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11. 发明授权

US5776200A Tibial trial prosthesis and bone preparation system 失效
标题翻译：胫骨假体和骨骼制备系统
公开(公告)号：US5776200A
公开(公告)日：1998-07-07
申请号：US472815
申请日：1995-06-07
申请人： Chris E. Johnson , Tim Vendrely , Leo A. Whiteside , Thomas A. Carls , John Steele , Khosrow Naraghian
发明人： Chris E. Johnson , Tim Vendrely , Leo A. Whiteside , Thomas A. Carls , John Steele , Khosrow Naraghian
IPC分类号： A61F2/38 , A61B17/15 , A61B17/16 , A61B17/17 , A61B19/00 , A61F2/00 , A61F2/30 , A61F2/46
CPC分类号： A61F2/4684 , A61B17/155 , A61B17/1604 , A61B17/1675 , A61B17/1764 , A61F2/461 , A61B17/157 , A61B2017/1602 , A61B2090/033 , A61B90/06 , A61F2/38 , A61F2/3859 , A61F2/389 , A61F2002/30433 , A61F2002/30594 , A61F2002/30616 , A61F2002/30736 , A61F2002/4623 , A61F2002/4681 , A61F2220/0041
摘要： The method of implanting a femoral and a tibial knee prosthesis and instruments for surgically implanting the femoral and tibial prosthesis component as disclosed. The method includes the formation of a plurality of surgical cuts on the patient's distal femur. A trial tibial prosthesis is then fitted to the surgically prepared distal femur. The trial prosthesis has a femoral articulating surface and a non-articulating surface that fits the patient's distal femur at the surgical cuts. A surgeon then forms a transverse cut on the patient's proximal tibia. The surgeon places a tibial trial prosthesis on the patient's proximal tibia, the trial prosthesis including a tibial trial stem that fits the patient's intramedullary canal, a tibial trial metallic tray or plate, and a plastic trial insert that fits the tibial tray or plate. The plastic insert includes a tibial articulating surface that can articulate with the femoral articulating surface. The respective articulating surfaces are placed in contact and the surgeon then moves the patient's knee through a full range of motion. During this movement of patient's knee through a full range of motion, the surgeon uses a lever that is attached to the trial tibial prosthesis to rotate the trial tibial prosthesis about its stem. The surgeon can try different rotational positions of the tibial trial prosthesis each time moving the knee through a full range of motion to ensure proper orientation and an accurate fit.
摘要翻译：公开了植入股骨和胫骨膝关节假体的方法和用于手术植入股骨和胫骨假体部件的器械。该方法包括在患者的远端股骨上形成多个手术切口。然后将试胫骨假体装配到手术制备的远端股骨。试验假体具有股骨关节表面和在手术切口处适合患者的远端股骨的非关节表面。然后，外科医生在患者的胫骨近端形成横切。外科医生将胫骨试验假体放置在患者的近端胫骨上，试验假体包括适合患者髓内管，胫骨试验金属托盘或板的胫骨试验杆和适合胫骨托盘或板的塑料试验插入物。塑料插入件包括能够与股骨关节表面铰接的胫骨关节表面。相应的关节表面被放置成接触，并且外科医生然后使患者的膝盖移动通过全范围的运动。在患者膝盖运动过程中，外科医生使用一根连接到胫骨假体假肢的杠杆来围绕其茎部旋转胫骨假体。外科医生可以在每次将膝盖移动一整个运动范围时，尝试胫骨试验假体的不同旋转位置，以确保正确的定向和精确的配合。

12. 发明授权

US5501688A Surgical device for manipulating wire 失效
标题翻译：用于操作电线的手术装置
公开(公告)号：US5501688A
公开(公告)日：1996-03-26
申请号：US198105
申请日：1994-02-17
申请人： Leo A. Whiteside , Stephen E. White
发明人： Leo A. Whiteside , Stephen E. White
IPC分类号： A61B17/88 , A61B17/56
CPC分类号： A61B17/8861
摘要： A single surgical instrument to both pass a wire under a bone and twist the ends of the wire together is comprised of a hooked member mounted to a handle assembly. The hooked member has a notch to feed a wire as the hooked member is pulled about the bone. The handle assembly incorporates a crank comprised of two handles rotatably mounted to a grip to thereafter quickly and tightly twist the wires about the bone with the same instrument.
摘要翻译：一个单一的手术器械，用于将一根线下方的铁丝并且将线的两端扭曲在一起，由安装在手柄组件上的钩状构件组成。当钩状构件绕骨头拉动时，钩形构件具有用于供给线的切口。手柄组件包括由可旋转地安装到手柄上的两个手柄组成的曲柄，之后使用相同的器械快速并且紧紧地将电线绕着骨骼扭转。

13. 发明授权

US5431656A Intramedullary instrumentation to position means for preparing a tibial plateau with a posterior slope 失效
标题翻译：髓内器械定位用于制备具有后斜坡的胫骨平台的装置
公开(公告)号：US5431656A
公开(公告)日：1995-07-11
申请号：US188578
申请日：1994-02-04
申请人： Joseph S. Clift, Jr. , James E. Van Hoeck , Leo A. Whiteside
发明人： Joseph S. Clift, Jr. , James E. Van Hoeck , Leo A. Whiteside
IPC分类号： A61F2/46 , A61B17/15 , A61B17/00
CPC分类号： A61B17/157
摘要： Instrumentation for positioning a cut guide to cut a posterior slope in the tibial plateau surface of a tibia. The instrumentation includes an intramedullary alignment guide for engaging the tibia, and a rotational alignment guide for providing a guide for the insertion of a rod portion of the intramedullary alignment guide into an intramedullary bore in the tibia with the intramedullary alignment guide rotationally aligned with the intramedullary bore so that the longitudinal axis of a handle portion of the intramedullary alignment guide is angled posteriorly with respect to the longitudinal axis of the rod portion and the longitudinal axis of the intramedullary bore as the rod portion of the intramedullary alignment guide is inserted into the intramedullary bore.
摘要翻译：用于定位切割引导件以切割胫骨胫骨平台表面的后坡的仪器。仪器包括用于接合胫骨的髓内对准引导件和用于提供用于将髓内对准引导件的杆部分插入胫骨中的髓内孔的引导件的旋转对准引导件，其中髓内对准引导件与髓内旋转对准使得当髓内对准引导件的杆部分插入髓内时，髓内对准引导件的手柄部分的纵向轴线相对于杆部分的纵向轴线和髓内孔的纵向轴线成角度地成角度孔。

14. 发明授权

US5176684A Modular shaping and trial reduction guide for implantation of posterior-stabilized femoral prosthesis and method of using same 失效
标题翻译：用于后稳定股骨假体植入的模块化成形和试验减少指南及其使用方法
公开(公告)号：US5176684A
公开(公告)日：1993-01-05
申请号：US839425
申请日：1992-02-20
申请人： Joseph M. Ferrante , James E. Van Hoeck , Bradley J. Coates , Leo A. Whiteside
发明人： Joseph M. Ferrante , James E. Van Hoeck , Bradley J. Coates , Leo A. Whiteside
IPC分类号： A61B17/56 , A61B17/14 , A61B17/16 , A61B17/17 , A61F2/30 , A61F2/38 , A61F2/46
CPC分类号： A61F2/461 , A61B17/1764 , A61B17/1675 , A61B17/1767 , A61B2017/1602 , A61F2/3886
摘要： According to the invention, there is provided a trial implant comprising a modular bracket defining a structure having an internal surface adapted to be seated on the distal aspect of a resected femur bone and an external surface with a shape resembling the normal distal condyle of the femur. The bracket has an elongated central opening appointed to expose the resected bone of the femur, including a pair of tracks for guiding a tool along a predetermined path for controlled shaping of a patellar groove in the bone exposed through the opening. An end mill guide cooperates with the bracket to receive another tool to form a deep recess for accommodating a posterior-stabilizing housing. After the recess is formed, the guide is replaced with an insert having a posterior-stabilizing housing which covers the opening of the bracket and articulates with a proximal aspect of the tibia during interoperative trial reduction of the knee joint. Removal of the bracket from the resected bone is unnecessary following the shaping steps prior to performing the trial reduction.

15. 发明授权

US5100409A Shaping and trial reduction guide for implantation of femoral prosthesis and method of using same 失效
标题翻译：股骨假体植入成形和试管简化指南及其使用方法
公开(公告)号：US5100409A
公开(公告)日：1992-03-31
申请号：US666160
申请日：1991-03-07
申请人： Bradley J. Coates , Leo A. Whiteside
发明人： Bradley J. Coates , Leo A. Whiteside
IPC分类号： A61B17/56 , A61B17/00 , A61B17/15 , A61B17/16 , A61B17/17 , A61F2/46 , A61F2/76
CPC分类号： A61F2/461 , A61B17/1764 , A61F2/4684 , A61B17/15 , A61B17/155 , A61B17/1675 , A61B2017/00707 , A61B2017/1602
摘要： According to the invention, there is provided a trial implant comprising a modular bracket defining a structure having an internal surface adapted to be seated on the distal aspect of a resected femur bone and an external surface with a shape resembling the normal distal condyle of the femur. The bracket has an elongated central opening appointed to expose the resected bone of the femur, including a pair of tracks for guiding a tool along a predetermined path for controlled shaping of a patellar groove in the bone exposed through the opening. A replaceable insert covers the opening and articulates with a proximal aspect of the tibia during interoperative trial reduction of the knee joint, whereby prior removal of the bracket from the resected bone is unnecessary following shaping of the patellar groove. Preferably, the insert and guide tracks cooperate together to securely position the insert within the opening during trial reduction. A surgical method is also provided using the described trial implant guide.

16. 发明授权

US4474177A Method and apparatus for shaping a distal femoral surface 失效
标题翻译：用于成形远端股骨表面的方法和装置
公开(公告)号：US4474177A
公开(公告)日：1984-10-02
申请号：US473465
申请日：1983-03-09
申请人： Leo A. Whiteside
发明人： Leo A. Whiteside
IPC分类号： A61B17/15 , A61B17/16 , A61B17/17 , A61F5/04
CPC分类号： A61B17/1675 , A61B17/155 , A61B17/1659 , A61B17/1764
摘要： The present invention provides a method and apparatus for preparing the distal surface of a femur to receive a distal femoral prosthesis employing an intramedullary reamer which is used to internally locate the central long axis of the femur, an intramedullary alignment guide which is inserted into the space left in the intramedullary canal upon removal of the reamer and at least one femoral surface modifying instrument which cooperatively engages with a guide handle attached to the intramedullary alignment guide to accomplish the shaping of the distal femoral surface. The intramedullary alignment guide has a rod portion extending into the femoral intramedullary canal whose central long axis corresponds with the central long axis of the femur. The guide handle is attached to that rod portion at a preselected angle such that the shaping instruments fixed thereto assume the proper alignment with respect to the central long axis of the femur such that the distal femoral surface is shaped relative to that axis in a simple and accurate manner.
摘要翻译：本发明提供了一种用于制备股骨的远端表面以接收使用髓内铰刀的远端股骨假体的方法和装置，其用于在内部定位股骨的中心长轴，将髓内对准引导件插入到空间中在移除铰刀和留置在髓内对准引导件上的引导手柄上协作地接合的至少一个股骨表面修改器械之后留在髓内管中以完成股骨远端表面的成形。髓内对准引导件具有延伸到股骨髓内管中的杆部分，其中心长轴对应于股骨的中心长轴。引导手柄以预定的角度附接到该杆部分，使得固定到其上的成形器具相对于股骨的中心长轴线适当对齐，使得远端股骨表面相对于该轴线成形为简单和准确的方式。

17. 发明授权

US4467801A Method and apparatus for shaping a proximal tibial surface 失效
标题翻译：用于成形近端胫骨表面的方法和装置
公开(公告)号：US4467801A
公开(公告)日：1984-08-28
申请号：US473464
申请日：1983-03-09
申请人： Leo A. Whiteside
发明人： Leo A. Whiteside
IPC分类号： A61B17/16 , A61B17/17 , A61F5/04
CPC分类号： A61B17/1764 , A61B17/1659 , A61B17/1675
摘要： The present invention provides a method and apparatus for preparing the proximal surface of a tibia to receive a proximal tibial prosthesis employing a reamer/alignment guide which is used to internally locate the central long axis of the tibia and a plateau planar which cooperatively engages with a guide handle attached to the reamer/alignment guide to accomplish the shaping of the proximal tibial surface. The reamer/alignment guide has a rod portion extending into the interior of the tibial shaft whose central long axis corresponds with the central long axis of the tibia. The guide handle is concentric with that rod portion such that the plateau planar assumes the proper alignment with respect to the central long axis of the tibia such that the proximal tibial surface is shaped relative to that axis in a simple and accurate manner.
摘要翻译：本发明提供了一种用于制备胫骨的近侧表面以接收使用铰刀/对准引导件的近端胫骨假体的方法和装置，所述铰刀/对准引导件用于内部定位胫骨的中心长轴线，以及平台平面，其与引导手柄附接到铰刀/对准引导件，以实现近端胫骨表面的成形。扩孔器/校准引导件具有延伸到胫骨轴内部的杆部分，其中心长轴对应于胫骨的中心长轴。引导手柄与该杆部分同心，使得平台平面相对于胫骨的中心长轴线进行适当的对准，使得近端胫骨表面以简单且准确的方式相对于该轴线成形。

18. 发明申请

US20160030184A1 Implant with multi-directional pivoting 审中-公开
标题翻译：植入物多向枢转
公开(公告)号：US20160030184A1
公开(公告)日：2016-02-04
申请号：US14756749
申请日：2015-10-07
申请人： Leo A. Whiteside
发明人： Leo A. Whiteside
IPC分类号： A61F2/38
CPC分类号： A61F2/385 , A61F2002/30624 , A61F2002/30632
摘要： Implant with multi-directional pivoting has a first component including a first articular surface and a fore-to-aft and side-to-side rotation device; and a second component including a second articular surface for mating with the first articular surface and a rotation device receptacle. The first component can be mated to the second component through cooperation of the rotation device and the rotation device receptacle, and the first component can cooperate with the second component in contact of the first and second articular surfaces and in articulation of the joint when the first component is mated to the second component. The implant can be an artificial joint which generally has natural load transfer capability. In a particular embodiment, the joint is a knee prosthesis; therein, the first and second components are femoral and tibial components, with the first articular surface a femoral condylar surface and the second articular surface a tibial condylar mating surface. In such a knee, the fore-to-aft component can be considered flexion, with the side-to-side component considered version. As well, a knee prosthesis can be provided with a device to support the patella on a smooth counter surface from full extension to flexion well past 100° and/or with a mechanism to prevent excessive downward travel of the tibial component.
摘要翻译：具有多方向旋转的植入物具有包括第一关节表面和前后的侧向旋转装置的第一部件; 以及包括用于与第一关节表面配合的第二关节表面和旋转装置容器的第二部件。第一部件可以通过旋转装置和旋转装置插座的协作而与第二部件配合，并且第一部件可以与第一和第二关节面接触的第二部件以及当第一部件的第一部件组件配合到第二组件。植入物可以是通常具有自然载荷转移能力的人造关节。在特定实施例中，关节是膝关节假体; 其中，第一和第二部件是股骨和胫骨部件，第一关节表面是股骨髁表面，第二关节表面是胫骨髁配合表面。在这样的膝盖中，前后组件可以被认为是屈曲，侧面的组件被认为是版本。同样，膝盖假体可以设置有用于将平滑的对置表面上的髌骨支撑完全伸展到100°以上的屈曲和/或用于防止胫骨部件的过度向下行进的机构。

19. 发明申请

US20100076566A1 Metal/alloy coated ceramic 审中-公开
标题翻译：金属/合金涂层陶瓷
公开(公告)号：US20100076566A1
公开(公告)日：2010-03-25
申请号：US12584482
申请日：2009-09-04
申请人： Louis A. Serafin, JR. , Lee Allen Stouse , Leo A. Whiteside , Nicholas H. Burlingame
发明人： Louis A. Serafin, JR. , Lee Allen Stouse , Leo A. Whiteside , Nicholas H. Burlingame
IPC分类号： A61F2/38 , B32B15/04 , B32B3/26
CPC分类号： A61L27/10 , A61L27/306 , Y10T428/24999
摘要： Ceramic surface can be coated with a metal or metal alloy and have extraordinary holding power between the surface and coating. For example, MgTTZ can be coated with CPT and may have a static shear strength for the coated surface of at least about 2,000 or 3,000 or 5,000 or 7,000 pounds or greater. The coated ceramic may be a prosthetic surgical load bearing implant.
摘要翻译：陶瓷表面可以用金属或金属合金涂层，并且在表面和涂层之间具有非凡的保持力。例如，MgTTZ可以用CPT涂覆，并且可以具有至少约2,000或3,000或5,000或7000磅或更大的涂覆表面的静态剪切强度。涂覆的陶瓷可以是假体手术负载植入物。

20. 发明授权

US06569202B2 Tray and liner for joint replacement system 有权
公开(公告)号：US06569202B2
公开(公告)日：2003-05-27
申请号：US10025733
申请日：2001-12-19
申请人： Leo A. Whiteside
发明人： Leo A. Whiteside
IPC分类号： A61F238
CPC分类号： A61F2/389 , A61B17/86 , A61F2/34 , A61F2002/30187 , A61F2002/305 , A61F2002/30589 , A61F2002/30604 , A61F2002/30682 , A61F2002/30785 , A61F2002/30841 , A61F2002/30884 , A61F2002/30892 , A61F2220/0025 , A61F2230/0034 , A61F2310/00023
摘要： An orthopedic component for total joint replacement that comprises a metal tray (3) and polymer liner (27), the metal tray having screw holes (7a, 7b) for fixation with screws (9) to bone and a circumferential rim or wall (15) with a smooth inner surface (21). The liner (27) is provided with a flexible sealing ridge (39) around its entire periphery, the sealing ridge being positioned so that it sealingly engages the tray rim so as to form a fluid-tight seal between the liner and the tray. The liner is provided with a locking mechanism comprised of tabs at the longitudinal ends of the liner which engage grooves in the front and rear of the tray. In this manner, the surgeon can readily install the liner within the tray after the tray has been surgically affixed to the resected skeletal structure by angling the liner and inserting a first tab into its respective groove and then by pressing the liner downwardly into the tray so that another tab at the opposite end of the liner engages its respective groove thus positively locking the liner with respect to the tray. Simultaneously with snap locking the liner within the tray, the flexible sealing ridge on the tray seals the liner with respect to the tray.

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