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1. 发明申请

US20090149960A1 SYSTEMS AND METHODS FOR VERTEBRAL DISC REPLACEMENT 有权
标题翻译： VERTEBRAL DISC替代的系统和方法
公开(公告)号：US20090149960A1
公开(公告)日：2009-06-11
申请号：US12323146
申请日：2008-11-25
申请人： Dylan Hushka , Joshua A. Butters , Jeffery D. Arnett , Neil Duggal
发明人： Dylan Hushka , Joshua A. Butters , Jeffery D. Arnett , Neil Duggal
IPC分类号： A61F2/44 , A61B19/00 , A61B17/58
CPC分类号： A61F2/4425 , A61B17/1604 , A61B17/1671 , A61B17/1757 , A61B17/7079 , A61B2017/0256 , A61F2/32 , A61F2/4611 , A61F2/4657 , A61F2/4684 , A61F2002/302 , A61F2002/30232 , A61F2002/30242 , A61F2002/30354 , A61F2002/30364 , A61F2002/30369 , A61F2002/30383 , A61F2002/3039 , A61F2002/30397 , A61F2002/30426 , A61F2002/305 , A61F2002/30528 , A61F2002/30538 , A61F2002/30563 , A61F2002/30578 , A61F2002/30604 , A61F2002/30616 , A61F2002/3065 , A61F2002/30652 , A61F2002/30654 , A61F2002/30655 , A61F2002/30662 , A61F2002/30663 , A61F2002/30685 , A61F2002/3069 , A61F2002/30841 , A61F2002/30843 , A61F2002/30884 , A61F2002/30892 , A61F2002/30904 , A61F2002/30934 , A61F2002/30937 , A61F2002/443 , A61F2002/4658 , A61F2002/4687 , A61F2220/0025 , A61F2220/0033 , A61F2230/0065 , A61F2230/0069 , A61F2230/0071 , A61F2250/0006 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00179 , A61F2310/00407 , A61F2310/00796
摘要： Methods and instrumentation for implantation of an intervertebral disc prosthesis are provided. A guide tool with sagittal and coronal reference features guides placement of guide pins relative to a sagittal plane and a coronal plane of the vertebrae. A retainer lockable to the guide pins has a ratcheting mechanism providing distraction or compression. A rasp, planer or other tools may be aligned to the retainer and inserted into the intervertebral space to prepare the vertebral endplates. An interoperatively adjustable trial is alignable to the retainer and measures an angularity of the intervertebral space. A prosthesis with keying features may be mounted to a prosthesis inserter with complementary features, held by pivotable arms and compressed between prongs. The inserter may be aligned to the retainer and advanced to implant the prosthesis in the intervertebral space. A prosthesis remover may grip one prosthetic end plate and extract the entire prosthesis.
摘要翻译：提供了用于植入椎间盘假体的方法和仪器。具有矢状和冠状参考特征的引导工具指导引导件相对于椎弓根的矢状平面和冠状平面的放置。可以锁定到引导销的保持器具有提供牵引或压缩的棘轮机构。锉刀，刨床或其他工具可以与保持器对准并插入椎间空间以制备脊椎终板。可互操作的试验可与保持器对准，并测量椎间空间的角度。具有键控特征的假体可以被安装到具有互补特征的假体插入器，所述互补特征由可枢转臂保持并且在插脚之间被压缩。插入器可以与保持器对准并且前进以将假体植入在椎间空间中。假体去除器可以夹持一个假肢端板并提取整个假体。

2. 发明授权

US08852193B2 Systems and methods for vertebral disc replacement 有权
标题翻译：用于椎间盘置换的系统和方法
公开(公告)号：US08852193B2
公开(公告)日：2014-10-07
申请号：US12323068
申请日：2008-11-25
申请人： Dylan Hushka , Joshua A. Butters , Jeffery D. Arnett , Neil Duggal
发明人： Dylan Hushka , Joshua A. Butters , Jeffery D. Arnett , Neil Duggal
IPC分类号： A61B17/70 , A61F2/32 , A61F2/46 , A61F2/44 , A61B17/17 , A61B17/16 , A61F2/30 , A61B17/02
CPC分类号： A61F2/4425 , A61B17/1604 , A61B17/1671 , A61B17/1757 , A61B17/7079 , A61B2017/0256 , A61F2/32 , A61F2/4611 , A61F2/4657 , A61F2/4684 , A61F2002/302 , A61F2002/30232 , A61F2002/30242 , A61F2002/30354 , A61F2002/30364 , A61F2002/30369 , A61F2002/30383 , A61F2002/3039 , A61F2002/30397 , A61F2002/30426 , A61F2002/305 , A61F2002/30528 , A61F2002/30538 , A61F2002/30563 , A61F2002/30578 , A61F2002/30604 , A61F2002/30616 , A61F2002/3065 , A61F2002/30652 , A61F2002/30654 , A61F2002/30655 , A61F2002/30662 , A61F2002/30663 , A61F2002/30685 , A61F2002/3069 , A61F2002/30841 , A61F2002/30843 , A61F2002/30884 , A61F2002/30892 , A61F2002/30904 , A61F2002/30934 , A61F2002/30937 , A61F2002/443 , A61F2002/4658 , A61F2002/4687 , A61F2220/0025 , A61F2220/0033 , A61F2230/0065 , A61F2230/0069 , A61F2230/0071 , A61F2250/0006 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00179 , A61F2310/00407 , A61F2310/00796
摘要： Methods and instrumentation for implantation of an intervertebral disc prosthesis are provided. A guide tool with sagittal and coronal reference features guides placement of guide pins relative to a sagittal plane and a coronal plane of the vertebrae. A retainer lockable to the guide pins has a ratcheting mechanism providing distraction or compression. A rasp, planer or other tools may be aligned to the retainer and inserted into the intervertebral space to prepare the vertebral endplates. An interoperatively adjustable trial is alignable to the retainer and measures an angularity of the intervertebral space. A prosthesis with keying features may be mounted to a prosthesis inserter with complementary features, held by pivotable arms and compressed between prongs. The inserter may be aligned to the retainer and advanced to implant the prosthesis in the intervertebral space. A prosthesis remover may grip one prosthetic end plate and extract the entire prosthesis.
摘要翻译：提供了用于植入椎间盘假体的方法和仪器。具有矢状和冠状参考特征的引导工具指导引导件相对于椎弓根的矢状平面和冠状平面的放置。可以锁定到引导销的保持器具有提供牵引或压缩的棘轮机构。锉刀，刨床或其他工具可以与保持器对准并插入椎间空间以制备脊椎终板。可互操作的试验可与保持器对准，并测量椎间空间的角度。具有键控特征的假体可以被安装到具有互补特征的假体插入器，所述互补特征由可枢转臂保持并且在插脚之间被压缩。插入器可以与保持器对准并且前进以将假体植入在椎间空间中。假体去除器可以夹持一个假肢端板并提取整个假体。

3. 发明授权

US08133282B2 Systems and methods for vertebral disc replacement 有权
标题翻译：用于椎间盘置换的系统和方法
公开(公告)号：US08133282B2
公开(公告)日：2012-03-13
申请号：US12323146
申请日：2008-11-25
申请人： Dylan Hushka , Joshua A. Butters , Jeffery D. Arnett , Neil Duggal
发明人： Dylan Hushka , Joshua A. Butters , Jeffery D. Arnett , Neil Duggal
IPC分类号： A61F2/44
CPC分类号： A61F2/4425 , A61B17/1604 , A61B17/1671 , A61B17/1757 , A61B17/7079 , A61B2017/0256 , A61F2/32 , A61F2/4611 , A61F2/4657 , A61F2/4684 , A61F2002/302 , A61F2002/30232 , A61F2002/30242 , A61F2002/30354 , A61F2002/30364 , A61F2002/30369 , A61F2002/30383 , A61F2002/3039 , A61F2002/30397 , A61F2002/30426 , A61F2002/305 , A61F2002/30528 , A61F2002/30538 , A61F2002/30563 , A61F2002/30578 , A61F2002/30604 , A61F2002/30616 , A61F2002/3065 , A61F2002/30652 , A61F2002/30654 , A61F2002/30655 , A61F2002/30662 , A61F2002/30663 , A61F2002/30685 , A61F2002/3069 , A61F2002/30841 , A61F2002/30843 , A61F2002/30884 , A61F2002/30892 , A61F2002/30904 , A61F2002/30934 , A61F2002/30937 , A61F2002/443 , A61F2002/4658 , A61F2002/4687 , A61F2220/0025 , A61F2220/0033 , A61F2230/0065 , A61F2230/0069 , A61F2230/0071 , A61F2250/0006 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00179 , A61F2310/00407 , A61F2310/00796
摘要： Methods and instrumentation for implantation of an intervertebral disc prosthesis are provided. A guide tool with sagittal and coronal reference features guides placement of guide pins relative to a sagittal plane and a coronal plane of the vertebrae. A retainer lockable to the guide pins has a ratcheting mechanism providing distraction or compression. A rasp, planer or other tools may be aligned to the retainer and inserted into the intervertebral space to prepare the vertebral endplates. An interoperatively adjustable trial is alignable to the retainer and measures an angularity of the intervertebral space. A prosthesis with keying features may be mounted to a prosthesis inserter with complementary features, held by pivotable arms and compressed between prongs. The inserter may be aligned to the retainer and advanced to implant the prosthesis in the intervertebral space. A prosthesis remover may grip one prosthetic end plate and extract the entire prosthesis.
摘要翻译：提供了用于植入椎间盘假体的方法和仪器。具有矢状和冠状参考特征的引导工具指导引导件相对于椎弓根的矢状平面和冠状平面的放置。可以锁定到引导销的保持器具有提供牵引或压缩的棘轮机构。锉刀，刨床或其他工具可以与保持器对准并插入椎间空间以制备脊椎终板。可互操作的试验可与保持器对准，并测量椎间空间的角度。具有键控特征的假体可以被安装到具有互补特征的假体插入器，所述互补特征由可枢转臂保持并且在插脚之间被压缩。插入器可以与保持器对准并且前进以将假体植入在椎间空间中。假体去除器可以夹持一个假肢端板并提取整个假体。

4. 发明申请

US20090125033A1 SYSTEMS AND METHODS FOR VERTEBRAL DISC REPLACEMENT 有权
公开(公告)号：US20090125033A1
公开(公告)日：2009-05-14
申请号：US12323068
申请日：2008-11-25
申请人： Dylan Hushka , Joshua A. Butters , Jeffery D. Arnett , Neil Duggal
发明人： Dylan Hushka , Joshua A. Butters , Jeffery D. Arnett , Neil Duggal
IPC分类号： A61B17/58
CPC分类号： A61F2/4425 , A61B17/1604 , A61B17/1671 , A61B17/1757 , A61B17/7079 , A61B2017/0256 , A61F2/32 , A61F2/4611 , A61F2/4657 , A61F2/4684 , A61F2002/302 , A61F2002/30232 , A61F2002/30242 , A61F2002/30354 , A61F2002/30364 , A61F2002/30369 , A61F2002/30383 , A61F2002/3039 , A61F2002/30397 , A61F2002/30426 , A61F2002/305 , A61F2002/30528 , A61F2002/30538 , A61F2002/30563 , A61F2002/30578 , A61F2002/30604 , A61F2002/30616 , A61F2002/3065 , A61F2002/30652 , A61F2002/30654 , A61F2002/30655 , A61F2002/30662 , A61F2002/30663 , A61F2002/30685 , A61F2002/3069 , A61F2002/30841 , A61F2002/30843 , A61F2002/30884 , A61F2002/30892 , A61F2002/30904 , A61F2002/30934 , A61F2002/30937 , A61F2002/443 , A61F2002/4658 , A61F2002/4687 , A61F2220/0025 , A61F2220/0033 , A61F2230/0065 , A61F2230/0069 , A61F2230/0071 , A61F2250/0006 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00179 , A61F2310/00407 , A61F2310/00796
摘要： Methods and instrumentation for implantation of an intervertebral disc prosthesis are provided. A guide tool with sagittal and coronal reference features guides placement of guide pins relative to a sagittal plane and a coronal plane of the vertebrae. A retainer lockable to the guide pins has a ratcheting mechanism providing distraction or compression. A rasp, planer or other tools may be aligned to the retainer and inserted into the intervertebral space to prepare the vertebral endplates. An interoperatively adjustable trial is alignable to the retainer and measures an angularity of the intervertebral space. A prosthesis with keying features may be mounted to a prosthesis inserter with complementary features, held by pivotable arms and compressed between prongs. The inserter may be aligned to the retainer and advanced to implant the prosthesis in the intervertebral space. A prosthesis remover may grip one prosthetic end plate and extract the entire prosthesis.

5. 发明授权

US09011503B2 Joint arthrodesis and arthroplasty 有权
标题翻译：联合关节固定术和关节成形术
公开(公告)号：US09011503B2
公开(公告)日：2015-04-21
申请号：US12835017
申请日：2010-07-13
申请人： Neil Duggal , Joshua A. Butters , Jeffery D. Arnett
发明人： Neil Duggal , Joshua A. Butters , Jeffery D. Arnett
IPC分类号： A61B17/04 , A61B17/86 , A61F2/08 , A61B17/72 , A61B17/68 , A61F2/42 , A61B17/17
CPC分类号： A61B17/7266 , A61B17/1725 , A61B17/1775 , A61B17/683 , A61B17/7225 , A61B17/7233 , A61B17/7291 , A61F2/4202 , A61F2002/4205 , A61F2002/4207
摘要： An implantable fixation system for fusing a joint between a first bone and a second bone. The system may include an anchor, standoff, bolt, and cortical washer. The system may be implanted across the joint along a single trajectory, the length of the system adjustable to provide compressive force between the anchor and the cortical washer. The system may be implanted across a tibiotalar joint with the anchor positioned in the sinus tarsi. A spacing member may be inserted between the two bones and the fixation system implanted to extend through an opening in the spacing member. The spacing member may be anatomically shaped and/or provide deformity correction. An ankle arthroplasty system may include a tibial plate, a talar plate, and a bearing insert. The plates may be anchored to the tibia and talus along a single trajectory. The ankle arthroplasty system may be revisable to a fusion system.
摘要翻译：一种可植入固定系统，用于将第一骨骼和第二骨骼之间的关节融合。系统可以包括锚固件，支座，螺栓和皮质垫圈。系统可以沿着单个轨迹跨越关节植入，系统的长度可调节以在锚固体和皮质垫圈之间提供压缩力。该系统可以植入跨胫骨关节，锚定位于窦性sinus骨中。间隔构件可以插入在两个骨之间，并且固定系统被植入以延伸通过间隔构件中的开口。间隔构件可以是解剖学上的形状和/或提供畸形校正。脚踝关节置换系统可包括胫骨板，定位板和支承插入物。板可以沿着单个轨迹锚定到胫骨和距骨。踝关节置换系统可以修改融合系统。

6. 发明申请

US20110190829A1 Joint Arthrodesis and Arthroplasty 有权
公开(公告)号：US20110190829A1
公开(公告)日：2011-08-04
申请号：US12835032
申请日：2010-07-13
申请人： Neil Duggal , Joshua A. Butters , Jeffery D. Arnett
发明人： Neil Duggal , Joshua A. Butters , Jeffery D. Arnett
IPC分类号： A61B17/86
CPC分类号： A61B17/7266 , A61B17/1725 , A61B17/1775 , A61B17/683 , A61B17/7225 , A61B17/7233 , A61B17/7291 , A61F2/4202 , A61F2002/4205 , A61F2002/4207
摘要： An implantable fixation system for fusing a joint between a first bone and a second bone. The system may include an anchor, standoff, bolt, and cortical washer. The system may be implanted across the joint along a single trajectory, the length of the system adjustable to provide compressive force between the anchor and the cortical washer. The system may be implanted across a tibiotalar joint with the anchor positioned in the sinus tarsi. A spacing member may be inserted between the two bones and the fixation system implanted to extend through an opening in the spacing member. The spacing member may be anatomically shaped and/or provide deformity correction. An ankle arthroplasty system may include a tibial plate, a talar plate, and a bearing insert. The plates may be anchored to the tibia and talus along a single trajectory. The ankle arthroplasty system may be revisable to a fusion system.

7. 发明申请

US20110166609A1 Joint Arthrodesis and Arthroplasty 有权
公开(公告)号：US20110166609A1
公开(公告)日：2011-07-07
申请号：US12835017
申请日：2010-07-13
申请人： Neil Duggal , Joshua A. Butters , Jeffery D. Arnett
发明人： Neil Duggal , Joshua A. Butters , Jeffery D. Arnett
IPC分类号： A61B17/84
CPC分类号： A61B17/7266 , A61B17/1725 , A61B17/1775 , A61B17/683 , A61B17/7225 , A61B17/7233 , A61B17/7291 , A61F2/4202 , A61F2002/4205 , A61F2002/4207
摘要： An implantable fixation system for fusing a joint between a first bone and a second bone. The system may include an anchor, standoff, bolt, and cortical washer. The system may be implanted across the joint along a single trajectory, the length of the system adjustable to provide compressive force between the anchor and the cortical washer. The system may be implanted across a tibiotalar joint with the anchor positioned in the sinus tarsi. A spacing member may be inserted between the two bones and the fixation system implanted to extend through an opening in the spacing member. The spacing member may be anatomically shaped and/or provide deformity correction. An ankle arthroplasty system may include a tibial plate, a talar plate, and a bearing insert. The plates may be anchored to the tibia and talus along a single trajectory. The ankle arthroplasty system may be revisable to a fusion system.

8. 发明申请

US20110166608A1 Joint Arthrodesis and Arthroplasty 有权
标题翻译：联合关节融合术和关节成形术
公开(公告)号：US20110166608A1
公开(公告)日：2011-07-07
申请号：US12835050
申请日：2010-07-13
申请人： Neil Duggal , Joshua A. Butters , Jeffery D. Arnett
发明人： Neil Duggal , Joshua A. Butters , Jeffery D. Arnett
IPC分类号： A61B17/86 , A61B17/84
CPC分类号： A61B17/7266 , A61B17/1725 , A61B17/1775 , A61B17/683 , A61B17/7225 , A61B17/7233 , A61B17/7291 , A61F2/4202 , A61F2002/4205 , A61F2002/4207
摘要： An implantable fixation system for fusing a joint between a first bone and a second bone. The system may include an anchor, standoff, bolt, and cortical washer. The system may be implanted across the joint along a single trajectory, the length of the system adjustable to provide compressive force between the anchor and the cortical washer. The system may be implanted across a tibiotalar joint with the anchor positioned in the sinus tarsi. A spacing member may be inserted between the two bones and the fixation system implanted to extend through an opening in the spacing member. The spacing member may be anatomically shaped and/or provide deformity correction. An ankle arthroplasty system may include a tibial plate, a talar plate, and a bearing insert. The plates may be anchored to the tibia and talus along a single trajectory. The ankle arthroplasty system may be revisable to a fusion system.
摘要翻译：一种可植入固定系统，用于将第一骨骼和第二骨骼之间的关节融合。系统可以包括锚固件，支座，螺栓和皮质垫圈。系统可以沿着单个轨迹跨越关节植入，系统的长度可调节以在锚固体和皮质垫圈之间提供压缩力。该系统可以植入跨胫骨关节，锚定位于窦性sinus骨中。间隔构件可以插入在两个骨之间，并且固定系统被植入以延伸通过间隔构件中的开口。间隔构件可以是解剖学上的形状和/或提供畸形校正。脚踝关节置换系统可包括胫骨板，定位板和支承插入物。板可以沿着单个轨迹锚定到胫骨和距骨。踝关节置换系统可以修改融合系统。

9. 发明申请

US20130110183A1 JOINT AND BONE FIXATION 有权
标题翻译：接骨固定
公开(公告)号：US20130110183A1
公开(公告)日：2013-05-02
申请号：US13367308
申请日：2012-02-06
申请人： Neil Duggal , Dylan Hushka , Nicholas Slater , Joshua A. Butters
发明人： Neil Duggal , Dylan Hushka , Nicholas Slater , Joshua A. Butters
IPC分类号： A61B17/84
CPC分类号： A61B17/7064 , A61B17/1671 , A61B17/808 , A61B17/809 , A61B17/864
摘要： Eccentrically shaped bone fixation implants interact with bone fragments or joints to compress the bone fragments or joint bones together. The eccentrically shaped bone fixation implants can have longer and shorter portions along an axis and a plurality of teeth with opposing beveled surfaces in different configurations to vary both the direction and amplitude of the compressive forces applied to the bone fragments or joint bones. Instrumentation for implanting and orienting the eccentrically shaped bone fixation implants are also disclosed herein.
摘要翻译：偏心形骨固定植入物与骨碎片或关节相互作用以将骨碎片或关节骨压缩在一起。偏心成形的骨固定植入物可以具有沿着轴线的更长和更短的部分以及具有不同构造的相对的倾斜表面的多个齿，以改变施加到骨碎片或关节骨的压缩力的方向和幅度。本文还公开了用于植入和定向偏心形状的骨固定植入物的仪器。

10. 发明申请

US20090076616A1 Systems and Methods for Vertebral Disc Replacement 有权
标题翻译：椎间盘置换系统与方法
公开(公告)号：US20090076616A1
公开(公告)日：2009-03-19
申请号：US12258977
申请日：2008-10-27
申请人： Neil Duggal , Louise C. Raymond , Joshua A. Butters , Jeffery D. Arnett , Dylan M. Hushka
发明人： Neil Duggal , Louise C. Raymond , Joshua A. Butters , Jeffery D. Arnett , Dylan M. Hushka
IPC分类号： A61F2/44 , A61B19/00
CPC分类号： A61F2/4425 , A61B17/1604 , A61B17/1671 , A61B17/1757 , A61B17/7079 , A61B2017/0256 , A61F2/32 , A61F2/4611 , A61F2/4657 , A61F2/4684 , A61F2002/302 , A61F2002/30232 , A61F2002/30242 , A61F2002/30354 , A61F2002/30364 , A61F2002/30369 , A61F2002/30383 , A61F2002/3039 , A61F2002/30397 , A61F2002/30426 , A61F2002/305 , A61F2002/30528 , A61F2002/30538 , A61F2002/30563 , A61F2002/30578 , A61F2002/30604 , A61F2002/30616 , A61F2002/3065 , A61F2002/30652 , A61F2002/30654 , A61F2002/30655 , A61F2002/30662 , A61F2002/30663 , A61F2002/30685 , A61F2002/3069 , A61F2002/30841 , A61F2002/30843 , A61F2002/30884 , A61F2002/30892 , A61F2002/30904 , A61F2002/30934 , A61F2002/30937 , A61F2002/443 , A61F2002/4658 , A61F2002/4687 , A61F2220/0025 , A61F2220/0033 , A61F2230/0065 , A61F2230/0069 , A61F2230/0071 , A61F2250/0006 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00179 , A61F2310/00407 , A61F2310/00796
摘要： The present invention provides artificial disc prostheses, methods and instrumentation for implantation and revision thereof. Each prosthesis may comprise superior and inferior end plates and a nucleus positioned between articular surfaces of the end plates. The end plates may have planar bone engagement surfaces with a plurality of self-cutting teeth. The articular surfaces of the end plates may be planar or include a flattened portion. The nucleus includes superior and inferior articular surfaces which may comprise flattened portions such that when the articular surfaces of the nucleus and the end plates are placed in cooperation in a preferred orientation, the flattened and/or planar portions are aligned. Each prosthesis may provide flexion/extension, anterior/posterior translation, lateral bending, and/or axial rotation degrees of freedom. One embodiment comprises a prosthesis with a first joint providing flexion/extension and anterior/posterior translation, and a second joint providing lateral bending and axial rotation.
摘要翻译：本发明提供了用于植入和修复的人造椎间盘假体，方法和仪器。每个假体可以包括上端和下端板和位于端板的关节表面之间的核。端板可以具有具有多个自切削齿的平面骨接合表面。端板的关节表面可以是平面的或包括平坦部分。细胞核包括上下关节表面，其可以包括扁平部分，使得当细胞核和端板的关节表面以优选取向协作放置时，扁平化部分和/或平面部分对准。每个假体可以提供屈曲/伸展，前/后平移，侧向弯曲和/或轴向旋转自由度。一个实施例包括具有提供弯曲/延伸和前/后平移的第一关节的假体，以及提供横向弯曲和轴向旋转的第二关节。

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