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公开(公告)号:US20110028998A1
公开(公告)日:2011-02-03
申请号:US12693820
申请日:2010-01-26
申请人: Ray Adams , David T. Banks , Rudolf Bertagnoli , Joel Helfer , Scott Larsen , Lawton Laurence , Adam Lehman , Jamie Manos , Vincent Mata , Dominique Messerli , Tom Overes , Wamis Singhatat , James Talbot , Ken Underhill , Daniel Vennard
发明人: Ray Adams , David T. Banks , Rudolf Bertagnoli , Joel Helfer , Scott Larsen , Lawton Laurence , Adam Lehman , Jamie Manos , Vincent Mata , Dominique Messerli , Tom Overes , Wamis Singhatat , James Talbot , Ken Underhill , Daniel Vennard
IPC分类号: A61B17/062
CPC分类号: A61B17/0482 , A61B17/0469 , A61B17/06066 , A61B17/0625 , A61B2017/00477 , A61B2017/00867 , A61B2017/0496
摘要: A bi-directional suture passing instrument configured to approach soft tissues perpendicularly, enables safer and more efficient surgical repairs and minimally invasive techniques to be employed, useful in areas such as annulus repair, meniscal repair, shoulder arthroscopy, hernia repair, laproscopic repair, and wound closure.
摘要翻译: 构造成垂直接近软组织的双向缝合线通过仪器使得能够采用更安全和更有效的外科手术修复和微创技术,在诸如环形修复,半月板修复,肩关节镜检查,疝修补,腹腔镜修复和 伤口闭合。
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公开(公告)号:US09011466B2
公开(公告)日:2015-04-21
申请号:US12693820
申请日:2010-01-26
申请人: Ray Adams , David T. Banks , Rudolf Bertagnoli , Joel Helfer , Scott Larsen , Lawton Laurence , Adam Lehman , Jamie Manos , Vincent Mata , Dominique Messerli , Tom Overes , Wamis Singhatat , James Talbot , Ken Underhill , Daniel Vennard
发明人: Ray Adams , David T. Banks , Rudolf Bertagnoli , Joel Helfer , Scott Larsen , Lawton Laurence , Adam Lehman , Jamie Manos , Vincent Mata , Dominique Messerli , Tom Overes , Wamis Singhatat , James Talbot , Ken Underhill , Daniel Vennard
IPC分类号: A61B17/04 , A61B17/062 , A61B17/06 , A61B17/00
CPC分类号: A61B17/0482 , A61B17/0469 , A61B17/06066 , A61B17/0625 , A61B2017/00477 , A61B2017/00867 , A61B2017/0496
摘要: A bi-directional suture passing instrument configured to approach soft tissues perpendicularly, enables safer and more efficient surgical repairs and minimally invasive techniques to be employed, useful in areas such as annulus repair, meniscal repair, shoulder arthroscopy, hernia repair, laparoscopic repair, and wound closure.
摘要翻译: 双向缝合通过仪器被配置为垂直接近软组织,能够使用更安全,更有效的外科手术修复和微创技术,在诸如环形修复,半月板修复,肩关节镜检查,疝修复,腹腔镜修复和 伤口闭合。
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公开(公告)号:US09216024B2
公开(公告)日:2015-12-22
申请号:US11575790
申请日:2005-09-16
申请人: Christophe Geisert , Thierry Marnay , Rudolf Bertagnoli , Eduard Kufeld , Barbara Schweizer , Stephan Eckhof
发明人: Christophe Geisert , Thierry Marnay , Rudolf Bertagnoli , Eduard Kufeld , Barbara Schweizer , Stephan Eckhof
CPC分类号: A61B17/1671 , A61B17/1604 , A61B2090/033 , A61B2090/062
摘要: The invention relates to the preparation of an intervertebral space with a trial implant (9), the insertion of an implant (5, 6, 7), the inserters (13, 16), and the method for feeding and inserting the implant (5, 6, 7) by means of an oblique anterior approach. In the novel improved method, the associated instruments (13, 16) for inserting an implant (5, 6, 7) into an intervertebral space, in particular for the lumbar spine at an oblique anterior angle of 45° was developed, the left side of the body being preferred for insertion of the implant (5, 6, 7). Either the implant (5, 6, 7) can be inserted all in one, or first the upper part (5) and lower parts (7) and then the inlay (6) may be inserted. By insertion by means of the left oblique anterior approach at 45°, optimum utilization of the area of the intervertebral space is ensured (footprint), and better retention of the implant is guaranteed by the exact chiselling at an angle of 90° normal to the respective intervertebral surface.
摘要翻译: 本发明涉及具有试验植入物(9),插入植入物(5,6,7),插入器(13,16)以及用于进给和插入植入物(5)的方法的椎间空间的制备 ,6,7)通过斜前方法。 在新颖的改进方法中,开发了用于将植入物(5,6,7)插入椎间空间(特别是用于45°的倾斜前角的腰椎)的相关器械(13,16),左侧 的身体优选用于插入植入物(5,6,7)。 植入物(5,6,7)可以全部插入一个,或者首先插入上部(5)和下部(7)中,然后插入嵌体(6)。 通过左倾斜前进入45°插入,确保椎间隙面积的最佳利用(占地面积),通过与90°正交角度的精确凿孔保证植入物的更好保留 相应的椎间表面。
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公开(公告)号:US20100249936A1
公开(公告)日:2010-09-30
申请号:US12741353
申请日:2008-11-06
申请人: Rudolf Bertagnoli
发明人: Rudolf Bertagnoli
CPC分类号: A61F2/4425 , A61F2/442 , A61F2002/30014 , A61F2002/30387 , A61F2002/30426 , A61F2002/30563 , A61F2002/30565 , A61F2002/30604 , A61F2002/30662 , A61F2250/0018
摘要: A method of limiting the movability of an intervertebral disk prosthesis with regard to pivoting movements, and an intervertebral disk prosthesis. The method includes the step of asymmetrically limiting at least one of a flexion-extension movement, a lateral bending, and a rotation about a vertical axis in order to limit the movability of the prosthesis. The prosthesis comprises articulated prosthesis components, and movement-limitation measures configured to limit movability of the components with respect to flexion-extension movement, lateral bending and a rotation about a vertical axis of the prosthesis in a defined manner.
摘要翻译: 一种限制椎间盘假体相对于枢转运动的可移动性的方法,以及椎间盘假体。 该方法包括不对称地限制弯曲延伸运动,横向弯曲和围绕垂直轴线的旋转中的至少一个以限制假体的可移动性的步骤。 假体包括铰接的假体部件以及运动限制措施,其被配置成限制部件相对于屈曲伸展运动,侧向弯曲和围绕假体的垂直轴线的旋转的限定方式的运动。
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公开(公告)号:US07547308B2
公开(公告)日:2009-06-16
申请号:US10768354
申请日:2004-01-30
申请人: Rudolf Bertagnoli , Tai Friesem , Jean-Charles LeHuec , Hallett H. Mathews , Lukas Eisermann , Mingyan Liu , Loic Josse , Jeffrey Zhang
发明人: Rudolf Bertagnoli , Tai Friesem , Jean-Charles LeHuec , Hallett H. Mathews , Lukas Eisermann , Mingyan Liu , Loic Josse , Jeffrey Zhang
IPC分类号: A61B17/58
CPC分类号: A61B17/1642 , A61B17/025 , A61B17/1624 , A61B17/1671 , A61B17/1757 , A61B17/86 , A61B2017/0256 , A61B2017/1602 , A61F2/4455 , A61F2/4611 , A61F2/4684 , A61F2002/2835 , A61F2002/3008 , A61F2002/30166 , A61F2002/3024 , A61F2002/30266 , A61F2002/3037 , A61F2002/30373 , A61F2002/30387 , A61F2002/30401 , A61F2002/30428 , A61F2002/30507 , A61F2002/30579 , A61F2002/30604 , A61F2002/30616 , A61F2002/30617 , A61F2002/30769 , A61F2002/30777 , A61F2002/30785 , A61F2002/3082 , A61F2002/30836 , A61F2002/30848 , A61F2002/30884 , A61F2002/30899 , A61F2002/30904 , A61F2002/30925 , A61F2220/0025 , A61F2220/0033 , A61F2230/0028 , A61F2230/0069 , A61F2230/0082 , A61F2250/0097 , A61F2250/0098 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00796
摘要: An instrument for separating adjacent vertebrae includes a handle assembly and a distal portion at a distal end of the handle assembly. The distal portion includes first and second members movable from an unexpanded configuration for insertion in the disc space toward an expanded configuration to separate the vertebrae. A cutting member of a cutting instrument can be guided by the instrument to prepare the vertebrae for engagement with an implant.
摘要翻译: 用于分离相邻椎骨的仪器包括手柄组件和在手柄组件的远端处的远侧部分。 远侧部分包括第一和第二构件,该第一和第二构件可从未展开的构造移动,以便在椎间盘空间中朝向扩张构型插入以分离椎骨。 切割仪器的切割构件可以由仪器引导以制备用于与植入物接合的椎骨。
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公开(公告)号:US20060195114A1
公开(公告)日:2006-08-31
申请号:US11413011
申请日:2006-04-28
申请人: Rudolf Bertagnoli
发明人: Rudolf Bertagnoli
IPC分类号: A61B17/58
CPC分类号: A61B17/025 , A61B17/708 , A61B2017/0256
摘要: A method for distracting at least two adjacent vertebrae and/or retaining them in a spaced apart position. Anchor screws are secured to the adjacent vertebrae and tubes of a retainer-distracter instrument frame are slid down over the anchor screws, after which the anchor screws are positively secured to the tubes of the frame. The frame includes a structure for moving the arms and hence the anchor screws and vertebrae toward and away from each other. After the anchor screws and frame are attached, a separate distracter distracts the vertebrae away from each other, whereupon the instrument acts only as a retainer to hold the vertebrae apart.
摘要翻译: 一种用于分散至少两个相邻椎骨和/或将它们保持在间隔开的位置的方法。 锚固螺钉被固定到相邻的椎骨上,并且保持器 - 分离器械框架的管子在锚定螺钉上向下滑动,之后锚定螺钉被牢固地固定到框架的管子上。 框架包括用于移动臂的结构,并且因此锚定螺钉和椎骨彼此朝向和远离。 锚固螺钉和框架连接后,单独的分配器将脊椎骨远离彼此,因此仪器仅作为保持器将椎骨分开。
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公开(公告)号:US5480442A
公开(公告)日:1996-01-02
申请号:US265190
申请日:1994-06-24
申请人: Rudolf Bertagnoli
发明人: Rudolf Bertagnoli
CPC分类号: A61F2/44 , A61F2/441 , A61F2/30965 , A61F2002/2835 , A61F2002/30133 , A61F2002/30224 , A61F2002/30235 , A61F2002/30329 , A61F2002/3037 , A61F2002/30405 , A61F2002/30433 , A61F2002/30448 , A61F2002/30538 , A61F2002/3055 , A61F2002/30583 , A61F2002/30601 , A61F2002/30604 , A61F2002/30772 , A61F2002/30904 , A61F2002/30909 , A61F2002/4475 , A61F2002/4631 , A61F2210/0085 , A61F2220/0025 , A61F2220/0033 , A61F2220/0041 , A61F2220/005 , A61F2230/0015 , A61F2230/0069 , A61F2250/0006 , Y10S606/907
摘要: An implant for replacing vertebrae has a central load bearing member with a first end and a second end. A first support element is positioned at the first end and a second support element is positioned at the second end. At least one of the first and second support elements has a contact surface, wherein an angle of the contact surface relative to the central load bearing member and the adjacent vertebrae is adjustable for abutting at the adjacently arranged vertebrae. After adjusting the angle of the contact surface, the first and second support elements are fixedly connected to the central load bearing member.
摘要翻译: 用于替换椎骨的植入物具有带有第一端和第二端的中心承载构件。 第一支撑元件位于第一端,第二支撑元件位于第二端。 所述第一和第二支撑元件中的至少一个具有接触表面,其中所述接触表面相对于所述中心承载构件和所述相邻椎骨的角度是可调节的,用于在相邻排列的椎骨处邻接。 在调节接触表面的角度之后,第一和第二支撑元件固定地连接到中心承载构件。
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公开(公告)号:US08920473B2
公开(公告)日:2014-12-30
申请号:US11952575
申请日:2007-12-07
申请人: Frank T. Trautwein , Bernhard Holtkamp , Rudolf Bertagnoli , Markus Salvermoser , Gary L. Lowery , Guntmar H. Eisen
发明人: Frank T. Trautwein , Bernhard Holtkamp , Rudolf Bertagnoli , Markus Salvermoser , Gary L. Lowery , Guntmar H. Eisen
CPC分类号: A61B17/7029 , A61B17/1757 , A61B17/7007 , A61B17/701 , A61B17/7023 , A61B17/7025 , A61B17/7028 , A61B17/708 , A61B17/8863 , A61B17/8897 , A61B2017/681 , A61B2090/037 , A61B2090/061
摘要: A functionally dynamic stabilization unit and system for treatment of spinal instability are provided. Each unit, and collectively, the system, is configured to control flexion, extension and translation of the affected unstable vertebral area, thereby stabilizing the vertebral segments by restoring normal function. This is achieved by providing a unit and system that allow for lateral bending, axial compression, rotation, anterior segmental height adjustment, and posterior segmental height adjustment. The unit and system provide sufficient segmental stiffness, while also limiting, or controlling, the range of motion (i.e., sufficient stiffness in the neutral or active zone, while limiting or preventing motion outside of the active zone) to stabilize the vertebral segments. In use, the system mimics the natural movement of the normal spine. Furthermore, the system includes a rigid, fusion-promoting coupler configured for use in an adjacent level, or as a substitute for the functionally dynamic unit. The modularity of the system allows adjustment over time and easier revision surgery, and is configured for minimally-invasive, delivery or implantation.
摘要翻译: 提供了用于治疗脊柱不稳定性的功能性动态稳定单元和系统。 每个单位,并且统称为系统,被配置为控制受影响的不稳定脊椎区域的屈曲,伸展和平移,从而通过恢复正常功能来稳定椎骨段。 这是通过提供允许横向弯曲,轴向压缩,旋转,前节段高度调节和后部段高度调节的单元和系统来实现的。 该单元和系统提供足够的节段刚度,同时还限制或控制运动范围(即,中性或活动区域中的足够的刚度,同时限制或防止活动区域外的运动)以稳定椎骨段。 在使用中,系统模仿正常脊柱的自然运动。 此外,该系统包括被配置为用于相邻级别的刚性,融合促进耦合器,或者作为功能动态单元的替代。 该系统的模块化允许随着时间的推移进行调整,并且更容易进行修复手术,并且被配置用于微创,输送或植入。
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公开(公告)号:US08002833B2
公开(公告)日:2011-08-23
申请号:US10505969
申请日:2003-02-25
IPC分类号: A61F2/44
CPC分类号: A61F2/4611 , A61B17/025 , A61B2017/0256 , A61F2/442 , A61F2/4455 , A61F2002/2835 , A61F2002/30131 , A61F2002/30192 , A61F2002/30331 , A61F2002/30354 , A61F2002/30383 , A61F2002/30502 , A61F2002/30507 , A61F2002/30596 , A61F2002/30604 , A61F2002/30774 , A61F2002/30785 , A61F2002/30975 , A61F2002/4475 , A61F2002/4622 , A61F2002/4627 , A61F2002/4687 , A61F2220/0025 , A61F2220/0033 , A61F2230/0013 , A61F2230/0041
摘要: An intersomatic implant (1a, 1b) maintains bone graft material in a receiving cavity formed in a disc in order to obtain intervertebral fusion. The implant (1a, 1b) includes of a plurality of parts provided with means for in situ connection of two consecutive parts. Instruments (33) are used to connect these implants (1a, 1b) and a tool assists in introducing these implants (1a, 1b) into the cavity formed in the disc.
摘要翻译: 异体植入物(1a,1b)将骨移植材料保持在形成在椎间盘中的接收腔中,以获得椎间融合。 植入物(1a,1b)包括多个部件,其具有用于原位连接两个连续部分的装置。 仪器(33)用于连接这些植入物(1a,1b),并且工具有助于将这些植入物(1a,1b)引入到形成在盘中的空腔中。
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公开(公告)号:US20100217395A1
公开(公告)日:2010-08-26
申请号:US12375071
申请日:2007-07-24
申请人: Rudolf Bertagnoli , Shaun Hanson , Joern Richter , John Furda , Fabian Haller , David Gerber , Roger Berger , Stefanie Kaufmann
发明人: Rudolf Bertagnoli , Shaun Hanson , Joern Richter , John Furda , Fabian Haller , David Gerber , Roger Berger , Stefanie Kaufmann
CPC分类号: A61F2/442 , A61B17/144 , A61B17/15 , A61B17/1604 , A61B17/1671 , A61F2/44 , A61F2/4425 , A61F2/4684 , A61F2002/30056 , A61F2002/30112 , A61F2002/30331 , A61F2002/30383 , A61F2002/30448 , A61F2002/30485 , A61F2002/30507 , A61F2002/30576 , A61F2002/30594 , A61F2002/30604 , A61F2002/30677 , A61F2002/30884 , A61F2002/30891 , A61F2002/30894 , A61F2002/30897 , A61F2002/30899 , A61F2002/30901 , A61F2002/30902 , A61F2002/30904 , A61F2002/30932 , A61F2002/443 , A61F2002/449 , A61F2220/0008 , A61F2220/0025 , A61F2220/0033 , A61F2220/005 , A61F2230/0004 , A61F2250/0032 , A61F2310/00023 , A61F2310/00161 , A61F2310/00179 , A61F2310/00449 , A61F2310/00574 , A61F2310/0058 , A61F2310/0088 , A61F2310/0097 , Y10T83/9454
摘要: An intervertebral implant component of an intervertebral implant includes an outer surface for engaging an adjacent vertebra and an inner surface. A keel extends from the outer surface and is designed to be disposed in a slot provided in the adjacent vertebra. This keel extends in a plane which is non-perpendicular to the outer surface; and preferably there are two of the keels extending from the outer surface which are preferably offset laterally from one another. In another embodiment, an anterior shelf is provided at an anterior end of the outer surface, and this anterior shelf extends vertically away from the inner surface in order to help prevent bone growth from the adjacent vertebra towards the inner surface. Further in accordance with disclosed embodiments, various materials, shapes and forms of construction of the component and/or keel provide various benefits.
摘要翻译: 椎间植入物的椎间植入物组件包括用于接合相邻椎骨和内表面的外表面。 龙骨从外表面延伸并被设计成设置在设置在相邻椎骨中的狭槽中。 该龙骨在非垂直于外表面的平面内延伸; 并且优选地,从外表面延伸的两个龙骨中的两个优选地彼此横向偏离。 在另一个实施例中,前搁板设置在外表面的前端,并且该前搁板从内表面垂直延伸,以帮助防止骨相对于相邻椎骨向内表面的生长。 此外,根据所公开的实施例,组件和/或龙骨的各种材料,形状和结构形式提供了各种益处。
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