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1. 发明授权

US07406775B2 Implantable orthopedic device component selection instrument and methods 有权
标题翻译：植入式矫形装置部件选择仪器及方法
公开(公告)号：US07406775B2
公开(公告)日：2008-08-05
申请号：US11236323
申请日：2005-09-26
申请人： Michael J. Funk , Thomas J. McLeer , Teena M. Augostino , Richard J. Broman , Leonard J. Tokish, Jr.
发明人： Michael J. Funk , Thomas J. McLeer , Teena M. Augostino , Richard J. Broman , Leonard J. Tokish, Jr.
IPC分类号： A61B17/90 , A61B6/00
CPC分类号： A61F2/4657 , A61B17/7032 , A61B17/7064 , A61F2/4405 , A61F2/4684 , A61F2002/3008 , A61F2002/3021 , A61F2002/30405 , A61F2002/30601 , A61F2002/4658 , A61F2002/4662 , A61F2002/4668 , A61F2220/0025 , A61F2230/0067 , A61F2250/0098
摘要： The present invention provides tools and methods designed to aid in the placement of artificial facet joints at virtually all spinal levels. One aspect of the present invention is a measurement tool for installing an artificial cephalad facet joint including a fixation measurement element and a support arm element. This measurement tool assists in the selection and/or configuration of an artificial cephalad facet joint for implantation in a patient. Another aspect is a measurement tool for installing a caudad facet joint including a stem element and a trial caudad bearing surface element. This measurement tool assists in the selection and/or configuration of a caudad facet joint for implantation in a patient. Yet another aspect is a measurement tool holder including a measurement surface connected to a holder element. This tool holder assists in determining the measurements obtained with the caudad facet joint measurement tool.
摘要翻译：本发明提供了设计用于帮助在几乎所有脊柱水平放置人造小关节的工具和方法。本发明的一个方面是一种用于安装包括固定测量元件和支撑臂元件的人造头部小关节的测量工具。该测量工具有助于用于植入患者的人造头颅关节的选择和/或构造。另一方面是用于安装包括杆元件和试验尾座表面元件的尾部小关节的测量工具。该测量工具有助于选择和/或构造用于植入患者的小便关节。另一方面是一种测量工具保持器，其包括连接到保持器元件的测量表面。该工具支架用于帮助确定使用小腿关节测量工具获得的测量结果。

2. 发明授权

US08675930B2 Implantable orthopedic device component selection instrument and methods 有权
标题翻译：植入式矫形装置部件选择仪器及方法
公开(公告)号：US08675930B2
公开(公告)日：2014-03-18
申请号：US12186461
申请日：2008-08-05
申请人： Michael J. Funk , Thomas J. McLeer , Teena M. Augostino , Richard J. Broman , Leonard J. Tokish, Jr.
发明人： Michael J. Funk , Thomas J. McLeer , Teena M. Augostino , Richard J. Broman , Leonard J. Tokish, Jr.
IPC分类号： G06K9/00
CPC分类号： A61F2/4657 , A61B17/7032 , A61B17/7064 , A61F2/4405 , A61F2/4684 , A61F2002/3008 , A61F2002/3021 , A61F2002/30405 , A61F2002/30601 , A61F2002/4658 , A61F2002/4662 , A61F2002/4668 , A61F2220/0025 , A61F2230/0067 , A61F2250/0098
摘要： The present invention provides tools and methods designed to aid in the placement of artificial facet joints at virtually all spinal levels. One aspect of the present invention is a measurement tool for installing an artificial cephalad facet joint including a fixation measurement element and a support arm element. This measurement tool assists in the selection and/or configuration of an artificial cephalad facet joint for implantation in a patient. Another aspect is a measurement tool for installing a caudad facet joint including a stem element and a trial caudad bearing surface element. This measurement tool assists in the selection and/or configuration of a caudad facet joint for implantation in a patient. Yet another aspect is a measurement tool holder including a measurement surface connected to a holder element. This tool holder assists in determining the measurements obtained with the caudad facet joint measurement tool.
摘要翻译：本发明提供了设计用于帮助在几乎所有脊柱水平放置人造小关节的工具和方法。本发明的一个方面是一种用于安装包括固定测量元件和支撑臂元件的人造头部小关节的测量工具。该测量工具有助于用于植入患者的人造头颅关节的选择和/或构造。另一方面是用于安装包括杆元件和试验尾座表面元件的尾部小关节的测量工具。该测量工具有助于用于植入患者的尾部小关节的选择和/或构造。另一方面是一种测量工具保持器，其包括连接到保持器元件的测量表面。该工具支架用于帮助确定使用小腿关节测量工具获得的测量结果。

3. 发明授权

US08187303B2 Anti-rotation fixation element for spinal prostheses 有权
标题翻译：用于脊椎假体的防旋转固定元件
公开(公告)号：US08187303B2
公开(公告)日：2012-05-29
申请号：US10831657
申请日：2004-04-22
申请人： Leonard J. Tokish, Jr. , Mark T. Charbonneau , Mark A. Reiley , Robert M. Scribner
发明人： Leonard J. Tokish, Jr. , Mark T. Charbonneau , Mark A. Reiley , Robert M. Scribner
IPC分类号： A61B17/70 , A61F2/44
CPC分类号： A61B17/7064 , A61B17/15 , A61B17/7049 , A61B2017/564 , A61F2/30742 , A61F2/44 , A61F2/4405 , A61F2/442 , A61F2/4455 , A61F2002/30092 , A61F2002/30171 , A61F2002/30289 , A61F2002/30331 , A61F2002/30405 , A61F2002/30462 , A61F2002/30507 , A61F2002/30537 , A61F2002/30538 , A61F2002/3055 , A61F2002/30563 , A61F2002/30566 , A61F2002/30579 , A61F2002/30601 , A61F2002/30604 , A61F2002/30607 , A61F2002/30616 , A61F2002/30617 , A61F2002/30682 , A61F2002/3069 , A61F2002/3082 , A61F2002/30841 , A61F2002/30845 , A61F2002/30846 , A61F2002/3085 , A61F2002/30878 , A61F2002/30881 , A61F2002/30884 , A61F2002/448 , A61F2002/4631 , A61F2210/0014 , A61F2220/0025 , A61F2220/0033 , A61F2220/0075 , A61F2230/005 , A61F2230/0091 , A61F2250/0004 , A61F2250/0006 , A61F2250/0007 , A61F2250/0062 , A61F2250/0097 , A61F2310/00023
摘要： Prostheses, systems, and methods are provided for replacement of natural facet joints between adjacent vertebrae with vertebral prostheses. A portion of the vertebral prosthesis includes anti-rotation and/or anti-pullout elements to prevent or reduce prosthesis fastener rotation or pull out as a result of torques applied to the prosthesis. Various tools and methods aid the process of surgically adding the vertebral prosthesis to a patient's vertebra.
摘要翻译：提供假体，系统和方法用于替代相邻椎骨之间的自然小关节与椎体假体。脊椎假体的一部分包括防旋转和/或抗拉拔元件，以防止或减少由于施加到假体的扭矩而引起的假体紧固件旋转或拉出。各种工具和方法有助于将椎体假体手术加入患者的椎骨。

4. 发明授权

US09056016B2 Polyaxial adjustment of facet joint prostheses 有权
标题翻译：小关节假体的多轴调整
公开(公告)号：US09056016B2
公开(公告)日：2015-06-16
申请号：US12058403
申请日：2008-03-28
申请人： Mark A. Reiley , David T. Stinson , Robert M. Scribner , Leonard J. Tokish, Jr.
发明人： Mark A. Reiley , David T. Stinson , Robert M. Scribner , Leonard J. Tokish, Jr.
IPC分类号： A61B17/70 , A61F2/44 , A61B17/86 , A61F2/30 , A61F2/46
CPC分类号： A61F2/4405 , A61B17/7064 , A61B17/86 , A61F2/4637 , A61F2002/30365 , A61F2002/30367 , A61F2002/30373 , A61F2002/30375 , A61F2002/30438 , A61F2002/30443 , A61F2002/30507 , A61F2002/30512 , A61F2002/30538 , A61F2002/3055 , A61F2002/30553 , A61F2002/30604 , A61F2002/30616 , A61F2002/30649 , A61F2002/448 , A61F2002/4631 , A61F2002/4642 , A61F2220/0025 , A61F2220/0033 , A61F2220/0041 , A61F2250/0006 , A61F2250/0007 , A61F2250/0008 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00047 , A61F2310/00131 , A61F2310/00179
摘要： Prostheses, systems, and methods are provided for replacement of natural facet joints between adjacent vertebrae using polyaxial attachment mechanisms for securing the prostheses to the vertebrae. A cephalad prosthesis attached to a superior adjacent vertebra replaces the inferior half of a natural facet joint. A caudal prosthesis attached to an inferior adjacent vertebra replaces the superior half of a natural facet joint. Both the cephalad and caudal prostheses are configured with artificial facet joint structures that include articulating surfaces that cooperate and form an artificial articular configuration. The polyaxial attachment mechanism permits adjustment of the position of the artificial facet joint structure along more than one axis at or after the time the cephalad or caudal prosthesis is attached to a vertebra.
摘要翻译：提供假体，系统和方法用于使用用于将假体固定到椎骨的多轴附接机构来替代相邻椎骨之间的自然小关节。附接到上部相邻椎骨的头部假体取代了自然小关节的下半部分。附着于下相邻椎骨的尾部假体代替了自然小关节的上半部。头部和尾部假体都配置有人造小关节结构，其包括协作并形成人造关节构造的关节表面。多轴连接机构允许在头部或尾部假体附接到椎骨的时间或之后沿多于一个轴线调节人造小关节结构的位置。

5. 发明授权

US06258089B1 Anterior cervical plate and fixation system 有权
标题翻译：前宫颈板和固定系统
公开(公告)号：US06258089B1
公开(公告)日：2001-07-10
申请号：US09314617
申请日：1999-05-19
申请人： Christopher M. Campbell , Donald E. Anselm , Jason D. Blain , Joel P. Bales , Dan L. Pastrick , George A. Ramirez , Rick B. Delamarter , Leonard J. Tokish, Jr.
发明人： Christopher M. Campbell , Donald E. Anselm , Jason D. Blain , Joel P. Bales , Dan L. Pastrick , George A. Ramirez , Rick B. Delamarter , Leonard J. Tokish, Jr.
IPC分类号： A61B1768
CPC分类号： A61B17/7059 , A61B17/8042 , A61B17/8052 , A61B17/862 , A61B17/8891
摘要： An anterior cervical plate is disclosed, along with threaded fasteners for securing the plate to vertebrae or other osseous material. The cervical plate has several pockets or apertures, preferably at least four, to receive a corresponding number of the fasteners. The pockets have spherical surfaces, and the fasteners have heads with similarly sized spherical surfaces, which when engaged permit each of the fasteners to be oriented at a variety of projection angles with respect to the plate. In connection with each pocket, the cervical plate incorporates a fastener retaining feature. The feature can take the form of a cantilevered tab or a beam supported at its opposite ends, in each case plastically deformable between an open position for admitting the fastener and a closed position for preventing retraction.
摘要翻译：公开了一种前颈椎板，以及用于将板固定到椎骨或其他骨质材料的螺纹紧固件。颈板具有多个口袋或孔，优选至少四个，以容纳相应数量的紧固件。凹穴具有球形表面，并且紧固件具有类似尺寸的球形表面的头部，当接合时允许每个紧固件相对于板以各种投影角度定向。与每个口袋相关，颈板包括紧固件保持特征。该特征可以采取悬臂翼片的形式或在其相对端支撑的梁，在每种情况下，可在用于允许紧固件的打开位置和用于防止收缩的关闭位置之间塑性变形。

6. 发明授权

US5810829A Posterior stabilized/constrained reamer guide 失效
标题翻译：后稳定/限制铰刀指南
公开(公告)号：US5810829A
公开(公告)日：1998-09-22
申请号：US804247
申请日：1997-02-21
申请人： Scott Elliott , Jennifer J. Lackey , Steve M. Tammi , Leonard J. Tokish, Jr.
发明人： Scott Elliott , Jennifer J. Lackey , Steve M. Tammi , Leonard J. Tokish, Jr.
IPC分类号： A61B19/00 , A61B17/14 , A61B17/15 , A61B17/16 , A61B17/17 , A61B17/56
CPC分类号： A61B17/1764 , A61B17/155 , A61B17/1604 , A61B17/1675 , A61B17/1735 , A61B2017/1602 , A61B2090/033 , A61B2090/034
摘要： A posterior stabilized/constrained reamer guide is provided that enables a surgeon to prepare a patient s distal femur to receive either a posterior stabilized or a constrained type femoral component. The instrument guide has an opening the largest anterior to posterior housing size. For example, a constrained housing has a longer anterior to posterior dimension than a posterior stabilized housing. The apparatus of the present invention provides an improved reamer guide that addresses differences in housing sizes and necessary bone removal. The apparatus provides a housing guide that accepts either a posterior stabilized collet or a constrained collet. Each of the collets accepts a rotary reamer or a box chisel. During surgery, the reamer is first used to form a cylindrically-shaped or oval shaped cut. The box chisel then removes additional bone to create a rectangular or squared opening. This insures that only the necessary bone is removed for each housing depending upon the one selected by the surgeon.
摘要翻译：提供了一种后稳定/约束铰刀引导件，其能够使外科医生准备患者的远端股骨以接收后稳定或约束型股骨部件。仪器指南具有最大的前后房间尺寸的开口。例如，受限的壳体具有比后稳定的壳体更长的前后尺寸。本发明的装置提供了改进的铰刀指南，其解决了壳体尺寸和必要的骨移除的差异。该装置提供一个外壳引导件，其可以接受后稳定的夹头或受限的夹头。每个夹头都接受一个旋转铰刀或一个箱子凿子。在手术中，铰刀首先用于形成圆柱形或椭圆形的切口。然后，盒式凿子移除额外的骨头，以创建一个矩形或平方的开口。这确保了根据外科医生所选择的每个外壳只需要除去必要的骨骼。

7. 发明授权

US5534005A Surgical milling system 失效
标题翻译：手术研磨系统
公开(公告)号：US5534005A
公开(公告)日：1996-07-09
申请号：US318477
申请日：1994-10-05
申请人： Leonard J. Tokish, Jr. , Thomas W. Fallin , Jeff Schryver
发明人： Leonard J. Tokish, Jr. , Thomas W. Fallin , Jeff Schryver
IPC分类号： A61B17/16 , A61B17/17 , A61B17/56
CPC分类号： A61B17/175 , A61B17/17 , A61B17/1668 , A61B2017/1602
摘要： An in-situ surgical orthopedic milling apparatus includes an instrument frame having upper and lower end portions. A plurality of templates are provided, each forming a respective virtual pattern. A cutting device supported upon the frame cuts bone tissue (e.g., within the intramedullary canal of a patient's bone), by tracking the virtual patterns. A system of vertically stacked templates can be placed in position with respect to the instrument frame to define an operative position. The templates provide a wall portion that constrains movement of the cutting tool beyond a desired surgical cutting area defining an "actual pattern". In this first embodiment, the templates are in the form of stacked templates, each template having its own pattern.
摘要翻译：原位手术矫形装置包括具有上端部和下端部的器械框架。提供多个模板，每个模板形成相应的虚拟图案。支撑在框架上的切割装置通过跟踪虚拟图案来切割骨组织（例如，在患者骨骼的髓内管内）。可以将垂直堆叠的模板的系统相对于仪器框架放置在适当位置以限定操作位置。模板提供了限制切割工具的移动超过定义“实际图案”的所需手术切割区域的壁部分。在该第一实施例中，模板是堆叠模板的形式，每个模板具有其自己的模式。

8. 发明授权

US06626907B2 Anterior cervical plate and fixation system 有权
标题翻译：前宫颈板和固定系统
公开(公告)号：US06626907B2
公开(公告)日：2003-09-30
申请号：US09803394
申请日：2001-03-09
申请人： Christopher M. Campbell , Donald E. Anselm , Jason D. Blain , Joel P. Bales , Dan L. Pastrick , George A. Ramirez , Rick B. Delamarter , Leonard J. Tokish, Jr.
发明人： Christopher M. Campbell , Donald E. Anselm , Jason D. Blain , Joel P. Bales , Dan L. Pastrick , George A. Ramirez , Rick B. Delamarter , Leonard J. Tokish, Jr.
IPC分类号： A61B1770
CPC分类号： A61B17/7059 , A61B17/8042 , A61B17/8052 , A61B17/862 , A61B17/8891
摘要： An anterior cervical plate is disclosed, along with threaded fasteners for securing the plate to vertebrae or other osseous material. The cervical plate has several pockets or apertures, preferably at least four, to receive a corresponding number of the fasteners. The pockets have spherical surfaces, and the fasteners have heads with similarly sized spherical surfaces, which when engaged permit each of the fasteners to be oriented at a variety of projection angles with respect to the plate. In connection with each pocket, the cervical plate incorporates a fastener retaining feature. The feature can take the form of a cantilevered tab or a beam supported at its opposite ends, in each case plastically deformable between an open position for admitting the fastener and a closed position for preventing retraction.
摘要翻译：公开了一种前颈椎板，以及用于将板固定到椎骨或其他骨质材料的螺纹紧固件。颈板具有多个口袋或孔，优选至少四个，以容纳相应数量的紧固件。凹穴具有球形表面，并且紧固件具有类似尺寸的球形表面的头部，当接合时允许每个紧固件相对于板以各种投影角度定向。与每个口袋相关，颈板包括紧固件保持特征。该特征可以采取悬臂翼片的形式或在其相对端支撑的梁，在每种情况下，可在用于允许紧固件的打开位置和用于防止收缩的关闭位置之间塑性变形。

9. 发明授权

US5720752A Distal femoral cutting guide apparatus with anterior or posterior referencing for use in knee joint replacement surgery 失效
标题翻译：远端股骨切割导引器具有前后参考用于膝关节置换手术
公开(公告)号：US5720752A
公开(公告)日：1998-02-24
申请号：US604730
申请日：1996-02-21
申请人： Scott Elliott , Jennifer J. Lackey , Gregory C. Marik , Brian Schumacher , Leonard J. Tokish, Jr.
发明人： Scott Elliott , Jennifer J. Lackey , Gregory C. Marik , Brian Schumacher , Leonard J. Tokish, Jr.
IPC分类号： A61B17/15 , A61B19/00 , A61F2/38 , A61F2/46
CPC分类号： A61B17/155 , A61F2/4657 , A61B2090/061 , A61F2/3859 , A61F2002/4658
摘要： A distal femoral sizing instrument includes an intramedullary rod for referencing the patient's intramedullary canal. A valgus module mounts to the intramedullary rod at a bore of the valgus. The bore of the module has a slant with respect to the flat reference surface of a valgus block. The module slidably connects to the block. The valgus block, referencing guide and a stylus (for connecting the valgus block and cutting together) are removed as a unit before shaping of the distal femur. An indexing system includes a gauge having a series of openings corresponding to "anterior" referencing and to "posterior" referencing. During anterior referencing, the gauge allows the surgeon to select the next smaller size prosthesis if the size falls in between available sizes. In posterior referencing, the gauge allows the surgeon to select the next larger size prosthesis if the gauge measures a size that falls in between available sizes.
摘要翻译：远端股骨上浆仪器包括用于参考患者髓内管的髓内杆。外翻模块安装在内翻杆的外翻孔上。模块的孔相对于外翻块的平坦参考表面具有倾斜度。模块可滑动地连接到块。在股骨远端成形之前，将外翻块，参考指南和触针（用于连接外翻块和切割在一起）作为一个单元被去除。分度系统包括具有对应于“前”参考和“后”参考的一系列开口的计量器。在前部参考期间，如果尺寸落在可用尺寸之间，则仪表允许外科医生选择下一个较小尺寸的假体。在后面参考中，如果仪表测量的尺寸落在可用尺寸之间，则仪表允许外科医生选择下一个更大尺寸的假体。

10. 发明授权

US5549702A Flexible orthopaedic stem apparatus 失效
标题翻译：柔性矫形器械装置
公开(公告)号：US5549702A
公开(公告)日：1996-08-27
申请号：US328363
申请日：1994-10-25
申请人： Michael D. Ries , Leonard J. Tokish, Jr. , Thomas W. Fallin
发明人： Michael D. Ries , Leonard J. Tokish, Jr. , Thomas W. Fallin
IPC分类号： A61F2/00 , A61F2/30 , A61F2/36 , A61F2/46 , A61F2/34
CPC分类号： A61F2/3676 , A61F2/36 , A61F2/4607 , A61F2002/30014 , A61F2002/30018 , A61F2002/30131 , A61F2002/30224 , A61F2002/30235 , A61F2002/30289 , A61F2002/30319 , A61F2002/30324 , A61F2002/30332 , A61F2002/30596 , A61F2002/30604 , A61F2002/30774 , A61F2002/30795 , A61F2002/3082 , A61F2002/3085 , A61F2002/365 , A61F2002/3674 , A61F2002/3692 , A61F2002/3694 , A61F2002/3696 , A61F2002/4619 , A61F2220/0033 , A61F2230/0013 , A61F2230/0069 , A61F2230/0091 , A61F2250/0018 , A61F2250/0029 , A61F2250/0036
摘要： An orthopaedic prosthesis for implantation in a patient's intramedullary canal includes a prosthesis body and a removable prosthesis stem portion that is connectable to the prosthesis body at the lower end portion of the prosthesis body. The stem is formed of an elongated stem member that is preferably conically shaped, having an inner elongated conical core with proximal and distal end portions. A helical portion extends around the core beginning at a position adjacent to the proximal end and terminating at a position adjacent to the distal end. The stem and body can be connectable using a wedge lock or taper-like connection. The prosthesis stem can provide a socket with internal threads for attaching a removal tool thereto.
摘要翻译：用于植入患者髓内管的矫形假体包括假体和可拆卸的假体柄部，该假体本体和可拆卸的假体柄部在假体的下端部处可连接到假体。杆由细长的杆构件形成，其优选地是圆锥形的，具有带有近端部分和远端部分的内部细长锥形芯部。螺旋部分从核心开始，在与近端相邻的位置处开始，并且终止于与远端相邻的位置。阀杆和阀体可以使用楔形锁或锥形连接连接。假体柄可以提供具有用于将去除工具附接到其上的内螺纹的插座。

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