公开(公告)号：EP1405603B1

公开(公告)日：2007-11-07

申请号：EP04000194.3

申请日：2001-04-26

申请人： Bristol-Myers Squibb Company ,  Mears, Dana

发明人： Greig, Kevin ,  Zwirkoski, Paul A ,  Mears, Dana

IPC分类号： A61B17/16 ,  A61F2/46

CPC分类号： A61B17/00234 ,  A61B17/02 ,  A61B17/0293 ,  A61B17/142 ,  A61B17/144 ,  A61B17/15 ,  A61B17/151 ,  A61B17/164 ,  A61B17/1659 ,  A61B17/1668 ,  A61B17/1735 ,  A61B17/175 ,  A61B17/1796 ,  A61B17/3421 ,  A61B17/8866 ,  A61B17/8872 ,  A61B2017/0046 ,  A61B2090/08021 ,  A61F2/0095 ,  A61F2/32 ,  A61F2/34 ,  A61F2/36 ,  A61F2/4607 ,  A61F2/4609 ,  A61F2/4684 ,  A61F2002/30718 ,  A61F2002/3404 ,  A61F2002/3611 ,  A61F2002/3621 ,  A61F2002/3625 ,  A61F2002/4622 ,  A61F2002/4623 ,  A61F2002/4624 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2002/4629 ,  A61F2002/4635 ,  A61F2002/4681 ,  A61G13/0036 ,  B25B7/02 ,  B25B13/06 ,  B25B13/48 ,  B25B13/481 ,  B27G17/06 ,  F16D3/20

公开(公告)号：EP1695677A2

公开(公告)日：2006-08-30

申请号：EP06011811.4

申请日：2001-04-26

申请人： Bristol-Myers Squibb Company ,  Mears, Dana

发明人： Greig, Kevin ,  Zwirkoski, Paul A. ,  Mears, Dana

IPC分类号： A61F2/46 ,  A61B17/00

CPC分类号： A61B17/00234 ,  A61B17/02 ,  A61B17/0293 ,  A61B17/142 ,  A61B17/144 ,  A61B17/15 ,  A61B17/151 ,  A61B17/164 ,  A61B17/1659 ,  A61B17/1668 ,  A61B17/1735 ,  A61B17/175 ,  A61B17/1796 ,  A61B17/3421 ,  A61B17/8866 ,  A61B17/8872 ,  A61B2017/0046 ,  A61B2090/08021 ,  A61F2/0095 ,  A61F2/32 ,  A61F2/34 ,  A61F2/36 ,  A61F2/4607 ,  A61F2/4609 ,  A61F2/4684 ,  A61F2002/30718 ,  A61F2002/3404 ,  A61F2002/3611 ,  A61F2002/3621 ,  A61F2002/3625 ,  A61F2002/4622 ,  A61F2002/4623 ,  A61F2002/4624 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2002/4629 ,  A61F2002/4635 ,  A61F2002/4681 ,  A61G13/0036 ,  B25B7/02 ,  B25B13/06 ,  B25B13/48 ,  B25B13/481 ,  B27G17/06 ,  F16D3/20

摘要： A method and apparatus for performing a minimally invasive ( i . e ., with the wound developed under an incision being substantially the same size as the incision throughout the depth of the wound) total hip arthroplasty. An approximately 3.75 - 5 centimeter (1.5 - 2 inch) anterior incision is made in line with the femoral neck. The femoral neck is severed from the femoral shaft and removed through the anterior incision. The acetabulum is prepared for receiving an acetabular cup through the anterior incision, and the acetabular cup is placed into the acetabulum through the anterior incision. A posterior incision of approximately 2.5 - 3.75 centimeters (1 - 1.5 inches) is generally aligned with the axis of the femoral shaft and a tubular posterior retractor is utilized to provide access to the femoral shaft through the posterior incision. Preparation of the femoral shaft including the reaming and rasping thereof is performed through the posterior incision and posterior retractor. A bag element is utilized to cover the femoral stem and keep it clean as it is inserted through the posterior incision. Procedures being performed through the posterior incision may be observed through the anterior incision and vice versa. The acetabular liner and femoral head are inserted through the anterior incision and operably positioned. Novel instruments including an osteotomy guide; an awl for locating a posterior incision aligned with the axis of the femoral shaft; a tubular posterior retractor; a selectively lockable rasp handle with an engagement guide; and a selectively lockable provisional neck are utilized to perform the total hip arthroplasty of the current invention.

摘要翻译： 公开的用于执行微创全髋关节置换术的装置包括临时股骨颈装置和牵开器。 颈部装置包括：临时股骨颈（222），其具有中空的基本上圆柱形的主体; 所述锁定活塞（224）具有锥形主体部分（226），由此施加到所述锥形主体部分（226）的径向力将所述锁定活塞（224）放置在所述中空圆柱体中的弹簧偏压锁定活塞（224） 解锁位置 以及具有用于向所述锁定活塞（224）的所述锥形主体部分（226）施加径向力的刀片（230,232）的钳子（220）。 牵开器（122）包括尺寸适于通过身体中的切口插入的隧道，其中所述切口通向股骨轴，所述隧道包括尺寸允许股骨锉穿过其中的锉刀通道（130）。

公开(公告)号：EP1555963A2

公开(公告)日：2005-07-27

申请号：EP03781370.6

申请日：2003-10-23

申请人： CLEMOW, Alastair J. T. ,  MEARS, Dana C.

发明人： CLEMOW, Alastair J. T. ,  MEARS, Dana C.

IPC分类号： A61F2/38

CPC分类号： A61F2/3859 ,  A61F2/4637 ,  A61F2002/30604 ,  A61F2002/4635

摘要： A femoral component (100) for a total knee joint replacement has a modular structure including a number of segments (102, 112), each of the segments (102, 112) having a femoral fixation surface (104, 114) for attachment to the distal end of a femur and at least one assembly surface (108) for joining with an adjacent segment (102, 112) of the modular femoral component (100). The assembly surfaces (108) are generally planar and arranged to be oriented generally in a plane extending in a proximal-distal direction and in an anterior-posterior direction when the femoral fixation surface (104, 114) is positioned on the distal end of the femur. Although the assembly surfaces (108) are generally planar, they may be shaped or provided with complementary structures (120) to assure self-alignment when the segments (102, 112) are assembled.

公开(公告)号：EP1405603A3

公开(公告)日：2004-04-14

申请号：EP04000194.3

申请日：2001-04-26

申请人： Bristol-Myers Squibb Company ,  Mears, Dana

发明人： Greig, Kevin ,  Zwirkoski, Paul A ,  Mears, Dana

IPC分类号： A61B17/16 ,  A61F2/46

CPC分类号： A61B17/00234 ,  A61B17/02 ,  A61B17/0293 ,  A61B17/142 ,  A61B17/144 ,  A61B17/15 ,  A61B17/151 ,  A61B17/164 ,  A61B17/1659 ,  A61B17/1668 ,  A61B17/1735 ,  A61B17/175 ,  A61B17/1796 ,  A61B17/3421 ,  A61B17/8866 ,  A61B17/8872 ,  A61B2017/0046 ,  A61B2090/08021 ,  A61F2/0095 ,  A61F2/32 ,  A61F2/34 ,  A61F2/36 ,  A61F2/4607 ,  A61F2/4609 ,  A61F2/4684 ,  A61F2002/30718 ,  A61F2002/3404 ,  A61F2002/3611 ,  A61F2002/3621 ,  A61F2002/3625 ,  A61F2002/4622 ,  A61F2002/4623 ,  A61F2002/4624 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2002/4629 ,  A61F2002/4635 ,  A61F2002/4681 ,  A61G13/0036 ,  B25B7/02 ,  B25B13/06 ,  B25B13/48 ,  B25B13/481 ,  B27G17/06 ,  F16D3/20

摘要： A method and apparatus for performing a minimally invasive ( i . e ., with the wound developed under an incision being substantially the same size as the incision throughout the depth of the wound) total hip arthroplasty. A rasp handle is disclosed, comprising an insertion member having engagement means for selectively engaging a cable, and whereby said cable is affixable to a rasp. Also disclosed is a provisional femoral neck which may have a spring biased locking piston in a hollow cylindrical body, or which may have a guide surface which is piloted to a mate on a provisional femoral stem.

摘要翻译： 一种用于执行微创（即，在切口下形成的伤口与伤口整个深度的切口大致相同的尺寸）全髋关节成形术的方法和设备。 公开了一种锉刀柄，其包括具有用于选择性地接合线缆的接合装置的插入构件，并且由此所述线缆可固定到锉刀。 还公开了一种临时股骨颈，其可以具有弹簧偏置的锁定活塞在中空的圆柱体中，或者可以具有引导到临时股骨柄上的配合件的引导表面。

公开(公告)号：EP1695677A3

公开(公告)日：2010-07-14

申请号：EP06011811.4

申请日：2001-04-26

申请人： Zimmer, Inc. ,  Mears, Dana

发明人： Greig, Kevin ,  Zwirkoski, Paul A. ,  Mears, Dana

IPC分类号： A61F2/46 ,  A61B17/00

CPC分类号： A61B17/00234 ,  A61B17/02 ,  A61B17/0293 ,  A61B17/142 ,  A61B17/144 ,  A61B17/15 ,  A61B17/151 ,  A61B17/164 ,  A61B17/1659 ,  A61B17/1668 ,  A61B17/1735 ,  A61B17/175 ,  A61B17/1796 ,  A61B17/3421 ,  A61B17/8866 ,  A61B17/8872 ,  A61B2017/0046 ,  A61B2090/08021 ,  A61F2/0095 ,  A61F2/32 ,  A61F2/34 ,  A61F2/36 ,  A61F2/4607 ,  A61F2/4609 ,  A61F2/4684 ,  A61F2002/30718 ,  A61F2002/3404 ,  A61F2002/3611 ,  A61F2002/3621 ,  A61F2002/3625 ,  A61F2002/4622 ,  A61F2002/4623 ,  A61F2002/4624 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2002/4629 ,  A61F2002/4635 ,  A61F2002/4681 ,  A61G13/0036 ,  B25B7/02 ,  B25B13/06 ,  B25B13/48 ,  B25B13/481 ,  B27G17/06 ,  F16D3/20

摘要： Apparatus disclosed for performing a minimally invasive total hip arthroplasty includes provisonal femoral neck apparatus and a retractor. The neck apparatus comprises: a provisional femoral neck (222) having a hollow, substantially cylindrical body; a spring biased locking piston (224) in said hollow cylindrical body, said locking piston (224) having a tapered body portion (226), whereby radial force applied to said tapered body portion (226) places said locking piston (224) in an unlocked position; and a forceps (220) with blades (230,232) for applying radial force to said tapered body portion (226) of said locking piston (224). The retractor (122) comprises a tunnel sized for insertion through an incision in a body, wherein said incision leads to a femoral shaft, said tunnel comprising a rasp tunnel (130) sized to allow passage of a femoral rasp therethrough.

公开(公告)号：EP1459686A2

公开(公告)日：2004-09-22

申请号：EP04250522.2

申请日：2004-01-30

申请人： Zimmer Technology, Inc. ,  Mears, Dana

发明人： Acker, Dean M. J. ,  Sherman, Scott G. ,  Krebs, Robert D. ,  Mears, Dana

IPC分类号： A61B17/00 ,  A61B17/15 ,  A61B17/16 ,  A61B17/17 ,  A61F2/46 ,  F16L27/04 ,  A61G13/02

CPC分类号： B25B13/481 ,  A61B17/00234 ,  A61B17/02 ,  A61B17/0293 ,  A61B17/15 ,  A61B17/151 ,  A61B17/164 ,  A61B17/1659 ,  A61B17/1668 ,  A61B17/1735 ,  A61B17/175 ,  A61B17/3421 ,  A61B17/8866 ,  A61B17/8872 ,  A61B2017/0046 ,  A61B2090/08021 ,  A61F2/0095 ,  A61F2/32 ,  A61F2/34 ,  A61F2/36 ,  A61F2/4607 ,  A61F2/4609 ,  A61F2/4684 ,  A61F2002/30718 ,  A61F2002/3404 ,  A61F2002/3611 ,  A61F2002/3621 ,  A61F2002/3625 ,  A61F2002/4622 ,  A61F2002/4623 ,  A61F2002/4624 ,  A61F2002/4628 ,  A61F2002/4629 ,  A61F2002/4635 ,  A61F2002/4681 ,  A61G13/0036 ,  B25B7/02 ,  B25B13/06 ,  B25B13/48

摘要： A method and apparatus for performing a minimally invasive total hip arthroplasty. An approximately 3.75 - 5 centimeter (1.5 - 2 inch) anterior incision is made and the femoral neck is severed from the femoral shaft and removed through the anterior incision. The acetabulum is prepared for receiving an acetabular cup through the anterior incision, and the acetabular cup is placed into the acetabulum through the anterior incision. In one exemplary embodiment, a posterior incision of approximately 2 - 3 centimeters (0.8 - 1.2 inches) is generally aligned with the axis of the femoral shaft and provides access to the femoral shaft. In this embodiment, Preparation of the femoral shaft including the reaming and rasping thereof is performed through the posterior incision, and the femoral stem is inserted through the posterior incision for implantation in the femur. In an alternative embodiment, preparation of the femur is effected through the anterior incision, with the operative hip placed in hyperextension.

摘要翻译： 一种执行微创全髋关节置换术的方法和装置。 大约3.75-5厘米（1.5-2英寸）的前切口被制成，并且股骨颈从股骨轴切断并通过前切口去除。 髋臼准备用于通过前切口接受髋臼杯，髋臼杯通过前切口放入髋臼。 在一个示例性实施例中，大约2-3厘米（0.8-1.2英寸）的后切口通常与股骨轴的轴线对齐并且提供对股骨轴的通路。 在该实施例中，通过后切口进行包括其扩口和锉刀的股骨轴的制备，并且通过后切口插入股骨柄以植入股骨。 在替代实施例中，股骨的制备通过前切口实现，其中手术髋置于过度伸展。

公开(公告)号：EP1149562A2

公开(公告)日：2001-10-31

申请号：EP01303823.7

申请日：2001-04-26

申请人： Bristol-Myers Squibb Company ,  Mears, Dana

发明人： Greig, Kevin ,  Zwirkoski, Paul A. ,  Mears, Dana

IPC分类号： A61B17/17 ,  A61B17/16 ,  A61B17/02 ,  A61F2/46

CPC分类号： A61B17/00234 ,  A61B17/02 ,  A61B17/0293 ,  A61B17/142 ,  A61B17/144 ,  A61B17/15 ,  A61B17/151 ,  A61B17/164 ,  A61B17/1659 ,  A61B17/1668 ,  A61B17/1735 ,  A61B17/175 ,  A61B17/1796 ,  A61B17/3421 ,  A61B17/8866 ,  A61B17/8872 ,  A61B2017/0046 ,  A61B2090/08021 ,  A61F2/0095 ,  A61F2/32 ,  A61F2/34 ,  A61F2/36 ,  A61F2/4607 ,  A61F2/4609 ,  A61F2/4684 ,  A61F2002/30718 ,  A61F2002/3404 ,  A61F2002/3611 ,  A61F2002/3621 ,  A61F2002/3625 ,  A61F2002/4622 ,  A61F2002/4623 ,  A61F2002/4624 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2002/4629 ,  A61F2002/4635 ,  A61F2002/4681 ,  A61G13/0036 ,  B25B7/02 ,  B25B13/06 ,  B25B13/48 ,  B25B13/481 ,  B27G17/06 ,  F16D3/20

摘要： A method and apparatus for performing minimally invasive total hip arthroplasty are disclosed. Through an anterior incision (44), the femoral neck (60) is severed using an osteotomy guide (78), the acetabulum (54) is prepared, and an acetabular cup is inserted. An awl (106) is provided to locate a posterior incision (46) aligned with the axis of the femoral shaft (62) through which the femur is prepared using a tubular posterior retractor (122), a reamer (151) and a rasp (204) with a lockable handle (212), to which a provisional femoral head and a selectively lockable provisional neck (222) are attached. The rasp is then removed and the femoral inplant (238) is inserted in a bag (242) to keep it clean. Procedures performed through one incision may be observed through the other

摘要翻译： 公开了一种用于进行微创全髋关节置换术的方法和装置。 通过前切口（44），使用截骨引导件（78）切断股骨颈（60），准备髋臼（54），并插入髋臼杯。 提供锥（106）以定位与股骨轴（62）的轴线对齐的后切口（46），利用管状后牵开器（122），铰刀（151）和锉刀（122）制备股骨 204）具有可锁定手柄（212），临时股骨头和可选择性地锁定的临时颈部（222）附接到该手柄。 然后移除锉刀，将股骨植入物（238）插入袋（242）中以保持其清洁。 通过一个切口进行的程序可以通过另一个来观察

公开(公告)号：EP1149562B1

公开(公告)日：2006-08-02

申请号：EP01303823.7

申请日：2001-04-26

申请人： Bristol-Myers Squibb Company ,  Mears, Dana

发明人： Greig, Kevin ,  Zwirkoski, Paul A. ,  Mears, Dana

IPC分类号： A61B17/17 ,  A61B17/16 ,  A61B17/02 ,  A61F2/46

CPC分类号： A61B17/00234 ,  A61B17/02 ,  A61B17/0293 ,  A61B17/142 ,  A61B17/144 ,  A61B17/15 ,  A61B17/151 ,  A61B17/164 ,  A61B17/1659 ,  A61B17/1668 ,  A61B17/1735 ,  A61B17/175 ,  A61B17/1796 ,  A61B17/3421 ,  A61B17/8866 ,  A61B17/8872 ,  A61B2017/0046 ,  A61B2090/08021 ,  A61F2/0095 ,  A61F2/32 ,  A61F2/34 ,  A61F2/36 ,  A61F2/4607 ,  A61F2/4609 ,  A61F2/4684 ,  A61F2002/30718 ,  A61F2002/3404 ,  A61F2002/3611 ,  A61F2002/3621 ,  A61F2002/3625 ,  A61F2002/4622 ,  A61F2002/4623 ,  A61F2002/4624 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2002/4629 ,  A61F2002/4635 ,  A61F2002/4681 ,  A61G13/0036 ,  B25B7/02 ,  B25B13/06 ,  B25B13/48 ,  B25B13/481 ,  B27G17/06 ,  F16D3/20

公开(公告)号：EP1405603A2

公开(公告)日：2004-04-07

申请号：EP04000194.3

申请日：2001-04-26

申请人： Bristol-Myers Squibb Company ,  Mears, Dana

发明人： Greig, Kevin ,  Zwirkoski, Paul A ,  Mears, Dana

IPC分类号： A61B17/16 ,  A61F2/46

CPC分类号： A61B17/00234 ,  A61B17/02 ,  A61B17/0293 ,  A61B17/142 ,  A61B17/144 ,  A61B17/15 ,  A61B17/151 ,  A61B17/164 ,  A61B17/1659 ,  A61B17/1668 ,  A61B17/1735 ,  A61B17/175 ,  A61B17/1796 ,  A61B17/3421 ,  A61B17/8866 ,  A61B17/8872 ,  A61B2017/0046 ,  A61B2090/08021 ,  A61F2/0095 ,  A61F2/32 ,  A61F2/34 ,  A61F2/36 ,  A61F2/4607 ,  A61F2/4609 ,  A61F2/4684 ,  A61F2002/30718 ,  A61F2002/3404 ,  A61F2002/3611 ,  A61F2002/3621 ,  A61F2002/3625 ,  A61F2002/4622 ,  A61F2002/4623 ,  A61F2002/4624 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2002/4629 ,  A61F2002/4635 ,  A61F2002/4681 ,  A61G13/0036 ,  B25B7/02 ,  B25B13/06 ,  B25B13/48 ,  B25B13/481 ,  B27G17/06 ,  F16D3/20

摘要： A method and apparatus for performing a minimally invasive ( i . e ., with the wound developed under an incision being substantially the same size as the incision throughout the depth of the wound) total hip arthroplasty. A rasp handle is disclosed, comprising an insertion member having engagement means for selectively engaging a cable, and whereby said cable is affixable to a rasp. Also disclosed is a provisional femoral neck which may have a spring biased locking piston in a hollow cylindrical body, or which may have a guide surface which is piloted to a mate on a provisional femoral stem.

摘要翻译： 手柄具有插入单元，其具有接合槽，以选择性地接合可固定到锉刀（204）的电缆。 可选择地致动的把手可操作以拉紧电缆。 锁将选择性地将把手锁定在一定位置以拉紧电缆。 冲击表面受到打击以放置或移除锉刀。 插入单元具有尺寸适于插入到锉刀引导通道中的远端锉刀接合引导件。 临时股骨颈装置还包括独立权利要求。

公开(公告)号：EP1149562A3

公开(公告)日：2003-01-02

申请号：EP01303823.7

申请日：2001-04-26

申请人： Bristol-Myers Squibb Company ,  Mears, Dana

发明人： Greig, Kevin ,  Zwirkoski, Paul A. ,  Mears, Dana

IPC分类号： A61B17/17 ,  A61B17/16 ,  A61B17/02 ,  A61F2/46

CPC分类号： A61B17/00234 ,  A61B17/02 ,  A61B17/0293 ,  A61B17/142 ,  A61B17/144 ,  A61B17/15 ,  A61B17/151 ,  A61B17/164 ,  A61B17/1659 ,  A61B17/1668 ,  A61B17/1735 ,  A61B17/175 ,  A61B17/1796 ,  A61B17/3421 ,  A61B17/8866 ,  A61B17/8872 ,  A61B2017/0046 ,  A61B2090/08021 ,  A61F2/0095 ,  A61F2/32 ,  A61F2/34 ,  A61F2/36 ,  A61F2/4607 ,  A61F2/4609 ,  A61F2/4684 ,  A61F2002/30718 ,  A61F2002/3404 ,  A61F2002/3611 ,  A61F2002/3621 ,  A61F2002/3625 ,  A61F2002/4622 ,  A61F2002/4623 ,  A61F2002/4624 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2002/4629 ,  A61F2002/4635 ,  A61F2002/4681 ,  A61G13/0036 ,  B25B7/02 ,  B25B13/06 ,  B25B13/48 ,  B25B13/481 ,  B27G17/06 ,  F16D3/20

摘要： A method and apparatus for performing minimally invasive total hip arthroplasty are disclosed. Through an anterior incision (44), the femoral neck (60) is severed using an osteotomy guide (78), the acetabulum (54) is prepared, and an acetabular cup is inserted. An awl (106) is provided to locate a posterior incision (46) aligned with the axis of the femoral shaft (62) through which the femur is prepared using a tubular posterior retractor (122), a reamer (151) and a rasp (204) with a lockable handle (212), to which a provisional femoral head and a selectively lockable provisional neck (222) are attached. The rasp is then removed and the femoral inplant (238) is inserted in a bag (242) to keep it clean. Procedures performed through one incision may be observed through the other