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1. 发明申请

WO2007098404A1 SURGICAL INSTRUMENT TO ASSESS TISSUE CHARACTERISTICS 审中-公开
标题翻译：外科手术器官，用于评估组织特征
公开(公告)号：WO2007098404A1
公开(公告)日：2007-08-30
申请号：PCT/US2007/062312
申请日：2007-02-16
申请人： WARSAW ORTHOPEDIC, INC. , DONOFRIO, William T. , NYCZ, Jeffrey H. , TETHRAKE, Steven , OLSON, Stanley W. Jr. , MOLZ, Fred J. IV
发明人： DONOFRIO, William T. , NYCZ, Jeffrey H. , TETHRAKE, Steven , OLSON, Stanley W. Jr. , MOLZ, Fred J. IV
IPC分类号： A61B8/08 , A61B8/12 , A61B5/103 , A61B17/56 , A61B17/88
CPC分类号： A61B8/0875 , A61B5/4504 , A61B5/4509 , A61B8/12 , A61B8/4245 , A61B8/4472 , A61B8/4483 , A61B8/483 , A61B8/5223 , A61B17/1703 , A61B17/56 , A61B17/8805
摘要： A surgical instrument for assessing tissue characteristics such as tissue density and volume is disclosed. The surgical instrument is hand-held and includes transducers adapted for emitting and/or receiving acoustic signals. The surgical instrument utilizes pulse-echo to determine tissue characteristics. The surgical instrument may be utilized to determine such things as the size of a lesion and whether the lesion has been completely removed or filled with graft material.
摘要翻译：公开了一种用于评估组织特征如组织密度和体积的手术器械。手术器械是手持式的并且包括适于发射和/或接收声信号的换能器。手术器械利用脉冲回波来确定组织特征。可以使用外科器械来确定诸如损伤的大小以及病变是否已被完全去除或用移植材料填充的东西。

2. 发明申请

WO2006110796A1 MULTI-PIECE VERTEBRAL ATTACHMENT DEVICE 审中-公开
标题翻译：多层VERTEBRAL附件设备
公开(公告)号：WO2006110796A1
公开(公告)日：2006-10-19
申请号：PCT/US2006/013602
申请日：2006-04-07
申请人： SDGI HOLDINGS, INC. , MOLZ, Fred, J. IV , SHERMAN, Micahel, C.
发明人： MOLZ, Fred, J. IV , SHERMAN, Micahel, C.
IPC分类号： A61B17/86 , A61B17/70
CPC分类号： A61B17/7032 , A61B17/7037 , A61B17/7041 , A61B17/7058 , A61B17/8033 , A61B17/864 , A61B17/8685
摘要： A multi-piece vertebral attachment device with a first member, one or more second members, and optionally, a removable plug. The first member may have a fixed, threaded exterior surface to engage a vertebral member. The first member may further include a hollow, threaded interior. The hollow interior may be positioned inside the threaded exterior surface and at least partly positioned within the vertebral member when the first member is inserted in the vertebral member. The second member may have an outer diameter sized to fit within the hollow interior of the first member. A spinal implant device may be coupled to the second member. The second member may be installed during a separate surgical procedure from that of the first. The removable plug may be installed in the first member until the second member is installed. Revision may be performed by removing the second member and inserting a third member.
摘要翻译：一种具有第一构件，一个或多个第二构件和可选地，可移除塞子的多片椎骨附接装置。第一构件可以具有固定的螺纹外表面以接合椎骨构件。第一构件还可以包括中空的螺纹内部。当第一构件插入椎骨构件时，中空内部可以定位在螺纹外表面内部并且至少部分地定位在椎骨构件内。第二构件可以具有尺寸设计成适合于第一构件的中空内部的外径。脊柱植入装置可以联接到第二构件。第二构件可以在与第一构件的单独手术过程中安装。可拆卸插头可以安装在第一构件中，直到安装第二构件。可以通过移除第二构件并插入第三构件来执行修订。

3. 发明申请

WO2007016125A1 PERCUTANEOUS INTERBODY DEVICE AND NUCLEUS REMOVAL SYSTEM 审中-公开
标题翻译： PERCUTANEOUS INTERBODY DEVICE和NUCLEUS REMOVAL SYSTEM
公开(公告)号：WO2007016125A1
公开(公告)日：2007-02-08
申请号：PCT/US2006/028914
申请日：2006-07-26
申请人： WARSAW ORTHOPEDIC, INC. , CARLS, Thomas, A. , MOLZ, Fred J. IV , MORRISON, Matthew M. , DEWEY, Jonathan M. , ANDERSON, Kent M. , LANGE, Eric, C. , BRUNEAU, Aurelien
发明人： CARLS, Thomas, A. , MOLZ, Fred J. IV , MORRISON, Matthew M. , DEWEY, Jonathan M. , ANDERSON, Kent M. , LANGE, Eric, C. , BRUNEAU, Aurelien
IPC分类号： A61B17/70
CPC分类号： A61B17/70
摘要： One embodiment of the present application includes: performing a medical procedure on a segment of a patient's spine. This segment includes two vertebrae (40a, 40b) each in contact with a spinal disk (30) positioned in an intervertebral disk space (36). A passage (70) is formed that follows a pathway through the vertebrae (40a, 40b) and the intervertebral disk space (36). This passage (70) extends from an extradiscal opening (72a, 72b) through one of the vertebrae (40a, 40b) along a path that turns to change direction. The tubular device (110) is inserted in the passage (70) and extends through the intervertebral disk space (36). A fluid material is introduced into the tubular device (110) to at least partially fill it to provide a spinal prosthetic structure (136). Other embodiments and inventive aspects include other prosthetic device arrangements, implantation methods, systems, and techniques.
摘要翻译：本申请的一个实施例包括：在患者脊柱的一段上执行医疗程序。该段包括两个各自与定位在椎间盘空间（36）中的脊椎盘（30）接触的椎骨（40a，40b）。沿着通过椎骨（40a，40b）和椎间盘空间（36）的路径形成通道（70）。该通道（70）沿着沿着改变方向的路径从硬币外开口（72a，72b）延伸穿过椎骨（40a，40b）中的一个。管状装置（110）插入通道（70）并延伸穿过椎间盘空间（36）。将流体材料引入到管状装置（110）中以至少部分地填充其以提供脊椎假体结构（136）。其他实施例和创造性方面包括其他假体装置布置，植入方法，系统和技术。

4. 发明申请

WO2005070347A1 SPINAL IMPLANT CONSTRUCT AND METHOD FOR IMPLANTATION 审中-公开
标题翻译：脊椎植入物构造及植入方法
公开(公告)号：WO2005070347A1
公开(公告)日：2005-08-04
申请号：PCT/US2005/001066
申请日：2005-01-12
申请人： SDGI HOLDINGS, INC. , MOLZ, Fred J. IV
发明人： MOLZ, Fred J. IV
IPC分类号： A61F2/44
CPC分类号： A61F2/447 , A61B17/7062 , A61F2/4611 , A61F2002/2817 , A61F2002/2835 , A61F2002/30507 , A61F2002/30576 , A61F2002/30578 , A61F2002/30579 , A61F2002/30785 , A61F2002/30789 , A61F2002/4475 , A61F2220/0025 , A61F2310/00017 , A61F2310/00023
摘要： A spinal construct (16) and method for implantation is provided which utilizes a spinal implant (17) adapted for insertion within an intervertebral space between an adjacent pair of vertebral bodies (11, 12), and an elongate member (26) adapted for anchoring to the adjacent vertebral bodies (11, 12). The spinal implant (17) defines a first transverse dimension (A) and a different second transverse dimension (B), and is initially inserted into the intervertebral space while in a first operational configuration wherein the first transverse dimension (A) extends along the height of the intervertebral space. The elongate member (26) is anchored to the vertebral bodies (11, 12) to establish and maintain a select height of the intervertebral space. The spinal implant (17) is then rotated to a second operational configuration wherein the second transverse dimension (B) extends along the height of the intervertebral space. The elongate member (26) serves to maintain the select height of the intervertebral space to provide a controlled amount of compression onto the spinal implant (17) and/or a bone growth promoting material contained therein. The elongate member (26) also serves to resist tensile loads during extensional movement of the vertebral bodies (11, 12) to maintain the vertebral endplates in intimate contact with the spinal implant (17).
摘要翻译：提供了一种脊柱构造物（16）和植入方法，其利用适于插入在相邻的一对椎体（11,12）之间的椎间空间内的脊柱植入物（17）和适于锚固的细长构件（26）到相邻的椎体（11,12）。脊柱植入物（17）限定第一横向尺寸（A）和不同的第二横向尺寸（B），并且在第一操作构型中最初插入到椎间空间中，其中第一横向尺寸（A）沿着高度的椎间隙。细长构件（26）被锚定到椎体（11,12），以建立并保持椎间空间的选择高度。脊髓植入物（17）然后旋转到第二操作构型，其中第二横向尺寸（B）沿着椎间空间的高度延伸。细长构件（26）用于保持椎间空间的选择高度以在脊柱植入物（17）和/或其中包含的骨生长促进材料中提供受控量的压缩。细长构件（26）还用于在脊椎体（11,12）的拉伸运动期间抵抗拉伸载荷，以维持椎骨终板与脊柱植入物（17）紧密接触。

5. 发明申请

WO2005060879A1 METHOD AND APPARATUS FOR REPLACING THE FUNCTION OF FACET JOINTS 审中-公开
标题翻译：用于替换FACET接头功能的方法和装置
公开(公告)号：WO2005060879A1
公开(公告)日：2005-07-07
申请号：PCT/US2004/040351
申请日：2004-12-01
申请人： SDGI HOLDINGS, INC. , SHERMAN, Michael, C. , MOLZ, Fred, J. IV , JUSTIS, Jeff, R.
发明人： SHERMAN, Michael, C. , MOLZ, Fred, J. IV , JUSTIS, Jeff, R.
IPC分类号： A61F2/44
CPC分类号： A61B17/7037 , A61B17/7004 , A61B17/7013 , A61B17/7022 , A61B17/7023 , A61B17/7028 , A61B17/7032 , A61B17/7064 , A61F2/4405 , A61F2/442 , A61F2002/30092 , A61F2002/30433 , A61F2002/30563 , A61F2002/30624 , A61F2210/0014 , A61F2220/0041
摘要： Abstract A system and method is provided for replacing the functions of a facet joint between a superior vertebra and an inferior vertebra without necessarily requiring an anatomical implant. The method includes: providing one or more flexible posterior devices to replace main functions of the facet jointin that the flexible device applies a distracting force between the vertebra; and adapting a first one of the one or more posterior devices for a first attachment to a first pedicle, and a second attachment to a second pedicle. Further disclosed are devices comprising two posterior devices, one compression-resistant and one expansion-resistant.Also disclosed is a rod for a posterior spinal stabiliser comprising two elastic members, connected by a joint to replace the function of the facet joint.
摘要翻译：摘要提供一种系统和方法，用于替代上椎骨和下椎骨之间的小关节的功能，而不需要解剖植入。该方法包括：提供一个或多个柔性后部装置以取代小关节的主要功能，使得柔性装置在椎骨之间施加分心力; 以及使所述一个或多个后部装置中的第一个适配于第一附接到第一椎弓根，以及第二附接到第二椎弓根。还公开了包括两个后部装置，一个抗压缩和一个抗膨胀的装置。还公开了一种用于后部脊柱稳定器的杆，包括两个弹性构件，通过关节连接以代替小关节的功能。

6. 发明申请

WO2005051247A2 METHODS AND DEVICES FOR INSERTING AND ENGAGING VERTEBRAL IMPLANTS IN MINIMALLY INVASIVE PROCEDURES 审中-公开
标题翻译：以微创手术插入和接合椎体植入物的方法和装置
公开(公告)号：WO2005051247A2
公开(公告)日：2005-06-09
申请号：PCT/US2004/038922
申请日：2004-11-18
申请人： SDGI HOLDINGS, INC. , MOLZ, Fred, J. IV , LIM, Roy, K.
发明人： MOLZ, Fred, J. IV , LIM, Roy, K.
IPC分类号： A61F2/46
CPC分类号： A61B17/92 , A61B17/00234 , A61B17/0642 , A61B17/0682 , A61B17/7059 , A61F2/4611 , A61F2002/4627 , A61F2002/4628
摘要： A surgical instrument assembly (10) includes an inserter instrument (20) and a driving instrument (11) to engage an implant (120) to a bony structure in a patient. The inserter instrument (20) is positionable in a patient with the implant (120) engaged thereto to position the implant (120) at an operative site in the patient. A driving instrument (11) is engageable to the inserter instrument (20) to engage the implant (120) to bony structure at the operative site. A template (150) is provided and engageable by the driving instrument (11) to facilitate preparation of the bony structure to receive the implant (120).
摘要翻译：外科器械组件（10）包括插入器械（20）和驱动器械（11），以将植入物（120）接合到患者的骨结构。插入器械（20）可定位在与植入物（120）接合的患者体内，以将植入体（120）定位在患者的手术部位。驱动器械（11）可与插入器械（20）接合以将植入物（120）接合到手术部位处的骨结构。提供模板（150）并且可由驱动器械（11）接合以便于制备骨结构以接收植入物（120）。

7. 发明申请

WO2007127604A2 SURGICAL INSTRUMENTS AND TECHNIQUES FOR CONTROLLING SPINAL MOTION SEGMENTS WITH POSITIONING OF SPINAL STABILIZATION ELEMENTS 审中-公开
标题翻译：用于控制脊柱运动部分的手术仪器和技术，用于定位脊柱稳定元件
公开(公告)号：WO2007127604A2
公开(公告)日：2007-11-08
申请号：PCT/US2007/066296
申请日：2007-04-10
申请人： WARSAW ORTHOPEDIC, INC. , JUSTIS, Jeff R. , MOLZ, Fred J. Iv , SHERMAN, Michael, C.
发明人： JUSTIS, Jeff R. , MOLZ, Fred J. Iv , SHERMAN, Michael, C.
CPC分类号： A61B17/701 , A61B17/7004 , A61B17/7083 , A61B17/7085 , A61B17/7089
摘要： Elongated connecting elements (10) include bodies having anisotropic cross-sectional shapes defining a first moment of inertia about a first bending axis (15) and a second moment of inertia about a second bending axis (16) that is transverse to the first bending axis (15). The connecting elements (10) are positioned along one or more spinal motion segments and engaged to vertebrae with anchors (100) with the first and second bending axes (15, 16) in the desired orientation relative to the spinal motion segments.
摘要翻译：细长连接元件（10）包括具有围绕第一弯曲轴线（15）限定第一转动惯量的各向异性横截面形状的主体和围绕第一弯曲轴线（16）的第二弯曲轴线（16）的第二转动惯量，（15）。连接元件（10）沿着一个或多个脊柱运动节段定位并且与具有锚定件（100）的椎骨相对准，其中第一和第二弯曲轴线（15,16）相对于脊柱运动节段处于所需取向。

8. 发明申请

WO2007059399A1 INTERVERTEBRAL PROSTHETIC DEVICE FOR SPINAL STABILIZATION AND METHOD OF IMPLANTING SAME 审中-公开
标题翻译：用于脊柱稳定的椎间盘突出装置及其插入方法
公开(公告)号：WO2007059399A1
公开(公告)日：2007-05-24
申请号：PCT/US2006/060694
申请日：2006-11-09
申请人： WARSAW ORTHOPEDIC, INC. , ANDERSON, Kent M. , LANGE, Eric C. , DEWEY, Jonathan M. , BRUNEAU, Aurelien , MOLZ, Fred J. IV. , MORRISON, Matthew M. , CARLS, Thomas A.
发明人： ANDERSON, Kent M. , LANGE, Eric C. , DEWEY, Jonathan M. , BRUNEAU, Aurelien , MOLZ, Fred J. IV. , MORRISON, Matthew M. , CARLS, Thomas A.
IPC分类号： A61F2/44 , A61B17/70
CPC分类号： A61B17/7067 , A61N1/0575 , A61N1/37205 , A61N1/375 , A61N1/3785 , A61N1/3787 , A61N1/3962 , A61N2001/0582
摘要： An intervertebral prosthetic device (30, 40) and method for spinal stabilization, according to which a prosthetic device is implanted relative to two vertebrae and is positioned so that the spinous process of at least one of the vertebrae extends into a notch (32d, 48a, 48b) formed in the device. At least one screw extends through the device and into the other vertebrae.
摘要翻译：一种椎间体修复装置（30,40）和用于脊柱稳定的方法，根据该方法，相对于两个椎骨植入假体装置，并且被定位成使得至少一个椎骨的棘突延伸到凹口（32d，48a ，48b）。至少一个螺钉延伸穿过该装置并进入另一个椎骨。

9. 发明申请

WO2007001993A2 MULTI-LEVEL MULTI-FUNCTIONAL SPINAL STABILIZATION SYSTEMS AND METHODS 审中-公开
标题翻译：多级多功能脊柱稳定系统及方法
公开(公告)号：WO2007001993A2
公开(公告)日：2007-01-04
申请号：PCT/US2006/023830
申请日：2006-06-20
申请人： WARSAW ORTHOPEDIC, INC. , BRUNEAU, Aurelien , CARLS, Thomas, A. , LANGE, Eric, C. , MOLZ, Fred, J. IV , MORRISON, Matthew, M. , DEWEY, Jonathan, M. , ANSERSON, Kent, M.
发明人： BRUNEAU, Aurelien , CARLS, Thomas, A. , LANGE, Eric, C. , MOLZ, Fred, J. IV , MORRISON, Matthew, M. , DEWEY, Jonathan, M. , ANSERSON, Kent, M.
IPC分类号： A61B17/70
CPC分类号： A61B17/7031 , A61B17/7004 , A61B17/7032 , A61B17/705
摘要： Systems and methods for multi-level, multi-functional stabilization of a spinal column segment are provided. The systems (20) include one or more constructs (22, 122, 222, 322, 422) having a motion preserving portion (40, 140, 240, 340, 440, 540, 640, 740, 840, 860, 870, 880) that permits motion of at least a portion of a vertebral level (11, 17) and a motion preventing portion (50, 250, 350, 450, 550, 650, 750, 850, 865, 875, 885) that substantially prevents motion of at least a portion of a second, adjacent vertebral level (11, 17).
摘要翻译：提供了用于脊柱段多级，多功能稳定化的系统和方法。系统（20）包括具有运动保留部分（40,140,240,340,440,540,640,740,840,860,870,880,804）的一个或多个构造（22,122,222,322,422）），其允许基本上防止运动的运动的至少一部分脊椎水平面（11,17）和运动防止部分（50,250,350,450,550,650,850,850,865,875,885,885）的运动的第二相邻椎骨水平面（11,17）的至少一部分。

10. 发明申请

WO2008027860A2 POLYMER RODS FOR SPINAL APPLICATIONS 审中-公开
标题翻译：用于脊柱应用的聚合物棒
公开(公告)号：WO2008027860A2
公开(公告)日：2008-03-06
申请号：PCT/US2007/076942
申请日：2007-08-28
申请人： WARSAW ORTHOPEDIC, INC. , PATTERSON, Christopher M. , CARLS, Thomas A. , MOLZ, Fred J. IV
发明人： PATTERSON, Christopher M. , CARLS, Thomas A. , MOLZ, Fred J. IV
CPC分类号： A61B17/7011 , A61B17/7004 , A61B17/701 , A61B2017/00526
摘要： A method of manufacturing a curved spinal rod is disclosed. The method includes heating PEEK; injecting the PEEK into an arcuate spinal rod mold; holding the injected PEEK in the mold until the PEEK substantially sets; and removing the injected PEEK from the mold. In another aspect, a spinal rod is disclosed. The spinal rod includes an arcuate main body having a first end portion, a second end portion, and a central portion. The central portion has a non-circular cross-section with a height greater than its width. The first and second end portions and the central portion of the arcuate main body are integrally formed of a polymer such as polyetheretherketone (PEEK). The spinal rod also includes a rounded end cap adapted to mate with at least one of the end portions. The end cap is radiopaque.
摘要翻译：公开了一种制造弯曲脊柱杆的方法。该方法包括加热PEEK; 将PEEK注射到弓形脊柱杆模具中; 将注入的PEEK保持在模具中，直到PEEK基本成型; 并从模具中取出注入的PEEK。另一方面，公开了一种脊柱杆。脊柱杆包括具有第一端部，第二端部和中心部分的弓形主体。中心部分具有高度大于其宽度的非圆形横截面。弓形主体的第一和第二端部和中心部分由诸如聚醚醚酮（PEEK）的聚合物整体形成。脊柱杆还包括适于与至少一个端部配合的圆形端盖。端帽是不透射线的。

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