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71. 发明授权

US09011539B2 Spinal nucleus replacement implant 有权
标题翻译：脊髓核替代植入物
公开(公告)号：US09011539B2
公开(公告)日：2015-04-21
申请号：US12356743
申请日：2009-01-21
申请人： Thomas Carls , Joshua Simpson , Jason John Eckhardt
发明人： Thomas Carls , Joshua Simpson , Jason John Eckhardt
IPC分类号： A61F2/44 , A61F2/30
CPC分类号： A61F2/442 , A61F2/441 , A61F2002/30014 , A61F2002/30242 , A61F2002/30383 , A61F2002/30471 , A61F2002/305 , A61F2002/30507 , A61F2002/30579 , A61F2002/30583 , A61F2002/30584 , A61F2002/30604 , A61F2002/30754 , A61F2002/444 , A61F2210/0085 , A61F2220/0025 , A61F2220/0091 , A61F2230/0071 , A61F2250/0018 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029
摘要： An intervertebral prosthesis implantable within a disc space and disposed between upper and lower vertebral endplates is provided. The prosthesis comprises a plurality of prosthesis modules insertable into the disc space, wherein the modules have at least one set of complementarily-shaped and sized surfaces, and wherein at least one of the modules is expandable. The modules have surfaces configured to engage within the disc space in a manner such that the modules form an assembled prosthesis of a size substantially preventing it from being outwardly expelled from the disc space, and the modules have bearing surfaces slidably engageable with the endplates to permit articulation between upper and lower vertebral endplates. In one embodiment, the at least one expandable module of the intervertebral prosthesis expands by inflation. In another embodiment, the at least one expandable module expands by unfolding into its intended form.
摘要翻译：提供可植入在椎间盘空间内且设置在上下椎骨终板之间的椎间假体。假体包括可插入椎间盘空间中的多个假体模块，其中模块具有至少一组互补形状和尺寸的表面，并且其中至少一个模块是可扩张的。模块具有被配置为以这样的方式接合在盘片空间内的表面，使得模块形成大体上基本上防止其从盘空间向外排出的尺寸的组装假体，并且模块具有可滑动地与端板接合以允许上下椎骨终板之间的关节。在一个实施例中，椎间假体的至少一个可扩张模块通过膨胀而膨胀。在另一个实施例中，至少一个可扩展模块通过展开成为其预期形式而膨胀。

72. 发明授权

US08414617B2 Multi axial cross link connector system for spinal implants 有权
标题翻译：用于脊柱植入物的多轴向交叉连接器系统
公开(公告)号：US08414617B2
公开(公告)日：2013-04-09
申请号：US13187191
申请日：2011-07-20
申请人： J Stewart Young , Chris Johnson , Thomas Carls
发明人： J Stewart Young , Chris Johnson , Thomas Carls
IPC分类号： A61B17/70
CPC分类号： A61B17/7052
摘要： This invention relates to interconnection assemblies for use with spinal fixation systems to treat spinal defects. The interconnection assemblies can include various spinal rod connecting members and interconnecting elements to secure the spinal rod connecting members to each other in variable orientations and lengths. The interconnection assemblies can be adjusted to minimize interference with the spinal column, bony processes, and associated neural, muscular, and ligament components of the spine all the while exhibiting a low profile. The interconnecting elements and related components can be provided as a completely assembled unit that does not inadvertently become disassembled prior to or during implantation.
摘要翻译：本发明涉及用于脊柱固定系统以治疗脊柱缺损的互连组件。互连组件可以包括各种脊柱杆连接构件和互连元件，以将脊椎杆连接构件以可变取向和长度彼此固定。可以调整互连组件以最小化与脊柱，骨骼过程以及脊柱相关联的神经，肌肉和韧带部件的干扰，同时呈现低轮廓。互连元件和相关部件可以被提供为完全组装的单元，其在植入之前或植入期间不会被意外地分解。

73. 发明授权

US08348954B2 Electronic guidance of spinal instrumentation 有权
标题翻译：脊柱仪器的电子指导
公开(公告)号：US08348954B2
公开(公告)日：2013-01-08
申请号：US12211164
申请日：2008-09-16
申请人： Thomas Carls , Kent Anderson
发明人： Thomas Carls , Kent Anderson
IPC分类号： A61B17/56
CPC分类号： A61B17/7083 , A61B34/20 , A61B2034/107 , A61B2034/2048 , A61B2034/2051 , A61B2034/2063
摘要： Systems and methods for positioning a connecting element adjacent an anatomical structure in minimally-invasive surgical procedures, including an electronic guidance system associated with the connecting element and at least one receiving portion of a tissue anchor that receives the connecting element in the patient. The electronic guidance system includes a processor subsystem to receive signals from the guidance system and provide relative positional data between the connecting element and the at least one receiving portion to aid the surgeon in guiding the connecting element to the receiving portion. In one embodiment, the systems and methods are used in association with positioning a connecting element adjacent the spinal column in minimally-invasive spinal stabilization procedures.
摘要翻译：用于将连接元件邻近解剖结构定位在微创手术过程中的系统和方法，包括与连接元件相关联的电子引导系统和接收患者中的连接元件的组织锚的至少一个接收部分。电子引导系统包括处理器子系统，用于从引导系统接收信号，并在连接元件和至少一个接收部分之间提供相对位置数据，以帮助外科医生将连接元件引导到接收部分。在一个实施例中，所述系统和方法与在邻近脊柱的连接元件定位在微创脊柱稳定程序中一起使用。

74. 发明申请

US20120226319A1 INTERBODY DEVICE AND PLATE FOR SPINAL STABILIZATION AND INSTRUMENTS FOR POSITIONING SAME 有权
标题翻译：用于脊柱稳定的内部装置和板及其位置的仪器
公开(公告)号：US20120226319A1
公开(公告)日：2012-09-06
申请号：US13040035
申请日：2011-03-03
申请人： Will Armstrong , Thomas Carls , John A. Cowan , James Duncan , Richard A. Hynes , Anthony J. Melkent , Jean-Pierre Mobasser , D. Ha Silcox, III
发明人： Will Armstrong , Thomas Carls , John A. Cowan , James Duncan , Richard A. Hynes , Anthony J. Melkent , Jean-Pierre Mobasser , D. Ha Silcox, III
IPC分类号： A61B17/88 , A61F2/44 , A61B17/70
CPC分类号： A61F2/447 , A61B17/7059 , A61B17/808 , A61F2/30771 , A61F2/30965 , A61F2/442 , A61F2/4611 , A61F2002/2817 , A61F2002/2835 , A61F2002/3008 , A61F2002/30365 , A61F2002/30383 , A61F2002/30517 , A61F2002/30542 , A61F2002/30576 , A61F2002/30578 , A61F2002/30629 , A61F2002/30777 , A61F2002/30779 , A61F2002/3082 , A61F2002/30904 , A61F2002/3093 , A61F2002/4475 , A61F2002/4622 , A61F2002/4623 , A61F2002/4627 , A61F2220/0008 , A61F2310/00017 , A61F2310/00023 , A61F2310/00293 , A61F2310/00329 , A61F2310/00353 , A61F2310/00359 , A61F2310/00365 , A61F2310/00371 , A61F2310/00377
摘要： Systems, methods and devices for providing stabilization between first and second vertebrae are provided. More particularly, in one form a system includes an implant configured to be positioned in a disc space between the first and second vertebrae and a freestanding plate for engagement with extradiscal surfaces of the first and second vertebrae. The system also includes an insertion instrument with an engaging portion configured to releasably engage with the implant and the plate such that the implant and plate can be positioned together relative to the first and second vertebrae. In one aspect, an angular orientation of the implant relative to the plate is adjustable when the implant and the plate are engaged by the instrument. In this or another aspect, the implant and plate are held in a contiguous relationship when engaged by the instrument. However, different forms and applications are also envisioned.
摘要翻译：提供了用于提供第一和第二椎骨之间的稳定性的系统，方法和装置。更具体地，在一种形式中，系统包括构造成定位在第一和第二椎骨之间的盘空间中的植入物和用于与第一和第二椎骨的椎间盘外表面接合的独立板。该系统还包括具有接合部分的插入器具，该接合部分构造成与植入物和板可释放地接合，使得植入物和板可相对于第一和第二椎骨定位在一起。在一个方面，当植入物和板被仪器接合时，植入物相对于板的角度取向是可调节的。在这个或另一方面，当由仪器接合时，植入物和板被保持在连续的关系中。但是，也可以设想不同的形式和应用。

75. 发明申请

US20100185286A1 Methods of Spinal Nucleus Replacemennt 有权
标题翻译：脊柱核替代方法
公开(公告)号：US20100185286A1
公开(公告)日：2010-07-22
申请号：US12356702
申请日：2009-01-21
申请人： Randall Allard , Jason Eckhardt , Tom Francis , Thomas Carls , Robert Rice
发明人： Randall Allard , Jason Eckhardt , Tom Francis , Thomas Carls , Robert Rice
IPC分类号： A61F2/44 , A61B19/00
CPC分类号： A61F2/4611 , A61B90/11 , A61B2017/00261 , A61F2/30744 , A61F2/442 , A61F2002/30014 , A61F2002/3008 , A61F2002/30131 , A61F2002/30242 , A61F2002/30383 , A61F2002/3052 , A61F2002/30561 , A61F2002/30563 , A61F2002/30579 , A61F2002/30604 , A61F2002/30611 , A61F2002/30673 , A61F2002/30733 , A61F2002/30975 , A61F2002/444 , A61F2002/4495 , A61F2002/4627 , A61F2002/4629 , A61F2002/4677 , A61F2220/0025 , A61F2230/0013 , A61F2230/0071 , A61F2250/0018 , A61F2250/0063 , A61F2250/0098 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029
摘要： A multi-piece intervertebral disc augmentation implant that may be assembled within the annulus fibrosus is disclosed. The implant may be guided into a precise location through a relatively small opening in the annulus fibrosus with the aid of an elongated guide.
摘要翻译：公开了可以组装在纤维环内的多片椎间盘增大植入物。借助于细长的引导件，植入物可以通过纤维环中的相对小的开口被引导到精确的位置。

76. 发明申请

US20080300685A1 Posterior Total Joint Replacement 有权
标题翻译：后总关节置换术
公开(公告)号：US20080300685A1
公开(公告)日：2008-12-04
申请号：US11839821
申请日：2007-08-16
申请人： Thomas Carls , Eric Lange , Danny Braddock, Jr. , Steven Craig Humphreys , Scott D. Hodges , Richard G. Fessler , Jeffrey Zhang
发明人： Thomas Carls , Eric Lange , Danny Braddock, Jr. , Steven Craig Humphreys , Scott D. Hodges , Richard G. Fessler , Jeffrey Zhang
IPC分类号： A61F2/44 , A61B17/08 , A61B17/58
CPC分类号： A61F2/442 , A61B17/7001 , A61F2/4405 , A61F2/4425 , A61F2002/30331 , A61F2002/30563 , A61F2002/30578 , A61F2002/30624 , A61F2002/30652 , A61F2002/30654 , A61F2002/30662 , A61F2002/30884 , A61F2002/448 , A61F2220/0033 , A61F2250/0004 , A61F2310/00796 , A61F2310/00976
摘要： A prosthetic system for implantation between upper and lower vertebrae comprises an upper joint component. The upper joint component comprises an upper contact surface and an upper articulation surface. The system further includes a lower joint component. The lower joint component comprises a lower contact surface and a lower articulation surface configured to movably engage the upper articulation surface to form an articulating joint. The articulating joint is adapted for implantation within a disc space between the upper and lower vertebrae, allowing the upper and lower vertebrae to move relative to one another. The system further includes a bridge component extending posteriorly from one of either the upper or lower joint components and from the disc space. The bridge component has a distal end opposite the one of the either upper or lower joint components. The distal end of the bridge component comprises a connection component adapted to receive a fastener.
摘要翻译：用于在上下椎骨之间植入的假体系统包括上关节部件。上接头部件包括上接触表面和上铰接表面。该系统还包括下部接头部件。所述下关节部件包括下接触表面和下铰接表面，所述下接合表面被构造成可移动地接合所述上铰接表面以形成铰接接头。铰接接头适于植入在上下椎骨之间的椎间盘空间中，允许上下椎骨相对于彼此移动。该系统还包括从上部或下部接头部件之一以及从盘片空间向后延伸的桥接部件。桥梁部件具有与上部或下部接头部件中的一个相对的远端。桥接部件的远端包括适于接收紧固件的连接部件。

77. 发明申请

US20070176324A1 Methods of injection molding a polymeric orthopedic device 审中-公开
标题翻译：注射成型聚合物矫形装置的方法
公开(公告)号：US20070176324A1
公开(公告)日：2007-08-02
申请号：US11342194
申请日：2006-01-27
申请人： Harold Taylor , Thomas Carls
发明人： Harold Taylor , Thomas Carls
IPC分类号： B29C45/14 , B29C45/73
CPC分类号： B29C45/77 , B29C45/14549 , B29C45/78 , B29C2045/7343 , B29C2945/76498 , B29C2945/76545 , B29C2945/76612 , B29C2945/76652 , B29C2945/76732 , B29C2945/76782 , B29C2945/76859 , B29K2071/00 , B29L2031/7532
摘要： A method of injection molding an orthopedic device comprising: injection molding a polymeric orthopedic device having a length along a longitudinal axis; and deliberately inducing, in the device, a material property change along the longitudinal axis by varying a molding parameter during the injection molding. The material property may be, for example, elastic modulus and/or density. The molding parameter varied during the injection molding may be a supply material pressure. The orthopedic device may be an elongated rod-shaped element, such as a spinal fixation rod, which may or may not have a substantially uniform cross-section, and may or may not have a metallic core. A corresponding apparatus is also described.
摘要翻译：一种注射成型矫形装置的方法，包括：注射成型具有沿着纵向轴线的长度的聚合物矫形装置; 并且通过在注射成型期间改变模制参数来故意地在装置中诱导沿着纵向轴线的材料特性变化。材料性质可以是例如弹性模量和/或密度。在注射成型期间变化的成型参数可以是供料压力。矫形装置可以是细长的杆状元件，例如脊柱固定杆，其可以具有或可以不具有基本上均匀的横截面，并且可以具有或可以不具有金属芯。还描述了相应的装置。

78. 发明申请

US20050234335A1 Trajectory storage apparatus and method for surgical navigation systems 有权
标题翻译：轨迹储存装置及手术导航系统的方法
公开(公告)号：US20050234335A1
公开(公告)日：2005-10-20
申请号：US11128808
申请日：2005-05-13
申请人： David Simon , Kevin Foley , Thomas Carls , Anthony Melkent
发明人： David Simon , Kevin Foley , Thomas Carls , Anthony Melkent
IPC分类号： A61B5/05 , A61B6/00 , A61B6/12 , A61B19/00
CPC分类号： A61B19/50 , A61B6/12 , A61B6/4441 , A61B34/10 , A61B34/20 , A61B34/25 , A61B90/36 , A61B2017/00725 , A61B2034/104 , A61B2034/107 , A61B2034/2072 , A61B2090/061 , A61B2090/376 , A61B2090/378 , G06F19/00
摘要： A method and apparatus for determining, calculating, and/or viewing a trajectory. The trajectory can be displayed on a display relative to image data of a patient. A user can use the system to determine relationships between two or more trajectories that have been determined. The relationships can be within two dimensional, three-dimensional, or four dimensional space. The relationships can include distance, angle, etc. The relationships can also be determined between real time trajectories and stored trajectories, or combinations thereof.
摘要翻译：一种用于确定，计算和/或查看轨迹的方法和装置。轨迹可以相对于患者的图像数据显示在显示器上。用户可以使用系统来确定已经确定的两个或更多个轨迹之间的关系。关系可以在二维，三维或四维空间内。关系可以包括距离，角度等。还可以在实时轨迹和存储的轨迹之间确定关系，或者其组合。

79. 发明授权

US09011538B2 Methods of spinal nucleus replacemennt 有权
标题翻译：脊髓核替代方法
公开(公告)号：US09011538B2
公开(公告)日：2015-04-21
申请号：US12356702
申请日：2009-01-21
申请人： Randall Allard , Robert S. Biscup , Thomas Carls , Jason Eckhardt , Tom Francis , Clayton G. Leroux , Robert B. Rice
发明人： Randall Allard , Robert S. Biscup , Thomas Carls , Jason Eckhardt , Tom Francis , Clayton G. Leroux , Robert B. Rice
IPC分类号： A61F2/44 , A61F2/46 , A61B19/00 , A61B17/00 , A61F2/30
CPC分类号： A61F2/4611 , A61B90/11 , A61B2017/00261 , A61F2/30744 , A61F2/442 , A61F2002/30014 , A61F2002/3008 , A61F2002/30131 , A61F2002/30242 , A61F2002/30383 , A61F2002/3052 , A61F2002/30561 , A61F2002/30563 , A61F2002/30579 , A61F2002/30604 , A61F2002/30611 , A61F2002/30673 , A61F2002/30733 , A61F2002/30975 , A61F2002/444 , A61F2002/4495 , A61F2002/4627 , A61F2002/4629 , A61F2002/4677 , A61F2220/0025 , A61F2230/0013 , A61F2230/0071 , A61F2250/0018 , A61F2250/0063 , A61F2250/0098 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029
摘要： A multi-piece intervertebral disc augmentation implant that may be assembled within the annulus fibrosus is disclosed. The implant may be guided into a precise location through a relatively small opening in the annulus fibrosus with the aid of an elongated guide.
摘要翻译：公开了可以组装在纤维环内的多片椎间盘增大植入物。借助于细长的引导件，植入物可以通过纤维环中的相对小的开口被引导到精确的位置。

80. 发明申请

US20130110173A1 ATTACHMENT MECHANISM FOR MATERIAL AND BONE 审中-公开
标题翻译：材料和骨骼的附着机制
公开(公告)号：US20130110173A1
公开(公告)日：2013-05-02
申请号：US13283868
申请日：2011-10-28
申请人： Thomas Carls , Chris Johnson , Alison Powers , Stefan Parent , Jeremy Rawlinson
发明人： Thomas Carls , Chris Johnson , Alison Powers , Stefan Parent , Jeremy Rawlinson
IPC分类号： A61B17/88
CPC分类号： A61B17/0401 , A61B17/70 , A61B17/7022 , A61B2017/0414 , A61B2017/044 , A61F2002/0858 , A61F2002/0888
摘要： A method for anchoring a portion of material to bone is disclosed. One such method comprises inserting the portion of material through a hole in a fastener, and driving the fastener into the bone such that the portion of material becomes anchored to the bone such that driving the fastener farther into the bone increases tension in the material.
摘要翻译：公开了一种将一部分材料锚固到骨头上的方法。一种这样的方法包括将材料的一部分穿过紧固件中的孔插入，并将紧固件驱动到骨中，使得该部分材料锚定到骨上，使得更紧密地进入骨骼的紧固件增加了材料中的张力。

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