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    • 25. 发明授权
    • Apparatus and method for knee implantation
    • 膝关节植入装置及方法
    • US5830216A
    • 1998-11-03
    • US742427
    • 1996-10-30
    • John N. InsallGiles R. ScuderiPascal PoilvacheRobert A. HodorekDavid J. Krueger
    • John N. InsallGiles R. ScuderiPascal PoilvacheRobert A. HodorekDavid J. Krueger
    • A61B17/15A61B17/58
    • A61B17/155
    • A set of instruments and a surgical technique facilitate precise orientation of the femoral implant. Precision is aided by decoupling the determination of A/P placement, valgus angle, and external rotation into three discrete steps. In this way, a surgeon's full concentration can be directed to each element of placement and fine adjustments can readily be made to each. An Epicondylar Guide is configured to ease referencing external rotation from the epicondyles. The narrow elongated guide is easily alignable with the epicondyles when it is placed on the flat distal cut. A Posterior Reference/Rotation Guide can be attached to the Epicondylar Guide to check the rotation relative to the intact posterior condyles to confirm the epicondylar setting. A slot in the guide guides a saw blade to cut a corresponding slot in the distal femur. An A/P Cutting Guide has a fin that fits in the slot cut in the distal femur. With the A/P Cutting Guide engaging the slot and resting on the flat distal cut, external rotation is fixed and the A/P Cutting Guide can only move in the A/P direction. By moving the guide in the A/P direction, fine adjustments in the flexion and extension gaps can be made. Once A/P placement is set, the anterior and posterior cuts are made through slots in the guide. In an alternative embodiment, the Epicondylar Guide defines a linear track attached to the distal femur and the A/P Cutting Guide includes a slot configured to engage the linear track.
    • 一套仪器和手术技术有助于股骨植入物的精确定向。 通过将A / P放置,外翻角度和外部旋转的确定解耦为三个离散步骤来辅助精确度。 以这种方式,外科医生的全面集中可以针对每个放置元件,并且可以容易地对每个元件进行微调。 上髁指南被配置为简化从上髁的外旋转。 当细长导轨放置在平坦的远端切口上时,细长的导轨可以很容易地与上髁对齐。 后参考/旋转指南可以附着到“上髁指南”,以检查相对于完整的后髁的旋转,以确认上髁的设置。 引导件中的狭槽引导锯片切割股骨远端的相应狭槽。 A / P切割导轨具有适合在股骨远端切割的狭槽的翅片。 使用A / P切割导轨接合槽并搁置在平坦的远端切口上,外部旋转固定,A / P切割导轨只能沿A / P方向移动。 通过在A / P方向移动导轨,可以对屈曲和伸展间隙进行微调。 一旦设置了A / P放置,则前和后切口通过导轨中的狭槽制成。 在替代实施例中,上髁导向件限定了连接到远端股骨的线性轨道,并且A / P切割引导件包括配置成接合线性轨道的槽。
    • 28. 发明授权
    • Surgical instrument adapter
    • 手术器械适配器
    • US08372083B2
    • 2013-02-12
    • US11643453
    • 2006-12-21
    • Jody L. ClaypoolRobert A. HodorekAdam M. Griner
    • Jody L. ClaypoolRobert A. HodorekAdam M. Griner
    • A61B17/90
    • A61B17/15A61B17/17A61B90/50
    • An adapter to provide moveable configurations of securing structures such as fastener apertures or throughbores for fastening a surgical instrument to an anatomical structure, such as a bone. The adapter is connectable to the surgical instrument in a plurality of discrete locations on the surgical instrument, thereby allowing a surgeon to select an optimum fixation location for fastening the surgical instrument to the anatomical structure. The adapter may be cannulated to accommodate a fastener and may be slidably affixed to the surgical instrument while simultaneously providing stable fixation between the surgical instrument and the bone. The adapter may be configured to mate with another adapter having a similar configuration such that multiple fixation locations may be provided to the surgeon. Moreover, a plurality of adapters may be connected to the surgical instrument either directly or indirectly through another adapter to select multiple optimum fixation locations.
    • 用于提供诸如紧固件孔或固定结构的固定结构的可移动构造的适配器,用于将外科器械固定到诸如骨骼的解剖结构上。 适配器可以在手术器械上的多个离散位置中连接到手术器械,从而允许外科医生选择用于将外科器械紧固到解剖结构的最佳固定位置。 适配器可以被插入以容纳紧固件,并且可以可滑动地固定到手术器械上,同时在外科器械和骨之间提供稳定的固定。 适配器可以被配置为与具有相似配置的另一适配器配合,使得可以向外科医生提供多个固定位置。 此外,多个适配器可以通过另一适配器直接或间接连接到外科器械,以选择多个最佳固定位置。