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1. 发明授权

US06607536B2 Set of surgical tools and surgical method for anterior cruciate ligament reconstruction 失效
公开(公告)号：US06607536B2
公开(公告)日：2003-08-19
申请号：US09944594
申请日：2001-09-04
申请人： Yoram Litwin , Ran Oren
发明人： Yoram Litwin , Ran Oren
IPC分类号： A61B1790
CPC分类号： A61F2/0805 , A61B17/1714 , A61B17/1764 , A61B17/8891 , A61F2/0811 , Y10S606/916
摘要： A surgical inserter is provided which includes (a) a head portion formed with a ring acceptor for accepting a ring of the surgical screw; and (b) a neck portion connected to, or integrally formed with, the head portion. The neck portion is formed with two longitudinal grooves for engaging a folded band of connective tissue therein.

2. 发明授权

US06206884B1 Reduction-based joint replacement apparatus and methods 失效
标题翻译：减少型关节置换装置及方法
公开(公告)号：US06206884B1
公开(公告)日：2001-03-27
申请号：US09115960
申请日：1998-07-15
申请人： Michael A. Masini
发明人： Michael A. Masini
IPC分类号： A61B1790
CPC分类号： A61B17/15 , A61B17/1659 , A61B17/1668 , A61B17/1684 , A61F2/468 , A61F2/4684 , A61F2002/30542 , A61F2002/3055 , A61F2002/3611 , A61F2002/3625 , A61F2002/3633 , A61F2002/366 , A61F2002/4018 , A61F2002/4029 , A61F2002/4033
摘要： A reduction-based orthopedic system facilitates the installation of a properly oriented prosthetic component of the type having an articulating surface adapted to co-act in a joint. A trialing component attachable to an anchoring unit includes an articulating surface corresponding to that of the prosthetic component, enabling a desired orientation to be established through a trial reduction. A cutting guide is provided which is physically indexed to the trialing component and the prosthesis, such that when the bone is modified using the guide, the prosthetic component automatically assumes the desired orientation. The apparatus invention may further include apparatus for locking the trialing component into place upon establishing the desired orientation, with the anchoring unit being rigidly coupleable to the anchoring unit bone through attachment to the trialing component in locked position. In an alternative configuration, the bone-cutting guide is coupleable to the anchoring unit through direct attachment.
摘要翻译：基于还原的矫形系统有助于安装具有适于共同作用在关节中的铰接表面的类型的适当定向的假体部件。附接到锚固单元的试验部件包括对应于假肢部件的铰接表面，从而能够通过试验减少来建立所需的取向。提供切割引导件，其物理地索引到试验部件和假体，使得当使用引导件改变骨骼时，假肢部件自动地呈现期望的取向。该装置发明还可以包括用于在建立所需取向时将调试部件锁定就位的装置，其中锚定单元通过在锁定位置附接到试验部件而与锚定单元骨刚性联接。在替代配置中，骨切割引导件通过直接连接与锚定单元相连。

3. 发明授权

US06656189B1 Radiolucent aiming guide 失效
标题翻译：射线瞄准指南
公开(公告)号：US06656189B1
公开(公告)日：2003-12-02
申请号：US09577982
申请日：2000-05-25
申请人： Frank A. Wilson , Mark E. Nadzadi
发明人： Frank A. Wilson , Mark E. Nadzadi
IPC分类号： A61B1790
CPC分类号： A61B17/1725 , A61B17/1703 , A61B90/39 , A61B90/92 , A61B2017/00902
摘要： The present invention is directed to a radiolucent aiming guide for locating and drilling through the holes in the distal end of an implanted intramedullary nail. The aiming guide comprises an elongate handle constructed substantially of a radiolucent material, which does not cast a strong image on a monitor when exposed to radiation. The radiolucent handle is used in conjunction with a protection sleeve, trocar, drill sleeve, and drill bit, which are used to locate and drill through the hole in the nail. Radiopaque components in the distal end of the protection sleeve, trocar, and drill bit are used to align the drill over the nail hole. A pair of radiopaque pins, located within the handle and lying parallel to its longitudinal axis, aid in ensuring the proper rotational alignment of the aiming guide over the nail hole. The aiming guide may also include a structure to facilitate its alignment over a second hole in the distal end of the intramedullary nail.
摘要翻译：本发明涉及一种用于定位和穿过植入髓内钉远端中的孔的射线可视瞄准引导件。瞄准引导件包括基本上由射线可透射材料构成的细长手柄，当暴露于辐射时，它不会在监视器上投射强烈的图像。射线透视手柄与保护套，套针，钻套和钻头一起使用，用于定位和钻孔中的孔。使用保护套，套管针和钻头远端的不透射线部件将钻头对准钉孔。位于手柄内并且平行于其纵向轴线平行放置的一对不透射线的销有助于确保瞄准引导件在钉孔上的适当旋转对准。瞄准引导件还可以包括便于其在髓内钉远端的第二孔上对准的结构。

4. 发明授权

US06383191B1 Laparoscopic instrument sleeve 失效
标题翻译：腹腔镜仪器袖
公开(公告)号：US06383191B1
公开(公告)日：2002-05-07
申请号：US09526000
申请日：2000-03-15
申请人： Thomas Zdeblick , Thomas V. McGahan
发明人： Thomas Zdeblick , Thomas V. McGahan
IPC分类号： A61B1790
CPC分类号： A61B17/3439 , A61B17/1757 , A61B17/3421 , A61B17/3431 , A61B17/88 , A61B2017/00261 , A61B2090/08021
摘要： Surgical techniques and instruments are provided for performing laparoscopic surgical procedures. The apparatus includes a sleeve having a proximal end, a distal end, and a lumen extending between the proximal and distal ends. The lumen opens at the proximal end and receives an elongated member, such as a cannula or surgical instrument, therethrough. The sleeve is resilient material and conformable to the outer shape of at least a distal portion of the elongate member. In one form the distal end wall includes means for opening the end wall to allow the elongate member to advance therethrough. The sleeve may also be provided with internal ribs and a flange member. Various techniques using various surgical instruments in laparoscopic procedures are also disclosed.
摘要翻译：提供手术技术和仪器用于执行腹腔镜手术。该装置包括具有近端，远端和在近端和远端之间延伸的内腔的套管。内腔在近端开口并且容纳穿过其中的细长构件，例如插管或手术器械。套筒是弹性材料，并且与细长构件的至少远端部分的外形相一致。在一种形式中，远端壁包括用于打开端壁以允许细长构件通过其延伸的装置。套筒也可以设置有内部肋和凸缘构件。还公开了在腹腔镜手术中使用各种手术器械的各种技术。

5. 发明授权

US06210415B1 Surgical drill guide 有权
标题翻译：外科手术指导
公开(公告)号：US06210415B1
公开(公告)日：2001-04-03
申请号：US09507771
申请日：2000-02-18
申请人： Leon W. Bester
发明人： Leon W. Bester
IPC分类号： A61B1790
CPC分类号： A61B17/1714
摘要： A surgical drill guide for directing a guide tube toward a target. The guide tube has first and second sets of teeth extending along an exterior surface thereof. A through passage in an operating mechanism housing receives the guide tube. A first actuator or guide tube advancing mechanism uses a ratchet and pawl mechanism to advance the guide tube distally. A guide tube locking mechanism, that includes another ratchet and pawl mechanism prevents any unwanted proximal motion by providing a releasable lock against any unwanted proximal motion of the guide tube during use.
摘要翻译：一种用于将引导管朝向目标引导的手术钻子引导件。引导管具有沿着其外表面延伸的第一和第二组齿。操作机构壳体中的贯穿通道接收导管。第一致动器或引导管前进机构使用棘轮和棘爪机构将导管向远侧推进。引导管锁定机构，其包括另一个棘轮和棘爪机构，通过在使用期间通过提供可释放的锁来抵抗引导管的任何不期望的近端运动来防止任何不想要的近端运动。

6. 发明授权

US06635062B2 Methods and instrumentation for vertebral interbody fusion 有权
公开(公告)号：US06635062B2
公开(公告)日：2003-10-21
申请号：US09945277
申请日：2001-08-31
申请人： Eddie F. Ray, III , James P. Duncan
发明人： Eddie F. Ray, III , James P. Duncan
IPC分类号： A61B1790
CPC分类号： A61B17/025 , A61B17/1615 , A61B17/1617 , A61B17/1637 , A61B17/1655 , A61B17/1671 , A61B17/1757 , A61B2017/0256 , A61B2017/3445 , A61B2090/034 , A61B2090/062 , A61F2/4611 , A61F2002/4627 , A61F2002/4687
摘要： Methods and instrumentation for vertebral interbody fusion are provided. Sleeve assemblies can be provided with a reduced width portion adjacent the distal end to limit the amount of retraction of the surrounding vascular and neural structures required for the procedure. A sleeve assembly can be provided with a guide sleeve removably engaged to a guide sleeve housing. The guide sleeve can be removed during surgery to improve the surgeon's viewing of the operative site while the guide sleeve housing maintains disc space distraction. Methods and instruments for inserting and using the guide sleeve housing are also provided.

7. 发明授权

US06358253B1 Repairing cartilage 有权
标题翻译：修复软骨
公开(公告)号：US06358253B1
公开(公告)日：2002-03-19
申请号：US09665519
申请日：2000-09-19
申请人： Paul A. Torrie , Michael C. Ferragamo , Rebecca Blough , Anthony Miniaci , Lázló Hangody , Zoltán Kárparti
发明人： Paul A. Torrie , Michael C. Ferragamo , Rebecca Blough , Anthony Miniaci , Lázló Hangody , Zoltán Kárparti
IPC分类号： A61B1790
CPC分类号： A61B17/1635 , A61B17/175 , A61B2090/062 , A61F2/30756 , A61F2/3859 , A61F2/4601 , A61F2/4618 , A61F2/4657 , A61F2002/2839 , A61F2002/4623 , A61F2002/4649 , A61F2002/4658 , A61F2002/4659 , A61F2310/00964
摘要： A method of repairing cartilage (e.g., articular cartilage on the femur) and a set of instruments used in the method are provided. The damaged cartilage is removed from the bone to expose the underlying bone, grafts covered with cartilage (e.g., hyaline cartilage) are harvested from elsewhere in the body (e.g., other areas of the femur), and the grafts are inserted into holes drilled into the exposed area of bone. A guide is provided for use with surgical instruments during the procedure to orient the surgical instruments perpendicularly to the bone surface during use. The guide includes a guiding portion disposed along a longitudinal axis for engaging the surgical instrument, and a tissue-engaging portion oriented perpendicularly to the longitudinal axis. A set of surgical instruments used to carry out the method includes the guide, a drill for forming the graft-receiving holes, and an insertion tool for inserting the grafts. Other accessory instruments are also provided.
摘要翻译：提供了修复软骨（例如，股骨上的关节软骨）的方法以及该方法中使用的一组仪器。将损坏的软骨从骨头上取出以暴露下面的骨骼，用软骨（例如，透明软骨）覆盖的移植物从身体其他部位（例如股骨的其他区域）收获，将移植物插入钻孔骨的暴露面积。在使用期间，提供了用于在外科手术器械中使用的引导件以使外科器械垂直于骨表面定向。引导件包括沿着纵向轴线布置以用于接合外科器械的引导部分和与纵向轴线垂直定向的组织接合部分。用于执行该方法的一组外科器械包括导向件，用于形成移植物接收孔的钻头以及用于插入移植物的插入工具。还提供其他附件仪器。

8. 发明授权

US06214013B1 Method of using a guide-pin placement device 有权
标题翻译：使用导针放置装置的方法
公开(公告)号：US06214013B1
公开(公告)日：2001-04-10
申请号：US09458901
申请日：1999-12-10
申请人： Greg Lambrecht , Brett Jason Stern , Jacob Einhorn , Kathleen Hydzik Robbins
发明人： Greg Lambrecht , Brett Jason Stern , Jacob Einhorn , Kathleen Hydzik Robbins
IPC分类号： A61B1790
CPC分类号： A61B17/1721 , A61B17/1703 , A61B90/39
摘要： A hand instrument and method for use by a surgeon to target the appropriate entry point and trajectory on bony tissue through which an instrument, such as a nail, pin, screw, rod, wire, drill bit, or other implant is passed. Imbedded within the instrument is at least one relatively radio-opaque target which allows the user to predict with the use of an x-ray or fluoroscopic imaging device the placement of said instrument or implant before drilling it into place with the use of an x-ray or fluoroscopic imaging device. By manipulating the device around the axis of the guide piece, the surgeon can predict the placement of the instrument or implant without iterative insertion and removal of the instrument or implant itself.
摘要翻译：用于外科医生使用的手工仪器和方法，用于将通过诸如钉子，销钉，螺钉，杆，线，钻头或其他植入物的器械通过其的骨组织上的适当入口点和轨迹。嵌入仪器内至少有一个相对不透射线的目标，允许用户使用x射线或荧光透视成像设备预测所述仪器或植入物在钻孔前的位置，射线或荧光成像装置。通过围绕引导件的轴线操作该装置，外科医生可以预测仪器或植入物的放置，而无需重复插入和移除仪器或植入物本身。

9. 发明授权

US06780192B2 Osteogenic packing device and method 有权
公开(公告)号：US06780192B2
公开(公告)日：2004-08-24
申请号：US10040154
申请日：2001-10-22
申请人： William F. McKay , Bradley T. Estes
发明人： William F. McKay , Bradley T. Estes
IPC分类号： A61B1790
CPC分类号： A61F2/4611 , A61B2090/062 , A61F2/442 , A61F2/446 , A61F2/4601 , A61F2002/2817 , A61F2002/2835 , A61F2002/30225 , A61F2002/30329 , A61F2002/30405 , A61F2002/30616 , A61F2002/30785 , A61F2002/30797 , A61F2002/3082 , A61F2002/3085 , A61F2002/4602 , A61F2002/4623 , A61F2002/4627 , A61F2002/4662 , A61F2220/0025 , A61F2230/0069 , A61F2250/0064
摘要： An osteogenic material packing device is used to pack osteogenic material onto a spinal fusion device. The packing device has a cavity defined therein, which is adapted to receive the spinal fusion device. The packing device further includes an access port, which intersects the cavity to receive the osteogenic material. A cannula is coupled to the packing device and an inserter is coupled to the fusion device in order to insert the fusion device into the packing device. Osteogenic material is packed through the access port around the fusion device. The fusion device then is slid through the cannula and inserted in the intervertebral space between adjacent vertebrae.

10. 发明授权

US06458135B1 Femoral guide for implanting a femoral knee prosthesis and method 有权
标题翻译：用于植入股骨膝关节假体的股骨导向器和方法
公开(公告)号：US06458135B1
公开(公告)日：2002-10-01
申请号：US09776240
申请日：2001-02-02
申请人： Steven F. Harwin , Stuart L. Axelson , David J. Neal
发明人： Steven F. Harwin , Stuart L. Axelson , David J. Neal
IPC分类号： A61B1790
CPC分类号： A61F2/4657 , A61B17/155 , A61B2090/061 , A61F2/3859 , A61F2002/30617 , A61F2002/4658 , A61F2250/0097
摘要： A femoral guide is shown in the form of a femoral sizing guide for determining the size of a femoral knee prosthesis to be implanted at an implant site at a distal femur and includes a femoral sizing block connected to a foot component for selective pivotal movement about a pivotal axis extending in a generally axial direction and essentially intersecting the transepicondylar axis of the distal femur to enable a guide arrangement on the femoral sizing block to be located for facilitating subsequent placement of a femoral cutting guide on a distal femur in position to rotationally locate an anterior cut in a plane anterior of and essentially parallel to the transepicondylar axis of the distal femur. The femoral sizing block is connected to the foot component for selective linear movement to compensate for size variations outside standard femoral knee prosthesis sizes. Visible indications are provided of the location of a subsequently implanted femoral knee prosthesis. A corresponding method determines the appropriate location and position of the femoral knee prosthesis to be implanted at the implant site, and the size of the femoral knee prosthesis.
摘要翻译：股骨引导件以股骨上钉引导件的形式示出，用于确定待植入在股骨远端的植入部位的股骨膝关节假体的尺寸，并且包括连接到脚部件的股骨上浆块，用于围绕枢转轴线在大致轴向方向上延伸并且基本上与股骨远端的髁间轴线相交，以使得能够定位股骨上浆块上的引导装置，以便于随后将股骨切割引导件放置在位置远的股骨上，以旋转地定位在远端股骨的经髁轴线之前和基本上平行的平面中前切割。股骨大小块连接到脚部件用于选择性线性运动，以补偿标准股骨膝关节假体尺寸之外的尺寸变化。提供随后植入的股骨膝假体的位置的可见指示。相应的方法确定在植入位置植入的股骨膝假体的适当位置和位置以及股骨膝假体的尺寸。

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