公开(公告)号：US06500180B1

公开(公告)日：2002-12-31

申请号：US09421709

申请日：1999-10-20

Applicant: Kevin T. Foley ,  Mingyan Liu

Inventor： Kevin T. Foley ,  Mingyan Liu

IPC: A61F238

CPC classification number: A61B17/025 ,  A61B2017/0256

Abstract: Methods and instrumentation for surgical procedures relating to preparation of vertebral bodies and a disc space for insertion of spinal implants is disclosed. The instruments and methods are particularly adapted for a posterior approach to the spine. One instrument is a shim having a blade and a shaft having a first end connected with the blade. The blade is inserted into a distracted disc space to maintain distraction during subsequent procedures. In one embodiment, the shaft can be bent away from the operative field. In another embodiment, the shim is used in an endoscopically assisted approach to the spine. Another instrument is a driver for driving the blade of the shim into the distracted disc space. Various methods contemplate the use of these instruments to maintain disc space distraction during disc space preparation for receiving an implant.

Abstract translation: 公开了与准备椎体相关的外科手术的方法和仪器以及用于插入脊柱植入物的椎间盘空间。 仪器和方法特别适用于脊柱后路。 一种仪器是具有刀片和轴的垫片，其具有与刀片连接的第一端。 刀片插入分心的椎间盘空间，以便在后续手术过程中保持分心。 在一个实施例中，轴可以远离操作区域弯曲。 在另一个实施例中，垫片用于对脊柱进行内窥镜辅助的方法。 另一种仪器是用于将垫片的叶片驱动到分散的盘片空间中的驱动器。 各种方法考虑使用这些仪器来在用于接收植入物的盘空间准备期间维持椎间盘空间分心。

公开(公告)号：US06490467B1

公开(公告)日：2002-12-03

申请号：US09105067

申请日：1998-06-26

Applicant: Richard D. Bucholz ,  Kevin T. Foley ,  Kurt R. Smith ,  Daniel Bass ,  Thomas Wiedenmaier ,  Todd Pope ,  Udo Wiedenmaier

Inventor： Richard D. Bucholz ,  Kevin T. Foley ,  Kurt R. Smith ,  Daniel Bass ,  Thomas Wiedenmaier ,  Todd Pope ,  Udo Wiedenmaier

IPC: A61B600

CPC classification number: A61B5/0073 ,  A61B5/0064 ,  A61B5/055 ,  A61B5/06 ,  A61B5/1077 ,  A61B6/12 ,  A61B6/501 ,  A61B6/5235 ,  A61B8/00 ,  A61B8/0833 ,  A61B8/4227 ,  A61B8/5238 ,  A61B17/1703 ,  A61B17/1739 ,  A61B17/3403 ,  A61B34/10 ,  A61B34/20 ,  A61B90/10 ,  A61B90/11 ,  A61B90/36 ,  A61B2017/00022 ,  A61B2034/2055 ,  A61B2034/2068 ,  A61B2034/207 ,  A61B2034/2072 ,  A61B2090/363 ,  A61B2090/364 ,  A61B2090/376 ,  A61B2090/378 ,  A61B2090/3929 ,  A61B2090/3945 ,  A61B2090/3983

Abstract: A system for use during a medical or surgical procedure on a body. The system generates an image representing the position of one or more body elements during the procedure using scans generated by a scanner prior or during the procedure. The image data set has reference points for each of the body elements, the reference points of a particular body element having a fixed spatial relation to the particular body element. The system includes an apparatus for identifying, during the procedure, the relative position of each of the reference points of each of the body elements to be displayed. The system also includes a processor for modifying the image data set according to the identified relative position of each of the reference points during the procedure, as identified by the identifying apparatus, said processor generating a displaced image data set representing the position of the body elements during the procedure. The system also includes a display utilizing the displaced image data set generated by the processor, illustrating the relative to the system are also disclosed. Also disclosed are devices for use with a surgical navigation system having a sensor array which is in communication with the device to identify its position. The device may be a reference frame for attachment of a body part of the patient, such as a cranial reference are frame for attachment to the head or a spine reference are frame for attachment to the spine. The device may also be a localization frame for positioning an instrument relative to a body part, such as a localization biopsy guide frame for positioning a biopsy needle, a localization drill guide assembly for positioning a drill bit, a localization drill yoke assembly for positioning a drill, or a ventriculostomy probe for positioning a catheter.

Abstract translation: 在身体的医疗或外科手术过程中使用的系统。 在该过程期间，该系统使用由扫描仪生成的扫描器在过程之前或过程期间生成表示一个或多个身体元件的位置的图像。 图像数据集具有每个身体元素的参考点，特定身体元件的参考点与特定身体元件具有固定的空间关系。 该系统包括用于在过程期间识别要显示的每个身体元素的每个参考点的相对位置的装置。 该系统还包括处理器，用于根据识别装置识别的过程期间根据所识别的每个参考点的相对位置修改图像数据集，所述处理器生成表示身体元件的位置的位移图像数据集 在程序中。 该系统还包括利用由处理器生成的移位的图像数据集的显示器，还示出了相对于系统的显示。 还公开了一种与外科导航系统一起使用的装置，该外科导航系统具有与装置通信以识别其位置的传感器阵列。 该装置可以是用于附接患者的身体部分的参考框架，例如头部参考是用于附接到头部的框架，或者脊柱参考是用于附接到脊柱的框架。 该装置还可以是用于相对于身体部位定位器械的定位框架，例如用于定位活检针的定位活检引导框架，用于定位钻头的定位钻子引导器组件，用于定位钻头的定位钻杆组件 钻孔或用于定位导管的脑室造口术探针。

公开(公告)号：US06485491B1

公开(公告)日：2002-11-26

申请号：US09663638

申请日：2000-09-15

Applicant: Robert A. Farris ,  Kevin T. Foley ,  Stephen M. Papadopoulos ,  Jeffrey Wade Poyner ,  Ricardo Sasso

Inventor： Robert A. Farris ,  Kevin T. Foley ,  Stephen M. Papadopoulos ,  Jeffrey Wade Poyner ,  Ricardo Sasso

IPC: A61B1770

CPC classification number: A61B17/7037 ,  A61B17/7002 ,  A61B17/7032 ,  A61B17/7035 ,  A61B17/7041 ,  A61B17/7044 ,  A61B17/7049 ,  A61B17/705 ,  A61B17/7055 ,  A61B17/7059

Abstract: A posterior fixation system includes a saddle member, an anchoring member, an occipital plate, an occipital rod, and a cross-link connector. The anchoring member anchors the saddle member to bone. The saddle member includes a pair of upright portions that define a channel. The channel is adapted to receive an orthopedic rod, and the saddle member can include a hole to receive the anchoring member. The saddle member and the anchoring member can be coupled so as to allow multi-axial movement of the members. The anchoring member in one embodiment is a screw coupled to the hole of the saddle, and in another embodiment, the anchoring member is a hook. The offset member may be coupled to the saddle member to allow for offset connection of rods. Connection of individual rods can be accomplished by connecting the rods with the cross-link connector. The cross-link connector has an integrally formed cylindrical member that couples a pair of coupling portions together. The cylindrical member can be bent along multiple axes. The occipital plate secures the rods to the occipital bone of the skull. The occipital plate has a cross-shaped plate with a plurality of apertures defined in the plate and at least one saddle member coupled to the plate. Alternatively, the occipital rod can be secured to the occipital bone.

Abstract translation: 后固定系统包括鞍形构件，锚定构件，枕骨板，枕骨杆和交联连接器。 锚定构件将鞍形构件锚定到骨头。 鞍座构件包括限定通道的一对直立部分。 通道适于接纳矫形杆，并且鞍座构件可包括用于接收锚定构件的孔。 鞍形构件和锚定构件可以联接成允许构件的多轴向移动。 一个实施例中的锚固构件是联接到鞍座的孔的螺钉，并且在另一个实施例中，锚固构件是钩。 偏移构件可以联接到鞍座构件以允许杆的偏移连接。 可以通过将杆与交联连接器连接来实现单个杆的连接。 交联连接器具有将一对联接部分连接在一起的整体形成的圆柱形构件。 圆柱形构件可以沿着多个轴线弯曲。 枕骨板将杆固定在头骨的枕骨上。 枕骨板具有十字形板，其中限定在板中的多个孔和联接到板的至少一个鞍形构件。 或者，枕骨杆可以固定在枕骨上。

公开(公告)号：US06348058B1

公开(公告)日：2002-02-19

申请号：US09209248

申请日：1998-12-10

Applicant: Tony Melkent ,  Kevin T. Foley ,  Bradley T. Estes ,  Joseph Chaudoin

Inventor： Tony Melkent ,  Kevin T. Foley ,  Bradley T. Estes ,  Joseph Chaudoin

IPC: A61B505

CPC classification number: A61F2/4611 ,  A61B17/1757 ,  A61B34/20 ,  A61B34/25 ,  A61B2034/107 ,  A61B2034/2055 ,  A61B2034/2072 ,  A61B2034/254 ,  A61F2/442 ,  A61F2/4455 ,  A61F2002/2839 ,  A61F2002/4627 ,  A61F2002/4632 ,  Y10S606/907 ,  Y10S606/909 ,  Y10S606/912 ,  Y10S606/914

Abstract: A guide is disclosed for use in performing spinal surgery to prepare across a spinal disc and adjacent vertebrae an implantation space. The guide is associated with a computer controlled surgical navigation system employing an energy-detecting array to track positions of the guide in three dimensional space relative to a known reference point. The guide comprises a body for providing protected access to prepare across the spinal disc and into the adjacent vertebrae the implantation space. The body has a passage adapted to receive a bone removal device for forming the implantation space through the body. At least one electrically energizable energy emitter array is attached to the body for use in identifying the location of the guide relative to the adjacent vertebrae. A system and method for using the guide in spinal surgery are also disclosed.

Abstract translation: 公开了用于执行脊柱手术以在脊椎盘和相邻椎骨上准备植入空间的引导件。 该指南与使用能量检测阵列的计算机控制手术导航系统相关联，以相对于已知的参考点跟踪三维空间中的引导的位置。 引导件包括用于提供受保护的通路以准备穿过脊椎盘并进入相邻椎骨的植入空间的主体。 身体具有适于接收用于通过身体形成植入空间的骨去除装置的通道。 至少一个电激励能量发射器阵列附接到主体以用于识别引导件相对于相邻椎骨的位置。 还公开了在脊柱手术中使用该引导件的系统和方法。

公开(公告)号：US06236875B1

公开(公告)日：2001-05-22

申请号：US08809404

申请日：1997-07-23

Applicant: Richard D. Bucholz ,  Kevin T. Foley ,  Kurt R. Smith ,  Daniel Bass ,  Thomas Wiedenmaier ,  Todd Pope ,  Udo Wiedenmaier

Inventor： Richard D. Bucholz ,  Kevin T. Foley ,  Kurt R. Smith ,  Daniel Bass ,  Thomas Wiedenmaier ,  Todd Pope ,  Udo Wiedenmaier

IPC: A61B505

CPC classification number: A61B5/0073 ,  A61B5/0064 ,  A61B5/055 ,  A61B5/06 ,  A61B5/1077 ,  A61B6/12 ,  A61B6/501 ,  A61B6/5235 ,  A61B8/00 ,  A61B8/0833 ,  A61B8/4227 ,  A61B8/5238 ,  A61B17/1703 ,  A61B17/1739 ,  A61B17/3403 ,  A61B34/10 ,  A61B34/20 ,  A61B90/10 ,  A61B90/11 ,  A61B90/36 ,  A61B2017/00022 ,  A61B2034/2055 ,  A61B2034/2068 ,  A61B2034/207 ,  A61B2034/2072 ,  A61B2090/363 ,  A61B2090/364 ,  A61B2090/376 ,  A61B2090/378 ,  A61B2090/3929 ,  A61B2090/3945 ,  A61B2090/3983

Abstract: A system for use during a medical or surgical procedure on a body. The system generates an image representing the position one or more body elements during the procedure using scans generated by a scanner prior or during the procedure. The image data set has reference points for each of the body elements, the reference points of a particular body element having a fixed spatial relation to the particular body element. The system includes an apparatus for identifying, during the procedure, the relative position of each of the reference points of each of the body elements to be displayed. The system also includes a processor for modifying the image data set according to the identified relative position of each of the reference points during the procedure, as identified by the identifying apparatus, said processor generating a displaced image data set representing the position of the body elements during the procedure. The system also includes a display utilizing the displaced image data set generated by the processor, illustrating the relative position of the body elements during the procedure. Methods relating to the system are also disclosed. Also disclosed are devices for use with a surgical navigation system having a sensor array which is in communication with the device to identify its position. The device may be a reference frame for attachment of a body part of the patient, such as a cranial reference arc frame for attachment to the head on a spine reference arc frame for attachment to the spine. The device may also be a localization frame for positioning an instrument relative to a body part, such as a localization biopsy guide frame for positioning a biopsy needle, a localization drill guide assembly for positioning a drill bit, a localization drill yoke assembly for positioning a drill, or a ventriculostomy probe for positioning a catheter.

Abstract translation: 在身体的医疗或外科手术过程中使用的系统。 该系统在该过程期间使用由扫描器生成的扫描器在过程之前或过程期间生成表示位置一个或多个身体元件的图像。 图像数据集具有每个身体元素的参考点，特定身体元件的参考点与特定身体元件具有固定的空间关系。 该系统包括用于在过程期间识别要显示的每个身体元素的每个参考点的相对位置的装置。 该系统还包括处理器，用于根据识别装置识别的过程期间根据所识别的每个参考点的相对位置修改图像数据集，所述处理器生成表示身体元件的位置的位移图像数据集 在程序中。 该系统还包括使用由处理器生成的移位图像数据集的显示器，示出了在该过程期间主体元件的相对位置。 还公开了与系统有关的方法。 还公开了一种与外科导航系统一起使用的装置，该外科导航系统具有与装置通信以识别其位置的传感器阵列。 该装置可以是用于附接患者的身体部分的参考框架，例如用于附接到脊柱参考弧框架以用于附接到脊柱的头部参考弧形框架以用于附接到头部。 该装置还可以是用于相对于身体部位定位器械的定位框架，例如用于定位活检针的定位活检引导框架，用于定位钻头的定位钻子引导器组件，用于定位钻头的定位钻杆组件 钻孔或用于定位导管的脑室造口术探针。

公开(公告)号：US6167145A

公开(公告)日：2000-12-26

申请号：US623956

申请日：1996-03-29

Applicant: Kevin T. Foley ,  Kurt R. Smith ,  John B. Clayton

Inventor： Kevin T. Foley ,  Kurt R. Smith ,  John B. Clayton

IPC: G06F19/00 ,  G06T7/00 ,  G06K9/00

CPC classification number: G06F19/321 ,  G06F19/00 ,  G06T7/33 ,  G06T2207/10072 ,  G06T2207/10121 ,  G06T2207/10132 ,  G06T2207/30012 ,  G06T2207/30016

Abstract: A system for use during a medical or surgical procedure on a body. The system generates a display representing the position of two or more body elements during the procedure based on an image data set generated by a scanner prior to the procedure. The image data set has reference points for each of the body elements, the reference points of a particular body element having a fixed spatial relation to the particular body element. The system includes an apparatus for identifying, during the procedure, the relative position of each of the reference points of each of the body elements to be displayed. The system also includes a processor for modifying the image data set according to the identified relative position of each of the reference points during the procedure, as identified by the identifying apparatus, said processor generating a displaced image data set representing the position of the body elements during the procedure. The system also includes a display utilizing the displaced image data set generated by the processor, illustrating the relative position of the body elements during the procedure. Methods relating to the system are also disclosed.

Abstract translation: 在身体的医疗或外科手术过程中使用的系统。 该系统基于在该过程之前由扫描器生成的图像数据集，在该过程期间生成表示两个或多个身体元件的位置的显示。 图像数据集具有每个身体元素的参考点，特定身体元件的参考点与特定身体元件具有固定的空间关系。 该系统包括用于在过程期间识别要显示的每个身体元素的每个参考点的相对位置的装置。 该系统还包括处理器，用于根据识别装置识别的过程期间根据所识别的每个参考点的相对位置修改图像数据集，所述处理器生成表示身体元件的位置的位移图像数据集 在程序中。 该系统还包括使用由处理器生成的移位图像数据集的显示器，示出了在该过程期间主体元件的相对位置。 还公开了与系统有关的方法。

公开(公告)号：US5681311A

公开(公告)日：1997-10-28

申请号：US575601

申请日：1995-12-20

Applicant: Kevin T. Foley ,  Peter M. Klara ,  Keith Maxwell ,  Lance Middleton ,  Matthew M. Morrison

Inventor： Kevin T. Foley ,  Peter M. Klara ,  Keith Maxwell ,  Lance Middleton ,  Matthew M. Morrison

IPC: A61B17/58 ,  A61B17/70 ,  A61B17/80 ,  A61B17/88

CPC classification number: A61B17/8038 ,  A61B17/7059 ,  A61B17/8033

Abstract: A bone fixation apparatus having an elongated plate member with at least two pairs of circular openings and a series of openings positioned along the longitudinal plane of the plate member with the circular openings and the series of openings each having a central vertical axis. The circular openings and series of openings each form a cavity with walls extending between the upper and lower plate member surfaces with at least a plurality of the cavities having smaller diameter portions at the plate member upper and lower surfaces and a larger diameter portion therebetween. The cavities are configured in the shape of two inverted cones with matching base circles for allowing transverse and longitudinal angulation of an implanted bone screw. A plurality of bone screws each have a threaded first end portion adapted for implantation into a patient's bone mass and a generally ellipsoid shaped enlarged second end portion. A locking member connects to the second end portion of each bone screw for expanding the second end portion so as to grip the cavity wall of the plate member and for locking each bone screw into a selected position within the circular openings and series of openings of the plate member.

Abstract translation: 一种骨固定装置，具有具有至少两对圆形开口的细长板构件和沿着板构件的纵向平面定位的一系列开口，其中圆形开口和一系列开口各自具有中心垂直轴线。 圆形开口和一系列开口各自形成具有在上板和下板构件表面之间延伸的壁的空腔，其中至少多个空腔在板构件上表面和下表面处具有较小的直径部分，并且其间具有较大的直径部分。 空腔被构造成具有匹配基圆的两个倒锥体的形状，用于允许植入骨螺钉的横向和纵向成角度。 多个骨螺钉各自具有适于植入患者骨块的螺纹第一端部部分和大致椭圆形的扩大的第二端部部分。 锁定构件连接到每个骨螺钉的第二端部，用于扩展第二端部部分，以便夹持板构件的空腔壁，并且用于将每个骨螺钉锁定在所述圆形开口和一系列开口内的选定位置 板材。

公开(公告)号：US20240090932A1

公开(公告)日：2024-03-21

申请号：US18060269

申请日：2022-11-30

Applicant: Kevin T. Foley ,  Jeff Justis

Inventor： Kevin T. Foley ,  Jeff Justis

IPC: A61B17/88 ,  A61B17/17

CPC classification number: A61B17/8897 ,  A61B17/1757

Abstract: A cannulated surgical instrument having a cannula lock configured to selectively lock and unlock a guidewire extending into the instrument's cannula. The instrument includes a cannulated shaft having a cannulated driving member attached to a proximal end of the cannulated shaft. The cannula lock is configured to selectively move between (i) a locked position where the guidewire is engaged and cannot move axially with respect to the cannula, and (ii) an unlocked position where the guidewire is disengaged and can move axially with respect to the cannula.

公开(公告)号：US20210275274A1

公开(公告)日：2021-09-09

申请号：US17132268

申请日：2020-12-23

Applicant: John B. Clayton ,  Kevin T. Foley

Inventor： John B. Clayton ,  Kevin T. Foley

IPC: A61B90/14 ,  G03B17/56 ,  F16M13/02 ,  F16M13/04 ,  A61B90/50

Abstract: An apparatus, system, and method for providing a rigid connection between a localizing camera and a patient's head for image-guided surgery. A fixed camera head clamp includes a camera mount for rigidly securing a localizing camera to the head clamp. In one embodiment, a proximal end of the camera mount is selectively secured to a receptacle of a frame of the head clamp and a distal end of the camera mount includes a camera receptacle configured to receive a localizing camera. A fixed camera head clamp system includes the head clamp and a localizing camera. A camera mount system includes a camera mount secured to a patient's head and a localizing camera secured to a camera receptacle on the camera mount.

公开(公告)号：US08961524B2

公开(公告)日：2015-02-24

申请号：US12930141

申请日：2010-12-29

Applicant: Kevin T. Foley ,  Michael C. Sherman ,  Jeff R. Justis

Inventor： Kevin T. Foley ,  Michael C. Sherman ,  Jeff R. Justis

IPC: A61B17/70 ,  A61B17/16 ,  A61B17/88 ,  A61B17/00

CPC classification number: A61B17/7086 ,  A61B17/00234 ,  A61B17/1671 ,  A61B17/7038 ,  A61B17/7089 ,  A61B17/88 ,  A61B17/8872 ,  A61B17/8897 ,  A61B2017/681 ,  A61B2017/90

Abstract: The present invention relates to methods and instruments for placing a brace or connecting element into an animal subject for engagement with anchors secured in the animal subject. The installation instrument includes anchor extensions coupled to the anchors. The instrument is movable with respect to the anchors to position the connecting element in a position more proximate the anchors.

Abstract translation: 本发明涉及用于将支架或连接元件放置在动物对象中用于与固定在动物对象中的锚固件接合的方法和装置。 安装仪器包括连接到锚固件的锚固件延伸件。 仪器可相对于锚固件移动，以将连接元件定位在更接近锚定件的位置。