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21. 发明申请

US20120191204A1 ARTHROPLASTY SYSTEMS AND METHODS 有权
标题翻译：神经系统和方法
公开(公告)号：US20120191204A1
公开(公告)日：2012-07-26
申请号：US13328592
申请日：2011-12-16
申请人： Hyun Bae , Edwin Su , Brady R. Shirley , Joshua A. Butters , Andrew R. Fauth , Daniel J. Triplett , Neil Etherington , Nicholas Slater , Dylan M. Hushka , Carlyle J. Creger , Ephraim Akyuz , Daniel Hayes
发明人： Hyun Bae , Edwin Su , Brady R. Shirley , Joshua A. Butters , Andrew R. Fauth , Daniel J. Triplett , Neil Etherington , Nicholas Slater , Dylan M. Hushka , Carlyle J. Creger , Ephraim Akyuz , Daniel Hayes
IPC分类号： A61F2/38 , A61F2/30
CPC分类号： A61F2/389 , A61F2/30771 , A61F2/3859 , A61F2/461 , A61F2002/30383 , A61F2002/30387 , A61F2002/30398 , A61F2002/30401 , A61F2002/30841 , A61F2002/30845 , A61F2002/30848 , A61F2002/30879 , A61F2002/30884
摘要： Systems for joint arthroplasty include prostheses which are secured to bone with sliding anchors. Examples include unicondylar and bicondylar knee prostheses for hemi-arthroplasty and total arthroplasty. Instruments guide the anchors into proper engagement with the prosthetic components. Methods of using the prostheses and instruments are disclosed.
摘要翻译：用于关节置换术的系统包括用滑动锚固件固定到骨头上的假体。例子包括用于半关节成形术和全关节成形术的单髁和双髁膝关节假体。仪器引导锚固件与假肢部件的适当接合。公开了使用假体和器械的方法。

22. 发明授权

US08192465B2 Interspinous process spacers 失效
标题翻译：棘突间隔垫
公开(公告)号：US08192465B2
公开(公告)日：2012-06-05
申请号：US12100482
申请日：2008-04-10
申请人： Thomas Wade Fallin , Joshua A. Butters , Greta Jo Hays
发明人： Thomas Wade Fallin , Joshua A. Butters , Greta Jo Hays
IPC分类号： A61B17/70
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。

23. 发明申请

US20120022537A1 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：US20120022537A1
公开(公告)日：2012-01-26
申请号：US13246748
申请日：2011-09-27
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： A61B17/16
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 he 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它部件。

24. 发明授权

US08025664B2 System and method for providing surgical access to a spine 有权
公开(公告)号：US08025664B2
公开(公告)日：2011-09-27
申请号：US11831698
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： A61B17/70
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.

25. 发明申请

US20100204737A1 INTERVERTEBRAL IMPLANT WITH INTEGRATED FIXATION 有权
标题翻译：具有整体固定的椎间植入物
公开(公告)号：US20100204737A1
公开(公告)日：2010-08-12
申请号：US12640860
申请日：2009-12-17
申请人： Hyun W. Bae , Dylan M. Hushka , Joshua A. Butters , Nicholas Slater , Daniel F. Justin , Rick Delamarter
发明人： Hyun W. Bae , Dylan M. Hushka , Joshua A. Butters , Nicholas Slater , Daniel F. Justin , Rick Delamarter
IPC分类号： A61B17/88
CPC分类号： A61F2/4455 , A61B17/846 , A61B17/86 , A61F2/442 , A61F2/447 , A61F2002/3007 , A61F2002/3008 , A61F2002/30115 , A61F2002/30126 , A61F2002/30138 , A61F2002/30153 , A61F2002/30166 , A61F2002/30168 , A61F2002/30172 , A61F2002/30176 , A61F2002/30181 , A61F2002/30316 , A61F2002/30352 , A61F2002/30377 , A61F2002/30387 , A61F2002/30401 , A61F2002/30504 , A61F2002/30522 , A61F2002/30598 , A61F2002/30604 , A61F2002/30649 , A61F2002/30736 , A61F2002/30738 , A61F2002/30841 , A61F2002/30845 , A61F2002/30848 , A61F2002/30879 , A61F2002/30884 , A61F2002/30904 , A61F2002/3098 , A61F2002/30983 , A61F2002/4475 , A61F2220/0025 , A61F2220/0033 , A61F2230/0006 , A61F2230/0008 , A61F2230/0017 , A61F2230/0019 , A61F2230/0028 , A61F2230/0043 , A61F2230/0052 , A61F2230/0054 , A61F2230/006 , A61F2250/0098 , A61F2310/00796
摘要： A system for spinal surgery includes a prosthesis comprising a plurality of bone anchors which engage an intervertebral construct for fusion or motion preservation. The fusion construct comprises a spacer optionally encircled by a jacket. The motion preservation construct may comprise an articulating disc assembly or an elastomeric disc assembly. Any of the constructs may occupy the intervertebral disc space between adjacent vertebrae after removal of an intervertebral disc. The anchors slidingly engage the construct to securely fix the prosthesis to the vertebrae. The anchors and jacket of the fusion construct provide a continuous load path across opposite sides of the prosthesis so as to resist antagonistic motions of the spine.
摘要翻译：用于脊柱手术的系统包括假体，其包括多个骨锚固件，其接合用于融合或运动保持的椎间构造物。融合构件包括任选地由护套包围的间隔物。运动保持构造可以包括铰接盘组件或弹性体盘组件。在去除椎间盘之后，任何构造物可能占据相邻椎骨之间的椎间盘间隙。锚固件滑动地接合构造物以将假体牢固地固定到椎骨。融合构件的锚固件和护套提供穿过假体相对侧的连续负载路径，以抵抗脊柱的对抗运动。

26. 发明申请

US20100100107A1 SYSTEMS AND METHODS FOR CEREBROSPINAL FLUID REPAIR 有权
标题翻译：脑脊髓液修复系统与方法
公开(公告)号：US20100100107A1
公开(公告)日：2010-04-22
申请号：US12582250
申请日：2009-10-20
申请人： Neil Duggal , Louise C. Raymond , Joshua A. Butters
发明人： Neil Duggal , Louise C. Raymond , Joshua A. Butters
IPC分类号： A61B17/00 , A61M29/00
CPC分类号： A61B17/0057 , A61B17/00491 , A61B17/12022 , A61B17/12109 , A61B17/12113 , A61B17/12136 , A61B17/12172 , A61B17/12186 , A61B2017/1205 , A61M29/02
摘要： A system and method for treating a defect. The system may comprise a first expandable barrier insertable into a defect interior space in a compact state and then expanded once positioned inside the defect. The first expandable barrier is expanded to be positioned against the inner surface of the defect. The system may also comprise a second barrier which may be expandable, positioned against the outer surface of the defect. Each of the first and second barriers may expand laterally to a greater extent than axially. The first and second barriers may be in communication through a connection member which couples the two barriers together. The barriers each obliterate the defect and can prevent subsequent CSF or other fluid leaks. Fibrin glue may be introduced into the defect to seal and secure the barriers to the defect. Each barrier may comprise a mesh, a basket, an umbrella or a balloon.
摘要翻译：用于治疗缺陷的系统和方法。该系统可以包括可以以紧凑状态插入到缺陷内部空间中的第一可扩张的障碍物，然后一旦定位在缺陷内就扩张。第一可扩张屏障被扩张以抵靠缺陷的内表面定位。该系统还可以包括第二阻挡件，其可以是可扩张的，抵靠着缺陷的外表面定位。第一和第二屏障中的每一个可以横向膨胀到比轴向更大的程度。第一和第二屏障可以通过将两个障碍物耦合在一起的连接构件进行通信。障碍每个都消除缺陷，并可以防止后续的CSF或其他液体泄漏。纤维蛋白胶可以引入缺陷中以密封并固定缺陷的障碍物。每个屏障可以包括网，篮，伞或气球。

27. 发明申请

US20090216234A1 Spinal Access Systems and Methods 有权
标题翻译：脊柱访问系统和方法
公开(公告)号：US20090216234A1
公开(公告)日：2009-08-27
申请号：US12357596
申请日：2009-01-22
申请人： Morteza M. Farr , Ephraim Akyuz , T. Wade Fallin , Daniel F. Justin , Joshua A. Butters , Daniel E. Gerbec
发明人： Morteza M. Farr , Ephraim Akyuz , T. Wade Fallin , Daniel F. Justin , Joshua A. Butters , Daniel E. Gerbec
IPC分类号： A61B17/00 , A61M25/00
CPC分类号： A61B17/025 , A61B17/1604 , A61B17/1659 , A61B17/320708 , A61B17/3421 , A61B17/3468 , A61B90/361 , A61B90/50 , A61B2017/0256 , A61B2017/2904 , A61B2017/320044 , A61B2017/320056 , A61B2017/3447 , A61B2090/3618 , 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. The location may be at the L4-L5 vertebral level, and the curved path may lie in a plane oblique to the transverse, coronal and sagittal planes of the spine, and avoid the iliac crest. A targeting post may be inserted adjacent the spine to determine the location, and a guide member may be inserted to establish the curved path. A micrometer assembly may adjust a cephalad-caudal displacement between the post and the guide member. One or more intermediate cannulas may be inserted over the guide member to dilate tissues prior to insertion of the main cannula. An interbody device may be implanted into an intervertebral space through the cannula.
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。该位置可能在L4-L5椎体水平，并且弯曲的路径可以位于倾斜于脊柱的横向，冠状和矢状平面的平面中，并且避免髂嵴。可以在脊柱附近插入目标柱以确定位置，并且可以插入引导构件以建立弯曲路径。测微计组件可以调节柱和引导构件之间的头端 - 尾端位移。一个或多个中间插管可以在插入主插管之前插入引导构件上以扩张组织。体间装置可以通过插管植入椎间空间。

28. 发明申请

US20090149960A1 SYSTEMS AND METHODS FOR VERTEBRAL DISC REPLACEMENT 有权
标题翻译： VERTEBRAL DISC替代的系统和方法
公开(公告)号：US20090149960A1
公开(公告)日：2009-06-11
申请号：US12323146
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： A61F2/44 , A61B19/00 , 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.
摘要翻译：提供了用于植入椎间盘假体的方法和仪器。具有矢状和冠状参考特征的引导工具指导引导件相对于椎弓根的矢状平面和冠状平面的放置。可以锁定到引导销的保持器具有提供牵引或压缩的棘轮机构。锉刀，刨床或其他工具可以与保持器对准并插入椎间空间以制备脊椎终板。可互操作的试验可与保持器对准，并测量椎间空间的角度。具有键控特征的假体可以被安装到具有互补特征的假体插入器，所述互补特征由可枢转臂保持并且在插脚之间被压缩。插入器可以与保持器对准并且前进以将假体植入在椎间空间中。假体去除器可以夹持一个假肢端板并提取整个假体。

29. 发明申请

US20090076616A1 Systems and Methods for Vertebral Disc Replacement 有权
标题翻译：椎间盘置换系统与方法
公开(公告)号：US20090076616A1
公开(公告)日：2009-03-19
申请号：US12258977
申请日：2008-10-27
申请人： Neil Duggal , Louise C. Raymond , Joshua A. Butters , Jeffery D. Arnett , Dylan M. Hushka
发明人： Neil Duggal , Louise C. Raymond , Joshua A. Butters , Jeffery D. Arnett , Dylan M. Hushka
IPC分类号： A61F2/44 , A61B19/00
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： The present invention provides artificial disc prostheses, methods and instrumentation for implantation and revision thereof. Each prosthesis may comprise superior and inferior end plates and a nucleus positioned between articular surfaces of the end plates. The end plates may have planar bone engagement surfaces with a plurality of self-cutting teeth. The articular surfaces of the end plates may be planar or include a flattened portion. The nucleus includes superior and inferior articular surfaces which may comprise flattened portions such that when the articular surfaces of the nucleus and the end plates are placed in cooperation in a preferred orientation, the flattened and/or planar portions are aligned. Each prosthesis may provide flexion/extension, anterior/posterior translation, lateral bending, and/or axial rotation degrees of freedom. One embodiment comprises a prosthesis with a first joint providing flexion/extension and anterior/posterior translation, and a second joint providing lateral bending and axial rotation.
摘要翻译：本发明提供了用于植入和修复的人造椎间盘假体，方法和仪器。每个假体可以包括上端和下端板和位于端板的关节表面之间的核。端板可以具有具有多个自切削齿的平面骨接合表面。端板的关节表面可以是平面的或包括平坦部分。细胞核包括上下关节表面，其可以包括扁平部分，使得当细胞核和端板的关节表面以优选取向协作放置时，扁平化部分和/或平面部分对准。每个假体可以提供屈曲/伸展，前/后平移，侧向弯曲和/或轴向旋转自由度。一个实施例包括具有提供弯曲/延伸和前/后平移的第一关节的假体，以及提供横向弯曲和轴向旋转的第二关节。

30. 发明申请

US20080312696A1 System and Method for Polyaxially Adjustable Bone Anchorage 失效
标题翻译：多轴可调骨固定系统及方法
公开(公告)号：US20080312696A1
公开(公告)日：2008-12-18
申请号：US12138205
申请日：2008-06-12
申请人： Joshua A. Butters , Joseph Q. Marietta
发明人： Joshua A. Butters , Joseph Q. Marietta
IPC分类号： A61B17/70 , A61B17/04
CPC分类号： A61B17/7037 , A61B17/7032 , A61B17/8605 , A61B17/8685 , Y10T29/49826
摘要： An implantable bone anchor assembly for fixing an elongated member such as a spinal rod may include a bone anchor, a coupling head configured to receive the bone anchor and the elongated member, and a locking mechanism. The locking mechanism may provide compressive force to simultaneously fix the position of the elongated member and lock out polyaxial rotation of the bone anchor relative to the coupling head. The locking mechanism may include an engagement member with an oblique surface configured to slide along an oblique surface of the coupling head into engagement with the elongated member. The bone anchor may comprise a head portion and a threaded portion which may be coupled with the coupling head and joined together during manufacture. The assembly may further include a pin and/or a collar to retain the bone anchor. The bone anchor may be side-loaded into the coupling head.
摘要翻译：用于固定诸如脊椎杆的细长构件的可植入骨锚固组件可以包括骨锚固件，构造成接收骨锚和细长构件的联接头以及锁定机构。锁定机构可以提供压缩力以同时固定细长构件的位置并且锁定骨锚固件相对于联接头的多轴旋转。锁定机构可以包括具有倾斜表面的接合构件，该倾斜表面被构造成沿着联接头的倾斜表面滑动以与细长构件接合。骨锚可以包括头部和螺纹部分，螺纹部分可以与联接头联接并且在制造期间连接在一起。组件还可以包括用于保持骨锚的销和/或套环。骨锚可以侧向加载到联接头中。

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