公开(公告)号：US20080132951A1

公开(公告)日：2008-06-05

申请号：US11948963

申请日：2007-11-30

Applicant: Mark A. Reiley ,  Robert M. Scribner ,  Lawrence R. Jones ,  David Stinson

Inventor： Mark A. Reiley ,  Robert M. Scribner ,  Lawrence R. Jones ,  David Stinson

IPC: A61B17/58 ,  A61F2/44 ,  A61B17/56

CPC classification number: A61B17/1671 ,  A61B17/7064 ,  A61B17/86 ,  A61F2/28 ,  A61F2/4405 ,  A61F2002/30331 ,  A61F2002/30332 ,  A61F2002/30387 ,  A61F2002/30433 ,  A61F2002/30471 ,  A61F2002/30492 ,  A61F2002/305 ,  A61F2002/30537 ,  A61F2002/30538 ,  A61F2002/3054 ,  A61F2002/30553 ,  A61F2002/30578 ,  A61F2002/30604 ,  A61F2002/30649 ,  A61F2002/30777 ,  A61F2002/30874 ,  A61F2002/30881 ,  A61F2002/30919 ,  A61F2002/449 ,  A61F2002/4631 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2220/0041 ,  A61F2220/0091 ,  A61F2250/0004 ,  A61F2250/0006 ,  A61F2250/0008 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00329 ,  A61F2310/00604 ,  A61F2310/00634 ,  A61F2310/0097 ,  A61F2310/00976

Abstract: Cephalad and caudal vertebral facet joint prostheses and methods of use are provided. A pair of fixation elements are adapted to be secured within a vertebra in an orientation that best assures a secure and durable attachment to cortical and/or cancellous bone. Artificial facet joint surfaces are mounted on the fixation elements, either directly or with the aid of a support. The artificial facet joint structure may be carried by an arm. The artificial facet joint structure is adapted for articulation with a complementary natural or artificial facet joint structure. Bilateral prostheses may by coupled by a brace to further secure and stabilize the prostheses.

Abstract translation: 提供头颅和尾椎椎骨小关节假体和使用方法。 一对固定元件适于以最好地确保对皮层和/或松质骨的安全和持久的附着的方向固定在椎骨内。 人造小关节表面直接或借助于支撑件安装在固定元件上。 人造小关节结构可以由臂承载。 人造小关节结构适于用互补的天然或人造小关节结构进行铰接。 双侧假体可以通过支架联接以进一步固定和稳定假体。

公开(公告)号：US07252671B2

公开(公告)日：2007-08-07

申请号：US10640790

申请日：2003-08-14

Applicant: Robert M Scribner ,  Michael L. Reo ,  Mark A Reiley ,  Ryan P Boucher ,  Paul M Sand

Inventor： Robert M Scribner ,  Michael L. Reo ,  Mark A Reiley ,  Ryan P Boucher ,  Paul M Sand

IPC: A61F5/00

CPC classification number: A61B17/8855 ,  A61B17/1631 ,  A61B17/1662 ,  A61B17/1671 ,  A61B17/1757 ,  A61B17/3403 ,  A61B17/3417 ,  A61B17/3472 ,  A61B17/68 ,  A61B17/7095 ,  A61B17/8816 ,  A61B17/8822 ,  A61B50/33 ,  A61B90/39 ,  A61B90/90 ,  A61B2017/00261 ,  A61B2017/00464 ,  A61B2017/00557 ,  A61B2017/00867 ,  A61B2050/0065 ,  A61B2090/034 ,  A61B2090/062 ,  A61B2090/3933 ,  A61B2090/3937 ,  A61F2/44 ,  A61F2/4601 ,  A61F2002/2817 ,  A61F2002/2835 ,  A61F2002/3008 ,  A61F2002/30581 ,  A61F2002/30677 ,  A61F2002/4602 ,  A61F2002/4623 ,  A61F2002/4624 ,  A61F2002/4635 ,  A61F2002/4662 ,  A61F2002/4685 ,  A61F2250/0098 ,  A61F2310/00353

Abstract: A filler instrument comprises a first chamber section having a first cross sectional area and a second chamber section having a second cross sectional area less than the first cross sectional area. The second chamber section communicates with the first chamber section. The first chamber section includes an inlet for receiving a material into the filler instrument, and the second chamber section includes an outlet for discharging the material from the filler instrument. A first plunger is sized to pass through the first chamber section and not the second chamber section. A second plunger is sized to pass through an interior bore of the first plunger and into the second chamber section. In use, the first plunger displaces material residing in the first chamber section through the second chamber section toward the outlet, and the second plunger displaces material residing in the second chamber section through the outlet.

公开(公告)号：US07087084B2

公开(公告)日：2006-08-08

申请号：US10657866

申请日：2003-09-09

Applicant: Mark A Reiley

Inventor： Mark A Reiley

IPC: A61F2/44 ,  A61F2/30 ,  A61B17/56 ,  A61B19/00

CPC classification number: A61B17/1671 ,  A61B17/7064 ,  A61B17/7068 ,  A61B17/86 ,  A61B17/8605 ,  A61F2/28 ,  A61F2/4405 ,  A61F2002/30387 ,  A61F2002/30433 ,  A61F2002/305 ,  A61F2002/30537 ,  A61F2002/30604 ,  A61F2002/30777 ,  A61F2002/30874 ,  A61F2002/449 ,  A61F2002/4631 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2250/0004 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00329 ,  A61F2310/00604 ,  A61F2310/00634 ,  A61F2310/0097 ,  A61F2310/00976 ,  Y10S606/902 ,  Y10S606/907 ,  Y10S606/91 ,  Y10S623/902

Abstract: A prosthesis replaces all or a portion of a natural facet joint on a vertebral body. The prosthesis has a prosthesis body that accommodates fixation to the vertebral body at or near a pedicle and without support by a lamina. The prosthesis also has an artificial facet joint structure carried by the prosthesis body. The artificial facet joint structure is adapted and configured to replace all or a portion of a natural facet joint.

Abstract translation: 假体代替椎体上的天然小关节的全部或一部分。 假体具有假体，其适应于在椎弓根处或椎弓根附近固定于椎体，并且不受椎板支撑。 假体还具有由假体体承载的人造小关节结构。 人造小关节结构被适配和构造成替代天然小关节的全部或一部分。

公开(公告)号：US07044954B2

公开(公告)日：2006-05-16

申请号：US09884365

申请日：2001-06-19

Applicant: Mark A Reiley ,  Arie Scholten ,  Karen D Talmadge ,  Robert M Scribner ,  Michael L Reo

Inventor： Mark A Reiley ,  Arie Scholten ,  Karen D Talmadge ,  Robert M Scribner ,  Michael L Reo

IPC: A61B17/58

CPC classification number: A61F2/28 ,  A61B10/025 ,  A61B17/00234 ,  A61B17/12136 ,  A61B17/7258 ,  A61B17/74 ,  A61B17/744 ,  A61B17/8855 ,  A61B50/33 ,  A61B90/39 ,  A61B90/94 ,  A61B2010/0258 ,  A61B2017/00539 ,  A61B2017/00544 ,  A61B2017/00557 ,  A61B2050/0065 ,  A61B2050/3015 ,  A61F2/2846 ,  A61F2/3601 ,  A61F2/389 ,  A61F2/44 ,  A61F2/441 ,  A61F2/4601 ,  A61F2/4611 ,  A61F2002/2817 ,  A61F2002/2825 ,  A61F2002/2828 ,  A61F2002/2832 ,  A61F2002/2835 ,  A61F2002/2853 ,  A61F2002/2871 ,  A61F2002/2892 ,  A61F2002/30113 ,  A61F2002/30115 ,  A61F2002/30125 ,  A61F2002/30131 ,  A61F2002/30133 ,  A61F2002/30204 ,  A61F2002/30225 ,  A61F2002/30228 ,  A61F2002/30242 ,  A61F2002/30247 ,  A61F2002/30253 ,  A61F2002/30285 ,  A61F2002/30288 ,  A61F2002/30308 ,  A61F2002/30311 ,  A61F2002/30313 ,  A61F2002/30448 ,  A61F2002/30462 ,  A61F2002/30464 ,  A61F2002/30581 ,  A61F2002/30586 ,  A61F2002/30599 ,  A61F2002/30677 ,  A61F2002/30686 ,  A61F2002/30909 ,  A61F2002/3611 ,  A61F2002/3625 ,  A61F2002/4062 ,  A61F2002/4217 ,  A61F2002/4602 ,  A61F2002/4627 ,  A61F2002/4635 ,  A61F2002/4636 ,  A61F2002/4685 ,  A61F2220/005 ,  A61F2220/0075 ,  A61F2230/0006 ,  A61F2230/0008 ,  A61F2230/0013 ,  A61F2230/0015 ,  A61F2230/0063 ,  A61F2230/0065 ,  A61F2230/0069 ,  A61F2230/0071 ,  A61F2230/0076 ,  A61F2250/0063 ,  A61F2310/00293 ,  A61F2310/00353 ,  A61F2310/0097 ,  A61M25/10 ,  A61M25/1002 ,  A61M25/1011 ,  A61M2025/105 ,  A61M2025/1072 ,  A61M2210/02 ,  A61M2210/1003

Abstract: A structure adapted to assume an expanded geometry having a desired configuration when used in bone includes material that limits the expanded geometry. The structure undergoes stress when expanded during its first use in bone. As a result, the structure can not be relied upon to reach its desired configuration during subsequent use in bone. Accordingly, the structure is packaged in a sterile kit, which verifies to the physician or user that the device packaged within it is sterile and has not be subjected to prior use. The physician or user is thereby assured that the expandable structure meets established performance and sterility specifications, and will have the desired configuration when expanded for use.

Abstract translation: 适于在骨骼中使用具有期望构造的扩展几何形状的结构包括限制扩展几何形状的材料。 在第一次使用骨骼时，该结构发生压力。 结果，在随后的骨骼使用过程中，结构不能被依赖于达到其期望的构型。 因此，该结构被包装在无菌试剂盒中，该试剂盒向医师或使用者验证其中包装的装置是无菌的并且不经过先前的使用。 因此，可以确保医师或用户可扩展结构满足既定的性能和无菌规格，并且在扩展使用时将具有期望的配置。

公开(公告)号：US06860902B2

公开(公告)日：2005-03-01

申请号：US10700283

申请日：2003-11-03

Applicant: Mark A Reiley

Inventor： Mark A Reiley

IPC: A61B17/15 ,  A61B17/16 ,  A61B17/17 ,  A61B17/86 ,  A61F2/00 ,  A61F2/30 ,  A61F2/42 ,  A61F2/46

CPC classification number: A61F2/4606 ,  A61B17/15 ,  A61B17/1617 ,  A61B17/1682 ,  A61B17/1717 ,  A61B17/1775 ,  A61B17/8625 ,  A61F2/30767 ,  A61F2/4202 ,  A61F2002/30064 ,  A61F2002/30332 ,  A61F2002/30578 ,  A61F2002/30604 ,  A61F2002/30616 ,  A61F2002/30622 ,  A61F2002/30785 ,  A61F2002/30878 ,  A61F2002/30948 ,  A61F2002/30968 ,  A61F2002/4205 ,  A61F2002/4207 ,  A61F2002/421 ,  A61F2002/4631 ,  A61F2220/0033 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00329 ,  A61F2310/00395 ,  A61F2310/00796 ,  A61F2310/0097

Abstract: A novel system, surgical method, and tools for performing a total ankle replacement are described. The total ankle replacement system includes the calcaneus in fixation of a lower prosthesis body, thereby significantly increasing the amount of bone available for fixation of the lower prosthesis body and allowing the lower prosthesis body to be anchored with screws. The total ankle replacement system further includes a long tibial stem which can also be anchored into the tibia. The novel surgical arthroscopic method allows introduction of ankle prostheses into the ankle joint through an exposure in the tibial tubercle. Various novel surgical instruments, such as a telescoping articulating reamer and a talocalcaneal jig, which facilitate the novel surgical method, are also described.

Abstract translation: 描述了一种用于执行全踝置换的新颖系统，手术方法和工具。 总踝关节置换系统包括在下修复体的固定中的跟骨，从而显着增加可用于固定下假体体的骨量，并允许下部假肢体用螺钉锚定。 总的踝关节置换系统还包括长的胫骨杆，其也可以锚固到胫骨中。 该新型外科关节镜方法允许通过胫骨结节中的暴露将踝假体引入踝关节。 还描述了促进新颖手术方法的各种新型外科手术器械，例如伸缩关节铰刀和心轴夹具。

公开(公告)号：US06811567B2

公开(公告)日：2004-11-02

申请号：US10067137

申请日：2002-02-04

Applicant: Mark A Reiley

Inventor： Mark A Reiley

IPC: A61F244

CPC classification number: A61F2/4405 ,  A61B17/1671 ,  A61B17/86 ,  A61F2/28 ,  A61F2002/30329 ,  A61F2002/30387 ,  A61F2002/30433 ,  A61F2002/305 ,  A61F2002/30537 ,  A61F2002/30604 ,  A61F2002/30777 ,  A61F2002/30874 ,  A61F2002/449 ,  A61F2002/4631 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2250/0004 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00329 ,  A61F2310/00604 ,  A61F2310/00634 ,  A61F2310/0097 ,  A61F2310/00976

Abstract: Surgically installed prostheses replace either the caudal portion of a natural facet joint, the cephalad portion of a natural facet joint, or both. The prostheses are readily attached to the pedicles of a vertebral body and support at least one element that defines an artificial facet joint structure. The caudal facet joint structure is sized and located to articulate with the cephalad facet joint structure. Together, the prostheses form a total facet replacement system. The system is suitable for use in virtually all levels of the spine.

Abstract translation: 手术安装的假体替代天然小关节的尾部，天然小关节的头部，或两者。 假体容易地附接到椎体的椎弓根并且支撑限定人造小关节结构的至少一个元件。 尾部小关节结构的大小和位置可以与头部小关节结构相关联。 一起，假体形成一个全面替换系统。 该系统适用于几乎所有级别的脊柱。

公开(公告)号：US06673116B2

公开(公告)日：2004-01-06

申请号：US09935479

申请日：2001-08-23

Applicant: Mark A. Reiley

Inventor： Mark A. Reiley

IPC: A61F242

CPC classification number: A61B17/1682 ,  A61B17/15 ,  A61B17/1617 ,  A61B17/1717 ,  A61B17/1775 ,  A61B17/72 ,  A61B17/7291 ,  A61B17/8625 ,  A61B2017/00752 ,  A61F2/30767 ,  A61F2/4202 ,  A61F2002/30064 ,  A61F2002/30331 ,  A61F2002/30332 ,  A61F2002/30578 ,  A61F2002/30604 ,  A61F2002/30616 ,  A61F2002/30622 ,  A61F2002/30785 ,  A61F2002/30878 ,  A61F2002/30948 ,  A61F2002/30968 ,  A61F2002/4205 ,  A61F2002/4207 ,  A61F2002/421 ,  A61F2002/4631 ,  A61F2220/0033 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00329 ,  A61F2310/00395 ,  A61F2310/00796 ,  A61F2310/0097

Abstract: Intramedullary guidance systems and methods introduce some and/or all surgical tools and ankle prostheses components through the tibia, using minimal invasive exposure in the tibia tubercle, or retrograde through the talus, using minimal invasive exposure in planar surface of the calcaneus. The systems and methods align the talus and tibia for the installation of one or more ankle prostheses components, and also maintain that alignment during the installation using intramedullary guidance, e.g., by use of a guide pin to form an intramedullar passage along which surgical tools and prosthetic components are guided.

公开(公告)号：US06645213B2

公开(公告)日：2003-11-11

申请号：US09893298

申请日：2001-06-27

Applicant: Paul M Sand ,  Mark A Reiley ,  Arie Scholten ,  Robert M Scribner ,  Michael L Reo

Inventor： Paul M Sand ,  Mark A Reiley ,  Arie Scholten ,  Robert M Scribner ,  Michael L Reo

IPC: A61B1758

CPC classification number: A61B17/8811 ,  A61B17/8816 ,  A61B17/8819 ,  A61B17/8822 ,  A61B17/8836 ,  A61B2090/3966 ,  A61F2002/2835 ,  A61F2002/4623

Abstract: Systems and methods provide greater control over the placement of cement and other flowable liquids into bone.

公开(公告)号：US06610091B1

公开(公告)日：2003-08-26

申请号：US09693272

申请日：2000-10-20

Applicant: Mark A Reiley

Inventor： Mark A Reiley

IPC: A61F244

CPC classification number: A61B17/1671 ,  A61B17/7064 ,  A61B17/7068 ,  A61B17/86 ,  A61B17/8605 ,  A61F2/28 ,  A61F2/4405 ,  A61F2002/30387 ,  A61F2002/30433 ,  A61F2002/305 ,  A61F2002/30537 ,  A61F2002/30604 ,  A61F2002/30777 ,  A61F2002/30874 ,  A61F2002/449 ,  A61F2002/4631 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2250/0004 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00329 ,  A61F2310/00604 ,  A61F2310/00634 ,  A61F2310/0097 ,  A61F2310/00976 ,  Y10S606/902 ,  Y10S606/907 ,  Y10S606/91 ,  Y10S623/902

Abstract: Devices and surgical methods treat various types of adult spinal pathologies, such as degenerative spondylolisthesis, spinal stenosis, degenerative lumbar scoliosis, and kypho-scoliosis. Various types of spinal joint replacement prostheses, surgical procedures for performing spinal joint replacements, and surgical instruments are used to perform the surgical procedures.

公开(公告)号：US06241734B1

公开(公告)日：2001-06-05

申请号：US09134323

申请日：1998-08-14

Applicant: Robert M. Scribner ,  Michael L. Reo ,  Mark A. Reiley ,  Ryan Boucher

Inventor： Robert M. Scribner ,  Michael L. Reo ,  Mark A. Reiley ,  Ryan Boucher

IPC: A61B1758

CPC classification number: A61F2/4601 ,  A61B17/1671 ,  A61B17/3472 ,  A61B17/7097 ,  A61B17/8805 ,  A61B17/8816 ,  A61B17/8822 ,  A61B17/8833 ,  A61B17/8855 ,  A61B50/33 ,  A61B90/39 ,  A61B2017/00261 ,  A61B2017/00464 ,  A61B2017/00867 ,  A61B2050/0065 ,  A61B2090/062 ,  A61F2/44 ,  A61F2002/2835 ,  A61F2002/3008 ,  A61F2002/4602 ,  A61F2002/4624 ,  A61F2002/4662 ,  A61F2250/0098 ,  A61F2310/00353

Abstract: Systems and methods for delivering material into bone deploy a cannula through soft tissue to establish a subcutaneous path into bone. A material is introduced into bone through the cannula. The systems and methods advance a tamping instrument through the cannula to urge material residing in the cannula into bone. The introducing step delivers material at a pressure no greater than about 360 psi.

Abstract translation: 用于将材料输送到骨中的系统和方法通过软组织部署插管以建立进入骨的皮下路径。 通过套管将材料引入骨骼。 系统和方法通过插管推进捣固器械以将驻留在套管中的材料推进到骨中。 引入步骤以不大于约360psi的压力递送材料。