公开(公告)号：US09220605B2

公开(公告)日：2015-12-29

申请号：US13792810

申请日：2013-03-11

申请人： Stryker Spine

发明人： Thomas A. Alheidt ,  Christine Herrmann ,  Bryan D. Milz

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

CPC分类号： A61F2/4455 ,  A61B17/7001 ,  A61B17/7002 ,  A61B17/7014 ,  A61B17/7062 ,  A61B17/7067 ,  A61B17/707 ,  A61B17/7077 ,  A61B17/7082

摘要： A spinal fixation device that includes a first engagement member. The first engagement member includes a first body and at least one extension. The first body includes a first aperture for receipt of a fastener. The at least one extension extends outwardly from the first body. Also included in the device, a second engagement member including a second body and a threaded extension that extends from the second body. The second body includes a second aperture for receipt of a fastener. Further, an expansion ring including a first end and a second end is included. The first end includes a threaded surface in threaded communication with the threaded extension. The second end is in rotatable communication with the at least one extension of the first engagement member. Where a torque is applied to the expansion ring, the second engagement member moves with respect to the first engagement member.

摘要翻译： 一种脊柱固定装置，其包括第一接合构件。 第一接合构件包括第一主体和至少一个延伸部。 第一主体包括用于接收紧固件的第一孔。 所述至少一个延伸部从所述第一主体向外延伸。 还包括在所述装置中的第二接合构件，其包括第二主体和从所述第二主体延伸的螺纹延伸部。 第二主体包括用于接收紧固件的第二孔。 此外，包括包括第一端和第二端的膨胀环。 第一端包括与螺纹延伸部螺纹连通的螺纹表面。 第二端与第一接合构件的至少一个延伸部可旋转地连通。 在向膨胀环施加扭矩的情况下，第二接合构件相对于第一接合构件移动。

公开(公告)号：US09186189B2

公开(公告)日：2015-11-17

申请号：US14272922

申请日：2014-05-08

申请人： Stryker Spine

发明人： Christopher M. Campbell ,  Todd Harrington

IPC分类号： A61B17/88 ,  A61B17/80 ,  A61B17/92 ,  A61B17/70 ,  A61B17/86 ,  A61F2/30

CPC分类号： A61B17/8047 ,  A61B17/7059 ,  A61B17/8042 ,  A61B17/8635 ,  A61B17/88 ,  A61B17/8875 ,  A61B17/92 ,  A61F2002/30497 ,  A61F2220/0025

摘要： An implant has a bone plate with a bone contacting surface and an opposite outwardly facing surface. The plate includes a split-ring receiving recess open to the outwardly facing surface located intermediate first and second bone screw receiving openings in the plate. The first and second bone screw receiving openings each having a slot spaced from the outwardly facing surface towards the bone contacting surface. The slot is formed in a wall of the first and second bone screw receiving openings. The slot is open to the split ring receiving recess. A resilient split-ring has a thickness less than a height of the slots in the first and second bone screw openings when measured along the bone screw receiving opening axis. The split-ring having a contracted position wherein its maximum dimension is less than a maximum dimension of the split-ring receiving recess and an expanded position wherein an outer circumference of the split-ring extends through the slots and into the first and second bone screw receiving openings.

摘要翻译： 植入物具有具有骨接触表面和相对的向外表面的骨板。 该板包括开口接收凹口，该凹槽位于位于板中的第一和第二骨螺钉接收孔之间的面向外的表面。 第一和第二骨螺钉接收开口各自具有与面向外的表面朝向骨接触表面间隔开的狭槽。 狭缝形成在第一和第二骨螺钉接收孔的壁中。 槽对开口环接收凹口开放。 当沿着骨螺钉接收开口轴线测量时，弹性裂口环的厚度小于第一和第二骨螺钉孔中的槽的高度。 所述开口环具有收缩位置，其中其最大尺寸小于所述开口环容纳凹部的最大尺寸和扩展位置，其中所述开口环的外周延伸穿过所述狭槽并进入所述第一和第二骨螺钉 接收开口。

公开(公告)号：US09050194B2

公开(公告)日：2015-06-09

申请号：US12774429

申请日：2010-05-05

申请人： Lee L. Thibodeau

发明人： Lee L. Thibodeau

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

CPC分类号： A61F2/4465 ,  A61F2/30771 ,  A61F2/44 ,  A61F2/442 ,  A61F2/4455 ,  A61F2/4611 ,  A61F2002/2835 ,  A61F2002/30133 ,  A61F2002/30281 ,  A61F2002/30354 ,  A61F2002/3037 ,  A61F2002/30372 ,  A61F2002/30377 ,  A61F2002/30387 ,  A61F2002/30507 ,  A61F2002/30518 ,  A61F2002/3052 ,  A61F2002/30535 ,  A61F2002/30556 ,  A61F2002/30579 ,  A61F2002/30604 ,  A61F2002/30774 ,  A61F2002/30782 ,  A61F2002/4475 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2230/0015 ,  A61F2230/0086 ,  A61F2250/0009

摘要： A spinal implant apparatus that is an expandable spacer including features to minimize or eliminate spacer cant or offset during and after completing the expansion process. The spacer includes a top component, a base component in engagement with the top component, and an expansion mechanism arranged to change the top component's position with respect to the base component. The mechanism for causing expansion may be a screw, a cam, a wedge or other form of distracting device. In one embodiment, the expandable spacer includes a base component with a set of towers and a top component with a set of corresponding silos, where the towers and silos are configured to minimize or eliminate tilt of the top component as it extends upwardly from the base component. In another embodiment, the spacer may include a stepped arrangement around the perimeter of the top component and the base component for engagement during height expansion with minimal canting or slippage. In another embodiment, the spacer may include texturing modification at the opposite ends of the longitudinal axis of the spacer to prevent tilting, slipping, or canting. Additionally, a portion of one or more exterior surfaces of the spacer may be textured, sawtoothed, dovetailed or the like to increase frictional intervertebral contact. The spacer may contain one or more passageways of selectable shape/dimension for bone growth through the spacer.

摘要翻译： 脊柱植入装置，其是可扩张间隔物，其包括在完成扩张过程期间和之后最小化或消除间隔物倾斜或偏移的特征。 间隔件包括顶部部件，与顶部部件接合的基部部件以及布置成相对于基部部件改变顶部部件的位置的膨胀机构。 用于引起膨胀的机构可以是螺钉，凸轮，楔形物或其它形式的分心装置。 在一个实施例中，可扩展间隔件包括具有一组塔架的基座部件和具有一组对应筒仓的顶部部件，其中塔架和筒仓被构造成使顶部部件从底部向上延伸的倾斜最小化或消除 零件。 在另一个实施例中，间隔件可以包括围绕顶部部件的周边的阶梯状结构和基部部件，用于在高度膨胀期间进行接合，同时具有最小的倾斜或滑动。 在另一个实施例中，间隔件可以包括在间隔件的纵向轴线的相对端处的纹理修改以防止倾斜，滑动或倾斜。 此外，间隔件的一个或多个外表面的一部分可以被纹理化，锯齿状，燕尾状等以增加摩擦椎间接触。 间隔件可以包含一个或多个可选择的形状/尺寸的通道，用于通过间隔件的骨生长。

公开(公告)号：US09011447B2

公开(公告)日：2015-04-21

申请号：US11904029

申请日：2007-09-25

申请人： Jeffery Arnett ,  Joshua A. Butters

发明人： Jeffery Arnett ,  Joshua A. Butters

IPC分类号： A61B17/70 ,  A61B17/88

CPC分类号： A61B19/46 ,  A61B17/7002 ,  A61B17/7037 ,  A61B17/7074 ,  A61B17/708 ,  A61B17/86 ,  A61B17/8863 ,  A61B90/06 ,  A61B2090/061

摘要： Pedicle screws are designed to provide polyaxial coupling to pedicles of a vertebra. Intermediate pieces are attached to the pedicles screws and receive extender shafts. Extenders are inserted in the intermediate piece. The extenders project the anatomic points located in the cage outside the patient's body to facilitate proper contouring of a rod. An alignment linkage is used to ensure that the extenders are parallel to each other. The alignment linkage includes a linkage frame, an articulating linkage and a locking member. The articulating linkage has all rotational degrees of freedom and thereby adapts to any varying trajectories of the extenders and distance between the extenders. The alignment linkage includes a locking member with a pop-up indicator. The pop-up indicator notifies the users when the locking member is tightened with two of the extenders in non-parallel configuration.

摘要翻译： 椎弓根螺钉设计用于提供椎骨椎弓根的多轴联接。 中间件连接到椎弓根螺钉上，并接收延长杆。 扩展器插入中间件。 延伸器将位于病人身体外部的笼子中的解剖点投射到杆上，以便适当地进行轮廓。 使用对齐连杆来确保延伸器彼此平行。 对齐连杆包括连杆机构，铰接连杆机构和锁定部件。 铰接连杆具有所有旋转自由度，从而适应延伸器的任何变化的轨迹和延伸器之间的距离。 对齐连杆包括具有弹出指示器的锁定构件。 当两个扩展器处于非并联配置时，弹出的指示器会向用户通知锁定构件是否拧紧。

公开(公告)号：US08979851B2

公开(公告)日：2015-03-17

申请号：US14036617

申请日：2013-09-25

申请人： Stryker Spine

发明人： T. Wade Fallin ,  Joshua A. Butters

IPC分类号： A61B17/70 ,  A61B17/88

CPC分类号： A61B90/06 ,  A61B17/0218 ,  A61B17/7002 ,  A61B17/7032 ,  A61B17/7037 ,  A61B17/7041 ,  A61B17/7085 ,  A61B17/88 ,  A61B17/8863 ,  A61B17/8897 ,  A61B2090/061

摘要： Anatomic points within the body are projected outside the body through the use of extenders (180, 182, 188). The projected points may then be used for measurement, or to facilitate the selection or configuration of an implant that is positioned proximate the anatomic points using a slotted cannula (143). Such an implant may be a rod (270) for a posterior spinal fusion system. Pedicle screws (140, 142, 148) may be implanted into pedicles of the spine, and may then serve as anchors for the extenders. The extenders (180, 182, 188) may have rod interfaces (214, 216, 218) that receive the rod (270) in a manner that mimics the geometry of the pedicle screws (140, 142, 148) so that the selected or configured contoured rod (270) will properly fit into engagement with the pedicle screws (140, 142, 148).

公开(公告)号：US08801758B2

公开(公告)日：2014-08-12

申请号：US12228251

申请日：2008-08-11

申请人： Bryan D. Milz ,  Robert Cipoletti ,  Thomas Alheidt

发明人： Bryan D. Milz ,  Robert Cipoletti ,  Thomas Alheidt

IPC分类号： A61B17/88 ,  A61B17/56

CPC分类号： A61F2/4611 ,  A61B17/56 ,  A61B17/88 ,  A61B17/885 ,  A61B17/8872 ,  A61B17/92 ,  A61B2017/0256 ,  A61B2017/564 ,  A61F2/46 ,  A61F2/4603 ,  A61F2002/30484 ,  A61F2002/30553 ,  A61F2002/30616 ,  A61F2002/30617 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2220/0025 ,  A61F2250/0008 ,  A61F2250/0097

摘要： An insertion tool for positioning intervertebral spacers into disc spaces. The insertion tool has a proximal end and a distal end, a T-handle secured to the proximal end and a pair of alignment rails extending to the distal end. The insertion tool includes a handle secured to the proximal end of the guide rails, and a shaft that extends through the handle, whereby the shaft has a threaded portion that extends to the T-handle. The insertion tool also includes a blocker that is secured to the distal end of the shaft. The blocker includes stop arms that guide the blocker through the guide rails and toward the distal end of the shaft. The blocker may be provided in a plurality of different sizes corresponding to the sizes of the implants to be inserted into a disc space. A lock is provided for locking the implant to the shaft.

摘要翻译： 用于将椎间隔垫定位在椎间盘空间中的插入工具。 插入工具具有近端和远端，固定到近端的T形手柄和延伸到远端的一对对准轨道。 插入工具包括固定到导轨的近端的手柄和延伸穿过手柄的轴，由此轴具有延伸到T形手柄的螺纹部分。 插入工具还包括固定到轴的远端的阻挡件。 阻挡器包括止动臂，该止动臂通过导轨并朝向轴的远端引导阻挡件。 可以以对应于待插入椎间盘空间的植入物的尺寸的多个不同尺寸提供阻滞剂。 提供了用于将植入物锁定到轴上的锁。

公开(公告)号：US20140172019A1

公开(公告)日：2014-06-19

申请号：US14186619

申请日：2014-02-21

申请人： STRYKER SPINE

发明人： Kingsley Richard Chin

IPC分类号： A61B17/70

CPC分类号： A61B17/7083 ,  A61B17/00234 ,  A61B17/3421 ,  A61B17/708 ,  A61B17/7085 ,  A61B17/7088 ,  A61B17/7089 ,  A61B90/39 ,  A61B2017/3443 ,  A61B2017/3445

摘要： A device for use as a portal in percutaneous minimally invasive surgery performed within a patient's body cavity includes a first elongated hollow tube having a length adjusted with a self-contained mechanism. The first elongated tube includes an inner hollow tube and an outer hollow tube and the inner tube is adapted to slide within the outer tube thereby providing the self-contained length adjusting mechanism. This length-adjustment feature is advantageous for percutaneous access surgery in any body cavity. Two or more elongated tubes with adjustable lengths can be placed into two or more adjacent body cavities, respectively. Paths are opened within the tissue areas between the two or more body cavities, and are used to transfer devices and tools between the adjacent body cavities. This system of two or more elongated tubes with adjustable lengths is particularly advantageous in percutaneous minimally invasive spinal surgeries, and provides the benefits of minimizing long incisions, recovery time and post-operative complications.

摘要翻译： 用作在患者体腔内执行的经皮微创手术中的入口的装置包括具有用独立机构调节的长度的第一细长中空管。 第一细长管包括内中空管和外中空管，并且内管适于在外管内滑动，从而提供独立的长度调节机构。 这种长度调节特征对于任何体腔中的经皮进路手术是有利的。 两个或多个可调长度的细长管可以分别放置在两个或更多相邻的体腔中。 路径在两个或多个体腔之间的组织区域内打开，并且用于在相邻体腔之间传送装置和工具。 具有可调节长度的两根或更多根细长管的该系统在经皮微创脊柱手术中特别有利，并且提供最小化长切口，恢复时间和术后并发症的益处。

公开(公告)号：US20140100614A1

公开(公告)日：2014-04-10

申请号：US14102158

申请日：2013-12-10

申请人： Stryker Spine

发明人： Daniel E. Gerbec ,  T. Wade Fallin

IPC分类号： A61B17/70

CPC分类号： A61B17/7023 ,  A61B17/7004 ,  A61B17/7005 ,  A61B17/7028 ,  A61B17/7032 ,  A61B17/7041

摘要： An intervertebral stabilization device and method is disclosed. The device preferably includes a planar spring enclosed within a housing. The housing is joined to an articulation component at either end, and the articulation components have couplings connectable to anchoring components which are securable to adjacent vertebrae. The planar spring can flex and retract providing relative motion between the adjacent vertebrae. The articulation components are ball and socket joints which allow the entire assembly to flexibly follow the curvature of the spine. A fusion rod with articulation components and couplings at either end may be substituted for the spring device. The couplings enable interchangeability between a fusion rod assembly and spring assembly, so that dynamic stabilization can occur at one vertebral level and fusion at the adjacent vertebral level. An overhung spring assembly with a sideways displaced housing which allows for a shorter pedicle to pedicle displacement is also disclosed.

摘要翻译： 公开了一种椎间稳定装置和方法。 该装置优选地包括封装在壳体内的平面弹簧。 壳体在任一端连接到关节元件，并且关节元件具有可连接到相邻椎骨上的锚固部件的联接件。 平面弹簧可以弯曲和缩回，提供相邻椎骨之间的相对运动。 铰接部件是球窝接头，允许整个组件灵活地跟随脊柱的曲率。 在任一端具有铰接部件和联轴器的熔接杆可以代替弹簧装置。 联轴器使得熔接杆组件和弹簧组件之间可互换，使得动态稳定可以在一个椎体水平处发生并且在相邻椎骨水平处发生融合。 还公开了一种具有允许较短椎弓根向椎弓根移位的侧向移位的外壳的悬臂弹簧组件。

公开(公告)号：US08454644B2

公开(公告)日：2013-06-04

申请号：US11363404

申请日：2006-02-27

申请人： Christopher McDonnell

发明人： Christopher McDonnell

IPC分类号： A61B17/00

CPC分类号： A61B17/0218 ,  A61M29/00

摘要： A method of dilating an incision to provide access to a surgical site. Such method may include the steps of making an incision in the skin of a patient near a predetermined surgical site, inserting into the incision a dilator, inserting at least one shoe horn in juxtaposition or in direct apposition with the dilator, removing the dilator from the incision, inserting a blunt dissector adjacent the at least one shoe horn, removing the at least one shoe horn, inserting a retractor or a tube over the blunt dissector and into the incision such that the retractor or tube is at or adjacent the predetermined surgical site, removing the blunt dissector from the incision, and performing a surgical procedure at the predetermined surgical site through the retractor or tube.

摘要翻译： 一种扩张切口以提供进入手术部位的方法。 这种方法可以包括以下步骤：在预定手术部位附近的患者皮肤中进行切口，将切口插入扩张器中，将至少一个鞋垫插入并置或与扩张器直接连接，从扩张器中移除扩张器 将钝器解剖器插入到所述至少一个鞋垫附近，移除所述至少一个鞋垫，将所述牵开器或管插入所述钝性解剖器并进入所述切口中，使得所述牵开器或管位于或邻近所述预定手术部位 从切口中移除钝性解剖器，并通过牵开器或管在预定手术部位进行外科手术。

公开(公告)号：US08425529B2

公开(公告)日：2013-04-23

申请号：US12894824

申请日：2010-09-30

申请人： Bryan D. Milz ,  Christine Herrmann

发明人： Bryan D. Milz ,  Christine Herrmann

IPC分类号： A61B17/58

CPC分类号： A61F2/4611 ,  A61F2/4465 ,  A61F2002/2817 ,  A61F2002/2835 ,  A61F2002/3008 ,  A61F2002/30266 ,  A61F2002/30304 ,  A61F2002/30538 ,  A61F2002/30777 ,  A61F2002/30779 ,  A61F2002/30785 ,  A61F2002/3082 ,  A61F2002/30843 ,  A61F2002/30879 ,  A61F2002/30883 ,  A61F2002/4475 ,  A61F2002/4627

摘要： A prosthetic intervertebral spacer is disclosed. The spacer preferably includes a body and an interface extending away from the body for use during implantation of the spacer. Methods of implanting the spacer and tools used during such procedure are also disclosed.

摘要翻译： 公开了假体椎间间隔物。 间隔件优选地包括主体和远离主体延伸的界面，以便在间隔件植入期间使用。 还公开了在这种过程期间使用的间隔物和工具的植入方法。