205 results about "Pedicle screw" patented technology

A clinical vertebra image segmentation method for assisting pedicle screw placement surgery, said method comprising: constructing a VerseDiff-UNet end-to-end framework, the framework being integrated with a denoising diffusion probabilistic model (DDPM); combining a noise-added image with a marked mask by using the VerseDiff-UNet framework, and guiding a diffusion direction toward a target region; and introducing a shape priors module on the basis of the DDPM, and extracting structural semantic information from an input spine image. In order to capture specific anatomical prior information in a medical image, the shape priors module is combined and the module effectively extracts the structural semantic information from the input spine image, thereby enabling more accurate anatomical structure segmentation, and facilitating accurate diagnosis and treatment of spinal disorders.

The embodiment of the invention is suitable for the technical field of computer-aided medical treatment and image processing, and provides an automatic planning device and equipment for a pedicle screw and a computer program product. Extracting vertebral body outer layer point cloud data of a to-be-planned single vertebral body from the spine image data; the prediction model is used for processing the centrum outer layer point cloud data and outputting prediction coordinates, and the prediction coordinates comprise entry point coordinates and exit point coordinates; and the planning unit is used for planning the placement position of the pedicle screw based on the entry point coordinate and the exit point coordinate. By adopting the device, the planned position of the pedicle screw can be quickly and accurately predicted by using the deep learning model based on the point cloud data of the outer layer of the vertebral body, the data volume needing to be processed in the planning process is reduced, and the planning efficiency is improved.

Orthopedic fixation devices, assemblies, instruments, and methods relating to the same. The orthopedic fixation device may include a tulip head with one or more internal components configured to secure a bone fastener, such as a saddle, retaining clip, and friction ring. A spinal rod may be secured in the tulip head, for example, with a locking cap, thereby securing the bone fastener. One or more instruments, such as screwdrivers and correction instruments may be used for reduction, derotation, compression and / or distraction.

The invention discloses a rod end pedicle screw connector and a spine stabilizing device, and the connector comprises a first maintaining part which is provided with a cylindrical cavity, a main accommodating groove and an extrusion cavity; the second retaining part is arranged in the columnar cavity and is fixed with the rod-shaped part; the main gland is screwed with the upper cavity wall of the columnar cavity; a first sub-gland for pressing the second holding member; the wrapping part is arranged in the extrusion cavity and used for clamping the ball head of the screw; a force transmission part is arranged between the wrapping part and the main gland and used for transmitting pressure applied by the main gland to the wrapping part. An elastic component is arranged in the columnar cavity and is provided with a first combining end and a second combining end, and the two combining ends are allowed to be close to or far away from each other and the first combining end is allowed to swing in any direction relative to the second combining end through elastic deformation; the first combination end is fixedly connected to the second holding part, and the second combination end is fixedly connected to the first holding part or the force transmission part.

Threaded bone implants, such as pedicle screws, are provided with an elongate body comprising a first portion, a second portion distal to the first portion, and a third portion distal to the second portion. The first, second and third portions may be provided with different features that correspond to first, second and third anatomical regions of interest in a vertebrae or other bone segment(s). The bone implants, systems, methods of manufacture, and methods of use disclosed herein may be used for the stabilization, fixation and / or fusion of the sacroiliac joint, the spine and or other bone segments.

The invention relates to the technical field of bone implants for minimally invasive surgery, and particularly discloses an implant for percutaneous minimally invasive thoracolumbar vertebral fracture, which comprises a vertebral body forming body, the vertebral body forming body comprises a vertebral body forming body head and a plurality of blade parts arranged at the rear end of the vertebral body forming body head in a surrounding manner, the vertebral body forming body head is provided with a needle guide hole penetrating along the axial direction, and the needle guide hole is communicated with the blade parts; a containing cavity is defined by the blade parts; the front end of the threaded guide rod and the head of the cone forming body are integrally formed, the needle guide hole penetrates through the threaded guide rod in the axial direction, and the rear end of the threaded guide rod extends out of the containing cavity; the pedicle screw is provided with a threaded hole penetrating in the axial direction, the threaded hole is in threaded connection with the threaded guide rod, the pedicle screw comprises a screw head and a threaded part arranged at the rear end of the screw head, and the screw head is arranged in the containing cavity and expands the blade part. According to the implant for the percutaneous minimally invasive thoracolumbar vertebral fracture, surgical wounds are reduced, the vertebral restoration effect is good, the stability of a vertebral formed body is guaranteed, and the surgical time can be saved.

A load sensing assembly for a medical implant is disclosed. The medical implant may include an upper surface, a side surface, a bottom surface, and a cavity housing various sensors and microelectronics. In other embodiments, the medical implant may include a port that is accessible through at least one of the bottom surface, side surface, and the upper surface. The port may be configured to receive an electronics assembly, package, or hermetically sealed enclosure. The electronics package may have a size and shape generally corresponding to the port. In various embodiments, electronic components and sensors may be powered by a local power source. In various embodiments, sensors may be chosen from: accelerometers, gyroscope, strain gauge, pressure sensor, pH sensor, impedance sensor, optical sensor, and / or a temperature sensor. In various embodiments, the medical implant may be chosen from: an interbody spinal implant, a pedicle screw, a connector, and / or a cross-link.

Variations on improved pedicle screw coupling assemblies, along with methods for use of such assemblies provide improved functional characteristics over existing devices. A coupling assembly is capable of providing rigid fixed attachment between a pedicle screw fully seated to underlying bone and a member extending between adjacent pedicle screws. The coupling assembly includes a pedicle screw having a threaded shaft and a head portion. The head portion includes a driving feature and a proximally oriented bore having a bore diameter. In one version, the coupling assembly includes a member adapted to extend between adjacent pedicle screws. The member includes a protrusion adapted for insertion into the bore of the pedicle screw, the protrusion having a protrusion diameter that is larger than the bore of the pedicle screw head portion. In another version, the coupling assembly includes a spherical bore in the screw head. Additional implementations are described.

The invention provides a spinal pedicle screw implantation system based on a multi-modal image and MR navigation, and relates to the technical field of screw implantation, the system comprises a preoperative image processing module used for identifying bony characteristics of a patient and delimiting a screw implantation safety boundary according to the bony characteristics; and the bone image fusion navigation module is used for analyzing to obtain anatomical data of the patient, and calculating a screw implantation path according to a crown porcupine optimization algorithm in combination with bony characteristics. And the body position correction module is used for calculating the body position deviation value and synchronously adjusting the screw implantation path according to the body position deviation value and the screw implantation safety boundary. And the path risk early warning module is used for calculating the distance between the surgical tool and the key tissue in real time, and performing collision risk assessment and early warning. And the postoperative evaluation module is used for quantitatively evaluating the screw implantation precision and generating a postoperative report. According to the method, more accurate positioning can be provided for screw implantation, the accuracy of a screw implantation path is ensured, early warning is performed through extraction, a doctor is reminded to take measures in time, and operation safety is ensured.

Devices, systems, and methods for a robot-assisted surgery. A surgical robotic system with integrated navigation and multiple surgical arms may assist a user with one or more surgical procedures. In addition to the multiple surgical arms, the robotic system may also have peripheral arms to position a navigation camera and surgeon displays. The robotic system is collaborative to allow for easy integration into procedural workflows, for example, to install pedicle screws, interbody implants, or other surgical devices.

A spinal fixation system including: a pedicle screw including a screw head, a screw tip opposite to the screw head, a screw body extending from the screw head to the screw tip, and a channel extending from a first opening defined in the screw head to a second opening defined at a side of screw body; a tulip head defining a cavity configured to accommodate the screw head, and defining a slot configured to accommodate a fixation rod; a nail including a nail head, a nail tip, and a nail body extending from the nail head to the nail tip, the nail body including a curved portion that is flexible; and an inserter for the nail configured to cooperate with the tulip head.

Systems and methods for automatically determining pedicle screw trajectories for surgery may be provided. A scan of a spine may be received, and positions of one or more vertebra and one or more components of the one or more vertebra in the scan may be identified. Next, a screw trajectory planning algorithm may determine an initial screw trajectory plan using the positions of the one or more vertebra and the one or more components. The screw trajectory planning algorithm may then determine a revised screw trajectory plan by revising the initial screw trajectory plan according to weighted factors.

A surgical instrument includes a driver shaft couplable to a cannulated pedicle screw. The driver shaft having a through bore for conveying a surgical guide wire through the cannulated pedicle screw. The surgical instrument also includes a wire positioning assembly having a positional adjustment mechanism for adjusting an axial position of the surgical guide wire with respect to the cannulated pedicle screw and a locking mechanism for locking the axial position of the surgical guide wire. Additionally, the surgical instrument includes a driver actuator coupled to the driver shaft. The driver actuator is operable to rotate the driver shaft to drive rotation of the cannulated pedicle screw.

The invention relates to the technical field of intelligent medical treatment, in particular to a lumbar vertebral pedicle screw dynamic guiding method and system based on augmented reality, and the method comprises the following steps: constructing an entity lumbar vertebra skeleton model of a patient, and obtaining a cubic marker of the entity lumbar vertebra skeleton model to establish a lumbar vertebra skeleton space coordinate system; acquiring scanning data of the entity lumbar vertebra skeleton model based on the lumbar vertebra skeleton space coordinate system, and reconstructing a three-dimensional lumbar vertebra skeleton model according to the scanning data; combining the entity lumbar vertebra skeleton model and the three-dimensional lumbar vertebra skeleton model to obtain a lumbar vertebra skeleton virtual and real registration result; and obtaining a real-time path track of the lumbar vertebra pedicle screw according to the lumbar vertebra skeleton virtual and real registration result so as to realize dynamic guidance of the lumbar vertebra pedicle screw. According to the invention, through registration of the solid model and the three-dimensional model, dynamic guidance of the screw path is realized in combination with a risk early warning mechanism, and the accuracy and safety of implantation of the lumbar pedicle screw are improved.

Implants, systems, and methods for securing a flexible band, thereby providing a desired correction to the spine. The implant may secure the flexible band to a spinal rod and / or a pedicle screw. The implant has a locking mechanism to secure the band. The band may be looped around bony anatomy and tensioned to achieve correction and provide fixation as an alternative or supplement to pedicle screws and spinal rods during spinal deformity surgery. Tensioners may be used that allow for multiple positions for attachment between the tensioner and a band clamp inserter.

A tulip assembly configured to be coupled to a screw head having a first diameter includes a housing, wherein the housing defines an inner diameter configured to engage the first diameter of the screw head. The exemplary inner diameter of the housing being smaller than the first diameter of the screw head.

The invention discloses a minimally invasive degradable reduction device for thoracolumbar vertebral fracture, and relates to the technical field of medical instruments. The mounting mechanism is mounted on the outer wall of the connecting rod in a sleeving manner; the pedicle screw is movably inserted into the middle of the top end of the mounting mechanism; an implantation mechanism; through cooperative work of the connecting rod, the mounting mechanism, the pedicle screw and the connecting mechanism, the whole reduction device adapts to minimally invasive approach modes such as percutaneous puncture and can be implanted into the body of a patient through a percutaneous puncture channel, a skin incision of the minimally invasive approach is small, damage to surrounding tissue is greatly reduced, and the reduction effect is good. Due to the layered design of the screw body in the pedicle screw, bone tissue ingrowth is promoted while the supporting strength is kept, and the reduction device is made of degradable materials, can be gradually degraded along with fracture healing after an operation and is metabolized and absorbed by an organism, and does not need to be taken out through a secondary operation, so that physical and mental pain of a patient is relieved; and the medical cost and the potential risk of the secondary operation are also reduced.

Devices, systems, and methods for a robot-assisted surgery. A surgical robotic system with integrated navigation and multiple surgical arms may assist a user with one or more surgical procedures. In addition to the multiple surgical arms, the robotic system may also have peripheral arms to position a navigation camera and surgeon displays. The robotic system is collaborative to allow for easy integration into procedural workflows, for example, to install pedicle screws, interbody implants, or other surgical devices.

This invention relates to a novel P-approach endoscopic lumbar fusion surgery method, belonging to the field of lumbar fusion surgery technology. This method addresses the high risk of nerve injury and insufficient operational precision in existing endoscopic fusion techniques by proposing an improved solution. It utilizes Kirschner wires for positioning at the inferior articular process to establish a precise entry point avoiding the nerve root pathway; a visually guided circular saw is used throughout the endoscopic procedure to construct a safe triangular working channel directly reaching the spinal canal; under full endoscopic monitoring, a unilateral approach is used for bilateral spinal canal decompression, thoroughly removing diseased tissue and scraping the endplates until punctate bleeding occurs; a bone graft cannula with a curved tip is used to precisely implant the fusion device into the anterior region of the intervertebral space, restoring intervertebral height through a self-locking structure; finally, a universal pedicle screw is percutaneously implanted for fixation. This method reduces the risk of nerve injury, improves surgical safety and efficiency, and is suitable for patients with lumbar spondylolisthesis complicated by spinal stenosis.

A system for robotic spinal manipulation includes a robotic tool including one or more screw connectors. Each screw connector is configured to connect to a pedicle screw and to move with one or more degrees of freedom. The robotic tool also includes a controller configured to control a position of each of the one or more screw connectors and a connector configured to mate with a robotic arm.

A pedicle screw for spinal fixation having a bone fastener portion a permanent rod coupling, a breakaway portion connected to the permanent rod coupling and a temporary rod coupling. A permanent rod can be positioned in the permanent rod coupling and a temporary rod can be positioned in the temporary rod coupling and when the temporary rod is not needed the temporary rod coupling can be removed by separation at a breakaway portion.

The utility model provides a split type kirschner wire and a kit for an orthopedic surgery robot, and belongs to the technical field of kirschner wires, the split type kirschner wire comprises a front kirschner wire body used for puncturing bones and a rear kirschner wire body used for being connected with an end effector of the orthopedic surgery robot, the front kirschner wire body is detachably connected with the rear kirschner wire body. Compared with Kirschner wire bending operation in the prior art, after the split type Kirschner wire is driven into the human body, the front Kirschner wire body with the proper length can be obtained more conveniently and safely, the problem of positioning displacement or loss caused by excessive pulling of the Kirschner wire is solved, and the Kirschner wire is more convenient to use. After the front kirschner wire body is detached and separated, due to the fact that the connecting end of the front kirschner wire body is smooth and clean, follow-up balloon dilatation kyphoplasty or pedicle screw implanting operation is facilitated, operation risks are reduced, and related operation operations can be carried out more safely, more reliably and more conveniently.

The utility model relates to a pedicle screw and a fixing system thereof, the pedicle screw comprises a screw body, a screw seat and a gasket, the screw body comprises a screw rod and a screw head which are connected, the peripheral surface of the screw head is a spherical surface, a first external thread is arranged on the spherical surface, two ends of the screw seat are respectively provided with a U-shaped groove and a ball groove, and the gasket is arranged in the U-shaped groove. The U-shaped groove is used for installing a connecting rod, a first internal thread is arranged in the ball groove, a screwing-in opening is formed in the end, away from the U-shaped groove, of the ball groove, the nail head can be screwed into the ball groove through the screwing-in opening and is in threaded fit with the ball groove, the gasket is installed in the nail base, and the screw head is connected with the gasket. At least part of the gasket extends into the ball groove and abuts against the nail head. According to the pedicle screw, the problems of interference and view shielding of the screw base in the operation process can be solved, and the operation time is shortened.

The invention relates to a multi-arm surgical robot system, and devices, systems, and methods for robot-assisted surgery. A surgical robotic system with integrated navigation and multiple surgical arms may assist a user in performing one or more surgical procedures. In addition to the plurality of surgical arms, the robotic system may have a peripheral arm to position a navigation camera and a surgeon display. The robotic system is collaborative to allow for easy integration into a procedure workflow, e.g., to install pedicle screws, intervertebral implants, or other surgical devices.

The invention relates to the technical field of medical machinery, and discloses a scoliosis correcting device. The scoliosis correcting device comprises a plurality of pedicle screws and a plurality of connecting rods, the pedicle screws are used for fixing the flexible orthopedic rod together, the flexible orthopedic rod comprises rod bodies and connecting pieces, the rod bodies are movably connected end to end through the connecting pieces, and the included angle formed by the adjacent rod bodies ranges from 160 degrees to 180 degrees. The connecting pieces capable of being movably connected are arranged between the rod bodies to form the flexible orthopedic rod, a certain natural movement range can be kept while the spine is corrected through the flexible orthopedic rod, the spine has the rotation movement freedom degree, a patient can keep a certain stoop ability, and therefore the patient can have the certain stoop ability. Due to the fact that the flexible orthopedic rod has the movement freedom degree among a plurality of conical sections of the spine, the spine can keep a certain movement freedom degree in the correction process, the movement ability of a patient in daily life can be kept, and the patient can better complete stooping, turning and other activities.

Some embodiments relate to a pedicle screw implant construct kit, comprising: at least one pedicle screw including a head; an embracing structure shaped and sized for embracing at least a portion of the screw head; an upper fastener for mounting onto the embracing structure, the upper fastener having a polygonal profile at least on a face of the upper fastener facing a direction opposite the screw.

A polyaxial pedicle screw arrangement that can be temporarily locked in place a polyaxial pedicle screw arrangement in position during a surgical procedure.

A polyaxial pedicle screw assembly includes a receiver having a channel for receiving a rod and a central bore with a seating surface proximate a bottom opening. The assembly also includes a screw shank having a shank head at a proximal end and an anchor portion at a distal end configured for fixation to the bone, with the shank head having an outer spherical surface with a single common radius and an annular planar top end surface entirely surrounding an internal drive socket formed into a top end of the shank head. The assembly further includes a pressure insert having an upper surface for receiving the rod and a lower surface for engaging the outer spherical surface of the shank head to direct a downwardly-directed force from the rod to the screw shank in a locked configuration. The annular planar top end surface on the shank head remains spaced apart from the lower surface of the insert so as to not directly receive the downwardly-directed force therefrom in the locked configuration.

The utility model discloses a lumbar spondylolisthesis reduction device which comprises a pedicle screw (1) and a titanium rod (2), the front end of the pedicle screw (1) is driven into a lumbar vertebra bone, the titanium rod (2) is installed at the tail of the pedicle screw (1), a supporting device (3) is arranged below the titanium rod (2), and the position of the lumbar vertebra bone at the front end of the pedicle screw (1) is adjusted by changing and adjusting the installation height of the tail of the pedicle screw (1) and the titanium rod (2). According to the lumbar spondylolisthesis reduction device, the titanium rod is supported through the supporting device, two-point stable supporting is formed, the lumbar spondylolisthesis position can be conveniently adjusted, and compared with a complex supporting structure in the prior art, the lumbar spondylolisthesis reduction device is simple in structure and convenient to operate, and lumbar spondylolisthesis reduction becomes simple and easy to implement.