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1. 发明授权

US07578820B2 Devices and techniques for a minimally invasive disc space preparation and implant insertion 有权
标题翻译：用于微创椎间隙准备和植入物插入的装置和技术
公开(公告)号：US07578820B2
公开(公告)日：2009-08-25
申请号：US10653281
申请日：2003-09-02
申请人： Jeffrey D. Moore , James P. Duncan , Jeffrey L. Scifert , Charles L. Branch , Kevin T. Foley
发明人： Jeffrey D. Moore , James P. Duncan , Jeffrey L. Scifert , Charles L. Branch , Kevin T. Foley
IPC分类号： A61B17/16
CPC分类号： A61F2/4611 , A61B17/00234 , A61B17/1604 , A61B17/1631 , A61B17/1659 , A61B17/1671 , A61B17/3423 , A61B2017/320032 , A61F2/4455 , A61F2002/4622 , A61F2002/4623 , A61F2002/4624 , A61F2002/4627 , A61F2002/4635
摘要： Methods and instruments are provided for performing spinal disc space preparation and implant insertion in minimally invasive procedures. The instruments include cutting instruments and implant insertion instruments adapted for insertion through a minimally invasive access portal to a spinal disc space. The proximal portions of the instruments are adapted to facilitate viewing through a proximal end opening of the access portal with the instruments positioned through the access portal while also enhancing the surgeon's control of the distal working end of the instruments while in the disc space.
摘要翻译：提供方法和仪器用于在微创程序中进行脊椎椎间盘空间准备和植入物插入。仪器包括切割仪器和植入物插入器械，适于通过微创入口进入椎间盘空间进行插入。仪器的近端部分适于通过入口入口的近端开口进行观察，其中仪器通过进入门口定位，同时还增强外科医生在椎间盘空间期间仪器的远端工作端的控制。

2. 发明授权

US07125425B2 Systems and techniques for restoring and maintaining intervertebral anatomy 有权
公开(公告)号：US07125425B2
公开(公告)日：2006-10-24
申请号：US10766167
申请日：2004-01-28
申请人： Kevin T. Foley , T. Andrew Simonton , Sean M. Haddock , James P. Duncan , Jeffrey D. Moore
发明人： Kevin T. Foley , T. Andrew Simonton , Sean M. Haddock , James P. Duncan , Jeffrey D. Moore
IPC分类号： A61F2/44
CPC分类号： A61F2/4455 , A61B17/025 , A61B2017/0256 , A61F2/28 , A61F2/30965 , A61F2/442 , A61F2/447 , A61F2/4611 , A61F2/4684 , A61F2002/2817 , A61F2002/2835 , A61F2002/3008 , A61F2002/30092 , A61F2002/30112 , A61F2002/30266 , A61F2002/30354 , A61F2002/30382 , A61F2002/30383 , A61F2002/30616 , A61F2002/30772 , A61F2002/308 , A61F2002/30813 , A61F2002/3082 , A61F2002/30904 , A61F2002/30975 , A61F2002/4475 , A61F2002/4623 , A61F2002/4624 , A61F2002/4627 , A61F2002/4628 , A61F2002/4629 , A61F2002/4635 , A61F2002/4681 , A61F2210/0014 , A61F2220/0025 , A61F2220/0033 , A61F2230/0004 , A61F2230/0082 , A61F2250/0064 , A61F2250/0098 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00179 , A61F2310/00293 , A61F2310/00329 , A61F2310/00359
摘要： Techniques and systems for distracting a spinal disc space and supporting adjacent vertebrae are provided. Trial instruments are insertable into the disc space to determine a desired disc space height and to select a corresponding implant. Implants can be also be self-distracting and the implant providing the desired disc space height can be implanted in the spinal disc space.

3. 发明授权

US06723043B2 Methods and devices for inserting and manipulating surgical instruments 有权
标题翻译：插入和操作手术器械的方法和装置
公开(公告)号：US06723043B2
公开(公告)日：2004-04-20
申请号：US09963143
申请日：2001-09-25
申请人： Thomas J. Kleeman , James P. Duncan
发明人： Thomas J. Kleeman , James P. Duncan
IPC分类号： A61B132
CPC分类号： A61F2/4611 , A61B17/0218 , A61B17/34 , A61B17/3403 , A61B34/70 , A61B2017/00261 , A61B2017/00778 , A61B2017/301 , A61F2/442 , A61F2/446 , A61F2002/3085 , A61F2002/448 , A61F2002/4627 , A61F2002/4628 , A61F2002/4635
摘要： The present invention is directed to a surgical instrument assembly that includes an operative element and an insertion instrument removably engageable to the operative element. The insertion instrument is positionable in a patient with the operative element engaged thereto to position the operative element at an operative site in the patient. A transfer instrument is removably engageable to the operative element when the operative instrument is located at the operative site. The insertion instrument can then be removed. Methods for using the surgical instrument assembly are also disclosed.
摘要翻译：本发明涉及一种手术器械组件，其包括可移除地与操作元件接合的操作元件和插入器械。插入器具可定位在具有与其接合的操作元件的患者中，以将操作元件定位在患者的手术部位。当手术器械位于手术部位时，转移器械可移除地与操作元件接合。然后可以移除插入器械。还公开了使用手术器械组件的方法。

4. 发明授权

US07753911B2 Methods and instrumentation for vertebral interbody fusion 有权
标题翻译：椎体间融合的方法和手段
公开(公告)号：US07753911B2
公开(公告)日：2010-07-13
申请号：US10689277
申请日：2003-10-20
申请人： Eddie F. Ray, III , James P. Duncan
发明人： Eddie F. Ray, III , James P. Duncan
IPC分类号： A61B17/58
CPC分类号： A61B17/025 , A61B17/1615 , A61B17/1617 , A61B17/1637 , A61B17/1655 , A61B17/1671 , A61B17/1757 , A61B2017/0256 , A61B2017/3445 , A61B2090/034 , A61B2090/062 , A61F2/4611 , A61F2002/4627 , A61F2002/4687
摘要： Methods and instrumentation for vertebral interbody fusion are provided. Sleeve assemblies can be provided with a reduced width portion adjacent the distal end to limit the amount of retraction of the surrounding vascular and neural structures required for the procedure. A sleeve assembly can be provided with a guide sleeve removably engaged to a guide sleeve housing. The guide sleeve can be removed during surgery to improve the surgeon's viewing of the operative site while the guide sleeve housing maintains disc space distraction. Methods and instruments for inserting and using the guide sleeve housing are also provided.
摘要翻译：提供了椎体间融合的方法和手段。套管组件可以设置有与远端相邻的减小的宽度部分，以限制手术所需的周围血管和神经结构的缩回量。套筒组件可以设置有可拆卸地接合到引导套筒壳体的引导套筒。在外科手术期间可以移除引导套筒以改善外科医生对手术部位的观察，同时引导套筒壳体保持椎间盘空间分心。还提供了插入和使用引导套筒壳体的方法和仪器。

5. 发明申请

US20080269736A1 Autoclaveable handle with stripping mechanism to attach a disposable connecting cable 失效
标题翻译：带剥离机构的高压灭菌手柄连接一次性连接电缆
公开(公告)号：US20080269736A1
公开(公告)日：2008-10-30
申请号：US11789920
申请日：2007-04-26
申请人： Julien Prevost , James P. Duncan
发明人： Julien Prevost , James P. Duncan
IPC分类号： A61B17/88 , A61B18/00 , B25G3/00 , A61B17/70 , B23P19/04
CPC分类号： A61B18/1402 , A61B17/06109 , A61B18/1477 , A61B2017/0046 , A61B2018/0091 , A61B2090/0813 , B25G3/20 , Y10T16/44 , Y10T16/444 , Y10T29/5313
摘要： Embodiments of a handle for use in a surgical tool that uses electricity is disclosed. In one embodiment, the handle is autoclaveable and reusable, and includes connections between an electrical cable (e.g. for providing electrical energy and/or transmitting electrical signals) and an operating end of the tool. An insert member having arms for stripping wire or cable electrically connects the cable and the operating end of the tool, and a set screw may be provided to hold the cable in place. A clip member may also be provided to hold the handle to the rest of the tool. Method for using and assembling handle embodiments are also described.
摘要翻译：公开了用于使用电力的外科手术工具中的手柄的实施例。在一个实施例中，手柄是可高压灭菌的并可重复使用的，并且包括电缆（例如用于提供电能和/或传输电信号）与工具的操作端之间的连接。具有用于剥离电线或电缆的臂的插入构件将电缆和工具的操作端电连接，并且可以设置固定螺钉以将电缆保持在适当位置。还可以提供夹持构件以将手柄保持在工具的其余部分上。还描述了使用和组装句柄实施例的方法。

6. 发明授权

US06743234B2 Methods and instrumentation for vertebral interbody fusion 失效
公开(公告)号：US06743234B2
公开(公告)日：2004-06-01
申请号：US09965018
申请日：2001-09-27
申请人： J. Kenneth Burkus , Eddie F. Ray, III , James P. Duncan
发明人： J. Kenneth Burkus , Eddie F. Ray, III , James P. Duncan
IPC分类号： A61B1758
CPC分类号： A61B17/025 , A61B17/1671 , A61B17/1735 , A61B17/1757 , A61B90/94 , A61B2017/0256 , A61B2090/034 , A61F2/442 , A61F2/446 , A61F2/4611 , A61F2002/30611 , A61F2002/3082 , A61F2002/3085 , A61F2002/30871 , A61F2002/30904 , A61F2002/4475 , A61F2002/448 , A61F2002/4623 , A61F2002/4627 , A61F2002/4681 , A61F2002/4687 , A61F2250/0063
摘要： Methods and instrumentation particularly adapted for disc space preparation for insertion of implants from an anterior approach to the spine are provided. The instruments include a guide sleeve defining a channel having overlapping cylindrical working channel portions and lateral non-distracting extensions extending from reduced thickness wall portions. The guide sleeve has an overall reduced width configuration. A pair of distractors are provided. A first distractor includes a shaft and distal tip, and the second distractor includes a shaft and distal tip. The first and second distractors can be used with the guide sleeve. Methods using the disclosed instruments are also provided.

7. 发明授权

US06635062B2 Methods and instrumentation for vertebral interbody fusion 有权
公开(公告)号：US06635062B2
公开(公告)日：2003-10-21
申请号：US09945277
申请日：2001-08-31
申请人： Eddie F. Ray, III , James P. Duncan
发明人： Eddie F. Ray, III , James P. Duncan
IPC分类号： A61B1790
CPC分类号： A61B17/025 , A61B17/1615 , A61B17/1617 , A61B17/1637 , A61B17/1655 , A61B17/1671 , A61B17/1757 , A61B2017/0256 , A61B2017/3445 , A61B2090/034 , A61B2090/062 , A61F2/4611 , A61F2002/4627 , A61F2002/4687
摘要： Methods and instrumentation for vertebral interbody fusion are provided. Sleeve assemblies can be provided with a reduced width portion adjacent the distal end to limit the amount of retraction of the surrounding vascular and neural structures required for the procedure. A sleeve assembly can be provided with a guide sleeve removably engaged to a guide sleeve housing. The guide sleeve can be removed during surgery to improve the surgeon's viewing of the operative site while the guide sleeve housing maintains disc space distraction. Methods and instruments for inserting and using the guide sleeve housing are also provided.

8. 发明授权

US07875027B2 Autoclaveable handle with stripping mechanism to attach a disposable connecting cable 失效
标题翻译：带剥离机构的高压灭菌手柄连接一次性连接电缆
公开(公告)号：US07875027B2
公开(公告)日：2011-01-25
申请号：US11789920
申请日：2007-04-26
申请人： Julien Prevost , James P. Duncan
发明人： Julien Prevost , James P. Duncan
IPC分类号： A61B18/18
CPC分类号： A61B18/1402 , A61B17/06109 , A61B18/1477 , A61B2017/0046 , A61B2018/0091 , A61B2090/0813 , B25G3/20 , Y10T16/44 , Y10T16/444 , Y10T29/5313
摘要： Embodiments of a handle for use in a surgical tool that uses electricity is disclosed. In one embodiment, the handle is autoclaveable and reusable, and includes connections between an electrical cable (e.g. for providing electrical energy and/or transmitting electrical signals) and an operating end of the tool. An insert member having arms for stripping wire or cable electrically connects the cable and the operating end of the tool, and a set screw may be provided to hold the cable in place. A clip member may also be provided to hold the handle to the rest of the tool. Method for using and assembling handle embodiments are also described.
摘要翻译：公开了用于使用电力的外科手术工具中的手柄的实施例。在一个实施例中，手柄是可高压灭菌的并可重复使用的，并且包括电缆（例如用于提供电能和/或传输电信号）与工具的操作端之间的连接。具有用于剥离电线或电缆的臂的插入构件将电缆和工具的操作端电连接，并且可以设置固定螺钉以将电缆保持在适当位置。还可以提供夹持构件以将手柄保持在工具的其余部分上。还描述了使用和组装句柄实施例的方法。

9. 发明申请

US20100262200A1 Methods and instrumentation for vertebral interbody fusion 审中-公开
公开(公告)号：US20100262200A1
公开(公告)日：2010-10-14
申请号：US12803070
申请日：2010-06-18
申请人： Eddie F. Ray, III , James P. Duncan
发明人： Eddie F. Ray, III , James P. Duncan
IPC分类号： A61B17/70 , A61B17/60
CPC分类号： A61B17/025 , A61B17/1615 , A61B17/1617 , A61B17/1637 , A61B17/1655 , A61B17/1671 , A61B17/1757 , A61B2017/0256 , A61B2017/3445 , A61B2090/034 , A61B2090/062 , A61F2/4611 , A61F2002/4627 , A61F2002/4687
摘要： Methods and instrumentation for vertebral interbody fusion are provided. Sleeve assemblies can be provided with a reduced width portion adjacent the distal end to limit the amount of retraction of the surrounding vascular and neural structures required for the procedure. A sleeve assembly can be provided with a guide sleeve removably engaged to a guide sleeve housing. The guide sleeve can be removed during surgery to improve the surgeon's viewing of the operative site while the guide sleeve housing maintains disc space distraction. Methods and instruments for inserting and using the guide sleeve housing are also provided.

10. 发明授权

US4360189A Quench press 失效
标题翻译：淬火机
公开(公告)号：US4360189A
公开(公告)日：1982-11-23
申请号：US172865
申请日：1980-07-28
申请人： James P. Duncan , James L. Lawson
发明人： James P. Duncan , James L. Lawson
IPC分类号： C21D1/673 , C21D9/32
CPC分类号： C21D1/673
摘要： A universal quench press is used for the precision quenching of gears, bearing rings, saw blades, slitting knives, cylindrical parts, flat parts, dished parts, and other articles. A set of quenching dies reduce or eliminate the distortions in size, roundness, taper, and flatness encountered in manufacturing processes prior to the press quenching process and/or operation. The press has a plurality of posts or tie-rods configured to distribute the forces of the applied loads uniformly. Provisions are made for a plurality of generally concentric rams with all of the rams powered by hydraulic or pnuematic cylinders or other force exerting device or devices to provide a uniform and evenly distributed force. An automatic quench media splash guard seals the quenching chamber during operation and requires absolutely no set-up or operating adjustments or changes. Two or more automatic doors provide complete access to the die area during set-up and/or allow two or more points for loading and/or unloading of workpieces and/or tooling. For ultimate accuracy, the lower die plate is stationary and provides a means of guiding the center ram, thus assuring concentricity. Graduated shims are added or removed from the center ram stop to decrease or increase the final part bore diameter as required.
摘要翻译：通用淬火压力机用于齿轮，轴承环，锯片，切割刀，圆柱形零件，扁平零件，碟形零件等物品的精密淬火。一组淬火模具减少或消除在压制淬火处理和/或操作之前的制造过程中遇到的尺寸，圆度，锥度和平坦度的变形。压力机具有多个柱或拉杆，其构造成均匀地分布施加的载荷的力。对于多个大致同心的公柱进行规定，其中所有的公仆由液压或液压缸或其他施加力的装置或装置提供动力，以提供均匀且均匀分布的力。自动淬火介质防溅罩在操作期间密封淬火室，并且绝对不需要设置或操作调整或更改。两个或多个自动门在安装期间提供对模具区域的完整访问和/或允许用于装载和/或卸载工件和/或工具的两个或多个点。为了极限精度，下模板是静止的，并提供引导中心压头的装置，从而确保同心度。根据需要，从中心压头止动件添加或移除刻度垫片以减少或增加最终零件孔径。

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