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1. 发明申请

WO2008057506A3 SYSTEMS AND METHODS FOR POSTERIOR DYNAMIC STABILIZATION OF THE SPINE 审中-公开
公开(公告)号：WO2008057506A3
公开(公告)日：2008-05-15
申请号：PCT/US2007/023312
申请日：2007-11-06
申请人： VERTIFLEX, INC. , TEBBE, Shawn , ALTARAC, Moti , KIM, Daniel, H.
发明人： TEBBE, Shawn , ALTARAC, Moti , KIM, Daniel, H.
IPC分类号： A61F2/30
摘要： Devices, systems and methods for dynamically stabilizing the spine are provided. The devices include an expandable spacer having an undeployed configuration and a deployed configuration, wherein the spacer has axial and radial dimensions for positioning between the spinous processes of adjacent vertebrae. The systems include one or more spacers and a mechanical actuation means for delivering and deploying the spacer. The methods involve the implantation of one or more spacers within the interspinous space.

2. 发明申请

WO2007075788A2 SYSTEMS AND METHODS FOR POSTERIOR DYNAMIC STABILIZATION OF THE SPINE 审中-公开
标题翻译：系统和方法后向动态稳定的脊柱
公开(公告)号：WO2007075788A2
公开(公告)日：2007-07-05
申请号：PCT/US2006/048611
申请日：2006-12-20
申请人： VERTIFLEX, INC. , ALTARAC, Moti , TEBBE, Shawn , FLAHERTY, Christopher, J.
发明人： ALTARAC, Moti , TEBBE, Shawn , FLAHERTY, Christopher, J.
IPC分类号： A61F2/30
CPC分类号： A61B17/7065 , A61B17/0206 , A61B17/025 , A61B17/1671 , A61B17/1697 , A61B17/1757 , A61B17/3421 , A61B17/56 , A61B17/7062 , A61B17/7067 , A61B17/7068 , A61B17/848 , A61B17/8866 , A61B17/8897 , A61B2017/00004 , A61B2017/0023 , A61B2017/00261 , A61B2017/00557 , A61B2017/0256 , A61B2090/033 , A61B2090/034 , A61B2090/062 , A61F2/0077
摘要： Devices, systems and methods for dynamically stabilizing the spine are provided. The devices include an expandable spacer having an undeployed configuration and a deployed configuration, wherein the spacer has axial and radial dimensions for positioning between the spinous processes of adjacent vertebrae. The systems include one or more spacers and a mechanical actuation means for delivering and deploying the spacer. The methods involve the implantation of one or more spacers within the interspinous space.
摘要翻译：提供了用于动态稳定脊柱的装置，系统和方法。该装置包括具有未展开构型和展开构型的可扩张隔离物，其中隔离物具有用于在相邻椎骨的棘突之间定位的轴向和径向尺寸。该系统包括一个或多个间隔件和用于输送和展开间隔件的机械致动装置。这些方法涉及在棘突间空间内植入一个或多个间隔物。

3. 发明申请

WO2009033093A1 INTERSPINOUS SPACER 审中-公开
公开(公告)号：WO2009033093A1
公开(公告)日：2009-03-12
申请号：PCT/US2008/075487
申请日：2008-09-05
申请人： VERTIFLEX, INC. , ALTARAC, Moti , TEBBE, Shawn , REGLOS, Joey Camia , CHENG, Yang
发明人： ALTARAC, Moti , TEBBE, Shawn , REGLOS, Joey Camia , CHENG, Yang
IPC分类号： A61F2/44 , A61B17/56
CPC分类号： A61B17/7065
摘要： 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.
摘要翻译：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。

4. 发明申请

WO2008130564A1 INTERSPINOUS SPACER 审中-公开
公开(公告)号：WO2008130564A1
公开(公告)日：2008-10-30
申请号：PCT/US2008/004901
申请日：2008-04-16
申请人： VERTIFLEX INC. , ALTARAC, Moti , TEBBE, Shawn
发明人： ALTARAC, Moti , TEBBE, Shawn
IPC分类号： A61F2/44 , A61B17/56
CPC分类号： A61B17/7067 , A61B17/7065 , A61B2017/00004 , A61B2017/00557 , A61F2/0077
摘要： 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.
摘要翻译：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。

5. 发明申请

WO2009094463A2 DILATOR 审中-公开
标题翻译：扩张器
公开(公告)号：WO2009094463A2
公开(公告)日：2009-07-30
申请号：PCT/US2009/031710
申请日：2009-01-22
申请人： VERTIFLEX, INC. , TEBBE, Shawn , ALTARAC, Moti , CHENG, Yang
发明人： TEBBE, Shawn , ALTARAC, Moti , CHENG, Yang
IPC分类号： A61M29/02 , A61M29/00
CPC分类号： A61M29/00 , A61B17/025 , A61B17/3209 , A61B17/32093 , A61B17/3421 , A61B2017/00261 , A61B2017/0256 , A61B2017/320056 , A61B2017/346
摘要： A dilator that facilitates implantation of an interspinous spacer is provided. The dilator includes a proximal portion and a tapered distal portion interconnected by an elongated body portion. The tapered distal portion is ideally suited for splitting ligamentous tissue for creating a posterior midline pathway through the supraspinous ligament as well as for distracting the adjacent spinous processes. Two oppositely located and longitudinally extending channels or grooves are formed in the outer surface of the dilator for stabilizing the dilator with respect to the spinous processes. An accompanying cannula together with the dilator form a system for the distraction of the adjacent spinous processes, stabilization of the spinous processes with respect to the system and creation of a working channel for the implantation of an interspinous spacer.
摘要翻译：提供了有利于植入椎间间隔垫的扩张器。扩张器包括通过细长主体部分互连的近端部分和锥形远端部分。锥形远端部分理想地适用于分裂韧带组织，以产生通过上棘韧带的后中线通路，以及分散相邻棘突的分心。在扩张器的外表面中形成两个相对定位且纵向延伸的通道或凹槽，用于相对于棘突稳定扩张器。伴随的插管与扩张器一起形成用于分散相邻棘突的系统，相对于系统的棘突的稳定性和用于植入椎间间隔垫的工作通道的产生。

6. 发明申请

WO2009014728A2 INTERSPINOUS SPACER 审中-公开
标题翻译：间谍间谍
公开(公告)号：WO2009014728A2
公开(公告)日：2009-01-29
申请号：PCT/US2008/008983
申请日：2008-07-24
申请人： VERTIFLEX, INC. , ALTARAC, Moti , TEBBE, Shawn , REGLOS, Joey, Camia , CHENG, Yang , KADABA, Murali, P. , KIM, Daniel, H.
发明人： ALTARAC, Moti , TEBBE, Shawn , REGLOS, Joey, Camia , CHENG, Yang , KADABA, Murali, P. , KIM, Daniel, H.
IPC分类号： A61B17/58 , A61F2/44
CPC分类号： A61B17/7062 , A61B17/7065 , A61B2017/00004 , A61B2017/00557 , A61F2/0077
摘要： An implantable spacer for placement between adjacent spinous processes in a spinal motion segment is provided. The spacer includes a body defining a longitudinal axis and 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 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 configuration to a deployed configuration. In the deployed configuration, the distracted adjacent spinous processes are seated in the U-shaped portion of the arms.
摘要翻译：提供了用于放置在脊柱运动节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轴线和通道的主体。第一臂和第二臂连接到身体。每个臂具有一对延伸部和鞍座，该鞍座限定用于将棘突安置在其中的U形构造。每个臂具有近侧凸起表面并且能够相对于身体旋转。致动器组件布置在通道内并连接到本体。当推进时，致动器组件的螺纹轴接触臂的凸轮表面以将它们从未展开构型旋转到展开构型。在展开配置中，分散的相邻棘突坐落在手臂的U形部分中。

7. 发明申请

WO2008048645A2 MINIMALLY INVASIVE TOOLING FOR DELIVERY OF INTERSPINOUS SPACER 审中-公开
标题翻译：微量进刀工具用于传递相间间隔物
公开(公告)号：WO2008048645A2
公开(公告)日：2008-04-24
申请号：PCT/US2007/022171
申请日：2007-10-17
申请人： VERTIFLEX, INC. , ALTARAC, Moti , GUTIERREZ, Robert , TEBBE, Shawn , KIM, Daniel, H. , FLAHERTY, J., Christopher
发明人： ALTARAC, Moti , GUTIERREZ, Robert , TEBBE, Shawn , KIM, Daniel, H. , FLAHERTY, J., Christopher
IPC分类号： A61B17/56
CPC分类号： A61B17/7065 , A61B17/0206 , A61B17/025 , A61B17/1671 , A61B17/1697 , A61B17/1757 , A61B17/3421 , A61B17/7062 , A61B17/7067 , A61B17/848 , A61B17/8866 , A61B17/8897 , A61B2017/00004 , A61B2017/0023 , A61B2017/00261 , A61B2017/00557 , A61B2017/0256 , A61B2090/033 , A61B2090/034 , A61B2090/062 , A61F2/0077
摘要： A plurality of individual tools is provided where each tool is uniquely configured to perform a step or a portion of a step in a novel procedure associated with the implantation of a stabilizing device (e.g., an interspinous spacer) for stabilizing at least one spinal motion segment. The tools are usable individually, or more preferably as a tooling system in which the tools are collectively employed to implant an interspinous spacer, generally in a minimally invasive manner. For example, each of the tools is arranged with coordinated markings and/or other features to ensure consistent depths of insertion, proper orientation of the tools with respect to each other or an anatomical feature of the patient, and precise delivery of the spacer to maintain safe positioning throughout the implantation procedure.
摘要翻译：提供多个单独的工具，其中每个工具被独特地配置为执行与植入稳定装置（例如，棘突间间隔物）相关的新手术中的步骤或步骤的一部分，用于稳定至少一个脊柱运动节段。所述工具可单独使用，或者更优选作为工具系统，其中工具通常以微创方式共同用于植入椎间间隔件。例如，每个工具被布置有协调的标记和/或其他特征以确保一致的插入深度，工具相对于彼此的适当定向或患者的解剖特征，并且精确递送间隔件以维持在整个植入过程中安全定位。

8. 发明申请

WO2007075791A2 MINIMALLY INVASIVE TOOLING FOR DELIVERY OF INTERSPINOUS SPACER 审中-公开
标题翻译：最小的入侵工具用于交付间距
公开(公告)号：WO2007075791A2
公开(公告)日：2007-07-05
申请号：PCT/US2006/048614
申请日：2006-12-20
申请人： VERTIFLEX, INC. , ALTARAC, Moti , TEBBE, Shawn , FLAHERTY, Christopher, J.
发明人： ALTARAC, Moti , TEBBE, Shawn , FLAHERTY, Christopher, J.
IPC分类号： A61F2/30
CPC分类号： A61B17/7065 , A61B17/0206 , A61B17/025 , A61B17/1671 , A61B17/1697 , A61B17/1757 , A61B17/3421 , A61B17/7062 , A61B17/848 , A61B17/8866 , A61B17/8897 , A61B90/39 , A61B2017/00004 , A61B2017/0023 , A61B2017/00261 , A61B2017/00557 , A61B2017/0256 , A61B2017/681 , A61B2090/033 , A61B2090/034 , A61B2090/062 , A61F2/0077
摘要： A plurality of individual tools is provided where each tool is uniquely configured to perform a step or a portion of a step in a novel procedure associated with the implantation of a stabilizing device (e.g., an interspinous spacer) for stabilizing at least one spinal motion segment. The tools are usable individually, or more preferably as a tooling system in which the tools are collectively employed to implant an interspinous spacer, generally in a minimally invasive manner. For example, each of the tools is arranged with coordinated markings and/or other features to ensure consistent depths of insertion, proper orientation of the tools with respect to each other or an anatomical feature of the patient, and precise delivery of the spacer to maintain safe positioning throughout the implantation procedure.
摘要翻译：提供了多个单独的工具，其中每个工具被独特地构造成执行与植入稳定装置（例如椎间间隔垫）相关联的新颖程序中的步骤或步骤的一部分，用于稳定至少一个脊柱运动段。工具可以单独使用，或更优选地用作工具系统，其中工具被集体用于植入椎间间隔垫，通常以微创方式。例如，每个工具被布置成具有协调的标记和/或其他特征，以确保插入的一致深度，工具相对于彼此的适当取向或患者的解剖特征，以及间隔物的精确传递以维持整个植入过程中的安全定位。

9. 发明申请

WO2009114479A2 INTERSPINOUS PROCESS SPACER INSTRUMENT SYSTEM WITH DEPLOYMENT INDICATOR 审中-公开
标题翻译：具有部署指示器的互动过程间隔仪器系统
公开(公告)号：WO2009114479A2
公开(公告)日：2009-09-17
申请号：PCT/US2009/036561
申请日：2009-03-09
申请人： VERTIFLEX, INC. , TEBBE, Shawn , ALTARAC, Moti , KIM, Daniel H.
发明人： TEBBE, Shawn , ALTARAC, Moti , KIM, Daniel H.
IPC分类号： A61B17/70 , A61F2/44 , A61B17/88
CPC分类号： A61B17/7065
摘要： 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.
摘要翻译：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。

10. 发明申请

WO2009091922A2 INTERSPINOUS SPACER 审中-公开
公开(公告)号：WO2009091922A2
公开(公告)日：2009-07-23
申请号：PCT/US2009/031150
申请日：2009-01-15
申请人： VERTIFLEX, INC. , ALTARAC, Moti , TEBBE, Shawn , KIM, Daniel, H.
发明人： ALTARAC, Moti , TEBBE, Shawn , KIM, Daniel, H.
IPC分类号： A61F2/44 , A61F2/30
CPC分类号： A61B17/7067 , A61B17/7065 , A61B17/7076
摘要： 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.
摘要翻译：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。

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