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公开(公告)号:US09763704B2
公开(公告)日:2017-09-19
申请号:US13222869
申请日:2011-08-31
申请人: John Riley Hawkins , Thomas J. Gamache , Michael Sorrenti , Alexander Grinberg , Michael A. Fisher
发明人: John Riley Hawkins , Thomas J. Gamache , Michael Sorrenti , Alexander Grinberg , Michael A. Fisher
IPC分类号: A61B17/70
CPC分类号: A61B17/7055 , A61B17/7004 , A61B17/701 , A61B17/7011 , A61B17/7034 , A61B17/7037 , A61B17/7067
摘要: Devices and methods for enhancing the effectiveness of spinal stabilization, and particularly that of cervical spinal stabilization, are provided herein. More specifically, methods and systems are disclosed for effectively positioning occipital plates and spinal fixation assemblies within target vertebrae, while also reducing any associated patient trauma (e.g., muscle stripping, tissue damage, etc.). The systems and methods can utilize trans-lamina delivery of the spinal fixation assemblies to allow for the positioning of the fixation elements along the midline of the patient's spine.
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公开(公告)号:US09622779B2
公开(公告)日:2017-04-18
申请号:US13627294
申请日:2012-09-26
申请人: William C Horton , John Riley Hawkins , Christopher L Ramsay , Edward Zalenski , Alexander Grinberg , Hassan Serhan , Ernest Quintanilha
发明人: William C Horton , John Riley Hawkins , Christopher L Ramsay , Edward Zalenski , Alexander Grinberg , Hassan Serhan , Ernest Quintanilha
CPC分类号: A61B17/56 , A61B1/06 , A61B1/32 , A61B17/0218 , A61B17/06 , A61B17/06066 , A61B17/06166 , A61B90/30 , A61B2017/0225 , A61B2090/309
摘要: A novel posterolateral inter-muscular approach has been developed to access the cervical spine. The approach includes elevating the splenius capitis and trapezios muscles dorsally to create a window for deep spine access, wherein the window comprises i) an anterior superior border of the trapezius muscle; ii) an anterior inferior border of the splenius capitis muscle, and iii) a posterior superior border of the levator scapulae muscle. Preferably, a device such as an implant or an instrument is then passed through the window to manipulate the spine.
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公开(公告)号:US09226764B2
公开(公告)日:2016-01-05
申请号:US13413282
申请日:2012-03-06
IPC分类号: A61B17/32 , A61B17/3207 , A61B17/00 , A61B17/29
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:US08940023B2
公开(公告)日:2015-01-27
申请号:US13222913
申请日:2011-08-31
申请人: John Riley Hawkins , Thomas J. Gamache , Michael Sorrenti , Alexander Grinberg , Michael A. Fisher
发明人: John Riley Hawkins , Thomas J. Gamache , Michael Sorrenti , Alexander Grinberg , Michael A. Fisher
IPC分类号: A61B17/70
CPC分类号: A61B17/7032 , A61B17/7002 , A61B17/7004 , A61B17/701 , A61B17/7011 , A61B17/7034 , A61B17/7037 , A61B17/7038 , A61B2017/564
摘要: Devices and methods for enhancing the effectiveness of spinal stabilization, and particularly that of cervical spinal stabilization, are provided herein. More specifically, methods and systems are disclosed for effectively positioning occipital plates and spinal fixation assemblies within target vertebrae, while also reducing any associated patient trauma (e.g., muscle stripping, tissue damage, etc.). The systems and methods can utilize trans-lamina delivery of the spinal fixation assemblies to allow for the positioning of the fixation elements along the midline of the patient's spine.
摘要翻译: 本文提供了用于增强脊柱稳定性的有效性的装置和方法,特别是颈椎稳定的功能和方法。 更具体地,公开了用于有效地将枕骨板和脊柱固定组件定位在目标椎骨内的方法和系统,同时还减少任何相关的患者创伤(例如,肌肉剥离,组织损伤等)。 该系统和方法可以利用脊椎固定组件的跨板输送,以允许固定元件沿着患者脊柱的中线定位。
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公开(公告)号:US08936598B2
公开(公告)日:2015-01-20
申请号:US12353677
申请日:2009-01-14
申请人: Tony Tannoury , Michael O'Neil , Hassan A. Serhan , Anwar M. Upal , Michael A. Slivka , John Riley Hawkins
发明人: Tony Tannoury , Michael O'Neil , Hassan A. Serhan , Anwar M. Upal , Michael A. Slivka , John Riley Hawkins
CPC分类号: A61B17/32 , A61B2017/00261 , A61B2017/320064
摘要: A spinal disc preparation tool is provided that includes an elongate shaft having an inner lumen extending therethrough along a longitudinal axis between proximal and distal ends thereof. A lower jaw is located on a distal end of the elongate shaft for receiving tissue and delivering tissue to the inner lumen, and an upper jaw is pivotally movable relative to the lower jaw. The tool can include various features to facilitate removal and/or collection of tissue.
摘要翻译: 提供了一种脊椎椎间盘准备工具,其包括细长轴,该细长轴具有沿着其近端和远端之间的纵向轴线穿过其延伸的内腔。 下颌位于细长轴的远端,用于接收组织并将组织输送到内腔,并且上颚可相对于下颚枢转地移动。 该工具可以包括各种特征以便于组织的移除和/或收集。
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公开(公告)号:US20130053891A1
公开(公告)日:2013-02-28
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:US08357199B2
公开(公告)日:2013-01-22
申请号:US13438455
申请日:2012-04-03
IPC分类号: A61F2/44
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.
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公开(公告)号:US20120232407A1
公开(公告)日:2012-09-13
申请号:US13482662
申请日:2012-05-29
CPC分类号: A61B17/7032 , A61B34/20 , A61B2017/00061 , A61B2090/306
摘要: Various methods and devices are provided for navigating through bone. In one embodiment, a bone navigation device is provided and includes a bone penetrating member configured to be implanted in bone and having at least one optical waveguide extending therethrough. The optical waveguide is adapted to illuminate tissue surrounding the device and to receive reflected/transmitted light from the tissue to determine the optical characteristics of the tissue, thus facilitating navigation through the tissue. At least one window can be formed in the bone penetrating member for allowing light from the at least one optical waveguide to illuminate the tissue, and for receiving the reflected light.
摘要翻译: 提供各种方法和装置用于穿过骨骼。 在一个实施例中,提供骨导航装置,并且包括骨穿透构件,其构造成植入到骨中并且具有延伸穿过其中的至少一个光波导。 光波导适于照亮装置周围的组织并且接收来自组织的反射/透射光以确定组织的光学特性,从而便于穿过组织的导航。 至少一个窗口可以形成在骨穿透构件中,用于允许来自至少一个光波导的光照亮组织,并且用于接收反射光。
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公开(公告)号:US08092496B2
公开(公告)日:2012-01-10
申请号:US11160375
申请日:2005-06-21
IPC分类号: A61B17/70
CPC分类号: A61B17/7043 , A61B17/7023 , A61B17/7025 , A61F2/4405 , A61F2/4425 , A61F2002/30601
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 certain exemplary embodiments, a four bar linkage mechanism can be used to construct spinal stabilization devices and methods for restoring function to adjacent vertebrae. In particular, spinal stabilization devices can be provided that kinematically form a four-bar linkage mechanism with adjacent vertebrae and a disc or other element disposed between the adjacent vertebrae.
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。 在某些示例性实施例中,可以使用四杆连杆机构来构造脊柱稳定装置和用于将功能恢复到相邻椎骨的方法。 特别地,可以提供脊椎稳定装置,其运动地形成与相邻椎骨的四杆连杆机构以及设置在相邻椎骨之间的盘或其他元件。
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公开(公告)号:US08025678B2
公开(公告)日:2011-09-27
申请号:US12055757
申请日:2008-03-26
IPC分类号: A61B17/70
CPC分类号: A61B17/7062
摘要: An interspinous spacer having a pair of hooks that, upon lateral insertion between opposed spinous process, bear upon the opposed spinous processes.
摘要翻译: 棘突间隔物具有一对钩,当在相对的棘突之间横向插入时,它们承受相对的棘突。
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