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1. 发明授权

US5324291A Bone section reattachment apparatus and method 失效
标题翻译：骨段重新装置及方法
公开(公告)号：US5324291A
公开(公告)日：1994-06-28
申请号：US994320
申请日：1992-12-21
申请人： Michael Ries , Carlos E. Gil , Steven A. Garner
发明人： Michael Ries , Carlos E. Gil , Steven A. Garner
IPC分类号： A61B17/58 , A61B17/80 , A61B17/82 , A61B17/84 , A61F2/30
CPC分类号： A61B17/82 , A61B17/8061 , A61B17/842 , A61F2/30739 , A61F2002/30741 , Y10S606/905
摘要： An implant for use in reattaching a bone section following bone surgery which includes a plate-like member for fitting over at least a portion of the outer surface of the bone section to be reattached. The plate has an inner surface for engaging the bone section and an outer surface facing away from the bone section and side walls extending between the inner and outer surface. The outer surface includes at least one cable holding portion for holding a cable in place. A rectangular body receives the ends of a cable and allows for gripping and holding the cable under tension. The rectangular body has opposing concave sides and a pair of openings parallel to the concave sides for receiving the end of the cable. The rectangular body is collapsible by a crimping tool which pinches the cable in the openings. A recess extends across the outer surface of the plate-like member for receiving the rectangular body with the recess intersecting the cable holding portions.
摘要翻译：一种植入物，用于在骨手术之后重新附着骨段，其包括用于装配在待重新附接的骨部分的外表面的至少一部分上的板状构件。板具有用于接合骨部的内表面和背离骨部的外表面以及在内表面和外表面之间延伸的侧壁。外表面包括用于将电缆保持在适当位置的至少一个电缆保持部分。矩形主体接收电缆的端部，并允许将电缆夹紧并保持在张力下。矩形体具有相对的凹面和平行于凹面的一对开口，用于接收电缆的端部。矩形体可以通过将电缆夹在开口中的压接工具折叠。凹部延伸穿过板状构件的外表面，用于接收具有与电缆保持部分相交的凹部的矩形体。

2. 发明授权

US5665088A Bone section reattachment apparatus and method 失效
标题翻译：骨段重新装置及方法
公开(公告)号：US5665088A
公开(公告)日：1997-09-09
申请号：US660502
申请日：1996-06-07
申请人： Carlos E. Gil , Michael Ries , Steven A. Garner
发明人： Carlos E. Gil , Michael Ries , Steven A. Garner
IPC分类号： A61B17/58 , A61B17/80 , A61B17/82 , A61B17/84 , A61F2/30 , A61F2/36
CPC分类号： A61B17/8061 , A61B17/82 , A61B17/842 , A61F2/30739 , A61F2002/30741 , Y10S606/902
摘要： An implant and method for use in reattaching a removed bone section following bone surgery by using a bone engaging clamp adapted to fit over the outer surface of the removed bone section and engage cables to attach the removed bone to the desired location. The bone engaging clamp is adapted to fit over at least a portion of the outer surface of the removed bone section and has an inner surface for engaging the bone section. Further, the bone engaging clamp has at least one through bore for holding a cable; and at least one associated screw for clamping a tensioned cable in a fixed position relative to the bone engaging clamp to hold the removed bone section securely in place at the point of reattachment.
摘要翻译：一种植入物和方法，用于通过使用适于装配在所移除的骨部分的外表面上的骨接合夹具来重新附接骨手术后的移除的骨段，并接合电缆以将移除的骨附着到期望的位置。骨接合夹具适于装配在去除的骨部分的外表面的至少一部分上，并且具有用于接合骨部分的内表面。此外，骨接合夹具具有用于保持电缆的至少一个通孔; 以及至少一个相关联的螺钉，用于将张紧的电缆相对于骨接合夹具夹持在固定位置，以将移除的骨段在重新附接的位置牢固地保持就位。

3. 发明授权

US08137277B2 Volumetric measurement and visual feedback of tissues 有权
标题翻译：组织的体积测量和视觉反馈
公开(公告)号：US08137277B2
公开(公告)日：2012-03-20
申请号：US13040730
申请日：2011-03-04
申请人： Jeffrey H. Nycz , Carlos E. Gil , William T. Donofrio , Jeetendra Subhash Bharadwaj
发明人： Jeffrey H. Nycz , Carlos E. Gil , William T. Donofrio , Jeetendra Subhash Bharadwaj
IPC分类号： A61B8/00
CPC分类号： A61B8/0875 , A61B8/4281 , A61B8/4472 , A61B8/56
摘要： Apparatus and methods for assessing tissue characteristics such as the dimensions and volume of an osteolytic lesion are disclosed. The apparatus may utilize ultrasound to provide visual and volumetric feedback related to a lesion or other tissue. Further the apparatus may be utilized to determine whether the lesion has been completely removed and filled with the appropriate amount of graft material.
摘要翻译：公开了用于评估组织特征如溶骨性病变的尺寸和体积的装置和方法。该装置可以利用超声波来提供与病变或其他组织相关的视觉和体积反馈。此外，该装置可以用于确定病变是否已被完全去除并且用适量的移植材料填充。

4. 发明申请

US20110295374A1 IMPLANTABLE JOINT PROSTHESIS 审中-公开
标题翻译：可植入的联系
公开(公告)号：US20110295374A1
公开(公告)日：2011-12-01
申请号：US13204187
申请日：2011-08-05
申请人： Vincent Bryan , Alex Kunzler , Charles R. Clark , Robert Conta , Carlos E. Gil
发明人： Vincent Bryan , Alex Kunzler , Charles R. Clark , Robert Conta , Carlos E. Gil
IPC分类号： A61F2/44
CPC分类号： A61B17/1757 , A61B17/02 , A61B17/1664 , A61B17/1671 , A61B17/1675 , A61B17/1684 , A61B90/10 , A61B90/50 , A61B2017/0256 , A61B2017/1602 , A61B2090/034 , A61F2/30742 , A61F2/30744 , A61F2/442 , A61F2/4425 , A61F2/4611 , A61F2002/30204 , A61F2002/30235 , A61F2002/30474 , A61F2002/30499 , A61F2002/30528 , A61F2002/30563 , A61F2002/30578 , A61F2002/30616 , A61F2002/30662 , A61F2002/30673 , A61F2002/30682 , A61F2002/30769 , A61F2002/30772 , A61F2002/443 , A61F2220/0025 , A61F2230/0065 , A61F2230/0069 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00203 , A61F2310/00239 , A61F2310/00407
摘要： The invention relates to a surgical implant that provides an artificial diarthroidal-like joint, suitable for use in replacing any joint, but particularly suitable for use as an intervertebral disc endoprosthesis. The invention contains two rigid opposing shells, each having an outer surface adapted to engage the surfaces of the bones of a joint in such a way that the shells are immobilized by friction between their outer surfaces and the surfaces of the bone. These outer surfaces are sufficiently rough that large frictional forces strongly resist any slippage between the outer surface and the bone surfaces in the joint. They may be convex, and when inserted into a milled concavity, are immediately mechanically stable. Desirably, the outer surfaces of the shells are adapted to allow for bony ingrowth, which further stabilizes the shells in place. The inner surfaces of the shells are relatively smooth, and adapted to slide easily across a portion of the outer surface of a central body disposed between the shells. The central body has a shape that cooperates with the shape of the inner surface of the shell so as to provide a range of motion similar to that provided by a healthy joint. A flexible sheath extends between edges of the opposing shells. The inner surface of this sheath, together with the inner surfaces of the rigid shells, defines a cavity encasing the central body. At least a portion of this cavity is filled with a fluid lubricant, further decreasing the frictional force between inner surfaces of the shell and the surface of the central body.
摘要翻译：本发明涉及一种手术植入物，其提供适于用于替换任何关节，但特别适合用作椎间盘内假体的人造骨关节样关节。本发明包含两个刚性的相对的壳，每个具有外表面，该外表面适合于接合骨头的表面，使得外壳通过其外表面和骨表面之间的摩擦固定。这些外表面足够粗糙，使得大的摩擦力强烈地抵抗接合处的外表面和骨表面之间的任何滑动。它们可以是凸形的，并且当插入铣削凹部时，它们立即机械地稳定。理想地，壳的外表面适于允许骨向内生长，这进一步将壳稳定在适当位置。壳的内表面相对平滑，并且适于容易地滑过设置在壳之间的中心体的外表面的一部分。中心体具有与壳的内表面的形状配合的形状，以提供类似于由健康关节提供的运动范围。柔性护套在相对的壳的边缘之间延伸。该护套的内表面与刚性外壳的内表面一起限定了一个包围中心体的空腔。该空腔的至少一部分填充有流体润滑剂，进一步降低了壳的内表面与中心体的表面之间的摩擦力。

5. 发明申请

US20100198268A1 LOW PROFILE BONE SCREW EXTENDER AND ITS APPLICATION IN MINIMUM INVASIVE SPINAL SURGERIES 有权
标题翻译：低剖面骨螺钉扩张器及其应用于最小入场脊柱外科手术
公开(公告)号：US20100198268A1
公开(公告)日：2010-08-05
申请号：US12364621
申请日：2009-02-03
申请人： Jeffrey ZHANG , Randall N. Allard , Frank J. Schwab , Lawrence G. Lenke , Carlos E. Gil , Greg C. Marik
发明人： Jeffrey ZHANG , Randall N. Allard , Frank J. Schwab , Lawrence G. Lenke , Carlos E. Gil , Greg C. Marik
IPC分类号： A61B17/58
CPC分类号： A61B17/7032 , A61B17/0206 , A61B17/025 , A61B17/7074 , A61B17/7083 , A61B50/30 , A61B2017/0256
摘要： A tissue extender includes a ring defining a proximal end opening to engage a head of a subcutaneous screw, a first extender portion coupled to the ring at a proximal end of the first extender portion, and a second extender portion coupled to the ring at a proximal end of the second extender portion. The first extender portion includes a first coupling portion disposed at a distal end of the first extender portion, and the second extender portion includes a second coupling portion at a distal end of the second extender portion. The first and second extender portions define two side openings disposed on opposite sides of the tissue extender. The distal ends of the first and second extender portions together define a distal end opening. The first coupling portion engages the second coupling portion when the tissue extender is in an extended state. The distal end opening is larger in the extended state than in an unextended state.
摘要翻译：组织延伸器包括限定近端开口以接合皮下螺钉的头部的环，在第一延伸部分的近端处联接到环的第一扩张器部分和在近端处联接到环的第二延伸部分第二延伸部分的末端。第一延伸部分包括设置在第一延伸部分的远端处的第一联接部分，并且第二延伸部分包括在第二延伸部分的远端处的第二联接部分。第一和第二延伸部分限定了设置在组织延伸器的相对侧上的两个侧开口。第一和第二延伸部分的远端一起限定远端开口。当组织延伸器处于伸展状态时，第一联接部分接合第二联接部分。远端开口在伸展状态下大于非延伸状态。

6. 发明授权

US07758583B2 Surgical instrument and method of use for facilitating positioning of an osteochondral plug 有权
标题翻译：用于促进骨软骨塞的定位的手术器械和使用方法
公开(公告)号：US07758583B2
公开(公告)日：2010-07-20
申请号：US11554936
申请日：2006-10-31
申请人： Carlos E. Gil , Jeetendra Subhash Bharadwaj , Michael Allen Dupree
发明人： Carlos E. Gil , Jeetendra Subhash Bharadwaj , Michael Allen Dupree
IPC分类号： A61B17/56 , A61B17/58 , A61B17/88 , A61F2/02 , A61F2/28
CPC分类号： A61F2/4618 , A61F2/30756 , A61F2/3859 , A61F2002/2839 , A61F2002/30261 , A61F2002/30566 , A61F2002/30601 , A61F2002/30759 , A61F2002/4619 , A61F2002/4627 , A61F2230/0082
摘要： A surgical instrument and method are provided for positioning an osteochondral plug within a bone defect site. The instrument includes an elongate shaft, a ribbon, an elongate sleeve and a locking mechanism. The shaft has proximal and distal ends, with the distal end being shaped to contact the osteochondral plug. The ribbon extends along two sides of the shaft and around the distal end, forming a loop that is used to secure the osteochondral plug to the distal end. The sleeve is movably mounted to the shaft for reciprocating relative thereto between retracted and extended positions. The sleeve includes a slot that allows for visualization and cutting of the ribbon. The locking mechanism locks the ribbon in place and thereby controls the size and tension of the loop that surrounds the osteochondral plug, securing it to the distal end of the shaft.
摘要翻译：提供了一种外科手术器械和方法，用于将骨软骨塞塞定位在骨缺损部位内。仪器包括细长轴，带状物，细长套筒和锁定机构。轴具有近端和远端，远端被成形为接触骨软骨塞。带状物沿着轴的两侧延伸并且围绕远端延伸，形成用于将软骨软骨塞固定到远端的环。套筒可移动地安装到轴上，用于在缩回位置和伸出位置之间相对于其往复运动。套筒包括允许可视化和切割色带的槽。锁定机构将带固定在适当位置，从而控制围绕骨软骨塞的环的尺寸和张力，将其固定到轴的远端。

7. 发明授权

US07722614B2 Osteochondral implant fixation method 有权
标题翻译：骨软骨植入固定法
公开(公告)号：US07722614B2
公开(公告)日：2010-05-25
申请号：US11340884
申请日：2006-01-27
申请人： Daniel Shimko , Jeetendra Bharadwaj , Carlos E. Gil , Eric Weeks
发明人： Daniel Shimko , Jeetendra Bharadwaj , Carlos E. Gil , Eric Weeks
IPC分类号： A61F2/28 , A61F2/38
CPC分类号： A61B17/1764 , A61B17/1604 , A61B17/1637 , A61B17/1675 , A61B17/8897 , A61B2090/062
摘要： A surgical procedure and a device used in the procedure according to which one end portion of a guide rod is inserted into the condyle of a damaged area of a human. The rod is used as a guide for a drill bit and a chisel to cut an opening in the condyle.
摘要翻译：一种外科手术和在该过程中使用的装置，其中导杆的一个端部插入到人的受损区域的髁上。该杆用作钻头和凿子以在髁中切开开口的引导件。

8. 发明授权

US07670342B2 Osteochondral implant procedure and device 失效
标题翻译：骨软骨植入手术和装置
公开(公告)号：US07670342B2
公开(公告)日：2010-03-02
申请号：US11338926
申请日：2006-01-25
申请人： Jeetendra Bharadwaj , Carlos E. Gil , Daniel Shimko , Eric Weeks
发明人： Jeetendra Bharadwaj , Carlos E. Gil , Daniel Shimko , Eric Weeks
IPC分类号： A61B17/00
CPC分类号： A61B17/32053 , A61B17/1604 , A61B17/1635 , A61B17/1675 , A61B2017/00477
摘要： A surgical procedure according to which a cutting blade is positioned over an area of the bone to be cut and indicia is projected onto the area. The blade is adjusted relative to the area until the indicia takes a predetermined configuration on the area corresponding to the desired position of the blade relative to the area. Then the blade can be driven to cut an opening in the bone.
摘要翻译：一种外科手术，根据该手术，切割刀片定位在待切割的骨的区域上方，并且将标记投影到该区域上。刀片相对于该区域被调整，直到标记在对应于刀片相对于该区域的期望位置的区域上进行预定的配置。然后可以驱动刀片切割骨头中的一个开口。

9. 发明申请

US20080255562A1 CUTTING INSTRUMENT AND METHOD OF USE FOR PREPARING AN OSTEOCHONDRAL PLUG FOR IMPLANTATION 有权
标题翻译：切割仪器和用于制备用于植入的OSTEOCHONDRAL插管的方法
公开(公告)号：US20080255562A1
公开(公告)日：2008-10-16
申请号：US11734811
申请日：2007-04-13
申请人： Carlos E. Gil , Jeetendra S. Bharadwaj
发明人： Carlos E. Gil , Jeetendra S. Bharadwaj
IPC分类号： A61B17/16
CPC分类号： A61F2/4644 , A61F2/30756 , A61F2002/30617 , A61F2250/0097
摘要： A cutting instrument and method of use for preparing an osteochondral plug for implantation into a bone defect site. The instrument includes a dual function cutting block, a base holder, a rod mechanism and a trimming mechanism. The cutting block has a bore sized to receive the plug, at least one trimming channel and a transverse paring slot. The cutting block functions to hold the plug within the bore to allow for length and cross-sectional sizing. The base holder is constructed to fix the cutting block in a first orientation that allows the rod mechanism to position the plug within the cutting block for accurate length sizing. The base holder is also constructed to fix the cutting block in a second orientation which aligns the cutting block with the trimming mechanism so that an angled blade may engage the trimming channel and cut at least two sides of the plug.
摘要翻译：一种用于制备用于植入骨缺损部位的骨软骨塞的切割工具和方法。该仪器包括双功能切割块，基座，杆机构和修剪机构。切割块具有尺寸适于接收插头的孔，至少一个修剪通道和横向配对槽。切割块用于将塞子保持在孔内以允许长度和横截面尺寸。基座保持器被构造成将切割块固定在第一方向上，该第一方向允许杆机构将插头定位在切割块内以获得精确的长度尺寸。基座保持器还构造成将切割块固定在第二取向上，使切割块与修剪机构对准，使得成角度的叶片可以接合修剪通道并切割插塞的至少两侧。

10. 发明申请

US20080228072A1 Foreign Body Identifier 审中-公开
标题翻译：异物标识符
公开(公告)号：US20080228072A1
公开(公告)日：2008-09-18
申请号：US11687574
申请日：2007-03-16
申请人： Jeffrey H. Nycz , Carlos E. Gil , William T. Donofrio , Stanley Warren Olson , Jeetendra Bharadwaj
发明人： Jeffrey H. Nycz , Carlos E. Gil , William T. Donofrio , Stanley Warren Olson , Jeetendra Bharadwaj
IPC分类号： A61B8/00 , A61B17/00 , A61B17/08 , A61B5/05
CPC分类号： A61B5/05 , A61B5/4509 , A61B8/0833 , A61B8/4455 , A61B8/4472 , A61B8/56
摘要： A surgical instrument for the presence and/or location of a foreign body is disclosed. The surgical instrument is hand-held. In some embodiments, the surgical instrument includes transducers adapted for emitting and/or receiving signals. In such embodiments, the surgical instrument utilizes pulse-echo measurements to determine characteristics and/or location of the foreign body. In other embodiments, the surgical instrument includes a measurement circuit for detecting the presence and/or location of a foreign body by a change in the characteristics of the measurement circuit. The surgical instrument may be utilized to determine such things as the size of a foreign body, the orientation of a foreign body with respect to patient anatomy and/or another foreign body, and whether the foreign body has been completely removed.
摘要翻译：公开了一种用于异物的存在和/或位置的外科器械。手术器械是手持式的。在一些实施例中，外科器械包括适于发射和/或接收信号的换能器。在这样的实施例中，手术器械利用脉冲回波测量来确定异物的特征和/或位置。在其他实施例中，手术器械包括用于通过测量电路的特性的变化来检测异物的存在和/或位置的测量电路。外科器械可用于确定异物的尺寸，异物相对于患者解剖结构和/或另一异物的取向以及异物是否已被完全移除。

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