公开(公告)号：US20150105831A1

公开(公告)日：2015-04-16

申请号：US12901473

申请日：2010-10-08

申请人： Jason Yim ,  Dennis Chien ,  Barclay Davis ,  David Rathbun ,  Josef Gabelberger ,  Zoher S. Bootwala ,  Scott Larsen

发明人： Jason Yim ,  Dennis Chien ,  Barclay Davis ,  David Rathbun ,  Josef Gabelberger ,  Zoher S. Bootwala ,  Scott Larsen

IPC分类号： A61B17/70 ,  A61B17/56

CPC分类号： A61B17/7091 ,  A61B17/7032 ,  A61B17/7076

摘要： A device for spinal surgery that may be used for tightening a locking cap onto at least a portion of a pedicle screw. The device may include a torque-generating body having a proximal end and an opposing distal end and a drive shaft rotatably driven by the torque-generating body. A proximal end of the drive shaft may be operatively engaged to the distal end of the torque-generating body and an opposing distal end of the drive shaft may engage at least a portion of one of the locking cap and the pedicle screw. An anti-torque device is provided that has an elongated and generally hollow member defining a longitudinal axis. The member has a proximal end and an opposing distal end, where the proximal end of the anti-torque device may be fixed from rotating relative to at least a portion of the torque-generating body and the distal end may be fixed from rotating relative to a spine rod or a pedicle screw.

摘要翻译： 用于脊柱手术的装置，其可用于将锁定帽紧固到椎弓根螺钉的至少一部分上。 该装置可以包括具有近端和相对的远端的扭矩产生体以及由转矩产生体旋转地驱动的驱动轴。 驱动轴的近端可以可操作地接合到转矩产生主体的远端，并且驱动轴的相对的远端可以接合锁定帽和椎弓根螺钉中的一个的至少一部分。 提供了一种抗扭矩装置，其具有限定纵向轴线的细长且大体中空的构件。 该构件具有近端和相对的远端，其中抗扭矩装置的近端可以相对于扭矩发生体的至少一部分旋转而固定，并且远端可以相对于 脊柱或椎弓根螺钉。

公开(公告)号：US20100268284A1

公开(公告)日：2010-10-21

申请号：US12828884

申请日：2010-07-01

申请人： Brian R. Bankoski ,  Shaun Hanson ,  Ralph C. Solitario, JR. ,  Caryn E. Bundra ,  William N. Woodburns, SR. ,  Mark Rossney ,  Eric McDivitt ,  David Rathbun

发明人： Brian R. Bankoski ,  Shaun Hanson ,  Ralph C. Solitario, JR. ,  Caryn E. Bundra ,  William N. Woodburns, SR. ,  Mark Rossney ,  Eric McDivitt ,  David Rathbun

IPC分类号： A61B17/86

CPC分类号： A61B17/7082 ,  A61B17/00234 ,  A61B17/7076 ,  A61B17/7079 ,  A61B17/7083 ,  A61B17/865 ,  A61B2090/034

摘要： A minimally invasive fixation system and method for providing access to a surgical site. The fixation system may include a holding assembly, the holding assembling preferably including a lateral implant holder which may be attached to a pedicle screw and a sleeve positioned in connection with the lateral implant holder to prevent the lateral implant holder from separating from the pedicle screw. The sleeve may further include a tissue protection portion to keep the tissue out of the surgical site. A holding sleeve may be operably connected to the holding assembly and pedicle screw and may be used to insert the pedicle screw into the body. Multiple constructs may be inserted into the body so that a portion of the holding assembly extends from the body and provides access to and visualization of the surgical site. A rod holder may also be used to insert a rod into the head of the screw. The rod may be held by the rod holder so that the rod may be angulated as the rod is inserted into the screw heads. Once the rod is positioned in the screw heads, locking caps and/or set screws may be positioned over the rod and engage the screw heads so that the position of the rod may be fixed with respect to the screws. In some embodiments, a movement mechanism may be used to move the screws relative to each other to compress and/or distract the vertebrae.

摘要翻译： 用于提供对外科手术部位的接近的微创固定系统和方法。 所述固定系统可以包括保持组件，所述保持组合优选地包括侧向植入物保持器，其可以附接到椎弓根螺钉和与所述侧向植入物保持器相连接定位的套筒，以防止所述侧向植入物夹持器与所述椎弓根螺钉分离。 套筒还可以包括组织保护部分以将组织保持在手术部位之外。 保持套筒可以可操作地连接到保持组件和椎弓根螺钉，并且可以用于将椎弓根螺钉插入体内。 可以将多个构造物插入体内，使得保持组件的一部分从身体延伸并提供对外科手术部位的接近和可视化。 也可以使用杆保持器将杆插入螺钉的头部。 杆可以由杆保持器保持，使得杆可以在杆插入螺钉头时成角度。 一旦杆被定位在螺钉头中，锁定帽和/或定位螺钉可以定位在杆上方并且接合螺钉头，使得杆的位置可以相对于螺钉固定。 在一些实施例中，运动机构可用于相对于彼此移动螺钉以压缩和/或分散脊椎。

公开(公告)号：US20100137913A1

公开(公告)日：2010-06-03

申请号：US12610888

申请日：2009-11-02

申请人： Roberto Khatchadourian ,  Edward McShane ,  David Rathbun

发明人： Roberto Khatchadourian ,  Edward McShane ,  David Rathbun

IPC分类号： A61B17/70 ,  A61B17/88

CPC分类号： A61B17/7014 ,  A61B17/7047 ,  A61B17/7055 ,  A61B17/7056 ,  A61B17/707 ,  A61B17/7083

摘要： An adjustable rod for spinal corrective surgery is provided that includes a first elongate member and a second elongate member, each having rod portions couplable to one or more bone connecting elements and expansion portions slidably moveable with respect to one another. A plurality of holes in each expansion portion are alignable with one another to choose the length of the adjustable rod and a locking element is inserted through a pair of aligned holes to couple the first and second elongate members and secure or fix the length of the expandable rod.

摘要翻译： 提供了一种用于脊柱矫正手术的可调节杆，其包括第一细长构件和第二细长构件，每个细长构件具有可连接到一个或多个骨连接元件的杆部分和可相对于彼此可滑动地移动的膨胀部分。 每个膨胀部分中的多个孔可彼此对准以选择可调杆的长度，并且锁定元件插入通过一对对准的孔以联接第一和第二细长构件并固定或固定可膨胀的长度 竿。

公开(公告)号：US20060122605A1

公开(公告)日：2006-06-08

申请号：US11006113

申请日：2004-12-06

申请人： Sean Suh ,  David Rathbun

发明人： Sean Suh ,  David Rathbun

IPC分类号： A61F2/30

CPC分类号： A61B17/8042 ,  A61B17/7059

摘要： An apparatus includes a bone fastener, a bone fixation device and a bone fastener retainer device. The head of the fastener has a convex lower surface with a first arcuate contour, and has a convex upper surface with a second arcuate contour. The fixation device is configured to receive the fastener in an installed position in which the convex lower surface of the fastener head rests on a concave surface of the bone fixation device that also has the first arcuate contour. Additionally, the retainer device is configured to be mounted on the fixation device in a position in which a concave surface of the retainer device overlies the convex upper surface of the fastener head. The concave surface of the retainer device also has the second arcuate contour. The bone fastener retainer device may be receivable over the fixation device in a mechanical interlock with the fixation device.

摘要翻译： 一种装置包括骨紧固件，骨固定装置和骨紧固件保持装置。 紧固件的头部具有具有第一弧形轮廓的凸形下表面，并且具有带有第二弓形轮廓的凸形上表面。 固定装置构造成将紧固件接纳在安装位置，在该位置中，紧固件头部的凸下表面位于同时具有第一弧形轮廓的骨固定装置的凹表面上。 另外，保持器装置构造成在保持装置的凹表面覆盖紧固件头部的凸形上表面的位置处安装在固定装置上。 保持装置的凹面也具有第二弧形轮廓。 骨固定器固定装置可以以与固定装置的机械互锁的方式接收在固定装置上方。

公开(公告)号：US20050049595A1

公开(公告)日：2005-03-03

申请号：US10932392

申请日：2004-09-02

申请人： Sean Suh ,  David Rathbun ,  Christopher Ryan ,  Christoph Roth ,  David Koch

发明人： Sean Suh ,  David Rathbun ,  Christopher Ryan ,  Christoph Roth ,  David Koch

IPC分类号： A61B17/00 ,  A61B17/70 ,  A61B17/80 ,  A61B17/56

CPC分类号： A61B17/8047 ,  A61B17/1728 ,  A61B17/7059 ,  A61B17/8004 ,  A61B17/8009 ,  A61B17/8023

摘要： Translational bone fixation assemblies, kits containing such assemblies, and methods of use are described herein. The described assemblies may be used in spinal fusion procedures in which a damaged or diseased disc (or part of a disc) is removed from between a pair of vertebrae and a spinal fusion spacer is placed between the vertebrae. The assemblies may be applied to an anterior portion of the affected vertebrae to span the affected disc space, and may be fixed to the vertebrae using bone screws. The assemblies may function to maintain the vertebrae aligned during the initial period following fixation in which fusion of the spacer to the adjacent vertebrae occurs. The assemblies may also function to share some of the axial spinal load applied to the fusion spacer to prevent extreme subsidence of the spacer into the vertebral body, such as where the patient has poor bone quality. The assemblies may also act to prevent the spacer from being expelled from the disc space during the initial post-operative period. Finally, these assemblies may be used in other parts of the body where the advantages of the assemblies are desired or applicable.

摘要翻译： 本文描述了平移骨固定组件，包含这种组件的套件和使用方法。 所描述的组件可以用于脊椎融合过程中，其中损伤的或患病的椎间盘（或椎间盘的一部分）从一对椎骨之间移除，并且脊椎融合间隔物被放置在椎骨之间。 组件可以施加到受影响的椎骨的前部以跨越受影响的椎间盘空间，并且可以使用骨螺钉固定到椎骨。 组合件可用于在固定之后的初始阶段保持椎骨对准，其中间隔件与相邻椎骨的融合发生。 组件还可以用于分担施加到熔合间隔件的一些轴向脊柱负荷，以防止间隔件进入椎体的极度下沉，例如患者具有差的骨质量。 组件还可以起作用以防止在最初的术后期间垫片从盘片空间排出。 最后，这些组件可以用在需要或适用的组件的优点的身体的其他部分中。

公开(公告)号：US09161788B2

公开(公告)日：2015-10-20

申请号：US13139373

申请日：2009-12-08

申请人： Michael Daubs ,  David Rathbun ,  Brian Dec

发明人： Michael Daubs ,  David Rathbun ,  Brian Dec

IPC分类号： A61B17/70

CPC分类号： A61B17/7086 ,  A61B17/7085

摘要： Spinal rod reduction apparatuses, systems, and methods are provided. In various examples, a rod reduction apparatus includes a first threaded member (130, 210, 330) including an engagement feature (138A, 138B, 220, 332, 334) configured to selectively anchor the first threaded member to the implantable screw assembly. A second threaded member (110, 230, 310) is configured to threadably engage with the first threaded member. The second threaded member is axially movable with respect to the first threaded member with rotation of the second threaded member. A spinal rod urging member (120, 240, 320) is axially movable with the second threaded member. The urging member includes a bearing surface (126, 242, 320) that is configured to selectively abut the spinal rod and selectively urge the spinal rod toward the implantable screw assembly with rotation of the second threaded member in a first rotational direction.

摘要翻译： 提供脊柱减压装置，系统和方法。 在各种示例中，杆减速装置包括第一螺纹构件（130,210,330），其包括被配置为将第一螺纹构件选择性地固定到可植入螺钉组件的接合特征（138A，138B，220,332,334）。 第二螺纹构件（110,230,310）构造成与第一螺纹构件螺纹接合。 第二螺纹构件可随着第二螺纹构件的旋转而相对于第一螺纹构件轴向移动。 脊柱杆推动构件（120,240,320）可与第二螺纹构件轴向移动。 推动构件包括支撑表面（126,242,320），其被构造成选择性地抵靠脊柱杆并且随着第二螺纹构件在第一旋转方向上的旋转而选择性地将脊柱杆推向可植入螺钉组件。

公开(公告)号：US07758584B2

公开(公告)日：2010-07-20

申请号：US11734201

申请日：2007-04-11

申请人： Brian R. Bankoski ,  Shaun Hanson ,  Ralph C. Solitario, Jr. ,  Caryn E. Bundra ,  William N. Woodburn, Sr. ,  Mark Rossney ,  Eric McDivitt ,  David Rathbun

发明人： Brian R. Bankoski ,  Shaun Hanson ,  Ralph C. Solitario, Jr. ,  Caryn E. Bundra ,  William N. Woodburn, Sr. ,  Mark Rossney ,  Eric McDivitt ,  David Rathbun

IPC分类号： A61B17/58 ,  A61B17/60 ,  A61F2/00

CPC分类号： A61B17/7082 ,  A61B17/00234 ,  A61B17/7076 ,  A61B17/7079 ,  A61B17/7083 ,  A61B17/865 ,  A61B2090/034

摘要： A minimally invasive fixation system and method for providing access to a surgical site. The fixation system may include a holding assembly, the holding assembling preferably including a lateral implant holder which may be attached to a pedicle screw and a sleeve positioned in connection with the lateral implant holder to prevent the lateral implant holder from separating from the pedicle screw. The sleeve may further include a tissue protection portion to keep the tissue out of the surgical site. A holding sleeve may be operably connected to the holding assembly and pedicle screw and may be used to insert the pedicle screw into the body. Multiple constructs may be inserted into the body so that a portion of the holding assembly extends from the body and provides access to and visualization of the surgical site. A rod holder may also be used to insert a rod into the head of the screw. The rod may be held by the rod holder so that the rod may be angulated as the rod is inserted into the screw heads. Once the rod is positioned in the screw heads, locking caps and/or set screws may be positioned over the rod and engage the screw heads so that the position of the rod may be fixed with respect to the screws. In some embodiments, a movement mechanism may be used to move the screws relative to each other to compress and/or distract the vertebrae.

摘要翻译： 用于提供对外科手术部位的接近的微创固定系统和方法。 所述固定系统可以包括保持组件，所述保持组合优选地包括侧向植入物保持器，其可以附接到椎弓根螺钉和与所述侧向植入物保持器相连接定位的套筒，以防止所述侧向植入物夹持器与所述椎弓根螺钉分离。 套筒还可以包括组织保护部分以将组织保持在手术部位之外。 保持套筒可以可操作地连接到保持组件和椎弓根螺钉，并且可以用于将椎弓根螺钉插入体内。 可以将多个构造物插入体内，使得保持组件的一部分从身体延伸并提供对外科手术部位的接近和可视化。 也可以使用杆保持器将杆插入螺钉的头部。 杆可以由杆保持器保持，使得杆可以在杆插入螺钉头时成角度。 一旦杆被定位在螺钉头中，锁定帽和/或定位螺钉可以定位在杆上方并且接合螺钉头，使得杆的位置可以相对于螺钉固定。 在一些实施例中，运动机构可用于相对于彼此移动螺钉以压缩和/或分散脊椎。

公开(公告)号：US20070270842A1

公开(公告)日：2007-11-22

申请号：US11734201

申请日：2007-04-11

申请人： Brian Bankoski ,  Shaun Hanson ,  Raph Solitario ,  Caryn Bundra ,  William Woodburn ,  Mark Rossney ,  Eric McDivitt ,  David Rathbun

发明人： Brian Bankoski ,  Shaun Hanson ,  Raph Solitario ,  Caryn Bundra ,  William Woodburn ,  Mark Rossney ,  Eric McDivitt ,  David Rathbun

IPC分类号： A61F2/30

CPC分类号： A61B17/7082 ,  A61B17/00234 ,  A61B17/7076 ,  A61B17/7079 ,  A61B17/7083 ,  A61B17/865 ,  A61B2090/034

摘要： A minimally invasive fixation system and method for providing access to a surgical site. The fixation system may include a holding assembly, the holding assembling preferably including a lateral implant holder which may be attached to a pedicle screw and a sleeve positioned in connection with the lateral implant holder to prevent the lateral implant holder from separating from the pedicle screw. The sleeve may further include a tissue protection portion to keep the tissue out of the surgical site. A holding sleeve may be operably connected to the holding assembly and pedicle screw and may be used to insert the pedicle screw into the body. Multiple constructs may be inserted into the body so that a portion of the holding assembly extends from the body and provides access to and visualization of the surgical site. A rod holder may also be used to insert a rod into the head of the screw. The rod may be held by the rod holder so that the rod may be angulated as the rod is inserted into the screw heads. Once the rod is positioned in the screw heads, locking caps and/or set screws may be positioned over the rod and engage the screw heads so that the position of the rod may be fixed with respect to the screws. In some embodiments, a movement mechanism may be used to move the screws relative to each other to compress and/or distract the vertebrae.

摘要翻译： 用于提供对外科手术部位的接近的微创固定系统和方法。 所述固定系统可以包括保持组件，所述保持组合优选地包括侧向植入物保持器，其可以附接到椎弓根螺钉和与所述侧向植入物保持器相连接定位的套筒，以防止所述侧向植入物夹持器与所述椎弓根螺钉分离。 套筒还可以包括组织保护部分以将组织保持在手术部位之外。 保持套筒可以可操作地连接到保持组件和椎弓根螺钉，并且可以用于将椎弓根螺钉插入体内。 可以将多个构造物插入体内，使得保持组件的一部分从身体延伸并提供对外科手术部位的接近和可视化。 也可以使用杆保持器将杆插入螺钉的头部。 杆可以由杆保持器保持，使得杆可以在杆插入螺钉头时成角度。 一旦杆被定位在螺钉头中，锁定帽和/或定位螺钉可以定位在杆上方并且接合螺钉头，使得杆的位置可以相对于螺钉固定。 在一些实施例中，运动机构可用于相对于彼此移动螺钉以压缩和/或分散脊椎。

公开(公告)号：US20050216027A1

公开(公告)日：2005-09-29

申请号：US10809767

申请日：2004-03-24

申请人： Sean Suh ,  David Rathbun

发明人： Sean Suh ,  David Rathbun

IPC分类号： A61B17/56 ,  A61B17/80 ,  A61B17/86 ,  A61B17/88 ,  A61B17/92

CPC分类号： A61B17/92 ,  A61B17/8047 ,  A61B17/861 ,  A61B17/8888

摘要： The present invention provides a simplified bone fastener removal tool which allows the surgeon to remove bone screws or other bone fasteners from bone, and from bone plates incorporating fastener locking elements. The tool includes an inner shaft which axially engages the bone fastener, a drive shaft which allows the fastener to be rotated using the tool, and an internally threaded outer sleeve which, in combination with the drive shaft, allows for a controlled removal of the fastener from the bone plate and bone. In particular, the internal threads of the outer sleeve engage external threads on the drive shaft, such that rotating the drive shaft while maintaining the outer sleeve fixed causes the drive shaft to translate with respect to the sleeve. Thus, when a fastener is axially engaged with the drive shaft, a controlled removal of the fastener from the bone and bone plate is accomplished simply by rotating the drive shaft with respect to the outer sleeve. No pulling on the fastener is necessary. A method of using the tool is also provided.

摘要翻译： 本发明提供了一种简化的骨头紧固件去除工具，其允许外科医生从骨头以及从包含紧固件锁定元件的骨板移除骨螺钉或其它骨固定件。 该工具包括轴向接合骨紧固件的内轴，允许使用该工具旋转紧固件的驱动轴以及与该驱动轴组合的内螺纹外套，允许可控制地移除紧固件 从骨板和骨头。 特别地，外套筒的内螺纹接合在驱动轴上的外螺纹，使得在保持外套筒固定的同时旋转驱动轴使得驱动轴相对于套筒平移。 因此，当紧固件与驱动轴轴向接合时，简单地通过相对于外套筒旋转驱动轴来实现紧固件从骨头和骨板的受控移除。 不需要拉紧紧固件。 还提供了使用该工具的方法。

公开(公告)号：US20050015093A1

公开(公告)日：2005-01-20

申请号：US10837085

申请日：2004-04-30

申请人： Sean Suh ,  David Rathbun ,  Christoph Roth ,  Lan Anh Duong ,  Lawrence Binder ,  Christopher Ryan ,  Pascal Stihl

发明人： Sean Suh ,  David Rathbun ,  Christoph Roth ,  Lan Anh Duong ,  Lawrence Binder ,  Christopher Ryan ,  Pascal Stihl

IPC分类号： A61B17/17 ,  A61B17/58 ,  A61B17/80 ,  A61F2/00 ,  A61L20060101

CPC分类号： A61B17/8057 ,  A61B17/1728 ,  A61B17/1757

摘要： A drill guide, drill guide system and method of use is disclosed. The drill guide assembly includes one or more alignment drill tubes that are remotely alignable with corresponding fastener holes of a bone plate to which the drill guide is releasably lockable. The drill guide is configured to allow a bone hole to be drilled slightly off-center with respect to the fastener holes of the plate so that fasteners inserted in those holes may be used to compress the underlying bone segments together when the fasteners are tightened in the bone and plate. In one embodiment, the drill guide is disclosed for use in compressing and fixing adjacent vertebra as part of a spinal fusion procedure.

摘要翻译： 公开了一种钻孔引导件，钻子引导系统和使用方法。 钻子引导器组件包括一个或多个对准钻杆，其与钻板引导件可释放地锁定的骨板的对应的紧固件孔远程对准。 钻子引导件被构造成允许相对于板的紧固件孔稍微偏心地钻出骨孔，使得当紧固件紧固在那些孔中时，插入那些孔中的紧固件可以用于将下面的骨节段压缩在一起 骨和板。 在一个实施例中，公开了用于压缩和固定相邻椎骨作为脊柱融合手术的一部分的钻子引导器。