公开(公告)号：US08968270B2

公开(公告)日：2015-03-03

申请号：US13373999

申请日：2011-12-05

Applicant: Jonathan Kagan ,  Mitchell Dann ,  Lee Guterman ,  Joshua Butters ,  Paul Swain ,  T. Wade Fallin ,  Thomas Baldwin

Inventor： Jonathan Kagan ,  Mitchell Dann ,  Lee Guterman ,  Joshua Butters ,  Paul Swain ,  T. Wade Fallin ,  Thomas Baldwin

IPC: A61M31/00 ,  A61B17/064 ,  A61B17/00 ,  A61B17/04 ,  A61B17/11 ,  A61B17/12 ,  A61F2/04 ,  A61F5/00 ,  A61B17/29 ,  A61B17/06

CPC classification number: A61F5/0076 ,  A61B17/00234 ,  A61B17/0401 ,  A61B17/0482 ,  A61B17/0487 ,  A61B17/0643 ,  A61B17/0644 ,  A61B17/1114 ,  A61B17/12 ,  A61B17/29 ,  A61B2017/00349 ,  A61B2017/00827 ,  A61B2017/0404 ,  A61B2017/0406 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0454 ,  A61B2017/0458 ,  A61B2017/0464 ,  A61B2017/0472 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2017/0647 ,  A61B2017/0649 ,  A61F2/04 ,  A61F5/0036 ,  A61F5/0086 ,  A61F2002/044

Abstract: Methods are disclosed for replaceable attachment of an endoluminal gastrointestinal device, such as an artificial stoma device, a gastrointestinal bypass sleeve device or an attachment cuff, within a patient's digestive tract for treatment of obesity.

Abstract translation: 公开了用于可替换地附接在患者消化道内用于治疗肥胖症的腔内胃肠装置（例如人工造口装置，胃肠旁路套管装置或附件袖带）的方法。

公开(公告)号：US08926700B2

公开(公告)日：2015-01-06

申请号：US10860487

申请日：2004-06-02

Applicant: Robert W. Hoy ,  Daniel J. Triplett ,  T. Wade Fallin ,  Alan Chervitz ,  Daniel F. Justin

Inventor： Robert W. Hoy ,  Daniel J. Triplett ,  T. Wade Fallin ,  Alan Chervitz ,  Daniel F. Justin

IPC: A61F2/44 ,  A61F2/46 ,  A61B17/70 ,  A61B17/86 ,  A61F2/30

CPC classification number: A61F2/4405 ,  A61B17/7049 ,  A61B17/7064 ,  A61B17/7067 ,  A61B17/8625 ,  A61B17/8695 ,  A61B2017/8655 ,  A61F2/30771 ,  A61F2/4611 ,  A61F2002/30125 ,  A61F2002/30154 ,  A61F2002/30156 ,  A61F2002/30163 ,  A61F2002/30171 ,  A61F2002/30426 ,  A61F2002/30433 ,  A61F2002/30448 ,  A61F2002/30514 ,  A61F2002/30574 ,  A61F2002/30576 ,  A61F2002/30578 ,  A61F2002/30579 ,  A61F2002/30616 ,  A61F2002/30663 ,  A61F2002/3082 ,  A61F2002/30841 ,  A61F2002/3085 ,  A61F2002/30934 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2220/005 ,  A61F2230/0008 ,  A61F2230/0021 ,  A61F2230/0023 ,  A61F2230/005 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00203 ,  A61F2310/00239 ,  A61F2310/00796 ,  A61F2310/00928

Abstract: Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra.

Abstract translation: 一个或多个小关节的上和/或下小面可以由上和/或下小面关节假体代替。 在一个实施例中，提供了一种上或下假体的套件，其中所述假体具有至少两个尺寸，所述尺寸在所述套件的各个构件之间彼此独立地变化。 每个假体可以具有骨接合表面，其具有能够相对于脊椎的相应切除而被多轴旋转的表面。 每个假体还可以具有成形为使得在附接到脊柱之后，当脊柱弯曲时，被替换的或部分替换的小关节提供更大的内侧 - 内侧运动范围，而不是当脊柱延伸时。 交叉连接可以用于将左和右假体连接在一起，使得它们被稳定在它们直接抵靠椎骨的位置。

公开(公告)号：US08840621B2

公开(公告)日：2014-09-23

申请号：US12357596

申请日：2009-01-22

Applicant: Morteza M. Farr ,  Ephraim Akyuz ,  T. Wade Fallin ,  Daniel F. Justin ,  Joshua A. Butters ,  Daniel E. Gerbec

Inventor： Morteza M. Farr ,  Ephraim Akyuz ,  T. Wade Fallin ,  Daniel F. Justin ,  Joshua A. Butters ,  Daniel E. Gerbec

IPC: A61B17/56 ,  A61B17/02 ,  A61F2/46 ,  A61B17/34 ,  A61B17/16 ,  A61B19/00 ,  A61B17/3207 ,  A61F2/30 ,  A61B17/29 ,  A61B17/32 ,  A61F2/44

CPC classification number: A61B17/025 ,  A61B17/1604 ,  A61B17/1659 ,  A61B17/320708 ,  A61B17/3421 ,  A61B17/3468 ,  A61B90/361 ,  A61B90/50 ,  A61B2017/0256 ,  A61B2017/2904 ,  A61B2017/320044 ,  A61B2017/320056 ,  A61B2017/3447 ,  A61B2090/3618 ,  A61F2/4455 ,  A61F2/447 ,  A61F2/4601 ,  A61F2/4611 ,  A61F2/4684 ,  A61F2002/30116 ,  A61F2002/30538 ,  A61F2002/30616 ,  A61F2002/30904 ,  A61F2002/4435 ,  A61F2002/4627 ,  A61F2002/4681 ,  A61F2002/4687 ,  A61F2230/0006 ,  A61F2250/0006

Abstract: A system for accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate the spine. The location may be at the L4-L5 vertebral level, and the curved path may lie in a plane oblique to the transverse, coronal and sagittal planes of the spine, and avoid the iliac crest. A targeting post may be inserted adjacent the spine to determine the location, and a guide member may be inserted to establish the curved path. A micrometer assembly may adjust a cephalad-caudal displacement between the post and the guide member. One or more intermediate cannulas may be inserted over the guide member to dilate tissues prior to insertion of the main cannula. An interbody device may be implanted into an intervertebral space through the cannula.

Abstract translation: 用于从弯曲的后外侧方法进入脊柱的系统可以包括沿着从皮肤中的开口到靠近脊柱的位置的弯曲路径定位的弯曲插管。 该位置可能在L4-L5椎体水平，并且弯曲的路径可以位于倾斜于脊柱的横向，冠状和矢状平面的平面中，并且避免髂嵴。 可以在脊柱附近插入目标柱以确定位置，并且可以插入引导构件以建立弯曲路径。 测微计组件可以调节柱和引导构件之间的头端 - 尾端位移。 一个或多个中间插管可以在插入主插管之前插入引导构件上以扩张组织。 体间装置可以通过插管植入椎间空间。

公开(公告)号：US08709046B2

公开(公告)日：2014-04-29

申请号：US13032223

申请日：2011-02-22

Applicant: Alan Chervitz ,  Daniel J. Triplett ,  T. Wade Fallin ,  Robert W. Hoy ,  Daniel F. Justin

Inventor： Alan Chervitz ,  Daniel J. Triplett ,  T. Wade Fallin ,  Robert W. Hoy ,  Daniel F. Justin

IPC: A61B17/70

CPC classification number: A61F2/4405 ,  A61B17/7049 ,  A61B17/7064 ,  A61B17/7067 ,  A61B17/8625 ,  A61B17/8695 ,  A61B2017/8655 ,  A61F2/30771 ,  A61F2/4611 ,  A61F2002/30125 ,  A61F2002/30154 ,  A61F2002/30156 ,  A61F2002/30163 ,  A61F2002/30171 ,  A61F2002/30426 ,  A61F2002/30433 ,  A61F2002/30448 ,  A61F2002/30514 ,  A61F2002/30574 ,  A61F2002/30576 ,  A61F2002/30578 ,  A61F2002/30579 ,  A61F2002/30616 ,  A61F2002/30663 ,  A61F2002/3082 ,  A61F2002/30841 ,  A61F2002/3085 ,  A61F2002/30934 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2220/005 ,  A61F2230/0008 ,  A61F2230/0021 ,  A61F2230/0023 ,  A61F2230/005 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00203 ,  A61F2310/00239 ,  A61F2310/00796 ,  A61F2310/00928

Abstract: Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra.

Abstract translation: 一个或多个小关节的上和/或下小面可以由上和/或下小面关节假体代替。 在一个实施例中，提供了一种上或下假体的套件，其中所述假体具有至少两个尺寸，所述尺寸在所述套件的各个构件之间彼此独立地变化。 每个假体可以具有骨接合表面，其具有能够相对于脊椎的相应切除而被多轴旋转的表面。 每个假体还可以具有成形为使得在附接到脊柱之后，当脊柱弯曲时，被替换的或部分替换的小关节提供更大的内侧 - 内侧运动范围，而不是当脊柱延伸时。 交叉连接可以用于将左和右假体连接在一起，使得它们被稳定在它们直接抵靠椎骨的位置。

公开(公告)号：US08685061B2

公开(公告)日：2014-04-01

申请号：US13275636

申请日：2011-10-18

Applicant: E. Marlowe Goble ,  T. Wade Fallin ,  Robert W. Hoy

Inventor： E. Marlowe Goble ,  T. Wade Fallin ,  Robert W. Hoy

IPC: A61B17/70

CPC classification number: A61F2/4405 ,  Y10S606/907 ,  Y10S606/91

Abstract: A prosthesis for the replacement of multiple diseased or traumatized spinal facets comprises a portion that replaces at least a bony portion of the facets to be replaced and where the prosthesis attaches to the vertebra in a manner that does not require attachment to, or abutment against, the lamina. Multiple configurations of the prosthesis provide for replacement of the two inferior facets, the two superior facets, a superior and inferior facet, or all four facets. A method of installing the prosthesis is provided that is comprised of the steps of resecting at least a portion of the facets that carry the diseased or traumatized spinal facets and attaching the prosthesis in a manner that does not require attachment or abutment against the lamina.

Abstract translation: 用于替换多个患病或创伤的脊柱面的假体包括替代要替换的小平面的至少骨骼部分的部分，以及假体以不需要附接到或抵靠椎骨的方式附接到椎骨的部分， 薄片。 假体的多种构造提供了两个下部面，两个上表面，上下面或所有四个面的替换。 提供了一种安装假体的方法，其包括以下步骤：切除携带患病或创伤的脊柱面的至少一部分小平面，并且以不需要与椎板附接或抵靠的方式附接假体。

公开(公告)号：US20140058447A1

公开(公告)日：2014-02-27

申请号：US13846034

申请日：2013-03-18

Applicant: Alan Chervitz ,  Daniel J. Triplett ,  T. Wade Fallin ,  Robert W. Hoy

Inventor： Alan Chervitz ,  Daniel J. Triplett ,  T. Wade Fallin ,  Robert W. Hoy

IPC: A61B17/70 ,  A61F2/46

CPC classification number: A61F2/4405 ,  A61B17/7049 ,  A61B17/7064 ,  A61B17/7067 ,  A61B17/8625 ,  A61B17/8695 ,  A61B2017/8655 ,  A61F2/30771 ,  A61F2/4611 ,  A61F2002/30125 ,  A61F2002/30154 ,  A61F2002/30156 ,  A61F2002/30163 ,  A61F2002/30171 ,  A61F2002/30426 ,  A61F2002/30433 ,  A61F2002/30448 ,  A61F2002/30514 ,  A61F2002/30574 ,  A61F2002/30576 ,  A61F2002/30578 ,  A61F2002/30579 ,  A61F2002/30616 ,  A61F2002/30663 ,  A61F2002/3082 ,  A61F2002/30841 ,  A61F2002/3085 ,  A61F2002/30934 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2220/005 ,  A61F2230/0008 ,  A61F2230/0021 ,  A61F2230/0023 ,  A61F2230/005 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00203 ,  A61F2310/00239 ,  A61F2310/00796 ,  A61F2310/00928

Abstract: Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra.

Abstract translation: 一个或多个小关节的上和/或下小面可以由上和/或下小面关节假体代替。 在一个实施例中，提供了一种上或下假体的套件，其中所述假体具有至少两个尺寸，所述尺寸在所述套件的各个构件之间彼此独立地变化。 每个假体可以具有骨接合表面，其具有能够相对于脊椎的相应切除而被多轴旋转的表面。 每个假体还可以具有成形为使得在附接到脊柱之后，当脊柱弯曲时，被替换的或部分替换的小关节提供更大的内侧 - 内侧运动范围，而不是当脊柱延伸时。 交叉连接可以用于将左和右假体连接在一起，使得它们被稳定在它们直接抵靠椎骨的位置。

公开(公告)号：US08632550B2

公开(公告)日：2014-01-21

申请号：US13246748

申请日：2011-09-27

Applicant: Morteza M. Farr ,  Joshua A. Butters ,  T. Wade Fallin

Inventor： Morteza M. Farr ,  Joshua A. Butters ,  T. Wade Fallin

IPC: A61B17/56

CPC classification number: A61B17/025 ,  A61B17/1611 ,  A61B17/1642 ,  A61B17/1659 ,  A61B17/1757 ,  A61B17/3468 ,  A61B90/50 ,  A61B2017/0256 ,  A61B2017/2904 ,  A61B2017/320044 ,  A61F2/4455 ,  A61F2/447 ,  A61F2/4601 ,  A61F2/4611 ,  A61F2/4684 ,  A61F2002/30116 ,  A61F2002/30538 ,  A61F2002/30616 ,  A61F2002/30904 ,  A61F2002/4435 ,  A61F2002/4627 ,  A61F2002/4681 ,  A61F2002/4687 ,  A61F2230/0006 ,  A61F2250/0006

Abstract: A system for accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate the spine. A guide member may be first inserted to establish the path between the tissues and fascia, and one or more intermediate cannulas may be temporarily inserted over the guide member to dilate the tissues prior to insertion of the main cannula. An interbody device may be implanted in an intervertebral space through the cannula. The system may include a guide bar removably coupled to a targeting post. The targeting post may be inserted adjacent the spine to provide a target, and the guide bar may be removably attached to the guide member, to guide it along the path to the target location. An external support arm may be secured to any other component of the system.

Abstract translation: 用于从弯曲的后外侧方法进入脊柱的系统可以包括沿着从皮肤中的开口到靠近脊柱的位置的弯曲路径定位的弯曲插管。 可以首先插入引导构件以建立组织和筋膜之间的路径，并且可以在引导构件之前临时插入一个或多个中间插管以在插入主插管之前扩张组织。 可以通过插管将椎间体装置植入椎间空间。 该系统可以包括可拆卸地联接到目标柱的导杆。 瞄准杆可以插入邻近脊柱以提供目标，并且引导杆可以可移除地附接到引导构件，以将其引导到沿着目标位置的路径。 外部支撑臂可以固定到系统的任何其他部件。

公开(公告)号：US08617211B2

公开(公告)日：2013-12-31

申请号：US11692298

申请日：2007-03-28

Applicant: James F. Zucherman ,  Ken Y. Hsu ,  T. Wade Fallin ,  Charles J. Winslow ,  Henry A. Klyce

Inventor： James F. Zucherman ,  Ken Y. Hsu ,  T. Wade Fallin ,  Charles J. Winslow ,  Henry A. Klyce

IPC: A61B17/70 ,  A61F2/44

CPC classification number: A61B17/7065 ,  A61B17/025 ,  A61B17/66 ,  A61B17/7062 ,  A61B17/7064 ,  A61B17/7068 ,  A61B17/7071 ,  A61B2017/00867 ,  A61B2017/0256 ,  A61K31/37 ,  Y10S606/91

Abstract: A spine distraction implant alleviates pain associated with spinal stenosis and facet arthropathy by expanding the volume in the spine canal and/or neural foramen. The implant provides a spinal extension stop while allowing freedom of spinal flexion.

公开(公告)号：US08419770B2

公开(公告)日：2013-04-16

申请号：US10860543

申请日：2004-06-02

Applicant: Alan Chervitz ,  Daniel J. Triplett ,  T. Wade Fallin ,  Robert W. Hoy

Inventor： Alan Chervitz ,  Daniel J. Triplett ,  T. Wade Fallin ,  Robert W. Hoy

IPC: A61F2/44

CPC classification number: A61F2/4405 ,  A61B17/7049 ,  A61B17/7064 ,  A61B17/7067 ,  A61B17/8625 ,  A61B17/8695 ,  A61B2017/8655 ,  A61F2/30771 ,  A61F2/4611 ,  A61F2002/30125 ,  A61F2002/30154 ,  A61F2002/30156 ,  A61F2002/30163 ,  A61F2002/30171 ,  A61F2002/30426 ,  A61F2002/30433 ,  A61F2002/30448 ,  A61F2002/30514 ,  A61F2002/30574 ,  A61F2002/30576 ,  A61F2002/30578 ,  A61F2002/30579 ,  A61F2002/30616 ,  A61F2002/30663 ,  A61F2002/3082 ,  A61F2002/30841 ,  A61F2002/3085 ,  A61F2002/30934 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2220/005 ,  A61F2230/0008 ,  A61F2230/0021 ,  A61F2230/0023 ,  A61F2230/005 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00203 ,  A61F2310/00239 ,  A61F2310/00796 ,  A61F2310/00928

Abstract: Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra.

Abstract translation: 一个或多个小关节的上和/或下小面可以由上和/或下小面关节假体代替。 在一个实施例中，提供了一种上或下假体的套件，其中所述假体具有至少两个尺寸，所述尺寸在所述套件的各个构件之间彼此独立地变化。 每个假体可以具有骨接合表面，其具有能够相对于脊椎的相应切除而被多轴旋转的表面。 每个假体还可以具有成形为使得在附接到脊柱之后，当脊柱弯曲时，被替换的或部分替换的小关节提供更大的内侧 - 内侧运动范围，而不是当脊柱延伸时。 交叉连接可以用于将左和右假体连接在一起，使得它们被稳定在它们直接抵靠椎骨的位置。

公开(公告)号：US20130012965A1

公开(公告)日：2013-01-10

申请号：US13527424

申请日：2012-06-19

Applicant: M. Mary Sinnott ,  T. Wade Fallin

Inventor： M. Mary Sinnott ,  T. Wade Fallin

IPC: A61B17/04

CPC classification number: A61B17/0469 ,  A61B17/0483 ,  A61B17/0491 ,  A61B2017/06042

Abstract: Instruments and techniques to pass a suture are presented. The instruments and techniques are particularly useful where access to confined spaces and the ability to pass a suture through difficult to penetrate materials are needed. The instruments and techniques are particularly useful in surgery of the hands and feet.