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81. 发明授权

US08506574B2 Percutaneous compression and distraction system 有权
标题翻译：经皮压迫和牵引系统
公开(公告)号：US08506574B2
公开(公告)日：2013-08-13
申请号：US13419919
申请日：2012-03-14
申请人： Joshua A. Butters , Jeffery Arnett
发明人： Joshua A. Butters , Jeffery Arnett
IPC分类号： A61B17/58 , A61B17/60 , A61F2/00
CPC分类号： A61B17/025 , A61B17/7001 , A61B17/7077 , A61B17/7079 , A61B2017/0256
摘要： A compression and distraction shaft assembly applies compression and distraction to bones including vertebrae. Shaft A assembly and shaft B assembly are attached together via a polyaxial fulcrum. The polyaxial fulcrum allows all rotational degrees of freedom between shaft A assembly and shaft B assembly. Such fulcrum, during compression and distraction, does not impart ancillary stresses or motion to vertebrae. An hourglass-shaped bore for engaging pliers is formed in approximately middle of both the shaft A assembly and the shaft B assembly. Distraction pliers having cylindrical tips are used to apply distraction to vertebrae. Once handles are pressed to impart an appropriate amount of distraction to the vertebrae, they are locked in this position. Compression pliers having cylindrical tips are used to apply compression to vertebrae. Once handles are pressed to impart an appropriate amount of compression to the vertebrae, they are locked in this position.
摘要翻译：压缩和牵引轴组件对包括椎骨的骨头施加压缩和分心。轴组件和轴B组件通过多轴支点连接在一起。多轴支点允许轴A组件和轴B组件之间的所有旋转自由度。在压缩和牵引期间，这种支点不会对椎骨施加辅助应力或运动。用于接合钳子的沙漏形孔形成在轴A组件和轴B组件的大致中间。使用具有圆柱形尖端的牵引钳将牵引力应用于椎骨。一旦手柄被按压以向椎骨施加适当数量的分心，它们被锁定在该位置。使用具有圆柱形尖端的压紧钳将压缩应用于椎骨。一旦手柄被按压以向椎骨施加适当的压缩量，则它们被锁定在该位置。

82. 发明申请

US20130165938A1 PROSTHETIC FEMORAL STEM FOR USE IN HIGH IMPACT HIP REPLACEMENT 有权
公开(公告)号：US20130165938A1
公开(公告)日：2013-06-27
申请号：US13533740
申请日：2012-06-26
申请人： James C. Chow , Bjorn N. Rindal , Nicholas Slater , Joshua A. Butters
发明人： James C. Chow , Bjorn N. Rindal , Nicholas Slater , Joshua A. Butters
IPC分类号： A61B17/17
CPC分类号： A61F2/3672 , A61B17/1637 , A61B17/1668 , A61B17/175 , A61B17/56 , A61B2017/564 , A61F2/36 , A61F2/3601 , A61F2/3607 , A61F2/3609 , A61F2/367 , A61F2002/3092 , A61F2002/3093 , A61F2002/3611 , A61F2002/3625
摘要： A total hip femoral prosthesis provides a shortened neck and more proximal coating level. Additionally, a means for strengthening the neck may be incorporated to increase stress transfer to the native bone. A method for reducing potential impingement that results from a high neck resection level includes instrumentation for cutting chamfered surfaces into the bone surrounding the proximal end of the implant. Instrumentation and methods of creating chamfered cuts are disclosed.

83. 发明授权

US08439593B2 Quarter turn locking mechanism 有权
标题翻译：四分之一圈锁定机构
公开(公告)号：US08439593B2
公开(公告)日：2013-05-14
申请号：US12943586
申请日：2010-11-10
申请人： Nicholas Slater , Joshua A. Butters , Carlyle J. Creger
发明人： Nicholas Slater , Joshua A. Butters , Carlyle J. Creger
IPC分类号： F16D1/00
CPC分类号： F16B21/04 , A61F2/4684 , A61F2002/30426 , A61F2220/0025 , F16B2200/10 , Y10T403/7005
摘要： Apparatus and methods are disclosed for securely, yet releasably, connecting separate parts. A shaft engages a cooperating socket to form a connection capable of sustaining service loads. The shaft has a protruding pin which slides within a slot in the socket to guide the shaft into locked engagement with the socket. The shaft also has a cantilever body which wedges into a tapered region in the socket to frictionally bind the shaft and socket together.
摘要翻译：公开了用于可靠地，可释放地连接单独部件的装置和方法。轴与协作的插座接合以形成能够维持服务负载的连接。轴具有突出销，该突出销在插座中的狭槽内滑动，以引导轴与插座锁定接合。该轴还具有一个悬臂体，其楔入插座中的锥形区域以将轴和插座摩擦地结合在一起。

84. 发明申请

US20130110183A1 JOINT AND BONE FIXATION 有权
标题翻译：接骨固定
公开(公告)号：US20130110183A1
公开(公告)日：2013-05-02
申请号：US13367308
申请日：2012-02-06
申请人： Neil Duggal , Dylan Hushka , Nicholas Slater , Joshua A. Butters
发明人： Neil Duggal , Dylan Hushka , Nicholas Slater , Joshua A. Butters
IPC分类号： A61B17/84
CPC分类号： A61B17/7064 , A61B17/1671 , A61B17/808 , A61B17/809 , A61B17/864
摘要： Eccentrically shaped bone fixation implants interact with bone fragments or joints to compress the bone fragments or joint bones together. The eccentrically shaped bone fixation implants can have longer and shorter portions along an axis and a plurality of teeth with opposing beveled surfaces in different configurations to vary both the direction and amplitude of the compressive forces applied to the bone fragments or joint bones. Instrumentation for implanting and orienting the eccentrically shaped bone fixation implants are also disclosed herein.
摘要翻译：偏心形骨固定植入物与骨碎片或关节相互作用以将骨碎片或关节骨压缩在一起。偏心成形的骨固定植入物可以具有沿着轴线的更长和更短的部分以及具有不同构造的相对的倾斜表面的多个齿，以改变施加到骨碎片或关节骨的压缩力的方向和幅度。本文还公开了用于植入和定向偏心形状的骨固定植入物的仪器。

85. 发明申请

US20120209386A1 EXPANDABLE INTERVERTEBRAL IMPLANTS AND INSTRUMENTS 有权
标题翻译：可扩展的椎间植入物和仪器
公开(公告)号：US20120209386A1
公开(公告)日：2012-08-16
申请号：US13396287
申请日：2012-02-14
申请人： Daniel J. Triplett , Joshua A. Butters , Nicholas Slater , Cortny Robison
发明人： Daniel J. Triplett , Joshua A. Butters , Nicholas Slater , Cortny Robison
IPC分类号： A61F2/44
CPC分类号： A61F2/4465 , A61F2/30965 , A61F2/447 , A61F2/4611 , A61F2002/30411 , A61F2002/30471 , A61F2002/30472 , A61F2002/30477 , A61F2002/30484 , A61F2002/30509 , A61F2002/3052 , A61F2002/30522 , A61F2002/3055 , A61F2002/30556 , A61F2002/30565 , A61F2002/30566 , A61F2002/30578 , A61F2002/30579 , A61F2002/30601 , A61F2002/30629 , A61F2002/30637 , A61F2002/30878 , A61F2002/4475 , A61F2310/00011 , A61F2310/00161
摘要： Systems for interbody fusion of adjacent bone portions may include an expanding implant and related instruments. An expanding implant may be formed as a linkage which is movable between a compact configuration and an expanded configuration. A shaft of the implant may increase and decrease in length to move between the compact and expanded configurations, and an implant width perpendicular to the length may be increased in the expanded configuration. The implant width may increase more in a first direction than a second direction opposite the first direction. An inserter instrument may releasably grasp the spacer and transform the implant between the compact and expanded configurations.
摘要翻译：相邻骨部分的体间融合系统可包括扩张植入物和相关器械。扩展植入物可以形成为可在紧凑构造和扩张构型之间移动的连杆。植入物的轴可以增加和减小长度以在紧凑和膨胀的构型之间移动，并且在扩展构型中垂直于长度的植入物宽度可以增加。植入物宽度可以在比与第一方向相反的第二方向的第一方向上增加更多。插入器械可以可释放地抓住间隔件并且在紧凑和膨胀的构型之间转换植入物。

86. 发明授权

US08157809B2 Percutaneous compression and distraction system 有权
标题翻译：经皮压迫和牵引系统
公开(公告)号：US08157809B2
公开(公告)日：2012-04-17
申请号：US11904030
申请日：2007-09-25
申请人： Joshua A. Butters , Jeffery Arnett
发明人： Joshua A. Butters , Jeffery Arnett
IPC分类号： A61B17/58 , A61B17/60 , A61F2/00
CPC分类号： A61B17/025 , A61B17/7001 , A61B17/7077 , A61B17/7079 , A61B2017/0256
摘要： The present invention provides a compression and distraction shaft assembly used to apply compression and distraction to bones including vertebrae. Shaft A assembly and shaft B assembly are attached together via a polyaxial fulcrum. The polyaxial fulcrum allows all rotational degrees of freedom between shaft A assembly and shaft B assembly. Such fulcrum, during compression and distraction, does not impart ancillary stresses or motion to vertebrae. A hour glass shaped bore for engaging pliers is formed in approximately middle of both the shaft A assembly and the shaft B assembly. A distraction pliers having cylindrical tips is used to apply distraction to vertebrae. Once handles are pressed to impart appropriate amount of distraction to the vertebrae they are locked in this position. A compression pliers having cylindrical tips is used to apply compression to vertebrae. Once handles are pressed to impart appropriate amount of compression to the vertebrae they are locked in this position.
摘要翻译：本发明提供了一种用于对包括椎骨的骨头施加压缩和分心的压缩和牵引轴组件。轴组件和轴B组件通过多轴支点连接在一起。多轴支点允许轴A组件和轴B组件之间的所有旋转自由度。在压缩和牵引期间，这种支点不会对椎骨施加辅助应力或运动。用于接合钳子的小时玻璃形孔形成在轴A组件和轴B组件的大致中间。使用具有圆柱形尖端的分心钳将牵引力应用于椎骨。一旦手柄被按压以向椎骨施加适当的分心，它们被锁定在该位置。使用具有圆柱形尖端的压紧钳来对椎骨施加压缩。一旦按下手柄以向椎骨施加适当的压缩量，则它们被锁定在该位置。

87. 发明申请

US20120065731A1 SYSTEMS AND METHODS FOR INTRA-OPERATIVE TENSION AND FIXATION OF ZIPKNOT ACL FIXATION 有权
标题翻译：手术拉伸固定和ZIPKNOT ACL固定的系统与方法
公开(公告)号：US20120065731A1
公开(公告)日：2012-03-15
申请号：US13243715
申请日：2011-09-23
申请人： Daniel F. Justin , Andrew R. Fauth , Joshua A. Butters , Chad Lewis , Karen E. Mohr , Carlyle J. Creger , Nicholas Slater , Mark J. Mooradian , Greta Jo Hays , M. Mary Sinnott , Jeremy D. Borchert , Stuart Goble
发明人： Daniel F. Justin , Andrew R. Fauth , Joshua A. Butters , Chad Lewis , Karen E. Mohr , Carlyle J. Creger , Nicholas Slater , Mark J. Mooradian , Greta Jo Hays , M. Mary Sinnott , Jeremy D. Borchert , Stuart Goble
IPC分类号： A61F2/08
CPC分类号： A61F2/0811 , A61B17/0487 , A61B2017/0404 , A61B2017/0459 , A61B2017/0477 , A61F2002/0852 , A61F2002/0882
摘要： A line lock system may include a line routed through a plate. The plate may have an elongated body with a plurality of passageways. The line is routed to form at least one one-way slide so no knots are required. The system may include filaments routed through the passageways of the plate or around a dogbone feature of the plate. The filaments may be used to toggle the plate after passage through a hole to prevent withdrawal of the plate back through the hole. The system may include a line lock stabilizer or counter-tension tool to stabilize the line lock as the line is adjusted. The system may include a compression limiter to selectively reduce compression in the one-way slide to facilitate adjustment of the line. The line lock stabilizer, counter-tension tool, or compression limiter may be a filament.
摘要翻译：线路锁定系统可以包括通过板路线路线。板可以具有带有多个通道的细长主体。该线被路由以形成至少一个单向滑块，因此不需要结。系统可以包括通过板的通道或围绕板的狗骨特征布线的细丝。长丝可以用于在通过孔之后切换板，以防止板通过孔退回。系统可以包括线路锁定稳定器或反张力工具，以在线路被调整时稳定线路锁定。该系统可以包括压缩限制器，以选择性地减小单向滑动件中的压缩以促进线路的调节。线锁稳定器，反张力工具或压缩限制器可以是灯丝。

88. 发明申请

US20120016482A1 PROSTHETIC KNEE VOID FILERS WITH SPLINED FIXATION 有权
标题翻译：具有分离固定的前置式无孔填料
公开(公告)号：US20120016482A1
公开(公告)日：2012-01-19
申请号：US13182841
申请日：2011-07-14
申请人： Mark Mooradian , Jeffery Arnett , Joshua A. Butters
发明人： Mark Mooradian , Jeffery Arnett , Joshua A. Butters
IPC分类号： A61F2/30
CPC分类号： A61F2/30734 , A61F2/3886 , A61F2/389 , A61F2002/30354 , A61F2002/30405 , A61F2002/3054 , A61F2002/30884
摘要： Disclosed herein are systems and methods for filling bone voids which may be present at the time of surgery. The systems disclosed herein generally include a baseplate component, a spacer component, and void filler component. The spacer component is generally assembled to the baseplate component with a taper or press-fit, for example, in one of a plurality of selected axial positions. The void filler component is then generally assembled to the spacer component in one of a plurality of selected axial positions. The void filler component preferably has an outer surface with portions having varying diameters such that the outer surface thereof can be received within a canal of a bone and contact the bone forming the canal at different locations in order to aid in stabilizing the assembled components in the canal.
摘要翻译：本文公开了用于填充手术时可能存在的骨空隙的系统和方法。本文公开的系统通常包括基板部件，间隔件部件和空隙填充部件。间隔件组件通常以锥形或压配合（例如在多个选定的轴向位置之一）中组装到底板部件上。然后，空隙填充剂组分通常以多个选定的轴向位置中的一个组装到间隔件组件。空隙填充剂组分优选地具有外表面，其具有不同直径的部分，使得其外表面可以容纳在骨的管道内，并且在不同位置处接触形成管的骨，以帮助将组装的组件稳定在运河。

89. 发明申请

US20110313534A1 SYSTEMS AND METHODS FOR PROSTHETIC KNEE 失效
标题翻译：系统和方法
公开(公告)号：US20110313534A1
公开(公告)日：2011-12-22
申请号：US13188699
申请日：2011-07-22
申请人： Michael D. Ries , Mark J. Mooradian , Joshua A. Butters , Daniel F. Justin
发明人： Michael D. Ries , Mark J. Mooradian , Joshua A. Butters , Daniel F. Justin
IPC分类号： A61F2/38
CPC分类号： A61F2/3886 , A61F2/385 , A61F2/3868 , A61F2002/30616 , A61F2002/30878 , A61F2002/30884
摘要： A knee prosthesis including femoral and tibial implants, a tibial insert and a cam post assembly. The femoral implant is secured to a femur and has a cam feature and condyles. The tibial implant is secured to a tibia. The tibial insert has articulating surfaces that match the contours of the condyles of the femoral implant, and may have a medial boss that aligns with the tibial implant to provide rotation about a medially displaced rotation axis. A cam post is secured to the tibial implant and passes through a channel of the tibial insert. A motion limiting structure provides limits to motion between the tibial insert and the tibial baseplate. The cam post assembly interacts with the femoral implant cam feature and allows more anatomically correct rollback and femoral external rotation during knee flexion, and varus/valgus support to the femur.
摘要翻译：包括股骨和胫骨植入物的膝关节假体，胫骨插入物和凸轮柱组件。股骨植入物被固定到股骨上并具有凸轮特征和髁。胫骨植入物被固定到胫骨上。胫骨插入物具有与股骨植入物的髁的轮廓匹配的关节表面，并且可具有与胫骨植入物对准的中间凸起以提供围绕中间移位的旋转轴线的旋转。凸轮柱固定到胫骨植入物并穿过胫骨插入物的通道。运动限制结构为胫骨插入件和胫骨基板之间的运动提供了限制。凸轮柱组件与股骨植入凸轮特征相互作用，并且允许在膝关节屈曲期间更多的解剖学正确的回滚和股骨外旋，以及对股骨的内翻/外翻支撑。

90. 发明授权

US08057481B2 System and method for providing surgical access to a spine 有权
标题翻译：用于提供对脊柱的外科手术的系统和方法
公开(公告)号：US08057481B2
公开(公告)日：2011-11-15
申请号：US11831728
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： A61B17/58 , A61B17/60 , A61F2/00
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。

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