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公开(公告)号：US08652034B2
公开(公告)日：2014-02-18
申请号：US13252522
申请日：2011-10-04
IPC分类号： A61B1/32
CPC分类号： A61B17/3421 , A61B2017/00261 , A61B2017/00946 , A61B2017/3407 , A61B2017/3492
摘要： A surgical instrument stabilizer includes a body having a first material and a second material. The first material includes a wall defining an inner surface and an outer surface. The inner surface defines a first cavity configured for disposal of the second material. The outer surface defines an outer portion, a lateral portion and an inner portion. At least a portion of the lateral portion is configured to flexibly conform to a patient body surface. The inner portion defines a second cavity for disposal of an instrument and is configured to engage an outer surface of the instrument. Methods of use are disclosed.
摘要翻译： 外科器械稳定器包括具有第一材料和第二材料的主体。 第一材料包括限定内表面和外表面的壁。 内表面限定了构造成用于处置第二材料的第一腔。 外表面限定外部部分，侧向部分和内部部分。 横向部分的至少一部分被配置为柔性地符合患者身体表面。 内部部分限定用于处置器械的第二腔体，并且构造成接合仪器的外表面。 公开了使用方法。
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公开(公告)号：US20130190821A1
公开(公告)日：2013-07-25
申请号：US13354591
申请日：2012-01-20
IPC分类号： A61B17/70
CPC分类号： A61B17/7032 , A61B17/7022
摘要： A spinal correction system comprises a flexible longitudinal element extending between a first end and a second end. At least one fixation element includes a first portion and a second portion. The first portion includes an inner surface that defines a cavity such that the longitudinal element is disposable therein. The second portion is configured for penetrating tissue. A coupling member is engageable with the first portion of the at least one fixation element and the longitudinal element to connect the longitudinal element with the at least one fixation element. The coupling member includes a penetrating element configured to extend through the longitudinal element. A flexible member is disposed between the longitudinal element and the inner surface of the first portion of the at least one fixation element. Methods of use are disclosed.
摘要翻译： 脊柱矫正系统包括在第一端和第二端之间延伸的柔性纵向元件。 至少一个固定元件包括第一部分和第二部分。 第一部分包括限定空腔的内表面，使得纵向元件在其中是一次性的。 第二部分构造成用于穿透组织。 联接构件可与至少一个固定元件的第一部分和纵向元件接合，以将纵向元件与至少一个固定元件连接。 联接构件包括构造成延伸穿过纵向元件的穿透元件。 柔性构件设置在纵向元件和至少一个固定元件的第一部分的内表面之间。 公开了使用方法。
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公开(公告)号：US20110184468A1
公开(公告)日：2011-07-28
申请号：US12695508
申请日：2010-01-28
CPC分类号： A61B17/7068
摘要： A spinal implant clamps to the spinous processes and provides an osteointegration material between the spinous processes so that there may be osteointegration between the spinous processes and a portion of the implant located in the interspinous space. The implant includes first and second plates, a post that extends between the plates and into at least one of the plates, a locking mechanism for locking the relative positions of the plates, and an osteointegration sleeve. The sleeve is disposed between the first and second plates and has an inner surface defining a longitudinal through-passage that is disposed about an outer surface of the post. The sleeve includes osteointegration material and is distinct from the post. The osteointegration material of the sleeve may be, for example, allograft bone or a bone growth material such as bone morphogenetic protein. Related methods are also described.
摘要翻译： 脊柱植入物夹持到棘突并在棘突之间提供骨整合材料，使得在棘突之间可能存在骨整合，以及位于椎间盘间隙中的植入物的一部分。 植入物包括第一和第二板，柱在板之间延伸并且进入至少一个板，用于锁定板的相对位置的锁定机构和骨整合套筒。 套筒设置在第一和第二板之间，并且具有限定纵向通道的内表面，该纵向通道围绕柱的外表面设置。 套筒包括骨整合材料，并且与柱子不同。 套筒的骨整合材料可以是例如同种异体移植骨或骨生长材料如骨形态发生蛋白。 还描述了相关方法。
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公开(公告)号：US20140012340A1
公开(公告)日：2014-01-09
申请号：US13542172
申请日：2012-07-05
IPC分类号： A61B17/56
CPC分类号： A61B17/8645 , A61B17/864 , A61B2017/564
摘要： A method for treating a sacro-iliac joint comprises the steps of: identifying a target of a posterior superior iliac spine of a body; determining a selected trajectory that includes the target and at least a portion of a sacrum of the body; creating a pathway in the body along the selected trajectory from a posterior approach to the body; and delivering an implant along the pathway such that the implant is disposed for fixation with an ilium of the body and the sacrum. Systems for treating a sacro-iliac joint are disclosed.
摘要翻译： 一种治疗骶髂关节的方法包括以下步骤：识别身体的上髂后上棘的目标; 确定包括所述目标和所述身体的骶骨的至少一部分的选定轨迹; 沿着所选择的轨迹从身体的后路进入身体的路径; 以及沿所述通路递送植入物，使得所述植入物被设置用于与所述身体和所述骶骨的髂骨固定。 公开了治疗骶髂关节的系统。
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公开(公告)号：US20130085340A1
公开(公告)日：2013-04-04
申请号：US13252522
申请日：2011-10-04
IPC分类号： A61B1/32
CPC分类号： A61B17/3421 , A61B2017/00261 , A61B2017/00946 , A61B2017/3407 , A61B2017/3492
摘要： A surgical instrument stabilizer includes a body having a first material and a second material. The first material includes a wall defining an inner surface and an outer surface. The inner surface defines a first cavity configured for disposal of the second material. The outer surface defines an outer portion, a lateral portion and an inner portion. At least a portion of the lateral portion is configured to flexibly conform to a patient body surface. The inner portion defines a second cavity for disposal of an instrument and is configured to engage an outer surface of the instrument. Methods of use are disclosed.
摘要翻译： 外科器械稳定器包括具有第一材料和第二材料的主体。 第一材料包括限定内表面和外表面的壁。 内表面限定了构造成用于处置第二材料的第一腔。 外表面限定外部部分，侧向部分和内部部分。 横向部分的至少一部分被配置为柔性地符合患者身体表面。 内部部分限定用于处置器械的第二腔体，并且构造成接合仪器的外表面。 公开了使用方法。
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公开(公告)号：US09474538B2
公开(公告)日：2016-10-25
申请号：US13552378
申请日：2012-07-18
CPC分类号： A61B17/1757 , A61B17/3421 , A61B17/8886
摘要： Apparatus and methods for spinal surgery include a retractor with an elongated body extending along a longitudinal axis between a distal end and an opposite proximal end. The retractor defines a passage between the distal and proximal ends and a window opening into the passage adjacent to the distal end. The apparatus also includes a guide member extending laterally from the proximal end of the retractor and the guide member includes a body extending along an arc. The body defines a number of trajectories each intersecting the window of the retractor. The apparatus further includes an instrument removably mounted to the guide member and the instrument is movable along the guide member and securable to the guide member in any one of the number of trajectories so that the instrument can be moved along the selected trajectory through the window.
摘要翻译： 用于脊柱手术的装置和方法包括牵开器，其具有沿远端和相对近端之间的纵向轴线延伸的细长体。 牵开器限定了远端和近端之间的通道以及靠近远端的通向通道的窗口。 该装置还包括从牵开器的近端横向延伸的引导构件，并且引导构件包括沿着弧延伸的主体。 身体定义了与牵开器的窗口相交的多个轨迹。 该装置还包括可移除地安装到引导构件的仪器，并且仪器可沿引导构件移动并且可以以任意数量的轨迹固定到引导构件，使得仪器可以沿着所选择的轨迹通过窗口移动。
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公开(公告)号：US08641736B2
公开(公告)日：2014-02-04
申请号：US13354591
申请日：2012-01-20
IPC分类号： A61B17/88
CPC分类号： A61B17/7032 , A61B17/7022
摘要： A spinal correction system comprises a flexible longitudinal element extending between a first end and a second end. At least one fixation element includes a first portion and a second portion. The first portion includes an inner surface that defines a cavity such that the longitudinal element is disposable therein. The second portion is configured for penetrating tissue. A coupling member is engageable with the first portion of the at least one fixation element and the longitudinal element to connect the longitudinal element with the at least one fixation element. The coupling member includes a penetrating element configured to extend through the longitudinal element. A flexible member is disposed between the longitudinal element and the inner surface of the first portion of the at least one fixation element. Methods of use are disclosed.
摘要翻译： 脊柱矫正系统包括在第一端和第二端之间延伸的柔性纵向元件。 至少一个固定元件包括第一部分和第二部分。 第一部分包括限定空腔的内表面，使得纵向元件在其中是一次性的。 第二部分构造成用于穿透组织。 联接构件可与至少一个固定元件的第一部分和纵向元件接合，以将纵向元件与至少一个固定元件连接。 联接构件包括构造成延伸穿过纵向元件的穿透元件。 柔性构件设置在纵向元件和至少一个固定元件的第一部分的内表面之间。 公开了使用方法。
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公开(公告)号：US20120303055A1
公开(公告)日：2012-11-29
申请号：US13117362
申请日：2011-05-27
IPC分类号： A61B17/00
CPC分类号： A61B17/7089 , A61B17/708 , A61B17/7083 , A61B17/7085 , A61B2090/037
摘要： There are disclosed techniques for positioning a connecting element adjacent one or more bones or bony portions, such as the spinal column, through a minimally invasive surgical approach. The system generally includes at least one bone anchor engageable to the one or more bones or bony portions and at least one extender removably engaged to the bone anchor. A connecting element is movable into the patient and guided by the at least one extender to a first position in the patient. A second bone anchor and extender is then inserted into the patient and engaged to a bony portion. The connecting element is then moved from the at least one extender to extend to the second bone anchor and second extender. The connecting element is then engaged to each of the bone anchors.
摘要翻译： 公开了通过微创手术方法将连接元件邻近一个或多个骨骼或骨部分（例如脊柱）定位的技术。 该系统通常包括可与一个或多个骨骼或骨部分接合的至少一个骨锚固体和至少一个可移除地接合到骨锚固件的延伸器。 连接元件可移动到患者体内并由至少一个延伸器引导到患者体内的第一位置。 然后将第二骨锚和扩张器插入患者体内并与骨部分接合。 然后将连接元件从至少一个延伸器移动以延伸到第二骨锚和第二扩展器。 然后将连接元件接合到每个骨锚。
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公开(公告)号：US20140025121A1
公开(公告)日：2014-01-23
申请号：US13552378
申请日：2012-07-18
IPC分类号： A61B17/90
CPC分类号： A61B17/1757 , A61B17/3421 , A61B17/8886
摘要： Apparatus and methods for spinal surgery include a retractor with an elongated body extending along a longitudinal axis between a distal end and an opposite proximal end. The retractor defines a passage between the distal and proximal ends and a window opening into the passage adjacent to the distal end. The apparatus also includes a guide member extending laterally from the proximal end of the retractor and the guide member includes a body extending along an arc. The body defines a number of trajectories each intersecting the window of the retractor. The apparatus further includes an instrument removably mounted to the guide member and the instrument is movable along the guide member and securable to the guide member in any one of the number of trajectories so that the instrument can be moved along the selected trajectory through the window.
摘要翻译： 用于脊柱手术的装置和方法包括牵开器，其具有沿远端和相对近端之间的纵向轴线延伸的细长体。 牵开器限定了远端和近端之间的通道以及靠近远端的通向通道的窗口。 该装置还包括从牵开器的近端横向延伸的引导构件，并且引导构件包括沿着弧延伸的主体。 身体定义了与牵开器的窗口相交的多个轨迹。 该装置还包括可移除地安装到引导构件的仪器，并且仪器可沿引导构件移动并且可以以任意数量的轨迹固定到引导构件，使得仪器可以沿着所选择的轨迹通过窗口移动。
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公开(公告)号：US20110257686A1
公开(公告)日：2011-10-20
申请号：US12762032
申请日：2010-04-16
CPC分类号： A61B17/7032 , A61B17/8625 , A61B17/866
摘要： A bone fastener includes an elongated first section having a distal end. A flexible member has an outer surface and defines an inner cavity configured for disposal of the distal end of the first section. An elongated second section defines a longitudinal axis and includes a wall that defines an interior cavity configured for disposal of the flexible member such that the distal end of the first section is disposed within the interior cavity of the second section. The outer surface of the flexible member engages the wall in a configuration such that the first section is pivotable to a plurality of axial orientations relative to the longitudinal axis of the second section.
摘要翻译： 骨紧固件包括具有远端的细长的第一部分。 柔性构件具有外表面并且限定构造成用于处置第一区段的远端的内腔。 细长的第二部分限定纵向轴线并且包括壁，所述壁限定被配置为处置柔性构件的内部空腔，使得第一部分的远端设置在第二部分的内部空腔内。 柔性构件的外表面以这样的构造接合壁，使得第一部分可相对于第二部分的纵向轴线枢转到多个轴向取向。
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