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1. 发明申请

WO2009064787A2 ADJUSTABLE HEIGHT INTERVERTEBRAL IMPLANT 审中-公开
标题翻译：可调节高度椎间盘植入物
公开(公告)号：WO2009064787A2
公开(公告)日：2009-05-22
申请号：PCT/US2008/083240
申请日：2008-11-12
申请人： SYNTHES (U.S.A.) , SYNTHES GMBH , MCMANUS, Joshua , MESSERLI, Dominique , RATHBUN, David, S.
发明人： MCMANUS, Joshua , MESSERLI, Dominique , RATHBUN, David, S.
IPC分类号： A61F2/44
CPC分类号： A61F2/44 , A61F2/442 , A61F2/4455 , A61F2/4611 , A61F2002/30266 , A61F2002/30405 , A61F2002/30411 , A61F2002/30415 , A61F2002/30471 , A61F2002/30517 , A61F2002/30522 , A61F2002/30523 , A61F2002/30538 , A61F2002/3055 , A61F2002/30551 , A61F2002/3056 , A61F2002/30583 , A61F2002/30584 , A61F2002/30586 , A61F2002/30588 , A61F2002/30601 , A61F2002/30841 , A61F2002/30904 , A61F2002/4475 , A61F2210/0085 , A61F2220/0025 , A61F2220/0091 , A61F2230/0082 , A61F2250/0006 , A61F2250/0074 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029
摘要： An adjustable height intervertebral implant for total, partial, or nucleus replacement of an intervertebral disc space includes an upper endplate for contacting a first vertebra, a lower endplate for contacting a second vertebra and a mechanism for moving the upper endplate with respect to the lower endplate so that once the implant is inserted into an intervertebral disc space, the implant can be expandable from a first insertion configuration to a second expanded configuration. The mechanism for moving the upper endplate with respect to the lower endplate preferably includes a plurality of telescopic gear sets. The telescopic gear sets may be directly connected to one another or may be indirectly connected to one another by, for example, a pinion gear.
摘要翻译：用于椎间盘间隙的全部，部分或更换核的可调高度椎间植入物包括用于接触第一椎骨的上端板，用于接触第二椎骨的下端板和用于相对于下端板移动上端板的机构使得一旦植入物被插入到椎间盘空间中，植入物就可以从第一插入构型扩展到第二扩张构型。上端板相对于下端板移动的机构优选地包括多个伸缩齿轮组。伸缩式齿轮组可以彼此直接连接，或者可以通过例如小齿轮彼此间接连接。

2. 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。

3. 发明申请

WO2006028971A1 TRANSLATABLE CARRIAGE FIXATION SYSTEM 审中-公开
标题翻译：可翻译运输系统
公开(公告)号：WO2006028971A1
公开(公告)日：2006-03-16
申请号：PCT/US2005/031333
申请日：2005-09-01
申请人： HFSC COMPANY , RYAN, Christopher, J. , SUH, Sean, S. , RATHBUN, David, S. , ROTH, Christoph, A. , KOCH, David
发明人： RYAN, Christopher, J. , SUH, Sean, S. , RATHBUN, David, S. , ROTH, Christoph, A. , KOCH, David
IPC分类号： A61B17/80
CPC分类号： A61B17/8047 , A61B17/1728 , A61B17/7059 , A61B17/8004 , A61B17/8009 , A61B17/8023
摘要： Translational bone fixation assemblies, kits containing such assemblies, and methods of use are described herein. The described assemblies may be used in spinal fusion procedures in which a damaged or diseased disc (or part of a disc) is removed from between a pair of vertebrae and a spinal fusion spacer is placed between the vertebrae. The assemblies may be applied to an anterior portion of the affected vertebrae to span the affected disc space, and may be fixed to the vertebrae using bone screws. The assemblies may function to maintain the vertebrae aligned during the initial period following fixation in which fusion of the spacer to the adjacent vertebrae occurs. The assemblies may also function to share some of the axial spinal load applied to the fusion spacer to prevent extreme subsidence of the spacer into the vertebral body, such as where the patient has poor bone quality.
摘要翻译：本文描述了平移骨固定组件，包含这种组件的套件和使用方法。所描述的组件可以用于脊椎融合过程，其中从一对椎骨之间移除受损或患病的椎间盘（或椎间盘的一部分），并且脊椎融合间隔物置于椎骨之间。组件可以施加到受影响的椎骨的前部以跨越受影响的椎间盘空间，并且可以使用骨螺钉固定到椎骨。组合件可用于在固定之后的初始阶段保持椎骨对准，其中间隔件与相邻椎骨的融合发生。组件还可以用于分担施加到熔合间隔件的一些轴向脊柱负荷，以防止间隔件进入椎体的极度下沉，例如患者具有差的骨质量。

4. 发明申请

WO2005099593A1 FREE HAND DRILL GUIDE 审中-公开
标题翻译：免费手钻指南
公开(公告)号：WO2005099593A1
公开(公告)日：2005-10-27
申请号：PCT/US2005/012116
申请日：2005-04-11
申请人： HFSC COMPANY , RATHBUN, David, S. , SUH, Sean, S. , ROTH, Christoph, Andreas , DUONG, Lan Anh, N.
发明人： RATHBUN, David, S. , SUH, Sean, S. , ROTH, Christoph, Andreas , DUONG, Lan Anh, N.
IPC分类号： A61B17/17
CPC分类号： A61B17/1728 , A61B17/1757 , A61B17/8057
摘要： A surgical drill guide for use with a bone plate having fastener holes oriented at predetermined angles with respect to the plate, the surgical drill guide having at least one alignment drill guiding barrel that is aligned with the respective fastener holes in the bone plate for drilling the holes at the desired range of angles permitted by the plate hole.
摘要翻译：一种与骨板一起使用的外科钻子引导件，其具有相对于所述板以预定角度定向的紧固件孔，所述外科钻子引导器具有与所述骨板中的相应紧固件孔对准的至少一个对准钻子引导筒，孔在板孔所允许的所需角度范围内。

5. 发明申请

WO2007121271A3 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：WO2007121271A3
公开(公告)日：2008-03-06
申请号：PCT/US2007066469
申请日：2007-04-11
申请人： SYNTHES USA , 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。

6. 发明申请

WO2006098908A1 UNIDIRECTIONAL FIXATION DEVICE 审中-公开
标题翻译：独立固定装置
公开(公告)号：WO2006098908A1
公开(公告)日：2006-09-21
申请号：PCT/US2006/007661
申请日：2006-03-03
申请人： HFSC COMPANY , SYNTHES GMBH , SUH, Sean, S. , RATHBUN, David, S.
发明人： SUH, Sean, S. , RATHBUN, David, S.
IPC分类号： A61B17/80
CPC分类号： A61B17/8047 , A61B17/7059 , A61B17/8023
摘要： A fixation system (10) may comprise at least one carriage element (12) being capable of receiving one or more bone fasteners, the carriage element being mountable on a plate (30) , the plate having an engaging portion (36) for adjustably securing the carriage element to the main plate, the engaging portion allowing translational movement of the carriage plate with respect to the plate in only one axial direction. In one embodiment, the plate includes arms (34) for receiving the carriage element (12) and the carriage element includes channels (16) mountable on the arms, with the engaging portion (36) disposed within the channels. A method of use and kit is also described. The engaging portion (36) is provided with ridges (37) which interconnect with a secuing element (engaging clip 40) .
摘要翻译：固定系统（10）可以包括能够接收一个或多个骨紧固件的至少一个托架元件（12），所述托架元件可安装在板（30）上，所述板具有接合部分（36），用于可调节地固定滑架元件到主板，接合部分允许滑架板相对于板在仅一个轴向上的平移运动。在一个实施例中，板包括用于接纳滑架元件（12）的臂（34），并且滑架元件包括可安装在臂上的通道（16），其中接合部分（36）设置在通道内。还描述了使用方法和试剂盒。接合部分（36）设置有与隔离元件（接合夹40）相互连接的脊部（37）。

7. 发明申请

WO2007041638A1 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：WO2007041638A1
公开(公告)日：2007-04-12
申请号：PCT/US2006/038845
申请日：2006-10-03
申请人： SYNTHES (USA) , SYNTHES GMBH , RATHBUN, David, S. , SUH, Sean, S.
发明人： RATHBUN, David, S. , SUH, Sean, S.
IPC分类号： A61B17/80 , A61B17/17
CPC分类号： A61B17/8047 , A61B17/1728 , A61B17/1757 , A61B17/8004 , A61B17/8009 , A61B17/8085 , 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。

8. 发明申请

WO2006063036A1 TRANSLATIONAL PLATE WITH COVER BLOCKING SYSTEM 审中-公开
标题翻译：具有封盖系统的翻译板
公开(公告)号：WO2006063036A1
公开(公告)日：2006-06-15
申请号：PCT/US2005/044235
申请日：2005-12-05
申请人： HFSC COMPANY , SYNTHES GMBH , SUH, Sean, S. , RATHBUN, David, S.
发明人： SUH, Sean, S. , RATHBUN, David, S.
IPC分类号： A61B17/70 , A61B17/80 , A61B17/86 , A61B17/00
CPC分类号： A61B17/8042 , A61B17/7059
摘要： An apparatus (10, 100) includes a bone fastener (14), a bone fixation device (12, 112) and a bone fastener retainer device (16, 116). The head (30) of the fastener has a convex lower surface with a first arcuate contour, and has a convex upper surface (36) with a second arcuate contour. The fixation device is configured to receive the fastener in an installed position in which the convex lower surface of the fastener head rests on a concave surface of the bone fixation device that also has the first arcuate contour. Additionally, the retainer device is configured to be mounted on the fixation device in a position in which a concave surface of the retainer device overlies the convex upper surface of the fastener head. The concave surface of the retainer device also has the second arcuate contour. The bone fastener retainer device may be receivable over the fixation device in a mechanical interlock with the fixation device.
摘要翻译：一种装置（10,100）包括骨紧固件（14），骨固定装置（12,112）和骨紧固件保持装置（16,116）。紧固件的头部（30）具有带有第一弧形轮廓的凸下表面，并且具有带有第二弧形轮廓的凸形上表面（36）。固定装置构造成将紧固件接纳在安装位置，在该位置中，紧固件头部的凸下表面位于同时具有第一弧形轮廓的骨固定装置的凹表面上。此外，保持装置构造成在固定装置上安装在保持装置的凹面覆盖紧固件头部的凸形上表面的位置。保持装置的凹面也具有第二弧形轮廓。骨固定器固定装置可以以与固定装置的机械互锁方式接收在固定装置上方。

9. 发明申请

WO2005009487A2 PLATING SYSTEM WITH MULTIPLE FUNCTION DRILL GUIDE 审中-公开
标题翻译：多功能钻孔指导系统
公开(公告)号：WO2005009487A2
公开(公告)日：2005-02-03
申请号：PCT/US2004/023193
申请日：2004-07-16
申请人： RATHBUN, David, S. , BINDER, Lawrence, J., Jr. , SUH, Sean, S. , STIHL, Pascal , RYAN, Christopher, J. , DUONG, Lan, Anh
发明人： RATHBUN, David, S. , BINDER, Lawrence, J., Jr. , SUH, Sean, S. , STIHL, Pascal , RYAN, Christopher, J. , DUONG, Lan, Anh
IPC分类号： A61L
CPC分类号： A61B17/8057 , A61B17/1728 , A61B17/1757
摘要： A bone fixation system including a bone plate and surgical drill guide is provided. The drill guide assembly includes one or more alignment drill tubes that are remotely aligned with corresponding fastener holes in the bone plate, and a plate holder to engage a hole in the bone plate. The surgical drill guide is releasably lockable to the plate holder.
摘要翻译：提供了一种骨固定系统，包括骨板和外科手术钻引导件。钻子引导器组件包括与骨板中的对应的紧固件孔远程对准的一个或多个对准钻杆，以及用于接合骨板中的孔的板保持器。手术钻子引导件可释放地锁定到板保持器。

10. 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。

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