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1. 发明申请

WO2011031914A1 ALIGNMENT GUIDES FOR USE IN COMPUTER ASSISTED ORTHOPEDIC SURGERY TO PREPARE A BONE ELEMENT FOR AN IMPLANT 审中-公开
标题翻译：用于计算机辅助正畸手术的对准指南，用于准备植入物的骨骼元素
公开(公告)号：WO2011031914A1
公开(公告)日：2011-03-17
申请号：PCT/US2010/048346
申请日：2010-09-10
申请人： ANGIBAUD, Laurent , MAULDIN, C., Michael , BOYER, Anthony , LAVALLEE, Stephane
发明人： ANGIBAUD, Laurent , MAULDIN, C., Michael , BOYER, Anthony , LAVALLEE, Stephane
IPC分类号： A61B17/58
CPC分类号： A61B17/155 , A61B17/1757 , A61B17/1764 , A61B17/1778 , A61B2090/3983
摘要： In an embodiment, the methodology of the present invention is based on the use of an intraoperative navigation system and of a compact alignment guide for alignment of implant components. In an embodiment, an alignment guide of the present invention includes a first component fixable to a bone element; a second mobile component, and a third mobile component, wherein the second mobile component and two control mechanisms form a first link, wherein the two control mechanisms are working in parallel to perform adjustments in two degrees of freedom, wherein the third mobile component and three control mechanisms form a second link, wherein the three control mechanisms are working in parallel to perform adjustments in three additional degrees of freedom, and wherein the first link adjustments and the second link adjustments are performed in series to provide a total adjustment of five degrees of freedom relative to the first component.
摘要翻译：在一个实施例中，本发明的方法基于使用术中导航系统和用于对准植入部件的紧凑对准引导件。在一个实施例中，本发明的对准引导件包括可固定到骨元件的第一部件; 第二移动部件和第三移动部件，其中第二移动部件和两个控制机构形成第一链接，其中两个控制机构并行工作以执行两个自由度的调整，其中第三移动部件和三个控制机构形成第二连杆，其中三个控制机构并行工作以执行三个额外的自由度的调整，并且其中第一连杆调整和第二连杆调整是串联执行的，以提供五度相对于第一部分的自由度。

2. 发明申请

WO2010131121A1 DEVICE AND METHOD OF AUTOMATIC CALIBRATION OF A TENSOR IN ARTHROPLASTY PROCEDURES 审中-公开
标题翻译：传感器在牙周病程序中的自动校准的装置和方法
公开(公告)号：WO2010131121A1
公开(公告)日：2010-11-18
申请号：PCT/IB2010/001807
申请日：2010-05-11
申请人： BLUE ORTHO , BOYER, Anthony , GOUGEON, François , LAVALLEE, Stéphane
发明人： BOYER, Anthony , GOUGEON, François , LAVALLEE, Stéphane
IPC分类号： A61B17/02 , A61B17/04 , A61B19/00
CPC分类号： A61B17/025 , A61B34/10 , A61B34/20 , A61B2017/0268 , A61B2034/2055 , A61B2090/062 , A61B2090/064
摘要： The present invention relates to a computer assisted surgical navigation method for determining the patient-specific pressure that must be applied on one or both sides of a joint during the ligament balancing steps of an arthroplasty procedure, said method comprising: inserting a tensor (22) inside the joint between a first bone (8) and a second bone (2) when the joint is in a given angular orientation; controlling the pressure applied by the tensor (22) to the joint so as to make it increase from a minimum value to a maximum value; measuring the evolution of the distance between the first and the second bones during said pressure increase; determining the relationship between said distance and said pressure; processing said relationship to determine said patient-specific pressure to apply to the joint.
摘要翻译：本发明涉及一种用于在关节置换手术的韧带平衡步骤期间确定必须在关节的一侧或两侧施加的患者特定压力的计算机辅助手术导航方法，所述方法包括：将张量（22）在关节处于给定的角度方向时在第一骨骼（8）和第二骨骼（2）之间的关节内部; 控制由张量（22）施加到接头上的压力，使其从最小值增加到最大值; 在所述压力增加期间测量第一和第二骨之间的距离的演变; 确定所述距离和所述压力之间的关系; 处理所述关系以确定应用于关节的所述患者特异性压力。

3. 发明申请

WO2010128409A3 REDUCED INVASIVITY FIXATION SYSTEM FOR TRACKERS IN COMPUTER ASSISTED SURGERY 审中-公开
标题翻译：计算机辅助外科手术中跟踪器的不良融合系统
公开(公告)号：WO2010128409A3
公开(公告)日：2010-11-11
申请号：PCT/IB2010/001804
申请日：2010-05-04
申请人： BLUE ORTHO , BOYER, Anthony , LAVALLEE, Stéphane
发明人： BOYER, Anthony , LAVALLEE, Stéphane
IPC分类号： A61B17/15
摘要： The invention relates to a surgical navigation device, for the purpose of adjusting a cutting plane to a desired position with respect to a bone of a patient, the device comprising: a fixed part (7) rigidly attached to the bone (18, 19), the fixed part comprising fixation means to rigidly attach a tracker thereto; a mobile part (5) adjustable with respect to the fixed part (7), including fixation means to rigidly attach a tracker thereto, and including a cutting slot (6) in which a saw blade can be inserted to perform cut; a fixed tracker (9) rigidly attached to the fixed part (7); a mobile tracker (1 ) attached to the mobile part (5). The invention also concerns a method for adjusting a cutting plane of a surgical device to a desired position with respect to a bone of a patient.
摘要翻译：本发明涉及一种手术导航装置，其目的在于将切割平面相对于患者的骨调节到期望的位置，该装置包括：固定部分（7），该固定部分刚性连接到骨（18,19），所述固定部分包括固定装置以将跟踪器刚性地附接到其上; 相对于固定部件（7）可调整的移动部件（5），包括固定装置以将跟踪器刚性附接到固定部件上，并且包括切割槽（6），锯刀片可插入切割槽中以执行切割; 刚性连接到固定部件（7）的固定跟踪器（9）; 附接到移动部件（5）的移动追踪器（1）。本发明还涉及一种用于将手术装置的切割平面相对于患者的骨调节到期望位置的方法。

4. 发明申请

WO2010046455A1 DEVICE FOR CONTROLLED ADJUSTMENT OF A SURGICAL POSITIONING UNIT 审中-公开
标题翻译：用于外科手术位置控制调整的装置
公开(公告)号：WO2010046455A1
公开(公告)日：2010-04-29
申请号：PCT/EP2009/063930
申请日：2009-10-22
申请人： BLUE ORTHO , DE LA FUENTE KLEIN, Matias , BELEI, Peter , RADERMACHER, Klaus , BOYER, Anthony , LAVALLEE, Stéphane
发明人： DE LA FUENTE KLEIN, Matias , BELEI, Peter , RADERMACHER, Klaus , BOYER, Anthony , LAVALLEE, Stéphane
IPC分类号： A61B19/00 , A61B17/15 , A61B17/88 , A61B17/00
CPC分类号： A61B17/8875 , A61B17/155 , A61B17/157 , A61B17/175 , A61B17/1757 , A61B17/7076 , A61B17/8615 , A61B34/20 , A61B90/98 , A61B2017/00482 , A61B2090/0811
摘要： The invention concerns a device for adjusting the position of a screw (13) that is able to move a part of a surgical instrument, said device (4) comprising: - a stem (41) comprising a tip (42) suited to the head (130) of the screw (13), - an actuated system (45) for driving said stem (41) in rotation, - communication means to communicate with a control unit (21), such that the control unit (21) transmits to the actuated system (45) the number of turns to apply to the stem (41) to reach the target position of the screw (13). The invention also concerns a surgical system for alignment of surgical guide means (14, 15), comprising: - a positioning unit comprising a fixed part (11) and a mobile part (12) supporting the surgical guide means (14, 15), the position of said mobile part (12) being adjustable with respect to the fixed part (11) by screws (13), - a referencing unit for detecting the position of the positioning unit with respect to a target position of the surgical guide means, - a control unit (21) for computing the target position of screws (13), - said device (4) for adjusting the positions of the screws (13).
摘要翻译：本发明涉及一种用于调节能够移动外科器械的一部分的螺钉（13）的位置的装置，所述装置（4）包括： - 杆（41），其包括适于头部的尖端（42）（130）， - 用于驱动所述杆（41）旋转的致动系统（45）， - 与控制单元（21）通信的通信装置，使得所述控制单元（21）传送到所述致动系统（45）施加到所述杆（41）到达所述螺钉（13）的目标位置的匝数。本发明还涉及用于对准外科引导装置（14,15）的手术系统，包括： - 定位单元，包括固定部分（11）和支撑手术引导装置（14,15）的可移动部件（12）所述可移动部分（12）的位置可通过螺钉（13）相对于固定部分（11）可调; - 参考单元，用于检测定位单元相对于手术引导装置的目标位置的位置， - 用于计算螺钉（13）的目标位置的控制单元（21）， - 用于调节螺钉（13）位置的所述装置（4）。

5. 发明申请

WO2011001292A1 ADJUSTABLE GUIDE IN COMPUTER ASSISTED ORTHOPAEDIC SURGERY 审中-公开
标题翻译：计算机辅助手术手术中的可调指南
公开(公告)号：WO2011001292A1
公开(公告)日：2011-01-06
申请号：PCT/IB2010/001938
申请日：2010-06-29
申请人： BLUE ORTHO , BOYER, Anthony , LAVALLEE, Stéphane
发明人： BOYER, Anthony , LAVALLEE, Stéphane
IPC分类号： A61B19/00 , A61B17/15 , A61B17/88 , A61B17/00
CPC分类号： A61B17/15 , A61B17/151 , A61B17/152 , A61B17/154 , A61B17/155 , A61B17/157 , A61B17/8875 , A61B34/10 , A61B34/20 , A61B2017/00398 , A61B2034/108 , A61B2090/062
摘要： The present invention relates to a surgical navigation device, for the purpose of adjusting cutting planes to a desired position with respect to a bone of a patient, the device comprising: an adjustable guide (15) that contains several adjustable screws (1 ) that create contact points with the surface of the bone or cartilage such that the guide fits to the bone in a unique position calculated such that the holes and cutting blocks of the adjustable guide fit with the position planned on preoperative CT or MR images of the patient, a dedicated screwdriver (7) to adjust automatically the screws (1 ) to their target length, a navigation system used to check the correct position of the adjustable guide with respect to essential anatomical points and if necessary means to correct the positions of the adjustable screws.
摘要翻译：本发明涉及一种外科导航装置，用于将切割平面相对于患者的骨头调整到期望位置，该装置包括：可调导件（15），其包含若干可调螺钉（1），其可产生与骨或软骨的表面的接触点，使得引导件以独特的位置适配到骨骼，计算为使得可调节引导件的孔和切割块适合于在患者的术前CT或MR图像上计划的位置，专用螺丝刀（7）将螺丝（1）自动调整到目标长度，导航系统用于检查可调节导轨相对于基本解剖点的正确位置，如有必要，可以修正可调螺钉的位置。

6. 发明申请

WO2010125474A3 DEVICE AND METHOD OF DETERMINATION OF THE KNEE FLEXION AXIS IN COMPUTER ASSISTED SURGERY 审中-公开
公开(公告)号：WO2010125474A3
公开(公告)日：2010-11-04
申请号：PCT/IB2010/001285
申请日：2010-04-29
申请人： BLUE ORTHO , STIEHL, James, B. , LAVALLEE, Stéphane , BOYER, Anthony
发明人： STIEHL, James, B. , LAVALLEE, Stéphane , BOYER, Anthony
IPC分类号： A61B19/00
摘要： Device and method of determination of the knee flexion axis in Computer Assisted Surgery The present invention relates to a computer assisted surgical navigation method for determining the called flexion axis of a kneewherein a tensor (22) has previously been inserted, the pressure of which having been controlled to tighten the ligaments, comprising the following steps: acquiring intraoperatively at least two relative positions of the tibia (8) with respect to the femur(2)along a flexion/extension movement, computing said relative positions to determine the flexion axis of the knee. The invention also relates to a surgical device for determining the flexion axis of a knee.

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