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1. 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。

2. 发明授权

US5683470A Tibial trial prosthesis and bone preparation system 失效
公开(公告)号：US5683470A
公开(公告)日：1997-11-04
申请号：US482935
申请日：1995-06-07
申请人： Chris E. Johnson , Tim Vendrely , Leo A. Whiteside , Thomas A. Carls , John Steele , Khosrow Naraghian
发明人： Chris E. Johnson , Tim Vendrely , Leo A. Whiteside , Thomas A. Carls , John Steele , Khosrow Naraghian
IPC分类号： A61F2/38 , A61B17/15 , A61B17/16 , A61B17/17 , A61B19/00 , A61F2/00 , A61F2/30 , A61F2/46
CPC分类号： A61F2/4684 , A61B17/155 , A61B17/1604 , A61B17/1675 , 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
摘要： The method of implanting a femoral and a tibial knee prosthesis and instruments for surgically implanting the femoral and tibial prosthesis component as disclosed. The method includes the formation of a plurality of surgical cuts on the patient's distal femur. A trial tibial prosthesis is then fitted to the surgically prepared distal femur. The trial prosthesis has a femoral articulating surface and a non-articulating surface that fits the patient's distal femur at the surgical cuts. A surgeon then forms a transverse cut on the patient's proximal tibia. The surgeon places a tibial trial prosthesis on the patient's proximal tibia, the trial prosthesis including a tibial trial stem that fits the patient's intramedullary canal, a tibial trial metallic tray or plate, and a plastic trial insert that fits the tibial tray or plate. The plastic insert includes a tibial articulating surface that can articulate with the femoral articulating surface. The respective articulating surfaces are placed in contact and the surgeon then moves the patient's knee through a full range of motion. During this movement of patient's knee through a full range of motion, the surgeon uses a lever that is attached to the trial tibial prosthesis to rotate the trial tibial prosthesis about its stem. The surgeon can try different rotational positions of the tibial trial prosthesis each time moving the knee through a full range of motion to ensure proper orientation and an accurate fit.

3. 发明授权

US5683397A Distal femoral cutting guide apparatus for use in knee joint replacement surgery 失效
标题翻译：用于膝关节置换手术的远端股骨切割导引装置
公开(公告)号：US5683397A
公开(公告)日：1997-11-04
申请号：US389099
申请日：1995-02-15
申请人： Tim Vendrely , Leo A. Whiteside , Thomas A. Carls , John Steele , Chris E. Johnson
发明人： Tim Vendrely , Leo A. Whiteside , Thomas A. Carls , John Steele , Chris E. Johnson
IPC分类号： A61B17/56 , A61B17/15 , A61F2/46
CPC分类号： A61B17/155
摘要： A distal femoral cutting block apparatus for use in knee surgery includes an instrument body that has generally flat opposing parallel surfaces and a plurality flat peripheral surfaces to form a generally rectangular body. The body provides anterior and posterior surfaces and medial and lateral surfaces. The transverse slot carries a valgus module that is movably disposed in the slot. The valgus module includes a tubular sleeve member having a pair of opposed sides that abut the body at the slot. A portion of the tubular sleeve member is threaded and the threaded portion extends away from the body. An open ended bore extends through the tubular member. The open ended bore of the tubular sleeve member of the module accommodates an intramedullary rod that fits the patient s intramedullary canal. A lock nut engages the threaded section of the module for locking the module in a desired position on the cutting block body by engaging the threaded portion and the instrument body to rigidly affix them together.
摘要翻译：用于膝盖手术的远端股骨切割块装置包括具有大致平坦的相对的平行表面的仪器主体和多个平坦的周边表面，以形成大致矩形的主体。身体提供前后表面和内侧和外侧表面。横向狭槽携带可移动地设置在狭槽中的外翻模块。外翻模块包括管状套筒构件，其具有在狭槽处抵靠身体的一对相对的侧面。管状套筒构件的一部分是螺纹的并且螺纹部分远离主体延伸。开口孔延伸穿过管状构件。模块的管状套筒构件的开口孔容纳适合患者髓内管的髓内杆。锁定螺母与模块的螺纹部分接合，用于通过接合螺纹部分和仪器主体将模块固定在一起，将模块锁定在切割块体上的期望位置。

4. 发明授权

US5609642A Tibial trial prosthesis and bone preparation system 失效
标题翻译：胫骨假体和骨骼制备系统
公开(公告)号：US5609642A
公开(公告)日：1997-03-11
申请号：US389100
申请日：1995-02-15
申请人： Chris E. Johnson , Tim Vendrely , Leo A. Whiteside , Thomas A. Carls , John Steele , Khosrow Naraghian
发明人： Chris E. Johnson , Tim Vendrely , Leo A. Whiteside , Thomas A. Carls , John Steele , Khosrow Naraghian
IPC分类号： A61F2/38 , A61B17/15 , A61B17/16 , A61B17/17 , A61B19/00 , A61F2/00 , A61F2/30 , A61F2/46
CPC分类号： A61F2/4684 , A61B17/155 , A61B17/1604 , A61B17/1675 , 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
摘要： The method of implanting a femoral and a tibial knee prosthesis and instruments for surgically implanting the femoral and tibial prosthesis component as disclosed. The method includes the formation of a plurality of surgical cuts on the patient's distal femur. A trial tibial prosthesis is then fitted to the surgically prepared distal femur. The trial prosthesis has a femoral articulating surface and a non-articulating surface that fits the patient's distal femur at the surgical cuts. A surgeon then forms a transverse cut on the patient's proximal tibia. The surgeon places a tibial trial prosthesis on the patient's proximal tibia, the trial prosthesis including a tibial trial stem that fits the patient's intramedullary canal, a tibial trial metallic tray or plate, and a plastic trial insert that fits the tibial tray or plate. The plastic insert includes a tibial articulating surface that can articulate with the femoral articulating surface. The respective articulating surfaces are placed in contact and the surgeon then moves the patient's knee through a full range of motion. During this movement of patient's knee through a full range of motion, the surgeon uses a lever that is attached to the trial tibial prosthesis to rotate the trial tibial prosthesis about its stem. The surgeon can try different rotational positions of the tibial trial prosthesis each time moving the knee through a full range of motion to ensure proper orientation and an accurate fit.
摘要翻译：公开了植入股骨和胫骨膝关节假体的方法和用于手术植入股骨和胫骨假体部件的器械。该方法包括在患者的远端股骨上形成多个手术切口。然后将试胫骨假体装配到手术制备的远端股骨。试验假体具有股骨关节表面和在手术切口处适合患者的远端股骨的非关节表面。然后，外科医生在患者的胫骨近端形成横切。外科医生将胫骨试验假体放置在患者的近端胫骨上，试验假体包括适合患者髓内管，胫骨试验金属托盘或板的胫骨试验杆和适合胫骨托盘或板的塑料试验插入物。塑料插入件包括能够与股骨关节表面铰接的胫骨关节表面。相应的关节表面被放置成接触，并且外科医生然后使患者的膝盖移动通过全范围的运动。在患者膝盖运动过程中，外科医生使用一根连接到胫骨假体假肢的杠杆来围绕其茎部旋转胫骨假体。外科医生可以在每次将膝盖移动一整个运动范围时，尝试胫骨试验假体的不同旋转位置，以确保正确的定向和精确的配合。

5. 发明授权

US5776200A Tibial trial prosthesis and bone preparation system 失效
标题翻译：胫骨假体和骨骼制备系统
公开(公告)号：US5776200A
公开(公告)日：1998-07-07
申请号：US472815
申请日：1995-06-07
申请人： Chris E. Johnson , Tim Vendrely , Leo A. Whiteside , Thomas A. Carls , John Steele , Khosrow Naraghian
发明人： Chris E. Johnson , Tim Vendrely , Leo A. Whiteside , Thomas A. Carls , John Steele , Khosrow Naraghian
IPC分类号： A61F2/38 , A61B17/15 , A61B17/16 , A61B17/17 , A61B19/00 , A61F2/00 , A61F2/30 , A61F2/46
CPC分类号： A61F2/4684 , A61B17/155 , A61B17/1604 , A61B17/1675 , 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
摘要： The method of implanting a femoral and a tibial knee prosthesis and instruments for surgically implanting the femoral and tibial prosthesis component as disclosed. The method includes the formation of a plurality of surgical cuts on the patient's distal femur. A trial tibial prosthesis is then fitted to the surgically prepared distal femur. The trial prosthesis has a femoral articulating surface and a non-articulating surface that fits the patient's distal femur at the surgical cuts. A surgeon then forms a transverse cut on the patient's proximal tibia. The surgeon places a tibial trial prosthesis on the patient's proximal tibia, the trial prosthesis including a tibial trial stem that fits the patient's intramedullary canal, a tibial trial metallic tray or plate, and a plastic trial insert that fits the tibial tray or plate. The plastic insert includes a tibial articulating surface that can articulate with the femoral articulating surface. The respective articulating surfaces are placed in contact and the surgeon then moves the patient's knee through a full range of motion. During this movement of patient's knee through a full range of motion, the surgeon uses a lever that is attached to the trial tibial prosthesis to rotate the trial tibial prosthesis about its stem. The surgeon can try different rotational positions of the tibial trial prosthesis each time moving the knee through a full range of motion to ensure proper orientation and an accurate fit.
摘要翻译：公开了植入股骨和胫骨膝关节假体的方法和用于手术植入股骨和胫骨假体部件的器械。该方法包括在患者的远端股骨上形成多个手术切口。然后将试胫骨假体装配到手术制备的远端股骨。试验假体具有股骨关节表面和在手术切口处适合患者的远端股骨的非关节表面。然后，外科医生在患者的胫骨近端形成横切。外科医生将胫骨试验假体放置在患者的近端胫骨上，试验假体包括适合患者髓内管，胫骨试验金属托盘或板的胫骨试验杆和适合胫骨托盘或板的塑料试验插入物。塑料插入件包括能够与股骨关节表面铰接的胫骨关节表面。相应的关节表面被放置成接触，并且外科医生然后使患者的膝盖移动通过全范围的运动。在患者膝盖运动过程中，外科医生使用一根连接到胫骨假体假肢的杠杆来围绕其茎部旋转胫骨假体。外科医生可以在每次将膝盖移动一整个运动范围时，尝试胫骨试验假体的不同旋转位置，以确保正确的定向和精确的配合。

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

US07063705B2 Fluoroscopic locator and registration device 有权
公开(公告)号：US07063705B2
公开(公告)日：2006-06-20
申请号：US10180045
申请日：2002-06-26
申请人： John Stewart Young , Harold S. Taylor , Tony Melkent , Thomas A. Carls , Chris Johnson
发明人： John Stewart Young , Harold S. Taylor , Tony Melkent , Thomas A. Carls , Chris Johnson
IPC分类号： A61B17/56
CPC分类号： A61B90/39 , A61B34/10 , A61B90/50 , A61B2090/363 , A61B2090/3983
摘要： A registration device is used to couple an identification superstructure of a surgical navigation system to the spinal column. The registration device includes a pair of vertebral engaging members positionable in a spinal disc space. At least one of the vertebrae engaging members moves outwardly from a collapsed position to engage the registration device to the endplates of the adjacent vertebrae.

8. 发明授权

US08100945B2 Intervertebral prosthetic device for spinal stabilization and method of implanting same 有权
标题翻译：用于脊柱稳定的椎间假体装置及其植入方法
公开(公告)号：US08100945B2
公开(公告)日：2012-01-24
申请号：US12573772
申请日：2009-10-05
申请人： Jonathan M. Dewey , Fred J. Molz, IV , Aurelien Bruneau , Eric C. Lange , Matthew M. Morrison , Thomas A. Carls , Kent M. Anderson , Jean M. Taylor
发明人： Jonathan M. Dewey , Fred J. Molz, IV , Aurelien Bruneau , Eric C. Lange , Matthew M. Morrison , Thomas A. Carls , Kent M. Anderson , Jean M. Taylor
IPC分类号： A61B17/70
CPC分类号： A61B17/7067
摘要： A prosthetic device for insertion in a spinal column includes a first, second, and third members. The first member includes an inferiorly extending tab and is of a relatively flexible material. The second member includes a superiorly extending tab and is of a relatively flexible material. The third member defines a superior opening for receiving the inferiorly extending tab and an inferior opening for receiving the superiorly extending tab and is of a relatively stiff material. The device also includes a means for providing a rigid connection of the third member to a vertebra.
摘要翻译：用于插入脊柱的假体装置包括第一，第二和第三构件。第一构件包括下延伸的突出部并且是相对柔性的材料。第二构件包括上部延伸的突出部并且是相对柔性的材料。第三构件限定用于接收下延伸突出部的上部开口和用于接收上延伸突出部并且具有相对刚性材料的下开口。该装置还包括用于提供第三构件与椎骨的刚性连接的装置。

9. 发明授权

US08029550B2 Intervertebral prosthetic device for spinal stabilization and method of implanting same 有权
标题翻译：用于脊柱稳定的椎间假体装置及其植入方法
公开(公告)号：US08029550B2
公开(公告)日：2011-10-04
申请号：US12573779
申请日：2009-10-05
申请人： Jonathan M. Dewey , Fred J. Molz, IV , Aurelien Bruneau , Eric C. Lange , Matthew M. Morrison , Thomas A. Carls , Kent M. Anderson , Jean M. Taylor
发明人： Jonathan M. Dewey , Fred J. Molz, IV , Aurelien Bruneau , Eric C. Lange , Matthew M. Morrison , Thomas A. Carls , Kent M. Anderson , Jean M. Taylor
IPC分类号： A61B17/88 , A61B17/70
CPC分类号： A61B17/7067
摘要： A method of implanting a spinal prosthesis comprises inserting a first member between superior and inferior spinous processes associated with respective superior and inferior vertebrae. The superior and inferior vertebrae are separated by an intermediate vertebra. The method further includes inserting a second member through a channel in the first member. After the second member is inserted, the method requires removing the second member from the channel and inserting a third member through the channel. The third member has a different stiffness than the second member. Finally, the method requires anchoring the third member to the intermediate vertebra, while the third member is inserted through the channel. The third member is anchored at first and second locations disposed on respective first and second lateral sides of the intermediate vertebra.
摘要翻译：植入脊椎假体的方法包括将第一构件插入与上下椎骨相关的上棘和下棘之间。上下椎骨由中间椎骨分开。该方法还包括通过第一构件中的通道插入第二构件。在插入第二构件之后，该方法需要从通道中移除第二构件并且通过通道插入第三构件。第三构件具有与第二构件不同的刚度。最后，该方法需要将第三构件固定到中间椎骨，同时第三构件插入通道。第三构件被固定在设置在中间椎骨的相应的第一和第二横向侧上的第一和第二位置处。

10. 发明申请

US20110218574A1 DYNAMIC VERTEBRAL CONSTRUCT 审中-公开
标题翻译：动态VERTEBRAL构造
公开(公告)号：US20110218574A1
公开(公告)日：2011-09-08
申请号：US12716746
申请日：2010-03-03
申请人： Henry K. Bonin, JR. , Greg C. Marik , Thomas A. Carls
发明人： Henry K. Bonin, JR. , Greg C. Marik , Thomas A. Carls
IPC分类号： A61B17/70
CPC分类号： A61B17/7007 , A61B17/7008 , A61B17/702 , A61B17/7031 , A61B17/7032 , A61B17/7046
摘要： A vertebral construct includes a first fastening element having a first portion and a second portion configured for engagement with tissue. A rod defines an elongated cavity configured to facilitate dynamic translation of the first portion therein relative to the rod. A second fastening element has a first portion fixedly connected to the rod. Methods of use are disclosed.
摘要翻译：椎骨结构包括具有第一部分的第一紧固元件和被配置为与组织接合的第二部分。杆限定细长空腔，该细长空腔被构造成有助于使第一部分在其中相对于杆的动态平移。第二紧固元件具有固定地连接到杆的第一部分。公开了使用方法。

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