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1. 发明申请

WO2010048288A1 METHOD AND APPARATUS FOR PERFORMING AND OPEN WEDGE, HIGH TIBIAL OSTEOTOMY 审中-公开
标题翻译：高分辨率高分辨率高分辨率图像处理技术
公开(公告)号：WO2010048288A1
公开(公告)日：2010-04-29
申请号：PCT/US2009/061484
申请日：2009-10-21
申请人： IBALANCE MEDICAL, INC. , AMMANN, Kelly , SCHNEIDER, Robert , RINDAL, Bjorn
发明人： AMMANN, Kelly , SCHNEIDER, Robert , RINDAL, Bjorn
IPC分类号： A61B17/58
CPC分类号： A61B17/151 , A61B17/8052 , A61B17/8095 , A61B17/8615 , A61B17/862 , A61B17/8695 , A61B17/885 , A61B17/8866 , A61B2017/00464 , A61B2017/8655 , A61B2090/067
摘要： The present invention comprises a novel method and apparatus for performing an open wedge, high tibial osteotomy. More particularly, the present invention comprises the provision and use of a novel method and apparatus for forming an appropriate osteotomy cut into the upper portion of the tibia, manipulating the tibia so as to open an appropriate wedge-like opening in the tibia, and then mounting an appropriately-shaped implant at the wedge-like opening in the tibia, so as to stabilize the tibia with the desired orientation, whereby to reorient the lower portion of the tibia relative to the tibial plateau and hence adjust the manner in which load is transferred from the femur to the tibia.
摘要翻译：本发明包括用于执行开放楔形，高胫骨截骨术的新颖方法和装置。更具体地，本发明包括提供和使用用于形成切入胫骨上部的适当截骨术的新方法和装置，操纵胫骨以在胫骨中打开适当的楔形开口，然后将适当形状的植入物安装在胫骨中的楔形开口处，以便以期望的方向稳定胫骨，从而相对于胫骨平台重新定向胫骨的下部部分，并因此调整负载的方式从股骨转移到胫骨。

2. 发明申请

WO2008039508A2 METHOD AND APPARATUS FOR PERFORMING AN OPEN WEDGE, HIGH TIBIAL OSTEOTOMY 审中-公开
标题翻译：用于执行开放式楔形结构的方法和装置，高铁蛋白
公开(公告)号：WO2008039508A2
公开(公告)日：2008-04-03
申请号：PCT/US2007/020824
申请日：2007-09-27
申请人： IBALANCE MEDICAL, INC. , NOVAK, Vincent, P. , AMMANN, Kelly, G. , SCHNEIDER, Robert, E.
发明人： NOVAK, Vincent, P. , AMMANN, Kelly, G. , SCHNEIDER, Robert, E.
IPC分类号： A61B17/58
CPC分类号： A61B17/151 , A61B17/1615 , A61B17/1675 , A61B17/68 , A61B17/8095 , A61B2090/034 , A61F2002/30736
摘要： An osteotomy plate for maintaining the spacing of a wedge-like opening in bone, the osteotomy plate comprising: a body having a front side and a back side; a protrusion extending out of the back side of the body for disposition in the wedge-like opening; and a plurality of mounting holes for receiving fixation screws therein, the mounting holes being formed in the body such that when the protrusion is disposed in the wedge-like opening, the mounting holes direct the fixation screws into bone on either side of the wedge-like opening.
摘要翻译：一种用于保持骨中楔形开口的间隔的截骨板，所述截骨板包括：具有前侧和后侧的主体; 从所述主体的后侧延伸的突出部，用于设置在所述楔形开口中; 以及用于在其中接收固定螺钉的多个安装孔，所述安装孔形成在所述主体中，使得当所述突起设置在所述楔形开口中时，所述安装孔将所述固定螺钉引导到所述楔形开口的任一侧上的骨中，喜欢打开

3. 发明申请

WO2008019049A3 METHOD AND APPARATUS FOR PERFORMING AN OPEN WEDGE, HIGH TIBIAL OSTEOTOMY 审中-公开
标题翻译：用于执行开放式楔形结构的方法和装置，高强度铁素体
公开(公告)号：WO2008019049A3
公开(公告)日：2008-04-03
申请号：PCT/US2007017318
申请日：2007-08-03
申请人： IBALANCE MEDICAL INC , AMMANN KELLY G , NOVACK VINCENT P , SCHNEIDER ROBERT E , TABER JUSTIN R , RINDAL BJORN N
发明人： AMMANN KELLY G , NOVACK VINCENT P , SCHNEIDER ROBERT E , TABER JUSTIN R , RINDAL BJORN N
IPC分类号： A61F2/00
CPC分类号： A61B17/15 , A61B17/02 , A61B17/152 , A61B17/1615 , A61B17/1675 , A61B17/1732 , A61B17/1764 , A61B17/8095 , A61B17/88 , A61B2017/1602 , A61B2090/034 , A61B2090/067 , A61F2002/30736
摘要： Apparatus for performing an open wedge, high having a two-piece bearing implant having an upper bearing member and a lower bearing member, wherein the upper bearing member comprises a screw hole for securing the upper bearing member to an upper portion of bone, and the lower bearing member comprises a screw hole for securing the lower bearing member to a lower portion of bone, and further wherein the upper bearing member comprises an upper dovetail track and the lower bearing member comprises a lower dovetail track; and a wedge comprising an upper dovetail rail which is complementary to the upper dovetail track and a lower dovetail rail which is complementary to the lower dovetail track, in order that the wedge can be introduced, in a controlled fashion, between the upper bearing member and the lower bearing member, so as to open a wedge-like opening between the upper bearing member and the lower bearing member.
摘要翻译：用于执行具有两件式轴承植入物的开式楔形物的装置，其具有上轴承构件和下轴承构件，其中所述上轴承构件包括用于将所述上轴承构件固定到骨的上部的螺钉孔，并且下轴承构件包括用于将下轴承构件固定到骨的下部的螺孔，并且其中，所述上轴承构件包括上部燕尾轨道，并且所述下轴承构件包括下燕尾轨道; 以及楔形件，包括与上部燕尾轨道互补的上部燕尾轨道和与下部燕尾轨道互补的下部燕尾形轨道，以便楔子可以以受控的方式被引入上部轴承构件和下轴承构件，以便在上轴承构件和下支承构件之间打开楔形开口。

4. 发明申请

WO2008019049A2 METHOD AND APPARATUS FOR PERFORMING AN OPEN WEDGE, HIGH TIBIAL OSTEOTOMY 审中-公开
标题翻译：用于执行开放式楔形结构的方法和装置，高强度铁素体
公开(公告)号：WO2008019049A2
公开(公告)日：2008-02-14
申请号：PCT/US2007/017318
申请日：2007-08-03
申请人： IBALANCE MEDICAL INC. , AMMANN, Kelly, G. , NOVACK, Vincent, P. , SCHNEIDER, Robert, E. , TABER, Justin, R. , RINDAL, Bjorn, N.
发明人： AMMANN, Kelly, G. , NOVACK, Vincent, P. , SCHNEIDER, Robert, E. , TABER, Justin, R. , RINDAL, Bjorn, N.
IPC分类号： A61B17/58
CPC分类号： A61B17/15 , A61B17/02 , A61B17/152 , A61B17/1615 , A61B17/1675 , A61B17/1732 , A61B17/1764 , A61B17/8095 , A61B17/88 , A61B2017/1602 , A61B2090/034 , A61B2090/067 , A61F2002/30736
摘要： Apparatus for performing an open wedge, high tibial osteotomy, the apparatus comprising: a two-piece bearing implant comprising an upper bearing member and a lower bearing member, wherein the upper bearing member comprises a screw hole for securing the upper bearing member to an upper portion of bone, and the lower bearing member comprises a screw hole for securing the lower bearing member to a lower portion of bone, and further wherein the upper bearing member comprises an upper dovetail track and the lower bearing member comprises a lower dovetail track; and a wedge comprising an upper dovetail rail which is complementary to the upper dovetail track and a lower dovetail rail which is complementary to the lower dovetail track, in order that the wedge can be introduced, in a controlled fashion, between the upper bearing member and the lower bearing member, so as to open a wedge-like opening between the upper bearing member and the lower bearing member. A method for performing an open wedge, high tibial osteotomy, the method comprising: forming an osteotomy cut in the tibia; providing a two-piece bearing implant comprising an upper bearing member and a lower bearing member, wherein the upper bearing member comprises a screw hole for securing the upper bearing member to an upper portion of bone, and the lower bearing member comprises a screw hole for securing the lower bearing member to a lower portion of bone, and further wherein the upper bearing member comprises an upper dovetail track and the lower bearing member comprises a lower dovetail track; providing a wedge comprising an upper dovetail rail which is complementary to the upper dovetail track and a lower dovetail rail which is complementary to the lower dovetail track, in order that the wedge can be introduced, in a controlled fashion, between the upper bearing member and the lower bearing member, so as to open a wedge-like opening between the upper bearing member and the lower bearing member; securing the upper bearing member to an upper portion of bone; securing the lower bearing member to a lower portion of bone; and inserting the wedge between the upper bearing member and the lower bearing member. Apparatus for performing an open wedge, high tibial osteotomy, the apparatus comprising: a screw-expandable implant comprising an upper bearing member and a lower bearing member; a screw jack for moving the upper bearing member and the lower bearing member apart from one another so as to form a wedge-like opening in the bone; and an insert for positioning between the upper bearing member and the lower bearing member, the insert comprising openings for receiving fixation screws therein so as to secure the upper bearing member to an upper portion of bone and to secure the lower bearing member to a lower portion of bone. A method for performing an open wedge, high tibial osteotomy, the method comprising: forming an osteotomy cut in the tibia; providing a screw-expandable implant comprising an upper bearing member and a lower bearing member; providing a screw jack for moving the upper bearing member and the lower bearing member apart from one another so as to form a wedge-like opening in the bone; providing an insert for positioning between
摘要翻译：用于执行开放楔形物，高胫骨截骨术的装置，所述装置包括：两件式轴承植入物，其包括上轴承构件和下轴承构件，其中所述上轴承构件包括用于将所述上轴承构件固定到上并且所述下轴承部件包括用于将所述下轴承部件固定到骨的下部的螺孔，并且其中所述上轴承部件包括上部燕尾轨道，并且所述下轴承部件包括下燕尾轨道; 以及楔形件，包括与上部燕尾轨道互补的上部燕尾轨道和与下部燕尾轨道互补的下部燕尾形轨道，以便楔子可以以受控的方式被引入上部轴承构件和下轴承构件，以便在上轴承构件和下支承构件之间打开楔形开口。一种执行开放楔形，高胫骨截骨术的方法，所述方法包括：在胫骨中形成截骨; 提供包括上轴承构件和下轴承构件的两件式轴承植入物，其中所述上轴承构件包括用于将所述上轴承构件固定到骨的上部的螺孔，并且所述下轴承构件包括用于将下轴承构件固定到骨的下部，并且其中所述上轴承构件包括上部燕尾轨道，并且所述下轴承构件包括下燕尾轨道; 提供楔形件，其包括与上部燕尾轨道互补的上部燕尾形轨道和与下部燕尾轨道互补的下部燕尾形轨道，以便可以以受控的方式将楔形物引入上部轴承构件和下轴承构件，以便在上轴承构件和下支承构件之间打开楔形开口; 将上轴承构件固定到骨的上部; 将下轴承构件固定到骨的下部; 以及将所述楔子插入所述上轴承构件和所述下轴承构件之间。用于执行开放式楔形物，高胫骨截骨术的装置，所述装置包括：螺钉可膨胀植入物，其包括上支承构件和下支承构件; 用于使上轴承构件和下支承构件彼此分离的螺钉千斤顶，以在骨中形成楔形开口; 以及用于在所述上轴承构件和所述下支承构件之间定位的插入件，所述插入件包括用于在其中接收固定螺钉的开口，以将所述上支承构件固定到骨的上部，并将所述下支承构件固定到下部的骨头。一种执行开放楔形，高胫骨截骨术的方法，所述方法包括：在胫骨中形成截骨; 提供包括上轴承构件和下轴承构件的螺钉可膨胀植入物; 提供用于使上轴承构件和下支承构件彼此分离的螺钉千斤顶，以在骨中形成楔形开口; 提供插入物之间的定位

5. 发明申请

WO2008016628A2 METHOD AND APPARATUS FOR PERFORMING AN OPEN WEDGE, HIGH TIBIAL OSTEOTOMY 审中-公开
标题翻译：用于执行开放式楔形结构的方法和装置，高强度铁素体
公开(公告)号：WO2008016628A2
公开(公告)日：2008-02-07
申请号：PCT/US2007017155
申请日：2007-08-01
申请人： IBALANCE MEDICAL INC , AMMANN KELLY G , NOVAK VINCENT P , SCHNEIDER ROBERT E , BURNS RALPH E , MOSES MICHAEL C , TABER JUSTIN R
发明人： AMMANN KELLY G , NOVAK VINCENT P , SCHNEIDER ROBERT E , BURNS RALPH E , MOSES MICHAEL C , TABER JUSTIN R
IPC分类号： A61B17/58
CPC分类号： A61B17/15 , A61B17/152 , A61B17/1615 , A61B17/1655 , A61B17/1675 , A61B17/1732 , A61B17/1764 , A61B17/68 , A61B17/8052 , A61B17/8095 , A61B2017/1602 , A61B2090/034 , A61F2002/30736
摘要： Apparatus for performing an open wedge, high tibial osteotomy, the apparatus comprising: a wedge- shaped implant for disposition in a wedge-shaped opening created in the tibia, wherein the wedge-shaped implant comprises a hole extending therethrough; a fixation screw for extending through the hole and securing the wedge-shaped implant to the tibia; and a locking mechanism for releasably locking the fixation screw to the wedge-shaped implant. Apparatus for performing an open wedge, high tibial osteotomy, the apparatus comprising: a fixation screw for securing an implant to the tibia, the fixation screw comprising: a shaft having a distal threaded portion and a proximal threaded portion, wherein the distal threaded portion and the proximal threaded portion are characterized by different thread pitches.
摘要翻译：用于执行开放楔形，高胫骨截骨术的装置，所述装置包括：楔形植入物，用于设置在胫骨中形成的楔形开口，其中所述楔形植入物包括延伸穿过其中的孔; 用于延伸穿过孔并将楔形植入物固定到胫骨的固定螺钉; 以及用于将固定螺钉可释放地锁定到楔形植入物的锁定机构。用于执行开放楔形物，高胫骨截骨术的装置，所述装置包括：用于将植入物固定到胫骨的固定螺钉，所述固定螺钉包括：轴，其具有远侧螺纹部分和近端螺纹部分，其中所述远端螺纹部分和近端螺纹部分的特征在于不同的螺距。

6. 发明申请

WO2008140748A1 METHOD AND APPARATUS FOR RECONSTRUCTING A LIGAMENT AND/OR REPAIRING CARTILAGE, AND FOR PERFORMING AN OPEN WEDGE, HIGH TIBIAL OSTEOTOMY 审中-公开
标题翻译：用于重新构建和/或修复卡片的方法和装置，以及用于执行开放式网格，高度网络化的方法和装置
公开(公告)号：WO2008140748A1
公开(公告)日：2008-11-20
申请号：PCT/US2008/005926
申请日：2008-05-09
申请人： IBALANCE MEDICAL, INC. , AMMANN, Kelly, G. , NOVAK, Vincent, P.
发明人： AMMANN, Kelly, G. , NOVAK, Vincent, P.
IPC分类号： A61F5/00
CPC分类号： A61B17/15 , A61B17/152 , A61B17/1615 , A61B17/1655 , A61B17/1675 , A61B17/1714 , A61B17/1732 , A61B17/1764 , A61B17/68 , A61B17/8052 , A61B17/8095 , A61B2017/1602 , A61B2090/034 , A61F2/0805 , A61F2/0811 , A61F2002/0829 , A61F2002/0858 , A61F2002/0864 , A61F2002/0882 , A61F2002/30736
摘要： A method for reconstructing a knee ligament and for performing a tibial osteotomy on the knee in a single procedure, the method comprising: forming a bone tunnel through the tibia at a location appropriate for the ligament reconstruction, disposing a graft ligament in the bone tunnel, and securing the graft ligament in the bone tunnel, and forming a wedge-like opening in the bone at a location appropriate for the tibial osteotomy, positioning an osteotomy implant in the wedge-like opening in the bone, and securing the osteotomy implant in the wedge- like opening in the bone; wherein the osteotomy implant is secured in the wedge-like opening in the bone with a fastener which extends through the implant and into the bone tunnel.
摘要翻译：一种用于重建膝关节韧带并用于在单个手术中对膝部进行胫骨截骨术的方法，所述方法包括：在适于韧带重建的位置处通过胫骨形成骨隧道，在骨隧道中设置移植韧带，并将移植韧带固定在骨隧道中，并且在适于胫骨截骨术的位置处在骨中形成楔形开口，将截骨植入物定位在骨中的楔形开口中，并将截骨植入物固定在骨头中楔形开口; 其中所述截骨植入物用紧固件固定在所述骨中的楔形开口中，所述紧固件延伸穿过所述植入物并进入所述骨隧道。

7. 发明申请

WO2008039269A3 METHOD AND APPARATUS FOR PERFORMING AN OPEN WEDGE, HIGH TIBIAL OSTEOTOMY 审中-公开
标题翻译：用于执行开放式楔形结构的方法和装置，高强度铁素体
公开(公告)号：WO2008039269A3
公开(公告)日：2008-11-20
申请号：PCT/US2007017303
申请日：2007-08-02
申请人： IBALANCE MEDICAL INC , AMMANN KELLY G , NOVAK VINCENT P , SCHNEIDER ROBERT E , BURNS RALPH E , MOSES MICHAEL C , TABER JUSTIN R
发明人： AMMANN KELLY G , NOVAK VINCENT P , SCHNEIDER ROBERT E , BURNS RALPH E , MOSES MICHAEL C , TABER JUSTIN R
IPC分类号： A61B17/58
CPC分类号： A61B17/15 , A61B17/025 , A61B17/151 , A61B17/152 , A61B17/1615 , A61B17/1655 , A61B17/1675 , A61B17/1703 , A61B17/1725 , A61B17/1728 , A61B17/1732 , A61B17/1764 , A61B17/68 , A61B17/8095 , A61B17/86 , A61B17/8872 , A61B2017/1602 , A61B2017/565 , A61B2090/034 , A61B2090/067 , A61B2090/08021 , A61F2002/30535 , A61F2002/30736 , A61F2250/0058
摘要： An apparatus and method for performing an open wedge, high tibial osteotomy is characterized in general and in part by a keyhole configuration. A stabilizer, a plurality of guides, a protective apparatus, an opening jack, and a wedge-shaped implant having keys facilitate the procedure.
摘要翻译：用于执行开放式楔形，高胫骨截骨术的装置和方法的特征在于一般并部分地通过锁孔构型。稳定器，多个引导件，保护装置，开口千斤顶和具有键的楔形植入物便于该过程。

8. 发明申请

WO2007064950A3 OPEN WEDGE, HIGH BITIAL OSTEOTOMY METHOD AND APPARATUS 审中-公开
标题翻译：开放式WEDGE，高度生物化学方法和装置
公开(公告)号：WO2007064950A3
公开(公告)日：2008-07-17
申请号：PCT/US2006046118
申请日：2006-12-01
申请人： IBALANCE MEDICAL INC , AMMANN KELLY G , NOVAK VINCENT P , SCHNEIDER ROBERT E , BURNS RALPH E
发明人： AMMANN KELLY G , NOVAK VINCENT P , SCHNEIDER ROBERT E , BURNS RALPH E
IPC分类号： A61F5/00
CPC分类号： A61B17/15 , A61B17/152 , A61B17/1615 , A61B17/1675 , A61B17/1732 , A61B17/1764 , A61B17/8095 , A61B2017/1602 , A61B2090/034
摘要： Apparatus for performing an open wedge, high tibial osteotomy, the apparatus comprising: a wedge-shaped implant for disposition in a wedge-shaped opening created in the tibia, wherein the wedge-shaped implant comprises at least two keys, laterally offset from one another, for disposition in corresponding keyholes formed in the tibia adjacent to the wedge-shaped opening created in the tibia. Apparatus for performing an open wedge, high tibial osteotomy, the apparatus comprising: a wedge-shaped implant for disposition in a wedge-shaped opening created in the tibia, wherein the wedge-shaped implant comprises at least two keys, vertically offset from one another, for disposition in corresponding keyholes formed in the tibia adjacent to the wedge-shaped opening created in the tibia, and a shear rib, laterally offset from the at least two keys, for disposition in a corresponding shear rib keyhole formed in the tibia adjacent to the wedge-shaped opening created in the tibia.
摘要翻译：用于执行开放楔形，高胫骨截骨术的装置，所述装置包括：楔形植入物，用于设置在胫骨中形成的楔形开口，其中所述楔形植入物包括至少两个彼此横向偏移的键，用于配置在与在胫骨中形成的楔形开口相邻的胫骨中形成的相应的键槽中。用于执行开放楔形物，高胫骨截骨术的装置，所述装置包括：楔形植入物，用于设置在胫骨中形成的楔形开口，其中所述楔形植入物包括彼此垂直偏移的至少两个键用于配置在与在胫骨中形成的楔形开口相邻的胫骨中形成的相应的钥匙孔中，以及剪切肋，所述剪切肋从所述至少两个键横向偏移，用于配置在相邻的胫骨中形成的对应的剪切肋锁孔中在胫骨处形成的楔形开口。

9. 发明申请

WO2008039269A2 METHOD AND APPARATUS FOR PERFORMING AN OPEN WEDGE, HIGH TIBIAL OSTEOTOMY 审中-公开
标题翻译：用于实施开放性楔形，高胫骨矫形的方法和设备
公开(公告)号：WO2008039269A2
公开(公告)日：2008-04-03
申请号：PCT/US2007/017303
申请日：2007-08-02
申请人： IBALANCE MEDICAL, INC. , AMMANN, Kelly, G. , NOVAK, Vincent, P. , SCHNEIDER, Robert, E. , BURNS, Ralph, E. , MOSES, Michael, C. , TABER, Justin, R.
发明人： AMMANN, Kelly, G. , NOVAK, Vincent, P. , SCHNEIDER, Robert, E. , BURNS, Ralph, E. , MOSES, Michael, C. , TABER, Justin, R.
IPC分类号： A61B17/58
CPC分类号： A61B17/15 , A61B17/025 , A61B17/151 , A61B17/152 , A61B17/1615 , A61B17/1655 , A61B17/1675 , A61B17/1703 , A61B17/1725 , A61B17/1728 , A61B17/1732 , A61B17/1764 , A61B17/68 , A61B17/8095 , A61B17/86 , A61B17/8872 , A61B2017/1602 , A61B2017/565 , A61B2090/034 , A61B2090/067 , A61B2090/08021 , A61F2002/30535 , A61F2002/30736 , A61F2250/0058
摘要： A keyhole drill guide stabilizer for stabilizing a drill guide when forming a second keyhole after the formation of a first keyhole, wherein the drill guide comprises a first drill bore and a second drill bore, the keyhole drill guide stabilizer comprising a body sized and shaped so as to make a close sliding fit with (i) the first bore of the drill guide, and (ii) the first keyhole, whereby to reduce the possibility of any positional variation between the first and second drilled keyholes. A keyhole drilling system for forming first and second keyholes in bone, the system comprising: a drill guide comprising a first drill bore for drilling a first keyhole and a second drill bore for drilling a second keyhole; and a keyhole drill guide stabilizer for stabilizing the drill guide when forming the second keyhole after the formation of the first keyhole, the keyhole drill guide stabilizer comprising a body sized and shaped so as to make a close sliding fit with (i) the first bore of the drill guide, and (ii) the first keyhole, whereby to reduce the possibility of any positional variation between the first and second drilled keyholes. A method for stabilizing a drill guide when forming a second keyhole after the formation of a first keyhole, the method comprising: providing a drill guide comprising a first drill bore for drilling a first keyhole and a second drill bore for drilling a second keyhole; drilling the first keyhole; providing a keyhole drill guide stabilizer comprising a body sized and shaped so as to make a close sliding fit with (i) the first bore of the drill guide, and (ii) the first keyhole; advancing a keyhole drill guide stabilizer through the drill guide and into the first keyhole; and drilling the second keyhole while the keyhole drill guide stabilizer is maintained in the first keyhole, whereby to reduce the possibility of any positional variation between the first and second drilled keyholes. Apparatus for protecting the neurological and vascular structures located at the back of the knee, the apparatus comprising: a base portion; a curved portion connected to the base portion; and a distal tip portion connected to the curved portion. Apparatus for use in performing an open wedge, high tibial osteotomy, the apparatus comprising: an apex pin; a positioning guide for attachment to the tibia, the positioning guide comprising an opening for slidably receiving the apex pin therein so as to direct the apex pin into the tibia; and a collet nut mounted to the positioning guide for securing the apex pin within the opening of the positioning guide. Apparatus for use in forming a wedge-like opening in a bone, the apparatus comprising: an opening jack comprising first and second arras pivotally connected to one another intermediate their lengths; and a dogbone spacer for extending between the first and second arms of the opening jack so as to confirm the appropriate disposition of the first and second arms of the opening jack, whereby to confirm the creation of an appropriately-sized wedge-like opening in the bone. Apparatus for use in confirming the creation of an appropriately-sized wedge-like opening in a bone, wherein two keyholes communicate with the wedge-like opening in the bone,
摘要翻译：用于在形成第一钥匙孔之后形成第二钥匙孔时稳定钻导引装置的锁孔钻导引稳定装置，其中所述钻导引装置包括第一钻孔和第二钻孔，所述锁孔钻导引装置其包括主体，所述主体的尺寸和形状被设计成与（i）所述钻孔引导件的所述第一钻孔和（ii）所述第一钥匙孔紧密滑动配合，由此减少所述第一和第二钻孔之间的任何位置变化的可能性锁孔。一种用于在骨中形成第一和第二键孔的锁眼钻孔系统，该系统包括：钻孔引导件，该钻孔引导件包括用于钻出第一钥匙孔的第一钻孔和用于钻出第二钥匙孔的第二钻孔; 以及锁孔钻导引稳定器，用于在形成第一锁眼之后形成第二锁眼时稳定钻引导器，该锁孔钻导引稳定器包括主体，主体钻孔引导稳定器的尺寸和形状设置成与（i）第一孔和（ii）第一锁眼，由此减少第一和第二钻孔锁眼之间的任何位置变化的可能性。 1.一种用于在形成第一钥匙孔之后形成第二钥匙孔时稳定钻子引导件的方法，所述方法包括：提供钻子引导件，所述钻子引导件包括用于钻出第一钥匙孔的第一钻孔和用于钻出第二钥匙孔的第二钻孔; 钻第一个钥匙孔; 提供钥匙孔钻孔导向稳定器，所述稳定器包括主体，所述主体的尺寸和形状被设计成与（i）钻孔引导件的第一孔和（ii）第一钥匙孔紧密滑动配合; 推进锁孔钻导引稳定器穿过钻引导件并进入第一钥匙孔; 以及当锁孔钻导引稳定器保持在第一锁眼中时钻出第二锁眼，由此减少第一和第二钻孔锁眼之间的任何位置变化的可能性。用于保护位于膝盖后部的神经和血管结构的装置，该装置包括：基部; 连接到基部的弯曲部分; 以及连接到弯曲部分的远侧末端部分。用于执行开放式楔形高胫骨截骨术的装置，所述装置包括：顶针; 用于附接到胫骨的定位引导件，所述定位引导件包括开口，所述开口用于在其中可滑动地接收所述顶针，以便将所述顶针引导到所述胫骨中; 以及安装到定位导向件上的夹头螺母，用于将顶点销固定在定位导向件的开口内。一种用于在骨中形成楔形开口的装置，所述装置包括：开口千斤顶，所述开口千斤顶包括在其长度中间彼此枢转连接的第一和第二臂; 以及用于在开口千斤顶的第一和第二臂之间延伸的狗骨形间隔件，以便确认开口千斤顶的第一和第二臂的适当布置，从而确认在第一和第二臂的第一和第二臂中形成适当尺寸的楔形开口骨。用于确认在骨中形成适当尺寸的楔形开口的装置，其中两个键孔与骨中的楔形开口连通，

10. 发明申请

WO2008016687A2 METHOD AND APPARATUS FOR PERFORMING A HIGH TIBIAL, DOME OSTEOTOMY 审中-公开
标题翻译：用于执行高IAL OME OME OME。。。。。。。。。。。。。。。。。
公开(公告)号：WO2008016687A2
公开(公告)日：2008-02-07
申请号：PCT/US2007/017273
申请日：2007-08-02
申请人： IBALANCE MEDICAL, INC. , AMMANN, Kelly, G. , NOVAK, Vincent, P. , SCHNEIDER, Robert, E. , TABER, Justin, R.
发明人： AMMANN, Kelly, G. , NOVAK, Vincent, P. , SCHNEIDER, Robert, E. , TABER, Justin, R.
IPC分类号： A61B17/58
CPC分类号： A61B17/15 , A61B17/152 , A61B17/1615 , A61B17/1655 , A61B17/1675 , A61B17/1732 , A61B17/1764 , A61B17/68 , A61B17/8052 , A61B17/809 , A61B17/8095 , A61B2017/1602 , A61B2090/034 , A61F2002/30736
摘要： A method for performing a high tibial, dome osteotomy to adjust the lateral and/or angular disposition of the tibial plateau relative to the lower portion of the tibia, the method comprising: forming an arcuate osteotomy cut in the tibia to subdivide it into upper and lower portions; manipulating the upper and lower portions to adjust their lateral and/or angular dispositions relative to one another; forming a pair of keyholes along the osteotomy cut; forming a keyhole slot to connect the two keyholes; forming a fixation hole in the tibia for each keyhole; providing an implant comprising a pair of keys connected by a bridge, each key comprising a bore for receiving a fixation screw therein; inserting the implant so that the keys are disposed in the keyholes, and so that the bores of the keys are aligned with the fixation holes; and inserting fixation screws through the bores of the keys and into the fixation holes of the keyholes so as to stabilize the upper and lower portions of the tibia.
摘要翻译：一种用于执行高胫骨，圆顶截骨术以调整胫骨平台相对于胫骨的下部的侧向和/或角度布置的方法，所述方法包括：在胫骨中切割切割成弧形的截骨，将其细分成上部和下部操纵上部和下部以相对于彼此调整其横向和/或角度布置; 沿截骨形成一对钥匙孔; 形成一个锁孔，连接两个钥匙孔; 在每个锁孔的胫骨中形成固定孔; 提供植入物，其包括通过桥连接的一对键，每个键包括用于在其中接收固定螺钉的孔; 插入植入物，使得钥匙布置在钥匙孔中，并且使得钥匙的孔与固定孔对齐; 并将固定螺钉穿过键的孔并插入键槽的固定孔中，以稳定胫骨的上部和下部。

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