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公开(公告)号：US08628574B2
公开(公告)日：2014-01-14
申请号：US12844365
申请日：2010-07-27
CPC分类号： A61B17/7065 , A61B17/70 , A61B2017/00557
摘要： Devices, systems and methods for dynamically stabilizing the spine are provided. The devices include an expandable spacer having an undeployed configuration and a deployed configuration. The spacer has axial and radial dimensions for positioning between the spinous processes of adjacent vertebrae. The systems include one or more spacers and a mechanical actuation device for delivering and deploying the spacer. The methods involve the implantation of one or more spacers within the interspinous space.
摘要翻译： 提供了用于动态稳定脊柱的装置，系统和方法。 这些装置包括具有未部署配置和展开配置的可扩展间隔物。 间隔物具有轴向和径向尺寸，用于在相邻椎骨的棘突之间进行定位。 这些系统包括一个或多个间隔件和用于递送和展开间隔件的机械致动装置。 该方法涉及在椎间盘间隙内植入一个或多个间隔物。
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公开(公告)号：US08267969B2
公开(公告)日：2012-09-18
申请号：US11726093
申请日：2007-03-20
申请人： Moti Altarac , Stanley Kyle Hayes , Joey Camia Reglos , Daniel H. Kim , J. Christopher Flaherty
发明人： Moti Altarac , Stanley Kyle Hayes , Joey Camia Reglos , Daniel H. Kim , J. Christopher Flaherty
IPC分类号： A61B17/70
CPC分类号： A61B17/7032 , A61B17/7005 , A61B17/7037 , A61B17/704
摘要： Methods, systems, devices and tools for placing bone stabilization components in a patient are provided. The systems and devices have a reduced number of discrete components that allow placement through small incisions and tubes. More particularly, the present invention is directed to screws for use in systems and methods of treating the spine, which eliminate pain and enable spinal motion, which effectively mimics that of a normally functioning spine. Methods are also provided for installation of the screw and other subject systems.
摘要翻译： 提供了用于将骨稳定组件放置在患者体内的方法，系统，装置和工具。 系统和设备具有减少数量的分立部件，允许通过小切口和管放置。 更具体地，本发明涉及用于治疗脊柱的系统和方法的螺钉，其消除疼痛并使脊柱运动，其有效地模拟正常功能脊柱的疼痛。 还提供了用于安装螺钉和其它主题系统的方法。
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公开(公告)号：US20110144701A1
公开(公告)日：2011-06-16
申请号：US12966807
申请日：2010-12-13
IPC分类号： A61B17/86
CPC分类号： A61B17/7032 , A61B17/7005 , A61B17/7037 , A61B17/704
摘要： Methods, systems, devices and tools for placing bone stabilization components in a patient are provided. The systems and devices have a reduced number of discrete components that allow placement through small incisions and tubes. More particularly, the present invention is directed to screws for use in systems and methods of treating the spine, which eliminate pain and enable spinal motion, which effectively mimics that of a normally functioning spine. Methods are also provided for installation of the screw and other subject systems.
摘要翻译： 提供了用于将骨稳定组件放置在患者体内的方法，系统，装置和工具。 系统和设备具有减少数量的分立部件，允许通过小切口和管放置。 更具体地，本发明涉及用于治疗脊柱的系统和方法的螺钉，其消除疼痛并使脊柱运动，其有效地模拟正常功能脊柱的疼痛。 还提供了用于安装螺钉和其它主题系统的方法。
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公开(公告)号：US20090228045A1
公开(公告)日：2009-09-10
申请号：US12366089
申请日：2009-02-05
IPC分类号： A61B17/70
CPC分类号： A61B17/7004 , A61B17/7005 , A61B17/7019 , A61B17/7023
摘要： A dynamic rod implantable into a patient and connectable between two vertebral anchors in adjacent vertebral bodies is provided. The dynamic rod fixes the vertebral bodies together in a dynamic fashion providing immediate postoperative stability and support of the spine. The dynamic rod comprises a first rod portion and a second rod portion connected together. The dynamic rod further includes at least a one bias element configured to provide a bias force in response to deflection or translation of the first rod portion relative to the second rod portion. The dynamic rod includes a locking construct which advantageously enables the extension and/or angulation of one rod portion with respect to the other rod portion to be reversibly locked in position. The dynamic rod permits relative movement of the first and second rod portions allowing the rod to carry some of the natural flexion and extension moments of the spine.
摘要翻译： 提供了植入患者体内并可在相邻椎体内的两个椎骨锚固件之间连接的动态杆。 动态杆将椎体以动态方式固定在一起，提供立即术后稳定性和支撑脊柱。 动态杆包括连接在一起的第一杆部分和第二杆部分。 动态杆还包括至少一个偏置元件，其构造成响应于第一杆部分相对于第二杆部分的偏转或平移而提供偏置力。 动态杆包括锁定构造，其有利地使得一个杆部分相对于另一个杆部分的延伸和/或成角可逆地锁定在适当位置。 动态杆允许第一和第二杆部分的相对运动，允许杆承载脊柱的一些自然弯曲和伸展力矩。
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公开(公告)号：US20090125047A1
公开(公告)日：2009-05-14
申请号：US12355093
申请日：2009-01-16
申请人： Joey Camia Reglos , Moti Altarac
发明人： Joey Camia Reglos , Moti Altarac
IPC分类号： A61B17/32
CPC分类号： A61B17/320016 , A61B17/1617 , A61B17/320036 , A61B17/3421 , A61B17/7085
摘要： A tissue splitter for creating a subcutaneous cut is disclosed. The tissue splitter includes a retractable blade located at the distal end. The tissue splitter is configured to be insertable into a slotted cannula that is placed via an incision to a location proximate a patient's spine. An actuator at the proximal end of the instrument projects the blade located at the distal end from its retracted state through the slot of the cannula to an extracted state to subcutaneously cut tissue at a location outside the cannula. The instrument is configured such that the blade is movable inside the slot of the cannula by a distance such that the cut created by the blade remains subcutaneous and does not puncture the skin of the patient. The distance is adjustable for the size and depth of the cut and is limited by an adjustment collar. The tissue splitter is ideally suited for creating a pathway for the subcutaneous insertion and implantation of a spinal stabilization rod between two bone anchors placed in vertebral bodies.
摘要翻译： 公开了一种用于产生皮下切口的组织分离器。 组织分离器包括位于远端的可伸缩刀片。 组织分离器被构造成可插入到经由切口放置到靠近患者脊柱的位置的开槽套管中。 在仪器的近端处的致动器将位于远端的刀片从其缩回状态穿过套管的狭槽突出到提取状态，以在套管外部的位置皮下切割组织。 该器械被配置成使得刀片可以在插管的狭槽内移动一定距离，使得由刀片产生的切口保持皮下并且不刺穿患者的皮肤。 距离可以根据切割的尺寸和深度进行调节，并且由调节套环限制。 组织分离器理想地适用于在放置在椎体中的两个骨锚之间创建用于皮下插入和植入脊柱稳定杆的通路。
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公开(公告)号：US20090036929A1
公开(公告)日：2009-02-05
申请号：US12249203
申请日：2008-10-10
CPC分类号： A61B17/7041 , A61B17/7002 , A61B17/7035
摘要： An offset connector implantable into a patient and connectable between a vertebral anchor a spinal stabilization rod is provided. The offset connector for connecting a spinal stabilization rod to a bone anchor system is laterally displaced relative to the rod and movable with respect to the bone anchor system until positioned and locked in place. The offset connector includes a stem configured for attachment to the bone anchor system and a rod-receiving portion connected to the stem. The rod-receiving portion is configured to receive at least a portion of the spinal stabilization rod at a location displaced from the bone anchor system. A fastener mechanism configured to secure the spinal stabilization rod to the rod-receiving portion is also provided.
摘要翻译： 提供了可植入患者体内并可在椎骨锚固件之间连接脊柱稳定杆的偏移连接器。 用于将脊柱稳定杆连接到骨锚系统的偏移连接器相对于杆横向移位，并相对于骨锚固系统可移动，直到定位并锁定就位。 偏移连接器包括构造成用于附接到骨锚系统的杆和连接到杆的杆接收部分。 杆接收部分构造成在从骨锚系统移位的位置处容纳脊椎稳定杆的至少一部分。 还提供了一种构造成将脊柱稳定杆固定到杆接收部分的紧固机构。
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公开(公告)号：US20090030465A1
公开(公告)日：2009-01-29
申请号：US12233212
申请日：2008-09-18
IPC分类号： A61B17/70
CPC分类号： A61B17/7023 , A61B17/6491 , A61B17/7005 , A61B17/7025 , A61B17/7028 , A61B17/7031
摘要： A dynamic rod implantable into a patient and connectable between two vertebral anchors in adjacent vertebral bodies is provided. The rod fixes the adjacent vertebral bodies dynamically providing immediate postoperative stability and support of the spine. The rod comprises a first rod portion having a first engaging portion connected to a second rod portion having a second engaging portion. The rod includes at least a one bias element configured to bias a deflection or translation of the first rod portion relative to the second rod portion. The first engaging portion includes at least one side or integral spring formed in the first engaging portion to bias a deflection of the second rod portion relative to the first rod portion. The rod permits relative movement of the first and second rod portions allowing the rod to carry some of the natural flexion and extension moments that the spine is subject to.
摘要翻译： 提供了植入患者体内并可在相邻椎体内的两个椎骨锚固件之间连接的动态杆。 该杆固定相邻的椎体，动态地提供立即的术后稳定性和支撑脊柱。 杆包括第一杆部分，其具有连接到具有第二接合部分的第二杆部分的第一接合部分。 所述杆包括至少一个偏置元件，所述至少一个偏置元件构造成偏置所述第一杆部分相对于所述第二杆部分的偏转或平移。 第一接合部分包括形成在第一接合部分中的至少一个侧面或整体弹簧，以偏压第二杆部分相对于第一杆部分的偏转。 杆允许第一和第二杆部分的相对运动允许杆承载脊柱所受到的一些自然弯曲和延伸力矩。
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公开(公告)号：US20080306557A1
公开(公告)日：2008-12-11
申请号：US12157647
申请日：2008-06-11
CPC分类号： A61F2/4611 , A61F2/4465 , A61F2002/30471 , A61F2002/4622 , A61F2002/4627 , A61F2002/4628 , A61F2220/0091
摘要： An inserter for implanting a spinal implant such as an intervertebral spacer into a spinal disc space is disclosed. The inserter comprises a jaw assembly connected to a shaft assembly that is connected to a handle assembly. The shaft assembly includes an angled portion in which the distal end of the instrument is displaced from the proximal end of the instrument affording the clinician a more unobstructed view of the operative site. The user operates the handle assembly at the proximal end to open and close the jaw assembly to thereby connect to and release from the intervertebral spacer.
摘要翻译： 公开了一种用于将脊椎植入物（例如椎间隔垫）植入椎间盘空间的插入器。 插入器包括连接到连接到手柄组件的轴组件的钳口组件。 轴组件包括成角度的部分，仪器的远端从仪器的近端移位，使得临床医生对操作部位的观察更为无障碍。 使用者在近端操作手柄组件以打开和关闭钳口组件，从而连接到椎间隔垫并从椎间隔垫释放。
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公开(公告)号：US20080306488A1
公开(公告)日：2008-12-11
申请号：US12156857
申请日：2008-06-04
CPC分类号： A61F2/4611 , A61F2/4465 , A61F2002/30471 , A61F2002/3054 , A61F2002/4622 , A61F2002/4627 , A61F2002/4628 , A61F2220/0091 , Y10S606/914
摘要： An inserter for implanting an intervertebral spacer into a spinal disc space is disclosed. The inserter comprises a jaw assembly connected to a shaft assembly that is connected to a handle assembly. The user operates the handle assembly to open and close the jaw assembly to thereby connect to and release from the intervertebral spacer. Furthermore, the handle assembly is operable to lock and unlock rotation of the jaw assembly while still connected thereto to permit angulation of the jaw assembly relative to the shaft assembly without losing hold of the intervertebral spacer.
摘要翻译： 公开了一种用于将椎间隔件植入椎间盘空间的插入器。 插入器包括连接到连接到手柄组件的轴组件的钳口组件。 用户操作手柄组件以打开和关闭钳口组件，从而连接到椎间隔垫并从椎间隔垫释放。 此外，手柄组件可操作以锁定和解锁钳口组件的旋转，同时仍与其连接，以允许钳夹组件相对于轴组件成角度，而不会妨碍椎间隔垫的保持。
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公开(公告)号：US20080183215A1
公开(公告)日：2008-07-31
申请号：US12079676
申请日：2008-03-28
CPC分类号： A61B17/7005 , A61B17/7014 , A61B17/7037 , A61B17/704
摘要： A spinal alignment system for interconnecting vertebral bodies is disclosed. The system includes a bone screw polyaxially connected to a seat. The seat includes a top opening, a first rod receiving portion and a second rod receiving portion, a first rod channel and a second rod channel. The system is implanted into a first vertebral body. A first rod is introduced to the seat through the top opening in a first orientation and connected to the first rod receiving portion. A second rod is introduced to the seat through the top opening in a first orientation and connected to the second rod receiving portion. The first and second rods are each moved into a second orientation such that the rods project through the first and second rod channels, respectively. The rods are capable of polyaxial movement with respect to the seat for landing the opposite ends of the rods in adjacent seats of screw systems implanted in other vertebral bodies. A closure mechanism that is configured to lock the polyaxial motion of the rods with respect to the seat and to lock the polyaxial motion of the bone screw with respect to the seat simultaneously or independently is provided. The seat is connectable to a cannula for delivering the first and second rods into the first seat in a percutaneous, minimally invasive procedure.
摘要翻译： 公开了一种用于互连脊椎体的脊柱对准系统。 该系统包括多个与座椅相连的骨螺钉。 座椅包括顶部开口，第一杆接收部分和第二杆接收部分，第一杆通道和第二杆通道。 将该系统植入第一椎体。 第一杆通过顶部开口以第一方向被引导到座椅上并连接到第一杆接收部分。 第二杆通过顶部开口以第一方向被引导到座椅，并且连接到第二杆接收部分。 第一和第二杆分别移动到第二方向，使得杆分别突出穿过第一和第二杆通道。 杆能够相对于座椅进行多轴运动，用于将杆的相对端部在相邻的植入其他椎体的螺钉系统的座位上着陆。 闭合机构被配置为锁定杆相对于座的多轴运动并且相对于座独立地锁定骨螺钉的多轴运动。 座椅可连接到插管，用于以经皮的微创程序将第一和第二杆输送到第一座位。
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