公开(公告)号：US20160317307A1

公开(公告)日：2016-11-03

申请号：US15142740

申请日：2016-04-29

申请人： Kirk J. Bailey ,  Christopher Peters ,  Adolph V. Lombardi ,  Stephanie Klunk ,  Aaron P. Smith

发明人： Kirk J. Bailey ,  Christopher Peters ,  Adolph V. Lombardi ,  Stephanie Klunk ,  Aaron P. Smith

IPC分类号： A61F2/30 ,  A61F2/34

CPC分类号： A61F2/30734 ,  A61F2/30724 ,  A61F2/34 ,  A61F2002/30405 ,  A61F2002/30736 ,  A61F2002/30769 ,  A61F2002/30784 ,  A61F2002/3401 ,  A61F2002/3403

摘要： An acetabular prosthesis is described that includes a shell having an outer surface and an inner surface, the outer surface defining an external shape. There is at least one through bore extending from the outer surface of the shell to the inner surface of the shell. At least one augment is configured to be positioned at least partially within the at least one through bore of the shell such that, in an assembled state, the shell and the at least one augment define a modified external shape.

摘要翻译： 描述了一种髋臼假体，其包括具有外表面和内表面的外壳，外表面限定外部形状。 至少有一个通孔从外壳的外表面延伸到外壳的内表面。 至少一个增强件被配置为至少部分地定位在壳体的至少一个通孔内，使得在组装状态下，壳体和至少一个附件限定了改进的外部形状。

公开(公告)号：US08795379B2

公开(公告)日：2014-08-05

申请号：US13310079

申请日：2011-12-02

申请人： Aaron P. Smith ,  Kevin T. Stone ,  Nicholas Cordaro

发明人： Aaron P. Smith ,  Kevin T. Stone ,  Nicholas Cordaro

IPC分类号： A61F2/40

CPC分类号： A61F2/4014 ,  A61F2/3609 ,  A61F2/40 ,  A61F2/4059 ,  A61F2002/3021 ,  A61F2002/30224 ,  A61F2002/30329 ,  A61F2002/30332 ,  A61F2002/30341 ,  A61F2002/30344 ,  A61F2002/30354 ,  A61F2002/30364 ,  A61F2002/30378 ,  A61F2002/3038 ,  A61F2002/30484 ,  A61F2002/30507 ,  A61F2002/30515 ,  A61F2002/30537 ,  A61F2002/30538 ,  A61F2002/30542 ,  A61F2002/30589 ,  A61F2002/30604 ,  A61F2002/30616 ,  A61F2002/30617 ,  A61F2002/30714 ,  A61F2002/30774 ,  A61F2002/30795 ,  A61F2002/30884 ,  A61F2002/30902 ,  A61F2002/3611 ,  A61F2002/365 ,  A61F2002/4018 ,  A61F2002/4029 ,  A61F2002/4037 ,  A61F2002/4044 ,  A61F2002/4062 ,  A61F2002/4629 ,  A61F2002/4641 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2250/0004 ,  A61F2250/0006 ,  A61F2250/0089 ,  A61F2250/0097

摘要： The present teachings are directed to a shoulder prosthesis having an adjustable radial offset and/or angular inclination provided by relative rotation of an adapter interdisposed between a stem and a head. In one example, a prosthesis has a stem having a first longitudinal axis. The prosthesis can also include an adaptor including a first taper. The first taper can have a first taper axis. The prosthesis can include a head supported by the adaptor. The head can be selectively oriented and then coupled to the first taper and the combination can be selectively orientated and the coupled to the stem.

摘要翻译： 本教导涉及具有可调节的径向偏移和/或角度倾斜度的肩假体，所述角度倾斜是通过插在杆和头部之间的适配器的相对旋转而提供的。 在一个示例中，假体具有具有第一纵向轴线的杆。 假体还可以包括包括第一锥形的适配器。 第一锥形可以具有第一锥形轴线。 假体可以包括由适配器支撑的头部。 头可以选择性地定向并且然后耦合到第一锥形，并且组合可以被选择性地定向并且联接到杆。

公开(公告)号：US08460393B2

公开(公告)日：2013-06-11

申请号：US12718230

申请日：2010-03-05

申请人： Aaron P. Smith ,  Tyler D. Witt ,  Hugh Apthorp ,  Keith R. Berend ,  Andrew Freiberg ,  John Barrington ,  David R. Brown

发明人： Aaron P. Smith ,  Tyler D. Witt ,  Hugh Apthorp ,  Keith R. Berend ,  Andrew Freiberg ,  John Barrington ,  David R. Brown

IPC分类号： A61F2/30 ,  A61F2/36

CPC分类号： A61F2/3672 ,  A61F2/30734 ,  A61F2/30739 ,  A61F2/32 ,  A61F2/3601 ,  A61F2/367 ,  A61F2002/3627 ,  A61F2002/3674 ,  A61F2002/368 ,  A61F2002/3686 ,  A61F2310/00011

摘要： An implant for a hip can include a lateral augment adapted to be coupled to a lateral side of a femoral body implant. The lateral augment can include a body portion having a first surface, a second surface opposite the first surface, and a protrusion extending from the second surface. The protrusion can have a shape adapted to mate with a complimentary shaped recess formed in the lateral side of the femoral body implant. An aperture can be positioned in the body portion and extend through the protrusion. A fastener can be received through the aperture and adapted to be threadably secured to the lateral bore. The fastener can be configured to have a length sufficient to pass through a portion of a greater trochanter for securing the portion of the greater trochanter and the lateral augment to the femoral body implant.

摘要翻译： 用于髋部的植入物可以包括适于联接到股骨体植入物的外侧的侧向增大。 横向增强件可以包括具有第一表面，与第一表面相对的第二表面的主体部分和从第二表面延伸的突出部。 突起可以具有适于与形成在股骨体植入物的侧面中的互补形状的凹部配合的形状。 孔可以定位在主体部分中并延伸穿过突出部。 紧固件可以通过孔容纳并适于螺纹地固定到侧向孔。 紧固件可以构造成具有足以穿过大转子的一部分的长度，用于将大转子的一部分和侧向增大固定到股骨体植入物。

公开(公告)号：US08333807B2

公开(公告)日：2012-12-18

申请号：US12718031

申请日：2010-03-05

申请人： Aaron P. Smith ,  Tyler D. Witt

发明人： Aaron P. Smith ,  Tyler D. Witt

IPC分类号： A61F2/32

CPC分类号： A61F2/468

摘要： A modular femoral hip implant trialing system. The system generally includes a proximal body, a fastener, and a fastener retention member. The proximal body includes a proximal bore, a tapered distal bore, and a passageway connecting the proximal bore to the distal bore. The proximal bore, the distal bore, and the passageway are aligned along a first axis. The fastener includes a head in the proximal bore and a stem in the distal bore, the fastener is aligned along the first axis. The fastener retention member is positioned in the proximal bore and is operable to retain at least a portion of the fastener within the proximal bore.

摘要翻译： 模块化股骨髋关节植入物试验系统。 该系统通常包括近端体，紧固件和紧固件保持构件。 近端主体包括近端孔，锥形远端孔和将近端孔连接到远端孔的通道。 近端孔，远端孔和通道沿着第一轴线对准。 紧固件包括在近端孔中的头部和远端孔中的杆，紧固件沿着第一轴线对准。 紧固件保持构件定位在近端孔中并且可操作以将紧固件的至少一部分保持在近端孔内。

公开(公告)号：US20120265208A1

公开(公告)日：2012-10-18

申请号：US13087854

申请日：2011-04-15

申请人： Aaron P. Smith

发明人： Aaron P. Smith

IPC分类号： A61B17/56

CPC分类号： A61B17/175 ,  A61B17/1626 ,  A61B17/1668 ,  A61B17/1684 ,  A61B17/17 ,  A61B17/1742 ,  A61B17/1778 ,  A61B17/56 ,  A61B2017/1602 ,  A61B2017/564 ,  A61B2017/568 ,  B33Y70/00 ,  B33Y80/00

摘要： A medical device for preparing a bone of a joint of a patient includes a numerically controlled instrument having a housing including a controller, a processor and a tool driver, a patient-specific reference guide removably couplable to the housing, and a cutting tool removably coupled to the tool driver. The patient-specific reference guide has a three-dimensional inner surface preoperatively configured to mirror and mate with a corresponding surface of a bone of a joint of a patient in only one position. The patient-specific reference guide is configured to automatically register the numerically controlled instrument to the patient's bone portion intraoperatively. The cutting tool is movable along a patient-specific tool path determined during the preoperative plan for preparing a portion of the bone.

摘要翻译： 一种用于制备患者关节骨骼的医疗装置，包括具有壳体的数控仪器，该壳体包括控制器，处理器和工具驱动器，可拆卸地联接到壳体的特定于患者的参考引导件，以及可移除地联接 到工具驱动程序。 患者特异性参考指南具有三维内表面，其在术前被配置为仅在一个位置镜像并与患者的关节的骨的相应表面配合。 患者特定参考指南被配置为在手术中自动地将数控仪器注册到患者的骨骼部分。 切割工具可沿着在用于准备骨的一部分的术前计划中确定的患者特定刀具路径移动。

公开(公告)号：US20120226282A1

公开(公告)日：2012-09-06

申请号：US13474905

申请日：2012-05-18

申请人： Aaron P. Smith ,  Tyler D. Witt

发明人： Aaron P. Smith ,  Tyler D. Witt

IPC分类号： A61B17/92

CPC分类号： A61F2/4607 ,  A61B17/1615 ,  A61B17/1633 ,  A61B17/164 ,  A61B17/1668 ,  A61B17/175 ,  A61B17/56 ,  A61B17/92

摘要： A method of implanting a prosthetic component is disclosed that includes attaching a guide rod to the prosthetic component, removably coupling the guide rod to a shaft extending from a handle, and positioning the prosthetic component in an anatomical feature. The method also includes impacting an impaction portion of the handle and uncoupling the guide rod from the shaft, leaving the guide rod attached to the prosthetic component. The method further includes positioning a reamer over the guide rod to create a reamed opening in the anatomical feature.

摘要翻译： 公开了一种植入假体部件的方法，其包括将引导杆附接到假体部件，将导杆可拆卸地连接到从手柄延伸的轴，以及将假体部件定位在解剖特征中。 该方法还包括冲击手柄的冲击部分并将引导杆与轴分离，使引导杆附接到假肢部件上。 该方法还包括将铰刀定位在导杆上以在解剖特征中产生铰接开口。

公开(公告)号：US20120071893A1

公开(公告)日：2012-03-22

申请号：US12888011

申请日：2010-09-22

申请人： Aaron P. Smith ,  Jason D. Meridew

发明人： Aaron P. Smith ,  Jason D. Meridew

IPC分类号： A61B19/00

CPC分类号： A61B17/1664 ,  A61B17/1666 ,  A61B17/1668 ,  A61B34/10 ,  A61B34/30 ,  A61B90/03 ,  A61B90/11 ,  A61B2034/104 ,  A61B2034/105

摘要： A method of performing hip surgery with a robotic guided system on a patient with femoral acetabular impingement can include identifying the femoral acetabular impingement on the patient. Data related to a proximal femur and an acetabulum of the patient is acquired. A three-dimensional model of at least one of the patient's proximal femur and acetabulum is created based on the data acquired. A location and amount of bone to be removed is determined. Dynamic movement limits of a cutting tool associated with the robotic guided system is set based on the determination. The determined bone of at least one of the proximal femur and acetabulum is removed with the tool while being inhibited from moving the tool outside of the dynamic limit by the robotic guided system.

摘要翻译： 用患有股骨髋臼碰撞的患者使用机器人引导系统进行髋关节手术的方法可以包括识别股骨髋臼对患者的冲击。 获取与患者的近端股骨和髋臼相关的数据。 基于获得的数据创建患者的股骨近端和髋臼中的至少一个的三维模型。 确定待移除的骨的位置和数量。 基于该确定来设定与机器人引导系统相关联的切削工具的动态移动限制。 使用工具去除至少一个近端股骨和髋臼的确定的骨，同时通过机器人引导系统阻止该工具移动到动态限制之外。

公开(公告)号：US20110224674A1

公开(公告)日：2011-09-15

申请号：US13111007

申请日：2011-05-19

申请人： John R. White ,  Lance D. Perry ,  Aaron P. Smith ,  Jason D. Meridew ,  Bryan Morrison ,  W Jason Slone ,  Tyler D. Witt ,  Mark A. Bollinger ,  Robert Metzger

发明人： John R. White ,  Lance D. Perry ,  Aaron P. Smith ,  Jason D. Meridew ,  Bryan Morrison ,  W Jason Slone ,  Tyler D. Witt ,  Mark A. Bollinger ,  Robert Metzger

IPC分类号： A61B17/56

CPC分类号： A61F2/4609 ,  A61B17/1617 ,  A61B17/1642 ,  A61B17/1666 ,  A61B17/1746 ,  A61B34/10 ,  A61B2017/922 ,  A61B2034/105 ,  A61B2034/108 ,  A61B2034/252 ,  A61F2/30942 ,  A61F2/3603 ,  A61F2002/30617 ,  A61F2002/4633 ,  A61F2002/4662 ,  A61F2002/4668 ,  A61F2002/4687 ,  A61F2250/0097 ,  B33Y70/00 ,  B33Y80/00

摘要： An acetabular device includes a patient-specific acetabular alignment guide including a bone engagement surface. The bone engagement surface has a first portion configured and shaped to be conforming and complementary to an acetabular rim surface and a second portion configured and shaped to be conforming and complementary to a periacetabular area of an acetabulum of a patient. The acetabular alignment guide includes a plurality of guiding formations extending through the second portion for guiding a plurality of alignment pins therethrough. The bone engagement surface and the plurality of guiding formations are prepared from a three-dimensional model of the acetabulum of the specific patient reconstructed pre-operatively from a scan of the patient.

摘要翻译： 髋臼装置包括包括骨接合表面的患者特异性髋臼对准引导件。 骨接合表面具有构造和成形为与髋臼边缘表面一致并互补的第一部分，并且第二部分被构造和成形为与患者的髋臼周边区域一致并且互补。 髋臼对准引导件包括延伸穿过第二部分的多个引导结构，用于引导多个对准销通过其中。 骨骼接合表面和多个引导结构由来自患者扫描的术前重建的特定患者的髋臼的三维模型制备。

公开(公告)号：US20110218641A1

公开(公告)日：2011-09-08

申请号：US12718230

申请日：2010-03-05

申请人： Aaron P. Smith ,  Tyler D. Witt ,  Hugh Apthorp ,  Keith R. Berend ,  Andrew Freiberg ,  John Barrington ,  David R. Brown

发明人： Aaron P. Smith ,  Tyler D. Witt ,  Hugh Apthorp ,  Keith R. Berend ,  Andrew Freiberg ,  John Barrington ,  David R. Brown

IPC分类号： A61F2/32

CPC分类号： A61F2/3672 ,  A61F2/30734 ,  A61F2/30739 ,  A61F2/32 ,  A61F2/3601 ,  A61F2/367 ,  A61F2002/3627 ,  A61F2002/3674 ,  A61F2002/368 ,  A61F2002/3686 ,  A61F2310/00011

摘要： An implant for a hip can include a lateral augment adapted to be coupled to a lateral side of a femoral body implant. The lateral augment can include a body portion having a first surface, a second surface opposite the first surface, and a protrusion extending from the second surface. The protrusion can have a shape adapted to mate with a complimentary shaped recess formed in the lateral side of the femoral body implant. An aperture can be positioned in the body portion and extend through the protrusion. A fastener can be received through the aperture and adapted to be threadably secured to the lateral bore. The fastener can be configured to have a length sufficient to pass through a portion of a greater trochanter for securing the portion of the greater trochanter and the lateral augment to the femoral body implant.

摘要翻译： 用于髋部的植入物可以包括适于联接到股骨体植入物的外侧的侧向增大。 横向增强件可以包括具有第一表面，与第一表面相对的第二表面的主体部分和从第二表面延伸的突出部。 突起可以具有适于与形成在股骨体植入物的侧面中的互补形状的凹部配合的形状。 孔可以定位在主体部分中并延伸穿过突出部。 紧固件可以通过孔容纳并适于螺纹地固定到侧向孔。 紧固件可以构造成具有足以穿过大转子的一部分的长度，用于将大转子的部分和侧向增大部分固定到股骨体植入物。

公开(公告)号：US20110218640A1

公开(公告)日：2011-09-08

申请号：US12718031

申请日：2010-03-05

申请人： Aaron P. Smith ,  Tyler D. Witt

发明人： Aaron P. Smith ,  Tyler D. Witt

IPC分类号： A61F2/32

CPC分类号： A61F2/468

摘要： A modular femoral hip implant trialing system. The system generally includes a proximal body, a fastener, and a fastener retention member. The proximal body includes a proximal bore, a tapered distal bore, and a passageway connecting the proximal bore to the distal bore. The proximal bore, the distal bore, and the passageway are aligned along a first axis. The fastener includes a head in the proximal bore and a stem in the distal bore, the fastener is aligned along the first axis. The fastener retention member is positioned in the proximal bore and is operable to retain at least a portion of the fastener within the proximal bore.

摘要翻译： 模块化股骨髋关节植入物试验系统。 该系统通常包括近端体，紧固件和紧固件保持构件。 近端主体包括近端孔，锥形远端孔和将近端孔连接到远端孔的通道。 近端孔，远端孔和通道沿着第一轴线对准。 紧固件包括在近端孔中的头部和远端孔中的杆，紧固件沿着第一轴线对准。 紧固件保持构件定位在近端孔中并且可操作以将紧固件的至少一部分保持在近端孔内。