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    Apparatus for and method of providing a hip replacement
    3.
    发明授权
    Apparatus for and method of providing a hip replacement 有权
    用于提供髋关节置换的装置和方法

    公开(公告)号：US08740907B2

    公开(公告)日：2014-06-03

    申请号：US12941256

    申请日：2010-11-08

    申请人： Brad L. Penenberg

    发明人： Brad L. Penenberg

    IPC分类号： A61B17/16

    CPC分类号： A61B17/1746 ,  A61B17/1666 ,  A61B17/1668 ,  A61B17/175 ,  A61B17/92 ,  A61B2017/0046 ,  A61B2017/3405

    摘要： A short main incision and portal incisions at portal positions strategically displaced from the main incision are provided in a patient's hip. One portal incision (acetabular portal) provides for a disposition of reamers in the patient's acetabulum to shape the acetabulum. A cannula is inserted through the portal incision to the acetabulum and the successive reamers of progressive size are inserted into the acetabulum through the main incision to progressively size and shape the acetabulum. An approximately hemispherical acetabular component is then disposed in the prepared acetabulum to provide for hip rotation relative to the femoral component. The other portal incision (femoral portal) provides for insertion into the patient's hip of a member for driving the femoral stem into a cavity in the patient's femur. The provision of the short main incision and the portal incision minimizes the patient's loss of blood, tissue trauma, length of operating time and patient recovery time.

    摘要翻译： 在病人的髋部提供了从主切口战略性移位的门静脉位置的短主切口和门切口。 一个门式切口（髋臼门）可以在患者的髋臼中设置铰刀，以形成髋臼。 将插管穿过门静脉切口插入髋臼中，并且通过主切口将渐进尺寸的连续的铰刀插入髋臼中，以逐渐尺寸和形状髋臼。 然后将大致半球形的髋臼部件设置在所制备的髋臼中以提供相对于股骨部件的髋关节旋转。 另一个门静脉切口（股骨门）提供插入患者髋部的成员，以将股骨柄驱动到患者股骨的腔中。 提供短切口和门静脉切口可最大限度地减少患者的血液流失，组织损伤，手术时间长短和患者恢复时间。

    INSIDE-OUT GUIDE FOR HIP REPLACEMENT METHOD
    6.
    发明申请
    INSIDE-OUT GUIDE FOR HIP REPLACEMENT METHOD 有权
    用于髋关节置换方法的内插导管

    公开(公告)号：US20150150585A1

    公开(公告)日：2015-06-04

    申请号：US14617837

    申请日：2015-02-09

    申请人： Brad L. Penenberg

    发明人： Brad L. Penenberg

    IPC分类号： A61B17/3209 ,  A61B17/32

    CPC分类号： A61B17/1668 ,  A61B17/164 ,  A61B17/1659 ,  A61B17/1703 ,  A61B17/1746 ,  A61B17/175 ,  A61B17/320016 ,  A61B17/32093 ,  A61B17/3494 ,  A61B2017/320044 ,  A61F2/4609

    摘要： A tool and method for locating a proper position for a portal incision for hip arthroplasty, the tool being a tubular body having a first portion defining a first axis, a second portion defining a second axis non-parallel to the first axis, the second portion having a directional tool and a lead coaxially aligned, wherein when the tubular body is placed adjacent to an acetabulum with the directional tool aimed at the acetabulum and perpendicular to a plane of the face of the acetabulum, the lead points to location on the skin that would be the proper location for the portal incision. The lead may have a blunt tip, a cutting instrument, or an opening through which a flexible tool can be inserted to forge a path towards the proper location for the portal incision.

    摘要翻译： 一种用于定位用于髋关节置换术的门静脉切口的适当位置的工具和方法，所述工具是具有限定第一轴线的第一部分的管状体，限定不平行于所述第一轴线的第二轴线的第二部分，所述第二部分 具有定向工具和同轴对准的引线，其中当所述管状体与所述髋臼相邻放置时，所述定向工具瞄准所述髋臼并垂直于所述髋臼面的平面，所述引导点指向所述皮肤上的位置， 将是门诊切口的适当位置。 引线可以具有钝头，切割工具或开口，通过该开口可以插入柔性工具以朝向门静脉切口的适当位置锻造路径。

    Apparatus for, and method of, preparing for and inserting hip joint prosthesis using computer guidance
    7.
    发明授权
    Apparatus for, and method of, preparing for and inserting hip joint prosthesis using computer guidance 失效
    使用计算机指导准备和插入髋关节假体的装置和方法

    公开(公告)号：US08034057B2

    公开(公告)日：2011-10-11

    申请号：US10290770

    申请日：2002-11-07

    申请人： Brad L. Penenberg

    发明人： Brad L. Penenberg

    IPC分类号： A61F2/00

    CPC分类号： A61F2/4609 ,  A61B34/20 ,  A61B2034/2055 ,  A61B2034/2072 ,  A61B2090/0818 ,  A61B2090/3983 ,  A61F2/32 ,  A61F2/34 ,  A61F2/36 ,  A61F2/3609 ,  A61F2/4657 ,  A61F2002/2835 ,  A61F2002/3055 ,  A61F2002/30555 ,  A61F2002/3611 ,  A61F2002/365 ,  A61F2002/4623 ,  A61F2002/4631 ,  A61F2002/4632 ,  A61F2002/4658 ,  A61F2250/0008 ,  A61F2310/00011

    摘要： A cup for a hip replacement is disposed in a first relationship in an operating room with an object providing a sighting for the cup rotation in a first plane. The cup is thereafter rotated in the first plane through a first angle (e.g., 20°-30°). The cup is then disposed in a planar relationship in the operating room with another object providing a sighting for the cup rotation in a second plane transverse (e.g. perpendicular) to the first plane. The cup is subsequently rotated through a second angle (e.g. 40°-45°) in the second plane. In this way, the cup is properly positioned in the acetabulum socket. The length of the leg receiving the hip rotation is then adjusted so that the leg length matches the length of the patient's other leg. This adjustment is provided without affecting the offset position of the center of the ball on the femur.

    摘要翻译： 用于髋关节置换的杯子在手术室中以第一关系设置，其中物体提供在第一平面中的杯子旋转的瞄准。 杯子此后在第一平面中旋转第一角度（例如，20°-30°）。 然后将杯子放置在手术室中的平面关系中，另一物体在与第一平面横向（例如垂直）的第二平面中提供杯子旋转的瞄准。 杯子随后在第二平面中旋转第二个角度（例如40°-45°）。 以这种方式，杯子被适当地定位在髋臼插座中。 然后调整接收髋关节旋转的腿部的长度，使得腿部长度与患者的另一腿部的长度相匹配。 提供这种调整而不影响球在中心的中心的偏移位置。

    Surgical retractor with attachment
    8.
    发明授权
    Surgical retractor with attachment 有权
    手术牵开器附件

    公开(公告)号：US07396328B2

    公开(公告)日：2008-07-08

    申请号：US11354537

    申请日：2006-02-15

    申请人： Brad L. Penenberg

    发明人： Brad L. Penenberg

    IPC分类号： A61B1/32

    CPC分类号： A61B1/32 ,  A61B17/02

    摘要： A retractor configured for anchorage to the acetabular area of the hip bone via a bendable pin, such that the bent pin retains the retractor in a selected position. The retractor includes a site anchor portion, with a spacer portion extending upward from a leading end of the site anchor portion. At least one retainer track is affixed to the spacer portion, the track being configured to closely receive the bendable pin. The leading end of the site anchor portion is preferably angled and serrated. The site anchor portion preferably has a curved configuration for use in resting the leading end of the site anchor portion substantially along an outer portion of a rim of the acetabulum. The retractor may be provided with an extension portion. The extension portion is preferably angled and serrated.

    摘要翻译： 一种牵开器，其构造成通过可弯曲的销固定到髋骨的髋臼区域，使得弯曲的销将牵开器保持在选定位置。 牵开器包括一个位置锚固部分，其间隔部分从该位置锚定部分的前端向上延伸。 至少一个保持器轨道固定到间隔件部分，轨道被配置为紧密地接收可弯曲销。 位置锚固部分的前端优选是成角度和锯齿形的。 位置锚定部分优选地具有弯曲构造，用于基本上沿着髋臼边缘的外部部分静止位置锚固部分的前端。 牵开器可以设置有延伸部分。 延伸部分优选是成角度和锯齿状的。

    Apparatus for and method of providing a hip replacement
    9.
    发明授权
    Apparatus for and method of providing a hip replacement 有权

    公开(公告)号：US06997928B1

    公开(公告)日：2006-02-14

    申请号：US10932742

    申请日：2004-09-01

    申请人： Brad L. Penenberg

    发明人： Brad L. Penenberg

    IPC分类号： A61B17/56

    CPC分类号： A61B17/1746 ,  A61B17/1666 ,  A61B17/1668 ,  A61B17/175 ,  A61B17/92 ,  A61B2017/0046 ,  A61B2017/3405

    摘要： A short main incision and portal incisions at portal positions strategically displaced from the main incision are provided in a patient's hip. One portal incision (acetabular portal) provides for a disposition of reamers in the patient's acetabulum to shape the acetabulum. A cannula is inserted through the portal incision to the acetabulum and the successive reamers of progressive size are inserted into the acetabulum through the main incision to progressively size and shape the acetabulum. An approximately hemispherical acetabular component is then disposed in the prepared acetabulum to provide for hip rotation relative to the femoral component. The other portal incision (femoral portal) provides for insertion into the patient's hip of a member for driving the femoral stem into a cavity in the patient's femur. The provision of the short main incision and the portal incision minimizes the patient's loss of blood, tissue trauma, length of operating time and patient recovery time.

    Apparatus for and method of providing a hip replacement
    10.
    发明授权
    Apparatus for and method of providing a hip replacement 有权
    用于提供髋关节置换的装置和方法

    公开(公告)号：US06905502B2

    公开(公告)日：2005-06-14

    申请号：US10683008

    申请日：2003-10-09

    申请人： Brad L. Penenberg

    发明人： Brad L. Penenberg

    IPC分类号： A61B17/00 ,  A61B17/17 ,  A61B19/00 ,  A61F2/34 ,  A61F2/36 ,  A61F2/46 ,  A61B12/56 ,  A61B17/58

    CPC分类号： A61B17/1746 ,  A61B17/00234 ,  A61B17/1666 ,  A61B17/1668 ,  A61B17/175 ,  A61B17/92 ,  A61B2017/0046 ,  A61B2017/3405 ,  A61B2090/3908 ,  A61B2090/395 ,  A61F2/34 ,  A61F2/36 ,  A61F2/3662 ,  A61F2/4607 ,  A61F2/4609 ,  A61F2/4657 ,  A61F2/4684 ,  A61F2002/4635 ,  A61F2002/4681

    摘要： A short main incision and portal incisions at portal positions strategically displaced from the main incision are provided in a patient's hip. One portal incision (acetabular portal) provides for a disposition of reamers in the patient's acetabulum to shape the acetabulum. A cannula is inserted through the portal incision to the acetabulum and the successive reamers of progressive size are inserted into the acetabulum through the main incision to progressively size and shape the acetabulum. An approximately hemispherical acetabular component is then disposed in the prepared acetabulum to provide for hip rotation relative to the femoral component. The other portal incision (femoral portal) provides for insertion into the patient's hip of a member for driving the femoral stem into a cavity in the patient's femur. The provision of the short main incision and the portal incision minimizes the patient's loss of blood, tissue trauma, length of operating time and patient recovery time.

    摘要翻译： 在病人的髋部提供了从主切口战略性移位的门静脉位置的短主切口和门切口。 一个门式切口（髋臼门）可以在患者的髋臼中设置铰刀，以形成髋臼。 将插管穿过门静脉切口插入髋臼中，并且通过主切口将渐进尺寸的连续的铰刀插入髋臼中，以逐渐尺寸和形状髋臼。 然后将大致半球形的髋臼部件设置在所制备的髋臼中以提供相对于股骨部件的髋关节旋转。 另一个门静脉切口（股骨门）提供插入患者髋部的成员，以将股骨柄驱动到患者股骨的腔中。 提供短切口和门静脉切口可最大限度地减少患者的血液流失，组织损伤，手术时间长短和患者恢复时间。