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1. 发明申请

WO2009014728A3 INTERSPINOUS SPACER 审中-公开
公开(公告)号：WO2009014728A3
公开(公告)日：2009-04-09
申请号：PCT/US2008008983
申请日：2008-07-24
申请人： VERTIFLEX INC , ALTARAC MOTI , TEBBE SHAWN , REGLOS JOEY CAMIA , CHENG YANG , KADABA MURALI P , KIM DANIEL H
发明人： ALTARAC MOTI , TEBBE SHAWN , REGLOS JOEY CAMIA , CHENG YANG , KADABA MURALI P , KIM DANIEL H
IPC分类号： A61B17/58 , A61F2/44
CPC分类号： A61B17/7062 , A61B17/7065 , A61B2017/00004 , A61B2017/00557 , A61F2/0077
摘要： An implantable spacer for placement between adjacent spinous processes in a spinal motion segment is provided. The spacer includes a body defining a longitudinal axis and passageway. A first arm and a second arm are connected to the body. Each arm has a pair of extensions and a saddle defining a U-shaped configuration for seating a spinous process therein. Each arm has a proximal caming surface and is capable of rotation with respect to the body. An actuator assembly is disposed inside the passageway and connected to the body. When advanced, a threaded shaft of the actuator assembly contacts the caming surfaces of arms to rotate them from an undeployed configuration to a deployed configuration. In the deployed configuration, the distracted adjacent spinous processes are seated in the U-shaped portion of the arms.
摘要翻译：提供了用于放置在脊柱运动段中的相邻棘突之间的可植入间隔物。间隔件包括限定纵向轴线和通道的主体。第一臂和第二臂连接到身体。每个臂具有一对延伸部和鞍形部，其限定用于将棘突放置在其中的U形构造。每个臂具有近端凸轮表面并且能够相对于身体旋转。致动器组件设置在通道内部并连接到主体。当前进时，致动器组件的螺纹轴接触臂的凸轮表面，以将它们从未部署的构型旋转到展开配置。在展开的构造中，分散的相邻棘突位于臂的U形部分中。

2. 发明申请

WO2009009049A2 INTERSPINOUS SPACER 审中-公开
标题翻译：间谍间谍
公开(公告)号：WO2009009049A2
公开(公告)日：2009-01-15
申请号：PCT/US2008008382
申请日：2008-07-08
申请人： VERTIFLEX INC , ALTARAC MOTI , TEBBE SHAWN , REGLOS JOEY CAMIA , CHENG YANG , KADABA MURALI P , KIM DANIEL H
发明人： ALTARAC MOTI , TEBBE SHAWN , REGLOS JOEY CAMIA , CHENG YANG , KADABA MURALI P , KIM DANIEL H
IPC分类号： A61B17/70 , A61F2/44
CPC分类号： A61B17/7062 , A61B17/7065 , A61B2017/00004 , A61B2017/00557 , A61F2/0077
摘要： An implantable spacer for placement between adjacent spinous processes in a spinal motion segment is provided. The spacer includes a body defining a longitudinal axis and passageway. A first arm and a second arm are connected to the body. Each arm has a pair of extensions and a saddle defining a U-shaped configuration for seating a spinous process therein. Each arm has a proximal caming surface and is capable of rotation with respect to the body. An actuator assembly is disposed inside the passageway and connected to the body. When advanced, a threaded shaft of the actuator assembly contacts the caming surfaces of arms to rotate them from an undeployed configuration to a deployed configuration. In the deployed configuration, the distracted adjacent spinous processes are seated in the U-shaped portion of the arms.
摘要翻译：提供了用于放置在脊柱运动节段中的相邻棘突之间的可植入间隔物。间隔件包括限定纵向轴线和通道的主体。第一臂和第二臂连接到身体。每个臂具有一对延伸部和鞍座，该鞍座限定用于将棘突安置在其中的U形构造。每个臂具有近侧凸起表面并且能够相对于身体旋转。致动器组件布置在通道内并连接到本体。当推进时，致动器组件的螺纹轴接触臂的凸轮表面以将它们从未展开构型旋转到展开构型。在展开配置中，分散的相邻棘突坐落在臂的U形部分中。

3. 发明申请

WO2009086010A3 SPACER INSERTION INSTRUMENT 审中-公开
标题翻译：间隔插入仪
公开(公告)号：WO2009086010A3
公开(公告)日：2009-09-24
申请号：PCT/US2008087527
申请日：2008-12-18
申请人： VERTIFLEX INC , ALTARAC MOTI , TEBBE SHAWN , KIM DANIEL H
发明人： ALTARAC MOTI , TEBBE SHAWN , KIM DANIEL H
IPC分类号： A61B17/56 , A61B17/34
CPC分类号： A61B17/7074 , A61B17/025 , A61B17/7062 , A61B17/7065 , A61B17/7067 , A61B2017/00004 , A61B2017/0256 , A61F2/0077
摘要： A percutaneous and minimally invasive instrument for inserting an interspinous process spacer into a patient is disclosed. The instrument includes a first assembly connected to a handle assembly. The first assembly includes an inner shaft located inside an outer shaft and configured for translational motion with respect to the outer shaft. The relative translational motion causes one of the outer or inner shafts to move with respect to the other and thereby deflect at least one prong formed on one of the inner or outer shafts wherein such deflection causes engagement with a juxtapositioned interspinous spacer. The instrument further includes a driver configured for removable insertion into a proximal end of a passageway of the instrument. The driver has a distal spacer engaging portion configured to engage that part of the spacer requiring activation for deployment of the spacer from an undeployed configuration to a deployed configuration and vice versa.
摘要翻译：公开了一种用于将棘突间间隔物插入患者体内的经皮和微创手术器械。仪器包括连接到手柄组件的第一组件。第一组件包括位于外轴内部并被构造成相对于外轴平移运动的内轴。相对平移运动导致外轴或内轴中的一个相对于另一个移动，从而使形成在内轴或外轴中的一个上的至少一个叉偏转，其中这种偏转导致与并置的棘突间间隔件的接合。仪器还包括配置成可移除地插入仪器通道的近端的驱动器。驱动器具有远侧间隔件接合部分，其构造成接合需要激活的间隔件的该部分以将间隔件从未部署的构型展开到展开构造，反之亦然。

4. 发明申请

WO2008057506A2 SYSTEMS AND METHODS FOR POSTERIOR DYNAMIC STABILIZATION OF THE SPINE 审中-公开
公开(公告)号：WO2008057506A2
公开(公告)日：2008-05-15
申请号：PCT/US2007023312
申请日：2007-11-06
申请人： VERTIFLEX INC , TEBBE SHAWN , ALTARAC MOTI , KIM DANIEL H
发明人： TEBBE SHAWN , ALTARAC MOTI , KIM DANIEL H
IPC分类号： A61F2/44 , A61B17/58
CPC分类号： A61B17/7065 , A61B17/0206 , A61B17/025 , A61B17/1671 , A61B17/1697 , A61B17/1757 , A61B17/3421 , A61B17/56 , A61B17/7062 , A61B17/7067 , A61B17/7068 , A61B17/848 , A61B17/8866 , A61B17/8897 , A61B2017/00004 , A61B2017/0023 , A61B2017/00261 , A61B2017/00557 , A61B2017/0256 , A61B2090/033 , A61B2090/034 , A61B2090/062 , A61F2/0077
摘要： Devices, systems and methods for dynamically stabilizing the spine are provided. The devices include an expandable spacer having an undeployed configuration and a deployed configuration, wherein the spacer has axial and radial dimensions for positioning between the spinous processes of adjacent vertebrae. The systems include one or more spacers and a mechanical actuation means for delivering and deploying the spacer. The methods involve the implantation of one or more spacers within the interspinous space.

5. 发明申请

WO2009091922A3 INTERSPINOUS SPACER 审中-公开
标题翻译：间谍间谍
公开(公告)号：WO2009091922A3
公开(公告)日：2009-10-29
申请号：PCT/US2009031150
申请日：2009-01-15
申请人： VERTIFLEX INC , ALTARAC MOTI , TEBBE SHAWN , KIM DANIEL H
发明人： ALTARAC MOTI , TEBBE SHAWN , KIM DANIEL H
IPC分类号： A61F2/44 , A61F2/30
CPC分类号： A61B17/7067 , A61B17/7065 , A61B17/7076
摘要： An implantable spacer for placement between adjacent spinous processes in a spinal motion segment is provided. The spacer includes a body defining a longitudinal passageway. A first arm and a second arm are connected to the body. Each arm has a pair of extensions and a saddle defining a receiving portion configured for seating a spinous process of a scoliotic spine or a spine with misaligned spinous processes. Each arm has a proximal caming surface and is capable of rotation with respect to the body. An actuator assembly is disposed inside the passageway and connected to the body. When advanced, a threaded shaft of the actuator assembly contacts the caming surfaces of arms to rotate them from an undeployed to a deployed configuration. In the deployed configuration, the distracted adjacent spinous processes are seated in the superior and inferior arms of the spacer. Variations adapted for scoliotic curves are provided.
摘要翻译：提供了用于放置在脊柱运动节段中的相邻棘突之间的可植入间隔物。间隔件包括限定纵向通道的主体。第一臂和第二臂连接到身体。每个臂具有一对延伸部和鞍座，该鞍座限定接收部分，该接收部分被配置为用于安置具有未对准的棘突的脊柱侧凸脊柱或脊柱的棘突。每个臂具有近侧凸起表面并且能够相对于身体旋转。致动器组件布置在通道内并连接到本体。当推进时，致动器组件的螺纹轴接触臂的凸轮表面以使它们从未展开状态转变为展开状态。在展开构型中，分散的相邻棘突坐落在间隔器的上臂和下臂中。提供适用于侧弯曲线的变化。

6. 发明申请

WO2009094463A3 DILATOR 审中-公开
标题翻译：扩张器
公开(公告)号：WO2009094463A3
公开(公告)日：2009-10-22
申请号：PCT/US2009031710
申请日：2009-01-22
申请人： VERTIFLEX INC , TEBBE SHAWN , ALTARAC MOTI , CHENG YANG
发明人： TEBBE SHAWN , ALTARAC MOTI , CHENG YANG
IPC分类号： A61M29/02 , A61M29/00
CPC分类号： A61M29/00 , A61B17/025 , A61B17/3209 , A61B17/32093 , A61B17/3421 , A61B2017/00261 , A61B2017/0256 , A61B2017/320056 , A61B2017/346
摘要： A dilator that facilitates implantation of an interspinous spacer is provided. The dilator includes a proximal portion and a tapered distal portion interconnected by an elongated body portion. The tapered distal portion is ideally suited for splitting ligamentous tissue for creating a posterior midline pathway through the supraspinous ligament as well as for distracting the adjacent spinous processes. Two oppositely located and longitudinally extending channels or grooves are formed in the outer surface of the dilator for stabilizing the dilator with respect to the spinous processes. An accompanying cannula together with the dilator form a system for the distraction of the adjacent spinous processes, stabilization of the spinous processes with respect to the system and creation of a working channel for the implantation of an interspinous spacer.
摘要翻译：提供了促进椎间间隔物植入的扩张器。扩张器包括由细长本体部分互连的近端部分和锥形远端部分。锥形的远端部分非常适合于分裂韧带组织以产生穿过棘上韧带的后中线路径以及分散相邻的棘突。在扩张器的外表面中形成两个相对定位且纵向延伸的通道或凹槽，用于使扩张器相对于棘突稳定。伴随的套管与扩张器一起形成用于牵引相邻棘突的系统，相对于系统稳定棘突并且创建用于植入椎间间隔件的工作通道。

7. 发明申请

WO2009114479A3 INTERSPINOUS PROCESS SPACER INSTRUMENT SYSTEM WITH DEPLOYMENT INDICATOR 审中-公开
标题翻译：具有部署指示器的间谍工艺间隔器仪器系统
公开(公告)号：WO2009114479A3
公开(公告)日：2009-11-05
申请号：PCT/US2009036561
申请日：2009-03-09
申请人： VERTIFLEX INC , TEBBE SHAWN , ALTARAC MOTI , KIM DANIEL H
发明人： TEBBE SHAWN , ALTARAC MOTI , KIM DANIEL H
IPC分类号： A61B17/70 , A61B17/88 , A61F2/44
CPC分类号： A61B17/7065
摘要： A percutaneous and minimally invasive instrument system for implanting an interspinous process spacer into a patient is disclosed. The insertion instrument system includes an inserter and a driver. The inserter is configured to releasably clamp to an interspinous process spacer for its delivery, implantation and deployment. The driver is configured for removable insertion into a proximal end of a passageway of the inserter. The driver has a distal spacer engaging portion configured to engage that part of the spacer requiring activation for the deployment of the spacer from at least one undeployed configuration to at least one deployed configuration and vice versa. As the spacer goes from the undeployed to the deployed configuration and vice versa, the system advantageously provides a degree of deployment information to the user via at least one deployment indicator.
摘要翻译：公开了用于将棘突间间隔物植入患者体内的经皮且微创的器械系统。插入仪器系统包括一个插入器和一个驱动器。插入器被配置为可释放地夹紧到棘突间间隔物用于其递送，植入和展开。驱动器被构造成可移除地插入到插入器的通道的近端中。驱动器具有远侧间隔件接合部分，该远侧间隔件接合部分构造成接合间隔件的需要激活的部分，以将间隔件从至少一个未展开构型展开到至少一个展开构型，反之亦然。当隔离器从未部署到已部署的配置，反之亦然时，系统有利地通过至少一个部署指示器向用户提供一定程度的部署信息。

8. 发明申请

WO2007075791A3 MINIMALLY INVASIVE TOOLING FOR DELIVERY OF INTERSPINOUS SPACER 审中-公开
标题翻译：最小的入侵工具用于交付间距
公开(公告)号：WO2007075791A3
公开(公告)日：2009-04-23
申请号：PCT/US2006048614
申请日：2006-12-20
申请人： VERTIFLEX INC , ALTARAC MOTI , TEBBE SHAWN , FLAHERTY CHRISTOPHER J , KIM DANIEL H
发明人： ALTARAC MOTI , TEBBE SHAWN , FLAHERTY CHRISTOPHER J , KIM DANIEL H
IPC分类号： A61B17/70
CPC分类号： A61B17/7065 , A61B17/0206 , A61B17/025 , A61B17/1671 , A61B17/1697 , A61B17/1757 , A61B17/3421 , A61B17/7062 , A61B17/848 , A61B17/8866 , A61B17/8897 , A61B90/39 , A61B2017/00004 , A61B2017/0023 , A61B2017/00261 , A61B2017/00557 , A61B2017/0256 , A61B2017/681 , A61B2090/033 , A61B2090/034 , A61B2090/062 , A61F2/0077
摘要： A plurality of individual tools is provided where each tool is uniquely configured to perform a step or a portion of a step in a novel procedure associated with the implantation of a stabilizing device (e.g., an interspinous spacer) for stabilizing at least one spinal motion segment. The tools are usable individually, or more preferably as a tooling system in which the tools are collectively employed to implant an interspinous spacer, generally in a minimally invasive manner. For example, each of the tools is arranged with coordinated markings and/or other features to ensure consistent depths of insertion, proper orientation of the tools with respect to each other or an anatomical feature of the patient, and precise delivery of the spacer to maintain safe positioning throughout the implantation procedure.
摘要翻译：提供了多个单独的工具，其中每个工具被独特地构造成执行与植入稳定装置（例如椎间间隔垫）相关联的新颖程序中的步骤或步骤的一部分，用于稳定至少一个脊柱运动段。工具可以单独使用，或更优选地用作工具系统，其中工具被集体用于植入椎间间隔垫，通常以微创方式。例如，每个工具被布置成具有协调的标记和/或其他特征，以确保插入的一致深度，工具相对于彼此的适当取向或患者的解剖特征，以及间隔物的精确传递以维持整个植入过程中的安全定位。

9. 发明申请

WO2007075788A3 SYSTEMS AND METHODS FOR POSTERIOR DYNAMIC STABILIZATION OF THE SPINE 审中-公开
标题翻译：系统和方法后向动态稳定的脊柱
公开(公告)号：WO2007075788A3
公开(公告)日：2008-12-11
申请号：PCT/US2006048611
申请日：2006-12-20
申请人： VERTIFLEX INC , ALTARAC MOTI , TEBBE SHAWN , FLAHERTY CHRISTOPHER J , KIM DANIEL H
发明人： ALTARAC MOTI , TEBBE SHAWN , FLAHERTY CHRISTOPHER J , KIM DANIEL H
IPC分类号： A61F2/30 , A61F2/44
CPC分类号： A61B17/7065 , A61B17/0206 , A61B17/025 , A61B17/1671 , A61B17/1697 , A61B17/1757 , A61B17/3421 , A61B17/56 , A61B17/7062 , A61B17/7067 , A61B17/7068 , A61B17/848 , A61B17/8866 , A61B17/8897 , A61B2017/00004 , A61B2017/0023 , A61B2017/00261 , A61B2017/00557 , A61B2017/0256 , A61B2090/033 , A61B2090/034 , A61B2090/062 , A61F2/0077
摘要： Devices, systems and methods for dynamically stabilizing the spine are provided. The devices include an expandable spacer having an undeployed configuration and a deployed configuration, wherein the spacer has axial and radial dimensions for positioning between the spinous processes of adjacent vertebrae. The systems include one or more spacers and a mechanical actuation means for delivering and deploying the spacer. The methods involve the implantation of one or more spacers within the interspinous space.
摘要翻译：提供了用于动态稳定脊柱的装置，系统和方法。该装置包括具有未展开构型和展开构型的可扩张隔离物，其中隔离物具有用于在相邻椎骨的棘突之间定位的轴向和径向尺寸。该系统包括一个或多个间隔件和用于输送和展开间隔件的机械致动装置。该方法涉及在棘突间空间内植入一个或多个间隔物。

10. 发明申请

WO2008048645A3 MINIMALLY INVASIVE TOOLING FOR DELIVERY OF INTERSPINOUS SPACER 审中-公开
标题翻译：最小的入侵工具用于交付间距
公开(公告)号：WO2008048645A3
公开(公告)日：2008-06-12
申请号：PCT/US2007022171
申请日：2007-10-17
申请人： VERTIFLEX INC , ALTARAC MOTI , GUTIERREZ ROBERT , TEBBE SHAWN , KIM DANIEL H , FLAHERTY J CHRISTOPHER
发明人： ALTARAC MOTI , GUTIERREZ ROBERT , TEBBE SHAWN , KIM DANIEL H , FLAHERTY J CHRISTOPHER
IPC分类号： A61B17/70 , A61F2/44 , A61F2/46
CPC分类号： A61B17/7065 , A61B17/0206 , A61B17/025 , A61B17/1671 , A61B17/1697 , A61B17/1757 , A61B17/3421 , A61B17/7062 , A61B17/7067 , A61B17/848 , A61B17/8866 , A61B17/8897 , A61B2017/00004 , A61B2017/0023 , A61B2017/00261 , A61B2017/00557 , A61B2017/0256 , A61B2090/033 , A61B2090/034 , A61B2090/062 , A61F2/0077
摘要： A plurality of individual tools is provided where each tool is uniquely configured to perform a step or a portion of a step in a novel procedure associated with the implantation of a stabilizing device (e.g., an interspinous spacer) for stabilizing at least one spinal motion segment. The tools are usable individually, or more preferably as a tooling system in which the tools are collectively employed to implant an interspinous spacer, generally in a minimally invasive manner. For example, each of the tools is arranged with coordinated markings and/or other features to ensure consistent depths of insertion, proper orientation of the tools with respect to each other or an anatomical feature of the patient, and precise delivery of the spacer to maintain safe positioning throughout the implantation procedure.
摘要翻译：提供了多个单独的工具，其中每个工具被独特地构造成执行与植入稳定装置（例如椎间间隔垫）相关联的新颖程序中的步骤或步骤的一部分，用于稳定至少一个脊柱运动段。工具可以单独使用，或更优选地用作工具系统，其中工具被集体用于植入椎间间隔垫，通常以微创方式。例如，每个工具被布置成具有协调的标记和/或其他特征，以确保插入的一致深度，工具相对于彼此的适当取向或患者的解剖特征，以及间隔物的精确传递以维持整个植入过程中的安全定位。

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