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公开(公告)号：US5545163A
公开(公告)日：1996-08-13
申请号：US178304
申请日：1994-09-19
CPC分类号： A61B17/7059 , A61B17/7007 , A61B17/701 , A61B17/86
摘要： A spinal fixation system comprises an elongated fixation plate (13) having an elongated slot (21) with a number of concave depressions (28,25) formed at the top and bottom surfaces (19,17) of the plate. The system further includes a pedicle screw (40) and a nut (32) for load transmission between a vertebra and the plate. The pedicle screw includes a threaded nut engaging portion (42), a threaded bone engaging portion (44) and an intermediate portion (46) therebetween which has rigid upper and lower arcuate surfaces (47) that are complementary to the concave depressions in the plate. The nut also includes a rigid lower arcuate surface (36) which is complementary to the upper concave depressions of the plate. In one assembled configuration the plate is clamped between the upper arcuate surface of the pedicle screw and the nut. In an alternative embodiment of the pedicle screw (70), the intermediate portion has an upper and lower arcuate surface (79,77) of different spherical radii of curvature.
摘要翻译： PCT No.PCT / US92 / 05905 Sec。 371日期1994年9月19日 102（e）1994年9月19日PCT PCT。1992年7月15日PCT公布。 公开号WO93 / 01772 日期：1993年2月4日脊柱固定系统包括细长的固定板（13），其具有细长的槽（21），在板的顶表面和底表面（19,17）上形成有多个凹陷（28,25） 。 该系统还包括椎弓根螺钉（40）和螺母（32），用于在椎骨和板之间进行载荷传递。 椎弓根螺钉包括螺母螺母接合部分（42），螺纹骨接合部分（44）和中间部分（46），它们之间具有刚性的上和下弓形表面（47），其与板中的凹陷凹部互补 。 螺母还包括与板的上凹凹部互补的刚性下弓形表面（36）。 在一个组装的构造中，板被夹紧在椎弓根螺钉的上弓形表面和螺母之间。 在椎弓根螺钉（70）的替代实施例中，中间部分具有不同球形半径曲率的上下弓形表面（79,77）。
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公开(公告)号：US5395371A
公开(公告)日：1995-03-07
申请号：US89399
申请日：1993-07-08
CPC分类号： A61B17/7059 , A61B17/7007 , A61B17/701 , A61B17/86
摘要： A a spinal fixation system comprises an elongated fixation plate having a bottom side for facing the vertebrae, an opposite top side extending generally parallel to the bottom side, and an elongated slot defined therethrough which extends substantially along the length of the plate. The slot has a lower edge at the intersection of the slot and the bottom surface and an upper edge at the intersection of the slot and the top surface with a number of concave depressions formed at each edge. In one embodiment, the concave depressions at the lower and upper edges of the slot form comparable scalloped surfaces. In another embodiment, the lower edge of the slot forms a single concave surface extending around the entire perimeter of the lower edge of the slot. The system further includes a pedicle screw and a nut for load transmission between the vertebrae and the fixation plate. The pedicle screw includes a threaded nut engaging portion, a threaded bone engaging portion and an intermediate portion therebetween. The intermediate portion has a rigid upper arcuate surface facing toward the nut engaging portion which is substantially complementary to the concave depressions in lower edge of the slot. The nut includes a threaded head portion for engaging the nut engagement portion of the pedicle screw, and a rigid lower arcuate surface which is substantially complementary to the concave depressions at the upper edge of the slot. In the assembled configuration of the spinal fixation system, the fixation plate is supported by the upper arcuate surface of the pedicle screw and is clamped between the pedicle screw and the nut. The concave depressions and the upper and lower arcuate surfaces coact to permit angulation of the pedicle screw relative to the elongated plate while maintaining load transmitting contact over a wide range of angles of the pedicle screw relative to the fixation plate.
摘要翻译： 脊椎固定系统包括细长的固定板，其具有用于面向椎骨的底侧，大体上平行于底侧延伸的相对的顶侧，以及基本上沿着板的长度延伸的限定的细长槽。 槽在槽和底表面的交叉点处具有下边缘，并且在槽和顶表面的交点处的上边缘在每个边缘处形成有多个凹陷部分。 在一个实施例中，槽的下边缘和上边缘处的凹陷凹陷形成相当的扇形表面。 在另一个实施例中，槽的下边缘形成围绕槽的下边缘的整个周边延伸的单个凹面。 该系统还包括椎弓根螺钉和用于在椎骨和固定板之间传递载荷的螺母。 椎弓根螺钉包括螺母接合部分，螺纹骨接合部分和它们之间的中间部分。 中间部分具有面向螺母接合部分的刚性上部弧形表面，其与槽的下边缘中的凹陷凹部基本互补。 螺母包括用于接合椎弓根螺钉的螺母接合部分的螺纹头部部分和与槽的上边缘处的凹陷部基本互补的刚性下弓形表面。 在脊柱固定系统的组装结构中，固定板由椎弓根螺钉的上弓形表面支撑，并夹在椎弓根螺钉和螺母之间。 凹陷凹陷和上下弓形表面共同作用以允许椎弓根螺钉相对于细长板成角度，同时在相对于固定板的椎弓根螺钉的宽范围的角度保持负荷传递接触。
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公开(公告)号：US09610105B2
公开(公告)日：2017-04-04
申请号：US13236383
申请日：2011-09-19
CPC分类号： A61B17/7037 , A61B17/7011 , A61B17/7032 , A61B17/7038 , A61B17/7041 , A61B17/7049 , A61B2017/00867 , A61B2090/035
摘要： Embodiments of an orthopedic implant device and system, and methods for implanting them, are disclosed. The implant may include a receiver member having a channel for accommodating an elongated rod or other longitudinal member, a bone anchoring member such as a screw or hook, and a base member rotatable with respect to the receiver member for retaining the bone anchoring member in the receiver member. The base member is configured to allow at least two different degrees of maximum angulation of the bone anchoring member with respect to the receiver member. The number and relative direction of such angulations are independent of the orientation of the channel or other part of the receiving member.
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公开(公告)号：US08672972B2
公开(公告)日：2014-03-18
申请号：US13183110
申请日：2011-07-14
IPC分类号： A61B17/70
CPC分类号： A61B17/70 , A61B17/7022 , A61B17/7032
摘要： Skeletal stabilization systems include a base, a longitudinal member, and a retaining member. The base includes an engagement surface with a surface area that is positionable in contact with a bone to atraumatically or traumatically engage the base to the bone. The retaining member engages the base to retain the longitudinal member relative to the base so that the longitudinal member can provide a desired stabilization effect to one or more adjacent bony portions.
摘要翻译： 骨骼稳定系统包括基座，纵向构件和保持构件。 基部包括具有可定位成与骨接触的表面区域的接合表面，以无创伤地或将创伤性地接合到骨骼。 保持构件接合基座以相对于基座保持纵向构件，使得纵向构件可以向一个或多个相邻的骨部分提供期望的稳定作用。
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公开(公告)号：US07699873B2
公开(公告)日：2010-04-20
申请号：US11287517
申请日：2005-11-23
申请人： Kevin Stevenson , Robert A. Farris , Jason May
发明人： Kevin Stevenson , Robert A. Farris , Jason May
IPC分类号： A61B17/70
CPC分类号： A61B17/7067
摘要： Devices and methods for anchoring one or more elongate connecting members along the spinal column include a transverse linking member positionable through a spinous process in a generally orthogonal orientation to the sagittal plane. At least one coupling assembly is engageable about an end of the linking member extending from the spinous process. The elongate connecting member is engaged to the coupling assembly in a transverse orientation to the transverse linking member.
摘要翻译： 用于沿着脊柱固定一个或多个细长连接构件的装置和方法包括横向连接构件，该横向连接构件能够以与矢状面大体上正交的方向通过棘突定位。 至少一个联接组件可以围绕从棘突延伸的连接构件的端部接合。 细长连接构件以横向连接构件的横向方向接合到联接组件。
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公开(公告)号：US07303563B2
公开(公告)日：2007-12-04
申请号：US10870504
申请日：2004-06-17
CPC分类号： A61B17/7055 , A61B17/7011 , A61B17/7032 , A61B17/7035 , A61B17/7044 , A61B17/7059 , A61B17/8061
摘要： A orthopedic fixation system comprising a plate with an outwardly-extending member. A saddle may be mounted on the member and includes spaced-apart arms that form a channel to receive a rod. An engagement member may be mounted within the saddle to prevent escape of the rod. In one embodiment, the engagement member is attached to the saddle to apply a downward force on the rod and an upward force on the saddle to lift the saddle relative to the plate. A method of attaching an orthopedic rod is also included. In one embodiment, a rod is positioned within a channel in the saddle and a downward force is applied against the anchor which results in an upward force on the saddle to lift the saddle relative to the anchor.
摘要翻译： 一种矫形固定系统，包括具有向外延伸构件的板。 鞍座可以安装在构件上并且包括形成用于容纳杆的通道的间隔开的臂。 接合构件可以安装在鞍座内以防止棒的逸出。 在一个实施例中，接合构件附接到鞍座上以向杆施加向下的力并且在鞍座上向上施力以相对于板提升鞍座。 还包括附接矫形棒的方法。 在一个实施例中，杆定位在鞍座内的通道内，向下的力施加在锚固件上，导致鞍座上的向上的力相对于锚固件提升鞍座。
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公开(公告)号：US20070118120A1
公开(公告)日：2007-05-24
申请号：US11287517
申请日：2005-11-23
申请人： Kevin Stevenson , Robert A. Farris , Jason May
发明人： Kevin Stevenson , Robert A. Farris , Jason May
IPC分类号： A61F2/30
CPC分类号： A61B17/7067
摘要： Devices and methods for anchoring one or more elongate connecting members along the spinal column include a transverse linking member positionable through a spinous process in a generally orthogonal orientation to the sagittal plane. At least one coupling assembly is engageable about an end of the linking member extending from the spinous process. The elongate connecting member is engaged to the coupling assembly in a transverse orientation to the transverse linking member.
摘要翻译： 用于沿着脊柱固定一个或多个细长连接构件的装置和方法包括横向连接构件，该横向连接构件能够以与矢状面大体上正交的方向通过棘突定位。 至少一个联接组件可以围绕从棘突延伸的连接构件的端部接合。 细长连接构件以横向连接构件的横向方向接合到联接组件。
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公开(公告)号：US06485491B1
公开(公告)日：2002-11-26
申请号：US09663638
申请日：2000-09-15
申请人： Robert A. Farris , Kevin T. Foley , Stephen M. Papadopoulos , Jeffrey Wade Poyner , Ricardo Sasso
发明人： Robert A. Farris , Kevin T. Foley , Stephen M. Papadopoulos , Jeffrey Wade Poyner , Ricardo Sasso
IPC分类号： A61B1770
CPC分类号： A61B17/7037 , A61B17/7002 , A61B17/7032 , A61B17/7035 , A61B17/7041 , A61B17/7044 , A61B17/7049 , A61B17/705 , A61B17/7055 , A61B17/7059
摘要： A posterior fixation system includes a saddle member, an anchoring member, an occipital plate, an occipital rod, and a cross-link connector. The anchoring member anchors the saddle member to bone. The saddle member includes a pair of upright portions that define a channel. The channel is adapted to receive an orthopedic rod, and the saddle member can include a hole to receive the anchoring member. The saddle member and the anchoring member can be coupled so as to allow multi-axial movement of the members. The anchoring member in one embodiment is a screw coupled to the hole of the saddle, and in another embodiment, the anchoring member is a hook. The offset member may be coupled to the saddle member to allow for offset connection of rods. Connection of individual rods can be accomplished by connecting the rods with the cross-link connector. The cross-link connector has an integrally formed cylindrical member that couples a pair of coupling portions together. The cylindrical member can be bent along multiple axes. The occipital plate secures the rods to the occipital bone of the skull. The occipital plate has a cross-shaped plate with a plurality of apertures defined in the plate and at least one saddle member coupled to the plate. Alternatively, the occipital rod can be secured to the occipital bone.
摘要翻译： 后固定系统包括鞍形构件，锚定构件，枕骨板，枕骨杆和交联连接器。 锚定构件将鞍形构件锚定到骨头。 鞍座构件包括限定通道的一对直立部分。 通道适于接纳矫形杆，并且鞍座构件可包括用于接收锚定构件的孔。 鞍形构件和锚定构件可以联接成允许构件的多轴向移动。 一个实施例中的锚固构件是联接到鞍座的孔的螺钉，并且在另一个实施例中，锚固构件是钩。 偏移构件可以联接到鞍座构件以允许杆的偏移连接。 可以通过将杆与交联连接器连接来实现单个杆的连接。 交联连接器具有将一对联接部分连接在一起的整体形成的圆柱形构件。 圆柱形构件可以沿着多个轴线弯曲。 枕骨板将杆固定在头骨的枕骨上。 枕骨板具有十字形板，其中限定在板中的多个孔和联接到板的至少一个鞍形构件。 或者，枕骨杆可以固定在枕骨上。
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公开(公告)号：US5928237A
公开(公告)日：1999-07-27
申请号：US934794
申请日：1997-09-22
CPC分类号： A61B17/8861 , A61B17/70 , A61B17/82 , A61B17/8869
摘要： A cable used in spinal surgery has one crimp of a two crimp assembly crimped to one end of it. The second crimp has a ball held in a socket of the first crimp. The other end of the cable is passed around the bone or bones and any necessary orthopedic spinal device and it is then passed through an aperture in the second crimp. The cable is then tensioned by application thereto of a tensioning tool with the tool applied to the cable and to an abutment face of the second crimp, whereupon the cable is tensioned, with the ball and socket arrangement enabling swiveling of the crimps with respect to each other, thus minimizing sharp bends in the cable. Then the second crimp portion receiving the cable portion in the aperture adjacent the tensioning tool is crimped onto that cable portion to complete the attachment. Then the tensioning tool is removed, and the free end of the cable is cut off at the abutment surface. Other embodiments include a bar with two swivel crimps captured therein and a cable passing from one of the crimps around some spinal processes and back into the other of the crimps. A further embodiment includes a bar with sets of concave seats for engaging but not capturing swivel crimps. A further embodiment includes a base factory-crimped to one end of the cable, and concave seats on opposite sides of the base for swivel mounting but not capturing a ball crimped to another portion of the cable.
摘要翻译： 脊柱手术中使用的电缆有一个压接在一端的两个压接组件。 第二卷边将球保持在第一卷边的插座中。 电缆的另一端穿过骨骼或骨骼以及任何必要的整形外科脊椎器械，然后穿过第二个卷曲的孔。 然后，电缆通过施加到张紧工具上而被拉紧，其中工具施加到电缆和第二压接件的邻接面上，于是电缆被张紧，而球窝布置能使卷曲相对于每一个转动 从而使电缆中的尖锐弯曲最小化。 然后，接收邻近张紧工具的孔中的电缆部分的第二卷边部分被压接到该电缆部分上以完成附接。 然后拔下拉紧工具，并且电缆的自由端在邻接表面处被切断。 其他实施例包括具有捕获在其中的两个旋转卷曲的杆和从一些脊骨绕过一些脊柱过程并回到另一个卷曲中的绳索。 另一实施例包括具有一组凹座的杆，用于接合但不捕获旋转卷曲。 另一实施例包括工厂压接到电缆的一端的基座以及在基座的相对侧上的凹座，用于旋转安装，但是不捕获压接到电缆的另一部分的球。
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公开(公告)号：US5395374A
公开(公告)日：1995-03-07
申请号：US116130
申请日：1993-09-02
CPC分类号： A61B17/82 , A61B17/8861 , A61B17/8869 , A61B17/70 , A61B17/7053 , Y10S606/916
摘要： A double-apertured L-shaped crimp is crimped to one end of a cable. The other end of the cable is passed around the bone and an orthopedic device to be attached to the bone, and it is then passed through the other aperture in the crimp. A releasable, lever-operated cable clamp is installed on the cable, followed by a tensioning tool. The tensioning tool applies a pre-positioning tension on the cable. The cable clamp is clamped to the cable to hold the tension. The tool is removed for use on another cable. When ready for final tensioning, the tensioning tool is re-installed, adjusted to the desired final tension, the crimp swaged onto the cable to hold the final tension, the cable clamp unclamped, the tensioning tool released and removed with the cable clamp, and the cable is cut off at the crimp.
摘要翻译： 双孔L形卷曲被压接到电缆的一端。 电缆的另一端绕骨头和矫形装置穿过骨头，然后穿过另一个孔口。 电缆上安装有可释放的杠杆式电缆夹，紧跟着一个张紧工具。 张紧工具在电缆上施加预定位张力。 电缆夹被夹紧到电缆以保持张力。 该工具被移除用于另一根电缆。 当准备好最终张紧时，张紧工具被重新安装，调整到所需的最终张力，卷曲到电缆上以保持最终张力，电缆夹松开，张紧工具用电缆夹释放和移除， 电缆在卷曲处被切断。
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