公开(公告)号：US09668795B1

公开(公告)日：2017-06-06

申请号：US14018043

申请日：2013-09-04

申请人： Jim A. Youssef ,  Lance Hamlin ,  Brian Hewko

发明人： Jim A. Youssef ,  Lance Hamlin ,  Brian Hewko

IPC分类号： A61B17/80

CPC分类号： A61B17/809 ,  A61B17/7059 ,  A61B17/8009 ,  A61B17/8042

摘要： Bone plate systems and methods for implanting. A bone plate system includes a bone plate having a first surface, a second, bone contacting surface opposed to the first surface, and at least one aperture extending through the first and second surfaces. The system includes a bone screw having a threaded shank along a distal end portion thereof, the threaded shank configured to pass through the aperture. A dynamic member is configured to fit between portions of the screw and the bone plate and allow movement of the dynamic member and the screw relative to the bone plate in a first direction, while preventing movement of the dynamic member relative to the bone plate in a direction opposite to the first direction.

公开(公告)号：US20110276095A1

公开(公告)日：2011-11-10

申请号：US13133657

申请日：2009-12-09

申请人： Yossef Bar ,  Eli Zehavi ,  Brian Hewko ,  Moshe Shoham

发明人： Yossef Bar ,  Eli Zehavi ,  Brian Hewko ,  Moshe Shoham

IPC分类号： A61B17/88 ,  A61B17/86

CPC分类号： A61B17/863 ,  A61B17/70

摘要： An orthopedic screw having a thread with two parts, a distal and a proximal part, each having a different thread configuration. The distal section has a thread with outer dimension and pitch suitable for entry into cancellous bone, while the proximal section has a composite thread comprising (i) a first thread of the same or slightly larger outer diameter as the cancellous thread in the distal section, having the same pitch thereof, and lying on the same helix, and (ii) another thread having a smaller outer diameter but the same pitch as the first thread, but disposed on a helix displaced from that of the first thread, such that it lies between the crests of the first thread. This screw enables optimum fixation strength in a bone or bones having a harder cortical outer section and a softer cancellous inner section. The screw may have an unthreaded central section.

摘要翻译： 具有两部分的螺纹的矫形螺钉，远端和近端部分，每个具有不同的螺纹构型。 远侧部分具有适于进入松质骨的外部尺寸和节距的螺纹，而近侧部分具有复合螺纹，其包括（i）与远侧部分中的松质线相同或略大的外径的第一螺纹， 具有相同的间距并且位于相同的螺旋上，和（ii）具有比第一螺纹更小的外径但是相同螺距的另一螺纹，但是设置在与第一螺纹的螺旋线相同的螺旋上，使得其位于 在第一线程的顶点之间。 该螺钉使骨骼或具有较硬的皮质外部部分和较软质松质骨内部部分的骨骼具有最佳的固定强度。 螺钉可能有一个无螺纹的中心部分。

公开(公告)号：US20090264934A1

公开(公告)日：2009-10-22

申请号：US12148897

申请日：2008-04-22

申请人： Jim A. Youssef ,  Lance Hamlin ,  Brian Hewko

发明人： Jim A. Youssef ,  Lance Hamlin ,  Brian Hewko

IPC分类号： A61B17/80

CPC分类号： A61B17/809 ,  A61B17/7059 ,  A61B17/8009 ,  A61B17/8042

摘要： Bone plate systems and methods for implanting. A bone plate system includes a bone plate having a first surface, a second, bone contacting surface opposed to the first surface, and at least one aperture extending through the first and second surfaces. The system includes a bone screw having a threaded shank along a distal end portion thereof, the threaded shank configured to pass through the aperture. A dynamic member is configured to fit between portions of the screw and the bone plate and allow movement of the dynamic member and the screw relative to the bone plate in a first direction, while preventing movement of the dynamic member relative to the bone plate in a direction opposite to the first direction.

摘要翻译： 骨板系统和植入方法。 骨板系统包括具有第一表面，与第一表面相对的第二骨接触表面的骨板和延伸穿过第一表面和第二表面的至少一个孔。 该系统包括具有沿着其远端部分的螺纹柄的骨螺钉，所述螺纹杆构造成穿过所述孔。 动态构件被构造成装配在螺钉和骨板的部分之间并允许动态构件和螺钉相对于骨板沿着第一方向移动，同时防止动态构件相对于骨板在 方向与第一方向相反。

公开(公告)号：US20110313467A1

公开(公告)日：2011-12-22

申请号：US13222830

申请日：2011-08-31

申请人： Jim A. Youssef ,  Jeffrey Chun Wang ,  Brian Hewko ,  Alan W. Cannon

发明人： Jim A. Youssef ,  Jeffrey Chun Wang ,  Brian Hewko ,  Alan W. Cannon

IPC分类号： A61B17/88

CPC分类号： A61B17/7062

摘要： Devices and methods for treating spinal disorders and associated discomfort therefrom. In one embodiment, an interspinous implant device is configured for distracting an adjacent pair of spinous processes while permitting relative flexion, lateral bending and side rotation motions between the vertebrae joined to the adjacent pair of spinous processes. A method of treating spinal disorders and associated discomfort therefrom, includes inserting an interspinous device between a pair of adjacent spinous processes such that a superior portion of the device contacts an inferior surface of the relatively superior spinous process of the pair, and an inferior portion of the of the device contacts a superior surface of the relatively inferior spinous process of the pair; and distracting the superior and inferior portions, relative to one another, thereby distracting the spinous processes, whereby vertebrae integral with the spinous processes retain capability of flexion, lateral bending and side rotation motions, relative to one another, after the distraction has been performed.

摘要翻译： 用于治疗脊柱疾病及其相关不适的装置和方法。 在一个实施例中，棘突间植入装置构造成用于分散相邻的一对棘突，同时允许在连接到相邻棘突之间的椎骨之间的相对屈曲，侧向弯曲和侧旋运动。 一种治疗脊柱疾病及其相关不适的方法，包括在一对相邻的棘突之间插入棘突间装置，使得该装置的上部接触该对相对较好的棘突的下表面， 该装置接触该对的较差棘突的上表面; 并且相对于彼此分散上下部分，从而分散脊髓的过程，由此在执行分心之后，与棘突一体的椎骨相对于彼此保持屈曲，侧向弯曲和侧旋运动的能力。

公开(公告)号：US20080234824A1

公开(公告)日：2008-09-25

申请号：US11703328

申请日：2007-02-06

申请人： Jim A. Youssef ,  Jeffrey Chun Wang ,  Brian Hewko ,  Alan W. Cannon

发明人： Jim A. Youssef ,  Jeffrey Chun Wang ,  Brian Hewko ,  Alan W. Cannon

IPC分类号： A61B17/58 ,  A61F2/44

CPC分类号： A61B17/7062

摘要： Devices and methods for treating spinal disorders and associated discomfort therefrom. In one embodiment, an interspinous implant device is configured for distracting an adjacent pair of spinous processes while permitting relative flexion, lateral bending and side rotation motions between the vertebrae joined to the adjacent pair of spinous processes. A method of treating spinal disorders and associated discomfort therefrom, includes inserting an interspinous device between a pair of adjacent spinous processes such that a superior portion of the device contacts an inferior surface of the relatively superior spinous process of the pair, and an inferior portion of the of the device contacts a superior surface of the relatively inferior spinous process of the pair; and distracting the superior and inferior portions, relative to one another, thereby distracting the spinous processes, whereby vertebrae integral with the spinous processes retain capability of flexion, lateral bending and side rotation motions, relative to one another, after the distraction has been performed.

摘要翻译： 用于治疗脊柱疾病及其相关不适的装置和方法。 在一个实施例中，棘突间植入装置构造成用于分散相邻的一对棘突，同时允许在连接到相邻棘突之间的椎骨之间的相对屈曲，侧向弯曲和侧旋运动。 一种治疗脊柱疾病及其相关不适的方法，包括在一对相邻的棘突之间插入棘突间装置，使得该装置的上部接触该对相对较好的棘突的下表面， 该装置接触该对的较差棘突的上表面; 并且相对于彼此分散上下部分，从而分散脊髓的过程，由此在执行分心之后，与棘突一体的椎骨相对于彼此保持屈曲，侧向弯曲和侧旋运动的能力。

公开(公告)号：US20080046083A1

公开(公告)日：2008-02-21

申请号：US11838358

申请日：2007-08-14

申请人： Brian Hewko

发明人： Brian Hewko

IPC分类号： A61F2/44

CPC分类号： A61F2/4425 ,  A61F2/4455 ,  A61F2002/30087 ,  A61F2002/30112 ,  A61F2002/30153 ,  A61F2002/30364 ,  A61F2002/30367 ,  A61F2002/30428 ,  A61F2002/305 ,  A61F2002/30507 ,  A61F2002/30563 ,  A61F2002/30566 ,  A61F2002/30594 ,  A61F2002/30601 ,  A61F2002/30604 ,  A61F2002/30607 ,  A61F2002/30649 ,  A61F2002/30772 ,  A61F2002/30841 ,  A61F2002/30904 ,  A61F2002/3092 ,  A61F2002/443 ,  A61F2220/0016 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2230/0004 ,  A61F2230/0019 ,  A61F2250/0062 ,  A61F2310/00796

摘要： An intervertebral disc prosthesis for installation in, a spinal column includes a first intervertebral plate for engaging one or both of the inferior vertebral endplate and the inferior ring apophysis of a superior vertebral body. A second intervertebral plate for engages one or both of the superior vertebral endplate and the superior ring apophysis of an inferior vertebral body. A removable insert core is located between and engages the intervertebral plates. A projection projects from one of the intervertebral plates toward the other intervertebral plate. The removable insert core at least partially surrounds the projection when installed. The removable insert core is removable from between the intervertebral plates and from around the projection while the intervertebral plates and projection remain installed.

摘要翻译： 用于安装在脊柱中的椎间盘假体包括用于接合下椎骨终板中的一个或两个以及上椎体的下环尖端的第一椎间板。 第二椎间盘，用于接合下椎体的上椎骨终板和上环脱离中的一个或两个。 可移除的插入芯位于椎间盘之间并与椎间盘接合。 一个突起从一个椎间板向另一个椎间盘突出。 当安装时，可移除插入芯至少部分地围绕突起。 可移除的插入芯可从椎间盘之间和突出部周围移除，同时椎间板和突起保持安装。

公开(公告)号：US08906096B2

公开(公告)日：2014-12-09

申请号：US11838358

申请日：2007-08-14

申请人： Brian Hewko

发明人： Brian Hewko

IPC分类号： A61F2/44 ,  A61F2/30

CPC分类号： A61F2/4425 ,  A61F2/4455 ,  A61F2002/30087 ,  A61F2002/30112 ,  A61F2002/30153 ,  A61F2002/30364 ,  A61F2002/30367 ,  A61F2002/30428 ,  A61F2002/305 ,  A61F2002/30507 ,  A61F2002/30563 ,  A61F2002/30566 ,  A61F2002/30594 ,  A61F2002/30601 ,  A61F2002/30604 ,  A61F2002/30607 ,  A61F2002/30649 ,  A61F2002/30772 ,  A61F2002/30841 ,  A61F2002/30904 ,  A61F2002/3092 ,  A61F2002/443 ,  A61F2220/0016 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2230/0004 ,  A61F2230/0019 ,  A61F2250/0062 ,  A61F2310/00796

摘要： An intervertebral disc prosthesis for installation in, a spinal column includes a first intervertebral plate for engaging one or both of the inferior vertebral endplate and the inferior ring apophysis of a superior vertebral body. A second intervertebral plate for engages one or both of the superior vertebral endplate and the superior ring apophysis of an inferior vertebral body. A removable insert core is located between and engages the intervertebral plates. A projection projects from one of the intervertebral plates toward the other intervertebral plate. The removable insert core at least partially surrounds the projection when installed. The removable insert core is removable from between the intervertebral plates and from around the projection while the intervertebral plates and projection remain installed.

摘要翻译： 用于安装在脊柱中的椎间盘假体包括用于接合下椎骨终板中的一个或两个以及上椎体的下环尖端的第一椎间板。 第二椎间盘，用于接合下椎体的上椎骨终板和上环脱离中的一个或两个。 可移除的插入芯位于椎间盘之间并与椎间盘接合。 一个突起从一个椎间板向另一个椎间盘突出。 当安装时，可移除插入芯至少部分地围绕突起。 可移除的插入芯可从椎间板之间和突出部周围移除，同时椎间板和突起保持安装。

公开(公告)号：US08551144B2

公开(公告)日：2013-10-08

申请号：US12148897

申请日：2008-04-22

申请人： Jim A. Youssef ,  Lance Hamlin ,  Brian Hewko

发明人： Jim A. Youssef ,  Lance Hamlin ,  Brian Hewko

IPC分类号： A61B17/80

CPC分类号： A61B17/809 ,  A61B17/7059 ,  A61B17/8009 ,  A61B17/8042

摘要： Bone plate systems and methods for implanting. A bone plate system includes a bone plate having a first surface, a second, bone contacting surface opposed to the first surface, and at least one aperture extending through the first and second surfaces. The system includes a bone screw having a threaded shank along a distal end portion thereof, the threaded shank configured to pass through the aperture. A dynamic member is configured to fit between portions of the screw and the bone plate and allow movement of the dynamic member and the screw relative to the bone plate in a first direction, while preventing movement of the dynamic member relative to the bone plate in a direction opposite to the first direction.

公开(公告)号：US08034081B2

公开(公告)日：2011-10-11

申请号：US11703328

申请日：2007-02-06

申请人： Jim A. Youssef ,  Jeffrey Chun Wang ,  Brian Hewko ,  Alan W. Cannon

发明人： Jim A. Youssef ,  Jeffrey Chun Wang ,  Brian Hewko ,  Alan W. Cannon

IPC分类号： A61B17/70 ,  A61F2/44

CPC分类号： A61B17/7062

摘要： Devices and methods for treating spinal disorders and associated discomfort therefrom. In one embodiment, an interspinous implant device is configured for distracting an adjacent pair of spinous processes while permitting relative flexion, lateral bending and side rotation motions between the vertebrae joined to the adjacent pair of spinous processes. A method of treating spinal disorders and associated discomfort therefrom, includes inserting an interspinous device between a pair of adjacent spinous processes such that a superior portion of the device contacts an inferior surface of the relatively superior spinous process of the pair, and an inferior portion of the of the device contacts a superior surface of the relatively inferior spinous process of the pair; and distracting the superior and inferior portions, relative to one another, thereby distracting the spinous processes, whereby vertebrae integral with the spinous processes retain capability of flexion, lateral bending and side rotation motions, relative to one another, after the distraction has been performed.

摘要翻译： 用于治疗脊柱疾病及其相关不适的装置和方法。 在一个实施例中，棘突间植入装置构造成用于分散相邻的一对棘突，同时允许在连接到相邻棘突之间的椎骨之间的相对屈曲，侧向弯曲和侧旋运动。 一种治疗脊柱疾病及其相关不适的方法，包括在一对相邻的棘突之间插入棘突间装置，使得该装置的上部接触该对相对较好的棘突的下表面， 该装置接触该对的较差棘突的上表面; 并且相对于彼此分散上下部分，从而分散脊髓的过程，由此在执行分心之后，与棘突一体的椎骨相对于彼此保持屈曲，侧向弯曲和侧旋运动的能力。

公开(公告)号：US20130255694A1

公开(公告)日：2013-10-03

申请号：US13432147

申请日：2012-03-28

申请人： Richard L. Arlow ,  Zachary W. Bloom ,  Brian Hewko

发明人： Richard L. Arlow ,  Zachary W. Bloom ,  Brian Hewko

IPC分类号： A61M16/00

CPC分类号： A61M16/0472 ,  A61M29/00

摘要： The present invention relates to a medical device for performing surgery in the body using a percutaneous dilatational procedure, one embodiment of which is a percutaneous dilatational tracheostomy (PDT) device having a dilator with a non-uniform surface profile that is optimized to the relevant anatomy in order to reduce, uniformly distribute, and ensure uniform, or constant temporal derivative of, dilatational force throughout dilation. This serves to reduce trauma to the patient, specifically producing a reduction of anterior tracheal wall compression, posterior wall laceration/perforation, and tracheal ring fracture that may subsequently lead to subglottic suprastomal stenosis.

摘要翻译： 本发明涉及一种用于使用经皮扩张手术在体内进行手术的医疗装置，其一个实施例是具有针对相关解剖结构优化的具有不均匀表面轮廓的扩张器的经皮扩张气管切开术（PDT）装置 以减少，均匀分布，并确保整个膨胀期间的均匀或恒定的时间导数。 这有助于减轻对患者的创伤，特别是减少前气管壁压迫，后壁撕裂/穿孔和气管环骨折，随后可能导致声门下纵隔狭窄。