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    Nuclectomy method and apparatus
    1.
    发明申请
    Nuclectomy method and apparatus 审中-公开
    核结肠切除术方法和装置

    公开(公告)号：US20060135959A1

    公开(公告)日：2006-06-22

    申请号：US11304053

    申请日：2005-12-15

    申请人： Hansen Yuan ,  Scott Hook ,  Erik Martz

    发明人： Hansen Yuan ,  Scott Hook ,  Erik Martz

    IPC分类号： A61B17/88 ,  A61F2/44

    CPC分类号： A61B17/1606 ,  A61B34/10 ,  A61B2017/00261

    摘要： A nuclectomy method for creating a nuclear cavity in an annulus located in an intervertebral disc space and for preparing the nuclear cavity to receive an intervertebral prosthesis. An annulotomy is formed in the annulus along an annular axis to provide access to a nucleus. A portion of the nucleus is removed in a first region surrounding the annular axis using at least a first surgical tool. Another portion of the nucleus is removed from a second region using at least a second surgical tool. An evaluation mold is positioned in the nuclear cavity and a fluid is delivered to the evaluation mold so that the mold substantially fills the nuclear cavity. The amount of nucleus removed from the annulus is estimated. One or more of the removing steps are optionally repeated as necessary until an adequate amount of the nucleus is removed from the annulus.

    摘要翻译： 一种用于在位于椎间盘空间中的环中产生核腔并用于准备核腔以接收椎间假体的核切除术方法。 在环形环中沿环形轴线形成瓣膜切开术以提供对细胞核的接近。 至少使用第一外科手术工具，在包围环形轴的第一区域中移除核的一部分。 使用至少第二外科手术工具从第二区域移除细胞核的另一部分。 评估模具定位在核腔中，并将流体输送到评估模具，使得模具基本上填充核腔。 估计从环带移除的核的量。 根据需要可选地重复一个或多个除去步骤，直到从环空中除去足够量的细胞核。

    Adjustable instrumentation for spinal implant insertion
    7.
    发明申请
    Adjustable instrumentation for spinal implant insertion 有权
    用于脊柱植入物插入的可调节仪器

    公开(公告)号：US20060095043A1

    公开(公告)日：2006-05-04

    申请号：US11253410

    申请日：2005-10-19

    申请人： Erik Martz ,  Jo-Wen Lin ,  David Chow ,  Daniel Rosenthal

    发明人： Erik Martz ,  Jo-Wen Lin ,  David Chow ,  Daniel Rosenthal

    IPC分类号： A61B17/58

    CPC分类号： A61F2/4611 ,  A61B17/1604 ,  A61B17/1606 ,  A61B17/1659 ,  A61B17/1671 ,  A61B17/320016 ,  A61B90/50 ,  A61B2017/00261 ,  A61B2017/00464 ,  A61B2017/0256 ,  A61B2017/2904 ,  A61B2017/2931 ,  A61F2/442 ,  A61F2/4455 ,  A61F2002/30538 ,  A61F2002/30795 ,  A61F2002/4624 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2002/4629 ,  A61F2002/4679 ,  A61F2250/0006

    摘要： A plurality of differently configured bone spinal implants for insertion in a spine have a cylindrical bore for receiving an insertion head stud. A plurality of instruments are disclosed each of which have a first connection element which is either a male or female member such as e.g., a ball and socket, a cylinder and socket and so on for forming either a stationary or articulating interchangeable joint for a plurality of disc processing heads or implant insertion heads. The plurality of disc space processing heads or implant insertion heads have a complementary second joint member for interchangeable attachment to the first connection element. The implant insertion heads or disc processing heads have different configurations for different shaped implants. Different instrument insertion or disc processing heads such as implant inserters, impactors, rasps, distractors, curettes, rongeur, and so on are disclosed as being interchangeable with a common instrument in which articulating or fixed joints are provided the interchangeable heads.

    摘要翻译： 用于插入脊椎的多个不同构造的骨脊椎植入物具有用于接收插入头钉的圆柱形孔。 公开了多个仪器，每个仪器具有第一连接元件，该第一连接元件是阳或阴构件，例如球窝，气缸和插座等，用于形成用于多个的静止或可铰接的可互换接头 的盘处理头或植入物插入头。 多个盘空间处理头或植入物插入头具有用于可互换连接到第一连接元件的互补的第二关节构件。 植入物插入头或椎间盘处理头具有不同形状的植入物的不同构型。 公开了不同的仪器插入或盘处理头，例如植入物插入器，冲击器，锉刀，牵引器，刮刀，护腿等，其可与可互换的头部提供关节或固定接头的通用仪器互换。

    Multi-lumen mold for intervertebral prosthesis and method of using same
    9.
    发明申请
    Multi-lumen mold for intervertebral prosthesis and method of using same 审中-公开
    用于椎间假体的多腔模具及其使用方法

    公开(公告)号：US20060253198A1

    公开(公告)日：2006-11-09

    申请号：US11268786

    申请日：2005-11-08

    申请人： Khin Myint ,  Erik Martz ,  Benjamin Carter ,  Ronald Burke

    发明人： Khin Myint ,  Erik Martz ,  Benjamin Carter ,  Ronald Burke

    IPC分类号： A61F2/44

    CPC分类号： A61F2/441 ,  A61F2002/30062 ,  A61F2002/30578 ,  A61F2002/30583 ,  A61F2002/30841 ,  A61F2002/30878 ,  A61F2002/4435 ,  A61F2002/444 ,  A61F2210/0004 ,  A61F2210/0085

    摘要： A multi-lumen mold is for the in situ formation of a prosthesis in an annulus located in an intervertebral disc space of a patient. The annulus has at least two openings formed by minimally invasive techniques and at least a portion of the nucleus pulposus is removed to form a nuclear cavity. The multi-lumen mold includes a mold adapted to be located in the nuclear cavity. A first lumen having a distal end is fluidly coupled to a flexible mold at a first location. At least a second lumen having a distal end fluidly coupled to the flexible mold at a second location. The first and second lumens are adapted to extend out through the openings in the annulus when the mold is positioned in the nuclear cavity. One or more securing members can be used to secure the mold in the intervertebral disc space. The securing members can engage with the annulus, the end plates, and/or another surface of a vertebrate.

    摘要翻译： 多腔模具用于在位于患者的椎间盘空间中的环中原位形成假体。 所述环具有通过微创技术形成的至少两个开口，并且去除髓核的至少一部分以形成核腔。 多腔模具包括适于位于核腔内的模具。 具有远端的第一管腔在第一位置处流体地联接到柔性模具。 至少第二内腔具有在第二位置处与柔性模具流体耦合的远端。 当模具定位在核腔中时，第一和第二内腔适于延伸穿过环形空间中的开口。 可以使用一个或多个固定构件将模具固定在椎间盘空间中。 固定构件可与环形物，端板和/或脊椎动物的另一表面接合。

    Chisels and procedure for insertion of spinal implant in a spinal disc space
    10.
    发明申请
    Chisels and procedure for insertion of spinal implant in a spinal disc space 有权
    将脊柱植入物插入椎间盘空间的凿子和程序

    公开(公告)号：US20050251146A1

    公开(公告)日：2005-11-10

    申请号：US10520794

    申请日：2003-07-16

    申请人： Erik Martz ,  David Chow

    发明人： Erik Martz ,  David Chow

    IPC分类号： A61B17/16 ,  A61F2/00 ,  A61F2/28 ,  A61F2/44 ,  A61F2/46

    CPC分类号： A61F2/4684 ,  A61B17/1604 ,  A61B17/1671 ,  A61F2/28 ,  A61F2/4455 ,  A61F2002/30131 ,  A61F2002/448 ,  A61F2230/0013 ,  A61F2310/00359

    摘要： A chisel with U.V-shaped, saw tooth or other shaped opposing blades is used to form channels in adjacent vertebrae. The chisel has a projection extending from at least one of the top and bottom surfaces to limit depth of penetration into the vertebrae. A guide member may be attached to the forward tip of the chisel to guide the chisel into the disc space to uniformly chisel both adjacent vertebrae simultaneously to form a channel in the vertebrae. The so formed channels serve as sa guide for a second chisel having no guide member. The second chisel, which may be a box chisel, is used to complete the channels to the desired depth to receive an associated implant, typically of cortical bone. Other embodiments are disclosed in which a two step box chisel has a retractable guide member for initially guiding the chisel as it forms partial channels in the vertebrae disc space. The guide member is then retracted and the channels formed to the desired depth. The chisels include guide member pins which serve to both limit the extension and retraction of the guide member and also to serve to limit the depth of penetration of the chisel, physically and visually. The guide member may be retracted with a rotatable knob and a threaded engaged rod or with an axially displaceable pin and rod assembly attached to the guide member. A procedure for using the chisels is also disclosed.

    摘要翻译： 使用具有U.V形锯齿或其他形状相对的刀片的凿子在相邻椎骨中形成通道。 凿子具有从顶表面和底表面中的至少一个延伸的突起，以限制穿入椎骨的深度。 引导构件可以附接到凿子的前端，以将凿子引导到椎间盘空间中，以均匀地同时凿孔两个相邻的椎骨以在椎骨中形成通道。 这样形成的通道用作没有引导构件的第二凿子的引导件。 可以使用第二凿子，其可以是盒式凿子，以将通道完成到期望的深度以接收通常为皮层骨的相关植入物。 公开了其他实施例，其中两台凿子具有可缩回的引导构件，用于在椎骨盘空间中形成部分通道时最初引导凿子。 然后引导构件缩回并且通道形成到期望的深度。 凿子包括引导构件销，其用于限制引导构件的延伸和缩回，并且还用于在物理和视觉上限制凿子的穿透深度。 引导构件可以用可旋转的旋钮和螺纹接合的杆或与安装在引导构件上的可轴向移位的销和杆组件缩回。 还公开了使用凿子的方法。