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    • 1. 发明申请
    • PATIENT-SPECIFIC INSTRUMENTATION FOR PATELLAR RESURFACING SURGERY AND METHOD
    • 患者特异性仪器用于手术治疗手术和方法
    • WO2017059287A1
    • 2017-04-06
    • PCT/US2016/054854
    • 2016-09-30
    • ZIMMER, INC.
    • COUTURE, Pierre
    • A61F2/30A61F2/38G06F17/50G06F19/12
    • A61B17/1767A61B17/158A61B34/10A61B2017/00526A61B2034/102A61B2034/105A61B2034/108
    • A system for creating a patient-specific jig model for patellar resurfacing surgery comprises a patellar implant positioning module for obtaining a planned position of a patellar implant on a model of the patella, the model being anatomically patient-specific. A patella resurfacing calculator module calculates a position and/or orientation of a resurfacing plane and attachment bore in the patella as a function of the planned position of the patellar implant. A jig model generator module for generates and outputs a virtual jig model using the resurfacing plane and attachment bore of the patella and the model of the patella, the jig model comprising at least one patient-specific contact surface corresponding to a surface of the patella for complementary contact, at least one drill guide positioned relative to the at least one patient-specific contact surface to be configured to guide a tool defining the attachment bore for the patellar implant, and at least one cut guide positioned relative to the at least one patient-specific contact surface to be configured to guide a tool in resurfacing the patella to form the planned resurfacing plane.
    • 用于创建用于髌骨表面置换手术的患者特异性夹具模型的系统包括用于在髌骨模型上获得髌骨植入物的计划位置的髌骨植入物定位模块,所述模型在解剖学上是患者特异性的。 髌骨表面重建计算器模块根据髌骨植入物的计划位置来计算髌骨中的表面平面和附着孔的位置和/或取向。 一种夹具模型发生器模块,用于使用所述髌骨的表面重叠平面和附着孔和所述髌骨模型产生并输出虚拟夹具模型,所述夹具模型包括对应于所述髌骨表面的至少一个患者特异性接触表面, 相互接触的至少一个钻子引导件,其相对于至少一个患者特异性接触表面定位,以被配置为引导限定用于髌骨植入物的附接孔的工具,以及相对于至少一个患者定位的至少一个切割引导件 特定的接触表面被配置为引导髌骨表面重建的工具以形成计划的表面重铺平面。
    • 3. 发明申请
    • PATIENT-SPECIFIC INSTRUMENTATION FOR IMPLANT REVISION SURGERY
    • 患者特异性植入物修复手术
    • WO2017008032A1
    • 2017-01-12
    • PCT/US2016/041555
    • 2016-07-08
    • ZIMMER, INC.
    • COUTURE, PierreMERETTE, Jean-Sebastien
    • A61B6/00A61B6/03A61B17/17A61B17/88A61F2/28G06F17/50
    • A61B34/10A61B2034/102A61F2/461A61F2002/4687
    • A system for generating a PSI jig model for implant revision comprises a reference anchor surface identifying module configured to identify at least one reference anchor surface from at least one patient specific image of a bone and of an implanted implant, the reference anchor surface configured to receive a guide reference (s). An implant abutment surface determining module determines an implant abutment surface from the patient specific bone image. A PSI reference jig model generator module generates and outputs a reference jig model using the identified reference anchor surface and the determined implant abutment surface, the reference jig model comprising contact surface (s) corresponding to the determined implant abutment surface for complementary connection with the determined implant abutment surface, guide interfacing portion (s) configured to guide a planting of the guide reference in the reference anchor surface, and a patient-specific geometry between contact surface (s) and the guide interfacing portion.
    • 用于生成用于植入物修复的PSI夹具模型的系统包括参考锚固表面识别模块,其被配置为从骨骼和植入的植入物的至少一个患者特定图像识别至少一个参考锚固表面,所述参考锚固表面被配置为接收 指南参考。 植入物邻接表面确定模块确定来自患者特定骨图像的植入物邻接表面。 PSI参考夹具模型发生器模块使用所识别的参考锚固表面和所确定的植入物邻接表面生成并输出参考夹具模型,所述参考夹具模型包括与所确定的植入物邻接表面相对应的接触表面,用于与确定的植入物邻接表面互补连接 植入物邻接表面,构造成引导引导参考在基准锚固表面中的植入的引导接合部分,以及接触表面和引导界面部分之间的患者特定几何形状。
    • 6. 发明申请
    • PATIENT-SPECIFIC CUTTING BLOCK AND METHOD OF MANUFACTURING SAME
    • 患者特异性切割块及其制造方法
    • WO2015187822A1
    • 2015-12-10
    • PCT/US2015/033966
    • 2015-06-03
    • ZIMMER, INC.
    • COUTURE, PierreMASSE, VincentNEUROHR, Anselm, Jakob
    • A61B17/15
    • G06F19/3437A61B34/10A61B2034/102G06F19/00G16H50/50
    • A patient-specific cutting assembly comprises a model file including geometrical data of a bone of the patient, of an intramedullary canal of the bone, and a planned orientation of a cutting block. A fixing rod is adapted to be longitudinally inserted in and extending partially from the intramedullary canal. A patient-specific cutting block is connectable to the fixing rod. The patient-specific cutting block includes a structure having a patient specific geometry corresponding to the model file of the patient, the structure configured to be connected to a portion of the fixing rod projecting from the bone in a unique coupling orientation. A cutting guide is connected to the structure, the cutting guide being in the planned orientation when the structure is connected to the portion of the fixing rod projecting from the bone.
    • 特定于患者的切割组件包括模型文件,其包括患者的骨头的几何数据,骨髓的髓内管和切割块的计划取向。 固定杆适于纵向插入并部分地从髓内管延伸。 特定于患者的切割块可连接到固定杆。 特定于患者的切割块包括具有对应于患者的模型文件的患者特定几何结构的结构,该结构被配置为连接到以独特的联接方向从骨突出的固定杆的一部分。 当结构连接到从骨头突出的固定杆的部分时,切割引导件连接到结构,切割引导件处于计划的取向。
    • 8. 发明公开
    • PATIENT-SPECIFIC INSTRUMENTATION FOR IMPLANT REVISION SURGERY
    • 患者特异性仪器植入修复手术
    • EP3302281A1
    • 2018-04-11
    • EP16822052.3
    • 2016-07-08
    • Zimmer, Inc.
    • COUTURE, PierreMERETTE, Jean-Sebastien
    • A61B6/00A61B6/03A61B17/17A61B17/88A61F2/28G06F17/50
    • A61B34/10A61B2034/102A61F2/461A61F2002/4687
    • A system for generating a PSI jig model for implant revision comprises a reference anchor surface identifying module configured to identify at least one reference anchor surface from at least one patient specific image of a bone and of an implanted implant, the reference anchor surface configured to receive a guide reference(s). An implant abutment surface determining module determines an implant abutment surface from the patient specific bone image. A PSI reference jig model generator module generates and outputs a reference jig model using the identified reference anchor surface and the determined implant abutment surface, the reference jig model comprising contact surface(s) corresponding to the determined implant abutment surface for complementary connection with the determined implant abutment surface, guide interfacing portion(s) configured to guide a planting of the guide reference in the reference anchor surface, and a patient-specific geometry between contact surface(s) and the guide interfacing portion, so as to position and/or orient the guide interfacing portion relative to the reference anchor surface, for subsequently planting the guide reference(s) in the reference anchor surface as identified when the contact surface(s) is complementarily connected with the determined implant abutment surface. A method for creating patient-specific instrumentation jig for implant revision is also provided.