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1. 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.

2. 发明申请

WO2005084544A1 ORTHOPAEDIC MONITORING SYSTEM, METHODS AND APPARATUS 审中-公开
标题翻译： ORTHOPEDIC监测系统，方法和装置
公开(公告)号：WO2005084544A1
公开(公告)日：2005-09-15
申请号：PCT/GB2005/000854
申请日：2005-03-07
申请人： DEPUY INTERNATIONAL LTD , BIOSENSE WEBSTER, INC. , REVIE, Ian , ASHBY, Alan , REZNIK, Dudi , NITZAN, Yaacov
发明人： REVIE, Ian , ASHBY, Alan , REZNIK, Dudi , NITZAN, Yaacov
IPC分类号： A61B5/11
CPC分类号： A61B5/6878 , A61B5/0031 , A61B5/103 , A61B5/1118 , A61B5/1121 , A61B5/1127 , A61B5/4528 , A61B5/4571 , A61B5/4585 , A61B5/686 , A61B5/7246 , A61B5/7445 , A61B90/98 , A61B2090/3916 , A61B2090/3975 , A61F2002/3067
摘要： Methods, systems and apparatus for monitoring and assessing the orthopaedic performance of a patient are described. The method can comprise implanting at least a first and second RF wirelessly detectable markers in first and second bones associated with a site. A procedure can be carried out on the site and the positions of the first and second markers can be detected after the procedure has been completed. The detected positions can be used to assess the orthopaedic performance of the patient. An orthopaedic monitoring system comprises a monitoring station including a tracking system for RF wirelessly detecting the positions of markers within a working volume of the monitoring station. A computer control system is configured to determine a marker position for each of a plurality of markers implanted in a patient located in the working volume. The computer control system also generates an indication of the orthopaedic performance of the patient from the marker positions. The computer implemented method comprises identifying each of the plurality of markers, determining the positions of each of the markers and using the positions of the markers to generate a representation of the orthopaedic performance of the patient.
摘要翻译：描述了用于监测和评估患者的整形外科性能的方法，系统和装置。该方法可以包括在与位点相关联的第一和第二骨中植入至少第一和第二RF无线可检测标记。可以在现场执行程序，并且可以在程序完成后检测第一和第二标记的位置。检测到的位置可用于评估患者的整形外科表现。整形外科监测系统包括监测站，该监测站包括用于RF无线地检测监测站工作体积内标记位置的跟踪系统。计算机控制系统被配置为确定植入位于工作体积中的患者中的多个标记中的每一个的标记位置。计算机控制系统还从标记位置产生患者的整形外科表现。计算机实现的方法包括识别多个标记中的每一个，确定每个标记的位置，并使用标记的位置来生成患者的矫形表现的表示。

3. 发明申请

WO2006129087A1 SURGICAL SYSTEM AND METHOD 审中-公开
标题翻译：外科系统与方法
公开(公告)号：WO2006129087A1
公开(公告)日：2006-12-07
申请号：PCT/GB2006/001985
申请日：2006-06-01
申请人： DEPUY INTERNATIONAL LTD , BIOSENSE WEBSTER INC , DEPUY ORTHOPÄDIE GMBH , REVIE, Ian , NITZAN, Yaacov , SLOMCZYKOWSKI, Mike , HAECHLER, Joerg
发明人： REVIE, Ian , NITZAN, Yaacov , SLOMCZYKOWSKI, Mike , HAECHLER, Joerg
IPC分类号： G06T17/40
CPC分类号： A61B90/36 , A61B34/10 , A61B34/20 , A61B2034/102 , A61B2034/105 , A61B2034/108 , A61B2034/2051 , A61B2034/2055 , A61F2002/4633
摘要： Methods, systems and data processing apparatus and methods are described for use in planning and carrying out a surgical procedure on a joint of a subject. The joint includes a first component and a second component, the first and second components being relatively movable. Joint data describing the configuration of the joint is captured while the joint is in a functional state in which the joint is undergoing its usual load bearing functional behaviour. The joint data is analysed to determine joint component orientation data specifying the relative orientation of the first and second components. The orientation of prosthetic implants to be used in the surgical procedure to recreate the joint is planned using the joint component orientation data. The planned orientation of the prosthetic implants improves the recreation of the functional state of the joint.
摘要翻译：描述了用于在受试者的关节上规划和执行外科手术的方法，系统和数据处理装置和方法。接头包括第一部件和第二部件，第一和第二部件是可相对移动的。在关节处于关节正在承受其通常的承载功能行为的功能状态下，捕获描述关节的构造的联合数据。分析联合数据以确定指定第一和第二组分的相对取向的联合分量取向数据。使用联合分量取向数据计划在外科手术中用于重建关节的假体植入物的取向。假体植入物的计划取向改善了关节功能状态的恢复。

4. 发明申请

WO2006090141A1 A PROBE FOR USE IN COMPUTER ASSISTED SURGERY 审中-公开
标题翻译：用于计算机辅助手术的探头
公开(公告)号：WO2006090141A1
公开(公告)日：2006-08-31
申请号：PCT/GB2006/000616
申请日：2006-02-22
申请人： DEPUY INTERNATIONAL LIMITED , DEPUY ORTHOPÄDIE GMBH , BIOSENSE WEBSTER INC , BURGER, Thorsten , CAWTHAN, Simon , LICHTENSTEIN, Yoav , NITZAN, Yaacov , REVIE, Ian , REZNICK, Dudi
发明人： BURGER, Thorsten , CAWTHAN, Simon , LICHTENSTEIN, Yoav , NITZAN, Yaacov , REVIE, Ian , REZNICK, Dudi
IPC分类号： A61B19/00
CPC分类号： A61B90/36 , A61B90/10 , A61B2017/00473 , A61B2017/00482 , A61B2034/105 , A61B2034/2051 , A61B2034/2068 , A61B2090/3954
摘要： A probe for generating position data for use in computer assisted surgery has a handle and a shaft extending from the handle. A tip having a distal end for contacting an object to indicate the position of the object is attached to the shaft. A sensor which can respond to external electromagnetic fields for generating position data with multiple degrees of freedom is located within the shaft or the tip towards the distal end of the shaft or tip.
摘要翻译：用于产生用于计算机辅助手术的位置数据的探针具有手柄和从手柄延伸的轴。具有用于接触物体以指示物体的位置的远端的末端附接到轴。可以响应于外部电磁场产生具有多个自由度的位置数据的传感器位于轴或尖端内朝向轴或尖端的远端。

5. 发明申请

WO2005084541A1 PELVIS REGISTRATION METHOD AND APPARATUS 审中-公开
标题翻译： PELVIS注册方法和设备
公开(公告)号：WO2005084541A1
公开(公告)日：2005-09-15
申请号：PCT/GB2005/000841
申请日：2005-03-07
申请人： DEPUY INTERNATIONAL LTD , REVIE, Ian , ASHBY, Alan , SLOMCZYKOWSKI, Mike
发明人： REVIE, Ian , ASHBY, Alan , SLOMCZYKOWSKI, Mike
IPC分类号： A61B5/103
CPC分类号： A61B5/103 , A61B5/4504 , A61B5/6878
摘要： A method and apparatus for registering a pelvis of a subject (130) in a lateral position are described. The method includes the position of at least a first point and a second point in a first plane parallel to a first cardinal plane of the pelvis. Then the position of at least a third point and a fourth point in a second plane parallel to a second cardinal plane of the pelvis are determined, in which the second plane is perpendicular to the first plane. Then the position of a third cardinal plane of the pelvis is determined, in which the third cardinal plane is perpendicular to the first cardinal plane and second cardinal plane. The apparatus includes a computer aided surgery system (100), an instrument (134, 136) trackable by a tracking part (104) of the system (100) and instructions allowing the system to be used in the method for registering the pelvis.
摘要翻译：描述了用于在横向位置登记被检体（130）的骨盆的方法和装置。该方法包括在与骨盆的第一基础平面平行的第一平面中的至少第一点和第二点的位置。然后确定平行于骨盆的第二基本平面的第二平面中的至少第三点和第四点的位置，其中第二平面垂直于第一平面。然后，确定骨盆的第三基本面的位置，其中第三基本平面垂直于第一基本面和第二主基面。该装置包括计算机辅助手术系统（100），可由系统（100）的跟踪部分（104）跟踪的仪器（134,136）以及允许系统用于记录骨盆的方法中的指令。

6. 发明申请

WO2005084572A2 IMPLANTABLE MARKER, INSTRUMENTS AND METHODS 审中-公开
标题翻译：可塑性标记，仪器和方法
公开(公告)号：WO2005084572A2
公开(公告)日：2005-09-15
申请号：PCT/GB2005/000855
申请日：2005-03-07
申请人： DEPUY INTERNATIONAL LTD , DePUY Orthopädie Gmbh , REVIE, Ian , ASHBY, Alan , NITZAN, Yaacov , GIBBONS, Paul , STUNGO, Ben , BUTCHER, Robert , PATTERSON, Tom , BALDEWEIN, Jury , BROOKS, James
发明人： REVIE, Ian , ASHBY, Alan , NITZAN, Yaacov , GIBBONS, Paul , STUNGO, Ben , BUTCHER, Robert , PATTERSON, Tom , BALDEWEIN, Jury , BROOKS, James
IPC分类号： A61B19/00
CPC分类号： A61B90/39 , A61B2090/3916 , A61B2090/3975 , A61B2090/3987 , A61B2090/3991
摘要： An implantable marker, instruments for implanting the marker and method for implanting the marker are described. The implanta+e marker comprises a housing with an outer surface providing a bone anchor and having a cavity within which a marker detectable by a tracking system is secured. The kit includes a guide instrument having a guide channel for receiving an implanta+e marker, an insertion tool receivable within the channel and having a distal end for releasably engaging an implanta+e marker, and an implanta+e marker receiva+e within the channel. The insertion tool is operable to drive the implanta+e marker into the bone. The method includes puncturing the skin with an instrument, driving the implanta+e marker into the bone and withdrawing the instrument, leaving the marker implanted within the bone.
摘要翻译：描述了可植入标记，用于植入标记的仪器和用于植入标记的方法。植入物+ e标记物包括具有提供骨锚的外表面并具有空腔的壳体，在该空腔内可以确保由跟踪系统可检测的标记。该套件包括具有用于接收植入物标记的引导通道的引导器具，可插入通道内的插入工具，并具有用于可释放地接合植入物+ e标记的远端，以及植入物+ 渠道。插入工具可操作以将植入物+标记物驱动到骨中。该方法包括用仪器刺穿皮肤，将植入物+标记物驱动到骨骼中并取出器械，使标记物植入骨骼内。

7. 发明申请

WO2006090139A1 AN INSTRUMENT FOR IMPLANTING A SENSOR 审中-公开
标题翻译：一个传感器的插入仪器
公开(公告)号：WO2006090139A1
公开(公告)日：2006-08-31
申请号：PCT/GB2006/000614
申请日：2006-02-21
申请人： DEPUY INTERNATIONAL LIMITED , BIOSENSE WEBSTER INC , DEPUY ORTHOPÄDIE GMBH , BALDEWEIN, Jury , NITZAN, Yaccov , REVIE, Ian
发明人： BALDEWEIN, Jury , NITZAN, Yaccov , REVIE, Ian
IPC分类号： A61B17/34 , A61B19/00
CPC分类号： A61B17/3468 , A61B17/3417 , A61B34/20 , A61B90/39 , A61B2017/3488 , A61B2034/107 , A61B2034/2051 , A61B2090/3958 , A61B2090/3983 , A61B2090/3987
摘要： An instrument for implanting a sensor in a body part, in which the sensor has at least one cord extending therefrom which is connected to an external device, includes a guide sheath for defining a path to the surface of the body- part through overlaying soft tissue, the sheath having a bore extending along its length between first and second open ends through which the tool can pass and a slot that extends along its length between its first and second open ends. A delivery sheath for implanting the sensor in the hole has a bore with the cord extending from the sensor along the bore, the sheath has a slot, the delivery sheath can be received within the guide sheath. The slots of the guide and delivery sheaths can be aligned to allow the cord to be removed from the bores other than at the ends of the bores .
摘要翻译：一种用于将传感器植入身体部位的仪器，其中传感器具有从其延伸的至少一根连接到外部装置的绳索，其包括用于通过覆盖软组织来限定通向身体部分表面的路径的引导护套所述护套具有沿其长度延伸的孔，所述孔在所述工具可以穿过的第一和第二开口端之间延伸，以及沿其长度在其第一和第二开口端之间延伸的槽。用于将传感器植入孔中的输送护套具有孔，其中绳索沿着孔从传感器延伸，护套具有狭槽，输送护套可以被容纳在引导护套内。引导件和输送护套的槽可以对准，以允许绳索除孔之外除去孔之外。

8. 发明申请

WO2003077775A1 A SURGICAL NAVIGATION TOOL 审中-公开
标题翻译：手术导航工具
公开(公告)号：WO2003077775A1
公开(公告)日：2003-09-25
申请号：PCT/GB2003/001157
申请日：2003-03-17
申请人： DEPUY INTERNATIONAL LIMITED , ASHBY, Alan , REVIE, Ian
发明人： ASHBY, Alan , REVIE, Ian
IPC分类号： A61B17/17
CPC分类号： A61B17/1757 , A61B17/1703 , A61B34/20 , A61B90/39 , A61B2090/3916
摘要： A navigation tool for locating an axis on or in relation to which an orthopaedic surgery procedure is to be performed includes a column member having upper and lower parts. The lower part can be fastened to a bone. The upper and lower parts are connected to one another with the mating surfaces in contact with one another in such a way that the upper and lower parts can be rotated relative to one another about an axis which is perpendicular to the mating planes. The tool also includes a guide having an opening extending through it, which is fastened to the upper part of the column member so that it extends transversely relative to the upper part of the column member and can be moved relative to the upper part of the column member so as to change the distance between the opening and the point at which the guide is fastened to the upper part of the column member.
摘要翻译：用于定位要在其上执行整形外科手术的轴上或与之相关的轴的导航工具包括具有上部和下部的柱构件。下部可以固定在骨头上。上部和下部彼此连接，其中配合表面彼此接触，使得上部和下部可以围绕垂直于配合平面的轴线相对于彼此旋转。该工具还包括具有延伸穿过该开口的开口的引导件，其被固定到柱构件的上部，使得其相对于柱构件的上部横向地延伸并且可相对于柱的上部移动构件，以便改变开口与引导件紧固到柱构件上部的点之间的距离。

9. 发明申请

WO2006109022A2 Acetabular Cup Positioning 审中-公开
标题翻译：髋臼杯定位
公开(公告)号：WO2006109022A2
公开(公告)日：2006-10-19
申请号：PCT/GB2006/001275
申请日：2006-04-06
申请人： DEPUY INTERNATIONAL LTD , BEVERLAND, David , BIRKBECK, Alec , FOLEY, Frank , REVIE, Ian , SLOMCZYKOWSKI, Mike
发明人： BEVERLAND, David , BIRKBECK, Alec , FOLEY, Frank , REVIE, Ian , SLOMCZYKOWSKI, Mike
IPC分类号： A61F2/46 , A61B5/103 , A61B5/107
CPC分类号： A61B5/4533 , A61B5/103 , A61B5/1077 , A61B5/4528 , A61F2/32 , A61F2/34 , A61F2/4609 , A61F2/4657 , A61F2002/30616 , A61F2002/4632 , A61F2002/4658 , A61F2002/4668
摘要： A computer aided surgery system, method, surgical method and instrument for guiding the positioning of an acetabular cup in a pelvis are described. The position of the transverse acetabular ligament of the pelvis and the position of the acetabular labium of the pelvis are determined. The orientation of an acetabular plane including the acetabular labrum and the transverse acetabular ligament is calculated. A planned position for the acetabular cup is determined, in which an inlet plane of the cup is substantially parallel to the acetabular plane. The instrument comprises a mounting for attaching the instrument to a patient, a support, a guide defining a longitudinal axis, and for receiving a further instrument bearing the acetabular cup implant, and an adjustment mechanism. The adjustment mechanism can allow the angular orientation of the guide to be adjusted about at least two different axes to allow the inclination and version or anteversion of the longitudinal axis to be altered.
摘要翻译：描述了用于引导髋臼杯在骨盆中的定位的计算机辅助手术系统，方法，手术方法和仪器。确定骨盆横向髋臼韧带的位置和骨盆髋臼的位置。计算包括髋臼唇和髋臼横韧带的髋臼平面的方向。确定髋臼杯的预定位置，其中杯的入口平面基本上平行于髋臼平面。仪器包括用于将仪器附接到患者的安装件，支撑件，限定纵向轴线的引导件，以及用于接收另一具有髋臼杯植入物的器械以及调节机构。调节机构可以允许引导件的角度定向绕至少两个不同的轴线进行调节，以允许改变纵向轴线的倾斜度和形式或前倾。

10. 发明申请

WO2005086062A2 REGISTRATION METHODS AND APPARATUS 审中-公开
标题翻译：注册方法和设备
公开(公告)号：WO2005086062A2
公开(公告)日：2005-09-15
申请号：PCT/GB2005/000874
申请日：2005-03-07
申请人： DEPUY INTERNATIONAL LIMITED , REVIE, Ian , ASHBY, Alan , SLOMCZYKOWSKI, Mike
发明人： REVIE, Ian , ASHBY, Alan , SLOMCZYKOWSKI, Mike
IPC分类号： G06F19/00
CPC分类号： A61B90/36 , A61B34/20 , A61B2034/2051 , A61B2034/2072 , A61B2090/364 , A61B2090/376 , A61B2090/3762 , A61B2090/3916
摘要： A method, system and computer program for generating a registered image of a body part of a patient for use in an image guided surgical procedure is described. The method includes attaching a marker detectable by a tracking system to the body part before carrying out surgical steps. The tracking system has a reference frame and the position of the marker in the reference frame is detected. A first image of the body part is captured using an imaging system. An indication of the position of the first image relative to the reference frame of the tracking system is obtained. The first image is then mapped into registration with the position of the body part. The system includes an imaging system for capturing images of the body part. A tracking system detects a marker and determines the position of the marker in the reference frame of the tracking system. A marker is attachable to the body part and detectable by the tracking system. A computer control system is configured to obtain an indication of the position of the first image relative to the reference frame of the tracking system and to map the first image into registration with the position of the body part.
摘要翻译：描述了一种用于生成患者的身体部位的注册图像以供在图像引导外科手术中使用的方法，系统和计算机程序。该方法包括在执行手术步骤之前将可由跟踪系统检测的标记附着到身体部位。跟踪系统有一个参考框架，并检测标记在参考框架中的位置。使用成像系统捕获身体部分的第一图像。获得第一图像相对于跟踪系统的参考系的位置的指示。然后将第一张图像映射到与身体部位位置对齐。该系统包括用于捕捉身体部位的图像的成像系统。跟踪系统检测标记并确定标记在跟踪系统的参考框架中的位置。标记可附着于身体部位并可由跟踪系统检测到。计算机控制系统被配置为获得第一图像相对于跟踪系统的参考系的位置的指示，并且将第一图像映射到与身体部位的位置对齐。

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