公开(公告)号：US08512408B2

公开(公告)日：2013-08-20

申请号：US12971861

申请日：2010-12-17

Applicant: Keith Miller ,  Richard A. Hynes ,  Kidong Yu

Inventor： Keith Miller ,  Richard A. Hynes ,  Kidong Yu

IPC: A61F2/44

CPC classification number: A61F2/4425 ,  A61F2/4465 ,  A61F2/447 ,  A61F2/4611 ,  A61F2002/2817 ,  A61F2002/2835 ,  A61F2002/30434 ,  A61F2002/30471 ,  A61F2002/30507 ,  A61F2002/3054 ,  A61F2002/30616 ,  A61F2002/30626 ,  A61F2002/30632 ,  A61F2002/30637 ,  A61F2002/30904 ,  A61F2002/4415 ,  A61F2002/4475 ,  A61F2002/4485 ,  A61F2002/4629

Abstract: A spinal implant for positioning in a space formed between vertebral members. The implant includes a number of sections that are pivotally attached together at pivot axes. The pivot axes include connectors that extend through at least a portion of the sections and are configured for the sections to be pivotally attached for the implant to be flexible to facilitate insertion into the space and to be configurable to the space. One of the sections may include a receptacle that is contained within the section. The receptacle has a fixed size and shape that holds bone growth material. The fixed size and shape of the receptacle prevents the bone growth from escaping during flexing of the implant.

Abstract translation: 用于定位在椎骨构件之间形成的空间中的脊椎植入物。 植入物包括在枢转轴线枢转地附接在一起的多个部分。 枢转轴线包括延伸穿过至少一部分部分的连接器，并且被构造成用于将该部分枢轴连接以使植入物柔性以便于插入到该空间中并且可配置到该空间中。 其中一个部分可以包括容纳在该部分内的容器。 容器具有固定的尺寸和形状，其保持骨生长材料。 容器的固定尺寸和形状可防止在植入物弯曲过程中骨生长逸出。

公开(公告)号：US20120226319A1

公开(公告)日：2012-09-06

申请号：US13040035

申请日：2011-03-03

Applicant: Will Armstrong ,  Thomas Carls ,  John A. Cowan ,  James Duncan ,  Richard A. Hynes ,  Anthony J. Melkent ,  Jean-Pierre Mobasser ,  D. Ha Silcox, III

Inventor： Will Armstrong ,  Thomas Carls ,  John A. Cowan ,  James Duncan ,  Richard A. Hynes ,  Anthony J. Melkent ,  Jean-Pierre Mobasser ,  D. Ha Silcox, III

IPC: A61B17/88 ,  A61F2/44 ,  A61B17/70

CPC classification number: A61F2/447 ,  A61B17/7059 ,  A61B17/808 ,  A61F2/30771 ,  A61F2/30965 ,  A61F2/442 ,  A61F2/4611 ,  A61F2002/2817 ,  A61F2002/2835 ,  A61F2002/3008 ,  A61F2002/30365 ,  A61F2002/30383 ,  A61F2002/30517 ,  A61F2002/30542 ,  A61F2002/30576 ,  A61F2002/30578 ,  A61F2002/30629 ,  A61F2002/30777 ,  A61F2002/30779 ,  A61F2002/3082 ,  A61F2002/30904 ,  A61F2002/3093 ,  A61F2002/4475 ,  A61F2002/4622 ,  A61F2002/4623 ,  A61F2002/4627 ,  A61F2220/0008 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00293 ,  A61F2310/00329 ,  A61F2310/00353 ,  A61F2310/00359 ,  A61F2310/00365 ,  A61F2310/00371 ,  A61F2310/00377

Abstract: Systems, methods and devices for providing stabilization between first and second vertebrae are provided. More particularly, in one form a system includes an implant configured to be positioned in a disc space between the first and second vertebrae and a freestanding plate for engagement with extradiscal surfaces of the first and second vertebrae. The system also includes an insertion instrument with an engaging portion configured to releasably engage with the implant and the plate such that the implant and plate can be positioned together relative to the first and second vertebrae. In one aspect, an angular orientation of the implant relative to the plate is adjustable when the implant and the plate are engaged by the instrument. In this or another aspect, the implant and plate are held in a contiguous relationship when engaged by the instrument. However, different forms and applications are also envisioned.

Abstract translation: 提供了用于提供第一和第二椎骨之间的稳定性的系统，方法和装置。 更具体地，在一种形式中，系统包括构造成定位在第一和第二椎骨之间的盘空间中的植入物和用于与第一和第二椎骨的椎间盘外表面接合的独立板。 该系统还包括具有接合部分的插入器具，该接合部分构造成与植入物和板可释放地接合，使得植入物和板可相对于第一和第二椎骨定位在一起。 在一个方面，当植入物和板被仪器接合时，植入物相对于板的角度取向是可调节的。 在这个或另一方面，当由仪器接合时，植入物和板被保持在连续的关系中。 但是，也可以设想不同的形式和应用。

公开(公告)号：US20110029085A1

公开(公告)日：2011-02-03

申请号：US12605145

申请日：2009-10-23

Applicant: Richard A. Hynes ,  Keith E. Miller ,  Virginia L. Richardson

Inventor： Richard A. Hynes ,  Keith E. Miller ,  Virginia L. Richardson

IPC: A61F2/44

CPC classification number: A61F2/447 ,  A61F2/30965 ,  A61F2/4611 ,  A61F2002/2835 ,  A61F2002/30092 ,  A61F2002/30172 ,  A61F2002/30471 ,  A61F2002/30492 ,  A61F2002/30515 ,  A61F2002/30563 ,  A61F2002/30565 ,  A61F2002/30571 ,  A61F2002/30596 ,  A61F2002/30672 ,  A61F2002/30904 ,  A61F2002/4415 ,  A61F2002/4475 ,  A61F2210/0014 ,  A61F2220/0025 ,  A61F2220/0091 ,  A61F2230/0052 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00107 ,  A61F2310/00113 ,  A61F2310/00137 ,  A61F2310/00149

Abstract: A flexible spinal implant for insertion into an intervertebral disc space for sagittal and/or coronal intervertebral stabilization is provided comprising a flexible implant which enables bending of the flexible implant to facilitate insertion of the flexible spinal implant into the disc space via a spinal surgical procedure. The flexible spinal implant comprises a leading end, a trailing end flexibly connected to the leading end, a locking mechanism, wherein the implant is deformable at or about a flexible section to thereby permit a substantially straight entry of the implant into the disc space, and delivered to the selected disc space at a desired insertion angle of approach via a spinal surgical procedure. The implant can have a leading end comprising a curved or bullet shaped configuration, and the flexible section may be comprised of a flexible material or flexible sections which may be lockingly engaged.

Abstract translation: 提供了用于插入椎间盘空间以用于矢状和/或冠状椎间稳定的柔性脊柱植入物，其包括柔性植入物，其能够弯曲柔性植入物以便于通过脊柱外科手术将柔性脊柱植入物插入椎间盘空间。 柔性脊柱植入物包括前端，柔性地连接到前端的尾端，锁定机构，其中植入物可在柔性部分处或周围变形，从而允许植入物基本上直接进入椎间盘空间，以及 通过脊柱外科手术以期望的接近角度将其递送到所选择的椎间盘空间。 植入物可以具有包括弯曲或子弹形状构造的前端，并且柔性部分可以由可以锁定地接合的柔性材料或柔性部分构成。

公开(公告)号：US07220262B1

公开(公告)日：2007-05-22

申请号：US10099797

申请日：2002-03-15

Applicant: Richard A. Hynes

Inventor： Richard A. Hynes

IPC: A61B17/56 ,  A61B17/58

CPC classification number: A61B17/7043 ,  A61B17/7005 ,  A61B17/7011 ,  A61B17/7013 ,  A61B17/7014 ,  A61B17/7023 ,  A61B17/7025 ,  A61B17/7034 ,  A61B17/7038 ,  A61B17/7041 ,  A61B17/7071

Abstract: Pedicle screws are secured in two columns, one along each side of the spine. Cross support rods have ends connected to pedicle screw heads. A longitudinally extending rod is supported on the cross supports and recessed in the cavity created by removal of portions of spinous processes, providing a reduced profile of the installed construct. Several types of cross supports are shown such as: arms from the screws inward to rings or yokes connecting the longitudinal rod; cross rods with ends connected to the screws and having centrally-located yokes for the longitudinal rod; cross rods with articulating longitudinal rod portions fixed or swiveled to them. These cross rods may have end portions angled posterior toward anterior to accommodate lateral positioned pedicle screws, but shorter cross rods without angled end portions enable medialized pedicle screw orientation.

Abstract translation: 椎弓根螺钉固定在两列中，一列沿着脊柱两侧。 交叉支撑杆的端部连接到椎弓根螺钉头。 纵向延伸的杆被支撑在十字支架上，并且通过去除棘突的部分而形成凹陷，从而提供了所安装结构的减小的轮廓。 示出了几种类型的横向支撑件，例如：从螺钉向内的臂与连接纵向杆的环或轭; 横杆，其端部连接到螺钉并且具有用于纵向杆的中心定位的轭; 十字杆具有铰接的纵向杆部分固定或旋转到它们。 这些横杆可以具有朝向前方向后倾斜的端部，以容纳侧向定位的椎弓根螺钉，但是具有没有倾斜端部的较短的横杆可实现内侧椎弓根螺钉取向。

公开(公告)号：US08518398B2

公开(公告)日：2013-08-27

申请号：US12759051

申请日：2010-04-13

Applicant: Richard A. Hynes

Inventor： Richard A. Hynes

IPC: A01N63/00

CPC classification number: A61L24/0005 ,  A61K35/16 ,  A61L26/0057

Abstract: A method for treating an open wound, such as a surgical wound, may include preparing a first composition including a platelet poor plasma (PPP), and preparing a second composition including a platelet rich plasma (PRP). A layer of the first composition may be applied within the open wound, and a layer of the second composition may be applied within the open wound over the layer of the first composition.

Abstract translation: 用于治疗开放性伤口（例如手术伤口）的方法可包括制备包含不血小板血浆（PPP）的第一组合物，以及制备包含富血小板血浆（PRP）的第二组合物。 第一组合物的层可以施加在开放的伤口中，并且第二组合物的层可以施加在第一组合物的层上的开放的缠绕中。

公开(公告)号：US20130110241A1

公开(公告)日：2013-05-02

申请号：US13283915

申请日：2011-10-28

Applicant: Stanley T. Palmatier ,  Keith M. Miller ,  Charles L. Branch ,  William D. Armstrong ,  Anthony J. Melkent ,  Thomas Drochner ,  Richard A. Hynes ,  Jonathan Blackwell ,  Kidong Yu

Inventor： Stanley T. Palmatier ,  Keith M. Miller ,  Charles L. Branch ,  William D. Armstrong ,  Anthony J. Melkent ,  Thomas Drochner ,  Richard A. Hynes ,  Jonathan Blackwell ,  Kidong Yu

IPC: A61F2/44

CPC classification number: A61F2/4465 ,  A61F2/442 ,  A61F2/447 ,  A61F2/4611 ,  A61F2002/2817 ,  A61F2002/2835 ,  A61F2002/3008 ,  A61F2002/30092 ,  A61F2002/30523 ,  A61F2002/30538 ,  A61F2002/30677 ,  A61F2002/30777 ,  A61F2002/30784 ,  A61F2002/30827 ,  A61F2002/30828 ,  A61F2002/3083 ,  A61F2002/4475 ,  A61F2002/4627 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00221 ,  A61F2310/00293 ,  A61F2310/00359 ,  A61F2310/0097

Abstract: An interbody implant system is provided. The interbody implant system includes an implant having an engagement surface and an instrument including a first member and a second member that is movable relative to the first member. The first member is configured to capture the implant and the second member includes an interface configured to engage the engagement surface to releasably lock the implant in at least one orientation relative to the second member. The at least one of the engagement surface and the interface include at least one planar face. Methods of use are disclosed.

公开(公告)号：US20110029083A1

公开(公告)日：2011-02-03

申请号：US12533877

申请日：2009-07-31

Applicant: Richard A. Hynes ,  Keith E. Miller ,  Virginia L. Richardson ,  Brian R. Thoren

Inventor： Richard A. Hynes ,  Keith E. Miller ,  Virginia L. Richardson ,  Brian R. Thoren

IPC: A61F2/44

CPC classification number: A61F2/447 ,  A61F2/30965 ,  A61F2/442 ,  A61F2/4465 ,  A61F2/4611 ,  A61F2002/2835 ,  A61F2002/30092 ,  A61F2002/30471 ,  A61F2002/30563 ,  A61F2002/30571 ,  A61F2002/30579 ,  A61F2002/30596 ,  A61F2002/30904 ,  A61F2002/4415 ,  A61F2210/0014 ,  A61F2220/0091 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00107 ,  A61F2310/00113 ,  A61F2310/00137 ,  A61F2310/00149

Abstract: A flexible spinal implant for insertion into an intervertebral disc space for intervertebral stabilization is provided comprising a flexible implant section which enables bending of the implant body to facilitate insertion of the flexible spinal implant into the disc space via a spinal surgical procedure. The flexible spinal implant comprises a leading end, a trailing end and a flexible mid section connecting the leading end and the trailing end, wherein the implant is deformable at or about the flexible mid section to thereby permit a substantially straight entry of the implant into the disc space, and delivered to the selected disc space at a desired insertion angle of approach via a spinal surgical procedure. The implant can have a leading end comprising a curved or bullet shaped configuration, and the flexible mid section may be comprised of a flexible material.

Abstract translation: 提供了用于插入椎间盘间隙以用于椎间稳定的柔性脊椎植入物，其包括柔性植入部分，其能够弯曲植入体，以便于通过脊柱外科手术将柔性脊柱植入物插入椎间盘空间。 柔性脊柱植入物包括前端，后端和连接前端和后端的柔性中段，其中植入物可在柔性中间部分处或周围变形，从而允许植入物基本上直接进入 椎间盘空间，并通过脊柱外科手术以所需的接近插入角度递送到所选择的椎间盘空间。 植入物可以具有包括弯曲或子弹形状构造的前端，并且柔性中间部分可以由柔性材料构成。

公开(公告)号：US20100137916A1

公开(公告)日：2010-06-03

申请号：US12327417

申请日：2008-12-03

Applicant: Richard A. Hynes ,  Gary S. Lindemann ,  William David Armstrong

Inventor： Richard A. Hynes ,  Gary S. Lindemann ,  William David Armstrong

IPC: A61B17/70 ,  A61B17/04

CPC classification number: A61B17/7059 ,  A61B17/8042 ,  A61F2/30965 ,  A61F2/442 ,  A61F2/4455 ,  A61F2002/2817 ,  A61F2002/2835 ,  A61F2002/3008 ,  A61F2002/30578 ,  A61F2002/30787 ,  A61F2002/30835 ,  A61F2002/30841 ,  A61F2002/30906 ,  A61F2002/4435 ,  A61F2250/0098 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00167 ,  A61F2310/00173 ,  A61F2310/00203 ,  A61F2310/00239 ,  A61F2310/00329 ,  A61F2310/00796 ,  A61F2310/00976

Abstract: In some aspects, the spinal plates of the present disclosure are sized and shaped for use in a spinal level adjacent to a previously treated spinal level. The spinal plates of the present disclosure are generally no-profile or low-profile plates. That is, the spinal plates are sized and shaped for positioning entirely within the disc space between adjacent vertebrae such that the plates either do not extend beyond the outer boundaries of the vertebrae (no profile) or extend only slightly beyond the outer boundaries of the vertebrae (low profile). The spinal plates of the present disclosure are also configured to receive fixation members, such as bone screws, in a hyper-angulated orientation. The hyper-angulated screws facilitate optimal cortical bone purchase or penetration of the adjacent vertebrae to fixedly secure the spinal plates to the vertebrae.

Abstract translation: 在一些方面，本公开的脊椎板的尺寸和形状适于在与先前治疗的脊柱水平相邻的脊柱水平中使用。 本公开的脊椎板通常是无轮廓或低轮廓的板。 也就是说，脊柱板的尺寸和形状完全定位在相邻椎骨之间的椎间盘空间内，使得板不延伸超过椎骨的外边界（无轮廓）或仅延伸超过椎骨的外边界 （低调）。 本公开的脊椎板还构造成以超方向取向接收诸如骨螺钉的固定构件。 超角螺钉有助于最佳皮质骨采购或相邻椎骨的穿透，以将脊椎板固定在椎骨上。

公开(公告)号：US07473269B1

公开(公告)日：2009-01-06

申请号：US11132972

申请日：2005-05-19

Applicant: Richard A. Hynes

Inventor： Richard A. Hynes

IPC: A61B17/88 ,  A61B17/70

CPC classification number: A61B17/7043 ,  A61B17/7005 ,  A61B17/7011 ,  A61B17/7013 ,  A61B17/7014 ,  A61B17/7023 ,  A61B17/7025 ,  A61B17/7034 ,  A61B17/7038 ,  A61B17/7041 ,  A61B17/7071

Abstract: Pedicle screws are secured in two columns, one along each side of the spine. Cross support rods have ends connected to pedicle screw heads. A longitudinally extending rod is supported on the cross supports and recessed in the cavity created by removal of portions of spinous processes, providing a reduced profile of the installed construct. Several types of cross supports are shown such as: arms from the screws inward to rings or yokes connecting the longitudinal rod; cross rods with ends connected to the screws and having centrally-located yokes for the longitudinal rod; cross rods with articulating longitudinal rod portions fixed or swiveled to them. These cross rods may have end portions angled posterior toward anterior to accommodate lateral positioned pedicle screws, but shorter cross rods without angled end portions enable medialized pedicle screw orientation.

Abstract translation: 椎弓根螺钉固定在两列中，一列沿着脊柱两侧。 交叉支撑杆的端部连接到椎弓根螺钉头。 纵向延伸的杆被支撑在十字支架上，并且通过去除棘突的部分而形成凹陷，从而提供了所安装结构的减小的轮廓。 示出了几种类型的横向支撑件，例如：从螺钉向内的臂与连接纵向杆的环或轭; 横杆，其端部连接到螺钉并且具有用于纵向杆的中心定位的轭; 十字杆具有铰接的纵向杆部分固定或旋转到它们。 这些横杆可以具有朝向前方向后倾斜的端部，以容纳侧向定位的椎弓根螺钉，但是具有没有倾斜端部的较短的横杆可实现内侧椎弓根螺钉取向。

公开(公告)号：US09220607B2

公开(公告)日：2015-12-29

申请号：US13283915

申请日：2011-10-28

Applicant: Stanley T. Palmatier ,  Keith M. Miller ,  Charles L. Branch ,  William D. Armstrong ,  Anthony J. Melkent ,  Thomas Drochner ,  Richard A. Hynes ,  Jonathan Blackwell ,  Kidong Yu

Inventor： Stanley T. Palmatier ,  Keith M. Miller ,  Charles L. Branch ,  William D. Armstrong ,  Anthony J. Melkent ,  Thomas Drochner ,  Richard A. Hynes ,  Jonathan Blackwell ,  Kidong Yu

IPC: A61F2/44 ,  A61F2/46 ,  A61F2/30 ,  A61F2/28

CPC classification number: A61F2/4465 ,  A61F2/442 ,  A61F2/447 ,  A61F2/4611 ,  A61F2002/2817 ,  A61F2002/2835 ,  A61F2002/3008 ,  A61F2002/30092 ,  A61F2002/30523 ,  A61F2002/30538 ,  A61F2002/30677 ,  A61F2002/30777 ,  A61F2002/30784 ,  A61F2002/30827 ,  A61F2002/30828 ,  A61F2002/3083 ,  A61F2002/4475 ,  A61F2002/4627 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00221 ,  A61F2310/00293 ,  A61F2310/00359 ,  A61F2310/0097

Abstract: An interbody implant system is provided. The interbody implant system includes an implant having an engagement surface and an instrument including a first member and a second member that is movable relative to the first member. The first member is configured to capture the implant and the second member includes an interface configured to engage the engagement surface to releasably lock the implant in at least one orientation relative to the second member. The at least one of the engagement surface and the interface include at least one planar face. Methods of use are disclosed.

Abstract translation: 提供了一种体内植入系统。 体内植入系统包括具有接合表面的植入物和包括可相对于第一构件移动的第一构件和第二构件的器械。 第一构件被配置为捕获植入物，并且第二构件包括构造成接合接合表面的接口，以相对于第二构件以至少一个取向可释放地锁定植入物。 接合表面和界面中的至少一个包括至少一个平面。 公开了使用方法。