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1. 发明申请

WO2011008739A2 JOINT ARTHRODESIS AND ARTHROPLASTY 审中-公开
标题翻译：联合治疗和ARTHROPLASTY
公开(公告)号：WO2011008739A2
公开(公告)日：2011-01-20
申请号：PCT/US2010/041800
申请日：2010-07-13
申请人： MEDICINELODGE, INC. DBA IMDS CO-INNOVATION , DUGGAL, Neil , BUTTERS, Joshua A. , ARNETT, Jeffery
发明人： DUGGAL, Neil , BUTTERS, Joshua A. , ARNETT, Jeffery
IPC分类号： A61B17/68 , A61F2/42
CPC分类号： A61B17/7266 , A61B17/1725 , A61B17/1775 , A61B17/683 , A61B17/7225 , A61B17/7233 , A61B17/7291 , A61F2/4202 , A61F2002/4205 , A61F2002/4207
摘要： An implantable fixation system for fusing a joint between a first bone and a second bone. The system may include an anchor, standoff, bolt, and cortical washer. The system may be implanted across the joint along a single trajectory, the length of the system adjustable to provide compressive force between the anchor and the cortical washer. The system may be implanted across a tibiotalar joint with the anchor positioned in the sinus tarsi. A spacing member may be inserted between the two bones and the fixation system implanted to extend through an opening in the spacing member. The spacing member may be anatomically shaped and/or provide deformity correction. An ankle arthroplasty system may include a tibial plate, a talar plate, and a bearing insert. The plates may be anchored to the tibia and talus along a single trajectory. The ankle arthroplasty system may be revisable to a fusion system.
摘要翻译：一种可植入固定系统，用于将第一骨骼和第二骨骼之间的关节融合。系统可以包括锚固件，支座，螺栓和皮质垫圈。系统可以沿着单个轨迹跨越关节植入，系统的长度可调节以在锚固体和皮质垫圈之间提供压缩力。该系统可以植入跨胫骨关节，锚定位于窦性sinus骨中。间隔构件可以插入在两个骨之间，并且固定系统被植入以延伸通过间隔构件中的开口。间隔构件可以是解剖学上的形状和/或提供畸形校正。脚踝关节置换系统可包括胫骨板，定位板和支承插入物。板可以沿着单个轨迹锚定到胫骨和距骨。踝关节置换系统可以修改融合系统。

2. 发明申请

WO2009094493A4 SPINAL ACCESS SYSTEMS AND METHODS 审中-公开
标题翻译：脊柱访问系统和方法
公开(公告)号：WO2009094493A4
公开(公告)日：2009-12-10
申请号：PCT/US2009031751
申请日：2009-01-23
申请人： INNOVATIVE SPINE , FARR MORTEZA , AKYUZ EPHRAIM , FALLIN WADE T , JUSTIN DANIEL F , BUTTERS JOSHUA A , GERBEC DANIEL E
发明人： FARR MORTEZA , AKYUZ EPHRAIM , FALLIN WADE T , JUSTIN DANIEL F , BUTTERS JOSHUA A , GERBEC DANIEL E
IPC分类号： A61B17/70 , A61B17/50
CPC分类号： A61B17/025 , A61B17/1604 , A61B17/1659 , A61B17/1671 , A61B17/320708 , A61B17/3421 , A61B17/3468 , A61B90/361 , A61B90/50 , A61B2017/0256 , A61B2017/2904 , A61B2017/320044 , A61B2017/320056 , A61B2017/3447 , A61B2090/3618 , A61F2/4455 , A61F2/447 , A61F2/4601 , A61F2/4611 , A61F2/4684 , A61F2002/30116 , A61F2002/30538 , A61F2002/30616 , A61F2002/30904 , A61F2002/4435 , A61F2002/4627 , A61F2002/4681 , A61F2002/4687 , A61F2230/0006 , A61F2250/0006
摘要： A system for accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate the spine. The location may be at the L4-L5 vertebral level, and the curved path may lie in a plane oblique to the transverse, coronal and sagittal planes of the spine, and avoid the iliac crest. A targeting post may be inserted adjacent the spine to determine the location, and a guide member may be inserted to establish the curved path. A micrometer assembly may adjust a cephalad-caudal displacement between the post and the guide member. One or more intermediate cannulas may be inserted over the guide member to dilate tissues prior to insertion of the main cannula. An interbody device may be implanted into an intervertebral space through the cannula.
摘要翻译：用于从弯曲的后外侧方法进入脊柱的系统可以包括沿着从皮肤中的开口到靠近脊柱的位置的弯曲路径定位的弯曲插管。该位置可能在L4-L5椎体水平，并且弯曲的路径可以位于倾斜于脊柱的横向，冠状和矢状平面的平面中，并且避免髂嵴。可以在脊柱附近插入目标柱以确定位置，并且可以插入引导构件以建立弯曲路径。测微计组件可以调节柱和引导构件之间的头端 - 尾端位移。一个或多个中间插管可插入引导构件上以在插入主插管之前扩张组织。体间装置可以通过插管植入椎间空间。

3. 发明申请

WO2009094493A3 SPINAL ACCESS SYSTEMS AND METHODS 审中-公开
标题翻译：脊髓获取系统和方法
公开(公告)号：WO2009094493A3
公开(公告)日：2009-10-15
申请号：PCT/US2009031751
申请日：2009-01-23
申请人： INNOVATIVE SPINE , FARR MORTEZA , AKYUZ EPHRAIM , FALLIN WADE T , JUSTIN DANIEL F , BUTTERS JOSHUA A , GERBEC DANIEL E
发明人： FARR MORTEZA , AKYUZ EPHRAIM , FALLIN WADE T , JUSTIN DANIEL F , BUTTERS JOSHUA A , GERBEC DANIEL E
IPC分类号： A61B17/70 , A61B17/50
CPC分类号： A61B17/025 , A61B17/1604 , A61B17/1659 , A61B17/1671 , A61B17/320708 , A61B17/3421 , A61B17/3468 , A61B90/361 , A61B90/50 , A61B2017/0256 , A61B2017/2904 , A61B2017/320044 , A61B2017/320056 , A61B2017/3447 , A61B2090/3618 , A61F2/4455 , A61F2/447 , A61F2/4601 , A61F2/4611 , A61F2/4684 , A61F2002/30116 , A61F2002/30538 , A61F2002/30616 , A61F2002/30904 , A61F2002/4435 , A61F2002/4627 , A61F2002/4681 , A61F2002/4687 , A61F2230/0006 , A61F2250/0006
摘要： A system for accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate the spine. The location may be at the L4-L5 vertebral level, and the curved path may lie in a plane oblique to the transverse, coronal and sagittal planes of the spine, and avoid the iliac crest. A targeting post may be inserted adjacent the spine to determine the location, and a guide member may be inserted to establish the curved path. A micrometer assembly may adjust a cephalad-caudal displacement between the post and the guide member. One or more intermediate cannulas may be inserted over the guide member to dilate tissues prior to insertion of the main cannula. An interbody device may be implanted into an intervertebral space through the cannula.
摘要翻译：一种用于从弯曲的后外侧入路进入脊柱的系统可以包括沿着从皮肤中的开口到靠近脊柱的位置的弯曲路径定位的弯曲套管。该位置可位于L4-L5椎体水平面，并且弯曲路径可位于与脊柱的横向，冠状面和矢状面倾斜的平面中，并避开髂嵴。可以在脊柱附近插入目标柱以确定位置，并且可以插入引导部件以建立弯曲路径。千分尺组件可以调节柱和引导构件之间的头 - 尾位移。一个或多个中间插管可插入导引构件上以在插入主插管之前扩张组织。椎体间装置可通过套管植入椎间空间。

4. 发明申请

WO2008157284A1 SYSTEM AND METHOD FOR POLYAXIALLY ADJUSTABLE BONE ANCHORAGE 审中-公开
标题翻译：多轴可调节骨锚固系统和方法
公开(公告)号：WO2008157284A1
公开(公告)日：2008-12-24
申请号：PCT/US2008/066825
申请日：2008-06-13
申请人： ROBERT REID, INC , BUTTERS, Joshua, A. , MARIETTA, Joseph, Q.
发明人： BUTTERS, Joshua, A. , MARIETTA, Joseph, Q.
IPC分类号： A61B17/86
CPC分类号： A61B17/7037 , A61B17/7032 , A61B17/8605 , A61B17/8685 , Y10T29/49826
摘要： An implantable bone anchor assembly for fixing an elongated member such as a spinal rod may include a bone anchor, a coupling head configured to receive the bone anchor and the elongated member, and a locking mechanism. The locking mechanism may provide compressive force to simultaneously fix the position of the elongated member and lock out polyaxial rotation of the bone anchor relative to the coupling head. The locking mechanism may include an engagement member with an oblique surface configured to slide along an oblique surface of the coupling head into engagement with the elongated member. The bone anchor may comprise a head portion and a threaded portion which may be coupled with the coupling head and joined together during manufacture. The assembly may further include a pin and/or a collar to retain the bone anchor. The bone anchor may be side-loaded into the coupling head.
摘要翻译：用于固定诸如脊椎杆的细长构件的可植入骨锚固组件可以包括骨锚固件，构造成接收骨锚和细长构件的联接头以及锁定机构。锁定机构可以提供压缩力以同时固定细长构件的位置并且锁定骨锚固件相对于联接头的多轴旋转。锁定机构可以包括具有倾斜表面的接合构件，该倾斜表面被构造成沿着联接头的倾斜表面滑动以与细长构件接合。骨锚可以包括头部和螺纹部分，螺纹部分可以与联接头联接并且在制造期间连接在一起。组件还可以包括用于保持骨锚的销和/或套环。骨锚可以侧向加载到联接头中。

5. 发明申请

WO2008124802A3 INTERSPINOUS PROCESS SPACERS 审中-公开
公开(公告)号：WO2008124802A3
公开(公告)日：2008-10-16
申请号：PCT/US2008/059823
申请日：2008-04-10
申请人： MEDICINELODGE, INC. , FALLIN, T. Wade , BUTTERS, Joshua A. , HAYS, Greta Jo
发明人： FALLIN, T. Wade , BUTTERS, Joshua A. , HAYS, Greta Jo
IPC分类号： A61B17/70
摘要： Interspinous implants including a spacer configured to fit between first and second adjacent spinous processes of a human spine, to maintain a minimum separation between the spinous processes. An implant also includes a fixation portion coupled to the spacer, in which the fixation portion engages at least one spinous process to hold the spacer in a stable position relative to the spinous process. An implant may be monolithic, non-fillable, and may be inserted between the spinous process from a lateral approach. The fixation portion may be configured as a bracket which can substantially encircle the spinous process, or as flanges which engage lateral sides of the spinous process(es). The spacer may be resilient, and may be expandable along the anterior/posterior direction between the spinous processes. An implant may provide resilient resistance during extension, and/or a uniform extension stop between the spinous processes.

6. 发明申请

WO2008039441A1 FORCE LIMITING PERSUADER-REDUCER 审中-公开
标题翻译：强制限制减速机
公开(公告)号：WO2008039441A1
公开(公告)日：2008-04-03
申请号：PCT/US2007/020653
申请日：2007-09-25
申请人： STRYKER SPINE , BUTTERS, Joshua, A. , FALLIN, T., Wade , ESPLIN, Carson , PIERCE, Nathan , HAYS, Greta, Jo
发明人： BUTTERS, Joshua, A. , FALLIN, T., Wade , ESPLIN, Carson , PIERCE, Nathan , HAYS, Greta, Jo
IPC分类号： A61B17/88 , A61B17/70 , A61B19/00
CPC分类号： A61B17/7086 , A61B17/7032 , A61B90/03 , A61B2090/0811
摘要： An apparatus and method for advancement of a spinal rod in a spinal implant, wherein the apparatus includes a body and a handle (1) attached to the body. A shaft (7) is slidably attached to the body, the shaft (7) is coupled to the handle and has a first end adapted to engage the spinal rod. At least one retractor blade (33) is attached to the body and the spinal implant. The operation of the handle results in the shaft (7) persuading the spinal rod in the spinal implant. The force exerted by the shaft (7) on the spinal rod is limited to a pre-selected force. The apparatus can also be operated in a non-limiting mode when a reduction retractor blade (33) is used.
摘要翻译：一种用于在脊柱植入物中推进脊柱杆的装置和方法，其中所述装置包括主体和附接到所述主体的手柄（1）。轴（7）可滑动地附接到主体，轴（7）联接到手柄并且具有适于接合脊柱杆的第一端。至少一个牵开器叶片（33）附接到主体和脊柱植入物。手柄的操作导致轴（7）说服脊椎植入物中的脊柱杆。由轴（7）施加在脊柱杆上的力被限制在预先选择的力。当使用还原牵开器叶片（33）时，该装置也可以在非限制性模式下操作。

7. 发明申请

WO2008039439A1 ROD CONTOURING ALIGNMENT LINKAGE 审中-公开
标题翻译： ROD轮廓对齐链接
公开(公告)号：WO2008039439A1
公开(公告)日：2008-04-03
申请号：PCT/US2007/020650
申请日：2007-09-25
申请人： STRYKER SPINE , BUTTERS, Joshua, A. , ARNETT, Jeffery
发明人： BUTTERS, Joshua, A. , ARNETT, Jeffery
IPC分类号： A61B17/88
CPC分类号： A61B19/46 , A61B17/7002 , A61B17/7037 , A61B17/7074 , A61B17/708 , A61B17/86 , A61B17/8863 , A61B90/06 , A61B2090/061
摘要： Pedicle screws are designed to provide polyaxial coupling to pedicles of a vertebra. Intermediate pieces (80) are attached to the pedicles screws (140, 142, 148) and receive extender shafts (180A, 182A, 188A). Extenders (180A, 182A, 188A) are inserted in the intermediate pieces (80). The extenders (180A, 182A, 188A) project the anatomic points located in the cages (152) outside the patient's body to facilitate proper contouring of a rod. An alignment linkage (310) is used to ensure that the extenders (180A, 182A, 188A) are parallel to each other. The alignment linkage (310) includes a linkage frame (312), an articulating linkage (314) and a locking member (316). The articulating linkage (314) has all rotational degrees of freedom and thereby adapts to any varying trajectories of the extenders and distance between the extenders. The alignment linkage (310) includes a locking member (316) with a pop-up indicator. The pop-up indicator notifies the users when the locking member (316) is tightened with two of the extenders in non-parallel configuration.
摘要翻译：椎弓根螺钉设计用于提供椎骨椎弓根的多轴联接。中间件（80）附接到椎弓根螺钉（140,142,148）并且接收延长轴（180A，182A，188A）。扩展器（180A，182A，188A）插入中间件（80）中。延伸器（180A，182A，188A）将位于病人身体外部的笼子（152）中的解剖点投射以便于杆的适当轮廓。使用对准连杆（310）来确保扩展器（180A，182A，188A）彼此平行。对准连杆机构（310）包括连杆机架（312），铰接连杆机构（314）和锁定部件（316）。铰接连杆（314）具有所有旋转自由度，从而适应延伸器的任何变化的轨迹和延伸器之间的距离。对准联动装置（310）包括具有弹出指示器的锁定构件（316）。当两个扩展器处于非并联配置时，锁定构件（316）被紧固时，弹出指示器通知用户。

8. 发明申请

WO2012145707A1 ANKLE ARTHROPLASTY 审中-公开
标题翻译：安氏牙根
公开(公告)号：WO2012145707A1
公开(公告)日：2012-10-26
申请号：PCT/US2012/034566
申请日：2012-04-20
申请人： IMDS Corporation , DUGGAL, Niel , ARNETT, Jeffery , BUTTERS, Joshua A. , HUSHKA, Dylan
发明人： ARNETT, Jeffery , BUTTERS, Joshua A. , HUSHKA, Dylan
IPC分类号： A61F2/42
CPC分类号： A61F2/4202 , A61F2002/30324 , A61F2002/30326 , A61F2002/30383 , A61F2002/30604 , A61F2002/30848
摘要： Total ankle arthoplasty with a tibial plate (100), a talar plate (300) and a middle or core component (200). The ankle arthroplasty may allow for varus or valgus accommodation through the use of a core component with various medial and lateral heights in varus and valgus orientations. In addition the resurfacing of the talus is accomplished with a talar plate with a curved orientation that is congruent to one surface of the core component to allow for appropriate ankle manipulation.
摘要翻译：具有胫骨板（100），立柱板（300）和中部或核心部件（200）的总踝成形术。踝关节成形术可以通过使用具有内翻和外翻位置的各种内侧和外侧高度的核心部件来允许内翻或外翻适应。此外，距骨的表面重建是用具有与芯部件的一个表面相一致的弯曲取向的定位板来实现的，以允许适当的脚踝操纵。

9. 发明申请

WO2012040627A1 SYSTEM FOR INTRA -OPERATIVE TENSION AND FIXATION OF ZIPKNOT ACL FIXATION 审中-公开
标题翻译：用于内插张力和ZIPKNOT ACL固定的系统
公开(公告)号：WO2012040627A1
公开(公告)日：2012-03-29
申请号：PCT/US2011/053086
申请日：2011-09-23
申请人： MEDICINELODGE, INC. DBA IMDS CO-INNOVATION , JUSTIN, Daniel F. , FAUTH, Andrew , BUTTERS, Joshua A. , TRIPLETT, Daniel , LEWIS, Chad , MOHR, Karen , CREGER, Carlyle , SLATER, Nicholas , MOORADIAN, Mark , HAYS, G. Jo , SINNOTT, M. Mary , BORCHERT, Jeremy , GOBLE, Stuart
发明人： JUSTIN, Daniel F. , FAUTH, Andrew , BUTTERS, Joshua A. , TRIPLETT, Daniel , LEWIS, Chad , MOHR, Karen , CREGER, Carlyle , SLATER, Nicholas , MOORADIAN, Mark , HAYS, G. Jo , SINNOTT, M. Mary , BORCHERT, Jeremy , GOBLE, Stuart
IPC分类号： A61F2/08 , A61B17/04
CPC分类号： A61F2/0811 , A61B17/0487 , A61B2017/0404 , A61B2017/0459 , A61B2017/0477 , A61F2002/0852 , A61F2002/0882
摘要： A line lock system may include a line (24) routed through a plate (11). The plate may have an elongated body with a plurality of passageways (14a- 14d). The line is routed to form at least one one-way slide so no knots are required. The system may include filaments (4, 4) routed through the passageways of the plate or around a dogbone feature (3, 4) of the plate. The filaments may be used to toggle the plate after passage through a hole to prevent withdrawal of the plate back through the hole. The system may include a line lock stabilizer or counter- tension tool to stabilize the line lock as the line is adjusted. The system may include a compression limiter to selectively reduce compression in the one-way slide to facilitate adjustment of the line. The line lock stabilizer, counter- tension tool, or compression limiter may be a filament.
摘要翻译：线路锁定系统可以包括通过板（11）布线的线（24）。板可以具有带有多个通道（14a- 14d）的细长主体。该线被路由以形成至少一个单向滑块，因此不需要结。系统可以包括通过板的通道或围绕板的狗骨特征（3,4）布线的细丝（4,4）。长丝可以用于在通过孔之后切换板，以防止板通过孔退回。系统可以包括线路锁定稳定器或反张力工具，以在线路被调整时稳定线路锁。该系统可以包括压缩限制器，以选择性地减小单向滑动件中的压缩以便于线路的调节。线锁稳定器，反张力工具或压缩限制器可以是灯丝。

10. 发明申请

WO2008039447A1 PERCUTANEOUS COMPRESSION AND DISTRACTION SYSTEM 审中-公开
标题翻译： PERCUTANEOUS COMPRESSION和DISTRACTION系统
公开(公告)号：WO2008039447A1
公开(公告)日：2008-04-03
申请号：PCT/US2007/020660
申请日：2007-09-25
申请人： STRYKER SPINE , ARNETT, Jeffery , BUTTERS, Joshua, A.
发明人： ARNETT, Jeffery , BUTTERS, Joshua, A.
IPC分类号： A61B17/02 , A61B17/88
CPC分类号： A61B17/025 , A61B17/7001 , A61B17/7077 , A61B17/7079 , A61B2017/0256
摘要： The present invention provides a compression and distraction shaft assembly used to apply compression and distraction to bones including vertebrae. Shaft A assembly (20) and shaft B assembly (22) are attached together via a polyaxial fulcrum (38). The polyaxial fulcrum (38) allows all rotational degrees of freedom between shaft A assembly (20) and shaft B assembly (22) - Such fulcrum, during compression and distraction, does not impart ancillary stresses or motion to vertebrae. A hour glass shaped bore (54) for engaging pliers is formed in approximately middle of both the shaft A assembly (20) and the shaft B assembly (22). A distraction pliers (60) having cylindrical tips (70, 90) is used to apply distraction to vertebrae. Once handles (62, 64) are pressed to impart appropriate amount of distraction to the vertebrae they are locked in this position. A compression pliers (110) having cylindrical tips (120, 150) is used to apply compression to vertebrae. Once handles (112, 114) are pressed to impart appropriate amount of compression to the vertebrae they are locked in this position.
摘要翻译：本发明提供了一种用于对包括椎骨的骨头施加压缩和分心的压缩和牵引轴组件。轴组件（20）和轴B组件（22）通过多轴支点（38）连接在一起。多轴支点（38）允许轴A组件（20）和轴B组件（22）之间的所有旋转自由度 - 在压缩和牵引期间的这种支点不会对椎骨施加辅助应力或运动。用于接合钳子的小时玻璃形孔（54）形成在轴A组件（20）和轴B组件（22）的大致中间。使用具有圆柱形尖端（70,90）的牵引钳（60）将分心应用于椎骨。一旦按下手柄（62,64）以向椎骨施加适当数量的分心，则它们被锁定在该位置。具有圆柱形尖端（120,150）的压紧钳（110）用于对椎骨施加压缩。一旦按压手柄（112,114）以向椎骨施加适当量的压缩，则它们被锁定在该位置。

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