公开(公告)号：US08870958B2

公开(公告)日：2014-10-28

申请号：US13091324

申请日：2011-04-21

Applicant: James D. Ralph ,  Thomas N. Troxell

Inventor： James D. Ralph ,  Thomas N. Troxell

IPC: A61F2/44 ,  A61F2/46 ,  A61F2/30 ,  A61B17/02 ,  A61F2/28

CPC classification number: A61F2/4611 ,  A61B17/025 ,  A61B2017/0256 ,  A61F2/442 ,  A61F2/447 ,  A61F2002/2817 ,  A61F2002/30153 ,  A61F2002/30828 ,  A61F2002/4622 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2230/0019

Abstract: An intervertebral spacer has curvate upper and lower rough surfaces that stimulate bone growth and is formed from a porous material that facilitates bone growth thereinto. The spacer has a plurality of smooth linear grooves to facilitate insertion of the spacer into an intervertebral space using a spacer insertion tool that has a scissor-style body. Each of the insertion tool's arm's heads has an inner surface having a pair of smoothed linear protrusions that fit within the linear grooves of the spacer when the heads are closed about the spacer. When the spacer is held, spaces are present between the spacer's rough surfaces and the heads' inner surfaces so that when the protrusions are longitudinally slid from the grooves to leave the spacer in the intervertebral spacer, the rough surfaces are not disturbed.

Abstract translation: 椎间间隔物具有刺激骨生长的弯曲上部和下部粗糙表面，并且由促进骨生长的多孔材料形成。 间隔件具有多个平滑的线性槽，以便于使用具有剪刀式身体的间隔件插入工具将间隔件插入椎间空间。 插入工具的臂头中的每一个具有内表面，当内部表面围绕间隔件关闭时，该内表面具有一对平滑的线性突起，该平坦的线状突起装配在间隔物的线性槽内。 当保持间隔件时，间隔件的粗糙表面和头部内表面之间存在空间，使得当凸起从凹槽纵向滑动以将间隔件留在椎间隔件中时，粗糙表面不受干扰。

公开(公告)号：US08690877B2

公开(公告)日：2014-04-08

申请号：US13079468

申请日：2011-04-04

Applicant: James D. Ralph ,  Stephen Tatar

Inventor： James D. Ralph ,  Stephen Tatar

IPC: A61B17/56

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.

Abstract translation: 一种用于在椎体之间插入植入物的装置，包括适于在植入物在椎体之间插入期间保持植入物的保持器，适于在插入之后使支架远离植入物缩回的牵开器，以及适于防止 在退缩期间植入物从椎体之间被移除。

公开(公告)号：US20120136397A1

公开(公告)日：2012-05-31

申请号：US13306701

申请日：2011-11-29

Applicant: James D. Ralph ,  Thomas N. Troxell

Inventor： James D. Ralph ,  Thomas N. Troxell

IPC: A61B17/84

CPC classification number: A61B17/688 ,  Y10T403/7176

Abstract: Strip fasteners and cranial plugs for use in reattaching a skull flap removed during brain surgery and methods of using the same. The strip fasteners are flexible and can be shaped to follow the perimeter contour of the skull flap. The cranial plugs can be used to reattach the skull flap or they can be installed after the skull flap is reattached using the strip fasteners. In some embodiments, the cranial plug(s) and strip fasteners can be installed at the same time. The strip fasteners and cranial plugs are designed to encourage bone growth and healing of the skull flap and they can be used to deliver medication and bone growth enhancement compositions to the surgical site.

Abstract translation: 用于重新安装在脑手术期间移除的颅骨瓣的带状紧固件和头颅及其使用方法。 带状紧固件是柔性的，并且可以被成形为跟随颅骨瓣的周边轮廓。 颅骨插头可用于重新连接颅骨瓣，或者可以使用带状紧固件重新安装颅骨瓣后安装头盖。 在一些实施例中，可以同时安装颅骨塞和带状紧固件。 带状紧固件和颅骨塞被设计成促进颅骨瓣的骨生长和愈合，并且它们可以用于将药物和骨生长增强组合物递送到手术部位。

公开(公告)号：US20110196500A1

公开(公告)日：2011-08-11

申请号：US13091324

申请日：2011-04-21

Applicant: James D. Ralph ,  Thomas N. Troxell

Inventor： James D. Ralph ,  Thomas N. Troxell

IPC: A61F2/44

CPC classification number: A61F2/4611 ,  A61B17/025 ,  A61B2017/0256 ,  A61F2/442 ,  A61F2/447 ,  A61F2002/2817 ,  A61F2002/30153 ,  A61F2002/30828 ,  A61F2002/4622 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2230/0019

Abstract: An intervertebral spacer has curvate upper and lower rough surfaces that stimulate bone growth and is formed from a porous material that facilitates bone growth thereinto. The spacer has a plurality of smooth linear grooves to facilitate insertion of the spacer into an intervertebral space using a spacer insertion tool that has a scissor-style body. Each of the insertion tool's arm's heads has an inner surface having a pair of smoothed linear protrusions that fit within the linear grooves of the spacer when the heads are closed about the spacer. When the spacer is held, spaces are present between the spacer's rough surfaces and the heads' inner surfaces so that when the protrusions are longitudinally slid from the grooves to leave the spacer in the intervertebral spacer, the rough surfaces are not disturbed.

Abstract translation: 椎间间隔物具有刺激骨生长的弯曲上部和下部粗糙表面，并且由促进骨生长的多孔材料形成。 间隔件具有多个平滑的线性槽，以便于使用具有剪刀式身体的间隔件插入工具将间隔件插入椎间空间。 插入工具的臂头中的每一个具有内表面，当内部表面围绕间隔件关闭时，该内表面具有一对平滑的线状突出部，该平面线形凸起装配在间隔件的线性槽内。 当保持间隔件时，间隔件的粗糙表面和头部内表面之间存在空间，使得当凸起从凹槽纵向滑动以将间隔件留在椎间隔件中时，粗糙表面不受干扰。

公开(公告)号：US20100324559A1

公开(公告)日：2010-12-23

申请号：US12635182

申请日：2009-12-10

Applicant: James D. Ralph ,  Stephen L. Tatar ,  Thomas N. Troxell

Inventor： James D. Ralph ,  Stephen L. Tatar ,  Thomas N. Troxell

IPC: A61B17/80 ,  A61B17/88

CPC classification number: A61B17/80 ,  A61B17/8023

Abstract: The invention pertains to adjustable bone plates which comprise one or more sets of first members and second members. The first members and second members are releaseably secured to each other by attachment means and locking means, and two or more set of first members and second members are connected by bridging means. The longitudinal and lateral dimensions of the bone plates may be adjustable.

Abstract translation: 本发明涉及包括一组或多组第一构件和第二构件的可调骨板。 第一构件和第二构件通过附接装置和锁定装置可释放地彼此固定，并且两个或更多组第一构件和第二构件通过桥接装置连接。 骨板的纵向和横向尺寸可以是可调节的。

公开(公告)号：US20100298940A1

公开(公告)日：2010-11-25

申请号：US12761710

申请日：2010-04-16

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

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

IPC: A61F2/44 ,  A61B17/56

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

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：US20100131013A1

公开(公告)日：2010-05-27

申请号：US12422533

申请日：2009-04-13

Applicant: James D. Ralph ,  Thomas N. Troxell ,  Mark Michels ,  Thomas D. Meade

Inventor： James D. Ralph ,  Thomas N. Troxell ,  Mark Michels ,  Thomas D. Meade

IPC: A61B17/80

CPC classification number: A61B17/80 ,  A61B17/8061 ,  A61B17/8085 ,  A61B17/8605 ,  A61B17/863

Abstract: A bone plate and system is provided. The bone fixation plate conforms to the contour of an irregularly shaped bone and eliminates the need for pre-bending or intraoperative bending of the plate. The bone plate is applied to the bone in a generally flat condition and the process of installing and tightening the bone screws in the prescribed order serves to contour the plate to the plate to the underlying bone while providing sufficient strength to effect bone healing. The geometry of the plate allows the plate to follow the contour of an irregularly shaped bone, preventing prominence and patient palpability and streamlining the surgical procedure.

Abstract translation: 提供骨板和系统。 骨固定板符合不规则形状骨的轮廓，并且不需要预弯曲或术中弯曲板。 将骨板以大致平坦的状态施用于骨骼，并且以规定的顺序安装和紧固骨螺钉的过程用于将板轮廓到板到下面的骨，同时提供足够的强度以实现骨愈合。 板的几何形状允许板跟随不规则形状的骨的轮廓，防止突出和患者的触觉和精简外科手术。

公开(公告)号：US07722646B2

公开(公告)日：2010-05-25

申请号：US11010593

申请日：2004-12-13

Applicant: James D. Ralph ,  Stephen Tatar

Inventor： James D. Ralph ,  Stephen Tatar

IPC: A61B17/70

CPC classification number: A61B17/7076 ,  A61B17/7032 ,  A61B17/7037 ,  A61B17/7082 ,  A61B17/7091 ,  A61B17/861

Abstract: A screw and coupling element assembly for use with an orthopedic rod implantation apparatus includes a screw with a head and a shaft extending from the head, a coupling element with a seat within which the head is seatable such that the shaft protrudes from the coupling element, and a locking element mateable with the coupling element and when mated is selectively movable through a plurality of positions including unlocked and locked positions. When in the unlocked position, the locking element presents a rod-receiving channel and the head is movable in the seat such that the shaft is directable in a plurality of angles relative to the coupling element. When in the locked position, a rod disposed within the rod-receiving channel is fixed relative to the coupling element and the head is immovable in the seat such that the shaft is fixed at an angle relative to the coupling element.

Abstract translation: 与矫形棒植入装置一起使用的螺钉和联接元件组件包括具有头部和从头部延伸的轴的螺钉，具有座的联接元件，头部可位于该座中，使得轴从联接元件突出， 以及与所述联接元件配合的锁定元件，并且当配合时可以选择性地移动通过包括解锁和锁定位置的多个位置。 当处于解锁位置时，锁定元件呈现杆接收通道，并且头部可在座中移动，使得轴可相对于联接元件以多个角度定向。 当处于锁定位置时，设置在杆接收通道内的杆相对于联接元件固定，并且头部不可移动到座中，使得轴相对于联接元件以一定角度固定。

公开(公告)号：US07604664B2

公开(公告)日：2009-10-20

申请号：US10151280

申请日：2002-05-20

Applicant: James D. Ralph ,  Stephen Tatar

Inventor： James D. Ralph ,  Stephen Tatar

IPC: A61F2/44

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

Abstract: An artificial intervertebral disc having a pair of opposing plate members for seating against opposing vertebral bone surfaces, separated by a spring mechanism. The preferred spring mechanism is at least one spirally slotted belleville washer having radially extending grooves. One plate member has a centrally located ball-shaped protrusion that is rotatably coupled in a central socket in the narrow end of the belleville washer, and the wide end of the belleville washer is held against the other plate member by a shield with rivets. Therefore, the disc assembly will not come apart under tension loads applied to the plate members, and the location of the ball joint coupling provides the disc assembly with a centroid of motion that is centrally located between the vertebral bone surfaces, both causing the disc assembly to behave similarly in these respects to a healthy natural intervertebral disc.

Abstract translation: 一种人造椎间盘，具有一对相对的板构件，用于抵靠相对的椎骨表面，由弹簧机构分开。 优选的弹簧机构是至少一个具有径向延伸凹槽的螺旋形开槽的贝尔垫圈垫圈。 一个板构件具有中心定位的球形突起，其可旋转地联接在贝氏洗衣机的窄端中的中心插座中，并且百叶窗垫圈的宽端通过具有铆钉的屏蔽件抵靠另一个板构件。 因此，盘组件在施加到板构件的张力下不会分离，并且球接头联接件的位置为圆盘组件提供位于椎骨骨骼表面之间的中心位置的运动质心， 在这些方面与健康的自然椎间盘的行为相似。

公开(公告)号：US20090076617A1

公开(公告)日：2009-03-19

申请号：US12249005

申请日：2008-10-10

Applicant: James D. Ralph ,  Thomas N. Troxell ,  Mark Michels

Inventor： James D. Ralph ,  Thomas N. Troxell ,  Mark Michels

IPC: A61F2/28

CPC classification number: A61B17/688 ,  A61B17/686

Abstract: Craniotomy closures comprising surgical fasteners are described for use in reattaching a skull flap removed from the skull of a patient during brain surgery. Methods of using the same are also described. Surgical strips used in combination with the fasteners are shaped to follow the perimeter contour of the skull flap. The craniotomy closures are designed to encourage bone growth and healing of the skull flap and they can be used to deliver medication and bone growth enhancement materials to the surgical site.

Abstract translation: 描述了包括外科紧固件的颅骨切开术闭合件用于重新附着在脑手术期间从患者的颅骨移除的颅骨瓣。 还描述了使用它们的方法。 与紧固件组合使用的手术条被成形为遵循颅骨瓣的周边轮廓。 开颅闭合器旨在促进颅骨瓣的骨生长和愈合，并且它们可以用于将药物和骨生长增强材料递送到手术部位。