公开(公告)号：US07144426B2

公开(公告)日：2006-12-05

申请号：US11208664

申请日：2005-08-22

Applicant: James D. Ralph ,  Stephen Tatar ,  Joseph P. Errico

Inventor： James D. Ralph ,  Stephen Tatar ,  Joseph P. Errico

IPC: A61F2/44

CPC classification number: A61F2/442 ,  A61F2/30742 ,  A61F2/30767 ,  A61F2/4425 ,  A61F2002/30133 ,  A61F2002/30171 ,  A61F2002/302 ,  A61F2002/30433 ,  A61F2002/30443 ,  A61F2002/30444 ,  A61F2002/30451 ,  A61F2002/30492 ,  A61F2002/30502 ,  A61F2002/30507 ,  A61F2002/30518 ,  A61F2002/30565 ,  A61F2002/30571 ,  A61F2002/30594 ,  A61F2002/30604 ,  A61F2002/30649 ,  A61F2002/30769 ,  A61F2002/30774 ,  A61F2002/30909 ,  A61F2002/3092 ,  A61F2002/30975 ,  A61F2002/443 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2220/0058 ,  A61F2230/0015 ,  A61F2230/005 ,  A61F2230/0065 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00365 ,  Y10S606/907

Abstract: An intervertebral spacer device includes first and second plate members, each having plate surfaces thereof, the plate members being disposed in a spaced apart relationship such that inner ones of the plate surfaces oppose one another, and external ones of the plate surfaces face in opposite directions. The device includes at least one slotted domed arch strip spring disposed between the inner surfaces of the first and second plate members for counteracting compressive load applied to the external surfaces of the plate members, one of the plate members having a ball-shaped head attached thereto and spaced from the inner surface thereof, and the at least one slotted domed arch strip spring having a central opening including a curvate volume for receiving and holding therein the ball-shaped head.

Abstract translation: 椎间间隔装置包括第一和第二板构件，每个板构件具有其板表面，板构件以间隔开的关系设置，使得内表面板彼此相对，并且板表面中的外侧面朝向相反方向 。 该装置包括设置在第一和第二板构件的内表面之间的至少一个开槽圆顶拱形弹簧片，用于抵抗施加到板构件的外表面的压缩载荷，其中一个板构件具有附接到其上的球形头部 并且与其内表面间隔开，并且所述至少一个带槽的圆拱形拱形弹簧具有包括用于容纳和保持在其中的球形头部的弯曲体积的中心开口。

公开(公告)号：US07122055B2

公开(公告)日：2006-10-17

申请号：US10177378

申请日：2002-06-21

Applicant: James D. Ralph ,  Stephen Tatar ,  Joseph P. Errico

Inventor： James D. Ralph ,  Stephen Tatar ,  Joseph P. Errico

IPC: A61F2/44

CPC classification number: A61F2/4425 ,  A61F2/30742 ,  A61F2002/30171 ,  A61F2002/302 ,  A61F2002/30433 ,  A61F2002/30443 ,  A61F2002/30451 ,  A61F2002/30492 ,  A61F2002/30502 ,  A61F2002/30518 ,  A61F2002/30565 ,  A61F2002/30571 ,  A61F2002/30594 ,  A61F2002/30604 ,  A61F2002/30649 ,  A61F2002/30769 ,  A61F2002/30909 ,  A61F2002/3092 ,  A61F2002/443 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2220/0058 ,  A61F2230/005 ,  A61F2230/0065 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00365

Abstract: An artificial disc having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by a spider spring having a plurality of spring arms extending radially from a central hub. Various spring arm embodiments disclosed include spring arms that are straight, bowed, grooved, wavy, thinning, or thickening; and spring arms with parallel sides, radially outwardly diverging sides, or radially outwardly diverging and curving sides. Various spider spring embodiments disclosed include spider springs with central hubs that are solid, bored, have curvate sockets, or have semispherical protuberances. Various plate embodiments disclosed include plates having, on inwardly facing surfaces, a curvate socket, a semispherical protuberance, a circular recess, or a flat surface. The spider springs are disposable between the plates, through various disclosed couplings, so that the plates compress, rotate and angulate freely relative to one another, enabling the artificial disc to mimic a healthy natural intervertebral disc.

公开(公告)号：US06837904B2

公开(公告)日：2005-01-04

申请号：US10223146

申请日：2002-08-19

Applicant: James D. Ralph ,  Stephen Tatar ,  Thomas J. Errico

Inventor： James D. Ralph ,  Stephen Tatar ,  Thomas J. Errico

IPC: A61B17/02 ,  A61B17/56 ,  A61B17/70 ,  A61F2/00 ,  A61F2/30 ,  A61F2/44 ,  A61F2/46

CPC classification number: A61B17/025 ,  A61B17/70 ,  A61B2017/0256 ,  A61B2017/564 ,  A61F2/44 ,  A61F2/442 ,  A61F2/4455 ,  A61F2/4611 ,  A61F2/4684 ,  A61F2002/30113 ,  A61F2002/30166 ,  A61F2002/302 ,  A61F2002/3023 ,  A61F2002/30385 ,  A61F2002/30395 ,  A61F2002/305 ,  A61F2002/30574 ,  A61F2002/30616 ,  A61F2002/30617 ,  A61F2002/30672 ,  A61F2002/30772 ,  A61F2002/30822 ,  A61F2002/4623 ,  A61F2002/4628 ,  A61F2220/0025 ,  A61F2230/0006 ,  A61F2230/0028 ,  A61F2230/0065 ,  A61F2230/0069 ,  A61F2250/0097 ,  A61F2310/00011 ,  Y10S606/907

Abstract: A surgical treatment for restoring a proper anatomical spacing and alignment to vertebral bones of a scoliosis patient, the treatment including determining an angular misalignment associated with at least one pair of adjacent bones, adjusting the intervertebral space between adjacent vertebral bones to restore proper spacing, and inserting a tapered spacer to restore proper anatomical misalignment of the vertebral bones.

Abstract translation: 一种用于恢复正确的解剖间距并与脊柱侧弯患者的椎骨对准的手术治疗，所述治疗包括确定与至少一对相邻骨骼相关联的角度未对准，调整相邻椎骨之间的椎间空间以恢复适当的间距，以及 插入锥形间隔件以恢复椎骨的正确解剖学不对准。

公开(公告)号：US06805716B2

公开(公告)日：2004-10-19

申请号：US09906134

申请日：2001-07-16

Applicant: James D. Ralph ,  Stephen Tatar ,  Thomas J. Errico

Inventor： James D. Ralph ,  Stephen Tatar ,  Thomas J. Errico

IPC: A61F244

CPC classification number: A61B17/025 ,  A61B17/70 ,  A61B2017/0256 ,  A61B2017/564 ,  A61F2/44 ,  A61F2/442 ,  A61F2/4455 ,  A61F2/4611 ,  A61F2/4684 ,  A61F2002/30113 ,  A61F2002/30166 ,  A61F2002/302 ,  A61F2002/3023 ,  A61F2002/30385 ,  A61F2002/30395 ,  A61F2002/305 ,  A61F2002/30574 ,  A61F2002/30616 ,  A61F2002/30617 ,  A61F2002/30672 ,  A61F2002/30772 ,  A61F2002/30822 ,  A61F2002/4623 ,  A61F2002/4628 ,  A61F2220/0025 ,  A61F2230/0006 ,  A61F2230/0028 ,  A61F2230/0065 ,  A61F2230/0069 ,  A61F2250/0097 ,  A61F2310/00011 ,  Y10S606/907 ,  Y10S606/914

Abstract: An orthopedic device set, including: a plurality of intervertebral spacer elements, each spacer element having a different axial thickness from each other element, the axial thicknesses being selected to increase by an increment from one element to another; and an instrument for holding ones of the intervertebral spacer elements, the instrument comprising a shaft having a distal end, a selectively grasping subassembly for alternatively rigidly holding each spacer element at the distal end so that the spacer element cannot move relative to the instrument, and releasing the spacer element.

Abstract translation: 一种整形外科装置，包括：多个椎间间隔元件，每个间隔元件具有与每个其它元件不同的轴向厚度，所述轴向厚度被选择为增加从一个元件到另一个元件的增量; 以及用于保持椎间隔元件中的一个的器械，该器械包括具有远端的轴，选择性抓握子组件，用于替代地将远端的每个间隔元件保持固定，使得间隔元件不能相对于器械移动;以及 释放间隔元件。

公开(公告)号：US06740117B2

公开(公告)日：2004-05-25

申请号：US09968045

申请日：2001-10-01

Applicant: James D. Ralph ,  Stephen Tatar

Inventor： James D. Ralph ,  Stephen Tatar

IPC: A61F244

CPC classification number: A61F2/4425 ,  A61F2/30742 ,  A61F2/30767 ,  A61F2/442 ,  A61F2002/30171 ,  A61F2002/302 ,  A61F2002/3038 ,  A61F2002/30433 ,  A61F2002/30443 ,  A61F2002/30444 ,  A61F2002/30446 ,  A61F2002/30451 ,  A61F2002/30492 ,  A61F2002/30502 ,  A61F2002/30507 ,  A61F2002/30518 ,  A61F2002/30538 ,  A61F2002/30563 ,  A61F2002/30565 ,  A61F2002/30571 ,  A61F2002/30594 ,  A61F2002/30604 ,  A61F2002/30649 ,  A61F2002/30769 ,  A61F2002/30774 ,  A61F2002/30909 ,  A61F2002/3092 ,  A61F2002/30975 ,  A61F2002/443 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2220/0041 ,  A61F2220/0058 ,  A61F2230/005 ,  A61F2230/0065 ,  A61F2250/0006 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00365

Abstract: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by at least one spring mechanism. A first plate of this embodiment includes a post extending upwardly from the inner surface of the plate, the post including a ball-shaped head. The post is designed to flexibly support a slotted belleville washer, which can be selectively mounted to the head such that the wider portion of the washer seats against the second plate. Compression of the assembly causes a deflection of the slotted belleville washer. The slotted belleville washer of this invention has a radially varying thickness which permits the load deflection profile to mimic that of the natural cartilage which is being replaced.

Abstract translation: 一种椎间隔器装置，具有一对相对的板，用于抵靠相对的椎骨表面，由至少一个弹簧机构隔开。 该实施例的第一板包括从板的内表面向上延伸的柱，柱包括球形头。 该柱被设计成灵活地支撑开槽的贝氏垫圈，其可以选择性地安装到头部，使得更宽的部分垫圈抵靠第二板。 组件的压缩导致开槽的贝尔洗衣机的偏转。 本发明的开槽贝氏洗衣机具有径向变化的厚度，其允许负载偏转轮廓模拟正被替换的天然软骨的载荷偏转轮廓。

公开(公告)号：US06673113B2

公开(公告)日：2004-01-06

申请号：US09982148

申请日：2001-10-18

Applicant: James D. Ralph ,  Stephen Tatar ,  Joseph P. Errico

Inventor： James D. Ralph ,  Stephen Tatar ,  Joseph P. Errico

IPC: A61F244

CPC classification number: A61F2/442 ,  A61F2/30742 ,  A61F2/30767 ,  A61F2/4425 ,  A61F2002/30133 ,  A61F2002/30171 ,  A61F2002/302 ,  A61F2002/30433 ,  A61F2002/30443 ,  A61F2002/30444 ,  A61F2002/30451 ,  A61F2002/30492 ,  A61F2002/30502 ,  A61F2002/30507 ,  A61F2002/30518 ,  A61F2002/30565 ,  A61F2002/30571 ,  A61F2002/30594 ,  A61F2002/30604 ,  A61F2002/30649 ,  A61F2002/30769 ,  A61F2002/30774 ,  A61F2002/30909 ,  A61F2002/3092 ,  A61F2002/30975 ,  A61F2002/443 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2220/0058 ,  A61F2230/0015 ,  A61F2230/005 ,  A61F2230/0065 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00365 ,  Y10S606/907

Abstract: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by at least one spring mechanism. The preferred spring mechanism is an arched strip spring. In a first embodiment there are multiple springs positioned independently about the area of the opposing plates. In a second embodiment there is a single arched strip spring modified to mount onto a ball-shaped head. The lower plate of this second embodiment includes a post extending upwardly from the inner surface of the plate, the post including a ball-shaped head. The spring and post members are flexibly coupled such that the upper and lower plates may rotate relative to one another.

公开(公告)号：US06663638B2

公开(公告)日：2003-12-16

申请号：US10075688

申请日：2002-02-13

Applicant: James D. Ralph ,  Stephen Tatar

Inventor： James D. Ralph ,  Stephen Tatar

IPC: A61B1788

CPC classification number: A61F2/4611 ,  A61F2/442 ,  A61F2002/4627 ,  A61F2002/4628

Abstract: An instrument for inserting an implant between vertebral bodies, including a holder adapted to hold the implant during insertion of the implant between the vertebral bodies, a retractor adapted to retract the holder away from the implant after the insertion, and a guard adapted to prevent the implant from being removed from between the vertebral bodies during the retraction.

公开(公告)号：US06471725B1

公开(公告)日：2002-10-29

申请号：US09906123

申请日：2001-07-16

Applicant: James D. Ralph ,  Steven Tatar ,  Thomas J. Errico

Inventor： James D. Ralph ,  Steven Tatar ,  Thomas J. Errico

IPC: A61F244

CPC classification number: A61B17/025 ,  A61B17/70 ,  A61B2017/0256 ,  A61B2017/564 ,  A61F2/44 ,  A61F2/442 ,  A61F2/4455 ,  A61F2/4611 ,  A61F2/4684 ,  A61F2002/30113 ,  A61F2002/30166 ,  A61F2002/302 ,  A61F2002/3023 ,  A61F2002/30385 ,  A61F2002/30395 ,  A61F2002/305 ,  A61F2002/30574 ,  A61F2002/30616 ,  A61F2002/30617 ,  A61F2002/30672 ,  A61F2002/30772 ,  A61F2002/30822 ,  A61F2002/4623 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2220/0025 ,  A61F2230/0006 ,  A61F2230/0028 ,  A61F2230/0065 ,  A61F2230/0069 ,  A61F2250/0097 ,  A61F2310/00011

Abstract: An intervertebral space distraction and implantable device assembly provides sequentially axially wider spacers that are to be sequentially inserted into and removed from an intervertebral space to widen the space until a desired anatomical spacing of the adjacent vertebral bones is restored. The set of spacers includes a porous spacer that is as wide as the spacer that restores the desired anatomical spacing. The porous spacer can therefore be left implanted in the intervertebral space to promote fusion of the adjacent vertebral bones.

Abstract translation: 椎间空间牵引和可植入装置组件提供顺序地轴向更宽的间隔件，其将被顺序地插入椎间空间中并从脊椎间隙中移除，以加宽空间，直​​到恢复相邻椎骨的期望的解剖间距。 该组间隔件包括与间隔物一样宽的多孔间隔物，其恢复所需的解剖间距。 因此，多孔间隔物可以留在椎间空间中以促进相邻椎骨的融合。

公开(公告)号：US06428544B1

公开(公告)日：2002-08-06

申请号：US09906120

申请日：2001-07-16

Applicant: James D. Ralph ,  Steven Tatar ,  Thomas J. Errico

Inventor： James D. Ralph ,  Steven Tatar ,  Thomas J. Errico

IPC: A61B1758

CPC classification number: A61B17/025 ,  A61B2017/0256 ,  A61F2/4684

Abstract: An instrument for inserting and removing an intervertebral spacer into and out from an intervertebral space between adjacent vertebral bones, the spacer having a trunk portion having a longitudinal axis and flange portions at each longitudinal end of the trunk, the instrument including: a shaft having a proximal end and a distal end; the proximal end including a handle; and a holding structure provided at the distal end, which holding structure includes an enclosure within which the trunk of the spacer may be selectively introduced and maintained therein, the holding structure having an opening leading to the enclosure and through which opening the trunk of the spacer may be selectively passed to when forced therethrough.

Abstract translation: 一种用于将椎间隔垫插入和移出相邻椎骨之间的椎间空间的仪器，所述间隔件具有躯干部分，所述躯干部分具有纵向轴线，并且在躯干的每个纵向端处具有凸缘部分，所述器械包括：轴，其具有 近端和远端; 所述近端包括手柄; 以及保持结构，其设置在所述远端，所述保持结构包括外壳，所述间隔件的躯干可以选择性地引入并保持在所述外壳内，所述保持结构具有通向所述外壳的开口，并且所述保持结构通过所述开口穿过所述间隔件 可以被选择性地传递到被迫穿过。

公开(公告)号：US5997539A

公开(公告)日：1999-12-07

申请号：US70268

申请日：1998-04-30

Applicant: Joseph P. Errico ,  Thomas J. Errico ,  James D. Ralph ,  Stephen Tatar

Inventor： Joseph P. Errico ,  Thomas J. Errico ,  James D. Ralph ,  Stephen Tatar

IPC: A61B17/70 ,  A61B17/56

CPC classification number: A61B17/7037 ,  A61B17/7041

Abstract: A polyaxial orthopedic device for use with rod implant apparatus includes a screw having a curvate ball top, a polyaxial head member having a socket into which the head of the screw is initially polyaxially nested, a vertical slot which renders the socket compressible, and a horizontal through hole having a tapered portion on one side of the vertical slot. A rod gripping cross-bar member, which is mounted through the through hole includes an axial split which permits the first end thereof to grip a rod, and then to be clamped onto the rod when the axial slot is narrowed. A nut is provided on the end of the cross-bar member which extend out from the through hole on the opposite end from the rod gripping mechanism. The advancement of the nut causes the cross-bar member to be compressed by the taper of the front portion of the through hole, thereby locking the rod in the gripping end thereof, and further provides the compression force necessary to compression lock the interior socket of the head against the ball top of the screw.

Abstract translation: 用于杆植入装置的多轴矫形装置包括具有弯曲球顶部的螺钉，具有插座的多轴头部件，螺钉的头部最初被多轴嵌套在该插座中，使插座可压缩的垂直槽和水平 通孔在垂直槽的一侧具有锥形部分。 通过通孔安装的杆夹杆构件包括轴向裂缝，其允许其第一端抓住杆，然后当轴向狭槽变窄时被夹紧在杆上。 在横杆构件的端部上设置有一个螺母，该螺母从杆夹持机构的相对端的通孔延伸出来。 螺母的前进使得横杆构件被通孔的前部的锥形压缩，从而将杆锁定在其夹持端中，并且还提供压缩锁定内部插座所需的压缩力 头部靠在球顶部的螺丝。