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公开(公告)号：US09526620B2
公开(公告)日：2016-12-27
申请号：US12414532
申请日：2009-03-30
CPC分类号： A61F2/4455 , A61F2/30965 , A61F2/44 , A61F2/442 , A61F2/4425 , A61F2/446 , A61F2/4465 , A61F2/447 , A61F2/4611 , A61F2/4684 , A61F2002/30062 , A61F2002/30596 , A61F2002/30604 , A61F2002/30794 , A61F2002/443 , A61F2002/4475 , A61F2002/4622 , A61F2002/4627 , A61F2002/4628 , A61F2210/0004 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00059 , A61F2310/00161 , A61F2310/00203 , A61F2310/00239 , A61F2310/00293
摘要： An interbody fusion cage having upper and lower canals for receiving the heads of bone screws that have been pre-installed in opposing vertebral body endplates. The proximal wall of the cage preferably has a vertical slot that communicates with each canal and is adapted to allow access by a screwdriver and tightening of the screws.
摘要翻译： 具有用于接收预先安装在相对的椎体终板中的骨螺钉头部的上下通道的体内融合器。 保持架的近侧壁优选地具有与每个通道连通的竖直狭槽，并且适于允许螺丝刀进入并拧紧螺钉。
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公开(公告)号：US09173683B2
公开(公告)日：2015-11-03
申请号：US13222389
申请日：2011-08-31
CPC分类号： A61B17/7001 , A61B17/0401 , A61B17/7037 , A61B17/7049 , A61B17/7076 , A61B17/844 , A61B17/8685 , A61B2017/0414 , A61B2017/8655 , A61F2/30965 , A61F2/447 , A61F2/4611 , A61F2002/2817 , A61F2002/2835 , A61F2002/30509 , A61F2002/30607 , A61F2002/30616 , A61F2002/30779 , A61F2002/30787 , A61F2002/30828 , A61F2002/30843 , A61F2002/4475 , A61F2310/00023
摘要： A revisable orthopedic anchor and method of use for removably securing an anchor in bone, such as compromised or degenerated bone, is described herein. In one embodiment, the anchor makes use of dual probes and vector divergence of the distal tips of the probes to achieve superior bone purchase and pull-out resistance. In such an embodiment, the probes can be inserted one at a time into a hole formed in, for example, the pedicle bone. After the probes are inserted and joined at the proximal end, they have a greater pull-out resistance than a threaded anchor. Removing the anchor involves separating the proximal heads and reversing the implantation process. As a result of the unique bone anchor design disclosed herein, the devices and methods of the present invention allow for less complicated implantation and removal of orthopedic anchors, all while providing enhanced bone purchase when implanted in a patient.
摘要翻译： 这里描述了一种可修复的矫形锚固件和用于可拆卸地固定骨骼中的锚固件（例如受损或退化的骨骼）的使用方法。 在一个实施例中，锚使用探针的远端的双探针和矢量发散来实现优异的骨采购和拉出阻力。 在这样的实施例中，探针可以一次一个地插入到例如椎弓根骨中形成的孔中。 探头在近端插入和接合后，它们具有比螺纹锚具更大的拔出阻力。 去除锚固件涉及分离近端头部并且逆转植入过程。 作为本文公开的独特的骨锚设计的结果，本发明的装置和方法允许在植入患者时提供增强的骨采购，同时提供矫形锚固件的较不复杂的植入和移除。
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公开(公告)号：US09173673B2
公开(公告)日：2015-11-03
申请号：US13360178
申请日：2012-01-27
IPC分类号： A61B17/32 , A61B17/3207 , A61B17/00
CPC分类号： A61B17/320725 , A61B2017/00261 , A61B2017/003 , A61B2017/00323
摘要： Disclosed herein are devices and methods for removing tissue. In one aspect, a device for removing tissue includes a hollow elongate member having an outer wall and a lumen, a selectively deployable tissue-cutting element extending from the hollow elongate member, and an actuation member extending through the lumen and coupled to the hollow elongate member at a location that is distal to the tissue-cutting element. Movement of the actuation member can cause the tissue-cutting element to move from the insertion configuration where the tissue-cutting element is not deployed to a tissue-cutting configuration where the tissue-cutting element is deployed such that it is radially extended relative to the insertion configuration.
摘要翻译： 本文公开了用于去除组织的装置和方法。 在一个方面，一种用于去除组织的装置包括具有外壁和内腔的中空细长构件，从中空细长构件延伸的可选择性展开的组织切割元件，以及延伸穿过内腔并联接到中空细长件 在远离组织切割元件的位置处的构件。 致动构件的运动可以使得组织切割元件从组织切割元件未展开的插入构造移动到组织切割构造，其中组织切割元件被展开，使得其相对于所述组织切割元件径向延伸 插入配置。
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公开(公告)号：US08845733B2
公开(公告)日：2014-09-30
申请号：US13163427
申请日：2011-06-17
IPC分类号： A61F2/44 , A61M29/02 , A61B17/17 , A61B17/16 , A61M25/00 , A61B5/00 , A61M25/01 , A61B17/02 , A61B17/34
CPC分类号： A61F2/4455 , A61B5/4893 , A61B17/1659 , A61B17/1671 , A61B17/1757 , A61B2017/0256 , A61B2017/3433 , A61F2/30771 , A61F2/4425 , A61F2/446 , A61F2/4465 , A61F2/447 , A61F2/4611 , A61F2/4637 , A61F2002/30326 , A61F2002/30523 , A61F2002/30593 , A61F2002/443 , A61F2002/4623 , A61F2002/4642 , A61M25/0054 , A61M25/0133 , A61M29/02
摘要： An intervertebral fusion device comprising inferior and superior fusion cage devices that provide an ability to correct spondylolisthesis via in-situ adjustment.
摘要翻译： 一种椎间融合装置，其包括通过原位调整提供矫正脊椎前移的能力的下部和上部融合笼装置。
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公开(公告)号：US20140275792A1
公开(公告)日：2014-09-18
申请号：US13832727
申请日：2013-03-15
CPC分类号： A61B1/32 , A61B1/06 , A61B1/0684 , A61B1/07 , A61B5/01 , A61B5/04001 , A61B5/14503 , A61B5/14539 , A61B5/14542 , A61B5/14546 , A61B5/6847 , A61B5/746 , A61B17/02 , A61B17/0206 , A61B17/0218 , A61B17/025 , A61B17/0293 , A61B90/06 , A61B90/36 , A61B2017/00092 , A61B2017/00473 , A61B2017/00946 , A61B2017/0225 , A61B2017/0262 , A61B2090/064 , A61B2090/065 , A61B2090/309
摘要： The present disclosure relates to methods and devices for surgically manipulating tissue. In general, the methods and devices can include an elongate retractor shaft having a distal retractor tip that is configured to manipulate tissue, for example the tip can be configured to separate muscle and nerve fibers surrounding a vertebra. The elongate retractor shaft can include an illumination source such that at least a portion of the surgical field is illuminated by the device when the device is used in the body. A sensor can also or alternatively be included on the elongate retractor shaft, for example on the blunt retraction tip, such that the sensor can monitor physiological parameters of the tissue in or adjacent to the surgical field.
摘要翻译： 本公开涉及用于手术操作组织的方法和装置。 通常，所述方法和装置可以包括细长的牵开器轴，其具有构造成操纵组织的远端牵开器顶端，例如尖端可被配置为分离围绕椎骨的肌肉和神经纤维。 细长收缩器轴可以包括照明源，使得当该装置用于身体时，外科手术区域的至少一部分被该装置照射。 传感器还可以或者可选地包括在细长的牵开器轴上，例如在钝器缩回尖端上，使得传感器可以监测在外科视野中或与外科视野相邻的组织的生理参数。
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公开(公告)号：US08709043B2
公开(公告)日：2014-04-29
申请号：US13008526
申请日：2011-01-18
IPC分类号： A61B17/70
CPC分类号： A61B17/7064 , A61B17/70 , A61B17/7011 , A61B17/7019 , A61B17/7023 , A61B17/7025 , A61B17/7031 , A61B17/7035 , A61B17/7043 , A61B17/7046 , A61B17/7049 , A61F2/4405 , A61F2/442 , A61F2/4425 , A61F2002/30331 , A61F2002/3037 , A61F2002/30372 , A61F2002/30649 , A61F2002/448 , A61F2220/0033
摘要： Various methods and devices for replacing damaged, injured, diseased, or otherwise unhealthy posterior elements, such as the facet joints, the lamina, the posterior ligaments, and/or other features of a patient's spinal column, are provided. In one exemplary embodiment, the methods and devices are effective to mimic the natural function of the spine by allowing flexion, extension, and lateral bending of the spine, while substantially restricting posterior-anterior shear and rotation of the spine.
摘要翻译： 提供用于替换损伤的，受伤的，患病的或其他不健康的后部元件（例如小关节，椎板，后韧带和/或患者的脊柱的其他特征）的各种方法和装置。 在一个示例性实施例中，所述方法和装置通过允许脊柱的弯曲，延伸和侧向弯曲来模拟脊柱的自然功能是有效的，同时基本上限制脊柱的前后剪切和旋转。
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公开(公告)号：US20140058515A1
公开(公告)日：2014-02-27
申请号：US13797174
申请日：2013-03-12
IPC分类号： A61F2/44
CPC分类号： A61F2/4455 , A61F2/4601 , A61F2/4611 , A61F2/4644 , A61F2002/30523 , A61F2002/30571 , A61F2002/30579 , A61F2002/30594 , A61F2002/30772 , A61F2002/4627 , A61F2002/4629 , A61F2002/4645
摘要： An interbody spacer comprising a series of stacked walls connected by a common base, wherein the spacer collapses when pressed into an access delivery tube. During insertion, the walls can flex as a unit, like bending a deck of cards, to traverse bends in the access tube. Upon distally exiting the portal of the access delivery tube, the walls track apart (like spreading fingers) to create a wide base of support for the vertebral body endplate. A graft delivery device that uses a conveyor belt-type approach to deliver bone graft from the device to a location in a patient. In some embodiments, the conveyor-belt is manually actuated.
摘要翻译： 一种体间隔离物，其包括通过共同基底连接的一系列堆叠壁，其中当压入进入输送管时，间隔件塌陷。 在插入过程中，墙壁可以作为一个单元弯曲，如弯曲一叠卡片，以便在通道管中横越弯曲。 在远端离开进入输送管的入口时，壁分开（如扩散手指），以形成用于椎体终板的宽基座。 移植物输送装置，其使用输送带式方法将骨移植物从装置输送到患者的位置。 在一些实施例中，手动致动传送带。
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公开(公告)号：US20130238006A1
公开(公告)日：2013-09-12
申请号：US13413282
申请日：2012-03-06
IPC分类号： A61B17/32
CPC分类号： A61B17/1659 , A61B17/32 , A61B17/320016 , A61B17/320708 , A61B2017/00261 , A61B2017/00473 , A61B2017/2927 , A61B2017/320008
摘要： Surgical curettes or rakes with cutting edges conform or deflect to allow for contouring that follows the bony anatomy. The cutting tips can be pre-sterile, disposable and made from flexible materials including metals and polymers. The disposable tips ensure that a sharp cutting edge is exposed to the endplate for each procedure. The tips can also be adjusted to change the size of the cutting surface and window for retaining shaved disc material. The tips can pivot to provide for a self adjusting angle that allows the cutting edge to have full contact with the endplate at various angles like the pivot on a disposable razor blade.
摘要翻译： 具有切割边缘的手术刮刀或耙子符合或偏转，以允许沿着骨骼解剖结构的轮廓。 切割尖端可以是预先无菌的，一次性的，并由包括金属和聚合物的柔性材料制成。 一次性的尖端确保每个程序都将锋利的切削刃暴露在终板上。 还可以调整尖端以改变切割表面和窗口的尺寸，以保留刮光盘材料。 尖端可以枢转以提供自调节角度，其允许切割边缘以诸如一次性剃刀刀片上的枢轴的各种角度与端板完全接触。
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公开(公告)号：US20130178941A1
公开(公告)日：2013-07-11
申请号：US13784122
申请日：2013-03-04
IPC分类号： A61F2/44
CPC分类号： A61F2/4611 , A61B17/00234 , A61B17/0642 , A61B17/12013 , A61B17/29 , A61B2090/3782 , A61F2/30965 , A61F2/44 , A61F2/4405 , A61F2/442 , A61F2/4455 , A61F2/447 , A61F2002/30062 , A61F2002/30176 , A61F2002/30301 , A61F2002/30538 , A61F2002/3082 , A61F2002/30841 , A61F2002/4475 , A61F2002/4624 , A61F2002/4627 , A61F2002/4635 , A61F2210/0004 , A61F2230/0054 , A61F2230/0095 , A61F2250/0006 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00179 , A61F2310/00203 , A61F2310/00239 , A61F2310/00365
摘要： Multiple, small, staple-like supports are inserted through a small tube into the disc space then rotated into position on the edge of the vertebral bodies. The tooth-like geometry of the proximal and distal faces of these staples mates with the outer edge of the vertebral body, extending past the front of the endplate anteriorly. The staples have teeth that dig into the endplate on the inside of the rim as well.
摘要翻译： 多个小的钉状支撑通过小管插入椎间盘空间中，然后旋转到椎体边缘的位置。 这些缝钉的近端和远端面的齿状几何形状与椎体的外缘配合，向前延伸穿过终板的前部。 订书钉具有挖入边缘内侧的端板的齿。
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公开(公告)号：US20130131634A1
公开(公告)日：2013-05-23
申请号：US13740503
申请日：2013-01-14
IPC分类号： A61M25/10
CPC分类号： A61M25/10 , A61B17/8808 , A61B17/8816 , A61F2/4611 , A61F2/4657 , A61F2002/4435 , A61F2002/444 , A61F2002/4627 , A61F2002/4663
摘要： A method of performing a procedure on an intervertebral disc includes inserting a cannulated delivery tube through an opening in an annulus fibrosus of the intervertebral disc, positioning an expandable portion of the tube within the opening in the annulus fibrosus, expanding the expandable portion into contact with the annulus fibrosus about the opening to create a seal between the expandable portion and the annulus fibrosus, performing a procedure through the cannulated delivery tube within the annulus fibrosis, removing the tube, and closing the opening in the annulus fibrosus.
摘要翻译： 在椎间盘上执行过程的方法包括将插管式输送管插入通过椎间盘纤维环中的开口，将管的可扩张部分定位在纤维环内的开口内，使可扩张部分膨胀成与 关于开口的纤维环，以在可膨胀部分和纤维环之间形成密封，通过环状纤维化内的插管输送管执行手术，去除管，并关闭纤维环中的开口。
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