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公开(公告)号：US5707372A
公开(公告)日：1998-01-13
申请号：US772408
申请日：1996-12-23
IPC分类号： A61B17/70
CPC分类号： A61B17/7052
摘要： 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.
摘要翻译： 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。
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公开(公告)号：US5735851A
公开(公告)日：1998-04-07
申请号：US728017
申请日：1996-10-09
IPC分类号： A61B17/70
CPC分类号： A61B17/7041 , A61B17/7035
摘要： 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.
摘要翻译： 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。
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3.发明授权Anterior cervical plate having polyaxial locking screws and sliding coupling elements 失效前颈椎板具有多轴锁定螺钉和滑动联接元件公开(公告)号：US06780186B2
公开(公告)日：2004-08-24
申请号：US10016776
申请日：2001-11-02
IPC分类号： A61B1780
CPC分类号： A61F2/4611 , A61B17/8047 , A61B17/8625 , A61F2/30721 , A61F2/30744 , A61F2/30749 , A61F2/34 , 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
摘要： A polyaxial locking cervical screw and plate assembly for immobilization of cervical bones, via fixation to surfaces thereof, including a plate, having a pair of elongated tapered holes in the top and bottom thereof, into which holes elongated coupling elements and screws may be inserted. Each coupling element has an equivalent taper which matches the taper of the holes in the plate, and an interior semi-spherical curvate surface in which the curvate head of the screw may be polyaxially mounted. The coupling elements are initially disposed in the holes in the plate such that they may slide axially therein. The bone screws are inserted through the respective coupling elements until the heads thereof enter the curvate volumes thereof. Once the head is fully seated in the coupling element, advancement of the screw causes the coupling element to crush lock to the plate and to the head of the screw.
摘要翻译： 一种用于固定颈骨的多轴锁定颈椎螺钉和板组件，其固定在其表面上，包括板，其顶部和底部具有一对细长的锥形孔，孔可以插入细长的联接元件和螺钉。 每个联接元件具有与板中的孔的锥度匹配的等效锥形，以及内部半球形弯曲表面，其中螺钉的弯曲头可以被多轴安装。 联接元件最初设置在板中的孔中，使得它们可以在其中轴向滑动。 骨螺钉通过相应的联接元件插入，直到其头部进入其弯曲体积。 一旦头部完全就位在联接元件中，螺钉的前进将导致联接元件挤压到板和螺钉的头部。
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公开(公告)号：US6063089A
公开(公告)日：2000-05-16
申请号：US59162
申请日：1998-04-13
IPC分类号： A61B17/70
CPC分类号： A61B17/7041 , A61B17/7035
摘要： A polyaxial orthopedic device for use with rod implant apparatus which includes a screw having a head, a tubular body having holes in the top, side and bottom therof, and a rod coupling element. The head of the screw is disposed in the body with the shaft of the screw extending out the bottom hole, such that the body and the screw may initially rotate relative to one another. The rod coupling element has a ball shaped end which seats in the body with the remainder of the rod coupling element extending out of the side hole of the body, such that the rod coupling element and the body are initially polyaxially coupled relative to one another. The ball end of the rod coupling element is disposed on top of the head of the screw. A set screw is provided in the top of the body, the tightening of which causes the ball, head, and body to be crush locked together, thereby preventing further relative motion.
摘要翻译： 一种用于杆植入装置的多轴矫形装置，其包括具有头部的螺钉，具有顶部，侧面和底部底部的孔的管状体以及杆联接元件。 螺钉的头部设置在主体中，螺钉的轴延伸出底部孔，使得主体和螺钉可以最初相对于彼此旋转。 杆联接元件具有球形端，其位于主体中，其中杆联接元件的其余部分延伸出主体的侧孔，使得杆联接元件和主体最初彼此相对地多轴耦合。 杆联接元件的球端设置在螺钉头部的顶部。 一个固定螺钉设置在主体的顶部，其紧固使球，头部和主体被压紧在一起，从而防止进一步的相对运动。
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公开(公告)号：US5941880A
公开(公告)日：1999-08-24
申请号：US2536
申请日：1998-01-02
CPC分类号： A61F2/446 , A61B17/7059 , A61F2/30744 , A61F2/442 , A61F2002/2835 , A61F2002/30329 , A61F2002/30433 , A61F2002/30507 , A61F2002/30784 , A61F2002/3085 , A61F2002/4475 , A61F2002/448 , A61F2220/0025 , A61F2220/0041
摘要： A cross-linking member for rigidly coupling interbody fusion devices such that they have reduced tendencies to dislocate subsequent to implantation as well as an interbody fusion assembly which includes at least two interbody fusion devices rigidly coupled together by a cross-linking member.
摘要翻译： 一种用于刚性联接体间融合装置的交联构件，使得它们具有减少的植入后脱位的倾向以及包括通过交联构件刚性地联接在一起的至少两个体内融合装置的体内融合组件。
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公开(公告)号：US5713904A
公开(公告)日：1998-02-03
申请号：US799719
申请日：1997-02-12
CPC分类号： A61B17/686 , A61B17/8685 , A61B17/7055
摘要： The present invention is a selectively expandable bone fixation screw-sleeve device which provides substantially greater holding strength in human bone than other bone screw devices. The sleeve element of this invention includes several embodiments, each having at least one corresponding screw element for selectively expanding a portion of the sleeve once it has been inserted into the bone. More specifically, in several embodiments, the sleeve includes a series of vertical slots in the end, or ends, of the cylindrical body of the sleeve. The slots define, therebetween, sections which are contiguous with the remainder of the cylindrical body, and which may rotate radially outward. In these embodiments, the sections are designed having a varying thickness, for example a single or double wedge profile, such that the insertion of the screw element into the sleeve deforms the shape of the sleeve by causing the sections to flair outward. In a different embodiment, the slots, and sections, are designed into the axially intermediate central portion of the cylindrical sleeve, and therefore flair outwardly therefrom upon insertion of a screw within the sleeve. As this invention is intended to provide imporved fixation support for orthopedic implantation assemblies, each embodiment may further include means coupled or integral with the sleeve or screw for coupling an orthopedic implant to it.
摘要翻译： 本发明是一种选择性可扩张的骨固定螺钉套筒装置，其提供比其他骨螺钉装置在人骨中显着更大的保持强度。 本发明的套筒元件包括几个实施例，每个实施例具有至少一个对应的螺钉元件，用于选择性地将套筒的一部分一旦插入到骨中后扩张。 更具体地，在几个实施例中，套筒在套筒的圆柱体的端部或端部包括一系列垂直槽。 这些槽之间限定与圆筒体的其余部分相邻并且可径向向外旋转的部分。 在这些实施例中，这些部分被设计成具有变化的厚度，例如单个或双楔形轮廓，使得螺钉元件插入到套筒中通过使部分向外发展而使套筒的形状变形。 在不同的实施例中，槽和部分被设计到圆柱形套筒的轴向中间中间部分中，并且因此在将螺钉插入套筒内时从其向外摆动。 由于本发明旨在为整形外科植入组件提供有力的固定支撑，每个实施例还可以包括与用于将矫形植入物联接到其上的套筒或螺钉一体的装置。
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公开(公告)号：USRE39089E1
公开(公告)日：2006-05-02
申请号：US09992612
申请日：2001-11-13
IPC分类号： A61B17/70
CPC分类号： A61B17/7037 , A61B17/7032 , A61F2/30744 , A61F2/34 , A61F2/4611 , A61F2002/3021 , A61F2002/30329 , A61F2002/30332 , A61F2002/30378 , A61F2002/30497 , A61F2002/30594 , A61F2002/30787 , A61F2002/3401 , A61F2220/0025 , A61F2220/0033 , A61F2230/0067 , A61F2310/00017 , A61F2310/00023
摘要： A polyaxial orthopedic device for use with rod implant apparatus includes a screw having a curvate head, a two-piece interlocking coupling element which mounts about the curvate head, and a rod receiving cylindrical body member having a tapered socket into which both the screw and the interlocking coupling element are securely nested. The interlocking coupling element includes a socket portion which is slotted and tapered so that when it is radially compressed by being driven downwardly into the tapered socket in the cylindrical body it crush locks to the screw. The securing of the rod in the body member provides the necessary downward force onto the socket portion through a contact force on the top of the cap portion. Prior to the rod being inserted, therefore, the screw head remains polyaxially free with respect to the coupling element and the body. In a preferred embodiment, the cap portion and the socket portion are formed and coupled in such a way that when the cap portion is compressed toward the socket portion, there is an additional inward radial force applied by the cap portion to the socket portion, thereby enhancing the total locking force onto the head of the screw.
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8.发明授权Anterior spinal polyaxial locking screw plate assembly having recessed retaining rings 失效前脊椎多轴锁定螺钉板组件具有凹入的保持环
公开(公告)号：US5876402A
公开(公告)日：1999-03-02
申请号：US624110
申请日：1996-03-29
CPC分类号： 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
摘要： The present invention is a polyaxial locking screw plate assembly for immobilization of vertebral bones, via fixation to surfaces thereof. The assembly includes a plate, having an upper portion and a lower portion, each of which has a pair of tapered holes, into which holes coupling elements and bone screws may be inserted. The upper part of the holes further includes an annularly recessed channel in which a snap-ring is disposed. The coupling elements each have an axial taper which matches the taper of the holes, and an interior semi-spherical concave surface in which the semi-spherical head of a bone screw may be polyaxially mounted. The bone screws are inserted through the holes until the coupling element engages and expands the snap-ring. Once the coupling element is fully seated in the hole, thereby locking the screw in place and the coupling element in the hole, the snap-ring contracts to its undeflected position and prevents the coupling element and screw from backing out of the hole in the event of loosening.
摘要翻译： 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。 组件包括具有上部和下部的板，每个板具有一对锥形孔，可插入孔连接元件和骨螺钉。 孔的上部还包括环形凹槽，其中设置有卡环。 联接元件各自具有与孔的锥形匹配的轴向锥度，以及内部半球形凹面，其中可以多轴安装骨螺钉的半球形头部。 骨螺钉通过孔插入，直到联接元件接合并膨胀卡环。 一旦联接元件完全就位在孔中，从而将螺钉锁定在适当位置并且联接元件在孔中，则卡环将收缩到其未偏转的位置，并且在事件中防止联接元件和螺丝从孔中脱离出来 松动。
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公开(公告)号：US5776135A
公开(公告)日：1998-07-07
申请号：US772407
申请日：1996-12-23
IPC分类号： A61B17/70
CPC分类号： A61B17/7041 , A61B17/7035
摘要： A polyaxial orthopedic device for use with rod implant apparatus includes a screw having a head, a tubular body having holes in the top, side and bottom thereof, and a rod coupling element. The head of the screw is disposed in the body with the shaft of the screw extending out the bottom hole, such that the body and the screw may initially rotate relative to one another. The rod coupling element has a ball shaped end which seats in the body with the remainder of the rod coupling element extending out of the side hole of the body, such that the rod coupling element and the body are initially polyaxially coupled relative to one another. The ball end of the rod coupling element is disposed on top of the head of the screw. A set screw is provided in the top of the body, the tightening of which causes the ball, head, and body to be crush locked together, thereby preventing further relative motion.
摘要翻译： 用于杆植入装置的多轴矫形装置包括具有头部的螺钉，在其顶部，侧面和底部具有孔的管状体和杆联接元件。 螺钉的头部设置在主体中，螺钉的轴延伸出底部孔，使得主体和螺钉可以最初相对于彼此旋转。 杆联接元件具有球形端，其位于主体中，其中杆联接元件的其余部分延伸出主体的侧孔，使得杆联接元件和主体最初彼此相对地多轴耦合。 杆联接元件的球端设置在螺钉头部的顶部。 一个固定螺钉设置在主体的顶部，其紧固使球，头部和主体被压紧在一起，从而防止进一步的相对运动。
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10.发明授权Advanced polyaxial locking hook and coupling element device for use with top loading rod fixation devices 失效高级多轴锁定钩和耦合元件装置用于顶部装载杆固定装置
公开(公告)号：US5609593A
公开(公告)日：1997-03-11
申请号：US542527
申请日：1995-10-13
IPC分类号： A61B17/70
CPC分类号： A61B17/7055 , A61B17/7037 , A61B17/7032 , A61B17/7034
摘要： A hook device for use with support rod implantation apparatus, having a rod receiving body polyaxially mounted to a blade portion such that the body may be polyaxially manuevered relative to the blade, for easy rod coupling. The blade portion has a semi-spherical head portion which sits above the lamina. The rod receiving portion is a separate coupling element having lower and upper portions. The lower portion is slotted and tapered, and has a semi-spherical interior chamber in which the semi-spherical head is initially polyaxially disposed. The upper portion has a pair of upwardly extending members, defining therebetween a channel for receiving the rod. The uppermost parts of the upwardly extending members include an threading for receiving a top locking nut. A locking ring is disposed about the coupling element, substantially below the side recess; the top of the coupling element being initially positioned above the lower ledge of the side recess such that the rod, when initially disposed therein, seats against the top surface of the locking ring. When the rod is in place, the top locking nut is tightened to provides a downward force onto the rod. The rod, in turn, applies a force against the locking ring to descend down the tapered lower portion, therein locking the semi-spherical head in the interior chamber of the coupling element, and locking it into position relative to the blade portion. In an alternative variation, a rod retaining sleeve may be provided between the locking ring and the nut.
摘要翻译： 一种与支撑杆植入装置一起使用的钩装置，其具有多个轴向安装到叶片部分上的杆接收体，使得该主体可以相对于叶片多重地被植入，以便于杆联接。 叶片部分具有位于层板上方的半球形头部。 杆接收部分是具有下部和上部的单独的联接元件。 下部是开槽和锥形的，并且具有半球形的内部室，其中半球形头部最初被多次布置。 上部具有一对向上延伸的构件，在其间限定用于容纳杆的通道。 向上延伸的构件的最上部分包括用于容纳顶部锁定螺母的螺纹。 锁定环围绕联接元件布置，基本上在侧凹部下方设置; 联接元件的顶部最初定位在侧凹槽的下凸缘上方，使得当初始设置在其中时，杆抵靠锁定环的顶表面。 当杆处于适当位置时，顶部锁紧螺母被拧紧以向杆施加向下的力。 该杆又向锁定环施加一个力，使锥形下部下降，其中将半球形头部锁定在联接元件的内部腔中，并将其锁定在相对于刀片部分的位置。 在替代方案中，可以在锁定环和螺母之间设置杆保持套筒。
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