JP6316946B2 - 脊椎インプラントシステム及び方法 - Google Patents
脊椎インプラントシステム及び方法 Download PDFInfo
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- JP6316946B2 JP6316946B2 JP2016518741A JP2016518741A JP6316946B2 JP 6316946 B2 JP6316946 B2 JP 6316946B2 JP 2016518741 A JP2016518741 A JP 2016518741A JP 2016518741 A JP2016518741 A JP 2016518741A JP 6316946 B2 JP6316946 B2 JP 6316946B2
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- spinal implant
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- 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
- A61F2/4465—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 having a circular or kidney shaped cross-section substantially perpendicular to the axis of 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
- A61F2/30—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
- A61F2002/30383—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove
- A61F2002/30387—Dovetail connection
-
- 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
- A61F2002/30535—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
- A61F2002/30576—Special structural features of bone or joint prostheses not otherwise provided for with extending fixation tabs
- A61F2002/30578—Special structural features of bone or joint prostheses not otherwise provided for with extending fixation tabs having apertures, e.g. for receiving fixation screws
-
- 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
- A61F2002/30579—Special structural features of bone or joint prostheses not otherwise provided for with mechanically expandable devices, e.g. fixation 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
- 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
- A61F2002/30593—Special structural features of bone or joint prostheses not otherwise provided for hollow
-
- 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
- A61F2220/0008—Fixation appliances for connecting prostheses to the body
- A61F2220/0016—Fixation appliances for connecting prostheses to the body with sharp anchoring protrusions, e.g. barbs, pins, spikes
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Biomedical Technology (AREA)
- Engineering & Computer Science (AREA)
- Neurology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Transplantation (AREA)
- General Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Cardiology (AREA)
- Vascular Medicine (AREA)
- Surgery (AREA)
- Physical Education & Sports Medicine (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Description
11 凸状遠位端
12 椎体間ケージ
13a、13b 面取り部又は切り取り部
14 後方面
15 湾曲端
16 前方面
17 斜方延長部、角延長部
18 第1椎骨係合面
20 第2椎骨係合面
22 内面
23 開口部
25 外面
42、42a、42b 締結具
43 頭部
44 斜方面
44a 延長部側壁
45 細長軸部
46 軌道
48 軌道経路
50 横軸限界
52 斜方軸限界
60 板
62 椎骨レベルV1に係合するように構成されている部分
64 椎骨レベルV2に係合するように構成されている部分
66 軌道係合面
67 開口部
68 器械係合面
70 内面
72 開口部
74 バックアウト防止要素
76 第1面
78 第2面
80、82 端
90 接続メカニズム
92 頭部
94 柱部
96 ナット
98 枢軸ボルト
112 ケージ
125 外面
144 斜方面
146 軌道
148 軌道経路
150 横軸限界
152 斜方軸限界
160 板
162、164 椎骨レベル係合部分
166 軌道係合面
167 開口部
168 器械係合面
170 内面
172 開口部
190 接続メカニズム
192 ボールねじ
194 細長柱部
196 ナット
212 ケージ
214 後方面
216 前方面
218 第1椎骨係合面
220 第2椎骨係合面
222 内面
223 開口部
225 外面
244 楕円形斜方面
246 軌道
248 軌道経路
250 横軸限界
252 斜方軸限界
260 板
262 椎骨レベルV1に係合するように構成されている部分
264 椎骨レベルV2に係合するように構成されている部分
266 軌道係合面
267 開口部
268 器械係合面
270 内面
272 開口部
276 第1面
278 第2面
280、282 端
290 接続メカニズム
292 ボルト
294 細長柱部
296 ナット
312 ケージ
318 第1椎骨係合面
320 第2椎骨係合面
325 外面
344 弧状斜方面
346 軌道
348 軌道経路
350 横軸限界
352 斜方軸限界
360 板
362 椎骨レベルV1に係合するように構成されている部分
364 椎骨レベルV2に係合するように構成されている部分
366 軌道係合面
368 器械係合面
370 内面
372 開口部
390 接続メカニズム
412、412’ ケージ
414、414’ 後方面
416、416’ 前方面
418、418’ 第1椎骨係合面
420、420’ 第2椎骨係合面
425、425’ 外面
444、444’ 斜方面
446、446’ 軌道
448、448’ 軌道経路
450、450’ 横軸限界
452、452’ 斜方軸限界
460、460’ 板
462、462’ 椎骨レベルV1、V2に係合するように構成されている部分
464、464’ 椎骨レベルV2、V3に係合するように構成されている部分
466、466’ 軌道係合面
467、467’ 開口部
468、468’ 器械係合面
470、470’ 内面
472、472’ 開口部
490、490’ 接続メカニズム
502、502’ 柱部
504 板
506 係合面
508 内面
510 開口部
512、512’ ロック用ナット
612 ケージ
614 後方面
616 前方面
618 第1椎骨係合面
620 第2椎骨係合面
625 外面
644 弧状斜方面
646 軌道
648 軌道経路
650 横軸限界
652 斜方軸限界
660、660’ 板
662、662’ 椎骨レベルV1に係合するように構成されている部分
664、664’ 椎骨レベルV2に係合するように構成されている部分
666、666’ 軌道係合面
667、667’ 開口部
668、668’ 器械係合面
670、670’ 内面
672、672’ 開口部
676、676’ 第1面
678、678’ 第2面
690 接続メカニズム
700、700’ 窪み
L1 縦軸
L2 患者身体の縦軸
O、O2 斜方軸
P 手術経路
V、V1、V2、V3 椎骨
E、E1、E2、E3、E4 終板
A1 椎間空間の前方部分
P1 椎間空間の後方部分
D ドライバー
I 挿入器
T2 開創器
b1、b2 ブレード
Claims (18)
- 前方面と後方面の間を延びていて第1椎骨係合面及び第2椎骨係合面を含んでいるインプラント本体であって、斜方面を画定している外面を更に含んでいるインプラント本体と、
前記インプラント本体と接続可能で前記斜方面に対して並進運動可能な板と、
前記板に頭部をロックするようになっているナットであって、軌道に沿って前記頭部が並進運動するときに、前記板が前記インプラント本体の表面に沿って並進運動するようになっている、ナットと、
を備えている脊椎インプラント。 - 前記斜方面は前記板を配置させるように構成されている細長開口部を画定している、請求項1に記載の脊椎インプラント。
- 前記開口部は前記斜方面に沿った前記板の並進運動のための経路を画定している、請求項2に記載の脊椎インプラント。
- 前記経路は弧状構成を有している、請求項3に記載の脊椎インプラント。
- 前記板は、当該板が前記インプラント本体に対して複数の軸方向に並進運動可能となるように球状継手を介して前記インプラント本体へ接続されている、請求項1に記載の脊椎インプラント。
- 前記板は前記斜方面に沿って並進運動可能で前記インプラント本体の斜方軸周りに回転可能である、請求項1に記載の脊椎インプラント。
- 前記板は弧状経路に沿って並進運動可能で前記斜方面周りに枢動可能である、請求項1に記載の脊椎インプラント。
- 前記板は前記インプラント本体の斜方軸周りに当該インプラント本体とのゼロプロファイル整列へと回転可能である、請求項1に記載の脊椎インプラント。
- 前記斜方面は前記インプラント本体の横軸と斜方軸の間での前記板の可動域を画定している、請求項1に記載の脊椎インプラント。
- 前記前方面の端から延びる斜方延長部であって前記斜方面の少なくとも一部分を形成する延長部側壁を有している斜方延長部、を更に備えている請求項1に記載の脊椎インプラント。
- 前記板は、第1の椎骨と係合可能な第1部分及び第2の椎骨と係合可能な第2部分を有する板を含んでいる、請求項1に記載の脊椎インプラント。
- 前記板は三角形の構成を含んでいる、請求項1に記載の脊椎インプラント。
- 前記斜方面は楕円形の構成を含んでいる、請求項1に記載の脊椎インプラント。
- 前記板は、椎骨と係合可能な、十字の向きに配置される第1板及び第2板を含んでいる、請求項1に記載の脊椎インプラント。
- 前記板は、複数の椎骨に沿って延びる第2板へ接続可能な軸部を含む球状継手を有している第1板を介して前記インプラント本体へ接続されている、請求項1に記載の脊椎インプラント。
- 脊椎インプラントにおいて、
前方面と後方面の間を延びていて第1椎骨係合面及び第2椎骨係合面を含んでいるインプラント本体であって、横軸限界及び斜方軸限界を含む軌道を画定している斜方面を更に含んでいるインプラント本体と、
前記脊椎インプラントと接続可能で前記インプラント本体の前記限界間を前記斜方面に対して経路に沿って並進運動可能な板であって、第1の椎骨と係合可能な第1部分及び第2の椎骨と係合可能な第2部分を含んでいる板と、
前記板に頭部をロックするようになっているナットであって、軌道に沿って前記頭部が並進運動するときに、前記板が前記インプラント本体の表面に沿って並進運動するようになっている、ナットと、
を備えている脊椎インプラント。 - 前記板は前記斜方面に沿って並進運動可能で前記インプラント本体の斜方軸周りに回転可能である、請求項16に記載の脊椎インプラント。
- 前記前方面の端から延びる斜方延長部であって前記斜方面の少なくとも一部分を形成する延長部側壁を有している斜方延長部、を更に備えている請求項16に記載の脊椎インプラント。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US14/047,563 | 2013-10-07 | ||
US14/047,563 US9283091B2 (en) | 2013-10-07 | 2013-10-07 | Spinal implant system and method |
PCT/US2014/054570 WO2015053890A1 (en) | 2013-10-07 | 2014-09-08 | Spinal implant system and method |
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JP2018057857A Division JP2018114318A (ja) | 2013-10-07 | 2018-03-26 | 脊椎インプラントシステム及び方法 |
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JP2018057857A Pending JP2018114318A (ja) | 2013-10-07 | 2018-03-26 | 脊椎インプラントシステム及び方法 |
JP2019228184A Active JP6921175B2 (ja) | 2013-10-07 | 2019-12-18 | 脊椎インプラントシステム及び方法 |
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JP2018057857A Pending JP2018114318A (ja) | 2013-10-07 | 2018-03-26 | 脊椎インプラントシステム及び方法 |
JP2019228184A Active JP6921175B2 (ja) | 2013-10-07 | 2019-12-18 | 脊椎インプラントシステム及び方法 |
Country Status (6)
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US (5) | US9283091B2 (ja) |
EP (2) | EP3750511A1 (ja) |
JP (3) | JP6316946B2 (ja) |
CN (2) | CN105611898B (ja) |
AU (1) | AU2014332461B2 (ja) |
WO (1) | WO2015053890A1 (ja) |
Families Citing this family (65)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9039768B2 (en) | 2006-12-22 | 2015-05-26 | Medos International Sarl | Composite vertebral spacers and instrument |
US20090248092A1 (en) | 2008-03-26 | 2009-10-01 | Jonathan Bellas | Posterior Intervertebral Disc Inserter and Expansion Techniques |
US9526620B2 (en) | 2009-03-30 | 2016-12-27 | DePuy Synthes Products, Inc. | Zero profile spinal fusion cage |
US20120078373A1 (en) | 2010-09-23 | 2012-03-29 | Thomas Gamache | Stand alone intervertebral fusion device |
US11529241B2 (en) | 2010-09-23 | 2022-12-20 | DePuy Synthes Products, Inc. | Fusion cage with in-line single piece fixation |
US20120078372A1 (en) | 2010-09-23 | 2012-03-29 | Thomas Gamache | Novel implant inserter having a laterally-extending dovetail engagement feature |
US8858637B2 (en) | 2010-09-30 | 2014-10-14 | Stryker Spine | Surgical implant with guiding rail |
US9724132B2 (en) | 2011-08-31 | 2017-08-08 | DePuy Synthes Products, Inc. | Devices and methods for cervical lateral fixation |
US9427330B2 (en) | 2011-09-06 | 2016-08-30 | Globus Medical, Inc. | Spinal plate |
US9271836B2 (en) | 2012-03-06 | 2016-03-01 | DePuy Synthes Products, Inc. | Nubbed plate |
US10076364B2 (en) | 2012-06-29 | 2018-09-18 | K2M, Inc. | Minimal-profile anterior cervical plate and cage apparatus and method of using same |
US9138325B2 (en) * | 2012-07-11 | 2015-09-22 | Globus Medical, Inc. | Lamina implant and method |
US10182921B2 (en) * | 2012-11-09 | 2019-01-22 | DePuy Synthes Products, Inc. | Interbody device with opening to allow packing graft and other biologics |
US10039650B2 (en) | 2013-03-15 | 2018-08-07 | In Queue Innovations, Llc | Expandable fusion cage system |
US20170095240A9 (en) * | 2013-10-07 | 2017-04-06 | Warsaw Orthopedic, Inc. | Spinal implant system and method for lumbar and lumbosacral fusion |
US9283091B2 (en) * | 2013-10-07 | 2016-03-15 | Warsaw Orthopedic, Inc. | Spinal implant system and method |
US9918848B2 (en) * | 2013-10-07 | 2018-03-20 | Warsaw Orthopedic, Inc. | Spinal implant system and method |
US10925648B2 (en) * | 2015-04-07 | 2021-02-23 | Rlt Healthcare, Llc | Vertebral fixation plate system and method for use |
US9474624B1 (en) * | 2015-04-28 | 2016-10-25 | Aegis Spine, Inc. | Intervertebral fusion cage |
WO2016187446A1 (en) * | 2015-05-19 | 2016-11-24 | Sabic Global Technologies B.V. | Polymeric spinal fusion system including spinal cage |
WO2017035031A1 (en) * | 2015-08-21 | 2017-03-02 | Scott Meyer | Pedicle screw placement system and method for spinal surgery |
EP3135254B1 (en) | 2015-08-26 | 2019-01-02 | Biedermann Technologies GmbH & Co. KG | Intervertebral implant and device for inserting an intervertebral implant |
US9987145B2 (en) * | 2015-10-01 | 2018-06-05 | Seth Kevin WILLIAMS | Lateral block plate |
US9895235B2 (en) * | 2015-12-18 | 2018-02-20 | Warsaw Orthopedic, Inc. | Spinal implant system and method |
US10420591B2 (en) | 2016-04-14 | 2019-09-24 | Spinal Simplicity, Llc | Interspinous implant insertion instrument with staggered path implant deployment mechanism |
WO2017192632A1 (en) | 2016-05-03 | 2017-11-09 | Additive Orthopaedics, LLC | Bone fixation device and method of use |
US10034771B2 (en) * | 2016-05-11 | 2018-07-31 | Warsaw Orthopedic, Inc. | Spinal implant system and method |
US10433978B2 (en) * | 2016-05-31 | 2019-10-08 | Bullard Spine, Llc | Systems and methods for adjacent vertebral fixation |
WO2017210688A1 (en) * | 2016-06-03 | 2017-12-07 | Additive Orthopaedics, LLC | Bone fixation devices |
US20200000595A1 (en) | 2016-06-07 | 2020-01-02 | HD LifeSciences LLC | High X-Ray Lucency Lattice Structures |
US11058468B2 (en) | 2016-07-29 | 2021-07-13 | Additive Orthopaedics, LLC | Bone fixation device and method of use |
US10653407B2 (en) | 2016-12-21 | 2020-05-19 | Nuvasive, Inc. | Surgical retractor |
KR101877731B1 (ko) * | 2017-01-31 | 2018-07-13 | 주식회사 솔고 바이오메디칼 | 척추간 삽입용 케이지 |
US20180228570A1 (en) | 2017-02-14 | 2018-08-16 | HD LifeSciences LLC | Variably X-Ray Lucent Marker System |
US10695184B2 (en) | 2017-04-01 | 2020-06-30 | HD LifeSciences LLC | Methods of designing three-dimensional lattice structures for implants |
JP7195005B2 (ja) | 2017-04-01 | 2022-12-23 | ナノハイブ メディカル エルエルシー | インプラント用流体インターフェースシステム |
US10470894B2 (en) * | 2017-04-06 | 2019-11-12 | Warsaw Orthopedic, Inc. | Expanding interbody implant and articulating inserter and methods of use |
US11672674B2 (en) * | 2017-04-19 | 2023-06-13 | Life Spine Inc. | Implant with bone screw retention |
US10624760B2 (en) * | 2017-05-22 | 2020-04-21 | Warsaw Orthopedic, Inc. | Spinal implant system and method |
US10940016B2 (en) | 2017-07-05 | 2021-03-09 | Medos International Sarl | Expandable intervertebral fusion cage |
US10238375B2 (en) | 2017-07-19 | 2019-03-26 | Nuvasive, Inc. | Surgical retractor |
US10932823B2 (en) | 2017-10-25 | 2021-03-02 | Life Spine, Inc. | Facet plate for implant expulsion prevention and method of installation |
US11147679B2 (en) | 2018-02-05 | 2021-10-19 | Paragon Advanced Technologies, Inc. | Bone fixation device |
US10695103B2 (en) | 2018-03-29 | 2020-06-30 | Warsaw Orthopedic, Inc. | Motion control and vertebral fixation device |
CN108578019B (zh) * | 2018-04-12 | 2019-11-22 | 深圳清华大学研究院 | 旋转固定式颈椎前路零切迹椎间融合器 |
US10932922B2 (en) * | 2018-04-20 | 2021-03-02 | JWD Products, LLC | Spinal implant insertion tool |
US11324609B2 (en) * | 2018-04-20 | 2022-05-10 | JWD Products, LLC | Spinal implant insertion tool |
KR102107606B1 (ko) * | 2018-04-30 | 2020-05-07 | 가톨릭대학교 산학협력단 | 삽입 각도 조절이 가능한 사측방 경유 추간체 유합술용 임플란트 케이지 |
JP2021531894A (ja) * | 2018-07-26 | 2021-11-25 | エイチディー ライフサイエンシズ エルエルシーHd Lifesciences Llc | 動的インプラント固定プレート |
AU2019397164B2 (en) * | 2018-12-14 | 2022-12-08 | Zimmer Biomet CMF and Thoracic, LLC | Bone fixation and repair system |
US11497617B2 (en) | 2019-01-16 | 2022-11-15 | Nanohive Medical Llc | Variable depth implants |
US11298244B2 (en) | 2019-01-31 | 2022-04-12 | K2M, Inc. | Interbody implants and instrumentation |
US11039931B2 (en) * | 2019-02-01 | 2021-06-22 | Globus Medical, Inc. | Intervertebral spinal implant |
US11596445B2 (en) | 2019-02-24 | 2023-03-07 | Blue Sky Technologies, LLC | Implant for bone |
US11793558B2 (en) | 2019-08-30 | 2023-10-24 | K2M, Inc. | All in one plate holder and spring loaded awl |
US11534307B2 (en) | 2019-09-16 | 2022-12-27 | K2M, Inc. | 3D printed cervical standalone implant |
KR102176240B1 (ko) * | 2020-02-20 | 2020-11-09 | 가톨릭대학교 산학협력단 | 삽입 각도 조절이 가능한 사측방 경유 추간체 유합술용 임플란트 케이지 |
JP6891316B1 (ja) * | 2020-03-12 | 2021-06-18 | グローバス メディカル インコーポレイティッド | 椎間脊椎インプラント |
WO2021257484A1 (en) | 2020-06-15 | 2021-12-23 | Nofusco Corporation | Intravertebral implant system and methods of use |
US11883300B2 (en) | 2020-06-15 | 2024-01-30 | Nofusco Corporation | Orthopedic implant system and methods of use |
US11723778B1 (en) | 2021-09-23 | 2023-08-15 | Nofusco Corporation | Vertebral implant system and methods of use |
US11406511B2 (en) | 2020-08-24 | 2022-08-09 | Seth K. WILLIAMS | Lateral spine plate with lateral spine cage anchoring system |
EP3970645A1 (en) * | 2020-09-22 | 2022-03-23 | Biedermann Technologies GmbH & Co. KG | Implant, insertion device and plate assembly |
CN114098933A (zh) | 2021-11-25 | 2022-03-01 | 郝定均 | 一种颈椎骨质疏松前路固定系统 |
CN116919680B (zh) * | 2023-09-19 | 2023-12-15 | 苏州市康力骨科器械有限公司 | 一种具有延伸机构的脊柱骨科植入物 |
Family Cites Families (79)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5443515A (en) * | 1994-01-26 | 1995-08-22 | Implex Corporation | Vertebral body prosthetic implant with slidably positionable stabilizing member |
CA2551185C (en) * | 1994-03-28 | 2007-10-30 | Sdgi Holdings, Inc. | Apparatus and method for anterior spinal stabilization |
AU4372596A (en) * | 1994-12-09 | 1996-06-26 | Sofamor Danek Group, Inc. | Adjustable vertebral body replacement |
US6264655B1 (en) * | 1995-06-07 | 2001-07-24 | Madhavan Pisharodi | Cervical disk and spinal stabilizer |
US5683394A (en) * | 1995-09-29 | 1997-11-04 | Advanced Spine Fixation Systems, Inc. | Fusion mass constrainer |
FR2747034B1 (fr) * | 1996-04-03 | 1998-06-19 | Scient X | Systeme de contention et de fusion intersomatique |
US5755796A (en) * | 1996-06-06 | 1998-05-26 | Ibo; Ivo | Prosthesis of the cervical intervertebralis disk |
US6021343A (en) | 1997-11-20 | 2000-02-01 | Surgical Navigation Technologies | Image guided awl/tap/screwdriver |
US6348058B1 (en) | 1997-12-12 | 2002-02-19 | Surgical Navigation Technologies, Inc. | Image guided spinal surgery guide, system, and method for use thereof |
DE29813139U1 (de) * | 1998-07-23 | 1998-12-03 | Howmedica Gmbh | Wirbelkörper-Rekonstruktionssystem |
WO2000010474A1 (de) * | 1998-08-21 | 2000-03-02 | Synthes Ag Chur | Knochenverankerungselement mit einschnappbarem kugelkopf |
FR2784570B1 (fr) * | 1998-10-19 | 2001-02-16 | Scient X | Dispositif de liaison intervertebrale equipe de moyens d'anti-extraction pour les vis d'ancrage |
US6156037A (en) * | 1998-10-28 | 2000-12-05 | Sdgi Holdings, Inc. | Anterior lateral spine cage-plate fixation device and technique |
FR2897259B1 (fr) * | 2006-02-15 | 2008-05-09 | Ldr Medical Soc Par Actions Si | Cage intersomatique transforaminale a greffon de fusion intervetebrale et instrument d'implantation de la cage |
WO2001064124A1 (en) | 2000-03-01 | 2001-09-07 | Surgical Navigation Technologies, Inc. | Multiple cannula image guided tool for image guided procedures |
JP2003527196A (ja) * | 2000-03-22 | 2003-09-16 | スコリオ ゲーエムベーハー | ケージ型椎間インプラント |
US6576017B2 (en) * | 2001-02-06 | 2003-06-10 | Sdgi Holdings, Inc. | Spinal implant with attached ligament and methods |
FR2822674B1 (fr) * | 2001-04-03 | 2003-06-27 | Scient X | Systeme stabilise de fusion intersomatique pour vertebres |
FR2823096B1 (fr) * | 2001-04-06 | 2004-03-19 | Materiel Orthopedique En Abreg | Plaque pour dispositif d'osteosynthese des vertebres l5 et s1, dispositif d'osteosynthese incluant une telle plaque, et instrument pour la pose d'une telle plaque |
US7608096B2 (en) * | 2003-03-10 | 2009-10-27 | Warsaw Orthopedic, Inc. | Posterior pedicle screw and plate system and methods |
US7621938B2 (en) * | 2004-01-15 | 2009-11-24 | Warsaw Orthopedic, Inc. | Spinal implant construct and method for implantation |
US8100955B2 (en) * | 2005-03-17 | 2012-01-24 | Spinal Elements, Inc. | Orthopedic expansion fastener |
EP1879530A2 (en) * | 2005-04-19 | 2008-01-23 | Ali Adl | Hinged artificial spinal disk device |
US8795367B2 (en) * | 2005-06-03 | 2014-08-05 | Arthrodisc, L.L.C. | Minimally invasive apparatus to manipulate and revitalize spinal column disc |
US10265187B2 (en) * | 2005-06-03 | 2019-04-23 | Arthrodisc, L.L.C. | Spinner body |
FR2894130B1 (fr) * | 2005-12-05 | 2012-07-13 | Spineart Sa | Cages de contention et de fusion intersomatique des vertebres |
US7594932B2 (en) * | 2005-12-29 | 2009-09-29 | International Spinal Innovations, Llc | Apparatus for anterior intervertebral spinal fixation and fusion |
US8100975B2 (en) * | 2006-08-11 | 2012-01-24 | Warsaw Orthopedic, Inc. | Intervertebral implants with attachable flanges and methods of use |
US7850731B2 (en) * | 2006-10-04 | 2010-12-14 | Seaspine, Inc. | Articulating spinal implant |
US20080177390A1 (en) * | 2006-10-24 | 2008-07-24 | St. Francis Medical Technologies, Inc. | Disk Replacement Endoprosthesis |
GB0623801D0 (en) * | 2006-11-29 | 2007-01-10 | Surgicraft Ltd | Orthopaedic implants and prosthesis |
US20080140085A1 (en) * | 2006-12-11 | 2008-06-12 | G&L Consulting, Llc | Steerable spine implant insertion device and method |
US7955392B2 (en) * | 2006-12-14 | 2011-06-07 | Warsaw Orthopedic, Inc. | Interspinous process devices and methods |
US8216312B2 (en) * | 2007-05-31 | 2012-07-10 | Zimmer Spine, Inc. | Spinal interbody system and method |
US8597353B2 (en) * | 2007-06-06 | 2013-12-03 | Spinesmith Partners, L.P. | Interbody fusion device and associated methods |
US8882813B2 (en) * | 2007-10-19 | 2014-11-11 | Spinesmith Partners, L.P. | Locking mechanisms and associated methods |
US20080312742A1 (en) * | 2007-06-12 | 2008-12-18 | Dennis Lee Abernathie | Anterior Spinal Fusion and Fixation Cage with Integrated Plate and Method of Use |
US8545562B1 (en) * | 2007-07-02 | 2013-10-01 | Theken Spine, Llc | Deployable member for use with an intervertebral cage |
US8540769B2 (en) * | 2007-11-28 | 2013-09-24 | Pioneer Surgical Technology, Inc. | Device for securing an implant to tissue |
US8414651B2 (en) * | 2008-01-16 | 2013-04-09 | Aesculap Implant Systems, Llc | Dynamic interbody |
EP2328519B1 (en) | 2008-06-05 | 2014-12-31 | Alphatec Spine, Inc. | Modular anterior locking interbody cage |
US8425514B2 (en) * | 2008-06-25 | 2013-04-23 | Westmark Medical, Llc. | Spinal fixation device |
US8709083B2 (en) * | 2009-06-04 | 2014-04-29 | William E. Duffield | Intervertebral fusion implant |
US8328872B2 (en) * | 2008-09-02 | 2012-12-11 | Globus Medical, Inc. | Intervertebral fusion implant |
US8652182B1 (en) * | 2008-10-01 | 2014-02-18 | Spinal U.S.A. | Bone plate with retainer and stop for screw lock |
CA2742812A1 (en) * | 2008-11-07 | 2010-05-14 | William P. Mcdonough | Zero-profile interbody spacer and coupled plate assembly |
TWI397395B (zh) * | 2009-04-01 | 2013-06-01 | Ind Tech Res Inst | 脊椎融合固定器及其植入設備與導引組件 |
US8641765B2 (en) * | 2009-08-12 | 2014-02-04 | Nabil L. Muhanna | Posterior spinal implant system |
US9730804B2 (en) * | 2009-09-06 | 2017-08-15 | Warsaw Orthopedic, Inc. | Locking spinal fusion device |
US20110082550A1 (en) * | 2009-10-07 | 2011-04-07 | Yeh An-Shih | Intervertebral fixation device |
US8945227B2 (en) * | 2010-02-01 | 2015-02-03 | X-Spine Systems, Inc. | Spinal implant co-insertion system and method |
US8409287B2 (en) * | 2010-05-21 | 2013-04-02 | Warsaw Orthopedic, Inc. | Intervertebral prosthetic systems, devices, and associated methods |
US8828084B2 (en) * | 2010-06-08 | 2014-09-09 | Kamran Aflatoon | Dynamic interbody cage anchor system |
US8480747B2 (en) | 2010-08-11 | 2013-07-09 | Warsaw Orthopedic, Inc. | Interbody spinal implants with extravertebral support plates |
US20120078373A1 (en) * | 2010-09-23 | 2012-03-29 | Thomas Gamache | Stand alone intervertebral fusion device |
FR2966720B1 (fr) * | 2010-10-29 | 2013-04-19 | Kasios | Systeme de cage et de plaque cervicales. |
US8454694B2 (en) * | 2011-03-03 | 2013-06-04 | Warsaw Orthopedic, Inc. | Interbody device and plate for spinal stabilization and instruments for positioning same |
US8679184B2 (en) * | 2011-04-07 | 2014-03-25 | 5K Ip-1 Llc | Interbody cage for spinal fusion and method of implanting interbody cages into spines |
EP2701638B1 (en) * | 2011-04-26 | 2017-05-24 | Alphatec Spine, Inc. | Stand alone interbody fixation system |
US8795368B2 (en) * | 2011-04-27 | 2014-08-05 | Warsaw Orthopedic, Inc. | Expandable implant system and methods of use |
EP2535021B1 (en) * | 2011-06-14 | 2015-10-14 | Biedermann Technologies GmbH & Co. KG | Intervertebral implant |
US9724132B2 (en) * | 2011-08-31 | 2017-08-08 | DePuy Synthes Products, Inc. | Devices and methods for cervical lateral fixation |
US9427330B2 (en) * | 2011-09-06 | 2016-08-30 | Globus Medical, Inc. | Spinal plate |
US20130072978A1 (en) * | 2011-09-16 | 2013-03-21 | Joshua M. AMMERMAN | Vertebral body replacement and cervical plate construction |
US10555821B2 (en) * | 2011-09-21 | 2020-02-11 | Tov Inge Vestgaarden | Method and apparatus for spinal interbody fusion including fixation or locking plate |
US8852278B2 (en) * | 2011-12-22 | 2014-10-07 | DePuy Synthes Products, LLC | Lateral cage with integrated plate |
ES2628444T3 (es) | 2012-02-17 | 2017-08-02 | Medacta International S.A. | Implante intervertebral con sistema de sujeción mejorado para la placa de fijación |
US9271836B2 (en) * | 2012-03-06 | 2016-03-01 | DePuy Synthes Products, Inc. | Nubbed plate |
US8900310B2 (en) * | 2012-04-05 | 2014-12-02 | Zimmer Spine, Inc. | Interbody spacer |
US20130345813A1 (en) * | 2012-06-22 | 2013-12-26 | Sheryl Frank | Dual Anchor Lateral Vertebral Body Fixation Plates |
US9326861B2 (en) * | 2012-08-03 | 2016-05-03 | Globus Medical, Inc. | Stabilizing joints |
US10864081B2 (en) * | 2012-10-19 | 2020-12-15 | Tyber Medical, LLC | Wedge osteotomy device and method of use |
US9387087B2 (en) * | 2012-10-19 | 2016-07-12 | Tyber Medical Llc | Orthopedic systems for spine and tracking control |
US20140172103A1 (en) * | 2012-12-17 | 2014-06-19 | Michael J. O'Neil | Polyaxial Intervertebral Cage |
US9554918B2 (en) * | 2013-03-01 | 2017-01-31 | Globus Medical, Inc. | Articulating expandable intervertebral implant |
US10603187B2 (en) * | 2013-07-17 | 2020-03-31 | Aesculap Implant Systems, Llc | Spinal interbody device, system and method |
US9283091B2 (en) * | 2013-10-07 | 2016-03-15 | Warsaw Orthopedic, Inc. | Spinal implant system and method |
US9918848B2 (en) * | 2013-10-07 | 2018-03-20 | Warsaw Orthopedic, Inc. | Spinal implant system and method |
US10213318B2 (en) * | 2014-02-25 | 2019-02-26 | Refai Technologies, Llc | Spinal cage device, system, and methods of assembly and use |
-
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- 2013-10-07 US US14/047,563 patent/US9283091B2/en active Active
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