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201. 发明申请

US20120191194A1 INTERVERTEBRAL IMPLANT 有权
公开(公告)号：US20120191194A1
公开(公告)日：2012-07-26
申请号：US13334526
申请日：2011-12-22
申请人： Fausto Olmos , Brad Culbert , Bob Flower
发明人： Fausto Olmos , Brad Culbert , Bob Flower
IPC分类号： A61F2/44
CPC分类号： A61F2/447 , A61B17/025 , A61B2017/0256 , A61F2/30771 , A61F2/4455 , A61F2/4611 , A61F2/4657 , A61F2002/30062 , A61F2002/30092 , A61F2002/30387 , A61F2002/30507 , A61F2002/30522 , A61F2002/30523 , A61F2002/30551 , A61F2002/30579 , A61F2002/30677 , A61F2002/30785 , A61F2002/30892 , A61F2002/4475 , A61F2002/448 , A61F2002/4629 , A61F2002/4659 , A61F2002/4661 , A61F2002/4667 , A61F2210/0004 , A61F2220/0025 , A61F2310/00017 , A61F2310/00023
摘要： An adjustable spinal fusion intervertebral implant is provided that can comprise upper and lower body portions that can each have proximal and distal wedge surfaces disposed at proximal and distal ends thereof. An actuator shaft disposed intermediate the upper and lower body portions can be actuated to cause proximal and distal protrusions to converge towards each other and contact the respective ones of the proximal and distal wedge surfaces. Such contact can thereby transfer the longitudinal movement of the proximal and distal protrusions against the proximal and distal wedge surfaces to cause the separation of the upper and lower body portions, thereby expanding the intervertebral implant.
摘要翻译：提供了一种可调节的脊柱融合椎间植入物，其可以包括上部和下部主体部分，每个部分可以具有设置在其近端和远端处的近侧和远侧楔形表面。可以致动设置在上部主体部分和下部主体部分之间的致动器轴，以使得近侧和远侧突出部朝向彼此会聚并且接触相应的近侧和远侧楔形表面。这样的接触可以由此将近端和远端突出物的纵向移动抵靠近端和远端楔形表面移动，从而导致上部和下部主体部分的分离，从而扩大椎间植入物。

202. 发明授权

US08211041B2 Sensing force during partial and total knee replacement surgery 有权
标题翻译：部分和全膝关节置换手术时的感觉力
公开(公告)号：US08211041B2
公开(公告)日：2012-07-03
申请号：US12544897
申请日：2009-08-20
申请人： Michael G. Fisher , Andrew Sizelove , Keith R. Berend , David W. Murray
发明人： Michael G. Fisher , Andrew Sizelove , Keith R. Berend , David W. Murray
IPC分类号： A61B5/103 , A61B5/117
CPC分类号： A61F2/4657 , A61B17/88 , A61F2/32 , A61F2/38 , A61F2/3804 , A61F2/40 , A61F2/4202 , A61F2/44 , A61F2/4684 , A61F2002/4666 , A61F2002/4687
摘要： Systems, devices, and methods are provided for measuring forces in the space of a knee during surgery. Such forces can be caused by tension in the ligaments of the knee. A femoral member is engaged with a distal femur. While the knee is flexed, partially extended, or fully extended, a force sensor and a gauge shim can be placed in the gap between the femoral member and the tibial plateau to measure the forces therebetween. The force sensor provides an accurate and quantifiable measurement of force, making knee replacement surgery and ligament tension balancing more accurate, standardized and repeatable. The force sensor comprises an elongate housing which comprises a thin force sensing distal portion and a proximal handle portion.
摘要翻译：提供系统，装置和方法用于在手术期间测量膝盖空间中的力。这种力可以由膝盖韧带的张力引起。股骨构件与股骨远端接合。当膝盖弯曲，部分延伸或完全伸展时，可以将力传感器和计量垫片放置在股骨构件和胫骨平台之间的间隙中，以测量其间的力。力传感器提供精确和可量化的力测量，使膝关节置换手术和韧带张力平衡更准确，标准化和可重复。力传感器包括细长壳体，其包括细力感测远侧部分和近侧手柄部分。

203. 发明申请

US20120165821A1 MARKING TEMPLATE FOR INSTALLING A CUSTOM REPLACEMENT DEVICE FOR RESURFACING A FEMUR AND ASSOCIATED INSTALLATION METHOD 审中-公开
标题翻译：用于安装用于重新安装和相关安装方法的自定义替换装置的标记模板
公开(公告)号：US20120165821A1
公开(公告)日：2012-06-28
申请号：US13397042
申请日：2012-02-15
申请人： Roger Carignan , Clyde R. Pratt
发明人： Roger Carignan , Clyde R. Pratt
IPC分类号： A61B17/56
CPC分类号： A61F2/3859 , A61B17/00491 , A61B17/1764 , A61B34/10 , A61B2034/108 , A61F2/30767 , A61F2/30942 , A61F2/3877 , A61F2/461 , A61F2/4657 , A61F2002/30125 , A61F2002/30594 , A61F2002/30685 , A61F2002/30892 , A61F2002/30948 , A61F2002/30952 , A61F2002/30957 , A61F2002/4658 , A61F2230/0008 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00203 , A61F2310/00239 , A61F2310/00407 , A61F2310/00796 , Y10S623/901 , Y10T29/49764
摘要： A replacement device for resurfacing a joint surface of a femur and a method of making and installing such a device is provided. The custom replacement device is designed to substantially fit the trochlear groove surface, of an individual femur, thereby creating a “customized” replacement device for that individual femur and maintaining the original kinematics of the joint. The top surface is designed so as to maintain centrally directed tracking of the patella perpendicular to the plane established by the distal end of the femoral condyles and aligned with the center of the femoral head.
摘要翻译：提供了用于重新铺展股骨的关节表面的替换装置以及制造和安装这种装置的方法。定制更换装置被设计为基本上适合单个股骨的滑车槽表面，从而为该股骨创建“定制”更换装置并保持关节的原始运动学。顶表面被设计为保持髌骨的中心定向跟踪，垂直于由股骨髁的远端建立的平面并与股骨头的中心对准。

204. 发明申请

US20120158002A1 MARKING TEMPLATE FOR INSTALLING A CUSTOM REPLACEMENT DEVICE FOR RESURFACING A FEMUR AND ASSOCIATED INSTALLATION METHOD 有权
公开(公告)号：US20120158002A1
公开(公告)日：2012-06-21
申请号：US13397396
申请日：2012-02-15
申请人： Roger Carignan , Clyde R. Pratt
发明人： Roger Carignan , Clyde R. Pratt
IPC分类号： A61B17/56
CPC分类号： A61F2/3859 , A61B17/00491 , A61B17/1764 , A61B34/10 , A61B2034/108 , A61F2/30767 , A61F2/30942 , A61F2/3877 , A61F2/461 , A61F2/4657 , A61F2002/30125 , A61F2002/30594 , A61F2002/30685 , A61F2002/30892 , A61F2002/30948 , A61F2002/30952 , A61F2002/30957 , A61F2002/4658 , A61F2230/0008 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00203 , A61F2310/00239 , A61F2310/00407 , A61F2310/00796 , Y10S623/901 , Y10T29/49764
摘要： A replacement device for resurfacing a joint surface of a femur and a method of making and installing such a device is provided. The custom replacement device is designed to substantially fit the trochlear groove surface, of an individual femur, thereby creating a “customized” replacement device for that individual femur and maintaining the original kinematics of the joint. The top surface is designed so as to maintain centrally directed tracking of the patella perpendicular to the plane established by the distal end of the femoral condyles and aligned with the center of the femoral head.

205. 发明授权

US08177850B2 Joint placement methods and apparatuses 有权
标题翻译：联合放置方法和装置
公开(公告)号：US08177850B2
公开(公告)日：2012-05-15
申请号：US12339791
申请日：2008-12-19
申请人： John Rudan , Randy E. Ellis , Manuela Kunz
发明人： John Rudan , Randy E. Ellis , Manuela Kunz
IPC分类号： A61F2/32
CPC分类号： A61F2/4657 , A61B34/10 , A61B34/20 , A61B90/36 , A61B2034/105 , A61B2034/2055 , A61F2/32 , A61F2/34 , A61F2/36 , A61F2002/3611 , A61F2002/3625 , A61F2002/4632
摘要： Systems and methods for determining placement of prosthetic components in joint including defining patient-specific frame of reference for joint, determining patient-specific postoperative range of motion of joint, evaluating patient-specific range of motion of joint, automatically planning placement of components balancing need for range of motion with prosthesis stability through bony coverage, and applying manual adjustments to the automatically planned placement of component by giving greater or lesser weight to need for range of motion or prosthesis stability through bony coverage. Apparatuses for defining center of prosthetic femoral head and axis of prosthetic femoral neck including primary cylinder, first alignment receptacle and second alignment receptacle, and a divot on exterior of primary cylinder, divot having normal parallel to longitudinal axis of second alignment receptacle and position of the divot being translated toward an opening of the first alignment receptacle on the primary cylinder. Methods for using apparatuses. Apparatus for mounting spatially tracked device to impactor for impacting prosthetic cup into reamed socket.
摘要翻译：用于确定假体组件在关节中的放置的系统和方法，包括确定关节的患者特定参考框架，确定患者特异性的术后关节运动范围，评估患者特定的关节运动范围，自动规划组件平衡需求的位置对于通过骨覆盖的假体稳定性的运动范围，以及通过给予更大或更小的重量来对通过骨覆盖的运动或假体稳定性的范围进行手动调整。用于定义假体股骨头的中心和假股骨颈的轴线的装置，包括主圆柱体，第一对准容器和第二对准容器，以及主圆柱体的外部上的凹部，具有平行于第二对准容器的纵向轴线的垂直轴线和在主缸上朝向第一对准插座的开口翻转。使用设备的方法用于将空间跟踪装置安装到冲击器的装置，用于将假杯撞击到铰接式插座中。

206. 发明授权

US08162951B2 Femoral tibial spreader with tensor measurement 失效
标题翻译：股骨胫骨扩张器与张量测量
公开(公告)号：US08162951B2
公开(公告)日：2012-04-24
申请号：US12023205
申请日：2008-01-31
申请人： David L. Kaufman
发明人： David L. Kaufman
IPC分类号： A61B17/58 , A61B17/60 , A61B17/00 , A61F2/00 , A61F4/00 , A61F5/04 , G01B5/00 , G01B3/16
CPC分类号： A61B17/025 , A61B2017/0268 , A61B2017/2837 , A61B2090/064 , A61F2/4657 , A61F2002/4666
摘要： A femoral tibial spreader (100) for spreading adjacent bones includes a radial measurement gauge (111) for providing incidia corresponding to an amount of force being applied to the forward ends (105,106) of the femoral tibial spreader (100). The femoral tibial spreader (100) may be used, for example, to separate the femur (301) and tibia (302) during knee surgery. The radial measurement gauge (111) may be used to determine an amount of force being applied to the femur (301) and tibia (302), for example, by the medial and arterial ligaments. Two handle members (104,109) are squeezed together, which causes the forward ends (105,106) to open. A biasing member (110) allows a measurement extension (108) to pivot towards a handle member under tension, thereby providing a measurement of force applied by the ligaments.
摘要翻译：用于扩展相邻骨头的股骨胫骨扩张器（100）包括用于提供对应于施加到股骨胫骨扩张器（100）的前端（105,106）的力的量的径向测量计（111）。股骨胫骨扩张器（100）可以用于例如在膝关节手术期间分离股骨（301）和胫骨（302）。径向测量计（111）可以用于确定施加到股骨（301）和胫骨（302）的力的量，例如通过内侧和动脉韧带。两个手柄构件（104,109）被挤压在一起，这使得前端（105,106）打开。偏置构件（110）允许测量延伸部（108）在张力下朝向手柄构件枢转，从而提供由韧带施加的力的测量。

207. 发明申请

US20120095526A1 Post-Operative Pain Inhibitor For Hip Joint Replacement and Method Thereof 有权
标题翻译：髋关节置换术后疼痛抑制剂及其方法
公开(公告)号：US20120095526A1
公开(公告)日：2012-04-19
申请号：US13310321
申请日：2011-12-02
申请人： Martin Roche
发明人： Martin Roche
IPC分类号： A61N1/34
CPC分类号： A61N1/36071 , A61B5/103 , A61B5/4528 , A61B2562/0219 , A61B2562/028 , A61F2/3603 , A61F2/3859 , A61F2/4657 , A61F2/4684 , A61F2002/3067 , A61F2002/4658 , A61F2002/4666 , A61F2002/4668 , A61F2002/4672 , A61F2250/0002
摘要： A post-operative pain inhibitor system comprises a controller and leads. Neuro-stimulator circuitry may be included within the patient controller or within one or more prosthetic components for generating a signal. In one example, a hip implant includes a prosthetic component having at least one electrode where the at least one electrode is configured to deliver energy pulses. Topical leads, percutaneous leads, subcutaneous leads, intraosseous leads, or leads can be placed in proximity to the operative field corresponding to the prosthetic component installation. The lead or electrodes can be coupled to neuro-stimulation circuitry to stimulate peripheral nerve fibers to affect body generated action potentials. A transmitter or power source can be housed in a prosthetic hip component. Controller can modify the pulse width, pulse shape, pulse repetition rate, and pulse amplitude of the signal thereby allowing the patient to adapt the signal to minimize their perceived pain.
摘要翻译：手术后疼痛抑制系统包括控制器和引线。神经刺激器电路可以包括在患者控制器内或用于产生信号的一个或多个假肢部件内。在一个示例中，髋关节植入物包括具有至少一个电极的假体部件，其中所述至少一个电极被配置为传递能量脉冲。局部引线，经皮导线，皮下引线，骨内引线或引线可以放置在对应于假体部件安装的操作区域附近。引线或电极可以耦合到神经刺激电路以刺激周围神经纤维以影响身体产生的动作电位。发射器或电源可以容纳在假肢髋部组件中。控制器可以修改信号的脉冲宽度，脉冲形状，脉冲重复率和脉冲幅度，从而允许患者适应信号以最小化其感觉到的疼痛。

208. 发明授权

US08133282B2 Systems and methods for vertebral disc replacement 有权
标题翻译：用于椎间盘置换的系统和方法
公开(公告)号：US08133282B2
公开(公告)日：2012-03-13
申请号：US12323146
申请日：2008-11-25
申请人： Dylan Hushka , Joshua A. Butters , Jeffery D. Arnett , Neil Duggal
发明人： Dylan Hushka , Joshua A. Butters , Jeffery D. Arnett , Neil Duggal
IPC分类号： A61F2/44
CPC分类号： A61F2/4425 , A61B17/1604 , A61B17/1671 , A61B17/1757 , A61B17/7079 , A61B2017/0256 , A61F2/32 , A61F2/4611 , A61F2/4657 , A61F2/4684 , A61F2002/302 , A61F2002/30232 , A61F2002/30242 , A61F2002/30354 , A61F2002/30364 , A61F2002/30369 , A61F2002/30383 , A61F2002/3039 , A61F2002/30397 , A61F2002/30426 , A61F2002/305 , A61F2002/30528 , A61F2002/30538 , A61F2002/30563 , A61F2002/30578 , A61F2002/30604 , A61F2002/30616 , A61F2002/3065 , A61F2002/30652 , A61F2002/30654 , A61F2002/30655 , A61F2002/30662 , A61F2002/30663 , A61F2002/30685 , A61F2002/3069 , A61F2002/30841 , A61F2002/30843 , A61F2002/30884 , A61F2002/30892 , A61F2002/30904 , A61F2002/30934 , A61F2002/30937 , A61F2002/443 , A61F2002/4658 , A61F2002/4687 , A61F2220/0025 , A61F2220/0033 , A61F2230/0065 , A61F2230/0069 , A61F2230/0071 , A61F2250/0006 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00179 , A61F2310/00407 , A61F2310/00796
摘要： Methods and instrumentation for implantation of an intervertebral disc prosthesis are provided. A guide tool with sagittal and coronal reference features guides placement of guide pins relative to a sagittal plane and a coronal plane of the vertebrae. A retainer lockable to the guide pins has a ratcheting mechanism providing distraction or compression. A rasp, planer or other tools may be aligned to the retainer and inserted into the intervertebral space to prepare the vertebral endplates. An interoperatively adjustable trial is alignable to the retainer and measures an angularity of the intervertebral space. A prosthesis with keying features may be mounted to a prosthesis inserter with complementary features, held by pivotable arms and compressed between prongs. The inserter may be aligned to the retainer and advanced to implant the prosthesis in the intervertebral space. A prosthesis remover may grip one prosthetic end plate and extract the entire prosthesis.
摘要翻译：提供了用于植入椎间盘假体的方法和仪器。具有矢状和冠状参考特征的引导工具指导引导件相对于椎弓根的矢状平面和冠状平面的放置。可以锁定到引导销的保持器具有提供牵引或压缩的棘轮机构。锉刀，刨床或其他工具可以与保持器对准并插入椎间空间以制备脊椎终板。可互操作的试验可与保持器对准，并测量椎间空间的角度。具有键控特征的假体可以被安装到具有互补特征的假体插入器，所述互补特征由可枢转臂保持并且在插脚之间被压缩。插入器可以与保持器对准并且前进以将假体植入在椎间空间中。假体去除器可以夹持一个假肢端板并提取整个假体。

209. 发明申请

US20120029581A1 Apparatus for Identifying Femoral Head Center 有权
标题翻译：识别股骨头中心的装置
公开(公告)号：US20120029581A1
公开(公告)日：2012-02-02
申请号：US13101745
申请日：2011-05-05
申请人： Koichi Kanekasu
发明人： Koichi Kanekasu
IPC分类号： A61B17/56
CPC分类号： A61B90/06 , A61B17/15 , A61B2090/069 , A61B2090/3937 , A61B2090/395 , A61F2/4657 , A61F2002/4658 , A61F2002/4668
摘要： An apparatus for identifying, during total knee replacement surgery, a position of a center of a femoral head of a patient within a plane parallel to a frontal plane, comprises a marking plate placed to cover, in a direction perpendicular to the frontal plane, a site where the femoral head center of the patient's body is located; a pivotal arm having a pivotal shaft arranged to extend in a direction perpendicular to the frontal plane; and a marker attached to the pivotal arm, for depicting a circular arc on the marking plate according to rotation of the pivotal arm; the pivotal shaft being placed at a distal end of a femur of the patient, a distance from the pivotal shaft to the marker in a direction parallel to the frontal plane being equal to a preliminarily measured distance from the distal end of the femur to the femoral head center.
摘要翻译：一种用于在全膝关节置换手术期间识别与平面平行的平面内的患者的股骨头中心的位置的装置，包括标记板，其被设置成在垂直于前平面的方向上覆盖患者身体的股骨头中心所在的位置; 枢转臂具有枢转轴，所述枢轴布置成在垂直于所述正面的方向上延伸; 以及附接到所述枢转臂的标记，用于根据所述枢转臂的旋转来描绘所述标记板上的圆弧; 所述枢转轴被放置在患者的股骨的远端处，在与所述额叶平行的方向上从所述枢转轴到所述标记物的距离等于从所述股骨远端到所述股骨的预先测量的距离头中心。

210. 发明授权

US08100974B2 Artificial spinal disc 有权
标题翻译：人造脊椎盘
公开(公告)号：US08100974B2
公开(公告)日：2012-01-24
申请号：US10590139
申请日：2005-06-30
申请人： Neil Duggal , Louise Raymond , Daniel R. Baker , Robert Conta , Carly A. Thaler , David T. Stinson
发明人： Neil Duggal , Louise Raymond , Daniel R. Baker , Robert Conta , Carly A. Thaler , David T. Stinson
IPC分类号： A61F2/44
CPC分类号： A61F2/4425 , A61F2/4611 , A61F2/4657 , A61F2/4684 , A61F2002/302 , A61F2002/30232 , A61F2002/30242 , A61F2002/30354 , A61F2002/30364 , A61F2002/30369 , A61F2002/30383 , A61F2002/3039 , A61F2002/30397 , A61F2002/30426 , A61F2002/305 , A61F2002/30535 , A61F2002/30538 , A61F2002/30563 , A61F2002/30578 , A61F2002/30604 , A61F2002/30616 , A61F2002/3065 , A61F2002/30654 , A61F2002/30662 , A61F2002/30663 , A61F2002/30685 , A61F2002/3069 , A61F2002/30841 , A61F2002/30884 , A61F2002/30892 , A61F2002/30904 , A61F2002/443 , A61F2220/0025 , A61F2220/0033 , A61F2230/0065 , A61F2230/0069 , A61F2230/0071 , A61F2250/0006 , A61F2250/0058 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00179 , A61F2310/00407 , A61F2310/00796
摘要： An artificial disc prosthesis is provided. The prosthesis of the present invention enables spinal segment alignment by having a variable height across its surface. The variable height is achieved by an asymmetric artificial nucleus or by at least one variable height end plate.
摘要翻译：提供人造椎间盘假体。本发明的假体通过在其表面上具有可变高度来实现脊椎段对准。可变高度由不对称人造核或至少一个可变高度端板实现。

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