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21. 发明授权

US09072549B2 Spinal clips for interspinous decompression 有权
标题翻译：用于椎间盘减压的脊柱
公开(公告)号：US09072549B2
公开(公告)日：2015-07-07
申请号：US13161916
申请日：2011-06-16
申请人： Michael S. Butler , Daniel Predick
发明人： Michael S. Butler , Daniel Predick
IPC分类号： A61B17/70
CPC分类号： A61B17/7065
摘要： A spinal clip for creating a potential space within the spinal canal and thus stabilizing the spine without the need for additional spinal components is embodied in different forms. The spinal clips are configured to provide a clamping or holding force against and/or to the spinous processes, transverse processes and/or the lamina of adjacent vertebrae. In one form, the spinous process clips utilize pivoting to effect clamping or holding. In another form, the spinous process clips utilize rotation to effect clamping or holding. Such rotation may be between clamping or holding members or via a screw system. In yet another form, the spinous process clips utilize ratcheting to effect clamping or holding. In a still further form, the spinous process clips utilize expansion to effect clamping or holding. Depending on the form of clamping or holding, the spinous process clips can provide infinite adjustment of the clamping or holding force within an adjustment range, or provide discrete steps or levels of the clamping or holding force.
摘要翻译：用于在椎管内形成潜在空间并因此稳定脊柱而不需要额外的脊柱部件的脊椎夹具体现为不同的形式。脊椎夹被构造成提供抵靠和/或抵靠相邻椎骨的棘突，横向过程和/或椎板的夹紧力或保持力。在一种形式中，棘突使用枢转来实现夹紧或保持。在另一种形式中，棘突使用旋转来实现夹紧或保持。这种旋转可以在夹紧构件或保持构件之间或经由螺钉系统。在另一种形式中，棘突使用棘轮来实现夹紧或保持。在另一种形式中，棘突使用膨胀来实现夹紧或保持。根据夹紧或保持的形式，棘突可以在调节范围内提供夹紧力或保持力的无限大调整，或者提供离散的夹紧或夹紧力级别。

22. 发明授权

US08940048B2 Expandable spinal interbody and intravertebral body devices 有权
公开(公告)号：US08940048B2
公开(公告)日：2015-01-27
申请号：US13615273
申请日：2012-09-13
申请人： Michael S. Butler , Daniel Predick
发明人： Michael S. Butler , Daniel Predick
IPC分类号： A61F2/44 , A61B17/88 , A61F2/30 , A61F2/46 , A61F2/28
CPC分类号： A61F2/442 , A61B17/8858 , A61F2/446 , A61F2/447 , A61F2/4611 , A61F2002/2835 , A61F2002/30163 , A61F2002/30179 , A61F2002/30365 , A61F2002/30367 , A61F2002/30372 , A61F2002/30373 , A61F2002/30385 , A61F2002/30387 , A61F2002/30405 , A61F2002/30411 , A61F2002/30415 , A61F2002/30428 , A61F2002/30438 , A61F2002/30471 , A61F2002/30484 , A61F2002/30507 , A61F2002/30523 , A61F2002/3055 , A61F2002/30556 , A61F2002/3056 , A61F2002/30579 , A61F2002/30594 , A61F2002/30596 , A61F2002/30598 , A61F2002/30601 , A61F2002/30784 , A61F2002/3083 , A61F2002/30831 , A61F2002/30841 , A61F2002/4415 , A61F2002/4475 , A61F2002/465 , 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.

23. 发明授权

US08728123B2 Flexible and static interspinous/inter-laminar spinal spacers 有权
标题翻译：柔性和静态棘突间/层间脊椎间隔垫
公开(公告)号：US08728123B2
公开(公告)日：2014-05-20
申请号：US13567581
申请日：2012-08-06
申请人： Kara A. Bucci , Madeline Wolters , Michael S. Butler
发明人： Kara A. Bucci , Madeline Wolters , Michael S. Butler
IPC分类号： A61B17/70
CPC分类号： A61B17/7062 , A61B17/7068 , A61B2017/564
摘要： Interspinous/inter-laminar spinal spacers are configured to be placed between bony structures of adjacent vertebrae. In one form, spinal spacers are defined by a unitary body comprising a first contoured plate and a second contoured plate. The first contoured plate comprises first and second wings configured to engage first and second vertebra, and a post extending from the contoured plate and having a bullet nose and an outer surface with a curved portion and a planar portion. The second contoured plate is slidably coupled to the post of the body and comprises first and second wings configured to engage first and second vertebra, a rear portion extending between the first wing and the second wing, and a front portion extending between the first wing and the second wing. The first wing, second wing, rear portion, and front portion define a first bore configured to receive the post.
摘要翻译：棘突间/层间脊椎间隔物被配置为放置在相邻椎骨的骨结构之间。在一种形式中，脊椎间隔物由包括第一轮廓板和第二轮廓板的整体组成。第一轮廓板包括构造成接合第一和第二椎骨的第一和第二翼，以及从轮廓板延伸并具有子弹头和具有弯曲部分和平面部分的外表面的柱。第二轮廓板可滑动地联接到主体的柱上，并且包括构造成接合第一和第二椎骨的第一和第二翼，在第一翼与第二翼之间延伸的后部，以及在第一翼与第二翼之间延伸的前部第二翼。第一翼，第二翼，后部和前部限定构造成接收柱的第一孔。

24. 发明授权

US08663295B2 Posterior spinal prosthesis 有权
标题翻译：后脊柱假体
公开(公告)号：US08663295B2
公开(公告)日：2014-03-04
申请号：US12492668
申请日：2009-06-26
申请人： Michael S. Butler , Daniel Predick
发明人： Michael S. Butler , Daniel Predick
IPC分类号： A61B17/80
CPC分类号： A61B17/7058 , A61B17/7032
摘要： A posterior spinal prosthesis is configured to cover exposed portions of a spinal column especially, but not necessarily, as a result of a medical spinal procedure and particularly, to provide posterior coverage of an exposed spinal cord, soft tissue, Foramen and/or adipose tissue, associated with one or more vertebrae as a result of the removal the spinous processes and/or the spinous process and laminar hoods from the one or more vertebrae of the spine as a result of a spinal decompression procedure or other reason. A plate forming the prosthesis is connectable to spine rod constructs implanted on lateral sides of the vertebrae and projects in the posterior direction relative to the connection. The plate is generally curved in the superior/inferior direction to provide either a lordotic or kyphotic curvature depending on the portion of the spine to which the prosthesis is utilized. As such, the posterior spinal prosthesis may be used on any portion of the spine such as the cervical vertebrae, the thoracic vertebrae and/or the lumbar vertebrae. The present posterior spinal prosthesis also provides posterior stabilization of the associated vertebrae as well as aiding in preventing post operative soft tissue cavitation at the decompression site.
摘要翻译：后脊椎假体构造成覆盖脊柱的暴露部分，特别是但不一定是由于医疗脊柱手术的结果，特别是提供暴露的脊髓，软组织，孔和/或脂肪组织的后覆盖由于脊椎减压手术或其他原因导致从脊柱的一个或多个椎骨移除棘突和/或棘突和层流罩而与一个或多个椎骨相关联。形成假体的板可连接到植入在椎骨的侧面上的脊柱构造并且相对于连接在后方向上突出。板通常在上/下方向上弯曲，以提供取决于使用假体的脊柱的部分的脊柱前凸或后凸曲率。因此，后脊椎假体可用于脊柱的任何部分，例如颈椎，胸椎和/或腰椎。目前的后脊椎假体还提供相关椎骨的后稳定，并且有助于防止减压部位的术后软组织空化。

25. 发明授权

US08636779B2 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：US08636779B2
公开(公告)日：2014-01-28
申请号：US12072485
申请日：2008-02-26
申请人： Michael S. Butler , Michael J. Milella, Jr.
发明人： Michael S. Butler , Michael J. Milella, Jr.
IPC分类号： A61B17/80
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。

26. 发明授权

US08486148B2 Hinged spinal fusion cages 有权
标题翻译：铰链脊柱融合笼
公开(公告)号：US08486148B2
公开(公告)日：2013-07-16
申请号：US12355557
申请日：2009-01-16
申请人： Michael S. Butler , Brian D. Hartsell
发明人： Michael S. Butler , Brian D. Hartsell
IPC分类号： A61F2/44
CPC分类号： A61F2/447 , A61F2002/30471 , A61F2002/30538 , A61F2002/30904 , A61F2002/4475 , A61F2002/448 , A61F2220/0091 , A61F2250/0006 , A61F2310/00017 , A61F2310/00023
摘要： A spinal interbody fusion cage has a body whose anterior/posterior profile may be varied through angular positioning of one or more articulating segments of the body without changing the superior/inferior height of the body. The present spinal interbody fusion cage has N segments or sections wherein at least one segment is articulated relative to another segment via a connection point, pivot or pivot structure such that the anterior/posterior profile is variable through angular positioning of one or more of the segments. The pivot structure may be configured so as to allow unidirectional movement between the connecting segments thereby allowing articulation in one plane or to allow omni-directional movement between the connecting segments thereby allowing articulation in multiple planes. The various forms of the present interbody fusion cage include superior and inferior sides or bone abutment surfaces that have serrations, teeth or similar functioning structures (teeth). The teeth extend between the anterior end and the posterior end. The teeth may take different shapes but are configured to allow insertion of the spinal interbody fusion cage in an anterior-first manner while preventing and/or inhibiting the spinal interbody fusion cage from backing out posteriorly.
摘要翻译：脊柱体间融合器具有一个身体，其前/后轮廓可以通过身体的一个或多个关节部分的角度定位而变化，而不改变身体的上/下高度。本脊柱体间融合器具有N个段或部分，其中至少一个部分经由连接点，枢轴或枢轴结构相对于另一个节段铰接，使得前/后轮廓可以通过一个或多个节段的角度定位而变化。枢轴结构可以被配置为允许连接段之间的单向运动，从而允许在一个平面中铰接或者允许连接段之间的全方向运动，从而允许在多个平面中的铰接。本体内融合器的各种形式包括具有锯齿，齿或类似功能结构（齿）的上下侧或骨邻接表面。牙齿在前端和后端之间延伸。牙齿可以采取不同的形状，但是构造成允许脊椎体间融合器以前后方式插入，同时防止和/或抑制脊椎体间融合器从后向后退出。

27. 发明申请

US20130158359A1 Three-Blade Spinal Retractor 有权
标题翻译：三叶脊柱牵引器
公开(公告)号：US20130158359A1
公开(公告)日：2013-06-20
申请号：US13720800
申请日：2012-12-19
申请人： Daniel Predick , Michael S. Butler
发明人： Daniel Predick , Michael S. Butler
IPC分类号： A61B1/32
CPC分类号： A61B1/32 , A61B17/0206
摘要： A three-blade spinal retractor utilizes adjustable and lockable translating arms with angulating blades to provide triangulated medial/lateral and cephalad/caudal tissue retraction for spinal surgeries via the adjustably lockable translating arms. A medial/lateral translating arm with an angularly adjustable retraction blade co-acts and cooperates with angularly adjacent first and second cephalad/caudal translating arms with angularly adjustable retraction blades for tissue retraction and surgical site access. A plate having a medial/lateral adjustment system adjustably holds the medial/lateral translating arm, a first cephalad/caudal adjustment system adjustably holding the first cephalad/caudal translating arm and a second cephalad/caudal adjustment system adjustably holding the second cephalad/caudal translating arm. The translating arms each have a blade holder that provides angular adjustment of the blade. Angular adjustment of each blade along with medial/lateral and cephalad/caudal adjustment provides improved preciseness and stability in positioning, tissue distraction, and surgical site access.
摘要翻译：三叶片脊柱牵开器利用可调节和可锁定的平移臂与角叶片，通过可调节锁定的平移臂为脊柱手术提供三角形内侧/外侧和头部/头尾组织缩回。具有可角度调节的缩回刀片的内侧/外侧平移臂与角度相邻的第一和第二头部/尾部平移臂配合并与角度可调的缩回刀片配合，用于组织缩回和手术部位进入。具有中间/侧向调节系统的板可调节地保持内侧/外侧平移臂，可调节地保持第一头部/尾部平移臂的第一头部/尾部调节系统和可调节地保持第二头部/尾部平移的第二头部/尾部调整系统臂。平移臂各具有提供叶片的角度调节的刀片保持器。每个叶片的角度调整以及内侧/外侧和头部/尾部调整提供了定位，组织分心和外科手术部位进入的改善的精确性和稳定性。

28. 发明申请

US20130072979A1 SPINAL IMPLANT FOR LUMBAR VERTEBRA TO SACRUM FIXATION 有权
标题翻译：脊柱植入物用于腰椎间盘固定术
公开(公告)号：US20130072979A1
公开(公告)日：2013-03-21
申请号：US13618708
申请日：2012-09-14
申请人： Michael S. Butler , Madeline C. Wolters , Daniel Predick
发明人： Michael S. Butler , Madeline C. Wolters , Daniel Predick
IPC分类号： A61B17/70
CPC分类号： A61B17/7067 , A61B17/7068
摘要： A spinal implant includes a first arm comprising a first upper portion and a first lower portion extending from a first middle portion, the first upper portion, first lower portion, and first middle portion defining a first inward facing surface; a projection extending from the first middle portion; a second arm comprising a second upper portion and a second lower portion extending from a second middle portion, the second middle portion defining a bore configured to receive the projection to enable adjustment of the second arm relative to the first arm, the second upper portion, the second lower portion, and the second middle portion defining a second inward facing surface; a plurality of first spikes extending in a generally perpendicular fashion from the first and second inward facing surfaces; and at least one second spike extending in a non-perpendicular fashion from the first and second inward facing surfaces.
摘要翻译：脊柱植入物包括第一臂，包括第一上部部分和从第一中间部分延伸的第一下部部分，第一上部部分，第一下部部分和限定第一向内表面的第一中间部分; 从所述第一中间部延伸的突起; 第二臂包括从第二中间部分延伸的第二上部部分和第二下部部分，所述第二中间部分限定了构造成容纳所述突起部的孔，以能够相对于所述第一臂部件调节所述第二臂部，所述第二上部部分，所述第二下部分和所述第二中间部分限定第二向内的表面; 多个第一钉，从第一和第二向内的表面以大致垂直的方式延伸; 以及至少一个从第一和第二向内的表面以非垂直方式延伸的第二钉。

29. 发明申请

US20130018422A1 Spinal Rod Connector Assembly 有权
标题翻译：脊柱连接器组件
公开(公告)号：US20130018422A1
公开(公告)日：2013-01-17
申请号：US13546588
申请日：2012-07-11
申请人： James A. Rinner , Michael S. Butler , Seetal K. Erramilli
发明人： James A. Rinner , Michael S. Butler , Seetal K. Erramilli
IPC分类号： A61B17/70
CPC分类号： A61B17/7049 , A61B17/7041
摘要： A spinal rod connector assembly for use with a vertebral bone screw has an articulating clamp for 1) fixing an orientation of the spinal rod connector assembly relative to and on the vertebral bone screw, and 2) attaching a separate spinal rod onto the spinal rod connector assembly in concert with one another. The articulating clamp resides in a body of the spinal rod connector assembly and transfers a received downward force laterally to a spinal rod component of the spinal rod connector assembly which is configured to abut the spinal rod and hold the spinal rod between itself and a spinal rod holder of the spinal rod connector assembly. The articulating clamp thus improves the force transfer efficacy of the system.
摘要翻译：与脊椎骨螺钉一起使用的脊椎杆连接器组件具有铰接夹具，用于1）相对于椎骨螺钉固定脊柱杆连接器组件的取向，以及2）将单独的脊柱杆附接到脊柱杆连接器组合相互协调。所述关节式夹具位于所述脊柱杆连接器组件的主体中，并将所接收的向下的力横向地传递到所述脊柱杆连接器组件的脊柱杆部件，所述脊柱杆连接器组件被构造成邻接所述脊柱杆并将所述脊柱杆保持在其与脊柱杆脊柱杆连接器组件的支架。因此，铰接夹具改善了系统的力传递效能。

30. 发明授权

US08241358B2 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：US08241358B2
公开(公告)日：2012-08-14
申请号：US12079737
申请日：2008-03-28
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： A61F2/4465 , 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装置能够以具有最小径向尺寸的径向收缩状态输送到植入区域，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。

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