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    • 5. 发明申请
    • Less invasive surgical system and methods
    • 侵入性较小的手术系统和方法
    • US20060074445A1
    • 2006-04-06
    • US10957888
    • 2004-09-29
    • David GerberShaun HansonXiaoping HuDouglas KephartKyle KuntzAndrew Lee
    • David GerberShaun HansonXiaoping HuDouglas KephartKyle KuntzAndrew Lee
    • A61M29/00
    • A61B17/7082A61B17/7074A61B17/7076A61B17/7083A61B17/7085A61B17/7089A61B17/7091
    • A system for performing a less invasive surgical procedure and, in particular, devices and methods for spinal fixation. The system comprises dilation tool(s), at least one working/insertion cannula, a plurality of screws, at least one fixation rod for connecting the screws, and a rod inserter. The dilation tool(s) may be used to dilate an incision made in a patient to form an opening. Thereafter, a drill may be used to form holes in the vertebrae. An insertion cannula may be attached to a screw and inserted into the opening. The screws may be polyaxial screws and may be inserted into the vertebrae using a screwdriver. An operator may then move the insertion cannula to manipulate a head portions of the screws such that the head portions may be aligned to receive a fixation rod. A rod inserter may be used to insert a fixation rod into the head portions. After the fixation rod is in place, it may be locked to the screws, thereby fixing the system in place on the spine.
    • 用于执行侵入性较小的外科手术的系统,特别是用于脊柱固定的装置和方法。 该系统包括扩张工具,至少一个工作/插入插管,多个螺钉,用于连接螺钉的至少一个固定杆和杆插入器。 扩张工具可用于扩张在患者体内形成的切口以形成开口。 此后,可以使用钻头在椎骨中形成孔。 插入插管可以附接到螺钉并插入到开口中。 螺钉可以是多轴螺钉,并且可以使用螺丝刀插入椎骨中。 操作者然后可以移动插入套管以操纵螺钉的头部,使得头部可以对齐以接收固定杆。 杆插入器可用于将固定杆插入头部。 固定杆就位后,可将其锁定在螺钉上,从而将系统固定在脊椎上。
    • 6. 发明授权
    • Minimally invasive fixation system
    • 微创固定系统
    • US09498262B2
    • 2016-11-22
    • US12828884
    • 2010-07-01
    • Brian R. BankoskiShaun HansonRalph C. Solitario, Jr.Caryn E. BundraWilliam N. Woodburn, Sr.Mark RossneyEric McDivittDavid Rathbun
    • Brian R. BankoskiShaun HansonRalph C. Solitario, Jr.Caryn E. BundraWilliam N. Woodburn, Sr.Mark RossneyEric McDivittDavid Rathbun
    • A61B17/58A61B17/60A61F2/00A61B17/70A61B17/00A61B17/86
    • A61B17/7082A61B17/00234A61B17/7076A61B17/7079A61B17/7083A61B17/865A61B2090/034
    • A minimally invasive fixation system and method for providing access to a surgical site. The fixation system may include a holding assembly, the holding assembling preferably including a lateral implant holder which may be attached to a pedicle screw and a sleeve positioned in connection with the lateral implant holder to prevent the lateral implant holder from separating from the pedicle screw. The sleeve may further include a tissue protection portion to keep the tissue out of the surgical site. A holding sleeve may be operably connected to the holding assembly and pedicle screw and may be used to insert the pedicle screw into the body. Multiple constructs may be inserted into the body so that a portion of the holding assembly extends from the body and provides access to and visualization of the surgical site. A rod holder may also be used to insert a rod into the head of the screw. The rod may be held by the rod holder so that the rod may be angulated as the rod is inserted into the screw heads. Once the rod is positioned in the screw heads, locking caps and/or set screws may be positioned over the rod and engage the screw heads so that the position of the rod may be fixed with respect to the screws. In some embodiments, a movement mechanism may be used to move the screws relative to each other to compress and/or distract the vertebrae.
    • 用于提供对外科手术部位的接近的微创固定系统和方法。 所述固定系统可以包括保持组件,所述保持组合优选地包括侧向植入物保持器,其可以附接到椎弓根螺钉和与所述侧向植入物保持器相连接定位的套筒,以防止所述侧向植入物夹持器与所述椎弓根螺钉分离。 套筒还可以包括组织保护部分以将组织保持在手术部位之外。 保持套筒可以可操作地连接到保持组件和椎弓根螺钉,并且可以用于将椎弓根螺钉插入体内。 可以将多个构造物插入体内,使得保持组件的一部分从身体延伸并提供对外科手术部位的接近和可视化。 也可以使用杆保持器将杆插入螺钉的头部。 杆可以由杆保持器保持,使得杆可以在杆插入螺钉头时成角度。 一旦杆被定位在螺钉头中,锁定帽和/或定位螺钉可以定位在杆上方并且接合螺钉头,使得杆的位置可以相对于螺钉固定。 在一些实施例中,运动机构可用于相对于彼此移动螺钉以压缩和/或分散脊椎。
    • 8. 发明授权
    • Minimally invasive fixation system
    • 微创固定系统
    • US07758584B2
    • 2010-07-20
    • US11734201
    • 2007-04-11
    • Brian R. BankoskiShaun HansonRalph C. Solitario, Jr.Caryn E. BundraWilliam N. Woodburn, Sr.Mark RossneyEric McDivittDavid Rathbun
    • Brian R. BankoskiShaun HansonRalph C. Solitario, Jr.Caryn E. BundraWilliam N. Woodburn, Sr.Mark RossneyEric McDivittDavid Rathbun
    • A61B17/58A61B17/60A61F2/00
    • A61B17/7082A61B17/00234A61B17/7076A61B17/7079A61B17/7083A61B17/865A61B2090/034
    • A minimally invasive fixation system and method for providing access to a surgical site. The fixation system may include a holding assembly, the holding assembling preferably including a lateral implant holder which may be attached to a pedicle screw and a sleeve positioned in connection with the lateral implant holder to prevent the lateral implant holder from separating from the pedicle screw. The sleeve may further include a tissue protection portion to keep the tissue out of the surgical site. A holding sleeve may be operably connected to the holding assembly and pedicle screw and may be used to insert the pedicle screw into the body. Multiple constructs may be inserted into the body so that a portion of the holding assembly extends from the body and provides access to and visualization of the surgical site. A rod holder may also be used to insert a rod into the head of the screw. The rod may be held by the rod holder so that the rod may be angulated as the rod is inserted into the screw heads. Once the rod is positioned in the screw heads, locking caps and/or set screws may be positioned over the rod and engage the screw heads so that the position of the rod may be fixed with respect to the screws. In some embodiments, a movement mechanism may be used to move the screws relative to each other to compress and/or distract the vertebrae.
    • 用于提供对外科手术部位的接近的微创固定系统和方法。 所述固定系统可以包括保持组件,所述保持组合优选地包括侧向植入物保持器,其可以附接到椎弓根螺钉和与所述侧向植入物保持器相连接定位的套筒,以防止所述侧向植入物夹持器与所述椎弓根螺钉分离。 套筒还可以包括组织保护部分以将组织保持在手术部位之外。 保持套筒可以可操作地连接到保持组件和椎弓根螺钉,并且可以用于将椎弓根螺钉插入体内。 可以将多个构造物插入体内,使得保持组件的一部分从身体延伸并提供对外科手术部位的接近和可视化。 也可以使用杆保持器将杆插入螺钉的头部。 杆可以由杆保持器保持,使得杆可以在杆插入螺钉头时成角度。 一旦杆被定位在螺钉头中,锁定帽和/或定位螺钉可以定位在杆上方并且接合螺钉头,使得杆的位置可以相对于螺钉固定。 在一些实施例中,运动机构可用于相对于彼此移动螺钉以压缩和/或分散脊椎。
    • 9. 发明申请
    • MINIMALLY INVASIVE FIXATION SYSYEM
    • 微型入侵固定系统
    • US20070270842A1
    • 2007-11-22
    • US11734201
    • 2007-04-11
    • Brian BankoskiShaun HansonRaph SolitarioCaryn BundraWilliam WoodburnMark RossneyEric McDivittDavid Rathbun
    • Brian BankoskiShaun HansonRaph SolitarioCaryn BundraWilliam WoodburnMark RossneyEric McDivittDavid Rathbun
    • A61F2/30
    • A61B17/7082A61B17/00234A61B17/7076A61B17/7079A61B17/7083A61B17/865A61B2090/034
    • A minimally invasive fixation system and method for providing access to a surgical site. The fixation system may include a holding assembly, the holding assembling preferably including a lateral implant holder which may be attached to a pedicle screw and a sleeve positioned in connection with the lateral implant holder to prevent the lateral implant holder from separating from the pedicle screw. The sleeve may further include a tissue protection portion to keep the tissue out of the surgical site. A holding sleeve may be operably connected to the holding assembly and pedicle screw and may be used to insert the pedicle screw into the body. Multiple constructs may be inserted into the body so that a portion of the holding assembly extends from the body and provides access to and visualization of the surgical site. A rod holder may also be used to insert a rod into the head of the screw. The rod may be held by the rod holder so that the rod may be angulated as the rod is inserted into the screw heads. Once the rod is positioned in the screw heads, locking caps and/or set screws may be positioned over the rod and engage the screw heads so that the position of the rod may be fixed with respect to the screws. In some embodiments, a movement mechanism may be used to move the screws relative to each other to compress and/or distract the vertebrae.
    • 用于提供对外科手术部位的接近的微创固定系统和方法。 所述固定系统可以包括保持组件,所述保持组合优选地包括侧向植入物保持器,其可以附接到椎弓根螺钉和与所述侧向植入物保持器相连接定位的套筒,以防止所述侧向植入物夹持器与所述椎弓根螺钉分离。 套筒还可以包括组织保护部分以将组织保持在手术部位之外。 保持套筒可以可操作地连接到保持组件和椎弓根螺钉,并且可以用于将椎弓根螺钉插入体内。 可以将多个构造物插入体内,使得保持组件的一部分从身体延伸并提供对外科手术部位的接近和可视化。 也可以使用杆保持器将杆插入螺钉的头部。 杆可以由杆保持器保持,使得杆可以在杆插入螺钉头时成角度。 一旦杆被定位在螺钉头中,锁定帽和/或定位螺钉可以定位在杆上方并且接合螺钉头,使得杆的位置可以相对于螺钉固定。 在一些实施例中,运动机构可用于相对于彼此移动螺钉以压缩和/或分散脊椎。
    • 10. 发明申请
    • Guided retractor and methods of use
    • 引导牵开器及使用方法
    • US20060155170A1
    • 2006-07-13
    • US11260542
    • 2005-10-26
    • Shaun HansonJeffrey LarsonTheodore BerteleLouis GreenbergScott Schorer
    • Shaun HansonJeffrey LarsonTheodore BerteleLouis GreenbergScott Schorer
    • A61B1/32
    • A61B17/02A61B1/32A61B17/025A61B2017/0256
    • The present invention provides methods and apparatus in which a surgical retractor comprises a plurality of mechanically coupled tissue retaining walls that are guided into position along one or more guides previously implanted into the patient. The walls are preferably coupled by pivots, so that separating some of the walls from one another opens an operating space. There are preferably two guides, which are driven or screwed into the pedicles of vertebrae, or other bone. Since practical considerations will usually mean that the guides are completely parallel to one another, the retractor has oversized channels to receive the guides. The channels are best disposed in a frame, which also serves to hold lock the walls apart. Various convenience features are contemplated including a web disposed between the walls, which expands as the walls are separated. Also contemplated are projections from near the bottoms of one or more of the walls, which can alternatively or additionally help to hold the underlying tissue in place.
    • 本发明提供了一种方法和装置,其中手术牵开器包括多个机械耦合的组织保持壁,所述多个机械连接的组织保持壁沿着先前植入患者体内的一个或多个导向件被引导到位置。 优选地,所述壁通过枢轴联接,使得将一些壁彼此分开打开操作空间。 优选地,两个引导件被驱动或拧入椎骨的椎弓根或其他骨中。 由于实际考虑通常意味着引导件彼此完全平行,所以牵开器具有过大的通道以接收引导件。 通道最好设置在框架中,这也可以将墙壁分开锁定。 考虑到各种便利特征,包括布置在壁之间的网,当壁分离时,该网膨胀。 还考虑到一个或多个壁的底部附近的突起,其可以替代地或另外帮助将下面的组织保持在适当位置。