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1. 发明授权

US09788869B2 Spinal fixation element rotation instrument 有权
公开(公告)号：US09788869B2
公开(公告)日：2017-10-17
申请号：US12395469
申请日：2009-02-27
申请人： Shawn D. Stad , Christopher L. Ramsay , Thomas Gamache , Raymond F. Murphy
发明人： Shawn D. Stad , Christopher L. Ramsay , Thomas Gamache , Raymond F. Murphy
IPC分类号： A61B17/70 , A61B17/88
CPC分类号： A61B17/7083 , A61B17/701 , A61B17/7011 , A61B17/7085 , A61B17/8891
摘要： A spinal fixation element rotation instrument with two lever arms is provided. The lever arms are connected to each other at distal ends thereof. The second lever arm rotates relative to the first lever arm. The distal ends of the first and second lever arms are adapted to couple to a spinal fixation element. The distal ends of the lever arms may have a dual ratchet feature that prevents rotation in a set direction. When one arm rotates back and forth, the other arm is held stationary. As a result, the spinal fixation element rotates in a predetermined direction and is prevented from rotating back toward its initial position. The direction of the rotation of the spinal fixation element may be set using knobs or switches provided at a proximal end of one or both of the lever arms.

2. 发明授权

US09044277B2 Pedicular facet fusion screw with plate 有权
公开(公告)号：US09044277B2
公开(公告)日：2015-06-02
申请号：US12834397
申请日：2010-07-12
申请人： Michael O'Neil , John R. Hawkins , Michael A. Fisher , Robert A. Hart , Henri Defossez , Richard Fessler , Robert D. Labrom , Hassan A. Serhan , Duncan Betts , Shawn D. Stad
发明人： Michael O'Neil , John R. Hawkins , Michael A. Fisher , Robert A. Hart , Henri Defossez , Richard Fessler , Robert D. Labrom , Hassan A. Serhan , Duncan Betts , Shawn D. Stad
IPC分类号： A61B17/86 , A61B17/04 , A61F2/08 , A61B17/70 , A61B17/80
CPC分类号： A61B17/7064 , A61B17/8038 , A61B17/8061 , A61B17/8605 , A61B17/8625 , A61B17/8695
摘要： Spinal implants and methods for spinal stabilization and/or fusion are provided. Exemplary implants described herein can be configured for delivery to a facet joint to stabilize and/or fuse the facet joint, and can optionally be anchored within the pedicle for added fixation. The implant can optionally include a fusion-promoting bioactive material thereby providing a single device capable of spinal stabilization and/or fusion. Furthermore, a method of placing such an implant within a facet joint is provided.

3. 发明授权

US08900306B2 Nucleus anti-expulsion devices and methods 有权
标题翻译：核防驱逐装置及方法
公开(公告)号：US08900306B2
公开(公告)日：2014-12-02
申请号：US11535413
申请日：2006-09-26
申请人： Brooke W. Mastrorio , Mark T. Hall , Shawn D. Stad
发明人： Brooke W. Mastrorio , Mark T. Hall , Shawn D. Stad
IPC分类号： A61F2/44 , A61F2/46 , A61F2/30
CPC分类号： A61F2/442 , A61F2/4611 , A61F2002/30014 , A61F2002/3008 , A61F2002/30131 , A61F2002/30135 , A61F2002/30166 , A61F2002/302 , A61F2002/30331 , A61F2002/30471 , A61F2002/30477 , A61F2002/30565 , A61F2002/30579 , A61F2002/30594 , A61F2002/30616 , A61F2002/30841 , A61F2002/4435 , A61F2002/444 , A61F2002/4495 , A61F2220/0025 , A61F2220/0033 , A61F2220/0091 , A61F2230/0004 , A61F2230/0013 , A61F2230/0028 , A61F2230/0065 , A61F2250/0018 , A61F2250/0098
摘要： Devices and methods for preventing the migration or expulsion of a nucleus disc replacement implant are provided. In one embodiment, an anti-expulsion device includes a body that is movable between a compressed configuration where it is adapted to fit through an opening in an annulus of a spinal disc, and an expanded configuration where it has a size that is larger than a size of the opening in the annulus of a spinal disc. The body can also include one or more mating features that allow the body to interact with a nucleus disc replacement implant and/or an annular wall of an annulus. As a result, since the body is larger than the opening of the annulus in the expanded configuration, the interlocking connection between the body and the nucleus disc replacement implant and/or annular wall will allow the body to prevent the nucleus disc replacement implant from being expulsed from the opening in the annulus.
摘要翻译：提供了用于防止移植或排出髓核置换植入物的装置和方法。在一个实施例中，防排出装置包括主体，该主体可以在其适于通过脊椎盘的环形空间中的开口配合的压缩构型之间移动，并且扩展构型，其具有大于椎间盘环的开口尺寸。身体还可以包括允许身体与核盘替换植入物和/或环的环形壁相互作用的一个或多个配合特征。结果，由于身体比扩张构型中的环的开口大，所以身体与核盘替换植入体和/或环形壁之间的互锁连接将允许身体防止细胞核盘替换植入物从环的开口排出。

4. 发明授权

US08828007B2 Minimally invasive bone anchor extensions 有权
标题翻译：微创骨锚延伸
公开(公告)号：US08828007B2
公开(公告)日：2014-09-09
申请号：US13027864
申请日：2011-02-15
申请人： Shawn D. Stad , Christopher Ramsay , Brian Fergus Murphy
发明人： Shawn D. Stad , Christopher Ramsay , Brian Fergus Murphy
IPC分类号： A61B17/70 , A61B17/88
CPC分类号： A61B17/8875 , A61B17/7032 , A61B17/7076 , A61B17/7082 , A61B17/7091
摘要： Methods and devices are provided for facilitating delivery and implanting of a bone anchor into bone. In one exemplary embodiment, a bone anchor extension is provided for coupling to a bone anchor to facilitate delivery and implanting of the bone anchor in bone. The bone anchor extension can have a generally elongate configuration that allows it to extend from a skin incision in a patient to a site proximate a patient's spine, and it can include a lumen extending therethrough between proximal and distal ends thereof. A distal end of the bone anchor extension can be adapted to engage a bone anchor, such as a bone screw. Various techniques are provided for locking the distal end of the bone anchor extension into engagement with a bone anchor.
摘要翻译：方法和装置被提供用于促进将骨锚传送和植入骨中。在一个示例性实施例中，骨锚固件延伸部被提供用于联接到骨锚固件以便于骨锚固体在骨中的输送和植入。骨锚延伸部可以具有允许其从患者的皮肤切口延伸到靠近患者脊柱的部位的大致细长的构造，并且其可以包括在其近端和远端之间延伸通过的内腔。骨锚延伸部的远端可以适于接合骨锚，例如骨螺钉。提供了各种技术来将骨锚延伸部的远端锁定成与骨锚定器接合。

5. 发明申请

US20120221058A1 Torque Limited Instrument For Manipulating A Spinal Rod Relative to a Bone Anchor 有权
标题翻译：用于操纵相对于骨锚的脊柱的扭矩限制仪器
公开(公告)号：US20120221058A1
公开(公告)日：2012-08-30
申请号：US13444430
申请日：2012-04-11
申请人： Shawn D. Stad , Raymond Murphy
发明人： Shawn D. Stad , Raymond Murphy
IPC分类号： A61B17/70 , A61B17/56
CPC分类号： A61B17/7091 , A61B2090/031
摘要： An instrument for adjusting a spinal rod relative to a bone anchor includes a handle connecting a set screw driver with a reduction collar. The handle includes an inner shaft engageable with the set screw driver, an outer shaft engageable with the reduction collar, and a clutch connecting the inner shaft to the outer shaft and permitting selective rotation of the inner shaft relative to the outer shaft, and thus, selective rotation of the set screw driver relative to the reduction collar, upon application of a torque to the reduction collar and the outer shaft greater than a preselected torque value.
摘要翻译：用于相对于骨锚固器调节脊柱杆的仪器包括将固定螺丝刀与减速颈环连接的把手。手柄包括可与定位螺丝刀接合的内轴，可与减速轴环接合的外轴和将内轴连接到外轴并允许内轴相对于外轴的选择性旋转的离合器，当向减速轴环和外轴施加大于预选转矩值的扭矩时，固定螺丝刀相对于减速环的选择性旋转。

6. 发明申请

US20120010662A1 PEDICULAR FACET FUSION SCREW WITH PLATE 有权
公开(公告)号：US20120010662A1
公开(公告)日：2012-01-12
申请号：US12834417
申请日：2010-07-12
申请人： Michael O'Neil , John R. Hawkins , Michael A. Fisher , Robert A. Hart , Richard Fessler , Robert D. LaBrom , Hassan A. Serhan , Shawn D. Stad
发明人： Michael O'Neil , John R. Hawkins , Michael A. Fisher , Robert A. Hart , Richard Fessler , Robert D. LaBrom , Hassan A. Serhan , Shawn D. Stad
IPC分类号： A61B17/88 , A61B17/86
CPC分类号： A61B17/7064 , A61B17/8038 , A61B17/8061 , A61B17/8605 , A61B17/8625 , A61B17/8695
摘要： Spinal implants and methods for spinal stabilization and/or fusion are provided. Exemplary implants described herein can be configured for delivery to a facet joint to stabilize and/or fuse the facet joint, and can optionally be anchored within the pedicle for added fixation. The implant can optionally include a fusion-promoting bioactive material thereby providing a single device capable of spinal stabilization and/or fusion. Furthermore, a method of placing such an implant within a facet joint is provided.

7. 发明申请

US20090088764A1 DUAL PIVOT INSTRUMENT FOR REDUCTION OF A FIXATION ELEMENT AND METHOD OF USE 有权
标题翻译：用于减少固定元件的双重仪器和使用方法
公开(公告)号：US20090088764A1
公开(公告)日：2009-04-02
申请号：US11864479
申请日：2007-09-28
申请人： Shawn D. Stad , James Paiva
发明人： Shawn D. Stad , James Paiva
IPC分类号： A61B17/58 , A61B17/08
CPC分类号： A61B17/7086 , A61B17/8875
摘要： A spinal fixation element fixation reduction system is provided herein. In general, the system can include a cap element with a bore having a central axis extending therethrough wherein the cap element is configured to releasably engage any type of surgical device (e.g., an access sleeve, a vertebral body rotator, etc.). Further, the system can include a driver configured to be slidably and removably positioned through the cap element. The system can also include an actuator configured to apply a force to the driver substantially along the central axis of the cap element thereby moving the driver in a distal direction so as to effect reduction of a spinal fixation element into a bone anchor. Additionally, a method of reducing a spinal fixation element into a bone anchor is also provided wherein the method can be performed as a minimally invasive surgical procedure or as an open procedure.
摘要翻译：本文提供了一种脊柱固定元件固定还原系统。通常，该系统可以包括具有孔的帽元件，孔具有延伸穿过其中的中心轴线，其中盖元件构造成可释放地接合任何类型的手术装置（例如，进入套筒，椎体旋转器等）。此外，该系统可以包括被配置为可滑动地和可移除地定位穿过盖元件的驱动器。该系统还可以包括致动器，其构造成基本上沿着帽元件的中心轴线向驾驶员施加力，从而使驾驶员沿远端方向移动，以便将脊柱固定元件减小到骨锚中。此外，还提供了将脊柱固定元件减小到骨锚中的方法，其中该方法可以作为微创外科手术或作为开放手术进行。

8. 发明申请

US20080119850A1 BREAK-OFF SCREW EXTENSION REMOVAL TOOLS 有权
标题翻译：断开螺丝延伸拆卸工具
公开(公告)号：US20080119850A1
公开(公告)日：2008-05-22
申请号：US11561497
申请日：2006-11-20
申请人： Christopher Sicvol , Shawn D. Stad , Timothy Beardsley , Douglas Bireley , James J. Roveda , Anthony R. Carlone
发明人： Christopher Sicvol , Shawn D. Stad , Timothy Beardsley , Douglas Bireley , James J. Roveda , Anthony R. Carlone
IPC分类号： A61B17/70
CPC分类号： A61B17/7032 , A61B17/1757 , A61B17/7037 , A61B17/708 , A61B17/7085 , A61B17/7091 , A61B17/8863 , A61B2017/0256 , A61B2090/037
摘要： The present invention provides minimally invasive devices and methods for delivering a spinal connector to one or more spinal anchor sites in a patient's spinal column. In one embodiment, a spinal implant and access device is provided that includes a U-shaped receiver member, a bone-engaging member, and an extension member. The U-shaped receiver member can have a recess formed therein that is adapted to seat a spinal connector. The bone-engaging member can extend distally from the receiver member and it can be adapted to engage bone to thereby mate the receiver member to bone. The extension member can extend proximally from the receiver member and it can include a frangible portion formed thereon that is adapted to break when a predetermined force is applied thereto thereby allowing at least a portion of the extension member to be separated from the receiver member.
摘要翻译：本发明提供用于将脊柱连接器递送到患者脊柱中的一个或多个脊柱锚固部位的微创装置和方法。在一个实施例中，提供了脊椎植入物和进入装置，其包括U形接收构件，骨接合构件和延伸构件。 U形接收器构件可以具有形成在其中的凹部，其适于安置脊椎连接器。骨接合构件可以从接收器构件向远端延伸，并且其可以适于接合骨，从而将接收器构件配合到骨骼。延伸构件可以从接收器构件向近侧延伸，并且其可以包括形成在其上的易碎部分，其适于在施加预定的力时断裂，从而允许延伸构件的至少一部分与接收器构件分离。

9. 发明授权

US09173673B2 Disc nucleus removal devices and methods 有权
标题翻译：圆盘去核装置及方法
公开(公告)号：US09173673B2
公开(公告)日：2015-11-03
申请号：US13360178
申请日：2012-01-27
申请人： Shawn D. Stad , John Riley Hawkins , Michael J. O'Neil
发明人： Shawn D. Stad , John Riley Hawkins , Michael J. O'Neil
IPC分类号： A61B17/32 , A61B17/3207 , A61B17/00
CPC分类号： A61B17/320725 , A61B2017/00261 , A61B2017/003 , A61B2017/00323
摘要： Disclosed herein are devices and methods for removing tissue. In one aspect, a device for removing tissue includes a hollow elongate member having an outer wall and a lumen, a selectively deployable tissue-cutting element extending from the hollow elongate member, and an actuation member extending through the lumen and coupled to the hollow elongate member at a location that is distal to the tissue-cutting element. Movement of the actuation member can cause the tissue-cutting element to move from the insertion configuration where the tissue-cutting element is not deployed to a tissue-cutting configuration where the tissue-cutting element is deployed such that it is radially extended relative to the insertion configuration.
摘要翻译：本文公开了用于去除组织的装置和方法。在一个方面，一种用于去除组织的装置包括具有外壁和内腔的中空细长构件，从中空细长构件延伸的可选择性展开的组织切割元件，以及延伸穿过内腔并联接到中空细长件在远离组织切割元件的位置处的构件。致动构件的运动可以使得组织切割元件从组织切割元件未展开的插入构造移动到组织切割构造，其中组织切割元件被展开，使得其相对于所述组织切割元件径向延伸插入配置。

10. 发明授权

US08979857B2 Modular medical tool and connector 有权
标题翻译：模块化医疗工具和连接器
公开(公告)号：US08979857B2
公开(公告)日：2015-03-17
申请号：US10959598
申请日：2004-10-06
申请人： Shawn D. Stad , Mark Gracia
发明人： Shawn D. Stad , Mark Gracia
IPC分类号： A61B17/58 , A61F2/46 , A61B17/00 , A61B17/02 , A61B17/29 , A61F2/30
CPC分类号： A61F2/4611 , A61B2017/00473 , A61B2017/00477 , A61B2017/0256 , A61B2017/2931 , A61F2/4603 , A61F2002/30331 , A61F2002/30505 , A61F2002/30522 , A61F2002/30616 , A61F2002/4622 , A61F2002/4628 , A61F2220/0025 , A61F2220/0033
摘要： Modular medical instruments and kits are provided, having, a tool body portion with a first mating element at one end. A removable and replaceable modular end effector having a second mating element is matable with the first mating element. The instrument further includes a selectively engageable locking mechanism having a lever arm with a first portion associated with the body portion and a claw portion matingly engageable with a portion of the second mating element of the end effector, the locking mechanism being effective to secure the end effector to the body portion of the modular medical instrument. The invention can be particularly useful for providing a secure connection between the modular end effector and the body portion, yet provide ease of interchangeability between modular end effectors.
摘要翻译：提供了模块化医疗器械和套件，具有在一端具有第一配合元件的工具主体部分。具有第二配合元件的可移除和可替换的模块化端部执行器可与第一配合元件配合。仪器还包括一个可选择性地接合的锁定机构，该锁定机构具有杠杆臂，该杠杆臂具有与主体部分相关联的第一部分和与该末端执行器的第二配合元件的一部分配合地配合的爪部分，该锁定机构有效地固定端部效应器到模块化医疗器械的身体部分。本发明可以特别用于在模块化末端执行器和主体部分之间提供牢固的连接，同时提供了模块化端部执行器之间的易于互换性。

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