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1. 发明申请

WO2005037065A2 SURGICAL DRILL GUIDE 审中-公开
标题翻译：外科钻石指南
公开(公告)号：WO2005037065A2
公开(公告)日：2005-04-28
申请号：PCT/US2004/033681
申请日：2004-10-13
申请人： KEYER, Thomas, R. , BERGER, Roger , KEPHART, Douglas, S. , WALTHER, Martin
发明人： KEYER, Thomas, R. , BERGER, Roger , KEPHART, Douglas, S. , WALTHER, Martin
IPC分类号： A61B
CPC分类号： A61B17/17 , A61B17/1615 , A61B17/1622 , A61B17/1671 , A61B17/1757 , A61B2090/062
摘要： The present invention is directed to a surgical drill guide. The drill guide may include a first drill guide body having a distal end for placement substantially adjacent a bone, a second drill guide body slidable with respect to the first drill guide body and having a proximal end for contacting a portion of a drill bit, a handle associated with at least one of the first drill guide body and the second drill guide body, and a detent mechanism for releasably retaining the position of the first drill guide body with respect to the second drill guide body in predefined increments. Additionally or alternatively, the drill guide may include a locking member movable between a first position where it substantially prevents sliding of the second drill guide body with respect to the first drill guide body, and a second position where it permits sliding of the second drill guide body with respect to the first drill guide body. The locking member may be resiliently biased to the first position. Other features for improving the drill guide are disclosed and claimed as well.
摘要翻译：本发明涉及手术钻导引器。钻子引导件可以包括第一钻子引导件主体和第二钻子引导件主体，第一钻子引导件主体具有用于大致邻近骨头放置的远端，第二钻子引导件主体可相对于第一钻子引导件主体滑动并且具有用于接触钻头的一部分的近端，与第一钻子引导器本体和第二钻子引导器本体中的至少一个相关联的手柄以及用于以预定增量可释放地保持第一钻子引导器本体相对于第二钻子引导器本体的位置的制动机构。附加地或替代地，钻孔引导件可以包括锁定构件，该锁定构件能够在基本上防止第二钻子引导器主体相对于第一钻子引导器主体滑动的第一位置和允许第二钻子引导器滑动的第二位置相对于第一钻具引导件本体。锁定构件可被弹性地偏置到第一位置。还公开并要求了用于改进钻孔引导件的其他特征。

2. 发明申请

WO2005034779A1 LINKING TRANSCONNECTOR FOR COUPLING SPINAL RODS 审中-公开
标题翻译：连接传感器用于联接脊柱
公开(公告)号：WO2005034779A1
公开(公告)日：2005-04-21
申请号：PCT/US2004/033369
申请日：2004-10-08
申请人： RYAN, Christopher, J. , KEYER, Thomas, R. , WALTHER, Martin
发明人： RYAN, Christopher, J. , KEYER, Thomas, R. , WALTHER, Martin
IPC分类号： A61B17/56
CPC分类号： A61B17/7049 , Y10T403/32032
摘要： A Linking Transconnector (10) is disclosed for coupling a first longitudinal spinal rod to a second longitudinal spinal rod. The Linking Transconnector generally includes a pair of hook engaging members (50) for engaging the longitudinal spinal rods, a lateral rod (20) for spanning a distance between the hook engaging members (50), and a locking element (100) which interconnects the hook engaging members (50) with the rod. The locking element (100) being configured to allow for multiple degrees of adjustment to permit the linking transconnector (10) to accommodate for varying spinal rod alignments. The locking elements (100) also permits the location of the lateral rod (20) to be fixed relative to the hook engaging members (50) once the desired position of the lateral rod (20) with respect to the longitudinal spinal rods has been achieved. The locking element (100) may also be able to fix the position of the lateral rod (20) with respect to the hook engaging members (50) by a force applied to the locking element (50).
摘要翻译：公开了一种用于将第一纵向脊柱杆联接到第二纵向脊柱杆的连接横贯连接器（10）。连接横连接器通常包括用于接合纵向脊柱杆的一对钩接合构件（50），用于跨越钩接合构件（50）之间的距离的横向杆（20）和将所述钩状接合构件钩接合构件（50）与杆。所述锁定元件（100）构造成允许多个度的调节，以允许所述连接横向连接器（10）适应于变化的脊柱杆对准。一旦横向杆（20）相对于纵向脊柱杆的期望位置已经实现，锁定元件（100）还允许横向杆（20）相对于钩接合构件（50）固定。。锁定元件（100）还可以通过施加到锁定元件（50）的力来固定横向杆（20）相对于钩接合构件（50）的位置。

3. 发明申请

WO2005099602A3 ROD PERSUADER 审中-公开
公开(公告)号：WO2005099602A3
公开(公告)日：2005-12-29
申请号：PCT/US2005012115
申请日：2005-04-11
申请人： KEYER THOMAS R , BINDER LARRY , WALTHER MARTIN
发明人： KEYER THOMAS R , BINDER LARRY , WALTHER MARTIN
IPC分类号： A61B17/28 , A61B17/56 , A61B17/58 , A61B17/70 , A61B17/88 , A61F2/44 , A61F5/00
CPC分类号： A61B17/7086 , A61B17/28 , A61B17/7035 , A61B17/7037
摘要： A surgical instrument is provided for urging a longitudinal spinal member into a top-loading spinal implant. The instrument may comprise a holder assembly having a pair of fingers sized and configured to engage the underside of an edge of the spinal implant, a release assembly, and an actuating member. The release assembly may comprise a tubular member and a pusher member, the tubular member being sized and configured to be slidably disposed within the holder assembly, and the pusher member being sized and configured to slidably surround at least a portion of the holder assembly. Upon movement of the actuating member, the holder assembly and the release assembly are moveable with respect to one another so that the longitudinal spinal rod, which is engaged to the pusher member, is urged into engagement with the rod-receiving channel of the spinal implant.
摘要翻译：提供外科器械用于将纵向脊柱构件推进顶部加载脊柱植入物。仪器可以包括具有一对手指的保持器组件，其尺寸和构造成接合脊柱植入物的边缘的下侧，释放组件和致动构件。释放组件可以包括管状构件和推动器构件，管状构件的尺寸和构造被可滑动地设置在保持器组件内，并且推动器构件的尺寸和构造可滑动地围绕保持器组件的至少一部分。在致动构件移动时，保持器组件和释放组件可相对于彼此移动，使得与推动器构件接合的纵向脊柱杆被推动与脊柱植入物的杆接收通道接合。

4. 发明申请

WO2005023089A2 BONE PLATE WITH CAPTIVE CLIPS 审中-公开
标题翻译：具有潜力的骨板
公开(公告)号：WO2005023089A2
公开(公告)日：2005-03-17
申请号：PCT/US2004/028561
申请日：2004-09-02
申请人： DUONG, Lan, Anh , SUH, Sean, S. , RATHBUN, David, S. , KEYER, Thomas, R. , BINDER, Lawrence, J., Jr.
发明人： DUONG, Lan, Anh , SUH, Sean, S. , RATHBUN, David, S. , KEYER, Thomas, R. , BINDER, Lawrence, J., Jr.
IPC分类号： A61B
CPC分类号： A61B17/8047 , A61B17/1728 , A61B17/7059 , A61B17/8042 , A61B17/8605
摘要： A fixation system includes a plate comprising a top surface, a bottom surface, a central longitudinal axis, at least one fixation hole extending between the top and bottom surfaces and comprising an undercut therein, and at least one passage intersecting one of the undercuts. At least one resilient clip is disposed in at least a portion of the undercut, with the at least one clip having a pair of generally parallel sides and an end tab. At least one fastener is provided and comprises a head and a threaded shaft, with the head comprising a perimetral groove extending around at least a portion thereof and an instrument receiving portion. The at least one clip is configured and dimensioned to seat in the undercut with the end tab extending within the passage, and the at least one fastener is configured and dimensioned to be received in the at least one fixation hole and securable therein when the at least one clip abuts the perimetral groove of the head.
摘要翻译：固定系统包括板，其包括顶表面，底表面，中心纵向轴线，在顶表面和底表面之间延伸的至少一个固定孔，并且在其中包括底切，以及至少一个与所述底切之一相交的通道。至少一个弹性夹子设置在底切的至少一部分中，其中至少一个夹具具有一对大致平行的侧面和端部突出部。提供至少一个紧固件并且包括头部和螺纹轴，头部包括围绕其至少一部分延伸的周向槽和器械接纳部分。所述至少一个夹子被构造和定尺寸成位于所述底切部分中，所述端部突出部在所述通道内延伸，并且所述至少一个紧固件被构造和尺寸设计成被容纳在所述至少一个固定孔中，并且至少在所述至少一个固定孔中可固定一个夹子邻接头部的周边凹槽。

5. 发明申请

WO2005023089A3 BONE PLATE WITH CAPTIVE CLIPS 审中-公开
标题翻译：具有潜力的骨板
公开(公告)号：WO2005023089A3
公开(公告)日：2006-05-11
申请号：PCT/US2004028561
申请日：2004-09-02
申请人： DUONG LAN ANH , SUH SEAN S , RATHBUN DAVID S , KEYER THOMAS R , BINDER LAWRENCE J JR
发明人： DUONG LAN ANH , SUH SEAN S , RATHBUN DAVID S , KEYER THOMAS R , BINDER LAWRENCE J JR
IPC分类号： A61B17/58 , A61B17/00 , A61B17/80
CPC分类号： A61B17/8047 , A61B17/1728 , A61B17/7059 , A61B17/8042 , A61B17/8605
摘要： A fixation system includes a plate comprising a top surface, a bottom surface, a central longitudinal axis, at least one fixation hole extending between the top and bottom surfaces and comprising an undercut therein, and at least one passage intersecting one of the undercuts. At least one resilient clip is disposed in a portion of the undercut, with the clip having a pair of generally parallel sides and an end tab. At least one fastener is provided and comprises a head and a threaded shaft, with the head comprising a perimetral groove extending around at least a portion thereof and an instrument receiving portion. The clip is configured and dimensioned to seat in the undercut with the end tab extending within the passage, and the fastener is configured and dimensioned to be received in the fixation hole and securable therein when the clip abuts the perimetral groove of the head.
摘要翻译：固定系统包括板，其包括顶表面，底表面，中心纵向轴线，在顶表面和底表面之间延伸的至少一个固定孔，并且在其中包括底切，以及至少一个与所述底切之一相交的通道。至少一个弹性夹子设置在底切部分中，夹具具有一对大致平行的侧面和端部突出部。提供至少一个紧固件并且包括头部和螺纹轴，头部包括围绕其至少一部分延伸的周向槽和器械接纳部分。夹子的构造和尺寸被设计成可以在通道内延伸的端部突出部位处于底切中，并且紧固件的构造和尺寸设计成被容纳在固定孔中，并且当夹子抵靠头部的周向槽时可固定在其中。

6. 发明申请

WO2005099602A2 ROD PERSUADER 审中-公开
公开(公告)号：WO2005099602A2
公开(公告)日：2005-10-27
申请号：PCT/US2005/012115
申请日：2005-04-11
申请人： KEYER, Thomas, R. , BINDER, Larry , WALTHER, Martin
发明人： KEYER, Thomas, R. , BINDER, Larry , WALTHER, Martin
IPC分类号： A61B17/58
CPC分类号： A61B17/7086 , A61B17/28 , A61B17/7035 , A61B17/7037
摘要： A surgical instrument is provided for urging a longitudinal spinal member into a top-loading spinal implant. The instrument may comprise a holder assembly having a pair of fingers sized and configured to engage the underside of an edge of the spinal implant, a release assembly, and an actuating member. The release assembly may comprise a tubular member and a pusher member, the tubular member being sized and configured to be slidably disposed within the holder assembly, and the pusher member being sized and configured to slidably surround at least a portion of the holder assembly. Upon movement of the actuating member, the holder assembly and the release assembly are moveable with respect to one another so that the longitudinal spinal rod, which is engaged to the pusher member, is urged into engagement with the rod-receiving channel of the spinal implant.
摘要翻译：提供手术器械用于将纵向脊椎构件推入顶部装载的脊椎植入物中。器械可以包括保持器组件，该保持器组件具有尺寸和构造成接合脊柱植入物的边缘的下侧的一对指状物，释放组件和致动构件。释放组件可以包括管状构件和推动器构件，管状构件的尺寸和构造被设置为可滑动地设置在保持器组件内，并且推动器构件的尺寸和构造被设定为可滑动地围绕保持器组件的至少一部分。在致动构件运动时，保持器组件和释放组件能够相对于彼此移动，使得与推动器构件接合的纵向脊柱杆被推动成与脊柱植入物的杆接收通道接合

7. 发明申请

WO2005037066A3 SPINAL FIXATION HOOKS AND METHOD OF SPINAL FIXATION 审中-公开
标题翻译：脊柱固定钩和脊柱固定的方法
公开(公告)号：WO2005037066A3
公开(公告)日：2005-09-22
申请号：PCT/US2004033682
申请日：2004-10-13
申请人： KEYER THOMAS R , WALTHER MARTIN
发明人： KEYER THOMAS R , WALTHER MARTIN
IPC分类号： A61B17/28 , A61B17/70 , A61B17/86
CPC分类号： A61B17/7056 , A61B17/2812 , A61B17/7041
摘要： The present invention is directed to a spinal fixation device. The device may include a body defining a channel for receiving a spinal rod, the channel having a first branch and a second branch separated by a lateral opening, a hook extending from the body for engaging a portion of a vertebra, and a fastener configured to secure the spinal rod in the channel. The fastener may extend through only the first branch. The spinal fixation device may also include one or more tool engagement recesses. Additionally, the present invention is directed to methods of spinal fixation.
摘要翻译：本发明涉及一种脊柱固定装置。该装置可以包括限定用于接收脊柱杆的通道的主体，通道具有由侧向开口分开的第一分支和第二分支，从主体延伸以用于接合椎骨的一部分的钩以及被配置为将脊棒固定在通道中。紧固件可以仅延伸穿过第一分支。脊柱固定装置还可以包括一个或多个工具接合凹部。另外，本发明涉及脊柱固定的方法。

8. 发明申请

WO2005037067A3 POLYAXIAL BONE ANCHOR AND METHOD OF SPINAL FIXATION 审中-公开
标题翻译：多轴骨锚固和脊柱固定方法
公开(公告)号：WO2005037067A3
公开(公告)日：2005-12-22
申请号：PCT/US2004033683
申请日：2004-10-13
申请人： SYNTHES USA , SYNTHES AG , KEYER THOMAS R , BERGER ROGER , WALTHER MARTIN
发明人： KEYER THOMAS R , BERGER ROGER , WALTHER MARTIN
IPC分类号： A61B17/70 , A61B17/56 , A61B17/58 , A61F2/30
CPC分类号： A61B17/7037 , A61B17/7032 , A61B17/7038
摘要： The present invention is directed to a polyaxial bone anchor for attaching a rod to a bone comprising an anchor member for attachment to the bone, a body member having a U-shaped channel for receiving the rod and a compressible recess for receiving a head of the anchor member such that the anchor member can initially polyaxially angulate with respect to the body member, a collar slidably disposed about the body member and capable of compressing the recess around the head, and a fastener capable of pressing the rod against the collar. The body member may define a first axis, an upper bounding edge, and a lower bounding edge, and the lower bounding edge may include a countersunk region to permit increased angulation of the anchor member with respect to the first axis when the anchor member is oriented toward the countersunk region. Other structures for providing increased angulation of the anchor member are disclosed as well. Further, the present invention is directed to methods of fixation of the cervical region of the spine.
摘要翻译：本发明涉及一种用于将杆附接到骨头上的多轴骨锚，包括用于附接到骨头的锚固构件，具有用于接收杆的U形通道的主体构件和用于接收骨头的头部的可压缩凹部锚固构件，使得锚固构件最初可以相对于本体构件多轴向弯曲;可滑动地设置在主体构件周围并且能够压缩围绕头部的凹部的凸缘和能够将杆压在套环上的紧固件。主体构件可以限定第一轴线，上边界边缘和下边界边缘，并且下边界边缘可以包括埋头区域，以便当锚定构件定向时允许锚定构件相对于第一轴线的角度增加朝向沉没区域。还公开了用于提供锚定构件的增加的角度的其他结构。此外，本发明涉及固定脊柱的颈部区域的方法。

9. 发明申请

WO2005037065A3 SURGICAL DRILL GUIDE 审中-公开
标题翻译：外科手术指南
公开(公告)号：WO2005037065A3
公开(公告)日：2005-11-24
申请号：PCT/US2004033681
申请日：2004-10-13
申请人： KEYER THOMAS R , BERGER ROGER , KEPHART DOUGLAS S , WALTHER MARTIN
发明人： KEYER THOMAS R , BERGER ROGER , KEPHART DOUGLAS S , WALTHER MARTIN
IPC分类号： A61B20060101 , A61B17/16 , A61B17/17 , A61B17/58 , A61B19/00
CPC分类号： A61B17/17 , A61B17/1615 , A61B17/1622 , A61B17/1671 , A61B17/1757 , A61B2090/062
摘要： The present invention is directed to a surgical drill guide. The drill guide may include a first drill guide body having a distal end for placement substantially adjacent a bone, a second drill guide body slidable with respect to the first drill guide body and having a proximal end for contacting a portion of a drill bit, a handle associated with at least one of the first drill guide body and the second drill guide body, and a detent mechanism for releasably retaining the position of the first drill guide body with respect to the second drill guide body in predefined increments. Additionally or alternatively, the drill guide may include a locking member movable between a first position where it substantially prevents sliding of the second drill guide body with respect to the first drill guide body, and a second position where it permits sliding of the second drill guide body with respect to the first drill guide body. The locking member may be resiliently biased to the first position. Other features for improving the drill guide are disclosed and claimed as well.
摘要翻译：本发明涉及一种外科钻子导向器。钻子引导器可以包括第一钻子引导器主体，其具有用于基本上邻近骨头放置的远端;第二钻子引导器主体，其相对于第一钻子引导器主体可滑动并且具有用于接触钻头的一部分的近端，与第一钻子引导器主体和第二钻子引导器主体中的至少一个相关联的手柄，以及用于以预定增量可释放地保持第一钻子引导器主体相对于第二钻子引导器主体的位置的止动机构。附加地或替代地，钻子引导器可以包括锁定构件，其可在其基本上防止第二钻子引导器主体相对于第一钻子引导器主体的滑动的第一位置和可允许第二钻孔引导件滑动的第二位置之间移动主体相对于第一钻子引导器主体。锁定构件可以弹性偏压到第一位置。公开和要求保护用于改善钻子引导件的其它特征。

10. 发明申请

WO2005037067A8 POLYAXIAL BONE ANCHOR AND METHOD OF SPINAL FIXATION 审中-公开
标题翻译：多轴骨锚固和脊柱固定方法
公开(公告)号：WO2005037067A8
公开(公告)日：2006-07-06
申请号：PCT/US2004033683
申请日：2004-10-13
申请人： SYNTHES USA , SYNTHES AG , KEYER THOMAS R , BERGER ROGER , WALTHER MARTIN
发明人： KEYER THOMAS R , BERGER ROGER , WALTHER MARTIN
IPC分类号： A61B17/70
CPC分类号： A61B17/7037 , A61B17/7032 , A61B17/7038
摘要： The present invention is directed to a polyaxial bone anchor for attaching a rod to a bone comprising an anchor member for attachment to the bone, a body member having a U-shaped channel for receiving the rod and a compressible recess for receiving a head of the anchor member such that the anchor member can initially polyaxially angulate with respect to the body member, a collar slidably disposed about the body member and capable of compressing the recess around the head, and a fastener capable of pressing the rod against the collar. The body member may define a first axis, an upper bounding edge, and a lower bounding edge, and the lower bounding edge may include a countersunk region to permit increased angulation of the anchor member with respect to the first axis when the anchor member is oriented toward the countersunk region. Other structures for providing increased angulation of the anchor member are disclosed as well. Further, the present invention is directed to methods of fixation of the cervical region of the spine.
摘要翻译：本发明涉及一种用于将杆附接到骨头上的多轴骨锚，包括用于附接到骨头的锚固构件，具有用于接收杆的U形通道的主体构件和用于接收骨头的头部的可压缩凹部锚固构件，使得锚固构件最初可以相对于本体构件多轴向弯曲;可滑动地设置在主体构件周围并且能够压缩围绕头部的凹部的凸缘和能够将杆压在套环上的紧固件。主体构件可以限定第一轴线，上边界边缘和下边界边缘，并且下边界边缘可以包括埋头区域，以便当锚定构件定向时允许锚定构件相对于第一轴线的角度增加朝向沉没区域。还公开了用于提供锚定构件的增加的角度的其他结构。此外，本发明涉及固定脊柱的颈部区域的方法。

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