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1. 发明申请

WO2006081378A2 SYSTEM FOR FACILITATING ATTACHMENT OF A DELIVERY INSTRUMENT WITH A BONE SCREW 审中-公开
标题翻译：使用骨螺钉促进交付仪器的连接系统
公开(公告)号：WO2006081378A2
公开(公告)日：2006-08-03
申请号：PCT/US2006/002832
申请日：2006-01-26
申请人： DEPUY SPINE INC. , LOPEZ, Erasmo
发明人： LOPEZ, Erasmo
IPC分类号： A61F2/36
CPC分类号： A61B17/1735 , A61B17/1757 , A61B17/7032 , A61B17/7037 , A61B17/7076 , A61B17/708 , A61B17/7082
摘要： A system for facilitating attachment of a bone anchor with an instrument includes an alignment device having an anchor opening sized and shaped to receive a bone anchor in a predefined orientation and a guide tube connectable to the alignment device. The guide tube may have a lumen for receiving an instrument for the bone anchor. The lumen of the guide tube may be aligned with the anchor opening in the alignment device upon connection of the guide tube to the alignment device. An instrument may be advanced into the lumen of the guide tube in a first orientation. The instrument can be connected to the bone anchor by moving the instrument to a second orientation.
摘要翻译：用于促进骨锚与仪器连接的系统包括对准装置，该对准装置具有一定尺寸和形状的锚定开口，以便以预定方向接收骨锚固件，以及可连接到对准装置的引导管。导管可以具有用于接收骨锚的器械的内腔。当引导管连接到对准装置时，引导管的管腔可以与对准装置中的锚定开口对准。仪器可以在第一方向前进到导管的内腔中。仪器可以通过将仪器移动到第二个方向连接到骨锚。

2. 发明申请

WO2005076868A3 DEVICES AND METHODS FOR INSERTING A SPINAL FIXATION ELEMENT 审中-公开
公开(公告)号：WO2005076868A3
公开(公告)日：2005-08-25
申请号：PCT/US2005/003246
申请日：2005-02-03
申请人： DEPUY SPINE, INC. , RAYMOND, Douglas , ROVEDA, James , MURPHY, Brian , SELOVER, Sean , SICVOL, Christopher , LOPEZ, Erasmo , RUBERTE, Ramon , RAMSEY, Christopher , JONES, Bryan
发明人： RAYMOND, Douglas , ROVEDA, James , MURPHY, Brian , SELOVER, Sean , SICVOL, Christopher , LOPEZ, Erasmo , RUBERTE, Ramon , RAMSEY, Christopher , JONES, Bryan
IPC分类号： A61B17/56
摘要： A method for introducing a spinal fixation element between two bone anchors includes engaging a spinal fixation element to a shaft of an instrument, positioning the shaft of the instrument through a sidewall opening of a first percutaneous access device connected to a first bone anchor and through a side wall opening of a second percutaneous access device connected to a second bone anchor, the spinal fixation element extending in an orientation substantially parallel to the longitudinal axis of at least one of the first percutaneous access device and the second percutaneous access device, and pivoting the instrument to change the orientation of the spinal fixation element and position the spinal fixation element in proximity to the first bone anchor and in proximity to the second bone anchor.

3. 发明申请

WO2005076868A2 DEVICES AND METHODS FOR INSERTING A SPINAL FIXATION ELEMENT 审中-公开
标题翻译：用于插入脊柱固定元件的装置和方法
公开(公告)号：WO2005076868A2
公开(公告)日：2005-08-25
申请号：PCT/US2005003246
申请日：2005-02-03
申请人： DEPUY SPINE INC , RAYMOND DOUGLAS , ROVEDA JAMES , MURPHY BRIAN , SELOVER SEAN , SICVOL CHRISTOPHER , LOPEZ ERASMO , RUBERTE RAMON , RAMSEY CHRISTOPHER , JONES BRYAN
发明人： RAYMOND DOUGLAS , ROVEDA JAMES , MURPHY BRIAN , SELOVER SEAN , SICVOL CHRISTOPHER , LOPEZ ERASMO , RUBERTE RAMON , RAMSEY CHRISTOPHER , JONES BRYAN
IPC分类号： A61B17/56 , A61B17/70 , A61B17/88 , A61B19/00
CPC分类号： A61B17/7002 , A61B17/7001 , A61B17/7004 , A61B17/7011 , A61B17/7085 , A61B2090/061
摘要： A method for introducing a spinal fixation element between two bone anchors includes engaging a spinal fixation element to a shaft of an instrument, positioning the shaft of the instrument through a sidewall opening of a first percutaneous access device connected to a first bone anchor and through a side wall opening of a second percutaneous access device connected to a second bone anchor, the spinal fixation element extending in an orientation substantially parallel to the longitudinal axis of at least one of the first percutaneous access device and the second percutaneous access device, and pivoting the instrument to change the orientation of the spinal fixation element and position the spinal fixation element in proximity to the first bone anchor and in proximity to the second bone anchor.
摘要翻译：用于在两个骨锚之间引入脊骨固定元件的方法包括将脊柱固定元件接合到器械的轴上，通过连接到第一骨锚的第一经皮进入装置的侧壁开口定位仪器的轴，并通过连接到第二骨锚的第二经皮进入装置的侧壁开口，所述脊骨固定元件沿基本上平行于所述第一经皮进入装置和所述第二经皮进入装置中的至少一个的纵向轴线的取向延伸，改变脊柱固定元件的取向并将脊柱固定元件定位在第一骨锚附近并且靠近第二骨锚的器械。

4. 发明申请

WO2005058386A2 PERCUTANEOUS ACCESS DEVICES AND BONE ANCHOR ASSEMBLIES 审中-公开
标题翻译： PERCUTANEOUSUS ACCESS DEVICES AND BONE ANCHOR ASSEMBLIES
公开(公告)号：WO2005058386A2
公开(公告)日：2005-06-30
申请号：PCT/US2004041952
申请日：2004-12-15
申请人： DEPUY SPINE INC , SICVOL CHRISTOPHER , LOPEZ ERASMO
发明人： SICVOL CHRISTOPHER , LOPEZ ERASMO
IPC分类号： A61B17/56 , A61B17/58 , A61B17/70 , A61B17/88 , A61B19/00 , A61M20060101 , A61M
CPC分类号： A61B17/708 , A61B17/70 , A61B17/7032 , A61B17/7034 , A61B17/7035 , A61B17/7037 , A61B17/7076 , A61B17/7091 , A61B17/8605 , A61B2017/564 , A61B2090/037
摘要： A percutaneous access device includes an inner tube and an outer tube disposed about at least a portion of the inner tube. The outer tube may be sized to span from a skin incision in a patient to a site proximate the spine of the patient. The distal end of the outer tube may be adapted to releasably engage a bone anchor. The inner tube may be adjustable relative to the outer tube between a first position and a second position in which the distal end of the inner tube contacts the bone anchor. A bone anchor assembly includes a bone anchor having a distal bone engaging portion and a receiving member having a recess for receiving a spinal fixation element. The proximal end of the receiving member may have an arcuate groove formed on an exterior surface thereof to facilitate connection of an instrument to the receiving member.
摘要翻译：经皮进入装置包括内管和围绕至少一部分内管设置的外管。外管的尺寸可以从患者的皮肤切口跨越到靠近患者脊柱的位置。外管的远端可以适于可释放地接合骨锚。内管可以在第一位置和第二位置之间相对于外管调节，在第二位置，内管的远端接触骨锚。骨锚组件包括具有远侧骨接合部分的骨锚固件和具有用于接收脊椎固定元件的凹部的接收构件。接收构件的近端可以具有形成在其外表面上的弓形凹槽，以便于将仪器连接到接收构件。

5. 发明申请

WO2008085369A1 SPINE STABILIZATION SYSTEM WITH DYNAMIC SCREW 审中-公开
标题翻译：具有动力螺丝的脊柱稳定系统
公开(公告)号：WO2008085369A1
公开(公告)日：2008-07-17
申请号：PCT/US2007/026009
申请日：2007-12-19
申请人： DEPUY SPINE INC. , ARNOLD, Benjamin , BORGSTROM, Amie , KWAK, Seungkyu, Daniel , LOPEZ, Erasmo, A. , UPAL, Anwar, M. , BARTISH, Charles, M. , HAWKINS, John, Riley , DUNBAR, William, L.
发明人： ARNOLD, Benjamin , BORGSTROM, Amie , KWAK, Seungkyu, Daniel , LOPEZ, Erasmo, A. , UPAL, Anwar, M. , BARTISH, Charles, M. , HAWKINS, John, Riley , DUNBAR, William, L.
IPC分类号： A61B17/70
CPC分类号： A61B17/7035 , A61B17/7004 , A61B17/7005 , A61B17/7013 , A61B17/7028 , A61B17/7032 , A61B17/7037 , A61B17/7038 , A61B17/704 , A61B2017/00867
摘要： A spine stabilization system having a dynamic screw comprises at least one bone anchor assembly comprising a receiver member and a bone engaging member. In one embodiment, the bone engaging member is a screw shank extending from the receiver member. A rod is connected to the receiver member. In one embodiment, the rod comprises a ball-shaped member that engages a bearing surface provided within a cavity of the receiver member. In this embodiment, the rod is pivotably connected to the receiver member. In one such embodiment, a central axis defined by the rod pivots about a pivot point located on the central axis when the rod pivots relative to the receiver member. Accordingly, the pivot point for the rod may be provided within the cavity of the receiver member. The rod may be a fixed length or adjustable to accommodate different segmental units and patients of different sizes.
摘要翻译：具有动态螺钉的脊柱稳定系统包括至少一个包括接收器构件和骨接合构件的骨锚组件。在一个实施例中，骨接合构件是从接收器构件延伸的螺杆。杆连接到接收器构件。在一个实施例中，杆包括与设置在接收器构件的空腔内的支承表面接合的球形构件。在该实施例中，杆可枢转地连接到接收器构件。在一个这样的实施例中，当杆相对于接收器构件枢转时，由杆限定的中心轴围绕位于中心轴线上的枢转点枢转。因此，杆的枢转点可以设置在接收器构件的空腔内。杆可以是固定长度或可调节的，以适应不同尺寸的不同节段单元和患者。

6. 发明申请

WO2006081378A3 SYSTEM FOR FACILITATING ATTACHMENT OF A DELIVERY INSTRUMENT WITH A BONE SCREW 审中-公开
标题翻译：使用骨螺钉促进交付仪器的连接系统
公开(公告)号：WO2006081378A3
公开(公告)日：2007-10-04
申请号：PCT/US2006002832
申请日：2006-01-26
申请人： DEPUY SPINE INC , LOPEZ ERASMO
发明人： LOPEZ ERASMO
IPC分类号： A61B17/58 , A61B17/60
CPC分类号： A61B17/1735 , A61B17/1757 , A61B17/7032 , A61B17/7037 , A61B17/7076 , A61B17/708 , A61B17/7082
摘要： A system for facilitating attachment of a bone anchor with an instrument includes an alignment device having an anchor opening sized and shaped to receive a bone anchor in a predefined orientation and a guide tube connectable to the alignment device. The guide tube may have a lumen for receiving an instrument for the bone anchor. The lumen of the guide tube may be aligned with the anchor opening in the alignment device upon connection of the guide tube to the alignment device. An instrument may be advanced into the lumen of the guide tube in a first orientation. The instrument can be connected to the bone anchor by moving the instrument to a second orientation.
摘要翻译：用于促进骨锚与仪器连接的系统包括对准装置，该对准装置具有一定尺寸和形状的锚定开口，以便以预定方向接收骨锚固件，以及可连接到对准装置的引导管。导管可以具有用于接收骨锚的器械的内腔。当引导管连接到对准装置时，引导管的管腔可以与对准装置中的锚定开口对准。仪器可以在第一方向前进到导管的内腔中。仪器可以通过将仪器移动到第二个方向连接到骨锚。

7. 发明申请

WO2008076182A3 FACET JOINT PROSTHESIS 审中-公开
公开(公告)号：WO2008076182A3
公开(公告)日：2008-07-31
申请号：PCT/US2007023420
申请日：2007-11-07
申请人： DEPUY SPINE INC , KWAK SEUNGKYU DANIEL , BORGSTROM AMIE , LOPEZ ERASMO , HAWKINS JOHN RILEY , LASOTA DOUGLAS R , BARTISH CHARLES M
发明人： KWAK SEUNGKYU DANIEL , BORGSTROM AMIE , LOPEZ ERASMO , HAWKINS JOHN RILEY , LASOTA DOUGLAS R , BARTISH CHARLES M
IPC分类号： A61F2/30 , A61F2/44
CPC分类号： A61F2/4405 , A61B17/7005 , A61B17/7007 , A61B17/7011 , A61B17/7025 , A61B17/7031 , A61B17/704 , A61B17/7049 , A61B17/7064 , A61B17/86 , A61F2/442 , A61F2002/30069 , A61F2002/30092 , A61F2002/30331 , A61F2002/3037 , A61F2002/30563 , A61F2002/30566 , A61F2002/30578 , A61F2002/30601 , A61F2002/30649 , A61F2210/0014 , A61F2220/0033 , A61F2310/00011
摘要： Various methods and devices are provided for a facet replacement device. In one embodiment of the invention, a facet replacement device is provided and includes an elongate member matable to a first vertebra and a housing. The housing can have a connector formed thereon and matable to an adjacent second vertebra and an inner lumen formed therein. The housing can also include a deformable member disposed within the inner lumen and having an opening formed therein for slidably receiving at least a portion of the elongate member such that the elongate member can be angularly oriented relative to a longitudinal axis of the lumen.
摘要翻译：为小平面更换装置提供了各种方法和装置。在本发明的一个实施例中，提供小面置换装置，并且包括可配合到第一椎骨和外壳的细长构件。壳体可以具有形成在其上的连接件，并且可连接到邻近的第二椎骨和形成在其中的内腔。壳体还可以包括设置在内腔内的可变形构件，并且具有形成在其中的开口，用于可滑动地容纳细长构件的至少一部分，使得细长构件可以相对于腔的纵向轴线成角度地定向。

8. 发明申请

WO2008076181A2 BUCKLING DISC REPLACEMENT 审中-公开
标题翻译：挖掘盘更换
公开(公告)号：WO2008076181A2
公开(公告)日：2008-06-26
申请号：PCT/US2007023411
申请日：2007-11-07
申请人： DEPUY SPINE INC , LOPEZ ERASMO , KWAK SEUNGKYU DANIEL , BORGSTROM AMIE , HAWKINS JOHN RILEY
发明人： LOPEZ ERASMO , KWAK SEUNGKYU DANIEL , BORGSTROM AMIE , HAWKINS JOHN RILEY
IPC分类号： A61F2/44
CPC分类号： A61F2/442 , A61F2002/30131 , A61F2002/30156 , A61F2002/30224 , A61F2002/30232 , A61F2002/30563 , A61F2002/30904 , A61F2002/4475 , A61F2002/448 , A61F2230/0013 , A61F2230/0023 , A61F2230/0069
摘要： Devices and methods are provided for replacing a spinal disc, and in particular devices and methods are provided that rely on buckling to control movement of adjacent vertebrae. In one embodiment, an artificial disc replacement implant is provided and includes an implantable body having a superior surface adapted to be positioned adjacent to an endplate of a superior vertebra, and an opposite inferior surface adapted to be positioned adjacent to an endplate of an adjacent inferior vertebrae. The implantable body includes at least one wall formed therein and extending between the superior and inferior surfaces. The wall(s) can be adapted such that, when the implantable body is disposed between the endplates of adjacent superior and inferior vertebrae, the wall(s) will buckle by moving laterally and shorting in height under a load applied thereto by movement of the adjacent vertebrae. The implantable body can also include at least one opening formed adjacent to the wall(s) and extending between the superior and inferior surfaces of the implantable body.
摘要翻译：提供了用于替换脊椎盘的装置和方法，并且特别地提供了依靠屈曲来控制相邻椎骨的运动的装置和方法。在一个实施例中，提供了一种人造椎间盘置换植入物，并且包括具有适于邻近上椎骨终板定位的上表面的可植入体，以及适于邻近邻近下骨的终板定位的相对的下表面椎骨。可植入体包括形成在其中的至少一个壁，并在上表面和下表面之间延伸。所述壁可以适于使得当所述可植入体设置在相邻的上下椎骨的端板之间时，所述壁将通过横向移动而弯曲，并且在施加到其上的载荷下通过相邻的椎骨。可植入体还可以包括邻近壁并且在可植入体的上表面和下表面之间延伸的至少一个开口。

9. 发明申请

WO2007094923A2 INTERVERTEBRAL DISC PROSTHESIS HAVING MULTIPLE BEARING SURFACES 审中-公开
标题翻译：具有多个轴承表面的椎间盘突出症
公开(公告)号：WO2007094923A2
公开(公告)日：2007-08-23
申请号：PCT/US2007001579
申请日：2007-01-22
申请人： DEPUY SPINE INC , KWAK SEUNGKYU DANIEL , BORGSTROM AMIE R , LOPEZ ERASMO A , HAWKINS JOHN R
发明人： KWAK SEUNGKYU DANIEL , BORGSTROM AMIE R , LOPEZ ERASMO A , HAWKINS JOHN R
CPC分类号： A61F2/4425 , A61F2002/30016 , A61F2002/30112 , A61F2002/30331 , A61F2002/30433 , A61F2002/30448 , A61F2002/30563 , A61F2002/30649 , A61F2002/30884 , A61F2002/30902 , A61F2002/443 , A61F2002/448 , A61F2220/0033 , A61F2220/0041 , A61F2220/005 , A61F2230/0004 , A61F2250/0019 , A61F2310/00011 , A61F2310/00179
摘要： An intervertebral disc prosthesis comprises a left prosthesis component and a symmetric right prosthesis component positioned in an intervertebral space. Each prosthesis component includes a superior vertebra facing surface, an inferior vertebra facing surface, and a substantially spherical bearing surface. The bearing surface is positioned between the superior vertebra facing surface and the inferior vertebra facing surface. The superior vertebra facing surface is provided on a superior endplate and the inferior vertebra facing surface is provided on an inferior endplate. The superior endplate is operable to rotate relative to the inferior endplate upon the bearing surface. Each prosthesis component further comprises an elastic member positioned between an endplate and the bearing surface. The elastic member may be substantially cylindrical with a plurality of resilient ribs. Flexion/extension, lateral bending, and torsional movement are allowed by a combination of endplate rotation upon the bearing surface and compression of the elastic member.
摘要翻译：椎间盘假体包括定位在椎间空间中的左假体部件和对称右假体部件。每个假体部件包括上面的椎骨面向表面，下面的椎骨面对表面和基本上球形的支承表面。轴承表面位于上椎骨面对面和下椎骨面对面之间。上面的上脊椎骨表面设置在上端板上，下椎骨面向上设置在下端板上。上端板可操作以在轴承表面上相对于下端板旋转。每个假体部件还包括定位在端板和支承表面之间的弹性部件。弹性构件可以是大致圆柱形的，具有多个弹性肋。弯曲/延伸，侧向弯曲和扭转运动通过端板在轴承表面上的旋转和弹性构件的压缩的组合来允许。

10. 发明申请

WO2005094416A3 SPINAL FIXATION ELEMENT AND METHODS 审中-公开
标题翻译：脊柱固定元件和方法
公开(公告)号：WO2005094416A3
公开(公告)日：2006-12-07
申请号：PCT/US2005004208
申请日：2005-02-10
申请人： DEPUY SPINE INC , BIRKMEYER PAUL , ZAJACK MICHAEL , LOPEZ ERASMO , RUBERTE RAMON A
发明人： BIRKMEYER PAUL , ZAJACK MICHAEL , LOPEZ ERASMO , RUBERTE RAMON A
IPC分类号： A61B17/56 , A61B17/00 , A61B17/58 , A61B17/70 , A61B17/88
CPC分类号： A61B17/7037 , A61B17/7005 , A61B17/7011 , A61B17/7032 , A61B17/7085 , A61B2017/00238
摘要： A spinal fixation element is provided having a feature formed thereon that facilitates placement of the spinal fixation element through an access device, thus allowing the spinal fixation element to be positioned in relation to a spinal anchor that is coupled to the access device and that is implanted in a vertebra in a patient's spine. The feature also optionally facilitates placement of the spinal fixation element in relation to spinal anchors implanted in adjacent vertebrae. In particular, the spinal fixation element is adapted for use with an access device that has at least one slot or opening formed therein and having a width that is less than a width of the feature, thus preventing the feature from passing therethrough. The spinal fixation element can therefore be inserted through the access device, and a portion of the fixation element can be passed through the slot or opening in the access device while the feature is retained in the access device. As a result, the feature is seated within a spinal anchor that is coupled to the access device, and the remaining portion of the spinal fixation element can extend through the slot, preferably to be positioned within a spinal anchor disposed within an adjacent vertebra.
摘要翻译：脊柱固定元件被提供有具有形成在其上的特征，其有助于脊骨固定元件通过进入装置的放置，从而允许脊柱固定元件相对于联接到进入装置并被植入的脊柱锚定位在患者脊柱的椎骨中。该特征还可选地促进脊柱固定元件相对于植入相邻椎骨中的脊柱锚固件的放置。特别地，脊椎固定元件适于与具有形成在其中的至少一个槽或开口并具有小于该特征的宽度的宽度的进入装置一起使用，从而防止该特征通过。因此，脊椎固定元件可以插入通过进入装置，并且固定元件的一部分可以通过入口装置中的狭槽或开口，同时特征被保持在进入装置中。结果，该特征位于联接到进入装置的脊椎锚固件内，并且脊柱固定元件的剩余部分可以延伸穿过狭槽，优选地定位在设置在相邻椎骨内的脊椎锚固件内。

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