摘要:
A system for dynamic stabilization of the spine includes a bone engaging fastener configured to be anchored in a vertebra and a deflectable element mounted on the fastener. The deflectable element or bumper is configured and arranged to contact a portion of an adjacent vertebra, such as the facet, during extension of the spine, while offering no resistance during flexion. In certain embodiments, a cable may be fastened to the bone engaging fastener and arranged to contact a portion of the adjacent vertebra, such as the spinous process, during flexion of the spine. In one surgical technique of the invention, a contralateral approach is used to introduce the bone engaging fastener through the deflectable element and into the vertebra.
摘要:
A kit for injecting a biomaterial into an intradiscal space accessed through an opening in the disc annulus comprises a plurality of needles, each sized for introduction through the annulus opening with a passageway for injecting the biomaterial therethrough, and each including a distal end to be disposed within the intradiscal space when the needle extends through the annulus opening. Each needle includes a stop affixed thereto at different pre-determined distances from the distal end to define the location of the distal end within the intradiscal space when the needle extends through the opening in the annulus. The kit further includes a plurality of seals defining a bore for sliding engagement with a needle, each of the plurality of seals including a sealing face for engaging the annulus around the needle. Each sealing face defines a differently configured area of contact, such as circular, elliptical, tapered and threaded.
摘要:
In one embodiment, the invention relates to a composition suitable for preparing a hydrogel useful as replacement material for all or part of a disc nucleus. The composition comprises: a curable, cross-linkable, non-immunogenic, non-toxic protein comprising a minimum of about 10% and a maximum of about 25% of the hydrogel by weight; a metal contrast agent comprising a minimum of about 2% and a maximum of about 70% of the hydrogel by weight; and a crosslinker comprising a minimum of about 0.1% and a maximum of about 10% of the hydrogel by weight; wherein the composition has a discernable radiopacity level.
摘要:
A composition suitable for use as replacement material for all or part of a disc nucleus during percutaneous injection, the composition comprising: an injectable, curable, cross-linkable, non-immunogenic non-toxic protein hydrogel that (i) the protein component of the protein hydrogel contains at least one crosslinkable amino acid (ii) has a static compressive modulus of at least about 10 kPa, and (iii) has a dynamic compressive modulus of at least about 10 kPa; an iodinated contrast solution comprising an amount of an iodine compound sufficient to increase radiopacity to a discernable level, wherein the solution causes a decrease in the static and/or dynamic compressive modulus; and an amount of a crosslinker sufficient to restore at least about 100% of the decrease in static and/or dynamic compressive modulus caused by addition of the iodinated contrast solution.
摘要:
A self oscillating converter with regenerative switching includes circuitry to enhance the gain of circuity to turn off a MOSFET power switch and enhance the regenerative action culminating in turn off in order to eliminate bursting at low loads. The MOSFET power switching device turn off circuitry includes the addition of a supplementary drive transistor operative for counteracting the effects of the parasitic capacitances of the MOSFET power switching device. This permits the converter to operate with the shorter on times and to provide a low ripple output at very low load.
摘要:
A drip pan apparatus for a helicopter includes a frame and a drip pan. The frame is secured to a skirt on the airframe of the helicopter. The apparatus includes a drip pan for cooperation with a frame to cover an access opening to a transmission. The drip pan includes a substantially planar member of a fiber-reinforced composite and has a seal surface that is configured to cooperate with a seal surface of the frame. A seal member may be disposed between the substantially planar member and the frame to form a fluid-tight seal. The fiber-reinforced composite may be a carbon fiber-reinforced composite. A method of making the drip pan apparatus includes placing a plurality of sheets of an uncured fiber-reinforced composite material on one another to form an uncured stack. The uncured stack is then cured. A frame and a drip pan may be cut from the cured stack.
摘要:
A kit of parts is provided that comprises: a cannula, the distal end of the cannula adapted to be inserted through the disc annulus; an injection needle, the distal end adapted to be inserted into the proximal end of the cannula and configured for relatively close sliding fit therewithin; and a syringe for containing a quantity of curable biomaterial, the syringe adapted to be coupled to the proximal end of the needle and to inject the biomaterial into the needle under pressure. The kit may further comprise a quantity of curable biomaterial that is selected to have upon curing strong adhesive properties such as a protein polymer.
摘要:
A drip pan apparatus for a helicopter includes a frame and a drip pan. The frame is secured to a skirt on the airframe of the helicopter. The apparatus includes a drip pan for cooperation with a frame to cover an access opening to a transmission. The drip pan includes a substantially planar member of a fiber-reinforced composite and has a seal surface that is configured to cooperate with a seal surface of the frame. A seal member may be disposed between the substantially planar member and the frame to form a fluid-tight seal. The fiber-reinforced composite may be a carbon fiber-reinforced composite. A method of making the drip pan apparatus includes placing a plurality of sheets of an uncured fiber-reinforced composite material on one another to form an uncured stack. The uncured stack is then cured. A frame and a drip pan may be cut from the cured stack.
摘要:
A method for treating a diseased or damaged spinal disc comprises the steps of: (a) providing access to the nucleus pulposus through the annulus; (b) removing at least a portion of the nucleus pulposus to create an intradiscal space; determining the size of the intradiscal space; and (c) sealably introducing under pressure a curable biomaterial through the annulus directly into the intradiscal space. The method may include the additional steps of applying a force to distract the opposing vertebral bodies about the intradiscal space and then removing the distraction force after the biomaterial has cured. The step of determining the size of the intradiscal space may be accomplished by expanding a compliant balloon within the intradiscal space using a contrast medium capable of visualization under fluoroscopy. The curable material is sealably introduced through a vented needle inserted through the opening. The curable biomaterial is introduced until a quantity of the material flows into the vent.
摘要:
A vented needle assembly is provided for sealably injecting biomaterial into an intradiscal space interiorly of the annulus of a spinal disc and for providing an exhaust for the intradiscal space. The vented needle assembly comprises a compressible seal body for pressing against an outer surface of the annulus, and a needle extending through the seal. The needle may be configured to connect to a syringe for pressure injection of the biomaterial. The seal includes a vent extending therethrough with an opening for communication with the intradiscal space and an opening for the discharge of excess biomaterial filling the intradiscal space. A kit of parts is also provided for use in the treatment of a spinal disc, the kit comprising the vented needle assembly and an inflatable trial device. The trial device is removably introduced into the intradiscal space and inflated to determine the available size of the intradiscal space.