456 results about "Vertebral bone" patented technology

An expandable intervertebral implant may include a superior endplate configured to engage a superior vertebra, and an inferior endplate configured to engage an inferior vertebra, wherein the inferior endplate may be spaced apart from the superior endplate by a gap. The expandable intervertebral implant may further include a first slider moveable along a first direction to urge linear expansion of the gap, and one or more cams each coupled to the first slider. The one or more cams may be configured to urge angular expansion of the gap in response to at least one of: rotation of the one or more cams about a rotation axis, and motion of the one or more cams along the first direction.

A device for performing intervertebral body fusion between at a vertebral joint, and associated systems and methods for manufacturing the device are disclosed herein. In some embodiments, the device includes an expandable main body configured to be locked in a desired configuration between a superior and an inferior vertebrae at the vertebral joint to facilitate the intervertebral body fusion at the vertebral joint. A first endplate is connected to the main body. The first endplate can include a superior surface having one or more patient-specific features configured to engage and mate with an inferior surface of the superior vertebra. A second endplate is connected to the main body. The second endplate can include an inferior surface having one or more patient-specific features configured to engage and mate with a superior surface of the inferior vertebra.

An expandable intervertebral implant may include a superior endplate configured to engage a superior vertebra, and an inferior endplate configured to engage an inferior vertebra, wherein the inferior endplate may be spaced apart from the superior endplate by a gap. The expandable intervertebral implant may further include a first slider moveable along a first direction to urge linear expansion of the gap, and one or more cams each coupled to the first slider. The one or more cams may be configured to urge angular expansion of the gap in response to at least one of: rotation of the one or more cams about a rotation axis, and motion of the one or more cams along the first direction.

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.

A spinal implant device is provided comprising a body structure with a central cavity and a movable lid configured to cover the central cavity. The movable lid is configured to be opened to pack a material in the central cavity. The movable lid can be connected to the body structure with a moveable joint. The spinal implant device can include a compressible feature. A method for treating the spine is provided comprising opening a movable lid of a spinal implant device, packing a material in a central cavity of a spinal implant device, closing the movable lid, and inserting the spinal implant device between vertebrae.

Pedicle-based intradiscal fixation devices, systems, instruments, and methods thereof. The implant or a portion thereof may be composed of a shape-memory material, which has a curved shape-memory orientation and a temporarily straight orientation. The implant may be configured to be inserted into a pedicle of an inferior vertebra, through the vertebral body of the inferior vertebra, and into the vertebral body of the superior vertebra to thereby stabilize the inferior and superior vertebrae.

A modular retractor may include a first body portion that houses a distraction mechanism for opening and closing a first arm and a second arm. A first pivoting member may be coupled to a distal end of the first arm and a second pivoting member may be coupled to a distal end of the second arm, for example. A first pin receiving cannula may be coupled to the first pivoting member and a second pin receiving cannula may be coupled to the second pivoting member. The first and second pin receiving cannulas may receive a threaded pin therein and be independently inclinable. Various embodiments may include at least one quick connect coupler. During use, a first pin and a second pin may be secured to a first and second vertebrae for distracting and / or adjusting an angle of inclination of the first and second vertebrae.

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.

Method and apparatus of automatic fracture detection from imaging scans are disclosed. A innovative manifold view combing advantages of earlier approaches while avoiding the limitations of these approaches is coupled with a deep learning based fracture detection model. Ribs and spine from a three-dimensional scan are segmented, rib centerlines and vertebra center landmarks are detected and labeled. Three-dimensional position coordinates corresponding to the received data are mapped to a defined two-dimensional manifold plane followed by interpolation and sampling techniques to generate a two-dimensional manifold slice and corresponding mapping function. A three-dimensional visualization of the rib cage is generated from a plurality of manifold slices. A trained fracture prediction model receives the plurality of manifold slices and generates a revised stack of two-dimensional manifold slices showing predicted fractures. The predicted fractures may be shown in the two-dimensional manifold slice or mapped back to the image space of the original three-dimensional scan.

A variety of expandable cage improvements are provided. The cages can have a width expansion assembly that operates independently of a height expansion assembly and the wedges and ramps do not need to make contact with each other. Wedges, or movable spacers with pivotal link connections, can be used, and any portion of the cage can be expanded in width or in height in an amount that differs from other portions of the cage to provide any of a multitude of desired cage shapes. Interdigitating fingers, slidable and / or pivoting, are provided to distribute stresses over a vertebral endplate as desired.

A kit of parts from which selection is made to form an intervertebral fusion device. The kit of parts comprises a plurality of different endplates and a core component. Each of the plurality of different endplates is configured to be received in an intervertebral space defined between first and second vertebrae. The core component is configured to engage with each of the plurality of endplates and a selected one of the plurality of endplates when the selected endplate and the core component are received in the intervertebral space. Each of the plurality of endplates defines a bone graft aperture which is open at top and bottom surfaces of the endplate and extends between the top and bottom surfaces, the thus defined bone graft apertures being of substantially the same dimensions as one another when the plurality of endplates are in plan view. The core component defines a bone graft material holding space having a holding space opening in one of a core component top surface and a core component bottom surface of the core component. The holding space opening is of substantially the same dimensions as each of the bone graft apertures when the core component is in plan view. The holding space opening is substantially coextensive with the bone graft aperture of the selected endplate in plan view and when the core component is engaged with and in registration with the selected endplate.

The invention provides a centrum bone mineral density automatic measurement method, device and equipment and a storage medium, and the method comprises the steps: carrying out the preprocessing of centrum CT data, and carrying out the analysis through a deep learning model, and obtaining the space coordinate information of centrum key points; determining an axial reference line according to the centrum key points and constructing a region of interest of a front region; based on the space coordinate information of the centrum key points, calculating spine morphological characteristics of the centrum, and adjusting the position and direction of the centrum region of interest according to the spine morphological characteristics; and extracting CT values of all voxels in the adjusted region of interest, and calculating an average value of the CT values of all voxels to obtain a vertebral bone mineral density measurement result. According to the method, automatic and accurate measurement of the vertebral bone mineral density is achieved, the technical problems that a traditional method is low in automation degree and cannot accurately adapt to spine morphological changes are solved, and the accuracy and consistency of bone mineral density measurement are improved.

An expandable vertebral device includes a base assembly having end portions that are movable relative to one another via adjustment of an adjustment mechanism at the first end portion. A plurality of movable plates are movably disposed at the base assembly and are at least vertically movable relative to the base assembly as the end portions are moved relative to one another. Each of the end portions has a pair of vertical guide elements and may have a pair of lateral guide elements. Each of the movable plates includes a vertical guide that moves along the respective vertical guide element and may have a lateral guide that moves along a respective lateral guide element. When the adjustment mechanism is adjusted to draw the end portions toward one another, the movable plates move outward from a longitudinal axis of the base assembly as the guides move along the respective guide elements.

Computer implemented method, computing device, system and computer pro-gram product to support selection between different types of pedicle screws (201-m) to be applied in a spine (202) comprising: generating a spinal 3D-model (MSpine) of a patient; generating a reinforcement 3D-model (MRod) of a reinforce-5 ment structure (30) for interconnecting vertebrae (2001-n) of the spine (202); generating a finite element model (FE) corresponding to the spinal 3D-model (MSpine) and the reinforcement 3D-model (MRod); applying a load onto the finite element model (FE) and determining loading factor(s) of the pedicle screws (201-m) using the finite element model (FE); and outputting an assessment of the plurality of different types of pedicle screws (201-m) based on the calculated loading factor(s).

An intervertebral implant may include a shaft having a proximal end, a distal end, a longitudinal axis, a minor diameter, and a helical thread disposed about the shaft along the longitudinal axis between the proximal end and the distal end of the shaft. The helical thread may include a major diameter and a concave undercut surface angled towards one of the proximal end and the distal end of the shaft. The intervertebral implant may be implanted within an intervertebral space between a superior vertebral body and an inferior vertebral body. A ratio of the major diameter to the minor diameter may be less than 1.50. The concave undercut surface may engage the superior vertebral body and the inferior vertebral body and may be shaped to resist at least one force transmitted between the superior vertebral body and the inferior vertebral body to stabilize the intervertebral space.

The invention provides an interbody fusion cage and a manufacturing method of the interbody fusion cage. The interbody fusion cage comprises a first end plate assembly, a second end plate assembly and an elastic supporting assembly. The two ends of the elastic supporting assembly are connected with the first end plate assembly and the second end plate assembly respectively. The first end plate assembly comprises an end plate body, a tooth retreating prevention structure and a porous structure, the end face of one end of the end plate body is connected with the elastic supporting assembly, and the end face of the other end of the end plate body is a bearing contact face used for abutting against vertebra tissue; the tooth retreating prevention structure and the porous structure are respectively arranged on the bearing contact surface; the tooth retreating prevention structure protrudes out of the bearing contact surface and is used for being fixedly connected with vertebra tissue; hollowed-out holes are formed in the porous structure and used for allowing a part of growing vertebra tissue to extend into the porous structure. The interbody fusion cage solves the problems that in the prior art, due to the fact that the contact area between an interbody fusion cage and vertebrae is small, postoperative prostheses are prone to disengagement or looseness, end plate sclerotin is damaged, and the fusion efficiency is poor.

The invention relates to the technical field of osteoporosis screening, in particular to a method for screening osteoporosis of patients with spine deformation by using spiral CT (computed tomography) image.The method comprises the steps that a plurality of patients with spine deformation are scanned through a spiral CT machine, and a coronal plane CT image and a sagittal plane CT image of the spine of each patient and a cross section CT image of each vertebra node in the spine are obtained; acquiring the bone mineral density excellence degree of each vertebra node in the spine of each patient; obtaining the abnormal degree of each gap distance in the gap distance sequence of each patient; obtaining the influence degree of osteoporosis on each gap distance in the gap distance sequence of each patient; according to the influence degree, the first influence degree and the bone mineral density rule damage degree, the osteoporosis risk degree of each vertebra node in the spine of each patient is obtained; and evaluating the osteoporosis condition of each patient. According to the invention, the screening accuracy for osteoporosis of patients with spinal deformations is improved.

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.

The present disclosure relates to an artificial lumbar disc and provides a lateral approach artificial disc that is inserted laterally rather than anteriorly of the spine, thereby preventing damage to blood vessels or other organs that may occur when an anterior access artificial disc is inserted from the front, shortening the surgical time, preventing dislodgment of the artificial disc, and improving the surgical prognosis. The artificial disc is inserted between two adjacent vertebrae and includes an upper plate contacting an upper vertebra, a lower plate contacting a lower vertebra, and an inserter inserted between the upper plate and the lower plate to allow the upper plate to rotate by a set angle with respect to the lower plate, and an upper wing portion and a lower wing portion are formed on the upper plate and the lower plate.

A spinal implant device is provided comprising a body structure with a central cavity and a movable lid configured to cover the central cavity. The movable lid is configured to be opened to pack a material in the central cavity. The movable lid can be connected to the body structure with a moveable joint. The spinal implant device can include a compressible feature. A method for treating the spine is provided comprising opening a movable lid of a spinal implant device, packing a material in a central cavity of a spinal implant device, closing the movable lid, and inserting the spinal implant device between vertebrae.

A spinal implant device includes a unitary strand extending from a first end to a second end. The unitary strand includes an exterior surface defining an infill volume with an infill structure. The exterior surface extends from the first end to the second end. A first bead is formed in the strand has a first diameter. The second bead is formed in the strand has a second diameter. At least one joint is formed in the strand between the first bead and the second bead. The at least one joint has a third diameter that is less than the first diameter and less than the second diameter.

A bone fixation system comprises a first fastener configured to anchor into a first vertebrae, a second fastener configured to anchor into a second vertebrae, and a set screw to retain the second fastener to the first fastener. The first fastener includes a shaft extending along a longitudinal axis and a head. The shaft includes a first cylindrical body. The head of the first fastener includes a second cylindrical body defining a passageway having an interior surface. The passageway defines a longitudinal axis that is different than the longitudinal axis of the shaft. The first cylindrical body of the shaft and the second cylindrical body of the head are angled relative to each other. A head of the second fastener is configured to engage the interior surface of the passageway of the head of the first fastener. The set screw retains the head of the second fastener in the passageway.

This invention relates to an intervertebral fusion cage for insertion between vertebrae. The cage has a body defining a first, anterior portion, a second, posterior portion and a central portion extending between the anterior and posterior portions. The central portion may define a first surface which is, in use, a top surface and a second surface which is, in use, a bottom surface. The top and bottom surfaces may carry gripping formation for gripping end plates of the vertebrae. The gripping formations on the top and bottom surfaces preferably face substantially opposite directions such that the gripping formations on the top surface obstruct movement in first direction while the gripping formations on the bottom surface obstruct movement in a second direction, which is substantially opposite the first direction.

A method of providing a guidance device for guiding a bone removal instrument for the removal of bone from a cervical vertebra and providing a vertebral body replacement device for placement into a void in a cervical spine between two endplates of a single vertebra during the course of an anterior spinal surgical procedure upon the cervical spine wherein the vertebral body replacement device has been given a PLR product code from the Food and Drug Administration (FDA).

The continuous vertebra traction repositor comprises a pair of tightening belts which are symmetrically arranged, the side faces of the pair of tightening belts are jointly provided with a pair of elastic plates, the bottom ends of the elastic plates are fixedly provided with a limiting plate, and the side face of the limiting plate is sequentially provided with a plurality of notches at equal intervals from left to right; and the lower half part of the whole limiting plate is divided into a multi-section structure by the plurality of notches. Through the arrangement of the elastic plate, the limiting plate, the first convex ball and the second convex ball, mutual coupling is conducted in the elastic potential energy direction generated after the elastic plate and the limiting plate are compressed through mutual matching of the elastic plate, the limiting plate, the first convex ball and the second convex ball; the splayed inclined direction is an auxiliary compound state acting force field, so that in the process of relaxing treatment of the vertebrae, the limiting plate in the splayed inclined form is used for limiting and correcting the poor posture deviating leftwards or rightwards, and the safety in the treatment process is guaranteed.

Expandable fusion devices, systems, instruments, and methods thereof. The expandable fusion implant may include an upper endplate and a lower endplate configured to engage adjacent vertebrae, an expansion gear configured to adjust a height of the upper endplate, a locking collar configured to attach to an inserter instrument at multiple orientations for a desired surgical approach, and an actuation ram configured to lock, unlock, or change insertion orientation of the locking collar. The expandable fusion device is attachable to the inserter instrument to reorient the locking collar and expand the upper endplate.

According to the method of the embodiment of the invention, a centrum bone cement leakage early warning method and system based on magnetic resonance imaging are provided, and the method comprises the following steps: firstly, obtaining MRI image data of a centrum, and preprocessing the MRI image data to obtain standard image data; then, carrying out segmentation processing on the standard image data through Attention U-Net so as to extract centrum bone and soft tissue parts, and generating a three-dimensional geometric model; then, on the basis of bone cement injection parameters and the three-dimensional geometric model, a fluid-structure coupling finite element model is constructed for simulation calculation; and finally, inputting a simulation result into the multi-branch fusion network model for processing, and outputting a vertebral bone cement leakage result. According to the technical scheme, based on the multi-branch fusion deep network, the multi-moment finite element simulation and the medical image, more comprehensive, accurate and extensible prediction analysis of bone cement leakage is achieved, and the method has remarkable beneficial effects in clinical operation planning and risk prevention.

Proposed is a vertebral cage including a body which is inserted between a vertebra and a neighboring vertebra, and is provided with a space part that can be filled with bone powder; a blade which is rotatably provided on an inner side surface of the body. The cage also includes a locking means which fixes the blade, which has or has not been rotated on the body, on the inner side surface of the body, wherein the locking means comprises fixing protrusions and groove parts which are provided on mutually facing surfaces of the body and the blade, and coupled to each other.

A surgical bone cutting system includes a trajectory guide and an osteotome or trepanation tool with a generally square cutting tip that creates a corridor through bone, for example, in the context of spine, through a facet joint or other vertebral structure and to the disc space between two vertebrata for any of a variety of surgical procedures, including but not limited to disc prep and cage insertion. The osteotome fits into the trajectory guide to contact bone and effect creating a bony corridor. In some embodiments, the trajectory guide includes a cylindrical allograft collection chamber, and the trajectory guide and osteotome fit into standard tubular retractors and are agnostic with respect to receiving standard drill bits or a powered auger insertable through a center through channel.

A unique, universal Zero-Profile Expandable Intervertebral Spacer (ZP-EIS) device for fusion and distraction throughout the entire spine is provided which can be inserted via anterior, anterolateral, lateral, far lateral or posterior surgical approaches dependent on the need and preference. Multiple ZP-EIS embodiments each with unique mechanisms of calibrated expansion are provided. Two of these embodiments incorporate bi-directional fixating transvertebral (BDFT) screws and five other embodiments do not incorporate BDFT screws. A tool for implantation into the intervertebral device and calibrated device expansion is also disclosed.