公开(公告)号：US07550008B2

公开(公告)日：2009-06-23

申请号：US11073987

申请日：2005-03-07

Applicant: James D. Ralph ,  Stephen Tatar ,  Thomas J. Errico

Inventor： James D. Ralph ,  Stephen Tatar ,  Thomas J. Errico

IPC: A61F2/44

CPC classification number: A61B17/025 ,  A61B2017/0256 ,  A61F2/30742 ,  A61F2/30767 ,  A61F2/442 ,  A61F2/4425 ,  A61F2/446 ,  A61F2/4611 ,  A61F2/4684 ,  A61F2002/30171 ,  A61F2002/302 ,  A61F2002/30433 ,  A61F2002/30443 ,  A61F2002/30444 ,  A61F2002/30451 ,  A61F2002/30492 ,  A61F2002/30502 ,  A61F2002/30518 ,  A61F2002/30565 ,  A61F2002/30571 ,  A61F2002/30594 ,  A61F2002/30604 ,  A61F2002/30649 ,  A61F2002/30769 ,  A61F2002/30774 ,  A61F2002/30909 ,  A61F2002/3092 ,  A61F2002/30975 ,  A61F2002/443 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2220/0058 ,  A61F2230/005 ,  A61F2230/0065 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00365

Abstract: A porous intervertebral spacer having a flexible wire mesh as a vertebral body contact surface, the flexible wire mesh preferably being a convex titanium mesh laser-welded at its perimeter to the spacer. The mesh is domed in its initial undeflected conformation, but deflects as necessary during insertion of the spacer between vertebral bodies, and, once the spacer is seated between the vertebral bodies, deforms as necessary under anatomical loads to reshape itself to the concave surface of the vertebral endplate, providing gripping and holding strength upon initial implantation, and an osteoinductive surface through which the bone may ultimately grow, making the fixation of the spacer between the vertebral bodies secure.

Abstract translation: 一种多孔椎间间隔物，其具有作为椎体接触表面的柔性丝网，所述柔性丝网优选地是在其周边激光焊接到所述间隔件的凸钛网。 网状物以其初始的未偏转构型为圆顶，但是在椎间体插入垫片期间必要时偏转，并且一旦将间隔件置于椎体之间，则在解剖负荷下根据需要变形以将其自身重塑为 椎骨终板，在初始植入时提供夹持和保持力，以及骨骼可以最终生长的骨诱导表面，使得间隔件在椎体之间的固定安全。

公开(公告)号：US07507255B2

公开(公告)日：2009-03-24

申请号：US10991024

申请日：2004-11-17

Applicant: James D. Ralph ,  Stephen Tatar ,  Thomas J. Errico

Inventor： James D. Ralph ,  Stephen Tatar ,  Thomas J. Errico

IPC: A61F2/44 ,  A61F2/00

CPC classification number: A61B17/025 ,  A61B2017/0256 ,  A61F2/4684

Abstract: A trial spacer kit has a plurality of trial spacers of varying heights. Each spacer includes a disc having a top surface and a bottom surface defining a height of said spacer, an annular groove formed in said disc that defines a central trunk of said spacer, the central trunk extending between the top and bottom surfaces of said spacer, a first radial flange provided at an upper end of the central trunk and a second radial flange provided at a lower end of the central trunk. The annular grooves of the spacers have a common dimension. The radial flanges of a first one of the spacers is thicker than the radial flanges of a second one of the spacers so that the first one of the spacers has a greater height than the second one of the spacers.

Abstract translation: 试剂间隔套件具有多个不同高度的试验间隔物。 每个间隔件包括具有限定所述间隔件的高度的顶表面和底表面的盘，形成在所述盘中的环形槽，其限定所述间隔件的中心躯干，所述中心躯干在所述间隔件的顶表面和底表面之间延伸， 设置在中心主体的上端的第一径向凸缘和设置在中心主体的下端的第二径向凸缘。 间隔件的环形槽具有共同的尺寸。 间隔件中的第一个的径向凸缘比间隔件中的第二个间隔件的径向凸缘更厚，使得第一间隔件具有比第二间隔件更大的高度。

公开(公告)号：US07217292B2

公开(公告)日：2007-05-15

申请号：US10436039

申请日：2003-05-12

Applicant: James D. Ralph ,  Stephen Tatar ,  Thomas J. Errico

Inventor： James D. Ralph ,  Stephen Tatar ,  Thomas J. Errico

IPC: A61F2/44 ,  A61B17/58

CPC classification number: A61F2/4611 ,  A61B17/025 ,  A61B2017/0256 ,  A61F2/30742 ,  A61F2/30767 ,  A61F2/442 ,  A61F2/446 ,  A61F2/4684 ,  A61F2002/30171 ,  A61F2002/302 ,  A61F2002/30433 ,  A61F2002/30444 ,  A61F2002/30451 ,  A61F2002/30492 ,  A61F2002/30502 ,  A61F2002/30518 ,  A61F2002/30565 ,  A61F2002/30571 ,  A61F2002/30594 ,  A61F2002/30604 ,  A61F2002/30769 ,  A61F2002/30774 ,  A61F2002/30909 ,  A61F2002/3092 ,  A61F2002/30975 ,  A61F2002/443 ,  A61F2002/4628 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2220/0058 ,  A61F2230/005 ,  A61F2230/0065 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00365

Abstract: An orthopedic spacer device comprising a spacer body having an external surface that includes at least two relative angle designation marks such that a rotational angle of the spacer body relative to a known reference is determinable.

公开(公告)号：US07048763B2

公开(公告)日：2006-05-23

申请号：US10783292

申请日：2004-02-18

Applicant: James D. Ralph ,  Stephen Tatar

Inventor： James D. Ralph ,  Stephen Tatar

IPC: A61F2/44

CPC classification number: A61F2/442 ,  A61F2/30742 ,  A61F2/30767 ,  A61F2/4425 ,  A61F2002/30171 ,  A61F2002/302 ,  A61F2002/3038 ,  A61F2002/30433 ,  A61F2002/30443 ,  A61F2002/30444 ,  A61F2002/30446 ,  A61F2002/30451 ,  A61F2002/30492 ,  A61F2002/30502 ,  A61F2002/30507 ,  A61F2002/30518 ,  A61F2002/30538 ,  A61F2002/30563 ,  A61F2002/30565 ,  A61F2002/30571 ,  A61F2002/30594 ,  A61F2002/30604 ,  A61F2002/30649 ,  A61F2002/30769 ,  A61F2002/30774 ,  A61F2002/30909 ,  A61F2002/3092 ,  A61F2002/30975 ,  A61F2002/443 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2220/0041 ,  A61F2220/0058 ,  A61F2230/005 ,  A61F2230/0065 ,  A61F2250/0006 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00365

Abstract: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by a subassembly including a ball captured in a curvate volume, at least a portion of the curvate volume being formed in a convex element that is maintained against a first plate by a retaining wall and a retaining ring.

Abstract translation: 一种椎间隔器装置，其具有一对相对的板，用于抵靠相对的脊骨表面，由包括被捕获在弯曲体积中的球的子组件隔开，所述弯曲体的至少一部分形成为凸起的元件， 第一板由挡土墙和保持环组成。

公开(公告)号：US06932844B2

公开(公告)日：2005-08-23

申请号：US10725297

申请日：2003-12-01

Applicant: James D. Ralph ,  Stephen Tatar ,  Joseph P. Errico

Inventor： James D. Ralph ,  Stephen Tatar ,  Joseph P. Errico

IPC: A61F2/00 ,  A61F2/30 ,  A61F2/44

CPC classification number: A61F2/442 ,  A61F2/30742 ,  A61F2/30767 ,  A61F2/4425 ,  A61F2002/30133 ,  A61F2002/30171 ,  A61F2002/302 ,  A61F2002/30433 ,  A61F2002/30443 ,  A61F2002/30444 ,  A61F2002/30451 ,  A61F2002/30492 ,  A61F2002/30502 ,  A61F2002/30507 ,  A61F2002/30518 ,  A61F2002/30565 ,  A61F2002/30571 ,  A61F2002/30594 ,  A61F2002/30604 ,  A61F2002/30649 ,  A61F2002/30769 ,  A61F2002/30774 ,  A61F2002/30909 ,  A61F2002/3092 ,  A61F2002/30975 ,  A61F2002/443 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2220/0058 ,  A61F2230/0015 ,  A61F2230/005 ,  A61F2230/0065 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00365 ,  Y10S606/907

Abstract: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by a spring mechanism. The preferred spring mechanism is a slotted domed arch strip spring which is coupled to the upper plate by set screws. The spring includes a socket formed in the peak thereof and mounts onto a ball-shaped head extending outwardly from the lower plate. The spring and post members are thereby flexibly coupled such that the upper and lower plates may rotate relative to one another.

Abstract translation: 一种椎间隔器装置，具有一对相对的板，用于抵靠相对的椎骨表面，由弹簧机构隔开。 优选的弹簧机构是开槽的拱形弹簧，其通过固定螺钉联接到上板。 弹簧包括形成在其顶部的插座并且安装在从下板向外延伸的球形头部上。 因此，弹簧和柱构件能够被柔性地联接，使得上板和下板可以相对于彼此旋转。

公开(公告)号：US06887273B2

公开(公告)日：2005-05-03

申请号：US10035640

申请日：2001-11-09

Applicant: James D. Ralph ,  Stephen Tatar ,  Joseph P. Errico

Inventor： James D. Ralph ,  Stephen Tatar ,  Joseph P. Errico

IPC: A61F2/00 ,  A61F2/30 ,  A61F2/44

CPC classification number: A61F2/442 ,  A61F2/30742 ,  A61F2/30767 ,  A61F2/4425 ,  A61F2002/30133 ,  A61F2002/30171 ,  A61F2002/302 ,  A61F2002/30433 ,  A61F2002/30443 ,  A61F2002/30444 ,  A61F2002/30451 ,  A61F2002/30492 ,  A61F2002/30502 ,  A61F2002/30507 ,  A61F2002/30518 ,  A61F2002/30565 ,  A61F2002/30571 ,  A61F2002/30594 ,  A61F2002/30604 ,  A61F2002/30649 ,  A61F2002/30769 ,  A61F2002/30774 ,  A61F2002/30909 ,  A61F2002/3092 ,  A61F2002/30975 ,  A61F2002/443 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2220/0058 ,  A61F2230/0015 ,  A61F2230/005 ,  A61F2230/0065 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00365 ,  Y10S606/907

Abstract: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by a spring mechanism. The preferred spring mechanism is a domed arched strip spring which is coupled to the upper plate by set screws. The spring includes a socket formed in the peak thereof and mounts onto a ball-shaped head extending outwardly from the lower plate. The spring and post members are thereby flexibly coupled such that the upper and lower plates may rotate relative to one another.

Abstract translation: 一种椎间隔器装置，具有一对相对的板，用于抵靠相对的椎骨表面，由弹簧机构隔开。 优选的弹簧机构是圆顶形的弓形弹簧，其通过固定螺钉联接到上板。 弹簧包括形成在其顶部的插座并且安装在从下板向外延伸的球形头部上。 因此，弹簧和柱构件能够被柔性地联接，使得上板和下板可以相对于彼此旋转。

公开(公告)号：US06863689B2

公开(公告)日：2005-03-08

申请号：US10128619

申请日：2002-04-23

Applicant: James D. Ralph ,  Stephen Tatar ,  Thomas J. Errico

Inventor： James D. Ralph ,  Stephen Tatar ,  Thomas J. Errico

IPC: A61F2/00 ,  A61F2/30 ,  A61F2/44 ,  A61F2/46

CPC classification number: A61B17/025 ,  A61B2017/0256 ,  A61F2/30742 ,  A61F2/30767 ,  A61F2/442 ,  A61F2/4425 ,  A61F2/446 ,  A61F2/4611 ,  A61F2/4684 ,  A61F2002/30171 ,  A61F2002/302 ,  A61F2002/30433 ,  A61F2002/30443 ,  A61F2002/30444 ,  A61F2002/30451 ,  A61F2002/30492 ,  A61F2002/30502 ,  A61F2002/30518 ,  A61F2002/30565 ,  A61F2002/30571 ,  A61F2002/30594 ,  A61F2002/30604 ,  A61F2002/30649 ,  A61F2002/30769 ,  A61F2002/30774 ,  A61F2002/30909 ,  A61F2002/3092 ,  A61F2002/30975 ,  A61F2002/443 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2220/0058 ,  A61F2230/005 ,  A61F2230/0065 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00365

Abstract: A porous intervertebral spacer having a flexible wire mesh as a vertebral body contact surface, the flexible wire mesh preferably being a convex titanium mesh laser-welded at its perimeter to the spacer. The mesh is domed in its initial undeflected conformation, but deflects as necessary during insertion of the spacer between vertebral bodies, and, once the spacer is seated between the vertebral bodies, deforms as necessary under anatomical loads to reshape itself to the concave surface of the vertebral endplate, providing gripping and holding strength upon initial implantation, and an osteoinductive surface through which the bone may ultimately grow, making the fixation of the spacer between the vertebral bodies secure.

公开(公告)号：US06723127B2

公开(公告)日：2004-04-20

申请号：US10177377

申请日：2002-06-21

Applicant: James D. Ralph ,  Stephen Tatar ,  Joseph P. Errico

Inventor： James D. Ralph ,  Stephen Tatar ,  Joseph P. Errico

IPC: A61F244

CPC classification number: A61F2/442 ,  A61F2/30767 ,  A61F2/4425 ,  A61F2002/30136 ,  A61F2002/30171 ,  A61F2002/302 ,  A61F2002/30291 ,  A61F2002/30326 ,  A61F2002/30433 ,  A61F2002/30492 ,  A61F2002/30495 ,  A61F2002/30502 ,  A61F2002/30518 ,  A61F2002/30563 ,  A61F2002/30565 ,  A61F2002/30573 ,  A61F2002/30574 ,  A61F2002/30594 ,  A61F2002/30604 ,  A61F2002/30774 ,  A61F2002/3092 ,  A61F2002/30975 ,  A61F2002/443 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2230/0004 ,  A61F2230/005 ,  A61F2230/0065 ,  A61F2230/0091 ,  A61F2250/0037 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00365

Abstract: An artificial disc having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by a wave washer having a circumferential extent surrounding a central bore. Various wave washer embodiments disclosed include circumferential extents that are ring-shaped, spiral-shaped, straight, bowed, grooved, wavy, thinning, thickening, and slotted. Various central bores disclosed include simple bores and bores that form a curvate socket. Various plate embodiments disclosed include plates having, on inwardly facing surfaces, a flat surface, a circular recess, or a ball-shaped protuberance that is mateable with the curvate socket. The wave washers are disposable between the plates, through various disclosed couplings, so that the plates compress, rotate and angulate freely relative to one another, enabling the artificial disc to mimic a healthy natural intervertebral disc.

Abstract translation: 一种人造盘，其具有一对相对的板，用于抵靠相对的脊骨表面，由波形垫圈隔开，所述波形垫圈具有围绕中心孔的圆周范围。 公开的各种波形垫圈实施例包括环形，螺旋形，直的，弯曲的，带槽的，波浪形的，变薄的，增厚的和开槽的圆周范围。 公开的各种中心孔包括形成弯曲插座的简单孔和孔。 所公开的各种板实施例包括在向内的表面上具有平坦表面，圆形凹槽或可与锥形插座配合的球形突起的板。 波形垫圈通过各种公开的联接件在片之间是一次性的，使得板相对于彼此自由地压缩，旋转和弯曲，使得人造盘能够模拟健康的天然椎间盘。

公开(公告)号：US06689134B2

公开(公告)日：2004-02-10

申请号：US10092893

申请日：2002-03-07

Applicant: James D. Ralph ,  Stephen Tatar

Inventor： James D. Ralph ,  Stephen Tatar

IPC: A61B1756

CPC classification number: A61B17/8023 ,  A61B17/7059 ,  A61B17/809 ,  Y10S606/902

Abstract: An orthopedic device including a longitudinal plate assembly having an adjustable length and two ends. Each of the ends includes a feature that can be used to couple the end to a body structure, such as, for example, a vertebral bone. Preferably, the assembly includes two longitudinal plates that can translate longitudinally with respect to one another through a plurality of positions and be secured with respect to one another at one of the positions, thereby enabling the length of the assembly to be adjusted. Inasmuch as the length of the plate assembly can be adjusted, the surgeon can set the length to the most clinically appropriate length for effective coupling of the plate assembly to the body structure.

公开(公告)号：US06451021B1

公开(公告)日：2002-09-17

申请号：US09789935

申请日：2001-02-15

Applicant: James D. Ralph ,  Stephen Tatar

Inventor： James D. Ralph ,  Stephen Tatar

IPC: A61B1758

CPC classification number: A61B17/7076 ,  A61B17/7032 ,  A61B17/7037 ,  A61B17/7082 ,  A61B17/7091 ,  A61B17/861

Abstract: A screw and coupling element assembly for use with an orthopedic rod implantation apparatus includes a screw that has a head and a shaft that extends from the head, a coupling element that has a seat within which the head can be seated such that the shaft protrudes from the coupling element, and a locking element that can be mated with the coupling element and that thereafter can be selectively moved through a plurality of positions including an unlocked position and a locked position. When the locking element is in the unlocked position, the locking element presents a rod-receiving channel and the head is movable in the seat such that the shaft can be directed in a plurality of angles relative to the coupling element. When the locking element is in the locked position, a rod disposed within the rod-receiving channel is fixed relative to the coupling element and the head is immovable in the seat such that the shaft is fixed at an angle relative to the coupling element.

Abstract translation: 与矫形棒植入装置一起使用的螺钉和联接元件组件包括具有从头部延伸的头部和轴的螺钉，具有座部的联接元件，其中头部可以安置在该座部中，使得轴从 联接元件和可与联接元件配合的锁定元件，此后可以选择性地移动通过包括解锁位置和锁定位置的多个位置。 当锁定元件处于未锁定位置时，锁定元件呈现杆接收通道，并且头部可在座中移动，使得轴可相对于联接元件以多个角度定向。 当锁定元件处于锁定位置时，设置在杆接收通道内的杆相对于联接元件固定，并且头部不可移动到座中，使得轴相对于联接元件以一定角度固定。