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公开(公告)号：US08298138B2
公开(公告)日：2012-10-30
申请号：US12941143
申请日：2010-11-08
申请人： Josef Gorek , John Kostuik , George Picetti , Kevin R Strauss , Michael Barrus , Larry McClintock , Richard W Woods
发明人： Josef Gorek , John Kostuik , George Picetti , Kevin R Strauss , Michael Barrus , Larry McClintock , Richard W Woods
CPC分类号： A61B17/3468 , A61B1/32 , A61B17/02 , A61B17/0206 , A61B17/0218 , A61B17/1655 , A61B17/1671 , A61B17/320016 , A61B17/3211 , A61B17/7002 , A61B17/7032 , A61B17/7037 , A61B17/7082 , A61B17/7085 , A61B17/86 , A61B17/8886 , A61B2017/0287 , A61B2017/22038 , A61B2017/2837 , A61B2017/320044 , A61B2090/037 , A61M29/00
摘要： A device, system and method for orthopedic spine surgery using a novel screw-based retractor, disclosed herein, that allows for access to the spine through a minimally or less invasive approach. The retractor device is designed to be coupled to a pedicle screw and then to have opposed arms of the retractor spread apart to open the wound proximally. The retractor is removed by pulling it out of the wound whereby the retractor is deformed to pass over the pedicle screw head. The retractor is intended to be made of a stiff plastic material, sterile packaged and disposable after one use. A system and method for using the retractor and performing a minimally invasive spine surgical procedure are also disclosed.
摘要翻译： 本文公开的使用新颖的基于螺旋的牵开器的矫形脊柱手术的装置，系统和方法，其允许通过最小或较小侵入性的方法进入脊柱。 牵开器装置被设计成联接到椎弓根螺钉，然后将牵开器的相对的臂分开以向近侧打开伤口。 通过将其从伤口拉出而将牵开器移除，由此牵开器变形以越过椎弓根螺钉头。 卷收器旨在由坚固的塑料材料制成，无菌包装，一次性使用后即可弃置。 还公开了一种使用牵开器并执行微创脊柱外科手术的系统和方法。
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公开(公告)号：US09247962B2
公开(公告)日：2016-02-02
申请号：US13209542
申请日：2011-08-15
申请人： Larry McClintock
发明人： Larry McClintock
CPC分类号： A61B17/7076 , A61B17/56 , A61B17/7032 , A61B17/7044 , A61B17/808 , A61B2017/564
摘要： A surgical hook insertion device includes an elongate body defining a lumen therethrough and an actuation assembly. The elongate body has a retaining portion configured and dimensioned to releasably retain a laminar hook therein. The actuation assembly includes an actuation rod and an actuator member. The actuation rod is slideably disposed within the lumen of the elongate body. The actuator member is operatively coupled with the actuation rod and is slideably mounted on the elongate body, wherein the actuation assembly is transitionable between a first position in which a portion of the actuation rod engages the laminar hook releasably disposed in the retaining portion and a second position in which the actuation rod disengages the laminar hook.
摘要翻译： 手术钩插入装置包括限定通过其中的腔的细长主体和致动组件。 细长主体具有保持部分，其被构造和尺寸设计成可释放地将层状钩保持在其中。 致动组件包括致动杆和致动器构件。 致动杆可滑动地设置在细长主体的内腔内。 所述致动器构件与所述致动杆可操作地联接并且可滑动地安装在所述细长主体上，其中所述致动组件可在所述致动杆的一部分与可释放地设置在所述保持部分中的所述层状钩接合的第一位置之间转换， 致动杆脱离层状钩的位置。
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公开(公告)号：US08882817B2
公开(公告)日：2014-11-11
申请号：US13214331
申请日：2011-08-22
CPC分类号： A61B17/7037 , A61B17/7032
摘要： A polyaxial pedicle screw includes a housing, a bone screw member, and an anvil. The bone screw member includes a head and a threaded shaft extending from the head. The head is selectively securable within the housing. The anvil is positionable within the housing adjacent to the head of the bone screw member when the anvil and the head of the bone screw member are positioned within the housing. The anvil may define one or more grooves in an outer surface of the anvil. The groove defines a flap that is flexibly attached to the anvil to enable the anvil to flex an amount sufficient to maintain the head of the bone screw in constant contact with the anvil when the bone screw member is moved relative to the anvil.
摘要翻译： 多轴椎弓根螺钉包括壳体，骨螺钉构件和砧座。 骨螺钉构件包括头部和从头部延伸的螺纹轴。 头部可选择性地固定在壳体内。 当砧座和骨螺钉构件的头部位于壳体内时，砧座可定位在邻近骨螺钉构件的头部的壳体内。 砧座可以在砧座的外表面中限定一个或多个凹槽。 凹槽限定了一个翼片，其柔性地连接到砧座，以使得当砧座螺钉构件相对于砧座移动时，砧座能够弯曲足以保持骨螺钉的头部与砧座保持不间断的量。
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公开(公告)号：US20130046345A1
公开(公告)日：2013-02-21
申请号：US13595533
申请日：2012-08-27
CPC分类号： A61B17/7037 , A61B17/7086 , A61B17/8625 , A61B2017/0046
摘要： A polyaxial pedicle screw includes a housing, a bone screw member, and an anvil. The bone screw member includes a head and a threaded shaft extending from the head. The head is selectively securable within the housing. The anvil is positionable within the housing adjacent to the head of the bone screw member when the anvil and the head of the bone screw member are positioned within the housing. The anvil may define one or more grooves in an outer surface of the anvil. The groove defines a flap that is flexibly attached to the anvil to enable the anvil to flex an amount sufficient to maintain the head of the bone screw in constant contact with the anvil when the bone screw member is moved relative to the anvil. A rod reducer may be secured to the polyaxial pedicle screw to secure a spinal rod within the housing.
摘要翻译： 多轴椎弓根螺钉包括壳体，骨螺钉构件和砧座。 骨螺钉构件包括头部和从头部延伸的螺纹轴。 头部可选择性地固定在壳体内。 当砧座和骨螺钉构件的头部位于壳体内时，砧座可定位在邻近骨螺钉构件的头部的壳体内。 砧座可以在砧座的外表面中限定一个或多个凹槽。 凹槽限定了一个翼片，其柔性地连接到砧座，以使得当砧座螺钉构件相对于砧座移动时，砧座能够弯曲足以保持骨螺钉的头部与砧座保持不间断的量。 杆减速器可以固定到多轴椎弓根螺钉上，以将脊柱杆固定在壳体内。
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公开(公告)号：US20120158149A1
公开(公告)日：2012-06-21
申请号：US13404799
申请日：2012-02-24
申请人： John Kostuik , Larry McClintock , John I. Williams
发明人： John Kostuik , Larry McClintock , John I. Williams
IPC分类号： A61F2/44
CPC分类号： A61F2/447 , A61F2002/2817 , A61F2002/2835 , A61F2002/3008 , A61F2002/30517 , A61F2002/30774 , A61F2002/30787 , A61F2002/30904 , A61F2002/4475 , A61F2220/0025 , A61F2250/0098
摘要： A spinal spacer for engagement between vertebrae includes a body extending between a substantially contoured first end surface and a second end surface to define side surfaces and opposing top and bottom vertebral engaging surfaces substantially symmetrical about a centerline axis. At least one opening defines a hollow inner body and includes first and second intersecting openings extending through the top and bottom vertebral engaging surfaces. The second intersecting opening extends through the side surfaces. The second end surface includes at least one aperture formed therethrough in communication with the hollow inner body. A screw opening is defined through at least one plate insert configured to be removably coupled to the second end surface to substantially align the screw opening with the at least one aperture. The bone screw is configured to be threadingly secured within the at least one plate insert.
摘要翻译： 用于椎骨之间接合的脊椎间隔件包括在基本上具有轮廓的第一端表面和第二端表面之间延伸的主体，以限定侧表面和相对于基本上围绕中心线轴线对称的顶部和底部脊椎接合表面。 至少一个开口限定中空的内部主体并且包括延伸穿过顶部和底部椎骨接合表面的第一和第二相交开口。 第二相交开口延伸穿过侧表面。 第二端面包括与中空内体连通的穿过其中形成的至少一个孔。 通过至少一个板插入件限定螺钉开口，所述至少一个板插入件构造成可移除地联接到第二端表面，以将螺钉开口与至少一个孔大致对准。 骨螺钉构造成螺纹固定在至少一个板插入件内。
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公开(公告)号：US20090228110A1
公开(公告)日：2009-09-10
申请号：US12398316
申请日：2009-03-05
申请人： Larry McClintock
发明人： Larry McClintock
CPC分类号： A61F2/4455 , A61F2/4611 , A61F2002/2835 , A61F2002/30383 , A61F2002/30604 , A61F2002/30904 , A61F2002/4475 , A61F2002/448 , A61F2220/0025
摘要： An intervertebral instrument includes a shaft having distal and proximal ends. The proximal end of the shaft includes an attaching feature connected to handle. The shaft defines a pair tracks disposed along a portion of the surface thereof. The distal end includes a pair of wings. Each track guides instruments and implants along the intervertebral instrument. The implants are configured to receive bone graft or bone enhancers. The distal end of the shaft may include a removably attachable tip configured to engage the implants. The implants and the removably attachable tip form an implantable intervertebral disk. An intervertebral instrument and implant kit is also disclosed. A method of inserting intervertebral implants is also disclosed.
摘要翻译： 椎间器械包括具有远端和近端的轴。 轴的近端包括连接到手柄的附接特征。 轴限定沿其表面的一部分设置的一对轨道。 远端包括一对翼。 每个轨道沿着椎间仪器引导仪器和植入物。 植入物被配置成接收骨移植物或骨增强剂。 轴的远端可以包括构造成接合植入物的可移除地附接的尖端。 植入物和可移除地附接的尖端形成可植入的椎间盘。 还公开了椎间仪器和植入物套件。 还公开了插入椎间植入物的方法。
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公开(公告)号：US09393049B2
公开(公告)日：2016-07-19
申请号：US13595533
申请日：2012-08-27
CPC分类号： A61B17/7037 , A61B17/7086 , A61B17/8625 , A61B2017/0046
摘要： A polyaxial pedicle screw includes a housing, a bone screw member, and an anvil. The bone screw member includes a head and a threaded shaft extending from the head. The head is selectively securable within the housing. The anvil is positionable within the housing adjacent to the head of the bone screw member when the anvil and the head of the bone screw member are positioned within the housing. The anvil may define one or more grooves in an outer surface of the anvil. The groove defines a flap that is flexibly attached to the anvil to enable the anvil to flex an amount sufficient to maintain the head of the bone screw in constant contact with the anvil when the bone screw member is moved relative to the anvil. A rod reducer may be secured to the polyaxial pedicle screw to secure a spinal rod within the housing.
摘要翻译： 多轴椎弓根螺钉包括壳体，骨螺钉构件和砧座。 骨螺钉构件包括头部和从头部延伸的螺纹轴。 头部可选择性地固定在壳体内。 当砧座和骨螺钉构件的头部位于壳体内时，砧座可定位在邻近骨螺钉构件的头部的壳体内。 砧座可以在砧座的外表面中限定一个或多个凹槽。 凹槽限定了一个翼片，其柔性地连接到砧座，以使得当砧座螺钉构件相对于砧座移动时，砧座能够弯曲足以保持骨螺钉的头部与砧座保持不间断的量。 杆减速器可以固定到多轴椎弓根螺钉上，以将脊柱杆固定在壳体内。
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公开(公告)号：US08439977B2
公开(公告)日：2013-05-14
申请号：US13404799
申请日：2012-02-24
申请人： John Kostuik , Larry McClintock , John I. Williams
发明人： John Kostuik , Larry McClintock , John I. Williams
IPC分类号： A61F2/44
CPC分类号： A61F2/447 , A61F2002/2817 , A61F2002/2835 , A61F2002/3008 , A61F2002/30517 , A61F2002/30774 , A61F2002/30787 , A61F2002/30904 , A61F2002/4475 , A61F2220/0025 , A61F2250/0098
摘要： A spinal spacer for engagement between vertebrae includes a body extending between a substantially contoured first end surface and a second end surface to define side surfaces and opposing top and bottom vertebral engaging surfaces substantially symmetrical about a centerline axis. At least one opening defines a hollow inner body and includes first and second intersecting openings extending through the top and bottom vertebral engaging surfaces. The second intersecting opening extends through the side surfaces. The second end surface includes at least one aperture formed therethrough in communication with the hollow inner body. A screw opening is defined through at least one plate insert configured to be removably coupled to the second end surface to substantially align the screw opening with the at least one aperture. The bone screw is configured to be threadingly secured within the at least one plate insert.
摘要翻译： 用于椎骨之间接合的脊椎间隔件包括在基本上具有轮廓的第一端表面和第二端表面之间延伸的主体，以限定侧表面和与中心线轴线基本对称的相对的顶部和底部脊椎接合表面。 至少一个开口限定中空的内部主体并且包括延伸穿过顶部和底部椎骨接合表面的第一和第二相交开口。 第二相交开口延伸穿过侧表面。 第二端面包括与中空内体连通的穿过其中形成的至少一个孔。 通过至少一个板插入件限定螺钉开口，所述至少一个板插入件构造成可移除地联接到第二端表面，以将螺钉开口与至少一个孔大致对准。 骨螺钉构造成螺纹固定在至少一个板插入件内。
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公开(公告)号：US20130046352A1
公开(公告)日：2013-02-21
申请号：US13209542
申请日：2011-08-15
申请人： Larry McClintock
发明人： Larry McClintock
IPC分类号： A61B17/56
CPC分类号： A61B17/7076 , A61B17/56 , A61B17/7032 , A61B17/7044 , A61B17/808 , A61B2017/564
摘要： A surgical hook insertion device includes an elongate body defining a lumen therethrough and an actuation assembly. The elongate body has a retaining portion configured and dimensioned to releasably retain a laminar hook therein. The actuation assembly includes an actuation rod and an actuator member. The actuation rod is slideably disposed within the lumen of the elongate body. The actuator member is operatively coupled with the actuation rod and is slideably mounted on the elongate body, wherein the actuation assembly is transitionable between a first position in which a portion of the actuation rod engages the laminar hook releasably disposed in the retaining portion and a second position in which the actuation rod disengages the laminar hook.
摘要翻译： 手术钩插入装置包括限定通过其中的腔的细长主体和致动组件。 细长主体具有保持部分，其被构造和尺寸设计成可释放地将层状钩保持在其中。 致动组件包括致动杆和致动器构件。 致动杆可滑动地设置在细长主体的内腔内。 所述致动器构件与所述致动杆可操作地联接并且可滑动地安装在所述细长主体上，其中所述致动组件可在所述致动杆的一部分与可释放地设置在所述保持部分中的所述层状钩接合的第一位置之间转换， 致动杆脱离层状钩的位置。
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公开(公告)号：US20120046699A1
公开(公告)日：2012-02-23
申请号：US13214331
申请日：2011-08-22
IPC分类号： A61B17/86
CPC分类号： A61B17/7037 , A61B17/7032
摘要： A polyaxial pedicle screw includes a housing, a bone screw member, and an anvil. The bone screw member includes a head and a threaded shaft extending from the head. The head is selectively securable within the housing. The anvil is positionable within the housing adjacent to the head of the bone screw member when the anvil and the head of the bone screw member are positioned within the housing. The anvil may define one or more grooves in an outer surface of the anvil. The groove defines a flap that is flexibly attached to the anvil to enable the anvil to flex an amount sufficient to maintain the head of the bone screw in constant contact with the anvil when the bone screw member is moved relative to the anvil.
摘要翻译： 多轴椎弓根螺钉包括壳体，骨螺钉构件和砧座。 骨螺钉构件包括头部和从头部延伸的螺纹轴。 头部可选择性地固定在壳体内。 当砧座和骨螺钉构件的头部位于壳体内时，砧座可定位在邻近骨螺钉构件的头部的壳体内。 砧座可以在砧座的外表面中限定一个或多个凹槽。 凹槽限定了一个翼片，其柔性地连接到砧座，以使得当砧座螺钉构件相对于砧座移动时，砧座能够弯曲足以保持骨螺钉的头部与砧座保持不间断的量。
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