公开(公告)号：WO2008039447A1

公开(公告)日：2008-04-03

申请号：PCT/US2007/020660

申请日：2007-09-25

Applicant: STRYKER SPINE ,  ARNETT, Jeffery ,  BUTTERS, Joshua, A.

Inventor： ARNETT, Jeffery ,  BUTTERS, Joshua, A.

IPC: A61B17/02 ,  A61B17/88

CPC classification number: A61B17/025 ,  A61B17/7001 ,  A61B17/7077 ,  A61B17/7079 ,  A61B2017/0256

Abstract: The present invention provides a compression and distraction shaft assembly used to apply compression and distraction to bones including vertebrae. Shaft A assembly (20) and shaft B assembly (22) are attached together via a polyaxial fulcrum (38). The polyaxial fulcrum (38) allows all rotational degrees of freedom between shaft A assembly (20) and shaft B assembly (22) - Such fulcrum, during compression and distraction, does not impart ancillary stresses or motion to vertebrae. A hour glass shaped bore (54) for engaging pliers is formed in approximately middle of both the shaft A assembly (20) and the shaft B assembly (22). A distraction pliers (60) having cylindrical tips (70, 90) is used to apply distraction to vertebrae. Once handles (62, 64) are pressed to impart appropriate amount of distraction to the vertebrae they are locked in this position. A compression pliers (110) having cylindrical tips (120, 150) is used to apply compression to vertebrae. Once handles (112, 114) are pressed to impart appropriate amount of compression to the vertebrae they are locked in this position.

Abstract translation: 本发明提供了一种用于对包括椎骨的骨头施加压缩和分心的压缩和牵引轴组件。 轴组件（20）和轴B组件（22）通过多轴支点（38）连接在一起。 多轴支点（38）允许轴A组件（20）和轴B组件（22）之间的所有旋转自由度 - 在压缩和牵引期间的这种支点不会对椎骨施加辅助应力或运动。 用于接合钳子的小时玻璃形孔（54）形成在轴A组件（20）和轴B组件（22）的大致中间。 使用具有圆柱形尖端（70,90）的牵引钳（60）将分心应用于椎骨。 一旦按下手柄（62,64）以向椎骨施加适当数量的分心，则它们被锁定在该位置。 具有圆柱形尖端（120,150）的压紧钳（110）用于对椎骨施加压缩。 一旦按压手柄（112,114）以向椎骨施加适当量的压缩，则它们被锁定在该位置。

公开(公告)号：WO2008039439A1

公开(公告)日：2008-04-03

申请号：PCT/US2007/020650

申请日：2007-09-25

Applicant: STRYKER SPINE ,  BUTTERS, Joshua, A. ,  ARNETT, Jeffery

Inventor： BUTTERS, Joshua, A. ,  ARNETT, Jeffery

IPC: A61B17/88

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

Abstract: Pedicle screws are designed to provide polyaxial coupling to pedicles of a vertebra. Intermediate pieces (80) are attached to the pedicles screws (140, 142, 148) and receive extender shafts (180A, 182A, 188A). Extenders (180A, 182A, 188A) are inserted in the intermediate pieces (80). The extenders (180A, 182A, 188A) project the anatomic points located in the cages (152) outside the patient's body to facilitate proper contouring of a rod. An alignment linkage (310) is used to ensure that the extenders (180A, 182A, 188A) are parallel to each other. The alignment linkage (310) includes a linkage frame (312), an articulating linkage (314) and a locking member (316). The articulating linkage (314) has all rotational degrees of freedom and thereby adapts to any varying trajectories of the extenders and distance between the extenders. The alignment linkage (310) includes a locking member (316) with a pop-up indicator. The pop-up indicator notifies the users when the locking member (316) is tightened with two of the extenders in non-parallel configuration.

Abstract translation: 椎弓根螺钉设计用于提供椎骨椎弓根的多轴联接。 中间件（80）附接到椎弓根螺钉（140,142,148）并且接收延长轴（180A，182A，188A）。 扩展器（180A，182A，188A）插入中间件（80）中。 延伸器（180A，182A，188A）将位于病人身体外部的笼子（152）中的解剖点投射以便于杆的适当轮廓。 使用对准连杆（310）来确保扩展器（180A，182A，188A）彼此平行。 对准连杆机构（310）包括连杆机架（312），铰接连杆机构（314）和锁定部件（316）。 铰接连杆（314）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。 对准联动装置（310）包括具有弹出指示器的锁定构件（316）。 当两个扩展器处于非并联配置时，锁定构件（316）被紧固时，弹出指示器通知用户。

公开(公告)号：WO2012145707A1

公开(公告)日：2012-10-26

申请号：PCT/US2012/034566

申请日：2012-04-20

Applicant: IMDS Corporation ,  DUGGAL, Niel ,  ARNETT, Jeffery ,  BUTTERS, Joshua A. ,  HUSHKA, Dylan

Inventor： ARNETT, Jeffery ,  BUTTERS, Joshua A. ,  HUSHKA, Dylan

IPC: A61F2/42

CPC classification number: A61F2/4202 ,  A61F2002/30324 ,  A61F2002/30326 ,  A61F2002/30383 ,  A61F2002/30604 ,  A61F2002/30848

Abstract: Total ankle arthoplasty with a tibial plate (100), a talar plate (300) and a middle or core component (200). The ankle arthroplasty may allow for varus or valgus accommodation through the use of a core component with various medial and lateral heights in varus and valgus orientations. In addition the resurfacing of the talus is accomplished with a talar plate with a curved orientation that is congruent to one surface of the core component to allow for appropriate ankle manipulation.

Abstract translation: 具有胫骨板（100），立柱板（300）和中部或核心部件（200）的总踝成形术。 踝关节成形术可以通过使用具有内翻和外翻位置的各种内侧和外侧高度的核心部件来允许内翻或外翻适应。 此外，距骨的表面重建是用具有与芯部件的一个表面相一致的弯曲取向的定位板来实现的，以允许适当的脚踝操纵。

公开(公告)号：WO2011008739A2

公开(公告)日：2011-01-20

申请号：PCT/US2010/041800

申请日：2010-07-13

Applicant: MEDICINELODGE, INC. DBA IMDS CO-INNOVATION ,  DUGGAL, Neil ,  BUTTERS, Joshua A. ,  ARNETT, Jeffery

Inventor： DUGGAL, Neil ,  BUTTERS, Joshua A. ,  ARNETT, Jeffery

IPC: A61B17/68 ,  A61F2/42

CPC classification number: A61B17/7266 ,  A61B17/1725 ,  A61B17/1775 ,  A61B17/683 ,  A61B17/7225 ,  A61B17/7233 ,  A61B17/7291 ,  A61F2/4202 ,  A61F2002/4205 ,  A61F2002/4207

Abstract: An implantable fixation system for fusing a joint between a first bone and a second bone. The system may include an anchor, standoff, bolt, and cortical washer. The system may be implanted across the joint along a single trajectory, the length of the system adjustable to provide compressive force between the anchor and the cortical washer. The system may be implanted across a tibiotalar joint with the anchor positioned in the sinus tarsi. A spacing member may be inserted between the two bones and the fixation system implanted to extend through an opening in the spacing member. The spacing member may be anatomically shaped and/or provide deformity correction. An ankle arthroplasty system may include a tibial plate, a talar plate, and a bearing insert. The plates may be anchored to the tibia and talus along a single trajectory. The ankle arthroplasty system may be revisable to a fusion system.

Abstract translation: 一种可植入固定系统，用于将第一骨骼和第二骨骼之间的关节融合。 系统可以包括锚固件，支座，螺栓和皮质垫圈。 系统可以沿着单个轨迹跨越关节植入，系统的长度可调节以在锚固体和皮质垫圈之间提供压缩力。 该系统可以植入跨胫骨关节，锚定位于窦性sinus骨中。 间隔构件可以插入在两个骨之间，并且固定系统被植入以延伸通过间隔构件中的开口。 间隔构件可以是解剖学上的形状和/或提供畸形校正。 脚踝关节置换系统可包括胫骨板，定位板和支承插入物。 板可以沿着单个轨迹锚定到胫骨和距骨。 踝关节置换系统可以修改融合系统。

公开(公告)号：WO2013006820A1

公开(公告)日：2013-01-10

申请号：PCT/US2012/045820

申请日：2012-07-06

Applicant: IMDS CORPORATION ,  ARNETT, Jeffery ,  HUSHKA, Dylan M.

Inventor： ARNETT, Jeffery ,  HUSHKA, Dylan M.

IPC: A61B17/04 ,  A61B17/06 ,  A61F2/08

CPC classification number: A61B17/0487 ,  A61B17/0401 ,  A61B17/0485 ,  A61B2017/0475 ,  A61B2017/0496 ,  A61B2017/06057 ,  A61F2/0811 ,  A61F2002/0888

Abstract: Systems and methods for approximating tissue using suture are described. The systems include at least one suture with a locking portion that is integral to the suture. The locking portion may be an expanded portion of the suture body. The locking portion may receive a plurality of snares that work to carry the at least one end of the suture through the locking portion. The systems may also include suture anchors and external locking mechanisms such as a tubular sheath. The systems may be used to approximate two soft tissue portions together, or a soft tissue and a bone portion together.

Abstract translation: 描述了使用缝线近似组织的系统和方法。 该系统包括至少一个具有与缝合线成一体的锁定部分的缝合线。 锁定部分可以是缝线体的扩张部分。 锁定部分可以接收多个线圈，其工作以将缝合线的至少一个端部穿过锁定部分。 该系统还可以包括缝合锚和诸如管状护套的外部锁定机构。 该系统可用于将两个软组织部分在一起，或软组织和骨部分在一起。

公开(公告)号：WO2013024466A2

公开(公告)日：2013-02-21

申请号：PCT/IB2012/054204

申请日：2012-08-17

Applicant: ANCHOR ORTHOPEDICS XT ,  HARRISON, Robert ,  GODARA, Neil ,  ARNETT, Jeffery ,  YU, Laura Man Yee

Inventor： HARRISON, Robert ,  GODARA, Neil ,  ARNETT, Jeffery ,  YU, Laura Man Yee

IPC: A61B17/04 ,  A61B17/06

CPC classification number: A61B17/0469 ,  A61B17/0482 ,  A61B17/062 ,  A61B2017/00455 ,  A61B2017/0475 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2090/0811

Abstract: The instant disclosure is directed to methods and devices for passing suture bi-directionally using a hybrid approach. Embodiments of a method described herein include steps of advancing a suture at least partially through tissue; and retrieving the suture; wherein one of the steps of advancing and retrieving comprises manipulating the suture directly, and wherein the other step of advancing and retrieving comprises manipulating a suture trap to which the suture is coupled. Embodiments of a device that may be used to practice the method embodiments include a bi- directional suture passer having a proximal portion for holding a portion of a suture therein; a distal tip coupled to the proximal portion and defining a tissue receiving gap there-between; a reciprocally moveable suture passing member housed within the proximal portion for translating the suture portion between the proximal portion and the distal tip; and a suture trap operable to be detachably coupled to the distal tip for capturing the suture passed by the suture passing member.

Abstract translation: 本公开涉及用于使用混合方法双向地通过缝合线的方法和装置。 本文描述的方法的实施例包括以下步骤：将缝线至少部分地推进穿过组织; 并取回缝线; 其中所述前进和取回的步骤之一包括直接操纵所述缝线，并且其中所述前进和取回的另一步骤包括操纵所述缝线连接至的缝线圈闭器。 可用于实施方法实施例的装置的实施例包括双向缝线穿引器，其具有用于将缝合线的一部分保持在其中的近侧部分; 耦合到所述近侧部分并在其间限定组织接收间隙的远侧末端; 容纳在所述近侧部分内的可往复运动的缝合线通过构件，用于在所述近侧部分与所述远侧末端之间平移所述缝合线部分; 以及缝合捕集器，其可操作以可拆卸地联接到远侧尖端用于捕获由缝合线通过构件穿过的缝合线。