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    • 23. 发明授权
    • Static and dynamic cervical plates and cervical plate constructs
    • 静态和动态的宫颈板和宫颈板构造
    • US08182518B2
    • 2012-05-22
    • US11022504
    • 2004-12-21
    • Michael S. ButlerJeffrey C. Wang
    • Michael S. ButlerJeffrey C. Wang
    • A61B17/80
    • A61B17/8047A61B17/7059A61B17/8023A61B17/8042
    • 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.
    • 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。
    • 26. 发明申请
    • Spinal Rod Connectors Configured to Retain Spinal Rods of Varying Diameters
    • 脊柱连接器配置为保留不同直径的脊柱
    • US20090318970A1
    • 2009-12-24
    • US12487794
    • 2009-06-19
    • Michael S. ButlerThomas J. Wegrzyn III
    • Michael S. ButlerThomas J. Wegrzyn III
    • A61B17/70
    • A61B17/7032A61B17/7035
    • A spinal rod connector is configured to accommodate a range of spinal rod diameters. The present spinal rod connector may take the form of a spinal rod screw head, hook, spinal rod connector or a spinal rod holder. The spinal rod connector has spinal rod reception slots whose sides narrow towards a bottom of the slot. The narrowing of the sides provides a wedging effect such that a spinal rod is wedged into place during locking. The narrowing sides of the slots thus provide for the accommodation of varying rod diameters. The spinal connector also provides significant improvement in spinal rod torsional resistance compared to prior art radial shaped slots. In one form, the spinal rod reception slots are essentially V-shaped. However, other shapes following the principles of the present invention may be used and are contemplated. The width of the slot sides and the rate of curvature of the slot sides thus determine the range of spinal rod diameters that are accommodated by the spinal rod reception slots and therefore the spinal rod connector.
    • 脊椎杆连接器被配置成适应一定范围的脊柱杆直径。 目前的脊柱杆连接器可采取脊柱杆螺钉头,钩,脊柱杆连接器或脊柱杆支架的形式。 脊柱杆连接器具有脊侧杆接收狭槽,其侧面朝向槽的底部变窄。 侧面的变窄提供楔形效果,使得在锁定期间脊椎杆楔入就位。 狭槽的狭窄侧面因此提供适应不同杆直径。 与现有技术的径向形状的狭槽相比,脊椎连接器还提供了脊椎杆扭转阻力的显着改善。 在一种形式中,脊柱杆接收槽基本上是V形的。 然而,可以使用遵循本发明的原理的其他形状并且被设想。 狭槽侧的宽度和槽侧的曲率的速率因此决定了由脊柱杆接收槽和因此脊椎杆连接器容纳的脊柱杆直径的范围。
    • 27. 发明申请
    • Spinal Rod Connector Assembly For A Vertebral Bone Screw
    • 用于椎骨螺钉的脊柱连接器组件
    • US20090234391A1
    • 2009-09-17
    • US12403875
    • 2009-03-13
    • Michael S. ButlerBrian D. Hartsell
    • Michael S. ButlerBrian D. Hartsell
    • A61B17/70
    • A61B17/7037A61B17/7038A61B17/7041
    • 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.
    • 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。
    • 28. 发明申请
    • Spinal Cross-Connector With Spinal Extensor Muscle Curvature
    • 脊柱交叉连接器与脊柱拉伸肌肉曲率
    • US20090177234A1
    • 2009-07-09
    • US12348279
    • 2009-01-03
    • Michael S. ButlerBrian D. Hartsell
    • Michael S. ButlerBrian D. Hartsell
    • A61B17/70
    • A61B17/7052
    • 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.
    • 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。
    • 29. 发明申请
    • Method of fabricating medical devices and medical devices made thereby
    • 由此制造医疗装置和医疗装置的方法
    • US20080300632A1
    • 2008-12-04
    • US12156354
    • 2008-05-30
    • Michael S. ButlerKara A. Bucci
    • Michael S. ButlerKara A. Bucci
    • A61B17/70B21D31/00
    • A61B17/7059A61B17/80A61B2017/00526
    • 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.
    • 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。
    • 30. 发明申请
    • Spinal disc prostheses
    • 脊髓假体
    • US20080262622A1
    • 2008-10-23
    • US12148487
    • 2008-04-18
    • Michael S. Butler
    • Michael S. Butler
    • A61F2/44
    • A61F2/442A61F2002/30464A61F2002/30563A61F2002/30785A61F2002/30841A61F2002/30884A61F2002/30904A61F2002/4495A61F2220/0075
    • 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.
    • 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。