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    • 3. 发明授权
    • Femoral milling instrumentation for use in total knee arthroplasty with
optional cutting guide attachment
    • 股骨切割仪用于全膝关节置换术,可选择切割引导件附件
    • US5474559A
    • 1995-12-12
    • US169459
    • 1993-12-17
    • Kim C. BertinDennis W. BurkeGregory C. StalcupRodney BaysRichard D. VanlaninghamTerry L. DietzDaniel O'Connor
    • Kim C. BertinDennis W. BurkeGregory C. StalcupRodney BaysRichard D. VanlaninghamTerry L. DietzDaniel O'Connor
    • A61B17/15A61B17/16A61B17/17A61B17/00
    • A61B17/155A61B17/154A61B17/17A61B17/1764A61B17/1675A61B2017/1602
    • 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.
    • 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
    • Guide for femoral milling instrumention for use in total knee
arthroplasty
    • 用于全膝关节置换术的股骨铣工具指南
    • US5860981A
    • 1999-01-19
    • US864792
    • 1997-05-29
    • Kim C. BertinDennis W. BurkeGregory C. StalcupRodney BaysRichard D. VanlaninghamTerry L. DietzDaniel O'Connor
    • Kim C. BertinDennis W. BurkeGregory C. StalcupRodney BaysRichard D. VanlaninghamTerry L. DietzDaniel O'Connor
    • A61B17/16A61B17/14A61B17/15A61B17/17A61B17/56A61F2/28A61F2/46A61B17/00
    • A61B17/17A61B17/155A61B17/1764A61B17/1675A61B2017/1602
    • 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.
    • 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。
    • 6. 发明授权
    • Femoral milling instrumentation for use in total knee arthoroplasty with
optional cutting guide attachment
    • 股骨切割仪用于全膝关节置换术,可选择切割导向器附件
    • US5743915A
    • 1998-04-28
    • US823740
    • 1997-03-25
    • Kim C. BertinDennis W. BurkeGregory C. StalcupRodney Bays
    • Kim C. BertinDennis W. BurkeGregory C. StalcupRodney Bays
    • A61B17/16A61B17/14A61B17/15A61B17/17A61B17/56A61F2/28A61F2/46A61B17/58
    • A61B17/17A61B17/155A61B17/1764A61B17/1675A61B2017/1602
    • 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.
    • 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。
    • 7. 发明授权
    • Instrumentation for use in orthopaedic surgery
    • 用于整形外科手术的仪器
    • US5540696A
    • 1996-07-30
    • US369226
    • 1995-01-06
    • Robert E. Booth, Jr.Gregory C. StalcupRodney BaysBilly N. SiskTimothy R. Miller
    • Robert E. Booth, Jr.Gregory C. StalcupRodney BaysBilly N. SiskTimothy R. Miller
    • A61B17/02A61B17/15A61B17/28A61B19/00A61F2/38A61F2/46A61B17/66
    • A61F2/4657A61B17/025A61B17/15A61B17/154A61B17/155A61B2017/0268A61B2017/2837A61B2090/061A61F2/38
    • The instrumentation set of this invention assists the surgeon in selecting the proper implant components, in determining the amount of distal bone to resect, and in aligning instrumentation designed to resect the bone. The instrumentation set provides numerous systems for verifying to the surgeon that he has correctly aligned the instruments prior to removing any bone.The set includes a rotational alignment guide, which aids the surgeon in establishing the appropriate rotational alignment for the knee as determined by reference to standard femoral landmarks such as the posterior condyles and epicondyles. The rotational alignment guide includes a slot for guiding a saw blade for removal of the posterior condyles of the femur.The set further includes a tensor designed to tense the knee joint in flexion and extension. The tensor is activated by a torque wrench so that a measured amount of tension force can be applied to the joint. The tensor is configured to slidably carry sizing rods, which contact the femur and include a plurality of markings, which relate to the size of the femur as well as the spacing between the femur and tibia. This information is used by the surgeon to select the proper size of femoral and tibial articulate surface components. The sizing rods are connected to the tensor when the tibial is in flexion and in extension, which will indicate to the surgeon any variation required in the amount of bone to be resected.
    • 本发明的仪器组协助外科医生选择适当的植入部件,确定要切除的远端骨的量,以及对准被设计用于切除骨骼的仪器。 仪器组提供了许多系统,用于向外科医生验证他在去除任何骨骼之前已正确对准仪器。 该组包括旋转对准引导件,其帮助外科医生建立用于膝部的适当的旋转对准,如通过参考标准股骨标记(例如后髁和上髁)所确定的。 旋转对准引导件包括用于引导锯片以移除股骨的后髁的狭槽。 该组还包括设计成在弯曲和伸展时拉紧膝关节的张量。 张力由扭矩扳手激活,使得可以对接头施加测量量的张力。 所述张量被构造成可滑动地携带与所述股骨接触并且包括与股骨的尺寸以及股骨和胫骨之间的间隔相关的多个标记的定尺寸杆。 该信息由外科医生用于选择股骨和胫骨关节表面部件的适当尺寸。 当胫骨屈曲和伸展时,定尺杆连接到张量,这将向外科医生指示要切除的骨量所需的任何变化。
    • 9. 发明授权
    • Instrumentation for use in orthopaedic surgery
    • 用于整形外科手术的仪器
    • US5688280A
    • 1997-11-18
    • US686894
    • 1996-07-26
    • Robert E. Booth, Jr.Gregory C. StalcupRodney BaysBilly N. SiskSteven E. DietzelTimothy R. Miller
    • Robert E. Booth, Jr.Gregory C. StalcupRodney BaysBilly N. SiskSteven E. DietzelTimothy R. Miller
    • A61B17/02A61B17/15A61B17/28A61B19/00A61F2/38A61F2/46
    • A61F2/4657A61B17/025A61B17/15A61B17/154A61B17/155A61B2017/0268A61B2017/2837A61B2090/061A61F2/38
    • The instrumentation set of this invention assists the surgeon in selecting the proper implant components, in determining the amount of distal bone to resect, and in aligning instrumentation designed to resect the bone. The instrumentation set provides numerous systems for verifying to the surgeon that he has correctly aligned the instruments prior to removing any bone. The set includes a rotational alignment guide, which aids the surgeon in establishing the appropriate rotational alignment for the knee as determined by reference to standard femoral landmarks such as the posterior condyles and epicondyles. The rotational alignment guide includes a slot for guiding a saw blade for removal of the posterior condyles of the femur. The set further includes a tensor designed to tense the knee joint in flexion and extension. The tensor is activated by a torque wrench so that a measured mount of tension force can be applied to the joint. The tensor is configured to slidably carry a sizing rod which contacts the femur and includes a plurality of markings, which relate to the size of the femur as well as the spacing between the femur and tibia. This information is used by the surgeon to select the proper size of femoral and tibial articulate surface components. The sizing rod also indicates to the surgeon any variation required in the amount of bone to be resected.
    • 本发明的仪器组协助外科医生选择适当的植入部件,确定要切除的远端骨的量,以及对准被设计用于切除骨骼的仪器。 仪器组提供了许多系统,用于向外科医生验证他在去除任何骨骼之前已正确对准仪器。 该组包括旋转对准引导件,其帮助外科医生建立用于膝部的适当的旋转对准,如通过参考标准股骨标记(例如后髁和上髁)所确定的。 旋转对准引导件包括用于引导锯片以移除股骨的后髁的狭槽。 该组还包括设计成在弯曲和伸展时拉紧膝关节的张量。 张力由扭矩扳手激活,使得测量到的拉力可以施加到接头上。 张量构造成可滑动地携带与股骨接触的尺寸杆,并且包括多个标记,其与股骨的尺寸以及股骨和胫骨之间的间隔相关。 该信息由外科医生用于选择股骨和胫骨关节表面部件的适当尺寸。 定型杆还向外科医生指示要切除的骨量所需的任何变化。