Abrégé

A method and system for producing a curvature of a rod of vertebral osteosynthesis material designed to support a vertebral column of a patient is provided. A production unit receives a model defining the curvature of the rod. The curvature of the rod is based on a preoperative X-ray of the vertical column and defined by a simulated correction to be applied to the lumbar segment to be treated, a deduced curved segment representing the curvature of the rod based at least in part on one or more of a lumbar lordosis or a first curvature above a repositioned apex point and the second curvature below the repositioned apex point, and a translated curved segment representative of the deduced curved segment being translated away from a mean line of the vertebral column. The production unit uses computer aided design to produce the rod.

Classes IPC  ?

• G06F 30/00 - Conception assistée par ordinateur [CAO]
• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales

Abrégé

Systems and methods are provided to plan a spinal correction surgery. The method includes measuring parameters of a spine in a two-dimensional (2D) spinal image including a thoracic Cobb angle and a thoracic kyphosis (TK) and transforming the 2D image to a three-dimensional (3D), spinal image representation. The transforming includes performing segmentation of spine elements in the 2D image, and applying a formula based on the thoracic Cobb angle and the TK to the spine elements. The method includes identifying a TK goal having a post-operative TK value to selected spine elements, transforming a gap of the spine elements representative of a difference between the pre-operative TK in 3D spinal image representation and the TK goal to create a 3D post-operative spinal image representation, and determining a first rod design based on the 3D post-operative spinal image representation to achieve the post-operative TK value in the spine elements.

Classes IPC  ?

• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
• G06T 7/10 - DécoupageDétection de bords

Produits et services

Computer software applications, downloadable, for managing and processing patient health data electronically for orthopedic treatment; software for processing clinical data for orthopedic surgery Software as a service (SAAS) services featuring software for managing and processing patient health data electronically for spinal column treatment; medical software for processing clinical data for orthopedic surgery

Abrégé

According to some embodiments, the process includes the steps of: a) taking a sagittal preoperative x-ray of the vertebral column of the patient to be treated, extending from the cervical vertebrae to the femoral heads; b) on that x-ray, identifying points on S1, S2, T12 et C7; c) depicting, on the said x-ray, curved segments beginning at the center of the plate of S1 et going to the center of the plate of C7; e) identifying, on that x-ray, the correction(s) to be made to the vertebral column, including the identification of posterior osteotomies to make; f) pivoting portions of said x-ray relative to other portions of that x-ray, according to osteotomies to be made; g) performing, on said x-ray, a displacement of the sagittal curvature segment extending over the vertebral segment to be corrected; h) from a straight vertebral rod (TV), producing the curvature of that rod according to the shape of said sagittal curvature segment in said displacement position.

Classes IPC  ?

• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 17/88 - Moyens ou procédés pour implanter ou pour extraire des dispositifs de fixation interne
• G06T 7/00 - Analyse d'image
• G06T 7/33 - Détermination des paramètres de transformation pour l'alignement des images, c.-à-d. recalage des images utilisant des procédés basés sur les caractéristiques

Abrégé

A surgical planning and assessment system is disclosed. The system may include a computing system having a processor, a data store, and a patient specific planning and analysis module. The system may be configured to store a patient specific target plan including a digital representation of a spinal rod having a target geometry and transform the digital representation into a curved line. The system may generate a spline data set comprising a plurality of spline segments that are sequentially linked to one another. The system may adjust, iteratively, each spline segment until the plurality of spline segments approximate the curved line. The system may generate a digital file comprising drawings for manufacturing a spinal rod based on the plurality of spline segments. In various embodiments, each spline segment may be defined by a corresponding arc or a corresponding line extending between a corresponding starting point and a corresponding ending point.

Classes IPC  ?

• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Abrégé

A method and system for producing a curvature of a rod of vertebral osteosynthesis material designed to support a vertebral column of a patient is provided. A production unit receives a model defining the curvature of the rod. The curvature of the rod is based on a preoperative X-ray of the vertical column and defined by a simulated correction to be applied to the lumbar segment to be treated, a deduced curved segment representing the curvature of the rod based at least in part on one or more of a lumbar lordosis or a first curvature above a repositioned apex point and the second curvature below the repositioned apex point, and a translated curved segment representative of the deduced curved segment being translated away from a mean line of the vertebral column. The production unit uses computer aided design to produce the rod.

Classes IPC  ?

• G06F 30/00 - Conception assistée par ordinateur [CAO]
• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales

Abrégé

The disclosure herein relate to systems, methods, and devices for developing patient-specific spinal treatments, operations, and procedures. In some embodiments, systems, methods, and devices described herein for developing patient-specific spinal treatments, operations, and procedures can comprise an iterative virtuous cycle. The iterative virtuous cycle can further comprise pre-operative, intra-operative, and post-operative techniques or processes. For example, the iterative virtuous cycle can comprise imaging analysis, case simulation, implant production, case support, data collection, machine learning, and/or predictive modeling. One or more techniques or processes of the iterative virtuous cycle can be repeated.

Classes IPC  ?

• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
• A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
• A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
• A61F 2/46 - Outils particuliers pour l'implantation des articulations artificielles
• G16H 50/50 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour la simulation ou la modélisation des troubles médicaux
• G16H 50/70 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour extraire des données médicales, p. ex. pour analyser les cas antérieurs d’autres patients

Abrégé

A method and system is disclosed for displaying image data of a subject and a model. The model may include an implant or item model. The model may be used to assist in validation of a procedure.

Classes IPC  ?

• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
• A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
• A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures

Abrégé

A method and system is disclosed for displaying image data of a subject and a model. The model may include an implant or item model. The model may be used to assist in validation of a procedure.

Classes IPC  ?

• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• G06T 17/00 - Modélisation tridimensionnelle [3D] pour infographie
• G06T 19/20 - Édition d'images tridimensionnelles [3D], p. ex. modification de formes ou de couleurs, alignement d'objets ou positionnements de parties

Abrégé

A surgical planning and assessment system is disclosed. The system may include a computing system having a processor, a data store, a patient specific planning and analysis module, and a display. The system may be configured to access a database storing a plurality of possible surgical plans. The computing system may store a target surgical plan including a plurality of patient specific inputs including at least one preoperative medical image of a spine of a target patient and analyze the target surgical plan to determine a predicted alignment of the spine of the target patient. The computing system may develop a plurality of predictive models including a predicted alignment of the spine of the target patient based on the target surgical plan and suggest at least one alternative surgical plan with respect to the target surgical plan.

Classes IPC  ?

• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• G06N 3/047 - Réseaux probabilistes ou stochastiques
• G06N 3/08 - Méthodes d'apprentissage

Abrégé

A surgical planning and assessment system is disclosed. The system may include a computing system having a processor, a data store, and a patient specific planning and analysis module. The system may be configured to store a patient specific target plan including a digital representation of a spinal rod having a target geometry and transform the digital representation into a curved line. The system may generate a spline data set comprising a plurality of spline segments that are sequentially linked to one another. The system may adjust, iteratively, each spline segment until the plurality of spline segments approximate the curved line. The system may generate a digital file comprising drawings for manufacturing a spinal rod based on the plurality of spline segments. In various embodiments, each spline segment may be defined by a corresponding arc or a corresponding line extending between a corresponding starting point and a corresponding ending point.

Classes IPC  ?

• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Abrégé

Disclosed herein are systems and methods for triggering patient analytic services for a medical provider. A system includes a memory and at least one processor coupled to the memory and configured to maintain one or more records associated with a subject. The processor is further configured to receive one or more medical images related to the subject from an image server and generate a computer-readable symbol that encodes a link for accessing the planning system. The link includes a planning-system identifier and a subject identifier. The processor is further configured to generate a planning image based on information associated with the subject, embed the generated computer-readable symbol in the planning image, and transmit the planning image to the image server.

Classes IPC  ?

• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• G06T 1/00 - Traitement de données d'image, d'application générale
• G16H 10/60 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients pour des données spécifiques de patients, p. ex. pour des dossiers électroniques de patients
• G16H 30/20 - TIC spécialement adaptées au maniement ou au traitement d’images médicales pour le maniement d’images médicales, p. ex. DICOM, HL7 ou PACS

Produits et services

medical software for planning patient-specific implants electronically for spinal column treatment; medical software for managing and processing patient health data electronically for spinal column treatment; medical software for analyzing spinal images for spinal column treatment; medical software for selecting spinal implant size specific to each patient for spinal surgery; medical software for processing clinical data for orthopedic surgery. implants comprising artificial materials for spine surgery; artificial inter-vertebral implants; artificial corpectomy implants; artificial osteosynthesis materials in the nature of implants and prostheses for the spinal column; prostheses for the spinal column; medical and surgical apparatus and instruments, for use in orthopedic surgery, for the placement of spinal implants, osteosynthesis materials and spinal prostheses, inter-vertebral implants, corporectomy implants and vertebral disc prostheses.

Abrégé

According to some embodiments, the process includes the steps of: a) taking a sagittal preoperative x-ray of the vertebral column of the patient to be treated, extending from the cervical vertebrae to the femoral heads; b) on that x-ray, identifying points on S1, S2, T12 et C7; c) depicting, on the said x-ray, curved segments beginning at the center of the plate of S1 et going to the center of the plate of C7; e) identifying, on that x-ray, the correction(s) to be made to the vertebral column, including the identification of posterior osteotomies to make; f) pivoting portions of said x-ray relative to other portions of that x-ray, according to osteotomies to be made; g) performing, on said x-ray, a displacement of the sagittal curvature segment extending over the vertebral segment to be corrected; h) from a straight vertebral rod (TV), producing the curvature of that rod according to the shape of said sagittal curvature segment in said displacement position.

Classes IPC  ?

• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 17/88 - Moyens ou procédés pour implanter ou pour extraire des dispositifs de fixation interne
• G06T 7/00 - Analyse d'image
• G06T 7/33 - Détermination des paramètres de transformation pour l'alignement des images, c.-à-d. recalage des images utilisant des procédés basés sur les caractéristiques

Abrégé

The disclosure herein relates to systems, methods, and devices for developing patient-specific spinal implants, treatments, operations, and/or procedures. In some embodiments, systems, methods, and devices described herein can comprise using artificial intelligence, machine learning, and/or predictive modeling to predict the outcome of a spinal surgery, one or more parameters of a spine of a patient after spinal surgery, for example after implantation of a spinal rod which can be patient-specific, and/or one or more parameters of one or more recommended patient-specific spinal rods. Furthermore, in some embodiments, systems, methods, and devices described herein can comprise intraoperative tracking for tracking and/or suggesting improvements during spinal surgery based on a pre-operatively determined surgical plan, for example in real-time or substantially real-time. In addition, in some embodiments, systems, methods, and devices described herein can comprise screw planning prior to spinal surgery.

Classes IPC  ?

• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Produits et services

Artificial implants for spine surgery; artificial intervertebral implants; artificial implants of corporectomy; medical apparatus and instruments for conducting osteosynthesis for the spine; prostheses for the spine; medical and surgical apparatus and instruments for implanting spinal implants, osteosynthesis and spinal prostheses, intervertebral implants, corporectomy implants and vertebral disc prostheses; artificial implants for spine surgery, namely, intersomatic cages

Produits et services

Artificial implants for spine surgery; artificial intervertebral implants; artificial implants of corporectomy; osteosynthesis equipment for the spine; prostheses for the spine; medical and surgical apparatus and instruments for implanting spinal implants, osteosynthesis and spinal prostheses, intervertebral implants, corporectomy implants and vertebral disc prostheses; artificial implants for spine surgery, namely intersomatic cages.

Abrégé

Certain systems, methods, and devices described herein are configured to dynamically model a patient area for surgery and/or other treatment, dynamically identify one or more features and/or characteristics thereon such as the length and/or elasticity of the posterior longitudinal ligament (PLL), dynamically allow modification of the model, dynamically limit and/or assist in modification of the model, and/or dynamically generate guidelines for generation of patient-specific implants and/or treatment kits for a specific patient.

Classes IPC  ?

• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet

Abrégé

A method and system for automatically generating a pre-operative plan is disclosed that may include using a computing device to receive, from an electronic device associated with a physician, an identification message comprising identifying information associated with a target patient for a surgical procedure. The computing device may retrieve medical information associated with the target patient based on the identifying information, and apply machine learning models to identify a predicted condition of the target patient and to predict a surgical approach and one or more surgical components to use and may generate a surgical plan that comprises an indication of the surgical approach and an indication of the one or more surgical components.

Classes IPC  ?

• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• G16H 10/60 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients pour des données spécifiques de patients, p. ex. pour des dossiers électroniques de patients
• G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p. ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
• G06N 20/00 - Apprentissage automatique

Abrégé

A method and system for automatically generating a pre-operative plan is disclosed that may include using a computing device to receive, from an electronic device associated with a physician, an identification message comprising identifying information associated with a target patient for a surgical procedure. The computing device may retrieve medical information associated with the target patient based on the identifying information, and apply machine learning models to identify a predicted condition of the target patient and to predict a surgical approach and one or more surgical components to use and may generate a surgical plan that comprises an indication of the surgical approach and an indication of the one or more surgical components.

Classes IPC  ?

• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• G16H 50/20 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le diagnostic assisté par ordinateur, p. ex. basé sur des systèmes experts médicaux
• G16H 50/70 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour extraire des données médicales, p. ex. pour analyser les cas antérieurs d’autres patients
• A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
• G06N 20/00 - Apprentissage automatique

Abrégé

Systems and methods are provided to plan a spinal correction surgery. The method includes measuring parameters of a spine in a two-dimensional (2D) spinal image including a thoracic Cobb angle and a thoracic kyphosis (TK) and transforming the 2D image to a three-dimensional (3D), spinal image representation. The transforming includes performing segmentation of spine elements in the 2D image, and applying a formula based on the thoracic Cobb angle and the TK to the spine elements. The method includes identifying a TK goal having a post-operative TK value to selected spine elements, transforming a gap of the spine elements representative of a difference between the pre-operative TK in 3D spinal image representation and the TK goal to create a 3D post-operative spinal image representation, and determining a first rod design based on the 3D post-operative spinal image representation to achieve the post-operative TK value in the spine elements.

Classes IPC  ?

• A61B 6/00 - Appareils ou dispositifs pour le diagnostic par radiationsAppareils ou dispositifs pour le diagnostic par radiations combinés avec un équipement de thérapie par radiations
• G06T 7/00 - Analyse d'image
• G16H 50/50 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour la simulation ou la modélisation des troubles médicaux
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Abrégé

The disclosure herein relate to systems, methods, and devices for developing patient-specific spinal treatments, operations, and procedures. In some embodiments, systems, methods, and devices described herein for developing patient-specific spinal treatments, operations, and procedures can comprise an iterative virtuous cycle. The iterative virtuous cycle can further comprise pre-operative, intra-operative, and post-operative techniques or processes. For example, the iterative virtuous cycle can comprise imaging analysis, case simulation, implant production, case support, data collection, machine learning, and/or predictive modeling. One or more techniques or processes of the iterative virtuous cycle can be repeated.

Classes IPC  ?

• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
• A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
• A61F 2/46 - Outils particuliers pour l'implantation des articulations artificielles
• G16H 50/50 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour la simulation ou la modélisation des troubles médicaux
• G16H 50/70 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour extraire des données médicales, p. ex. pour analyser les cas antérieurs d’autres patients
• A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie

Abrégé

According to some embodiments, the process includes the steps of: a) taking a sagittal preoperative x-ray of the vertebral column of the patient to be treated, extending from the cervical vertebrae to the femoral heads; b) on that x-ray, identifying points on S1, S2, T12 et C7; c) depicting, on the said x-ray, curved segments beginning at the center of the plate of S1 et going to the center of the plate of C7; e) identifying, on that x-ray, the correction(s) to be made to the vertebral column, including the identification of posterior osteotomies to make; f) pivoting portions of said x-ray relative to other portions of that x-ray, according to osteotomies to be made; g) performing, on said x-ray, a displacement of the sagittal curvature segment extending over the vertebral segment to be corrected; h) from a straight vertebral rod (TV), producing the curvature of that rod according to the shape of said sagittal curvature segment in said displacement position.

Classes IPC  ?

• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 17/88 - Moyens ou procédés pour implanter ou pour extraire des dispositifs de fixation interne
• G06T 7/00 - Analyse d'image
• G06T 7/33 - Détermination des paramètres de transformation pour l'alignement des images, c.-à-d. recalage des images utilisant des procédés basés sur les caractéristiques

Abrégé

A method and system for producing a curvature of a rod of vertebral osteosynthesis material designed to support a vertebral column of a patient is provided. A production unit receives a model defining the curvature of the rod. The curvature of the rod is based on a pre-operative X-ray of the vertical column and defined by a simulated correction to be applied to the lumbar segment to be treated, a deduced curved segment representing the curvature of the rod based at least in part on one or more of a lumbar lordosis or a first curvature above a repositioned apex point and the second curvature below the repositioned apex point, and a translated curved segment representative of the deduced curve segment being translated away from a mean line of the vertebral column. The production unit uses computer aided design to produce the rod.

Classes IPC  ?

• G06F 30/00 - Conception assistée par ordinateur [CAO]
• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales

Abrégé

Systems, instruments, and methods for medical treatment are disclosed. The methods comprise, by a computing device: receiving information identifying at least one first point on a body part shown in a medical image; overlaying a first mark on the medical image for the at least one first point; generating a spline based at least on the first mark; overlaying a second mark for the spline on the medical image; identifying a location of at least one second point on the body part shown in the medical image based on the first and second marks; overlaying a third mark for the at least one second point on the medical image; and using at least the third mark to facilitate the medical treatment of an individual whose body part is shown in the medical image.

Classes IPC  ?

• G06T 7/00 - Analyse d'image
• G06T 7/13 - Détection de bords
• G16H 50/20 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le diagnostic assisté par ordinateur, p. ex. basé sur des systèmes experts médicaux
• G06T 11/20 - Traçage à partir d'éléments de base, p. ex. de lignes ou de cercles

Abrégé

A surgical planning and assessment system is disclosed. The system may include a computing system having a processor, a data store, and a patient specific planning and analysis module. The system may be configured to store a patient specific target plan including a digital representation of a spinal rod having a target geometry and transform the digital representation into a curved line. The system may generate a spline data set comprising a plurality of spline segments that are sequentially linked to one another. The system may adjust, iteratively, each spline segment until the plurality of spline segments approximate the curved line. The system may generate a digital file comprising drawings for manufacturing a spinal rod based on the plurality of spline segments. In various embodiments, each spline segment may be defined by a corresponding arc or a corresponding line extending between a corresponding starting point and a corresponding ending point.

Classes IPC  ?

• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Abrégé

A surgical planning and assessment system is disclosed. The system may include a computing system having a processor, a data store, a patient specific planning and analysis module, and a display. The system may be configured to access a database storing a plurality of possible surgical plans. The computing system may store a target surgical plan including a plurality of patient specific inputs including at least one preoperative medical image of a spine of a target patient and analyze the target surgical plan to determine a predicted alignment of the spine of the target patient. The computing system may develop a plurality of predictive models including a predicted alignment of the spine of the target patient based on the target surgical plan and suggest at least one alternative surgical plan with respect to the target surgical plan.

Classes IPC  ?

• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• G06N 3/047 - Réseaux probabilistes ou stochastiques
• G06N 3/08 - Méthodes d'apprentissage

Abrégé

The additional securing device (1) enables pedicle screws (2, 200) of a spinal device (50) to be connected to the corresponding bone segment, a main body (10) comprising first securing means (20) cooperating directly or indirectly with the body of the corresponding pedicle screw (2, 200) and second securing means (30) through which a flexible link (3) can be passed and immobilised after the latter has been tensioned in order to form an additional anchor point.

Classes IPC  ?

• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Abrégé

The disclosure herein relates to systems, methods, and devices for developing patient-specific spinal implants, treatments, operations, and/or procedures. In some embodiments, systems, methods, and devices described herein can comprise using artificial intelligence, machine learning, and/or predictive modeling to predict the outcome of a spinal surgery, one or more parameters of a spine of a patient after spinal surgery, for example after implantation of a spinal rod which can be patient-specific, and/or one or more parameters of one or more recommended patient-specific spinal rods. Furthermore, in some embodiments, systems, methods, and devices described herein can comprise intraoperative tracking for tracking and/or suggesting improvements during spinal surgery based on a pre-operatively determined surgical plan, for example in real-time or substantially real-time. In addition, in some embodiments, systems, methods, and devices described herein can comprise screw planning prior to spinal surgery.

Classes IPC  ?

• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
• A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet

Abrégé

The disclosure herein relates to systems, methods, and devices for developing patient-specific spinal implants, treatments, operations, and/or procedures. In some embodiments, systems, methods, and devices described herein can comprise using artificial intelligence, machine learning, and/or predictive modeling to predict the outcome of a spinal surgery, one or more parameters of a spine of a patient after spinal surgery, for example after implantation of a spinal rod which can be patient-specific, and/or one or more parameters of one or more recommended patient-specific spinal rods. Furthermore, in some embodiments, systems, methods, and devices described herein can comprise intraoperative tracking for tracking and/or suggesting improvements during spinal surgery based on a pre-operatively determined surgical plan, for example in real-time or substantially real-time. In addition, in some embodiments, systems, methods, and devices described herein can comprise screw planning prior to spinal surgery.

Classes IPC  ?

• G16H 50/70 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour extraire des données médicales, p. ex. pour analyser les cas antérieurs d’autres patients

Abrégé

According to some embodiments, the process includes the steps of: a) taking a sagittal preoperative x-ray of the vertebral column of the patient to be treated, extending from the cervical vertebrae to the femoral heads; b) on that x-ray, identifying points on S1, S2, T12 et C7; c) depicting, on the said x-ray, curved segments beginning at the center of the plate of Si et going to the center of the plate of C7; e) identifying, on that x-ray, the correction(s) to be made to the vertebral column, including the identification of posterior osteotomies to make; f) pivoting portions of said x-ray relative to other portions of that x-ray, according to osteotomies to be made; g) performing, on said x-ray, a displacement of the sagittal curvature segment extending over the vertebral segment to be corrected; h) from a straight vertebral rod (TV), producing the curvature of that rod according to the shape of said sagittal curvature segment in said displacement position.

Classes IPC  ?

• G06T 7/00 - Analyse d'image
• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 17/88 - Moyens ou procédés pour implanter ou pour extraire des dispositifs de fixation interne
• G06T 7/33 - Détermination des paramètres de transformation pour l'alignement des images, c.-à-d. recalage des images utilisant des procédés basés sur les caractéristiques
• A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet

Abrégé

According to some embodiments, the process includes the steps of: a) taking a sagittal preoperative x-ray of the vertebral column of the patient to be treated, extending from the cervical vertebrae to the femoral heads; b) on that x-ray, identifying points on S1, S2, T12 et C7; c) depicting, on the said x-ray, curved segments beginning at the center of the plate of S1 et going to the center of the plate of C7; e) identifying, on that x-ray, the correction(s) to be made to the vertebral column, including the identification of posterior osteotomies to make; f) pivoting portions of said x-ray relative to other portions of that x-ray, according to osteotomies to be made; g) performing, on said x-ray, a displacement of the sagittal curvature segment extending over the vertebral segment to be corrected; h) from a straight vertebral rod (TV), producing the curvature of that rod according to the shape of said sagittal curvature segment in said displacement position.

Classes IPC  ?

• G06T 7/00 - Analyse d'image
• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 17/88 - Moyens ou procédés pour implanter ou pour extraire des dispositifs de fixation interne
• G06T 7/33 - Détermination des paramètres de transformation pour l'alignement des images, c.-à-d. recalage des images utilisant des procédés basés sur les caractéristiques
• A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet

Abrégé

Certain systems, methods, and devices described herein are configured to dynamically model a patient area for surgery and/or other treatment, dynamically identify one or more features and/or characteristics thereon such as the length and/or elasticity of the posterior longitudinal ligament (PLL), dynamically allow modification of the model, dynamically limit and/or assist in modification of the model, and/or dynamically generate guidelines for generation of patient-specific implants and/or treatment kits for a specific patient.

Classes IPC  ?

• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet

Abrégé

According to the invention, the process includes the steps of: a) taking a sagittal preoperative x-ray of the vertebral column of the patient to be treated, extending from the cervical vertebrae to the femoral heads; b) on that x-ray, identifying points on S1, S2, T12 et C7; c) depicting, on the said x-ray, curved segments beginning at the center of the plate of S1 et going to the center of the plate of C7; e) identifying, on that x-ray, the correction(s) to be made to the vertebral column, including the identification of posterior osteotomies to make; f) pivoting portions of said x-ray relative to other portions of that x-ray, according to osteotomies to be made; g) performing, on said x-ray, a displacement of the sagittal curvature segment extending over the vertebral segment to be corrected; h) from a straight vertebral rod (TV), producing the curvature of that rod according to the shape of said sagittal curvature segment in said displacement position.

Classes IPC  ?

• G06T 7/00 - Analyse d'image
• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 17/88 - Moyens ou procédés pour implanter ou pour extraire des dispositifs de fixation interne
• G06T 7/33 - Détermination des paramètres de transformation pour l'alignement des images, c.-à-d. recalage des images utilisant des procédés basés sur les caractéristiques
• A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet

Abrégé

According to the invention, the process includes the steps of: a) taking a sagittal preoperative x-ray of the vertebral column of the patient to be treated, extending from the cervical vertebrae to the femoral heads; b) on that x-ray, identifying points on S1, S2, T12 et C7; c) depicting, on the said x-ray, curved segments beginning at the center of the plate of S1 et going to the center of the plate of C7; e) identifying, on that x-ray, the correction(s) to be made to the vertebral column, including the identification of posterior osteotomies to make; f) pivoting portions of said x-ray relative to other portions of that x-ray, according to osteotomies to be made; g) performing, on said x-ray, a displacement of the sagittal curvature segment extending over the vertebral segment to be corrected; h) from a straight vertebral rod (TV), producing the curvature of that rod according to the shape of said sagittal curvature segment in said displacement position.

Classes IPC  ?

• G06T 7/00 - Analyse d'image
• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/88 - Moyens ou procédés pour implanter ou pour extraire des dispositifs de fixation interne
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• G06T 7/33 - Détermination des paramètres de transformation pour l'alignement des images, c.-à-d. recalage des images utilisant des procédés basés sur les caractéristiques
• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet
• A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux

Abrégé

According to the invention, the process includes the steps of: a) taking a sagittal preoperative x-ray of the vertebral column of the patient to be treated, extending from the cervical vertebrae to the femoral heads; b) on that x-ray, identifying points on S1, S2, T12 et C7; c) depicting, on the said x-ray, curved segments beginning at the center of the plate of Si et going to the center of the plate of C7; e) identifying, on that x-ray, the correction(s) to be made to the vertebral column, including the identification of posterior osteotomies to make; f) pivoting portions of said x-ray relative to other portions of that x-ray, according to osteotomies to be made; g) performing, on said x-ray, a displacement of the sagittal curvature segment extending over the vertebral segment to be corrected; h) from a straight vertebral rod (TV), producing the curvature of that rod according to the shape of said sagittal curvature segment in said displacement position.

Classes IPC  ?

• G06T 7/00 - Analyse d'image
• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/88 - Moyens ou procédés pour implanter ou pour extraire des dispositifs de fixation interne
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• G06T 7/33 - Détermination des paramètres de transformation pour l'alignement des images, c.-à-d. recalage des images utilisant des procédés basés sur les caractéristiques
• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet
• A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux

Abrégé

The invention relates to an assembly in which: the intervertebral implant (1) comprises a circular or essentially circular grip part (5), and two or three receiving elements (10, 11, 12) which are radially positioned in said grip part (5); the receiving elements (10, 11, 12) are angularly staggered in relation to each other in a plane which is perpendicular to the axis of said grip part (5); and the instrument comprises a gripper for gripping the grip part (5) of the implant and a control rod that has, on its distal part, a longitudinal extension with a cross-section identical to that of the various receiving elements (10, 11, 12).

Classes IPC  ?

• A61F 2/44 - Articulations pour l'épine dorsale, p. ex. vertèbres, disques intervertébraux
• A61F 2/46 - Outils particuliers pour l'implantation des articulations artificielles
• A61F 2/30 - Articulations

Abrégé

According to the invention, the process includes the steps of: a) taking a sagittal preoperative x-ray of the vertebral column of the patient to be treated, extending from the cervical vertebrae to the femoral heads; b) on that x-ray, identifying points on S1, S2, T12 et C7; c) depicting, on the said x-ray, curved segments beginning at the center of the plate of Si et going to the center of the plate of C7; e) identifying, on that x-ray, the correction(s) to be made to the vertebral column, including the identification of posterior osteotomies to make; f) pivoting portions of said x-ray relative to other portions of that x-ray, according to osteotomies to be made; g) performing, on said x-ray, a displacement of the sagittal curvature segment extending over the vertebral segment to be corrected; h) from a straight vertebral rod (TV), producing the curvature of that rod according to the shape of said sagittal curvature segment in said displacement position.

Classes IPC  ?

• G06T 7/00 - Analyse d'image
• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/88 - Moyens ou procédés pour implanter ou pour extraire des dispositifs de fixation interne
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• G06T 7/33 - Détermination des paramètres de transformation pour l'alignement des images, c.-à-d. recalage des images utilisant des procédés basés sur les caractéristiques
• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet
• A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux

Abrégé

According to the invention, the process includes the steps of: a) taking a sagittal preoperative x-ray of the vertebral column of the patient to be treated, extending from the cervical vertebrae to the femoral heads; b) on that x-ray, identifying points on S1, S2, T12 et C7; c) depicting, on the said x-ray, curved segments beginning at the center of the plate of S1 et going to the center of the plate of C7; e) identifying, on that x-ray, the correction(s) to be made to the vertebral column, including the identification of posterior osteotomies to make; f) pivoting portions of said x-ray relative to other portions of that x-ray, according to osteotomies to be made; g) performing, on said x-ray, a displacement of the sagittal curvature segment extending over the vertebral segment to be corrected; h) from a straight vertebral rod (TV), producing the curvature of that rod according to the shape of said sagittal curvature segment in said displacement position.

Classes IPC  ?

• G06T 7/00 - Analyse d'image
• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/88 - Moyens ou procédés pour implanter ou pour extraire des dispositifs de fixation interne
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• G06T 7/33 - Détermination des paramètres de transformation pour l'alignement des images, c.-à-d. recalage des images utilisant des procédés basés sur les caractéristiques
• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet
• A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux

Abrégé

According to the invention, the process includes the steps of: a) taking a sagittal preoperative x-ray of the vertebral column of the patient to be treated, extending from the cervical vertebrae to the femoral heads; b) on that x-ray, identifying points on S1, S2, T12 et C7; c) depicting, on the said x-ray, curved segments beginning at the center of the plate of S1 et going to the center of the plate of C7; e) identifying, on that x-ray, the correction(s) to be made to the vertebral column, including the identification of posterior osteotomies to make; f) pivoting portions of said x-ray relative to other portions of that x-ray, according to osteotomies to be made; g) performing, on said x-ray, a displacement of the sagittal curvature segment extending over the vertebral segment to be corrected; h) from a straight vertebral rod (TV), producing the curvature of that rod according to the shape of said sagittal curvature segment in said displacement position.

Classes IPC  ?

• G06T 7/00 - Analyse d'image
• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/88 - Moyens ou procédés pour implanter ou pour extraire des dispositifs de fixation interne
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• G06T 7/33 - Détermination des paramètres de transformation pour l'alignement des images, c.-à-d. recalage des images utilisant des procédés basés sur les caractéristiques
• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet
• A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux

Abrégé

According to the invention, the process includes the steps of: a) taking a sagittal preoperative x-ray of the vertebral column of the patient to be treated, extending from the cervical vertebrae to the femoral heads; b) on that x-ray, identifying points on S1, S2, T12 et C7; c) depicting, on the said x-ray, curved segments beginning at the center of the plate of S1 et going to the center of the plate of C7; e) identifying, on that x-ray, the correction(s) to be made to the vertebral column, including the identification of posterior osteotomies to make; f) pivoting portions of said x-ray relative to other portions of that x-ray, according to osteotomies to be made; g) performing, on said x-ray, a displacement of the sagittal curvature segment extending over the vertebral segment to be corrected; h) from a straight vertebral rod (TV), producing the curvature of that rod according to the shape of said sagittal curvature segment in said displacement position.

Classes IPC  ?

• G06T 7/00 - Analyse d'image
• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/88 - Moyens ou procédés pour implanter ou pour extraire des dispositifs de fixation interne
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• G06T 7/33 - Détermination des paramètres de transformation pour l'alignement des images, c.-à-d. recalage des images utilisant des procédés basés sur les caractéristiques
• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet
• A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux

Abrégé

Methods and devices are disclosed for inhibiting proximal junctional failure in a patient having posterior spinal instrumentation. One or more tension bands can be threaded through transverse bores in a spinous process of a vertebral body of a spine, superior and adjacent an uppermost instrumented vertebral body. Tension is applied to bias the spinous processes together and also in an inferior direction. The tension band is locked with respect to the spine, to maintain tension.

Classes IPC  ?

• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 17/16 - Instruments pour réaliser une ostéoclasieForets ou ciseaux pour osTrépans
• A61B 17/84 - Attaches pour ces dispositifs
• A61B 17/82 - Dispositifs de fixation interne pour le cerclage des os

Abrégé

The implant (1) includes at least two assembled components, at least a first component (3) is intended to be movable relative to at least a second component (2). The method includes the steps of: designing the implant (1) such that the second component (2) at least partially envelops the first component (3) and that at least one connecting bridge (4) connects the first component to the second component, each bridge (4) having a section such that it is frangible; making the implant (1) using a so-called “3D printing” method, includes depositing on a platen, a layer of powdered fusible material, causing the particles of this layer of powder to fuse in locations corresponding to the shape which, at this layer, the first component (3, 23, 33, 53, 63) and/or the second component (2, 22, 32, 52, 62) and/or the at least one bridge (4, 24, 54, 64) have, depending on whether the first component, the second component and/or said bridge are present at the section the implant to be formed has at the layer; repeating these operations until the implant (1, 21, 31, 51, 61) is fully constructed, and eliminating the powder particles that are not fused.

Classes IPC  ?

• A61F 2/44 - Articulations pour l'épine dorsale, p. ex. vertèbres, disques intervertébraux
• A61F 2/46 - Outils particuliers pour l'implantation des articulations artificielles
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61F 2/30 - Articulations
• A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures

Abrégé

The disclosure herein relate to systems, methods, and devices for developing patient-specific spinal treatments, operations, and procedures. In some embodiments, systems, methods, and devices described herein for developing patient-specific spinal treatments, operations, and procedures can comprise an iterative virtuous cycle. The iterative virtuous cycle can further comprise pre-operative, intra-operative, and post-operative techniques or processes. For example, the iterative virtuous cycle can comprise imaging analysis, case simulation, implant production, case support, data collection, machine learning, and/or predictive modeling. One or more techniques or processes of the iterative virtuous cycle can be repeated.

Classes IPC  ?

• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• G16H 50/50 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour la simulation ou la modélisation des troubles médicaux
• G16H 50/70 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour extraire des données médicales, p. ex. pour analyser les cas antérieurs d’autres patients
• A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
• A61F 2/46 - Outils particuliers pour l'implantation des articulations artificielles
• A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie

Abrégé

According to the invention, the process includes the steps of: a) taking a sagittal preoperative x-ray of the vertebral column of the patient to be treated, extending from the cervical vertebrae to the femoral heads; b) on that x-ray, identifying points on S1, S2, T12 et C7; c) depicting, on the said x-ray, curved segments beginning at the center of the plate of S1 et going to the center of the plate of C7; e) identifying, on that x-ray, the correction(s) to be made to the vertebral column, including the identification of posterior osteotomies to make; f) pivoting portions of said x-ray relative to other portions of that x-ray, according to osteotomies to be made; g) performing, on said x-ray, a displacement of the sagittal curvature segment extending over the vertebral segment to be corrected; h) from a straight vertebral rod (TV), producing the curvature of that rod according to the shape of said sagittal curvature segment in said displacement position.

Classes IPC  ?

• G06T 7/00 - Analyse d'image
• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 17/88 - Moyens ou procédés pour implanter ou pour extraire des dispositifs de fixation interne
• G06T 7/33 - Détermination des paramètres de transformation pour l'alignement des images, c.-à-d. recalage des images utilisant des procédés basés sur les caractéristiques
• A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet

Produits et services

Artificial implants for use in orthopedic surgery, namely cervical cages; artificial implants for spinal surgery; artificial intervertebral implants; artificial corpectomy implants; osteosynthesis materials for the spinal column; prostheses for the spinal column; surgical and medical devices and instruments for inserting artificial implants for use in orthopedic surgery namely cervical cages; surgical and medical devices and instruments for inserting implants for spinal surgery, osteosynthesis equipment and prostheses for the spinal column, intervertebral implants, corporectomy implants and spinal discs prostheses.

Abrégé

The disclosure herein relate to systems, methods, and devices for developing patient-specific spinal treatments, operations, and procedures. In some embodiments, systems, methods, and devices described herein for developing patient-specific spinal treatments, operations, and procedures can comprise an iterative virtuous cycle. The iterative virtuous cycle can further comprise pre-operative, intra-operative, and post-operative techniques or processes. For example, the iterative virtuous cycle can comprise imaging analysis, case simulation, implant production, case support, data collection, machine learning, and/or predictive modeling. One or more techniques or processes of the iterative virtuous cycle can be repeated.

Classes IPC  ?

• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
• G16H 50/50 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour la simulation ou la modélisation des troubles médicaux
• G16H 50/70 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour extraire des données médicales, p. ex. pour analyser les cas antérieurs d’autres patients
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61F 2/46 - Outils particuliers pour l'implantation des articulations artificielles
• A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
• A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures

Abrégé

A system for providing intraoperative tracking to assist spinal surgery comprises: • two or more active sensors (1302), wherein each of the two or more active sensors (1302) comprises one or more accelerometers and/ or one or more gyroscopes; • two or more attachment devices comprising one or more of said active sensors (1302), a power source, and a wireless transmitter, the two or more attachment devices being configured to be attached to two or more vertebrae in a configuration such that two of three axes of position data to be collected by the two or more active sensors (1302) are on a plane parallel to a sagittal plane of a patient for spinal surgery, • one or more computer readable storage devices configured to store a plurality of computer executable instructions; and • one or more hardware computer processors in communication with the one or more computer readable storage devices and configured to execute the plurality of computer executable instructions.

Classes IPC  ?

• A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre

Abrégé

The disclosure herein relates to systems, methods, and devices for developing patient-specific spinal treatments, operations, and procedures. In some embodiments, systems, methods, and devices described herein for developing patient-specific spinal treatments, operations, and procedures can comprise an iterative virtuous cycle. The iterative virtuous cycle can further comprise pre-operative, intra-operative, and post-operative techniques or processes. For example, the iterative virtuous cycle can comprise imaging analysis, case simulation, implant production, case support, data collection, machine learning, and/or predictive modeling. One or more techniques or processes of the iterative virtuous cycle can be repeated.

Classes IPC  ?

• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61F 2/44 - Articulations pour l'épine dorsale, p. ex. vertèbres, disques intervertébraux

Abrégé

Methods and apparatus are disclosed for performing spinal reconstructive surgery, including measuring spinal length in the Y-axis at the middle column, measuring intervertebral spacing in the Y-axis at the middle column, measuring intervertebral tension applied to the posterior longitudinal ligament, establishing the height of intervertebral spacers along the Y-axis at the middle column based on one or more of such measurements, measuring intervertebral rotation around the Y-axis, and measuring flexion-extension or anterior-posterior rotation around the X-axis.

Classes IPC  ?

• A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
• A61B 17/02 - Instruments, dispositifs ou procédés chirurgicaux pour maintenir les blessures ouvertes, p. ex. rétracteursÉcarteurs

Abrégé

Certain systems, methods, and devices described herein are configured to dynamically model a patient area for surgery and/or other treatment, dynamically identify one or more features and/or characteristics thereon such as the length and/or elasticity of the posterior longitudinal ligament (PLL), dynamically allow modification of the model, dynamically limit and/or assist in modification of the model, and/or dynamically generate guidelines for generation of patient-specific implants and/or treatment kits for a specific patient.

Classes IPC  ?

• A61F 2/30 - Articulations
• A61F 2/44 - Articulations pour l'épine dorsale, p. ex. vertèbres, disques intervertébraux
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 17/86 - Chevilles ou vis
• G06T 7/00 - Analyse d'image
• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• G16H 10/00 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients

Abrégé

The equipment (1) includes at least one connecting bar and at least one anchor member (1) of the “tulip” type and of the so-called “polyaxial” type. According to the invention, the head (3) forms an articulation portion (15). The body (2) forms an articulation cavity (8) for receiving the articulation portion (15), defined by a bearing wall (9). The anchor member (1) includes a ring (20) bearing against said bearing wall (9). The ring (20) and a distal bearing surface of the head (3) includes inter-engagement means (16, 21) having, in a first angular position of the ring (20), a first inter-engagement position of the ring (20) in which play exists between the ring (20) and the bearing wall (9), and having, in a second angular position of the ring (20), a second inter-engagement position in which said play is eliminated such that the head (3) is made immobile, or substantially immobile, relative to the body (2).

Classes IPC  ?

• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 17/86 - Chevilles ou vis
• A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux

Produits et services

Medical software for spinal column treatment; medical software for spinal surgery; medical software for orthopedic surgery. Implants for spine surgery; inter-vertebral implants; corpectomy implants; osteosynthesis materials for the spinal column; prostheses for the spinal column; medical and surgical apparatus and instruments for the placement of spinal implants, osteosynthesis materials and spinal prostheses, inter-vertebral implants, corporectomy implants and vertebral disc prostheses. Telecommunication services, provided through platforms and portals on the Internet and other media, for medical purposes; providing access to platforms and portals on the Internet for medical use; providing access to content, websites and portals for medical use; providing access to an electronic portal for surgery, on computer networks; providing access to medical databases; providing discussion forums on the Internet for medical purposes; providing online forums for medical purposes; teleconferencing services related to surgery; transmission of computer-assisted images and messages for surgery; digital medical file transmission; transmission of streamed medical data [streaming]; transmission of video-on-demand sequences for medical purposes; videoconferencing services related to surgery; telecommunication services for medical purposes. Research, development (of new products for others) and design of implants for spine surgery, inter-vertebral implants, corporectomy implants, spinal osteosynthesis materials, prostheses for spine, medical and surgical instruments for placing spinal implants, osteosynthesis equipment, spinal prostheses, inter-vertebral implants, corporectomy implants and vertebral disc prostheses; medical software development; software-as-a-service [saas] for surgery; rental of computer software for medical use; maintenance of computer software for medical use; updating of software for medical use; development [design] of software for medical use; biological, clinical and medical research services; platform-as-a-service [paas] for surgery; design of Web portals for medical use; hosting of Web portals for medical use; software programming for Internet portals, chat rooms, discussion boards and Internet forums, for medical purposes; creation and design of web-based medical information directories for others [information technology services]; scientific laboratory services; expertise [engineering works] in the biomedical field; cloud computing for medical purposes; engineering in the biomedical field; recovery of computer data for medical use; external storage of medical data; electronic storage of medical data. Medical services in the field of spine surgery; medical advice and information in the field of spine surgery.

Abrégé

According to the invention, the process includes the steps of: a) taking a sagittal preoperative x-ray of the vertebral column of the patient to be treated, extending from the cervical vertebrae to the femoral heads; b) on that x-ray, identifying points on S1, S2, T12 et C7; c) depicting, on the said x-ray, curved segments beginning at the center of the plate of S1 et going to the center of the plate of C7; e) identifying, on that x-ray, the correction(s) to be made to the vertebral column, including the identification of posterior osteotomies to make; f) pivoting portions of said x-ray relative to other portions of that x-ray, according to osteotomies to be made; g) performing, on said x-ray, a displacement of the sagittal curvature segment extending over the vertebral segment to be corrected; h) from a straight vertebral rod (TV), producing the curvature of that rod according to the shape of said sagittal curvature segment in said displacement position.

Classes IPC  ?

• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 17/88 - Moyens ou procédés pour implanter ou pour extraire des dispositifs de fixation interne
• G06T 7/00 - Analyse d'image
• G06T 7/33 - Détermination des paramètres de transformation pour l'alignement des images, c.-à-d. recalage des images utilisant des procédés basés sur les caractéristiques
• A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet

Abrégé

This equipment (1) comprises at least one connecting bar (100), at least one flexible ligament (101) and at least one connecting assembly (1). According to the invention, —a connecting part (2) of said assembly forms an engagement conduit (15) for engagement of the connecting bar (100); —the body (6) of this part (2) has a central conduit (10) for receiving a tightening part (3) and two lateral conduits (11) for receiving the strands of the ligament; —said tightening part (3) comprises a threaded pin (16) capable to be engaged into said central conduit (10) and a base (17) for bearing against the connecting bar (100); —the nut (4) has a distal portion (31) coaxial with itself, on which is pivotally mounted a pressing ring (5) adapted to be engaged into said lateral conduits (11) and to tighten the strand of the ligament (101).

Classes IPC  ?

• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Produits et services

[ telecommunication services, namely, digital network telecommunications services, provided through platforms and portals on the Internet and other media, for medical purposes; providing access to platforms and portals on the Internet for medical use; providing access the Internet, namely, providing access to content, websites and portals for medical use; providing access to the Internet, namely, providing access to an electronic portal for surgery, on computer networks; providing access to medical databases; providing discussion forums on the Internet for medical purposes; providing online forums for medical purposes; teleconferencing services related to surgery; transmission of computer-assisted images and messages for surgery; digital medical file transmission; electronic transmission in the nature of streaming of streamed digital medical data; transmission of video-on-demand sequences for medical purposes; videoconferencing services related to surgery; telecommunication services, namely, digital network telecommunication services for medical purposes ] medical software for planning patient-specific implants electronically for spinal column treatment ; medical software for managing and processing patient health data electronically for spinal column treatment; medical software for analyzing spinal images for spinal column treatment; medical software for selecting spinal implant size specific to each patient for spinal surgery; medical software for processing clinical data for orthopedic surgery implants comprising artificial materials for spine surgery; artificial inter-vertebral implants; artificial corpectomy implants; artificial osteosynthesis materials in the nature of implants and prostheses for the spinal column; prostheses for the spinal column; medical and surgical apparatus and instruments, for use in orthopedic surgery, for the placement of spinal implants, osteosynthesis materials and spinal prostheses, inter-vertebral implants, corporectomy implants and vertebral disc prostheses [ research, development and design of new products for others, namely, implants for spine surgery, inter-vertebral implants, corporectomy implants, spinal osteosynthesis materials, prostheses for spine, medical and surgical instruments for placing spinal implants, osteosynthesis equipment, spinal prostheses, inter-vertebral implants, corporectomy implants and vertebral disc prostheses; medical software development; software-as-a-service services featuring software for planning personalized spinal implants for surgery; software-as-a-service services featuring software for selecting spinal implant size and planning patient-specific implants for spinal surgery; software-as-a-service services featuring software for managing and processing clinical data for orthopedic surgery; rental of computer software for medical use; maintenance of computer software for medical use; updating of software for medical use; development in the nature of design of software for medical use; biological, clinical and medical research services in the field of spinal column treatment; platform-as-a-service featuring software platforms for planning personalized spinal implants for surgery; platform-as-a-service featuring software platforms for selecting spinal implant size and planning patient-specific implants for spinal surgery; platform-as-a-service featuring software platforms for managing and processing clinical data for orthopedic surgery; design of Web portals for medical use; hosting of Web portals of others for medical use; computer software programming for Internet portals, chat rooms, discussion boards and Internet forums, for medical purposes; information technology services, namely, creation and design of websites featuring medical information directories for others; scientific laboratory services; expertise in the nature of engineering works in the biomedical field; cloud computing featuring software for managing databases for medical purposes; engineering in the biomedical field; recovery of computer data for medical use; electronic external storage of medical data; electronic storage of medical data ] Medical services in the field of spine surgery; medical advice and information in the field of spine surgery

Abrégé

The implant (1) comprising at least two assembled components, at least a first component (3) of which is intended to be mobile with respect to at least one second component (2). The method comprises the steps consisting in: – designing the implant (1) in such a way that the said second component (2) at least partially envelops the said first component (3) and that at least one connecting bridge (4) connects the said first component to the said second component, each bridge (4) having a cross section such that it is frangible; – creating the implant (1) using a method referred to as 3-D printing, consisting in depositing on a platen a layer of powdered fusible material, in causing the particles of this layer of powder to fuse at locations corresponding to the shape which, at the level of this layer, the said first component (3) and/or the said second component (2) and/or the said at least one bridge (4) has/have; – in repeating these operations until the implant (1) is fully constructed, and – in eliminating the powder particles that are not fused.

Classes IPC  ?

• A61F 2/44 - Articulations pour l'épine dorsale, p. ex. vertèbres, disques intervertébraux
• A61F 2/46 - Outils particuliers pour l'implantation des articulations artificielles
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Produits et services

Implants for spine surgery; inter-vertebral implants; corpectomy implants; osteosynthesis materials for the spinal column; prostheses for the spinal column; apparatus and instruments for inserting implants for spinal surgery, intervertebral implants, corpectomy implants, osteosynthesis equipment for the spinal column, and prostheses for the spinal column.

Abrégé

According to the invention, the process includes the steps of: a) taking a sagittal preoperative x-ray of the vertebral column of the patient to be treated, extending from the cervical vertebrae to the femoral heads; b) on that x-ray, identifying points on S1, S2, T12 et C7; c) depicting, on the said x-ray, curved segments beginning at the center of the plate of S1 et going to the center of the plate of C7; e) identifying, on that x-ray, the correction(s) to be made to the vertebral column, including the identification of posterior osteotomies to make; f) pivoting portions of said x-ray relative to other portions of that x-ray, according to osteotomies to be made; g) performing, on said x-ray, a displacement of the sagittal curvature segment extending over the vertebral segment to be corrected; h) from a straight vertebral rod (TV), producing the curvature of that rod according to the shape of said sagittal curvature segment in said displacement position.

Classes IPC  ?

• G06T 7/00 - Analyse d'image
• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 17/88 - Moyens ou procédés pour implanter ou pour extraire des dispositifs de fixation interne
• A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet

Abrégé

Vertebral osteosynthesis equipment is presented. The equipment includes at least one connecting bar having an assembly portion, at least two anchoring members and at least one connecting part of the so-called “side loading” type; the assembly portion includes at least one protruding lug situated on the side of one of its ends, and the connecting part has a longitudinal slot emerging in said engagement duct, sized to receive said lug in an adjusted manner, but with the lug being able to slide therein, said connecting part being able to be engaged on said assembly portion beyond that lug.

Classes IPC  ?

• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Abrégé

Vertebral osteosynthesis equipment is disclosed, including a connection assembly with a connection piece of open type and a mating component piece positioned one with respect to the other. The connection piece includes a hole, where the mating piece is dimensioned to be engaged in the interior of the hole in a fit adjusted manner and is slidable within the hole. The connection piece is assembled to the mating component piece in separated apart position based on a force that is less than a clamping force exerted by a nut to be screwed on to a proximal threaded pin of an anchoring member that can be tightened so as to bring the connection piece and the mating component piece in a close position.

Classes IPC  ?

• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 17/86 - Chevilles ou vis

Abrégé

Methods and apparatus are disclosed for performing spinal reconstructive surgery, including measuring spinal length in the Y-axis at the middle column, measuring intervertebral spacing in the Y-axis at the middle column, measuring intervertebral tension applied to the posterior longitudinal ligament, establishing the height of intervertebral spacers along the Y-axis at the middle column based on one or more of such measurements, measuring intervertebral rotation around the Y-axis, and measuring flexion-extension or anterior-posterior rotation around the X-axis.

Classes IPC  ?

• A61F 2/46 - Outils particuliers pour l'implantation des articulations artificielles
• A61B 17/02 - Instruments, dispositifs ou procédés chirurgicaux pour maintenir les blessures ouvertes, p. ex. rétracteursÉcarteurs
• A61B 17/60 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet pour ostéosynthèse, p. ex. plaques, vis ou matériels de fixation pour l'ostéosynthèse externe, p. ex. appareils étireurs ou constricteurs
• A61B 17/66 - Mécanismes de compression ou de traction

Abrégé

b) of the first connecting part (3), with a pivoting capacity of said second connecting part (4) relative to said first connecting part (3).

Classes IPC  ?

• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Abrégé

This equipment (1) comprises at least one connecting bar (100), at least one flexible ligament (101) and at least one connecting assembly (1). According to the invention, -a connecting part (2) of said assembly forms an engagement conduit (15) for engagement of the connecting bar (100); -the body (6)of this part (2) has a central conduit (10) for receiving a tightening part (3) and two lateral conduits (11) for receiving the strands of the ligament; -said tightening part (3) comprises a threaded pin (16) capable to be engaged into said central conduit (10) and a base (17) for bearing against the connecting bar (100); -the nut (4) has a distal portion (31) coaxial with itself, on which is pivotally mounted a pressing ring (5) adapted to be engaged into said lateral conduits (11) and to tighten the strand of the ligament (101).

Classes IPC  ?

• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Abrégé

This equipment (1) comprises at least one connecting bar and at least one anchor member (1) of the "tulip" type and of the so-called "polyaxial" type. According to the invention, -the head (3) forms an articulation portion (15); -the body (2) forms an articulation cavity (8) for receiving said articulation portion (15), defined by a bearing wall (9); -the anchor member (1) includes a ring (20) bearing against said bearing wall (9); -the ring (20) and a distal bearing surface of the head (3) comprise inter- engagement means (16, 21) having, in a first angular position of the ring (20), a first inter-engagement position of the ring (20) in which play exists between the ring (20) and said bearing wall (9), and having, in a second angular position of the ring (20), a second inter-engagement position in which said play is eliminated such that the head (3) is made immobile, or substantially immobile, relative to the body (2).

Classes IPC  ?

• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Abrégé

According to the invention, the process includes the steps of: a) taking a sagittal preoperative x-ray of the vertebral column of the patient to be treated, extending from the cervical vertebrae to the femoral heads; b) on that x-ray, identifying points on S1, S2, T12 et C7; c) depicting, on the said x-ray, curved segments beginning at the center of the plate of S1 et going to the center of the plate of C7; e) identifying, on that x-ray, the correction(s) to be made to the vertebral column, including the identification of posterior osteotomies to make; f) pivoting portions of said x-ray relative to other portions of that x-ray, according to osteotomies to be made; g) performing, on said x-ray, a displacement of the sagittal curvature segment extending over the vertebral segment to be corrected; h) from a straight vertebral rod (TV), producing the curvature of that rod according to the shape of said sagittal curvature segment in said displacement position.

Classes IPC  ?

• G06T 7/00 - Analyse d'image
• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 17/88 - Moyens ou procédés pour implanter ou pour extraire des dispositifs de fixation interne
• A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet

Abrégé

The method according the the invention comprises the following steps: a) taking a sagittal preoperative x-ray of the vertebral column of the patient to be treated, extending from the cervical vertebrae to the femoral heads; b) on that x-ray, identifying the pelvic parameters, the lumbar lordosis, the position of the apical lumbar vertebra, distances called SVA and SFD and a cloud of points; c) deducing, among predetermined morphotypes, the morphotype to which the treated vertebral column corresponds and deducing therefrom the desired postoperative apex point; d) positioning the different points of the cloud of points in a reference centered at the plate of S1; e) simulating the correction to be applied to the lumbar segment to be treated, by defining co-radial arcs situated below and above the desired postoperative apex point; defining two arcs concentric to the two curvatures obtained, which are tangent to each other at the apex point; f) translating these arcs away from the mean line of the vertebral column and defining a two- or three-dimensional model of the rod to be implanted, curved along the arcs.

Classes IPC  ?

• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
• G06F 17/50 - Conception assistée par ordinateur

Abrégé

This equipment (1) comprises at least one connecting bar (3) having an assembly portion (11), at least two anchoring members (2) and at least one connecting part (4, 5) of the so-called "side loading" type. According to the invention, -said assembly portion (11) comprises at least one protruding lug (13) situated on the side of one of its ends, and -said connecting part (4) has a longitudinal slot emerging in said engagement duct, sized to receive said lug (13) in an adjusted manner, but with the lug (13) being able to slide therein, said connecting part (4) being able to be engaged on said assembly portion (11) beyond that lug (13).

Classes IPC  ?

• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Abrégé

At least one connection assembly which this equipment comprises includes a connection piece (3) of "open" type and a mating component piece (4) positioned one with respect to the other by positioning means (10, 4b). According to the invention, -the said positioning means include: -the hole (10) in the said connection piece (3); -a portion (4b) of the said piece (4), dimensioned so as to be engaged in the interior of this hole (10) in a fit adjusted manner and so as to be slidable in this hole; and -the said connection assembly (3, 4) comprises: -assembly means (30, 40) for assembling of the connection piece (3) to the mating component piece (4), and -maintaining means (30, 31, 40) for maintaining in place the said mating component piece (4) in the said separated apart position, based on a force that is less than the clamping force exerted by a nut(5) to be screwed on to the proximal threaded pin of an anchoring member.

Classes IPC  ?

• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Abrégé

This equipment comprises an iliac rod (2), a connection assembly (3, 4) for connecting that iliac rod to a vertebral bar, an iliac anchoring member and an iliac part connecting the iliac rod to that iliac anchoring member; said connecting assembly (3, 4) is independent of the iliac rod (2) and comprises two portions, namely: - a first portion (3), for connecting to said vertebral bar (50), that forms a closed conduit (10) for engagement of that portion (3) on that bar (50); and - a second portion (4), for connecting to said iliac rod (2), that forms a conduit (12) for the engagement of that second portion (4) on the iliac rod (2). According to the invention, - said first portion is formed by a first connecting part (3) and said second portion is formed by a second connecting part (4), said first and second connecting parts (3, 4) being independent of one another; said first connecting part (3) comprises a portion (3a) that forms said closed conduit (10) and a threaded rod (3b) protruding from said portion (3a); said second connecting part (4) forms a passage (11 ) through it for the engagement of said threaded rod (3b) of the first connecting part (3), with a pivoting capacity of said second connecting part (4) relative to said first connecting part (3).

Classes IPC  ?

• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Abrégé

An assembly is disclosed for treating an isthmic fracture. It also relates to an assembly which includes materials and instruments for utilizing the assembly in connection with treating the fracture.

Classes IPC  ?

• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Abrégé

According to the invention, le precede qu'elle concerne comprend les etapes suivantes : • a) taking a sagittal preoperative x-ray of the vertebral column of the patient to be treated, extending from the cervical vertebrae to the femoral heads; • b) on that x-ray, identifying points on S1, S2, T12 et C7; • c) depicting, on the said x-ray, curved segments beginning at the center of the plate of S1 et going to the center of the plate of C7; • e) identifying, on that x-ray, the correction(s) to be made to the vertebral column, including the identification of posterior osteotomies to make; • f) pivoting portions of said x-ray relative to other portions of that x- ray, according to osteotomies to be made; • g) performing, on said x-ray, a displacement of the sagittal curvature segment extending over the vertebral segment to be corrected; • h) from a straight vertebral rod (TV), producing the curvature of that rod according to the shape of said sagittal curvature segment in said displacement position.

Classes IPC  ?

• A61B 19/00 - Instruments, outillage ou accessoires pour la chirurgie ou le diagnostic non couverts par l'un des groupes A61B 1/00-A61B 18/00, p.ex. pour stéréotaxie, opération aseptique, traitement de la luxation, protecteurs des bords des blessures(masques de protection du visage A41D 13/11; blouses de chirurgien ou vêtements pour malades A41D 13/12; dispositifs pour retirer, traiter ou transporter les liquides du corps A61M 1/00)
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Abrégé

The method according the the invention comprises the following steps: a)taking a sagittal preoperative x-ray of the vertebral column of the patient to be treated, extending from the cervical vertebrae to the femoral heads; b)on that x-ray, identifying the pelvic parameters, the lumbar lordosis,the position of the apical lumbar vertebra, distances called SVAand SFD and a cloud of points; c)deducing, among predetermined morphotypes, the morphotype to which the treated vertebral column corresponds and deducing therefrom the desired postoperative apex point; d)positioning the different points of said cloud of points in a reference centered at the plate of S1; e)simulating the correction to be applied to the lumbar segment to be treated, by defining co-radial arcs situated below and above the desired postoperative apex point; defining two arcs concentric to the two curvatures obtained,which are tangent to each other at the apex point; f)translating these arcs away from the mean line of the vertebral column and defining a two-or three-dimensional model of the rod to be implanted, curved along said arcs.

Classes IPC  ?

• A61B 19/00 - Instruments, outillage ou accessoires pour la chirurgie ou le diagnostic non couverts par l'un des groupes A61B 1/00-A61B 18/00, p.ex. pour stéréotaxie, opération aseptique, traitement de la luxation, protecteurs des bords des blessures(masques de protection du visage A41D 13/11; blouses de chirurgien ou vêtements pour malades A41D 13/12; dispositifs pour retirer, traiter ou transporter les liquides du corps A61M 1/00)
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet

Abrégé

This equipment comprises at least one connecting bar and at least one sacrum anchor assembly (1-3, 5). According to the invention, each sacrum anchor assembly comprises two sacral anchor screws (1, 2), a link assembly (3) including: a sacral connecting part (10) assembled to a sacral anchor plate (11) with polyaxiality, i.e. having possible multi-directional tilting relative to the said first screw (1), and possible pivot relative to the said sacral anchor plate (11); two nuts (5) able to be screwed onto the said shanks (9) of the said first and second screws (1, 2), a first nut (5) is able to clamp this part (10) against a bearing surface (8) formed in the said first screw (1), for tilt and pivot immobilisation of this part (10) relative to the said sacral anchor plate (11).

Classes IPC  ?

• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Abrégé

This equipment comprises at least one rigid connecting bar (2), first and second bone anchoring members (3, 4) and first and second connecting parts (5, 6), capable of connecting the connecting bar (2) to said bone anchoring members (3, 4). According to the invention, each second bone anchoring member is in the form of a flexible ligament (4) capable of being engaged around the lamina (101) or an apophysis of a vertebra (100); each second connecting part (6) comprises a conduit (11) receiving said ligament (4) and means (12) for blocking said ligament (4) in the conduit, with tensing of the ligament (4), and each contact member includes at least one rotating part (16; 17) mounted in said second connecting part (6), capable of coming into contact with said connecting bar (2) by a point.

Classes IPC  ?

• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Abrégé

This prosthesis (1) includes two plates and an intermediate damping core (4) placed between both of these plates, this core (4) comprising a first shell (6) and a flexible element placed between this first shell (6) and a part for receiving the core. The first shell (6) and the first receiving part include means (18, 26) for guiding their mutual movement for bringing them closer or moving them away from each other. According to the invention, the receiving part includes a cavity intended to snugly receive the flexible element. The cavity being delimited by a first peripheral wall and by a bottom wall. The first peripheral wall having an external peripheral face; and the first shell (6) has a second peripheral wall forming an internal face. The internal face, when the first shell (6) and the receiving part are in their assembling condition, coming into close proximity to said external peripheral face and being able to slide along the latter.

Classes IPC  ?

• A61F 2/44 - Articulations pour l'épine dorsale, p. ex. vertèbres, disques intervertébraux
• A61F 2/30 - Articulations

Abrégé

This item of vertebral osteosynthesis equipment comprises at least one bone anchoring member (51) including a proximal threaded pin, at least one connecting part (52) comprising a hole (58) for the engagement of same on said proximal threaded pin, and at least one nut intended to be screwed onto the thread provided on the outside of the pin (54) in order to receive said nut. According to the invention, -the revision assembly (1) comprises a threaded extension rod (2) having a widened end (6) that defines a threaded axial cavity (10), said threaded axial cavity (10) being dimensioned to allow the threaded extension rod (2) to be screwed onto said thread provided on the threaded pin (54); -the hole (58) provided in said connecting part (52) has a diameter such that it can receive said widened end (6) of the threaded extension rod (2) therethrough; and -the revision assembly (1) comprises a so-called "reassembly" nut suitable for being screwed onto said threaded extension rod (2). Figure 9

Classes IPC  ?

• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 19/00 - Instruments, outillage ou accessoires pour la chirurgie ou le diagnostic non couverts par l'un des groupes A61B 1/00-A61B 18/00, p.ex. pour stéréotaxie, opération aseptique, traitement de la luxation, protecteurs des bords des blessures(masques de protection du visage A41D 13/11; blouses de chirurgien ou vêtements pour malades A41D 13/12; dispositifs pour retirer, traiter ou transporter les liquides du corps A61M 1/00)

Abrégé

The anchor member (1) includes an anchoring base (2) having a peripheral proximal wall (5) that inwardly delimits a proximal cavity, and a proximal stud (3) including a distal articulation portion (7) received in the proximal cavity, the proximal wall (5) including a peripheral proximal rim (6) ensuring retention of the distal articulation portion (7) in that proximal cavity. According to the invention, the distal articulation portion (7) has a peripheral edge dimensioned to come into the immediate vicinity of the inner surface of the proximal wall (5), and has a convex distal surface (9) whereof the apex is situated substantially at the axis of the proximal stud (3); and the anchor member (1) includes an elastically deformable element (10) placed in the bottom of said proximal cavity, having a curved shape whereof the apex is situated substantially at the axis of the proximal cavity, the surface (9) bearing against this element (10), and the latter being permanently elastically deformed such that it continuously presses the portion (7) against the rim (6).

Classes IPC  ?

• A61B 17/86 - Chevilles ou vis
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 19/00 - Instruments, outillage ou accessoires pour la chirurgie ou le diagnostic non couverts par l'un des groupes A61B 1/00-A61B 18/00, p.ex. pour stéréotaxie, opération aseptique, traitement de la luxation, protecteurs des bords des blessures(masques de protection du visage A41D 13/11; blouses de chirurgien ou vêtements pour malades A41D 13/12; dispositifs pour retirer, traiter ou transporter les liquides du corps A61M 1/00)

Abrégé

The equipment includes at least one connecting bar, at least one flexible ligament, and at least one connector making it possible to connect the ligament to the connecting bar. The connector having a first conduit for engaging the connecting bar, equipped with a device for immobilizing the connector relative to the connecting bar, and a second conduit for receiving at least one strand of the ligament, having an insertion opening for this or these strands and an outlet opening for this or these strands, and equipped with devices for mobilizing the ligament relative to the connector. The second conduit is rectilinear between the insertion opening of the strand(s) of the ligament and the outlet opening. The second conduit has a transverse section adjusted to the transverse section of the strand(s) of the ligament that it is intended to receive, i.e. a transverse section just sufficient to allow sliding of the strand(s) of the ligament in the second conduit, but such that the strand(s) are in close contact with the walls delimiting the second conduit.

Classes IPC  ?

• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 17/84 - Attaches pour ces dispositifs

Abrégé

This Implant (1) includes, in a known manner, two pieces (2, 3) that are telescopically mobile relative to one another and elements (4) for positioning one piece (3) in a particular position relative to the other piece (2), the two pieces (2, 3) being made from a polymer material. At least one of the two pieces (2, 3) has a plurality of micro-cavities (15, 20, 32) over at least one wide portion of its peripheral wall (5); and the implant includes internal communications (16, 21, 33) in its wall(s) (5, 7, 31) including the micro-cavities (15, 20, 32), connecting all or some of the micro-cavities to one another.

Classes IPC  ?

• A61F 2/44 - Articulations pour l'épine dorsale, p. ex. vertèbres, disques intervertébraux
• A61F 2/30 - Articulations
• A61F 2/46 - Outils particuliers pour l'implantation des articulations artificielles

Abrégé

The plate (1) has a generally triangular shape and includes two juxtaposed lower holes (7), intended to receive implantation screw (2) in the sacrum (100), and a first upper hole (8) for receiving an implantation screw (2) in the fifth lumbar vertebra (101). According to the invention, the plate (1) includes an extension (6) integral therewith, extending its upper side, i.e. protruding from the side opposite the two juxtaposed lower holes (7), the extension (6) having a second upper hole (15) formed in its entirety thereon, for receiving a second screw (2) intended to be implanted in the fifth lumbar vertebra (101), and having, at all points of its length, a width not greater than two times the diameter of the second upper hole (15); the direction in which the extension (6) protrudes from the plate (1) is such that the first upper hole (8) and the second upper hole (15) are placed on a first line (L1) substantially perpendicular to a second line (L2) passing through the two juxtaposed lower holes (7).

Classes IPC  ?

• A61B 17/88 - Moyens ou procédés pour implanter ou pour extraire des dispositifs de fixation interne
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 17/80 - Plaques corticales

Abrégé

This equipment comprises at least one connecting bar and at least one sacrum anchor assembly(1-3, 5). According to the invention, each sacrum anchor assembly comprises: -two sacral anchor screws (1,2), -a link assembly (3) including: -a sacral connecting part (10)assembled to a sacral anchor plate (11) with polyaxiality, i.e. having possible multi-directional tilting relative to the said first screw (1), and possible pivot relative to the said sacral anchor plate (11); -two nuts (5) able to be screwed onto the said shanks (9) of the said first and second screws (1, 2), a first nut (5)is able to clamp this part (10) against a bearing surface (8)formed in the said first screw (1), for tilt and pivot immobilisation of this part (10) relative to the said sacral anchor plate (11).

Classes IPC  ?

• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Abrégé

This equipment comprises at least one rigid connecting bar (2), first and second bone anchoring members (3, 4) and first and second connecting parts (5, 6), capable of connecting the connecting bar (2) to said bone anchoring members (3, 4). According to the invention, -each second bone anchoring member is in the form of a flexible ligament (4) capable of being engaged around the lamina (101) or an apophysis of a vertebra(100); -each second connecting part (6) comprises a conduit (11) receiving said ligament (4) and means (12) for blocking said ligament (4) in the conduit, with tensing of the ligament (4), and -each contact member includes at least one rotating part (16; 17) mounted in said second connecting part (6), capable of coming into contact with said connecting bar (2) by a point.

Classes IPC  ?

• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Abrégé

In this assembly; each connecting piece comprises engaging means situated outside said conduit for engaging a connecting bar and outside said conduit for engaging on an anchor member, making it possible to grasp said connecting piece using a handling instrument. The assembly comprises at least one handling instrument comprising engaging means complementary to those comprised by each connecting piece. According to the invention, each anchor member is equipped with a proximal shaft, the length of which is such that it protrudes past the patient's skin after implantation of said anchor member on a vertebra. Each handling instrument is tubular and can be engaged on the proximal shaft of each anchor member so as to allow the movement of a connecting piece grasped by the instrument along the proximal shaft of each anchor member.

Classes IPC  ?

• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Abrégé

This prosthesis (1) includes two plates (2, 3) and an intermediate damping core(4) placed between both of these plates (2, 3), this core (4) comprising a first shell (6) and a flexible element (11) placed between this first shell (6) and a part (5; 2) for receiving this core, said first shell (6) and said first receiving part (5; 2) comprising means (18, 26) for guiding their mutual movement for bringing them closer or moving them away from each other. According to the invention, -said receiving part (5; 2) comprises a cavity (19) intended to snugly receive the flexible element (11), this cavity (19) being delimited by a first peripheral wall (18) and by a bottom wall, said first peripheral wall (18) having an external peripheral face; and -said first shell (6) has a second peripheral wall (26) forming an internal face, this internal face, when said first shell (6) and the receiving part (5; 2) are in their assembling condition, coming into close proximity to said external peripheral face and being able to slide along the latter.

Classes IPC  ?

• A61F 2/44 - Articulations pour l'épine dorsale, p. ex. vertèbres, disques intervertébraux

Abrégé

This prosthesis (1) comprises: -two pairs (2, 3) of elongated joint elements (6-9) forming disc joint surfaces (6e- 9e) and facet joint surfaces (6b-9b); -means (10a, 10b, 11a, 11b) for positioning one pair (2, 3) of elements relative to the other. According to the invention, -each disc joint surface (6e-9e) is in the shape of a hemisphere portion; -said positioning means comprise posterior positioning surfaces (10a-11b); -the prosthesis is associated with at least one rigid transverse element (4, 5) comprising positioning surfaces designed to be placed against said posterior positioning surfaces (10a-11b), this placement making it possible to perform relative positioning of one pair of joint elements (6, 8) relative to the other pair of joint elements (7, 9) such that the disc joint surfaces (6e, 7e, 8e, 9e) are situated in a same geometric hemisphere (H).

Classes IPC  ?

• A61F 2/44 - Articulations pour l'épine dorsale, p. ex. vertèbres, disques intervertébraux

Abrégé

This system includes a retaining housing formed by a hole intended to receive the anchoring member and a retaining portion arranged on the anchoring member; said retaining housing is arranged in a part having a degree of elastic flexibility and is delimited by a continuous wall of this part; the retaining housing, on the side of a first axial end, forms a first collar forming a continuous circular projection capable of being elastically deformed by the retaining portion arranged on the anchoring member; the wall of said part delimiting the retaining housing also forms, on a second axial end, a second collar not able to be elastically deformed by said retaining portion.

Classes IPC  ?

• A61F 2/44 - Articulations pour l'épine dorsale, p. ex. vertèbres, disques intervertébraux
• A61B 17/80 - Plaques corticales
• A61B 17/86 - Chevilles ou vis
• A61F 2/30 - Articulations

Abrégé

The anchor member (1) comprises an anchoring base (2) including a peripheral proximal wall (5) that inwardly delimits a proximal cavity, and a proximal stud (3) including a distal articulation portion (7) received in said proximal cavity, said proximal wall (5) including a peripheral proximal rim (6) ensuring retention of said distal articulation portion (7) in that proximal cavity. According to the invention, -the distal articulation portion (7) has a peripheral edge dimensioned to come into the immediate vicinity of the inner surface of said proximal wall (5), and has a convex distal surface (9) whereof the apex is situated substantially at the axis of the proximal stud (3); and -the anchor member (1) comprises an elastically deformable element (10) placed in the bottom of said proximal cavity, having a curved shape whereof the apex is situated substantially at the axis of said proximal cavity, the surface (9) bearing against this element (10), and the latter being permanently elastically deformed such that it continuously presses said portion (7) against said rim (6)

Classes IPC  ?

• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Abrégé

The equipment (1) comprises an intervertebral implant (2), designed to be inserted between the bodies of two vertebrae (100), and screws (3) for immobilizing the implant (2) in relation to the vertebrae (100), the implant (2) forming two respective bearing surfaces (6, 7) for the bodies of the vertebrae (100) and comprising engagement holes (8, 9) adjusted to at least one first screw (3) and at least one second screw (3); the axis of at least one first hole (8), oriented on the side of a first of said bearing surfaces (6), forms a first angle in the sagittal plane with a horizontal median plane (P) of the implant (2), and the axis of at least one second hole (9), oriented on the side of the second of said bearing surfaces (7), forms a second angle in the sagittal plane with that same horizontal median plane (P) of the implant. According to the invention, said first angle is from 40° to 50°, and-said second angle is from 20° to 30°.

Classes IPC  ?

• A61F 2/44 - Articulations pour l'épine dorsale, p. ex. vertèbres, disques intervertébraux

Abrégé

The equipment includes at least one connecting bar (3), at least one flexible ligament (2), and at least one connector (1 ) making it possible to connect said ligament (2) to said connecting bar (3), the connector (1 ) including a first conduit for engaging the connecting bar (3), equipped with means (16) for immobilizing the connector (1 ) relative to said connecting bar (3), and a second conduit (13) for receiving at least one strand of the ligament (2), ), having an insertion opening (18) for this or these strands and an outlet opening for this or these strands, and equipped with means (20) for mobilizing the ligament (2) relative to the connector (1 ); According to the invention: - said second conduit (13) is rectilinear between said insertion opening (18) of the strand(s) of the ligament and said outlet opening, and - said second conduit (13) has a transverse section adjusted to the transverse section of the strand(s) of the ligament that it is intended to receive, i.e. a transverse section just sufficient to allow sliding of the strand(s) of the ligament in said second conduit, but such that the strand(s) are in close contact with the walls delimiting said second conduit.

Classes IPC  ?

• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61B 17/84 - Attaches pour ces dispositifs

Abrégé

This plate (1) has a generally triangular shape and comprises two juxtaposed lower holes (7), intended to receive implantation screw (2)s in the sacrum (100), and a first upper hole (8) for receiving an implantation screw (2) in the fifth lumbar vertebra (101). According to the invention, the plate (1) comprises an extension (6) integral therewith, extending its upper side, i.e. protruding from the side opposite the two juxtaposed lower holes (7), said extension (6) having a second upper hole (15) formed in its entirety thereon, for receiving a second screw (2) intended to be implanted in the fifth lumbar vertebra (101), and having, at all points of its length, a width not greater than two times the diameter of said second upper hole (15); the direction in which said extension (6) protrudes from the plate (1) is such that said first upper hole (8) and said second upper hole (15) are placed on a first line (L1) substantially perpendicular to a second line (L2) passing through the two juxtaposed lower holes (7).

Classes IPC  ?

• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Abrégé

This Implant (1) comprises, in a known manner, two pieces (2, 3) that are telescopically mobile relative to one another and means (4) for positioning one piece (3) in a particular position relative to the other piece (2), the two pieces (2, 3) being made from a polymer material. According to the invention: - at least one of the two pieces (2, 3) has a plurality of micro-cavities (15, 20, 32) over at least one wide portion of its peripheral wall (5); and - the implant comprises internal communications (16, 21, 33) in its wall(s) (5, 7, 31) comprising the micro-cavities (15, 20, 32), connecting all or some of the micro-cavities to one another.

Classes IPC  ?

• A61F 2/44 - Articulations pour l'épine dorsale, p. ex. vertèbres, disques intervertébraux

Abrégé

A vertebral osteosynthesis equipemnt including an intervertebral implant (1); a member (2) for connecting vertebral bodies (100) of both treated vertebrae intended to be assembled to the intervertebral implant (1); and a member (3) for assembling the connecting member (2) to the intervertebral implant (1). The intervertebral implant (1) includes on its proximal side relatively to the direction of its introduction into the intervertebral space (102), a hole comprising two coaxial portions, i.e. a proximal portion of larger section and a distal portion of smaller section, these proximal and distal portions comprising respective connecting means. The connecting member (2) includes a hole which allows it to be engaged onto a guiding rod (50) intended to be inserted into said distal portion (13) of the hole of the implant (1), and the assembling member (3) comprises a conduit on this guiding rod (50).

Classes IPC  ?

• A61F 2/44 - Articulations pour l'épine dorsale, p. ex. vertèbres, disques intervertébraux
• A61F 2/46 - Outils particuliers pour l'implantation des articulations artificielles
• A61B 17/064 - Agrafes chirurgicales
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
• A61F 2/28 - Os
• A61F 2/30 - Articulations

Abrégé

A prosthesis comprises having two portions independent of each other, a first portion and a second portion, at least one of which includes an articular surface, said first portion and said second portion each comprising a circular seat delimited by an arched wall. An element of the prosthesis is an O-ring in an elastically deformable material, and one of said seats is dimensioned to receive a radially outer portion of this ring while the other seat is dimensioned to receive a radially inner portion of this ring.

Classes IPC  ?

• A61F 2/44 - Articulations pour l'épine dorsale, p. ex. vertèbres, disques intervertébraux
• A61F 2/30 - Articulations

Abrégé

This implant (1 ) comprises a body (5) and intermediate and side walls (15, 16, 17) forming anchoring parts able to be anchored on portions of lamina (101 ). According to the invention, the anchoring parts are "inverted U"-shaped, so that, when the body (5) is arranged in said implantation position, the direction of engagement of these walls on the portions of lamina (101 ) is parallel to the cranial-caudal direction of the vertebral column, i.e. the general longitudinal direction of said vertebral column, and said central body (5) comprises mounting means (3) allowing one or more grafts (103) to be mounted thereon that can extend from one resected surface (102) of a portion of lamina (101 ) to the resected surface (102) of the other portion of lamina (101 ), so that the ends of that or those grafts (103) can be situated, after placement, in the immediate vicinity of said resected surfaces (102).

Classes IPC  ?

• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Abrégé

In this assembly, - each connecting piece (4, 5) comprises engaging means situated outside said conduit for engaging a connecting bar (6) and outside said conduit for engaging on an anchor member, making it possible to grasp said connecting piece (4, 5) using a handling instrument (1 ); - the assembly comprises at least one handling instrument (1 ) comprising engaging means complementary to those comprised by each connecting piece (4, 5); According to the invention, - each anchor member (3) is equipped with a proximal shaft (42), the length of which is such that it protrudes past the patient's skin after implantation of said anchor member (3) on a vertebra; and - each handling instrument (1 ) is tubular and can be engaged on the proximal shaft (42) of each anchor member (3) so as to allow the movement of a connecting piece (4, 5) grasped by the instrument (1 ) along the proximal shaft (42) of each anchor member (3).

Classes IPC  ?

• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Produits et services

Osteosynthetic material for the spinal column; prostheses for the spinal column, artificial intervertebral disks, intervertebral implants; instruments for implanting osteosynthetic material and prostheses for the spinal column, artificial intervertebral disks and intervertebral implants; surgical and medical apparatus and instruments, orthopedic articles; surgical implants [artificial materials], artificial limbs; artificial limbs; suture materials.

Abrégé

This system comprises a retaining housing (22) formed by a hole intended to receive the anchoring member (2) and a retaining portion (5) arranged on the anchoring member (2); - said retaining housing (22) is arranged in a part (4; 50) having a degree of elastic flexibility and is delimited by a continuous wall of this part (4; 50); - the retaining housing (22), on the side of a first axial end, forms a first collar (27) forming a continuous circular projection capable of being elastically deformed by the retaining portion (5) arranged on the anchoring member (2); the wall of said part (4; 50) delimiting the retaining housing (22) also forms, on a second axial end, a second collar (28) not able to be elastically deformed by said retaining portion (5).

Classes IPC  ?

• A61B 17/80 - Plaques corticales
• A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant

Produits et services

Osteosynthesis materials for the spinal column, namely, vertebral osteosynthesis apparatus for the spine and osteosynthesis equipment for securing the spine; prostheses for the spinal column; prostheses for vertebral disks; intervertebral implants comprised of artificial material; surgical instruments, namely, impactors, screwdrivers and guiding rods for implementing vertebral osteosynthesis apparatus, osteosynthesis equipment for securing the spine, and intervertebral implants or prosthetic vertebral discs

Abrégé

An implant that allows immobilization of one vertebra in relation to another, having two lateral walls essentially parallel one with respect to the other and having a length, and at least one transverse wall connecting these lateral walls one to the other, at least one of these lateral walls having, on its side facing the side opposite the other lateral wall, slide prevention reliefs. The invention, the implant has, in a direction perpendicular to the length of the lateral walls, a dimension such that its two lateral walls are capable of coming into the immediate vicinity of the unci of the underlying vertebrae, the slide prevention reliefs of each of lateral wall thus being able to bear against the internal surface of the uncus of the underlying vertebra adjacent this lateral wall.

Classes IPC  ?

• A61F 2/44 - Articulations pour l'épine dorsale, p. ex. vertèbres, disques intervertébraux