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31. 发明授权

US08998964B2 Bone screw retaining and removal system 有权
标题翻译：骨螺钉保持和移除系统
公开(公告)号：US08998964B2
公开(公告)日：2015-04-07
申请号：US12738217
申请日：2008-10-16
申请人： James C. Robinson
发明人： James C. Robinson
IPC分类号： A61B17/70 , A61B17/80 , A61B17/92 , A61B17/88
CPC分类号： A61B17/8052 , A61B17/8042 , A61B17/8861 , A61B17/8872 , A61B17/8875 , A61B17/92 , A61B2560/0443
摘要： A bone screw retention system is provided for a plate which defines a plurality of transversely extending bores that are configured to receive a bone screw for engaging the plate to the cervical spine. One or more retention members, having an elliptical, arcuate, straight, or other shape, can be positioned therein a cavity of the plate such that portions of the retention member(s) extend into a portion of an upper region of each bore to retain a bone screw therein. A bone screw removal device is provided, having at least one tongue member configured to selectively displace the one or more retention members to allow the bone screw to be removed from the respective bore.
摘要翻译：提供了一种骨螺钉固定系统，用于限定多个横向延伸的孔的板，所述孔被构造成接收用于将板接合到颈椎的骨螺钉。具有椭圆形，弓形，直线或其它形状的一个或多个保持构件可以位于其中的板的空腔中，使得保持构件的一部分延伸到每个孔的上部区域的一部分中以保持骨螺钉。提供骨螺钉移除装置，其具有构造成选择性地移位所述一个或多个保持构件以允许从相应的孔移除骨螺钉的至少一个舌构件。

32. 发明授权

US08968319B2 Methods, tools and devices for spinal fixation 有权
标题翻译：脊柱固定的方法，工具和装置
公开(公告)号：US08968319B2
公开(公告)日：2015-03-03
申请号：US13527557
申请日：2012-06-19
申请人： Kingsley R. Chin , Craig Henshaw , Matthew Ibarra , Jeremy Levinson Crossgrove
发明人： Kingsley R. Chin , Craig Henshaw , Matthew Ibarra , Jeremy Levinson Crossgrove
IPC分类号： A61B17/88 , A61B17/17 , A61B17/70 , A61B19/00
CPC分类号： A61B17/8861 , A61B17/1757 , A61B17/7035 , A61B17/7085 , A61B2090/037
摘要： A method for spinal rod insertion includes providing a U-shaped hook tool comprising first and second legs, and inserting the first leg into a first location of a first vertebra and then pushing the hook tool along an arc-shaped path until the first leg exits through a second location of an adjacent second vertebra. Next, providing a spinal stabilization rod and a folded flexible wire comprising first and second open ends at the front end and a closed loop end. The closed loop end is attached to a first end of the spinal stabilization rod and the first and second open ends of the folded flexible wire are inserted into an open end of the second leg of the hook, and the folded flexible wire is threaded through the U-shaped hook and the first and second open ends of the flexible wire exit through an open end of the first leg.
摘要翻译：一种用于脊柱杆插入的方法包括提供包括第一和第二腿的U形钩工具，并将第一腿插入第一椎骨的第一位置，然后沿着弧形路径推动钩工具，直到第一腿部离开通过相邻的第二椎骨的第二位置。接下来，提供脊椎稳定杆和折叠的柔性线，其在前端包括第一和第二开口端以及闭环端。闭环端附接到脊柱稳定杆的第一端，并且折叠的柔性线的第一和第二开口端插入到钩的第二腿的开口端中，并且折叠的柔性线穿过 U形钩，柔性线的第一和第二开放端通过第一腿的开口端排出。

33. 发明申请

US20140378977A1 MINIMALLY INVASIVE DEVICE FOR SURGICAL OPERATIONS 审中-公开
标题翻译：用于外科手术的最小的入侵装置
公开(公告)号：US20140378977A1
公开(公告)日：2014-12-25
申请号：US14367766
申请日：2012-12-21
申请人： Martin Russi
发明人： Martin Russi
IPC分类号： A61B17/15 , A61B17/14
CPC分类号： A61B17/151 , A61B17/0469 , A61B17/149 , A61B17/82 , A61B17/8861
摘要： The present invention is related to a minimally invasive device for surgical procedures which generally comprises at least a pair of assembly elements formed by a primary main body and a secondary main body joined together at their proximal and distal ends; a fastening element which is inserted in the distal end of both primary and secondary main bodies respectively, which is employed to keep them joined together; a threading element which is inserted in its inner section from the intermediate section of said device, continues to its proximal end and returns to its intermediate section on the opposite end; and a multifunction element located on the inside of the threading element.
摘要翻译：本发明涉及用于外科手术的微创装置，其通常包括由主要主体和次主体在其近端和远端连接在一起形成的至少一对组装元件; 紧固元件分别插入主和第二主体的远端，用于保持它们连接在一起; 从所述装置的中间部分插入其内部部分的穿线元件继续到其近端并返回到其相对端的中间部分; 以及位于穿线元件内侧的多功能元件。

34. 发明授权

US08888791B2 Surgical instrument and method for tensioning and securing a flexible suture 有权
标题翻译：用于张紧和固定柔性缝线的手术器械和方法
公开(公告)号：US08888791B2
公开(公告)日：2014-11-18
申请号：US12436926
申请日：2009-05-07
申请人： Jorge Jaramillo , Doug Goertzen , Kevin Chaplin , Dan Gelbart , Ian Garben , Monica Spisar
发明人： Jorge Jaramillo , Doug Goertzen , Kevin Chaplin , Dan Gelbart , Ian Garben , Monica Spisar
IPC分类号： A61B17/10 , A61B17/88 , A61B17/04 , A61B19/00 , A61B17/82
CPC分类号： A61B17/8861 , A61B17/04 , A61B17/0467 , A61B17/823 , A61B17/8869 , A61B2017/0496 , A61B2090/064 , A61B2090/0807
摘要： A surgical instrument may be used to apply tension to a flexible suture to close and secure a broken or cut bone (e.g. a sternum following a sternotomy). The device preferably applies an adjustable tension to the flexible suture in order to secure the bone together. Multiple instruments may be used together to ensure the desired tension is applied to the entire bone structure being secured with the flexible sutures. Once the desired tension is achieved, the device preferably provides a mechanism to apply a uniform twist to the flexible suture to lock the flexible suture in place. The instrument preferably decreases the upward tension applied to the flexible sutures over the duration of the application of twisting. The device may automatically cut the flexible suture, or the flexible suture may be cut by the surgeon once the twisting action has been performed.
摘要翻译：可以使用外科器械将张力施加到柔性缝合线上以闭合并固定破碎或切割的骨（例如在胸骨切开后的胸骨）。该装置优选地将可调节的张力施加到柔性缝合线上，以将骨头固定在一起。多个器械可以一起使用以确保用柔性缝合线固定的整个骨结构施加期望的张力。一旦实现所需的张力，该装置优选地提供一种机制，以将均匀的扭转施加到柔性缝合线以将柔性缝合线锁定就位。仪器优选减少在施加扭转期间施加到柔性缝线的向上张力。该装置可以自动切割柔性缝合线，或者一旦执行了扭转动作，则可以由外科医生切割柔性缝合线。

35. 发明申请

US20140303625A1 ARTHROSCOPIC SURGICAL DEVICE 有权
标题翻译： ARTHROSCOPIC手术装置
公开(公告)号：US20140303625A1
公开(公告)日：2014-10-09
申请号：US14240227
申请日：2012-08-23
申请人： Mordehai Sholev , Ronen Raz , Raphael Meloul
发明人： Mordehai Sholev , Ronen Raz , Raphael Meloul
IPC分类号： A61B17/16 , A61B17/064 , A61B17/04
CPC分类号： A61B17/0642 , A61B17/0482 , A61B17/0483 , A61B17/06061 , A61B17/1604 , A61B17/1642 , A61B17/8861 , A61B2017/06042 , A61B2017/2923
摘要： An arthroscopic surgical device for tunneling through hard tissue including an arcuate tunneling needle driver and a bone engagement element, the arcuate needle driver and the bone engagement element being joined together to provide a joined needle driver and bone engagement element having at least two different operative orientations including an arthroscopic operative orientation wherein the joined arcuate needle driver and bone engagement element has a trans-incision insertion cross-sectional footprint and a tunneling operative orientation suitable for tunneling, wherein the joined arcuate needle driver and bone engagement element has a tunneling cross-sectional footprint which is substantially greater than the insertion cross-sectional footprint.
摘要翻译：一种用于隧道穿过硬组织的关节镜手术装置，包括弓形隧道针驱动器和骨接合元件，弓形针驱动器和骨接合元件连接在一起，以提供具有至少两个不同操作取向的连接的针驱动器和骨接合元件包括关节镜操作取向，其中所述接合的弓形针驱动器和骨接合元件具有适合于隧道穿过的穿孔切口插入横截面足迹和隧道操作定向，其中所述接合的弓形针驱动器和骨接合元件具有隧道截面大大地大于插入截面足迹。

36. 发明申请

US20140277168A1 ROD INSERTER AND METHODS OF USE 有权
标题翻译： ROD插入器和使用方法
公开(公告)号：US20140277168A1
公开(公告)日：2014-09-18
申请号：US13828573
申请日：2013-03-14
申请人： Clark HUTTON , Ketchen Smith
发明人： Clark HUTTON , Ketchen Smith
IPC分类号： A61B17/70
CPC分类号： A61B17/708 , A61B17/7032 , A61B17/7082 , A61B17/7083 , A61B17/7085 , A61B17/7086 , A61B17/7091 , A61B17/8861
摘要： A spinal stabilization system, method, and a surgical kit having a surgical extender apparatus for implanting a surgical screw are disclosed. The extender includes a housing having a distal end and a proximal end, a hollow interior passageway disposed between the distal end and the proximal end, a channel disposed along an exterior surface of the housing at least partially between the distal end and the proximal end and configured to at least partially expose the hollow interior passageway, an interior locking mechanism disposed on an interior surface of the housing and substantially adjacent the proximal end, wherein the interior locking mechanism is configured to allow attachment of at least one surgical tool, and at least one flexible member disposed substantially adjacent the distal end. The housing is configured to accommodate placement of a surgical screw implant. The surgical screw implant is secured to the housing using a mating feature in the surgical screw implant. The at least one flexible member is configured to retain the surgical screw implant. The mating feature is configured to control axial movement of the surgical screw implant.
摘要翻译：公开了一种脊柱稳定系统，方法和具有用于植入外科用螺钉的外科用延长装置的手术套件。扩展器包括具有远端和近端的壳体，设置在远端和近端之间的中空内部通道，沿着壳体的外表面至少部分地设置在远端和近端之间的通道，以及被配置为至少部分地暴露所述中空内部通道，内部锁定机构，其设置在所述壳体的内表面上并且基本上邻近所述近端，其中所述内部锁定机构构造成允许至少一个外科手术工具的附接，并且至少一个柔性构件基本上邻近远端设置。壳体构造成适应外科用螺钉植入物的放置。手术螺钉植入物使用外科用螺钉植入物中的配合特征固定到外壳。至少一个柔性构件构造成保持外科用螺钉植入物。配合特征被配置为控制外科用螺钉植入物的轴向运动。

37. 发明申请

US20140276890A1 WIRE DRIVER 有权
标题翻译：电线驱动器
公开(公告)号：US20140276890A1
公开(公告)日：2014-09-18
申请号：US13841780
申请日：2013-03-15
申请人： Arthrex, Inc.
发明人： Rudraksh Khosla , G. Scott Sherman , Thomas Jindra
IPC分类号： A61B17/88
CPC分类号： A61B17/8861 , A61B17/162 , A61B17/1697
摘要： A driver for medical wires has a hollow drive shaft, rotatable about a rotation axis. The hollow drive shaft has a distal end and a proximal end. Furthermore, a plurality of clamping jaws penetrates under an angle into the hollow drive shaft close to its distal end. The clamping jaws are moved into or out of the hollow drive shaft by means of a jaw guide mounted slidable parallel to the rotation axis and movably connected to the clamping jaws. An actuator is provided to shift the jaw guide parallel to the rotation axis and therefore modify the penetration depth of the clamping jaws.
摘要翻译：用于医疗电线的驱动器具有可围绕旋转轴线旋转的中空驱动轴。中空驱动轴具有远端和近端。此外，多个夹爪穿过一定角度进入靠近其远端的中空驱动轴。夹爪通过安装成可平行于旋转轴线滑动并可移动地连接到夹爪的夹爪引导件移入或移出中空驱动轴。提供致动器以使钳口引导件平行于旋转轴线移动，并因此改变夹爪的穿透深度。

38. 发明申请

US20140228881A1 METHOD AND APPARATUS FOR THE STABILIZATION OF THE TRAPEZIOMETACARPAL JOINT 有权
标题翻译：用于稳定TRAPEZIOMETACARPAL接头的方法和装置
公开(公告)号：US20140228881A1
公开(公告)日：2014-08-14
申请号：US14254334
申请日：2014-04-16
申请人： INSTRATEK, INC.
发明人： Jeffrey F. Seavey
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0482 , A61B17/0485 , A61B17/29 , A61B17/683 , A61B17/8061 , A61B17/842 , A61B17/8861 , A61B2017/0404 , A61B2017/0414 , A61B2017/0417 , A61B2017/2927 , A61B2017/2929 , A61B2017/2946
摘要： A method and apparatus for the stabilization of the trapeziometacarpal joint following the removal or partial resection of the trapezium includes an assembly for securing a first metacarpal relative to a second metacarpal. The assembly includes a suture guide having a suture anchor plate that is frangibly connected to a guide stem.
摘要翻译：用于在梯形去除或部分切除术之后稳定平台肌掌关节的方法和装置包括用于固定第一掌骨相对于第二掌骨的组件。该组件包括缝合线引导件，其具有易于连接到引导杆的缝合锚板。

39. 发明授权

US08747405B2 Bone fixing system and method of use 有权
标题翻译：骨固定系统及使用方法
公开(公告)号：US08747405B2
公开(公告)日：2014-06-10
申请号：US12682001
申请日：2008-10-10
申请人： Karl Pierre Belliard
发明人： Karl Pierre Belliard
IPC分类号： A61B17/82
CPC分类号： A61B17/7053 , A61B17/707 , A61B17/82 , A61B17/842 , A61B17/86 , A61B17/8861 , A61B17/8869 , A61B2017/681
摘要： A bone fixing system useful for holding bone in position, and a method for installing the same are disclosed. The ends of a conformable ligature are passed around bones, bone grafts, tendons, plates, rods, fasteners, or other anatomical or implanted structures, and the like to form a loop extending from a first portion of the blocking body. The ends of the conformable ligature are passed through the blocking body and extend out a second portion of the body. The ends may be attached to a tensioning tool and a selected tension may be applied. A closure member may engage an engagement portion of the blocking body to create a friction force to hold the conformable ligature in place without significant movement relative to the blocking body.
摘要翻译：公开了一种用于将骨骼固定就位的骨固定系统及其安装方法。适形结扎的末端绕过骨骼，骨移植物，腱，板，杆，紧固件或其他解剖或植入的结构等，以形成从阻塞体的第一部分延伸的环。适形结扎的端部穿过阻挡体并延伸出身体的第二部分。端部可以附接到张紧工具，并且可以施加选定的张力。闭合构件可以接合阻挡体的接合部分以产生摩擦力，以将适形结扎线保持在适当位置，而不会相对于阻塞体显着移动。

40. 发明授权

US08728083B2 Device for tensioning a flexible band 有权
标题翻译：用于张紧柔性带的装置
公开(公告)号：US08728083B2
公开(公告)日：2014-05-20
申请号：US13906550
申请日：2013-05-31
申请人： Implanet, Societe Anonyme
发明人： Christian Baccelli , Regis Le Couedic
IPC分类号： A61B17/70 , A61B17/88
CPC分类号： A61B17/7053 , A61B17/7074 , A61B17/7076 , A61B17/7083 , A61B17/82 , A61B17/88 , A61B17/8841 , A61B17/8861 , A61B17/8869 , B25B25/00
摘要： A device (17) is provided for tensioning a flexible band (3) used to maintain a bone element on an implant. The device includes a rod (18) having a first end (19) provided with means (20) for bearing on the implant, a movable part (32) for hooking the flexible band onto a portion (28) of the device, and means (34) for adjustably locking the movable part in translation in relation to the portion of the device. The rod (18) includes a gripping handle (26) at the second end (27) thereof. The aforementioned portion of the device forms an angle α with the rod (18) to which it is rigidly connected at an intermediary point, the direction of the band being altered at an angle, and the aforementioned adjustable locking means (34) includes manual screwing means (35) for actuating the movable part.
摘要翻译：提供了一种用于张紧用于将骨元件保持在植入物上的柔性带（3）的装置（17）。该装置包括具有第一端（19）的杆（18），第一端（19）设置有用于承载在植入物上的装置（20），用于将柔性带钩住装置的部分（28）的可移动部分（32）（34），用于可调节地将可移动部件相对于装置的部分平移地平移。杆（18）在其第二端（27）处包括抓握手柄（26）。设备的上述部分与杆（18）形成一个角度α，杆（18）在中间点刚性连接，带的方向以一角度改变，上述可调锁定装置（34）包括手动螺丝用于致动可移动部件的装置（35）。

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