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    • 2. 发明申请
    • MULTI-AXIS CONNECTIONS BETWEEN SPINAL STABILIZERS AND SCREWS
    • 脊柱稳定器和螺钉之间的多轴连接
    • WO0018312B1
    • 2000-06-02
    • PCT/US9922232
    • 1999-09-24
    • PERUMALA CORPPISHARODI MADHAVAN
    • PISHARODI MADHAVAN
    • A61B17/70A61B17/86
    • A61B17/7043A61B17/7011A61B17/7041A61B17/7058A61B17/8695
    • A multi-axis correction washer for use with a spinal stabilizer for internal spinal fixation. The bodies of the washer are provided in cylindrical and wedge-shaped cylindrical configurations with a passage in the center of the longitudinal axis of the cylinder and/or offset from the center axis of the cylindrical washer and a shoulder or other structure for rotatably engaging a hole in a spinal implant. The spinal implant can be a plate and screw-type, ladder-type, or monorail-type spinal fixation system. The washer is rotated to provide an infinite range of angles and screw placements relative to the central axis of the spinal column for maximum flexibility of installation and to effectively transfer the load on the spinal column to the implant, all while maintaining an angle of approximately 90 DEG between the head of the screw and/or nut and the washer which engages the implant.
    • 用于内部脊柱固定的脊柱稳定器的多轴校正垫圈。 垫圈的主体设置成圆柱形和楔形圆柱形构造,其具有在圆柱体的纵向轴线的中心和/或从圆柱形垫圈的中心轴线偏移的通道以及肩部或其他结构,用于可旋转地接合 在脊柱植入物的孔。 脊柱种植体可以是板式和螺旋式,阶梯式或单轨式脊柱固定系统。 旋转垫圈以提供相对于脊柱的中心轴线的无限范围的角度和螺钉放置,以实现最大的安装灵活性并且有效地将脊柱上的负载转移到植入物,同时保持约90°的角度 DEG位于螺钉头部和/或螺母与接合植入物的垫圈之间。
    • 3. 发明申请
    • ROTATING, LOCKING INTERVERTEBRAL DISK STABILIZER
    • 旋转,锁定椎间盘稳定器
    • WO0182844A3
    • 2002-04-11
    • PCT/US0113824
    • 2001-04-30
    • PERUMALA CORPPISHARODI MADHAVAN
    • PISHARODI MADHAVAN
    • A61F2/00A61F2/02A61F2/28A61F2/30A61F2/44A61F2/46
    • A61F2/4611A61F2/28A61F2/3094A61F2/442A61F2/4455A61F2002/2825A61F2002/2839A61F2002/30057A61F2002/30507A61F2002/30538A61F2002/30594A61F2002/30904A61F2002/4649A61F2220/0025A61F2250/0006
    • A middle expanded, removable disk implant for stabilizing adjacent vertebrae. The implant is substantially rectangular in cross-sectional shape with a minimal height and a width greater than the height. The implant is detachably mounted to an applicator for insertion into the space between two adjacent vertebrae from which a portion of the intervertebral disk has been removed. Once inserted, the implant is positioned by anterior-posterior movement in the disk space to the position in which both the expanded, larger width middle portion and the smaller end portions engage the bodies of the adjacent vertebrae and the implant is then rotated to bring the sides of the rectangularly-shaped implant defining the width of the implant, with its larger dimension, into engagement with the bodies of the vertebrae. A locking piece is then inserted into the disk space adjacent the rotated implant. The locking piece includes a surface for bearing against the bodies of the adjacent vertebrae to resist rotation of the locking piece along the longitudinal axis thereof and an implant bearing surface for engaging one of the sides of the implant defining the width of the implant to resist rotation of the implant relative to the locking piece. Both implant and locking piece are comprised of bone, the locking piece being preferably comprised of both cortical and cancellous bone, or the implant is comprised of metal, bio-compatible polymer, or other suitable material. The implant may also include a flared end for maintaining proper spinal curvature of the patient.
    • 用于稳定相邻椎骨的中间扩展的可移动盘植入物。 植入物具有基本上矩形的横截面形状,具有最小的高度和宽度大于高度。 植入物可拆卸地安装到施用器上,以插入两个相邻椎骨之间的空间中,椎间盘的一部分从该植入物移除。 一旦插入,通过椎间盘内的前后运动将植入物定位到膨胀的较大宽度中间部分和较小端部部分与相邻椎骨的主体接合的位置,然后旋转植入物以使 矩形植入物的侧面限定植入物的宽度,其较大的尺寸与椎骨的主体接合。 然后将锁定件插入与旋转的植入物相邻的盘片空间中。 锁定件包括用于抵靠相邻椎骨的主体的表面,以抵抗锁定片沿着其纵向轴线的旋转;以及植入物支承表面,用于接合限定植入物宽度的植入物的侧面中的一个以抵抗旋转 的植入物相对于锁定片。 植入物和锁定片都由骨组成,锁定片优选由皮质和松质骨组成,或者植入物由金属,生物相容性聚合物或其它合适的材料组成。 植入物还可以包括用于维持患者适当脊柱弯曲的扩张端。