working channel. The integrated annular light emitter is coupled to a proximal end of the surgical access device and includes a central opening aligned with the working channel. The integrated annular light emitter includes a light transmission path formed about the central opening that emits circumferential light transmitted from a light source about the circumference of the surgical access device. The light emitter may emit light directly into the interior of the surgical access device, or into a smooth, light-transmitting portion of the side wall of the surgical access device to illuminate a working space.
摘要:
An expandable port for minimally invasive surgery includes a first section, a second section, and at least one intermediate section. The port is expandable from a closed configuration in which the first section is proximate the second section along at least a portion of a length of the first section to an expanded configuration in which the first section is spaced apart from the second section. The intermediate portion spans a gap between the first section and the second section when the port is in the expanded configuration.
摘要:
The present invention provides an implant that can be inserted on top of a previously placed spinal fixation element. The implant includes a bone anchor and a connector body. The bone anchor includes a proximal head and a distal shaft extending along a longitudinal axis configured to engage bone. The connector body is configured to engage the proximal head of bone anchor and engage a spinal fixation element offset from longitudinal axis of the bone anchor shaft. Because, the implant is inserted over the spinal fixation element, direct visualization of the surgical site is available during insertion. In addition, the implant may provide tactile or audible feedback indicating that the spinal fixation element has been engaged by the implant.
摘要:
A spinal implant with at least one flexible elongated extension element is provided. The spinal implant has a profile that is lower than standard spinal implants. The spinal implant includes a bone anchor with a head portion and a shaft extending along a longitudinal axis of the bone anchor. A head plate is coupled to the bone anchor. The head plate includes a first elongated extension element and a second elongated extension element. The first elongated extension element and the second elongated extension element may be formed as a single monolithic element that is attached to the head plate by passing through a pair of openings provided on the head plate. At least one of the first elongated extension element and the second elongated extension element is flexible.
摘要:
The present invention provides a device and methodology for use in spinal fusion surgeries. An implant is proved for forming a rigid structure between adjoining vertebrae in a patient. The implant is a cage defined by at least a first end, second end, first side, and second side surface, wherein first and second side surfaces extend substantially parallel to each other to span a space between adjoining vertebrae and first and second ends interconnect the first side surface and second side surface. The cage incorporates one or more flexible joints that allow the cage to be deformed for insertion into a patient. The ability to deform the cage allows a greater ease and flexibility in inserting and positioning the implant.
摘要:
A surgical access device includes a proximal frame of fixed construction and a plurality of tissue engaging blades connected to the frame. The plurality of tissue engaging blades may include a first blade that is rotatable, independent of other blades, about an axis that is oriented approximately parallel to a plane defined by the proximal frame.
摘要:
A spinal implant with at least one flexible elongated extension element is provided. The spinal implant has a profile that is lower than standard spinal implants. The spinal implant includes a bone anchor with a head portion and a shaft extending along a longitudinal axis of the bone anchor. A head plate is coupled to the bone anchor. The head plate includes a first elongated extension element and a second elongated extension element. The first elongated extension element and the second elongated extension element may be formed as a single monolithic element that is attached to the head plate by passing through a pair of openings provided on the head plate. At least one of the first elongated extension element and the second elongated extension element is flexible.