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    • 1. 发明申请
    • Pivoting implant holder
    • 旋转植入物夹持器
    • US20050131420A1
    • 2005-06-16
    • US10737538
    • 2003-12-16
    • Richard TechieraSean Selover
    • Richard TechieraSean Selover
    • A61B17/28A61B17/56A61B17/70A61B17/88
    • A61B17/7002A61B17/7001A61B17/7059A61B17/7085A61B17/808A61B2017/2922
    • A medical inserter tool is provided for introducing medical implants into a surgical site, preferably using minimally invasive techniques. The inserter tool can have a variety of configurations, but in general, the inserter tool should be effective to engage and manipulate the implant into two or more positions. In an exemplary embodiment, the tool includes an elongate shaft having proximal and distal ends and defining a longitudinal axis extending therebetween, and a pivoting element that is coupled to the distal end of the shaft and that is adapted to engage a spinal implant. In use, the pivoting element is movable between first and second positions to allow an implant to be introduced through a percutaneous access device in a lengthwise orientation, and to be manipulated subcutaneously to be positioned in a desired orientation.
    • 提供用于将医疗植入物引入手术部位的医疗插入器工具,优选使用微创技术。 插入器工具可以具有各种构造,但是通常,插入器工具应该有效地将植入物接合和操纵到两个或更多个位置。 在示例性实施例中,工具包括细长轴,其具有近端和远端并且限定在其间延伸的纵向轴线,以及联接到轴的远端并且适于接合脊柱植入物的枢转元件。 在使用中,枢转元件可在第一和第二位置之间移动,以允许植入物沿长度方向通过经皮进入装置引入,并且被皮下操作以定位成期望的取向。
    • 3. 发明授权
    • Sacroiliac joint fusion alignment guide
    • 骶髂关节融合对准指南
    • US08579912B2
    • 2013-11-12
    • US12562521
    • 2009-09-18
    • Jorge Eduardo IsazaBryan S. JonesKatherine H. HerardRichard Techiera
    • Jorge Eduardo IsazaBryan S. JonesKatherine H. HerardRichard Techiera
    • A61F2/46
    • A61B17/1739A61B17/1742
    • A device and method for defining a trajectory for instruments in a sacroiliac joint fusion procedure employs a handle and two movable guidance arms that are separated by an adjustable distance. The first guidance arm has a substantially straight pronged distal end terminating in a first prong, a second prong and a space between the first prong and second prong defining a first point in a straight trajectory for inserting screws into a sacroiliac joint. The guidance arm forms a receiving bore on a distal end thereof to define a second point in the trajectory. The pronged distal end is inserted through a posterior incision in the patient into a cored-out sacroiliac joint, with the second guidance arm outside the body, and the orientation of the alignment guide is adjusted by pivoting the alignment guide about the pronged distal end to determine a suitable trajectory. Instruments and implements are placed along the trajectory and guided by the alignment guide to drill screw holes and insert screws used in the sacroiliac joint fusion procedure into the screw holes.
    • 用于限定骶髂关节融合程序中的仪器的轨迹的装置和方法采用手柄和两个分开可调距离的可移动引导臂。 第一引导臂具有终止于第一插脚,第二插脚和第一插脚和第二插脚之间的空间的基本上直的远端,其限定用于将螺钉插入骶髂关节的直线轨迹中的第一点。 引导臂在其远端上形成接收孔以限定轨迹中的第二点。 经插入的远端通过患者的后切口插入到芯骶髂关节中,第二引导臂位于身体外部,并且通过将对齐引导件围绕插入的末端枢转来调节对准引导件的定向到 确定一个合适的轨迹。 仪器和工具沿着轨迹放置,并由对准引导件引导,将螺丝孔和用于骶髂关节融合程序的螺钉插入螺钉孔。