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    • 1. 发明授权
    • Device for linking adjacent rods in spinal instrumentation
    • 用于连接脊柱器械中的相邻杆的装置
    • US5947966A
    • 1999-09-07
    • US946954
    • 1997-10-08
    • Troy DrewryMichael C. ShermanJames E. Van HoeckDenis S. DrummondDavid L. BrumfieldM. Neil Anderson
    • Troy DrewryMichael C. ShermanJames E. Van HoeckDenis S. DrummondDavid L. BrumfieldM. Neil Anderson
    • A61B17/70A61B17/58
    • A61B17/7052
    • One embodiment of a spinal fixation system including a pair of longitudinal members 11, 12 positionable adjacent the spine, means for engaging longitudinal members to the spine 13, 14, a pair of wedge members 241 each having a bearing surface 242 configured to bear on a longitudinal member 11, 12, and a connector 200 configured to span a distance between the longitudinal members 11, 12. The connector 200 includes a pair of engaging members 205, 212 each having a fixation portion 207, 214 and a connecting portion 209, 216, and a bridge members 202 attachable to the connecting portions 209, 216. The engaging members 205, 212 each define a thru-hole 225 for receiving one of the wedge members 241. The thru-holes 225 are aligned so that when one of the wedge members 241 is advanced through the thru-hole 225, the bearing surface 242 will bear on a corresponding longitudinal member 11, 12 to force the longitudinal member 11, 12 into contact with the fixation surface 220, 221 and engage the longitudinal member 11, 12 to the connector 200. In a specific embodiment, the bridge member 200 defines a slot 203 and a fastener bore 227 having an axis D' intersecting the slot 203. In this embodiment, the second connecting portion 216 is insertable into the slot 203 to intersect the axis D' of the bone 227, whereby a fastener 230 received in the bore 227 will clamp the second connecting portion 216 to the bridge member 202.
    • 一种脊柱固定系统的一个实施例,其包括可邻近脊柱定位的一对纵向构件11,12,用于将纵向构件接合到脊柱13,14的一对楔形构件241,每个楔形构件241具有构造成承受 纵向构件11,12和连接器200构造成跨越纵向构件11,12之间的距离。连接器200包括一对接合构件205,212,各自具有固定部分207,214和连接部分209,216 以及可连接到连接部分209,261的桥构件202.接合构件205,212各自限定用于容纳楔形构件241中的一个的通孔225.通孔225对准,使得当 楔形构件241推进穿过通孔225,支承表面242将承载在相应的纵向构件11,12上,以迫使纵向构件11,12与固定表面220,221接触并接合lo 纵向构件11,12连接到连接器200.在具体实施例中,桥构件200限定狭槽203和具有与槽203相交的轴线D'的紧固件孔227.在该实施例中,第二连接部分216可插入 槽203与骨227的轴线D'相交,由此容纳在孔227中的紧固件230将夹紧第二连接部分216到桥构件202。
    • 2. 发明授权
    • Device for linking adjacent rods in spinal instrumentation
    • 用于连接脊柱器械中的相邻杆的装置
    • US06402751B1
    • 2002-06-11
    • US09613406
    • 2000-07-11
    • James Van HoeckDenis S. DrummondDavid L. BrumfieldM. Neil AndersonMichael C. Sherman
    • James Van HoeckDenis S. DrummondDavid L. BrumfieldM. Neil AndersonMichael C. Sherman
    • A61B1758
    • A61B17/7052A61B17/7049
    • One embodiment of a spinal fixation system 10 including a pair of longitudinal members 11, 12 positionable adjacent the spine, means for engaging longitudinal members to the spine 13, 14, a pair of wedge members 16 each having a bearing surface 38 configured to bear on a longitudinal member 11, 12, and a connector 20 configured to span a distance between the longitudinal members 11, 12. The connector 20 includes a pair of engaging members 25, 26 each having a fixation surface 33 and a connecting surface 30, and a bridge member 21 attached to the connecting surfaces 30. The engaging members 25, 26 each define a thru-hole 35 for receiving one of the wedge members 16. The thru-holes 35 are aligned so that wherein one of the wedge members 16 is advanced through the thru-hole 35, the bearing surface 38 will bear on a corresponding longitudinal member 11, 12 to force the longitudinal member 11, 12 into contact with the fixation surface 33 and engage the longitudinal member 11, 12 to the connector 20.
    • 脊柱固定系统10的一个实施例,其包括可邻近脊柱定位的一对纵向构件11,12,用于将纵向构件接合到脊柱13,14的一对楔形构件16,每个楔形构件16具有构造成承受 纵向构件11,12和连接器20构造成跨越纵向构件11,12之间的距离。连接器20包括一对接合构件25,26,每个接合构件具有固定表面33和连接表面30,并且 桥接构件21附接到连接表面30.接合构件25,26各自限定用于容纳楔形构件16中的一个的通孔35.通孔35对准,使得楔形构件16中的一个前进 通过通孔35,支承表面38将承载在相应的纵向构件11,12上,以迫使纵向构件11,12与固定表面33接触,并将纵向构件11,12与接头 演员20。
    • 3. 发明授权
    • Device for linking adjacent rods in spinal instrumentation
    • 用于连接脊柱器械中的相邻杆的装置
    • US06113600A
    • 2000-09-05
    • US946955
    • 1997-10-08
    • Denis S. DrummondJames Van HoeckDavid L. BrumfieldM. Neil AndersonMichael C. Sherman
    • Denis S. DrummondJames Van HoeckDavid L. BrumfieldM. Neil AndersonMichael C. Sherman
    • A61B17/58A61B17/70
    • A61B17/7052A61B17/7049
    • The embodiment of a spinal fixation system 10 including a pair of longitudinal members 11, 12 positionable adjacent the spine, engaging member for engaging longitudinal members to the spine 13, 14, a pair of wedge members 16 each having a bearing surface 38 configured to bear on a longitudinal member 11, 12, and a connector 20 configured to span a distance between the longitudinal members 11, 12. The connector 20 includes a pair of engaging members 25, 26 each having a fixation surface 33 and a connecting surface 30, and a bridge member 21 attached to the connecting surfaces 30. The engaging members 25, 26 each define a thru-hole 35 for receiving one of the wedge members 16. The thru-holes 35 are aligned so that when one of the wedge members 16 is advanced through the thru-hole 35, the bearing surface 38 will bear on a corresponding longitudinal member 11, 12 to force the longitudinal member 11, 12 into contact with the fixation surface 33 and engage the longitudinal member 11, 12 to the connector 20.
    • 脊柱固定系统10的实施例包括一对可邻近脊柱定位的纵向构件11,12,用于将纵向构件接合到脊13,14的接合构件,一对楔形构件16,每个楔形构件具有构造成承载的支承面38 在纵向构件11,12和连接器20上构造成跨过纵向构件11,12之间的距离。连接器20包括一对接合构件25,26,每个具有固定表面33和连接表面30,并且 连接到连接表面30的桥构件21.接合构件25,26各自限定用于容纳楔形构件16中的一个的通孔35.通孔35对准,使得当楔形构件16中的一个楔形构件 通过通孔35前进,支承表面38将承载在相应的纵向构件11,12上,以迫使纵向构件11,12与固定表面33接触并且将纵向构件11,12接合到t 他连接器20。
    • 4. 发明授权
    • Device for linking adjacent rods in spinal instrumentation
    • 用于连接脊柱器械中的相邻杆的装置
    • US6136003A
    • 2000-10-24
    • US495977
    • 2000-02-02
    • James Van HoeckDenis S. DrummondDavid L. BrumfieldM. Neil AndersonMichael C. Sherman
    • James Van HoeckDenis S. DrummondDavid L. BrumfieldM. Neil AndersonMichael C. Sherman
    • A61B17/58A61B17/70
    • A61B17/7052A61B17/7049
    • One embodiment of a spinal fixation system 10 including a pair of longitudinal members 11, 12 positionable adjacent the spine, means for engaging longitudinal members to the spine 13, 14, a pair of wedge members 16 each having a bearing surface 38 configured to bear on a longitudinal member 11, 12, and a connector 20 configured to span a distance between the longitudinal members 11, 12. The connector 20 includes a pair of engaging members 25, 26 each having a fixation surface 33 and a connecting surface 30, and a bridge member 21 attached to the connecting surfaces 30. The engaging members 25, 26 each define a thru-hole 35 for receiving one of the wedge members 16. The thru-holes 35 are aligned so that when one of the wedge members 16 is advanced through the thru-hole 35, the bearing surface 38 will bear on a corresponding longitudinal member 11, 12 to force the longitudinal member 11, 12 into contact with the fixation surface 33 and engage the longitudinal member 11, 12 to the connector 20.
    • 脊柱固定系统10的一个实施例,其包括可邻近脊柱定位的一对纵向构件11,12,用于将纵向构件接合到脊柱13,14的一对楔形构件16,每个楔形构件16具有构造成承受 纵向构件11,12和连接器20构造成跨越纵向构件11,12之间的距离。连接器20包括一对接合构件25,26,每个接合构件具有固定表面33和连接表面30,并且 桥接构件21附接到连接表面30.接合构件25,26各自限定用于容纳楔形构件16中的一个的通孔35.通孔35对准,使得当楔形构件16中的一个前进时 通过通孔35,支承表面38将承载在相应的纵向构件11,12上,以迫使纵向构件11,12与固定表面33接触并且将纵向构件11,12接合到连接 或20。
    • 5. 发明授权
    • Clamp for attaching a vertebral fixation element to a spinal rod
    • 用于将脊椎固定元件附接到脊柱杆的夹具
    • US5423818A
    • 1995-06-13
    • US175608
    • 1993-12-30
    • James E. Van HoeckMichael C. Sherman
    • James E. Van HoeckMichael C. Sherman
    • A61B17/60A61B17/70A61F5/02
    • A61B17/7037A61B17/7008A61B17/7038A61B17/7041
    • A clamp is provided for clamping a spinal rod to a vertebral fixation element which permits access directly from the top of the instrumentation site. The clamp includes a body defining a channel configured to receive the spinal rod and a pair of conical sleeves for restrainably securing the spinal rod to the clamp by forcibly inserting the sleeves between the spinal rod and the channel. The clamp further includes a projection extending from the body, terminating in a T-bar, and a washer slidably disposed on the projection between the T-bar and channel. As the conical sleeves are forcibly inserted into the channel, the sleeves bear upon the the washer and displace the washer in the direction of the T-bar, thereby clamping the vertebral fixation element between the T-bar and washer. The dual function of the conical sleeves thereby clamps the spinal rod to a vertebral fixation element.
    • 提供用于将脊柱杆夹紧到椎骨固定元件的夹具,其允许直接从仪器位置的顶部进入。 夹具包括限定通道的主体,该通道构造成用于容纳脊柱杆和一对锥形套筒,用于通过将套管强制地插入在脊柱杆和通道之间来将脊柱杆限制地固定到夹具上。 夹具还包括从主体延伸的终止于T形杆的突起,以及可滑动地设置在T形杆和通道之间的突起上的垫圈。 当锥形套筒被强制地插入通道中时,套筒支撑在垫圈上并使垫圈沿着T形杆的方向移动,从而将椎骨固定元件夹在T形杆和垫圈之间。 锥形套筒的双重功能由此将脊柱杆夹紧到脊椎固定元件。
    • 6. 发明授权
    • Methods and apparatus for fusionless treatment of spinal deformities
    • 脊柱畸形融合治疗方法与装置
    • US5951553A
    • 1999-09-14
    • US892604
    • 1997-07-14
    • Randall BetzMichael C. ShermanTroy Drewry
    • Randall BetzMichael C. ShermanTroy Drewry
    • A61B17/70A61B17/80
    • A61B17/885A61B17/7044A61B17/8095A61B17/7032A61B17/7041
    • The treatment and correction of spinal deformities, such as scoliosis, is accomplished without the need for fusion of the intervertebral disc space. A surgical technique is provided in which opening and closing osteotomies are created in the affected vertebrae. Correction devices are provided which hold the osteotomies in either their closed or open orientations. The correction devices include staples holding the vertebral body on opposite sides of the body to retain the osteotomies in their desired orientation. In the opening osteotomies, the correction devices include a wedge member that is disposed within the opened wedge osteotomy and in contact with the vertebral body. The correction devices also include connection members which can be used to engage the devices to an elongated member spanning the spine, such as a spinal rod. Once bone union has occurred in the instrumented vertebrae, the spinal rod can be disconnected from the correction devices and removed from the patient. In another aspect of the invention, curvature deformities in two planes can be corrected using the same techniques and devices.
    • 脊柱畸形的治疗和矫正如脊柱侧凸在不需要椎间盘融合的情况下完成。 提供了一种手术技术,其中在受影响的椎骨中产生开闭截骨术。 提供校正装置,其将截骨固定在封闭或敞开的方位。 校正装置包括将身体保持在身体的相对侧上的钉,以将截骨保持在其期望的取向。 在开放性截骨术中,矫正装置包括楔形构件,其设置在开放的楔形截骨中并与椎体接触。 校正装置还包括可用于将装置接合到跨越脊柱的细长构件(例如脊椎杆)的连接构件。 一旦在仪器化的椎骨中发生骨结合,脊柱杆可以与校正装置断开并从患者身上移除。 在本发明的另一方面,可以使用相同的技术和装置来校正两个平面中的曲率畸变。
    • 8. 发明授权
    • Multi-axial bone screw assembly
    • 多轴骨螺钉总成
    • US5885286A
    • 1999-03-23
    • US798872
    • 1997-02-11
    • Michael C. ShermanTroy Drewry
    • Michael C. ShermanTroy Drewry
    • A61B17/58A61B17/70A61B19/00
    • A61B17/7037A61B17/7032A61B2090/037
    • A multi-axial bone engaging fastener assembly includes a bone screw having a partially spherical head. The bone screw head is truncated at an upper surface in which a tool receiving recess is defined. The assembly includes a receiver member including a central bore that defines a tapered recess to receive the head of the bone screw. The bore of the receiver member also defines a channel communicating with the recess and configured to receive a spinal rod therein. A portion of the channel is threaded to receive a set screw above the rod. The assembly also includes a crown member disposed between the rod and the head of the bone screw. As the set screw is tightened into the receiver member, the set screw compresses the rod against the crown member, which presses the head of the bone screw into the tapered recess. In one embodiment, the head of the bone screw includes a flared edge that penetrates at least the crown member as the assembly is tightened. In another embodiment, the bone screw head includes a plurality of circumferential ridges configured to bite into the crown member. In a further aspect, the crown member is threaded to be inserted into the receiver member by threading through the threaded portion of the receiver member.
    • 多轴骨接合紧固件组件包括具有部分球形头部的骨螺钉。 骨螺钉头在限定工具容纳凹部的上表面处被截断。 组件包括接纳件,该接收器构件包括限定用于接收骨螺钉头部的锥形凹部的中心孔。 接收器构件的孔还限定了与凹部连通且被构造成在其中容纳脊柱杆的通道。 通道的一部分被螺纹接纳在杆上方的固定螺钉。 组件还包括设置在杆和骨螺钉的头部之间的冠部构件。 当定位螺钉被紧固到接收器构件中时,定位螺钉将杆压靠在冠部构件上,该冠部件将骨螺钉的头部压入锥形凹槽中。 在一个实施例中,骨螺钉的头部包括当组件被紧固时至少穿过冠部构件的扩口边缘。 在另一个实施例中,骨螺钉头包括构造成咬入冠部构件的多个周向脊。 在另一方面,冠部件通过穿过接收器构件的螺纹部分被螺纹地插入接收器构件中。