公开(公告)号：US5707372A

公开(公告)日：1998-01-13

申请号：US772408

申请日：1996-12-23

Applicant: Joseph P. Errico ,  Thomas J. Errico ,  James D. Ralph ,  Steve Tatar

Inventor： Joseph P. Errico ,  Thomas J. Errico ,  James D. Ralph ,  Steve Tatar

IPC: A61B17/70

CPC classification number: A61B17/7052

Abstract: A compression locking variable length cross-link device having modular components, including rod and/or pedicle screw coupling elements each having a hole which may be disposed co-linearly with respect to other such holes in opposing elements such that a threaded hinge-post may be inserted therein. A nut is utilized to compress the elements together to rigidly secure the elements once they have been properly positioned relative to one another. In an additional set of embodiments, a linkage member having an elongate hole therein may be used to couple similar elements thereto in a similar flexible hinge-post manner such that the elements may be coupled to the linkage member instead of to the opposing elements directly.

Abstract translation: 具有模块化部件的压缩锁定可变长度交联装置，包括杆和/或椎弓根螺钉联接元件，每个具有孔，该孔可相对于相对元件中的其它这样的孔共线设置，使得螺纹铰链柱可以 插入其中。 一旦螺母被适当地相对于彼此定位，则使用螺母将元件压缩在一起以刚性地固定元件。 在附加的一组实施例中，在其中具有细长孔的连杆构件可用于以相似的柔性铰链方式将类似的元件连接到其上，使得元件可以连接到连杆构件而不是直接连接到相对的元件。

公开(公告)号：US5607426A

公开(公告)日：1997-03-04

申请号：US606221

申请日：1996-02-23

Applicant: James D. Ralph ,  Steve Tatar

Inventor： James D. Ralph ,  Steve Tatar

IPC: A61B17/58 ,  A61B17/70 ,  A61B17/80 ,  A61B17/86 ,  A61F2/00 ,  A61F2/02 ,  A61F2/30 ,  A61F2/34

CPC classification number: A61B17/8042 ,  A61B17/7037 ,  A61B17/7059 ,  A61B17/8004 ,  A61B17/8047 ,  A61F2/30721 ,  A61F2/30744 ,  A61F2/30749 ,  A61F2/34 ,  A61B17/8033 ,  A61B17/809 ,  A61B17/86 ,  A61B17/8625 ,  A61F2002/3021 ,  A61F2002/30329 ,  A61F2002/30332 ,  A61F2002/30378 ,  A61F2002/30497 ,  A61F2002/30538 ,  A61F2002/30594 ,  A61F2002/30787 ,  A61F2002/3401 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2230/0067 ,  A61F2250/0006 ,  A61F2310/00017 ,  A61F2310/00023

Abstract: The present invention is a polyaxial locking screw plate assembly for immobilization of vertebral bones, via fixation to surfaces thereof. The invention includes a plate, having an upper portion and a lower portion, each of which has a pair of holes having a threaded upper portion and a tapered lower portion. Coupling elements, including slideably joined socket and cap portions, are mounted about the semi-spherical heads of bone screws, which are screwed through the holes in the plate and into the bone. The heads of the screws are polyaxially mounted in the socket portions and as such may be inserted into the bone at a variety of angles. The socket portions of the coupling elements have slots in them which permit crush locking of the heads of the screws once the sockets seat and are forceably driven into the tapered portions of the corresponding holes. The cap portions are threaded so they may be advanced into the upper portions of the corresponding holes, thereby further locking the coupling elements into the holes, and applying an additional driving force against the corresponding socket portions to crush lock the screw heads at the selected angle relative to the plate.

Abstract translation: 本发明是一种用于固定椎骨的多轴锁定螺钉板组件，其通过固定到其表面。 本发明包括具有上部和下部的板，每个板具有一对具有螺纹上部和锥形下部的孔。 耦合元件，包括可滑动连接的插座和盖部分，围绕骨螺钉的半球形头安装，螺钉穿过板中的孔并进入骨中。 螺钉的头部被多重地安装在插座部分中，并且可以以各种角度插入到骨头中。 联接元件的插座部分在其中具有槽，其允许在插座座位之后螺钉的头部被压溃锁定，并且可有力地驱动到对应的孔的锥形部分中。 盖部分是螺纹的，使得它们可以进入相应孔的上部，从而进一步将联接元件锁定到孔中，并且将附加的驱动力施加到相应的插座部分上以在所选择的角度压缩螺钉头 相对于板。

公开(公告)号：US5735851A

公开(公告)日：1998-04-07

申请号：US728017

申请日：1996-10-09

Applicant: Joseph P. Errico ,  Thomas J. Errico ,  James D. Ralph ,  Steve Tatar

Inventor： Joseph P. Errico ,  Thomas J. Errico ,  James D. Ralph ,  Steve Tatar

IPC: A61B17/70

CPC classification number: A61B17/7041 ,  A61B17/7035

Abstract: A modular polyaxial pedicle screw and orthopaedic rod implant device including same includes a shaft portion, a cuff, a stem portion, and a rod coupling sub-assembly. The shaft portion is designed to be inserted into the pedicle, has a recess formed in its top, and includes a threading formed on the exterior surface around the recess. The stem portion is a threaded post having an enlarged ball formed at the base thereof, the ball being ideally suited to polyaxially rotate within the recess of the shaft. The cuff is a cylindrical element designed to seat around the interface of the ball portion of the stem and the recess of the shaft, initially so that the stem and shaft may polyaxially rotate relative to one another, and subsequently to hold the stem and shaft in final securement. The rod coupling sub-assembly consists of a rod coupling element which is mountable on the post portion of the stem, and a top locking nut which secures the rod coupling element to the post between the nut and the cuff. Spacer elements may be utilized which are positioned on the post between the cuff and the rod coupling element to permit axial variability on the stem in addition to the angular variability inherent in the shaft and stem interface.

Abstract translation: 包括其的模块化多轴椎弓根螺钉和矫形棒植入装置包括轴部分，袖带，杆部分和杆联接子组件。 轴部被设计成插入到椎弓根中，具有在其顶部形成的凹部，并且包括形成在凹部周围的外表面上的螺纹。 杆部分是具有在其底部形成的扩大的球的螺纹柱，该球理想地适于在轴的凹部内多轴旋转。 袖带是圆柱形元件，其设计成围绕杆的球部分和轴的凹部的界面安置，最初使得杆和轴可以相对于彼此多轴旋转，并且随后将杆和轴保持在 最终确定。 杆联接子组件由可连接在杆的柱部上的杆联接元件和顶部锁定螺母组成，顶部锁定螺母将杆联接元件固定到螺母和箍之间的柱上。 可以使用间隔元件，其位于袖带和杆联接元件之间的柱上，以允许轴和杆接口固有的角度变化之外的轴上的轴向变化。

公开(公告)号：US08444679B2

公开(公告)日：2013-05-21

申请号：US12422533

申请日：2009-04-13

Applicant: James D. Ralph ,  Thomas N. Troxell ,  Mark Michels ,  Thomas D. Meade

Inventor： James D. Ralph ,  Thomas N. Troxell ,  Mark Michels ,  Thomas D. Meade

IPC: A61B17/80

CPC classification number: A61B17/80 ,  A61B17/8061 ,  A61B17/8085 ,  A61B17/8605 ,  A61B17/863

Abstract: A bone plate and system is provided. The bone fixation plate conforms to the contour of an irregularly shaped bone and eliminates the need for pre-bending or intraoperative bending of the plate. The bone plate is applied to the bone in a generally flat condition and the process of installing and tightening the bone screws in the prescribed order serves to contour the plate to the plate to the underlying bone while providing sufficient strength to effect bone healing. The geometry of the plate allows the plate to follow the contour of an irregularly shaped bone, preventing prominence and patient palpability and streamlining the surgical procedure.

Abstract translation: 提供骨板和系统。 骨固定板符合不规则形状骨的轮廓，并且不需要预弯曲或术中弯曲板。 将骨板以大致平坦的状态施用于骨骼，并且以规定的顺序安装和紧固骨螺钉的过程用于将板轮廓到板到下面的骨，同时提供足够的强度以实现骨愈合。 板的几何形状允许板跟随不规则形状的骨的轮廓，防止突出和患者的触觉和精简外科手术。

公开(公告)号：US08361153B2

公开(公告)日：2013-01-29

申请号：US10667034

申请日：2003-09-22

Applicant: James D. Ralph ,  Stephen Tatar ,  Thomas J. Errico

Inventor： James D. Ralph ,  Stephen Tatar ,  Thomas J. Errico

IPC: A61F2/44

CPC classification number: A61B17/025 ,  A61B17/70 ,  A61B2017/0256 ,  A61B2017/564 ,  A61F2/44 ,  A61F2/442 ,  A61F2/4455 ,  A61F2/4611 ,  A61F2/4684 ,  A61F2002/30113 ,  A61F2002/30166 ,  A61F2002/302 ,  A61F2002/3023 ,  A61F2002/30385 ,  A61F2002/30395 ,  A61F2002/305 ,  A61F2002/30574 ,  A61F2002/30616 ,  A61F2002/30617 ,  A61F2002/30672 ,  A61F2002/30772 ,  A61F2002/30822 ,  A61F2002/4623 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2220/0025 ,  A61F2230/0006 ,  A61F2230/0028 ,  A61F2230/0065 ,  A61F2230/0069 ,  A61F2250/0097 ,  A61F2310/00011

Abstract: An intervertebral space distraction and implantable device assembly provides sequentially axially wider spacers that are to be sequentially inserted into and removed from an intervertebral space to widen the space until a desired anatomical spacing of the adjacent vertebral bones is restored. The set of spacers includes a porous spacer that is as wide as the spacer that restores the desired anatomical spacing. The porous spacer can therefore be left implanted in the intervertebral space to promote fusion of the adjacent vertebral bones.

公开(公告)号：US08038717B2

公开(公告)日：2011-10-18

申请号：US10852518

申请日：2004-05-24

Applicant: James D. Ralph ,  Stephen Tatar ,  Thomas J. Errico

Inventor： James D. Ralph ,  Stephen Tatar ,  Thomas J. Errico

IPC: A61F2/44

CPC classification number: A61F2/442 ,  A61B17/025 ,  A61B2017/0256 ,  A61B2017/564 ,  A61F2/4611 ,  A61F2/4684 ,  A61F2002/30113 ,  A61F2002/30166 ,  A61F2002/3023 ,  A61F2002/30616 ,  A61F2002/30822 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2230/0006 ,  A61F2230/0028 ,  A61F2230/0069 ,  A61F2310/00011

Abstract: A distraction method including inserting a spacer element into a space between bones to be distracted, removing the spacer element from the space, inserting a wider spacer element into the space, and removing the wider spacer element from the space.

Abstract translation: 一种牵引方法，包括将间隔元件插入到要分心的骨骼之间的空间中，从所述空间移除所述间隔元件，将更宽的间隔元件插入所述空间中，以及从所述空间移除所述较宽间隔元件。

公开(公告)号：US07833253B2

公开(公告)日：2010-11-16

申请号：US11333102

申请日：2006-01-17

Applicant: James D. Ralph ,  Thomas N. Troxell

Inventor： James D. Ralph ,  Thomas N. Troxell

IPC: A61B17/80 ,  A61F2/02 ,  A61C13/12 ,  F16B21/08

CPC classification number: A61B17/688 ,  Y10T403/7176

Abstract: Strip fasteners and cranial plugs for use in reattaching a skull flap removed during brain surgery and methods of using the same. The strip fasteners are flexible and can be shaped to follow the perimeter contour of the skull flap. The cranial plugs can be used to reattach the skull flap or they can be installed after the skull flap is reattached using the strip fasteners. In some embodiments, the cranial plug(s) and strip fasteners can be installed at the same time. The strip fasteners and cranial plugs are designed to encourage bone growth and healing of the skull flap and they can be used to deliver medication and bone growth enhancement compositions to the surgical site.

Abstract translation: 用于重新安装在脑手术期间移除的颅骨瓣的带状紧固件和头颅及其使用方法。 带状紧固件是柔性的，并且可以被成形为跟随颅骨瓣的周边轮廓。 颅骨插头可用于重新连接颅骨瓣，或者可以使用带状紧固件重新安装颅骨瓣后安装头盖。 在一些实施例中，可以同时安装颅骨塞和带状紧固件。 带状紧固件和颅骨塞被设计成促进颅骨瓣的骨生长和愈合，并且它们可以用于将药物和骨生长增强组合物递送到手术部位。

公开(公告)号：US20100179553A1

公开(公告)日：2010-07-15

申请号：US12710541

申请日：2010-02-23

Applicant: James D. Ralph ,  Thomas N. Troxell

Inventor： James D. Ralph ,  Thomas N. Troxell

IPC: A61B17/58

CPC classification number: A61B17/688 ,  Y10T403/7176

Abstract: Strip fasteners and cranial plugs for use in reattaching a skull flap removed during brain surgery and methods of using the same. The strip fasteners are flexible and can be shaped to follow the perimeter contour of the skull flap. The cranial plugs can be used to reattach the skull flap or they can be installed after the skull flap is reattached using the strip fasteners. In some embodiments, the cranial plug(s) and strip fasteners can be installed at the same time. The strip fasteners and cranial plugs are designed to encourage bone growth and healing of the skull flap and they can be used to deliver medication and bone growth enhancement compositions to the surgical site.

Abstract translation: 用于重新安装在脑手术期间移除的颅骨瓣的带状紧固件和头颅及其使用方法。 带状紧固件是柔性的，并且可以被成形为跟随颅骨瓣的周边轮廓。 颅骨插头可用于重新连接颅骨瓣，或者可以使用带状紧固件重新安装颅骨瓣后安装头盖。 在一些实施例中，可以同时安装颅骨塞和带状紧固件。 带状紧固件和颅骨塞被设计成促进颅骨瓣的骨生长和愈合，并且它们可以用于将药物和骨生长增强组合物递送到手术部位。

公开(公告)号：US20100152792A1

公开(公告)日：2010-06-17

申请号：US12709753

申请日：2010-02-22

Applicant: James D. Ralph ,  Stephen Tatar ,  Thomas J. Errico

Inventor： James D. Ralph ,  Stephen Tatar ,  Thomas J. Errico

IPC: A61B17/56

CPC classification number: A61F2/442

Abstract: An instrument for holding an intervertebral spacer, the instrument comprising a shaft having a proximal end and a distal end, the proximal end forming a handle and the distal end forming a spacer engaging subassembly, the spacer engaging subassembly comprising at least one selectively expanding and contracting enclosure into which at least a portion of the spacer is introduced when the engaging subassembly is expanded and an actuating mechanism, extending from the proximal end to the distal end, by which the spacer member engaging subassembly may be selectively expanded and contracted.

Abstract translation: 一种用于保持椎间隔垫的仪器，所述仪器包括具有近端和远端的轴，所述近端形成手柄，所述远端形成间隔件接合子组件，所述间隔件接合子组件包括至少一个选择性地膨胀和收缩 外壳，其中当接合子组件膨胀时引入间隔件的至少一部分，并且从近端延伸到远端的致动机构可以选择性地膨胀和收缩间隔件接合子组件。

公开(公告)号：US20100152737A1

公开(公告)日：2010-06-17

申请号：US12710652

申请日：2010-02-23

Applicant: James D. Ralph ,  Stephen L. Tatar ,  Thomas N. Troxell

Inventor： James D. Ralph ,  Stephen L. Tatar ,  Thomas N. Troxell

IPC: A61B17/80

CPC classification number: A61B17/80 ,  A61B17/8023

Abstract: The invention pertains to adjustable bone plates which comprise one or more sets of first members and second members. The first members and second members are releasably secured to each other by attachment means and locking means, and two or more set of first members and second members are connected by bridging means. The longitudinal and lateral dimensions of the bone plates may be adjustable.

Abstract translation: 本发明涉及包括一组或多组第一构件和第二构件的可调骨板。 第一构件和第二构件通过附接装置和锁定装置可释放地彼此固定，并且两个或更多组第一构件和第二构件通过桥接装置连接。 骨板的纵向和横向尺寸可以是可调节的。