公开(公告)号：US20070149878A1

公开(公告)日：2007-06-28

申请号：US11427070

申请日：2006-06-28

申请人： Carol Hankins

发明人： Carol Hankins

IPC分类号： A61B5/05

CPC分类号： A61B8/0841 ,  A61B90/11 ,  A61B2017/3405 ,  A61B2017/3407 ,  A61B2017/3413 ,  A61B2090/067 ,  A61B2090/068

摘要： The present invention provides a device for guiding a medical instrument with respect to a patient. The device includes a base. The lower portion of the base includes a bottom surface having a configuration for contact with the patient. On example of such a configuration is a generally hemispherical configuration. The device also includes an instrument guide attached to the lower portion of the base. The guide has a translation axis and is configured to slideably receive the medical instrument along the translation axis. The device further includes first and second arcuate members attached to the base. The arcuate members are generally perpendicular to each other. Moreover, the device includes first and second orientation indicators connected with the first and second arcuate members.

摘要翻译： 本发明提供了一种用于相对于患者引导医疗器械的装置。 该装置包括一个基座。 基部的下部包括具有用于与患者接触的构造的底面。 这种构造的示例是大致半球形的构造。 该装置还包括附接到基座的下部的仪器引导件。 引导件具有平移轴，并且被构造成沿着平移轴可滑动地接收医疗器械。 该装置还包括连接到基座的第一和第二弓形构件。 弓形构件通常彼此垂直。 此外，该装置包括与第一和第二弓形构件连接的第一和第二取向指示器。

公开(公告)号：US20060184177A1

公开(公告)日：2006-08-17

申请号：US10565002

申请日：2004-07-23

申请人： Santiago Echeverri

发明人： Santiago Echeverri

IPC分类号： A61B17/90

CPC分类号： A61B17/1746 ,  A61B2090/068 ,  A61F2/34 ,  A61F2/4609 ,  A61F2/4657 ,  A61F2002/30538 ,  A61F2002/4668 ,  A61F2002/4687 ,  A61F2250/0006

摘要： Orientation device for surgical use includes a frame and a level device attached to the frame. The feature may be oriented with a reference such as the Antero Superior Iliac Spine, the acetabulum or the operating table to position the pelvis or the device. The level device is adapted to define a reference plane. The device thus allows precise orientation with respect to the pelvis through use of a reference plane.

摘要翻译： 用于外科用途的定向装置包括附接到框架的框架和水平装置。 该特征可以以参考例如Antero Superior Iliac Spine，髋臼或手术台来定位骨盆或装置。 液位装置适于定义参考平面。 因此，该装置允许通过使用参考平面相对于骨盆的精确取向。

公开(公告)号：US06610062B2

公开(公告)日：2003-08-26

申请号：US09782713

申请日：2001-02-13

申请人： Kirk J. Bailey ,  Richard P. Dickerson ,  Gretchen Dougherty Shah ,  Niles L. Noblitt

发明人： Kirk J. Bailey ,  Richard P. Dickerson ,  Gretchen Dougherty Shah ,  Niles L. Noblitt

IPC分类号： A61B1770

CPC分类号： A61B17/7011 ,  A61B17/7007 ,  A61B17/701 ,  A61B17/7037 ,  A61B17/7038 ,  A61B17/704 ,  A61B17/7041 ,  A61B17/8605 ,  A61B2090/061 ,  A61B2090/068 ,  G09B7/02

摘要： A method and a system for a spinal fixation incorporate a plurality of polydirectional fixation screws and a plurality of linkages. The polydirectional fixation screws include an upper member and a lower member. The upper member is attached to the linkage. The upper member includes a first hemispherical portion. The lower member engages the bone and includes a second hemispherical portion which cooperates with the first hemispherical portion to define a sphere. The second hemispherical portion is coupled to the first hemispherical portion for relative pivotal movement about an axis. Relative movement between the first and second hemispherical portions readily permits sagittal plane adjustments. The polydirectional fixation screw further includes a biasing member for biasing the first member away from the second member in a direction substantially parallel to the axis. The linkages are provided with various vertical offsets to readily permit coronal plane adjustment.

摘要翻译： 用于脊柱固定的方法和系统包括多个多向定向固定螺钉和多个连杆。 多向固定螺钉包括上部构件和下部构件。 上部件连接到连接件上。 上部构件包括第一半球形部分。 下部构件接合骨骼并且包括与第一半球形部分配合以限定球体的第二半球形部分。 第二半球形部分联接到第一半球形部分，用于围绕轴线的相对枢转运动。 第一和第二半球形部分之间的相对运动容易地允许矢状面调整。 多向固定螺钉还包括偏置构件，用于在基本上平行于轴线的方向上偏压第一构件远离第二构件。 连杆具有各种垂直偏移以容易地允许冠状面调整。

公开(公告)号：US20010034521A1

公开(公告)日：2001-10-25

申请号：US09782713

申请日：2001-02-13

发明人： Kirk J. Bailey ,  Richard P. Dickerson ,  Gretchen Dougherty Shah ,  Niles L. Noblitt

IPC分类号： A61B017/70

CPC分类号： A61B17/7011 ,  A61B17/7007 ,  A61B17/701 ,  A61B17/7037 ,  A61B17/7038 ,  A61B17/704 ,  A61B17/7041 ,  A61B17/8605 ,  A61B2090/061 ,  A61B2090/068 ,  G09B7/02

摘要： A method and a system for a spinal fixation incorporate a plurality of polydirectional fixation screws and a plurality of linkages. The polydirectional fixation screws include an upper member and a lower member. The upper member is attached to the linkage. The upper member includes a first hemispherical portion. The lower member engages the bone and includes a second hemispherical portion which cooperates with the first hemispherical portion to define a sphere. The second hemispherical portion is coupled to the first hemispherical portion for relative pivotal movement about an axis. Relative movement between the first and second hemispherical portions readily permits sagittal plane adjustments. The polydirectional fixation screw further includes a biasing member for biasing the first member away from the second member in a direction substantially parallel to the axis. The linkages are provided with various vertical offsets to readily permit coronal plane adjustment.

摘要翻译： 用于脊柱固定的方法和系统包括多个多向定向固定螺钉和多个连杆。 多向固定螺钉包括上部构件和下部构件。 上部件连接到连接件上。 上部构件包括第一半球形部分。 下部构件接合骨骼并且包括与第一半球形部分配合以限定球体的第二半球形部分。 第二半球形部分联接到第一半球形部分，用于围绕轴线的相对枢转运动。 第一和第二半球形部分之间的相对运动容易地允许矢状面调整。 多向固定螺钉还包括偏置构件，用于在基本上平行于轴线的方向上偏压第一构件远离第二构件。 连杆具有各种垂直偏移以容易地允许冠状面调整。

公开(公告)号：US5314432A

公开(公告)日：1994-05-24

申请号：US102201

申请日：1993-08-05

申请人： Kamaljit S. Paul

发明人： Kamaljit S. Paul

IPC分类号： A61B17/00 ,  A61B19/00

CPC分类号： A61B90/11 ,  A61B2017/00261 ,  A61B2090/068 ,  A61B90/39 ,  Y10S128/26

摘要： This invention provides a stereotactic device which is adapted for placement of a medical probe in the performance of percutaneous lumbar discectomy in a human body. The stereotactic device is utilized in conjunction with a fluoroscope for alignment and placement of a trocar type probe into a herniated disc. Bubble gauges are employed to level the x-axis and y-axis of a trocar support, which orients and slidably guides the medical probe into the targeted herniated disc nucleus.

摘要翻译： 本发明提供一种立体定向装置，其适用于在人体内进行经皮腰椎间盘切除术的放置医疗探针。 立体定向装置与荧光镜一起使用，用于将套管针型探针对准和放置在突出的椎间盘中。 使用气泡计量器来定位套管针支架的x轴和y轴，其将医疗探针定向并可滑动地引导到靶向突出的椎间盘细胞核中。

公开(公告)号：US5308352A

公开(公告)日：1994-05-03

申请号：US535653

申请日：1990-06-11

申请人： Panos G. Koutrouvelis

发明人： Panos G. Koutrouvelis

IPC分类号： A61B17/34 ,  A61B19/00

CPC分类号： A61B17/3403 ,  A61B90/11 ,  A61B2017/3407 ,  A61B2090/068

摘要： A stereotactic device of simplified structure, adaptable to align and precisely orient a variety of medical devices, such as differently sized needles, cannulas, and guide wires, into the human body for procedures, such as tumor biopsies, percutaneous discectomies, cyst aspirations, and tumor localizations, is described. The stereotactic device is adapted for use in combination with a stereotactic bridge which includes a span rotatable on its horizontal axis and movably affixed to a C.T. scan table or an X-ray table by a positioning mechanism that provides for both vertical and horizontal movement of the span. The stereotactic device interacts with a C.T. scanner to achieve accurate placement of the selected medical device. Use of the stereotactic bridge allows alignment of the medical device in sagittal orientation with a high degree of accuracy. The stereotactic device is organized so as to allow a user to introduce accurately the medical device through a sterile field into the human body at a preselected angle. The stereotactic device includes a base, a leg normal to the base, a carrier for the medical device, and markings on the leg. The carrier for the medical device also has a radial portion, a retainer for the medical device, and a lock for fixing the medical device at a selected position.

摘要翻译： 一种简化结构的立体定向装置，适用于将各种医疗装置（例如不同尺寸的针，插管和引导线）对准和精确定位到人体中用于诸如肿瘤活组织检查，经皮椎间盘切除术，囊肿期望和 描述了肿瘤定位。 立体定向装置适合与立体定向桥结合使用，该立体定向桥包括在其水平轴线上可旋转的跨度，并可移动地固定在C.T. 扫描台或通过定位机构的X射线台，其提供跨度的垂直和水平移动。 立体定向装置与C.T. 扫描仪以实现所选医疗设备的精确放置。 立体定向桥的使用允许医疗装置在矢状取向中以高精度对准。 立体定向装置被组织以允许使用者以预定的角度将医疗装置通过无菌区域准确地引入人体。 立体定向装置包括基座，与基座垂直的支脚，用于医疗装置的支架和腿上的标记。 用于医疗装置的载体还具有径向部分，用于医疗装置的保持器，以及用于将医疗装置固定在选定位置的锁。

公开(公告)号：US5176515A

公开(公告)日：1993-01-05

申请号：US698767

申请日：1991-05-10

申请人： Lawrence F. Andrews

发明人： Lawrence F. Andrews

IPC分类号： A61B19/00 ,  A61C19/045

CPC分类号： A61C19/045 ,  A61B2090/068

摘要： A characteristic of optimal facial harmony is a correlation of the A/P (Anterior/Posterior) position of the maxillary incisors with the forehead. When the forehead is canted about 7 degrees or less, the A/P position of the maxillary incisors should match that of the middle of the forehead. For every degree the forehead is canted more than 7 degrees, the A/P position of the maxillary incisors should be 0.6 millimeters more anterior than the middle of the forehead. The extent to which the A/P position of the maxillary incisors is forward or back of the forehead's midpoint can be judged in millimeters quite accurately by viewing a patient in profile with the patient's forehead and maxillary incisors fully bared. Once the linear decision is made then the A/P treatment goal position can be physically measured and recorded using a novel bite fork (58), an improved facebow (56), and a new piece of equipment called a verticalizer (60). This information can then be transferred to and displayed on the occlusofacial simulator, a new kind of articulator.

摘要翻译： 最佳面部和谐的特征是上颌门牙的A / P（前后）位置与前额的相关性。 当额头倾斜约7度以下时，上颌门牙的A / P位置应与前额中部的A / P位置一致。 对于每一度，前额倾斜超过7度，上颌门牙的A / P位置应比前额中间前方多0.6毫米。 上颌门牙的A / P位置在前额中点的前方或后方的程度可以通过观察患者的前额和上颌门牙完全露出的轮廓中的患者来准确判断。 一旦作出线性决定，则可以使用新颖的咬合叉（58），改进的弯头（56）和称为垂直器（60）的新的设备来物理地测量和记录A / P处理目标位置。 这种信息可以传输到和显示在咬合面模拟器上，一种新型的咬合器。

公开(公告)号：US5100411A

公开(公告)日：1992-03-31

申请号：US53565390

申请日：1990-06-11

IPC分类号： A61B17/34 ,  A61B19/00

CPC分类号： A61B17/3403 ,  A61B90/11 ,  A61B2090/068

公开(公告)号：US4846173A

公开(公告)日：1989-07-11

申请号：US94843

申请日：1987-09-10

申请人： Todd W. Davidson

发明人： Todd W. Davidson

IPC分类号： A61B19/00

CPC分类号： A61B90/16 ,  A61B90/14 ,  A61B2090/068 ,  A61B2090/101

摘要： A radiation therapy positioning device utilizes a plurality of orthogonally adjustable members to present a patient bite block for insertion in a patient's mouth during radiation therapy. The apparatus is designed to insure repeatability of positioning and maximum access to the patient for treatment from various angles.

摘要翻译： 辐射治疗定位装置利用多个正交可调节构件来呈现患者咬合块，用于在放射治疗期间插入病人的口中。 该装置被设计成确保定位的重复性和从患者的各种角度的最大限度地进入治疗。

公开(公告)号：US4733661A

公开(公告)日：1988-03-29

申请号：US42728

申请日：1987-04-27

申请人： Aubrey M. Palestrant

发明人： Aubrey M. Palestrant

IPC分类号： A61B17/34 ,  A61B19/00 ,  A61B17/00

CPC分类号： A61B17/3403 ,  A61B2090/068 ,  Y10S128/26

摘要： A handheld guidance device for use in conjunction with a C.T. scanner allows a user to accurately place a catheter within a patient's body. The guidance device includes a generally planar base including a bubble level to aid in maintaining the base horizontal. A needle support arm is pivotally secured to the base adjacent one end thereof, and a cooperating protractor indicates the relative angular relationship between the needle support arm and the base. Needle guides are provided on the support arm for slidingly supporting the catheter at a desired angle as the catheter is inserted into the patient's body. Graduations are marked on the needle support arm for indicating the depth of insertion. A reference line formed upon the base is adapted to be aligned with a transverse light beam projected by the C.T. scanner.

摘要翻译： 一种与C.T.一起使用的手持引导装置。 扫描器允许用户将导管准确地放置在患者体内。 引导装置包括大体上平坦的基部，其包括气泡水平以帮助维持基部水平。 针支撑臂在其一端相邻地枢转地固定到基部，并且配合的量角器指示针支撑臂和基部之间的相对角度关系。 在导管插入患者体内时，针导向件设置在支撑臂上，用于以期望的角度滑动地支撑导管。 针支撑臂上标有刻度以指示插入深度。 形成在基座上的参考线适于与由C.T.投射的横向光束对准。 扫描器。