219 results about "Intervertebral fusion" patented technology

The embodiments provide various interbody fusion spacers, or cages, for insertion between adjacent vertebrae. The cages may have integrated ratchet assemblies that allow the cage to change size and angle as needed, with little effort. The cages may have a first, insertion configuration characterized by a reduced size to facilitate insertion through a narrow access passage and into the intervertebral space. The cages may be inserted in a first, reduced size and then expanded to a second, larger size once implanted. In their second configuration, the cages are able to maintain the proper disc height and stabilize the spine by restoring sagittal balance and alignment. Additionally, the intervertebral cages are configured to be able to adjust the angle of lordosis, and can accommodate larger lordotic angles in their second, expanded configuration. Further, these cages may promote fusion to further enhance spine stability by immobilizing the adjacent vertebral bodies.

The invention discloses an angle-adjustable or deployable multi-stage anchoring insertion sheet system, and relates to the technical field of medical instruments, the angle-adjustable or deployable multi-stage anchoring insertion sheet system comprises a hollow box body, and the upper surface and the lower surface of the box body are each provided with at least one insertion sheet outlet; the at least one group of inserting piece driving mechanism is arranged in the box body and is used for generating linear driving force; the at least two insertion sheet assemblies are accommodated in the box body in an initial state, and each insertion sheet assembly is in driving connection with the insertion sheet driving mechanism; according to the intervertebral fusion cage, the secondary anchoring part capable of moving relative to the basic anchoring part is arranged, so that the anchoring angle or the opening degree of the fusion cage can be adjusted according to a vertebral form operation of a patient after the fusion cage is implanted, the adaptability to different anatomic forms is improved, and a more flexible anchoring scheme is provided for an intervertebral fusion operation.

The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes a central ramp, a first endplate, and a second endplate, the central ramp capable of being moved in a first direction to move the first and second endplates outwardly and into an expanded configuration. The fusion device is capable of being deployed down an endoscopic tube.

Provided herein are an anchor and interbody for interbody fusion, including an interbody for insertion between human vertebrae, including an interbody cage including a plurality of anchor receptacles, each anchor receptacle configured to receive an anchor to secure the interbody to a vertebra; and the anchor, including a head configured to engage an anchor receptacle; a curved partial-tubular shank with a convex curve, connected to or integral with the head at a distal end of the head, and extending from the head; a tapered tip portion extending from a distal end of the curved partial-tubular shank; one or more rails integral with or connected to an outside surface of the anchor, extending from a proximal end of head and along the curved partial-tubular shank to a proximal end of the tapered tip portion; and a feature formed from two flat surfaces on an outside of the anchor and a rail.

Expandable intervertebral fusion implants, system, and methods. The expandable intervertebral implant is capable of being installed inside an intervertebral disc space to maintain disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. The implant may include a central drive assembly configured to control left and right side assemblies. The expandable intervertebral implant may be configured to transition from a collapsed configuration having a first width and a first height to an expanded configuration having a second width and a second height.

The invention provides an angle-adjustable interbody fusion cage and an operation assembly thereof. The angle-adjustable interbody fusion cage comprises an upper supporting plate, a lower supporting plate, a shell and an adjusting mechanism. The upper supporting plate and the lower supporting plate are located on the upper surface and the lower surface of the shell respectively. The head ends of the upper supporting plate and the lower supporting plate are connected with the head end of the shell through a first movable part, and the tail ends of the upper supporting plate and the lower supporting plate are connected with the tail end of the shell through a second movable part. The first movable part is driven by the adjusting mechanism to drive the head end of the upper supporting plate and the head end of the lower supporting plate to be opened and / or closed through displacement. The second movable part is driven by the adjusting mechanism to drive the tail end of the upper supporting plate and the tail end of the lower supporting plate to be opened and / or closed through displacement. The interbody fusion cage is exquisite in structure and adjustable in angle, independent control over opening and closing of the upper supporting plate and the lower supporting plate can be achieved, different interbody anatomical structures of a patient are met, and convenience is provided for medical staff in the real-time operation process.

An intervertebral fusion device comprises an endplate, a core component and at least one ratchet. Each of the endplate and the core component has a leading end and a trailing end and is configured to be received in an intervertebral space defined between first and second vertebrae. The ratchet comprises a pawl and a linear rack defining plural recesses. The pawl is comprised in the core component or the endplate and the linear rack is comprised in the other of the core component and the endplate. The core component and the endplate are configured to engage with each other by disposing the leading end of the core component adjacent the trailing end of the endplate and then moving the core component relative to the endplate in a direction of insertion such that the leading end of the core component moves towards the leading end of the endplate and extent of overlap of the core component and the endplate increases. The plural recesses of the linear rack extend in the direction of insertion and from near or at one of the leading end and the trailing end of the other of the core component and the endplate towards the other of the leading end and the trailing end of the other of the core component and the endplate. The plural recesses extends by no more than 60% of a distance between the leading end and the trailing end. The ratchet is configured such that the pawl starts to inter-engage with the plural recesses of the linear rack as the core component is moved further relative to the endplate in the direction of insertion and such that the pawl progresses along the plural recesses with further movement of the core component until the core component and the endplate have a desired extent of overlap.

The present invention relates to a method for determining the disc incision depth of posterior lumbar interbody fusion, comprising the following steps: (1) Selecting patients with lumbar degenerative diseases who have undergone X-ray examination and plain CT scan of lumbar intervertebral discs as samples; (2) Removing unqualified samples; (3) Taking anteroposterior and lateral X-rays of the lumbar spine with the patient standing, and performing tomographic scanning with the patient lying flat; (4) Measuring the lengths of the lower edges of the L3 (the third lumbar vertebra), L4 (the fourth lumbar vertebra), and L5 (the fifth lumbar vertebra) vertebral bodies in the X-ray films as the X-ray depths of the L3 / 4, L4 / 5, and L5 / S1 intervertebral spaces; (5) Performing statistical analysis using SPSS 18.0 software and making a table of the analysis results; (6) Obtaining the warning value of the disc incision depth based on the data results. This method provides the warning value of the insertion depth of the nucleus pulposus forceps for medical staff performing posterior lumbar interbody fusion, improving the safety and success rate of interbody fusion.

The application provides a three-period minimal surface intervertebral fusion cage design method, relates to the technical field of porous structure design, and determines a design domain of a three-period minimal surface TPMS porous structure region, combines individual vectors of modeling parameters of corresponding TPMS of each region, randomly generates a plurality of individual vectors, and forms an initial population; finite element simulation is carried out on the TPMS porous model corresponding to each individual vector, so as to divide the initial population into a load advantage population and a pore advantage population; the individual vectors are selected from the load advantage population and the pore advantage population respectively to perform improved neighborhood directional crossover operation; an optimal three-period minimal surface TPMS porous structure region is obtained through iterative genetic algorithm; through improved crossover operation and neighborhood directional crossover between the load advantage population and the pore advantage population, the new generation of individuals can consider both load performance and pore performance, and optimization is avoided around a single performance.

A trans-facet procedure for preparing a patient for oblique lateral lumbar interbody fusion (OLLIF). The preparation procedure includes providing a kit with instruments for accessing Kambin's triangle through bone at nominal approaches preferred for the OLLIF procedure, and providing instructions for the procedure on a non-transitory tangible medium.

The invention discloses a spine intervertebral fusion implant positioning structure, which relates to the technical field of intervertebral fusion cage, and comprises a fusion cage upper moving part and a fusion cage lower moving part, which are mutually clamped, bone grafting holes for implanting bone blocks are formed in the fusion cage upper movable part and the fusion cage lower movable part in a penetrating manner; through the arrangement of the fusion cage upper moving part, the fusion cage lower moving part and the expandable connecting rods, stable support is formed between adjacent vertebral bodies, the correct height between the vertebral bodies is maintained, meanwhile, through the arrangement of the connecting rods, the connecting rods and the push rods, the situation that the interbody fusion cage is deformed in the process of bearing pressure between the adjacent vertebral bodies in the use process is avoided, and the use safety of the interbody fusion cage is improved. And through the arrangement of the helical tooth blocks and the clamping blocks, the fusion cage is prevented from being deformed due to the fact that the adjacent intervertebral pressure is too large in the using process.

A multi-portal method for treating a subject’s spine includes distracting adjacent vertebrae using a distraction instrument positioned at a first entrance along the subject to enlarge an intervertebral space between the adjacent vertebrae. An interbody fusion implant can be delivered into the enlarged intervertebral space. The interbody fusion implant can be positioned directly between vertebral bodies of the adjacent vertebrae while endoscopically viewing the interbody fusion implant using an endoscopic instrument. The patient’s spine can be visualized using endoscopic techniques to view, for example, the spine, tissue, instruments and implants before, during, and after implantation, or the like. The visualization can help a physician throughout the surgical procedure to improve patient outcome.

The application discloses a risk prediction method for subsidence of an intervertebral fusion cage after lumbar interbody fusion, and comprises the following steps: acquiring preoperative image data and postoperative image data within one week after operation of a target patient, wherein the preoperative image data and the postoperative image data comprise multiple image features reflecting local anatomical morphology, sagittal balance and bone conditions of the spine; inputting the multiple image features into a pre-trained subsidence risk prediction model to obtain a risk probability of the target patient suffering from the subsidence of the intervertebral fusion cage; wherein the subsidence risk prediction model is obtained by screening a core prediction feature set through a "funnel type" feature screening process of fusing preoperative native anatomical parameters and postoperative early image parameters, and by training the core prediction feature set by using a machine learning algorithm based on a historical patient data set containing subsidence samples and non-subsidence samples; and the application reduces the occurrence of postoperative complications.

Interbody fusion devices and related methods of manufacture are described herein. An example interbody fusion device can include a plurality of vertebral endplates, and a body extending between the vertebral endplates. The body and the vertebral endplates can define an internal cavity. Additionally, each of the vertebral endplates can include a lattice structure and a frame surrounding the lattice structure, where the lattice structure being configured to distribute load. Each of the vertebral endplates can also include a plurality of micro-apertures having an average size between about 2 to about 10 micrometers (μm), and a plurality of macro-apertures having an average size between about 300 to about 800 micrometers (μm).

An expandable interbody fusion device and an associated instrument for inserting the device into an intervertebral disc space, expanding the device and for use in delivering graft material into the device once expanded in the disc space. The device is small enough to fit through Kambin's triangle yet is capable of expanding both in the vertical direction to accommodate spinal lordosis and in the lateral direction to provide sufficient structural support for opposing vertebral bodies laterally within the disc space. A process of forming textured top and bottom surfaces of the device by initially laser ablating each surface with a nano-second pulsed laser followed by laser ablating those surfaces with a femto-second pulsed laser.

The invention discloses a silicon nitride ceramic composite material for an interbody fusion device and a preparation method thereof, the composite material is composed of silicon nitride, liquid metal gallium and an osseointegration induction element, and the method comprises the following steps: preparation of basic components, sintering of the basic components, preparation of final components, and sintering of the final components. The ceramic composite material prepared by the preparation method disclosed by the invention has excellent biological activity, can promote inward growth of bone tissues, has good osteoconductivity and osteoinductivity, and also has good biomechanical properties. In addition, the preparation process provided by the invention is simple and convenient, is high in controllability and has a wide application prospect.

A biomimetic intervertebral fusion device with a piezoelectric multifunctional coating belongs to the field of implantable medical devices. It includes an upper piezoelectric multifunctional coating, a fusion device body, and a lower piezoelectric multifunctional coating. A bone graft window is located in the middle of the biomimetic intervertebral fusion device. The piezoelectric multifunctional coating is made of electrospun piezoelectric PVDF / HA fibers, which are conformally adhered to the upper and lower surfaces of the fusion device body through a polydopamine adhesive layer. The upper and lower surfaces of the fusion device body have a biomimetic curved surface configuration to match the morphology of the vertebral endplates, increasing the contact area and reducing stress concentration at the fusion interface. While maintaining an elastic modulus similar to natural bone and good radiation permeability, this fusion device, after implantation, can create a microenvironment conducive to cell adhesion and proliferation. Under the influence of cell traction, ultrasonic stimulation, and the physiological load of the human lumbar spine, it generates electrical stimulation signals, promoting bone fusion, improving the stability of the fusion interface, and reducing the risk of postoperative loosening and subsidence of the fusion device.

The application discloses a 3D-printed intervertebral fusion cage, which is used to solve the problem of poor bone ingrowth effect of the prior art fusion cage, slow degradation speed, and early release of active ingredients, and the structure comprises a frame and an embedded pipe, the embedded pipe is arranged in the frame, the components are all made of degradable metal materials and can be gradually degraded in the human body, the embedded pipe is further encapsulated with active ingredients for promoting bone growth, and the active ingredients are released with the degradation of the embedded pipe, so that the early release of the drugs in the embedded pipe is avoided, long-acting effect is achieved, and of course a net beam is arranged in the gap of the frame, and the porous structure formed by the net beam further increases the bone ingrowth effect; the application creatively uses a 3D process to realize the encapsulation of the active ingredients and the forming of the porous support, and is combined with the degradable metal to realize the sustained release, so that a good growth condition is provided for the bone ingrowth in the porous support, the effect of the growth factors is fully played, and the treatment effect is improved.

This invention discloses an angle-expandable intervertebral fusion device, comprising: a first support plate for supporting a first part of the vertebral body; a second support plate for supporting a second part of the vertebral body; a proximal wedge located between the first and second support plates, with the proximal ends of the first and second support plates respectively rotatably connected to the proximal wedge; a distal wedge located between the first and second support plates, slidably connected to the first and second support plates; and a drive mechanism, the distal end of which is located within the distal wedge, and the proximal end of which is rotatably connected to the proximal wedge. The fusion device of this invention has a very small initial volume, allowing for easy implantation into the diseased intervertebral space, reducing damage to the vertebral structure and soft tissues, and eliminating the need for excessive expansion of adjacent vertebral height. After implantation into the intervertebral space, the distal end of the drive fusion device is gradually expanded until the patient's lumbar spine conforms to the physiological curve of the human body.

The present invention relates to an intervertebral fusion device, which includes a shaft body, a first distraction member and a fusion body. The first distraction member is mounted on the shaft body and can move axially along the shaft body. The first distraction member has an inner end and an outer end distributed radially along the shaft body, and the inner end is connected to the shaft body. The fusion body is circumferentially arranged around the shaft body and connected to the outer end of the first distraction member. A first slide is provided on the inner wall of the fusion body. An angle is provided between the extension direction of the first slide and the outer wall of the fusion body. The outer end of the first distraction member is movably arranged in the first slide. In the above-mentioned intervertebral fusion device, the first distraction member can change the distance between the fusion body and the shaft body by sliding along the first slide, thereby changing the size of the distraction of the intervertebral fusion device. When the intervertebral fusion device is implanted, the distraction range of the intervertebral fusion device can be adjusted according to the specific conditions of the intervertebral space, and the contact surface with the vertebral space can be increased to better match the intervertebral space, maintain the height of the intervertebral space, and restore the physiological curvature of the lumbar spine.

The utility model relates to the intervertebral fusion cage technical field discloses a kind of anti-drop intervertebral fusion cage. To solve the stress shielding problem in the actual use of conventional intervertebral fusion cage in prior art, and porosity is lower, fusion rate is low after operation;Lack of bone integration channel, the technical problem of low fusion rate after operation. The utility model includes support frame, at least two bone graft channels are arranged on support frame, to fill bone induction material and promote bone growth;Support frame end is provided with clamping groove;Support frame includes edge support part, and edge support part is connected by porous structure between;The porosity of porous structure gradually changes from small to large by the direction close to far from vertebral body, and presents gradient distribution. The utility model effectively balances the problem of insufficient porous structure strength, and the problem of too large solid structure quality, and the porosity of porous structure is large, has more bone integration channel, is conducive to the growth of bone cell, and can effectively improve bone growth rate.

A system for performing interbody fusion surgery including an expandable intervertebral spacer and specialized instruments for choosing the correct size of implant, implanting the device within the intervertebral space, and for delivery of bone graft or bone substitute to the interior of the implant.

The present invention relates to the field of medical devices and discloses a split intervertebral fusion device for the cervical spine, which is suitable for treating and improving congenital diseases, deformities, degenerative diseases, cervical disc herniation, cervical fractures and other diseases of the cervical spine, effectively relieving nerve compression, improving clinical symptoms, and achieving better fusion effects.

The invention provides an interbody fusion cage which comprises an upper supporting plate, a lower supporting plate and a supporting piece, the lower supporting plate and the upper supporting plate are arranged in a spaced mode, the lower supporting plate is located below the upper supporting plate, the supporting piece is connected between the upper supporting plate and the lower supporting plate, and the upper supporting plate and the lower supporting plate are made of memory materials. And the elastic body is configured to be in a bent and shrunk first shape at a first temperature and recover to a stretched second shape at a second temperature higher than the first temperature. According to the interbody fusion cage, the upper supporting plate and the lower supporting plate which are made of the memory materials are arranged, the upper supporting plate and the lower supporting plate are bent and shrunk before implantation and are triggered by the body temperature to stretch after implantation, so that the size of an implant is remarkably reduced to achieve minimally invasive implantation, and the adaptability and the initial stability are improved by increasing the supporting area after expansion.

The presented invention discloses a stand-alone unilateral biportal endoscopy device (200) for intervertebral fusion, the device (200) comprising: an arthrodesis cage body (208) having a bone grafting cavity (317) for placing bone grafts; a first locking screw (204), attached to an upper surface of the arthrodesis cage body (208), comprising a first anteriorly pointed drilling tip (403); and a second locking screw (210), attached to a lower surface of the arthrodesis cage body (208), comprising a second anteriorly pointed drilling tip (407); wherein the first locking screw (204) and the second locking screw (210) are inclined at an angle to arthrodesis cage body (208), for contacting a plurality of vertebral bodies (101, 102); the device is posteriorly inserted between the vertebral bodies (101, 102) and is closer to centre of rotation and movement axis (CORA) of the vertebral bodies (101, 102)

Intervertebral fusion device comprising a superior component, an inferior component, and a core component. The superior component comprises first and second superior parts which are coupled to each other to allow the first and second superior parts to move apart to thereby increase a perimeter of the superior component top side. The inferior component comprises first and second inferior parts which are coupled to each other to allow the first and second inferior parts to move apart to thereby increase a perimeter of the inferior component bottom side. The core component is configured for insertion between the superior and inferior components whereby separation between the superior and inferior components is determined. The core component interengages with each of the superior and inferior components upon insertion. The superior and inferior components are unattached to each other before the core component is inserted between the superior and inferior components. As the core component is progressively inserted between the superior and inferior components, the core component: bears against the first and second superior parts to push the first and second superior parts progressively apart; and bears against the first and second inferior parts to push the first and second inferior parts progressively apart.

The utility model belongs to the technical field of orthopedic implants, and particularly relates to a porous bone grafting-free window type interbody fusion cage. The multi-hole type bone grafting window-free interbody fusion cage comprises a frame body which comprises four side faces and two end faces, and the four side faces are of hollow structures; the space defined by the frame body is filled with the porous structure body; the meshing teeth are arranged on the upper surface and the lower surface of the frame body; and the clamping structure is arranged at one end part of the frame body. According to the multi-hole type bone grafting-free window type interbody fusion cage, due to the design of the bone grafting-free window, the complexity of the using process is reduced, the operation is convenient, and the possibility that the fusion cage is polluted is reduced; the porous structure body with the bionic bone trabecula can be printed through 3D printing, and pore channels for bone tissue to grow in and a surface beneficial to cell adhesion can be effectively provided; the hydroxyapatite coating improves the biological activity of the surface of the base material and enhances the interface integration of the interbody fusion cage and the upper and lower end plates of the vertebral body.

The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes a central ramp, a first endplate, and a second endplate, the central ramp capable of being moved in a first direction to move the first and second endplates outwardly and into an expanded configuration. The fusion device is capable of being deployed down an endoscopic tube.

The invention discloses a spine minimally invasive intervertebral fusion cage and a rigid fixing device thereof, and relates to the technical field of medical implantable instruments, and the spine minimally invasive intervertebral fusion cage comprises a lumbar vertebra body and a vertebral plate nail. According to the spine minimally-invasive intervertebral fusion cage and the rigid fixing device thereof, the total length of the connecting rods is adjusted according to the specific spine curvature of a patient and the actual positions of the two vertebral plate nails, so that the optimal matching position is found and corresponds to the actual requirement, and the spine minimally-invasive intervertebral fusion cage and the rigid fixing device thereof are convenient to use. The stress concentration on a single component is reduced through a surface contact and multi-point multi-direction fixing mode; the rigid supporting frame is symmetrically distributed on the two sides and is not fixed to the middle of the spine, then a core nerve structure is avoided, the symmetrically-distributed rigid fixing devices and the spine jointly form a three-dimensional triangular supporting frame, then lateral bending and rotation are resisted, and therefore the stable supporting structure is constructed; and a good mechanical environment is created for spinal fusion.

1. The name of the design product: intervertebral fusion cage. 2. The use of the design product: intervertebral fusion cage for fitting intervertebral space infection in spinal surgery, achieving the purpose of columnar bone fusion. 3. The design points of the design product: the combination of shape and pattern. 4. The picture or photo that best indicates the design points: reference drawing in use.