公开(公告)号：US20160000477A1

公开(公告)日：2016-01-07

申请号：US14853093

申请日：2015-09-14

Applicant: DePuy Synthes Products, Inc.

Inventor： David Greg Anderson ,  Christopher W. Sicvol ,  George Joseph Ross ,  Sean P. Selover ,  Ramon Alberto Ruberte

IPC: A61B17/70

CPC classification number: A61B17/7085 ,  A61B17/00234 ,  A61B17/7011 ,  A61B17/7035 ,  A61B17/7037 ,  A61B17/7074 ,  Y10S606/914

Abstract: Minimally invasive methods and devices for introducing a spinal fixation element into a surgical site in a patient's spinal column are provided. In general, the method involves advancing a spinal fixation element in a first, lengthwise orientation along a pathway extending from a minimally invasive percutaneous incision to a spinal anchor site. As the spinal fixation element approaches the spinal anchor site, the fixation element can be manipulated to extend in a second orientation, which is preferably substantially transverse to the first orientation, to position the fixation element in relation to one or more spinal anchors.

Abstract translation: 提供了用于将脊柱固定元件引入患者脊柱的手术部位的微创方法和装置。 通常，该方法包括沿着从微创经皮切口延伸到脊柱锚定部位的路径沿着第一长度方向前进脊柱固定元件。 当脊骨固定元件接近脊椎锚固部位时，固定元件可以被操纵以在第二方向上延伸，该第二方向优选地基本上横向于第一方向，以将固定元件相对于一个或多个脊椎锚固件定位。

公开(公告)号：US09005204B2

公开(公告)日：2015-04-14

申请号：US13275499

申请日：2011-10-18

Applicant: Katherine Manninen ,  Victoria Ferrari ,  Noah Hansell

Inventor： Katherine Manninen ,  Victoria Ferrari ,  Noah Hansell

IPC: A61B17/70

CPC classification number: A61B17/7001 ,  A61B17/7037 ,  A61B17/7041 ,  A61B17/7079 ,  A61B17/7086 ,  Y10S606/914

Abstract: Treatment of spinal irregularities, including, in one or more embodiments, derotation apparatus and systems that can be used to reduce the rotation of vertebral bodies. Derotation apparatus that may comprise a tube assembly comprising an inner sleeve and an outer sleeve disposed over the inner sleeve. The inner sleeve may have a distal end for attachment to an implant. The tube assembly may further comprise a handle assembly. The tube assembly may further comprise a ball joint assembly disposed between the tube assembly and the handle assembly. The ball joint assembly may comprise a ball joint configured for attachment to a coupling rod. The ball joint assembly further may comprise a reducing extension below the ball joint, the reducing extension being sized to fit in a central bore of the inner sleeve. Orthopedic fixation devices comprising a ball joint are also disclosed.

Abstract translation: 在一个或多个实施例中，包括在可用于减少椎体旋转的解旋装置和系统中的脊柱不规则处理。 排除装置，其可以包括管组件，其包括内套筒和设置在内套筒上的外套筒。 内套筒可以具有用于附接到植入物的远端。 管组件还可以包括手柄组件。 管组件还可包括设置在管组件和手柄组件之间的球接头组件。 球接头组件可以包括构造成附接到联接杆的球形接头。 球接头组件还可以包括在球窝接头下方的减小延伸部，该还原延伸部的尺寸适于装配在内套筒的中心孔中。 还公开了包括球窝接头的矫形固定装置。

公开(公告)号：US08864772B2

公开(公告)日：2014-10-21

申请号：US13010105

申请日：2011-01-20

Applicant: Dominique Verhulst ,  Amie Borgstrom ,  Charles M. Bartish, Jr. ,  John Riley Hawkins ,  SeungKyu Daniel Kwak ,  William Dunbar ,  Katherine Torres

Inventor： Dominique Verhulst ,  Amie Borgstrom ,  Charles M. Bartish, Jr. ,  John Riley Hawkins ,  SeungKyu Daniel Kwak ,  William Dunbar ,  Katherine Torres

IPC: A61B17/58 ,  A61B17/60 ,  A61B17/70 ,  A61F2/00 ,  A61F2/46 ,  A61B17/02 ,  A61F2/44 ,  A61B17/86

CPC classification number: A61F2/4611 ,  A61B17/025 ,  A61B17/7001 ,  A61B17/7007 ,  A61B17/701 ,  A61B17/7049 ,  A61B17/864 ,  A61B2017/0256 ,  A61F2/4405 ,  A61F2/4425 ,  A61F2002/443 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2002/4662 ,  A61F2002/4677 ,  Y10S606/914

Abstract: Various methods and devices are provided for implanting a motion segment repair system. In particular, exemplary methods and devices are provided for implanting a spinal disc implant and/or a PDS device using a posterior surgical approach, including methods and devices for distracting adjacent vertebrae using a posterior surgical approach, methods and devices for posteriorly introducing a spinal implant into a disc space between adjacent vertebrae, and methods and devices for coupling a PDS device to the adjacent vertebrae to provide a complete motion segment repair system that is implanted using a posterior surgical approach.

Abstract translation: 提供了用于植入运动段修复系统的各种方法和装置。 特别地，提供了示例性方法和装置，用于使用后部手术方法植入脊椎椎间盘植入物和/或PDS装置，包括使用后部手术方法分散相邻椎骨的方法和装置，用于向后引入脊柱植入物的方法和装置 进入相邻椎骨之间的椎间盘空间，以及用于将PDS装置耦合到相邻椎骨的方法和装置，以提供使用后部手术方法植入的完整的运动段修复系统。

公开(公告)号：US08425531B2

公开(公告)日：2013-04-23

申请号：US12786470

申请日：2010-05-25

Applicant: Anthony Salerni

Inventor： Anthony Salerni

IPC: A61B17/58

CPC classification number: A61B17/7083 ,  A61B2090/0811 ,  Y10S606/914

Abstract: An electronically guided spinal rod system for the placement of a spinal rod into the heads of pedicle screws and other types of bone fixation systems includes a bone screw inserter having rod access slots extending longitudinally for a length along the screw inserter, a rod detection system coupled to the rod access slots and a rod pusher for inserting a spinal rod through the rod access slots. The electronically guided spinal rod system insures that the spinal rod will be accurately positioned while allowing the operator complete freedom to choose its specific path into the screw inserter rod access slots.

Abstract translation: 用于将脊柱杆放置在椎弓根螺钉和其他类型的骨固定系统的头部中的电子导向脊柱杆系统包括骨螺钉插入器，其具有沿着螺钉插入器纵向延伸一段长度的杆接近狭槽，杆检测系统 到杆接近狭槽和杆推动器，用于将脊柱杆插入杆接近狭槽。 电子引导的脊椎杆系统确保脊柱杆将被精确定位，同时允许操作者完全自由地选择其进入螺钉插入杆接近狭槽的特定路径。

公开(公告)号：US08414626B2

公开(公告)日：2013-04-09

申请号：US13074997

申请日：2011-03-29

Applicant: Steven C. Zielinski

Inventor： Steven C. Zielinski

IPC: A61B17/66

CPC classification number: A61B17/7059 ,  A61B17/808 ,  A61B17/8866 ,  Y10S606/914 ,  Y10S606/915

Abstract: A method and device are provided for reducing abnormal vertebral orientation using a fixation plate that is used in conjunction with a positioning tool to reduce spinal deviation and properly position and secure adjacent vertebrae for fusion of the spine. The disclosed embodiments are particularly useful in minimally invasive surgical techniques such as laterally performed anterolisthesis and retrolisthesis.

Abstract translation: 提供了一种使用与定位工具结合使用的固定板来减少异常椎体取向的方法和装置，以减少脊柱偏离并且适当地定位和固定邻近的椎骨以使脊柱融合。 所公开的实施例在微创手术技术例如横向执行的前列腺切除术和反复发作中是特别有用的。

公开(公告)号：US08357167B2

公开(公告)日：2013-01-22

申请号：US10784597

申请日：2004-10-12

Applicant: Joseph P. Errico ,  Michael W. Dudasik ,  Rafail Zubok

Inventor： Joseph P. Errico ,  Michael W. Dudasik ,  Rafail Zubok

IPC: A61F2/44

CPC classification number: A61F2/4611 ,  A61F2/30742 ,  A61F2/30767 ,  A61F2/442 ,  A61F2/4425 ,  A61F2/446 ,  A61F2/4684 ,  A61F2002/30171 ,  A61F2002/30187 ,  A61F2002/302 ,  A61F2002/30331 ,  A61F2002/30365 ,  A61F2002/30378 ,  A61F2002/30433 ,  A61F2002/30441 ,  A61F2002/30443 ,  A61F2002/30444 ,  A61F2002/30446 ,  A61F2002/30451 ,  A61F2002/30454 ,  A61F2002/30492 ,  A61F2002/30502 ,  A61F2002/30507 ,  A61F2002/30518 ,  A61F2002/30528 ,  A61F2002/30538 ,  A61F2002/30563 ,  A61F2002/30565 ,  A61F2002/30571 ,  A61F2002/30594 ,  A61F2002/30604 ,  A61F2002/30649 ,  A61F2002/30769 ,  A61F2002/30772 ,  A61F2002/30774 ,  A61F2002/30785 ,  A61F2002/30841 ,  A61F2002/30909 ,  A61F2002/3092 ,  A61F2002/30975 ,  A61F2002/443 ,  A61F2002/4619 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2220/0041 ,  A61F2220/0058 ,  A61F2230/0034 ,  A61F2230/005 ,  A61F2230/0065 ,  A61F2250/0006 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00365 ,  Y10S606/914

Abstract: Instrumentation for implanting an artificial intervertebral disc includes static trials, the static trials including first and second trial baseplates immovably coupled to one another via a trunk extending therebetween, each trial baseplate having an outwardly facing surface approximating a contour of a corresponding outwardly facing surface of an artificial intervertebral disc baseplate, at least one of the trial baseplates having a plurality of engagement holes extending into the at least one of the trial baseplates in a direction substantially perpendicular to each of a plurality of a surgical approach directions used to insert the trial into the intervertebral space, each of the plurality of engagement holes being disposed on the at least one of the trial baseplates to correspond to a respective one of the surgical approach directions such that selection for use of one of the plurality of engagement holes corresponds to, selection of the respective surgical approach.

Abstract translation: 用于植入人造椎间盘的仪器包括静态试验，静态试验包括通过其间延伸的躯干彼此不可移动地彼此耦合的第一和第二试验基板，每个试验基板具有近似于相应向外表面的轮廓的向外表面 人造椎间盘基板，所述试验基板中的至少一个具有多个接合孔，所述多个接合孔沿着大致垂直于多个外科手术进近方向中的每一个的方向延伸到所述至少一个所述试验基板中， 所述多个接合孔中的每一个设置在所述至少一个所述试验基板上，以对应于所述手术进近方向中的相应一个，使得所述多个接合孔中的一个的选择对应于所述多个接合孔的选择 各自的手术方法。

公开(公告)号：US20130013006A1

公开(公告)日：2013-01-10

申请号：US13620797

申请日：2012-09-15

Applicant: Ralph Rashbaum ,  Kee D. Kim ,  Hyun Bae ,  Jean-Paul Steib

Inventor： Ralph Rashbaum ,  Kee D. Kim ,  Hyun Bae ,  Jean-Paul Steib

IPC: A61B17/88

CPC classification number: A61F2/4425 ,  A61F2/4611 ,  A61F2002/30235 ,  A61F2002/30365 ,  A61F2002/30369 ,  A61F2002/30512 ,  A61F2002/30601 ,  A61F2002/30616 ,  A61F2002/30649 ,  A61F2002/30662 ,  A61F2002/30841 ,  A61F2002/30878 ,  A61F2002/30884 ,  A61F2002/30904 ,  A61F2002/443 ,  A61F2002/4475 ,  A61F2002/4622 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2230/0069 ,  Y10S606/914

Abstract: The present invention relates to an intervertebral disc prosthesis and insertion instrumentation, the prosthesis comprising at least first and second osseous anchoring means, the first osseous anchoring means disposed proximal to the periphery of the plate on which it is situated and the second osseous anchoring means being offset along the antero-posterior axis, the second osseous anchoring means comprising a basal portion and a sharp-edged portion of width narrower than the basal portion. The instrumentation comprises a rod fitted with at least two feet forming a clip and sliding in a tube, sliding the rod in the tube, in the direction of the manipulation end, causing closing of the clip by contact between the exterior of the feet and a truncated portion of the tube and sliding the rod in the tube, in the direction of the prehension end, causing opening of the clip by contact between an axis and the interior of the feet of the rod.

公开(公告)号：US08043343B2

公开(公告)日：2011-10-25

申请号：US11770366

申请日：2007-06-28

Applicant: Peter Thomas Miller ,  Brian J. Bergeron

Inventor： Peter Thomas Miller ,  Brian J. Bergeron

IPC: A61B17/70

CPC classification number: A61B17/7037 ,  A61B17/1604 ,  A61B17/1671 ,  A61B17/3423 ,  A61B17/3472 ,  A61B17/7011 ,  A61B17/7032 ,  A61B17/7038 ,  A61B17/7082 ,  A61B17/7085 ,  A61B17/7091 ,  A61B17/848 ,  A61B2090/061 ,  A61B2090/062 ,  Y10S606/914

Abstract: The disclosure relates generally to embodiments of systems and methods of spinal stabilization. Embodiments include methods that use a dilator to displace tissue proximate to a sleeve. An embodiment of a surgical system can comprise a dilator that may define a working channel from a first opening to a second opening. The dilator can be positioned to displace tissue proximate to the sleeve. The dilator may be shaped to allow a first end of an elongated member to enter the working channel through the first opening and exit the dilator through the second opening to be percutaneously moved to another assembly.

Abstract translation: 本公开一般涉及脊柱稳定系统和方法的实施例。 实施例包括使用扩张器来置换靠近套管的组织的方法。 手术系统的实施例可以包括扩张器，其可以限定从第一开口到第二开口的工作通道。 扩张器可以定位成置换靠近套管的组织。 扩张器可以被成形为允许细长构件的第一端通过第一开口进入工作通道，并通过第二开口离开扩张器，以经皮移动到另一组件。

公开(公告)号：US08029512B2

公开(公告)日：2011-10-04

申请号：US11259403

申请日：2005-10-26

Applicant: Adam Paltzer

Inventor： Adam Paltzer

IPC: A61B17/88

CPC classification number: A61F2/447 ,  A61B17/1604 ,  A61B17/1659 ,  A61B17/1671 ,  A61B2017/0256 ,  A61F2/4465 ,  A61F2/4611 ,  A61F2/4684 ,  A61F2002/3008 ,  A61F2002/30616 ,  A61F2002/30785 ,  A61F2002/30828 ,  A61F2002/30841 ,  A61F2002/4475 ,  A61F2002/4619 ,  A61F2002/4627 ,  A61F2002/4629 ,  A61F2250/0098 ,  Y10S606/914

Abstract: Devices and methods for immobilizing adjacent vertebrae are disclosed including the utilization of one or more implants inserted between adjacent vertebrae and having protrusions thereon for substantially fixedly securing with the vertebrae. In one form, an implant may be inserted in a first orientation and then rotated to a second orientation having a larger profile. A second implant may also be inserted in the same vertebral space in the same manner. A trial spacer may be used to determine the proper implant size. In another form, an implant may be inserted already in the fusion orientation. The implants and trial spacer, as well as a spreader and/or a scraper for preparing the intervertebral space, may be inserted in the vertebral space with the same insertion tool. The inserter tool may include a threaded member for attachment with the implants or other devices.

Abstract translation: 公开了用于固定相邻椎骨的装置和方法，包括利用插入相邻椎骨之间的一个或多个植入物并且在其上具有用于与椎骨基本上固定的突起。 在一种形式中，植入物可以以第一取向插入，然后旋转到具有较大轮廓的第二取向。 第二植入物也可以以相同的方式插入相同的椎体空间中。 可以使用试验间隔来确定适当的植入物尺寸。 在另一种形式中，植入物可以已经以融合方向被插入。 植入物和试验间隔物以及用于制备椎间隙的扩张器和/或刮刀可以用相同的插入工具插入椎体空间中。 插入器工具可以包括用于与植入物或其它装置连接的螺纹构件。

公开(公告)号：US07998209B2

公开(公告)日：2011-08-16

申请号：US12587273

申请日：2009-10-05

Applicant: Charles L. Branch ,  Mingyan Liu ,  Lawrence M. Boyd ,  Loic Josse

Inventor： Charles L. Branch ,  Mingyan Liu ,  Lawrence M. Boyd ,  Loic Josse

IPC: A61F2/44

CPC classification number: A61F2/4455 ,  A61B17/1604 ,  A61B17/1659 ,  A61B17/1671 ,  A61B17/1739 ,  A61B17/1757 ,  A61B17/1778 ,  A61B17/88 ,  A61B90/39 ,  A61B2017/0256 ,  A61B2017/922 ,  A61F2/3094 ,  A61F2/442 ,  A61F2/4601 ,  A61F2/4611 ,  A61F2002/2817 ,  A61F2002/2835 ,  A61F2002/2839 ,  A61F2002/30131 ,  A61F2002/30158 ,  A61F2002/30168 ,  A61F2002/30192 ,  A61F2002/3028 ,  A61F2002/30774 ,  A61F2002/3082 ,  A61F2002/30848 ,  A61F2002/30879 ,  A61F2002/30892 ,  A61F2002/448 ,  A61F2002/4624 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2002/4649 ,  A61F2002/4681 ,  A61F2230/0013 ,  A61F2230/0026 ,  A61F2230/0041 ,  A61F2230/0043 ,  A61F2230/0063 ,  Y10S606/909 ,  Y10S606/914

Abstract: This invention relates to implants formed from donor bone for use in lumbar interbody fusion procedures and instruments for performing such procedures. The implants are formed to include a concave surface formed from a portion of the medullary canal of a long bone. The concave surface defines a recess in the implant that serves as a depot for osteogenic material. Specific instruments for inserting the implants prepared according to this invention and for preparing the intervertebral space to receive the implants are also provided.

Abstract translation: 本发明涉及由供体骨形成的用于腰椎间融合术的植入物和用于执行这种手术的器械。 植入物形成为包括由长骨的髓质管的一部分形成的凹面。 凹形表面在植入物中限定了用作成骨材料的贮库的凹槽。 还提供了用于插入根据本发明制备的植入物和用于准备椎间隙以接收植入物的特定仪器。