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1. 发明申请

WO2017059287A1 PATIENT-SPECIFIC INSTRUMENTATION FOR PATELLAR RESURFACING SURGERY AND METHOD 审中-公开
标题翻译：患者特异性仪器用于手术治疗手术和方法
公开(公告)号：WO2017059287A1
公开(公告)日：2017-04-06
申请号：PCT/US2016/054854
申请日：2016-09-30
申请人： ZIMMER, INC.
发明人： COUTURE, Pierre
IPC分类号： A61F2/30 , A61F2/38 , G06F17/50 , G06F19/12
CPC分类号： A61B17/1767 , A61B17/158 , A61B34/10 , A61B2017/00526 , A61B2034/102 , A61B2034/105 , A61B2034/108
摘要： 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.
摘要翻译：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。

2. 发明申请

WO2013173926A1 PATIENT-SPECIFIC INSTRUMENTATION AND METHOD FOR ARTICULAR JOINT REPAIR 审中-公开
标题翻译：患者特异性仪器和方法联合维修
公开(公告)号：WO2013173926A1
公开(公告)日：2013-11-28
申请号：PCT/CA2013/050398
申请日：2013-05-24
申请人： ZIMMER, INC. , ORTHOSOFT INC.
发明人： COUTURE, Pierre , NGUYEN, Trong Tin , NEUROHR, Anselm Jakob , MÉRETTE, Jean-Sébastien , ABIVEN, Jean-Guillaume , RICHARD, Alain
IPC分类号： A61B17/17 , A61B17/15 , A61B17/56 , A61B19/00 , A61F2/38 , A61F2/46
CPC分类号： A61B17/154 , A61B17/155 , A61B17/157 , A61B2034/108 , A61F2002/4658 , G06F19/00
摘要： Patient-specific instrumentation for use when performing articular joint repair is provided. A patient-specific jig is adapted to be positioned over a bone at an articular surface thereof for assisting in preparing the bone surface for reception of a prosthesis. The jig comprises a bone contacting portion adapted to matingly contact a portion of the articular surface of the bone and a cutting slot adapted to receive therein a saw blade for resecting the articular surface of the bone. The cutting slot may be press-fitted into the opening of a cut guide. A patient-specific plate and a patient-specific rotational guide are also provided for guiding a positioning of the prosthesis over the resected surface of the bone. A method for manufacturing the patient-specific jig is further provided.
摘要翻译：提供了进行关节关节修复时使用的患者特异性仪器。患者特异性夹具适于被定位在其关节表面上的骨上，以协助制备用于接受假体的骨表面。所述夹具包括适于与所述骨的关节表面的一部分配合地接触的骨接触部分和适于接收其中用于切除所述骨的关节表面的锯片的切割槽。切割槽可以压配合到切割导向件的开口中。还设置患者特异性板和特定于患者的旋转引导件，用于引导假体在骨的切除表面上的定位。还提供了一种制造患者专用夹具的方法。

3. 发明申请

WO2017008032A1 PATIENT-SPECIFIC INSTRUMENTATION FOR IMPLANT REVISION SURGERY 审中-公开
标题翻译：患者特异性植入物修复手术
公开(公告)号：WO2017008032A1
公开(公告)日：2017-01-12
申请号：PCT/US2016/041555
申请日：2016-07-08
申请人： ZIMMER, INC.
发明人： COUTURE, Pierre , MERETTE, Jean-Sebastien
IPC分类号： A61B6/00 , A61B6/03 , A61B17/17 , A61B17/88 , A61F2/28 , G06F17/50
CPC分类号： A61B34/10 , A61B2034/102 , A61F2/461 , A61F2002/4687
摘要： 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.
摘要翻译：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。

4. 发明申请

WO2015048319A1 PATIENT SPECIFIC INSTRUMENTATION (PSI) FOR ORTHOPEDIC SURGERY AND SYSTEMS AND METHODS FOR USING X-RAYS TO PRODUCE SAME 审中-公开
标题翻译：用于正常手术和系统的患者特异性仪器（PSI）以及使用X射线产生相同方法
公开(公告)号：WO2015048319A1
公开(公告)日：2015-04-02
申请号：PCT/US2014/057504
申请日：2014-09-25
申请人： ZIMMER, INC.
发明人： COUTURE, Pierre , NGUYEN, Trong, Tin , NEUROHR, Anselm, Jakob , MERETTE, Jean-Sebastien
IPC分类号： A61F2/46
CPC分类号： A61B17/154 , A61B17/155 , A61B17/157 , A61B17/1764 , A61B34/10 , A61B2017/568 , A61B2034/108 , G06F19/00 , G16H50/50
摘要： A method of creating a patient specific instrument (PSI) for use in knee replacement surgery is described which includes performing at least two X-ray scans of a bone, each of the X-ray scans being taken from different angular positions, generating a digital bone model of the bone based solely on the X- ray scans, planning the PSI based on the digital bone model, including determining locations for one or more anchor points on the PSI which are adapted to abut a surface of the bone, the determined locations of the anchor points being disposed on the PSI at locations corresponding to areas of expected high accuracy on the digital bone model generated by the X-ray scans. The areas of expected high accuracy include at least a peripheral bone contour in at least one of the angular position of the X-ray scans. A suite of such PSI instruments is also described.
摘要翻译：描述了一种创建用于膝关节置换手术的患者特定仪器（PSI）的方法，其包括执行骨骼的至少两次X射线扫描，每个X射线扫描均取自不同的角位置，产生数字基于X射线扫描的骨骼骨骼模型，基于数字骨骼模型规划PSI，包括确定适于邻接骨表面的PSI上的一个或多个锚点的位置，所确定的位置的锚定点在与X射线扫描产生的数字骨骼模型上预期的高精度区域对应的位置处设置在PSI上。期望的高精度的区域至少包括X射线扫描的角位置中的至少一个中的外周骨轮廓。还描述了一套这样的PSI仪器。

5. 发明申请

WO2022256696A2 INDEPENDENTLY IMPLANTABLE SENSORS FOR ORTHOPEDIC IMPLANTS 审中-公开
公开(公告)号：WO2022256696A2
公开(公告)日：2022-12-08
申请号：PCT/US2022/032228
申请日：2022-06-03
申请人： ZIMMER, INC.
发明人： GOLEMON JR., Nathan , MUELLER, John Kyle , BISCHOFF, Jeffrey E. , VANDERPOOL, Matthew , AMIOT, Louis-Philippe , GALLOWAY, Annelise , COUTURE, Pierre , SPOONER, Ted
IPC分类号： A61B5/00 , A61B17/56 , A61F2/00 , A61B5/01 , A61B5/11 , A61B5/0538 , A61B5/145 , A61B2017/00084 , A61B2017/00734 , A61B2560/0406 , A61B2562/222 , A61B5/1126 , A61B5/14507 , A61B5/14539 , A61B5/4504 , A61B5/686 , A61B5/6878 , A61F2/38 , A61F2/3854 , A61F2/461
摘要： A surgical sensor system for collecting internal patient data comprises a sensor module comprising a housing and a sensor disposed within the housing, and an attachment device comprising a socket for receiving the housing and an exterior anchor feature for attaching the attachment device to biological matter. A method of implanting a sensor module for use with an orthopedic implant device comprises making an insertion portal in anatomy of a patient, positioning a sensor module in the anatomy in a first position relative to the insertion portal, and positioning an orthopedic implant in the anatomy in a second position relative to the insertion portal such that the orthopedic implant is separate from the sensor module.

6. 发明申请

WO2015187822A1 PATIENT-SPECIFIC CUTTING BLOCK AND METHOD OF MANUFACTURING SAME 审中-公开
标题翻译：患者特异性切割块及其制造方法
公开(公告)号：WO2015187822A1
公开(公告)日：2015-12-10
申请号：PCT/US2015/033966
申请日：2015-06-03
申请人： ZIMMER, INC.
发明人： COUTURE, Pierre , MASSE, Vincent , NEUROHR, Anselm, Jakob
IPC分类号： A61B17/15
CPC分类号： G06F19/3437 , A61B34/10 , A61B2034/102 , G06F19/00 , G16H50/50
摘要： 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.
摘要翻译：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。

7. 发明公开

EP3049032A1 PATIENT SPECIFIC INSTRUMENTATION (PSI) FOR ORTHOPEDIC SURGERY AND SYSTEMS AND METHODS FOR USING X-RAYS TO PRODUCE SAME 审中-公开
标题翻译：患者特异性INSTRUMENT（PSI）用于整形外科手术和FOR USE X射线的SYSTEMS AND METHODS FOR其制造
公开(公告)号：EP3049032A1
公开(公告)日：2016-08-03
申请号：EP14846965.3
申请日：2014-09-25
申请人： Zimmer, Inc.
发明人： COUTURE, Pierre , NGUYEN, Trong, Tin , NEUROHR, Anselm, Jakob , MERETTE, Jean-Sebastien
IPC分类号： A61F2/46
CPC分类号： A61B17/154 , A61B17/155 , A61B17/157 , A61B17/1764 , A61B34/10 , A61B2017/568 , A61B2034/108 , G06F19/00 , G16H50/50
摘要： A method of creating a patient specific instrument (PSI) for use in knee replacement surgery is described which includes performing at least two X-ray scans of a bone, each of the X-ray scans being taken from different angular positions, generating a digital bone model of the bone based solely on the X-ray scans, planning the PSI based on the digital bone model, including determining locations for one or more anchor points on the PSI which are adapted to abut a surface of the bone, the determined locations of the anchor points being disposed on the PSI at locations corresponding to areas of expected high accuracy on the digital bone model generated by the X-ray scans. The areas of expected high accuracy include at least a peripheral bone contour in at least one of the angular position of the X-ray scans. A suite of such PSI instruments is also described.
摘要翻译：描述了一种用于在膝关节置换手术中使用创建患者特异性器械（PSI）的方法，该方法包括：执行一个骨中的至少两个X射线扫描时，每个X射线扫描被从不同的角度位置拍摄，生成数字在X射线扫描仅基于骨，规划基于数字骨模型的PSI，包括用于一个或多个锚点对PSI哪些是angepasst以邻接骨的表面确定性采矿位置，确定性开采地点的骨模型被以对应于由所述X射线扫描产生的数字骨模型预期高精度的区位置的PSI设置在所述锚点。预期的高精确度的领域包括在X射线扫描的角位置中的至少一个的至少一个周边骨轮廓。器械的套件检查被如此描述PSI。

8. 发明公开

EP3302281A1 PATIENT-SPECIFIC INSTRUMENTATION FOR IMPLANT REVISION SURGERY 审中-公开
标题翻译：患者特异性仪器植入修复手术
公开(公告)号：EP3302281A1
公开(公告)日：2018-04-11
申请号：EP16822052.3
申请日：2016-07-08
申请人： Zimmer, Inc.
发明人： COUTURE, Pierre , MERETTE, Jean-Sebastien
IPC分类号： A61B6/00 , A61B6/03 , A61B17/17 , A61B17/88 , A61F2/28 , G06F17/50
CPC分类号： A61B34/10 , A61B2034/102 , A61F2/461 , A61F2002/4687
摘要： 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.

9. 发明公开

EP3524200A3 SOFT TISSUE BALANCING IN ARTICULAR SURGERY 有权
公开(公告)号：EP3524200A3
公开(公告)日：2019-08-28
申请号：EP18215519.2
申请日：2018-12-21
申请人： Zimmer, Inc.
发明人： MERETTE, Jean-Sebastien , LEVINE, Harlan , COUTURE, Pierre , BOISVERT, Olivier , GOGARTY, Emily , DUFOUR, Marc-Antoine , MASSE, Vincent
IPC分类号： A61B34/10 , A61B34/00 , A61B90/00
摘要： Systems and methods may be used to perform robot-aided surgery. A system may include a display device and a computing device including a memory device with instructions. The instructions can cause the system to access surgical data, calculate medial and lateral gap data, calculate a recommended component set, and generate a graphical user interface. Accessing surgical data can include accessing soft tissue data indicative of at least tension in soft tissues surrounding a surgical location. The graphical user interface can include an interactive trapezoidal graphic overlaid onto a graphical representation of a distal femur and a proximal tibia. The interactive trapezoidal graphic can include a graphical representation of a medial total gap, a lateral total gap, and a recommended spacer size. The interactive trapezoidal graphic can update in response to adjustments in implant parameters to assist in surgical planning.

10. 发明公开

EP3151759A1 PATIENT-SPECIFIC CUTTING BLOCK AND METHOD OF MANUFACTURING SAME 有权
标题翻译： PATIENTENSPEZIFISCHER SCHNEIDEBLOCK SOWIE VERFAHREN ZUR HERSTELLUNG DAVON
公开(公告)号：EP3151759A1
公开(公告)日：2017-04-12
申请号：EP15803893.5
申请日：2015-06-03
申请人： Zimmer, Inc.
发明人： COUTURE, Pierre , MASSE, Vincent , NEUROHR, Anselm, Jakob
IPC分类号： A61B17/15
CPC分类号： G06F19/3437 , A61B34/10 , A61B2034/102 , G06F19/00 , G16H50/50
摘要： 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.
摘要翻译：特定于患者的切割组件包括模型文件，其包括患者的骨的几何数据，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，该结构被配置为以独特的联接方向连接到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。

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