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公开(公告)号：US09492203B2
公开(公告)日：2016-11-15
申请号：US12630286
申请日：2009-12-03
CPC分类号： A61B17/7064 , A61B17/1671 , A61B17/7032 , A61B17/7049 , A61B17/7067 , A61B17/7074 , A61B17/8625 , A61B17/8695 , A61B2017/8655 , A61F2/30771 , A61F2/4405 , A61F2/4611 , A61F2/4684 , A61F2002/30125 , A61F2002/30154 , A61F2002/30156 , A61F2002/30171 , A61F2002/30426 , A61F2002/30433 , A61F2002/30448 , A61F2002/30514 , A61F2002/30576 , A61F2002/30578 , A61F2002/30579 , A61F2002/30616 , A61F2002/30841 , A61F2002/3085 , A61F2002/4622 , A61F2220/0025 , A61F2220/0041 , A61F2220/005 , A61F2230/0008 , A61F2230/0021 , A61F2230/0023 , A61F2230/005 , A61F2310/00017 , A61F2310/00023 , A61F2310/00203 , A61F2310/00239 , A61F2310/00796
摘要： A facet joint replacement system includes an inferior implant with an inferior articular surface, a superior implant with a superior articular surface, and an optional crossbar. The inferior implant and the superior implant are each polyaxially adjustably connected to fixation elements which anchor the implants to adjacent vertebrae. The optional crossbar may be polyaxially adjustably connected to bilateral implants. The system components may be provided in kits which provide components of various sizes and shapes. A set of surgical instruments may facilitate implantation of the facet joint replacement system by providing tools for bone preparation, trialing, implant insertion, implant alignment, and lock-out of modular interconnections.
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公开(公告)号：US20120016372A1
公开(公告)日：2012-01-19
申请号：US12630286
申请日：2009-12-03
IPC分类号： A61B17/56
CPC分类号： A61B17/7064 , A61B17/1671 , A61B17/7032 , A61B17/7049 , A61B17/7067 , A61B17/7074 , A61B17/8625 , A61B17/8695 , A61B2017/8655 , A61F2/30771 , A61F2/4405 , A61F2/4611 , A61F2/4684 , A61F2002/30125 , A61F2002/30154 , A61F2002/30156 , A61F2002/30171 , A61F2002/30426 , A61F2002/30433 , A61F2002/30448 , A61F2002/30514 , A61F2002/30576 , A61F2002/30578 , A61F2002/30579 , A61F2002/30616 , A61F2002/30841 , A61F2002/3085 , A61F2002/4622 , A61F2220/0025 , A61F2220/0041 , A61F2220/005 , A61F2230/0008 , A61F2230/0021 , A61F2230/0023 , A61F2230/005 , A61F2310/00017 , A61F2310/00023 , A61F2310/00203 , A61F2310/00239 , A61F2310/00796
摘要： A facet joint replacement system includes an inferior implant with an inferior articular surface, a superior implant with a superior articular surface, and an optional crossbar. The inferior implant and the superior implant are each polyaxially adjustably connected to fixation elements which anchor the implants to adjacent vertebrae. The optional crossbar may be polyaxially adjustably connected to bilateral implants. The system components may be provided in kits which provide components of various sizes and shapes. A set of surgical instruments may facilitate implantation of the facet joint replacement system by providing tools for bone preparation, trialing, implant insertion, implant alignment, and lock-out of modular interconnections.
摘要翻译： 小关节置换系统包括具有较低关节表面的下部植入物，具有上关节表面的优异植入物和可选的横杆。 下部植入物和上部植入物各自可以可调节地连接到将植入物锚定到相邻椎骨的固定元件。 可选的横杆可以多轴可调节地连接到双侧植入物。 可以在提供各种尺寸和形状的部件的套件中提供系统部件。 一套手术器械可以通过提供用于骨制备，试验，植入物插入，植入物对准和模块化互连的锁定的工具来促进小关节置换系统的植入。
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公开(公告)号：US08353933B2
公开(公告)日：2013-01-15
申请号：US12104726
申请日：2008-04-17
申请人： Daniel J. Triplett , Joel R Helgerson , Andrew R. Fauth , David M. Skinlo , E. Marlowe Goble , Daniel E. Gerbec
发明人： Daniel J. Triplett , Joel R Helgerson , Andrew R. Fauth , David M. Skinlo , E. Marlowe Goble , Daniel E. Gerbec
IPC分类号： A61B17/70
CPC分类号： A61B17/7035 , A61B17/7005 , A61B17/704 , A61B17/7064 , A61B17/7067 , A61B17/707 , A61B2017/7073 , A61F2/0095 , A61F2/4405 , A61F2/4611 , A61F2/4684 , A61F2002/30331 , A61F2002/30471 , A61F2002/30472 , A61F2002/30481 , A61F2002/30495 , A61F2002/305 , A61F2002/30507 , A61F2002/30522 , A61F2002/30537 , A61F2002/3054 , A61F2002/3055 , A61F2002/30604 , A61F2002/30649 , A61F2002/30841 , A61F2002/30845 , A61F2002/3085 , A61F2002/30884 , A61F2002/30904 , A61F2002/448 , A61F2002/449 , A61F2220/0025 , A61F2220/0033 , A61F2220/0041 , A61F2220/0091 , A61F2250/0004 , A61F2250/0007 , A61F2310/00796
摘要： A facet joint replacement system includes an inferior implant with an inferior articular surface, and a superior implant with a superior articular surface. The inferior implant may comprise an inferior strut, and a polyaxially adjustable, lockable mechanism which couples the inferior articular surface with a first end of the inferior strut. A second end of the inferior strut may be secured to a polyaxially adjustable, lockable fixation assembly securable in a vertebra. The first end of the inferior strut may be post-shaped, and the second end ring-shaped, and vice versa. The superior implant may be secured to a polyaxially adjustable lockable fixation assembly securable in a vertebra. Inferior and superior implants may be implanted individually, paired on one lateral vertebral side, bi-laterally, and/or in multiple vertebral levels. A crosslink may be secured to one implant and extend across a vertebral sagittal plane to a second implant. A clip may align the articular surfaces during implantation.
摘要翻译： 小关节置换系统包括具有较低关节表面的下部植入物和具有上关节表面的优良植入物。 下部植入物可以包括下支柱以及将下关节表面与下支柱的第一端连接的可多轴调节的可锁定机构。 下支柱的第二端可以固定到可固定在椎骨中的可调节的可锁定的固定组件。 下支柱的第一端可以是后形状，并且第二端是环形的，反之亦然。 优选的植入物可以固定到可固定在椎骨中的可调节的可锁定固定组件。 可以单独植入较低和较高的植入物，在一个侧向椎体侧，双侧和/或多个椎骨水平配对。 交联可以固定到一个植入物并且跨越椎叶矢状面延伸到第二植入物。 夹子可以在植入期间对准关节表面。
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公开(公告)号：US08998952B2
公开(公告)日：2015-04-07
申请号：US12630534
申请日：2009-12-03
CPC分类号： A61B17/7064 , A61B17/1671 , A61B17/7032 , A61B17/7049 , A61B17/7067 , A61B17/7074 , A61B17/8625 , A61B17/8695 , A61B2017/8655 , A61F2/30771 , A61F2/4405 , A61F2/4611 , A61F2/4684 , A61F2002/30125 , A61F2002/30154 , A61F2002/30156 , A61F2002/30171 , A61F2002/30426 , A61F2002/30433 , A61F2002/30448 , A61F2002/30514 , A61F2002/30576 , A61F2002/30578 , A61F2002/30579 , A61F2002/30616 , A61F2002/30841 , A61F2002/3085 , A61F2002/4622 , A61F2220/0025 , A61F2220/0041 , A61F2220/005 , A61F2230/0008 , A61F2230/0021 , A61F2230/0023 , A61F2230/005 , A61F2310/00017 , A61F2310/00023 , A61F2310/00203 , A61F2310/00239 , A61F2310/00796
摘要： A facet joint replacement system includes an inferior implant with an inferior articular surface, a superior implant with a superior articular surface, and an optional crossbar. The inferior implant and the superior implant are each polyaxially adjustably connected to fixation elements which anchor the implants to adjacent vertebrae. The optional crossbar may be polyaxially adjustably connected to bilateral implants. The system components may be provided in kits which provide components of various sizes and shapes. A set of surgical instruments may facilitate implantation of the facet joint replacement system by providing tools for bone preparation, trialing, implant insertion, implant alignment, and lock-out of modular interconnections.
摘要翻译： 小关节置换系统包括具有较低关节表面的下部植入物，具有上关节表面的优异植入物和可选的横杆。 下部植入物和上部植入物各自可以可调节地连接到将植入物锚定到相邻椎骨的固定元件。 可选的横杆可以多轴可调节地连接到双侧植入物。 可以在提供各种尺寸和形状的部件的套件中提供系统部件。 一套手术器械可以通过提供用于骨制备，试验，植入物插入，植入物对准和模块化互连的锁定的工具来促进小关节置换系统的植入。
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公开(公告)号：US08900270B2
公开(公告)日：2014-12-02
申请号：US12630441
申请日：2009-12-03
CPC分类号： A61B17/7064 , A61B17/1671 , A61B17/7032 , A61B17/7049 , A61B17/7067 , A61B17/7074 , A61B17/8625 , A61B17/8695 , A61B2017/8655 , A61F2/30771 , A61F2/4405 , A61F2/4611 , A61F2/4684 , A61F2002/30125 , A61F2002/30154 , A61F2002/30156 , A61F2002/30171 , A61F2002/30426 , A61F2002/30433 , A61F2002/30448 , A61F2002/30514 , A61F2002/30576 , A61F2002/30578 , A61F2002/30579 , A61F2002/30616 , A61F2002/30841 , A61F2002/3085 , A61F2002/4622 , A61F2220/0025 , A61F2220/0041 , A61F2220/005 , A61F2230/0008 , A61F2230/0021 , A61F2230/0023 , A61F2230/005 , A61F2310/00017 , A61F2310/00023 , A61F2310/00203 , A61F2310/00239 , A61F2310/00796
摘要： A facet joint replacement system includes an inferior implant with an inferior articular surface, a superior implant with a superior articular surface, and an optional crossbar. The inferior implant and the superior implant are each polyaxially adjustably connected to fixation elements which anchor the implants to adjacent vertebrae. The optional crossbar may be polyaxially adjustably connected to bilateral implants. The system components may be provided in kits which provide components of various sizes and shapes. A set of surgical instruments may facilitate implantation of the facet joint replacement system by providing tools for bone preparation, trialing, implant insertion, implant alignment, and lock-out of modular interconnections.
摘要翻译： 小关节置换系统包括具有较低关节表面的下部植入物，具有上关节表面的优异植入物和可选的横杆。 下部植入物和上部植入物各自可以可调节地连接到将植入物锚定到相邻椎骨的固定元件。 可选的横杆可以多轴可调节地连接到双侧植入物。 可以在提供各种尺寸和形状的部件的套件中提供系统部件。 一套手术器械可以通过提供用于骨制备，试验，植入物插入，植入物对准和模块化互连的锁定的工具来促进小关节置换系统的植入。
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公开(公告)号：US20100082107A1
公开(公告)日：2010-04-01
申请号：US12630534
申请日：2009-12-03
CPC分类号： A61B17/7064 , A61B17/1671 , A61B17/7032 , A61B17/7049 , A61B17/7067 , A61B17/7074 , A61B17/8625 , A61B17/8695 , A61B2017/8655 , A61F2/30771 , A61F2/4405 , A61F2/4611 , A61F2/4684 , A61F2002/30125 , A61F2002/30154 , A61F2002/30156 , A61F2002/30171 , A61F2002/30426 , A61F2002/30433 , A61F2002/30448 , A61F2002/30514 , A61F2002/30576 , A61F2002/30578 , A61F2002/30579 , A61F2002/30616 , A61F2002/30841 , A61F2002/3085 , A61F2002/4622 , A61F2220/0025 , A61F2220/0041 , A61F2220/005 , A61F2230/0008 , A61F2230/0021 , A61F2230/0023 , A61F2230/005 , A61F2310/00017 , A61F2310/00023 , A61F2310/00203 , A61F2310/00239 , A61F2310/00796
摘要： A facet joint replacement system includes an inferior implant with an inferior articular surface, a superior implant with a superior articular surface, and an optional crossbar. The inferior implant and the superior implant are each polyaxially adjustably connected to fixation elements which anchor the implants to adjacent vertebrae. The optional crossbar may be polyaxially adjustably connected to bilateral implants. The system components may be provided in kits which provide components of various sizes and shapes. A set of surgical instruments may facilitate implantation of the facet joint replacement system by providing tools for bone preparation, trialing, implant insertion, implant alignment, and lock-out of modular interconnections.
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公开(公告)号：US20100076493A1
公开(公告)日：2010-03-25
申请号：US12630441
申请日：2009-12-03
IPC分类号： A61B17/88
CPC分类号： A61B17/7064 , A61B17/1671 , A61B17/7032 , A61B17/7049 , A61B17/7067 , A61B17/7074 , A61B17/8625 , A61B17/8695 , A61B2017/8655 , A61F2/30771 , A61F2/4405 , A61F2/4611 , A61F2/4684 , A61F2002/30125 , A61F2002/30154 , A61F2002/30156 , A61F2002/30171 , A61F2002/30426 , A61F2002/30433 , A61F2002/30448 , A61F2002/30514 , A61F2002/30576 , A61F2002/30578 , A61F2002/30579 , A61F2002/30616 , A61F2002/30841 , A61F2002/3085 , A61F2002/4622 , A61F2220/0025 , A61F2220/0041 , A61F2220/005 , A61F2230/0008 , A61F2230/0021 , A61F2230/0023 , A61F2230/005 , A61F2310/00017 , A61F2310/00023 , A61F2310/00203 , A61F2310/00239 , A61F2310/00796
摘要： A facet joint replacement system includes an inferior implant with an inferior articular surface, a superior implant with a superior articular surface, and an optional crossbar. The inferior implant and the superior implant are each polyaxially adjustably connected to fixation elements which anchor the implants to adjacent vertebrae. The optional crossbar may be polyaxially adjustably connected to bilateral implants. The system components may be provided in kits which provide components of various sizes and shapes. A set of surgical instruments may facilitate implantation of the facet joint replacement system by providing tools for bone preparation, trialing, implant insertion, implant alignment, and lock-out of modular interconnections.
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公开(公告)号：US09451990B2
公开(公告)日：2016-09-27
申请号：US12630566
申请日：2009-12-03
CPC分类号： A61B17/7064 , A61B17/1671 , A61B17/7032 , A61B17/7049 , A61B17/7067 , A61B17/7074 , A61B17/8625 , A61B17/8695 , A61B2017/8655 , A61F2/30771 , A61F2/4405 , A61F2/4611 , A61F2/4684 , A61F2002/30125 , A61F2002/30154 , A61F2002/30156 , A61F2002/30171 , A61F2002/30426 , A61F2002/30433 , A61F2002/30448 , A61F2002/30514 , A61F2002/30576 , A61F2002/30578 , A61F2002/30579 , A61F2002/30616 , A61F2002/30841 , A61F2002/3085 , A61F2002/4622 , A61F2220/0025 , A61F2220/0041 , A61F2220/005 , A61F2230/0008 , A61F2230/0021 , A61F2230/0023 , A61F2230/005 , A61F2310/00017 , A61F2310/00023 , A61F2310/00203 , A61F2310/00239 , A61F2310/00796
摘要： A facet joint replacement system includes an inferior implant with an inferior articular surface, a superior implant with a superior articular surface, and an optional crossbar. The inferior implant and the superior implant are each polyaxially adjustably connected to fixation elements which anchor the implants to adjacent vertebrae. The optional crossbar may be polyaxially adjustably connected to bilateral implants. The system components may be provided in kits which provide components of various sizes and shapes. A set of surgical instruments may facilitate implantation of the facet joint replacement system by providing tools for bone preparation, trialing, implant insertion, implant alignment, and lock-out of modular interconnections.
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公开(公告)号：US20100087880A1
公开(公告)日：2010-04-08
申请号：US12630566
申请日：2009-12-03
IPC分类号： A61B17/56
CPC分类号： A61B17/7064 , A61B17/1671 , A61B17/7032 , A61B17/7049 , A61B17/7067 , A61B17/7074 , A61B17/8625 , A61B17/8695 , A61B2017/8655 , A61F2/30771 , A61F2/4405 , A61F2/4611 , A61F2/4684 , A61F2002/30125 , A61F2002/30154 , A61F2002/30156 , A61F2002/30171 , A61F2002/30426 , A61F2002/30433 , A61F2002/30448 , A61F2002/30514 , A61F2002/30576 , A61F2002/30578 , A61F2002/30579 , A61F2002/30616 , A61F2002/30841 , A61F2002/3085 , A61F2002/4622 , A61F2220/0025 , A61F2220/0041 , A61F2220/005 , A61F2230/0008 , A61F2230/0021 , A61F2230/0023 , A61F2230/005 , A61F2310/00017 , A61F2310/00023 , A61F2310/00203 , A61F2310/00239 , A61F2310/00796
摘要： A facet joint replacement system includes an inferior implant with an inferior articular surface, a superior implant with a superior articular surface, and an optional crossbar. The inferior implant and the superior implant are each polyaxially adjustably connected to fixation elements which anchor the implants to adjacent vertebrae. The optional crossbar may be polyaxially adjustably connected to bilateral implants. The system components may be provided in kits which provide components of various sizes and shapes. A set of surgical instruments may facilitate implantation of the facet joint replacement system by providing tools for bone preparation, trialing, implant insertion, implant alignment, and lock-out of modular interconnections.
摘要翻译： 小关节置换系统包括具有较低关节表面的下部植入物，具有上关节表面的优异植入物和可选的横杆。 下部植入物和上部植入物各自可以可调节地连接到将植入物锚定到相邻椎骨的固定元件。 可选的横杆可以多轴可调节地连接到双侧植入物。 可以在提供各种尺寸和形状的部件的套件中提供系统部件。 一套手术器械可以通过提供用于骨制备，试验，植入物插入，植入物对准和模块化互连的锁定的工具来促进小关节置换系统的植入。
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公开(公告)号：US08840621B2
公开(公告)日：2014-09-23
申请号：US12357596
申请日：2009-01-22
申请人： Morteza M. Farr , Ephraim Akyuz , T. Wade Fallin , Daniel F. Justin , Joshua A. Butters , Daniel E. Gerbec
发明人： Morteza M. Farr , Ephraim Akyuz , T. Wade Fallin , Daniel F. Justin , Joshua A. Butters , Daniel E. Gerbec
IPC分类号： A61B17/56 , A61B17/02 , A61F2/46 , A61B17/34 , A61B17/16 , A61B19/00 , A61B17/3207 , A61F2/30 , A61B17/29 , A61B17/32 , A61F2/44
CPC分类号： 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
摘要： 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.
摘要翻译： 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。
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