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公开(公告)号：US09498262B2
公开(公告)日：2016-11-22
申请号：US12828884
申请日：2010-07-01
申请人： Brian R. Bankoski , Shaun Hanson , Ralph C. Solitario, Jr. , Caryn E. Bundra , William N. Woodburn, Sr. , Mark Rossney , Eric McDivitt , David Rathbun
发明人： Brian R. Bankoski , Shaun Hanson , Ralph C. Solitario, Jr. , Caryn E. Bundra , William N. Woodburn, Sr. , Mark Rossney , Eric McDivitt , David Rathbun
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：US07758584B2
公开(公告)日：2010-07-20
申请号：US11734201
申请日：2007-04-11
申请人： Brian R. Bankoski , Shaun Hanson , Ralph C. Solitario, Jr. , Caryn E. Bundra , William N. Woodburn, Sr. , Mark Rossney , Eric McDivitt , David Rathbun
发明人： Brian R. Bankoski , Shaun Hanson , Ralph C. Solitario, Jr. , Caryn E. Bundra , William N. Woodburn, Sr. , Mark Rossney , Eric McDivitt , David Rathbun
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：US20100268284A1
公开(公告)日：2010-10-21
申请号：US12828884
申请日：2010-07-01
申请人： Brian R. Bankoski , Shaun Hanson , Ralph C. Solitario, JR. , Caryn E. Bundra , William N. Woodburns, SR. , Mark Rossney , Eric McDivitt , David Rathbun
发明人： Brian R. Bankoski , Shaun Hanson , Ralph C. Solitario, JR. , Caryn E. Bundra , William N. Woodburns, SR. , Mark Rossney , Eric McDivitt , David Rathbun
IPC分类号： A61B17/86
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：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：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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