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1. 发明授权

US08137407B2 Tibial knee component with a mobile bearing 有权
标题翻译：胫骨膝部件带有移动轴承
公开(公告)号：US08137407B2
公开(公告)日：2012-03-20
申请号：US11075464
申请日：2005-03-09
申请人： Dwight T. Todd , Brian D. Byrd , James C. Harris , Kim C. Bertin , Linggawati Tanamal , Peter S. Walker
发明人： Dwight T. Todd , Brian D. Byrd , James C. Harris , Kim C. Bertin , Linggawati Tanamal , Peter S. Walker
IPC分类号： A61F2/38
CPC分类号： A61F2/3868
摘要： A mobile bearing knee prosthesis apparatus includes a tibial plate. The tibial plate includes a medial lobe and a lateral lobe conjoined in a dividing plane. The apparatus further includes a tibio-femoral insert and a stud-like protuberance extending from the tibial plate into the tibio-femoral insert. The stud-like protuberance includes a protuberance sidewall positioned in the tibio-femoral insert. The protuberance sidewall is bisected by the dividing plane and includes a pair of opposing eccentric convex arcuate portions, and the tibio-femoral insert is moveable relative to the tibial plate about an axis medially disposed from the dividing plane. A mobile bearing knee prosthesis apparatus includes a tibial plate and a tibio-femoral insert coupled to the tibial plate. The tibio-femoral insert includes a generally posteriorly positioned chamfered superior surface and defines a generally posteriorly positioned generally U-shaped space bounded at least in part by the chamfered surface.
摘要翻译：移动轴承膝关节假体装置包括胫骨板。胫骨板包括连接在分割平面中的中间叶和外侧叶。该装置还包括胫骨 - 股骨插入物和从胫骨板延伸到胫骨 - 股骨插入物中的螺柱状突起。柱形突起包括位于胫骨 - 股骨插入物中的隆起侧壁。突起侧壁由分割平面平分并且包括一对相对的偏心凸出弓形部分，并且胫骨 - 股骨插入件相对于胫骨板围绕从分割平面中心设置的轴线移动。移动轴承膝关节假体装置包括胫骨板和联接到胫骨板的胫骨 - 股骨插入件。胫骨 - 股骨插入物包括大致后方的倒角上表面，并且限定了至少部分地由倒角表面限定的大致后方的大致U形空间。

2. 发明授权

US5320625A Apparatus and method for implanting a prosthetic acetabular cup and then testing the stability of the implant 失效
标题翻译：用于植入假体髋臼杯然后测试植入物的稳定性的装置和方法
公开(公告)号：US5320625A
公开(公告)日：1994-06-14
申请号：US7101
申请日：1993-01-21
申请人： Kim C. Bertin
发明人： Kim C. Bertin
IPC分类号： A61B5/22 , A61F2/00 , A61F2/32 , A61F2/34 , A61F2/46 , A61F5/04
CPC分类号： A61B5/4528 , A61B5/22 , A61F2/4609 , A61F2/4657 , A61F2/468 , A61F2/32 , A61F2002/30143 , A61F2002/30171 , A61F2002/30405 , A61F2002/3401 , A61F2002/3403 , A61F2002/3404 , A61F2002/4629 , A61F2002/4667 , A61F2002/4681 , A61F2220/0025 , A61F2230/0017 , A61F2230/005
摘要： An implantation instrument and methods for reliably implanting a prosthetic acetabular cup in the acetabular area of the pelvic bone during a total prosthetic hip implant operation are disclosed. Such implantation device and methods also provide means for determining the adequacy or strength of the implant.The implantation device includes means for receiving an implantation force from, for example a mallet, and imparting this force to press fit the prosthetic acetabular cup into a recess formed in the acetabular area of the pelvic bone. The apparatus also includes means for testing the strength or adequacy of the acetabular cup implant by receiving and imparting a torquing moment. Finally, the apparatus includes an alignment arm which is laterally displaced from the longitudinal axis of the apparatus, and selectively fixed or rotatably connected, in order to implant the prosthetic acetabular cup in the desired orientation.The prosthetic acetabular cup contains a threaded recess therethrough, while the implantation instrument contains a threaded tip, for releasably connecting the acetabular cup and the implantation device. The cup is able to withstand forces associated with the steps of applying an implanting force and a torquing moment to test the stability of the implant.
摘要翻译：公开了一种在整个假体髋关节植入手术期间可靠地将假体髋臼杯植入骨盆骨髋臼区域的植入器械和方法。这种植入装置和方法还提供用于确定植入物的充分性或强度的装置。植入装置包括用于从例如锤子接收植入力并且赋予该力以将假体髋臼杯压配合到形成在骨盆骨的髋臼区域中的凹部中的装置。该装置还包括用于通过接收和施加扭矩来测试髋臼杯植入物的强度或充分性的装置。最后，该装置包括一个对准臂，该对准臂从该装置的纵向轴线横向移位，并且选择性地固定或可旋转地连接，以便将假牙髋臼杯植入所需的取向。假体髋臼杯包含穿过其的螺纹凹槽，而植入器械包含螺纹尖端，用于可释放地连接髋臼杯和植入装置。杯子能够承受与施加植入力和扭矩的步骤相关联的力以测试植入物的稳定性。

3. 发明授权

US5226915A Femoral prosthesis component system for knee replacement surgery 失效
标题翻译：股骨假体组件系统用于膝关节置换手术
公开(公告)号：US5226915A
公开(公告)日：1993-07-13
申请号：US862954
申请日：1992-04-03
申请人： Kim C. Bertin
发明人： Kim C. Bertin
IPC分类号： A61F2/00 , A61F2/30 , A61F2/38
CPC分类号： A61F2/3859 , A61F2/30734 , A61F2002/30168 , A61F2002/30616 , A61F2002/3069 , A61F2002/30736 , A61F2230/0043
摘要： A femoral prosthesis component system particularly for knee revision surgery comprising a set of femoral implant components constructed around a set of geometrical constants which allows resection of the distal femur to be conducted using the intramedullary canal as a reference point and without the requirement of first measuring for a specific implant size. The construction of all the components in the set is based around a constant relationship between the intramedullary shaft and the anterior flange such that the anterior resection is the same regardless of the size of the component used and the distal and posterior resections are standard cuts made based on this relationship and the intramedullary canal reference point. Adjustment of the distal and posterior resections to fit is made with a set of augments having dimensions also based on the standard distal and posterior resection cuts.
摘要翻译：一种特别用于膝关节修复手术的股骨假体部件系统，包括围绕一组几何常数构造的一组股骨植入部件，所述几何常数可以使用髓内管作为参考点进行远端股骨的切除，而不需要首先测量具体的植入物大小。组合中所有部件的构造基于髓内轴和前凸缘之间的恒定关系，使得前切除是相同的，而与所使用的部件的尺寸无关，并且远端和后切除是基于标准切割关于这种关系和髓内管参考点。远端和后部切除术的调整以配合是由具有尺寸也是基于标准的远端和后切除切口的一组增强件制成。

4. 发明申请

US20080097450A1 Patella clamp 审中-公开
标题翻译：髌骨夹
公开(公告)号：US20080097450A1
公开(公告)日：2008-04-24
申请号：US11521852
申请日：2006-09-14
申请人： Jeffrey D. Brown , Charles A. Baldridge , Kim C. Bertin , Toby N. Farling , Adam M. Griner , Robert A. Hodorek
发明人： Jeffrey D. Brown , Charles A. Baldridge , Kim C. Bertin , Toby N. Farling , Adam M. Griner , Robert A. Hodorek
IPC分类号： A61B17/58 , A61B17/08
CPC分类号： A61B17/158 , A61B17/1767 , A61B2090/061
摘要： A patella clamp is provided for clamping a patella. The patella clamp includes a first clamp member engageable with the patella and a second clamp member mountable in opposing relative moving relationship to the first clamp member. The patella clamp may be used to perform a variety of procedures on a patella. In one embodiment, a third clamp member is alternatively mountable in place of the second clamp member to change the function of the patella clamp. The patella clamp optionally further includes a cut guide for guiding a cutter in a cut plane to resect a portion of the patella.
摘要翻译：提供髌骨夹以夹紧髌骨。髌骨夹具包括可与髌骨接合的第一夹紧构件和可以与第一夹持构件相对的相对移动关系安装的第二夹紧构件。髌骨夹可用于在髌骨上执行各种手术。在一个实施例中，第三夹紧构件可替代地安装以代替第二夹紧构件以改变髌骨夹具的功能。髌骨夹具可选地还包括用于在切割平面中引导切割器以切除髌骨的一部分的切割引导件。

5. 发明授权

US6080196A Patella height gauge and method of locating a patella using same 有权
标题翻译：髌骨高度计和使用其定位髌骨的方法
公开(公告)号：US6080196A
公开(公告)日：2000-06-27
申请号：US262543
申请日：1999-03-04
申请人： Kim C. Bertin
发明人： Kim C. Bertin
IPC分类号： A61B17/15 , A61F2/00 , A61F2/30 , A61F2/38 , A61F2/46 , A61M1/38 , A61B17/58
CPC分类号： A61F2/4657 , A61B17/155 , A61F2/4684 , A61F2/3859 , A61F2002/30405 , A61F2002/30594 , A61F2002/30617 , A61F2002/30797 , A61F2002/30878 , A61F2002/4658 , A61F2220/0025 , A61F2250/0097
摘要： A provisional knee implant assembly includes a femoral provisional having an articulating surface and a plurality of locating openings. A patella height gauge has at least two projections which each engage with a corresponding locating opening in the femoral provisional. The patella height gauge includes at least one visual locating reference for a patella. The femoral provisional is located relative to the patella by placing the femoral provisional on a distal end of the femur; attaching the patella height gauge to the femoral provisional; overlying the patella onto the gauge; and repositioning the femoral provisional relative to the one or more visual locating references on the patella height gauge.
摘要翻译：临时膝盖植入组件包括具有关节表面和多个定位开口的股骨临时。髌骨高度计具有至少两个突起，每个突起与股骨临时中的相应定位开口啮合。髌骨高度计包括用于髌骨的至少一个视觉定位参考。通过将股骨临时放置在股骨的远端，股骨临时位于相对于髌骨的位置; 将髌骨高度计连接到股骨临时; 将髌骨覆盖在量规上; 并且将股骨临时相对于髌骨高度计上的一个或多个视觉定位参考重新定位。

6. 发明授权

US5258032A Knee prosthesis provisional apparatus and resection guide and method of use in knee replacement surgery 失效
标题翻译：膝关节置换手术临床装置及切除指南及使用方法
公开(公告)号：US5258032A
公开(公告)日：1993-11-02
申请号：US862953
申请日：1992-04-03
申请人： Kim C. Bertin
发明人： Kim C. Bertin
IPC分类号： A61B17/15 , A61F2/00 , A61F2/30 , A61F2/38 , A61F2/46 , A61F2/48
CPC分类号： A61F2/4684 , A61B17/155 , A61F2/3859 , A61F2002/30405 , A61F2002/30594 , A61F2002/30672 , A61F2002/30736 , A61F2002/30797 , A61F2220/0025
摘要： A method and apparatus for knee replacement surgery wherein a femoral provisional component is provided which corresponds to a permanent component to be implanted in a human and which includes means for establishing the correct fit and position of such a component, prior to its implantation, in relation to the soft tissues of the knee before final resection of the anterior femoral surface. The provisional component further includes cutting guide means for such anterior surface resection such that accurate cuts may be made with the provisional component in place. The method involves preparing the distal femoral surface using the femoral intramedullary canal as a constant reference point for posterior and distal cutting guides followed by locating the provisional component by means of a provisional intramedullary stem so that the relationship with the soft tissues of the knee may be accurately established.
摘要翻译：一种用于膝关节置换手术的方法和装置，其中提供股骨临时部件，其对应于待植入人的永久性部件，并且包括用于在其植入之前建立这种部件的正确配合和位置的装置在最前面切除前股骨表面之前对膝盖的软组织。临时组件还包括用于这种前表面切除的切割引导装置，使得可以使临时组件准确地进行切割。该方法包括使用股骨髓内管制备远端股骨表面作为后部和远端切割引导件的恒定参考点，随后通过临时髓内钉定位临时组件，使得与膝盖的软组织的关系可以是准确建立。

7. 发明授权

US5951564A Orthopaedic positioning apparatus 失效
标题翻译：骨科定位装置
公开(公告)号：US5951564A
公开(公告)日：1999-09-14
申请号：US769198
申请日：1996-12-18
申请人： Lisa K. Schroder , David A. Mann , G. Kris Kumar , Steven C. Kitch , Paul F. Hickey , Timothy K. Doolin , Philip H. Cripe , Kim C. Bertin
发明人： Lisa K. Schroder , David A. Mann , G. Kris Kumar , Steven C. Kitch , Paul F. Hickey , Timothy K. Doolin , Philip H. Cripe , Kim C. Bertin
IPC分类号： A61F2/00 , A61F2/30 , A61F2/36 , A61F2/46 , A61B17/56
CPC分类号： A61F2/4607 , A61F2/367 , A61F2002/30617 , A61F2002/30795 , A61F2002/3631 , A61F2002/365 , A61F2002/368 , A61F2002/4619 , A61F2002/4622 , A61F2002/4623 , A61F2002/4628 , A61F2002/4631 , A61F2002/4681 , A61F2250/0097
摘要： The invention is directed to an orthopaedic apparatus 24, 80, 380, 480, 580 for positioning an implant 22, 322, 422 relative to an end of a bone. The implant has at least one extractor opening 30, 330, 430 and a shoulder 26, 326, 426 with a slot therein. The positioning apparatus includes a shaft 32, 82, 382, 482 having a fixed impactor tip at an end thereof. The impactor tip is configured to be received within the implant slot. At least one clamping jaw is connected to the shaft, and includes a projection which is configured to be received in the at least one extractor opening. The at least one clamping jaw is preferably detachably connected to the shaft.
摘要翻译：本发明涉及一种用于相对于骨的端部定位植入物22,322,422的整形外科装置24,80,380,480,580。植入物具有至少一个提取器开口30,330,430以及其中具有狭槽的肩部26,326,426。定位装置包括在其一端具有固定的冲击器尖端的轴32,82,382,482。冲击器尖端被配置为被接收在植入槽内。至少一个夹爪连接到轴，并且包括被配置为容纳在至少一个提取器开口中的突起。所述至少一个夹爪优选地可拆卸地连接到所述轴。

8. 发明授权

US5853415A Femoral milling instrumentation for use in total knee arthroplasty with optional cutting guide attachment 失效
公开(公告)号：US5853415A
公开(公告)日：1998-12-29
申请号：US432481
申请日：1995-05-01
申请人： Kim C. Bertin , Dennis W. Burke , Gregory C. Stalcup , Rodney Bays , Richard D. Vanlaningham , Terry L. Dietz , Daniel O'Connor
发明人： Kim C. Bertin , Dennis W. Burke , Gregory C. Stalcup , Rodney Bays , Richard D. Vanlaningham , Terry L. Dietz , Daniel O'Connor
IPC分类号： A61B17/16 , A61B17/14 , A61B17/15 , A61B17/17 , A61B17/56 , A61F2/28 , A61F2/46
CPC分类号： A61B17/17 , A61B17/155 , A61B17/1764 , A61B17/1675 , A61B2017/1602
摘要： The milling instrumentation of this invention provides a milling guide connected to the femur for accommodating a milling device. The milling instrumentation includes an alignment guide which is used by the surgeon to set a femoral bracket or base on the medial and lateral sides of the exposed femur adjacent its distal end. Once the brackets are set, the alignment guide is removed and a milling guide is connected to the bases. The milling guide establishes a series of reference planes each including a slot. A powered milling device having a burr connected thereto is guided by the slots along the reference planes to accurately mill away a portion of the bone. The milling device includes a bobbin-shaped tip which positively engages the slots to ensure that the milling device is held substantially perpendicular to the reference planes of the milling guide. If necessary, other instrumentation may be connected to the femoral bases which would form a common connection point for the additional instruments thereby ensuring alignment between the various instruments. Optionally, a one piece cutting guide may be connected to the bases to allow resection of the bone by a standard oscillating saw blade. The cutting guide includes a plurality of slots such that all the cuts required for the femur can be made with one cutting guide without reorienting the guide.

9. 发明授权

US5743915A Femoral milling instrumentation for use in total knee arthoroplasty with optional cutting guide attachment 失效
标题翻译：股骨切割仪用于全膝关节置换术，可选择切割导向器附件
公开(公告)号：US5743915A
公开(公告)日：1998-04-28
申请号：US823740
申请日：1997-03-25
申请人： Kim C. Bertin , Dennis W. Burke , Gregory C. Stalcup , Rodney Bays
发明人： Kim C. Bertin , Dennis W. Burke , Gregory C. Stalcup , Rodney Bays
IPC分类号： A61B17/16 , A61B17/14 , A61B17/15 , A61B17/17 , A61B17/56 , A61F2/28 , A61F2/46 , A61B17/58
CPC分类号： A61B17/17 , A61B17/155 , A61B17/1764 , A61B17/1675 , A61B2017/1602
摘要： The milling instrumentation of this invention provides a milling guide connected to the femur for accommodating a milling device. The milling instrumentation includes an alignment guide which is used by the surgeon to set a femoral bracket or base on the medial and lateral sides of the exposed femur adjacent its distal end. Once the brackets are set, the alignment guide is removed and a milling guide is connected to the bases. The milling guide establishes a series of reference planes each including a slot. A powered milling device having a burr connected thereto is guided by the slots along the reference planes to accurately mill away a portion of the bone. The milling device includes a bobbin-shaped tip which positively engages the slots to ensure that the milling device is held substantially perpendicular to the reference planes of the milling guide. If necessary, other instrumentation may be connected to the femoral bases which would form a common connection point for the additional instruments thereby ensuring alignment between the various instruments. Optionally, a one piece cutting guide may be connected to the bases to allow resection of the bone by a standard oscillating saw blade. The cutting guide includes a plurality of slots such that all the cuts required for the femur can be made with one cutting guide without reorienting the guide.
摘要翻译：本发明的铣削装置提供了连接到股骨的铣削引导件，用于容纳铣削装置。铣削仪器包括对准引导件，其被外科医生用于将股骨托架或基部设置在暴露的股骨的靠近其远端的内侧和外侧上。一旦设置了支架，则取下对准导板，并将铣削导轨连接到基座。铣削引导件建立了一系列参考平面，每个参考平面包括一个槽。具有连接到其上的毛刺的动力铣削装置由沿着参考平面的狭槽引导，以精确地磨碎骨的一部分。铣削装置包括一个线轴形的尖端，其正好与槽接合，以确保铣削装置基本上垂直于铣削导向器的参考平面。如果需要，其他仪器可以连接到股骨基座，这将形成用于附加仪器的公共连接点，从而确保各种仪器之间的对准。可选地，单件切割引导件可以连接到基部以允许通过标准摆动锯片切除骨骼。切割引导件包括多个狭槽，使得股骨所需的所有切口可以由一个切割引导件制成，而不会使引导件重新定向。

10. 发明授权

US5474559A Femoral milling instrumentation for use in total knee arthroplasty with optional cutting guide attachment 失效
标题翻译：股骨切割仪用于全膝关节置换术，可选择切割引导件附件
公开(公告)号：US5474559A
公开(公告)日：1995-12-12
申请号：US169459
申请日：1993-12-17
申请人： Kim C. Bertin , Dennis W. Burke , Gregory C. Stalcup , Rodney Bays , Richard D. Vanlaningham , Terry L. Dietz , Daniel O'Connor
发明人： Kim C. Bertin , Dennis W. Burke , Gregory C. Stalcup , Rodney Bays , Richard D. Vanlaningham , Terry L. Dietz , Daniel O'Connor
IPC分类号： A61B17/15 , A61B17/16 , A61B17/17 , A61B17/00
CPC分类号： A61B17/155 , A61B17/154 , A61B17/17 , A61B17/1764 , A61B17/1675 , A61B2017/1602
摘要： The milling instrumentation of this invention provides a milling guide connected to the femur for accommodating a milling device. The milling instrumentation includes an alignment guide which is used by the surgeon to set a femoral bracket or base on the medial and lateral sides of the exposed femur adjacent its distal end. Once the brackets are set, the alignment guide is removed and a milling guide is connected to the bases. The milling guide establishes a series of reference planes each including a slot. A powered milling device having a burr connected thereto is guided by the slots along the reference planes to accurately mill away a portion of the bone. The milling device includes a bobbin-shaped tip which positively engages the slots to ensure that the milling device is held substantially perpendicular to the reference planes of the milling guide. If necessary, other instrumentation may be connected to the femoral bases which would form a common connection point for the additional instruments thereby ensuring alignment between the various instruments. Optionally, a one piece cutting guide may be connected to the bases to allow resection of the bone by a standard oscillating saw blade. The cutting guide includes a plurality of slots such that all the cuts required for the femur can be made with one cutting guide without reorienting the guide.
摘要翻译：本发明的铣削装置提供了连接到股骨的铣削引导件，用于容纳铣削装置。铣削仪器包括对准引导件，其被外科医生用于将股骨托架或基部设置在暴露的股骨的靠近其远端的内侧和外侧上。一旦设置了支架，则取下对准导板，并将铣削导轨连接到基座。铣削引导件建立了一系列参考平面，每个参考平面包括一个槽。具有连接到其上的毛刺的动力铣削装置由沿着参考平面的狭槽引导，以精确地磨碎骨的一部分。铣削装置包括一个线轴形的尖端，其正好与槽接合，以确保铣削装置基本上垂直于铣削导向器的参考平面。如果需要，其他仪器可以连接到股骨基座，这将形成用于附加仪器的公共连接点，从而确保各种仪器之间的对准。可选地，单件切割引导件可以连接到基部以允许通过标准摆动锯片切除骨骼。切割引导件包括多个狭槽，使得股骨所需的所有切口可以由一个切割引导件制成，而不会使引导件重新定向。

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