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    • 22. 发明授权
    • Instrument for guiding a rod into an implant in a spinal fixation system
    • 用于将杆引导到脊柱固定系统中的植入物中的装置
    • US07572281B2
    • 2009-08-11
    • US10913223
    • 2004-08-06
    • Thomas J. RuncoRonald Garner
    • Thomas J. RuncoRonald Garner
    • A61B17/70
    • A61B17/7086A61B17/00234
    • An instrument for guiding a spinal rod into a rod-receiving portion of an implant comprises a linear portion comprising two relatively moveable shafts, an actuator portion coupled to the linear portion for moving the spinal rod relative to the implant and a handle portion for moving the shafts to actuate the actuator portion. The actuator portion holds the rod in place until the surgeon inserts a setscrew or other device for securing the rod to the anchor. The actuator portion further defines a path for inserting and securing a locking device, such as a setscrew, for securing the rod in the implant while also holding the rod in the implant. The path for the screw is aligned with the rod-holding portion of the implant. Using the instrument, a surgeon can guide a rod into a selected position in the implant, reposition the spine to match the contour of the rod, hold the rod in the selected position and secure the rod to the implant.
    • 用于将脊柱杆引导到植入物的杆接收部分中的仪器包括包括两个相对可移动的轴的线性部分,联接到线性部分以用于相对于植入物移动脊柱杆的致动器部分和用于移动 轴致动致动器部分。 致动器部分将杆保持在适当的位置,直到外科医生插入固定螺钉或其他装置以将杆固定到锚固件。 致动器部分还限定用于插入和固定锁定装置(例如固定螺丝)的路径,用于将杆固定在植入物中,同时将杆保持在植入物中。 螺钉的路径与植入物的杆保持部分对准。 使用仪器,外科医生可以将杆引导到植入物中的选定位置,重新定位脊柱以匹配杆的轮廓,将杆保持在选定位置并将杆固定到植入物上。
    • 24. 发明授权
    • Spinal rod reduction instruments and methods for use
    • 脊柱减压仪和使用方法
    • US08636742B2
    • 2014-01-28
    • US12908350
    • 2010-10-20
    • Thomas J. RuncoRichard W. Fournier
    • Thomas J. RuncoRichard W. Fournier
    • A61B17/70
    • A61B17/7086
    • Methods and devices are provided for reducing a spinal fixation element into a spinal implant element. In one exemplary embodiment, a spinal rod reduction device is provided for reducing a spinal fixation element into a spinal implant element. The spinal rod reduction device can include a fastener engaging member for engaging at least a portion a spinal implant element, a reduction member for engaging at least a portion of a spinal fixation element, and a handle assembly mated to the reduction member. The handle assembly can be designed in such a way that actuation of the handle assembly causes movement of the reduction member relative to the fastener engaging member and the movement of the reduction member reduces the spinal fixation element into the spinal implant element. Two different styles of spinal rod reduction devices are discussed in detail. Various techniques are also provided for reducing a spinal fixation element into a spinal implant element.
    • 提供了将脊柱固定元件减小到脊柱植入元件中的方法和装置。 在一个示例性实施例中,提供脊柱杆减小装置用于将脊柱固定元件减小到脊柱植入元件中。 脊柱杆减速装置可以包括用于接合脊柱植入元件的至少一部分的紧固件接合构件,用于接合脊柱固定元件的至少一部分的减速构件和配合到还原构件的手柄组件。 手柄组件可以被设计成使得手柄组件的致动引起减速构件相对于紧固件接合构件的移动,并且减速构件的移动将脊柱固定元件减小到脊柱植入元件中。 详细讨论了两种不同类型的脊柱杆减速装置。 还提供了用于将脊柱固定元件减少到脊柱植入元件中的各种技术。
    • 25. 发明申请
    • INSTRUMENTS AND METHODS FOR MANIPULATING A SPINAL FIXATION ELEMENT
    • 用于操作脊柱固定元件的仪器和方法
    • US20120253413A1
    • 2012-10-04
    • US13523150
    • 2012-06-14
    • Thomas J. RuncoMichael VarieurThomas GamacheRichard W. Foumier
    • Thomas J. RuncoMichael VarieurThomas GamacheRichard W. Foumier
    • A61B17/88
    • A61B17/7032A61B17/7088A61B17/7091
    • An instrument for manipulating a spinal fixation element relative to a bone anchor includes a bone anchor grasping mechanism, a first adjustment mechanism, and a second adjustment mechanism. The bone anchor grasping mechanism includes a first arm having a distal end configured to engage an opening provided in the bone anchor. The first adjustment mechanism includes a second arm pivotally connected to the first arm. The second arm has a distal end configured to engage an opening provided in the bone anchor and is operable to adjust a spinal fixation element in a first direction upon pivoting relative to the first arm. The second adjustment mechanism is removably and replaceably coupled to the bone anchor grasping mechanism and is movable relative to the bone anchor grasping mechanism to adjust the spinal fixation element in a second direction, perpendicular to the first direction, relative to the bone anchor.
    • 用于相对于骨锚固器操纵脊骨固定元件的仪器包括骨锚固件抓握机构,第一调节机构和第二调节机构。 骨锚固机构包括第一臂,其具有构造成接合设置在骨锚中的开口的远端。 第一调节机构包括枢转地连接到第一臂的第二臂。 第二臂具有构造成接合设置在骨锚中的开口的远端,并且可操作以在相对于第一臂枢转时沿第一方向调节脊骨固定元件。 所述第二调节机构可拆卸地且可更换地联接到所述骨锚固夹持机构,并且可相对于所述骨锚固夹持机构移动,以相对于所述骨锚固器在垂直于所述第一方向的第二方向上调节所述脊骨固定元件。
    • 26. 发明授权
    • Spinal rod reduction instruments and methods for use
    • 脊柱减压仪和使用方法
    • US07887541B2
    • 2011-02-15
    • US11828652
    • 2007-07-26
    • Thomas J. RuncoRichard W. Fournier
    • Thomas J. RuncoRichard W. Fournier
    • A61F5/00
    • A61B17/7086
    • Methods and devices are provided for reducing a spinal fixation element into a spinal implant element. In one exemplary embodiment, a spinal rod reduction device is provided for reducing a spinal fixation element into a spinal implant element. The spinal rod reduction device can include a fastener engaging member for engaging at least a portion a spinal implant element, a reduction member for engaging at least a portion of a spinal fixation element, and a handle assembly mated to the reduction member. The handle assembly can be designed in such a way that actuation of the handle assembly causes movement of the reduction member relative to the fastener engaging member and the movement of the reduction member reduces the spinal fixation element into the spinal implant element. Two different styles of spinal rod reduction devices are discussed in detail. Various techniques are also provided for reducing a spinal fixation element into a spinal implant element.
    • 提供了将脊柱固定元件减小到脊柱植入元件中的方法和装置。 在一个示例性实施例中,提供脊柱杆减小装置用于将脊柱固定元件减小到脊柱植入元件中。 脊柱杆减速装置可以包括用于接合脊柱植入元件的至少一部分的紧固件接合构件,用于接合脊柱固定元件的至少一部分的减速构件和配合到还原构件的手柄组件。 手柄组件可以被设计成使得手柄组件的致动引起减速构件相对于紧固件接合构件的移动,并且减速构件的移动将脊柱固定元件减小到脊柱植入元件中。 详细讨论了两种不同类型的脊柱杆减速装置。 还提供了用于将脊柱固定元件减少到脊柱植入元件中的各种技术。