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    • 7. 发明公开
    • Composite spinal apparatus
    • Wirbelsäulenapparataus Verbundstoff。
    • EP0637437A1
    • 1995-02-08
    • EP94303110.4
    • 1994-04-28
    • SMITH & NEPHEW RICHARDS, INC.
    • Small, Laura C.Swain III, Robert E.
    • A61B17/56
    • A61B17/701A61B17/7007
    • A composite surgical spinal fixation system including a bone bolt (11) having end portions (12) that are adapted to be surgically implanted into a patient's spine at first and second spaced apart positions and a central portion of the bone bolt defining a load transfer surface, the bone bolt having a second upper threaded section (14) for threadably receiving a nut (16) at a shaped, countersunk interface (42). As an alternate embodiment, a bone screw provides an upper enlarged head (46) with a lower coarsely threaded shank (44). A composite plate (17) having upper and lower surfaces and outer opposed edges is provided with an elongated slot (20) for accommodating a selected bone bolt or bone screw. The plate edges carry fine adjustments (27,28) extending between the upper and lower surfaces of the plate and a load transfer washer (35) interfaces the plate and the selected bone bolt or bone bolt (or screw) to the plate. The composite plate adopts a curved configuration via asymmetric ply lamination or by melt-forming. The curvature of the plate is dictated by the natural lordotic curvature of the patient's spine. The plate is comprised of either a plurality of laminal arranged in a specific ply sequence or a plurality of fibers or tows arranged through winding and/or placement. Electrochemical compatibility with the composite plate is ensured by careful selection of the materials comprising the attachment means and the washer mechanism.
    • 一种复合外科脊柱固定系统,包括具有端部(12)的骨螺栓(11),所述骨螺栓适于在第一和第二间隔开的位置处被外科手术地植入患者的脊柱中,并且所述骨螺栓的中心部分限定载荷传递表面 所述骨螺栓具有第二上螺纹部分(14),用于在成形的埋头接口(42)处螺纹地接收螺母(16)。 作为替代实施例,骨螺钉提供具有下部粗螺纹柄部(44)的上部扩大头部(46)。 具有上表面和下表面和外相对边缘的复合板(17)设置有用于容纳选定的骨螺栓或骨螺钉的细长槽(20)。 平板边缘带有在板的上表面和下表面之间延伸的精细调节(27,28),并且载荷传递垫圈(35)将板和选定的骨螺栓或骨螺栓(或螺钉)接合到板。 复合板通过不对称层叠或熔融成型采用弯曲结构。 板的曲率由患者脊柱的天然脊索曲率决定。 该板由布置成特定帘布层序列的多个层板或通过缠绕和/或放置布置的多个纤维或丝束组成。 通过仔细选择包括附接装置和垫圈机构的材料来确保与复合板的电化学相容性。
    • 9. 发明公开
    • Instruments for performing arthroscopic spinal surgery
    • 仪器进行关节镜脊椎手术。
    • EP0614647A3
    • 1994-12-28
    • EP94301639.4
    • 1994-03-08
    • SMITH & NEPHEW RICHARDS, INC.
    • Shapiro, David E.
    • A61B17/34A61B17/32
    • A61B17/1611A61B17/1671A61B17/1675A61B17/1684A61B17/3421A61B2017/00261A61B2017/292A61B2017/320078A61F2/3662
    • A method and apparatus for performing an arthroscopic spinal laminectomy or similar surgical procedure includes a plurality of cannulas which are individually inserted, in a predetermined sequence, into predetermined areas of a patient's spinal column. The first inserted cannula (78) has a tissue manipulating surface (20) thereon which is used to create a working space adjacent a predetermined area of the patient's spinal column. A viewing device is inserted through this cannula and the fluid used in association therewith is used to maintain the working space. The second and third cannulas (88) are larger in size and are working cannulas in that they provide passageways for instruments used in the surgical procedure. The second and third cannulas are utilised by the surgeon to sequentially remove a portion of the ligaments flavum necessary to expose the desired area of the patient's spinal bone and, if necessary, to remove any portion of bone necessary to expose the nerve and disc area. The nerves are then moved and the sequestered portion of the disc is removed, all utilising the cannulas as passageways to perform the surgical procedure. In addition to a cannula which has a tissue manipulating surface thereon, the invention includes a rongeur having a cross section shaped to pass through a cannula and with a suction connection therefor so that whatever body tissue and/or bone fragments are cut by the rongeur may be removed by suction through the passageways created by the cannula.