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公开(公告)号：US20090216328A1
公开(公告)日：2009-08-27
申请号：US12463578
申请日：2009-05-11
申请人： Paul Birkmeyer , Michael Zajack , Erasmo Lopez , Ramon A. Ruberte
发明人： Paul Birkmeyer , Michael Zajack , Erasmo Lopez , Ramon A. Ruberte
CPC分类号： A61B17/7037 , A61B17/7005 , A61B17/7011 , A61B17/7032 , A61B17/7085 , A61B2017/00238
摘要： A spinal fixation element is provided having a feature formed thereon that facilitates placement of the spinal fixation element through an access device, thus allowing the spinal fixation element to be positioned in relation to a spinal anchor that is coupled to the access device and that is implanted in a vertebra in a patient's spine. The feature also optionally facilitates placement of the spinal fixation element in relation to spinal anchors implanted in adjacent vertebrae. In particular, the spinal fixation element is adapted for use with an access device that has at least one slot or opening formed therein and having a width that is less than a width of the feature, thus preventing the feature from passing therethrough. The spinal fixation element can therefore be inserted through the access device, and a portion of the fixation element can be passed through the slot or opening in the access device while the feature is retained in the access device. As a result, the feature is seated within a spinal anchor that is coupled to the access device, and the remaining portion of the spinal fixation element can extend through the slot, preferably to be positioned within a spinal anchor disposed within an adjacent vertebra.
摘要翻译： 脊柱固定元件被提供有具有形成在其上的特征，其有助于脊骨固定元件穿过通路装置的放置，从而允许脊柱固定元件相对于联接到进入装置并被植入的脊柱锚定位 在患者脊柱的椎骨中。 该特征还可选地促进脊柱固定元件相对于植入相邻椎骨中的脊柱锚固件的放置。 特别地，脊椎固定元件适于与具有形成在其中的至少一个槽或开口并具有小于该特征的宽度的宽度的进入装置一起使用，从而防止该特征通过。 因此，脊椎固定元件可以插入通过进入装置，并且固定元件的一部分可以通过入口装置中的狭槽或开口，同时特征被保持在进入装置中。 结果，该特征位于联接到进入装置的脊椎锚固件内，并且脊柱固定元件的剩余部分可以延伸穿过狭槽，优选地定位在设置在相邻椎骨内的脊椎锚固件内。
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公开(公告)号：US20050215999A1
公开(公告)日：2005-09-29
申请号：US10708721
申请日：2004-03-19
申请人： Paul Birkmeyer , Michael Zajack , Erasmo Lopez , Ramon Ruberte
发明人： Paul Birkmeyer , Michael Zajack , Erasmo Lopez , Ramon Ruberte
CPC分类号： A61B17/7037 , A61B17/7005 , A61B17/7011 , A61B17/7032 , A61B17/7085 , A61B2017/00238
摘要： A spinal fixation element is provided having a feature formed thereon that facilitates placement of the spinal fixation element through an access device, thus allowing the spinal fixation element to be positioned in relation to a spinal anchor that is coupled to the access device and that is implanted in a vertebra in a patient's spine. The feature also optionally facilitates placement of the spinal fixation element in relation to spinal anchors implanted in adjacent vertebrae. In particular, the spinal fixation element is adapted for use with an access device that has at least one slot or opening formed therein and having a width that is less than a width of the feature, thus preventing the feature from passing therethrough. The spinal fixation element can therefore be inserted through the access device, and a portion of the fixation element can be passed through the slot or opening in the access device while the feature is retained in the access device. As a result, the feature is seated within a spinal anchor that is coupled to the access device, and the remaining portion of the spinal fixation element can extend through the slot, preferably to be positioned within a spinal anchor disposed within an adjacent vertebra.
摘要翻译： 脊柱固定元件被提供有具有形成在其上的特征，其有助于脊骨固定元件穿过通路装置的放置，从而允许脊柱固定元件相对于联接到进入装置并被植入的脊柱锚定位 在患者脊柱的椎骨中。 该特征还可选地促进脊柱固定元件相对于植入相邻椎骨中的脊柱锚固件的放置。 特别地，脊椎固定元件适于与具有形成在其中的至少一个槽或开口并具有小于该特征的宽度的宽度的进入装置一起使用，从而防止该特征通过。 因此，脊椎固定元件可以插入通过进入装置，并且固定元件的一部分可以通过入口装置中的狭槽或开口，同时特征被保持在进入装置中。 结果，该特征位于联接到进入装置的脊椎锚固件内，并且脊柱固定元件的剩余部分可以延伸穿过狭槽，优选地定位在设置在相邻椎骨内的脊椎锚固件内。
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公开(公告)号：US08828005B2
公开(公告)日：2014-09-09
申请号：US12463578
申请日：2009-05-11
CPC分类号： A61B17/7037 , A61B17/7005 , A61B17/7011 , A61B17/7032 , A61B17/7085 , A61B2017/00238
摘要： A spinal fixation element is provided having a feature formed thereon that facilitates placement of the spinal fixation element through an access device, thus allowing the spinal fixation element to be positioned in relation to a spinal anchor that is coupled to the access device and that is implanted in a vertebra in a patient's spine. The feature also optionally facilitates placement of the spinal fixation element in relation to spinal anchors implanted in adjacent vertebrae. In particular, the spinal fixation element is adapted for use with an access device that has at least one slot or opening formed therein and having a width that is less than a width of the feature, thus preventing the feature from passing therethrough. The spinal fixation element can therefore be inserted through the access device, and a portion of the fixation element can be passed through the slot or opening in the access device while the feature is retained in the access device. As a result, the feature is seated within a spinal anchor that is coupled to the access device, and the remaining portion of the spinal fixation element can extend through the slot, preferably to be positioned within a spinal anchor disposed within an adjacent vertebra.
摘要翻译： 脊柱固定元件被提供有具有形成在其上的特征，其有助于脊骨固定元件穿过通路装置的放置，从而允许脊柱固定元件相对于联接到进入装置并被植入的脊柱锚定位 在患者脊柱的椎骨中。 该特征还可选地促进脊柱固定元件相对于植入相邻椎骨中的脊柱锚固件的放置。 特别地，脊椎固定元件适于与具有形成在其中的至少一个槽或开口并具有小于该特征的宽度的宽度的进入装置一起使用，从而防止该特征通过。 因此，脊椎固定元件可以插入通过进入装置，并且固定元件的一部分可以通过入口装置中的狭槽或开口，同时特征被保持在进入装置中。 结果，该特征位于联接到进入装置的脊椎锚固件内，并且脊柱固定元件的剩余部分可以延伸穿过狭槽，优选地定位在设置在相邻椎骨内的脊椎锚固件内。
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公开(公告)号：US07547318B2
公开(公告)日：2009-06-16
申请号：US10708721
申请日：2004-03-19
申请人： Paul Birkmeyer , Michael Zajack , Erasmo Lopez , Ramon Ruberte
发明人： Paul Birkmeyer , Michael Zajack , Erasmo Lopez , Ramon Ruberte
IPC分类号： A61B17/88
CPC分类号： A61B17/7037 , A61B17/7005 , A61B17/7011 , A61B17/7032 , A61B17/7085 , A61B2017/00238
摘要： A spinal fixation element is provided having a feature formed thereon that facilitates placement of the spinal fixation element through an access device, thus allowing the spinal fixation element to be positioned in relation to a spinal anchor that is coupled to the access device and that is implanted in a vertebra in a patient's spine. The feature also optionally facilitates placement of the spinal fixation element in relation to spinal anchors implanted in adjacent vertebrae. In particular, the spinal fixation element is adapted for use with an access device that has at least one slot or opening formed therein and having a width that is less than a width of the feature, thus preventing the feature from passing therethrough. The spinal fixation element can therefore be inserted through the access device, and a portion of the fixation element can be passed through the slot or opening in the access device while the feature is retained in the access device. As a result, the feature is seated within a spinal anchor that is coupled to the access device, and the remaining portion of the spinal fixation element can extend through the slot, preferably to be positioned within a spinal anchor disposed within an adjacent vertebra.
摘要翻译： 脊柱固定元件被提供有具有形成在其上的特征，其有助于脊骨固定元件穿过通路装置的放置，从而允许脊柱固定元件相对于联接到进入装置并被植入的脊柱锚定位 在患者脊柱的椎骨中。 该特征还可选地促进脊柱固定元件相对于植入相邻椎骨中的脊柱锚固件的放置。 特别地，脊椎固定元件适于与具有形成在其中的至少一个槽或开口并具有小于该特征的宽度的宽度的进入装置一起使用，从而防止该特征通过。 因此，脊椎固定元件可以插入通过进入装置，并且固定元件的一部分可以通过入口装置中的狭槽或开口，同时特征被保持在进入装置中。 结果，该特征位于联接到进入装置的脊椎锚固件内，并且脊柱固定元件的剩余部分可以延伸穿过狭槽，优选地定位在设置在相邻椎骨内的脊椎锚固件内。
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公开(公告)号：US08249696B2
公开(公告)日：2012-08-21
申请号：US11959603
申请日：2007-12-19
IPC分类号： A61B6/00
CPC分类号： A61B17/7032 , A61B34/20 , A61B2017/00061 , A61B2090/306
摘要： Various methods and devices are provided for navigating through bone. In one embodiment, a bone navigation device is provided and includes a bone penetrating member configured to be implanted in bone and having at least one optical waveguide extending therethrough. The optical waveguide is adapted to illuminate tissue surrounding the device and to receive reflected/transmitted light from the tissue to determine the optical characteristics of the tissue, thus facilitating navigation through the tissue. At least one window can be formed in the bone penetrating member for allowing light from the at least one optical waveguide to illuminate the tissue, and for receiving the reflected light.
摘要翻译： 提供各种方法和装置用于穿过骨骼。 在一个实施例中，提供骨导航装置，并且包括骨穿透构件，其构造成植入到骨中并且具有延伸穿过其中的至少一个光波导。 光波导适于照亮装置周围的组织并且接收来自组织的反射/透射光以确定组织的光学特性，从而便于穿过组织的导航。 至少一个窗口可以形成在骨穿透构件中，用于允许来自至少一个光波导的光照亮组织，并且用于接收反射光。
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公开(公告)号：US08016835B2
公开(公告)日：2011-09-13
申请号：US11497877
申请日：2006-07-31
申请人： Paul Birkmeyer , Christopher W. Sicvol , Hassan Serhan , Sean Selover , Ronald Naughton , Nancy M. Sheehy
发明人： Paul Birkmeyer , Christopher W. Sicvol , Hassan Serhan , Sean Selover , Ronald Naughton , Nancy M. Sheehy
CPC分类号： A61B90/13 , A61B17/1671 , A61B17/3421 , A61B34/20 , A61B90/11 , A61B90/50 , A61B2034/107 , A61B2034/2055
摘要： A system for guiding an implant to an optimal placement within a patient includes a trajectory guide for guiding instruments along a selected trajectory and a trajectory fixation device for fixing the trajectory guide in a selected position. The trajectory guide defines a path configured to align with the selected trajectory. A movable support mounts the trajectory guide and selectively moves the trajectory guide to align the trajectory guide with the selected trajectory prior to fixing the trajectory guide in the selected position. The trajectory is aligned coarsely by hand, then the trajectory is aligned using a fine adjustment system. After fixing the trajectory guide, instruments can be inserted along the trajectory through the path defined by the trajectory guide.
摘要翻译： 用于将植入物引导到患者内的最佳布置的系统包括用于沿所选轨迹引导器械的轨迹引导件和用于将轨迹引导件固定在选定位置的轨迹固定装置。 轨迹引导件定义了被配置为与所选轨迹对准的路径。 在将轨迹引导件固定在所选择的位置之前，可移动的支撑件安装轨迹引导件并且选择性地移动轨迹引导件以将轨迹引导件与所选择的轨迹对准。 轨迹用手粗略对准，然后使用微调系统对准轨迹。 固定轨迹导轨后，仪器可以沿轨迹插入轨迹导轨所定义的路径。
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公开(公告)号：US20070276406A1
公开(公告)日：2007-11-29
申请号：US10579146
申请日：2005-02-09
申请人： Michael Mahoney , Sara Dziedzic , Paul Birkmeyer , Timothy Beardsley , Dale Frank , Ron Naughton
发明人： Michael Mahoney , Sara Dziedzic , Paul Birkmeyer , Timothy Beardsley , Dale Frank , Ron Naughton
IPC分类号： A61D1/12
CPC分类号： A61B17/025 , A61B2017/0256 , A61F2/28 , A61F2/30965 , A61F2/447 , A61F2/4601 , A61F2/4611 , A61F2002/30062 , A61F2002/30092 , A61F2002/30112 , A61F2002/30133 , A61F2002/30217 , A61F2002/30235 , A61F2002/30266 , A61F2002/3038 , A61F2002/30462 , A61F2002/30471 , A61F2002/30476 , A61F2002/3052 , A61F2002/30538 , A61F2002/30566 , A61F2002/30772 , A61F2002/30795 , A61F2002/30841 , A61F2002/30904 , A61F2002/4415 , A61F2002/4622 , A61F2002/4627 , A61F2002/4628 , A61F2210/0004 , A61F2210/0014 , A61F2220/0025 , A61F2220/0033 , A61F2220/0075 , A61F2220/0091 , A61F2230/0004 , A61F2230/0015 , A61F2230/0067 , A61F2230/0069 , A61F2230/0082 , A61F2250/0006 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00131 , A61F2310/00359
摘要： Disclosed herein are methods and devices for distracting adjacent vertebrae during surgical procedures for implanting spinal prostheses. In an exemplary embodiment, a distractor is disclosed that maintains the empty space between adjacent vertebrae following a discectomy, and that can removably mate with other surgical instruments, such as, for example, a filler bar, an implanting tool, or a funnel. In other embodiments of the present invention a distractor is disclosed having various features to assist in implanting a spinal prosthesis, such as, for example, an angled distal end and/or an expandable paddle. In another embodiment of the present invention, an articulating inserter is disclosed. Moreover, various implants and funnels are also disclosed herein.
摘要翻译： 本文公开了用于在用于植入脊椎假体的外科手术期间分心相邻椎骨的方法和装置。 在示例性实施例中，公开了牵引器，其在椎间盘切除术之后保持相邻椎骨之间的空白空间，并且可以可移除地与其他手术器械（例如填充杆，植入工具或漏斗）配合。 在本发明的其他实施例中，公开了具有各种特征以帮助植入脊椎假体（例如，倾斜的远端和/或可扩张的桨）的牵引器。 在本发明的另一个实施例中，公开了一种铰接插入器。 此外，本文还公开了各种植入物和漏斗。
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公开(公告)号：US09180024B2
公开(公告)日：2015-11-10
申请号：US13185775
申请日：2011-07-19
申请人： Michael Mahoney , Sara Dziedzic , Paul Birkmeyer , Timothy Beardsley , Dale Frank , Ron Naughton
发明人： Michael Mahoney , Sara Dziedzic , Paul Birkmeyer , Timothy Beardsley , Dale Frank , Ron Naughton
CPC分类号： A61B17/025 , A61B2017/0256 , A61F2/28 , A61F2/30965 , A61F2/447 , A61F2/4601 , A61F2/4611 , A61F2002/30062 , A61F2002/30092 , A61F2002/30112 , A61F2002/30133 , A61F2002/30217 , A61F2002/30235 , A61F2002/30266 , A61F2002/3038 , A61F2002/30462 , A61F2002/30471 , A61F2002/30476 , A61F2002/3052 , A61F2002/30538 , A61F2002/30566 , A61F2002/30772 , A61F2002/30795 , A61F2002/30841 , A61F2002/30904 , A61F2002/4415 , A61F2002/4622 , A61F2002/4627 , A61F2002/4628 , A61F2210/0004 , A61F2210/0014 , A61F2220/0025 , A61F2220/0033 , A61F2220/0075 , A61F2220/0091 , A61F2230/0004 , A61F2230/0015 , A61F2230/0067 , A61F2230/0069 , A61F2230/0082 , A61F2250/0006 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00131 , A61F2310/00359
摘要： Disclosed herein are methods and devices for distracting adjacent vertebrae during surgical procedures for implanting spinal prostheses. In an exemplary embodiment, a distractor is disclosed that maintains the empty space between adjacent vertebrae following a discectomy, and that can removably mate with other surgical instruments, such as, for example, a filler bar, an implanting tool, or a funnel. In other embodiments of the present invention a distractor is disclosed having various features to assist in implanting a spinal prosthesis, such as, for example, an angled distal end and/or an expandable paddle. In another embodiment of the present invention, an articulating inserter is disclosed. Moreover, various implants and funnels are also disclosed herein.
摘要翻译： 本文公开了用于在用于植入脊椎假体的外科手术期间分心相邻椎骨的方法和装置。 在示例性实施例中，公开了牵引器，其在椎间盘切除术之后保持相邻椎骨之间的空白空间，并且可以可移除地与其他手术器械（例如填充杆，植入工具或漏斗）配合。 在本发明的其他实施例中，公开了具有各种特征以帮助植入脊椎假体（例如，倾斜的远端和/或可扩张的桨）的牵引器。 在本发明的另一个实施例中，公开了一种铰接插入器。 此外，本文还公开了各种植入物和漏斗。
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9.发明申请公开(公告)号：US20080255622A1
公开(公告)日：2008-10-16
申请号：US11734881
申请日：2007-04-13
申请人： Christopher Mickiewicz , Michael Alan Fisher , Michael O'Neil , Paul Birkmeyer , Sean Selover , Michael Mahoney , Holly Brideau , Katherine Herard
发明人： Christopher Mickiewicz , Michael Alan Fisher , Michael O'Neil , Paul Birkmeyer , Sean Selover , Michael Mahoney , Holly Brideau , Katherine Herard
CPC分类号： A61B17/7064 , A61B2017/00004
摘要： A spinal implant including a stabilization member coupled to an elongate member is herein provided. The implant can be configured for placement within a facet joint in an intra-facet or trans-facet configuration. Also, the implant can include a fusion-promoting bioactive material thereby providing a single device capable of spinal stabilization and/or fusion. Furthermore, a method of placing such an implant within a facet joint in an intra-facet or trans-facet orientation is hereby provided.
摘要翻译： 本文提供了包括联接到细长构件的稳定构件的脊柱植入物。 植入物可以配置成在面内或横向构型中放置在小关节内。 此外，植入物可以包括促进融合的生物活性材料，从而提供能够进行脊柱稳定和/或融合的单个装置。 此外，提供了一种将这种植入物置于面内或跨面取向的小面关节内的方法。
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公开(公告)号：US20060036264A1
公开(公告)日：2006-02-16
申请号：US10913178
申请日：2004-08-06
IPC分类号： A61B19/00
CPC分类号： A61B19/201 , A61B34/20 , A61B90/11 , A61B90/13 , A61B90/50 , A61B2017/3409 , A61B2034/107 , A61B2034/2055 , B07C2501/0009
摘要： A system for guiding an implant to an optimal placement within a patient includes a trajectory guide for guiding instruments along a selected trajectory and a trajectory fixation device for fixing the trajectory guide in a selected position. The trajectory guide defines a path configured to align with the selected trajectory. A movable support mounts the trajectory guide and selectively moves the trajectory guide to align the trajectory guide with the selected trajectory prior to fixing the trajectory guide in the selected position. After fixing the trajectory guide, instruments can be inserted along the trajectory through the path defined by the trajectory guide.
摘要翻译： 用于将植入物引导到患者内的最佳布置的系统包括用于沿所选轨迹引导器械的轨迹引导件和用于将轨迹引导件固定在选定位置的轨迹固定装置。 轨迹引导件定义了被配置为与所选轨迹对准的路径。 在将轨迹引导件固定在所选择的位置之前，可移动的支撑件安装轨迹引导件并且选择性地移动轨迹引导件以将轨迹引导件与所选择的轨迹对准。 固定轨迹导轨后，仪器可以沿轨迹插入轨迹导轨所定义的路径。
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