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公开(公告)号：US08840621B2
公开(公告)日：2014-09-23
申请号：US12357596
申请日：2009-01-22
申请人： Morteza M. Farr , Ephraim Akyuz , T. Wade Fallin , Daniel F. Justin , Joshua A. Butters , Daniel E. Gerbec
发明人： Morteza M. Farr , Ephraim Akyuz , T. Wade Fallin , Daniel F. Justin , Joshua A. Butters , Daniel E. Gerbec
IPC分类号： A61B17/56 , A61B17/02 , A61F2/46 , A61B17/34 , A61B17/16 , A61B19/00 , A61B17/3207 , A61F2/30 , A61B17/29 , A61B17/32 , A61F2/44
CPC分类号： A61B17/025 , A61B17/1604 , A61B17/1659 , A61B17/320708 , A61B17/3421 , A61B17/3468 , A61B90/361 , A61B90/50 , A61B2017/0256 , A61B2017/2904 , A61B2017/320044 , A61B2017/320056 , A61B2017/3447 , A61B2090/3618 , A61F2/4455 , A61F2/447 , A61F2/4601 , A61F2/4611 , A61F2/4684 , A61F2002/30116 , A61F2002/30538 , A61F2002/30616 , A61F2002/30904 , A61F2002/4435 , A61F2002/4627 , A61F2002/4681 , A61F2002/4687 , A61F2230/0006 , A61F2250/0006
摘要： A system for accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate the spine. The location may be at the L4-L5 vertebral level, and the curved path may lie in a plane oblique to the transverse, coronal and sagittal planes of the spine, and avoid the iliac crest. A targeting post may be inserted adjacent the spine to determine the location, and a guide member may be inserted to establish the curved path. A micrometer assembly may adjust a cephalad-caudal displacement between the post and the guide member. One or more intermediate cannulas may be inserted over the guide member to dilate tissues prior to insertion of the main cannula. An interbody device may be implanted into an intervertebral space through the cannula.
摘要翻译： 用于从弯曲的后外侧方法进入脊柱的系统可以包括沿着从皮肤中的开口到靠近脊柱的位置的弯曲路径定位的弯曲插管。 该位置可能在L4-L5椎体水平，并且弯曲的路径可以位于倾斜于脊柱的横向，冠状和矢状平面的平面中，并且避免髂嵴。 可以在脊柱附近插入目标柱以确定位置，并且可以插入引导构件以建立弯曲路径。 测微计组件可以调节柱和引导构件之间的头端 - 尾端位移。 一个或多个中间插管可以在插入主插管之前插入引导构件上以扩张组织。 体间装置可以通过插管植入椎间空间。
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公开(公告)号：US20090216234A1
公开(公告)日：2009-08-27
申请号：US12357596
申请日：2009-01-22
申请人： Morteza M. Farr , Ephraim Akyuz , T. Wade Fallin , Daniel F. Justin , Joshua A. Butters , Daniel E. Gerbec
发明人： Morteza M. Farr , Ephraim Akyuz , T. Wade Fallin , Daniel F. Justin , Joshua A. Butters , Daniel E. Gerbec
CPC分类号： A61B17/025 , A61B17/1604 , A61B17/1659 , A61B17/320708 , A61B17/3421 , A61B17/3468 , A61B90/361 , A61B90/50 , A61B2017/0256 , A61B2017/2904 , A61B2017/320044 , A61B2017/320056 , A61B2017/3447 , A61B2090/3618 , A61F2/4455 , A61F2/447 , A61F2/4601 , A61F2/4611 , A61F2/4684 , A61F2002/30116 , A61F2002/30538 , A61F2002/30616 , A61F2002/30904 , A61F2002/4435 , A61F2002/4627 , A61F2002/4681 , A61F2002/4687 , A61F2230/0006 , A61F2250/0006
摘要： A system for accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate the spine. The location may be at the L4-L5 vertebral level, and the curved path may lie in a plane oblique to the transverse, coronal and sagittal planes of the spine, and avoid the iliac crest. A targeting post may be inserted adjacent the spine to determine the location, and a guide member may be inserted to establish the curved path. A micrometer assembly may adjust a cephalad-caudal displacement between the post and the guide member. One or more intermediate cannulas may be inserted over the guide member to dilate tissues prior to insertion of the main cannula. An interbody device may be implanted into an intervertebral space through the cannula.
摘要翻译： 用于从弯曲的后外侧方法进入脊柱的系统可以包括沿着从皮肤中的开口到靠近脊柱的位置的弯曲路径定位的弯曲插管。 该位置可能在L4-L5椎体水平，并且弯曲的路径可以位于倾斜于脊柱的横向，冠状和矢状平面的平面中，并且避免髂嵴。 可以在脊柱附近插入目标柱以确定位置，并且可以插入引导构件以建立弯曲路径。 测微计组件可以调节柱和引导构件之间的头端 - 尾端位移。 一个或多个中间插管可以在插入主插管之前插入引导构件上以扩张组织。 体间装置可以通过插管植入椎间空间。
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公开(公告)号：US08328815B2
公开(公告)日：2012-12-11
申请号：US12537941
申请日：2009-08-07
申请人： Morteza M. Farr , E. Marlowe Goble , T. Wade Fallin , Ephraim Akyuz , Daniel F. Justin , Douglas M. Lorang
发明人： Morteza M. Farr , E. Marlowe Goble , T. Wade Fallin , Ephraim Akyuz , Daniel F. Justin , Douglas M. Lorang
IPC分类号： A61B17/58
CPC分类号： A61B17/025 , A61B6/506 , A61B17/1604 , A61B17/1757 , A61B17/3468 , A61B17/3472 , A61B90/11 , A61B90/39 , A61B90/50 , A61B2017/0256 , A61B2017/320044 , A61B2017/3405 , A61B2090/376 , A61F2/4455 , A61F2/447 , A61F2/4601 , A61F2/4611 , A61F2/4684 , A61F2002/30116 , A61F2002/30538 , A61F2002/30616 , A61F2002/30904 , A61F2002/4435 , A61F2002/4627 , A61F2002/4681 , A61F2002/4687 , A61F2230/0006 , A61F2250/0006
摘要： Accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate to the spine. Positioning of the distal end of a radiolucent curved access cannula may be assisted by use of one or more radio-opaque markers. Markers may be positioned to form a cross hair image in fluoroscopy to assist in cannula placement. Radio-opaque inserts placed in and extended beyond the curved access cannula may have radiolucent windows to allow viewing of the cannula's radio-opaque markers. An appropriately placed curved access cannula may be clamped to prevent subsequent movement. Appropriate tools may be introduced through the curved access cannula and the distal radio-opaque tool heads may be viewed relative to the radio-opaque markers. The curved access cannula may be attached to the spine through one or more screws.
摘要翻译： 从弯曲的后外侧方法进入脊柱可以包括沿着从皮肤中的开口到靠近脊柱的位置的弯曲路径定位的弯曲插管。 可以通过使用一个或多个不透射线的标记来辅助射线可透过弯曲的入口插管的远端的定位。 可以将标记定位成以透视法形成十字头图像以辅助套管放置。 放置在弯曲进入插管中并延伸超过弯曲进入插管的无线电不透明插入件可以具有射线透视窗口，以允许观察套管的不透射线的标记。 可以将适当放置的弯曲进入插管夹紧以防止随后的移动。 可以通过弯曲的进入插管引入适当的工具，并且可以相对于不透射线的标记来观察远端不透射线的工具头。 弯曲的进入插管可以通过一个或多个螺钉附接到脊柱。
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公开(公告)号：US20100030065A1
公开(公告)日：2010-02-04
申请号：US12537941
申请日：2009-08-07
申请人： Morteza M. Farr , E. Marlowe Goble , T. Wade Fallin , Ephraim Akyuz , Daniel F. Justin , Douglas M. Lorang
发明人： Morteza M. Farr , E. Marlowe Goble , T. Wade Fallin , Ephraim Akyuz , Daniel F. Justin , Douglas M. Lorang
CPC分类号： A61B17/025 , A61B6/506 , A61B17/1604 , A61B17/1757 , A61B17/3468 , A61B17/3472 , A61B90/11 , A61B90/39 , A61B90/50 , A61B2017/0256 , A61B2017/320044 , A61B2017/3405 , A61B2090/376 , A61F2/4455 , A61F2/447 , A61F2/4601 , A61F2/4611 , A61F2/4684 , A61F2002/30116 , A61F2002/30538 , A61F2002/30616 , A61F2002/30904 , A61F2002/4435 , A61F2002/4627 , A61F2002/4681 , A61F2002/4687 , A61F2230/0006 , A61F2250/0006
摘要： Accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate to the spine. Positioning of the distal end of a radiolucent curved access cannula may be assisted by use of one or more radio-opaque markers. Markers may be positioned to form a cross hair image in fluoroscopy to assist in cannula placement. Radio-opaque inserts placed in and extended beyond the curved access cannula may have radiolucent windows to allow viewing of the cannula's radio-opaque markers. An appropriately placed curved access cannula may be clamped to prevent subsequent movement. Appropriate tools may be introduced through the curved access cannula and the distal radio-opaque tool heads may be viewed relative to the radio-opaque markers. The curved access cannula may be attached to the spine through one or more screws.
摘要翻译： 从弯曲的后外侧方法进入脊柱可以包括沿着从皮肤中的开口到接近脊柱的位置的弯曲路径定位的弯曲插管。 可以通过使用一个或多个不透射线的标记来辅助射线可透过弯曲的入口插管的远端的定位。 可以将标记定位成以透视法形成十字头图像以辅助套管放置。 放置在弯曲进入插管中并延伸超过弯曲进入插管的无线电不透明插入件可以具有射线透视窗口，以允许观察套管的不透射线的标记。 可以将适当放置的弯曲进入插管夹紧以防止随后的移动。 可以通过弯曲的进入插管引入适当的工具，并且可以相对于不透射线的标记来观察远端不透射线的工具头。 弯曲的进入插管可以通过一个或多个螺钉附接到脊柱。
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公开(公告)号：US20100145393A1
公开(公告)日：2010-06-10
申请号：US12329275
申请日：2008-12-05
申请人： T. Wade Fallin , Joshua A. Butters , M. Mary Sinnott , Daniel E. Gerbec , Daniel F. Justin , Therese M. Stewart
发明人： T. Wade Fallin , Joshua A. Butters , M. Mary Sinnott , Daniel E. Gerbec , Daniel F. Justin , Therese M. Stewart
IPC分类号： A61B17/56
CPC分类号： A61B17/0401 , A61B17/8625 , A61B17/866 , A61C8/0006 , A61C8/0012 , A61C8/0016 , A61C8/0048 , A61C2008/0046 , A61F2/0811 , A61F2/4405 , A61F2/447 , A61F2002/2835 , A61F2002/3092 , A61F2002/3093 , A61F2310/00389 , A61F2310/00958 , A61F2310/0097 , A61F2310/00976 , A61L27/18 , A61L27/56 , A61L31/06 , A61L31/146 , C08L71/00
摘要： A porous PEEK implant system which may provide tissue ingrowth throughout the body of the implant. The implant may comprise a solid or porous PEEK core. The porous PEEK implants may be of general shape and size but provide the structure necessary to carry out the function of the implant. The porous PEEK implant pores may be seeded with agents to encourage tissue ingrowth as well as other agents such as antibiotics, anesthetics, analgesics and the like.
摘要翻译： 多孔PEEK植入系统，其可以在整个植入体内提供组织向内生长。 植入物可以包括固体或多孔PEEK芯。 多孔PEEK植入物可以具有通常的形状和尺寸，但是提供了执行植入物功能所需的结构。 多孔PEEK植入物孔可以用试剂种植以促进组织向内生长以及其它试剂，例如抗生素，麻醉剂，止痛剂等。
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公开(公告)号：US08632550B2
公开(公告)日：2014-01-21
申请号：US13246748
申请日：2011-09-27
IPC分类号： A61B17/56
CPC分类号： A61B17/025 , A61B17/1611 , A61B17/1642 , A61B17/1659 , A61B17/1757 , A61B17/3468 , A61B90/50 , A61B2017/0256 , A61B2017/2904 , A61B2017/320044 , A61F2/4455 , A61F2/447 , A61F2/4601 , A61F2/4611 , A61F2/4684 , A61F2002/30116 , A61F2002/30538 , A61F2002/30616 , A61F2002/30904 , A61F2002/4435 , A61F2002/4627 , A61F2002/4681 , A61F2002/4687 , A61F2230/0006 , A61F2250/0006
摘要： A system for accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate the spine. A guide member may be first inserted to establish the path between the tissues and fascia, and one or more intermediate cannulas may be temporarily inserted over the guide member to dilate the tissues prior to insertion of the main cannula. An interbody device may be implanted in an intervertebral space through the cannula. The system may include a guide bar removably coupled to a targeting post. The targeting post may be inserted adjacent the spine to provide a target, and the guide bar may be removably attached to the guide member, to guide it along the path to the target location. An external support arm may be secured to any other component of the system.
摘要翻译： 用于从弯曲的后外侧方法进入脊柱的系统可以包括沿着从皮肤中的开口到靠近脊柱的位置的弯曲路径定位的弯曲插管。 可以首先插入引导构件以建立组织和筋膜之间的路径，并且可以在引导构件之前临时插入一个或多个中间插管以在插入主插管之前扩张组织。 可以通过插管将椎间体装置植入椎间空间。 该系统可以包括可拆卸地联接到目标柱的导杆。 瞄准杆可以插入邻近脊柱以提供目标，并且引导杆可以可移除地附接到引导构件，以将其引导到沿着目标位置的路径。 外部支撑臂可以固定到系统的任何其他部件。
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公开(公告)号：US20090012568A1
公开(公告)日：2009-01-08
申请号：US11831728
申请日：2007-07-31
CPC分类号： A61B17/025 , A61B17/1611 , A61B17/1642 , A61B17/1659 , A61B17/1757 , A61B17/3468 , A61B90/50 , A61B2017/0256 , A61B2017/2904 , A61B2017/320044 , A61F2/4455 , A61F2/447 , A61F2/4601 , A61F2/4611 , A61F2/4684 , A61F2002/30116 , A61F2002/30538 , A61F2002/30616 , A61F2002/30904 , A61F2002/4435 , A61F2002/4627 , A61F2002/4681 , A61F2002/4687 , A61F2230/0006 , A61F2250/0006
摘要： A system for accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate the spine. A guide member may be first inserted to establish the path between the tissues and fascia, and one or more intermediate cannulas may be temporarily inserted over the guide member to dilate the tissues prior to insertion of the main cannula. An interbody device may be implanted in an intervertebral space through the cannula. The system may include a guide bar removably coupled to a targeting post. The targeting post may be inserted adjacent the spine to provide a target, and the guide bar may be removably attached to the guide member, to guide it along the path to the target location. An external support arm may be secured to any other component of the system.
摘要翻译： 用于从弯曲的后外侧方法进入脊柱的系统可以包括沿着从皮肤中的开口到靠近脊柱的位置的弯曲路径定位的弯曲插管。 可以首先插入引导构件以建立组织和筋膜之间的路径，并且可以在引导构件之前临时插入一个或多个中间插管以在插入主插管之前扩张组织。 可以通过插管将椎间体装置植入椎间空间。 该系统可以包括可拆卸地联接到目标柱的导杆。 瞄准杆可以插入邻近脊柱以提供目标，并且引导杆可以可移除地附接到引导构件，以将其引导到沿着目标位置的路径。 外部支撑臂可以固定到系统的任何其他部件。
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公开(公告)号：US20080306481A1
公开(公告)日：2008-12-11
申请号：US11831698
申请日：2007-07-31
CPC分类号： A61B17/025 , A61B17/1611 , A61B17/1642 , A61B17/1659 , A61B17/1757 , A61B17/3468 , A61B90/50 , A61B2017/0256 , A61B2017/2904 , A61B2017/320044 , A61F2/4455 , A61F2/447 , A61F2/4601 , A61F2/4611 , A61F2/4684 , A61F2002/30116 , A61F2002/30538 , A61F2002/30616 , A61F2002/30904 , A61F2002/4435 , A61F2002/4627 , A61F2002/4681 , A61F2002/4687 , A61F2230/0006 , A61F2250/0006
摘要： A system for accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate the spine. A guide member may be first inserted to establish the path between the tissues and fascia, and one or more intermediate cannulas may be temporarily inserted over the guide member to dilate the tissues prior to insertion of the main cannula. An interbody device may be implanted in an intervertebral space through the cannula. The system may include a guide bar removably coupled to a targeting post. The targeting post may be inserted adjacent the spine to provide a target, and the guide bar may be removably attached to the guide member, to guide it along the path to the target location. An external support arm may be secured to any other component of the system.
摘要翻译： 用于从弯曲的后外侧方法进入脊柱的系统可以包括沿着从皮肤中的开口到靠近脊柱的位置的弯曲路径定位的弯曲插管。 可以首先插入引导构件以建立组织和筋膜之间的路径，并且可以在引导构件之前临时插入一个或多个中间插管以在插入主插管之前扩张组织。 可以通过插管将椎间体装置植入椎间空间。 该系统可以包括可拆卸地联接到目标柱的导杆。 瞄准杆可以插入邻近脊柱以提供目标，并且引导杆可以可移除地附接到引导构件，以将其引导到沿着目标位置的路径。 外部支撑臂可以固定到系统的任何其他部件。
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公开(公告)号：US08057481B2
公开(公告)日：2011-11-15
申请号：US11831728
申请日：2007-07-31
CPC分类号： A61B17/025 , A61B17/1611 , A61B17/1642 , A61B17/1659 , A61B17/1757 , A61B17/3468 , A61B90/50 , A61B2017/0256 , A61B2017/2904 , A61B2017/320044 , A61F2/4455 , A61F2/447 , A61F2/4601 , A61F2/4611 , A61F2/4684 , A61F2002/30116 , A61F2002/30538 , A61F2002/30616 , A61F2002/30904 , A61F2002/4435 , A61F2002/4627 , A61F2002/4681 , A61F2002/4687 , A61F2230/0006 , A61F2250/0006
摘要： A system for accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate the spine. A guide member may be first inserted to establish the path between the tissues and fascia, and one or more intermediate cannulas may be temporarily inserted over the guide member to dilate the tissues prior to insertion of the main cannula. An interbody device may be implanted in an intervertebral space through the cannula. The system may include a guide bar removably coupled to a targeting post. The targeting post may be inserted adjacent the spine to provide a target, and the guide bar may be removably attached to the guide member, to guide it along the path to the target location. An external support arm may be secured to any other component of the system.
摘要翻译： 用于从弯曲的后外侧方法进入脊柱的系统可以包括沿着从皮肤中的开口到靠近脊柱的位置的弯曲路径定位的弯曲插管。 可以首先插入引导构件以建立组织和筋膜之间的路径，并且可以在引导构件之前临时插入一个或多个中间插管以在插入主插管之前扩张组织。 可以通过插管将椎间体装置植入椎间空间。 该系统可以包括可拆卸地联接到目标柱的导杆。 瞄准杆可以插入邻近脊柱以提供目标，并且引导杆可以可移除地附接到引导构件，以将其引导到沿着目标位置的路径。 外部支撑臂可以固定到系统的任何其他部件。
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公开(公告)号：US20120022537A1
公开(公告)日：2012-01-26
申请号：US13246748
申请日：2011-09-27
IPC分类号： A61B17/16
CPC分类号： A61B17/025 , A61B17/1611 , A61B17/1642 , A61B17/1659 , A61B17/1757 , A61B17/3468 , A61B90/50 , A61B2017/0256 , A61B2017/2904 , A61B2017/320044 , A61F2/4455 , A61F2/447 , A61F2/4601 , A61F2/4611 , A61F2/4684 , A61F2002/30116 , A61F2002/30538 , A61F2002/30616 , A61F2002/30904 , A61F2002/4435 , A61F2002/4627 , A61F2002/4681 , A61F2002/4687 , A61F2230/0006 , A61F2250/0006
摘要： A system for accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate the spine. A guide member may he first inserted to establish the path between the tissues and fascia, and one or more intermediate cannulas may be temporarily inserted over the guide member to dilate the tissues prior to insertion of the main cannula. An interbody device may be implanted in an intervertebral space through the cannula. The system may include a guide bar removably coupled to a targeting post. The targeting post may be inserted adjacent the spine to provide a target, and the guide bar may be removably attached to the guide member, to guide it along the path to the target location. An external support arm may be secured to any other component of the system.
摘要翻译： 用于从弯曲的后外侧方法进入脊柱的系统可以包括沿着从皮肤中的开口到靠近脊柱的位置的弯曲路径定位的弯曲插管。 可以首先插入引导构件以建立组织和筋膜之间的路径，并且可以在引导构件之前临时插入一个或多个中间插管以在插入主插管之前扩张组织。 可以通过插管将椎间体装置植入椎间空间。 该系统可以包括可拆卸地联接到目标柱的导杆。 瞄准杆可以插入邻近脊柱以提供目标，并且引导杆可以可移除地附接到引导构件，以将其引导到沿着目标位置的路径。 外部支撑臂可以固定到系统的任何其它部件。
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