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    • 4. 发明申请
    • INTERSPINOUS PROCESS SPACER INSTRUMENT SYSTEM WITH DEPLOYMENT INDICATOR
    • 具有部署指示器的互动过程间隔仪器系统
    • WO2009114479A2
    • 2009-09-17
    • PCT/US2009/036561
    • 2009-03-09
    • VERTIFLEX, INC.TEBBE, ShawnALTARAC, MotiKIM, Daniel H.
    • TEBBE, ShawnALTARAC, MotiKIM, Daniel H.
    • A61B17/70A61F2/44A61B17/88
    • A61B17/7065
    • A percutaneous and minimally invasive instrument system for implanting an interspinous process spacer into a patient is disclosed. The insertion instrument system includes an inserter and a driver. The inserter is configured to releasably clamp to an interspinous process spacer for its delivery, implantation and deployment. The driver is configured for removable insertion into a proximal end of a passageway of the inserter. The driver has a distal spacer engaging portion configured to engage that part of the spacer requiring activation for the deployment of the spacer from at least one undeployed configuration to at least one deployed configuration and vice versa. As the spacer goes from the undeployed to the deployed configuration and vice versa, the system advantageously provides a degree of deployment information to the user via at least one deployment indicator.
    • 公开了一种用于将棘突间间隔物植入患者体内的经皮和微创手术系统。 插入仪器系统包括插入器和驱动器。 插入器构造成可释放地夹紧到棘突间间隔件用于其递送,植入和展开。 驱动器被配置为可移除地插入到插入器的通道的近端中。 驱动器具有远侧间隔件接合部分,其构造成接合需要激活的间隔件的该部分以将间隔件从至少一个未部署构造部署到至少一个部署构造,反之亦然。 当间隔物从未部署到部署配置并且反之亦然时,系统有利地通过至少一个部署指示器向用户提供一定程度的部署信息。
    • 5. 发明申请
    • INTERSPINOUS SPACER
    • WO2009091922A2
    • 2009-07-23
    • PCT/US2009/031150
    • 2009-01-15
    • VERTIFLEX, INC.ALTARAC, MotiTEBBE, ShawnKIM, Daniel, H.
    • ALTARAC, MotiTEBBE, ShawnKIM, Daniel, H.
    • A61F2/44A61F2/30
    • A61B17/7067A61B17/7065A61B17/7076
    • An implantable spacer for placement between adjacent spinous processes in a spinal motion segment is provided. The spacer includes a body defining a longitudinal passageway. A first arm and a second arm are connected to the body. Each arm has a pair of extensions and a saddle defining a receiving portion configured for seating a spinous process of a scoliotic spine or a spine with misaligned spinous processes. Each arm has a proximal caming surface and is capable of rotation with respect to the body. An actuator assembly is disposed inside the passageway and connected to the body. When advanced, a threaded shaft of the actuator assembly contacts the caming surfaces of arms to rotate them from an undeployed to a deployed configuration. In the deployed configuration, the distracted adjacent spinous processes are seated in the superior and inferior arms of the spacer. Variations adapted for scoliotic curves are provided.
    • 提供了用于放置在脊柱运动段中的相邻棘突之间的可植入间隔物。 间隔件包括限定纵向通道的主体。 第一臂和第二臂连接到身体。 每个臂具有一对延伸部和一个鞍座,其限定了一个接收部分,该接收部分构造成用于将脊柱侧凸脊柱或脊柱的棘突与未对准的棘突相配合。 每个臂具有近端凸轮表面并且能够相对于身体旋转。 致动器组件设置在通道内部并连接到主体。 当前进时,致动器组件的螺纹轴接触臂的凸轮表面,以使它们从未部署到展开构型。 在展开的构造中,分散的相邻棘突位于间隔件的上臂和下臂中。 提供适用于脊柱侧凸曲线的变体。
    • 6. 发明申请
    • SPACER INSERTION INSTRUMENT
    • WO2009086010A2
    • 2009-07-09
    • PCT/US2008/087527
    • 2008-12-18
    • VERTIFLEX, INC.ALTARAC, MotiTEBBE, ShawnKIM, Daniel H.
    • ALTARAC, MotiTEBBE, ShawnKIM, Daniel H.
    • A61B17/56A61B17/34
    • A61B17/7074A61B17/025A61B17/7062A61B17/7065A61B17/7067A61B2017/00004A61B2017/0256A61F2/0077
    • A percutaneous and minimally invasive instrument for inserting an interspinous process spacer into a patient is disclosed. The instrument includes a first assembly connected to a handle assembly. The first assembly includes an inner shaft located inside an outer shaft and configured for translational motion with respect to the outer shaft. The relative translational motion causes one of the outer or inner shafts to move with respect to the other and thereby deflect at least one prong formed on one of the inner or outer shafts wherein such deflection causes engagement with a juxtapositioned interspinous spacer. The instrument further includes a driver configured for removable insertion into a proximal end of a passageway of the instrument. The driver has a distal spacer engaging portion configured to engage that part of the spacer requiring activation for deployment of the spacer from an undeployed configuration to a deployed configuration and vice versa.
    • 公开了一种用于将棘突间间隔物插入患者的经皮且微创的器械。 该仪器包括连接到手柄组件的第一组件。 第一组件包括内轴,该内轴位于外轴的内部并且被配置为相对于外轴平移运动。 相对平移运动导致外轴或内轴中的一个相对于另一个移动,并由此偏转形成在内轴或外轴中的一个上的至少一个叉,其中这种偏转导致与并置的棘突间间隔物接合。 器械还包括构造成可移除地插入器械的通道的近端中的驱动器。 驱动器具有远端间隔件接合部分,该远端间隔件接合部分配置成接合需要激活的间隔件的该部分以将间隔件从未展开构型展开到展开构型,反之亦然。
    • 9. 发明申请
    • INTERSPINOUS SPACER
    • WO2009033093A1
    • 2009-03-12
    • PCT/US2008/075487
    • 2008-09-05
    • VERTIFLEX, INC.ALTARAC, MotiTEBBE, ShawnREGLOS, Joey CamiaCHENG, Yang
    • ALTARAC, MotiTEBBE, ShawnREGLOS, Joey CamiaCHENG, Yang
    • A61F2/44A61B17/56
    • A61B17/7065
    • An implantable spacer for placement between adjacent spinous processes is provided. The spacer includes a body and a wing rotatably connected to the body. The wing includes two U-shaped configurations that together define a substantially H-shaped configuration for retaining the spacer between adjacent spinous processes. An actuator assembly is connected to the body and to the wing with the proximal end of the spacer being connectable to a removable driver that is configured to engage the actuator assembly. While connected to the spacer, the driver is rotatable in one direction to deploy the wing from an undeployed to a deployed configuration and in an opposite direction to undeploy the wing. In the deployed configuration, the spacer acts as a space holder opening up the area of the spinal canal, maintaining foraminal height, reducing stress on the facet joints and relieving pain for the patient.
    • 提供了用于放置在相邻棘突之间的可植入间隔物。 间隔件包括主体和可旋转地连接到主体的翼。 机翼包括两个U形构造,其一起限定了用于将间隔件保持在相邻棘突之间的基本上为H形的构型。 致动器组件连接到主体和机翼,其中间隔件的近端可连接到构造成接合致动器组件的可拆卸驱动器。 当连接到间隔件时,驱动器可以在一个方向上旋转,以将机翼从未部署到展开的构造并且沿相反的方向展开以取消部署机翼。 在展开的构造中,间隔件用作开放椎管的区域的空间支架,保持椎间高度,减小小关节上的压力并减轻患者的疼痛。
    • 10. 发明申请
    • INTERSPINOUS SPACER
    • WO2008130564A1
    • 2008-10-30
    • PCT/US2008/004901
    • 2008-04-16
    • VERTIFLEX INC.ALTARAC, MotiTEBBE, Shawn
    • ALTARAC, MotiTEBBE, Shawn
    • A61F2/44A61B17/56
    • A61B17/7067A61B17/7065A61B2017/00004A61B2017/00557A61F2/0077
    • A novel implantable spacer for placement between adjacent spinous processes in a spinal motion segment is provided. The spacer includes a body defining a longitudinal passageway. A first arm and a second arm are connected to the body. Each arm has a pair of extensions and a saddle defining a U-shaped configuration for seating a spinous process therein. Each arm has a proximal camming surface and is capable of rotation with respect to the body. An actuator assembly is disposed inside the longitudinal passageway and connected to the body. When advanced, the actuator assembly contacts the camming surfaces of the arms to rotate them from an undeployed configuration to a deployed configuration. In the deployed configuration, the distracted adjacent spinous processes are seated in the U-shaped portion of the arms providing sufficient distraction to open the neural foramen to relieve pain. An insertion instrument is provided for implanting the interpsinous process spacer. The system is configured for quick implantation through a small percutaneous incision employing minimally invasive techniques.
    • 提供了一种用于在脊柱运动段中相邻棘突之间放置的新型可植入间隔物。 间隔件包括限定纵向通道的主体。 第一臂和第二臂连接到身体。 每个臂具有一对延伸部和鞍形部,其限定用于将棘突放置在其中的U形构造。 每个臂具有近侧凸轮表面并且能够相对于身体旋转。 致动器组件设置在纵向通道内并连接到主体。 当前进时,致动器组件接触臂的凸轮表面,以将其从未部署的配置旋转到部署配置。 在展开的构造中,分散的相邻棘突位于臂的U形部分中,提供足够的分心以打开神经孔以减轻疼痛。 提供插入器械用于植入脉管间隔物。 该系统配置为通过使用微创技术的小型经皮切口进行快速植入。