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    • 41. 发明公开
    • Dynamic skeletal joint support
    • DynamischeStützefürSkelettgelenke。
    • EP0512792A1
    • 1992-11-11
    • EP92304035.6
    • 1992-05-05
    • SMITH & NEPHEW RICHARDS, INC.
    • Hotchkiss, Robert N.Woodward, ArthurHotchkiss, Kenneth W.
    • A61B17/60A61H1/02
    • A61H1/02A61B17/6425A61H1/0288
    • A dynamic skeletal joint support having proximal and distal support sections (113,115) and means (146) for rigidly connecting each support section to bone and a pair of hinges (117,119) connecting each support section to each other and pivoting at the joint (120) to cause movement of the support section and its corresponding attached bone through the movements of flexion and extension. The hinge may be driven in its movement by a gear mechanism (122,124) which may be disengaged by means of a clutch. The dynamic joint support may also include a distraction mechanism for movement of the bones out of contact in the joint, while allowing for an active range of motion at the joint.
    • 一种具有近端支撑部分和远端支撑部分(113,115)和用于将每个支撑部分刚性地连接到骨头的一个动态骨架关节支撑件以及将每个支撑部分彼此连接并在关节(120)处枢转的一对铰链(117,119) 以通过弯曲和伸展的运动引起支撑部分及其相应的附接骨骼的运动。 铰链可以通过齿轮机构(122,124)在其运动中被驱动,齿轮机构(122,124)可以通过离合器而脱开。 动态关节支撑件还可以包括用于使骨头在关节中不接触的移动的牵引机构,同时允许在关节处的活动活动范围。
    • 42. 发明公开
    • Dynamic elbow support
    • Dynamische Schienefürdas Ellenbogengelenk。
    • EP0460944A1
    • 1991-12-11
    • EP91305101.7
    • 1991-06-05
    • SMITH & NEPHEW RICHARDS, INC.
    • Hotchkiss, Robert N.Woodward, ArthurHotchkiss, Kenneth W.
    • A61B17/62A61B17/64
    • A61B17/6425A61B17/62
    • A dynamic joint support having proximal and distal support sections and means (46,60,66) for rigidly connecting each support section to bone and a pair of hinges (14) connecting each support section to each other and pivoting at the joint to cause movement of the support section and its corresponding attached bone through the movements of flexion and extension. The hinge (14) may be driven in its movement by a gear mechanism (30,70,74) which may be disengaged by means of a clutch (78). The dynamic joint support may also include a distraction mechanism for movement of the bones out of contact in the joint, while allowing for an active range of motion at the joint.
    • 具有近端支撑部分和远端支撑部分的动态关节支撑件和用于将每个支撑部分刚性地连接到骨头的装置(46,60,66)和将每个支撑部分彼此连接并在关节处枢转以引起移动的一对铰链(14) 的支撑部分及其相应的附着骨通过弯曲和伸展的运动。 铰链(14)可以通过可通过离合器(78)分离的齿轮机构(30,70,74)在其运动中被驱动。 动态关节支撑件还可以包括用于使骨头在关节中不接触的移动的牵引机构,同时允许在关节处的活动活动范围。
    • 43. 发明公开
    • Apparatus and method for determining the tension on a ligament graft
    • Vorrichtung und Verfahren zur Bestimmung der Spannung eines Ligamenttransplantats。
    • EP0379789A1
    • 1990-08-01
    • EP89311966.9
    • 1989-11-20
    • SMITH & NEPHEW RICHARDS, INC.
    • McLeod, WilliamWisnewski, PaulEvans, DavidGosney, Mark
    • A61F2/08
    • A61F2/0805A61B90/06
    • An instrument for determining the variation in tension of a ligament graft extending between first and second proposed fixation sites positioned on first and second articulated bones, respectively, comprises a yoke (16) which carries a device for securing the yoke to one of the first and second bones. A yoke plate (18) is rotatable carried by the yoke. A main housing (60) is adapted for connection to the yoke plate. A sled (78) is slidably carried by the main housing. The sled is adapted for connection to the ligament graft. A mechanism (85, 91) is provided for adjusting the position of the sled relative to the housing so as to place a desired degree of tension on the ligament graft. A transducer (87) is associated with the mechanism for adjusting for determining changes in tension, if any, from the desired degree of tension as the first and second bones are moved relative to one another.
    • 用于确定在分别位于第一和第二铰接骨头上的第一和第二被提出的固定位置之间延伸的韧带移植物的张力变化的仪器包括轭架(16),该轭架承载用于将轭固定到第一和第二关节骨架 第二骨头 轭架(18)可由轭架转动。 主壳体(60)适于连接到轭板。 滑板(78)由主壳体可滑动地承载。 雪橇适用于连接韧带移植物。 提供了一种机构(85,91),用于调节滑板相对于壳体的位置,以便在韧带移植物上放置期望的张力。 传感器(87)与用于调节的机构相关联,用于当第一和第二骨骼相对于彼此移动时,确定来自所需张力的张力的变化(如果有的话)。
    • 44. 发明公开
    • Modular knee joint prosthesis
    • Modulare Kniegelenksprothese。
    • EP0336774A1
    • 1989-10-11
    • EP89303453.8
    • 1989-04-07
    • SMITH & NEPHEW RICHARDS, INC.
    • Gustilo, Ramon B.Rand, James A.Roberts, Jeffrey G.Lackey, Jennifer J.
    • A61F2/38
    • A61F2/3886A61F2002/30354A61F2002/30604A61F2002/30736A61F2220/0033
    • A femoral component (12) base having a pair of laterally spaced apart condylar portions (14, 16), each of which has an external surface that is smoothly convexly curved anterior-posteriorly to match generally the distal profile of the anatomical femoral condyle and smoothly convexly curved laterally throughout its antero-posterior extent. The external convexly curved surfaces engage the tibial (13) component having a platform portion (17) laterally with spaced apart concavities (39, 41), each of which would receive one of the condylar portions (14, 16) of the femoral component to allow antero-posterior rotation between the components during use of the joint. The femoral component (12) includes a modular member (40) having adjustable plates (70) for adjusting the position of the femoral component in response to bone condition discovered during surgery. The tibial, femoral and modular components further include a triangular (60, 61, 62), ramp post and corresponding confined recess to limit flexion and undesirable lateral movement.
    • 股骨部件(12)基部具有一对横向间隔开的髁部分(14,16),每个部分具有外表面,该外表面在前后平滑地凸起地弯曲,以一般地匹配解剖股骨髁的远端轮廓并且平稳地 在整个前后方向横向弯曲。 外部凸曲面与具有平台部分(17)的胫骨(13)部件相互接合,所述胫骨部件侧向具有间隔开的凹部(39,41),每个凹部将接收股骨部件的髁部分(14,16)中的一个, 允许在使用关节期间组件之间进行前后旋转。 股骨部件(12)包括具有可调节板(70)的模块化构件(40),用于响应于在手术期间发现的骨骼状况来调节股骨部件的位置。 胫骨,股骨和模块部件还包括三角形(60,61,62),斜坡柱和相应的限制凹部,以限制弯曲和不期望的横向运动。
    • 46. 发明公开
    • Orthopedic device of biocompatible polymer with oriented fiber reinforcement
    • OrthopädischeVorrichtung aus biologischverträglichem聚合物mit orientiertenVerstärkungsfasern。
    • EP0277727A1
    • 1988-08-10
    • EP88300462.4
    • 1988-01-20
    • SMITH & NEPHEW RICHARDS, INC.
    • Chang, Fu-KuoReifsnider, KennethDavidson, James A.Georgette, Fredrick S.
    • A61L27/00B29D31/00B29C67/14A61F2/32
    • B29D99/0007A61F2/3094A61F2/30965A61F2/36A61F2002/30009A61F2002/3686A61F2250/0028A61L27/443B29C70/46B29L2031/7532Y10S623/911
    • An orthopedic device of biocompatible polymer with oriented fiber reinforcement. There is provided a device such as a hip stem which has a longitudinally curved body. The reinforcing fibers (50-72) are continuous filament fiber plies (50-72) with parallel oriented fibers in each ply. The plies are curved longitudinally to approximately corre­spond to the curve of the body. There are longitudinally oriented fiber plies (54,72) at or near the surface of the device and plies (56-70) with fibers offset at 5-40° from the longitudinal axis between the surface layers. The fiber orientation is balanced by providing a ply of negatively angled offset fibers of a similar angle for each positively angled offsey ply. The device is made by molding plies preimpregnated with polymer (prepregs) simultaneously, by molding a plurality of prepregs into segments which are then molded together, or by molding a segment and increment­ally molding additional layers of prepregs thereto in a series of progressively larger molds.
    • 具有定向纤维增强的生物相容性聚合物矫形装置。 提供了具有纵向弯曲体的诸如髋部杆的装置。 增强纤维(50-72)是在每个帘布层中具有平行取向纤维的连续长丝纤维层(50-72)。 帘布层纵向弯曲,大致对应于身体的曲线。 在装置的表面处或附近存在纵向取向的纤维层(54,72)和层(56-70),其中纤维偏离表面层之间的纵向轴线5-40°。 通过为每个有角度的离散帘布层提供具有相似角度的负角偏移光纤的层,来平衡纤维取向。 该装置通过将多个预浸料坯模制成一起模制成段,或者通过模制一段并逐渐模制附加的预浸料层在一系列逐渐变大的模具中而将聚酯(预浸料坯)预先同时模塑成型而制成。