公开(公告)号：US09364242B2

公开(公告)日：2016-06-14

申请号：US13029141

申请日：2011-02-17

申请人： Alain Tornier ,  Guy Viart ,  Jean-Yves Leroy ,  Adrien Billon ,  Afshin Gangi ,  Orlando Ortiz

发明人： Alain Tornier ,  Guy Viart ,  Jean-Yves Leroy ,  Adrien Billon ,  Afshin Gangi ,  Orlando Ortiz

IPC分类号： A61B17/16 ,  A61B17/17 ,  A61B17/00

CPC分类号： A61B17/1671 ,  A61B17/1631 ,  A61B17/1637 ,  A61B17/1642 ,  A61B17/1697 ,  A61B17/1757 ,  A61B2017/00862 ,  F04C2270/041

摘要： The drilling device for forming an osseous channel (2) with a curved profile (2b) via a straight cannula (6) previously fixed in the body of a vertebra (3) with a cortical plateau (4) of a spinal segment (Sr) of a vertebral column (Cv) includes a guide pin (8) which is provided from a guide pin kit and has at one of its ends a curved profile (8a) of which the radius of curvature R is less than 20 millimeters, and a sharpened tip (8b) arranged in a direction defined by an angle Y which is less than 90 degrees to the longitudinal axis of said pin, the profile of said guide pin (8) making it possible to define, after insertion thereof into the body of the vertebra (3), two contact points a and b ensuring the guidance of the free end of an articulated drill bit (10) so as to position said free end in a direction substantially perpendicular to that of the cortical plateau (4) of the vertebra (3) to be drilled.

摘要翻译： 用于经由预先固定在椎骨（3）的主体中的直插管（6）形成具有弯曲轮廓（2b）的骨通道（2）的钻孔装置，其具有脊柱段（Sr）的皮质平台（4） 脊柱（Cv）包括从引导套件提供的引导销（8），并且在其一个端部具有曲率半径R小于20毫米的弯曲轮廓（8a），并且 所述尖头（8b）沿着与所述销的纵向轴线小于90度的角度Y限定的方向布置，所述导销（8）的轮廓使得在将其插入到所述销的主体中之后， 所述椎骨（3），两个接触点a和b确保铰接式钻头（10）的自由端的引导，以便将所述自由端沿基本垂直于所述自由端的皮质平台（4）的方向 椎骨（3）待钻。

公开(公告)号：US09295495B2

公开(公告)日：2016-03-29

申请号：US12391519

申请日：2009-02-24

申请人： Alain Tornier ,  Jean-Paul Steib ,  Christian Mazel

发明人： Alain Tornier ,  Jean-Paul Steib ,  Christian Mazel

IPC分类号： A61B17/70 ,  A61F2/44

CPC分类号： A61B17/7041 ,  A61B17/7011 ,  A61B17/702 ,  A61B17/7023 ,  A61B17/7025 ,  A61B17/7032 ,  A61B17/7035 ,  A61B17/7043 ,  A61B17/7064 ,  A61F2/4405

摘要： There is provided a posterior lumbar joint prosthesis which includes prosthetic elements reproducing the movements of the joint facets and vertebral anchors which adapt to the variations in the anatomy of vertebra. In use, the prosthesis has lower and upper connectors on each side of the lumbar vertebra. The lower connectors are coupled with, and pivotably mounted onto, respective lower pedicular screws, and a member defining a member axis links lower and upper connectors on each side of the lumbar vertebra. Upon lateral flexion of one of the upper and lower vertebrae relative to the other, each lower connector is capable of multiaxis pivotable movement relative to the respective lower pedicular screws such that each member is capable to pivot with respect to (i) the axis of the lower screw, (ii) a first axis intersecting the lower screw and the lower connector, and/or (iii) an axis intersecting the above first axis and the lower screw, while the member can also move along the member axis.

摘要翻译： 提供了一种后腰椎关节假体，其包括再现适应椎骨解剖结构变化的关节面和椎骨锚的运动的假肢元件。 在使用中，假体在腰椎的每一侧具有下连接器和上连接器。 下连接器联接并可枢转地安装在相应的下椎弓根螺钉上，并且限定构件轴线的构件链接在腰椎的每一侧上的下连接器和上连接器。 在上下椎骨中的一个相对于另一个的侧向弯曲时，每个下连接器能够相对于相应的下椎弓根螺钉多轴可枢转运动，使得每个构件能够相对于（i）的轴线枢转 下螺钉，（ii）与下螺钉和下连接器相交的第一轴，和/或（iii）与上述第一轴和下螺钉相交的轴，同时该构件也可沿构件轴移动。

公开(公告)号：US08932361B2

公开(公告)日：2015-01-13

申请号：US12489092

申请日：2009-06-22

申请人： Alain Tornier ,  Delphine Henry

发明人： Alain Tornier ,  Delphine Henry

IPC分类号： A61F2/40 ,  A61F2/30 ,  A61B19/00 ,  A61F2/46 ,  G06T17/05 ,  G06T17/30

CPC分类号： A61F2/4612 ,  A61B34/20 ,  A61B90/36 ,  A61B2034/2068 ,  A61F2/30942 ,  A61F2/4081 ,  A61F2/4657 ,  A61F2002/30884 ,  A61F2002/30943 ,  A61F2002/30952 ,  A61F2002/4632 ,  A61F2002/4633 ,  A61F2002/4658 ,  G06T17/05 ,  G06T17/30 ,  G06T2210/41

摘要： An apparatus and modeling method of the present invention includes the successive steps of generating cartographic data representative of points belonging to a glenoid surface; distinguishing from among the cartographic data a first group of cartographic data corresponding to a first part of the glenoid surface, the first surface part being situated farthest down in the vertical direction in relation to the scapula; calculating from the first group of cartographic data a first ellipsoid portion that coincides substantially with the first surface part; and obtaining a theoretical glenoid surface from the first ellipsoid portion. By virtue of the theoretical glenoid surface obtained by this method, it is possible to assist the surgeon in optimizing the position of implantation of a glenoid component and to produce a glenoid component “made to measure” for the scapula that is to be fitted with a prosthesis.

摘要翻译： 本发明的装置和建模方法包括产生代表属于关节盂表面的点的制图数据的连续步骤; 与制图数据区分对应于关节盂表面的第一部分的第一组制图数据，第一表面部分相对于肩胛骨在垂直方向上最远位置; 从所述第一组地图数据计算与所述第一表面部分大致重合的第一椭圆体部分; 并从第一椭圆体部分获得理论关节圈表面。 由于通过该方法获得的理论关节盂表面，可以帮助外科医生优化关节盂部件的植入位置，并且产生将被安装在肩胛骨上的肩胛骨“被测量”的关节盂部件 假体

公开(公告)号：US08317835B2

公开(公告)日：2012-11-27

申请号：US12645074

申请日：2009-12-22

申请人： Alain Tornier

发明人： Alain Tornier

IPC分类号： A61B17/70

CPC分类号： A61B17/7032

摘要： The hinge mounting system according to the present invention is constituted of a link connector (10) comprising, on either side of a U-shaped opening (8), a first and a second vertical branch (11, 12) respectively cooperating through axes of rotation (13, 14) with a clamping element (15) enabling the linking rod (4) to be immobilized in translation and in rotation after it has been pivoted and locked above the opening (8) by a lock (16) elastically loaded by a leaf spring (29).

摘要翻译： 根据本发明的铰链安装系统由连接连接器（10）构成，连杆连接器（10）包括在U形开口（8）的任一侧上的第一和第二垂直分支（11,12） 具有夹紧元件（15）的旋转（13,14），其能够使连接杆（4）在通过由弹性加载的锁（16）枢转并锁定在开口（8）上方之后被平移和旋转而被固定 板簧（29）。

公开(公告)号：US08282685B2

公开(公告)日：2012-10-09

申请号：US11401414

申请日：2006-04-11

申请人： Olivier Rochetin ,  Yves-Alain Ratron ,  Alain Tornier

发明人： Olivier Rochetin ,  Yves-Alain Ratron ,  Alain Tornier

IPC分类号： A61F2/38

CPC分类号： A61F2/461 ,  A61B17/158 ,  A61B34/10 ,  A61B34/20 ,  A61B90/36 ,  A61B90/37 ,  A61B2017/564 ,  A61B2034/102 ,  A61B2034/108 ,  A61B2034/2055 ,  A61B2090/3945 ,  A61B2090/3983 ,  A61F2/38 ,  A61F2/3877 ,  A61F2/4657 ,  A61F2002/4632

摘要： This surgical apparatus comprises, on the one hand, means for spatial marking-out of the kneecap and femur of a patient to be operated on, and, on the other hand, means for simultaneous and relative representation of this kneecap provided virtually with a patellar implant of the prosthesis, and of this femur provided virtually with a femoral implant of the prosthesis, in a sagittal plane passing both through the kneecap and through the trochlea of the aforementioned femoral implant. Using this apparatus, the surgeon can easily and quickly check the antero-posterior size of the prosthesis in order to reduce the risks of subsequent dislocations of the kneecap fitted with the prosthesis.

摘要翻译： 该手术装置一方面包括用于空间标记出要操作的患者的膝盖骨和股骨的装置，另一方面，用于同时且相对地表示该膝盖骨的装置，其实际上提供了髌骨 假体的植入物和该股骨实质上提供了假体的股骨植入物，在通过膝盖骨和通过上述股骨植入物的滑车的矢状平面中。 使用该装置，外科医生可以容易且快速地检查假体的前后尺寸，以便减少随后装配假体的膝盖骨的随后脱位的风险。

公开(公告)号：US08048114B2

公开(公告)日：2011-11-01

申请号：US12155115

申请日：2008-05-29

申请人： Alain Tornier

发明人： Alain Tornier

IPC分类号： A61B17/70

CPC分类号： A61B17/7059 ,  A61B17/8004 ,  A61B17/808

摘要： A guidance device including two vertebral units adapted to be fixed to the posterior side of two adjacent vertebrae of the spine and wherein the two units have substantially spherical complementary articulation surfaces which, when the units are fixed to the vertebrae, extend overall on the posterior side of the vertebrae and slide against one another about a center point located in the intervertebral space that separates the vertebrae, and wherein the device also includes a mechanical element to limit an amplitude of the relative sliding of the articulation surfaces.

摘要翻译： 一种引导装置，包括两个脊椎单元，其适于固定到脊柱的两个相邻椎骨的后侧，并且其中两个单元具有基本上球形的互补关节表面，当该单元固定到椎骨时，其总体上在后侧 并相对于位于分离椎骨的椎间空间中的中心点彼此相对滑动，并且其中该装置还包括限制关节表面的相对滑动幅度的机械元件。

公开(公告)号：USRE42805E1

公开(公告)日：2011-10-04

申请号：US11801429

申请日：2007-05-09

申请人： Alain Tornier ,  Shawn O'Driscoll ,  Graham King ,  Ken Yamaguchi ,  Yves Alain Ratron ,  Bruno Scialom

发明人： Alain Tornier ,  Shawn O'Driscoll ,  Graham King ,  Ken Yamaguchi ,  Yves Alain Ratron ,  Bruno Scialom

IPC分类号： A61F2/38

CPC分类号： A61F2/3804

摘要： A humeral component, forming a first articulating surface, and an ulnar component forming a second articulating surface adapted to be disposed around a part of the first articulating surface and to pivot about its longitudinal axis. This ulnar component is provided with structure for mounting a locking element which forms a third articulating surface extending the second and adapted likewise to be disposed around a part of the first surface. These mounting structure comprise guiding structures adapted to cooperate with complementary structure provided on the locking element in order to guide this element in translation with respect to the ulnar component, up to a position where blocking structure provided respectively on the locking element and on the ulnar component may be employed to immobilize this element on this component, these blocking structure being able to be employed only in this position.

摘要翻译： 形成第一铰接表面的肱骨部件和形成第二铰接表面的尺骨部件，其适于围绕第一关节表面的一部分设置并围绕其纵向轴线枢转。 这种尺骨部件设置有用于安装锁定元件的结构，所述锁定元件形成延伸第二铰接表面的第三铰接表面，并且类似地被设置在第一表面的一部分周围。 这些安装结构包括适于与提供在锁定元件上的互补结构配合的引导结构，以便引导该元件相对于尺骨部件平移，直到分别设置在锁定元件和尺骨部件上的阻挡结构 可以将该元件固定在该组分上，这些阻挡结构仅能够在该位置上使用。

公开(公告)号：US07922728B2

公开(公告)日：2011-04-12

申请号：US10189378

申请日：2002-07-08

申请人： Alain Tornier ,  Shawn O'Driscoll ,  Graham King ,  Ken Yamaguchi ,  Yves Alain Ratron ,  Bruno Scialom

发明人： Alain Tornier ,  Shawn O'Driscoll ,  Graham King ,  Ken Yamaguchi ,  Yves Alain Ratron ,  Bruno Scialom

IPC分类号： A61F5/00

CPC分类号： A61B17/15 ,  A61B17/1637 ,  A61B17/1739

摘要： An ancillary tool (10) comprising a trial humeral trochlea (202) that is representative of an anatomical humeral trochlea when the trial humeral trochlea is in place with respect to corresponding cubital (SC) and/or radial (SR) articular surfaces and a cut-out guide (30) for cutting an ulna (C) and/or a radius (R), wherein the cut-out guide (30) is adapted to be positioned with respect to the trial humeral trochlea (202). The cut-out guide (30) is also adapted to be positioned with respect to an ulna (C) and/or to a radius (R) equipped with the trial humeral trochlea (202).

摘要翻译： 一种辅助工具（10），其包括试验肱骨滑车（202），其当所述试验肱动脉索相对于相应的肘节（SC）和/或径向（SR）关节表面就位时，其代表解剖肱动脉滑车 用于切割尺骨（C）和/或半径（R）的出口引导件（30），其中所述切口引导件（30）适于相对于所述试验肱骨滑车（202）定位。 切口引导件（30）还适于相对于尺骨（C）和/或配备有试验肱骨滑车（202）的半径（R）定位。

公开(公告)号：US07608075B2

公开(公告)日：2009-10-27

申请号：US11340615

申请日：2006-01-27

申请人： Alain Tornier

发明人： Alain Tornier

IPC分类号： A61B17/56

CPC分类号： A61B17/744 ,  A61B17/72 ,  A61B17/7241

摘要： A humeral nail includes an elongated body, a plurality of interlocking devices and a locking device. The elongated body is at least partially insertable into a medullary canal of a humerus and has a proximal part with a plurality of orifices. The interlocking devices are insertable into the orifices to interlock initially split humeral fragments. The locking device is capable of locking the interlocking devices within the orifices. The locking device is free to move relative to the body between a free passage position in which the locking device enables free passage of the interlocking devices through the orifices, and a locking position in which the locking device locks the interlocking devices in position with respect to the orifices. The locking device has a plurality of openings, each of which has a free passage portion in alignment with a corresponding orifice when the locking device is in the free passage position, and a locking portion in alignment with the corresponding orifice and in engagement with a corresponding interlocking device when the locking device is in the locking position.

摘要翻译： 肱骨钉包括细长主体，多个互锁装置和锁定装置。 细长体至少部分地可插入到肱骨的髓质管中，并具有具有多个孔的近端部分。 互锁装置可以插入孔中以互锁起始分裂的肱骨碎片。 锁定装置能够将联锁装置锁定在孔内。 锁定装置可自由地在自由通道位置之间相对于主体移动，在该自由通道位置中，锁定装置能使互锁装置自由通过孔口，锁定装置锁定装置将互锁装置相对于 孔。 锁定装置具有多个开口，每个开口具有当锁定装置处于自由通过位置时与对应的孔对准的自由通道部分，以及与对应的孔口对准的锁定部分并与相应的孔口相配合 当锁定装置处于锁定位置时，联锁装置。

公开(公告)号：US20080300631A1

公开(公告)日：2008-12-04

申请号：US12155115

申请日：2008-05-29

申请人： Alain Tornier

发明人： Alain Tornier

IPC分类号： A61B17/70

CPC分类号： A61B17/7059 ,  A61B17/8004 ,  A61B17/808

摘要： This guidance device (100) comprises two vertebral units (110, 120) respectively designed to be fixed to the posterior side of two adjacent vertebrae (1, 2) of the spine. In order to guide these vertebrae stably and effectively in order to reproduce an intervertebral articulated joint between them, these teo vertebral units respectively define substantially spherical complementary articulation surfaces (111P, 121A) which, when the units are fixed to the vertebrae, extend overall on the posterior side of the vertebrae and slide against one another, being centered at one and the same geometric point (C) located in the intervertebral space that separates the vertebrae, while mechanical means (130) limit the amplitude of the relative sliding of the articulation surfaces.

摘要翻译： 该引导装置（100）包括分别被设计成固定到脊柱的两个相邻椎骨（1,2）的后侧的两个椎体单元（110,120）。 为了稳定和有效地引导这些椎骨以便再现它们之间的椎间关节关节，这些椎骨单元分别限定基本上球形的互补关节表面（111P，121A），当单元固定到椎骨时，它们总体上延伸 椎骨的后侧并且相对于彼此滑动，位于位于分离椎骨的椎间空间中的同一几何点（C）的中心，而机械装置（130）限制关节的相对滑动的幅度 表面。