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    SURGICAL TETHER APPARATUS AND METHODS OF USE
    4.
    发明申请
    SURGICAL TETHER APPARATUS AND METHODS OF USE 有权
    外科手术器械和使用方法

    公开(公告)号：US20100234890A1

    公开(公告)日：2010-09-16

    申请号：US12721198

    申请日：2010-03-10

    申请人： Todd Alamin ,  Louis Fielding ,  Colin Cahill ,  Manish Kothari

    发明人： Todd Alamin ,  Louis Fielding ,  Colin Cahill ,  Manish Kothari

    IPC分类号： A61B17/70 ,  A61B17/88 ,  A61F2/44

    CPC分类号： A61B17/7062 ,  A61B17/7067 ,  A61B17/7097

    摘要： A spinal treatment system includes a constraint device having an upper tether portion, a lower tether portion and a compliance member coupled therebetween. The upper tether portion is coupled with a superior spinous process of a spinal segment in a patient and the lower tether portion is coupled with an inferior spinous process or sacrum of the spinal segment. The length or tension in the constraint device is adjustable so that the construct of the tether portions and the compliance member provides a force resistant to flexion of the spinal segment. The system also includes a first prosthesis coupled with the spinal segment, wherein the constraint device modulates loads borne by the prosthesis or by tissue adjacent thereto.

    摘要翻译： 脊柱治疗系统包括约束装置，其具有上部系绳部分，下部系绳部分和联接在它们之间的顺应性部件。 上部系绳部分与患者中的脊柱节段的优越棘突联接，并且下部系绳部分与脊柱节段的下棘突或骶骨联接。 约束装置中的长度或张力是可调节的，使得系链部分和柔顺构件的构造提供抵抗脊椎节段屈曲的力。 所述系统还包括与所述脊椎节段联接的第一假体，其中所述约束装置调节由假体或与其相邻的组织承载的负载。

    Surgical tether apparatus and methods of use
    6.
    发明授权
    Surgical tether apparatus and methods of use 有权
    手术系绳装置及使用方法

    公开(公告)号：US08529606B2

    公开(公告)日：2013-09-10

    申请号：US12721238

    申请日：2010-03-10

    申请人： Todd Alamin ,  Colin Cahill ,  Louis Fielding ,  Manish Kothari

    发明人： Todd Alamin ,  Colin Cahill ,  Louis Fielding ,  Manish Kothari

    IPC分类号： A61B17/88 ,  A61B17/70

    CPC分类号： A61B17/7067 ,  A61B17/7055 ,  A61B17/7062 ,  A61B17/7097 ,  A61F2/442 ,  A61F2/4455

    摘要： Methods and apparatus for controlling flexion in a spinal segment of a patient include performing a spinal fusion procedure on a pair of adjacent vertebrae in the spinal segment and implanting a constraint device into the patient. Adjusting length or tension in the constraint device allows the constraint device to provide a force a force resistant to flexion of the spinal segment undergoing fusion. The constraint device also modulates loads borne by the spinal segment undergoing fusion or tissue adjacent thereto.

    摘要翻译： 用于控制患者的脊柱段中的屈曲的方法和装置包括对脊椎段中的一对相邻椎骨执行脊柱融合程序，并将约束装置植入患者体内。 约束装置中的调节长度或张力允许约束装置提供抵抗正在融合的脊椎节段弯曲的力的力。 约束装置还调节由与其相邻的融合或组织的脊髓段承载的负载。

    METHODS AND APPARATUS FOR IMPROVING SHEAR LOADING CAPACITY OF A SPINAL SEGMENT
    7.
    发明申请
    METHODS AND APPARATUS FOR IMPROVING SHEAR LOADING CAPACITY OF A SPINAL SEGMENT 有权
    改善脊柱分段剪切负荷能力的方法和装置

    公开(公告)号：US20100249839A1

    公开(公告)日：2010-09-30

    申请号：US12750190

    申请日：2010-03-30

    申请人： Todd Alamin ,  Louis Fielding ,  Manish Kothari

    发明人： Todd Alamin ,  Louis Fielding ,  Manish Kothari

    IPC分类号： A61B17/70 ,  A61F2/44 ,  A61B17/88

    CPC分类号： A61B17/7064 ,  A61B17/7053 ,  A61B17/7062

    摘要： A method for improving shear loading capacity of a spinal segment having a superior vertebra, an inferior vertebra or sacrum, and a facet joint, includes providing a constraint device having an upper portion, a lower portion and a compliance member coupled therebetween. The constraint device is coupled with the spinal segment such that the upper portion of the constraint device is coupled with the superior vertebra and the lower portion of the constraint device is coupled with the inferior vertebra or a sacrum. The constraint device provides a force resistant to flexion of the spinal segment. Also, length or tension in the constraint device is adjusted so as to increase engagement between an upper portion of the facet joint and a lower portion of the facet joint, thereby increasing capacity of the spinal segment to resist shear loading.

    摘要翻译： 提供具有上椎骨，下椎骨或骶骨的小腿关节的脊柱节段的剪切承载能力的方法包括提供约束装置，其具有联接在其间的上部分，下部分和顺应性部件。 约束装置与脊椎段联接，使得约束装置的上部与上椎骨联接，并且约束装置的下部与下椎骨或骶骨联接。 约束装置提供抵抗脊柱段弯曲的力。 此外，约束装置中的长度或张力被调整以增加小面关节的上部与小关节的下部之间的接合，从而增加脊椎节段抵抗剪切载荷的能力。

    METHODS AND SYSTEMS FOR DEPLOYING SPINOUS PROCESS CONSTRAINTS
    8.
    发明申请
    METHODS AND SYSTEMS FOR DEPLOYING SPINOUS PROCESS CONSTRAINTS 审中-公开
    用于分配旋转过程约束的方法和系统

    公开(公告)号：US20080262549A1

    公开(公告)日：2008-10-23

    申请号：US12106049

    申请日：2008-04-18

    申请人： Ian Bennett ,  Colin Cahill ,  Todd Alamin ,  Louis Fielding ,  Hugues Malandain ,  Manish Kothari

    发明人： Ian Bennett ,  Colin Cahill ,  Todd Alamin ,  Louis Fielding ,  Hugues Malandain ,  Manish Kothari

    IPC分类号： A61B17/70 ,  A61B19/00

    CPC分类号： A61B17/7062 ,  A61B17/82 ,  A61B17/842 ,  A61B2090/064

    摘要： An exemplary method for constraining spinous processes to elastically limit flexion of a spinal segment comprises piercing an interspinous ligament to form a first penetration above an upper side of an upper spinous process and advancing a first end of a first tether through the first penetration. The interspinous ligament is pierced again to form a second penetration below a lower side of a lower spinous process and a second end of a second tether is advanced through the second penetration. Joining the first and second tethers together forms an extensible tether structure coupling the upper and lower spinous processes together while permitting extension therebetween. Adjusting the tether structure sets relative distance or angle between the upper and lower spinous processes to a target value.

    摘要翻译： 用于约束棘突以弹性限制脊椎节段弯曲的示例性方法包括刺穿棘突间韧带以在上棘突的上侧上方形成第一穿刺，并且使第一系绳的第一端推进穿过第一穿刺。 再次刺穿椎间韧带以在下棘突的下侧形成第二穿刺，并且第二系绳的第二端穿过第二穿刺。 将第一和第二系绳连接在一起形成将上棘和下棘共同连接在一起的可延伸系链结构，同时允许它们之间延伸。 调整系绳结构将上棘和下棘之间的相对距离或角度设置为目标值。

    METHODS AND APPARATUS FOR COUPLING A PROSTHESIS TO A SPINAL SEGMENT
    10.
    发明申请
    METHODS AND APPARATUS FOR COUPLING A PROSTHESIS TO A SPINAL SEGMENT 审中-公开
    用于耦合到脊髓部分的方法和装置

    公开(公告)号：US20120059419A1

    公开(公告)日：2012-03-08

    申请号：US13037039

    申请日：2011-02-28

    申请人： Todd Alamin ,  Manish Kothari ,  Hugues Malandain ,  Colin Cahill ,  Louis Fielding

    发明人： Todd Alamin ,  Manish Kothari ,  Hugues Malandain ,  Colin Cahill ,  Louis Fielding

    IPC分类号： A61B17/70 ,  A61B17/56 ,  A61B17/88

    CPC分类号： A61B17/7067 ,  A61B17/7053 ,  A61B17/7055 ,  A61B17/7062 ,  A61B2017/00725

    摘要： A method for coupling a prosthesis to a spinal segment in a patient includes the steps of selecting first and second reference points disposed along the spinal segment and pre-operatively measuring a target distance. The target distance extends between the first and second reference points while the patient is in a preferred posture such as the standing position. A prosthesis is coupled to the spinal segment and the prosthesis is then intra-operatively adjusted in order to set the distance between the first and second reference points based on the target distance.

    摘要翻译： 用于将假体联接到患者的脊椎节段的方法包括以下步骤：选择沿着脊椎节段设置的第一和第二参考点并且预先操作地测量目标距离。 目标距离在第一和第二参考点之间延伸，同时患者处于诸如站立位置的优选姿势。 假体联接到脊椎节段，然后在假设内进行操作性调节，以便基于目标距离来设定第一和第二参考点之间的距离。