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公开(公告)号：US08617218B2
公开(公告)日：2013-12-31
申请号：US13107181
申请日：2011-05-13
申请人： Jeff R Justis , Douglas D Kave
发明人： Jeff R Justis , Douglas D Kave
IPC分类号： A61B17/70
CPC分类号： A61B17/7085 , A61B17/7076
摘要： In one form, systems and methods for positioning a connecting member adjacent the spinal column include at least one anchor that is engageable to bony structure and has a receiver for receiving the connecting member. A pair of elongated members is engaged to the receiver and defines a pathway that extends proximally from the receiver. The connecting member is movable along the elongated members to the receiver of the bone anchor. The elongated members are removable from the receiver of the bone anchor after the connecting member is positioned in the receiver to provide a low profile anchor and connecting member assembly when finally implanted in the patient. However, other embodiments, forms and applications are also envisioned.
摘要翻译： 在一种形式中，用于将连接构件定位成邻近脊柱的系统和方法包括至少一个可接合骨结构并具有用于接收连接构件的接收器的锚。 一对细长构件接合到接收器并且限定从接收器向近侧延伸的路径。 连接构件可沿着细长构件移动到骨锚的接收器。 在将连接构件定位在接收器中之后，细长构件可从骨锚固体的接收器移除，以在最终植入患者体内时提供低轮廓的锚固件和连接构件组件。 然而，也可以设想其他实施例，形式和应用。
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公开(公告)号：US07655008B2
公开(公告)日：2010-02-02
申请号：US11350915
申请日：2006-02-09
CPC分类号： A61B17/025 , A61B17/7032 , A61B17/7077 , A61B2017/0256 , Y10S606/914
摘要： Derotation instrument assemblies and systems are provided to facilitate positioning one or more vertebrae of a spinal column into a desired alignment. The instrument assemblies and systems include implant holders engageable to respective implants engaged to vertebrae of the spinal column, transverse bridges to connect implant holders associated with a particular vertebra, and inter-level linking assemblies to connect instrument assemblies associated with different vertebrae. Derotation handles can be provided on the implant holders to facilitate application of the alignment forces, while the assemblies distribute the corrective forces to the connected implants and vertebrae.
摘要翻译： 提供换能仪器组件和系统以便于将脊柱的一个或多个椎骨定位成期望的对准。 仪器组件和系统包括植入物保持器，其可接合到脊柱的椎骨的相应植入物，用于连接与特定椎骨相关联的植入物保持器的横向桥和用于连接与不同椎骨相关联的器械组件的层间连接组件。 可以在植入物保持器上提供换位手柄以便于对齐力的应用，同时组件将校正力分配给所连接的植入物和椎骨。
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公开(公告)号：US08834485B2
公开(公告)日：2014-09-16
申请号：US12851684
申请日：2010-08-06
申请人： Douglas D Kave
发明人： Douglas D Kave
CPC分类号： A61B19/46 , A61B17/7041 , A61B17/7074 , A61B90/06 , A61B2090/061
摘要： A medical instrument includes first and second support members movably coupled to one another to provide variable spacing between distal portions of the support members. A first engagement element is attached to the distal portion of the first support member and extends generally along a first axis, and a second engagement element is attached to the distal portion of the second support member and extends generally along a second axis. At least one of the engagement elements includes an articulating portion articularly engaged with a mounting portion to provide multi-axial movement therebetween to thereby vary an angular orientation of the first axis relative to the second axis. An indicator extends between proximal portions of the support members and includes multiple indicia corresponding to variable distances between the first and second axes adjacent the engagement elements to provide an indication corresponding to a select distance between the first and second axes adjacent the engagement elements.
摘要翻译： 医疗器械包括可移动地彼此联接以在支撑构件的远侧部分之间提供可变间隔的第一和第二支撑构件。 第一接合元件附接到第一支撑构件的远侧部分并且大致沿着第一轴线延伸，并且第二接合元件附接到第二支撑构件的远侧部分并且大致沿着第二轴线延伸。 所述接合元件中的至少一个包括与安装部分相关地接合以在其间提供多轴向运动的铰接部分，从而改变第一轴线相对于第二轴线的角度定向。 指示器在支撑构件的近侧部分之间延伸并且包括对应于邻近接合元件的第一和第二轴线之间的可变距离的多个标记，以提供对应于邻近接合元件的第一和第二轴线之间的选择距离的指示。
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公开(公告)号：US08226554B2
公开(公告)日：2012-07-24
申请号：US12262100
申请日：2008-10-30
IPC分类号： A61B17/02
CPC分类号： A61B1/32 , A61B17/0206 , A61B17/0293
摘要： An assembly for tissue retraction in surgery includes a pair of arm members removably positioned on and movable along an elongate support member. The arm members each include an external housing, a locking member positioned within the external housing and a passageway extending through the external housing and the locking member. The elongate support member extends through the passageways and the locking members are releasably biased into engagement with the elongate support member to allow the arm members to move in opposite directions along the elongate support member and prevent the arm members from moving toward one another. Each arm member further includes a rotatable engagement portion engageable with a respective retractor portion and a locking element releasably biased into engagement with the engagement portion to limit rotation of the engagement portion to a first direction relative to the arm member.
摘要翻译： 用于手术中的组织收缩的组件包括一对可拆卸地定位在细长支撑构件上并可沿着细长支撑构件移动的臂构件。 臂构件各自包括外部壳体，定位在外部壳体内的锁定构件和延伸穿过外部壳体和锁定构件的通道。 细长支撑构件延伸穿过通道并且锁定构件可释放地偏置成与细长支撑构件接合，以允许臂构件沿着细长支撑构件沿相反方向移动，并且防止臂构件朝向彼此移动。 每个臂构件还包括可旋转的接合部分，其可与相应的牵开器部分接合，并且锁定元件可释放地偏置成与接合部分接合，以限制接合部分相对于臂部件的第一方向的旋转。
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公开(公告)号：US20110184416A1
公开(公告)日：2011-07-28
申请号：US12695384
申请日：2010-01-28
申请人： William A. Rezach , Douglas N. Baker , Allison Gasperut , Douglas D. Kave , Anthony Harrison , Christopher Nelson
发明人： William A. Rezach , Douglas N. Baker , Allison Gasperut , Douglas D. Kave , Anthony Harrison , Christopher Nelson
IPC分类号： A61F2/28
CPC分类号： A61B17/7041 , A61B17/7038 , A61B2090/037
摘要： Surgical constructs pre-assembled for insertion as a unit into a patient. The pre-assembled construct may include an elongated member with opposing first and second ends. The construct may also include a connector with a body, a first receptacle that extends through the body and receives the elongated member, a threaded aperture that extends from an exterior of the body into the first receptacle, a fastener threaded into the threaded aperture, and a second receptacle that receives a structural member in the patient. The first receptacle may be larger than the elongated member for the connector to be movable along the elongated member. The construct may also include retaining members permanently attached to each of the first and second ends of the elongated member. The retaining members may include a central opening with an inner radial surface that contacts the elongated member and an outer radial surface that extends outward beyond the elongated member. The retaining members may be larger than the first receptacle to prevent the connector from detaching from the elongated member.
摘要翻译： 预先组装的手术结构作为单元插入患者体内。 预组装构造可以包括具有相对的第一和第二端的细长构件。 构造还可以包括具有主体的连接器，延伸穿过主体并接收细长构件的第一容器，从主体的外部延伸到第一容器中的螺纹孔，拧入螺纹孔中的紧固件，以及 接收患者中的结构构件的第二容器。 第一容器可以大于用于连接器的细长构件能够沿着细长构件移动。 构造还可以包括永久地附接到细长构件的第一和第二端中的每一个的保持构件。 保持构件可以包括具有接触细长构件的内部径向表面的中心开口和向外延伸超过细长构件的外部径向表面。 保持构件可以比第一插座大，以防止连接器从细长构件脱离。
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公开(公告)号：US20080262494A1
公开(公告)日：2008-10-23
申请号：US11736292
申请日：2007-04-17
申请人： Jesse Moore , Douglas D. Kave
发明人： Jesse Moore , Douglas D. Kave
IPC分类号： A61B17/56
CPC分类号： A61B17/7077
摘要： A spinal tool is disclosed and can include a first arm and a second arm. A rack can extend from the first arm. Further, a pinion gear can be coupled to the second arm. The pinion gear can engage the rack. The spinal tool can also include a worm gear engaged with the pinion gear.
摘要翻译： 公开了一种脊椎工具，并且可以包括第一臂和第二臂。 机架可以从第一臂伸出。 此外，小齿轮可以联接到第二臂。 小齿轮可以接合齿条。 脊椎工具还可以包括与小齿轮啮合的蜗轮。
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公开(公告)号：US20120290011A1
公开(公告)日：2012-11-15
申请号：US13107181
申请日：2011-05-13
申请人： Jeff R. Justis , Douglas D. Kave
发明人： Jeff R. Justis , Douglas D. Kave
CPC分类号： A61B17/7085 , A61B17/7076
摘要： In one form, systems and methods for positioning a connecting member adjacent the spinal column include at least one anchor that is engageable to bony structure and has a receiver for receiving the connecting member. A pair of elongated members is engaged to the receiver and defines a pathway that extends proximally from the receiver. The connecting member is movable along the elongated members to the receiver of the bone anchor. The elongated members are removable from the receiver of the bone anchor after the connecting member is positioned in the receiver to provide a low profile anchor and connecting member assembly when finally implanted in the patient. However, other embodiments, forms and applications are also envisioned.
摘要翻译： 在一种形式中，用于将连接构件定位成邻近脊柱的系统和方法包括至少一个可接合骨结构并具有用于接收连接构件的接收器的锚。 一对细长构件接合到接收器并且限定从接收器向近侧延伸的路径。 连接构件可沿着细长构件移动到骨锚的接收器。 在将连接构件定位在接收器中之后，细长构件可从骨锚固体的接收器移除，以在最终植入患者体内时提供低轮廓的锚固件和连接构件组件。 然而，也可以设想其他实施例，形式和应用。
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公开(公告)号：US08221474B2
公开(公告)日：2012-07-17
申请号：US12854669
申请日：2010-08-11
IPC分类号： A61B17/88
CPC分类号： A61B17/025 , A61B17/7032 , A61B17/7077 , A61B17/8866 , A61B2017/0256 , Y10S606/914
摘要： A method for assembling a system for correcting alignment of a spinal column of a patient is provided. The method includes the steps of engaging first and second implants to a first vertebra; engaging a distal portion of respective first and second implant holders to respective ones of the first and second implants, the first and second implant holders each extending from said distal portion along a longitudinal axis to a proximal end outside the patient; engaging a transverse bridge between and to proximal ends of each of the first and second implant holders; and engaging a derotation handle to the transverse bridge at a location between the first and second implant holders and in a generally parallel orientation to a sagittal plane of the spinal column so that the transverse derotation handle extends transversely to the sagital plane.
摘要翻译： 提供了一种用于组装用于校正患者脊柱的对准的系统的方法。 该方法包括将第一和第二植入物接合到第一椎骨的步骤; 将相应的第一和第二植入物保持器的远端部分接合到所述第一和第二植入物中的相应的第一植入物保持器，所述第一和第二植入物保持器各自从所述远侧部分沿着纵向轴线延伸到患者外部的近端; 使所述第一植入物保持器和所述第二植入物保持器中的每一个的近端与所述横向桥接合; 以及在所述第一和第二植入物保持器之间的位置处以及与所述脊柱的矢状平面大致平行的方向将所述横向桥的解旋手柄接合，使得所述横向解旋手柄横向于所述矢状平面延伸。
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公开(公告)号：US20120109208A1
公开(公告)日：2012-05-03
申请号：US12913371
申请日：2010-10-27
申请人： Jeff R. Justis , Douglas D. Kave
发明人： Jeff R. Justis , Douglas D. Kave
CPC分类号： A61B17/7032 , A61B17/7037 , A61B17/7085 , A61B17/7089 , A61B17/8863 , A61B2090/037
摘要： Systems and methods for positioning a connecting member adjacent the spinal column include at least one anchor assembly having an anchor engageable to bony structure and a receiver for receiving the connecting member. An elongated extension is removably engaged to the receiver and extends proximally from the receiver. The extension and at least a portion of the receiver is removable from the remaining portion of the receiver of the bone anchor after the connecting member is positioned in the receiver to provide a low profile anchor and connecting member assembly when finally implanted in the patient.
摘要翻译： 用于将连接构件定位在邻近脊柱的系统和方法包括至少一个具有可与骨结构接合的锚的锚固组件和用于接收连接构件的接收器。 细长的延伸部可拆卸地接合到接收器并从接收器向近侧延伸。 在将连接构件定位在接收器中之后，接收器的延伸部分和至少一部分可从骨锚固体的接收器的剩余部分移除，以在最终植入患者体内时提供低轮廓的锚固件和连接构件组件。
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公开(公告)号：US20110106082A1
公开(公告)日：2011-05-05
申请号：US12609162
申请日：2009-10-30
申请人： Douglas D. Kave , Paula A. Nichter , Paul Wheeler
发明人： Douglas D. Kave , Paula A. Nichter , Paul Wheeler
CPC分类号： A61B17/708
摘要： Vertebral column manipulation systems include spinal derotation instrumentation to affect one or more derotation maneuvers on a scoliotic spine or on a spine having one or more displaced, misaligned or curved vertebral levels. Derotation instrumentation is attached to at least one vertebral body, with the instrumentation including at least two elongated extensions mounted to and extending proximally from the at least one vertebral body. A linking assembly extends between and links proximal ends of the extensions to one another. The linking assembly includes first and second mounting assemblies movably engaged to an elongate link member extending transversely to the extensions. Each of the mounting assemblies includes a movable joint for receiving the proximal end of a respective one of the extensions and a cam assembly for securing the mounting assembly in position relative to the link member and to fix the joint around the extension.
摘要翻译： 椎体柱操作系统包括影响脊柱侧凸脊柱或脊柱上的一个或多个解旋动作的脊柱旋转仪器，具有一个或多个位移，未对准或弯曲的椎体水平。 折返仪器附接到至少一个椎体，其中该仪器包括至少两个细长延伸部，其至少一个椎骨体安装到近侧并从该至少一个椎体延伸。 连接组件在延伸部的近端彼此之间延伸并将其延伸。 连接组件包括可移动地接合到横向延伸延伸的细长连杆构件的第一和第二安装组件。 每个安装组件包括用于接收相应一个延伸部的近端的可移动接头和用于将安装组件相对于连接构件固定就位并将接头固定在延伸部周围的凸轮组件。
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