-
公开(公告)号：US07189242B2
公开(公告)日：2007-03-13
申请号：US10166306
申请日：2002-06-10
IPC分类号： A61B17/58
CPC分类号： A61B17/025 , A61B17/1615 , A61B17/1617 , A61B17/1637 , A61B17/1655 , A61B17/1671 , A61B17/1757 , A61B2017/0256 , A61B2017/3445 , A61B2090/034 , A61B2090/062 , A61F2/4611 , A61F2002/4627 , A61F2002/4687
摘要： A method and instrumentation particularly adapted for disc space preparation from an anterior approach to the spine. In one aspect, an expandable template is provided having guides to guide a cutting device for bilateral formation of openings in the disc space. In another aspect, an improved guide member is provided for guiding a cutting tool. Still further, the invention provides an improved double barrel guide sleeve with a central distraction extension and lateral non-distracting extensions. Optionally, the guide sleeve includes windows and covers to selectively cover the windows. An improved reamer with an internal chamber and optional modular coupling is also provided. A depth stop is provided to selectively engage a tool shaft and a guide sleeve to control tool penetration into the disc space. A method of using the disclosed instruments is also provided.
摘要翻译： 一种方法和仪器，特别适用于从脊椎前路进入椎间盘的准备。 在一个方面，提供了一种可扩展模板，其具有引导件以引导用于在盘片空间中双边形成开口的切割装置。 在另一方面，提供了一种用于引导切割工具的改进的引导构件。 此外，本发明提供了一种改进的双筒导向套筒，其具有中心牵引延伸部和横向非分心延伸部。 可选地，引导套筒包括用于选择性地覆盖窗户的窗口和盖子。 还提供了具有内部腔室和可选的模块式联接器的改进的铰刀。 提供深度止动件以选择性地接合工具轴和导向套筒以控制工具穿透到盘空间中。 还提供了使用所公开的仪器的方法。
-
公开(公告)号：US07776046B2
公开(公告)日：2010-08-17
申请号：US11325742
申请日：2006-01-05
CPC分类号： A61B17/1757 , A61B2017/0256 , A61B2090/062
摘要： A method and instrumentation particularly adapted for disc space preparation from an anterior approach to the spine. In one aspect, an expandable template is provided having guides to guide a cutting device for bilateral formation of openings in the disc space. In another aspect, an improved guide member is provided for guiding a cutting tool. Still further, the invention provides an improved double barrel guide sleeve with a central distraction extension and lateral non-distracting extensions. Optionally, the guide sleeve includes windows and covers to selectively cover the windows. An improved reamer with an internal chamber and optional modular coupling is also provided. A depth stop is provided to selectively engage a tool shaft and a guide sleeve to control tool penetration into the disc space. A method of using the disclosed instruments is also provided.
摘要翻译： 一种方法和仪器，特别适用于从脊椎前路进入椎间盘的准备。 在一个方面，提供了一种可扩展模板，其具有引导件以引导用于在盘片空间中双边形成开口的切割装置。 在另一方面，提供了一种用于引导切割工具的改进的引导构件。 此外，本发明提供了一种改进的双筒导向套筒，其具有中心牵引延伸部和横向非分心延伸部。 可选地，引导套筒包括用于选择性地覆盖窗户的窗口和盖子。 还提供了具有内部腔室和可选的模块式联接器的改进的铰刀。 提供深度止动件以选择性地接合工具轴和导向套筒以控制工具穿透到盘空间中。 还提供了使用所公开的仪器的方法。
-
公开(公告)号：US06428541B1
公开(公告)日：2002-08-06
申请号：US09287917
申请日：1999-04-07
IPC分类号： A61B1756
CPC分类号： A61B17/025 , A61B17/1615 , A61B17/1617 , A61B17/1637 , A61B17/1655 , A61B17/1671 , A61B17/1757 , A61B2017/0256 , A61B2017/3445 , A61B2090/034 , A61B2090/062 , A61F2/4611 , A61F2002/4627 , A61F2002/4687
摘要： A method and instrumentation particularly adapted for disc space preparation from an anterior approach to the spine. In one aspect, an expandable template is provided having guides to guide a cutting device for bilateral formation of openings in the disc space. In another aspect, an improved guide member is provided for guiding a cutting tool. Still further, the invention provides an improved double barrel guide sleeve with a central distraction extension and lateral non-distracting extensions. Optionally, the guide sleeve includes windows and covers to selectively cover the windows. An improved reamer with an internal chamber and optional modular coupling is also provided. A depth stop is provided to selectively engage a tool shaft and a guide sleeve to control tool penetration into the disc space. A method of using the disclosed instruments is also provided.
-
公开(公告)号：US06645206B1
公开(公告)日：2003-11-11
申请号：US09518981
申请日：2000-03-03
IPC分类号： A61B1758
CPC分类号： A61B17/1671 , A61B17/8883 , A61B17/8891 , A61F2/30744 , A61F2/30767 , A61F2/442 , A61F2/4455 , A61F2/446 , A61F2/4611 , A61F2/4637 , A61F2002/2835 , A61F2002/30136 , A61F2002/30143 , A61F2002/30153 , A61F2002/30158 , A61F2002/3021 , A61F2002/30217 , A61F2002/30504 , A61F2002/30774 , A61F2002/30777 , A61F2002/30785 , A61F2002/3082 , A61F2002/3085 , A61F2002/30858 , A61F2002/30874 , A61F2002/4475 , A61F2002/448 , A61F2002/464 , A61F2002/4641 , A61F2220/0025 , A61F2230/0004 , A61F2230/0017 , A61F2230/0019 , A61F2230/0026 , A61F2230/0067 , A61F2310/00017 , A61F2310/00023 , A61F2310/00095 , A61F2310/00131 , A61F2310/00161 , A61F2310/00179 , A61F2310/00796 , A61L27/227 , A61L31/047 , A61L2430/38
摘要： An interbody fusion device in one embodiment includes a tapered body defining a hollow interior for receiving bone graft or bone substitute material. The body defines exterior threads which are interrupted over portions of the outer surface of the device. The fusion device defines truncated side walls so that on end view the body takes on a cylindrical form. The side walls are provided with vascularization openings, and the body wall device includes opposite bone ingrowth slots extending through the interrupted thread portion of the body. In another embodiment, the tapered body is solid and formed of a porous biocompatible material having sufficient structural integrity to maintain the intradiscal space and normal curvature. The material is preferably a porous tantalum having fully interconnected pores to facilitate complete bone tissue ingrowth into the implant. An implant driver is provided which engages the truncated side walls to complete the cylindrical form of the implant at the root diameter of the interrupted threads, to thereby facilitate threaded insertion of the implant to the intra-discal space between adjacent vertebrae. Methods for posterior and anterior insertion of the fusion device are also disclosed.
-
5.发明授权
公开(公告)号：US6096044A
公开(公告)日：2000-08-01
申请号：US111203
申请日：1998-07-07
申请人： Lawrence M. Boyd , Eddie Ray, III , Thomas McGahan
发明人： Lawrence M. Boyd , Eddie Ray, III , Thomas McGahan
IPC分类号： A61B17/56 , A61B17/00 , A61B17/17 , A61B17/28 , A61B17/34 , A61B18/14 , A61B19/00 , A61F2/28 , A61F2/30 , A61F2/44 , A61F2/46 , A61B17/58
CPC分类号： A61B18/1482 , A61B18/1402 , A61B18/1445 , A61B90/39 , A61F2/446 , A61B17/1757 , A61B17/3421 , A61B18/14 , A61B2017/00261 , A61B2017/00349 , A61B2017/2927 , A61B2017/3488 , A61B2090/3904 , A61B2090/3937 , A61F2/442 , A61F2002/2835 , A61F2002/30963 , A61F2002/4475 , A61F2002/448
摘要： A template assembly is provided for marking locations on the disc annulus for the implantation of an interbody fusion device or the introduction of a working instrument. The template assembly includes a tubular body sized for percutaneous introduction into a patient and advancement to an affected intervertebral disc. An elongated shaft slidably extends through the tubular body and is threadedly engaged to the handle-mounted thumb wheel so that rotation of the thumb wheel relative to the tubular body retracts the shaft through the body. A guide foot with a rotatable cam near the distal end of the tubular body is operable by the shaft and may be pivoted from a first position aligned with the tubular body to a second deployed position oriented transversely to the tubular body. The guide assembly has an electrocautery projection for marking locations on the disc annulus.
摘要翻译： 提供了一种模板组件，用于标记椎间盘环上的位置，用于植入体内融合装置或引入工作器械。 模板组件包括尺寸适于经皮引入患者体内并进入受影响的椎间盘的管状体。 细长轴可滑动地延伸穿过管状主体并且螺纹地接合到手柄安装的拇指轮，使得拇指轮相对于管状主体的旋转使轴穿过主体缩回。 具有靠近管状体的远端的可旋转凸轮的引导脚可由轴操作，并且可以从与管状体对准的第一位置枢转到横向于管状体定向的第二展开位置。 引导组件具有用于标记盘环上的位置的电灼突起。
-
公开(公告)号：US06245072B1
公开(公告)日：2001-06-12
申请号：US09265179
申请日：1999-03-09
IPC分类号： A61B1760
CPC分类号： A61B1/3132 , A61B1/3135 , A61B17/025 , A61B17/1671 , A61B17/1757 , A61B17/282 , A61B17/7059 , A61B17/86 , A61B17/8883 , A61B17/8891 , A61B2017/00238 , A61B2017/00261 , A61B2017/0256 , A61B2017/3488 , A61B2090/3904 , A61B2090/3937 , A61F2/30744 , A61F2/30767 , A61F2/442 , A61F2/4455 , A61F2/446 , A61F2/4601 , A61F2/4611 , A61F2/4637 , A61F2002/2835 , A61F2002/2839 , A61F2002/30123 , A61F2002/30136 , A61F2002/30143 , A61F2002/30153 , A61F2002/30158 , A61F2002/30179 , A61F2002/3021 , A61F2002/30217 , A61F2002/30329 , A61F2002/30433 , A61F2002/30504 , A61F2002/30507 , A61F2002/30774 , A61F2002/30777 , A61F2002/30785 , A61F2002/30787 , A61F2002/30789 , A61F2002/3082 , A61F2002/3085 , A61F2002/30858 , A61F2002/30863 , A61F2002/30871 , A61F2002/30874 , A61F2002/4475 , A61F2002/448 , A61F2002/4627 , A61F2002/4635 , A61F2002/464 , A61F2002/4641 , A61F2220/0025 , A61F2220/0041 , A61F2230/0004 , A61F2230/0006 , A61F2230/0017 , A61F2230/0019 , A61F2230/0026 , A61F2230/0058 , A61F2230/0067 , A61F2310/00017 , A61F2310/00023 , A61F2310/00095 , A61F2310/00131 , A61F2310/00161 , A61F2310/00179 , A61F2310/00796 , A61L27/227 , A61L31/047
摘要： A laparoscopic surgical technique is provided for preparing a site for implantation of a fusion device or implant. In accordance with one embodiment of the technique, a laparoscope is provided having an outer sleeve with distraction fingers at one end to distract the disc space. The laparoscope includes a laparoscopic port at its opposite end through which instruments and implants are inserted. The laparoscope provides a sealed working channel to the disc space, through which the disc space is distracted, the vertebral endplates and surrounding disc is reamed, and the fusion device inserted. The laparoscope is alternately engaged within bilateral locations in the disc space for insertion of a pair of fusion implants. A switching sleeve extends through the laparoscope to protect the tissue at the surgical site as the laparoscope is moved between the bilateral fusion locations.
摘要翻译： 提供了一种腹腔镜手术技术，用于制备用于植入融合装置或植入物的部位。 根据该技术的一个实施例，提供一种腹腔镜，其具有在一端具有分心指的外套筒以分散椎间盘空间。 腹腔镜在其相对端包括腹腔镜口，通过该口插入仪器和植入物。 腹腔镜为椎间盘空间提供了一个密封的工作通道，椎间盘空间被分散，椎骨终板和周围的椎间盘被延伸，并插入融合装置。 腹腔镜交替地接合在椎间盘空间中的双侧位置，以插入一对融合植入物。 当腹腔镜在双侧融合位置之间移动时，切换套筒延伸穿过腹腔镜以保护手术部位的组织。
-
公开(公告)号：US5645549A
公开(公告)日：1997-07-08
申请号：US427432
申请日：1995-04-24
申请人： Lawrence M. Boyd , Eddie Ray, III
发明人： Lawrence M. Boyd , Eddie Ray, III
IPC分类号： A61B17/56 , A61B17/00 , A61B17/17 , A61B17/28 , A61B17/34 , A61B18/14 , A61B19/00 , A61F2/28 , A61F2/30 , A61F2/44 , A61F2/46 , A61B17/58 , A61F2/00
CPC分类号： A61B18/1482 , A61B18/1402 , A61B18/1445 , A61B90/39 , A61F2/446 , A61B17/1757 , A61B17/3421 , A61B18/14 , A61B2017/00261 , A61B2017/00349 , A61B2017/2927 , A61B2017/3488 , A61B2090/3904 , A61B2090/3937 , A61F2/442 , A61F2002/2835 , A61F2002/30963 , A61F2002/4475 , A61F2002/448
摘要： A template assembly is provided for marking locations on the disc annulus for the implantation of an interbody fusion device or the introduction of a working instrument. The template assembly includes a tubular body sized for percutaneous introduction into a patient and advancement to an affected intervertebral disc. An elongated shaft slidably extends through the tubular body and is threadedly engaged to the tubular body at its proximal end so that rotation of the shaft relative to the tubular body advances the shaft through the body. A guide foot is pivotably connected to the distal end of the tubular body to be pivoted from a first position aligned with the tubular body to a second deployed position oriented substantially perpendicular to the tubular body. The guide body is pivoted from the first position to the second position by advancement of the elongated shaft through the tubular body. The guide body in one embodiment defines a bore through which the working tip of an electrocautery instrument extends to mark the disc annulus. In another embodiment, the guide body itself defines an electrocautery projection. The template assembly can be anchored to the affected disc by a guide wire extending through the tubular body and about which the template assembly can be rotated to make an additional mark on the annulus at a predetermined distance from the first mark.
摘要翻译： 提供了一种模板组件，用于标记椎间盘环上的位置，用于植入体内融合装置或引入工作器械。 模板组件包括尺寸适于经皮引入患者体内并进入受影响的椎间盘的管状体。 细长轴可滑动地延伸穿过管状体并且在其近端处与管状体螺纹接合，使得轴相对于管状体的旋转使轴穿过身体。 引导脚可枢转地连接到管状体的远端，以从与管状体对准的第一位置枢转到基本上垂直于管状体定向的第二展开位置。 引导体通过细长轴通过管状物体的前进从第一位置枢转到第二位置。 在一个实施例中，引导体限定了一个孔，电烙器的工作尖端穿过该孔延伸以标记盘环。 在另一个实施例中，引导体本身限定电烙术投影。 模板组件可以通过延伸穿过管状体的导丝锚固到受影响的椎间盘，并且模板组件可围绕该导丝线旋转以在距第一标记预定距离处在环形上形成附加标记。
-
公开(公告)号：US07300440B2
公开(公告)日：2007-11-27
申请号：US10442822
申请日：2003-05-21
IPC分类号： A61B17/32
CPC分类号： A61B1/3132 , A61B1/3135 , A61B17/025 , A61B17/1671 , A61B17/1757 , A61B17/282 , A61B17/7059 , A61B17/86 , A61B17/8883 , A61B17/8891 , A61B2017/00238 , A61B2017/00261 , A61B2017/0256 , A61B2017/3488 , A61B2090/3904 , A61B2090/3937 , A61F2/30744 , A61F2/30767 , A61F2/442 , A61F2/4455 , A61F2/446 , A61F2/4601 , A61F2/4611 , A61F2/4637 , A61F2002/2835 , A61F2002/2839 , A61F2002/30123 , A61F2002/30136 , A61F2002/30143 , A61F2002/30153 , A61F2002/30158 , A61F2002/30179 , A61F2002/3021 , A61F2002/30217 , A61F2002/30329 , A61F2002/30433 , A61F2002/30504 , A61F2002/30507 , A61F2002/30774 , A61F2002/30777 , A61F2002/30785 , A61F2002/30787 , A61F2002/30789 , A61F2002/3082 , A61F2002/3085 , A61F2002/30858 , A61F2002/30863 , A61F2002/30871 , A61F2002/30874 , A61F2002/4475 , A61F2002/448 , A61F2002/4627 , A61F2002/4635 , A61F2002/464 , A61F2002/4641 , A61F2220/0025 , A61F2220/0041 , A61F2230/0004 , A61F2230/0006 , A61F2230/0017 , A61F2230/0019 , A61F2230/0026 , A61F2230/0058 , A61F2230/0067 , A61F2310/00017 , A61F2310/00023 , A61F2310/00095 , A61F2310/00131 , A61F2310/00161 , A61F2310/00179 , A61F2310/00796 , A61L27/227 , A61L31/047
摘要： A laparoscopic surgical technique is provided for preparing a site for implantation of a fusion device or implant. In accordance with one embodiment of the technique, a laparoscope is provided having an outer sleeve with distraction fingers at one end to distract the disc space. The laparoscope includes a laparoscopic port at its opposite end through which instruments and implants are inserted. The laparoscope provides a sealed working channel to the disc space, through which the disc space is distracted, the vertebral endplates and surrounding disc is reamed, and the fusion device inserted. The laparoscope is alternately engaged within bilateral locations in the disc space for insertion of a pair of fusion implants. A switching sleeve extends through the laparoscope to protect the tissue at the surgical site as the laparoscope is moved between the bilateral fusion locations.
摘要翻译： 提供了一种腹腔镜手术技术，用于制备用于植入融合装置或植入物的部位。 根据该技术的一个实施例，提供一种腹腔镜，其具有在一端具有分心指的外套筒以分散椎间盘空间。 腹腔镜在其相对端包括腹腔镜口，通过该口插入仪器和植入物。 腹腔镜为椎间盘空间提供了一个密封的工作通道，椎间盘空间被分散，椎骨终板和周围的椎间盘被延伸，并插入融合装置。 腹腔镜交替地接合在椎间盘空间中的双侧位置，以插入一对融合植入物。 当腹腔镜在双侧融合位置之间移动时，切换套筒延伸穿过腹腔镜以保护手术部位的组织。
-
9.发明授权公开(公告)号：US06375655B1
公开(公告)日：2002-04-23
申请号：US09489317
申请日：2000-01-21
IPC分类号： A61B1756
CPC分类号： A61B17/1671 , A61B17/8883 , A61B17/8891 , A61F2/30744 , A61F2/30767 , A61F2/442 , A61F2/4455 , A61F2/446 , A61F2/4611 , A61F2/4637 , A61F2002/2835 , A61F2002/30136 , A61F2002/30143 , A61F2002/30153 , A61F2002/30158 , A61F2002/3021 , A61F2002/30217 , A61F2002/30504 , A61F2002/30774 , A61F2002/30777 , A61F2002/30785 , A61F2002/3082 , A61F2002/3085 , A61F2002/30858 , A61F2002/30874 , A61F2002/4475 , A61F2002/448 , A61F2002/464 , A61F2002/4641 , A61F2220/0025 , A61F2230/0004 , A61F2230/0017 , A61F2230/0019 , A61F2230/0026 , A61F2230/0067 , A61F2310/00017 , A61F2310/00023 , A61F2310/00095 , A61F2310/00131 , A61F2310/00161 , A61F2310/00179 , A61F2310/00796 , A61L27/227 , A61L31/047 , A61L2430/38
摘要： An interbody fusion device in one embodiment includes a tapered body defining a hollow interior for receiving bone graft or bone substitute material. The body defines exterior threads which are interrupted over portions of the outer surface of the device. The fusion device defines truncated side walls so that on end view the body takes on a cylindrical form. The side walls are provided with vascularization openings, and the body wall device includes opposite bone ingrowth slots extending through the interrupted thread portion of the body. In another embodiment, the tapered body is solid and formed of a porous biocompatible material having sufficient structural integrity to maintain the intradiscal space and normal curvature. The material is preferably a porous tantalum having fully interconnected pores to facilitate complete bone tissue ingrowth into the implant. An implant driver is provided which engages the truncated side walls to complete the cylindrical form of the implant at the root diameter of the interrupted threads, to thereby facilitate threaded insertion of the implant to the intra-discal space between adjacent vertebrae. Methods for posterior and anterior insertion of the fusion device are also disclosed.
摘要翻译： 在一个实施例中的体内融合装置包括限定用于接收骨移植物或骨替代材料的中空内部的锥体。 主体限定了在装置的外表面的部分上被中断的外螺纹。 融合装置限定截面侧壁，使得在端部视图上，身体呈圆柱形。 侧壁设置有血管化开口，并且身体壁装置包括延伸穿过身体的中断螺纹部分的相对的骨向内生长槽。 在另一个实施例中，锥形体是固体的并由具有足够结构完整性的多孔生物相容性材料形成，以保持椎间盘内空间和正常曲率。 该材料优选是具有完全相互连接的孔的多孔钽，以促进完整的骨组织向植入物中向内生长。 提供了一种种植体驱动器，该植入物驱动器与截断的侧壁接合，以在中断的线的根直径处完成植入物的圆柱形形状，从而有利于将植入物螺纹插入相邻椎骨之间的椎间盘间隙。 还公开了融合装置的后插入和前插入的方法。
-
公开(公告)号：US5785707A
公开(公告)日：1998-07-28
申请号：US889473
申请日：1997-07-08
申请人： Lawrence M. Boyd , Eddie Ray, III
发明人： Lawrence M. Boyd , Eddie Ray, III
IPC分类号： A61B17/00 , A61B17/17 , A61B17/28 , A61B17/34 , A61B18/14 , A61B19/00 , A61F2/28 , A61F2/30 , A61F2/44 , A61B17/36 , A61B17/58 , A61F2/00
CPC分类号： A61B18/1482 , A61B18/1402 , A61B18/1445 , A61B90/39 , A61F2/446 , A61B17/1757 , A61B17/3421 , A61B18/14 , A61B2017/00261 , A61B2017/00349 , A61B2017/2927 , A61B2017/3488 , A61B2090/3904 , A61B2090/3937 , A61F2/442 , A61F2002/2835 , A61F2002/30963 , A61F2002/4475 , A61F2002/448
摘要： A template assembly is provided for marking locations on the disc annulus for the implantation of an interbody fusion device or the introduction of a working instrument. The template assembly includes a tubular body sized for percutaneous introduction into a patient and advancement to an affected intervertebral disc. An elongated shaft slidably extends through the tubular body and is threadedly engaged to the tubular body at its proximal end so that rotation of the shaft relative to the tubular body advances the shaft through the body. A guide foot is pivotably connected to the distal end of the tubular body to be pivoted from a first position aligned with the tubular body to a second deployed position oriented substantially perpendicular to the tubular body. The guide body is pivoted from the first position to the second position by advancement of the elongated shaft through the tubular body. The guide body in one embodiment defines a bore through which the working tip of an electrocautery instrument extends to mark the disc annulus. In another embodiment, the guide body itself defines an electrocautery projection. The template assembly can be anchored to the affected disc by a guide wire extending through the tubular body and about which the template assembly can be rotated to make an additional mark on the annulus at a predetermined distance from the first mark.
摘要翻译： 提供了一种模板组件，用于标记椎间盘环上的位置，用于植入体内融合装置或引入工作器械。 模板组件包括尺寸适于经皮引入患者体内并进入受影响的椎间盘的管状体。 细长轴可滑动地延伸穿过管状体并且在其近端处与管状体螺纹接合，使得轴相对于管状体的旋转使轴穿过身体。 引导脚可枢转地连接到管状体的远端，以从与管状体对准的第一位置枢转到基本上垂直于管状体定向的第二展开位置。 引导体通过细长轴通过管状物体的前进从第一位置枢转到第二位置。 在一个实施例中，引导体限定了一个孔，电烙器的工作尖端穿过该孔延伸以标记盘环。 在另一个实施例中，引导体本身限定电烙术投影。 模板组件可以通过延伸穿过管状体的导丝锚固到受影响的椎间盘，并且模板组件可围绕该导丝线旋转以在距第一标记预定距离处在环形上形成附加标记。
-
-
-
-
-
-
-
-
-
搜索结果
82 条记录 (耗时 0.037 秒)
