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21. 发明申请

US20080147116A1 Surgical Fastener 有权
标题翻译：手术紧固件
公开(公告)号：US20080147116A1
公开(公告)日：2008-06-19
申请号：US11931351
申请日：2007-10-31
申请人： Kevin W. Smith , Juergen A. Kortenbach , Robert Sixto
发明人： Kevin W. Smith , Juergen A. Kortenbach , Robert Sixto
IPC分类号： A61B17/064
CPC分类号： A61B17/0643 , A61B17/068 , A61B17/10 , A61B2017/00349 , A61B2017/00827
摘要： A surgical fastener with a safety position includes a lower base having piercing posts each having fixed and coupling ends, first and second base portions respectively attached to the posts, a hinge coupling the base portions, and a bias device imparting force on at least one base portion toward the other and at an angle to the hinge axis. Also provided is an upper fastening portion receiving and selectively coupling the posts. The lower base has a piercing position for coupling with the upper fastener portion where the posts are substantially parallel and a folded position where a distance between a coupling end of the first piercing post and the coupling end of the second piercing post is less than a distance between the fixed end of the first piercing post and the fixed end of the second piercing post.
摘要翻译：具有安全位置的外科紧固件包括具有穿刺柱的下基部，每个具有固定和联接端，分别附接到柱的第一和第二基部，联接基部的铰链和在至少一个基部上施加力的偏置装置部分朝向另一个并且与铰链轴线成一定角度。还提供了接收并选择性地联接柱的上紧固部分。下基座具有穿刺位置，用于与上部紧固件部分联接，其中柱基本上平行，并且折叠位置，其中第一穿刺柱的联接端和第二穿刺柱的联接端之间的距离小于距离在第一穿刺柱的固定端和第二穿孔柱的固定端之间。

22. 发明申请

US20080009871A1 Bone Plate Clamp 审中-公开
标题翻译：骨板钳
公开(公告)号：US20080009871A1
公开(公告)日：2008-01-10
申请号：US11426606
申请日：2006-06-27
申请人： Jorge L. Orbay , Robert Sixto , Cesare Cavallazzi , Jose Luis Francese
发明人： Jorge L. Orbay , Robert Sixto , Cesare Cavallazzi , Jose Luis Francese
IPC分类号： A61F2/30
CPC分类号： A61B17/8866 , A61B17/1728 , A61B17/746 , A61B2017/0046
摘要： A bone plate clamp includes a C-shaped frame with opposing arms spaced apart about a bridge portion. One arm includes a threaded bore into which an adjustable clamping screw having a clamping end is inserted. The clamping screw defines a longitudinal drill guide. The opposite arm has a V-shaped surface oriented to support the bone at two points on the opposite side of the bone from the clamping end of the screw such that the bone clamp securely holds the bone and the bone plate together at three points. The bridge portion is structured to flex when the clamp applies a compressive force between the first and second arms. Flexing of the bridge applies a preload to the clamp which allows the clamp to function as a spring and maintain compression over a range of bone-plate dimensions. The bone plate clamp also includes a removable handle.
摘要翻译：骨板夹具包括C形框架，其具有围绕桥接部分间隔开的相对臂。一个臂包括螺纹孔，其中插入有具有夹紧端的可调节夹紧螺钉。夹紧螺钉限定了纵向钻孔导向器。相对的臂具有V形表面，其被定向成在骨头的相对侧的两个点处从螺钉的夹持端支撑骨，使得骨夹将骨和骨板牢固地保持在三个点处。当夹具在第一和第二臂之间施加压缩力时，桥接部分构造成弯曲。桥的弯曲对夹具施加预载荷，其允许夹具用作弹簧并且在一定范围的骨板尺寸上保持压缩。骨板夹具还包括可移除的手柄。

23. 发明申请

US20080221567A1 ELECTROSURGICAL TISSUE REMOVAL WITH A SELECTIVELY INSULATED ELECTRODE 审中-公开
标题翻译：用绝缘电极去除电磁组织
公开(公告)号：US20080221567A1
公开(公告)日：2008-09-11
申请号：US12027859
申请日：2008-02-07
申请人： Robert Sixto , Charles D. Lennox
发明人： Robert Sixto , Charles D. Lennox
IPC分类号： A61B18/14
CPC分类号： A61B18/149 , A61B18/042 , A61B18/1482 , A61B2017/0088 , A61B2018/00083 , A61B2018/00107 , A61B2018/00136 , A61B2018/00547 , A61B2018/00559 , A61B2018/00577 , A61B2018/1213 , A61B2018/126 , A61B2018/1417 , A61B2218/002 , A61B2218/007
摘要： An electrosurgical device includes an elongated body including a proximal end and a distal end and defining a longitudinal axis, at least one arm coupled to the distal end of the elongated body and an electrode coupled to at least one arm. The electrode includes an upper surface and a lower surface. The lower surface is substantially convex and defines a radius of curvature relative to an axis substantially perpendicular to the longitudinal axis.
摘要翻译：电外科装置包括细长主体，其包括近端和远端并限定纵向轴线，至少一个臂联接到细长主体的远端，以及耦合到至少一个臂的电极。电极包括上表面和下表面。下表面基本上是凸起的并且相对于基本上垂直于纵向轴线的轴限定了曲率半径。

24. 发明申请

US20080207995A1 Surgical clip application assembly 有权
标题翻译：手术夹应用程序组装
公开(公告)号：US20080207995A1
公开(公告)日：2008-08-28
申请号：US11728502
申请日：2007-03-26
申请人： Juergen A. Kortenbach , Robert Sixto , Kevin W. Smith , Charles Slater , Saul Gottlieb
发明人： Juergen A. Kortenbach , Robert Sixto , Kevin W. Smith , Charles Slater , Saul Gottlieb
IPC分类号： A61B17/10 , A61B1/00
CPC分类号： A61B10/06 , A61B17/00234 , A61B17/0218 , A61B17/1227 , A61B17/1285 , A61B18/1445 , A61B2017/00292 , A61B2017/00296 , A61B2017/00464 , A61B2017/2936 , A61B2017/2945 , A61B2017/320064 , A61B2018/00494 , A61B2018/00607 , A61B2018/00982 , A61B2018/1432 , A61B2018/1495 , A61B2090/306 , A61B2090/3614
摘要： An apparatus for the transoral invagination and fundoplication of the stomach to the esophagus includes a clip applier having sharp toothed jaws for grasping and damaging the fundus prior to applying the clip. The clip applier has an overall diameter of less than 7 mm. The clip applier jaws are coupled to a pull wire via a linkage which increases the mechanical advantage and thus permits greater grasping force. A plurality of clip designs are also provided.
摘要翻译：用于腹部经腹壁和胃底部食管的装置包括具有尖锐齿形钳口的施夹器，用于在应用夹子之前抓住并损坏眼底。夹具的整体直径小于7毫米。夹钳夹爪通过连接件联接到拉丝，其增加了机械优点，因此允许更大的抓握力。还提供了多个夹子设计。

25. 发明授权

US06193718B1 Endoscopic electrocautery instrument 失效
标题翻译：内窥镜电烙术
公开(公告)号：US06193718B1
公开(公告)日：2001-02-27
申请号：US09095307
申请日：1998-06-10
申请人： Juergen Andrew Kortenbach , Michael Sean McBrayer , Robert Sixto
发明人： Juergen Andrew Kortenbach , Michael Sean McBrayer , Robert Sixto
IPC分类号： A61B1818
CPC分类号： A61B18/1445 , A61B2018/126 , A61B2018/1412
摘要： This invention relates to endoscopic electrocautery instruments for performing surgery on the tissue of a patient and passing current through the tissue to cause cauterization thereof. The instrument has a proximal end and a distal end and includes an elongated tube, a push rod located within the elongated tube, and a first and second end effector located adjacent a distal end of the elongated tube and controlled for relative movement by the push rod. Various arrangements are disclosed for creating a first and second cautery current path from the instrument proximal end to the first and second end effectors. In accordance with the invention, the end effectors are formed as scissor blade members having various conductive and non-conductive layer arrangements. The layer arrangements of the scissor blade members allow for different cauterization affects. Coupling arrangements between the blade members and the elongated tube are also disclosed.
摘要翻译：本发明涉及用于在患者组织上进行手术并使电流通过组织以引起其烧灼的内窥镜电烙术。仪器具有近端和远端，并且包括细长的管，位于细长管内的推杆，以及位于细长管的远端附近的第一和第二末端执行器，并且被控制以通过推杆相对运动。公开了用于创建从仪器近端到第一和第二端部执行器的第一和第二烧结电流路径的各种布置。根据本发明，端部执行器形成为具有各种导电和非导电层布置的剪刀刀片构件。剪刀片构件的层布置允许不同的烧灼影响。还公开了叶片构件和细长管之间的联接布置。

26. 发明申请

US20070088360A1 Bone stabilization system including multi-directional threaded fixation element 有权
标题翻译：骨稳定系统包括多方向螺纹固定元件
公开(公告)号：US20070088360A1
公开(公告)日：2007-04-19
申请号：US11384773
申请日：2006-03-20
申请人： Jorge Orbay , Alfredo Casteneda , Javier Castaneda , Robert Sixto , Edward Mebarak
发明人： Jorge Orbay , Alfredo Casteneda , Javier Castaneda , Robert Sixto , Edward Mebarak
IPC分类号： A61F2/30
CPC分类号： A61B17/8057 , A61B17/8061 , A61B17/8605 , A61B17/863 , A61B17/866 , A61B2017/8655 , A61B2017/868
摘要： A bone fixation system includes a plate and a set of fixation locking screws. The plate defines a set of locking screw holes each having an internal thread. Each respective locking screw has a head with an external structure that is adapted to self-tap into the internal thread of a given locking screw hole to secure the respective first-type fixation locking screw at an surgeon-directed angle relative to the plate. This angle is defined during forcible insertion and rotation of the respective locking screw into the given screw hole. The system may also include unidirectional locking screws. In a preferred embodiment the plate and first-type of screw are made of different metals, with the plate made of titanium alloy and the screw made of cobalt chrome alloy.
摘要翻译：骨固定系统包括板和一组固定锁定螺钉。该板限定了一组各具有内螺纹的锁定螺钉孔。每个相应的锁定螺钉具有头部，该头部具有外部结构，其适于自攻入给定的锁定螺钉孔的内螺纹，以将相应的第一类型固定锁定螺钉相对于所述板以外科医生角度固定。在相应的锁定螺钉被强制插入和旋转到给定的螺钉孔中时限定该角度。该系统还可以包括单向锁定螺钉。在优选实施例中，板和第一类螺钉由不同的金属制成，其中由钛合金制成的板和由钴铬合金制成的螺钉。

27. 发明申请

US20170360358A1 IMPLANTS, SYSTEMS AND METHODS FOR SURGICAL PLANNING AND ASSESSMENT 审中-公开
公开(公告)号：US20170360358A1
公开(公告)日：2017-12-21
申请号：US15624184
申请日：2017-06-15
申请人： Louis-Philippe Amiot , Joseph Michael O'Reilly , Kenyon Mumford , Alfredo Castaneda , Randy Sessler , Robert M. Ronk , Marcus Bourda , Robert Sixto , Brian M. May , Stephen J. Vankoski , Orsa Britton
发明人： Louis-Philippe Amiot , Joseph Michael O'Reilly , Kenyon Mumford , Alfredo Castaneda , Randy Sessler , Robert M. Ronk , Marcus Bourda , Robert Sixto , Brian M. May , Stephen J. Vankoski , Orsa Britton
IPC分类号： A61B5/00 , A61B5/07 , A61B5/11
CPC分类号： A61B5/4504 , A61B5/0022 , A61B5/0031 , A61B5/076 , A61B5/1118 , A61B5/4848 , A61B5/686 , A61B5/746 , A61B2505/05 , A61B2560/0271 , A61B2560/0276 , A61B2560/028 , A61B2562/0219 , A61B2562/0261 , A61B2562/0271 , G16H40/67
摘要： Example implants, systems and methods using sensors for orthopedic surgical assessment and/or planning are described herein. An example system can include a wearable sensor device for pre-operative use by a patient before an orthopedic surgery to generate pre-operative sensor data. The system can also include an implantable sensor device (e.g., a bone implant) to generate and aggregate post-operative sensor data associated with the patient after the surgery. The system can retrieve the pre-operative sensor data and the post-operative sensor data and predict, analyze or assess an outcome of the surgery.

28. 发明申请

US20160310185A1 CLAVICLE IMPLANTS 审中-公开
标题翻译： CLAVICLE植入物
公开(公告)号：US20160310185A1
公开(公告)日：2016-10-27
申请号：US15136398
申请日：2016-04-22
申请人： Robert Sixto , Andrea Suarez , Juergen A. Kortenbach , Alejandro Perez
发明人： Robert Sixto , Andrea Suarez , Juergen A. Kortenbach , Alejandro Perez
IPC分类号： A61B17/80 , A61B17/88
摘要： A bone plate including a main bone plate body having two opposing curved sections adapted for a clavicle; a bendable waist portion narrower than the main body of the bone plate; and a node at each end of the main body connected to the main body by a bridge portion which is narrower than the main body, wherein the bridge includes a cut-out relief portion on a bottom side of the bone plate.
摘要翻译：一种骨板，包括具有适于锁骨的两个相对的弯曲部分的主骨板体; 可弯腰部分比骨板的主体窄; 以及通过比主体窄的桥接部分连接到主体的主体的每个端部处的节点，其中所述桥包括在所述骨板的底侧上的切口释放部分。

29. 发明申请

US20070233115A1 Bone Plate with Variable Torsional Stiffness at Fixed Angle Holes 有权
标题翻译：在固定角度孔处具有可变扭转刚度的骨板
公开(公告)号：US20070233115A1
公开(公告)日：2007-10-04
申请号：US11557429
申请日：2006-11-07
申请人： Robert Sixto , Jose Luis Francese , Jorge L. Orbay
发明人： Robert Sixto , Jose Luis Francese , Jorge L. Orbay
IPC分类号： A61F2/30
CPC分类号： A61B17/80 , A61B17/8085 , A61B2017/00004
摘要： A bone plate includes at least one torsional modification feature (TMF). Each TMF is structured to decrease the torsional rigidity of the plate relative to longitudinally opposite portions, but may be modified to increase the torsional rigidity thereat. Each TMF is defined by beams contiguous with the lateral sides of the plate, and an opening extending laterally therebetween. In a preferred embodiment, opposed projections extend into the opening to define threaded discontinuous wall portions for receiving an insert, such as a set screw. In one embodiment, bioabsorbable and/or bioactive inserts may be used to temporarily increase the torsional rigidity of the plate during initial fixation and thereafter have reduced torsional rigidity to mimic normal callus. The plate is preferably used with fixed angle fasteners that may be subject to high torsional loads post-operatively.
摘要翻译：骨板包括至少一个扭转修改特征（TMF）。每个TMF被构造成降低板相对于纵向相对部分的扭转刚度，但是可以被修改以增加其上的扭转刚度。每个TMF由与板的侧面相邻的梁以及横向延伸的开口限定。在优选实施例中，相对的突出部延伸到开口中以限定用于接收插入件（例如固定螺钉）的螺纹不连续壁部分。在一个实施方案中，可以使用生物可吸收和/或生物活性插入物来暂时增加初始固定期间板的扭转刚度，此后具有降低的扭转刚度以模拟正常愈伤组织。该板最好与固定角紧固件一起使用，固定角紧固件可能在操作后经受高扭转载荷。

30. 发明申请

US20070233112A1 Method of Bone Plate Shaping 有权
标题翻译：骨板成型方法
公开(公告)号：US20070233112A1
公开(公告)日：2007-10-04
申请号：US11459877
申请日：2006-07-25
申请人： Jorge L. Orbay , Javier E. Castaneda , Juergen A. Kortenbach , Robert Sixto
发明人： Jorge L. Orbay , Javier E. Castaneda , Juergen A. Kortenbach , Robert Sixto
IPC分类号： A61F2/30
CPC分类号： A61B17/1728 , A61B17/1782 , A61B17/80 , A61B17/8052 , A61B17/8061 , A61B17/8085 , A61B17/8863 , A61B17/888 , A61B17/8888 , A61B90/92 , A61B2090/062
摘要： Removable guide tips are pre-assembled into threaded holes of a fracture fixation plate. The guide tips may be used with or without drill guides to guide a drill along the axes of threaded holes defined in the plate. In addition, the tips may be used with bending tools to contour the plate laterally, longitudinally and with twist. More particularly, such plate contouring can be performed while the plate is located on the bone.
摘要翻译：可拆卸的导向尖端预先组装成骨折固定板的螺纹孔。引导尖端可用于或不具有钻子引导件以沿着限定在板中的螺纹孔的轴线引导钻头。此外，尖端可以与弯曲工具一起使用，以横向，纵向和扭转轮廓板。更具体地，可以在板位于骨头上的同时执行这种板形状。

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