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91. 发明申请

US20120059416A1 INTRA-OPERATIVE ACL GRAFT INSTRUMENTATION 审中-公开
标题翻译：手术ACL GRAFT INSTRUMENTATION
公开(公告)号：US20120059416A1
公开(公告)日：2012-03-08
申请号：US13252951
申请日：2011-10-04
申请人： Daniel F. Justin , Joshua A. Butters , Nicholas Slater , Mark J. Mooradian , Jordan A. Hoof , Bradford J. Coale
发明人： Daniel F. Justin , Joshua A. Butters , Nicholas Slater , Mark J. Mooradian , Jordan A. Hoof , Bradford J. Coale
IPC分类号： A61B17/04
CPC分类号： A61B17/0401
摘要： A line lock system may include a line routed through a plate. The plate may have an elongated body with a plurality of passageways. The line is routed to form at least one one-way slide so no knots are required. The system may include filaments routed through the passageways of the plate or around a dogbone feature of the plate. The filaments may be used to toggle the plate after passage through a hole to prevent withdrawal of the plate back through the hole. The system may include a line lock stabilizer or counter-tension tool to stabilize the line lock as the line is adjusted, a compression limiter to selectively reduce compression in the one-way slide to facilitate adjustment of the line, means for adjusting the line, or a line cutter.
摘要翻译：线路锁定系统可以包括通过板路线路线。板可以具有带有多个通道的细长主体。该线被路由以形成至少一个单向滑块，因此不需要结。系统可以包括通过板的通道或围绕板的狗骨特征布线的细丝。长丝可以用于在通过孔之后切换板，以防止板通过孔退回。系统可以包括线路锁定稳定器或反张力工具，以在线路调节时稳定线路锁定;压缩限制器，用于选择性地减小单向滑动件中的压缩以便于线路的调节，用于调节线路的装置，或线切割器。

92. 发明申请

US20110270403A1 Implantable Mobile Bearing Prosthetics 有权
标题翻译：可植入移动轴承假肢
公开(公告)号：US20110270403A1
公开(公告)日：2011-11-03
申请号：US12914799
申请日：2010-10-28
申请人： Michael D. Ries , Mark Mooradian , Daniel F. Justin , Joshua A. Butters
发明人： Michael D. Ries , Mark Mooradian , Daniel F. Justin , Joshua A. Butters
IPC分类号： A61F2/38
CPC分类号： A61F2/3868 , A61F2/385 , A61F2/3886 , A61F2002/30616 , A61F2002/30878 , A61F2002/30884
摘要： A knee prosthesis including a femoral implant, a tibial implant, a tibial insert and a cam post. The femoral implant is secured to a femur and has a gap for receiving a natural PCL. The tibial implant is secured to a tibia. The tibial insert comprises a medial cavity with a rotational axis. The tibial insert has articulating surfaces that match the contours of the condyles of the femoral implant and a notch for retaining the natural PCL. The tibial insert has a medial boss that aligns with the medial cavity allowing it to rotate about the rotational axis. A post is secured to the tibial implant and enters a hole of the tibial insert providing anterior and posterior stops for the rotation of the tibial insert about the rotational axis.
摘要翻译：包括股骨植入物，胫骨植入物，胫骨插入物和凸轮柱的膝关节假体。股骨植入物被固定到股骨上并具有用于接收天然PCL的间隙。胫骨植入物被固定到胫骨上。胫骨插入物包括具有旋转轴线的中间腔。胫骨插入物具有与股骨植入物的髁的轮廓匹配的关节表面和用于保持天然PCL的凹口。胫骨插入物具有与中间空间对准的中间凸起，允许其围绕旋转轴线旋转。将柱固定到胫骨植入物并进入胫骨插入物的孔，其提供前部和后部止动件，用于使胫骨插入物绕旋转轴线旋转。

93. 发明授权

US08002798B2 System and method for spinal implant placement 有权
标题翻译：脊柱植入物放置的系统和方法
公开(公告)号：US08002798B2
公开(公告)日：2011-08-23
申请号：US11202487
申请日：2005-08-12
申请人： Kingsley Richard Chin , T. Wade Fallin , Joshua A. Butters , Daniel F. Justin
发明人： Kingsley Richard Chin , T. Wade Fallin , Joshua A. Butters , Daniel F. Justin
IPC分类号： A61B17/70
CPC分类号： A61B17/7091 , A61B17/3201 , A61B17/3421 , A61B17/701 , A61B17/7032 , A61B17/7037 , A61B17/7082 , A61B17/7085 , A61B2017/3492 , A61B2090/036 , A61B2090/037
摘要： A posterior spinal fusion system may include a plurality of cannulas that mate with cages polyaxially coupled to pedicle screws. The cannulas maintain access to the pedicle screws to facilitate percutaneous insertion of a fusion rod into engagement with the cages. Each cannula has a pair of blades that may be held together by an abutment member that at least partially encircles the blades. Each abutment member abuts the skin to define a variable subcutaneous length of the corresponding cannula. Each abutment members is also lockably removable from the corresponding blades to enable the blades to pivot with respect to the connecting element to a position in which they can be withdrawn from the connecting element. The blades of each cannula are spaced apart to provide first and second slots of each cannula, through which the fusion rod can be percutaneously inserted.
摘要翻译：后部脊柱融合系统可以包括多个插管，其与与椎弓根螺钉多轴联接的保持架配合。插管保持进入椎弓根螺钉，以便于将经验性插入融合杆与笼子接合。每个插管具有一对叶片，其可以由至少部分地环绕叶片的抵接构件保持在一起。每个邻接构件邻接皮肤以限定相应插管的可变皮下长度。每个邻接构件也可锁定地从相应的叶片移除，以使得叶片能够相对于连接元件枢转到它们可以从连接元件抽出的位置。每个插管的叶片间隔开以提供每个插管的第一和第二狭槽，通过该插管可以经验地插入熔断棒。

94. 发明申请

US20100106240A1 Systems and Methods for Aneurysm Treatment and Vessel Occlusion 有权
标题翻译：动脉瘤治疗和血管闭塞的系统和方法
公开(公告)号：US20100106240A1
公开(公告)日：2010-04-29
申请号：US12582052
申请日：2009-10-20
申请人： Neil Duggal , Robert John De Hoog , Donald H. Lee , Louise C. Raymond , Joshua A. Butters
发明人： Neil Duggal , Robert John De Hoog , Donald H. Lee , Louise C. Raymond , Joshua A. Butters
IPC分类号： A61F2/82 , A61M29/00
CPC分类号： A61F2/06 , A61B17/12022 , A61B17/12118 , A61B17/12136 , A61B17/1214 , A61B17/12168 , A61B17/12177 , A61B17/12186 , A61B17/1219 , A61B2017/00867 , A61B2017/1205 , A61F2/07 , A61F2/856 , A61F2/91 , A61F2002/823 , A61F2002/828
摘要： A system for treating an aneurysm includes an expandable barrier positionable to bridge an aneurysm neck. The barrier may comprise a fiber mesh, a balloon or a molly anchor member, and may unroll, unfold, or inflate from a compact configuration to an expanded configuration. Expansion of the barrier may be greater radially than axially. A vaso-occlusive member comprising a coil or balloon may be deposited in the aneurysm. Another aneurysm treatment system comprises an outer fenestrated stent and/or an inner fenestrated sleeve, which may be implanted together adjacent an aneurysm neck to regulate blood flow to the aneurysm. The sleeve may be movable relative to the stent to open or occlude the fenestrations, which may vary in size, shape, and distribution. An intra-luminal vessel occlusion device comprises a stent and a sheath. A drawstring may be actuated to gradually close a sheath orifice to control blood flow through the vessel.
摘要翻译：用于治疗动脉瘤的系统包括可扩展的阻挡件，其可定位成桥接动脉瘤颈部。阻挡层可以包括纤维网，球囊或摩擦锚定构件，并且可以从紧凑构造展开，展开或膨胀到扩展构型。阻挡层的膨胀可以比径向更大。包括线圈或气囊的血管闭塞构件可以沉积在动脉瘤中。另一种动脉瘤治疗系统包括外部开窗支架和/或内部开窗套，其可以邻近动脉瘤颈部植入在一起以调节到动脉瘤的血流。套筒可以相对于支架移动以打开或闭塞开孔，其可以在尺寸，形状和分布上变化。腔内血管闭塞装置包括支架和护套。可以致动束带以逐渐闭合鞘孔以控制通过血管的血流。

95. 发明申请

US20100087857A1 Soft Tissue Repair Device and Method 有权
标题翻译：软组织修复装置及方法
公开(公告)号：US20100087857A1
公开(公告)日：2010-04-08
申请号：US12570854
申请日：2009-09-30
申请人： Kevin T. Stone , Nathan M. Sautter , Brian K. Berelsman , Jeffery D. Arnett , Joshua A. Butters , Dylan M. Hushka , Nicholas R. Slater
发明人： Kevin T. Stone , Nathan M. Sautter , Brian K. Berelsman , Jeffery D. Arnett , Joshua A. Butters , Dylan M. Hushka , Nicholas R. Slater
IPC分类号： A61B17/04
CPC分类号： A61B17/06166 , A61B17/0401 , A61B17/0469 , A61B2017/0406 , A61B2017/0409 , A61B2017/0414 , A61B2017/0417 , A61B2017/042 , A61B2017/0445 , A61B2017/0454 , A61B2017/0464 , A61B2017/2923 , A61B2090/062 , A61B2090/0811
摘要： A soft tissue repair device can include a housing having a handle, a deployment system having an actuation member, and an insertion system having an inserter and a slider. The slider can be coupled to the actuation member and movable relative to the inserter between deployed and retracted positions. First and second anchors can be carried on an external surface of the slider such that the anchors are spaced apart and portions of the anchors are coaxial with the slider and each other. A flexible strand can couple the anchors. The insertion system can cooperate with the deployment system to move the slider to the deployed position to deploy the first anchor upon activating the actuation member a first time, and to move the slider to the deployed position from the retracted position to deploy the second anchor upon actuating the actuation member a second time after the first time.
摘要翻译：软组织修复装置可以包括具有手柄的壳体，具有致动构件的展开系统和具有插入器和滑块的插入系统。滑块可以联接到致动构件并且可以在展开位置和缩回位置之间相对于插入器移动。第一和第二锚固件可以承载在滑块的外表面上，使得锚定件间隔开，并且锚定件的一部分与滑块和彼此同轴。柔性绳可以联接锚。插入系统可以与展开系统配合以将滑块移动到展开位置，以便在第一次启动致动构件时展开第一锚定件，并且将滑动件从缩回位置移动到展开位置以将第二锚定件部署到在第一次之后第二次启动致动构件。

96. 发明申请

US20090204150A1 Interlaminar Stabilization System 有权
标题翻译：层间稳定系统
公开(公告)号：US20090204150A1
公开(公告)日：2009-08-13
申请号：US12234557
申请日：2008-09-19
申请人： Stephen Hochschuler , Ali Araghi , Matthew N. Songer , Thomas S. Kilpela , Joshua A. Butters , Greta Jo Hays
发明人： Stephen Hochschuler , Ali Araghi , Matthew N. Songer , Thomas S. Kilpela , Joshua A. Butters , Greta Jo Hays
IPC分类号： A61B17/70
CPC分类号： A61B17/7056 , A61B17/7001 , A61B17/7004 , A61B17/7008 , A61B17/7014 , A61B17/7049 , A61B17/7079 , A61B17/7091
摘要： A spinal stabilization system includes vertebral engagement members and an intermediate structure. The vertebral engagement members are configured to be disposed between a first vertebra and a second vertebra. The vertebral engagement members generally include seating surfaces for accommodating at least a portion of a laminar region of adjacent vertebra and are adjustable between an operable and inoperable configuration. The intermediate structure extends between the vertebral engagement members. The structural cooperation of the vertebral engagement members and the intermediate structure is such that the engagement members distract the adjacent vertebrae.
摘要翻译：脊柱稳定系统包括椎骨接合构件和中间结构。椎骨接合构件被配置为设置在第一椎骨和第二椎骨之间。椎骨接合构件通常包括用于容纳相邻椎骨的层状区域的至少一部分的座面，并且在可操作和不可操作的构造之间是可调节的。中间结构在椎骨接合构件之间延伸。椎骨接合构件和中间结构的结构协作使得接合构件分散相邻的椎骨。

97. 发明申请

US20090125033A1 SYSTEMS AND METHODS FOR VERTEBRAL DISC REPLACEMENT 有权
公开(公告)号：US20090125033A1
公开(公告)日：2009-05-14
申请号：US12323068
申请日：2008-11-25
申请人： Dylan Hushka , Joshua A. Butters , Jeffery D. Arnett , Neil Duggal
发明人： Dylan Hushka , Joshua A. Butters , Jeffery D. Arnett , Neil Duggal
IPC分类号： A61B17/58
CPC分类号： A61F2/4425 , A61B17/1604 , A61B17/1671 , A61B17/1757 , A61B17/7079 , A61B2017/0256 , A61F2/32 , A61F2/4611 , A61F2/4657 , A61F2/4684 , A61F2002/302 , A61F2002/30232 , A61F2002/30242 , A61F2002/30354 , A61F2002/30364 , A61F2002/30369 , A61F2002/30383 , A61F2002/3039 , A61F2002/30397 , A61F2002/30426 , A61F2002/305 , A61F2002/30528 , A61F2002/30538 , A61F2002/30563 , A61F2002/30578 , A61F2002/30604 , A61F2002/30616 , A61F2002/3065 , A61F2002/30652 , A61F2002/30654 , A61F2002/30655 , A61F2002/30662 , A61F2002/30663 , A61F2002/30685 , A61F2002/3069 , A61F2002/30841 , A61F2002/30843 , A61F2002/30884 , A61F2002/30892 , A61F2002/30904 , A61F2002/30934 , A61F2002/30937 , A61F2002/443 , A61F2002/4658 , A61F2002/4687 , A61F2220/0025 , A61F2220/0033 , A61F2230/0065 , A61F2230/0069 , A61F2230/0071 , A61F2250/0006 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00179 , A61F2310/00407 , A61F2310/00796
摘要： Methods and instrumentation for implantation of an intervertebral disc prosthesis are provided. A guide tool with sagittal and coronal reference features guides placement of guide pins relative to a sagittal plane and a coronal plane of the vertebrae. A retainer lockable to the guide pins has a ratcheting mechanism providing distraction or compression. A rasp, planer or other tools may be aligned to the retainer and inserted into the intervertebral space to prepare the vertebral endplates. An interoperatively adjustable trial is alignable to the retainer and measures an angularity of the intervertebral space. A prosthesis with keying features may be mounted to a prosthesis inserter with complementary features, held by pivotable arms and compressed between prongs. The inserter may be aligned to the retainer and advanced to implant the prosthesis in the intervertebral space. A prosthesis remover may grip one prosthetic end plate and extract the entire prosthesis.

98. 发明申请

US20090012568A1 SYSTEM AND METHOD FOR PROVIDING SURGICAL ACCESS TO A SPINE 有权
标题翻译：用于向脊椎提供外科手术的系统和方法
公开(公告)号：US20090012568A1
公开(公告)日：2009-01-08
申请号：US11831728
申请日：2007-07-31
申请人： Morteza M. Farr , Joshua A. Butters , T. Wade Fallin
发明人： Morteza M. Farr , Joshua A. Butters , T. Wade Fallin
IPC分类号： A61B17/90 , A61B17/70 , A61M25/01
CPC分类号： A61B17/025 , A61B17/1611 , A61B17/1642 , A61B17/1659 , A61B17/1757 , A61B17/3468 , A61B90/50 , A61B2017/0256 , A61B2017/2904 , A61B2017/320044 , A61F2/4455 , A61F2/447 , A61F2/4601 , A61F2/4611 , A61F2/4684 , A61F2002/30116 , A61F2002/30538 , A61F2002/30616 , A61F2002/30904 , A61F2002/4435 , A61F2002/4627 , A61F2002/4681 , A61F2002/4687 , A61F2230/0006 , A61F2250/0006
摘要： A system for accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate the spine. A guide member may be first inserted to establish the path between the tissues and fascia, and one or more intermediate cannulas may be temporarily inserted over the guide member to dilate the tissues prior to insertion of the main cannula. An interbody device may be implanted in an intervertebral space through the cannula. The system may include a guide bar removably coupled to a targeting post. The targeting post may be inserted adjacent the spine to provide a target, and the guide bar may be removably attached to the guide member, to guide it along the path to the target location. An external support arm may be secured to any other component of the system.
摘要翻译：用于从弯曲的后外侧方法进入脊柱的系统可以包括沿着从皮肤中的开口到靠近脊柱的位置的弯曲路径定位的弯曲插管。可以首先插入引导构件以建立组织和筋膜之间的路径，并且可以在引导构件之前临时插入一个或多个中间插管以在插入主插管之前扩张组织。可以通过插管将椎间体装置植入椎间空间。该系统可以包括可拆卸地联接到目标柱的导杆。瞄准杆可以插入邻近脊柱以提供目标，并且引导杆可以可移除地附接到引导构件，以将其引导到沿着目标位置的路径。外部支撑臂可以固定到系统的任何其他部件。

99. 发明申请

US20080255669A1 INTERSPINOUS PROCESS SPACERS 失效
标题翻译： INTERSPINOUS过程间隔
公开(公告)号：US20080255669A1
公开(公告)日：2008-10-16
申请号：US12100488
申请日：2008-04-10
申请人： T. Wade FALLIN , Joshua A. BUTTERS , Greta Jo HAYS
发明人： T. Wade FALLIN , Joshua A. BUTTERS , Greta Jo HAYS
IPC分类号： A61F2/44 , A61B17/58
CPC分类号： A61B17/7065
摘要： Interspinous implants including a spacer configured to fit between first and second adjacent spinous processes of a human spine, to maintain a minimum separation between the spinous processes. An implant also includes a fixation portion coupled to the spacer, in which the fixation portion engages at least one spinous process to hold the spacer in a stable position relative to the spinous process. An implant may be monolithic, non-fillable, and may be inserted between the spinous process from a lateral approach. The fixation portion may be configured as a bracket which can substantially encircle the spinous process, or as flanges which engage lateral sides of the spinous process(es). The spacer may be resilient, and may be expandable along the anterior/posterior direction between the spinous processes. An implant may provide resilient resistance during extension, and/or a uniform extension stop between the spinous processes.
摘要翻译：椎间植入物包括构造成适合人脊柱的第一和第二相邻棘突之间的间隔物，以保持棘突之间的最小间隔。植入物还包括联接到间隔件的固定部分，其中固定部分接合至少一个棘突以将间隔件相对于棘突保持在稳定的位置。植入物可以是整体的，不可填充的，并且可以从侧向进入插入在棘突之间。固定部分可以被构造为可以基本上环绕棘突的支架，或者作为与棘突的侧面接合的凸缘。间隔件可以是弹性的，并且可以沿棘突之间的前/后方向扩展。植入物可以在延伸期间提供弹性阻力，和/或棘突之间的均匀延伸止挡。

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