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公开(公告)号：US07454939B2
公开(公告)日：2008-11-25
申请号：US11035235
申请日：2005-01-12
申请人： Ronald Garner , Thomas J. Runco
发明人： Ronald Garner , Thomas J. Runco
CPC分类号： B21D39/048 , A61B17/8863 , B21D7/063
摘要： An instrument and method for bending a surgical implant, such as a spinal rod, includes a lever pivotally connected to a handle through a movable linkage system. The movable linkage system includes one or more bearing surfaces for applying a force to a first portion of the surgical implant while a rod seat connected to the handle holds an adjacent second portion of the surgical implant in a fixed position, thereby causing the surgical implant to bend between the first and second portion. The instrument can be easily operated using a single hand, is easy to control and requires a relatively small amount of force to bend a surgical implant. The instrument can include an automatic advancement means for advancing the surgical implant after bending to bend another portion of the surgical implant by a selected amount. The instrument can also be used for bending spinal rods having a non-circular cross-section in multiple planes.
摘要翻译： 用于弯曲外科植入物（例如脊椎杆）的仪器和方法包括通过可移动连接系统枢转地连接到手柄的杆。 可移动联动系统包括用于向外科植入物的第一部分施加力的一个或多个支承表面，而连接到手柄的杆座将固定的手术植入物的相邻第二部分保持在固定位置，从而使手术植入物 在第一和第二部分之间弯曲。 该仪器可以使用单手轻松操作，易于控制，并且需要相对较小的力来弯曲外科植入物。 该仪器可以包括用于在弯曲之后使外科植入物前进以将外科植入物的另一部分弯曲一定量的自动前进装置。 该仪器还可用于弯曲多平面中具有非圆形横截面的脊柱杆。
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2.发明授权公开(公告)号：US07572281B2
公开(公告)日：2009-08-11
申请号：US10913223
申请日：2004-08-06
申请人： Thomas J. Runco , Ronald Garner
发明人： Thomas J. Runco , Ronald Garner
IPC分类号： A61B17/70
CPC分类号： A61B17/7086 , A61B17/00234
摘要： An instrument for guiding a spinal rod into a rod-receiving portion of an implant comprises a linear portion comprising two relatively moveable shafts, an actuator portion coupled to the linear portion for moving the spinal rod relative to the implant and a handle portion for moving the shafts to actuate the actuator portion. The actuator portion holds the rod in place until the surgeon inserts a setscrew or other device for securing the rod to the anchor. The actuator portion further defines a path for inserting and securing a locking device, such as a setscrew, for securing the rod in the implant while also holding the rod in the implant. The path for the screw is aligned with the rod-holding portion of the implant. Using the instrument, a surgeon can guide a rod into a selected position in the implant, reposition the spine to match the contour of the rod, hold the rod in the selected position and secure the rod to the implant.
摘要翻译： 用于将脊柱杆引导到植入物的杆接收部分中的仪器包括包括两个相对可移动的轴的线性部分，联接到线性部分以用于相对于植入物移动脊柱杆的致动器部分和用于移动 轴致动致动器部分。 致动器部分将杆保持在适当的位置，直到外科医生插入固定螺钉或其他装置以将杆固定到锚固件。 致动器部分还限定用于插入和固定锁定装置（例如固定螺丝）的路径，用于将杆固定在植入物中，同时将杆保持在植入物中。 螺钉的路径与植入物的杆保持部分对准。 使用仪器，外科医生可以将杆引导到植入物中的选定位置，重新定位脊柱以匹配杆的轮廓，将杆保持在选定位置并将杆固定到植入物上。
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公开(公告)号：US20110004067A1
公开(公告)日：2011-01-06
申请号：US12828550
申请日：2010-07-01
申请人： Connie Marchek , William Frasier , Anne Kothari , Sara Dziedzic , Holly Brideau , Thomas J. Runco , Nicholas Pavento , Paul Beaudoin
发明人： Connie Marchek , William Frasier , Anne Kothari , Sara Dziedzic , Holly Brideau , Thomas J. Runco , Nicholas Pavento , Paul Beaudoin
IPC分类号： A61B1/32
CPC分类号： A61B17/02 , A61B17/3439
摘要： A surgical retractor includes a plurality of blade assemblies interconnected by a plurality of racks. One or more of the blade assemblies is movable along a rack to selectively expand the retractor. At least one of the blade assemblies includes a blade that is rotatably connected to the blade assembly and that is rotatable independent of other blades of the retractor.
摘要翻译： 手术牵开器包括由多个机架相互连接的多个叶片组件。 一个或多个刀片组件可沿着齿条移动以选择性地扩张牵开器。 叶片组件中的至少一个包括可旋转地连接到叶片组件并且可独立于牵开器的其它叶片旋转的叶片。
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公开(公告)号：US08608746B2
公开(公告)日：2013-12-17
申请号：US12075412
申请日：2008-03-10
申请人： Eric Kolb , Thomas J. Runco , Richard Fournier , James R. Donahue , Shawn Stad
发明人： Eric Kolb , Thomas J. Runco , Richard Fournier , James R. Donahue , Shawn Stad
IPC分类号： A61B17/88
CPC分类号： A61B17/7076 , A61B17/7032 , A61B17/708 , A61B17/7086
摘要： Instruments and methods are provided for manipulating a bone anchor and a spinal fixation element. The instruments and methods disclosed herein are particularly suited to facilitate rotation of a bone anchor relative to another bone to correct the angular rotation of the vertebrae attached to the bone anchor. The instrument does not require the spinal fixation element to be inserted into the bone anchor prior to manipulation. The instrument further may be used in the insertion of the spinal fixation element into the bone anchor.
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5.发明申请公开(公告)号：US20110093022A1
公开(公告)日：2011-04-21
申请号：US12909182
申请日：2010-10-21
IPC分类号： A61B17/56
CPC分类号： A61B17/7086 , A61B17/7076 , A61B17/7091
摘要： An instrument for engaging a bone anchor may include a first implant engaging member having a proximal end and a distal end and a second implant engaging member having a proximal end and a distal end. The second implant engaging member may be integrally connected to the first implant engaging member by a pair of opposed integral spring members located proximal to the distal ends of the first and second implant engaging members. Manipulation of the proximal ends of the first and second implant engaging member can cause each of the distal ends to rotate about the pair of opposed spring members to engage at least a portion of a bone anchor. A rod adjusting tool may be connectable to the bone anchor engaging tool and may be axially adjustable relative to the bone anchor tool to adjust a spinal rod relative to the bone anchor.
摘要翻译： 用于接合骨锚的器械可以包括具有近端和远端的第一植入物接合构件和具有近端和远端的第二植入物接合构件。 第二植入物接合构件可以通过位于第一和第二植入物接合构件的远端附近的一对相对的一体的弹簧构件一体地连接到第一植入物接合构件。 操纵第一和第二植入物接合构件的近端可导致每个远端围绕该对相对的弹簧构件旋转以接合骨锚的至少一部分。 杆调节工具可以连接到骨锚接合工具，并且可以相对于骨锚固工具轴向调节，以相对于骨锚来调节脊柱杆。
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公开(公告)号：US20100042166A1
公开(公告)日：2010-02-18
申请号：US12582010
申请日：2009-10-20
IPC分类号： A61B17/86
CPC分类号： A61B17/7049 , A61B17/7032 , A61B17/7038 , A61B17/7041 , A61B17/7056 , A61B17/7076 , A61B17/8875
摘要： A fastener assembly for a spinal fixation system that is particularly useful in treatment of pediatric and small-statured patients includes a fastener, an attachment member, and a locking member. The fastener has a lower portion for contacting a bone and an upper portion integral with the lower portion. The upper portion has two open channels. Each channel is configured and dimensioned to receive a portion of a longitudinal or connecting member along its circumference. The attachment member is positionable on the fastener and at least partially covers the channel that receives the longitudinal or connecting member. The locking member is operatively associated with the upper portion of the fastener and secures the attachment member and the longitudinal or connecting member to the fastener.
摘要翻译： 用于脊柱固定系统的紧固件组件，其特别可用于治疗儿科和小身材患者包括紧固件，附接构件和锁定构件。 紧固件具有用于接触骨的下部和与下部成一体的上部。 上部具有两个开放通道。 每个通道的构造和尺寸被设计成沿其圆周接收纵向或连接构件的一部分。 附接构件可定位在紧固件上并且至少部分地覆盖容纳纵向或连接构件的通道。 锁定构件可操作地与紧固件的上部相关联，并将附接构件和纵向或连接构件固定到紧固件。
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公开(公告)号：US06635072B1
公开(公告)日：2003-10-21
申请号：US09620045
申请日：2000-07-20
IPC分类号： A61B1728
CPC分类号： A61B17/2833 , A61B2017/2837 , B25B7/14 , B25B7/16
摘要： A hand tool having first and second handle portions and a toothed bar that has first and second terminal ends, a plurality of teeth having free ends, and at least one shield member adjacent the teeth and having at least a portion which extends beyond the free ends of the teeth, wherein the toothed bar is pivotally attached at its first terminal end to a first handle portion and the teeth of the toothed bar engage with a pawl associated with the second handle. The invention is also directed to a safety ratchet mechanism for preventing undesired relative movement of two handle portions of a hand tool, wherein the toothed bar has a first end that is pivotally connected to at least one handle portion and a second end adapted and configured to move relative to the second handle portion when the handle portions undergo relative movement, and wherein the toothed bar has a plurality of teeth that are designed to interact with a pawl. The toothed bar may further have two shield members with the teeth extending therebetween to further shield the operator's hands or gloves from the teeth. The second handle portion may have an opening through which the toothed bar can slide, and a catch may be mounted on the toothed bar to prevent it from sliding out of the opening, and a stop may be associated with the handle to prevent the second end from being disassociated with the handle portion.
摘要翻译： 一种具有第一和第二把手部分的手动工具和具有第一和第二终端的齿条，具有自由端的多个齿，以及与所述齿相邻的至少一个屏蔽构件，并且至少一个延伸超过自由端的部分 的齿，其中所述齿条在其第一端部枢转地附接到第一手柄部分，并且所述齿条的齿与与所述第二手柄相关联的棘爪接合。 本发明还涉及一种用于防止手动工具的两个手柄部分的不期望的相对运动的安全棘轮机构，其中，齿条具有枢转地连接到至少一个把手部分的第一端和适于并构造成 当手柄部分经历相对运动时相对于第二把手部分移动，并且其中齿条具有设计成与棘爪相互作用的多个齿。 齿条还可以具有两个屏蔽构件，其中齿在其间延伸，以进一步屏蔽操作者的手或手套与牙齿。 第二把手部分可以具有开口，齿条可以通过该开口滑动，并且可以在齿条上安装卡扣以防止其滑出开口，并且止动件可与手柄相关联以防止第二端 不与手柄部分分离。
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公开(公告)号：US06283967B1
公开(公告)日：2001-09-04
申请号：US09466725
申请日：1999-12-17
IPC分类号： A61B1756
CPC分类号： A61B17/7052
摘要： The present invention is directed to a transconnector for coupling first and second spinal fixation rods or other elongate fixation elements. The transconnector includes a male member, a female member, and a locking member. The male member has a body with a linking element (such as a hook) associated with the lateral end for receiving one of the fixation elements, and a projection on the medial end. The projection includes a recess defined by lateral and medial walls. The female member has a body with a linking element associated with the lateral end for receiving the other fixation element, and a cavity with an opening on the medial end for receiving a portion of the male member projection. The locking member secures the position and orientation of the male member projection portion in the cavity in order to accommodate different separation distances and orientations between the first and second fixation elements. The locking member cooperates with the medial wall of the recess of the projection to prevent uncoupling of the male and female members. The male member may be made as a two component assembly in which the two components can rotate relative to one another for accommodating rod convergence or divergence.
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公开(公告)号：US20120253403A1
公开(公告)日：2012-10-04
申请号：US13523032
申请日：2012-06-14
IPC分类号： A61B17/84
CPC分类号： A61B17/7049 , A61B17/7032 , A61B17/7038 , A61B17/7041 , A61B17/7056 , A61B17/7076 , A61B17/8875
摘要： A fastener assembly for a spinal fixation system that is particularly useful in treatment of pediatric and small-statured patients includes a fastener, an attachment member, and a locking member. The fastener has a lower portion for contacting a bone and an upper portion integral with the lower portion. The upper portion has two open channels. Each channel is configured and dimensioned to receive a portion of a longitudinal or connecting member along its circumference. The attachment member is positionable on the fastener and at least partially covers the channel that receives the longitudinal or connecting member. The locking member is operatively associated with the upper portion of the fastener and secures the attachment member and the longitudinal or connecting member to the fastener.
摘要翻译： 用于脊柱固定系统的紧固件组件，其特别可用于治疗儿科和小身材患者包括紧固件，附接构件和锁定构件。 紧固件具有用于接触骨的下部和与下部成一体的上部。 上部具有两个开放通道。 每个通道的构造和尺寸被设计成沿其圆周接收纵向或连接构件的一部分。 附接构件可定位在紧固件上并且至少部分地覆盖容纳纵向或连接构件的通道。 锁定构件可操作地与紧固件的上部相关联，并将附接构件和纵向或连接构件固定到紧固件。
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公开(公告)号：US08216241B2
公开(公告)日：2012-07-10
申请号：US11756318
申请日：2007-05-31
IPC分类号： A61B17/70
CPC分类号： A61B17/7032 , A61B17/7088 , A61B17/7091
摘要： An instrument for manipulating a spinal fixation element relative to a bone anchor includes a bone anchor grasping mechanism, a first adjustment mechanism, and a second adjustment mechanism. The bone anchor grasping mechanism includes a first arm having a distal end configured to engage an opening provided in the bone anchor. The first adjustment mechanism includes a second arm pivotally connected to the first arm. The second arm has a distal end configured to engage an opening provided in the bone anchor and is operable to adjust a spinal fixation element in a first direction upon pivoting relative to the first arm. The second adjustment mechanism is removably and replaceably coupled to the bone anchor grasping mechanism and is movable relative to the bone anchor grasping mechanism to adjust the spinal fixation element in a second direction, perpendicular to the first direction, relative to the bone anchor.
摘要翻译： 用于相对于骨锚固器操纵脊骨固定元件的仪器包括骨锚固件抓握机构，第一调节机构和第二调节机构。 骨锚固机构包括第一臂，其具有构造成接合设置在骨锚中的开口的远端。 第一调节机构包括枢转地连接到第一臂的第二臂。 第二臂具有构造成接合设置在骨锚中的开口的远端，并且可操作以在相对于第一臂枢转时沿第一方向调节脊骨固定元件。 所述第二调节机构可拆卸地且可更换地联接到所述骨锚固夹持机构，并且可相对于所述骨锚固夹持机构移动，以相对于所述骨锚固器在垂直于所述第一方向的第二方向上调节所述脊骨固定元件。
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