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    • 3. 发明授权
    • Surgical template assembly and method for drilling and installing dental
implants
    • 手术模板组装和钻孔和安装牙植入物的方法
    • US5967777A
    • 1999-10-19
    • US977324
    • 1997-11-24
    • Michael KleinMichael E. AbramsRichard J. Manno
    • Michael KleinMichael E. AbramsRichard J. Manno
    • A61C19/00A61B6/03A61B6/14A61C1/08A61C8/00A61C9/00
    • A61C8/0089A61C1/084A61C9/0053A61C2201/005
    • A surgical template and method for drilling osteotomies (e.g., holes in a jawbone) and installing one or more dental implants using a surgical template assembly. The surgical template assembly is provided with one or more drill guides and one or more dental implant guides. The guides are positioned in the surgical template assembly by a computer-driven milling machine interfaced with a computer-generated image of a patient's jawbone and a computer-generated simulation of at least one dental implant so that when the surgical template is placed in the patient's mouth a trajectory of the guides in the surgical template into the patient's jawbone corresponds to a trajectory of the computer-generated simulation of the dental implant into the computer-generated image of the patient's jawbone. Preferably, three fiducial markers, provide positional coordination between the CT scan data, the computer-generated simulation of the dental implant, and the computer-driven milling machine.
    • 用于钻取截骨术(例如颚骨中的孔)并使用外科手术模板组件安装一个或多个牙种植体的手术模板和方法。 手术模板组件设置有一个或多个钻子引导件和一个或多个牙科植入物引导件。 引导件通过计算机驱动的铣床定位在手术模板组件中,计算机驱动的铣床与患者的颚骨的计算机生成的图像和计算机生成的至少一个牙齿植入物的模拟物相连接,使得当手术模板放置在患者的 将手术模板中的引导件的轨迹插入患者的颚骨中,对应于计算机生成的牙植入物模拟到患者颚骨的计算机生成的图像中的轨迹。 优选地,三个基准标记提供了CT扫描数据,牙科植入物的计算机生成的模拟和计算机驱动的铣床之间的位置协调。
    • 4. 发明申请
    • ACCESS PORT INCLUDING CENTERING FEATURE
    • 访问港,包括中心特色
    • US20100241079A1
    • 2010-09-23
    • US12717286
    • 2010-03-04
    • Michael E. Abrams
    • Michael E. Abrams
    • A61B17/34
    • A61B17/3462A61B17/3498A61B2017/3464
    • A surgical access port includes an access member defining a longitudinal axis and having an interior wall defining a longitudinal opening adapted for passage of a surgical object, an object seal disposed in mechanical cooperation with the access member and configured to create a substantially fluid-tight seal around a surgical object inserted through the object seal and a centering mechanism mounted to the access member proximal of the object seal. The centering mechanism includes at least one centering element extending at least in a general longitudinal direction within the longitudinal opening, and defining proximal and distal longitudinal end segments. The at least one centering element is positioned and dimensioned to engage the surgical object during passage of the object through the longitudinal opening to normally bias the surgical object into general alignment with the longitudinal axis. A locking member is mounted to the distal longitudinal end segment of the at least one centering element. The locking member is adapted for longitudinal movement relative to the longitudinal axis when the surgical object is in generally aligned relation with the longitudinal axis. The locking member is dimensioned to engage the interior wall of the access member upon asymmetrical manipulation of the surgical object relative to the longitudinal axis to substantially lock the centering mechanism and prevent further asymmetrical manipulation of the surgical object until the surgical object is returned to the generally aligned relation with the longitudinal axis under the bias of the at least one centering element.
    • 外科进入口包括限定纵向轴线的入口构件,并且具有限定适于外科手术对象通过的纵向开口的内壁;物体密封件,其被设置成与进入构件机械协作,并且构造成产生基本上不流体密封的密封 围绕通过物体密封件插入的手术物体和安装到物体密封件近侧的进入构件的定心机构。 定心机构包括至少一个定心元件,其至少在纵向开口内沿总体纵向方向延伸,并且限定近端和远端纵向端段。 所述至少一个定心元件被定位和定尺寸成在所述物体通过所述纵向开口的过程中与所述手术物体接合以通常将所述外科物体偏置成与所述纵向轴线的总体对准。 锁定构件安装到至少一个定心元件的远侧纵向端段。 当手术对象与纵向轴线大致对准关系时,锁定构件适于相对于纵向轴线的纵向移动。 锁定构件的尺寸被设计成在相对于纵向轴线不对称地操纵手术物体时接合进入构件的内壁,以基本上锁定定心机构并防止对外科手术对象的进一步的不对称操纵,直到手术物体返回到大体 在至少一个定心元件的偏压下与纵向轴线对准关系。
    • 5. 发明授权
    • Access port including centering feature
    • 访问端口包括中心功能
    • US08137319B2
    • 2012-03-20
    • US12717286
    • 2010-03-04
    • Michael E. Abrams
    • Michael E. Abrams
    • A61B17/34
    • A61B17/3462A61B17/3498A61B2017/3464
    • A surgical access port includes an access member defining a longitudinal axis and having an interior wall defining a longitudinal opening adapted for passage of a surgical object, an object seal disposed in mechanical cooperation with the access member and configured to create a substantially fluid-tight seal around a surgical object inserted through the object seal and a centering mechanism mounted to the access member proximal of the object seal. The centering mechanism includes at least one centering element extending at least in a general longitudinal direction within the longitudinal opening, and defining proximal and distal longitudinal end segments. The at least one centering element is positioned and dimensioned to engage the surgical object during passage of the object through the longitudinal opening to normally bias the surgical object into general alignment with the longitudinal axis. A locking member is mounted to the distal longitudinal end segment of the at least one centering element. The locking member is adapted for longitudinal movement relative to the longitudinal axis when the surgical object is in generally aligned relation with the longitudinal axis. The locking member is dimensioned to engage the interior wall of the access member upon asymmetrical manipulation of the surgical object relative to the longitudinal axis to substantially lock the centering mechanism and prevent further asymmetrical manipulation of the surgical object until the surgical object is returned to the generally aligned relation with the longitudinal axis under the bias of the at least one centering element.
    • 外科进入口包括限定纵向轴线的入口构件,并且具有限定适于外科手术对象通过的纵向开口的内壁;物体密封件,其被设置成与进入构件机械协作,并且构造成产生基本上不流体密封的密封 围绕通过物体密封件插入的手术物体和安装到物体密封件近侧的进入构件的定心机构。 定心机构包括至少一个定心元件,其至少在纵向开口内沿总体纵向方向延伸,并且限定近端和远端纵向端段。 所述至少一个定心元件被定位和定尺寸成在所述物体通过所述纵向开口的过程中与所述手术物体接合以通常将所述外科物体偏置成与所述纵向轴线的总体对准。 锁定构件安装到至少一个定心元件的远侧纵向端段。 当手术对象与纵向轴线大致对准关系时,锁定构件适于相对于纵向轴线的纵向移动。 锁定构件的尺寸被设计成在相对于纵向轴线不对称地操纵手术物体时接合进入构件的内壁,以基本上锁定定心机构并防止对外科手术对象的进一步的不对称操纵,直到手术物体返回到大体 在至少一个定心元件的偏压下与纵向轴线对准关系。
    • 6. 发明申请
    • ACCESS PORT INCLUDING CENTERING FEATURE
    • 访问港,包括中心特色
    • US20100240957A1
    • 2010-09-23
    • US12717268
    • 2010-03-04
    • Michael E. Abrams
    • Michael E. Abrams
    • A61B1/32
    • A61B17/3462A61B2017/3464
    • An access port includes a housing defining a longitudinal axis and having proximal and distal ends, and an interior wall defining a longitudinal opening adapted for passage of a surgical object, an object seal disposed in mechanical cooperation with the housing and being configured to create a substantially fluid-tight seal around a surgical object inserted through the object seal and a centering mechanism mounted to the housing. The centering mechanism includes at least one centering element extending at least in a general longitudinal direction within the longitudinal opening and a substantially annular ring mounted to the at least one centering element. The at least one centering element is positioned and dimensioned to engage the surgical object during passage of the object through the longitudinal opening and is capable of radial outward deflective movement relative to the longitudinal axis in response to an outward force exerted by the surgical object during eccentric manipulation of the surgical object. The annular ring is adapted for radial movement during corresponding radial movement of the at least one centering element upon eccentric manipulation of the surgical object, to thereby engage the interior wall and apply a generally inward force counteracting the outward force exerted by the surgical object tending to bias the surgical object toward a generally aligned position with respect to the longitudinal axis.
    • 进入端口包括限定纵向轴线并具有近端和远端的壳体,以及限定适于外科手术物体通过的纵向开口的内壁,与壳体机械配合设置的物体密封件, 通过物体密封件插入的手术物体周围的流体密封和安装到壳体的定中心机构。 定心机构包括至少一个在纵向开口内至少在总的纵向方向上延伸的定心元件和安装在该至少一个定心元件上的基本环形的环。 所述至少一个居中元件的位置和尺寸被设计成在物体通过纵向开口期间接合手术物体,并且能够响应于外科手术对象在偏心期间施加的向外的力而相对于纵向轴线径向向外偏转运动 操纵手术对象。 所述环形环适于在所述至少一个定心元件在所述手术物体偏心操作时的相应径向移动期间径向移动,从而接合所述内壁并且施加大致向内的力,所述向内力抵消由所述手术物体施加的向外力 将外科手术对象偏向相对于纵向轴线大致对准的位置。