公开(公告)号：US20070276374A1

公开(公告)日：2007-11-29

申请号：US11642417

申请日：2006-12-20

Applicant: Richard Broman ,  Thomas McLeer ,  Leonard Tokish ,  Mark Reiley ,  Sean Suh

Inventor： Richard Broman ,  Thomas McLeer ,  Leonard Tokish ,  Mark Reiley ,  Sean Suh

IPC: A61B17/58

CPC classification number: A61F2/4405 ,  A61B17/7011 ,  A61B17/7041 ,  A61B17/7049 ,  A61F2/4455 ,  A61F2002/30367 ,  A61F2002/30507 ,  A61F2002/3069 ,  A61F2220/0025 ,  A61F2220/0033

Abstract: The invention provides a method of revising an implanted spinal device, such as an implanted arthroplasty device having a cephalad component fixed to a first vertebra and a caudal component fixed to a second vertebra inferior to the first vertebra. The method includes the following steps: removing a portion of a previously implanted spinal arthroplasty device; and attaching a revision component to a remaining portion of the previously implanted spinal arthroplasty device to alter a biomechanical characteristic of the implanted arthroplasty device. Another aspect of the invention provides a method of limiting motion between adjacent vertebrae including the steps of accessing an implanted spinal arthroplasty device comprising a cephalad component fixed to a first vertebra and a caudal component fixed to a second vertebra inferior to the first vertebra, the cephalad and caudal components having a range of motion between them, and attaching a revision component to the cephalad and caudal components to reduce the range of motion. The invention also includes revision devices for revising the biomechanics of implanted spinal arthroplasty devices.

Abstract translation: 本发明提供了修改植入的脊柱装置的方法，例如植入的关节成形术装置，其具有固定到第一椎骨的头部部件和固定到低于第一椎骨的第二椎骨的尾部部件。 该方法包括以下步骤：去除先前植入的脊髓关节置换装置的一部分; 以及将修正部件附接到先前植入的脊柱关节置换装置的剩余部分，以改变植入的关节成形术装置的生物力学特性。 本发明的另一方面提供了一种限制相邻椎骨之间的运动的方法，包括以下步骤：进入植入的脊髓关节置换装置，该装置包括固定到第一椎骨的头部部件和固定到第二椎骨下方的第二椎骨的尾部部件，头部 尾部组件具有它们之间的运动范围，并且将修正部件附接到头部和尾部部件以减小运动范围。 本发明还包括用于修改植入脊髓关节置换装置的生物力学的修正装置。

公开(公告)号：US20070168029A1

公开(公告)日：2007-07-19

申请号：US11636252

申请日：2006-12-08

Applicant: Hansen Yuan ,  David Stinson ,  Lawrence Jones ,  Mark Reiley

Inventor： Hansen Yuan ,  David Stinson ,  Lawrence Jones ,  Mark Reiley

IPC: A61F2/44 ,  A61B17/90

CPC classification number: A61F2/4611 ,  A61B17/1757 ,  A61B17/86 ,  A61F2/4405 ,  A61F2002/30332 ,  A61F2002/30405 ,  A61F2002/30649 ,  A61F2002/30841 ,  A61F2002/30904 ,  A61F2002/4628 ,  A61F2002/4629 ,  A61F2002/4631 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00047 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00796 ,  A61F2310/0097

Abstract: Cephalad and caudal vertebral facet joint prostheses and methods of use are provided. The cephalad prostheses are adapted and configured to be attached to a lamina portion of a vertebra without blocking a pedicle portion of the cephalad vertebra.

Abstract translation: 提供头颅和尾椎椎骨小关节假体和使用方法。 头部假体被适配和构造成附接到椎骨的椎板部分，而不阻塞头部椎骨的椎弓根部分。

公开(公告)号：US20070118143A1

公开(公告)日：2007-05-24

申请号：US11637396

申请日：2006-12-12

Applicant: Christopher Ralph ,  Richard Layne ,  Paul Sand ,  Robert Scribner ,  Mark Reiley

Inventor： Christopher Ralph ,  Richard Layne ,  Paul Sand ,  Robert Scribner ,  Mark Reiley

IPC: A61F2/00

CPC classification number: A61B17/8855 ,  A61B17/1686 ,  A61B17/3468 ,  A61B17/3472 ,  A61B17/8805 ,  A61B17/8866 ,  A61B50/33 ,  A61B90/39 ,  A61B2017/00557 ,  A61F2/4601 ,  A61F2002/4602

Abstract: Systems and methods provide for the fixation of osteoporotic and non-osteoporotic long bones, especially Colles' fractures. A cannula having a circumferential opening is inserted into cancellous bone and directed such that the circumferential opening faces the fracture. The cannula is further adapted to receive an expandable structure, the expandable structure being inserted through the cannula until it is in registration with the circumferential opening. The expandable structure is expanded through the circumferential opening into cancellous bone and toward the fracture. The expansion of the expandable structure through the circumferential opening toward the fracture causes compression of cancellous bone and moves fractured cortical bone, thus creating a cavity proximal to the fracture. The cavity is then filled with a flowable bone filling material and the material allowed to harden.

Abstract translation: 系统和方法提供了骨质疏松和非骨质疏松的长骨的固定，特别是Colles的骨折。 具有周向开口的套管插入松质骨中并被引导成周向开口面向骨折。 套管还适于接收可膨胀结构，所述可扩张结构插入通过套管，直到其与周向开口对准。 可膨胀结构通过周向开口膨胀成松质骨并朝向骨折。 可膨胀结构通过周向开口朝向骨折的膨胀导致松质骨的压缩并移动骨折的皮质骨，从而在骨折附近形成腔。 然后用可流动的骨填充材料填充空腔，并使材料硬化。

公开(公告)号：US20070093833A1

公开(公告)日：2007-04-26

申请号：US11635853

申请日：2006-12-08

Applicant: Mark Kuiper ,  Susan Rogers ,  David Yager ,  Christopher Ralph ,  Leonard Tokish ,  Mark Charbonneau ,  David Rosler ,  Richard Bromen ,  Mark Reiley ,  David Stinson ,  Michael Funk ,  Tom McLeer ,  Jorge Ochoa

Inventor： Mark Kuiper ,  Susan Rogers ,  David Yager ,  Christopher Ralph ,  Leonard Tokish ,  Mark Charbonneau ,  David Rosler ,  Richard Bromen ,  Mark Reiley ,  David Stinson ,  Michael Funk ,  Tom McLeer ,  Jorge Ochoa

IPC: A61F2/30

CPC classification number: A61F2/4405 ,  A61B17/15 ,  A61B17/7064 ,  A61B90/39 ,  A61F2/30742 ,  A61F2/442 ,  A61F2/4455 ,  A61F2002/30331 ,  A61F2002/30405 ,  A61F2002/30462 ,  A61F2002/30507 ,  A61F2002/30537 ,  A61F2002/30538 ,  A61F2002/3055 ,  A61F2002/30563 ,  A61F2002/30566 ,  A61F2002/30601 ,  A61F2002/30604 ,  A61F2002/30607 ,  A61F2002/30617 ,  A61F2002/30682 ,  A61F2002/3069 ,  A61F2002/30841 ,  A61F2002/3085 ,  A61F2002/30878 ,  A61F2002/30884 ,  A61F2002/4631 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2220/0075 ,  A61F2250/0004 ,  A61F2250/0006 ,  A61F2250/0007 ,  A61F2250/0062 ,  A61F2250/0097

Abstract: An adaptable spinal facet joint prosthesis, including a pedicle fixation element; a laminar fixation element; and a facet joint bearing surface having a location adaptable with respect at least one of the pedicle fixation element and the laminar fixation element. The invention also includes a method of implanting an adaptable spinal facet joint prosthesis including the steps of determining a desired position for a facet joint bearing surface; and attaching a prosthesis comprising a facet joint bearing surface to a pedicle portion of a vertebra and a lamina portion of a vertebra to place the facet joint bearing surface in the desired position. The invention also provides a facet joint prosthesis implant tool including a tool guide adapted to guide a vertebra cutting tool; and first and second fixation hole alignment elements extending from the saw guide.

Abstract translation: 适应性脊柱小关节假体，包括椎弓根固定元件; 层状固定元件; 和小关节支承表面，其具有相对于椎弓根固定元件和层状固定元件中的至少一个适应的位置。 本发明还包括植入适应性脊椎小关节假体的方法，包括以下步骤：确定小关节支承表面的期望位置; 以及将包括小关节支承表面的假体附接到椎骨的椎弓根部分和椎骨的椎板部分以将小关节支承表面放置在期望的位置。 本发明还提供一种小关节假体植入工具，其包括适于引导椎骨切割工具的工具导向件; 以及从锯导向件延伸的第一和第二固定孔对准元件。

公开(公告)号：US20070073307A1

公开(公告)日：2007-03-29

申请号：US11599943

申请日：2006-11-15

Applicant: Robert Scribner ,  Michael Reo ,  Mark Reiley ,  Ryan Boucher

Inventor： Robert Scribner ,  Michael Reo ,  Mark Reiley ,  Ryan Boucher

IPC: A61F2/00

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: Cancellous bone is accessed through a subcutaneous access path in soft tissue. A cavity is formed in cancellous bone by a cavity forming tool that is advanced through the subcutaneous access path into cancellous bone and manipulated to form the cavity. A measured volume of bone filling material is delivered into the cavity through the subcutaneous access path by a nozzle having an interior bore defining an interior volume sized for containing bone filling material, which is advanced through the subcutaneous access path. A nested instrument is formed while clearing residual bone filling material from the interior bore by an auxiliary tool that can be manipulated independently of the nozzle, which is advanced through the interior bore of the nozzle.

Abstract translation: 松质骨通过软组织中的皮下通路进入。 通过空腔形成工具在松质骨中形成空腔，其通过皮下进入路径前进到松质骨并被操纵以形成腔。 通过具有内孔的喷嘴将经测量的骨填充材料的体积通过皮下进入路径输送到空腔中，该内孔确定了尺寸适于容纳通过皮下通路的骨填充材料的内部容积。 在通过辅助工具从内孔中清除残留的骨填充材料的同时形成嵌套的仪器，该辅助工具可独立于通过喷嘴的内孔推进的喷嘴而被操纵。

公开(公告)号：US20070060941A1

公开(公告)日：2007-03-15

申请号：US11528163

申请日：2006-09-27

Applicant: Mark Reiley ,  Arie Scholten ,  Karen Talmadge ,  Robert Scribner

Inventor： Mark Reiley ,  Arie Scholten ,  Karen Talmadge ,  Robert Scribner

IPC: A61M29/00

CPC classification number: A61B17/8855 ,  A61B10/025 ,  A61B10/0283 ,  A61B17/00234 ,  A61B17/7061 ,  A61B17/7097 ,  A61B17/7098 ,  A61B17/7258 ,  A61B17/7291 ,  A61B17/742 ,  A61B17/744 ,  A61B17/8805 ,  A61B17/8811 ,  A61B17/8816 ,  A61B50/33 ,  A61B90/39 ,  A61B90/94 ,  A61B2010/0258 ,  A61B2017/00539 ,  A61B2017/00544 ,  A61B2017/0256 ,  A61B2050/0065 ,  A61B2050/3015 ,  A61F2/28 ,  A61F2/2846 ,  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 ,  A61F2002/30133 ,  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 ,  A61F2002/30909 ,  A61F2002/4217 ,  A61F2002/4602 ,  A61F2002/4627 ,  A61F2002/4635 ,  A61F2002/4636 ,  A61F2002/4685 ,  A61F2220/005 ,  A61F2220/0075 ,  A61F2230/0006 ,  A61F2230/0008 ,  A61F2230/0015 ,  A61F2230/0063 ,  A61F2230/0065 ,  A61F2230/0069 ,  A61F2230/0071 ,  A61F2230/0076 ,  A61F2250/0063 ,  A61F2310/00293 ,  A61F2310/00353 ,  A61F2310/0097 ,  A61M25/10 ,  A61M25/1002 ,  A61M29/00 ,  A61M29/02 ,  A61M2210/02 ,  A61M2210/1003

Abstract: A cavity forming structure is introduced through a percutaneous access path into a selected bone having an interior volume occupied, at least in part, by cancellous bone, e.g., a vertebral body. A cavity is formed in the cancellous bone volume by manipulation of the cavity forming structure. Tissue is removed from within the cavity through the percutaneous access path.

Abstract translation: 空腔形成结构通过经皮进入路径被引入到具有至少部分由松质骨例如椎体占据的内部体积的选定的骨中。 通过操作空腔形成结构在松质骨体积中形成空腔。 组织通过经皮进入路径从腔内移除。

公开(公告)号：US20070055300A1

公开(公告)日：2007-03-08

申请号：US11527859

申请日：2006-09-27

Applicant: Reynaldo Osorio ,  Marialulu Follmer ,  Richard Layne ,  Ryan Boucher ,  Karen Talmadge ,  Joseph Basista ,  Mark Reiley ,  Arie Scholten ,  Karen Talmadge ,  Robert Scribner

Inventor： Reynaldo Osorio ,  Marialulu Follmer ,  Richard Layne ,  Ryan Boucher ,  Karen Talmadge ,  Joseph Basista ,  Mark Reiley ,  Arie Scholten ,  Karen Talmadge ,  Robert Scribner

IPC: A61M29/00

CPC classification number: A61F2/4601 ,  A61B17/1604 ,  A61B17/1671 ,  A61B17/3472 ,  A61B17/8805 ,  A61B17/8855 ,  A61B50/33 ,  A61B90/39 ,  A61B2017/00261 ,  A61B2017/00464 ,  A61B2017/00539 ,  A61B2017/00557 ,  A61B2017/00867 ,  A61B2050/0065 ,  A61B2090/062 ,  A61F2/44 ,  A61F2002/2835 ,  A61F2002/3008 ,  A61F2002/30581 ,  A61F2002/4602 ,  A61F2002/4624 ,  A61F2002/4635 ,  A61F2002/4662 ,  A61F2250/0098 ,  A61F2310/00353

Abstract: A percutaneous path is created into a bone having an interior volume occupied, at least in part, by a cancellous bone, e.g., a vertebral body. An expandable balloon structure is introduced into the cancellous bone by deployment of a tool through the percutaneous path into the cancellous bone. The expandable balloon structure is expanded and the tool withdrawn, leaving the expandable balloon structure expanded inside the cancellous bone. Expansion of the expandable balloon structure within cancellous bone can, e.g., compact cancellous bone, and/or create a cavity in cancellous bone, and/or move fractured cortical bone.

Abstract translation: 将经皮通路产生到具有至少部分由松质骨例如椎体占据的内部体积的骨中。 通过将穿过经皮途径的工具部署到松质骨中，将可膨胀气囊结构引入松质骨。 可膨胀气囊结构膨胀并且工具被取出，留下可膨胀气囊结构在松质骨内部扩张。 松质骨内的可膨胀气囊结构的扩张可以例如紧实的松质骨，和/或在松质骨中产生空腔，和/或移动骨折的皮质骨。

公开(公告)号：US20070055278A1

公开(公告)日：2007-03-08

申请号：US11527952

申请日：2006-09-27

Applicant: Reynaldo Osorio ,  Marialulu Follmer ,  Richard Layne ,  Ryan Boucher ,  Karen Talmadge ,  Joseph Basista ,  Mark Reiley ,  Arie Scholten ,  Robert Scribner

Inventor： Reynaldo Osorio ,  Marialulu Follmer ,  Richard Layne ,  Ryan Boucher ,  Karen Talmadge ,  Joseph Basista ,  Mark Reiley ,  Arie Scholten ,  Robert Scribner

IPC: A61F2/00

CPC classification number: A61F2/4601 ,  A61B17/1604 ,  A61B17/1671 ,  A61B17/3472 ,  A61B17/8805 ,  A61B17/8855 ,  A61B50/33 ,  A61B90/39 ,  A61B2017/00261 ,  A61B2017/00464 ,  A61B2017/00539 ,  A61B2017/00557 ,  A61B2017/00867 ,  A61B2050/0065 ,  A61B2090/062 ,  A61F2/44 ,  A61F2002/2835 ,  A61F2002/3008 ,  A61F2002/30581 ,  A61F2002/4602 ,  A61F2002/4624 ,  A61F2002/4635 ,  A61F2002/4662 ,  A61F2250/0098 ,  A61F2310/00353

Abstract: A percutaneous path is created into a bone having an interior volume occupied, at least in part, by a cancellous bone, e.g., a vertebral body. An expandable mesh structure is introduced into the cancellous bone by deployment of a tool through the percutaneous path into the cancellous bone. The expandable mesh structure is expanded and the tool withdrawn, leaving the expandable mesh structure expanded inside the cancellous bone. Expansion of the expandable mesh structure within cancellous bone can, e.g., compact cancellous bone, and/or create a cavity in cancellous bone, and/or move fractured cortical bone.

Abstract translation: 将经皮通路产生到具有至少部分由松质骨例如椎体占据的内部体积的骨中。 通过将穿过经皮途径的工具部署到松质骨中，将可扩张网状结构引入松质骨。 可膨胀网状结构膨胀并且工具被取出，留下可膨胀网状结构在松质骨内部扩张。 松质骨内的可膨胀网状结构的扩张可以例如紧实的松质骨，和/或在松质骨中产生空腔，和/或移动骨折的皮质骨。

公开(公告)号：US20060235460A1

公开(公告)日：2006-10-19

申请号：US11450337

申请日：2006-06-12

Applicant: Mark Reiley ,  Arie Scholten ,  Karen Talmadge

Inventor： Mark Reiley ,  Arie Scholten ,  Karen Talmadge

IPC: A61M29/00

CPC classification number: A61F2/4601 ,  A61B17/7258 ,  A61B17/8855 ,  A61B2017/00557 ,  A61B2017/0256 ,  A61F2/3601 ,  A61F2/389 ,  A61F2/441 ,  A61F2002/2828 ,  A61F2002/2832 ,  A61F2002/2853 ,  A61F2002/2871 ,  A61F2002/2892 ,  A61F2002/30131 ,  A61F2002/30133 ,  A61F2002/30204 ,  A61F2002/30225 ,  A61F2002/30228 ,  A61F2002/30242 ,  A61F2002/30581 ,  A61F2002/30586 ,  A61F2002/30599 ,  A61F2002/30677 ,  A61F2002/30686 ,  A61F2002/3611 ,  A61F2002/3625 ,  A61F2002/4062 ,  A61F2002/4602 ,  A61F2230/0013 ,  A61F2230/0015 ,  A61F2230/0065 ,  A61F2230/0069 ,  A61F2230/0071 ,  A61F2250/0063 ,  A61M25/10 ,  A61M25/1002 ,  A61M25/1011 ,  A61M2025/1072 ,  A61M2210/02 ,  A61M2210/1003

Abstract: A balloon for use in compressing cancellous bone and marrow (also known as medullary bone or trabecular bone) against the inner cortex of bones whether the bones are fractured or not. The balloon comprises an inflatable, non-expandable balloon body for insertion into said bone. The body has a shape and size to compress at least a portion of the cancellous bone to form a cavity in the cancellous bone and to restore the original position of the outer cortical bone, if fractured or collapsed. The balloon is prevented from applying excessive pressure to the outer cortical bone. The wall or walls of the balloon are such that proper inflation the balloon body is achieved to provide for optimum compression of all the bone marrow. The balloon is able to be folded so that it can be inserted quickly into a bone. The balloon can be made to have a suction catheter. It can also be coated with therapeutic substances. The main purpose of the balloon is the forming or enlarging of a cavity or passage in a bone, especially in, but not limited to, vertebral bodies. Another important purpose is to deliver therapeutic substances to bone in an improved way.

Abstract translation: 一种用于压缩松质骨和骨髓（也称为髓质骨或小梁骨）的球囊，无论骨头是否断裂，均可抵抗骨内皮质。 气球包括用于插入所述骨中的可膨胀的，不可膨胀的气囊体。 身体具有形状和尺寸以压缩松质骨的至少一部分以在松质骨中形成空腔，并且如果骨折或塌陷则恢复外皮质骨的原始位置。 防止气囊对外皮质骨施加过大的压力。 球囊的壁或壁使得实现气囊体的适当充气以提供所有骨髓的最佳压缩。 气囊能够被折叠，使得其可以快速插入骨骼。 可以使气囊具有吸引导管。 它也可以涂上治疗物质。 气囊的主要目的是形成或扩大骨骼中的腔或通道，特别是但不限于椎体。 另一个重要的目的是以一种改进的方式将治疗物质递送到骨骼。

公开(公告)号：US20060149375A1

公开(公告)日：2006-07-06

申请号：US11276541

申请日：2006-03-03

Applicant: Hansen Yuan ,  David Stinson ,  Lawrence Jones ,  Mark Reiley

Inventor： Hansen Yuan ,  David Stinson ,  Lawrence Jones ,  Mark Reiley

IPC: A61F2/44

CPC classification number: A61F2/4611 ,  A61B17/1757 ,  A61B17/86 ,  A61F2/4405 ,  A61F2002/30332 ,  A61F2002/30405 ,  A61F2002/30649 ,  A61F2002/30841 ,  A61F2002/30904 ,  A61F2002/4628 ,  A61F2002/4629 ,  A61F2002/4631 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00047 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00796 ,  A61F2310/0097

Abstract: Cephalad and caudal vertebral facet joint prostheses and methods of use are provided. The cephalad prostheses are adapted and configured to be attached to a lamina portion of a vertebra without blocking a pedicle portion of the cephalad vertebra.

Abstract translation: 提供头颅和尾椎椎骨小关节假体和使用方法。 头部假体被适配和构造成附接到椎骨的椎板部分，而不阻塞头部椎骨的椎弓根部分。