公开(公告)号：US08066710B2

公开(公告)日：2011-11-29

申请号：US12798632

申请日：2010-04-08

申请人： Bradley T. Estes ,  Regis W. Haid, Jr. ,  Eddie F. Ray, III ,  Jeffrey D. Moore ,  Gerald E. Rodts, Jr.

发明人： Bradley T. Estes ,  Regis W. Haid, Jr. ,  Eddie F. Ray, III ,  Jeffrey D. Moore ,  Gerald E. Rodts, Jr.

IPC分类号： A61B17/60

CPC分类号： A61B17/1757 ,  A61B17/025 ,  A61B2017/0256 ,  A61B2090/062 ,  A61F2/4611 ,  A61F2002/4627 ,  A61F2002/4687

摘要： A method and instrumentation for spinal interbody fusion is disclosed. The instruments and methods are particularly adapted for interbody fusion from a posterior approach to the spine. One instrument is a retractor having a lockable pivotally mounted handle. Another instrument is a template for straddling the dura. A modular distractor is also provided and preferably includes a tapered shaft with a visualization window disposed therein. Yet another instrument is a depth gauge to verify bone opening depth and dimension, preferably including a radiopaque portion. A method contemplates the use of these instruments to prepare a disc space to receive an implant.

摘要翻译： 公开了一种脊柱体内融合的方法和仪器。 仪器和方法特别适用于从后路到脊柱的椎间融合。 一个乐器是具有可锁定的可枢转地安装的手柄的牵开器。 另一个仪器是跨越硬脑膜的模板。 还提供了模块化牵引器，并且优选地包括具有设置在其中的可视化窗口的锥形轴。 另一种仪器是用于验证骨骼开口深度和尺寸的深度计，优选地包括不透射线部分。 一种方法考虑使用这些器械来准备椎间盘以接收植入物。

公开(公告)号：US07722618B2

公开(公告)日：2010-05-25

申请号：US10268841

申请日：2002-10-10

申请人： Bradley T. Estes ,  Regis W. Haid, Jr. ,  Eddie F. Ray, III ,  Jeffrey D. Moore ,  Gerald E. Rodts, Jr.

发明人： Bradley T. Estes ,  Regis W. Haid, Jr. ,  Eddie F. Ray, III ,  Jeffrey D. Moore ,  Gerald E. Rodts, Jr.

IPC分类号： A61B17/60

CPC分类号： A61B17/1757 ,  A61B17/025 ,  A61B2017/0256 ,  A61B2090/062 ,  A61F2/4611 ,  A61F2002/4627 ,  A61F2002/4687

摘要： A method and instrumentation for spinal interbody fusion is disclosed. The instruments and methods are particularly adapted for interbody fusion from a posterior approach to the spine. One instrument is a retractor having a lockable pivotally mounted handle. Another instrument is a template for straddling the dura. A modular distractor is also provided and preferably includes a tapered shaft with a visualization window disposed therein. Yet another instrument is a depth gauge to verify bone opening depth and dimension, preferably including a radiopaque portion. A method contemplates the use of these instruments to prepare a disc space to receive an implant.

公开(公告)号：US06506151B2

公开(公告)日：2003-01-14

申请号：US09829655

申请日：2001-04-10

申请人： Bradley T. Estes ,  Regis W. Haid, Jr. ,  Eddie F. Ray, III ,  Jeffrey D. Moore ,  Gerald E. Rodts, Jr.

发明人： Bradley T. Estes ,  Regis W. Haid, Jr. ,  Eddie F. Ray, III ,  Jeffrey D. Moore ,  Gerald E. Rodts, Jr.

IPC分类号： A61B132

CPC分类号： A61B17/1757 ,  A61B17/025 ,  A61B2017/0256 ,  A61B2090/062 ,  A61F2/4611 ,  A61F2002/4627 ,  A61F2002/4687

摘要： A method and instrumentation for spinal interbody fusion is disclosed. The instruments and methods are particularly adapted for interbody fusion from a posterior approach to the spine. One instrument is a retractor having a lockable pivotally mounted handle. Another instrument is a template for straddling the dura. A modular distractor is also provided and preferably includes a tapered shaft with a visualization window disposed therein. Yet another instrument is a depth gauge to verify bone opening depth and dimension, preferably including a radiopaque portion. A method contemplates the use of these instruments to prepare a disc space to receive an implant.

摘要翻译： 公开了一种脊柱体内融合的方法和仪器。 仪器和方法特别适用于从后路到脊柱的椎间融合。 一个乐器是具有可锁定的可枢转地安装的手柄的牵开器。 另一个仪器是跨越硬脑膜的模板。 还提供了模块化牵引器，并且优选地包括具有设置在其中的可视化窗口的锥形轴。 另一种仪器是用于验证骨骼开口深度和尺寸的深度计，优选地包括不透射线部分。 一种方法考虑使用这些器械来准备椎间盘以接收植入物。

公开(公告)号：US06241729B1

公开(公告)日：2001-06-05

申请号：US09179799

申请日：1998-10-27

申请人： Bradley T. Estes ,  Regis W. Haid, Jr. ,  Eddie F. Ray, III ,  Jeffrey D. Moore ,  Gerald E. Rodts, Jr.

发明人： Bradley T. Estes ,  Regis W. Haid, Jr. ,  Eddie F. Ray, III ,  Jeffrey D. Moore ,  Gerald E. Rodts, Jr.

IPC分类号： A61B1788

CPC分类号： A61B17/1757 ,  A61B17/025 ,  A61B2017/0256 ,  A61B2090/062 ,  A61F2/4611 ,  A61F2002/4627 ,  A61F2002/4687

摘要： A method and instrumentation for spinal interbody fusion is disclosed. The instruments and methods are particularly adapted for interbody fusion from a posterior approach to the spine. One instrument is a retractor having a lockable pivotally mounted handle. Another instrument is a template for straddling the dura. A modular distractor is also provided and preferably includes a tapered shaft with a visualization window disposed therein. Yet another instrument is a depth gauge to verify bone opening depth and dimension, preferably including a radiopaque portion. A method contemplates the use of these instruments to prepare a disc space to receive an implant.

公开(公告)号：US06197033B1

公开(公告)日：2001-03-06

申请号：US09287927

申请日：1999-04-07

申请人： Regis W. Haid, Jr. ,  Christopher Comey ,  Bradley T. Estes ,  Jeffrey D. Moore ,  Eddie F. Ray, III

发明人： Regis W. Haid, Jr. ,  Christopher Comey ,  Bradley T. Estes ,  Jeffrey D. Moore ,  Eddie F. Ray, III

IPC分类号： A61B1758

CPC分类号： A61B17/025 ,  A61B17/1757 ,  A61B2017/0256 ,  A61B2090/062

摘要： A guide sleeve with longitudinally offset bone engaging portions is provided for engagement with anterior-posterior offset vertebral bodies. In one aspect of the invention the guide tube has fixed bone engaging portions in a predetermined offset position. In another form of the invention, the guide sleeve is composed of at least two moveably connected portions adapted to permit adjustment of the offset between the bone engaging portions. Further, a method is provided for using a guide sleeve with offset bone engaging portions.

摘要翻译： 具有纵向偏移骨接合部分的引导套筒被提供用于与前后偏移椎体接合。 在本发明的一个方面中，引导管具有固定的骨接合部分在预定的偏移位置。 在本发明的另一形式中，引导套筒由至少两个可移动地连接的部分组成，其适于允许调整骨接合部分之间的偏移。 此外，提供了一种使用具有偏置骨接合部分的引导套筒的方法。

公开(公告)号：US08142477B2

公开(公告)日：2012-03-27

申请号：US12691461

申请日：2010-01-21

申请人： Jason John Eckhardt ,  Vincent C. Traynelis ,  J. Kenneth Burkus ,  Regis W. Haid, Jr.

发明人： Jason John Eckhardt ,  Vincent C. Traynelis ,  J. Kenneth Burkus ,  Regis W. Haid, Jr.

IPC分类号： A61B17/70

CPC分类号： A61F2/4425 ,  A61B17/86 ,  A61F2/4455 ,  A61F2002/30388 ,  A61F2002/30433 ,  A61F2002/30607 ,  A61F2002/30649 ,  A61F2002/30878 ,  A61F2002/3098 ,  A61F2002/4475 ,  A61F2210/0014 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00796

摘要： A retaining system for affixing a component to a vertebral body is disclosed. The system comprises a component and a retaining mechanism. The component comprises an inner surface configured to engage at least a portion of an endplate surface of the vertebral body, and an outer surface configured to engage the retaining mechanism, wherein the outer surface of the component comprises a first face directed substantially toward the vertebral body. The retaining mechanism comprises an inner surface configured to engage the outer surface of the component, and an outer surface configured to receive a fastener, wherein the inner surface of the retaining mechanism comprising a second face directed substantially away from the vertebral body.

摘要翻译： 公开了一种用于将部件固定到椎体的保持系统。 该系统包括部件和保持机构。 所述部件包括内表面，所述内表面构造成与所述椎体的端板表面的至少一部分接合，以及外表面，所述外表面被构造成与所述保持机构接合，其中所述部件的外表面包括基本上朝向所述椎体的第一面 。 保持机构包括构造成接合部件的外表面的内表面和被配置为容纳紧固件的外表面，其中保持机构的内表面包括基本上远离椎体的第二面。

公开(公告)号：US07727266B2

公开(公告)日：2010-06-01

申请号：US10870026

申请日：2004-06-17

申请人： Gary S. Lindemann ,  Larry Gause ,  Robert A. Farris ,  Regis W. Haid, Jr. ,  Stephen Papadopoulos ,  Rick Sasso ,  Volker Sonntag ,  Vince Traynelis ,  Iain Kalfas

发明人： Gary S. Lindemann ,  Larry Gause ,  Robert A. Farris ,  Regis W. Haid, Jr. ,  Stephen Papadopoulos ,  Rick Sasso ,  Volker Sonntag ,  Vince Traynelis ,  Iain Kalfas

IPC分类号： A61B17/80

CPC分类号： A61B17/8042 ,  A61B17/7059 ,  A61B17/8047

摘要： A retention system for maintaining a screw to a vertebral plate. One or more screws extend through apertures within the vertebral plate. A cavity is positioned adjacent to and overlaps into the aperture. A ring is positioned within the cavity and held in position by a cap. The cap attaches to the plate to prevent removal of the ring. The ring is deflectable between a first shape to allow the screw to be inserted and removed from the aperture, and a second shape to prevent screw back-out from the aperture. A method of using the system is also included and comprises positioning the ring within a cavity in the plate, maintaining the position of the ring to the plate by attaching a cap, inserting a screw through the aperture and attaching the plate to a vertebral member, and positioning the ring over the screw head and preventing the screw from backing-out.

摘要翻译： 用于将螺钉保持在椎板的保持系统。 一个或多个螺钉延伸穿过椎板内的孔。 空腔被定位成邻近并与孔重叠。 环位于空腔内并通过盖保持就位。 盖子连接到板上以防止环的移除。 环可在第一形状之间偏转以允许螺钉从孔插入和移除，以及第二形状以防止螺丝从孔中退出。 还包括使用该系统的方法，并且包括将环定位在板中的空腔内，通过安装帽，将螺钉穿过孔并将板附接到椎体构件来将环的位置保持在板上， 并将环定位在螺钉头上，并防止螺丝退出。

公开(公告)号：US07001387B2

公开(公告)日：2006-02-21

申请号：US10713949

申请日：2003-11-13

申请人： Robert A. Farris ,  Jeffrey Wade Poyner ,  Volker K. H. Sonntag ,  Regis W. Haid, Jr. ,  Stephen M. Papadopoulos

发明人： Robert A. Farris ,  Jeffrey Wade Poyner ,  Volker K. H. Sonntag ,  Regis W. Haid, Jr. ,  Stephen M. Papadopoulos

IPC分类号： A61B17/80

CPC分类号： A61B17/8042 ,  A61B17/7059 ,  A61B17/8033 ,  A61B17/8047

摘要： In one embodiment of the invention, an anterior fixation system includes a plate defining a plurality of screw holes, a number of screws and a number of locking assemblies for fixing the screws to the plate. The system includes two bone screws a fixed angle screw and a variable angle screw, that are configured to extend through the same screw openings in the fixation plate. The surgeon can select either the fixed or variable angled screws to be implanted with a single plate and can place either type of screw into any of the screw holes along the plate. The fixation plate according to the invention can include several screw holes in various patterns that provide the surgeon with great flexibility in the placement of bone screws depending upon the spinal anatomy and pathology. The invention further contemplates a locking assembly to lock one or more bone screws within a respective screw hole. In one embodiment, the locking assembly includes a washer that is held to the plate by a staked locking screw. The washer includes an outer surface that overlaps one or more screw holes. The washer is initially loosely held to the plate by the locking screw so that various tools and bone screws can be passed through the screw holes. In one embodiment of the washer, the washer includes cut-outs corresponding to the screw holes, along with a notch and key configuration for setting the locking washer in its locked configuration.

摘要翻译： 在本发明的一个实施例中，前固定系统包括限定多个螺钉孔的板，多个螺钉和用于将螺钉固定到板的多个锁定组件。 该系统包括固定角螺钉和可变角螺钉的两个骨螺钉，其构造成延伸穿过固定板中的相同的螺丝孔。 外科医生可以选择要植入的单个固定或可变角度的螺钉，并且可以将两种类型的螺钉放置在沿板的任何螺钉孔中。 根据本发明的固定板可以包括各种图案中的几个螺钉孔，其提供了外科医生根据脊柱解剖结构和病理学放置骨螺钉的很大的灵活性。 本发明进一步设想一个锁定组件以将一个或多个骨螺钉锁定在相应的螺孔内。 在一个实施例中，锁定组件包括垫圈，该垫圈通过铆接的锁定螺钉保持在板上。 垫圈包括与一个或多个螺纹孔重叠的外表面。 洗衣机最初通过锁定螺丝松动地固定在板上，使得各种工具和骨螺钉可以穿过螺丝孔。 在垫圈的一个实施例中，垫圈包括对应于螺钉孔的切口，以及用于将锁定垫圈设置在其锁定构型中的切口和键配置。

公开(公告)号：US06423095B1

公开(公告)日：2002-07-23

申请号：US08603676

申请日：1996-02-20

申请人： James E. Van Hoeck ,  Troy McDonald ,  Bradley J. Coates ,  Regis W. Haid, Jr. ,  Stephen E. Heim ,  Kevin Foley ,  Eugene C. Eckstein

发明人： James E. Van Hoeck ,  Troy McDonald ,  Bradley J. Coates ,  Regis W. Haid, Jr. ,  Stephen E. Heim ,  Kevin Foley ,  Eugene C. Eckstein

IPC分类号： A61F244

CPC分类号： A61F2/442 ,  A61F2/30724 ,  A61F2/30767 ,  A61F2/4455 ,  A61F2/4611 ,  A61F2002/2817 ,  A61F2002/2835 ,  A61F2002/30062 ,  A61F2002/30112 ,  A61F2002/30153 ,  A61F2002/30187 ,  A61F2002/30261 ,  A61F2002/30271 ,  A61F2002/30677 ,  A61F2002/3092 ,  A61F2002/30929 ,  A61F2002/4475 ,  A61F2002/4623 ,  A61F2002/4627 ,  A61F2210/0004 ,  A61F2230/0004 ,  A61F2230/0019 ,  A61F2230/0034 ,  A61F2230/0082 ,  A61F2310/00161 ,  A61F2310/00293 ,  A61F2310/00491 ,  A61F2310/00544 ,  A61F2310/00796 ,  A61L31/024 ,  A61L31/026 ,  A61L31/044 ,  A61L31/047 ,  A61L31/048 ,  A61L31/06 ,  A61L2430/38 ,  Y10S606/907 ,  Y10S606/908

摘要： One embodiment of a hollow spinal spacer (10) includes a curved anterior wall (11) having opposite ends (12, 13), a posterior wall (15) having opposite ends (16, 17), two lateral walls (20, 21), each integrally connected between the opposite ends (12, 13, 16, 17) of the anterior (11) and posterior (15) walls to define a chamber (30). The walls (11, 15, 20, 21) include a superior face (35) and an inferior face (40). The superior face (35) defines a first opening (36) in communication with the chamber (30) and includes a first vertebral engaging surface (37). The inferior face (40) defines a second opening (41) in communication with the chamber (30) and includes a second vertebral engaging surface (42). In one embodiment, a lateral wing projects from an external surface of each of the lateral walls. In another embodiment, the anterior wall defines an anterior superior surface and an anterior inferior surface. The anterior superior surface has a concave shape defining a first radius which is configured to correspond to the anterior shape of an inferior vertebral endplate. The anterior inferior surface has a convex shape defining a second radius which is configured to correspond to the anterior shape of a superior vertebral endplate. In other embodiments, the lateral walls define a convex lateral superior surface and a convex lateral inferior surface. Each of the lateral surfaces define a radius configured to correspond to the shape of a vertebral endplate.

摘要翻译： 空心脊椎间隔件（10）的一个实施例包括具有相对端（12,13）的弯曲前壁（11），具有相对端（16,17）的后壁（15），两个侧壁（20,21） ，每个整体连接在前（11）和后（15）壁的相对端（12,13,16,17）之间，以限定室（30）。 壁（11,15,20,21）包括上表面（35）和下表面（40）。 上表面（35）限定与腔室（30）连通的第一开口（36）并且包括第一椎骨接合表面（37）。 下表面（40）限定与腔室（30）连通的第二开口（41），并且包括第二椎骨接合表面（42）。在一个实施例中，侧翼从每个侧壁的外表面突出 。 在另一个实施例中，前壁限定前上表面和前下表面。 前上表面具有限定第一半径的凹形，其构造成对应于下椎骨终板的前形状。 前下表面具有限定第二半径的凸形形状，其被配置为对应于上椎骨终板的前形状。 在其他实施例中，侧壁限定凸的侧向上表面和凸的侧向下表面。 每个侧表面限定了被配置为对应于椎体终板的形状的半径。

公开(公告)号：US08277493B2

公开(公告)日：2012-10-02

申请号：US11329850

申请日：2006-01-11

申请人： Robert A. Farris ,  Jeffrey Wade Poyner ,  Volker K. H. Sonntag ,  Regis W. Haid, Jr. ,  Stephen M. Papadopoulos

发明人： Robert A. Farris ,  Jeffrey Wade Poyner ,  Volker K. H. Sonntag ,  Regis W. Haid, Jr. ,  Stephen M. Papadopoulos

IPC分类号： A61F2/30

CPC分类号： A61B17/8042 ,  A61B17/7059 ,  A61B17/8033 ,  A61B17/8047

摘要： An anterior fixation system includes a plate defining a plurality of screw holes, a number of screws and a number of locking assemblies for fixing the screws to the plate. The system includes two bone screws, a fixed angle screw and a variable angle screw, that are configured to extend through the same screw openings in the fixation plate. The surgeon can select either the fixed or variable angled screws to be implanted with a single plate and can place either type of screw into any of the screw holes along the plate. The fixation plate can include several screw holes in various patterns that provide the surgeon with great flexibility in the placement of bone screws depending upon the spinal anatomy and pathology. Also contemplated is a locking assembly to lock one or more bone screws within a respective screw hole.

摘要翻译： 前固定系统包括限定多个螺钉孔的板，多个螺钉和用于将螺钉固定到板的多个锁定组件。 该系统包括两个骨螺钉，固定角螺钉和可变角螺钉，其构造成延伸穿过固定板中的相同的螺丝孔。 外科医生可以选择要植入的单个固定或可变角度的螺钉，并且可以将两种类型的螺钉放置在沿板的任何螺钉孔中。 固定板可以包括各种图案中的几个螺钉孔，这些螺钉孔可根据脊柱解剖结构和病理学为骨科医生的放置提供极大的灵活性。 还可以想到的是将一个或多个骨螺钉锁定在相应螺钉孔内的锁定组件。