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1. 发明申请

US20130053894A1 DEVICES AND METHODS FOR CERVICAL LATERAL FIXATION 有权
公开(公告)号：US20130053894A1
公开(公告)日：2013-02-28
申请号：US13222705
申请日：2011-08-31
申请人： Thomas J. Gamache , Michael Sorrenti , J. R. Hawkins , Michael Gorhan
发明人： Thomas J. Gamache , Michael Sorrenti , J. R. Hawkins , Michael Gorhan
IPC分类号： A61B17/88 , A61B17/70
CPC分类号： A61F2/4455 , A61B17/7007 , A61B17/7011 , A61B17/7014 , A61B17/7059 , A61B17/7062 , A61B17/844 , A61B17/864 , A61F2/446 , A61F2/4465 , A61F2002/2817 , A61F2002/2835 , A61F2002/30062 , A61F2002/30092 , A61F2002/30578 , A61F2002/30616 , A61F2002/30774 , A61F2002/30779 , A61F2002/3078 , A61F2002/30785 , A61F2002/30797 , A61F2002/3085 , A61F2002/30858 , A61F2002/30904 , A61F2002/4475 , A61F2310/00017 , A61F2310/00023
摘要： Devices and methods are provided for treatment of the cervical spine. The devices and methods allow for treatment to be delivered from a lateral or posterior-lateral location of a subject, proximate to the cervical region of the spine. One exemplary embodiment of a spinal implant includes an elongate cage member and a plate member appended to a proximal end of the cage member. The plate member can be oriented in a manner such that it is asymmetric with respect to a long axis of the cage member. In another exemplary embodiment, an implant includes a cage member having a distal end that has an asymmetrical, bulleted shape such that the distal end is biased towards a superior or cranial direction. In a third exemplary embodiment, an implant includes a spinal fixation element and at least two mounting eyelets formed thereon. Exemplary methods related to implanting spinal implants from a lateral or posterior-lateral location are also provided.

2. 发明申请

US20130053892A1 SYSTEM AND METHOD FOR CERVICAL MIDLINE FIXATION 有权
公开(公告)号：US20130053892A1
公开(公告)日：2013-02-28
申请号：US13222913
申请日：2011-08-31
申请人： John Riley Hawkins , Thomas J. Gamache , Michael Sorrenti , Alexander Grinberg , Michael A. Fisher
发明人： John Riley Hawkins , Thomas J. Gamache , Michael Sorrenti , Alexander Grinberg , Michael A. Fisher
IPC分类号： A61B17/70 , A61B17/88
CPC分类号： A61B17/7032 , A61B17/7002 , A61B17/7004 , A61B17/701 , A61B17/7011 , A61B17/7034 , A61B17/7037 , A61B17/7038 , A61B2017/564
摘要： Devices and methods for enhancing the effectiveness of spinal stabilization, and particularly that of cervical spinal stabilization, are provided herein. More specifically, methods and systems are disclosed for effectively positioning occipital plates and spinal fixation assemblies within target vertebrae, while also reducing any associated patient trauma (e.g., muscle stripping, tissue damage, etc.). The systems and methods can utilize trans-lamina delivery of the spinal fixation assemblies to allow for the positioning of the fixation elements along the midline of the patient's spine.

3. 发明授权

US09763704B2 System and method for cervical midline fixation 有权
公开(公告)号：US09763704B2
公开(公告)日：2017-09-19
申请号：US13222869
申请日：2011-08-31
申请人： John Riley Hawkins , Thomas J. Gamache , Michael Sorrenti , Alexander Grinberg , Michael A. Fisher
发明人： John Riley Hawkins , Thomas J. Gamache , Michael Sorrenti , Alexander Grinberg , Michael A. Fisher
IPC分类号： A61B17/70
CPC分类号： A61B17/7055 , A61B17/7004 , A61B17/701 , A61B17/7011 , A61B17/7034 , A61B17/7037 , A61B17/7067
摘要： Devices and methods for enhancing the effectiveness of spinal stabilization, and particularly that of cervical spinal stabilization, are provided herein. More specifically, methods and systems are disclosed for effectively positioning occipital plates and spinal fixation assemblies within target vertebrae, while also reducing any associated patient trauma (e.g., muscle stripping, tissue damage, etc.). The systems and methods can utilize trans-lamina delivery of the spinal fixation assemblies to allow for the positioning of the fixation elements along the midline of the patient's spine.

4. 发明授权

US08940023B2 System and method for cervical midline fixation 有权
标题翻译：宫颈中线固定系统及方法
公开(公告)号：US08940023B2
公开(公告)日：2015-01-27
申请号：US13222913
申请日：2011-08-31
申请人： John Riley Hawkins , Thomas J. Gamache , Michael Sorrenti , Alexander Grinberg , Michael A. Fisher
发明人： John Riley Hawkins , Thomas J. Gamache , Michael Sorrenti , Alexander Grinberg , Michael A. Fisher
IPC分类号： A61B17/70
CPC分类号： A61B17/7032 , A61B17/7002 , A61B17/7004 , A61B17/701 , A61B17/7011 , A61B17/7034 , A61B17/7037 , A61B17/7038 , A61B2017/564
摘要： Devices and methods for enhancing the effectiveness of spinal stabilization, and particularly that of cervical spinal stabilization, are provided herein. More specifically, methods and systems are disclosed for effectively positioning occipital plates and spinal fixation assemblies within target vertebrae, while also reducing any associated patient trauma (e.g., muscle stripping, tissue damage, etc.). The systems and methods can utilize trans-lamina delivery of the spinal fixation assemblies to allow for the positioning of the fixation elements along the midline of the patient's spine.
摘要翻译：本文提供了用于增强脊柱稳定性的有效性的装置和方法，特别是颈椎稳定的功能和方法。更具体地，公开了用于有效地将枕骨板和脊柱固定组件定位在目标椎骨内的方法和系统，同时还减少任何相关的患者创伤（例如，肌肉剥离，组织损伤等）。该系统和方法可以利用脊椎固定组件的跨板输送，以允许固定元件沿着患者脊柱的中线定位。

5. 发明授权

US08425515B2 Bone graft loading instruments and methods of connecting a bone graft to a bone plate 有权
标题翻译：骨移植物加载仪器和将骨移植物连接到骨板的方法
公开(公告)号：US08425515B2
公开(公告)日：2013-04-23
申请号：US12609260
申请日：2009-10-30
申请人： Thomas J Gamache , Michael D Sorrenti , Edward Zalenski
发明人： Thomas J Gamache , Michael D Sorrenti , Edward Zalenski
IPC分类号： A61B17/56 , A61B17/58 , A61B17/80 , A61F2/30
CPC分类号： A61B17/7071 , A61B17/808 , A61B50/20 , A61B2017/00526
摘要： An instrument for positioning a bone graft relative to a bone plate includes an instrument body having a plurality of spaced apart graft chambers, a first one of the graft chambers having a first end, a second end, and a chamber length extending between the first end and the second end, the first end of the first graft chamber including a first chamber surface for receiving a first plate segment of a first bone plate, the second end of the first graft chamber including a second chamber surface for receiving a second plate segment of the first bone plate, the first graft chamber including a central chamber surface interposed between the first chamber surface and the second chamber surface for receiving a first bone graft, the central chamber surface having a first chamber length corresponding to the graft length of the first bone grafts.
摘要翻译：用于相对于骨板定位骨移植物的仪器包括具有多个间隔开的移植室的器械主体，所述移植室中的第一个具有第一端，第二端和在第一端并且所述第二端部，所述第一移植室的第一端包括用于接收第一骨板的第一板段的第一室表面，所述第一移植室的第二端包括第二室表面，用于接收第二板段所述第一骨板，所述第一移植室包括介于所述第一室表面和所述第二室表面之间的中心室表面，用于接收第一骨移植物，所述中央室表面具有对应于所述第一骨的移植长度的第一室长度移植物

6. 发明授权

US09381048B2 Devices and methods for cervical lateral fixation 有权
标题翻译：颈椎外固定装置及方法
公开(公告)号：US09381048B2
公开(公告)日：2016-07-05
申请号：US13222705
申请日：2011-08-31
申请人： Thomas J. Gamache , Michael Sorrenti , J. Riley Hawkins , Michael Gorhan
发明人： Thomas J. Gamache , Michael Sorrenti , J. Riley Hawkins , Michael Gorhan
IPC分类号： A61F2/44 , A61B17/70 , A61B17/84 , A61B17/86 , A61F2/30 , A61F2/28
CPC分类号： A61F2/4455 , A61B17/7007 , A61B17/7011 , A61B17/7014 , A61B17/7059 , A61B17/7062 , A61B17/844 , A61B17/864 , A61F2/446 , A61F2/4465 , A61F2002/2817 , A61F2002/2835 , A61F2002/30062 , A61F2002/30092 , A61F2002/30578 , A61F2002/30616 , A61F2002/30774 , A61F2002/30779 , A61F2002/3078 , A61F2002/30785 , A61F2002/30797 , A61F2002/3085 , A61F2002/30858 , A61F2002/30904 , A61F2002/4475 , A61F2310/00017 , A61F2310/00023
摘要： Devices and methods are provided for treatment of the cervical spine. The devices and methods allow for treatment to be delivered from a lateral or posterior-lateral location of a subject, proximate to the cervical region of the spine. One exemplary embodiment of a spinal implant includes an elongate cage member and a plate member appended to a proximal end of the cage member. The plate member can be oriented in a manner such that it is asymmetric with respect to a long axis of the cage member. In another exemplary embodiment, an implant includes a cage member having a distal end that has an asymmetrical, bulleted shape such that the distal end is biased towards a superior or cranial direction. In a third exemplary embodiment, an implant includes a spinal fixation element and at least two mounting eyelets formed thereon. Exemplary methods related to implanting spinal implants from a lateral or posterior-lateral location are also provided.
摘要翻译：提供了用于治疗颈椎的装置和方法。装置和方法允许治疗从受试者的侧向或后侧位置递送，靠近脊柱的颈部区域。脊柱植入物的一个示例性实施例包括细长的笼构件和附接到笼构件的近端的板构件。板构件可以以相对于保持架构件的长轴不对称的方式定向。在另一个示例性实施例中，植入物包括具有远端的保持架构件，该远端具有不对称的，圆形的凸起形状，使得远端朝向上方或颅骨方向偏置。在第三示例性实施例中，植入物包括脊固定元件和形成在其上的至少两个安装孔眼。还提供了与从侧向或后侧位置植入脊柱植入物相关的示例性方法。

7. 发明申请

US20090030420A1 SPINAL ROD REDUCTION INSTRUMENTS AND METHODS FOR USE 审中-公开
标题翻译：脊髓减少器具及其使用方法
公开(公告)号：US20090030420A1
公开(公告)日：2009-01-29
申请号：US11828684
申请日：2007-07-26
申请人： Thomas J. Runco , Richard W. Fournier , Thomas J. Gamache
发明人： Thomas J. Runco , Richard W. Fournier , Thomas J. Gamache
IPC分类号： A61B17/58 , A61B17/00
CPC分类号： A61B17/7086
摘要： Methods and devices are provided for reducing a spinal fixation element into a spinal implant element. In one exemplary embodiment, a spinal rod reduction device is provided for reducing a spinal fixation element into a spinal implant element. The spinal rod reduction device can include a fastener engaging member for engaging at least a portion a spinal implant element, a reduction member for engaging at least a portion of a spinal fixation element, and a handle assembly mated to the reduction member. The handle assembly can be designed in such a way that actuation of the handle assembly causes movement of the reduction member relative to the fastener engaging member and the movement of the reduction member reduces the spinal fixation element into the spinal implant element. Two different styles of spinal rod reduction devices are discussed in detail. Various techniques are also provided for reducing a spinal fixation element into a spinal implant element.
摘要翻译：提供了将脊柱固定元件减小到脊柱植入元件中的方法和装置。在一个示例性实施例中，提供脊柱杆减小装置用于将脊柱固定元件减小到脊柱植入元件中。脊柱杆减速装置可以包括用于接合脊柱植入元件的至少一部分的紧固件接合构件，用于接合脊柱固定元件的至少一部分的减速构件和配合到还原构件的手柄组件。手柄组件可以被设计成使得手柄组件的致动引起减速构件相对于紧固件接合构件的移动，并且减速构件的移动将脊柱固定元件减小到脊柱植入元件中。详细讨论了两种不同类型的脊柱杆减速装置。还提供了用于将脊柱固定元件减少到脊柱植入元件中的各种技术。

8. 发明授权

US06669413B1 Drill locator for locating holes to be drilled in tubes 有权
标题翻译：钻孔定位器用于定位待钻孔的孔
公开(公告)号：US06669413B1
公开(公告)日：2003-12-30
申请号：US09981615
申请日：2001-10-16
申请人： James N. Neeld , Thomas J. Gamache , Wayne Rogers
发明人： James N. Neeld , Thomas J. Gamache , Wayne Rogers
IPC分类号： B23B4902
CPC分类号： B23B47/281 , Y10T408/557 , Y10T408/567 , Y10T408/568 , Y10T408/97
摘要： A hole-locating device for use in the field for locating and assisting in the drilling of holes in cut ends of tubing includes a body having an outer wall with a plurality of outer flat surfaces and an inner cylindrical wall spaced from said outer wall. The outer wall having a pair of aligned openings on opposite sides of the side wall and the inner wall having a pair of openings spaced 180° apart, wherein the openings in the outer wall and the openings in the inner wall are in alignment. In cutting aligned openings in a tube, the tube is received within an open end of the body in the spacing between the inner wall and the outer wall and a drill bit is placed in adjacent openings in the outer wall and inner wall for receiving a drill bit therein.
摘要翻译：用于现场的用于定位和辅助在管道切割端的钻孔的孔定位装置包括具有外壁和多个外平坦表面的主体以及与所述外壁间隔开的内圆柱形壁。外壁在侧壁的相对侧上具有一对对齐的开口，内壁具有间隔开180°的一对开口，其中外壁中的开口和内壁中的开口对准。在切割管中的对准的开口中，管被容纳在内壁和外壁之间的间隔的主体的开口端内，并且钻头被放置在外壁和内壁中的相邻开口中，用于接收钻位。

9. 发明授权

US08647347B2 Instruments and methods for manipulating a spinal fixation element 有权
标题翻译：用于操纵脊柱固定元件的仪器和方法
公开(公告)号：US08647347B2
公开(公告)日：2014-02-11
申请号：US13523150
申请日：2012-06-14
申请人： Thomas J. Runco , Michael S. Varieur , Thomas J. Gamache , Richard W. Fournier
发明人： Thomas J. Runco , Michael S. Varieur , Thomas J. Gamache , Richard W. Fournier
IPC分类号： A61B17/56
CPC分类号： A61B17/7032 , A61B17/7088 , A61B17/7091
摘要： An instrument for manipulating a spinal fixation element relative to a bone anchor includes a bone anchor grasping mechanism, a first adjustment mechanism, and a second adjustment mechanism. The bone anchor grasping mechanism includes a first arm having a distal end configured to engage an opening provided in the bone anchor. The first adjustment mechanism includes a second arm pivotally connected to the first arm. The second arm has a distal end configured to engage an opening provided in the bone anchor and is operable to adjust a spinal fixation element in a first direction upon pivoting relative to the first arm. The second adjustment mechanism is removably and replaceably coupled to the bone anchor grasping mechanism and is movable relative to the bone anchor grasping mechanism to adjust the spinal fixation element in a second direction, perpendicular to the first direction, relative to the bone anchor.
摘要翻译：用于相对于骨锚固器操纵脊骨固定元件的仪器包括骨锚固件抓握机构，第一调节机构和第二调节机构。骨锚固机构包括第一臂，其具有构造成接合设置在骨锚中的开口的远端。第一调节机构包括枢转地连接到第一臂的第二臂。第二臂具有构造成接合设置在骨锚中的开口的远端，并且可操作以在相对于第一臂枢转时沿第一方向调节脊骨固定元件。所述第二调节机构可拆卸地且可更换地联接到所述骨锚固夹持机构，并且可相对于所述骨锚固夹持机构移动，以相对于所述骨锚固器在垂直于所述第一方向的第二方向上调节所述脊骨固定元件。

10. 发明申请

US20130053893A1 DEVICES AND METHODS FOR CERVICAL LATERAL FIXATION 有权
标题翻译：装置和方法用于侧面固定
公开(公告)号：US20130053893A1
公开(公告)日：2013-02-28
申请号：US13222776
申请日：2011-08-31
申请人： Thomas J. Gamache , Michael Sorrenti , J. R. Hawkins , Michael Gorhan
发明人： Thomas J. Gamache , Michael Sorrenti , J. R. Hawkins , Michael Gorhan
IPC分类号： A61B17/70 , A61B17/88
CPC分类号： A61F2/4455 , A61B17/7007 , A61B17/7011 , A61B17/7014 , A61B17/7059 , A61B17/7062 , A61B17/844 , A61B17/864 , A61F2/446 , A61F2/4465 , A61F2002/2817 , A61F2002/2835 , A61F2002/30062 , A61F2002/30092 , A61F2002/30578 , A61F2002/30616 , A61F2002/30774 , A61F2002/30779 , A61F2002/3078 , A61F2002/30785 , A61F2002/30797 , A61F2002/3085 , A61F2002/30858 , A61F2002/30904 , A61F2002/4475 , A61F2310/00017 , A61F2310/00023
摘要： Devices and methods are provided for treatment of the cervical spine. The devices and methods allow for treatment to be delivered from a lateral or posterior-lateral location of a subject, proximate to the cervical region of the spine. One exemplary embodiment of a spinal implant includes an elongate cage member and a plate member appended to a proximal end of the cage member. The plate member can be oriented in a manner such that it is asymmetric with respect to a long axis of the cage member. In another exemplary embodiment, an implant includes a cage member having a distal end that has an asymmetrical, bulleted shape such that the distal end is biased towards a superior or cranial direction. In a third exemplary embodiment, an implant includes a spinal fixation element and at least two mounting eyelets formed thereon. Exemplary methods related to implanting spinal implants from a lateral or posterior-lateral location are also provided.
摘要翻译：提供了用于治疗颈椎的装置和方法。装置和方法允许治疗从受试者的侧向或后侧位置递送，靠近脊柱的颈部区域。脊柱植入物的一个示例性实施例包括细长的笼构件和附接到笼构件的近端的板构件。板构件可以以相对于保持架构件的长轴不对称的方式定向。在另一个示例性实施例中，植入物包括具有远端的保持架构件，该远端具有不对称的，圆形的凸起形状，使得远端朝向上方或颅骨方向偏置。在第三示例性实施例中，植入物包括脊固定元件和形成在其上的至少两个安装孔眼。还提供了与从侧向或后侧位置植入脊柱植入物相关的示例性方法。

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