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1. 发明授权

US4721104A Femoral surface shaping apparatus for posterior-stabilized knee implants 失效
标题翻译：用于后稳定膝关节植入物的股骨表面成形设备
公开(公告)号：US4721104A
公开(公告)日：1988-01-26
申请号：US803368
申请日：1985-12-02
申请人： Michael E. Kaufman , Leo A. Whiteside
发明人： Michael E. Kaufman , Leo A. Whiteside
IPC分类号： A61B17/56 , A61B17/16 , A61B17/17 , A61F5/04
CPC分类号： A61B17/1764 , A61B17/1675 , A61B2017/1602
摘要： The present invention relates to a surgical apparatus for providing an accurately placed recess in a distal femoral surface for the intercondylar stabilizing housing of a posterior-stabilized knee implant prosthesis which apparatus comprises (a) a template having (1) a bottom surface which is adapted to be placed in an aligning relationship with the flat surface of a distal femur which has been partially shaped to receive the femoral component of a posterior-stabilized knee implant prosthesis and (2) a U-shaped slot passing through the template where the slot is of substantially the same size and shape as the outer periphery of the intercondylar stabilizing housing present on the femoral component to be implanted and (b) a drilling means, preferably in the form of an end-mill cutter, having a stop means thereon and the drilling means closely engages the sides of the U-shaped slot in the template so that the drilling means can be passed through the U-shaped slot until the stop means contacts a surface of the guide and is then drawn along the slot to create a precisely shaped and aligned recess in the femur for receipt of the intercondylar stabilizing housing. In a more preferred embodiment, the template is composed of a drilling means guide which fits over a femoral trial prosthesis which is used for trial reductions after the drill guide is used and removed.
摘要翻译：本发明涉及一种用于在后稳定的膝盖植入物假体的髁间稳定壳体的远端股骨表面中提供精确放置的凹部的手术装置，该装置包括（a）模板，其具有（1）适于与已经部分成形以接收后稳定的膝盖植入物假体的股骨部件的远端股骨的平坦表面对准地关系，以及（2）穿过模板的U形槽，其中狭槽是具有与待植入的股骨部件上存在的髁间稳定壳体的外周基本相同的尺寸和形状;以及（b）钻孔装置，优选为端铣刀的形式，在其上具有止动装置，钻孔装置紧密地接合模板中的U形槽的侧面，使得钻孔装置可以通过U形槽，直到止动装置con 撞击引导件的表面，然后沿着狭槽拉动，以在股骨中产生精确成形和对准的凹槽，以便接收髁间稳定壳体。在更优选的实施例中，模板由钻孔装置引导件组成，钻孔装置引导件适用于在使用和移除钻孔引导器之后用于试验减少的股骨试验假体。

2. 发明授权

US5766260A Acetabular component with improved liner seal and lock 失效
标题翻译：具有改进的衬垫密封和锁定的髋臼部件
公开(公告)号：US5766260A
公开(公告)日：1998-06-16
申请号：US847887
申请日：1997-04-28
申请人： Leo A. Whiteside
发明人： Leo A. Whiteside
IPC分类号： A61F2/00 , A61F2/30 , A61F2/34 , A61F2/46
CPC分类号： A61F2/34 , A61F2002/30378 , A61F2002/30403 , A61F2002/30487 , A61F2002/30589 , A61F2002/30594 , A61F2002/30682 , A61F2002/30879 , A61F2002/3401 , A61F2002/3403 , A61F2002/3411 , A61F2002/3435 , A61F2002/3451 , A61F2002/4631 , A61F2220/0025 , A61F2220/0033 , A61F2310/00011
摘要： An acetabular component for a hip replacement system comprises an acetabular shell, and a liner having a seal for insertion into the acetabular shell. In the preferred embodiment, the shell has a smooth tapered surface in its peripheral inner surface, and the liner has several annular ridges protruding from its outer surface. Upon insertion of the liner into the shell, the annular ridges of the liner come into sealing engagement with the smooth tapered surface of the shell. This sealing engagement substantially prevents a migration of debris along an interface of the liner with the shell. The liner is provided with several peripheral tabs for interference fit with several peripheral notches in the shell. An interlock comprising another liner ridge and a shell groove, provide a positive engagement to hold the liner in the shell as it bottoms therein. In an alternative embodiment, each notch is provided with protruding lips which project into the notch and firmly grasp one of the tabs of the liner upon insertion of the liner into the shell. In this manner, micromotion between the liner and the shell is substantially inhibited.
摘要翻译：用于髋关节置换系统的髋臼部件包括髋臼壳和具有用于插入髋臼壳的密封件的衬垫。在优选实施例中，壳体在其周边内表面具有平滑的锥形表面，并且衬套具有从其外表面突出的若干环形脊。在将衬套插入壳体中时，衬套的环形脊与壳体的平滑锥形表面密封接合。该密封接合基本上防止碎屑沿着衬套与壳体的界面的迁移。衬套设置有多个外围突出部，用于与外壳中的多个外围凹口紧密配合。包括另一个衬里脊和壳槽的互锁提供了一种正面的接合，以将衬垫保持在外壳中，因为衬底在底部。在替代实施例中，每个凹口设置有突出的凸缘，其突出到凹口中并且在将衬套插入壳体中时牢固地抓住衬套的一个凸片。以这种方式，基本上抑制了衬套和壳体之间的微动作。

3. 发明授权

US5628749A Tibial resection instrumentation and surgical method 失效
公开(公告)号：US5628749A
公开(公告)日：1997-05-13
申请号：US480845
申请日：1995-06-07
申请人： Tim Vendrely , Leo A. Whiteside , Thomas A. T. Carls , John Steele , Chris E. Johnson
发明人： Tim Vendrely , Leo A. Whiteside , Thomas A. T. Carls , John Steele , Chris E. Johnson
IPC分类号： A61B17/56 , A61B17/15 , A61F2/46 , A61B17/00
CPC分类号： A61B17/157
摘要： A method of preparing a patient's proximal tibia with a surgical saw and cutting instrumentation is disclosed. The method of the present invention prepares the patient's proximal tibial to receive a tibial implant. The patient's intramedullary canal is first reamed and then an intramedullary rod is placed in the intramedullary canal as a reference. A first cutting instrument is bound on the rod above the patient's proximal tibia. The first cutting instrument includes a stylus that is used to set the depth of cut by referencing the top of the proximal tibia. The proximal tibia is then transversely cut with the saw by tracking the first cutting guide surfaces with the saw. The first cutting instrument is removed together with its stylus. A secondary cutting instrument is then placed on the rod above the proximal tibia. The second cutting instrument has a cutter at its center for cutting longitudinally into the proximal tibia. A secondary cut is made on the proximal tibia by tracking the secondary cutting instrument and a guide surface provided on the upper end of the cutters that engage the center of the proximal tibia.

4. 发明授权

US5569259A Modular shaping and trial reduction guide for implantation of femoral prosthesis and method of using same 失效
标题翻译：用于植入股骨假体的模块化成形和试验减少指南及其使用方法
公开(公告)号：US5569259A
公开(公告)日：1996-10-29
申请号：US380363
申请日：1995-01-30
申请人： Joseph M. Ferrante , James E. Van Hoeck , Bradley J. Coates , Leo A. Whiteside
发明人： Joseph M. Ferrante , James E. Van Hoeck , Bradley J. Coates , Leo A. Whiteside
IPC分类号： A61B17/56 , A61B17/14 , A61B17/16 , A61B17/17 , A61F2/30 , A61F2/38 , A61F2/46 , A61F5/00
CPC分类号： A61F2/461 , A61B17/1764 , A61B17/1675 , A61B17/1767 , A61B2017/1602 , A61F2/3886
摘要： According to the invention, there is provided a trial implant and method of using same. The implant includes a modular bracket defining a structure having an internal surface adapted to be seated on the distal aspect of a resected femur bone and an external surface with a shape resembling the normal distal condyle of the femur. The bracket has an opening appointed to expose a portion of the resected bone of the femur, including guide structure for guiding a tool along a predetermined path for controlled shaping of a patellar groove in the bone exposed through the opening. Removal of any portion of the bracket or guide structure is unnecessary following the shaping steps prior to performing a trial reduction.
摘要翻译：根据本发明，提供了一种试验植入物及其使用方法。植入物包括限定具有内表面的结构的模块化支架，该内表面适于坐在被切除的股骨的远侧，外表面具有类似于股骨的正常远端髁的形状。托架具有被设置为暴露股骨的切除的骨的一部分的开口，包括用于沿着预定路径引导工具的引导结构，用于通过开口暴露的骨中的髌骨槽的受控成形。在执行试用减少之前的成形步骤之后，不需要移除支架或引导结构的任何部分。

5. 发明授权

US4731086A Shim for femoral knee joint prosthesis and method of using 失效
标题翻译：股骨膝关节假体的垫片及其使用方法
公开(公告)号：US4731086A
公开(公告)日：1988-03-15
申请号：US40530
申请日：1987-04-20
申请人： Leo A. Whiteside , Walter P. Spires, Jr.
发明人： Leo A. Whiteside , Walter P. Spires, Jr.
IPC分类号： A61F2/30 , A61F2/38
CPC分类号： A61F2/38 , A61F2002/30736
摘要： A prosthetic shim and a method for use of prosthetic shims to provide level support and increase the effective thickness of a femoral knee joint component having at least one fixation peg extending from the face which is to seat against the distal end of a femur. The shim is for placement between the femoral component and the femur and comprises a platform having a first surface to cooperatively engage the joint component face and a second surface to engage the distal end of the femur. The shim preferably has a means for securing the shim in place, such as spikes extending from the second surface to be driven into the femur. The platform preferably is shaped and dimensioned to be effective if placed centrally relative to the joint component face, covers a majority of the joint component face, and has an opening corresponding to each peg of the joint component so that the shim can be placed over each peg.

6. 发明授权

US5879393A Trial femoral prosthesis for use in knee joint replacement surgery 失效
标题翻译：用于膝关节置换手术的股骨假体
公开(公告)号：US5879393A
公开(公告)日：1999-03-09
申请号：US861094
申请日：1997-05-21
申请人： Leo A. Whiteside , Jason D. Blain , Thomas A. Carls , Chris E. Johnson , Anthony J. Melkent , Paul Wheeler
发明人： Leo A. Whiteside , Jason D. Blain , Thomas A. Carls , Chris E. Johnson , Anthony J. Melkent , Paul Wheeler
IPC分类号： A61F2/38 , A61B17/15 , A61B17/16 , A61F2/00 , A61F2/30 , A61F2/46 , A61F2/48
CPC分类号： A61F2/4684 , A61B17/155 , A61B17/1604 , A61B17/1659 , A61F2/3859 , A61F2002/30604 , A61F2002/30616 , A61F2002/30736 , A61F2002/30878 , A61F2250/006 , A61F2250/0064
摘要： A posterior stabilized femoral trial apparatus for preparing a patient's femur to receive a posterior stabilized femoral prosthesis includes a trial body with proximal and distal portions, the distal portion having an articulating surface for articulating with a patient's tibial component. A module fits the trial body at the proximal surface, the module being selected from a kit or group of modules of differing sizes and shapes. The module includes a rasping surface that extends longitudinally. The trial body includes cutting surfaces at the posterior condyles. The module is removably attachable to the trial body at the proximal surface. During use, the apparatus of the present invention enables the surgeon to resect the patient's femur in a revision surgical case using the trial itself and more particularly the rasping surface and cutting surface thereon.
摘要翻译：用于准备患者股骨以接收后稳定的股骨假体的后稳定的股骨试验装置包括具有近端和远端部分的试验体，所述远侧部分具有用于与患者的胫骨部件铰接的关节表面。模块适合试验体在近端表面，模块选自不同尺寸和形状的试剂盒或模块组。模块包括纵向延伸的锉削表面。试验体包括后髁上的切割表面。模块在近端表面可拆卸地附接到试验体。在使用过程中，本发明的装置使得外科医生能够使用试验本身，特别是其上的锉削表面和切割表面，在修复的手术外壳中切除患者的股骨。

7. 发明授权

US5702460A Revision femoral trial prosthesis 失效
标题翻译：修订股骨假体假体
公开(公告)号：US5702460A
公开(公告)日：1997-12-30
申请号：US515991
申请日：1995-08-16
申请人： Thomas A. Carls , Tony Melkent , Leo A. Whiteside , Tim Vendrely
发明人： Thomas A. Carls , Tony Melkent , Leo A. Whiteside , Tim Vendrely
IPC分类号： A61B17/15 , A61B17/16 , A61B17/17 , A61B19/00 , A61F2/00 , A61F2/30 , A61F2/38 , A61F2/46
CPC分类号： A61F2/4684 , A61B17/155 , A61B17/1604 , A61B17/1764 , A61F2/461 , A61B17/157 , A61B2017/1602 , A61B2090/033 , A61B90/06 , A61F2/38 , A61F2/3859 , A61F2/389 , A61F2002/30433 , A61F2002/30594 , A61F2002/30616 , A61F2002/30736 , A61F2002/4623 , A61F2002/4681 , A61F2220/0041 , Y10S623/914
摘要： A trial femoral prosthesis for use in knee joint replacement surgery includes a trial prosthesis body that is generally J-shaped. The prosthesis body provides a distal articulating surface and a proximal non-articulating surface. The articulating surface includes medial and lateral condylar portions, a distal portion, and an anterior portion. An elongated stem extends from the distal non-articulating surface for anchoring the trial prosthesis to the intramedullary canal of the patient's femur. Wedge trial insert members are connectable to the trial prosthesis body at the non-articulating surface. The inserts can be of different shape and different thicknesses and can be independently placed on opposite sides of the stem. However, the prosthesis body can be used independently without any inserts. The apparatus assists a surgeon who is going to revise a total knee that had been previously implanted. If a surgeon needs a wedge insert for the trial, a corresponding wedge is placed on the final knee implant. The trial prosthesis body and wedges each provide cutting edges that remove bone in the exact places in order to make the implant fit snugly. The cutting edges shave bone material when the surgeon drives the trial onto the distal femur. If bone needs to be removed in the distal area to accommodate a wedge insert, cutting guide slots are provided in the trial prosthesis body. If bone needs to be removed in the anterior or posterior chamfer area, angled chamfer cutting guide slots are provided in the trial prosthesis body.
摘要翻译：用于膝关节置换手术的股骨假体试验包括通常为J形的试验假体。假体主体提供远端铰接表面和近端非关节表面。关节表面包括内侧和外侧髁部分，远侧部分和前部。细长的杆从远端非关节表面延伸，用于将试验假体锚定到患者股骨的髓内管。楔形试验插入件可连接到非铰接表面的试验假体。插入件可以具有不同的形状和不同的厚度，并且可以独立地放置在杆的相对侧上。然而，假体可独立使用，无任何插入物。该仪器协助一名外科医生正在修改以前植入的全膝盖。如果外科医生需要用于试验的楔形插入物，则在最终的膝盖植入物上放置相应的楔形物。试验假体和楔块各提供切割边缘，以在精确的位置去除骨头，以使植入物紧密配合。当外科医生将试验推进到股骨远端时，切削刃刮削骨材料。如果需要在远端区域中移除骨头以容纳楔形插入物，则在试验假体中提供切割引导槽。如果在前后倒角区域需要去除骨头，则在试验假体中提供有角度的倒角切割引导槽。

8. 发明授权

US5342366A Surgical instruments for hip revision 失效
标题翻译：髋关节修复手术器械
公开(公告)号：US5342366A
公开(公告)日：1994-08-30
申请号：US838528
申请日：1992-02-19
申请人： Leo A. Whiteside , Roy C. Wiley
发明人： Leo A. Whiteside , Roy C. Wiley
IPC分类号： A61B17/16 , A61B17/17 , A61B19/00 , A61F2/00 , A61F2/30 , A61F2/36 , A61F2/46 , A61F5/04 , A61B17/56
CPC分类号： A61F2/4607 , A61B17/1659 , A61B17/1668 , A61B17/175 , A61B90/06 , A61F2/30942 , A61F2/36 , A61F2/4657 , A61F2/367 , A61F2/3672 , A61F2/3676 , A61F2002/30332 , A61F2002/30342 , A61F2002/30433 , A61F2002/30604 , A61F2002/30617 , A61F2002/30797 , A61F2002/30904 , A61F2002/30963 , A61F2002/3611 , A61F2002/3625 , A61F2002/365 , A61F2002/3696 , A61F2002/4619 , A61F2220/0033 , A61F2220/0041 , A61F2250/0097
摘要： A modular hip prosthesis operable to engage the cortical material in a host femur having a metaphysis and an intramedullary canal. The modular hip prosthesis includes a modular metaphyseal segment which is able to be inserted into the metaphysis of the host femur. The modular metaphyseal segment includes an axial cone portion and a cervical cone portion. The modular hip prosthesis further includes a modular diaphyseal segment which is able to be inserted into the intramedullary canal and being removably secured to the modular metaphyseal segment. Finally, the modular hip prosthesis includes a modular head which is able to engage the modular metaphyseal segment and is detached from the modular diaphyseal segment.Also disclosed is surgical instrumentation for use in implanting a medical device. The surgical instrumentation includes a template having a plurality of scaled markings disposed thereon. The surgical instrumentation also includes a plurality of surgical instruments also having scaled markings disposed thereon. The positions of the scaled markings on the surgical instruments have a correspondence with the position of the scaled markings on the template.
摘要翻译：模块化髋关节假体可操作以将皮质材料接合在具有干ysis端和髓内管的宿主股骨中。模块化髋关节假体包括一个可以插入主骨股骨干a端的模块干al端段。模块化干al段包括轴向锥体部分和颈锥部分。模块化髋关节假体还包括一个模块化的骨干段，能够插入髓内管并且可移除地固定在模块化干al端。最后，模块化髋关节假体包括一个模块化的头部，能够与模块化的干al端部分接合，并与模块化骨干段分离。还公开了用于植入医疗装置的手术器械。手术器械包括其上设置有多个刻度标记的模板。手术器械还包括多个外科器械，其上设置有刻度标记。手术器械上的缩放标记的位置与模板上的缩放标记的位置具有对应关系。

9. 发明授权

US5098436A Modular guide for shaping of femur to accommodate intercondylar stabilizing housing and patellar track of implant 失效
标题翻译：用于塑造股骨以适应髁间稳定性房屋和植入物髌骨轨迹的模块化指南
公开(公告)号：US5098436A
公开(公告)日：1992-03-24
申请号：US666153
申请日：1991-03-07
申请人： Joseph M. Ferrante , Leo A. Whiteside , Bradley J. Coates
发明人： Joseph M. Ferrante , Leo A. Whiteside , Bradley J. Coates
IPC分类号： A61B17/56 , A61B17/14 , A61B17/16 , A61B17/17 , A61F2/38
CPC分类号： A61B17/1675 , A61B17/144 , A61B17/1659 , A61B17/1764 , A61B2017/1602
摘要： Modular surgical instrumentation and a method of using same is provided, according to the invention. The instrumentation comprises a first bracket defining a generally U-shaped structure having an internal surface adapted to be seated on the distal aspect of a resected femur bone and an elongated central opening appointed to expose a selected area of the resected femur, including a curved track for guiding a first shaping tool along a predetermined path for controlled shaping of a curved patellar groove in a portion of the selected area exposed through the opening. A second bracket defines a linear slotted bore extending generally parallel to the long axis of the femur for guiding a second shaping tool to form a relatively deep recess accommodating an intercondylar stabilizing housing of a knee implant. The second bracket has an internal surface defining a shape adapted for releasable engagement with the curved track, including mechanism for accurately aligning the slotted bore relative to the opening while forming the recess. The method of the invention comprises the steps of seating the first bracket described above on the distal aspect of the resected femur and moving the first shaping tool along the curved track to form a patellar groove in a selected area thereof. The first shaping tool is then withdrawn and, leaving the first bracket in place, the second bracket described above is seated on the curved track so that the slotted bore of the second bracket is accurately aligned with the opening of the first bracket, after which a second shaping tool is introduced through the bore to form a recess accommodating the intercondylar-stabilizing housing of the implant.

10. 发明授权

US5019104A Patellar prosthesis and method of making the same 失效
标题翻译：髌骨假体及其制作方法
公开(公告)号：US5019104A
公开(公告)日：1991-05-28
申请号：US466093
申请日：1990-01-16
申请人： Leo A. Whiteside , Bradley J. Coates
发明人： Leo A. Whiteside , Bradley J. Coates
IPC分类号： A61F2/38 , A61F2/42
CPC分类号： A61F2/3877 , Y10S623/901
摘要： A composite metal/plastic patellar prosthesis for implantation in the human body to replace the articulating surface of the patella is provided. The prosthesis includes a polymeric articulating surface portion and a metal backing having an anterior surface adapted to be attached to the posterior surface of a resected patella, and a dome or conically shaped posterior surface to which the polymeric articulating surface portion is heat and pressure molded. The metal backing portion has at least one aperture extending therethrough which has a greater cross-sectional area on the anterior side than on the posterior side into which an anchoring peg integral with the antrior surface of the polymeric articulating surface portion is molded. The metal and plastic components of the composite are coextensive in size and shape.

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