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公开(公告)号：US20070270842A1
公开(公告)日：2007-11-22
申请号：US11734201
申请日：2007-04-11
申请人： Brian Bankoski , Shaun Hanson , Raph Solitario , Caryn Bundra , William Woodburn , Mark Rossney , Eric McDivitt , David Rathbun
发明人： Brian Bankoski , Shaun Hanson , Raph Solitario , Caryn Bundra , William Woodburn , Mark Rossney , Eric McDivitt , David Rathbun
IPC分类号： A61F2/30
CPC分类号： A61B17/7082 , A61B17/00234 , A61B17/7076 , A61B17/7079 , A61B17/7083 , A61B17/865 , A61B2090/034
摘要： A minimally invasive fixation system and method for providing access to a surgical site. The fixation system may include a holding assembly, the holding assembling preferably including a lateral implant holder which may be attached to a pedicle screw and a sleeve positioned in connection with the lateral implant holder to prevent the lateral implant holder from separating from the pedicle screw. The sleeve may further include a tissue protection portion to keep the tissue out of the surgical site. A holding sleeve may be operably connected to the holding assembly and pedicle screw and may be used to insert the pedicle screw into the body. Multiple constructs may be inserted into the body so that a portion of the holding assembly extends from the body and provides access to and visualization of the surgical site. A rod holder may also be used to insert a rod into the head of the screw. The rod may be held by the rod holder so that the rod may be angulated as the rod is inserted into the screw heads. Once the rod is positioned in the screw heads, locking caps and/or set screws may be positioned over the rod and engage the screw heads so that the position of the rod may be fixed with respect to the screws. In some embodiments, a movement mechanism may be used to move the screws relative to each other to compress and/or distract the vertebrae.
摘要翻译： 用于提供对外科手术部位的接近的微创固定系统和方法。 所述固定系统可以包括保持组件，所述保持组合优选地包括侧向植入物保持器，其可以附接到椎弓根螺钉和与所述侧向植入物保持器相连接定位的套筒，以防止所述侧向植入物夹持器与所述椎弓根螺钉分离。 套筒还可以包括组织保护部分以将组织保持在手术部位之外。 保持套筒可以可操作地连接到保持组件和椎弓根螺钉，并且可以用于将椎弓根螺钉插入体内。 可以将多个构造物插入体内，使得保持组件的一部分从身体延伸并提供对外科手术部位的接近和可视化。 也可以使用杆保持器将杆插入螺钉的头部。 杆可以由杆保持器保持，使得杆可以在杆插入螺钉头时成角度。 一旦杆被定位在螺钉头中，锁定帽和/或定位螺钉可以定位在杆上方并且接合螺钉头，使得杆的位置可以相对于螺钉固定。 在一些实施例中，运动机构可用于相对于彼此移动螺钉以压缩和/或分散脊椎。
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公开(公告)号：US20060229636A1
公开(公告)日：2006-10-12
申请号：US11368131
申请日：2006-03-02
IPC分类号： A61F11/00
CPC分类号： A61B17/02 , A61B17/3439 , A61B2017/00261
摘要： An expandable access device for providing access to a surgical site and incorporating a mobility member. The expandable access device may have an access portion, an expandable portion, a mobility member connecting the access portion and the expandable portion, and a passageway extending therethrough. The mobility member may connect the access portion and the expandable portion so that the access portion may be translated and/or rotated relative to the expandable portion using a surgical or diagnostic instrument/device and/or a finger. The access portion may have a fixed cross-section or may be expandable. Moreover, the expandable portion of the expandable access device may have an unexpanded and expanded position. One or more tools may be inserted through the passageway and may be used to move the expandable portion between the expanded and unexpanded position. The expandable access device may be inserted into the body down towards a surgical site, with the expandable portion in the unexpanded position. Once in position, the expandable portion may be moved to the expanded position. A surgeon may insert instruments and/or devices through the passageway to the surgical site to perform a surgical procedure. Once the procedure has been completed, the expandable portion may be moved to the unexpanded position and removed from the body.
摘要翻译： 一种用于提供对外科手术部位的接近并结合移动性部件的可扩展的进入装置。 可扩张进入装置可以具有进入部分，可扩张部分，连接进入部分和可扩张部分的移动性部件以及从其延伸穿过的通道。 移动性构件可以连接入口部分和可扩张部分，使得接近部分可以使用外科手术或诊断仪器/装置和/或手指相对于可扩张部分平移和/或旋转。 进入部分可以具有固定的横截面或者可以是可扩展的。 此外，可扩展进入装置的可扩张部分可以具有未展开和展开的位置。 可以通过通道插入一个或多个工具，并且可以将其用于在可膨胀部分和未膨胀位置之间移动可膨胀部分。 可扩张进入装置可以朝着手术部位向下插入体内，其中可扩张部分处于未膨胀位置。 一旦就位，可扩展部分可以移动到展开位置。 外科医生可以将仪器和/或装置通过通道插入外科手术部位以进行外科手术。 一旦程序完成，可扩展部分可以移动到未展开的位置并从身体移除。
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公开(公告)号：US09808281B2
公开(公告)日：2017-11-07
申请号：US12784051
申请日：2010-05-20
CPC分类号： A61B17/3421 , A61B17/3439 , A61B17/7035 , A61B2017/0256 , A61B2017/3419
摘要： Patient-mounted retractors with varying configurations and/or features are provided, along with additional components for use therewith in provided patient-mounted retractor assemblies. Blade type and tube type patient-mounted retractors that may be re-positioned during the course of a procedure are provided in varying configurations and/or geometries suitable for varying procedures and/or patient anatomies. Applications of re-positionable patient-mounted retractor assemblies are particularly suitable for use in minimally invasive procedures, eliminating the need for table-mounted retraction assemblies and/or cannulas that restrict the operating environment.
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公开(公告)号：US20110130634A1
公开(公告)日：2011-06-02
申请号：US12784051
申请日：2010-05-20
IPC分类号： A61B1/32
CPC分类号： A61B17/3421 , A61B17/3439 , A61B17/7035 , A61B2017/0256 , A61B2017/3419
摘要： Patient-mounted retractors with varying configurations and/or features are provided, along with additional components for use therewith in provided patient-mounted retractor assemblies. Blade type and tube type patient-mounted retractors that may be re-positioned during the course of a procedure are provided in varying configurations and/or geometries suitable for varying procedures and/or patient anatomies. Applications of re-positionable patient-mounted retractor assemblies are particularly suitable for use in minimally invasive procedures, eliminating the need for table-mounted retraction assemblies and/or cannulas that restrict the operating environment.
摘要翻译： 提供具有不同构造和/或特征的患者安装的牵开器以及用于在提供的患者安装的牵开器组件中的附加部件。 可以在适合于变化的程序和/或患者解剖结构的变化的构造和/或几何形状中提供可以在程序过程中重新定位的刀片式和管式患者安装的牵开器。 重新定位的患者安装的牵开器组件的应用特别适用于微创手术，消除了限制操作环境的桌面安装式收回组件和/或插管的需要。
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公开(公告)号：US09050147B2
公开(公告)日：2015-06-09
申请号：US13006766
申请日：2011-01-14
申请人： Brian Bankoski , Robert Masson , Mark Rossney , Brian Schmidt
发明人： Brian Bankoski , Robert Masson , Mark Rossney , Brian Schmidt
CPC分类号： A61B17/7079 , A61B17/1735 , A61B17/1757 , A61B17/7011 , A61B17/7037 , A61B17/7091 , A61B17/864 , A61B90/39 , A61B2017/0046 , A61B2090/037
摘要： Methods and instruments are provided to allow access to a surgical site through a small incision while optimizing visualization of the patient anatomy. The instrumentation provide for the retraction of soft tissue, creation of a working envelope below the skin, and access to intervertebral discs and/or the surrounding bony structures for the purpose of performing various operative procedures including discectomy, laminectomy, and other spinal fixations. One set of disclosed instrumentation provides for the targeting of placement and trajectory of spinal fixation devices while reducing the number of instruments necessary needed to pass through the surgical incision. Another instrument disclosed herein allows for the compression of the intervertebral space through a very small incision. The instrument profile is minimized by using the same instrument that is used for tightening of the pedicle screws as one of the active components of the compression instrument.
摘要翻译： 提供方法和仪器以允许通过小切口进入手术部位，同时优化患者解剖结构的可视化。 该仪器提供软组织的缩回，在皮肤下方产生工作信封，以及进行椎间盘和/或周围骨结构，用于执行各种手术过程，包括椎间盘切除术，椎板切除术和其他脊柱固定。 一组公开的仪器提供了脊柱固定装置的放置和轨迹的瞄准，同时减少了通过手术切口所需的器械数量。 本文公开的另一种仪器允许通过非常小的切口压缩椎间空间。 通过使用与用于将椎弓根螺钉紧固作为压缩仪器的有效部件之一的相同仪器，可以使仪器轮廓最小化。
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公开(公告)号：US20110172674A1
公开(公告)日：2011-07-14
申请号：US13006766
申请日：2011-01-14
申请人： Brian Bankoski , Robert Masson , Mark Rossney , Brian Schmidt
发明人： Brian Bankoski , Robert Masson , Mark Rossney , Brian Schmidt
IPC分类号： A61B17/56
CPC分类号： A61B17/7079 , A61B17/1735 , A61B17/1757 , A61B17/7011 , A61B17/7037 , A61B17/7091 , A61B17/864 , A61B90/39 , A61B2017/0046 , A61B2090/037
摘要： Methods and instruments are provided to allow access to a surgical site through a small incision while optimizing visualization of the patient anatomy. The instrumentation provide for the retraction of soft tissue, creation of a working envelope below the skin, and access to intervertebral discs and/or the surrounding bony structures for the purpose of performing various operative procedures including discectomy, laminectomy, and other spinal fixations. One set of disclosed instrumentation provides for the targeting of placement and trajectory of spinal fixation devices while reducing the number of instruments necessary needed to pass through the surgical incision. Another instrument disclosed herein allows for the compression of the intervertebral space through a very small incision. The instrument profile is minimized by using the same instrument that is used for tightening of the pedicle screws as one of the active components of the compression instrument.
摘要翻译： 提供方法和仪器以允许通过小切口进入手术部位，同时优化患者解剖结构的可视化。 该仪器提供软组织的缩回，在皮肤下方产生工作信封，以及进行椎间盘和/或周围骨结构，用于执行各种手术过程，包括椎间盘切除术，椎板切除术和其他脊柱固定。 一组公开的仪器提供了脊柱固定装置的放置和轨迹的瞄准，同时减少了通过手术切口所需的器械数量。 本文公开的另一种仪器允许通过非常小的切口压缩椎间空间。 通过使用与用于将椎弓根螺钉紧固作为压缩仪器的有效部件之一的相同仪器，可以使仪器轮廓最小化。
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公开(公告)号：US20070074980A1
公开(公告)日：2007-04-05
申请号：US11219512
申请日：2005-09-02
申请人： Brian Bankoski , David Evans , Dominique Messerli
发明人： Brian Bankoski , David Evans , Dominique Messerli
IPC分类号： B65D25/08
CPC分类号： B65D77/2024 , A61F2/0095 , B65D25/082 , B65D25/085 , B65D81/32 , B65D81/3238
摘要： Packages for the rehydration of implants are described, wherein the package may contain a first chamber containing a rehydration fluid, a second chamber containing an implant, and a barrier configured to be affected without compromising the sterility of the package. The rehydration fluid may engage and rehydrate the implant after the barrier is ruptured. Methods of use are also described.
摘要翻译： 描述了用于植入物再水合的包装，其中包装可以包含含有补液的第一室，包含植入物的第二室和被构造成受影响而不影响包装的无菌性的屏障。 补水液体可能会在屏障破裂后接合并再植入植入物。 还描述了使用方法。
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