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1. 发明授权

US08894686B2 Interspinous process implants and methods of use 有权
标题翻译：椎间植入植入物和使用方法
公开(公告)号：US08894686B2
公开(公告)日：2014-11-25
申请号：US11771087
申请日：2007-06-29
申请人： James F. Zucherman , Ken Y. Hsu , Charles J. Winslow , Scott A. Yerby , John J. Flynn , Steven T. Mitchell , John A. Markwart
发明人： James F. Zucherman , Ken Y. Hsu , Charles J. Winslow , Scott A. Yerby , John J. Flynn , Steven T. Mitchell , John A. Markwart
IPC分类号： A61B17/70 , A61B17/84
CPC分类号： A61B17/7053 , A61B17/7047 , A61B17/7062 , A61B17/7065 , A61B17/7068 , A61B17/842
摘要： Systems and method in accordance with an embodiment of the present invention can includes an implant comprising a first wing, a spacer extending from the first wing, and a distraction guide. The distraction guide is arranged in a first configuration to pierce and/or distract tissue associated with adjacent spinous processes extending from vertebrae of a targeted motion segment. The implant can be positioned between the adjacent spinous processes and once positioned, the implant can be arranged in a second configuration. When arranged in a second configuration, the distraction guide can act as a second wing. The first wing and the second wing can limit or block movement of the implant along a longitudinal axis of the implant.
摘要翻译：根据本发明的实施例的系统和方法可以包括植入物，其包括第一翼，从第一翼延伸的间隔件和牵引引导件。牵引引导件布置成第一构造以刺穿和/或分散与从目标运动段的椎骨延伸的相邻棘突相关联的组织。植入物可以位于相邻棘突之间并且一旦定位，植入物可以被布置成第二构型。当以第二构造布置时，分心引导件可以用作第二翼。第一翼和第二翼可以限制或阻止植入物沿着植入物的纵向轴线的移动。

2. 发明申请

US20080177298A1 Tensioner Tool and Method for Implanting an Interspinous Process Implant Including a Binder 审中-公开
标题翻译：张紧器工具和植入包括粘结剂的椎间植入植入物的方法
公开(公告)号：US20080177298A1
公开(公告)日：2008-07-24
申请号：US11874862
申请日：2007-10-18
申请人： James F. Zucherman , Ken Y. Hsu , Charles J. Winslow , Scott A. Yerby , Steven T. Mitchell , John J. Flynn , John A. Markwart
发明人： James F. Zucherman , Ken Y. Hsu , Charles J. Winslow , Scott A. Yerby , Steven T. Mitchell , John J. Flynn , John A. Markwart
IPC分类号： A61B17/00
CPC分类号： A61B17/7068 , A61B17/7053 , A61B17/842 , A61B17/8869
摘要： Systems in accordance with embodiments of the present invention can include an implant comprising a spacer for defining a minimum space between adjacent spinous processes, a distraction guide for piercing and distracting an interspinous ligament during implantation, a binder for limiting or preventing flexion motion of the targeted motion segment, and a tensioner tool for applying tension to the binder. In one embodiment, the tensioner engages the implant and draws the binder through the capture device and applies tension to the binder. In one embodiment, the tensioner tool has a tension gauge with which a physician may measure the tension applied to the binder. The binder may be grasped by the capture device when the desired tension is achieved.
摘要翻译：根据本发明的实施例的系统可以包括植入物，其包括用于限定相邻棘突之间的最小空间的间隔件，用于在植入期间刺穿和分散椎间韧带的牵引引导件，用于限制或防止目标的屈曲运动的粘合剂运动部分，以及用于向粘合剂施加张力的张紧器工具。在一个实施例中，张紧器接合植入物并且拉动粘合剂通过捕获装置并向粘合剂施加张力。在一个实施例中，张紧器工具具有张力计，医生可以通过张力计测量施加到粘合剂上的张力。当实现期望的张力时，粘合剂可以被捕获装置抓住。

3. 发明申请

US20120083843A1 Interspinous Process Implant Having a Thread-Shaped Wing and Method of Implantation 有权
标题翻译：具有螺纹形翼的椎间植入植入物和植入方法
公开(公告)号：US20120083843A1
公开(公告)日：2012-04-05
申请号：US13313391
申请日：2011-12-07
申请人： James F. Zucherman , Ken Y. Hsu , Charles J. Winslow , John J. Flynn , Steven T. Mitchell , Scott A. Yerby , John A. Markwart
发明人： James F. Zucherman , Ken Y. Hsu , Charles J. Winslow , John J. Flynn , Steven T. Mitchell , Scott A. Yerby , John A. Markwart
IPC分类号： A61B17/70
CPC分类号： A61B17/7062 , A61B17/1757 , A61B17/7068
摘要： A spinal implant adapted to be inserted into an interspinous space between adjacent spinous processes includes a proximal section, a central section, and a distal section disposed sequentially along a longitudinal axis. The distal section has feature(s) that allow the implant to be inserted laterally into the interspinous space, such as an approximately helical groove and/or a thread-like structure. The distal tip of the implant tapers inwardly, and may be rounded. The proximal section may include an outwardly extending wing or flange. The implant may include a main body that includes the wing or flange and a spacer slidably mated to the main body through the wing or flange.
摘要翻译：适于插入相邻棘突之间的椎间间隙的脊柱植入物包括沿着纵向轴线顺序设置的近端部分，中心部分和远端部分。远端部分具有允许植入物横向插入棘突间空间的特征，例如大致螺旋形凹槽和/或线状结构。植入物的远侧末端向内变细，并且可以是圆形的。近端部分可以包括向外延伸的翼或凸缘。植入物可以包括主体，其包括翼或凸缘以及通过机翼或凸缘与主体滑动配合的间隔件。

4. 发明授权

US08128702B2 Interspinous process implant having deployable wings and method of implantation 有权
标题翻译：椎间植入植入物具有可展开的翅膀和植入方法
公开(公告)号：US08128702B2
公开(公告)日：2012-03-06
申请号：US11923737
申请日：2007-10-25
申请人： James F. Zucherman , Ken Y. Hsu , Henry A. Klyce , Charles J. Winslow , Scott A. Yerby , John J. Flynn , Steven T. Mitchell , John A. Markwart
发明人： James F. Zucherman , Ken Y. Hsu , Henry A. Klyce , Charles J. Winslow , Scott A. Yerby , John J. Flynn , Steven T. Mitchell , John A. Markwart
IPC分类号： A61F2/44 , A61B17/70
CPC分类号： A61B17/7068 , A61B17/7065
摘要： An embodiment of a system in accordance with the present invention can include an implant having a spacer with a thickness and a wing, wherein a first configuration of the wing has a first height substantially similar to the thickness and wherein the wing is adapted to be selectably arranged in a second configuration such that the wing has a second height greater than the first height. A periphery of the implant has a shape generally conformal with a shape of an inner surface of a cannula and a cross-sectional diameter smaller than an inner diameter of the cannula. The cannula is inserted such that a proximal end of the cannula is arranged between the adjacent spinous processes. The implant is then urged into position between the adjacent spinous processes by way of the cannula, and subsequently arranged in a second configuration to fix the implant in position.
摘要翻译：根据本发明的系统的实施例可以包括具有厚度和翼的间隔件的植入物，其中所述翼的第一构造具有与所述厚度基本相似的第一高度，并且所述翼适于可选地布置成第二构造，使得翼具有大于第一高度的第二高度。植入物的周边具有与插管的内表面的形状大致一致的形状，并且截面直径小于插管的内径。套管被插入使得插管的近端布置在相邻的棘突之间。然后通过插管将植入物推动到相邻棘突之间的位置，并且随后被布置成第二构造以将植入物固定就位。

5. 发明授权

US08092535B2 Interspinous process implants and methods of use 有权
公开(公告)号：US08092535B2
公开(公告)日：2012-01-10
申请号：US11768222
申请日：2007-06-26
申请人： James F. Zucherman , Ken Y. Hsu , Charles J. Winslow , Scott A. Yerby , John J. Flynn , Steven T. Mitchell , John A. Markwart
发明人： James F. Zucherman , Ken Y. Hsu , Charles J. Winslow , Scott A. Yerby , John J. Flynn , Steven T. Mitchell , John A. Markwart
IPC分类号： A61F2/44 , A61B17/88
CPC分类号： A61B17/7053 , A61B17/7047 , A61B17/7062 , A61B17/7065 , A61B17/7068 , A61B17/842
摘要： Systems and method in accordance with an embodiment of the present invention can includes an implant comprising a first wing, a spacer extending from the first wing, and a distraction guide. The distraction guide is arranged in a first configuration to pierce and/or distract tissue associated with adjacent spinous processes extending from vertebrae of a targeted motion segment. The implant can be positioned between the adjacent spinous processes and once positioned, the implant can be arranged in a second configuration. When arranged in a second configuration, the distraction guide can act as a second wing. The first wing and the second wing can limit or block movement of the implant along a longitudinal axis of the implant.

6. 发明授权

US08591546B2 Interspinous process implant having a thread-shaped wing and method of implantation 有权
标题翻译：棘突间植入物具有螺纹状翼和植入方法
公开(公告)号：US08591546B2
公开(公告)日：2013-11-26
申请号：US13313391
申请日：2011-12-07
申请人： James F. Zucherman , Ken Y. Hsu , Charles J. Winslow , John J. Flynn , Steven T. Mitchell , Scott A. Yerby , John A. Markwart
发明人： James F. Zucherman , Ken Y. Hsu , Charles J. Winslow , John J. Flynn , Steven T. Mitchell , Scott A. Yerby , John A. Markwart
IPC分类号： A61B17/70
CPC分类号： A61B17/7062 , A61B17/1757 , A61B17/7068
摘要： A spinal implant adapted to be inserted into an interspinous space between adjacent spinous processes includes a proximal section, a central section, and a distal section disposed sequentially along a longitudinal axis. The distal section has feature(s) that allow the implant to be inserted laterally into the interspinous space, such as an approximately helical groove and/or a thread-like structure. The distal tip of the implant tapers inwardly, and may be rounded. The proximal section may include an outwardly extending wing or flange. The implant may include a main body that includes the wing or flange and a spacer slidably mated to the main body through the wing or flange.
摘要翻译：适于插入相邻棘突之间的椎间间隙的脊柱植入物包括沿着纵向轴线顺序设置的近端部分，中心部分和远端部分。远端部分具有允许植入物横向插入棘突间空间的特征，例如大致螺旋形凹槽和/或线状结构。植入物的远侧末端向内变细，并且可以是圆形的。近端部分可以包括向外延伸的翼或凸缘。植入物可以包括主体，其包括翼或凸缘以及通过机翼或凸缘与主体滑动配合的间隔件。

7. 发明授权

US08273107B2 Interspinous process implant having a thread-shaped wing and method of implantation 有权
标题翻译：棘突间植入物具有螺纹状翼和植入方法
公开(公告)号：US08273107B2
公开(公告)日：2012-09-25
申请号：US11923738
申请日：2007-10-25
申请人： James F. Zucherman , Ken Y. Hsu , Charles J. Winslow , John J. Flynn , Steven T. Mitchell , Scott A. Yerby , John A. Markwart
发明人： James F. Zucherman , Ken Y. Hsu , Charles J. Winslow , John J. Flynn , Steven T. Mitchell , Scott A. Yerby , John A. Markwart
IPC分类号： A61B17/70
CPC分类号： A61B17/7062 , A61B17/1757 , A61B17/7068
摘要： Systems and method in accordance with an embodiment of the present invention can includes an implant comprising a spacer and a frame having a central body and a helical shaped wing extending from the central body. The frame can be positioned near about adjacent spinous processes, and can be rotated and urged so that the adjacent spinous processes pass within a groove of the wing, thereby allowing the wing to be arranged on an opposite side of the adjacent spinous processes. The spacer can then be arranged over the frame so that the spacer contacts and distracts the spinous processes, thereby limiting relative movement of the adjacent spinous processes during extension.
摘要翻译：根据本发明的实施例的系统和方法可以包括植入物，其包括间隔件和具有中心体的框架和从中心体延伸的螺旋状翼片。框架可以定位在邻近的棘突附近，并且可以旋转和推动，使得相邻棘突在机翼的凹槽内通过，从而允许机翼布置在相邻棘突的相对侧。间隔件然后可以布置在框架上，使得间隔件接触并分散棘突，从而限制相邻棘突在延伸过程中的相对运动。

8. 发明授权

US08048117B2 Interspinous process implant and method of implantation 失效
标题翻译：椎间植入植入和植入方法
公开(公告)号：US08048117B2
公开(公告)日：2011-11-01
申请号：US11234555
申请日：2005-09-23
申请人： James F. Zucherman , Ken Y. Hsu , Henry A. Klyce , Charles J. Winslow , Scott A. Yerby , John J. Flynn , Steven T. Mitchell , John A. Markwart
发明人： James F. Zucherman , Ken Y. Hsu , Henry A. Klyce , Charles J. Winslow , Scott A. Yerby , John J. Flynn , Steven T. Mitchell , John A. Markwart
IPC分类号： A61B17/70
CPC分类号： A61B17/7068 , A61B17/7065
摘要： Systems and method in accordance with embodiments of the present invention can includes an implant having a spacer with an expandable portion. An insert can be positioned within a groove of the spacer to distract the expandable portion away from the main portion of the spacer. The expandable portion can optionally include a grip that can at least partially deform to conform to a contour of a spinous process to provide a frictional grip to prevent the implant from shifting position. Implants in accordance with the present invention can also include a binder that can be arranged around the adjacent spinous processes to limit flexion movement.
摘要翻译：根据本发明的实施例的系统和方法可以包括具有具有可扩张部分的间隔件的植入物。插入件可以定位在间隔件的凹槽内以将可扩张部分分散远离间隔件的主要部分。可扩张部分可以可选地包括可以至少部分地变形以适应棘突的轮廓以提供摩擦抓握以防止植入物移位的手柄。根据本发明的植入物还可以包括可以围绕相邻棘突布置以限制弯曲运动的粘合剂。

9. 发明申请

US20100262243A1 SPINE DISTRACTION IMPLANT 有权
标题翻译：脊柱分界植入
公开(公告)号：US20100262243A1
公开(公告)日：2010-10-14
申请号：US12821077
申请日：2010-06-22
申请人： James F. Zucherman , Ken Y. Hsu , Charles J. Winslow , Henry A. Klyce , Scott A. Yerby , John J. Flynn , Steven T. Mitchell , John A. Markwart
发明人： James F. Zucherman , Ken Y. Hsu , Charles J. Winslow , Henry A. Klyce , Scott A. Yerby , John J. Flynn , Steven T. Mitchell , John A. Markwart
IPC分类号： A61F2/44
CPC分类号： A61B17/7068 , A61B17/66 , A61B17/7065 , A61B17/7071 , A61B2017/00557 , A61K31/37
摘要： A spine distraction implant alleviates pain associated with spinal stenosis and facet arthropathy by expanding the volume in the spine canal and/or neural foramen. The implant provides a spinal extension stop while allowing freedom of spinal flexion. An interspinous process implant with a selectably expandable spacer can be placed between adjacent spinous processes. a device implanted between the spinous processes of adjacent vertebrae of the spine can be used for relieving pain associated with the vertebrae and surrounding tissues and structures by maintaining and/or adding distraction between adjacent vertebrae. A tissue expander can be adapted to move from a first insertion position, for ease of implantation between spinous processes, to a second retention position that prevents displacement of the implant. An embodiment of a system can include an implant having a spacer with a thickness and a wing, wherein a first configuration of the wing has a first height substantially similar to the thickness and wherein the wing is adapted to be selectably arranged in a second configuration such that the wing has a second height greater than the first height. A periphery of the implant has a shape generally conformal with a shape of an inner surface of a cannula and a cross-sectional diameter smaller than an inner diameter of the cannula. The cannula is inserted such that a proximal end of the cannula is arranged between the adjacent spinous processes. The implant is then urged into position between the adjacent spinous processes by way of the cannula, and subsequently arranged in a second configuration to fix the implant in position.
摘要翻译：脊柱分心植入物通过扩大脊柱管和/或神经孔的体积来减轻与脊柱狭窄和小关节病相关的疼痛。植入物提供脊椎伸展停止，同时允许脊柱屈曲的自由。具有可选择地可扩展间隔物的椎间植入植入物可以放置在相邻的棘突之间。植入脊椎相邻椎骨的棘突之间的装置可用于通过维持和/或增加相邻椎骨之间的牵引来减轻与椎骨和周围组织和结构相关的疼痛。组织扩张器可以适于从第一插入位置移动，以便于在棘突之间植入到防止植入物移位的第二保持位置。系统的实施例可以包括具有厚度和翼的间隔件的植入物，其中所述翼的第一构造具有与所述厚度基本相似的第一高度，并且其中所述翼适于可选地布置成第二构型机翼的第二高度大于第一高度。植入物的周边具有与插管的内表面的形状大致一致的形状，并且截面直径小于插管的内径。套管被插入使得插管的近端布置在相邻的棘突之间。然后通过插管将植入物推动到相邻棘突之间的位置，并且随后被布置成第二构造以将植入物固定就位。

10. 发明申请

US20080108990A1 INTERSPINOUS PROCESS IMPLANT HAVING A FIXED WING AND A DEPLOYABLE WING AND METHOD OF IMPLANTATION 审中-公开
标题翻译：具有固定义齿和可部署翅膀的植入式植入物和植入方法
公开(公告)号：US20080108990A1
公开(公告)日：2008-05-08
申请号：US11556071
申请日：2006-11-02
申请人： Steven T. Mitchell , Scott A. Yerby , James F. Zucherman , Ken Y. Hsu , Henry A. Klyce , Charles J. Winslow , John J. Flynn , John A. Markwart
发明人： Steven T. Mitchell , Scott A. Yerby , James F. Zucherman , Ken Y. Hsu , Henry A. Klyce , Charles J. Winslow , John J. Flynn , John A. Markwart
IPC分类号： A61B17/58 , A61F2/44
CPC分类号： A61B17/7068 , A61B17/3468 , A61B17/7065
摘要： An embodiment of a system in accordance with the present invention can include an implant having a first wing, a spacer with a thickness and a second wing, wherein a first configuration of the second wing has a first height substantially similar to the thickness and wherein the second wing is adapted to be selectably arranged in a second configuration such that the second wing has a second height greater than the first height. The implant is then urged into position between adjacent spinous processes and subsequently arranged in a second configuration to fix the implant in position.
摘要翻译：根据本发明的系统的实施例可以包括具有第一翼，具有厚度的间隔件和第二翼的植入物，其中第二翼的第一构造具有与厚度基本相似的第一高度，并且其中第二翼适于可选地布置在第二构造中，使得第二翼具有大于第一高度的第二高度。然后将植入物推进到相邻棘突之间的位置，并随后以第二构造布置以将植入物固定就位。

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