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1. 发明授权

US07731751B2 Expandable spinal devices and method of insertion 有权
标题翻译：可扩展的脊柱器官和插入方法
公开(公告)号：US07731751B2
公开(公告)日：2010-06-08
申请号：US11394719
申请日：2006-03-31
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： A61F2/446 , A61B17/8858 , A61F2/442 , A61F2/447 , A61F2002/30163 , A61F2002/30179 , A61F2002/30428 , A61F2002/30471 , A61F2002/30507 , A61F2002/30523 , A61F2002/3055 , A61F2002/30579 , A61F2002/30594 , A61F2002/30784 , A61F2002/30841 , A61F2002/4415 , A61F2220/0025 , A61F2220/0091 , A61F2230/0028 , A61F2230/0058 , A61F2310/00017 , A61F2310/00023
摘要： A device for insertion into a spinal (intervertebral or intravertebral) space is expandable from a first circumference to a second circumference through axial compression of segments of the device, particularly once the device has been properly situated within a vertebral space. The interbody/intravertebral body device is characterized by a plurality of axially stacked, individual segments that are provided on a central insertion and deployment rod. Each segment includes a central plate or body to which are pivotally attached plate or leaf structures. Pivoting of the structures provides a collapsed or unexpanded position of the first circumference and an open or expanded position of the second circumference.
摘要翻译：用于插入脊椎（椎间或椎间内）空间的装置可以通过装置的段的轴向压缩从第一圆周扩展到第二圆周，特别是一旦该装置已经适当地位于椎骨空间内。体内/椎体内装置的特征在于设置在中心插入和展开杆上的多个轴向堆叠的单个节段。每个部分包括中心板或主体，枢轴连接板或叶结构。结构的枢转提供了第一圆周的折叠或未展开的位置以及第二圆周的打开或展开位置。

2. 发明授权

US08512407B2 Expandable spinal interbody and intravertebral body devices 有权
公开(公告)号：US08512407B2
公开(公告)日：2013-08-20
申请号：US12789257
申请日：2010-05-27
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： A61F2/446 , A61B17/8858 , A61F2/442 , A61F2/447 , A61F2002/30163 , A61F2002/30179 , A61F2002/30428 , A61F2002/30471 , A61F2002/30507 , A61F2002/30523 , A61F2002/3055 , A61F2002/30579 , A61F2002/30594 , A61F2002/30784 , A61F2002/30841 , A61F2002/4415 , A61F2220/0025 , A61F2220/0091 , A61F2230/0028 , A61F2230/0058 , A61F2310/00017 , A61F2310/00023
摘要： A device for insertion into a spinal (intervertebral or intravertebral) space is expandable from a first circumference to a second circumference through axial compression of segments of the device, particularly once the device has been properly situated within a vertebral space. The interbody/intravertebral body device is characterized by a plurality of axially stacked, individual segments that are provided on a central insertion and deployment rod. Each segment includes a central plate or body to which are pivotally attached plate or leaf structures. Pivoting of the structures provides a collapsed or unexpanded position of the first circumference and an open or expanded position of the second circumference.

3. 发明授权

US07318825B2 Dynamic cervical plates and cervical plate constructs 有权
标题翻译：动态宫颈板和宫颈板构造
公开(公告)号：US07318825B2
公开(公告)日：2008-01-15
申请号：US11022461
申请日：2004-12-22
申请人： Michael S. Butler , Michael J. Milella, Jr.
发明人： Michael S. Butler , Michael J. Milella, Jr.
IPC分类号： A61B17/58
CPC分类号： A61B17/8047 , A61B17/7059 , A61B17/8023 , A61B17/8042
摘要： N-level internally dynamizing cervical plates and cervical plate constructs in accordance with the present principles, provide unconstrained sliding interconnection between the various plate components after installation on a cervical spine. A tongue-and-groove configuration between the various plate segments provides a constant thickness over the dynamizing portions. Detents provided relative the tongue-and-groove portions allows the various plate components to be permanently joined, but movable relative to one another. Various bone screw anti-backing, anti-rotation or locking devices for cervical bone plates are also provided that allow releasable locking of bone screws relative to the cervical plate.
摘要翻译： N级内部动态化宫颈板和根据本原理的宫颈板构造，在安装在颈椎上之后，在各种板组件之间提供无约束的滑动互连。各个板段之间的榫槽构造在动力部分上提供恒定的厚度。相对于榫槽部分设置的掣子允许各种板部件被永久连接，但可相对于彼此移动。还提供了用于颈骨板的各种骨螺钉抗背衬，防旋转或锁定装置，其允许骨螺钉相对于颈板的可释放地锁定。

4. 发明授权

US08021398B2 Spinal fixation system 有权
标题翻译：脊柱固定系统
公开(公告)号：US08021398B2
公开(公告)日：2011-09-20
申请号：US11461987
申请日：2006-08-02
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： A61B17/7037 , A61B17/7038 , A61B17/7041
摘要： According to one embodiment of the invention, a spinal fixation system includes a bone screw having a longitudinal access and a fixation rod configured to connect the bone screw to at least one additional bone screw. The fixation rod is lateral to the longitudinal axis. A coupling mechanism includes a bone screw securing device configured to secure the coupling mechanism to the bone screw and a fixation rod securing device configured to secure the coupling mechanism to the fixation rod. The spinal fixation system further includes a fastening mechanism. Rotation of the fastening mechanism secures the bone screw securing device to the bone screw and the fixation rod securing device to the fixation rod.
摘要翻译：根据本发明的一个实施例，脊柱固定系统包括具有纵向进入的骨螺钉和被配置为将骨螺钉连接到至少一个另外的骨螺钉的固定杆。固定杆是纵向轴线的横向。联接机构包括构造成将联接机构固定到骨螺钉上的骨螺钉固定装置和被配置为将联接机构固定到固定杆上的固定杆固定装置。脊柱固定系统还包括紧固机构。紧固机构的旋转将骨螺钉固定装置固定到骨螺钉和固定杆固定装置固定到固定杆上。

5. 发明授权

US08021394B2 Stenotic device 有权
标题翻译：狭窄装置
公开(公告)号：US08021394B2
公开(公告)日：2011-09-20
申请号：US11801291
申请日：2007-05-09
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 , A61F2/44
CPC分类号： A61B17/7062 , A61B17/70
摘要： A spinal implant is configured to be received between bony spinal protrusions of adjacent vertebrae particularly, but not necessarily, in the lumbar region of the spine and hold them apart. The spinal implant may be used interlaminar, interbody or interbony protrusion. The present bony spinal protrusion spacer is not fixed to any bony structures of the vertebrae and, as such, use of the present bony spinal protrusion spacer does not result in fusion. It may therefore be removed if necessary. Attachment structures formed as part of the bony spinal protrusion spacer receive and engage portions of adjacent bony protrusions. The attachment structures provide one or more ridges, bumps, protrusions, projections, lips, flanges, overhangs, overhangs that are threadably engaged, extensions and/or the like that form one or more pockets or cavities into which portions of adjacent bony spinal protrusions are separately lodged and held. In this manner (via retention of the bony spinal protrusions), appropriate and/or desired spacing between adjacent vertebrae is maintained. As such, the present bony spinal protrusion spacer is designed to remain safely and permanently in place without attaching to the bone or ligaments of the back.
摘要翻译：脊柱植入物构造成被接收在相邻椎骨的骨脊柱突起之间，特别地但不一定在脊柱的腰部区域中，并将它们分开。脊椎植入物可以用于层间，体间或椎间突出。本发明的骨脊柱突出间隔物不固定到椎骨的任何骨结构，因此使用本发明的骨脊柱突出间隔物不会导致融合。因此如果需要，可以将其移除。形成为骨脊突起间隔部分的附接结构接收并接合相邻骨突起的部分。连接结构提供形成一个或多个凹穴或空腔的一个或多个凸起，凸起，突起，突出部，唇缘，凸缘，突出部，突出部分，其可螺纹接合，延伸部和/或类似物，相邻骨脊柱突出部分的部分分别提出并举行。以这种方式（通过保留骨脊柱突起），维持相邻椎骨之间的适当和/或期望的间隔。因此，本发明的骨脊柱突出间隔物被设计成保持安全和永久地就位，而不附着到背部的骨骼或韧带上。

6. 发明授权

US07951151B2 Structure for joining and retaining multi-part orthopedic implants 有权
标题翻译：用于连接和保持多部分矫形植入物的结构
公开(公告)号：US07951151B2
公开(公告)日：2011-05-31
申请号：US11709022
申请日：2007-02-21
申请人： Michael S. Butler , Michael J. Milella, Jr.
发明人： Michael S. Butler , Michael J. Milella, Jr.
IPC分类号： A61B17/80
CPC分类号： A61F2/4465 , A61B17/7059 , A61F2002/30331 , A61F2002/3038 , A61F2002/305 , A61F2002/30604 , A61F2002/30772 , A61F2002/30904 , A61F2002/448 , A61F2220/0025 , A61F2220/0033
摘要： An orthopedic implant structure is provided for joining and retaining components of a multi-part orthopedic device. The orthopedic implant joining and retaining structure may be embodied in two or more components of the multi-part orthopedic device. In one form, the multi-part orthopedic implant structure is a resilient snap structure such as a resilient flange in one part and a channel structure formed in another part of an orthopedic implant. A channel of the channel structure may have a cavity formed at a rear of the channel that accepts a configured lip formed on an end of the resilient flange. According to another embodiment, the retaining structure includes resilient snap flanges formed on an interconnection component of the multi-part orthopedic implant. A corresponding bore in another part of the multi-part orthopedic implant receives the interconnection component.
摘要翻译：提供矫形植入物结构用于连接和保持多部分矫形装置的部件。矫形植入物接合和保持结构可以体现在多部分矫形装置的两个或更多个部件中。在一种形式中，多部分矫形植入物结构是弹性卡扣结构，例如一部分中的弹性凸缘和形成在整形外科植入物的另一部分中的通道结构。通道结构的通道可以具有形成在通道的后部处的空腔，其接收形成在弹性凸缘的端部上的配置的唇部。根据另一个实施例，保持结构包括形成在多部分整形外科植入物的互连部件上的弹性卡扣凸缘。多部分整形外科植入物的另一部分中的对应的孔接收互连部件。

7. 发明授权

US08968369B2 Spine plate with bone screw relief area 有权
标题翻译：骨板与骨螺钉浮雕区域
公开(公告)号：US08968369B2
公开(公告)日：2015-03-03
申请号：US12072357
申请日：2008-02-26
申请人： Michael S. Butler , Michael J. Milella, Jr.
发明人： Michael S. Butler , Michael J. Milella, Jr.
IPC分类号： A61B17/80 , A61B17/70 , A61B17/86
CPC分类号： A61B17/8052 , A61B17/7059 , A61B17/8605
摘要： A spine plate defines a body having a posterior surface or side and an anterior surface or side. The body also has a pair of bone screw bores for each vertebra to which the spine plate will be attached. The bone screw bores extend between the posterior side and the anterior side. A relief area is provided between each pair of bone screw bores in the anterior surface of the body. The relief area opens to both bone screw bores to allow displacement of the bone screw when entering the respective bone screw bore. The relief area also opens to both bone screw bores to permit an instrument to be received therein to remove a bone screw from one of the bone screw bores.
摘要翻译：脊柱板限定具有后表面或侧面以及前表面或侧面的主体。身体还具有一对骨螺钉孔，每个椎骨将附着脊柱板。骨螺钉孔在后侧和前侧之间延伸。在身体的前表面中的每对骨螺钉孔之间设置有救济区域。释放区域通向两个骨螺钉孔，以允许骨螺钉在进入相应的骨螺钉孔时移位。释放区域还通向两个骨螺钉孔，以允许仪器被容纳在其中以从其中一个骨螺钉孔中移除骨螺钉。

8. 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。

9. 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。

10. 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.

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