公开(公告)号：US09615933B2

公开(公告)日：2017-04-11

申请号：US12559537

申请日：2009-09-15

申请人： William Frasier ,  Narendren Renganathan ,  Glen Presbrey ,  Michael A Fisher ,  John Riley Hawkins

发明人： William Frasier ,  Narendren Renganathan ,  Glen Presbrey ,  Michael A Fisher ,  John Riley Hawkins

IPC分类号： A61F2/44 ,  A61F2/28 ,  A61F2/30

CPC分类号： A61F2/441 ,  A61F2/446 ,  A61F2/4465 ,  A61F2/4611 ,  A61F2002/2817 ,  A61F2002/30062 ,  A61F2002/30092 ,  A61F2002/30131 ,  A61F2002/30224 ,  A61F2002/30289 ,  A61F2002/30291 ,  A61F2002/30476 ,  A61F2002/3052 ,  A61F2002/30579 ,  A61F2002/30583 ,  A61F2002/30596 ,  A61F2002/30601 ,  A61F2002/30672 ,  A61F2002/30677 ,  A61F2002/4415 ,  A61F2210/0004 ,  A61F2210/0014 ,  A61F2210/0085 ,  A61F2220/0025 ,  A61F2230/0013 ,  A61F2230/0069 ,  A61F2230/0091 ,  A61F2250/0059

摘要： An expandable tube having a substantially semicircular unexpanded shape is inserted into the disc space after the disc material has been removed therefrom. A plurality of expandable lockable rings are passed over this tube in their unexpanded states and positioned along the anterior edge of the endplates. The tube is then expanded, thereby forcing the rings to expand. The rings hold their final expanded configuration via a one-way locking mechanism. Once sufficient distraction is achieved and the rings locked, the tube is collapsed and removed, thereby leaving the expanded, locked rings behind to support the disc space.

公开(公告)号：US20110066192A1

公开(公告)日：2011-03-17

申请号：US12559537

申请日：2009-09-15

申请人： William Frasier ,  Narendren Renganathan ,  Glen Presbrey ,  Michael A. Fisher ,  John Riley Hawkins

发明人： William Frasier ,  Narendren Renganathan ,  Glen Presbrey ,  Michael A. Fisher ,  John Riley Hawkins

IPC分类号： A61B17/58 ,  A61F2/44

CPC分类号： A61F2/441 ,  A61F2/446 ,  A61F2/4465 ,  A61F2/4611 ,  A61F2002/2817 ,  A61F2002/30062 ,  A61F2002/30092 ,  A61F2002/30131 ,  A61F2002/30224 ,  A61F2002/30289 ,  A61F2002/30291 ,  A61F2002/30476 ,  A61F2002/3052 ,  A61F2002/30579 ,  A61F2002/30583 ,  A61F2002/30596 ,  A61F2002/30601 ,  A61F2002/30672 ,  A61F2002/30677 ,  A61F2002/4415 ,  A61F2210/0004 ,  A61F2210/0014 ,  A61F2210/0085 ,  A61F2220/0025 ,  A61F2230/0013 ,  A61F2230/0069 ,  A61F2230/0091 ,  A61F2250/0059

摘要： An expandable tube having a substantially semicircular unexpanded shape is inserted into the disc space after the disc material has been removed therefrom. A plurality of expandable lockable rings are passed over this tube in their unexpanded states and positioned along the anterior edge of the endplates. The tube is then expanded, thereby forcing the rings to expand. The rings hold their final expanded configuration via a one-way locking mechanism. Once sufficient distraction is achieved and the rings locked, the tube is collapsed and removed, thereby leaving the expanded, locked rings behind to support the disc space.

摘要翻译： 具有大致半圆形未膨胀形状的可膨胀管在盘材料从其中移除之后插入到盘片空间中。 多个可扩张的可锁定环在其未膨胀状态下通过该管并且沿着端板的前边缘定位。 然后将管膨胀，从而迫使环膨胀。 环通过单向锁定机构保持其最终扩展配置。 一旦实现了足够的分心并且环被锁定，则管被折叠并移除，从而留下扩张的锁定环以支撑盘空间。

公开(公告)号：US20130178941A1

公开(公告)日：2013-07-11

申请号：US13784122

申请日：2013-03-04

申请人： William Frasier ,  Michael A. Fisher ,  John Riley Hawkins

发明人： William Frasier ,  Michael A. Fisher ,  John Riley Hawkins

IPC分类号： A61F2/44

CPC分类号： A61F2/4611 ,  A61B17/00234 ,  A61B17/0642 ,  A61B17/12013 ,  A61B17/29 ,  A61B2090/3782 ,  A61F2/30965 ,  A61F2/44 ,  A61F2/4405 ,  A61F2/442 ,  A61F2/4455 ,  A61F2/447 ,  A61F2002/30062 ,  A61F2002/30176 ,  A61F2002/30301 ,  A61F2002/30538 ,  A61F2002/3082 ,  A61F2002/30841 ,  A61F2002/4475 ,  A61F2002/4624 ,  A61F2002/4627 ,  A61F2002/4635 ,  A61F2210/0004 ,  A61F2230/0054 ,  A61F2230/0095 ,  A61F2250/0006 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00179 ,  A61F2310/00203 ,  A61F2310/00239 ,  A61F2310/00365

摘要： Multiple, small, staple-like supports are inserted through a small tube into the disc space then rotated into position on the edge of the vertebral bodies. The tooth-like geometry of the proximal and distal faces of these staples mates with the outer edge of the vertebral body, extending past the front of the endplate anteriorly. The staples have teeth that dig into the endplate on the inside of the rim as well.

摘要翻译： 多个小的钉状支撑通过小管插入椎间盘空间中，然后旋转到椎体边缘的位置。 这些缝钉的近端和远端面的齿状几何形状与椎体的外缘配合，向前延伸穿过终板的前部。 订书钉具有挖入边缘内侧的端板的齿。

公开(公告)号：US08403988B2

公开(公告)日：2013-03-26

申请号：US12558092

申请日：2009-09-11

申请人： William Frasier ,  Michael A Fisher ,  John Riley Hawkins

发明人： William Frasier ,  Michael A Fisher ,  John Riley Hawkins

IPC分类号： A61F2/44

CPC分类号： A61F2/4611 ,  A61B17/00234 ,  A61B17/0642 ,  A61B17/12013 ,  A61B17/29 ,  A61B2090/3782 ,  A61F2/30965 ,  A61F2/44 ,  A61F2/4405 ,  A61F2/442 ,  A61F2/4455 ,  A61F2/447 ,  A61F2002/30062 ,  A61F2002/30176 ,  A61F2002/30301 ,  A61F2002/30538 ,  A61F2002/3082 ,  A61F2002/30841 ,  A61F2002/4475 ,  A61F2002/4624 ,  A61F2002/4627 ,  A61F2002/4635 ,  A61F2210/0004 ,  A61F2230/0054 ,  A61F2230/0095 ,  A61F2250/0006 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00179 ,  A61F2310/00203 ,  A61F2310/00239 ,  A61F2310/00365

摘要： Multiple, small, staple-like supports are inserted through a small tube into the disc space then rotated into position on the edge of the vertebral bodies. The tooth-like geometry of the proximal and distal faces of these staples mates with the outer edge of the vertebral body, extending past the front of the endplate anteriorly. The staples have teeth that dig into the endplate on the inside of the rim as well.

公开(公告)号：US20110066244A1

公开(公告)日：2011-03-17

申请号：US12558092

申请日：2009-09-11

申请人： William Frasier ,  Michael A. Fisher ,  John Riley Hawkins

发明人： William Frasier ,  Michael A. Fisher ,  John Riley Hawkins

IPC分类号： A61F2/44

CPC分类号： A61F2/4611 ,  A61B17/00234 ,  A61B17/0642 ,  A61B17/12013 ,  A61B17/29 ,  A61B2090/3782 ,  A61F2/30965 ,  A61F2/44 ,  A61F2/4405 ,  A61F2/442 ,  A61F2/4455 ,  A61F2/447 ,  A61F2002/30062 ,  A61F2002/30176 ,  A61F2002/30301 ,  A61F2002/30538 ,  A61F2002/3082 ,  A61F2002/30841 ,  A61F2002/4475 ,  A61F2002/4624 ,  A61F2002/4627 ,  A61F2002/4635 ,  A61F2210/0004 ,  A61F2230/0054 ,  A61F2230/0095 ,  A61F2250/0006 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00179 ,  A61F2310/00203 ,  A61F2310/00239 ,  A61F2310/00365

摘要： Multiple, small, staple-like supports are inserted through a small tube into the disc space then rotated into position on the edge of the vertebral bodies. The tooth-like geometry of the proximal and distal faces of these staples mates with the outer edge of the vertebral body, extending past the front of the endplate anteriorly. The staples have teeth that dig into the endplate on the inside of the rim as well.

摘要翻译： 多个小的钉状支撑通过小管插入椎间盘空间中，然后旋转到椎体边缘的位置。 这些缝钉的近端和远端面的齿状几何形状与椎体的外缘配合，向前延伸穿过终板的前部。 订书钉具有挖入边缘内侧的端板的齿。

公开(公告)号：US20090054902A1

公开(公告)日：2009-02-26

申请号：US11842371

申请日：2007-08-21

申请人： Christopher Mickiewicz ,  Michael A. Slivka ,  Matthew Hannen ,  Michael A. Fisher ,  Hassan A. Serhan ,  John Riley Hawkins

发明人： Christopher Mickiewicz ,  Michael A. Slivka ,  Matthew Hannen ,  Michael A. Fisher ,  Hassan A. Serhan ,  John Riley Hawkins

IPC分类号： A61B17/58

CPC分类号： A61B17/8869 ,  A61B17/701 ,  A61B17/7083

摘要： Various methods and devices are provided for tensioning a tether. In one embodiment, a tether tensioning device is provided and includes a tensioning mechanism adapted to couple to a tether extending along a path between at least two bone anchors implanted in adjacent vertebrae. The tensioning mechanism can be adapted to apply a tensioning force to the tether along the path of the tether to thereby move the tether along the path. The device further includes an actuation mechanism movably coupled to the tensioning mechanism such that the actuation mechanism is adapted to effect movement of the tensioning mechanism to control the tensioning force applied to the tether.

摘要翻译： 提供各种方法和装置来张紧系绳。 在一个实施例中，提供系绳张紧装置，并且包括张紧机构，其适于联接到沿着植入相邻椎骨中的至少两个骨锚之间的路径延伸的系绳。 张紧机构可以适于沿着系绳的路径向系绳施加张紧力，从而沿着路径移动系绳。 该装置还包括可移动地联接到张紧机构的致动机构，使得致动机构适于实现张紧机构的运动，以控制施加到系绳的张紧力。

公开(公告)号：US08249696B2

公开(公告)日：2012-08-21

申请号：US11959603

申请日：2007-12-19

申请人： Michael A. Fisher ,  Paul Birkmeyer ,  John Riley Hawkins ,  Katherine Herard ,  Anwar Upal

发明人： Michael A. Fisher ,  Paul Birkmeyer ,  John Riley Hawkins ,  Katherine Herard ,  Anwar Upal

IPC分类号： A61B6/00

CPC分类号： A61B17/7032 ,  A61B34/20 ,  A61B2017/00061 ,  A61B2090/306

摘要： Various methods and devices are provided for navigating through bone. In one embodiment, a bone navigation device is provided and includes a bone penetrating member configured to be implanted in bone and having at least one optical waveguide extending therethrough. The optical waveguide is adapted to illuminate tissue surrounding the device and to receive reflected/transmitted light from the tissue to determine the optical characteristics of the tissue, thus facilitating navigation through the tissue. At least one window can be formed in the bone penetrating member for allowing light from the at least one optical waveguide to illuminate the tissue, and for receiving the reflected light.

摘要翻译： 提供各种方法和装置用于穿过骨骼。 在一个实施例中，提供骨导航装置，并且包括骨穿透构件，其构造成植入到骨中并且具有延伸穿过其中的至少一个光波导。 光波导适于照亮装置周围的组织并且接收来自组织的反射/透射光以确定组织的光学特性，从而便于穿过组织的导航。 至少一个窗口可以形成在骨穿透构件中，用于允许来自至少一个光波导的光照亮组织，并且用于接收反射光。

公开(公告)号：US20110077655A1

公开(公告)日：2011-03-31

申请号：US12889385

申请日：2010-09-23

申请人： Michael A. Fisher ,  Thomas M. DiMauro ,  John Riley Hawkins ,  Douglas Hester ,  Michael J. O'Neil ,  Jamie Lockwood ,  Matthew Parsons

发明人： Michael A. Fisher ,  Thomas M. DiMauro ,  John Riley Hawkins ,  Douglas Hester ,  Michael J. O'Neil ,  Jamie Lockwood ,  Matthew Parsons

IPC分类号： A61B17/60

CPC分类号： A61B17/025 ,  A61B17/0218 ,  A61B17/06166 ,  A61B17/8852 ,  A61B2017/00398 ,  A61B2017/0256 ,  A61B2017/2929

摘要： A mandrel is inserted into the tissue to be distracted and a filament is repeatedly wrapped around the mandrel to make a spool. As the mandrel turns, the filament coils around the mandrel to create of spool of increasing diameter. This spool can be used as a distractor, tamp, or implant. A spool implant can be cemented to further stabilize the device in situ, such as a vertebral body. The filament deposition upon the mandrel is controlled by rotation and the volume creation is incremental. This makes the spool ideal for creating highly controlled distraction forces or insertion of bulking material. In some embodiments, fibers having a low glass transition temperature are used.

摘要翻译： 将心轴插入组织以分散，并且将细丝重复地缠绕在心轴周围以制成线轴。 当心轴转动时，围绕心轴的细丝线圈产生直径增加的线轴。 该线轴可用作牵引器，夯实或植入物。 可以将线轴植入物胶合以进一步稳定装置，例如椎体。 心轴上的细丝沉积通过旋转来控制，并且体积的产生是增量的。 这使得阀芯非常适合创建高度受控的牵引力或插入膨胀材料。 在一些实施方案中，使用具有低玻璃化转变温度的纤维。

公开(公告)号：US20130053892A1

公开(公告)日：2013-02-28

申请号：US13222913

申请日：2011-08-31

申请人： John Riley Hawkins ,  Thomas J. Gamache ,  Michael Sorrenti ,  Alexander Grinberg ,  Michael A. Fisher

发明人： John Riley Hawkins ,  Thomas J. Gamache ,  Michael Sorrenti ,  Alexander Grinberg ,  Michael A. Fisher

IPC分类号： A61B17/70 ,  A61B17/88

CPC分类号： A61B17/7032 ,  A61B17/7002 ,  A61B17/7004 ,  A61B17/701 ,  A61B17/7011 ,  A61B17/7034 ,  A61B17/7037 ,  A61B17/7038 ,  A61B2017/564

摘要： Devices and methods for enhancing the effectiveness of spinal stabilization, and particularly that of cervical spinal stabilization, are provided herein. More specifically, methods and systems are disclosed for effectively positioning occipital plates and spinal fixation assemblies within target vertebrae, while also reducing any associated patient trauma (e.g., muscle stripping, tissue damage, etc.). The systems and methods can utilize trans-lamina delivery of the spinal fixation assemblies to allow for the positioning of the fixation elements along the midline of the patient's spine.

公开(公告)号：US09763704B2

公开(公告)日：2017-09-19

申请号：US13222869

申请日：2011-08-31

申请人： John Riley Hawkins ,  Thomas J. Gamache ,  Michael Sorrenti ,  Alexander Grinberg ,  Michael A. Fisher

发明人： John Riley Hawkins ,  Thomas J. Gamache ,  Michael Sorrenti ,  Alexander Grinberg ,  Michael A. Fisher

IPC分类号： A61B17/70

CPC分类号： A61B17/7055 ,  A61B17/7004 ,  A61B17/701 ,  A61B17/7011 ,  A61B17/7034 ,  A61B17/7037 ,  A61B17/7067

摘要： Devices and methods for enhancing the effectiveness of spinal stabilization, and particularly that of cervical spinal stabilization, are provided herein. More specifically, methods and systems are disclosed for effectively positioning occipital plates and spinal fixation assemblies within target vertebrae, while also reducing any associated patient trauma (e.g., muscle stripping, tissue damage, etc.). The systems and methods can utilize trans-lamina delivery of the spinal fixation assemblies to allow for the positioning of the fixation elements along the midline of the patient's spine.