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 The expandable balloon structure is expanded and the tool withdrawn, leaving the expandable balloon structure expanded inside the cancellous bone.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。

公开(公告)号：US20060100635A1

公开(公告)日：2006-05-11

申请号：US11199715

申请日：2005-08-09

Applicant: Mark Reiley ,  Arie Scholten ,  Karen Taimadge

Inventor： Mark Reiley ,  Arie Scholten ,  Karen Taimadge

IPC: A61B17/58

CPC classification number: A61B17/8855 ,  A61B2017/0256 ,  A61F2/28 ,  A61F2/441 ,  A61F2/4601 ,  A61F2/4611 ,  A61F2002/30535 ,  A61F2250/0058 ,  A61M25/10 ,  A61M25/1002 ,  A61M29/02 ,  A61M2210/02 ,  A61M2210/1003

Abstract: Systems for treating a bone, e.g. a vertebral body, having an interior volume occupied, at least in part, by cancellous bone provide a first tool, a second tool, and a third tool. The first tool establishes a percutaneous access path to bone. The second tool is sized and configured to be introduced through the percutaneous access path to form a void that occupies less than the interior volume. The third tool places within the void through the percutaneous access path a volume of filling material. Related methods for treating a bone, e.g. a vertebral body, having an interior volume occupied, at least in part, by cancellous bone provide establishing a percutaneous access path to bone. A tool is introduced through the percutaneous access path and manipulated to form a void that occupies less than the interior volume. A volume of filling material is then placed within the void through the percutaneous access path.

Abstract translation: 用于治疗骨的系统，例如 具有至少部分由松质骨占据的内部体积的椎体提供第一工具，第二工具和第三工具。 第一个工具建立一个经皮进入骨的通路。 第二工具的尺寸和构造被设计成通过经皮进入路径被引入以形成占据小于内部容积的空隙。 第三个工具通过经皮进入路径将一定体积的填充材料置于空隙内。 用于治疗骨的相关方法，例如 具有至少部分由松质骨占据的内部体积的椎体提供建立骨的经皮通路。 通过经皮进入路径引入一个工具并进行操作以形成占据内部容积的空隙。 然后通过经皮进入路径将一定体积的填充材料置于空隙内。

公开(公告)号：US20050251256A1

公开(公告)日：2005-11-10

申请号：US10658515

申请日：2003-09-09

Applicant: Mark Reiley

Inventor： Mark Reiley

IPC: A61B17/00 ,  A61B17/16 ,  A61B17/86 ,  A61F2/00 ,  A61F2/02 ,  A61F2/28 ,  A61F2/30 ,  A61F2/44 ,  A61F2/46

CPC classification number: A61B17/1671 ,  A61B17/7064 ,  A61B17/7068 ,  A61B17/86 ,  A61B17/8605 ,  A61F2/28 ,  A61F2/4405 ,  A61F2002/30387 ,  A61F2002/30433 ,  A61F2002/305 ,  A61F2002/30537 ,  A61F2002/30604 ,  A61F2002/30777 ,  A61F2002/30874 ,  A61F2002/449 ,  A61F2002/4631 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2250/0004 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00329 ,  A61F2310/00604 ,  A61F2310/00634 ,  A61F2310/0097 ,  A61F2310/00976 ,  Y10S606/902 ,  Y10S606/907 ,  Y10S606/91 ,  Y10S623/902

Abstract: A prosthesis replaces all or a portion of a cephalad portion of a natural facet joint (i.e., an inferior articular process) on a vertebral body. The prosthesis has a prosthesis body that accommodates fixation to the vertebral body at or near a pedicle and without support by a lamina. The prosthesis also has an artificial facet joint structure carried by the prosthesis body adapted and configured to replace all or a portion of a cephalad portion of a natural facet joint.

Abstract translation: 假体代替椎体上的天然小关节的全部或一部分头环部分（即关节下关节）。 假体具有假体，其适应于在椎弓根处或椎弓根附近固定于椎体，并且不受椎板支撑。 假体还具有由修复体承载的人造小关节结构，其适于并构造成替代天然小关节的头部部分的全部或一部分。

公开(公告)号：US20050234552A1

公开(公告)日：2005-10-20

申请号：US11156046

申请日：2005-06-17

Applicant: Mark Reiley

Inventor： Mark Reiley

IPC: A61B17/00 ,  A61B17/16 ,  A61B17/86 ,  A61F2/00 ,  A61F2/02 ,  A61F2/28 ,  A61F2/30 ,  A61F2/44 ,  A61F2/46

CPC classification number: A61B17/1671 ,  A61B17/7064 ,  A61B17/7068 ,  A61B17/86 ,  A61B17/8605 ,  A61F2/28 ,  A61F2/4405 ,  A61F2002/30387 ,  A61F2002/30433 ,  A61F2002/305 ,  A61F2002/30537 ,  A61F2002/30604 ,  A61F2002/30777 ,  A61F2002/30874 ,  A61F2002/449 ,  A61F2002/4631 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2250/0004 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00329 ,  A61F2310/00604 ,  A61F2310/00634 ,  A61F2310/0097 ,  A61F2310/00976 ,  Y10S606/902 ,  Y10S606/907 ,  Y10S606/91 ,  Y10S623/902

Abstract: Devices and surgical methods treat various types of adult spinal pathologies, such as degenerative spondylolisthesis, spinal stenosis, degenerative lumbar scoliosis, and kypho-scoliosis. Various types of spinal joint replacement prostheses, surgical procedures for performing spinal joint replacements, and surgical instruments are used to perform the surgical procedures.

Abstract translation: 装置和手术方法可以治疗各种类型的成人脊柱病变，如退行性脊椎前移，脊柱狭窄，退行性腰椎侧弯和脊柱后凸。 使用各种类型的脊柱关节置换假体，用于执行脊柱关节置换的外科手术和手术器械来执行外科手术。

公开(公告)号：US20050149190A1

公开(公告)日：2005-07-07

申请号：US10950169

申请日：2004-09-23

Applicant: Mark Reiley

Inventor： Mark Reiley

IPC: A61B17/00 ,  A61B17/16 ,  A61B17/86 ,  A61F2/00 ,  A61F2/02 ,  A61F2/28 ,  A61F2/30 ,  A61F2/44 ,  A61F2/46

CPC classification number: A61B17/1671 ,  A61B17/7064 ,  A61B17/7068 ,  A61B17/86 ,  A61B17/8605 ,  A61F2/28 ,  A61F2/4405 ,  A61F2002/30387 ,  A61F2002/30433 ,  A61F2002/305 ,  A61F2002/30537 ,  A61F2002/30604 ,  A61F2002/30777 ,  A61F2002/30874 ,  A61F2002/449 ,  A61F2002/4631 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2250/0004 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00329 ,  A61F2310/00604 ,  A61F2310/00634 ,  A61F2310/0097 ,  A61F2310/00976 ,  Y10S606/902 ,  Y10S606/907 ,  Y10S606/91 ,  Y10S623/902

Abstract: Devices and surgical methods treat various types of adult spinal pathologies, such as degenerative spondylolisthesis, spinal stenosis, degenerative lumbar scoliosis, and kypho-scoliosis. Various types of spinal joint replacement prostheses, surgical procedures for performing spinal joint replacements, and surgical instruments are used to perform the surgical procedures.

公开(公告)号：US20050131406A1

公开(公告)日：2005-06-16

申请号：US10737705

申请日：2003-12-15

Applicant: Mark Reiley ,  David Stinson ,  Robert Scribner ,  Leonard Tokish

Inventor： Mark Reiley ,  David Stinson ,  Robert Scribner ,  Leonard Tokish

IPC: A61B17/70 ,  A61B17/86 ,  A61F2/00 ,  A61F2/02 ,  A61F2/30 ,  A61F2/44 ,  A61F2/46 ,  A61B17/58

CPC classification number: A61F2/4405 ,  A61B17/7064 ,  A61B17/86 ,  A61F2/4637 ,  A61F2002/30365 ,  A61F2002/30367 ,  A61F2002/30373 ,  A61F2002/30375 ,  A61F2002/30438 ,  A61F2002/30443 ,  A61F2002/30507 ,  A61F2002/30512 ,  A61F2002/30538 ,  A61F2002/3055 ,  A61F2002/30553 ,  A61F2002/30604 ,  A61F2002/30616 ,  A61F2002/30649 ,  A61F2002/448 ,  A61F2002/4631 ,  A61F2002/4642 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2220/0041 ,  A61F2250/0006 ,  A61F2250/0007 ,  A61F2250/0008 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00047 ,  A61F2310/00131 ,  A61F2310/00179

Abstract: Prostheses, systems, and methods are provided for replacement of natural facet joints between adjacent vertebrae using polyaxial attachment mechanisms for securing the prostheses to the vertebrae. A cephalad prosthesis attached to a superior adjacent vertebra replaces the inferior half of a natural facet joint. A caudal prosthesis attached to an inferior adjacent vertebra replaces the superior half of a natural facet joint. Both the cephalad and caudal prostheses are configured with artificial facet joint structures that include articulating surfaces that cooperate and form an artificial articular configuration. The polyaxial attachment mechanism permits adjustment of the position of the artificial facet joint structure along more than one axis at or after the time the cephalad or caudal prosthesis is attached to a vertebra.

Abstract translation: 提供假体，系统和方法用于使用用于将假体固定到椎骨的多轴附接机构来替代相邻椎骨之间的自然小关节。 附接到上部相邻椎骨的头部假体取代了自然小关节的下半部分。 附着于下相邻椎骨的尾部假体代替了自然小关节的上半部。 头部和尾部假体都配置有人造小关节结构，其包括协作并形成人造关节构造的关节表面。 多轴连接机构允许在头部或尾部假体附接到椎骨的时间或之后沿多于一个轴线调节人造小关节结构的位置。

公开(公告)号：US20050010291A1

公开(公告)日：2005-01-13

申请号：US10615417

申请日：2003-07-08

Applicant: David Stinson ,  Lawrence Jones ,  Robert Scribner ,  Mark Reiley

Inventor： David Stinson ,  Lawrence Jones ,  Robert Scribner ,  Mark Reiley

IPC: A61B17/86 ,  A61F2/00 ,  A61F2/30 ,  A61F2/44 ,  A61F2/46

CPC classification number: A61F2/4405 ,  A61B17/86 ,  A61F2002/30331 ,  A61F2002/3037 ,  A61F2002/30433 ,  A61F2002/30507 ,  A61F2002/30512 ,  A61F2002/30578 ,  A61F2002/30649 ,  A61F2002/30841 ,  A61F2002/30904 ,  A61F2002/4631 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2220/0041 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00796

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. In some embodiments, the prosthesis is attached with a non-invasive support member, such as a clamp. In other embodiments, a translaminar screw may be used for additional fixation.

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。 在一些实施例中，假体与非侵入性支撑构件（例如夹具）连接。 在其它实施例中，可以使用平板螺钉来进行额外的固定。