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公开(公告)号：US20070106123A1
公开(公告)日：2007-05-10
申请号：US11528223
申请日：2006-09-26
申请人： Josef Gorek , John Kostuik , George Picetti , Kevin Strauss , Mike Barrus , Larry McClintock , Richard Woods
发明人： Josef Gorek , John Kostuik , George Picetti , Kevin Strauss , Mike Barrus , Larry McClintock , Richard Woods
IPC分类号： A61B1/32
CPC分类号： A61B17/3468 , A61B1/32 , A61B17/02 , A61B17/0206 , A61B17/0218 , A61B17/1655 , A61B17/1671 , A61B17/320016 , A61B17/3211 , A61B17/7002 , A61B17/7032 , A61B17/7037 , A61B17/7082 , A61B17/7085 , A61B17/86 , A61B17/8886 , A61B2017/0287 , A61B2017/22038 , A61B2017/2837 , A61B2017/320044 , A61B2090/037 , A61M29/00
摘要： A device, system and method for orthopedic spine surgery using a novel screw-based retractor, disclosed herein, that allows for access to the spine through a minimally or less invasive approach. The retractor device is designed to be coupled to a pedicle screw and then to have opposed arms of the retractor spread apart to open the wound proximally. The retractor is removed by pulling it out of the wound whereby the retractor is deformed to pass over the pedicle screw head. The retractor is intended to be made of a stiff plastic material, sterile packaged and disposable after one use. A system and method for using the retractor and performing a minimally invasive spine surgical procedure are also disclosed.
摘要翻译： 本文公开的使用新颖的基于螺旋的牵开器的矫形脊柱手术的装置，系统和方法，其允许通过最小或较小侵入性的方法进入脊柱。 牵开器装置被设计成联接到椎弓根螺钉，然后将牵开器的相对的臂分开以向近侧打开伤口。 通过将其从伤口拉出而将牵开器移除，由此牵开器变形以越过椎弓根螺钉头。 卷收器旨在由坚固的塑料材料制成，无菌包装，一次性使用后即可弃置。 还公开了一种使用牵开器并执行微创脊柱外科手术的系统和方法。
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公开(公告)号：US20070260125A1
公开(公告)日：2007-11-08
申请号：US11799576
申请日：2007-05-02
申请人： Kevin Strauss , Josef Gorek , Larry McClintock , John Kostuik
发明人： Kevin Strauss , Josef Gorek , Larry McClintock , John Kostuik
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B1/32 , A61B17/02 , A61B17/0293 , A61B17/7001 , A61B17/7032 , A61B17/7083 , A61B2017/0225
摘要： A retractor having a pair of blades is disclosed. A ring having an opening is attached to one end of the blades. The blades define a channel therebetween. The blades may be pivotally coupled to the ring. The retractor may have at least two conditions. In a first condition, the retractor is insertable through an incision in a patient's skin to an operative site. In a second condition, the retractor may be manipulated for retracting tissue surrounding the operative site. Instruments, prostheses, or tissue may be inserted or removed through the channel of the retractor.
摘要翻译： 公开了一种具有一对叶片的牵开器。 具有开口的环连接到叶片的一端。 叶片在其间限定通道。 叶片可以枢转地联接到环上。 牵开器可具有至少两个条件。 在第一情况下，牵开器可通过患者皮肤中的切口插入到手术部位。 在第二情况下，可以操纵牵开器以缩回围绕手术部位的组织。 仪器，假体或组织可以通过牵开器的通道插入或移除。
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公开(公告)号：US20070162034A1
公开(公告)日：2007-07-12
申请号：US11498036
申请日：2006-08-03
申请人： John Kostuik , Patrick Connolly , Kevin Strauss , Richard Woods , Mary Hamburger , Andy Rock
发明人： John Kostuik , Patrick Connolly , Kevin Strauss , Richard Woods , Mary Hamburger , Andy Rock
IPC分类号： A61B17/16
CPC分类号： A61B17/1671 , A61B17/1604 , A61B17/1617 , A61B17/7071
摘要： A method of repairing an annulus of an intervertebral disc includes excising, with a cutting tool, a damaged area of the annulus, thereby creating a space in the annulus, the space being defined by first and second annulus ends; making a partial incision at the first annulus end generally adjacent to the excised area, creating a flap of annulus; stretching the flap across the space, and attaching the flap to the second annulus end.
摘要翻译： 修复椎间盘的环的方法包括用切割工具切除环的损伤区域，从而在环空中形成空间，该空间由第一和第二环形端限定; 在通常与切除区域相邻的第一环形端部进行部分切口，形成环形瓣; 将翼片拉过空间，并将翼片附接到第二环形端。
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4.发明授权公开(公告)号：US08979749B2
公开(公告)日：2015-03-17
申请号：US12104653
申请日：2008-04-17
CPC分类号： A61B17/025 , A61B17/0206 , A61B17/0293 , A61B17/1655 , A61B17/1671 , A61B17/56 , A61B17/7037 , A61B17/7077 , A61B17/7082 , A61B90/30 , A61B2017/00407 , A61B2017/0256 , A61B2017/2837
摘要： Devices, systems and methods for minimally open orthopedic spine surgery are disclosed. A first flexible screw-based retractor is designed to be coupled to each pedicle screw inserted into adjacent vertebral bodies. A retractor system is provided in which a first retractor blade is mounted to one of the screws and a second movable retractor blade is moved away from the first blade, in a medial direction, to create a working channel through which the disc space may be accessed for passing instruments and implants. Light may be incorporated into the device to illuminate the surgical field. One or all of the retractor blades may be made of a sterilizable plastic or metal and be disposable or reusable.
摘要翻译： 公开了用于微创骨科脊柱手术的装置，系统和方法。 第一柔性螺旋式牵开器被设计成联接到插入相邻椎体中的每个椎弓根螺钉。 提供一种牵开器系统，其中第一牵开器叶片安装到其中一个螺钉上，并且第二可动牵开器叶片在内侧方向上移动离开第一叶片，以产生工作通道，通过该工作通道可以访问椎间盘空间 用于通过仪器和植入物。 光可以结合到装置中以照亮外科手术领域。 一个或全部的收缩器叶片可以由可灭菌的塑料或金属制成，并且是一次性的或可重复使用的。
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公开(公告)号：US20080262318A1
公开(公告)日：2008-10-23
申请号：US12104653
申请日：2008-04-17
IPC分类号： A61B1/32 , A61B17/3211
CPC分类号： A61B17/025 , A61B17/0206 , A61B17/0293 , A61B17/1655 , A61B17/1671 , A61B17/56 , A61B17/7037 , A61B17/7077 , A61B17/7082 , A61B90/30 , A61B2017/00407 , A61B2017/0256 , A61B2017/2837
摘要： Devices, systems and methods for minimally open orthopedic spine surgery are disclosed. A first flexible screw-based retractor is designed to be coupled to each pedicle screw inserted into adjacent vertebral bodies. A retractor system is provided in which a first retractor blade is mounted to one of the screws and a second movable retractor blade is moved away from the first blade, in a medial direction, to create a working channel through which the disc space may be accessed for passing instruments and implants. Light may be incorporated into the device to illuminate the surgical field. One or all of the retractor blades may be made of a sterilizable plastic or metal and be disposable or reusable.
摘要翻译： 公开了用于微创骨科脊柱手术的装置，系统和方法。 第一柔性螺旋式牵开器被设计成联接到插入相邻椎体中的每个椎弓根螺钉。 提供一种牵开器系统，其中第一牵开器叶片安装到其中一个螺钉上，并且第二可动牵开器叶片在内侧方向上移动离开第一叶片，以产生工作通道，通过该工作通道可以访问椎间盘空间 用于通过仪器和植入物。 光可以结合到装置中以照亮外科手术领域。 一个或全部的收缩器叶片可以由可灭菌的塑料或金属制成，并且是一次性的或可重复使用的。
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公开(公告)号：US08882817B2
公开(公告)日：2014-11-11
申请号：US13214331
申请日：2011-08-22
CPC分类号： A61B17/7037 , A61B17/7032
摘要： A polyaxial pedicle screw includes a housing, a bone screw member, and an anvil. The bone screw member includes a head and a threaded shaft extending from the head. The head is selectively securable within the housing. The anvil is positionable within the housing adjacent to the head of the bone screw member when the anvil and the head of the bone screw member are positioned within the housing. The anvil may define one or more grooves in an outer surface of the anvil. The groove defines a flap that is flexibly attached to the anvil to enable the anvil to flex an amount sufficient to maintain the head of the bone screw in constant contact with the anvil when the bone screw member is moved relative to the anvil.
摘要翻译： 多轴椎弓根螺钉包括壳体，骨螺钉构件和砧座。 骨螺钉构件包括头部和从头部延伸的螺纹轴。 头部可选择性地固定在壳体内。 当砧座和骨螺钉构件的头部位于壳体内时，砧座可定位在邻近骨螺钉构件的头部的壳体内。 砧座可以在砧座的外表面中限定一个或多个凹槽。 凹槽限定了一个翼片，其柔性地连接到砧座，以使得当砧座螺钉构件相对于砧座移动时，砧座能够弯曲足以保持骨螺钉的头部与砧座保持不间断的量。
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公开(公告)号：US20070179459A1
公开(公告)日：2007-08-02
申请号：US11654798
申请日：2007-01-18
申请人： Fred Geisler , Eric Major , Richards Woods , Kevin Strauss , Larry McClintock
发明人： Fred Geisler , Eric Major , Richards Woods , Kevin Strauss , Larry McClintock
IPC分类号： A61M1/00
CPC分类号： A61M1/0039 , A61B10/025 , A61B10/0283 , A61B2010/0258 , A61B2017/00261 , A61M2205/073 , A61M2205/075
摘要： A vertebral body aspirator comprises an inner member including a cannula disposed therethrough, the inner member having an opening at a distal end thereof and a rotatable knob at a proximal end thereof, an outer member having a cannula disposed therethrough, the cannula of the outer member being configured and dimensioned for receiving the inner member. The outer member has an aperture located at a distal end thereof. The knob is configured to rotate inner member with respect to the outer member and expose the opening of the inner member. The outer member may include an extended tip located at the distal end thereof. A cartridge may be disposed within the inner member. The cartridge can be disposable and can have a straight-tip or bent-tip at its distal end. The vertebral body aspirator may also include a syringe connected to the proximal end of the cartridge.
摘要翻译： 椎体抽吸器包括内部构件，其包括穿过其插入的插管，所述内部构件在其远端具有开口，在其近端具有可旋转的旋钮，外部构件具有穿过其插入的插管，所述外部构件的插管 被配置和尺寸设计用于接收内部构件。 外部构件具有位于其远端处的孔。 旋钮构造成使内部构件相对于外部构件旋转并暴露内部构件的开口。 外部构件可以包括位于其远端处的延伸尖端。 盒可以设置在内部构件内。 药筒可以是一次性的，并且在其远端可以具有直的尖端或弯曲的尖端。 椎体抽吸器还可以包括连接到药筒近端的注射器。
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公开(公告)号：US09393049B2
公开(公告)日：2016-07-19
申请号：US13595533
申请日：2012-08-27
CPC分类号： A61B17/7037 , A61B17/7086 , A61B17/8625 , A61B2017/0046
摘要： A polyaxial pedicle screw includes a housing, a bone screw member, and an anvil. The bone screw member includes a head and a threaded shaft extending from the head. The head is selectively securable within the housing. The anvil is positionable within the housing adjacent to the head of the bone screw member when the anvil and the head of the bone screw member are positioned within the housing. The anvil may define one or more grooves in an outer surface of the anvil. The groove defines a flap that is flexibly attached to the anvil to enable the anvil to flex an amount sufficient to maintain the head of the bone screw in constant contact with the anvil when the bone screw member is moved relative to the anvil. A rod reducer may be secured to the polyaxial pedicle screw to secure a spinal rod within the housing.
摘要翻译： 多轴椎弓根螺钉包括壳体，骨螺钉构件和砧座。 骨螺钉构件包括头部和从头部延伸的螺纹轴。 头部可选择性地固定在壳体内。 当砧座和骨螺钉构件的头部位于壳体内时，砧座可定位在邻近骨螺钉构件的头部的壳体内。 砧座可以在砧座的外表面中限定一个或多个凹槽。 凹槽限定了一个翼片，其柔性地连接到砧座，以使得当砧座螺钉构件相对于砧座移动时，砧座能够弯曲足以保持骨螺钉的头部与砧座保持不间断的量。 杆减速器可以固定到多轴椎弓根螺钉上，以将脊柱杆固定在壳体内。
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公开(公告)号：US20120046699A1
公开(公告)日：2012-02-23
申请号：US13214331
申请日：2011-08-22
IPC分类号： A61B17/86
CPC分类号： A61B17/7037 , A61B17/7032
摘要： A polyaxial pedicle screw includes a housing, a bone screw member, and an anvil. The bone screw member includes a head and a threaded shaft extending from the head. The head is selectively securable within the housing. The anvil is positionable within the housing adjacent to the head of the bone screw member when the anvil and the head of the bone screw member are positioned within the housing. The anvil may define one or more grooves in an outer surface of the anvil. The groove defines a flap that is flexibly attached to the anvil to enable the anvil to flex an amount sufficient to maintain the head of the bone screw in constant contact with the anvil when the bone screw member is moved relative to the anvil.
摘要翻译： 多轴椎弓根螺钉包括壳体，骨螺钉构件和砧座。 骨螺钉构件包括头部和从头部延伸的螺纹轴。 头部可选择性地固定在壳体内。 当砧座和骨螺钉构件的头部位于壳体内时，砧座可定位在邻近骨螺钉构件的头部的壳体内。 砧座可以在砧座的外表面中限定一个或多个凹槽。 凹槽限定了一个翼片，其柔性地连接到砧座，以使得当砧座螺钉构件相对于砧座移动时，砧座能够弯曲足以保持骨螺钉的头部与砧座保持不间断的量。
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公开(公告)号：US20130046345A1
公开(公告)日：2013-02-21
申请号：US13595533
申请日：2012-08-27
CPC分类号： A61B17/7037 , A61B17/7086 , A61B17/8625 , A61B2017/0046
摘要： A polyaxial pedicle screw includes a housing, a bone screw member, and an anvil. The bone screw member includes a head and a threaded shaft extending from the head. The head is selectively securable within the housing. The anvil is positionable within the housing adjacent to the head of the bone screw member when the anvil and the head of the bone screw member are positioned within the housing. The anvil may define one or more grooves in an outer surface of the anvil. The groove defines a flap that is flexibly attached to the anvil to enable the anvil to flex an amount sufficient to maintain the head of the bone screw in constant contact with the anvil when the bone screw member is moved relative to the anvil. A rod reducer may be secured to the polyaxial pedicle screw to secure a spinal rod within the housing.
摘要翻译： 多轴椎弓根螺钉包括壳体，骨螺钉构件和砧座。 骨螺钉构件包括头部和从头部延伸的螺纹轴。 头部可选择性地固定在壳体内。 当砧座和骨螺钉构件的头部位于壳体内时，砧座可定位在邻近骨螺钉构件的头部的壳体内。 砧座可以在砧座的外表面中限定一个或多个凹槽。 凹槽限定了一个翼片，其柔性地连接到砧座，以使得当砧座螺钉构件相对于砧座移动时，砧座能够弯曲足以保持骨螺钉的头部与砧座保持不间断的量。 杆减速器可以固定到多轴椎弓根螺钉上，以将脊柱杆固定在壳体内。
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