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1. 发明授权

US5593451A Prosthetic device and method of implantation 失效
标题翻译：假体装置及植入方法
公开(公告)号：US5593451A
公开(公告)日：1997-01-14
申请号：US435893
申请日：1995-05-05
申请人： Robert G. Averill , Robert C. Cohen , Rafail Zubok
发明人： Robert G. Averill , Robert C. Cohen , Rafail Zubok
IPC分类号： A61B17/16 , A61F2/00 , A61F2/30 , A61F2/36 , A61F2/46 , A61F2/32
CPC分类号： A61B17/1668 , A61B17/1659 , A61F2/367 , A61F2/4684 , A61B17/16 , A61B17/1684 , A61F2/30734 , A61F2/30767 , A61F2002/30125 , A61F2002/30879 , A61F2002/30909 , A61F2002/30929 , A61F2002/3625 , A61F2002/3631 , A61F2002/365 , A61F2230/0008 , A61F2310/00023 , A61F2310/00029 , A61F2310/00413 , A61F2310/00796
摘要： A hip prosthesis for implanting into the medullary canal of a femur, which comprises a stem for implanting into the canal of the femur, the stem having a proximal end and a distal end, the stem also including a proximal locking zone substantially adjacent the proximal end, the proximal locking zone including a proximal locking surface which circumferentially press-fits within the canal of the femur and a neck extending at an angle from the proximal end of the stem for receiving the femoral head of the prosthesis.
摘要翻译：一种用于植入股骨髓质管的髋关节假体，其包括用于植入股骨运河的杆，所述柄具有近端和远端，所述柄还包括基本上邻近所述近端的近端锁定区所述近侧锁定区域包括周向地压配合在所述股骨的管内的近侧锁定表面和从所述杆的近端以一定角度延伸的颈部，用于接收所述假体的股骨头。

2. 发明授权

US5089004A Prosthetic implant procedure and femoral broach therefor 失效
标题翻译：假体植入术和股骨拉刀
公开(公告)号：US5089004A
公开(公告)日：1992-02-18
申请号：US145793
申请日：1988-01-19
申请人： Robert G. Averill , Robert C. Cohen
发明人： Robert G. Averill , Robert C. Cohen
IPC分类号： A61B17/00 , A61B17/16 , A61F2/00 , A61F2/36 , A61F2/46
CPC分类号： A61B17/1668 , A61B17/1659 , A61F2/36 , A61B2017/00464 , A61F2/367 , A61F2/4684 , A61F2002/30405 , A61F2002/30606 , A61F2002/3631 , A61F2002/4631 , A61F2220/0025
摘要： A procedure for contouring the wall of a femoral cavity in a femur for the reception of a femoral stem to be seated within the femoral cavity employs a femoral broach which includes cutting teeth aligned along peripherally spaced apart longitudinal rows extending along a portion of the outer surface of the blade of the broach for forming a multiplicity of alternating longitudinally extending generally parallel grooves and ribs in the wall of the cavity, at least some of the grooves being contiguous with harder portions of the bone of the femur while the ribs are comprised of softer portions of the bone so that completion of the contouring will be signalled by bottoming of the blade of the broach upon the harder portions of the bone and upon implant, the femoral stem will be seated upon the harder portions of bone while the softer portions of bone will be compressed between the femoral stem and the harder portions of bone to accomplish fixation by an interference fit. Upon completion of the contouring of the wall of the cavity, and prior to withdrawal of the blade of the femoral broach, the seated blade of the broach serves as a true gauge of the subsequent location of the femoral stem relative to the femur. A vented, interchangeable distal tip on the blade of the broach pilots the broach for precise alignment of the blade during the contouring procedure.
摘要翻译：用于在股骨中轮廓化股骨腔壁以用于接收股骨柄以置于股骨腔内的方法采用股骨拉刀，其包括沿着沿着外表面的一部分延伸的周向间隔开的纵向排列的切割齿用于在腔的壁中形成多个交替的纵向延伸的大致平行的凹槽和肋条的拉刀的刀片，所述凹槽中的至少一些与股骨的骨的较硬部分邻接，而肋由较软的骨骼的一部分，以便完成轮廓将通过将拉刀刀片的底部接触到骨骼的较硬部分并且在植入时被信号通知，股骨柄将被置于骨的较硬部分上，而较软的骨部分将被压缩在股骨柄和骨骼的较硬部分之间以通过过盈配合来完成固定。在完成腔的壁的轮廓之后，并且在股骨拉刀的刀片拔出之前，拉刀的座位刀片用作股骨柄相对于股骨的随后位置的真实尺寸。在拉刀的刀片上通风，可互换的远端尖端引导拉刀，以在轮廓加工过程中精确地对准刀片。

3. 外观设计

USD358647S Tibial component for prosthetic knee implant 失效
公开(公告)号：USD358647S
公开(公告)日：1995-05-23
申请号：US853930
申请日：1992-02-12
申请人： Robert C. Cohen , Robert G. Averill , Scott V. Cron
设计人： Robert C. Cohen , Robert G. Averill , Scott V. Cron

4. 发明授权

US5356414A Prosthetic knee tibial component with axially ribbed keel and apparatus for effecting implant 失效
标题翻译：具有轴向肋骨龙骨的假体膝盖胫骨部件和用于实施植入物的装置
公开(公告)号：US5356414A
公开(公告)日：1994-10-18
申请号：US151983
申请日：1993-11-15
申请人： Robert C. Cohen , Robert G. Averill , Scott V. Cron
发明人： Robert C. Cohen , Robert G. Averill , Scott V. Cron
IPC分类号： A61B17/16 , A61B17/17 , A61F2/30 , A61F2/38 , A61F5/04
CPC分类号： A61F2/3886 , A61B17/1604 , A61B17/1764 , A61F2/30771
摘要： A tibial component of a prosthetic knee implant has a tibial tray, a post extending axially downwardly from a generally laterally central location beneath the tibial tray, and a keel including flanges extending laterally outwardly from the post and making an angle with one another so as to be directed toward relatively denser portions of the bone of the proximal tibia, and a plurality of ribs extending axially along each flange and spaced laterally from one another along the flange for enhancing the affixation and stability of the tibial component when implanted in the proximal tibia. Apparatus for preparing the proximal tibia for the reception of the tibial component includes a tibial punch and a tower selectively located at the proximal tibia, the tower having an axially extending guide bushing for placement above the proximal tibia and a channel extending laterally into the guide bushing for enabling the tibial punch to be inserted laterally into the guide bushing and then moved axially downwardly into the proximal tibia, while guided by the guide bushing, to establish a cavity in the proximal tibia for reception of the tibial component.
摘要翻译：假体膝关节植入物的胫骨部件具有胫骨托，从胫骨托的下方的大体侧向中心位置向下方延伸的柱，以及包括从柱侧向向外延伸并且彼此成角度的凸缘的龙骨，以便被引导到胫骨近端的骨的相对较致密的部分，以及沿着凸缘轴向延伸并沿着凸缘彼此横向隔开的多个肋，用于当植入胫骨近端时增强胫骨部件的固定和稳定性。用于准备用于接收胫骨部件的近端胫骨的装置包括胫骨冲头和选择性地位于胫骨近端处的塔架，所述塔架具有用于放置在近端胫骨上方的轴向延伸的引导衬套和横向延伸到引导衬套中的通道用于使胫骨冲头横向插入导向衬套中，然后在由引导衬套引导的同时沿轴向向下移动到近侧胫骨中，以在近端胫骨中建立用于接收胫骨部件的空腔。

5. 发明授权

US5702487A Prosthetic device 失效
标题翻译：假体装置
公开(公告)号：US5702487A
公开(公告)日：1997-12-30
申请号：US636727
申请日：1996-04-23
申请人： Robert G. Averill , Robert C. Cohen , Rafail Zubok
发明人： Robert G. Averill , Robert C. Cohen , Rafail Zubok
IPC分类号： A61B17/16 , A61F2/00 , A61F2/30 , A61F2/36 , A61F2/46 , A61F2/32
CPC分类号： A61B17/1668 , A61B17/1659 , A61F2/367 , A61F2/4684 , A61B17/16 , A61B17/1684 , A61F2/30734 , A61F2/30767 , A61F2002/30125 , A61F2002/30879 , A61F2002/30909 , A61F2002/30929 , A61F2002/3625 , A61F2002/3631 , A61F2002/365 , A61F2230/0008 , A61F2310/00023 , A61F2310/00029 , A61F2310/00413 , A61F2310/00796
摘要： A hip prosthesis for implanting into the medullary canal of a femur, which comprises a stem for implanting into the canal of the femur, the stem having a proximal end and a distal end, the stem also including a proximal locking zone substantially adjacent the proximal end, the proximal locking zone including a proximal locking surface which circumferentially press-fits within the canal of the femur and a neck extending at an angle from the proximal end of the stem for receiving the femoral head of the prosthesis.
摘要翻译：一种用于植入股骨髓质管的髋关节假体，其包括用于植入股骨运河的杆，所述柄具有近端和远端，所述柄还包括基本上邻近所述近端的近端锁定区所述近侧锁定区域包括周向地压配合在所述股骨的管内的近侧锁定表面和从所述杆的近端以一定角度延伸的颈部，用于接收所述假体的股骨头。

6. 发明授权

US5443515A Vertebral body prosthetic implant with slidably positionable stabilizing member 失效
标题翻译：具有可滑动定位的稳定构件的椎体假体植入物
公开(公告)号：US5443515A
公开(公告)日：1995-08-22
申请号：US187090
申请日：1994-01-26
申请人： Robert C. Cohen , Robert G. Averill
发明人： Robert C. Cohen , Robert G. Averill
IPC分类号： A61B17/86 , A61F2/00 , A61F2/28 , A61F2/30 , A61F2/44 , A61L27/04
CPC分类号： A61L27/047 , A61F2/44 , A61B17/86 , A61F2/30724 , A61F2/30965 , A61F2/4455 , A61F2002/2835 , A61F2002/30387 , A61F2002/30398 , A61F2002/30401 , A61F2002/30507 , A61F2002/30576 , A61F2002/30578 , A61F2002/30579 , A61F2002/30594 , A61F2002/3082 , A61F2002/30841 , A61F2002/30904 , A61F2002/3092 , A61F2002/30968 , A61F2220/0025 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00179 , A61L2430/38 , Y10S606/907
摘要： A spinal stabilization device positionable between neighboring vertebral bodies to provide rigid internal fixation thereof and thus stabilize a spinal column which has been rendered unstable by disease or injury. The device includes a vertebral body prosthesis dimensioned to act as a replacement for a damaged vertebral body and associated discs which have been removed. Once implanted, the prosthesis provides direct mechanical stability and preserves the original spacing between the neighboring vertebral bodies, thereby preventing nerve damage and ensuring proper tensioning of the soft tissue surrounding the implantation site. To facilitate long-lasting bony fixation, the prosthetic implant is fabricated from a rigid, tantalum foam material. The open surface porosity at the interface between the adjacent vertebral bodies and the prosthesis enhances the opportunity for axial bone growth to take place, and ultimately, for fusion of the adjacent vertebral bodies to occur. External axial grooves may also be provided to further accommodate bone ingrowth or adjunct stabilizing members.
摘要翻译：脊椎稳定装置可定位在相邻的椎体之间，以提供刚性的内部固定，从而稳定由于疾病或损伤而变得不稳定的脊柱。该装置包括一个脊椎体假体，其尺寸适于作为已经被去除的损伤的椎体和相关的椎间盘的替代物。一旦植入，假体提供直接的机械稳定性并且保持相邻椎体之间的原始间隔，从而防止神经损伤并确保植入部位周围的软组织的适当张紧。为了促进长效骨固定，假体植入物由刚性的钽泡沫材料制成。在相邻的椎体和假体之间的界面处的开放表面孔隙率增加了轴向骨生长发生的机会，并且最终导致相邻椎体的融合发生。还可以提供外部轴向槽以进一步容纳骨向内生长或辅助稳定构件。

7. 发明授权

US4888023A Femoral prosthesis with uncoupled distal tip 失效
标题翻译：股骨假体具有未耦合的远端
公开(公告)号：US4888023A
公开(公告)日：1989-12-19
申请号：US145794
申请日：1988-01-19
申请人： Robert G. Averill , Robert C. Cohen
发明人： Robert G. Averill , Robert C. Cohen
IPC分类号： A61F2/30 , A61F2/36
CPC分类号： A61F2/3662 , A61F2/30724 , A61F2/367 , A61F2/3676 , A61F2002/30738 , A61F2002/3631
摘要： A stem-type femoral prosthesis has a distal tip with a fixation-resistant finish on the external peripheral surface of the distal tip so that the distal tip remains uncoupled from the femur upon implant of the prosthesis and during use. The distal tip is selectively removable and replaceable to enable a choice of size combinations in the joined stem and distal tip of the prosthesis for increased ease in the fitting of both the proximal and the distal portions of an appropriate prosthesis.

8. 发明授权

US5282866A Prosthetic knee tibial component with axially ribbed keel and apparatus for effecting implant 失效
公开(公告)号：US5282866A
公开(公告)日：1994-02-01
申请号：US834675
申请日：1992-02-12
申请人： Robert C. Cohen , Robert G. Averill , Scott V. Cron
发明人： Robert C. Cohen , Robert G. Averill , Scott V. Cron
IPC分类号： A61B17/16 , A61B17/17 , A61F2/30 , A61F2/38
CPC分类号： A61F2/3886 , A61B17/1604 , A61B17/1764 , A61F2/30771
摘要： A tibial component of a prosthetic knee implant has a tibial tray, a post extending axially downwardly from a generally laterally central location beneath the tibial tray, and a keel including flanges extending laterally outwardly from the post and making an angle with one another so as to be directed toward relatively denser portions of the bone of the proximal tibia, and a plurality of ribs extending axially along each flange and spaced laterally from one another along the flange for enhancing the affixation and stability of the tibial component when implanted in the proximal tibia. Apparatus for preparing the proximal tibia for the reception of the tibial component includes a tibial punch and a tower selectively located at the proximal tibia, the tower having an axially extending guide bushing for placement above the proximal tibia and a channel extending laterally into the guide bushing for enabling the tibial punch to be inserted laterally into the guide bushing and then moved axially downwardly into the proximal tibia, while guided by the guide bushing, to establish a cavity in the proximal tibia for reception of the tibial component.

9. 发明授权

US5863295A Prosthetic device and method of implantation 失效
标题翻译：假体装置及植入方法
公开(公告)号：US5863295A
公开(公告)日：1999-01-26
申请号：US844443
申请日：1997-04-18
申请人： Robert G. Averill , Robert C. Cohen , Rafail Zubok
发明人： Robert G. Averill , Robert C. Cohen , Rafail Zubok
IPC分类号： A61B17/16 , A61F2/00 , A61F2/30 , A61F2/36 , A61F2/46
CPC分类号： A61B17/1668 , A61B17/1659 , A61F2/367 , A61F2/4684 , A61B17/16 , A61B17/1684 , A61F2/30734 , A61F2/30767 , A61F2002/30125 , A61F2002/30879 , A61F2002/30909 , A61F2002/30929 , A61F2002/3625 , A61F2002/3631 , A61F2002/365 , A61F2230/0008 , A61F2310/00023 , A61F2310/00029 , A61F2310/00413 , A61F2310/00796
摘要： A hip prosthesis for implanting into the medullary canal of a femur, which comprises a stem for implanting into the canal of the femur, the stem having a proximal end and a distal end, the stem also including a proximal locking zone substantially adjacent the proximal end, the proximal locking zone including a proximal locking surface which circumferentially press-fits within the canal of the femur and a neck extending at an angle from the proximal end of the stem for receiving the femoral head of the prosthesis.
摘要翻译：一种用于植入股骨髓质管的髋关节假体，其包括用于植入股骨运河的杆，所述柄具有近端和远端，所述柄还包括基本上邻近所述近端的近端锁定区所述近侧锁定区域包括周向地压配合在所述股骨的管内的近侧锁定表面和从所述杆的近端以一定角度延伸的颈部，用于接收所述假体的股骨头。

10. 发明授权

US5571201A Prosthetic acetabular cup and method of implant 失效
标题翻译：假体髋臼杯及植入法
公开(公告)号：US5571201A
公开(公告)日：1996-11-05
申请号：US435971
申请日：1995-05-05
申请人： Robert G. Averill , Robert C. Cohen
发明人： Robert G. Averill , Robert C. Cohen
IPC分类号： A61B17/86 , A61F2/00 , A61F2/30 , A61F2/34
CPC分类号： A61F2/34 , A61B17/86 , A61F2002/30164 , A61F2002/30322 , A61F2002/30337 , A61F2002/30449 , A61F2002/30476 , A61F2002/30682 , A61F2002/3082 , A61F2002/30823 , A61F2002/30828 , A61F2002/30835 , A61F2002/30883 , A61F2002/3401 , A61F2002/3424 , A61F2002/3443 , A61F2002/3456 , A61F2220/0025 , A61F2220/0033 , A61F2220/005 , A61F2230/0028 , A61F2250/0026
摘要： An acetabular cup prosthetic device comprised of an outer shell component and a inner bearing insert and the method of implanting the acetabular cup prosthetic within a patient. The outer surface of the shell component for the present invention acetabular cup has a plurality of regions which conform to the curvature of at least one ellipsoid. To implant the shell component, the acetabulum of a patient is spherically reamed to a size slightly smaller than that of the outer surface of the shell component. As the shell component is inserted into the spherically shaped acetabulum, the interior surface of the acetabular cavity deforms to assume a substantially ellipsoidal curvature, producing an interference fit between the rim region of the shell component and the upper peripheral rim region of the acetabulum. The remaining surface regions of the acetabulum conform substantially to the ellipsoidal shape or shapes defined by the remaining surface regions of the shell component so that surface contact is established without the development of ejection forces therebetween.
摘要翻译：一种由外壳部件和内部轴承插入件组成的髋臼杯假体装置以及将髋臼杯假体植入患者体内的方法。用于本发明的髋臼杯的外壳部件的外表面具有符合至少一个椭圆体的曲率的多个区域。为了植入外壳部件，将患者的髋臼球形延伸至略小于外壳部件的外表面的尺寸。当外壳部件被插入到球形髋臼中时，髋臼腔的内表面变形为呈现基本上椭圆形的曲率，从而在外壳部件的边缘区域和髋臼的上周边缘区域之间产生过盈配合。髋臼的其余表面区域基本上符合由壳部件的其余表面区域限定的椭圆形状或形状，从而在不产生其间的排出力的情况下建立表面接触。

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