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51. 发明授权

US08784489B2 Method and apparatus for graft fixation 有权
标题翻译：移植物固定的方法和装置
公开(公告)号：US08784489B2
公开(公告)日：2014-07-22
申请号：US13036781
申请日：2011-02-28
申请人： Troy M. Walters , Kevin T. Stone , Jason D. Meridew
发明人： Troy M. Walters , Kevin T. Stone , Jason D. Meridew
IPC分类号： A61F2/08
CPC分类号： A61B17/1714 , A61B17/1764
摘要： An apparatus and method for performing a surgery, especially an ACL replacement surgery, where a flexible strand insertion rod co-operates with a U-Guide apparatus to insert a flexible strand into a tunnel formed in a bone portion and to guide a pair of drill points to form a pair of tunnels transversely to the tunnel of the insertion rod. The drill points are guided through the insertion rod and the flexible strand is held over the drill points as the transverse tunnels are formed. The insertion rod is then removed from the tunnels formed in the bone and the flexible strand is held looped over the second drill point. Subsequently, a soft tissue replacement is affixed to one end of the flexible strand and pulled over up to the first drill point with the other end of the flexible strand. The first drill point is then used to pull a cross pin through the transverse tunnel to hold the looped end of the soft tissue replacement in place. Finally, the two free ends of the soft tissue replacement are affixed to the bone completing the implantation of a soft tissue replacement.
摘要翻译：一种用于进行手术，特别是ACL替代手术的装置和方法，其中柔性股线插入杆与U型导向装置协作以将柔性股线插入形成在骨部分中的隧道中并引导一对钻头指向横向于插入杆的隧道形成一对隧道。钻孔被引导穿过插入杆，并且当横向隧道形成时，柔性线束被保持在钻尖上。然后将插入杆从形成在骨中的隧道中取出，并且柔性股线环绕在第二钻点上。随后，将软组织置换固定在柔性股线的一端，并与柔性股线的另一端一起拉到第一钻头。然后使用第一钻头将十字销拉过横向隧道，以将软组织置换的环形末端保持在适当位置。最后，将软组织置换的两个自由端固定到完成植入软组织置换的骨上。

52. 发明授权

US08641718B2 Method and apparatus for harvesting cartilage for treatment of a cartilage defect 有权
标题翻译：用于收获软骨以治疗软骨缺损的方法和装置
公开(公告)号：US08641718B2
公开(公告)日：2014-02-04
申请号：US12907610
申请日：2010-10-19
申请人： Jason D. Meridew
发明人： Jason D. Meridew
IPC分类号： A61F2/46
CPC分类号： A61F2/30756 , A61B17/1604 , A61B17/1635 , A61B17/1666
摘要： A method for treating a cartilage defect can include identifying an area of excessive boney growth on at least one of a femoral head and a femoral neck of a patient where the excessive boney growth area is covered with articular cartilage. A portion of the articular cartilage can be harvested from the identified area of excessive boney growth and an area of cartilage damage in an acetabulum of the patient can be identified. The harvested portion of the articular cartilage can be implanted into the identified area of cartilage damage in the acetabulum.
摘要翻译：用于治疗软骨缺损的方法可以包括确定患者的股骨头和股骨颈中的至少一个上的过度生长的区域，其中过度的生长区域被关节软骨覆盖。关节软骨的一部分可以从识别出的过量骨生长区域收获，并且可以鉴定患者的髋臼中的软骨损伤面积。关节软骨的收获部分可以植入髋臼中识别的软骨损伤区域。

53. 发明申请

US20130035766A1 PATIENT-SPECIFIC PELVIC IMPLANTS FOR ACETABULAR RECONSTRUCTION 有权
标题翻译：患者特异性皮瓣植入物用于乙肝重建
公开(公告)号：US20130035766A1
公开(公告)日：2013-02-07
申请号：US13197851
申请日：2011-08-04
申请人： Jason D. Meridew
发明人： Jason D. Meridew
IPC分类号： A61F2/34
CPC分类号： A61F2/34 , A61F2/30734 , A61F2/30942 , A61F2002/30131 , A61F2002/30156 , A61F2002/30176 , A61F2002/30281 , A61F2002/30433 , A61F2002/305 , A61F2002/30576 , A61F2002/30578 , A61F2002/30736 , A61F2002/30948 , A61F2002/3401 , A61F2002/3403 , B33Y80/00
摘要： A pelvic implant includes a first surface including a recess configured for receiving a portion of a flange of an acetabular cage and a patient-specific second surface opposite to the first surface. The patient-specific second surface is preoperatively configured from a three-dimensional digital image of a pelvis of a patient to mate and closely conform to a corresponding surface of the pelvis under the flange in only one position.
摘要翻译：骨盆植入物包括第一表面，其包括构造成用于接收髋臼笼的凸缘的一部分和与第一表面相对的患者特异性第二表面的凹部。病人特定的第二表面在术前由患者的骨盆的三维数字图像配置，以便在仅一个位置处与凸缘下方的骨盆的对应表面配合并紧密地配合。

54. 发明申请

US20120150311A1 METHOD AND APPARATUS FOR ACETABULAR RECONSTRUCTION 有权
标题翻译：乙酸重建方法与装置
公开(公告)号：US20120150311A1
公开(公告)日：2012-06-14
申请号：US13405683
申请日：2012-02-27
申请人： Jason D. Meridew , Phillip M. Gibbs
发明人： Jason D. Meridew , Phillip M. Gibbs
IPC分类号： A61F2/34
CPC分类号： A61F2/34 , A61B17/86 , A61F2/30724 , A61F2/30734 , A61F2/30767 , A61F2/4609 , A61F2/4684 , A61F2002/2835 , A61F2002/30153 , A61F2002/30156 , A61F2002/30327 , A61F2002/30383 , A61F2002/30433 , A61F2002/30535 , A61F2002/30553 , A61F2002/30578 , A61F2002/30616 , A61F2002/30736 , A61F2002/30774 , A61F2002/30787 , A61F2002/3082 , A61F2002/3291 , A61F2002/3401 , A61F2002/3404 , A61F2002/4631 , A61F2220/0025 , A61F2220/0041 , A61F2230/0019 , A61F2230/0023 , A61F2250/0008 , A61F2250/0039 , A61F2250/0058 , A61F2250/0064 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029
摘要： A trial system for a prosthesis is described. The prosthesis can include an acetabular prosthesis generally for implantation in an acetabulum and the surrounding pelvis. The acetabular prosthesis includes an acetabular cup having a substantially concave inner surface and a substantially convex outer surface. One trial shell or a collection of trial shells are provided to trial a range of motion of the hip joint before implanting a shell prosthesis into the acetabular prosthesis.
摘要翻译：描述了用于假体的试验系统。假体可以包括通常用于植入髋臼和周围骨盆的髋臼假体。髋臼假体包括具有基本上凹的内表面和基本凸起的外表面的髋臼杯。提供一个试验壳或一组试验壳，以便在将假体植入髋臼假体之前对髋关节的一系列运动进行试验。

55. 发明授权

US08197550B2 Method and apparatus for use of porous implants 有权
标题翻译：使用多孔植入物的方法和装置
公开(公告)号：US08197550B2
公开(公告)日：2012-06-12
申请号：US12559230
申请日：2009-09-14
申请人： David R. Brown , Jason D. Meridew , Robert M. Ronk , Troy W. Hershberger
发明人： David R. Brown , Jason D. Meridew , Robert M. Ronk , Troy W. Hershberger
IPC分类号： A61F2/32
CPC分类号： A61F2/34 , A61F2/4609 , A61F2002/30535 , A61F2250/0058
摘要： An orthopedic prosthesis for implantation into a bone of a patient includes a porous metal shell adapted to be affixed within the bone. The porous metal shell includes an outer surface adapted to receive bone ingrowth and an inner surface adapted to engage a liner. The porous metal shell is porous from the outer surface to the inner surface. A non-porous member may be affixed to the porous metal shell. The non-porous member may include a piercing member extending from the outer surface, the piercing member adapted to penetrate the bone in an implanted position. The non-porous member may include spikes or fins. In one example, the piercing member may define a reduced material cross section at an interface with the outer surface of the porous metal shell. The piercing member may be adapted to be broken at the reduced material cross section and removed from the porous metal shell.
摘要翻译：用于植入患者骨骼的矫形假体包括适于固定在骨中的多孔金属壳。多孔金属壳包括适于接收骨向内生长的外表面和适于接合衬垫的内表面。多孔金属壳从外表面到内表面是多孔的。无孔构件可以固定到多孔金属壳上。无孔构件可以包括从外表面延伸的刺穿构件，刺穿构件适于在植入位置穿透骨骼。无孔构件可以包括尖钉或翅片。在一个示例中，刺穿构件可以在与多孔金属壳的外表面的界面处限定减小的材料横截面。刺穿构件可以适于在减小的材料横截面处断裂并从多孔金属壳体移除。

56. 发明申请

US20120095469A1 Method and Apparatus for Harvesting Cartilage for Treatment of a Cartilage Defect 有权
标题翻译：收获软骨治疗软骨缺损的方法和装置
公开(公告)号：US20120095469A1
公开(公告)日：2012-04-19
申请号：US12907610
申请日：2010-10-19
申请人： Jason D. Meridew
发明人： Jason D. Meridew
IPC分类号： A61B17/16 , A61B17/00
CPC分类号： A61F2/30756 , A61B17/1604 , A61B17/1635 , A61B17/1666
摘要： A method for treating a cartilage defect can include identifying an area of excessive boney growth on at least one of a femoral head and a femoral neck of a patient where the excessive boney growth area is covered with articular cartilage. A portion of the articular cartilage can be harvested from the identified area of excessive boney growth and an area of cartilage damage in an acetabulum of the patient can be identified. The harvested portion of the articular cartilage can be implanted into the identified area of cartilage damage in the acetabulum.
摘要翻译：用于治疗软骨缺损的方法可以包括确定患者的股骨头和股骨颈中的至少一个上的过度生长的区域，其中过度的生长区域被关节软骨覆盖。关节软骨的一部分可以从识别出的过量骨生长区域收获，并且可以鉴定患者的髋臼中的软骨损伤面积。关节软骨的收获部分可以植入髋臼中识别的软骨损伤区域。

57. 发明申请

US20120071893A1 Robotic Guided Femoral Head Reshaping 有权
标题翻译：机器人引导股骨头重塑
公开(公告)号：US20120071893A1
公开(公告)日：2012-03-22
申请号：US12888011
申请日：2010-09-22
申请人： Aaron P. Smith , Jason D. Meridew
发明人： Aaron P. Smith , Jason D. Meridew
IPC分类号： A61B19/00
CPC分类号： A61B17/1664 , A61B17/1666 , A61B17/1668 , A61B34/10 , A61B34/30 , A61B90/03 , A61B90/11 , A61B2034/104 , A61B2034/105
摘要： A method of performing hip surgery with a robotic guided system on a patient with femoral acetabular impingement can include identifying the femoral acetabular impingement on the patient. Data related to a proximal femur and an acetabulum of the patient is acquired. A three-dimensional model of at least one of the patient's proximal femur and acetabulum is created based on the data acquired. A location and amount of bone to be removed is determined. Dynamic movement limits of a cutting tool associated with the robotic guided system is set based on the determination. The determined bone of at least one of the proximal femur and acetabulum is removed with the tool while being inhibited from moving the tool outside of the dynamic limit by the robotic guided system.
摘要翻译：用患有股骨髋臼碰撞的患者使用机器人引导系统进行髋关节手术的方法可以包括识别股骨髋臼对患者的冲击。获取与患者的近端股骨和髋臼相关的数据。基于获得的数据创建患者的股骨近端和髋臼中的至少一个的三维模型。确定待移除的骨的位置和数量。基于该确定来设定与机器人引导系统相关联的切削工具的动态移动限制。使用工具去除至少一个近端股骨和髋臼的确定的骨，同时通过机器人引导系统阻止该工具移动到动态限制之外。

58. 发明授权

US08123814B2 Method and appartus for acetabular reconstruction 有权
标题翻译：髋臼重建的方法和装置
公开(公告)号：US08123814B2
公开(公告)日：2012-02-28
申请号：US11768510
申请日：2007-06-26
申请人： Jason D. Meridew , Phillip M. Gibbs
发明人： Jason D. Meridew , Phillip M. Gibbs
IPC分类号： A61F2/32
CPC分类号： A61F2/34 , A61B17/86 , A61F2/30724 , A61F2/30734 , A61F2/30767 , A61F2/4609 , A61F2/4684 , A61F2002/2835 , A61F2002/30153 , A61F2002/30156 , A61F2002/30327 , A61F2002/30383 , A61F2002/30433 , A61F2002/30535 , A61F2002/30553 , A61F2002/30578 , A61F2002/30616 , A61F2002/30736 , A61F2002/30774 , A61F2002/30787 , A61F2002/3082 , A61F2002/3291 , A61F2002/3401 , A61F2002/3404 , A61F2002/4631 , A61F2220/0025 , A61F2220/0041 , A61F2230/0019 , A61F2230/0023 , A61F2250/0008 , A61F2250/0039 , A61F2250/0058 , A61F2250/0064 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029
摘要： A trial system for a prosthesis is described. The prosthesis can include an acetabular prosthesis generally for implantation in an acetabulum and the surrounding pelvis. The acetabular prosthesis includes an acetabular cup having a substantially concave inner surface and a substantially convex outer surface. One trial shell or a collection of trial shells are provided to trial a range of motion of the hip joint before implanting a shell prosthesis into the acetabular prosthesis.
摘要翻译：描述了用于假体的试验系统。假体可以包括通常用于植入髋臼和周围骨盆的髋臼假体。髋臼假体包括具有基本上凹的内表面和基本凸起的外表面的髋臼杯。提供一个试验壳或一组试验壳，以便在将假体植入髋臼假体之前对髋关节的一系列运动进行试验。

59. 发明授权

US08057524B2 Soft tissue rivet and method of use 有权
标题翻译：软组织铆钉及使用方法
公开(公告)号：US08057524B2
公开(公告)日：2011-11-15
申请号：US12539350
申请日：2009-08-11
申请人： Jason D. Meridew
发明人： Jason D. Meridew
IPC分类号： A61B17/04 , A61B17/86 , A61F2/08
CPC分类号： A61F2/0811 , A61F2/0805 , A61F2002/0835 , A61F2002/0841 , A61F2002/0852 , A61F2002/0858 , A61F2002/0888
摘要： A method and apparatus for reattaching soft tissue to a selected boney structure using a rivet. Generally, a rivet having first portion and a second portion is provided to fully secure a soft tissue in the boney structure. The first portion of the rivet retains the soft tissue via a suture which is threaded through the first portion. The second portion of the rivet has at least one expanding member which engages the boney structure upon contact with the first portion of the rivet. Thus, the soft tissue is fully secured to the boney structure, ensuring proper healing.
摘要翻译：一种使用铆钉将软组织重新附接到所选择的骨架结构的方法和装置。通常，提供具有第一部分和第二部分的铆钉以完全固定在纸币结构中的软组织。铆钉的第一部分通过穿过第一部分的缝合线保持软组织。铆钉的第二部分具有至少一个膨胀构件，该膨胀构件在与铆钉的第一部分接触时接合骨架结构。因此，软组织完全固定到骨架结构上，确保适当的愈合。

60. 发明授权

US07993408B2 Acetabular cup having an adjustable modular augment 有权
标题翻译：髋臼杯具有可调节的模块化增大
公开(公告)号：US07993408B2
公开(公告)日：2011-08-09
申请号：US12029873
申请日：2008-02-12
申请人： Jason D. Meridew , Troy W. Hershberger
发明人： Jason D. Meridew , Troy W. Hershberger
IPC分类号： A61F2/32
CPC分类号： A61F2/30734 , A61F2/34 , A61F2/4081 , A61F2002/30433 , A61F2002/30495 , A61F2002/305 , A61F2002/30504 , A61F2002/30512 , A61F2002/30616 , A61F2002/30736 , A61F2002/3092 , A61F2002/3401 , A61F2002/3406 , A61F2220/0025 , A61F2220/0041
摘要： An orthopedic prosthesis for implantation into a bone of a patient can include a shell, an augment and a securing member. The shell can be adapted to be affixed within the bone and have an outer surface adapted to receive bone ingrowth after implantation. The shell can have an inner surface adapted to engage a liner. An elongated slot can extend between the outer and inner surfaces of the shell. The augment can define a body and have a passage therethrough. The securing member can extend through the passage and the slot. The securing member can be movable between a locked position wherein the augment is precluded from relative movement with the shell and an unlocked position wherein the securing member is adapted to slidably traverse along the slot to locate the augment at a plurality of positions relative to the shell.
摘要翻译：用于植入患者骨骼的整形外科假体可以包括外壳，增强件和固定构件。壳体可以适于固定在骨骼内并具有适于在植入后接受骨向内生长的外表面。壳体可以具有适于接合衬套的内表面。细长的槽可以在壳的外表面和内表面之间延伸。增强件可以限定主体并具有穿过其中的通道。固定构件可以延伸穿过通道和槽。固定构件可以在锁定位置和锁定位置之间移动，在锁定位置，增强件不会与壳体相对运动，并且解锁位置，其中固定构件适于沿着狭槽滑动地移动，以将增量定位在相对于壳体的多个位置。

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