公开(公告)号：US20050015153A1

公开(公告)日：2005-01-20

申请号：US10798665

申请日：2004-03-11

申请人： E. Goble ,  Daniel Justin ,  Joel Dever ,  Carlye Creger ,  Daniel Triplett ,  Robert Hodorek

发明人： E. Goble ,  Daniel Justin ,  Joel Dever ,  Carlye Creger ,  Daniel Triplett ,  Robert Hodorek

IPC分类号： A61B17/68 ,  A61F2/00 ,  A61F2/30 ,  A61F2/38 ,  A61B17/16 ,  A61B17/17 ,  A61B17/88

CPC分类号： A61F2/3859 ,  A61B17/68 ,  A61F2002/30131 ,  A61F2002/30136 ,  A61F2002/30405 ,  A61F2002/30434 ,  A61F2002/30449 ,  A61F2002/30494 ,  A61F2002/30604 ,  A61F2002/30616 ,  A61F2002/30733 ,  A61F2002/30774 ,  A61F2002/30777 ,  A61F2002/30785 ,  A61F2002/30787 ,  A61F2002/30797 ,  A61F2002/30805 ,  A61F2002/30808 ,  A61F2002/30892 ,  A61F2002/30909 ,  A61F2002/30975 ,  A61F2002/3895 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2220/005 ,  A61F2230/0004 ,  A61F2230/0013

摘要： A method for mounting an implant at an orthopedic joint includes forming a tunnel through a bone, the tunnel having an open second end on a natural or resected articulating surface of the bone and an open first end at a location on the bone spaced apart from the natural or resected articulating surface. A fastener is advanced into the tunnel from the first end of the tunnel. The fastener, which is at least partially disposed within the tunnel, is then secured to the implant which is disposed over the second end of the tunnel.

摘要翻译： 用于将植入物安装在矫形关节处的方法包括通过骨形成隧道，所述隧道在骨骼的天然或切除的关节表面上具有开放的第二端，并且在骨骼上与位于骨的间隔开的位置处的敞开的第一端 自然或切除的关节表面。 紧固件从隧道的第一端进入隧道。 至少部分地设置在隧道内的紧固件然后被固定到植入物上，植入物设置在隧道的第二端之上。

公开(公告)号：US20100241142A1

公开(公告)日：2010-09-23

申请号：US12728768

申请日：2010-03-22

申请人： Ephraim Akyuz ,  Andrew R. Fauth ,  Joseph A. Fritz ,  Jason Glad ,  Daniel Justin ,  Douglas M. Lorang ,  Matthew C. Summitt ,  M. Mary Sinnott ,  Daniel J. Triplett

发明人： Ephraim Akyuz ,  Andrew R. Fauth ,  Joseph A. Fritz ,  Jason Glad ,  Daniel Justin ,  Douglas M. Lorang ,  Matthew C. Summitt ,  M. Mary Sinnott ,  Daniel J. Triplett

IPC分类号： A61B17/12

CPC分类号： A61B17/0469 ,  A61B17/0483 ,  A61B17/062 ,  A61B2017/00353 ,  A61B2017/06042

摘要： An endoscopic surgical instrument for passing a suture through tissue includes a first jaw member, a needle, and a capture feature actuable to grip and retain the suture after the suture has been passed through a tissue body. An actuation mechanism can both move the needle between retracted and extended positions, and move the capture feature between open and closed configurations, via a single actuation. The capture feature may be a trap door which is axially translatable relative to the first jaw member to overlap a portion of the first jaw member and trap a portion of the suture between the trap door and the overlapped portion. The first jaw member may be movable relative to a second jaw member to grasp a tissue body. The instrument can grasp a tissue body, pass the suture through the tissue, capture and retain the suture without being repositioned relative to the tissue.

摘要翻译： 用于使缝合线穿过组织的内窥镜手术器械包括第一钳口构件，针和捕获构件，其可致动以在缝合线已经通过组织体之后夹紧并保持缝合线。 致动机构可以在缩回位置和延伸位置之间移动针，并且通过单个致动将打开和关闭配置之间的捕获特征移动。 捕获特征可以是捕获门，该门可相对于第一钳口构件轴向平移，以与第一钳口构件的一部分重叠并且将捕获门和重叠部分之间的缝合线的一部分捕获。 第一钳口构件可以相对于第二钳口构件移动以抓握组织体。 仪器可以抓住组织体，使缝合线穿过组织，捕获并保持缝合线而不会相对于组织重新定位。

公开(公告)号：US20060095131A1

公开(公告)日：2006-05-04

申请号：US11299493

申请日：2005-12-09

申请人： Daniel Justin ,  Richard Wenstrom ,  Andrew Levy

发明人： Daniel Justin ,  Richard Wenstrom ,  Andrew Levy

IPC分类号： A61F2/08

CPC分类号： A61F2/0811 ,  A61F2/0805 ,  A61F2002/0835 ,  A61F2002/0852 ,  A61F2002/0858 ,  A61F2002/0882 ,  A61F2002/0888

摘要： A graft fixation system for fixing graft material in a bone tunnel includes an expandable fixation member having a graft receiving eyelet disposed proximate its distal end, opposed bone engaging elements disposed about its periphery, and an expansion plug receiving opening defined in its proximal end. The system also includes an expansion plug having a diameter greater than the diameter of the expansion plug receiving opening so that forceable insertion of the expansion plug into the expansion plug receiving opening causes an expansion of the expandable fixation member driving the opposed bone engaging elements apart so as to fix the bone engaging elements, as well as the graft material, in a bone tunnel.

公开(公告)号：US20060009855A1

公开(公告)日：2006-01-12

申请号：US11040503

申请日：2005-01-21

申请人： E. Goble ,  Robert Hodorek ,  Daniel Justin ,  Carlyle Creger ,  David Meibos

发明人： E. Goble ,  Robert Hodorek ,  Daniel Justin ,  Carlyle Creger ,  David Meibos

IPC分类号： A61F2/38

CPC分类号： A61B17/1764 ,  A61B17/1662 ,  A61B17/1675 ,  A61F2/32 ,  A61F2/38 ,  A61F2/3804 ,  A61F2/3877 ,  A61F2/40 ,  A61F2/42 ,  A61F2002/3895

摘要： A trochlear groove implant includes a body having a first side with an articular surface and an opposing second sid with a bone apposition surface, the articular surface and the bone apposition surface each extending between a proximal end and an opposing distal end of the body. An elongated channel is recessed on the articular surface and longitudinally extends between the opposing ends of the body. An elongated ridge outwardly projects from the bone apposition surface and longitudinally extends between the opposing ends of the body.

摘要翻译： 滑车槽植入物包括主体，其具有具有关节表面的第一侧面和具有骨位置表面的相对的第二侧面，所述关节表面和所述骨对置表面各自在所述主体的近端和相对的远端之间延伸。 细长通道凹陷在关节表面上并纵向延伸在身体的相对端之间。 细长的脊向外突出，从骨的位置表面伸出并在身体的相对端之间纵向延伸。

公开(公告)号：US20050131409A1

公开(公告)日：2005-06-16

申请号：US10860495

申请日：2004-06-02

申请人： Alan Chervitz ,  Daniel Justin ,  T. Wade Fallin ,  Robert Hoy

发明人： Alan Chervitz ,  Daniel Justin ,  T. Wade Fallin ,  Robert Hoy

IPC分类号： A61B17/70 ,  A61B17/86 ,  A61F2/00 ,  A61F2/30 ,  A61F2/44

CPC分类号： A61F2/4405 ,  A61B17/7049 ,  A61B17/7064 ,  A61B17/7067 ,  A61B17/8625 ,  A61B17/8695 ,  A61B2017/8655 ,  A61F2/30771 ,  A61F2/4611 ,  A61F2002/30125 ,  A61F2002/30154 ,  A61F2002/30156 ,  A61F2002/30163 ,  A61F2002/30171 ,  A61F2002/30426 ,  A61F2002/30433 ,  A61F2002/30448 ,  A61F2002/30514 ,  A61F2002/30574 ,  A61F2002/30576 ,  A61F2002/30578 ,  A61F2002/30579 ,  A61F2002/30616 ,  A61F2002/30663 ,  A61F2002/3082 ,  A61F2002/30841 ,  A61F2002/3085 ,  A61F2002/30934 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2220/005 ,  A61F2230/0008 ,  A61F2230/0021 ,  A61F2230/0023 ,  A61F2230/005 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00203 ,  A61F2310/00239 ,  A61F2310/00796 ,  A61F2310/00928

摘要： Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra.

摘要翻译： 一个或多个小关节的上和/或下小面可以由上和/或下小面关节假体代替。 在一个实施例中，提供了一种上或下假体的套件，其中所述假体具有至少两个尺寸，所述尺寸在所述套件的各个构件之间彼此独立地变化。 每个假体可以具有骨接合表面，其具有能够相对于脊椎的相应切除而被多轴旋转的表面。 每个假体还可以具有成形为使得在附接到脊柱之后，当脊柱弯曲时，被替换的或部分替换的小关节提供更大的内侧 - 内侧运动范围，而不是当脊柱延伸时。 交叉连接可以用于将左和右假体连接在一起，使得它们被稳定在它们直接抵靠椎骨的位置。

公开(公告)号：US20070288029A1

公开(公告)日：2007-12-13

申请号：US11692070

申请日：2007-03-27

申请人： Daniel Justin ,  Robert Hodorek ,  E. Goble ,  Carlyle Creger

发明人： Daniel Justin ,  Robert Hodorek ,  E. Goble ,  Carlyle Creger

IPC分类号： A61B17/56

CPC分类号： A61B17/1675 ,  A61B17/1615 ,  A61B17/1764 ,  A61B2017/1602 ,  A61B2090/034

摘要： A milling system for use in resecting at least a portion of a joint articulation surface of a bone includes an alignment guide having a top surface and an opposing bottom surface with an opening extending therebetween. Fasteners are used to secure the alignment guide to the bone so that the alignment guide is suspended above the bone. A template is removably mounted to the alignment guide so that a plurality of guide paths extending through template are aligned with the opening in the alignment guide. A mill extends down through the guide path and has a burr on the end thereof for resecting the bone.

摘要翻译： 用于切除骨骼的关节关节表面的至少一部分的铣削系统包括具有顶表面和相对的底表面的对准引导件，其间具有开口。 紧固件用于将对准引导件固定到骨头上，使得对准引导件悬挂在骨骼上方。 模板可移除地安装到对准引导件，使得延伸穿过模板的多个引导路径与对准引导件中的开口对准。 研磨机向下延伸穿过引导路径并在其末端具有用于切割骨的毛刺。

公开(公告)号：US20070129808A1

公开(公告)日：2007-06-07

申请号：US11557399

申请日：2006-11-07

申请人： Daniel Justin ,  E. Goble ,  Robert Hodorek

发明人： Daniel Justin ,  E. Goble ,  Robert Hodorek

IPC分类号： A61F2/38 ,  A61F2/34

CPC分类号： A61F2/30721 ,  A61B17/8047 ,  A61F2/30749 ,  A61F2/32 ,  A61F2/34 ,  A61F2/3804 ,  A61F2/389 ,  A61F2/40 ,  A61F2/4202 ,  A61F2/4261 ,  A61F2002/30153 ,  A61F2002/30372 ,  A61F2002/30377 ,  A61F2002/30385 ,  A61F2002/30387 ,  A61F2002/30405 ,  A61F2002/30434 ,  A61F2002/30512 ,  A61F2002/30517 ,  A61F2002/30604 ,  A61F2002/30794 ,  A61F2002/30797 ,  A61F2002/30871 ,  A61F2002/30874 ,  A61F2002/3401 ,  A61F2002/4629 ,  A61F2002/4638 ,  A61F2002/4641 ,  A61F2002/4642 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2220/0041 ,  A61F2230/0019 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00179

摘要： An implant for on a resected articulation surface of a bone includes a tray having a top surface and opposition surface. An opening extends completely through the tray between the top surface and the bone apposition surface. A bearing member is mounted on the top surface of the tray, the bearing member having a top articular surface. Anchor downwarly projects away from the bone apposition surface of the tray, the anchor being adapted to engage the bone and being configured so that the anchor can selective pass completely through the opening of the tray. A fastener connects the anchor to the tray.

摘要翻译： 在骨的切除的关节表面上的植入物包括具有顶表面和对面的托盘。 开口在顶表面和骨位置表面之间完全延伸通过托盘。 轴承构件安装在托盘的顶表面上，轴承构件具有顶部关节面。 锚杆下游突出地远离托盘的骨位置表面，锚固件适于接合骨骼并且被构造成使得锚固件可以选择性地完全穿过托盘的开口。 紧固件将锚固件连接到托盘。

公开(公告)号：US20060200149A1

公开(公告)日：2006-09-07

申请号：US11063941

申请日：2005-02-22

申请人： Robert Hoy ,  T. Wade Fallin ,  Daniel Justin ,  David Meibos

发明人： Robert Hoy ,  T. Wade Fallin ,  Daniel Justin ,  David Meibos

IPC分类号： A61B17/58

CPC分类号： A61F2/4405 ,  A61B17/70 ,  A61B17/7064 ,  A61F2002/30016 ,  A61F2002/30405 ,  A61F2002/30444 ,  A61F2002/30485 ,  A61F2002/30512 ,  A61F2002/30538 ,  A61F2002/3085 ,  A61F2002/4677 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2250/0006 ,  A61F2250/0019

摘要： An orthopedic fastener is designed to attach an implant to bone in such a manner that, until the fastener is tightened, the implant may be rotationally adjusted against the bone. The implant may have a semispherical bone apposition surface that permits polyaxial rotation of the implant against the bone. The orthopedic fastener has an interpositional member and a compression member. The interpositional member may be a split ring with a conical exterior surface that mates with a conical surface of the implant. The compression member has a threaded bore that engages a proximal end of a fixation member implanted in the bone such that, in response to rotation of the compression member, the interpositional member is sandwiched securely between the implant and the compression member. The conical surface of the implant compresses the interpositional member about a semispherical surface of the compression member, thereby restricting rotation of the implant.

摘要翻译： 矫形紧固件被设计成将植入物附接到骨头上，使得直到紧固件被紧固为止，植入物可以相对于骨骼旋转调节。 植入物可以具有允许植入物相对于骨的多轴旋转的半球形骨位置表面。 矫形紧固件具有插入构件和压缩构件。 插入构件可以是具有与植入物的锥形表面配合的锥形外表面的开口环。 压缩构件具有螺纹孔，其接合植入在骨中的固定构件的近端，使得响应于压缩构件的旋转，插入构件被牢固地夹在植入物和压缩构件之间。 植入物的锥形表面围绕压缩构件的半球形表面压缩插入构件，从而限制植入物的旋转。

公开(公告)号：US20060149274A1

公开(公告)日：2006-07-06

申请号：US11344877

申请日：2006-02-01

申请人： Daniel Justin ,  E. Goble

发明人： Daniel Justin ,  E. Goble

IPC分类号： A61F5/00

CPC分类号： A61B17/157 ,  A61B17/14 ,  A61B17/144 ,  A61B17/15 ,  A61B17/1604 ,  A61B17/1635 ,  A61B17/1642 ,  A61B17/1675

摘要： A method of performing a tibial tubercle osteotomy includes cutting a bone portion of a tibial tubercle from a remaining portion of the tibial tubercle, at least a portion of a patella ligament being attached to the bone portion. The bone portion of the tibial tubercle is separated from the remaining portion of the tibial tubercle such that the patella ligament remains attached to the bone portion. After completing a surgical procedure, the separated bone portion of the tibial tubercle is reattached to the remaining portion of the tibial tubercle.

摘要翻译： 执行胫骨结节截骨术的方法包括从胫骨结节的剩余部分切割胫骨结节的骨部分，将至少一部分髌骨韧带附接到骨部。 将胫骨结节的骨部与胫骨结节的剩余部分分离，使得髌骨韧带保持附着于骨部。 完成外科手术后，将胫骨结节的分离的骨部分重新连接到胫骨结节的剩余部分。

公开(公告)号：US20060009854A1

公开(公告)日：2006-01-12

申请号：US11040501

申请日：2005-01-21

申请人： Daniel Justin ,  E. Goble ,  Robert Hodorek ,  Carlyle Creger

发明人： Daniel Justin ,  E. Goble ,  Robert Hodorek ,  Carlyle Creger

IPC分类号： A61F2/38

CPC分类号： A61B17/1764 ,  A61B17/1662 ,  A61B17/1675 ,  A61F2/32 ,  A61F2/38 ,  A61F2/3804 ,  A61F2/3877 ,  A61F2/40 ,  A61F2/42 ,  A61F2002/3895

摘要： A guide template for use in resurfacing a portion of a bone includes a body adapted for positioning over a natural or resected articulation surface of the bone. The body has a top surface and an opposing bottom surface that each extend between a proximal end and an opposing distal end. The body at least partially bounds an opening extending between the top surface and the bottom surface. At least a portion of the top surface or the bottom surface has a convex curvature or a concave curvature that extends between the proximal end and the opposing distal end. At least three spaced apart supports project below the bottom surface of the body such that the body can be supported by the supports. Fasteners are provided for securing the body to the bone.

摘要翻译： 用于重新覆盖骨的一部分的引导模板包括适于定位在骨的自然或切除的关节表面上的主体。 主体具有顶表面和相对的底表面，每个在近端和相对的远端之间延伸。 主体至少部分地限定在顶表面和底表面之间延伸的开口。 顶表面或底表面的至少一部分具有在近端和相对的远端之间延伸的凸曲率或凹曲率。 至少三个间隔开的支撑件在主体的底表面下方突出，使得主体可被支撑件支撑。 提供紧固件用于将身体固定到骨骼上。