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1. 发明授权

US5908424A Tibial milling guide system 失效
标题翻译：胫骨导引系统
公开(公告)号：US5908424A
公开(公告)日：1999-06-01
申请号：US242987
申请日：1994-05-16
申请人： Kim C. Bertin , Robert Booth, Jr. , Dennis W. Burke , Rodney Bays , Terry L. Dietz , Gregory C. Stalcup , Richard D. Vanlaningham
发明人： Kim C. Bertin , Robert Booth, Jr. , Dennis W. Burke , Rodney Bays , Terry L. Dietz , Gregory C. Stalcup , Richard D. Vanlaningham
IPC分类号： B23C3/00 , A61B17/16 , A61B17/17 , A61B17/56 , A61B17/58 , A61B19/00 , A61F2/46
CPC分类号： A61B17/1764 , A61B17/1675 , A61B2017/1602 , A61B2090/062 , A61F2002/4658
摘要： A tibial milling guide which incorporates a combination of instruments for producing a planar surface on a portion of the tibia using a milling device. The system includes: an extramedullary alignment guide with a detachable reference guide, an adjustable milling base assembly, a detachable milling template, a sizing gauge, and a milling depth gauge. The reference guide is used to position the alignment guide to the tibia. The reference guide has a T-shaped member which provides a planar reference and a centering reference to the tibial head. The reference guide also allows the surgeon to set the rotational alignment before the alignment guide is secured in place. The adjustable milling base assembly is also detachably connected to the alignment guide. The milling base assembly includes a slide and a shiftable base that allows for lateral adjustments of the template with respect to the articular surface after the alignment guide has been properly secured to the tibia. The milling base is also extensibly connected to the alignment guide to allow the spacing between the articular surface and the template to be adjusted.
摘要翻译：胫骨铣削引导件，其结合使用铣削装置在胫骨的一部分上产生平坦表面的装置的组合。该系统包括：具有可拆卸参考导向器的髓外对准引导件，可调铣削基座组件，可拆卸铣削模板，定径计和铣削深度计。参考指南用于将对准引导件定位到胫骨。参考指南具有T形构件，其提供平面参考和对胫骨头的定心参考。参考指南还允许外科医生在对准引导件固定就位之前设置旋转对准。可调铣削基座组件也可拆卸地连接到对准引导件。铣削基座组件包括滑块和可移动底座，其允许在对准引导件已经被适当地固定到胫骨之后相对于关节表面横向调整模板。铣削基座也可伸缩地连接到对准引导件，以允许调节关节表面和模板之间的间隔。

2. 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.

3. 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。

4. 发明授权

US5860981A Guide for femoral milling instrumention for use in total knee arthroplasty 失效
标题翻译：用于全膝关节置换术的股骨铣工具指南
公开(公告)号：US5860981A
公开(公告)日：1999-01-19
申请号：US864792
申请日：1997-05-29
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 , A61B17/00
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。

5. 发明授权

US5653714A Dual slide cutting guide 失效
标题翻译：双滑动切割导轨
公开(公告)号：US5653714A
公开(公告)日：1997-08-05
申请号：US605403
申请日：1996-02-22
申请人： Terry L. Dietz , Richard D. Vanlaningham
发明人： Terry L. Dietz , Richard D. Vanlaningham
IPC分类号： A61B17/15 , A61B17/16 , A61B17/17 , A61F5/04
CPC分类号： A61B17/1764 , A61B17/155 , A61B17/1675 , A61B2017/1602
摘要： The guide of this invention provides an alternative to a system requiring a plurality of guides or for a guide with a plurality of slots by providing a single guide which slides along the distal femur and which articulates to accommodate a variety of angles. The guide includes a base portion defining a pair of parallel rails having a dove-tail shaped groove formed therein. The base is fixed to the distal end of the femur after an initial cut has been made to flatten the distal end. The device further includes an upper frame which is carried by the base and slides along the rails. The upper frame pivotally supports a carriage assembly in a plurality of discrete angles as determined by detents. The carriage includes a pair of parallel rods which extend in a direction transverse to the parallel rails of the base portion. In the preferred embodiment, the parallel rods support a milling guide which is slidable along the rods. The milling guide is configured to accommodate an elongated milling burr extending therethrough for removal of a portion of the patient's bone.
摘要翻译：本发明的引导件提供了通过提供沿着远端股骨滑动并且铰接以适应各种角度的单个引导件而需要多个引导件或具有多个狭槽的引导件的系统的替代。引导件包括限定一对平行轨道的基部，该平行轨道中形成有鸠尾形槽。在进行初始切割以平坦化远端之后，基部固定到股骨的远端。所述装置还包括由所述底座承载并沿着所述轨道滑动的上框架。上框架以由棘爪确定的多个离散角度枢转地支撑滑架组件。托架包括一对平行的杆，它们在横向于基部的平行轨道的方向上延伸。在优选实施例中，平行杆支撑可沿着杆滑动的铣削引导件。铣削引导件构造成容纳延伸穿过其中的细长铣削毛刺以移除患者骨骼的一部分。

6. 发明授权

US5344423A Apparatus and method for milling bone 失效
标题翻译：用于研磨骨的装置和方法
公开(公告)号：US5344423A
公开(公告)日：1994-09-06
申请号：US832098
申请日：1992-02-06
申请人： Terry L. Dietz , Richard D. Vanlaningham
发明人： Terry L. Dietz , Richard D. Vanlaningham
IPC分类号： A61B17/16 , A61B17/17 , A61F2/46 , B23C3/00 , A61F5/04
CPC分类号： A61B17/1764 , A61B17/1675 , A61B2017/1602 , A61F2/46
摘要： An apparatus and associated method are provided for milling bone. The apparatus includes a template having a reference surface for controlling depth of cut and a track for guiding the cutter in two dimensions to cut a planar surface.
摘要翻译：提供了一种用于铣削骨的装置和相关方法。该装置包括具有用于控制切割深度的参考表面的模板和用于在二维上引导切割器以切割平面的轨道。

7. 发明授权

US5486180A Apparatus for milling bone 失效
标题翻译：用于铣骨的设备
公开(公告)号：US5486180A
公开(公告)日：1996-01-23
申请号：US258114
申请日：1994-06-10
申请人： Terry L. Dietz , Richard D. Vanlaningham
发明人： Terry L. Dietz , Richard D. Vanlaningham
IPC分类号： A61B17/16 , A61B17/17 , A61F2/46 , B23C3/00 , A61F5/04
CPC分类号： A61B17/1764 , A61B17/1675 , A61B2017/1602 , A61F2/46
摘要： An apparatus is provided for milling bone. The apparatus includes a template having a reference surface for controlling depth of cut and a track for guiding the cutter in two dimensions to cut a planar surface.
摘要翻译：提供了一种用于铣削骨的装置。该装置包括具有用于控制切割深度的参考表面的模板和用于在二维上引导切割器以切割平面的轨道。

8. 发明授权

US5207680A Front milling guide for use in orthopaedic surgery 失效
标题翻译：用于矫形外科手术的前铣刀
公开(公告)号：US5207680A
公开(公告)日：1993-05-04
申请号：US881285
申请日：1992-05-11
申请人： Terry L. Dietz , Richard D. Vanlaningham
发明人： Terry L. Dietz , Richard D. Vanlaningham
IPC分类号： B23C9/00 , A61B17/14 , A61B17/15 , A61B17/16 , A61B17/17
CPC分类号： A61B17/1764 , A61B17/157 , A61B17/1675 , A61B2017/1602
摘要： The milling guide of this invention provides a guide having a base with a track formed therein to slidably accommodate a milling device and guide the milling device along the bone. The milling device provides a smooth bone surface and the guide is provided to maintain the milling device generally transverse to the longitudinal axis of the tibia. A slider is carried by the track and accommodates the milling device to maintain the milling device generally perpendicular relative to the guide. The slider is shiftable within the guide in an medial-lateral plane. The milling device is shiftable relative to the slider and guide in the anterior-poster plane as well.

9. 发明授权

US5658293A Guide platform associated with intramedullary rod 失效
标题翻译：引导平台与髓内钉相关
公开(公告)号：US5658293A
公开(公告)日：1997-08-19
申请号：US544419
申请日：1995-10-10
申请人： Richard D. Vanlaningham
发明人： Richard D. Vanlaningham
IPC分类号： A61B17/15 , A61B17/16 , A61B17/17 , A61B17/56
CPC分类号： A61B17/1764 , A61B17/155 , A61B17/1675 , A61B2017/1602
摘要： The invention is directed to an intramedullary rod guide assembly for use in orthopaedic surgery for aligning a cutting or milling guide platform. A guide platform is pivotally connected to an intramedullary rod intermediate the proximal and distal ends thereof. A threaded alignment mechanism aligns the guide platform relative to the intramedullary rod.
摘要翻译：本发明涉及一种用于矫形外科手术中用于对准切割或铣削引导平台的髓内杆引导组件。引导平台在其近端和远端之间枢转地连接到髓内杆。螺纹对准机构使引导平台相对于髓内杆对准。

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