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71.发明授权公开(公告)号：US07771483B2
公开(公告)日：2010-08-10
申请号：US10749346
申请日：2003-12-30
IPC分类号： A61F2/38
CPC分类号： A61B17/157 , A61B17/1659 , A61B17/1675 , A61B17/1735 , A61B17/1764 , A61B17/862 , A61B17/864 , A61B17/8685 , A61B17/8883 , A61B17/8891 , A61F2/30721 , A61F2/30749 , A61F2/3868 , A61F2/389 , A61F2002/30131 , A61F2002/30133 , A61F2002/30136 , A61F2002/30387 , A61F2002/30405 , A61F2002/30433 , A61F2002/30434 , A61F2002/30448 , A61F2002/30449 , A61F2002/30451 , A61F2002/30462 , A61F2002/30494 , A61F2002/30574 , A61F2002/30578 , A61F2002/30604 , A61F2002/30616 , A61F2002/30733 , A61F2002/30774 , A61F2002/30777 , A61F2002/30785 , A61F2002/30787 , A61F2002/30797 , A61F2002/30805 , A61F2002/30808 , A61F2002/30841 , A61F2002/30878 , A61F2002/30891 , A61F2002/30892 , A61F2002/30971 , A61F2002/3895 , A61F2002/4635 , A61F2220/0025 , A61F2220/0041 , A61F2220/005 , A61F2220/0058 , A61F2220/0075 , A61F2230/0004 , A61F2230/0013 , A61F2230/0015 , A61F2310/00023 , A61F2310/00029 , A61F2310/00059 , A61F2310/00179
摘要： A method for mounting a tibial condylar implant includes forming a tunnel having a proximal end on a lateral, medial, or anterior side of a proximal end of the tibia and a distal end on an at least partially resected lateral or medial facet at the proximal end of the tibia. A condylar implant is positioned over the distal end of the tunnel. A fastener is advanced into the tunnel from the proximal end of the tunnel. The fastener which is at least partially disposed within the tunnel is secured to the condylar implant.
摘要翻译： 一种用于安装胫骨髁植入物的方法包括形成在胫骨近端的侧向，内侧或前侧具有近端的隧道，以及在近端的至少部分切除的侧向或内侧小面上的远端 的胫骨。 髁植入物位于隧道的远端上方。 紧固件从隧道的近端进入隧道。 至少部分地设置在隧道内的紧固件固定到髁植入物上。
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72.发明授权Milling system with guide paths and related methods for resecting a joint articulation surface 有权具有导向路径的铣削系统和用于切割关节铰接面的相关方法公开(公告)号：US07727239B2
公开(公告)日：2010-06-01
申请号：US11149912
申请日：2005-06-10
IPC分类号： A61B17/60
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 the 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。
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公开(公告)号：US20100076567A1
公开(公告)日：2010-03-25
申请号：US12567530
申请日：2009-09-25
申请人： Daniel F. Justin , E. Marlowe Goble
发明人： Daniel F. Justin , E. Marlowe Goble
CPC分类号： A61F2/3859 , A61F2002/30616
摘要： A femoral knee prosthesis system for resurfacing a resected articular surface at the distal end of a femur includes a femoral component adapted to mate with the resected articular surface; and an attachment member. The interior surface of the femoral component is configured to connect to the first attachment member when the femoral component is mated on the resected articular surface of the femur and when the first attachment member is passed through the medial side or the lateral side of the resected articular surface. The femoral component is available in one-piece and two-piece systems. Mating femoral components (e.g., tapered or with lips that interlock with grooves) are also disclosed.
摘要翻译： 用于在股骨远端重修表面的股骨膝关节假体系统包括适于与被切除的关节表面配合的股骨部件; 和附件。 股骨部件的内表面构造成当股骨部件配合在股骨的被切除的关节面上时以及当第一附接部件穿过切除的关节的内侧或侧面时，连接到第一附接部件 表面。 股骨组件可用于一体式和两件式系统。 还公开了股骨部件（例如，锥形或与凹槽互锁的唇缘）。
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74.发明授权公开(公告)号：US07578824B2
公开(公告)日：2009-08-25
申请号：US10749332
申请日：2003-12-30
IPC分类号： A61B17/60
CPC分类号： A61B17/1675 , A61B17/1659 , A61B17/1764
摘要： A guide assembly for forming a tunnel through a proximal end of a tibia includes a brace having a first end and an opposing second end. A template is mounted on the first end of the brace. The template is adapted to rest on a lateral or medial facet at a proximal end of the tibia. A tubular guide sleeve has a proximal end and an opposing distal end. The tubular guide sleeve is adjustably mounted on the second end of the brace such that when the template is disposed on the lateral or medial facet of the tibia, the distal end of the tubular guide sleeve can be selectively biased against a lateral, medial, or anterior side of a proximal end of the tibia.
摘要翻译： 用于形成穿过胫骨的近端的隧道的引导组件包括具有第一端和相对的第二端的支架。 模板安装在支架的第一端。 模板适于搁置在胫骨近端的侧向或内侧。 管状引导套筒具有近端和相对的远端。 管状引导套筒可调节地安装在支架的第二端上，使得当模板设置在胫骨的侧面或内侧面上时，管状引导套筒的远端可以选择性地偏压抵抗侧向内侧或内侧 胫骨近端的前侧。
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公开(公告)号：US20090171357A1
公开(公告)日：2009-07-02
申请号：US12341326
申请日：2008-12-22
CPC分类号： A61B17/82
摘要： A bone fixation assembly which may include a bone fixation element, a collet and a flexible line. The bone fixation element may comprise a first and second passageway and at least the first passageway is configured to receive the collet. The flexible line passes through both passageways and is secured through the second passageway. The collet may be advanced into the first passageway causing the collet to circumferentially engage the flexible line fixing it in place. Instrumentation for securing the collet includes a collet driver, a counter torque instrument and a tensioner.
摘要翻译： 骨固定组件，其可以包括骨固定元件，夹头和柔性线。 骨固定元件可以包括第一和第二通道，并且至少第一通道被配置为容纳夹头。 柔性线穿过两条通道，并通过第二条通道固定。 夹头可以推进到第一通道中，使得夹头周向地接合将其固定在适当位置的柔性线。 用于固定夹头的仪器包括夹头驱动器，反扭矩仪器和张紧器。
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公开(公告)号：US5702397A
公开(公告)日：1997-12-30
申请号：US603119
申请日：1996-02-20
CPC分类号： A61B17/0401 , A61F2/0811 , A61B17/0487 , A61B2017/0424 , A61B2017/0425 , A61B2017/0438 , A61B2017/0445 , A61B2017/045 , A61B2017/0451 , A61B2017/0453 , A61B2017/0454 , A61F2/0805 , A61F2002/0829 , A61F2002/0864 , A61F2002/0882
摘要： A bone anchor and method for its use in an arthroscopic and open soft tissue surgical procedure to mount a ligament graft, or the like, under tension and at variable lengths in a tunnel section that is formed through a bone or bones. The bone anchor embodiments of the invention each have a body for mounting into and/or adjacent a bone cortex surface in a tunnel section to allow at least one suture or shaft that has been fitted through the bone anchor, and is attached to the ligament graft to be pulled through the bone anchor. The suture or shaft to pass across a movable clamp fitted within the body to move so as to allow the suture or shaft to be pulled freely through the bone anchor distal, but will clamp against the suture or shaft, prohibiting its being pulled back therethrough. A pulling of the suture or shaft through the seated bone anchor applies a tension and sets a required length to a graft whose opposite end is secured, with the clamp locking against a section of that suture or shaft, to maintain that applied tension. Whereafter, the excess suture or shaft can be cut away, permanently mounting the graft.
摘要翻译： 一种用于关节镜和开放性软组织外科手术中的骨锚和方法，用于在通过骨或骨形成的隧道部分中以张力和可变长度安装韧带移植物等。 本发明的骨锚实施例各自具有用于安装在隧道部分中的骨皮质表面中和/或邻近骨骼表面的主体，以允许至少一个已经穿过骨锚固件并且被附接到韧带移植物的缝合线或轴 被拉过骨锚。 缝合线或轴穿过安装在体内的可移动夹具以移动以允许缝合线或轴自由地穿过骨锚固件远离，但是将夹紧在缝合线或轴上，从而阻止其被拉回。 通过坐着的骨锚将牵引的缝合线或轴施加张力，并将所需的长度设置到相对端固定的移植物上，同时夹具锁定在该缝合线或轴的一部分上，以保持施加的张力。 之后，可以切除多余的缝合线或轴，永久性地安装移植物。
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公开(公告)号：US5688284A
公开(公告)日：1997-11-18
申请号：US717012
申请日：1996-09-20
申请人： Alan Chervitz , E. Marlowe Goble
发明人： Alan Chervitz , E. Marlowe Goble
IPC分类号： A61B17/17
CPC分类号： A61B17/1714 , A61B17/1764
摘要： A variable angle drill guide and method for its use for securing an end of a ligament graft in a tunnel section of a straight tunnel section that has been formed into a patient's knee in a procedure for replacing a cruciate ligament. The drill guide includes a straight reference rod that is for fitting to slide through a straight hole formed in a slide block and includes a crossing straight hole that is for receiving, fitted therethrough, a straight base leg rod that is bent from one end into a straight drill guide mounting leg, the mount leg, in turn, to mount an arcuate shaped slide track along its top end. The slide track is curved to approximately one hundred twenty (120) degrees of arc and is arranged to maintain a drill guide slide traveling therealong that includes a drill guide barrel that is fitted to slide therethrough. By adjusting and locking positioning of the reference rod and base leg rod fitted through the slide block, the drill guide barrel will point at a target depression formed in the reference rod, whereby a drill turned through the drill guide barrel will form a passage from any point on the frontal cortex of the distal femur or proximal tibia to the target depression, formed in the reference rod. This formed passage will be at an angle to the tunnel section that is greater or lesser than a right angle and, upon removal of the reference rod and installation of a ligament graft in the straight tunnel, the formed passage can receive a screw turned therein to contact the ligament graft end, for mounting it in the tunnel section.
摘要翻译： 一种可变角度钻子引导器及其用于将韧带移植物的端部固定在直肠隧道部分的隧道部分中的方法，所述隧道部分已经在用于替换十字韧带的过程中形成为患者膝盖。 钻头引导件包括一个直的参考杆，用于装配以滑动形成在滑动块中的直孔，并包括一个交叉直孔，用于接纳穿过其中的一个直的底座，该杆从一端弯曲成 直钻头导向器安装腿，安装支脚依次沿其顶端安装弓形滑轨。 滑轨弯曲到大约一百二十（120）度的弧度，并且被布置成保持一个在其上行进的钻导引滑块，其包括装配成通过其滑动的钻子引导筒。 通过调节和锁定通过滑动块安装的参考杆和底座杆的定位，钻子引导筒将指向形成在参考杆中的目标凹陷，由此钻头引导筒的钻头将形成从任何 指向远端股骨或近端胫骨的额叶皮质到目标凹陷，形成在参考杆中。 该形成的通道将与隧道部分成直角，该角度大于或小于直角，并且在移除参考杆并将韧带移植物安装在直通道中时，所形成的通道可接收转入其中的螺钉 接触韧带移植端，将其安装在隧道部分。
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公开(公告)号：US5643320A
公开(公告)日：1997-07-01
申请号：US403070
申请日：1995-03-13
申请人： Jerry L. Lower , E. Marlowe Goble
发明人： Jerry L. Lower , E. Marlowe Goble
CPC分类号： A61F2/0811 , A61B17/0401 , A61B17/1615 , A61B2017/0409 , A61B2017/0414 , A61B2017/044 , A61B2017/0458 , A61F2/0805 , A61F2002/0829 , A61F2002/0858 , A61F2002/0888 , Y10S606/916
摘要： A preassembled disposable driver and suture anchor are provided for threaded engagement into a bone to provide an attachment point for soft tissue. The anchor is formed to have an externally threaded body portion for engaging the bone, a distal end portion, and a proximal end portion. When the anchor is threaded into an opening in a bone, the distal end portion is adjacent a bottom of the opening and the proximal end portion is adjacent a mouth of the opening. A suture is attached to said anchor having free ends extending outwardly from the bone opening. The driver is elongated and has a distal end which engages the proximal end of the anchor and a proximal end for gripping by the surgeon. The driver also has a slot for receiving the suture which extends away from the anchor. The distal end portion of the driver is radially enlarged relative to the body portion of the anchor to engage the bone surrounding the mouth of the opening to limit the internal advancement of the driver such that further rotation and threading of the anchor into the bone by the driver will separate the anchor from the driver.
摘要翻译： 提供预组装的一次性驱动器和缝合锚固件用于螺纹接合到骨中以提供软组织的附接点。 锚固件形成为具有用于接合骨的外螺纹主体部分，远端部分和近端部分。 当锚固件被拧入骨中的开口中时，远端部分邻近开口的底部并且近端部分邻近开口的口。 缝合线附接到所述锚固件，其具有从骨开口向外延伸的自由端。 驾驶员是细长的并且具有接合锚固件的近端的远端和用于由外科医生抓握的近端。 驾驶员还具有用于接收远离锚的缝合线的槽。 驱动器的远端部分相对于锚固体的主体部分径向扩大，以接合围绕开口的口部的骨骼，以限制驾驶员的内部进给，从而锚固体进一步转动和穿过骨骼 驾驶员会将该锚与司机分开。
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公开(公告)号：US5562671A
公开(公告)日：1996-10-08
申请号：US312104
申请日：1994-09-26
申请人： E. Marlowe Goble , Jerry L. Lower
发明人： E. Marlowe Goble , Jerry L. Lower
CPC分类号： A61F2/0811 , A61B17/86 , A61F2/38 , A61F2002/0829 , A61F2002/087 , A61F2002/0882
摘要： A method is provided for installing a femoral bone plug in a femoral tunnel formed in a femur. The method includes the steps of inserting the femoral bone plug into the femoral tunnel, and installing a transverse pin through the femur generally perpendicular to a longitudinal axis of the femoral tunnel and intersecting the femoral tunnel. The transverse pin engages the femoral bone plug to force the femoral bone plug against a wall of the femoral tunnel to secure the femoral bone plug inside the femoral tunnel and to promote healing and bonding of the femoral bone plug to the femur.
摘要翻译： 提供了一种在股骨中形成的股骨隧道中安装股骨骨栓的方法。 该方法包括以下步骤：将股骨骨栓插入股骨隧道，并且通过股骨大体上垂直于股骨隧道的纵向轴线安装横向销，并与股骨隧道相交。 横向销接合股骨骨头，以将股骨骨头塞压在股骨隧道的壁上，以将股骨骨栓固定在股骨隧道内，并促进股骨骨头与股骨的愈合和结合。
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公开(公告)号：USD374286S
公开(公告)日：1996-10-01
申请号：US47773
申请日：1995-12-12
申请人： E. Marlowe Goble , David P. Luman , S. Kyle Hayes
设计人： E. Marlowe Goble , David P. Luman , S. Kyle Hayes
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