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1. 发明申请

WO2009106865A1 AN INSTRUMENT FOR USE IN A JOINT REPLACEMENT PROCEDURE 审中-公开
标题翻译：在联合更换程序中使用的仪器
公开(公告)号：WO2009106865A1
公开(公告)日：2009-09-03
申请号：PCT/GB2009/050110
申请日：2009-02-05
申请人： DEPUY INTERNATIONAL LTD , BURTON, Andrew , COWAN, Dean , GOWERS, Steven , SHAPLAND, John
发明人： BURTON, Andrew , COWAN, Dean , GOWERS, Steven , SHAPLAND, John
IPC分类号： A61F2/46
CPC分类号： A61F2/3609 , A61F2/4637 , A61F2/4684 , A61F2002/30331 , A61F2002/30352 , A61F2002/30487 , A61F2002/305 , A61F2002/3054 , A61F2002/30553 , A61F2002/30617 , A61F2002/3611 , A61F2002/3625 , A61F2002/365 , A61F2002/3652 , A61F2002/4641 , A61F2220/0025 , A61F2220/0033 , A61F2250/0008 , A61F2250/0097
摘要： An instrument for use in a joint replacement procedure. The instrument comprises a trial head (100, 200) which corresponds to the head of an orthopaedic joint component. The trial head (100, 200) has a bore formed in a reverse surface for coupling to a stem part (12) of the orthopaedic joint component which is intended for location in the intramedullary cavity of a bone. The trial head (100, 200) further comprises an articulating surface defined by a curved surface (108, 204) and a flattened surface (102, 202) proximal to the pole of the articulating surface which is defined by the curved articulating surface (108, 204), the flattened surface (102, 202) further comprising at least one marking (104). Also disclosed is an assembly for use in a joint replacement procedure comprising the instrument and an orthopaedic joint component.
摘要翻译：用于关节置换手术的仪器。仪器包括对应于整形外科关节部件的头部的试验头（100,200）。试验头（100,200）具有形成在反面中的孔，用于联接到旨在定位在骨髓内腔中的整形外科关节部件的杆部分（12）。试验头（100,200）还包括由弯曲表面（108,204）和靠近铰接表面的极的平坦表面（102,202）限定的铰接表面，铰链表面由弯曲的铰接表面（108）限定，204），所述扁平表面（102,202）还包括至少一个标记（104）。还公开了一种用于包括该仪器和整形外科关节部件的关节置换手术中的组件。

2. 发明申请

WO2009106813A1 ACETABULAR ALIGNMENT GUIDE 审中-公开
标题翻译： ACETABULAR对准指南
公开(公告)号：WO2009106813A1
公开(公告)日：2009-09-03
申请号：PCT/GB2009/000513
申请日：2009-02-26
申请人： DEPUY INTERNATIONAL LTD , DEPUY ORTHOPÄDIE GMBH , BARTELME, Mike , SLOMCZYKOWSKI, Michal , SPAELTER, Ulrich
发明人： BARTELME, Mike , SLOMCZYKOWSKI, Michal , SPAELTER, Ulrich
IPC分类号： A61F2/46
CPC分类号： A61F2/4609 , A61B2034/2068 , A61B2034/207 , A61F2002/30545 , A61F2002/30688 , A61F2002/4632 , A61F2250/001
摘要： An alignment guide for guiding the positioning of an acetabular cup implant is described. The guide includes a body having a first end and a second end. A flange extends from the first end and is adapted to rest on a labrum of an acetabulum. At least a first formation is provided at the second end which is adapted to engage with a transverse acetabular ligament of the acetabulum. A formation for accepting a trackable instrument is provided to allow a tracking system to determine the orientation of the guide. An adjustable version is also described which allows the separation between the ends of the guide to be varied.
摘要翻译：描述了用于引导髋臼杯植入物的定位的对准引导件。引导件包括具有第一端和第二端的主体。凸缘从第一端延伸并且适于搁置在髋臼的唇缘上。在第二端处提供至少第一结构，其适于与髋臼的横向髋臼韧带接合。提供用于接受可追踪仪器的形式，以允许跟踪系统确定导向件的取向。还描述了可调整的版本，其允许引导件的端部之间的间隔被改变。

3. 发明申请

WO2009106812A1 SURGICAL APPARATUS AND PROCEDURE 审中-公开
标题翻译：外科手术和手术
公开(公告)号：WO2009106812A1
公开(公告)日：2009-09-03
申请号：PCT/GB2009/000512
申请日：2009-02-26
申请人： DEPUY INTERNATIONAL LTD , DEPUY ORTHOPÄDIE GMBH , BURGER, Thorsten , FOLEY, Frank , SLOMCZYKOWSKI, Michal
发明人： BURGER, Thorsten , FOLEY, Frank , SLOMCZYKOWSKI, Michal
IPC分类号： A61B19/00
CPC分类号： A61B34/10 , A61B34/20 , A61B2090/061
摘要： A computer assisted surgery method and apparatus for determining a change in a property of a joint of a patient caused by an arthroplasty procedure is described. The relative position of a first bone and a second bone of the joint is determined with the joint in a first position. The position of a pre-operative centre of motion of the joint relative to the first bone is determined. The position of the second bone relative to the pre-operative centre of motion is determined using the relative position of the first and second bones. The position of a post-operative centre of motion resulting from a prosthetic component to be used in the joint is determined. The position of the second bone relative to the post-operative centre of motion is determined. Any change in the property of the joint, is determined from the difference between the position of the second bone relative to the pre-operative centre of motion and the position of the second bone relative to the post-operative centre of motion.
摘要翻译：描述了一种计算机辅助手术方法和装置，用于确定由关节成形术程序引起的患者关节的变化的变化。用关节在第一位置确定关节的第一骨和第二骨的相对位置。确定关节相对于第一骨骼的手术前运动中心的位置。使用第一和第二骨骼的相对位置来确定第二骨骼相对于手术前运动中心的位置。确定由在关节中使用的假体部件产生的手术后运动中心的位置。确定第二骨相对于手术后运动中心的位置。根据第二骨骼相对于手术前运动中心的位置与第二骨骼相对于手术后运动中心的位置之间的差异来确定关节的性质的任何变化。

4. 发明申请

WO2009037470A1 SURGICAL INSTRUMENT ATTACHMENT 审中-公开
标题翻译：手术仪器附件
公开(公告)号：WO2009037470A1
公开(公告)日：2009-03-26
申请号：PCT/GB2008/003182
申请日：2008-09-19
申请人： DEPUY INTERNATIONAL LTD , KECMAN, Maja , STROUX, Lisa , VERTERAMO, Alberto
发明人： KECMAN, Maja , STROUX, Lisa , VERTERAMO, Alberto
IPC分类号： A61B17/15
CPC分类号： A61B17/157
摘要： A surgical instrument which can be attached to a patient is described. The instrument includes an alignment guide having a distal end and a proximal end. A brace is attached toward the proximal end of the alignment guide for attaching the instrument to a limb of a patient. The brace comprises a pair of opposed members, each member being shaped to hold a respective bony part of the patient on either side of the patient. At least a part of the brace is made of a resilient material allowing the brace to grip the patient in use.
摘要翻译：描述了可以附接到患者的手术器械。仪器包括具有远端和近端的对准引导件。支架朝向对准引导件的近端附接，以将仪器附接到患者的肢体。支架包括一对相对的构件，每个构件被成形为将患者的相应的骨部分保持在患者的任一侧。支架的至少一部分由弹性材料制成，允许支架在使用中握住患者。

5. 发明申请

WO2005112805A2 SURGICAL JIG 审中-公开
标题翻译：外科手术
公开(公告)号：WO2005112805A2
公开(公告)日：2005-12-01
申请号：PCT/GB2005/001528
申请日：2005-04-21
申请人： DEPUY INTERNATIONAL LTD , SIEBEL, Thomas , O'SULLIVAN, Tadgh , LINDSEY, Stuart
发明人： SIEBEL, Thomas , O'SULLIVAN, Tadgh , LINDSEY, Stuart
IPC分类号： A61B17/88
CPC分类号： A61B17/8866 , A61B17/1703 , A61B17/1721 , A61B17/175 , A61B17/2812 , A61B17/2833
摘要： A surgical jig and method of use in image guided and non-guided surgery are described. The jig is for use in determining an axis of a body part. The jig includes a handle at a proximal end and a a mouth at a distal end. The mouth is engagable about the body part and defines a substantially flat plane. A guide has a channel with an axis substantially perpendicular to the plane and a support attaches the guide to the jig. The guide can be translatable relative to the mouth while maintaining the axis substantially perpendicular to the plane. The method determines an axis relative to a body part using the jig. The method comprises engaging the mouth about the body part and translating the guide relative to the mouth so as to align the axis of the channel with the axis of the body part.
摘要翻译：描述了用于图像引导和非引导手术的手术夹具和方法。夹具用于确定身体部位的轴线。夹具包括在近端处的手柄和在远端的嘴。嘴部可以接合身体部分并且限定基本平坦的平面。引导件具有基本上垂直于平面的轴线的通道，并且支撑件将引导件附接到夹具。引导件可以相对于嘴部平移，同时保持基本上垂直于平面的轴线。该方法使用夹具确定相对于身体部位的轴线。该方法包括使口部围绕身体部分接合并相对于口部平移引导件，以使通道的轴线与身体部位的轴线对准。

6. 发明申请

WO2005087125A3 ORTHOPAEDIC OPERATING SYSTEMS, METHODS, IMPLANTS AND INSTRUMENTS 审中-公开
公开(公告)号：WO2005087125A3
公开(公告)日：2005-09-22
申请号：PCT/GB2005/000933
申请日：2005-03-10
申请人： DEPUY INTERNATIONAL LTD , DEPUY ORTHOPADIE GMBH , BRAINLAB AG , BIOSENSE WEBSTER INC , REVIE, Ian , ASHBY, Alan , BURGER, Thorsten , VILSMEIER, Stefan , GOVARI, Assaf , REZNIK, Dudi , SUSEL, Pesach , SHALGI, Avi
发明人： REVIE, Ian , ASHBY, Alan , BURGER, Thorsten , VILSMEIER, Stefan , GOVARI, Assaf , REZNIK, Dudi , SUSEL, Pesach , SHALGI, Avi
IPC分类号： A61B19/00
摘要： Orthopaedic operating systems, operating rooms, computer aided surgical methods, trackable implants, instruments and surgical planning and IGS software applications are described. The integrated surgical system is for use in an orthopaedic operating room to enable a surgeon to carry out a computer aided surgical procedure on a subject. A subject support, wireless magnetic tracking system, registration system, at least a first display device, a control system and a surgeon interface operable by the surgeon to control operation of the plurality of parts of the integrated surgical system are provided. The method comprises determining the position of at least a first marker being wirelessly tracked by a wireless magnetic tracking system, registering the position of the body part of the subject with an image of the body part of the subject, displaying a registered image of the body part of the subject and at least an image representative of an implant, and receiving a command from a surgeon interface operable by the surgeon.

7. 发明申请

WO1994028827A1 A PROSTHESIS COMPONENT 审中-公开
标题翻译： PROSTHESIS组件
公开(公告)号：WO1994028827A1
公开(公告)日：1994-12-22
申请号：PCT/GB1994001212
申请日：1994-06-03
申请人： DEPUY INTERNATIONAL LTD. , WROBLEWSKI, Boguslaw, Michael
发明人： DEPUY INTERNATIONAL LTD.
IPC分类号： A61F02/30
CPC分类号： A61F2/30771 , A61B17/00491 , A61F2/30965 , A61F2/34 , A61F2/4603 , A61F2002/3008 , A61F2002/30619 , A61F2002/3081 , A61F2002/30822 , A61F2002/30827 , A61F2002/30831 , A61F2002/3266 , A61F2002/3433 , A61F2002/4631 , A61F2250/0097 , A61F2250/0098
摘要： A prosthesis component which is to be implanted in a patient and retained in situ by means of an adhesive bond between a bonding surface of the component and another surface, in which the bonding surface of the component has an array of discrete formations (3) formed on it. The configuration of the formations (3) can be generally part-spherical. The formations (3) enhance the connnection between the bonding surface of the component and the surface to which the surface is to be bonded.
摘要翻译：一种假体部件，其将被植入到患者体内并且通过在该部件的接合表面和另一个表面之间的粘合剂粘结而原位保持，其中该部件的接合表面具有形成的离散结构（3）阵列在上面。地层（3）的构型通常可以是部分球形的。地层（3）增强了构件的接合表面和表面将被粘合的表面之间的连接。

8. 发明申请

WO2010084299A2 ORIENTATION GUIDE 审中-公开
标题翻译：定位指南
公开(公告)号：WO2010084299A2
公开(公告)日：2010-07-29
申请号：PCT/GB2009/051740
申请日：2009-12-18
申请人： DEPUY INTERNATIONAL LTD , FREEMAN, Robert , GOWERS, Steven , GREEN, Ivan
发明人： FREEMAN, Robert , GOWERS, Steven , GREEN, Ivan
IPC分类号： A61B17/17 , A61F2/46 , A61B19/00
CPC分类号： A61F2/4657 , A61B17/1746 , A61B90/06 , A61F2/34 , A61F2/4603 , A61F2002/30471 , A61F2002/30617 , A61F2002/4668 , A61F2002/4687 , A61F2220/0091 , A61F2250/0097
摘要： An orientation guide comprising a housing arranged to couple to a surgical instrument. In one embodiment the orientation guide further comprises first and second indicators (22, 26). The first indicator (22) is pivotally coupled to the housing (20) such that the first indicator (22) can rotate relative to the housing (20) about a first axis (24) to maintain its angular position about the first axis (24) relative to a vertical axis irrespective of movement of the housing (20). The second indicator (26) surrounds the first indicator (22) and is pivotally coupled to the housing (20) such that the second indicator (26) can rotate relative to the housing (20) about a second axis (32) orthogonal to the first axis (24) to maintain its angular position about the second axis (32) relative to the vertical axis irrespective of movement of the housing (20). The angular position of the housing (20) about the first and second axes (24,32) is indicated by the position of the first indicator (22) relative to the second indicator (26). In a second embodiment the housing (2) comprises a cavity filled with a fluid. An indicator (4) is supported within the fluid such that the indicator (4) can rotate relative to the housing (2) about a first axis to maintain its angular position about the first axis relative to a vertical axis irrespective of movement of the housing (2). The indicator (4) comprises a marking arranged to indicate the angular position of the indicator (4) relative to the housing (2) about the first axis. The housing (2) has at least one transparent portion for viewing the marking. A measuring element (8) is coupled to the housing (2) and arranged to slide relative to the housing (2) to be aligned with the indicator marking such that the angular position of the housing (2) about the first axis can be recorded.
摘要翻译：定向引导件包括布置成联接到手术器械的壳体。在一个实施例中，定向引导件还包括第一和第二指示器（22,26）。第一指示器22可枢转地联接到壳体20，使得第一指示器22可相对于壳体20围绕第一轴线24旋转以保持其围绕第一轴线24的角度位置）相对于竖直轴线移动，而与壳体（20）的移动无关。第二指示器（26）围绕第一指示器（22）并且可枢转地联接到壳体（20），使得第二指示器（26）能够相对于壳体（20）围绕垂直于壳体（20）的第二轴线无论所述壳体（20）的运动如何，所述第一轴线（24）相对于所述竖直轴线围绕所述第二轴线（32）保持其角度位置。由第一指示器（22）相对于第二指示器（26）的位置来指示壳体（20）围绕第一和第二轴线（24,32）的角位置。在第二实施例中，壳体（2）包括填充有流体的空腔。指示器（4）支撑在流体内，使得指示器（4）可相对于壳体（2）围绕第一轴线旋转，以相对于竖直轴线围绕第一轴线保持其角位置，而与壳体的运动无关（2）。指示器（4）包括标记，该标记被布置成指示指示器（4）相对于壳体（2）围绕第一轴线的角位置。外壳（2）具有至少一个用于观察标记的透明部分。测量元件（8）联接到壳体（2）并且布置成相对于壳体（2）滑动以与指示器标记对准，使得壳体（2）围绕第一轴线的角位置可以被记录

9. 发明申请

WO2009144440A1 BONE CEMENT HANDLING 审中-公开
标题翻译：骨水泥处理
公开(公告)号：WO2009144440A1
公开(公告)日：2009-12-03
申请号：PCT/GB2009/000903
申请日：2009-04-07
申请人： DEPUY INTERNATIONAL LTD , BIRKBECK, Alec
发明人： BIRKBECK, Alec
IPC分类号： A61F2/46
CPC分类号： A61B17/8808 , A61F2/30723 , A61F2/3859 , A61F2002/30682
摘要： A bone cement collector (160) is described comprising a body (162) having a structure configured to be permeable to bone cement and to trap bone cement. A releasable attachment mechanism (164) allows the body to be releasably attached to an orthopaedic implant component (120) at a location on the implant at which bone cement is likely to escape during placement of the orthopaedic implant. A bone cement controlling orthopaedic implant and method of use are also described.
摘要翻译：描述了一种骨水泥收集器（160），其包括具有构造成可渗透骨水泥并且捕集骨粘固剂的结构的本体（162）。可释放的附接机构（164）允许身体在植入物的位置处可释放地附接到整形外科植入物部件（120），在该位置处，在骨科植入物放置期间骨粘固剂可能会逸出。还描述了控制骨科植入物的骨水泥和使用方法。

10. 发明申请

WO2009106816A1 CUSTOMISED SURGICAL APPARATUS 审中-公开
标题翻译：定制外科手术
公开(公告)号：WO2009106816A1
公开(公告)日：2009-09-03
申请号：PCT/GB2009/000517
申请日：2009-02-26
申请人： DEPUY INTERNATIONAL LTD , DEPUY ORTHOPÄDIE GMBH , IMORPHICS LTD , ASHBY, Alan , BORNFLETH, Harald , BOWES, Michael, Anthony , SCOTT, Ian, Michael, , SLOMCZYKOWSKI, Michal , VINCENT, Graham, Richard
发明人： ASHBY, Alan , BORNFLETH, Harald , BOWES, Michael, Anthony , SCOTT, Ian, Michael, , SLOMCZYKOWSKI, Michal , VINCENT, Graham, Richard
IPC分类号： A61B19/00 , A61F2/30 , A61B17/17
CPC分类号： A61B19/50 , A61B17/17 , A61B17/175 , A61B34/10 , A61F2/30942 , A61F2002/30948
摘要： A method for producing a customised surgical instrument or prosthesis for a specific patient is described. At least-one x-ray image of a body part of the patient is captured. A statistical model having a dense set of 'anatomical correspondence points across the model is instantiated using image data derived from the at least one x-ray image to generate a patient specific model of the body part having a high accuracy surface. Patient specific data from the patient specific model is used to generate a design of the customised^ surgical instrument or prosthesis for use in a surgical procedure to be carried out on the body part. The surgical instrument or prosthesis is then manufactured using the design. A computer implemented method for generating the patient specific model of the body part is also described.
摘要翻译：描述了用于为特定患者制造定制的手术器械或假体的方法。拍摄患者身体部位的至少一个x射线图像。使用从至少一个X射线图像导出的图像数据来实例化具有模型上的解剖学对应点的密集集的统计模型，以生成具有高精度表面的身体部位的患者特定模型。来自患者特定模型的患者特异性数据用于产生定制的手术器械或假体的设计，以用于在身体部位上进行的外科手术。然后使用设计制造外科器械或假体。还描述了用于产生身体部位的患者特定模型的计算机实现方法。

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