公开(公告)号：US07959652B2

公开(公告)日：2011-06-14

申请号：US11389002

申请日：2006-03-24

申请人： James F. Zucherman ,  Ken Y. Hsu ,  Henry Klyce ,  Charles J. Winslow ,  Scott A. Yerby ,  John J. Flynn ,  Steven T. Mitchell ,  John A. Markwart

发明人： James F. Zucherman ,  Ken Y. Hsu ,  Henry Klyce ,  Charles J. Winslow ,  Scott A. Yerby ,  John J. Flynn ,  Steven T. Mitchell ,  John A. Markwart

IPC分类号： A61B17/70

CPC分类号： A61B17/7068 ,  A61B17/7065

摘要： An embodiment of a system in accordance with the present invention can include an implant having a spacer with a thickness and a wing, wherein a first configuration of the wing has a first height substantially similar to the thickness and wherein the wing is adapted to be selectably arranged in a second configuration such that the wing has a second height greater than the first height. A periphery of the implant has a shape generally conformal with a shape of an inner surface of a cannula and a cross-sectional diameter smaller than an inner diameter of the cannula. The cannula is inserted such that a proximal end of the cannula is arranged between the adjacent spinous processes. The implant is then urged into position between the adjacent spinous processes by way of the cannula, and subsequently arranged in a second configuration to fix the implant in position.

摘要翻译： 根据本发明的系统的实施例可以包括具有厚度和翼的间隔件的植入物，其中所述翼的第一构造具有与所述厚度基本相似的第一高度，并且所述翼适于可选地 布置成第二构造，使得翼具有大于第一高度的第二高度。 植入物的周边具有与插管的内表面的形状大致一致的形状，并且截面直径小于插管的内径。 套管被插入使得插管的近端布置在相邻的棘突之间。 然后通过插管将植入物推动到相邻棘突之间的位置，并且随后被布置成第二构造以将植入物固定就位。

公开(公告)号：US08894686B2

公开(公告)日：2014-11-25

申请号：US11771087

申请日：2007-06-29

申请人： James F. Zucherman ,  Ken Y. Hsu ,  Charles J. Winslow ,  Scott A. Yerby ,  John J. Flynn ,  Steven T. Mitchell ,  John A. Markwart

发明人： James F. Zucherman ,  Ken Y. Hsu ,  Charles J. Winslow ,  Scott A. Yerby ,  John J. Flynn ,  Steven T. Mitchell ,  John A. Markwart

IPC分类号： A61B17/70 ,  A61B17/84

CPC分类号： A61B17/7053 ,  A61B17/7047 ,  A61B17/7062 ,  A61B17/7065 ,  A61B17/7068 ,  A61B17/842

摘要： Systems and method in accordance with an embodiment of the present invention can includes an implant comprising a first wing, a spacer extending from the first wing, and a distraction guide. The distraction guide is arranged in a first configuration to pierce and/or distract tissue associated with adjacent spinous processes extending from vertebrae of a targeted motion segment. The implant can be positioned between the adjacent spinous processes and once positioned, the implant can be arranged in a second configuration. When arranged in a second configuration, the distraction guide can act as a second wing. The first wing and the second wing can limit or block movement of the implant along a longitudinal axis of the implant.

摘要翻译： 根据本发明的实施例的系统和方法可以包括植入物，其包括第一翼，从第一翼延伸的间隔件和牵引引导件。 牵引引导件布置成第一构造以刺穿和/或分散与从目标运动段的椎骨延伸的相邻棘突相关联的组织。 植入物可以位于相邻棘突之间并且一旦定位，植入物可以被布置成第二构型。 当以第二构造布置时，分心引导件可以用作第二翼。 第一翼和第二翼可以限制或阻止植入物沿着植入物的纵向轴线的移动。

公开(公告)号：US20080177298A1

公开(公告)日：2008-07-24

申请号：US11874862

申请日：2007-10-18

申请人： James F. Zucherman ,  Ken Y. Hsu ,  Charles J. Winslow ,  Scott A. Yerby ,  Steven T. Mitchell ,  John J. Flynn ,  John A. Markwart

发明人： James F. Zucherman ,  Ken Y. Hsu ,  Charles J. Winslow ,  Scott A. Yerby ,  Steven T. Mitchell ,  John J. Flynn ,  John A. Markwart

IPC分类号： A61B17/00

CPC分类号： A61B17/7068 ,  A61B17/7053 ,  A61B17/842 ,  A61B17/8869

摘要： Systems in accordance with embodiments of the present invention can include an implant comprising a spacer for defining a minimum space between adjacent spinous processes, a distraction guide for piercing and distracting an interspinous ligament during implantation, a binder for limiting or preventing flexion motion of the targeted motion segment, and a tensioner tool for applying tension to the binder. In one embodiment, the tensioner engages the implant and draws the binder through the capture device and applies tension to the binder. In one embodiment, the tensioner tool has a tension gauge with which a physician may measure the tension applied to the binder. The binder may be grasped by the capture device when the desired tension is achieved.

摘要翻译： 根据本发明的实施例的系统可以包括植入物，其包括用于限定相邻棘突之间的最小空间的间隔件，用于在植入期间刺穿和分散椎间韧带的牵引引导件，用于限制或防止目标的屈曲运动的粘合剂 运动部分，以及用于向粘合剂施加张力的张紧器工具。 在一个实施例中，张紧器接合植入物并且拉动粘合剂通过捕获装置并向粘合剂施加张力。 在一个实施例中，张紧器工具具有张力计，医生可以通过张力计测量施加到粘合剂上的张力。 当实现期望的张力时，粘合剂可以被捕获装置抓住。

公开(公告)号：US08070778B2

公开(公告)日：2011-12-06

申请号：US11378893

申请日：2006-03-17

申请人： James F. Zucherman ,  Ken Y. Hsu ,  Henry Klyce ,  Charles J. Winslow ,  Scott A. Yerby ,  John J. Flynn ,  Steve Mitchell ,  John A. Markwart

发明人： James F. Zucherman ,  Ken Y. Hsu ,  Henry Klyce ,  Charles J. Winslow ,  Scott A. Yerby ,  John J. Flynn ,  Steve Mitchell ,  John A. Markwart

IPC分类号： A61B17/70

CPC分类号： A61B17/7068

摘要： Systems and method in accordance with embodiments of the present invention can includes an implant having an initiating piece and a distraction piece. The initiating piece can include a lower distraction element, a second wing, a lower portion of a spacer, and a lower portion of a first wing. The initiating piece can be positioned such that an interspinous ligament of the targeted motion segment is disposed between the first and second wing. The distraction piece can include an upper distraction element, an upper portion of the spacer, and an upper portion of the first wing, and can be mated with the initiating piece by mating a rail of the distraction piece with a slot of the initiating piece, thereby disposing the implant between adjacent spinous processes.

摘要翻译： 根据本发明的实施例的系统和方法可以包括具有起始片和牵引片的植入物。 启动件可以包括下牵引元件，第二翼，间隔件的下部和第一翼的下部。 引导件可以被定位成使得目标运动段的棘突间韧带设置在第一和第二翼之间。 牵引片可以包括上牵引元件，间隔件的上部和第一翼的上部，并且可以通过将牵引片的轨道与起动片的狭槽相配合而与起始片配合， 从而将植入物置于相邻的棘突之间。

公开(公告)号：US20120083843A1

公开(公告)日：2012-04-05

申请号：US13313391

申请日：2011-12-07

申请人： James F. Zucherman ,  Ken Y. Hsu ,  Charles J. Winslow ,  John J. Flynn ,  Steven T. Mitchell ,  Scott A. Yerby ,  John A. Markwart

发明人： James F. Zucherman ,  Ken Y. Hsu ,  Charles J. Winslow ,  John J. Flynn ,  Steven T. Mitchell ,  Scott A. Yerby ,  John A. Markwart

IPC分类号： A61B17/70

CPC分类号： A61B17/7062 ,  A61B17/1757 ,  A61B17/7068

摘要： A spinal implant adapted to be inserted into an interspinous space between adjacent spinous processes includes a proximal section, a central section, and a distal section disposed sequentially along a longitudinal axis. The distal section has feature(s) that allow the implant to be inserted laterally into the interspinous space, such as an approximately helical groove and/or a thread-like structure. The distal tip of the implant tapers inwardly, and may be rounded. The proximal section may include an outwardly extending wing or flange. The implant may include a main body that includes the wing or flange and a spacer slidably mated to the main body through the wing or flange.

摘要翻译： 适于插入相邻棘突之间的椎间间隙的脊柱植入物包括沿着纵向轴线顺序设置的近端部分，中心部分和远端部分。 远端部分具有允许植入物横向插入棘突间空间的特征，例如大致螺旋形凹槽和/或线状结构。 植入物的远侧末端向内变细，并且可以是圆形的。 近端部分可以包括向外延伸的翼或凸缘。 植入物可以包括主体，其包括翼或凸缘以及通过机翼或凸缘与主体滑动配合的间隔件。

公开(公告)号：US08128702B2

公开(公告)日：2012-03-06

申请号：US11923737

申请日：2007-10-25

申请人： James F. Zucherman ,  Ken Y. Hsu ,  Henry A. Klyce ,  Charles J. Winslow ,  Scott A. Yerby ,  John J. Flynn ,  Steven T. Mitchell ,  John A. Markwart

发明人： James F. Zucherman ,  Ken Y. Hsu ,  Henry A. Klyce ,  Charles J. Winslow ,  Scott A. Yerby ,  John J. Flynn ,  Steven T. Mitchell ,  John A. Markwart

IPC分类号： A61F2/44 ,  A61B17/70

CPC分类号： A61B17/7068 ,  A61B17/7065

摘要： An embodiment of a system in accordance with the present invention can include an implant having a spacer with a thickness and a wing, wherein a first configuration of the wing has a first height substantially similar to the thickness and wherein the wing is adapted to be selectably arranged in a second configuration such that the wing has a second height greater than the first height. A periphery of the implant has a shape generally conformal with a shape of an inner surface of a cannula and a cross-sectional diameter smaller than an inner diameter of the cannula. The cannula is inserted such that a proximal end of the cannula is arranged between the adjacent spinous processes. The implant is then urged into position between the adjacent spinous processes by way of the cannula, and subsequently arranged in a second configuration to fix the implant in position.

摘要翻译： 根据本发明的系统的实施例可以包括具有厚度和翼的间隔件的植入物，其中所述翼的第一构造具有与所述厚度基本相似的第一高度，并且所述翼适于可选地 布置成第二构造，使得翼具有大于第一高度的第二高度。 植入物的周边具有与插管的内表面的形状大致一致的形状，并且截面直径小于插管的内径。 套管被插入使得插管的近端布置在相邻的棘突之间。 然后通过插管将植入物推动到相邻棘突之间的位置，并且随后被布置成第二构造以将植入物固定就位。

公开(公告)号：US08092535B2

公开(公告)日：2012-01-10

申请号：US11768222

申请日：2007-06-26

申请人： James F. Zucherman ,  Ken Y. Hsu ,  Charles J. Winslow ,  Scott A. Yerby ,  John J. Flynn ,  Steven T. Mitchell ,  John A. Markwart

发明人： James F. Zucherman ,  Ken Y. Hsu ,  Charles J. Winslow ,  Scott A. Yerby ,  John J. Flynn ,  Steven T. Mitchell ,  John A. Markwart

IPC分类号： A61F2/44 ,  A61B17/88

CPC分类号： A61B17/7053 ,  A61B17/7047 ,  A61B17/7062 ,  A61B17/7065 ,  A61B17/7068 ,  A61B17/842

摘要： Systems and method in accordance with an embodiment of the present invention can includes an implant comprising a first wing, a spacer extending from the first wing, and a distraction guide. The distraction guide is arranged in a first configuration to pierce and/or distract tissue associated with adjacent spinous processes extending from vertebrae of a targeted motion segment. The implant can be positioned between the adjacent spinous processes and once positioned, the implant can be arranged in a second configuration. When arranged in a second configuration, the distraction guide can act as a second wing. The first wing and the second wing can limit or block movement of the implant along a longitudinal axis of the implant.

公开(公告)号：US08454659B2

公开(公告)日：2013-06-04

申请号：US11771092

申请日：2007-06-29

申请人： James F. Zucherman ,  Ken Y. Hsu ,  Charles J. Winslow ,  Scott A. Yerby ,  John J. Flynn ,  Steven T. Mitchell ,  John A. Markwart

发明人： James F. Zucherman ,  Ken Y. Hsu ,  Charles J. Winslow ,  Scott A. Yerby ,  John J. Flynn ,  Steven T. Mitchell ,  John A. Markwart

IPC分类号： A61B17/70 ,  A61F2/44

CPC分类号： A61B17/7053 ,  A61B17/7047 ,  A61B17/7062 ,  A61B17/7065 ,  A61B17/7068 ,  A61B17/842

摘要： Systems and method in accordance with an embodiment of the present invention can includes an implant comprising a first wing, a spacer extending from the first wing, and a distraction guide. The distraction guide is arranged in a first configuration to pierce and/or distract tissue associated with adjacent spinous processes extending from vertebrae of a targeted motion segment. The implant can be positioned between the adjacent spinous processes and once positioned, the implant can be arranged in a second configuration. When arranged in a second configuration, the distraction guide can act as a second wing. The first wing and the second wing can limit or block movement of the implant along a longitudinal axis of the implant.

摘要翻译： 根据本发明的实施例的系统和方法可以包括植入物，其包括第一翼，从第一翼延伸的间隔件和牵引引导件。 牵引引导件布置成第一构造以刺穿和/或分散与从目标运动段的椎骨延伸的相邻棘突相关联的组织。 植入物可以位于相邻棘突之间并且一旦定位，植入物可以被布置成第二构型。 当以第二构造布置时，分心引导件可以用作第二翼。 第一翼和第二翼可以限制或阻止植入物沿着植入物的纵向轴线的移动。

公开(公告)号：US08349013B2

公开(公告)日：2013-01-08

申请号：US12821077

申请日：2010-06-22

申请人： James F. Zucherman ,  Ken Y. Hsu ,  Charles J. Winslow ,  Henry A. Klyce ,  Scott A. Yerby ,  John J. Flynn ,  Steven T. Mitchell ,  John A. Markwart

发明人： James F. Zucherman ,  Ken Y. Hsu ,  Charles J. Winslow ,  Henry A. Klyce ,  Scott A. Yerby ,  John J. Flynn ,  Steven T. Mitchell ,  John A. Markwart

IPC分类号： A61F2/44

CPC分类号： A61B17/7068 ,  A61B17/66 ,  A61B17/7065 ,  A61B17/7071 ,  A61B2017/00557 ,  A61K31/37

摘要： A method for stabilizing at least one spinal motion segment includes an expandable spacer in a collapsed state into the interspinous space between superior and inferior vertebrae such that the spacer extends through the sagittal plane defined by the spinous processes of the superior and inferior vertebrae. The spacer has a flexible membrane defining an interior cavity. The method includes expanding the spacer to an expanded state by forcing a fill material in a fluid state into the cavity with the spacer disposed in the interspinous space, and thereafter solidifying the fill material to a solid state in the cavity. The method may be performed through a percutaneous penetration in the patient's skin and may cause the first and second vertebrae to be distracted.

摘要翻译： 用于稳定至少一个脊柱运动节段的方法包括处于折叠状态的可扩展间隔物，其进入上椎骨和下椎骨之间的椎间间隙，使得间隔件延伸穿过由上下椎骨的棘突限定的矢状面。 间隔件具有限定内腔的柔性膜。 该方法包括通过将填充材料以流体状态强制进入空腔中，通过间隔物设置在棘突间空间中，然后将填充材料固化成腔中的固体状态，将间隔物膨胀到膨胀状态。 该方法可以通过在患者皮肤中的经皮渗透进行，并且可能导致第一和第二椎骨被分散。

公开(公告)号：US08221463B2

公开(公告)日：2012-07-17

申请号：US11806526

申请日：2007-05-31

申请人： James F. Zucherman ,  Ken Y. Hsu ,  Henry A. Klyce ,  Charles J. Winslow ,  Scott A. Yerby ,  John J. Flynn ,  Steven T. Mitchell ,  John A. Markwart

发明人： James F. Zucherman ,  Ken Y. Hsu ,  Henry A. Klyce ,  Charles J. Winslow ,  Scott A. Yerby ,  John J. Flynn ,  Steven T. Mitchell ,  John A. Markwart

IPC分类号： A61B17/70

CPC分类号： A61B17/7053 ,  A61B17/7047 ,  A61B17/7062 ,  A61B17/7065 ,  A61B17/7068 ,  A61B17/842

摘要： Systems and method in accordance with an embodiment of the present invention can includes an implant comprising a first wing, a spacer extending from the first wing, and a distraction guide. The distraction guide is arranged in a first configuration to pierce and/or distract tissue associated with adjacent spinous processes extending from vertebrae of a targeted motion segment. The implant can be positioned between the adjacent spinous processes and once positioned, the implant can be arranged in a second configuration. When arranged in a second configuration, the distraction guide can act as a second wing. The first wing and the second wing can limit or block movement of the implant along a longitudinal axis of the implant.

摘要翻译： 根据本发明的实施例的系统和方法可以包括植入物，其包括第一翼，从第一翼延伸的间隔件和牵引引导件。 牵引引导件布置成第一构造以刺穿和/或分散与从目标运动段的椎骨延伸的相邻棘突相关联的组织。 植入物可以位于相邻棘突之间并且一旦定位，植入物可以被布置成第二构型。 当以第二构造布置时，分心引导件可以用作第二翼。 第一翼和第二翼可以限制或阻止植入物沿着植入物的纵向轴线的移动。