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51. 发明申请

US20070299426A1 Injectable biocompatible material delivery system 有权
标题翻译：注射生物相容材料输送系统
公开(公告)号：US20070299426A1
公开(公告)日：2007-12-27
申请号：US11471993
申请日：2006-06-21
申请人： Hai H. Trieu , Jeff R. Justis , Michael C. Sherman , Dimitri K. Protopsaltis
发明人： Hai H. Trieu , Jeff R. Justis , Michael C. Sherman , Dimitri K. Protopsaltis
IPC分类号： A61K9/22 , A61M5/142
CPC分类号： A61F2/4601 , A61B17/7098 , A61B17/8836 , A61F2002/30583 , A61F2002/4688 , A61F2002/4696 , A61F2210/0085 , A61M2210/1003
摘要： An injectable biocompatible material delivery system is disclosed and can include an injector and a material delivery cannula that can be in fluid communication with the injector. Further, the injectable biocompatible material delivery system can include a light source that can be configured to emit light to at least a portion of the injector, at least a portion of the material delivery cannula, or a combination thereof. Further, the light source can be configured to activate an injectable biocompatible material as it moves through the system.
摘要翻译：公开了可注射的生物相容性材料输送系统，并且可以包括可以与注射器流体连通的注射器和材料输送套管。此外，可注射的生物相容性材料输送系统可以包括光源，其可被配置为向喷射器的至少一部分，材料输送套管的至少一部分或其组合发光。此外，光源可以被配置为在可注射的生物相容性材料移动通过系统时激活。

52. 发明授权

US07188626B2 Instruments and methods for stabilization of bony structures 有权
公开(公告)号：US07188626B2
公开(公告)日：2007-03-13
申请号：US10126237
申请日：2002-04-19
申请人： Kevin T. Foley , Michael C. Sherman , Jeff R. Justis
发明人： Kevin T. Foley , Michael C. Sherman , Jeff R. Justis
IPC分类号： A61B19/00 , A61B17/56
CPC分类号： A61B17/7086 , A61B17/00234 , A61B17/1671 , A61B17/7038 , A61B17/7089 , A61B17/88 , A61B17/8872 , A61B17/8897 , A61B2017/681 , A61B2017/90
摘要： The present invention relates to methods and instruments for placing a brace or connecting element into an animal subject for engagement with anchors secured in the animal subject. The installation instrument includes anchor extensions coupled to the anchors. The instrument is movable with respect to the anchors to position the connecting element in a position more proximate the anchors.

53. 发明授权

US07087055B2 Minimally invasive expanding spacer and method 有权
公开(公告)号：US07087055B2
公开(公告)日：2006-08-08
申请号：US10178960
申请日：2002-06-25
申请人： Roy Lim , Michael C. Sherman , Kevin T. Foley
发明人： Roy Lim , Michael C. Sherman , Kevin T. Foley
IPC分类号： A61B17/70
CPC分类号： A61F2/4455 , A61B17/0206 , A61B17/025 , A61B17/2804 , A61B2017/0256 , A61F2/442 , A61F2/447 , A61F2002/3055 , A61F2002/30579 , A61F2002/30624
摘要： A minimaly invasive spacer for positioning between vertebral members. The spacer is adjustable between a first orientation having a reduced size to facilitate insertion between the vertebral members. A second orientation has an enlarged size for contacting the vertebral members. The spacer includes linkages that are attached to a pair of plates. A pull arm is operatively connected to the linkages for adjusting the spacer from the first orientation to the second orientation. A delivery device is attached to the spacer for insertion between the vertebral members. In one embodiment, the delivery device is detachable to be removed from the spacer once positioned between the vertebral members. Methods of using the spacer include positioning the spacer between the vertebral members while in the first orientation. The spacer is then enlarged to the second orientation, and the delivery device is removed with only the spacer remaining within the patient.

54. 发明授权

US06436099B1 Adjustable spinal tether 失效
标题翻译：可调脊柱系绳
公开(公告)号：US06436099B1
公开(公告)日：2002-08-20
申请号：US09421976
申请日：1999-10-20
申请人： Troy D. Drewry , Michael C. Sherman , David Brumfield
发明人： Troy D. Drewry , Michael C. Sherman , David Brumfield
IPC分类号： A61B1756
CPC分类号： A61B17/82 , A61B17/7022 , A61B2017/00858
摘要： An apparatus is provided to allow for an adjustable length tether for use in the spine and other parts of the body. The tether comprises an artificial strand with an eyelet formed in one end, the other end being looped through the eyelet. The other end is then secured with respect to the eyelet by a crimp, the excess length being cut off after the length of the tether has been given an appropriate tension. Alternatively, the eyelet end may be formed around a grommet. The crimp may be separate from the grommet or a part of the grommet. The mechanism by which the length is adjusted in some cases will take advantage of the shape memory properties of alloys such as nickel-titanium.
摘要翻译：提供了一种装置，以允许在脊柱和身体的其他部分中使用可调节长度的系绳。系绳包括在一端形成有孔眼的人造线，另一端环绕穿孔。然后通过卷曲将另一端相对于孔眼固定，在系绳的长度已经被给予适当的张力之后，多余的长度被切断。或者，孔眼端可以围绕索环形成。卷曲可以与索环或索环的一部分分开。在某些情况下调整长度的机制将利用镍钛等合金的形状记忆特性。

55. 发明授权

US06360750B1 Minimally invasive surgical techniques for implanting devices that deliver stimulant to the nervous system 有权
标题翻译：用于植入将神经系统兴奋剂的装置植入的微创外科技术
公开(公告)号：US06360750B1
公开(公告)日：2002-03-26
申请号：US09489544
申请日：2000-01-21
申请人： Martin Theodore Gerber , Michael C. Sherman
发明人： Martin Theodore Gerber , Michael C. Sherman
IPC分类号： A61B1702
CPC分类号： A61N1/0551 , A61N1/0558 , Y10S623/902
摘要： Devices are currently implanted in patients to treat pain and other conditions including incontinence by delivering stimulants to the nervous system. Surgical methods are improved for implanting the devices. The soft tissues of the body are dilated above the site of device implantation, for example, above the sacrum, to create an annulus of dilated soft tissues. The tissues are dilated by introducing into the soft tissue sequentially larger cannulated dilating devices. A tubular retractor is then passed over the largest introduced dilating device and at least a number of the dilating devices are retracted. This establishes a tubular device insertion corridor through the dilated soft tissues to the site of implantation, for example, the foramen of the sacrum. The device to be implanted, such as an electrical lead, is then inserted through the corridor. The device is tested in situ. Finally, such other method steps are performed, including closing the corridor, as implantation requires. As preferred, when establishing a corridor through the tissues, a corridor is established sufficient in size for insertion of an endoscope; and the endoscope is inserted and utilized for visual imaging as needed. Also as preferred, the nervous system of the body is tested for appropriate reaction to the stimulant through insertion and manipulation of testing implements through the corridor before performing other method steps. As further preferred, the device to be implanted is anchored through insertion and manipulation of anchoring implements through the corridor. The device is also connected to associated equipment, such as an implantable pulse generator, by tunneling through the soft tissues and passing an extension, a cable, from the lead to the site of implantation of the other equipment, such as in the abdomen.
摘要翻译：目前，装置植入患者以通过将兴奋剂递送至神经系统来治疗疼痛和其它病症，包括失禁。手术方法的改进用于植入装置。身体的软组织在装置植入位置上方扩张，例如在骶骨上方，以形成扩张的软组织的环。通过将较大的插管扩张装置引入软组织中，使组织扩张。然后，管状牵缩器通过最大的引入的扩张装置，并且至少多个扩张装置缩回。这建立了通过扩张的软组织到植入位置的管状装置插入走廊，例如骶骨的孔。然后将待植入的装置（例如电引线）插入穿过走廊。该装置在原位测试。最后，如植入所需，执行其他方法步骤，包括关闭走廊。优选地，当通过组织建立走廊时，建立足够尺寸的走廊用于插入内窥镜; 并且根据需要将内窥镜插入并用于视觉成像。同样优选的是，通过在执行其它方法步骤之前通过走廊插入和操纵测试工具来测试身体的神经系统对兴奋剂的适当反应。进一步优选的是，待植入的装置通过穿过走廊的锚固工具的插入和操纵来锚固。该装置还通过隧道穿过软组织并将延伸部分（例如电缆）从引线连接到诸如在腹部的其它设备的植入部位等相关设备，例如可植入脉冲发生器。

56. 发明授权

US5980521A Top-tightening transverse connector for a spinal fixation system 失效
标题翻译：用于脊柱固定系统的顶部紧固横向连接器
公开(公告)号：US5980521A
公开(公告)日：1999-11-09
申请号：US859762
申请日：1997-05-21
申请人： Leslie A. Montague , Michael C. Sherman , Eddie Ray, III
发明人： Leslie A. Montague , Michael C. Sherman , Eddie Ray, III
IPC分类号： A61B17/70
CPC分类号： A61B17/705 , A61B17/7052 , A61B17/7037 , A61B17/7038 , A61B17/7041
摘要： A new top-loading transverse connector of the present invention for bridging between longitudinal members of a spinal fixation system implant. The transverse connector is loaded and clamped to the longitudinal member from the top permitting easy access and adjustment and may clamp at the same location along the rod as a vertebral fixation element. The transverse connector comprises an elongate body and an engagement portion on each opposing end of the elongate body. The engagement portion includes downward legs each with a surface to engage the longitudinal member. The downward legs are displaced from each other to define a space therebetween. The engagement portion includes an upper surface defining an opening therethrough. The opening intersects the space defined between the downward legs. Together, the space and opening are configured to receive the clamp assembly carried on the longitudinal member. Another object of the invention, is to provide an improved system including the transverse connector. Another object of the invention is to provide a transverse connector that clamps to the longitudinal member at a variable angle. Another object of the invention is to provide a separate engagement portion which can be used with existing transverse connectors to permit clamping at the same site as vertebral fixation elements. Another object of the invention is to provide a way to adjust the length of the elongate body of the transverse connector.
摘要翻译：一种用于桥接脊柱固定系统植入物的纵向构件之间的本发明的新的顶部加载横向连接器。横向连接器从顶部装载和夹紧到纵向构件，允许容易地进入和调节，并且可以沿着杆作为椎骨固定元件夹紧在相同位置。横向连接器包括细长主体和在细长主体的每个相对端上的接合部分。接合部分包括各自具有与纵向构件接合的表面的向下的腿。向下的腿彼此移位以限定它们之间的空间。接合部分包括限定穿过其中的开口的上表面。开口与下方的腿间限定的空间相交。一起，空间和开口构造成接收承载在纵向构件上的夹具组件。本发明的另一个目的是提供一种包括横向连接器的改进的系统。本发明的另一个目的是提供一种以可变角度夹紧纵向构件的横向连接器。本发明的另一个目的是提供一种单独的接合部分，其可以与现有的横向连接器一起使用以允许在与椎骨固定元件相同的位置处夹紧。本发明的另一个目的是提供一种调节横向连接器的细长主体长度的方法。

57. 发明授权

US5624441A Attachment plate for top-tightening clamp assembly in a spinal fixation system 失效
标题翻译：用于脊柱固定系统中顶部紧固夹具组件的安装板
公开(公告)号：US5624441A
公开(公告)日：1997-04-29
申请号：US423019
申请日：1995-04-10
申请人： Michael C. Sherman , John A. Pafford , Richard B. Ashman
发明人： Michael C. Sherman , John A. Pafford , Richard B. Ashman
IPC分类号： A61B17/70
CPC分类号： A61B17/7041
摘要： An attachment plate for use with a spinal rod system converts a normally side-tightening eyebolt to a top-tightenable arrangement for engaging spinal fixation elements to the spinal rod. The plate is configured for use with spinal fixation elements having a posteriorly projecting central post, one lateral surface of the post contacting the spinal rod when the rod extends through an aperture of the eyebolt. The attachment plate is generally L-shaped with a slot in one portion for receiving the posteriorly projecting threaded post of the eyebolt. The plate includes a flange portion having a surface configured to engage the lateral surface of the fixation element post opposite the spinal rod. The attachment plate includes a camming segment to provide a clamping force component directed toward the flange portion of the plate to thereby tightly clamp the spinal rod to the fixation element post when a nut is threaded onto the eyebolt threaded post.
摘要翻译：与脊椎杆系统一起使用的附接板将正常侧紧螺旋弹簧转换成顶部可收紧的装置，用于将脊柱固定元件接合到脊柱杆。板被构造成用于具有后突出的中心柱的脊柱固定元件，当杆延伸穿过吊环的孔时，柱的一个侧表面接触脊柱杆。附接板通常为L形，在一个部分中具有槽，用于接收吊环的后突出的螺纹柱。板包括凸缘部分，其具有被构造成与固定元件柱的与脊柱杆相对的侧表面接合的表面。附接板包括凸轮段，以提供朝向板的凸缘部分的夹紧力分量，从而当螺母拧到吊环螺纹柱上时，将脊柱杆紧紧地固定到固定元件柱上。

58. 发明授权

US5364399A Anterior cervical plating system 失效
标题翻译：前宫颈电镀系统
公开(公告)号：US5364399A
公开(公告)日：1994-11-15
申请号：US14415
申请日：1993-02-05
申请人： Gary Lowery , Michael C. Sherman , Eddie F. Ray, III , Bradley J. Coates
发明人： Gary Lowery , Michael C. Sherman , Eddie F. Ray, III , Bradley J. Coates
IPC分类号： A61B17/58 , A61B17/17 , A61B17/70 , A61B17/80 , A61B17/88
CPC分类号： A61B17/7059 , A61B17/1728 , A61B17/8052 , A61B17/1655 , A61B17/1757 , A61B17/8042
摘要： An anterior cervical plating system is disclosed which includes an elongated plate having a pair of bone screw bores at opposite ends of the plate, and with bone screw slot configurations in the middle bridge portion of the plate. A single locking screw is provided at each end of the plate which engages the heads of the bone screws trapped within recesses of the plate. The locking screw provides a rigid fixation of the screws to the plate, while the heads of the screws are flush or recessed below the upper surface of the plate. The invention further contemplates a drill and tap guide assembly which can be mounted on the fixation plate to provide a firm foundation for accurately drilling and tapping screw holes into the vertebra to be instrumented. The drill and tap guide assembly includes an assembly support which is engaged to the plate by way of a positioning screw and cross pins mounting the positioning screw to the guide body. A tap sleeve and drill guide can then be supported by the assembly support, which both thereby provide accurate positioning for a drill.
摘要翻译：公开了一种前颈椎电镀系统，其包括在板的相对端处具有一对骨螺钉孔的细长板，并且在板的中间桥接部分中具有骨螺钉槽构造。在板的每个端部处提供单个锁定螺钉，其接合被捕获在板的凹部内的骨螺钉的头部。锁定螺钉提供螺钉固定在板上，同时螺钉的头部齐平或凹入板的上表面下方。本发明进一步设想一种可以安装在固定板上的钻头和水龙头导向组件，以便为要被装配的椎骨准确地钻孔和攻丝螺钉孔提供坚实的基础。钻头和水龙头导向组件包括组件支撑件，该组件支撑件通过定位螺钉与定位螺钉接合，并将定位螺钉安装到引导体上。然后可以由组件支撑件支撑分接头套筒和钻子引导器，从而为钻头提供准确的定位。

59. 发明授权

US5074866A Translation/rotation device for external bone fixation system 失效
标题翻译：外固定系统的翻译/旋转装置
公开(公告)号：US5074866A
公开(公告)日：1991-12-24
申请号：US598046
申请日：1990-10-16
申请人： Michael C. Sherman , Robert Wigginton , Dror Paley
发明人： Michael C. Sherman , Robert Wigginton , Dror Paley
IPC分类号： A61B17/60 , A61B17/62
CPC分类号： A61B17/62
摘要： Apparatus for the fixation of bone fractures and the correction of congenital deformities uses an improved adjustment device that allows selective rotation or lateral translation of one external fixation ring with respect to other external fixation rings. The adjustment device attaches to a pair of first and second tie rod sections and shifts the first tie rod section with respect to the second tie rod section during adjustment. The adjustment device has a lateral slot that defines the path of movement for one of the translating tie rod sections. A travelling block connected to the moving tie rod section tracks the slot during use.

60. 发明授权

US08758407B2 Methods for positioning a load-bearing orthopedic implant device in vivo 有权
标题翻译：承载骨科植入装置体内定位方法
公开(公告)号：US08758407B2
公开(公告)日：2014-06-24
申请号：US11643175
申请日：2006-12-21
申请人： Dimitri Protopsaltis , Jeff R. Justis , Hai H. Trieu , Michael C. Sherman
发明人： Dimitri Protopsaltis , Jeff R. Justis , Hai H. Trieu , Michael C. Sherman
IPC分类号： A61B17/70
CPC分类号： A61B17/7032 , A61B17/7013 , A61B17/7035 , A61B17/7059 , A61B2017/00557 , A61B2017/00831 , A61B2017/00946 , A61F2/44 , A61F2/441 , A61F2/4425 , A61F2/4455 , A61F2002/30062 , A61F2002/3009 , A61F2002/302 , A61F2002/30556 , A61F2002/30583 , A61F2002/30677 , A61F2002/30884 , A61F2002/3092 , A61F2002/444 , A61F2002/4495 , A61F2002/465 , A61F2002/4692 , A61F2210/0004 , A61F2210/0085 , A61F2230/0065 , A61F2250/0009 , A61F2250/0091
摘要： Orthopedic implant devices are positioned at a desired in vivo site by positioning a device that is non-rigid, i.e., flexible and/or malleable, in a first form, and then transformable after insertion to the in vivo site into a rigid, or hardened, form for providing a load-bearing function or providing other structural and/or mechanical function after implant. The device includes a biocompatible sheath and a curable material sealed within the sheath. The curable material is provided in a first form that provides flexibility to the device and is structured to rigidize in a second form after application of a quantity of an initiating energy to the material.
摘要翻译：骨科植入装置通过将第一形式的非刚性的，即柔性的和/或可延展的装置定位在期望的体内部位，然后在插入到体内部位之后可变形成刚性或硬化的，用于提供承载功能或在植入后提供其他结构和/或机械功能的形式。该装置包括生物相容护套和密封在护套内的可固化材料。可固化材料以提供该装置的柔性的第一形式提供，并且被构造成在将一定量的起始能量施加到材料之后以第二形式刚性化。

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