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21. 发明授权

US08591518B2 Method and apparatus for implanting a modular femoral hip 有权
公开(公告)号：US08591518B2
公开(公告)日：2013-11-26
申请号：US13474905
申请日：2012-05-18
申请人： Aaron P. Smith , Tyler D. Witt
发明人： Aaron P. Smith , Tyler D. Witt
IPC分类号： A61B17/58 , A61B17/60 , A61F2/00
CPC分类号： A61F2/4607 , A61B17/1615 , A61B17/1633 , A61B17/164 , A61B17/1668 , A61B17/175 , A61B17/56 , A61B17/92
摘要： A method of implanting a prosthetic component is disclosed that includes attaching a guide rod to the prosthetic component, removably coupling the guide rod to a shaft extending from a handle, and positioning the prosthetic component in an anatomical feature. The method also includes impacting an impaction portion of the handle and uncoupling the guide rod from the shaft, leaving the guide rod attached to the prosthetic component. The method further includes positioning a reamer over the guide rod to create a reamed opening in the anatomical feature.

22. 发明授权

US08419743B2 Assembly tool for modular implants and associated method 有权
标题翻译：用于模块化植入物和相关方法的装配工具
公开(公告)号：US08419743B2
公开(公告)日：2013-04-16
申请号：US12718027
申请日：2010-03-05
申请人： Aaron P. Smith , Tyler D. Witt , Andrew Freiberg
发明人： Aaron P. Smith , Tyler D. Witt , Andrew Freiberg
IPC分类号： A61B17/58 , A61B17/60 , A61F2/00 , A61F2/42
CPC分类号： A61B17/88 , A61B17/56
摘要： An assembly tool comprises in an assembled configuration a proximal implant fastener, a distal implant fastener, and a compression member. The assembly tool is operable to hold in the assembled configuration a proximal implant partially engageable with a distal implant during implantation and axial impaction. Axial impaction is exerted through the compression member of the assembly tool. The assembly tool is also operable to securely lock the tapers of proximal and distal implants after impaction by rotating the compression member.
摘要翻译：组装工具在组装构造中包括近端植入紧固件，远端植入紧固件和压缩构件。组装工具可操作以在组装构造中保持近端植入物，其在植入和轴向碰撞期间可与远侧植入物部分地接合。轴向撞击通过组装工具的压缩构件施加。组装工具还可操作用于通过旋转压缩构件来牢固地锁定近侧和远端植入物在撞击之后的锥度。

23. 发明申请

US20110218537A1 Method and Apparatus for Preparing a Proximal Femur 有权
标题翻译：用于准备近端股骨的方法和装置
公开(公告)号：US20110218537A1
公开(公告)日：2011-09-08
申请号：US12718026
申请日：2010-03-05
申请人： Aaron P. Smith , Eric J. Fontenot , Tyler D. Witt
发明人： Aaron P. Smith , Eric J. Fontenot , Tyler D. Witt
IPC分类号： A61B17/00 , A61B17/56
CPC分类号： A61B17/88 , A61B17/00 , A61B17/56 , A61F2/3601
摘要： A system for preparing a proximal femur can include a broach that includes a broach body having an anterior side, a posterior side, a lateral side and a medial side. The medial side can have a roughened cutting surface. The lateral side can have a smooth, non-cutting surface. The system can further comprise a cutting scribe assembly and a cutting guide assembly.
摘要翻译：用于制备股骨近端的系统可以包括拉刀，其包括具有前侧，后侧，外侧和内侧的拉刀体。内侧可以具有粗糙的切割面。侧面可以具有光滑的非切割表面。该系统还可以包括切割划线组件和切割引导组件。

24. 发明授权

US07780739B2 Method and apparatus for use of a metal-metal constrained liner 有权
标题翻译：用于金属 - 金属约束衬垫的方法和装置
公开(公告)号：US07780739B2
公开(公告)日：2010-08-24
申请号：US10769741
申请日：2004-01-30
申请人： Ryan C. Lakin , Troy W. Hershberger , Michael S. Schular , William J. Slone , Kim S. Parcher , Phillip M. Gibbs , Aaron P. Smith
发明人： Ryan C. Lakin , Troy W. Hershberger , Michael S. Schular , William J. Slone , Kim S. Parcher , Phillip M. Gibbs , Aaron P. Smith
IPC分类号： A61F2/34
CPC分类号： A61F2/34 , A61B17/1666 , A61B17/86 , A61F2/30767 , A61F2/30965 , A61F2/32 , A61F2/36 , A61F2/367 , A61F2/4609 , A61F2/4637 , A61F2/4684 , A61F2002/30014 , A61F2002/30382 , A61F2002/305 , A61F2002/30535 , A61F2002/3054 , A61F2002/30614 , A61F2002/30616 , A61F2002/3069 , A61F2002/30785 , A61F2002/30822 , A61F2002/30934 , A61F2002/30957 , A61F2002/3233 , A61F2002/3241 , A61F2002/325 , A61F2002/3291 , A61F2002/3401 , A61F2002/3411 , A61F2002/3419 , A61F2002/3446 , A61F2002/3493 , A61F2002/3611 , A61F2002/3625 , A61F2002/365 , A61F2002/4631 , A61F2002/4641 , A61F2002/4681 , A61F2220/0025 , A61F2220/0033 , A61F2250/0018 , A61F2250/0058 , A61F2310/00011 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00179
摘要： An acetabular prosthesis and method for its use in an orthopedic surgery is disclosed. The acetabular prosthesis forms a metal bearing, which articulates with a femoral head. The acetabular prosthesis is also configured so as to accept a polymer constraining ring. Should a revision surgery be necessary, the acetabular prosthesis may accept a polymer bearing liner over the metal bearing. The polymer bearing liner then articulates with the femoral head.
摘要翻译：公开了一种用于整形外科手术的髋臼假体及其方法。髋臼假体形成与股骨头关节的金属轴承。髋臼假体也构造成接受聚合物约束环。如果需要进行修复手术，髋臼假体可以在金属轴承上接受聚合物支承衬垫。然后聚合物轴承衬垫与股骨头铰接。

25. 发明授权

US08795379B2 Variable prosthesis 有权
标题翻译：可变假体
公开(公告)号：US08795379B2
公开(公告)日：2014-08-05
申请号：US13310079
申请日：2011-12-02
申请人： Aaron P. Smith , Kevin T. Stone , Nicholas Cordaro
发明人： Aaron P. Smith , Kevin T. Stone , Nicholas Cordaro
IPC分类号： A61F2/40
CPC分类号： A61F2/4014 , A61F2/3609 , A61F2/40 , A61F2/4059 , A61F2002/3021 , A61F2002/30224 , A61F2002/30329 , A61F2002/30332 , A61F2002/30341 , A61F2002/30344 , A61F2002/30354 , A61F2002/30364 , A61F2002/30378 , A61F2002/3038 , A61F2002/30484 , A61F2002/30507 , A61F2002/30515 , A61F2002/30537 , A61F2002/30538 , A61F2002/30542 , A61F2002/30589 , A61F2002/30604 , A61F2002/30616 , A61F2002/30617 , A61F2002/30714 , A61F2002/30774 , A61F2002/30795 , A61F2002/30884 , A61F2002/30902 , A61F2002/3611 , A61F2002/365 , A61F2002/4018 , A61F2002/4029 , A61F2002/4037 , A61F2002/4044 , A61F2002/4062 , A61F2002/4629 , A61F2002/4641 , A61F2220/0025 , A61F2220/0033 , A61F2250/0004 , A61F2250/0006 , A61F2250/0089 , A61F2250/0097
摘要： The present teachings are directed to a shoulder prosthesis having an adjustable radial offset and/or angular inclination provided by relative rotation of an adapter interdisposed between a stem and a head. In one example, a prosthesis has a stem having a first longitudinal axis. The prosthesis can also include an adaptor including a first taper. The first taper can have a first taper axis. The prosthesis can include a head supported by the adaptor. The head can be selectively oriented and then coupled to the first taper and the combination can be selectively orientated and the coupled to the stem.
摘要翻译：本教导涉及具有可调节的径向偏移和/或角度倾斜度的肩假体，所述角度倾斜是通过插在杆和头部之间的适配器的相对旋转而提供的。在一个示例中，假体具有具有第一纵向轴线的杆。假体还可以包括包括第一锥形的适配器。第一锥形可以具有第一锥形轴线。假体可以包括由适配器支撑的头部。头可以选择性地定向并且然后耦合到第一锥形，并且组合可以被选择性地定向并且联接到杆。

26. 发明授权

US08460393B2 Modular lateral hip augments 有权
标题翻译：模块外侧髋关节增大
公开(公告)号：US08460393B2
公开(公告)日：2013-06-11
申请号：US12718230
申请日：2010-03-05
申请人： Aaron P. Smith , Tyler D. Witt , Hugh Apthorp , Keith R. Berend , Andrew Freiberg , John Barrington , David R. Brown
发明人： Aaron P. Smith , Tyler D. Witt , Hugh Apthorp , Keith R. Berend , Andrew Freiberg , John Barrington , David R. Brown
IPC分类号： A61F2/30 , A61F2/36
CPC分类号： A61F2/3672 , A61F2/30734 , A61F2/30739 , A61F2/32 , A61F2/3601 , A61F2/367 , A61F2002/3627 , A61F2002/3674 , A61F2002/368 , A61F2002/3686 , A61F2310/00011
摘要： An implant for a hip can include a lateral augment adapted to be coupled to a lateral side of a femoral body implant. The lateral augment can include a body portion having a first surface, a second surface opposite the first surface, and a protrusion extending from the second surface. The protrusion can have a shape adapted to mate with a complimentary shaped recess formed in the lateral side of the femoral body implant. An aperture can be positioned in the body portion and extend through the protrusion. A fastener can be received through the aperture and adapted to be threadably secured to the lateral bore. The fastener can be configured to have a length sufficient to pass through a portion of a greater trochanter for securing the portion of the greater trochanter and the lateral augment to the femoral body implant.
摘要翻译：用于髋部的植入物可以包括适于联接到股骨体植入物的外侧的侧向增大。横向增强件可以包括具有第一表面，与第一表面相对的第二表面的主体部分和从第二表面延伸的突出部。突起可以具有适于与形成在股骨体植入物的侧面中的互补形状的凹部配合的形状。孔可以定位在主体部分中并延伸穿过突出部。紧固件可以通过孔容纳并适于螺纹地固定到侧向孔。紧固件可以构造成具有足以穿过大转子的一部分的长度，用于将大转子的一部分和侧向增大固定到股骨体植入物。

27. 发明授权

US08333807B2 Method and apparatus for trialing and implanting a modular femoral hip 有权
标题翻译：用于治疗和植入模块性股骨髋的方法和装置
公开(公告)号：US08333807B2
公开(公告)日：2012-12-18
申请号：US12718031
申请日：2010-03-05
申请人： Aaron P. Smith , Tyler D. Witt
发明人： Aaron P. Smith , Tyler D. Witt
IPC分类号： A61F2/32
CPC分类号： A61F2/468
摘要： A modular femoral hip implant trialing system. The system generally includes a proximal body, a fastener, and a fastener retention member. The proximal body includes a proximal bore, a tapered distal bore, and a passageway connecting the proximal bore to the distal bore. The proximal bore, the distal bore, and the passageway are aligned along a first axis. The fastener includes a head in the proximal bore and a stem in the distal bore, the fastener is aligned along the first axis. The fastener retention member is positioned in the proximal bore and is operable to retain at least a portion of the fastener within the proximal bore.
摘要翻译：模块化股骨髋关节植入物试验系统。该系统通常包括近端体，紧固件和紧固件保持构件。近端主体包括近端孔，锥形远端孔和将近端孔连接到远端孔的通道。近端孔，远端孔和通道沿着第一轴线对准。紧固件包括在近端孔中的头部和远端孔中的杆，紧固件沿着第一轴线对准。紧固件保持构件定位在近端孔中并且可操作以将紧固件的至少一部分保持在近端孔内。

28. 发明申请

US20120265208A1 PATIENT-SPECIFIC NUMERICALLY CONTROLLED INSTRUMENT 有权
标题翻译：患者特异性数字控制仪器
公开(公告)号：US20120265208A1
公开(公告)日：2012-10-18
申请号：US13087854
申请日：2011-04-15
申请人： Aaron P. Smith
发明人： Aaron P. Smith
IPC分类号： A61B17/56
CPC分类号： A61B17/175 , A61B17/1626 , A61B17/1668 , A61B17/1684 , A61B17/17 , A61B17/1742 , A61B17/1778 , A61B17/56 , A61B2017/1602 , A61B2017/564 , A61B2017/568 , B33Y70/00 , B33Y80/00
摘要： A medical device for preparing a bone of a joint of a patient includes a numerically controlled instrument having a housing including a controller, a processor and a tool driver, a patient-specific reference guide removably couplable to the housing, and a cutting tool removably coupled to the tool driver. The patient-specific reference guide has a three-dimensional inner surface preoperatively configured to mirror and mate with a corresponding surface of a bone of a joint of a patient in only one position. The patient-specific reference guide is configured to automatically register the numerically controlled instrument to the patient's bone portion intraoperatively. The cutting tool is movable along a patient-specific tool path determined during the preoperative plan for preparing a portion of the bone.
摘要翻译：一种用于制备患者关节骨骼的医疗装置，包括具有壳体的数控仪器，该壳体包括控制器，处理器和工具驱动器，可拆卸地联接到壳体的特定于患者的参考引导件，以及可移除地联接到工具驱动程序。患者特异性参考指南具有三维内表面，其在术前被配置为仅在一个位置镜像并与患者的关节的骨的相应表面配合。患者特定参考指南被配置为在手术中自动地将数控仪器注册到患者的骨骼部分。切割工具可沿着在用于准备骨的一部分的术前计划中确定的患者特定刀具路径移动。

29. 发明申请

US20120226282A1 METHOD AND APPARATUS FOR IMPLANTING A MODULAR FEMORAL HIP 有权
标题翻译：用于植入模块性髋关节置换的方法和装置
公开(公告)号：US20120226282A1
公开(公告)日：2012-09-06
申请号：US13474905
申请日：2012-05-18
申请人： Aaron P. Smith , Tyler D. Witt
发明人： Aaron P. Smith , Tyler D. Witt
IPC分类号： A61B17/92
CPC分类号： A61F2/4607 , A61B17/1615 , A61B17/1633 , A61B17/164 , A61B17/1668 , A61B17/175 , A61B17/56 , A61B17/92
摘要： A method of implanting a prosthetic component is disclosed that includes attaching a guide rod to the prosthetic component, removably coupling the guide rod to a shaft extending from a handle, and positioning the prosthetic component in an anatomical feature. The method also includes impacting an impaction portion of the handle and uncoupling the guide rod from the shaft, leaving the guide rod attached to the prosthetic component. The method further includes positioning a reamer over the guide rod to create a reamed opening in the anatomical feature.
摘要翻译：公开了一种植入假体部件的方法，其包括将引导杆附接到假体部件，将导杆可拆卸地连接到从手柄延伸的轴，以及将假体部件定位在解剖特征中。该方法还包括冲击手柄的冲击部分并将引导杆与轴分离，使引导杆附接到假肢部件上。该方法还包括将铰刀定位在导杆上以在解剖特征中产生铰接开口。

30. 发明申请

US20120071893A1 Robotic Guided Femoral Head Reshaping 有权
标题翻译：机器人引导股骨头重塑
公开(公告)号：US20120071893A1
公开(公告)日：2012-03-22
申请号：US12888011
申请日：2010-09-22
申请人： Aaron P. Smith , Jason D. Meridew
发明人： Aaron P. Smith , Jason D. Meridew
IPC分类号： A61B19/00
CPC分类号： A61B17/1664 , A61B17/1666 , A61B17/1668 , A61B34/10 , A61B34/30 , A61B90/03 , A61B90/11 , A61B2034/104 , A61B2034/105
摘要： A method of performing hip surgery with a robotic guided system on a patient with femoral acetabular impingement can include identifying the femoral acetabular impingement on the patient. Data related to a proximal femur and an acetabulum of the patient is acquired. A three-dimensional model of at least one of the patient's proximal femur and acetabulum is created based on the data acquired. A location and amount of bone to be removed is determined. Dynamic movement limits of a cutting tool associated with the robotic guided system is set based on the determination. The determined bone of at least one of the proximal femur and acetabulum is removed with the tool while being inhibited from moving the tool outside of the dynamic limit by the robotic guided system.
摘要翻译：用患有股骨髋臼碰撞的患者使用机器人引导系统进行髋关节手术的方法可以包括识别股骨髋臼对患者的冲击。获取与患者的近端股骨和髋臼相关的数据。基于获得的数据创建患者的股骨近端和髋臼中的至少一个的三维模型。确定待移除的骨的位置和数量。基于该确定来设定与机器人引导系统相关联的切削工具的动态移动限制。使用工具去除至少一个近端股骨和髋臼的确定的骨，同时通过机器人引导系统阻止该工具移动到动态限制之外。

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