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    • 21. 发明授权
    • Bone screw retention in a spinal implant
    • 脊柱植入物中的骨螺钉保持力
    • US09351768B2
    • 2016-05-31
    • US13593862
    • 2012-08-24
    • James A. RinnerDaniel PredickMichael S. Butler
    • James A. RinnerDaniel PredickMichael S. Butler
    • A61B17/70A61B17/80
    • A61B17/7059A61B17/8042
    • A spinal implant has a mechanism for inhibiting a bone screw used in attaching the spinal implant to the spine from backing out from the spinal implant once the bone screw has been received in the spinal implant. The spinal implant has a bone screw bore defining a bore wall in which is disposed a resilient closed curve band or ring. The resilient closed curve band has a plurality of resilient segments that extend into the bore. Each one of the plurality of resilient segments form a spring that allows a head of a bone screw to ingress there through but prevents the head of the bone screw from egress there from. The resilient closed curve band forms a retention ring that is received in one or more slots, channels, grooves or the like in the bore hole wall. The plurality of resilient segments are formed as arcs, curves and/or configured arcs/curves that extend radially inward from outer arced or curved portions of the retention ring.
    • 一旦骨螺钉已被接收在脊柱植入物中,脊柱植入物具有用于抑制用于将脊柱植入物附接到脊柱的骨螺钉从脊柱植入物退出的机构。 脊柱植入物具有限定孔壁的骨螺钉孔,其中设置有弹性闭合曲线带或环。 弹性闭合曲线带具有延伸到孔中的多个弹性段。 多个弹性段中的每一个形成弹簧,该弹簧允许骨螺钉的头部进入其中,但是防止骨螺钉的头部从那里流出。 弹性闭合曲线带形成保持环,其被容纳在钻孔壁中的一个或多个槽,通道,凹槽等中。 多个弹性段形成为从保持环的外弧形或弯曲部分径向向内延伸的弧,曲线和/或构造的弧/曲线。
    • 23. 发明申请
    • Bone Screw Retention in a Spinal Implant
    • 脊髓植入物中的骨螺钉保留
    • US20130053887A1
    • 2013-02-28
    • US13593862
    • 2012-08-24
    • Daniel PredickMichael S. Butler
    • Daniel PredickMichael S. Butler
    • A61B17/70
    • A61B17/7059A61B17/8042
    • A spinal implant has a mechanism for inhibiting a bone screw used in attaching the spinal implant to the spine from backing out from the spinal implant once the bone screw has been received in the spinal implant. The spinal implant has a bone screw bore defining a bore wall in which is disposed a resilient closed curve band or ring. The resilient closed curve band has a plurality of resilient segments that extend into the bore. Each one of the plurality of resilient segments form a spring that allows a head of a bone screw to ingress there through but prevents the head of the bone screw from egress there from. The resilient closed curve band forms a retention ring that is received in one or more slots, channels, grooves or the like in the bore hole wall. The plurality of resilient segments are formed as arcs, curves and/or configured arcs/curves that extend radially inward from outer arced or curved portions of the retention ring.
    • 一旦骨螺钉已被接收在脊柱植入物中,脊柱植入物具有用于抑制用于将脊柱植入物附接到脊柱的骨螺钉从脊柱植入物退出的机构。 脊柱植入物具有限定孔壁的骨螺钉孔,其中设置有弹性闭合曲线带或环。 弹性闭合曲线带具有延伸到孔中的多个弹性段。 多个弹性段中的每一个形成弹簧,该弹簧允许骨螺钉的头部进入其中,但是防止骨螺钉的头部从那里流出。 弹性闭合曲线带形成保持环,其被容纳在钻孔壁中的一个或多个槽,通道,凹槽等中。 多个弹性段形成为从保持环的外弧形或弯曲部分径向向内延伸的弧,曲线和/或构造的弧/曲线。
    • 24. 发明授权
    • Posterior cervical cross connector assemblies
    • 后颈椎交叉连接器组件
    • US08246665B2
    • 2012-08-21
    • US12645110
    • 2009-12-22
    • Michael S. ButlerDaniel Predick
    • Michael S. ButlerDaniel Predick
    • A61B17/70A61B17/04A61B17/86A61F2/08
    • A61B17/7037A61B17/7049A61B17/705
    • 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.
    • 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。
    • 25. 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。
    • 27. 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。
    • 28. 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。
    • 29. 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。
    • 30. 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。