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71. 发明申请

WO2007121271A2 MINIMALLY INVASIVE FIXATION SYSTEM 审中-公开
标题翻译：微小的入侵固定系统
公开(公告)号：WO2007121271A2
公开(公告)日：2007-10-25
申请号：PCT/US2007/066469
申请日：2007-04-11
申请人： SYNTHES (U.S.A) , SYNTHES GMBH , BANKOSKI, Brian , HANSON, Shaun , SOLITARIO, Ralph, C., Jr. , BUNDRA, Caryn, E. , WOODBURN, William, N., Sr. , ROSSNEY, Mark , MCDIVITT, Eric , RATHBUN, David, S.
发明人： BANKOSKI, Brian , HANSON, Shaun , SOLITARIO, Ralph, C., Jr. , BUNDRA, Caryn, E. , WOODBURN, William, N., Sr. , ROSSNEY, Mark , MCDIVITT, Eric , RATHBUN, David, S.
IPC分类号： A61B17/88 , A61B17/02 , A61B17/68
CPC分类号： A61B17/7082 , A61B17/00234 , A61B17/7076 , A61B17/7079 , A61B17/7083 , A61B17/865 , A61B2090/034
摘要： 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.
摘要翻译：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。

72. 发明申请

WO2007048012A2 METHOD AND INSTRUMENTS TO TREAT SPONDYLOLISTHESIS BY AN ANTERIOR MINIMALLY INVASIVE APPROACH OF THE SPINE 审中-公开
标题翻译：方法和仪器通过ANTERIOR微型入侵方法治疗脊髓损伤
公开(公告)号：WO2007048012A2
公开(公告)日：2007-04-26
申请号：PCT/US2006/041194
申请日：2006-10-20
申请人： SYNTHES (U.S.A.) , SYNTHES GMBH , GFELLER, Andy , AMHERD, Remo , STOLL, Thierry
发明人： GFELLER, Andy , AMHERD, Remo , STOLL, Thierry
IPC分类号： A61B17/70 , A61B17/56 , A61F2/44
CPC分类号： A61B17/7059 , A61B17/562 , A61B17/66 , A61B17/7032 , A61B17/7077 , A61B17/7079 , A61B17/8866 , A61B2017/0256 , A61F2/4455 , A61F2002/30433 , A61F2002/30507 , A61F2002/3052 , A61F2002/30553 , A61F2002/30578 , A61F2220/0025 , A61F2220/0041 , A61F2250/0008

73. 发明申请

WO2006014329A2 SYSTEMS AND METHODS FOR COMPRESSING AND DISTRACTING VERTEBRAE OF THE SPINAL COLUMN 审中-公开
标题翻译：用于压缩和分离脊柱VERTEBRAE的系统和方法
公开(公告)号：WO2006014329A2
公开(公告)日：2006-02-09
申请号：PCT/US2005/023368
申请日：2005-07-01
申请人： SDGI HOLDINGS, INC. , LIM, Roy, K. , CONLEY, Arthur , MELKENT, Anthony, J.
发明人： LIM, Roy, K. , CONLEY, Arthur , MELKENT, Anthony, J.
IPC分类号： A61B17/56
CPC分类号： A61B17/8019 , A61B17/025 , A61B17/7079 , A61B17/8866 , A61B2017/0256
摘要： Spinal surgical systems include a compressor (40, 90) mountable to a first vertebra and positionable relative to a fulcrum (70, 120) mountable to a second vertebra. The compressor (40, 90) and fulcrum (70, 120) are manipulated relative to one another to compress the first and second vertebrae. The systems further include a distractor (140) mountable to a first vertebra and positionable relative to a fulcrum (70, 120) mountable to a second vertebra. The distractor (140) and fulcrum (70, 120) are manipulated relative to one another to distract the first and second vertebrae.
摘要翻译：脊柱手术系统包括可安装到第一椎骨并可相对于可安装到第二椎骨的支点（70,120）定位的压缩机（40,90）。压缩机（40,90）和支点（70,120）相对于彼此被操纵以压缩第一和第二椎骨。所述系统还包括可安装到第一椎骨并可相对于可安装到第二椎骨的支点（70,120）定位的牵引器（140）。牵引器（140）和支点（70,120）相对于彼此操纵以分散第一和第二椎骨。

74. 发明申请

WO2004012610A1 COMPRESSOR FOR USE IN MINIMALLY INVASIVE SURGERY 审中-公开
标题翻译：压缩机在最小的入侵手术中使用
公开(公告)号：WO2004012610A1
公开(公告)日：2004-02-12
申请号：PCT/US2003/023448
申请日：2003-07-29
申请人： DEPUY ACROMED, INC.
发明人： NEWTON, Peter , GRACIA, Mark , VARIEUR, Michael, S. , BREECH, Carrie, A.
IPC分类号： A61B17/28
CPC分类号： A61B17/2816 , A61B17/025 , A61B17/2812 , A61B17/7032 , A61B17/7079 , A61B2017/0256 , A61B2017/2919
摘要： A compressor tool for use in minimally invasive surgery is provided having first and second elongate elements where each elongate element is connected to the other at a pivot point (16) within a pivot region (18) of each element for rotating articulation in an articulation plane with respect to each other. The first and second elongate elements are configured to provide a tool pivot region including the pivot point, a tool handle (20) proximal to the tool pivot region, and a tool working portion distal to the too pivot region so that pressure applied to the tool handle portion (22) results in a compressive force being applied by the tool working portion. The tool has a first closed position for insertion of the tool through an incision or portal so that the pivot region is located within the incision or portal, and a second working position where the tool working portion is arranged to provide a compressive force to spaced apart elements within a patient's body. Articulation of the tool between the first closed position and the second working position results in no increase in dimension of the tool in the pivot region.
摘要翻译：提供了用于微创手术的压缩机工具，其具有第一和第二细长元件，其中每个细长元件在每个元件的枢转区域（18）内的枢转点（16）处连接到另一个，用于在铰接平面中旋转铰接相对于彼此。第一和第二细长元件构造成提供包括枢转点的工具枢转区域，靠近工具枢转区域的工具手柄（20）和远离太枢轴区域的工具工作部分，使得施加到工具的压力手柄部分（22）导致由工具工作部分施加的压缩力。所述工具具有用于通过切口或入口插入所述工具的第一关闭位置，使得所述枢转区域位于所述切口或入口内，以及第二工作位置，其中所述工具工作部分被布置成提供压缩力以间隔开患者体内的元素。在第一关闭位置和第二工作位置之间的工具的铰接导致工具在枢转区域中的尺寸没有增加。

75. 发明申请

WO01028440A2 DEVICE FOR SPINAL DEFORMITY REDUCTION 审中-公开
标题翻译：用于脊柱畸形减轻的装置
公开(公告)号：WO01028440A2
公开(公告)日：2001-04-26
申请号：PCT/US2000/041343
申请日：2000-10-20
IPC分类号： A61B17/70 , A61B17/88 , A61B19/00 , A61B17/56
CPC分类号： A61B17/7041 , A61B5/4504 , A61B17/7079 , A61B2090/037
摘要： A device for pulling a vertebral anchor with a strain gauge in combination with a tension rod. The device has a cylindrical telescopic housing made of a first hollow cylinder received inside a second hollow cylinder such that the two hollow cylinders define a longitudinal passage from the proximal to the distal end of the cylindrical telescopic housing. The tension rod is slidably disposed within the longitudinal passageway and has a means mounted on or near its distal end to attach to vertebral anchor (or bone screw). The first and second hollow cylinders are biased apart by a mechanical spring, which resides inside the second hollow cylinder. A means for moving said tension rod in a proximal direction with respect to said telescopic housing is then operatively attached to the housing, as well as, a strain gauge to directly measure the amount of tension placed on the tension rod when the device is in use.
摘要翻译：用张力杆与应变计一起拉动椎骨的装置。该装置具有圆柱形伸缩壳体，其由容纳在第二中空圆柱体内的第一中空圆筒构成，使得两个中空圆筒限定从圆柱形伸缩壳体的近端到远端的纵向通道。张力杆可滑动地设置在纵向通道内并且具有安装在其远端上或附近的装置以附接到椎骨锚（或骨螺钉）。第一和第二空心圆柱体被位于第二中空圆柱体内部的机械弹簧偏压分开。然后，用于相对于所述可伸缩壳体沿近端方向移动所述拉杆的装置然后可操作地附接到所述壳体以及应变仪，以在所述装置使用时直接测量放置在所述张力杆上的张力的量。

76. 发明申请

WO1993014908A1 CONTINUOUSLY ENGAGED TANGENTIAL DRIVING TOOL 审中-公开
标题翻译：连续使用的TANGTITIAL DRIVING TOOL
公开(公告)号：WO1993014908A1
公开(公告)日：1993-08-05
申请号：PCT/US1993000645
申请日：1993-01-25
申请人： SHERIDAN, Thomas, L.
IPC分类号： B25B13/46
CPC分类号： B25G1/063 , A61B17/025 , A61B17/7079 , A61B2017/0256 , B25B13/463 , B25B13/467 , B25B13/48 , B25B13/481 , B25B13/50
摘要： Wrench for continuous driving engagement with a rotatively driven element such as a screw, bolt or nut, which is particularly suitable for use where the ends of the driven element are not accessible and in applications where space for manipulation of the tool is limited such as in spinal fusion surgery. The wrench has a peripheral driving element (32), which can be engaged from the side with the driven element (60), and in some embodiments an articulating handle (81) which enables the wrench to rotate the driven element (60) through a substantial angle with only a few degrees of handle movement.
摘要翻译：用于与旋转驱动元件（例如螺钉，螺栓或螺母）连续驱动接合的扳手，其特别适合用于驱动元件的端部不可接近的位置以及用于操纵工具的空间受限的应用，例如在脊柱融合手术。扳手具有外周驱动元件（32），其可以与从动元件（60）的一侧接合，并且在一些实施例中是能够使扳手将从动元件（60）旋转的铰接手柄（81）实质的角度只有几度的手柄运动。

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