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1. 发明申请

US20060161051A1 Method of computer-assisted ligament balancing and component placement in total knee arthroplasty 审中-公开
标题翻译：全膝关节置换计算机辅助韧带平衡和部件放置方法
公开(公告)号：US20060161051A1
公开(公告)日：2006-07-20
申请号：US11037862
申请日：2005-01-18
申请人： Lauralan Terrill-Grisoni , Richard Shaw , Daniel McCombs , Albert Pothier
发明人： Lauralan Terrill-Grisoni , Richard Shaw , Daniel McCombs , Albert Pothier
IPC分类号： A61B5/00
CPC分类号： A61B90/36 , A61B17/154 , A61B34/10 , A61B34/20 , A61B2034/2055 , A61B2090/064
摘要： Systems, methods and processes for computer-assisted soft tissue balancing, including ligament balancing, determining surgical cuts, and positioning or placement of the components of the prosthetic knee during TKR. The improved methods, systems and processes resolve several problems related to the prosthetic knee component positioning and soft-tissue balancing during computer-assisted TKR. The improved methods, systems and processes are flexible and versatile, provide reliable recommendations to the surgeon, and improve restoration of the knee function and patient recovery.
摘要翻译：用于计算机辅助软组织平衡的系统，方法和过程，包括韧带平衡，确定手术切口以及在TKR期间假肢膝盖的部件的定位或放置。改进的方法，系统和过程解决了计算机辅助TKR期间假肢膝部分量定位和软组织平衡相关的几个问题。改进的方法，系统和过程是灵活和通用的，为外科医生提供可靠的建议，并改善膝关节功能和患者恢复的恢复。

2. 发明申请

US20050234465A1 Guided saw with pins 审中-公开
标题翻译：引导锯与针
公开(公告)号：US20050234465A1
公开(公告)日：2005-10-20
申请号：US11095292
申请日：2005-03-31
申请人： Daniel McCombs , Lauralan Terrill-Grisoni
发明人： Daniel McCombs , Lauralan Terrill-Grisoni
IPC分类号： A61B17/15 , A61B17/58 , A61B19/00
CPC分类号： A61B17/155 , A61B34/20
摘要： Embodiments of improved systems and processes for cutting bones. Embodiments of improved systems and processes for resecting a femoral bone are provided, the system comprising a guiding device adapted to be connected to the femoral bone, a cutting device having a cutting element adapted to resect bone, and a link adapted to connect to the guiding device to the cutting device, wherein the link is adapted to constrain movement of the cutting device. Embodiments of improved systems and processes for cutting knee bones during computer assisted knee surgery are provided, comprising at least one fiducial associated with the guiding device and a tracking functionality capable of tracking a position and orientation of the at least one fiducial.
摘要翻译：用于切割骨骼的改进的系统和过程的实施例。提供了用于切除股骨的改进的系统和方法的实施例，所述系统包括适于连接到股骨的引导装置，具有适于切除骨的切割元件的切割装置，以及适于连接到引导件装置，其中所述连杆适于限制所述切割装置的运动。提供了在计算机辅助膝关节手术期间用于切割膝骨的改进的系统和过程的实施例，包括与引导装置相关联的至少一个基准和能跟踪至少一个基准的位置和取向的跟踪功能。

3. 发明申请

US20050113659A1 Device for data input for surgical navigation system 审中-公开
标题翻译：手术导航系统数据输入装置
公开(公告)号：US20050113659A1
公开(公告)日：2005-05-26
申请号：US10997052
申请日：2004-11-24
申请人： Albert Pothier , Daniel McCombs
发明人： Albert Pothier , Daniel McCombs
IPC分类号： A61B19/00 , A61B17/00
CPC分类号： A61B90/36 , A61B34/20 , A61B2034/2055 , A61B2034/2068 , A61B2090/3983
摘要： A probe for data input for a computer-assisted surgical system, comprising a body; one or more movable fiducials operably associated with the probe; and one or more stationary fiducials operably associated with the probe; wherein the movement of the one or more movable fiducials relative to the one or more of the stationary fiducials triggers data input on a position or an orientation of the probe, or both. The probe is particularly suitable for minimally invasive surgery. Also provided is a method of using the probe to input data during computer-assisted surgery.
摘要翻译：一种用于计算机辅助手术系统的数据输入的探针，包括身体; 与探头可操作地相关联的一个或多个可动基准; 以及与所述探针可操作地相关联的一个或多个固定基准; 其中所述一个或多个可移动基准相对于所述一个或多个所述固定基准的运动触发在所述探针的位置或取向上输入的数据，或两者。该探头特别适用于微创手术。还提供了一种在计算机辅助手术期间使用探针输入数据的方法。

4. 发明申请

US20050119639A1 Surgical navigation system component fault interfaces and related processes 失效
标题翻译：手术导航系统组件故障接口及相关过程
公开(公告)号：US20050119639A1
公开(公告)日：2005-06-02
申请号：US10897857
申请日：2004-07-23
申请人： Daniel McCombs , Robert Thornberry , Jody Stallings
发明人： Daniel McCombs , Robert Thornberry , Jody Stallings
IPC分类号： A61B17/00 , A61B19/00
CPC分类号： A61B90/36 , A61B34/20 , A61B90/39 , A61B2017/00477 , A61B2017/00725 , A61B2034/2055 , A61B2034/2072 , A61B2090/037 , A61B2090/3983
摘要： Devices and processes for use in computer aided or computer navigated surgery include one or more fault interfaces interposed between an indicium and an item to be used during surgery such as a body part, tool, implant, trial or other structure or component. After the indicia have been registered into the system and surgery begun, it is sometimes the case that indicia can be inadvertently moved or dislodged in position and/or orientation relative to the body part. Fault interfaces according to various embodiments are designed to fail first, so that the indicia can be repositioned relative to the item without the need to reregister the indicia into the system relative to the item. The fault interfaces preferably include structure that allows the indicium to be repositioned relative to the item so that it does not need to be reregistered into the system. Frame attachments which can by easily manufactured at relatively low cost, are disposable, and which are manufactured for single use are disclosed.
摘要翻译：用于计算机辅助或计算机导航手术的装置和过程包括插入在手术之间的标记和待使用的物品之间的一个或多个故障界面，例如身体部位，工具，植入物，试验或其他结构或部件。在标记已注册到系统中并且手术开始之后，有时标记可能无意中相对于身体部位在位置和/或取向上移动或移动。根据各种实施例的故障接口被设计成首先失效，使得可以相对于物品重新定位标记，而不需要相对于物品将标记重新注入系统。故障接口优选地包括允许标记相对于物品重新定位的结构，使得其不需要被重新注册到系统中。可以容易地以相对低的成本制造的框架附件是一次性的，并且被公开用于单次使用。

5. 发明授权

US06220368B1 Powered surgical instrument having locking systems and a clutch mechanism 失效
标题翻译：具有锁定系统和离合器机构的动力手术器械
公开(公告)号：US06220368B1
公开(公告)日：2001-04-24
申请号：US09570790
申请日：2000-05-15
申请人： Timmon Ark , Robert R. Humphris, Jr. , Daniel McCombs
发明人： Timmon Ark , Robert R. Humphris, Jr. , Daniel McCombs
IPC分类号： B23Q500
CPC分类号： A61B17/1626 , A61B17/14 , A61B17/1628 , A61B17/1671 , A61B17/8875 , A61B2017/00734 , A61B2090/031 , A61B2090/035 , B25B21/00
摘要： A surgical instrument having a locking mechanism for preventing an output shaft of the surgical instrument from rotating and a further locking mechanism for mounting a battery pack to a distal end of a housing of the surgical instrument. The surgical instrument further includes a clutch mechanism for limiting the torque of a drive shaft of the surgical instrument. The locking mechanism for preventing the output shaft from rotating includes a locking switch which mates with a locking cap disposed on the output shaft. The locking mechanism for mounting the battery pack to the housing includes a groove at the distal end of the housing and a retaining ring which engages the groove when the battery pack is mounted on the housing. The clutch mechanism includes a clutch plate that interfaces with both the output shaft and the drive shaft and prevents failure of the motor shaft.
摘要翻译：一种具有用于防止外科器械的输出轴旋转的锁定机构的外科器械和用于将电池组安装到外科器械的外壳的远端的另外的锁定机构。手术器械还包括用于限制外科器械的驱动轴的扭矩的离合器机构。用于防止输出轴旋转的锁定机构包括与设置在输出轴上的锁定帽配合的锁定开关。用于将电池组安装到壳体的锁定机构包括在壳体的远端处的凹槽和当电池组安装在壳体上时与凹槽接合的保持环。离合器机构包括与输出轴和驱动轴两者相接合并防止电动机轴故障的离合器片。

6. 发明申请

US20060200025A1 Systems, methods, and apparatus for automatic software flow using instrument detection during computer-aided surgery 审中-公开
标题翻译：在计算机辅助手术中使用仪器检测的自动软件流的系统，方法和装置
公开(公告)号：US20060200025A1
公开(公告)日：2006-09-07
申请号：US11296851
申请日：2005-12-01
申请人： Scott Elliott , Daniel McCombs
发明人： Scott Elliott , Daniel McCombs
IPC分类号： A61B5/05
CPC分类号： A61B90/36 , A61B34/10 , A61B34/20 , A61B34/74 , A61B90/39 , A61B90/98 , A61B2017/00207 , A61B2034/105 , A61B2034/2055 , A61B2034/2068 , A61B2034/2074 , A61B2034/254 , A61B2034/256 , A61B2090/3983
摘要： Systems, methods, and apparatuses for automatic software flow using instrument detection during a computer-aided surgery. At least system in accordance with an embodiment of the invention includes a computer-aided surgical navigational system with a display screen and at least one sensor. The system can include a processor capable of detecting a plurality of arrays, wherein each array is associated with a respective surgical instrument. The processor is further capable of determining a respective surgical procedure associated with the respective surgical instrument, based at least in part on detecting at least one array using the sensor. In addition, the processor is capable of outputting via the screen at least one user interface associated with the respective surgical procedure associated with the respective surgical instrument.
摘要翻译：在计算机辅助手术期间使用仪器检测的自动软件流的系统，方法和装置。根据本发明的实施例的至少系统包括具有显示屏和至少一个传感器的计算机辅助外科导航系统。该系统可以包括能够检测多个阵列的处理器，其中每个阵列与相应的手术器械相关联。至少部分地基于使用该传感器检测至少一个阵列，处理器还能够确定与相应手术器械相关联的各自的手术过程。此外，处理器能够经由屏幕输出与相应手术器械相关联的各个外科手术程序相关联的至少一个用户界面。

7. 发明申请

US20050109855A1 Methods and apparatuses for providing a navigational array 审中-公开
标题翻译：提供导航阵列的方法和装置
公开(公告)号：US20050109855A1
公开(公告)日：2005-05-26
申请号：US10993081
申请日：2004-11-19
申请人： Daniel McCombs
发明人： Daniel McCombs
IPC分类号： A61B19/00 , G05D23/12 , A61B5/05
CPC分类号： A61B90/36 , A61B34/20 , A61B90/39 , A61B2034/2055 , A61B2034/2072 , A61B2090/3983
摘要： Methods and apparatuses for providing a navigational array for use with a computer-aided surgical navigation system. A navigational array according to an embodiment of the present invention is configured to provide a plurality of fiducial members comprising portions capable of being sensed by at least two sensors associated with the computer-aided surgical navigation system in order to determine position and orientation of the array by the system. The array can include a non-segmenting common point connecting at least some of the fiducial members, wherein at least one of the fiducial members is out of plane with the other three fiducial members, and wherein a position and orientation associated with the navigational array can be determined from sensing at least three of the fiducial members by a computer-aided surgical navigation system. The array can also include a mount adapted to support the navigational array adjacent to an object, a surgical instrument, or a joint replacement prosthesis; whereby the physical possibility for all of the fiducial members to be positioned coplanar to at least two sensors in the computer-aided surgical navigation system is precluded, and whereby when two of the fiducial members are positioned collinear to one of the sensors in the computer-aided surgical navigation system, no other of said members are positioned collinear to any other of said sensors.
摘要翻译：用于提供与计算机辅助外科导航系统一起使用的导航阵列的方法和装置。根据本发明的实施例的导航阵列被配置为提供多个基准构件，其包括能够被与计算机辅助外科导航系统相关联的至少两个传感器感测的部分，以便确定阵列的位置和取向由系统。阵列可以包括连接至少一些基准构件的非分段公共点，其中至少一个基准构件与另外三个基准构件不平面，并且其中与导航阵列相关联的位置和取向可以通过计算机辅助外科导航系统来感测至少三个基准成员来确定。该阵列还可以包括适于支撑与物体相邻的导航阵列的安装件，外科器械或关节置换假体; 从而排除了所有基准构件在计算机辅助外科导航系统中与至少两个传感器共面定位的物理可能性，并且由此当两个基准构件与计算机辅助外科导航系统中的一个传感器共线定位时，辅助的外科导航系统，所述构件中没有其他的构件与所述传感器中的任何其它传感器共线定位。

8. 发明申请

US20050021037A1 Image-guided navigated precision reamers 审中-公开
标题翻译：图像引导导航精密铰刀
公开(公告)号：US20050021037A1
公开(公告)日：2005-01-27
申请号：US10857535
申请日：2004-05-28
申请人： Daniel McCombs , Chester Wheeler
发明人： Daniel McCombs , Chester Wheeler
IPC分类号： A61B17/16 , A61B17/17 , A61B19/00
CPC分类号： A61B17/1746 , A61B17/1633 , A61B34/20 , A61B2034/2055 , A61B2034/2072
摘要： Methods and systems for providing an image guided navigated precision reamer are set forth. According to one embodiment, a method comprising providing a reamer device, the reamer device comprising a reamer shaft adapted to provide a locking capability for receiving a reamer component and capable of being rotated in use, an intermediate sleeve adapted to receive the reamer shaft substantially coaxially, and an outer sleeve adapted to receive the intermediate sleeve, wherein the reamer shaft is adapted to rotate relative to the outer sleeve without translation relative to the outer sleeve, and the sleeve is adapted to function as a handle during reaming; providing a sensor apparatus for sensing position and orientation of a plurality of location indicia; providing a first set of location indicia coupled to an anatomical reference; providing a second set of location indicia coupled to the reamer device; providing a prosthetic implant; referencing information obtained from the first and second set of location indicia; reaming a cavity of an osteological anatomical structure in preparation for receiving the prosthetic implant based at least in part on the referenced information; and placing the prosthetic implant into the cavity is set forth.
摘要翻译：阐述了提供图像引导导航精密铰刀的方法和系统。根据一个实施例，一种包括提供扩孔器装置的方法，所述扩孔器装置包括铰刀轴，其适于提供用于接收扩孔器部件并且能够在使用中旋转的锁定能力，中间套筒适于基本同轴地容纳铰刀轴以及适于容纳中间套筒的外套筒，其中铰刀轴适于相对于外套筒旋转而不相对于外套筒平移，并且套筒适于在扩孔期间用作手柄; 提供用于感测多个位置标记的位置和取向的传感器装置; 提供耦合到解剖参考的第一组位置标记; 提供耦合到所述扩孔器装置的第二组位置标记; 提供假体植入物; 参考从第一和第二组位置标记获得的信息; 至少部分地基于所引用的信息来扩展骨学解剖结构的空腔以准备接收假体植入物; 并且将假体植入物放置到空腔中。

9. 发明授权

US06257351B1 Powered surgical instrument having locking systems and a clutch mechanism 失效
公开(公告)号：US06257351B1
公开(公告)日：2001-07-10
申请号：US09342752
申请日：1999-06-29
申请人： Timmon Ark , Robert R. Humphris, Jr. , Daniel McCombs
发明人： Timmon Ark , Robert R. Humphris, Jr. , Daniel McCombs
IPC分类号： B23Q500
CPC分类号： A61B17/1626 , A61B17/14 , A61B17/1628 , A61B17/1671 , A61B17/8875 , A61B2017/00734 , A61B2090/031 , A61B2090/035 , B25B21/00
摘要： A surgical instrument having a locking mechanism for preventing an output shaft of the surgical instrument from rotating and a further locking mechanism for mounting a battery pack to a distal end of a housing of the surgical instrument. The surgical instrument further includes a clutch mechanism for limiting the torque of a drive shaft of the surgical instrument. The locking mechanism for preventing the output shaft from rotating includes a locking switch which mates with a locking cap disposed on the output shaft. The locking mechanism for mounting the battery pack to the housing includes a groove at the distal end of the housing and a retaining ring which engages the groove when the battery pack is mounted on the housing. The clutch mechanism includes a clutch plate that interfaces with both the output shaft and the drive shaft and prevents failure of the motor shaft.

10. 外观设计

USD439978S1 Battery powered surgical screwdriver 失效
标题翻译：电池供电的手术螺丝刀
公开(公告)号：USD439978S1
公开(公告)日：2001-04-03
申请号：US29107049
申请日：1999-06-29
申请人： Timmon Ark , Daniel McCombs
设计人： Timmon Ark , Daniel McCombs

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