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公开(公告)号:US20050131407A1
公开(公告)日:2005-06-16
申请号:US10737734
申请日:2003-12-16
CPC分类号: A61B17/7085 , A61B17/7004 , A61B17/7013
摘要: A flexible spinal fixation element is provided that is movable between a first position, in which the spinal fixation element is adapted to be angularly manipulated, and a second, locked position, in which the spinal fixation element is aligned in a desired orientation and is immovable. The configuration of the flexible spinal fixation element can vary, but the fixation element is preferably formed from a bioimplantable member having segments or a bellows configuration that allows the fixation element to be selectively configurable between the first and second positions. In use, the flexibility of the spinal fixation element allows the fixation element to be introduced through a percutaneous access device, thereby advantageously allowing the fixation element to be implanted using minimally invasive techniques.
摘要翻译: 提供了一种柔性脊柱固定元件,其可在第一位置(其中脊骨固定元件适于被角度地操纵)和第二锁定位置之间移动,其中脊固定元件以期望的方向对齐并且是不可移动的 。 柔性脊柱固定元件的构造可以变化,但是固定元件优选地由具有段或波纹管构造的生物可移植构件形成,其允许固定元件在第一位置和第二位置之间选择性地配置。 在使用中,脊柱固定元件的灵活性允许固定元件通过经皮进入装置引入,从而有利地允许使用微创技术植入固定元件。
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公开(公告)号:US20080086130A1
公开(公告)日:2008-04-10
申请号:US11539302
申请日:2006-10-06
申请人: Matthew Lake , Michael Mahoney , Timothy Beardsley , Christopher Sicvol , Christopher Ramsay , Erin Dupak
发明人: Matthew Lake , Michael Mahoney , Timothy Beardsley , Christopher Sicvol , Christopher Ramsay , Erin Dupak
IPC分类号: A61B17/58
CPC分类号: A61B17/701 , A61B17/7005 , A61B17/7008 , A61B17/7011
摘要: Methods and devices are provided for spinal fixation. In one exemplary embodiment, the methods and devices provide a spinal fixation system that can include a spinal connector which can be disposed within a recess in a head of a bone anchor. The spinal connector can have a variety of configurations. The methods and devices are particularly useful for unilateral fixation, in which one or more levels of the spine are stabilized along a single lateral side of the spine.
摘要翻译: 提供脊柱固定的方法和装置。 在一个示例性实施例中,所述方法和装置提供脊柱固定系统,所述脊椎固定系统可以包括脊骨连接器,所述脊椎连接器可设置在骨锚的头部的凹部内。 脊椎连接器可以具有各种配置。 所述方法和装置对于单侧固定特别有用,其中一个或多个水平的脊柱沿着脊柱的单个侧面被稳定。
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公开(公告)号:US08858528B2
公开(公告)日:2014-10-14
申请号:US12108426
申请日:2008-04-23
申请人: Christopher Sicvol
发明人: Christopher Sicvol
CPC分类号: A61B17/3423 , A61B1/00105 , A61B1/05 , A61B1/32 , A61B17/0218 , A61B17/3421 , A61B2017/00331 , A61B2017/00991 , A61B2017/0225 , A61B2017/3425 , A61B2017/3443
摘要: Devices and methods are disclosed for less invasive surgery. More particularly, methods and devices described herein permit improved access within a body cavity when performing a minimally invasive procedure, typically through a small opening, a surgical port, or during an open surgical procedure.
摘要翻译: 公开了用于较少侵入性手术的装置和方法。 更具体地,本文描述的方法和装置允许在执行微创手术时(通常通过小开口,外科手术端口)或在开放性外科手术期间改善体腔内的进入。
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公开(公告)号:US20060036264A1
公开(公告)日:2006-02-16
申请号:US10913178
申请日:2004-08-06
IPC分类号: A61B19/00
CPC分类号: A61B19/201 , A61B34/20 , A61B90/11 , A61B90/13 , A61B90/50 , A61B2017/3409 , A61B2034/107 , A61B2034/2055 , B07C2501/0009
摘要: A system for guiding an implant to an optimal placement within a patient includes a trajectory guide for guiding instruments along a selected trajectory and a trajectory fixation device for fixing the trajectory guide in a selected position. The trajectory guide defines a path configured to align with the selected trajectory. A movable support mounts the trajectory guide and selectively moves the trajectory guide to align the trajectory guide with the selected trajectory prior to fixing the trajectory guide in the selected position. After fixing the trajectory guide, instruments can be inserted along the trajectory through the path defined by the trajectory guide.
摘要翻译: 用于将植入物引导到患者内的最佳布置的系统包括用于沿所选轨迹引导器械的轨迹引导件和用于将轨迹引导件固定在选定位置的轨迹固定装置。 轨迹引导件定义了被配置为与所选轨迹对准的路径。 在将轨迹引导件固定在所选择的位置之前,可移动的支撑件安装轨迹引导件并且选择性地移动轨迹引导件以将轨迹引导件与所选择的轨迹对准。 固定轨迹导轨后,仪器可以沿轨迹插入轨迹导轨所定义的路径。
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公开(公告)号:US08617210B2
公开(公告)日:2013-12-31
申请号:US12945662
申请日:2010-11-12
申请人: Christopher Sicvol , Erasmo Lopez , Ramon Ruberte
发明人: Christopher Sicvol , Erasmo Lopez , Ramon Ruberte
IPC分类号: A61B17/70
CPC分类号: A61B17/708 , A61B17/70 , A61B17/7032 , A61B17/7034 , A61B17/7035 , A61B17/7037 , A61B17/7076 , A61B17/7091 , A61B17/8605 , A61B2017/564 , A61B2090/037
摘要: A percutaneous access device includes an inner tube and an outer tube disposed about at least a portion of the inner tube. The outer tube may be sized to span from a skin incision in a patient to a site proximate the spine of the patient. The distal end of the outer tube may be adapted to releasably engage a bone anchor. The inner tube may be adjustable relative to the outer tube between a first position and a second position in which the distal end of the inner tube contacts the bone anchor. A bone anchor assembly includes a bone anchor having a distal bone engaging portion and a receiving member having a recess for receiving a spinal fixation element. The proximal end of the receiving member may have an arcuate groove formed on an exterior surface thereof to facilitate connection of an instrument to the receiving member.
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公开(公告)号:US20110060374A1
公开(公告)日:2011-03-10
申请号:US12945676
申请日:2010-11-12
申请人: Christopher Sicvol , Erasmo Lopez , Ramon Ruberte
发明人: Christopher Sicvol , Erasmo Lopez , Ramon Ruberte
IPC分类号: A61B17/86
CPC分类号: A61B17/708 , A61B17/70 , A61B17/7032 , A61B17/7034 , A61B17/7035 , A61B17/7037 , A61B17/7076 , A61B17/7091 , A61B17/8605 , A61B2017/564 , A61B2090/037
摘要: A percutaneous access device includes an inner tube and an outer tube disposed about at least a portion of the inner tube. The outer tube may be sized to span from a skin incision in a patient to a site proximate the spine of the patient. The distal end of the outer tube may be adapted to releasably engage a bone anchor. The inner tube may be adjustable relative to the outer tube between a first position and a second position in which the distal end of the inner tube contacts the bone anchor. A bone anchor assembly includes a bone anchor having a distal bone engaging portion and a receiving member having a recess for receiving a spinal fixation element. The proximal end of the receiving member may have an arcuate groove formed on an exterior surface thereof to facilitate connection of an instrument to the receiving member.
摘要翻译: 经皮进入装置包括内管和围绕至少一部分内管设置的外管。 外管的尺寸可以从患者的皮肤切口跨越到靠近患者脊柱的位置。 外管的远端可以适于可释放地接合骨锚。 内管可以在第一位置和第二位置之间相对于外管调节,在第二位置,内管的远端接触骨锚。 骨锚组件包括具有远侧骨接合部分的骨锚固件和具有用于接收脊椎固定元件的凹部的接收构件。 接收构件的近端可以具有形成在其外表面上的弓形凹槽,以便于将仪器连接到接收构件。
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公开(公告)号:US07854751B2
公开(公告)日:2010-12-21
申请号:US11692531
申请日:2007-03-28
申请人: Christopher Sicvol , Erasmo Lopez , Ramon Ruberte
发明人: Christopher Sicvol , Erasmo Lopez , Ramon Ruberte
IPC分类号: A61B17/70
CPC分类号: A61B17/708 , A61B17/70 , A61B17/7032 , A61B17/7034 , A61B17/7035 , A61B17/7037 , A61B17/7076 , A61B17/7091 , A61B17/8605 , A61B2017/564 , A61B2090/037
摘要: A percutaneous access device includes an inner tube and an outer tube disposed about at least a portion of the inner tube. The outer tube may be sized to span from a skin incision in a patient to a site proximate the spine of the patient. The distal end of the outer tube may be adapted to releasably engage a bone anchor. The inner tube may be adjustable relative to the outer tube between a first position and a second position in which the distal end of the inner tube contacts the bone anchor. A bone anchor assembly includes a bone anchor having a distal bone engaging portion and a receiving member having a recess for receiving a spinal fixation element. The proximal end of the receiving member may have an arcuate groove formed on an exterior surface thereof to facilitate connection of an instrument to the receiving member.
摘要翻译: 经皮进入装置包括内管和围绕至少一部分内管设置的外管。 外管的尺寸可以从患者的皮肤切口跨越到靠近患者脊柱的位置。 外管的远端可以适于可释放地接合骨锚。 内管可以在第一位置和第二位置之间相对于外管调节,在第二位置,内管的远端接触骨锚。 骨锚组件包括具有远侧骨接合部分的骨锚固件和具有用于接收脊椎固定元件的凹部的接收构件。 接收构件的近端可以具有形成在其外表面上的弓形凹槽,以便于将仪器连接到接收构件。
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公开(公告)号:US07476240B2
公开(公告)日:2009-01-13
申请号:US11051983
申请日:2005-02-03
申请人: Douglas Raymond , James Roveda , Brian Murphy , Christopher Sicvol , Sean Selover , Erasmo Lopez , Ramon Ruberte , Bryan S. Jones , Christopher Ramsay
发明人: Douglas Raymond , James Roveda , Brian Murphy , Christopher Sicvol , Sean Selover , Erasmo Lopez , Ramon Ruberte , Bryan S. Jones , Christopher Ramsay
IPC分类号: A61B17/88
CPC分类号: A61B17/7002 , A61B17/7001 , A61B17/7004 , A61B17/7011 , A61B17/7085 , A61B2090/061
摘要: A method for introducing a spinal fixation element between two bone anchors includes engaging a spinal fixation element to a shaft of an instrument, positioning the shaft of the instrument through a sidewall opening of a first percutaneous access device connected to a first bone anchor and through a side wall opening of a second percutaneous access device connected to a second bone anchor, the spinal fixation element extending in an orientation substantially parallel to the longitudinal axis of at least one of the first percutaneous access device and the second percutaneous access device, and pivoting the instrument to change the orientation of the spinal fixation element and position the spinal fixation element in proximity to the first bone anchor and in proximity to the second bone anchor.
摘要翻译: 用于在两个骨锚之间引入脊骨固定元件的方法包括将脊骨固定元件接合到器械的轴上,通过连接到第一骨锚的第一经皮进入装置的侧壁开口定位仪器的轴,并通过 连接到第二骨锚的第二经皮进入装置的侧壁开口,所述脊骨固定元件沿基本上平行于第一经皮进入装置和第二经皮进入装置中的至少一个的纵向轴线的取向延伸, 改变脊柱固定元件的取向并将脊柱固定元件定位在第一骨锚附近并且靠近第二骨锚的器械。
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公开(公告)号:US20080300638A1
公开(公告)日:2008-12-04
申请号:US12188418
申请日:2008-08-08
申请人: Timothy Beardsley , Douglas Bireley , James J. Roveda , Christopher Sicvol , Anthony R. Carlone
发明人: Timothy Beardsley , Douglas Bireley , James J. Roveda , Christopher Sicvol , Anthony R. Carlone
IPC分类号: A61B17/04
CPC分类号: A61B17/7032 , A61B17/1757 , A61B17/7037 , A61B17/708 , A61B17/7085 , A61B17/7091 , A61B17/8863 , A61B2017/0256 , A61B2090/037
摘要: The present invention provides minimally invasive devices and methods for delivering a spinal connector to one or more spinal anchor sites in a patient's spinal column. In one embodiment, a spinal implant and access device is provided that includes a U-shaped receiver member, a bone-engaging member, and an extension member. The U-shaped receiver member can have a recess formed therein that is adapted to seat a spinal connector. The bone-engaging member can extend distally from the receiver member and it can be adapted to engage bone to thereby mate the receiver member to bone. The extension member can extend proximally from the receiver member and it can include a frangible portion formed thereon that is adapted to break when a predetermined force is applied thereto thereby allowing at least a portion of the extension member to be separated from the receiver member.
摘要翻译: 本发明提供了用于将脊柱连接器递送到患者脊柱中的一个或多个脊柱锚固部位的微创装置和方法。 在一个实施例中,提供了脊椎植入物和进入装置,其包括U形接收构件,骨接合构件和延伸构件。 U形接收器构件可以具有形成在其中的凹部,其适于安置脊椎连接器。 骨接合构件可以从接收器构件向远端延伸,并且其可以适于接合骨,从而将接收器构件配合到骨骼。 延伸构件可以从接收器构件向近侧延伸,并且其可以包括形成在其上的易碎部分,其适于在施加预定的力时断裂,从而允许延伸构件的至少一部分与接收器构件分离。
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公开(公告)号:US20070167954A1
公开(公告)日:2007-07-19
申请号:US11692531
申请日:2007-03-28
申请人: Christopher Sicvol , Erasmo Lopez , Ramon Ruberte
发明人: Christopher Sicvol , Erasmo Lopez , Ramon Ruberte
IPC分类号: A61F2/00
CPC分类号: A61B17/708 , A61B17/70 , A61B17/7032 , A61B17/7034 , A61B17/7035 , A61B17/7037 , A61B17/7076 , A61B17/7091 , A61B17/8605 , A61B2017/564 , A61B2090/037
摘要: A percutaneous access device includes an inner tube and an outer tube disposed about at least a portion of the inner tube. The outer tube may be sized to span from a skin incision in a patient to a site proximate the spine of the patient. The distal end of the outer tube may be adapted to releasably engage a bone anchor. The inner tube may be adjustable relative to the outer tube between a first position and a second position in which the distal end of the inner tube contacts the bone anchor. A bone anchor assembly includes a bone anchor having a distal bone engaging portion and a receiving member having a recess for receiving a spinal fixation element. The proximal end of the receiving member may have an arcuate groove formed on an exterior surface thereof to facilitate connection of an instrument to the receiving member.
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