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    Modulated constraining apparatus and methods of use
    1.
    发明授权
    Modulated constraining apparatus and methods of use 有权
    调制约束装置及其使用方法

    公开(公告)号：US08394128B2

    公开(公告)日：2013-03-12

    申请号：US13095586

    申请日：2011-04-27

    申请人： Manish Kothari ,  Louis Fielding ,  Colin Cahill ,  Anand Parikh

    发明人： Manish Kothari ,  Louis Fielding ,  Colin Cahill ,  Anand Parikh

    IPC分类号： A61B17/88

    CPC分类号： A61B17/82 ,  A61B17/68 ,  A61B17/7053 ,  A61B17/7062

    摘要： A constraining apparatus includes a constraining structure that captures a first and a second anatomical structure. A motion limiting member coupled with the constraining structure is adapted to provide a force resistant to relative movement of the first anatomical structure away from the second anatomical structure. A regulating member is detachably coupled with the motion limiting member or the constraining structure and is adapted to change the resistant force provided by the motion limiting member when the regulating member is in direct engagement with the motion limiting member or constraining structure.

    摘要翻译： 约束装置包括捕获第一解剖结构和第二解剖结构的约束结构。 与约束结构联接的运动限制构件适于提供抵抗第一解剖结构远离第二解剖结构的相对运动的力。 调节构件与运动限制构件或约束结构可拆卸地联接，并且适于在调节构件与运动限制构件或约束结构直接接合时改变由运动限制构件提供的阻力。

    MODULATED CONSTRAINING APPARATUS AND METHODS OF USE
    2.
    发明申请
    MODULATED CONSTRAINING APPARATUS AND METHODS OF USE 有权
    调制约束装置及其使用方法

    公开(公告)号：US20120109199A1

    公开(公告)日：2012-05-03

    申请号：US13095586

    申请日：2011-04-27

    申请人： Manish Kothari ,  Louis Fielding ,  Colin Cahill ,  Anand Parikh

    发明人： Manish Kothari ,  Louis Fielding ,  Colin Cahill ,  Anand Parikh

    IPC分类号： A61B17/70 ,  A61B17/88

    CPC分类号： A61B17/82 ,  A61B17/68 ,  A61B17/7053 ,  A61B17/7062

    摘要： A constraining apparatus includes a constraining structure that captures a first and a second anatomical structure. A motion limiting member coupled with the constraining structure is adapted to provide a force resistant to relative movement of the first anatomical structure away from the second anatomical structure. A regulating member is detachably coupled with the motion limiting member or the constraining structure and is adapted to change the resistant force provided by the motion limiting member when the regulating member is in direct engagement with the motion limiting member or constraining structure.

    摘要翻译： 约束装置包括捕获第一解剖结构和第二解剖结构的约束结构。 与约束结构联接的运动限制构件适于提供抵抗第一解剖结构远离第二解剖结构的相对运动的力。 调节构件与运动限制构件或约束结构可拆卸地联接，并且适于在调节构件与运动限制构件或约束结构直接接合时改变由运动限制构件提供的阻力。

    MODULATED CONSTRAINING APPARATUS AND METHODS OF USE
    3.
    发明申请
    MODULATED CONSTRAINING APPARATUS AND METHODS OF USE 审中-公开
    调制约束装置及其使用方法

    公开(公告)号：US20140052186A1

    公开(公告)日：2014-02-20

    申请号：US13760919

    申请日：2013-02-06

    申请人： Manish Kothari ,  Louis Fielding ,  Colin Cahill ,  Anand Parikh

    发明人： Manish Kothari ,  Louis Fielding ,  Colin Cahill ,  Anand Parikh

    IPC分类号： A61B17/82 ,  A61B17/70

    CPC分类号： A61B17/82 ,  A61B17/68 ,  A61B17/7053 ,  A61B17/7062

    摘要： A constraining apparatus includes a constraining structure that captures a first and a second anatomical structure. A motion limiting member coupled with the constraining structure is adapted to provide a force resistant to relative movement of the first anatomical structure away from the second anatomical structure. A regulating member is detachably coupled with the motion limiting member or the constraining structure and is adapted to change the resistant force provided by the motion limiting member when the regulating member is in direct engagement with the motion limiting member or constraining structure.

    摘要翻译： 约束装置包括捕获第一解剖结构和第二解剖结构的约束结构。 与约束结构联接的运动限制构件适于提供抵抗第一解剖结构远离第二解剖结构的相对运动的力。 调节构件与运动限制构件或约束结构可拆卸地联接，并且适于在调节构件与运动限制构件或约束结构直接接合时改变由运动限制构件提供的阻力。

    SURGICAL TETHER APPARATUS AND METHODS OF USE
    7.
    发明申请
    SURGICAL TETHER APPARATUS AND METHODS OF USE 有权
    外科手术器械和使用方法

    公开(公告)号：US20100234890A1

    公开(公告)日：2010-09-16

    申请号：US12721198

    申请日：2010-03-10

    申请人： Todd Alamin ,  Louis Fielding ,  Colin Cahill ,  Manish Kothari

    发明人： Todd Alamin ,  Louis Fielding ,  Colin Cahill ,  Manish Kothari

    IPC分类号： A61B17/70 ,  A61B17/88 ,  A61F2/44

    CPC分类号： A61B17/7062 ,  A61B17/7067 ,  A61B17/7097

    摘要： A spinal treatment system includes a constraint device having an upper tether portion, a lower tether portion and a compliance member coupled therebetween. The upper tether portion is coupled with a superior spinous process of a spinal segment in a patient and the lower tether portion is coupled with an inferior spinous process or sacrum of the spinal segment. The length or tension in the constraint device is adjustable so that the construct of the tether portions and the compliance member provides a force resistant to flexion of the spinal segment. The system also includes a first prosthesis coupled with the spinal segment, wherein the constraint device modulates loads borne by the prosthesis or by tissue adjacent thereto.

    摘要翻译： 脊柱治疗系统包括约束装置，其具有上部系绳部分，下部系绳部分和联接在它们之间的顺应性部件。 上部系绳部分与患者中的脊柱节段的优越棘突联接，并且下部系绳部分与脊柱节段的下棘突或骶骨联接。 约束装置中的长度或张力是可调节的，使得系链部分和柔顺构件的构造提供抵抗脊椎节段屈曲的力。 所述系统还包括与所述脊椎节段联接的第一假体，其中所述约束装置调节由假体或与其相邻的组织承载的负载。

    Surgical tether apparatus and methods of use
    9.
    发明授权
    Surgical tether apparatus and methods of use 有权
    手术系绳装置及使用方法

    公开(公告)号：US08529606B2

    公开(公告)日：2013-09-10

    申请号：US12721238

    申请日：2010-03-10

    申请人： Todd Alamin ,  Colin Cahill ,  Louis Fielding ,  Manish Kothari

    发明人： Todd Alamin ,  Colin Cahill ,  Louis Fielding ,  Manish Kothari

    IPC分类号： A61B17/88 ,  A61B17/70

    CPC分类号： A61B17/7067 ,  A61B17/7055 ,  A61B17/7062 ,  A61B17/7097 ,  A61F2/442 ,  A61F2/4455

    摘要： Methods and apparatus for controlling flexion in a spinal segment of a patient include performing a spinal fusion procedure on a pair of adjacent vertebrae in the spinal segment and implanting a constraint device into the patient. Adjusting length or tension in the constraint device allows the constraint device to provide a force a force resistant to flexion of the spinal segment undergoing fusion. The constraint device also modulates loads borne by the spinal segment undergoing fusion or tissue adjacent thereto.

    摘要翻译： 用于控制患者的脊柱段中的屈曲的方法和装置包括对脊椎段中的一对相邻椎骨执行脊柱融合程序，并将约束装置植入患者体内。 约束装置中的调节长度或张力允许约束装置提供抵抗正在融合的脊椎节段弯曲的力的力。 约束装置还调节由与其相邻的融合或组织的脊髓段承载的负载。

    METHODS AND SYSTEMS FOR DEPLOYING SPINOUS PROCESS CONSTRAINTS
    10.
    发明申请
    METHODS AND SYSTEMS FOR DEPLOYING SPINOUS PROCESS CONSTRAINTS 审中-公开
    用于分配旋转过程约束的方法和系统

    公开(公告)号：US20080262549A1

    公开(公告)日：2008-10-23

    申请号：US12106049

    申请日：2008-04-18

    申请人： Ian Bennett ,  Colin Cahill ,  Todd Alamin ,  Louis Fielding ,  Hugues Malandain ,  Manish Kothari

    发明人： Ian Bennett ,  Colin Cahill ,  Todd Alamin ,  Louis Fielding ,  Hugues Malandain ,  Manish Kothari

    IPC分类号： A61B17/70 ,  A61B19/00

    CPC分类号： A61B17/7062 ,  A61B17/82 ,  A61B17/842 ,  A61B2090/064

    摘要： An exemplary method for constraining spinous processes to elastically limit flexion of a spinal segment comprises piercing an interspinous ligament to form a first penetration above an upper side of an upper spinous process and advancing a first end of a first tether through the first penetration. The interspinous ligament is pierced again to form a second penetration below a lower side of a lower spinous process and a second end of a second tether is advanced through the second penetration. Joining the first and second tethers together forms an extensible tether structure coupling the upper and lower spinous processes together while permitting extension therebetween. Adjusting the tether structure sets relative distance or angle between the upper and lower spinous processes to a target value.

    摘要翻译： 用于约束棘突以弹性限制脊椎节段弯曲的示例性方法包括刺穿棘突间韧带以在上棘突的上侧上方形成第一穿刺，并且使第一系绳的第一端推进穿过第一穿刺。 再次刺穿椎间韧带以在下棘突的下侧形成第二穿刺，并且第二系绳的第二端穿过第二穿刺。 将第一和第二系绳连接在一起形成将上棘和下棘共同连接在一起的可延伸系链结构，同时允许它们之间延伸。 调整系绳结构将上棘和下棘之间的相对距离或角度设置为目标值。