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公开(公告)号：US08657825B2
公开(公告)日：2014-02-25
申请号：US13017679
申请日：2011-01-31
IPC分类号： A61B17/70
CPC分类号： A61B17/88 , A61B17/7089
摘要： A method for stabilizing bony structures comprises attaching a bone anchor with a first extender extending therefrom and having a receiving portion to a first vertebra. A second bone anchor is then attached to a second extender extending therefrom and having a receiving portion to a second vertebra. A connecting element is manipulated into a desired position relative to the first bone anchor and the second bone anchor and into a pathway defined in the second extender. A securing member is delivered through a passage in the first extender. The connecting element is secured in the receiving portion of the first bone anchor with the securing member. The second extender is manipulated so that it contacts the connecting element. The second vertebra is moved toward the connecting element while the second extender is contacting the connecting element until the connecting element is seated in the receiving portion of the second bone anchor. The connecting element is secured in the receiving portion of the second bone anchor. Finally, the first extender is disengaged from the first bone anchor and the second extender is disengaged from the second bone anchor.
摘要翻译： 一种用于稳定骨骼结构的方法包括将骨锚固件与从其延伸的第一延伸器附接并且具有接收部分到第一椎骨。 然后将第二骨锚附接到从其延伸的第二延伸部并且具有到第二椎骨的接收部分。 连接元件相对于第一骨锚和第二骨锚被操纵到期望的位置并且进入限定在第二延伸器中的通路中。 固定构件通过第一延伸器中的通道输送。 连接元件用固定构件固定在第一骨锚的接收部分中。 第二个扩展器被操纵以使其与连接元件接触。 第二椎骨朝向连接元件移动，而第二延伸器与连接元件接触，直到连接元件位于第二骨锚的接纳部分中。 连接元件固定在第二骨锚的接收部分中。 最后，第一扩张器从第一骨锚脱离并且第二延伸器与第二骨锚分离。
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2.发明授权Surgical instruments and techniques for percutaneous placement of spinal stabilization elements 有权用于经皮放置脊柱稳定元件的手术器械和技术公开(公告)号：US08100951B2
公开(公告)日：2012-01-24
申请号：US12410645
申请日：2009-03-25
申请人： Jeff R. Justis , John D Pond, Jr.
发明人： Jeff R. Justis , John D Pond, Jr.
CPC分类号： A61B17/7002 , A61B17/7022 , A61B17/7032 , A61B17/7083 , A61B17/7086 , A61B17/7089 , A61B17/8866 , A61B34/20 , A61B2034/2051
摘要： Systems and methods for positioning a connecting element adjacent the spinal column in minimally invasive procedures include instruments that guide the connecting element from a location remote from one or more anchors to a location proximate to the one or more anchors. The instruments include extensions mountable to anchors, and inserter instruments mountable to the connecting element for positioning the connecting element adjacent the anchors in a minimally invasive procedure. The inserter instruments need not be mounted to the anchors or to the anchor extensions, and are operable independently thereof to position the connecting element into the patient along a minimally invasive insertion path from a location remote from the anchor extensions.
摘要翻译： 用于在微创程序中将连接元件邻近脊柱定位的系统和方法包括将连接元件从远离一个或多个锚定点的位置引导到靠近所述一个或多个锚定点的位置的仪器。 这些仪器包括可安装到锚的扩展器和可安装到连接元件上的插入器，用于以微创程序将连接元件邻近锚固件定位。 插入器械不需要安装到锚固件或锚固件延伸件上，并且可独立地操作，以将连接元件沿着从远离锚固件延伸部位置的微创插入路径定位到患者体内。
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公开(公告)号：US07927360B2
公开(公告)日：2011-04-19
申请号：US11341274
申请日：2006-01-26
IPC分类号： A61B17/70
CPC分类号： A61B17/7037 , A61B17/7011 , A61B17/7032 , A61B17/7085 , A61B17/7091 , A61B2090/037
摘要： There are provided systems and methods for positioning a connecting member adjacent the spinal column that include one or more anchor assemblies having an anchor engageable to bony structure and an extended receiver having a guide portion and an implantation portion. A connecting member is movable along the guide portion from a location outside the patient to the implantation portion in the patient, where the connecting member is secured to the anchor assembly with an engaging member. The guide portion is formed as a single unit with but separable from the implantation portion to provide a modified low-profile anchor assembly after implantation of the connecting member.
摘要翻译： 提供了用于定位邻近脊柱的连接构件的系统和方法，所述系统和方法包括具有可与骨结构接合的锚的一个或多个锚定组件和具有引导部分和植入部分的延伸接收器。 连接构件可以沿着引导部分从患者外部的位置移动到患者的植入部分，其中连接构件通过接合构件固定到锚固组件。 引导部分形成为具有离开植入部分的单一单元，以在植入连接构件之后提供改进的低轮廓锚固组件。
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4.发明申请公开(公告)号：US20090182382A1
公开(公告)日：2009-07-16
申请号：US12410645
申请日：2009-03-25
申请人： Jeff R. Justis , John D. Pond, JR.
发明人： Jeff R. Justis , John D. Pond, JR.
IPC分类号： A61B17/88
CPC分类号： A61B17/7002 , A61B17/7022 , A61B17/7032 , A61B17/7083 , A61B17/7086 , A61B17/7089 , A61B17/8866 , A61B34/20 , A61B2034/2051
摘要： Systems and methods for positioning a connecting element adjacent the spinal column in minimally invasive procedures include instruments that guide the connecting element from a location remote from one or more anchors to a location proximate to the one or more anchors. The instruments include extensions mountable to anchors, and inserter instruments mountable to the connecting element for positioning the connecting element adjacent the anchors in a minimally invasive procedure. The inserter instruments need not be mounted to the anchors or to the anchor extensions, and are operable independently thereof to position the connecting element into the patient along a minimally invasive insertion path from a location remote from the anchor extensions.
摘要翻译： 用于在微创程序中将连接元件邻近脊柱定位的系统和方法包括将连接元件从远离一个或多个锚定点的位置引导到靠近所述一个或多个锚定点的位置的仪器。 这些仪器包括可安装到锚的扩展器和可安装到连接元件上的插入器，用于以微创程序将连接元件邻近锚固件定位。 插入器械不需要安装到锚固件或锚固件延伸件上，并且可独立地操作，以将连接元件沿着从远离锚固件延伸部位置的微创插入路径定位到患者体内。
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5.发明授权Surgical instruments and techniques for percutaneous placement of spinal stabilization elements 有权用于经皮放置脊柱稳定元件的手术器械和技术公开(公告)号：US07520879B2
公开(公告)日：2009-04-21
申请号：US11348999
申请日：2006-02-07
申请人： Jeff R. Justis , John D. Pond, Jr.
发明人： Jeff R. Justis , John D. Pond, Jr.
CPC分类号： A61B17/7002 , A61B17/7022 , A61B17/7032 , A61B17/7083 , A61B17/7086 , A61B17/7089 , A61B17/8866 , A61B34/20 , A61B2034/2051
摘要： Systems and methods for positioning a connecting element adjacent the spinal column in minimally invasive procedures include instruments that guide the connecting element from a location remote from one or more anchors to a location proximate to the one or more anchors. The instruments include extensions mountable to anchors, and inserter instruments mountable to the connecting element for positioning the connecting element adjacent the anchors in a minimally invasive procedure. The inserter instruments need not be mounted to the anchors or to the anchor extensions, and are operable independently thereof to position the connecting element into the patient along a minimally invasive insertion path from a location remote from the anchor extensions.
摘要翻译： 用于在微创程序中将连接元件邻近脊柱定位的系统和方法包括将连接元件从远离一个或多个锚定点的位置引导到靠近所述一个或多个锚定点的位置的仪器。 这些仪器包括可安装到锚的扩展器和可安装到连接元件上的插入器，用于以微创程序将连接元件邻近锚固件定位。 插入器械不需要安装到锚固件或锚固件延伸件上，并且可独立地操作，以将连接元件沿着从远离锚固件延伸部位置的微创插入路径定位到患者体内。
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公开(公告)号：US08012179B2
公开(公告)日：2011-09-06
申请号：US11429816
申请日：2006-05-08
申请人： Aurelien Bruneau , Thomas Carls , Eric C. Lange , John D. Pond, Jr. , Kent Anderson , Henry Bonin
发明人： Aurelien Bruneau , Thomas Carls , Eric C. Lange , John D. Pond, Jr. , Kent Anderson , Henry Bonin
CPC分类号： A61B17/562 , A61B17/7011
摘要： Devices and methods for spinal stabilization include first and second anchor assemblies engageable to respective ones of first and second vertebrae and a connecting element engageable to the first and second anchor assemblies. The connecting element includes opposite first and second anchor engaging end portions and a length along a longitudinal axis between the first and second anchor engaging end portions sized for positioning between and engaging each of the first and second anchor assemblies when the first and second anchor assemblies are engaged to the respective vertebrae. The connecting element further includes a support portion between the first and second anchor engaging end portions. The support portion includes first and second support members spaced from one another on opposite sides of the longitudinal axis, and a stabilizing member extending between the support members in a transverse orientation to the longitudinal axis.
摘要翻译： 用于脊柱稳定的装置和方法包括可接合第一和第二椎骨中的相应的第一和第二椎骨的第一和第二锚固组件以及可接合到第一和第二锚固组件的连接元件。 连接元件包括相对的第一和第二锚定接合端部，以及沿着第一和第二锚定接合端部之间的纵向轴线的长度，其尺寸适合于当第一和第二锚固组件为 接合到相应的椎骨。 连接元件还包括在第一和第二锚固件接合端部之间的支撑部分。 支撑部分包括在纵向轴线的相对侧上彼此间隔开的第一和第二支撑构件以及在纵向轴线的横向方向上在支撑构件之间延伸的稳定构件。
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公开(公告)号：US20110125192A1
公开(公告)日：2011-05-26
申请号：US13017679
申请日：2011-01-31
CPC分类号： A61B17/88 , A61B17/7089
摘要： Systems for positioning a connecting element adjacent the spinal column in minimally invasive surgical procedures include one or more extenders removably engaged to one or more anchors engaged to a bony segment. The anchor extenders provide a reference to the respective anchor locations within the patient even when the anchor is obstructed by skin and/or tissue of the patient. An inserter can be movably mounted to the one or more anchor extenders, or an inserter can be employed without mounting to the one or more anchor extenders. In either form, the inserter is operable to position a stabilization element relative to the anchors for engagement to the anchors to stabilize the bony segment to which the anchors are engaged. At least one of the one or more anchor extenders includes a reduction assembly that is operable to move one or more portions of the bony segment while maintaining the minimally invasive character of the procedure.
摘要翻译： 用于在微创手术过程中用于定位邻近脊柱的连接元件的系统包括可拆卸地接合到接合到骨段的一个或多个锚的一个或多个延伸器。 即使当锚固体被患者的皮肤和/或组织阻塞时，锚定器延伸器提供对患者内的相应锚定位置的参考。 插入器可以可移动地安装到一个或多个锚定器延伸器，或者可以使用插入器而不安装到一个或多个锚定器延伸器。 在任一种形式中，插入器可操作以相对于锚固件定位稳定元件以与锚固件接合以稳定锚固件所接合的骨段。 所述一个或多个锚定器延伸器中的至少一个包括还原组件，其可操作以移动所述骨段的一个或多个部分，同时保持所述程序的微创特征。
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公开(公告)号：US20100094115A1
公开(公告)日：2010-04-15
申请号：US12653238
申请日：2009-12-10
CPC分类号： A61B17/1757 , A61B2017/00026
摘要： A surgical needle assembly for penetrating soft and hard tissues of a patient includes a handle assembly removably coupled to the needle assembly. The needle assembly is electrically coupled to an electrical signal source. The surgical tool includes an electrically conductive portion in communication with an un-insulated distal end of the needle assembly, and an insulated portion extending from the distal end to the handle assembly.
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9.发明申请公开(公告)号：US20120071784A1
公开(公告)日：2012-03-22
申请号：US13309160
申请日：2011-12-01
申请人： Anthony J. Melkent , John D. Pond, JR. , William Keith Adcox , Jonathan Blackwell , Sharonda Felton
发明人： Anthony J. Melkent , John D. Pond, JR. , William Keith Adcox , Jonathan Blackwell , Sharonda Felton
IPC分类号： A61B5/05
CPC分类号： A61B5/04001 , A61B5/4041
摘要： Systems and methods include an anchor engageable to a vertebra and an extender removably mounted to the anchor. The extender includes an insulating member extending at least partially thereabout to electrically insulate the extender and prevent shunting of electrical signals delivered through the extender to the anchor to structures adjacent the extender.
摘要翻译： 系统和方法包括可接合到椎骨的锚固件和可拆卸地安装到锚固件的延伸器。 扩展器包括绝缘构件，其至少部分地延伸到其周围以电绝缘延伸器并且防止将通过延伸器传送的电信号分流到锚定件到邻近扩展器的结构。
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10.发明授权公开(公告)号：US06817978B2
公开(公告)日：2004-11-16
申请号：US10055778
申请日：2002-01-23
IPC分类号： A61B132
CPC分类号： A61B17/00008 , A61B1/07 , A61B1/32 , A61B17/02 , A61B2017/0046 , A61B2017/00469 , A61B2017/00969 , A61B2017/320044 , A61B2090/306
摘要： An illuminated surgical retractor for defining and illuminating a subcutaneous surgical field in the space near a vessel (such as the radial artery or the basilic vein) during a procedure for harvesting the vessel, wherein the illuminated surgical retractor includes a handle member pivotally connected at an acute angle to a first elongate section that has a non-liner shape, and includes a second elongate section releasably connected to the first elongate section, wherein a portion of the second elongate section defines an illumination input end portion, which is optically coupled to a light source to substantially illuminate the second elongate section, and further including an insertion area positioned on the proximal end portion of the first elongate section to allow the second elongate section to be inserted into the first elongate section.
摘要翻译： 一种照明的手术牵开器，用于在收集所述血管的过程期间限定和照射容器（例如桡动脉或基底静脉）附近的空间中的皮下外科手术区域，其中所述照明的手术牵开器包括：手柄部件， 与具有非衬垫形状的第一细长部分具有锐角，并且包括可释放地连接到第一细长部分的第二细长部分，其中第二细长部分的一部分限定照明输入端部分，光学耦合到 光源以基本上照亮第二细长部分，并且还包括定位在第一细长部分的近端部分上的插入区域，以允许第二细长部分插入第一细长部分。
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