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    Intramedullary nail with non-metal spacers
    11.
    发明授权
    Intramedullary nail with non-metal spacers 有权
    髓内钉与非金属垫片

    公开(公告)号：US06296645B1

    公开(公告)日：2001-10-02

    申请号：US09289324

    申请日：1999-04-09

    申请人： Anne Hover ,  Roy Sanders ,  Donald Martin Sturgeon

    发明人： Anne Hover ,  Roy Sanders ,  Donald Martin Sturgeon

    IPC分类号： A61B1756

    CPC分类号： A61B17/7241 ,  A61B17/72 ,  A61B17/7233 ,  A61B17/8047 ,  A61B50/30 ,  A61B90/92 ,  A61B2017/00004

    摘要： An intramedullary nail structure is formed with opposing dynamization windows, and spacers of a bioresorbable material are positioned within the dynamization windows. The dynamization windows are longer than they are wide. The spacers may be integrally formed as a single insert. The nail is used with a bone fastener such as a bone screw which is advanced transversely through the bone and into the spacer, preferably in a bicortical attachment with the bone. The bone fastener is smaller across than the dynamization windows, so each spacer spaces the bone fastener relative to its dynamization window. As the spacers resorb, stress (at least in one direction) is increasingly transmitted through the fracture site rather than through the intramedullary nail. The positioning of the bone fastener, the shape and size of the dynamization windows and spacers, and the material of the spacers all allow design control over the type and amount of dynamization seen at the fracture site. Also, because the bone fastener is smaller across than the dynamization windows and spacers, a larger error in placement of the bone fastener is permissible.

    摘要翻译： 髓内钉结构形成有相对的动力学窗口，并且生物可再吸收材料的间隔物位于动态窗口内。 动态窗口比它们更广泛。 间隔件可以一体地形成为单个插入件。 钉子与诸如骨螺钉的骨头紧固件一起使用，骨螺钉横向穿过骨头进入间隔器，优选地与骨骼的双皮质附件。 骨紧固件比动态窗口更小，因此每个隔离物相对于其动态窗口将骨紧固件间隔开。 当间隔物吸收时，应力（至少在一个方向）越来越多地通过骨折部位传递，而不是通过髓内钉。 骨固定件的定位，动态窗和间隔件的形状和尺寸以及间隔件的材料都允许对在断裂部位看到的动力学的类型和数量进行设计控制。 而且，由于骨紧固件比动态窗和间隔物更小，所以允许骨紧固件的放置误差较大。

    Orthopaedic implant and fastening assembly
    14.
    发明授权
    Orthopaedic implant and fastening assembly 有权
    矫形植入物和紧固组件

    公开(公告)号：US08187275B2

    公开(公告)日：2012-05-29

    申请号：US11963218

    申请日：2007-12-21

    申请人： Joseph Ferrante ,  Angie Mines ,  Anthony H. James ,  Thomas A. Russell ,  Roy Sanders

    发明人： Joseph Ferrante ,  Angie Mines ,  Anthony H. James ,  Thomas A. Russell ,  Roy Sanders

    IPC分类号： A61B17/56 ,  A61B17/58

    CPC分类号： A61B17/744 ,  A61B17/1604 ,  A61B17/1615 ,  A61B17/1633 ,  A61B17/164 ,  A61B17/1668 ,  A61B17/1684 ,  A61B17/1728 ,  A61B17/72 ,  A61B17/7233 ,  A61B17/725 ,  A61B17/7258 ,  A61B17/7283 ,  A61B17/746 ,  A61B17/8061

    摘要： Systems, devices and methods are disclosed for treating fractures. The systems, devices and methods may include one or both of an implant, such as an intramedullary nail, and a fastening assembly, such as a lag screw and compression screw assembly. The implant in some embodiments has a proximal section with a transverse aperture and a cross-section that may be shaped to more accurately conform to the anatomical shape of cortical bone and to provide additional strength and robustness in its lateral portions, preferably without requiring significant additional material. The fastening assembly may be received to slide, in a controlled way, in the transverse aperture of the implant. In some embodiments, the engaging member and the compression device are configured so that the compression device interacts with a portion of the implant and a portion of the engaging member to enable controlled movement between the first and second bone fragments. This configuration is useful for, among other things, compressing a fracture.

    摘要翻译： 公开了用于治疗骨折的系统，装置和方法。 系统，装置和方法可以包括植入物（例如髓内钉）和紧固组件中的一个或两个，例如拉力螺钉和压缩螺钉组件。 在一些实施例中，植入物具有近端部分，其具有横向孔和横截面，该截面可以被成形为更精确地符合皮质骨的解剖形状并且在其侧向部分中提供额外的强度和鲁棒性，优选地不需要显着的附加 材料。 紧固组件可被接收以可控的方式在植入物的横向孔中滑动。 在一些实施例中，接合构件和压缩装置被构造成使得压缩装置与植入物的一部分和接合构件的一部分相互作用以实现第一和第二骨碎片之间的受控运动。 这种配置对于压缩骨折尤为重要。

    Medical Securing Member Placement System
    17.
    发明申请
    Medical Securing Member Placement System 审中-公开
    医疗保障会员安置系统

    公开(公告)号：US20080281330A1

    公开(公告)日：2008-11-13

    申请号：US11885520

    申请日：2006-03-16

    申请人： Joseph M. Ferrante ,  N. Kelley Grusin ,  Angela B. Mines ,  Thomas Anthony Russell ,  Roy Sanders ,  James K. Rains ,  Darin Gerlach

    发明人： Joseph M. Ferrante ,  N. Kelley Grusin ,  Angela B. Mines ,  Thomas Anthony Russell ,  Roy Sanders ,  James K. Rains ,  Darin Gerlach

    IPC分类号： A61B17/68

    CPC分类号： A61B17/1703 ,  A61B17/1721 ,  A61B17/80 ,  A61B2017/00902 ,  A61B2017/00915 ,  A61B2090/376

    摘要： PROBLEM TO BE SOLVED: To provide a perforating pin and equipment for perforation with which an accurate piercing region and piercing direction of a guiding pin can be easily specified at the neck of the femur or its surroundings and an advancing situation of the perforating pin can be confirmed when the perforating pin is pierced.SOLUTION: The guide 1 for the perforating pin includes a main body section 2 which is equipped with a contacting section 8, a guiding channel 3 for the perforating pin and an operation section 9, a first advancing direction of the perforating pin displaying section 5 with which the advancing direction of the perforating pin 10 inserted in the guiding channel 3 can be confirmed by X-ray fluoroscopy, and a second advancing direction of the perforating pin displaying section 6 with which the advancing direction of the perforating pin 10 inserted in the guiding channel 3 can be confirmed by X-ray fluoroscopy from the different direction than the first advancing direction of the perforating pin displaying section 5. The bone perforating pin 10 can be confirmed by X-ray fluoroscopy with the first and the second advancing direction of the perforating pin displaying sections 5 and 6 while the perforating pin 10 inserted in the guiding channel 3 is superimposed on the displaying sections 5 and 6.

    摘要翻译： 要解决的问题：提供一种用于穿孔的穿孔针和设备，可以在股骨或其周围的颈部容易地指定导销的精确穿刺区域和穿刺方向，并且穿孔针的前进情况可以是 穿孔时确认。 解决方案：射孔销的引导件1包括：主体部分2，其具有接触部分8，用于射孔销的引导通道3和操作部分9，穿孔销显示部分5的第一前进方向与 可以通过X射线荧光透视和穿孔销显示部6的第二前进方向来确认插入引导通道3中的穿孔针10的前进方向，使穿孔销10的前进方向插入导向 可以通过X射线透视从与穿孔针显示部5的第一前进方向不同的方向来确认通道3。 骨穿孔销10可以通过穿孔销显示部5和6的第一和第二前进方向的X射线荧光透视来确认，同时插入引导通道3中的穿孔销10重叠在显示部分5和6上 。

    Orthopaedic implant and screw assembly
    18.
    发明申请
    Orthopaedic implant and screw assembly 有权
    矫形植入物和螺丝组装

    公开(公告)号：US20050149024A1

    公开(公告)日：2005-07-07

    申请号：US10936996

    申请日：2004-09-08

    申请人： Joseph Ferrante ,  Angie Mines ,  Anthony James ,  Thomas Russell ,  Roy Sanders

    发明人： Joseph Ferrante ,  Angie Mines ,  Anthony James ,  Thomas Russell ,  Roy Sanders

    IPC分类号： A61B17/16 ,  A61B17/72 ,  A61B17/74 ,  A61B17/78 ,  A61B17/80 ,  A61B17/56

    CPC分类号： A61B17/744 ,  A61B17/1604 ,  A61B17/1615 ,  A61B17/1633 ,  A61B17/164 ,  A61B17/1668 ,  A61B17/1684 ,  A61B17/1728 ,  A61B17/72 ,  A61B17/7233 ,  A61B17/725 ,  A61B17/7258 ,  A61B17/7283 ,  A61B17/746 ,  A61B17/8061

    摘要： Systems, devices and methods are disclosed for treating fractures. The systems, devices and methods may include one or both of an implant, such as an intramedullary nail, and a fastening assembly, such as a lag screw and compression screw assembly. The implant in some embodiments has a proximal section with a transverse aperture and a cross-section that may be shaped to more accurately conform to the anatomical shape of cortical bone and to provide additional strength and robustness in its lateral portions, preferably without requiring significant additional material. The fastening assembly may be received to slide, in a controlled way, in the transverse aperture of the implant. In some embodiments, the engaging member and the compression device are configured so that the compression device interacts with a portion of the implant and a portion of the engaging member to enable controlled movement between the first and second bone fragments. This configuration is useful for, among other things, compressing a fracture.

    摘要翻译： 公开了用于治疗骨折的系统，装置和方法。 系统，装置和方法可以包括植入物（例如髓内钉）和紧固组件中的一个或两个，例如拉力螺钉和压缩螺钉组件。 在一些实施例中，植入物具有近端部分，其具有横向孔和横截面，该截面可以被成形为更精确地符合皮质骨的解剖形状并且在其侧向部分中提供额外的强度和鲁棒性，优选地不需要显着的附加 材料。 紧固组件可被接收以可控的方式在植入物的横向孔中滑动。 在一些实施例中，接合构件和压缩装置被构造成使得压缩装置与植入物的一部分和接合构件的一部分相互作用以实现第一和第二骨碎片之间的受控运动。 这种配置对于压缩骨折尤为重要。

    Intramedullary nail hybrid bow
    19.
    发明授权
    Intramedullary nail hybrid bow 有权
    髓内钉混合弓

    公开(公告)号：US6010506A

    公开(公告)日：2000-01-04

    申请号：US152919

    申请日：1998-09-14

    申请人： Mark Gosney ,  Donna D. Holland ,  Anthony James ,  John R. Pepper ,  Thomas A. Russell ,  Roy Sanders

    发明人： Mark Gosney ,  Donna D. Holland ,  Anthony James ,  John R. Pepper ,  Thomas A. Russell ,  Roy Sanders

    IPC分类号： A61B17/58 ,  A61B17/72 ,  A61B17/56 ,  A61F2/30

    CPC分类号： A61B17/72

    摘要： An intramedullary nail apparatus includes an elongated nail body having a longer section and a shorter section. A detachable connection affixes the larger and shorter sections together end to end, using a taper lock connection, for example. The shorter section can provide transverse openings therethrough for enabling one or more fasteners to attach it to bone tissue, depending upon the medical indication. The nail includes a bow that consists of two tangent radii. This bow allows for the anterior bow of the femur and the relative straightness of the tibia. Thus, the apparatus of the present invention enables the same stems to be used in the treatment of femoral and tibial fractures. A stem is selected for any indication based on the desired diameter and length. The bow allows for a simplified surgical technique and a reduction in inventory of the nail system.

    摘要翻译： 髓内钉装置包括具有较长部分和较短部分的细长指甲体。 例如，可拆卸连接使用锥形锁定连接将较大和较短的部分一起端对端。 较短的部分可以提供穿过其中的横向开口，以使得一个或多个紧固件可以根据医学指示将其附接到骨组织。 指甲包括一个由两个切线半径组成的弓。 这个弓允许股骨的前弓和胫骨的相对直线度。 因此，本发明的装置能够将相同的茎用于治疗股骨和胫骨骨折。 根据所需的直径和长度选择一个阀杆用于任何指示。 弓允许简化的手术技术和减少指甲系统的库存。