公开(公告)号：US20140148909A1

公开(公告)日：2014-05-29

申请号：US14092423

申请日：2013-11-27

Applicant: Exactech, Inc.

Inventor： Laurent Angibaud

IPC: A61F2/38

CPC classification number: A61F2/3877 ,  A61F2/4684 ,  A61F2002/30125 ,  A61F2002/3038 ,  A61F2002/30553 ,  A61F2002/30878

Abstract: A system includes a patella trial comprising a baseplate and an articular surface member configured to move along at least one of a medial-lateral axis or a superior-inferior axis of the baseplate; and an implant comprising a posterior articular surface and an anterior surface, wherein the anterior surface has a medial/lateral width with a midpoint, wherein the posterior articular surface has a posterior-most point, wherein an imaginary line extending through the posterior-most point is parallel to an imaginary line extending through the midpoint, and wherein a distance (I) is defined by measuring a length between the imaginary line extending through the posterior-most point and the imaginary line extending through the midpoint; wherein the implant is selected from a set of implants each having a different I, and wherein the chosen implant is selected based on an offset of the articular surface member relative to the baseplate on the patella trial.

Abstract translation: 一种系统包括髌骨试验，其包括基板和关节表面构件，所述关节表面构件构造成沿着所述基板的内侧轴线或上下轴线中的至少一个移动; 以及植入物，其包括后关节表面和前表面，其中所述前表面具有具有中点的内侧/横向宽度，其中所述后关节表面具有最后点，其中延伸穿过最后点的假想线 平行于延伸穿过中点的假想线，并且其中通过测量延伸穿过最后点的假想线与延伸穿过中点的假想线之间的长度来限定距离（I）; 其中所述植入物选自具有不同I的一组植入物，并且其中根据所述关节表面构件相对于所述髌骨试验上的基板的偏移来选择所选择的植入物。

公开(公告)号：US08535352B2

公开(公告)日：2013-09-17

申请号：US12079676

申请日：2008-03-28

Applicant: Moti Altarac ,  Joey Camia Reglos ,  Stanley Kyle Hayes

Inventor： Moti Altarac ,  Joey Camia Reglos ,  Stanley Kyle Hayes

IPC: A61B17/70

CPC classification number: A61B17/7005 ,  A61B17/7014 ,  A61B17/7037 ,  A61B17/704

Abstract: A spinal alignment system for interconnecting vertebral bodies is disclosed. The system includes a bone screw polyaxially connected to a seat. The seat includes a top opening, a first rod receiving portion and a second rod receiving portion, a first rod channel and a second rod channel. The system is implanted into a first vertebral body. A first rod is introduced to the seat through the top opening in a first orientation and connected to the first rod receiving portion. A second rod is introduced to the seat through the top opening in a first orientation and connected to the second rod receiving portion. The first and second rods are each moved into a second orientation such that the rods project through the first and second rod channels, respectively. The rods are capable of polyaxial movement with respect to the seat for landing the opposite ends of the rods in adjacent seats of screw systems implanted in other vertebral bodies. A closure mechanism that is configured to lock the polyaxial motion of the rods with respect to the seat and to lock the polyaxial motion of the bone screw with respect to the seat simultaneously or independently is provided. The seat is connectable to a cannula for delivering the first and second rods into the first seat in a percutaneous, minimally invasive procedure.

Abstract translation: 公开了一种用于互连脊椎体的脊柱对准系统。 该系统包括一个与座椅多轴连接的骨螺钉。 座椅包括顶部开口，第一杆接收部分和第二杆接收部分，第一杆通道和第二杆通道。 将该系统植入第一椎体。 第一杆通过顶部开口以第一方向被引导到座椅上并连接到第一杆接收部分。 第二杆通过顶部开口以第一方向被引导到座椅，并且连接到第二杆接收部分。 第一和第二杆分别移动到第二方向，使得杆分别突出穿过第一和第二杆通道。 杆能够相对于座椅进行多轴运动，用于将杆的相对端部在相邻的植入其他椎体的螺钉系统的座位上着陆。 闭合机构被配置为锁定杆相对于座的多轴运动并且相对于座独立地锁定骨螺钉的多轴运动。 座椅可连接到插管，用于以经皮的微创程序将第一和第二杆输送到第一座位。

公开(公告)号：US20130158667A1

公开(公告)日：2013-06-20

申请号：US13678238

申请日：2012-11-15

Applicant: Exactech, Inc.

Inventor： Derek A. Tabor ,  Larry G. Hickey

IPC: A61F2/44

CPC classification number: A61F2/4455 ,  A61F2/4611 ,  A61F2002/30387 ,  A61F2002/30482 ,  A61F2002/305 ,  A61F2002/30556 ,  A61F2002/30616 ,  A61F2002/30772 ,  A61F2002/30904 ,  A61F2002/448

Abstract: Provided is an intervertebral implant to be implanted within an intervertebral space between endplates of adjacent vertebra during use. The implant includes an upper member having an inferior surface including an upper guide track and a superior surface to contact an endplate of an upper one of the adjacent vertebra during use, a lower member having a superior surface including a lower guide track and an inferior surface to contact an endplate of a lower one of the adjacent vertebra during use, and an insert having a superior surface including an upper guide rail to engage the upper guide track during use and an inferior surface including a lower guide rail to engage the lower guide track during use. Engagement of the upper and lower guide rails with the upper and lower guide tracks, respectively, guides insertion of the insert between the upper and lower members during use, and insertion of the insert between the upper and lower members facilitates expansion of the intervertebral implant.

Abstract translation: 提供了在使用期间植入在相邻椎骨的终板之间的椎间隙内的椎间植入物。 植入物包括具有下表面的上部构件，该下部表面包括上部导轨和在使用期间接触相邻椎骨的上部的端板的上表面，下部构件具有包括下导轨和下表面的上表面 在使用期间接触相邻椎骨中的下一个的终板，以及插入件，其具有包括上导轨的上表面，以在使用期间接合上导轨，以及包括下导轨的下表面以接合下导轨 在使用过程中。 上下导轨分别与上导轨和下导轨的接合引导插入件在使用过程中插入到上部和下部构件之间，并且插入件插入在上部和下部构件之间有助于椎间植入物的扩张。

公开(公告)号：US08403934B2

公开(公告)日：2013-03-26

申请号：US12879134

申请日：2010-09-10

Applicant: Laurent Angibaud ,  C. Michael Mauldin ,  Anthony Boyer ,  Stéphane Lavallee

Inventor： Laurent Angibaud ,  C. Michael Mauldin ,  Anthony Boyer ,  Stéphane Lavallee

IPC: A61B17/58 ,  A61B17/60 ,  A61F2/00

CPC classification number: A61B17/155 ,  A61B17/1757 ,  A61B17/1764 ,  A61B17/1778 ,  A61B2090/3983

Abstract: 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.

Abstract translation: 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，其中所述第二移动部件和两个控制机构形成第一链接，其中所述两个控制机构并行工作以执行两个自由度的调整，其中所述第三移动部件和所述第三移动部件 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 相对于第一个组件的自由度。

公开(公告)号：US08114092B2

公开(公告)日：2012-02-14

申请号：US12156857

申请日：2008-06-04

Applicant: Moti Altarac ,  Stanley Kyle Hayes ,  Tyler Jay Haskins

Inventor： Moti Altarac ,  Stanley Kyle Hayes ,  Tyler Jay Haskins

IPC: A61B17/58 ,  A61B17/60 ,  A61F2/00

CPC classification number: A61F2/4611 ,  A61F2/4465 ,  A61F2002/30471 ,  A61F2002/3054 ,  A61F2002/4622 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2220/0091 ,  Y10S606/914

Abstract: An inserter for implanting an intervertebral spacer into a spinal disc space is disclosed. The inserter comprises a jaw assembly connected to a shaft assembly that is connected to a handle assembly. The user operates the handle assembly to open and close the jaw assembly to thereby connect to and release from the intervertebral spacer. Furthermore, the handle assembly is operable to lock and unlock rotation of the jaw assembly while still connected thereto to permit angulation of the jaw assembly relative to the shaft assembly without losing hold of the intervertebral spacer.

Abstract translation: 公开了一种用于将椎间隔件植入椎间盘空间的插入器。 插入器包括连接到连接到手柄组件的轴组件的钳口组件。 用户操作手柄组件以打开和关闭钳口组件，从而连接到椎间隔垫并从椎间隔垫释放。 此外，手柄组件可操作以锁定和解锁钳口组件的旋转，同时仍与其连接，以允许钳夹组件相对于轴组件成角度，而不会妨碍椎间隔垫的保持。

公开(公告)号：US08025680B2

公开(公告)日：2011-09-27

申请号：US11436407

申请日：2006-05-17

Applicant: Stanley Kyle Hayes ,  Joey Camia Reglos ,  Moti Altarac ,  Daniel H Kim ,  J Christopher Flaherty

Inventor： Stanley Kyle Hayes ,  Joey Camia Reglos ,  Moti Altarac ,  Daniel H Kim ,  J Christopher Flaherty

IPC: A61B17/70

CPC classification number: A61B17/7043 ,  A61B17/7005 ,  A61B17/7007 ,  A61B17/7023 ,  A61B17/7025 ,  A61B17/7037 ,  A61B17/7038 ,  A61B17/7047 ,  A61B17/7056

Abstract: Systems and devices for dynamically stabilizing the spine are provided. The systems include a superior component for attachment to a superior vertebra of a spinal motion segment and an inferior component for attachment to an inferior vertebral of a spinal motion segment. The interconnection between the two components enables the spinal motion segment to move in a manner that mimics the natural motion of the spinal motion segment while substantially offloading the facet joints of the spine. Methods are also provided for stabilizing the spine and for implanting the subject systems.

Abstract translation: 提供了用于动态稳定脊柱的系统和设备。 该系统包括用于附接到脊柱运动段的上脊椎的较好部件和用于附接到脊柱运动部分的下脊椎的下部部件。 两个部件之间的互连使得脊柱运动部分能够以模仿脊柱运动部分的自然运动的方式移动，同时基本上卸载脊柱的小关节。 还提供了用于稳定脊柱和用于植入受试系统的方法。

公开(公告)号：US5725580A

公开(公告)日：1998-03-10

申请号：US680276

申请日：1996-07-11

Applicant: Raymond J. Cloutier ,  Cary M. Mauldin

Inventor： Raymond J. Cloutier ,  Cary M. Mauldin

IPC: A61B17/68 ,  A61B17/86 ,  A61F2/00 ,  A61F2/30 ,  A61F2/38 ,  A61F2/46 ,  A61F2/28

CPC classification number: A61F2/30744 ,  A61F2/389 ,  A61B17/685 ,  A61B17/86 ,  A61F2002/30113 ,  A61F2002/30169 ,  A61F2002/30439 ,  A61F2002/305 ,  A61F2002/30504 ,  A61F2002/30571 ,  A61F2002/30594 ,  A61F2002/30682 ,  A61F2002/30772 ,  A61F2002/30878 ,  A61F2002/30978 ,  A61F2002/4631 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2230/0006 ,  A61F2230/0047 ,  A61F2310/00023 ,  A61F2310/00029

Abstract: An apparatus and method of use directed towards protective and supportive hole caps for prosthetic implant devices are disclosed. The present hole cap supports a prosthesis and provides a physical barrier between the prosthesis and underlying bone matter. In a preferred embodiment, the hole cap includes at least one compression spring formed along the perimeter of the cap. The compression spring maintains the hole cap within a counter-bored hole after the hole cap is inserted within the counter-bored hole. In accordance with the present invention, the compression spring deflects slightly towards the center of the hole cap when the cap is inserted within the counter-bored hole. The compression spring provides sufficient compression force against the sidewalls of the counter-bored hole to thereby hold the hole cap in place within the hole. The counter-bored hole is preferably shaped to snugly receive the outer perimeter of the hole cap. Alternative configurations are disclosed for maintaining the hole cap within an associated hole formed in the implant. The hole caps are used for covering holes in implants affixed to a patient's body with or without the use of bone screws. The hole caps prevent the flow of unwanted debris into the counter-bored hole and into the patient's underlying bone matter.

Abstract translation: 公开了一种针对用于假体植入装置的保护性和支撑孔盖的装置和方法。 当前的孔盖支撑假体并且在假体和下面的骨骼物质之间提供物理屏障。 在优选实施例中，孔盖包括沿着盖的周边形成的至少一个压缩弹簧。 在孔盖插入反钻孔之后，压缩弹簧将孔盖保持在反孔内。 根据本发明，当盖被插入反钻孔中时，压缩弹簧稍微偏向孔帽的中心。 压缩弹簧向反钻孔的侧壁提供足够的压缩力，从而将孔盖保持在孔内的适当位置。 反孔钻孔优选成形为紧密地容纳孔盖的外周边。 公开了用于将孔帽保持在形成在植入物中的相关孔内的替代构造。 孔盖用于在使用或不使用骨螺钉的情况下用于覆盖固定到患者身体的植入物中的孔。 孔帽防止不想要的碎屑流入反孔和进入患者的潜在骨质。

公开(公告)号：US5190549A

公开(公告)日：1993-03-02

申请号：US561801

申请日：1990-08-02

Applicant: Gary J. Miller ,  Matthew Lyons

Inventor： Gary J. Miller ,  Matthew Lyons

IPC: A61B17/00 ,  A61B17/16

CPC classification number: A61B17/1659 ,  A61B2017/0046

Abstract: A locking surgical tool handle system. The invention includes a surgical tool handle that has an elongated body portion with a pistol-type grip. The front end of the handle body has a tool retaining structure comprising a contoured engagement face and a movable tension bar with an engagement end. Projections on the engagement end of the tension bar fit within a receiving channel of a surgical tool, such as a broach or rasp. A locking mechanism is provided within the handle body, and is implemented with pivotable links attached to the tension bar. The locking mechanism has an unlocked position in which the engagement end of the tension bar is spaced away from the engagement face of the handle body, and an over-center locked position in which the engagement end of the tension bar is retracted toward the handle body. When the tool handle is placed in its locked position, the engagement end of the tension bar pulls an attached tool into tight contact with the engagement face of the handle body.

Abstract translation: 锁定手术工具手柄系统。 本发明包括外科手术工具手柄，其具有带有手枪型手柄的细长主体部分。 手柄本体的前端具有工具保持结构，该结构包括具有轮廓的接合面和具有接合端的可动张力杆。 张力杆的接合端上的突出部配合在诸如拉刀或锉刀的手术工具的接收通道内。 锁定机构设置在把手主体内，并且具有连接到张力杆上的可转动的连杆。 锁定机构具有解锁位置，其中张力杆的接合端与手柄主体的接合面间隔开，并且过中心锁定位置，拉杆的接合端朝向把手本体 。 当工具手柄处于其锁定位置时，张力杆的接合端将附接的工具拉动与把手主体的接合面紧密接触。

公开(公告)号：US5152799A

公开(公告)日：1992-10-06

申请号：US771773

申请日：1991-10-04

Applicant: Matthew Lyons

Inventor： Matthew Lyons

IPC: A61F2/00 ,  A61F2/30 ,  A61F2/36

CPC classification number: A61F2/3676 ,  A61F2/3609 ,  A61F2002/30018 ,  A61F2002/30112 ,  A61F2002/30154 ,  A61F2002/30158 ,  A61F2002/30179 ,  A61F2002/30827 ,  A61F2002/3631 ,  A61F2230/0004 ,  A61F2230/0021 ,  A61F2230/0026 ,  A61F2230/0058 ,  A61F2250/0029

Abstract: A femoral stem prosthesis including a stem tapering from a proximal end to a distal end, and having a primary zone of taper and a secondary zone of taper. The secondary zone of taper, located at the distal end of the stem, has a larger angle of taper than that of the primary zone of taper, but substantially less than the taper in prior art stems. In the secondary zone of taper, the stem gradually tapers away from the femoral bone to avoid a sudden change in stress level in the bone at the distal stem tip, thus avoiding the incidence of thigh pain. The stem of the inventive prosthesis preferably includes longitudinal channels to increase its flexibility and preferably has a trapezoidal cross-sectional geometry to resist rotational forces and to provide multi-plane stability within the femur, thereby providing effective stress transfer to the femur.

Abstract translation: 股骨柄假体包括从近端到远端逐渐变细的柄，并且具有锥形的主区和锥形的次级区。 锥形的次级区域位于杆的远端，具有比锥形的初级区域更大的锥度角，但是基本上小于现有技术杆的锥度。 在锥形的次级区域，茎逐渐从股骨上逐渐变细，以避免远端茎尖处的骨中的应力水平突然变化，从而避免大腿疼痛的发生。 本发明假体的茎优选地包括纵向通道以增加其柔性，并且优选地具有梯形横截面几何形状以抵抗旋转力并且在股骨内提供多平面稳定性，从而向股骨提供有效的应力传递。