公开(公告)号：WO2018136344A1

公开(公告)日：2018-07-26

申请号：PCT/US2018/013681

申请日：2018-01-13

Applicant: NEUROPRO TECHNOLOGIES, INC.

Inventor： BAKER, Daniel R. ,  MCLUEN, Gary R. ,  GERBEC, Daniel E. ,  DIETZEL, Steven E. ,  WILLIAMS, Kreigh R. ,  STALCUP, Gregory C. ,  KNAPP, Troy D. ,  LOGAN, Joseph N. ,  REMINGTON, Benjamin J.

IPC: A61B17/56 ,  A61B17/58 ,  A61B17/60 ,  A61B17/88 ,  A61F2/30 ,  A61F2/44 ,  A61F2/46

CPC classification number: A61F2/4611 ,  A61F2/447 ,  A61F2/4657 ,  A61F2002/30131 ,  A61F2002/30153 ,  A61F2002/30411 ,  A61F2002/30507 ,  A61F2002/30515 ,  A61F2002/30556 ,  A61F2002/4622 ,  A61F2002/4623 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2002/4658

Abstract: A bone fusion method, system and device for insertion between bones that are to be fused together and/or in place of one or more of the bones, such as, for example, the vertebrae of a spinal column. The bone fusion device comprises one or more extendable tabs having a central rib. The bone fusion device includes one or more support channels configured to receive an insertion instrument that is then secured to the bone fusion device via a coupling mechanism. As a result, the coupled device is able to be securely positioned between vertebrae using the insertion instrument with minimal risk of slippage.

公开(公告)号：WO2017053653A1

公开(公告)日：2017-03-30

申请号：PCT/US2016/053237

申请日：2016-09-23

Applicant: ALPHATEC SPINE, INC.

Inventor： COSTABILE, Jonathan, T.

IPC: A61F2/44 ,  A61B17/02 ,  A61B17/00

CPC classification number: A61F2/447 ,  A61F2/30771 ,  A61F2/4611 ,  A61F2002/2835 ,  A61F2002/30827 ,  A61F2002/30828 ,  A61F2002/30904 ,  A61F2002/4622 ,  A61F2002/4627 ,  A61F2002/4687

Abstract: A system and a method for performing a spinal procedure configured to minimize the size of the surgical corridor so as to reduce recovery time is provided. The system and method include an implant and a guide. The guide is configured to be disposed within a surgical corridor formed by an instrument. The instrument is removed wherein the muscles may contract onto the guide so as to reduce the surgical corridor, wherein the implant is slid down the surgical corridor between a pair of guide members.

Abstract translation: 提供了一种用于执行脊柱过程的系统和方法，其被配置为使得手术走廊的尺寸最小化以减少恢复时间。 该系统和方法包括植入物和引导件。 引导件被配置为设置在由仪器形成的外科走廊内。 去除器械，其中肌肉可能收缩到引导件上以减少外科走廊，其中植入物在一对引导构件之间沿着外科走廊滑下。

公开(公告)号：WO2015085111A1

公开(公告)日：2015-06-11

申请号：PCT/US2014/068652

申请日：2014-12-04

Applicant: SPINAL ELEMENTS, INC

Inventor： BLAIN, Jason ,  SOLUM, David ,  JOHNSON, Dean ,  FLORES, Markanthony

IPC: A61F2/44

CPC classification number: A61F2/4455 ,  A61F2/30771 ,  A61F2/441 ,  A61F2/447 ,  A61F2/4611 ,  A61F2002/3006 ,  A61F2002/3008 ,  A61F2002/3022 ,  A61F2002/30281 ,  A61F2002/30367 ,  A61F2002/30405 ,  A61F2002/30408 ,  A61F2002/30556 ,  A61F2002/30579 ,  A61F2002/30601 ,  A61F2002/30774 ,  A61F2002/30785 ,  A61F2002/30828 ,  A61F2002/30878 ,  A61F2002/30904 ,  A61F2002/3092 ,  A61F2002/3093 ,  A61F2002/4475 ,  A61F2002/4622 ,  A61F2002/4623 ,  A61F2002/4627 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00179 ,  A61F2310/00203 ,  A61F2310/00239 ,  A61F2310/00407

Abstract: An expandable interbody device for placement between adjacent vertebrae having an upper structure, a lower structure and a screw mechanism, wherein actuation of the screw mechanism moves the upper and lower structures between a collapsed configuration and an expanded configuration. A deployment tool couples to the expandable interbody device for positioning the device between adjacent vertebrae, actuating the screw mechanism and delivering a material to a chamber of the expandable interbody device.

Abstract translation: 一种用于放置在具有上部结构，下部结构和螺钉机构的相邻椎骨之间的可扩张体间装置，其中所述螺钉机构的致动在收缩构型和扩张构型之间移动所述上部和下部结构。 展开工具联接到可膨胀的体间装置，用于将装置定位在相邻的椎骨之间，致动螺钉机构并将材料输送到可扩张的体间装置的腔室。

公开(公告)号：WO2013173682A1

公开(公告)日：2013-11-21

申请号：PCT/US2013/041524

申请日：2013-05-17

Applicant: AESCULAP IMPLANT SYSTEMS, LLC

Inventor： KISTLER, Gordon, Paul ,  REFAI, Daniel ,  FARRIS, Jeffrey, A. ,  EBERSOLE, Jeffrey, T. ,  TRISCHLER, Cory, Alan ,  WING, Charles

IPC: A61F2/44 ,  A61F2/30 ,  A61F2/46 ,  A61F2/28

CPC classification number: A61F2/44 ,  A61F2/30734 ,  A61F2/30744 ,  A61F2/4611 ,  A61F2002/2835 ,  A61F2002/30092 ,  A61F2002/30204 ,  A61F2002/30225 ,  A61F2002/30227 ,  A61F2002/30235 ,  A61F2002/3024 ,  A61F2002/30364 ,  A61F2002/30367 ,  A61F2002/30405 ,  A61F2002/30428 ,  A61F2002/30433 ,  A61F2002/30492 ,  A61F2002/30497 ,  A61F2002/30507 ,  A61F2002/30523 ,  A61F2002/30525 ,  A61F2002/3054 ,  A61F2002/3055 ,  A61F2002/30601 ,  A61F2002/30604 ,  A61F2002/30616 ,  A61F2002/30647 ,  A61F2002/30772 ,  A61F2002/30774 ,  A61F2002/30785 ,  A61F2002/30787 ,  A61F2002/30789 ,  A61F2002/30818 ,  A61F2002/30838 ,  A61F2002/3084 ,  A61F2002/30841 ,  A61F2002/4622 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2002/4638 ,  A61F2002/4642 ,  A61F2310/00023

Abstract: A vertebral body replacement device (5000) includes a body member (5100) and a central rod member (5200) having two threaded portions and configured to be operatively associated with the body member (5100). The device also includes a first end member (5300) and a second end member (5400) with the end members configured to threadingly engage the threaded portions of the central rod member (5200). The body member (5100) and the two end members (5300,5400) are further constructed to inhibit rotational movement of the two end members when the device is positioned within a space within a spine as the two end members will engage the adjacent respective vertebral bodies following rotational actuation of the central rod member (5200) causing the end members (5300,5400) to move in an axial direction relative to the body member (5100), thereby allowing the two end members to apply a force to the two vertebral bodies. A surgical instrument and method for using the device are also disclosed.

Abstract translation: 椎体置换装置（5000）包括主体构件（5100）和具有两个螺纹部分并被配置为可操作地与主体构件（5100）相关联的中心杆构件（5200）。 该装置还包括第一端构件（5300）和第二端构件（5400），其中端构件构造成与中心杆构件（5200）的螺纹部分螺纹接合。 主体构件（5100）和两个端部构件（5300,5400）进一步构造成当装置定位在脊柱内的空间内时两个端构件的旋转运动，因为两个端构件将与相邻的相应椎体 在所述中心杆构件（5200）的旋转致动之后，使所述端部构件（5300,5400）相对于所述主体构件（5100）沿轴向移动，从而允许所述两个端部构件对所述两个椎体施加力 身体。 还公开了一种用于使用该装置的手术器械和方法。

公开(公告)号：WO2013064569A1

公开(公告)日：2013-05-10

申请号：PCT/EP2012/071618

申请日：2012-10-31

Applicant: TORNIER ORTHOPEDICS IRELAND LTD.

Inventor： HODOREK, Brian C. ,  PURDY, Matthew

IPC: A61F2/40

CPC classification number: A61F2/4059 ,  A61B17/164 ,  A61B17/1684 ,  A61B17/17 ,  A61B17/1778 ,  A61B17/8875 ,  A61B2017/1602 ,  A61B2090/034 ,  A61F2/40 ,  A61F2/4014 ,  A61F2/4612 ,  A61F2/4637 ,  A61F2/4657 ,  A61F2002/30332 ,  A61F2002/30367 ,  A61F2002/30377 ,  A61F2002/30494 ,  A61F2002/30507 ,  A61F2002/30538 ,  A61F2002/3054 ,  A61F2002/30604 ,  A61F2002/30607 ,  A61F2002/4022 ,  A61F2002/4062 ,  A61F2002/4619 ,  A61F2002/4622 ,  A61F2002/4641

Abstract: A modular reverse shoulder prosthesis according to embodiments of the present invention includes a stem having a proximal taper and a primary stem axis, the proximal taper extending from the stem about a metaphyseal axis, the metaphyseal axis at an angle with respect to the primary stem axis, a metaphysis having a proximal end, a distal end, a first aperture in the distal end configured to be placed over the proximal taper, and a second aperture in the proximal end having an insert axis that is eccentrically offset from the metaphyseal axis, the metaphysis configured for attachment to the stem at any rotational position of the metaphysis about the metaphyseal axis, and a reverse insert, the reverse insert having a proximal end and a distal end, wherein the proximal end comprises a concave cup formed about a cup axis and configured to receive a glenosphere, and wherein the distal end comprises a locking protrusion, wherein the locking protrusion has an outer surface with a cross- sectional shape that is rotationally symmetrical about the insert axis with respect to a corresponding inner surface of the second aperture, wherein the rotational symmetry has an order of six, seven, eight, nine, or ten.

Abstract translation: 根据本发明的实施例的模块化的逆肩假体包括具有近端锥形和主茎杆轴线的柄，所述近端锥体从茎周围围绕干al轴延伸，干al端轴线相对于主茎轴线成一定角度 ，具有近端，远端，构造成放置在近端锥形上方的远端中的第一孔和近端的第二孔的干having端具有偏离干al轴的插入轴线， 干ysis构造成在围绕干al轴的干at端的任何旋转位置处连接到杆上，反向插入件具有近端和远端，其中近端包括围绕杯轴线形成的凹形杯， 被配置为接收青光圈，并且其中所述远端包括锁定突起，其中所述锁定突起具有外表面，所述外表面具有横截面 相对于第二孔的对应的内表面围绕插入轴线旋转对称的正方形，其中旋转对称具有六，七，八，九或十的数量级。

公开(公告)号：WO2013057420A1

公开(公告)日：2013-04-25

申请号：PCT/FR2012/052356

申请日：2012-10-16

Applicant: LES LABORATOIRES OSTEAL MEDICAL

Inventor： BOUCHOT, Daniel ,  HORYN, Yoachim ,  TISSERAND, Thierry

IPC: A61F2/46

CPC classification number: A61F2/4611 ,  A61F2/442 ,  A61F2002/30904 ,  A61F2002/4615 ,  A61F2002/4619 ,  A61F2002/4622 ,  A61F2002/4623 ,  A61F2002/4627

Abstract: Pince de préhension (1) d'implant intervertébral (2) comprenant deux bras rigides (1 1) articulés l'un par rapport à l'autre au niveau d'un organe de connexion (10), les deux bras (1 1) définissant entre eux un espace interne (120), chaque bras (1 1 ) formant une mâchoire (17), les deux mâchoires (17) étant destinées à venir en prise avec un implant intervertébral (2), les mâchoires (17) étant mobiles entre une position ouverte et une position fermée en prise serrante avec l'implant (2), au moins un des deux bras (1 1) comprenant une surface de came (16) pour contraindre les mâchoires (17) en position ouverte, caractérisée en ce que la surface de came (16) s'étend à l'extérieur de l'espace interne (120) défini entre les bras (1 1). La présente invention concerne en outre un kit d'implantation ainsi qu'un ensemble d'implantation comprenant ladite pince de préhension et un implant intervertébrale.

Abstract translation: 用于夹持椎间植入物（2）的镊子（1），包括在连接构件（10）的区域中相对于彼此铰接的两个刚性臂（11），所述两个臂（11）在它们之间限定内部空间 120），每个臂（11）形成钳口（17），所述两个钳口（17）旨在与椎间植入物（2）接合，所述钳口（17）可在打开位置和关闭位置之间移动，其中 它们被锁定成与植入物（2）接合，两个臂（11）中的至少一个臂（11）包括用于迫使钳口（17）进入打开位置的凸轮表面（16），其特征在于，凸轮表面（16） 延伸到限定在臂（11）之间的内部空间（120）的外部。 本发明还涉及植入套件以及包括所述夹持钳和椎间植入物的植入组件。

公开(公告)号：WO2013009462A2

公开(公告)日：2013-01-17

申请号：PCT/US2012/044181

申请日：2012-06-26

Applicant: WARSAW ORTHOPEDIC, INC. ,  YU, Kidong ,  MILLER, Keith E. ,  ARMSTRONG, Willliam D. ,  BRANCH, Charles ,  FOLEY, Kevin T. ,  MCCOMBE, Peter ,  MELKENT, Anthony J. ,  SEARS, William R.

Inventor： YU, Kidong ,  MILLER, Keith E. ,  ARMSTRONG, Willliam D. ,  BRANCH, Charles ,  FOLEY, Kevin T. ,  MCCOMBE, Peter ,  MELKENT, Anthony J. ,  SEARS, William R.

IPC: A61B17/70 ,  A61F2/44

CPC classification number: A61F2/447 ,  A61F2/4455 ,  A61F2/4611 ,  A61F2002/30062 ,  A61F2002/3008 ,  A61F2002/30266 ,  A61F2002/30281 ,  A61F2002/30616 ,  A61F2002/30772 ,  A61F2002/30774 ,  A61F2002/30904 ,  A61F2002/4475 ,  A61F2002/448 ,  A61F2002/4622 ,  A61F2002/4627 ,  A61F2002/4629 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00359

Abstract: An interbody spacer includes an elongated body with a maximum width between opposite side walls and a maximum height between upper and lower bearing surfaces. The interbody spacer also includes a leading end nose connecting the side walls to facilitate insertion of the interbody spacer into a disc space between vertebrae in an insertion orientation, from which the interbody device is then rotated to position the upper and lower bearing surfaces in contact with the endplates of the adjacent vertebrae. The leading end nose forms a blunt convex nose between the upper and lower bearing surfaces to maximize the bearing surface area available to contact the adjacent endplates.

Abstract translation: 体间隔离件包括细长主体，在相对的侧壁之间具有最大宽度，并且在上支承表面和下支承表面之间具有最大高度。 椎体间隔离器还包括连接侧壁的前端鼻部，以便于将椎体间隔离物插入椎骨之间的插入取向中的椎间盘空间中，然后使介体设备旋转以将上部和下部支承表面定位成与 相邻椎骨的终板。 前端鼻部在上部和下部轴承表面之间形成钝凸的鼻部，以最大化可用于接触相邻端板的轴承表面积。

公开(公告)号：WO2012139022A2

公开(公告)日：2012-10-11

申请号：PCT/US2012/032556

申请日：2012-04-06

Applicant: KUBE, Richard A.

Inventor： KUBE, Richard A.

IPC: A61F2/44

CPC classification number: A61F2/4455 ,  A61F2/30767 ,  A61F2/442 ,  A61F2/447 ,  A61F2/4611 ,  A61F2002/2835 ,  A61F2002/3008 ,  A61F2002/30092 ,  A61F2002/30148 ,  A61F2002/30158 ,  A61F2002/30772 ,  A61F2002/30785 ,  A61F2002/30904 ,  A61F2002/4475 ,  A61F2002/4622 ,  A61F2230/0086 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00131

Abstract: A spinal interbody fusion implant has an impact rod fitting that is configured and adapted to be connected to an impact rod during implantation of the implant. The implant also comprises one or more openings that are encircled by portions of the implant and that extend into the top of the implant and continue through to and out of the bottom of the implant. The top and bottom of the implant each have a load bearing footprint. Each of the load bearing footprints has a centroid that is closer to the leading end of the implant than to the trailing end of the implant. A method of implanting a spinal interbody fusion implant between two vertebrae of a spine comprises inserting the implant into a patient through a posterior incision and guiding the implant into a position between the two vertebrae using a pair of shims.

Abstract translation: 脊椎体间融合植入物具有撞击杆配件，该撞击杆配件构造并且适于在植入物植入期间连接到撞击杆。 植入物还包括一个或多个开口，所述开口被植入物的部分包围并且延伸到植入物的顶部并继续穿过植入物的底部和从植入物的底部出来。 植入物的顶部和底部各有一个承载足迹。 每个承载足迹具有更接近植入物的前端而不是植入物的后端的质心。 一种在脊柱的两个椎骨之间植入脊椎体间融合植入物的方法包括通过后部切口将植入物插入到患者体内并使用一对垫片将植入物引导到两个椎骨之间的位置。

公开(公告)号：WO2012088238A3

公开(公告)日：2012-08-16

申请号：PCT/US2011066421

申请日：2011-12-21

Applicant: SYNTHES USA LLC ,  SYNTHES GMBH ,  MCDONOUGH WILLIAM P ,  STRAUSBAUGH WILLIAM L ,  CHRONISTER BENJAMIN ,  PEPE THOMAS ,  COOVER MICHAEL ,  COFFMAN KATHARINE ,  KUEENZI THOMAS ,  CHAN EDWIN ,  PAKZABAN PEYMAN ,  SCHMURA KURT

Inventor： MCDONOUGH WILLIAM P ,  STRAUSBAUGH WILLIAM L ,  CHRONISTER BENJAMIN ,  PEPE THOMAS ,  COOVER MICHAEL ,  COFFMAN KATHARINE ,  KUEENZI THOMAS ,  CHAN EDWIN ,  PAKZABAN PEYMAN ,  SCHMURA KURT

IPC: A61F2/44 ,  A61B17/17 ,  A61F2/46

CPC classification number: A61F2/4465 ,  A61B17/1757 ,  A61B17/86 ,  A61F2/28 ,  A61F2/3094 ,  A61F2/4455 ,  A61F2/4611 ,  A61F2002/2835 ,  A61F2002/30131 ,  A61F2002/30387 ,  A61F2002/30477 ,  A61F2002/305 ,  A61F2002/30571 ,  A61F2002/30576 ,  A61F2002/30604 ,  A61F2002/30774 ,  A61F2002/30787 ,  A61F2002/4622 ,  A61F2310/00023 ,  A61F2310/00131 ,  A61F2310/00293 ,  A61F2310/00299 ,  A61F2310/00359

Abstract: An intervertebral implant frame that is configured to be attached to a spacer body can include a pair of arms that extend longitudinally from a support member such that the arms extend substantially around the spacer body. The arms may be configured to expand, crimp, or otherwise engage the spacer body to thereby hold the spacer body to the frame. The spacer body may be made from bone graft.

Abstract translation: 构造成附接到间隔件主体的椎间植入物框架可包括从支撑构件纵向延伸的一对臂，使得臂基本上围绕间隔体延伸。 臂可以被构造成膨胀，压接或以其它方式接合间隔体，从而将间隔体保持在框架上。 间隔体可以由骨移植物制成。

公开(公告)号：WO2011017620A2

公开(公告)日：2011-02-10

申请号：PCT/US2010/044719

申请日：2010-08-06

Applicant: SKELETAL DYNAMICS, LLC ,  ORBAY, Jorge, L. ,  NORMAN, Thomas, H. ,  DE QUEVEDO, William Garcia,

Inventor： ORBAY, Jorge, L. ,  NORMAN, Thomas, H. ,  DE QUEVEDO, William Garcia,

IPC: A61F2/30 ,  A61F2/46 ,  A61B17/88 ,  A61B17/90 ,  A61F2/38

CPC classification number: A61F2/3804 ,  A61F2/4605 ,  A61F2/4637 ,  A61F2002/30649 ,  A61F2002/3827 ,  A61F2002/4622 ,  A61F2002/4687

Abstract: A prosthesis is provided for replacing a portion of a bone making up a joint. The prosthesis is adapted, intraoperatively, to optimize the anatomical alignment of the prosthesis in the joint. In particular, a jig is used to identify the axis of rotation of the joint intraoperatively and to align a portion of the prosthesis with the identified axis. The angle of the head of the prosthesis is adjusted to optimize contact with the appropriate corresponding portions of the joint, at which point the position of the head is fixed to prevent further rotation of the head relative to the remainder of the prosthesis.

Abstract translation: 提供了一种假体，用于替代构成关节的骨的一部分。 术中适应假体以优化假体在关节中的解剖学对准。 特别地，夹具用于在手术中识别关节的旋转轴线并使假体的一部分与所识别的轴对准。 调节假体头部的角度以优化与关节的适当对应部分的接触，此时头部的位置被固定以防止头部相对于假体的其余部分进一步旋转。