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    • 12. 发明申请
    • A METHOD AND A DEVICE FOR TOTAL SPINAL DISC REPLACEMENT
    • 用于总椎间盘置换的方法和装置
    • WO2006069464A2
    • 2006-07-06
    • PCT/CH2005/000776
    • 2005-12-27
    • SYNTHES GMBHLECHMANN, BeatFRIGG, RobertPAVLOV, Paul, W.BUERKI, RogerFEIGENWINTER, GregorAPPENZELLER, Andreas
    • LECHMANN, BeatFRIGG, RobertPAVLOV, Paul, W.BUERKI, RogerFEIGENWINTER, GregorAPPENZELLER, Andreas
    • A61F2/46A61F2/44
    • A61F2/4611A61F2/4425A61F2002/30092A61F2002/30125A61F2002/30133A61F2002/30382A61F2002/30601A61F2002/30616A61F2002/30649A61F2002/30841A61F2002/443A61F2002/4627A61F2210/0014A61F2220/0033A61F2230/0008A61F2230/0015A61F2310/00023A61F2310/00029A61F2310/00179A61F2310/0058A61F2310/00748
    • A method for total replacement of an affected intervertebral disc through a dorsal approach comprising the steps of removing the disc material of the affected intervertebral disc (3) and inserting an intervertebral prosthesis (30) into the intervertebral disc space via an extraforaminal path (23). An intervertebral prosthesis (100), in particular an intervertebral disk prosthesis comprising A) a first prosthetic component (101) having a first apposition surface (107) disposed transversely to the central axis (103) B) a second prosthetic component (102) having a second apposition surface (108) disposed transversely to the central axis (103); whereby C) said first and second prosthetic components (101; 102) are connected by means of an articulation (106); whereby D) when viewed parallel to said central axis (103) said first and second prosthetic components (101; 102) have an elongated shape with a major axis (127) and a transverse minor axis (128); E) said central axis (103), major axis (127) and transverse minor axis (128) intersecting each other and said central axis (103) and transverse minor axis (128) defining a middle plane (126); F) said first and second prosthetic component (101; 102) have a cross-sectional area orthogonal to said central axis (103) which is essentially oval or elliptical; whereby G) said cross-sectional area comprises at least two concavities (125; 130) lying on different sides of said middle plane (126) and on the same side of said major axis (127).
    • 一种用于通过背侧方法完全替换受影响的椎间盘的方法,包括以下步骤:去除受影响的椎间盘(3)的椎间盘材料,并且经由椎间孔路径(23)将椎间假体(30)插入椎间盘间隙中, 。 一种椎间假体(100),特别是椎间盘假体,包括A)第一假体部件(101),其具有横向于中心轴线(103)设置的第一邻接表面(107); B)第二假体部件(102) 横向于所述中心轴线设置的第二配置表面(108); 由此C)所述第一和第二假肢部件(101; 102)通过关节(106)连接; 由此D)当平行于所述中心轴线(103)观察时,所述第一和第二假肢部件(101; 102)具有长轴(127)和横向短轴(128)的细长形状; E)所述中心轴线(103),长轴(127)和横向短轴线(128)彼此相交,所述中心轴线(103)和横向短轴线(128)限定中间平面(126); F)所述第一和第二假体部件(101; 102)具有与所述中心轴线(103)正交的横截面面积,所述中心轴线基本上是椭圆形或椭圆形; 由此G)所述横截面区域包括位于所述中间平面(126)的不同侧上并且位于所述长轴(127)的同一侧上的至少两个凹部(125; 130)。
    • 16. 发明申请
    • MODULAR INTERVERTEBRAL IMPLANT
    • 模块性椎间植入物
    • WO2006069463A1
    • 2006-07-06
    • PCT/CH2005/000775
    • 2005-12-27
    • SYNTHES GMBHLECHMANN, BeatFRIGG, Robert
    • LECHMANN, BeatFRIGG, Robert
    • A61F2/44
    • A61F2/4425A61F2002/30616A61F2002/30649A61F2002/30843A61F2310/00011A61F2310/00407A61F2310/0058A61F2310/00748A61F2310/00796
    • A modular intervertebral implant (1), particularly an artificial intervertebral disk having a central axis (2) and comprising a first and a second component (3; 4) being mutually connectable in a ball-joint like manner, whereby A) the first component (3) is provided with an apposition area (5) which is apt for abutment to an end plate of a first adjoining vertebral body, said first component (3) being further provided with a concave spherical articulation surface (9) which has a radius R; B) the second component (4) is provided with an apposition area (6) which is apt for abutment to an end plate of a second adjoining vertebral body, said second component (4) being further provided with a convex spherical articulation surface (10) having the same radius R as the concave spherical articulation surface (9); C) the first component (3) has a maximum height H 1 and the second component (4) has a maximum height H 2 , such that a maximum overall height H 1 + H 2 ) results for the assembled intervertebral implant (1); and D) said intervertebral implant (1) has a centre of rotation RZ which has a shortest distance A to the second apposition area (6), said shortest distance A being equal to the absolute value of (H 2 - R); and whereby E) the first component (3) is selected from a first kit of at least M ≥ 2 first components (3) with different maximum heights H 1 ; and F) the second component (4) is selected from a second kit of at least N ≥ 2 second components (4) with different maximum heights H 2 ; such permitting G) a selection of the distance A of the centre of rotation RZ of the so assembled intervertebral implant (1).
    • 模块化椎间植入物(1),特别是具有中心轴线(2)并且包括第一和第二部件(3; 4)的人造椎间盘,其以球接头相似的方式相互连接,由此A)第一部件 (3)设置有适于邻接第一邻接椎体的端板的安置区域(5),所述第一部件(3)还设置有凹形的球形关节表面(9),所述凹形球形关节表面(9)具有半径 R等 B)第二部件(4)设置有适于邻接第二邻接椎体的端板的安置区域(6),所述第二部件(4)还设置有凸形的球形关节表面(10) )具有与凹球面关节表面(9)相同的半径R; C)第一部件(3)具有最大高度H 1,并且第二部件(4)具有最大高度H 2 2,使得最大总高度H < (1/2 + H 2)结果是组合的椎间植入物(1); 和D)所述椎间植入物(1)具有与第二对位区域(6)具有最短距离A的旋转中心RZ,所述最短距离A等于(H 2 2 - R); 并且由此E)第一组分(3)选自具有不同最大高度H 1 1的至少M = 2个第一组分(3)的第一试剂盒; 和F)第二组分(4)选自具有不同最大高度H 2 2的至少N = 2个第二组分(4)的第二试剂盒; 这样允许G)选择如此组装的椎间植入物(1)的旋转中心RZ的距离A.
    • 17. 发明申请
    • INTERVERTEBRAL PROSTHESIS
    • WO2006069462A1
    • 2006-07-06
    • PCT/CH2005/000774
    • 2005-12-27
    • SYNTHES GMBHLECHMANN, BeatFRIGG, RobertAPPENZELLER, Andreas
    • LECHMANN, BeatFRIGG, RobertAPPENZELLER, Andreas
    • A61F2/44
    • A61F2/4611A61F2/4425A61F2002/30092A61F2002/30125A61F2002/30133A61F2002/30382A61F2002/30601A61F2002/30616A61F2002/30649A61F2002/30841A61F2002/443A61F2002/4627A61F2210/0014A61F2220/0033A61F2230/0008A61F2230/0015A61F2310/00023A61F2310/00029A61F2310/00179A61F2310/0058A61F2310/00748
    • Intervertebral prosthesis (1), in particular intervertebral disk prosthesis, with a central axis (6) and comprising A) a first prosthetic component (2) having a first apposition surface (4) and a first inner surface (7), both being disposed transversely to the central axis (6) and having a spherical recess (11); B) a second prosthetic component (3) having a second apposition surface (5) and a second inner surface (8) both being disposed transversely to the central axis (6) and having a calotte (9) congruent with said recess (11); C) the first and second prosthetic components (2; 3) being connectable in an articulated manner by means of the calotte (9) which may be slidably received in the recess (11); whereby D) the first and second prosthetic components (2; 3) have a width B and a length H each being transverse to the central axis (6), said first and second prosthetic components (2; 3) further comprise a longitudinal axis L 1 , respectively L 2 extending parallel to the respective length H; and whereby E) the length H is greater than the width B, such that the prosthetic components (2; 3) may be put into a position in the intervertebral space in which the two longitudinal axes L 1 and L 2 intersect each other at an angle α > 0° when being projected in a plane being orthogonal to the central axis (6).
    • 椎间假体(1),特别是椎间盘假体,具有中心轴线(6)并且包括A)具有第一附接表面(4)和第一内表面(7)的第一假体部件(2) 横向于中心轴线(6)并具有球形凹口(11); B)具有第二接合表面(5)和第二内表面(8)的第二假体部件(3)两者均横向于中心轴线(6)设置并且具有与所述凹部(11)一致的卡尔托特(9) ; C)第一和第二假体部件(2; 3)可以通过可滑动地容纳在凹部(11)中的卡托特(9)以铰接的方式连接; 由此D)第一和第二假体部件(2; 3)具有宽度B,并且每个横向于中心轴线(6)的长度H,所述第一和第二假肢部件(2; 3)还包括纵向轴线L 分别L 1和L 2分别平行于相应长度H延伸; 并且由此E)所述长度H大于所述宽度B,使得所述假体部件(2; 3)可以被放置在所述椎间空间中位于所述两个纵向轴线L 1和 当在与中心轴线(6)正交的平面中投影时,L 2 以α> 0°的角度相交。
    • 20. 发明申请
    • OSSEOSYNTHESIS PLATE WITH KEYHOLE FEATURE
    • 具有键盘特征的OSSEOSYNTHESIS板
    • WO2010117940A1
    • 2010-10-14
    • PCT/US2010/029939
    • 2010-04-05
    • SYNTHES USA, LLCSYNTHES GMBHFRIGG, RobertOVERES, Tom
    • FRIGG, RobertOVERES, Tom
    • A61B17/80
    • A61B17/80A61B17/8019A61B17/8052
    • A bone plate comprises a first plate opening extending therethrough, the first plate opening comprising a first cylindrical portion sized and shaped to receive therethrough a shaft of a first bone fixation element to be passed through the plate to fix the bone plate to a target bone to be treated in a desired position, a top surface of the first cylindrical portion comprising a recess sized and shaped to lockingly seat a head of the first bone fixation element therein and a first elongated portion open to the first cylindrical portion and a side of the bone plate, the first elongated portion being sized and shaped to permit slidable movement of the shaft of the first bone fixation element therethrough while preventing passage therethrough of the head of the first bone fixation element.
    • 骨板包括延伸穿过其中的第一板开口,第一板开口包括第一圆柱形部分,第一圆柱形部分的大小和形状适于穿过其中穿过第一骨固定元件的轴以穿过板以将骨板固定到目标骨骼上 被处理在期望的位置,第一圆柱形部分的顶部表面包括凹部,其尺寸和形状被设计成将第一骨固定元件的头部锁定地固定在其中,并且第一细长部分与第一圆柱形部分和骨侧 所述第一细长部分的尺寸和形状允许所述第一骨固定元件的轴可滑动地移动,同时防止所述第一骨固定元件的头部通过。