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    • 35. 发明申请
    • Polyaxial bone screw with shank articulation pressure insert and method
    • 多轴骨螺钉与柄铰接压力插入和方法
    • US20060276789A1
    • 2006-12-07
    • US11140343
    • 2005-05-27
    • Roger Jackson
    • Roger Jackson
    • A61F2/30
    • A61B17/7037A61B17/70A61B17/7001A61B17/7002A61B17/7032A61B17/7035A61B17/704A61B17/7082A61B17/7091A61B17/8605A61B2090/037F16B35/005
    • A polyaxial bone screw assembly includes a threaded shank body having an upper portion, a receiver member or head, a retaining and articulating structure, and a pressure insert disposed between the shank upper portion and a rod. The receiver has a U-shaped cradle defining a channel for receiving a spinal fixation rod. The channel communicates with a receiver cavity and further with a restrictive opening that allows for loading the shank upper portion into the receiver but prevents passage of the retaining and articulating structure out of the receiver. The retaining and articulating structure has an external substantially spherical surface that mates with an internal surface of the receiver cavity, providing a ball joint, enabling the receiver to be disposed at an angle relative to the shank body. The pressure insert presses upon the shank upper portion and not the retaining and articulating structure and is either side or top loadable. The insert engages with an inner surface of the receiver to provide for the setting of an angle of articulation between the shank and the receiver. In a ratcheted embodiment, the insert may be used to independently lock the angle of orientation between the shank and the receiver.
    • 多轴骨螺钉组件包括具有上部,接收器构件或头部,保持和关节结构的螺纹柄体,以及设置在柄部上部和杆之间的压力插入件。 接收器具有限定用于接收脊柱固定杆的通道的U形支架。 该通道与接收器腔体连通并且还具有允许将柄部上部装载到接收器中的限制开口,但是防止保持和铰接结构从接收器中通过。 保持和关节结构具有与接收器腔体的内表面配合的外部基本上球形的表面,提供球接头,使得接收器能够以相对于柄体的一定角度设置。 压力插入件压在柄上部上,而不是保持和铰接结构,并且是侧面或顶部可装载的。 插入件与接收器的内表面接合以提供柄和接收器之间的铰接角度的设置。 在棘轮实施例中,插入件可以用于独立地锁定柄和接收器之间的取向角度。
    • 36. 发明申请
    • Modular multi-articulated patient support system
    • 模块化多关节病人支持系统
    • US20060185091A1
    • 2006-08-24
    • US11159494
    • 2005-06-23
    • Roger Jackson
    • Roger Jackson
    • A61G13/08A61G13/00
    • A61G13/08A61B6/0442A61G7/001A61G13/0036A61G13/0054A61G13/04A61G2210/50
    • A modular, multi-articulated patient support system includes independently adjustable columns connected by an adjustable base and supporting a patient support structure. Each column includes rotation, angulation, separation and lateral travel structure. The patient support may be raised, lowered and rotated about a transversely shiftable longitudinal axis in either horizontal or tilted orientation. The patient support includes a body support rotatably coupled with right and left leg supports disengageable at the outboard ends, that can be tilted, rotated and locked in place. An intermediate brace engages the base when the outboard ends of the leg supports are disengaged. The patient support structure may include two pairs of patient supports, each attached at the outboard end of a column and having a free inboard end. A coordinated drive system raises, lowers, tilts, rotates and laterally shifts the patient supports, which may be positioned in overlapping relation. The pairs of patient supports may be rotated in unison to achieve 180° repositioning of a patient.
    • 模块化的多关节式患者支撑系统包括由可调节底座连接并支撑患者支撑结构的独立可调节的柱。 每列包括旋转,角度,分离和横向移动结构。 患者支撑件可以以水平或倾斜的方向围绕可横向移动的纵向轴线升高,降低和旋转。 患者支撑件包括可旋转地联接有左右腿支撑的身体支撑件,其能够在外侧端部脱离,该支撑件可以被倾斜,旋转并锁定就位。 当腿部支撑件的外侧端部脱开时,中间支架接合基座。 患者支撑结构可以包括两对患者支撑件,每对患者支撑件都附接在柱的外侧端部并且具有自由的内侧端部。 协调的驱动系统升高,降低,倾斜,旋转和横向移动患者支架,其可以以重叠关系定位。 患者支架对可以一致地旋转以实现患者的180°重新定位。
    • 38. 发明申请
    • Spinal fixation tool set and method
    • 脊柱固定工具集和方法
    • US20060111713A1
    • 2006-05-25
    • US10996349
    • 2004-11-23
    • Roger Jackson
    • Roger Jackson
    • A61F2/30
    • A61B17/7085A61B17/7002A61B17/7011A61B17/7032A61B17/7037A61B17/7082A61B17/7091
    • A tool set for implanting bone screws in a human spine, followed by the implantation of a rod into the bone screws includes end guide tools having flexible back wall flaps that receive opposite ends of the rod and intermediate guide tools that hold the rod in intermediate locations between the end guide tools. Both the end and intermediate guide tools include an attachment structure for operably connecting the guide tool to a bone screw. For bone screw implantation, the end guide tools and intermediate guide tools are assembled with a multi-function installation tool and a bone screw driver. Both the installation tool and driver are coaxial with the guide tool and rotatingly mateable to the guide tool. The multi-function installation tool includes a sleeve that extends substantially about the guide tool providing stability during bone screw installation. The sleeve also operatively functions as a rod pusher that abuts the rod as the sleeve is translated along the guide tool and toward the bone screw. A method utilizing the tool set allows a surgeon to percutaneously implant the bone screws and the rod in the patient.
    • 用于在人类脊柱中植入骨螺钉的工具组,随后将杆植入骨螺钉中包括具有柔性后壁襟翼的端部引导工具,其接收杆的相对端部,并将中间导向工具固定在中间位置 在最终导向工具之间。 端部和中间引导工具都包括用于将引导工具可操作地连接到骨螺钉的附接结构。 对于骨螺钉植入,端部引导工具和中间引导工具用多功能安装工具和骨螺钉驱动器组装。 安装工具和驱动器都与引导工具同轴,并可旋转地与导向工具配合。 多功能安装工具包括基本上围绕引导工具延伸的套筒,在骨螺钉安装期间提供稳定性。 当套筒沿着引导工具平移并且朝向骨螺钉时,该套筒还可操作地用作杆推动器,该杆推动器邻接杆。 利用该工具组的方法允许外科医生将骨螺钉和杆经皮植入患者体内。
    • 40. 发明申请
    • Helical reverse angle guide and advancement structure with break-off extensions
    • 螺旋反向导向和推进结构具有断裂延伸
    • US20060025771A1
    • 2006-02-02
    • US11246320
    • 2005-10-07
    • Roger Jackson
    • Roger Jackson
    • A61F2/30
    • A61B17/7032A61B17/7037A61B17/864A61B2090/037Y10T74/22
    • A spinal fixation device combines an anchor member with an open receiver, such as a polyaxial bone screw or a hook, with a rotatable closure that operably clamps a spinal fixation rod to the anchor member. The anchor member has spaced apart arms forming a rod receiving channel. The arms have arm extensions or tabs connected to main portions of the arms by weakened regions to enable the extensions to be broken off or separated after the rod is clamped. The closure and inner surfaces of the arms and tabs have mating helical, anti-splay, reverse angle guide and advancement structure formed thereon that mechanically cooperate to prevent splaying of the arms and the extensions as the closure is advanced into the rod receiving channel. The increased length of the arms with the extensions enables the rod to be captured at a greater distance from the seat of the channel and allows the rod to be urged toward the seat by helical advancement of the closure into the channel, starting between the extensions. Separation of the break-off extensions results in an implant with a desirable low profile.
    • 脊柱固定装置将锚固构件与开放式接收器(例如多轴骨螺钉或钩)组合,其中可旋转的闭合件可操作地将脊柱固定杆夹持到锚定构件。 锚定构件具有形成杆接收通道的间隔开的臂。 臂具有通过弱化区域连接到臂的主要部分的臂延伸部或突出部,以使得在杆被夹紧之后能够将延伸部分断或分离。 臂和突片的封闭件和内表面具有形成在其上的配合螺旋形,防喷射型,反向角度引导件和前进结构,其机械协作以防止当封闭件进入杆接收通道时臂和延伸部的展开。 具有延伸部的臂的增加的长度使得能够在距离通道的座椅更远的距离处捕获杆,并且允许杆通过将螺栓螺旋地延伸到通道中而被推向座椅,从延伸部之间开始。 分离延伸的分离导致具有期望的低轮廓的植入物。