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公开(公告)号:US09763704B2
公开(公告)日:2017-09-19
申请号:US13222869
申请日:2011-08-31
申请人: John Riley Hawkins , Thomas J. Gamache , Michael Sorrenti , Alexander Grinberg , Michael A. Fisher
发明人: John Riley Hawkins , Thomas J. Gamache , Michael Sorrenti , Alexander Grinberg , Michael A. Fisher
IPC分类号: A61B17/70
CPC分类号: A61B17/7055 , A61B17/7004 , A61B17/701 , A61B17/7011 , A61B17/7034 , A61B17/7037 , A61B17/7067
摘要: Devices and methods for enhancing the effectiveness of spinal stabilization, and particularly that of cervical spinal stabilization, are provided herein. More specifically, methods and systems are disclosed for effectively positioning occipital plates and spinal fixation assemblies within target vertebrae, while also reducing any associated patient trauma (e.g., muscle stripping, tissue damage, etc.). The systems and methods can utilize trans-lamina delivery of the spinal fixation assemblies to allow for the positioning of the fixation elements along the midline of the patient's spine.
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公开(公告)号:US08940023B2
公开(公告)日:2015-01-27
申请号:US13222913
申请日:2011-08-31
申请人: John Riley Hawkins , Thomas J. Gamache , Michael Sorrenti , Alexander Grinberg , Michael A. Fisher
发明人: John Riley Hawkins , Thomas J. Gamache , Michael Sorrenti , Alexander Grinberg , Michael A. Fisher
IPC分类号: A61B17/70
CPC分类号: A61B17/7032 , A61B17/7002 , A61B17/7004 , A61B17/701 , A61B17/7011 , A61B17/7034 , A61B17/7037 , A61B17/7038 , A61B2017/564
摘要: Devices and methods for enhancing the effectiveness of spinal stabilization, and particularly that of cervical spinal stabilization, are provided herein. More specifically, methods and systems are disclosed for effectively positioning occipital plates and spinal fixation assemblies within target vertebrae, while also reducing any associated patient trauma (e.g., muscle stripping, tissue damage, etc.). The systems and methods can utilize trans-lamina delivery of the spinal fixation assemblies to allow for the positioning of the fixation elements along the midline of the patient's spine.
摘要翻译: 本文提供了用于增强脊柱稳定性的有效性的装置和方法,特别是颈椎稳定的功能和方法。 更具体地,公开了用于有效地将枕骨板和脊柱固定组件定位在目标椎骨内的方法和系统,同时还减少任何相关的患者创伤(例如,肌肉剥离,组织损伤等)。 该系统和方法可以利用脊椎固定组件的跨板输送,以允许固定元件沿着患者脊柱的中线定位。
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公开(公告)号:US08936598B2
公开(公告)日:2015-01-20
申请号:US12353677
申请日:2009-01-14
申请人: Tony Tannoury , Michael O'Neil , Hassan A. Serhan , Anwar M. Upal , Michael A. Slivka , John Riley Hawkins
发明人: Tony Tannoury , Michael O'Neil , Hassan A. Serhan , Anwar M. Upal , Michael A. Slivka , John Riley Hawkins
CPC分类号: A61B17/32 , A61B2017/00261 , A61B2017/320064
摘要: A spinal disc preparation tool is provided that includes an elongate shaft having an inner lumen extending therethrough along a longitudinal axis between proximal and distal ends thereof. A lower jaw is located on a distal end of the elongate shaft for receiving tissue and delivering tissue to the inner lumen, and an upper jaw is pivotally movable relative to the lower jaw. The tool can include various features to facilitate removal and/or collection of tissue.
摘要翻译: 提供了一种脊椎椎间盘准备工具,其包括细长轴,该细长轴具有沿着其近端和远端之间的纵向轴线穿过其延伸的内腔。 下颌位于细长轴的远端,用于接收组织并将组织输送到内腔,并且上颚可相对于下颚枢转地移动。 该工具可以包括各种特征以便于组织的移除和/或收集。
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公开(公告)号:US20130053891A1
公开(公告)日:2013-02-28
申请号:US13222389
申请日:2011-08-31
CPC分类号: A61B17/7001 , A61B17/0401 , A61B17/7037 , A61B17/7049 , A61B17/7076 , A61B17/844 , A61B17/8685 , A61B2017/0414 , A61B2017/8655 , A61F2/30965 , A61F2/447 , A61F2/4611 , A61F2002/2817 , A61F2002/2835 , A61F2002/30509 , A61F2002/30607 , A61F2002/30616 , A61F2002/30779 , A61F2002/30787 , A61F2002/30828 , A61F2002/30843 , A61F2002/4475 , A61F2310/00023
摘要: A revisable orthopedic anchor and method of use for removably securing an anchor in bone, such as compromised or degenerated bone, is described herein. In one embodiment, the anchor makes use of dual probes and vector divergence of the distal tips of the probes to achieve superior bone purchase and pull-out resistance. In such an embodiment, the probes can be inserted one at a time into a hole formed in, for example, the pedicle bone. After the probes are inserted and joined at the proximal end, they have a greater pull-out resistance than a threaded anchor. Removing the anchor involves separating the proximal heads and reversing the implantation process. As a result of the unique bone anchor design disclosed herein, the devices and methods of the present invention allow for less complicated implantation and removal of orthopedic anchors, all while providing enhanced bone purchase when implanted in a patient.
摘要翻译: 这里描述了一种可修复的矫形锚固件和用于可拆卸地固定骨骼中的锚固件(例如受损或退化的骨骼)的使用方法。 在一个实施例中,锚使用探针的远端的双探针和矢量发散来实现优异的骨采购和拉出阻力。 在这样的实施例中,探针可以一次一个地插入到例如椎弓根骨中形成的孔中。 探头在近端插入和接合后,它们具有比螺纹锚具更大的拔出阻力。 去除锚固件涉及分离近端头部并且逆转植入过程。 作为本文公开的独特的骨锚设计的结果,本发明的装置和方法允许在植入患者时提供增强的骨采购,同时提供矫形锚固件的较不复杂的植入和移除。
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公开(公告)号:US20120232407A1
公开(公告)日:2012-09-13
申请号:US13482662
申请日:2012-05-29
CPC分类号: A61B17/7032 , A61B34/20 , A61B2017/00061 , A61B2090/306
摘要: Various methods and devices are provided for navigating through bone. In one embodiment, a bone navigation device is provided and includes a bone penetrating member configured to be implanted in bone and having at least one optical waveguide extending therethrough. The optical waveguide is adapted to illuminate tissue surrounding the device and to receive reflected/transmitted light from the tissue to determine the optical characteristics of the tissue, thus facilitating navigation through the tissue. At least one window can be formed in the bone penetrating member for allowing light from the at least one optical waveguide to illuminate the tissue, and for receiving the reflected light.
摘要翻译: 提供各种方法和装置用于穿过骨骼。 在一个实施例中,提供骨导航装置,并且包括骨穿透构件,其构造成植入到骨中并且具有延伸穿过其中的至少一个光波导。 光波导适于照亮装置周围的组织并且接收来自组织的反射/透射光以确定组织的光学特性,从而便于穿过组织的导航。 至少一个窗口可以形成在骨穿透构件中,用于允许来自至少一个光波导的光照亮组织,并且用于接收反射光。
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公开(公告)号:US08092496B2
公开(公告)日:2012-01-10
申请号:US11160375
申请日:2005-06-21
IPC分类号: A61B17/70
CPC分类号: A61B17/7043 , A61B17/7023 , A61B17/7025 , A61F2/4405 , A61F2/4425 , A61F2002/30601
摘要: Various methods and devices for replacing damaged, injured, diseased, or otherwise unhealthy posterior elements, such as the facet joints, the lamina, the posterior ligaments, and/or other features of a patient's spinal column, are provided. In certain exemplary embodiments, a four bar linkage mechanism can be used to construct spinal stabilization devices and methods for restoring function to adjacent vertebrae. In particular, spinal stabilization devices can be provided that kinematically form a four-bar linkage mechanism with adjacent vertebrae and a disc or other element disposed between the adjacent vertebrae.
摘要翻译: 提供用于替换损伤的,受伤的,患病的或其他不健康的后部元件(例如小关节,椎板,后韧带和/或患者的脊柱的其他特征)的各种方法和装置。 在某些示例性实施例中,可以使用四杆连杆机构来构造脊柱稳定装置和用于将功能恢复到相邻椎骨的方法。 特别地,可以提供脊椎稳定装置,其运动地形成与相邻椎骨的四杆连杆机构以及设置在相邻椎骨之间的盘或其他元件。
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公开(公告)号:US08025678B2
公开(公告)日:2011-09-27
申请号:US12055757
申请日:2008-03-26
IPC分类号: A61B17/70
CPC分类号: A61B17/7062
摘要: An interspinous spacer having a pair of hooks that, upon lateral insertion between opposed spinous process, bear upon the opposed spinous processes.
摘要翻译: 棘突间隔物具有一对钩,当在相对的棘突之间横向插入时,它们承受相对的棘突。
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公开(公告)号:US07993376B2
公开(公告)日:2011-08-09
申请号:US11164643
申请日:2005-11-30
申请人: Dominique Verhulst , Amie Borgstrom , Charles M. Bartish, Jr. , John Riley Hawkins , SeungKyu Daniel Kwak , William Dunbar , Katherine Torres
发明人: Dominique Verhulst , Amie Borgstrom , Charles M. Bartish, Jr. , John Riley Hawkins , SeungKyu Daniel Kwak , William Dunbar , Katherine Torres
IPC分类号: A61B17/88
CPC分类号: A61F2/4611 , A61B17/025 , A61B17/7001 , A61B17/7007 , A61B17/701 , A61B17/7049 , A61B17/864 , A61B2017/0256 , A61F2/4405 , A61F2/4425 , A61F2002/443 , A61F2002/4627 , A61F2002/4628 , A61F2002/4662 , A61F2002/4677 , Y10S606/914
摘要: Various methods and devices are provided for implanting a motion segment repair system. In particular, exemplary methods and devices are provided for implanting a spinal disc implant and/or a PDS device using a posterior surgical approach, including methods and devices for distracting adjacent vertebrae using a posterior surgical approach, methods and devices for posteriorly introducing a spinal implant into a disc space between adjacent vertebrae, and methods and devices for coupling a PDS device to the adjacent vertebrae to provide a complete motion segment repair system that is implanted using a posterior surgical approach.
摘要翻译: 提供了用于植入运动段修复系统的各种方法和装置。 特别地,提供了示例性方法和装置,用于使用后部手术方法植入脊椎椎间盘植入物和/或PDS装置,包括使用后部手术方法分散相邻椎骨的方法和装置,用于向后引入脊柱植入物的方法和装置 进入相邻椎骨之间的椎间盘空间,以及用于将PDS装置耦合到相邻椎骨的方法和装置,以提供使用后部手术方法植入的完整的运动段修复系统。
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公开(公告)号:US20110066192A1
公开(公告)日:2011-03-17
申请号:US12559537
申请日:2009-09-15
申请人: William Frasier , Narendren Renganathan , Glen Presbrey , Michael A. Fisher , John Riley Hawkins
发明人: William Frasier , Narendren Renganathan , Glen Presbrey , Michael A. Fisher , John Riley Hawkins
CPC分类号: A61F2/441 , A61F2/446 , A61F2/4465 , A61F2/4611 , A61F2002/2817 , A61F2002/30062 , A61F2002/30092 , A61F2002/30131 , A61F2002/30224 , A61F2002/30289 , A61F2002/30291 , A61F2002/30476 , A61F2002/3052 , A61F2002/30579 , A61F2002/30583 , A61F2002/30596 , A61F2002/30601 , A61F2002/30672 , A61F2002/30677 , A61F2002/4415 , A61F2210/0004 , A61F2210/0014 , A61F2210/0085 , A61F2220/0025 , A61F2230/0013 , A61F2230/0069 , A61F2230/0091 , A61F2250/0059
摘要: An expandable tube having a substantially semicircular unexpanded shape is inserted into the disc space after the disc material has been removed therefrom. A plurality of expandable lockable rings are passed over this tube in their unexpanded states and positioned along the anterior edge of the endplates. The tube is then expanded, thereby forcing the rings to expand. The rings hold their final expanded configuration via a one-way locking mechanism. Once sufficient distraction is achieved and the rings locked, the tube is collapsed and removed, thereby leaving the expanded, locked rings behind to support the disc space.
摘要翻译: 具有大致半圆形未膨胀形状的可膨胀管在盘材料从其中移除之后插入到盘片空间中。 多个可扩张的可锁定环在其未膨胀状态下通过该管并且沿着端板的前边缘定位。 然后将管膨胀,从而迫使环膨胀。 环通过单向锁定机构保持其最终扩展配置。 一旦实现了足够的分心并且环被锁定,则管被折叠并移除,从而留下扩张的锁定环以支撑盘空间。
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公开(公告)号:US07892260B2
公开(公告)日:2011-02-22
申请号:US11539295
申请日:2006-10-06
申请人: Michael Mahoney , Christopher Ramsay , John Riley Hawkins , Erin Dupak , Jayson Varghese , Charles M. Bartish, Jr. , Jonathan Fanger , SeungKyu Daniel Kwak
发明人: Michael Mahoney , Christopher Ramsay , John Riley Hawkins , Erin Dupak , Jayson Varghese , Charles M. Bartish, Jr. , Jonathan Fanger , SeungKyu Daniel Kwak
IPC分类号: A61B17/70
CPC分类号: A61B17/7032 , A61B17/7044
摘要: Methods and devices are provided for spinal fixation. In one exemplary embodiment, the methods and devices provide one or more points of fixation located adjacent to a first fixation point at which a bone anchor is implanted in bone. For example, an extension member can be coupled, either directly or indirectly, to a bone anchor, and a fastener can be used to anchor the extension member to bone at a second point of fixation adjacent to the first point of fixation. The second point of fixation can be effective to prevent rotation or other movement of the bone anchor, thereby stabilizing the bone anchor. The methods and devices are particularly useful for unilateral fixation, in which one or more levels of the spine are stabilized along a single lateral side of the spine.
摘要翻译: 提供脊柱固定的方法和装置。 在一个示例性实施例中,所述方法和装置提供邻近第一固定点定位的一个或多个固定点,在该第一固定点处将骨锚植入骨中。 例如,延伸构件可以直接地或间接地连接到骨锚固件,并且紧固件可以用于在第二固定点附近的第二固定点处将延伸构件锚固到骨骼上。 第二固定点可以有效地防止骨锚的旋转或其他运动,从而稳定骨锚。 所述方法和装置对于单侧固定特别有用,其中一个或多个水平的脊柱沿着脊柱的单个侧面被稳定。
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