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公开(公告)号：US09357908B2
公开(公告)日：2016-06-07
申请号：US12582933
申请日：2009-10-21
IPC分类号： A61B1/32
CPC分类号： A61B1/32
摘要： A blade extending tower is provided for setting blade depth on retractors having telescoping or extending blades. The blade extending tower features a base, a column extending from the base, and mating features on the column configured to engage the blades of a retractor to extend the blades to a desired blade depth. Blade depth of the retractor is set buy sliding the retractor onto the blade extending tower such that the mating features of the blade extending tower engage the blades or the retractor, stopping the blades progression while the rest of the retractor continues along the length of the column. Thus the blades of the retractor are extended from the retractor to a depth determined by the configuration of the blade extending tower.
摘要翻译： 提供了一种叶片延伸塔，用于将叶片深度设置在具有伸缩或延伸叶片的牵引器上。 叶片延伸塔具有基部，从基部延伸的柱和柱上的配合特征，构造成接合牵开器的叶片以将叶片延伸到期望的叶片深度。 收缩器的刀片深度被设置为将牵开器滑动到刀片延伸塔上，使得刀片延伸塔的配合特征与刀片或牵开器相接合，从而阻止刀片进行，而牵开器的其余部分沿柱的长度延伸 。 因此，牵开器的叶片从牵开器延伸到由叶片延伸塔的构型确定的深度。
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公开(公告)号：US07625339B2
公开(公告)日：2009-12-01
申请号：US11014615
申请日：2004-12-15
IPC分类号： A61B1/32
CPC分类号： A61B1/32
摘要： A blade extending tower for setting blade depth on retractors having telescoping or extending blades. The blade extending tower features a base, a column extending from the base, and mating features on the column configured to engage the blades of a retractor to extend the blades to a desired blade depth. Blade depth of the retractor is set buy sliding the retractor onto the blade extending tower such that the mating features of the blade extending tower engage the blades or the retractor, stopping the blades progression while the rest of the retractor continues along the length of the column. Thus the blades of the retractor are extended from the retractor to a depth determined by the configuration of the blade extending tower.
摘要翻译： 叶片延伸塔，用于将叶片深度设置在具有伸缩或延伸叶片的牵开器上。 叶片延伸塔具有基部，从基部延伸的柱和柱上的配合特征，构造成接合牵开器的叶片以将叶片延伸到期望的叶片深度。 收缩器的刀片深度被设置为将牵开器滑动到刀片延伸塔上，使得刀片延伸塔的配合特征与刀片或牵开器相接合，从而阻止刀片进行，而牵开器的其余部分沿柱的长度延伸 。 因此，牵开器的叶片从牵开器延伸到由叶片延伸塔的构型确定的深度。
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公开(公告)号：US20080081951A1
公开(公告)日：2008-04-03
申请号：US11540781
申请日：2006-09-29
申请人： William J. Frasier , Timothy Beardsley , Connie P. Marchek , Sara Dziedzic , Holly R. Brideau , Sean Selover , Nicholas Pavento , Charles M. Bartish , James Roveda , Michael Slivka
发明人： William J. Frasier , Timothy Beardsley , Connie P. Marchek , Sara Dziedzic , Holly R. Brideau , Sean Selover , Nicholas Pavento , Charles M. Bartish , James Roveda , Michael Slivka
IPC分类号： A61B1/32
CPC分类号： A61B1/32 , A61B17/0218
摘要： The present invention provides an inflatable retractor for providing access to a surgical site, such as a patient's spine, during a surgical process. When used in spinal surgery, the inflatable retractor allows a surgeon to operate on one or more spinal levels. The inflatable retractor includes an inflatable body defining a central cavity, wherein the body is flaccid in a non-inflated state and increasingly rigid in an inflated state. The inflatable retractor is inserted into an incision in a deflated, or partially inflated, state and then inflated once the retractor is in position. The inflation of the retractor retracts skin and muscle from the surgical site, allowing adequate visualization of the surgical site and forms a passage providing access for implants and surgical instruments to pass through the retractor and into the surgical site.
摘要翻译： 本发明提供一种用于在外科手术过程中提供对外科手术部位（例如患者脊柱）的进入的可充气牵开器。 当用于脊柱手术时，可充气牵开器允许外科医生在一个或多个脊柱水平上操作。 可膨胀牵开器包括限定中心腔的可充气体，其中身体处于非充气状态下是松弛的，并且在充气状态下越来越僵硬。 将可充气牵开器插入到一个放气或部分膨胀状态的切口中，然后一旦收缩器就位就充气。 牵开器的充气从手术部位缩回皮肤和肌肉，允许手术部位的充分可视化，并形成一个通道，提供植入物和外科器械通过牵开器进入手术部位的通路。
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公开(公告)号：US09254126B2
公开(公告)日：2016-02-09
申请号：US13102341
申请日：2011-05-06
CPC分类号： A61B17/0293 , A61B2017/0287
摘要： The present invention provides a non-rigid retractor for providing access to a surgical site, such as a patient's spine, during a surgical process. When used in spinal surgery, the non-rigid retractor allows a surgeon to operate on one or more spinal levels. The non-rigid retractor includes at least one flexible strap anchored at a first end to the spine or other internal body part at the surgical site. The body of the at least one flexible strap extends from a skin incision and is anchored at a second location external to the body to retract skin and muscle from the surgical site, allowing adequate visualization of the surgical site and providing access for implants and surgical instruments to pass through the retractor and into the surgical site.
摘要翻译： 本发明提供了一种非刚性牵开器，用于在外科手术过程中提供对诸如患者脊柱的手术部位的通路。 当用于脊柱手术时，非刚性牵开器允许外科医生在一个或多个脊柱水平上操作。 所述非刚性牵开器包括至少一个柔性带，所述至少一个柔性带在第一端锚固到所述脊柱或所述手术部位处的其他内部主体部分。 所述至少一个柔性带的主体从皮肤切口延伸并且被锚固在身体外部的第二位置以从外科手术部位收回皮肤和肌肉，允许手术部位的足够可视化并且为植入物和手术器械提供通路 通过牵开器进入手术部位。
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公开(公告)号：US07955257B2
公开(公告)日：2011-06-07
申请号：US11540780
申请日：2006-09-29
IPC分类号： A61B1/32
CPC分类号： A61B17/0293 , A61B2017/0287
摘要： The present invention provides a non-rigid retractor for providing access to a surgical site, such as a patient's spine, during a surgical process. When used in spinal surgery, the non-rigid retractor allows a surgeon to operate on one or more spinal levels. The non-rigid retractor includes at least one flexible strap anchored at a first end to the spine or other internal body part at the surgical site. The body of the at least one flexible strap extends from a skin incision and is anchored at a second location external to the body to retract skin and muscle from the surgical site, allowing adequate visualization of the surgical site and providing access for implants and surgical instruments to pass through the retractor and into the surgical site.
摘要翻译： 本发明提供了一种非刚性牵开器，用于在外科手术过程中提供对诸如患者脊柱的手术部位的通路。 当用于脊柱手术时，非刚性牵开器允许外科医生在一个或多个脊柱水平上操作。 所述非刚性牵开器包括至少一个柔性带，所述至少一个柔性带在第一端锚固到所述脊柱或所述手术部位处的其他内部主体部分。 所述至少一个柔性带的主体从皮肤切口延伸并且被锚固在身体外部的第二位置以从外科手术部位收回皮肤和肌肉，允许手术部位的足够可视化并且为植入物和手术器械提供通路 通过牵开器进入手术部位。
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公开(公告)号：US20070156023A1
公开(公告)日：2007-07-05
申请号：US11540780
申请日：2006-09-29
IPC分类号： A61B1/32
CPC分类号： A61B17/0293 , A61B2017/0287
摘要： The present invention provides a non-rigid retractor for providing access to a surgical site, such as a patient's spine, during a surgical process. When used in spinal surgery, the non-rigid retractor allows a surgeon to operate on one or more spinal levels. The non-rigid retractor includes at least one flexible strap anchored at a first end to the spine or other internal body part at the surgical site. The body of the at least one flexible strap extends from a skin incision and is anchored at a second location external to the body to retract skin and muscle from the surgical site, allowing adequate visualization of the surgical site and providing access for implants and surgical instruments to pass through the retractor and into the surgical site
摘要翻译： 本发明提供了一种非刚性牵开器，用于在外科手术过程中提供对诸如患者脊柱的手术部位的通路。 当用于脊柱手术时，非刚性牵开器允许外科医生在一个或多个脊柱水平上操作。 所述非刚性牵开器包括至少一个柔性带，所述至少一个柔性带在第一端锚固到所述脊柱或所述手术部位处的其他内部主体部分。 所述至少一个柔性带的主体从皮肤切口延伸并且被锚固在身体外部的第二位置以从外科手术部位收回皮肤和肌肉，允许手术部位的足够可视化并且为植入物和手术器械提供通路 通过牵开器进入手术部位
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公开(公告)号：US08888819B2
公开(公告)日：2014-11-18
申请号：US11897572
申请日：2007-08-31
申请人： William J. Frasier , Nicholas Pavento , Sara Dziedzic , Tina Easterbrooks , Michael Mahoney , Shawn D. Stad
发明人： William J. Frasier , Nicholas Pavento , Sara Dziedzic , Tina Easterbrooks , Michael Mahoney , Shawn D. Stad
CPC分类号： A61B17/7041 , A61B17/701 , A61B17/7035 , A61B17/7037 , A61B17/7076 , A61B17/7086 , A61B2090/037
摘要： The present invention provides an implant that can be inserted on top of a previously placed spinal fixation element. The implant includes a bone anchor and a connector body. The bone anchor includes a proximal head and a distal shaft extending along a longitudinal axis configured to engage bone. The connector body is configured to engage the proximal head of bone anchor and engage a spinal fixation element offset from longitudinal axis of the bone anchor shaft. Because, the implant is inserted over the spinal fixation element, direct visualization of the surgical site is available during insertion. In addition, the implant may provide tactile or audible feedback indicating that the spinal fixation element has been engaged by the implant.
摘要翻译： 本发明提供了可以插入到先前放置的脊柱固定元件的顶部上的植入物。 植入物包括骨锚和连接体。 骨锚固件包括近端头部和远端轴，其沿着构造成接合骨骼的纵向轴线延伸。 连接器主体被构造成接合骨锚固件的近侧头部并且接合从骨锚固轴的纵向轴线偏移的脊骨固定元件。 因为植入物被插入到脊椎固定元件上，所以在插入期间可以直接观察手术部位。 此外，植入物可以提供触觉或听觉反馈，指示脊柱固定元件已经被植入物接合。
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8.发明申请Spanning connector for connecting a spinal fixation element and an offset bone anchor 有权用于连接脊柱固定元件和偏移骨锚的跨接连接器公开(公告)号：US20090062861A1
公开(公告)日：2009-03-05
申请号：US11897641
申请日：2007-08-31
申请人： William J. Frasier , Michael Mahoney , Nicholas Pavento , Christopher L. Ramsay , David Greg Anderson
发明人： William J. Frasier , Michael Mahoney , Nicholas Pavento , Christopher L. Ramsay , David Greg Anderson
CPC分类号： A61B17/7041 , A61B17/7034 , A61B17/7035 , A61B17/7037
摘要： A spanning connector for connecting an offset bone anchor to a previously inserted spinal fixation element and method of use is provided. The spanning connector includes a first connecting mechanism for connecting the spanning connector to the bone anchor, and a second connecting mechanism for connector the spanning connector to the previously inserted spinal fixation element. The spanning connector also includes a connector body for coupling the first connecting mechanism and the second connecting mechanism. Embodiments of a spanning connector may also reduce a separation distance between the bone anchor and the spinal fixation element. Embodiments of a spanning connector are configured, sized and dimensioned for use in a minimally invasive surgical technique, such as a rod-first spinal surgical technique.
摘要翻译： 提供了用于将偏移骨锚固件连接到先前插入的脊柱固定元件和使用方法的跨接连接器。 跨接连接器包括用于将跨接连接器连接到骨锚固件的第一连接机构和用于将跨接连接器连接到先前插入的脊骨固定元件的第二连接机构。 跨接连接器还包括用于联接第一连接机构和第二连接机构的连接器本体。 跨接连接器的实施例还可以减小骨锚和脊骨固定元件之间的间隔距离。 跨接连接器的实施例被配置，尺寸和尺寸用于微创手术技术，例如杆 - 第一脊柱外科技术。
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9.发明申请SYSTEMS AND METHODS FOR SURGICAL AND INTERVENTIONAL PLANNING, SUPPORT, POST-OPERATIVE FOLLOW-UP, AND FUNCTIONAL RECOVERY TRACKING 审中-公开手术和传统规划，支持，手术后续和功能恢复跟踪的系统和方法公开(公告)号：US20140081659A1
公开(公告)日：2014-03-20
申请号：US13803763
申请日：2013-03-14
申请人： Namal Nawana , William C. Horton , William J. Frasier , Michael O'Neil , Robert E. Sommerich , Jennifer DiPietro , Matthew Parsons
发明人： Namal Nawana , William C. Horton , William J. Frasier , Michael O'Neil , Robert E. Sommerich , Jennifer DiPietro , Matthew Parsons
CPC分类号： A61B17/025 , A61B5/0022 , A61B5/1118 , A61B5/4509 , A61B5/4566 , A61B5/4571 , A61B5/4824 , A61B5/4833 , A61B5/4848 , A61B5/7282 , A61B5/742 , A61B5/746 , A61B5/7475 , A61B6/4494 , A61B6/485 , A61B6/506 , A61B8/08 , A61B17/02 , A61B17/50 , A61B34/10 , A61B34/20 , A61B34/25 , A61B2010/009 , A61B2010/0093 , A61B2017/00115 , A61B2017/00119 , A61B2017/0262 , A61B2034/101 , A61B2034/105 , A61B2034/2055 , A61B2034/2057 , A61B2034/252 , A61B2034/254 , A61B2034/256 , G01L5/00 , G06F19/00 , G06F19/321 , G06F19/325 , G06F19/3481 , G06Q10/00 , G06Q10/10 , G06Q50/24 , G16H10/20 , G16H40/20 , G16H40/40 , G16H40/63 , G16H50/20 , G16H50/50 , G16H50/70 , G16Z99/00
摘要： Various systems and methods are provided for surgical and interventional planning, support, post-operative follow-up, and functional recovery tracking. In general, a patient can be tracked throughout medical treatment including through initial onset of symptoms, diagnosis, non-surgical treatment, surgical treatment, and recovery from the surgical treatment. In one embodiment, a patient and one or more medical professionals involved with treating the patient can electronically access a comprehensive treatment planning, support, and review system. The system can provide recommendations regarding diagnosis, non-surgical treatment, surgical treatment, and recovery from the surgical treatment based on data gathered from the patient and the medical professional(s). The system can manage the tracking of multiple patients, thereby allowing for data comparison between similar aspects of medical treatments and for learning over time through continual data gathering, analysis, and assimilation to decision-making algorithms.
摘要翻译： 提供各种系统和方法用于手术和介入计划，支持，术后随访和功能恢复跟踪。 通常，可以在整个医疗过程中跟踪患者，包括通过症状的初始发作，诊断，非手术治疗，手术治疗和从手术治疗中恢复。 在一个实施例中，参与治疗患者的患者和一个或多个医疗专业人员可以电子地访问综合治疗计划，支持和审查系统。 该系统可以基于从患者和医疗专业人员收集的数据，提供关于诊断，非手术治疗，手术治疗和从手术治疗恢复的建议。 该系统可以管理多个患者的跟踪，从而允许在医学治疗的类似方面之间进行数据比较，并通过持续的数据收集，分析和同化来决定算法来随着时间的推移进行学习。
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公开(公告)号：US08512343B2
公开(公告)日：2013-08-20
申请号：US11897565
申请日：2007-08-31
申请人： Sara Dziedzic , William J. Frasier , Michael Mahoney , Nicholas Pavento , Christopher L. Ramsay , David Greg Anderson
发明人： Sara Dziedzic , William J. Frasier , Michael Mahoney , Nicholas Pavento , Christopher L. Ramsay , David Greg Anderson
IPC分类号： A61B17/70
CPC分类号： A61B17/1757 , A61B17/1735 , A61B17/7089
摘要： Methods and instruments are provided for connecting a rod extending along a patient's spinal column to a misaligned vertebra. The method comprises implanting a bone anchor in the misaligned vertebra, attaching an approximating device to the implanted bone anchor and rod, approximating the vertebra toward the rod using the approximating device, and connecting the rod to the bone anchor on the approximated vertebra. In certain embodiments the approximating device may include a winch mechanism. In other embodiments the approximating device is a cannula used in conjunction with a guide system.
摘要翻译： 提供的方法和仪器用于将沿着患者脊柱延伸的杆连接到未对准的椎骨。 该方法包括将骨锚植入植入未对准的椎骨中，将近似装置附接到植入的骨锚和杆上，使用近似装置将椎骨近似于杆，并将杆连接到近似椎骨上的骨锚上。 在某些实施例中，近似装置可以包括绞盘机构。 在其他实施例中，近似装置是与引导系统结合使用的套管。
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