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31. 发明申请

US20100256765A1 Spinal Implants and Deployment Instruments For Covering Traumatized Spinal Disc Areas 审中-公开
标题翻译：脊柱植入物和用于覆盖创伤性脊柱区域的部署仪器
公开(公告)号：US20100256765A1
公开(公告)日：2010-10-07
申请号：US12752287
申请日：2010-04-01
申请人： Michael S. Butler , Thomas J. Wegrzyn, III
发明人： Michael S. Butler , Thomas J. Wegrzyn, III
IPC分类号： A61F2/44 , A61B17/00
CPC分类号： A61B17/0642 , A61B17/0057 , A61B17/0682 , A61B17/7059 , A61B17/8085 , A61F2/30749 , A61F2/442 , A61F2/4611 , A61F2002/30459 , A61F2002/30481 , A61F2002/30785 , A61F2002/30841 , A61F2002/30904 , A61F2002/4435 , A61F2002/4627 , A61F2220/0008 , A61F2220/0025 , A61F2220/0066 , A61F2310/00023
摘要： A spinal implant and method of implant use are provided for application about a spinal implant area. The spinal implant is formed of a resilient and/or elastic covering, and first and second bone fasteners for holding the covering in place. An all-in-one deployment instrument is also provided that delivers and installs the spinal implant to the spinal implant site. The spinal implant provides a covering for the spinal implant site such as a spinal disc fissure, about a portion of a spinal disc after a full or partial discectomy or other procedure, and/or over any spinal disc area. The covering is disposed between and held by the first and second bone fasteners. An application instrument for introducing and installing the present spinal implant is also provided. The instrument introduces then applies the covering at the spinal implant site and drives the vertebral body staples into the vertebral body to secure the covering to the spinal implant site. The covering may include a spinal medicament and/or provide a spinal medicament delivery system.
摘要翻译：脊柱植入物和植入物使用方法被提供用于脊柱植入区域的应用。脊椎植入物由弹性和/或弹性覆盖物以及用于将覆盖物保持就位的第一和第二骨紧固件形成。还提供了一体式的部署仪器，可将脊柱植入物交付并安装到脊柱植入部位。脊柱植入物为脊髓植入部位提供覆盖物，例如椎间盘裂隙，在完全或部分椎间盘切除术或其它手术之后，和/或在任何脊椎盘区域上的约一部分脊椎盘。覆盖物设置在第一和第二骨紧固件之间并由第一和第二骨紧固件保持。还提供了一种用于引入和安装本发明的脊柱植入物的应用仪器。该仪器介绍然后在脊椎植入部位应用覆盖物，并将椎体钉入椎体，将覆盖物固定到脊柱植入部位。覆盖物可以包括脊柱药物和/或提供脊髓药物递送系统。

32. 发明申请

US20100087926A1 Repair System for Spinal Disc Herniation 审中-公开
标题翻译：椎间盘疝修复系统
公开(公告)号：US20100087926A1
公开(公告)日：2010-04-08
申请号：US12573004
申请日：2009-10-02
申请人： Michael S. Butler , Thomas S. King , Jonathan S. Citow
发明人： Michael S. Butler , Thomas S. King , Jonathan S. Citow
IPC分类号： A61F2/44 , A61B17/84
CPC分类号： A61F2/442 , A61F2/4611 , A61F2002/4435 , A61F2002/4495
摘要： A repair system for a compromised or herniated spine disc is provided. The repair system includes a spine disc patch to cover the herniation, and hooks, fasteners or the like to attach the spine disc patch to the vertebra surrounding the compromised disc. The repair system also includes an application tool to introduce and deploy the spine disc patch and spine disc patch fasteners to and on the disc herniation site. The spine disc patch is composed of a mesh, screen or the like of a biocompatible material with a perimeter, edge or side portion formed of a resilient biocompatible material. The mesh is preferably, but not necessarily, formed of a flexible but non-resilient biocompatible material. The perimeter is preferably, but not necessarily, formed of a flexible, resilient biocompatible material. In this manner, the spine disc patch may fold, bend, crumple or otherwise be deformed for introduction to the disc herniation site within an application tool, then unfold, expand, spread out, unfurl or otherwise open up at and over the disc herniation site when released from the application tool. The application tool consists of an elongate tube connected to a fixed portion of a handle with a rod, disposed for axial movement within the elongate tube. The rod is connected to a pivoting portion of the handle such that the rod axially moves within the elongate tube when the pivoting portion of the handle is moved.
摘要翻译：提供了一种用于受损或突出的脊椎椎间盘的修复系统。修复系统包括用于覆盖突出部的脊椎盘补片，以及钩，紧固件等，以将脊椎盘补片附着在受损椎间盘周围的椎骨上。修复系统还包括一个应用工具，用于将椎盘补片和脊椎盘补片紧固件引入和部署到椎间盘突出部位上。脊椎盘片由具有由弹性生物相容性材料形成的周边，边缘或侧部的生物相容性材料的网眼，筛网等构成。网状物优选但不一定由柔性但非弹性的生物相容性材料形成。周长优选但不一定由柔性弹性生物相容性材料形成。以这种方式，脊椎盘片可以折叠，弯曲，折叠或以其他方式变形，以引入应用工具内的椎间盘突出部位，然后在椎间盘突出部位及其上方展开，展开，展开，展开或以其他方式开放当从应用程序工具释放时。该应用工具由细长管组成，细长管连接到具有杆的把手的固定部分，该杆设置成在细长管内轴向运动。杆连接到手柄的枢转部分，使得当手柄的枢转部分移动时，杆在细长管内轴向移动。

33. 发明申请

US20100057114A1 PEEK Spinal Mesh and PEEK Spinal Mesh Applicator 审中-公开
标题翻译： PEEK脊髓网和PEEK脊柱网
公开(公告)号：US20100057114A1
公开(公告)日：2010-03-04
申请号：US12552708
申请日：2009-09-02
申请人： Michael S. Butler
发明人： Michael S. Butler
IPC分类号： A61B17/00 , A61F2/44
CPC分类号： A61B17/00234 , A61B17/0642 , A61B17/0682 , A61B17/2909 , A61B17/7059 , A61B17/7062 , A61B17/808 , A61B17/8085 , A61B2017/00424 , A61B2017/2925 , A61F2002/4435 , A61F2002/4495
摘要： A bio-compatible covering such as a mesh is used in spinal applications, such as during spinal surgery, to cover, shroud and/or encapsulate at least a portion of one or more vertebrae and/or inter-vertebral devices. The bio-compatible covering preferably, but not necessarily, is formed of PEEK (polyetheretherketone). A delivery instrument for the present PEEK mesh is also provided that places the PEEK mesh onto spinal surfaces (e.g. vertebra and implants) and then applies fasteners to the PEEK mesh and the spinal surfaces for holding the PEEK mesh to the spinal surfaces. The PEEK mesh delivery instrument is preferably, but not necessarily, a minimally invasive delivery instrument (e.g. laproscopic device). The delivery instrument provides a method of simultaneous installation and anchoring of the PEEK mesh. The mesh may be used to emulate (replace) and/or supplement spinal ligaments particularly after spinal surgery such as spinal implant surgery. The mesh may be used in this manner with respect to and/or for the anterior longitudinal ligament and the posterior longitudinal ligament (i.e. artificial ligament). The mesh may also be used as artificial annulus fibrosus material in order to supplement a patient's natural annuls fibrosus. Alternatively or additionally, the mesh may be used to repair or mend a patient's annulus fibrosus.
摘要翻译：在脊柱应用中，例如在脊柱手术期间，诸如网状物之类的生物相容的覆盖物被用于覆盖，护罩和/或封装一个或多个椎骨和/或脊椎内装置的至少一部分。生物相容性覆盖物优选但不一定由PEEK（聚醚醚酮）形成。还提供了用于本发明PEEK网的递送仪器，其将PEEK网格放置在脊椎表面（例如椎骨和植入物）上，然后将紧固件施加到PEEK网和用于将PEEK网格保持在脊柱表面上的脊柱表面。 PEEK网格递送仪器优选但不一定是微创递送仪器（例如腹腔镜装置）。交付仪器提供了一种同时安装和锚定PEEK网格的方法。网格可以用于模仿（替换）和/或补充脊髓韧带，特别是在脊柱手术如脊柱植入手术之后。网状物可以相对于和/或用于前纵韧带和后纵韧带（即人造韧带）以这种方式使用。网格也可以用作人造纤维环材料，以补充患者的纤维状天然纤维。或者或另外，网可以用于修复或修补患者的纤维环。

34. 发明申请

US20090082808A1 Expandable Spinal Spacer 有权
标题翻译：可扩展脊柱间隔
公开(公告)号：US20090082808A1
公开(公告)日：2009-03-26
申请号：US12234634
申请日：2008-09-20
申请人： Michael S. Butler , Brian D. Hartsell
发明人： Michael S. Butler , Brian D. Hartsell
IPC分类号： A61B17/70 , A61F2/44
CPC分类号： A61B17/7065 , A61B17/70 , A61B2017/00557
摘要： A spinal spacer or stenotic device is expandable, inflated and/or filled in situ or ex vivo through the addition of a biocompatible fill material into the spinal implant once inserted or implanted in like manner to an angioplasty bag. Once implanted, expansion or inflation of the present expandable spinal spacer distracts the spine (creates spacing). The present expandable spinal spacer can operate as an interspinous, interspinous process, or intralaminar spinal spacer. In general the present expandable spinal space creates and/or maintains spacing between vertebrae or components of vertebrae. The present expandable spinal spacer is formed of a generally pliable biocompatible material that is collapsible and expandable/fillable. Preferably, but not necessarily, the biocompatible material is a mesh or weave type material, although other materials may be used.
摘要翻译：脊髓间隔物或狭窄装置可以通过将插入或植入血管成形术袋中的生物相容性填充材料一次插入或植入脊柱植入体中而原位或离体扩张，充气和/或填充。一旦植入，本发明的可扩张脊柱垫片的膨胀或膨胀分散脊柱（产生间距）。本发明的可扩张脊椎间隔器可以作为棘突间棘突间隔或椎间盘内脊髓间隔器。通常，本发明的可扩张脊柱空间产生和/或维持椎骨或椎骨部件之间的间隔。本发明的可扩张脊椎间隔物由可折叠和可膨胀/可填充的通常柔韧的生物相容性材料形成。优选但不是必需的，生物相容性材料是网状或编织型材料，尽管可以使用其它材料。

35. 发明申请

US20080243254A1 Height adjustable spinal prostheses 有权
标题翻译：高度可调脊椎假体
公开(公告)号：US20080243254A1
公开(公告)日：2008-10-02
申请号：US12079670
申请日：2008-03-29
申请人： Michael S. Butler
发明人： Michael S. Butler
IPC分类号： A61F2/44
CPC分类号： A61F2/44 , A61F2/30744 , A61F2002/30133 , A61F2002/30235 , A61F2002/30492 , A61F2002/30507 , A61F2002/30525 , A61F2002/3055 , A61F2002/30601 , A61F2002/30616 , A61F2002/30777 , A61F2002/30841 , A61F2002/4475 , A61F2220/0025 , A61F2230/0015 , A61F2230/0069 , A61F2310/00017 , A61F2310/00023
摘要： Dimensionally adjustable spinal prostheses are adjustable in an axial or superior to inferior dimension such that spinal prostheses may assume variations in height. The height adjustable spinal prostheses are characterized by first and second portions that are configured for adjustable coupling with one another. Spatial adjustment between the first and second portions is provided by an adjustment assembly. The adjustment mechanism preferably, but not necessarily, provides infinite adjustment over a minimum prosthesis height to a maximum prosthesis height. In one form, first and second ends of the height adjustable spinal prostheses are configured to receive an endplate. The endplates aid in attachment and/or anchoring of the spinal prosthesis within the spine. The endplates may be fashioned in various configurations such as circular or anatomical. In one form, the adjustment assembly utilizes rotational motion for varying the axial position of one prosthetic portion relative to the other prosthetic portion. Rotational movement of an adjustment mechanism of the adjustment assembly is translated into axial movement of one prosthetic portion relative to the other prosthetic portion. In another form, the adjustment mechanism is a screw and gearing assembly. In yet another form, the adjustment mechanism is a rack and pinion assembly.
摘要翻译：尺寸可调节的脊椎假体可以在轴向或上至下尺寸中调节，使得脊椎假体可能呈现高度变化。高度可调的脊椎假体的特征在于被构造成可彼此可调节联接的第一和第二部分。第一和第二部分之间的空间调节由调整组件提供。调节机构优选地但不一定地提供了在最小假体高度与最大假体高度的无限调整。在一种形式中，高度可调节的脊椎假体的第一和第二端构造成接收端板。终板有助于在脊柱内附着和/或锚定脊椎假体。端板可以以各种构造形成，例如圆形或解剖结构。在一种形式中，调节组件利用旋转运动来改变一个假肢部分相对于另一假肢部分的轴向位置。调节组件的调节机构的旋转运动被转换成一个假肢部分相对于另一假肢部分的轴向运动。在另一种形式中，调节机构是螺钉和传动装置。在另一种形式中，调节机构是齿条和小齿轮组件。

36. 发明申请

US20080208262A1 Spine plate with bone screw relief area 有权
标题翻译：骨板与骨螺钉浮雕区域
公开(公告)号：US20080208262A1
公开(公告)日：2008-08-28
申请号：US12072357
申请日：2008-02-26
申请人： Michael S. Butler , Michael J. Milella
发明人： Michael S. Butler , Michael J. Milella
IPC分类号： A61B17/58 , A61B17/56
CPC分类号： A61B17/8052 , A61B17/7059 , A61B17/8605
摘要： A spine plate defines a body having a posterior surface or side and an anterior surface or side. The body also has a pair of bone screw bores for each vertebra to which the spine plate will be attached. The bone screw bores extend between the posterior side and the anterior side. A relief area is provided between each pair of bone screw bores in the anterior surface of the body. The relief area opens to both bone screw bores to allow displacement of the bone screw when entering the respective bone screw bore. The relief area also opens to both bone screw bores to permit an instrument to be received therein to remove a bone screw from one of the bone screw bores.
摘要翻译：脊柱板限定具有后表面或侧面以及前表面或侧面的主体。身体还具有一对骨螺钉孔，每个椎骨将附着脊柱板。骨螺钉孔在后侧和前侧之间延伸。在身体的前表面中的每对骨螺钉孔之间设置有救济区域。释放区域通向两个骨螺钉孔，以允许骨螺钉在进入相应的骨螺钉孔时移位。释放区域还通向两个骨螺钉孔，以允许仪器被容纳在其中以从其中一个骨螺钉孔去除骨螺钉。

37. 发明授权

US07318825B2 Dynamic cervical plates and cervical plate constructs 有权
标题翻译：动态宫颈板和宫颈板构造
公开(公告)号：US07318825B2
公开(公告)日：2008-01-15
申请号：US11022461
申请日：2004-12-22
申请人： Michael S. Butler , Michael J. Milella, Jr.
发明人： Michael S. Butler , Michael J. Milella, Jr.
IPC分类号： A61B17/58
CPC分类号： A61B17/8047 , A61B17/7059 , A61B17/8023 , A61B17/8042
摘要： N-level internally dynamizing cervical plates and cervical plate constructs in accordance with the present principles, provide unconstrained sliding interconnection between the various plate components after installation on a cervical spine. A tongue-and-groove configuration between the various plate segments provides a constant thickness over the dynamizing portions. Detents provided relative the tongue-and-groove portions allows the various plate components to be permanently joined, but movable relative to one another. Various bone screw anti-backing, anti-rotation or locking devices for cervical bone plates are also provided that allow releasable locking of bone screws relative to the cervical plate.
摘要翻译： N级内部动态化宫颈板和根据本原理的宫颈板构造，在安装在颈椎上之后，在各种板组件之间提供无约束的滑动互连。各个板段之间的榫槽构造在动力部分上提供恒定的厚度。相对于榫槽部分设置的掣子允许各种板部件被永久连接，但可相对于彼此移动。还提供了用于颈骨板的各种骨螺钉抗背衬，防旋转或锁定装置，其允许骨螺钉相对于颈板的可释放地锁定。

38. 发明申请

US20070233117A1 Structure for joining and retaining multi-part orthopedic implants 有权
标题翻译：用于连接和保持多部分矫形植入物的结构
公开(公告)号：US20070233117A1
公开(公告)日：2007-10-04
申请号：US11709022
申请日：2007-02-21
申请人： Michael S. Butler , Michael J. Milella
发明人： Michael S. Butler , Michael J. Milella
IPC分类号： A61F2/30
CPC分类号： A61F2/4465 , A61B17/7059 , A61F2002/30331 , A61F2002/3038 , A61F2002/305 , A61F2002/30604 , A61F2002/30772 , A61F2002/30904 , A61F2002/448 , A61F2220/0025 , A61F2220/0033
摘要： An orthopedic implant structure is provided for joining and retaining components of a multi-part orthopedic device. The orthopedic implant joining and retaining structure may be embodied in two or more components of the multi-part orthopedic device. In one form, the multi-part orthopedic implant structure is a resilient snap structure such as a resilient flange in one part and a channel structure formed in another part of an orthopedic implant. A channel of the channel structure may have a cavity formed at a rear of the channel that accepts a configured lip formed on an end of the resilient flange. According to another embodiment, the retaining structure includes resilient snap flanges formed on an interconnection component of the multi-part orthopedic implant. A corresponding bore in another part of the multi-part orthopedic implant receives the interconnection component.
摘要翻译：提供矫形植入物结构用于连接和保持多部分矫形装置的部件。矫形植入物接合和保持结构可以体现在多部分矫形装置的两个或更多个部件中。在一种形式中，多部分矫形植入物结构是弹性卡扣结构，例如一部分中的弹性凸缘和形成在整形外科植入物的另一部分中的通道结构。通道结构的通道可以具有形成在通道的后部处的空腔，其接收形成在弹性凸缘的端部上的配置的唇部。根据另一个实施例，保持结构包括形成在多部分整形外科植入物的互连部件上的弹性卡扣凸缘。多部分整形外科植入物的另一部分中的对应的孔接收互连部件。

39. 发明授权

US06206430B1 Connector and attachment mechanism for a lumen 有权
标题翻译：管腔连接器和连接机构
公开(公告)号：US06206430B1
公开(公告)日：2001-03-27
申请号：US09348861
申请日：1999-07-07
申请人： Gary J. Pond , Michael S. Butler
发明人： Gary J. Pond , Michael S. Butler
IPC分类号： F16L3500
CPC分类号： F16L37/08
摘要： A fitting and attachment assembly including a connector having a conventional proximal end and a distal end having a barbed portion thereon; said distal end being mateable with fluid delivery tubing. The mating end portion of said tubing including a separable annular collar in abutting relationship with the end of said tubing and a severable heat-shrinkable sleeve positioned externally of said tubing. A mechanism is further provided for severing said sleeve.
摘要翻译：一种装配和附接组件，包括具有常规近端和远端的连接器，其上具有倒钩部分; 所述远端可与流体输送管道配合。所述管道的配合端部分包括与所述管道的端部邻接关系的可分离的环形套管和位于所述管道外部的可分开的热收缩套筒。还提供了用于切断所述套筒的机构。

40. 发明授权

US09095386B2 Spinal rod guide for a vertebral screw spinal rod connector assembly 有权
标题翻译：用于椎体螺钉脊柱杆连接器组件的脊柱导杆
公开(公告)号：US09095386B2
公开(公告)日：2015-08-04
申请号：US12408684
申请日：2009-03-21
申请人： Michael S. Butler , Brian D. Hartsell , Thomas J. Wegrzyn, III
发明人： Michael S. Butler , Brian D. Hartsell , Thomas J. Wegrzyn, III
IPC分类号： A61B17/70
CPC分类号： A61B17/7091 , A61B17/7083 , A61B17/7085
摘要： A spinal rod guide and/or guide assembly is provided for mounting a spinal rod onto a spinal rod holder/connector of a vertebral bone screw. The spinal rod guide is configured to extend between an opening in a patient's body and the spinal rod holder of the vertebral bone screw assembly, to receive a spinal rod therein, and thereafter accurately guide the spinal rod into the spinal rod holder. The spinal rod guide is defined by a first elongated arc portion and a second elongated arc portion to define a guide tube for the introduction and placement of additional spinal rod components onto the spinal rod connector, particularly, but not necessarily, for securing the spinal rod into the spinal rod connector. The elongated arc portions are mountable or initially attached onto a top of a spinal rod holder of a spinal rod bone screw assembly. The elongated arc portions (tube) define first and second longitudinal slots extending from a top of the elongated arc portions to a bottom of the elongated arc portions. The two longitudinal slots are situated such as to be diametrically opposite one another. Each longitudinal slot aligns with a spinal rod slot of the spinal rod holder to thereby allow easy placement of the spinal rod into the spinal rod holder. Thereafter, the defined elongated tube provides direct communication and alignment with the top of the spinal rod holder in order to receive a spinal rod connector drive screw for securing the spinal rod into the spinal rod holder.
摘要翻译：提供脊柱杆引导件和/或引导组件用于将脊柱杆安装到椎骨螺钉的脊柱杆保持器/连接器上。脊柱杆引导件构造成在患者体内的开口和椎骨螺钉组件的脊柱杆保持器之间延伸，以在其中接纳脊柱杆，然后将脊柱杆精确地引导到脊柱杆保持器中。脊柱杆引导件由第一细长弧形部分和第二细长弧形部分限定，以限定用于将额外的脊柱杆部件引入和放置到脊椎杆连接器上的引导管，特别但不一定用于固定脊柱杆进入脊椎杆连接器。细长的弧形部分可安装或最初附接到脊柱杆骨螺钉组件的脊柱杆保持器的顶部。细长的弧形部分（管）限定从细长的弧形部分的顶部延伸到细长的弧形部分的底部的第一和第二纵向槽。两个纵向槽位于彼此沿径向相对的位置。每个纵向槽与脊柱杆保持器的脊柱杆狭槽对准，从而容易地将脊柱杆放置到脊柱杆保持器中。此后，限定的细长管提供与脊柱杆保持器的顶部的直接连通和对准，以便接收脊椎杆连接器驱动螺钉，用于将脊柱杆固定到脊柱杆保持器中。

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