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1. 发明申请

US20110184468A1 SPINOUS PROCESS FUSION PLATE WITH OSTEOINTEGRATION INSERT 审中-公开
标题翻译：旋转过程熔融板与OSTEOINTEGRATION插入
公开(公告)号：US20110184468A1
公开(公告)日：2011-07-28
申请号：US12695508
申请日：2010-01-28
申请人： Newton H. Metcalf, JR. , Gregory C. Marik , Nicholas M. Benson
发明人： Newton H. Metcalf, JR. , Gregory C. Marik , Nicholas M. Benson
IPC分类号： A61B17/88 , A61B17/80
CPC分类号： A61B17/7068
摘要： A spinal implant clamps to the spinous processes and provides an osteointegration material between the spinous processes so that there may be osteointegration between the spinous processes and a portion of the implant located in the interspinous space. The implant includes first and second plates, a post that extends between the plates and into at least one of the plates, a locking mechanism for locking the relative positions of the plates, and an osteointegration sleeve. The sleeve is disposed between the first and second plates and has an inner surface defining a longitudinal through-passage that is disposed about an outer surface of the post. The sleeve includes osteointegration material and is distinct from the post. The osteointegration material of the sleeve may be, for example, allograft bone or a bone growth material such as bone morphogenetic protein. Related methods are also described.
摘要翻译：脊柱植入物夹持到棘突并在棘突之间提供骨整合材料，使得在棘突之间可能存在骨整合，以及位于椎间盘间隙中的植入物的一部分。植入物包括第一和第二板，柱在板之间延伸并且进入至少一个板，用于锁定板的相对位置的锁定机构和骨整合套筒。套筒设置在第一和第二板之间，并且具有限定纵向通道的内表面，该纵向通道围绕柱的外表面设置。套筒包括骨整合材料，并且与柱子不同。套筒的骨整合材料可以是例如同种异体移植骨或骨生长材料如骨形态发生蛋白。还描述了相关方法。

2. 发明申请

US20130085340A1 SURGICAL INSTRUMENT STABILIZER AND METHOD 有权
标题翻译：手术仪器稳定器和方法
公开(公告)号：US20130085340A1
公开(公告)日：2013-04-04
申请号：US13252522
申请日：2011-10-04
申请人： Newton H. Metcalf, JR. , Gregory C. Marik , Danish Siddiqui , Amanda D. Vanover
发明人： Newton H. Metcalf, JR. , Gregory C. Marik , Danish Siddiqui , Amanda D. Vanover
IPC分类号： A61B1/32
CPC分类号： A61B17/3421 , A61B2017/00261 , A61B2017/00946 , A61B2017/3407 , A61B2017/3492
摘要： A surgical instrument stabilizer includes a body having a first material and a second material. The first material includes a wall defining an inner surface and an outer surface. The inner surface defines a first cavity configured for disposal of the second material. The outer surface defines an outer portion, a lateral portion and an inner portion. At least a portion of the lateral portion is configured to flexibly conform to a patient body surface. The inner portion defines a second cavity for disposal of an instrument and is configured to engage an outer surface of the instrument. Methods of use are disclosed.
摘要翻译：外科器械稳定器包括具有第一材料和第二材料的主体。第一材料包括限定内表面和外表面的壁。内表面限定了构造成用于处置第二材料的第一腔。外表面限定外部部分，侧向部分和内部部分。横向部分的至少一部分被配置为柔性地符合患者身体表面。内部部分限定用于处置器械的第二腔体，并且构造成接合仪器的外表面。公开了使用方法。

3. 发明申请

US20120303055A1 PERCUTANEOUS ROD DELIVERY TECHNIQUES AND SYSTEMS 审中-公开
标题翻译： PERCUTANEOUS ROD DELIVERY技术和系统
公开(公告)号：US20120303055A1
公开(公告)日：2012-11-29
申请号：US13117362
申请日：2011-05-27
申请人： Gregory C. Marik , Newton H. Metcalf, JR.
发明人： Gregory C. Marik , Newton H. Metcalf, JR.
IPC分类号： A61B17/00
CPC分类号： A61B17/7089 , A61B17/708 , A61B17/7083 , A61B17/7085 , A61B2090/037
摘要： There are disclosed techniques for positioning a connecting element adjacent one or more bones or bony portions, such as the spinal column, through a minimally invasive surgical approach. The system generally includes at least one bone anchor engageable to the one or more bones or bony portions and at least one extender removably engaged to the bone anchor. A connecting element is movable into the patient and guided by the at least one extender to a first position in the patient. A second bone anchor and extender is then inserted into the patient and engaged to a bony portion. The connecting element is then moved from the at least one extender to extend to the second bone anchor and second extender. The connecting element is then engaged to each of the bone anchors.
摘要翻译：公开了通过微创手术方法将连接元件邻近一个或多个骨骼或骨部分（例如脊柱）定位的技术。该系统通常包括可与一个或多个骨骼或骨部分接合的至少一个骨锚固体和至少一个可移除地接合到骨锚固件的延伸器。连接元件可移动到患者体内并由至少一个延伸器引导到患者体内的第一位置。然后将第二骨锚和扩张器插入患者体内并与骨部分接合。然后将连接元件从至少一个延伸器移动以延伸到第二骨锚和第二扩展器。然后将连接元件接合到每个骨锚。

4. 发明申请

US20140025121A1 SYSTEMS AND METHODS FOR GUIDING ANCHORS FOR FACET FIXATION 有权
标题翻译：用于指导锚固件固定的系统和方法
公开(公告)号：US20140025121A1
公开(公告)日：2014-01-23
申请号：US13552378
申请日：2012-07-18
申请人： Kevin T. Foley , Gregory C. Marik , Newton H. Metcalf, JR. , Danish Siddiqui
发明人： Kevin T. Foley , Gregory C. Marik , Newton H. Metcalf, JR. , Danish Siddiqui
IPC分类号： A61B17/90
CPC分类号： A61B17/1757 , A61B17/3421 , A61B17/8886
摘要： Apparatus and methods for spinal surgery include a retractor with an elongated body extending along a longitudinal axis between a distal end and an opposite proximal end. The retractor defines a passage between the distal and proximal ends and a window opening into the passage adjacent to the distal end. The apparatus also includes a guide member extending laterally from the proximal end of the retractor and the guide member includes a body extending along an arc. The body defines a number of trajectories each intersecting the window of the retractor. The apparatus further includes an instrument removably mounted to the guide member and the instrument is movable along the guide member and securable to the guide member in any one of the number of trajectories so that the instrument can be moved along the selected trajectory through the window.
摘要翻译：用于脊柱手术的装置和方法包括牵开器，其具有沿远端和相对近端之间的纵向轴线延伸的细长体。牵开器限定了远端和近端之间的通道以及靠近远端的通向通道的窗口。该装置还包括从牵开器的近端横向延伸的引导构件，并且引导构件包括沿着弧延伸的主体。身体定义了与牵开器的窗口相交的多个轨迹。该装置还包括可移除地安装到引导构件的仪器，并且仪器可沿引导构件移动并且可以以任意数量的轨迹固定到引导构件，使得仪器可以沿着所选择的轨迹通过窗口移动。

5. 发明申请

US20110257686A1 FLEXIBLE BONE FASTENER AND METHODS OF USE 审中-公开
标题翻译：灵活的骨骼紧固件和使用方法
公开(公告)号：US20110257686A1
公开(公告)日：2011-10-20
申请号：US12762032
申请日：2010-04-16
申请人： Newton H. Metcalf, JR. , Gregory C. Marik
发明人： Newton H. Metcalf, JR. , Gregory C. Marik
IPC分类号： A61B17/70 , A61B17/86
CPC分类号： A61B17/7032 , A61B17/8625 , A61B17/866
摘要： A bone fastener includes an elongated first section having a distal end. A flexible member has an outer surface and defines an inner cavity configured for disposal of the distal end of the first section. An elongated second section defines a longitudinal axis and includes a wall that defines an interior cavity configured for disposal of the flexible member such that the distal end of the first section is disposed within the interior cavity of the second section. The outer surface of the flexible member engages the wall in a configuration such that the first section is pivotable to a plurality of axial orientations relative to the longitudinal axis of the second section.
摘要翻译：骨紧固件包括具有远端的细长的第一部分。柔性构件具有外表面并且限定构造成用于处置第一区段的远端的内腔。细长的第二部分限定纵向轴线并且包括壁，所述壁限定被配置为处置柔性构件的内部空腔，使得第一部分的远端设置在第二部分的内部空腔内。柔性构件的外表面以这样的构造接合壁，使得第一部分可相对于第二部分的纵向轴线枢转到多个轴向取向。

6. 发明申请

US20120271357A1 TOOLS AND METHODS FOR THE PREPARATION OF THE FACET JOINT 审中-公开
标题翻译：用于制备FACET接头的工具和方法
公开(公告)号：US20120271357A1
公开(公告)日：2012-10-25
申请号：US13091265
申请日：2011-04-21
申请人： Amy L. Arthur , Mojan Goshayeshgar , Mehboob Kadri , Craig E. Lauchner , Newton H. Metcalf, JR. , Neil S. Sasaki
发明人： Amy L. Arthur , Mojan Goshayeshgar , Mehboob Kadri , Craig E. Lauchner , Newton H. Metcalf, JR. , Neil S. Sasaki
IPC分类号： A61B17/88
CPC分类号： A61B17/1604 , A61B17/1617 , A61B17/1671
摘要： Methods of fusing a facet joint that include inserting a cannula with a first end of the cannula at the facet joint and a second end positioned away from the facet joint. One or more tools may be inserted through the cannula to contact against and treat one or both vertebral members to enlarge the facet joint. An osteogenic material is then inserted into the enlarged facet joint to facilitate fusion of the first and second vertebral members.
摘要翻译：定影小关节的方法，其包括在小面关节处插入套管与套管的第一端，以及定位成远离小面关节定位的第二端。可以通过套管插入一个或多个工具以接触和治疗一个或两个椎骨构件以扩大小关节。然后将成骨材料插入到放大的小关节中以促进第一和第二椎骨构件的融合。

7. 发明申请

US20100274295A1 MEDICAL IMPLANT CONFIGURED TO DELIVER A THERAPEUTIC SUBSTANCE 审中-公开
标题翻译：医疗植物配置提供治疗物质
公开(公告)号：US20100274295A1
公开(公告)日：2010-10-28
申请号：US12429295
申请日：2009-04-24
申请人： Thomas A. Carls , Newton H. Metcalf, JR.
发明人： Thomas A. Carls , Newton H. Metcalf, JR.
IPC分类号： A61B17/86
CPC分类号： A61B17/7041 , A61B17/7032 , A61B17/7049 , A61F2002/30677
摘要： Embodiments of the invention comprise a medical implant that delivers a therapeutic substance. In some embodiments, a component that delivers a therapeutic substance is a cap secured to a portion of a fastener such as a surgical construct, surgical screw, pedicle screw, spinal rod cross-link, or other connection element or device.
摘要翻译：本发明的实施例包括递送治疗物质的医疗植入物。在一些实施例中，递送治疗物质的部件是固定到诸如外科手术构造物，手术螺钉，椎弓根螺钉，脊柱杆交叉连接或其它连接元件或装置的紧固件的一部分的帽。

8. 发明申请

US20110196373A1 BONE PREPARATION DEVICE 有权
标题翻译：骨制备装置
公开(公告)号：US20110196373A1
公开(公告)日：2011-08-11
申请号：US12703867
申请日：2010-02-11
申请人： Clinton R. Jacob , J. Kenneth Burkus , Jared R. Shoup , Greg C. Marik , Newton H. Metcalf, JR.
发明人： Clinton R. Jacob , J. Kenneth Burkus , Jared R. Shoup , Greg C. Marik , Newton H. Metcalf, JR.
IPC分类号： A61B17/56
CPC分类号： A61B17/1757 , A61B17/1671
摘要： A bone preparation device for shaping endplates forming an intervertebral disc space between two adjacent vertebrae includes a cutter component and a cutter-positioner component. The cutter-positioner is arranged to limit the distal travel of the cutter component and to restrict the range of motion of the distal end of the cutter component. The bone preparation device also includes a rotational interface between the cutter component and the cutter-positioner component. The rotational interface is structurally arranged to permit the cutting blade to be rotated at the same time the cutter component is restricted in its range of motion.
摘要翻译：用于成形在两个相邻椎骨之间形成椎间盘间隙的端板的骨制备装置包括切割器部件和切割器定位器部件。刀具定位器布置成限制切割器部件的远端行进并限制切割器部件的远端的运动范围。骨骼制备装置还包括切割器部件和切割器定位器部件之间的旋转界面。旋转界面在结构上布置成允许切割刀片在同时将刀具部件限制在其运动范围内旋转。

9. 发明申请

US20110077685A1 SYSTEMS AND METHODS AND METHODS FOR MINIMALLY INVASIVE FACET FUSION 有权
标题翻译：用于最小入侵面融合的系统和方法及方法
公开(公告)号：US20110077685A1
公开(公告)日：2011-03-31
申请号：US12570264
申请日：2009-09-30
申请人： Thomas A. Carls , Newton H. Metcalf, JR.
发明人： Thomas A. Carls , Newton H. Metcalf, JR.
IPC分类号： A61B17/70
CPC分类号： A61B17/7064
摘要： Apparatus and methods for facet fusion include an insertion tool and a guide tool coupled to one another. The insertion tool has a proximal end portion and an opposite distal end portion. The distal end portion of the insertion tool is configured to retain an interbody implant, such as, for example, an inter-facet implant configured for placement between a superior facet and inferior facet of a facet joint. The proximal end portion of the insertion tool includes a handle. The guide tool includes an elongated body with a passage extending between and opening at its distal and proximal ends. A linking member extends between and adjustably connects the guide tool to the insertion tool so that the passage of the guide tool is alignable with the interbody implant retained on the insertion tool while the insertion tool and guide tool are in substantially orthogonal relation to one another.
摘要翻译：用于小面融合的装置和方法包括彼此连接的插入工具和引导工具。插入工具具有近端部分和相对的远端部分。插入工具的远端部分构造成保持体间植入物，例如构造成用于放置在小面关节的上下面和小面之间的面间植入物。插入工具的近端部分包括手柄。引导工具包括细长体，其具有在其远端和近端处延伸并在其远端和近端处开口的通道。连接构件在引导工具和插入工具之间延伸并且可调节地连接到引导工具，使得引导工具的通道可与保持在插入工具上的体内植入物对准，同时插入工具和引导工具彼此基本正交。

10. 发明申请

US20120277801A1 Methods and Instruments for Use in Vertebral Treatment 有权
标题翻译：用于脊椎治疗的方法和手段
公开(公告)号：US20120277801A1
公开(公告)日：2012-11-01
申请号：US13098026
申请日：2011-04-29
申请人： Greg C. Marik , Newton H. Metcalf, JR. , Danish Siddiqui , Vincent C. Traynelis
发明人： Greg C. Marik , Newton H. Metcalf, JR. , Danish Siddiqui , Vincent C. Traynelis
IPC分类号： A61B17/88 , A61B17/56 , A61B17/16
CPC分类号： A61B17/7064 , A61B17/025 , A61B17/16 , A61B17/1659 , A61B17/1671 , A61B90/03 , A61B2017/0256 , A61F2/4405
摘要： Embodiments of the invention include instruments, implants, and methods for surgically treating facet joints of vertebrae. An instrument may be advanced into one or more facet joints to one or both separate vertebrae and remove tissue from one or more articular processes. A stop on the instrument may be used to terminate advancement of the instrument by contacting a vertebra, and one or more implants may be placed into one or more facet joints.
摘要翻译：本发明的实施例包括用于手术治疗椎骨小关节的器械，植入物和方法。仪器可以进入一个或多个小关节到一个或两个分离的椎骨并且从一个或多个关节进程移除组织。可以使用仪器上的止动器来通过接触椎骨来终止器械的前进，并且一个或多个植入物可以放置在一个或多个小关节中。

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