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21. 发明授权

US5417694A Distal femoral cutting guide apparatus with anterior or posterior referencing for use in knee joint replacement surgery 失效
标题翻译：远端股骨切割导引器具有前后参考用于膝关节置换手术
公开(公告)号：US5417694A
公开(公告)日：1995-05-23
申请号：US149053
申请日：1993-11-08
申请人： Gregory C. Marik , Jennifer J. Lackey , M. Scott Elliott
发明人： Gregory C. Marik , Jennifer J. Lackey , M. Scott Elliott
IPC分类号： A61B17/15 , A61B17/00
CPC分类号： A61B17/155
摘要： A distal femoral cutting instrument includes an intramedullary rod for referencing the patient's intramedullary canal. A valgus block with a flat reference surface mounts to the intramedullary rod at a bore of the valgus block. The bore of the block has a slant with respect to the flat reference surface on the valgus block. The reference surface defines a line that is normal to the mechanical axis of the patient while the bore of the valgus block tracks the patient's biomechanical axis. A distal femoral cutting block removably attaches to the valgus block and provides a flat cutting guide surface for shaping the patient's distal femur. The valgus block, intramedullary rod, and a stylus (for connecting the valgus block and cutting together) are removed as a unit before shaping of the distal femur. An indexing system includes a gauge having a series of openings corresponding to "anterior" referencing and to "posterior" referencing. During anterior referencing, the gauge allows the surgeon to select the next smaller size prosthesis if the size falls in between available sizes. In posterior referencing, the gauge allows the surgeon to select the next larger size prosthesis if the gauge measures a size that falls in between available sizes.
摘要翻译：远端股骨切割仪器包括用于参考患者髓内管的髓内杆。具有平坦参考表面的外翻块在外翻块的孔处安装到髓内杆。块的孔相对于外翻块上的平坦参考表面具有倾斜度。参考表面定义与病人机械轴线垂直的线，同时外翻块的孔跟踪患者的生物力学轴线。远端股骨切割块可移除地附接到外翻块，并提供用于使患者的远端股骨成形的平坦切割引导表面。在股骨远端成形之前，将外翻块，髓内杆和触针（用于连接外翻块和切割在一起）作为一个单元被去除。分度系统包括具有对应于“前”参考和“后”参考的一系列开口的计量器。在前部参考期间，如果尺寸落在可用尺寸之间，则仪表允许外科医生选择下一个较小尺寸的假体。在后面参考中，如果仪表测量的尺寸落在可用尺寸之间，则仪表允许外科医生选择下一个更大尺寸的假体。

22. 发明授权

US09592041B2 Surgical retractor assembly and method 有权
标题翻译：手术牵开器总成及方法
公开(公告)号：US09592041B2
公开(公告)日：2017-03-14
申请号：US13276107
申请日：2011-10-18
申请人： Steve D. DeRidder , Gregory C. Marik
发明人： Steve D. DeRidder , Gregory C. Marik
IPC分类号： A61B1/32 , A61B17/02 , A61B17/00
CPC分类号： A61B17/0206 , A61B2017/00473 , A61B2017/00477 , A61B2017/0256
摘要： A surgical retractor comprises a support comprising a first mating part comprising a shaft, which defines a longitudinal axis, extending therefrom. At least one tissue engaging member extends between a first end defining a first axis and a second end defining a second axis and having a tissue engaging surface disposed along the second axis. The first end comprises a second mating part comprising a wall that defines an elongated cavity disposed along the first axis and being configured to receive the shaft such that the first axis and the longitudinal axis are co-axial. The wall is engageable with the shaft to align the second mating part with the first mating part such that the second axis intersects the longitudinal axis. Methods of use are disclosed.
摘要翻译：手术牵开器包括支撑件，其包括第一配合部件，该第一配合部件包括轴，所述轴限定从其延伸的纵向轴线。至少一个组织接合构件在限定第一轴线的第一端部和限定第二轴线的第二端部之间延伸并且具有沿着第二轴线布置的组织接合表面。第一端部包括第二配合部件，该第二配合部件包括限定沿着第一轴线设置的细长腔的壁，并且构造成容纳轴，使得第一轴线和纵向轴线是同轴的。所述壁可与所述轴接合，以将所述第二配合部件与所述第一配合部件对准，使得所述第二轴线与所述纵向轴线相交。公开了使用方法。

23. 发明授权

US09474538B2 Systems and methods for guiding anchors for facet fixation 有权
标题翻译：用于引导固定器的系统和方法
公开(公告)号：US09474538B2
公开(公告)日：2016-10-25
申请号：US13552378
申请日：2012-07-18
申请人： Kevin T. Foley , Gregory C. Marik , Newton H. Metcalf, Jr. , Danish Siddiqui
发明人： Kevin T. Foley , Gregory C. Marik , Newton H. Metcalf, Jr. , Danish Siddiqui
IPC分类号： A61B17/90 , A61B17/17 , A61B17/34 , A61B17/88
CPC分类号： A61B17/1757 , A61B17/3421 , A61B17/8886
摘要： Apparatus and methods for spinal surgery include a retractor with an elongated body extending along a longitudinal axis between a distal end and an opposite proximal end. The retractor defines a passage between the distal and proximal ends and a window opening into the passage adjacent to the distal end. The apparatus also includes a guide member extending laterally from the proximal end of the retractor and the guide member includes a body extending along an arc. The body defines a number of trajectories each intersecting the window of the retractor. The apparatus further includes an instrument removably mounted to the guide member and the instrument is movable along the guide member and securable to the guide member in any one of the number of trajectories so that the instrument can be moved along the selected trajectory through the window.
摘要翻译：用于脊柱手术的装置和方法包括牵开器，其具有沿远端和相对近端之间的纵向轴线延伸的细长体。牵开器限定了远端和近端之间的通道以及靠近远端的通向通道的窗口。该装置还包括从牵开器的近端横向延伸的引导构件，并且引导构件包括沿着弧延伸的主体。身体定义了与牵开器的窗口相交的多个轨迹。该装置还包括可移除地安装到引导构件的仪器，并且仪器可沿引导构件移动并且可以以任意数量的轨迹固定到引导构件，使得仪器可以沿着所选择的轨迹通过窗口移动。

24. 发明授权

US09314345B2 Spinal implant system and method 有权
标题翻译：脊柱植入系统及方法
公开(公告)号：US09314345B2
公开(公告)日：2016-04-19
申请号：US13547631
申请日：2012-07-12
申请人： Vincent Traynelis , Trevor T. Seck , Gregory C. Marik
发明人： Vincent Traynelis , Trevor T. Seck , Gregory C. Marik
IPC分类号： A61F2/46 , A61F2/44 , A61F2/30 , A61F2/28
CPC分类号： A61F2/44 , A61F2/4405 , A61F2/442 , A61F2/4455 , A61F2/4611 , A61F2002/2817 , A61F2002/2835 , A61F2002/3008 , A61F2002/30082 , A61F2002/30616 , A61F2002/30677 , A61F2002/30772 , A61F2002/3093 , A61F2002/4681 , A61F2002/4685 , A61F2310/00023 , A61F2310/00131 , A61F2310/00293 , A61F2310/00359
摘要： A surgical instrument comprises a first wall defining a cavity disposed for communication with a suction source and extending between a first end and a second end. The first end includes at least a portion of a valve disposed for communication with the cavity. The second end includes at least a portion of an implant engaging surface. A second wall is connected to the first wall and extending between a first end and a second end. The first end includes an impact surface and the second end includes at least a portion of the implant engaging surface. Methods of use are disclosed.
摘要翻译：手术器械包括限定用于与吸入源连通并在第一端和第二端之间延伸的空腔的第一壁。第一端包括设置成与空腔连通的阀的至少一部分。第二端包括植入物接合表面的至少一部分。第二壁连接到第一壁并且在第一端和第二端之间延伸。第一端包括冲击表面，并且第二端包括植入物接合表面的至少一部分。公开了使用方法。

25. 发明授权

US08641736B2 Vertebral fastener system 有权
标题翻译：椎体紧固件系统
公开(公告)号：US08641736B2
公开(公告)日：2014-02-04
申请号：US13354591
申请日：2012-01-20
申请人： Gregory C. Marik , Newton H. Metcalf
发明人： Gregory C. Marik , Newton H. Metcalf
IPC分类号： A61B17/88
CPC分类号： A61B17/7032 , A61B17/7022
摘要： A spinal correction system comprises a flexible longitudinal element extending between a first end and a second end. At least one fixation element includes a first portion and a second portion. The first portion includes an inner surface that defines a cavity such that the longitudinal element is disposable therein. The second portion is configured for penetrating tissue. A coupling member is engageable with the first portion of the at least one fixation element and the longitudinal element to connect the longitudinal element with the at least one fixation element. The coupling member includes a penetrating element configured to extend through the longitudinal element. A flexible member is disposed between the longitudinal element and the inner surface of the first portion of the at least one fixation element. Methods of use are disclosed.
摘要翻译：脊柱矫正系统包括在第一端和第二端之间延伸的柔性纵向元件。至少一个固定元件包括第一部分和第二部分。第一部分包括限定空腔的内表面，使得纵向元件在其中是一次性的。第二部分构造成用于穿透组织。联接构件可与至少一个固定元件的第一部分和纵向元件接合，以将纵向元件与至少一个固定元件连接。联接构件包括构造成延伸穿过纵向元件的穿透元件。柔性构件设置在纵向元件和至少一个固定元件的第一部分的内表面之间。公开了使用方法。

26. 发明申请

US20120303055A1 PERCUTANEOUS ROD DELIVERY TECHNIQUES AND SYSTEMS 审中-公开
标题翻译： PERCUTANEOUS ROD DELIVERY技术和系统
公开(公告)号：US20120303055A1
公开(公告)日：2012-11-29
申请号：US13117362
申请日：2011-05-27
申请人： Gregory C. Marik , Newton H. Metcalf, JR.
发明人： Gregory C. Marik , Newton H. Metcalf, JR.
IPC分类号： A61B17/00
CPC分类号： A61B17/7089 , A61B17/708 , A61B17/7083 , A61B17/7085 , A61B2090/037
摘要： There are disclosed techniques for positioning a connecting element adjacent one or more bones or bony portions, such as the spinal column, through a minimally invasive surgical approach. The system generally includes at least one bone anchor engageable to the one or more bones or bony portions and at least one extender removably engaged to the bone anchor. A connecting element is movable into the patient and guided by the at least one extender to a first position in the patient. A second bone anchor and extender is then inserted into the patient and engaged to a bony portion. The connecting element is then moved from the at least one extender to extend to the second bone anchor and second extender. The connecting element is then engaged to each of the bone anchors.
摘要翻译：公开了通过微创手术方法将连接元件邻近一个或多个骨骼或骨部分（例如脊柱）定位的技术。该系统通常包括可与一个或多个骨骼或骨部分接合的至少一个骨锚固体和至少一个可移除地接合到骨锚固件的延伸器。连接元件可移动到患者体内并由至少一个延伸器引导到患者体内的第一位置。然后将第二骨锚和扩张器插入患者体内并与骨部分接合。然后将连接元件从至少一个延伸器移动以延伸到第二骨锚和第二扩展器。然后将连接元件接合到每个骨锚。

27. 发明申请

US20090210012A1 Laminoplasty devices and methods 审中-公开
标题翻译：椎板成形术装置及方法
公开(公告)号：US20090210012A1
公开(公告)日：2009-08-20
申请号：US12386892
申请日：2009-04-24
申请人： William B. Null , Robert W. Weakley , Gregory C. Marik , John G. Heller , Jeffrey C. Wang
发明人： William B. Null , Robert W. Weakley , Gregory C. Marik , John G. Heller , Jeffrey C. Wang
IPC分类号： A61B17/80
CPC分类号： A61B17/7059 , A61B17/7071
摘要： Laminoplasty plates are engageable to at least one portion of a divided lamina to maintain a desired spacing relative to the spinal canal. The laminoplasty plates include a spacer portion having a first end and a second end that spans a gap formed by at least one of a divided lamina portion. The laminoplasty plates can include a lamina engagement portion at one end for engagement with the divided lamina portion.
摘要翻译：椎板成形术板可接合至分裂片的至少一部分以保持相对于椎管的期望间隔。椎板成形术板包括间隔部分，该间隔部分具有第一端和第二端，该第二端跨越由分开的椎板部分中的至少一个形成的间隙。椎板成形术板可以包括在一端的椎板接合部分，用于与分开的椎板部分接合。

28. 发明授权

US06262369B1 Conduit connector providing dual diameter end stops 有权
标题翻译：导管连接器，提供双直径端挡
公开(公告)号：US06262369B1
公开(公告)日：2001-07-17
申请号：US09400751
申请日：1999-09-22
申请人： Gregory C. Marik , J. Lawrence Cole
发明人： Gregory C. Marik , J. Lawrence Cole
IPC分类号： H02B130
CPC分类号： H02G3/0691
摘要： A conduit connector providing two end stop diameters. The connector includes a removable annular insulator located at the conductor egressing end of the connector. The removable annular insulator provides the smaller of the two end stop diameters when positioned therein. When the removable annular insulator is removed, the greater of the two end stop diameters is provided at the conductor egressing end of the connector.
摘要翻译：一个提供两个终端直径的导管连接器。连接器包括位于连接器的导体出口端处的可拆卸的环形绝缘体。可拆卸的环形绝缘子在其中定位时提供两个端部止动件直径中较小的一个。当可移除的环形绝缘体被去除时，两个端部止动件直径中的较大者设置在连接器的导体出口端处。

29. 发明授权

US5720752A Distal femoral cutting guide apparatus with anterior or posterior referencing for use in knee joint replacement surgery 失效
标题翻译：远端股骨切割导引器具有前后参考用于膝关节置换手术
公开(公告)号：US5720752A
公开(公告)日：1998-02-24
申请号：US604730
申请日：1996-02-21
申请人： Scott Elliott , Jennifer J. Lackey , Gregory C. Marik , Brian Schumacher , Leonard J. Tokish, Jr.
发明人： Scott Elliott , Jennifer J. Lackey , Gregory C. Marik , Brian Schumacher , Leonard J. Tokish, Jr.
IPC分类号： A61B17/15 , A61B19/00 , A61F2/38 , A61F2/46
CPC分类号： A61B17/155 , A61F2/4657 , A61B2090/061 , A61F2/3859 , A61F2002/4658
摘要： A distal femoral sizing instrument includes an intramedullary rod for referencing the patient's intramedullary canal. A valgus module mounts to the intramedullary rod at a bore of the valgus. The bore of the module has a slant with respect to the flat reference surface of a valgus block. The module slidably connects to the block. The valgus block, referencing guide and a stylus (for connecting the valgus block and cutting together) are removed as a unit before shaping of the distal femur. An indexing system includes a gauge having a series of openings corresponding to "anterior" referencing and to "posterior" referencing. During anterior referencing, the gauge allows the surgeon to select the next smaller size prosthesis if the size falls in between available sizes. In posterior referencing, the gauge allows the surgeon to select the next larger size prosthesis if the gauge measures a size that falls in between available sizes.
摘要翻译：远端股骨上浆仪器包括用于参考患者髓内管的髓内杆。外翻模块安装在内翻杆的外翻孔上。模块的孔相对于外翻块的平坦参考表面具有倾斜度。模块可滑动地连接到块。在股骨远端成形之前，将外翻块，参考指南和触针（用于连接外翻块和切割在一起）作为一个单元被去除。分度系统包括具有对应于“前”参考和“后”参考的一系列开口的计量器。在前部参考期间，如果尺寸落在可用尺寸之间，则仪表允许外科医生选择下一个较小尺寸的假体。在后面参考中，如果仪表测量的尺寸落在可用尺寸之间，则仪表允许外科医生选择下一个更大尺寸的假体。

30. 发明授权

US5702463A Tibial prosthesis with polymeric liner and liner insertion/removal instrument 失效
标题翻译：胫骨假体与聚合物衬垫和衬垫插入/移除仪器
公开(公告)号：US5702463A
公开(公告)日：1997-12-30
申请号：US603445
申请日：1996-02-20
申请人： Albert Pothier , Gregory C. Marik , Derrick Givens
发明人： Albert Pothier , Gregory C. Marik , Derrick Givens
IPC分类号： A61F2/00 , A61F2/30 , A61F2/38 , A61F2/46
CPC分类号： A61F2/4637 , A61F2/389 , A61F2002/30387 , A61F2002/3082 , A61F2002/30878 , A61F2002/4623 , A61F2002/4641 , A61F2220/0025
摘要： A tibial prosthesis apparatus and its insertion/removal tool includes a tibial tray that receives a polymeric tray liner with an articulating surface. Dovetail connections are provided for interconnecting the liner and the tibial tray. An instrument is provided that can either insert or remove the liner relative to the tray. The surgeon is provided with cam and hook portions that are at the hooking end of the instrument opposite the lever end. The cam engages the anterior surface of the liner while the hook attaches to the tibial tray and the lever end is rotated to cam the insert into a locked position during insertion. The hook engages the distal side of the liner so that the surgeon can rotate the instrument to disengage or remove the liner from the tray.
摘要翻译：胫骨假体装置及其插入/移除工具包括接收具有关节表面的聚合物托盘衬垫的胫骨托。提供燕尾连接用于连接衬垫和胫骨托。提供了一种可以相对于托盘插入或移除衬垫的仪器。外科医生设有凸轮和钩部分，其位于仪器的与杆端相对的钩端。凸轮接合衬套的前表面，同时钩连接到胫骨托盘，并且杆端旋转以在插入期间使插入件凸轮锁定在锁定位置。钩接合衬套的远侧，使得外科医生可以旋转仪器以使衬垫从托盘脱离或移除。

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