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11. 发明授权

US08246665B2 Posterior cervical cross connector assemblies 有权
标题翻译：后颈椎交叉连接器组件
公开(公告)号：US08246665B2
公开(公告)日：2012-08-21
申请号：US12645110
申请日：2009-12-22
申请人： Michael S. Butler , Daniel Predick
发明人： Michael S. Butler , Daniel Predick
IPC分类号： A61B17/70 , A61B17/04 , A61B17/86 , A61F2/08
CPC分类号： A61B17/7037 , A61B17/7049 , A61B17/705
摘要： A spinal cross connector head assembly and a cross connector assembly utilizing the spinal cross connector head assembly are configured for fixation to an existing spinal rod bone screw head. The spinal cross connector head assembly has one or more components which incorporate one or more breakaway portions that aid in the installation of the cross connector head assembly onto a polyaxial spinal rod bone screw assembly. The spinal cross connector assembly includes first and second spinal cross connector head assemblies each of which is configured for fixation to existing, adjacent spinal rod screw heads and connection with a cross connector rod. Each spinal cross connector rod head assembly has a dual breakaway system including a cross connector head component having a breakaway collar that, once detached, provides a polyaxial cross connector head, and a set screw component having a breakaway set screw that, once detached, provides fixation of the orientation of the polyaxial cross connector head relative to the polyaxial spinal rod bone screw head.
摘要翻译：脊椎交叉连接器头部组件和利用脊椎交叉连接头组件的交叉连接器组件被构造成用于固定到现有的脊柱杆骨螺钉头部。脊柱交叉连接器头组件具有一个或多个部件，其包括一个或多个分离部分，其有助于将十字连接头组件安装到多轴脊柱骨骨螺钉组件上。脊柱交叉连接器组件包括第一和第二脊柱交叉连接器头部组件，每个构件用于固定到现有的相邻脊柱杆螺钉头并与十字连接器杆连接。每个脊柱交叉连接器杆头组件具有双重分离系统，其包括具有分离套环的十字连接器头部部件，该分离套环一旦被分离，提供多轴交叉连接器头部，以及具有分离式固定螺钉的固定螺钉部件，固定多轴交叉连接器头相对于多轴脊柱杆骨螺钉头的方位。

12. 发明授权

US08182518B2 Static and dynamic cervical plates and cervical plate constructs 有权
标题翻译：静态和动态的宫颈板和宫颈板构造
公开(公告)号：US08182518B2
公开(公告)日：2012-05-22
申请号：US11022504
申请日：2004-12-21
申请人： Michael S. Butler , Jeffrey C. Wang
发明人： Michael S. Butler , Jeffrey C. Wang
IPC分类号： A61B17/80
CPC分类号： A61B17/8047 , A61B17/7059 , A61B17/8023 , A61B17/8042
摘要： 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 three-component 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.
摘要翻译：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。窗口优选地但不一定地被设定成能够最大限度地暴露移植物区域和/或椎体而不损害板的强度，特别是关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。在这种子宫颈骨板的动态形式中，移植窗口在附着到椎骨之后（即“动态化”）的动态板的各自的膨胀和收缩扩张和收缩。在另一种形式中，三分量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。

13. 发明授权

US08172879B2 Resilient spinal rod system with controllable angulation 有权
标题翻译：弹性脊柱杆系统具有可控的角度
公开(公告)号：US08172879B2
公开(公告)日：2012-05-08
申请号：US12196438
申请日：2008-08-22
申请人： Michael S. Butler , Brian D. Hartsell
发明人： Michael S. Butler , Brian D. Hartsell
IPC分类号： A61B17/70
CPC分类号： A61B17/7029 , A61B17/7013
摘要： A spinal rod includes a rod tube formed of a biocompatible material, a spring rod formed of a biocompatible material and having a spring rod portion disposed in the rod tube, the spring rod portion axially movable within the rod tube whereby application of an axial force on the spring rod portion creates axial movement of the spring rod relative to the rod tube causing the spring rod and the rod tube to flex and arch, and a spacer ring radially disposed between the rod tube and the spring rod.
摘要翻译：脊柱杆包括由生物相容性材料形成的棒管，由生物相容性材料形成的弹簧杆，并且具有设置在杆管中的弹簧杆部分，弹簧杆部分可在杆管内轴向移动，由此施加轴向力弹簧杆部分产生弹簧杆相对于杆管的轴向移动，导致弹簧杆和杆管弯曲和弯曲，并且间隔环径向地设置在杆管和弹簧杆之间。

14. 发明授权

US07731751B2 Expandable spinal devices and method of insertion 有权
标题翻译：可扩展的脊柱器官和插入方法
公开(公告)号：US07731751B2
公开(公告)日：2010-06-08
申请号：US11394719
申请日：2006-03-31
申请人： Michael S. Butler , Michael J. Milella, Jr.
发明人： Michael S. Butler , Michael J. Milella, Jr.
IPC分类号： A61F2/44
CPC分类号： A61F2/446 , A61B17/8858 , A61F2/442 , A61F2/447 , A61F2002/30163 , A61F2002/30179 , A61F2002/30428 , A61F2002/30471 , A61F2002/30507 , A61F2002/30523 , A61F2002/3055 , A61F2002/30579 , A61F2002/30594 , A61F2002/30784 , A61F2002/30841 , A61F2002/4415 , A61F2220/0025 , A61F2220/0091 , A61F2230/0028 , A61F2230/0058 , A61F2310/00017 , A61F2310/00023
摘要： A device for insertion into a spinal (intervertebral or intravertebral) space is expandable from a first circumference to a second circumference through axial compression of segments of the device, particularly once the device has been properly situated within a vertebral space. The interbody/intravertebral body device is characterized by a plurality of axially stacked, individual segments that are provided on a central insertion and deployment rod. Each segment includes a central plate or body to which are pivotally attached plate or leaf structures. Pivoting of the structures provides a collapsed or unexpanded position of the first circumference and an open or expanded position of the second circumference.
摘要翻译：用于插入脊椎（椎间或椎间内）空间的装置可以通过装置的段的轴向压缩从第一圆周扩展到第二圆周，特别是一旦该装置已经适当地位于椎骨空间内。体内/椎体内装置的特征在于设置在中心插入和展开杆上的多个轴向堆叠的单个节段。每个部分包括中心板或主体，枢轴连接板或叶结构。结构的枢转提供了第一圆周的折叠或未展开的位置以及第二圆周的打开或展开位置。

15. 发明申请

US20090234391A1 Spinal Rod Connector Assembly For A Vertebral Bone Screw 有权
标题翻译：用于椎骨螺钉的脊柱连接器组件
公开(公告)号：US20090234391A1
公开(公告)日：2009-09-17
申请号：US12403875
申请日：2009-03-13
申请人： Michael S. Butler , Brian D. Hartsell
发明人： Michael S. Butler , Brian D. Hartsell
IPC分类号： A61B17/70
CPC分类号： A61B17/7037 , A61B17/7038 , A61B17/7041
摘要： A spinal rod connector provides single step locking of a spinal rod relative to a bone screw. The single step lock-up is in line with the vertebral bone screw while still allowing for effectively 3600 of rotation of a portion of the spinal rod connector assembly with the spinal rod (but functionally 180° or +/−90° of the 0° position depicted in the various figures). The present spinal rod connector assembly utilizes components having V-shapes of various angles to provide holding of the spinal rod. A pulling and compression force locks the spinal rod onto the spinal rod connector and thus relative to the vertebral bone screw to which the spinal rod connector assembly is attached. The present spinal rod connector allows easy sliding down on guides of the spinal rod connector assembly since spinal rod rotation locks up from the rod being pulled towards the vertebral bone screw.
摘要翻译：脊柱杆连接器提供相对于骨螺钉的脊柱杆的单步锁定。单步锁定与椎骨螺钉一致，同时仍然允许脊柱杆连接器组件的一部分与脊柱杆的有效3600旋转（但是功能上为0°的180°或+/- 90° 位置）。本发明的脊柱杆连接器组件使用具有各种角度的V形的部件来提供脊柱杆的保持。拉力和压缩力将脊柱杆锁定到脊椎杆连接器上并且因此将脊髓杆连接器组件附接到脊椎骨螺钉。目前的脊柱杆连接器允许在脊柱杆连接器组件的引导件上容易地向下滑动，因为脊柱杆旋转锁定从杆被拉向椎骨螺钉。

16. 发明申请

US20090177234A1 Spinal Cross-Connector With Spinal Extensor Muscle Curvature 有权
标题翻译：脊柱交叉连接器与脊柱拉伸肌肉曲率
公开(公告)号：US20090177234A1
公开(公告)日：2009-07-09
申请号：US12348279
申请日：2009-01-03
申请人： Michael S. Butler , Brian D. Hartsell
发明人： Michael S. Butler , Brian D. Hartsell
IPC分类号： A61B17/70
CPC分类号： A61B17/7052
摘要： A spinal cross connector is configured for connection between spinal rods and provides allowance or space for spinal extensor muscles once the spinal process has been removed. The cross connector has curved first and second connection members that are adjustable in length and rotation relative to one another. A first clamping member is provided on the first connection member and defines first and second arcuate jaws that are adapted to clamp onto a first spinal rod. A second clamping member is provided on the second connection member and defines first and second arcuate jaws that are adapted to clamp onto a second spinal rod. Both the first and second clamping members are rotatable and thus provide the rotational adjustment. The cross-connector also provides easy in situ sizing and adjustability.
摘要翻译：脊柱交叉连接器被配置为用于脊椎杆之间的连接，并且一旦脊柱过程被移除就为脊柱伸肌提供允许或空间。十字连接器具有弯曲的第一和第二连接构件，该第一和第二连接构件的长度和相对于彼此的旋转是可调节的。第一夹紧构件设置在第一连接构件上并且限定适于夹紧到第一脊柱杆上的第一和第二弓形夹爪。第二夹紧构件设置在第二连接构件上并且限定适于夹紧到第二脊柱杆上的第一和第二弓形夹爪。第一和第二夹紧构件都是可旋转的，因此提供旋转调节。交叉连接器还提供容易的原位尺寸和可调性。

17. 发明申请

US20080300632A1 Method of fabricating medical devices and medical devices made thereby 审中-公开
标题翻译：由此制造医疗装置和医疗装置的方法
公开(公告)号：US20080300632A1
公开(公告)日：2008-12-04
申请号：US12156354
申请日：2008-05-30
申请人： Michael S. Butler , Kara A. Bucci
发明人： Michael S. Butler , Kara A. Bucci
IPC分类号： A61B17/70 , B21D31/00
CPC分类号： A61B17/7059 , A61B17/80 , A61B2017/00526
摘要： A method of fabricating medical devices and medical devices made from the method of fabricating a medical device, the medical device, without being exhaustive, may be a medical instrument, an implant, a prosthetic, a body support structure or the like. The method includes work-hardening a work-hardenable metal to achieve a desired microstructure of the metal, then fabricating a medical device in accordance with the desired microstructure utilizing the work-hardened metal. In one form, the desired microstructure is an elongated grain structure. The medical device is created from the grain-elongated metal such that the medical device is oriented relative to the plane of grain elongation. In a particular form of the invention, the medical device is a curved spine plate wherein elongated grains of the work hardened metal are oriented in a plane normal to a curvature of the spine plate. Work-hardening includes forging, cold rolling or hot rolling, and annealing prior to use in medical device fabrication. This creates a metal implant stock that has more strength and flexibility in compression and bending than without undergoing the present work-hardening. These properties are exploited in medical device design, fabrication, fabrication orientation and/or the like to create medical devices such as super strong implants.
摘要翻译：制造医疗装置和医疗装置的方法可以是医疗器械，植入物，假体，身体支撑结构等，由制造医疗装置的方法制造医疗装置，医疗装置不是穷尽的。该方法包括加工硬化可加工硬化的金属以实现金属的所需微观结构，然后根据所需的微结构利用加工硬化的金属制造医疗装置。在一种形式中，期望的微结构是细长的晶粒结构。医疗装置是从晶粒细长的金属制成的，使得医疗装置相对于晶粒伸长的平面定向。在本发明的特定形式中，医疗装置是弯曲的脊椎板，其中加工硬化金属的细长晶粒在垂直于脊椎板的曲率的平面中取向。加工硬化包括锻造，冷轧或热轧，以及在医疗器械制造之前的退火。这产生了一种金属植入物料，其压缩和弯曲的强度和挠性比没有经历目前的加工硬化要强。这些性质被用于医疗器械设计，制造，制造取向等，以产生诸如超强植入物之类的医疗装置。

18. 发明申请

US20080262622A1 Spinal disc prostheses 有权
标题翻译：脊髓假体
公开(公告)号：US20080262622A1
公开(公告)日：2008-10-23
申请号：US12148487
申请日：2008-04-18
申请人： Michael S. Butler
发明人： Michael S. Butler
IPC分类号： A61F2/44
CPC分类号： A61F2/442 , A61F2002/30464 , A61F2002/30563 , A61F2002/30785 , A61F2002/30841 , A61F2002/30884 , A61F2002/30904 , A61F2002/4495 , A61F2220/0075
摘要： A spine disc prosthesis mimics a natural human spine disc through use of a structure that duplicates a natural Annulus Fibrosis of the disc to provide translation, extension, flexion, and axial support in like manner to a natural disc. The present spine disc prosthesis achieves this through the use of a first and second disk connected to one another via a flexible annulus fibrosis structure. The flexible annulus fibrosis structure or core is characterized by a plurality of compressible (pliant) strands that are affixed to and extend between the first and second disks. The strands are preferably, but not necessarily, situated on and extend about an outer perimeter of inside surfaces of the two end disks so as to mimic natural contours of an annulus fibrosis of a natural spinal disc. The strands may be formed by various types of biocompatible fibers, braids, cords, bundles or the like and may have a hollow core or a solid core (e.g. PEEK [polyetheretherketone] cores/core strands may also be used). The strands may be situated on the vertical, crossed or in other configurations. The end disks may be formed as to promote fusion with adjoining vertebrae when implanted. The end plate may also include a keel and/or installation structure to allow for implanting the spine disc prosthesis.
摘要翻译：脊椎假体假体通过使用复制盘的天然环状纤维化的结构来模仿天然人脊柱盘，以与天然椎间盘相似的方式提供平移，伸展，弯曲和轴向支撑。本脊柱假体通过使用通过柔性环状纤维化结构相互连接的第一和第二盘来实现。柔性环状纤维化结构或芯的特征在于多个可压缩的（柔软的）股线，其固定并在第一和第二盘之间延伸。绞线优选地但不是必须地位于两个端盘的内表面的外周边并且围绕两个端盘的内表面延伸，以便模仿天然脊椎盘的环状纤维化的自然轮廓。线可以由各种类型的生物相容性纤维，编织物，帘线，束等形成，并且可以具有中空芯或固体芯（例如也可以使用PEEK [聚醚醚酮]芯/芯股）。绞线可以位于垂直，交叉或其它构型上。端盘可以形成为当植入时促进与相邻椎骨的融合。端板还可以包括龙骨和/或安装结构以允许植入脊椎椎间盘假体。

19. 发明申请

US20080243255A1 Radially expandable spinal interbody device and implantation tool 有权
标题翻译：径向扩张脊柱体内装置和植入工具
公开(公告)号：US20080243255A1
公开(公告)日：2008-10-02
申请号：US12079737
申请日：2008-03-28
申请人： Michael S. Butler , Michael J. Milella
发明人： Michael S. Butler , Michael J. Milella
IPC分类号： A61F2/44
CPC分类号： A61F2/4465 , A61F2/442 , A61F2/4601 , A61F2/4611 , A61F2002/2817 , A61F2002/2835 , A61F2002/3008 , A61F2002/30126 , A61F2002/302 , A61F2002/30365 , A61F2002/30367 , A61F2002/30471 , A61F2002/30545 , A61F2002/30579 , A61F2002/30841 , A61F2002/30904 , A61F2002/4415 , A61F2002/4627 , A61F2002/4629 , A61F2220/0091 , A61F2230/0008 , A61F2230/0065 , A61F2250/0098 , A61F2310/00017 , A61F2310/00023 , A61F2310/00179
摘要： A radially expandable spinal interbody device for implantation between adjacent vertebrae of a spine is deliverable to an implant area in a radially collapsed state having minimum radial dimensions and once positioned is then radially expandable through and up to maximum radial dimensions. The expanded radially expandable spinal interbody device is configured to closely mimic the anatomical configuration of a vertebral face. The radially expandable spinal interbody device is formed of arced, pivoting linkages that allow transfiguration from the radially collapsed minimum radial dimensions through and up to the radially expanded maximum radial dimensions once deployed at the implant site (i.e. between adjacent vertebrae). The pivoting linkages have ends with locking features that inhibit or prevent overextension of the linkages. In one form of the locking features, one end of the linkage includes lobes that form a pocket while the other end of the linkage includes a projection that is adapted to be received in the pocket of the lobes of an adjacent linkage. A kit is also provided including a tool for the implantation and deployment of the spinal interbody device into an intervertebral space.
摘要翻译：用于在脊椎的相邻椎骨之间植入的可径向扩张的脊椎体间设备可递送到具有最小径向尺寸的径向收缩状态的植入区域，并且一旦定位然后可径向扩张通过并且达到最大径向尺寸。扩张的可径向扩张的脊椎体间装置被配置为紧密地模拟椎骨面的解剖结构。可径向扩张的脊椎体间装置由弧形的枢转连杆形成，其允许从径向折叠的最小径向尺寸变形，并且一旦展开在植入部位（即相邻的椎骨之间），则径向扩张的最大径向尺寸变形。枢转连杆具有阻止或防止连杆过度伸长的锁定特征的结束。在锁定特征的一种形式中，连杆的一端包括形成袋的凸角，而连杆的另一端包括适于容纳在相邻连杆的凸角的凹槽中的凸起。还提供了一种套件，包括用于将脊椎体间装置植入和展开到椎间空间中的工具。

20. 发明申请

US20080208263A1 Spine plate with configured bone screw bores 有权
标题翻译：脊骨板配置骨螺钉孔
公开(公告)号：US20080208263A1
公开(公告)日：2008-08-28
申请号：US12072485
申请日：2008-02-26
申请人： Michael S. Butler , Michael J. Milella
发明人： Michael S. Butler , Michael J. Milella
IPC分类号： A61B17/58 , A61B17/56
CPC分类号： A61B17/8052 , A61B17/7059 , A61B17/8605
摘要： A single to multi-level spine plate has configured bone screw bores that cooperate with bone screws to retain a bone screw in a determinative position. In one form, the determinative position is a self-capture position wherein the bone screw is retained without the aid of any additional bone screw retention device. In another form, the determinative position is a limited angulation orientation of a bone screw relative to the spine plate. This limited angulation may be different for end plate bone screw bores than for middle plate bone screw bores. The bone screw bores may be configured to prohibit angulation once set. In another form, the determinative position is the reception of a cooperating bone screw at a centroid of the bone screw bore when installed.
摘要翻译：单级到多级脊柱板已配置骨螺钉孔，其与骨螺钉配合以将骨螺钉保持在确定位置。在一种形式中，确定位置是自捕获位置，其中骨螺钉在没有任何额外的骨螺钉保持装置的帮助下被保持。在另一种形式中，确定位置是骨螺钉相对于脊椎板的有限角度取向。端板骨螺钉孔的这种有限的角度可能不同于中间板骨螺钉孔。骨螺钉孔可以被配置成一旦设定就禁止角度。在另一种形式中，确定性位置是在安装时以骨螺钉孔的质心接收协作骨螺钉。

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