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1. 发明授权

US07655008B2 Methods and instruments for spinal derotation 有权
标题翻译：脊柱解旋的方法和仪器
公开(公告)号：US07655008B2
公开(公告)日：2010-02-02
申请号：US11350915
申请日：2006-02-09
申请人： Lawrence G. Lenke , John Stewart Young , Douglas D. Kave
发明人： Lawrence G. Lenke , John Stewart Young , Douglas D. Kave
IPC分类号： A61B17/56 , A61B17/58 , A61B17/70 , A61B17/88
CPC分类号： A61B17/025 , A61B17/7032 , A61B17/7077 , A61B2017/0256 , Y10S606/914
摘要： Derotation instrument assemblies and systems are provided to facilitate positioning one or more vertebrae of a spinal column into a desired alignment. The instrument assemblies and systems include implant holders engageable to respective implants engaged to vertebrae of the spinal column, transverse bridges to connect implant holders associated with a particular vertebra, and inter-level linking assemblies to connect instrument assemblies associated with different vertebrae. Derotation handles can be provided on the implant holders to facilitate application of the alignment forces, while the assemblies distribute the corrective forces to the connected implants and vertebrae.
摘要翻译：提供换能仪器组件和系统以便于将脊柱的一个或多个椎骨定位成期望的对准。仪器组件和系统包括植入物保持器，其可接合到脊柱的椎骨的相应植入物，用于连接与特定椎骨相关联的植入物保持器的横向桥和用于连接与不同椎骨相关联的器械组件的层间连接组件。可以在植入物保持器上提供换位手柄以便于对齐力的应用，同时组件将校正力分配给所连接的植入物和椎骨。

2. 发明授权

US07722617B2 Surgical instrumentation for rod reduction 有权
标题翻译：用于减少杆的手术仪器
公开(公告)号：US07722617B2
公开(公告)日：2010-05-25
申请号：US11410742
申请日：2006-04-25
申请人： John Stewart Young , Douglas D. Kave
发明人： John Stewart Young , Douglas D. Kave
IPC分类号： A61B17/88
CPC分类号： A61B17/7086
摘要： One embodiment of the present application includes a surgical instrument comprising a first member and a second member that are pivotally interconnected together. The first member and the second member each include a proximal end structured for manual manipulation by an operator and a distal end defining a gripping nose structured to engage a bone anchor. The instrument further includes a bearing surface to contact an implantable rod when the gripping nose is engaged with a bone anchor and to urge the rod toward the bone anchor when the gripping nose is pivoted thereabout. A thread guide is included that is engaged by threading of a rotatable member. The rotatable member can include a swivel-mounted head structured to bear against and further urge the rod toward a seat in the bone anchor when the rotatable member is turned through the guide.
摘要翻译：本申请的一个实施例包括外科器械，其包括枢转地互连在一起的第一构件和第二构件。第一构件和第二构件各自包括构造成用于由操作者手动操作的近端和限定构造成接合骨锚固件的夹紧鼻的远端。所述仪器还包括当所述抓持鼻与骨锚接合时与所述可植入杆接触的支承表面，并且当所述夹持鼻绕所述枢纽转动时，将所述杆推向所述骨锚。包括通过可旋转构件的螺纹接合的导纱器。可旋转构件可以包括旋转安装的头部，其构造成当可旋转构件转过导引件时，该头部被构造成抵靠并进一步将杆朝向骨锚固件中的座椅推动。

3. 发明授权

US08221474B2 Spinal derotation instruments and methods 有权
标题翻译：脊柱旋转仪器和方法
公开(公告)号：US08221474B2
公开(公告)日：2012-07-17
申请号：US12854669
申请日：2010-08-11
申请人： Keith H. Bridwell , John Stewart Young , Brian Burd , Douglas D. Kave
发明人： Keith H. Bridwell , John Stewart Young , Brian Burd , Douglas D. Kave
IPC分类号： A61B17/88
CPC分类号： A61B17/025 , A61B17/7032 , A61B17/7077 , A61B17/8866 , A61B2017/0256 , Y10S606/914
摘要： A method for assembling a system for correcting alignment of a spinal column of a patient is provided. The method includes the steps of engaging first and second implants to a first vertebra; engaging a distal portion of respective first and second implant holders to respective ones of the first and second implants, the first and second implant holders each extending from said distal portion along a longitudinal axis to a proximal end outside the patient; engaging a transverse bridge between and to proximal ends of each of the first and second implant holders; and engaging a derotation handle to the transverse bridge at a location between the first and second implant holders and in a generally parallel orientation to a sagittal plane of the spinal column so that the transverse derotation handle extends transversely to the sagital plane.
摘要翻译：提供了一种用于组装用于校正患者脊柱的对准的系统的方法。该方法包括将第一和第二植入物接合到第一椎骨的步骤; 将相应的第一和第二植入物保持器的远端部分接合到所述第一和第二植入物中的相应的第一植入物保持器，所述第一和第二植入物保持器各自从所述远侧部分沿着纵向轴线延伸到患者外部的近端; 使所述第一植入物保持器和所述第二植入物保持器中的每一个的近端与所述横向桥接合; 以及在所述第一和第二植入物保持器之间的位置处以及与所述脊柱的矢状平面大致平行的方向将所述横向桥的解旋手柄接合，使得所述横向解旋手柄横向于所述矢状平面延伸。

4. 发明授权

US07727261B2 Multi-axial bone screw assembly 有权
标题翻译：多轴骨螺钉总成
公开(公告)号：US07727261B2
公开(公告)日：2010-06-01
申请号：US10731210
申请日：2003-12-09
申请人： B. Thomas Barker , John Stewart Young , Craig Squires , David Brumfield , Chris Johnson , Dennis J. Buchanan
发明人： B. Thomas Barker , John Stewart Young , Craig Squires , David Brumfield , Chris Johnson , Dennis J. Buchanan
IPC分类号： A61B17/70
CPC分类号： A61B17/7037 , A61B17/7032 , A61B2017/00858 , A61B2090/037
摘要： A bottom-loading multi-axial bone anchor apparatus is disclosed. The apparatus includes a receiver member, a crown member, a bone anchor and a retaining member. The receiver member defines an upper opening and a lower opening, which may form part of the same opening, a channel, and a groove. The crown member and bone anchor are loaded into the lower opening of the receiver member, and the retaining member fits around the bone anchor and into the groove in the receiver member. The bone anchor is capable of multi-axial positioning with respect to the receiver member. An elongated member is placed in the channel of the receiver member, contacting the crown member, and a compression member is applied via the upper opening. The compression member presses down on the elongated member, which presses down on the crown member and locks the bone anchor between the crown member and the retaining member.
摘要翻译：公开了一种底部装载多轴骨锚装置。该装置包括接收器构件，冠部构件，骨锚和保持构件。接收器构件限定上开口和下开口，其可以形成相同开口，通道和凹槽的一部分。冠部构件和骨锚固件被装载到接收器构件的下部开口中，并且保持构件安装在骨锚固件周围并进入接纳构件的凹槽中。骨锚固件能够相对于接收器构件进行多轴定位。细长构件放置在接收器构件的通道中，与冠构件接触，并且经由上开口施加压缩构件。压缩构件向下按压在细长构件上，该细长构件压下冠部构件并将骨锚固件锁定在冠部构件和保持构件之间。

5. 发明申请

US20100131020A1 VERTEBRAL IMPLANT INSERTER AND METHOD OF USE 审中-公开
标题翻译： VERTEBRAL植入物插入物及其使用方法
公开(公告)号：US20100131020A1
公开(公告)日：2010-05-27
申请号：US12695424
申请日：2010-01-28
申请人： Eric Steven Heinz , John Stewart Young
发明人： Eric Steven Heinz , John Stewart Young
IPC分类号： A61B17/56
CPC分类号： A61B17/7076
摘要： A surgical installation tool to insert a vertebral implant into a patient includes an elongated handle and a head attached to one end. The vertebral implant may be attached to the head. The head may include an engagement member that is movable between engaged and released positions. The engagement member may be outwardly biased so that it naturally rests in the released position. The engagement member may be inwardly movable from the released position to the engaged position. A reactive force caused by the inward deflection may supply the attachment force between the installation tool and the vertebral implant. The attachment between the vertebral implant to the installation tool may be maintained while the engagement member is in the engaged position.
摘要翻译：将椎骨植入物插入病人的手术安装工具包括细长手柄和附接到一端的头部。脊椎植入物可以附接到头部。头部可以包括可在接合位置和释放位置之间移动的接合构件。接合构件可以被向外偏置，使得其自然地放置在释放位置。接合构件可以从释放位置向内移动到接合位置。由向内偏转引起的反作用力可能在安装工具和脊椎植入物之间提供附着力。当接合构件处于接合位置时，可以维持脊椎植入物与安装工具之间的附接。

6. 发明授权

US07011658B2 Devices and methods for spinal compression and distraction 失效
公开(公告)号：US07011658B2
公开(公告)日：2006-03-14
申请号：US10092961
申请日：2002-03-04
申请人： John Stewart Young
发明人： John Stewart Young
IPC分类号： A61B17/56 , A61F2/00 , A61F2/30
CPC分类号： A61B17/7077 , A61B17/7014 , A61B2017/0256
摘要： A device for applying a corrective force to a spinal column segment is provided that includes a mechanism with opposite first and second engagement ends and driving means for moving the opposite engagement ends in extension and retraction directions. A locking mechanism has a first position in engagement with the mechanism to prevent the opposite engagement ends from being moved in one of the extension and retraction directions while allowing movement in the other of the extension and retraction directions. The locking mechanism has a second position that allows the opposite engagement ends to be moved in both of the extension and retraction directions. The locking mechanism can also be configured to prevent the opposite engagement ends from being moved in either of the extension and retraction directions when in the first position.

7. 发明授权

US06660004B2 Multi-axial bone screw assembly 有权
公开(公告)号：US06660004B2
公开(公告)日：2003-12-09
申请号：US09940902
申请日：2001-08-28
申请人： B. Thomas Barker , John Stewart Young , Craig Squires , David Brumfield , Chris Johnson , Dennis J. Buchanan
发明人： B. Thomas Barker , John Stewart Young , Craig Squires , David Brumfield , Chris Johnson , Dennis J. Buchanan
IPC分类号： A61B1770
CPC分类号： A61B17/7037 , A61B17/7032 , A61B2017/00858 , A61B2090/037
摘要： A bottom-loading multi-axial bone anchor apparatus is disclosed. The apparatus includes a receiver member, a crown member, a bone anchor and a retaining member. The receiver member defines an upper opening and a lower opening, which may form part of the same opening, a channel, and a groove. The crown member and bone anchor are loaded into the lower opening of the receiver member, and the retaining member fits around the bone anchor and into the groove in the receiver member. The bone anchor is capable of multi-axial positioning with respect to the receiver member. An elongated member is placed in the channel of the receiver member, contacting the crown member, and a compression member is applied via the upper opening. The compression member presses down on the elongated member, which presses down on the crown member and locks the bone anchor between the crown member and the retaining member.

8. 发明授权

US09278214B2 Deformity correction using neural integrity monitoring 有权
标题翻译：使用神经完整性监测进行畸形矫正
公开(公告)号：US09278214B2
公开(公告)日：2016-03-08
申请号：US13295288
申请日：2011-11-14
申请人： John Stewart Young
发明人： John Stewart Young
IPC分类号： A61B5/00 , A61N1/36 , A61B17/70 , A61B5/05
CPC分类号： A61B17/7092 , A61B5/05 , A61B5/4041 , A61B5/4893 , A61B2017/00039 , A61B2017/0262 , A61N1/3604
摘要： A method is provided for detecting neural interference between a bone anchor and a neural element during or subsequent to the application of force on the bone anchor to adjust the orientation of one or more vertebral bodies relative to the spinal column. The method includes engaging at least one bone anchor to the vertebral body and applying force to the bone anchor to adjust the positioning or orientation of the vertebral body. A nerve monitoring system provides an electrical signal and is operable to detect a neural element and its proximity to the bone anchor as a function of a characteristic of the electrical signal.
摘要翻译：提供了一种用于在骨锚上施加力时或之后检测骨锚和神经元之间的神经干扰的方法，以调节一个或多个椎体相对于脊柱的取向。该方法包括将至少一个骨锚固件接合到椎体并且向骨锚施加力以调节椎体的定位或取向。神经监测系统提供电信号并且可操作以根据电信号的特征来检测神经元件及其与骨锚的接近度。

9. 发明申请

US20130110123A1 DEVICES AND METHODS TO POSITION AN ANCHOR DURING A SURGICAL PROCEDURE 审中-公开
标题翻译：在手术过程中安装锚杆的装置和方法
公开(公告)号：US20130110123A1
公开(公告)日：2013-05-02
申请号：US13282238
申请日：2011-10-26
申请人： David Foirella , John Stewart Young
发明人： David Foirella , John Stewart Young
IPC分类号： A61B17/88
CPC分类号： A61B17/7076 , A61B17/8872
摘要： Devices and methods for positioning an anchor within a patient during a surgical procedure. The devices are designed to interface with an anchor. The interface facilitates attachment of instruments to an exterior of the anchor. The devices may further be sized for use in minimally invasive surgical procedures where direct visualization and manipulation of the anchor is often impractical. The device may include first and second members that are movable relative to each other. The members include distal ends sized for insertion into a head of an anchor. The device may include a handle operatively connected to one or both members to move the members relative to each other to expand a size of the first member to engage with the head. The engagement is confined with the exterior of the head remaining exposed for attachment of an instrument to the head. One or both members may further be shaped to facilitate attachment of the instrument to the head.
摘要翻译：用于在手术过程中将锚定位在患者体内的装置和方法。这些设备被设计成与锚接口连接。该界面便于将仪器连接到锚的外部。所述装置可进一步定尺寸用于微创外科手术，其中锚的直接可视化和操纵通常是不切实际的。该装置可以包括可相对于彼此移动的第一和第二构件。构件包括尺寸适于插入锚的头部的远端。该装置可以包括可操作地连接到一个或两个构件的手柄，以使构件相对于彼此移动以扩大第一构件的尺寸以与头部接合。接合限制在头部的外部，其余部分被暴露以将仪器附接到头部。一个或两个构件还可以被成形为便于将仪器附接到头部。

10. 发明申请

US20130068711A1 SURGICAL ASSEMBLY WITH VARIABLE POSITIONING ARM 审中-公开
标题翻译：具有可变定位臂的外科装配
公开(公告)号：US20130068711A1
公开(公告)日：2013-03-21
申请号：US13238087
申请日：2011-09-21
申请人： Kelli N. Sebastian , John Stewart Young , David A. Mire
发明人： Kelli N. Sebastian , John Stewart Young , David A. Mire
IPC分类号： A61B19/00
CPC分类号： F16M13/02 , A61B90/50 , A61B2090/571 , F16M11/12
摘要： A surgical assembly includes an actuator. A linking member is connected to and extending from the actuator. The linking member includes a series of at least two interconnected inner links that are relatively movable such that the linking member is disposable between a flexible configuration and a rigid configuration. An arm extends from the actuator and includes a series of relatively moveable outer links that define an axial bore configured for disposal of the linking member. Each outer link defines a first mating surface and a second mating surface disposed in a configuration such that the actuator is engageable to move the linking member from the flexible configuration to the rigid configuration to selectively fix the arm in a selected orientation. Methods of use are disclosed.
摘要翻译：手术组件包括致动器。连接构件连接到致动器并从致动器延伸。连接构件包括一系列相对可移动的至少两个相互连接的内部连杆，使得连接构件在柔性构造和刚性构型之间是一次性的。臂从致动器延伸并且包括一系列相对可移动的外连杆，其限定被构造成用于处置连接构件的轴向孔。每个外部连杆限定第一配合表面和第二配合表面，该第一配合表面和第二配合表面布置成使得致动器可接合以将连接构件从柔性构造移动到刚性构型，以选择性地将臂固定在选定的方向上。公开了使用方法。

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