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公开(公告)号：US20080249628A1
公开(公告)日：2008-10-09
申请号：US12082303
申请日：2008-04-09
IPC分类号： A61F2/44
CPC分类号： A61F2/4455 , A61B2017/0256 , A61F2/4611 , A61F2002/2835 , A61F2002/30261 , A61F2002/30378 , A61F2002/30398 , A61F2002/30428 , A61F2002/30462 , A61F2002/30471 , A61F2002/3055 , A61F2002/30579 , A61F2002/30604 , A61F2002/30772 , A61F2002/4415 , A61F2002/4627 , A61F2220/0025 , A61F2220/0033 , A61F2220/0075 , A61F2220/0091 , A61F2230/0082 , A61F2250/0007
摘要： A dynamic device for implantation within a disc space between two adjacent vertebral bodies is disclosed. The device comprises two or more bodies interconnected via at least one connecting means such that at least one body is permitted relative motion with respect to the at least one other body. The device is configured to assume various configurations including a first configuration suitable for minimally invasive insertion and a second configuration suitable for residence within the disc space. Associated variations and insertion instruments are also disclosed.
摘要翻译： 公开了用于在两个相邻的椎体之间的椎间盘内植入的动态装置。 该装置包括经由至少一个连接装置相互连接的两个或多个主体，使得允许至少一个主体相对于至少一个其他主体相对运动。 该装置被配置为呈现包括适于微创插入的第一配置和适于驻留在盘空间内的第二配置的各种配置。 还公开了相关变化和插入器械。
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公开(公告)号：US20080306489A1
公开(公告)日：2008-12-11
申请号：US12215497
申请日：2008-06-27
CPC分类号： A61F2/4611 , A61F2/4465 , A61F2002/30471 , A61F2002/3054 , A61F2002/4622 , A61F2002/4627 , A61F2002/4628 , A61F2220/0091
摘要： An inserter for implanting a spinal implant such as an intervertebral spacer into a spinal disc space is disclosed. The inserter comprises a jaw assembly connected to a shaft assembly that is connected to a handle assembly. The user operates the handle assembly to open and close the jaw assembly to thereby connect to and release from the implant. Furthermore, the handle assembly is operable to lock and unlock rotation of the jaw assembly while still connected thereto to permit angulation of the jaw assembly relative to the shaft assembly without losing hold of the implant.
摘要翻译： 公开了一种用于将脊椎植入物（例如椎间隔垫）植入椎间盘空间的插入器。 插入器包括连接到连接到手柄组件的轴组件的钳口组件。 用户操作手柄组件以打开和关闭钳口组件，从而连接到植入物并从植入物释放。 此外，手柄组件可操作以锁定和解锁钳口组件的旋转，同时仍与其连接，以允许钳夹组件相对于轴组件成角度，而不会妨碍植入物的保持。
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公开(公告)号：US20080306557A1
公开(公告)日：2008-12-11
申请号：US12157647
申请日：2008-06-11
CPC分类号： A61F2/4611 , A61F2/4465 , A61F2002/30471 , A61F2002/4622 , A61F2002/4627 , A61F2002/4628 , A61F2220/0091
摘要： An inserter for implanting a spinal implant such as an intervertebral spacer into a spinal disc space is disclosed. The inserter comprises a jaw assembly connected to a shaft assembly that is connected to a handle assembly. The shaft assembly includes an angled portion in which the distal end of the instrument is displaced from the proximal end of the instrument affording the clinician a more unobstructed view of the operative site. The user operates the handle assembly at the proximal end to open and close the jaw assembly to thereby connect to and release from the intervertebral spacer.
摘要翻译： 公开了一种用于将脊椎植入物（例如椎间隔垫）植入椎间盘空间的插入器。 插入器包括连接到连接到手柄组件的轴组件的钳口组件。 轴组件包括成角度的部分，仪器的远端从仪器的近端移位，使得临床医生对操作部位的观察更为无障碍。 使用者在近端操作手柄组件以打开和关闭钳口组件，从而连接到椎间隔垫并从椎间隔垫释放。
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公开(公告)号：US20080306488A1
公开(公告)日：2008-12-11
申请号：US12156857
申请日：2008-06-04
CPC分类号： A61F2/4611 , A61F2/4465 , A61F2002/30471 , A61F2002/3054 , A61F2002/4622 , A61F2002/4627 , A61F2002/4628 , A61F2220/0091 , Y10S606/914
摘要： An inserter for implanting an intervertebral spacer into a spinal disc space is disclosed. The inserter comprises a jaw assembly connected to a shaft assembly that is connected to a handle assembly. The user operates the handle assembly to open and close the jaw assembly to thereby connect to and release from the intervertebral spacer. Furthermore, the handle assembly is operable to lock and unlock rotation of the jaw assembly while still connected thereto to permit angulation of the jaw assembly relative to the shaft assembly without losing hold of the intervertebral spacer.
摘要翻译： 公开了一种用于将椎间隔件植入椎间盘空间的插入器。 插入器包括连接到连接到手柄组件的轴组件的钳口组件。 用户操作手柄组件以打开和关闭钳口组件，从而连接到椎间隔垫并从椎间隔垫释放。 此外，手柄组件可操作以锁定和解锁钳口组件的旋转，同时仍与其连接，以允许钳夹组件相对于轴组件成角度，而不会妨碍椎间隔垫的保持。
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公开(公告)号：US08114092B2
公开(公告)日：2012-02-14
申请号：US12156857
申请日：2008-06-04
CPC分类号： A61F2/4611 , A61F2/4465 , A61F2002/30471 , A61F2002/3054 , A61F2002/4622 , A61F2002/4627 , A61F2002/4628 , A61F2220/0091 , Y10S606/914
摘要： An inserter for implanting an intervertebral spacer into a spinal disc space is disclosed. The inserter comprises a jaw assembly connected to a shaft assembly that is connected to a handle assembly. The user operates the handle assembly to open and close the jaw assembly to thereby connect to and release from the intervertebral spacer. Furthermore, the handle assembly is operable to lock and unlock rotation of the jaw assembly while still connected thereto to permit angulation of the jaw assembly relative to the shaft assembly without losing hold of the intervertebral spacer.
摘要翻译： 公开了一种用于将椎间隔件植入椎间盘空间的插入器。 插入器包括连接到连接到手柄组件的轴组件的钳口组件。 用户操作手柄组件以打开和关闭钳口组件，从而连接到椎间隔垫并从椎间隔垫释放。 此外，手柄组件可操作以锁定和解锁钳口组件的旋转，同时仍与其连接，以允许钳夹组件相对于轴组件成角度，而不会妨碍椎间隔垫的保持。
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公开(公告)号：US20170056199A1
公开(公告)日：2017-03-02
申请号：US14835477
申请日：2015-08-25
申请人： Moti Altarac , Joey Reglos , Zafar Khan , Timothy R. Bumbalough
发明人： Moti Altarac , Joey Reglos , Zafar Khan , Timothy R. Bumbalough
IPC分类号： A61F2/44
CPC分类号： A61F2/4455 , A61B17/8033 , A61F2/447 , A61F2/4611 , A61F2/4637 , A61F2002/3008 , A61F2002/30126 , A61F2002/30187 , A61F2002/30604 , A61F2002/30622 , A61F2002/30785 , A61F2002/30787 , A61F2002/30827 , A61F2002/30828 , A61F2002/30904 , A61F2002/3093 , A61F2002/4475 , A61F2310/00011
摘要： An interbody spacer for the spine is provided. The interbody spacer includes a polymer cage and a plurality of bone screws configured to anchor the cage between two vertebrae of the spine. The cage includes a screw receiver configured to receive a metallic plate screw for attaching a plate to cover the proximal ends of the bone screws to prevent them from backing out over time with respect to the cage. The screw receiver has deflectable extensions that snap into cage to retain the screw receiver to the cage. The screw receiver also includes a transverse flanges that provide anti-rotation and alignment to the screw receiver relative to the cage and; furthermore, the screw receiver further includes a self-locking feature that increases purchase on the plate screw providing a secured cover plate for anti-backout protection for the bone screws.
摘要翻译： 提供了用于脊柱的体间间隔物。 所述体间间隔物包括聚合物保持架和多个骨螺钉，所述多个骨螺钉构造成将所述笼锚定在脊柱的两个椎骨之间。 保持架包括螺钉接收器，该螺钉接收器被配置为接收用于附接板以覆盖骨螺钉的近端的金属板螺钉，以防止它们相对于保持架随时间退出。 螺钉接收器具有可偏转的延伸部，其卡入笼中以将螺钉接收器保持在保持架上。 螺钉接收器还包括横向凸缘，其相对于保持架向螺钉接收器提供防旋转和对准; 此外，螺钉接收器还包括自锁特征，其增加了在板螺钉上的购买，其提供用于骨螺钉的防止回退保护的固定盖板。
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公开(公告)号：US09572603B2
公开(公告)日：2017-02-21
申请号：US13616547
申请日：2012-09-14
申请人： Moti Altarac , Shawn Tebbe
发明人： Moti Altarac , Shawn Tebbe
CPC分类号： A61B17/7067 , A61B17/7065 , A61B2017/00004 , A61B2017/00557 , A61F2/0077
摘要： An implantable spacer for placement between adjacent spinous processes in a spinal motion segment is provided. The spacer includes a body defining a longitudinal passageway. A first arm and a second arm are connected to the body. Each arm has a pair of extensions and a saddle defining a U-shaped configuration for seating a spinous process therein. An actuator assembly is disposed inside the longitudinal passageway and connected to the body. When advanced, the actuator assembly contacts camming surfaces of the arms to rotate them from an undeployed configuration to a deployed configuration. In the deployed configuration, the distracted adjacent spinous processes are seated in the U-shaped portion of the arms providing sufficient distraction to open the neural foramen. An insertion instrument is provided for implanting the interspinous process spacer. The system is configured for implantation through a small percutaneous incision employing minimally invasive techniques.
摘要翻译： 提供了用于放置在脊柱运动段中的相邻棘突之间的可植入间隔物。 间隔件包括限定纵向通道的主体。 第一臂和第二臂连接到身体。 每个臂具有一对延伸部和鞍形部，其限定用于将棘突放置在其中的U形构造。 致动器组件设置在纵向通道内并连接到主体。 当前进时，致动器组件接触臂的凸轮表面，以将其从未部署的配置旋转到部署配置。 在展开的构造中，分散的相邻棘突位于臂的U形部分中，提供足够的分心以打开神经孔。 提供插入器械用于植入棘突间间隔物。 该系统配置为通过使用微创技术的小型经皮切口进行植入。
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公开(公告)号：US09393055B2
公开(公告)日：2016-07-19
申请号：US14089692
申请日：2013-11-25
申请人： Moti Altarac , Shawn Tebbe , Daniel H. Kim
发明人： Moti Altarac , Shawn Tebbe , Daniel H. Kim
CPC分类号： A61B17/7074 , A61B17/025 , A61B17/7062 , A61B17/7065 , A61B17/7067 , A61B2017/00004 , A61B2017/0256 , A61F2/0077
摘要： A percutaneous and minimally invasive instrument for inserting an interspinous process spacer into a patient is disclosed. The insertion instrument includes a first assembly connected to a handle assembly. The first assembly includes an inner shaft located inside an outer shaft and configured for relative translational motion with respect to the outer shaft. The relative translational motion causes one of the outer or inner shafts to move with respect to the other and thereby deflect at least one prong formed on one of the inner or outer shafts wherein such deflection causes engagement with a juxtapositioned interspinous spacer. The instrument further includes a driving tool configured for removable insertion into a proximal end of a passageway of the instrument.
摘要翻译： 公开了一种用于将棘突间间隔物插入患者体内的经皮和微创手术器械。 插入器具包括连接到手柄组件的第一组件。 第一组件包括位于外轴内部并被构造用于相对于外轴的相对平移运动的内轴。 相对平移运动导致外轴或内轴中的一个相对于另一个移动，从而偏转形成在内轴或外轴中的一个上的至少一个叉，其中这种偏转导致与并置的棘突间间隔件的接合。 仪器还包括被配置为可移除地插入仪器的通道的近端的驱动工具。
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公开(公告)号：US20160066958A1
公开(公告)日：2016-03-10
申请号：US14940034
申请日：2015-11-12
IPC分类号： A61B17/70
CPC分类号： A61B17/7035 , A61B17/7032 , A61B17/7037 , A61B17/7085 , A61B17/7086 , A61B17/7091 , A61B17/862 , A61B17/8883
摘要： A bone fixation system with variable z-axis translation is provided. The system includes an outer tulip coupled to a bone fastener via a screw retainer. An inner tulip is coupled to the outer tulip such that the inner tulip is longitudinally movably relative to the outer tulip. The inner tulip includes a lock that provides a seat for a connecting rod. The inner tulip together with a seated rod is permitted to translate along the z-axis inside the outer tulip when in an unlocked position. Also in the unlocked position, the bone fastener is free to angulate relative to the outer tulip. The z-axis position of the inner tulip and rod relative to the outer tulip is fixed in a locked position. Also, in the locked position, the bone fastener is locked with respect to the outer tulip. The system may be adjusted between the locked and unlocked positions by way of a set screw.
摘要翻译： 提供了具有可变z轴平移的骨固定系统。 该系统包括通过螺钉保持器联接到骨紧固件的外部郁金香。 内部的郁金香联接到外部的郁金香，使得内部的郁金香相对于外部的郁金香纵向移动。 内部的郁金香包括提供用于连杆的座的锁。 当处于未锁定位置时，内部郁金香与座位杆一起被允许沿着外部郁金香的z轴平移。 同样在解锁位置，骨紧固件相对于外部的郁金香自由地成角度。 内部郁金香和杆相对于外部的郁金香的z轴位置固定在锁定位置。 此外，在锁定位置，骨紧固件相对于外部的郁金香被锁定。 系统可以通过固定螺丝在锁定位置和解锁位置之间进行调节。
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公开(公告)号：US08523865B2
公开(公告)日：2013-09-03
申请号：US12355093
申请日：2009-01-16
申请人： Joey Camia Reglos , Moti Altarac
发明人： Joey Camia Reglos , Moti Altarac
IPC分类号： A61B17/00
CPC分类号： A61B17/320016 , A61B17/1617 , A61B17/320036 , A61B17/3421 , A61B17/7085
摘要： A tissue splitter for creating a subcutaneous cut is disclosed. The tissue splitter includes a retractable blade located at the distal end. The tissue splitter is configured to be insertable into a slotted cannula that is placed via an incision to a location proximate a patient's spine. An actuator at the proximal end of the instrument projects the blade located at the distal end from its retracted state through the slot of the cannula to an extracted state to subcutaneously cut tissue at a location outside the cannula. The instrument is configured such that the blade is movable inside the slot of the cannula by a distance such that the cut created by the blade remains subcutaneous and does not puncture the skin of the patient. The distance is adjustable for the size and depth of the cut and is limited by an adjustment collar. The tissue splitter is ideally suited for creating a pathway for the subcutaneous insertion and implantation of a spinal stabilization rod between two bone anchors placed in vertebral bodies.
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