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    • 11. 发明申请
    • MINIMALLY INVASIVE SURGICAL REAMER AND CONNECTION
    • 微小的外科手术和连接
    • US20080086141A1
    • 2008-04-10
    • US11932645
    • 2007-10-31
    • Patrick WhiteAndre LechotEzzedine Mahmoud
    • Patrick WhiteAndre LechotEzzedine Mahmoud
    • A61B17/56
    • A61B17/1666A61B17/1617A61B2017/0046
    • An acetabular reamer (10) has a cutting structure (12) rotatable about a longitudinal axis (14) with a domed shell portion (16). The shell (16) has an outer surface (18) presenting multiple cutting sites (20) and an inner surface (22) for accumulation of debris. The shell (16) has a static insertion profile area that is defined by a pair of first curved portions (24) generated about a first radius (30) with a center that lies on the axis (14) and a pair of second curved portions (26) generated about a center that is spaced apart from the axis. The cutting structure (12) has a circular dynamic profile area generated upon rotation of the reamer (10) by a handle (40). Both the static insertion area and dynamic profile area lie transverse to the axis (14), the former being smaller than the latter. Several distinctive alignment structures (38) are described, alone and in combination with reamers (10) having a conventional hemispherical shell (15), as well as in combination with those present reamers (10) that are less invasive.
    • 髋臼铰刀(10)具有可围绕具有圆顶形壳体部分(16)的纵向轴线(14)旋转的切割结构(12)。 壳体(16)具有呈现多个切割位置(20)的外表面(18)和用于堆积碎屑的内表面(22)。 外壳(16)具有由围绕第一半径(30)产生的一对第一弯曲部分(24)限定的静态插入轮廓区域,第一弯曲部分(24)的中心位于轴线(14)上,一对第二弯曲部分 (26)围绕与轴线间隔开的中心产生。 切割结构(12)具有通过手柄(40)旋转铰刀(10)时产生的圆形动态轮廓区域。 静态插入区域和动态轮廓区域横向于轴线(14),前者小于后者。 单独描述和与具有常规半球形壳体(15)的扩孔体(10)组合的几个不同的对准结构(38),以及与那些侵入性较小的那些目标扩孔器(10)组合。
    • 12. 发明申请
    • REAMER SPINDLE FOR MINIMALLY INVASIVE JOINT SURGERY
    • 用于最小入场联合手术的激光主轴
    • US20080065081A1
    • 2008-03-13
    • US11935198
    • 2007-11-05
    • Andre LECHOTYves DesarzensHugh DaviesPatrick White
    • Andre LECHOTYves DesarzensHugh DaviesPatrick White
    • A61B17/00
    • A61B17/1631A61B17/1633A61B17/1666A61B50/30A61B2017/320032
    • An adjustable reamer spindle is provided to aid the surgeon in controlling the instrument. The reamer spindle is easily disassembled for cleaning. The spindle has a repositionable handle, a locking ring, and a n elastic device. The elastic device biases against a handle locking mechanism that locks the repositionable handle at angular positions about an axis of the spindle. The elastic device further biases a locking ring into a locked position. The locking ring aids in holding the reamer spindle together. Removal of the locking ring against an elastic bias of the elastic means unfastens an end of the assembly in order to facilitate disassembly and/or cleaning. Adjustment of the position of the handle about the spindle enables the palm/grip of each hand to be changed in order to provide maximum control in different orientations. The adjustment is desirable in order to accommodate operating on the left or right side of the patient, standing behind or in-front of the patient, or the use of a different surgical approach. Further, adjustment is important to accommodate the differing needs of surgeons who are naturally left or right handed.
    • 提供可调节铰刀主轴,以帮助外科医生控制仪器。 铰刀主轴容易拆卸清洗。 主轴具有可重新定位的手柄,锁定环和n弹性装置。 弹性装置抵靠手柄锁定机构偏置,该手柄锁定机构将可重定位手柄锁定在围绕心轴的轴线的角位置处。 弹性装置进一步将锁定环偏压到锁定位置。 锁定环有助于将铰刀主轴固定在一起。 抵抗弹性装置的弹性偏压去除锁定环解除组件的端部以便于拆卸和/或清洁。 手柄围绕主轴的位置的调整使得能够改变每只手的手掌/握柄,以便在不同的取向上提供最大程度的控制。 为了适应在患者的左侧或右侧的操作,站在患者的后方或前方,或者使用不同的手术方法,该调整是可取的。 此外,调整对于适应自然左手或右手的外科医生的不同需求是重要的。
    • 14. 发明申请
    • Mobile spine stabilization device
    • 移动脊柱稳定装置
    • US20060264937A1
    • 2006-11-23
    • US11321337
    • 2005-12-29
    • Patrick White
    • Patrick White
    • A61F2/30
    • A61B17/702A61B17/7004A61B17/7011A61B17/7029A61B17/7031A61B17/7032A61B17/7046A61B2017/00867
    • An orthopedic device is described for stabilizing the spinal column between first and second vertebral bodies. The device has first and second screws adapted for fixation to the first and second vertebral bodies, respectively. The device further includes an elongated ligament with a first end connected to the first screw and the second end operatively connected with the second screw. The ligament is made preferably of a nickel titanium alloy selected to have ductile inelastic properties at body temperature and is capable of continuous plastic deformation to allow relative constrained motion between the vertebral bodies. In a preferred embodiment the second pedicle screw includes a bearing for receiving the ligament in a slideably engageable relationship. The device further includes optional first and second dampening members surrounding the ligament for restraining the spinal column during flexion and extension. Other preferred devices and kits containing such devices are also described.
    • 描述了一种用于在第一和第二椎体之间稳定脊柱的整形外科装置。 该装置具有分别用于固定到第一和第二椎体的第一和第二螺钉。 该装置还包括细长的韧带,其第一端连接到第一螺钉,第二端与第二螺钉可操作地连接。 韧带优选由选择用于在体温下具有延性非弹性性能的镍钛合金制成,并且能够连续塑性变形以允许椎体之间的相对受限的运动。 在优选实施例中,第二椎弓根螺钉包括用于以可滑动地接合的关系接收韧带的轴承。 该装置还包括围绕韧带的可选的第一和第二阻尼构件,用于在弯曲和伸展期间限制脊柱。 还描述了包含这种装置的其它优选装置和试剂盒。
    • 15. 发明申请
    • Network session management
    • 网络会话管理
    • US20050152340A1
    • 2005-07-14
    • US10979317
    • 2004-11-02
    • Eric VoitEdward BalkovichWilliam GoodmanJayant GadrePatrick WhiteDavid Young
    • Eric VoitEdward BalkovichWilliam GoodmanJayant GadrePatrick WhiteDavid Young
    • H04L12/14H04L12/28H04L12/56H04L12/66H04L29/06H04M7/00
    • H04L65/1069H04L12/14H04L12/1403H04L12/141H04L12/1414H04L12/1421H04L12/1439H04L12/1446H04L12/1453H04L12/1457H04L12/1464H04L12/1482H04L12/1485H04L29/06H04L29/06027H04L29/12245H04L61/203H04L63/08H04L63/10H04L65/103H04L65/104H04L65/1043H04L2463/102H04M7/1285H04M15/41H04M15/56H04M2215/014H04M2215/0164H04M2215/0176H04M2215/018H04M2215/2046H04M2215/22H04W4/16Y10S379/90
    • A communication system providing telephony communication across combined circuit switched and packet switched networks, such as a telephone network and the Internet, which are connectable to terminals, such as telephones and computers, for selective communication therebetween. The communication system includes an authorization and account control object in the packet switched network, multiple gateways between the circuit switched and packet switched networks providing controlled connectivity between those networks, and an information retrieval object in the packet switched network, wherein the authorization and account control object maintains a substantially real time record of user accounts and usage, and the information and retrieval object provides substantially real time retrieval of selected information from the authorization and account control object. The retrieval object provides on demand to terminals which provide authentication for access to an identified account information regarding that account. The information regarding the account is substantially real time information including information with respect to communications in progress, which are chargeable to the account which has been authenticated. The authorization and account control object is preferably a unitary logical object having distributed instances thereof handling multitudinous accounts of widely separated terminals. The retrieval object provides isolation of the authorization and account control object permitting simultaneous multitasking by the authorization and account control object and the retrieval object respectively.
    • 一种通过组合电路交换和分组交换网络(例如电话网络和因特网)提供电话通信的通信系统,其可连接到诸如电话和计算机之类的终端,用于其间的选择性通信。 通信系统包括分组交换网络中的授权和帐户控制对象,电路交换和分组交换网络之间的多个网关,提供这些网络之间的受控连接,以及分组交换网络中的信息检索对象,其中授权和帐户控制 对象维护用户帐户和使用的基本实时记录,并且信息和检索对象从授权和帐户控制对象提供基本上实时检索所选择的信息。 检索对象根据需要提供终端,该终端提供用于访问关于该帐户的所识别的帐户信息的认证。 关于账户的信息基本上是实时信息,包括关于正在进行的通信的信息,这些信息可以对已被认证的帐户收费。 授权和帐户控制对象优选地是具有分布式实例的单一逻辑对象处理广泛分离的终端的众多帐户。 检索对象提供授权和帐户控制对象的隔离,允许分别由授权和帐户控制对象和检索对象同时进行多任务。
    • 16. 发明授权
    • Acetabular reamer
    • 髋臼铰刀
    • US08784422B2
    • 2014-07-22
    • US13084191
    • 2011-04-11
    • André LechotYves DesarzensPatrick White
    • André LechotYves DesarzensPatrick White
    • A61B17/00
    • A61B17/1666A61B2017/1602
    • An acetabular reaming system is disclosed of the type having a driver and a tool held together by a quick-release coupling mechanism. The tool (10) has a hollow body (12) defining a domed shape with a rotational axis (14), an apex (16) aligned with the axis (14) and a hemispherical wall (18) extending from the apex (16) to an equatorial rim (20) spaced 90 degrees from the axis (14). The rim (20) has an edge (22) visible to the user that indicates the position of the tool (10) relative to the bone. A first plurality of cutting sites (24) is arrayed along the body (12) and a second plurality of cutting sites (28) is arrayed circumferentially along the edge (22). Preferably, the first plurality of cutting sites (24) present raised first teeth (30, 130, 230, 330) having a profile selected from continuous squared (30), continuous rounded (130), discontinuous squared (230) and tongued (330) profiles. Also preferably, the second plurality of cutting sites (28) present raised second teeth (32, 132, 232, 332, 432) selected from continuous squared (32), continuous rounded (132), discontinuous squared (232), tongued (332) and bladed (432) profiles.
    • 公开了具有驱动器和通过快速释放联接机构保持在一起的工具的类型的髋臼扩孔系统。 工具(10)具有限定具有旋转轴线(14)的圆顶形状的中空本体(12),与轴线(14)对准的顶点(16)和从顶点(16)延伸的半球形壁(18) 到与轴线(14)间隔90度的赤道边缘(20)。 边缘(20)具有用于使用者可见的边缘(22),其指示工具(10)相对于骨头的位置。 第一多个切割位置(24)沿着主体(12)排列,并且第二多个切割位置(28)沿着边缘(22)周向排列。 优选地,第一多个切割位置(24)存在凸起的第一齿(30,130,230,330),其具有选自连续平方(30),连续圆形(130),不连续平方(230)和舌形(330)的轮廓 )个人资料 还优选地,第二多个切割位置(28)存在选自连续平方(32),连续圆形(132),不连续平方(232),舌形(332)的凸起的第二齿(32,132,232,332,432) )和叶片(432)轮廓。
    • 20. 发明申请
    • BONE PLATE WITH COMPLEX, ADJACENT HOLES JOINED BY A BEND RELIEF ZONE
    • 复合骨板,由折弯救济区加入的相似的孔
    • US20090318921A1
    • 2009-12-24
    • US12307128
    • 2007-07-06
    • Patrick WhitePatrick BerdozSteve Forbes
    • Patrick WhitePatrick BerdozSteve Forbes
    • A61B17/80
    • A61B17/8085A61B17/1728A61B17/8057
    • A bendable bone plate (10) is disclosed which is adapted for use in situ as a conformable bone splint to fix the spatial relationship of at least two bone parts (80). The bone plate (10) has an elongated plate (11) made of a bendable material. A plurality of screw apertures (24) extending through the top (14) and bottom (16) surfaces are disposed along the length (L) of the plate. Bone screws (28) are inserted through the apertures into the underlying bone parts (80) to anchor the elongated plate (11) to the bone parts (80). At least two of the screw apertures (24) are disposed as a closely spaced pair (40) of screw apertures (24) with a “bend relief zone” (60) disposed between the closely spaced apart screw apertures (24). The bend relief zone (60) is disposed to allow the elongated plate (11) to be bent across the bend relief zone (60) up to a certain angle (A) without deforming the screw apertures (24) adjacent the bend relief zone (60)
    • 公开了一种可弯曲骨板(10),其适于在原位使用作为适形骨夹板以固定至少两个骨部(80)的空间关系。 骨板(10)具有由可弯曲材料制成的细长板(11)。 沿着板的长度(L)设置有多个延伸穿过顶部(14)和底部(16)表面的螺钉孔(24)。 骨螺钉(28)穿过孔插入到下面的骨骼部分(80)中以将细长板(11)锚定到骨部分(80)。 至少两个螺钉孔(24)被布置为具有设置在紧密间隔的螺钉孔(24)之间的“弯曲释放区”(60)的紧密间隔开的螺钉孔(24)对(40)。 弯曲释放区(60)被设置成允许细长板(11)跨过弯曲释放区(60)弯曲到一定角度(A),而不使邻近弯曲释放区的螺钉孔(24)变形 60)