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公开(公告)号:US07935134B2
公开(公告)日:2011-05-03
申请号:US11427738
申请日:2006-06-29
申请人: Joey Camia Reglos , Moti Altarac , Stanley Kyle Hayes , Shawn Tebbe , Daniel H. Kim , J. Christopher Flaherty
发明人: Joey Camia Reglos , Moti Altarac , Stanley Kyle Hayes , Shawn Tebbe , Daniel H. Kim , J. Christopher Flaherty
IPC分类号: A61B17/70
CPC分类号: A61B17/7032 , A61B17/7004 , A61B17/7005 , A61B17/7023 , A61B17/7026 , A61B17/7028 , A61B17/7031 , A61B17/7037
摘要: A dynamic bone stabilization system is provided. The system may be placed through small incisions and tubes. The system provides systems and methods of treating the spine, which eliminate pain and enable spinal motion, which effectively mimics that of a normally functioning spine. Methods are also provided for stabilizing the spine and for implanting the subject systems.
摘要翻译: 提供动态骨稳定系统。 系统可以通过小切口和管子放置。 该系统提供治疗脊柱的系统和方法,其消除疼痛并使脊柱运动,其有效地模拟正常功能脊柱的运动。 还提供了用于稳定脊柱和用于植入受试系统的方法。
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公开(公告)号:US20090138046A1
公开(公告)日:2009-05-28
申请号:US12354517
申请日:2009-01-15
申请人: Moti Altarac , Shawn Tebbe , Daniel H. Kim
发明人: Moti Altarac , Shawn Tebbe , Daniel H. Kim
CPC分类号: A61B17/7067 , A61B17/7065 , A61B17/7076
摘要: An implantable spacer for placement between adjacent spinous processes in a spinal motion segment is provided. The spacer includes a body defining a longitudinal passageway. A first arm and a second arm are connected to the body. Each arm has a pair of extensions and a saddle defining a receiving portion configured for seating a spinous process of a scoliotic spine or a spine with misaligned spinous processes. Each arm has a proximal caming surface and is capable of rotation with respect to the body. An actuator assembly is disposed inside the longitudinal passageway and connected to the body. When advanced, a threaded shaft of the actuator assembly contacts the caming surfaces of arms to rotate them from an undeployed configuration to a deployed configuration. In the deployed configuration, the distracted adjacent spinous processes are seated in the superior and inferior arms of the spacer. Variations adapted for scoliotic curves are provided.
摘要翻译: 提供了用于放置在脊柱运动段中的相邻棘突之间的可植入间隔物。 间隔件包括限定纵向通道的主体。 第一臂和第二臂连接到身体。 每个臂具有一对延伸部和一个鞍座,其限定了一个接收部分,该接收部分构造成用于将脊柱侧凸脊柱或脊柱的棘突与未对准的棘突对准。 每个臂具有近端凸轮表面并且能够相对于身体旋转。 致动器组件设置在纵向通道内并连接到主体。 当前进时,致动器组件的螺纹轴接触臂的凸轮表面,以将它们从未部署的构型旋转到展开配置。 在展开的构造中,分散的相邻棘突位于间隔件的上臂和下臂中。 提供适用于脊柱侧凸曲线的变体。
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公开(公告)号:US09039742B2
公开(公告)日:2015-05-26
申请号:US13442751
申请日:2012-04-09
IPC分类号: A61B17/70 , A61B17/16 , A61B17/17 , A61B17/34 , A61B17/88 , A61B17/02 , A61B17/84 , A61B19/00 , A61B17/00 , A61F2/00
CPC分类号: A61B17/7065 , A61B17/0206 , A61B17/025 , A61B17/1671 , A61B17/1697 , A61B17/1757 , A61B17/3421 , A61B17/7062 , A61B17/848 , A61B17/8866 , A61B17/8897 , A61B90/39 , A61B2017/00004 , A61B2017/0023 , A61B2017/00261 , A61B2017/00557 , A61B2017/0256 , A61B2017/681 , A61B2090/033 , A61B2090/034 , A61B2090/062 , A61F2/0077
摘要: Devices, systems and methods for dynamically stabilizing the spine are provided. The devices include an expandable spacer having an undeployed configuration and a deployed configuration, wherein the spacer has axial and radial dimensions for positioning between the spinous processes of adjacent vertebrae. The systems include one or more spacers and a mechanical actuation means for delivering and deploying the spacer. The methods involve the implantation of one or more spacers within the interspinous space.
摘要翻译: 提供了用于动态稳定脊柱的装置,系统和方法。 这些装置包括具有未部署构造和展开构造的可扩展间隔件,其中间隔件具有用于在相邻椎骨的棘突之间定位的轴向和径向尺寸。 这些系统包括一个或多个间隔件和用于递送和展开间隔件的机械致动装置。 该方法涉及在椎间盘间隙内植入一个或多个间隔物。
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公开(公告)号:US20140081332A1
公开(公告)日:2014-03-20
申请号:US14089692
申请日:2013-11-25
申请人: Moti Altarac , Shawn Tebbe , Daniel H. Kim
发明人: Moti Altarac , Shawn Tebbe , Daniel H. Kim
IPC分类号: A61B17/70
CPC分类号: A61B17/7074 , A61B17/025 , A61B17/7062 , A61B17/7065 , A61B17/7067 , A61B2017/00004 , A61B2017/0256 , A61F2/0077
摘要: A percutaneous and minimally invasive instrument for inserting an interspinous process spacer into a patient is disclosed. The insertion instrument includes a first assembly connected to a handle assembly. The first assembly includes an inner shaft located inside an outer shaft and configured for relative translational motion with respect to the outer shaft. The relative translational motion causes one of the outer or inner shafts to move with respect to the other and thereby deflect at least one prong formed on one of the inner or outer shafts wherein such deflection causes engagement with a juxtapositioned interspinous spacer. The instrument further includes a driving tool configured for removable insertion into a proximal end of a passageway of the instrument. The driving tool has a distal spacer engaging portion configured to engage that part of the spacer requiring activation for deployment of the spacer from at least one undeployed configuration to at least one deployed configuration and vice versa.
摘要翻译: 公开了一种用于将棘突间间隔物插入患者体内的经皮和微创手术器械。 插入器具包括连接到手柄组件的第一组件。 第一组件包括位于外轴内部并被构造用于相对于外轴的相对平移运动的内轴。 相对平移运动导致外轴或内轴中的一个相对于另一个移动,从而使形成在内轴或外轴中的一个上的至少一个叉偏转,其中这种偏转导致与并置的棘突间间隔件的接合。 仪器还包括被配置为可移除地插入仪器的通道的近端的驱动工具。 所述驱动工具具有远侧间隔件接合部分,所述远侧间隔件接合部分构造成接合所述间隔件的所述部分,所述间隔件需要激活以将间隔件从至少一个未部署构型展开至至少一个部署构型,反之亦然。
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公开(公告)号:US20130150886A1
公开(公告)日:2013-06-13
申请号:US13616547
申请日:2012-09-14
申请人: Moti Altarac , Shawn Tebbe
发明人: Moti Altarac , Shawn Tebbe
IPC分类号: A61B17/70
CPC分类号: A61B17/7067 , A61B17/7065 , A61B2017/00004 , A61B2017/00557 , A61F2/0077
摘要: An implantable spacer for placement between adjacent spinous processes in a spinal motion segment is provided. The spacer includes a body defining a longitudinal passageway. A first arm and a second arm are connected to the body. Each arm has a pair of extensions and a saddle defining a U-shaped configuration for seating a spinous process therein. An actuator assembly is disposed inside the longitudinal passageway and connected to the body. When advanced, the actuator assembly contacts camming surfaces of the arms to rotate them from an undeployed configuration to a deployed configuration. In the deployed configuration, the distracted adjacent spinous processes are seated in the U-shaped portion of the arms providing sufficient distraction to open the neural foramen. An insertion instrument is provided for implanting the interspinous process spacer. The system is configured for implantation through a small percutaneous incision employing minimally invasive techniques.
摘要翻译: 提供了用于放置在脊柱运动段中的相邻棘突之间的可植入间隔物。 间隔件包括限定纵向通道的主体。 第一臂和第二臂连接到身体。 每个臂具有一对延伸部和鞍形部,其限定用于将棘突放置在其中的U形构造。 致动器组件设置在纵向通道内并连接到主体。 当前进时,致动器组件接触臂的凸轮表面,以将其从未部署的配置旋转到部署配置。 在展开的构造中,分散的相邻棘突位于臂的U形部分中,提供足够的分心以打开神经孔。 提供插入器械用于植入棘突间间隔物。 该系统配置为通过使用微创技术的小型经皮切口进行植入。
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公开(公告)号:US08425559B2
公开(公告)日:2013-04-23
申请号:US11593995
申请日:2006-11-07
申请人: Shawn Tebbe , Moti Altarac , Daniel H. Kim
发明人: Shawn Tebbe , Moti Altarac , Daniel H. Kim
IPC分类号: A61B17/70
CPC分类号: A61B17/7065 , A61B17/0206 , A61B17/025 , A61B17/1671 , A61B17/1697 , A61B17/1757 , A61B17/3421 , A61B17/56 , A61B17/7062 , A61B17/7067 , A61B17/7068 , A61B17/848 , A61B17/8866 , A61B17/8897 , A61B2017/00004 , A61B2017/0023 , A61B2017/00261 , A61B2017/00557 , A61B2017/0256 , A61B2090/033 , A61B2090/034 , A61B2090/062 , A61F2/0077
摘要: Devices, systems and methods for dynamically stabilizing the spine are provided. The devices include an expandable spacer having an undeployed configuration and a deployed configuration, wherein the spacer has axial and radial dimensions for positioning between the spinous processes of adjacent vertebrae. The systems include one or more spacers and a mechanical actuation means for delivering and deploying the spacer. The methods involve the implantation of one or more spacers within the interspinous space.
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公开(公告)号:US08096996B2
公开(公告)日:2012-01-17
申请号:US12077462
申请日:2008-03-19
IPC分类号: A61B17/70
CPC分类号: A61B17/7086
摘要: A rod reduction instrument for position a rod relative to a seat of a bone anchor in a spinal implant system is provided. The instrument includes three concentric cannulas with circumferentially aligned rod receiving portions formed therein. One cannula is movable with respect to another to lock and unlock the seat of a bone anchor to the rod reduction instrument. The rod to be reduced is positioned inside at least one of the rod receiving portion. One cannula is moved with respect to another to lock the seat of the bone anchor to the rod reduction instrument. Once locked to the bone anchor, the remaining cannula is moved to reduce the distance between the rod and the seat within at least one of the rod receiving portions. The distance between the rod and the seat is reduced until the rod is position inside the seat. A secondary instrument is inserted through a central bore of the rod reduction instrument to introduce a cap and lock the cap to the seat securing the rod to the bone anchor.
摘要翻译: 提供了一种用于在脊柱植入系统中相对于骨锚的座位定位杆的杆减小器械。 该仪器包括三个同心插管,其中形成有圆周对准的杆接收部分。 一个套管可相对于另一套管移动,以将骨锚固件的座椅锁定并解锁到杆减速器械。 要还原的杆位于杆接收部分中的至少一个中。 一个套管相对于另一个套管移动,以将骨锚固件的座椅锁定到杆减速器械上。 一旦锁定到骨锚固件上,剩余的套管被移动以减小杆和座内至少一个杆接收部分之间的距离。 杆和座椅之间的距离减小,直到杆位于座椅内部。 辅助器械通过杆减速器的中心孔插入以引入盖并将帽锁定到将杆固定到骨锚上的座椅上。
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公开(公告)号:US20090125030A1
公开(公告)日:2009-05-14
申请号:US12358010
申请日:2009-01-22
申请人: Shawn Tebbe , Moti Altarac , Yang Cheng
发明人: Shawn Tebbe , Moti Altarac , Yang Cheng
CPC分类号: A61B17/3468 , A61B17/025 , A61B17/32093 , A61B17/3211 , A61B17/3421 , A61B17/7062 , A61B2017/0256 , A61B2017/320044 , A61B2017/3454 , A61B2017/346 , A61M29/00
摘要: A dilator that facilitates implantation of an interspinous spacer is provided. The dilator includes a proximal portion and a tapered distal portion interconnected by an elongated body portion. The tapered distal portion is ideally suited for splitting ligamentous tissue for creating a posterior midline pathway through the supraspinous ligament as well as for distracting the adjacent spinous processes. Two oppositely located and longitudinally extending channels or grooves are formed in the outer surface of the dilator for stabilizing the dilator with respect to the spinous processes. An accompanying cannula together with the dilator form a system for the distraction of the adjacent spinous processes, stabilization of the spinous processes with respect to the system and creation of a working channel for the implantation of an interspinous spacer.
摘要翻译: 提供了有利于植入椎间间隔垫的扩张器。 扩张器包括通过细长主体部分互连的近端部分和锥形远端部分。 锥形远端部分理想地适用于分裂韧带组织,以产生通过上棘韧带的后中线通路,以及分散相邻棘突的分心。 在扩张器的外表面中形成两个相对定位且纵向延伸的通道或凹槽,用于相对于棘突稳定扩张器。 伴随的插管与扩张器一起形成用于分散相邻棘突的系统,棘突相对于系统的稳定以及用于植入椎间间隔垫的工作通道的产生。
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公开(公告)号:US20080294263A1
公开(公告)日:2008-11-27
申请号:US12220427
申请日:2008-07-24
申请人: Moti Altarac , Shawn Tebbe , Joey Camia Reglos , Yang Cheng , Murali P. Kadaba , Daniel H. Kim
发明人: Moti Altarac , Shawn Tebbe , Joey Camia Reglos , Yang Cheng , Murali P. Kadaba , Daniel H. Kim
IPC分类号: A61F2/44
CPC分类号: A61B17/7062 , A61B17/7065 , A61B2017/00004 , A61B2017/00557 , A61F2/0077
摘要: An implantable spacer for placement between adjacent spinous processes in a spinal motion segment is provided. The spacer includes a body defining a longitudinal axis and passageway. A first arm and a second arm are connected to the body. Each arm has a pair of extensions and a saddle defining a U-shaped configuration for seating a spinous process therein. Each arm has a proximal caming surface and is capable of rotation with respect to the body. An actuator assembly is disposed inside the passageway and connected to the body. When advanced, a threaded shaft of the actuator assembly contacts the caming surfaces of arms to rotate them from an undeployed configuration to a deployed configuration. In the deployed configuration, the distracted adjacent spinous processes are seated in the U-shaped portion of the arms.
摘要翻译: 提供了用于放置在脊柱运动段中的相邻棘突之间的可植入间隔物。 间隔件包括限定纵向轴线和通道的主体。 第一臂和第二臂连接到身体。 每个臂具有一对延伸部和鞍形部,其限定用于将棘突放置在其中的U形构造。 每个臂具有近端凸轮表面并且能够相对于身体旋转。 致动器组件设置在通道内部并连接到主体。 当前进时,致动器组件的螺纹轴接触臂的凸轮表面,以将它们从未部署的构型旋转到展开配置。 在展开的构型中,分散的相邻棘突位于臂的U形部分中。
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公开(公告)号:US20070276370A1
公开(公告)日:2007-11-29
申请号:US11582874
申请日:2006-10-18
申请人: Moti Altarac , Robert Gutierrez , Shawn Tebbe , Daniel Kim , J. Flaherty
发明人: Moti Altarac , Robert Gutierrez , Shawn Tebbe , Daniel Kim , J. Flaherty
IPC分类号: A61B17/56
CPC分类号: A61B17/7065 , A61B17/0206 , A61B17/025 , A61B17/1671 , A61B17/1697 , A61B17/1757 , A61B17/3421 , A61B17/7062 , A61B17/7067 , A61B17/848 , A61B17/8866 , A61B17/8897 , A61B2017/00004 , A61B2017/0023 , A61B2017/00261 , A61B2017/00557 , A61B2017/0256 , A61B2090/033 , A61B2090/034 , A61B2090/062 , A61F2/0077
摘要: A plurality of individual tools is provided where each tool is uniquely configured to perform a step or a portion of a step in a novel procedure associated with the implantation of a stabilizing device (e.g., an interspinous spacer) for stabilizing at least one spinal motion segment. The tools are usable individually, or more preferably as a tooling system in which the tools are collectively employed to implant an interspinous spacer, generally in a minimally invasive manner. For example, each of the tools is arranged with coordinated markings and/or other features to ensure consistent depths of insertion, proper orientation of the tools with respect to each other or an anatomical feature of the patient, and precise delivery of the spacer to maintain safe positioning throughout the implantation procedure.
摘要翻译: 提供了多个单独的工具,其中每个工具被独特地构造成执行与植入稳定装置(例如,椎间间隔垫)相关联的新颖程序中的步骤或步骤的一部分,用于稳定至少一个脊柱运动段 。 工具可以单独使用,或更优选地用作工具系统,其中工具被集体用于植入椎间间隔垫,通常以微创方式。 例如,每个工具被布置成具有协调的标记和/或其他特征,以确保插入的一致深度,工具相对于彼此的适当取向或患者的解剖特征,以及间隔物的精确传递以维持 整个植入过程中的安全定位。
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