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1. 发明授权

US06755840B2 Apparatus and method for tibial fixation of soft tissue 有权
标题翻译：软组织胫骨固定装置及方法
公开(公告)号：US06755840B2
公开(公告)日：2004-06-29
申请号：US10167074
申请日：2002-06-10
申请人： James A. Boucher , Stephen M. Howell , James Marcinek , Troy M. Walters
发明人： James A. Boucher , Stephen M. Howell , James Marcinek , Troy M. Walters
IPC分类号： A61B1717
CPC分类号： A61F2/0811 , A61B17/0642 , A61B17/1604 , A61B17/1675 , A61B17/1714 , A61B17/1764 , A61B17/8872 , A61B2017/0641 , A61B2017/0648 , A61B2090/034 , A61F2/0805 , A61F2002/0829 , A61F2002/0858 , A61F2002/0882 , A61F2002/0888 , A61F2220/0016 , Y10S606/916
摘要： An apparatus and method for tibial fixation of a soft tissue graft includes a body having a first side and a second side. A first plurality of spikes extend from the second side of the body each having a first length. A second plurality of spikes extend from the second side of the body each having a second length where the first length is longer than the second length. The first plurality of spikes are operable to engage the bone without the second plurality of spikes substantially engaging the soft tissue graft to permit proper tensioning of the soft tissue graft. The method includes forming a tunnel in a bone and forming a counterbore substantially perpendicular with the tunnel. The soft tissue graft passes through the tunnel and the counterbore and is secured within the counterbore with an apparatus which is nested within the counterbore.
摘要翻译：用于软组织移植物的胫骨固定的装置和方法包括具有第一侧和第二侧的主体。第一多个尖峰从身体的第二侧延伸，每个具有第一长度。第二多个尖峰从主体的第二侧延伸，每个具有第二长度，其中第一长度比第二长度长。所述第一组多个钉可操作以接合所述骨，而所述第二多个尖钉基本上接合所述软组织移植物以允许所述软组织移植物的适当张紧。该方法包括在骨中形成隧道并形成与隧道基本垂直的沉孔。软组织移植物穿过隧道和沉孔，并用嵌套在沉孔内的装置固定在沉孔内。

2. 发明授权

US06530923B1 Tissue removal methods and apparatus 有权
公开(公告)号：US06530923B1
公开(公告)日：2003-03-11
申请号：US09588278
申请日：2000-06-05
申请人： William R. Dubrul , Richard E. Fulton , Robert M. Curtis
发明人： William R. Dubrul , Richard E. Fulton , Robert M. Curtis
IPC分类号： A61B1717
CPC分类号： A61B10/0266 , A61B6/502 , A61B10/02 , A61B17/221 , A61B17/3421 , A61B18/14 , A61B90/39 , A61B2090/3904 , A61B2090/3908 , A61B2090/3962
摘要： Target tissues are accessed and removed using various types of devices and methods.

3. 发明授权

US06461355B2 Insulated electrode and method of assembly 有权
标题翻译：绝缘电极和组装方法
公开(公告)号：US06461355B2
公开(公告)日：2002-10-08
申请号：US09323168
申请日：1999-05-27
申请人： Ronald D. Svejkovsky , Randy L. Morningstar , Steven J. Ferry , William M. Klatt , John W. Westrum, Jr.
发明人： Ronald D. Svejkovsky , Randy L. Morningstar , Steven J. Ferry , William M. Klatt , John W. Westrum, Jr.
IPC分类号： A61B1717
CPC分类号： A61B18/14 , A61B18/149
摘要： A design and method of manufacture is disclosed for an insulated electrode used during surgical procedures. The electrode includes a durable electrical insulation element that can withstand the range of temperatures generated during an electrosurgical procedure. Such insulation characteristics include resistance to meltback and manufacturability to ensure the device is biocompatible and non-toxic so as to prevent adverse reactions in both patients and users of the device. The insulated electrode further includes properties that reduce the incidence of scope damage caused by the intensity of heat generated during the cutting and coagulation cycles.
摘要翻译：公开了用于外科手术中使用的绝缘电极的设计和制造方法。电极包括耐受电绝缘元件，其能够承受在电外科手术过程中产生的温度范围。这种绝缘特性包括耐回退性和可制造性，以确保器件具有生物相容性和无毒性，从而防止患者和使用者的不良反应。绝缘电极还包括减少在切割和凝结循环期间产生的热量引起的范围损伤的发生率的性质。

4. 发明授权

US06254604B1 Tibial guide 失效
标题翻译：胫骨导引
公开(公告)号：US06254604B1
公开(公告)日：2001-07-03
申请号：US09300680
申请日：1999-04-27
申请人： Stephen M. Howell
发明人： Stephen M. Howell
IPC分类号： A61B1717
CPC分类号： A61F2/0805 , A61B17/1714 , A61B17/1764 , A61F2/0811 , A61F2002/0858 , A61F2002/0882
摘要： A drill guide for determining the site for and drilling a tunnel in a tibia during an anterior cruciate ligament replacement procedure and method for using same are also disclosed. The drill guide utilizes a multiple-point anatomical reference system for determining the most favorable position for the tibial tunnel, based on isometry, freedom from impingement and desired ACL-PCL interaction. The drill guide further utilizes a removable guide bar to provide visual alignment of the drill guide relative to the coronal plane of the knee joint.
摘要翻译：还公开了一种用于在前十字韧带置换程序期间确定胫骨中的隧道的位置并钻凿隧道的钻孔指南及其使用方法。钻探导引器利用多点解剖参考系统来确定胫骨隧道最有利的位置，基于等距离，免受冲击和期望的ACL-PCL相互作用。钻子引导器还利用可移除的导杆来提供钻子引导件相对于膝关节的冠状面的视觉对准。

5. 发明授权

US06595999B2 Drilling jig for the determination of the axis of a femur head prosthesis 失效
公开(公告)号：US06595999B2
公开(公告)日：2003-07-22
申请号：US10131964
申请日：2002-04-25
申请人： Andreas Marchione , Thomas Willi , Heinrich Stutz
发明人： Andreas Marchione , Thomas Willi , Heinrich Stutz
IPC分类号： A61B1717
CPC分类号： A61B17/175 , A61F2/3603 , A61F2002/30878
摘要： The invention relates to a drilling jig for the determination of the axis of a femur head prosthesis. A guide tube (6), around whose longitudinal axis (14) a sensing probe can be rotated, has a rounded head (7) which is supported in a housing (3) pivotable in all directions and fixable by first clamping elements (5), in order to fix its longitudinal axis in a desired angle. The housing (3) is displaceable in all directions transversely to its longitudinal axis with respect to a base part (1) which can be anchored to the femur head (10) and fixable by two clamping elements (4) in order to define the position of the longitudinal axis (14) of the guide tube (6) by rotation of a sensing probe around this longitudinal axis (14) relative to the cross-section of the femur neck (16).

6. 发明授权

US06344043B1 Anterior-posterior femoral resection guide with set of detachable collets 有权
标题翻译：前后股骨切除指南与一套可拆卸的夹头
公开(公告)号：US06344043B1
公开(公告)日：2002-02-05
申请号：US09529848
申请日：2000-04-19
申请人： Michael J. Pappas
发明人： Michael J. Pappas
IPC分类号： A61B1717
CPC分类号： A61B17/1764 , A61B17/155 , A61B17/157
摘要： A set of instruments (10) is provided for use in the preparation of a natural bone of a condylar joint for receiving prosthetic components both in primary and revision surgery. To illustrate the invention and use thereof, reference is made to the preparation of a natural femur (F) in a knee joint. The set of instruments (10) includes an anterior-posterior femoral resection guide (12) having a guide aperture (36) formed therethrough, and a set of collets (14; 16; 18A; 18B) formed to detachably mount to the guide aperture (36). The set of collets (14; 16; 18A; 18B) includes a drill guide (14), a reamer sleeve (16), and a plurality of different size reamer bushings (18A; 18B). Accordingly, the drill guide (14) can be mounted to the anterior-posterior femoral resection guide (12) to provide guidance in the drilling of a channel (87) into the distal end of a femur (F), and, alternatively, the combination of the reamer sleeve (16) and the reamer bushings (18A; 18B) can be used to provide guidance in reaming a channel into the distal end of a femur (F). As an additional feature, a tibial template (98) is also provided which can be cooperatively used with the reamer sleeve (16) and reamer bushings (18A; 18B) to prepare a channel into a natural tibia (T).
摘要翻译：提供了一套仪器（10），用于制备髁关节的天然骨骼，用于在初级和修复手术中接收假体部件。为了说明本发明及其用途，参考膝关节中天然股骨（F）的制备。该组仪器（10）包括前 - 后股骨切除引导件（12），其具有穿过其中形成的引导孔（36）和一组夹头（14; 16; 18A; 18B），其可拆卸地安装到引导孔（36）。所述套筒组件（14; 16; 18A; 18B）包括钻子引导件（14），扩孔器套筒（16）和多个不同尺寸的铰刀套管（18A; 18B）。因此，钻子引导器（14）可以安装到前股骨 - 后股骨切除引导件（12）上，以在将通道（87）钻入股骨（F）的远端中提供引导，或者替代地，扩孔器套筒（16）和扩孔器衬套（18A; 18B）的组合可以用于向通道延伸到股骨（F）的远端中提供引导。作为另外的特征，还提供了一种胫骨模板（98），其可以与铰刀套筒（16）和铰刀套管（18A; 18B）配合使用以制备通向天然胫骨（T）的通道。

7. 发明授权

US06309396B1 Tool for inserting an intramedullary guide wire 失效
标题翻译：用于插入髓内导丝的工具
公开(公告)号：US06309396B1
公开(公告)日：2001-10-30
申请号：US09025815
申请日：1998-02-19
申请人： G. David Ritland
发明人： G. David Ritland
IPC分类号： A61B1717
CPC分类号： A61B17/1717
摘要： A tool for inserting an intramedullary guide wire comprises a curved metal guide tube having a through lumen and a sharp point at its distal end, a handle for manipulating the tube, and a sighting guide affixed to the tube. The curvature of the guide tube enables the surgeon to align a drilling tool passed through the lumen with the axis of the femoral canal. The sighting guide has a straight distal portion parallel to a line tangent to the lumen axis at the distal end, so that the surgeon can better judge the position and orientation of the tip of the tool within the patient.
摘要翻译：用于插入髓内导丝的工具包括弯曲金属导管，其具有通孔和其远端处的尖锐点，用于操纵管的手柄和固定到管的瞄准引导件。引导管的曲率使得外科医生能够使穿过内腔的钻具与股骨管的轴线对准。瞄准引导件具有平行于在远端处与内腔轴线相切的直线的直的远端部分，使得外科医生可以更好地判断工具在患者体内的尖端的位置和取向。

8. 发明授权

US06699253B2 Self centering bone drill 失效
标题翻译：自动定心骨钻
公开(公告)号：US06699253B2
公开(公告)日：2004-03-02
申请号：US09957883
申请日：2001-09-21
申请人： Christopher McDowell , William Kennefick , Laurel Rogers
发明人： Christopher McDowell , William Kennefick , Laurel Rogers
IPC分类号： A61B1717
CPC分类号： A61B17/92 , A61B17/0642 , A61B17/068 , A61B17/1695 , A61B17/1728 , A61B17/68 , A61B17/8061 , A61B50/33 , A61B90/94 , A61B2017/00004 , A61B2017/0488 , A61B2017/0647 , A61B2090/033 , A61B2090/034 , A61B2090/037 , A61B2090/062
摘要： A self-centering bone drill comprises a drill bit having a proximal end and a distal end, a cutting surface at the distal end, and a first radially extending flange. A tubular housing coaxially receives the drill bit and a spring is coaxially received within the housing, and coaxially receives the drill bit. The spring is compressed between the first radially extending flange and an interior abutment surface on the housing distal of the first radially extending flange to urge the housing distally along the drill bit. A chamfered surface on a distal end of the housing engages a chamfered surface on a work piece to center the drill bit.
摘要翻译：自定心骨钻包括具有近端和远端的钻头，在远端处的切割表面和第一径向延伸的凸缘。管状壳体同轴地容纳钻头，并且弹簧同轴地容纳在壳体内，同轴地容纳钻头。弹簧被压缩在第一径向延伸的凸缘和位于壳体远离第一径向延伸的凸缘的内部邻接表面之间，以沿着钻头向远侧推动壳体。壳体的远端上的倒角表面与工件上的倒角表面接合以使钻头居中。

9. 发明授权

US06692496B1 Fracture treatment 失效
标题翻译：骨折治疗
公开(公告)号：US06692496B1
公开(公告)日：2004-02-17
申请号：US09830887
申请日：2001-07-06
申请人： Douglas Wardlaw
发明人： Douglas Wardlaw
IPC分类号： A61B1717
CPC分类号： A61B17/1725 , A61B17/1637 , A61B17/1684 , A61B17/1778 , A61B17/848
摘要： The invention provides apparatus for the treatment of a bone fracture (18′), comprising an elongate member (2) adapted for substantially axial insertion into the bone (18) such that it spans the fracture; where in one embodiment the elongate member being formed, adjacent one or both of its proximal and distal ends with fixture location means (9) adapted to receive a fixing device (27) inserted transversely of the elongate member (2) and passing through part at least of the bone to be treated; the position of the fixture location means (9) and the line of insertion of the fixing device (27) being defined by a jig (21) temporarily affixable to the proximal end of the elongate member; wherein a guide means (25) is adapted to pass through the fixture location and act as a guide for the desired location of the fixing device, said apparatus also providing drill means (25a and 26a), guidable by the guide means, and utilizable to form a bore communicating with the fixture location and adapted to accommodate the fixing device.
摘要翻译：本发明提供了用于治疗骨折（18'）的装置，其包括适于基本上轴向插入到骨头（18）中的细长构件（2），使得其跨越骨折; 其中在一个实施例中，细长构件被形成，邻近其近端和远端中的一个或两个，具有适于接收横向于细长构件（2）插入并穿过部分的固定装置（27）的固定装置（9）最少要治疗的骨头; 夹具定位装置（9）的位置和固定装置（27）的插入线由临时固定在细长构件的近端上的夹具（21）限定; 其中引导装置（25）适于穿过所述固定位置并且用作所述固定装置的所需位置的引导件，所述装置还提供由引导装置引导的钻孔装置（25a和26a），并且可用于形成与夹具位置相通并适于容纳定影装置的孔。

10. 发明授权

US06595995B2 Methods and instruments for interbody fusion 有权
公开(公告)号：US06595995B2
公开(公告)日：2003-07-22
申请号：US09746300
申请日：2000-12-21
申请人： Thomas Zdeblick , Lawrence M. Boyd , Eddie Ray, III
发明人： Thomas Zdeblick , Lawrence M. Boyd , Eddie Ray, III
IPC分类号： A61B1717
CPC分类号： A61B1/3132 , A61B1/3135 , A61B17/025 , A61B17/1671 , A61B17/1757 , A61B17/282 , A61B17/7059 , A61B17/86 , A61B17/8883 , A61B17/8891 , A61B2017/00238 , A61B2017/00261 , A61B2017/0256 , A61B2017/3488 , A61B2090/3904 , A61B2090/3937 , A61F2/30744 , A61F2/30767 , A61F2/442 , A61F2/4455 , A61F2/446 , A61F2/4601 , A61F2/4611 , A61F2/4637 , A61F2002/2835 , A61F2002/2839 , A61F2002/30123 , A61F2002/30136 , A61F2002/30143 , A61F2002/30153 , A61F2002/30158 , A61F2002/30179 , A61F2002/3021 , A61F2002/30217 , A61F2002/30329 , A61F2002/30433 , A61F2002/30504 , A61F2002/30507 , A61F2002/30774 , A61F2002/30777 , A61F2002/30785 , A61F2002/30787 , A61F2002/30789 , A61F2002/3082 , A61F2002/3085 , A61F2002/30858 , A61F2002/30863 , A61F2002/30871 , A61F2002/30874 , A61F2002/4475 , A61F2002/448 , A61F2002/4627 , A61F2002/4635 , A61F2002/464 , A61F2002/4641 , A61F2220/0025 , A61F2220/0041 , A61F2230/0004 , A61F2230/0006 , A61F2230/0017 , A61F2230/0019 , A61F2230/0026 , A61F2230/0058 , A61F2230/0067 , A61F2310/00017 , A61F2310/00023 , A61F2310/00095 , A61F2310/00131 , A61F2310/00161 , A61F2310/00179 , A61F2310/00796 , A61L27/227 , A61L31/047
摘要： A laparoscopic surgical technique is provided for preparing a site for implantation of a fusion device or implant. In accordance with one embodiment of the technique, a laparoscope is provided having an outer sleeve with distraction fingers at one end to distract the disc space. The laparoscope includes a laparoscopic port at its opposite end through which instruments and implants are inserted. The laparoscope provides a sealed working channel to the disc space, through which the disc space is distracted, the vertebral endplates and surrounding disc is reamed, and the fusion device inserted. The laparoscope is alternately engaged within bilateral locations in the disc space for insertion of a pair of fusion implants. A switching sleeve extends through the laparoscope to protect the tissue at the surgical site as the laparoscope is moved between the bilateral fusion locations.

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