公开(公告)号：US20200306054A1

公开(公告)日：2020-10-01

申请号：US16874870

申请日：2020-05-15

申请人： Curtis Compton ,  Dennis Chien ,  Robert Delurio ,  Dominique Messerli

发明人： Curtis Compton ,  Dennis Chien ,  Robert Delurio ,  Dominique Messerli

IPC分类号： A61F2/44 ,  A61B17/70 ,  A61F2/46

摘要： A flexible chain implant for insertion into an interior volume of a vertebral body. The implant may be implanted in an insertion position for sliding through a cannula and is flexible for packing into the interior volume in an implanted configuration. The implant randomly separates in the implanted configuration. The implant includes a top member and a bottom member, wherein the top and bottom members are coupled to one another at a coupled portion. The top and bottom members preferably each include an inner surface such that the inner surfaces include a plurality of alternating projections and recesses so that the projections are received within the recesses in an insertion position. Alternatively, the implant may include a plurality of substantially non-flexible bodies and a plurality of substantially flexible links interconnecting the bodies. The non-flexible bodies include a plurality of facets and/or abutment surfaces.

公开(公告)号：US08989843B2

公开(公告)日：2015-03-24

申请号：US13488827

申请日：2012-06-05

申请人： Dennis Chien

发明人： Dennis Chien

IPC分类号： A61B6/02 ,  A61B6/12 ,  G06T7/00 ,  A61B6/00 ,  A61B19/00 ,  A61F2/00 ,  G06F1/16

CPC分类号： A61B6/12 ,  A61B6/462 ,  A61B6/465 ,  A61B6/466 ,  A61B6/467 ,  A61B6/5229 ,  A61B2090/363 ,  A61B2090/367 ,  A61B2090/376 ,  A61B2090/3966 ,  A61F2/00 ,  G06F1/1613 ,  G06T7/75 ,  G06T2207/20221 ,  G06T2207/30052 ,  G06T2207/30204

摘要： Methods and apparatus for providing an overlay image of an implant during a surgical procedure using a mobile computing device are provided herein. The implant may include radio-opaque internal markers adjacent to and defining edges of the implant. The method may include: capturing an image of a imaging display device screen; estimating a pose of the implant based on the relationship between the 2-D positions of the radio-opaque internal markers and the 3-D positions of the radio-opaque internal markers; retrieving or generating a 3-D model image of the implant at the determined pose using the 3-D implant data; and overlaying the 3-D model image onto the image of the implant. The captured image may include the implant and at least two of the radio-opaque internal markers being visible as fiducial markers within the image. The fiducial markers may be 2-D positions of the radio-opaque internal markers in a 2-D plane.

摘要翻译： 本文提供了在使用移动计算设备的外科手术过程中提供植入物的覆盖图像的方法和装置。 植入物可以包括邻近和限定植入物边缘的不透射线的内部标记。 该方法可以包括：捕获成像显示设备屏幕的图像; 基于不透射线内标记的2-D位置与不透射线内标号的3-D位置之间的关系来估计植入物的姿势; 使用3-D植入物数据以确定的姿势获取或产生植入物的3-D模型图像; 并将3-D模型图像叠加到植入物的图像上。 捕获的图像可以包括植入物，并且至少两个不透射线的内部标记作为图像中的基准标记可见。 基准标记可以是2-D平面中不透射线内标记的2-D位置。

公开(公告)号：US08740946B2

公开(公告)日：2014-06-03

申请号：US13524371

申请日：2012-06-15

申请人： Joseph Peterson ,  Dennis Chien ,  Thomas Keyer ,  Edward McShane ,  Joseph Capozzoli ,  Pascal Hauri ,  Scott Kramer ,  Sandra Bockhorst

发明人： Joseph Peterson ,  Dennis Chien ,  Thomas Keyer ,  Edward McShane ,  Joseph Capozzoli ,  Pascal Hauri ,  Scott Kramer ,  David Schindler

IPC分类号： A61B17/70

CPC分类号： A61B17/7037 ,  A61B17/7032 ,  A61B17/8605 ,  A61B2017/567 ,  A61B2017/681

摘要： A bone anchor (100) for attaching a rod (108) to a bone has an anchor member (106) for attachment to the bone and an anchor head (104) having a U-shaped opening for receiving the rod. The bone anchor also includes a locking cap (102) that has a main body (900) and a set screw (1000). Advantageously, in one embodiment the locking cap preferably is designed such that a single tool can be used to lock the locking cap in place on the anchor body preferably with a 90° turn and preferably then drive the set screw to clamp the rod. The locking cap also preferably non-threadingly engages the anchor body. The anchor body preferably has an inclined surface on its top surface which elastically deflects extending tabs on the main body to secure the locking cap to the anchor body. A method of implantation and assembly of the bone anchor are also described.

摘要翻译： 用于将杆（108）附接到骨头的骨锚（100）具有用于附接到骨的锚固构件（106）和具有用于接收杆的U形开口的锚头（104）。 骨锚还包括具有主体（900）和固定螺钉（1000）的锁定帽（102）。 有利地，在一个实施例中，锁定帽优选地被设计成使得可以使用单个工具来将锁定帽优选地以90°的角度锁定在锚固体上的适当位置，并且优选地驱动固定螺钉来夹紧杆。 锁定帽也优选地不螺纹地接合锚固体。 锚固体优选地在其顶表面上具有倾斜表面，其在主体上弹性地偏转延伸的突片以将锁定帽固定到锚固体。 还描述了骨锚的植入和组装的方法。

公开(公告)号：US20130324839A1

公开(公告)日：2013-12-05

申请号：US13488827

申请日：2012-06-05

申请人： Dennis Chien

发明人： Dennis Chien

IPC分类号： A61B6/02

CPC分类号： A61B6/12 ,  A61B6/462 ,  A61B6/465 ,  A61B6/466 ,  A61B6/467 ,  A61B6/5229 ,  A61B2090/363 ,  A61B2090/367 ,  A61B2090/376 ,  A61B2090/3966 ,  A61F2/00 ,  G06F1/1613 ,  G06T7/75 ,  G06T2207/20221 ,  G06T2207/30052 ,  G06T2207/30204

摘要： Methods and apparatus for providing an overlay image of an implant during a surgical procedure using a mobile computing device are provided herein. The implant may include radio-opaque internal markers adjacent to and defining edges of the implant. The method may include: capturing an image of a imaging display device screen; estimating a pose of the implant based on the relationship between the 2-D positions of the radio-opaque internal markers and the 3-D positions of the radio-opaque internal markers; retrieving or generating a 3-D model image of the implant at the determined pose using the 3-D implant data; and overlaying the 3-D model image onto the image of the implant. The captured image may include the implant and at least two of the radio-opaque internal markers being visible as fiducial markers within the image. The fiducial markers may be 2-D positions of the radio-opaque internal markers in a 2-D plane.

摘要翻译： 本文提供了在使用移动计算设备的外科手术过程中提供植入物的覆盖图像的方法和装置。 植入物可以包括邻近和限定植入物边缘的不透射线的内部标记。 该方法可以包括：捕获成像显示设备屏幕的图像; 基于不透射线内标记的2-D位置与不透射线内标号的3-D位置之间的关系来估计植入物的姿势; 使用3-D植入物数据以确定的姿势获取或产生植入物的3-D模型图像; 并将3-D模型图像叠加到植入物的图像上。 捕获的图像可以包括植入物，并且至少两个不透射线的内部标记作为图像中的基准标记可见。 基准标记可以是2-D平面中不透射线内标记的2-D位置。

公开(公告)号：US20060116683A1

公开(公告)日：2006-06-01

申请号：US11001902

申请日：2004-12-01

申请人： Benjamin Barrall ,  Barclay Davis ,  Dennis Chien

发明人： Benjamin Barrall ,  Barclay Davis ,  Dennis Chien

IPC分类号： A61F2/30

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

摘要： A fixation assembly is described comprising at least two plates, one of which may be a contoured plate and one of which may be a securing plate. The contoured plate may have a plurality of teeth, and the securing plate may have a resilient securing element. The teeth may be arranged so that the resilient securing element encounters progressive resistance as the plates are compressed.

公开(公告)号：US08840677B2

公开(公告)日：2014-09-23

申请号：US12945156

申请日：2010-11-12

申请人： Shreedhar Kale ,  Dennis Chien ,  Robert Delurio ,  Curtis Compton

发明人： Shreedhar Kale ,  Dennis Chien ,  Robert Delurio ,  Curtis Compton

IPC分类号： A61F2/28 ,  A61B17/04 ,  A61B17/68 ,  F16B13/00

CPC分类号： A61B17/686 ,  F16B2013/009

摘要： The present invention provides a system, device, instruments and methods for inserting and/or improving the holding strength and purchase of a bone screw, bone pin, or bone dowel in bone. Embodiments include monolithic allograft tissue forms, multi-piece allograft tissue forms, distally expandable portions, partially and fully demineralized portions, and flexible connecting portions. Advantages of the allograft tissue forms of the present invention include improved pedicle screw blackout strength and improved filling of bone voids. Methods for making and instruments and techniques for inserting the augmentation device, system and screws or pins are also disclosed.

摘要翻译： 本发明提供了用于插入和/或改善骨骼中的骨螺钉，骨销或骨榫的保持强度和购买的系统，装置，仪器和方法。 实施方案包括整体同种异体移植组织形式，多片同种异体移植组织形式，远端可扩展部分，部分和完全脱矿质部分以及柔性连接部分。 本发明的同种异体移植组织形式的优点包括改善椎弓根螺钉中断强度并改善骨空隙填充。 还公开了制造方法以及用于插入增强装置，系统和螺钉或销的仪器和技术。

公开(公告)号：US20120253409A1

公开(公告)日：2012-10-04

申请号：US13524371

申请日：2012-06-15

申请人： Joseph Peterson ,  Dennis Chien ,  Thomas Keyer ,  Edward McShane ,  Joseph Capozzoli ,  Pascal Hauri ,  Scott Kramer ,  David Schindler ,  Sandra Bockhorst

发明人： Joseph Peterson ,  Dennis Chien ,  Thomas Keyer ,  Edward McShane ,  Joseph Capozzoli ,  Pascal Hauri ,  Scott Kramer ,  David Schindler ,  Sandra Bockhorst

IPC分类号： A61B17/86

CPC分类号： A61B17/7037 ,  A61B17/7032 ,  A61B17/8605 ,  A61B2017/567 ,  A61B2017/681

摘要： A bone anchor (100) for attaching a rod (108) to a bone has an anchor member (106) for attachment to the bone and an anchor head (104) having a U-shaped opening for receiving the rod. The bone anchor also includes a locking cap (102) that has a main body (900) and a set screw (1000). Advantageously, in one embodiment the locking cap preferably is designed such that a single tool can be used to lock the locking cap in place on the anchor body preferably with a 90° turn and preferably then drive the set screw to clamp the rod. The locking cap also preferably non-threadingly engages the anchor body. The anchor body preferably has an inclined surface on its top surface which elastically deflects extending tabs on the main body to secure the locking cap to the anchor body. A method of implantation and assembly of the bone anchor are also described.

摘要翻译： 用于将杆（108）附接到骨头的骨锚（100）具有用于附接到骨的锚固构件（106）和具有用于接收杆的U形开口的锚头（104）。 骨锚还包括具有主体（900）和固定螺钉（1000）的锁定帽（102）。 有利地，在一个实施例中，锁定帽优选地被设计成使得可以使用单个工具来将锁定帽优选地以90°的角度锁定在锚固体上的适当位置，并且优选地驱动固定螺钉来夹紧杆。 锁定帽也优选地不螺纹地接合锚固体。 锚固体优选地在其顶表面上具有倾斜表面，其在主体上弹性地偏转延伸的突片以将锁定帽固定到锚固体。 还描述了骨锚的植入和组装的方法。

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：US20110144766A1

公开(公告)日：2011-06-16

申请号：US12945156

申请日：2010-11-12

申请人： Shreedhar Kale ,  Dennis Chien ,  Robert Delurio ,  Curtis Compton

发明人： Shreedhar Kale ,  Dennis Chien ,  Robert Delurio ,  Curtis Compton

IPC分类号： A61F2/28 ,  A61B17/84 ,  B32B7/08

CPC分类号： A61B17/686 ,  F16B2013/009

摘要： The present invention provides a system, device, instruments and methods for inserting and/or improving the holding strength and purchase of a bone screw, bone pin, or bone dowel in bone. Embodiments include monolithic allograft tissue forms, multi-piece allograft tissue forms, distally expandable portions, partially and fully demineralized portions, and flexible connecting portions. Advantages of the allograft tissue forms of the present invention include improved pedicle screw blackout strength and improved filling of bone voids. Methods for making and instruments and techniques for inserting the augmentation device, system and screws or pins are also disclosed.

摘要翻译： 本发明提供了用于插入和/或改善骨骼中的骨螺钉，骨销或骨榫的保持强度和购买的系统，装置，仪器和方法。 实施方案包括整体同种异体移植组织形式，多片同种异体移植组织形式，远端可扩展部分，部分和完全脱矿质部分以及柔性连接部分。 本发明的同种异体移植组织形式的优点包括改善椎弓根螺钉中断强度并改善骨空隙填充。 还公开了制造方法以及用于插入增强装置，系统和螺钉或销的仪器和技术。

公开(公告)号：US20100185290A1

公开(公告)日：2010-07-22

申请号：US12601468

申请日：2008-06-30

申请人： Curtis Compton ,  Dennis Chien ,  Robert Delurio ,  Dominique Messerli

发明人： Curtis Compton ,  Dennis Chien ,  Robert Delurio ,  Dominique Messerli

IPC分类号： A61F2/44

CPC分类号： A61F2/442 ,  A61B17/7094 ,  A61F2/28 ,  A61F2/4455 ,  A61F2/4611 ,  A61F2002/30281 ,  A61F2002/30289 ,  A61F2002/30387 ,  A61F2002/30403 ,  A61F2002/30471 ,  A61F2002/30472 ,  A61F2002/30476 ,  A61F2002/30504 ,  A61F2002/30594 ,  A61F2002/4415 ,  A61F2002/444 ,  A61F2002/4627 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2220/0091 ,  A61F2230/0086 ,  A61F2230/0091 ,  A61F2310/00359

摘要： A flexible chain implant for insertion into an interior volume of a vertebral body. The implant may be implanted in an insertion position for sliding through a cannula and is flexible for packing into the interior volume in an implanted configuration. The implant randomly separates in the implanted configuration. The implant includes a top member and a bottom member, wherein the top and bottom members are coupled to one another at a coupled portion. The top and bottom members preferably each include an inner surface such that the inner surfaces include a plurality of alternating projections and recesses so that the projections are received within the recesses in an insertion position. Alternatively, the implant may include a plurality of substantially non-flexible bodies and a plurality of substantially flexible links interconnecting the bodies. The non-flexible bodies include a plurality of facets and/or abutment surfaces.

摘要翻译： 用于插入椎体内部体积的柔性链植入物。 植入物可以植入插入位置以滑动通过插管，并且是柔性的，以植入构型包装到内部容积中。 植入物在植入构型中随机分离。 植入物包括顶部构件和底部构件，其中顶部构件和底部构件在联接部分处彼此联接。 顶部和底部构件优选地各自包括内表面，使得内表面包括多个交替的突起和凹部，使得突起在插入位置中容纳在凹部内。 或者，植入物可以包括多个基本上非柔性的主体和互连主体的多个基本上柔性的链接。 非柔性体包括多个面和/或邻接表面。