CN101909533A - 具有术后可调节尺寸的脊柱植入物 - Google Patents

具有术后可调节尺寸的脊柱植入物 Download PDF

Info

Publication number
CN101909533A
CN101909533A CN2008801243111A CN200880124311A CN101909533A CN 101909533 A CN101909533 A CN 101909533A CN 2008801243111 A CN2008801243111 A CN 2008801243111A CN 200880124311 A CN200880124311 A CN 200880124311A CN 101909533 A CN101909533 A CN 101909533A
Authority
CN
China
Prior art keywords
spinal implant
variable
spinal
implant according
implantation
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN2008801243111A
Other languages
English (en)
Other versions
CN101909533B (zh
Inventor
尤里·阿宁
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Spine21 Ltd
Original Assignee
Spine21 Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Spine21 Ltd filed Critical Spine21 Ltd
Publication of CN101909533A publication Critical patent/CN101909533A/zh
Application granted granted Critical
Publication of CN101909533B publication Critical patent/CN101909533B/zh
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/441—Joints for the spine, e.g. vertebrae, spinal discs made of inflatable pockets or chambers filled with fluid, e.g. with hydrogel
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/025—Joint distractors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002—Longitudinal elements, e.g. rods
    • A61B17/7014—Longitudinal elements, e.g. rods with means for adjusting the distance between two screws or hooks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002—Longitudinal elements, e.g. rods
    • A61B17/7014—Longitudinal elements, e.g. rods with means for adjusting the distance between two screws or hooks
    • A61B17/7016—Longitudinal elements, e.g. rods with means for adjusting the distance between two screws or hooks electric or electromagnetic means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002—Longitudinal elements, e.g. rods
    • A61B17/7014—Longitudinal elements, e.g. rods with means for adjusting the distance between two screws or hooks
    • A61B17/7017—Longitudinal elements, e.g. rods with means for adjusting the distance between two screws or hooks pneumatic or hydraulic means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/4455—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00212—Electrical control of surgical instruments using remote controls
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00221—Electrical control of surgical instruments with wireless transmission of data, e.g. by infrared radiation or radiowaves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00539—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated hydraulically
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00544—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated pneumatically
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00557—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated inflatable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00734—Aspects not otherwise provided for battery operated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/025—Joint distractors
    • A61B2017/0256—Joint distractors for the spine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/48—Operating or control means, e.g. from outside the body, control of sphincters
    • A61F2/482—Electrical means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/48—Operating or control means, e.g. from outside the body, control of sphincters
    • A61F2/484—Fluid means, i.e. hydraulic or pneumatic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30471—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30476—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
    • A61F2002/30507—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism using a threaded locking member, e.g. a locking screw or a set screw
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30518—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts
    • A61F2002/30523—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts by means of meshing gear teeth
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30518—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts
    • A61F2002/30523—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts by means of meshing gear teeth
    • A61F2002/30525—Worm gears
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30537—Special structural features of bone or joint prostheses not otherwise provided for adjustable
    • A61F2002/3055—Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting length
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30537—Special structural features of bone or joint prostheses not otherwise provided for adjustable
    • A61F2002/30553—Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting a position by translation along an axis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30537—Special structural features of bone or joint prostheses not otherwise provided for adjustable
    • A61F2002/30556—Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting thickness
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30601—Special structural features of bone or joint prostheses not otherwise provided for telescopic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30667—Features concerning an interaction with the environment or a particular use of the prosthesis
    • A61F2002/30668—Means for transferring electromagnetic energy to implants
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0091—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0001—Means for transferring electromagnetic energy to implants
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
    • A61F2250/0008—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting a position by translation along an axis or two perpendicular axes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
    • A61F2250/0009—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting thickness

Abstract

一种脊柱植入物(40)，包括：用于连接至第一脊柱部分(41)的第一脊柱连接件(44)；用于连接至第二脊柱部分(42)的第二脊柱连接件(44)；以及植入后可变尺寸装置，设置于第一和第二脊柱连接件之间，在完成将所述脊柱植入物安装在病人体内的手术之后是可操作的，以导致第一和第二脊柱连接件之间的相对移动。

Description

具有术后可调节尺寸的脊柱植入物
相关申请的交叉参考
本申请要求2007年11月8日递交的、No.11/937,019的美国专利申请的优先权利益，其全部内容通过参考结合于此。
技术领域
本发明总体涉及脊柱植入物和假体(prostheses)，尤其涉及具有术后可调节尺寸的脊柱植入物。
背景技术
椎管狭窄，以及椎关节强硬，脊椎前移，骨关节炎，脊柱侧凸及其它变性现象可以是背部疼痛的原因，并且可以由对脊髓和/或神经根产生压迫的脊柱管或孔(foramina)的窄化所引起。
用于解决背部疼痛的方法之一包括减压，切除引起疼痛的骨头突出部分(bony element)，以及融合两个或多个相邻脊椎。不幸地，融合倾向于具有显著的缺陷并可引起移动(migrate)到相邻脊椎部分(component)的问题。在非融合中，解决方案是盘替换，动态固定系统和棘突间(inter-spinousprocess)植入物。
具有高度调节能力的脊柱植入物是已知。例如，Hochshuler等人的美国专利6045579，6080193和6576016(分别在2000年4月4日，2000年6月27日和2003年6月10日公布)描述了一种用于促进相邻脊椎之间的脊柱融合的可调节高度的融合装置。该装置位于椎间盘空间内并包括一对用于接触脊椎的接合盘。对准装置用于改变接合盘之间的垂直距离以定制适合指定病人的设备。在一个实施例中，对准装置包括一对具有预定高度并在接合盘之间从设备的前端延伸至后端的支柱(strut)。在另一个实施例中，对准装置包括可旋转的连接器和用于调节接合盘之间距离的凸轮销。对准装置优选适于改变接合盘之间的距离，使得接近前端的设备高度大于接近后端的高度，由此在安装设备之后保持脊柱的自然脊柱前凸。
可是，这些现有的装置必须在安装之前或安装期间进行调节而不能术后调节。
发明内容
本发明设法提供一种具有术后可调节尺寸的改进脊柱植入物(或假体，术语是可互换使用的)，如棘突间脊柱植入物，以下将进一步详细描述。
在一个实施例中，通过遥控或根据与植入物的可调节部分相连的机械特征，如通过软组织中的小穿刺，脊柱植入物的至少一个尺寸在植入后能够被修改。在一个实例中，可调节部分(还称作可变尺寸机构)能够具有借助小压力管进行液压或气压激活的象活塞似的构造。可使用或配置其它的机械装置，诸如但不限于杆、缆(cable)或其它机械特征。在另一实例中，可调节部分可以是电动的，如借助电动机(如通过电线，电池或远程感应供电)，并且经由遥控进行控制。
假体被构造成两个脊椎——更优选地但不限于相邻脊椎——之间的桥。假体包括构造以与多个骨连接点，诸如但不限于棘突，脊椎端盘或椎弓根(pedicles)(通过椎弓根螺钉(pedicle screws))相连的多个连接部件(端部特征)。
因此，根据本发明的非限定性实施例提供一种脊柱植入物，包括：用于连接至第一脊柱部分的第一脊柱连接件；用于连接至第二脊柱部分的第二脊柱连接件；以及植入后可变尺寸装置，设置于所述第一和第二脊柱连接件之间，在完成将所述脊柱植入物安装在病人体内的手术之后该植入后可变尺寸装置是可操作的，以导致所述第一和第二脊柱连接件之间的相对移动。
根据本发明的实施例，第一和第二脊柱连接件包括椎弓根螺钉。
根据本发明的实施例，植入后可变尺寸装置改变第一和第二脊柱连接件之间的距离。
根据本发明的实施例，植入后可变尺寸装置改变第一和第二脊柱连接件在垂直面和矢状面上的位置。
根据本发明的实施例，第一和第二脊柱连接件包括装配有借助于齿轮系能够转动的螺纹杆的第一和第二支撑板，其中齿轮系的旋转改变第一和第二支撑板之间的距离。
根据本发明的实施例，第一和第二脊柱连接件包括关于彼此倾斜的第一和第二支撑板。
根据本发明的实施例，植入后可变尺寸装置是液压或气压操作的。
根据本发明的实施例，植入后可变尺寸装置包括与螺杆机构枢轴地连接并通过该螺杆机构移动的铰链臂。
根据本发明的实施例，植入后可变尺寸装置是电操作的。
根据本发明的实施例，植入后可变尺寸装置包括内部植入部分。该内部植入部分可以包括电活塞，电动机，微处理器，RF发射器/发送器，LVDT，应变传感器，电气线圈，电池和电容器中的至少一个。
根据本发明的实施例，植入后可变尺寸装置包括外部控制部分。外部控制部分可包括控制板，处理器，RF发射器/发送器，磁性动力源，电气线圈和蜂窝通信装置中的至少一个。外部控制部分和内部植入部分之间的通信可由密码或口令控制以避免内部装置的不希望操作。
根据本发明的实施例，植入后可变尺寸装置是可膨胀的。
附图说明
结合附图，根据以下详细描述将更完全地明白和理解本发明，其中：
图1是包括根据本发明实施例进行构造和操作的植入后可变尺寸装置的脊柱植入物的简化图示说明，脊柱植入物被植入在两个相邻棘突之间；
图2是包括根据本发明另一实施例进行构造和操作的植入后可变尺寸装置的脊柱植入物的简化图示说明，脊柱植入物与椎弓根螺钉相连使得启动可变尺寸机构能够改变螺钉之间的距离；
图3是包括根据本发明又一实施例进行构造和操作的植入后可变尺寸装置的脊柱植入物的简化图示说明，脊柱植入物被插入在两个相邻脊椎之间；
图4是包括根据本发明再一实施例进行构造和操作的植入后可变尺寸装置的脊柱植入物的简化图示说明，脊柱植入物被用于在两个相邻棘突之间产生最佳牵引(distraction)；
图5是包括根据本发明又一实施例进行构造和操作的植入后可变尺寸装置的脊柱植入物的简化图示说明，脊柱植入物被用于改变相邻脊椎的位置；
图6是根据实施例进行构造和操作的液压或气压操作的植入后可变尺寸装置的简化图示说明；
图7是根据实施例进行构造和操作的机械操作的植入后可变尺寸装置的简化图示说明；
图8是根据实施例进行构造和操作的电操作的植入后可变尺寸装置的简化图示说明；
图9根据实施例进行构造和操作的可膨胀的植入后可变尺寸装置的简化图示说明；
图10是包括根据本发明又一实施例进行构造和操作的植入后可变尺寸装置的脊柱植入物的简化图示说明，脊柱植入物被用于利用两个两侧的(bilateral)相同螺纹的升降螺杆在两个相邻棘突之间产生最佳牵引；
图11是包括根据本发明又一实施例进行构造和操作的植入后可变尺寸装置的脊柱植入物的简化图示说明，脊柱植入物被用于利用两个两侧的右旋和左旋升降螺杆在两个相邻棘突之间产生最佳牵引；
图12是包括根据本发明又一实施例进行构造和操作的植入后可变尺寸装置的脊柱植入物的简化图示说明，脊柱植入物被用于利用多个同心升降螺杆在两个相邻棘突之间产生最佳牵引；
图13是包括根据本发明又一实施例进行构造和操作的植入后可变尺寸装置的脊柱植入物的简化图示说明，脊柱植入物被用于借助电动机和齿轮系利用两个两侧的相同螺纹升降螺杆在两个相邻棘突之间产生最佳牵引；
图14是包括根据本发明另一实施例进行构造和操作的植入后可变尺寸装置的脊柱植入物的简化图示说明。
具体实施方式
现参照图1，其说明了根据本发明实施例进行构造和操作的脊柱植入物10。
所示脊柱植入物10被植入在腰脊柱的两个相邻棘突之间(在该实例中，脊柱植入物10为棘突间固定装置)。脊柱植入物10包括置于第一(上)支撑端板(脊柱连接部件)14和第二(下)支撑端板(脊柱连接部件)16之间的植入后可变尺寸装置12。植入后可变尺寸装置12可包括柱，其被设置适于如借助被远程控制的微型线性致动器进行线性移动(根据图从垂直方向略微倾斜)。通常，植入后可变尺寸装置12可以根据以下参照图6-9描述的任意实施例进行构造。
现参照图2，其说明了根据本发明另一实施例进行构造和操作的脊柱植入物20。脊柱植入物20包括植入后可变尺寸装置22，并与椎弓根螺钉24(脊柱连接部件24)相连。可变尺寸装置22的活动改变螺钉24之间的距离。在此，植入后可变尺寸装置22还可包括柱，其被设置适于如借助被远程控制的微型线性致动器进行线性移动。通常，植入后可变尺寸装置12可以根据以下参照图6-9描述的任意实施例进行构造。
现参照图3，其说明了包括根据本发明又一实施例进行构造和操作的植入后可变尺寸装置32的脊柱植入物30，其被插入在两个相邻脊椎(例如L4和L5)之间。脊柱植入物30包括与上脊椎相连并支撑上脊椎的第一(上)支撑板34，和与下脊椎相连并支撑下脊椎的第二(下)支撑板36。可变尺寸装置32被安装在第一和第二支撑板(脊柱连接部件)34和36之间。可变尺寸装置32的活动改变第一和第二支撑板34和36之间的距离，并能够在垂直面和矢状面上改变两个相邻脊椎之间的位置。植入后可变尺寸装置32可根据以下参照图5描述的实施例进行构造。
现参照图4，其说明了包括根据本发明又一实施例进行构造和操作的植入后可变尺寸装置42的脊柱植入物40。植入物40可用于在两个相邻棘突，如上级棘突41和下级棘突43之间产生最佳牵引。
脊柱植入物40包括分别支撑上级棘突41和下级棘突43第一和第二支撑板(脊柱连接部件)44和46。第一和第二支撑板44和46各自攻有(tapped with)螺纹孔以便接收螺纹杆45L和45R以及47L和47R。螺纹杆45L和47L具有左旋螺纹，而螺纹杆45R和47R具有右旋螺纹。
齿轮滑轮(gear pulley)48A和48B与螺纹杆45L、45R、47L和47R相连，并由蜗轮49驱动。蜗轮49的旋转改变第一和第二支撑板44和46与所支撑的棘突之间的距离。
现参照图5，其说明了包括根据本发明又一实施例进行构造和操作的植入后可变尺寸装置52的脊柱植入物50。
脊柱植入物50可用于改变相邻脊椎51和53的位置。脊柱植入物50包括具有螺纹槽第一(上)支撑板54，螺纹螺杆55被螺旋地接收在螺纹槽中。脊柱植入物50包括第二(下)支撑板56，其包括其中配置有电动机(或致动器)57的凹口。电动机57(可被遥控)使螺杆55旋转，这引起第一支撑板54相对于第二支撑板56滑动。第一和第二支撑板(脊柱连接部件)54和56之间的倾斜配合在垂直面和矢状面上引起两个脊椎之间相邻位置的改变。
现参照图6，其说明了根据本发明实施例进行构造和操作的液压或气压操作的植入后可变尺寸装置60。可变尺寸装置60包括两个端板(脊柱连接部件)61和62，其都与活塞63相连。活塞63借助压缩的液体(例如，水)或气体(例如，空气)被流体地致动(液压或气压)。压缩的流体借助与流体进口65相连的管64被引入到活塞63。
现参照图7，其说明了根据本发明实施例进行构造和操作的机械操作的植入后可变尺寸装置70。可变尺寸装置70包括与阳/阴螺杆机构74枢轴地连接并借助其移动，所述螺杆结构有旋柄76进行操作。
现参照图8，其说明了根据本发明实施例进行构造和操作的电操作的植入后可变尺寸装置80。可变尺寸装置80包括与电活塞(电致动器或螺线管)84枢轴地连接并由该电活塞移动的铰链臂82，所述电活塞可由感应线圈86外部操作。
电操作的植入后可变尺寸装置80可具有内部植入部分和/或外部控制部分。内部植入部分可以但非限制地包括电活塞84，电动机，微处理器，RF发射器/发送器，LVDT(线性可变差分变换器)，应变传感器，用于进行从外部的线圈到电动机的直接能量转换的电气线圈，电池，蓄能电容器，或其任意组合。
外部控制部分可以但非限制地包括控制板，处理器，RF发射器/发送器，磁性动力源，用于将能量传递到内部单元的电气线圈，或其任意组合。外部部分还可包括用于允许内科医生进行遥控的蜂窝通信装置。密码或口令可结合在控制系统中，以防止不想要的操作。
现参照图9，其说明了根据本发明实施例进行构造和操作的可膨胀的植入后可变尺寸装置90。可变尺寸装置90包括通过小管94可膨胀的可膨胀垫块或软垫92。
现参照图10，其说明了根据本发明实施例进行构造和操作的植入后可变尺寸装置，其可被放置在两个相邻的棘突之间。可变尺寸装置包括第一支撑元件95和第二支撑元件96。两个两侧的相同螺纹(相同旋转方向)螺杆97和98被用于控制支撑元件95和96之间的距离。
现参照图11，其说明了根据本发明另一实施例进行构造和操作的植入后可变尺寸装置，其可被放置在两个相邻的棘突之间。该可变尺寸装置包括第一支撑元件99和第二支撑元件100。两个两侧的不同螺纹(例如，右旋和左旋螺纹)螺杆101和102被用于控制支撑元件99和100之间的距离。螺杆由蜗轮103驱动。不同螺纹可用于将机构更好地锁定在任意给定点。
现参照图12，其说明了根据本发明另一实施例进行构造和操作的植入后可变尺寸装置，其可被放置在两个相邻的棘突之间。该可变尺寸装置包括第一支撑元件104和第二支撑元件105。两个同心螺杆106用于控制支撑元件104和105之间的距离。通过使用多个同心螺杆，相比于单个中心螺杆，机构可被旋转更大距离。
现参照图13，其说明了根据本发明另一实施例进行构造和操作的植入后可变尺寸装置，其可被放置在两个相邻的棘突之间。该可变尺寸装置包括第一支撑元件107和第二支撑元件108。两个两侧的相同螺纹的螺杆110用于控制支撑元件107和108之间的距离。升降螺杆由电动机109激活的齿轮系所驱动。
由此，在图10-13的实施例中，脊柱植入物位于两个相邻棘突之间，使得下级棘突由植入物的第一元件所支撑以及上级棘突由植入物的第二元件所支撑。两个支撑元件沿基本水平面彼此分开，并且机械或电机机构能够控制两个支撑元件之间的距离。
图13中示出了本发明任意实施例的另一选项(option)。脊柱植入物可包括处理器120和传感器122，该处理器120和传感器122将植入后可变尺寸装置作为第一和第二脊柱连接件上所施加的负荷或第一和第二脊柱连接件之间的距离的函数来控制。植入后可变尺寸装置是可编程的以便根据任意所需负荷和行程限制以任意所需时间间隔激活。对于保存能量，植入后可变尺寸装置包括适于以睡眠模式进行操作的电路124。植入后可变尺寸装置可由可充电电池126提供能量，该电池能够利用远程能量转换器进行充电。
本发明还用于包括前进中的调节的脊柱侧凸修正，不需要重复的手术介入或融合。
例如，现参照图14，其说明了包括根据本发明另一实施例进行构造和操作的植入后可变尺寸装置的脊柱植入物。
该装置包括可弯曲为外壳211的一部分或与该外壳刚性连接的骨螺钉210。缆或线218伸出外壳211。缆218被配置在辊216上。辊216与通过旋转齿轮214而能够线性移动的螺杆215相连，齿轮214与螺杆215相啮合。电动机212为齿轮系213提供动力，齿轮系213控制齿轮214的旋转并由此还控制螺杆215和缆218的线性移动。
上述设计允许通过操作电动机212至不同方向而在植入之后的任意给定时间拉动或释放缆218。
图14的实施例可被插入到脊柱脊椎的椎弓根内，或可选地插到脊椎的侧面。利用各种不同的方法，伸出植入物侧面的缆或线218可与插入到其它脊椎中的相邻的植入物或另一锚(ahchor)相连。当缆或线218被上述机构拉动时，两个脊椎彼此施力。
本领域技术人员应当理解，本发明不限于以上已特定示出和描述的内容。更确切地，本发明的范围包括以上描述的特征的组合和子组合以及本领域技术人员在阅读前述描述时想到的且不是现有技术的修改和变化。

Claims (24)

1.一种脊柱植入物，包括：
用于连接至第一脊柱部分的第一脊柱连接件；
用于连接至第二脊柱部分的第二脊柱连接件；和
植入后可变尺寸装置，设置于所述第一和第二脊柱连接件之间，在完成将所述脊柱植入物安装在病人体内的手术之后该植入后可变尺寸装置是可操作的，以导致所述第一和第二脊柱连接件之间的相对移动。
2.根据权利要求1所述的脊柱植入物，其中所述第一和第二脊柱连接件包括椎弓根螺钉。
3.根据权利要求1所述的脊柱植入物，其中所述植入后可变尺寸装置改变所述第一和第二脊柱连接件之间的距离。
4.根据权利要求1所述的脊柱植入物，其中所述植入后可变尺寸装置改变所述第一和第二脊柱连接件在垂直面和矢状面上的位置。
5.根据权利要求1所述的脊柱植入物，其中所述第一和第二脊柱连接件包括装配有借助于齿轮系能够转动的螺纹杆的第一和第二支撑板，所述齿轮系的旋转改变第一和第二支撑板之间的距离。
6.根据权利要求1所述的脊柱植入物，其中所述第一和第二脊柱连接件包括关于彼此倾斜的第一和第二支撑板。
7.根据权利要求1所述的脊柱植入物，其中所述植入后可变尺寸装置是液压操作的。
8.根据权利要求1所述的脊柱植入物，其中所述植入后可变尺寸装置是气压操作的。
9.根据权利要求1所述的脊柱植入物，其中所述植入后可边尺寸装置包括与螺杆机构枢轴地连接并通过该螺杆机构移动的铰链臂。
10.根据权利要求1所述的脊柱植入物，其中所述植入后可变尺寸装置是电操作的。
11.根据权利要求10所述的脊柱植入物，其中所述植入后可变尺寸装置包括内部植入部分。
12.根据权利要求11所述的脊柱植入物，其中所述内部植入部分包括电活塞，电动机，微处理器，RF发射器/发送器，LVDT，应变传感器，电气线圈，电池和电容器中的至少一个。
13.根据权利要求10所述的脊柱植入物，其中所述植入后可变尺寸装置包括外部控制部分。
14.根据权利要求13所述的脊柱植入物，其中所述外部控制部分包括控制板，处理器，RF发射器/发送器，磁性动力源，电气线圈和蜂窝通信装置中的至少一个。
15.根据权利要求13所述的脊柱植入物，其中所述外部控制装置由密码或口令控制。
16.根据权利要求10所述的脊柱植入物，其中所述植入后可变尺寸装置是可膨胀的。
17.根据权利要求1所述的脊柱植入物，其中所述第一和第二脊柱连接件通过螺杆机构相对于彼此移动。
18.根据权利要求17所述的脊柱植入物，其中所述螺杆机构包括至少两个相同螺纹的螺杆。
19.根据权利要求17所述的脊柱植入物，其中所述螺杆机构包括至少两个不同螺纹的螺杆。
20.根据权利要求17所述的脊柱植入物，其中所述螺杆机构包括多个同心的螺杆。
21.根据权利要求1所述的脊柱植入物，包括处理器和传感器，该处理器和传感器将所述植入后可变尺寸装置作为所述第一和第二脊柱连接件上所施加的负荷或所述第一和第二脊柱连接件之间的距离的函数来控制。
22.根据权利要求1所述的脊柱植入物，其中所述植入后可变尺寸装置是可编程的以便根据任意所需负荷和行程限制以任意所需时间间隔激活。
23.根据权利要求1所述的脊柱植入物，其中所述植入后可变尺寸装置包括用于以睡眠模式进行操作的电路。
24.根据权利要求1所述的脊柱植入物，其中所述植入后可变尺寸装置由可充电电池提供能量，该电池能够利用远程能量转换器进行充电。
CN2008801243111A 2007-11-08 2008-10-29 具有术后可调节尺寸的脊柱植入物 Expired - Fee Related CN101909533B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US11/937,019 2007-11-08
US11/937,019 US8241331B2 (en) 2007-11-08 2007-11-08 Spinal implant having a post-operative adjustable dimension
PCT/IL2008/001423 WO2009060427A1 (en) 2007-11-08 2008-10-29 Spinal implant having a post-operative adjustable dimension

Publications (2)

Publication Number Publication Date
CN101909533A true CN101909533A (zh) 2010-12-08
CN101909533B CN101909533B (zh) 2013-07-03

Family

ID=40364471

Family Applications (1)

Application Number Title Priority Date Filing Date
CN2008801243111A Expired - Fee Related CN101909533B (zh) 2007-11-08 2008-10-29 具有术后可调节尺寸的脊柱植入物

Country Status (15)

Country Link
US (2) US8241331B2 (zh)
EP (1) EP2224867B1 (zh)
JP (1) JP5572551B2 (zh)
KR (1) KR20100108326A (zh)
CN (1) CN101909533B (zh)
AU (1) AU2008326077B2 (zh)
BR (1) BRPI0820476A2 (zh)
CA (1) CA2703868A1 (zh)
DK (1) DK2224867T3 (zh)
ES (1) ES2450365T3 (zh)
MX (1) MX2010005034A (zh)
NZ (1) NZ585647A (zh)
RU (1) RU2495648C2 (zh)
WO (1) WO2009060427A1 (zh)
ZA (1) ZA201003513B (zh)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104394787A (zh) * 2012-04-20 2015-03-04 詹姆斯·C·罗宾逊 棘突固定设备和方法
CN105769392A (zh) * 2016-04-05 2016-07-20 广州爱锘德医疗器械有限公司 椎体融合器
CN107865686A (zh) * 2016-09-26 2018-04-03 青岛大学附属医院 一种智能分叉式寰枢椎钩固定系统

Families Citing this family (223)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1487346B1 (de) 2002-03-19 2005-08-31 Bard Dublin ITC Limited Vakuum-biopsievorrichtung
MXPA04008781A (es) 2002-03-19 2005-12-15 Bard Dublin Itc Ltd Dispositivo para biopsia y modulo de aguja para biopsia que puede insertarse en el dispositivo para biopsia.
US7041309B2 (en) 2002-06-13 2006-05-09 Neuropro Technologies, Inc. Spinal fusion using an HMG-CoA reductase inhibitor
DE10314240A1 (de) 2003-03-29 2004-10-07 Bard Dublin Itc Ltd., Crawley Druckerzeugungseinheit
US7955357B2 (en) 2004-07-02 2011-06-07 Ellipse Technologies, Inc. Expandable rod system to treat scoliosis and method of using the same
ES2398914T3 (es) 2004-07-09 2013-03-22 Bard Peripheral Vascular, Inc. Sistema de transporte para dispositivo de biopsia
US8114158B2 (en) 2004-08-03 2012-02-14 Kspine, Inc. Facet device and method
US8597360B2 (en) 2004-11-03 2013-12-03 Neuropro Technologies, Inc. Bone fusion device
EP1814474B1 (en) 2004-11-24 2011-09-14 Samy Abdou Devices for inter-vertebral orthopedic device placement
US7517321B2 (en) 2005-01-31 2009-04-14 C. R. Bard, Inc. Quick cycle biopsy system
US7674296B2 (en) 2005-04-21 2010-03-09 Globus Medical, Inc. Expandable vertebral prosthesis
EP1924205B1 (en) 2005-08-10 2012-12-19 C.R.Bard, Inc. Single-insertion, multiple sample biopsy device
EP1921998B8 (en) 2005-08-10 2021-07-07 C.R.Bard, Inc. Single-insertion, multiple sampling biopsy device with linear drive
EP2196155B1 (en) 2005-08-10 2015-03-18 C.R.Bard, Inc. Single-insertion, multiple sample biopsy device with various transport system
EP2061378B1 (en) 2006-08-21 2018-10-03 C.R.Bard, Inc. Self-contained handheld biopsy needle
US9526525B2 (en) 2006-08-22 2016-12-27 Neuropro Technologies, Inc. Percutaneous system for dynamic spinal stabilization
WO2008040812A1 (en) 2006-10-06 2008-04-10 Sonion Roskilde A/S Tissue handling system with reduced operator exposure
US7862502B2 (en) 2006-10-20 2011-01-04 Ellipse Technologies, Inc. Method and apparatus for adjusting a gastrointestinal restriction device
EP2086417B1 (en) 2006-10-24 2015-07-01 C.R.Bard, Inc. Large sample low aspect ratio biopsy needle
FI122996B (fi) * 2007-05-10 2012-09-28 Teliasonera Ab Palveluun liittyvän pyynnön käsittely
WO2008154313A1 (en) 2007-06-06 2008-12-18 Vertech, Inc. Medical device and method to correct deformity
US8328818B1 (en) 2007-08-31 2012-12-11 Globus Medical, Inc. Devices and methods for treating bone
US20090112263A1 (en) 2007-10-30 2009-04-30 Scott Pool Skeletal manipulation system
US8241331B2 (en) * 2007-11-08 2012-08-14 Spine21 Ltd. Spinal implant having a post-operative adjustable dimension
US8241225B2 (en) 2007-12-20 2012-08-14 C. R. Bard, Inc. Biopsy device
US7854706B2 (en) 2007-12-27 2010-12-21 Devicor Medical Products, Inc. Clutch and valving system for tetherless biopsy device
US11202707B2 (en) 2008-03-25 2021-12-21 Nuvasive Specialized Orthopedics, Inc. Adjustable implant system
WO2009120764A2 (en) 2008-03-25 2009-10-01 Ellipse Technologies, Inc. Systems and methods for adjusting an annuloplasty ring with an integrated magnetic drive
US11241257B2 (en) 2008-10-13 2022-02-08 Nuvasive Specialized Orthopedics, Inc. Spinal distraction system
US20100094303A1 (en) * 2008-10-13 2010-04-15 Arvin Chang Spinal distraction system
US8382756B2 (en) 2008-11-10 2013-02-26 Ellipse Technologies, Inc. External adjustment device for distraction device
US8828058B2 (en) 2008-11-11 2014-09-09 Kspine, Inc. Growth directed vertebral fixation system with distractible connector(s) and apical control
US10045860B2 (en) * 2008-12-19 2018-08-14 Amicus Design Group, Llc Interbody vertebral prosthetic device with self-deploying screws
CN102256569B (zh) * 2008-12-22 2014-01-22 斯恩蒂斯有限公司 可扩展的椎骨本体替换系统以及方法
US8197490B2 (en) 2009-02-23 2012-06-12 Ellipse Technologies, Inc. Non-invasive adjustable distraction system
MX2011009680A (es) 2009-03-16 2012-02-28 Bard Inc C R Aparato de biopsia que tiene corte rotatorio.
US8357182B2 (en) 2009-03-26 2013-01-22 Kspine, Inc. Alignment system with longitudinal support features
CN102355862B (zh) 2009-04-15 2013-11-06 C·R·巴德公司 具有集成流体管理的活检设备
US9622792B2 (en) 2009-04-29 2017-04-18 Nuvasive Specialized Orthopedics, Inc. Interspinous process device and method
US8206316B2 (en) 2009-06-12 2012-06-26 Devicor Medical Products, Inc. Tetherless biopsy device with reusable portion
EP3572002A1 (en) 2009-08-12 2019-11-27 C.R. Bard Inc. Biopsy apparatus having integrated thumbwheel mechanism for manual rotation of biopsy cannula
USD640977S1 (en) 2009-09-25 2011-07-05 C. R. Bard, Inc. Charging station for a battery operated biopsy device
US8430824B2 (en) 2009-10-29 2013-04-30 Bard Peripheral Vascular, Inc. Biopsy driver assembly having a control circuit for conserving battery power
US8485989B2 (en) 2009-09-01 2013-07-16 Bard Peripheral Vascular, Inc. Biopsy apparatus having a tissue sample retrieval mechanism
KR101710741B1 (ko) 2009-09-04 2017-02-27 누베이시브 스페셜라이즈드 오소페딕스, 인크. 뼈 성장 기구 및 방법
US9168071B2 (en) 2009-09-15 2015-10-27 K2M, Inc. Growth modulation system
US10973656B2 (en) 2009-09-18 2021-04-13 Spinal Surgical Strategies, Inc. Bone graft delivery system and method for using same
US10245159B1 (en) 2009-09-18 2019-04-02 Spinal Surgical Strategies, Llc Bone graft delivery system and method for using same
US8906028B2 (en) 2009-09-18 2014-12-09 Spinal Surgical Strategies, Llc Bone graft delivery device and method of using the same
PL215752B1 (pl) * 2009-09-28 2014-01-31 Lfc Spolka Z Ograniczona Odpowiedzialnoscia Urzadzenie do chirurgicznego przemieszczania kregów
MX2009010782A (es) * 2009-10-05 2010-05-03 Ruben Fernando Sayago Distractor interno hidraulico y manejado a control remoto, para la correccion de deformidades oseas de la columna vertebral, o para elongacion de huesos largos en humanos.
US8597206B2 (en) 2009-10-12 2013-12-03 Bard Peripheral Vascular, Inc. Biopsy probe assembly having a mechanism to prevent misalignment of components prior to installation
US11103366B2 (en) 2009-10-15 2021-08-31 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US9216095B2 (en) 2009-10-15 2015-12-22 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US10806596B2 (en) 2009-10-15 2020-10-20 Globus Medical, Inc. Expandable fusion device and method installation thereof
US10098758B2 (en) 2009-10-15 2018-10-16 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US8062375B2 (en) 2009-10-15 2011-11-22 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US8709086B2 (en) 2009-10-15 2014-04-29 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US11564807B2 (en) 2009-10-15 2023-01-31 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US11344430B2 (en) 2009-10-15 2022-05-31 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US8556979B2 (en) 2009-10-15 2013-10-15 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US8679183B2 (en) 2010-06-25 2014-03-25 Globus Medical Expandable fusion device and method of installation thereof
US10327917B2 (en) 2009-10-15 2019-06-25 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US8685098B2 (en) 2010-06-25 2014-04-01 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US9155628B2 (en) 2009-10-15 2015-10-13 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US20110105946A1 (en) * 2009-10-31 2011-05-05 Sorensen Peter L Biopsy system with infrared communications
US8870959B2 (en) * 2009-11-24 2014-10-28 Spine21 Ltd. Spinal fusion cage having post-operative adjustable dimensions
EP2503947B1 (en) * 2009-11-25 2016-10-26 Spine21 Ltd. Spinal rod having a post-operative adjustable dimension
US8764806B2 (en) 2009-12-07 2014-07-01 Samy Abdou Devices and methods for minimally invasive spinal stabilization and instrumentation
US8353963B2 (en) 2010-01-12 2013-01-15 Globus Medical Expandable spacer and method for use thereof
US9913726B2 (en) 2010-02-24 2018-03-13 Globus Medical, Inc. Expandable intervertebral spacer and method of posterior insertion thereof
US8870880B2 (en) 2010-04-12 2014-10-28 Globus Medical, Inc. Angling inserter tool for expandable vertebral implant
US9301850B2 (en) 2010-04-12 2016-04-05 Globus Medical, Inc. Expandable vertebral implant
US8641723B2 (en) 2010-06-03 2014-02-04 Orthonex LLC Skeletal adjustment device
US9597200B2 (en) 2010-06-25 2017-03-21 Globus Medical, Inc Expandable fusion device and method of installation thereof
US9248043B2 (en) 2010-06-30 2016-02-02 Ellipse Technologies, Inc. External adjustment device for distraction device
WO2012021378A2 (en) 2010-08-09 2012-02-16 Ellipse Technologies, Inc. Maintenance feature in magnetic implant
US8632595B2 (en) 2010-09-03 2014-01-21 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US9907673B2 (en) 2010-09-03 2018-03-06 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US8491659B2 (en) 2010-09-03 2013-07-23 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US9855151B2 (en) 2010-09-03 2018-01-02 Globus Medical, Inc Expandable fusion device and method of installation thereof
US10512550B2 (en) 2010-09-03 2019-12-24 Globus Medical, Inc. Expandable interspinous process fixation device
US11793654B2 (en) 2010-09-03 2023-10-24 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US10842644B2 (en) 2010-09-03 2020-11-24 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US10779957B2 (en) 2010-09-03 2020-09-22 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US10835387B2 (en) 2010-09-03 2020-11-17 Globus Medical Inc. Expandable fusion device and method of installation thereof
US9566168B2 (en) 2010-09-03 2017-02-14 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US8845731B2 (en) 2010-09-03 2014-09-30 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US10709573B2 (en) 2010-09-03 2020-07-14 Globus Medical Inc. Expandable fusion device and method of installation thereof
US8398713B2 (en) 2010-09-03 2013-03-19 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US8845734B2 (en) 2010-09-03 2014-09-30 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US10758367B2 (en) 2010-09-03 2020-09-01 Globus Medical Inc. Expandable fusion device and method of installation thereof
US8852279B2 (en) 2010-09-03 2014-10-07 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US10085849B2 (en) 2010-09-03 2018-10-02 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US11446162B2 (en) 2010-09-03 2022-09-20 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US10945858B2 (en) 2010-09-03 2021-03-16 Globus Medical, Inc. Expandable interspinous process fixation device
US8845732B2 (en) 2010-09-03 2014-09-30 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US9351848B2 (en) 2010-09-03 2016-05-31 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US9474625B2 (en) 2010-09-03 2016-10-25 Globus Medical, Inc Expandable fusion device and method of installation thereof
US8435298B2 (en) 2010-09-03 2013-05-07 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US10869768B2 (en) 2010-09-03 2020-12-22 Globus Medical Inc. Expandable fusion device and method of installation thereof
US8282671B2 (en) 2010-10-25 2012-10-09 Orthonex Smart device for non-invasive skeletal adjustment
US8721566B2 (en) 2010-11-12 2014-05-13 Robert A. Connor Spinal motion measurement device
US8876866B2 (en) 2010-12-13 2014-11-04 Globus Medical, Inc. Spinous process fusion devices and methods thereof
US8377140B2 (en) 2011-01-12 2013-02-19 Ebi, Llc Expandable spinal implant device
WO2012112396A2 (en) 2011-02-14 2012-08-23 Ellipse Technologies, Inc. Device and method for treating fractured bones
CN103781429B (zh) 2011-06-03 2017-02-15 科斯班公司 脊柱矫正系统致动器
US9149306B2 (en) 2011-06-21 2015-10-06 Seaspine, Inc. Spinous process device
US10420654B2 (en) 2011-08-09 2019-09-24 Neuropro Technologies, Inc. Bone fusion device, system and method
US9358123B2 (en) 2011-08-09 2016-06-07 Neuropro Spinal Jaxx, Inc. Bone fusion device, apparatus and method
WO2013023096A1 (en) 2011-08-09 2013-02-14 Neuropro Technologies, Inc. Bone fusion device, system and method
US8845728B1 (en) 2011-09-23 2014-09-30 Samy Abdou Spinal fixation devices and methods of use
US8864833B2 (en) 2011-09-30 2014-10-21 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US10743794B2 (en) 2011-10-04 2020-08-18 Nuvasive Specialized Orthopedics, Inc. Devices and methods for non-invasive implant length sensing
US9153900B2 (en) 2011-10-14 2015-10-06 Biomet Manufacturing Corp. Implantable subcutaneous electrical socket and percutaneous plug
US10016220B2 (en) 2011-11-01 2018-07-10 Nuvasive Specialized Orthopedics, Inc. Adjustable magnetic devices and methods of using same
US9468468B2 (en) 2011-11-16 2016-10-18 K2M, Inc. Transverse connector for spinal stabilization system
US9451987B2 (en) 2011-11-16 2016-09-27 K2M, Inc. System and method for spinal correction
US9468469B2 (en) 2011-11-16 2016-10-18 K2M, Inc. Transverse coupler adjuster spinal correction systems and methods
WO2014172632A2 (en) 2011-11-16 2014-10-23 Kspine, Inc. Spinal correction and secondary stabilization
US8920472B2 (en) 2011-11-16 2014-12-30 Kspine, Inc. Spinal correction and secondary stabilization
US20130226240A1 (en) 2012-02-22 2013-08-29 Samy Abdou Spinous process fixation devices and methods of use
WO2013141990A1 (en) 2012-03-19 2013-09-26 Amicus Design Group, Llc Interbody vertebral prosthetic and orthopedic fusion device with self-deploying anchors
US9566165B2 (en) 2012-03-19 2017-02-14 Amicus Design Group, Llc Interbody vertebral prosthetic and orthopedic fusion device with self-deploying anchors
US20130261747A1 (en) * 2012-03-30 2013-10-03 Christophe Geisert ALIF Spinal Implant
US10159583B2 (en) 2012-04-13 2018-12-25 Neuropro Technologies, Inc. Bone fusion device
US9532883B2 (en) 2012-04-13 2017-01-03 Neuropro Technologies, Inc. Bone fusion device
WO2013159823A1 (en) 2012-04-27 2013-10-31 Lfc Spólka Z O.O. Intervertebral implant, instrument for use in placing it
US8771277B2 (en) 2012-05-08 2014-07-08 Globus Medical, Inc Device and a method for implanting a spinous process fixation device
US20130325071A1 (en) * 2012-05-30 2013-12-05 Marcin Niemiec Aligning Vertebral Bodies
US9078711B2 (en) 2012-06-06 2015-07-14 Ellipse Technologies, Inc. Devices and methods for detection of slippage of magnetic coupling in implantable medical devices
US20130338714A1 (en) 2012-06-15 2013-12-19 Arvin Chang Magnetic implants with improved anatomical compatibility
US9198767B2 (en) 2012-08-28 2015-12-01 Samy Abdou Devices and methods for spinal stabilization and instrumentation
US9044281B2 (en) 2012-10-18 2015-06-02 Ellipse Technologies, Inc. Intramedullary implants for replacing lost bone
US9320617B2 (en) 2012-10-22 2016-04-26 Cogent Spine, LLC Devices and methods for spinal stabilization and instrumentation
CN104902854B (zh) 2012-10-29 2017-10-03 诺威适骨科专科公司 用于治疗膝盖关节炎的可调节装置
US10299934B2 (en) 2012-12-11 2019-05-28 Globus Medical, Inc Expandable vertebral implant
US10350081B2 (en) 2012-12-11 2019-07-16 Globus Medical, Inc. Expandable vertebral implant
US9198697B2 (en) 2013-03-13 2015-12-01 Globus Medical, Inc. Spinous process fixation system and methods thereof
US9486251B2 (en) 2012-12-31 2016-11-08 Globus Medical, Inc. Spinous process fixation system and methods thereof
US9011493B2 (en) 2012-12-31 2015-04-21 Globus Medical, Inc. Spinous process fixation system and methods thereof
CN103070672A (zh) * 2013-02-05 2013-05-01 中国人民解放军第二军医大学 一种脊柱侧凸柔韧性评估的可升降支点装置
US9402738B2 (en) 2013-02-14 2016-08-02 Globus Medical, Inc. Devices and methods for correcting vertebral misalignment
US9585765B2 (en) * 2013-02-14 2017-03-07 Globus Medical, Inc Devices and methods for correcting vertebral misalignment
US10105239B2 (en) 2013-02-14 2018-10-23 Globus Medical, Inc. Devices and methods for correcting vertebral misalignment
US9782265B2 (en) 2013-02-15 2017-10-10 Globus Medical, Inc Articulating and expandable vertebral implant
US10117754B2 (en) 2013-02-25 2018-11-06 Globus Medical, Inc. Expandable intervertebral implant
US9198772B2 (en) 2013-03-01 2015-12-01 Globus Medical, Inc. Articulating expandable intervertebral implant
US9554918B2 (en) 2013-03-01 2017-01-31 Globus Medical, Inc. Articulating expandable intervertebral implant
US9770343B2 (en) 2013-03-01 2017-09-26 Globus Medical Inc. Articulating expandable intervertebral implant
US9204972B2 (en) 2013-03-01 2015-12-08 Globus Medical, Inc. Articulating expandable intervertebral implant
US10004607B2 (en) 2013-03-01 2018-06-26 Globus Medical, Inc. Articulating expandable intervertebral implant
US9179938B2 (en) 2013-03-08 2015-11-10 Ellipse Technologies, Inc. Distraction devices and method of assembling the same
AU2014236698B2 (en) 2013-03-15 2018-09-13 Neuropro Technologies, Inc. Bodiless bone fusion device, apparatus and method
US9233009B2 (en) 2013-03-15 2016-01-12 Globus Medical, Inc. Expandable intervertebral implant
US9149367B2 (en) 2013-03-15 2015-10-06 Globus Medical Inc Expandable intervertebral implant
US9456906B2 (en) 2013-03-15 2016-10-04 Globus Medical, Inc. Expandable intervertebral implant
US9186258B2 (en) 2013-03-15 2015-11-17 Globus Medical, Inc. Expandable intervertebral implant
US9034045B2 (en) 2013-03-15 2015-05-19 Globus Medical, Inc Expandable intervertebral implant
ES2875575T3 (es) 2013-03-20 2021-11-10 Bard Peripheral Vascular Inc Dispositivo de biopsia
US9480502B2 (en) * 2013-05-16 2016-11-01 Smokey Mountain Spine, Llc Expansion interspinous fixation device and method
AU2014268740B2 (en) 2013-05-20 2018-04-26 K2M, Inc. Adjustable implant and insertion tool
US9788971B1 (en) 2013-05-22 2017-10-17 Nuvasive, Inc. Expandable fusion implant and related methods
FR3008301B1 (fr) * 2013-07-11 2016-12-23 Biotechni Dispositif pour la distraction d'un tissu
US10226242B2 (en) 2013-07-31 2019-03-12 Nuvasive Specialized Orthopedics, Inc. Noninvasively adjustable suture anchors
US9801734B1 (en) 2013-08-09 2017-10-31 Nuvasive, Inc. Lordotic expandable interbody implant
US9468471B2 (en) 2013-09-17 2016-10-18 K2M, Inc. Transverse coupler adjuster spinal correction systems and methods
US10751094B2 (en) 2013-10-10 2020-08-25 Nuvasive Specialized Orthopedics, Inc. Adjustable spinal implant
WO2015063721A1 (en) * 2013-10-31 2015-05-07 Nlt Spine Ltd. Adjustable implant
US10456120B2 (en) 2013-11-05 2019-10-29 C. R. Bard, Inc. Biopsy device having integrated vacuum
US9259249B2 (en) * 2013-11-26 2016-02-16 Globus Medical, Inc. Spinous process fixation system and methods thereof
US9662224B2 (en) 2014-02-07 2017-05-30 Globus Medical, Inc. Variable lordosis spacer and related methods of use
US9402739B2 (en) 2014-02-07 2016-08-02 Globus Medical, Inc. Variable lordosis spacer and related methods of use
US9839528B2 (en) 2014-02-07 2017-12-12 Globus Medical, Inc. Variable lordosis spacer and related methods of use
JP6626458B2 (ja) 2014-04-28 2019-12-25 ニューヴェイジヴ スペシャライズド オーソペディクス，インコーポレイテッド 調整可能なインプラントにおける情報磁気フィードバックのためのシステム
US9585762B2 (en) 2014-10-09 2017-03-07 K2M, Inc. Expandable spinal interbody spacer and method of use
EP3777732A1 (en) 2014-10-23 2021-02-17 NuVasive Specialized Orthopedics, Inc. Remotely adjustable interactive bone reshaping implant
US9901459B2 (en) 2014-12-16 2018-02-27 Globus Medical, Inc. Expandable fusion devices and methods of installation thereof
JP6847341B2 (ja) 2014-12-26 2021-03-24 ニューベイシブ スペシャライズド オーソペディックス，インコーポレイテッド 伸延のためのシステム及び方法
US10238427B2 (en) 2015-02-19 2019-03-26 Nuvasive Specialized Orthopedics, Inc. Systems and methods for vertebral adjustment
AU2015393933B2 (en) 2015-05-01 2020-03-19 C. R. Bard, Inc. Biopsy device
US10631997B2 (en) 2015-05-21 2020-04-28 Globus Medical, Inc. Device and method for deployment of an anchoring device for intervertebral spinal fusion
US10433975B2 (en) 2015-05-21 2019-10-08 Globus Medical, Inc. Device and method for deployment of an anchoring device for intervertebral spinal fusion
US10765532B2 (en) 2015-05-21 2020-09-08 Globus Medical, Inc. Device and method for deployment of an anchoring device for intervertebral spinal fusion
US9848996B2 (en) 2015-06-17 2017-12-26 Globus Medical, Inc. Variable lordotic interbody spacer
US10016282B2 (en) 2015-07-17 2018-07-10 Globus Medical, Inc. Intervertebral spacer and plate
US10034768B2 (en) 2015-09-02 2018-07-31 Globus Medical, Inc. Implantable systems, devices and related methods
US10857003B1 (en) 2015-10-14 2020-12-08 Samy Abdou Devices and methods for vertebral stabilization
WO2017066774A1 (en) 2015-10-16 2017-04-20 Nuvasive Specialized Orthopedics, Inc. Adjustable devices for treating arthritis of the knee
US10219914B2 (en) 2015-11-10 2019-03-05 Globus Medical, Inc. Stabilized expandable intervertebral spacer
EP4275631A3 (en) 2015-12-10 2024-02-28 NuVasive Specialized Orthopedics, Inc. External adjustment device for distraction device
US10369004B2 (en) 2015-12-16 2019-08-06 Globus Medical, Inc. Expandable intervertebralspacer
CN113598921A (zh) 2016-01-28 2021-11-05 诺威适骨科专科公司 骨搬移用的系统
WO2017139548A1 (en) 2016-02-10 2017-08-17 Nuvasive Specialized Orthopedics, Inc. Systems and methods for controlling multiple surgical variables
US10004608B2 (en) 2016-02-26 2018-06-26 K2M, Inc. Insertion instrument for expandable spinal implants
US10052215B2 (en) 2016-06-29 2018-08-21 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US9974662B2 (en) 2016-06-29 2018-05-22 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US10744000B1 (en) 2016-10-25 2020-08-18 Samy Abdou Devices and methods for vertebral bone realignment
US10973648B1 (en) 2016-10-25 2021-04-13 Samy Abdou Devices and methods for vertebral bone realignment
US10213321B2 (en) 2017-01-18 2019-02-26 Neuropro Technologies, Inc. Bone fusion system, device and method including delivery apparatus
US10111760B2 (en) 2017-01-18 2018-10-30 Neuropro Technologies, Inc. Bone fusion system, device and method including a measuring mechanism
US10729560B2 (en) 2017-01-18 2020-08-04 Neuropro Technologies, Inc. Bone fusion system, device and method including an insertion instrument
US10973657B2 (en) 2017-01-18 2021-04-13 Neuropro Technologies, Inc. Bone fusion surgical system and method
WO2018213324A1 (en) 2017-05-19 2018-11-22 Merit Medical Systems, Inc. Semi-automatic biopsy needle device and methods of use
US11793498B2 (en) 2017-05-19 2023-10-24 Merit Medical Systems, Inc. Biopsy needle devices and methods of use
US11116483B2 (en) 2017-05-19 2021-09-14 Merit Medical Systems, Inc. Rotating biopsy needle
US10966757B2 (en) * 2018-03-09 2021-04-06 ANDRO Computational Solutions LLC Vertebral assist spinal medical device
CN108652730B (zh) * 2018-04-03 2019-11-08 李涛 一种植入式脊柱侧弯手术辅助可调弯折板
WO2020069012A2 (en) 2018-09-25 2020-04-02 Miraki Innovation Think Tank, Llc In-vivo robotic imaging, sensing and deployment devices and methods for medical scaffolds
US11179248B2 (en) 2018-10-02 2021-11-23 Samy Abdou Devices and methods for spinal implantation
EP3922039A1 (en) 2019-02-07 2021-12-15 NuVasive Specialized Orthopedics, Inc. Ultrasonic communication in medical devices
US11589901B2 (en) 2019-02-08 2023-02-28 Nuvasive Specialized Orthopedics, Inc. External adjustment device
US11259933B2 (en) 2019-09-06 2022-03-01 Globus Medical Inc. Expandable motion preservation spacer
US11191650B2 (en) 2020-02-03 2021-12-07 Globus Medical Inc. Expandable fusions devices, instruments, and methods thereof
US11298240B2 (en) 2020-06-16 2022-04-12 Globus Medical, Inc. Expanding intervertebral implants
US11357640B2 (en) 2020-07-08 2022-06-14 Globus Medical Inc. Expandable interbody fusions devices
US11491020B2 (en) 2020-07-09 2022-11-08 Globus Medical, Inc. Articulating and expandable interbody fusions devices
US11806054B2 (en) 2021-02-23 2023-11-07 Nuvasive Specialized Orthopedics, Inc. Adjustable implant, system and methods
US11737787B1 (en) 2021-05-27 2023-08-29 Nuvasive, Inc. Bone elongating devices and methods of use
US11896491B2 (en) 2021-10-19 2024-02-13 Loubert S. Suddaby Expandable total disc replacement implant
US11583410B1 (en) * 2021-10-19 2023-02-21 Loubert S. Suddaby Expandable total disc replacement implant
US11712346B2 (en) 2021-12-02 2023-08-01 Globus Medical, Inc. Expandable fusion device with integrated deployable retention spikes
US11883080B1 (en) 2022-07-13 2024-01-30 Globus Medical, Inc Reverse dynamization implants

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060004447A1 (en) * 2004-06-30 2006-01-05 Depuy Spine, Inc. Adjustable posterior spinal column positioner
US20060085074A1 (en) * 2004-10-18 2006-04-20 Kamshad Raiszadeh Medical device systems for the spine
US20070173832A1 (en) * 2004-10-20 2007-07-26 Vertiflex, Inc. Systems and methods for posterior dynamic stabilization of the spine

Family Cites Families (67)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2333033A (en) * 1943-06-11 1943-10-26 Leslie E Mraz Bone splint
US4548199A (en) * 1981-11-13 1985-10-22 Agee John M Fracture splint
US4573459A (en) * 1983-08-25 1986-03-04 Litton Bruce W Thumb and finger extension device
US4636217A (en) * 1985-04-23 1987-01-13 Regents Of The University Of Minnesota Anterior spinal implant
US4599086A (en) * 1985-06-07 1986-07-08 Doty James R Spine stabilization device and method
SE458417B (sv) * 1985-08-15 1989-04-03 Sven Olerud Fixationsinstrument avsett foer anvaendning vid ryggoperationer
EP0267959A1 (en) * 1986-05-30 1988-05-25 BUMPUS, John Distraction rods
US4747394A (en) * 1986-10-08 1988-05-31 Watanabe Orthopedic Systems, Inc. Spinal retractor
US4929247A (en) * 1988-10-06 1990-05-29 Rayhack John M Bone compression and distraction device
US5097820A (en) * 1989-04-25 1992-03-24 Shulman David H Articulating mouth-prop device for use in the diagnosis and/or treatment of patients suffering from trismus or other medical or dental problems or for other purposes
US5147358A (en) * 1990-10-23 1992-09-15 Remmler Daniel J Cranial fixation-distraction and positioning apparatus and method
DE9112176U1 (zh) * 1991-09-30 1991-11-14 Howmedica Gmbh, 2314 Schoenkirchen, De
US5405391A (en) * 1993-02-16 1995-04-11 Hednerson; Fraser C. Fusion stabilization chamber
US5364396A (en) * 1993-03-29 1994-11-15 Robinson Randolph C Distraction method and apparatus
RU2070006C1 (ru) * 1993-03-29 1996-12-10 Российский научно-исследовательский нейрохирургический институт им.проф.А.Л.Поленова Межпозвонковый дистрактор
US5458641A (en) * 1993-09-08 1995-10-17 Ramirez Jimenez; Juan J. Vertebral body prosthesis
US5514180A (en) * 1994-01-14 1996-05-07 Heggeness; Michael H. Prosthetic intervertebral devices
US5437668A (en) * 1994-02-18 1995-08-01 Board Of Trustees Of The University Of Ark. Apparatus and method for clinical use of load measurement in distraction osteogenesis
US5601551A (en) * 1995-03-01 1997-02-11 Smith & Nephew Richards, Inc. Geared external fixator
US5616117A (en) * 1995-08-03 1997-04-01 Ohio Medical Instrument Company, Inc. Self locking surgical retractor
US5976125A (en) * 1995-08-29 1999-11-02 The Cleveland Clinic Foundation External distractor/fixator for the management of fractures and dislocations of interphalangeal joints
US6007535A (en) * 1996-01-03 1999-12-28 John M. Rayhack Multi-plane bone distraction system
US5895387A (en) * 1996-10-09 1999-04-20 Romulo Guerrero Method of craniofacial bone distraction
US7201751B2 (en) * 1997-01-02 2007-04-10 St. Francis Medical Technologies, Inc. Supplemental spine fixation device
DE19700225A1 (de) * 1997-01-07 1998-07-09 Augustin Prof Dr Betz Distraktionsvorrichtung zum Auseinanderbewegen zweier Teile eines Knochens
US6126660A (en) * 1998-07-29 2000-10-03 Sofamor Danek Holdings, Inc. Spinal compression and distraction devices and surgical methods
DE19856013A1 (de) 1998-12-04 2000-06-08 Wittenstein Gmbh & Co Kg Distraktionsvorrichtung
FR2794357B1 (fr) * 1999-06-01 2001-09-14 Frederic Fortin Dispositif de distraction pour les os d'enfants possedant des moyens d'accrochage et de reglage permettant de suivre leur croissance
DE19934889A1 (de) * 1999-07-24 2001-01-25 Holger K Essiger Chirurgische Vorrichtung zum Verlagern von Knochenteilen
US6454806B1 (en) 1999-07-26 2002-09-24 Advanced Prosthetic Technologies, Inc. Spinal surgical prosthesis
US6508817B1 (en) * 1999-08-17 2003-01-21 Walter Lorenz Surgical, Inc. Finger tissue expander
US6413231B1 (en) * 1999-10-06 2002-07-02 Dynasplint Systems, Inc. Device to assist in therapy of patient who has limited jaw opening
BE1013222A3 (nl) * 2000-01-11 2001-11-06 Mommaerts Maurice Yves Apparaat voor intraorale distractieosteotomie ter verbreding van de bovenkaak.
US6358255B1 (en) * 2000-03-06 2002-03-19 Micerium S.R.L. Distraction osteogenesis device and method
GB0009107D0 (en) * 2000-04-13 2000-05-31 Univ London Surgical distraction device
US6817974B2 (en) * 2001-06-29 2004-11-16 Intuitive Surgical, Inc. Surgical tool having positively positionable tendon-actuated multi-disk wrist joint
RU2225183C2 (ru) * 2001-09-12 2004-03-10 Галикеев Марат Фаритович Расклинивающий межтеловой дистрактор позвонков
US7601156B2 (en) * 2001-12-05 2009-10-13 Randolph C. Robinson Limb lengthener
US7011658B2 (en) * 2002-03-04 2006-03-14 Sdgi Holdings, Inc. Devices and methods for spinal compression and distraction
US7214226B2 (en) * 2002-07-24 2007-05-08 Nas Spine, Inc. Compressible fixation apparatus for spinal surgery
US7018415B1 (en) * 2002-09-23 2006-03-28 Sdgi Holdings, Inc. Expandable spinal fusion device and methods of promoting spinal fusion
US6723126B1 (en) * 2002-11-01 2004-04-20 Sdgi Holdings, Inc. Laterally expandable cage
US20050049590A1 (en) * 2003-03-07 2005-03-03 Neville Alleyne Spinal implant with securement spikes
US7291152B2 (en) * 2003-04-18 2007-11-06 Abdou M Samy Bone fixation system and method of implantation
US20050096674A1 (en) * 2003-08-07 2005-05-05 By-Pass, Inc. Bypass punch anastomosis delivery system
KR100511317B1 (ko) * 2003-10-31 2005-08-31 엘지전자 주식회사 비접촉식 카드를 내장한 이동 통신 단말기의 카드 도용방지 방법 및 장치
US20050165407A1 (en) * 2004-01-23 2005-07-28 Diaz Robert L. Disk arthroplasty instrumentation and implants
EP1570813A1 (de) * 2004-03-05 2005-09-07 Cervitech, Inc. Zervikale Bandscheibenprothese mit Luxationssicherung und Instrumentarium
US7458981B2 (en) * 2004-03-09 2008-12-02 The Board Of Trustees Of The Leland Stanford Junior University Spinal implant and method for restricting spinal flexion
US7531002B2 (en) * 2004-04-16 2009-05-12 Depuy Spine, Inc. Intervertebral disc with monitoring and adjusting capabilities
US20050256576A1 (en) * 2004-05-13 2005-11-17 Moskowitz Nathan C Artificial expansile total lumbar and thoracic discs for posterior placement without supplemental instrumentation and its adaptation for anterior placement of artificial cervical, thoracic and lumbar discs
US7854766B2 (en) * 2004-05-13 2010-12-21 Moskowitz Nathan C Artificial total lumbar disc for unilateral safe and simple posterior placement in the lumbar spine, and removable bifunctional screw which drives vertical sliding expansile plate expansion, and interplate widening, and angled traction spikes
WO2006017641A2 (en) 2004-08-03 2006-02-16 Vertech Innovations, L.L.C. Spinous process reinforcement device and method
US7887566B2 (en) 2004-09-16 2011-02-15 Hynes Richard A Intervertebral support device with bias adjustment and related methods
US20060136062A1 (en) 2004-12-17 2006-06-22 Dinello Alexandre Height-and angle-adjustable motion disc implant
US7998173B2 (en) * 2005-11-22 2011-08-16 Richard Perkins Adjustable spinous process spacer device and method of treating spinal stenosis
WO2007120119A2 (en) * 2006-04-17 2007-10-25 Mustafa Ayan Automatic maxillary expander and transfering apparatus
US7854765B2 (en) * 2006-04-20 2010-12-21 Moskowitz Mosheh T Electronically controlled artificial intervertebral disc with motor assisted actuation systems
US20080021466A1 (en) * 2006-07-20 2008-01-24 Shadduck John H Spine treatment devices and methods
US20090093890A1 (en) * 2007-10-04 2009-04-09 Daniel Gelbart Precise control of orthopedic actuators
US20090093820A1 (en) * 2007-10-09 2009-04-09 Warsaw Orthopedic, Inc. Adjustable spinal stabilization systems
US8241331B2 (en) * 2007-11-08 2012-08-14 Spine21 Ltd. Spinal implant having a post-operative adjustable dimension
AU2009234286B2 (en) * 2008-04-11 2015-02-12 Physcient, Inc. Methods and devices to decrease tissue trauma during surgery
US20100094303A1 (en) * 2008-10-13 2010-04-15 Arvin Chang Spinal distraction system
US20100114103A1 (en) * 2008-11-06 2010-05-06 The Regents Of The University Of California Apparatus and methods for alteration of anatomical features
US8827986B2 (en) * 2009-10-19 2014-09-09 Pharmaco-Kinesis Corporation Remotely activated piezoelectric pump for delivery of biological agents to the intervertebral disc and spine
US8353963B2 (en) * 2010-01-12 2013-01-15 Globus Medical Expandable spacer and method for use thereof

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060004447A1 (en) * 2004-06-30 2006-01-05 Depuy Spine, Inc. Adjustable posterior spinal column positioner
US20060085074A1 (en) * 2004-10-18 2006-04-20 Kamshad Raiszadeh Medical device systems for the spine
US20070173832A1 (en) * 2004-10-20 2007-07-26 Vertiflex, Inc. Systems and methods for posterior dynamic stabilization of the spine

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104394787A (zh) * 2012-04-20 2015-03-04 詹姆斯·C·罗宾逊 棘突固定设备和方法
CN104394787B (zh) * 2012-04-20 2017-04-12 詹姆斯·C·罗宾逊 棘突固定设备和方法
CN105769392A (zh) * 2016-04-05 2016-07-20 广州爱锘德医疗器械有限公司 椎体融合器
CN107865686A (zh) * 2016-09-26 2018-04-03 青岛大学附属医院 一种智能分叉式寰枢椎钩固定系统

Also Published As

Publication number Publication date
EP2224867B1 (en) 2013-12-11
JP2011502618A (ja) 2011-01-27
US20090125062A1 (en) 2009-05-14
RU2495648C2 (ru) 2013-10-20
MX2010005034A (es) 2010-10-15
BRPI0820476A2 (pt) 2015-06-16
CN101909533B (zh) 2013-07-03
AU2008326077A1 (en) 2009-05-14
DK2224867T3 (en) 2014-03-10
WO2009060427A1 (en) 2009-05-14
AU2008326077B2 (en) 2013-11-28
JP5572551B2 (ja) 2014-08-13
ZA201003513B (en) 2011-08-31
US20100262247A1 (en) 2010-10-14
RU2010123041A (ru) 2011-12-20
ES2450365T3 (es) 2014-03-24
NZ585647A (en) 2011-11-25
EP2224867A1 (en) 2010-09-08
US8241331B2 (en) 2012-08-14
KR20100108326A (ko) 2010-10-06
US8968406B2 (en) 2015-03-03
CA2703868A1 (en) 2009-05-14

Similar Documents

Publication Publication Date Title
CN101909533B (zh) 具有术后可调节尺寸的脊柱植入物
US10058358B2 (en) Systems and methods for posterior dynamic stabilization of the spine
EP2503947B1 (en) Spinal rod having a post-operative adjustable dimension
CN104042366B (zh) 矫形可扩张装置
CN201275134Y (zh) 骶髂关节三维内固定器
US20100114103A1 (en) Apparatus and methods for alteration of anatomical features
CN202458786U (zh) 可膨胀箱形椎间融合器及其置入器
CN203017327U (zh) 电动升降整脊顿压床
CN105534583A (zh) 一种自动复位的椎弓根钉
CN205514850U (zh) 一种两用椎弓根钉
CN202892068U (zh) 叠加式全高度椎体成形器
CN204410946U (zh) 一种弹性的脊椎动态椎弓根螺钉系统
CN202223325U (zh) 非融合弹性连接棒
CN202908829U (zh) 微创椎体支撑器
US11723778B1 (en) Vertebral implant system and methods of use
WO2010141402A1 (en) Programmable fluid actuated spinal implant having a post-operative adjustable dimension
CN201533865U (zh) 柔性连接棒
CN203169288U (zh) 采用线圈和杆件连接的脊椎连接装置及系统
CN111839831A (zh) 一种垂直植入的人工椎体

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
C14 Grant of patent or utility model
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20130703

Termination date: 20151029

EXPY Termination of patent right or utility model