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1. 发明授权

US09662222B2 Medical device lock mechanism 有权
公开(公告)号：US09662222B2
公开(公告)日：2017-05-30
申请号：US14664867
申请日：2015-03-22
申请人： NLT SPINE LTD
发明人： Tzony Siegal , Dvir Keren , Oded Loebl , Didier Toubia
IPC分类号： A61F2/44 , A61F2/02 , A61B17/70 , A61B17/88 , A61F2/28 , A61F2/30 , A61F2/46
CPC分类号： A61F2/44 , A61B17/7094 , A61B17/8852 , A61F2/02 , A61F2/4455 , A61F2002/2835 , A61F2002/30331 , A61F2002/30367 , A61F2002/30462 , A61F2002/30469 , A61F2002/3052 , A61F2002/30522 , A61F2002/30624 , A61F2002/30632 , A61F2002/4415 , A61F2002/448 , A61F2002/4635 , A61F2220/0025 , A61F2220/0033 , A61F2220/0075
摘要： A medical device (10) includes an implant body (20) with a number of segments (30) hingedly interconnected so as to assume a straightened state for delivery and a flexed or roughly curved deployed state. Implant body may have engagement elements on at least two different segments, for example on a majority of segments. An elongated locking element anchored at the distal segment of the implant body may have projections for at least each engagement element. Tension applied to the locking element biases the implant body from the straightened state to the flexed deployed state. When the locking element is deflected to reach the curved deployed state, flexing segments of the implant body lock by matching engagement elements of the implant body with projections of the locking element. A very secure lock may be formed to prevent opening after deployment.

2. 发明授权

US09283092B2 Laterally deflectable implant 有权
标题翻译：横向植入物
公开(公告)号：US09283092B2
公开(公告)日：2016-03-15
申请号：US14608238
申请日：2015-01-29
申请人： NLT SPINE LTD
发明人： Tzony Siegal , Oded Loebl , Didier Toubia
IPC分类号： A61F2/44 , A61F2/46 , A61B17/88 , A61B17/70 , A61F2/28 , A61F2/30
CPC分类号： A61F2/442 , A61B17/3472 , A61B17/7065 , A61B17/8822 , A61F2/30771 , A61F2/4455 , A61F2/447 , A61F2/4601 , A61F2/4611 , A61F2002/2817 , A61F2002/2835 , A61F2002/30092 , A61F2002/30126 , A61F2002/30153 , A61F2002/30156 , A61F2002/30158 , A61F2002/30186 , A61F2002/30187 , A61F2002/302 , A61F2002/30202 , A61F2002/30266 , A61F2002/30304 , A61F2002/30382 , A61F2002/30401 , A61F2002/30431 , A61F2002/30462 , A61F2002/30471 , A61F2002/30476 , A61F2002/30484 , A61F2002/30492 , A61F2002/305 , A61F2002/30504 , A61F2002/30512 , A61F2002/3054 , A61F2002/3055 , A61F2002/30556 , A61F2002/30579 , A61F2002/30601 , A61F2002/30622 , A61F2002/30624 , A61F2002/30772 , A61F2002/30785 , A61F2002/30904 , A61F2002/4415 , A61F2002/4475 , A61F2002/448 , A61F2002/4627 , A61F2002/4628 , A61F2002/4629 , A61F2002/4631 , A61F2002/4679 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029
摘要： A laterally deflectable asymmetric implant for implanting into a body may comprise a deflectable piece having distal and proximal ends and assuming a straightened insertion state. The backbone may abut or interconnect with said deflectable piece at the distal end of the deflectable piece. In a fully deflected state the implant may define an asymmetric shape, e.g. a D-shaped loop, defining an at least partially enclosed volume. The deflectable piece may comprise a sequence of segments interconnected at effective hinges. Longitudinal pressure applied to the proximal end of the deflectable piece (or applied to the backbone in an opposite direction) may cause relative longitudinal movement between the backbone and the proximal end of the deflectable piece and may generate outward horizontal movement of the deflectable piece away from the backbone. In one embodiment, the implant is implanted using lateral access into an anterior zone of a vertebra and deployed posteriorly.
摘要翻译：用于植入体内的可横向偏转的不对称植入物可以包括具有远端和近端并且假设有拉直插入状态的可偏转片。骨架可以在可偏转片的远端处与所述可偏转片邻接或互连。在完全偏转状态下，植入物可以限定不对称形状，例如， D形环，限定至少部分封闭的体积。可偏转件可以包括在有效铰链处互连的段的序列。施加到可偏转片的近端的纵向压力（或以相反的方向施加到骨架）可能导致主体和可偏转片的近端之间的相对纵向移动，并且可产生可偏转片的向外水平运动远离骨干。在一个实施例中，使用横向进入将植入物植入椎骨的前部区域并在后方部署。

3. 发明申请

US20150142118A1 SURGICAL SYSTEMS AND METHODS FOR IMPLANTING DEFLECTABLE IMPLANTS 有权
标题翻译：用于植入可植入植入物的外科系统和方法
公开(公告)号：US20150142118A1
公开(公告)日：2015-05-21
申请号：US14608231
申请日：2015-01-29
申请人： NLT SPINE LTD
发明人： Tzony SIEGAL , Oded Loebl , Didier Toubia
IPC分类号： A61F2/44
CPC分类号： A61F2/442 , A61F2/30965 , A61F2/44 , A61F2/4455 , A61F2/4465 , A61F2/4601 , A61F2/4611 , A61F2002/2817 , A61F2002/2835 , A61F2002/30126 , A61F2002/30179 , A61F2002/302 , A61F2002/30471 , A61F2002/305 , A61F2002/30579 , A61F2002/4415 , A61F2002/4475 , A61F2002/4635 , A61F2210/0019 , A61F2220/0025 , A61F2220/0091 , A61F2230/0008 , A61F2230/0065 , A61F2250/0058 , A61F2310/00017 , A61F2310/00023
摘要： Deflectable implants, systems and methods for implanting deflectable implants are disclosed. The deflectable implant includes at least one sequence of segments, the sequence includes at least two segments, the segments being interconnected at effective hinges, the sequence assuming a straightened or low curvature insertion state for insertion into the body, the sequence being deflectable to a fully deflected state defined by abutment of abutment features of adjacent of the segments. The deflectable implant includes further a linkage mechanically linked to at least part of at least one of the sequences of segments for deflecting the at least one sequence of segments from the insertion state towards the fully deflected state wherein the at least one sequence is at least part of a loop structure assuming a low profile folded state with the at least one sequence in the insertion state, and wherein deflection of the at least one sequence towards the fully deflected state generates an open state of the loop structure and wherein the loop defines an enclosed volume.
摘要翻译：公开了用于植入可偏转植入物的可偏转植入物，系统和方法。所述可偏转植入物包括至少一个片段序列，所述序列包括至少两个片段，所述片段在有效铰链处互连，所述序列假设用于插入到所述身体中的矫直或低曲率插入状态，所述序列可偏转到完全由相邻节段的邻接特征的邻接限定的偏转状态。可偏转植入物还包括机械地连接至至少一部分片段序列的连杆，用于将至少一个片段序列从插入状态偏转到完全偏转状态，其中至少一个序列是至少部分假定具有处于插入状态的至少一个序列的低轮廓折叠状态的环形结构，并且其中所述至少一个序列朝向完全偏转状态的偏转产生环结构的打开状态，并且其中所述环限定封闭卷。

4. 发明授权

US09017413B2 Expanding implant for insertion between two regions of tissue and corresponding method 有权
标题翻译：扩大植入物在组织的两个区域之间插入和相应的方法
公开(公告)号：US09017413B2
公开(公告)日：2015-04-28
申请号：US13941550
申请日：2013-07-15
申请人： NLT Spine Ltd.
发明人： Tzony Siegal , Oded Loebl , Didier Toubia
IPC分类号： A61F2/44 , A61F2/46 , A61B17/70 , A61F2/28 , A61F2/30
CPC分类号： A61F2/442 , A61B17/3472 , A61B17/7065 , A61B17/8822 , A61F2/30771 , A61F2/4455 , A61F2/447 , A61F2/4601 , A61F2/4611 , A61F2002/2817 , A61F2002/2835 , A61F2002/30092 , A61F2002/30126 , A61F2002/30153 , A61F2002/30156 , A61F2002/30158 , A61F2002/30186 , A61F2002/30187 , A61F2002/302 , A61F2002/30202 , A61F2002/30266 , A61F2002/30304 , A61F2002/30382 , A61F2002/30401 , A61F2002/30431 , A61F2002/30462 , A61F2002/30471 , A61F2002/30476 , A61F2002/30484 , A61F2002/30492 , A61F2002/305 , A61F2002/30504 , A61F2002/30512 , A61F2002/3054 , A61F2002/3055 , A61F2002/30556 , A61F2002/30579 , A61F2002/30601 , A61F2002/30622 , A61F2002/30624 , A61F2002/30772 , A61F2002/30785 , A61F2002/30904 , A61F2002/4415 , A61F2002/4475 , A61F2002/448 , A61F2002/4627 , A61F2002/4628 , A61F2002/4629 , A61F2002/4631 , A61F2002/4679 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029
摘要： A laterally deflectable asymmetric implant for implanting into a body may comprise a deflectable piece having distal and proximal ends and assuming a straightened insertion state. The backbone may abut or interconnect with said deflectable piece at the distal end of the deflectable piece. In a fully deflected state the implant may define an asymmetric shape, e.g. a D-shaped loop, defining an at least partially enclosed volume. The deflectable piece may comprise a sequence of segments interconnected at effective hinges. Longitudinal pressure applied to the proximal end of the deflectable piece (or applied to the backbone in an opposite direction) may cause relative longitudinal movement between the backbone and the proximal end of the deflectable piece and may generate outward horizontal movement of the deflectable piece away from the backbone. In one embodiment, the implant is implanted using lateral access into an anterior zone of a vertebra and deployed posteriorly.
摘要翻译：用于植入体内的可横向偏转的不对称植入物可以包括具有远端和近端并且假设有拉直插入状态的可偏转片。骨架可以在可偏转片的远端处与所述可偏转片邻接或互连。在完全偏转状态下，植入物可以限定不对称形状，例如， D形环，限定至少部分封闭的体积。可偏转件可以包括在有效铰链处互连的段的序列。施加到可偏转片的近端的纵向压力（或以相反的方向施加到骨架）可能导致主体和可偏转片的近端之间的相对纵向移动，并且可产生可偏转片的向外水平运动远离骨干。在一个实施例中，使用横向进入将植入物植入椎骨的前部区域并在后方部署。

5. 发明申请

US20140316467A1 BONY STRUCTURE FIXATION CLAMP 审中-公开
标题翻译： BONY结构固定夹
公开(公告)号：US20140316467A1
公开(公告)日：2014-10-23
申请号：US14354938
申请日：2012-10-31
申请人： NLT SPINE LTD.
发明人： Tzony Siegal , Oded Loebl , Didier Toubia
IPC分类号： A61B17/70
CPC分类号： A61B17/7065 , A61B17/7023 , A61B17/7047 , A61B17/7062 , A61B17/707
摘要： A clamp comprises a first structure configured to exert force on a first bony structure at a first point of contact, a second structure configured to exert force on a second bony structure at a second point of contact, a spacer pivot positionable between the first and second bony structures and comprising a pivot point offset in an anterior (or posterior) direction relative to a line between the first and second points of contact when (i) the first structure is deployed to engage the first bony structure and (ii) the second structure is deployed to engage the second bony structure. The clamp may include a clamping structure, adjusting a distance between the first and second structures, and preferably also connecting the spacer pivot. The deployed spacer pivot is operatively connected to the first and second structures when the first and second structures are deployed.
摘要翻译：夹具包括构造成在第一接触点处对第一骨结构施加力的第一结构，构造成在第二接触点处对第二骨结构施加力的第二结构，可定位在第一和第二接触点之间的间隔物枢轴骨骼结构并且当（i）第一结构被展开以接合第一骨结构并且（ii）第二结构时，相对于第一和第二接触点之间的线，在前（或后））方向上包括枢轴点偏移被部署到第二个骨骼结构。夹具可以包括夹紧结构，调整第一和第二结构之间的距离，并且优选地还连接间隔件枢轴。当展开第一和第二结构时，展开的间隔件枢轴可操作地连接到第一和第二结构。

6. 发明授权

US09737411B2 Worm-gear actuated orthopedic implants and methods 有权
公开(公告)号：US09737411B2
公开(公告)日：2017-08-22
申请号：US14412447
申请日：2014-12-11
申请人： NLT SPINE LTD.
发明人： Oded Loebl , Haim Yustein , Didier Toubia
IPC分类号： A61F2/44 , A61F2/30
CPC分类号： A61F2/4425 , A61F2/4455 , A61F2/4465 , A61F2002/30471 , A61F2002/30525 , A61F2002/30538 , A61F2002/30556 , A61F2002/30579 , A61F2002/30904
摘要： An intervertebral implant has at least one arm (14) pivotally connected to a base (10). At least one worm gear configuration includes a worm in (18) mounted within the base (10) so as to be rotatable, and a set of gear teeth (20) associated with the arm (14). When the worm (18) is rotated about its central axis, the arm (14) is driven through a range of pivotal motion relative to the base so as to change an angle of inclination between a direction of elongation (16) of the arm and the direction of elongation (12) of the base. Embodiments of the invention include devices with a hollow proximal worm allowing access into the implant via the worm, distally deployed worms, and devices with a pair of worm gear assemblies that operate synchronously or independently.

7. 发明授权

US09408712B2 Surgical systems and methods for implanting deflectable implants 有权
标题翻译：用于植入可偏转植入物的手术系统和方法
公开(公告)号：US09408712B2
公开(公告)日：2016-08-09
申请号：US14608231
申请日：2015-01-29
申请人： NLT SPINE LTD
发明人： Tzony Siegal , Oded Loebl , Didier Toubia
IPC分类号： A61F2/44 , A61B17/88 , A61F2/30 , A61F2/46 , A61F2/28
CPC分类号： A61F2/442 , A61F2/30965 , A61F2/44 , A61F2/4455 , A61F2/4465 , A61F2/4601 , A61F2/4611 , A61F2002/2817 , A61F2002/2835 , A61F2002/30126 , A61F2002/30179 , A61F2002/302 , A61F2002/30471 , A61F2002/305 , A61F2002/30579 , A61F2002/4415 , A61F2002/4475 , A61F2002/4635 , A61F2210/0019 , A61F2220/0025 , A61F2220/0091 , A61F2230/0008 , A61F2230/0065 , A61F2250/0058 , A61F2310/00017 , A61F2310/00023
摘要： Deflectable implants, systems and methods for implanting deflectable implants are disclosed. The deflectable implant includes at least one sequence of segments, the sequence includes at least two segments, the segments being interconnected at effective hinges, the sequence assuming a straightened or low curvature insertion state for insertion into the body, the sequence being deflectable to a fully deflected state defined by abutment of abutment features of adjacent of the segments. The deflectable implant includes further a linkage mechanically linked to at least part of at least one of the sequences of segments for deflecting the at least one sequence of segments from the insertion state towards the fully deflected state wherein the at least one sequence is at least part of a loop structure assuming a low profile folded state with the at least one sequence in the insertion state, and wherein deflection of the at least one sequence towards the fully deflected state generates an open state of the loop structure and wherein the loop defines an enclosed volume.
摘要翻译：公开了用于植入可偏转植入物的偏转植入物，系统和方法。所述可偏转植入物包括至少一个片段序列，所述序列包括至少两个片段，所述片段在有效铰链处互连，所述序列假设用于插入到所述身体中的矫直或低曲率插入状态，所述序列可偏转到完全由相邻节段的邻接特征的邻接限定的偏转状态。可偏转植入物还包括机械地连接至至少一部分片段序列的连杆，用于将至少一个片段序列从插入状态偏转到完全偏转状态，其中至少一个序列是至少部分假定具有处于插入状态的至少一个序列的低轮廓折叠状态的环形结构，并且其中所述至少一个序列朝向完全偏转状态的偏转产生环结构的打开状态，并且其中所述环限定封闭卷。

8. 发明授权

US09254138B2 Tissue disruption device and corresponding methods 有权
标题翻译：组织破坏装置及相应方法
公开(公告)号：US09254138B2
公开(公告)日：2016-02-09
申请号：US14459336
申请日：2014-08-14
申请人： NLT SPINE LTD.
发明人： Tzony Siegal , Oded Loebl , Didier Toubia
IPC分类号： A61B17/16 , A61B17/32 , A61B17/00 , A61B17/29 , A61B19/00
CPC分类号： A61B17/1671 , A61B17/1631 , A61B17/32002 , A61B2017/00398 , A61B2017/2927 , A61B2017/2936 , A61B2017/2943 , A61B2017/320032 , A61B2090/034
摘要： A tissue disruption device (10) for deployment via a rigid conduit (100) includes a rotary tissue disruptor (12) insertable along the conduit with its axis of rotation (14) parallel to the direction of conduit elongation (16). An angular displacement mechanism allows selective displacement of the rotary tissue disruptor (12) such that the axis of rotation (14) sweeps through a range of angular motion. A rotary drive is linked to the rotary tissue disruptor so as to drive the rotary tissue disruptor in rotary motion while the rotary tissue disruptor is at a range of angular positions within the range of angular motion.
摘要翻译：用于通过刚性导管（100）展开的组织破碎装置（10）包括旋转组织破坏器（12），其沿管道可插入，其旋转轴线（14）平行于导管延伸方向（16）。角位移机构允许旋转组织破坏器（12）的选择性位移使得旋转轴线（14）扫过角运动范围。旋转驱动器连接到旋转组织破坏器，以在旋转组织破坏器处于角运动范围内的角位置的范围内时旋转运动驱动旋转组织破坏器。

9. 发明申请

US20150066039A1 CONIC RETRACTION 审中-公开
标题翻译： CONIC返回
公开(公告)号：US20150066039A1
公开(公告)日：2015-03-05
申请号：US14390039
申请日：2013-01-24
申请人： NLT SPINE LTD.
发明人： Tzony Siegal , Oded Loebl , Didier Toubia
IPC分类号： A61B17/02 , A61B17/88
CPC分类号： A61B17/025 , A61B17/0218 , A61B17/0293 , A61B17/3439 , A61B17/8897 , A61B90/30 , A61B2017/00022 , A61B2017/0256 , A61B2017/0262
摘要： A conic retractor for retraction of tissue of a mammal may comprise an at least partially hollow first truncated cone (20); a second truncated cone (30), having a similar apex angle and whose opening is wider than the first truncated cone, may be configured to at least partially enter the first truncated cone and to dilate at least a distal end of the first truncated cone as it is pushed to the distal end of the cone. A third truncated cone (40) can be inserted into the second truncated cone, etc. Cones can be dilated by having a longitudinal slit (29) or overlapping longitudinal wall surface edges, or by the nature of the material the cones are made of.
摘要翻译：用于缩回哺乳动物组织的锥形牵开器可包括至少部分中空的第一截锥体（20）; 具有类似顶角并且其开口比第一截锥体更宽的第二截锥体（30）可以构造成至少部分地进入第一截锥体并且将第一截锥体的至少远端扩张为它被推到锥体的远端。可以将第三截锥体（40）插入第二截锥体等中。锥体可以通过具有纵向狭缝（29）或重叠的纵向壁表面边缘或由锥体材料的性质而扩张。

10. 发明授权

US09820865B2 Adjustable implant 有权
公开(公告)号：US09820865B2
公开(公告)日：2017-11-21
申请号：US15028427
申请日：2014-10-30
申请人： NLT SPINE LTD.
发明人： Netanel Sharabani , Oded Loebl , Didier Toubia
IPC分类号： A61F2/44 , A61F2/46 , A61F2/30 , A61F2/28 , A61B17/88
CPC分类号： A61F2/4425 , A61B17/8852 , A61F2/44 , A61F2/447 , A61F2/4611 , A61F2002/2817 , A61F2002/2835 , A61F2002/30405 , A61F2002/30415 , A61F2002/30418 , A61F2002/30471 , A61F2002/30538 , A61F2002/30542 , A61F2002/30556 , A61F2002/30579 , A61F2002/30601 , A61F2002/30629 , A61F2002/30632 , A61F2002/30637 , A61F2002/30827 , A61F2002/30904 , A61F2002/30912 , A61F2002/4475 , A61F2002/4627
摘要： An adjustable implant (10, 60, 70, 80, 90) has a base (12) and a displaceable element (16) providing opposing tissue contact surfaces (14, 18). A linkage (20, 26) is pivotally connected to the displaceable element. A linkage mover (38, 40), engaged so as to be displaceable along the base, is associated with the linkage (20, 26) so as to define a displaceable pivot location (24, 30) for pivotal motion of the linkage relative to the base, in certain preferred embodiments, the base (12) has an internally threaded track (42, 44) in which a threaded segment of the linkage mover (38, 40) is engaged, so that rotation of the threaded segment about its central axis advances the linkage mover along the threaded track, thereby displacing the displaceable pivot locations and adjusting a separation between the first contact surface and at least part of the second contact surface.

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