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    • 15. 发明授权
    • Device for linking adjacent rods in spinal instrumentation
    • 用于连接脊柱器械中的相邻杆的装置
    • US06402751B1
    • 2002-06-11
    • US09613406
    • 2000-07-11
    • James Van HoeckDenis S. DrummondDavid L. BrumfieldM. Neil AndersonMichael C. Sherman
    • James Van HoeckDenis S. DrummondDavid L. BrumfieldM. Neil AndersonMichael C. Sherman
    • A61B1758
    • A61B17/7052A61B17/7049
    • One embodiment of a spinal fixation system 10 including a pair of longitudinal members 11, 12 positionable adjacent the spine, means for engaging longitudinal members to the spine 13, 14, a pair of wedge members 16 each having a bearing surface 38 configured to bear on a longitudinal member 11, 12, and a connector 20 configured to span a distance between the longitudinal members 11, 12. The connector 20 includes a pair of engaging members 25, 26 each having a fixation surface 33 and a connecting surface 30, and a bridge member 21 attached to the connecting surfaces 30. The engaging members 25, 26 each define a thru-hole 35 for receiving one of the wedge members 16. The thru-holes 35 are aligned so that wherein one of the wedge members 16 is advanced through the thru-hole 35, the bearing surface 38 will bear on a corresponding longitudinal member 11, 12 to force the longitudinal member 11, 12 into contact with the fixation surface 33 and engage the longitudinal member 11, 12 to the connector 20.
    • 脊柱固定系统10的一个实施例,其包括可邻近脊柱定位的一对纵向构件11,12,用于将纵向构件接合到脊柱13,14的一对楔形构件16,每个楔形构件16具有构造成承受 纵向构件11,12和连接器20构造成跨越纵向构件11,12之间的距离。连接器20包括一对接合构件25,26,每个接合构件具有固定表面33和连接表面30,并且 桥接构件21附接到连接表面30.接合构件25,26各自限定用于容纳楔形构件16中的一个的通孔35.通孔35对准,使得楔形构件16中的一个前进 通过通孔35,支承表面38将承载在相应的纵向构件11,12上,以迫使纵向构件11,12与固定表面33接触,并将纵向构件11,12与接头 演员20。
    • 16. 发明授权
    • Superelastic spinal stabilization system and method
    • 超弹性脊柱稳定系统及方法
    • US06293949B1
    • 2001-09-25
    • US09516946
    • 2000-03-01
    • Jeff R. JustisMichael C. Sherman
    • Jeff R. JustisMichael C. Sherman
    • A61B1756
    • A61B17/7011A61B17/70A61B17/7059A61B17/8042A61B2017/00867A61F2002/30092A61F2002/449A61F2210/0014Y10S606/91Y10S606/911
    • A device for stabilizing at least a portion of the spinal column, including a longitudinal member sized to span a distance between at least two vertebral bodies and being at least partially formed of a shape-memory material exhibiting pseudoelastic characteristics at about human body temperature. A number of bone anchors are used to secure the longitudinal member to each of the vertebral bodies. The longitudinal member is reformed from an initial configuration to a different configuration in response to the imposition of stress caused by relative displacement between the vertebral bodies, and recovers toward the initial configuration when the stress is removed to thereby provide flexible stabilization to the spinal column. During reformation of the longitudinal member, at least a portion of the shape-memory material transforms into stress-induced martensite. In a particular aspect of the invention, the longitudinal member is a plate having a central portion at least partially formed of the shape-memory material, and a pair of connection portions disposed at opposite ends of the central portion for connection to each of the vertebral bodies. The central portion of the plate defines a number of alternating ridges and grooves along a length thereof having an initial amplitude corresponding to the initial configuration and a different amplitude corresponding to the different configuration.
    • 一种用于稳定脊柱的至少一部分的装置,包括纵向构件,所述纵向构件的尺寸设置为跨越至少两个椎体之间的距离,并且至少部分地由在大约人体温度下显示假弹性特征的形状记忆材料形成。 使用许多骨锚来将纵向构件固定到每个椎体。 响应于施加由椎体之间的相对位移引起的应力而将纵向构件从初始构型重新形成为不同的构造,并且当应力被移除时朝向初始构型恢复,从而向脊柱提供柔性稳定性。 在纵向构件的改造期间,形状记忆材料的至少一部分转变为应力诱导马氏体。 在本发明的特定方面中,纵向构件是具有至少部分地由形状记忆材料形成的中心部分的板,以及设置在中心部分的相对端部处的一对连接部分,用于连接到每个脊椎 身体。 板的中心部分沿着其长度限定了多个交替的脊和槽,其具有对应于初始构型的初始幅度和对应于不同配置的不同幅度。
    • 17. 发明授权
    • Orthopedic fixation device and method of implantation
    • 骨科固定装置及植入方法
    • US6146384A
    • 2000-11-14
    • US542603
    • 1995-10-13
    • Casey K. LeeRobert A. FarrisBradley I. CoatesMichael C. Sherman
    • Casey K. LeeRobert A. FarrisBradley I. CoatesMichael C. Sherman
    • A61B17/16A61B17/80A61B17/86A61B17/68
    • A61B17/8038A61B17/1604A61B17/8625A61B17/8047
    • and methods for attaching an implant to bone are disclosed. In one embodiment, the device 10 includes an elongated stud 15 defining an engaging surface 16 and a foot 20 projecting outwardly from an end 18 of the stud 15. The foot 20 is receivable through an opening O in the cortical layer R of the bone B and includes an upper surface 21 for contacting an internal surface R' of the cortical layer R. A fastener 25 is provided for engaging the engaging surface 16 of the stud 15, having a surface 29 for bearing against the implant I to clamp the implant I to the bone B when the fastener 25 is engaged to the engaging surface 16 of the stud 15 and the foot 20 is received in the opening O. In another embodiment, the apparatus 30 includes a number of additional studs 31 which are extendable together through the opening O. A wedge 36 can be provided to clamp the multiple studs within the bone opening.
    • 并公开了将植入物附着到骨骼上的方法。 在一个实施例中,装置10包括限定接合表面16的细长螺柱15和从螺柱15的端部18向外突出的脚部20.脚20可通过骨B的皮质层R中的开口O接收 并且包括用于接触皮质层R的内表面R'的上表面21.提供紧固件25用于接合螺柱15的接合表面16,具有用于支承植入物I的表面29以夹紧植入物I 当紧固件25接合到螺柱15的接合表面16并且脚20被容纳在开口O中时,到骨骼B上。在另一个实施例中,装置30包括多个附加的螺柱31,其可以通过 可以设置楔36以将多个螺柱夹紧在骨头开口内。
    • 18. 发明授权
    • Methods and apparatus for fusionless treatment of spinal deformities
    • 脊柱畸形融合治疗方法与装置
    • US5951553A
    • 1999-09-14
    • US892604
    • 1997-07-14
    • Randall BetzMichael C. ShermanTroy Drewry
    • Randall BetzMichael C. ShermanTroy Drewry
    • A61B17/70A61B17/80
    • A61B17/885A61B17/7044A61B17/8095A61B17/7032A61B17/7041
    • The treatment and correction of spinal deformities, such as scoliosis, is accomplished without the need for fusion of the intervertebral disc space. A surgical technique is provided in which opening and closing osteotomies are created in the affected vertebrae. Correction devices are provided which hold the osteotomies in either their closed or open orientations. The correction devices include staples holding the vertebral body on opposite sides of the body to retain the osteotomies in their desired orientation. In the opening osteotomies, the correction devices include a wedge member that is disposed within the opened wedge osteotomy and in contact with the vertebral body. The correction devices also include connection members which can be used to engage the devices to an elongated member spanning the spine, such as a spinal rod. Once bone union has occurred in the instrumented vertebrae, the spinal rod can be disconnected from the correction devices and removed from the patient. In another aspect of the invention, curvature deformities in two planes can be corrected using the same techniques and devices.
    • 脊柱畸形的治疗和矫正如脊柱侧凸在不需要椎间盘融合的情况下完成。 提供了一种手术技术,其中在受影响的椎骨中产生开闭截骨术。 提供校正装置,其将截骨固定在封闭或敞开的方位。 校正装置包括将身体保持在身体的相对侧上的钉,以将截骨保持在其期望的取向。 在开放性截骨术中,矫正装置包括楔形构件,其设置在开放的楔形截骨中并与椎体接触。 校正装置还包括可用于将装置接合到跨越脊柱的细长构件(例如脊椎杆)的连接构件。 一旦在仪器化的椎骨中发生骨结合,脊柱杆可以与校正装置断开并从患者身上移除。 在本发明的另一方面,可以使用相同的技术和装置来校正两个平面中的曲率畸变。
    • 20. 发明授权
    • Multi-axial bone screw assembly
    • 多轴骨螺钉总成
    • US5885286A
    • 1999-03-23
    • US798872
    • 1997-02-11
    • Michael C. ShermanTroy Drewry
    • Michael C. ShermanTroy Drewry
    • A61B17/58A61B17/70A61B19/00
    • A61B17/7037A61B17/7032A61B2090/037
    • A multi-axial bone engaging fastener assembly includes a bone screw having a partially spherical head. The bone screw head is truncated at an upper surface in which a tool receiving recess is defined. The assembly includes a receiver member including a central bore that defines a tapered recess to receive the head of the bone screw. The bore of the receiver member also defines a channel communicating with the recess and configured to receive a spinal rod therein. A portion of the channel is threaded to receive a set screw above the rod. The assembly also includes a crown member disposed between the rod and the head of the bone screw. As the set screw is tightened into the receiver member, the set screw compresses the rod against the crown member, which presses the head of the bone screw into the tapered recess. In one embodiment, the head of the bone screw includes a flared edge that penetrates at least the crown member as the assembly is tightened. In another embodiment, the bone screw head includes a plurality of circumferential ridges configured to bite into the crown member. In a further aspect, the crown member is threaded to be inserted into the receiver member by threading through the threaded portion of the receiver member.
    • 多轴骨接合紧固件组件包括具有部分球形头部的骨螺钉。 骨螺钉头在限定工具容纳凹部的上表面处被截断。 组件包括接纳件,该接收器构件包括限定用于接收骨螺钉头部的锥形凹部的中心孔。 接收器构件的孔还限定了与凹部连通且被构造成在其中容纳脊柱杆的通道。 通道的一部分被螺纹接纳在杆上方的固定螺钉。 组件还包括设置在杆和骨螺钉的头部之间的冠部构件。 当定位螺钉被紧固到接收器构件中时,定位螺钉将杆压靠在冠部构件上,该冠部件将骨螺钉的头部压入锥形凹槽中。 在一个实施例中,骨螺钉的头部包括当组件被紧固时至少穿过冠部构件的扩口边缘。 在另一个实施例中,骨螺钉头包括构造成咬入冠部构件的多个周向脊。 在另一方面,冠部件通过穿过接收器构件的螺纹部分被螺纹地插入接收器构件中。