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1. 发明申请

WO2016063283A1 ADJUSTABLE IMPLANT 审中-公开
标题翻译：可调整植被
公开(公告)号：WO2016063283A1
公开(公告)日：2016-04-28
申请号：PCT/IL2015/051039
申请日：2015-10-21
申请人： NLT SPINE LTD.
发明人： SHARABANI, Netanel , LOEBL, Oded , TOUBIA, Didier
IPC分类号： A61F2/02 , A61F2/44 , A61B17/56
CPC分类号： A61F2/442 , A61B17/56 , A61B17/8858 , A61F2/44 , A61F2/4455 , A61F2/447 , A61F2/4611 , A61F2002/30405 , A61F2002/30471 , A61F2002/30507 , A61F2002/30538 , A61F2002/30556
摘要： An adjustable implant includes a telescopic body with first and second portions in sliding engagement, and a deflectable linkage formed from a first linking segment, an intermediate segment and a second linking segment pivotally interconnected so that adjustment of a length of the telescopic body causes a corresponding deflection of the deflectable linkage. The first linking segment and the second linking segment are formed with projecting features that provide a partial gear engagement between the first and second linking segments such that, during adjustment of a length of the telescopic body and corresponding deflection of the deflectable linkage, pivotal motion of the first and second linking segments relative to the intermediate segment about the first and second pivot axes occurs in a fixed ratio defined by the partial gear engagement.
摘要翻译：可调节植入物包括具有滑动接合的第一和第二部分的伸缩体，以及由第一连接段，中间段和枢转地互连的第二连接段形成的可偏转连杆，使得伸缩体长度的调节导致相应的偏转连杆的偏转。第一连接段和第二连接段形成有突出特征，其在第一和第二连接段之间提供部分齿轮接合，使得在调整伸缩体的长度和可偏转连杆的相应偏转期间的枢转运动围绕第一和第二枢转轴线相对于中间段的第一和第二连接段以由部分齿轮啮合限定的固定比率发生。

2. 发明申请

WO2015087285A1 WORM-GEAR ACTUATED ORTHOPEDIC IMPLANTS & METHODS 审中-公开
标题翻译： WORM-GEAR推动的正交植入物和方法
公开(公告)号：WO2015087285A1
公开(公告)日：2015-06-18
申请号：PCT/IB2014/066823
申请日：2014-12-11
申请人： NLT SPINE LTD.
发明人： LOEBL, Oded , YUSTEIN, Haim , TOUBIA, Didier
IPC分类号： A61F2/44
CPC分类号： A61F2/4425 , A61F2/4455 , A61F2/4465 , A61F2002/30471 , A61F2002/30525 , A61F2002/30538 , A61F2002/30556 , A61F2002/30579 , A61F2002/30904
摘要： An intervertebral implant has at least one arm (14) pivotally connected to a base (10). At least one worm gear configuration includes a worm (18) mounted within the base (10) so as to be rotatable, and a set of gear teeth (20) associated with the arm (14). When the worm (18) is rotated about its central axis, the arm (14) is driven through a range of pivotal motion relative to the base so as to change an angle of inclination between a direction of elongation (16) of the arm and the direction of elongation (12) of the base. Embodiments of the invention include devices with a hollow proximal worm allowing access into the implant via the worm, distally deployed worms, and devices with a pair of worm gear assemblies that operate synchronously or independently.
摘要翻译：椎间植入物具有枢转地连接到基部（10）的至少一个臂（14）。至少一个蜗轮构造包括安装在基部（10）内以便可旋转的蜗杆（18）和与臂（14）相关联的一组齿轮齿（20）。当蜗杆（18）围绕其中心轴线旋转时，臂（14）被驱动通过相对于基座的枢转运动的范围，以便改变臂的伸长方向（16）和基部的伸长方向（12）。本发明的实施例包括具有中空近端蜗杆的装置，其允许经由蜗杆，远端部署的蜗杆进入植入物，以及具有同步或独立操作的一对蜗轮组件的装置。

3. 发明申请

WO2015004667A1 SURGICAL DEVICE WITH COMBINED DIFFERENTIAL GEARING AND DEFLECTION MECHANISM 审中-公开
标题翻译：具有组合差分齿轮和偏转机构的外科手术
公开(公告)号：WO2015004667A1
公开(公告)日：2015-01-15
申请号：PCT/IL2014/050623
申请日：2014-07-10
申请人： NLT SPINE LTD.
发明人： SIEGAL, Tzony , LOEBL, Oded , TOUBIA, Didier
IPC分类号： A61B17/16 , A61B17/00
CPC分类号： A61B17/1642 , A61B17/1633 , A61B2017/00309 , A61B2017/00314 , A61B2017/00336
摘要： An apparatus includes differential gearing combined with an internal cable or strip or wire or similar to cause deflection of an elongated element, for example, a shaft, supporting a drill tip of the apparatus. The drill tip, for example, is rotated, oscillated, vibrated, or the like for performing tissue cutting. The deflection is at a predetermined curvature or other orientation, when the shaft with the drill tip exits a sleeve of the apparatus upon deployment to the work site.
摘要翻译：一种装置包括与内部电缆或条或线或类似物组合的差速齿轮传动装置，以引起支撑装置的钻头的细长元件例如轴的偏转。例如，钻头旋转，振荡，振动等以进行组织切割。当具有钻尖的轴在部署到工作现场时离开设备的套筒时，偏转处于预定的曲率或其它取向。

4. 发明申请

WO2013018062A1 BONE SCREW WITH DEFLECTABLE PORTION 审中-公开
标题翻译：带可拆卸部分的骨螺钉
公开(公告)号：WO2013018062A1
公开(公告)日：2013-02-07
申请号：PCT/IB2012/053973
申请日：2012-08-02
申请人： NLT SPINE LTD. , SIEGAL, Tzony , LOEBL, Oded , TOUBIA, Didier
发明人： SIEGAL, Tzony , LOEBL, Oded , TOUBIA, Didier
IPC分类号： A61B17/86 , A61B17/70
CPC分类号： A61B17/864 , A61B17/7032 , A61B17/844 , A61B17/8625 , A61B17/8685
摘要： An anchoring element, such as a bone screw, may comprise an at least partially threaded shaft having a core and a longitudinal channel. An elongated element movable with the channel may be a tensioning element, for example affixed to the distal portion, and/or a rigid element. The core may have one or more lateral cut-outs, which may be V-shaped, at the distal portion. Each cut-out may be backed, by an effective hinge that may be displaced from the longitudinal axis, and may have a transverse slit between the hinge and an opposite surface of the core from the cut-out. Upon axial movement of the elongated element, e.g. toward a proximal end of the shaft, the distal portion may deflect to an angle from the shaft's longitudinal axis. Alternatively, the anchoring element may be pre-biased to deflect and maintained straight by a rigid element until axial movement of the rigid element.
摘要翻译：诸如骨螺钉的锚定元件可以包括具有芯部和纵向通道的至少部分螺纹的轴。可以通过通道移动的细长元件可以是张紧元件，例如固定到远端部分，和/或刚性元件。芯可以在远端部分具有一个或多个侧向切口，其可以是V形的。每个切口可以通过可能从纵向轴线移位的有效铰链来支撑，并且可以在铰链和芯部与切口的相对表面之间具有横向狭缝。在细长元件的轴向移动时，例如，朝向轴的近端，远侧部分可以偏转成与轴的纵向轴线成一定角度。或者，锚定元件可以被预偏置以通过刚性元件直线偏转并保持直到刚性元件的轴向运动。

5. 发明申请

WO2017009840A1 EXPANDABLE IMPLANT WITH DEFLECTABLE SEQUENCE OF SEGMENTS 审中-公开
标题翻译：具有可分段序列的可扩展插入
公开(公告)号：WO2017009840A1
公开(公告)日：2017-01-19
申请号：PCT/IL2016/050762
申请日：2016-07-14
申请人： NLT SPINE LTD.
发明人： SHARABANI, Netanel , LAVOCHKIN, Nadav , LOEBL, Oded
IPC分类号： A61F2/44 , A61F2/02 , A61B17/56
CPC分类号： A61F2/4425 , A61F2/442 , A61F2/4455 , A61F2/447 , A61F2002/30405 , A61F2002/30434 , A61F2002/30471 , A61F2002/30507 , A61F2002/30538 , A61F2002/3055 , A61F2002/30556 , A61F2002/30904 , A61F2002/443
摘要： An implant (1.00, 200, 300, 400) includes a base ( 10), and a sequence of at least two segments including a first segment (12) and a last segment (14). The first segment (12) is pivotally linked to base (10). Adjacent segments are interconnected at pivotal connections (18). A bolt (20) has a threaded shaft (22) and a head (24). The threaded shaft (22) is engaged in a threaded channel (26) of the base (10) so that rotation of the bolt (20) about a central axis of the threaded shaft (22) varies a degree of overlap between the base (10) and the bolt (20). The last segment (14) and the head (24) define therebetween a spherical bearing (2:8). Rotation of bolt (20) thus varies a distance between spherical bearing (28) and hinge pin (Ί 6), thereby causing deflection of the sequence of segments.
摘要翻译：植入物（1.00,200,300,400）包括基部（10）和包括第一部分（12）和最后部分（14）的至少两个部分的序列。第一段（12）枢转地连接到基座（10）。相邻的段在枢转连接（18）处相互连接。螺栓（20）具有螺纹轴（22）和头部（24）。螺纹轴（22）接合在基座（10）的螺纹通道（26）中，使得螺栓（20）围绕螺纹轴（22）的中心轴线的旋转改变基座（22）的重叠程度 10）和螺栓（20）。最后一段（14）和头部（24）之间形成球面轴承（2：8）。因此，螺栓（20）的旋转因此改变球形轴承（28）和铰链销（6）之间的距离，从而引起段序列的偏转。

6. 发明申请

WO2016110861A1 BONE-GRIPPING IMPLANT 审中-公开
标题翻译：骨牵引植入物
公开(公告)号：WO2016110861A1
公开(公告)日：2016-07-14
申请号：PCT/IL2016/050030
申请日：2016-01-11
申请人： NLT SPINE LTD.
发明人： LOEBL, Oded , SHARABANI, Netanel , YUSTEIN, Haim
IPC分类号： A61B17/56 , A61B17/66 , A61B17/68 , A61B17/86
CPC分类号： A61B17/68 , A61B17/7258 , A61B17/742 , A61B17/8625 , A61B17/8685
摘要： An implant (10, 10', 100, 200) for insertion into hard tissue includes a body with a cylindrical bone-contact surface (12, 112, 212), The body includes a first body portion (16, 116, 216) and a second body portion (18, 118, 218), each of which provides a part of the bone-contact surface. An internal actuator (20, 120, 220) is deployed within the body so as to be displaceable axially. An obliquely angled wedge surface (22, 122, 222) of the actuator bears against abutment features (24, 124, 224) of the second body portion when the actuator is displaced along an axis (14, 114, 214) so as to displace the second body portion relative to the first body portion, thereby displacing part of the bone contact surface away from the axis.
摘要翻译：用于插入硬组织的植入物（10,10'，100,200）包括具有圆柱形骨接触表面（12,112,212）的主体，所述主体包括第一主体部分（16,116,216）和第二主体部分（18,118,218），每个部分提供骨接触表面的一部分。内部致动器（20,120,220）展开在主体内以便可轴向移动。当致动器沿着轴线（14,114,214）移位时，致动器的斜角楔形表面（22,122,222）抵抗第二主体部分的抵靠特征（24,124,224），从而位移相对于第一主体部分的第二主体部分，从而使骨接触表面的一部分远离轴线移位。

7. 发明申请

WO2015136484A1 ADJUSTABLE ARCUATE IMPLANT 审中-公开
公开(公告)号：WO2015136484A1
公开(公告)日：2015-09-17
申请号：PCT/IB2015/051820
申请日：2015-03-12
申请人： NLT SPINE LTD
发明人： LOEBL, Oded , TOUBIA, Didier
IPC分类号： A61F2/44 , A61F2/46
CPC分类号： A61F2/4465 , A61F2/44 , A61F2/4455 , A61F2/4611 , A61F2002/30133 , A61F2002/30308 , A61F2002/30362 , A61F2002/30372 , A61F2002/30398 , A61F2002/30471 , A61F2002/30489 , A61F2002/30556 , A61F2002/30579 , A61F2002/30601 , A61F2002/30649 , A61F2002/30777 , A61F2002/30891 , A61F2002/4475 , A61F2002/4627 , A61F2310/00023
摘要： An expanding implant (10, 10'. 10'') includes a base (12) having a contact surface (14) for contacting a first region of tissue and a displaceable portion. (24) having a contact surface (26) for contacting a second region of tissue, The base (12) has a proximal portion (16) in sliding engagement with, a distal portion (18) so as to define an arcuate path of relative motion between the proximal and distal portions. The base assumes an initial state with a first arcuate extent and is adjustable towards a second State by changing an: extent of overlap between the proximal and distal portions to vary an. arcuate extent of the base. First and second rigid linking segments (20, 22) are in articulating connection with the distal and proximal portions of the base, and with the displaceable portion such that adjustment of the base from the initial state towards the second state causes an increase in a distance between the contact surfaces of the base and the displaceable portion.
摘要翻译：扩展植入物（10,10'，10“）包括具有用于接触组织的第一区域和可移位部分的接触表面（14）的基部（12）。（24）具有用于接触第二组织区域的接触表面（26）。基部（12）具有与远端部分（18）滑动接合的近端部分（16），以便限定相对的弓形路径近端部分和远端部分之间的运动。基部采用具有第一弓形延伸范围的初始状态，并且可通过改变近端部分和远端部分之间的重叠程度来改变第二状态，从而朝向第二状态可调节。基座弧度范围。第一和第二刚性连接段（20,22）与基座的远端和近端部分铰接连接，并且可移动部分使得基座从初始状态朝向第二状态的调节导致距离的增加在基座的接触表面和可移位部分之间。

8. 发明申请

WO2013179222A1 SURGICAL IMPALING MEMBER 审中-公开
标题翻译：外科进展会员
公开(公告)号：WO2013179222A1
公开(公告)日：2013-12-05
申请号：PCT/IB2013/054403
申请日：2013-05-28
申请人： NLT SPINE LTD
发明人： SIEGAL, Tzony , LOEBL, Oded , TOUBIA, Didier
IPC分类号： A61F2/46 , A61B17/80 , A61B17/86 , A61B17/88 , A61F2/30 , A61F2/28 , A61F2/44
CPC分类号： A61B17/025 , A61B17/0218 , A61B17/7055 , A61B17/7076 , A61B17/8625 , A61B2017/0256 , A61B2017/0262 , A61F2/442 , A61F2/447 , A61F2/4611 , A61F2002/2817 , A61F2002/2835 , A61F2002/30062 , A61F2002/30187 , A61F2002/30212 , A61F2002/30232 , A61F2002/30387 , A61F2002/30579 , A61F2002/30607 , A61F2002/30616 , A61F2002/30784 , A61F2002/3085 , A61F2002/30904 , A61F2002/30995 , A61F2002/4415 , A61F2002/4627 , A61F2002/4628 , A61F2002/4687 , A61F2310/00017
摘要： An implant for orthopedic surgery includes an impaling member (101,102), which is separable into portions (102a, 102b) for impaling and attaching to tissue, for example, bone. Once the portions (102a, 102b) of the impaling member (101,102) are separated and attached to the requisite tissue, they may accommodate stabilizing members for fixation, or other instrumentation for procedures such as fusion.
摘要翻译：用于整形外科手术的植入物包括刺穿构件（101,102），其可分离成用于刺穿并附接到组织例如骨的部分（102a，102b）。一旦突出构件（101,102）的部分（102a，102b）被分离并附接到所需的组织上，它们可以容纳用于固定的稳定构件或用于诸如融合的过程的其他仪器。

9. 发明申请

WO2013179102A1 LATERALLY DEFLECTABLE IMPLANT 审中-公开
标题翻译：横向可植入
公开(公告)号：WO2013179102A1
公开(公告)日：2013-12-05
申请号：PCT/IB2012/055693
申请日：2012-10-18
申请人： NLT-SPINE LTD.
发明人： SIEGAL, Tzony , LOEBL, Oded , TOUBIA, Didier
IPC分类号： A61F2/46 , A61F2/44 , A61B17/88
CPC分类号： A61F2/442 , A61B17/3472 , A61B17/7065 , A61B17/8822 , A61F2/30771 , A61F2/4455 , A61F2/447 , A61F2/4601 , A61F2/4611 , A61F2002/2817 , A61F2002/2835 , A61F2002/30092 , A61F2002/30126 , A61F2002/30153 , A61F2002/30156 , A61F2002/30158 , A61F2002/30186 , A61F2002/30187 , A61F2002/302 , A61F2002/30202 , A61F2002/30266 , A61F2002/30304 , A61F2002/30382 , A61F2002/30401 , A61F2002/30431 , A61F2002/30462 , A61F2002/30471 , A61F2002/30476 , A61F2002/30484 , A61F2002/30492 , A61F2002/305 , A61F2002/30504 , A61F2002/30512 , A61F2002/3054 , A61F2002/3055 , A61F2002/30556 , A61F2002/30579 , A61F2002/30601 , A61F2002/30622 , A61F2002/30624 , A61F2002/30772 , A61F2002/30785 , A61F2002/30904 , A61F2002/4415 , A61F2002/4475 , A61F2002/448 , A61F2002/4627 , A61F2002/4628 , A61F2002/4629 , A61F2002/4631 , A61F2002/4679 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029
摘要： A laterally deflectable asymmetric implant (10) for implanting into a body may comprise a deflectable piece having distal and proximal ends (22,24) and assuming a straightened insertion state. The backbone (30) may abut or interconnect with said deflectable piece (20) at the distal end (22) of the deflectable piece. In a fully deflected state the implant may define an asymmetric shape, e. g. a D-shaped loop (39), defining an at least partially enclosed volume (39V). The deflectable piece may comprise a sequence of segments (40, 40a, 40b, 40c) interconnected at effective hinges (47). Longitudinal pressure applied to the proximal end (24) of the deflectable piece or applied to the backbone in an opposite direction may cause relative longitudinal movement between the backbone and the proximal end of the deflectable piece and may generate outward horizontal movement of the deflectable piece away from the backbone. In one embodiment, the implant is implanted using lateral access into an anterior zone of a vertebra and deployed posteriorly.
摘要翻译：用于植入体内的横向可偏转的不对称植入物（10）可以包括具有远端和近端（22,24）并且假设有拉直插入状态的可偏转件。骨架（30）可以在可偏转片的远端（22）处与所述可偏转片（20）邻接或互连。在完全偏转状态下，植入物可以限定不对称形状， G。 D形环（39），限定至少部分封闭的容积（39V）。可偏转件可以包括在有效铰链（47）处互连的一系列段（40,40a，40b，40c）。施加到可偏转片的近端（24）的纵向压力或以相反的方向施加到骨架上的纵向压力可以导致主体和可偏转片的近端之间的相对纵向运动，并且可以产生可偏转片的向外水平运动离开从骨干。在一个实施例中，使用横向进入将植入物植入椎骨的前部区域并在后方部署。

10. 发明申请

WO2018015964A1 EXPANDABLE IMPLANT 审中-公开
标题翻译：可扩展的植入物
公开(公告)号：WO2018015964A1
公开(公告)日：2018-01-25
申请号：PCT/IL2017/050828
申请日：2017-07-23
申请人： NLT SPINE LTD.
发明人： SHARABANI, Netanel , LEV, Nadav
IPC分类号： A61F2/02 , A61F2/44
摘要： An expandable implant (100, 150, 160, 200, 250, 300, 400) has a base (10) and a displaceable element (12) hingedly interconnected at one end. At the other end, the base and the displaceable element are formed with complementary jaws (24, 26) which provide continuous overlap of facing surfaces over a range of angular positions of the displaceable element relative to said base. In some cases, the first end portion (16) of the displaceable element (12) is formed with projecting teeth (28) forming a partial gear centered on an axis (18) of the hinged interconnection with the base (12) for engaging a worm gear. In certain embodiments, the base is formed with a socket (30) for removably receiving a worm gear tool (32) for engaging the teeth (28) and displacing said displaceable element. After expansion, the worm-gear tool (32) can be removed.
摘要翻译：可膨胀植入物（100,150,160,200,250,300,400）具有基部（10）和在一端处铰接地互连的可移位元件（12）。在另一端，基部和可移位元件形成有互补的夹爪（24,26），所述互补夹爪在可移位元件相对于所述基部的一定范围的角位置上提供面对表面的连续重叠。在一些情况下，可移位元件（12）的第一端部（16）形成有突出齿（28），所述突出齿形成以与铰链互连的轴线（18）为中心的部分齿轮，所述铰链互连用于接合蜗轮。在某些实施例中，基座形成有用于可移除地接收蜗轮工具（32）以用于接合齿（28）并移位所述可移位元件的插座（30）。膨胀后，可以移除蜗轮工具（32）。

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