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公开(公告)号：US06273892B1
公开(公告)日：2001-08-14
申请号：US09388879
申请日：1999-09-02
IPC分类号： A61B1758
CPC分类号： A61B17/7291 , A61B17/1682 , A61B17/1686 , A61B17/7208 , A61B17/921
摘要： A fracture fixation system is provided for the insertion of a fixation pin into the medullary canal of a fractured metacarpal, metatarsal, or phalangeal bone for stable bone fixation. The system includes one or more pins and an instrument for implanting the pins. According to one embodiment of the invention, the instrument includes a main handle and a pin handle movable relative to the main handle. The main handle includes a distal end, a drill coupled to the distal end, and a longitudinal slot which receives the pin handle. The drill includes a shaft having a distal boring tip and a groove proximal the boring tip for guiding the fixation pin. The pin handle is shaped and sized to slidably move within the longitudinal slot. Each pin preferably includes a curved, distal end. The distal end rests within the groove of the drill shaft. Movement of the pin handle within the slot of the main handle distally relative to the main handle causes the distal end of the pin to move relative to the drill shaft. In use, the main handle of the instrument is manipulated to subcutaneously introduce the drill into the metacarpal, metatarsal, or phalangeal base, and the pin handle is then moved relative to the main handle to introduce a pin into the bone until it extends through the medullary canal on either side of the fracture. Several pins may likewise be inserted to torsionally immobilization of the fracture.
摘要翻译： 提供骨折固定系统用于将固定销插入骨折的掌骨，跖骨或趾骨的髓管中用于稳定的骨固定。 该系统包括一个或多个引脚和用于植入引脚的器械。 根据本发明的一个实施例，仪器包括主手柄和相对于主手柄可移动的销柄。 主手柄包括远端，联接到远端的钻头和容纳销柄的纵向槽。 该钻具包括具有远端钻尖和远近钻尖的槽，用于引导固定销。 销手柄的形状和尺寸可在纵向槽内可滑动地移动。 每个销优选地包括弯曲的远端。 远端位于钻杆轴的槽内。 销把手在主把手的狭槽内相对于主把手向远侧运动导致销的远端相对于钻杆轴移动。 在使用中，操作器械的主把手将皮下将钻头引入掌骨，跖骨或趾骨基部，然后相对于主手柄移动针柄，以将针引入骨中，直到其延伸通过 骨折两侧的髓管。 同样可以插入多个销以扭曲地固定骨折。
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公开(公告)号：US20210128207A1
公开(公告)日：2021-05-06
申请号：US16751378
申请日：2020-01-24
申请人： Jorge L. Orbay , Alexander N. Gil , Brian A. Smith
发明人： Jorge L. Orbay , Alexander N. Gil , Brian A. Smith
IPC分类号： A61B17/80
摘要： Disclosed is a bone compression plate system comprising a substantially elongated first plate having a bone attachment portion and a anchoring portion, the bone attachment portion comprising one or more holes adapted to receive screws for attachment to a bone, the anchoring portion comprising a compression anchor; a substantially elongated second plate having a bone attachment portion and a anchoring portion, the bone attachment portion comprising one or more holes adapted to receive screws for attachment to a bone, the anchoring portion comprising a compression anchor; and a compression screw comprising a male component and a female component, each of the male and female components comprising a head, a shaft, and a tip, the tip of the male component adapted for threaded engagement with the tip of the female component, the head of the male component adapted to engage into, and be retained by the compression anchor in the first plate, and the head of the component adapted to engage into, and be retained by the compression anchor in the second plate.
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公开(公告)号：US10603090B2
公开(公告)日：2020-03-31
申请号：US13604931
申请日：2012-09-06
申请人： Jorge L. Orbay , Thomas H. Norman , Juan Salcedo
发明人： Jorge L. Orbay , Thomas H. Norman , Juan Salcedo
摘要： A plate for fracture fixation, a system and methods are provided including a plurality of individually adjustable heads and various features and accessories to achieve: a.) superior fixation of the plate to osteoporotic diaphyseal bone; b.) improved visualization of the fracture line; c.) intraoperative adjustability to achieve better contact of the plate and the bone; d.) reduced risk of post-surgery tendon rupture; d.) improved fixation of small volar marginal fragments; e.) improved targeting and fixing of particular fractured bone fragments and, f.) reduced surgical operation time.
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公开(公告)号：US20200000602A1
公开(公告)日：2020-01-02
申请号：US16566160
申请日：2019-09-10
摘要： Disclosed is a wrist prosthesis, and methods for implanting same, the prosthesis comprising radial component having two sides, the first side comprising a stem and the second side comprising a concave dish; a carpal component having two sides, the first side comprising a stem, and the second side comprising a ball end, the ball end being connected to the carpal component through a neck, the neck being narrower than the diameter of the ball end; and a lunate component having two sides, the first side comprising a cavity adapted to receive said carpal component's ball end, and the second side comprising a convex surface adapted to engage said radial component's concave dish.
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公开(公告)号：US08992424B2
公开(公告)日：2015-03-31
申请号：US12029232
申请日：2008-02-11
申请人： Jorge L. Orbay , Jorge A. Machado , Thomas H. Norman , Alejandro Espinosa , Randall Chinock , Ronald G. Litke, Jr. , Carlos Valencia
发明人： Jorge L. Orbay , Jorge A. Machado , Thomas H. Norman , Alejandro Espinosa , Randall Chinock , Ronald G. Litke, Jr. , Carlos Valencia
IPC分类号： A61B1/06 , A61B17/32 , A61B1/00 , A61B1/313 , A61B17/02 , A61B17/3201 , A61B17/34 , A61B19/00 , A61B17/00 , A61B17/3211 , A61B17/29
CPC分类号： A61B17/320016 , A61B1/00048 , A61B1/00052 , A61B1/00066 , A61B1/00105 , A61B1/00108 , A61B1/00142 , A61B1/313 , A61B17/0218 , A61B17/320036 , A61B17/3201 , A61B17/3421 , A61B90/37 , A61B2017/00455 , A61B2017/00464 , A61B2017/2927 , A61B2017/32113 , A61B2090/068 , A61B2090/306 , A61B2090/309
摘要： An endo-surgical device, system and method are provided. The endo-surgical device includes a flared prow that limits the displacement and rotation of the cannula to keep the knife away from tissues that are not intended to be cut. The endo-surgical tool can be utilized as part of a system for performing an endo-surgical procedure.
摘要翻译： 提供了一种内窥镜装置，系统和方法。 内窥镜装置包括一个扩张的头盔，其限制套管的位移和旋转，以使刀远离不想切割的组织。 内窥镜工具可以用作用于执行内窥镜手术的系统的一部分。
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公开(公告)号：US08608741B2
公开(公告)日：2013-12-17
申请号：US12874538
申请日：2010-09-02
IPC分类号： A61B17/80
CPC分类号： A61B17/1739 , A61B17/68 , A61B17/8061 , A61F2/3804 , A61F2/4241 , A61F2002/30136 , A61F2002/3822 , A61F2230/0004
摘要： A device is provided including a rotating portion that can be attached to a plate affixed to a first bone forming a joint and a portion that can be affixed to a second bone of the joint. The device is placed internally in order to prevent pin tract problems and to stabilize the joint while allowing motion of the joint along its natural trajectory. Additionally, a method for using the device is provided that includes attaching the rotating portion to a plate attached to a first bone forming a joint, and attaching the fixable portion to a second bone of the joint.
摘要翻译： 提供一种装置，其包括可附接到固定到形成关节的第一骨的板上的旋转部分和能够固定到关节的第二骨的部分。 该装置在内部放置，以防止针道问题，并使接头稳定，同时允许接头沿其自然轨迹运动。 此外，提供了一种使用该装置的方法，其包括将旋转部分附接到附接到形成关节的第一骨的板，以及将可固定部分附接到关节的第二骨。
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公开(公告)号：US08506606B2
公开(公告)日：2013-08-13
申请号：US12534595
申请日：2009-08-03
IPC分类号： A61B17/80
CPC分类号： A61B17/68 , A61B17/1739 , A61B17/1782 , A61B17/8061 , A61B2017/567 , A61F2/30 , A61F2/3804 , A61F2/4241 , A61F2002/30136 , A61F2002/3822 , A61F2002/4243 , A61F2230/0004
摘要： A stabilization device is provided including an axle and a portion that can be affixed to a bone. The device is used to stabilize a joint while allowing motion of the joint along its natural trajectory and it is placed internally in order to prevent pin tract problems. Additionally, methods for using the device are provided that include, in various sequences, inserting the axle into a bone of a joint, adjusting the geometry of the device and attaching the fixable portion to another bone of the joint. The device can be provided as part of a system including an axis trajectory guide useful for locating the axis of rotation of the joint prior to insertion, adjustment and attachment of the device.
摘要翻译： 提供了一种稳定装置，其包括轴和可固定到骨的部分。 该装置用于稳定关节，同时允许关节沿其自然轨迹运动，并将其放置在内部以防止针道问题。 此外，提供了使用装置的方法，其包括以各种顺序将轴插入关节的骨中，调节装置的几何形状并将可固定部分附接到关节的另一骨。 该装置可以作为系统的一部分提供，包括用于在插入，调整和附接装置之前定位关节的旋转轴线的轴线轨迹引导件。
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公开(公告)号：US08388689B2
公开(公告)日：2013-03-05
申请号：US12852035
申请日：2010-08-06
CPC分类号： A61F2/3804 , A61F2/4605 , A61F2/4637 , A61F2002/30649 , A61F2002/3827 , A61F2002/4622 , A61F2002/4687
摘要： A prosthesis is provided for replacing a portion of a bone making up a joint. The prosthesis is adapted, intraoperatively, to optimize the anatomical alignment of the prosthesis in the joint. In particular, a jig is used to identify the axis of rotation of the joint intraoperatively and to align a portion of the prosthesis with the identified axis. The angle of the head of the prosthesis is adjusted to optimize contact with the appropriate corresponding portions of the joint, at which point the position of the head is fixed to prevent further rotation of the head relative to the remainder of the prosthesis.
摘要翻译： 提供了一种假体，用于替代构成关节的骨的一部分。 术中适应假体以优化假体在关节中的解剖学对准。 特别地，夹具用于在手术中识别关节的旋转轴线并使假体的一部分与所识别的轴对准。 调节假体的头部的角度以优化与关节的适当对应部分的接触，此时头部的位置被固定以防止头部相对于假体的其余部分进一步旋转。
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公开(公告)号：US20120209333A1
公开(公告)日：2012-08-16
申请号：US13366886
申请日：2012-02-06
申请人： Jorge L. Orbay , Thomas H. Norman , Juan Salcedo
发明人： Jorge L. Orbay , Thomas H. Norman , Juan Salcedo
IPC分类号： A61B17/80
CPC分类号： A61B17/8061 , A61B17/8057 , A61B17/8085 , A61B17/863 , A61B17/864
摘要： A plate for fracture fixation is provided including a plurality, of individually adjustable heads and various features to achieve: a.) superior fixation of the plate to osteoporotic diaphyseal bone; b.) improved visualization of the fracture line; c.) intraoperative adjustability to achieve better contact of the plate and the bone; d.) reduced risk of post-surgery tendon rupture; d.) improved fixation of small volar marginal fragments and, e.) improved targeting and fixing of particular fractured bone fragments.
摘要翻译： 提供了一种用于骨折固定的板，其包括多个可单独调整的头部和各种特征，以实现：a）将板材优于骨质疏松性骨干骨的固定; b）改善骨折线的可视化; c。）术中可调节性，以实现板和骨的更好接触; d）降低手术后腱断裂的风险; d。）改善小容量边缘碎片的固定，以及e）改善特定骨折骨碎片的靶向和固定。
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公开(公告)号：US07727264B2
公开(公告)日：2010-06-01
申请号：US10515699
申请日：2003-05-09
IPC分类号： A61B17/80
CPC分类号： A61B17/863 , A61B17/1725 , A61B17/1728 , A61B17/1782 , A61B17/7233 , A61B17/8057 , A61B17/8061
摘要： A fixation system (10) includes a device having a nail portion (12) and a plate portion (14), preferably horizontally and vertically offset relative to the nail portion by a neck portion (16). The nail portion (12) includes preferably threaded screw holes (24, 26), and the plate portion (14) includes longitudinally displaced peg holes (50, 52, 54), each of which is adapted to orient a peg (56, 58, 60) in a different orientation from the others. The system (10) also includes unicortical screws (28) having a reasonably large head (36) adapted to seat against the outer surface of the bone and a threaded shaft (32) adapted to engage in the screw holes (24, 26), and pegs (56, 58, 60) adapted to engage in the peg holes (50, 52, 54). Where threaded screw holes (24, 26) are used, bone is clamped between the nail portion (12) and the head (36) of the unicortical screws (28, 30). The pegs (56, 58, 60) provide stabilization and support for subchondral fragments. Moreover, as the pegs (56, 58, 60) preferably enter the subchondral fragments from a plurality of directions, additional fixation of the device (10) into the bone is provided.
摘要翻译： 固定系统（10）包括具有指甲部分（12）和板部分（14）的装置，优选地通过颈部（16）相对于指甲部分水平和垂直地偏移。 指甲部分（12）优选地包括螺纹螺纹孔（24,26），并且板部分（14）包括纵向移位的栓孔（50,52,54），每个栓孔适于使钉（56,58 ，60）与其他方面不同。 系统（10）还包括单皮质螺钉（28），其具有适于抵靠骨的外表面的相当大的头部（36）和适于接合在螺钉孔（24,26）中的螺纹轴（32） 以及适于接合所述钉孔（50,52,54）的钉（56,58,60）。 在使用螺纹孔（24,26）的情况下，骨骼被夹在指甲部分（12）和单皮质螺钉（28,30）的头部（36）之间。 钉（56,58,60）为软骨下碎片提供稳定和支撑。 此外，当钉（56,58,60）优选地从多个方向进入软骨下碎片时，提供将装置（10）额外固定到骨中。
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