公开(公告)号：WO2009023157A8

公开(公告)日：2010-03-25

申请号：PCT/US2008009574

申请日：2008-08-11

Applicant: STRYKER SPINE ,  MILZ BRYAN D ,  CIPOLETTI ROBERT ,  ALHEIDT TOM A

Inventor： MILZ BRYAN D ,  CIPOLETTI ROBERT ,  ALHEIDT TOM A

IPC: A61F2/46 ,  A61B17/02

CPC classification number: 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

Abstract: An insertion tool (100) for positioning intervertebral spacers into disc spaces. The insertion tool has a proximal end (102) and a distal end (104), a T-handle (106) secured to the proximal end (102) and a pair of alignment rails extending from the distal end (104). The insertion tool (100) includes a handle secured to the proximal end of the guide rails (116A, 116B), and a shaft (110) that extends through the handle, whereby the shaft has a threaded portion that extends to the T-handle (106). The insertion tool (100) also includes a blocker (118) that is secured to the distal end of the shaft (110). The blocker (118) includes stop arms that guide the blocker (118) through the guide rails (116A, 116B) and toward the distal end of the shaft. The blocker (118) 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 (108) is provided for locking the implant to the shaft (110).

Abstract translation: 一种用于将椎间隔垫定位到椎间盘空间中的插入工具（100）。 插入工具具有近端（102）和远端（104），固定到近端（102）的T形手柄（106）和从远端（104）延伸的一对对准轨道。 插入工具（100）包括固定到导轨（116A，116B）的近端的手柄和延伸穿过手柄的轴（110），由此轴具有延伸到T形手柄的螺纹部分 （106）。 插入工具（100）还包括固定到轴（110）的远端的阻挡件（118）。 阻挡器（118）包括通过导轨（116A，116B）并且朝着轴的远端引导阻挡件（118）的止动臂。 可以以对应于待插入盘片空间的植入物的尺寸的多个不同尺寸提供阻挡器（118）。 提供锁（108）以将植入物锁定到轴（110）。

公开(公告)号：WO2009139902A1

公开(公告)日：2009-11-19

申请号：PCT/US2009/003031

申请日：2009-05-13

Applicant: STRYKER SPINE ,  BAE, Hyun ,  BAGGA, Charanpreet, S.

Inventor： BAE, Hyun ,  BAGGA, Charanpreet, S.

IPC: A61B17/56

CPC classification number: A61B17/7026 ,  A61B17/7005 ,  A61B17/701 ,  A61B17/7014 ,  A61B17/7028 ,  A61B17/7031

Abstract: A spinal rod (10) including an elongated flexible component (12) and a reinforcing component (26), the reinforcing component (26) being resistant to damage from compressive forces and disposed circumferentially around at least a portion of the flexible component (12) so as to define at least one compression slot (30).

Abstract translation: 包括细长柔性部件（12）和加强部件（26）的脊柱杆（10），所述加强部件（26）能够抵抗来自压缩力的损伤并围绕柔性部件（12）的至少一部分周向设置， 以便限定至少一个压缩槽（30）。

公开(公告)号：WO2008144000A1

公开(公告)日：2008-11-27

申请号：PCT/US2008/006330

申请日：2008-05-16

Applicant: STRYKER SPINE ,  CHOI, Andy, Wonyong ,  SCHMITZ, Michael, L. ,  SUK, Se-li

Inventor： CHOI, Andy, Wonyong ,  SCHMITZ, Michael, L. ,  SUK, Se-li

IPC: A61B17/70

CPC classification number: A61B17/7079 ,  A61B17/7047 ,  A61B17/7074 ,  A61B17/7077 ,  A61B17/708 ,  A61B17/7091 ,  A61B17/86

Abstract: An instrument for spinal rotation that aligns and holds direct vertebral rotation (DVR) lever arms (21) relative to each other to achieve an initial axial alignment of a segment of vertebrae (1a - 1d) and allows the final DVR rotation by rotating the instrument and lever arms (21) together. A method of direct vertebral rotation that allows rotating the vertebrae (1a - 1d) to be aligned relative to each other, and collectively rotating the vertebrae (1a - 1d) to be aligned relative to adjacent spinal segments by rotating the direct vertebral rotation instrument. A system for direct vertebral rotation having at least two pedicle screws (11). The system also includes at least two levers attachable to the pedicle screws (11) and a clamping instrument (31) configured to clamp the levers.

Abstract translation: 用于脊柱旋转的器械，其相对于彼此对准并保持直立椎骨旋转（DVR）杆臂（21），以实现椎骨段（1a-1d）的初始轴向对准，并且允许通过旋转仪器来进行最终的DVR旋转 和杠杆臂（21）在一起。 一种直接椎体旋转的方法，其允许旋转椎骨（1a-1d）相对于彼此对准，并且通过旋转直接的椎体旋转仪器来共同地使相对于相邻的脊椎段对准的椎骨（1a-1d）旋转。 用于直接椎体旋转的系统具有至少两个椎弓根螺钉（11）。 该系统还包括至少两个可连接到椎弓根螺钉（11）的杠杆和构造成夹紧杠杆的夹紧器（31）。

公开(公告)号：WO2007053566A2

公开(公告)日：2007-05-10

申请号：PCT/US2006/042351

申请日：2006-10-31

Applicant: STRYKER SPINE ,  GERBEC, Daniel, E. ,  FALLIN, Wade, T.

Inventor： GERBEC, Daniel, E. ,  FALLIN, Wade, T.

IPC: A61F2/30

CPC classification number: A61B17/7023 ,  A61B17/7004 ,  A61B17/7005 ,  A61B17/7028 ,  A61B17/7032 ,  A61B17/7041

Abstract: An intervertebral stabilization device (12, 170) and method is disclosed. The device (12, 170) preferably includes a planar spring (20, 180) enclosed within a housing (22, 172) . The housing (122, 172) is joined to an articulation component (24, 25, 174, 175) at either end, and the articulation components (24, 25, 174, 175) have couplings (28, 178) connectable to anchoring components (19) which are securable to adjacent vertebrae. The planar spring (20, 180) can flex and retract providing relative motion between the adjacent vertebrae. The articulation components (24, 25, 174, 175) are ball and socket joints which allow the entire assembly to flexibly follow the curvature of the spine. A fusion rod (162) with articulation components and couplings (164) at either end may be substituted for the spring device. The couplings enable interchangeability between a fusion rod (162) assembly and spring assembly (12, 170) , so that dynamic stabilization can occur at one vertebral level and fusion at the adjacent vertebral level. An overhung spring assembly (250) with a sideways displaced housing (254) which allows for a shorter pedicle to pedicle displacement is also disclosed.

Abstract translation: 公开了一种椎间稳定装置（12,170）和方法。 装置（12,170）优选地包括封闭在壳体（22,172）内的平面弹簧（20,180）。 壳体（122,172）在任一端连接到铰接部件（24,25,174,175），并且所述关节运动部件（24,25,174,175）具有可连接到锚定部件的联接件（28,178） （19），其可以保证相邻的椎骨。 平面弹簧（20,180）可弯曲和缩回，提供相邻椎骨之间的相对运动。 铰接部件（24,25,174,175）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（164）的熔化杆（162）可以代替弹簧装置。 联接器使得熔化杆（162）组件和弹簧组件（12,170）之间的可互换性，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。 还公开了一种具有侧向移位的外壳（254）的悬臂弹簧组件（250），其允许较短的椎弓根进行椎弓根移位。

公开(公告)号：WO2006125029A2

公开(公告)日：2006-11-23

申请号：PCT/US2006/019140

申请日：2006-05-17

Applicant: STRYKER SPINE ,  FALLIN, T., Wade

Inventor： FALLIN, T., Wade

IPC: A61B17/88 ,  A61B17/17

CPC classification number: A61B17/8863 ,  A61B17/7074

Abstract: 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 to be positioned proximate the anatomic points. 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).

Abstract translation: 通过使用补充剂（180,182,188），身体内的解剖点被投射到体外。 投影点然后可以用于测量，或者用于便于选择或配置将被定位在解剖点附近的植入物。 这种植入物可以是用于后部脊柱融合系统的杆（270）。 椎弓根螺钉（140,142,148）可以被植入到脊柱的椎弓根中，并且然后可以用作扩张器的锚。 延伸器（180,182,188）可以具有以模仿椎弓根螺钉（140,142,148）的几何形状的方式容纳杆（270）的杆接口（214,216,218），使得所选择的 （270）将适当地与椎弓根螺钉（140,142,148）啮合。

公开(公告)号：WO2005030069A3

公开(公告)日：2005-10-27

申请号：PCT/EP2004009612

申请日：2004-08-12

Applicant: STRYKER SPINE ,  DAVID JEROME

Inventor： DAVID JEROME

IPC: A61B17/70

CPC classification number: A61B17/7035 ,  A61B17/7041

Abstract: A bone fixation assembly and method of fixing bones including a fixation element (16) having a head portion (18), a unitary coupling element (12) and at least one locking element (24). The unitary coupling element includes a first bore adapted to slidably receive the head portion (18) of the fixation element (16) and a second bore adapted to receive a spinal rod (38).

Abstract translation: 骨固定组件和固定骨头的方法，包括具有头部（18），整体联接元件（12）和至少一个锁定元件（24）的固定元件（16）。 单一联接元件包括适于可滑动地容纳固定元件（16）的头部（18）的第一孔和适于接收脊椎杆（38）的第二孔。

公开(公告)号：WO2005089662A1

公开(公告)日：2005-09-29

申请号：PCT/EP2005/003212

申请日：2005-03-22

Applicant: STRYKER SPINE ,  DAVID, Jérôme

Inventor： DAVID, Jérôme

IPC: A61B17/70

CPC classification number: A61B17/7059 ,  A61B17/7007 ,  A61B17/701 ,  A61B17/8033 ,  A61B17/8665 ,  A61B17/8695

Abstract: An orthopedic bone plate system having a bone plate (12) for placement adjacent one or more vertebral bodies. The bone plate (12) has a first aperture (40). The bone plate system further includes a sliding element (14) having a top portion (16) and a base portion (15). The system preferably includes a bone fastener (18) which is adapted for connecting the bone plate (12) to a vertebral body. The bone fastener (18) includes a stem (62) and a bone engaging portion (60). The diameter of the stem (62) may be less than a cross section of the sliding element aperture (90) so that the stem (62) may be oriented within the sliding element aperture (90) at a plurality of angles. The system may further include a stopping element (20). The orthopedic bone plate system may also include a locking element (22).

Abstract translation: 一种矫形骨板系统，具有用于邻近一个或多个椎体放置的骨板（12）。 骨板（12）具有第一孔（40）。 骨板系统还包括具有顶部（16）和基部（15）的滑动元件（14）。 该系统优选地包括适于将骨板（12）连接到椎体的骨紧固件（18）。 骨紧固件（18）包括杆（62）和骨接合部分（60）。 杆（62）的直径可以小于滑动元件孔（90）的横截面，使得杆（62）可以以多个角度定位在滑动元件孔（90）内。 系统还可以包括止动元件（20）。 矫形骨板系统还可以包括锁定元件（22）。

公开(公告)号：WO2005058208A3

公开(公告)日：2005-08-25

申请号：PCT/EP2004014806

申请日：2004-12-01

Applicant: STRYKER SPINE ,  PHAM TAN-LOC ,  PAPONNEAU FRANCOIS ,  DE CONNINCK CEDRIC ,  DESPIAU JEROME

Inventor： PHAM TAN-LOC ,  PAPONNEAU FRANCOIS ,  DE CONNINCK CEDRIC ,  DESPIAU JEROME

IPC: A61F2/30 ,  A61F2/44 ,  B26D3/16

CPC classification number: A61F2/4465 ,  Y10T29/49995 ,  Y10T82/16967 ,  Y10T82/20

Abstract: An apparatus and method for cutting spinal implants (14) to a desired length, wherein the spinal implant (14) is supported on a mandrel (12) that rotates while a cutting blade (18) cuts the spinal implant. The apparatus and method accurately size and cut spinal implants to the desired length.

Abstract translation: 一种用于将脊椎植入物（14）切割成所需长度的装置和方法，其中所述脊柱植入物（14）被支撑在切割刀片（18）切割所述脊柱植入物时旋转的心轴（12）上。 该装置和方法将脊柱植入物精确地尺寸并切割成所需长度。

公开(公告)号：WO2009017656A4

公开(公告)日：2009-06-18

申请号：PCT/US2008008986

申请日：2008-07-24

Applicant: STRYKER SPINE ,  DUBE MICHAEL A ,  MARCIANO FREDERICK ,  PORTER RANDALL ,  THEODORE NICHOLAS ,  TRUUMEES EERIC ,  MCDONNELL CHRISTOPHER ,  JUSTIN DANIEL F ,  LEWIS CHAD W

Inventor： DUBE MICHAEL A ,  MARCIANO FREDERICK ,  PORTER RANDALL ,  THEODORE NICHOLAS ,  TRUUMEES EERIC ,  MCDONNELL CHRISTOPHER ,  JUSTIN DANIEL F ,  LEWIS CHAD W

IPC: A61B17/16 ,  A61B17/17 ,  A61B17/68 ,  A61B17/70 ,  A61B17/80 ,  A61B17/88

CPC classification number: A61B17/7059 ,  A61B17/1604 ,  A61B17/1655 ,  A61B17/1671 ,  A61B17/1728 ,  A61B17/1735 ,  A61B17/1757 ,  A61B17/68 ,  A61B17/7055 ,  A61B17/8014 ,  A61B17/8047 ,  A61B17/8052 ,  A61B17/808 ,  A61B17/8615 ,  A61B17/863 ,  A61B17/8695 ,  A61B17/8875 ,  A61B90/94 ,  A61B2090/033 ,  A61B2090/062

Abstract: A spinal plating system for vertebral fixation includes a plate (12), a compression screw (18), multiple fixation members (14) and polyaxially adjustable locking rings (16). The plate (12) is shaped to conform to the curvature of the spine and the surfaces of the vertebral bodies. The compression screw (18) fits through an insert, and together they are guided by the plate (12) as the screw is driven into one of the vertebrae, producing compression between the adjacent vertebrae. A retaining lip on the plate prevents backout of the compression screw (18). The polyaxial locking rings (16) can be polyaxially pivoted to attain a desired orientation, and are lockable to the plate (12) to maintain the orientation. The fixation members fit through openings in the polyaxial locking rings (16) and the plate (12) to fix the plate to the vertebrae. Locking the polyaxial locking rings (16) fixes the position of the fixation members relative to the plate (12), and prevents backout of the fixation members (14).

Abstract translation: 一种用于椎骨固定的脊柱电镀系统包括板（12），加压螺钉（18），多个固定构件（14）和可多轴调节的锁定环（16）。 板（12）成形为符合脊柱的曲率和椎体的表面。 压紧螺钉（18）通过插入件配合，并且当螺钉被驱动进入其中一个椎骨时，它们一起被板（12）引导，从而在相邻椎骨之间产生压缩。 压板上的固定唇防止压紧螺钉（18）退出。 多轴锁定环（16）可以被多轴地枢转以获得期望的定向，并且可锁定到板（12）以保持定向。 固定构件穿过多轴锁定环（16）和板（12）中的开口以将板固定到椎骨。 锁定多轴锁定环16固定固定构件相对于板12的位置，并防止固定构件14退出。

公开(公告)号：WO2005072081A3

公开(公告)日：2009-04-02

申请号：PCT/US2004036640

申请日：2004-11-04

Applicant: STRYKER SPINE ,  CHIN KINGSLEY RICHARD

Inventor： CHIN KINGSLEY RICHARD

IPC: A61B17/70 ,  A61B17/00 ,  A61B17/34 ,  A61B17/88 ,  A61B19/00

CPC classification number: A61B17/7083 ,  A61B17/00234 ,  A61B17/3421 ,  A61B17/7085 ,  A61B90/39 ,  A61B2017/3443 ,  A61B2017/3445

Abstract: 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 (94a) having a length adjusted with a self-contained mechanism. The first elongated tube (94a) includes an inner hollow tube (120) and an outer hollow tube (110) and the inner tube (120) is adapted to slide within the outer tube (110) 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.

Abstract translation: 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（94a）。 第一细长管（94a）包括内部中空管（120）和外部中空管（110），并且内部管（120）适于在外管（110）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。