摘要:
A surgical access device including a frame, first and second supports, and first and second retractor blades releasably coupled with the first and second supports, respectively. The frame has first and second arms. The first support is releasably coupled with the first and second arms. The second support is slidably mounted on the first and second arms. The second support is movable between a first position with the retractor blades in close cooperative position and a spaced apart position with respect to the first support. The first and second retractor blades each have a distal end portion configured and adapted to engage a vertebral body. In one method of use, the retractor is inserted through an incision in first orientation with the blades in close approximation and rotated approximately 90°, before spreading the retractor blades to retract tissue.
摘要:
The invention relates to a wrist prosthesis (1), comprising a proximal prosthesis body (21) and a distal prosthesis body (11), wherein, at least in a deployed state of the wrist prosthesis, a portion of the proximal prosthesis body that faces away from the distal prosthesis body is provided with a convexly curved surface (22). Additionally, a portion of the distal prosthesis body that faces away from the proximal prosthesis body is furthermore provided with a convexly curved surface (12). Furthermore, the surfaces of the proximal prosthesis body and the distal prosthesis body that are facing each other are provided with complementary convex-concave curved surfaces (13, 23). The invention further relates to a set of components for such a wrist prosthesis, which allows the wrist prosthesis to be placed in a wrist, without anchoring means, and with a high degree of adaptation to the specific situation.
摘要:
A cavity creating device having a cavity creating axis is introduced through a percutaneous access path into a cancellous bone volume, e.g., within a vertebral body. The cavity creating device is manipulated to form a cavity in the cancellous bone volume. The manipulation includes deflecting the cavity creating device along the cavity creating axis relative to the axis of the access path. A material, such as bone cement, can be conveyed into the cavity.
摘要:
A surgical access device including a frame, first and second supports, and first and second retractor blades releasably coupled with the first and second supports, respectively. The frame has first and second arms. The first support is releasably coupled with the first and second arms. The second support is slidably mounted on the first and second arms. The second support is movable between a first position with the retractor blades in close cooperative position and a spaced apart position with respect to the first support. The first and second retractor blades each have a distal end portion configured and adapted to engage a vertebral body. In one method of use, the retractor is inserted through an incision in first orientation with the blades in close approximation and rotated approximately 90°, before spreading the retractor blades to retract tissue.
摘要:
An introducer can be used to implant a distractible intervertebral body fusion device into a patient's disc space and expand the device. Introducer includes a body 100 including a handle and a sleeve. Handle includes a slot for containing an actuation tool. A drive shaft and a securing shaft can extend through sleeve between a proximal end of the sleeve adjacent slot and a distal end of the device. At proximal end, actuation tool can connect to drive shaft where drive shaft extends through an opening in body. Drive shaft can extend out of an opening at distal end to engage a worm gear, drive shaft, or other actuation member of distractible device. Securing shaft can engage the device to stabilize the device during distraction. Activation of the actuation member rotates the drive shaft, which expands the distractible device.
摘要:
Disclosed is an intervertebral disc prosthesis for the total replacement of a natural intervertebral disc within the lumbar and cervical spine, comprising of articulating sliding partners. The upper sliding partner has means for a firm assembly to an upper vertebral body and the lower sliding partner has means for a firm assembly to a lower vertebral body. At least one sliding surface is between two sliding partners. Two- and three-part functional designs are planned and both having in common, that, as a result of the shape of the articulating surface(s), the laterolateral and dorsoventral motion amplitudes differ. The resulting angles including the rotation around a fictitious vertical axis can be defined to a desired extent.
摘要:
A vertebral body is selected for treatment. The vertebral body has a cortical wall enclosing a cancellous bone volume. The vertebral body also has at least one cortical plate that is depressed due to fracture. At least one maximum dimension for the cancellous bone volume is ascertained, and an expandable device is provided that has a predefined dimension when substantially expanded that is less than the maximum dimension. The expandable device is introduced into the vertebral body through a percutaneous access path while in an unexpanded condition. The expandable device is expanded while disposed within the cancellous bone volume from the unexpanded configuration toward the expanded configuration. An expansion barrier is provided in association with the expandable device that directs expansion of the expandable device in a desired direction to move the fractured cortical plate toward a desired anatomic position.
摘要:
An expandable device is introduced into a cancellous bone volume of a vertebral body through a percutaneous access path. The vertebral body has at least one cortical plate that is depressed due to fracture. The expandable device is expanded while disposed within the cancellous bone volume. An expansion barrier placed in association with the expandable device directs expansion of the expandable device in a desired direction to move the fractured cortical plate toward a desired anatomic position.
摘要:
A cavity forming structure is introduced through a percutaneous access path into a selected bone having an interior volume occupied, at least in part, by cancellous bone, e.g., a vertebral body. A cavity is formed in the cancellous bone volume by manipulation of the cavity forming structure. Tissue is removed from within the cavity through the percutaneous access path.
摘要:
A cavity creating device having a cavity creating axis is introduced through a percutaneous access path into a cancellous bone volume, e.g., within a vertebral body. The cavity creating device is manipulated to form a cavity in the cancellous bone volume. The manipulation includes deflecting the cavity creating device along the cavity creating axis relative to the axis of the access path. A material, such as bone cement, can be conveyed into the cavity.