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公开(公告)号:US07090677B2
公开(公告)日:2006-08-15
申请号:US10366300
申请日:2003-02-12
申请人: T. Wade Fallin , Daniel E. Gerbec , John R. Pepper
发明人: T. Wade Fallin , Daniel E. Gerbec , John R. Pepper
CPC分类号: A61B17/175
摘要: A mill guide instrument for guiding a tissue cutting tool is provided that is made up of subassemblies of a guide body and a mill guide. The guide body has a distal section dimensioned to fit into a bore in bone and a removable template with a guide surface unique to a proposed cavity shape. The mill guide is connected to the guide body and provides for controlled relative motion between the mill and the guide body. The mill guide has an attached stylus that follows the guide surface of the template. The stylus follows the template guide surface so as to constrain the path of the mill to a preferred milling path.
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公开(公告)号:US08840621B2
公开(公告)日:2014-09-23
申请号:US12357596
申请日:2009-01-22
申请人: Morteza M. Farr , Ephraim Akyuz , T. Wade Fallin , Daniel F. Justin , Joshua A. Butters , Daniel E. Gerbec
发明人: Morteza M. Farr , Ephraim Akyuz , T. Wade Fallin , Daniel F. Justin , Joshua A. Butters , Daniel E. Gerbec
IPC分类号: A61B17/56 , A61B17/02 , A61F2/46 , A61B17/34 , A61B17/16 , A61B19/00 , A61B17/3207 , A61F2/30 , A61B17/29 , A61B17/32 , A61F2/44
CPC分类号: A61B17/025 , A61B17/1604 , A61B17/1659 , A61B17/320708 , A61B17/3421 , A61B17/3468 , A61B90/361 , A61B90/50 , A61B2017/0256 , A61B2017/2904 , A61B2017/320044 , A61B2017/320056 , A61B2017/3447 , A61B2090/3618 , A61F2/4455 , A61F2/447 , A61F2/4601 , A61F2/4611 , A61F2/4684 , A61F2002/30116 , A61F2002/30538 , A61F2002/30616 , A61F2002/30904 , A61F2002/4435 , A61F2002/4627 , A61F2002/4681 , A61F2002/4687 , A61F2230/0006 , A61F2250/0006
摘要: A system for accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate the spine. The location may be at the L4-L5 vertebral level, and the curved path may lie in a plane oblique to the transverse, coronal and sagittal planes of the spine, and avoid the iliac crest. A targeting post may be inserted adjacent the spine to determine the location, and a guide member may be inserted to establish the curved path. A micrometer assembly may adjust a cephalad-caudal displacement between the post and the guide member. One or more intermediate cannulas may be inserted over the guide member to dilate tissues prior to insertion of the main cannula. An interbody device may be implanted into an intervertebral space through the cannula.
摘要翻译: 用于从弯曲的后外侧方法进入脊柱的系统可以包括沿着从皮肤中的开口到靠近脊柱的位置的弯曲路径定位的弯曲插管。 该位置可能在L4-L5椎体水平,并且弯曲的路径可以位于倾斜于脊柱的横向,冠状和矢状平面的平面中,并且避免髂嵴。 可以在脊柱附近插入目标柱以确定位置,并且可以插入引导构件以建立弯曲路径。 测微计组件可以调节柱和引导构件之间的头端 - 尾端位移。 一个或多个中间插管可以在插入主插管之前插入引导构件上以扩张组织。 体间装置可以通过插管植入椎间空间。
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公开(公告)号:US07604654B2
公开(公告)日:2009-10-20
申请号:US11087434
申请日:2005-03-22
申请人: T. Wade Fallin , Daniel E. Gerbec , Joel Dever
发明人: T. Wade Fallin , Daniel E. Gerbec , Joel Dever
IPC分类号: A61B17/70
CPC分类号: A61B17/7028 , A61B17/7007 , A61B17/7025 , A61B17/7052
摘要: A posterior vertebral stabilizer has a resilient member such as a linear spring, which operates in tension and compression. The resilient member may be kept straight by a stabilization rod extending through the spring, or by a telescoping assembly that encases the resilient member. The ends of the stabilizer are attachable to pedicles of adjacent vertebrae so that the stabilizer adds stiffness to control flexion and extension of the vertebrae. Two such stabilizers may be used, and may be connected together by a crosslink designed to limit relative rotation of the stabilizers. Thus, the stabilizers may restrict axial rotation and lateral bending between the vertebrae, while permitting stiffened flexion and extension. Such stabilizers help provide the stiffness of a healthy intervertebral disc. In the event that fusion of the joint becomes necessary, a set screw or other component may be used to further restrict flexion and extension.
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公开(公告)号:US07326196B2
公开(公告)日:2008-02-05
申请号:US10270091
申请日:2002-10-14
CPC分类号: A61M25/007 , A61M25/00 , A61M25/0021 , A61M25/0043
摘要: A catheter assembly for infusion or aspiration of an internal body site includes a catheter comprised of a tubular sidewall extending between a proximal end and an opposing distal end, the sidewall bounding a lumen. At least one port is formed on the catheter so as to communicate with the lumen. At least one filament extends outwardly from the first catheter. The filament is configured to form a fluid pathway within a body of a patient for fluid entering or exiting the at least one port of the catheter when the catheter is implanted within the body of the patient.
摘要翻译: 用于输注或抽吸内部身体部位的导管组件包括导管,其包括在近端和相对远端之间延伸的管状侧壁,所述侧壁限定内腔。 在导管上形成至少一个端口以与内腔连通。 至少一根细丝从第一导管向外延伸。 细丝构造成在患者体内形成流体通道,用于当导管植入患者体内时,流体进入或离开导管的至少一个端口。
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公开(公告)号:US20070179609A1
公开(公告)日:2007-08-02
申请号:US11627709
申请日:2007-01-26
申请人: E. Marlowe Goble , Chad W. Lewis , Daniel F. Justin , M. Mary Sinnott , Daniel E. Gerbec , Karen Mohr , T. Wade Fallin
发明人: E. Marlowe Goble , Chad W. Lewis , Daniel F. Justin , M. Mary Sinnott , Daniel E. Gerbec , Karen Mohr , T. Wade Fallin
IPC分类号: A61F2/28
CPC分类号: A61F2/3859 , A61B17/60 , A61B17/7001 , A61B17/80 , A61B17/86 , A61B2017/00004 , A61F2/0059 , A61F2/12 , A61F2/2803 , A61F2/30721 , A61F2/3099 , A61F2/32 , A61F2/34 , A61F2/36 , A61F2/3662 , A61F2/38 , A61F2/3804 , A61F2/3877 , A61F2/389 , A61F2/40 , A61F2/4081 , A61F2/4202 , A61F2/4261 , A61F2/4425 , A61F2/447 , A61F2002/2807 , A61F2002/30125 , A61F2002/30131 , A61F2002/30429 , A61F2002/30449 , A61F2002/30489 , A61F2002/305 , A61F2002/30626 , A61F2002/30677 , A61F2002/3068 , A61F2002/30785 , A61F2002/30787 , A61F2002/30822 , A61F2002/30878 , A61F2002/30884 , A61F2002/30904 , A61F2002/30991 , A61F2002/30993 , A61F2002/3401 , A61F2002/3611 , A61F2002/3625 , A61F2002/3631 , A61F2002/3813 , A61F2002/3822 , A61F2002/3831 , A61F2002/4018 , A61F2002/4029 , A61F2002/4205 , A61F2002/4207 , A61F2002/4264 , A61F2002/443 , A61F2002/4475 , A61F2220/0025 , A61F2220/005 , A61F2230/0008 , A61F2230/0013 , A61F2250/0068 , A61M5/14244 , A61M2210/02
摘要: The present invention provides integration between an implant system and therapeutic agent delivery system. The implant may include a prosthesis that restores biomechanical function while decreasing long-term disability and pain by replacing damaged or degenerate tissues, or a reconstructive implant such as a bone plate. The therapeutic agent delivery system may include one or more channels either permanently or reversibly attached to the implant. The channels may receive medication from an external pump via a percutaneous catheter. The channels deliver the medication to one or more medicating surfaces of the implant to treating proximate tissues.
摘要翻译: 本发明提供植入物系统和治疗剂递送系统之间的整合。 植入物可以包括恢复生物力学功能的假体,同时通过替换损伤或退化的组织或诸如骨板的重建植入物来减少长期残疾和疼痛。 治疗剂递送系统可以包括永久地或可逆地附着到植入物的一个或多个通道。 通道可以通过经皮导管从外部泵接收药物。 通道将药物递送到植入物的一个或多个治疗表面以处理邻近的组织。
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公开(公告)号:US08529603B2
公开(公告)日:2013-09-10
申请号:US13356947
申请日:2012-01-24
申请人: Daniel E. Gerbec , T. Wade Fallin
发明人: Daniel E. Gerbec , T. Wade Fallin
IPC分类号: A61B17/70
CPC分类号: A61B17/7023 , A61B17/7004 , A61B17/7005 , A61B17/7028 , A61B17/7032 , A61B17/7041
摘要: An intervertebral stabilization device and method is disclosed. The device preferably includes a planar spring enclosed within a housing. The housing is joined to an articulation component at either end, and the articulation components have couplings connectable to anchoring components which are securable to adjacent vertebrae. The planar spring can flex and retract providing relative motion between the adjacent vertebrae. The articulation components are ball and socket joints which allow the entire assembly to flexibly follow the curvature of the spine. A fusion rod with articulation components and couplings at either end may be substituted for the spring device. The couplings enable interchangeability between a fusion rod assembly and spring assembly, so that dynamic stabilization can occur at one vertebral level and fusion at the adjacent vertebral level. An overhung spring assembly with a sideways displaced housing which allows for a shorter pedicle to pedicle displacement is also disclosed.
摘要翻译: 公开了一种椎间稳定装置和方法。 该装置优选地包括封装在壳体内的平面弹簧。 壳体在任一端连接到关节元件,并且关节元件具有可连接到相邻椎骨上的锚固部件的联接件。 平面弹簧可以弯曲和缩回,提供相邻椎骨之间的相对运动。 铰接部件是球窝接头,允许整个组件灵活地跟随脊柱的曲率。 在任一端具有铰接部件和联轴器的熔接杆可以代替弹簧装置。 联轴器使得熔接杆组件和弹簧组件之间可互换,使得动态稳定可以在一个椎体水平处发生并且在相邻椎骨水平处发生融合。 还公开了一种具有允许较短椎弓根向椎弓根移位的侧向移位的外壳的悬臂弹簧组件。
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公开(公告)号:US20120116461A1
公开(公告)日:2012-05-10
申请号:US13350236
申请日:2012-01-13
申请人: Daniel E. Gerbec , T. Wade Fallin
发明人: Daniel E. Gerbec , T. Wade Fallin
IPC分类号: A61B17/88
CPC分类号: A61B17/7023 , A61B17/7004 , A61B17/7005 , A61B17/7028 , A61B17/7032 , A61B17/7041
摘要: An intervertebral stabilization device and method is disclosed. The device preferably includes a planar spring enclosed within a housing. The housing is joined to an articulation component at either end, and the articulation components have couplings connectable to anchoring components which are securable to adjacent vertebrae. The planar spring can flex and retract providing relative motion between the adjacent vertebrae. The articulation components are ball and socket joints which allow the entire assembly to flexibly follow the curvature of the spine. A fusion rod with articulation components and couplings at either end may be substituted for the spring device. The couplings enable interchangeability between a fusion rod assembly and spring assembly, so that dynamic stabilization can occur at one vertebral level and fusion at the adjacent vertebral level. An overhung spring assembly with a sideways displaced housing which allows for a shorter pedicle to pedicle displacement is also disclosed.
摘要翻译: 公开了一种椎间稳定装置和方法。 该装置优选地包括封装在壳体内的平面弹簧。 壳体在任一端连接到关节元件,并且关节元件具有可连接到相邻椎骨上的锚固部件的联接件。 平面弹簧可以弯曲和缩回,提供相邻椎骨之间的相对运动。 铰接部件是球窝接头,允许整个组件灵活地跟随脊柱的曲率。 在任一端具有铰接部件和联轴器的熔接杆可以代替弹簧装置。 联轴器使得熔接杆组件和弹簧组件之间可互换,使得动态稳定可以在一个椎体水平处发生并且在相邻椎骨水平处发生融合。 还公开了一种具有允许较短椎弓根向椎弓根移位的侧向移位的外壳的悬臂弹簧组件。
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公开(公告)号:US20100042153A1
公开(公告)日:2010-02-18
申请号:US12582977
申请日:2009-10-21
申请人: T. Wade Fallin , Daniel E. Gerbec , Joel Dever
发明人: T. Wade Fallin , Daniel E. Gerbec , Joel Dever
CPC分类号: A61B17/7028 , A61B17/7007 , A61B17/7025 , A61B17/7052
摘要: A posterior vertebral stabilizer has a resilient member such as a linear spring, which operates in tension and compression. The resilient member may be kept straight by a stabilization rod extending through the spring, or by a telescoping assembly that encases the resilient member. The ends of the stabilizer are attachable to pedicles of adjacent vertebrae so that the stabilizer adds stiffness to control flexion and extension of the vertebrae. Two such stabilizers may be used, and may be connected together by a crosslink designed to limit relative rotation of the stabilizers. Thus, the stabilizers may restrict axial rotation and lateral bending between the vertebrae, while permitting stiffened flexion and extension. Such stabilizers help provide the stiffness of a healthy intervertebral disc. In the event that fusion of the joint becomes necessary, a set screw or other component may be used to further restrict flexion and extension.
摘要翻译: 后椎骨稳定器具有弹性构件,例如线性弹簧,其在张力和压缩下操作。 弹性构件可以通过延伸穿过弹簧的稳定杆或通过包围弹性构件的伸缩组件保持直线。 稳定器的端部可附接到相邻椎骨的椎弓根,使得稳定器增加刚度以控制椎骨的屈曲和伸展。 可以使用两种这样的稳定剂,并且可以通过被设计成限制稳定剂的相对旋转的交联而连接在一起。 因此,稳定器可以限制椎骨之间的轴向旋转和侧向弯曲,同时允许加强的屈曲和伸展。 这种稳定器有助于提供健康的椎间盘的刚度。 在需要接头融合的情况下,可以使用固定螺钉或其它部件来进一步限制屈曲和伸展。
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公开(公告)号:US07641672B2
公开(公告)日:2010-01-05
申请号:US11274872
申请日:2005-11-14
申请人: T. Wade Fallin , Daniel E. Gerbec , Gordon Baker
发明人: T. Wade Fallin , Daniel E. Gerbec , Gordon Baker
IPC分类号: A61B17/04
CPC分类号: A61B17/0401 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/042 , A61B2017/0454 , A61B2017/0458 , A61B2090/037 , Y10S606/908 , Y10S606/916
摘要: A suture anchor includes a placement portion frangably connected to an attachment portion. The attachment portion includes an outwardly projecting barb. During insertion of the suture anchor within a bore hole formed on a bone, the barb scores at least a portion of the bone bounding the bore hole. Once the suture anchor is disposed within the bore hole, a withdrawal force is applied to the suture anchor such that the attachment portion thereof rotates within the bore hole and disconnects from the placement portion. In an alternative embodiment, the suture anchor can be formed without the outwardly projecting barb.
摘要翻译: 缝合锚具包括可滑动地连接到附接部分的放置部分。 附接部分包括向外突出的倒钩。 在将缝合锚固件插入形成在骨头上的钻孔内时,倒钩评定了围绕钻孔的至少一部分骨骼。 一旦缝合锚固件被布置在钻孔内,则撤回力被施加到缝合锚固件,使得其连接部分在钻孔内旋转并且与放置部分断开。 在替代实施例中,可以形成缝合锚,而没有向外突出的倒钩。
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公开(公告)号:US06887276B2
公开(公告)日:2005-05-03
申请号:US10319139
申请日:2002-12-13
CPC分类号: A61F2/30734 , A61F2/32 , A61F2/34 , A61F2/36 , A61F2/3662 , A61F2/367 , A61F2/3672 , A61F2/3676 , A61F2/38 , A61F2/4059 , A61F2002/30332 , A61F2002/30354 , A61F2002/3051 , A61F2002/30512 , A61F2002/30604 , A61F2002/30607 , A61F2002/30738 , A61F2002/30772 , A61F2002/30797 , A61F2002/30878 , A61F2002/30886 , A61F2002/30899 , A61F2002/3611 , A61F2002/3625 , A61F2002/3674 , A61F2002/368 , A61F2002/3686 , A61F2002/4018 , A61F2002/4029 , A61F2002/4062 , A61F2002/407 , A61F2002/4074 , A61F2002/4077 , A61F2220/0025 , A61F2220/0033 , A61F2250/0062 , A61F2310/00011 , A61F2310/00179
摘要: Modular orthopedic implants for joint reconstruction and methods of use therein are described that comprise base, body, and stem components. The base receives an articulating portion on a first end and has a connector on a second end that mates with the body and stem. The tubular body has a tissue engaging external portion, and an internal bore. The stem has an elongated shaft configured to be situated inside of a bone, and a top end having a connector. In a group of two-connection embodiments, the base mates with the body to form a first connection and the base mates with the stem to form a second connection. In a group of three connection embodiments, the stem and body also mate to form a third connection. The connections are combinations of interference fit connections such as press fits, multiple press fit and tapered fit connections.
摘要翻译: 描述了用于关节重建的模块化矫形植入物及其使用方法,其包括基底,身体和茎部分。 基座在第一端部接收铰接部分,并且在第二端上具有与主体和杆部配合的连接器。 管状体具有组织接合外部部分和内部孔。 所述杆具有构造成位于骨内部的细长轴和具有连接器的顶端。 在一组双连接实施例中,基座与主体相配合以形成第一连接,并且基座与杆配合以形成第二连接。 在一组三个连接实施例中,杆和主体还配合以形成第三连接。 连接是过盈配合连接的组合,例如压配合,多压配合和锥形配合连接。
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