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31. 发明授权

US08221467B2 Dynamic spinal stabilization device and systems 有权
标题翻译：动态脊柱稳定装置和系统
公开(公告)号：US08221467B2
公开(公告)日：2012-07-17
申请号：US11601472
申请日：2006-11-17
申请人： Michael S. Butler , Michael J. Milella, Jr.
发明人： Michael S. Butler , Michael J. Milella, Jr.
IPC分类号： A61B17/70
CPC分类号： A61B17/7031 , A61B17/7004 , A61B17/7023 , A61B17/7032 , A61B17/705
摘要： A dynamic spine stabilization element of a spine stabilization assembly includes first and second spinal rod segments that are coupled to one another via a connector. The connector allows movement of a spinal rod segment with respect to the coupling device and/or with respect to another spinal rod segment. This provides limited angulation (e.g. bending) between spinal rod segments allowing for limited movement of the vertebra connected by the present dynamic stabilization element. The connector may allow pivoting motion of the rod segments relative to the coupling device and relative to the other rod segment such as pivoting motion of one rod segment in a first plane and pivoting motion of the other rod segment in a second plane that is perpendicular to the first plane. The connector may also be bendable or flexible. In this form, the connector allows limited flexing, bending or angulation as between the associated spinal rod segments during use. Moreover, ends of the spinal rod segments may be configured to prevent or limit rotation of the spinal rod segments. The configured ends may cooperate with the coupling device to achieve the limitation on rotational movement.
摘要翻译：脊柱稳定组件的动态脊柱稳定元件包括经由连接器彼此连接的第一和第二脊柱杆段。连接器允许脊柱杆段相对于联接装置和/或相对于另一个脊椎杆段运动。这提供了脊椎杆段之间有限的角度（例如弯曲），允许由本动态稳定元件连接的椎骨的有限运动。连接器可以允许杆段相对于联接装置和相对于另一个杆段的枢转运动，例如一个杆段在第一平面中的枢转运动，另一个杆段在垂直于第二平面的第二平面中枢转运动第一架飞机。连接器也可以是可弯曲的或柔性的。在这种形式中，连接器允许在使用期间在相关联的脊柱杆段之间进行有限的弯曲，弯曲或成角度。此外，脊柱杆段的端部可以构造成防止或限制脊柱杆段的旋转。配置的端部可以与联接装置配合以实现旋转运动的限制。

32. 发明申请

US20110313458A1 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：US20110313458A1
公开(公告)日：2011-12-22
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。

33. 发明申请

US20110004251A1 SPINAL FIXATION SYSTEM 有权
标题翻译：脊柱固定系统
公开(公告)号：US20110004251A1
公开(公告)日：2011-01-06
申请号：US12825176
申请日：2010-06-28
申请人： Patrick J. Sweeney , Michael S. Butler , Michael J. Milella, JR.
发明人： Patrick J. Sweeney , Michael S. Butler , Michael J. Milella, JR.
IPC分类号： A61B17/70
CPC分类号： A61F2/4455 , A61B17/1671 , A61B17/7005 , A61B17/7007 , A61B17/701 , A61B17/7011 , A61B17/7032 , A61B17/7037 , A61B17/704 , A61B17/7041 , A61B17/8047 , A61B17/863 , A61B17/8685 , A61F2002/30909
摘要： A spinal fixation system includes a pedicle screw having a longitudinal axis. A fixation element is configured to connect the pedicle screw to at least one additional pedicle screw. A coupling mechanism includes a pedicle screw securing device adapted to secure the coupling mechanism to the pedicle screw and a fixation element securing device configured to secure the coupling mechanism to the fixation element. A fastening mechanism is configured to fasten both the pedicle screw securing device and the fixation element securing device. The fastening mechanism is located along the longitudinal axis of the pedicle screw.
摘要翻译：脊柱固定系统包括具有纵向轴线的椎弓根螺钉。固定元件构造成将椎弓根螺钉连接到至少一个额外的椎弓根螺钉。联接机构包括适于将联接机构固定到椎弓根螺钉的椎弓根螺钉固定装置和被配置为将联接机构固定到固定元件的固定元件固定装置。紧固机构构造成紧固椎弓根螺钉固定装置和固定元件固定装置。紧固机构沿着椎弓根螺钉的纵向轴线定位。

34. 发明申请

US20100305705A1 EXPANDABLE SPINAL INTERBODY AND INTRAVERTEBRAL BODY DEVICES 有权
标题翻译：可扩展的脊柱体内和体内体内装置
公开(公告)号：US20100305705A1
公开(公告)日：2010-12-02
申请号：US12789257
申请日：2010-05-27
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。

35. 发明申请

US20100063544A1 Spinal Rod 有权
标题翻译：脊柱
公开(公告)号：US20100063544A1
公开(公告)日：2010-03-11
申请号：US12556898
申请日：2009-09-10
申请人： Michael S. Butler
发明人： Michael S. Butler
IPC分类号： A61B17/70
CPC分类号： A61B17/701 , A61B17/7011 , A61B17/7032 , A61B17/7083
摘要： A spine or spinal rod has a cross-section defining angled sides that cooperate with a spinal rod opening of a spinal rod holder. In one form, the spine rod has an essentially pentagonal cross-section that thus essentially defines angled sides or side surfaces that interact with the spinal rod holder opening to positively seat the spine rod into the spinal rod holder and prevent spine rod from rotation. In the pentagonal cross-section form, the spine rod has a top or posterior side/side surface, a bottom or anterior side/side surface, a first lateral side/side surface, a second lateral side/side surface, a first angled sub-lateral side/side surface and a second angled sub-lateral side/side surface. The first and second angled sub-lateral sides/side surfaces provide contact with angled sides of the spine rod holder opening. In another form, the spine rod has an essentially V-shaped cross-section that defines sides/side surfaces that interact with the spinal rod holder opening. Preferably, but not necessarily, the spine rod is formed of PEEK. Other bio-compatible materials, however, may be used.
摘要翻译：脊柱或脊柱杆具有限定与脊柱杆保持器的脊柱杆开口配合的成角度的侧面的横截面。在一种形式中，脊柱具有基本上五边形的横截面，因此基本上限定与脊柱杆保持器开口相互作用的成角度的侧面或侧表面，以将脊柱杆正向地置于脊柱杆保持器中并防止脊柱旋转。在五边形横截面形式中，脊柱具有顶部或后侧/侧表面，底部或前侧/侧表面，第一侧面/侧表面，第二横向侧/侧表面，第一倾斜子侧面/侧面和第二倾斜的副侧面/侧面。第一和第二倾斜的副侧面/侧表面提供与脊柱保持器开口的成角度的侧面的接触。在另一种形式中，脊柱具有基本上V形的横截面，其限定与脊柱杆保持器开口相互作用的侧/侧表面。脊柱优选但不一定是由PEEK形成的。然而，可以使用其它生物相容性材料。

36. 发明申请

US20090248030A1 Self-Contained Assembly For Installation of Orthopedic Implant Components Onto an Orthopedic Implant 有权
标题翻译：矫形植入物组件安装在骨科植入物上的自体装配
公开(公告)号：US20090248030A1
公开(公告)日：2009-10-01
申请号：US12412701
申请日：2009-03-27
申请人： Michael S. Butler , Daniel Predick
发明人： Michael S. Butler , Daniel Predick
IPC分类号： A61B17/58
CPC分类号： A61B17/7035 , A61B17/7032 , A61B2090/037
摘要： A self-contained orthopedic implant component assembly provides for concerted or concerted and independent installation of orthopedic components onto an orthopedic implant. The assembly includes a first orthopedic component formation for installation of a first orthopedic component thereof onto the orthopedic implant and a second orthopedic component formation for installation of a second orthopedic component thereof onto the orthopedic implant. The second orthopedic implant formation is carried by the first orthopedic implant formation such that installation of the first orthopedic implant formation into the orthopedic implant at least partially installs the second orthopedic implant formation into the orthopedic implant. One or both of the first and second orthopedic component formations includes a component driver for receipt of installation torque whereby application of rotational torque installs the orthopedic component(s) onto the orthopedic implant. A component driver is detachable from its formation during or after installation of the corresponding orthopedic component depending on form of the self-contained orthopedic implant component assembly.
摘要翻译：一个独立的整形外科植入物部件组件提供整形外科植入物的协调一致和独立安装的整形外科组件。该组件包括用于将其第一矫形部件安装到整形外科植入物上的第一矫形部件结构和用于将其第二整形外科部件安装到矫形外科植入物上的第二矫形部件结构。所述第二整形外科植入物形成由所述第一矫形植入物构造承载，使得所述第一整形外科植入物结构至所述整形外科植入物的安装至少部分地将所述第二矫形外科植入物部分安装到所述整形外科植入物中。第一和第二矫形部件结构中的一个或两个包括用于接收安装扭矩的部件驱动器，由此施加旋转扭矩将矫形部件安装到整形外科植入物上。根据独立矫形外科植入部件组件的形状，组件驱动器在安装相应的矫形部件期间或之后可从其形成中脱离。

37. 发明申请

US20090182431A1 Spinal Interbody Fusion Cages Providing Variable Anterior/Posterior Profiles 有权
标题翻译：脊柱体内融合笼提供可变前/后后廓
公开(公告)号：US20090182431A1
公开(公告)日：2009-07-16
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。

38. 发明申请

US20090112318A1 Foldable Orthopedic Implant 有权
标题翻译：可折叠矫形植入物
公开(公告)号：US20090112318A1
公开(公告)日：2009-04-30
申请号：US12258705
申请日：2008-10-27
申请人： Michael S. Butler , Kara A. Bucci
发明人： Michael S. Butler , Kara A. Bucci
IPC分类号： A61F2/28 , A61F2/44
CPC分类号： A61F2/447 , A61F2002/30092 , A61F2002/30471 , A61F2002/30579 , A61F2002/30599 , A61F2002/30604 , A61F2002/30754 , A61F2210/0014 , A61F2220/0091 , A61F2250/0063
摘要： An orthopedic implant such as a spinal implant is made from a elastic biocompatible material (e.g. polyetheretherketone or PEEK) to provide a hinge that allows portions of the orthopedic implant to be folded into a closed position and to inherently deploy into an open position upon release of a folding bias. Hence, the orthopedic implant can accommodate a minimally invasive surgical procedure since the orthopedic implant can be introduced into the disc space in the closed position through a small-diameter insertion tube and then deploy to a particular height once the implant is released from the insertion tube (i.e. from release of the folding bias). The present implant is preferably, but not necessarily, made by injection molded PEEK. In this manner, the implant components are molded in the open position to cause the open position to be its innate position or form, thus allowing the implant to self-deploy (self-expand) when it is released from the folding bias.
摘要翻译：诸如脊椎植入物的矫形植入物由弹性生物相容性材料（例如聚醚醚酮或PEEK）制成，以提供铰链，该铰链允许矫形外科植入物的一部分折叠成关闭位置，并且在释放折叠偏差。因此，矫形植入物可以适应微创外科手术，因为整形外科植入物可以通过小直径插入管被引入关闭位置的椎间盘空间，然后一旦植入物从插入管中释放就展开到特定的高度（即从折叠偏差的释放）。本植入物优选但不一定由注射成型的PEEK制成。以这种方式，植入部件被模制在打开位置以使得打开位置成为其先天位置或形式，从而允许植入物在从折叠偏压释放时自我展开（自展开）。

39. 发明申请

US20090088765A1 Spinal Interbody Distractor 审中-公开
标题翻译：脊柱体内牵引器
公开(公告)号：US20090088765A1
公开(公告)日：2009-04-02
申请号：US12239767
申请日：2008-09-27
申请人： Michael S. Butler , Brian D. Hartsell
发明人： Michael S. Butler , Brian D. Hartsell
IPC分类号： A61B17/58 , A61F2/44
CPC分类号： A61F2/4455 , A61B2017/0256 , A61F2002/30131 , A61F2002/30166 , A61F2002/30904 , A61F2002/4475 , A61F2230/0013 , A61F2230/0028
摘要： A spinal interbody distractor is provided that is configured to provide distraction of adjacent vertebrae after implantation within a spinal disc cavity through manual rotation of the distractor once implanted. Such implantation is preferably, but not necessarily, through minimally invasive surgical techniques. In one form, the distractor is configured to be rotated 90° to 180° after implantation to provide distraction of adjacent vertebrae. The distractor has a lateral side to lateral side height of a first length and a superior end to inferior end height of a second length that is greater than the first length. This configuration allows the distractor to be inserted into a spinal disc cavity having an opening with a height that is smaller than an end height of the spinal disc cavity after implantation thereof, thereby providing distraction of adjacent vertebrae. The spinal interbody distractor may have one or more cavities, areas, openings and/or bores for spinal fusion material when the distractor is used as a fusion body. The spinal interbody distractor is made from a biocompatible material such as a thermoplastic (e.g. PEEK), a polymer, metal, combination thereof or otherwise, such as desired and/or is appropriate.
摘要翻译：提供了一种脊椎体间牵引器，其被配置为通过一旦植入一分钟的手动旋转来在植入后在脊椎盘腔内提供相邻椎骨的牵引。这种植入优选但不一定通过微创手术技术。在一种形式中，牵引器构造成在植入后旋转90°至180°以提供相邻椎骨的牵引。牵引器具有第一长度的横向侧向侧向高度以及大于第一长度的第二长度的上端至下端高度。这种构造允许牵引器插入具有开口的脊椎盘腔中，所述开口的高度在植入后小于脊椎盘腔的端部高度，从而提供相邻椎骨的分离。当牵引器用作融合体时，脊椎椎间盘牵引器可以具有用于脊柱融合材料的一个或多个腔，区域，开口和/或孔。脊椎间体牵引器由生物相容性材料制成，例如热塑性（例如PEEK），聚合物，金属，其组合或其它方式，例如所需和/或适当的。

40. 发明申请

US20090069897A1 Spinal Interbody Device 审中-公开
标题翻译：脊柱体内装置
公开(公告)号：US20090069897A1
公开(公告)日：2009-03-12
申请号：US12209884
申请日：2008-09-12
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： A61F2/442 , A61B17/0642 , A61B17/842 , A61F2/4455 , A61F2/4611 , A61F2002/30014 , A61F2002/30069 , A61F2002/30242 , A61F2002/30462 , A61F2002/30563 , A61F2002/30772 , A61F2220/0075 , A61F2230/0071 , A61F2250/0018
摘要： A spinal interbody or intravertebral device is provided for fusion and non-fusion spinal applications. The spinal interbody device allows for limited motion between adjacent vertebrae to help preserve normal motion between adjacent vertebrae (superior/inferior vertebrae) relative to the implanted spinal interbody device and limited rotational motion of the spinal interbody device, once implanted. Limitation of motion is achieved through one or more protrusions incorporated into the spinal interbody device. The protrusions preferably, but not necessarily, extend radially from a hub or ball-shaped body of the interbody device. In one form, a single protrusion extends radially about the hub of the interbody device to form a continuous band, ring or base about the hub. In this form, portions of the band may extend radially further from the hub than other portions of the band. Preferably, but not necessarily, in this form the band extends radially a greater distance from the hub in the posterior and anterior directions. In another form, a first protrusion extends radially from one side of the hub while a second protrusion extends radially from another side of the hub. Anchoring means may also be provided for attachment to upper and lower vertebrae.
摘要翻译：提供脊柱体内或椎间装置用于融合和非融合脊柱应用。脊椎体间装置允许相邻椎骨之间的有限运动，以帮助保持相对于植入脊柱体间装置的相邻椎骨（上/下椎骨）之间的正常运动，并且一旦植入就能够限制脊椎体间装置的旋转运动。运动限制是通过一个或多个引入到脊椎体内装置中的突出物实现的。优选但不一定从突出体装置的轮毂或球形体径向延伸的突起。在一种形式中，单个突起围绕所述体间装置的轮毂径向延伸以形成围绕所述轮毂的连续带，环或基部。在这种形式中，带的部分可以比带的其他部分从轮毂径向延伸。优选地，但不是必须地，在这种形式中，带在后部和前部方向上从轮毂径向延伸更大的距离。在另一种形式中，第一突起从轮毂的一侧径向延伸，而第二突起从毂的另一侧径向延伸。还可以提供锚定装置用于附接到上部和下部椎骨。

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