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    • 2. 发明申请
    • DYNAMIC SPINAL STABILIZATION DEVICES AND SYSTEMS
    • 动态脊柱稳定装置和系统
    • WO2007061960A3
    • 2007-10-11
    • PCT/US2006044914
    • 2006-11-17
    • LIFE SPINE LLCBUTLER MICHAEL SMILELLA MICHAEL J JR
    • BUTLER MICHAEL SMILELLA MICHAEL J JR
    • A61B17/86
    • A61B17/7031A61B17/7004A61B17/7023A61B17/7032A61B17/705
    • A dynamic spine stabilization element (170) of a spine stabilization assembly includes first and second spinal rod segments (174, 176) that are coupled to one another via a connector (172). The connector (172) allows movement of a spinal rod segment (174, 176) with respect to the coupling device and/or with respect to another spinal rod segment. This provides limited angulation (e.g. bending) between spinal rod segments allowing for limited movement of the vertebra connected by the present dynamic stabilization element. The connector (172) may allow pivoting motion of the rod segments (174, 176) relative to the coupling device and relative to the other rod segment such as pivoting motion of one rod segment in a first plane and pivoting motion of the other rod segment in a second plane that is perpendicular to the first plane. The connector (172) may also be bendable or flexible. In this form, the connector (172) allows limited flexing, bending or angulation as between the associated spinal rod segments during use. Moreover, ends of the spinal rod segments may be configured to prevent or limit rotation of the spinal rod segments. The configured ends may cooperate with the coupling device to achieve the limitation on rotational movement.
    • 脊柱稳定组件的动态脊柱稳定元件(170)包括经由连接器(172)彼此耦合的第一和第二脊柱杆段(174,176)。 连接器172允许脊柱杆段174,176相对于联接装置和/或相对于另一脊柱杆段运动。 这在脊柱杆段之间提供有限的角度(例如弯曲),从而允许由该动态稳定元件连接的椎骨的有限运动。 连接器172可以允许杆段(174,176)相对于联接装置和相对于另一个杆段的枢转运动,例如一个杆段在第一平面中的枢转运动和另一个杆段的枢转运动 在垂直于第一平面的第二平面中。 连接器(172)也可以是可弯曲的或柔性的。 在这种形式中,连接器(172)允许在使用期间在相关联的脊柱杆段之间进行有限的弯曲,弯曲或成角度。 此外,脊椎杆段的末端可以构造成防止或限制脊椎杆段的旋转。 配置的端部可以与联接装置协作以实现旋转运动的限制。
    • 3. 发明申请
    • STRUCTURE FOR JOINING AND RETAINING MULTI-PART ORTHOPEDIC IMPLANTS
    • 用于加工和保留多部分对位植入物的结构
    • WO2007098188A3
    • 2008-01-31
    • PCT/US2007004482
    • 2007-02-21
    • LIFE SPINE INCBUTLER MICHAEL SMILELLA MICHAEL J JR
    • BUTLER MICHAEL SMILELLA MICHAEL J JR
    • A61F2/30
    • A61F2/4465A61B17/7059A61F2002/30331A61F2002/3038A61F2002/305A61F2002/30604A61F2002/30772A61F2002/30904A61F2002/448A61F2220/0025A61F2220/0033
    • An orthopedic implant structure is provided for joining and retaining components of a multi-part orthopedic device. The orthopedic implant joining and retaining structure may be embodied in two or more components of the multi-part orthopedic device. In one form, the multi-part orthopedic implant structure is a resilient snap structure (36) such as a resilient flange (50) in one part (12a) and a channel structure (34) formed in another part (12b) of an orthopedic implant (10). A channel (40) of the channel structure (34) may have a cavity (42) formed at a rear of the channel (40) that accepts a configured lip (52) formed on an end of the resilient flange (50). According to another embodiment, the retaining structure includes resilient snap flanges (202) formed on an interconnection component (166) of the multi part orthopedic implant (160). A corresponding bore (198) in another part (164) of the multi-part orthopedic implant (160) receives the interconnection component (166).
    • 提供矫形植入物结构用于连接和保持多部分矫形装置的部件。 矫形植入物接合和保持结构可以体现在多部分矫形装置的两个或更多个部件中。 在一种形式中,多部分矫形植入物结构是弹性卡扣结构(36),例如在一个部分(12a)中的弹性凸缘(50)和形成在矫形外科的另一部分(12b)中的通道结构(34) 植入物(10)。 通道结构(34)的通道(40)可以具有形成在通道(40)的后部的空腔(42),该空腔接纳形成在弹性凸缘(50)的端部上的构造的唇缘(52)。 根据另一个实施例,保持结构包括形成在多部件矫形植入物(160)的互连部件(166)上的弹性卡扣凸缘(202)。 多部分整形外科植入物(160)的另一部分(164)中的对应孔(198)接收互连部件(166)。
    • 5. 发明申请
    • STENOTIC DEVICE
    • WO2007133608A3
    • 2008-12-04
    • PCT/US2007011251
    • 2007-05-09
    • LIFE SPINE INCBUTLER MICHAEL SMILELLA MICHAEL J JR
    • BUTLER MICHAEL SMILELLA MICHAEL J JR
    • A61B17/70
    • A61B17/7062A61B17/70
    • A spinal implant (50) is configured to be received between bony spinal protrusions of adjacent vertebrae. The spinal implant (50) may be used interlaminar, interbody or interbony protrusion. The present bony spinal protrusion spacer (50) is not fixed to any bony structures of the vertebrae and, as such, use of the present bony spinal protrusion spacer (50) does not result in fusion. It may therefore be removed if necessary. Attachment structures (70) formed as part of the bony spinal protrusion spacer (50) receive and engage portions of adjacent bony protrusions. In this manner, appropriate and/or desired spacing between adjacent vertebrae is maintained: As such, the present bony spinal protrusion spacer (50) is designed to remain safely and permanently in place without attaching to the bone or ligaments of the back.
    • 脊柱植入物(50)构造成被接收在相邻椎骨的骨脊柱突起之间。 脊椎植入物(50)可以用于层间,体间或椎间突出。 本发明的骨脊柱突出间隔物(50)不固定到椎骨的任何骨结构,因此使用本发明的骨脊柱突出间隔物(50)不会导致融合。 因此如果需要,可以将其移除。 形成为骨髓脊突起间隔物(50)的一部分的附接结构(70)接收和接合相邻的骨突起的部分。 以这种方式,保持相邻椎骨之间的适当和/或期望的间隔。因此,本发明的骨脊柱突出间隔物(50)被设计成保持安全且永久地就位,而不附着在背部的骨骼或韧带上。
    • 6. 发明申请
    • CERVICAL AND LUMBAR SPINAL INTERBODY DEVICES
    • 颈椎和脊柱脊柱间接装置
    • WO2008033489A2
    • 2008-03-20
    • PCT/US2007019974
    • 2007-09-14
    • LIFE SPINE INCBUTLER MICHAEL SMILELLA MICHAEL J JR
    • BUTLER MICHAEL SMILELLA MICHAEL J JR
    • A61F2/44
    • A61F2/447A61F2/30771A61F2/4465A61F2/4611A61F2002/30112A61F2002/30593A61F2002/30622A61F2002/30784A61F2002/30904A61F2002/4475A61F2002/448A61F2230/0004
    • Lumbar and cervical interbody or intervertebral devices for implantation between adjacent vertebrae of a spine and/or within intermediary canals of long bones are characterized by a body (12) defining a superior end (22) and an inferior end (24) whose surfaces have serrations or teeth (23, 25) thereon forming anti-backout structures that allow implantation of the body (12) but inhibit removal or backing out therefrom. The one-way structures (23, 25) may extend from the anterior end (14) to the posterior end (16). The one-way structures (23, 25) may take different shapes but are always configured to allow insertion of the interbody device in an anterior-first manner while preventing and/or inhibiting the interbody device from backing out posteriorly. The various interbody devices may be further characterized by a body (12) defining a cavity (56) that is in communication with the superior and inferior ends (22, 24) of the body (12) and at least one lateral side (18, 20) thereof via openings in the body (12). Undercuts (44, 46) are formed in the body about the adjacent the openings in order to support bony ingrowth within the void.
    • 用于在脊椎的相邻椎骨之间和/或在长骨的中间运河之间植入的腰椎和颈椎间体或椎间装置的特征在于限定上表面(22)和下端(24)的主体(12),所述上端和下端(24)的表面具有锯齿 或其上的齿(23,25)形成允许植入体(12)但抑制其移除或退出的防止返回结构。 单向结构(23,25)可以从前端(14)延伸到后端(16)。 单向结构(23,25)可以采取不同的形状,但是总是被配置为允许以先前的方式插入体内装置,同时防止和/或抑制体内装置向后退出。 各种体间装置的特征还在于,本体(12)限定与主体(12)的上端和下端(22,24)连通的空腔(56),并且至少一个侧面 20)通过主体(12)中的开口。 底部(44,46)围绕邻近的开口形成在主体中,以便支撑空隙内的骨向内生长。
    • 7. 发明申请
    • PEDICLE SCREW CONSTRUCTS FOR SPINE FIXATION SYSTEMS
    • 螺旋固定系统的螺旋螺旋结构
    • WO2005070165A3
    • 2005-12-01
    • PCT/US2005000898
    • 2005-01-13
    • LIFE SPINE LLCBUTLER MICHAEL SYOUSSEF JIM AHILIBRAND ALAN S
    • BUTLER MICHAEL SYOUSSEF JIM AHILIBRAND ALAN S
    • A61B17/56A61B17/58A61B17/70
    • A61B17/7038A61B17/7032A61B17/7034A61B17/7037
    • A pedicle screw coupling construct (31, 120, 140, 191, 260) for a pedicle screw construct (30, 190, 286) provides fixation of angular orientation (beta, gamma, theta) thereof relative to a pedicle screw (32) independent of fixation of a received spinal rod (25, 170, 250, 280) to the coupling construct (31, 120, 140, 191, 260). The pedicle screw construct (30, 190, 286) forms one component or element in a spinal fixation system. The independent fixation coupling construct also provides for fixation of the angular orientation of the coupling construct while the coupling construct has received the spinal rod. In another form, a coupling head or construct (31, 120, 140, 191, 260) is configured to allow a pedicle screw shaft (42) to pass therethrough but retain the pedicle screw head (44) for rotation of the coupling head about the pedicle screw head. The coupling head or construct (31, 120, 140, 191, 260) is also configured to allow at least a 45° arc of pivot or articulation about a pedicle screw shaft (42) relative to a longitudinal axis of a spinal rod (25, 170, 250, 280) received in the body. This allows the head with a received spinal rod to fold, bend or pivot relative to the pedicle screw shaft, particularly to a greater degree than the prior art.
    • 用于椎弓根螺钉构造(30,190,286)的椎弓根螺钉联接结构(31,120,140,​​191,260)提供了相对于椎弓根螺钉(32)独立的角度取向(β,γ,θ)的固定 将接收的脊柱杆(25,170,250,280)固定到所述联接构件(31,120,140,​​191,260)上。 椎弓根螺钉构造(30,190,286)在脊柱固定系统中形成一个组件或元件。 独立的固定联接构造还提供了联接结构的角度定向的固定,同时联接构件已经接收脊椎杆。 在另一种形式中,联接头或构造体(31,120,140,​​191,260)构造成允许椎弓根螺钉轴(42)穿过其中,但是保持椎弓根螺钉头(44)以使联接头围绕 椎弓根螺钉头。 联接头或构造体(31,120,140,​​191,260)还构造成允许相对于脊柱杆(25)的纵轴允许围绕椎弓根螺钉轴(42)的枢转或关节的至少45°弧 ,170,250,280)。 这允许具有接收的脊柱杆的头部相对于椎弓根螺钉轴折叠,弯曲或枢转,特别是比现有技术更大的程度。
    • 9. 发明申请
    • STATIC & DYNAMIC CERVICAL PLATES AND CERVICAL PLATE CONSTRUCTS
    • 静态动态板和板式结构
    • WO2005062902A3
    • 2005-12-29
    • PCT/US2004043172
    • 2004-12-22
    • LIFE SPINE LLCBUTLER MICHAEL SWANG JEFFREY C
    • BUTLER MICHAEL SWANG JEFFREY C
    • A61B17/56A61B17/58A61B17/70A61B17/80
    • A61B17/8047A61B17/7059A61B17/8023A61B17/8042
    • A cervical bone plate includes a graft window that allows access to and/or visualization of a bone graft area of the cervical spine after attachment of the present cervical plate to the vertebrae. The window is preferably, but not necessarily, sized for maximum exposure of the graft area and/or the vertebral body without compromising plate strength, particularly with respect to federal standards for such devices. The window is centrally positioned on the plate and is sized to provide alignment of the plate onto the vertebrae at the base of the vertebra fastener or screw holes of the plate. In a dynamic form of this cervical bone plate, the graft window expands and contracts with respective expansion and contraction of the dynamic plate after attachment to the vertebrae (i.e. "dynamizes"). In another form, a three­component dynamic bone plate is configured such that a middle component accepts an identical end component at both ends of the middle component. The end component is a 180° interchangeable part. The middle component and the end component have cooperating configurations and complementarily configured grooves that allow sliding movement between the middle component and the end components. A two-pillar construction provides a central window.
    • 宫颈骨板包括移植窗口,其在将本颈椎板附接到椎骨之后允许进入和/或可视化颈椎骨移植区域。 窗口优选地但不是必须的,以适应移植区域和/或椎体的最大暴露尺寸,而不损害板的强度,特别是对于这种装置的联邦标准。 窗口位于板的中心位置,其尺寸适于提供板在椎骨紧固件的底部或板的螺钉孔的椎骨上的对准。 在这种宫颈骨板的动态形式中,移植物窗口在附着到椎骨之后(即“动态化”),随动态板的各自的膨胀和收缩而膨胀和收缩。 在另一种形式中,三组分动态骨板被配置为使得中间部件在中间部件的两端接受相同的端部部件。 端部部件是180°可互换部件。 中间部件和端部部件具有配合构造和互补配置的凹槽,允许中间部件和端部部件之间滑动。 一个双柱建筑提供了一个中心窗口。