公开(公告)号：US08668721B2

公开(公告)日：2014-03-11

申请号：US13004694

申请日：2011-01-11

申请人： Keith E. Miller

发明人： Keith E. Miller

IPC分类号： A61B17/70

CPC分类号： A61B17/7055 ,  A61B17/7041

摘要： A spinal stabilization apparatus and method according to which a fastener is engaged with a bone structure of a spinal system. The fastener is connected to a rod by moving the rod downward toward the fastener in a sagittal plane, and the direction of extension of at least a portion of the rod in a coronal plane may be selectively adjusted in predetermined angular increments through 360 degrees.

摘要翻译： 一种脊椎稳定装置和方法，根据该脊椎稳定装置和方法，紧固件与脊柱系统的骨结构接合。 紧固件通过在矢状平面中朝向紧固件向下移动杆而连接到杆上，并且可以以预定的角度增量以360度选择性地调节杆在冠状平面中的至少一部分的延伸方向。

公开(公告)号：US08591551B2

公开(公告)日：2013-11-26

申请号：US13006889

申请日：2011-01-14

申请人： Keith E Miller

发明人： Keith E Miller

IPC分类号： A61B17/70

CPC分类号： A61B17/7007 ,  A61B17/7001

摘要： Apparatus, methods, systems, procedures and implants for linking two or more anchors engaged to two or more vertebrae of a spinal column are provided. The systems include a plate assembly to stabilize one or more vertebral levels with first and second plate segments pivotally coupled to one another between anchors engaged to respective vertebrae of the vertebral level. The plate segments are manipulated to secure the plate segments to the respective vertebrae and lock the plate segments in position relative to one another.

摘要翻译： 提供了用于连接两个或更多个与脊柱的两个或多个椎骨接合的锚固件的装置，方法，系统，程序和植入物。 所述系统包括板组件，以使一个或多个脊椎水平面稳定，其中第一和第二板段在与椎骨水平的相应椎骨接合的锚固件之间枢转地相互联接。 操作板段以将板段固定到相应的椎骨并且将板段相对于彼此锁定在适当位置。

公开(公告)号：US20130190876A1

公开(公告)日：2013-07-25

申请号：US13354002

申请日：2012-01-19

申请人： Thomas E. Drochner ,  Keith E. Miller

发明人： Thomas E. Drochner ,  Keith E. Miller

IPC分类号： A61F2/44

CPC分类号： A61F2/442 ,  A61F2/28 ,  A61F2/30767 ,  A61F2/30965 ,  A61F2/4455 ,  A61F2/447 ,  A61F2002/2835 ,  A61F2002/30034 ,  A61F2002/30062 ,  A61F2002/3008 ,  A61F2002/30092 ,  A61F2002/30367 ,  A61F2002/30372 ,  A61F2002/30373 ,  A61F2002/30411 ,  A61F2002/30471 ,  A61F2002/30484 ,  A61F2002/30509 ,  A61F2002/30515 ,  A61F2002/30518 ,  A61F2002/30523 ,  A61F2002/30555 ,  A61F2002/30556 ,  A61F2002/30598 ,  A61F2002/30601 ,  A61F2002/30637 ,  A61F2002/30677 ,  A61F2002/30769 ,  A61F2002/30838 ,  A61F2002/30878 ,  A61F2002/30879 ,  A61F2002/30881 ,  A61F2002/30904 ,  A61F2002/4475 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00293 ,  A61F2310/00359 ,  A61F2310/00796 ,  A61F2310/00976

摘要： An intervertebral implant comprises a first component and a second component. A first arm extends between a first end and a second end. A second arm extends between a first end and a second end. The first ends of the arms are engageable with the first component. An actuator is disposed within the second component and includes a first member and a second member. The members are configured for axial translation relative to the actuator. The first member translates in a first axial direction and is engageable with the first arm and the second member translates in a second axial direction and is engageable with the second arm such that the arms move the first component and the second component between a first, collapsed configuration and a second, expanded configuration. Methods of use are disclosed.

摘要翻译： 椎间植入物包括第一组分和第二组分。 第一臂在第一端和第二端之间延伸。 第二臂在第一端和第二端之间延伸。 臂的第一端可与第一部件接合。 致动器设置在第二部件内并包括第一部件和第二部件。 构件构造成相对于致动器轴向平移。 第一构件在第一轴向方向上平移并且可与第一臂接合，并且第二构件在第二轴向方向上平移并且可与第二臂接合，使得臂将第一构件和第二构件在第一构件和第二构件之间移动， 配置和第二个扩展配置。 公开了使用方法。

公开(公告)号：US08439924B1

公开(公告)日：2013-05-14

申请号：US13437077

申请日：2012-04-02

申请人： Larry T. McBride ,  Keith E. Miller

发明人： Larry T. McBride ,  Keith E. Miller

IPC分类号： A61B17/70

CPC分类号： A61B17/7085 ,  A61B17/708

摘要： A system includes a sleeve including first and second arms each including an outer ramp and an inward projection, each of the arms defining a cavity. First and second extensions are configured for disposal in the cavities. A fastener includes walls defining an implant cavity and a distal portion. The walls each include first and second end surfaces and a locking cavity. The extensions are configured for translation relative to the sleeve between a first orientation such that the extensions engage the respective ramps to fix the projections with a respective locking cavity in a configuration to capture the fastener with the sleeve and a second orientation such that the extensions move out of engagement with the respective ramps so that the projections are movable out of engagement with the locking cavities to release the fastener from the sleeve. Methods of use are disclosed.

摘要翻译： 一种系统包括套筒，其包括第一和第二臂，每个臂包括外斜面和向内突出部，每个臂限定空腔。 第一和第二延伸部被配置为在腔中处理。 紧固件包括限定植入腔和远端部分的壁。 每个墙壁都包括第一和第二端面和锁定腔。 延伸部构造成相对于套筒在第一取向之间平移以使得延伸部接合相应的斜面以将具有相应的锁定腔的相应的锁定腔固定在构造中以捕获具有套筒的紧固件和第二取向，使得延伸部移动 脱离与相应斜面的接合，使得突出部可移动地与锁定空腔脱离接合，以将紧固件从套筒释放。 公开了使用方法。

公开(公告)号：US20130103154A1

公开(公告)日：2013-04-25

申请号：US13280090

申请日：2011-10-24

申请人： Hai H. Trieu ,  Keith E. Miller

发明人： Hai H. Trieu ,  Keith E. Miller

IPC分类号： A61F2/44

CPC分类号： A61F2/442 ,  A61F2/30965 ,  A61F2/447 ,  A61F2002/2817 ,  A61F2002/2835 ,  A61F2002/30062 ,  A61F2002/3008 ,  A61F2002/30092 ,  A61F2002/30136 ,  A61F2002/30403 ,  A61F2002/30626 ,  A61F2002/30629 ,  A61F2002/30777 ,  A61F2002/3078 ,  A61F2002/30785 ,  A61F2002/30827 ,  A61F2002/30841 ,  A61F2002/3085 ,  A61F2002/30879 ,  A61F2002/30881 ,  A61F2002/30904 ,  A61F2002/4475 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00179 ,  A61F2310/00293 ,  A61F2310/00359 ,  A61F2310/00407 ,  A61F2310/00796

摘要： A spinal implant includes first and second vertebral endplate-engaging components connected to each other at one end in articulated engagement to provide a desired expanded configuration, and an expander component disposed between the first and second components at the other end thereof to maintain the expanded configuration. Methods of use are disclosed.

摘要翻译： 脊柱植入物包括第一和第二椎骨终板接合部件，其一端在铰接接合处彼此连接以提供期望的扩张构型;以及膨胀器部件，其设置在第一和第二部件之间的另一端，以保持扩张构型 。 公开了使用方法。

公开(公告)号：US08353957B2

公开(公告)日：2013-01-15

申请号：US12763883

申请日：2010-04-20

申请人： Keith E. Miller ,  Cristian A. Capote

发明人： Keith E. Miller ,  Cristian A. Capote

IPC分类号： A61F2/44 ,  A61B17/88

CPC分类号： A61F2/441 ,  A61B2017/00557 ,  A61B2017/0256 ,  A61F2/30965 ,  A61F2/44 ,  A61F2/4611 ,  A61F2/4684 ,  A61F2002/30566 ,  A61F2002/30583 ,  A61F2002/30588 ,  A61F2002/4495 ,  A61F2210/0085 ,  A61F2310/00023 ,  A61F2310/00179

摘要： Embodiments of the invention include expandable, implantable devices and methods. Devices may be inserted with a longitudinal biasing force between anatomical structures to be stabilized and then expanded laterally or otherwise filled to provide secure fixation between or among the anatomical structures. In some embodiments, an implant replaces one or more vertebral bodies, or portions of vertebral bodies, of the spine.

摘要翻译： 本发明的实施例包括可扩展的可植入装置和方法。 装置可以插入解剖结构之间的纵向偏置力，以便被稳定，然后横向扩张或以其他方式填充，以在解剖结构之间或之间提供牢固的固定。 在一些实施例中，植入物替代脊柱的一个或多个椎体或椎体的一部分。

公开(公告)号：US08246625B2

公开(公告)日：2012-08-21

申请号：US12806913

申请日：2010-08-24

申请人： Keith E. Miller ,  Alan Rezach ,  Greg Denzer ,  Christopher Shaffrey ,  Marcel Dvorak ,  Charles Fisher ,  Jeff Wang ,  Ricardo C. Sasso

发明人： Keith E. Miller ,  Alan Rezach ,  Greg Denzer ,  Christopher Shaffrey ,  Marcel Dvorak ,  Charles Fisher ,  Jeff Wang ,  Ricardo C. Sasso

IPC分类号： A61B17/70

CPC分类号： A61B17/7088 ,  A61B17/7034

摘要： An instrument is provided for reduction of a rod or other elongated member into an implant, such as a bone screw. In one embodiment, such an instrument includes a rod adjusting assembly pivotably attached to an implant holding assembly. The implant holding assembly can be pivotably connected to an implant, and the rod adjusting assembly is operable to move a rod toward or away from the implant holding assembly. In that embodiment, several motions are possible by the instrument so that relatively small or large movements of a rod with respect to an implant may be made.

摘要翻译： 提供了用于将杆或其它细长构件还原成诸如骨螺钉的植入物的器械。 在一个实施例中，这种器械包括可枢转地附接到植入物保持组件的杆调节组件。 植入物保持组件可以可枢转地连接到植入物，并且杆调节组件可操作以将杆朝向或远离植入物保持组件移动。 在该实施例中，通过仪器可以进行若干动作，使得可以相对于植入物进行杆的相对较小或较大的运动。

公开(公告)号：US20120184995A1

公开(公告)日：2012-07-19

申请号：US13006889

申请日：2011-01-14

申请人： Keith E. Miller

发明人： Keith E. Miller

IPC分类号： A61B17/70

CPC分类号： A61B17/7007 ,  A61B17/7001

摘要： Apparatus, methods, systems, procedures and implants for linking two or more anchors engaged to two or more vertebrae of a spinal column are provided. The systems include a plate assembly to stabilize one or more vertebral levels with first and second plate segments pivotally coupled to one another between anchors engaged to respective vertebrae of the vertebral level. The plate segments are manipulated to secure the plate segments to the respective vertebrae and lock the plate segments in position relative to one another.

摘要翻译： 提供了用于连接两个或更多个与脊柱的两个或多个椎骨接合的锚固件的装置，方法，系统，程序和植入物。 所述系统包括板组件，以使一个或多个脊椎水平面稳定，其中第一和第二板段在与椎骨水平的相应椎骨接合的锚固件之间枢转地相互联接。 操作板段以将板段固定到相应的椎骨并且将板段相对于彼此锁定在适当位置。

公开(公告)号：US20120029571A1

公开(公告)日：2012-02-02

申请号：US12846298

申请日：2010-07-29

申请人： Frank J. Schwab ,  William Alan Rezach ,  Keith E. Miller

发明人： Frank J. Schwab ,  William Alan Rezach ,  Keith E. Miller

IPC分类号： A61B17/70

CPC分类号： A61B17/705

摘要： An adjustable connector including first and second connector members rotationally coupled together and configured to receive first and second spinal rods, respectively. In one embodiment, the first connector member includes an elongated slot that receives the first rod and has a length extending along an axis arranged transverse to the rotational axis, and the second connector member includes a second passage that receives the second rod. A lock member is positioned between the connector members and includes an angled rod bearing surface extending along a plane oriented at an oblique angle relative to the rotational axis. A compression member extends into the first passage of the first connector member and into compressed engagement with the first rod to displace the first rod along the length of the elongated slot and into sliding engagement with the angled rod bearing surface, which in turn axially displaces the lock member toward the second connector member to compress the first interface surface of the lock member against an opposing second interface surface to selectively prevent relative rotation between the connector members.

摘要翻译： 一种可调连接器，包括第一和第二连接器构件，其旋转地联接在一起并且构造成分别容纳第一和第二脊柱杆。 在一个实施例中，第一连接器构件包括细长狭槽，其接纳第一杆并且具有沿着横向于旋转轴线布置的轴线延伸的长度，并且第二连接器构件包括容纳第二杆的第二通道。 锁定构件定位在连接器构件之间并且包括沿着相对于旋转轴线以倾斜角度定向的平面延伸的倾斜杆支承表面。 压缩构件延伸到第一连接器构件的第一通道并与第一杆压缩接合，以沿着细长槽的长度移动第一杆并与成角度的杆支承表面滑动接合， 锁定构件朝向第二连接器构件，以将锁定构件的第一界面表面压靠在相对的第二接口表面上，以选择性地防止连接器构件之间的相对旋转。

公开(公告)号：US20110270012A1

公开(公告)日：2011-11-03

申请号：US12771014

申请日：2010-04-30

申请人： Keith E. Miller

发明人： Keith E. Miller

IPC分类号： A61M36/12

CPC分类号： A61N5/1001 ,  A61N2005/1094

摘要： Embodiments of the invention include a device for therapeutically delivering radiation to tissue. Some embodiments include a radiation source and a combination of members surrounding the radiation source that move relative to one another to permit or restrict the emitting of radiation from the device. Limits to the movement of the combination of members may be imposed by one or more biodegradable members.

摘要翻译： 本发明的实施例包括用于将辐射治疗递送至组织的装置。 一些实施例包括辐射源和围绕辐射源的部件的组合，其相对于彼此移动以允许或限制来自设备的辐射的发射。 对于组合的运动的限制可以由一个或多个可生物降解的构件施加。