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2. 发明公开

EP2464315A2 INTERVERTEBRAL IMPLANT WITH INTEGRATED FIXATION 有权转让
标题翻译：具有集成支撑带盘形植入物
公开(公告)号：EP2464315A2
公开(公告)日：2012-06-20
申请号：EP10744797.1
申请日：2010-08-10
申请人： Howmedica Osteonics Corp. , Bae, Hyun , Justin, Daniel F. , Butters, Joshua A. , Stater, Nicholas , Hushka, Dylan , Delamarter, Rick
发明人： BAE, Hyun , JUSTIN, Daniel, F. , BUTTERS, Joshua, A. , STATER, Nicholas , HUSHKA, Dylan , DELAMARTER, Rick
IPC分类号： A61F2/44 , A61F2/46
CPC分类号： A61F2/4611 , A61F2/30734 , A61F2/4455 , A61F2/447 , A61F2002/30166 , A61F2002/30172 , A61F2002/30352 , A61F2002/30377 , A61F2002/30387 , A61F2002/30401 , A61F2002/30504 , A61F2002/30528 , A61F2002/30736 , A61F2002/30738 , A61F2002/30841 , A61F2002/30845 , A61F2002/30848 , A61F2002/30879 , A61F2002/30884 , A61F2002/30904 , A61F2002/4475 , A61F2002/4627 , A61F2002/4629 , A61F2220/0025 , A61F2220/0033 , A61F2230/0028 , A61F2230/0052
摘要： A surgical instrument and method for inserting a spinal implant (100, 170) in the intervertebral disc space between two adjacent vertebrae and an anchor (130, 140, 150, 160, 164, 166) engageable with the implant (100, 170) and an adjacent vertebra are provided. The instrument includes an inserter (200, 500) having an engagement portion including a distal engagement surface (206, 506) for interfacing with the implant (100, 170) and a handle portion (208, 508). The engagement portion includes a track (218, 220, 518, 519, 520, 521) for slidably translating the anchor (130, 140, 150, 160, 164, 166) toward the engagement surface (206, 506). A kit is provided including the inserter (200, 500) and a tamp (400, 600) to force the anchor (130, 140, 150, 160, 164, 166) into engagement with the implant (100, 170) and the adjacent vertebra. The kit may also include a cutter (300) for piercing the adjacent vertebra.

3. 发明公开

EP2303164A2 SYSTEMS AND METHODS FOR POSTERIOR DYNAMIC STABILIZATION 审中-公开
标题翻译：系统和动态稳定POSTERIORE方法
公开(公告)号：EP2303164A2
公开(公告)日：2011-04-06
申请号：EP09767669.6
申请日：2009-06-17
申请人： Duggal, Neil , Butters, Joshua A. , Fallin, Wade T. , Hushka, Dylan
发明人： Duggal, Neil , Butters, Joshua A. , Fallin, Wade T. , Hushka, Dylan
IPC分类号： A61B17/70 , A61F2/44
CPC分类号： A61B17/7043 , A61B17/7026 , A61B17/7031 , A61B17/7071 , A61B17/8033 , A61B17/8052 , A61B17/8665 , A61B17/8869 , A61B2017/7073
摘要： A system for providing dynamic stabilization and balance control at a vertebral motion segment has first and second bridge elements and at least one bias element. The bridge elements anchor to adjacent vertebrae with polyaxially adjustable anchoring members, and the bias elements attach to each bridge element to span between them. Each bias element has two fixation portions and a bias body extending between the fixation portions. Each bias element may comprise an elastically deformable material to provide dynamic stabilization with motion, or may comprise rigid material to provide rigid stabilization, and both bias element types may be included in one system. The bias elements are attachable to the bridge elements at discrete attachment locations, or at non-discrete attachment locations. Alternate embodiments may include three or more bridge elements on adjacent vertebrae, and multiple bias elements. A tensioning tool may provide adjustable tension to an elastically deformable bias element.

4. 发明公开

EP2211785A1 SYSTEMS AND METHODS FOR VERTEBRAL DISC REPLACEMENT 有权
标题翻译： SYSTEMS FOR BAND椎间盘置换术
公开(公告)号：EP2211785A1
公开(公告)日：2010-08-04
申请号：EP08841348.9
申请日：2008-10-27
申请人： Duggal, Neil , Raymond, Louise C. , Butters, Joshua A. , Arnett, Jeffery D. , Hushka, Dylan
发明人： Duggal, Neil , Raymond, Louise C. , Butters, Joshua A. , Arnett, Jeffery D. , Hushka, Dylan
IPC分类号： A61F2/44
CPC分类号： A61F2/4425 , A61B17/1604 , A61B17/1671 , A61B17/1757 , A61B17/7079 , A61B2017/0256 , A61F2/32 , A61F2/4611 , A61F2/4657 , A61F2/4684 , A61F2002/302 , A61F2002/30232 , A61F2002/30242 , A61F2002/30354 , A61F2002/30364 , A61F2002/30369 , A61F2002/30383 , A61F2002/3039 , A61F2002/30397 , A61F2002/30426 , A61F2002/305 , A61F2002/30528 , A61F2002/30538 , A61F2002/30563 , A61F2002/30578 , A61F2002/30604 , A61F2002/30616 , A61F2002/3065 , A61F2002/30652 , A61F2002/30654 , A61F2002/30655 , A61F2002/30662 , A61F2002/30663 , A61F2002/30685 , A61F2002/3069 , A61F2002/30841 , A61F2002/30843 , A61F2002/30884 , A61F2002/30892 , A61F2002/30904 , A61F2002/30934 , A61F2002/30937 , A61F2002/443 , A61F2002/4658 , A61F2002/4687 , A61F2220/0025 , A61F2220/0033 , A61F2230/0065 , A61F2230/0069 , A61F2230/0071 , A61F2250/0006 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00179 , A61F2310/00407 , A61F2310/00796
摘要： The present invention provides artificial disc prostheses, methods and instrumentation for implantation and revision. Each prosthesis may comprise superior and inferior end plates and a nucleus positioned between articular surfaces of the end plates. The end plates may have planar bone engagement surfaces with a plurality of self-cutting teeth. The articular surfaces of the end plates may be planar or include a flattened portion. The nucleus includes superior and inferior articular surfaces which may comprise flattened portions such that when the articular surfaces of the nucleus and the end plates are placed in a preferred orientation, the flattened and/or planar portions are aligned. Each prosthesis may provide flexion/extension, anterior/posterior translation, lateral bending, and/or axial rotation degrees of freedom. One embodiment comprises a prosthesis with a first joint providing flexion/extension and anterior/posterior translation, and a second joint providing lateral bending and axial rotation.

5. 发明专利

AU2008316600B2 Systems and methods for vertebral disc replacement 未知
公开(公告)号：AU2008316600B2
公开(公告)日：2014-09-18
申请号：AU2008316600
申请日：2008-10-27
申请人： ARNETT JEFFERY D , BUTTERS JOSHUA A , DUGGAL NEIL , HUSHKA DYLAN , RAYMOND LOUISE C
发明人： DUGGAL NEIL , BUTTERS JOSHUA A , HUSHKA DYLAN , RAYMOND LOUISE C , ARNETT JEFFERY D
IPC分类号： A61F2/44
摘要： The present invention provides artificial disc prostheses, methods and instrumentation for implantation and revision. Each prosthesis may comprise superior and inferior end plates and a nucleus positioned between articular surfaces of the end plates. The end plates may have planar bone engagement surfaces with a plurality of self-cutting teeth. The articular surfaces of the end plates may be planar or include a flattened portion. The nucleus includes superior and inferior articular surfaces which may comprise flattened portions such that when the articular surfaces of the nucleus and the end plates are placed in a preferred orientation, the flattened and/or planar portions are aligned. Each prosthesis may provide flexion/extension, anterior/posterior translation, lateral bending, and/or axial rotation degrees of freedom. One embodiment comprises a prosthesis with a first joint providing flexion/extension and anterior/posterior translation, and a second joint providing lateral bending and axial rotation.

6. 发明申请

WO2011008739A2 JOINT ARTHRODESIS AND ARTHROPLASTY 审中-公开
标题翻译：联合治疗和ARTHROPLASTY
公开(公告)号：WO2011008739A2
公开(公告)日：2011-01-20
申请号：PCT/US2010/041800
申请日：2010-07-13
申请人： MEDICINELODGE, INC. DBA IMDS CO-INNOVATION , DUGGAL, Neil , BUTTERS, Joshua A. , ARNETT, Jeffery
发明人： DUGGAL, Neil , BUTTERS, Joshua A. , ARNETT, Jeffery
IPC分类号： A61B17/68 , A61F2/42
CPC分类号： A61B17/7266 , A61B17/1725 , A61B17/1775 , A61B17/683 , A61B17/7225 , A61B17/7233 , A61B17/7291 , A61F2/4202 , A61F2002/4205 , A61F2002/4207
摘要： An implantable fixation system for fusing a joint between a first bone and a second bone. The system may include an anchor, standoff, bolt, and cortical washer. The system may be implanted across the joint along a single trajectory, the length of the system adjustable to provide compressive force between the anchor and the cortical washer. The system may be implanted across a tibiotalar joint with the anchor positioned in the sinus tarsi. A spacing member may be inserted between the two bones and the fixation system implanted to extend through an opening in the spacing member. The spacing member may be anatomically shaped and/or provide deformity correction. An ankle arthroplasty system may include a tibial plate, a talar plate, and a bearing insert. The plates may be anchored to the tibia and talus along a single trajectory. The ankle arthroplasty system may be revisable to a fusion system.
摘要翻译：一种可植入固定系统，用于将第一骨骼和第二骨骼之间的关节融合。系统可以包括锚固件，支座，螺栓和皮质垫圈。系统可以沿着单个轨迹跨越关节植入，系统的长度可调节以在锚固体和皮质垫圈之间提供压缩力。该系统可以植入跨胫骨关节，锚定位于窦性sinus骨中。间隔构件可以插入在两个骨之间，并且固定系统被植入以延伸通过间隔构件中的开口。间隔构件可以是解剖学上的形状和/或提供畸形校正。脚踝关节置换系统可包括胫骨板，定位板和支承插入物。板可以沿着单个轨迹锚定到胫骨和距骨。踝关节置换系统可以修改融合系统。

7. 发明申请

WO2009094493A4 SPINAL ACCESS SYSTEMS AND METHODS 审中-公开
标题翻译：脊柱访问系统和方法
公开(公告)号：WO2009094493A4
公开(公告)日：2009-12-10
申请号：PCT/US2009031751
申请日：2009-01-23
申请人： INNOVATIVE SPINE , FARR MORTEZA , AKYUZ EPHRAIM , FALLIN WADE T , JUSTIN DANIEL F , BUTTERS JOSHUA A , GERBEC DANIEL E
发明人： FARR MORTEZA , AKYUZ EPHRAIM , FALLIN WADE T , JUSTIN DANIEL F , BUTTERS JOSHUA A , GERBEC DANIEL E
IPC分类号： A61B17/70 , A61B17/50
CPC分类号： A61B17/025 , A61B17/1604 , A61B17/1659 , A61B17/1671 , A61B17/320708 , A61B17/3421 , A61B17/3468 , A61B90/361 , A61B90/50 , A61B2017/0256 , A61B2017/2904 , A61B2017/320044 , A61B2017/320056 , A61B2017/3447 , A61B2090/3618 , 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. The location may be at the L4-L5 vertebral level, and the curved path may lie in a plane oblique to the transverse, coronal and sagittal planes of the spine, and avoid the iliac crest. A targeting post may be inserted adjacent the spine to determine the location, and a guide member may be inserted to establish the curved path. A micrometer assembly may adjust a cephalad-caudal displacement between the post and the guide member. One or more intermediate cannulas may be inserted over the guide member to dilate tissues prior to insertion of the main cannula. An interbody device may be implanted into an intervertebral space through the cannula.
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。该位置可能在L4-L5椎体水平，并且弯曲的路径可以位于倾斜于脊柱的横向，冠状和矢状平面的平面中，并且避免髂嵴。可以在脊柱附近插入目标柱以确定位置，并且可以插入引导构件以建立弯曲路径。测微计组件可以调节柱和引导构件之间的头端 - 尾端位移。一个或多个中间插管可插入引导构件上以在插入主插管之前扩张组织。体间装置可以通过插管植入椎间空间。

8. 发明申请

WO2009094493A3 SPINAL ACCESS SYSTEMS AND METHODS 审中-公开
标题翻译：脊髓获取系统和方法
公开(公告)号：WO2009094493A3
公开(公告)日：2009-10-15
申请号：PCT/US2009031751
申请日：2009-01-23
申请人： INNOVATIVE SPINE , FARR MORTEZA , AKYUZ EPHRAIM , FALLIN WADE T , JUSTIN DANIEL F , BUTTERS JOSHUA A , GERBEC DANIEL E
发明人： FARR MORTEZA , AKYUZ EPHRAIM , FALLIN WADE T , JUSTIN DANIEL F , BUTTERS JOSHUA A , GERBEC DANIEL E
IPC分类号： A61B17/70 , A61B17/50
CPC分类号： A61B17/025 , A61B17/1604 , A61B17/1659 , A61B17/1671 , A61B17/320708 , A61B17/3421 , A61B17/3468 , A61B90/361 , A61B90/50 , A61B2017/0256 , A61B2017/2904 , A61B2017/320044 , A61B2017/320056 , A61B2017/3447 , A61B2090/3618 , 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. The location may be at the L4-L5 vertebral level, and the curved path may lie in a plane oblique to the transverse, coronal and sagittal planes of the spine, and avoid the iliac crest. A targeting post may be inserted adjacent the spine to determine the location, and a guide member may be inserted to establish the curved path. A micrometer assembly may adjust a cephalad-caudal displacement between the post and the guide member. One or more intermediate cannulas may be inserted over the guide member to dilate tissues prior to insertion of the main cannula. An interbody device may be implanted into an intervertebral space through the cannula.
摘要翻译：一种用于从弯曲的后外侧入路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套管。该位置可位于L4-L5椎体水平面，并且弯曲路径可位于与脊柱的横向，冠状面和矢状面倾斜的平面中，并避开髂嵴。可以在脊柱附近插入目标柱以确定位置，并且可以插入引导部件以建立弯曲路径。千分尺组件可以调节柱和引导构件之间的头 - 尾位移。一个或多个中间插管可插入导引构件上以在插入主插管之前扩张组织。椎体间装置可通过套管植入椎间空间。

9. 发明申请

WO2008157284A1 SYSTEM AND METHOD FOR POLYAXIALLY ADJUSTABLE BONE ANCHORAGE 审中-公开
标题翻译：多轴可调节骨锚固系统和方法
公开(公告)号：WO2008157284A1
公开(公告)日：2008-12-24
申请号：PCT/US2008/066825
申请日：2008-06-13
申请人： ROBERT REID, INC , BUTTERS, Joshua, A. , MARIETTA, Joseph, Q.
发明人： BUTTERS, Joshua, A. , MARIETTA, Joseph, Q.
IPC分类号： A61B17/86
CPC分类号： A61B17/7037 , A61B17/7032 , A61B17/8605 , A61B17/8685 , Y10T29/49826
摘要： An implantable bone anchor assembly for fixing an elongated member such as a spinal rod may include a bone anchor, a coupling head configured to receive the bone anchor and the elongated member, and a locking mechanism. The locking mechanism may provide compressive force to simultaneously fix the position of the elongated member and lock out polyaxial rotation of the bone anchor relative to the coupling head. The locking mechanism may include an engagement member with an oblique surface configured to slide along an oblique surface of the coupling head into engagement with the elongated member. The bone anchor may comprise a head portion and a threaded portion which may be coupled with the coupling head and joined together during manufacture. The assembly may further include a pin and/or a collar to retain the bone anchor. The bone anchor may be side-loaded into the coupling head.
摘要翻译：用于固定诸如脊椎杆的细长构件的可植入骨锚固组件可以包括骨锚固件，构造成接收骨锚和细长构件的联接头以及锁定机构。锁定机构可以提供压缩力以同时固定细长构件的位置并且锁定骨锚固件相对于联接头的多轴旋转。锁定机构可以包括具有倾斜表面的接合构件，该倾斜表面被构造成沿着联接头的倾斜表面滑动以与细长构件接合。骨锚可以包括头部和螺纹部分，螺纹部分可以与联接头联接并且在制造期间连接在一起。组件还可以包括用于保持骨锚的销和/或套环。骨锚可以侧向加载到联接头中。

10. 发明申请

WO2008124802A3 INTERSPINOUS PROCESS SPACERS 审中-公开
公开(公告)号：WO2008124802A3
公开(公告)日：2008-10-16
申请号：PCT/US2008/059823
申请日：2008-04-10
申请人： MEDICINELODGE, INC. , FALLIN, T. Wade , BUTTERS, Joshua A. , HAYS, Greta Jo
发明人： FALLIN, T. Wade , BUTTERS, Joshua A. , HAYS, Greta Jo
IPC分类号： A61B17/70
摘要： Interspinous implants including a spacer configured to fit between first and second adjacent spinous processes of a human spine, to maintain a minimum separation between the spinous processes. An implant also includes a fixation portion coupled to the spacer, in which the fixation portion engages at least one spinous process to hold the spacer in a stable position relative to the spinous process. An implant may be monolithic, non-fillable, and may be inserted between the spinous process from a lateral approach. The fixation portion may be configured as a bracket which can substantially encircle the spinous process, or as flanges which engage lateral sides of the spinous process(es). The spacer may be resilient, and may be expandable along the anterior/posterior direction between the spinous processes. An implant may provide resilient resistance during extension, and/or a uniform extension stop between the spinous processes.

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