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1. 发明授权

US07758583B2 Surgical instrument and method of use for facilitating positioning of an osteochondral plug 有权
标题翻译：用于促进骨软骨塞的定位的手术器械和使用方法
公开(公告)号：US07758583B2
公开(公告)日：2010-07-20
申请号：US11554936
申请日：2006-10-31
申请人： Carlos E. Gil , Jeetendra Subhash Bharadwaj , Michael Allen Dupree
发明人： Carlos E. Gil , Jeetendra Subhash Bharadwaj , Michael Allen Dupree
IPC分类号： A61B17/56 , A61B17/58 , A61B17/88 , A61F2/02 , A61F2/28
CPC分类号： A61F2/4618 , A61F2/30756 , A61F2/3859 , A61F2002/2839 , A61F2002/30261 , A61F2002/30566 , A61F2002/30601 , A61F2002/30759 , A61F2002/4619 , A61F2002/4627 , A61F2230/0082
摘要： A surgical instrument and method are provided for positioning an osteochondral plug within a bone defect site. The instrument includes an elongate shaft, a ribbon, an elongate sleeve and a locking mechanism. The shaft has proximal and distal ends, with the distal end being shaped to contact the osteochondral plug. The ribbon extends along two sides of the shaft and around the distal end, forming a loop that is used to secure the osteochondral plug to the distal end. The sleeve is movably mounted to the shaft for reciprocating relative thereto between retracted and extended positions. The sleeve includes a slot that allows for visualization and cutting of the ribbon. The locking mechanism locks the ribbon in place and thereby controls the size and tension of the loop that surrounds the osteochondral plug, securing it to the distal end of the shaft.
摘要翻译：提供了一种外科手术器械和方法，用于将骨软骨塞塞定位在骨缺损部位内。仪器包括细长轴，带状物，细长套筒和锁定机构。轴具有近端和远端，远端被成形为接触骨软骨塞。带状物沿着轴的两侧延伸并且围绕远端延伸，形成用于将软骨软骨塞固定到远端的环。套筒可移动地安装到轴上，用于在缩回位置和伸出位置之间相对于其往复运动。套筒包括允许可视化和切割色带的槽。锁定机构将带固定在适当位置，从而控制围绕骨软骨塞的环的尺寸和张力，将其固定到轴的远端。

2. 发明授权

US08317792B2 Osteochondral implant fixation method 有权
标题翻译：骨软骨植入固定法
公开(公告)号：US08317792B2
公开(公告)日：2012-11-27
申请号：US12757410
申请日：2010-04-09
申请人： Daniel Andrew Shimko , Jeetendra Subhash Bharadwaj , Carlos E. Gil , Eric D. Weeks
发明人： Daniel Andrew Shimko , Jeetendra Subhash Bharadwaj , Carlos E. Gil , Eric D. Weeks
IPC分类号： A61B17/16
CPC分类号： A61B17/1764 , A61B17/1604 , A61B17/1637 , A61B17/1675 , A61B17/8897 , A61B2090/062
摘要： A surgical procedure and a device used in the procedure according to which one end portion of a guide rod is inserted into the condyle of a damaged area of a human. The rod is used as a guide for a drill bit and a chisel to cut an opening in the condyle.
摘要翻译：一种外科手术和在该过程中使用的装置，其中导杆的一个端部插入到人的受损区域的髁上。该杆用作钻头和凿子以在髁中切开开口的引导件。

3. 发明授权

US08893596B2 Osteochondral plug graft trimming device and method 有权
标题翻译：骨软骨移植修剪装置及方法
公开(公告)号：US08893596B2
公开(公告)日：2014-11-25
申请号：US13032289
申请日：2011-02-22
申请人： Carlos E. Gil , Daniel Andrew Shimko , Jeetendra Subhash Bharadwaj , Eric D. Weeks
发明人： Carlos E. Gil , Daniel Andrew Shimko , Jeetendra Subhash Bharadwaj , Eric D. Weeks
IPC分类号： B26D5/08 , A61B17/00 , A61B17/32 , A61F2/46 , A61B17/16
CPC分类号： A61B17/1635 , A61F2/4644 , Y10T83/04 , Y10T83/8727 , Y10T83/8828
摘要： A device for trimming an osteochondral plug graft to an implantable configuration, includes a blade assembly terminating in a configured leading cutting blade and a plug graft housing comprising a substantially longitudinal holding sleeve having a bore and oriented complementarily to the longitudinal structure of the blade assembly to receive the longitudinal structure within the sleeve bore with the assembly cutting blade in close tolerance along an inner bore surface of the longitudinal housing structure.
摘要翻译：用于将骨软骨移植物修剪成可植入构造的装置包括终止于配置的前切割刀片和塞移植物壳体中的刀片组件，该刀片组件包括具有孔的基本上纵向的保持套筒，并且与刀片组件的纵向结构互补定向，在组装切割刀片沿着纵向壳体结构的内孔表面紧密公差地接收套筒孔内的纵向结构。

4. 发明授权

US08398648B2 System and method of harvesting osteochondral plugs 有权
标题翻译：收获骨软骨塞的系统和方法
公开(公告)号：US08398648B2
公开(公告)日：2013-03-19
申请号：US13084615
申请日：2011-04-12
申请人： Carlos E. Gil , Daniel Andrew Shimko , Jeetendra Subhash Bharadwaj
发明人： Carlos E. Gil , Daniel Andrew Shimko , Jeetendra Subhash Bharadwaj
IPC分类号： A61B17/58 , A61B17/60 , A61F2/00
CPC分类号： A61B17/1635 , A61B17/1604 , A61B17/1637 , A61B17/1675 , A61B17/1695 , A61B17/92
摘要： A method is disclosed and can include engaging a harvest guide with bony tissue and placing a cutting device within the harvest guide. The harvest guide can maintain the cutting device substantially perpendicular to a tangent through a point on the bony tissue aligned with the cutting device. The cutting device can be an osteochondral chisel, a trephine, or a combination thereof.
摘要翻译：公开了一种方法，并且可以包括将收获引导件与骨组织接合并将切割装置放置在收获引导件内。采收引导件可以通过与切割装置对准的骨组织上的点将切割装置保持为基本垂直于切线。切割装置可以是骨软骨凿，环钻或其组合。

5. 发明授权

US08317793B2 Cutting instrument and method of use for preparing an osteochondral plug for implantation 有权
标题翻译：切割仪器和用于制备用于植入的骨软骨塞的方法
公开(公告)号：US08317793B2
公开(公告)日：2012-11-27
申请号：US13027313
申请日：2011-02-15
申请人： Carlos E. Gil , Jeetendra Subhash Bharadwaj
发明人： Carlos E. Gil , Jeetendra Subhash Bharadwaj
IPC分类号： A61B17/00
CPC分类号： A61F2/4644 , A61F2/30756 , A61F2002/30617 , A61F2250/0097
摘要： A cutting instrument and method of use for preparing an osteochondral plug for implantation into a bone defect site. The instrument includes a dual function cutting block, a base holder, a rod mechanism and a trimming mechanism. The cutting block has a bore sized to receive the plug, at least one trimming channel and a transverse paring slot. The cutting block functions to hold the plug within the bore to allow for length and cross-sectional sizing. The base holder is constructed to fix the cutting block in a first orientation that allows the rod mechanism to position the plug within the cutting block for accurate length sizing. The base holder is also constructed to fix the cutting block in a second orientation which aligns the cutting block with the trimming mechanism so that an angled blade may engage the trimming channel and cut at least two sides of the plug.
摘要翻译：一种用于制备用于植入骨缺损部位的骨软骨塞的切割工具和方法。该仪器包括双功能切割块，基座，杆机构和修剪机构。切割块具有尺寸适于接收插头的孔，至少一个修剪通道和横向配对槽。切割块用于将塞子保持在孔内以允许长度和横截面尺寸。基座保持器被构造成将切割块固定在第一方向上，该第一方向允许杆机构将插头定位在切割块内以获得精确的长度尺寸。基座保持器还构造成将切割块固定在第二取向上，使切割块与修剪机构对准，使得成角度的叶片可以接合修剪通道并切割插塞的至少两侧。

6. 发明授权

US08137277B2 Volumetric measurement and visual feedback of tissues 有权
标题翻译：组织的体积测量和视觉反馈
公开(公告)号：US08137277B2
公开(公告)日：2012-03-20
申请号：US13040730
申请日：2011-03-04
申请人： Jeffrey H. Nycz , Carlos E. Gil , William T. Donofrio , Jeetendra Subhash Bharadwaj
发明人： Jeffrey H. Nycz , Carlos E. Gil , William T. Donofrio , Jeetendra Subhash Bharadwaj
IPC分类号： A61B8/00
CPC分类号： A61B8/0875 , A61B8/4281 , A61B8/4472 , A61B8/56
摘要： Apparatus and methods for assessing tissue characteristics such as the dimensions and volume of an osteolytic lesion are disclosed. The apparatus may utilize ultrasound to provide visual and volumetric feedback related to a lesion or other tissue. Further the apparatus may be utilized to determine whether the lesion has been completely removed and filled with the appropriate amount of graft material.
摘要翻译：公开了用于评估组织特征如溶骨性病变的尺寸和体积的装置和方法。该装置可以利用超声波来提供与病变或其他组织相关的视觉和体积反馈。此外，该装置可以用于确定病变是否已被完全去除并且用适量的移植材料填充。

7. 发明申请

US20110295374A1 IMPLANTABLE JOINT PROSTHESIS 审中-公开
标题翻译：可植入的联系
公开(公告)号：US20110295374A1
公开(公告)日：2011-12-01
申请号：US13204187
申请日：2011-08-05
申请人： Vincent Bryan , Alex Kunzler , Charles R. Clark , Robert Conta , Carlos E. Gil
发明人： Vincent Bryan , Alex Kunzler , Charles R. Clark , Robert Conta , Carlos E. Gil
IPC分类号： A61F2/44
CPC分类号： A61B17/1757 , A61B17/02 , A61B17/1664 , A61B17/1671 , A61B17/1675 , A61B17/1684 , A61B90/10 , A61B90/50 , A61B2017/0256 , A61B2017/1602 , A61B2090/034 , A61F2/30742 , A61F2/30744 , A61F2/442 , A61F2/4425 , A61F2/4611 , A61F2002/30204 , A61F2002/30235 , A61F2002/30474 , A61F2002/30499 , A61F2002/30528 , A61F2002/30563 , A61F2002/30578 , A61F2002/30616 , A61F2002/30662 , A61F2002/30673 , A61F2002/30682 , A61F2002/30769 , A61F2002/30772 , A61F2002/443 , A61F2220/0025 , A61F2230/0065 , A61F2230/0069 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00203 , A61F2310/00239 , A61F2310/00407
摘要： The invention relates to a surgical implant that provides an artificial diarthroidal-like joint, suitable for use in replacing any joint, but particularly suitable for use as an intervertebral disc endoprosthesis. The invention contains two rigid opposing shells, each having an outer surface adapted to engage the surfaces of the bones of a joint in such a way that the shells are immobilized by friction between their outer surfaces and the surfaces of the bone. These outer surfaces are sufficiently rough that large frictional forces strongly resist any slippage between the outer surface and the bone surfaces in the joint. They may be convex, and when inserted into a milled concavity, are immediately mechanically stable. Desirably, the outer surfaces of the shells are adapted to allow for bony ingrowth, which further stabilizes the shells in place. The inner surfaces of the shells are relatively smooth, and adapted to slide easily across a portion of the outer surface of a central body disposed between the shells. The central body has a shape that cooperates with the shape of the inner surface of the shell so as to provide a range of motion similar to that provided by a healthy joint. A flexible sheath extends between edges of the opposing shells. The inner surface of this sheath, together with the inner surfaces of the rigid shells, defines a cavity encasing the central body. At least a portion of this cavity is filled with a fluid lubricant, further decreasing the frictional force between inner surfaces of the shell and the surface of the central body.
摘要翻译：本发明涉及一种手术植入物，其提供适于用于替换任何关节，但特别适合用作椎间盘内假体的人造骨关节样关节。本发明包含两个刚性的相对的壳，每个具有外表面，该外表面适合于接合骨头的表面，使得外壳通过其外表面和骨表面之间的摩擦固定。这些外表面足够粗糙，使得大的摩擦力强烈地抵抗接合处的外表面和骨表面之间的任何滑动。它们可以是凸形的，并且当插入铣削凹部时，它们立即机械地稳定。理想地，壳的外表面适于允许骨向内生长，这进一步将壳稳定在适当位置。壳的内表面相对平滑，并且适于容易地滑过设置在壳之间的中心体的外表面的一部分。中心体具有与壳的内表面的形状配合的形状，以提供类似于由健康关节提供的运动范围。柔性护套在相对的壳的边缘之间延伸。该护套的内表面与刚性外壳的内表面一起限定了一个包围中心体的空腔。该空腔的至少一部分填充有流体润滑剂，进一步降低了壳的内表面与中心体的表面之间的摩擦力。

8. 发明申请

US20100198268A1 LOW PROFILE BONE SCREW EXTENDER AND ITS APPLICATION IN MINIMUM INVASIVE SPINAL SURGERIES 有权
标题翻译：低剖面骨螺钉扩张器及其应用于最小入场脊柱外科手术
公开(公告)号：US20100198268A1
公开(公告)日：2010-08-05
申请号：US12364621
申请日：2009-02-03
申请人： Jeffrey ZHANG , Randall N. Allard , Frank J. Schwab , Lawrence G. Lenke , Carlos E. Gil , Greg C. Marik
发明人： Jeffrey ZHANG , Randall N. Allard , Frank J. Schwab , Lawrence G. Lenke , Carlos E. Gil , Greg C. Marik
IPC分类号： A61B17/58
CPC分类号： A61B17/7032 , A61B17/0206 , A61B17/025 , A61B17/7074 , A61B17/7083 , A61B50/30 , A61B2017/0256
摘要： A tissue extender includes a ring defining a proximal end opening to engage a head of a subcutaneous screw, a first extender portion coupled to the ring at a proximal end of the first extender portion, and a second extender portion coupled to the ring at a proximal end of the second extender portion. The first extender portion includes a first coupling portion disposed at a distal end of the first extender portion, and the second extender portion includes a second coupling portion at a distal end of the second extender portion. The first and second extender portions define two side openings disposed on opposite sides of the tissue extender. The distal ends of the first and second extender portions together define a distal end opening. The first coupling portion engages the second coupling portion when the tissue extender is in an extended state. The distal end opening is larger in the extended state than in an unextended state.
摘要翻译：组织延伸器包括限定近端开口以接合皮下螺钉的头部的环，在第一延伸部分的近端处联接到环的第一扩张器部分和在近端处联接到环的第二延伸部分第二延伸部分的末端。第一延伸部分包括设置在第一延伸部分的远端处的第一联接部分，并且第二延伸部分包括在第二延伸部分的远端处的第二联接部分。第一和第二延伸部分限定了设置在组织延伸器的相对侧上的两个侧开口。第一和第二延伸部分的远端一起限定远端开口。当组织延伸器处于伸展状态时，第一联接部分接合第二联接部分。远端开口在伸展状态下大于非延伸状态。

9. 发明授权

US07722614B2 Osteochondral implant fixation method 有权
标题翻译：骨软骨植入固定法
公开(公告)号：US07722614B2
公开(公告)日：2010-05-25
申请号：US11340884
申请日：2006-01-27
申请人： Daniel Shimko , Jeetendra Bharadwaj , Carlos E. Gil , Eric Weeks
发明人： Daniel Shimko , Jeetendra Bharadwaj , Carlos E. Gil , Eric Weeks
IPC分类号： A61F2/28 , A61F2/38
CPC分类号： A61B17/1764 , A61B17/1604 , A61B17/1637 , A61B17/1675 , A61B17/8897 , A61B2090/062
摘要： A surgical procedure and a device used in the procedure according to which one end portion of a guide rod is inserted into the condyle of a damaged area of a human. The rod is used as a guide for a drill bit and a chisel to cut an opening in the condyle.
摘要翻译：一种外科手术和在该过程中使用的装置，其中导杆的一个端部插入到人的受损区域的髁上。该杆用作钻头和凿子以在髁中切开开口的引导件。

10. 发明授权

US07670342B2 Osteochondral implant procedure and device 失效
标题翻译：骨软骨植入手术和装置
公开(公告)号：US07670342B2
公开(公告)日：2010-03-02
申请号：US11338926
申请日：2006-01-25
申请人： Jeetendra Bharadwaj , Carlos E. Gil , Daniel Shimko , Eric Weeks
发明人： Jeetendra Bharadwaj , Carlos E. Gil , Daniel Shimko , Eric Weeks
IPC分类号： A61B17/00
CPC分类号： A61B17/32053 , A61B17/1604 , A61B17/1635 , A61B17/1675 , A61B2017/00477
摘要： A surgical procedure according to which a cutting blade is positioned over an area of the bone to be cut and indicia is projected onto the area. The blade is adjusted relative to the area until the indicia takes a predetermined configuration on the area corresponding to the desired position of the blade relative to the area. Then the blade can be driven to cut an opening in the bone.
摘要翻译：一种外科手术，根据该手术，切割刀片定位在待切割的骨的区域上方，并且将标记投影到该区域上。刀片相对于该区域被调整，直到标记在对应于刀片相对于该区域的期望位置的区域上进行预定的配置。然后可以驱动刀片切割骨头中的一个开口。

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