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    • 2. 发明申请
    • METHOD AND APPARATUS FOR REDUCING FEMORAL FRACTURES
    • 减少股骨骨折的方法和装置
    • US20070225721A1
    • 2007-09-27
    • US11754517
    • 2007-05-29
    • Sarah ThelenAntony LozierSteven DietzelBilly SiskRick Miller
    • Sarah ThelenAntony LozierSteven DietzelBilly SiskRick Miller
    • A61B17/68
    • A61B17/8875A61B17/1615A61B17/1631A61B17/164A61B17/1642A61B17/1668A61B17/1735A61B17/175A61B17/7097A61B17/742A61B17/8805A61B17/8863A61B2017/00238A61B2017/00287A61B2017/00557A61B2017/1602A61F2002/2825A61F2002/30583A61F2210/0085
    • An improved method and apparatus for reducing a hip fracture utilizing a minimally invasive procedure which does not require incision of the quadriceps. A femoral implant in accordance with the present invention achieves intramedullary fixation as well as fixation into the femoral head to allow for the compression needed for a femoral fracture to heal. To position the femoral implant of the present invention, an incision is made along the greater trochanter. Because the greater trochanter is not circumferentially covered with muscles, the incision can be made and the wound developed through the skin and fascia to expose the greater trochanter, without incising muscle, including, e.g., the quadriceps. After exposing the greater trochanter, novel instruments of the present invention are utilized to prepare a cavity in the femur extending from the greater trochanter into the femoral head and further extending from the greater trochanter into the intramedullary canal of the femur. After preparation of the femoral cavity, a femoral implant in accordance with the present invention is inserted into the aforementioned cavity in the femur. The femoral implant is thereafter secured in the femur, with portions of the implant extending into and being secured within the femoral head and portions of the implant extending into and being secured within the femoral shaft.
    • 一种用于减少髋部骨折的改进方法和装置,其利用不需要切开四头肌的微创手术。 根据本发明的股骨植入物实现髓内固定以及固定到股骨头中以允许股骨骨折所需的压缩愈合。 为了定位本发明的股骨植入物,沿大转子进行切口。 由于大转子没有周向地被肌肉覆盖,所以可以进行切口并且通过皮肤和筋膜发生伤口以暴露大转子,而不会切开肌肉,包括例如四头肌。 在暴露大转子后,利用本发明的新型器械来制备从大转子延伸到股骨头的股骨中的空腔,并且从大转子进一步延伸到股骨的髓内管中。 在制备股骨腔之后,将根据本发明的股骨植入物插入股骨中的上述空腔中。 随后将股骨植入物固定在股骨中,其中植入物的一部分延伸到股骨头内并固定在股骨头内,并且植入物的部分延伸到并固定在股骨轴内。
    • 7. 发明申请
    • Expandable fixation devices for minimally invasive surgery
    • 用于微创手术的可扩展固定装置
    • US20060052788A1
    • 2006-03-09
    • US11243789
    • 2005-10-05
    • Sarah ThelenAntony LozierNicolas Pacelli
    • Sarah ThelenAntony LozierNicolas Pacelli
    • A61B17/58
    • A61B17/686
    • A plurality of expandable fixation devices (EFDs) for minimally invasive surgery. The EFDs use an expanding deformation of the device to achieve a mechanical interference with the environment, e.g., bone. The shape of expansion can be controlled by many factors including the original geometry of the part, the geometry of material removed from the part, and the amount of deformation applied to the part. The EFD may be a relatively large anchor-type fixation device generally characterized by a single set of long longitudinal cuts parallel to a central axis of the device or concentric to a central curve of the device. The EFD may alternatively be a relatively small anchor-type fixation device generally characterized by multiple sets of shorter longitudinal cuts parallel to a central axis of the device or concentric to a central curve of the device. The EFD may also be a screw-type fixation device generally characterized by multiple rotationally indexed cuts in a helical pattern. The cuts define intermediate material regions which form protrusions on the EFD when deformed and, taken together, form a non-continuous helical thread to anchor the EFD in a bone.
    • 用于微创手术的多个可扩张固定装置(EFD)。 EFD使用装置的膨胀变形来实现与环境(例如骨)的机械干扰。 膨胀的形状可以通过许多因素来控制,这些因素包括部件的原始几何形状,从部件移除的材料的几何形状以及施加到零件上的变形量。 EFD可以是相对大的锚固固定装置,其通常特征在于平行于装置的中心轴线或与装置的中心曲线同心的单组长纵向切口。 EFD可以替代地是相对较小的锚式固定装置,其通常的特征在于平行于装置的中心轴线或与装置的中心曲线同心的多组较短纵向切口。 EFD还可以是螺旋型固定装置,其通常以螺旋图案的多个旋转分度切口的特征。 切口限定了当变形时在EFD上形成突起的中间材料区域,并且一起形成非连续的螺旋螺纹以将EFD锚固在骨中。
    • 8. 发明申请
    • Expandable reamer
    • 可扩展铰刀
    • US20050113836A1
    • 2005-05-26
    • US10721808
    • 2003-11-25
    • Antony LozierNicolas PacelliSarah Thelen
    • Antony LozierNicolas PacelliSarah Thelen
    • A61B17/16A61B17/56
    • A61B17/1617A61B17/1668A61B2017/1602
    • An expandable reamer includes, in one exemplary embodiment thereof, a cannulated shaft and a plurality of straight cutting blades having deformable points. The blades are hingably outwardly rotatable at the deformation points between a contracted position and an expanded position. In the contracted position, the blades are substantially parallel to the longitudinal axis of the cannulated shaft and, in the expanded position, the blades have at least a portion oriented radially outward from the longitudinal axis, thereby forming a larger diameter cutting surface in the expanded position and in the contracted position. The blades are formed from a portion of the cannulated shaft by, e.g. milling longitudinally extending slots through the wall of the cannulated shaft, the slots serving as flutes dividing the cutting edge and trailing edge of each adjacent blade. Each blade may also include more than one segment arranged along its length, the segments coupled by deformation points. The expandable reamer may be used for cutting a cavity in a bone or other structure that is larger than the diameter of the entry point into the bone and greater than the diameter of the contracted reamer.
    • 在其一个示例性实施例中,可扩展铰刀包括具有可变形点的插管轴和多个直切割刀片。 叶片可在收缩位置和展开位置之间的变形点处可旋转地向外旋转。 在收缩位置,叶片基本上平行于插管轴的纵向轴线,并且在扩展位置中,叶片具有至少一部分从纵向轴线径向向外定向的部分,从而在扩张的位置形成更大直径的切割表面 职位和合同职位。 叶片由插管轴的一部分形成,例如, 铣削纵向延伸的槽穿过插管轴的壁,槽用作分隔每个相邻叶片的切割边缘和后缘的凹槽。 每个叶片还可以包括沿其长度布置的多于一个的段,所述段由变形点联接。 可扩展铰刀可用于切割骨或其它结构中的空腔,其大于进入骨的入口的直径并且大于收缩的铰刀的直径。
    • 10. 发明申请
    • BONE FRACTURE FIXATION SYSTEM
    • 骨折固定系统
    • US20090198286A1
    • 2009-08-06
    • US12025819
    • 2008-02-05
    • Antony LozierOludele O. PopoolaJames J. MasonMicah Forstein
    • Antony LozierOludele O. PopoolaJames J. MasonMicah Forstein
    • A61B17/58A61B17/56
    • A61B17/80A61B17/866A61F2310/00413A61F2310/00449A61F2310/00497A61F2310/0052A61F2310/00544A61F2310/00568
    • A bone fracture fixation system comprising a metallic bone plate having a first composition comprising titanium or a titanium alloy and an opening for receiving a metallic fastener that has a second composition comprising titanium, a titanium alloy, or a stainless steel, and is sized to be received in the opening, and a cold-sprayed metallic coating either within the opening or on the metallic fastener is provided. The cold-sprayed metallic coating comprises a biocompatible metallic material having a third composition different than the first and second compositions. When the metallic fastener is inserted into the opening to stabilize a bone fracture, the cold-sprayed metallic coating may substantially prevent bonding or one or more types of corrosion between the metallic fastener and the metallic bone plate. In another embodiment, the cold-sprayed metallic coating comprises at least one of a cobalt-chrome alloy, gold, a gold alloy, silver or a silver alloy.
    • 一种骨折固定系统,包括具有包含钛或钛合金的第一组合物的金属骨板和用于接收具有包含钛,钛合金或不锈钢的第二组成的金属紧固件的开口,其尺寸设定为 并且在开口内或金属紧固件上设置冷喷金属涂层。 冷喷金属涂层包括具有不同于第一和第二组合物的第三组成的生物相容性金属材料。 当金属紧固件插入开口以稳定骨折时,冷喷金属涂层可以基本上防止金属紧固件和金属骨板之间的结合或一种或多种类型的腐蚀。 在另一个实施方案中,冷喷金属涂层包括钴 - 铬合金,金,金合金,银或银合金中的至少一种。