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71. 发明授权

US09433383B2 Image-guided therapy of a tissue 有权
标题翻译：图像引导治疗组织
公开(公告)号：US09433383B2
公开(公告)日：2016-09-06
申请号：US14661138
申请日：2015-03-18
申请人： Monteris Medical Corporation
发明人： Eric Andrews , Mark Grant , Brooke Ren , Richard Tyc
IPC分类号： A61B6/04 , A61F5/37 , A61B5/00 , A61B5/055 , A61B17/17 , A61B17/00 , A61B17/34 , A61F7/12 , A61M5/14 , A61N7/02 , A61B18/04 , A61B18/14 , A61N5/10 , A61B5/01 , A61F7/00 , A61N7/00 , A61B18/00 , A61B18/02
CPC分类号： A61B90/14 , A61B5/0035 , A61B5/0042 , A61B5/01 , A61B5/015 , A61B5/055 , A61B5/0555 , A61B5/4839 , A61B5/702 , A61B5/742 , A61B5/748 , A61B6/032 , A61B6/04 , A61B6/0421 , A61B6/0492 , A61B17/00234 , A61B17/1703 , A61B17/1739 , A61B17/3403 , A61B18/04 , A61B18/1477 , A61B18/1492 , A61B18/22 , A61B34/10 , A61B34/20 , A61B90/11 , A61B90/37 , A61B90/50 , A61B2018/00011 , A61B2018/00321 , A61B2018/00446 , A61B2018/00791 , A61B2018/0293 , A61B2018/1869 , A61B2034/107 , A61B2034/2051 , A61B2034/2065 , A61B2090/103 , A61B2090/374 , A61B2090/3954 , A61B2576/026 , A61F5/37 , A61F5/3707 , A61N5/062 , A61N5/1048 , A61N7/02 , A61N7/022 , A61N2005/1051 , A61N2005/1055 , A61N2005/1097 , A61N2007/003 , A61N2007/0047 , A61N2007/025
摘要： In one aspect, the present disclosure relates to a head fixation apparatus including a number of support posts, and a curved ring portion including a number of connectors configured to adjustably and releasably mount support posts on the lower ring portion, such that the support posts are selectively mounted to a subset of the connectors in a customized arrangement for a patient. The apparatus may include a ring mount configured for fixation to a platform, including a curved channel substantially matching a curvature of the curved ring portion, and a mount locking mechanism for locking the curved ring portion within the channel of the ring mount. The curved ring portion may be configured to rotate within the channel of the ring mount while the ring mount is fixed to the platform, an angular head position of the patient being selectably adjustable while the patient is laying on the platform.
摘要翻译：一方面，本公开涉及一种包括多个支撑柱的头部固定装置和包括多个连接器的弯曲环部分，所述多个连接器被构造成可调节地和可释放地安装在所述下部环上的支撑柱，使得所述支撑柱是以针对患者的定制布置选择性地安装到连接器的子集。该装置可以包括被配置为固定到平台的环形安装座，包括基本上匹配弯曲环部分的曲率的弯曲通道和用于将弯曲环部分锁定在环形安装件的通道内的安装锁定机构。弯曲的环部分可以被构造成在环形支架固定到平台的同时，在环形支架的通道内旋转，当病人躺在平台上时患者的角度头部位置是可选择地调节的。

72. 发明授权

US09408615B2 Patient selectable joint arthroplasty devices and surgical tools 有权
公开(公告)号：US09408615B2
公开(公告)日：2016-08-09
申请号：US13013265
申请日：2011-01-25
申请人： Wolfgang Fitz , Philipp Lang
发明人： Wolfgang Fitz , Philipp Lang
IPC分类号： A61B17/56 , A61B17/17 , A61B17/15 , A61B17/16 , A61F2/30 , A61F2/38 , G06F17/50 , A61B5/00
CPC分类号： A61B17/1739 , A61B5/4504 , A61B5/4514 , A61B5/4523 , A61B5/4528 , A61B5/4533 , A61B17/15 , A61B17/154 , A61B17/155 , A61B17/157 , A61B17/158 , A61B17/1666 , A61B17/1675 , A61B17/1677 , A61B17/1682 , A61B17/1703 , A61B17/1746 , A61B17/1767 , A61B34/10 , A61B34/20 , A61B2017/568 , A61B2034/105 , A61B2034/108 , A61F2/30756 , A61F2/30942 , A61F2/38 , B33Y80/00 , G06F17/50 , G06F19/00 , Y10T29/49
摘要： Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.

73. 发明授权

US09402639B2 Method and apparatus for alignment of a mobile fluoroscopic imaging system 有权
标题翻译：用于对准移动透视成像系统的方法和装置
公开(公告)号：US09402639B2
公开(公告)日：2016-08-02
申请号：US11300264
申请日：2005-12-14
申请人： Charles Frederick Lloyd , Jon Thomas Lea
发明人： Charles Frederick Lloyd , Jon Thomas Lea
IPC分类号： A61B5/05 , A61B17/17 , A61B6/00 , A61B5/055 , A61B5/11 , A61B8/00
CPC分类号： A61B17/1703 , A61B5/055 , A61B5/1127 , A61B6/4441 , A61B6/547 , A61B6/56 , A61B8/00 , A61B17/1725 , A61B17/1739
摘要： A system and method for positioning a medical imaging unit is disclosed. The method may include accessing data from a plurality of sensors. The method may also include computing an optimal position for the medical imaging unit to acquire images of a point of interest. The computation may be based on data from plurality of sensors and information for calibrating the point of interest with at least one sensor. The method may also include computing instructions for manipulating the medical imaging unit from a first position to an optimal position. In an embodiment, the instructions may be displayed for a user to manually position the medical imaging unit. Alternatively, the instructions may be sent to an electric motor to position the medical imaging unit, or the electric motor may provide force feedback to guide a user to position the medical imaging unit in an optimal position.
摘要翻译：公开了一种用于定位医学成像单元的系统和方法。该方法可以包括从多个传感器访问数据。该方法还可以包括计算用于医疗成像单元获取感兴趣点的图像的最佳位置。计算可以基于来自多个传感器的数据和用于使用至少一个传感器校准感兴趣点的信息。该方法还可以包括用于将医疗成像单元从第一位置操纵到最佳位置的计算指令。在一个实施例中，可以为用户显示指令以手动定位医学成像单元。或者，可以将指令发送到电动机以定位医疗成像单元，或者电动机可以提供力反馈以引导用户将医疗成像单元定位在最佳位置。

74. 发明授权

US09351782B2 Medical device motion and orientation tracking system 有权
标题翻译：医疗器械运动和姿态跟踪系统
公开(公告)号：US09351782B2
公开(公告)日：2016-05-31
申请号：US13673964
申请日：2012-11-09
申请人： Shirley J Vaughn
发明人： Marc Stein , Glen Vaughn , Shirley J Vaughn
IPC分类号： A61B19/00 , A61B17/92 , A61F2/46 , G06F19/00 , A61B17/17 , A61B17/00 , G01P15/18
CPC分类号： A61B17/92 , A61B17/1703 , A61B17/1746 , A61B34/20 , A61B34/25 , A61B34/30 , A61B2017/00725 , A61B2017/00734 , A61B2034/2048 , A61B2090/3614 , A61F2/4611 , G01P15/18 , G06F19/00 , G06F19/3481 , G16H40/63
摘要： A prosthetic hip installation system comprising a reamer, an impactor, a tracking element, and a remote system. The tracking element can be integrated into the reamer or impactor for providing tracking data on the position or orientation. Alternatively, the tracking element can be housed in a separate module that can be coupled to either the reamer or impactor. The tracking element will couple to a predetermined location. Points in 3D space can be registered to provide a frame of reference for the tracking element or when the tracking element is moved from tool to tool. The tracking element sends data from the reamer or impactor wirelessly. The remote system receives the tracking data and can further process the data. A display on the remote system can support placement and orientation of the tool to aid in the installation of the prosthetic component.
摘要翻译：包括铰刀，冲击器，跟踪元件和远程系统的假肢髋部安装系统。跟踪元件可以集成到铰刀或冲击器中，用于提供关于位置或方向的跟踪数据。或者，跟踪元件可以容纳在可以连接到铰刀或冲击器的单独的模块中。跟踪元件将耦合到预定位置。可以注册3D空间中的点以为跟踪元素提供一个参考帧，或者当跟踪元素从工具移动到工具时。跟踪元件以无线方式从铰刀或冲击器发送数据。远程系统接收跟踪数据并进一步处理数据。远程系统上的显示器可以支持工具的放置和定向以辅助假肢部件的安装。

75. 发明申请

US20160120554A1 TARGETING ADJUSTMENT 审中-公开
标题翻译：目标调整
公开(公告)号：US20160120554A1
公开(公告)日：2016-05-05
申请号：US14896116
申请日：2014-05-23
申请人： STRYKER European HOldings i, LLC
发明人： Manfred Wieland , Ole Prien
IPC分类号： A61B17/17 , A61B90/00 , A61B17/72
CPC分类号： A61B17/1725 , A61B17/1703 , A61B17/72 , A61B17/7208 , A61B17/86 , A61B17/921 , A61B90/39 , A61B2017/90 , A61B2090/3966
摘要： A targeting system for aligning an axis of a targeting sleeve and a bore in a distal end portion of an intramedullary nail is proposed, the targeting device comprising a distal targeting arm with a first end being configured to be coupled to a trailing end of an intramedullary nail, an adjusting device, the adjusting device being configured to be coupled to the distal targeting arm. The adjusting device may comprise an adjusting element and a nail follower including two targeting holes each being configured to receive a sleeve assemply. The adjusting element may cooperate with the nail follower such that the positions of the two targeting holes are adjustable so as to correspond to respective locking holes at a leading end of the intramedullary nail, even when the nail is bent.
摘要翻译：提出了一种用于对准靶向套筒的轴线和髓内钉远端部分中的孔的靶向系统，所述靶向装置包括远端靶向臂，所述远端靶向臂的第一端被配置为联接到髓内钉的尾端钉子，调节装置，调节装置被配置为联接到远端靶向臂。调节装置可以包括调节元件和钉子从动件，其包括两个定位孔，每个定位孔构造成接纳套筒。调节元件可以与钉子从动件配合，使得两个目标孔的位置是可调节的，以便对应于在髓内钉的前端处的相应的锁定孔，即使当指甲弯曲时。

76. 发明授权

US09326781B2 Apparatus and method for providing a reference indication to a patient tissue 有权
公开(公告)号：US09326781B2
公开(公告)日：2016-05-03
申请号：US14628781
申请日：2015-02-23
申请人： THE CLEVELAND CLINIC FOUNDATION
发明人： Joseph P. Iannotti , Wael K. Barsoum , Jason A. Bryan
IPC分类号： A61B17/17 , A61F2/46 , A61B17/15 , A61B17/56
CPC分类号： A61B17/1739 , A61B17/15 , A61B17/1703 , A61B17/1778 , A61B2017/568 , A61F2/46 , A61F2/4612 , A61F2002/4635 , A61F2002/4687
摘要： An apparatus for providing a reference indication to a patient tissue includes a primary locating block having a patient-specific primary mating surface contoured for mating contact with a portion of the patient tissue in a predetermined primary mating orientation custom-configured responsive to preoperative imaging of the patient tissue. At least one mounting feature is provided to the primary locating block. At least one secondary item is configured for selective engagement with the primary locating block. The secondary item is at least one of a noncustomized secondary item and a patient-specific secondary item. The secondary item provides a reference indication to at least a portion of the patient tissue. The mounting feature of the primary locating block is configured for engagement with at least one secondary item in a predetermined secondary mounting relationship. The secondary mounting relationship is custom-configured for the patient tissue responsive to preoperative imaging of the patient tissue.

77. 发明授权

US09308037B2 Ankle fusion device, instrumentation and methods 有权
公开(公告)号：US09308037B2
公开(公告)日：2016-04-12
申请号：US14031526
申请日：2013-09-19
申请人： Howmedica Osteonics Corp.
发明人： Martinus Richter , James DeOrio , Oliver Frick , Christophe Geisert , Thomas Loring , Stephen Gilbert , Victor Chan , Michael Pinzur
IPC分类号： A61B17/17 , A61B17/88 , A61B17/72 , A61B17/16 , A61B17/86 , A61B17/92 , A61B19/00
CPC分类号： A61B17/8897 , A61B17/1642 , A61B17/1682 , A61B17/1697 , A61B17/1703 , A61B17/1717 , A61B17/1725 , A61B17/1775 , A61B17/7225 , A61B17/7291 , A61B17/86 , A61B17/8875 , A61B17/921 , A61B2090/3983
摘要： An ankle fusion device has a proximal portion generally aligned with a first longitudinal axis. The proximal portion includes a proximal end and a first fastener hole. The proximal portion has an arcuate curve such that the proximal end is spaced a distance from the first longitudinal axis in a first direction. The first fastener hole is configured to receive a first fastener along a first fastener axis. A distal portion of the ankle fusion device extends to a distal end from the proximal portion along a second longitudinal axis. The second longitudinal axis is angled in second and third directions relative to the first longitudinal axis. The second direction is perpendicular to the first direction and the third direction being opposite the first direction. The distal portion includes a second fastener hole configured to receive a second fastener along a second fastener axis.

78. 发明授权

US09301812B2 Methods for patient-specific shoulder arthroplasty 有权
标题翻译：患者特异性肩关节置换方法
公开(公告)号：US09301812B2
公开(公告)日：2016-04-05
申请号：US13653893
申请日：2012-10-17
申请人： Biomet Manufacturing, LLC
发明人： Clinton E. Kehres , William Hartman
IPC分类号： A61F5/00 , A61B19/00 , A61B17/17
CPC分类号： A61B34/10 , A61B17/1684 , A61B17/1703 , A61B17/1739 , A61B17/1778 , A61B2017/568 , A61B2034/102 , A61B2034/108 , A61F2/4081
摘要： A method of determining an optimal position of a glenoid implant. The method includes identifying a center point of a patient's glenoid fossa based on an image of the patient's glenoid fossa; determining the optimal position of the glenoid implant based on the location of the center point relative to a medial point of the patient's scapula; and selecting orientation of an alignment pin based on the determined optimal glenoid implant position such that the glenoid fossa will be prepared to receive the glenoid implant at the optimal position when the glenoid fossa is prepared with a cutting device or guide coupled to the alignment pin.
摘要翻译：确定关节盂植入物的最佳位置的方法。该方法包括基于患者的关节窝的图像识别患者的关节窝的中心点; 基于中心点相对于患者肩胛骨的中点的位置来确定关节盂植入物的最佳位置; 以及基于所确定的最佳关节盂植入位置来选择对准销的定向，使得当利用联接到所述对准销的切割装置或引导件制备所述关节窝时，所述关节窝将被准备好将所述关节盂植入物接收在所述最佳位置。

79. 发明申请

US20160081808A1 SYSTEMS AND METHODS FOR FACILITATING SURGICAL PROCEDURES INVOLVING CUSTOM MEDICAL IMPLANTS 审中-公开
公开(公告)号：US20160081808A1
公开(公告)日：2016-03-24
申请号：US14951602
申请日：2015-11-25
申请人： Smith & Nephew, Inc.
发明人： Daniel L. McCombs
IPC分类号： A61F2/30 , A61B17/16 , A61B19/00
CPC分类号： A61F2/30942 , A61B5/103 , A61B5/1077 , A61B5/4528 , A61B17/154 , A61B17/16 , A61B17/1703 , A61B34/10 , A61B34/20 , A61B2034/107 , A61B2034/108 , A61F2/3859 , A61F2002/30535 , A61F2250/0058 , G16H50/50
摘要： Systems and methods for planning surgical procedures involving custom medical implants that can involve the selection, design and/or creation of custom medical implants and/or the selection, modification, and/or design of custom surgical procedures related to those implants. Certain embodiments allow implants to be selected, designed, created, or otherwise customized and then placed in patients using non-standard surgical techniques. The invention provides greater flexibility in implant use by allowing a surgeon to revise, create, or otherwise select surgical techniques for custom implants and, ultimately, provide better treatment in a greater variety of medical circumstances. Certain embodiments of the invention involve computer assisted surgery to provide for implant-related surgery involving non-standard surgical steps and/or implants.

80. 发明申请

US20160081726A1 Percutaneous Fixator and Method of Insertion 审中-公开
公开(公告)号：US20160081726A1
公开(公告)日：2016-03-24
申请号：US14954809
申请日：2015-11-30
申请人： J. Dean Cole
发明人： J. Dean Cole
IPC分类号： A61B17/72 , A61B17/92
CPC分类号： A61B17/72 , A61B17/16 , A61B17/1703 , A61B17/1725 , A61B17/1735 , A61B17/1764 , A61B17/80 , A61B17/921 , A61B90/00 , A61B2017/564
摘要： The present invention provides a technique for percutaneous intramedullary fixation. A protective outer sheath is provided for internal fixation of the proximal tibia. Additionally, a unique intramedullary plate is provided that is adapted for percutaneous insertion into the intramedullary canal of a long bone. A plate holder is also provided that may be utilized through the outer sheath to drive and position a fixation plate within the intramedullary canal.

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