公开(公告)号：US08685095B2

公开(公告)日：2014-04-01

申请号：US13090012

申请日：2011-04-19

Applicant: Keith E. Miller ,  Sachin P. Budhabhatti

Inventor： Keith E. Miller ,  Sachin P. Budhabhatti

IPC: A61F2/44

CPC classification number: A61F2/447 ,  A61F2/30767 ,  A61F2/30965 ,  A61F2/4611 ,  A61F2002/2817 ,  A61F2002/2835 ,  A61F2002/30013 ,  A61F2002/30062 ,  A61F2002/3008 ,  A61F2002/30138 ,  A61F2002/30281 ,  A61F2002/30283 ,  A61F2002/30448 ,  A61F2002/30471 ,  A61F2002/30472 ,  A61F2002/30505 ,  A61F2002/30515 ,  A61F2002/30542 ,  A61F2002/30556 ,  A61F2002/30579 ,  A61F2002/30596 ,  A61F2002/30598 ,  A61F2002/30604 ,  A61F2002/30624 ,  A61F2002/30626 ,  A61F2002/30629 ,  A61F2002/30632 ,  A61F2002/30637 ,  A61F2002/30677 ,  A61F2002/3068 ,  A61F2002/30774 ,  A61F2002/30777 ,  A61F2002/30797 ,  A61F2002/3082 ,  A61F2002/30825 ,  A61F2002/30827 ,  A61F2002/30828 ,  A61F2002/30879 ,  A61F2002/30892 ,  A61F2002/30909 ,  A61F2002/448 ,  A61F2002/4627 ,  A61F2002/4629 ,  A61F2310/00011 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00179 ,  A61F2310/00293 ,  A61F2310/00359

Abstract: A spinal implant includes a first component defining a surface. A second component is movable relative to the first component and defines a surface. An intermediate component is engageable with the first component and the second component. The intermediate component is configured for relative movement along the surface of the second component and is configured for relative movement along the surface of the first component in a first axial direction and a second, opposite axial direction such that movement of the intermediate component moves the second component relative to the first component between a first configuration and a second configuration. Methods of use are disclosed.

Abstract translation: 脊柱植入物包括限定表面的第一部件。 第二部件可相对于第一部件移动并限定一个表面。 中间部件可与第一部件和第二部件接合。 所述中间部件构造成沿着所述第二部件的表面相对移动，并且构造成用于沿着所述第一部件的表面沿第一轴向方向和第二相反的轴向方向相对移动，使得所述中间部件的移动使所述第二部件 在第一配置和第二配置之间相对于第一组件的组件。 公开了使用方法。

公开(公告)号：US08673007B2

公开(公告)日：2014-03-18

申请号：US12763922

申请日：2010-04-20

Applicant: Keith E. Miller ,  Y. Raja Rampersaud ,  Cristian A. Capote

Inventor： Keith E. Miller ,  Y. Raja Rampersaud ,  Cristian A. Capote

IPC: A61F2/44

CPC classification number: A61F2/4611 ,  A61B17/7097 ,  A61F2/30742 ,  A61F2/30744 ,  A61F2/44 ,  A61F2/441 ,  A61F2/442 ,  A61F2/4684 ,  A61F2002/2835 ,  A61F2002/30019 ,  A61F2002/30056 ,  A61F2002/3008 ,  A61F2002/30133 ,  A61F2002/30235 ,  A61F2002/30448 ,  A61F2002/30451 ,  A61F2002/30484 ,  A61F2002/30576 ,  A61F2002/30578 ,  A61F2002/30581 ,  A61F2002/30583 ,  A61F2002/30588 ,  A61F2002/30589 ,  A61F2002/30601 ,  A61F2002/4495 ,  A61F2002/4631 ,  A61F2210/0014 ,  A61F2310/00011 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00179 ,  A61F2310/00353

Abstract: Embodiments of the invention include expandable medical implant systems and methods. The systems may include devices to reinforce a tube through which a fill material may be moved at least in part into expandable medical implants. In some embodiments, an implant replaces one or more of vertebral bodies, portions of vertebral bodies, discs, and portions of discs of the spine.

Abstract translation: 本发明的实施例包括可扩展的医疗植入物系统和方法。 所述系统可以包括用于加强管的装置，通过所述装置，填充材料可以至少部分地移动到可扩张的医疗植入物中。 在一些实施例中，植入物替代脊椎体的一个或多个椎体，椎体的一部分，椎间盘和椎间盘的部分。

公开(公告)号：US20130103094A1

公开(公告)日：2013-04-25

申请号：US13280462

申请日：2011-10-25

Applicant: Jeffrey W. Beale ,  Larry T. McBride ,  Keith E. Miller

Inventor： Jeffrey W. Beale ,  Larry T. McBride ,  Keith E. Miller

IPC: A61B17/70 ,  A61B17/88

CPC classification number: A61B17/7076 ,  A61B17/708 ,  A61B17/7082

Abstract: A spinal implant system includes a first member including at least one wall, which includes a first axial end surface, a second axial end surface and an outer surface including a locking cavity. A second member includes a first extension defining an inner surface and a second extension defining an inner surface, the inner surfaces defining a first cavity therebetween. At least one of the inner surfaces includes a first angled portion and a second angled portion. A third member is disposed in the first cavity, and includes a first arm and a second arm, at least one of the arms includes a protrusion. The third member is configured for axial translation relative between a first orientation and a second orientation. Methods of use are disclosed.

Abstract translation: 脊柱植入系统包括包括至少一个壁的第一构件，其包括第一轴向端面，第二轴向端面和包括锁定腔的外表面。 第二构件包括限定内表面的第一延伸部和限定内表面的第二延伸部，所述内表面在它们之间限定第一腔。 内表面中的至少一个包括第一倾斜部分和第二倾斜部分。 第三构件设置在第一空腔中，并且包括第一臂和第二臂，至少一个臂包括突起。 第三构件构造成在第一取向和第二取向之间进行轴向平移。 公开了使用方法。

公开(公告)号：US20130018466A1

公开(公告)日：2013-01-17

申请号：US13182942

申请日：2011-07-14

Applicant: Kidong Yu ,  Keith E. Miller ,  William D. Armstrong ,  Charles Branch ,  Kevin Thomas Foley ,  Peter M. McCombe ,  Anthony J. Melkent ,  William R. Sears

Inventor： Kidong Yu ,  Keith E. Miller ,  William D. Armstrong ,  Charles Branch ,  Kevin Thomas Foley ,  Peter M. McCombe ,  Anthony J. Melkent ,  William R. Sears

IPC: A61F2/44

CPC classification number: A61F2/447 ,  A61F2/4455 ,  A61F2/4611 ,  A61F2002/30062 ,  A61F2002/3008 ,  A61F2002/30266 ,  A61F2002/30281 ,  A61F2002/30616 ,  A61F2002/30772 ,  A61F2002/30774 ,  A61F2002/30904 ,  A61F2002/4475 ,  A61F2002/448 ,  A61F2002/4622 ,  A61F2002/4627 ,  A61F2002/4629 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00359

Abstract: An interbody spacer includes an elongated body with a maximum width between opposite side walls and a maximum height between upper and lower bearing surfaces. The interbody spacer also includes a leading end nose connecting the side walls to facilitate insertion of the interbody spacer into a disc space between vertebrae in an insertion orientation, from which the interbody device is then rotated to position the upper and lower bearing surfaces in contact with the endplates of the adjacent vertebrae. The leading end nose forms a blunt convex nose between the upper and lower bearing surfaces to maximize the bearing surface area available to contact the adjacent endplates.

Abstract translation: 体间间隔件包括细长体，其在相对的侧壁之间具有最大宽度，在上部和下部支承表面之间具有最大高度。 所述体间间隔物还包括连接所述侧壁的前端鼻部，以便于将所述椎体间隔件插入插入取向中的椎骨之间的椎间盘空间中，然后从所述椎间孔装置旋转所述椎间体装置以使所述上和下支承表面与 相邻椎骨的终板。 前端鼻端在上下轴承表面之间形成钝角的凸起，以最大化可用于接触相邻端板的支承表面面积。

公开(公告)号：US20120179205A1

公开(公告)日：2012-07-12

申请号：US13004694

申请日：2011-01-11

Applicant: Keith E. Miller

Inventor： Keith E. Miller

IPC: A61B17/70 ,  A61B17/88

CPC classification number: A61B17/7055 ,  A61B17/7041

Abstract: A spinal stabilization apparatus and method according to which a fastener is engaged with a bone structure of a spinal system. The fastener is connected to a rod by moving the rod downward toward the fastener in a sagittal plane, and the direction of extension of at least a portion of the rod in a coronal plane may be selectively adjusted in predetermined angular increments through 360 degrees.

Abstract translation: 一种脊椎稳定装置和方法，根据该脊椎稳定装置和方法，紧固件与脊柱系统的骨结构接合。 紧固件通过在矢状平面中朝向紧固件向下移动杆而连接到杆上，并且可以以预定的角度增量以360度选择性地调节杆在冠状平面中的至少一部分的延伸方向。

公开(公告)号：US20120158140A1

公开(公告)日：2012-06-21

申请号：US12971861

申请日：2010-12-17

Applicant: Keith E. Miller ,  Richard A. Hynes ,  Kidong Yu

Inventor： Keith E. Miller ,  Richard A. Hynes ,  Kidong Yu

IPC: A61F2/44

CPC classification number: A61F2/4425 ,  A61F2/4465 ,  A61F2/447 ,  A61F2/4611 ,  A61F2002/2817 ,  A61F2002/2835 ,  A61F2002/30434 ,  A61F2002/30471 ,  A61F2002/30507 ,  A61F2002/3054 ,  A61F2002/30616 ,  A61F2002/30626 ,  A61F2002/30632 ,  A61F2002/30637 ,  A61F2002/30904 ,  A61F2002/4415 ,  A61F2002/4475 ,  A61F2002/4485 ,  A61F2002/4629

Abstract: A spinal implant for positioning in a space formed between vertebral members. The implant includes a number of sections that are pivotally attached together at pivot axes. The pivot axes include connectors that extend through at least a portion of the sections and are configured for the sections to be pivotally attached for the implant to be flexible to facilitate insertion into the space and to be configurable to the space. One of the sections may include a receptacle that is contained within the section. The receptacle has a fixed size and shape that holds bone growth material. The fixed size and shape of the receptacle prevents the bone growth from escaping during flexing of the implant.

Abstract translation: 用于定位在椎骨构件之间形成的空间中的脊椎植入物。 植入物包括在枢转轴线枢转地附接在一起的多个部分。 枢转轴线包括延伸穿过至少一部分部分的连接器，并且被构造成用于将该部分枢轴连接以使植入物柔性以便于插入到该空间中并且可配置到该空间中。 其中一个部分可以包括容纳在该部分内的容器。 容器具有固定的尺寸和形状，其保持骨生长材料。 容器的固定尺寸和形状可防止在植入物弯曲过程中骨生长逸出。

公开(公告)号：US20110257745A1

公开(公告)日：2011-10-20

申请号：US12763922

申请日：2010-04-20

Applicant: Keith E. Miller ,  Y. Raja Rampersaud ,  Cristian A. Capote

Inventor： Keith E. Miller ,  Y. Raja Rampersaud ,  Cristian A. Capote

IPC: A61F2/44 ,  A61B17/88

CPC classification number: A61F2/4611 ,  A61B17/7097 ,  A61F2/30742 ,  A61F2/30744 ,  A61F2/44 ,  A61F2/441 ,  A61F2/442 ,  A61F2/4684 ,  A61F2002/2835 ,  A61F2002/30019 ,  A61F2002/30056 ,  A61F2002/3008 ,  A61F2002/30133 ,  A61F2002/30235 ,  A61F2002/30448 ,  A61F2002/30451 ,  A61F2002/30484 ,  A61F2002/30576 ,  A61F2002/30578 ,  A61F2002/30581 ,  A61F2002/30583 ,  A61F2002/30588 ,  A61F2002/30589 ,  A61F2002/30601 ,  A61F2002/4495 ,  A61F2002/4631 ,  A61F2210/0014 ,  A61F2310/00011 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00179 ,  A61F2310/00353

Abstract: Embodiments of the invention include expandable medical implant systems and methods. The systems may include devices to reinforce a tube through which a fill material may be moved at least in part into expandable medical implants. In some embodiments, an implant replaces one or more of vertebral bodies, portions of vertebral bodies, discs, and portions of discs of the spine.

Abstract translation: 本发明的实施例包括可扩展的医疗植入物系统和方法。 所述系统可以包括用于加强管的装置，通过所述装置，填充材料可以至少部分地移动到可扩张的医疗植入物中。 在一些实施例中，植入物替代脊椎体的一个或多个椎体，椎体的一部分，椎间盘和椎间盘的部分。

公开(公告)号：US20110245884A9

公开(公告)日：2011-10-06

申请号：US12825064

申请日：2010-06-28

Applicant: David L. Brumfield ,  Keith E. Miller

Inventor： David L. Brumfield ,  Keith E. Miller

IPC: A61B17/56

CPC classification number: B25B7/18 ,  A61B17/2804 ,  A61B17/7032 ,  A61B17/7034 ,  A61B17/7088 ,  B25B7/02 ,  B25B7/14

Abstract: An instrument is provided for use in orthopedic surgery for reduction of a connecting member such as a spinal rod toward an implant such as a bone screw. An embodiment of the instrument includes handle portions that are pivotable relative to each other and biased apart, and arm portions pivotable relative to each other and to the handle portions. Distal portions of the arm portions, which may be offset from the arm portions, provide structure for engaging a connecting member and an implant. Squeezing the handle portions force the distal portions of the arm portions together, forcing together the connecting member and the implant. A toothed bar and pawl may be provided to retain the instrument in a squeezed state.

Abstract translation: 提供了一种用于整形外科手术的器械，用于将诸如脊椎杆的连接构件朝向诸如骨螺钉的植入物减小。 仪器的一个实施例包括可相对于彼此枢转并被偏压分离的手柄部分，以及可相对于彼此和手柄部分枢转的臂部分。 可以从臂部偏移的臂部分的远端部分提供用于接合连接构件和植入物的结构。 挤压把手部分迫使臂部分的远端部分在一起，将连接构件和植入物强制在一起。 可以提供齿条和棘爪以将仪器保持在挤压状态。

公开(公告)号：US20110190889A1

公开(公告)日：2011-08-04

申请号：US12696140

申请日：2010-01-29

Applicant: Keith E. Miller ,  Rajesh Ramesh ,  Craig M. Squires

Inventor： Keith E. Miller ,  Rajesh Ramesh ,  Craig M. Squires

IPC: A61F2/44

CPC classification number: A61F2/442 ,  A61F2/447 ,  A61F2002/2817 ,  A61F2002/2835 ,  A61F2002/30214 ,  A61F2002/3023 ,  A61F2002/30266 ,  A61F2002/30281 ,  A61F2002/30596 ,  A61F2002/30598 ,  A61F2002/30736 ,  A61F2002/30777 ,  A61F2002/30828 ,  A61F2002/30836 ,  A61F2002/30838 ,  A61F2002/30892 ,  A61F2002/30904 ,  A61F2002/4475 ,  A61F2002/448

Abstract: A vertebral implant for installation in a disc space is disclosed that includes a body defining a first vertebral support rail and a second vertebral support rail extending along a vertical axis. Each vertebral support rail is separated by a channel running circumferentially around at least a portion of the body along a longitudinal axis of the body. The first vertebral support rail has a first height and the second vertebral support rail has a second height. The first height is smaller than the second height. The height or apex of each vertebral support rail is sized and configured to match the concave nature of the endplates of vertebra of the spine.

Abstract translation: 公开了一种用于安装在椎间盘空间中的脊椎植入物，其包括限定第一椎骨支撑轨道的主体和沿着垂直轴线延伸的第二椎骨支撑轨道。 每个椎骨支撑轨道由沿身体的纵向轴线周向围绕身体的至少一部分周向延伸的通道分开。 第一椎骨支撑轨具有第一高度，第二椎骨支撑轨具有第二高度。 第一个高度小于第二个高度。 每个椎骨支撑轨的高度或顶点的尺寸和构造适合于与脊柱椎骨端板的凹形性质相匹配。

公开(公告)号：US07927334B2

公开(公告)日：2011-04-19

申请号：US11402523

申请日：2006-04-11

Applicant: Keith E. Miller ,  James L. Cline, Jr.

Inventor： Keith E. Miller ,  James L. Cline, Jr.

IPC: A61B17/70

CPC classification number: A61B17/7088 ,  A61B17/7034 ,  A61B17/7055 ,  A61B17/86 ,  A61B2017/0042 ,  A61B2017/0046

Abstract: A surgical reducing instrument is used to position an elongated implant element in a desired position relative to one or more of the bone anchors of a spinal implant system. The reducing instrument includes a mounting member that is mounted to the anchor and extends along a first longitudinal axis and an implant reducing member pivotally linked to the mounting member that extends along a second longitudinal axis that is offset from and variably positionable relative to the first longitudinal axis about a pivot axis. The reducing member contacts the implant element and includes a manipulation portion to move the implant element along the second longitudinal axis and can maintain contact to move the implant element toward the bone anchor when the reducing member is pivoted relative to the mounting member about the pivot axis.

Abstract translation: 使用外科手术减少器械将细长的植入物元件相对于脊柱植入物系统的一个或多个骨锚定位在期望的位置。 所述还原器具包括安装构件，所述安装构件安装到所述锚固件并且沿着第一纵向轴线延伸并且植入物减少构件可枢转地连接到所述安装构件，所述植入物减少构件沿着第二纵向轴线延伸，所述第二纵向轴线相对于所述第一纵向 轴关于枢轴。 所述还原构件接触所述植入元件并且包括操纵部分，以沿着所述第二纵向轴线移动所述植入元件，并且当所述还原构件相对于所述安装构件围绕所述枢转轴线枢转时，可以保持接触以移动所述植入元件朝向所述骨锚​​固件 。