公开(公告)号：US08187305B2

公开(公告)日：2012-05-29

申请号：US12478953

申请日：2009-06-05

申请人： Hugues Malandain ,  Todd Alamin ,  Manish Kothari

发明人： Hugues Malandain ,  Todd Alamin ,  Manish Kothari

IPC分类号： A61B17/70

CPC分类号： A61B17/7062 ,  A61B17/0485 ,  A61B17/0625

摘要： A surgical tool for deploying an implant includes an elongate outer shaft having a proximal end, a distal end and a central channel therebetween. An elongate inner shaft is at least partially slidably received in the central channel and an actuator mechanism is operatively coupled with either the outer or inner shaft. The tool also includes a piercing element that is coupled with the outer shaft and releasably coupled with the implant.

摘要翻译： 用于展开植入物的手术工具包括细长的外轴，其具有近端，远端以及中间通道。 细长的内轴至少部分地可滑动地容纳在中心通道中，并且致动器机构与外轴或内轴可操作地联接。 该工具还包括穿刺元件，其与外轴联接并且可释放地与植入物联接。

公开(公告)号：US20100036424A1

公开(公告)日：2010-02-11

申请号：US12535560

申请日：2009-08-04

申请人： Louis Fielding ,  Ian Bennett ,  Manish Kothari ,  Todd Alamin ,  Hugues Malandain ,  Craig Litherland ,  Colin Cahill

发明人： Louis Fielding ,  Ian Bennett ,  Manish Kothari ,  Todd Alamin ,  Hugues Malandain ,  Craig Litherland ,  Colin Cahill

IPC分类号： A61B17/70 ,  A61B17/58 ,  A61B17/88

CPC分类号： A61B17/7068 ,  A61B17/7053 ,  A61B17/7062 ,  A61B17/7067 ,  A61B17/842 ,  A61B2090/064

摘要： A system for restricting spinal flexion includes superior and inferior tether structures joined by a pair of compliance members. Compliance members comprise tension members which apply a relatively low elastic tension on the tether structures. By placing the tether structures on or over adjacent spinous processes, flexion of a spinal segment can be controlled in order to reduce pain.

摘要翻译： 用于限制脊柱屈曲的系统包括由一对顺应性构件连接的上部和下部系绳结构。 合规构件包括在系绳结构上施加相对较低的弹性张力的张力构件。 通过将系绳结构置于相邻的棘突之上或之上，可以控制脊椎节段的屈曲以减轻疼痛。

公开(公告)号：US07335208B2

公开(公告)日：2008-02-26

申请号：US10148350

申请日：2000-12-01

申请人： Remi Cavagna ,  Denis Huten ,  Hugues Malandain

发明人： Remi Cavagna ,  Denis Huten ,  Hugues Malandain

IPC分类号： A61B17/58

CPC分类号： A61B17/8875 ,  A61B2090/031 ,  A61B2090/037 ,  B25B23/1415

摘要： The tightening instrument is made up of two parts (2,4) joined to each other by means which are designed to automatically uncouple the said two parts (2,4) by shearing rupture of a pin (8) when a predetermined tightening torque is reached, a first (2) of the two parts being provided with a means (3) permitting driving, characterized in that the second (4) of the two parts is a rod whose end (5) opposite its tightening end (6) is adapted to be introduced into a complementary recess (7) formed in the first part (2), and in that the said end (5) includes an axial reservoir (15) for receiving the broken end section (18) of the pin (8).

摘要翻译： 紧固器具由两部分（2,4）组成，该两部分（2,4）通过设计成相互连接，该部分被设计成当预定的紧固扭矩是（8）时，通过剪切销（8）的破裂来自动地脱开所述两个部分（2,4） 两部分中的第一部分（2）设置有允许驱动的装置（3），其特征在于，所述两部分中的第二部分（4）是其紧固端（6）相对的端部（5） 适于引入到形成在第一部分（2）中的互补的凹部（7）中，并且所述端部（5）包括轴向储存器（15），用于接收销（8）的断开的端部（18） ）。

公开(公告)号：US20070270815A1

公开(公告)日：2007-11-22

申请号：US11408219

申请日：2006-04-20

申请人： Chris Johnson ,  Hugues Malandain

发明人： Chris Johnson ,  Hugues Malandain

IPC分类号： A61F2/30

CPC分类号： A61B17/7037 ,  A61B17/7011

摘要： Devices and methods include an anchor assembly engageable to a vertebra and a connecting element positionable through a receiver of the anchor assembly. The receiver includes a body extending along a longitudinal axis that defines an axial bore extending longitudinally therein and opening at least distally and a trans-axial bore that opens in opposite sides of the receiver. The connecting element can be positioned through the trans-axial bore in an endwise manner through the receiver. The side openings of the trans-axial bore are encompassed by the body of the receiver on all sides of each opening.

摘要翻译： 设备和方法包括可与椎骨接合的锚固组件和可通过锚固组件的接收器定位的连接元件。 接收器包括沿着纵向轴线延伸的主体，其限定在其中纵向延伸并且至少向远端开口的轴向孔，以及在接收器的相对侧中打开的横轴孔。 连接元件可以通过接触器以直线方式定位穿过轴向孔。 横轴孔的侧开口由接收器的主体在每个开口的所有侧面上包围。

公开(公告)号：US20070260245A1

公开(公告)日：2007-11-08

申请号：US11625626

申请日：2007-01-22

申请人： Hugues Malandain ,  Avram Edidin

发明人： Hugues Malandain ,  Avram Edidin

IPC分类号： A61B17/58

CPC分类号： A61B17/7065 ,  A61B17/025 ,  A61B17/1604 ,  A61B17/1608 ,  A61B17/1671 ,  A61B17/1757 ,  A61B17/7047 ,  A61B17/7062 ,  A61B17/8863 ,  A61B2017/00557 ,  A61B2017/0256

摘要： A method includes moving a spinal implant such that a central portion of the spinal implant is disposed between adjacent spinous processes, radially extending a proximal portion of the spinal implant on a first side of the adjacent spinous processes such that movement of the proximal portion between the adjacent spinous processes is inhibited, and radially extending a distal portion of the spinal implant on a second side of the adjacent spinous processes opposite the first side such that movement of the distal portion between the adjacent spinous processes is inhibited.

摘要翻译： 一种方法包括移动脊柱植入物，使得脊柱植入物的中心部分设置在相邻的棘突之间，在相邻棘突的第一侧上径向延伸脊柱植入物的近端部分，使得近端部分在 相邻的棘突被抑制，并且径向延伸脊柱植入物的远侧部分在与第一侧相对的相邻棘突的第二侧上，使得远端部分在相邻棘突之间的移动被抑制。

公开(公告)号：US20070151116A1

公开(公告)日：2007-07-05

申请号：US11449854

申请日：2006-06-09

申请人： Hugues Malandain

发明人： Hugues Malandain

IPC分类号： A61B5/103

CPC分类号： A61B1/3135 ,  A61B1/317 ,  A61B5/1072 ,  A61B5/1076 ,  A61B5/4504 ,  A61B17/0218 ,  A61B2090/061 ,  A61B2562/17 ,  G01B3/46 ,  G01B5/14

摘要： In one embodiment, an apparatus includes a projection having a tapered end portion configured to be inserted percutaneously through tissue. A measurement member is coupled to the projection and is configured to indicate a distance between adjacent anatomical structures. In another embodiment, an apparatus includes a measurement member configured to be percutaneously inserted between adjacent anatomical structures. The measurement member includes a wedge portion that is configured to contact the adjacent anatomical structures when the measurement member is moved distally between the adjacent anatomical structures. A size indicator is coupled to the wedge portion. The size indicator has a plurality of markings and is configured to be viewed on an image of the adjacent anatomical structures with the wedge portion of the measurement member disposed between the adjacent anatomical structures to indicate a distance between the adjacent anatomical structures.

摘要翻译： 在一个实施例中，一种装置包括具有锥形端部的突起，该锥形端部构造成经由组织经皮插入。 测量构件联接到突起并且被配置为指示相邻解剖结构之间的距离。 在另一个实施例中，一种装置包括被配置为经皮插入相邻解剖结构之间的测量构件。 测量构件包括楔形部分，该楔形部分构造成当测量构件在相邻的解剖结构之间向远侧移动时接触相邻的解剖结构。 尺寸指示器联接到楔形部分。 尺寸指示器具有多个标记并且被配置为在相邻解剖结构的图像上观看，其中测量构件的楔形部分设置在相邻解剖结构之间，以指示相邻解剖结构之间的距离。

公开(公告)号：US20070078436A1

公开(公告)日：2007-04-05

申请号：US11250617

申请日：2005-10-17

申请人： Andrea Leung ,  Hugues Malandain ,  Erika Palmer ,  Paul Sand

发明人： Andrea Leung ,  Hugues Malandain ,  Erika Palmer ,  Paul Sand

IPC分类号： A61M31/00

CPC分类号： A61M29/02 ,  A61B17/3421 ,  A61B17/3478 ,  A61B90/02 ,  A61B2017/00261 ,  A61B2017/00526 ,  A61B2017/320048 ,  A61M25/1029 ,  A61M29/00

摘要： An apparatus includes a projection having a sharpened end portion configured to be inserted through an annulus of an intervertebral disc to define a distracted volume in the annulus. An expandable member is coupled to the projection and defines a longitudinal axis. The expandable member is configured to be expanded from a collapsed configuration to an expanded configuration in a direction substantially perpendicular to the longitudinal axis when at least a portion of the expandable member is disposed within the distracted volume of the annulus of the intervertebral disc. When the expandable member expands, it defines an expanded volume and defines a cross-sectional perimeter while in the expanded configuration. A cannula is configured to be at least partially inserted into the expanded volume. The cannula defines a cross-sectional outer perimeter having no portion extending outside of the cross-sectional perimeter of the expandable member while in its expanded configuration.

摘要翻译： 一种装置包括具有尖锐端部的突起，其被构造成插入通过椎间盘的环状物以限定在环空中的分散的体积。 可膨胀构件联接到突起并且限定纵向轴线。 可膨胀构件被构造成当至少一部分可扩张构件设置在椎间盘的环的分散体积内时，在基本上垂直于纵向轴线的方向上从折叠构型扩张到扩张构型。 当可膨胀构件膨胀时，其限定膨胀的体积并且在膨胀构型中限定横截面周长。 套管被构造成至少部分地插入到膨胀的容积中。 插管限定了横截面的外周边，在其扩展构型中没有部分延伸到可扩张构件的横截面周边的外侧。

公开(公告)号：US20070043361A1

公开(公告)日：2007-02-22

申请号：US11454153

申请日：2006-06-16

申请人： Hugues Malandain ,  Avram Edidin

发明人： Hugues Malandain ,  Avram Edidin

IPC分类号： A61F2/30

CPC分类号： A61B17/8863 ,  A61B17/025 ,  A61B17/7062 ,  A61B17/7065 ,  A61B2017/00557 ,  A61B2017/0256

摘要： An apparatus includes a shaft, a rod, a portion of which is disposed within the shaft, a first knob and a second knob. The first knob is coupled to the shaft and configured to engage the rod such that the rod translates within the shaft when the first knob is rotated. The second knob is coupled to the rod such that the rod rotates within the shaft when the second knob is rotated.

摘要翻译： 一种装置包括轴，杆，其一部分设置在轴内，第一旋钮和第二旋钮。 第一旋钮联接到轴并且构造成接合杆，使得当第一旋钮旋转时杆在轴内平移。 第二旋钮联接到杆，使得当第二旋钮旋转时，杆在轴内旋转。

公开(公告)号：US20070010845A1

公开(公告)日：2007-01-11

申请号：US11177666

申请日：2005-07-08

申请人： Gorman Gong ,  Avram Edidin ,  Reynaldo Osorio ,  Hugues Malandain

发明人： Gorman Gong ,  Avram Edidin ,  Reynaldo Osorio ,  Hugues Malandain

IPC分类号： A61M29/00

CPC分类号： A61M25/10 ,  A61B17/8855 ,  A61B90/39 ,  A61B90/60 ,  A61B2017/00535 ,  A61F2/44 ,  A61F2/4601 ,  A61F2002/30014 ,  A61F2002/30581 ,  A61F2250/0018 ,  A61M25/1027 ,  A61M2025/1059 ,  A61M2025/1084 ,  A61M2025/1088

摘要： Systems and methods for directionally controlling expansion of an expandable device are described. One such device includes an expandable body comprising a first wall portion and a second wall portion. The first wall portion comprises a high elasticity material. The second wall portion comprises a material having an elasticity lower than the elasticity of the first wall portion. When the body is expanded, expansion of the second wall portion is constrained more than expansion of the first wall portion. Expansion of the body is directed outwardly from the high elasticity first wall portion. Such a device is useful for providing cavities in interior body regions.

摘要翻译： 描述了用于定向控制可扩展装置的扩展的系统和方法。 一种这样的装置包括包括第一壁部分和第二壁部分的可膨胀体。 第一壁部分包括高弹性材料。 第二壁部包括弹性低于第一壁部的弹性的材料。 当主体膨胀时，第二壁部分的膨胀受限于第一壁部分的膨胀。 身体的膨胀从高弹性第一壁部分向外指向。 这种装置可用于在内部主体区域中提供空腔。

公开(公告)号：US20070010824A1

公开(公告)日：2007-01-11

申请号：US11410182

申请日：2006-04-24

申请人： Hugues Malandain ,  James Rappaport

发明人： Hugues Malandain ,  James Rappaport

IPC分类号： A61F2/00

CPC分类号： A61B17/8822

摘要： Disclosed are products, systems, and methods for delivering a material to an internal body part such as bone. In one variation, the product comprises a segmented plunger having a plurality of segments, where the plurality of cylindrical segments are sized for urging a material through an access member to thereby deliver the material to predetermined location in a subject's body. The segmented plunger may be used with a catheter for delivering a bone filler or a bone cement to a bone requiring repair.

摘要翻译： 公开了用于将材料递送到诸如骨骼的内部身体部位的产品，系统和方法。 在一个变型中，产品包括具有多个段的分段柱塞，其中多个圆柱形段的尺寸用于将材料推动通过进入构件，从而将材料输送到被检体的预定位置。 分段柱塞可以与用于将骨填充物或骨水泥递送到需要修复的骨的导管一起使用。