公开(公告)号：US08998954B2

公开(公告)日：2015-04-07

申请号：US12848581

申请日：2010-08-02

申请人： Brian D. Hartsell ,  Kara A. Bucci

发明人： Brian D. Hartsell ,  Kara A. Bucci

IPC分类号： A61B17/70 ,  A61F2/44 ,  A61F2/30

CPC分类号： A61B17/7065 ,  A61F2002/30179

摘要： A spinous process spacer that is designed to maintain a desired spatial relationship between adjacent vertebrae, is configured for introduction into a spinal implant site in a compressed state and then expands in situ. Once expanded, formations of the present spinal spacer form areas, pockets or spaces that receive at least one bony portion of each adjacent vertebra. The present spinous process spacer has a changeable circumferential profile wherein a first circumferential profile is smaller than a second circumferential profile in order to provide/achieve its compressed and expanded states. The first circumferential profile defines the collapsed position or state while the second circumferential profile defines the position or state. Upon implantation, the present spinous process spacer is not fixed to any bony structure of the vertebrae but provides support. In this regard, use of the spinous process spacer, by itself, will not result in vertebral fusion. However, fusion can result with the use of bone graft packed about the spinous processes (and the spinous process spacer) or in conjunction with the use of an intervertebral body spacer.

摘要翻译： 设计成在相邻椎骨之间保持期望的空间关系的棘突间隔件构造成以压缩状态引入脊柱植入部位，然后原位扩张。 一旦膨胀，本脊柱垫片的形成形成接收每个相邻椎骨的至少一个骨部分的区域，凹穴或空间。 本发明的棘突间隔件具有可变的圆周轮廓，其中第一圆周轮廓小于第二圆周轮廓，以便提供/实现其压缩和展开状态。 第一圆周轮廓限定折叠位置或状态，而第二圆周轮廓限定位置或状态。 植入后，目前的棘突间隔物不固定到椎骨的任何骨结构，但提供支撑。 在这方面，使用棘突间隔物本身不会导致脊椎融合。 然而，融合可以通过使用围绕棘突（和棘突间隔）填充的骨移植物或与使用椎间体间隔物结合使用。

公开(公告)号：US08241334B2

公开(公告)日：2012-08-14

申请号：US12172225

申请日：2008-07-12

申请人： Michael S. Butler ,  Kara A. Bucci ,  Brian D. Hartsell

发明人： Michael S. Butler ,  Kara A. Bucci ,  Brian D. Hartsell

IPC分类号： A61B17/70

CPC分类号： A61B17/7052

摘要： A spinal cross-connector is configured for adjustable connection between spinal fixation devices such as spinal fixation rods and allows for adjustment in length or distance between adjacent spinal rod clamping members and provides independent rotational adjustment of the two spinal rod clamping members for individual and independent attachment thereof to adjacent spinal rods of a spinal rod assembly. The cross-connector has first and second connection members that are adjustable in length and rotation relative to one another. A first spinal rod clamping member is provided on an end of the first connection member and defines first and second arced jaws that are adapted to clamp onto a first spinal rod. A second spinal rod clamping member is provided on an end of the second connection member and defines first and second arced jaws that are adapted to clamp onto a second spinal rod. Both the first and second clamping members are rotatable relative to the connection arms and thus provide the rotational adjustment. The individual and independent rotational adjustment of the spinal rod clamping members allows the present cross-connector to adjust to variations in skew between adjacent spinal rods as well as provide the ability to attach to the adjacent spinal rods at various angles between the adjacent spinal rods.

摘要翻译： 脊柱交叉连接器被配置用于脊椎固定装置（例如脊柱固定杆）之间的可调连接，并且允许在相邻的脊柱杆夹持构件之间的长度或距离上进行调节，并且提供用于单独和独立附接的两个脊柱杆夹紧构件的独立旋转调节 到脊椎杆组件的相邻脊柱杆。 交叉连接器具有第一和第二连接构件，其可相对于彼此的长度和旋转可调节。 第一脊柱杆夹紧构件设置在第一连接构件的端部上并且限定适于夹紧到第一脊柱杆上的第一和第二弧形夹爪。 第二脊柱杆夹紧构件设置在第二连接构件的端部上并且限定适于夹紧到第二脊柱杆上的第一和第二弧形夹爪。 第一和第二夹紧构件都可相对于连接臂旋转，从而提供旋转调节。 脊柱杆夹紧构件的单独和独立的旋转调节允许当前的交叉连接器适应相邻脊椎杆之间的偏斜变化，并且提供以相邻脊椎杆之间的各种角度附接到相邻脊柱杆的能力。

公开(公告)号：US20090018586A1

公开(公告)日：2009-01-15

申请号：US12172225

申请日：2008-07-12

申请人： Michael S. Butler ,  Kara A. Bucci ,  Brian D. Hartsell

发明人： Michael S. Butler ,  Kara A. Bucci ,  Brian D. Hartsell

IPC分类号： A61B17/70

CPC分类号： A61B17/7052

摘要： A spinal cross-connector is configured for adjustable connection between spinal fixation devices such as spinal fixation rods and allows for adjustment in length or distance between adjacent spinal rod clamping members and provides independent rotational adjustment of the two spinal rod clamping members for individual and independent attachment thereof to adjacent spinal rods of a spinal rod assembly. The cross-connector has first and second connection members that are adjustable in length and rotation relative to one another. A first spinal rod clamping member is provided on an end of the first connection member and defines first and second arced jaws that are adapted to clamp onto a first spinal rod. A second spinal rod clamping member is provided on an end of the second connection member and defines first and second arced jaws that are adapted to clamp onto a second spinal rod. Both the first and second clamping members are rotatable relative to the connection arms and thus provide the rotational adjustment. The individual and independent rotational adjustment of the spinal rod clamping members allows the present cross-connector to adjust to variations in skew between adjacent spinal rods as well as provide the ability to attach to the adjacent spinal rods at various angles between the adjacent spinal rods.

摘要翻译： 脊柱交叉连接器被配置用于脊椎固定装置（例如脊柱固定杆）之间的可调连接，并且允许在相邻的脊柱杆夹持构件之间的长度或距离上进行调节，并且提供用于单独和独立附接的两个脊柱杆夹紧构件的独立旋转调节 到脊椎杆组件的相邻脊柱杆。 交叉连接器具有第一和第二连接构件，其可相对于彼此的长度和旋转可调节。 第一脊柱杆夹紧构件设置在第一连接构件的端部上并且限定适于夹紧到第一脊柱杆上的第一和第二弧形夹爪。 第二脊柱杆夹紧构件设置在第二连接构件的端部上并且限定适于夹紧到第二脊柱杆上的第一和第二弧形夹爪。 第一和第二夹紧构件都可相对于连接臂旋转，从而提供旋转调节。 脊柱杆夹紧构件的单独和独立的旋转调节允许当前的交叉连接器适应相邻脊椎杆之间的偏斜变化，并且提供以相邻脊椎杆之间的各种角度附接到相邻脊柱杆的能力。

公开(公告)号：US20110029021A1

公开(公告)日：2011-02-03

申请号：US12848581

申请日：2010-08-02

申请人： Brian D. Hartsell ,  Kara A. Bucci

发明人： Brian D. Hartsell ,  Kara A. Bucci

IPC分类号： A61B17/70

CPC分类号： A61B17/7065 ,  A61F2002/30179

摘要： A spinous process spacer that is designed to maintain a desired spatial relationship between adjacent vertebrae, is configured for introduction into a spinal implant site in a compressed state and then expands in situ. Once expanded, formations of the present spinal spacer form areas, pockets or spaces that receive at least one bony portion of each adjacent vertebra. The present spinous process spacer has a changeable circumferential profile wherein a first circumferential profile is smaller than a second circumferential profile in order to provide/achieve its compressed and expanded states. The first circumferential profile defines the collapsed position or state while the second circumferential profile defines the position or state. Upon implantation, the present spinous process spacer is not fixed to any bony structure of the vertebrae but provides support. In this regard, use of the spinous process spacer, by itself, will not result in vertebral fusion. However, fusion can result with the use of bone graft packed about the spinous processes (and the spinous process spacer) or in conjunction with the use of an intervertebral body spacer.

摘要翻译： 设计成在相邻椎骨之间保持期望的空间关系的棘突间隔件构造成以压缩状态引入脊柱植入部位，然后原位扩张。 一旦膨胀，本脊柱垫片的形成形成接收每个相邻椎骨的至少一个骨部分的区域，凹穴或空间。 本发明的棘突间隔件具有可变的圆周轮廓，其中第一圆周轮廓小于第二圆周轮廓，以便提供/实现其压缩和展开状态。 第一圆周轮廓限定折叠位置或状态，而第二圆周轮廓限定位置或状态。 植入后，目前的棘突间隔物不固定到椎骨的任何骨结构，但提供支撑。 在这方面，使用棘突间隔物本身不会导致脊椎融合。 然而，融合可以通过使用围绕棘突（和棘突间隔）填充的骨移植物或与使用椎间体间隔物结合使用。

公开(公告)号：US20100191287A1

公开(公告)日：2010-07-29

申请号：US12694051

申请日：2010-01-26

申请人： Kara A. Bucci

发明人： Kara A. Bucci

IPC分类号： A61B17/70

CPC分类号： A61B17/7062 ,  A61B17/7068 ,  A61B2017/564

摘要： Interspinous/inter-laminar spinal spacers (spinal spacers) are configured to be placed between bony structures (i.e. transverse and spinous processes) of adjacent vertebrae of a spine. In one form, flexible spinal spacers are defined by a unitary body that is configured to be placed between bony structures of adjacent vertebrae of a spine. The unitary body has a flex portion that provides for motion between the adjacent vertebrae to which it is coupled. The flex portion is configurable to provide for various degrees of angulation, flexion, extension and/or compression of the present flexible spinal spacer. In another form, static spinal spacers are defined by a unitary body that is configured to be placed between bony structures of adjacent vertebrae of a spine. The unitary body has saddle-shaped ends each defining a pocket that is configured to receive a bony structure of a vertebra. The pockets may or may not be textured and/or may or may not include teeth, serrations or ridged surfaces to secure the spinal spacer to the bony structure.

摘要翻译： 棘突间/层间脊椎间隔物（脊椎间隔物）构造成放置在脊柱的相邻椎骨的骨结构（即横向和棘突）之间。 在一种形式中，柔性脊椎间隔物由整体形成，其被配置为放置在脊柱的相邻椎骨的骨结构之间。 整体具有弯曲部分，其提供与其联接的相邻椎骨之间的运动。 弯曲部分可配置为提供本发明的柔性脊椎间隔件的各种角度，屈曲，伸展和/或压缩程度。 在另一种形式中，静态脊椎间隔物由整体形成，其构造成放置在脊柱的相邻椎骨的骨结构之间。 整体具有鞍形端部，每个端部限定一个口袋，该口袋被配置为接收椎骨的骨骼结构。 口袋可以是或可以不是纹理的和/或可以包括也可以不包括齿，锯齿或脊状表面以将脊椎间隔物固定到骨结构。

公开(公告)号：US08236031B2

公开(公告)日：2012-08-07

申请号：US12694051

申请日：2010-01-26

申请人： Kara A. Bucci

发明人： Kara A. Bucci

IPC分类号： A61B17/70

CPC分类号： A61B17/7062 ,  A61B17/7068 ,  A61B2017/564

摘要： Interspinous/inter-laminar spinal spacers (spinal spacers) are configured to be placed between bony structures (i.e. transverse and spinous processes) of adjacent vertebrae of a spine. In one form, flexible spinal spacers are defined by a unitary body that is configured to be placed between bony structures of adjacent vertebrae of a spine. The unitary body has a flex portion that provides for motion between the adjacent vertebrae to which it is coupled. The flex portion is configurable to provide for various degrees of angulation, flexion, extension and/or compression of the present flexible spinal spacer. In another form, static spinal spacers are defined by a unitary body that is configured to be placed between bony structures of adjacent vertebrae of a spine. The unitary body has saddle-shaped ends each defining a pocket that is configured to receive a bony structure of a vertebra. The pockets may or may not be textured and/or may or may not include teeth, serrations or ridged surfaces to secure the spinal spacer to the bony structure.

摘要翻译： 棘突间/层间脊椎间隔物（脊椎间隔物）构造成放置在脊柱的相邻椎骨的骨结构（即横向和棘突）之间。 在一种形式中，柔性脊椎间隔物由整体形成，其被配置为放置在脊柱的相邻椎骨的骨结构之间。 整体具有弯曲部分，其提供与其联接的相邻椎骨之间的运动。 弯曲部分可配置为提供本发明的柔性脊椎间隔件的各种角度，屈曲，伸展和/或压缩程度。 在另一种形式中，静态脊椎间隔物由整体形成，其构造成放置在脊柱的相邻椎骨的骨结构之间。 整体具有鞍形端部，每个端部限定一个口袋，该口袋被配置为接收椎骨的骨骼结构。 口袋可以是或可以不是纹理的和/或可以包括也可以不包括齿，锯齿或脊状表面以将脊椎间隔物固定到骨结构。

公开(公告)号：US20110015745A1

公开(公告)日：2011-01-20

申请号：US12836285

申请日：2010-07-14

申请人： Kara A. Bucci

发明人： Kara A. Bucci

IPC分类号： A61F2/44

CPC分类号： A61F2/4455 ,  A61B17/86 ,  A61F2002/30369 ,  A61F2002/30471 ,  A61F2002/30578 ,  A61F2002/30787 ,  A61F2002/30794 ,  A61F2002/30904 ,  A61F2002/4475 ,  A61F2220/0033

摘要： A spinal implant assembly combines a spinal interbody spacer with a spine plate. The combined spinal interbody spacer and spine plate assembly provides stabilization and torsional resistance to promote fusion of adjacent vertebrae of the spine. The interbody spacer is configured for placement within an intervertebral space between the adjacent vertebrae previously occupied by a spinal disc. The spinal plate is configured for attachment to anterior sides of the adjacent vertebrae (either on or within the vertebrae). The spinal plate may translate relative to the interbody spacer or it may be fixed relative to the interbody spacer. Translation of the spinal plate allows it to be affixed to the vertebrae in various positions and/or allow movement post installation. In one form, the spinal plate is defined by first and second spine plate or plate portions that are coupled to one another to allow rotation about each other. Ends of the first and second spine plates are received in/by the interbody spacer, while a pin extends through the interbody spacer to fix the first and second spine plates to the interbody spacer. In another form, the spinal plate is defined by first and second spine plates or plate portions that are movably retained by the interbody spacer. In call cases, the first and second spine plates each have one, two or more screw holes for accepting a bone screw for fixing the spine plates to the adjacent vertebrae.

摘要翻译： 脊柱植入组件将脊柱间隔垫与脊椎板相结合。 组合的脊柱间隔垫和脊椎板组件提供稳定性和抗扭转性，以促进脊柱相邻椎骨的融合。 所述体间间隔件构造成放置在先前由脊椎盘占据的相邻椎骨之间的椎间空间内。 脊柱板被配置为附着到相邻椎骨的前侧（在椎骨上或椎骨内）。 脊板可以相对于椎间体间隔物平移，或者可以相对于椎体间隔件固定。 脊椎板的翻译允许其在各种位置固定到椎骨和/或允许后安装移动。 在一种形式中，脊椎板由彼此联接以允许彼此旋转的第一和第二脊板或板部分限定。 第一和第二脊板的端部被接纳在体间间隔件中/通过体间间隔件，而销延伸穿过体间间隔件以将第一和第二脊板固定到体间间隔件。 在另一种形式中，脊椎板由第一和第二脊板或板部分限定，所述第一和第二脊板或板部分由所述体间间隔件可移动地保持。 在通话的情况下，第一和第二脊板各自具有一个，两个或更多个螺钉孔，用于接收用于将脊柱板固定到相邻椎骨的骨螺钉。

公开(公告)号：US20080300632A1

公开(公告)日：2008-12-04

申请号：US12156354

申请日：2008-05-30

申请人： Michael S. Butler ,  Kara A. Bucci

发明人： Michael S. Butler ,  Kara A. Bucci

IPC分类号： A61B17/70 ,  B21D31/00

CPC分类号： A61B17/7059 ,  A61B17/80 ,  A61B2017/00526

摘要： A method of fabricating medical devices and medical devices made from the method of fabricating a medical device, the medical device, without being exhaustive, may be a medical instrument, an implant, a prosthetic, a body support structure or the like. The method includes work-hardening a work-hardenable metal to achieve a desired microstructure of the metal, then fabricating a medical device in accordance with the desired microstructure utilizing the work-hardened metal. In one form, the desired microstructure is an elongated grain structure. The medical device is created from the grain-elongated metal such that the medical device is oriented relative to the plane of grain elongation. In a particular form of the invention, the medical device is a curved spine plate wherein elongated grains of the work hardened metal are oriented in a plane normal to a curvature of the spine plate. Work-hardening includes forging, cold rolling or hot rolling, and annealing prior to use in medical device fabrication. This creates a metal implant stock that has more strength and flexibility in compression and bending than without undergoing the present work-hardening. These properties are exploited in medical device design, fabrication, fabrication orientation and/or the like to create medical devices such as super strong implants.

摘要翻译： 制造医疗装置和医疗装置的方法可以是医疗器械，植入物，假体，身体支撑结构等，由制造医疗装置的方法制造医疗装置，医疗装置不是穷尽的。 该方法包括加工硬化可加工硬化的金属以实现金属的所需微观结构，然后根据所需的微结构利用加工硬化的金属制造医疗装置。 在一种形式中，期望的微结构是细长的晶粒结构。 医疗装置是从晶粒细长的金属制成的，使得医疗装置相对于晶粒伸长的平面定向。 在本发明的特定形式中，医疗装置是弯曲的脊椎板，其中加工硬化金属的细长晶粒在垂直于脊椎板的曲率的平面中取向。 加工硬化包括锻造，冷轧或热轧，以及在医疗器械制造之前的退火。 这产生了一种金属植入物料，其压缩和弯曲的强度和挠性比没有经历目前的加工硬化要强。 这些性质被用于医疗器械设计，制造，制造取向等，以产生诸如超强植入物之类的医疗装置。

公开(公告)号：US08721689B2

公开(公告)日：2014-05-13

申请号：US11906804

申请日：2007-10-04

申请人： Michael S. Butler ,  Michael J. Milella, Jr. ,  Kara A. Bucci

发明人： Michael S. Butler ,  Michael J. Milella, Jr. ,  Kara A. Bucci

IPC分类号： A61B17/70

CPC分类号： A61B17/7052

摘要： A multi-axial spinal cross-connector is configured for connection between spinal fixation devices such as spinal fixation rods. The cross-connector has first and second connection members that are joinable at a fixable pivot junction. The pivot junction allows the connection members to assume various positions relative to one another. A clamp is provided on each end of the first and second connection members whose open and closed states are controlled by fixation of a pivot structure which also fixates the positions of the first and second connection members relative to each other. The cross-connector provides single and/or multi-step locking of both end clamps at the pivot joint. The cross-connector also provides easy in situ sizing, positioning and adjustability.

摘要翻译： 多轴向脊柱交叉连接器构造成用于在诸如脊柱固定杆的脊柱固定装置之间连接。 交叉连接器具有第一和第二连接构件，其可连接在可固定的枢转接合处。 枢转连接点允许连接构件相对于彼此呈现各种位置。 在第一和第二连接构件的每个端部设置有夹子，其开口和闭合状态通过枢轴结构的固定来控制，枢轴结构也固定第一和第二连接构件相对于彼此的位置。 交叉连接器在枢轴接头处提供两端夹具的单和/或多步锁定。 交叉连接器还提供容易的原位尺寸，定位和可调性。

公开(公告)号：US20130006367A1

公开(公告)日：2013-01-03

申请号：US13614823

申请日：2012-09-13

申请人： Kara A. Bucci

发明人： Kara A. Bucci

IPC分类号： A61F2/44

CPC分类号： A61F2/4455 ,  A61B17/86 ,  A61F2002/30369 ,  A61F2002/30471 ,  A61F2002/30578 ,  A61F2002/30787 ,  A61F2002/30794 ,  A61F2002/30904 ,  A61F2002/4475 ,  A61F2220/0033

摘要： A spinal implant assembly combines a spinal interbody spacer with a spine plate. The combined spacer and plate assembly provides stabilization and torsional resistance to promote fusion of adjacent vertebrae. The spacer is configured for placement within an intervertebral space between the adjacent vertebrae previously occupied by a spinal disc. The plate is configured for attachment to anterior sides of the adjacent vertebrae. Translation of the spinal plate allows it to be affixed to the vertebrae in various positions and/or allow movement post installation. In one form, the plate is defined by first and second spine plate or plate portions that are coupled to one another to allow rotation about each other. Ends of the first and second spine plates are received in/by the interbody spacer, while a pin extends through the interbody spacer to fix the first and second spine plates to the interbody spacer.

摘要翻译： 脊柱植入组件将脊柱间隔垫与脊椎板相结合。 组合的间隔件和板组件提供稳定性和抗扭转性以促进相邻椎骨的融合。 间隔件构造成放置在先前由脊椎盘占据的相邻椎骨之间的椎间空间内。 该板构造成附接到相邻椎骨的前侧。 脊椎板的翻译允许其在各种位置固定到椎骨和/或允许后安装移动。 在一种形式中，板由彼此联接以允许彼此旋转的第一和第二脊板或板部分限定。 第一和第二脊板的端部被接纳在体间间隔件中/通过体间间隔件，而销延伸穿过体间间隔件以将第一和第二脊板固定到体间间隔件。