公开(公告)号：US20150182292A1

公开(公告)日：2015-07-02

申请号：US14409819

申请日：2013-06-20

Applicant: Intellijoint Surgical Inc.

Inventor： Andre Novomir Hladio ,  Richard Tyler Fanson ,  Armen Garo Bakirtzian

IPC: A61B19/00 ,  A61B17/17

CPC classification number: A61B90/06 ,  A61B5/1114 ,  A61B5/4836 ,  A61B5/6878 ,  A61B17/1742 ,  A61B17/1746 ,  A61B17/175 ,  A61B34/20 ,  A61B34/25 ,  A61B90/37 ,  A61B90/96 ,  A61B2017/568 ,  A61B2034/108 ,  A61B2034/2055

Abstract: Provided are methods and systems related to computer-assisted joint replacement surgery, and corresponding instrumentation systems. In one example, there is provided a system for guided surgery comprising: a sensor for coupling to a first bone to receive positional signals; a beacon for coupling to an object to provide the positional signals to the sensor, the object comprising one of a second bone and a surgical tool; a patient-specific jig (PSJ) for guiding a relative position of the sensor and the first bone during coupling to position the sensor in a predetermined pose in an anatomical coordinate frame; and an intra-operative computing unit in communication with the sensor, the intra-operative computing unit configured to calculate poses of the beacon with respect to the anatomical coordinate frame utilizing pre-operative data representing the PSJ and display positional information for the object in real time.

Abstract translation: 提供与计算机辅助关节置换手术相关的方法和系统，以及相应的仪器系统。 在一个示例中，提供了一种用于引导手术的系统，包括：用于耦合到第一骨骼以接收位置信号的传感器; 用于耦合到物体以向所述传感器提供位置信号的信标，所述物体包括第二骨骼和手术工具中的一个; 用于在耦合期间引导所述传感器和所述第一骨骼的相对位置的患者特定夹具（PSJ），以将所述传感器定位在解剖坐标系中的预定姿态; 以及与传感器通信的手术内计算单元，所述手术室内计算单元被配置为使用表示所述PSJ的术前数据和实际显示所述对象的位置信息来计算所述信标相对于所述解剖坐标系的姿态 时间。

公开(公告)号：US20150157341A1

公开(公告)日：2015-06-11

申请号：US14621721

申请日：2015-02-13

Applicant: Biomet Manufacturing, LLC

Inventor： Joshua B. Catanzarite ,  Thomas J. Mauch

IPC: A61B17/17

CPC classification number: A61B17/1764 ,  A61B17/157 ,  A61B2017/568 ,  A61F2002/3895

Abstract: A patient-specific unicompartmental tibial guide has a patient-specific body with an inner surface. The inner surface is preoperatively configured to nestingly conform and mate in only one position with an anterior portion and a proximal portion of a tibial bone of a specific patient. The tibial guide includes a vertical resection channel having a variable width preoperatively configured for guiding a vertical resection through the proximal portion of the tibial bone.

Abstract translation: 患者特定的单室胫骨导向器具有具有内表面的患者特异体。 内表面在术前被配置为仅在一个位置上与特定患者的胫骨的前部和近端部分嵌合并配合。 胫骨引导件包括具有可变宽度的垂直切除通道，其在术前被配置为用于引导垂直切除通过胫骨的近端部分。

公开(公告)号：US20150142000A1

公开(公告)日：2015-05-21

申请号：US14397088

申请日：2013-04-24

Applicant: Xiros Limited

Inventor： Bahaa Seedhom ,  Derrick White ,  John Tresnan ,  Alexander John Hogg

IPC: A61B17/17 ,  A61F2/38 ,  A61B19/00 ,  A61F2/46

CPC classification number: A61B17/1703 ,  A61B17/15 ,  A61B17/155 ,  A61B17/17 ,  A61B17/1764 ,  A61B34/10 ,  A61B90/37 ,  A61B2017/00482 ,  A61B2017/00526 ,  A61B2017/568 ,  A61B2034/108 ,  A61B2090/035 ,  A61B2090/037 ,  A61B2090/374 ,  A61B2090/3762 ,  A61F2/38 ,  A61F2/4644 ,  A61F2002/4645 ,  A61F2002/4687 ,  F04C2270/0421

Abstract: A surgical template system for use in working on a bone comprises: a tool guiding portion comprising a guide aperture for receiving and guiding a tool to work on the bone; and locating means for locating the tool guiding portion at a predetermined position with respect to the bone such that the guide aperture has a fixed orientation with respect to the bone. The locating means comprises: a locating member having a first locating surface, the first locating surface being adapted to conform to either a predetermined surface of cartilage covering a predetermined articular surface of the bone or a predicted surface of cartilage covering, or assumed to be covering, the predetermined articular surface of the bone; and an adapter member having a second locating surface and being adapted to attach to the locating member in an operative position in which the second locating surface is adapted to engage the predetermined articular surface of the bone if the cartilage is removed or not present.

Abstract translation: 用于在骨骼上工作的手术模板系统包括：工具引导部分，其包括用于接收和引导工具在骨上工作的引导孔; 以及用于将工具引导部分相对于骨定位在预定位置的定位装置，使得引导孔相对于骨具有固定的取向。 所述定位装置包括：具有第一定位表面的定位构件，所述第一定位表面适于与覆盖所述骨的预定关节表面的软骨的预定表面或软骨覆盖物的预测表面或假设为覆盖 ，骨的预定关节表面; 以及具有第二定位表面并且适于在定位构件附接到操作位置的适配器构件，其中如果软骨被移除或不存在，则第二定位表面适于接合骨的预定关节表面。

公开(公告)号：US09017334B2

公开(公告)日：2015-04-28

申请号：US12710898

申请日：2010-02-23

Applicant: Michael Carroll ,  Richard Obert ,  Paul Stemniski

Inventor： Michael Carroll ,  Richard Obert ,  Paul Stemniski

IPC: A61F2/46 ,  A61B17/15 ,  A61B17/00 ,  A61B17/56

CPC classification number: A61B17/151 ,  A61B17/154 ,  A61B17/155 ,  A61B17/157 ,  A61B34/10 ,  A61B2017/0023 ,  A61B2017/00526 ,  A61B2017/568 ,  A61B2034/104 ,  A61B2034/108 ,  B29C64/386 ,  B33Y50/02 ,  B33Y70/00 ,  B33Y80/00 ,  G05B15/02 ,  G06F17/50 ,  Y10T29/49 ,  Y10T29/49863

Abstract: A resection guide locator includes a bone engagement portion with surfaces that are complementary to the surface topographies of a bone to be resected during surgery. A housing includes a socket defined by a resilient annular wall that is sized and arranged so to accept a resection guide by press-fit to thereby position and hold the resection guide within the socket. The resection guide is maintained in a predetermined, preferred position while the surfaces are releasably locked in position on the bone. A method is disclosed for forming and using the resection guide locator.

Abstract translation: 切除引导定位器包括具有与在手术期间被切除的骨的表面形貌互补的表面的骨接合部分。 壳体包括由弹性环形壁限定的插座，其尺寸和布置成通过压配合接受切除引导件，从而将切除引导件定位并保持在插座内。 切除引导件保持在预定的优选位置，同时表面可释放地锁定在骨骼上的适当位置。 公开了用于形成和使用切除引导定位器的方法。

公开(公告)号：US20150112350A1

公开(公告)日：2015-04-23

申请号：US14531825

申请日：2014-11-03

Applicant: Xiros Limited

Inventor： Derrick White ,  Bahaa Seedhom ,  Kenneth Langat Chelule

IPC: A61B17/17

CPC classification number: A61B17/1764 ,  A61B17/154 ,  A61B17/155 ,  A61B17/157 ,  A61B17/17 ,  A61B17/1703 ,  A61B17/56 ,  A61B90/94 ,  A61B2017/00526 ,  A61B2017/568 ,  A61F2/28 ,  A61F2/461 ,  B33Y80/00 ,  Y10T29/49826

Abstract: A surgical template system for use in working on a bone comprises: a tool guide block comprising at least one guide aperture for receiving and guiding a tool to work on a bone; locating means comprising a plurality of locating members, each member having a respective end surface for positioning against a surface of the bone; and attachment means for non-adjustably attaching the tool guide block to the locating means such that, when attached, the member end surfaces are secured in fixed position with, respect to each other, for engaging different respective portions of the surface of the bone, and the at least one guide aperture is secured in a fixed position with respect to the end surfaces. Corresponding methods of manufacturing a surgical template system, methods of manufacturing locating means for a surgical template system, methods of fitting a prosthesis to a bone, surgical methods, and surgical apparatus are described.

Abstract translation: 用于在骨骼上工作的手术模板系统包括：工具引导块，其包括用于接收和引导工具在骨上工作的至少一个引导孔; 定位装置包括多个定位构件，每个构件具有用于抵靠骨表面定位的相应端表面; 以及用于将工具引导块不可调节地附接到定位装置的附接装置，使得当附接时，构件端面相对于彼此固定在固定位置，用于接合骨的表面的不同部分， 并且所述至少一个引导孔相对于所述端面固定在固定位置。 描述了制造手术模板系统的相应方法，制造用于外科手术模板系统的定位装置的方法，将假体装配到骨骼上的方法，手术方法和手术装置。

公开(公告)号：US20150112348A1

公开(公告)日：2015-04-23

申请号：US14518224

申请日：2014-10-20

Applicant: Biomet Manufacturing, LLC

Inventor： Ryan J. Schoenefeld ,  Kirk J. Bailey

IPC: A61B17/15 ,  A61B17/17

CPC classification number: A61B17/155 ,  A61B17/1746 ,  A61B2017/568

Abstract: A guide for an implant site in bone. The guide includes a bone mating surface configured to engage a prepared bone surface at the implant site to position the guide at a predetermined orientation, and a patient-specific surface configured to engage a predetermined portion of a specific patient's natural anatomy to position the guide at the predetermined orientation.

Abstract translation: 骨植入位置的指南。 所述引导件包括骨配合表面，所述骨匹配表面构造成在所述植入位置处接合准备好的骨表面以将所述引导件定位在预定取向处;以及患者特异性表面，其被配置为接合特定患者的自然解剖结构的预定部分以将所述引导件定位在 预定方位。

公开(公告)号：US09011456B2

公开(公告)日：2015-04-21

申请号：US13587664

申请日：2012-08-16

Applicant: Chitranjan S. Ranawat ,  Joseph D. Lipman ,  Morteza Meftah ,  David Mayman

Inventor： Chitranjan S. Ranawat ,  Joseph D. Lipman ,  Morteza Meftah ,  David Mayman

IPC: A61B17/58 ,  A61B17/60 ,  A61F2/00 ,  A61F2/46 ,  A61F2/30

CPC classification number: A61B17/1746 ,  A61B17/1666 ,  A61B34/10 ,  A61B2017/568 ,  A61B2090/3983 ,  A61F2/30942 ,  A61F2/4609 ,  A61F2002/30948 ,  A61F2002/30952 ,  A61F2002/4687 ,  B33Y80/00 ,  G06F19/00 ,  G16H50/50

Abstract: A patient-specific acetabular guide for use in orienting an acetabular component with respect to an acetabulum of a patient as part of a surgical procedure includes a body having a bottom contact surface that has a portion that is shaped and configured to initimately receive and interlockingly mate with an acetabular notch of the patient's acetabulum in accordance with a three-dimensional image of the acetabulum of the specific patient. The three-dimensional image can be in the form of a three-dimensional virtual model of the patient's acetabulum that is constructed at least in part on 3D image data of the pelvic region of the patient.

Abstract translation: 作为手术过程的一部分，用于将髋臼部件相对于患者的髋臼定向的患者特异性髋臼导向件包括具有底部接触表面的主体，该主体部分具有成形并构造成主要接收并互相配合的部分 根据特定患者的髋臼的三维图像，具有患者髋臼的髋臼槽。 三维图像可以是患者髋臼的三维虚拟模型的形式，其至少部分地构造在患者的骨盆区域的3D图像数据上。

公开(公告)号：US08998916B2

公开(公告)日：2015-04-07

申请号：US13098548

申请日：2011-05-02

Applicant: Robert J. Daley

Inventor： Robert J. Daley

IPC: A61B17/58 ,  A61B17/60 ,  A61F2/00 ,  A61B17/17 ,  A61B17/56 ,  A61B19/00

CPC classification number: A61B17/1742 ,  A61B17/15 ,  A61B17/175 ,  A61B2017/568 ,  A61B2034/108

Abstract: New apparatuses and methods for their design and use are disclosed that can be used to assist a surgeon in placing a guide pin during hip surgery. Specifically, a hip surgery method is disclosed in which an image of a patient's femur can be obtained and used to design and prepare a mold that contains an aperture for guiding a drill at the desired location and angle. During surgery the mold can be quickly and accurately positioned on the exposed femur head. Then, a drill bit can be inserted through the aperture and an opening for a pin can be drilled into the femur head. The mold can have a unique contoured surface adapted to fit to the femur head in a single unique position such that the opening is made in a unique desired position. The apparatuses and methods facilitate faster, more accurate surgery and are less invasive.

Abstract translation: 公开了用于其设计和使用的新装置和方法，其可用于帮助外科医生在髋关节手术期间放置引导销。 具体地，公开了一种髋关节手术方法，其中可以获得患者股骨的图像并用于设计和制备包含用于在期望的位置和角度引导钻孔的孔的模具。 在手术过程中，模具可以快速准确地定位在暴露的股骨头上。 然后，可以通过孔插入钻头，并且可以在股骨头中钻出针的开口。 模具可以具有独特的轮廓表面，其适于在单个独特的位置适配于股骨头，使得开口被制成独特的期望位置。 这些装置和方法便于手术更快，更准确，侵入性更小。

公开(公告)号：US08984731B2

公开(公告)日：2015-03-24

申请号：US14263932

申请日：2014-04-28

Applicant: Materialise N.V.

Inventor： Joyce Van Den Broeck ,  Nele Daemen ,  Katerina Nikonenko ,  Maryna Stepanenko

IPC: B23Q17/00 ,  A61B19/00 ,  A61B17/17 ,  A61F2/30 ,  A61B17/68 ,  A61F2/28 ,  A61F2/46 ,  A61B17/00 ,  A61B17/56 ,  A61B17/90 ,  A61B17/15

CPC classification number: A61B17/17 ,  A61B17/155 ,  A61B17/157 ,  A61B17/1778 ,  A61B17/68 ,  A61B34/10 ,  A61B2017/0042 ,  A61B2017/00526 ,  A61B2017/568 ,  A61B2017/90 ,  A61B2034/108 ,  A61F2/28 ,  A61F2/30 ,  A61F2/30942 ,  B29C64/386 ,  B29C67/0088 ,  B33Y50/02 ,  G06F17/16 ,  G06F17/50 ,  Y10T29/49764

Abstract: The application provides methods for providing a surgical guide for placement on an anatomical part wherein the guide is provided with one or more dedicated push features that can be used as pressure points for applying force onto the surgical guide. The application further provides guides comprising one or more push features which can be used as a pressure point for applying force onto said guide.

Abstract translation: 该应用提供了用于提供用于放置在解剖部件上的外科手术引导件的方法，其中所述引导件设置有一个或多个专用推动特征，所述推动特征可以用作将力施加到所述外科手术引导件上的压力点。 该应用还进一步提供了包括一个或多个推动特征的引导件，其可用作将力施加到所述引导件上的压力点。

公开(公告)号：US08979856B2

公开(公告)日：2015-03-17

申请号：US14073792

申请日：2013-11-06

Applicant: Materialise NV

Inventor： Joshua B. Catanzarite ,  Ryan J. Schoenefeld ,  Louis J. Keppler

IPC: A61B17/58 ,  A61B17/60 ,  A61F2/00 ,  A61B17/17 ,  A61B17/15 ,  A61B17/56 ,  A61F2/38

CPC classification number: A61B17/1764 ,  A61B17/157 ,  A61B2017/568 ,  A61F2002/3895

Abstract: A surgical kit for unicompartmental knee arthroplasty includes a unitary patient-specific unicompartmental tibial guide and a tibial drill template and other instruments. The tibial guide has a patient-specific body with an inner surface preoperatively configured to nestingly conform and mate in only one position with an anterior portion and a proximal portion of one compartment of a tibial bone of a specific patient. The tibial guide includes a drill guide portion preoperatively configured for drilling first and second anterior holes into the tibial bone for guiding a horizontal tibial resection. The tibial guide includes a vertical resection guide portion preoperatively configured for guiding a vertical resection through the tibial bone before the horizontal resection.

Abstract translation: 用于单室膝关节置换术的手术套件包括单一患者特异性单室胫骨导引件和胫骨钻模板等仪器。 胫骨引导件具有患者特异体，其具有预先被配置为仅在一个位置与特定患者的胫骨的一个隔室的前部和近端部分嵌合并配合的内表面。 胫骨引导件包括钻孔引导部分，其预先被构造用于将第一和第二前孔钻入胫骨以引导水平胫骨切除。 胫骨引导件包括一个术前构造的垂直切除引导部分，用于在水平切除之前引导垂直切除穿过胫骨。