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21. 发明授权

US08303631B2 Systems and methods for posterior dynamic stabilization 有权
标题翻译：后动力学稳定的系统和方法
公开(公告)号：US08303631B2
公开(公告)日：2012-11-06
申请号：US12486563
申请日：2009-06-17
申请人： Neil Duggal , T. Wade Fallin , Dylan M. Hushka , Joshua A. Butters
发明人： Neil Duggal , T. Wade Fallin , Dylan M. Hushka , Joshua A. Butters
IPC分类号： A61B17/70
CPC分类号： A61B17/7043 , A61B17/7026 , A61B17/7031 , A61B17/7071 , A61B17/8033 , A61B17/8052 , A61B17/8665 , A61B17/8869 , A61B2017/7073
摘要： A system for providing dynamic stabilization and balance control at a vertebral motion segment has first and second bridge elements and at least one bias element. The bridge elements anchor to adjacent vertebrae with polyaxially adjustable anchoring members, and the bias elements attach to each bridge element to span between them. Each bias element has two fixation portions and a bias body extending between the fixation portions. Each bias element may comprise an elastically deformable material to provide dynamic stabilization with motion, or may comprise rigid material to provide rigid stabilization, and both bias element types may be included in one system. The bias elements are attachable to the bridge elements at discrete attachment locations, or at non-discrete attachment locations. Alternate embodiments may include three or more bridge elements on adjacent vertebrae, and multiple bias elements. A tensioning tool may provide adjustable tension to an elastically deformable bias element.
摘要翻译：用于在椎体运动部分提供动态稳定和平衡控制的系统具有第一和第二桥接元件和至少一个偏置元件。桥梁元件锚定到具有多轴可调节锚固构件的相邻椎骨，并且偏置元件附接到每个桥梁元件以跨越它们之间。每个偏置元件具有两个固定部分和在固定部分之间延伸的偏置体。每个偏置元件可以包括可弹性变形的材料以提供具有运动的动态稳定性，或者可以包括刚性材料以提供刚性稳定性，并且两个偏置元件类型可以包括在一个系统中。偏置元件可以在离散的附接位置或非分立的附接位置附接到桥元件。替代实施例可以包括相邻椎骨上的三个或更多个桥元件以及多个偏置元件。张紧工具可以向可弹性变形的偏置元件提供可调节的张力。

22. 发明申请

US20120271430A1 ANKLE ARTHROPLASTY 审中-公开
标题翻译：安氏牙根
公开(公告)号：US20120271430A1
公开(公告)日：2012-10-25
申请号：US13452692
申请日：2012-04-20
申请人： Jeffery D. Arnett , Joshua A. Butters , Dylan M. Hushka
发明人： Jeffery D. Arnett , Joshua A. Butters , Dylan M. Hushka
IPC分类号： A61F2/42
CPC分类号： A61F2/4202 , A61F2002/30324 , A61F2002/30326 , A61F2002/30383 , A61F2002/30604 , A61F2002/30848
摘要： Total ankle arthroplasty with a tibial plate, a talar plate and a middle or core component. 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.
摘要翻译：全踝关节置换术与胫骨板，胫骨板和中部或核心部件。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。

23. 发明申请

US20120209278A1 PATELLAR PROSTHESES AND INSTRUMENTATION 有权
标题翻译： PATELLAR PROSTHESES和仪器
公开(公告)号：US20120209278A1
公开(公告)日：2012-08-16
申请号：US13367278
申请日：2012-02-06
申请人： Michael Ries , Nicholas Slater , Joshua A. Butters , Jordan Hoof , Bjorn Rindal , Jared M. White
发明人： Michael Ries , Nicholas Slater , Joshua A. Butters , Jordan Hoof , Bjorn Rindal , Jared M. White
IPC分类号： A61B17/56
CPC分类号： A61F2/3877 , A61B17/158 , A61B17/1677 , A61B17/1767 , A61B2090/062
摘要： Instrumentation for preparation of a bone includes a first guide having a first collet and a second collet. The first and second collets are formed around divergent first and second axes, and share a common opening. A bone preparation instrument may be inserted into each of the collets toward a bone. A second guide may be carried in the first guide, and a bone preparation instrument inserted through the second guide toward the bone, along a third axis.
摘要翻译：用于制备骨骼的仪器包括具有第一夹头和第二夹头的第一引导件。第一和第二夹头形成在发散的第一和第二轴线周围，并且共享共同的开口。可以将骨骼准备器械朝向骨头插入每个夹头中。第二引导件可以被携带在第一引导件中，并且骨准备器具沿着第三轴线被插入通过第二引导件朝向骨头。

24. 发明授权

US08187306B2 Interspinous process spacers 失效
公开(公告)号：US08187306B2
公开(公告)日：2012-05-29
申请号：US12100488
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.

25. 发明申请

US20090318968A1 SYSTEMS AND METHODS FOR POSTERIOR DYNAMIC STABILIZATION 有权
标题翻译：用于动态稳定的系统和方法
公开(公告)号：US20090318968A1
公开(公告)日：2009-12-24
申请号：US12486563
申请日：2009-06-17
申请人： Neil Duggal , T. Wade Fallin , Dylan M. Hushka , Joshua A. Butters
发明人： Neil Duggal , T. Wade Fallin , Dylan M. Hushka , Joshua A. Butters
IPC分类号： A61B17/70 , A61B17/88
CPC分类号： A61B17/7043 , A61B17/7026 , A61B17/7031 , A61B17/7071 , A61B17/8033 , A61B17/8052 , A61B17/8665 , A61B17/8869 , A61B2017/7073
摘要： A system for providing dynamic stabilization and balance control at a vertebral motion segment has first and second bridge elements and at least one bias element. The bridge elements anchor to adjacent vertebrae with polyaxially adjustable anchoring members, and the bias elements attach to each bridge element to span between them. Each bias element has two fixation portions and a bias body extending between the fixation portions. Each bias element may comprise an elastically deformable material to provide dynamic stabilization with motion, or may comprise rigid material to provide rigid stabilization, and both bias element types may be included in one system. The bias elements are attachable to the bridge elements at discrete attachment locations, or at non-discrete attachment locations. Alternate embodiments may include three or more bridge elements on adjacent vertebrae, and multiple bias elements. A tensioning tool may provide adjustable tension to an elastically deformable bias element.
摘要翻译：用于在椎体运动部分提供动态稳定和平衡控制的系统具有第一和第二桥接元件和至少一个偏置元件。桥梁元件锚定到具有多轴可调节锚固构件的相邻椎骨，并且偏置元件附接到每个桥梁元件以跨越它们之间。每个偏置元件具有两个固定部分和在固定部分之间延伸的偏置体。每个偏置元件可以包括可弹性变形的材料以提供具有运动的动态稳定性，或者可以包括刚性材料以提供刚性稳定性，并且两个偏置元件类型可以包括在一个系统中。偏置元件可以在离散的附接位置或非分立的附接位置附接到桥元件。替代实施例可以包括相邻椎骨上的三个或更多个桥元件以及多个偏置元件。张紧工具可以向可弹性变形的偏置元件提供可调节的张力。

26. 发明申请

US20080312697A1 System and Method for Polyaxially Adjustable Bone Anchorage 审中-公开
公开(公告)号：US20080312697A1
公开(公告)日：2008-12-18
申请号：US12138217
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 , B23P11/00
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.

27. 发明申请

US20080306481A1 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：US20080306481A1
公开(公告)日：2008-12-11
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： A61B17/00 , A61B17/70 , A61M5/00
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。

28. 发明授权

US09700434B2 Intervertebral implant with integrated fixation 有权
公开(公告)号：US09700434B2
公开(公告)日：2017-07-11
申请号：US13389298
申请日：2010-08-10
申请人： Hyun Bae , Nicholas Slater , Joshua A. Butters , Daniel F. Justin , Dylan Hushka , Rick Delamarter
发明人： Hyun Bae , Nicholas Slater , Joshua A. Butters , Daniel F. Justin , Dylan Hushka , Rick Delamarter
IPC分类号： A61F2/44 , A61F2/46 , A61F2/30
CPC分类号： A61F2/4611 , A61F2/30734 , A61F2/4455 , A61F2/447 , A61F2002/30166 , A61F2002/30172 , A61F2002/30352 , A61F2002/30377 , A61F2002/30387 , A61F2002/30401 , A61F2002/30504 , A61F2002/30528 , A61F2002/30736 , A61F2002/30738 , A61F2002/30841 , A61F2002/30845 , A61F2002/30848 , A61F2002/30879 , A61F2002/30884 , A61F2002/30904 , A61F2002/4475 , A61F2002/4627 , A61F2002/4629 , A61F2220/0025 , A61F2220/0033 , A61F2230/0028 , A61F2230/0052
摘要： A surgical instrument and method for inserting a spinal implant in the intervertebral disc space between two adjacent vertebrae and an anchor engageable with the implant and an adjacent vertebra are provided. The instrument includes an inserter having an engagement portion including a distal engagement surface for interfacing with the implant and a handle portion. The engagement portion includes a track for slidably translating the anchor toward the engagement surface. A kit is provided including the inserter and a tamp to force the anchor into engagement with the implant and the adjacent vertebra. The kit may also include a cutter for piercing the adjacent vertebra.

29. 发明授权

US08496666B2 Instrumentation for mobile bearing prosthetics 失效
标题翻译：移动轴承假肢仪器
公开(公告)号：US08496666B2
公开(公告)日：2013-07-30
申请号：US12951832
申请日：2010-11-22
申请人： Michael D. Ries , Mark J. Mooradian , Joshua A. Butters
发明人： Michael D. Ries , Mark J. Mooradian , Joshua A. Butters
IPC分类号： A61B17/56 , A61F2/38
CPC分类号： A61F2/461 , A61F2/3868 , A61F2/3886 , A61F2002/4627
摘要： Knee prosthesis instrumentation including an insertion tool and a removal tool. The insertion tool may include an offset to provide clearance from a femoral component of the knee prosthesis. The removal tool may be wedge shaped to at least partially encircle a post of the knee prosthesis for removal. A mallet may be used with the instruments to provide additional force for prosthesis insertion or removal. A slide hammer may be incorporated into the instruments themselves.
摘要翻译：膝关节假体装置，包括插入工具和拆卸工具。插入工具可以包括偏移以提供与膝关节假体的股骨部件的间隙。移除工具可以是楔形的，以至少部分地环绕膝关节假体的支柱以便移除。仪器可以使用槌提供额外的力用于假体插入或移除。滑动锤可以并入仪器本身。

30. 发明授权

US08287572B2 Intervertebral implant with integrated fixation 有权
标题翻译：椎间植入物一体化固定
公开(公告)号：US08287572B2
公开(公告)日：2012-10-16
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。

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