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公开(公告)号：US09707019B2
公开(公告)日：2017-07-18
申请号：US12539468
申请日：2009-08-11
申请人： Peter Thomas Miller , Charles R. Forton , Bruce A. Riceman , Larry T. Khoo , Reginald James Davis , Michael Scott Hisey
发明人： Peter Thomas Miller , Charles R. Forton , Bruce A. Riceman , Larry T. Khoo , Reginald James Davis , Michael Scott Hisey
IPC分类号： A61B17/70
CPC分类号： A61B17/7091
摘要： Embodiments described herein provide systems and methods for vertebral reduction using sleeves detachably coupled to collars of bone fasteners. The reduction can be performed during a minimally invasive procedure for implanting spinal stabilization systems. A sleeve can include internal threads that match threads on the respective collar to form a continuous set of threads. Threads on a closure member can be engaged with the threads on the sleeve and the closure member turned to translate the closure member along the sleeve. The closure member can be used to push a rod relative to the collar to which the sleeve is attached to cause a vertebral body to move.
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2.发明申请公开(公告)号：US20110040328A1
公开(公告)日：2011-02-17
申请号：US12539468
申请日：2009-08-11
申请人： Peter Thomas Miller , Charles R. Forton , Bruce A. Riceman , Larry T. Khoo , Reginald James Davis , Michael Scott Hisey
发明人： Peter Thomas Miller , Charles R. Forton , Bruce A. Riceman , Larry T. Khoo , Reginald James Davis , Michael Scott Hisey
CPC分类号： A61B17/7091
摘要： Embodiments described herein provide systems and methods for vertebral reduction using sleeves detachably coupled to collars of bone fasteners. The reduction can be performed during a minimally invasive procedure for implanting spinal stabilization systems. A sleeve can include internal threads that match threads on the respective collar to form a continuous set of threads. Threads on a closure member can be engaged with the threads on the sleeve and the closure member turned to translate the closure member along the sleeve. The closure member can be used to push a rod relative to the collar to which the sleeve is attached to cause a vertebral body to move.
摘要翻译： 本文描述的实施例提供了使用可拆卸地耦合到骨紧固件的套环的套筒进行脊椎减少的系统和方法。 可以在用于植入脊柱稳定系统的微创手术期间进行减少。 套筒可以包括与相应轴环上的螺纹匹配的内螺纹，以形成连续的一组螺纹。 闭合构件上的螺纹可以与套筒上的螺纹接合，并且闭合构件转动以沿着套筒平移闭合构件。 闭合构件可以用于相对于套筒附接的套环推动杆，以使得椎体移动。
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3.发明授权Spinal stabilization systems with quick-connect sleeve assemblies for use in surgical procedures 有权具有快速连接套筒组件的脊柱稳定系统，用于外科手术公开(公告)号：US09539012B2
公开(公告)日：2017-01-10
申请号：US11779406
申请日：2007-07-18
申请人： Michael E. Landry , Larry T. Khoo , Charles R. Forton , Brian J. Bergeron , Bruce A. Riceman , Peter T. Miller , Kameron Scott Ely
发明人： Michael E. Landry , Larry T. Khoo , Charles R. Forton , Brian J. Bergeron , Bruce A. Riceman , Peter T. Miller , Kameron Scott Ely
CPC分类号： A61B17/708 , A61B17/00234 , A61B17/1655 , A61B17/1671 , A61B17/1757 , A61B17/701 , A61B17/7011 , A61B17/7032 , A61B17/7037 , A61B17/7082 , A61B17/7085 , A61B17/7091 , A61B17/8605 , A61B17/861 , A61B17/8866 , A61B2017/0256 , A61B2090/037 , A61B2090/062 , A61F2/4611 , A61F2002/4625 , A61F2002/4638
摘要： In some embodiments, a spinal stabilization system may be formed in a patient using quick-connect sleeve assemblies. Each quick-connect sleeve assembly can be coupled to a bone fastener assembly in a fast and intuitive way. In one embodiment, a quick-connect sleeve assembly has a detachable member and a movable member. Both members engage a collar of the bone fastener assembly. In one embodiment, the engagement can be locked via one or more locking features to facilitate screwing a bone fastener of the bone fastener assembly onto a vertebral body in a minimally invasive surgical procedure. Each quick-connect sleeve assembly has a low profile and is particularly shaped for minimally invasive entry.
摘要翻译： 在一些实施例中，可以使用快速连接套筒组件在患者体内形成脊柱稳定系统。 每个快速连接套筒组件可以以快速和直观的方式联接到骨头紧固件组件。 在一个实施例中，快速连接套筒组件具有可拆卸构件和可移动构件。 两个构件接合骨紧固件组件的套环。 在一个实施例中，可以通过一个或多个锁定特征来锁定接合，以便于以微创外科手术将骨骼紧固件组件的骨紧固件旋拧到椎体上。 每个快速连接套筒组件具有低外形，并且特别地成形为用于微创入口。
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4.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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5.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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6.发明授权公开(公告)号：US08287546B2
公开(公告)日：2012-10-16
申请号：US12479445
申请日：2009-06-05
IPC分类号： A61B17/70
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式压缩机/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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公开(公告)号：US20080288002A1
公开(公告)日：2008-11-20
申请号：US12186446
申请日：2008-08-05
IPC分类号： A61B17/04
CPC分类号： A61B17/7037 , A61B17/7032 , A61B17/7038 , A61B17/8605
摘要： One embodiment provides a bone fastener including a collar, a fastener member, and a pin. The collar can have an upper portion with slot to receive an elongated member and a lower portion with a socket and an opening. The fastener member can have head and shank portions. The socket can receive the head portion and prevent movement of the head portion through the opening when the head portion is out of registration with the opening. The head portion and the socket can be configured to allow angulation of the fastener member within a defined range of motion within a selected plane. The head portion and the socket can define apertures which can be aligned with each other when the head portion is in the socket and which can receive the pin. One embodiment provides a generally spherical head portion with a flat.
摘要翻译： 一个实施例提供了一种骨紧固件，其包括套环，紧固构件和销。 套环可以具有带槽的上部以容纳细长构件和具有插座和开口的下部。 紧固件可以具有头部和柄部。 当头部与开口不对准时，插座可以容纳头部并防止头部通过开口的移动。 头部和插座可构造成允许紧固件在规定的运动范围内在所选择的平面内成角度。 头部和插座可以限定当头部位于插座中时可彼此对准并且可以接收销的孔。 一个实施例提供了具有平坦的大致球形头部。
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公开(公告)号：US20100057131A1
公开(公告)日：2010-03-04
申请号：US12201713
申请日：2008-08-29
IPC分类号： A61B17/70
CPC分类号： A61B17/7049
摘要： A polyaxial transverse connector for stabilizing a portion of the spine. Connector bodies are coupled to rods attached to either side of the spine. Heads of transverse members are positioned in the connector bodies such that they exhibit polyaxial motion. The transverse members may have curves or offsets to accommodate other components or patient anatomy. A connector connects the transverse members and male threaded inserts are advanced into the connector bodies to inhibit motion of the polyaxial transverse connector.
摘要翻译： 一种用于稳定脊柱的一部分的多轴横向连接器。 连接器主体连接到连接到脊柱两侧的杆。 横向构件的头部定位在连接器本体中，使得它们呈现多轴运动。 横向构件可以具有弯曲或偏移以适应其他部件或患者解剖结构。 连接器连接横向构件，并且阳螺纹插入件前进到连接器主体中以阻止多轴横向连接器的运动。
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公开(公告)号：US07556600B2
公开(公告)日：2009-07-07
申请号：US10937180
申请日：2004-09-09
IPC分类号： A61B1/32
CPC分类号： A61B17/0293
摘要： A retractor may be used during spinal surgery. The retractor may include a frame and one or more retractor blades. Each retractor blade may include a coupling arm, a retainer, and a retraction component. The coupling arms may be coupled to the frame such that the coupling arms are able to move inward or outwards relative to the frame. The retainer may secure the retraction component to the coupling arm. In some embodiments, the retraction blades may be made of a radiolucent material that allows radiological images to be taken during a surgical procedure with the retractor in place. A position of retraction components relative to the frame may be changed during a surgical procedure. One or more of the retraction components may be replaced during a surgical procedure without removing the retractor from the patient.
摘要翻译： 在脊柱手术期间可以使用牵开器。 牵开器可以包括框架和一个或多个牵开器叶片。 每个牵开器叶片可以包括联接臂，保持器和收回部件。 联接臂可以联接到框架，使得联接臂能够相对于框架向内或向外移动。 保持器可以将退回部件固定到联接臂。 在一些实施例中，缩回刀片可以由放射线可透过材料制成，其允许在牵开器就位的外科手术过程中进行放射学图像。 缩回部件相对于框架的位置可以在外科手术过程中改变。 在外科手术过程中可以更换一个或多个收缩部件，而不需要从患者中取出牵开器。
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公开(公告)号：US08636783B2
公开(公告)日：2014-01-28
申请号：US12186446
申请日：2008-08-05
IPC分类号： A61B17/04
CPC分类号： A61B17/7037 , A61B17/7032 , A61B17/7038 , A61B17/8605
摘要： One embodiment provides a bone fastener including a collar, a fastener member, and a pin. The collar can have an upper portion with slot to receive an elongated member and a lower portion with a socket and an opening. The fastener member can have head and shank portions. The socket can receive the head portion and prevent movement of the head portion through the opening when the head portion is out of registration with the opening. The head portion and the socket can be configured to allow angulation of the fastener member within a defined range of motion within a selected plane. The head portion and the socket can define apertures which can be aligned with each other when the head portion is in the socket and which can receive the pin. One embodiment provides a generally spherical head portion with a flat.
摘要翻译： 一个实施例提供了一种骨紧固件，其包括套环，紧固构件和销。 套环可以具有带槽的上部以容纳细长构件和具有插座和开口的下部。 紧固件可以具有头部和柄部。 当头部与开口不对准时，插座可以容纳头部并防止头部通过开口的移动。 头部和插座可构造成允许紧固件在规定的运动范围内在所选择的平面内成角度。 头部和插座可以限定当头部位于插座中时可彼此对准并且可以接收销的孔。 一个实施例提供了具有平坦的大致球形头部。
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