公开(公告)号：US08100945B2

公开(公告)日：2012-01-24

申请号：US12573772

申请日：2009-10-05

申请人： Jonathan M. Dewey ,  Fred J. Molz, IV ,  Aurelien Bruneau ,  Eric C. Lange ,  Matthew M. Morrison ,  Thomas A. Carls ,  Kent M. Anderson ,  Jean M. Taylor

发明人： Jonathan M. Dewey ,  Fred J. Molz, IV ,  Aurelien Bruneau ,  Eric C. Lange ,  Matthew M. Morrison ,  Thomas A. Carls ,  Kent M. Anderson ,  Jean M. Taylor

IPC分类号： A61B17/70

CPC分类号： A61B17/7067

摘要： A prosthetic device for insertion in a spinal column includes a first, second, and third members. The first member includes an inferiorly extending tab and is of a relatively flexible material. The second member includes a superiorly extending tab and is of a relatively flexible material. The third member defines a superior opening for receiving the inferiorly extending tab and an inferior opening for receiving the superiorly extending tab and is of a relatively stiff material. The device also includes a means for providing a rigid connection of the third member to a vertebra.

摘要翻译： 用于插入脊柱的假体装置包括第一，第二和第三构件。 第一构件包括下延伸的突出部并且是相对柔性的材料。 第二构件包括上部延伸的突出部并且是相对柔性的材料。 第三构件限定用于接收下延伸突出部的上部开口和用于接收上延伸突出部并且具有相对刚性材料的下开口。 该装置还包括用于提供第三构件与椎骨的刚性连接的装置。

公开(公告)号：US08029550B2

公开(公告)日：2011-10-04

申请号：US12573779

申请日：2009-10-05

申请人： Jonathan M. Dewey ,  Fred J. Molz, IV ,  Aurelien Bruneau ,  Eric C. Lange ,  Matthew M. Morrison ,  Thomas A. Carls ,  Kent M. Anderson ,  Jean M. Taylor

发明人： Jonathan M. Dewey ,  Fred J. Molz, IV ,  Aurelien Bruneau ,  Eric C. Lange ,  Matthew M. Morrison ,  Thomas A. Carls ,  Kent M. Anderson ,  Jean M. Taylor

IPC分类号： A61B17/88 ,  A61B17/70

CPC分类号： A61B17/7067

摘要： A method of implanting a spinal prosthesis comprises inserting a first member between superior and inferior spinous processes associated with respective superior and inferior vertebrae. The superior and inferior vertebrae are separated by an intermediate vertebra. The method further includes inserting a second member through a channel in the first member. After the second member is inserted, the method requires removing the second member from the channel and inserting a third member through the channel. The third member has a different stiffness than the second member. Finally, the method requires anchoring the third member to the intermediate vertebra, while the third member is inserted through the channel. The third member is anchored at first and second locations disposed on respective first and second lateral sides of the intermediate vertebra.

摘要翻译： 植入脊椎假体的方法包括将第一构件插入与上下椎骨相关的上棘和下棘之间。 上下椎骨由中间椎骨分开。 该方法还包括通过第一构件中的通道插入第二构件。 在插入第二构件之后，该方法需要从通道中移除第二构件并且通过通道插入第三构件。 第三构件具有与第二构件不同的刚度。 最后，该方法需要将第三构件固定到中间椎骨，同时第三构件插入通道。 第三构件被固定在设置在中间椎骨的相应的第一和第二横向侧上的第一和第二位置处。

公开(公告)号：US20110218574A1

公开(公告)日：2011-09-08

申请号：US12716746

申请日：2010-03-03

申请人： Henry K. Bonin, JR. ,  Greg C. Marik ,  Thomas A. Carls

发明人： Henry K. Bonin, JR. ,  Greg C. Marik ,  Thomas A. Carls

IPC分类号： A61B17/70

CPC分类号： A61B17/7007 ,  A61B17/7008 ,  A61B17/702 ,  A61B17/7031 ,  A61B17/7032 ,  A61B17/7046

摘要： A vertebral construct includes a first fastening element having a first portion and a second portion configured for engagement with tissue. A rod defines an elongated cavity configured to facilitate dynamic translation of the first portion therein relative to the rod. A second fastening element has a first portion fixedly connected to the rod. Methods of use are disclosed.

摘要翻译： 椎骨结构包括具有第一部分的第一紧固元件和被配置为与组织接合的第二部分。 杆限定细长空腔，该细长空腔被构造成有助于使第一部分在其中相对于杆的动态平移。 第二紧固元件具有固定地连接到杆的第一部分。 公开了使用方法。

公开(公告)号：US20110184471A1

公开(公告)日：2011-07-28

申请号：US12695851

申请日：2010-01-28

申请人： Kevin T. Foley ,  Thomas A. Carls ,  Newt H. Metcalf, JR.

发明人： Kevin T. Foley ,  Thomas A. Carls ,  Newt H. Metcalf, JR.

IPC分类号： A61B17/80 ,  A61B17/86

CPC分类号： A61B17/7032 ,  A61B17/7031 ,  A61B17/863 ,  A61B17/92 ,  A61B2090/037

摘要： A bone anchor including a bone engaging portion, a tool engaging portion configured for engagement with an anchor removal tool, a head portion having a transverse base portion and two arm portions that together define a U-shaped channel, and a reduced strength portion extending between the tool engaging portion and the head portion and defining a region of reduced strength to provide a pre-defined fracture initiator or break zone. In another embodiment, the bone anchor includes a proximal head and a threaded shank having a plurality of thread turns adapted for anchoring to bone and extending along a threaded length that is at least twice the overall height of the proximal head, and a plurality of grooves circumferentially interrupting at least one of the thread turns along a proximal region of the threaded shank and sized and shaped for engagement with an anchor removal instrument.

摘要翻译： 一种骨锚，其包括骨接合部分，被配置为与锚固件移除工具接合的工具接合部分，具有横向基部部分的头部部分和共同限定U形通道的两个臂部分，以及在第 工具接合部分和头部部分，并且限定强度降低的区域以提供预定义的断裂引发剂或断裂区域。 在另一个实施例中，骨锚固件包括近端头部和螺纹柄部，所述螺纹柄部具有多个线圈，其适于锚定到骨骼并沿着至少两倍于近侧头部的总高度的螺纹长度延伸，并且多个凹槽 周向地沿着螺纹柄的近端区域中断至少一个螺纹，并且其尺寸和形状用于与锚固件移除工具接合。

公开(公告)号：US07914559B2

公开(公告)日：2011-03-29

申请号：US11420890

申请日：2006-05-30

申请人： Thomas A. Carls ,  Eric C. Lange ,  Christopher M. Patterson

发明人： Thomas A. Carls ,  Eric C. Lange ,  Christopher M. Patterson

IPC分类号： A61B17/70

CPC分类号： A61B17/7032 ,  A61B17/7037 ,  A61B17/7091 ,  A61B2090/037

摘要： A locking device and method are provided for a bone stabilization system which includes a bone anchor, a coupling mechanism and a stabilization member, wherein the coupling mechanism couples the stabilization member to the bone anchor. The locking device includes a seating member and a posted member. The seating member is operatively associated with the coupling mechanism for securing the stabilization member within the coupling mechanism, and is configured with an opening therein. The posted member, which includes an interface member and a post extending therefrom, is configured for disposition between the seating member and the stabilization member with the post extending therefrom being received into the opening in the seating member when the seating member is employed to secure the stabilization member within the coupling mechanism. The post is sized to engage and facilitate control of the stabilization member as the seating member operatively engages the coupling mechanism.

摘要翻译： 提供了一种用于骨骼稳定系统的锁定装置和方法，其包括骨锚固件，联接机构和稳定构件，其中联接机构将稳定构件联接到骨锚固件。 锁定装置包括座位构件和张贴构件。 座位构件与联接机构可操作地相关联，用于将稳定构件固定在联接机构内，并且在其中构造有开口。 包括接口构件和从其延伸的柱的张贴构件被构造成用于在座椅构件和稳定构件之间的配置，其中从座椅构件和稳定构件之间延伸的杆被接纳到座椅构件中的开口中， 稳定构件。 该柱的尺寸适于接合和便于在座构件可操作地接合联接机构时稳定构件的控制。

公开(公告)号：US20080140202A1

公开(公告)日：2008-06-12

申请号：US11608363

申请日：2006-12-08

申请人： Randall Noel Allard ,  Larry Thomas McBride ,  Tom J. Francis ,  Thomas A. Carls

发明人： Randall Noel Allard ,  Larry Thomas McBride ,  Tom J. Francis ,  Thomas A. Carls

IPC分类号： A61F2/44 ,  A61B17/08

CPC分类号： A61B17/7022 ,  A61B17/7011 ,  A61B17/7035 ,  A61B17/7059 ,  A61B17/7062 ,  A61B17/7064 ,  A61B17/86

摘要： An implant for insertion between vertebral bodies in a patient includes a flexible tether that is coupled between fasteners attached to the vertebral bodies. An energy storing device may be coupled to the tether to convert extension forces between the vertebral bodies into potential energy. The energy storing device may reduce defects at the interface between the fasteners and the vertebral bodies. Various embodiments are provided, including energy storing devices implemented as springs, leaf springs, coiled wire, and corrugated shapes. The energy storing device may be preloaded between the vertebral bodies to further reduce shock from sudden extensions. The energy storing device may be secured to the tether before or after the tether is secured to the fasteners. Further, the energy storing device may be sized to allow the tether and energy storing device to pass laterally through a fastener opening.

摘要翻译： 用于在患者的椎体之间插入的植入物包括在连接到椎体的紧固件之间联接的柔性系绳。 能量存储装置可以联接到系绳以将椎体之间的延伸力转换为势能。 储能装置可以减少紧固件和椎体之间的界面处的缺陷。 提供了各种实施例，包括实现为弹簧，板簧，盘绕线和波纹形状的能量存储装置。 能量存储装置可以预先装载在椎体之间，以进一步减少突然延伸的震动。 能量存储装置可以在将系绳固定到紧固件之前或之后固定到系绳。 此外，能量存储装置的尺寸可以使系绳和能量存储装置横向通过紧固件开口。

公开(公告)号：US5693056A

公开(公告)日：1997-12-02

申请号：US603398

申请日：1996-02-20

申请人： Thomas A. Carls ,  Steven M. Tammi

发明人： Thomas A. Carls ,  Steven M. Tammi

IPC分类号： A61B17/15

CPC分类号： A61B17/15 ,  A61B17/155

摘要： A surgical instrument for shaping a patient's bone tissue at the joint to receive an implant includes a cutting block body that is sized and shaped to fit a patient's long bone at the joint during joint replacement surgery. The block is attachable to the patient's bone tissue at the joint area. A flat cutting guide surface on the block body is provided for guiding a surgeon's saw blade when the surgeon cuts bone tissue at the joint. A saw capture removably attaches to the block body at or near the flat cutting guide surface. The saw capture also provides a flat cutting guide surface thereon that is positioned generally parallel to the cutting guide surface on the block body during use, a gap being formed therebetween. Wedge locking connections are provided for affixing the saw capture to the block body at the flat cutting guide surface. The connection includes first and second interlocking connecting portions that are respectively on the block body and saw capture. The saw capture is gradually wedged against the block body upon assembly of the block body and the saw capture so that the flat cutting guide surface of the saw capture and the flat cutting guide surface of the block body gradually approach one another upon such assembly.

摘要翻译： 用于在接头处成形患者骨组织以接收植入物的外科器械包括：切割块体，其尺寸和形状适于在关节置换手术期间将患者的长骨装配在关节处。 该块可在关节区域附接到患者的骨组织。 设置在块体上的平坦切割引导表面，用于在外科医生切割关节处的骨组织时引导外科医生的锯片。 锯片捕获可移除地附接到平坦切割引导表面处或附近的块体。 锯片捕获器还在其上提供平坦的切割引导表面，其在使用期间大致平行于块体上的切割引导表面定位，在它们之间形成间隙。 提供了楔形锁定连接件，用于将平板切割导向面上的锯片固定在块体上。 该连接包括分别位于块体上和锯上的第一和第二互锁连接部分。 锯块在组装块体和锯块时逐渐楔入块体，锯片的平坦切割导向表面和块体的平坦切割导向表面在组装时逐渐接近。

公开(公告)号：US08685026B2

公开(公告)日：2014-04-01

申请号：US12126116

申请日：2008-05-23

申请人： Thomas A Carls ,  Randall Noel Allard

发明人： Thomas A Carls ,  Randall Noel Allard

IPC分类号： A61B17/56

CPC分类号： A61B17/7022 ,  A61B17/7032 ,  A61B90/03

摘要： The present application is directed to devices and methods for releasing tension on a surgical tether. In one embodiment, the release mechanism is constructed to be positioned between a locked position and a release position. In the locked position, the release mechanism is attached to the tether to prevent the tether from moving through the release mechanism. In the release position, the release mechanism allows the tether to move through the body. The release mechanism may be constructed to move between the release and locked positions after being implanted within a patient. In one embodiment, the release mechanism returns to the locked position after the tension on the tether has been reduced below a predetermined amount.

摘要翻译： 本申请涉及用于释放手术系绳上的张力的装置和方法。 在一个实施例中，释放机构构造成定位在锁定位置和释放位置之间。 在锁定位置，释放机构附接到系绳以防止系绳移动通过释放机构。 在释放位置，释放机构允许系绳穿过身体。 释放机构可被构造成在植入患者体内之后在释放和锁定位置之间移动。 在一个实施例中，释放机构在系绳上的张力已经降低到预定量以下之前返回到锁定位置。

公开(公告)号：US08292930B2

公开(公告)日：2012-10-23

申请号：US12116016

申请日：2008-05-06

申请人： Randy N. Allard ,  Thomas A. Carls

发明人： Randy N. Allard ,  Thomas A. Carls

IPC分类号： A61B17/70

CPC分类号： A61B17/70 ,  A61B17/7001 ,  A61B17/7014 ,  A61B17/7028 ,  A61B17/7031 ,  A61B17/7032 ,  A61B17/7041 ,  A61B17/7053

摘要： The present application is directed to tethering systems that provide a corrective force to one or more vertebral members. The tethering systems may include an elongated member with first and second sections. The sections are displaceable relative to each other to increase a length of the elongated member. The first section may be attached to a first vertebral member, and a second section may be attached to a second vertebral member. At least one tether may be attached to the elongated member. The tether may include a length to be attached to the first and second sections, and to a third vertebral member that is positioned between and laterally offset from the first and second vertebral members. The length of the elongated member may increase thus causing the tether to apply a corrective force to the third vertebral member.

摘要翻译： 本申请涉及向一个或多个椎骨构件提供矫正力的束缚系统。 束缚系统可以包括具有第一和第二部分的细长构件。 这些部分可相对于彼此移位以增加细长构件的长度。 第一部分可以附接到第一椎骨构件，并且第二部分可以附接到第二椎骨构件。 至少一个系绳可以附接到细长构件。 系绳可以包括要附接到第一和第二部分的长度，以及定位在第一和第二椎骨构件之间并横向偏离第一和第二椎骨构件的第三椎骨构件。 细长构件的长度可以增加，从而使系绳向第三椎体构件施加矫正力。

公开(公告)号：US20100274295A1

公开(公告)日：2010-10-28

申请号：US12429295

申请日：2009-04-24

申请人： Thomas A. Carls ,  Newton H. Metcalf, JR.

发明人： Thomas A. Carls ,  Newton H. Metcalf, JR.

IPC分类号： A61B17/86

CPC分类号： A61B17/7041 ,  A61B17/7032 ,  A61B17/7049 ,  A61F2002/30677

摘要： Embodiments of the invention comprise a medical implant that delivers a therapeutic substance. In some embodiments, a component that delivers a therapeutic substance is a cap secured to a portion of a fastener such as a surgical construct, surgical screw, pedicle screw, spinal rod cross-link, or other connection element or device.

摘要翻译： 本发明的实施例包括递送治疗物质的医疗植入物。 在一些实施例中，递送治疗物质的部件是固定到诸如外科手术构造物，手术螺钉，椎弓根螺钉，脊柱杆交叉连接或其它连接元件或装置的紧固件的一部分的帽。