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公开(公告)号：US07318826B2
公开(公告)日：2008-01-15
申请号：US10420422
申请日：2003-04-22
申请人： George P. Teitelbaum , Samuel M. Shaolian , Thanh Van Nguyen , Frank Nguyen , To V. Pham , Vincent Divino, Jr. , Michael R. Henson
发明人： George P. Teitelbaum , Samuel M. Shaolian , Thanh Van Nguyen , Frank Nguyen , To V. Pham , Vincent Divino, Jr. , Michael R. Henson
IPC分类号： A61B17/56
CPC分类号： A61B17/1617 , A61B17/1642 , A61B17/1675 , A61B17/1757 , A61B17/320016 , A61B17/7097 , A61B2017/00261 , A61B2017/00867 , A61B2017/564 , A61F2/442 , A61F2002/444
摘要： A flexible drill and method of drilling a material are disclosed. According to one embodiment, a flexible drill includes a lower sub-assembly connected to an upper sub-assembly, where the lower sub-assembly comprises a retainer tube and the upper sub-assembly comprises a guiding tube; a drilling tip, and capable of orienting the drilling tip at a predetermined position after accessing a material to he drilled through a substantially straight passage having a lone axis. The predetermined position is at least 10° off of the lone axis of the substantially straight passage. According to one embodiment, a method of drilling a material includes the steps of (a) providing a flexible drill; (b) advancing the drill through a substantially straight passage until the drilling tip accesses the material to be drilled, thereby orienting the drilling tip at the predetermined position; and (c) actuating the drill.
摘要翻译： 公开了一种钻孔材料的柔性钻孔和钻孔方法。 根据一个实施例，柔性钻头包括连接到上部子组件的下部子组件，其中下部子组件包括保持器管，并且上部子组件包括导向管; 钻头，并且能够在将钻头从访问通过具有单独轴线的基本上直的通道钻出的材料之后定位在预定位置。 预定位置距离基本上直的通道的单独轴线至少10°。 根据一个实施例，钻探材料的方法包括以下步骤：（a）提供柔性钻头; （b）将钻头推进通过基本上直的通道，直到钻头接触待钻探的材料，从而将钻头定位在预定位置; 和（c）致动钻头。
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公开(公告)号：US07241297B2
公开(公告)日：2007-07-10
申请号：US10607070
申请日：2003-06-25
申请人： Samuel M. Shaolian , George P. Teitelbaum , Thanh Van Nguyen , Frank Nguyen , To V. Pham , Vincent Divino, Jr. , Michael R. Henson
发明人： Samuel M. Shaolian , George P. Teitelbaum , Thanh Van Nguyen , Frank Nguyen , To V. Pham , Vincent Divino, Jr. , Michael R. Henson
IPC分类号： A61B17/56
CPC分类号： A61B17/1617 , A61B17/1642 , A61B17/1675 , A61B17/1757 , A61B17/320016 , A61B17/7097 , A61B2017/00261 , A61B2017/00867 , A61B2017/564 , A61F2/442 , A61F2002/444
摘要： Methods and devices for treating diseases and conditions that change the spacial relationship between the vertebral bodies and the intervertebral disks, or that cause instability of the vertebral column, or both, and a method and devices that allow the surgeon to access the intervertebral space to restore a more normal three-dimensional configuration of the space, with or without additionally fusing two adjacent vertebrae.
摘要翻译： 用于治疗改变椎体和椎间盘之间的空间关系或导致椎体柱的不稳定性或两者的疾病和病症的方法和装置，以及允许外科医生进入椎间空间以恢复的方法和装置 更加正常的三维空间配置，有或没有额外地融合两个相邻的椎骨。
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公开(公告)号：US07867233B2
公开(公告)日：2011-01-11
申请号：US10606409
申请日：2003-06-25
IPC分类号： A61B17/56
CPC分类号： A61B17/1617 , A61B17/1642 , A61B17/1675 , A61B17/1757 , A61B17/320016 , A61B17/7097 , A61B2017/00261 , A61B2017/00867 , A61B2017/564 , A61F2/442 , A61F2002/444
摘要： Methods and devices for treating diseases and conditions that change the spacial relationship between the vertebral bodies and the intervertebral disks, or that cause instability of the vertebral column, or both, and a method and devices that allow the surgeon to access the intervertebral space to restore a more normal three-dimensional configuration of the space, with or without additionally fusing two adjacent vertebrae.
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公开(公告)号：US20100256619A1
公开(公告)日：2010-10-07
申请号：US12728013
申请日：2010-03-19
IPC分类号： A61B18/20
CPC分类号： A61F2/4455 , A61B17/1617 , A61B17/1642 , A61B17/1671 , A61B17/1757 , A61B17/70 , A61B18/1477 , A61B18/24 , A61B2017/003 , A61B2018/0044 , A61B2018/1425 , A61B2018/2211 , A61B2018/2238 , A61F2/30744 , A61F2/442 , A61F2/446 , A61F2/4611 , A61F2002/30092 , A61F2002/30579 , A61F2002/30599 , A61F2002/30841 , A61F2002/449 , A61F2002/4627 , A61F2210/0014 , A61F2250/0063
摘要： An embodiment of the present invention is directed to methods and devices for treating diseases and conditions that change the special relationship between vertebral bodies and intervertebral disks. A method for performing a transpedicular discectomy procedure may include creating a transpedicular channel to a first vertebral body through a first pedicle of a first vertebra; inserting a flexible drill through the transpedicular channel causing the flexible drill to make an approximately 90 degree angle, the flexible drill creating a channel through the first vertebral body into an intervertebral disk; and removing a portion of the intervertebral disk with a laser device. A laser catheter device for use in ablation and removal of intervertebral disk material in a percutaneous transpedicular approach may include an elongated tube comprising a first lumen and a second lumen, the first lumen comprising a fiber optics bundle and the second lumen for evacuation of ablated material; and a Holmium-YAG infrared laser or a laser diode for generating laser energy to the distal end through the elongated tube.
摘要翻译： 本发明的一个实施例涉及用于治疗改变椎体和椎间盘之间的特殊关系的疾病和病症的方法和装置。 用于执行经椎弓根椎间盘切除术的方法可包括通过第一椎骨的第一椎弓根产生经椎弓根通道到第一椎体; 将柔性钻头插入经椎弓根通道中，使得柔性钻头形成大约90度的角度，柔性钻头通过第一椎体产生通道进入椎间盘; 以及用激光装置去除椎间盘的一部分。 用于在经皮经椎弓根进路中消融和去除椎间盘材料的激光导管装置可以包括细长管，其包括第一腔和第二腔，所述第一腔包括光纤束，所述第二腔用于排除消融材料 ; 以及用于通过细长管向远端产生激光能量的钬-YAG红外激光器或激光二极管。
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公开(公告)号：US08211153B2
公开(公告)日：2012-07-03
申请号：US11428269
申请日：2006-06-30
IPC分类号： A61B17/88
CPC分类号： A61B17/1671 , A61B17/1615 , A61B17/1642 , A61B17/1757 , A61B17/3468 , A61B17/3472 , A61B17/7001 , A61B17/7004 , A61B17/7005 , A61B17/7011 , A61B17/7019 , A61B17/702 , A61B17/704 , A61B17/7082 , A61B17/7083 , A61B17/7086 , A61B17/7089 , A61B17/861 , A61B17/864 , A61B17/8861 , A61B17/8897 , A61B2017/90
摘要： The present invention relates generally to systems and methods for aligning and implanting orthopedic fixation or stabilization implants within the body. In one embodiment, the system includes at least two bone anchors, at least one of which is provided with a transverse portal and a locking member. In one aspect, the system also includes at least one linkage rod, for linking two or more bone anchors through their respective locking members. The linking rod may include at least one angularly adjustable joint, which may be fixed by actuating the locking member. The bone anchors and the linkage rod may be locked into place to form a spinal fusion or fixation prosthesis.
摘要翻译： 本发明总体上涉及用于在整个身体内对准和植入矫形外科固定或稳定植入物的系统和方法。 在一个实施例中，该系统包括至少两个骨锚，其中至少一个具有横向入口和锁定构件。 在一个方面，该系统还包括至少一个连杆，用于通过其相应的锁定构件连接两个或多个骨锚。 连接杆可以包括至少一个角度可调节的接头，其可以通过致动锁定构件来固定。 骨锚和连接杆可以锁定就位以形成脊柱融合或固定假体。
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公开(公告)号：US07833249B2
公开(公告)日：2010-11-16
申请号：US10854097
申请日：2004-05-26
IPC分类号： A61B17/70
CPC分类号： A61B17/1697 , A61B17/1671 , A61B17/1757 , A61B17/1796 , A61B17/60 , A61B17/7002 , A61B17/7008 , A61B17/7013 , A61B17/864 , A61B2017/00557 , A61F2/4611
摘要： An implantable inflatable orthopedic device is provided. The device comprises a flexible wall, defining an interior cavity, a reinforcing element exposed to the cavity, an inflation pathway in communication with the cavity, and a valve, for closing the pathway. A delivery catheter is also provided for removably carrying the orthopedic device to the treatment site.
摘要翻译： 提供可植入式充气矫形装置。 该装置包括限定内腔的柔性壁，暴露于空腔的加强元件，与空腔连通的充气路径，以及用于封闭路径的阀。 还提供输送导管，用于将矫形装置可移除地携带到治疗部位。
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公开(公告)号：US07914555B2
公开(公告)日：2011-03-29
申请号：US11331140
申请日：2006-01-13
IPC分类号： A61B17/56
CPC分类号： A61B17/8872 , A61B17/3431 , A61B17/3439 , A61B17/7001 , A61B17/7083 , A61B2017/00336 , A61B2017/00557 , A61M25/06 , A61M25/0662 , A61M2025/0024
摘要： Disclosed is an expandable percutaneous sheath, for introduction into the body while in a first, low cross-sectional area configuration, and subsequent expansion to a second, enlarged cross-sectional configuration. The sheath is maintained in the first, low cross-sectional configuration by a removable tubular restraint. In one application, the sheath is utilized to introduce a formed in place orthopedic fixation rod such as for use in spinal fixation procedures.
摘要翻译： 公开了一种可膨胀的经皮鞘，用于在第一低截面区域构造中引入身体，并且随后膨胀至第二扩大横截面构型。 护套通过可移除的管状约束保持在第一低截面形状。 在一个应用中，护套用于引入形成的矫形固定杆，例如用于脊柱固定程序。
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公开(公告)号：US07582106B2
公开(公告)日：2009-09-01
申请号：US10689199
申请日：2003-10-20
IPC分类号： A61B17/70
CPC分类号： A61B17/7008 , A61B17/1671 , A61B17/1697 , A61B17/1757 , A61B17/1796 , A61B17/60 , A61B17/7001 , A61B17/7002 , A61B17/7049 , A61B17/7097 , A61B17/864 , A61B17/8836 , A61B17/8875 , A61B2017/00557 , A61F2/4611 , Y10S606/91
摘要： A subcutaneously assembled in place orthopedic construct is provided, such as for fixation of the spine. The construct includes a first bar and a second bar for attachment to the spine. A crossbar connects the first and second bar, to provide additional structural support. Each of the first bar, the second bar, and the crossbar may be inserted in a minimally invasive procedure, and constructed in place to form the orthopedic device. Each of the first bar, second bar, and crossbar may comprise an inflatable container, adapted for inflation with a hardenable media and cured in place. Methods and delivery structures are also disclosed.
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公开(公告)号：US06899713B2
公开(公告)日：2005-05-31
申请号：US09943636
申请日：2001-08-29
IPC分类号： A61B17/00 , A61B17/16 , A61B17/17 , A61B17/60 , A61B17/70 , A61B17/86 , A61B17/88 , A61F2/46 , A61B17/56
CPC分类号： A61B17/1697 , A61B17/1671 , A61B17/1757 , A61B17/1796 , A61B17/60 , A61B17/7002 , A61B17/7008 , A61B17/7013 , A61B17/864 , A61B2017/00557 , A61F2/4611
摘要： An implantable inflatable orthopedic device is provided. The device comprises a flexible wall, defining an interior cavity, a reinforcing element exposed to the cavity, an inflation pathway in communication with the cavity, and a valve, for closing the pathway. A delivery catheter is also provided for removably carrying the orthopedic device to the treatment site.
摘要翻译： 提供可植入式充气矫形装置。 该装置包括限定内腔的柔性壁，暴露于空腔的加强元件，与空腔连通的充气路径，以及用于封闭路径的阀。 还提供输送导管，用于将矫形装置可移除地携带到治疗部位。
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公开(公告)号：US06875212B2
公开(公告)日：2005-04-05
申请号：US10327706
申请日：2002-12-20
IPC分类号： A61B20060101 , A61B17/00 , A61B17/16 , A61B17/17 , A61B17/56 , A61B17/58 , A61B17/60 , A61B17/70 , A61B17/86 , A61B17/88 , A61F2/44 , A61F2/46 , A61L27/00 , A61L27/34
CPC分类号： A61B17/8863 , A61B17/1671 , A61B17/1697 , A61B17/1757 , A61B17/1796 , A61B17/60 , A61B17/7001 , A61B17/7002 , A61B17/7008 , A61B17/7013 , A61B17/7049 , A61B17/7083 , A61B17/864 , A61B2017/00557 , A61F2/4611
摘要： A subcutaneously formed in place orthopedic fixation device is provided, such as for fixation of the spine or other bone or bones. The device comprises an inflatable member, such as a tubular balloon. The balloon is positioned at a treatment site in the body while in a flexible, low crossing profile configuration. The balloon is thereafter inflated with a hardenable epoxy media comprising one or more epoxy compounds and one or more amine curing compounds that cures rapidly in place with low to moderate exotherm. Methods and delivery structures are also disclosed.
摘要翻译： 提供皮下形成的矫形固定装置，例如用于固定脊柱或其他骨骼或骨骼。 该装置包括可膨胀构件，例如管状气囊。 气囊位于身体的处理部位，同时处于柔性的低交叉剖面结构。 然后，气囊用包含一种或多种环氧化合物和一种或多种胺固化化合物的可硬化环氧介质充气，所述化合物以低至中等放热迅速固化。 还公开了方法和递送结构。
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