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1. 发明申请

US20120022537A1 SYSTEM AND METHOD FOR PROVIDING SURGICAL ACCESS TO A SPINE 有权
标题翻译：用于向脊椎提供外科手术的系统和方法
公开(公告)号：US20120022537A1
公开(公告)日：2012-01-26
申请号：US13246748
申请日：2011-09-27
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： A61B17/16
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 he 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它部件。

2. 发明授权

US08025664B2 System and method for providing surgical access to a spine 有权
公开(公告)号：US08025664B2
公开(公告)日：2011-09-27
申请号：US11831698
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： A61B17/70
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.

3. 发明授权

US07749233B2 Sleeve assembly for spinal stabilization system and methods of use 有权
标题翻译：用于脊柱稳定系统的套管组件及其使用方法
公开(公告)号：US07749233B2
公开(公告)日：2010-07-06
申请号：US11176889
申请日：2005-07-06
申请人： Morteza M. Farr , Ciaran Keane
发明人： Morteza M. Farr , Ciaran Keane
IPC分类号： A61B17/58 , A61B17/60 , A61F2/00
CPC分类号： A61B17/7085 , A61B17/7037 , A61B2090/061 , Y10S606/916
摘要： The present invention is a one or two-part sleeve assembly for use during minimally invasive spinal stabilization surgery. An outer sleeve is designed to slide over the coupling between a polyaxial screw and an inner sleeve so as to prevent the screw from becoming disengaged from the inner sleeve during surgery. The outer sleeve includes a lower generally cylindrical wall having a slot, and an upper extension having an outwardly protruding manipulation handle attached to it. The slot in the lower section extends the entire length of the cylindrical wall, giving it a generally “C” shaped cross section. This slot corresponds with a similar slot on the inner sleeve for receiving a stabilizing rod to be attached to the polyaxial screw during surgery. The interior diameter of the lower section is approximately the same as the outer diameter of the inner sleeve, so that the outer sleeve may slide snugly over the inner sleeve and the screw coupling. In addition, the edges of the cylindrical wall adjacent to the longitudinal slot are flattened so as to conform to the shape of the inner sleeve and the head portion of the polyaxial screw where it couples with the inner sleeve.
摘要翻译：本发明是在微创脊柱稳定手术中使用的一个或两个部分的套筒组件。外套筒被设计成在多轴螺钉和内套筒之间的联接件上滑动，以防止螺钉在手术过程中与内套筒分离。外套筒包括具有狭槽的下大致圆柱形壁，以及具有附接到其上的向外突出的操纵手柄的上延伸部。下部的狭槽延伸圆柱形壁的整个长度，给它一个“C”形横截面。该狭槽对应于内套筒上的类似狭槽，用于在手术期间接收要连接到多轴螺丝的稳定杆。下部的内径与内套筒的外径大致相同，使得外套筒可以紧密地滑动在内套筒和螺钉联接件上。此外，与纵向狭槽相邻的圆柱形壁的边缘被平坦化，以便符合内套筒的形状和多轴螺钉的与内套筒联接的头部。

4. 发明申请

US20090216234A1 Spinal Access Systems and Methods 有权
标题翻译：脊柱访问系统和方法
公开(公告)号：US20090216234A1
公开(公告)日：2009-08-27
申请号：US12357596
申请日：2009-01-22
申请人： Morteza M. Farr , Ephraim Akyuz , T. Wade Fallin , Daniel F. Justin , Joshua A. Butters , Daniel E. Gerbec
发明人： Morteza M. Farr , Ephraim Akyuz , T. Wade Fallin , Daniel F. Justin , Joshua A. Butters , Daniel E. Gerbec
IPC分类号： A61B17/00 , A61M25/00
CPC分类号： A61B17/025 , A61B17/1604 , A61B17/1659 , 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以在插入主插管之前插入引导构件上以扩张组织。体间装置可以通过插管植入椎间空间。

5. 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。

6. 发明授权

US08308769B2 Implant device and method for interspinous distraction 有权
标题翻译：植入装置和方法用于棘突间牵引
公开(公告)号：US08308769B2
公开(公告)日：2012-11-13
申请号：US12437513
申请日：2009-05-07
申请人： Morteza M. Farr
发明人： Morteza M. Farr
IPC分类号： A61B17/70
CPC分类号： A61B17/7068 , A61B17/3468
摘要： Improved implant devices and methods for interspinous distraction distribute the load of interspinous distraction so that the entire load is not bearing on the interspinous surfaces. The implant device has a narrow midsection and two wider, flange-shaped outer sections. The wider, flange-shaped outer sections can be tightened to bear against the thicker bony portions of the spinous processes to support some of the load. Optionally, the wider, flange-shaped outer sections can be configured with pins that will penetrate and engage the thicker bony portions of the spinous processes, which will increase the load bearing potential of the wider, flange-shaped outer sections. Additionally, the wider, flange-shaped outer sections and the pins will help to stabilize the joint. The joint stabilization may help to prevent further dislocation of the vertebra that occurs with spondylolisthesis.
摘要翻译：用于椎间牵引的改进的植入装置和方法分布椎间牵引的负荷，使得整个负荷不会在棘突间表面上。植入装置具有窄的中央部分和两个较宽的法兰形外部部分。可以将更宽的法兰形外部部分紧固以抵靠棘突的较厚的骨部分以支撑某些负载。可选地，更宽的法兰形外部部分可以被构造成能够穿过和接合棘突的较厚骨部分的销，这将增加更宽的法兰形外部的承载电位。另外，更宽的法兰形外部和销将有助于稳定接头。关节稳定可能有助于防止脊椎前移发生的椎骨进一步脱位。

7. 发明授权

US08328815B2 Surgical access with target visualization 有权
标题翻译：手术访问与目标可视化
公开(公告)号：US08328815B2
公开(公告)日：2012-12-11
申请号：US12537941
申请日：2009-08-07
申请人： Morteza M. Farr , E. Marlowe Goble , T. Wade Fallin , Ephraim Akyuz , Daniel F. Justin , Douglas M. Lorang
发明人： Morteza M. Farr , E. Marlowe Goble , T. Wade Fallin , Ephraim Akyuz , Daniel F. Justin , Douglas M. Lorang
IPC分类号： A61B17/58
CPC分类号： A61B17/025 , A61B6/506 , A61B17/1604 , A61B17/1757 , A61B17/3468 , A61B17/3472 , A61B90/11 , A61B90/39 , A61B90/50 , A61B2017/0256 , A61B2017/320044 , A61B2017/3405 , A61B2090/376 , 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： 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 to the spine. Positioning of the distal end of a radiolucent curved access cannula may be assisted by use of one or more radio-opaque markers. Markers may be positioned to form a cross hair image in fluoroscopy to assist in cannula placement. Radio-opaque inserts placed in and extended beyond the curved access cannula may have radiolucent windows to allow viewing of the cannula's radio-opaque markers. An appropriately placed curved access cannula may be clamped to prevent subsequent movement. Appropriate tools may be introduced through the curved access cannula and the distal radio-opaque tool heads may be viewed relative to the radio-opaque markers. The curved access cannula may be attached to the spine through one or more screws.
摘要翻译：从弯曲的后外侧方法进入脊柱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。可以通过使用一个或多个不透射线的标记来辅助射线可透过弯曲的入口插管的远端的定位。可以将标记定位成以透视法形成十字头图像以辅助套管放置。放置在弯曲进入插管中并延伸超过弯曲进入插管的无线电不透明插入件可以具有射线透视窗口，以允许观察套管的不透射线的标记。可以将适当放置的弯曲进入插管夹紧以防止随后的移动。可以通过弯曲的进入插管引入适当的工具，并且可以相对于不透射线的标记来观察远端不透射线的工具头。弯曲的进入插管可以通过一个或多个螺钉附接到脊柱。

8. 发明申请

US20100030065A1 SURGICAL ACCESS WITH TARGET VISUALIZATION 有权
标题翻译：具有目标可视化的外科手术
公开(公告)号：US20100030065A1
公开(公告)日：2010-02-04
申请号：US12537941
申请日：2009-08-07
申请人： Morteza M. Farr , E. Marlowe Goble , T. Wade Fallin , Ephraim Akyuz , Daniel F. Justin , Douglas M. Lorang
发明人： Morteza M. Farr , E. Marlowe Goble , T. Wade Fallin , Ephraim Akyuz , Daniel F. Justin , Douglas M. Lorang
IPC分类号： A61B6/12 , A61B17/90
CPC分类号： A61B17/025 , A61B6/506 , A61B17/1604 , A61B17/1757 , A61B17/3468 , A61B17/3472 , A61B90/11 , A61B90/39 , A61B90/50 , A61B2017/0256 , A61B2017/320044 , A61B2017/3405 , A61B2090/376 , 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： 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 to the spine. Positioning of the distal end of a radiolucent curved access cannula may be assisted by use of one or more radio-opaque markers. Markers may be positioned to form a cross hair image in fluoroscopy to assist in cannula placement. Radio-opaque inserts placed in and extended beyond the curved access cannula may have radiolucent windows to allow viewing of the cannula's radio-opaque markers. An appropriately placed curved access cannula may be clamped to prevent subsequent movement. Appropriate tools may be introduced through the curved access cannula and the distal radio-opaque tool heads may be viewed relative to the radio-opaque markers. The curved access cannula may be attached to the spine through one or more screws.
摘要翻译：从弯曲的后外侧方法进入脊柱可以包括沿着从皮肤中的开口到接近脊柱的位置的弯曲路径定位的弯曲插管。可以通过使用一个或多个不透射线的标记来辅助射线可透过弯曲的入口插管的远端的定位。可以将标记定位成以透视法形成十字头图像以辅助套管放置。放置在弯曲进入插管中并延伸超过弯曲进入插管的无线电不透明插入件可以具有射线透视窗口，以允许观察套管的不透射线的标记。可以将适当放置的弯曲进入插管夹紧以防止随后的移动。可以通过弯曲的进入插管引入适当的工具，并且可以相对于不透射线的标记来观察远端不透射线的工具头。弯曲的进入插管可以通过一个或多个螺钉附接到脊柱。

9. 发明申请

US20090281626A1 IMPLANT DEVICE AND METHOD FOR INTERSPINOUS DISTRACTION 有权
标题翻译：植物装置和方法进行分离
公开(公告)号：US20090281626A1
公开(公告)日：2009-11-12
申请号：US12437513
申请日：2009-05-07
申请人： Morteza M. Farr
发明人： Morteza M. Farr
IPC分类号： A61F2/44 , A61B17/58
CPC分类号： A61B17/7068 , A61B17/3468
摘要： Improved implant devices and methods for interspinous distraction distribute the load of interspinous distraction so that the entire load is not bearing on the interspinous surfaces. The implant device has a narrow midsection and two wider, flange-shaped outer sections. The wider, flange-shaped outer sections can be tightened to bear against the thicker bony portions of the spinous processes to support some of the load. Optionally, the wider, flange-shaped outer sections can be configured with pins that will penetrate and engage the thicker bony portions of the spinous processes, which will increase the load bearing potential of the wider, flange-shaped outer sections. Additionally, the wider, flange-shaped outer sections and the pins will help to stabilize the joint. The joint stabilization may help to prevent further dislocation of the vertebra that occurs with spondylolisthesis.
摘要翻译：用于椎间牵引的改进的植入装置和方法分配椎间牵引的负荷，使得整个负荷不受棘突间表面的影响。植入装置具有窄的中央部分和两个较宽的法兰形外部部分。可以将更宽的法兰形外部部分紧固以抵靠棘突的较厚的骨部分以支撑某些负载。可选地，更宽的法兰形外部部分可以被构造成能够穿过和接合棘突的较厚骨部分的销，这将增加更宽的法兰形外部的承载电位。另外，更宽的法兰形外部和销将有助于稳定接头。关节稳定可能有助于防止脊椎前移发生的椎骨进一步脱位。

10. 发明申请

US20080306481A1 SYSTEM AND METHOD FOR PROVIDING SURGICAL ACCESS TO A SPINE 有权
标题翻译：用于向脊椎提供外科手术的系统和方法
公开(公告)号：US20080306481A1
公开(公告)日：2008-12-11
申请号：US11831698
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： A61B17/00 , A61B17/70 , A61M5/00
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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