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公开(公告)号：US08043343B2
公开(公告)日：2011-10-25
申请号：US11770366
申请日：2007-06-28
IPC分类号： A61B17/70
CPC分类号： A61B17/7037 , A61B17/1604 , A61B17/1671 , A61B17/3423 , A61B17/3472 , A61B17/7011 , A61B17/7032 , A61B17/7038 , A61B17/7082 , A61B17/7085 , A61B17/7091 , A61B17/848 , A61B2090/061 , A61B2090/062 , Y10S606/914
摘要： The disclosure relates generally to embodiments of systems and methods of spinal stabilization. Embodiments include methods that use a dilator to displace tissue proximate to a sleeve. An embodiment of a surgical system can comprise a dilator that may define a working channel from a first opening to a second opening. The dilator can be positioned to displace tissue proximate to the sleeve. The dilator may be shaped to allow a first end of an elongated member to enter the working channel through the first opening and exit the dilator through the second opening to be percutaneously moved to another assembly.
摘要翻译： 本公开一般涉及脊柱稳定系统和方法的实施例。 实施例包括使用扩张器来置换靠近套管的组织的方法。 手术系统的实施例可以包括扩张器，其可以限定从第一开口到第二开口的工作通道。 扩张器可以定位成置换靠近套管的组织。 扩张器可以被成形为允许细长构件的第一端通过第一开口进入工作通道，并通过第二开口离开扩张器，以经皮移动到另一组件。
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公开(公告)号：US08870919B2
公开(公告)日：2014-10-28
申请号：US13279563
申请日：2011-10-24
CPC分类号： A61B17/7037 , A61B17/1604 , A61B17/1671 , A61B17/3423 , A61B17/3472 , A61B17/7011 , A61B17/7032 , A61B17/7038 , A61B17/7082 , A61B17/7085 , A61B17/7091 , A61B17/848 , A61B2090/061 , A61B2090/062 , Y10S606/914
摘要： The disclosure relates generally to embodiments of systems and methods of spinal stabilization. Embodiments include methods that use a dilator to displace tissue proximate to a sleeve. An embodiment of a surgical system can comprise a dilator that may define a working channel from a first opening to a second opening. The dilator can be positioned to displace tissue proximate to the sleeve. The dilator may be shaped to allow a first end of an elongated member to enter the working channel through the first opening and exit the dilator through the second opening to be percutaneously moved to another assembly.
摘要翻译： 本公开一般涉及脊柱稳定系统和方法的实施例。 实施例包括使用扩张器来置换靠近套管的组织的方法。 手术系统的实施例可以包括扩张器，其可以限定从第一开口到第二开口的工作通道。 扩张器可以定位成置换靠近套管的组织。 扩张器可以被成形为允许细长构件的第一端通过第一开口进入工作通道，并通过第二开口离开扩张器，以经皮移动到另一组件。
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公开(公告)号：US20120041493A1
公开(公告)日：2012-02-16
申请号：US13279563
申请日：2011-10-24
IPC分类号： A61B17/70
CPC分类号： A61B17/7037 , A61B17/1604 , A61B17/1671 , A61B17/3423 , A61B17/3472 , A61B17/7011 , A61B17/7032 , A61B17/7038 , A61B17/7082 , A61B17/7085 , A61B17/7091 , A61B17/848 , A61B2090/061 , A61B2090/062 , Y10S606/914
摘要： The disclosure relates generally to embodiments of systems and methods of spinal stabilization. Embodiments include methods that use a dilator to displace tissue proximate to a sleeve. An embodiment of a surgical system can comprise a dilator that may define a working channel from a first opening to a second opening. The dilator can be positioned to displace tissue proximate to the sleeve. The dilator may be shaped to allow a first end of an elongated member to enter the working channel through the first opening and exit the dilator through the second opening to be percutaneously moved to another assembly.
摘要翻译： 本公开一般涉及脊柱稳定系统和方法的实施例。 实施例包括使用扩张器来置换靠近套管的组织的方法。 手术系统的实施例可以包括扩张器，其可以限定从第一开口到第二开口的工作通道。 扩张器可以定位成置换靠近套管的组织。 扩张器可以被成形为允许细长构件的第一端通过第一开口进入工作通道，并通过第二开口离开扩张器，以经皮移动到另一组件。
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4.发明授权公开(公告)号：US09101414B2
公开(公告)日：2015-08-11
申请号：US13351673
申请日：2012-01-17
CPC分类号： A61B17/708 , A61B17/60 , A61B17/7032 , A61B17/7037 , A61B17/7077 , A61B17/7079 , A61B17/7082 , A61B17/7091 , A61B2017/0256 , A61B2017/681
摘要： Embodiments disclosed herein provide compression/distraction methods and tools useful for fitting a spinal stabilization system in a patient through minimally invasive surgery. The spinal stabilization system may comprise screws anchored in vertebrae. The vertebrae may need to be compressed or distracted. One embodiment of an instrument disclosed herein may comprise a shaft for engaging one of the screws through an extender sleeve. A driver may engage another screw through an opening of the instrument. Through this engagement, a surgeon may use the rack and pinion of the instrument to compress or distract one or more levels of the vertebrae in a parallel motion, which can be advantageous clinically in certain situations.
摘要翻译： 本文公开的实施例提供了用于通过微创手术将脊柱稳定系统装配到患者体内的压缩/牵引方法和工具。 脊柱稳定系统可以包括锚固在椎骨中的螺钉。 椎骨可能需要压缩或分心。 本文公开的仪器的一个实施例可以包括用于通过延伸器套筒接合其中一个螺钉的轴。 驾驶员可以通过仪器的开口接合另一个螺丝。 通过该接合，外科医生可以使用器械的齿条和小齿轮以平行运动压缩或分散一个或多个椎骨的级别，这在某些情况下临床上可能是有利的。
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公开(公告)号：US08114088B2
公开(公告)日：2012-02-14
申请号：US12234151
申请日：2008-09-19
申请人： Peter Thomas Miller
发明人： Peter Thomas Miller
CPC分类号： A61F2/4611 , A61B2017/0256 , A61F2/4465 , A61F2002/4475 , A61F2002/4628
摘要： Embodiments of a geared spinal implant inserter-distractor disclosed herein provide a greater mechanical advantage in delivering an intervertebral implant via an anterior, anterior-lateral, or posterior approach. The geared spinal implant inserter-distractor comprises an inserter, a distractor structured to slidably receive the inserter with a collar and an intervertebral implant attached thereto, and a gear mechanism arranged to translate a surgeon's rotational motion into linear motion, allowing the surgeon to have a greater control and feedback when placing an implant within an intervertebral disc space. The gear arrangement comprises a pinion inside the distractor and a rack on the inserter. The pinion can be driven by a shaft connected to a knob or handle. With the gear mechanism, a surgeon can turn the knob or handle to drive the inserter in and out of the distractor in a quantifiable manner, which facilitates the desirable precision delivery of the intervertebral implant.
摘要翻译： 本文公开的齿轮传动脊柱植入物插入器 - 牵引器的实施例通过前，前 - 后或后路进行递送椎间植入物提供更大的机械优点。 齿轮式脊柱植入物插入器 - 牵引器包括插入器，牵引器，构造成可滑动地容纳具有套环的插入器和附接到其上的椎间植入物;以及齿轮机构，其布置成将外科医生的旋转运动转换为线性运动，允许外科医生具有 将植入物放置在椎间盘空间内时的更大的控制和反馈。 齿轮装置包括牵引机内的小齿轮和插入器上的齿条。 小齿轮可以由连接到旋钮或手柄的轴驱动。 利用齿轮机构，外科医生可以转动旋钮或手柄，以可量化的方式驱动插入器进入和离开牵引器，这有助于椎间植入物的期望的精确输送。
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公开(公告)号：US20100152785A1
公开(公告)日：2010-06-17
申请号：US12336404
申请日：2008-12-16
IPC分类号： A61B17/04
CPC分类号： A61B17/7038 , A61B17/7032 , A61B17/7035 , A61B17/8605
摘要： A poly-axial bone fastener assembly having a collar and a bone fastener can be coaxially locked to prevent poly-axial movements of the collar relative to the bone fastener while permitting the collar to rotate about an axis of the bone fastener, thereby combining the functions and advantages of a poly-axial bone screw and a fixed angle bone screw. Some embodiments of a coaxial locking mechanism may include a c-clip with a locking pin, a c-clip with hooks, a split ring with square corners, a pin that spins inside the collar, pins that travel about a neck of the bone fastener, a coaxially locking top that screws into the collar over a head of the bone fastener, and a top nut that threads onto the head of the bone fastener inside the collar to trap a flange of the collar between a shoulder of the bone fastener and the top nut.
摘要翻译： 具有轴环和骨紧固件的多轴骨头紧固件组件可以同轴锁定，以防止套环相对于骨紧固件的多轴向移动，同时允许套环围绕骨紧固件的轴线旋转，从而组合功能 和多轴骨螺钉和固定角骨螺钉的优点。 同轴锁定机构的一些实施例可以包括具有锁定销的c形夹子，具有钩的c形夹子，具有方形拐角的开口环，在套环内部旋转的销，围绕骨紧固件的颈部行进的销 ，一个同轴锁定的顶部，其在所述骨紧固件的头部上螺旋进入所述颈环;以及顶部螺母，所述顶部螺母在所述颈圈内螺纹连接到所述骨紧固件的头部上，以将所述颈环的凸缘捕获在所述骨紧固件的肩部和 顶级螺母
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公开(公告)号：US08814914B2
公开(公告)日：2014-08-26
申请号：US12550235
申请日：2009-08-28
CPC分类号： A61B17/88 , A61B1/32 , A61B17/0218 , A61B17/1604 , A61B17/1655 , A61B17/1659 , A61B17/1671 , A61B17/1757 , A61B17/3472 , A61B17/7044 , A61B17/885 , A61B17/8897 , A61B2017/90 , A61B2090/036 , A61B2090/062 , A61F2/4611
摘要： Embodiments described herein provide tools and methods for spinal fusion procedures. One embodiment of a tool can be a pedicle access tool that performs the functions of targeting needle, cannula, tap and awl. The cannula of the tool can be used to guide various tools and bone graft or fusion promoting material to a surgical site for a spinal fusion procedure, such as a posterolateral procedure. In other embodiments, a k-wire can be used as the guide.
摘要翻译： 本文描述的实施例提供了用于脊柱融合程序的工具和方法。 工具的一个实施例可以是执行瞄准针，插管，抽头和锥的功能的椎弓根进入工具。 该工具的插管可以用于将各种工具和骨移植物或融合促进材料引导到用于脊柱融合程序（例如后外侧手术）的手术部位。 在其他实施例中，可以使用k线作为引导件。
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公开(公告)号：US08603145B2
公开(公告)日：2013-12-10
申请号：US12336404
申请日：2008-12-16
CPC分类号： A61B17/7038 , A61B17/7032 , A61B17/7035 , A61B17/8605
摘要： A poly-axial bone fastener assembly having a collar and a bone fastener can be coaxially locked to prevent poly-axial movements of the collar relative to the bone fastener while permitting the collar to rotate about an axis of the bone fastener, thereby combining the functions and advantages of a poly-axial bone screw and a fixed angle bone screw. Some embodiments of a coaxial locking mechanism may include a c-clip with a locking pin, a c-clip with hooks, a split ring with square corners, a pin that spins inside the collar, pins that travel about a neck of the bone fastener, a coaxially locking top that screws into the collar over a head of the bone fastener, and a top nut that threads onto the head of the bone fastener inside the collar to trap a flange of the collar between a shoulder of the bone fastener and the top nut.
摘要翻译： 具有轴环和骨紧固件的多轴骨头紧固件组件可以同轴锁定，以防止套环相对于骨紧固件的多轴向移动，同时允许套环围绕骨紧固件的轴线旋转，从而组合功能 和多轴骨螺钉和固定角骨螺钉的优点。 同轴锁定机构的一些实施例可以包括具有锁定销的c形夹子，具有钩的c形夹子，具有方形拐角的开口环，在套环内部旋转的销，围绕骨紧固件的颈部行进的销 ，一个同轴锁定的顶部，其在所述骨紧固件的头部上螺旋进入所述颈环;以及顶部螺母，所述顶部螺母在所述颈圈内螺纹连接到所述骨紧固件的头部上，以将所述颈环的凸缘捕获在所述骨紧固件的肩部和 顶级螺母
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公开(公告)号：US20110022088A1
公开(公告)日：2011-01-27
申请号：US12507961
申请日：2009-07-23
CPC分类号： A61B17/7089 , A61B17/7086
摘要： Embodiments described herein provide systems and methods for inserting a spinal stabilization rod. A rod insertion tool can include a body defining a passage, a pivot rod disposed in the passage and a rod retaining member. Movement of the pivot rod can cause the rod retaining member to rotate and consequently the spinal stabilization rod to rotate. The rod insertion tool can be sized to fit through channels in sleeves used during implantation of a spinal stabilization system.
摘要翻译： 本文所述的实施例提供了用于插入脊柱稳定杆的系统和方法。 杆插入工具可以包括限定通道的主体，设置在通道中的枢轴杆和杆保持构件。 枢轴杆的移动可导致杆保持构件旋转，从而使脊柱稳定杆旋转。 杆插入工具的尺寸可以通过在植入脊柱稳定系统期间使用的套筒中的通道进行配合。
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10.发明申请公开(公告)号：US20100030283A1
公开(公告)日：2010-02-04
申请号：US12479445
申请日：2009-06-05
CPC分类号： A61B17/708 , A61B17/60 , A61B17/7032 , A61B17/7037 , A61B17/7077 , A61B17/7079 , A61B17/7082 , A61B17/7091 , A61B2017/0256 , A61B2017/681
摘要： Embodiments disclosed herein provide a combination compressor/distractor useful for fitting a spinal stabilization system in a patient through minimally invasive surgery. The spinal stabilization system may comprise screws anchored in vertebrae. The vertebrae may need to be compressed or distracted. One embodiment of an instrument disclosed herein may comprise a shaft for engaging one of the screws through an extender sleeve. A driver may engage another screw through an opening of the instrument. Through this engagement, a surgeon may use the rack and pinion of the instrument to compress or distract one or more levels of the vertebrae in a parallel motion, which can be advantageous clinically in certain situations.
摘要翻译： 本文公开的实施例提供了用于通过微创手术将脊柱稳定系统装配到患者体内的组合压缩机/牵引器。 脊柱稳定系统可以包括锚固在椎骨中的螺钉。 椎骨可能需要压缩或分心。 本文公开的仪器的一个实施例可以包括用于通过延伸器套筒接合其中一个螺钉的轴。 驾驶员可以通过仪器的开口接合另一个螺丝。 通过该接合，外科医生可以使用器械的齿条和小齿轮以平行运动压缩或分散一个或多个椎骨的级别，这在某些情况下临床上可能是有利的。
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