摘要:
An elongated member forming a spinal support rod is implantable adjacent the spine of a patient, and includes an axial span or spans for spanning respective spinal levels to promote efficacious spinal support/stabilization. As with conventional spinal support rods used in connection with lumbar fusion and other related procedures, the elongated member extends in an axial direction, and is substantially dimensionally stable, both radially and axially. The elongated member is further capable of bending, flexing, and/or deflecting laterally (e.g., along any and/or substantially all transverse directions) to an extent that preserves at least some spinal motion. Such elongated members can include axial spans that manifest a radially segmented geometry relative to the axial direction, include a sleeve and a series of structural members or a coil spring enclosed within the sleeve, and/or include a coil spring and a restraining element passing at least partially through the coil spring.
摘要:
An elongated member forming a spinal support rod is implantable adjacent the spine of a patient and includes an axial span or spans for spanning respective spinal levels to promote efficacious spinal support/stabilization. The axial span has an axially articulable geometry, and manifests an angulation mechanism along one or more transverse directions of at least seven degrees across a given spinal level. The angulation mechanism may be associated with joints between structural elements assembled in serial along the axial span, or via a common connection between such structural elements and a restraining element. Rotation between such structural elements can be global. The axial span may have a rod-like profile of a diameter similar to conventional spinal support rods used for lumbar spinal fusion, and provides for use across multiple spinal levels and with multiple adjustable attachment points for associated spine attachment devices to accommodate different patient anatomies.
摘要:
An elongated member forming a spinal support rod is implantable adjacent the spine of a patient and includes an axial span or spans for spanning respective spinal levels to promote efficacious spinal support/stabilization. The axial span manifests a double helical geometry. The axial span has a rod-like profile of a diameter similar to conventional spinal support rods used for lumbar spinal fusion, and provides for use across multiple spinal levels and with multiple adjustable attachment points for associated spine attachment devices, such as pedicle screws, to accommodate different patient anatomies.
摘要:
A pedicle screw is provided that includes an upwardly extending collet. The collet may include downwardly extending slots that define deflectable segments therebetween. When a spherical element or other structure, e.g., a non-dynamic stabilizing element, is positioned around the collet, introduction of a set screw causes outward deflection of the upstanding segments into engagement with the spherical element. A snap ring may be interposed between the collet and the spherical element to facilitate positioning therebetween. In an alternative embodiment, a non-slotted collet is employed. In such embodiment, the collet and the spherical element may be threadingly engaged and may include a snap ring therebetween. The pedicle screw subassemblies may be incorporated into a spinal stabilization system which may include a dynamic stabilizing member to provide clinically efficacious results.
摘要:
A motion interface structure for use with a pedicle screw is provided, the motion interface structure defining a central passage having an internal face. A helical thread is formed on at least a portion of the internal face of the central passage. The motion interface element is designed to cooperate with an upstanding region of a pedicle screw. The upstanding region includes a threaded region that is adapted to threadingly engage the helical thread associated with the motion interface element. The motion interface element may take the form of a spherical element or a universal joint mechanism. The pedicle screw and motion interface element may be incorporated into a spinal stabilization system that includes one or more additional pedicle screw/motion interface element subassemblies. The spinal stabilization system may also include a dynamic stabilizing element that provides clinically efficacious results.
摘要:
A pedicle screw is provided that includes an upwardly extending collet. The collet may include downwardly extending slots that define deflectable segments therebetween. When a spherical element or other structure, e.g., a non-dynamic stabilizing element, is positioned around the collet, introduction of a set screw causes outward deflection of the upstanding segments into engagement with the spherical element. A snap ring may be interposed between the collet and the spherical element to facilitate positioning therebetween. In an alternative embodiment, a non-slotted collet is employed. In such embodiment, the collet and the spherical element may be threadingly engaged and may include a snap ring therebetween. The pedicle screw subassemblies may be incorporated into a spinal stabilization system which may include a dynamic stabilizing member to provide clinically efficacious results.
摘要:
A motion interface structure for use with a pedicle screw is provided, the motion interface structure defining a central passage having an internal face. A helical thread is formed on at least a portion of the internal face of the central passage. The motion interface element is designed to cooperate with an upstanding region of a pedicle screw. The upstanding region includes a threaded region that is adapted to threadingly engage the helical thread associated with the motion interface element. The motion interface element may take the form of a spherical element or a universal joint mechanism. The pedicle screw and motion interface element may be incorporated into a spinal stabilization system that includes one or more additional pedicle screw/motion interface element subassemblies. The spinal stabilization system may also include a dynamic stabilizing element that provides clinically efficacious results.
摘要:
A pedicle screw assembly is provided that includes a pedicle screw and a preloaded set screw. The set screw is preloaded in a threaded, central aperture formed in the head region of the pedicle screw. An interference is advantageously formed on the set screw to prevent dislodgement of the set screw, e.g., during shipment and/or clinical placement of the pedicle screw. An upwardly extending collet is generally formed in the head region of the pedicle screw, the collet being sized to receive a spherical element therearound. Advancement of the set screw relative to the pedicle screw secures the spherical element relative to the pedicle screw. The spherical element typically includes a socket member that cooperates with a dynamic stabilizing member. The pedicle screw assembly and dynamic stabilizing member are advantageously used as part of a spinal stabilization system to provide clinically efficacious results.
摘要:
The invention features a method of blood pool imaging which utilizes an imaging agent which can be easily labelled with a radioactive isotope and injected into a patient. The imaging agent is a covalent conjugate of a polymeric carrier, protective groups, and chelating groups. The imaging agent is preferably provided in the form of a blood pool imaging composition, which includes an imaging agent of the invention, a buffer and a reducing compound. A radioactive isotope is added to the blood pool imaging composition to label the imaging agent, and the composition containing the labelled imaging agent is injected intravenously into a patient.