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11. 发明授权

US09095441B2 Prothesis for the replacement of a posterior element of a vertebra 有权
标题翻译：用于替代椎骨后部元素的假体
公开(公告)号：US09095441B2
公开(公告)日：2015-08-04
申请号：US13276617
申请日：2011-10-19
申请人： T. Wade Fallin , Robert W. Hoy , E. Marlowe Goble
发明人： T. Wade Fallin , Robert W. Hoy , E. Marlowe Goble
IPC分类号： A61F2/44 , A61F2/30
CPC分类号： A61F2/4405 , A61B17/86 , A61B2560/0443 , A61F2002/30578 , A61F2002/30604
摘要： Prosthetic replacement for a posterior element of a vertebra comprising portions that replace the natural lamina and the four natural facets. The prosthetic replacement may also include portions that replace one or more of the natural spinous process and the two natural transverse processes. If desired, the prosthesis replacement may also replace the natural pedicles. A method for replacing a posterior element of a vertebra is also provided.
摘要翻译：椎体的后部元件的假体置换包括替代天然层和四个自然面的部分。假体置换还可以包括替代天然棘突中的一个或多个和两个自然横向过程的部分。如果需要，假体更换也可以代替天然椎弓根。还提供了用于替换椎骨的后部元件的方法。

12. 发明授权

US08328815B2 Surgical access with target visualization 有权
标题翻译：手术访问与目标可视化
公开(公告)号：US08328815B2
公开(公告)日：2012-12-11
申请号：US12537941
申请日：2009-08-07
申请人： Morteza M. Farr , E. Marlowe Goble , T. Wade Fallin , Ephraim Akyuz , Daniel F. Justin , Douglas M. Lorang
发明人： Morteza M. Farr , E. Marlowe Goble , T. Wade Fallin , Ephraim Akyuz , Daniel F. Justin , Douglas M. Lorang
IPC分类号： A61B17/58
CPC分类号： A61B17/025 , A61B6/506 , A61B17/1604 , A61B17/1757 , A61B17/3468 , A61B17/3472 , A61B90/11 , A61B90/39 , A61B90/50 , A61B2017/0256 , A61B2017/320044 , A61B2017/3405 , A61B2090/376 , A61F2/4455 , A61F2/447 , A61F2/4601 , A61F2/4611 , A61F2/4684 , A61F2002/30116 , A61F2002/30538 , A61F2002/30616 , A61F2002/30904 , A61F2002/4435 , A61F2002/4627 , A61F2002/4681 , A61F2002/4687 , A61F2230/0006 , A61F2250/0006
摘要： Accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate to the spine. Positioning of the distal end of a radiolucent curved access cannula may be assisted by use of one or more radio-opaque markers. Markers may be positioned to form a cross hair image in fluoroscopy to assist in cannula placement. Radio-opaque inserts placed in and extended beyond the curved access cannula may have radiolucent windows to allow viewing of the cannula's radio-opaque markers. An appropriately placed curved access cannula may be clamped to prevent subsequent movement. Appropriate tools may be introduced through the curved access cannula and the distal radio-opaque tool heads may be viewed relative to the radio-opaque markers. The curved access cannula may be attached to the spine through one or more screws.
摘要翻译：从弯曲的后外侧方法进入脊柱可以包括沿着从皮肤中的开口到靠近脊柱的位置的弯曲路径定位的弯曲插管。可以通过使用一个或多个不透射线的标记来辅助射线可透过弯曲的入口插管的远端的定位。可以将标记定位成以透视法形成十字头图像以辅助套管放置。放置在弯曲进入插管中并延伸超过弯曲进入插管的无线电不透明插入件可以具有射线透视窗口，以允许观察套管的不透射线的标记。可以将适当放置的弯曲进入插管夹紧以防止随后的移动。可以通过弯曲的进入插管引入适当的工具，并且可以相对于不透射线的标记来观察远端不透射线的工具头。弯曲的进入插管可以通过一个或多个螺钉附接到脊柱。

13. 发明授权

US08066741B2 Prosthesis for the replacement of a posterior element of a vertebra 有权
标题翻译：用于替代椎骨后部元素的假体
公开(公告)号：US08066741B2
公开(公告)日：2011-11-29
申请号：US12328964
申请日：2008-12-05
申请人： T. Wade Fallin , Robert W. Hoy , E. Marlowe Goble
发明人： T. Wade Fallin , Robert W. Hoy , E. Marlowe Goble
IPC分类号： A61B17/70 , A61B19/00 , A61F2/44
CPC分类号： A61F2/4405 , A61B17/86 , A61B2560/0443 , A61F2002/30578 , A61F2002/30604
摘要： A prosthetic replacement for a posterior element of a vertebra comprising portions that replace the natural lamina and the four natural facets. The prosthetic replacement may also include portions that replace one or more of the natural spinous process and the two natural transverse processes. If desired, the prosthesis replacement may also replace the natural pedicles. A method for replacing a posterior element of a vertebra is also provided.
摘要翻译：用于椎骨后部元件的假体替代物，其包括替代天然椎板和四个自然面的部分。假体置换还可以包括替代天然棘突中的一个或多个和两个自然横向过程的部分。如果需要，假体更换也可以代替天然椎弓根。还提供了用于替换椎骨的后部元件的方法。

14. 发明授权

US07963984B2 Apparatus and method for attaching a graft ligament to a bone 有权
标题翻译：将移植韧带附着于骨骼的装置和方法
公开(公告)号：US07963984B2
公开(公告)日：2011-06-21
申请号：US11760461
申请日：2007-06-08
申请人： E. Marlowe Goble , T. Wade Fallin , Kenneth J. Gardner
发明人： E. Marlowe Goble , T. Wade Fallin , Kenneth J. Gardner
IPC分类号： A61B17/04 , A61B17/86 , A61F2/08
CPC分类号： A61B17/1714 , A61B17/1764 , A61B17/864 , A61B17/8645 , A61F2/0805 , A61F2/0811 , A61F2002/0829 , A61F2002/0858 , A61F2002/0882 , Y10S606/908 , Y10S606/916
摘要： A novel fixation system for fixing a graft ligament in a bone tunnel. The fixation system comprises an interference screw comprising a body having a distal end and a proximal end, screw threads extending longitudinally along the body, and a transversely-extending region formed in the body for receiving a transverse pin therein, whereby to securely lock the interference screw, and hence the graft ligament, to the bone. In accordance with a further feature of the present invention, there is provided a method for attaching a graft ligament to a bone, the method comprising the steps of: (i) drilling a tunnel in the bone; (ii) positioning the graft ligament in the bone tunnel; (iii) placing an interference screw in the bone tunnel so as to force the graft ligament laterally against the opposite side of the bone tunnel; and (iv) advancing a transverse pin transversely through the bone and through the interference screw so as to securely lock the interference screw, and hence the graft ligament, to the bone. The present invention can also be applied to attach other objects to bone, e.g., a bone fragment to bone.
摘要翻译：一种用于将移植韧带固定在骨隧道中的新型固定系统。固定系统包括干涉螺钉，其包括具有远端和近端的主体，沿着主体纵向延伸的螺纹，以及形成在主体中的用于在其中容纳横向销的横向延伸区域，从而牢固地锁定干涉螺钉，因此是移植韧带。根据本发明的另一个特征，提供了一种将移植韧带附着于骨骼的方法，该方法包括以下步骤：（i）在骨中钻孔; （ii）将移植韧带定位在骨隧道中; （iii）在所述骨隧道中设置干涉螺钉，以使所述移植韧带横向抵靠所述骨隧道的相对侧; 和（iv）使横向销横向穿过骨头并穿过干涉螺钉，以便将干涉螺钉（因此，移植韧带）牢固地锁定到骨骼上。本发明还可以应用于将其它物体附着于骨骼，例如将骨碎片附着到骨头上。

15. 发明申请

US20100057129A1 MULTIPLE FACET JOINT REPLACEMENT 有权
标题翻译：多个面板接头替换
公开(公告)号：US20100057129A1
公开(公告)日：2010-03-04
申请号：US12616216
申请日：2009-11-11
申请人： E. Marlowe Goble , T. Wade Fallin , Robert W. Hoy
发明人： E. Marlowe Goble , T. Wade Fallin , Robert W. Hoy
IPC分类号： A61B17/70 , A61F2/44
CPC分类号： A61F2/4405 , Y10S606/907 , Y10S606/91
摘要： A prosthesis for the replacement of multiple diseased or traumatized spinal facets comprises a portion that replaces at least a bony portion of the facets to be replaced and where the prosthesis attaches to the vertebra in a manner that does not require attachment to, or abutment against, the lamina. Multiple configurations of the prosthesis provide for replacement of the two inferior facets, the two superior facets, a superior and inferior facet, or all four facets. A method of installing the prosthesis is provided that is comprised of the steps of resecting at least a portion of the facets that carry the diseased or traumatized spinal facets and attaching the prosthesis in a manner that does not require attachment or abutment against the lamina.
摘要翻译：用于替换多个患病或创伤的脊柱面的假体包括替代要替换的小平面的至少骨骼部分的部分，以及假体以不需要附接到或抵靠椎骨的方式附接到椎骨的部分，薄片。假体的多种构造提供了两个下部面，两个上表面，上下面或所有四个面的替换。提供了一种安装假体的方法，其包括以下步骤：切除携带患病或创伤的脊柱面的至少一部分小平面，并且以不需要与椎板附接或抵靠的方式附接假体。

16. 发明申请

US20100030065A1 SURGICAL ACCESS WITH TARGET VISUALIZATION 有权
标题翻译：具有目标可视化的外科手术
公开(公告)号：US20100030065A1
公开(公告)日：2010-02-04
申请号：US12537941
申请日：2009-08-07
申请人： Morteza M. Farr , E. Marlowe Goble , T. Wade Fallin , Ephraim Akyuz , Daniel F. Justin , Douglas M. Lorang
发明人： Morteza M. Farr , E. Marlowe Goble , T. Wade Fallin , Ephraim Akyuz , Daniel F. Justin , Douglas M. Lorang
IPC分类号： A61B6/12 , A61B17/90
CPC分类号： A61B17/025 , A61B6/506 , A61B17/1604 , A61B17/1757 , A61B17/3468 , A61B17/3472 , A61B90/11 , A61B90/39 , A61B90/50 , A61B2017/0256 , A61B2017/320044 , A61B2017/3405 , A61B2090/376 , A61F2/4455 , A61F2/447 , A61F2/4601 , A61F2/4611 , A61F2/4684 , A61F2002/30116 , A61F2002/30538 , A61F2002/30616 , A61F2002/30904 , A61F2002/4435 , A61F2002/4627 , A61F2002/4681 , A61F2002/4687 , A61F2230/0006 , A61F2250/0006
摘要： Accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate to the spine. Positioning of the distal end of a radiolucent curved access cannula may be assisted by use of one or more radio-opaque markers. Markers may be positioned to form a cross hair image in fluoroscopy to assist in cannula placement. Radio-opaque inserts placed in and extended beyond the curved access cannula may have radiolucent windows to allow viewing of the cannula's radio-opaque markers. An appropriately placed curved access cannula may be clamped to prevent subsequent movement. Appropriate tools may be introduced through the curved access cannula and the distal radio-opaque tool heads may be viewed relative to the radio-opaque markers. The curved access cannula may be attached to the spine through one or more screws.
摘要翻译：从弯曲的后外侧方法进入脊柱可以包括沿着从皮肤中的开口到接近脊柱的位置的弯曲路径定位的弯曲插管。可以通过使用一个或多个不透射线的标记来辅助射线可透过弯曲的入口插管的远端的定位。可以将标记定位成以透视法形成十字头图像以辅助套管放置。放置在弯曲进入插管中并延伸超过弯曲进入插管的无线电不透明插入件可以具有射线透视窗口，以允许观察套管的不透射线的标记。可以将适当放置的弯曲进入插管夹紧以防止随后的移动。可以通过弯曲的进入插管引入适当的工具，并且可以相对于不透射线的标记来观察远端不透射线的工具头。弯曲的进入插管可以通过一个或多个螺钉附接到脊柱。

17. 发明授权

US07594922B1 System and method for meniscal repair through a meniscal capsular tunnel 失效
标题翻译：通过半月板囊状隧道进行半月板修复的系统和方法
公开(公告)号：US07594922B1
公开(公告)日：2009-09-29
申请号：US11102027
申请日：2005-04-07
申请人： E. Marlowe Goble , Daniel F. Justin , T. Wade Fallin
发明人： E. Marlowe Goble , Daniel F. Justin , T. Wade Fallin
IPC分类号： A61F2/08
CPC分类号： A61B17/064 , A61B17/02 , A61B17/0401 , A61B17/0482 , A61B17/0483 , A61B17/0485 , A61B17/0487 , A61B17/0493 , A61B17/0625 , A61B17/0643 , A61B17/0644 , A61B17/0682 , A61B90/30 , A61B2017/0409 , A61B2017/0412 , A61B2017/0419 , A61B2017/0427 , A61B2017/0474 , A61B2017/06057 , A61B2017/0646 , A61B2017/0647 , A61B2017/320044
摘要： A system for open or arthroscopic surgical repair of torn or damaged meniscal tissue has a repair member and an instrument. The repair member is a suture, flexible or rigid implant. The instrument has at a portion that is shaped to slide within a meniscal capsular tunnel. The meniscal capsular tunnel is an opening in the knee soft tissue passing from the anterior side of the knee adjacent to the mensical tissue to the posterior side of the knee in both the medial and lateral directions. The instrument interacts with the repair member to either insert it into the meniscus from the posterior side, or to facilitate securing of the repair member so that the repair member holds the meniscal tissue together on either side of a meniscal tear to foster healing of the damaged tissue.
摘要翻译：用于开放或关节镜手术修复撕裂或损坏的半月板组织的系统具有修复构件和器械。修复构件是缝合线，柔性或刚性植入物。仪器具有在半月板囊状隧道内成形为滑动的部分。半月板囊状隧道是膝盖软组织中的膝盖的前侧与肉眼组织相邻的内侧和外侧两侧的膝盖后侧的开口。仪器与修复构件相互作用以将其从后侧插入弯月面，或者便于修复构件的固定，使得修复构件将半月板组织保持在半月板撕裂的两侧，以促进损伤的愈合组织。

18. 发明授权

US07566345B1 Prosthesis for the replacement of a posterior element of a vertebra 有权
公开(公告)号：US07566345B1
公开(公告)日：2009-07-28
申请号：US11083710
申请日：2005-03-18
申请人： T. Wade Fallin , E. Marlowe Goble , Robert W. Hoy
发明人： T. Wade Fallin , E. Marlowe Goble , Robert W. Hoy
IPC分类号： A61F2/44 , A61B17/70
CPC分类号： A61F2/4405 , A61B17/86 , A61B2560/0443 , A61F2002/30578 , A61F2002/30604
摘要： A prosthetic replacement for a posterior element of a vertebra comprising portions that replace the natural lamina and the four natural facets. The prosthetic replacement may also include portions that replace one or more of the natural spinous process and the two natural transverse processes. If desired, the prosthesis replacement may also replace the natural pedicles. A method for replacing a posterior element of a vertebra is also provided.

19. 发明授权

US07229448B2 Apparatus and method for attaching a graft ligament to a bone 有权
标题翻译：将移植韧带附着于骨骼的装置和方法
公开(公告)号：US07229448B2
公开(公告)日：2007-06-12
申请号：US10383179
申请日：2003-03-06
申请人： E. Marlowe Goble , T. Wade Fallin , Kenneth J. Gardner
发明人： E. Marlowe Goble , T. Wade Fallin , Kenneth J. Gardner
IPC分类号： A61B17/86
CPC分类号： A61B17/1714 , A61B17/1764 , A61B17/864 , A61B17/8645 , A61F2/0805 , A61F2/0811 , A61F2002/0829 , A61F2002/0858 , A61F2002/0882 , Y10S606/908 , Y10S606/916
摘要： A transverse guide assembly for use in passing a transverse pin through a host bone and through a transversely-extending region formed in an interference screw, wherein the transverse guide assembly includes a key member, a boom member and a guide member, and further wherein the key member is adapted to be connected to a keyway formed in the proximal end of the interference screw, the boom member is connected to the key member and supports the guide member outboard of the interference screw, and the guide member is configured to support a drill for forming a hole to receive the transverse pin which extends transversely through the host bone and the transversely-extending region formed in the interference screw.
摘要翻译：一种横向引导组件，用于使横向销穿过主体骨并穿过形成在干涉螺钉中的横向延伸区域，其中所述横向引导组件包括键构件，悬臂构件和引导构件，并且其中，键构件适于连接到形成在干涉螺钉的近端的键槽，悬臂构件连接到键构件并将引导构件支撑在干涉螺钉的外侧，并且引导构件构造成支撑钻用于形成孔以接收横向穿过宿主骨横向延伸的横向销和形成在干涉螺钉中的横向延伸区域。

20. 发明授权

US07074237B2 Multiple facet joint replacement 有权
公开(公告)号：US07074237B2
公开(公告)日：2006-07-11
申请号：US10420467
申请日：2003-04-22
申请人： E. Marlowe Goble , T. Wade Fallin , Robert W. Hoy
发明人： E. Marlowe Goble , T. Wade Fallin , Robert W. Hoy
IPC分类号： A61F2/44 , A61B17/56
CPC分类号： A61F2/4405 , Y10S606/907 , Y10S606/91
摘要： A prosthesis for the replacement of multiple diseased or traumatized spinal facets comprises a portion that replaces at least a bony portion of the facets to be replaced and where the prosthesis attaches to the vertebra in a manner that does not require attachment to, or abutment against, the lamina. Multiple configurations of the prosthesis provide for replacement of the two inferior facets, the two superior facets, a superior and inferior facet, or all four facets. A method of installing the prosthesis is provided that is comprised of the steps of resecting at least a portion of the facets that carry the diseased or traumatized spinal facets and attaching the prosthesis in a manner that does not require attachment or abutment against the lamina.

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