公开(公告)号：US20060058723A1

公开(公告)日：2006-03-16

申请号：US10941313

申请日：2004-09-15

申请人： William Pratt ,  Clyde Pratt ,  Vineet Sarin

发明人： William Pratt ,  Clyde Pratt ,  Vineet Sarin

IPC分类号： A61N1/30

CPC分类号： A61F2/4675 ,  A61F2/38 ,  A61M1/0084

摘要： An apparatus suitable for cleaning a surgically prepared working surface comprises a body portion adapted to supply pressurized fluid (preferably carbon dioxide gas) to the surgically prepared working surface and aspirate surface debris dislodged from the surgically prepared working surface. The apparatus further comprises a head portion adapted to constrain the supplied pressurized fluid to flow substantially along the surgically prepared working surface to dislodge debris there from when the head portion is in contact with the surgically prepared working surface. The dislodged surface debris are aspirated by the body portion.

摘要翻译： 适用于清洁手术准备的工作表面的装置包括主体部分，该主体部分适于将经加压的流体（优选为二氧化碳气体）供应到手术制备的工作表面并吸出从外科手术准备的工作表面移除的表面碎屑。 该装置还包括头部，该头部适于约束所供应的加压流体基本上沿着手术准备的工作表面流动，以便在头部与外科手术准备的工作表面接触时从其移除碎屑。 移动的表面碎片被身体部分吸出。

公开(公告)号：US20030082169A1

公开(公告)日：2003-05-01

申请号：US10282666

申请日：2002-10-29

发明人： Lawrence M. Boyd

IPC分类号： A61K038/48 ,  A61K038/18 ,  A61M031/00

CPC分类号： A61F2/4675 ,  A61B17/0218 ,  A61B17/3472 ,  A61B17/8811 ,  A61B2017/00261 ,  A61B2017/00469 ,  A61B2017/0256 ,  A61B2017/564 ,  A61F2/442 ,  A61F2002/444 ,  A61F2002/4635 ,  A61F2002/4677

摘要： A method for the pre-treatment of an intervertebral disc prior to the introduction of a disc prosthesis or implant includes removing at least a portion of the nucleus pulposus of the intervertebral disc to expose at least a portion of the endplate of an adjacent vertebra to the disc. A fluent treatment material is then injected into the disc space to come into contact with the portion of the endplate. The fluent treatment material is operable to prepare the portion of the endplate to accommodate a disc prosthesis, implant or graft subsequently introduced into the disc space. Different fluent treatment materials are provided that depend upon the condition of the vertebral endplates.

摘要翻译： 在引入椎间盘假体或植入物之前用于预处理椎间盘的方法包括移除椎间盘的髓核的至少一部分以将相邻椎骨的端板的至少一部分暴露于 光盘。 然后将流体处理材料注入到盘空间中以与端板的部分接触。 流体处理材料可操作以制备端板的部分以容纳随后引入盘空间的椎间盘假体，植入物或移植物。 提供不同流平的治疗材料，这取决于椎体终板的状况。

公开(公告)号：US5704909A

公开(公告)日：1998-01-06

申请号：US650342

申请日：1996-05-20

申请人： Bernard F. Morrey ,  John J. McLeod, Jr. ,  Frederick M. Schultz

发明人： Bernard F. Morrey ,  John J. McLeod, Jr. ,  Frederick M. Schultz

IPC分类号： A61B19/00 ,  A61F2/46 ,  A61M1/00 ,  A61N1/30

CPC分类号： A61M1/0084 ,  A61F2/4675 ,  A61B90/05 ,  A61F2002/4685

摘要： A bone cleaning and drying system for cleaning drying and emptying bones during joint replacement surgery, which includes an applicator for applying compressed gas, namely carbon dioxide, to the intramedullary canal and the cancellous bone, with an applicator nozzle at the distal end, the applicator nozzle having a plurality of end discharge slits and a plurality of angled side discharge slits to provide reverse flow, which provides a pressure gradient from the distal end to the proximal end, which aspirates and directs the entrained air, blood, fluids, fat, marrow, tissue and bone debris onto a drape or a hollow deflector shield surrounding the applicator, the front surface of the hollow deflector shield being apertured to allow the entrained materials to pass therethrough, the interior of the hollow deflector shield being connected to a flexible suction hose, and replaces room air with carbon dioxide in bone.

公开(公告)号：US5554111A

公开(公告)日：1996-09-10

申请号：US405500

申请日：1995-03-16

申请人： Bernard F. Morrey ,  John J. McLeod, Jr. ,  Frederick M. Schultz

发明人： Bernard F. Morrey ,  John J. McLeod, Jr. ,  Frederick M. Schultz

IPC分类号： A61B19/00 ,  A61F2/46 ,  A61M1/00 ,  A61N1/30

CPC分类号： A61M1/0084 ,  A61F2/4675 ,  A61B90/05 ,  A61F2002/4685

摘要： A bone cleaning and drying system for cleaning drying and emptying bones during joint replacement surgery, which includes an applicator for applying compressed gas, namely carbon dioxide, to the intramedullary canal and the cancellous bone, with an applicator nozzle at the distal end, the applicator nozzle having a plurality of end discharge slits and a plurality of angled side discharge slits to provide reverse flow, which provides a pressure gradient from the distal end to the proximal end, which aspirates and directs the entrained air, blood, fluids, fat, marrow, tissue and bone debris onto a drape or a hollow deflector shield surrounding the applicator, the front surface of the hollow deflector shield being apertured to allow the entrained materials to pass therethrough, the interior of the hollow deflector shield being connected to a flexible suction hose, and replaces room air with carbon dioxide in bone.

摘要翻译： 一种用于在关节置换手术期间清洁干燥和排空骨骼的骨清洁和干燥系统，其包括用于将压缩气体（即二氧化碳）施加到髓内管和松质骨上的施用器，在远端具有施用喷嘴，施用器 喷嘴具有多个端部排出狭缝和多个成角度的侧面排出狭缝，以提供反向流动，其提供从远端到近端的压力梯度，其吸引并引导夹带的空气，血液，流体，脂肪，骨髓 ，组织和骨碎片放置在围绕施加器的悬垂布或中空导流板屏蔽件上，中空导流板屏蔽件的前表面是有孔的，以允许夹带的材料通过，中空导流板屏蔽件的内部连接到柔性抽吸软管 ，并用骨骼中的二氧化碳代替室内空气。

公开(公告)号：US20160220393A1

公开(公告)日：2016-08-04

申请号：US14613502

申请日：2015-02-04

申请人： DePuy Synthes Products, Inc.

发明人： Michael Slivka ,  Kevin Lee ,  Roman Lomeli

IPC分类号： A61F2/46 ,  A61N7/00 ,  A61F5/02 ,  A61F2/44 ,  A61B17/70 ,  A61B18/18 ,  A61B18/12

CPC分类号： A61F2/4675 ,  A61B17/70 ,  A61B18/12 ,  A61B2017/564 ,  A61B2018/00339 ,  A61B2018/00404 ,  A61B2018/00434 ,  A61B2018/0044 ,  A61B2018/00565 ,  A61B2018/00577 ,  A61B2090/374 ,  A61B2090/376 ,  A61B2090/3762 ,  A61B2090/378 ,  A61F2/44 ,  A61F5/02 ,  A61N7/02

摘要： Systems and methods for facilitating treatment are disclosed that can include the use of imaging techniques in conjunction with one or more non-invasive techniques for modifying tissue, e.g., tissue in or around the spine. Depending on the type of treatment to be performed, various imaging modalities may be suitable for visualizing the tissue. Energy can be applied to tissue from outside of the body such that the tissue is modified in a non-invasive manner. For example, focused ultrasound can be used to dissect body tissues or can be applied to specific regions of tissue to change a characteristic of the tissue, e.g., increase its elasticity. The methods disclosed herein can be stand-alone treatments or can be performed prior to one or more surgical procedures. For example, non-invasive imaging and modification of body tissues can facilitate accessing the spine, preparing an interbody space, and/or surgically correcting the spine.

摘要翻译： 公开了用于促进治疗的系统和方法，其可以包括使用成像技术结合一种或多种非侵入性技术来修饰组织，例如脊柱中或其周围的组织。 取决于要进行的治疗的类型，各种成像方式可能适合于使组织可视化。 能量可以从身体外部施加到组织，使得组织以非侵入性方式被修改。 例如，可以使用聚焦超声来切开身体组织，或者可以将其应用于组织的特定区域以改变组织的特征，例如增加其弹性。 本文公开的方法可以是独立治疗，或者可以在一个或多个外科手术之前进行。 例如，身体组织的非侵入性成像和修改可以有助于进入脊柱，准备椎体间隙，和/或手术矫正脊柱。

公开(公告)号：US09114024B2

公开(公告)日：2015-08-25

申请号：US13683731

申请日：2012-11-21

申请人： Biomimedica, Inc.

发明人： Lampros Kourtis ,  Michael J. Jaasma ,  David Myung ,  Michael C. Hollis ,  Vernon Hartdegen

IPC分类号： A61F2/46 ,  A61F2/00 ,  A61F2/30 ,  A61B17/17 ,  A61B17/16 ,  A61F2/34 ,  A61F2/36 ,  A61F2/38 ,  A61F2/40

CPC分类号： A61F2/4603 ,  A61B17/1664 ,  A61B17/1666 ,  A61B17/1764 ,  A61F2/0095 ,  A61F2/30756 ,  A61F2/34 ,  A61F2/36 ,  A61F2/38 ,  A61F2/40 ,  A61F2/4618 ,  A61F2/4657 ,  A61F2/4675 ,  A61F2002/30014 ,  A61F2002/30069 ,  A61F2002/3009 ,  A61F2002/30594 ,  A61F2002/30757 ,  A61F2002/30878 ,  A61F2002/30971 ,  A61F2002/3412 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2002/4629 ,  A61F2002/4631 ,  A61F2002/465 ,  A61F2002/4685 ,  A61F2002/4696

摘要： Methods, devices, and systems for delivering and attaching flexible implants to a bone or joint surface. An implant container includes a first component for surrounding and enclosing an implant and a second component adapted for maintaining, supporting, and conforming the shape of the implant. The implant container designed to have at least one component attachable to the implant and to a delivery instrument or tool. The implant container component having a material allowing transmission of light through a thickness of the container and a thickness of an attached implant to cure an adhesive placed between the implant and a bone surface. Additionally, embodiments described provide delivery instruments and tools for attaching implants and implants within containers to a joint or bone surface.

摘要翻译： 用于将柔性植入物递送和附接到骨骼或关节表面的方法，装置和系统。 植入物容器包括用于包围和封闭植入物的第一部件和适于维持，支撑和使其适应植入物形状的第二部件。 植入物容器被设计成具有至少一个可附接到植入物和递送仪器或工具的部件。 植入物容器部件具有允许光穿过容器的厚度的材料和附着的植入物的厚度，以固化放置在植入物和骨表面之间的粘合剂。 另外，所描述的实施例提供了用于将容器内的植入物和植入物附接到关节或骨表面的递送仪器和工具。

公开(公告)号：US09072529B2

公开(公告)日：2015-07-07

申请号：US12812213

申请日：2008-01-15

申请人： Armando Gisep ,  Philip Kuhn

发明人： Armando Gisep ,  Philip Kuhn

IPC分类号： A61B17/3203 ,  A61B17/88 ,  A61B17/16 ,  A61F2/46

CPC分类号： A61B17/1644 ,  A61B17/8811 ,  A61B17/8897 ,  A61B2017/1648 ,  A61B2217/005 ,  A61B2217/007 ,  A61F2/4675 ,  A61F2002/4677 ,  A61F2002/4685

摘要： A cannula (1) comprising a central axis (2), a front end (3) and a through channel (5) coaxial or parallel to said central axis (2) and defining a peripheral wall (12) of said cannula (1), wherein A) said cannula (1) further comprises at least two perforations (8) penetrating said peripheral wall (12) transversely to said central axis (2); B) said through channel (5) is open at said front end (3); and C) the cross section of said through channel (5) has a contraction (6) with a diameter di located between the front most of said at least two perforations (8) and said front end (3) which is formed as a guidance for a wire (7). A device (10) for liquid jet irrigation of bone comprising such a cannula (1) and a wire (7).

摘要翻译： 一种套管（1），包括与所述中心轴线（2）同轴或平行的中心轴线（2），前端（3）和通道（5），并且限定所述插管（1）的周壁（12） 其中A）所述插管（1）还包括横向于所述中心轴线（2）穿过所述周壁（12）的至少两个穿孔（8）。 B）所述通道（5）在所述前端（3）处是开放的; 和C）所述通道（5）的横截面具有收缩（6），其中直径di位于所述至少两个穿孔（8）的最前面和所述前端（3）之间，其形成为引导 用于电线（7）。 一种用于液体喷射冲洗骨头的装置（10），包括这种插管（1）和线（7）。

公开(公告)号：US08900322B2

公开(公告)日：2014-12-02

申请号：US13759239

申请日：2013-02-05

申请人： Brian C. de Beaubien

发明人： Brian C. de Beaubien

IPC分类号： A61F2/30 ,  A61F2/38 ,  A61M37/00 ,  A61F2/36 ,  A61F2/48 ,  A61F2/46

CPC分类号： A61M37/00 ,  A61F2/36 ,  A61F2/38 ,  A61F2/4675 ,  A61F2002/30616 ,  A61F2002/30672 ,  A61F2002/30677 ,  A61F2002/3068 ,  A61F2002/3621 ,  A61F2002/368 ,  A61F2002/3694 ,  A61F2002/4685 ,  A61F2002/482 ,  A61F2250/0068 ,  A61F2310/00077

摘要： An antibiotic delivery system including an intramedullary stem that is adapted to be removably mounted into a medullary canal of a bone. The stem includes a body having an inlet adapted to be in fluid communication with a source of liquid-borne antibiotic and a plurality of outlets disposed along the stem. A channel extends between the inlet and the plurality of outlets for delivering a fluid-borne antibiotic from the inlet to the plurality of outlets so as to distribute the antibiotic along the medullary canal in a controlled fashion. A method of treating an infected joint during a two-stage re-implantation of an orthopedic implant is also disclosed.

摘要翻译： 一种抗生素递送系统，其包括适于可移除地安装到骨的髓质管中的髓内杆。 茎包括具有适于与液体传播的抗生素源流体连通的入口的主体和沿着茎设置的多个出口。 通道在入口和多个出口之间延伸，用于将流体传播的抗生素从入口输送到多个出口，以便以受控的方式沿着髓管分布抗生素。 还公开了在整形外科植入物的两级重新植入期间治疗感染关节的方法。

公开(公告)号：US08454706B2

公开(公告)日：2013-06-04

申请号：US12712748

申请日：2010-02-25

申请人： Brian C. de Beaubien

发明人： Brian C. de Beaubien

IPC分类号： A61F2/30

CPC分类号： A61M37/00 ,  A61F2/36 ,  A61F2/38 ,  A61F2/4675 ,  A61F2002/30616 ,  A61F2002/30672 ,  A61F2002/30677 ,  A61F2002/3068 ,  A61F2002/3621 ,  A61F2002/368 ,  A61F2002/3694 ,  A61F2002/4685 ,  A61F2002/482 ,  A61F2250/0068 ,  A61F2310/00077

摘要： An antibiotic delivery system including an intramedullary stem that is adapted to be removably mounted into a medullary canal of a bone. The stem includes a body having an inlet adapted to be in fluid communication with a source of liquid-borne antibiotic and a plurality of outlets disposed along the stem. A channel extends between the inlet and the plurality of outlets for delivering a fluid-borne antibiotic from the inlet to the plurality of outlets so as to distribute the antibiotic along the medullary canal in a controlled fashion. A method of treating an infected joint during a two-stage re-implantation of an orthopedic implant is also disclosed.

摘要翻译： 一种抗生素递送系统，其包括适于可移除地安装到骨的髓质管中的髓内杆。 茎包括具有适于与液体传播的抗生素源流体连通的入口的主体和沿着茎设置的多个出口。 通道在入口和多个出口之间延伸，用于将流体传播的抗生素从入口输送到多个出口，以便以受控的方式沿着髓管分布抗生素。 还公开了在整形外科植入物的两级重新植入期间治疗感染关节的方法。

公开(公告)号：US07935121B2

公开(公告)日：2011-05-03

申请号：US10578734

申请日：2004-11-10

申请人： Lars Lidgren ,  Torgny Lundgren ,  Pär Arvidsson ,  Sven Jönsson

发明人： Lars Lidgren ,  Torgny Lundgren ,  Pär Arvidsson ,  Sven Jönsson

IPC分类号： A61M37/00

CPC分类号： A61B17/8827 ,  A61B17/1615 ,  A61B17/1637 ,  A61B17/8822 ,  A61F2/4601 ,  A61F2/4675 ,  A61F2002/4685 ,  A61F2310/00293

摘要： The present invention relates to a device for providing spongy bone with bone substitute and/or bone reinforcing material, wherein at least one perforating device (4) is provided for making at least one hole (5) in the spongy bone (1) and wherein at least one flushing or rinsing device (6) is provided for flushing or rinsing the hole (5) with a rinsing agent (7). At least one vacuum source (9) is provided for generating a vacuum in the hole (5) in the spongy bone (1) for sucking and/or facilitating insertion or feeding of the bone substitute and/or bone reinforcing material (3) into said spongy bone (1). The invention also relates to bone substitute and/or bone reinforcing material and methods in connection with the invention.

摘要翻译： 本发明涉及一种用于向海绵骨提供骨替代物和/或骨增强材料的装置，其中提供至少一个穿孔装置（4）用于在海绵骨（1）中制造至少一个孔（5），并且其中 提供至少一个冲洗或冲洗装置（6），用于用冲洗剂（7）冲洗或冲洗孔（5）。 提供至少一个真空源（9），用于在海绵骨（1）中的孔（5）中产生真空，用于吸收和/或便于将骨替代物和/或骨增强材料（3）插入或进给到 海绵骨（1）。 本发明还涉及与本发明有关的骨替代物和/或骨增强材料和方法。