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1. 发明申请

WO2011028520A2 IMPROVED HIP FRACTURE NAIL SYSTEM 审中-公开
标题翻译：改进的髋骨骨折指甲系统
公开(公告)号：WO2011028520A2
公开(公告)日：2011-03-10
申请号：PCT/US2010/046476
申请日：2010-08-24
申请人： DEPUY PRODUCTS, INC. , METZINGER, Anthony, J. , GIANNOUDIS, Peter , HAIDUKEWYCH, George, J. , LIPORACE, Frank, A. , SEMS, Andrew , HORWITZ, Daniel, S.
发明人： METZINGER, Anthony, J. , GIANNOUDIS, Peter , HAIDUKEWYCH, George, J. , LIPORACE, Frank, A. , SEMS, Andrew , HORWITZ, Daniel, S.
IPC分类号： A61B17/17
CPC分类号： A61B17/1721 , A61B17/1703 , A61B17/175 , A61B17/72 , A61B17/744
摘要： An instrument system is provided for positioning an internal fixation prosthesis and guiding a cannulated bone drill during a surgical, radioscopic procedure for the repair of a fractured bone of a patient. The instrument system includes a target wire, a handle formed from a radio translucent material having a target hole for guided passage of the target wire along a target axis. The target axis coincides with the intersection of a first plane and a second plane orthogonal to the first plane. The instrument system also includes a nose component attached to an end of the handle and removably connectable to the prosthesis. The nose component includes an alignment sight formed from a radio-opaque material. When the prosthesis is connected to the nose component and the target wire is positioned through the target hole along the target axis, the image of the guide wire may be radioscopically viewed along a first line of sight contained in the first plane to bisect the image of the alignment device, thereby providing a first visual reference to the user for directing the first guide wire into the desired portion of the bone while holding the prosthesis in a desired position relative to the bone.
摘要翻译：提供了一种用于定位内固定假体并在用于修复患者骨折骨的外科手术放射学程序中引导插管骨钻的仪器系统。仪器系统包括目标线，由无线电半透明材料形成的手柄，其具有用于目标线沿目标轴引导通过的目标孔。目标轴与第一平面和与第一平面正交的第二平面的交点重合。仪器系统还包括附接到手柄的端部并可拆卸地连接到假体的鼻部部件。鼻部组件包括由不透射线材料形成的对准视线。当假体连接到鼻部部件并且目标线沿着目标轴线定位穿过目标孔时，可以沿着包含在第一平面中的第一视线来放射线地观察导丝的图像，以将图像平均化对准装置，从而为使用者提供第一视觉参考，用于将第一导丝引导到骨骼的期望部分中，同时将假体保持在相对于骨骼的期望位置。

2. 发明申请

WO2010002589A1 TARGETING APPARATUS FOR USE IN A MEDICAL PROCEDURE 审中-公开
标题翻译：在医疗程序中使用的目标设备
公开(公告)号：WO2010002589A1
公开(公告)日：2010-01-07
申请号：PCT/US2009/047628
申请日：2009-06-17
申请人： DEPUY PRODUCTS, INC. , METZINGER, Anthony, J. , CHRISTIE, Charles, D. , PARKER, Brad, A. , BERTHUSEN, Andrew, H.
发明人： METZINGER, Anthony, J. , CHRISTIE, Charles, D. , PARKER, Brad, A. , BERTHUSEN, Andrew, H.
IPC分类号： A61B17/17 , A61B17/78 , A61B17/72
CPC分类号： A61B17/1725 , A61B17/1721
摘要： A universal targeting apparatus (30,100) includes a generally U-shaped body (32, 102) having one end (36,104) configured to be coupled to the proximal end (18) of the intramedullary implant (10) and a mounting portion (46,112) at an opposite end of said body. An arm (34,125) is rotatably mounted to the mounting portion of the U-shaped body and includes bores (67,73,131,136) defined at its opposite ends. Each bore is arranged at a different angle to correspond to the angle (A) of a transverse aperture (14,15) in the intramedullary implant. The arm can be rotated so an appropriate one of the angled bores is aligned with the transverse aperture to serve as a guide for creating targeting holes in the bone.
摘要翻译：通用瞄准装置（30,100）包括大致U形的本体（32,102），其具有被配置为联接到髓内植入物（10）的近端（18）的一端（36,104）和安装部分（46,112）在所述身体的另一端。臂（34,125）可旋转地安装在U形体的安装部分上，并且包括在其相对端限定的孔（67,73,131,136）。每个孔以与髓内植入物中的横向孔（14,15）的角度（A）相对应的不同角度布置。臂可以旋转，使得适当的一个角度的孔与横向孔对准，以用作在骨中产生靶向孔的引导件。

4. 发明申请

WO2011028520A3 IMPROVED HIP FRACTURE NAIL SYSTEM 审中-公开
标题翻译：改进的髋骨骨折指甲系统
公开(公告)号：WO2011028520A3
公开(公告)日：2011-06-30
申请号：PCT/US2010046476
申请日：2010-08-24
申请人： DEPUY PRODUCTS INC , METZINGER ANTHONY J , GIANNOUDIS PETER , HAIDUKEWYCH GEORGE J , LIPORACE FRANK A , SEMS ANDREW , HORWITZ DANIEL S
发明人： METZINGER ANTHONY J , GIANNOUDIS PETER , HAIDUKEWYCH GEORGE J , LIPORACE FRANK A , SEMS ANDREW , HORWITZ DANIEL S
IPC分类号： A61B17/17
CPC分类号： A61B17/1721 , A61B17/1703 , A61B17/175 , A61B17/72 , A61B17/744
摘要： An instrument system is provided for positioning an internal fixation prosthesis and guiding a cannulated bone drill during a surgical, radioscopic procedure for the repair of a fractured bone of a patient. The instrument system includes a target wire (180), a handle (106) formed from a radio translucent material having a target hole for guided passage of the target wire along a target axis. The target axis coincides with the intersection of a first plane and a second plane orthogonal to the first plane. The instrument system also includes a nose component (150) attached to an end of the handle and removably connectable to the prosthesis. The nose component includes an alignment sight formed from a radio-opaque material. When the prosthesis is connected to the nose component and the target wire is positioned through the target hole along the target axis, the image of the guide wire may be radioscopically viewed along a first line of sight contained in the first plane to bisect the image of the alignment device, thereby providing a first visual reference to the user for directing the first guide wire into the desired portion of the bone while holding the prosthesis in a desired position relative to the bone.
摘要翻译：提供了一种用于定位内固定假体并在用于修复患者骨折骨的外科手术放射学程序中引导插管骨钻的仪器系统。仪器系统包括目标线（180），由无线电半透明材料形成的手柄（106），其具有用于目标线沿着目标轴线引导通过的目标孔。目标轴与第一平面和与第一平面正交的第二平面的交点重合。仪器系统还包括附接到手柄的端部并可拆卸地连接到假体的鼻部部件（150）。鼻部组件包括由不透射线材料形成的对准视线。当假体连接到鼻部部件并且目标线沿着目标轴线定位穿过目标孔时，可以沿着包含在第一平面中的第一视线来放射线地观察导丝的图像，以将图像平均化对准装置，从而为使用者提供第一视觉参考，用于将第一导丝引导到骨骼的期望部分中，同时将假体保持在相对于骨骼的期望位置。

5. 发明申请

WO2009123961A1 INTRAMEDULLARY NAIL WITH COUPLED SHAFTS 审中-公开
标题翻译： INTRAMEDULLARY钉与耦合的手镯
公开(公告)号：WO2009123961A1
公开(公告)日：2009-10-08
申请号：PCT/US2009/038762
申请日：2009-03-30
申请人： DEPUY PRODUCTS, INC. , HAIDUKEWYCH, George, J. , METZINGER, Anthony, J.
发明人： HAIDUKEWYCH, George, J. , METZINGER, Anthony, J.
IPC分类号： A61B17/78
CPC分类号： A61B17/744
摘要： A nail assembly (100) for use in trauma surgery is provided. The nail assembly includes an intramedullary shaft (102) including a first transverse passage (104) and a second transverse passage (106) in the shaft. The,.first transverse passage and the second transverse passage do not contact each other on the shaft. The nail assembly also includes a first shaft (112) extending through the first transverse passage in the intramedullary shaft and a second shaft (114) extending through the second transverse passage in the intramedullary shaft. The second shaft includes an engagement feature (116) configured to bring the second shaft into contact with the first shaft. The engagement feature may be in the form of a lateral mechanical feature that provides simultaneous unilateral coupled motion of the first shaft with the second shaft through the transverse passages in the intramedullary shaft.
摘要翻译：提供用于创伤手术的指甲组件（100）。指甲组件包括髓内轴（102），其包括轴中的第一横向通道（104）和第二横向通道（106）。第一横向通道和第二横向通道在轴上不彼此接触。指甲组件还包括延伸穿过髓内轴中的第一横向通道的第一轴（112）和延伸穿过髓内轴中的第二横向通道的第二轴（114）。第二轴包括构造成使第二轴与第一轴接触的接合特征（116）。接合特征可以是横向机械特征的形式，其通过髓内轴中的横向通道同时提供第一轴与第二轴的单侧联动运动。

6. 发明申请

WO2009045751A1 COMPOSITE INTRAMEDULLARY NAIL 审中-公开
标题翻译：复合内窥镜
公开(公告)号：WO2009045751A1
公开(公告)日：2009-04-09
申请号：PCT/US2008/076951
申请日：2008-09-19
申请人： DEPUY PRODUCTS, INC , METZINGER, Anthony, J. , GRANT, Stuart, R. , YAMBOR, Jason, N.
发明人： METZINGER, Anthony, J. , GRANT, Stuart, R. , YAMBOR, Jason, N.
IPC分类号： A61B17/72
CPC分类号： A61B17/7283 , A61B17/7241 , A61B2017/00526
摘要： An intramedullary nail for use in a medullary canal of an epiphysis and a diaphysis of a long bone is provided. The nail includes a body (106) having a length in a longitudinal direction and a width in the transverse direction normal to the longitudinal direction. The body has a diaphyseal portion and a first epiphyseal portion. The diaphyseal portion has an external periphery configured for placement in the medullary canal of the diaphysis of the long bone. The diaphyseal portion defines a longitudinally extending first surface of the diaphyseal portion. The first surface defines a longitudinally extending first void (108). The first epiphyseal portion extends from the diaphyseal portion. The first epiphyseal portion is configured for placement in the medullary canal of the first epiphysis of the long bone. The nail also includes a first insert (110) positioned in the longitudinally extending first void of the diaphyseal portion. The first insert and the diaphyseal portion of the body are made from different materials.
摘要翻译：提供了用于骨髓髓质管和长骨骨髓的髓内钉。钉子包括长度方向上的长度和垂直于纵向的横向宽度的本体（106）。身体具有骨干部分和第一ep部分。骨干部分具有构造成用于放置在长骨骨干的髓质管中的外周边。骨干部分限定了干睑部分的纵向延伸的第一表面。第一表面限定纵向延伸的第一空隙（108）。第一al部从骨干部分延伸。第一al部被构造成放置在长骨的第一骨the的髓管中。钉子还包括定位在纵向延伸的子宫颈部分的第一空隙中的第一插入物（110）。身体的第一个插入物和骨干部分由不同的材料制成。

7. 发明申请

WO2010002588A1 FRACTURE FIXATION APPARATUS 审中-公开
标题翻译：断裂固定装置
公开(公告)号：WO2010002588A1
公开(公告)日：2010-01-07
申请号：PCT/US2009/047622
申请日：2009-06-17
申请人： DEPUY PRODUCTS, INC. , YAMAZAKI, Ken , CHRISTIE, Charles, D. , METZINGER, Anthony, J. , BERTHUSEN, Andrew, H.
发明人： YAMAZAKI, Ken , CHRISTIE, Charles, D. , METZINGER, Anthony, J. , BERTHUSEN, Andrew, H.
IPC分类号： A61B17/72 , A61B17/78 , A61B17/76 , A61B17/86
CPC分类号： A61B17/7241 , A61B17/7225 , A61B17/725 , A61B17/744 , A61B17/8685
摘要： An apparatus for treating a bone fracture comprises an intramedullary rod (12) extending through a first bone segment of a fractured bone. A lag screw assembly (14) extends through a first transverse aperture in the rod, while a control member (16) extends through a second transverse aperture longitudinally offset from the first aperture. The lag screw assembly includes a lag screw engaged to the second bone segment and a locking sleeve (40) mounted over a proximal portion of the lag screw. The locking sleeve defines a groove (44) aligned with the second aperture. The control member includes a distal portion penetrating the bone segments, an intermediate portion configured to engage the second aperture, and an enlarged head (65) configured to slidably engage the groove. The groove includes a terminus that contacts the head of the control member after a predetermined amount of lateral migration of the lag screw as the fracture collapses.
摘要翻译：用于治疗骨折的装置包括延伸穿过骨折骨的第一骨段的髓内杆（12）。延伸螺钉组件（14）延伸穿过杆中的第一横向孔，而控制构件（16）延伸穿过纵向偏离第一孔的第二横向孔。拉力螺钉组件包括接合到第二骨段的拉力螺钉和安装在拉力螺钉的近侧部分上的锁定套筒（40）。锁定套筒限定与第二孔对准的凹槽（44）。控制构件包括穿透骨段的远侧部分，配置成接合第二孔的中间部分和被构造成可滑动地接合凹槽的扩大头部（65）。凹槽包括在裂缝塌缩时在拉伸螺钉的预定量的横向偏移之后接触控制构件的头部的终端。

8. 发明申请

WO2010117677A1 INTRAMEDULLARY NAIL WITH LOCKING KEY 审中-公开
标题翻译： INTRAMEDULLARY钉与锁键
公开(公告)号：WO2010117677A1
公开(公告)日：2010-10-14
申请号：PCT/US2010/028816
申请日：2010-03-26
申请人： DEPUY PRODUCTS, INC. , HAIDUKEWYCH, George, J. , HORWITZ, Daniel, S. , LIPORACE, Frank, A. , SEMS, Andrew , GIANNOUDIS, Peter , METZINGER, Anthony, J. , CHRISTIE, Charles, D. , BERTHUSEN, Andrew, H.
发明人： HAIDUKEWYCH, George, J. , HORWITZ, Daniel, S. , LIPORACE, Frank, A. , SEMS, Andrew , GIANNOUDIS, Peter , METZINGER, Anthony, J. , CHRISTIE, Charles, D. , BERTHUSEN, Andrew, H.
IPC分类号： A61B17/72
CPC分类号： A61B17/7241 , A61B17/725 , F16B39/06
摘要： An intramedullary nail comprises longitudinal channel, a first transverse passage and a second transverse passage. A lag screw extends through the first transverse passage of the intramedullary nail. An anti-rotation shaft extends through the second transverse passage of the intramedullary nail. A cannulated lag screw lock is positioned in the intramedullary shaft and engages the lag screw. The anti-rotation shaft extends through a cross channel in the lag screw lock. A second shaft lock is positioned in the intramedullary nail with the second shaft lock engaging the anti-rotation shaft. In at least one embodiment, the lag screw lock includes a substantially cylindrical body portion rotatably connected to a threaded head portion. In at least one embodiment, the second shaft lock is provided as an end cap including a threaded upper portion and a lower post portion that extends into the lag screw lock.
摘要翻译：髓内钉包括纵向通道，第一横向通道和第二横向通道。拉力螺钉延伸穿过髓内钉的第一横向通道。防旋转轴延伸穿过髓内钉的第二横向通道。插管拉力螺钉锁定在髓内轴中并与拉力螺钉啮合。防旋转轴延伸穿过拉杆螺丝锁中的十字槽。第二轴锁定位于髓内钉中，第二轴锁与防旋转轴接合。在至少一个实施例中，拉伸螺钉锁包括可旋转地连接到螺纹头部的基本上圆柱形的主体部分。在至少一个实施例中，第二轴锁被设置为端盖，该端盖包括螺纹的上部和延伸到拉力螺钉锁中的下部柱部分。

9. 发明申请

WO2009042510A2 APPARATUS AND METHODS ASSOCIATED WITH A HIP FRACTURE REDUCTION PROCEDURE 审中-公开
标题翻译：与髋骨骨折减轻程序相关的设备和方法
公开(公告)号：WO2009042510A2
公开(公告)日：2009-04-02
申请号：PCT/US2008076955
申请日：2008-09-19
申请人： DEPUY PRODUCTS INC , GRANT STUART R , METZINGER ANTHONY J , HAWKES DAVID A , BERTHUSEN ANDREW H , KYLE RICHARD F , WAFFENSMITH JEFFREY B , LEYDEN MATTHEW V , BACHMAN TIMOTHY A , WALLACE MATTHEW S , RUHLING MARC E , CHRISTIE CHARLES D
发明人： GRANT STUART R , METZINGER ANTHONY J , HAWKES DAVID A , BERTHUSEN ANDREW H , KYLE RICHARD F , WAFFENSMITH JEFFREY B , LEYDEN MATTHEW V , BACHMAN TIMOTHY A , WALLACE MATTHEW S , RUHLING MARC E , CHRISTIE CHARLES D
IPC分类号： A61B17/17 , A61B17/74 , A61B17/80 , A61B17/88 , A61B19/00
CPC分类号： A61B17/746 , A61B17/1703 , A61B17/1721 , A61B17/1725 , A61B17/1728 , A61B17/8047 , A61B17/8615 , A61B17/8635 , A61B17/888 , A61B17/8897 , A61B90/06 , A61B2090/061 , A61B2090/067
摘要： Various methods and apparatus associated with a hip fracture reduction procedure are disclosed.
摘要翻译：公开了与髋部骨折复位手术相关的各种方法和设备。

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