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公开(公告)号：US5951553A
公开(公告)日：1999-09-14
申请号：US892604
申请日：1997-07-14
申请人： Randall Betz , Michael C. Sherman , Troy Drewry
发明人： Randall Betz , Michael C. Sherman , Troy Drewry
CPC分类号： A61B17/885 , A61B17/7044 , A61B17/8095 , A61B17/7032 , A61B17/7041
摘要： The treatment and correction of spinal deformities, such as scoliosis, is accomplished without the need for fusion of the intervertebral disc space. A surgical technique is provided in which opening and closing osteotomies are created in the affected vertebrae. Correction devices are provided which hold the osteotomies in either their closed or open orientations. The correction devices include staples holding the vertebral body on opposite sides of the body to retain the osteotomies in their desired orientation. In the opening osteotomies, the correction devices include a wedge member that is disposed within the opened wedge osteotomy and in contact with the vertebral body. The correction devices also include connection members which can be used to engage the devices to an elongated member spanning the spine, such as a spinal rod. Once bone union has occurred in the instrumented vertebrae, the spinal rod can be disconnected from the correction devices and removed from the patient. In another aspect of the invention, curvature deformities in two planes can be corrected using the same techniques and devices.
摘要翻译： 脊柱畸形的治疗和矫正如脊柱侧凸在不需要椎间盘融合的情况下完成。 提供了一种手术技术，其中在受影响的椎骨中产生开闭截骨术。 提供校正装置，其将截骨固定在封闭或敞开的方位。 校正装置包括将身体保持在身体的相对侧上的钉，以将截骨保持在其期望的取向。 在开放性截骨术中，矫正装置包括楔形构件，其设置在开放的楔形截骨中并与椎体接触。 校正装置还包括可用于将装置接合到跨越脊柱的细长构件（例如脊椎杆）的连接构件。 一旦在仪器化的椎骨中发生骨结合，脊柱杆可以与校正装置断开并从患者身上移除。 在本发明的另一方面，可以使用相同的技术和装置来校正两个平面中的曲率畸变。
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公开(公告)号：US5897556A
公开(公告)日：1999-04-27
申请号：US867628
申请日：1997-06-02
申请人： Troy Drewry , Michael C. Sherman
发明人： Troy Drewry , Michael C. Sherman
CPC分类号： A61F2/4455 , A61B17/8085 , A61F2/44 , A61F2002/2835 , A61F2002/30115 , A61F2002/30126 , A61F2002/30156 , A61F2002/30187 , A61F2002/30228 , A61F2002/30235 , A61F2002/30329 , A61F2002/30746 , A61F2002/30785 , A61F2002/30787 , A61F2002/30789 , A61F2002/30912 , A61F2002/4475 , A61F2220/0025 , A61F2230/0006 , A61F2230/0008 , A61F2230/0023 , A61F2230/0034 , A61F2230/0069 , A61F2310/00017 , A61F2310/00023 , A61F2310/00131
摘要： A device for supporting weak bony structures comprises an elongated tubular body having first and second ends configured for contacting adjacent bony structures. A tubular body is formed by a plurality of intersecting elongate bars with a first group of bars having their longitudinal axes arranged perpendicular to the axis of the tubular body, and a second group of bars having their axes arranged at non-perpendicular angles relative to the body axis. The tubular body also includes a plurality of joints formed by the intersection of two perpendicular bars and four angled bars. The ends of the tubular body are defined only by the intersection of angled bars. The ends include a plurality of substantially flat end surfaces that have a surface area greater than the combined cross-sectional areas of the intersecting angled bars forming the joints at the end of the body. In a preferred embodiment, the end surfaces have an undercut between the surfaces and the intersecting angled bars. The tubular body can assume various shapes when viewed from an end, such as circular and non-circular shapes including at least one flat side.
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公开(公告)号：US5885286A
公开(公告)日：1999-03-23
申请号：US798872
申请日：1997-02-11
申请人： Michael C. Sherman , Troy Drewry
发明人： Michael C. Sherman , Troy Drewry
CPC分类号： A61B17/7037 , A61B17/7032 , A61B2090/037
摘要： A multi-axial bone engaging fastener assembly includes a bone screw having a partially spherical head. The bone screw head is truncated at an upper surface in which a tool receiving recess is defined. The assembly includes a receiver member including a central bore that defines a tapered recess to receive the head of the bone screw. The bore of the receiver member also defines a channel communicating with the recess and configured to receive a spinal rod therein. A portion of the channel is threaded to receive a set screw above the rod. The assembly also includes a crown member disposed between the rod and the head of the bone screw. As the set screw is tightened into the receiver member, the set screw compresses the rod against the crown member, which presses the head of the bone screw into the tapered recess. In one embodiment, the head of the bone screw includes a flared edge that penetrates at least the crown member as the assembly is tightened. In another embodiment, the bone screw head includes a plurality of circumferential ridges configured to bite into the crown member. In a further aspect, the crown member is threaded to be inserted into the receiver member by threading through the threaded portion of the receiver member.
摘要翻译： 多轴骨接合紧固件组件包括具有部分球形头部的骨螺钉。 骨螺钉头在限定工具容纳凹部的上表面处被截断。 组件包括接纳件，该接收器构件包括限定用于接收骨螺钉头部的锥形凹部的中心孔。 接收器构件的孔还限定了与凹部连通且被构造成在其中容纳脊柱杆的通道。 通道的一部分被螺纹接纳在杆上方的固定螺钉。 组件还包括设置在杆和骨螺钉的头部之间的冠部构件。 当定位螺钉被紧固到接收器构件中时，定位螺钉将杆压靠在冠部构件上，该冠部件将骨螺钉的头部压入锥形凹槽中。 在一个实施例中，骨螺钉的头部包括当组件被紧固时至少穿过冠部构件的扩口边缘。 在另一个实施例中，骨螺钉头包括构造成咬入冠部构件的多个周向脊。 在另一方面，冠部件通过穿过接收器构件的螺纹部分被螺纹地插入接收器构件中。
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公开(公告)号：USD403069S
公开(公告)日：1998-12-22
申请号：US71561
申请日：1997-06-02
申请人： Troy Drewry , Michael C. Sherman
设计人： Troy Drewry , Michael C. Sherman
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公开(公告)号：US5879350A
公开(公告)日：1999-03-09
申请号：US719005
申请日：1996-09-24
申请人： Michael C. Sherman , Troy Drewry
发明人： Michael C. Sherman , Troy Drewry
CPC分类号： A61B17/7037 , A61B17/7032 , A61B2090/037
摘要： A multi-axial bone screw assembly includes a bone screw having a partially spherical head. The bone screw head is truncated at an upper surface in which a tool receiving recess is defined. The assembly includes a receiver member including a central bore that defines a tapered recess to receive a contracting collet carrying the head of the bone screw. The bore of the receiver member also defines a channel communicating with the recess and configured to receive a spinal rod therein. A portion of the channel is threaded to receive a set screw above the rod. The assembly also includes a contracting collet disposed between the rod and the head of the bone screw. The collet defines a partially spherical recess to receive the head of the bone screw, and includes deflectable fingers that substantially surround the screw head. As the set screw is tightened into the receiver member, the set screw compresses the rod against the collet, which presses the collet into the tapered recess of the receiver member, thereby deflecting the fingers of the collet against the bone screw head.
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公开(公告)号：US5728098A
公开(公告)日：1998-03-17
申请号：US744403
申请日：1996-11-07
申请人： Michael C. Sherman , Troy Drewry
发明人： Michael C. Sherman , Troy Drewry
CPC分类号： A61B17/7037 , A61B17/7032 , A61B17/7038 , A61B2017/00867 , Y10S411/909 , Y10S606/911
摘要： In one embodiment, a spinal fixation assembly includes an elongated member, such as a spinal rod, configured for placement adjacent the spine and a bone engaging fastener, such as a bone screw having a lower portion configured for engaging a vertebra and a head that is at least partially spherical. The assembly further includes a receiver member defining a bore therethrough from a top end to a bottom end, a recess for receiving the head of the bone screwing fastener therein, and a lower opening at said bottom end of the receiver member through which the bone screw extends. The recess is configured to at permit pivoting of the bone screw within the receiver member until the head is fixed within the recess. The receiver member also includes a channel communicating with the bore and having an upper opening at the top end of the receiver member for insertion of the spinal rod into the channel. In one embodiment, two compression members are provided, each being formed of a temperature responsive material and having a first configuration at a first temperature and a different second configuration at a different second temperature in which the compression member contracts about a portion of the receiver member to thereby compress the receiver member about both the head of the bone screw within the recess and the spinal rod within the channel.
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公开(公告)号：US06287311B1
公开(公告)日：2001-09-11
申请号：US09595047
申请日：2000-06-12
申请人： Michael C. Sherman , Troy Drewry
发明人： Michael C. Sherman , Troy Drewry
IPC分类号： A61B1770
CPC分类号： A61B17/7037 , A61B17/7032 , A61B17/7038 , A61B2017/00867 , Y10S411/909 , Y10S606/911
摘要： In one embodiment, a spinal fixation assembly includes an elongated member, such as a spinal rod, configured for placement adjacent the spine and a bone engaging fastener, such as a bone screw having a lower portion configured for engaging a vertebra and a head that is at least partially spherical. The assembly further includes a receiver member defining a bore therethrough from a top end to a bottom end, a recess for receiving the head of the bone screwing fastener therein, and a lower opening at said bottom end of the receiver member through which the bone screw extends. The recess is configured to at permit pivoting of the bone screw within the receiver member until the head is fixed within the recess. The receiver member also includes a channel communicating with the bore and having an upper opening at the top end of the receiver member for insertion of the spinal rod into the channel. In one embodiment, two compression members are provided, each being formed of a temperature responsive material and having a first configuration at a first temperature and a different second configuration at a different second temperature in which the compression member contracts about a portion of the receiver member to thereby compress the receiver member about both the head of the bone screw within the recess and the spinal rod within the channel.
摘要翻译： 在一个实施例中，脊柱固定组件包括细长构件，例如脊骨杆，其构造成用于邻近脊柱放置，以及骨接合紧固件，例如骨螺钉，其具有构造成用于接合椎骨的下部分和头部， 至少部分是球形的。 所述组件还包括限定从顶端到底端穿过其中的孔的接收器构件，用于容纳所述骨螺钉紧固件的头部的凹部，以及在所述接收器构件的所述底端处的下开口，所述骨螺钉 延伸。 该凹部构造成允许骨螺钉在接收器构件内枢转，直到头部固定在凹槽内。 接收器构件还包括与孔连通并且在接收器构件的顶端具有用于将脊柱杆插入通道中的上开口的通道。 在一个实施例中，提供两个压缩构件，每个压缩构件由温度响应材料形成，并且在不同的第二温度下具有在第一温度和不同的第二构造的第一构型，其中压缩构件围绕接收构件的一部分收缩 从而将接收器构件围绕凹槽内的骨螺钉的头部和通道内的脊柱杆压缩。
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公开(公告)号：US5947966A
公开(公告)日：1999-09-07
申请号：US946954
申请日：1997-10-08
申请人： Troy Drewry , Michael C. Sherman , James E. Van Hoeck , Denis S. Drummond , David L. Brumfield , M. Neil Anderson
发明人： Troy Drewry , Michael C. Sherman , James E. Van Hoeck , Denis S. Drummond , David L. Brumfield , M. Neil Anderson
CPC分类号： A61B17/7052
摘要： One embodiment of a spinal fixation system including a pair of longitudinal members 11, 12 positionable adjacent the spine, means for engaging longitudinal members to the spine 13, 14, a pair of wedge members 241 each having a bearing surface 242 configured to bear on a longitudinal member 11, 12, and a connector 200 configured to span a distance between the longitudinal members 11, 12. The connector 200 includes a pair of engaging members 205, 212 each having a fixation portion 207, 214 and a connecting portion 209, 216, and a bridge members 202 attachable to the connecting portions 209, 216. The engaging members 205, 212 each define a thru-hole 225 for receiving one of the wedge members 241. The thru-holes 225 are aligned so that when one of the wedge members 241 is advanced through the thru-hole 225, the bearing surface 242 will bear on a corresponding longitudinal member 11, 12 to force the longitudinal member 11, 12 into contact with the fixation surface 220, 221 and engage the longitudinal member 11, 12 to the connector 200. In a specific embodiment, the bridge member 200 defines a slot 203 and a fastener bore 227 having an axis D' intersecting the slot 203. In this embodiment, the second connecting portion 216 is insertable into the slot 203 to intersect the axis D' of the bone 227, whereby a fastener 230 received in the bore 227 will clamp the second connecting portion 216 to the bridge member 202.
摘要翻译： 一种脊柱固定系统的一个实施例，其包括可邻近脊柱定位的一对纵向构件11,12，用于将纵向构件接合到脊柱13,14的一对楔形构件241，每个楔形构件241具有构造成承受 纵向构件11,12和连接器200构造成跨越纵向构件11,12之间的距离。连接器200包括一对接合构件205,212，各自具有固定部分207,214和连接部分209,216 以及可连接到连接部分209,261的桥构件202.接合构件205,212各自限定用于容纳楔形构件241中的一个的通孔225.通孔225对准，使得当 楔形构件241推进穿过通孔225，支承表面242将承载在相应的纵向构件11,12上，以迫使纵向构件11,12与固定表面220,221接触并接合lo 纵向构件11,12连接到连接器200.在具体实施例中，桥构件200限定狭槽203和具有与槽203相交的轴线D'的紧固件孔227.在该实施例中，第二连接部分216可插入 槽203与骨227的轴线D'相交，由此容纳在孔227中的紧固件230将夹紧第二连接部分216到桥构件202。
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公开(公告)号：US5891145A
公开(公告)日：1999-04-06
申请号：US892582
申请日：1997-07-14
CPC分类号： A61B17/7037 , A61B17/7038 , A61B17/7032
摘要： A spinal fixation assembly is provided that includes a bone engaging fastener and an elongated member, such as a spinal rod. The fixation assembly is a multi-axial assembly that permits fixation of the bone engaging fastener to the spinal rod at any of a continuous range of angles relative to the rod in three-dimensional space. The fixation assembly includes a receiver member having a bore therethrough, the walls of which are tapered near the bottom, and a channel communicating with the bore and having an upper opening at the top of the receiver member for insertion of a spinal rod. Also included are an outer wedge member and an inner wedge member, both of which have generally the shape of a washer and a bore therethrough. In each wedge member, the respective bore is not parallel to the central axis of the respective wedge member. Additionally, the outside surfaces of the wedge members may be tapered, and the respective bores may be tapered, so as to self-lock when seated and tightened. The bone engaging fastener fits within the bore of the inner wedge member, which in turn fits within the bore of the outer wedge member, which in turn fits within the tapered sides of the receiver member. When the desired position of the bone engaging fastener in three-dimensional space is attained, the components are seated to achieve a tight friction fit.
摘要翻译： 提供脊柱固定组件，其包括骨接合紧固件和细长构件，例如脊椎杆。 固定组件是多轴向组件，其允许骨接合紧固件以三维空间中相对于杆的连续角度的任何角度固定到脊柱杆。 所述固定组件包括具有穿过其中的孔的接收器构件，其壁在底部附近是锥形的，以及与所述孔连通并且在所述接收器构件的顶部具有用于插入脊椎杆的顶部开口的通道。 还包括外部楔形构件和内部楔形构件，两者都具有大致垫圈的形状和穿过其的孔。 在每个楔形构件中，相应的孔不平行于相应楔形构件的中心轴线。 此外，楔形构件的外表面可以是锥形的，并且各个孔可以是锥形的，以便在就座和紧固时自锁。 骨接合紧固件装配在内楔构件的孔内，内楔形构件的孔又装配在外楔形构件的孔内，该锥形构件又装配在接收构件的锥形侧内。 当达到骨接合紧固件在三维空间中的期望位置时，组件就位以达到紧密的摩擦配合。
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10.发明授权公开(公告)号：US06616669B2
公开(公告)日：2003-09-09
申请号：US09905018
申请日：2001-07-13
申请人： James Ogilvie , Michael C. Sherman , Troy Drewry , Jean Saurat
发明人： James Ogilvie , Michael C. Sherman , Troy Drewry , Jean Saurat
IPC分类号： A61B1756
CPC分类号： A61F2/4455 , A61B17/0642 , A61B17/7022 , A61B17/7044 , A61B2017/00867 , A61B2017/0648 , A61B2017/564 , A61F2/446 , A61F2/4465 , A61F2002/4475
摘要： A fusionless method of treating spinal deformities in the spine of a child or young adult involves attaching a tether to vertebral bodies on the convex side of the spine. Deformities are treated by using the tether to selectively constrain growth in a portion of the convex side of the spine. One device for tethering the spine is a combination of a strand threaded through channels defined in a set of blocks attached to the vertebral bodies on the convex side of the spine. Another device useful in the method is to attach spinal staples, preferably made of a shape memory alloy, to vertebral bodies, the staples spanning the intervertebral disc space.
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