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1. 发明授权

US09220509B2 Adjustable guide in computer assisted orthopaedic surgery 有权
标题翻译：计算机辅助矫形外科手术指南
公开(公告)号：US09220509B2
公开(公告)日：2015-12-29
申请号：US13381615
申请日：2010-06-29
申请人： Anthony Boyer , Stéphane Lavallee
发明人： Anthony Boyer , Stéphane Lavallee
IPC分类号： A61B17/56 , A61B17/15 , A61B17/88 , A61B19/00 , A61B17/00
CPC分类号： A61B17/15 , A61B17/151 , A61B17/152 , A61B17/154 , A61B17/155 , A61B17/157 , A61B17/8875 , A61B34/10 , A61B34/20 , A61B2017/00398 , A61B2034/108 , A61B2090/062
摘要： The present invention relates to a surgical navigation device, for the purpose of adjusting cutting planes to a desired position with respect to a bone of a patient, the device comprising: an adjustable guide (15) that contains several adjustable screws (1) that create contact points with the surface of the bone or cartilage such that the guide fits to the bone in a unique position calculated such that the holes and cutting blocks of the adjustable guide fit with the position planned on preoperative CT or MR images of the patient, a dedicated screwdriver (7) to adjust automatically the screws (1) to their target length, a navigation system used to check the correct position of the adjustable guide with respect to essential anatomical points and if necessary means to correct the positions of the adjustable screws.
摘要翻译：本发明涉及一种外科导航装置，用于将切割平面相对于患者的骨头调整到期望位置，该装置包括：可调导件（15），其包含若干可调螺钉（1），其可产生与骨或软骨的表面的接触点，使得引导件以独特的位置适配到骨骼，计算为使得可调节引导件的孔和切割块适合于在患者的术前CT或MR图像上计划的位置，专用螺丝刀（7）将螺丝（1）自动调整到目标长度，导航系统用于检查可调节导轨相对于基本解剖点的正确位置，如有必要，可以修正可调螺钉的位置。

2. 发明授权

US08974460B2 Device for controlled adjustment of a surgical positioning unit 有权
标题翻译：用于外科定位单元的受控调整的装置
公开(公告)号：US08974460B2
公开(公告)日：2015-03-10
申请号：US13124956
申请日：2009-10-22
申请人： Matias De la Fuente Klein , Peter Belei , Klaus Radermacher , Anthony Boyer , Stéphane Lavallee
发明人： Matias De la Fuente Klein , Peter Belei , Klaus Radermacher , Anthony Boyer , Stéphane Lavallee
IPC分类号： A61B17/56 , A61B17/88 , A61B17/15 , A61B17/17 , A61B17/70 , A61B17/86 , A61B19/00 , A61B17/00
CPC分类号： A61B17/8875 , A61B17/155 , A61B17/157 , A61B17/175 , A61B17/1757 , A61B17/7076 , A61B17/8615 , A61B34/20 , A61B90/98 , A61B2017/00482 , A61B2090/0811
摘要： The invention concerns a device for adjusting the position of a screw (13) that is able to move a part of a surgical instrument, said device (4) comprising: —a stem (41) comprising a tip (42) suited to the head (130) of the screw (13), —an actuated system (45) for driving said stem (41) in rotation, —communication means to communicate with a control unit (21), such that the control unit (21) transmits to the actuated system (45) the number of turns to apply to the stem (41) to reach the target position of the screw (13). The invention also concerns a surgical system for alignment of surgical guide means (14, 15), comprising: —a positioning unit comprising a fixed part (11) and a mobile part (12) supporting the surgical guide means (14, 15), the position of said mobile part (12) being adjustable with respect to the fixed part (11) by screws (13), —a referencing unit for detecting the position of the positioning unit with respect to a target position of the surgical guide means, —a control unit (21) for computing the target position of screws (13), —said device (4) for adjusting the positions of the screws (13).
摘要翻译：本发明涉及一种用于调整能够移动外科器械的一部分的螺钉（13）的位置的装置，所述装置（4）包括： - 杆（41），其包括适于头部的尖端（42）（13）的驱动系统（130）， - 用于驱动所述杆（41）旋转的致动系统（45）， - 与控制单元（21）通信的通信装置，使得所述控制单元（21）发送到所述致动系统（45）施加到所述杆（41）到达所述螺钉（13）的目标位置的匝数。本发明还涉及用于对准外科引导装置（14,15）的手术系统，包括： - 定位单元，包括固定部分（11）和支撑手术引导装置（14,15）的可移动部件（12）所述可移动部件（12）的位置可通过螺钉（13）相对于固定部件（11）调节， - 用于检测定位单元相对于手术引导装置的目标位置的位置的参考单元， - 用于计算螺钉（13）的目标位置的控制单元（21），用于调节螺钉（13）位置的装置（4）。

3. 发明申请

US20120172762A1 DEVICE AND METHOD OF AUTOMATIC CALIBRATION OF A TENSOR IN ARTHROPLASTY PROCEDURES 审中-公开
标题翻译：传感器在牙周病程序中的自动校准的装置和方法
公开(公告)号：US20120172762A1
公开(公告)日：2012-07-05
申请号：US13319616
申请日：2010-05-11
申请人： Anthony Boyer , François Gougeon , Stéphane Lavallee
发明人： Anthony Boyer , François Gougeon , Stéphane Lavallee
IPC分类号： A61B5/103
CPC分类号： A61B17/025 , A61B34/10 , A61B34/20 , A61B2017/0268 , A61B2034/2055 , A61B2090/062 , A61B2090/064
摘要： The present invention relates to a computer assisted surgical navigation method for determining the patient-specific pressure that must be applied on one or both sides of a joint during the ligament balancing steps of an arthroplasty procedure, said method comprising: inserting a tensor (22) inside the joint between a first bone (8) and a second bone (2) when the joint is in a given angular orientation; controlling the pressure applied by the tensor (22) to the joint so as to make it increase from a minimum value to a maximum value; measuring the evolution of the distance between the first and the second bones during said pressure increase; determining the relationship between said distance and said pressure; processing said relationship to determine said patient-specific pressure to apply to the joint.
摘要翻译：本发明涉及一种用于在关节置换手术的韧带平衡步骤期间确定必须在关节的一侧或两侧施加的患者特定压力的计算机辅助手术导航方法，所述方法包括：插入张量（22）在关节处于给定的角度方向时在第一骨骼（8）和第二骨骼（2）之间的关节内部; 控制由张量（22）施加到接头上的压力，使其从最小值增加到最大值; 在所述压力增加期间测量第一和第二骨之间的距离的演变; 确定所述距离和所述压力之间的关系; 处理所述关系以确定应用于关节的所述患者特异性压力。

4. 发明授权

US09017335B2 Hip implant registration in computer assisted surgery 有权
标题翻译：髋关节注射在计算机辅助手术中
公开(公告)号：US09017335B2
公开(公告)日：2015-04-28
申请号：US12742909
申请日：2008-11-19
申请人： James B. Stiehl
发明人： James B. Stiehl
IPC分类号： A61F2/46 , A61B19/00 , A61F2/32
CPC分类号： A61B19/50 , A61B34/10 , A61B34/20 , A61B2034/108 , A61B2034/2055 , A61F2/32
摘要： A computer assisted surgical navigation system and method is disclosed for registering the position of prosthetic hip joint components. Elements are applied to the pelvis and femur, generating a three-dimensional array. These two arrays combine to derive a reference point representing the native joint. A tracking device with a pre-determined shape and dimensions that precisely articulate with an acetabular cup component generates a third three-dimensional array. The device has a further shape and dimensions that independently articulate precisely with a neck portion of a femoral component, which represents a prosthetic joint center that is independently registered in the system. The tracking device concurrently registers the three dimensional positions of the femoral and acetabular prosthetic components, along with the prosthetic joint center and the native joint center, respectively enabling alterations in three dimensional location of the leg length and offset prior to reduction of the prosthetic joint.
摘要翻译：公开了一种用于记录假肢髋关节部件的位置的计算机辅助手术导航系统和方法。元素应用于骨盆和股骨，产生三维阵列。这两个阵列结合起来导出一个表示本地关节的参考点。具有与髋臼杯部件精确铰接的预定形状和尺寸的跟踪装置产生第三个三维阵列。该装置具有与股骨部件的颈部部分精确独立地铰接的另外的形状和尺寸，其表示独立地注入到系统中的假体关节中心。跟踪装置同时将股骨和髋臼假体部件的三维位置以及假肢关节中心和天然关节中心分别在假体关节减少之前分别支撑脚长度和偏移的三维位置的变化。

5. 发明申请

US20120109228A1 REDUCED INVASIVITY FIXATION SYSTEM FOR TRACKERS IN COMPUTER ASSISTED SURGERY 有权
标题翻译：计算机辅助手术中跟踪器的减少免疫固定系统
公开(公告)号：US20120109228A1
公开(公告)日：2012-05-03
申请号：US13318815
申请日：2010-05-04
申请人： Anthony Boyer , Stéphane Lavallee
发明人： Anthony Boyer , Stéphane Lavallee
IPC分类号： A61B17/56
CPC分类号： A61B17/154 , A61B34/20 , A61B2090/3983
摘要： The invention relates to a surgical navigation device, for the purpose of adjusting a cutting plane to a desired position with respect to a bone of a patient, the device comprising:a fixed part (7) rigidly attached to the bone (18, 19), the fixed part comprising fixation means to rigidly attach a tracker thereto;a mobile part (5) adjustable with respect to the fixed part (7), including fixation means to rigidly attach a tracker thereto, and including a cutting slot (6) in which a saw blade can be inserted to perform cut;a fixed tracker (9) rigidly attached to the fixed part (7);a mobile tracker (1) attached to the mobile part (5).The invention also concerns a method for adjusting a cutting plane of a surgical device to a desired position with respect to a bone of a patient.
摘要翻译：本发明涉及一种外科导航装置，用于将切割平面相对于患者的骨头调整到期望的位置，该装置包括：刚性地附接到骨骼（18,19）的固定部分（7）固定部分包括固定装置，用于将跟踪器刚性地附接到其上; 可移动部分（5），其相对于固定部分（7）可调节，包括用于将跟踪器刚性地附接到其上的固定装置，并且包括可以插入锯片以切割的切割槽（6）; 刚性地附接到固定部分（7）的固定跟踪器（9）; 附接到移动部件（5）的移动跟踪器（1）。本发明还涉及一种用于将外科手术装置的切割平面相对于患者的骨骼调整到期望位置的方法。

6. 发明申请

US20100286710A1 Device and Method For Instrument Adjustment in Computer Assisted Surgery 有权
标题翻译：计算机辅助外科手术器械调整装置及方法
公开(公告)号：US20100286710A1
公开(公告)日：2010-11-11
申请号：US12603724
申请日：2009-10-22
申请人： Anthony BOYER , Stéphane Lavallee
发明人： Anthony BOYER , Stéphane Lavallee
IPC分类号： A61B19/00
CPC分类号： A61B19/5244 , A61B17/151 , A61B17/152 , A61B17/155 , A61B17/157 , A61B17/17 , A61B17/1707 , A61B17/1717 , A61B17/1725 , A61B17/1739 , A61B17/1764 , A61B17/8061 , A61B17/808 , A61B17/8875 , A61B34/20 , A61B2017/00026 , A61B2017/00057 , A61B2034/2055 , A61B2090/0811 , A61B2090/3983
摘要： The present invention relates to a device for adjusting the position of a surgical instrument (1) with respect to a solid (3) tracked by a navigation system (2), wherein the instrument (1) comprises a fixed part (11) that is rigidly fixed to the solid (3) and a mobile part (12) that is attached to the fixed part by screws (13), said device (4) comprising: a stem (41) comprising a tip (42) suited to the head (130) of the screws (13), a motorized system (45) for driving said stem (41) in rotation, communication means with the navigation system (2), such that the navigation systems (2) transmits to the motorized system (45) the number of turns to apply to the stem (41) to reach the target position of each screw (13).
摘要翻译：本发明涉及一种用于调节外科器械（1）相对于由导航系统（2）跟踪的实心（3）的位置的装置，其中所述器械（1）包括固定部分（11），所述固定部分刚性地固定到固体（3）和通过螺钉（13）附接到固定部分的活动部件（12），所述装置（4）包括：杆（41），其包括适于头部的尖端（42）（130），用于驱动所述杆（41）旋转的电动系统（45），与导航系统（2）的通信装置，使得导航系统（2）传送到机动系统（ 45）施加到杆（41）到达每个螺钉（13）的目标位置的匝数。

7. 发明授权

US09655628B2 Reduced invasivity fixation system for trackers in computer assisted surgery 有权
公开(公告)号：US09655628B2
公开(公告)日：2017-05-23
申请号：US13318815
申请日：2010-05-04
申请人： Anthony Boyer , Stéphane Lavallee
发明人： Anthony Boyer , Stéphane Lavallee
IPC分类号： A61F2/46 , A61B17/15 , A61B90/00 , A61B34/20
CPC分类号： A61B17/154 , A61B34/20 , A61B2090/3983
摘要： The invention relates to a surgical navigation device, for the purpose of adjusting a cutting plane to a desired position with respect to a bone of a patient, the device comprising:a fixed part (7) rigidly attached to the bone (18, 19), the fixed part comprising fixation means to rigidly attach a tracker thereto;a mobile part (5) adjustable with respect to the fixed part (7), including fixation means to rigidly attach a tracker thereto, and including a cutting slot (6) in which a saw blade can be inserted to perform cut;a fixed tracker (9) rigidly attached to the fixed part (7);a mobile tracker (1) attached to the mobile part (5).The invention also concerns a method for adjusting a cutting plane of a surgical device to a desired position with respect to a bone of a patient.

8. 发明申请

US20120143198A1 ADJUSTABLE GUIDE IN COMPUTER ASSISTED ORTHOPAEDIC SURGERY 有权
标题翻译：计算机辅助手术手术中的可调指南
公开(公告)号：US20120143198A1
公开(公告)日：2012-06-07
申请号：US13381615
申请日：2010-06-29
申请人： Anthony Boyer , Stephane Lavallee
发明人： Anthony Boyer , Stephane Lavallee
IPC分类号： A61B17/56
CPC分类号： A61B17/15 , A61B17/151 , A61B17/152 , A61B17/154 , A61B17/155 , A61B17/157 , A61B17/8875 , A61B34/10 , A61B34/20 , A61B2017/00398 , A61B2034/108 , A61B2090/062
摘要： The present invention relates to a surgical navigation device, for the purpose of adjusting cutting planes to a desired position with respect to a bone of a patient, the device comprising: an adjustable guide (15) that contains several adjustable screws (1) that create contact points with the surface of the bone or cartilage such that the guide fits to the bone in a unique position calculated such that the holes and cutting blocks of the adjustable guide fit with the position planned on preoperative CT or MR images of the patient, a dedicated screwdriver (7) to adjust automatically the screws (1) to their target length, a navigation system used to check the correct position of the adjustable guide with respect to essential anatomical points and if necessary means to correct the positions of the adjustable screws.
摘要翻译：本发明涉及一种外科导航装置，用于将切割平面相对于患者的骨头调整到期望位置，该装置包括：可调导件（15），其包含若干可调螺钉（1），其可产生与骨或软骨的表面的接触点，使得引导件以独特的位置适配到骨骼，计算为使得可调节引导件的孔和切割块适合于在患者的术前CT或MR图像上计划的位置，专用螺丝刀（7）将螺丝（1）自动调整到目标长度，导航系统用于检查可调节导轨相对于基本解剖点的正确位置，如有必要，可以修正可调螺钉的位置。

9. 发明授权

US08403934B2 Alignment guides for use in computer assisted orthopedic surgery to prepare a bone element for an implant 有权
标题翻译：用于计算机辅助矫形手术的准直指南，以准备植入物的骨元素
公开(公告)号：US08403934B2
公开(公告)日：2013-03-26
申请号：US12879134
申请日：2010-09-10
申请人： Laurent Angibaud , C. Michael Mauldin , Anthony Boyer , Stéphane Lavallee
发明人： Laurent Angibaud , C. Michael Mauldin , Anthony Boyer , Stéphane Lavallee
IPC分类号： A61B17/58 , A61B17/60 , A61F2/00
CPC分类号： A61B17/155 , A61B17/1757 , A61B17/1764 , A61B17/1778 , A61B2090/3983
摘要： In an embodiment, the methodology of the present invention is based on the use of an intraoperative navigation system and of a compact alignment guide for alignment of implant components. In an embodiment, an alignment guide of the present invention includes a first component fixable to a bone element; a second mobile component, and a third mobile component, wherein the second mobile component and two control mechanisms form a first link, wherein the two control mechanisms are working in parallel to perform adjustments in two degrees of freedom, wherein the third mobile component and three control mechanisms form a second link, wherein the three control mechanisms are working in parallel to perform adjustments in three additional degrees of freedom, and wherein the first link adjustments and the second link adjustments are performed in series to provide a total adjustment of five degrees of freedom relative to the first component.
摘要翻译：在一个实施例中，本发明的方法基于使用术中导航系统和用于对准植入部件的紧凑对准引导件。在一个实施例中，本发明的对准引导件包括可固定到骨元件的第一部件; 第二移动部件和第三移动部件，其中所述第二移动部件和两个控制机构形成第一链接，其中所述两个控制机构并行工作以执行两个自由度的调整，其中所述第三移动部件和所述第三移动部件控制机构形成第二连杆，其中三个控制机构并行工作以执行三个额外的自由度的调整，并且其中第一连杆调整和第二连杆调整是串联执行的，以提供五度相对于第一个组件的自由度。

10. 发明申请

US20110218546A1 DEVICE FOR CONTROLLED ADJUSTMENT OF A SURGICAL POSITIONING UNIT 有权
标题翻译：用于外科手术位置控制调整的装置
公开(公告)号：US20110218546A1
公开(公告)日：2011-09-08
申请号：US13124956
申请日：2009-10-22
申请人： Matias De la Fuente Klein , Peter Belei , Klaus Radermacher , Anthony Boyer , Stephane Lavallee
发明人： Matias De la Fuente Klein , Peter Belei , Klaus Radermacher , Anthony Boyer , Stephane Lavallee
IPC分类号： A61B17/56
CPC分类号： A61B17/8875 , A61B17/155 , A61B17/157 , A61B17/175 , A61B17/1757 , A61B17/7076 , A61B17/8615 , A61B34/20 , A61B90/98 , A61B2017/00482 , A61B2090/0811
摘要： The invention concerns a device for adjusting the position of a screw (13) that is able to move a part of a surgical instrument, said device (4) comprising: —a stem (41) comprising a tip (42) suited to the head (130) of the screw (13), —an actuated system (45) for driving said stem (41) in rotation, —communication means to communicate with a control unit (21), such that the control unit (21) transmits to the actuated system (45) the number of turns to apply to the stem (41) to reach the target position of the screw (13). The invention also concerns a surgical system for alignment of surgical guide means (14, 15), comprising: —a positioning unit comprising a fixed part (11) and a mobile part (12) supporting the surgical guide means (14, 15), the position of said mobile part (12) being adjustable with respect to the fixed part (11) by screws (13), —a referencing unit for detecting the position of the positioning unit with respect to a target position of the surgical guide means, —a control unit (21) for computing the target position of screws (13), —said device (4) for adjusting the positions of the screws (13).
摘要翻译：本发明涉及一种用于调整能够移动外科器械的一部分的螺钉（13）的位置的装置，所述装置（4）包括： - 杆（41），其包括适于头部的尖端（42）（13）的驱动系统（130）， - 用于驱动所述杆（41）旋转的致动系统（45）， - 与控制单元（21）通信的通信装置，使得所述控制单元（21）发送到所述致动系统（45）施加到所述杆（41）到达所述螺钉（13）的目标位置的匝数。本发明还涉及用于对准外科引导装置（14,15）的手术系统，包括： - 定位单元，包括固定部分（11）和支撑手术引导装置（14,15）的可移动部件（12）所述可移动部件（12）的位置可通过螺钉（13）相对于固定部件（11）调节， - 用于检测定位单元相对于手术引导装置的目标位置的位置的参考单元， - 用于计算螺钉（13）的目标位置的控制单元（21），用于调节螺钉（13）位置的装置（4）。

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