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31. 发明授权

US07008422B2 Instruments and methods for stabilization of bony structures 有权
公开(公告)号：US07008422B2
公开(公告)日：2006-03-07
申请号：US10263522
申请日：2002-10-03
申请人： Kevin T. Foley , Michael C. Sherman , Jeff R. Justis
发明人： Kevin T. Foley , Michael C. Sherman , Jeff R. Justis
IPC分类号： A61B17/90
CPC分类号： A61B17/7086 , A61B17/00234 , A61B17/1671 , A61B17/7038 , A61B17/7089 , A61B17/88 , A61B17/8872 , A61B17/8897 , A61B2017/681 , A61B2017/90
摘要： The present invention relates to a brace installation instrument placement that is mounted to anchors secured in an animal subject. The installation instrument includes anchor extensions coupled to the anchors. The instrument is movable with respect to the anchors to position a brace in a position more proximate the anchors. The brace can be indexed for insertion at a predetermined orientation with respect to the installation instrument. Methods and techniques for using the installation instrument are also provided.

32. 发明授权

US06991654B2 Systems and techniques for restoring and maintaining intervertebral anatomy 有权
公开(公告)号：US06991654B2
公开(公告)日：2006-01-31
申请号：US10790329
申请日：2004-03-01
申请人： Kevin T. Foley
发明人： Kevin T. Foley
IPC分类号： A61F2/44
CPC分类号： A61F2/447 , A61B17/025 , A61B2017/0256 , A61F2/28 , A61F2/30965 , A61F2/442 , A61F2/4455 , A61F2/4611 , A61F2/4684 , A61F2002/3008 , A61F2002/30092 , A61F2002/30112 , A61F2002/30266 , A61F2002/30321 , A61F2002/30354 , A61F2002/30382 , A61F2002/30383 , A61F2002/30616 , A61F2002/308 , A61F2002/30813 , A61F2002/3082 , A61F2002/30904 , A61F2002/30975 , A61F2002/4623 , A61F2002/4628 , A61F2002/4635 , A61F2002/4681 , A61F2210/0014 , A61F2220/0025 , A61F2220/0033 , A61F2230/0004 , A61F2230/0082 , A61F2250/0064 , A61F2250/0098 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00179 , A61F2310/00293 , A61F2310/00329 , A61F2310/00359
摘要： Techniques and systems for distracting a spinal disc space and supporting adjacent vertebrae are provided. Trial instruments are insertable into the disc space to determine a desired disc space height and to select a corresponding implant. Implants can be also be self-distracting and the implant providing the desired disc space height can be implanted in the spinal disc space.

33. 发明授权

US06978166B2 System for use in displaying images of a body part 有权
标题翻译：用于显示身体部位图像的系统
公开(公告)号：US06978166B2
公开(公告)日：2005-12-20
申请号：US10198324
申请日：2002-07-18
申请人： Kevin T. Foley , Richard D. Bucholz , Kurt Smith
发明人： Kevin T. Foley , Richard D. Bucholz , Kurt Smith
IPC分类号： A61B5/00 , A61B5/055 , A61B5/06 , A61B5/107 , A61B6/00 , A61B6/12 , A61B8/00 , A61B17/00 , A61B17/88 , A61B19/00
CPC分类号： A61B5/0073 , A61B5/0064 , A61B5/055 , A61B5/06 , A61B5/061 , A61B5/062 , A61B5/1077 , A61B6/12 , A61B6/501 , A61B8/00 , A61B8/5238 , A61B34/10 , A61B34/20 , A61B90/10 , A61B90/14 , A61B90/36 , A61B90/39 , A61B2017/00022 , A61B2034/2051 , A61B2034/2068 , A61B2034/2072 , A61B2090/363 , A61B2090/364 , A61B2090/376 , A61B2090/378 , A61B2090/3925 , A61B2090/3929 , A61B2090/3945 , A61B2090/3954 , A61B2090/3983
摘要： A system for use during a medical or surgical procedure on a body. The system generates a display representing the position of two or more body elements during the procedure based on a reference image data set generated by a scanner. The system produces a reference image of a body elements, discriminates the body elements in the images and creates an image data set representing the images of the body elements. The system produces a density image of the body element. The system modifies the image data set according to the density image of the body element during the procedure, generates a displaced image data set representing the position and geometry of the body element during the procedure, and compares the density image of the body element during the procedure to the reference image of the body element. The system also includes a display utilizing the displaced image data set generated by the processor to illustrate the position and geometry of the body element during the procedure. Methods relating to the system are also disclosed.
摘要翻译：在身体的医疗或外科手术过程中使用的系统。该系统基于由扫描器生成的参考图像数据集，在该过程期间生成表示两个或多个身体元素的位置的显示。系统产生身体元素的参考图像，区分图像中的身体元素并创建表示身体元素的图像的图像数据集。系统产生身体元素的密度图像。该系统根据程序中的身体元素的密度图像来修改图像数据集，并在该过程期间生成表示身体元素的位置和几何形状的位移图像数据集，并且比较在体内元素的密度图像程序到身体元素的参考图像。该系统还包括利用由处理器生成的位移图像数据集的显示器，以说明在该过程期间身体元件的位置和几何形状。还公开了与系统有关的方法。

34. 发明授权

US06679833B2 Devices and methods for percutaneous surgery 有权
公开(公告)号：US06679833B2
公开(公告)日：2004-01-20
申请号：US09815693
申请日：2001-03-23
申请人： Maurice M. Smith , Kevin T. Foley , Thomas E. Roehm III , William Barry Null
发明人： Maurice M. Smith , Kevin T. Foley , Thomas E. Roehm III , William Barry Null
IPC分类号： A61B100
CPC分类号： A61B17/3417 , A61B17/1671 , A61B17/3421 , A61B90/37 , A61B90/50 , A61B2017/00261 , A61B2017/00296 , A61B2017/0046 , A61B2017/00469 , A61B2017/3445 , A61B2017/347 , A61B2090/306 , A61B2090/3614 , A61B2090/373 , A61M29/00
摘要： Methods and devices for performing surgery in a patient are provided. A cannula provides a working channel for access to a location in the patient. A clamp assembly is removably engaged to the cannula. The clamp assembly allows use of an endoscopic viewing system or can be removed to allow use of a microscopic viewing system in order to view the surgical site in the patient through the working channel. The clamp assembly includes a viewing element mounting portion having a length along which an endoscopic viewing element can be selectively positioned.

35. 发明授权

US06500180B1 Methods and instrumentation for distraction of a disc space 失效
标题翻译：分散椎间盘空间的方法和仪器
公开(公告)号：US06500180B1
公开(公告)日：2002-12-31
申请号：US09421709
申请日：1999-10-20
申请人： Kevin T. Foley , Mingyan Liu
发明人： Kevin T. Foley , Mingyan Liu
IPC分类号： A61F238
CPC分类号： A61B17/025 , A61B2017/0256
摘要： Methods and instrumentation for surgical procedures relating to preparation of vertebral bodies and a disc space for insertion of spinal implants is disclosed. The instruments and methods are particularly adapted for a posterior approach to the spine. One instrument is a shim having a blade and a shaft having a first end connected with the blade. The blade is inserted into a distracted disc space to maintain distraction during subsequent procedures. In one embodiment, the shaft can be bent away from the operative field. In another embodiment, the shim is used in an endoscopically assisted approach to the spine. Another instrument is a driver for driving the blade of the shim into the distracted disc space. Various methods contemplate the use of these instruments to maintain disc space distraction during disc space preparation for receiving an implant.
摘要翻译：公开了与准备椎体相关的外科手术的方法和仪器以及用于插入脊柱植入物的椎间盘空间。仪器和方法特别适用于脊柱后路。一种仪器是具有刀片和轴的垫片，其具有与刀片连接的第一端。刀片插入分心的椎间盘空间，以便在后续手术过程中保持分心。在一个实施例中，轴可以远离操作区域弯曲。在另一个实施例中，垫片用于对脊柱进行内窥镜辅助的方法。另一种仪器是用于将垫片的叶片驱动到分散的盘片空间中的驱动器。各种方法考虑使用这些仪器来在用于接收植入物的盘空间准备期间维持椎间盘空间分心。

36. 发明授权

US06490467B1 Surgical navigation systems including reference and localization frames 失效
标题翻译：手术导航系统包括参考和定位框架
公开(公告)号：US06490467B1
公开(公告)日：2002-12-03
申请号：US09105067
申请日：1998-06-26
申请人： Richard D. Bucholz , Kevin T. Foley , Kurt R. Smith , Daniel Bass , Thomas Wiedenmaier , Todd Pope , Udo Wiedenmaier
发明人： Richard D. Bucholz , Kevin T. Foley , Kurt R. Smith , Daniel Bass , Thomas Wiedenmaier , Todd Pope , Udo Wiedenmaier
IPC分类号： A61B600
CPC分类号： A61B5/0073 , A61B5/0064 , A61B5/055 , A61B5/06 , A61B5/1077 , A61B6/12 , A61B6/501 , A61B6/5235 , A61B8/00 , A61B8/0833 , A61B8/4227 , A61B8/5238 , A61B17/1703 , A61B17/1739 , A61B17/3403 , A61B34/10 , A61B34/20 , A61B90/10 , A61B90/11 , A61B90/36 , A61B2017/00022 , A61B2034/2055 , A61B2034/2068 , A61B2034/207 , A61B2034/2072 , A61B2090/363 , A61B2090/364 , A61B2090/376 , A61B2090/378 , A61B2090/3929 , A61B2090/3945 , A61B2090/3983
摘要： A system for use during a medical or surgical procedure on a body. The system generates an image representing the position of one or more body elements during the procedure using scans generated by a scanner prior or during the procedure. The image data set has reference points for each of the body elements, the reference points of a particular body element having a fixed spatial relation to the particular body element. The system includes an apparatus for identifying, during the procedure, the relative position of each of the reference points of each of the body elements to be displayed. The system also includes a processor for modifying the image data set according to the identified relative position of each of the reference points during the procedure, as identified by the identifying apparatus, said processor generating a displaced image data set representing the position of the body elements during the procedure. The system also includes a display utilizing the displaced image data set generated by the processor, illustrating the relative to the system are also disclosed. Also disclosed are devices for use with a surgical navigation system having a sensor array which is in communication with the device to identify its position. The device may be a reference frame for attachment of a body part of the patient, such as a cranial reference are frame for attachment to the head or a spine reference are frame for attachment to the spine. The device may also be a localization frame for positioning an instrument relative to a body part, such as a localization biopsy guide frame for positioning a biopsy needle, a localization drill guide assembly for positioning a drill bit, a localization drill yoke assembly for positioning a drill, or a ventriculostomy probe for positioning a catheter.
摘要翻译：在身体的医疗或外科手术过程中使用的系统。在该过程期间，该系统使用由扫描仪生成的扫描器在过程之前或过程期间生成表示一个或多个身体元件的位置的图像。图像数据集具有每个身体元素的参考点，特定身体元件的参考点与特定身体元件具有固定的空间关系。该系统包括用于在过程期间识别要显示的每个身体元素的每个参考点的相对位置的装置。该系统还包括处理器，用于根据识别装置识别的过程期间根据所识别的每个参考点的相对位置修改图像数据集，所述处理器生成表示身体元件的位置的位移图像数据集在程序中。该系统还包括利用由处理器生成的移位的图像数据集的显示器，还示出了相对于系统的显示。还公开了一种与外科导航系统一起使用的装置，该外科导航系统具有与装置通信以识别其位置的传感器阵列。该装置可以是用于附接患者的身体部分的参考框架，例如头部参考是用于附接到头部的框架，或者脊柱参考是用于附接到脊柱的框架。该装置还可以是用于相对于身体部位定位器械的定位框架，例如用于定位活检针的定位活检引导框架，用于定位钻头的定位钻子引导器组件，用于定位钻头的定位钻杆组件钻孔或用于定位导管的脑室造口术探针。

37. 发明授权

US06485491B1 Posterior fixation system 有权
标题翻译：后固定系统
公开(公告)号：US06485491B1
公开(公告)日：2002-11-26
申请号：US09663638
申请日：2000-09-15
申请人： Robert A. Farris , Kevin T. Foley , Stephen M. Papadopoulos , Jeffrey Wade Poyner , Ricardo Sasso
发明人： Robert A. Farris , Kevin T. Foley , Stephen M. Papadopoulos , Jeffrey Wade Poyner , Ricardo Sasso
IPC分类号： A61B1770
CPC分类号： A61B17/7037 , A61B17/7002 , A61B17/7032 , A61B17/7035 , A61B17/7041 , A61B17/7044 , A61B17/7049 , A61B17/705 , A61B17/7055 , A61B17/7059
摘要： A posterior fixation system includes a saddle member, an anchoring member, an occipital plate, an occipital rod, and a cross-link connector. The anchoring member anchors the saddle member to bone. The saddle member includes a pair of upright portions that define a channel. The channel is adapted to receive an orthopedic rod, and the saddle member can include a hole to receive the anchoring member. The saddle member and the anchoring member can be coupled so as to allow multi-axial movement of the members. The anchoring member in one embodiment is a screw coupled to the hole of the saddle, and in another embodiment, the anchoring member is a hook. The offset member may be coupled to the saddle member to allow for offset connection of rods. Connection of individual rods can be accomplished by connecting the rods with the cross-link connector. The cross-link connector has an integrally formed cylindrical member that couples a pair of coupling portions together. The cylindrical member can be bent along multiple axes. The occipital plate secures the rods to the occipital bone of the skull. The occipital plate has a cross-shaped plate with a plurality of apertures defined in the plate and at least one saddle member coupled to the plate. Alternatively, the occipital rod can be secured to the occipital bone.
摘要翻译：后固定系统包括鞍形构件，锚定构件，枕骨板，枕骨杆和交联连接器。锚定构件将鞍形构件锚定到骨头。鞍座构件包括限定通道的一对直立部分。通道适于接纳矫形杆，并且鞍座构件可包括用于接收锚定构件的孔。鞍形构件和锚定构件可以联接成允许构件的多轴向移动。一个实施例中的锚固构件是联接到鞍座的孔的螺钉，并且在另一个实施例中，锚固构件是钩。偏移构件可以联接到鞍座构件以允许杆的偏移连接。可以通过将杆与交联连接器连接来实现单个杆的连接。交联连接器具有将一对联接部分连接在一起的整体形成的圆柱形构件。圆柱形构件可以沿着多个轴线弯曲。枕骨板将杆固定在头骨的枕骨上。枕骨板具有十字形板，其中限定在板中的多个孔和联接到板的至少一个鞍形构件。或者，枕骨杆可以固定在枕骨上。

38. 发明授权

US06348058B1 Image guided spinal surgery guide, system, and method for use thereof 有权
标题翻译：图像引导脊柱手术指南，系统及其使用方法
公开(公告)号：US06348058B1
公开(公告)日：2002-02-19
申请号：US09209248
申请日：1998-12-10
申请人： Tony Melkent , Kevin T. Foley , Bradley T. Estes , Joseph Chaudoin
发明人： Tony Melkent , Kevin T. Foley , Bradley T. Estes , Joseph Chaudoin
IPC分类号： A61B505
CPC分类号： A61F2/4611 , A61B17/1757 , A61B34/20 , A61B34/25 , A61B2034/107 , A61B2034/2055 , A61B2034/2072 , A61B2034/254 , A61F2/442 , A61F2/4455 , A61F2002/2839 , A61F2002/4627 , A61F2002/4632 , Y10S606/907 , Y10S606/909 , Y10S606/912 , Y10S606/914
摘要： A guide is disclosed for use in performing spinal surgery to prepare across a spinal disc and adjacent vertebrae an implantation space. The guide is associated with a computer controlled surgical navigation system employing an energy-detecting array to track positions of the guide in three dimensional space relative to a known reference point. The guide comprises a body for providing protected access to prepare across the spinal disc and into the adjacent vertebrae the implantation space. The body has a passage adapted to receive a bone removal device for forming the implantation space through the body. At least one electrically energizable energy emitter array is attached to the body for use in identifying the location of the guide relative to the adjacent vertebrae. A system and method for using the guide in spinal surgery are also disclosed.
摘要翻译：公开了用于执行脊柱手术以在脊椎盘和相邻椎骨上准备植入空间的引导件。该指南与使用能量检测阵列的计算机控制手术导航系统相关联，以相对于已知的参考点跟踪三维空间中的引导的位置。引导件包括用于提供受保护的通路以准备穿过脊椎盘并进入相邻椎骨的植入空间的主体。身体具有适于接收用于通过身体形成植入空间的骨去除装置的通道。至少一个电激励能量发射器阵列附接到主体以用于识别引导件相对于相邻椎骨的位置。还公开了在脊柱手术中使用该引导件的系统和方法。

39. 发明授权

US06236875B1 Surgical navigation systems including reference and localization frames 失效
标题翻译：手术导航系统包括参考和定位框架
公开(公告)号：US06236875B1
公开(公告)日：2001-05-22
申请号：US08809404
申请日：1997-07-23
申请人： Richard D. Bucholz , Kevin T. Foley , Kurt R. Smith , Daniel Bass , Thomas Wiedenmaier , Todd Pope , Udo Wiedenmaier
发明人： Richard D. Bucholz , Kevin T. Foley , Kurt R. Smith , Daniel Bass , Thomas Wiedenmaier , Todd Pope , Udo Wiedenmaier
IPC分类号： A61B505
CPC分类号： A61B5/0073 , A61B5/0064 , A61B5/055 , A61B5/06 , A61B5/1077 , A61B6/12 , A61B6/501 , A61B6/5235 , A61B8/00 , A61B8/0833 , A61B8/4227 , A61B8/5238 , A61B17/1703 , A61B17/1739 , A61B17/3403 , A61B34/10 , A61B34/20 , A61B90/10 , A61B90/11 , A61B90/36 , A61B2017/00022 , A61B2034/2055 , A61B2034/2068 , A61B2034/207 , A61B2034/2072 , A61B2090/363 , A61B2090/364 , A61B2090/376 , A61B2090/378 , A61B2090/3929 , A61B2090/3945 , A61B2090/3983
摘要： A system for use during a medical or surgical procedure on a body. The system generates an image representing the position one or more body elements during the procedure using scans generated by a scanner prior or during the procedure. The image data set has reference points for each of the body elements, the reference points of a particular body element having a fixed spatial relation to the particular body element. The system includes an apparatus for identifying, during the procedure, the relative position of each of the reference points of each of the body elements to be displayed. The system also includes a processor for modifying the image data set according to the identified relative position of each of the reference points during the procedure, as identified by the identifying apparatus, said processor generating a displaced image data set representing the position of the body elements during the procedure. The system also includes a display utilizing the displaced image data set generated by the processor, illustrating the relative position of the body elements during the procedure. Methods relating to the system are also disclosed. Also disclosed are devices for use with a surgical navigation system having a sensor array which is in communication with the device to identify its position. The device may be a reference frame for attachment of a body part of the patient, such as a cranial reference arc frame for attachment to the head on a spine reference arc frame for attachment to the spine. The device may also be a localization frame for positioning an instrument relative to a body part, such as a localization biopsy guide frame for positioning a biopsy needle, a localization drill guide assembly for positioning a drill bit, a localization drill yoke assembly for positioning a drill, or a ventriculostomy probe for positioning a catheter.
摘要翻译：在身体的医疗或外科手术过程中使用的系统。该系统在该过程期间使用由扫描器生成的扫描器在过程之前或过程期间生成表示位置一个或多个身体元件的图像。图像数据集具有每个身体元素的参考点，特定身体元件的参考点与特定身体元件具有固定的空间关系。该系统包括用于在过程期间识别要显示的每个身体元素的每个参考点的相对位置的装置。该系统还包括处理器，用于根据识别装置识别的过程期间根据所识别的每个参考点的相对位置修改图像数据集，所述处理器生成表示身体元件的位置的位移图像数据集在程序中。该系统还包括使用由处理器生成的移位图像数据集的显示器，示出了在该过程期间主体元件的相对位置。还公开了与系统有关的方法。还公开了一种与外科导航系统一起使用的装置，该外科导航系统具有与装置通信以识别其位置的传感器阵列。该装置可以是用于附接患者的身体部分的参考框架，例如用于附接到脊柱参考弧框架以用于附接到脊柱的头部参考弧形框架以用于附接到头部。该装置还可以是用于相对于身体部位定位器械的定位框架，例如用于定位活检针的定位活检引导框架，用于定位钻头的定位钻子引导器组件，用于定位钻头的定位钻杆组件钻孔或用于定位导管的脑室造口术探针。

40. 发明授权

US6167145A Bone navigation system 失效
标题翻译：骨导航系统
公开(公告)号：US6167145A
公开(公告)日：2000-12-26
申请号：US623956
申请日：1996-03-29
申请人： Kevin T. Foley , Kurt R. Smith , John B. Clayton
发明人： Kevin T. Foley , Kurt R. Smith , John B. Clayton
IPC分类号： G06F19/00 , G06T7/00 , G06K9/00
CPC分类号： G06F19/321 , G06F19/00 , G06T7/33 , G06T2207/10072 , G06T2207/10121 , G06T2207/10132 , G06T2207/30012 , G06T2207/30016
摘要： A system for use during a medical or surgical procedure on a body. The system generates a display representing the position of two or more body elements during the procedure based on an image data set generated by a scanner prior to the procedure. The image data set has reference points for each of the body elements, the reference points of a particular body element having a fixed spatial relation to the particular body element. The system includes an apparatus for identifying, during the procedure, the relative position of each of the reference points of each of the body elements to be displayed. The system also includes a processor for modifying the image data set according to the identified relative position of each of the reference points during the procedure, as identified by the identifying apparatus, said processor generating a displaced image data set representing the position of the body elements during the procedure. The system also includes a display utilizing the displaced image data set generated by the processor, illustrating the relative position of the body elements during the procedure. Methods relating to the system are also disclosed.
摘要翻译：在身体的医疗或外科手术过程中使用的系统。该系统基于在该过程之前由扫描器生成的图像数据集，在该过程期间生成表示两个或多个身体元件的位置的显示。图像数据集具有每个身体元素的参考点，特定身体元件的参考点与特定身体元件具有固定的空间关系。该系统包括用于在过程期间识别要显示的每个身体元素的每个参考点的相对位置的装置。该系统还包括处理器，用于根据识别装置识别的过程期间根据所识别的每个参考点的相对位置修改图像数据集，所述处理器生成表示身体元件的位置的位移图像数据集在程序中。该系统还包括使用由处理器生成的移位图像数据集的显示器，示出了在该过程期间主体元件的相对位置。还公开了与系统有关的方法。

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