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71. 发明授权

US08721689B2 Multi-axial spinal cross-connectors 有权
标题翻译：多轴脊柱交叉连接器
公开(公告)号：US08721689B2
公开(公告)日：2014-05-13
申请号：US11906804
申请日：2007-10-04
申请人： Michael S. Butler , Michael J. Milella, Jr. , Kara A. Bucci
发明人： Michael S. Butler , Michael J. Milella, Jr. , Kara A. Bucci
IPC分类号： A61B17/70
CPC分类号： A61B17/7052
摘要： A multi-axial spinal cross-connector is configured for connection between spinal fixation devices such as spinal fixation rods. The cross-connector has first and second connection members that are joinable at a fixable pivot junction. The pivot junction allows the connection members to assume various positions relative to one another. A clamp is provided on each end of the first and second connection members whose open and closed states are controlled by fixation of a pivot structure which also fixates the positions of the first and second connection members relative to each other. The cross-connector provides single and/or multi-step locking of both end clamps at the pivot joint. The cross-connector also provides easy in situ sizing, positioning and adjustability.
摘要翻译：多轴向脊柱交叉连接器构造成用于在诸如脊柱固定杆的脊柱固定装置之间连接。交叉连接器具有第一和第二连接构件，其可连接在可固定的枢转接合处。枢转连接点允许连接构件相对于彼此呈现各种位置。在第一和第二连接构件的每个端部设置有夹子，其开口和闭合状态通过枢轴结构的固定来控制，枢轴结构也固定第一和第二连接构件相对于彼此的位置。交叉连接器在枢轴接头处提供两端夹具的单和/或多步锁定。交叉连接器还提供容易的原位尺寸，定位和可调性。

72. 发明授权

US08663287B2 Pedicle screw constructs and spinal rod attachment assemblies 有权
标题翻译：椎弓根螺钉构造和脊柱杆附件组件
公开(公告)号：US08663287B2
公开(公告)日：2014-03-04
申请号：US11651721
申请日：2007-01-10
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： A61B17/7037 , A61B17/7038 , A61B17/7041
摘要： Spine fixation constructs are configured to receive and retain a spinal rod onto a vertebral bone screw. The spine fixation constructs provide for 360° rotation about a bone screw and variable axial placement about the bone screw. In one form, a rod holder of the spine fixation construct is configured to be axially received onto the bone screw. Axial positioning of the rod holder on the bone screw is fixed through cooperation of the rod holder with a fixation component. The fixation component is axially received onto the bone screw. Retention of the spinal rod by the spinal rod holder is also provided via the fixation member. In one form, spinal rod retention is provided upon axial retention of the spinal rod holder onto the bone screw through cooperating action between the fixation mechanism and the spinal rod holder. According to an embodiment, a member of the rod holder is caused to pivot and capture the spinal rod upon receipt of the fixation member onto the bone screw and rod holder. According to another embodiment, pivoting motion of a pawl of the rod holder by the fixation member not only locks the spinal rod but skews the pawl relative to the bone screw to wedge the axial placement of the pawl and thus the rod holder relative to the bone screw.
摘要翻译：脊柱固定结构构造成将脊柱杆接纳并保持在椎骨螺钉上。脊柱固定结构围绕骨螺钉提供360°旋转，并围绕骨螺钉可变轴向放置。在一种形式中，脊柱固定构造的杆保持器构造成轴向地容纳在骨螺钉上。杆支架在骨螺钉上的轴向定位通过杆保持器与固定部件的协作来固定。固定部件被轴向地接收到骨螺钉上。还通过固定构件来提供由脊柱杆保持器支撑的脊柱杆。在一种形式中，通过在固定机构和脊柱杆保持器之间的配合作用将脊柱杆保持器轴向保持在骨螺钉上，提供了脊柱杆保持。根据实施例，当将固定构件接收到骨螺钉和杆保持器上时，杆保持器的构件被枢转并捕获脊柱杆。根据另一个实施例，通过固定构件的杆保持器的棘爪的枢转运动不仅锁定脊柱杆，而且相对于骨螺钉偏转棘爪，以楔住棘爪的轴向放置，并且因此使杆保持器相对于骨骼拧。

73. 发明授权

US08617209B2 Spinal fixation system 有权
公开(公告)号：US08617209B2
公开(公告)日：2013-12-31
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.

74. 发明授权

US08597359B2 Cervical and lumbar spinal interbody devices 有权
标题翻译：颈椎和腰椎椎体间植入物
公开(公告)号：US08597359B2
公开(公告)日：2013-12-03
申请号：US11900944
申请日：2007-09-14
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： A61F2/447 , A61F2/30771 , A61F2/4465 , A61F2/4611 , A61F2002/30112 , A61F2002/30593 , A61F2002/30622 , A61F2002/30784 , A61F2002/30904 , A61F2002/4475 , A61F2002/448 , A61F2230/0004
摘要： Lumbar and cervical interbody or intervertebral devices for implantation between adjacent vertebrae of a spine and/or within intermediary canals of long bones are characterized by a body defining a superior end and an inferior end whose surfaces have serrations or teeth thereon forming anti-backout structures that allow implantation of the body but inhibit removal or backing out therefrom. The one-way structures may extend from the anterior end to the posterior end. The one-way structures may take different shapes but are always configured to allow insertion of the interbody device in an anterior-first manner while preventing and/or inhibiting the interbody device from backing out posteriorly. The various interbody devices may be further characterized by a body defining a cavity that is in communication with the superior and inferior ends of the body and at least one lateral side thereof via openings in the body. Undercuts are formed in the body about the adjacent the openings in order to support bony ingrowth within the void.
摘要翻译：用于在脊椎的相邻椎骨之间和/或在长骨的中间运河内植入的腰椎和颈椎间体或椎间装置的特征在于限定上端和下端的主体，所述主体的表面具有锯齿或齿，其形成抗回退结构，允许植入身体，但是抑制其移除或退出。单向结构可以从前端延伸到后端。单向结构可以采取不同的形状，但是总是被配置成允许以先前的方式插入体间设备，同时防止和/或抑制体内装置向后退出。各种体间装置的特征还在于，该主体限定了与本体的上端和下端连通的空腔以及其至少一个横向侧通过主体的开口。在本体中围绕邻近的开口形成底切以支撑空隙内的骨向内生长。

75. 发明授权

US08241334B2 Spinal cross-connector 有权
标题翻译：脊柱交叉连接器
公开(公告)号：US08241334B2
公开(公告)日：2012-08-14
申请号：US12172225
申请日：2008-07-12
申请人： Michael S. Butler , Kara A. Bucci , Brian D. Hartsell
发明人： Michael S. Butler , Kara A. Bucci , Brian D. Hartsell
IPC分类号： A61B17/70
CPC分类号： A61B17/7052
摘要： A spinal cross-connector is configured for adjustable connection between spinal fixation devices such as spinal fixation rods and allows for adjustment in length or distance between adjacent spinal rod clamping members and provides independent rotational adjustment of the two spinal rod clamping members for individual and independent attachment thereof to adjacent spinal rods of a spinal rod assembly. The cross-connector has first and second connection members that are adjustable in length and rotation relative to one another. A first spinal rod clamping member is provided on an end of the first connection member and defines first and second arced jaws that are adapted to clamp onto a first spinal rod. A second spinal rod clamping member is provided on an end of the second connection member and defines first and second arced jaws that are adapted to clamp onto a second spinal rod. Both the first and second clamping members are rotatable relative to the connection arms and thus provide the rotational adjustment. The individual and independent rotational adjustment of the spinal rod clamping members allows the present cross-connector to adjust to variations in skew between adjacent spinal rods as well as provide the ability to attach to the adjacent spinal rods at various angles between the adjacent spinal rods.
摘要翻译：脊柱交叉连接器被配置用于脊椎固定装置（例如脊柱固定杆）之间的可调连接，并且允许在相邻的脊柱杆夹持构件之间的长度或距离上进行调节，并且提供用于单独和独立附接的两个脊柱杆夹紧构件的独立旋转调节到脊椎杆组件的相邻脊柱杆。交叉连接器具有第一和第二连接构件，其可相对于彼此的长度和旋转可调节。第一脊柱杆夹紧构件设置在第一连接构件的端部上并且限定适于夹紧到第一脊柱杆上的第一和第二弧形夹爪。第二脊柱杆夹紧构件设置在第二连接构件的端部上并且限定适于夹紧到第二脊柱杆上的第一和第二弧形夹爪。第一和第二夹紧构件都可相对于连接臂旋转，从而提供旋转调节。脊柱杆夹紧构件的单独和独立的旋转调节允许当前的交叉连接器适应相邻脊椎杆之间的偏斜变化，并且提供以相邻脊椎杆之间的各种角度附接到相邻脊柱杆的能力。

76. 发明授权

US08080037B2 Spinal cross-connector with spinal extensor muscle curvature 有权
标题翻译：脊柱交叉连接器与脊柱伸肌肌肉曲率
公开(公告)号：US08080037B2
公开(公告)日：2011-12-20
申请号：US12348279
申请日：2009-01-03
申请人： Michael S. Butler , Brian D. Hartsell
发明人： Michael S. Butler , Brian D. Hartsell
IPC分类号： A61B17/70
CPC分类号： A61B17/7052
摘要： 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.
摘要翻译：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。

77. 发明申请

US20100318092A1 Instruments For Installing Multi-Section Intervertebral Spinal Implants 有权
标题翻译：用于安装多节段椎间植入物的器械
公开(公告)号：US20100318092A1
公开(公告)日：2010-12-16
申请号：US12797360
申请日：2010-06-09
申请人： Michael S. Butler , Brian D. Hartsell
发明人： Michael S. Butler , Brian D. Hartsell
IPC分类号： A61B17/56
CPC分类号： A61F2/4611 , A61F2002/4485 , A61F2002/4623 , A61F2002/4627
摘要： Instruments are provided for delivering and installing a multi-section spinal implant in-situ one section at a time by sequential deployment and assembling of the multi-section spinal implant sections into an intervertebral space. An advancement mechanism provides controlled deployment of individual implant sections from the instrument. Each instrument accepts a plurality of implant sections that are stacked on a deployment rod. Activation of the advancement mechanism advances a pusher against a rearward implant section of the implant section stack. This, in turn, advances all or some of the implant sections such that the forward most implant section exits the instrument. As the advancement mechanism is further activated, additional implant sections are deployed from the instrument. In this manner, a multi-section spinal implant of any number of implant sections may be delivered and assembled in situ. In one form, the advancement mechanism comprises an indexing mechanism. In another form, the advancement mechanism comprises a ratchet device provided on and between a trigger and an advancement tube.
摘要翻译：提供仪器用于通过将多部分脊柱植入部分顺序部署和组装到椎间空间中，一次部分地递送和安装多部分脊柱植入物。推进机构提供来自仪器的单个植入物部分的受控部署。每个器械接受堆叠在展开杆上的多个植入物部分。推进机构的激活使推进器抵靠植入部分堆叠的后部注入部分。这进而推进所有或一些植入部分，使得最前面的植入部分离开器械。随着推进机构的进一步活动，从仪器部署了额外的植入部分。以这种方式，任何数量的植入部分的多部分脊柱植入物可以原位输送和组装。在一种形式中，前进机构包括索引机构。在另一种形式中，前进机构包括设置在扳机和推进管之间和之间的棘轮装置。

78. 发明申请

US20100228291A1 Single-Sided Dynamic Spine Plates 有权
标题翻译：单面动态脊柱板
公开(公告)号：US20100228291A1
公开(公告)日：2010-09-09
申请号：US12550013
申请日：2009-08-28
申请人： Michael S. Butler , Brian D. Hartsell
发明人： Michael S. Butler , Brian D. Hartsell
IPC分类号： A61B17/70
CPC分类号： A61B17/7059 , A61B17/8023
摘要： A dynamic spine plate is formed with only a single row of bone screw bores that extend along a generally superior/inferior axis of the spine plate, providing a single-sided dynamic spine plate. The single-sided dynamic spine plate is formed from a plurality of spine plate components that are coupled dynamically to one another. This provides a modular, single-sided dynamic spine plate. The spine plate components are coupled dynamically to one another via socket and projection interfaces, the socket and projections interfaces incorporating resilient coupling and retention structures that allow limited movement of the spine plate components relative to one another. This provides for dynamic extension of the spine plate components relative to one another. The resilient coupling structure connects the spine plate components, providing a self-biased, snap fit coupling of spine plate components. Rotation stabilizers may be provide on the present single-sided dynamic spine plate that provide rotational stability to the spine plate in addition to the bone screws that will attach the spine plate to the vertebrae.
摘要翻译：动力脊板仅形成有一排骨螺钉孔，其沿着脊柱板的大致上/下轴线延伸，提供单侧动态脊柱板。单面动态脊柱板由多个相互动态耦合的脊柱板部件形成。这提供了一个模块化的单面动态脊椎板。脊柱板部件通过插座和突出接口彼此动态地相互连接，插座和突起接口包括弹性联接和保持结构，其允许脊板部件相对于彼此的有限运动。这提供了脊板部件相对于彼此的动态延伸。弹性连接结构连接脊板部件，提供脊柱板部件的自偏压卡扣配合。旋转稳定器可以在本单面动态脊柱板上提供，除了将脊柱板附接到椎骨的骨螺钉之外，脊柱板提供旋转稳定性。

79. 发明授权

US07744635B2 Spinal fixation system 有权
标题翻译：脊柱固定系统
公开(公告)号：US07744635B2
公开(公告)日：2010-06-29
申请号：US11071604
申请日：2005-03-03
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。

80. 发明申请

US20100082065A1 Spinal Facet Fastener 有权
标题翻译：脊柱紧固件
公开(公告)号：US20100082065A1
公开(公告)日：2010-04-01
申请号：US12572101
申请日：2009-10-01
申请人： Michael S. Butler , Brian D. Hartsell
发明人： Michael S. Butler , Brian D. Hartsell
IPC分类号： A61B17/70
CPC分类号： A61B17/7064
摘要： A spinal implant in the form of a spinal facet fastener is configured to hold, restrict and/or limit flexion and/or extension of a spinal facet joint and/or immobilize movement thereof. The spinal facet fastener is formed with leg segments configured for reception in, on and/or about vertebral bone of a spinal facet joint and a connecting segment that holds the leg segments apart a spaced distance. The spinal facet fastener has surfaces that are configured to abut vertebral bone surfaces of a spinal facet joint to hold, restrict and/or limit flexion and/or extension of the spinal facet joint and/or immobilize movement thereof. In one form, the spinal facet fastener has members that are configured for reception in vertebral bone of the vertebral bone portions that form the spinal facet joint. In this form, the spinal facet fastener may include an anchoring element that is configured for reception between the vertebral bone portions that form the spinal facet joint. In one form, a first leg is configured to abut a surface of an inferior articular process of a first vertebra while a second leg is configured to abut a surface of a superior articular process of a second vertebra that is adjacent the first vertebra. The spinal facet fastener is formed of a biocompatible material such as PEEK (polyetheretherketone) but may be formed of other biocompatible materials such as a biocompatible metal (e.g. titanium or stainless steel).
摘要翻译：呈脊柱面紧固件形式的脊椎植入物构造成保持，限制和/或限制脊柱小关节的弯曲和/或延伸和/或固定其运动。脊柱小关节紧固件形成有腿部段，其构造成用于接收脊椎小关节的椎骨内和/或周围，以及将腿段保持间隔距离的连接段。脊柱小面紧固件具有被构造成邻接脊椎小关节的脊骨表面以保持，限制和/或限制脊柱小关节的弯曲和/或延伸和/或固定其运动的表面。在一种形式中，脊柱小面紧固件具有构造成用于在形成脊柱小关节的椎骨部分的椎骨中接收的构件。在这种形式中，脊柱小关节紧固件可以包括锚定元件，其构造成用于在形成脊柱小关节的椎骨部分之间接收。在一种形式中，第一腿构造成邻接第一椎骨的下关节突的表面，而第二腿构造成邻接邻近第一椎骨的第二椎骨的上关节突的表面。脊柱小面紧固件由诸如PEEK（聚醚醚酮）的生物相容性材料形成，但也可由其它生物相容性材料如生物相容性金属（例如钛或不锈钢）形成。

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