公开(公告)号：US07967827B2

公开(公告)日：2011-06-28

申请号：US11527953

申请日：2006-09-27

Applicant: Reynaldo A Osorio ,  Marialulu Follmer ,  Richard W Layne ,  Ryan P Boucher ,  Karen D Talmadge ,  Joseph J Basista ,  Mark A Reiley ,  Arie Scholten ,  Robert M Scribner

Inventor： Reynaldo A Osorio ,  Marialulu Follmer ,  Richard W Layne ,  Ryan P Boucher ,  Karen D Talmadge ,  Joseph J Basista ,  Mark A Reiley ,  Arie Scholten ,  Robert M Scribner

IPC: A61F2/44

CPC classification number: A61F2/4601 ,  A61B17/1604 ,  A61B17/1671 ,  A61B17/3472 ,  A61B17/8805 ,  A61B17/8855 ,  A61B50/33 ,  A61B90/39 ,  A61B2017/00261 ,  A61B2017/00464 ,  A61B2017/00539 ,  A61B2017/00557 ,  A61B2017/00867 ,  A61B2050/0065 ,  A61B2090/062 ,  A61F2/44 ,  A61F2002/2835 ,  A61F2002/3008 ,  A61F2002/30581 ,  A61F2002/4602 ,  A61F2002/4624 ,  A61F2002/4635 ,  A61F2002/4662 ,  A61F2250/0098 ,  A61F2310/00353

Abstract: A percutaneous path is created into a bone having an interior volume occupied, at least in part, by a cancellous bone, e.g., a vertebral body. An expandable structure is introduced into the cancellous bone by deployment of a tool through the percutaneous path into the cancellous bone. The expandable structure is expanded and the tool withdrawn, leaving the expandable structure expanded inside the cancellous bone. Expansion of the expandable structure within cancellous bone can, e.g., compact cancellous bone, and/or create a cavity in cancellous bone, and/or move fractured cortical bone.

Abstract translation: 将经皮通路产生到具有至少部分由松质骨例如椎体占据的内部体积的骨中。 通过将穿过经皮途径的工具部署到松质骨中，将可膨胀结构引入松质骨。 可膨胀结构被膨胀并且工具退出，使可膨胀结构在松质骨内部扩张。 松质骨内的可扩张结构的扩张可以例如紧实的松质骨，和/或在松质骨中产生空腔，和/或移动骨折的皮质骨。

公开(公告)号：US07717920B2

公开(公告)日：2010-05-18

申请号：US11981026

申请日：2007-10-31

Applicant: Mark A Reiley

Inventor： Mark A Reiley

IPC: A61B17/90

CPC classification number: A61B17/1682 ,  A61B17/15 ,  A61B17/1617 ,  A61B17/1717 ,  A61B17/1775 ,  A61B17/72 ,  A61B17/7291 ,  A61B17/8625 ,  A61B2017/00752 ,  A61F2/30767 ,  A61F2/4202 ,  A61F2002/30064 ,  A61F2002/30331 ,  A61F2002/30332 ,  A61F2002/30578 ,  A61F2002/30604 ,  A61F2002/30616 ,  A61F2002/30622 ,  A61F2002/30785 ,  A61F2002/30878 ,  A61F2002/30948 ,  A61F2002/30968 ,  A61F2002/4205 ,  A61F2002/4207 ,  A61F2002/421 ,  A61F2002/4631 ,  A61F2220/0033 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00329 ,  A61F2310/00395 ,  A61F2310/00796 ,  A61F2310/0097

Abstract: A prosthesis is installed in a cavity that traverses a joint between a talus and a calcaneus. The cavity is established by intramedullary guidance with respect to the major axis of the tibia by access through the calcaneus.

Abstract translation: 假体安装在穿过距骨和跟骨之间的关节的腔中。 通过通过跟骨进入，通过髓内引导相对于胫骨的主轴建立腔。

公开(公告)号：US07399306B2

公开(公告)日：2008-07-15

申请号：US10431681

申请日：2003-05-08

Applicant: Mark A Reiley ,  Michael L Reo ,  Robert M Scribner ,  Arthur E Ferdinand

Inventor： Mark A Reiley ,  Michael L Reo ,  Robert M Scribner ,  Arthur E Ferdinand

IPC: A61B17/34

CPC classification number: A61B17/34 ,  A61B17/1671 ,  A61B17/3417 ,  A61B17/8816 ,  A61B17/8819 ,  A61B17/8822 ,  A61B17/885 ,  A61B17/8855 ,  A61B2017/00261 ,  A61B2017/00424 ,  A61B2017/00429 ,  A61B2017/0046 ,  A61B2017/00477 ,  A61B2090/0813 ,  A61B2090/0814

Abstract: Apparatus and methods provide a tool comprising a trocar and a cannula in which the trocar engages the cannula to form a composite instrument. The trocar includes a handle and a lumen through the trocar and the trocar handle that accommodates passage of a functional instrument, such as a stylet, guidewire, or spinal needle assembly. The cannula includes a handle and is sized and configured to accommodate passage of the trocar. The trocar handle mates with the cannula handle to form a composite handle when the trocar is engaged with the cannula.

Abstract translation: 设备和方法提供了一种包括套管针和套管的工具，其中套管针接合插管以形成复合器械。 套针针包括手柄和通过套管针和套管针柄的内腔，该套管针可容纳诸如探针，导丝或脊髓针组件的功能器械的通过。 套管包括手柄，其尺寸和构造适于容纳套管针的通过。 当套管针与插管接合时，套针针与套管手柄配合形成复合手柄。

公开(公告)号：US07314488B2

公开(公告)日：2008-01-01

申请号：US11038803

申请日：2005-01-19

Applicant: Mark A Reiley

Inventor： Mark A Reiley

IPC: A61F2/42

CPC classification number: A61B17/1682 ,  A61B17/15 ,  A61B17/1617 ,  A61B17/1717 ,  A61B17/1775 ,  A61B17/72 ,  A61B17/7291 ,  A61B17/8625 ,  A61B2017/00752 ,  A61F2/30767 ,  A61F2/4202 ,  A61F2002/30064 ,  A61F2002/30331 ,  A61F2002/30332 ,  A61F2002/30578 ,  A61F2002/30604 ,  A61F2002/30616 ,  A61F2002/30622 ,  A61F2002/30785 ,  A61F2002/30878 ,  A61F2002/30948 ,  A61F2002/30968 ,  A61F2002/4205 ,  A61F2002/4207 ,  A61F2002/421 ,  A61F2002/4631 ,  A61F2220/0033 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00329 ,  A61F2310/00395 ,  A61F2310/00796 ,  A61F2310/0097

Abstract: Intramedullary guidance systems and methods introduce some and/or all surgical tools and ankle prostheses components through the tibia, using minimal invasive exposure in the tibia tubercle, or retrograde through the talus, using minimal invasive exposure in planar surface of the calcaneus. The systems and methods align the talus and tibia for the installation of one or more ankle prostheses components, and also maintain that alignment during the installation using intramedullary guidance, e.g., by use of a guide pin to form an intramedullar passage along which surgical tools and prosthetic components are guided.

Abstract translation: 髓内引导系统和方法通过胫骨引入一些和/或所有手术工具和踝假体组件，使用胫骨结节中的最小侵入性暴露或通过距骨逆行，使用在跟骨的平面表面中的最小侵入性暴露。 系统和方法使距骨和胫骨对准用于安装一个或多个踝假体部件，并且还可以使用髓内引导来保持在安装期间的对准，例如通过使用引导销形成髓内通道，沿着该引导通道将手术工具和 辅助部件被引导。

公开(公告)号：US07166121B2

公开(公告)日：2007-01-23

申请号：US10010576

申请日：2001-11-13

Applicant: Mark A Reiley ,  Arie Scholten ,  Karen D Talmadge

Inventor： Mark A Reiley ,  Arie Scholten ,  Karen D Talmadge

IPC: A61M29/00 ,  A61F2/28 ,  A61B19/00

CPC classification number: A61B10/025 ,  A61B17/025 ,  A61B17/8858 ,  A61B17/8866 ,  A61B90/39 ,  A61B90/94 ,  A61B2010/0258 ,  A61B2017/00539 ,  A61B2017/00544 ,  A61B2017/00557 ,  A61B2017/0256 ,  A61F2/28 ,  A61F2/2846 ,  A61F2/3601 ,  A61F2/389 ,  A61F2/44 ,  A61F2/441 ,  A61F2/4601 ,  A61F2/4611 ,  A61F2002/2817 ,  A61F2002/2825 ,  A61F2002/2828 ,  A61F2002/2832 ,  A61F2002/2835 ,  A61F2002/2853 ,  A61F2002/2871 ,  A61F2002/2892 ,  A61F2002/30113 ,  A61F2002/30115 ,  A61F2002/30125 ,  A61F2002/30131 ,  A61F2002/30133 ,  A61F2002/30204 ,  A61F2002/30225 ,  A61F2002/30228 ,  A61F2002/30242 ,  A61F2002/30247 ,  A61F2002/30253 ,  A61F2002/30285 ,  A61F2002/30288 ,  A61F2002/30308 ,  A61F2002/30311 ,  A61F2002/30313 ,  A61F2002/30448 ,  A61F2002/30462 ,  A61F2002/30464 ,  A61F2002/30581 ,  A61F2002/30586 ,  A61F2002/30599 ,  A61F2002/30677 ,  A61F2002/30686 ,  A61F2002/30909 ,  A61F2002/3611 ,  A61F2002/3625 ,  A61F2002/4062 ,  A61F2002/4217 ,  A61F2002/4602 ,  A61F2002/4635 ,  A61F2002/4636 ,  A61F2002/4685 ,  A61F2220/005 ,  A61F2220/0075 ,  A61F2230/0006 ,  A61F2230/0008 ,  A61F2230/0013 ,  A61F2230/0015 ,  A61F2230/0063 ,  A61F2230/0065 ,  A61F2230/0069 ,  A61F2230/0071 ,  A61F2230/0076 ,  A61F2250/0063 ,  A61F2310/00293 ,  A61F2310/00353 ,  A61F2310/0097 ,  A61M25/10 ,  A61M25/1002 ,  A61M25/1011 ,  A61M2025/105 ,  A61M2025/1072 ,  A61M2210/02 ,  A61M2210/1003

Abstract: Systems and methods insert an expandable body in a collapsed configuration into a space defined between cortical bone surfaces. The space can, e.g., comprise a fracture or an intervertebral space. The systems and methods cause expansion of the expandable body within the space, thereby pushing apart the cortical bone surfaces to, e.g., reduce the fracture or push apart adjacent vertebral bodies as part of a therapeutic procedure.

Abstract translation: 系统和方法将可折叠构型中的可扩张体插入皮质骨表面之间定义的空间。 该空间可以例如包括骨折或椎间空间。 系统和方法引起可膨胀体在空间内的膨胀，从而推挤皮质骨表面，例如作为治疗过程的一部分来减少骨折或推开相邻的椎体。

公开(公告)号：US06949123B2

公开(公告)日：2005-09-27

申请号：US10657844

申请日：2003-09-09

Applicant: Mark A Reiley

Inventor： Mark A Reiley

IPC: A61B17/00 ,  A61B17/16 ,  A61B17/86 ,  A61F2/00 ,  A61F2/02 ,  A61F2/28 ,  A61F2/30 ,  A61F2/44 ,  A61F2/46 ,  A61F17/70 ,  A61F17/80

CPC classification number: A61B17/1671 ,  A61B17/7064 ,  A61B17/7068 ,  A61B17/86 ,  A61B17/8605 ,  A61F2/28 ,  A61F2/4405 ,  A61F2002/30387 ,  A61F2002/30433 ,  A61F2002/305 ,  A61F2002/30537 ,  A61F2002/30604 ,  A61F2002/30777 ,  A61F2002/30874 ,  A61F2002/449 ,  A61F2002/4631 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2250/0004 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00329 ,  A61F2310/00604 ,  A61F2310/00634 ,  A61F2310/0097 ,  A61F2310/00976 ,  Y10S606/902 ,  Y10S606/907 ,  Y10S606/91 ,  Y10S623/902

Abstract: A prosthesis assembly replaces all or a portion of a caudal portion of a left natural facet joint (i.e., a left superior articular process) and all or a portion of a caudal portion of a right natural facet joint (i.e., a right superior articular process) on a vertebral body. The prosthesis assembly has a left prosthesis body accommodating fixation to the vertebral body at or near a left pedicle and without support by a lamina. An artificial left facet joint structure is carried by the left prosthesis body and is adapted and configured to replace all or a portion of a caudal portion of the left natural facet joint. The prosthesis assembly also has a right prosthesis body accommodating fixation to the vertebral body at or near a right pedicle and without support by a lamina. An artificial right facet joint structure is carried by the right prosthesis body and is adapted and configured to replace all or a portion of a caudal portion of the left natural facet joint.

Abstract translation: 假体组件代替左侧天然小关节（即左上关节突）的尾部的全部或一部分，以及右侧天然小关节的尾部的全部或一部分（即，右上关节突 ）在椎体上。 假体组件具有左假体，其容纳在左椎弓根处或附近固定到椎体，并且不由椎板支撑。 人造左侧小关节结构由左假体主体承载并且被适配和构造成替代左自然小关节的尾部的全部或一部分。 假体组件还具有右侧假体，其容纳在右椎弓根处或附近固定到椎体，并且不由椎板支撑。 人造右侧小关节结构由右侧假体承载，并且适于和构造成替换左侧天然小关节的尾部的全部或一部分。

公开(公告)号：US06899719B2

公开(公告)日：2005-05-31

申请号：US09754451

申请日：2001-01-04

Applicant: Mark A Reiley ,  Arie Scholten ,  Karen D Talmadge ,  Robert M Scribner

Inventor： Mark A Reiley ,  Arie Scholten ,  Karen D Talmadge ,  Robert M Scribner

IPC: A61B10/00 ,  A61B10/02 ,  A61B17/00 ,  A61B17/02 ,  A61B17/12 ,  A61B17/72 ,  A61B17/74 ,  A61B17/78 ,  A61B17/88 ,  A61B19/00 ,  A61B19/02 ,  A61F2/00 ,  A61F2/28 ,  A61F2/30 ,  A61F2/42 ,  A61F2/44 ,  A61F2/46 ,  A61F2/958 ,  A61M29/00 ,  A61B17/56

CPC classification number: A61B17/8855 ,  A61B10/025 ,  A61B10/0283 ,  A61B17/00234 ,  A61B17/7061 ,  A61B17/7097 ,  A61B17/7098 ,  A61B17/7258 ,  A61B17/7291 ,  A61B17/742 ,  A61B17/744 ,  A61B17/8805 ,  A61B17/8811 ,  A61B17/8816 ,  A61B50/33 ,  A61B90/39 ,  A61B90/94 ,  A61B2010/0258 ,  A61B2017/00539 ,  A61B2017/00544 ,  A61B2017/0256 ,  A61B2050/0065 ,  A61B2050/3015 ,  A61F2/28 ,  A61F2/2846 ,  A61F2/44 ,  A61F2/441 ,  A61F2/4601 ,  A61F2/4611 ,  A61F2002/2817 ,  A61F2002/2825 ,  A61F2002/2828 ,  A61F2002/2832 ,  A61F2002/2835 ,  A61F2002/2853 ,  A61F2002/2871 ,  A61F2002/2892 ,  A61F2002/30113 ,  A61F2002/30115 ,  A61F2002/30125 ,  A61F2002/30133 ,  A61F2002/30225 ,  A61F2002/30228 ,  A61F2002/30242 ,  A61F2002/30247 ,  A61F2002/30253 ,  A61F2002/30285 ,  A61F2002/30288 ,  A61F2002/30308 ,  A61F2002/30311 ,  A61F2002/30313 ,  A61F2002/30448 ,  A61F2002/30462 ,  A61F2002/30464 ,  A61F2002/30581 ,  A61F2002/30586 ,  A61F2002/30599 ,  A61F2002/30677 ,  A61F2002/30909 ,  A61F2002/4217 ,  A61F2002/4602 ,  A61F2002/4627 ,  A61F2002/4635 ,  A61F2002/4636 ,  A61F2002/4685 ,  A61F2220/005 ,  A61F2220/0075 ,  A61F2230/0006 ,  A61F2230/0008 ,  A61F2230/0015 ,  A61F2230/0063 ,  A61F2230/0065 ,  A61F2230/0069 ,  A61F2230/0071 ,  A61F2230/0076 ,  A61F2250/0063 ,  A61F2310/00293 ,  A61F2310/00353 ,  A61F2310/0097 ,  A61M25/10 ,  A61M25/1002 ,  A61M29/00 ,  A61M29/02 ,  A61M2210/02 ,  A61M2210/1003

Abstract: Systems and methods treat fractured or diseased bone by deploying more than a single therapeutic tool into the bone. In one arrangement, the systems and methods deploy an expandable body in association with a bone cement nozzle into the bone, such that both occupy the bone interior at the same time. In another arrangement, the systems and methods deploy multiple expandable bodies, which occupy the bone interior volume simultaneously. Expansion of the bodies form cavity or cavities in cancellous bone in the interior bone volume.

公开(公告)号：US06875236B2

公开(公告)日：2005-04-05

申请号：US10699999

申请日：2003-11-03

Applicant: Mark A Reiley

Inventor： Mark A Reiley

IPC: A61B17/56 ,  A61B17/14 ,  A61B17/15 ,  A61B17/16 ,  A61B17/17 ,  A61B17/86 ,  A61F2/00 ,  A61F2/30 ,  A61F2/42 ,  A61F2/46

CPC classification number: A61B17/1682 ,  A61B17/15 ,  A61B17/1617 ,  A61B17/1717 ,  A61B17/1775 ,  A61B17/72 ,  A61B17/7291 ,  A61B17/8625 ,  A61B2017/00752 ,  A61F2/30767 ,  A61F2/4202 ,  A61F2002/30064 ,  A61F2002/30331 ,  A61F2002/30332 ,  A61F2002/30578 ,  A61F2002/30604 ,  A61F2002/30616 ,  A61F2002/30622 ,  A61F2002/30785 ,  A61F2002/30878 ,  A61F2002/30948 ,  A61F2002/30968 ,  A61F2002/4205 ,  A61F2002/4207 ,  A61F2002/421 ,  A61F2002/4631 ,  A61F2220/0033 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00329 ,  A61F2310/00395 ,  A61F2310/00796 ,  A61F2310/0097

Abstract: Intramedullary guidance systems and methods introduce some and/or all surgical tools and ankle prostheses components through the tibia, using minimal invasive exposure in the tibia tubercle, or retrograde through the talus, using minimal invasive exposure in planar surface of the calcaneus. The systems and methods align the talus and tibia for the installation of one or more ankle prostheses components, and also maintain that alignment during the installation using intramedullary guidance, e.g., by use of a guide pin to form an intramedullar passage along which surgical tools and prosthetic components are guided.

公开(公告)号：US06863672B2

公开(公告)日：2005-03-08

申请号：US10208391

申请日：2002-07-30

Applicant: Mark A Reiley ,  Arie Scholten

Inventor： Mark A Reiley ,  Arie Scholten

IPC: A61B17/00 ,  A61B17/02 ,  A61B17/16 ,  A61B17/22 ,  A61B17/32 ,  A61B17/88 ,  A61B18/00 ,  A61B18/24 ,  A61B19/02 ,  A61F2/30 ,  A61F2/44 ,  A61F2/46 ,  A61M1/00

CPC classification number: A61B17/164 ,  A61B17/1617 ,  A61B17/1644 ,  A61B17/1671 ,  A61B17/22012 ,  A61B17/320016 ,  A61B17/32056 ,  A61B17/320758 ,  A61B17/8805 ,  A61B18/24 ,  A61B50/30 ,  A61B2017/00261 ,  A61B2017/22014 ,  A61B2017/320008 ,  A61B2017/320733 ,  A61B2217/005 ,  A61B2217/007 ,  A61F2/44 ,  A61F2/441 ,  A61F2/4601 ,  A61F2/4611 ,  A61F2002/30583 ,  A61F2002/30677 ,  A61F2210/0085

Abstract: Tools carry structures that are deployed inside bone and, when manipulated, cut cancellous bone to form a cavity.

Abstract translation: 工具携带骨骼部署的结构，并且在操作时切割松质骨以形成腔体。

公开(公告)号：US06814736B2

公开(公告)日：2004-11-09

申请号：US10016339

申请日：2001-12-10

Applicant: Mark A Reiley ,  Arie Scholten ,  Robert M Scribner ,  Michael L Reo

Inventor： Mark A Reiley ,  Arie Scholten ,  Robert M Scribner ,  Michael L Reo

IPC: A61M3900

CPC classification number: A61B17/8811 ,  A61B17/8816 ,  A61B17/8819 ,  A61B17/8836 ,  A61B2090/3966 ,  A61F2002/4635 ,  A61F2002/4653

Abstract: A tube body includes an interior bore to carry a material flow into bone. The tube body includes a dispensing end having an opening communicating with the bore to dispense the material flow. One embodiment provides a cutting element, which extends in the opening to permit passage of the material flow and to sever the material flow in response to rotation of the tube body. Another embodiment deflects the dispensing end from the main axis of the tube body, to facilitate targeted introduction of flowable material, even when the access path does not align the tube body along the natural geometric axes of the treatment site. Another embodiment provides a connector having a rotating fitting, which releasably connects the tube body to a cement injecting tool. The rotating fitting allows the physician to rotate the injection nozzle assembly to control orientation and position in the treatment site, without rotating the associated injection tool itself.

Abstract translation: 管体包括用于将材料流入骨头的内孔。 管体包括具有与孔连通以分配物料流的开口的分配端。 一个实施例提供一种切割元件，该切割元件在开口中延伸以允许材料流的通过并且响应于管体的旋转来切断材料流动。 另一个实施例使得分配端从管体的主轴线偏转，以便有助于可流动材料的目标引入，即使当进入路径不沿着治疗部位的自然几何轴线对准管体时。 另一个实施例提供一种具有旋转配件的连接器，其将管体可释放地连接到水泥注射工具。 旋转配件允许医师旋转注射喷嘴组件以控制治疗部位的取向和位置，而不旋转相关联的注射工具本身。