摘要:
A method of thermally treating tissue during a surgical procedure where a surgical access device, including a body member having walls with at least one conduit therein, is inserted into the patient. A chilled fluid is circulated through the at least one conduit such that the tissue that is located proximate the body member is cooled. Alternatively, the body member may be constructed from a highly thermally conductive material such that heat energy is transmitted through the body from the tissue located proximate the body member and into a heat sink. The surgical device may include a first or second blade portions constructed from an inner and an outer shell having walls. Ribs located on the inner shell sealingly coupled to the inner wall of the outer shell to create the at least one conduit within the walls of the blade portion.
摘要:
In one embodiment, a spinal stabilization apparatus includes a vertebral anchor having a head portion and a bone attachment portion. An elongate, flexible guide is removably coupled to the head portion of the vertebral anchor and has a channel extending longitudinally thereof and communicating with a slot in the head portion of the anchor. An elongate cord may be received within the channel to facilitate inserting and securing a spacer between pairs of anchors installed into adjacent vertebrae of a person's spine.
摘要:
An expandable surgical site access system and method for using the expandable surgical site access system to perform minimally invasive, percutaneous surgeries to access the spine or other bone structures, organs, or locations of the body is disclosed. In one embodiment, the surgical site access system includes an elongated, expandable stent that is particularly adapted to be deployed in a body during a surgical procedure to provide access to a surgical site within the body. The stent defines a working channel through the body from a point of entry to the surgical site.
摘要:
The present invention provides an injectable annular ring useful in treating a deteriorating spinal disc. When used, the annular ring may be collapsed or folded in order for it to be placed through a small opening in a prepared intervertebral space within the annulus using minimally invasive techniques. Deployment or unfolding the ring in the intervertebral space provides an interior cavity bordered by the ring that is in direct contact with the vertebral endplates. When an internal volume of the ring is inject or filled with a load-bearing, hardenable material, the filled ring maintains the intervertebral spacing and prevents the ring from being expelled from the interior cavity through the small annular opening.
摘要:
In one embodiment, a spinal stabilization apparatus includes a vertebral anchor having a head portion and a bone attachment portion. An elongate, flexible guide is removably coupled to the head portion of the vertebral anchor and has a channel extending longitudinally thereof and communicating with a slot in the head portion of the anchor. An elongate cord may be received within the channel to facilitate inserting and securing a spacer between pairs of anchors installed into adjacent vertebrae of a person's spine.
摘要:
A vertebral column correction system for correcting a spinal deformity without fusing the joint segments is disclosed. The vertebral column correction system may have first and second vertebral anchors secured to first and second vertebrae. The vertebral column correction system may further comprise one or more intermediate vertebral anchors secured to vertebrae between the first and second vertebrae. A connection member may be disposed within a head portion of the vertebral anchors. At least a portion of the connection member may be a flexible member, such as a flexible cord, configured for tensioning between at least two vertebral anchors for providing a desired amount of tension to apply a correctional force to the spinal column. A spring member, or other tensioning member, may maintain the tension of the connection member.
摘要:
A system for installing a cross member between first and second anchor members within a patient's body generally includes first and second docking members configured to be removably coupled to the respective first and second anchor members. Each docking member has a first end with an opening, a second end, and a body extending between the first and second ends. The body includes an outer surface with an opening, and a bore extends from the opening on the first end of the body to the opening on the outer surface. The openings on the outer surface of each docking member are configured to be aligned so that the bore in the first docking member is able to direct a wire member into the bore in the second docking member. A method for minimally invasive surgery using the system is also disclosed.
摘要:
In various embodiments, a spinal stabilization system has a first and a second vertebral anchor each adapted to be coupled to one of a first and a second vertebrae. The system also includes a flexible connecting element coupled to each of the first and second vertebral anchors and extending between the vertebral anchors. The connecting element has a central member and a brace positioned about the central member and the central member is stiffer than the brace to provide the needed combination of support and stiffness to the construct while offering flexibility. These and other various embodiments of this invention offer an improvement over known systems by providing stabilization of the vertebral column while allowing for flexibility and axial dampening.
摘要:
The present invention relates to spinal support devices and, more specifically, to a flexible member having variable flexibility for use with a dynamic stabilization system or implant to provide dynamic stability to a person's spine. The flexible member generally includes a first material having a first portion including a first material having a first elasticity and a second portion including a second material having a second elasticity greater than the first to provide the flexible member with a variable flexibility.
摘要:
An artificial disc includes a top vertebra-attachment portion and a lower spacer support connected to the top vertebra-attachment portion; a bottom vertebra-attachment portion and an upper spacer support connected to the bottom vertebra-attachment portion. The spacer supports are disposed between the vertebra-attachment portions, and the lower spacer support is disposed between the bottom vertebra-attachment portion and the upper spacer support. The disc further includes a first elastic spacer positioned between the spacer supports for compressively resisting tensile loading of the disc; and a second spacer disposed between the bottom vertebra-attachment portion and the lower spacer support or between the top vertebra-attachment portion and the upper spacer support for compressively resisting compressive loading of the disc.