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    • 7. 发明申请
    • INTRA-OPERATIVELY ADJUSTABLE CUTTING GUIDE
    • 操作可调节的切割指南
    • US20150190144A1
    • 2015-07-09
    • US14420445
    • 2013-08-09
    • Smith & Nephew, Inc.
    • Eric S. KennedyZachary C. WilkinsonMaroun H. TarshaRandy C. Winebarger
    • A61B17/15
    • A61B17/157
    • A tibial cutting guide includes upper and lower portions having patient-matched surfaces. The upper portion defines resection slots for forming resections about the tibial eminence. The lower portion defines two pin slots for receiving alignment pins such that in use the position of the resection slots relative to the tibial eminence can be adjusted by sliding the cutting guide along the alignment pins placed in the tibia through the pin slots. The lower portion defines a resection slot for guiding a saw blade to form a horizontal plateau resection, and two pin holes for receiving fixation pins. A method includes positioning a patient-matched cutting guide on the proximal tibia; intra-operatively adjusting the position of the cutting guide in two degrees of freedom by sliding the cutting guide along fixation pins placed in the tibia; and resecting the tibia about the tibial eminence.
    • 胫骨切割引导件包括具有患者匹配表面的上部和下部。 上部部分限定用于形成关于胫骨隆起的切除的切除狭槽。 下部限定用于接收对准销的两个销槽,使得在使用中可以通过沿着通过销槽放置在胫骨中的对准销来滑动切割引导件来调节切除引导件相对于胫骨隆起的位置。 下部限定用于引导锯片以形成水平平台切除的切除槽,以及用于接收固定销的两个销孔。 一种方法包括将患者匹配的切割引导件定位在近端胫骨上; 通过沿着放置在胫骨中的固定销滑动切割引导件,在两个自由度内操作地调节切割引导件的位置; 并挽救胫骨关于胫骨的崇高。
    • 8. 发明申请
    • IMPLANT FIXATION MEMBER HOLDER
    • 植入固定座椅
    • US20150018835A1
    • 2015-01-15
    • US14374593
    • 2013-01-24
    • Smith & Nephew, Inc.
    • Jeffrey J SheaBrian W. McKinnonZachary C. WilkinsonMichael S BennettRichard D. Lambert
    • A61B17/17
    • A61B17/1728A61B17/1675A61B17/17A61B17/1764
    • Systems, devices and methods that improve the placement of orthopedic components and/or instrumentation during surgery. In one particular embodiment, the systems, devices and methods provide drill guides that remove the need for three-handed placement of implant components and reduce complications of implant and fixation member placement. Also disclosed is a sheath with a rounded tip that engages a spherical recess of a patient matched cutting block to reduce the ability of the first fixation pin to communicate unintentional moment/torque to the patient matched instrument through a new articulation between the pin and the guide. Once the first fixation pin has been placed to secure the patient matched instrument to the bone, the effect of subsequent pins is greatly diminished. Subsequent pins may or may not also be decoupled rotationally.
    • 改善整形外科组件和/或手术过程中放置​​的系统,装置和方法。 在一个特定实施例中,系统,装置和方法提供了钻取导件,其不需要三手放置植入物部件并减少植入物和固定构件放置的并发症。 还公开了一种具有圆形末端的护套,其与患者匹配的切割块的球形凹部接合,以降低第一固定销通过销和引导件之间的新的铰接将无意的力矩/扭矩传递到患者匹配的仪器的能力 。 一旦第一固定销被放置以将患者匹配的仪器固定到骨头上,则后续销钉的效果大大减少。 随后的引脚可能也可能不会被旋转地解耦。