公开(公告)号：US5312420A

公开(公告)日：1994-05-17

申请号：US959301

申请日：1992-10-09

申请人： Kenneth E. Toso ,  Michael Castro

发明人： Kenneth E. Toso ,  Michael Castro

IPC分类号： A61B17/076 ,  A61B19/00 ,  A61B17/06

CPC分类号： A61B17/076 ,  A61B17/30 ,  A61B2090/034

摘要： A surgical apparatus for removing fasteners from the body includes a pair of fastener removing members which are configured and dimensioned to contact the legs of a fastener to be removed. The legs are then forced apart so as to caused the fastener legs to deform to a configuration suitable for removable from the body.

摘要翻译： 用于从主体移除紧固件的手术装置包括一对紧固件移除构件，其构造和尺寸设计成接触待移除的紧固件的腿部。 然后将腿分开，使得紧固件腿变形成适于从身体移除的构造。

公开(公告)号：US5520704A

公开(公告)日：1996-05-28

申请号：US958633

申请日：1992-10-09

申请人： Michael Castro ,  Kenneth E. Toso

发明人： Michael Castro ,  Kenneth E. Toso

IPC分类号： A61B17/28 ,  A61B17/30 ,  A61B17/42

CPC分类号： A61B17/30 ,  A61B17/2833

摘要： An everting forceps comprising first and second outer resilient legs rigidly interconnected at one end thereof, and a third leg intermediate the pair of legs. Each of the outer legs terminating at a tip provided with an arcuate jaw. A moving device positions the intermediate leg with respect to one of the first and second legs. A locking mechanism for locking the intermediate leg and at least one of the outer legs is also provided.

摘要翻译： 一种永久性镊子，包括在其一端刚性地互连的第一和第二外部弹性支柱，以及位于该对腿部之间的第三腿部。 每个外腿终止于具有弓形钳口的尖端。 移动装置将中间腿相对于第一和第二腿之一定位。 还提供了用于锁定中间腿和至少一个外腿的锁定机构。

公开(公告)号：US20100298636A1

公开(公告)日：2010-11-25

申请号：US12708480

申请日：2010-02-18

申请人： Salvatore Castro ,  Michael Castro

发明人： Salvatore Castro ,  Michael Castro

IPC分类号： A61B1/00

CPC分类号： A61B17/07207 ,  A61B1/00078 ,  A61B1/008 ,  A61B17/0218 ,  A61B2017/003 ,  A61B2017/00314 ,  A61B2017/2905

摘要： Medical instruments suitable for use in minimally invasive medical procedures have a first, highly flexible, state which allows the instruments to be easily passed into a body cavity through a trocar, cannula, catheter, or other access device positioned to give access into the body cavity. The instruments can then be arranged into a chosen shape, and rigidized in the chosen shape, allowing the user to use the instruments in a shape most suitable for the surrounding anatomy.

摘要翻译： 适用于微创医疗程序的医疗仪器具有第一，高度柔性的状态，其允许器械通过套管针，套管，导管或其他进入装置容易地进入体腔，定位成进入体腔 。 然后可以将器械排列成选定的形状，并以选定的形状进行刚性化，允许使用者以最适合周围解剖结构的形状使用器械。

公开(公告)号：US06899734B2

公开(公告)日：2005-05-31

申请号：US09815504

申请日：2001-03-23

申请人： Michael Castro ,  Herb Cohen ,  David Nichols ,  Scott R. Graham

发明人： Michael Castro ,  Herb Cohen ,  David Nichols ,  Scott R. Graham

IPC分类号： A61F2/00 ,  A61F2/30 ,  A61F2/44

CPC分类号： A61F2/4465 ,  A61F2002/30126 ,  A61F2002/30131 ,  A61F2002/30133 ,  A61F2002/30357 ,  A61F2002/30492 ,  A61F2002/305 ,  A61F2002/30551 ,  A61F2002/30599 ,  A61F2002/30604 ,  A61F2002/30616 ,  A61F2002/30747 ,  A61F2002/30785 ,  A61F2002/30787 ,  A61F2002/30841 ,  A61F2002/30845 ,  A61F2002/4475 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2230/0008 ,  A61F2230/0013 ,  A61F2230/0015 ,  A61F2250/0063 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00179

摘要： A fusion implant apparatus for facilitating fusion of bone structures includes an implant member for positioning between opposed bone structures having a first ring-like segment and a second ring-like segment which engage one another in an end-to-end manner. Each ring-like segment includes an outer wall which defines an internal cavity for the reception of bone growth inducing substances. Each ring-like segment also includes a plurality of apertures which extend through the outer wall of the ring-like segments in communication with the internal cavity to permit fusion of vertebral bone tissue. The first ring-like segment includes first and second mechanical interfaces. The first mechanical interface is dimensioned to engage a corresponding mechanical interface disposed on the second ring-like segment and the second mechanical interface is dimensioned to mechanically engage an end cap.

摘要翻译： 用于促进骨结构融合的融合植入装置包括用于定位在相对的骨结构之间的植入构件，所述相对的骨结构具有端对端的方式彼此接合的具有第一环形区段和第二环形区段。 每个环形部分包括限定用于接收骨生长诱导物质的内部空腔的外壁。 每个环状部分还包括多个孔，其延伸穿过与内部空腔连通的环状部分的外壁，以允许椎骨组织融合。 第一环状部分包括第一和第二机械接口。 第一机械接口的尺寸被设计成接合设置在第二环状部分上的对应的机械接口，并且第二机械接口的尺寸被设计成机械接合端盖。

公开(公告)号：US20100298864A1

公开(公告)日：2010-11-25

申请号：US12511052

申请日：2009-07-28

申请人： Michael Castro

发明人： Michael Castro

IPC分类号： A61B17/29

CPC分类号： A61B17/29 ,  A61B17/2909 ,  A61B2017/2837 ,  A61B2017/2908 ,  A61B2017/2916 ,  A61B2017/292 ,  A61B2017/2927 ,  A61B2017/2939

摘要： An articulating grasper includes an elongate shaft having an articulating distal section and a pair of jaw members on the articulating distal section. A first actuation member is coupled to the articulating distal section and is longitudinally moveable to pivot the articulating distal section. A second actuation member is coupled to at least one of the jaw members and is longitudinally moveable to pivot at least one of the jaw member between open and closed positions.

摘要翻译： 关节式抓紧器包括细长轴，该细长轴具有关节式远端部分和在关节式远端部分上的一对钳口部件。 第一致动构件联接到关节式远端部分并且可纵向移动以枢转关节式远端部分。 第二致动构件联接到至少一个钳口构件，并且可纵向移动以使夹钳构件中的至少一个在打开位置和闭合位置之间枢转。

公开(公告)号：US06783547B2

公开(公告)日：2004-08-31

申请号：US10118205

申请日：2002-04-05

申请人： Michael Castro

发明人： Michael Castro

IPC分类号： A61F244

CPC分类号： A61F2/4465 ,  A61F2/30744 ,  A61F2/442 ,  A61F2002/2835 ,  A61F2002/30209 ,  A61F2002/3024 ,  A61F2002/30481 ,  A61F2002/30497 ,  A61F2002/3055 ,  A61F2002/30601 ,  A61F2002/30729 ,  A61F2002/30784 ,  A61F2002/30841 ,  A61F2002/4475 ,  A61F2220/0025 ,  A61F2230/0067 ,  A61F2230/0069 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00179

摘要： An apparatus for facilitating fusion of adjacent vertebral portions includes an implant member dimensioned for positioning between adjacent vertebral portions and defining a longitudinal axis. The implant member includes an outer member having an exterior wall defining an internal cavity and a clip receiving opening subtending a peripheral portion of the exterior wall, an inner member telescopically received within the internal cavity of the outer member to permit relative movement of the outer and inner members and a locking clip dimensioned for at least partial reception within the clip receiving opening of the outer member. The inner member includes an exterior wall defining an internal cavity and having a plurality of locking slots spaced along the longitudinal axis. The locking clip includes a clip base and locking clip legs depending from opposed ends of the clip base. The locking clip legs are dimensioned for reception within corresponding locking slots of the inner member to selectively secure a relative position of the outer and inner members to establish a predetermined height of the implant member.

摘要翻译： 用于促进相邻椎骨部分的融合的装置包括植入物构件，其尺寸适于在相邻椎骨部分之间定位并且限定纵向轴线。 植入物构件包括外部构件，外部构件具有限定内部空腔的外部壁和对着外部壁的周边部分的夹子接收口，可伸缩地容纳在外部构件的内部空腔内的内部构件，以允许外部构件和/ 内部构件和锁定夹，其尺寸设计成用于在外部构件的夹子接收开口内至少部分接收。 内部构件包括限定内部空腔的外壁，并且具有沿着纵向轴线间隔开的多个锁定槽。 锁定夹包括夹子基座和从夹子基座的相对端部延伸的锁定夹子腿。 锁定夹腿的尺寸适于在内部构件的相应的锁定槽内接收以选择性地固定外部构件和内部构件的相对位置以建立植入构件的预定高度。

公开(公告)号：US20080015601A1

公开(公告)日：2008-01-17

申请号：US11762866

申请日：2007-06-14

申请人： Michael Castro ,  James Spitler

发明人： Michael Castro ,  James Spitler

IPC分类号： A61F5/00

CPC分类号： A61B17/7089 ,  A61B17/7086 ,  A61B17/7091

摘要： A reduction device and a method for using such a device are provided. In one example, the reduction device includes a sleeve, a coupling member configured to couple to a surgical device, and a linkage assembly. The linkage assembly may include multiple links pivotally coupled to the sleeve and coupling member, and a threaded member pivotally coupled to the links. A rotational position of the threaded member may define a position of the sleeve relative to the coupling member.

摘要翻译： 提供了一种使用这种装置的还原装置和方法。 在一个示例中，减速装置包括套筒，被配置为联接到手术装置的联接构件和连杆组件。 连杆组件可以包括枢转地联接到套筒和联接构件的多个连杆和枢转地联接到连杆的螺纹构件。 螺纹构件的旋转位置可以限定套筒相对于联接构件的位置。

公开(公告)号：US20050187630A1

公开(公告)日：2005-08-25

申请号：US11112476

申请日：2005-04-22

申请人： Michael Castro ,  Herb Cohen ,  David Nichols ,  R. Graham

发明人： Michael Castro ,  Herb Cohen ,  David Nichols ,  R. Graham

IPC分类号： A61F2/00 ,  A61F2/30 ,  A61F2/44

CPC分类号： A61F2/4465 ,  A61F2002/30126 ,  A61F2002/30131 ,  A61F2002/30133 ,  A61F2002/30357 ,  A61F2002/30492 ,  A61F2002/305 ,  A61F2002/30551 ,  A61F2002/30599 ,  A61F2002/30604 ,  A61F2002/30616 ,  A61F2002/30747 ,  A61F2002/30785 ,  A61F2002/30787 ,  A61F2002/30841 ,  A61F2002/30845 ,  A61F2002/4475 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2230/0008 ,  A61F2230/0013 ,  A61F2230/0015 ,  A61F2250/0063 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00179

摘要： A method for facilitating fusion of bone structures includes providing an implant member for positioning between opposed bone structures, the implant member having a first end and a second end, and a segmentable portion having an outer wall defining an internal cavity for reception of bone growth inducing substances. The outer wall has at least one groove which extends substantially continuously about the outer wall to define a plurality of discrete ring-like segments. Each ring-like segment includes a plurality of apertures extending therethrough in communication with the internal cavity to permit fusion of vertebral bone tissue. The vertebral space defined between adjacent vertebral bodies is accessed, and the desired implant member length for insertion into the space between adjacent vertebral bodies is determined. The implant member is cut to the desired length and advanced within the vertebral space between the adjacent vertebral bodies.

摘要翻译： 用于促进骨结构融合的方法包括提供用于在相对的骨结构之间定位的植入物构件，所述植入构件具有第一端和第二端，以及可分割部分，其具有限定内部空腔的外壁，用于接收骨生长诱导 物质 外壁具有至少一个凹槽，其围绕外壁基本上连续地延伸以限定多个离散的环状段。 每个环形区段包括多个孔，其延伸穿过其与内腔连通，以允许椎骨组织融合。 访问相邻椎体之间限定的椎间隙，并且确定用于插入相邻椎体之间的空间的期望的植入物构件长度。 将植入物切割成所需长度并在相邻椎体之间的脊椎间隙内前进。

公开(公告)号：US5470338A

公开(公告)日：1995-11-28

申请号：US134144

申请日：1993-10-08

申请人： Kenneth H. Whitfield ,  Ian M. Scott ,  Michael Castro

发明人： Kenneth H. Whitfield ,  Ian M. Scott ,  Michael Castro

IPC分类号： A61B17/00 ,  A61B17/04 ,  A61B17/06

CPC分类号： A61B17/0469 ,  A61B17/0057 ,  A61B17/0482 ,  A61B2017/0046 ,  A61B2017/00637 ,  A61B2017/00663 ,  A61B2017/047 ,  A61B2017/0472 ,  A61B2017/0496 ,  A61B2017/06057

摘要： A novel surgical instrument for applying sutures through body tissue including an elongated body having a proximal end portion and a distal end portion, at least one needle carrier member operatively mounted in the distal end portion and movable between at least a retracted position and a deployed position, a needle releasably retained in the at least one needle carrier member, a predetermined length of suture material having one end affixed to the needle, and a suture material tensioning member disposed within the elongated body for maintaining the suture material in tension during movement of the at least one needle carrier member from the retracted position to the deployed position the suture material. The instrument may also include a retaining mechanism adapted to retain the at least one needle carrier in the partially deployed position, and a needle skewing mechanism operatively associated with an actuator member to change the alignment thereof relative to the retaining member. A deployment indicator may be provided to indicate to an operator of the instrument When the at least one needle carrier member is in the second position.

摘要翻译： 一种用于通过身体组织施加缝合线的新型外科器械，包括具有近端部分和远端部分的细长主体，至少一个针托架部件，其可操作地安装在所述远端部分中并且可在至少缩回位置和展开位置之间移动 ，可释放地保持在所述至少一个针承载构件中的针，具有固定到所述针的一端的预定长度的缝合材料，以及设置在所述细长体内的缝合材料张紧构件，用于在所述缝合材料的运动期间保持所述缝合材料处于张紧状态 至少一个针托架构件从缩回位置到所述展开位置所述缝合材料。 仪器还可以包括适于将至少一个针架保持在部分展开位置的保持机构，以及与致动器构件可操作地相关联以改变其相对于保持构件的对准的针歪斜机构。 可以提供展开指示器以向操作者指示仪器当至少一个针托架构件处于第二位置时。

公开(公告)号：US20090177239A1

公开(公告)日：2009-07-09

申请号：US12187252

申请日：2008-08-06

申请人： Michael Castro

发明人： Michael Castro

IPC分类号： A61B17/56

CPC分类号： A61B17/1757 ,  A61B17/1728 ,  A61B17/808

摘要： The present invention provides an apparatus, method and kit for placing and securing an implant to vertebral bodies of a spine. The apparatus may have an implant engaging base having implant engaging limbs coupled to a handle and an aligning member pivotally coupled to the handle by a spring loaded collar where the aligning member may be rotated and locked into fixed positions. The aligning member may receive a cannula for guiding instruments and tools into the surgical field. A method is presented which includes turning locking screws to frictionally engage rounded screws to secure the implant to the vertebral bodies. Flats on the head of the locking screws may be turned by a screwdriver having corresponding flats dispositioned to align in a coaxial manner to the flats on the heads of the locking screws. A kit is presented including the apparatus, the screws, and the screwdriver.

摘要翻译： 本发明提供了一种用于将植入物放置并固定到脊柱的椎体的装置，方法和试剂盒。 装置可以具有植入物接合基部，其具有联接到手柄的植入物接合肢和通过弹簧加载的环枢转地联接到手柄的对准构件，其中对准构件可以旋转并锁定到固定位置。 对准构件可以接收用于将仪器和工具引导到外科手术领域中的套管。 提出了一种方法，其包括转动锁定螺钉以摩擦接合圆形螺钉以将植入物固定到椎体。 锁定螺钉的头部上的平板可以通过具有相应平面的螺丝刀转动，该平面布置成与锁定螺钉的头部上的平面同轴地对准。 提供了一个套件，包括设备，螺丝和螺丝刀。