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    • 7. 发明授权
    • Chisels and procedure for insertion of spinal implant in a spinal disc space
    • 将脊柱植入物插入椎间盘空间的凿子和程序
    • US07988693B2
    • 2011-08-02
    • US10520794
    • 2003-07-11
    • Erik O. MartzDavid Chow
    • Erik O. MartzDavid Chow
    • A61B17/00
    • A61F2/4684A61B17/1604A61B17/1671A61F2/28A61F2/4455A61F2002/30131A61F2002/448A61F2230/0013A61F2310/00359
    • A chisel with U.V-shaped, saw tooth or other shaped opposing blades is used to form channels in adjacent vertebrae. The chisel has a projection extending from at least one of the top and bottom surfaces to limit depth of penetration into the vertebrae. A guide member may be attached to the forward tip of the chisel to guide the chisel into the disc space to uniformly chisel both adjacent vertebrae simultaneously to form a channel in the vertebrae. The so formed channels serve as sa guide for a second chisel having no guide member. The second chisel, which may be a box chisel, is used to complete the channels to the desired depth to receive an associated implant, typically of cortical bone. Other embodiments are disclosed in which a two step box chisel has a retractable guide member for initially guiding the chisel as it forms partial channels in the vertebrae disc space. The guide member is then retracted and the channels formed to the desired depth. The chisels include guide member pins which serve to both limit the extension and retraction of the guide member and also to serve to limit the depth of penetration of the chisel, physically and visually. The guide member may be retracted with a rotatable knob and a threaded engaged rod or with an axially displaceable pin and rod assembly attached to the guide member. A procedure for using the chisels is also disclosed.
    • 使用具有U.V形锯齿或其他形状相对的刀片的凿子在相邻椎骨中形成通道。 凿子具有从顶表面和底表面中的至少一个延伸的突起,以限制穿入椎骨的深度。 引导构件可以附接到凿子的前端,以将凿子引导到椎间盘空间中,以均匀地同时凿孔两个相邻的椎骨以在椎骨中形成通道。 这样形成的通道用作没有引导构件的第二凿子的引导件。 可以使用第二凿子,其可以是盒式凿子,以将通道完成到期望的深度以接收通常为皮层骨的相关植入物。 公开了其他实施例,其中两台凿子具有可缩回的引导构件,用于在椎骨盘空间中形成部分通道时最初引导凿子。 然后引导构件缩回并且通道形成到期望的深度。 凿子包括引导构件销,其用于限制引导构件的延伸和缩回,并且还用于在物理和视觉上限制凿子的穿透深度。 引导构件可以用可旋转的旋钮和螺纹接合的杆或与安装在引导构件上的可轴向移位的销和杆组件缩回。 还公开了使用凿子的方法。
    • 9. 发明申请
    • MULTI-LUMEN MOLD FOR INTERVERTEBRAL PROSTHESIS AND METHOD OF USING SAME
    • 用于椎间盘突出症的多元模具及其使用方法
    • US20090054990A1
    • 2009-02-26
    • US12256885
    • 2008-10-23
    • Khin MyintErik O. MartzBenjamin F. CarterRonald Burke
    • Khin MyintErik O. MartzBenjamin F. CarterRonald Burke
    • A61F2/44
    • A61F2/441A61F2002/30062A61F2002/30578A61F2002/30583A61F2002/30841A61F2002/30878A61F2002/4435A61F2002/444A61F2210/0004A61F2210/0085
    • A multi-lumen mold is for the in situ formation of a prosthesis in an intervertebral disc space located between adjacent vertebrae of a patient. The multi-lumen mold a flexible mold, a first lumen, a second lumen and a curable biomaterial. The flexible mold is shaped to be positioned in the intervertebral disc space. The first lumen and the second lumen each have a distal end is fluidly coupled to the flexible mold at a first location and a second location, respectively. The first lumen is shaped to extend out through a first opening extending through one of the adjacent vertebrae when the mold is positioned in the intervertebral disc space. The curable biomaterial is delivered into the flexible mold through at least one of the first and second lumens. The first and second locations can optionally be located on generally opposite sides of the mold, on the same side of the mold, or a variety of other configurations. One or more securing members can be used to secure the mold in the intervertebral disc space. The securing members can engage with the annulus, the end plates, and/or another surface of a vertebrae.
    • 多腔模具用于在位于患者的相邻椎骨之间的椎间盘空间中原位形成假体。 多腔模具是柔性模具,第一腔,第二腔和可固化生物材料。 柔性模具成形为定位在椎间盘空间中。 分别具有远端的第一管腔和第二管腔分别在第一位置和第二位置处流体耦合到柔性模具。 当模具定位在椎间盘空间中时,第一管腔被成形为延伸穿过相邻椎骨中的一个延伸的第一开口。 可固化的生物材料通过第一和第二腔中的至少一个被输送到柔性模具中。 第一和第二位置可以可选地位于模具的大致相对的两侧,在模具的同一侧,或各种其它构造。 可以使用一个或多个固定构件将模具固定在椎间盘空间中。 固定构件可以与圆环,端板和/或椎骨的另一表面接合。