公开(公告)号：US08801792B2

公开(公告)日：2014-08-12

申请号：US12841717

申请日：2010-07-22

申请人： Malan de Villiers ,  David Hovda

发明人： Malan de Villiers ,  David Hovda

IPC分类号： A61F2/44 ,  A61B17/70 ,  A61F2/46 ,  A61F2/30 ,  A61B17/86

CPC分类号： A61F2/4425 ,  A61B17/7001 ,  A61B17/86 ,  A61F2/4611 ,  A61F2002/3008 ,  A61F2002/302 ,  A61F2002/30331 ,  A61F2002/30365 ,  A61F2002/30387 ,  A61F2002/30462 ,  A61F2002/30471 ,  A61F2002/30523 ,  A61F2002/30576 ,  A61F2002/30579 ,  A61F2002/30601 ,  A61F2002/30649 ,  A61F2002/30662 ,  A61F2002/30841 ,  A61F2002/30884 ,  A61F2002/30937 ,  A61F2002/443 ,  A61F2002/4619 ,  A61F2002/4627 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2220/0075 ,  A61F2220/0091 ,  A61F2230/0065 ,  A61F2250/0098

摘要： An intervertebral joint assembly includes an upper support and a lower support, each of which has two or more components. The upper and lower support components are arranged in situ to form the upper and lower supports, respectively. By arranging the supports in situ, the supports can be introduced from the back of the patient, for example with an arthroscope. Each of the upper and lower supports has a surface adapted to engage a vertebra and a surface adapted to engage the other support or an intermediate member to form an articulate joint which articulates the joint assembly. In some embodiments, the components of the upper and lower supports are assembled in situ, for example with pivoting, telescoping or bending, to form the upper and lower supports, respectively. The supports can be attached to vertebrae with pedicles screws, and/or other anchors attached to the supports.

摘要翻译： 椎间关节组件包括上支撑件和下支撑件，每个支撑件具有两个或多个部件。 上部和下部支撑部件在现场布置以分别形成上部和下部支撑件。 通过原位布置支架，可以从患者的背部引入支撑物，例如用关节镜。 上支撑件和下支撑件中的每一个具有适于接合椎骨的表面和适于接合另一支撑件或中间构件的表面，以形成铰接接头组件的铰接接头。 在一些实施例中，上部和下部支撑件的部件原位组装，例如通过枢转，伸缩或弯曲来分别形成上部和下部支撑件。 支撑件可以用椎弓根螺钉连接到椎骨，和/或附接到支撑件的其他锚固件。

公开(公告)号：US08262732B2

公开(公告)日：2012-09-11

申请号：US12129868

申请日：2008-05-30

申请人： Malan de Villiers ,  Ulrich R. Hähnle

发明人： Malan de Villiers ,  Ulrich R. Hähnle

IPC分类号： A61F2/44

CPC分类号： A61F2/4425 ,  A61F2/30771 ,  A61F2/4611 ,  A61F2002/3008 ,  A61F2002/30311 ,  A61F2002/30332 ,  A61F2002/30364 ,  A61F2002/30369 ,  A61F2002/30528 ,  A61F2002/30662 ,  A61F2002/30785 ,  A61F2002/30822 ,  A61F2002/30841 ,  A61F2002/30884 ,  A61F2002/30899 ,  A61F2002/30904 ,  A61F2002/443 ,  A61F2220/0016 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2230/0065 ,  A61F2250/0098 ,  A61F2310/00017 ,  A61F2310/00029 ,  A61F2310/00179 ,  A61F2310/0088

摘要： An intervertebral prosthesis for insertion between adjacent vertebrae includes upper and lower prosthesis plates locatable against respective vertebrae and having opposing, concavely curved recesses therein, and a core located between the plates. The core has opposed, convexly curved surfaces received in the recesses of the plates to allow the plates to slide in articulated manner over the core. The opposed surfaces of the core and the recesses of the plates have cooperating spherical curvatures. The recess of each plate surrounds a locating peg projecting centrally from the base of the recess and is bounded by an annular rim, such that the annular rims of the plates are arranged to contact one another at a predetermined limit of sliding movement of the plates over the core. The peg locates loosely in an opening located centrally in a curved surface of the core, whereby the plates can slide over the core in all directions while the peg holds the core captive.

摘要翻译： 用于在相邻椎骨之间插入的椎间假体包括可相对于相应椎骨定位的上和下假体板，并且在其中具有相对的，凹形弯曲的凹部，以及位于板之间的芯。 芯部具有相对的凸形曲面，容纳在板的凹部中，以允许板以铰接的方式在芯上滑动。 芯的相对表面和板的凹槽具有配合的球形曲率。 每个板的凹部围绕从凹部的基部中心突出并且由环形边缘限定的定位销，使得板的环形边缘被布置成在板的滑动移动的预定极限处彼此接触 核心。 钉子松动地位于位于芯部的弯曲表面中心的开口中，由此板可以在芯保持芯部捕获的同时在所有方向上滑过芯部。

公开(公告)号：US08206449B2

公开(公告)日：2012-06-26

申请号：US12504033

申请日：2009-07-16

申请人： Neville Jansen ,  Malan de Villiers

发明人： Neville Jansen ,  Malan de Villiers

IPC分类号： A61B17/88

CPC分类号： A61F2/4425 ,  A61F2/30965 ,  A61F2/4611 ,  A61F2002/30617 ,  A61F2002/30649 ,  A61F2002/30662 ,  A61F2002/30663 ,  A61F2002/30843 ,  A61F2002/30884 ,  A61F2002/30892 ,  A61F2002/30899 ,  A61F2002/30906 ,  A61F2002/3093 ,  A61F2002/443 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2250/0097 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00071 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00323 ,  A61F2310/00407 ,  A61F2310/00796 ,  A61F2310/0088

摘要： An intervertebral disc placement system includes a multi part intervertebral disc, such as a mobile core disc, and an associated placement instrument. The placement instrument holds the disc securely with the disc endplates angled for ease of placement of the disc into an intervertebral disc space and quickly releases the implant within the disc space. The disc includes upper and lower plates having notches in inner surfaces for engagement of the placement instrument. The placement instrument has a rotatable key configured to fit into the first and second notches to grasp the disc from the interior and eliminate the need for an external grasping mechanism which could interfere with disc placement.

摘要翻译： 椎间盘放置系统包括多部分椎间盘，例如移动芯盘，以及相关的放置器械。 放置器械牢固地保持盘的盘端板成角度以便于将盘放置在椎间盘空间中，并将植入物快速释放在椎间盘空间内。 该盘包括在内表面上具有切口用于接合放置器具的上板和下板。 放置仪器具有可旋转的键，其被配置为装配到第一和第二凹口中以从内部抓住盘，并且不需要可能干扰盘放置的外部抓握机构。

公开(公告)号：US08206447B2

公开(公告)日：2012-06-26

申请号：US12044165

申请日：2008-03-07

申请人： Malan de Villiers ,  Ulrich Hahnle ,  David Hovda

发明人： Malan de Villiers ,  Ulrich Hahnle ,  David Hovda

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

CPC分类号： A61F2/4611 ,  A61B17/025 ,  A61B2017/0256 ,  A61F2/442 ,  A61F2/4425 ,  A61F2/4455 ,  A61F2/4465 ,  A61F2002/30518 ,  A61F2002/30649 ,  A61F2002/443 ,  A61F2002/4615 ,  A61F2002/4622 ,  A61F2002/4623 ,  A61F2002/4627 ,  A61F2002/4628

摘要： A method for inserting an intervertebral disc prosthesis into a space between two vertebrae involves inserting the prosthesis partway into the space under constraint to prevent endplates of the prosthesis from articulating, releasing the prosthesis from constraint, and inserting the unconstrained prosthesis farther into the space. In some embodiments, the method involves grasping the prosthesis with a grasping device to insert the prosthesis partway under constraint, loosing the grasping device to release the prosthesis from constraint, and pushing the prosthesis farther into the disc space using the grasping device and/or one or more separate pusher devices. A system includes a grasping device, at least one separate pushing device, and optionally a vertebral spreading device and/or a vertebral midline indicator device.

摘要翻译： 一种用于将椎间盘假体插入到两个椎骨之间的空间中的方法包括将假体部分地插入到限制的空间中，以防止假体的端板铰接，释放假体以免约束，以及将无约束的假体插入到空间中。 在一些实施例中，该方法包括用抓握装置来抓握假体，以在限制下插入假体中心部分，松开抓握装置以释放假体而不受约束，并且使用抓握装置和/或一个将假体推入椎间盘空间 或更多单独的推动装置。 一种系统包括抓握装置，至少一个单独的推动装置，以及任选的脊椎扩散装置和/或脊椎中线指示装置。

公开(公告)号：US08062371B2

公开(公告)日：2011-11-22

申请号：US12431436

申请日：2009-04-28

申请人： Malan de Villiers ,  Ulrich R. Hahnle ,  David Hovda

发明人： Malan de Villiers ,  Ulrich R. Hahnle ,  David Hovda

IPC分类号： A61F2/44

CPC分类号： A61F2/4425 ,  A61F2002/30077 ,  A61F2002/30331 ,  A61F2002/30365 ,  A61F2002/30388 ,  A61F2002/30405 ,  A61F2002/30485 ,  A61F2002/30649 ,  A61F2002/30662 ,  A61F2002/30673 ,  A61F2002/30878 ,  A61F2002/30884 ,  A61F2002/30899 ,  A61F2002/30904 ,  A61F2002/443 ,  A61F2210/0066 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00179 ,  A61F2310/00395 ,  A61F2310/00407 ,  A61F2310/0088 ,  Y10T29/49826

摘要： A prosthetic disc for insertion between adjacent vertebrae includes a core having upper and lower curved surfaces and upper and lower plates. At least one of the curved surfaces of the core is metallic, and in some embodiments the entire core is metallic. Each plate has an outer surface which engages a vertebra and a metallic inner curved surface which is shaped to slide over one of the curved surfaces of the core. In some embodiments, the center of rotation of the core is free to move relative to the upper and lower metallic plates. In some embodiments, one or more channels extend across one or both of the curved surfaces of the core for allowing passage of bodily fluid to promote lubrication between the core and at least one of the plates.

摘要翻译： 用于在相邻椎骨之间插入的假体盘包括具有上曲面和下曲面的芯和上板和下板。 芯的至少一个弯曲表面是金属的，并且在一些实施例中，整个芯是金属的。 每个板具有接合椎骨的外表面和被成形为在芯的一个曲面上滑动的金属内弯曲表面。 在一些实施例中，芯的旋转中心相对于上金属板和下金属板自由移动。 在一些实施例中，一个或多个通道延伸穿过芯的一个或两个弯曲表面，以允许体液通过以促进芯与至少一个板之间的润滑。

公开(公告)号：US20100179419A1

公开(公告)日：2010-07-15

申请号：US12731993

申请日：2010-03-25

申请人： Malan De Villiers ,  Ulrich Reinhard Hähnle

发明人： Malan De Villiers ,  Ulrich Reinhard Hähnle

IPC分类号： A61B5/05

CPC分类号： A61F2/4425 ,  A61F2/30771 ,  A61F2/4611 ,  A61F2002/3008 ,  A61F2002/30311 ,  A61F2002/30332 ,  A61F2002/30364 ,  A61F2002/30369 ,  A61F2002/30528 ,  A61F2002/30662 ,  A61F2002/30785 ,  A61F2002/30822 ,  A61F2002/30841 ,  A61F2002/30884 ,  A61F2002/30899 ,  A61F2002/30904 ,  A61F2002/443 ,  A61F2220/0016 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2230/0065 ,  A61F2250/0098 ,  A61F2310/00017 ,  A61F2310/00029 ,  A61F2310/00179 ,  A61F2310/0088

摘要： An intervertebral prosthesis for insertion between adjacent vertebrae includes upper and lower prosthesis plates locatable against respective vertebrae and having opposing, concavely curved recesses therein, and a core located between the plates. The core has opposed, convexly curved surfaces received in the recesses of the plates to allow the plates to slide in articulated manner over the core. The opposed surfaces of the core and the recesses of the plates have cooperating spherical curvatures. The recess of each plate surrounds a locating peg projecting centrally from the base of the recess and is bounded by an annular rim, such that the annular rims of the plates are arranged to contact one another at a predetermined limit of sliding movement of the plates over the core. The peg locates loosely in an opening located centrally in a curved surface of the core, whereby the plates can slide over the core in all directions while the peg holds the core captive.

摘要翻译： 用于在相邻椎骨之间插入的椎间假体包括可相对于相应椎骨定位的上和下假体板，并且在其中具有相对的，凹形弯曲的凹部，以及位于板之间的芯。 芯部具有相对的凸形曲面，容纳在板的凹部中，以允许板以铰接的方式在芯上滑动。 芯的相对表面和板的凹槽具有配合的球形曲率。 每个板的凹部围绕从凹部的基部中心突出并且由环形边缘限定的定位销，使得板的环形边缘被布置成在板的滑动移动的预定极限处彼此接触 核心。 钉子松动地位于位于芯部的弯曲表面中心的开口中，由此板可以在芯保持芯部捕获的同时在所有方向上滑过芯部。

公开(公告)号：US20100016972A1

公开(公告)日：2010-01-21

申请号：US12504033

申请日：2009-07-16

申请人： Neville Jansen ,  Malan de Villiers

发明人： Neville Jansen ,  Malan de Villiers

IPC分类号： A61F2/44 ,  A61B17/58

CPC分类号： A61F2/4425 ,  A61F2/30965 ,  A61F2/4611 ,  A61F2002/30617 ,  A61F2002/30649 ,  A61F2002/30662 ,  A61F2002/30663 ,  A61F2002/30843 ,  A61F2002/30884 ,  A61F2002/30892 ,  A61F2002/30899 ,  A61F2002/30906 ,  A61F2002/3093 ,  A61F2002/443 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2250/0097 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00071 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00323 ,  A61F2310/00407 ,  A61F2310/00796 ,  A61F2310/0088

摘要： An intervertebral disc placement system includes a multi part intervertebral disc, such as a mobile core disc, and an associated placement instrument. The placement instrument holds the disc securely with the disc endplates angled for ease of placement of the disc into an intervertebral disc space and quickly releases the implant within the disc space. The disc includes upper and lower plates having notches in inner surfaces for engagement of the placement instrument. The placement instrument has a rotatable key configured to fit into the first and second notches to grasp the disc from the interior and eliminate the need for an external grasping mechanism which could interfere with disc placement.

摘要翻译： 椎间盘放置系统包括多部分椎间盘，例如移动芯盘，以及相关的放置器械。 放置器械牢固地保持盘的盘端板成角度以便于将盘放置在椎间盘空间中，并将植入物快速释放在椎间盘空间内。 该盘包括在内表面上具有切口用于接合放置器具的上板和下板。 放置仪器具有可旋转的键，其被配置为装配到第一和第二凹口中以从内部抓住盘，并且不需要可能干扰盘放置的外部抓握机构。

公开(公告)号：US20090234458A1

公开(公告)日：2009-09-17

申请号：US12400221

申请日：2009-03-09

申请人： Malan de Villiers ,  Neville Jansen ,  Yves Arramon

发明人： Malan de Villiers ,  Neville Jansen ,  Yves Arramon

IPC分类号： A61F2/44

CPC分类号： A61F2/30771 ,  A61F2/4425 ,  A61F2/4455 ,  A61F2002/30649 ,  A61F2002/30662 ,  A61F2002/30841 ,  A61F2002/30884 ,  A61F2002/30902 ,  A61F2002/443 ,  A61F2310/00407 ,  A61F2310/00604 ,  A61F2310/00796 ,  A61F2310/0088

摘要： An intervertebral disc is provided having an upper plate, a lower plate, and a core. The upper and lower plates include outer vertebral body contacting surfaces which are provided with attachment enhancing features to ensure bone integration. The attachment enhancing features shown include one or more fins, serrations and teeth. An opposite surface of the plates from the vertebral body contacting surfaces is formed with a recess which serves as a bearing surface for the core. In order to form an intervertebral disc with a lower disc height, at least one of the recesses is provided opposite a corresponding dome shaped portion on the vertebral body contacting surfaces. This allows the plates to be formed with a thinner profile for a smaller overall disc height. In addition to providing a lower overall height to the artificial disc, the dome shaped portion of the plates also provides a more anatomically shaped outer vertebral body contacting surface.

摘要翻译： 提供了具有上板，下板和芯的椎间盘。 上板和下板包括外椎体接触表面，其具有附接增强特征以确保骨整合。 所示的附件增强特征包括一个或多个翅片，锯齿和齿。 与椎体接触表面的板的相对表面形成有用作芯的支承表面的凹部。 为了形成具有较低椎间盘高度的椎间盘，至少一个凹部设置成与椎体接触表面上相应的圆顶形部分相对。 这允许板形成更薄的轮廓以用于较小的整个盘高度。 除了向人造盘提供较低的整体高度之外，板的圆顶形部分还提供更解剖学上形状的外椎体接触表面。

公开(公告)号：US20060030862A1

公开(公告)日：2006-02-09

申请号：US11187403

申请日：2005-07-21

申请人： Malan De Villiers ,  Ulrich Hahnle

发明人： Malan De Villiers ,  Ulrich Hahnle

IPC分类号： A61F2/34

CPC分类号： A61B17/025 ,  A61B17/1671 ,  A61B17/1757 ,  A61B90/39 ,  A61B2017/0256 ,  A61B2090/3916 ,  A61F2/44 ,  A61F2/442 ,  A61F2/4657 ,  A61F2002/3008 ,  A61F2002/4658 ,  A61F2250/0098

摘要： The invention concerns an intervertebral prosthesis placement instrument which can be used to facilitate accurate positioning of a spinal disc prosthesis between adjacent spinal vertebrae. The instrument (10) has opposed jaws 12 formed with tips (24) that are shaped for insertion between the vertebrae. The jaws can be moved apart from one another to distract the vertebrae, allowing the prosthesis to enter between the vertebrae. The jaws also have opposed surfaces which are shaped to embrace the prosthesis between them and to guide the prosthesis into position.

摘要翻译： 本发明涉及一种椎间假体放置器械，其可以用于促进椎间盘假体在相邻脊椎椎骨之间的精确定位。 仪器（10）具有形成有尖端（24）的相对的钳口12，其被成形为用于插入在椎骨之间。 颌骨可以彼此分开移动以分散椎骨，允许假体进入椎骨之间。 钳口还具有相对的表面，其被成形为在它们之间包围假体并且将假体引导到位。

公开(公告)号：US08734519B2

公开(公告)日：2014-05-27

申请号：US11787110

申请日：2007-04-12

申请人： Malan de Villiers ,  David Hovda

发明人： Malan de Villiers ,  David Hovda

IPC分类号： A61F2/44

CPC分类号： A61F2/4425 ,  A61B17/7001 ,  A61B17/86 ,  A61F2/4611 ,  A61F2002/3008 ,  A61F2002/302 ,  A61F2002/30331 ,  A61F2002/30365 ,  A61F2002/30387 ,  A61F2002/30462 ,  A61F2002/30471 ,  A61F2002/30523 ,  A61F2002/30576 ,  A61F2002/30579 ,  A61F2002/30601 ,  A61F2002/30649 ,  A61F2002/30662 ,  A61F2002/30841 ,  A61F2002/30884 ,  A61F2002/30937 ,  A61F2002/443 ,  A61F2002/4619 ,  A61F2002/4627 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2220/0075 ,  A61F2220/0091 ,  A61F2230/0065 ,  A61F2250/0098

摘要： An intervertebral joint assembly includes an upper support and a lower support, each of which has two or more components. The upper and lower support components are arranged in situ to form the upper and lower supports, respectively. By arranging the supports in situ, the supports can be introduced from the back of the patient, for example with an arthroscope. Each of the upper and lower supports has a surface adapted to engage a vertebra and a surface adapted to engage the other support or an intermediate member to form an articulate joint which articulates the joint assembly. In some embodiments, the components of the upper and lower supports are assembled in situ, for example with pivoting, telescoping or bending, to form the upper and lower supports, respectively. The supports can be attached to vertebrae with pedicles screws, and/or other anchors attached to the supports.

摘要翻译： 椎间关节组件包括上支撑件和下支撑件，每个支撑件具有两个或多个部件。 上部和下部支撑部件在现场布置以分别形成上部和下部支撑件。 通过原位布置支架，可以从患者的背部引入支撑物，例如用关节镜。 上支撑件和下支撑件中的每一个具有适于接合椎骨的表面和适于接合另一支撑件或中间构件的表面，以形成铰接接头组件的铰接接头。 在一些实施例中，上部和下部支撑件的部件原位组装，例如通过枢转，伸缩或弯曲来分别形成上部和下部支撑件。 支撑件可以用椎弓根螺钉连接到椎骨，和/或附接到支撑件的其他锚固件。