公开(公告)号：US20120203237A1

公开(公告)日：2012-08-09

申请号：US13348034

申请日：2012-01-11

申请人： Jason A. Bryan ,  Joseph P. Iannotti ,  Wael K. Barsoum

发明人： Jason A. Bryan ,  Joseph P. Iannotti ,  Wael K. Barsoum

IPC分类号： A61B17/56

CPC分类号： A61B90/06 ,  A61B17/8897 ,  A61B2090/062 ,  A61B2090/0811

摘要： A distance indicator for indicating the distance that a device has traveled includes an elongate housing with a guidewire connector configured for operative connection to a guidewire to hold the housing stationary with respect thereto. A plunger is operatively connected to the housing for longitudinal motion with respect to the housing. A first plunger end is configured to operatively contact the device. As the guidewire connector is holding the housing stationary with respect to the guidewire, the first plunger end is placed into operative contact with the device with the plunger and housing in a first relative plunger/housing position. The device moves longitudinally. The plunger moves into a second relative plunger/housing position assisted by the operative connection between the first plunger end and the device. The longitudinal difference between the first and second relative plunger/housing positions indicates a distance that the device has moved longitudinally with respect to the guidewire.

摘要翻译： 用于指示设备行进的距离的距离指示器包括具有导丝连接器的细长壳体，所述引导线连接器被配置为可操作地连接到导线，以将壳体相对于其固定住。 柱塞可操作地连接到壳体，用于相对于壳体的纵向运动。 第一柱塞端构造成可操作地接触该装置。 由于导丝连接器将壳体相对于导丝固定住，所以第一柱塞端被放置成与装置工作接触，柱塞和壳体处于第一相对柱塞/壳体位置。 设备纵向移动。 柱塞移动到由第一柱塞端和装置之间的操作连接辅助的第二相对柱塞/壳体位置。 第一和第二相对柱塞/壳体位置之间的纵向差表示装置相对于导丝纵向移动的距离。

公开(公告)号：US20120109226A1

公开(公告)日：2012-05-03

申请号：US13282528

申请日：2011-10-27

申请人： Joseph P. Iannotti ,  Wael K. Barsoum ,  Jason A. Bryan

发明人： Joseph P. Iannotti ,  Wael K. Barsoum ,  Jason A. Bryan

IPC分类号： A61B17/56

CPC分类号： A61B17/88 ,  A61B17/1739 ,  A61B17/1778 ,  A61B17/8872 ,  A61B34/10 ,  A61B2034/107 ,  A61B2034/108 ,  A61B2090/3916

摘要： A stock instrument includes at least one guide interacting feature. A lower instrument surface of the stock instrument is placed into contact with the patient tissue. A guide has a lower guide surface contoured to substantially mate with at least a portion of an upper instrument surface of the stock instrument. A predetermined instrument orientation upon the patient tissue is defined, which is preselected responsive to preoperative imaging of the patient tissue. The guide and instrument are mated in a predetermined relative guide/instrument orientation wherein at least one guide interacting feature of the instrument is placed into engagement with at least one instrument guiding feature of the guide. The guide is moved into a predetermined guide orientation with respect to the patient tissue and concurrently the instrument is moved into a predetermined instrument orientation with respect to the patient tissue.

摘要翻译： 股票工具包括至少一个指导相互作用特征。 存放仪器的较低仪器表面与患者组织接触。 引导件具有成形的下引导表面，以与存货工具的上部工具表面的至少一部分基本配合。 定义在患者组织上的预定的仪器取向，其被选择为对患者组织的术前成像进行响应。 导向器和仪器以预定的相对引导/仪器取向配合，其中仪器的至少一个引导器相互作用特征被放置成与引导件的至少一个仪器引导特征接合。 引导件相对于患者组织移动到预定的引导方向，并且同时使器械相对于患者组织移动到预定的仪器取向。

公开(公告)号：US20130119579A1

公开(公告)日：2013-05-16

申请号：US13622460

申请日：2012-09-19

申请人： Joseph P. Iannotti ,  Wael K. Barsoum ,  Jason Bryan

发明人： Joseph P. Iannotti ,  Wael K. Barsoum ,  Jason Bryan

IPC分类号： A61B17/15

CPC分类号： A61B17/15 ,  A61B17/17 ,  A61B17/1746 ,  A61B17/1778 ,  A61B2017/568 ,  A61B2034/108 ,  A61F2002/30957 ,  B33Y80/00

摘要： A method for producing at least one patient-specific surgical aid includes providing a physical model of a native patient tissue. The physical model has at least one surface of interest. A constraining wall is placed in contact with at least a portion of the physical model. A moldable substance is placed into contact with at least a portion of the surface of interest. An impression of the surface of interest is maintained upon the moldable substance. The moldable substance is solidified into a patient-specific surgical aid. The patient-specific surgical aid is removed from the physical model. A system for producing at least one patient-specific surgical aid is also disclosed.

摘要翻译： 用于产生至少一个患者特异性手术辅助的方法包括提供天然患者组织的物理模型。 物理模型至少有一个感兴趣的表面。 约束壁放置成与物理模型的至少一部分接触。 将可模制物质放置成与感兴趣的表面的至少一部分接触。 感兴趣的表面的印象保持在可模制物质上。 可模塑物质固化成患者特异性手术辅助剂。 从物理模型中移除患者特异性外科辅助。 还公开了一种用于产生至少一个患者特异性手术辅助装置的系统。

公开(公告)号：US08731885B2

公开(公告)日：2014-05-20

申请号：US13744658

申请日：2013-01-18

申请人： Joseph P. Iannotti ,  Jason Scalise ,  Jason A. Bryan

发明人： Joseph P. Iannotti ,  Jason Scalise ,  Jason A. Bryan

IPC分类号： G06G7/48

CPC分类号： G06F19/3437 ,  A61B34/10 ,  A61B90/36 ,  A61B2034/101 ,  A61F2/30942 ,  A61F2002/30948 ,  A61F2002/30952 ,  G06F19/00 ,  G09B23/30 ,  G16H50/50

摘要： A method of preparing for a surgical procedure includes creating a three-dimensional bone model of a subject bone of a patient. At least a portion of the bone model is compared to at least one three-dimensional reference anatomic model. At least one structural difference between the bone model and the at least one reference anatomic model is identified. At least one desired subject bone structural change is specified to produce a modified bone model responsive to the step of identifying at least one structural difference between the bone model and the at least one reference anatomic model. An apparatus for preparing for a surgical procedure is also provided.

摘要翻译： 准备外科手术的方法包括产生患者骨骼的三维骨模型。 骨模型的至少一部分与至少一个三维参考解剖模型进行比较。 识别骨模型和至少一个参考解剖模型之间的至少一个结构差异。 指定至少一个期望的受试者骨骼结构变化以响应于识别骨模型和至少一个参考解剖模型之间的至少一个结构差异的步骤来产生修改的骨模型。 还提供了一种外科手术准备装置。

公开(公告)号：US08696680B2

公开(公告)日：2014-04-15

申请号：US13306083

申请日：2011-11-29

申请人： Joseph P. Iannotti ,  Jason A. Bryan

发明人： Joseph P. Iannotti ,  Jason A. Bryan

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

CPC分类号： A61B17/1739 ,  A61B17/1778 ,  A61B17/8897 ,  A61B2017/90

摘要： A trajectory structure is configured for contact with a surface to dictate an insertion trajectory of a pin relative to the surface. A location structure is configured to allow longitudinal passage of at least a portion of the pin therethrough to dictate an insertion location of the pin relative to the surface. An elongate handling rod is connected to the trajectory structure and the location structure. The handling rod supports the trajectory structure and the location structure for manipulation by a user. The handling rod spaces the trajectory structure and the location structure longitudinally apart. The trajectory structure is connected to the handling rod for trajectory adjustment in at least two degrees of freedom relative to the handling rod. The insertion trajectory of the pin insertion is substantially dependent upon the trajectory adjustment. A method for inserting an elongate guide pin into a bone surface is also provided.

摘要翻译： 轨迹结构被配置为与表面接触以指示销相对于表面的插入轨迹。 位置结构被配置为允许销的至少一部分的纵向通过，以通过其来指示销相对于表面的插入位置。 细长处理杆连接到轨迹结构和位置结构。 操纵杆支撑轨迹结构和用户操纵的位置结构。 处理杆将轨迹结构和位置结构纵向分开。 轨迹结构相对于处理杆以至少两个自由度连接到用于轨道调节的操纵杆。 销插入的插入轨迹基本上取决于轨迹调整。 还提供了将细长引导销插入骨表面的方法。

公开(公告)号：US08763268B2

公开(公告)日：2014-07-01

申请号：US13484335

申请日：2012-05-31

申请人： Joseph P. Iannotti ,  Jason A. Bryan

发明人： Joseph P. Iannotti ,  Jason A. Bryan

IPC分类号： B23Q17/22

CPC分类号： B23Q17/2266 ,  A61B17/17 ,  B23B49/00 ,  Y10T408/567

摘要： A method of longitudinally guiding a first elongate structure for motion along a desired motion trajectory toward a target area through reference to a second elongate structure includes a guiding frame having at least one laterally offset guiding structure. The guiding frame is selectively affixed to the first elongate structure in a predetermined relative guiding configuration. The second elongate structure is placed in a predetermined targeting relationship, correlated with the desired motion trajectory, with the target area. The second elongate structure is maintained in the predetermined targeting relationship substantially lateral to the target area. The second elongate structure is brought into a predetermined guiding relationship with the guiding portion of the guiding frame. A transitory position of the first elongate structure is laterally adjusted during motion toward the target area to maintain the second elongate structure in the predetermined guiding relationship with the guiding portion of the guiding frame.

摘要翻译： 通过参考第二细长结构沿着期望的运动轨迹纵向地引导用于运动的目标区域的方法包括具有至少一个横向偏移的引导结构的引导框架。 引导框架以预定的相对引导构型选择性地固定到第一细长结构。 第二细长结构以与目标区域的所需运动轨迹相关联的预定瞄准关系放置。 第二细长结构保持在基本上横向于目标区域的预定瞄准关系。 第二细长结构与引导框架的引导部分形成预定的引导关系。 第一细长结构的暂时位置在朝向目标区域的运动期间被横向地调节以将第二细长结构保持在与引导框架的引导部分预定的引导关系。

公开(公告)号：US20120308322A1

公开(公告)日：2012-12-06

申请号：US13484335

申请日：2012-05-31

申请人： Joseph P. Iannotti ,  Jason A. Bryan

发明人： Joseph P. Iannotti ,  Jason A. Bryan

IPC分类号： B23B47/28

CPC分类号： B23Q17/2266 ,  A61B17/17 ,  B23B49/00 ,  Y10T408/567

摘要： A method of longitudinally guiding a first elongate structure for motion along a desired motion trajectory toward a target area through reference to a second elongate structure includes a guiding frame having at least one laterally offset guiding structure. The guiding frame is selectively affixed to the first elongate structure in a predetermined relative guiding configuration. The second elongate structure is placed in a predetermined targeting relationship, correlated with the desired motion trajectory, with the target area. The second elongate structure is maintained in the predetermined targeting relationship substantially lateral to the target area. The second elongate structure is brought into a predetermined guiding relationship with the guiding portion of the guiding frame. A transitory position of the first elongate structure is laterally adjusted during motion toward the target area to maintain the second elongate structure in the predetermined guiding relationship with the guiding portion of the guiding frame.

摘要翻译： 通过参考第二细长结构沿着期望的运动轨迹纵向地引导用于运动的目标区域的方法包括具有至少一个横向偏移的引导结构的引导框架。 引导框架以预定的相对引导构型选择性地固定到第一细长结构。 第二细长结构以与目标区域的所需运动轨迹相关联的预定瞄准关系放置。 第二细长结构保持在基本上横向于目标区域的预定瞄准关系。 第二细长结构与引导框架的引导部分形成预定的引导关系。 第一细长结构的暂时位置在朝向目标区域的运动期间被横向地调节以将第二细长结构保持在与引导框架的引导部分预定的引导关系。

公开(公告)号：US20120136365A1

公开(公告)日：2012-05-31

申请号：US13306083

申请日：2011-11-29

申请人： Joseph P. Iannotti ,  Jason A. Bryan

发明人： Joseph P. Iannotti ,  Jason A. Bryan

IPC分类号： A61B17/90

CPC分类号： A61B17/1739 ,  A61B17/1778 ,  A61B17/8897 ,  A61B2017/90

摘要： A trajectory structure is configured for contact with a surface to dictate an insertion trajectory of a pin relative to the surface. A location structure is configured to allow longitudinal passage of at least a portion of the pin therethrough to dictate an insertion location of the pin relative to the surface. An elongate handling rod is connected to the trajectory structure and the location structure. The handling rod supports the trajectory structure and the location structure for manipulation by a user. The handling rod spaces the trajectory structure and the location structure longitudinally apart. The trajectory structure is connected to the handling rod for trajectory adjustment in at least two degrees of freedom relative to the handling rod. The insertion trajectory of the pin insertion is substantially dependent upon the trajectory adjustment. A method for inserting an elongate guide pin into a bone surface is also provided.

摘要翻译： 轨迹结构被配置为与表面接触以指示销相对于表面的插入轨迹。 位置结构被配置为允许销的至少一部分的纵向通过，以通过其来指示销相对于表面的插入位置。 细长处理杆连接到轨迹结构和位置结构。 操纵杆支撑轨迹结构和用户操纵的位置结构。 处理杆将轨迹结构和位置结构纵向分开。 轨迹结构相对于处理杆以至少两个自由度连接到用于轨道调节的操纵杆。 销插入的插入轨迹基本上取决于轨迹调整。 还提供了将细长引导销插入骨表面的方法。

公开(公告)号：US08241365B2

公开(公告)日：2012-08-14

申请号：US12343237

申请日：2008-12-23

申请人： Gerald R. Williams, Jr. ,  Jack F. Long ,  Kyle E. Lappin ,  Sarah M. Anthony ,  Stephen R. Donnelly ,  Conrad L. Klotz ,  Joseph P. Iannotti

发明人： Gerald R. Williams, Jr. ,  Jack F. Long ,  Kyle E. Lappin ,  Sarah M. Anthony ,  Stephen R. Donnelly ,  Conrad L. Klotz ,  Joseph P. Iannotti

IPC分类号： A61F2/40

CPC分类号： A61F2/4081 ,  A61B17/86 ,  A61F2002/30332 ,  A61F2002/305 ,  A61F2002/30538 ,  A61F2002/30604 ,  A61F2002/30736 ,  A61F2002/30774 ,  A61F2002/30878 ,  A61F2002/30879 ,  A61F2002/3092 ,  A61F2002/4631 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2250/0006

摘要： A shoulder prosthesis includes a vault-filling component defining a bearing-facing surface and having a first coupling component, the vault-filling component including (i) a vault-filling first portion defining a first part of the bearing-facing surface, and (ii) a projecting second portion projecting from the vault-filling first portion so as to define a second part of the bearing-facing surface. The vault-filling first portion and the projecting second portion define a bone space therebetween. The shoulder prosthesis further includes a bearing component defining a bearing surface and having a second coupling component configured to cooperate with the first coupling component to couple the bearing component to the vault-filling component. At least one bone attachment member positioned in the bone space. The projecting second portion of the vault-filling component further defines a scapula-facing surface.

摘要翻译： 肩部假体包括限定支承面的表面并且具有第一联接部件的拱顶填充部件，所述拱顶填充部件包括（i）限定所述面向轴承表面的第一部分的拱顶填充第一部分和（ ii）突出的第二部分，其从所述拱顶填充第一部分伸出，以限定所述面向轴承表面的第二部分。 拱顶填充的第一部分和突出的第二部分在它们之间限定骨空间。 所述肩假体还包括限定支承表面的轴承部件，并具有构造成与所述第一联接部件配合以将所述轴承部件联接到所述拱顶填充部件的第二联接部件。 定位在骨空间中的至少一个骨附着构件。 拱顶填充部件的突出的第二部分进一步限定了朝向肩胛骨的表面。

公开(公告)号：US20110054624A1

公开(公告)日：2011-03-03

申请号：US12780051

申请日：2010-05-14

申请人： Joseph P. Iannotti

发明人： Joseph P. Iannotti

IPC分类号： A61F2/40

CPC分类号： A61F2/4014 ,  A61F2/4003 ,  A61F2/4059 ,  A61F2/4612 ,  A61F2002/30253 ,  A61F2002/30331 ,  A61F2002/4018 ,  A61F2002/4022 ,  A61F2002/4037 ,  A61F2002/4062 ,  A61F2002/4631 ,  C12N15/86 ,  C12N2770/24243

摘要： A humeral prosthetic head has a non-spherical articulation surface coupled with an intermediate component connecting the head and the humerus, the intermediate component connected to the epiphysis, metaphysis, or diaphysis, or to one or more additional components connected to the humerus. The intermediate portion provides for axial and angular offset of the head with respect to a connection to the humerus, using a curvilinear tapered engagement.

摘要翻译： 肱骨假体头部具有与连接头部和肱骨的中间部件，连接到骨ysis，干ysis端或骨干的中间部件或连接到肱骨的一个或多个附加部件的非球形关节表面。 中间部分使用曲线锥形接合提供头部相对于与肱骨的连接的轴向和角度偏移。