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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：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：US08641720B2
公开(公告)日：2014-02-04
申请号：US13195962
申请日：2011-08-02
IPC分类号： A61B17/70
CPC分类号： A61B17/7083 , A61B17/7002 , A61B17/708
摘要： A surgical instrument is configured to introduce a spinal fixation rod into a vertebral implant such that once the spinal fixation rod is engaged with the surgical instrument and the surgical instrument is put into a retention configuration, the spinal fixation rod cannot be removed from the surgical instrument until the spinal fixation rod is properly located and oriented with respect to the surgical construct and the surgical instrument is released from the retention configuration. The surgical instrument for introducing a spinal fixation rod includes a surgical instrument body with an actuator, and an engagement assembly at opposing ends and a transfer assembly extending between the actuator and the engagement assembly. The surgical instrument can also be used as part of a method for introducing a spinal fixation rod. Additionally, the surgical instrument can be part of a kit for introducing a spinal fixation rod, the kit including a plurality of spinal fixation rods of varying shapes and sizes.
摘要翻译： 手术器械被配置为将脊柱固定杆引入脊椎植入物中，使得一旦脊柱固定杆与外科器械接合并且外科器械被置于保持构型中，则脊柱固定杆不能从手术器械移除 直到脊骨固定杆相对于手术结构适当地定位和定向，并且手术器械从保持构型释放。 用于引入脊柱固定杆的手术器械包括具有致动器的手术器械主体和在相对端处的接合组件和在致动器和接合组件之间延伸的传递组件。 手术器械也可以用作引入脊柱固定杆的方法的一部分。 此外，手术器械可以是用于引入脊柱固定杆的套件的一部分，该套件包括多个不同形状和尺寸的脊柱固定杆。
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公开(公告)号：US20140121704A1
公开(公告)日：2014-05-01
申请号：US14150108
申请日：2014-01-08
IPC分类号： A61B17/70
CPC分类号： A61B17/7083 , A61B17/7002 , A61B17/708
摘要： A surgical instrument configured to introduce a spinal fixation rod into a vertebral implant. When the spinal fixation rod is engaged with the surgical instrument and the surgical instrument is put into a retention configuration, the spinal fixation rod cannot be removed from the surgical instrument until the spinal fixation rod is properly oriented with respect to the surgical construct and the surgical instrument is released from the retention configuration. The surgical instrument includes a surgical instrument body, an actuator, an engagement assembly, and a transfer assembly that extends between the actuator and the engagement assembly. The surgical instrument can also be used as part of a method for introducing a spinal fixation rod or part of a kit for introducing a spinal fixation rod.
摘要翻译： 构造成将脊柱固定杆引入脊椎植入物的外科器械。 当脊柱固定杆与手术器械接合并且外科器械被置于保持构型中时，脊柱固定杆不能从手术器械移除，直到脊柱固定杆相对于外科手术构造体正确定向并且手术 仪器从保留配置中释放出来。 手术器械包括手术器械本体，致动器，接合组件和在致动器和接合组件之间延伸的转移组件。 手术器械也可以用作引入脊柱固定杆或用于引入脊柱固定杆的套件的一部分的方法的一部分。
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