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公开(公告)号：US06176861B1
公开(公告)日：2001-01-23
申请号：US08798855
申请日：1997-02-12
IPC分类号： A61B1770
CPC分类号： A61B17/7041 , A61B17/7007 , A61B17/701 , A61B17/7035 , A61B17/7044 , A61F2002/30171 , A61F2002/30347 , A61F2220/0033 , A61F2230/005
摘要： A modular bone fastener system for use with a longitudinal member, such as a plate, having a fastener with a threaded lower potion for engaging a spinal element and an upper portion adapted to receive a headpiece. The headpiece is adapted to mate with the upper portion of the fastener and to engage a longitudinal member. A plurality of headpieces having angulated projections, lateral sections, and angulated lateral sections, all of which are adapted to engage a longitudinal member and overcome angular and translational misalignment of the fastener, may also be provided. The headpieces of some connectors are configured to permit angulation of a bore fastener relative to the connector.
摘要翻译： 一种用于与纵向构件（例如板）一起使用的模块化骨骼紧固件系统，其具有用于接合脊椎元件的螺纹下部药剂和适于接收头盔的上部的紧固件。 头盔适于与紧固件的上部配合并与纵向构件接合。 还可以提供具有角度突起，侧向部分和角度侧向部分的多个头盔，所有这些头部都适于接合纵向构件并克服紧固件的角度和平移不对准。 一些连接器的头盔被配置成允许孔扣相对于连接器成角度。
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公开(公告)号：US06379357B1
公开(公告)日：2002-04-30
申请号：US09718915
申请日：2000-11-22
IPC分类号： A61B1770
CPC分类号： A61B17/7041 , A61B17/7007 , A61B17/701 , A61B17/7035 , A61B17/7044 , A61F2002/30171 , A61F2002/30347 , A61F2220/0033 , A61F2230/005
摘要： A modular bone fastener system for use with a longitudinal member, such as a plate, having a fastener with a threaded lower potion for engaging a spinal element and an upper portion adapted to receive a headpiece. The headpiece is adapted to mate with the upper portion of the fastener and to engage a longitudinal member. A plurality of headpieces having angulated projections, lateral sections, and angulated lateral sections, all of which are adapted to engage a longitudinal member and overcome angular and translational misalignment of the fastener, may also be provided. The headpieces of some connectors are configured to permit angulation of a bore fastener relative to the connector.
摘要翻译： 一种用于与纵向构件（例如板）一起使用的模块化骨骼紧固件系统，其具有用于接合脊椎元件的螺纹下部药剂和适于接收头盔的上部的紧固件。 头盔适于与紧固件的上部配合并与纵向构件接合。 还可以提供具有角度突起，侧向部分和角度侧向部分的多个头盔，所有这些头部都适于接合纵向构件并克服紧固件的角度和平移不对准。 一些连接器的头盔被配置成允许孔扣相对于连接器成角度。
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公开(公告)号：US6146386A
公开(公告)日：2000-11-14
申请号：US244632
申请日：1999-02-04
CPC分类号： A61B17/7079 , A61B17/7032 , A61B2017/00238 , Y10S606/91 , Y10S606/916
摘要： A cable operated bone anchor compressor and a method for thoracoscopically compressing bone anchors are disclosed. In procedures in which bone anchors, such as bone screws, are fixed to bone tissue and such bone tissue is to be readjusted or realigned, the device of the present invention is thoracoscopically inserted. The device includes a cable to be placed in contact with one bone anchor, and an elongated member with a mating head to be placed against another bone anchor. When the cable is retracted, the bone anchors are compressed or pulled toward each other to realign, in a desired fashion, the bone tissue to which they are attached.
摘要翻译： 公开了一种电缆操作的骨锚式压缩机和用于胸腔镜压迫骨锚的方法。 在诸如骨螺钉的骨锚固定到骨组织并且这种骨组织被重新调整或重新对准的过程中，本发明的装置被胸腔镜插入。 该装置包括一个要被放置成接触一个骨锚的电缆，以及具有配合头的细长构件，以便抵靠另一个骨锚固定。 当电缆缩回时，骨锚被压缩或拉向彼此，以期望的方式重新对准它们所连接的骨组织。
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公开(公告)号：USRE43526E1
公开(公告)日：2012-07-17
申请号：US12052465
申请日：2008-03-20
申请人： Matthew M. Morrison , Eric A. Loveless , David L. Brumfield , B. Thomas Barker , Catalina J. Carroll , David Miller , Dominique Petit
发明人： Matthew M. Morrison , Eric A. Loveless , David L. Brumfield , B. Thomas Barker , Catalina J. Carroll , David Miller , Dominique Petit
IPC分类号： A61B17/56
CPC分类号： A61B17/7088 , A61B17/7091
摘要： An introduction apparatus for approximating a longitudinal member and an implant to permit fixation therebetween. The introduction apparatus having a gripping nose for securely engaging an implant, a lateral approximation mechanism for laterally aligning an implant and an offset longitudinal member, and a reduction mechanism for reducing the vertical distance between the implant and the longitudinal member. The introduction apparatus is provide with a gripping nose actuated by axial movement of a clamping shaft in an outer sleeve. The clamping shaft further includes an axial cannula for passage of a fastener to the implant.
摘要翻译： 用于近似纵向构件和植入物以允许其间固定的引入装置。 所述引入装置具有用于牢固地接合植入物的夹持鼻，用于横向对准植入物和偏移纵向构件的横向近似机构，以及用于减小植入物和纵向构件之间的垂直距离的减速机构。 引入装置具有通过夹紧轴在外套筒中的轴向运动而致动的抓持头。 夹紧轴还包括用于将紧固件通过到植入物的轴向插管。
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公开(公告)号：US5910141A
公开(公告)日：1999-06-08
申请号：US798092
申请日：1997-02-12
申请人： Matthew M. Morrison , Eric A. Loveless , David L. Brumfield , B. Thomas Barker , Catalina J. Carroll , David Miller , Dominique Petit
发明人： Matthew M. Morrison , Eric A. Loveless , David L. Brumfield , B. Thomas Barker , Catalina J. Carroll , David Miller , Dominique Petit
CPC分类号： A61B17/7088 , A61B17/7091
摘要： An introduction apparatus for approximating a longitudinal member and an implant to permit fixation therebetween. The introduction apparatus having a gripping nose for securely engaging an implant, a lateral approximation mechanism for laterally aligning an implant and an offset longitudinal member, and a reduction mechanism for reducing the vertical distance between the implant and the longitudinal member. The introduction apparatus is provide with a gripping nose actuated by axial movement of a clamping shaft in an outer sleeve. The clamping shaft further includes an axial cannula for passage of a fastener to the implant.
摘要翻译： 用于近似纵向构件和植入物以允许其间固定的引入装置。 所述引入装置具有用于牢固地接合植入物的夹持鼻，用于横向对准植入物和偏移纵向构件的横向近似机构，以及用于减小植入物和纵向构件之间的垂直距离的减速机构。 引入装置具有通过夹紧轴在外套筒中的轴向运动而致动的抓持头。 夹紧轴还包括用于将紧固件通过到植入物的轴向插管。
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公开(公告)号：US06248107B1
公开(公告)日：2001-06-19
申请号：US09526197
申请日：2000-03-15
IPC分类号： A61B1756
CPC分类号： A61B17/7037 , A61B17/7038 , A61B17/7041
摘要： A method and an assembly for reducing a displaced vertebra and connecting the displaced vertebra to a spinal implant rod. The assembly has a reduction bolt with machine threads on one end and coarse threads on the other. A connection unit attaches the spinal rod to the reduction bolt, and until it is tightened, the connection unit allows the reduction bolt to slide within the connection unit. The connection unit includes a washer that rides against the side of the reduction bolt, and a nut is threaded onto the machine threads of the reduction bolt over a collar. The collar open is open at both ends and is of a size to readily slide over the reduction bolt. The posterior face of the collar has a notch to accept that portion of the lateral side of the washer as it presses against the reduction bolt. The notch is part of the open end of the collar into which is slide over the reduction bolt and down onto the connection unit. Arranged in this fashion, the nut can be tightened against the collar to move the displaced vertebra toward the longitudinal member. The third clamp can be tightened to secure the reduction bolt to the longitudinal member, and then the nut and the collar can be removed from the patient without the vertebra moving away from the longitudinal member.
摘要翻译： 一种用于减少移位的椎骨并将移位的椎骨连接到脊柱植入物杆的方法和组件。 该组件具有一端的机螺纹和另一端的粗螺纹的减压螺栓。 连接单元将脊柱杆附接到减压螺栓，并且直到其被紧固为止，连接单元允许还原螺栓在连接单元内滑动。 连接单元包括一个靠在减压螺栓侧面上的垫圈，并且一个螺母被拧到减速螺栓的机械螺纹上。 套环打开在两端是开放的，并且具有容易在减压螺栓上滑动的尺寸。 轴环的后表面具有凹口，以在垫圈压靠减速螺栓时接纳垫圈侧面的那部分。 凹口是套环的开口端的一部分，在其中滑过减压螺栓并向下滑动到连接单元上。 以这种方式布置，螺母可以紧紧地靠在套环上，以使移位的椎骨向纵向构件移动。 可以拧紧第三夹具以将还原螺栓固定到纵向构件上，然后可以从患者身上取下螺母和套环，而不会使椎骨从纵向构件移开。
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公开(公告)号：US5810878A
公开(公告)日：1998-09-22
申请号：US798091
申请日：1997-02-12
申请人： Marc H. Burel , David L. Brumfield , Thomas Barker
发明人： Marc H. Burel , David L. Brumfield , Thomas Barker
CPC分类号： A61B17/7086
摘要： Forceps are provided with a bifurcated gripping nose on one end adapted to pivotally engage an implant while a rod passes between the branches of the bifurcated gripping nose. The forceps further define a fulcrum adjacent the gripping nose. The pivotally engaging gripping nose and included fulcrum permit a surgeon to urge the rod into an opening in the implant with a single instrument while securely gripping the implant. With the implant pivotally engaged by the gripping nose, movement of the forceps towards the rod brings the fulcrum into contact with the rod and further movement urges the rod into an opening in the implant. In an alternative form, the gripping nose is laterally offset to urge a laterally offset rod into alignment with the implant upon rotation of the forceps.
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公开(公告)号：US5209751A
公开(公告)日：1993-05-11
申请号：US838498
申请日：1992-02-19
CPC分类号： A61B17/7059
摘要： A spinal fixation system includes a relatively rigid fixation plate which is engaged to a plurality of vertebrae by bone screws or bolts. The plate includes a longitudinal slot defined therethrough with an arrangement of scallops formed at the edge of the slot on the upper and lower surfaces of the plate. The scallop arrangement includes a first set of scallops formed at one spherical radius and a second set of scallops nested within the first that are formed at a smaller radius. Thus, the fixation plate can accommodate bone screws or bolts, or other bone engagement or load transmitting components having curved engagement surfaces of various diameters and providing varying degrees of rigidity. In another feature of the invention, a C-shaped ring is provided which encircles the plate to entrap the side walls of the plate, thereby restricting the plate walls from spreading as the bone screws or bolts are tightened onto the plate. The side walls of the plate and the inner walls of the C-shaped ring are correspondingly curved to retain the ring on the plate.
摘要翻译： 脊柱固定系统包括相对刚性的固定板，其通过骨螺钉或螺栓与多个椎骨接合。 该板包括一个限定在其中的纵向狭槽，其中形成有在板的上表面和下表面上的槽的边缘处形成扇贝的布置。 扇形布置包括形成在一个球形半径处的第一组扇贝和嵌套在第一组中的第二组扇形，其以较小的半径形成。 因此，固定板可以容纳具有各种直径的弯曲接合表面并提供不同程度刚度的骨螺钉或螺栓或其它骨接合或负载传递部件。 在本发明的另一个特征中，提供了C形环，其环绕板以捕获板的侧壁，从而当骨螺钉或螺栓紧固在板上时限制板壁的扩展。 板的侧壁和C形环的内壁相应地弯曲以将环保持在板上。
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公开(公告)号：US4554915A
公开(公告)日：1985-11-26
申请号：US473199
申请日：1983-03-08
申请人： David L. Brumfield
发明人： David L. Brumfield
CPC分类号： A61B17/6425 , A61B17/66
摘要： One external fixation frame, for immobilizing bone segments adjacent a fracture or joint, includes a fixation block with a pair of arms extending from the block across the fracture or joint. Another embodiment has but a single arm while a third embodiment includes one or two arms projecting from each end of the block. A ball and socket joint connects each arm to the block for universal movement thereabout. Length adjustment is accomplished via a turnbuckle formed in each arm. The outer end of each arm includes a slot for connecting to pins inserted in the respective bone segments. Set screws are provided for tightening the ball and socket joints and for holding the pins in the slots.
摘要翻译： 用于将骨段固定在骨折或关节附近的一个外部固定框架包括具有一对臂的固定块，所述一对臂从所述块延伸穿过所述骨折或关节。 另一实施例具有单个臂，而第三实施例包括从块的每个端部突出的一个或两个臂。 球窝接头将每个臂连接到块上，以便在其周围进行通用运动。 通过在每个臂中形成的螺丝扣实现长度调节。 每个臂的外端包括用于连接到插入相应骨段中的销的狭槽。 提供固定螺丝用于拧紧球窝接头，并将销子固定在槽中。
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公开(公告)号：US08617216B2
公开(公告)日：2013-12-31
申请号：US12931371
申请日：2011-02-01
申请人： David L. Brumfield
发明人： David L. Brumfield
IPC分类号： A61B17/70
CPC分类号： A61B17/7035 , A61B17/7041 , A61B2017/00867
摘要： An orthopedic stabilization system of implants that includes a bone attachment means that provides poly-axial fixation of the system to the vertebrae, and a connector means that connects the bone attachment means to the spinal rod in a fashion that allows variable height adjustment of the spinal rod (dorsal in the case of posterior spinal pedicle fixation). The orthopedic stabilization system includes a locking means with a tightenable ball-joint arrangement that locks a post means to the bone attachment means in a desired relative spatial orientation. Several embodiments are disclosed, some using traditional mechanical locking means such as screw fasteners, taper-locking interfaces and collets. Embodiments are described that use the austenitic transformation of shape memory alloy (SMA) material to effect a locking of both the ball-joint arrangement and the connector means.
摘要翻译： 一种植入物的整形外科稳定系统，其包括提供系统对椎骨的多轴向固定的骨附着装置，以及以允许脊柱的可变高度调节方式将骨固定装置连接到脊柱杆的连接装置 杆（后脊椎椎弓根固定的背面）。 矫形稳定系统包括具有可紧固的球形接头装置的锁定装置，其以期望的相对空间取向将柱装置锁定到骨附着装置。 公开了一些实施例，一些使用传统的机械锁定装置，例如螺钉紧固件，锥形锁定接口和夹头。 描述了使用形状记忆合金（SMA）材料的奥氏体转变来实现球接头装置和连接器装置的锁定的实施例。
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