公开(公告)号：US20070118055A1

公开(公告)日：2007-05-24

申请号：US11593294

申请日：2006-11-06

申请人： Daniel McCombs

发明人： Daniel McCombs

IPC分类号： A61B5/107

CPC分类号： A61F2/30942 ,  A61B5/103 ,  A61B5/1077 ,  A61B5/4528 ,  A61B17/154 ,  A61B17/16 ,  A61B17/1703 ,  A61B34/10 ,  A61B34/20 ,  A61B2034/107 ,  A61B2034/108 ,  A61F2/3859 ,  A61F2002/30535 ,  A61F2250/0058 ,  G16H50/50

摘要： Systems and methods for planning surgical procedures involving custom medical implants that can involve the selection, design and/or creation of custom medical implants and/or the selection, modification, and/or design of custom surgical procedures related to those implants. Certain embodiments allow implants to be selected, designed, created, or otherwise customized and then placed in patients using non-standard surgical techniques. The invention provides greater flexibility in implant use by allowing a surgeon to revise, create, or otherwise select surgical techniques for custom implants and, ultimately, provide better treatment in a greater variety of medical circumstances. Certain embodiments of the invention involve computer assisted surgery to provide for implant-related surgery involving non-standard surgical steps and/or implants.

摘要翻译： 用于规划涉及定制医疗植入物的外科手术的系统和方法，其可以涉及定制医疗植入物的选择，设计和/或创建和/或与这些植入物相关的定制外科手术的选择，修改和/或设计。 某些实施例允许选择，设计，创建或以其他方式定制植入物，然后将其置于使用非标准手术技术的患者体内。 本发明通过允许外科医生修改，创建或以其它方式选择用于定制植入物的外科技术并且最终在更多种类的医疗环境中提供更好的治疗，从而在植入物使用方面提供更大的灵活性。 本发明的某些实施例涉及计算机辅助手术以提供涉及非标准手术步骤和/或植入物的植入物相关手术。

公开(公告)号：US20050279368A1

公开(公告)日：2005-12-22

申请号：US10869785

申请日：2004-06-16

申请人： Daniel McCombs

发明人： Daniel McCombs

IPC分类号： A61B17/00 ,  A61B19/00 ,  H04N7/18 ,  H04N9/47

CPC分类号： A61B90/36 ,  A61B34/20 ,  A61B90/39 ,  A61B90/94 ,  A61B2034/2055 ,  A61B2034/2072 ,  A61B2090/3937 ,  A61B2090/3954 ,  A61B2090/3983

摘要： Input/Output systems and processes for computer assisted surgery systems are described. In one embodiment, a rendering apparatus is adapted to render display information on a presentation substrate during surgery. A plurality of location indicia are attached to the presentation substrate and a sensor senses the position and orientation of the location indicia. A computer functionality determines the position and orientation of the presentation substrate from the information from the sensor on the position of the location indicia. The computer functionality coordinates the rendering apparatus with the position of the display substrate so that the rendering apparatus renders display information onto the presentation substrate used in surgery. In another embodiment, the rendering apparatus renders interaction indicia onto a presentation substrate and a monitoring apparatus monitors interaction with the interaction indicia to allow data to be input into the computer functionality by way of the interaction indicia.

摘要翻译： 描述了计算机辅助手术系统的输入/输出系统和过程。 在一个实施例中，渲染装置适于在手术期间在呈现衬底上呈现显示信息。 多个位置标记被附接到呈现基板，并且传感器感测位置标记的位置和方位。 计算机功能根据来自传感器的位置标记的位置的信息确定呈现衬底的位置和取向。 计算机功能将渲染装置与显示基板的位置协调，使得渲染装置将显示信息呈现在手术中使用的呈现基板上。 在另一个实施例中，呈现装置将交互标记呈现在呈现衬底上，并且监视装置监视与交互标记的交互，以允许通过交互标记将数据输入计算机功能。

公开(公告)号：US20050228266A1

公开(公告)日：2005-10-13

申请号：US10907374

申请日：2005-03-30

申请人： Daniel McCombs

发明人： Daniel McCombs

IPC分类号： A61B17/00 ,  A61B19/00 ,  A61B5/05

CPC分类号： A61B34/20 ,  A61B34/25 ,  A61B34/74 ,  A61B90/39 ,  A61B2017/00199 ,  A61B2017/00207 ,  A61B2034/108 ,  A61B2034/2055 ,  A61B2034/2068 ,  A61B2034/207 ,  A61B2034/2072 ,  A61B2090/3983

摘要： Methods and apparatuses for providing a reference array input device for use with a computer-aided surgical navigation system. A reference array input device according to an embodiment of the present invention is configured to provide a plurality of fiducial members comprising portions capable of being sensed by at least two sensors associated with the computer-aided surgical navigation system in order to determine position and orientation of the reference array input device by the system. The reference array input device can include a plurality of indicator detectors adapted to facilitate selection of a corresponding instruction associated with the computer-aided surgical navigation system. The reference array input device can also include a mount adapted to support the reference array input device adjacent to an object, a surgical instrument, or a joint replacement prosthesis.

摘要翻译： 用于提供与计算机辅助外科导航系统一起使用的参考阵列输入装置的方法和装置。 根据本发明的实施例的参考阵列输入装置被配置为提供多个基准部件，其包括能够被与计算机辅助的外科导航系统相关联的至少两个传感器感测的部分，以便确定位置和方位 系统的参考阵列输入装置。 参考阵列输入设备可以包括多个指示符检测器，其适于便于选择与计算机辅助外科导航系统相关联的对应指令。 参考阵列输入装置还可以包括适于支撑与物体，外科器械或关节置换假体相邻的参考阵列输入装置的安装座。

公开(公告)号：USD439878S1

公开(公告)日：2001-04-03

申请号：US29107047

申请日：1999-06-29

申请人： Timmon Ark ,  Daniel McCombs

设计人： Timmon Ark ,  Daniel McCombs

公开(公告)号：USD419844S

公开(公告)日：2000-02-01

申请号：US96084

申请日：1998-11-04

申请人： Daniel McCombs

设计人： Daniel McCombs

公开(公告)号：US20060200025A1

公开(公告)日：2006-09-07

申请号：US11296851

申请日：2005-12-01

申请人： Scott Elliott ,  Daniel McCombs

发明人： Scott Elliott ,  Daniel McCombs

IPC分类号： A61B5/05

CPC分类号： A61B90/36 ,  A61B34/10 ,  A61B34/20 ,  A61B34/74 ,  A61B90/39 ,  A61B90/98 ,  A61B2017/00207 ,  A61B2034/105 ,  A61B2034/2055 ,  A61B2034/2068 ,  A61B2034/2074 ,  A61B2034/254 ,  A61B2034/256 ,  A61B2090/3983

摘要： Systems, methods, and apparatuses for automatic software flow using instrument detection during a computer-aided surgery. At least system in accordance with an embodiment of the invention includes a computer-aided surgical navigational system with a display screen and at least one sensor. The system can include a processor capable of detecting a plurality of arrays, wherein each array is associated with a respective surgical instrument. The processor is further capable of determining a respective surgical procedure associated with the respective surgical instrument, based at least in part on detecting at least one array using the sensor. In addition, the processor is capable of outputting via the screen at least one user interface associated with the respective surgical procedure associated with the respective surgical instrument.

摘要翻译： 在计算机辅助手术期间使用仪器检测的自动软件流的系统，方法和装置。 根据本发明的实施例的至少系统包括具有显示屏和至少一个传感器的计算机辅助外科导航系统。 该系统可以包括能够检测多个阵列的处理器，其中每个阵列与相应的手术器械相关联。 至少部分地基于使用该传感器检测至少一个阵列，处理器还能够确定与相应手术器械相关联的各自的手术过程。 此外，处理器能够经由屏幕输出与相应手术器械相关联的各个外科手术程序相关联的至少一个用户界面。

公开(公告)号：US20060161051A1

公开(公告)日：2006-07-20

申请号：US11037862

申请日：2005-01-18

申请人： Lauralan Terrill-Grisoni ,  Richard Shaw ,  Daniel McCombs ,  Albert Pothier

发明人： Lauralan Terrill-Grisoni ,  Richard Shaw ,  Daniel McCombs ,  Albert Pothier

IPC分类号： A61B5/00

CPC分类号： A61B90/36 ,  A61B17/154 ,  A61B34/10 ,  A61B34/20 ,  A61B2034/2055 ,  A61B2090/064

摘要： Systems, methods and processes for computer-assisted soft tissue balancing, including ligament balancing, determining surgical cuts, and positioning or placement of the components of the prosthetic knee during TKR. The improved methods, systems and processes resolve several problems related to the prosthetic knee component positioning and soft-tissue balancing during computer-assisted TKR. The improved methods, systems and processes are flexible and versatile, provide reliable recommendations to the surgeon, and improve restoration of the knee function and patient recovery.

摘要翻译： 用于计算机辅助软组织平衡的系统，方法和过程，包括韧带平衡，确定手术切口以及在TKR期间假肢膝盖的部件的定位或放置。 改进的方法，系统和过程解决了计算机辅助TKR期间假肢膝部分量定位和软组织平衡相关的几个问题。 改进的方法，系统和过程是灵活和通用的，为外科医生提供可靠的建议，并改善膝关节功能和患者恢复的恢复。

公开(公告)号：US20050113659A1

公开(公告)日：2005-05-26

申请号：US10997052

申请日：2004-11-24

申请人： Albert Pothier ,  Daniel McCombs

发明人： Albert Pothier ,  Daniel McCombs

IPC分类号： A61B19/00 ,  A61B17/00

CPC分类号： A61B90/36 ,  A61B34/20 ,  A61B2034/2055 ,  A61B2034/2068 ,  A61B2090/3983

摘要： A probe for data input for a computer-assisted surgical system, comprising a body; one or more movable fiducials operably associated with the probe; and one or more stationary fiducials operably associated with the probe; wherein the movement of the one or more movable fiducials relative to the one or more of the stationary fiducials triggers data input on a position or an orientation of the probe, or both. The probe is particularly suitable for minimally invasive surgery. Also provided is a method of using the probe to input data during computer-assisted surgery.

摘要翻译： 一种用于计算机辅助手术系统的数据输入的探针，包括身体; 与探头可操作地相关联的一个或多个可动基准; 以及与所述探针可操作地相关联的一个或多个固定基准; 其中所述一个或多个可移动基准相对于所述一个或多个所述固定基准的运动触发在所述探针的位置或取向上输入的数据，或两者。 该探头特别适用于微创手术。 还提供了一种在计算机辅助手术期间使用探针输入数据的方法。

公开(公告)号：US20050109855A1

公开(公告)日：2005-05-26

申请号：US10993081

申请日：2004-11-19

申请人： Daniel McCombs

发明人： Daniel McCombs

IPC分类号： A61B19/00 ,  G05D23/12 ,  A61B5/05

CPC分类号： A61B90/36 ,  A61B34/20 ,  A61B90/39 ,  A61B2034/2055 ,  A61B2034/2072 ,  A61B2090/3983

摘要： Methods and apparatuses for providing a navigational array for use with a computer-aided surgical navigation system. A navigational array according to an embodiment of the present invention is configured to provide a plurality of fiducial members comprising portions capable of being sensed by at least two sensors associated with the computer-aided surgical navigation system in order to determine position and orientation of the array by the system. The array can include a non-segmenting common point connecting at least some of the fiducial members, wherein at least one of the fiducial members is out of plane with the other three fiducial members, and wherein a position and orientation associated with the navigational array can be determined from sensing at least three of the fiducial members by a computer-aided surgical navigation system. The array can also include a mount adapted to support the navigational array adjacent to an object, a surgical instrument, or a joint replacement prosthesis; whereby the physical possibility for all of the fiducial members to be positioned coplanar to at least two sensors in the computer-aided surgical navigation system is precluded, and whereby when two of the fiducial members are positioned collinear to one of the sensors in the computer-aided surgical navigation system, no other of said members are positioned collinear to any other of said sensors.

摘要翻译： 用于提供与计算机辅助外科导航系统一起使用的导航阵列的方法和装置。 根据本发明的实施例的导航阵列被配置为提供多个基准构件，其包括能够被与计算机辅助外科导航系统相关联的至少两个传感器感测的部分，以便确定阵列的位置和取向 由系统。 阵列可以包括连接至少一些基准构件的非分段公共点，其中至少一个基准构件与另外三个基准构件不平面，并且其中与导航阵列相关联的位置和取向可以 通过计算机辅助外科导航系统来感测至少三个基准成员来确定。 该阵列还可以包括适于支撑与物体相邻的导航阵列的安装件，外科器械或关节置换假体; 从而排除了所有基准构件在计算机辅助外科导航系统中与至少两个传感器共面定位的物理可能性，并且由此当两个基准构件与计算机辅助外科导航系统中的一个传感器共线定位时， 辅助的外科导航系统，所述构件中没有其他的构件与所述传感器中的任何其它传感器共线定位。

公开(公告)号：US07794467B2

公开(公告)日：2010-09-14

申请号：US10989835

申请日：2004-11-15

申请人： Brian J. McGinley ,  Daniel McCombs ,  Chester Paul Wheeler

发明人： Brian J. McGinley ,  Daniel McCombs ,  Chester Paul Wheeler

IPC分类号： A61B17/58

CPC分类号： A61B17/155 ,  A61B17/00234 ,  A61B17/157 ,  A61B34/20 ,  A61B90/11 ,  A61B2017/320052 ,  A61B2090/3983

摘要： Adjustable and modular systems, devices and methods for accurately cutting or resecting bones during surgery, particularly in preparation for installing joint implants during arthroplasties, including, but not limited to, preparation of femur or tibia during knee arthroplasties, such as total knee arthroplasty. The embodiments of the present invention provide solutions for adjusting a position of the cutting guides, or structures for guiding or directing the implements for resecting a patient's bone tissue, such as saws. The systems and devices comprise an adjustor for adjusting the cutting guide's position at the patient's bone in at least one degree of rotational freedom and in at least one degree of translational freedom.

摘要翻译： 特别是准备在关节置换期间安装关节植入物，包括但不限于股骨或胫骨在膝关节置换术期间的准备，例如全膝关节置换术，在手术期间精确切割或切除骨骼的可调节和模块化系统，装置和方法。 本发明的实施例提供了用于调节切割引导件或用于引导或引导用于切割患者的骨骼组织（例如锯）的器具的结构的解决方案。 系统和装置包括调节器，用于以至少一个旋转自由度和至少一个平移自由度调节切割引导件在患者骨骼处的位置。