公开(公告)号：US08579941B2

公开(公告)日：2013-11-12

申请号：US11734502

申请日：2007-04-12

申请人： Alan Chervitz ,  Daniel F. Justin ,  T. Wade Fallin ,  Robert W. Hoy

发明人： Alan Chervitz ,  Daniel F. Justin ,  T. Wade Fallin ,  Robert W. Hoy

IPC分类号： A61B17/70 ,  A61F2/44

CPC分类号： A61F2/4405 ,  A61B17/7049 ,  A61B17/7064 ,  A61B17/7067 ,  A61B17/8625 ,  A61B17/8695 ,  A61B2017/8655 ,  A61F2/30771 ,  A61F2/4611 ,  A61F2002/30125 ,  A61F2002/30154 ,  A61F2002/30156 ,  A61F2002/30163 ,  A61F2002/30171 ,  A61F2002/30426 ,  A61F2002/30433 ,  A61F2002/30448 ,  A61F2002/30514 ,  A61F2002/30574 ,  A61F2002/30576 ,  A61F2002/30578 ,  A61F2002/30579 ,  A61F2002/30616 ,  A61F2002/30663 ,  A61F2002/3082 ,  A61F2002/30841 ,  A61F2002/3085 ,  A61F2002/30934 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2220/005 ,  A61F2230/0008 ,  A61F2230/0021 ,  A61F2230/0023 ,  A61F2230/005 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00203 ,  A61F2310/00239 ,  A61F2310/00796 ,  A61F2310/00928

摘要： Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra.

摘要翻译： 一个或多个小关节的上和/或下小面可以由上和/或下小面关节假体代替。 在一个实施例中，提供了一种上或下假体的套件，其中所述假体具有至少两个尺寸，所述尺寸在所述套件的各个构件之间彼此独立地变化。 每个假体可以具有骨接合表面，其具有能够相对于脊椎的相应切除而被多轴旋转的表面。 每个假体还可以具有成形为使得在附接到脊柱之后，当脊柱弯曲时，被替换的或部分替换的小关节提供更大的内侧 - 内侧运动范围，而不是当脊柱延伸时。 交叉连接可以用于将左和右假体连接在一起，使得它们被稳定在它们直接抵靠椎骨的位置。

公开(公告)号：US08556936B2

公开(公告)日：2013-10-15

申请号：US11670292

申请日：2007-02-01

申请人： Eugene Marlowe Goble ,  Thomas Wade Fallin ,  Robert W. Hoy ,  Daniel F. Justin ,  Alan Chervitz ,  Jude Paganelli ,  Daniel J. Triplett

发明人： Eugene Marlowe Goble ,  Thomas Wade Fallin ,  Robert W. Hoy ,  Daniel F. Justin ,  Alan Chervitz ,  Jude Paganelli ,  Daniel J. Triplett

IPC分类号： A61B17/70 ,  A61B17/88

CPC分类号： A61F2/4405 ,  A61B17/7062 ,  A61B17/7064 ,  A61B17/844 ,  A61F2/4637 ,  A61F2002/448

摘要： A prosthesis for the replacement of at least a portion of the bone of a facet located on a mammalian vertebra, comprising: an articulating surface that articulates with another facet; a bone contacting surface that contacts a surface of the vertebra, the articulating surface being connected to the bone contacting surface; and a fixation element that attaches the bone contacting surface to the vertebra, the fixation element being adapted for implantation into an interior bone space of a pedicle of the vertebra; wherein the prosthesis is configured so that no portion of the prosthesis contacts the posterior arch of the vertebra.

摘要翻译： 一种用于置换位于哺乳动物脊椎骨的小面骨的至少一部分的假体，包括：与其他小面相关联的关节表面; 接触椎骨表面的骨接触表面，所述关节表面连接到所述骨接触表面; 以及固定元件，其将所述骨接触表面附接到所述椎骨，所述固定元件适于植入所述椎骨的椎弓根的内部骨空间中; 其中所述假体构造成使得所述假体的任何部分都不接触所述椎骨的后拱。

公开(公告)号：US08439947B2

公开(公告)日：2013-05-14

申请号：US12821504

申请日：2010-06-23

申请人： Bryan Patrick Howard ,  Ryan E. Yearsley ,  M. Todd Miller ,  Wayne K. Auge, II ,  Chad Lewis ,  Daniel F. Justin ,  Margaret Mary Sinnott

发明人： Bryan Patrick Howard ,  Ryan E. Yearsley ,  M. Todd Miller ,  Wayne K. Auge, II ,  Chad Lewis ,  Daniel F. Justin ,  Margaret Mary Sinnott

IPC分类号： A61B17/56

CPC分类号： A61B17/0401 ,  A61B17/0469 ,  A61B17/1684 ,  A61B2017/0409 ,  A61B2017/0441

摘要： A system for implanting an anchor into bone, the system comprising a curved cannulated guide for percautaneous insertion, having a proximal end and a distal end; a flexible drill insertable through the curved guide from the proximal end to the distal end, the flexible drill having a shaft having a flexible portion; and a flexible inserter for inserting a suture anchor into a bore at the anatomical site formed by the flexible drill, the flexible inserter having a shaft having a flexible portion, wherein the flexible portions of both the flexible drill and flexible inserter include a series of discrete, interlocking segments.

摘要翻译： 一种用于将锚固植入骨中的系统，所述系统包括用于经皮插入的弯曲插管导管，其具有近端和远端; 柔性钻头，其可从所述近端到远端通过所述弯曲引导件插入，所述柔性钻具具有带有柔性部分的轴; 以及柔性插入器，用于将缝合锚固件插入由柔性钻头形成的解剖位置处的孔中，柔性插入器具有具有柔性部分的轴，其中柔性钻头和柔性插入件的柔性部分包括一系列离散的 ，互锁段。

公开(公告)号：US08349015B2

公开(公告)日：2013-01-08

申请号：US12640816

申请日：2009-12-17

申请人： Hyun W. Bae ,  Nicholas Slater ,  Joshua A Butters ,  Daniel F. Justin ,  Dylan M. Hushka ,  Rick Delamarter

发明人： Hyun W. Bae ,  Nicholas Slater ,  Joshua A Butters ,  Daniel F. Justin ,  Dylan M. Hushka ,  Rick Delamarter

IPC分类号： A61F2/44

CPC分类号： A61F2/4455 ,  A61B17/846 ,  A61B17/86 ,  A61F2/442 ,  A61F2/447 ,  A61F2002/3007 ,  A61F2002/3008 ,  A61F2002/30115 ,  A61F2002/30126 ,  A61F2002/30138 ,  A61F2002/30153 ,  A61F2002/30166 ,  A61F2002/30168 ,  A61F2002/30172 ,  A61F2002/30176 ,  A61F2002/30181 ,  A61F2002/30316 ,  A61F2002/30352 ,  A61F2002/30377 ,  A61F2002/30387 ,  A61F2002/30401 ,  A61F2002/30504 ,  A61F2002/30522 ,  A61F2002/30598 ,  A61F2002/30604 ,  A61F2002/30649 ,  A61F2002/30736 ,  A61F2002/30738 ,  A61F2002/30841 ,  A61F2002/30845 ,  A61F2002/30848 ,  A61F2002/30879 ,  A61F2002/30884 ,  A61F2002/30904 ,  A61F2002/3098 ,  A61F2002/30983 ,  A61F2002/4475 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2230/0006 ,  A61F2230/0008 ,  A61F2230/0017 ,  A61F2230/0019 ,  A61F2230/0028 ,  A61F2230/0043 ,  A61F2230/0052 ,  A61F2230/0054 ,  A61F2230/006 ,  A61F2250/0098 ,  A61F2310/00796

摘要： A system for spinal surgery includes a prosthesis comprising a plurality of bone anchors which engage an intervertebral construct for fusion or motion preservation. The fusion construct comprises a spacer optionally encircled by a jacket. The motion preservation construct may comprise an articulating disc assembly or an elastomeric disc assembly. Any of the constructs may occupy the intervertebral disc space between adjacent vertebrae after removal of an intervertebral disc. The anchors slidingly engage the construct to securely fix the prosthesis to the vertebrae. The anchors and jacket of the fusion construct provide a continuous load path across opposite sides of the prosthesis so as to resist antagonistic motions of the spine.

公开(公告)号：US20120283837A1

公开(公告)日：2012-11-08

申请号：US13389298

申请日：2010-08-10

申请人： Hyun Bae ,  Nicholas Slater ,  Joshua A. Butters ,  Daniel F. Justin ,  Dylan Hushka ,  Rick Delamarter

发明人： Hyun Bae ,  Nicholas Slater ,  Joshua A. Butters ,  Daniel F. Justin ,  Dylan Hushka ,  Rick Delamarter

IPC分类号： A61F2/44

CPC分类号： A61F2/4611 ,  A61F2/30734 ,  A61F2/4455 ,  A61F2/447 ,  A61F2002/30166 ,  A61F2002/30172 ,  A61F2002/30352 ,  A61F2002/30377 ,  A61F2002/30387 ,  A61F2002/30401 ,  A61F2002/30504 ,  A61F2002/30528 ,  A61F2002/30736 ,  A61F2002/30738 ,  A61F2002/30841 ,  A61F2002/30845 ,  A61F2002/30848 ,  A61F2002/30879 ,  A61F2002/30884 ,  A61F2002/30904 ,  A61F2002/4475 ,  A61F2002/4627 ,  A61F2002/4629 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2230/0028 ,  A61F2230/0052

摘要： A surgical instrument and method for inserting a spinal implant in the intervertebral disc space between two adjacent vertebrae and an anchor engageable with the implant and an adjacent vertebra are provided. The instrument includes an inserter having an engagement portion including a distal engagement surface for interfacing with the implant and a handle portion. The engagement portion includes a track for slidably translating the anchor toward the engagement surface. A kit is provided including the inserter and a tamp to force the anchor into engagement with the implant and the adjacent vertebra. The kit may also include a cutter for piercing the adjacent vertebra.

摘要翻译： 提供了一种用于将脊椎植入物插入两个相邻椎骨之间的椎间盘空间中的手术器械和方法，以及可与植入物和相邻椎骨接合的锚固件。 仪器包括插入器，其具有接合部分，该接合部分包括用于与植入物接合的远端接合表面和手柄部分。 接合部分包括用于将锚固件可滑动地平移到接合表面的轨道。 提供了一种套件，其包括插入器和夯实部，以使锚固件与植入物和相邻椎骨接合。 套件还可以包括用于刺穿相邻椎骨的切割器。

公开(公告)号：US20120191139A1

公开(公告)日：2012-07-26

申请号：US13417870

申请日：2012-03-12

申请人： Peter M. Stevens ,  Daniel F. Justin

发明人： Peter M. Stevens ,  Daniel F. Justin

IPC分类号： A61B17/88

CPC分类号： A61B17/80 ,  A61B17/1728 ,  A61B17/1764 ,  A61B17/1778 ,  A61B17/1782 ,  A61B17/68 ,  A61B17/8085 ,  A61B17/8625 ,  A61B17/8635

摘要： A method for correcting an angular deformity in a bone includes positioning a link across a physis of the bone, the link having a first portion with a first opening, a second portion with a second opening, and a central portion extending between the first portion and the second portion, the central portion being more flexible than the first portion or the second portion. A first bone engager and second bone engager are advanced through the first opening and the second opening, respectively, and into the bone on opposing sides of the physis. The physis is allowed to generate more physeal tissue on a side of the bone opposite the link so as to reduce the angular deformity.

摘要翻译： 用于校正骨骼中的角度畸变的方法包括跨越骨的穿透定位连杆，所述连杆具有带有第一开口的第一部分，具有第二开口的第二部分和在第一部分和第二部分之间延伸的中心部分 第二部分，中心部分比第一部分或第二部分更加柔性。 第一骨骼接合器和第二骨骼接合器分别穿过第一开口和第二开口，并进入到骨化物的相对侧上的骨中。 允许骨化生物在与骨骼相对的骨侧上产生更多的植骨组织，以减少角度畸形。

公开(公告)号：US08133230B2

公开(公告)日：2012-03-13

申请号：US12051152

申请日：2008-03-19

申请人： Peter M. Stevens ,  Daniel F. Justin

发明人： Peter M. Stevens ,  Daniel F. Justin

IPC分类号： A61B5/00

CPC分类号： A61B17/80 ,  A61B17/1728 ,  A61B17/1764 ,  A61B17/1778 ,  A61B17/1782 ,  A61B17/68 ,  A61B17/8085 ,  A61B17/8625 ,  A61B17/8635

摘要： A method for correcting an angular deformity in a bone includes inserting a guide wire within a physis of a bone having an angular deformity, the physis extending between a first side the bone on which the guide wire is inserted and an opposing second side of the bone. The guide wire is used to guide a link to the physis. The link is then secured to the first side of the bone so that the link spans across the physis and restricts the growth of the physeal tissue of the physis on the first side of the bone. The physis is then allowed to generate more physeal tissue on the second side of the bone than on the first side of the bone so that the angular deformity of the bone is reduced.

摘要翻译： 用于校正骨骼中的角度畸形的方法包括将引导线插入具有角度变形的骨的分裂内，所述骨折在插入导丝的骨的第一侧和骨的相对的第二侧之间延伸 。 引导线用于引导到液相的连接。 然后将所述连接件固定到骨的第一侧，使得所述连接跨越所述液体并限制所述骨的第一侧上的所述液体的植骨组织的生长。 然后，允许骨膜在骨的第二侧产生比骨的第一侧更多的植骨组织，使得骨的角度变形减小。

公开(公告)号：US20110208304A1

公开(公告)日：2011-08-25

申请号：US13091810

申请日：2011-04-21

申请人： Daniel F. Justin ,  Brent E. Stucker ,  Durga Janaki Ram Gabbita ,  David William Britt

发明人： Daniel F. Justin ,  Brent E. Stucker ,  Durga Janaki Ram Gabbita ,  David William Britt

IPC分类号： A61F2/02 ,  A61L33/00 ,  C23F1/00 ,  B05D5/00

CPC分类号： A61F2/30767 ,  A61C8/0012 ,  A61F2/3099 ,  A61F2/36 ,  A61F2/3662 ,  A61F2/38 ,  A61F2/3804 ,  A61F2/3859 ,  A61F2/40 ,  A61F2/4225 ,  A61F2/4241 ,  A61F2/4261 ,  A61F2002/30451 ,  A61F2002/30604 ,  A61F2002/30733 ,  A61F2002/30805 ,  A61F2002/30878 ,  A61F2002/30922 ,  A61F2002/30925 ,  A61F2002/30929 ,  A61F2002/30934 ,  A61F2002/30967 ,  A61F2002/3097 ,  A61F2002/30971 ,  A61F2002/3611 ,  A61F2002/3625 ,  A61F2002/3652 ,  A61F2002/4253 ,  A61F2220/0058 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00089 ,  A61F2310/00095 ,  A61F2310/00131 ,  A61F2310/00149 ,  A61F2310/00293 ,  A61F2310/00395 ,  A61F2310/00401 ,  A61F2310/00407 ,  A61F2310/00413 ,  A61F2310/00467 ,  A61F2310/00473 ,  A61F2310/00485 ,  A61F2310/00491 ,  A61F2310/00514 ,  A61F2310/0052 ,  A61F2310/00532 ,  A61F2310/00544 ,  A61F2310/00556 ,  A61F2310/00562 ,  A61F2310/00568 ,  A61L27/04 ,  A61L27/30 ,  A61L27/54 ,  A61L2300/102 ,  A61L2300/104 ,  A61L2300/404 ,  B23K26/144 ,  B23K26/147 ,  B23K26/32 ,  B23K26/34 ,  B23K2103/50 ,  C23C4/12 ,  C23C24/10 ,  C23C26/00 ,  C23C26/02 ,  Y10T428/12458 ,  Y10T428/12479 ,  Y10T428/12493 ,  Y10T428/12771 ,  Y10T428/12847

摘要： A method is provided for depositing a hard wear resistant surface onto a porous or non-porous base material of a medical implant. The wear resistant surface of the medical implant device may be formed by a Laser Based Metal Deposition (LBMD) method such as Laser Engineered Net Shaping (LENS). The wear resistant surface may include a blend of multiple different biocompatible materials. Further, functionally graded layers of biocompatible materials may be used to form the wear resistant surface. Usage of a porous material for the base may promote bone ingrowth to allow the implant to fuse strongly with the bone of a host patient. The hard wear resistant surface provides device longevity, particularly when applied to bearing surfaces such as artificial joint bearing surfaces or a dental implant bearing surfaces. An antimicrobial material such as silver may be deposited in combination with a metal to form an antimicrobial surface deposit.

摘要翻译： 提供了一种将硬耐磨表面沉积到医用植入物的多孔或非多孔基材上的方法。 医疗植入装置的耐磨表面可以通过激光基金属沉积（LBMD）方法形成，例如激光工程网整形（LENS）。 耐磨表面可以包括多种不同生物相容性材料的混合物。 此外，生物相容性材料的功能梯度层可用于形成耐磨表面。 用于基底的多孔材料的使用可以促进骨向内生长以允许植入物与宿主患者的骨骼牢固地融合。 耐磨损的表面提供了设备寿命，特别是当应用于诸如人造关节轴承表面或牙科植入物轴承表面的支承表面时。 抗微生物材料如银可以与金属组合沉积以形成抗微生物表面沉积物。

公开(公告)号：US20100256682A1

公开(公告)日：2010-10-07

申请号：US12818827

申请日：2010-06-18

申请人： T. Wade Fallin ,  Daniel F. Justin

发明人： T. Wade Fallin ,  Daniel F. Justin

IPC分类号： A61B17/70

CPC分类号： A61B17/7001 ,  A61B17/7085

摘要： A posterior spinal fusion system may include pedicle screws and one or more segments designed to be attached to the implanted pedicle screws via nuts to fuse spinal motion segments in a modular fashion. The pedicle screws may have semispherical receiving surfaces, and each segment may have mounting portions at both ends, with corresponding semispherical engagement surfaces. The nuts may also have semispherical surfaces. The semispherical surfaces permit polyaxial adjustment of the relative orientations of the segments and pedicle screws. Each mounting portion may have a passageway therethrough to receive the proximal end of the corresponding pedicle screw; each passageway may intersect the edge of the corresponding engagement surface to facilitate percutaneous placement. Such placement may be carried out through cannulae to provide a minimally invasive (MIS) implantation procedure.

摘要翻译： 后部脊柱融合系统可以包括椎弓根螺钉和一个或多个设计成通过螺母连接到植入的椎弓根螺钉上的节段，以模块化方式融合脊柱运动节段。 椎弓根螺钉可以具有半球形接收表面，并且每个部分可以在两端具有相应的半球形接合表面的安装部分。 螺母也可以具有半球面。 半球形表面允许多段调节片段和椎弓根螺钉的相对取向。 每个安装部分可以具有通过其的通道，以容纳对应的椎弓根螺钉的近端; 每个通道可以与相应的接合表面的边缘相交以便于经皮放置。 这种放置可以通过套管进行以提供微创（MIS）植入程序。

公开(公告)号：US20100204739A1

公开(公告)日：2010-08-12

申请号：US12640892

申请日：2009-12-17

申请人： Hyun W. Bae ,  Dylan M. Hushka ,  Joshua A. Butters ,  Nicholas Slater ,  Daniel F. Justin ,  Rick Delamarter

发明人： Hyun W. Bae ,  Dylan M. Hushka ,  Joshua A. Butters ,  Nicholas Slater ,  Daniel F. Justin ,  Rick Delamarter

IPC分类号： A61B17/84

CPC分类号： A61F2/4455 ,  A61B17/846 ,  A61B17/86 ,  A61F2/442 ,  A61F2/447 ,  A61F2002/3007 ,  A61F2002/3008 ,  A61F2002/30115 ,  A61F2002/30126 ,  A61F2002/30138 ,  A61F2002/30153 ,  A61F2002/30166 ,  A61F2002/30168 ,  A61F2002/30172 ,  A61F2002/30176 ,  A61F2002/30181 ,  A61F2002/30316 ,  A61F2002/30352 ,  A61F2002/30377 ,  A61F2002/30387 ,  A61F2002/30401 ,  A61F2002/30504 ,  A61F2002/30522 ,  A61F2002/30598 ,  A61F2002/30604 ,  A61F2002/30649 ,  A61F2002/30736 ,  A61F2002/30738 ,  A61F2002/30841 ,  A61F2002/30845 ,  A61F2002/30848 ,  A61F2002/30879 ,  A61F2002/30884 ,  A61F2002/30904 ,  A61F2002/3098 ,  A61F2002/30983 ,  A61F2002/4475 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2230/0006 ,  A61F2230/0008 ,  A61F2230/0017 ,  A61F2230/0019 ,  A61F2230/0028 ,  A61F2230/0043 ,  A61F2230/0052 ,  A61F2230/0054 ,  A61F2230/006 ,  A61F2250/0098 ,  A61F2310/00796

摘要： A system for spinal surgery includes a prosthesis comprising a plurality of bone anchors which engage an intervertebral construct for fusion or motion preservation. The fusion construct comprises a spacer optionally encircled by a jacket. The motion preservation construct may comprise an articulating disc assembly or an elastomeric disc assembly. Any of the constructs may occupy the intervertebral disc space between adjacent vertebrae after removal of an intervertebral disc. The anchors slidingly engage the construct to securely fix the prosthesis to the vertebrae. The anchors and jacket of the fusion construct provide a continuous load path across opposite sides of the prosthesis so as to resist antagonistic motions of the spine.