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1. 发明授权

US4838264A Torque limiting device for use with bone penetrating pins 失效
标题翻译：用于骨穿刺针的扭矩限制装置
公开(公告)号：US4838264A
公开(公告)日：1989-06-13
申请号：US86709
申请日：1987-08-18
申请人： Paul W. Bremer , David A. Kesselman
发明人： Paul W. Bremer , David A. Kesselman
IPC分类号： A61B6/12 , A61B17/88 , A61B19/00
CPC分类号： A61B17/8875 , A61B6/12 , A61B90/14 , A61B2017/00902 , A61B2090/031 , A61B2090/037 , Y10S606/907 , Y10S606/916
摘要： A bone penetrating pin for medical use includes, in one embodiment, a shank provided at one end with a bone penetrating element of titanium or single crystal alumina ceramic material, and a driving head at the other end. A removable cap is applied to the driving end, the cap including upper and lower cylindrical portions of substantially identical diameters interconnected by an intermediate portion of substantially smaller diameter. The upper portion is formed with oppositely extending arms for application of torque through the cap to the shank and bone penetrating element. The intermediate portion of the cap is designed to fail in shear upon the application of torque in excess of a predetermined maximum; that is, it provides a torque limiting function. In another embodiment, the torque applying and limiting means are in the form of a tool assembly comprising a shank engageable with one end of a bone penetrating pin, and a cap slidable with respect to the shank, wherein a torque limiting insert is receivable between the cap and the shank to drivingly couple the two. More specifically, the tool of this second embodiment includes an elongated shank provided with a pin fastener engaging tip at one end and a first socket formed at the other end. A torque applying device is slidably mounted with respect to the shank, and includes a second socket substanially aligned with the first socket. A torque limiting insert is receivable within the first and second sockets to couple the torque applying device and the pin engaging shank.
摘要翻译：用于医疗用途的骨穿刺针在一个实施例中包括在一端设置有钛或单晶氧化铝陶瓷材料的骨穿透元件的柄，在另一端设置有驱动头。可拆卸的盖子被施加到驱动端，帽子包括具有基本上相同直径的上部和下部圆柱形部分，其通过基本上较小直径的中间部分互连。上部形成有相对延伸的臂，用于通过帽施加扭矩到柄和骨穿透元件。盖的中间部分被设计成在施加超过预定最大值的扭矩时不能剪切; 也就是说，它提供了一个扭矩限制功能。在另一个实施例中，扭矩施加和限制装置是工具组件的形式，其包括可与骨穿刺销的一端接合的柄以及可相对于柄可滑动的帽，其中扭矩限制插入物可在帽和小腿快速夫妇两人。更具体地，该第二实施例的工具包括在一端设置有销紧固件接合末端的细长柄和在另一端形成的第一插座。扭矩施加装置相对于柄可滑动地安装，并且包括与第一插座基本对齐的第二插座。扭矩限制插入件可接收在第一和第二插座内以联接扭矩施加装置和销接合柄。

2. 外观设计

USD313471S Combined torque limiter and skull pin 失效
公开(公告)号：USD313471S
公开(公告)日：1991-01-01
申请号：US141892
申请日：1988-01-11
申请人： Paul W. Bremer , David A. Kesselman
设计人： Paul W. Bremer , David A. Kesselman

3. 发明授权

US4539979A Temporary cervical traction maintenance 失效
标题翻译：临时颈椎牵引维修
公开(公告)号：US4539979A
公开(公告)日：1985-09-10
申请号：US489076
申请日：1983-04-27
申请人： Paul W. Bremer
发明人： Paul W. Bremer
IPC分类号： A61F5/055 , A61H1/02
CPC分类号： A61F5/055
摘要： A portable cervical traction device is utilized to temporarily positively maintain cervical traction while a patient is transported from a stationary traction station to another station, such as an X-ray station. While the patient is in traction at a traction station, the backplate and shoulder supports of the portable device are attached to the patient. Upstanding from the backplate are a pair of telescoping components with compression springs, and at the top of those components is a cross bar. Slide rods extend outwardly from the cross bar to overhang the shoulder supports, and a slide bar slides along the slide rods. A cam cleat on the slide bar is moved into engagement with the traction cable at the traction site, and suitable counter-traction force is applied by compressing the springs associated with the telescoping components. Then the traction cable is released from its attachment at the traction station, and is wrapped around a deck cleat. The device is utilizable with a cervical strap, tongs, halo, and like traction-facilitating devices.
摘要翻译：便携式颈椎牵引装置用于临时正确地保持颈部牵引，同时将患者从固定牵引站运送到诸如X射线站的另一个站。当患者在牵引站处牵引时，便携式装置的背板和肩部支撑件附接到患者身上。从背板垂直的是一对具有压缩弹簧的伸缩部件，在这些部件的顶部是横杆。滑杆从横杆向外延伸，突出到肩部支撑件上，并且滑杆沿滑杆滑动。滑动杆上的凸轮防滑钉被移动成与牵引位置处的牵引电缆接合，并且通过压缩与伸缩部件相关联的弹簧来施加合适的反作用力。然后牵引电缆从其牵引站处的附件释放，并且缠绕在甲板防滑板上。该装置可用于颈带，钳子，晕圈等牵引装置。

4. 发明授权

US5122132A Skull pin with enhanced shear resistance 失效
标题翻译：头针增强抗剪切性能
公开(公告)号：US5122132A
公开(公告)日：1992-06-16
申请号：US739336
申请日：1991-08-01
申请人： Paul W. Bremer
发明人： Paul W. Bremer
IPC分类号： A61B17/64 , A61B17/86 , A61B19/00
CPC分类号： A61B17/8635 , A61B17/6433 , A61B90/14
摘要： A skull pin provides greater resistance to shear forces so that it may be more readily made of titanium, ceramic or gem stone, yet still prevents undue penetration, and can be tightened if wear or erosion of the skull results from cyclic loading. The pin is used with a halo or cervical traction ring, and has a main, externally threaded, circular cylindrical body, and a skull engaging portion. The skull engaging portions is formed by first and second concentric, in-line cylinders terminating in conical sections, the first conical section terminating in the second cylinder (which resists shear forces much better than conventional skull pins), and the second conical section terminating in a pointed tip. The first cylinder has a diameter of about 0.18 inches, the first conical section has a length of about 0.09 inches and approximately a 60.degree. taper angle, the second cylinder has a length of about 0.03 inches and a diameter of about 0.07 inches, and the second conical section has approximately a 60.degree. taper angle.
摘要翻译：颅骨销提供更大的剪切力抵抗力，使其可以更容易地由钛，陶瓷或宝石制成，但仍然防止不适当的穿透，并且如果颅骨的磨损或侵蚀由于循环加载而被收紧。针与光环或颈部牵引环一起使用，并具有主要的，外螺纹的圆柱形主体和颅骨接合部分。颅骨接合部分由终止于锥形部分的第一和第二同心直列圆柱体形成，第一圆锥形部分终止于第二圆柱体（其抵抗剪切力比常规颅骨销钉好得多），第二锥形部分终止于一个尖头。第一圆筒具有约0.18英寸的直径，第一圆锥形部分具有约0.09英寸和大约60度锥角的长度，第二圆柱体具有约0.03英寸的长度和约0.07英寸的直径，并且第二锥形部分具有大约60°的锥角。

5. 发明授权

US5042462A Cervical traction tongs 失效
标题翻译：子宫颈牵引钳
公开(公告)号：US5042462A
公开(公告)日：1991-08-27
申请号：US605422
申请日：1990-10-30
申请人： Paul W. Bremer
发明人： Paul W. Bremer
IPC分类号： A61B17/64 , A61B19/00
CPC分类号： A61B17/6433 , A61B2017/00902
摘要： Cervical traction tongs having cooperating first and second curved arms made of MRI and biologically compatible and CT transparent material. Skull pins having main bodies of MRI and biologically compatible and CT transparent material, and pointed skull engaging tips of radiolucent material (e.g. single crystal alumina ceramic) extend through openings at one end of the arms, while at the other ends the arms are connected together in an adjustable manner, so as to adjust the spacing between the pin pointed tips. The arms have enlarged circular end terminations having radially extending serrations which cooperate together, and are held in a position to which they are moved by a through extending bolt and nut. The arms have sufficient elasticity to provide constant pressure urging the pointed pin tips against the human skull during use. A flexible strand for applying tension is passed through an arcuate elongated opening in the serrated end terminations of the arms. Torque limiting caps associated with the pins apply torque. When used to treat a human with an injury to the cervical spine, the tongs and skull pins are removed from sterile packaging, and once the human need no longer remain in traction, the tongs are disposed of.
摘要翻译：子宫颈牵引夹具有由MRI和生物相容性和CT透明材料制成的合作的第一和第二弯曲臂。具有MRI主体和生物学兼容性和CT透明材料的头骨销，以及射线透射材料（例如单晶氧化铝陶瓷）的尖头颅骨接合尖端延伸穿过臂的一端处的开口，而在另一端连接臂以可调节的方式，以便调整针尖尖之间的间距。臂具有扩大的圆形终端，其具有径向延伸的锯齿，它们配合在一起，并且被保持在通过延伸的螺栓和螺母移动的位置。臂具有足够的弹性以在使用期间提供恒定的压力，以将尖头针尖推向人头骨。用于施加张力的柔性绳穿过臂的锯齿状末端终端中的弧形细长开口。与销相关的扭矩限制帽施加扭矩。当用来治疗患有颈椎受伤的人时，钳和颅骨销从无菌包装中取出，一旦人需要不再保持牵引力，钳子就被丢弃。

6. 发明授权

US4753223A System for controlling shape and direction of a catheter, cannula, electrode, endoscope or similar article 失效
标题翻译：用于控制导管，套管，电极，内窥镜或类似物品的形状和方向的系统
公开(公告)号：US4753223A
公开(公告)日：1988-06-28
申请号：US927861
申请日：1986-11-07
申请人： Paul W. Bremer
发明人： Paul W. Bremer
IPC分类号： A61B1/005 , A61B1/00
CPC分类号： A61B1/0058
摘要： A steerable medical probe device, such as a catheter, comprises a flexible, inner tubular body, a plurality of electrical conductors wrapped about the inner tubular body; and an insulating layer surrounding the conductors. Rigid non-conductive rings are adhesively secured at axially spaced locations along the distal end of the probe. A plurality of shape memory titanium-nickel wires extend between adjacent pairs of rings, and are electrically connected to a control device and power source. The control device may be operated to apply low current pulses selectively through one or more of the wires to effect contraction of the heated wires and thereby cause the distal end of the probe to bend in a desired direction.
摘要翻译：可导向的医疗探针装置，例如导管，包括柔性内管状体，围绕内管体缠绕的多个电导体; 以及围绕导体的绝缘层。刚性非导电环沿着探针的远端在轴向间隔开的位置被粘合地固定。多个形状记忆钛镍线在相邻的成对环之间延伸，并且电连接到控制装置和电源。控制装置可以被操作以通过一个或多个电线选择性地施加低电流脉冲，以实现加热的线的收缩，从而使得探头的远端在期望的方向上弯曲。

7. 发明授权

US6022351A Skull closure device and procedure 有权
标题翻译：颅关闭装置及程序
公开(公告)号：US6022351A
公开(公告)日：2000-02-08
申请号：US255334
申请日：1999-02-23
申请人： Paul W. Bremer , Ross L Bremer , Scott Gingold
发明人： Paul W. Bremer , Ross L Bremer , Scott Gingold
IPC分类号： A61B17/064 , A61B17/68 , A61B17/56
CPC分类号： A61B17/688 , A61B17/0643 , A61B2017/0647 , Y10S606/907
摘要： A fastener system for use in reattaching a skull flap in an opening formed in a patient's skull during brain surgery, is simple, quick, and easy to use, and is cost effective. The system includes a fastener element and a substantially disc shaped lock element. Both are made of bio-compatible radiolucent rigid plastic material. The fastener element has a substantially disc shaped head and a shank, the shank having substantially flat first and second substantially parallel surfaces having ratchet teeth on them. The shank typically has a thickness, with ratchet teeth, where it extends through a gap between the skull flap and the skull, of about 1-2 mm. The lock element has a through extending opening defined at least in part by locking teeth which cooperate with the ratchet teeth to allow the lock element to be brought tightly into contact with the skull and skull flap to hold the fastener and lock elements in place and to position the skull flap in the skull. The system, once installed, cannot be removed without actually cutting away the components.
摘要翻译：用于在脑外科手术中形成在患者头骨中的开口中重新安装颅骨瓣的紧固件系统是简单，快速且易于使用的，并且是成本有效的。该系统包括紧固元件和基本上盘形的锁定元件。两者均由生物相容的射线可透性刚性塑料材料制成。紧固元件具有基本上为圆盘形的头部和柄部，柄部具有基本平坦的第一和第二基本上平行的表面，在其上具有棘轮齿。柄通常具有厚度，棘轮齿通过颅骨瓣和颅骨之间的间隙延伸约1-2mm。锁定元件具有至少部分地通过与棘齿配合的锁定齿限定的贯穿延伸开口，以允许锁定元件与颅骨和颅骨瓣紧密接触，以将紧固件和锁定元件保持在适当位置，并且将颅骨瓣置于头骨中。系统一旦安装，就不能在没有切断部件的情况下被移除。

8. 发明授权

US4612930A Head fixation apparatus including crown and skull pin 失效
标题翻译：头部固定装置，包括冠和头骨
公开(公告)号：US4612930A
公开(公告)日：1986-09-23
申请号：US713552
申请日：1985-03-19
申请人： Paul W. Bremer
发明人： Paul W. Bremer
IPC分类号： A61B17/58 , A61B6/04 , A61B17/64 , A61B19/00 , A61G13/12 , A61B17/00
CPC分类号： A61B6/0421 , A61B17/6433 , A61B90/14 , A61G13/0054 , A61G13/12 , A61B2017/00902 , A61G13/121 , A61G2210/50
摘要： The skull of a patient is immobilized utilizing a generally ring-shaped member (crown) that can be used in place of a conventional halo or tongs, and is affixed to the patient's skull utilizing particularly advantageous skull pins. The crown has a first major portion which is in a first plane, and has a second portion extending at an angle out of the first plane. Preferably it has a generally horseshoe shape in plan view, with first and second ends spaced from each other, those ends being part of the second portion of the crown. Skull pins pass through threaded openings in the crown, including threaded openings in the second portion to attach the crown below a capital distal plane extending between the top of the ears and the top of the eyes of the patient's head. The rigid crown is preferably of a boron fiber or graphite fiber reinforced plastic. The skull pins, which do not artifact any more than bone does, comprise an exteriorly threaded cylinder of plastic (e.g. boron or carbon fiber reinforced plastic), and a skull engaging portion rigidly connected to the cylinder and extending outwardly from a first end of the cylinder and terminating in a pointed tip. The skull engaging portion is of a ceramic material, preferably a single crystal alumina ceramic material.
摘要翻译：使用可以代替常规晕或钳的一般环形构件（冠）来固定患者的头骨，并使用特别有利的颅骨针将其固定在病人的颅骨上。冠部具有在第一平面中的第一主要部分，并且具有从第一平面成一定角度延伸的第二部分。优选地，它在平面图中具有一般的马蹄形状，其中第一和第二端彼此间隔开，这些端部是冠部的第二部分的一部分。头骨销通过冠部中的螺纹开口，包括第二部分中的螺纹开口，以将牙冠附接到在耳部顶部和患者头部的眼睛顶部之间延伸的首都远端平面之下。刚性表冠优选为硼纤维或石墨纤维增强塑料。不像骨头那样伪装的颅骨销钉包括一个外部带螺纹的塑料圆柱体（例如硼或碳纤维增强塑料），以及一个颅骨接合部分，刚性连接到圆柱体上并从第一端向外延伸圆柱体并终止于尖端。头骨接合部分是陶瓷材料，优选单晶氧化铝陶瓷材料。

9. 发明授权

US06485493B1 Skull closure 有权
标题翻译：头骨关闭
公开(公告)号：US06485493B1
公开(公告)日：2002-11-26
申请号：US09863767
申请日：2001-05-24
申请人： Paul W. Bremer
发明人： Paul W. Bremer
IPC分类号： A61B1756
CPC分类号： A61B17/688 , Y10S606/912
摘要： A fastener system for use in reattaching a skull flap in an opening formed in a patient's skull during brain surgery is simple, quick and easy to use, and cost effective. The system includes a fastener element and a substantially disc shaped lock element. The fastener element has a shank with a plurality of ratchet teeth, and a plurality ridges extending upwardly from the shank a distance greater than the height of the ratchet teeth, and substantially perpendicular to the ratchet teeth. The ridges engage at least one of the skull and skull flap and either bend or collapse, or cut locking grooves into the skull or skull flap, to provide a force holding the shank in engagement with the skull and skull flap. The lock element may have force concentrating projections extending outwardly toward the fastener head, and the head may have a plurality of resilient[ outrigger leaves.
摘要翻译：用于在脑手术期间形成在患者头骨中的开口中重新附接颅骨瓣的紧固件系统是简单，快速和易于使用的并且具有成本效益。该系统包括紧固元件和基本上盘形的锁定元件。紧固元件具有带有多个棘轮齿的柄，以及从柄向上延伸的距离大于棘齿的高度的多个脊，并且大致垂直于棘轮齿。脊部接合头骨和颅骨瓣中的至少一个，并且弯曲或折叠，或者将锁定凹槽切割到颅骨或颅骨瓣中，以提供保持柄与颅骨和颅骨瓣接合的力。锁定元件可以具有朝向紧固件头部向外延伸的力集中凸起，并且头部可以具有多个弹性[外伸支架叶片]。

10. 发明授权

US5163771A Full engagement interlocking 失效
标题翻译：完全接合互锁
公开(公告)号：US5163771A
公开(公告)日：1992-11-17
申请号：US780974
申请日：1991-10-23
申请人： Paul W. Bremer , Randall A. Barr
发明人： Paul W. Bremer , Randall A. Barr
IPC分类号： F16C11/10
CPC分类号： F16C11/10 , Y10T403/32368 , Y10T403/7035 , Y10T403/7092
摘要： Interlocking surface elements are created in such a way that there is almost 100% engagement between the surfaces, so that they positively lock together, and will not cam with respect to each other. Each element comprises a number of uniformly dimensioned semi-conically shaped surfaces emanating from a common center and disposed in an alternating inverted configuration. Each surface has first and second edges extending in a longitudinal direction. A flat surface of substantially constant dimension in a plane substantially perpendicular to the longitudinal direction connects the first and second edges of adjacent, alternately inverted, semi-conically shaped surfaces, so as to maximize the engagement area between the elements. The elements may be of vacuum formed plastic, molded plastic, or metal stampings. They may be circular (e.g. disc shaped) in plan, and the semi-conically shaped surfaces may all be hollow.
摘要翻译：以这样的方式制造联锁表面元件，使得表面之间几乎有100％的接合，使得它们相互锁定在一起并且不会相对于彼此凸轮。每个元件包括从公共中心发出并以交替倒置配置布置的多个均匀尺寸的半圆锥形表面。每个表面具有在纵向方向上延伸的第一和第二边缘。在基本垂直于纵向方向的平面上具有基本恒定尺寸的平坦表面连接相邻的，交替倒置的，半圆锥形的表面的第一和第二边缘，以便最大化元件之间的接合面积。元件可以是真空成型的塑料，模制塑料或金属冲压件。它们可以是平面的圆形（例如盘形），并且半圆锥形表面都可以是中空的。

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