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公开(公告)号：US20130110183A1
公开(公告)日：2013-05-02
申请号：US13367308
申请日：2012-02-06
申请人： Neil Duggal , Dylan Hushka , Nicholas Slater , Joshua A. Butters
发明人： Neil Duggal , Dylan Hushka , Nicholas Slater , Joshua A. Butters
IPC分类号： A61B17/84
CPC分类号： A61B17/7064 , A61B17/1671 , A61B17/808 , A61B17/809 , A61B17/864
摘要： Eccentrically shaped bone fixation implants interact with bone fragments or joints to compress the bone fragments or joint bones together. The eccentrically shaped bone fixation implants can have longer and shorter portions along an axis and a plurality of teeth with opposing beveled surfaces in different configurations to vary both the direction and amplitude of the compressive forces applied to the bone fragments or joint bones. Instrumentation for implanting and orienting the eccentrically shaped bone fixation implants are also disclosed herein.
摘要翻译： 偏心形骨固定植入物与骨碎片或关节相互作用以将骨碎片或关节骨压缩在一起。 偏心成形的骨固定植入物可以具有沿着轴线的更长和更短的部分以及具有不同构造的相对的倾斜表面的多个齿，以改变施加到骨碎片或关节骨的压缩力的方向和幅度。 本文还公开了用于植入和定向偏心形状的骨固定植入物的仪器。
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公开(公告)号：US08852193B2
公开(公告)日：2014-10-07
申请号：US12323068
申请日：2008-11-25
CPC分类号： A61F2/4425 , A61B17/1604 , A61B17/1671 , A61B17/1757 , A61B17/7079 , A61B2017/0256 , A61F2/32 , A61F2/4611 , A61F2/4657 , A61F2/4684 , A61F2002/302 , A61F2002/30232 , A61F2002/30242 , A61F2002/30354 , A61F2002/30364 , A61F2002/30369 , A61F2002/30383 , A61F2002/3039 , A61F2002/30397 , A61F2002/30426 , A61F2002/305 , A61F2002/30528 , A61F2002/30538 , A61F2002/30563 , A61F2002/30578 , A61F2002/30604 , A61F2002/30616 , A61F2002/3065 , A61F2002/30652 , A61F2002/30654 , A61F2002/30655 , A61F2002/30662 , A61F2002/30663 , A61F2002/30685 , A61F2002/3069 , A61F2002/30841 , A61F2002/30843 , A61F2002/30884 , A61F2002/30892 , A61F2002/30904 , A61F2002/30934 , A61F2002/30937 , A61F2002/443 , A61F2002/4658 , A61F2002/4687 , A61F2220/0025 , A61F2220/0033 , A61F2230/0065 , A61F2230/0069 , A61F2230/0071 , A61F2250/0006 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00179 , A61F2310/00407 , A61F2310/00796
摘要： Methods and instrumentation for implantation of an intervertebral disc prosthesis are provided. A guide tool with sagittal and coronal reference features guides placement of guide pins relative to a sagittal plane and a coronal plane of the vertebrae. A retainer lockable to the guide pins has a ratcheting mechanism providing distraction or compression. A rasp, planer or other tools may be aligned to the retainer and inserted into the intervertebral space to prepare the vertebral endplates. An interoperatively adjustable trial is alignable to the retainer and measures an angularity of the intervertebral space. A prosthesis with keying features may be mounted to a prosthesis inserter with complementary features, held by pivotable arms and compressed between prongs. The inserter may be aligned to the retainer and advanced to implant the prosthesis in the intervertebral space. A prosthesis remover may grip one prosthetic end plate and extract the entire prosthesis.
摘要翻译： 提供了用于植入椎间盘假体的方法和仪器。 具有矢状和冠状参考特征的引导工具指导引导件相对于椎弓根的矢状平面和冠状平面的放置。 可以锁定到引导销的保持器具有提供牵引或压缩的棘轮机构。 锉刀，刨床或其他工具可以与保持器对准并插入椎间空间以制备脊椎终板。 可互操作的试验可与保持器对准，并测量椎间空间的角度。 具有键控特征的假体可以被安装到具有互补特征的假体插入器，所述互补特征由可枢转臂保持并且在插脚之间被压缩。 插入器可以与保持器对准并且前进以将假体植入在椎间空间中。 假体去除器可以夹持一个假肢端板并提取整个假体。
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公开(公告)号：US08133282B2
公开(公告)日：2012-03-13
申请号：US12323146
申请日：2008-11-25
IPC分类号： A61F2/44
CPC分类号： A61F2/4425 , A61B17/1604 , A61B17/1671 , A61B17/1757 , A61B17/7079 , A61B2017/0256 , A61F2/32 , A61F2/4611 , A61F2/4657 , A61F2/4684 , A61F2002/302 , A61F2002/30232 , A61F2002/30242 , A61F2002/30354 , A61F2002/30364 , A61F2002/30369 , A61F2002/30383 , A61F2002/3039 , A61F2002/30397 , A61F2002/30426 , A61F2002/305 , A61F2002/30528 , A61F2002/30538 , A61F2002/30563 , A61F2002/30578 , A61F2002/30604 , A61F2002/30616 , A61F2002/3065 , A61F2002/30652 , A61F2002/30654 , A61F2002/30655 , A61F2002/30662 , A61F2002/30663 , A61F2002/30685 , A61F2002/3069 , A61F2002/30841 , A61F2002/30843 , A61F2002/30884 , A61F2002/30892 , A61F2002/30904 , A61F2002/30934 , A61F2002/30937 , A61F2002/443 , A61F2002/4658 , A61F2002/4687 , A61F2220/0025 , A61F2220/0033 , A61F2230/0065 , A61F2230/0069 , A61F2230/0071 , A61F2250/0006 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00179 , A61F2310/00407 , A61F2310/00796
摘要： Methods and instrumentation for implantation of an intervertebral disc prosthesis are provided. A guide tool with sagittal and coronal reference features guides placement of guide pins relative to a sagittal plane and a coronal plane of the vertebrae. A retainer lockable to the guide pins has a ratcheting mechanism providing distraction or compression. A rasp, planer or other tools may be aligned to the retainer and inserted into the intervertebral space to prepare the vertebral endplates. An interoperatively adjustable trial is alignable to the retainer and measures an angularity of the intervertebral space. A prosthesis with keying features may be mounted to a prosthesis inserter with complementary features, held by pivotable arms and compressed between prongs. The inserter may be aligned to the retainer and advanced to implant the prosthesis in the intervertebral space. A prosthesis remover may grip one prosthetic end plate and extract the entire prosthesis.
摘要翻译： 提供了用于植入椎间盘假体的方法和仪器。 具有矢状和冠状参考特征的引导工具指导引导件相对于椎弓根的矢状平面和冠状平面的放置。 可以锁定到引导销的保持器具有提供牵引或压缩的棘轮机构。 锉刀，刨床或其他工具可以与保持器对准并插入椎间空间以制备脊椎终板。 可互操作的试验可与保持器对准，并测量椎间空间的角度。 具有键控特征的假体可以被安装到具有互补特征的假体插入器，所述互补特征由可枢转臂保持并且在插脚之间被压缩。 插入器可以与保持器对准并且前进以将假体植入在椎间空间中。 假体去除器可以夹持一个假肢端板并提取整个假体。
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公开(公告)号：US20090125033A1
公开(公告)日：2009-05-14
申请号：US12323068
申请日：2008-11-25
IPC分类号： A61B17/58
CPC分类号： A61F2/4425 , A61B17/1604 , A61B17/1671 , A61B17/1757 , A61B17/7079 , A61B2017/0256 , A61F2/32 , A61F2/4611 , A61F2/4657 , A61F2/4684 , A61F2002/302 , A61F2002/30232 , A61F2002/30242 , A61F2002/30354 , A61F2002/30364 , A61F2002/30369 , A61F2002/30383 , A61F2002/3039 , A61F2002/30397 , A61F2002/30426 , A61F2002/305 , A61F2002/30528 , A61F2002/30538 , A61F2002/30563 , A61F2002/30578 , A61F2002/30604 , A61F2002/30616 , A61F2002/3065 , A61F2002/30652 , A61F2002/30654 , A61F2002/30655 , A61F2002/30662 , A61F2002/30663 , A61F2002/30685 , A61F2002/3069 , A61F2002/30841 , A61F2002/30843 , A61F2002/30884 , A61F2002/30892 , A61F2002/30904 , A61F2002/30934 , A61F2002/30937 , A61F2002/443 , A61F2002/4658 , A61F2002/4687 , A61F2220/0025 , A61F2220/0033 , A61F2230/0065 , A61F2230/0069 , A61F2230/0071 , A61F2250/0006 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00179 , A61F2310/00407 , A61F2310/00796
摘要： Methods and instrumentation for implantation of an intervertebral disc prosthesis are provided. A guide tool with sagittal and coronal reference features guides placement of guide pins relative to a sagittal plane and a coronal plane of the vertebrae. A retainer lockable to the guide pins has a ratcheting mechanism providing distraction or compression. A rasp, planer or other tools may be aligned to the retainer and inserted into the intervertebral space to prepare the vertebral endplates. An interoperatively adjustable trial is alignable to the retainer and measures an angularity of the intervertebral space. A prosthesis with keying features may be mounted to a prosthesis inserter with complementary features, held by pivotable arms and compressed between prongs. The inserter may be aligned to the retainer and advanced to implant the prosthesis in the intervertebral space. A prosthesis remover may grip one prosthetic end plate and extract the entire prosthesis.
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公开(公告)号：US20090149960A1
公开(公告)日：2009-06-11
申请号：US12323146
申请日：2008-11-25
CPC分类号： A61F2/4425 , A61B17/1604 , A61B17/1671 , A61B17/1757 , A61B17/7079 , A61B2017/0256 , A61F2/32 , A61F2/4611 , A61F2/4657 , A61F2/4684 , A61F2002/302 , A61F2002/30232 , A61F2002/30242 , A61F2002/30354 , A61F2002/30364 , A61F2002/30369 , A61F2002/30383 , A61F2002/3039 , A61F2002/30397 , A61F2002/30426 , A61F2002/305 , A61F2002/30528 , A61F2002/30538 , A61F2002/30563 , A61F2002/30578 , A61F2002/30604 , A61F2002/30616 , A61F2002/3065 , A61F2002/30652 , A61F2002/30654 , A61F2002/30655 , A61F2002/30662 , A61F2002/30663 , A61F2002/30685 , A61F2002/3069 , A61F2002/30841 , A61F2002/30843 , A61F2002/30884 , A61F2002/30892 , A61F2002/30904 , A61F2002/30934 , A61F2002/30937 , A61F2002/443 , A61F2002/4658 , A61F2002/4687 , A61F2220/0025 , A61F2220/0033 , A61F2230/0065 , A61F2230/0069 , A61F2230/0071 , A61F2250/0006 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00179 , A61F2310/00407 , A61F2310/00796
摘要： Methods and instrumentation for implantation of an intervertebral disc prosthesis are provided. A guide tool with sagittal and coronal reference features guides placement of guide pins relative to a sagittal plane and a coronal plane of the vertebrae. A retainer lockable to the guide pins has a ratcheting mechanism providing distraction or compression. A rasp, planer or other tools may be aligned to the retainer and inserted into the intervertebral space to prepare the vertebral endplates. An interoperatively adjustable trial is alignable to the retainer and measures an angularity of the intervertebral space. A prosthesis with keying features may be mounted to a prosthesis inserter with complementary features, held by pivotable arms and compressed between prongs. The inserter may be aligned to the retainer and advanced to implant the prosthesis in the intervertebral space. A prosthesis remover may grip one prosthetic end plate and extract the entire prosthesis.
摘要翻译： 提供了用于植入椎间盘假体的方法和仪器。 具有矢状和冠状参考特征的引导工具指导引导件相对于椎弓根的矢状平面和冠状平面的放置。 可以锁定到引导销的保持器具有提供牵引或压缩的棘轮机构。 锉刀，刨床或其他工具可以与保持器对准并插入椎间空间以制备脊椎终板。 可互操作的试验可与保持器对准，并测量椎间空间的角度。 具有键控特征的假体可以被安装到具有互补特征的假体插入器，所述互补特征由可枢转臂保持并且在插脚之间被压缩。 插入器可以与保持器对准并且前进以将假体植入在椎间空间中。 假体去除器可以夹持一个假肢端板并提取整个假体。
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公开(公告)号：US20120283837A1
公开(公告)日：2012-11-08
申请号：US13389298
申请日：2010-08-10
申请人： Hyun Bae , Nicholas Slater , Joshua A. Butters , Daniel F. Justin , Dylan Hushka , Rick Delamarter
发明人： Hyun Bae , Nicholas Slater , Joshua A. Butters , Daniel F. Justin , Dylan Hushka , Rick Delamarter
IPC分类号： A61F2/44
CPC分类号： A61F2/4611 , A61F2/30734 , A61F2/4455 , A61F2/447 , A61F2002/30166 , A61F2002/30172 , A61F2002/30352 , A61F2002/30377 , A61F2002/30387 , A61F2002/30401 , A61F2002/30504 , A61F2002/30528 , A61F2002/30736 , A61F2002/30738 , A61F2002/30841 , A61F2002/30845 , A61F2002/30848 , A61F2002/30879 , A61F2002/30884 , A61F2002/30904 , A61F2002/4475 , A61F2002/4627 , A61F2002/4629 , A61F2220/0025 , A61F2220/0033 , A61F2230/0028 , A61F2230/0052
摘要： A surgical instrument and method for inserting a spinal implant in the intervertebral disc space between two adjacent vertebrae and an anchor engageable with the implant and an adjacent vertebra are provided. The instrument includes an inserter having an engagement portion including a distal engagement surface for interfacing with the implant and a handle portion. The engagement portion includes a track for slidably translating the anchor toward the engagement surface. A kit is provided including the inserter and a tamp to force the anchor into engagement with the implant and the adjacent vertebra. The kit may also include a cutter for piercing the adjacent vertebra.
摘要翻译： 提供了一种用于将脊椎植入物插入两个相邻椎骨之间的椎间盘空间中的手术器械和方法，以及可与植入物和相邻椎骨接合的锚固件。 仪器包括插入器，其具有接合部分，该接合部分包括用于与植入物接合的远端接合表面和手柄部分。 接合部分包括用于将锚固件可滑动地平移到接合表面的轨道。 提供了一种套件，其包括插入器和夯实部，以使锚固件与植入物和相邻椎骨接合。 套件还可以包括用于刺穿相邻椎骨的切割器。
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公开(公告)号：US09700434B2
公开(公告)日：2017-07-11
申请号：US13389298
申请日：2010-08-10
申请人： Hyun Bae , Nicholas Slater , Joshua A. Butters , Daniel F. Justin , Dylan Hushka , Rick Delamarter
发明人： Hyun Bae , Nicholas Slater , Joshua A. Butters , Daniel F. Justin , Dylan Hushka , Rick Delamarter
CPC分类号： A61F2/4611 , A61F2/30734 , A61F2/4455 , A61F2/447 , A61F2002/30166 , A61F2002/30172 , A61F2002/30352 , A61F2002/30377 , A61F2002/30387 , A61F2002/30401 , A61F2002/30504 , A61F2002/30528 , A61F2002/30736 , A61F2002/30738 , A61F2002/30841 , A61F2002/30845 , A61F2002/30848 , A61F2002/30879 , A61F2002/30884 , A61F2002/30904 , A61F2002/4475 , A61F2002/4627 , A61F2002/4629 , A61F2220/0025 , A61F2220/0033 , A61F2230/0028 , A61F2230/0052
摘要： A surgical instrument and method for inserting a spinal implant in the intervertebral disc space between two adjacent vertebrae and an anchor engageable with the implant and an adjacent vertebra are provided. The instrument includes an inserter having an engagement portion including a distal engagement surface for interfacing with the implant and a handle portion. The engagement portion includes a track for slidably translating the anchor toward the engagement surface. A kit is provided including the inserter and a tamp to force the anchor into engagement with the implant and the adjacent vertebra. The kit may also include a cutter for piercing the adjacent vertebra.
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公开(公告)号：US20120253406A1
公开(公告)日：2012-10-04
申请号：US13505814
申请日：2010-11-03
申请人： Hyun Bae , Nicholas Slater , Joshua A. Butters , Dylan Hushka , Daniel F. Justin , Rick Delamarter
发明人： Hyun Bae , Nicholas Slater , Joshua A. Butters , Dylan Hushka , Daniel F. Justin , Rick Delamarter
CPC分类号： A61F2/4611 , A61B17/1604 , A61B17/1671 , A61B17/8872 , A61F2/30734 , A61F2/447 , A61F2/4684 , A61F2002/30166 , A61F2002/30172 , A61F2002/30377 , A61F2002/30387 , A61F2002/30401 , A61F2002/30504 , A61F2002/30522 , A61F2002/30598 , A61F2002/30738 , A61F2002/30841 , A61F2002/30845 , A61F2002/30848 , A61F2002/30879 , A61F2002/30884 , A61F2002/30904 , A61F2002/444 , A61F2002/4475 , A61F2002/4615 , A61F2002/4619 , A61F2002/4629 , A61F2220/0025 , A61F2220/0033 , A61F2230/0028 , A61F2230/0052
摘要： A surgical instrument and method are provided for removal of a spinal implant from the intervertebral disc space. The instrument includes a carriage body for interfacing with the implant, a housing for interfacing with the vertebrae, and a handle portion having a first portion rotatably coupled with a proximal end of the housing and a second portion rotatably engageable with a proximal attachment portion of the carriage body. A central passage of the housing extends between the proximal end and a distal engagement surface of the housing. The central passage is dimensioned to mate with the carriage body. Rotation of the handle portion about an axis causes translational movement of the carriage body along the axis. A modular inserter/distracter apparatus and method and an anchor remover and method are also provided.
摘要翻译： 提供外科器械和方法用于从椎间盘空间移除脊柱植入物。 仪器包括用于与植入物接合的托架主体，用于与椎骨接合的壳体，以及手柄部分，该手柄部分具有可旋转地与壳体的近端连接的第一部分，以及可与第二部分的近端附接部分可转动地接合的第二部分 车体。 壳体的中心通道在壳体的近端和远端接合表面之间延伸。 中心通道的尺寸设计为与托架主体配合。 手柄部分围绕轴的旋转引起滑架主体沿轴线的平移运动。 还提供了一种模块化的插入器/分配器装置和方法以及固定器去除器和方法。
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公开(公告)号：US09033993B2
公开(公告)日：2015-05-19
申请号：US13505814
申请日：2010-11-03
申请人： Hyun Bae , Nicholas Slater , Joshua A. Butters , Dylan Hushka , Daniel F. Justin , Rick Delamarter
发明人： Hyun Bae , Nicholas Slater , Joshua A. Butters , Dylan Hushka , Daniel F. Justin , Rick Delamarter
CPC分类号： A61F2/4611 , A61B17/1604 , A61B17/1671 , A61B17/8872 , A61F2/30734 , A61F2/447 , A61F2/4684 , A61F2002/30166 , A61F2002/30172 , A61F2002/30377 , A61F2002/30387 , A61F2002/30401 , A61F2002/30504 , A61F2002/30522 , A61F2002/30598 , A61F2002/30738 , A61F2002/30841 , A61F2002/30845 , A61F2002/30848 , A61F2002/30879 , A61F2002/30884 , A61F2002/30904 , A61F2002/444 , A61F2002/4475 , A61F2002/4615 , A61F2002/4619 , A61F2002/4629 , A61F2220/0025 , A61F2220/0033 , A61F2230/0028 , A61F2230/0052
摘要： A surgical instrument and method are provided for removal of a spinal implant from the intervertebral disc space. The instrument includes a carriage body for interfacing with the implant, a housing for interfacing with the vertebrae, and a handle portion having a first portion rotatably coupled with a proximal end of the housing and a second portion rotatably engageable with a proximal attachment portion of the carriage body. A central passage of the housing extends between the proximal end and a distal engagement surface of the housing. The central passage is dimensioned to mate with the carriage body. Rotation of the handle portion about an axis causes translational movement of the carriage body along the axis. A modular inserter/distractor apparatus and method and an anchor remover and method are also provided.
摘要翻译： 提供外科器械和方法用于从椎间盘空间移除脊柱植入物。 仪器包括用于与植入物接合的托架主体，用于与椎骨接合的壳体，以及手柄部分，该手柄部分具有可旋转地与壳体的近端连接的第一部分，以及可与第二部分的近端附接部分可转动地接合的第二部分 车体。 壳体的中心通道在壳体的近端和远端接合表面之间延伸。 中心通道的尺寸设计为与托架主体配合。 手柄部分围绕轴的旋转引起滑架主体沿轴线的平移运动。 还提供了一种模块化插入器/牵引器装置和方法以及固定器去除器和方法。
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公开(公告)号：US09414865B2
公开(公告)日：2016-08-16
申请号：US13367308
申请日：2012-02-06
申请人： Neil Duggal , Dylan Hushka , Nicholas Slater , Joshua Butters
发明人： Neil Duggal , Dylan Hushka , Nicholas Slater , Joshua Butters
CPC分类号： A61B17/7064 , A61B17/1671 , A61B17/808 , A61B17/809 , A61B17/864
摘要： Eccentrically shaped bone fixation implants interact with bone fragments or joints to compress the bone fragments or joint bones together. The eccentrically shaped bone fixation implants can have longer and shorter portions along an axis and a plurality of teeth with opposing beveled surfaces in different configurations to vary both the direction and amplitude of the compressive forces applied to the bone fragments or joint bones. Instrumentation for implanting and orienting the eccentrically shaped bone fixation implants are also disclosed herein.
摘要翻译： 偏心形骨固定植入物与骨碎片或关节相互作用以将骨碎片或关节骨压缩在一起。 偏心成形的骨固定植入物可以具有沿着轴线的更长和更短的部分以及具有不同构造的相对的倾斜表面的多个齿，以改变施加到骨碎片或关节骨的压缩力的方向和幅度。 本文还公开了用于植入和定向偏心形状的骨固定植入物的仪器。
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