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1. 发明授权

US07473254B2 Pivoting bone reamer for minimally invasive joint surgery 有权
标题翻译：枢轴骨铰刀用于微创关节外科手术
公开(公告)号：US07473254B2
公开(公告)日：2009-01-06
申请号：US10431908
申请日：2003-05-08
申请人： Patrick Michel White , André Lechot , Yves Desarzens , Hugh Davies
发明人： Patrick Michel White , André Lechot , Yves Desarzens , Hugh Davies
IPC分类号： A61B17/00
CPC分类号： A61B17/1617 , A61B17/1666 , A61B2017/00238 , A61B2017/00477
摘要： A rotary surgical reamer assembly for removing bone and tissue from a joint to facilitate the installation of a prosthetic device. The assembly includes a hollow reamer body having an opening and a base portion. The base portion includes a first pivoting link member, a wall with a surface defining a central cavity, and a plurality of spaced apart cutting sites defining apertures through said wall. A shaft is configured to be de-mountably attached to a rotary source of power. The shaft has a rotary axis and a second pivoting link member coupled to the first pivoting link member. The axis of the shaft forms an angle to the base portion. A mechanism adjusts the angle of the hollow reamer body from an un-deployed position to a deployed position.
摘要翻译：一种用于从关节去除骨骼和组织以便于安装假体装置的旋转手术扩孔器组件。组件包括具有开口和基部的中空扩孔体。基部包括第一枢转连杆构件，具有限定中心空腔的表面的壁以及限定穿过所述壁的孔的多个间隔开的切割位置。轴构造成可拆卸地附接到旋转动力源。轴具有旋转轴线和联接到第一枢转连杆构件的第二枢转连杆构件。轴的轴线与基部形成一角度。机构调整中空铰刀体从未展开位置到展开位置的角度。

2. 发明授权

US07780669B2 Reamer spindle for minimally invasive joint surgery 有权
标题翻译：铰刀主轴用于微创关节手术
公开(公告)号：US07780669B2
公开(公告)日：2010-08-24
申请号：US11935198
申请日：2007-11-05
申请人： André Lechot , Yves Desarzens , Hugh Davies , Patrick White
发明人： André Lechot , Yves Desarzens , Hugh Davies , Patrick White
IPC分类号： A61B17/00
CPC分类号： A61B17/1631 , A61B17/1633 , A61B17/1666 , A61B50/30 , A61B2017/320032
摘要： An adjustable reamer spindle is provided to aid the surgeon in controlling the instrument. The reamer spindle is easily disassembled for cleaning. The spindle has a repositionable handle, a locking ring, and an elastic device. The elastic device biases against a handle locking mechanism that locks the repositionable handle at angular positions about an axis of the spindle. The elastic device further biases a locking ring into a locked position. The locking ring aids in holding the reamer spindle together. Removal of the locking ring against an elastic bias of the elastic means unfastens an end of the assembly in order to facilitate disassembly and/or cleaning. Adjustment of the position of the handle about the spindle enables the palm/grip of each hand to be changed in order to provide maximum control in different orientations. The adjustment is desirable in order to accommodate operating on the left or right side of the patient, standing behind or in-front of the patient, or the use of a different surgical approach. Further, adjustment is important to accommodate the differing needs of surgeons who are naturally left or right handed.
摘要翻译：提供可调节铰刀主轴，以帮助外科医生控制仪器。铰刀主轴容易拆卸清洗。主轴具有可重新定位的手柄，锁定环和弹性装置。弹性装置抵靠手柄锁定机构偏置，该手柄锁定机构将可重定位手柄锁定在围绕心轴的轴线的角位置处。弹性装置进一步将锁定环偏压到锁定位置。锁定环有助于将铰刀主轴固定在一起。抵抗弹性装置的弹性偏压去除锁定环解除组件的端部以便于拆卸和/或清洁。手柄围绕主轴的位置的调整使得能够改变每只手的手掌/握柄，以便在不同的取向上提供最大程度的控制。为了适应在患者的左侧或右侧的操作，站在患者的后方或前方，或者使用不同的手术方法，该调整是可取的。此外，调整对于适应自然左手或右手的外科医生的不同需求是重要的。

3. 发明授权

US07637909B2 Reamer spindle for minimally invasive joint surgery 有权
标题翻译：铰刀主轴用于微创关节手术
公开(公告)号：US07637909B2
公开(公告)日：2009-12-29
申请号：US11123932
申请日：2005-05-05
申请人： André Lechot , Yves Desarzens , Hugh Davies , Patrick White
发明人： André Lechot , Yves Desarzens , Hugh Davies , Patrick White
IPC分类号： A61B17/00 , A61B17/58
CPC分类号： A61B17/1631 , A61B17/1633 , A61B17/1666 , A61B50/30 , A61B2017/320032
摘要： An adjustable reamer spindle is provided to aid the surgeon in controlling the instrument. The reamer spindle is easily disassembled for cleaning. The spindle has a repositionable handle, a locking ring, and an elastic device. The elastic device biases against a handle locking mechanism that locks the repositionable handle at angular positions about an axis of the spindle. The elastic device further biases a locking ring into a locked position. The locking ring aids in holding the reamer spindle together. Removal of the locking ring against an elastic bias of the elastic means unfastens an end of the assembly in order to facilitate disassembly and/or cleaning. Adjustment of the position of the handle about the spindle enables the palm/grip of each hand to be changed in order to provide maximum control in different orientations. The adjustment is desirable in order to accommodate operating on the left or right side of the patient, standing behind or in-front of the patient, or the use of a different surgical approach. Further, adjustment is important to accommodate the differing needs of surgeons who are naturally left or right handed.
摘要翻译：提供可调节铰刀主轴，以帮助外科医生控制仪器。铰刀主轴容易拆卸清洗。主轴具有可重新定位的手柄，锁定环和弹性装置。弹性装置抵靠手柄锁定机构偏置，该手柄锁定机构将可重定位手柄锁定在围绕心轴的轴线的角位置处。弹性装置进一步将锁定环偏压到锁定位置。锁定环有助于将铰刀主轴固定在一起。抵抗弹性装置的弹性偏压去除锁定环解除组件的端部以便于拆卸和/或清洁。手柄围绕主轴的位置的调整使得能够改变每只手的手掌/握柄，以便在不同的取向上提供最大程度的控制。为了适应在患者的左侧或右侧的操作，站在患者的后方或前方，或者使用不同的手术方法，该调整是可取的。此外，调整对于适应自然左手或右手的外科医生的不同需求是重要的。

4. 发明授权

US08784422B2 Acetabular reamer 有权
标题翻译：髋臼铰刀
公开(公告)号：US08784422B2
公开(公告)日：2014-07-22
申请号：US13084191
申请日：2011-04-11
申请人： André Lechot , Yves Desarzens , Patrick White
发明人： André Lechot , Yves Desarzens , Patrick White
IPC分类号： A61B17/00
CPC分类号： A61B17/1666 , A61B2017/1602
摘要： An acetabular reaming system is disclosed of the type having a driver and a tool held together by a quick-release coupling mechanism. The tool (10) has a hollow body (12) defining a domed shape with a rotational axis (14), an apex (16) aligned with the axis (14) and a hemispherical wall (18) extending from the apex (16) to an equatorial rim (20) spaced 90 degrees from the axis (14). The rim (20) has an edge (22) visible to the user that indicates the position of the tool (10) relative to the bone. A first plurality of cutting sites (24) is arrayed along the body (12) and a second plurality of cutting sites (28) is arrayed circumferentially along the edge (22). Preferably, the first plurality of cutting sites (24) present raised first teeth (30, 130, 230, 330) having a profile selected from continuous squared (30), continuous rounded (130), discontinuous squared (230) and tongued (330) profiles. Also preferably, the second plurality of cutting sites (28) present raised second teeth (32, 132, 232, 332, 432) selected from continuous squared (32), continuous rounded (132), discontinuous squared (232), tongued (332) and bladed (432) profiles.
摘要翻译：公开了具有驱动器和通过快速释放联接机构保持在一起的工具的类型的髋臼扩孔系统。工具（10）具有限定具有旋转轴线（14）的圆顶形状的中空本体（12），与轴线（14）对准的顶点（16）和从顶点（16）延伸的半球形壁（18）到与轴线（14）间隔90度的赤道边缘（20）。边缘（20）具有用于使用者可见的边缘（22），其指示工具（10）相对于骨头的位置。第一多个切割位置（24）沿着主体（12）排列，并且第二多个切割位置（28）沿着边缘（22）周向排列。优选地，第一多个切割位置（24）存在凸起的第一齿（30,130,230,330），其具有选自连续平方（30），连续圆形（130），不连续平方（230）和舌形（330）的轮廓）个人资料还优选地，第二多个切割位置（28）存在选自连续平方（32），连续圆形（132），不连续平方（232），舌形（332）的凸起的第二齿（32,132,232,332,432））和叶片（432）轮廓。

5. 发明授权

US08057477B2 Guided reamer system for reshaping bone 有权
标题翻译：引导铰刀系统重塑骨骼
公开(公告)号：US08057477B2
公开(公告)日：2011-11-15
申请号：US11117740
申请日：2005-04-29
申请人： Yves Desarzens , André Lechot
发明人： Yves Desarzens , André Lechot
IPC分类号： A61B17/00
CPC分类号： A61B17/1668 , A61B17/16 , A61B17/1617 , A61B17/1666 , A61B17/175 , A61B2090/0813
摘要： A reamer system is provided which includes a cannulated reamer holder, and a corresponding cannulated reamer, which, when assembled and operated over a drill pin secured in a manner axially aligned with the stem of the femoral joint, enables the accurate and controlled reshaping of the femoral joint. The reamer is made up of a cutting form and a central guide, in which the guide is supported at the center of the cutting form by a bar structure. The bar structure includes portions which connect to and extend radially between the central guide and a peripheral edge of the cutting form.
摘要翻译：提供了一种铰刀系统，其包括插管铰刀支架和相应的插管铰刀，当组装和操作在以与股骨关节的轴线轴向对准的方式固定的钻杆上时，可以精确和可控地重塑股骨关节。铰刀由切割形式和中心引导件构成，其中引导件通过条形结构支撑在切割形式的中心。杆结构包括连接到中心引导件和切割形式的周边边缘之间径向延伸的部分。

6. 发明申请

US20110202061A1 Acetabular Reamer 有权
标题翻译：髋臼铰刀
公开(公告)号：US20110202061A1
公开(公告)日：2011-08-18
申请号：US13084191
申请日：2011-04-11
申请人： André Lechot , Yves Desarzens , Patrick White
发明人： André Lechot , Yves Desarzens , Patrick White
IPC分类号： A61B17/16
CPC分类号： A61B17/1666 , A61B2017/1602
摘要： An acetabular reaming system is disclosed of the type having a driver and a tool held together by a quick-release coupling mechanism. The tool (10) has a hollow body (12) defining a domed shape with a rotational axis (14), an apex (16) aligned with the axis (14) and a hemispherical wall (18) extending from the apex (16) to an equatorial rim (20) spaced 90 degrees from the axis (14). The rim (20) has an edge (22) visible to the user that indicates the position of the tool (10) relative to the bone. A first plurality of cutting sites (24) is arrayed along the body (12) and a second plurality of cutting sites (28) is arrayed circumferentially along the edge (22). Preferably, the first plurality of cutting sites (24) present raised first teeth (30, 130, 230, 330) having a profile selected from continuous squared (30), continuous rounded (130), discontinuous squared (230) and tongued (330) profiles. Also preferably, the second plurality of cutting sites (28) present raised second teeth (32, 132, 232, 332, 432) selected from continuous squared (32), continuous rounded (132), discontinuous squared (232), tongued (332) and bladed (432) profiles.
摘要翻译：公开了具有驱动器和通过快速释放联接机构保持在一起的工具的类型的髋臼扩孔系统。工具（10）具有限定具有旋转轴线（14）的圆顶形状的中空本体（12），与轴线（14）对准的顶点（16）和从顶点（16）延伸的半球形壁（18）到与轴线（14）间隔90度的赤道边缘（20）。边缘（20）具有用于使用者可见的边缘（22），其指示工具（10）相对于骨头的位置。第一多个切割位置（24）沿着主体（12）排列，并且第二多个切割位置（28）沿着边缘（22）周向排列。优选地，第一多个切割位置（24）存在凸起的第一齿（30,130,230,330），其具有选自连续平方（30），连续圆形（130），不连续平方（230）和舌形（330）的轮廓）个人资料还优选地，第二多个切割位置（28）存在选自连续平方（32），连续圆形（132），不连续平方（232），舌形（332）的凸起的第二齿（32,132,232,332,432））和叶片（432）轮廓。

7. 发明授权

US07955320B2 Precision spindle instrument holder for surgical instrument 有权
标题翻译：手术器械精密主轴仪器支架
公开(公告)号：US07955320B2
公开(公告)日：2011-06-07
申请号：US10595442
申请日：2004-11-10
申请人： Yves Desarzens , André Lechot
发明人： Yves Desarzens , André Lechot
IPC分类号： A61B17/00
CPC分类号： A61B17/1666 , A61B2017/00473 , A61B2017/00477
摘要： A surgical instrument holder (10) is made up of a head assembly (68) and a drive spindle assembly (42). The head assembly (68) has a shank (12) with a first driveable end (14) and second coupling end (16). The second end has a coupling device (20) having an interface (22) for receiving a surgical instrument (24). The instrument (24) is held in functional assembly to the shank by a releasable locking mechanism (26). The releasable locking mechanism (26) is made up of a locking ring (30) slideably disposed about the shank, a spring (32) biased against the coupling device (20) by the locking ring, and a connection ring (34) retaining the locking ring in a fixed position during use. The drive spindle assembly (42) is connected to the head assembly (68) so as to transmit torque therethrough. The spindle assembly (42) has an elongated drive spindle (40), high precision bearings (44, 120, 122) and a cylindrical tube (46). The drive spindle (40) is releasably mounted to an end (36) of the spindle assembly and is supported for rotation within the cylindrical tube (46) by the high-precision bearings disposed therebetween and held in place at least in part by the shank (12). The bearings (44) precisely control the position of a surgical instrument (24) affixed thereto. The connection ring (34) provides a common quick-release connection with the head assembly (68) and the drive spindle assembly (42), such that unlocking of the connection ring (34) enables quick disassembly of the connection ring, spring (32), locking ring (30), and drive spindle assembly (42) for cleaning and component sterilization.
摘要翻译：手术器械保持器（10）由头部组件（68）和驱动主轴组件（42）组成。头组件（68）具有带有第一可驱动端（14）和第二联接端（16）的柄（12）。第二端具有联接装置（20），其具有用于接收外科器械（24）的接口（22）。仪器（24）通过可释放的锁定机构（26）保持在功能组件中。可释放的锁定机构（26）由可滑动地设置在柄周围的锁定环（30）构成，弹簧（32）通过锁定环偏压抵靠联接装置（20），以及连接环（34）锁定环在使用中处于固定位置。驱动主轴组件（42）连接到头部组件（68），以便通过其传递扭矩。主轴组件（42）具有细长的驱动轴（40），高精度轴承（44,120,122）和圆柱形管（46）。驱动主轴（40）可释放地安装到主轴组件的端部（36）上，并且被支撑用于通过设置在其间的高精度轴承在圆柱形管（46）内旋转并且至少部分地被柄（12）。轴承（44）精确地控制固定在其上的外科器械（24）的位置。连接环（34）提供与头部组件（68）和驱动主轴组件（42）的公共快速释放连接，使得连接环（34）的解锁能够快速拆卸连接环，弹簧（32）），锁定环（30）和驱动主轴组件（42），用于清洁和部件灭菌。

8. 发明授权

US07922721B2 Acetabular reamer 有权
标题翻译：髋臼铰刀
公开(公告)号：US07922721B2
公开(公告)日：2011-04-12
申请号：US10266442
申请日：2002-10-08
申请人： André Lechot , Yves Desarzens , Patrick White
发明人： André Lechot , Yves Desarzens , Patrick White
IPC分类号： A61B17/00
CPC分类号： A61B17/1666 , A61B2017/1602
摘要： An acetabular reaming system is disclosed of the type having a driver and a tool held together by a quick-release coupling mechanism. The tool (10) has a hollow body (12) defining a domed shape with a rotational axis (14), an apex (16) aligned with the axis (14) and a hemispherical wall (18) extending from the apex (16) to an equatorial rim (20) spaced 90 degrees from the axis (14). The rim (20) has an edge (22) visible to the user that indicates the position of the tool (10) relative to the bone. A first plurality of cutting sites (24) is arrayed along the body (12) and a second plurality of cutting sites (28) is arrayed circumferentially along the edge (22). Preferably, the first plurality of cutting sites (24) present raised first teeth (30, 130, 230, 330) having a profile selected from continuous squared (30), continuous rounded (130), discontinuous squared (230) and tongued (330) profiles. Also preferably, the second plurality of cutting sites (28) present raised second teeth (32, 132, 232, 332, 432) selected from continuous squared (32), continuous rounded (132), discontinuous squared (232), tongued (332) and bladed (432) profiles.
摘要翻译：公开了具有驱动器和通过快速释放联接机构保持在一起的工具的类型的髋臼扩孔系统。工具（10）具有限定具有旋转轴线（14）的圆顶形状的中空本体（12），与轴线（14）对准的顶点（16）和从顶点（16）延伸的半球形壁（18）到与轴线（14）间隔90度的赤道边缘（20）。边缘（20）具有用于使用者可见的边缘（22），其指示工具（10）相对于骨头的位置。第一多个切割位置（24）沿着主体（12）排列，并且第二多个切割位置（28）沿着边缘（22）周向排列。优选地，第一多个切割位置（24）存在凸起的第一齿（30,130,230,330），其具有选自连续平方（30），连续圆形（130），不连续平方（230）和舌形（330）的轮廓）个人资料还优选地，第二多个切割位置（28）存在选自连续平方（32），连续圆形（132），不连续平方（232），舌形（332）的凸起的第二齿（32,132,232,332,432））和叶片（432）轮廓。

9. 发明申请

US20060129157A1 Inset acetabular reamer coupling 有权
公开(公告)号：US20060129157A1
公开(公告)日：2006-06-15
申请号：US10526683
申请日：2003-09-12
申请人： Yves Desarzens , Hugh Davies , Patrick White , Andre Lechot
发明人： Yves Desarzens , Hugh Davies , Patrick White , Andre Lechot
IPC分类号： A61B17/16
CPC分类号： A61B17/1666
摘要： An acetabular reamer for surgical use includes (a) a substantially hemispherical dome defining an equatorial plane, and (b) a reamer spindle interface structure fixedly attached to the inside of the dome so as to substantially inset the interface structure within the dome. This insetting of the interface structure helps minimize the size of an assembly of the reamer and a reamer spindle when performing minimally invasive joint surgery.

10. 发明申请

US20090318922A9 REAMER SPINDLE FOR MINIMALLY INVASIVE JOINT SURGERY 有权
标题翻译：用于最小入场联合手术的激光主轴
公开(公告)号：US20090318922A9
公开(公告)日：2009-12-24
申请号：US11123932
申请日：2005-05-05
申请人： Andre Lechot , Yves Desarzens , Hugh Davies , Patrick White
发明人： Andre Lechot , Yves Desarzens , Hugh Davies , Patrick White
IPC分类号： A61B17/00
CPC分类号： A61B17/1631 , A61B17/1633 , A61B17/1666 , A61B50/30 , A61B2017/320032
摘要： An adjustable reamer spindle is provided to aid the surgeon in controlling the instrument. The reamer spindle is easily disassembled for cleaning. The spindle has a repositionable handle, a locking ring, and an elastic device. The elastic device biases against a handle locking mechanism that locks the repositionable handle at angular positions about an axis of the spindle. The elastic device further biases a locking ring into a locked position. The locking ring aids in holding the reamer spindle together. Removal of the locking ring against an elastic bias of the elastic means unfastens an end of the assembly in order to facilitate disassembly and/or cleaning. Adjustment of the position of the handle about the spindle enables the palm/grip of each hand to be changed in order to provide maximum control in different orientations. The adjustment is desirable in order to accommodate operating on the left or right side of the patient, standing behind or in-front of the patient, or the use of a different surgical approach. Further, adjustment is important to accommodate the differing needs of surgeons who are naturally left or right handed.
摘要翻译：提供可调节铰刀主轴，以帮助外科医生控制仪器。铰刀主轴容易拆卸清洗。主轴具有可重新定位的手柄，锁定环和弹性装置。弹性装置抵靠手柄锁定机构偏置，该手柄锁定机构将可重定位手柄锁定在围绕心轴的轴线的角位置处。弹性装置进一步将锁定环偏压到锁定位置。锁定环有助于将铰刀主轴固定在一起。抵抗弹性装置的弹性偏压去除锁定环解除组件的端部以便于拆卸和/或清洁。手柄围绕主轴的位置的调整使得能够改变每只手的手掌/握柄，以便在不同的取向上提供最大程度的控制。为了适应在患者的左侧或右侧的操作，站在患者的后方或前方，或者使用不同的手术方法，该调整是可取的。此外，调整对于适应自然左手或右手的外科医生的不同需求是重要的。

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