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1.发明授权公开(公告)号：US07115139B2
公开(公告)日：2006-10-03
申请号：US09947658
申请日：2001-09-05
IPC分类号： A61F7/00
CPC分类号： A61B18/14 , A61B17/32 , A61B18/1206 , A61B18/1442 , A61B18/1445 , A61B2018/00011 , A61B2018/00029 , A61B2018/00035 , A61B2018/00065 , A61B2018/00404 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/0063 , A61B2018/00702 , A61B2018/00744 , A61B2018/00779 , A61B2018/00791 , A61B2018/00809 , A61B2018/00875 , A61B2018/126 , A61B2018/1412 , A61B2018/1417 , A61B2018/1422 , A61B2018/1455 , A61B2018/1861 , A61B2218/002
摘要： Medical devices, methods and systems for treating tissue are provided. An exemplary system comprises a fluid from a fluid source, a surgical device which provides energy and the fluid to the tissue and a control mechanism which changes a flow rate of fluid provided from the surgical device and changes a rate of energy provided from the surgical device. The fluid flow rate changes between at least two non-zero flow rates and the energy rate changes between at least two non-zero energy rates. An exemplary method comprises providing a fluid from a fluid source, providing a surgical device which provides energy and the fluid to the tissue, and changing a flow rate of fluid provided from the surgical device with a change in a rate of energy provided from the surgical device. Exemplary devices comprise a tip portion configured to provide energy and a fluid to a tissue.
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2.发明申请Crossbar Spinal Prosthesis Having a Modular Design and Systems For Treating Spinal Pathologies 审中-公开具有模块化设计的横梁脊柱假体和用于治疗脊柱病变的系统公开(公告)号：US20130030466A1
公开(公告)日：2013-01-31
申请号：US13517798
申请日：2012-06-14
申请人： Mark K. Kuiper , David Yager , Leonard Tokish, JR. , David Michael Rosler , Mark A. Reiley , Michael J. Funk , Jorge A. Ochoa , Susan L. Rogers , Christopher R. Ralph , Mark T. Charbonneau , Richard J. Broman , Thomas J. McLeer
发明人： Mark K. Kuiper , David Yager , Leonard Tokish, JR. , David Michael Rosler , Mark A. Reiley , Michael J. Funk , Jorge A. Ochoa , Susan L. Rogers , Christopher R. Ralph , Mark T. Charbonneau , Richard J. Broman , Thomas J. McLeer
IPC分类号： A61B17/70
CPC分类号： A61F2/4405 , A61B17/15 , A61B17/7064 , A61B90/39 , A61F2/30742 , A61F2/442 , A61F2/4455 , A61F2002/30331 , A61F2002/30405 , A61F2002/30462 , A61F2002/30507 , A61F2002/30537 , A61F2002/30538 , A61F2002/3055 , A61F2002/30563 , A61F2002/30566 , A61F2002/30601 , A61F2002/30604 , A61F2002/30607 , A61F2002/30617 , A61F2002/30682 , A61F2002/3069 , A61F2002/30841 , A61F2002/3085 , A61F2002/30878 , A61F2002/30884 , A61F2002/4631 , A61F2220/0025 , A61F2220/0033 , A61F2220/0075 , A61F2250/0004 , A61F2250/0006 , A61F2250/0007 , A61F2250/0062 , A61F2250/0097
摘要： An adaptable spinal facet joint prosthesis, including a pedicle fixation element; a laminar fixation element; and a facet joint bearing surface having a location adaptable with respect at least one of the pedicle fixation element and the laminar fixation element. The invention also includes a method of implanting an adaptable spinal facet joint prosthesis including the steps of determining a desired position for a facet joint bearing surface; and attaching a prosthesis comprising a facet joint bearing surface to a pedicle portion of a vertebra and a lamina portion of a vertebra to place the facet joint bearing surface in the desired position. The invention also provides a facet joint prosthesis implant tool including a tool guide adapted to guide a vertebra cutting tool; and first and second fixation hole alignment elements extending from the saw guide.
摘要翻译： 适应性脊柱小关节假体，包括椎弓根固定元件; 层状固定元件; 和小关节支承表面，其具有相对于椎弓根固定元件和层状固定元件中的至少一个适应的位置。 本发明还包括植入适应性脊椎小关节假体的方法，包括以下步骤：确定小关节支承表面的期望位置; 以及将包括小关节支承表面的假体附接到椎骨的椎弓根部分和椎骨的椎板部分以将小关节支承表面放置在期望的位置。 本发明还提供一种小关节假体植入工具，其包括适于引导椎骨切割工具的工具导向件; 以及从锯导向件延伸的第一和第二固定孔对准元件。
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3.发明授权Crossbar spinal prosthesis having a modular design and systems for treating spinal pathologies 有权横梁脊柱假体具有模块化设计和治疗脊柱病变的系统公开(公告)号：US08221461B2
公开(公告)日：2012-07-17
申请号：US11577923
申请日：2005-10-24
申请人： Mark K. Kuiper , David Yager , Leonard Tokish, Jr. , David Michael Rosler , Mark A. Reiley , Michael J. Funk , Jorge A. Ochoa , Susan L. Rogers , Christopher R. Ralph , Mark T. Charbonneau , Richard J. Broman , Thomas J. McLeer
发明人： Mark K. Kuiper , David Yager , Leonard Tokish, Jr. , David Michael Rosler , Mark A. Reiley , Michael J. Funk , Jorge A. Ochoa , Susan L. Rogers , Christopher R. Ralph , Mark T. Charbonneau , Richard J. Broman , Thomas J. McLeer
CPC分类号： A61F2/4405 , A61B17/15 , A61B17/7064 , A61B90/39 , A61F2/30742 , A61F2/442 , A61F2/4455 , A61F2002/30331 , A61F2002/30405 , A61F2002/30462 , A61F2002/30507 , A61F2002/30537 , A61F2002/30538 , A61F2002/3055 , A61F2002/30563 , A61F2002/30566 , A61F2002/30601 , A61F2002/30604 , A61F2002/30607 , A61F2002/30617 , A61F2002/30682 , A61F2002/3069 , A61F2002/30841 , A61F2002/3085 , A61F2002/30878 , A61F2002/30884 , A61F2002/4631 , A61F2220/0025 , A61F2220/0033 , A61F2220/0075 , A61F2250/0004 , A61F2250/0006 , A61F2250/0007 , A61F2250/0062 , A61F2250/0097
摘要： An adaptable spinal facet joint prosthesis, including a pedicle fixation element; a laminar fixation element; and a facet joint bearing surface having a location adaptable with respect at least one of the pedicle fixation element and the laminar fixation element. The invention also includes a method of implanting an adaptable spinal facet joint prosthesis including the steps of determining a desired position for a facet joint bearing surface; and attaching a prosthesis comprising a facet joint bearing surface to a pedicle portion of a vertebra and a lamina portion of a vertebra to place the facet joint bearing surface in the desired position. The invention also provides a facet joint prosthesis implant tool including a tool guide adapted to guide a vertebra cutting tool; and first and second fixation hole alignment elements extending from the saw guide. The invention also provides systems for treating spinal pathologies that include intervertebral discs in combination with spinal and facet joint prostheses.
摘要翻译： 适应性脊柱小关节假体，包括椎弓根固定元件; 层状固定元件; 和小关节支承表面，其具有相对于椎弓根固定元件和层状固定元件中的至少一个适应的位置。 本发明还包括植入适应性脊椎小关节假体的方法，包括以下步骤：确定小关节支承表面的期望位置; 以及将包括小关节支承表面的假体附接到椎骨的椎弓根部分和椎骨的椎板部分以将小关节支承表面放置在期望的位置。 本发明还提供一种小关节假体植入工具，其包括适于引导椎骨切割工具的工具导向件; 以及从锯导向件延伸的第一和第二固定孔对准元件。 本发明还提供了用于治疗脊柱病变的系统，其包括与脊椎和小关节假体组合的椎间盘。
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公开(公告)号：US08187303B2
公开(公告)日：2012-05-29
申请号：US10831657
申请日：2004-04-22
CPC分类号： A61B17/7064 , A61B17/15 , A61B17/7049 , A61B2017/564 , A61F2/30742 , A61F2/44 , A61F2/4405 , A61F2/442 , A61F2/4455 , A61F2002/30092 , A61F2002/30171 , A61F2002/30289 , A61F2002/30331 , A61F2002/30405 , A61F2002/30462 , A61F2002/30507 , A61F2002/30537 , A61F2002/30538 , A61F2002/3055 , A61F2002/30563 , A61F2002/30566 , A61F2002/30579 , A61F2002/30601 , A61F2002/30604 , A61F2002/30607 , A61F2002/30616 , A61F2002/30617 , A61F2002/30682 , A61F2002/3069 , A61F2002/3082 , A61F2002/30841 , A61F2002/30845 , A61F2002/30846 , A61F2002/3085 , A61F2002/30878 , A61F2002/30881 , A61F2002/30884 , A61F2002/448 , A61F2002/4631 , A61F2210/0014 , A61F2220/0025 , A61F2220/0033 , A61F2220/0075 , A61F2230/005 , A61F2230/0091 , A61F2250/0004 , A61F2250/0006 , A61F2250/0007 , A61F2250/0062 , A61F2250/0097 , A61F2310/00023
摘要： Prostheses, systems, and methods are provided for replacement of natural facet joints between adjacent vertebrae with vertebral prostheses. A portion of the vertebral prosthesis includes anti-rotation and/or anti-pullout elements to prevent or reduce prosthesis fastener rotation or pull out as a result of torques applied to the prosthesis. Various tools and methods aid the process of surgically adding the vertebral prosthesis to a patient's vertebra.
摘要翻译： 提供假体，系统和方法用于替代相邻椎骨之间的自然小关节与椎体假体。 脊椎假体的一部分包括防旋转和/或抗拉拔元件，以防止或减少由于施加到假体的扭矩而引起的假体紧固件旋转或拉出。 各种工具和方法有助于将椎体假体手术加入患者的椎骨。
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5.发明申请Crossbar Spinal Prosthesis Having a Modular Design and Systems for Treating Spinal Pathologies 有权具有模块化设计和治疗脊柱病变的系统的横杆脊柱假体公开(公告)号：US20080249568A1
公开(公告)日：2008-10-09
申请号：US11577923
申请日：2005-10-24
申请人： Mark K. Kuiper , David Yager , Leonard Tokish , David Michael Rosler , Mark A. Reiley , Michael J. Funk , Jorge A. Ochoa , Susan L. Rogers , Christopher R. Ralph , Mark T. Charbonneau , Richard J. Broman , Thomas J. McLeer
发明人： Mark K. Kuiper , David Yager , Leonard Tokish , David Michael Rosler , Mark A. Reiley , Michael J. Funk , Jorge A. Ochoa , Susan L. Rogers , Christopher R. Ralph , Mark T. Charbonneau , Richard J. Broman , Thomas J. McLeer
CPC分类号： A61F2/4405 , A61B17/15 , A61B17/7064 , A61B90/39 , A61F2/30742 , A61F2/442 , A61F2/4455 , A61F2002/30331 , A61F2002/30405 , A61F2002/30462 , A61F2002/30507 , A61F2002/30537 , A61F2002/30538 , A61F2002/3055 , A61F2002/30563 , A61F2002/30566 , A61F2002/30601 , A61F2002/30604 , A61F2002/30607 , A61F2002/30617 , A61F2002/30682 , A61F2002/3069 , A61F2002/30841 , A61F2002/3085 , A61F2002/30878 , A61F2002/30884 , A61F2002/4631 , A61F2220/0025 , A61F2220/0033 , A61F2220/0075 , A61F2250/0004 , A61F2250/0006 , A61F2250/0007 , A61F2250/0062 , A61F2250/0097
摘要： An adaptable spinal facet joint prosthesis, including a pedicle fixation element; a laminar fixation element; and a facet joint bearing surface having a location adaptable with respect at least one of the pedicle fixation element and the laminar fixation element. The invention also includes a method of implanting an adaptable spinal facet joint prosthesis including the steps of determining a desired position for a facet joint bearing surface; and attaching a prosthesis comprising a facet joint bearing surface to a pedicle portion of a vertebra and a lamina portion of a vertebra to place the facet joint bearing surface in the desired position. The invention also provides a facet joint prosthesis implant tool including a tool guide adapted to guide a vertebra cutting tool; and first and second fixation hole alignment elements extending from the saw guide. The invention also provides systems for treating spinal pathologies that include intervertebral discs in combination with spinal and facet joint prostheses.
摘要翻译： 适应性脊柱小关节假体，包括椎弓根固定元件; 层状固定元件; 和小关节支承表面，其具有相对于椎弓根固定元件和层状固定元件中的至少一个适应的位置。 本发明还包括植入适应性脊椎小关节假体的方法，包括以下步骤：确定小关节支承表面的期望位置; 以及将包括小关节支承表面的假体附接到椎骨的椎弓根部分和椎骨的椎板部分以将小关节支承表面放置在期望的位置。 本发明还提供一种小关节假体植入工具，其包括适于引导椎骨切割工具的工具导向件; 以及从锯导向件延伸的第一和第二固定孔对准元件。 本发明还提供了用于治疗脊柱病变的系统，其包括与脊椎和小关节假体组合的椎间盘。
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公开(公告)号：US20120290009A1
公开(公告)日：2012-11-15
申请号：US13434064
申请日：2012-03-29
IPC分类号： A61B17/70
CPC分类号： A61B17/7064 , A61B17/15 , A61B17/7049 , A61B2017/564 , A61F2/30742 , A61F2/44 , A61F2/4405 , A61F2/442 , A61F2/4455 , A61F2002/30092 , A61F2002/30171 , A61F2002/30289 , A61F2002/30331 , A61F2002/30405 , A61F2002/30462 , A61F2002/30507 , A61F2002/30537 , A61F2002/30538 , A61F2002/3055 , A61F2002/30563 , A61F2002/30566 , A61F2002/30579 , A61F2002/30601 , A61F2002/30604 , A61F2002/30607 , A61F2002/30616 , A61F2002/30617 , A61F2002/30682 , A61F2002/3069 , A61F2002/3082 , A61F2002/30841 , A61F2002/30845 , A61F2002/30846 , A61F2002/3085 , A61F2002/30878 , A61F2002/30881 , A61F2002/30884 , A61F2002/448 , A61F2002/4631 , A61F2210/0014 , A61F2220/0025 , A61F2220/0033 , A61F2220/0075 , A61F2230/005 , A61F2230/0091 , A61F2250/0004 , A61F2250/0006 , A61F2250/0007 , A61F2250/0062 , A61F2250/0097 , A61F2310/00023
摘要： Prostheses, systems, and methods are provided for replacement of natural facet joints between adjacent vertebrae with vertebral prostheses. A portion of the vertebral prosthesis includes anti-rotation and/or anti-pullout elements to prevent or reduce prosthesis fastener rotation or pull out as a result of torques applied to the prosthesis. Various tools and methods aid the process of surgically adding the vertebral prosthesis to a patient's vertebra.
摘要翻译： 提供假体，系统和方法用于替代相邻椎骨之间的自然小关节与椎体假体。 脊椎假体的一部分包括防旋转和/或抗拉拔元件，以防止或减少由于施加到假体的扭矩而引起的假体紧固件旋转或拉出。 各种工具和方法有助于将椎体假体手术加入患者的椎骨。
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公开(公告)号：US20080119845A1
公开(公告)日：2008-05-22
申请号：US11861239
申请日：2007-09-25
申请人： Martha K. Stone , Sean Sung-Ho Suh , Richard J. Broman , Anton Alferness , Anthony V. Finazzo , Mark T. Charbonneau , Leonard J. Tokish
发明人： Martha K. Stone , Sean Sung-Ho Suh , Richard J. Broman , Anton Alferness , Anthony V. Finazzo , Mark T. Charbonneau , Leonard J. Tokish
CPC分类号： A61B17/320068 , A61B17/92 , A61F2/4405 , A61F2/4611 , A61F2002/4619 , A61F2002/4683
摘要： A method and system for removing a portion of an artificial facet from a vertebra, and an adapter within the system that allows ultrasonic energy and extraction forces to be transmitted therethrough are provided. The method includes attaching an adapter to an ultrasonic waveguide and to a stem cemented into a vertebra, and applying ultrasonic energy and extraction force from the waveguide through the adapter to the stem. The system includes a handset that delivers ultrasonic energy, a waveguide attached to the handset to receive the energy therefrom, and an adapter attached to the waveguide to receive the energy therefrom. The adapter includes a first section attaching the adapter to the ultrasonic waveguide, and a second section attaching the adapter to a portion of the artificial facet joint having a stem embedded in a vertebra, the sections of the adapter transmitting energy and forces from the waveguide through the adapter to the attached stem.
摘要翻译： 提供了一种用于从椎骨移除人造小面的一部分的方法和系统，以及允许超声波能量和提取力透过的系统内的适配器。 该方法包括将适配器附接到超声波导和粘合到椎骨中的杆，以及将来自波导的超声能量和提取力通过适配器施加到杆上。 该系统包括提供超声能量的手机，附接到手机以从其接收能量的波导以及连接到波导以从其接收能量的适配器。 适配器包括将适配器附接到超声波导的第一部分和将适配器附接到具有嵌入椎骨中的杆的人造小关节的一部分的第二部分，适配器的部分传递能量和来自波导的力通过 适配器连接到杆。
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8.发明申请Crossbar spinal prosthesis having a modular design and systems for treating spinal pathologies 审中-公开横梁脊柱假体具有模块化设计和治疗脊柱病变的系统公开(公告)号：US20080082171A1
公开(公告)日：2008-04-03
申请号：US11577964
申请日：2007-04-25
申请人： Mark K. Kuiper , David Yager , Leonard Tokish , David Michael Rosler , Mark A. Reiley , Michael J. Funk , Jorge A. Ochoa , Susan L. Rogers , Christopher R. Ralph , Mark T. Charbonneau , Richard J. Broman , Thomas J. McLeer
发明人： Mark K. Kuiper , David Yager , Leonard Tokish , David Michael Rosler , Mark A. Reiley , Michael J. Funk , Jorge A. Ochoa , Susan L. Rogers , Christopher R. Ralph , Mark T. Charbonneau , Richard J. Broman , Thomas J. McLeer
CPC分类号： A61F2/4405 , A61B17/15 , A61B17/7064 , A61B90/39 , A61F2/30742 , A61F2/442 , A61F2/4455 , A61F2002/3008 , A61F2002/30331 , A61F2002/30405 , A61F2002/30462 , A61F2002/30507 , A61F2002/30537 , A61F2002/30538 , A61F2002/3055 , A61F2002/30563 , A61F2002/30566 , A61F2002/30601 , A61F2002/30604 , A61F2002/30607 , A61F2002/30616 , A61F2002/30617 , A61F2002/30682 , A61F2002/3069 , A61F2002/30841 , A61F2002/3085 , A61F2002/30878 , A61F2002/30884 , A61F2002/4631 , A61F2220/0025 , A61F2220/0033 , A61F2220/0075 , A61F2250/0004 , A61F2250/0006 , A61F2250/0007 , A61F2250/0062 , A61F2250/0097
摘要： An adaptable spinal facet joint prosthesis, including a pedicle fixation element; a laminar fixation element; and a facet joint bearing surface having a location adaptable with respect at least one of the pedicle fixation element and the laminar fixation element. The invention also includes a method of implanting an adaptable spinal facet joint prosthesis including the steps of determining a desired position for a facet joint bearing surface; and attaching a prosthesis comprising a facet joint bearing surface to a pedicle portion of a vertebra and a lamina portion of a vertebra to place the facet joint bearing surface in the desired position. The invention also provides a facet joint prosthesis implant tool including a tool guide adapted to guide a vertebra cutting tool; and first and second fixation hole alignment elements extending from the saw guide. The invention also provides systems for treating spinal pathologies that include intervertebral discs in combination with spinal and facet joint prostheses.
摘要翻译： 适应性脊柱小关节假体，包括椎弓根固定元件; 层状固定元件; 和小关节支承表面，其具有相对于椎弓根固定元件和层状固定元件中的至少一个适应的位置。 本发明还包括植入适应性脊椎小关节假体的方法，包括以下步骤：确定小关节支承表面的期望位置; 以及将包括小关节支承表面的假体附接到椎骨的椎弓根部分和椎骨的椎板部分以将小关节支承表面放置在期望的位置。 本发明还提供一种小关节假体植入工具，其包括适于引导椎骨切割工具的工具导向件; 以及从锯导向件延伸的第一和第二固定孔对准元件。 本发明还提供了用于治疗脊柱病变的系统，其包括与脊椎和小关节假体组合的椎间盘。
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