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1. 发明授权

US09572603B2 Interspinous spacer 有权
标题翻译：椎间间隔
公开(公告)号：US09572603B2
公开(公告)日：2017-02-21
申请号：US13616547
申请日：2012-09-14
申请人： Moti Altarac , Shawn Tebbe
发明人： Moti Altarac , Shawn Tebbe
IPC分类号： A61B17/70 , A61B17/00 , A61F2/00
CPC分类号： A61B17/7067 , 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 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. An actuator assembly is disposed inside the longitudinal passageway and connected to the body. When advanced, the actuator assembly contacts camming surfaces of the 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 providing sufficient distraction to open the neural foramen. An insertion instrument is provided for implanting the interspinous process spacer. The system is configured for implantation through a small percutaneous incision employing minimally invasive techniques.
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。致动器组件设置在纵向通道内并连接到主体。当前进时，致动器组件接触臂的凸轮表面，以将其从未部署的配置旋转到部署配置。在展开的构造中，分散的相邻棘突位于臂的U形部分中，提供足够的分心以打开神经孔。提供插入器械用于植入棘突间间隔物。该系统配置为通过使用微创技术的小型经皮切口进行植入。

2. 发明授权

US09393055B2 Spacer insertion instrument 有权
标题翻译：间隔插入仪器
公开(公告)号：US09393055B2
公开(公告)日：2016-07-19
申请号：US14089692
申请日：2013-11-25
申请人： Moti Altarac , Shawn Tebbe , Daniel H. Kim
发明人： Moti Altarac , Shawn Tebbe , Daniel H. Kim
IPC分类号： A61B17/68 , A61B17/70 , A61B17/02 , A61B17/00 , A61F2/00
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 insertion 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 relative 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 driving tool configured for removable insertion into a proximal end of a passageway of the instrument.
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。插入器具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用于相对于外轴的相对平移运动的内轴。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，从而偏转形成在内轴或外轴中的一个上的至少一个叉，其中这种偏转导致与并置的棘突间间隔件的接合。仪器还包括被配置为可移除地插入仪器的通道的近端的驱动工具。

3. 发明授权

US08152837B2 Systems and methods for posterior dynamic stabilization of the spine 有权
标题翻译：脊柱后动态稳定的系统和方法
公开(公告)号：US08152837B2
公开(公告)日：2012-04-10
申请号：US11314712
申请日：2005-12-20
申请人： Moti Altarac , Shawn Tebbe , Daniel H. Kim , J. Christopher Flaherty
发明人： Moti Altarac , Shawn Tebbe , Daniel H. Kim , J. Christopher Flaherty
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： 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。这些装置包括具有未部署构造和展开构造的可扩展间隔件，其中间隔件具有用于在相邻椎骨的棘突之间定位的轴向和径向尺寸。这些系统包括一个或多个间隔件和用于递送和展开间隔件的机械致动装置。该方法涉及在椎间盘间隙内植入一个或多个间隔物。

4. 发明申请

US20080287997A1 Interspinous spacer 有权
公开(公告)号：US20080287997A1
公开(公告)日：2008-11-20
申请号：US12217662
申请日：2008-07-08
申请人： Moti Altarac , Shawn Tebbe , Joey Camia Reglos , Yang Cheng , Murali P. Kadaba , Daniel H. Kim
发明人： Moti Altarac , Shawn Tebbe , Joey Camia Reglos , Yang Cheng , Murali P. Kadaba , Daniel H. Kim
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.

5. 发明授权

US09155570B2 Interspinous spacer 有权
标题翻译：椎间间隔
公开(公告)号：US09155570B2
公开(公告)日：2015-10-13
申请号：US13617018
申请日：2012-09-14
申请人： Moti Altarac , Shawn Tebbe , Joey Camia Reglos , Yang Cheng , Murali P. Kadaba , Daniel H. Kim
发明人： Moti Altarac , Shawn Tebbe , Joey Camia Reglos , Yang Cheng , Murali P. Kadaba , Daniel H. Kim
IPC分类号： A61B17/70 , A61B17/00 , A61F2/00
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。在展开的构型中，分散的相邻棘突位于臂的U形部分中。

6. 发明授权

US09119680B2 Interspinous spacer 有权
标题翻译：椎间间隔
公开(公告)号：US09119680B2
公开(公告)日：2015-09-01
申请号：US13406442
申请日：2012-02-27
申请人： Moti Altarac , Shawn Tebbe , Joey Camia Reglos , Yang Cheng
发明人： Moti Altarac , Shawn Tebbe , Joey Camia Reglos , Yang Cheng
IPC分类号： A61B17/70
CPC分类号： A61B17/7067 , A61B17/7065 , A61B2017/564
摘要： An implantable spacer for placement between adjacent spinous processes is provided. The spacer includes a body and a wing rotatably connected to the body. The wing includes two U-shaped configurations that together define a substantially H-shaped configuration for retaining the spacer between adjacent spinous processes. An actuator assembly is connected to the body and to the wing with the proximal end of the spacer being connectable to a removable driver that is configured to engage the actuator assembly. While connected to the spacer, the driver is rotatable in one direction to deploy the wing from an undeployed to a deployed configuration and in an opposite direction to undeploy the wing. In the deployed configuration, the spacer acts as a space holder opening up the area of the spinal canal, maintaining foraminal height, reducing stress on the facet joints and relieving pain for the patient.
摘要翻译：提供了用于放置在相邻棘突之间的可植入间隔物。间隔件包括主体和可旋转地连接到主体的翼。机翼包括两个U形构造，其一起限定了用于将间隔件保持在相邻棘突之间的基本上为H形的构型。致动器组件连接到主体和机翼，其中间隔件的近端可连接到构造成接合致动器组件的可拆卸驱动器。当连接到间隔件时，驱动器可以在一个方向上旋转，以将机翼从未部署到展开的构造并且沿相反的方向展开以取消部署机翼。在展开的构造中，间隔件用作打开椎管的区域的空间保持器，保持椎间高度，减小小关节上的压力并减轻患者的疼痛。

7. 发明授权

US08845726B2 Dilator 有权
标题翻译：摊薄机
公开(公告)号：US08845726B2
公开(公告)日：2014-09-30
申请号：US12358010
申请日：2009-01-22
申请人： Shawn Tebbe , Moti Altarac , Yang Cheng
发明人： Shawn Tebbe , Moti Altarac , Yang Cheng
IPC分类号： A61B17/66 , A61B17/34 , A61B17/3209 , A61B17/3211 , A61B17/70
CPC分类号： A61B17/3468 , A61B17/025 , A61B17/32093 , A61B17/3211 , A61B17/3421 , A61B17/7062 , A61B2017/0256 , A61B2017/320044 , A61B2017/3454 , A61B2017/346 , A61M29/00
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：提供了有利于植入椎间间隔垫的扩张器。扩张器包括通过细长主体部分互连的近端部分和锥形远端部分。锥形远端部分理想地适用于分裂韧带组织，以产生通过上棘韧带的后中线通路，以及分散相邻棘突的分心。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，用于相对于棘突稳定扩张器。伴随的插管与扩张器一起形成用于分散相邻棘突的系统，棘突相对于系统的稳定以及用于植入椎间间隔垫的工作通道的产生。

8. 发明申请

US20130012998A1 SYSTEMS AND METHODS FOR POSTERIOR DYNAMIC STABILIZATION OF THE SPINE 有权
标题翻译：脊柱动力学稳定性的系统与方法
公开(公告)号：US20130012998A1
公开(公告)日：2013-01-10
申请号：US13442751
申请日：2012-04-09
申请人： Moti Altarac , Shawn Tebbe , Daniel H. Kim , J. Christopher Flaherty
发明人： Moti Altarac , Shawn Tebbe , Daniel H. Kim , J. Christopher Flaherty
IPC分类号： A61B17/88
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： 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。这些装置包括具有未部署构造和展开构造的可扩展间隔件，其中间隔件具有用于在相邻椎骨的棘突之间定位的轴向和径向尺寸。这些系统包括一个或多个间隔件和用于递送和展开间隔件的机械致动装置。该方法涉及在椎间盘间隙内植入一个或多个间隔物。

9. 发明授权

US08128662B2 Minimally invasive tooling for delivery of interspinous spacer 有权
标题翻译：微创工具用于递送椎间盘间隔
公开(公告)号：US08128662B2
公开(公告)日：2012-03-06
申请号：US11582874
申请日：2006-10-18
申请人： Moti Altarac , Shawn Tebbe , Robert Gutierrez , Daniel H. Kim , J. Christopher Flaherty
发明人： Moti Altarac , Shawn Tebbe , Robert Gutierrez , Daniel H. Kim , J. Christopher Flaherty
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 , A61B17/7067 , 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，以及间隔件的精确传递以维持整个植入过程中的安全定位。

10. 发明申请

US20080319550A1 Interspinous spacer 有权
标题翻译：椎间间隔
公开(公告)号：US20080319550A1
公开(公告)日：2008-12-25
申请号：US12205511
申请日：2008-09-05
申请人： Moti Altarac , Shawn Tebbe , Joey Camia Reglos , Yang Cheng
发明人： Moti Altarac , Shawn Tebbe , Joey Camia Reglos , Yang Cheng
IPC分类号： A61F2/44 , A61B17/58
CPC分类号： A61B17/7065 , A61B2017/00004 , A61F2/0077
摘要： An implantable spacer for placement between adjacent spinous processes is provided. The spacer includes a body and a wing rotatable connected to the body. The wing includes two U-shaped configurations that together define a substantially H-shaped configuration for retaining the spacer between adjacent spinous processes. An actuator assembly is connected to the body and to the wing with the proximal end of the spacer being connectable to a removable driver that is configured to engage the actuator assembly. While connected to the spacer, the driver is rotatable in one direction to deploy the wing from an undeployed to a deployed configuration and in an opposite direction to undeploy the wing. In the deployed configuration, the spacer acts as a space holder opening up the area of the spinal canal, maintaining foraminal height, reducing stress on the facet joints and relieving pain for the patient.
摘要翻译：提供了用于放置在相邻棘突之间的可植入间隔物。间隔件包括主体和可旋转地连接到主体的翼。机翼包括两个U形构造，其一起限定了用于将间隔件保持在相邻棘突之间的基本上为H形的构型。致动器组件连接到主体和机翼，其中间隔件的近端可连接到构造成接合致动器组件的可拆卸驱动器。当连接到间隔件时，驱动器可以在一个方向上旋转，以将机翼从未部署到展开的构造并且沿相反的方向展开以取消部署机翼。在展开的构造中，间隔件用作打开椎管的区域的空间保持器，保持椎间高度，减小小关节上的压力并减轻患者的疼痛。

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