公开(公告)号：US09011539B2

公开(公告)日：2015-04-21

申请号：US12356743

申请日：2009-01-21

申请人： Thomas Carls ,  Joshua Simpson ,  Jason John Eckhardt

发明人： Thomas Carls ,  Joshua Simpson ,  Jason John Eckhardt

IPC分类号： A61F2/44 ,  A61F2/30

CPC分类号： A61F2/442 ,  A61F2/441 ,  A61F2002/30014 ,  A61F2002/30242 ,  A61F2002/30383 ,  A61F2002/30471 ,  A61F2002/305 ,  A61F2002/30507 ,  A61F2002/30579 ,  A61F2002/30583 ,  A61F2002/30584 ,  A61F2002/30604 ,  A61F2002/30754 ,  A61F2002/444 ,  A61F2210/0085 ,  A61F2220/0025 ,  A61F2220/0091 ,  A61F2230/0071 ,  A61F2250/0018 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029

摘要： An intervertebral prosthesis implantable within a disc space and disposed between upper and lower vertebral endplates is provided. The prosthesis comprises a plurality of prosthesis modules insertable into the disc space, wherein the modules have at least one set of complementarily-shaped and sized surfaces, and wherein at least one of the modules is expandable. The modules have surfaces configured to engage within the disc space in a manner such that the modules form an assembled prosthesis of a size substantially preventing it from being outwardly expelled from the disc space, and the modules have bearing surfaces slidably engageable with the endplates to permit articulation between upper and lower vertebral endplates. In one embodiment, the at least one expandable module of the intervertebral prosthesis expands by inflation. In another embodiment, the at least one expandable module expands by unfolding into its intended form.

摘要翻译： 提供可植入在椎间盘空间内且设置在上下椎骨终板之间的椎间假体。 假体包括可插入椎间盘空间中的多个假体模块，其中模块具有至少一组互补形状和尺寸的表面，并且其中至少一个模块是可扩张的。 模块具有被配置为以这样的方式接合在盘片空间内的表面，使得模块形成大体上基本上防止其从盘空间向外排出的尺寸的组装假体，并且模块具有可滑动地与端板接合以允许 上下椎骨终板之间的关节。 在一个实施例中，椎间假体的至少一个可扩张模块通过膨胀而膨胀。 在另一个实施例中，至少一个可扩展模块通过展开成为其预期形式而膨胀。

公开(公告)号：US08414617B2

公开(公告)日：2013-04-09

申请号：US13187191

申请日：2011-07-20

申请人： J Stewart Young ,  Chris Johnson ,  Thomas Carls

发明人： J Stewart Young ,  Chris Johnson ,  Thomas Carls

IPC分类号： A61B17/70

CPC分类号： A61B17/7052

摘要： This invention relates to interconnection assemblies for use with spinal fixation systems to treat spinal defects. The interconnection assemblies can include various spinal rod connecting members and interconnecting elements to secure the spinal rod connecting members to each other in variable orientations and lengths. The interconnection assemblies can be adjusted to minimize interference with the spinal column, bony processes, and associated neural, muscular, and ligament components of the spine all the while exhibiting a low profile. The interconnecting elements and related components can be provided as a completely assembled unit that does not inadvertently become disassembled prior to or during implantation.

摘要翻译： 本发明涉及用于脊柱固定系统以治疗脊柱缺损的互连组件。 互连组件可以包括各种脊柱杆连接构件和互连元件，以将脊椎杆连接构件以可变取向和长度彼此固定。 可以调整互连组件以最小化与脊柱，骨骼过程以及脊柱相关联的神经，肌肉和韧带部件的干扰，同时呈现低轮廓。 互连元件和相关部件可以被提供为完全组装的单元，其在植入之前或植入期间不会被意外地分解。

公开(公告)号：US08348954B2

公开(公告)日：2013-01-08

申请号：US12211164

申请日：2008-09-16

申请人： Thomas Carls ,  Kent Anderson

发明人： Thomas Carls ,  Kent Anderson

IPC分类号： A61B17/56

CPC分类号： A61B17/7083 ,  A61B34/20 ,  A61B2034/107 ,  A61B2034/2048 ,  A61B2034/2051 ,  A61B2034/2063

摘要： Systems and methods for positioning a connecting element adjacent an anatomical structure in minimally-invasive surgical procedures, including an electronic guidance system associated with the connecting element and at least one receiving portion of a tissue anchor that receives the connecting element in the patient. The electronic guidance system includes a processor subsystem to receive signals from the guidance system and provide relative positional data between the connecting element and the at least one receiving portion to aid the surgeon in guiding the connecting element to the receiving portion. In one embodiment, the systems and methods are used in association with positioning a connecting element adjacent the spinal column in minimally-invasive spinal stabilization procedures.

摘要翻译： 用于将连接元件邻近解剖结构定位在微创手术过程中的系统和方法，包括与连接元件相关联的电子引导系统和接收患者中的连接元件的组织锚的至少一个接收部分。 电子引导系统包括处理器子系统，用于从引导系统接收信号，并在连接元件和至少一个接收部分之间提供相对位置数据，以帮助外科医生将连接元件引导到接收部分。 在一个实施例中，所述系统和方法与在邻近脊柱的连接元件定位在微创脊柱稳定程序中一起使用。

公开(公告)号：US20120226319A1

公开(公告)日：2012-09-06

申请号：US13040035

申请日：2011-03-03

申请人： Will Armstrong ,  Thomas Carls ,  John A. Cowan ,  James Duncan ,  Richard A. Hynes ,  Anthony J. Melkent ,  Jean-Pierre Mobasser ,  D. Ha Silcox, III

发明人： Will Armstrong ,  Thomas Carls ,  John A. Cowan ,  James Duncan ,  Richard A. Hynes ,  Anthony J. Melkent ,  Jean-Pierre Mobasser ,  D. Ha Silcox, III

IPC分类号： A61B17/88 ,  A61F2/44 ,  A61B17/70

CPC分类号： A61F2/447 ,  A61B17/7059 ,  A61B17/808 ,  A61F2/30771 ,  A61F2/30965 ,  A61F2/442 ,  A61F2/4611 ,  A61F2002/2817 ,  A61F2002/2835 ,  A61F2002/3008 ,  A61F2002/30365 ,  A61F2002/30383 ,  A61F2002/30517 ,  A61F2002/30542 ,  A61F2002/30576 ,  A61F2002/30578 ,  A61F2002/30629 ,  A61F2002/30777 ,  A61F2002/30779 ,  A61F2002/3082 ,  A61F2002/30904 ,  A61F2002/3093 ,  A61F2002/4475 ,  A61F2002/4622 ,  A61F2002/4623 ,  A61F2002/4627 ,  A61F2220/0008 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00293 ,  A61F2310/00329 ,  A61F2310/00353 ,  A61F2310/00359 ,  A61F2310/00365 ,  A61F2310/00371 ,  A61F2310/00377

摘要： Systems, methods and devices for providing stabilization between first and second vertebrae are provided. More particularly, in one form a system includes an implant configured to be positioned in a disc space between the first and second vertebrae and a freestanding plate for engagement with extradiscal surfaces of the first and second vertebrae. The system also includes an insertion instrument with an engaging portion configured to releasably engage with the implant and the plate such that the implant and plate can be positioned together relative to the first and second vertebrae. In one aspect, an angular orientation of the implant relative to the plate is adjustable when the implant and the plate are engaged by the instrument. In this or another aspect, the implant and plate are held in a contiguous relationship when engaged by the instrument. However, different forms and applications are also envisioned.

摘要翻译： 提供了用于提供第一和第二椎骨之间的稳定性的系统，方法和装置。 更具体地，在一种形式中，系统包括构造成定位在第一和第二椎骨之间的盘空间中的植入物和用于与第一和第二椎骨的椎间盘外表面接合的独立板。 该系统还包括具有接合部分的插入器具，该接合部分构造成与植入物和板可释放地接合，使得植入物和板可相对于第一和第二椎骨定位在一起。 在一个方面，当植入物和板被仪器接合时，植入物相对于板的角度取向是可调节的。 在这个或另一方面，当由仪器接合时，植入物和板被保持在连续的关系中。 但是，也可以设想不同的形式和应用。

公开(公告)号：US08114136B2

公开(公告)日：2012-02-14

申请号：US12050274

申请日：2008-03-18

申请人： Thomas Carls ,  Eric C. Lange ,  Kent M. Anderson ,  Jean Taylor

发明人： Thomas Carls ,  Eric C. Lange ,  Kent M. Anderson ,  Jean Taylor

IPC分类号： A61B17/88 ,  A61B17/70

CPC分类号： A61B17/7062 ,  A61B17/7053

摘要： An implant assembly for stabilizing a spinal motion segment includes a spacer which is at least partially flexible and positionable between adjacent spinous processes. The spacer member includes upper and lower surfaces structured to receive a respective adjacent one of the upper and lower spinous processes of the spinal motion segment and a body having flexibly distinctive first and second sections relative to one another configured to modify the manner of movement at the spinal motion segment.

摘要翻译： 用于稳定脊柱运动段的植入物组件包括间隔件，所述间隔件在相邻棘突之间至少部分地柔性并且可定位。 隔离构件包括上表面和下表面，该上表面和下表面被构造成接纳脊柱运动区段的上下棘突中的相应相邻的一个，以及具有相对于彼此配置成修改移动方式的柔性独特的第一和第二部分的主体 脊柱运动段。

公开(公告)号：US07968037B2

公开(公告)日：2011-06-28

申请号：US12251152

申请日：2008-10-14

申请人： Christopher M. Patterson ,  Thomas Carls ,  Fred J. Molz, IV

发明人： Christopher M. Patterson ,  Thomas Carls ,  Fred J. Molz, IV

IPC分类号： B29C45/00

CPC分类号： A61B17/7011 ,  A61B17/7004 ,  A61B17/701 ,  A61B2017/00526

摘要： A method of manufacturing a curved spinal rod is disclosed. The method includes heating PEEK; injecting the PEEK into an arcuate spinal rod mold; holding the injected PEEK in the mold until the PEEK substantially sets; and removing the injected PEEK from the mold. In another aspect, a spinal rod is disclosed. The spinal rod includes an arcuate main body having a first end portion, a second end portion, and a central portion. The central portion has a non-circular cross-section with a height greater than its width. The first and second end portions and the central portion of the arcuate main body are integrally formed of a polymer such as polyetheretherketone (PEEK). The spinal rod also includes a rounded end cap adapted to mate with at least one of the end portions. The end cap is radiopaque.

摘要翻译： 公开了一种制造弯曲脊柱杆的方法。 该方法包括加热PEEK; 将PEEK注射到弓形脊柱杆模具中; 将注入的PEEK保持在模具中，直到PEEK基本成型; 并从模具中取出注入的PEEK。 另一方面，公开了一种脊柱杆。 脊柱杆包括具有第一端部，第二端部和中心部的弓形主体。 中心部分具有高度大于其宽度的非圆形横截面。 弓形主体的第一和第二端部和中心部分由诸如聚醚醚酮（PEEK）的聚合物整体形成。 脊柱杆还包括适于与至少一个端部配合的圆形端盖。 端帽是不透射线的。

公开(公告)号：US20100185286A1

公开(公告)日：2010-07-22

申请号：US12356702

申请日：2009-01-21

申请人： Randall Allard ,  Jason Eckhardt ,  Tom Francis ,  Thomas Carls ,  Robert Rice

发明人： Randall Allard ,  Jason Eckhardt ,  Tom Francis ,  Thomas Carls ,  Robert Rice

IPC分类号： A61F2/44 ,  A61B19/00

CPC分类号： A61F2/4611 ,  A61B90/11 ,  A61B2017/00261 ,  A61F2/30744 ,  A61F2/442 ,  A61F2002/30014 ,  A61F2002/3008 ,  A61F2002/30131 ,  A61F2002/30242 ,  A61F2002/30383 ,  A61F2002/3052 ,  A61F2002/30561 ,  A61F2002/30563 ,  A61F2002/30579 ,  A61F2002/30604 ,  A61F2002/30611 ,  A61F2002/30673 ,  A61F2002/30733 ,  A61F2002/30975 ,  A61F2002/444 ,  A61F2002/4495 ,  A61F2002/4627 ,  A61F2002/4629 ,  A61F2002/4677 ,  A61F2220/0025 ,  A61F2230/0013 ,  A61F2230/0071 ,  A61F2250/0018 ,  A61F2250/0063 ,  A61F2250/0098 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029

摘要： A multi-piece intervertebral disc augmentation implant that may be assembled within the annulus fibrosus is disclosed. The implant may be guided into a precise location through a relatively small opening in the annulus fibrosus with the aid of an elongated guide.

摘要翻译： 公开了可以组装在纤维环内的多片椎间盘增大植入物。 借助于细长的引导件，植入物可以通过纤维环中的相对小的开口被引导到精确的位置。

公开(公告)号：US20100023059A1

公开(公告)日：2010-01-28

申请号：US12573772

申请日：2009-10-05

申请人： Jonathan Dewey ,  Fred J. Molz, IV ,  Aurelien Bruneau ,  Eric C. Lange ,  Matthew M. Morrison ,  Thomas Carls ,  Kent M. Anderson ,  Jean Taylor

发明人： Jonathan Dewey ,  Fred J. Molz, IV ,  Aurelien Bruneau ,  Eric C. Lange ,  Matthew M. Morrison ,  Thomas Carls ,  Kent M. Anderson ,  Jean Taylor

IPC分类号： A61B17/70

CPC分类号： A61B17/7067

摘要： A method of implanting a spinal prosthesis comprises inserting a first member between superior and inferior spinous processes associated with respective superior and inferior vertebrae. The superior and inferior vertebrae are separated by an intermediate vertebra. The method further includes inserting a second member through a channel in the first member. After the second member is inserted, the method requires removing the second member from the channel and inserting a third member through the channel. The third member has a different stiffness than the second member. Finally, the method requires anchoring the third member to the intermediate vertebra, while the third member is inserted through the channel. The third member is anchored at first and second locations disposed on respective first and second lateral sides of the intermediate vertebra.

摘要翻译： 植入脊椎假体的方法包括将第一构件插入与上下椎骨相关的上棘和下棘之间。 上下椎骨由中间椎骨分开。 该方法还包括通过第一构件中的通道插入第二构件。 在插入第二构件之后，该方法需要从通道中移除第二构件并且通过通道插入第三构件。 第三构件具有与第二构件不同的刚度。 最后，该方法需要将第三构件固定到中间椎骨，同时第三构件插入通道。 第三构件被固定在设置在中间椎骨的相应的第一和第二横向侧上的第一和第二位置处。

公开(公告)号：US20070191844A1

公开(公告)日：2007-08-16

申请号：US11343568

申请日：2006-01-31

申请人： Thomas Carls ,  Jonathan Dewey

发明人： Thomas Carls ,  Jonathan Dewey

IPC分类号： A61F2/30

CPC分类号： A61B17/7032 ,  A61B17/7022 ,  A61B17/7041 ,  A61B17/705

摘要： An in-series, dual locking mechanism device for securing at least one implant having a clamp, a locking mechanism and a bone fastener. The clamp is configured to include a channel for receiving the implant and a locking mechanism. The locking mechanism is structured to secure the implant within the clamp by applying a force in at least two locations that are configured to be adjacent and in-series relative to each other. The locking mechanism functions to reduce the resultant internal stresses realized by the implant that may lead to implant fracture or fatigue. The implant is generally continuous and is preferably rod shaped. The shape of the implant thereby allowing it to be utilized in various surgical procedural applications. The clamp is further configured for the attachment of a bone fastener. The bone fastener functioning to rigidly fix the clamp to the bone.

摘要翻译： 一种用于固定至少一个具有夹具，锁定机构和骨紧固件的植入物的串联双重锁定机构装置。 夹具构造成包括用于接收植入物的通道和锁定机构。 锁定机构被构造成通过在被配置为相对于彼此相邻且串联的至少两个位置施加力来将植入物固定在夹具内。 锁定机构用于减少植入物实现的内部应力，从而导致植入物的断裂或疲劳。 植入物通常是连续的并且优选地是棒状的。 植入物的形状，从而允许其用于各种外科手术应用。 夹具进一步构造成用于附接骨紧固件。 骨头紧固件用于将夹具刚性地固定到骨头上。

公开(公告)号：US20070176324A1

公开(公告)日：2007-08-02

申请号：US11342194

申请日：2006-01-27

申请人： Harold Taylor ,  Thomas Carls

发明人： Harold Taylor ,  Thomas Carls

IPC分类号： B29C45/14 ,  B29C45/73

CPC分类号： B29C45/77 ,  B29C45/14549 ,  B29C45/78 ,  B29C2045/7343 ,  B29C2945/76498 ,  B29C2945/76545 ,  B29C2945/76612 ,  B29C2945/76652 ,  B29C2945/76732 ,  B29C2945/76782 ,  B29C2945/76859 ,  B29K2071/00 ,  B29L2031/7532

摘要： A method of injection molding an orthopedic device comprising: injection molding a polymeric orthopedic device having a length along a longitudinal axis; and deliberately inducing, in the device, a material property change along the longitudinal axis by varying a molding parameter during the injection molding. The material property may be, for example, elastic modulus and/or density. The molding parameter varied during the injection molding may be a supply material pressure. The orthopedic device may be an elongated rod-shaped element, such as a spinal fixation rod, which may or may not have a substantially uniform cross-section, and may or may not have a metallic core. A corresponding apparatus is also described.

摘要翻译： 一种注射成型矫形装置的方法，包括：注射成型具有沿着纵向轴线的长度的聚合物矫形装置; 并且通过在注射成型期间改变模制参数来故意地在装置中诱导沿着纵向轴线的材料特性变化。 材料性质可以是例如弹性模量和/或密度。 在注射成型期间变化的成型参数可以是供料压力。 矫形装置可以是细长的杆状元件，例如脊柱固定杆，其可以具有或可以不具有基本上均匀的横截面，并且可以具有或可以不具有金属芯。 还描述了相应的装置。