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公开(公告)号：US07799053B2
公开(公告)日：2010-09-21
申请号：US10795880
申请日：2004-03-08
IPC分类号： A61B17/70
CPC分类号： A61B17/7064 , A61B17/7011
摘要： A spinal stabilization system comprises an elongated stabilization device including a curved configuration along a longitudinal axis thereof. The elongated stabilization device includes a length and cross-section sized for positioning through a pathway formed from an opening in a lateral mass of a first vertebra and into the first vertebra, through the facet joint formed by adjacent articular surfaces of the first vertebra and an adjacent bony structure, and into the adjacent bony structure. Instruments can be provided to form the pathway and insert the stabilization device into the pathway.
摘要翻译： 脊柱稳定系统包括细长的稳定装置，其包括沿其纵向轴线的弯曲构型。 细长的稳定装置包括长度和横截面尺寸，用于通过由第一椎骨的横向质量块中的开口形成并且穿过第一椎骨的通路，通过由第一椎骨的相邻关节表面形成的小关节和 相邻的骨骼结构，并进入相邻的骨结构。 可以提供仪器以形成通路并将稳定装置插入通路。
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公开(公告)号：US08545570B2
公开(公告)日：2013-10-01
申请号：US12353295
申请日：2009-01-14
申请人： Paul Charles Crabtree , Gregory C. Marik , Abraham Biglari Salehi , Kevin Dale Weaver , Frantz Langlais , Denis Huten , Henry Dennis Harrison
发明人： Paul Charles Crabtree , Gregory C. Marik , Abraham Biglari Salehi , Kevin Dale Weaver , Frantz Langlais , Denis Huten , Henry Dennis Harrison
IPC分类号： A61F2/38
CPC分类号： A61F2/3845 , A61B17/1659 , A61F2/30744 , A61F2/385 , A61F2/3854 , A61F2/3859 , A61F2/3868 , A61F2/389 , A61F2/4684 , A61F2002/30034 , A61F2002/30062 , A61F2002/30131 , A61F2002/30332 , A61F2002/30433 , A61F2002/30497 , A61F2002/30563 , A61F2002/30604 , A61F2002/30878 , A61F2002/30884 , A61F2210/0004 , A61F2220/0025 , A61F2220/0033 , A61F2220/0041 , A61F2230/0013
摘要： Methods, systems, and devices for replacement of a joint with a prosthetic system that replicates the natural kinematics of the joint is disclosed. A prosthetic system according to one embodiment includes a tibial component having a tibial plateau and a tibial stem portion, the tibial plateau having a top side and a bottom side, a tibial insert, with a bearing surface, adapted to be positioned on the top side of the tibial plateau, a femoral component having a base portion and a central housing, the femoral component having an axis of extension-flexion rotation, the base portion having a pair of condyles, a mechanical linkage component linking the tibial component with the femoral component and with the tibial insert in between the tibial component and the femoral component, so that there is a center of contact between the condyles and the bearing surface, the mechanical linkage component adapted to allow the center of contact to move posteriorly during flexion, provide for the movement of the axis of extension-flexion rotation in the superior-inferior direction, and allow rotation of the tibial component, the bearing surface, and the femoral component about a superior-inferior axis in order to provide and control the natural kinematics of the knee joint.
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公开(公告)号：US20130190821A1
公开(公告)日：2013-07-25
申请号：US13354591
申请日：2012-01-20
IPC分类号： A61B17/70
CPC分类号： A61B17/7032 , A61B17/7022
摘要： A spinal correction system comprises a flexible longitudinal element extending between a first end and a second end. At least one fixation element includes a first portion and a second portion. The first portion includes an inner surface that defines a cavity such that the longitudinal element is disposable therein. The second portion is configured for penetrating tissue. A coupling member is engageable with the first portion of the at least one fixation element and the longitudinal element to connect the longitudinal element with the at least one fixation element. The coupling member includes a penetrating element configured to extend through the longitudinal element. A flexible member is disposed between the longitudinal element and the inner surface of the first portion of the at least one fixation element. Methods of use are disclosed.
摘要翻译： 脊柱矫正系统包括在第一端和第二端之间延伸的柔性纵向元件。 至少一个固定元件包括第一部分和第二部分。 第一部分包括限定空腔的内表面，使得纵向元件在其中是一次性的。 第二部分构造成用于穿透组织。 联接构件可与至少一个固定元件的第一部分和纵向元件接合，以将纵向元件与至少一个固定元件连接。 联接构件包括构造成延伸穿过纵向元件的穿透元件。 柔性构件设置在纵向元件和至少一个固定元件的第一部分的内表面之间。 公开了使用方法。
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公开(公告)号：US20130150864A1
公开(公告)日：2013-06-13
申请号：US13323039
申请日：2011-12-12
申请人： Gregory C. Marik , Siddiqui Danish , Trevor Seck
发明人： Gregory C. Marik , Siddiqui Danish , Trevor Seck
IPC分类号： A61B17/56
CPC分类号： A61B17/8888
摘要： A surgical instrument includes a first member extending along a longitudinal axis having a first end configured to mate with a head of a threaded member, the first end having a first configuration such that the first end loosely mates with the head of the threaded member and a second configuration such that the first end tightly mates with the head of the threaded member. The surgical instrument further includes a second member configured to expand the head from the first configuration to the second configuration. Methods of use are disclosed.
摘要翻译： 手术器械包括沿着纵向轴线延伸的第一构件，其具有构造成与螺纹构件的头部配合的第一端，第一端部具有第一构造，使得第一端部与螺纹构件的头部松散地配合， 第二构造使得第一端部与螺纹构件的头部紧密配合。 手术器械还包括构造成将头部从第一构型扩展到第二构造的第二构件。 公开了使用方法。
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公开(公告)号：US20130110174A1
公开(公告)日：2013-05-02
申请号：US13285268
申请日：2011-10-31
申请人： Gregory C. Marik
发明人： Gregory C. Marik
IPC分类号： A61B17/88
CPC分类号： A61B17/7032
摘要： A method for installing a vertebral construct includes anchoring a first bone fixation apparatus having a receiver with a channel configured to receive the vertebral construct and a bone anchor configured for engaging a first vertebral body to the first vertebral body. The vertebral construct is positioned within the channel of the receiver of the first bone fixation apparatus. A second bone fixation apparatus having a receiver with a channel configured to receive the vertebral construct and a bone anchor configured for engaging a second vertebral body is anchored into the second vertebral body. The vertebral construct positioned within the channel of the receiver of the first bone fixation apparatus is then positioned within the channel of the receiver of the second bone fixation apparatus so as to secure the vertebral construct to the first and second bone fixation apparatuses.
摘要翻译： 一种用于安装椎骨构造的方法包括：固定具有接收器的第一骨固定装置，该接收器具有构造成接收椎骨构造的通道和被构造成用于将第一椎体接合到第一椎体的骨锚。 椎骨构造物位于第一骨固定装置的接收器的通道内。 具有接收器的第二骨固定设备被固定到第二椎体中，所述接收器具有被配置为接收椎骨构造的通道和被配置用于接合第二椎体的骨锚。 定位在第一骨固定装置的接收器的通道内的椎体结构然后被定位在第二骨固定设备的接收器的通道内，以便将椎体结构固定到第一和第二骨固定设备。
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公开(公告)号：US08147547B2
公开(公告)日：2012-04-03
申请号：US11118706
申请日：2005-04-29
IPC分类号： A61F2/44
CPC分类号： A61F2/442 , A61B17/80 , A61B17/808 , A61F2/30723 , A61F2/4611 , A61F2002/009 , A61F2002/30138 , A61F2002/30576 , A61F2002/30932 , A61F2002/4619 , A61F2002/4629 , A61F2230/0017
摘要： Embodiments for a spinal implant having elements that are accessible by a surgical approach and releasably engagable by a surgical tool for improved revision of the spinal implant about a patient's spine.
摘要翻译： 脊柱植入物的实施例具有可通过手术方法接近并且可由外科手术工具释放地接合的元件的元件，用于改善围绕患者脊柱的脊柱植入物的修正。
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公开(公告)号：US20110184468A1
公开(公告)日：2011-07-28
申请号：US12695508
申请日：2010-01-28
CPC分类号： A61B17/7068
摘要： A spinal implant clamps to the spinous processes and provides an osteointegration material between the spinous processes so that there may be osteointegration between the spinous processes and a portion of the implant located in the interspinous space. The implant includes first and second plates, a post that extends between the plates and into at least one of the plates, a locking mechanism for locking the relative positions of the plates, and an osteointegration sleeve. The sleeve is disposed between the first and second plates and has an inner surface defining a longitudinal through-passage that is disposed about an outer surface of the post. The sleeve includes osteointegration material and is distinct from the post. The osteointegration material of the sleeve may be, for example, allograft bone or a bone growth material such as bone morphogenetic protein. Related methods are also described.
摘要翻译： 脊柱植入物夹持到棘突并在棘突之间提供骨整合材料，使得在棘突之间可能存在骨整合，以及位于椎间盘间隙中的植入物的一部分。 植入物包括第一和第二板，柱在板之间延伸并且进入至少一个板，用于锁定板的相对位置的锁定机构和骨整合套筒。 套筒设置在第一和第二板之间，并且具有限定纵向通道的内表面，该纵向通道围绕柱的外表面设置。 套筒包括骨整合材料，并且与柱子不同。 套筒的骨整合材料可以是例如同种异体移植骨或骨生长材料如骨形态发生蛋白。 还描述了相关方法。
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公开(公告)号：US06736821B2
公开(公告)日：2004-05-18
申请号：US10174017
申请日：2002-06-18
申请人： Craig M. Squires , Gregory C. Marik
发明人： Craig M. Squires , Gregory C. Marik
IPC分类号： A61F500
CPC分类号： A61B17/025 , A61B17/1628 , A61B17/1671 , A61B17/1757 , A61B34/10 , A61B2017/0256 , A61B2017/564
摘要： A system and method of contouring a perimeter surface of a vertebral body. The invention includes positioning a reference mechanism relative to one or more vertebral bodies. In one embodiment, the reference mechanism is positioned relative to the disc space between adjacent vertebral bodies. The reference mechanism may have a variety of forms, including mechanical, computerized, and visual. A bone removal mechanism is aligned with the reference mechanism to contour the vertebral body or bodies. A predetermined relationship exists between the bone removal mechanism and the reference mechanism. The predetermined relationship provides for the bone removal mechanism to contour the vertebral body or bodies in a precise fashion.
摘要翻译： 描绘椎体周边表面的系统和方法。 本发明包括相对于一个或多个椎体定位参考机构。 在一个实施例中，参考机构相对于相邻椎体之间的椎间盘空间定位。 参考机构可以具有各种形式，包括机械，计算机和视觉。 骨移除机构与参考机构对齐以轮廓椎体或身体。 骨移除机构与参照机构之间存在规定的关系。 预定的关系提供了骨移除机构以精确的方式轮廓化椎体或身体。
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公开(公告)号：US06074121A
公开(公告)日：2000-06-13
申请号：US886213
申请日：1997-06-30
CPC分类号： H01R4/302 , Y10T403/1608 , Y10T403/27 , Y10T403/7041
摘要： A vibration-tolerant torque limiting fastening lug whereupon tightening of the set-screw produces a parasitic torque at the thread plane defining the set-screw/housing interface. The resultant parasitic torque acts in opposite direction to the installation torque such that the actual torque below the thread plane is less than the installation torque. As a result, the tensile force experienced by the set-screw and which acts against the housing of the lug is reduced.
摘要翻译： 耐扭矩限制紧固凸耳，因此固定螺钉的紧固在限定定位螺钉/壳体接口的螺纹平面处产生寄生扭矩。 所产生的寄生转矩与安装扭矩的方向相反，使得螺纹平面以下的实际扭矩小于安装扭矩。 结果，减小了固定螺钉所经受并且作用在凸耳壳体上的张力。
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公开(公告)号：US08652034B2
公开(公告)日：2014-02-18
申请号：US13252522
申请日：2011-10-04
IPC分类号： A61B1/32
CPC分类号： A61B17/3421 , A61B2017/00261 , A61B2017/00946 , A61B2017/3407 , A61B2017/3492
摘要： A surgical instrument stabilizer includes a body having a first material and a second material. The first material includes a wall defining an inner surface and an outer surface. The inner surface defines a first cavity configured for disposal of the second material. The outer surface defines an outer portion, a lateral portion and an inner portion. At least a portion of the lateral portion is configured to flexibly conform to a patient body surface. The inner portion defines a second cavity for disposal of an instrument and is configured to engage an outer surface of the instrument. Methods of use are disclosed.
摘要翻译： 外科器械稳定器包括具有第一材料和第二材料的主体。 第一材料包括限定内表面和外表面的壁。 内表面限定了构造成用于处置第二材料的第一腔。 外表面限定外部部分，侧向部分和内部部分。 横向部分的至少一部分被配置为柔性地符合患者身体表面。 内部部分限定用于处置器械的第二腔体，并且构造成接合仪器的外表面。 公开了使用方法。
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