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公开(公告)号:US08092542B2
公开(公告)日:2012-01-10
申请号:US12624160
申请日:2009-11-23
申请人: Vincent Bryan , Alex Kunzler , Charles R. Clark , Robert Conta , Carlos E. Gil
发明人: Vincent Bryan , Alex Kunzler , Charles R. Clark , Robert Conta , Carlos E. Gil
CPC分类号: A61B17/1757 , A61B17/02 , A61B17/1664 , A61B17/1671 , A61B17/1675 , A61B17/1684 , A61B90/10 , A61B90/50 , A61B2017/0256 , A61B2017/1602 , A61B2090/034 , A61F2/30742 , A61F2/30744 , A61F2/442 , A61F2/4425 , A61F2/4611 , A61F2002/30204 , A61F2002/30235 , A61F2002/30474 , A61F2002/30499 , A61F2002/30528 , A61F2002/30563 , A61F2002/30578 , A61F2002/30616 , A61F2002/30662 , A61F2002/30673 , A61F2002/30682 , A61F2002/30769 , A61F2002/30772 , A61F2002/443 , A61F2220/0025 , A61F2230/0065 , A61F2230/0069 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00203 , A61F2310/00239 , A61F2310/00407
摘要: The invention relates to a surgical implant that provides an artificial diarthroidal-like joint, suitable for use in replacing any joint, but particularly suitable for use as an intervertebral disc endoprosthesis. The invention contains two rigid opposing shells, each having an outer surface adapted to engage the surfaces of the bones of a joint in such a way that the shells are immobilized by friction between their outer surfaces and the surfaces of the bone. These outer surfaces are sufficiently rough that large frictional forces strongly resist any slippage between the outer surface and the bone surfaces in the joint. They may be convex, and when inserted into a milled concavity, are immediately mechanically stable. Desirably, the outer surfaces of the shells are adapted to allow for bony ingrowth, which further stabilizes the shells in place. The inner surfaces of the shells are relatively smooth, and adapted to slide easily across a portion of the outer surface of a central body disposed between the shells. The central body has a shape that cooperates with the shape of the inner surface of the shell so as to provide a range of motion similar to that provided by a healthy joint. A flexible sheath extends between edges of the opposing shells. The inner surface of this sheath, together with the inner surfaces of the rigid shells, defines a cavity encasing the central body. At least a portion of this cavity is filled with a fluid lubricant, further decreasing the frictional force between inner surfaces of the shell and the surface of the central body.
摘要翻译: 本发明涉及一种手术植入物,其提供适于用于替换任何关节,但特别适合用作椎间盘内假体的人造骨关节样关节。 本发明包含两个刚性的相对的壳,每个具有外表面,该外表面适合于接合骨头的表面,使得外壳通过其外表面和骨表面之间的摩擦固定。 这些外表面足够粗糙,使得大的摩擦力强烈地抵抗接合处的外表面和骨表面之间的任何滑动。 它们可以是凸形的,并且当插入铣削凹部时,它们立即机械地稳定。 理想地,壳的外表面适于允许骨向内生长,这进一步将壳稳定在适当位置。 壳的内表面相对平滑,并且适于容易地滑过设置在壳之间的中心体的外表面的一部分。 中心体具有与壳的内表面的形状配合的形状,以提供类似于由健康关节提供的运动范围。 柔性护套在相对的壳的边缘之间延伸。 该护套的内表面与刚性外壳的内表面一起限定了一个包围中心体的空腔。 该空腔的至少一部分填充有流体润滑剂,进一步降低了壳的内表面与中心体的表面之间的摩擦力。
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公开(公告)号:US07601174B2
公开(公告)日:2009-10-13
申请号:US10600052
申请日:2003-06-20
申请人: Aaron Kelly , Leonard Tokish , Jeff Edfast , David Yager , Alex Kunzler , Vincent Bryan , Randy Allard , Jeff Rouleau , Robert Conta , Carlos Gil
发明人: Aaron Kelly , Leonard Tokish , Jeff Edfast , David Yager , Alex Kunzler , Vincent Bryan , Randy Allard , Jeff Rouleau , Robert Conta , Carlos Gil
IPC分类号: A61F2/44
CPC分类号: A61B17/1671 , A61B17/02 , A61B17/1757 , A61B90/10 , A61B90/50 , A61B2017/0256 , A61B2017/1602 , A61B2090/034 , A61F2/30742 , A61F2/30744 , A61F2/442 , A61F2/4425 , A61F2/4611 , A61F2002/30204 , A61F2002/30235 , A61F2002/30365 , A61F2002/3037 , A61F2002/30433 , A61F2002/30474 , A61F2002/30499 , A61F2002/30528 , A61F2002/30563 , A61F2002/30571 , A61F2002/30578 , A61F2002/30616 , A61F2002/30662 , A61F2002/30673 , A61F2002/30682 , A61F2002/30769 , A61F2002/30772 , A61F2002/443 , A61F2220/0025 , A61F2220/0033 , A61F2220/0041 , A61F2230/0065 , A61F2230/0069 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00179 , A61F2310/00203 , A61F2310/00239 , A61F2310/00796
摘要: An implantable endoprosthesis is adapted to articulate with one or more prosthesis surfaces, and is at least partially formed from a material having high wear resistance, which may be a polymeric material such as ultra-high molecular weight polyethylene (UHMWPE), polyetherether ketone (PEEK), and the like, or a metallic material, such as a cobalt-chrome alloy, or a ceramic material, such as alumina or zirconia. The body member of the endoprosthesis may be formed from a composite material, and includes at least a first component formed from a first material having increased wear resistance as compared to that of a second material forming a second component of the body member. The second material is generally more resilient as compared to the first material.
摘要翻译: 植入式假体适于与一个或多个假体表面相关联,并且至少部分由具有高耐磨性的材料形成,所述材料可以是聚合材料,例如超高分子量聚乙烯(UHMWPE),聚醚醚酮(PEEK) )等,或诸如钴铬合金的金属材料或诸如氧化铝或氧化锆的陶瓷材料。 内置假体的主体构件可以由复合材料形成,并且至少包括由与形成本体构件的第二构件的第二材料相比具有增加的耐磨性的第一材料形成的第一构件。 与第一种材料相比,第二种材料通常更有弹性。
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公开(公告)号:US07331963B2
公开(公告)日:2008-02-19
申请号:US08944234
申请日:1997-10-06
申请人: Vincent Bryan , Alex Kunzler
发明人: Vincent Bryan , Alex Kunzler
IPC分类号: A61B17/00
CPC分类号: A61B17/1671 , A61B17/1659
摘要: A drill head for preparing the bone of two opposing vertebral bodies to accept the concaval-convex shape of an endoprosthesis includes a form cutter having at least one predetermined milling surface, drive means, and a housing. The form cutter has a profile allowing the drill head to fit in the narrow space between two opposing vertebral bodies in the cervical spine of a patient. The drill head is used in a method for preparing the disc space between adjacent vertebrae of a human spine to receive an endoprosthesis therebetween, the method being performed by contacting at least one vertebral body with a movable form cutter.
摘要翻译: 用于制备两个相对的椎体的骨头以接受内用假体的凹凸形状的钻头包括具有至少一个预定铣削表面,驱动装置和壳体的成形刀具。 成型切割机具有允许钻头安装在患者的颈椎中的两个相对的椎体之间的狭窄空间中的轮廓。 钻头用于制备人脊椎相邻椎骨之间的椎间盘间隙以在其间接受内假体的方法,所述方法通过使至少一个椎体与可移动切割刀相接触来执行。
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公开(公告)号:US07025787B2
公开(公告)日:2006-04-11
申请号:US10303569
申请日:2002-11-25
申请人: Vincent Bryan , Alex Kunzler , Randall Allard , Richard Broman , Anthony Finazzo , Carlos Gil , Elliott Marshall , Leonard Tokish
发明人: Vincent Bryan , Alex Kunzler , Randall Allard , Richard Broman , Anthony Finazzo , Carlos Gil , Elliott Marshall , Leonard Tokish
IPC分类号: A61F2/44
CPC分类号: A61F2/4425 , A61B17/1671 , A61B17/1757 , A61B2017/0256 , A61F2/30742 , A61F2/30744 , A61F2/30767 , A61F2/441 , A61F2002/30495 , A61F2002/30563 , A61F2002/30578 , A61F2002/30673 , A61F2002/30685 , A61F2002/30738 , A61F2002/30922 , A61F2002/30968 , A61F2002/3097 , A61F2002/443 , A61F2220/0025 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00203 , A61F2310/00239 , A61F2310/00407
摘要: An implantable prosthesis is described having a pair of opposed shells and a central body disposed between the opposed shells wherein the central body and the shells cooperate to limit the motion of the central body with respect to the shells. An assembly for preparing a disc space for the implantation of a prosthesis is further described having a plurality of instruments cooperating to guide a tool associated with the assembly.
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公开(公告)号:US20060074489A1
公开(公告)日:2006-04-06
申请号:US11286866
申请日:2005-11-23
申请人: Vincent Bryan
发明人: Vincent Bryan
IPC分类号: A61F2/44
CPC分类号: A61F2/441 , A61F2/30742 , A61F2/30744 , A61F2/442 , A61F2002/30014 , A61F2002/30016 , A61F2002/30121 , A61F2002/30123 , A61F2002/3013 , A61F2002/30133 , A61F2002/30225 , A61F2002/30253 , A61F2002/3038 , A61F2002/30462 , A61F2002/30507 , A61F2002/30563 , A61F2002/30604 , A61F2002/30673 , A61F2002/30777 , A61F2002/30785 , A61F2002/30787 , A61F2002/30822 , A61F2002/30975 , A61F2002/443 , A61F2002/4635 , A61F2220/0025 , A61F2220/0033 , A61F2220/0075 , A61F2230/001 , A61F2230/0015 , A61F2230/0069 , A61F2230/0076 , A61F2250/0018 , A61F2250/0019
摘要: A disc prosthesis comprises a first prosthetic device comprising a first upper housing and a first lower housing between which at least one first disc element is movably interposed. The disc prosthesis further comprises a second prosthetic device comprising a second upper housing and a second lower housing between which at least one second disc element is movably interposed. The first and second prosthetic devices are adapted for parallel placement within an intervertebral space.
摘要翻译: 椎间盘假体包括第一假体装置,其包括第一上壳体和第一下壳体,其间至少一个第一盘元件可移动地插入其间。 所述椎间盘假体还包括第二假体装置,其包括第二上壳体和第二下壳体,所述第二假体装置可移动地插入至少一个第二盘元件。 第一和第二假体装置适于平行放置在椎间空间内。
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公开(公告)号:US06949105B2
公开(公告)日:2005-09-27
申请号:US09923891
申请日:2001-08-07
申请人: Vincent Bryan , Alex Kunzler , Robert Conta , Randy Allard , Richard J. Broman , Anthony Finazzo , Carlos E. Gil , Jeffrey P. Rouleau , Leonard Tokish, Jr. , David Yager
发明人: Vincent Bryan , Alex Kunzler , Robert Conta , Randy Allard , Richard J. Broman , Anthony Finazzo , Carlos E. Gil , Jeffrey P. Rouleau , Leonard Tokish, Jr. , David Yager
IPC分类号: A61B19/00 , A61B17/02 , A61B17/16 , A61B17/17 , A61B17/56 , A61B17/88 , A61B19/02 , A61F2/00 , A61F2/30 , A61F2/44 , A61F2/46
CPC分类号: A61B17/0293 , A61B17/02 , A61B17/1671 , A61B17/1757 , A61B17/8866 , A61B50/20 , A61B90/10 , A61B90/50 , A61B2017/0256 , A61B2017/1602 , A61B2090/034 , A61F2/30742 , A61F2/30744 , A61F2/442 , A61F2/4425 , A61F2/4611 , A61F2002/30204 , A61F2002/30235 , A61F2002/30474 , A61F2002/30499 , A61F2002/30528 , A61F2002/30563 , A61F2002/30578 , A61F2002/30616 , A61F2002/30673 , A61F2002/30682 , A61F2002/30769 , A61F2002/30772 , A61F2002/443 , A61F2220/0025 , A61F2230/0065 , A61F2230/0069 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00203 , A61F2310/00239
摘要: The invention relates to a technique for precisely locating a line containing a predetermined point within the surgical site using a series of levels and plumb lines and internal anatomical features of the surgical site, using this location to precisely position and temporarily affix a site preparation scaffold relative to the patient's anatomy so that site preparation instruments can be introduced into the site at precise locations governed by the scaffold geometry and patient anatomy. This precise positioning of the scaffold also provides a way for the surgeon to use patient anatomical features to reliably and precisely prepare the surgical site. Scaffolds having angling features further increase the precise preparation of the surgical site. This increased precision in site preparation increases the probability of a successful procedure, and decreases the likelihood that additional surgery may be needed.
摘要翻译: 本发明涉及一种用于使用一系列水平和铅垂线以及手术部位的内部解剖特征精确地定位包含手术部位内的预定点的线的技术,其使用该位置精确地定位并临时固定位点制备支架相对 到患者的解剖结构,以便在由支架几何形状和患者解剖结构控制的精确位置处将位点准备仪器引入到位置。 脚手架的这种精确定位还为外科医生使用患者解剖特征可靠且准确地准备手术部位提供了一种方法。 具有垂直特征的支架进一步增加了手术部位的精确准备。 这种现场准备精度的提高增加了手术成功的可能性,并降低了可能需要进行额外手术的可能性。
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公开(公告)号:US5865846A
公开(公告)日:1999-02-02
申请号:US856513
申请日:1997-05-15
申请人: Vincent Bryan , Alex Kunzler
发明人: Vincent Bryan , Alex Kunzler
CPC分类号: A61F2/30742 , A61B17/686 , A61F2/44 , A61F2/442 , A61F2/4425 , A61B17/7059 , A61B17/86 , A61B2017/00004 , A61F2/08 , A61F2/30771 , A61F2002/30016 , A61F2002/30069 , A61F2002/30113 , A61F2002/30168 , A61F2002/302 , A61F2002/30214 , A61F2002/30235 , A61F2002/30253 , A61F2002/3038 , A61F2002/30405 , A61F2002/30433 , A61F2002/30448 , A61F2002/30451 , A61F2002/30461 , A61F2002/30464 , A61F2002/30469 , A61F2002/30474 , A61F2002/30487 , A61F2002/30495 , A61F2002/30507 , A61F2002/30563 , A61F2002/30576 , A61F2002/30578 , A61F2002/30579 , A61F2002/30594 , A61F2002/30599 , A61F2002/30624 , A61F2002/30663 , A61F2002/30772 , A61F2002/30785 , A61F2002/443 , A61F2002/449 , A61F2220/0025 , A61F2220/0033 , A61F2220/0041 , A61F2220/005 , A61F2220/0058 , A61F2220/0075 , A61F2230/0006 , A61F2230/0043 , A61F2230/0065 , A61F2230/0067 , A61F2230/0069 , A61F2230/0076 , A61F2250/0019 , A61F2250/0063 , A61F2310/00023 , A61F2310/00029 , Y10S606/907 , Y10S606/91
摘要: The invention relates to a spinal disc endoprosthesis. The endoprosthesis has a resilient body formed of one or more materials which may vary in stiffness from a relatively stiff exterior annular gasket portion to a relatively supple central nucleus portion. Concaval-convex elements at least partly surround that nucleus portion so as to retain the nucleus portion and gasket between adjacent vertebral bodies in a patient's spine. Assemblies of endoprosthetic discs, endoprosthetic vertebral bodies, and endoprosthetic longitudinal ligaments may be constructed. To implant this endoprosthesis assembly, information is obtained regarding the size, shape, and nature of a patient's damaged spine. Thereafter, one or more prosthetic vertebral bodies and disc units are constructed in conformity with that information. Finally, the completed and conformed vertebral body and disc assembly is implanted in the patient's spine.
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公开(公告)号:US07967862B2
公开(公告)日:2011-06-28
申请号:US11460887
申请日:2006-07-28
申请人: Randall Allard , Alex Kunzler , Anthony Finazzo , Vincent Bryan , Carlos Gil , Robert Conta
发明人: Randall Allard , Alex Kunzler , Anthony Finazzo , Vincent Bryan , Carlos Gil , Robert Conta
IPC分类号: A61F2/44
CPC分类号: A61F2/4425 , A61F2002/2817 , A61F2002/30133 , A61F2002/30332 , A61F2002/30364 , A61F2002/30461 , A61F2002/30462 , A61F2002/30474 , A61F2002/30495 , A61F2002/30571 , A61F2002/30662 , A61F2002/30663 , A61F2002/30665 , A61F2002/30685 , A61F2002/30738 , A61F2002/30884 , A61F2002/30904 , A61F2002/30906 , A61F2002/30925 , A61F2002/443 , A61F2002/448 , A61F2220/0025 , A61F2220/0033 , A61F2220/0075 , A61F2230/0015 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00161 , A61F2310/00167 , A61F2310/00203 , A61F2310/00239 , A61F2310/00796
摘要: A method for implanting an articulating intervertebral disc prosthesis into an intervertebral disc space comprises surgically accessing the intervertebral disc space through an opening on a first lateral side of the intervertebral disc space and inserting a first half of the articulating intervertebral disc prosthesis through the opening and into the intervertebral disc space. The method further comprises inserting a second half of the articulating intervertebral disc prosthesis through the opening on the first lateral side of the intervertebral disc space and positioning the first half of the articulating intervertebral disc prosthesis on a second lateral side of the intervertebral disc space. The method also comprises positioning the second half of the articulating intervertebral disc prosthesis on the first lateral side of the intervertebral disc space.
摘要翻译: 将关节式椎间盘假体植入椎间盘空间中的方法包括通过椎间盘空间的第一侧面上的开口手术地进入椎间盘空间,并将关节式椎间盘假体的前半部穿过开口并插入 椎间盘间隙。 该方法还包括通过椎间盘空间的第一侧面上的开口插入关节式椎间盘假体的第二半部分,并将关节式椎间盘假体的前半部分定位在椎间盘空间的第二侧面上。 该方法还包括将关节式椎间盘假体的第二半部定位在椎间盘空间的第一侧面上。
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公开(公告)号:US07179262B2
公开(公告)日:2007-02-20
申请号:US10727808
申请日:2003-12-04
申请人: Vincent Bryan , Alex Kunzler , Robert Conta , Randy Allard , Richard J. Broman , Anthony Finazzo , Carlos Gil , Jeffrey Rouleau , Leonard Tokish , David Yager
发明人: Vincent Bryan , Alex Kunzler , Robert Conta , Randy Allard , Richard J. Broman , Anthony Finazzo , Carlos Gil , Jeffrey Rouleau , Leonard Tokish , David Yager
CPC分类号: A61B17/0293 , A61B17/02 , A61B17/1671 , A61B17/1757 , A61B17/8866 , A61B50/20 , A61B90/10 , A61B90/50 , A61B2017/0256 , A61B2017/1602 , A61B2090/034 , A61F2/30742 , A61F2/30744 , A61F2/442 , A61F2/4425 , A61F2/4611 , A61F2002/30204 , A61F2002/30235 , A61F2002/30474 , A61F2002/30499 , A61F2002/30528 , A61F2002/30563 , A61F2002/30578 , A61F2002/30616 , A61F2002/30673 , A61F2002/30682 , A61F2002/30769 , A61F2002/30772 , A61F2002/443 , A61F2220/0025 , A61F2230/0065 , A61F2230/0069 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00203 , A61F2310/00239
摘要: The invention relates to a technique for precisely locating a line containing a predetermined point within the surgical site using a series of levels and plumb lines and internal anatomical features of the surgical site, using this location to precisely position and temporarily affix a site preparation scaffold relative to the patient's anatomy so that site preparation instruments can be introduced into the site at precise locations governed by the scaffold geometry and patient anatomy. This precise positioning of the scaffold also provides a way for the surgeon to use patient anatomical features to reliably and precisely prepare the surgical site. Scaffolds having angling features further increase the precise preparation of the surgical site. This increased precision in site preparation increases the probability of a successful procedure, and decreases the likelihood that additional surgery may be needed.
摘要翻译: 本发明涉及一种用于使用一系列水平和铅垂线以及手术部位的内部解剖特征精确地定位包含手术部位内的预定点的线的技术,其使用该位置精确地定位并临时固定位点制备支架相对 到患者的解剖结构,以便在由支架几何形状和患者解剖结构控制的精确位置处将位点准备仪器引入到位置。 脚手架的这种精确定位还为外科医生使用患者解剖特征可靠且准确地准备手术部位提供了一种方法。 具有垂直特征的支架进一步增加了手术部位的精确准备。 这种现场准备精度的提高增加了手术成功的可能性,并降低了可能需要进行额外手术的可能性。
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10.
公开(公告)号:US07147665B1
公开(公告)日:2006-12-12
申请号:US09744493
申请日:1999-07-22
申请人: Vincent Bryan , Alex Kunzler
发明人: Vincent Bryan , Alex Kunzler
IPC分类号: A61F2/44
CPC分类号: A61F2/442 , A61F2/30724 , A61F2/30742 , A61F2/441 , A61F2/4425 , A61F2002/302 , A61F2002/30232 , A61F2002/30253 , A61F2002/30311 , A61F2002/30332 , A61F2002/30451 , A61F2002/30563 , A61F2002/30578 , A61F2002/30616 , A61F2002/30665 , A61F2002/308 , A61F2002/30808 , A61F2002/3081 , A61F2002/30871 , A61F2002/30975 , A61F2002/443 , A61F2002/4635 , A61F2220/0033 , A61F2220/0058 , A61F2230/0065 , A61F2230/0069 , A61F2230/0076 , A61F2310/00011 , A61F2310/00179
摘要: A small profile, cylindrically shaped prosthetic disc device is provided. The device housing is comprised of two longitudinally split hollow halves, between which are contained multiple discoid shaped resilient bodies which may be of a polymeric type, or they may contain hydrogel. These bodies may lie in concave surfaces located on the interior of each side of the split cylindrical housing. The housing halves even under maximum physiological loads, do not contact one another directly. Threads on the exterior surface of the cylindrical housing facilitates insertion and retention in the prepared bone opening.
摘要翻译: 提供了一种小型,圆柱形的假体椎间盘装置。 装置壳体由两个纵向分开的空心半部组成,两个中空半部之间包含多个可以是聚合型的盘形弹性体,或者它们可以含有水凝胶。 这些主体可以位于分开的圆柱形壳体的每一侧的内部的凹面中。 即使在最大生理负荷下,外壳也不会相互直接接触。 在圆柱形外壳的外表面上的螺纹有助于在准备的骨头开口中的插入和保持。
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