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1. 发明授权

US5769856A Drill guide and implant method 失效
标题翻译：钻孔导轨和植入法
公开(公告)号：US5769856A
公开(公告)日：1998-06-23
申请号：US669078
申请日：1996-06-24
申请人： Nicholas N. G. Dong , Peter J. Abitante
发明人： Nicholas N. G. Dong , Peter J. Abitante
IPC分类号： A61B17/17 , A61F2/30 , A61F2/40 , A61F5/04
CPC分类号： A61F2/4081 , A61B17/1778 , A61F2002/30894
摘要： Apparatus and method for locating holes to be drilled in natural bone, such as a scapula at a site for a prosthetic implant component, such as a glenoid component to be affixed to the scapula for providing a bearing for a humeral head in a shoulder prosthesis, the apparatus and method including seating a guide block against the scapula at the site for the glenoid component, the guide block having an upper end and a lower end spaced in a longitudinal direction from the upper end, drilling a first hole in the scapula along a first transverse direction by guiding a drill through a first drill guide bore adjacent the upper end of the guide block and extending in the first transverse direction through the guide block, the guide block including a second drill guide bore adjacent the lower end of the guide block and extending in a second transverse direction through the guide block, inserting a locator pin into the first hole in the scapula, with the locator pin projecting from the guide block along one of the first and second transverse directions for reception within the first hole along the first transverse direction, and seating the guide block on the scapula to locate the second transverse direction relative to the scapula, and drilling a second hole in the scapula along the second transverse direction by guiding a drill through the second drill guide bore.
摘要翻译：用于定位要在天然骨中钻孔的装置和方法，例如用于假体植入部件的位置处的肩胛骨，例如将被固定到肩胛骨上的关节盂部件，用于为肩假体中的肱骨头提供轴承，所述装置和方法包括将引导块抵靠在肩胛骨部位处的关节盂部件的位置处，所述引导块具有沿着上端在纵向方向上隔开的上端和下端，沿着肩胛骨通过引导钻头穿过与引导块的上端相邻的第一钻孔引导孔，并且在第一横向方向上穿过引导块，引导块包括邻近导向块的下端的第二钻子引导孔并且沿第二横向方向延伸穿过引导块，将定位销插入到肩胛骨中的第一孔中，定位销从引导块突出 k沿第一和第二横向方向之一沿着第一横向方向在第一孔内接收，并且将引导块安置在肩胛骨上以相对于肩胛骨定位第二横向方向，并且在肩胛骨中钻出第二孔所述第二横向方向通过引导钻头穿过所述第二钻孔引导孔。

2. 发明授权

US5282865A Humeral shoulder prosthesis 失效
标题翻译：肱骨肩假体
公开(公告)号：US5282865A
公开(公告)日：1994-02-01
申请号：US903068
申请日：1992-06-22
申请人： Nicholas N. G. Dong
发明人： Nicholas N. G. Dong
IPC分类号： A61F2/00 , A61F2/30 , A61F2/40
CPC分类号： A61F2/30771 , A61F2/40 , A61F2002/30574 , A61F2002/30604 , A61F2002/3082 , A61F2002/30836 , A61F2002/30884 , A61F2002/30902 , A61F2002/4051 , A61F2002/4062 , A61F2002/4077 , A61F2310/00023 , A61F2310/00029
摘要： A modular humeral shoulder prosthesis for implant in a predetermined position in the natural humerus to replace the natural humeral head of a shoulder joint with a prosthetic implant has a humeral head component including a humeral head member with a spherical bearing surface of predetermined radius extending from an origin to the bearing surface, an undersurface extending in a first direction, an elongate post integral with and projecting in a given direction from the humeral head member, the given direction making a first acute angle with the first direction, and a post portion on the post, and a humeral stem component including a platform having an upper surface, a stem integral with and depending from the platform, the stem extending along a longitudinal axis for alignment generally longitudinally along the natural humerus, the upper surface extending in a second direction making a second acute angle with the longitudinal axis, and an elongate recess in the stem, the recess extending along the stem and including at least a recess portion complementary to the post portion for reception of the post portion within the recess portion in an integrated coupled assembly wherein the humeral head component is affixed to the humeral stem component with the undersurface of the humeral head member confronting the upper surface of the platform when the bearing surface is in the predetermined position to replace the natural humeral head.
摘要翻译：用于植入在天然肱骨中的预定位置以用假肢植入物代替肩关节的天然肱骨头的模块化肱骨肩假体具有包括肱骨头部件的肱骨头部件，所述肱骨头部件具有预定半径的球面轴承表面，起始于所述支承表面，沿第一方向延伸的下表面，与所述肱骨头构件成一整体并沿给定方向突出的细长柱，所述给定方向与所述第一方向成第一锐角，以及在所述第一方向上的柱部分柱和肱骨柄部件，其包括具有上表面的平台，与所述平台成一体且从所述平台悬垂的所述杆，所述杆沿着纵向轴线延伸，用于沿着所述天然肱骨大致纵向对准，所述上表面沿第二方向延伸，与纵向轴线成第二锐角，以及杆中的细长凹槽，凹槽延伸沿着所述杆并且包括至少一个与所述柱部分互补的凹陷部分，用于在所述凹陷部分内的所述凹部中接收所述柱部分，所述组合联接组件中，所述肱骨头部件用肱骨头的下表面固定到所述肱骨柄部件当轴承表面处于预定位置以替换自然肱骨头时，面对面的上表面的构件。

3. 发明授权

US5593448A Glenoid component for shoulder prosthesis and implant method 失效
标题翻译：用于肩假体和植入法的关节置换部件
公开(公告)号：US5593448A
公开(公告)日：1997-01-14
申请号：US555720
申请日：1995-11-14
申请人： Nicholas N. G. Dong
发明人： Nicholas N. G. Dong
IPC分类号： A61F2/30 , A61F2/40 , A61F2/46
CPC分类号： A61F2/4081 , A61F2/40 , A61F2002/30822 , A61F2002/30892 , A61F2002/30894 , A61F2002/4018 , A61F2002/4631
摘要： Affixation of a glenoid component of a prosthetic shoulder implant is enhanced and forces exerted upon the glenoid component during service are managed by the location and orientation of affixation pegs on the glenoid component, and especially the location of a medially extending superior affixation peg closely adjacent the superior edge of the glenoid component, and the offset orientation of an inferior affixation peg, relative to the superior affixation peg, the glenoid component including intermediate affixation pegs extending medially and spaced from one another in the anterior-posterior direction intermediate the superior affixation peg and the inferior affixation peg.
摘要翻译：假体肩部植入物的关节盂部件的附着被增强，并且在使用过程中施加在关节盂部件上的力由关节盂部件上的固定栓的位置和取向来管理，特别是内侧延伸的较好的附着拴紧位置关节盂部件的上边缘以及相对于上固定钉的下固定钉的偏移取向，关节盂部件包括在前后方向上中间和间隔延伸的中间固定栓钉，该中间固定销钉位于上附着栓钉之间，下贴钉。

4. 发明授权

US06475243B1 Acetabular cup assembly with selected bearing 有权
标题翻译：髋臼杯装配有选定轴承
公开(公告)号：US06475243B1
公开(公告)日：2002-11-05
申请号：US09665025
申请日：2000-09-19
申请人： Michael B. Sheldon , Nicholas N. G. Dong
发明人： Michael B. Sheldon , Nicholas N. G. Dong
IPC分类号： A61F232
CPC分类号： A61F2/32 , A61F2/34 , A61F2002/30215 , A61F2002/30332 , A61F2002/30349 , A61F2002/30354 , A61F2002/30367 , A61F2002/30378 , A61F2002/30387 , A61F2002/30403 , A61F2002/30487 , A61F2002/30538 , A61F2002/30563 , A61F2002/30607 , A61F2002/30616 , A61F2002/30662 , A61F2002/30787 , A61F2002/30822 , A61F2002/30827 , A61F2002/3401 , A61F2002/3403 , A61F2002/3411 , A61F2002/3424 , A61F2002/3435 , A61F2002/3438 , A61F2002/344 , A61F2002/3441 , A61F2002/3448 , A61F2002/3451 , A61F2002/3464 , A61F2002/3482 , A61F2002/3611 , A61F2002/3625 , A61F2220/0025 , A61F2220/0033 , A61F2230/0067 , A61F2250/0006 , A61F2250/0062 , A61F2310/00023 , A61F2310/00029 , A61F2310/00179
摘要： An acetabular cup assembly allows pre-operative or interoperative selection and securement of a bearing member within a shell member of the acetabular cup assembly, the bearing member being selected from a plurality of bearing members having different characteristics, including bearing characteristics, securement characteristics, position characteristics and orientation characteristics, so as to enable a surgeon to select those characteristics most appropriate to a particular patient, as determined by a pre-operative assessment or by an evaluation of conditions encountered at an implant site during the implant procedure, and to incorporate the desired characteristics into the acetabular cup assembly with ease and economy.
摘要翻译：髋臼杯组件允许在髋臼杯组件的壳体构件内的轴承构件的预先操作或互操作选择和固定，所述轴承构件选自具有不同特征的多个轴承构件，包括轴承特性，固定特性，位置特征和取向特征，以便外科医生能够选择最适合于特定患者的那些特征，如通过术前评估或通过在植入手术期间在植入部位遇到的病症的评估来确定的，并且将髋臼杯组装所需的特性，方便经济。

5. 发明授权

US5702477A Acetabular shell with supplemental support and method 失效
标题翻译：髋臼外壳采用补充支撑和方法
公开(公告)号：US5702477A
公开(公告)日：1997-12-30
申请号：US647404
申请日：1996-05-09
申请人： William N. Capello , Nicholas N. G. Dong
发明人： William N. Capello , Nicholas N. G. Dong
IPC分类号： A61B17/86 , A61F2/00 , A61F2/30 , A61F2/32 , A61F2/34 , A61F2/36 , A61F2/46
CPC分类号： A61F2/30734 , A61F2/30724 , A61F2/34 , A61B17/86 , A61F2/32 , A61F2002/30449 , A61F2002/30578 , A61F2002/30787 , A61F2002/30841 , A61F2002/3233 , A61F2002/3401 , A61F2002/3403 , A61F2002/3406 , A61F2002/3453 , A61F2002/3482 , A61F2002/3493 , A61F2002/3611 , A61F2002/4631 , A61F2220/005 , A61F2310/00023
摘要： An acetabular shell is implanted at an acetabulum in a deficient pelvis to establish an effective acetabular site with increased support in posterior and superior directions for an acetabular bearing insert to be affixed in place in the acetabular shell for the reception of a femoral head of a femoral component of a prosthetic hip implant, the acetabular shell including a domed portion having a convex outer surface for engaging the acetabulum, a concave inner surface for reception of the bearing insert, the inner surface extending along a spherical contour up to a generally hemispherical extent, and a rim between the outer and inner surfaces, the rim being placed adjacent an equatorial location along the domed portion and including a superior segment, an inferior segment longitudinally opposite the superior segment, a posterior segment and an anterior segment laterally opposite the posterior segment, an anchoring plate integral with the domed portion adjacent the superior segment of the rim, and a supplemental support web extending along the rim from the posterior segment to the plate at the superior segment, the support web projecting beyond the equatorial location for providing supplemental support for the bearing insert in the posterior and superior directions.
摘要翻译：将髋臼壳植入缺损骨盆的髋臼处，以建立有效的髋臼部位，在髋臼轴承插入物的后后方向上增加支撑，将其固定在髋臼外壳中用于接收股骨头的股骨头假体髋关节植入物的组件，髋臼壳包括具有用于接合髋臼的凸形外表面的圆顶部分，用于接收轴承插入件的凹内表面，内表面沿着球形轮廓延伸到大致半球形的程度，以及在外表面和内表面之间的边缘，边缘沿着圆顶部分邻近赤道位置放置，并且包括上段，与上段纵向相对的下段，后段和与后段横向相对的前段，与顶部相邻的穹顶部分一体的锚固板 e边缘和沿着边缘从后部段延伸到上部段处的板的补充支撑腹板，支撑腹板突出超出赤道位置，以在后部和上部方向上为轴承插入件提供补充支撑。

6. 发明授权

US5571198A Acetabular shell with selectively available bone screw holds 失效
标题翻译：具有选择性可用骨螺钉的髋臼壳
公开(公告)号：US5571198A
公开(公告)日：1996-11-05
申请号：US185062
申请日：1994-01-21
申请人： David A. Drucker , Robert G. Collins , Nicholas N. G. Dong
发明人： David A. Drucker , Robert G. Collins , Nicholas N. G. Dong
IPC分类号： A61B17/86 , A61B17/88 , A61F2/00 , A61F2/30 , A61F2/34 , A61F2/46 , A61F2/32
CPC分类号： A61F2/30744 , A61F2/34 , A61B17/86 , A61B17/8875 , A61F2/30767 , A61F2/4609 , A61F2002/30016 , A61F2002/30136 , A61F2002/30332 , A61F2002/30405 , A61F2002/30408 , A61F2002/30415 , A61F2002/30416 , A61F2002/30589 , A61F2002/30682 , A61F2002/30774 , A61F2002/30787 , A61F2002/30792 , A61F2002/30794 , A61F2002/30795 , A61F2002/30805 , A61F2002/30968 , A61F2002/3401 , A61F2002/3404 , A61F2002/4631 , A61F2002/464 , A61F2002/4641 , A61F2220/0025 , A61F2220/0033 , A61F2230/0004 , A61F2250/0019 , A61F2310/00023
摘要： An improvement in an acetabular cup component of a prosthetic hip implant in which an acetabular shell receives a bearing member within the interior of the acetabular shell and has at least one bone screw hole, the improvement enabling the interoperative selection of implanting the acetabular shell without the employment of a bone screw or with the employment of at least one bone screw for assisting securement of the acetabular shell within the natural bone at the implant site, the improvement including a plug for seating in the bone screw hole to close the bone screw hole, the plug including a fastener arrangement for engaging the acetabular shell to fasten the plug within the bone screw hole, and a sealing arrangement for engaging the acetabular shell essentially to seal the bone screw hole against the migration of debris from the bearing member through the bone screw hole, the fastener arrangement including an operator arrangement for being selectively operated from the interior of the acetabular shell to selectively release the plug from the bone screw hole for removal of the plug through the interior of the acetabular shell to thereby selectively open the bone screw hole for reception of the bone screw.
摘要翻译：髋臼髋关节植入物的髋臼杯部件的改进，其中髋臼壳容纳在髋臼壳内部的轴承构件并且具有至少一个骨螺钉孔，该改进使得能够进行植入髋臼壳的手术选择，而不需要使用骨螺钉或使用至少一个骨螺钉来辅助将髋臼壳固定在植入部位的天然骨骼内，改进包括用于安置在骨螺钉孔中以堵住骨螺钉孔的塞子，塞子包括用于接合髋臼壳以将塞子紧固在骨螺钉孔内的紧固件装置，以及用于接合髋臼壳体的基本上密封骨螺钉孔的密封装置，以抵抗来自轴承构件的碎屑通过骨螺钉的迁移所述紧固件装置包括用于从内部选择性地操作的操作器装置所述髋臼壳体从所述骨螺钉孔选择性地释放所述塞子，以通过所述髋臼壳的内部移除所述塞子，从而选择性地打开所述骨螺钉孔，以接收所述骨螺钉。

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