公开(公告)号：US07320688B2

公开(公告)日：2008-01-22

申请号：US10455678

申请日：2003-06-05

申请人： Kevin T. Foley ,  John L. White ,  Bradley T. Estes ,  Mingyan Liu ,  Loic Josse ,  Jeffrey D. Moore

发明人： Kevin T. Foley ,  John L. White ,  Bradley T. Estes ,  Mingyan Liu ,  Loic Josse ,  Jeffrey D. Moore

IPC分类号： A61B17/58 ,  A61B1/00

CPC分类号： A61B17/025 ,  A61B1/00105 ,  A61B1/3135 ,  A61B17/00234 ,  A61B17/1604 ,  A61B17/1671 ,  A61B2017/0256 ,  A61F2/442 ,  A61F2/4455 ,  A61F2/4611 ,  A61F2002/2835 ,  A61F2002/30112 ,  A61F2002/30115 ,  A61F2002/30153 ,  A61F2002/30774 ,  A61F2002/30785 ,  A61F2002/30787 ,  A61F2002/4475 ,  A61F2002/448 ,  A61F2002/4623 ,  A61F2002/4629 ,  A61F2002/4635 ,  A61F2002/4662 ,  A61F2002/4681 ,  A61F2230/0004 ,  A61F2230/0006 ,  A61F2230/0019

摘要： This invention relates to methods and instruments for performing a surgical procedure in a disc space between adjacent vertebrae. A cannula is inserted to create a working channel through the skin and tissue of a patient using a transforaminal approach to the disc space. A viewing element is used to visualize working end of the cannula and the disc space. A facetectomy is performed through the working channel to access the disc space. The disc space is prepared with various instruments, such as distractors, shims, chisels and distractor-cutters that extend through the working channel. At least implant is inserted into the disc space. The procedure allows bi-lateral support of the adjacent vertebrae with the at least one implant inserted via a unitary, minimally invasive approach to disc space.

摘要翻译： 本发明涉及用于在相邻椎骨之间的椎间盘空间中执行外科手术的方法和装置。 插入套管以通过使用椎间孔途径进入椎间盘的患者的皮肤和组织产生工作通道。 观察元件用于可视化插管的工作端和盘片空间。 通过工作通道进行切面切割以访问光盘空间。 磁盘空间由各种仪器制备，例如延伸通过工作通道的牵引机，垫片，凿子和牵引机。 至少将植入物插入椎间盘空间。 该过程允许相邻椎骨的双向支撑，其中至少一个植入体经由对椎间盘空间的单一的微创方法插入。

公开(公告)号：US20070123901A1

公开(公告)日：2007-05-31

申请号：US11642405

申请日：2006-12-20

申请人： Kevin Foley ,  Jeffrey Moore ,  Bradley Estes ,  Mingyan Liu ,  Loic Josse

发明人： Kevin Foley ,  Jeffrey Moore ,  Bradley Estes ,  Mingyan Liu ,  Loic Josse

IPC分类号： A61B17/58

CPC分类号： A61B17/1757 ,  A61B17/1604 ,  A61B17/1671 ,  A61B17/320016 ,  A61B2017/00261 ,  A61B2017/0256

摘要： This invention relates to methods and instruments for performing a surgical procedure in a disc space between adjacent vertebrae. The instruments include a distractor and a cutting instrument. In one embodiment the distractor includes a body portion and a pair of flanges extending along opposite sides of the body portion such that a slot is formed between the flanges and the body portion. The cutting instrument is positionable over the body portion and into the slots of the distractor so that the flanges are positioned between the cutting instrument and the adjacent tissue.

摘要翻译： 本发明涉及用于在相邻椎骨之间的椎间盘空间中执行外科手术的方法和装置。 仪器包括牵引器和切割仪器。 在一个实施例中，牵引器包括主体部分和一对沿着主体部分的相对侧延伸的凸缘，使得在凸缘和主体部分之间形成槽。 切割仪器可定位在主体部分上并进入牵引机的槽中，使得凸缘位于切割仪器和相邻组织之间。

公开(公告)号：US07169152B2

公开(公告)日：2007-01-30

申请号：US10625418

申请日：2003-07-23

申请人： Kevin T. Foley ,  Jeffrey D. Moore ,  Bradley T. Estes ,  Mingyan Liu ,  Loic Josse

发明人： Kevin T. Foley ,  Jeffrey D. Moore ,  Bradley T. Estes ,  Mingyan Liu ,  Loic Josse

IPC分类号： A61B17/60

CPC分类号： A61B17/1757 ,  A61B17/1604 ,  A61B17/1671 ,  A61B17/320016 ,  A61B2017/00261 ,  A61B2017/0256

摘要： This invention relates to methods and instruments for performing a surgical procedure in a disc space between adjacent vertebrae. The instruments include a distractor and a cutting instrument. In one embodiment the distractor includes a body portion and a pair of flanges extending along opposite sides of the body portion such that a slot is formed between the flanges and the body portion. The cutting instrument is positionable over the body portion and into the slots of the distractor so that the flanges are positioned between the cutting instrument and the adjacent tissue.

公开(公告)号：US20050261681A9

公开(公告)日：2005-11-24

申请号：US09870023

申请日：2001-05-30

申请人： Charles Branch ,  Mingyan Liu ,  Lawrence Boyd ,  Loic Josse

发明人： Charles Branch ,  Mingyan Liu ,  Lawrence Boyd ,  Loic Josse

IPC分类号： A61B17/56 ,  A61B17/02 ,  A61B17/16 ,  A61B17/17 ,  A61B17/58 ,  A61B17/88 ,  A61B17/92 ,  A61B19/00 ,  A61F2/00 ,  A61F2/28 ,  A61F2/30 ,  A61F2/44 ,  A61F2/46

CPC分类号： A61F2/4455 ,  A61B17/1604 ,  A61B17/1659 ,  A61B17/1671 ,  A61B17/1739 ,  A61B17/1757 ,  A61B17/1778 ,  A61B17/88 ,  A61B90/39 ,  A61B2017/0256 ,  A61B2017/922 ,  A61F2/3094 ,  A61F2/442 ,  A61F2/4601 ,  A61F2/4611 ,  A61F2002/2817 ,  A61F2002/2835 ,  A61F2002/2839 ,  A61F2002/30131 ,  A61F2002/30158 ,  A61F2002/30168 ,  A61F2002/30192 ,  A61F2002/3028 ,  A61F2002/30774 ,  A61F2002/3082 ,  A61F2002/30848 ,  A61F2002/30879 ,  A61F2002/30892 ,  A61F2002/448 ,  A61F2002/4624 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2002/4649 ,  A61F2002/4681 ,  A61F2230/0013 ,  A61F2230/0026 ,  A61F2230/0041 ,  A61F2230/0043 ,  A61F2230/0063 ,  Y10S606/909 ,  Y10S606/914

摘要： This invention relates to implants formed from donor bone for use in lumbar interbody fusion procedures and instruments for performing such procedures. The implants are formed to include a concave surface formed from a portion of the medullary canal of a long bone. The concaved surface defines a recess in the implant that serves as a depot for osteogenic material. Specific instruments for inserting the implants prepared according to this invention and for preparing the intervertebral space to receive the implants are also provided.

摘要翻译： 本发明涉及由供体骨形成的用于腰椎间融合术的植入物和用于执行这种手术的器械。 植入物形成为包括由长骨的髓质管的一部分形成的凹面。 凹形表面在植入物中限定了用作成骨材料的贮库的凹槽。 还提供了用于插入根据本发明制备的植入物和用于准备椎间隙以接收植入物的特定仪器。

公开(公告)号：US06764491B2

公开(公告)日：2004-07-20

申请号：US09858197

申请日：2001-05-15

申请人： George Frey ,  John L. White ,  Mingyan Liu ,  Loic Josse

发明人： George Frey ,  John L. White ,  Mingyan Liu ,  Loic Josse

IPC分类号： A61B1756

CPC分类号： A61B17/025 ,  A61B17/0206 ,  A61B17/1604 ,  A61B17/1615 ,  A61B17/1631 ,  A61B17/1642 ,  A61B17/1659 ,  A61B17/1671 ,  A61B2017/0256 ,  A61F2/442 ,  A61F2/4455 ,  A61F2/4465 ,  A61F2/4611 ,  A61F2002/2835 ,  A61F2002/3008 ,  A61F2002/30115 ,  A61F2002/30133 ,  A61F2002/30235 ,  A61F2002/30329 ,  A61F2002/30774 ,  A61F2002/30777 ,  A61F2002/30785 ,  A61F2002/30787 ,  A61F2002/30789 ,  A61F2002/30828 ,  A61F2002/30912 ,  A61F2002/4475 ,  A61F2002/448 ,  A61F2002/4623 ,  A61F2002/4627 ,  A61F2002/4635 ,  A61F2220/0025 ,  A61F2230/0006 ,  A61F2230/0015 ,  A61F2230/0069 ,  A61F2250/0098 ,  A61F2310/00017 ,  A61F2310/00023

摘要： This invention relates to methods and instruments for performing disc space preparation and implant insertion from a unilateral approach to the spine through a posterior lateral opening to the disc space. The instruments include spreaders, distractors, reamers, scrapers, cutters, chisels, rasps, pushers and implant inserters. A surgical procedure is provided that allows bilateral support of the adjacent vertebrae with at least one interbody fusion device inserted into the disc space via a unilateral approach. Implants for insertion into the disc space are also provided.

摘要翻译： 本发明涉及用于执行椎间盘空间准备和植入物从单侧方法插入到通过脊椎间隙的后侧向开口到脊柱的方法和仪器。 仪器包括吊具，牵引器，铰刀，刮刀，刀具，凿子，锉刀，推动器和植入物插入器。 提供了外科手术，其允许相邻椎骨的双侧支撑，其中至少一个体内融合装置经由单侧方法插入椎间盘空间。 还提供了用于插入盘片空间的植入物。

公开(公告)号：US06575899B1

公开(公告)日：2003-06-10

申请号：US09692932

申请日：2000-10-20

申请人： Kevin T. Foley ,  John L. White ,  Bradley T. Estes ,  Mingyan Liu ,  Loic Josse ,  Jeffrey D. Moore

发明人： Kevin T. Foley ,  John L. White ,  Bradley T. Estes ,  Mingyan Liu ,  Loic Josse ,  Jeffrey D. Moore

IPC分类号： A61B104

CPC分类号： A61B17/025 ,  A61B1/00105 ,  A61B1/3135 ,  A61B17/00234 ,  A61B17/1604 ,  A61B17/1671 ,  A61B2017/0256 ,  A61F2/442 ,  A61F2/4455 ,  A61F2/4611 ,  A61F2002/2835 ,  A61F2002/30112 ,  A61F2002/30115 ,  A61F2002/30153 ,  A61F2002/30774 ,  A61F2002/30785 ,  A61F2002/30787 ,  A61F2002/4475 ,  A61F2002/448 ,  A61F2002/4623 ,  A61F2002/4629 ,  A61F2002/4635 ,  A61F2002/4662 ,  A61F2002/4681 ,  A61F2230/0004 ,  A61F2230/0006 ,  A61F2230/0019

摘要： This invention relates to methods and instruments for performing a surgical procedure in a disc space between adjacent vertebrae. A cannula is inserted to create a working channel through the skin and tissue of a patient using a transforaminal approach to the disc space. A viewing element is used to visualize working end of the cannula and the disc space. A facetectomy is performed through the working channel to access the disc space. The disc space is prepared with various instruments, such as distractors, shims, chisels and distractor-cutters that extend through the working channel. At least implant is inserted into the disc space. The procedure allows bi-lateral support of the adjacent vertebrae with the at least one implant inserted via a unitary, minimally invasive approach to disc space.

公开(公告)号：US08308803B2

公开(公告)日：2012-11-13

申请号：US12009823

申请日：2008-01-22

申请人： Kevin T. Foley ,  John L. White ,  Bradley T. Estes ,  Mingyan Liu ,  Loic Josse ,  Jeffrey D. Moore

发明人： Kevin T. Foley ,  John L. White ,  Bradley T. Estes ,  Mingyan Liu ,  Loic Josse ,  Jeffrey D. Moore

IPC分类号： A61F2/44

CPC分类号： A61B17/025 ,  A61B1/00105 ,  A61B1/3135 ,  A61B17/00234 ,  A61B17/1604 ,  A61B17/1671 ,  A61B2017/0256 ,  A61F2/442 ,  A61F2/4455 ,  A61F2/4611 ,  A61F2002/2835 ,  A61F2002/30112 ,  A61F2002/30115 ,  A61F2002/30153 ,  A61F2002/30774 ,  A61F2002/30785 ,  A61F2002/30787 ,  A61F2002/4475 ,  A61F2002/448 ,  A61F2002/4623 ,  A61F2002/4629 ,  A61F2002/4635 ,  A61F2002/4662 ,  A61F2002/4681 ,  A61F2230/0004 ,  A61F2230/0006 ,  A61F2230/0019

摘要： This invention relates to methods and instruments for performing a surgical procedure in a disc space between adjacent vertebrae. A cannula is inserted to create a working channel through the skin and tissue of a patient using a transformational approach to the disc space. A viewing element is used to visualize working end of the cannula and the disc space. A facetectomy is performed through the working channel to access the disc space. The disc space is prepared with various instruments, such as distractors, shims, chisels and distractor-cutters that extend through the working channel. At least implant is inserted into the disc space. The procedure allows bi-lateral support of the adjacent vertebrae with the at least one implant inserted via a unitary, minimally invasive approach to disc space.

摘要翻译： 本发明涉及用于在相邻椎骨之间的椎间盘空间中执行外科手术的方法和装置。 插入套管以通过使用椎间盘空间的转换方法来创建通过患者的皮肤和组织的工作通道。 观察元件用于可视化插管的工作端和盘片空间。 通过工作通道进行切面切割以访问光盘空间。 磁盘空间由各种仪器制备，例如延伸通过工作通道的牵引机，垫片，凿子和牵引机。 至少将植入物插入椎间盘空间。 该过程允许相邻椎骨的双向支撑，其中至少一个植入体经由对椎间盘空间的单一的微创方法插入。

公开(公告)号：US08142438B2

公开(公告)日：2012-03-27

申请号：US12807027

申请日：2010-08-26

申请人： Kevin T. Foley ,  Jeffrey D. Moore ,  Bradley T. Estes ,  Mingyan Liu ,  Loic Josse

发明人： Kevin T. Foley ,  Jeffrey D. Moore ,  Bradley T. Estes ,  Mingyan Liu ,  Loic Josse

IPC分类号： A61B17/58 ,  A61B17/60 ,  A61F2/00

CPC分类号： A61B17/1757 ,  A61B17/1604 ,  A61B17/1671 ,  A61B17/320016 ,  A61B2017/00261 ,  A61B2017/0256

摘要： This invention relates to methods and instruments for performing a surgical procedure in a disc space between adjacent vertebrae. The instruments include a distractor and a cutting instrument. In one embodiment the distractor includes a body portion and a pair of flanges extending along opposite sides of the body portion such that a slot is formed between the flanges and the body portion. The cutting instrument is positionable over the body portion and into the slots of the distractor so that the flanges are positioned between the cutting instrument and the adjacent tissue.

摘要翻译： 本发明涉及用于在相邻椎骨之间的椎间盘空间中执行外科手术的方法和装置。 仪器包括牵引器和切割仪器。 在一个实施例中，牵引器包括主体部分和一对沿着主体部分的相对侧延伸的凸缘，使得在凸缘和主体部分之间形成槽。 切割仪器可定位在主体部分上并进入牵引机的槽中，使得凸缘位于切割仪器和相邻组织之间。

公开(公告)号：US08002833B2

公开(公告)日：2011-08-23

申请号：US10505969

申请日：2003-02-25

申请人： Daniele A. Fabris Monterumici ,  Rudolf Bertagnoli ,  Mingyan Liu ,  Loic Josse

发明人： Daniele A. Fabris Monterumici ,  Rudolf Bertagnoli ,  Mingyan Liu ,  Loic Josse

IPC分类号： A61F2/44

CPC分类号： A61F2/4611 ,  A61B17/025 ,  A61B2017/0256 ,  A61F2/442 ,  A61F2/4455 ,  A61F2002/2835 ,  A61F2002/30131 ,  A61F2002/30192 ,  A61F2002/30331 ,  A61F2002/30354 ,  A61F2002/30383 ,  A61F2002/30502 ,  A61F2002/30507 ,  A61F2002/30596 ,  A61F2002/30604 ,  A61F2002/30774 ,  A61F2002/30785 ,  A61F2002/30975 ,  A61F2002/4475 ,  A61F2002/4622 ,  A61F2002/4627 ,  A61F2002/4687 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2230/0013 ,  A61F2230/0041

摘要： An intersomatic implant (1a, 1b) maintains bone graft material in a receiving cavity formed in a disc in order to obtain intervertebral fusion. The implant (1a, 1b) includes of a plurality of parts provided with means for in situ connection of two consecutive parts. Instruments (33) are used to connect these implants (1a, 1b) and a tool assists in introducing these implants (1a, 1b) into the cavity formed in the disc.

摘要翻译： 异体植入物（1a，1b）将骨移植材料保持在形成在椎间盘中的接收腔中，以获得椎间融合。 植入物（1a，1b）包括多个部件，其具有用于原位连接两个连续部分的装置。 仪器（33）用于连接这些植入物（1a，1b），并且工具有助于将这些植入物（1a，1b）引入到形成在盘中的空腔中。

公开(公告)号：US08002776B2

公开(公告)日：2011-08-23

申请号：US11224647

申请日：2005-09-12

申请人： Mingyan Liu ,  Loic Josse

发明人： Mingyan Liu ,  Loic Josse

IPC分类号： A61B17/00

CPC分类号： A61B17/1757 ,  A61B17/1659 ,  A61B17/1671 ,  A61B17/1735 ,  A61B2017/1602 ,  A61B2017/320028 ,  A61F2/442 ,  A61F2002/30884

摘要： A disc preparation system includes an oscillating rasp for preparation of vertebral endplates and a central reamer for reaming a pair of kidney-shaped grooves into the vertebral endplate. The oscillating rasp is powered by a rotary power source. A linkage assembly is coupled to the rotary power source to convert the rotary motion into a reciprocating motion. A pair of rasps plates, which are linked to the linkage assembly, linearly reciprocate in opposite directions in response to the reciprocating motion of the linkage assembly. In one form, the central reamer includes a pair of cutting elements that are coupled to the rotary power source in order to rotate in response to rotational movement from the rotary power source. In another form, the central reamer includes a single cutting element coupled to an angled reamer handle and a reamer guide.

摘要翻译： 椎间盘准备系统包括用于准备脊椎终板的摆动锉刀和用于将一对肾形槽扩孔到椎骨终板的中央铰刀。 摆动锉刀由旋转电源供电。 联动组件联接到旋转动力源以将旋转运动转换成往复运动。 连接到连杆组件的一对锉刀板响应于连杆组件的往复运动而沿相反方向线性往复运动。 在一种形式中，中心铰刀包括一对切割元件，其耦合到旋转动力源以响应于来自旋转动力源的旋转运动而旋转。 在另一种形式中，中心铰刀包括联接到成角度的铰刀手柄和铰刀引导件的单个切割元件。