CN101394803A - 椎骨杆及其使用方法 - Google Patents
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Abstract
本发明涉及椎骨杆及其使用方法。在一个实施方式中,杆包括上部(20)和下部(30),上部和下部被中部(40)分隔开。所述中部可包括一个或多个构件,并可具有多种构型。弹性构件(60)可位于所述中部内。中部和弹性构件能在上部和下部的运动期间提供可变阻力。在一个实施方式中,所述上部和下部运动离开第一取向越远,阻力增加。在一个实施方式中,上部和下部的运动程度是有限的。
Description
背景技术
椎骨杆常常用于外科手术治疗脊柱疾病,如退行性盘疾病、盘突出、脊柱侧凸或其他弯曲异常和骨折。可采用各种不同类型的外科手术治疗。在一些情况下,采用脊柱融合来抑制椎骨构件之间的相互运动。在另一些情况下,使用动态植入物来保持椎骨构件之间的运动。无论是哪一种外科手术治疗,可将一根或多根杆附连于两个或多个椎骨构件的外侧,可以是在椎骨构件的后面、前面、或侧面。在其他实施方式中,杆附连于椎骨构件而不需要使用动态植入物或脊柱融合。
杆能够在较广泛区域内将应力重新引导离开受损或缺损区域并使脊柱恢复其适当排列。杆还能增加椎体间构建物上的负荷,在骨移植物发生治愈作用时降低转移至相邻椎骨构件的应力,并大致地支撑椎骨构件。
发明内容
本发明涉及椎骨杆及其使用方法。在一个实施方式中,杆包括上部和下部,上部和下部由中部分隔开。中部可包括一个或多个构件,并可具有多种构型。弹性构件可位于中部内。中部和弹性构件能在所述上部和下部运动期间提供可变阻力。在一个实施方式中,上部和下部运动离开第一取向越远,阻力增加。在一个实施方式中,上部和下部的运动程度有限。
附图说明
图1A是根据一个实施方式的杆的立体图。
图1B是根据一个实施方式的杆的正视图。
图2是根据一个实施方式的附连于椎骨构件的一对杆的立体图。
图3是根据一个实施方式的杆的侧视图。
图4是根据一个实施方式的杆的侧视图。
图5是根据一个实施方式的杆的侧视图。
图6A-H是根据多个实施方式的杆的侧视图。
图7A-F是根据多个实施方式的弹性构件的截面图。
图8是根据一个实施方式的杆的侧视图。
图9是根据一个实施方式的杆的侧视图。
图10是根据一个实施方式的杆的截面图。
图11A是根据一个实施方式的杆的侧视图。
图11B是根据一个实施方式的杆的侧视图。
图12是根据一个实施方式的杆的侧视图。
图13是根据一个实施方式的杆的侧视图。
图14是根据一个实施方式的杆的侧视图。
图15A是根据一个实施方式的处于第一位置的杆的侧视图。
图15B是根据一个实施方式的处于第二位置的杆的侧视图。
图16是根据一个实施方式的杆和套管的侧视图。
图17是根据一个实施方式的杆的侧视图。
图18是根据一个实施方式的杆的侧视图。
具体实施方式
本发明涉及椎骨杆以及支撑一个或多个椎骨构件的方法。杆包括上部、下部和中部。弹性构件可位于中部处。弹性构件可具有多种取向、尺寸、形状、密度、弹性模量和其他材料性质,这取决于上部和下部之间所需的位移。椎骨构件运动期间,弹性构件和/或中部可弹性弯曲以产生稳定力。
图1A示出了一个实施方式的杆10的侧视立体图,而图1B则示出了正视图。杆10包括上部20和下部30,上部20和下部30被中部40所分离。弹性构件60被定位成能够与中部40联合作用以提供轴向和横向柔性。
在一个实施方式中,中部40和弹性构件60在椎骨构件100运动期间提供可变阻力。该阻力能够在弯曲、伸展、侧弯以及旋转的过程中进行的离开中和位置的正常运动范围期间提供动态稳定作用。该阻力可通过将中部40和弹性构件60设置成压缩或拉伸状态来产生。并且,在椎骨构件运动期间,这些元件可在压缩和拉伸状态之间变换。中部40和弹性构件60的刚性可进一步限制运动范围使之不能超出预定的程度。
图2示出了一个实施方式的附连于椎骨构件100的两根杆10。在该实施方式中,杆10位于脊柱后侧,在棘突101相对两侧上。杆10可在其他位置附连于脊柱,包括侧面和前面的位置。杆10也可在各个脊柱链段处附连,包括颅骨基部以及颈区、胸区、腰区和骶区中的椎骨构件100。因此,图2所示仅仅是一种实施方式的代表性例子,还应理解,也可使用单根杆10来支撑椎骨构件100。
在图2所示的实施方式中,杆10通过蒂组件固定于椎骨构件100,所述蒂组件包括蒂螺钉12,蒂螺钉12包括接纳部14和抵盖13。每根杆10的外表面被抓持、钳夹或以其他方式固定在接纳部14内并由抵盖13维持定位。将杆10固定于椎骨构件100的其他机构包括钩、索和其他此类装置。并且,其他类型的保持元件的例子还包括螺纹帽、螺钉和销钉。杆10也可附连于其他构型的板。因此,图2所示示例性的组件仅仅代表了一种类型的附连机构。
上部20和下部30可具有各种形状、尺寸和物理性质。在一个实施方式中,上部20和下部30基本上相同。在一个实施方式中,上部20和下部30之一或两者基本上是包括延伸长度和圆形截面形状的圆柱形。在一个实施方式中,上部20和下部30之一或两者基本上刚性。上部20和下部30之一或两者基本上为直的,包括连续的弯曲或包括一个或多个离散的弯曲部分。
中部40位于上部20和下部30之间。在一个实施方式中,中部40以及上部20和下部30由包括折叠或弯曲构型的单一片材构成。在其他实施方式中,中部40附连于上部20和下部30。图3显示了一个实施方式,中部40由独立构件41构成,该独立构件41附连于上部20和下部30。用一个或多个紧固件16将构件41附连于上部20。紧固件16的实施方式可包括铆钉、销钉、螺钉等。在图3所示的实施方式中,构件41以另一种方式附连于下部30,例如粘合剂、焊接、硬焊等。中部40可由一个或多个构件41构成。在图3所示实施方式中,中部40由单一构件41构成。
图4的实施方式显示了由两个独立构件41a、41b构成的中部40。在该实施方式中,第一构件41a连接上部20,第二构件41b连接下部30。构件41a、41b以上文所述的方式连接在一起。
中部40可具有各种宽度。在图1B所示的实施方式中,中部40的宽度w大于上部20和下部30的宽度w’。在其他实施方式中,中部40的宽度w小于或等于上部20和下部30的宽度w’。在一个实施方式中,中部40的宽度w最大一直到上部20和下部30的宽度w’的四倍。中部40的宽度w可变化,如图1B的实施方式所示。在另一实施方式中,宽度w基本上恒定。
中部40也可相对于上部20和下部30在多个位置处定位。在图3所示的实施方式中,中部40横向偏离上部20和下部30。在图6A所示的另一个实施方式中,中部40与上部20和下部30轴向对齐。
在一个实施方式中,中部40可包括构件18,构件18包括第一部分43和第二部分44。第一部分43和第二部分44构成构件18的全部或有限的一部分。在图4所示的实施方式中,中部40具有基本上平面的第一部分43和第二部分44。在其他实施方式中,中部40具有图5所示的弯曲形状。在各种其他实施方式中,例如图3所示,中部40是平面形状和弯曲形状的组合。
在一些实施方式中,中部40由单一构件18构成。在图6A和6B显示的实施方式中,中部40由包括弯曲形状的单一构件18构成。图6C、6D和6E显示的实施方式中,中部40包括具有平面和弯曲部分的单一构件18。
中部40的各个实施方式可包括多重构件18。图6F显示的一个实施方式中,包括弯曲的第一构件18a和第二构件18b。图6G和6H显示的实施方式中具有第一构件18a和第二构件18b,这两个构件各自包括弯曲部分和平面部分。在具有多重构件18的实施方式中,构件18可由单一片材构成,或者由紧固在一起的多个不同的片材构成。而且,多重构件18可相互分离,或者紧密靠拢。支持构件18也可具有重叠构型。该重叠可以是水平方向、垂直方向或者两种方向都有。图6A的构件18和图6G的构件18a、18b显示的实施方式具有垂直重叠,这些构件各自的多重部分在上部20和下部30之间垂直重叠。
图6B、6C和6E的构件18也包括垂直重叠。图6D的构件18显示了一个实施方式的水平重叠。如果一根垂直于上部20和下部30的线的线延伸穿过构件至少两次,则发生水平重叠。一些实施方式既有水平重叠又有垂直重叠。包括多重构件的中部40包括由结构所导致的水平重叠。构件18a、18b可各自包括水平和/或垂直重叠。
在图1A所示的一个实施方式中,中部40包括一开口侧70。在不同的实施方式中,开口侧70面向前侧或后侧方向。在一个实施方式中,包括中部40的多重构件18之间形成有内部部分。内部部分可具有由构件18所包围的两侧。在一个实施方式中,内部部分70的侧面是开放的。在另一个实施方式中,内部部分70完全封闭。
多重中部40可沿杆10的长度定位。在一个图2所示的实施方式中,每根杆10包括两个独立的中部40。中部40可包括相同或不同的尺寸、形状和结构。中间部分42可沿杆10的长度在中部40间定位。在一个实施方式中,以如上文上部20和下部30中所述的方式来构建中间部分42。
上部20和下部30以及中部40可由多种材料构成,包括金属、聚合物、陶瓷及其组合。金属的例子包括钛、钛合金如镍-钛、不锈钢、和钴铬。聚合物的例子包括聚硅氧烷、聚硅氧烷-聚氨酯共聚物、聚烯烃橡胶、PEEK、PEEK-碳复合物、聚酰亚胺、聚醚酰亚胺、聚氨酯、以及它们的组合。聚氨酯的例子包括热塑性聚氨酯、脂肪族聚氨酯、链段聚氨酯、亲水聚氨酯、聚醚-氨基甲酸酯、聚碳酸酯-氨基甲酸酯、聚硅氧烷聚醚氨基甲酸酯、聚乙烯醇水凝胶、聚丙烯酰胺水凝胶和聚丙烯酸水凝胶。陶瓷材料的例子包括磷酸钙、羟基磷灰石、HAPCP、氧化铝和锆。
中部40提供对抗上部20和下部30的运动的阻力。上部20和下部30之一或两者的运动可导致中部40变形。在一个实施方式中,上部20和下部30的运动期间,阻力基本上恒定。在另一个实施方式中,当上部20和下部30之一或两者从第一中和位置进一步离开时,阻力增加。中部40的形状也可能影响阻力。在一个实施方式中,上部20和下部30之间沿第一方向的相对运动导致第一程度的阻力,沿第二相反方向的运动导致第二不同程度的阻力。在一个实施方式中,可利用阻力差来使对椎骨构件100沿一个方向的运动(例如屈曲)的限制比沿另一方向的运动(例如,伸展)更多。
弹性构件60可位于中部40内,其具有刚性以提供对抗上部20和下部30运动的阻力。弹性构件60可分担施加于杆10上的负载,并可防止中部40的疲劳破裂。弹性构件60可施加基本上线性或非线性的阻力以对抗上部20和下部30的运动。
弹性构件60可由各种不同的材料构成。构件60可具有弹性并在上部20和下部30的运动期间改变形状。这种材料的例子包括具有弹性或类似橡胶的聚合物、水凝胶或其他亲水聚合物、或它们的组合。尤其合适的弹性体包括:聚硅氧烷、聚氨酯、聚硅氧烷和聚氨酯的共聚物、聚烯烃如聚异丁烯和聚异戊二烯、氯丁二烯橡胶、腈、硬橡胶以及它们的组合。聚氨酯的例子包括热塑性聚氨酯、脂肪族聚氨酯、链段聚氨酯、亲水聚氨酯、聚醚-氨基甲酸酯、聚碳酸酯-氨基甲酸酯和聚硅氧烷聚醚氨基甲酸酯。其他合适的亲水聚合物包括聚乙烯醇水凝胶、聚丙烯酰胺水凝胶、聚丙烯酸水凝胶、聚(N-乙烯基-2-吡咯烷酮)水凝胶、聚甲基丙烯酸羟乙酯水凝胶、和天然来源的物质如胶原和多糖,多糖为例如透明质酸和含交联羧基的多糖,以及它们的组合。
在一个实施方式中,弹性构件60连接于中部40。弹性构件60可用机械、紧固件连接,例如螺钉、销钉、铆钉、系链、套管、索缆等。在另一个实施方式中,用粘合剂连接弹性构件60。在一个实施方式中,中部40包括粗糙表面、脊、齿等以维持弹性构件60的定位。在一个实施方式中,弹性构件60具有可附连于中部40的形状。在一个具体的实施方式中,弹性构件60包括附连于从中部40延伸出的延伸部的楔形凹进部分。
在一个实施方式中,弹性构件60同时连接于中部40的第一部分43和第二部分44。如果同时连接于第一和第二部分43、44,则弹性构件60能提供对抗在屈曲、伸展、侧弯和旋转期间可能发生的向内或向外运动的阻力。在上部20和下部30的向内运动的过程中,弹性构件60被压缩并提供对抗向内运动的阻力。在上部和下部30向外运动的过程中,弹性构件60被拉伸以提供阻力。在一个实施方式中,弹性构件60在椎骨构件伸展期间发生压缩,而在椎骨构件屈曲期间发生拉伸。
在一个实施方式中,弹性构件60连接于第一部分43和第二部分44之一,弹性构件60提供对抗向内运动的阻力。然而,弹性构件60在上部20和下部30向外运动期间可能不发生拉伸,对抗这一向外运动的阻力被局限于中部40。
在各种实施方式中,弹性构件60由单一构件构成,如图7A-7D所示。图7A所示一个实施方式的弹性构件60具有基本上矩形的形状。图7B显示了基本上C-形的弹性构件60,基部背向支持构件18。图7C显示的弹性构件60包括接触第二部分44的矩形第一表面和四个向上逐渐缩小的平面侧壁。图7D所示的实施方式具有不规则非对称的形状。
弹性构件60也可包括两个或多个独立构件。独立构件可具有相同的结构,或者由各自具有不同的刚性的不同的材料构成。图7E所示实施方式具有三个独立的弹性构件60a、60b、60c。每个弹性构件60a、60b、60c各自独立,并基本上为圆形,该圆形可以是圆柱形、球形或圆锥形。图7F所示实施方式具有围绕第二弹性构件60b延伸的第一弹性构件60a。在一个实施方式中,弹性构件60a、60b连接在一起。
在杆10上无外力的中和状态下,弹性构件60可具有多种高度H。在一个实施方式中,高度H的大小被设置成用于使构件60在两个部分43、44间延伸并接触这两个部分。在一个实施方式中,整个弹性构件60的高度H可基本上相同。在其他实施方式中,如图8和9所示,高度H可沿弹性构件60变化。图8所包括的弹性构件60的高度H随着远离支持构件18而减小,而图9所示弹性构件60的高度H随着远离支持构件18而增大。
装置10能提供对抗变形的可变阻力。该可变阻力在椎骨运动初始程度时的阻力较小,但会施加较大的阻力以减小较大程度的椎骨运动。例如,装置10可被设计成在上部20和下部30初始运动程度时提供极小的阻力。而在上部20和下部30的运动超出初始程度时对椎骨构件施加较大程度的阻力。在一些实施方式中,弹性构件60和中部40的刚性随运动程度的增加而增加。离开初始第一位置越远,各个构件所施加阻力的量越大。
对抗向内运动的可变阻力也可由弹性构件60的高度产生。在一个实施方式中,高度H小于开口70的高度(即构件60不是与部分43、44都接触)。对抗上部20和下部30初始运动的阻力被隔离在中部40中。弹性构件60不会影响刚性直到它接触中部40的两个部分43、44并开始弹性变形。在一个实施方式中,初始部分运动程度期间,变形限于中部40。超出初始程度的运动造成除中部40继续变形外部分43、44也开始变形,这导致装置刚性更大并且对进一步运动的阻力增加。弹性构件60的形状和大小可进一步引起针对变形的可变阻力。部分43、44与弹性构件60之间较大的接触程度可导致较大的阻力。例如,采用图8和9所示的实施方式,弹性构件60的尖头形状能够在部分43、44向内运动初始程度期间产生较小的阻力。而部分43、44的进一步向内运动则导致弹性构件60较大程度的变形,造成较大的阻力。
可变阻力也可通过多重弹性元件来实现。图10所示实施方式具有两个中部40。第一中部40包括两个独立的弹性构件60a和60b。在部分43a、43b向内运动期间,内部弹性构件60a首先被接触,从而产生第一阻力程度。第二弹性构件60b没有被部分43a接触,直到构件60a被压缩超出预定程度。接着,这种压缩导致弹性构件60b变形,产生附加的阻力程度。第二中部40包括单个弹性构件,该弹性构件由具有不同刚性的第一材料60a和第二材料60d构成。部分43b、44b的初始压缩导致第一材料60c变形从而产生第一阻力。进一步的压缩导致第一材料60c和第二材料60d变形,它们一起提供附加的阻力。
图11A和11B显示了另一个实施方式,具有位于部分43、44之间的第一构件60a和第二构件60b。如图11A所示,构件60b长度较大,并且当杆10处于没有外力存在的中和取向时处于松弛构型。最初由第一构件60a和中部40来对抗部分43、44的初始向外运动。随着部分43、44进一步向外运动,构件60b被拉紧。超出该程度的运动则导致构件60b伸展,从而通过第一构件60a、第二构件60b和中部40的联合作用来对抗进一步的运动。
构件60a、60b可由相同或不同的材料构成。在一个实施方式中,构件60b由非弹性材料构成,用作控制向外运动程度的限制件。在该实施方式中,部分43、44运动分离一定程度,直到构件60b被拉紧。然后,构件60b的非弹性性质可阻止部分43、44进一步向外运动超出该程度。在一个实施方式中,构件60b一旦被拉紧立即限制进一步的运动,例如在金属构件上所发生的。在另一个实施方式中,构件60b在被拉紧后提供少量的额外向外运动,然后终止进一步的运动。一个例子包括纺织物,它能够在构件60b被拉紧后稍微扩张一定程度。
图11A和11B所示实施方式的限制构件60b可由多种材料构成,包括金属、聚合物和陶瓷。
金属的例子包括钛和不锈钢。聚合物的例子包括纤维和机织或编织的基于织物的产品。陶瓷的例子是编织构型的碳纤维。
弹性构件60可以各种程度填充上部20和下部30之间的空间。在一个实施方式中,构件60填充有限量的中部40。在图12所示的另一个实施方式中,弹性构件60基本上充满整个内部部分70。在该实施方式中,空隙78位于弹性构件60内。在一个实施方式中,空隙78包括特定形状和尺寸以控制弹性构件60的支撑能力。空隙78可以基本上没有材料,或者可填充有不同于弹性构件60的材料的材料。如图12所示,空隙78可位于弹性构件60的内部,或者可沿一边缘定位,如图13所示。
限制件能防止上部20和下部30的运动超出预定程度。图14显示了一个实施方式,刚性限制构件79位于两个部分43、44之间的中部40内。上部20和下部30之一或两者的运动可导致部分43、44向内运动,并导致弹性构件60变形。在预定的运动程度下,部分43接触限制构件79的顶部边缘,阻止进一步的向内运动。限制构件79可具有多种不同的形状和取向。
另一种限制性的实施方式如图15A和15B所示。臂92、93被定位成与部分43和44相对。臂92、93在第一位置(例如中性状态)下包括分离的边缘,形成间隙49,如图15A所示。这允许部分43、44在椎骨运动期间向内运动有限的程度。预定程度的向内运动后,边缘相互接触,如图15B所示,并且进一步的向内运动被阻止。
在图16所示的一个实施方式中,套管85围绕中部40延伸。在一个实施方式中,套管85的作用是使弹性材料60保持在中部40内。套管85可进一步提供对抗上部20和下部30运动的阻力。在一个实施方式中,套管85施加对抗中部40向外运动的阻力。套管85可由弹性、半弹性或非弹性材料构成。套管可是实心的,例如由聚硅氧烷构成;可以编织或机织,例如聚酯编织或机织;或者是不同材料或结构的组合。
也可使用系链150为装置10提供额外的阻力。在一个实施方式中,例如图17所示的实施方式中,系链150延伸穿过开放侧70并附连于第一部分20和第二部分30。系链150在上部20和下部30向外运动期间提供阻力。在其他实施方式中,多重系链150延伸穿过开放侧70。系链150可具有各种宽度和形状,这取决于所应用的场合。在一个实施方式中,系链150由弹性材料构成,该材料随椎骨构件100运动而伸展。在一个实施方式中,系链150由非弹性材料构成以防止运动超出预定的程度。在另一个实施方式中,一根或多根系链150连接于弹性构件60。在一个实施方式中,系链150完全包含在弹性构件60内。在一个实施方式中,系链150完全或部分位于弹性构件60的外表面上。在另一个实施方式中,系链150从弹性构件60向外延伸。连接于弹性构件60的一根或多根系链150能够在椎骨运动期间提供附加的阻力。
图18显示了另一个实施方式,弹性构件60接触上部20和下部30。在一个实施方式中,弹性构件60与构件18间隔开。在另一个实施方式中,弹性构件60也接触构件18。
如果弹性构件60由弹性材料、例如水凝胶或其他类似的亲水材料构成,它还可递送所需的药物。在一个实施方式中,在弹性构件60的变形期间递送药物。药物可以是用于治疗各种脊柱疾病的药物,所述疾病包括退行性盘疾病、脊柱关节炎、脊柱感染、脊柱肿瘤和骨质疏松症。所述药物包括抗生素,镇痛药,抗炎药,包括甾体,以及它们的组合。其他药物是本领域技术人员熟知的。这些药物也是以治疗有效量使用。治疗有效量可由本领域技术人员根据具体病例来确定。
在一个实施方式中,弹性构件60附连于中部40,以在拉伸和压缩位置间运动。椎骨构件100的第一运动期间,弹性构件60被压缩而提供对抗运动的阻力。椎骨构件100的第二运动期间,弹性构件60被拉伸而提供对抗运动的阻力。在一个实施方式中,椎骨运动期间,中部40依次被设置成压缩和拉伸。
空间相对术语如“下”、“下方”、“下侧”、“上方”、“上”等只是为了便于描述,以解释一个元件相对于另一个元件的定位。这些术语旨在包括除附图所示不同取向以外其他不同的装置取向。而且,术语如“第一”、“第二”等也是用于描述各种元件、区域、部分等,而不是限制性的。本说明书中,类似的术语表示类似的元件。
本文所用术语“具有”、“包含”、“包括”、“含有”等是开放可扩展术语,表示所述元件或特征的存在,但不排斥其他元件或特征。量词“一”、“一个”和“这个”旨在包括单数和复数形式,除非另有清楚说明。
本发明可以除本文所述之外的其他特定方式来实现而不背离本发明的范围和基本特征。因此,本发明的实施方式在所有方面都应认为是示例性而非限制性的,所附权利要求的含义范围及其等价范围内的所有改变都包括其中。
Claims (20)
1.一种椎骨杆,所述杆包括:
第一细长部分;
第二细长部分;
位于所述第一和第二部分之间的中部,所述中部包括具有转弯以及上部分和下部分的构件;和
位于所述中部内的弹性构件;
所述中部和所述弹性构件被构造成能够提供对抗所述第一和第二部分的运动的可变阻力。
2.如权利要求1所述的杆,其特征在于,所述第一和第二部分包括共同的截面形状。
3.如权利要求1所述的杆,其特征在于,所述杆还包括第二中部和中间构件,所述中间构件位于所述中部和所述第二中部之间,所述第二中部提供了不同于所述中部的可变阻力的第二可变阻力。
4.如权利要求3所述的杆,其特征在于,所述中间构件具有与所述第一和第二部分共同的截面形状。
5.如权利要求1所述的杆,其特征在于,所述中部还包括多个转弯。
6.如权利要求1所述的杆,其特征在于,所述中部包括第二构件,所述第二构件包括附连于所述第一部分的第一端和附连于所述第二部分的第二端,所述第二构件与所述构件间隔开。
7.如权利要求1所述的杆,其特征在于,所述弹性构件同时附连于所述中部的上部分和下部分。
8.如权利要求1所述的杆,其特征在于,所述杆还包括位于所述上部分和下部分之间的所述中部内的第二弹性构件。
9.如权利要求1所述的杆,其特征在于,所述杆还包括套管,所述套管围绕所述中部的至少一部分延伸以使所述弹性材料保持在所述中部内。
10.如权利要求1所述的杆,其特征在于,所述杆还包括延伸穿过所述中部并附连于所述第一部分和第二部分的系链,所述系链可阻止所述第一部分和第二部分的向外运动。
11.如权利要求1所述的杆,其特征在于,所述弹性构件由选自以下组的材料构成:聚硅氧烷、聚氨酯、聚硅氧烷和聚氨酯的共聚物、和聚烯烃。
12.一种椎骨杆,所述杆包括:
第一部分;
第二部分;
位于所述第一部分和第二部分之间的中部,所述中部包括具有转弯以及上部分和下部分的构件;和
在所述上部分和下部分之间的位于所述中部内的弹性构件;
所述中部可在第一位置和第二位置间运动,在所述第一位置处,所述上部分和下部分相互间隔开第一距离,在所述第二位置处,所述上部分和下部分相互间隔开第二种不同的距离,在所述第二位置处,所述弹性构件施加力以使所述中部回到所述第一位置。
13.如权利要求12所述的杆,其特征在于,所述中部和弹性构件被构造成能够在所述中部从所述第一位置向所述第二位置运动时提供渐增的阻力。
14.如权利要求12所述的杆,其特征在于,所述第二距离小于所述第一距离,所述弹性构件在所述第二位置时处于压缩状态。
15.如权利要求14所述的杆,其特征在于,在所述第一位置处,所述弹性构件从所述上部分和下部分之一间隔开,而在所述第二位置处,所述弹性构件与所述上部分和下部分每一个都相接触。
16.如权利要求12所述的杆,其特征在于,所述第二距离大于所述第一距离,所述弹性构件在所述第二位置时处于拉伸状态。
17.如权利要求16所述的杆,其特征在于,所述弹性构件与所述上部分和下部分每一个都相连接。
18.如权利要求12所述的杆,其特征在于,所述弹性材料可变形,当所述中部处于第一位置时具有第一形状,当所述中部处于第二位置时具有第二种不同的形状。
19.如权利要求18所述的杆,其特征在于,所述弹性材料还包含药物,所述弹性材料从所述第一形状向所述第二形状的变形导致药物释放。
26.一种椎骨杆,其包括:
上部;
下部;
在所述上部和下部间延伸的中部,所述中部包括第一和第二构件;
在所述第一和第二构件间形成的内部部分;和
位于所述内部部分内的弹性构件;
所述第一和第二构件以及弹性构件提供对抗所述上部和下部运动的阻力。
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DK (1) | DK1983913T3 (zh) |
ES (1) | ES2358906T3 (zh) |
WO (1) | WO2007090015A1 (zh) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN102695476A (zh) * | 2009-12-30 | 2012-09-26 | 斯恩蒂斯有限公司 | 集成的多材料植入件以及制造方法 |
Families Citing this family (101)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR2812185B1 (fr) | 2000-07-25 | 2003-02-28 | Spine Next Sa | Piece de liaison semi-rigide pour la stabilisation du rachis |
US7833250B2 (en) | 2004-11-10 | 2010-11-16 | Jackson Roger P | Polyaxial bone screw with helically wound capture connection |
GB0107708D0 (en) | 2001-03-28 | 2001-05-16 | Imp College Innovations Ltd | Bone fixated,articulated joint load control device |
US7862587B2 (en) | 2004-02-27 | 2011-01-04 | Jackson Roger P | Dynamic stabilization assemblies, tool set and method |
US8353932B2 (en) | 2005-09-30 | 2013-01-15 | Jackson Roger P | Polyaxial bone anchor assembly with one-piece closure, pressure insert and plastic elongate member |
US10729469B2 (en) | 2006-01-09 | 2020-08-04 | Roger P. Jackson | Flexible spinal stabilization assembly with spacer having off-axis core member |
US10258382B2 (en) * | 2007-01-18 | 2019-04-16 | Roger P. Jackson | Rod-cord dynamic connection assemblies with slidable bone anchor attachment members along the cord |
US8292926B2 (en) | 2005-09-30 | 2012-10-23 | Jackson Roger P | Dynamic stabilization connecting member with elastic core and outer sleeve |
US8876868B2 (en) | 2002-09-06 | 2014-11-04 | Roger P. Jackson | Helical guide and advancement flange with radially loaded lip |
US7377923B2 (en) | 2003-05-22 | 2008-05-27 | Alphatec Spine, Inc. | Variable angle spinal screw assembly |
US8936623B2 (en) | 2003-06-18 | 2015-01-20 | Roger P. Jackson | Polyaxial bone screw assembly |
US8366753B2 (en) | 2003-06-18 | 2013-02-05 | Jackson Roger P | Polyaxial bone screw assembly with fixed retaining structure |
US7967850B2 (en) | 2003-06-18 | 2011-06-28 | Jackson Roger P | Polyaxial bone anchor with helical capture connection, insert and dual locking assembly |
US7776067B2 (en) | 2005-05-27 | 2010-08-17 | Jackson Roger P | Polyaxial bone screw with shank articulation pressure insert and method |
US7766915B2 (en) | 2004-02-27 | 2010-08-03 | Jackson Roger P | Dynamic fixation assemblies with inner core and outer coil-like member |
US7527638B2 (en) | 2003-12-16 | 2009-05-05 | Depuy Spine, Inc. | Methods and devices for minimally invasive spinal fixation element placement |
US8029548B2 (en) | 2008-05-05 | 2011-10-04 | Warsaw Orthopedic, Inc. | Flexible spinal stabilization element and system |
US8926672B2 (en) | 2004-11-10 | 2015-01-06 | Roger P. Jackson | Splay control closure for open bone anchor |
US9216041B2 (en) | 2009-06-15 | 2015-12-22 | Roger P. Jackson | Spinal connecting members with tensioned cords and rigid sleeves for engaging compression inserts |
US9168069B2 (en) | 2009-06-15 | 2015-10-27 | Roger P. Jackson | Polyaxial bone anchor with pop-on shank and winged insert with lower skirt for engaging a friction fit retainer |
US7901437B2 (en) | 2007-01-26 | 2011-03-08 | Jackson Roger P | Dynamic stabilization member with molded connection |
US8105368B2 (en) | 2005-09-30 | 2012-01-31 | Jackson Roger P | Dynamic stabilization connecting member with slitted core and outer sleeve |
US7815663B2 (en) * | 2006-01-27 | 2010-10-19 | Warsaw Orthopedic, Inc. | Vertebral rods and methods of use |
FR2897771B1 (fr) * | 2006-02-28 | 2008-06-06 | Abbott Spine Sa | Implant intervertebral |
WO2008000944A2 (fr) * | 2006-06-29 | 2008-01-03 | Frederic Fortin | Prothese de stabilisation dynamique posterieure applicable au rachis |
FR2915871A1 (fr) * | 2007-05-09 | 2008-11-14 | Frederic Fortin | Perfectionnement a une prothese de stabilisation dynamique posterieure applicable au rachis. |
US20080021465A1 (en) * | 2006-07-20 | 2008-01-24 | Shadduck John H | Spine treatment devices and methods |
US20080167687A1 (en) * | 2007-01-03 | 2008-07-10 | Dennis Colleran | Dynamic linking member for spine stabilization system |
US8475498B2 (en) | 2007-01-18 | 2013-07-02 | Roger P. Jackson | Dynamic stabilization connecting member with cord connection |
US20080208260A1 (en) * | 2007-02-22 | 2008-08-28 | Csaba Truckai | Spine treatment devices and methods |
US8007519B2 (en) * | 2007-03-13 | 2011-08-30 | Zimmer Spine, Inc. | Dynamic spinal stabilization system and method of using the same |
US9655648B2 (en) | 2007-05-01 | 2017-05-23 | Moximed, Inc. | Femoral and tibial base components |
US8894714B2 (en) | 2007-05-01 | 2014-11-25 | Moximed, Inc. | Unlinked implantable knee unloading device |
US20080275552A1 (en) | 2007-05-01 | 2008-11-06 | Exploramed Nc4, Inc. | Adjustable absorber designs for implantable device |
US20100137996A1 (en) | 2007-05-01 | 2010-06-03 | Moximed, Inc. | Femoral and tibial base components |
US20080275567A1 (en) | 2007-05-01 | 2008-11-06 | Exploramed Nc4, Inc. | Extra-Articular Implantable Mechanical Energy Absorbing Systems |
US20110245928A1 (en) | 2010-04-06 | 2011-10-06 | Moximed, Inc. | Femoral and Tibial Bases |
US9907645B2 (en) | 2007-05-01 | 2018-03-06 | Moximed, Inc. | Adjustable absorber designs for implantable device |
US7611540B2 (en) | 2007-05-01 | 2009-11-03 | Moximed, Inc. | Extra-articular implantable mechanical energy absorbing systems and implantation method |
US10383660B2 (en) | 2007-05-01 | 2019-08-20 | Roger P. Jackson | Soft stabilization assemblies with pretensioned cords |
US9597118B2 (en) * | 2007-07-20 | 2017-03-21 | Dfine, Inc. | Bone anchor apparatus and method |
US20090093819A1 (en) * | 2007-10-05 | 2009-04-09 | Abhijeet Joshi | Anisotropic spinal stabilization rod |
US20090131984A1 (en) * | 2007-11-19 | 2009-05-21 | Linares Miguel A | Spine support implant including inter vertebral insertable fluid ballastable insert and inter-vertebral web retaining harnesses |
WO2009079196A1 (en) * | 2007-12-15 | 2009-06-25 | Parlato Brian D | Flexible rod assembly for spinal fixation |
US9232968B2 (en) | 2007-12-19 | 2016-01-12 | DePuy Synthes Products, Inc. | Polymeric pedicle rods and methods of manufacturing |
US20090240284A1 (en) * | 2008-03-24 | 2009-09-24 | David Scott Randol | Stabilization rods |
US20090248083A1 (en) * | 2008-03-26 | 2009-10-01 | Warsaw Orthopedic, Inc. | Elongated connecting element with varying modulus of elasticity |
EP2441404B1 (en) * | 2008-04-28 | 2013-07-31 | Biedermann Technologies GmbH & Co. KG | Rod-shaped implant, in particular for spinal stabilization, and method for producing the same |
US8287571B2 (en) | 2008-08-12 | 2012-10-16 | Blackstone Medical, Inc. | Apparatus for stabilizing vertebral bodies |
US20100042157A1 (en) * | 2008-08-15 | 2010-02-18 | Warsaw Orthopedic, Inc. | Vertebral rod system and methods of use |
US20100094344A1 (en) * | 2008-10-14 | 2010-04-15 | Kyphon Sarl | Pedicle-Based Posterior Stabilization Members and Methods of Use |
US20100094423A1 (en) * | 2008-10-15 | 2010-04-15 | Warsaw Orthopedic, Inc. | Systems and methods for assessment of tension in an implant |
US8641734B2 (en) | 2009-02-13 | 2014-02-04 | DePuy Synthes Products, LLC | Dual spring posterior dynamic stabilization device with elongation limiting elastomers |
US8118840B2 (en) * | 2009-02-27 | 2012-02-21 | Warsaw Orthopedic, Inc. | Vertebral rod and related method of manufacture |
US20100222820A1 (en) * | 2009-02-27 | 2010-09-02 | Warsaw Orthopedic, Inc. | Vertebral rod system and methods of use |
US9668771B2 (en) | 2009-06-15 | 2017-06-06 | Roger P Jackson | Soft stabilization assemblies with off-set connector |
EP2753252A1 (en) | 2009-06-15 | 2014-07-16 | Jackson, Roger P. | Polyaxial bone anchor with pop-on shank and friction fit retainer with low profile edge lock |
US11229457B2 (en) | 2009-06-15 | 2022-01-25 | Roger P. Jackson | Pivotal bone anchor assembly with insert tool deployment |
US9320543B2 (en) | 2009-06-25 | 2016-04-26 | DePuy Synthes Products, Inc. | Posterior dynamic stabilization device having a mobile anchor |
US9278004B2 (en) | 2009-08-27 | 2016-03-08 | Cotera, Inc. | Method and apparatus for altering biomechanics of the articular joints |
EP3384862B1 (en) | 2009-08-27 | 2022-11-23 | The Foundry, LLC | Apparatus for force redistribution in articular joints |
US9861408B2 (en) | 2009-08-27 | 2018-01-09 | The Foundry, Llc | Method and apparatus for treating canine cruciate ligament disease |
US10349980B2 (en) | 2009-08-27 | 2019-07-16 | The Foundry, Llc | Method and apparatus for altering biomechanics of the shoulder |
US9668868B2 (en) | 2009-08-27 | 2017-06-06 | Cotera, Inc. | Apparatus and methods for treatment of patellofemoral conditions |
US9011494B2 (en) * | 2009-09-24 | 2015-04-21 | Warsaw Orthopedic, Inc. | Composite vertebral rod system and methods of use |
US9157497B1 (en) | 2009-10-30 | 2015-10-13 | Brigham Young University | Lamina emergent torsional joint and related methods |
CH702637A1 (de) * | 2010-02-04 | 2011-08-15 | Spinesave Ag | Vorgekrümmter elastischer Stab für die dynamische Stabilisierung der Wirbelsäule. |
DE102010000339A1 (de) * | 2010-02-08 | 2011-08-11 | Aesculap AG, 78532 | Verbindungselement für ein Wirbelsäulenstabilisierungssystem und Wirbelsäulenstabilisierungssystem |
US9445844B2 (en) | 2010-03-24 | 2016-09-20 | DePuy Synthes Products, Inc. | Composite material posterior dynamic stabilization spring rod |
US9072546B2 (en) * | 2010-08-26 | 2015-07-07 | Warsaw Orthopedic, Inc. | Spinal constructs with improved load-sharing |
WO2012024807A1 (en) | 2010-08-26 | 2012-03-01 | Spinesave Ag | Spinal implant set for the dynamic stabilization of the spine |
BR112013005465A2 (pt) | 2010-09-08 | 2019-09-24 | P Jackson Roger | elemento de conexão em um conjunto de implante médico tendo pelo menos duas estruturas de fixação de osso cooperando com um elemento de conexão longitudinal dinâmico |
DE102010060101A1 (de) | 2010-09-20 | 2012-03-22 | Aesculap Ag | Wirbelsäulenstabilisierungssystem und chirurgische Vorrichtung zum temporären Versteifen eines flexiblen Zwischenabschnitts eines Verbindungselements des Wirbelsäulenstabilisierungssystems |
DE102010060112A1 (de) | 2010-09-20 | 2012-03-22 | Aesculap Ag | Wirbelsäulenstabilisierungssystem, Verbindungselement für ein Wirbelsäulenstabilisierungssystem und Verfahren zum Herstellen eines solchen Verbindungselements |
DE102010041264A1 (de) * | 2010-09-23 | 2012-03-29 | Aces Gmbh | Dynamische Stabilisierungseinrichtung für die Wirbelsäule |
US9044270B2 (en) | 2011-03-29 | 2015-06-02 | Moximed, Inc. | Apparatus for controlling a load on a hip joint |
EP2717807A2 (en) * | 2011-06-07 | 2014-04-16 | Brigham Young University | Serpentine spinal stability device and associated methods |
US9144506B2 (en) * | 2011-08-11 | 2015-09-29 | Jeff Phelps | Interbody axis cage |
US20130090690A1 (en) * | 2011-10-06 | 2013-04-11 | David A. Walsh | Dynamic Rod Assembly |
US20130103090A1 (en) * | 2011-10-25 | 2013-04-25 | Warsaw Orthopedic, Inc. | Vertebral rod system and methods of use |
US20130110169A1 (en) * | 2011-10-26 | 2013-05-02 | Warsaw Orthopedic, Inc. | Vertebral rod system and methods of use |
US10695097B2 (en) * | 2012-07-05 | 2020-06-30 | Spinesave Ag | Elastic rod having different degrees of stiffness for the surgical treatment of the spine |
US9468466B1 (en) | 2012-08-24 | 2016-10-18 | Cotera, Inc. | Method and apparatus for altering biomechanics of the spine |
US8911478B2 (en) | 2012-11-21 | 2014-12-16 | Roger P. Jackson | Splay control closure for open bone anchor |
US10058354B2 (en) | 2013-01-28 | 2018-08-28 | Roger P. Jackson | Pivotal bone anchor assembly with frictional shank head seating surfaces |
US8852239B2 (en) | 2013-02-15 | 2014-10-07 | Roger P Jackson | Sagittal angle screw with integral shank and receiver |
CA2906882A1 (en) * | 2013-03-15 | 2014-09-18 | Revivo Medical, Llc | Intervertebral cage and method of treating vertebrae with an intervertebral cage |
WO2014145766A1 (en) * | 2013-03-15 | 2014-09-18 | Paradigm Spine, Llc | Modular, customizable spine stabilization system |
US9566092B2 (en) | 2013-10-29 | 2017-02-14 | Roger P. Jackson | Cervical bone anchor with collet retainer and outer locking sleeve |
US9717533B2 (en) | 2013-12-12 | 2017-08-01 | Roger P. Jackson | Bone anchor closure pivot-splay control flange form guide and advancement structure |
US9451993B2 (en) | 2014-01-09 | 2016-09-27 | Roger P. Jackson | Bi-radial pop-on cervical bone anchor |
US10758274B1 (en) | 2014-05-02 | 2020-09-01 | Nuvasive, Inc. | Spinal fixation constructs and related methods |
US10064658B2 (en) | 2014-06-04 | 2018-09-04 | Roger P. Jackson | Polyaxial bone anchor with insert guides |
US9597119B2 (en) | 2014-06-04 | 2017-03-21 | Roger P. Jackson | Polyaxial bone anchor with polymer sleeve |
WO2015191884A1 (en) * | 2014-06-12 | 2015-12-17 | Brigham Young University | Inverted serpentine spinal stability device and associated methods |
WO2017139785A1 (en) | 2016-02-12 | 2017-08-17 | Nuvasive, Inc. | Post-operatively adjustable spinal fixation devices |
US10456172B2 (en) | 2016-02-12 | 2019-10-29 | Nuvasive, Inc. | Magnetically actuateable rod insertion for minimally invasive surgery |
AU2019403451A1 (en) | 2018-12-21 | 2021-06-10 | Paradigm Spine, Llc | Modular spine stabilization system and associated instruments |
US11331199B2 (en) * | 2019-04-29 | 2022-05-17 | Aurora Spine, Inc. | Spinal implant for motion preservation or fusion |
US11883243B2 (en) | 2019-10-31 | 2024-01-30 | Orthopediatrics Corp. | Assessment of tension between bone anchors |
US20210393300A1 (en) * | 2020-06-19 | 2021-12-23 | Iowa State University Research Foundation, Inc. | Tunable stiffness bone rod |
Family Cites Families (220)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4743260A (en) | 1985-06-10 | 1988-05-10 | Burton Charles V | Method for a flexible stabilization system for a vertebral column |
FR2642645B1 (fr) | 1989-02-03 | 1992-08-14 | Breard Francis | Stabilisateur intervertebral souple ainsi que procede et appareillage pour le controle de sa tension avant mise en place sur le rachis |
FR2666981B1 (fr) | 1990-09-21 | 1993-06-25 | Commarmond Jacques | Ligament synthetique vertebral. |
FR2676911B1 (fr) | 1991-05-30 | 1998-03-06 | Psi Ste Civile Particuliere | Dispositif de stabilisation intervertebrale a amortisseurs. |
FR2689750B1 (fr) | 1992-04-10 | 1997-01-31 | Eurosurgical | Element d'ancrage osseux et dispositif d'osteosynthese rachidienne incorporant de tels elements. |
FR2692952B1 (fr) | 1992-06-25 | 1996-04-05 | Psi | Amortisseurs perfectionnes a limite de deplacement. |
FR2701650B1 (fr) | 1993-02-17 | 1995-05-24 | Psi | Amortisseur double pour la stabilisation intervertébrale. |
US5415661A (en) * | 1993-03-24 | 1995-05-16 | University Of Miami | Implantable spinal assist device |
DE4315757C1 (de) | 1993-05-11 | 1994-11-10 | Plus Endoprothetik Ag | Wirbelkörperimplantat |
FR2707480B1 (fr) | 1993-06-28 | 1995-10-20 | Bisserie Michel | Prothèse discale intervertébrale. |
US5423816A (en) * | 1993-07-29 | 1995-06-13 | Lin; Chih I. | Intervertebral locking device |
FR2709246B1 (fr) | 1993-08-27 | 1995-09-29 | Martin Jean Raymond | Orthèse vertébrale implantée dynamique. |
FR2709247B1 (fr) | 1993-08-27 | 1995-09-29 | Martin Jean Raymond | Dispositif d'ancrage d'une instrumentation rachidienne sur une vertèbre. |
FR2709949B1 (fr) | 1993-09-14 | 1995-10-13 | Commissariat Energie Atomique | Prothèse de disque intervertébral. |
FR2712481B1 (fr) | 1993-11-18 | 1996-01-12 | Graf Henry | Perfectionnements aux stabilisateurs inter-vertébraux souples. |
US5458642A (en) | 1994-01-18 | 1995-10-17 | Beer; John C. | Synthetic intervertebral disc |
FR2722980B1 (fr) | 1994-07-26 | 1996-09-27 | Samani Jacques | Implant vertebral inter-epineux |
FR2728159B1 (fr) | 1994-12-16 | 1997-06-27 | Tornier Sa | Prothese discale elastique |
FR2733413B1 (fr) | 1995-04-27 | 1997-10-17 | Jbs Sa | Dispositif de cage cervicale destine a la realisation d'une arthrodese intersomatique |
US5584834A (en) | 1995-07-13 | 1996-12-17 | Fastenetix, L.L.C. | Polyaxial locking screw and coupling element assembly for use with side loading rod fixation apparatus |
US5993448A (en) | 1995-10-02 | 1999-11-30 | Remmler; Daniel J. | Implantable apparatus, matrix and method for correction of craniofacial bone deformities |
FR2751864B1 (fr) | 1996-08-01 | 1999-04-30 | Graf Henry | Dispositif pour relier et assister mecaniquement des vertebres entre elles |
FR2755844B1 (fr) | 1996-11-15 | 1999-01-29 | Stryker France Sa | Systeme d'osteosynthese a deformation elastique pour colonne vertebrale |
US6796983B1 (en) | 1997-01-02 | 2004-09-28 | St. Francis Medical Technologies, Inc. | Spine distraction implant and method |
US6514256B2 (en) | 1997-01-02 | 2003-02-04 | St. Francis Medical Technologies, Inc. | Spine distraction implant and method |
US5836948A (en) | 1997-01-02 | 1998-11-17 | Saint Francis Medical Technologies, Llc | Spine distraction implant and method |
US5749916A (en) | 1997-01-21 | 1998-05-12 | Spinal Innovations | Fusion implant |
IL128261A0 (en) | 1999-01-27 | 1999-11-30 | Disc O Tech Medical Tech Ltd | Expandable element |
FR2771280B1 (fr) | 1997-11-26 | 2001-01-26 | Albert P Alby | Dispositif de liaison vertebrale resilient |
FR2774581B1 (fr) * | 1998-02-10 | 2000-08-11 | Dimso Sa | Stabilisateur interepineux a fixer a des apophyses epineuses de deux vertebres |
FR2775183B1 (fr) | 1998-02-20 | 2000-08-04 | Jean Taylor | Prothese inter-epineuse |
US5928284A (en) | 1998-07-09 | 1999-07-27 | Mehdizadeh; Hamid M. | Disc replacement prosthesis |
US6231609B1 (en) | 1998-07-09 | 2001-05-15 | Hamid M. Mehdizadeh | Disc replacement prosthesis |
US6113637A (en) | 1998-10-22 | 2000-09-05 | Sofamor Danek Holdings, Inc. | Artificial intervertebral joint permitting translational and rotational motion |
FR2787016B1 (fr) | 1998-12-11 | 2001-03-02 | Dimso Sa | Prothese de disque intervertebral |
US6296643B1 (en) | 1999-04-23 | 2001-10-02 | Sdgi Holdings, Inc. | Device for the correction of spinal deformities through vertebral body tethering without fusion |
US6299613B1 (en) | 1999-04-23 | 2001-10-09 | Sdgi Holdings, Inc. | Method for the correction of spinal deformities through vertebral body tethering without fusion |
FR2796828B1 (fr) | 1999-07-27 | 2001-10-19 | Dev Sed Soc Et | Dispositif de liaison intervertebrale implantable |
DE60030313T2 (de) | 1999-12-01 | 2007-08-23 | Henry Graf | Vorrichtung zur zwischenwirbelstabilisierung |
US7066957B2 (en) | 1999-12-29 | 2006-06-27 | Sdgi Holdings, Inc. | Device and assembly for intervertebral stabilization |
US6709458B2 (en) | 2000-02-04 | 2004-03-23 | Gary Karlin Michelson | Expandable push-in arcuate interbody spinal fusion implant with tapered configuration during insertion |
FR2805457B1 (fr) | 2000-02-24 | 2002-10-11 | Stryker Spine Sa | Implant intervertebral a corps et face d'appui |
US6248106B1 (en) | 2000-02-25 | 2001-06-19 | Bret Ferree | Cross-coupled vertebral stabilizers |
US20020133155A1 (en) | 2000-02-25 | 2002-09-19 | Ferree Bret A. | Cross-coupled vertebral stabilizers incorporating spinal motion restriction |
US6293949B1 (en) | 2000-03-01 | 2001-09-25 | Sdgi Holdings, Inc. | Superelastic spinal stabilization system and method |
US6402750B1 (en) | 2000-04-04 | 2002-06-11 | Spinlabs, Llc | Devices and methods for the treatment of spinal disorders |
US6645207B2 (en) | 2000-05-08 | 2003-11-11 | Robert A. Dixon | Method and apparatus for dynamized spinal stabilization |
US20030229348A1 (en) | 2000-05-25 | 2003-12-11 | Sevrain Lionel C. | Auxiliary vertebrae connecting device |
FR2811540B1 (fr) | 2000-07-12 | 2003-04-25 | Spine Next Sa | Implant intervertebral amortissant |
FR2812185B1 (fr) | 2000-07-25 | 2003-02-28 | Spine Next Sa | Piece de liaison semi-rigide pour la stabilisation du rachis |
FR2812186B1 (fr) | 2000-07-25 | 2003-02-28 | Spine Next Sa | Piece de liaison souple pour la stabilisation du rachis |
JP2002049232A (ja) * | 2000-08-07 | 2002-02-15 | Canon Inc | 画像形成装置およびプロセスカートリッジ |
US6620196B1 (en) | 2000-08-30 | 2003-09-16 | Sdgi Holdings, Inc. | Intervertebral disc nucleus implants and methods |
US6743257B2 (en) | 2000-12-19 | 2004-06-01 | Cortek, Inc. | Dynamic implanted intervertebral spacer |
US7229441B2 (en) * | 2001-02-28 | 2007-06-12 | Warsaw Orthopedic, Inc. | Flexible systems for spinal stabilization and fixation |
WO2002085217A2 (en) | 2001-04-19 | 2002-10-31 | Spineology, Inc. | Stacked intermedular rods for spinal fixation |
US8292926B2 (en) | 2005-09-30 | 2012-10-23 | Jackson Roger P | Dynamic stabilization connecting member with elastic core and outer sleeve |
US10258382B2 (en) | 2007-01-18 | 2019-04-16 | Roger P. Jackson | Rod-cord dynamic connection assemblies with slidable bone anchor attachment members along the cord |
GB0114783D0 (en) | 2001-06-16 | 2001-08-08 | Sengupta Dilip K | A assembly for the stabilisation of vertebral bodies of the spine |
US6527806B2 (en) | 2001-07-16 | 2003-03-04 | Third Millennium Engineering, Llc | Intervertebral spacer device having a spiral wave washer force restoring element |
FR2827498B1 (fr) | 2001-07-18 | 2004-05-14 | Frederic Fortin | Dispositif de liaison vertebrale souple constitue d'elements palliant une deficience du rachis |
JP4755781B2 (ja) | 2001-08-01 | 2011-08-24 | 昭和医科工業株式会社 | 骨接合用連結部材 |
FR2828398B1 (fr) | 2001-08-08 | 2003-09-19 | Jean Taylor | Ensemble de stabilisation de vertebres |
EP1287794B1 (de) | 2001-08-24 | 2008-06-18 | Zimmer GmbH | Künstliche Bandscheibe |
US20030114853A1 (en) | 2001-10-12 | 2003-06-19 | Ian Burgess | Polyaxial cross connector |
US6783527B2 (en) | 2001-10-30 | 2004-08-31 | Sdgi Holdings, Inc. | Flexible spinal stabilization system and method |
US7285121B2 (en) * | 2001-11-05 | 2007-10-23 | Warsaw Orthopedic, Inc. | Devices and methods for the correction and treatment of spinal deformities |
US7329258B2 (en) | 2001-12-07 | 2008-02-12 | Synthes (U.S.A.) | Damping element |
US6733534B2 (en) | 2002-01-29 | 2004-05-11 | Sdgi Holdings, Inc. | System and method for spine spacing |
FR2837094B1 (fr) | 2002-03-15 | 2004-11-26 | Fixano | Implant intervertebral |
US6966910B2 (en) * | 2002-04-05 | 2005-11-22 | Stephen Ritland | Dynamic fixation device and method of use |
US7338525B2 (en) | 2002-04-30 | 2008-03-04 | Ferree Bret A | Methods and apparatus for preventing the migration of intradiscal devices |
EP1585427B1 (en) * | 2002-05-08 | 2012-04-11 | Stephen Ritland | Dynamic fixation device |
ATE299671T1 (de) | 2002-05-21 | 2005-08-15 | Spinelab Gmbh | Elastisches stabilisiersystem für wirbelsäulen |
US20030220643A1 (en) * | 2002-05-24 | 2003-11-27 | Ferree Bret A. | Devices to prevent spinal extension |
US20040015166A1 (en) | 2002-07-22 | 2004-01-22 | Gorek Josef E. | System and method for stabilizing the spine by securing spine stabilization rods in crossed disposition |
DE10236691B4 (de) | 2002-08-09 | 2005-12-01 | Biedermann Motech Gmbh | Dynamische Stabilisierungseinrichtung für Knochen, insbesondere für Wirbel |
WO2004017817A2 (en) | 2002-08-23 | 2004-03-04 | Mcafee Paul C | Metal-backed uhmpe rod sleeve system preserving spinal motion |
FR2844180B1 (fr) | 2002-09-11 | 2005-08-05 | Spinevision | Element de liaison pour la stabilisation dynamique d'un systeme de fixation rachidien et systeme de fixation rachidien comportant un tel element |
FR2845587B1 (fr) | 2002-10-14 | 2005-01-21 | Scient X | Dispositif dynamique de liaison intervertebrale a debattement controle multidirectionnel |
US20040147928A1 (en) | 2002-10-30 | 2004-07-29 | Landry Michael E. | Spinal stabilization system using flexible members |
WO2004075778A2 (en) | 2003-02-25 | 2004-09-10 | Stephen Ritland | Adjustable rod and connector device and method of use |
US6766910B1 (en) | 2003-03-07 | 2004-07-27 | Kerry Kelly | Disk storage rack |
US20070016200A1 (en) | 2003-04-09 | 2007-01-18 | Jackson Roger P | Dynamic stabilization medical implant assemblies and methods |
US7604653B2 (en) | 2003-04-25 | 2009-10-20 | Kitchen Michael S | Spinal curvature correction device |
US7473267B2 (en) | 2003-04-25 | 2009-01-06 | Warsaw Orthopedic, Inc. | System and method for minimally invasive posterior fixation |
US20050182401A1 (en) | 2003-05-02 | 2005-08-18 | Timm Jens P. | Systems and methods for spine stabilization including a dynamic junction |
KR20080057332A (ko) | 2003-05-02 | 2008-06-24 | 예일 유니버시티 | 동적 척추 안정장치 |
US20050171543A1 (en) | 2003-05-02 | 2005-08-04 | Timm Jens P. | Spine stabilization systems and associated devices, assemblies and methods |
US20050177164A1 (en) | 2003-05-02 | 2005-08-11 | Carmen Walters | Pedicle screw devices, systems and methods having a preloaded set screw |
US8652175B2 (en) | 2003-05-02 | 2014-02-18 | Rachiotek, Llc | Surgical implant devices and systems including a sheath member |
US20050182400A1 (en) | 2003-05-02 | 2005-08-18 | Jeffrey White | Spine stabilization systems, devices and methods |
US6986771B2 (en) * | 2003-05-23 | 2006-01-17 | Globus Medical, Inc. | Spine stabilization system |
EP1628563B1 (en) * | 2003-05-23 | 2009-09-23 | Globus Medical, Inc. | Spine stabilization system |
DE10327358A1 (de) | 2003-06-16 | 2005-01-05 | Ulrich Gmbh & Co. Kg | Implantat zur Korrektur und Stabilisierung der Wirbelsäule |
US7766915B2 (en) | 2004-02-27 | 2010-08-03 | Jackson Roger P | Dynamic fixation assemblies with inner core and outer coil-like member |
US20050043796A1 (en) | 2003-07-01 | 2005-02-24 | Grant Richard L. | Spinal disc nucleus implant |
US20050055244A1 (en) | 2003-07-18 | 2005-03-10 | Janet Mullan | Wireless medical communication system and method |
US7621956B2 (en) | 2003-07-31 | 2009-11-24 | Globus Medical, Inc. | Prosthetic spinal disc replacement |
US20050065516A1 (en) | 2003-09-24 | 2005-03-24 | Tae-Ahn Jahng | Method and apparatus for flexible fixation of a spine |
US20050203513A1 (en) | 2003-09-24 | 2005-09-15 | Tae-Ahn Jahng | Spinal stabilization device |
US7763052B2 (en) | 2003-12-05 | 2010-07-27 | N Spine, Inc. | Method and apparatus for flexible fixation of a spine |
US8979900B2 (en) | 2003-09-24 | 2015-03-17 | DePuy Synthes Products, LLC | Spinal stabilization device |
US7815665B2 (en) | 2003-09-24 | 2010-10-19 | N Spine, Inc. | Adjustable spinal stabilization system |
JP2007506459A (ja) | 2003-09-29 | 2007-03-22 | ジンテーズ ゲゼルシャフト ミト ベシュレンクテル ハフツング | 制動要素 |
FR2860428B1 (fr) | 2003-10-02 | 2006-05-12 | Fixano | Implant intervertebral |
DE10348329B3 (de) * | 2003-10-17 | 2005-02-17 | Biedermann Motech Gmbh | Stabförmiges Element für die Anwendung in der Wirbelsäulen- oder Unfallchirurgie,Stabilisierungseinrichtung mit einem solchen stabförmigen Element und Herstellungsverfahren für das stabförmige Element |
EP1673048B1 (en) | 2003-10-17 | 2013-06-19 | Biedermann Technologies GmbH & Co. KG | Flexible implant |
US20050085814A1 (en) | 2003-10-21 | 2005-04-21 | Sherman Michael C. | Dynamizable orthopedic implants and their use in treating bone defects |
US8632570B2 (en) | 2003-11-07 | 2014-01-21 | Biedermann Technologies Gmbh & Co. Kg | Stabilization device for bones comprising a spring element and manufacturing method for said spring element |
US7083622B2 (en) | 2003-11-10 | 2006-08-01 | Simonson Peter M | Artificial facet joint and method |
US7862586B2 (en) | 2003-11-25 | 2011-01-04 | Life Spine, Inc. | Spinal stabilization systems |
US20050131407A1 (en) | 2003-12-16 | 2005-06-16 | Sicvol Christopher W. | Flexible spinal fixation elements |
US7255713B2 (en) * | 2003-12-18 | 2007-08-14 | Malek Michel H | Systems and methods for agent delivery |
US7806914B2 (en) | 2003-12-31 | 2010-10-05 | Spine Wave, Inc. | Dynamic spinal stabilization system |
US20050143737A1 (en) | 2003-12-31 | 2005-06-30 | John Pafford | Dynamic spinal stabilization system |
US7297146B2 (en) | 2004-01-30 | 2007-11-20 | Warsaw Orthopedic, Inc. | Orthopedic distraction implants and techniques |
US7597694B2 (en) | 2004-01-30 | 2009-10-06 | Warsaw Orthopedic, Inc. | Instruments and methods for minimally invasive spinal stabilization |
FR2867057B1 (fr) | 2004-03-02 | 2007-06-01 | Spinevision | Element de liaison dynamique pour un systeme de fixation rachidien et systeme de fixation comprenant un tel element de liaison |
US20050203511A1 (en) | 2004-03-02 | 2005-09-15 | Wilson-Macdonald James | Orthopaedics device and system |
DE102004010844A1 (de) | 2004-03-05 | 2005-10-06 | Biedermann Motech Gmbh | Stabilisierungseinrichtung zur dynamischen Stabilisierung von Wirbeln oder Knochen und stabförmiges Element für eine derartige Stabilisierungseinrichtung |
DE102004011685A1 (de) | 2004-03-09 | 2005-09-29 | Biedermann Motech Gmbh | Stabförmiges Element für die Anwendung in der Wirbelsäulen- oder Unfallchirurgie und Stabilisierungseinrichtung mit einem solchen stabförmigen Element |
US20050209694A1 (en) | 2004-03-12 | 2005-09-22 | Loeb Marvin P | Artificial spinal joints and method of use |
US7282065B2 (en) | 2004-04-09 | 2007-10-16 | X-Spine Systems, Inc. | Disk augmentation system and method |
EP1740111B1 (de) | 2004-04-28 | 2009-08-05 | Synthes GmbH | Vorrichtung zur dynamischen stabilisierung von knochen |
US7766941B2 (en) | 2004-05-14 | 2010-08-03 | Paul Kamaljit S | Spinal support, stabilization |
US7585316B2 (en) | 2004-05-21 | 2009-09-08 | Warsaw Orthopedic, Inc. | Interspinous spacer |
FR2870718B1 (fr) | 2004-05-25 | 2006-09-22 | Spine Next Sa | Ensemble de traitement de la degenerescence d'un disque intervertebral |
US8858599B2 (en) * | 2004-06-09 | 2014-10-14 | Warsaw Orthopedic, Inc. | Systems and methods for flexible spinal stabilization |
US7548785B2 (en) | 2004-06-10 | 2009-06-16 | Pacesetter, Inc. | Collecting and analyzing sensed information as a trend of heart failure progression or regression |
US20050277934A1 (en) | 2004-06-10 | 2005-12-15 | Vardiman Arnold B | Rod delivery device and method |
US7935136B2 (en) * | 2004-06-17 | 2011-05-03 | Alamin Todd F | Facet joint fusion devices and methods |
CN101090675A (zh) | 2004-06-23 | 2007-12-19 | 应用脊柱外科技术公司 | 用于脊柱稳定的系统和方法 |
US8500690B2 (en) | 2004-07-01 | 2013-08-06 | Becton, Dickinson And Company | Passively shielding needle device |
JP4063800B2 (ja) | 2004-08-02 | 2008-03-19 | 沖電気工業株式会社 | 表示パネル駆動装置 |
WO2006020530A2 (en) * | 2004-08-09 | 2006-02-23 | Innovative Spinal Technologies | System and method for dynamic skeletal stabilization |
US7854752B2 (en) | 2004-08-09 | 2010-12-21 | Theken Spine, Llc | System and method for dynamic skeletal stabilization |
EP1791481A4 (en) | 2004-09-22 | 2008-12-17 | Kyung-Woo Park | BIOFLEXIBLE SPINE FORM WITH FORM MEMORY ALLOY |
US8012209B2 (en) * | 2004-09-23 | 2011-09-06 | Kyphon Sarl | Interspinous process implant including a binder, binder aligner and method of implantation |
US20060084976A1 (en) | 2004-09-30 | 2006-04-20 | Depuy Spine, Inc. | Posterior stabilization systems and methods |
US8162985B2 (en) | 2004-10-20 | 2012-04-24 | The Board Of Trustees Of The Leland Stanford Junior University | Systems and methods for posterior dynamic stabilization of the spine |
US20090228045A1 (en) | 2004-10-20 | 2009-09-10 | Stanley Kyle Hayes | Dynamic rod |
US7935134B2 (en) | 2004-10-20 | 2011-05-03 | Exactech, Inc. | Systems and methods for stabilization of bone structures |
US20080262554A1 (en) | 2004-10-20 | 2008-10-23 | Stanley Kyle Hayes | Dyanamic rod |
US20090030465A1 (en) | 2004-10-20 | 2009-01-29 | Moti Altarac | Dynamic rod |
EP1814496A2 (en) | 2004-10-26 | 2007-08-08 | Concept Matrix, LLC | An internal fixation system for spine surgery |
DE102004055454A1 (de) * | 2004-11-17 | 2006-05-24 | Biedermann Motech Gmbh | Elastisches Element zur Verwendung in einer Stabilisierungseinrichtung für Knochen oder Wirbel |
US8172877B2 (en) | 2004-12-13 | 2012-05-08 | Kyphon Sarl | Inter-cervical facet implant with surface enhancements |
WO2006066053A1 (en) | 2004-12-15 | 2006-06-22 | Stryker Spine | Spinal rods having segments of different elastic properties and methods of using them |
EP1719468A1 (de) | 2004-12-17 | 2006-11-08 | Zimmer GmbH | Intervertebrales Stabilisierungssystem |
US20070088359A1 (en) | 2005-02-07 | 2007-04-19 | Woods Richard W | Universal dynamic spine stabilization device and method of use |
US20060189985A1 (en) | 2005-02-09 | 2006-08-24 | Lewis David W | Device for providing a combination of flexibility and variable force to the spinal column for the treatment of scoliosis |
US7361196B2 (en) | 2005-02-22 | 2008-04-22 | Stryker Spine | Apparatus and method for dynamic vertebral stabilization |
US20060212033A1 (en) | 2005-03-03 | 2006-09-21 | Accin Corporation | Vertebral stabilization using flexible rods |
US7556639B2 (en) | 2005-03-03 | 2009-07-07 | Accelerated Innovation, Llc | Methods and apparatus for vertebral stabilization using sleeved springs |
US20060229608A1 (en) * | 2005-03-17 | 2006-10-12 | Foster Thomas A | Apparatus and methods for spinal implant with dynamic stabilization system |
FR2884136B1 (fr) | 2005-04-08 | 2008-02-22 | Spinevision Sa | Implant chirurgical intervertebral formant rotule |
US20060247623A1 (en) * | 2005-04-29 | 2006-11-02 | Sdgi Holdings, Inc. | Local delivery of an active agent from an orthopedic implant |
US20060264935A1 (en) | 2005-05-04 | 2006-11-23 | White Patrick M | Orthopedic stabilization device |
US20060264937A1 (en) | 2005-05-04 | 2006-11-23 | White Patrick M | Mobile spine stabilization device |
US20060271048A1 (en) | 2005-05-12 | 2006-11-30 | Jeffery Thramann | Pedicle screw based vertebral body stabilization apparatus |
US20060276790A1 (en) | 2005-06-02 | 2006-12-07 | Zimmer Spine, Inc. | Minimally invasive facet joint repair |
US20060276247A1 (en) | 2005-06-03 | 2006-12-07 | Martinez Jaime E | Flexible shaft |
WO2006135555A2 (en) * | 2005-06-08 | 2006-12-21 | Accelerated Innovation, Llc | Vertebral facet stabilizer |
US7799060B2 (en) * | 2005-06-20 | 2010-09-21 | Warsaw Orthopedic, Inc. | Multi-directional spinal stabilization systems and methods |
FR2887434B1 (fr) | 2005-06-28 | 2008-03-28 | Jean Taylor | Materiel de traitement chirurgical de deux vertebres |
US20070016190A1 (en) | 2005-07-14 | 2007-01-18 | Medical Device Concepts Llc | Dynamic spinal stabilization system |
US7811309B2 (en) | 2005-07-26 | 2010-10-12 | Applied Spine Technologies, Inc. | Dynamic spine stabilization device with travel-limiting functionality |
ES2305969T3 (es) | 2005-08-24 | 2008-11-01 | Biedermann Motech Gmbh | Elemento de implante en forma de barra para la aplicacion en cirugia de la columna vertebral o cirugia traumatica y dispositivo de estabilizacion con dicho elemento de implante en forma de barra. |
EP1933741A2 (en) | 2005-08-26 | 2008-06-25 | Innovative Spinal Technologies | Alignment instrument for dynamic spinal stabilization systems |
US7879074B2 (en) | 2005-09-27 | 2011-02-01 | Depuy Spine, Inc. | Posterior dynamic stabilization systems and methods |
US8105368B2 (en) | 2005-09-30 | 2012-01-31 | Jackson Roger P | Dynamic stabilization connecting member with slitted core and outer sleeve |
US20080140076A1 (en) | 2005-09-30 | 2008-06-12 | Jackson Roger P | Dynamic stabilization connecting member with slitted segment and surrounding external elastomer |
US8221467B2 (en) | 2005-11-18 | 2012-07-17 | Life Spine, Inc. | Dynamic spinal stabilization device and systems |
US7682376B2 (en) | 2006-01-27 | 2010-03-23 | Warsaw Orthopedic, Inc. | Interspinous devices and methods of use |
US7815663B2 (en) | 2006-01-27 | 2010-10-19 | Warsaw Orthopedic, Inc. | Vertebral rods and methods of use |
US7578849B2 (en) | 2006-01-27 | 2009-08-25 | Warsaw Orthopedic, Inc. | Intervertebral implants and methods of use |
US7776075B2 (en) | 2006-01-31 | 2010-08-17 | Warsaw Orthopedic, Inc. | Expandable spinal rods and methods of use |
US20070233064A1 (en) | 2006-02-17 | 2007-10-04 | Holt Development L.L.C. | Apparatus and method for flexible spinal fixation |
US7927358B2 (en) | 2006-03-07 | 2011-04-19 | Zimmer Spine, Inc. | Spinal stabilization device |
US20070270838A1 (en) | 2006-05-08 | 2007-11-22 | Sdgi Holdings, Inc. | Dynamic spinal stabilization device with dampener |
US7666211B2 (en) | 2006-12-28 | 2010-02-23 | Mi4Spine, Llc | Vertebral disc annular fibrosis tensioning and lengthening device |
US7927356B2 (en) | 2006-07-07 | 2011-04-19 | Warsaw Orthopedic, Inc. | Dynamic constructs for spinal stabilization |
US7806913B2 (en) | 2006-08-16 | 2010-10-05 | Depuy Spine, Inc. | Modular multi-level spine stabilization system and method |
KR100817788B1 (ko) | 2006-09-07 | 2008-03-31 | 박경우 | 척추경 고정용 로드의 제조장치 및 방법과 상기 장치를통해 제조된 로드 |
US8308770B2 (en) | 2006-09-22 | 2012-11-13 | Depuy Spine, Inc. | Dynamic stabilization system |
US20080097431A1 (en) | 2006-09-22 | 2008-04-24 | Paul Peter Vessa | Flexible spinal stabilization |
US20080147122A1 (en) | 2006-10-12 | 2008-06-19 | Jackson Roger P | Dynamic stabilization connecting member with molded inner segment and surrounding external elastomer |
US20080177320A1 (en) | 2006-10-30 | 2008-07-24 | Warsaw Orthopedic, Inc. | Vertebral Rods and Methods of Use |
US20080177316A1 (en) | 2006-11-30 | 2008-07-24 | Bergeron Brian J | Apparatus and methods for spinal implant |
WO2008070716A2 (en) | 2006-12-05 | 2008-06-12 | Spine Wave, Inc. | Dynamic stabilization devices and methods |
US8454662B2 (en) | 2006-12-08 | 2013-06-04 | Warsaw Orthopedic, Inc. | Tethers with strength limits for treating vertebral members |
FR2910267B1 (fr) | 2006-12-21 | 2009-01-23 | Ldr Medical Soc Par Actions Si | Dispositif de soutien vertebral |
US8057431B2 (en) | 2006-12-21 | 2011-11-15 | B. Braun Melsungen Ag | Hinged cap for needle device |
US7892265B2 (en) | 2006-12-28 | 2011-02-22 | Mi4Spine, Llc | Surgical screw including a body that facilitates bone in-growth |
US8029544B2 (en) | 2007-01-02 | 2011-10-04 | Zimmer Spine, Inc. | Spine stiffening device |
US20080172091A1 (en) | 2007-01-12 | 2008-07-17 | Warsaw Orthopedic, Inc. | Spinal Stabilization System |
US8475498B2 (en) | 2007-01-18 | 2013-07-02 | Roger P. Jackson | Dynamic stabilization connecting member with cord connection |
US8109975B2 (en) | 2007-01-30 | 2012-02-07 | Warsaw Orthopedic, Inc. | Collar bore configuration for dynamic spinal stabilization assembly |
US8029547B2 (en) | 2007-01-30 | 2011-10-04 | Warsaw Orthopedic, Inc. | Dynamic spinal stabilization assembly with sliding collars |
US20090105762A1 (en) | 2007-10-23 | 2009-04-23 | Jackson Roger P | Dynamic stabilization member with fin supported segment |
WO2008100590A1 (en) | 2007-02-14 | 2008-08-21 | Flex Technology Inc | Flexible spine components |
US8007519B2 (en) | 2007-03-13 | 2011-08-30 | Zimmer Spine, Inc. | Dynamic spinal stabilization system and method of using the same |
US8057516B2 (en) | 2007-03-21 | 2011-11-15 | Zimmer Spine, Inc. | Spinal stabilization system with rigid and flexible elements |
EP2142121B1 (en) | 2007-04-30 | 2014-04-16 | Globus Medical, Inc. | Flexible spine stabilization system |
EP2160158A4 (en) | 2007-05-31 | 2013-06-26 | Roger P Jackson | DYNAMIC STABILIZATION CONNECTING ELEMENT WITH PRE-STRENGTH SOLID CORE |
MX2007015350A (es) | 2007-06-05 | 2009-06-17 | Medical Safety Technologies In | Dispositivo de administracion de medicamentos que evita pinchazos. |
US20080312694A1 (en) | 2007-06-15 | 2008-12-18 | Peterman Marc M | Dynamic stabilization rod for spinal implants and methods for manufacturing the same |
US8292925B2 (en) | 2007-06-19 | 2012-10-23 | Zimmer Spine, Inc. | Flexible member with variable flexibility for providing dynamic stability to a spine |
US8080038B2 (en) | 2007-08-17 | 2011-12-20 | Jmea Corporation | Dynamic stabilization device for spine |
WO2009026519A1 (en) | 2007-08-23 | 2009-02-26 | Life Spine Inc. | Resilient spinal rod system with controllable angulation |
US20090093846A1 (en) | 2007-10-04 | 2009-04-09 | Zimmer Spine Inc. | Pre-Curved Flexible Member For Providing Dynamic Stability To A Spine |
US20090093819A1 (en) | 2007-10-05 | 2009-04-09 | Abhijeet Joshi | Anisotropic spinal stabilization rod |
EP2047810B1 (en) | 2007-10-11 | 2011-09-28 | BIEDERMANN MOTECH GmbH | Modular rod system for spinal stabilization |
US20090099606A1 (en) | 2007-10-16 | 2009-04-16 | Zimmer Spine Inc. | Flexible member with variable flexibility for providing dynamic stability to a spine |
US8043339B2 (en) | 2007-10-24 | 2011-10-25 | Zimmer Spine, Inc. | Flexible member for use in a spinal column and method for making |
US9232968B2 (en) | 2007-12-19 | 2016-01-12 | DePuy Synthes Products, Inc. | Polymeric pedicle rods and methods of manufacturing |
US20090171395A1 (en) | 2007-12-28 | 2009-07-02 | Jeon Dong M | Dynamic spinal rod system |
US20090192548A1 (en) | 2008-01-25 | 2009-07-30 | Jeon Dong M | Pedicle-laminar dynamic spinal stabilization device |
US20090228044A1 (en) | 2008-03-03 | 2009-09-10 | Jeon Dong M | Systems and methods for mobile spinal fixation rods |
-
2006
- 2006-01-27 US US11/340,973 patent/US7815663B2/en active Active
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- 2007-01-24 AU AU2007211118A patent/AU2007211118B2/en not_active Ceased
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- 2007-01-24 CN CNA2007800073674A patent/CN101394803A/zh active Pending
- 2007-01-24 DK DK07710289.5T patent/DK1983913T3/da active
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Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN102695476A (zh) * | 2009-12-30 | 2012-09-26 | 斯恩蒂斯有限公司 | 集成的多材料植入件以及制造方法 |
CN102695476B (zh) * | 2009-12-30 | 2015-06-17 | 斯恩蒂斯有限公司 | 一种植入件 |
US9174390B2 (en) | 2009-12-30 | 2015-11-03 | DePuy Synthes Products, Inc. | Integrated multi-material implants and methods of manufacture |
US9944020B2 (en) | 2009-12-30 | 2018-04-17 | DePuy Synthes Products, Inc. | Method of fabricating a bone joining implant |
Also Published As
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US20070191832A1 (en) | 2007-08-16 |
EP1983913A1 (en) | 2008-10-29 |
DK1983913T3 (da) | 2011-04-04 |
EP1983913B1 (en) | 2011-02-23 |
ES2358906T3 (es) | 2011-05-16 |
US8414619B2 (en) | 2013-04-09 |
AU2007211118B2 (en) | 2011-11-03 |
US7815663B2 (en) | 2010-10-19 |
US20130226242A1 (en) | 2013-08-29 |
WO2007090015A1 (en) | 2007-08-09 |
DE602007012660D1 (de) | 2011-04-07 |
US20110022092A1 (en) | 2011-01-27 |
AU2007211118A1 (en) | 2007-08-09 |
ATE499057T1 (de) | 2011-03-15 |
EP2298200A1 (en) | 2011-03-23 |
US9144439B2 (en) | 2015-09-29 |
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