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1. 发明申请

WO2007130891A1 RETRACTABLE TROCAR AND CANNULA COMBINATION 审中-公开
标题翻译：可收缩的锁和肛门组合
公开(公告)号：WO2007130891A1
公开(公告)日：2007-11-15
申请号：PCT/US2007/067737
申请日：2007-04-30
申请人： WARSAW ORTHOPEDIC, INC , HADDOCK, Sean M. , JUSTIS, Jeff R. , SIMONTON, T. Andrew
发明人： JUSTIS, Jeff R. , SIMONTON, T. Andrew
IPC分类号： A61B17/34
CPC分类号： A61B17/16 , A61B17/1671 , A61B17/3417 , A61B17/3421 , A61B17/7061 , A61B17/8819 , A61B2017/00261 , A61B2017/0046 , A61B2017/00477
摘要： A surgical instrument for insertion into human tissue comprises an outer sleeve (100); a middle sleeve (200) sized and configured to be inserted into said outer sleeve, at least a portion of said middle sleeve being configured to extend beyond said outer sleeve; a trocar (300) sized and configured to be inserted into said middle sleeve, at least a portion of said trocar being configured to extend beyond said outer sleeve; and a handle (18) having a passage coaxial with the passages of said outer sleeve and said middle sleeve and the axis of said trocar. Said handle is adapted to be removably coupled to said outer sleeve, and includes a release mechanism having a first position for holding said trocar, said middle sleeve, and said outer sleeve in fixed relationship to said handle, a second position for holding said middle sleeve and said outer sleeve in fixed relationship to said handle, and a third position for holding said outer sleeve in fixed relationship to said handle.
摘要翻译：用于插入人体组织的手术器械包括外套筒（100）; 尺寸和构造成插入所述外套筒的中间套筒（200），所述中间套筒的至少一部分构造成延伸超过所述外套筒; 套管针（300）的尺寸和构造被插入到所述中间套筒中，所述套管针的至少一部分构造成延伸超过所述外套筒; 以及手柄（18），其具有与所述外套筒和所述中套筒的通道同轴的通道和所述套管针的轴线。所述手柄适于可拆卸地联接到所述外套筒，并且包括具有第一位置的释放机构，所述第一位置用于将所述套管针，所述中间套筒和所述外套筒固定在所述手柄上，第二位置用于保持所述中间套筒并且所述外套筒与所述手柄固定，并且第三位置用于将所述外套筒固定在所述手柄上。

2. 发明申请

WO2007127655A3 DILATING STYLET AND CANNULA 审中-公开
公开(公告)号：WO2007127655A3
公开(公告)日：2007-11-08
申请号：PCT/US2007/066917
申请日：2007-04-19
申请人： WARSAW ORTHOPEDIC, INC. , SIMONTON, Thomas A. , JUSTIS, Jeff R. , HADDOCK, Sean M. , KINNANE, Keith M.
发明人： SIMONTON, Thomas A. , JUSTIS, Jeff R. , HADDOCK, Sean M. , KINNANE, Keith M.
IPC分类号： A61B17/34 , A61B19/00 , A61B17/16
摘要： An instrument set is provided that has a tapered configuration that facilitates the insertion of the instrument set into a patient. Said set comprises a stylet (200) and a cannula (100) having a body (102) and a distal end (106).

3. 发明申请

WO2007019060A1 COUPLING ASSEMBLIES FOR SPINAL IMPLANTS 审中-公开
标题翻译：脊椎植入物联合装置
公开(公告)号：WO2007019060A1
公开(公告)日：2007-02-15
申请号：PCT/US2006/028991
申请日：2006-07-26
申请人： WARSAW ORTHOPEDIC, INC. , MOLZ, Fred J. IV , JUSTIS, Jeff R.
发明人： MOLZ, Fred J. IV , JUSTIS, Jeff R.
IPC分类号： A61B17/70
CPC分类号： A61B17/7037 , A61B17/7004 , A61B17/7011 , A61B17/7032
摘要： The forces exerted on a spinal implant (60) by one or more coupling assemblies (10, 110) are controlled to facilitate the use of the implant in spinal stabilization and other procedures. The coupling assemblies are structured to distribute the forces exerted on the implant while engaging the implant to the coupling assembly and providing at least one of a rigid, semi-rigid or variable engagement of the coupling assembly with one or more anatomical structures of the spinal column. The coupling assembly comprises an anchor member (12, 112) , a receiver member (20) receiving the implant, a seat member (30, 130) positioned between the implant and the anchor member and having an implant support surface (34) , and a securing member (40) with an implant engaging surface (54). The implant engaging surface is maintained in aligned relationship with the implant support surface.
摘要翻译：通过一个或多个联接组件（10,110）施加在脊柱植入物（60）上的力被控制以便于在脊柱稳定和其它过程中使用植入物。联接组件被构造成分布施加在植入物上的力，同时将植入物接合到联接组件，并且提供联接组件与脊柱的一个或多个解剖结构的刚性，半刚性或可变接合中的至少一个。联接组件包括锚定构件（12,112），接收植入物的接收器构件（20），定位在植入物和锚定构件之间并具有植入物支撑表面（34）的座构件（30,130），以及具有植入物接合表面（54）的固定构件（40）。植入物接合表面与植入物支撑表面保持对准关系。

4. 发明申请

WO2008060863A2 KEYED CROWN ORIENTATION FOR MULTI-AXIAL SCREWS 审中-公开
标题翻译：用于多轴螺钉的键盘定位
公开(公告)号：WO2008060863A2
公开(公告)日：2008-05-22
申请号：PCT/US2007/083296
申请日：2007-11-01
申请人： WARSAW ORTHOPEDIC, INC , JUSTIS, Jeff R. , DEWEY, Jonathan M.
发明人： JUSTIS, Jeff R. , DEWEY, Jonathan M.
IPC分类号： A61B17/70
CPC分类号： A61B17/7002 , A61B17/7032 , A61B17/7037 , A61B2090/037
摘要： ABSTRACT A coupling assembly may include an anchor member, a receiver member, and a seat member. The receiver member may have an anchor member end that cooperates with the anchor member and may have an implant receiving aperture for receiving an implant. The seat member may be disposable within the receiver member between the anchor member and the implant receiving aperture. First and second rotation-limiting features may be engageable to limit rotation of the seat member relative to the receiver member.
摘要翻译：摘要联接组件可以包括锚定构件，接收构件和座椅构件。接收器构件可以具有与锚定构件协作的锚定构件端部，并且可以具有用于接收植入物的植入物接收孔。座椅构件可以在锚定构件和植入物接收孔之间的一部分接收构件内。第一和第二旋转限制特征可以接合以限制座椅构件相对于接收器构件的旋转。

5. 发明申请

WO2008014069A1 PIVOTING JOINTS FOR SPINAL IMPLANTS INCLUDING DESIGNED RESISTANCE TO MOTION AND METHODS OF USE 审中-公开
标题翻译：用于脊椎植入物的运动接合，包括设计运动的抵抗力和使用方法
公开(公告)号：WO2008014069A1
公开(公告)日：2008-01-31
申请号：PCT/US2007/071863
申请日：2007-06-22
申请人： WARSAW ORTHOPEDIC, INC , JUSTIS, Jeff R. , MOLZ, Fred J. IV , BALLARD, Rodney Ray , MIRDA, Jim Michael
发明人： JUSTIS, Jeff R. , MOLZ, Fred J. IV , BALLARD, Rodney Ray , MIRDA, Jim Michael
IPC分类号： A61B17/70 , A61B19/00
CPC分类号： A61B17/7037 , A61B17/7011 , A61B17/7032 , A61B17/7035 , A61B17/7055 , A61B2090/037
摘要： A pivoting connector couples a vertebral member to a longitudinal member. An anchor is pivotally attached to a body by positioning a head of the anchor within a cavity in the body. A longitudinal rod is inserted into a channel also positioned within the body and axially aligned with the cavity. A retainer applies a force to maintain the longitudinal rod within the channel, however the force may be isolated from the anchor. One embodiment may include a compression member that is separate from or integral with the body. The compression member may transmit a rod securing force to the anchor to secure or limit the pivoting movement of the anchor member relative to the body. The compression member may deflect or detach under the influence of the securing force.
摘要翻译：枢转连接器将椎骨构件连接到纵向构件。锚固件通过将锚固件的头部定位在主体内的空腔内而枢转地附接到主体。纵向杆被插入也位于主体内并与空腔轴向对准的通道中。保持器施加力以将纵向杆保持在通道内，然而力可以与锚隔离。一个实施例可以包括与身体分离或与身体一体的压缩构件。压缩构件可以将杆固定力传递到锚固件，以固定或限制锚固构件相对于主体的枢转运动。压缩构件可能在固定力的影响下偏转或分离。

6. 发明申请

WO2007127604A2 SURGICAL INSTRUMENTS AND TECHNIQUES FOR CONTROLLING SPINAL MOTION SEGMENTS WITH POSITIONING OF SPINAL STABILIZATION ELEMENTS 审中-公开
标题翻译：用于控制脊柱运动部分的手术仪器和技术，用于定位脊柱稳定元件
公开(公告)号：WO2007127604A2
公开(公告)日：2007-11-08
申请号：PCT/US2007/066296
申请日：2007-04-10
申请人： WARSAW ORTHOPEDIC, INC. , JUSTIS, Jeff R. , MOLZ, Fred J. Iv , SHERMAN, Michael, C.
发明人： JUSTIS, Jeff R. , MOLZ, Fred J. Iv , SHERMAN, Michael, C.
CPC分类号： A61B17/701 , A61B17/7004 , A61B17/7083 , A61B17/7085 , A61B17/7089
摘要： Elongated connecting elements (10) include bodies having anisotropic cross-sectional shapes defining a first moment of inertia about a first bending axis (15) and a second moment of inertia about a second bending axis (16) that is transverse to the first bending axis (15). The connecting elements (10) are positioned along one or more spinal motion segments and engaged to vertebrae with anchors (100) with the first and second bending axes (15, 16) in the desired orientation relative to the spinal motion segments.
摘要翻译：细长连接元件（10）包括具有围绕第一弯曲轴线（15）限定第一转动惯量的各向异性横截面形状的主体和围绕第一弯曲轴线（16）的第二弯曲轴线（16）的第二转动惯量，（15）。连接元件（10）沿着一个或多个脊柱运动节段定位并且与具有锚定件（100）的椎骨相对准，其中第一和第二弯曲轴线（15,16）相对于脊柱运动节段处于所需取向。

7. 发明申请

WO2007090021A1 EXPANDABLE SPINAL RODS AND METHODS OF USE 审中-公开
标题翻译：可扩展的脊柱和使用方法
公开(公告)号：WO2007090021A1
公开(公告)日：2007-08-09
申请号：PCT/US2007/061010
申请日：2007-01-25
申请人： WARSAW ORTHOPEDIC, INC , JUSTIS, Jeff R. , TRIEU, Hai H.
发明人： JUSTIS, Jeff R. , TRIEU, Hai H.
IPC分类号： A61B17/70 , A61B17/88 , A61B17/00
CPC分类号： A61B17/7002 , A61B17/7004 , A61B17/7013 , A61B2017/00557
摘要： A spinal rod includes an elongated tubular member that is inflatable from a first insertion profile to a second enlarged profile . AH expandable tabular reinforcement sleeve is concentrically positioned adjacent to the balloon. The balloon may be bonded to the sleeve. The spinal rod may also have longitudinal reinforcement members (32) . A joining member (34) may join two or more of the longitudinal reinforcing members at a discrete point along each. The spinal rod may further include end portions on either side of an inflatable portion.
摘要翻译：脊柱杆包括可从第一插入轮廓充气至第二放大轮廓的细长管状部件。 AH可膨胀片状加强套筒与球囊相邻地同心定位。气球可以粘合到套筒上。脊柱杆还可以具有纵向加强构件（32）。连接构件（34）可以在沿着每个的离散点处连接两个或更多个纵向加强构件。脊柱杆还可以包括在可充气部分的任一侧上的端部。

8. 发明申请

WO2007087476A1 SPINAL RODS HAVING DIFFERENT FLEXURAL RIGIDITIES ABOUT DIFFERENT AXES AND METHODS OF USE 审中-公开
标题翻译：具有不同轴线的不同挠曲刚度的脊柱和使用方法
公开(公告)号：WO2007087476A1
公开(公告)日：2007-08-02
申请号：PCT/US2007/060477
申请日：2007-01-12
申请人： WARSAW ORTHOPEDIC, INC. , JUSTIS, Jeff R. , SHERMAN, Michael C. , MOLZ, Fred J, IV.
发明人： JUSTIS, Jeff R. , SHERMAN, Michael C. , MOLZ, Fred J, IV.
IPC分类号： A61B17/70
CPC分类号： A61B17/7029 , A61B17/7002 , A61B17/701
摘要： A vertebral (10) rod has an elongated body extending along a longitudinal axis (A). The rod also includes a cavity (30) extending the length of the body. Either the body or the cavity may have an asymmetrical shape about a centroid (C) in a plane perpendicular to the longitudinal axis. Alternatively, both may have the symmetrical shape about the centroid. The body of the rod may be bounded by an exterior surface and the cavity. The body has a first bending axis that is perpendicular to longitudinal axis. The body also has a second bending axis that is perpendicular to the longitudinal axis and to the first bending axis. The body of the rod may be distributed asymmetrically about the first and second bending axes. Also, the rod may have a different bending stiffness about the first and second bending axes.
摘要翻译：椎骨（10）杆具有沿着纵向轴线（A）延伸的细长体。杆还包括延伸身体长度的空腔（30）。身体或腔体可以在垂直于纵向轴线的平面中具有围绕质心（C）的不对称形状。或者，两者可以具有关于质心的对称形状。杆的主体可以由外表面和空腔界定。主体具有垂直于纵向轴线的第一弯曲轴线。主体还具有垂直于纵向轴线和第一弯曲轴线的第二弯曲轴线。杆的主体可以围绕第一和第二弯曲轴线不对称地分布。此外，杆可以具有围绕第一和第二弯曲轴线的不同的弯曲刚度。

9. 发明申请

WO2011109507A2 SYSTEMS AND METHODS FOR MINIMALLY INVASIVE SURGICAL PROCEDURES 审中-公开
标题翻译：微创外科手术的系统和方法
公开(公告)号：WO2011109507A2
公开(公告)日：2011-09-09
申请号：PCT/US2011/026857
申请日：2011-03-02
申请人： WARSAW ORTHOPEDIC, INC. , JUSTIS, Jeff R.
发明人： JUSTIS, Jeff R.
CPC分类号： A61B17/7085 , A61B17/708 , A61B17/7083 , A61B17/7086
摘要： One nonlimiting embodiment of the present application is directed to a system for positioning a connecting element adjacent one or more bones or bony portions, such as the spinal column, through a minimally invasive surgical approach. The system generally includes a number of bone anchors engageable to the one or more bones or bony portions and a number of anchor extenders removably engaged to the bone anchors. A connecting element inserter instrument is engageable with one of the anchor extenders and is movable along a longitudinal axis of the anchor extender. As the inserter instrument is moved along the longitudinal axis toward the bone anchors, a leading end of the connecting element is rotated away from the longitudinal axis and the connecting element is positioned at a location adjacent the number of bone anchors in a minimally invasive surgical procedure. However, in other embodiments, different forms and applications are envisioned.
摘要翻译：本申请的一个非限制性实施例涉及一种用于通过微创手术方法将连接元件邻近一个或多个骨骼或骨部分（例如脊柱）定位的系统。该系统通常包括可接合到一个或多个骨骼或骨部分的多个骨锚固件以及可拆卸地接合到骨锚固件的多个锚定器延伸器。连接元件插入器具可与锚定器延伸器中的一个接合，并且可沿锚定延伸器的纵向轴线移动。当插入器械沿着纵向轴线朝向骨锚固件移动时，连接元件的前端从纵向轴线旋转，并且连接元件以微创外科手术方式定位在与骨锚固件数量相邻的位置。然而，在其他实施例中，可以想到不同的形式和应用。

10. 发明申请

WO2010045453A1 DYNAMIC ANCHOR ASSEMBLY FOR CONNECTING ELEMENTS IN SPINAL SURGICAL PROCEDURES 审中-公开
标题翻译：用于连接脊髓外科手术中的元件的动态锚固装置
公开(公告)号：WO2010045453A1
公开(公告)日：2010-04-22
申请号：PCT/US2009/060835
申请日：2009-10-15
申请人： WARSAW ORTHOPEDIC, INC. , DEWEY, Jonathan M. , JUSTIS, Jeff R. , PROTOPSALTIS, Dimitri, K.
发明人： DEWEY, Jonathan M. , JUSTIS, Jeff R. , PROTOPSALTIS, Dimitri, K.
IPC分类号： A61B17/70
CPC分类号： A61B17/7037 , A61B17/7032 , A61B17/7035
摘要： Devices and methods include a multi-axial anchor assembly engageable to a vertebra and a connecting element positionable through a receiver of the anchor assembly. The anchor assembly includes a flexible member between the receiver and an anchor member of the anchor assembly, thereby providing a flexible joint in the anchor assembly for allowing limited movement after primary multi-axial capability between the receiver and the anchor member has been arrested.
摘要翻译：装置和方法包括可与椎骨接合的多轴向锚固组件和可通过锚固组件的接收器定位的连接元件。锚固组件包括在接收器和锚固组件的锚固构件之间的柔性构件，从而在锚固组件中提供柔性接头，用于在接收器和锚构件之间的主要多轴向能力已经被阻止之后允许有限的运动。

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