公开(公告)号：US09084687B2

公开(公告)日：2015-07-21

申请号：US13145357

申请日：2009-12-18

申请人： Ivan Green ,  Robert Freeman ,  Steven Gowers

发明人： Ivan Green ,  Robert Freeman ,  Steven Gowers

IPC分类号： A61B17/58 ,  A61B17/17 ,  A61F2/34 ,  A61F2/46 ,  A61F2/30 ,  A61B19/00

CPC分类号： A61F2/4657 ,  A61B17/1746 ,  A61B90/06 ,  A61F2/34 ,  A61F2/4603 ,  A61F2002/30471 ,  A61F2002/30617 ,  A61F2002/4668 ,  A61F2002/4687 ,  A61F2220/0091 ,  A61F2250/0097

摘要： An orientation guide comprising a housing arranged to couple to a surgical instrument. In one embodiment the orientation guide further comprises first and second indicators (22, 26). The first indicator (22) is pivotally coupled to the housing (20) such that the first indicator (22) can rotate relative to the housing (20) about a first axis (24) to maintain its angular position about the first axis (24) relative to a vertical axis irrespective of movement of the housing (20). The second indicator (26) surrounds the first indicator (22) and is pivotally coupled to the housing (20) such that the second indicator (26) can rotate relative to the housing (20) about a second axis (32) orthogonal to the first axis (24) to maintain its angular position about the second axis (32) relative to the vertical axis irrespective of movement of the housing (20). The angular position of the housing (20) about the first and second axes (24,32) is indicated by the position of the first indicator (22) relative to the second indicator (26). In a second embodiment the housing (2) comprises a cavity filled with a fluid. An indicator (4) is supported within the fluid such that the indicator (4) can rotate relative to the housing (2) about a first axis to maintain its angular position about the first axis relative to a vertical axis irrespective of movement of the housing (2). The indicator (4) comprises a marking arranged to indicate the angular position of the indicator (4) relative to the housing (2) about the first axis. The housing (2) has at least one transparent portion for viewing the marking. A measuring element (8) is coupled to the housing (2) and arranged to slide relative to the housing (2) to be aligned with the indicator marking such that the angular position of the housing (2) about the first axis can be recorded.

摘要翻译： 一种定向指南，包括布置成联接到手术器械的壳体。 在一个实施例中，定向指南还包括第一和第二指示器（22,26）。 第一指示器（22）枢转地联接到壳体（20），使得第一指示器（22）可以围绕第一轴线（24）相对于壳体（20）旋转，以保持其围绕第一轴线（24）的角位置 ），而与壳体（20）的运动无关。 第二指示器（26）围绕第一指示器（22）并且枢转地联接到壳体（20），使得第二指示器（26）可以围绕与第二指示器（22）正交的第二轴线（32）相对于壳体（20）旋转 第一轴线（24），以便与壳体（20）的运动无关地相对于垂直轴线保持其围绕第二轴线（32）的角位置。 壳体（20）围绕第一和第二轴线（24,32）的角度位置由第一指示器（22）相对于第二指示器（26）的位置指示。 在第二实施例中，壳体（2）包括填充有流体的空腔。 指示器（4）被支撑在流体内，使得指示器（4）可围绕第一轴线相对于壳体（2）旋转，以使其围绕第一轴线相对于垂直轴线的角位置保持，而不管壳体 （2）。 指示器（4）包括用于指示围绕第一轴线相对于壳体（2）的指示器（4）的角位置的标记。 壳体（2）具有用于观察标记的至少一个透明部分。 测量元件（8）联接到壳体（2）并且布置成相对于壳体（2）滑动以与指示器标记​​对齐，使得可以记录壳体（2）围绕第一轴线的角位置 。

公开(公告)号：US08795362B2

公开(公告)日：2014-08-05

申请号：US13203063

申请日：2010-02-26

申请人： James Anderson ,  Ivan Green ,  Gary Moore

发明人： James Anderson ,  Ivan Green ,  Gary Moore

IPC分类号： A61F2/28

CPC分类号： A61F2/28 ,  A61B17/68 ,  A61B17/7098 ,  D04C1/06 ,  D04C3/48 ,  D10B2509/00

摘要： A support structure implant for location within a bone cavity to support the bone which defines the cavity is formed from wires by braiding in a machine direction from a first end of the structure towards an opposite second end. The wires are formed into loops at the first end of the structure so that two lengths of wire extend away from each loop and a reformed into the braid. Each of the wires which is formed into the braid is held at the second end of the structure in a clamp. The clamp is provided by a support ring and a clamp ring which is formed from a shape memory alloy which can shrink to clamp the wires against the support ring when heated.

摘要翻译： 用于位于骨腔内的用于支撑限定腔的骨的支撑结构植入物通过沿机器方向从结构的第一端向相对的第二端编织而形成。 电线在结构的第一端形成环，使得两段电线从每个环延伸远离并重新形成编织物。 形成为编织物的每条线材都被夹持在结构的第二端。 夹具由支撑环和夹持环提供，该夹环由形状记忆合金形成，当加热时，该形状记忆合金可以收缩以将线夹在支撑环上。

公开(公告)号：US08591582B2

公开(公告)日：2013-11-26

申请号：US13203074

申请日：2010-02-26

申请人： James Anderson ,  Ivan Green ,  Gary Moore

发明人： James Anderson ,  Ivan Green ,  Gary Moore

IPC分类号： A61F2/28

CPC分类号： A61B17/68 ,  A61B17/8858

摘要： A support structure implant for location within a bone cavity to support the bone which defines the cavity is formed from interlaced wires which extend from a first end of the structure towards an opposite second end. The wires are formed into loops at the first end of the structure. The structure includes a clip having a plurality of fingers which extend through the loops to control the spacing between the loops.

摘要翻译： 用于在骨腔内定位以支撑限定空腔的骨的支撑结构植入物由从结构的第一端向相对的第二端延伸的交错线形成。 电线在结构的第一端形成环。 该结构包括具有多个指状物的夹子，其延伸穿过环路以控制环路之间的间隔。

公开(公告)号：US20120029633A1

公开(公告)日：2012-02-02

申请号：US13203074

申请日：2010-02-26

申请人： James Anderson ,  Ivan Green ,  Gary Moore

发明人： James Anderson ,  Ivan Green ,  Gary Moore

IPC分类号： A61F2/28

CPC分类号： A61B17/68 ,  A61B17/8858

摘要： A support structure implant for location within a bone cavity to support the bone which defines the cavity is formed from interlaced wires which extend from a first end of the structure towards an opposite second end. The wires are formed into loops at the first end of the structure. The structure includes a clip having a plurality of fingers which extend through the loops to control the spacing between the loops.

摘要翻译： 用于在骨腔内定位以支撑限定空腔的骨的支撑结构植入物由从结构的第一端向相对的第二端延伸的交错线形成。 电线在结构的第一端形成环。 该结构包括具有多个指状物的夹子，其延伸穿过环路以控制环路之间的间隔。

公开(公告)号：US20110130760A1

公开(公告)日：2011-06-02

申请号：US13056340

申请日：2009-07-16

申请人： James Anderson ,  Ivan Green ,  Chetan Rangaiah

发明人： James Anderson ,  Ivan Green ,  Chetan Rangaiah

IPC分类号： A61B17/16

CPC分类号： A61B17/1617 ,  A61B17/1624 ,  A61B17/1668

摘要： An instrument for forming a cavity within a bone. The instrument comprises a shaft, a blade pivotally mounted on the shaft towards a first end of the shaft and a push rod extending within the shaft and coupled to the blade, the push rod being arranged to slide within the shaft to cause the blade to rotate about its pivot. The instrument further comprises a depth stop coupled to the shaft arranged such that when the shaft is inserted into a bore extending into a bone the depth stop is arranged to engage bone surrounding the bore to limit movement of the shaft into the bore. A spring couples the push rod to the shaft and is arranged to resist axial movement of the push rod within the shaft towards the first end of the shaft. When the depth stop engages bone surrounding a bore, axial force exceeding the spring resistance applied to the push rod causes the push rod to slide within the shaft.

摘要翻译： 用于在骨骼内形成空腔的仪器。 该仪器包括一个轴，一个可枢转地安装在该轴上的刀片朝向该轴的第一端;以及推杆，其在该轴内延伸并联接到该刀片上，该推杆设置成在该轴内滑动以使该刀片旋转 关于它的枢轴。 所述仪器还包括联接到所述轴的深度止动件，其布置成使得当所述轴被插入到延伸到骨中的孔中时，所述深度限制器被布置成接合围绕所述孔的骨，以限制所述轴进入所述孔的运动。 弹簧将推杆连接到轴上并且被布置成阻止推杆在轴内朝向轴的第一端的轴向运动。 当深度停止接合钻孔周围的骨骼时，超过施加到推杆上的弹簧阻力的轴向力导致推杆在轴内滑动。

公开(公告)号：US20110313537A1

公开(公告)日：2011-12-22

申请号：US13203063

申请日：2010-02-26

申请人： James Anderson ,  Ivan Green ,  Gary Moore

发明人： James Anderson ,  Ivan Green ,  Gary Moore

IPC分类号： A61F2/28 ,  D04C1/00

CPC分类号： A61F2/28 ,  A61B17/68 ,  A61B17/7098 ,  D04C1/06 ,  D04C3/48 ,  D10B2509/00

摘要： A support structure implant for location within a bone cavity to support the bone which defines the cavity is formed from wires by braiding in a machine direction from a first end of the structure towards an opposite second end. The wires are formed into loops at the first end of the structure so that two lengths of wire extend away from each loop and a reformed into the braid. Each of the wires which is formed into the braid is held at the second end of the structure in a clamp. The clamp is provided by a support ring and a clamp ring which is formed from a shape memory alloy which can shrink to clamp the wires against the support ring when heated.

摘要翻译： 用于位于骨腔内的用于支撑限定腔的骨的支撑结构植入物通过沿机器方向从结构的第一端向相对的第二端编织而形成。 电线在结构的第一端形成环，使得两段电线从每个环延伸远离并重新形成编织物。 形成为编织物的每条线材都被夹持在结构的第二端。 夹具由支撑环和夹持环提供，该夹环由形状记忆合金形成，当加热时，该形状记忆合金可以收缩以将线夹在支撑环上。

公开(公告)号：US20120035612A1

公开(公告)日：2012-02-09

申请号：US13145357

申请日：2009-12-18

申请人： Ivan Green ,  Robert Freeman ,  Steven Gowers

发明人： Ivan Green ,  Robert Freeman ,  Steven Gowers

IPC分类号： A61B17/56

CPC分类号： A61F2/4657 ,  A61B17/1746 ,  A61B90/06 ,  A61F2/34 ,  A61F2/4603 ,  A61F2002/30471 ,  A61F2002/30617 ,  A61F2002/4668 ,  A61F2002/4687 ,  A61F2220/0091 ,  A61F2250/0097

摘要： An orientation guide comprising a housing arranged to couple to a surgical instrument. In one embodiment the orientation guide further comprises first and second indicators (22, 26). The first indicator (22) is pivotally coupled to the housing (20) such that the first indicator (22) can rotate relative to the housing (20) about a first axis (24) to maintain its angular position about the first axis (24) relative to a vertical axis irrespective of movement of the housing (20). The second indicator (26) surrounds the first indicator (22) and is pivotally coupled to the housing (20) such that the second indicator (26) can rotate relative to the housing (20) about a second axis (32) orthogonal to the first axis (24) to maintain its angular position about the second axis (32) relative to the vertical axis irrespective of movement of the housing (20). The angular position of the housing (20) about the first and second axes (24,32) is indicated by the position of the first indicator (22) relative to the second indicator (26). In a second embodiment the housing (2) comprises a cavity filled with a fluid. An indicator (4) is supported within the fluid such that the indicator (4) can rotate relative to the housing (2) about a first axis to maintain its angular position about the first axis relative to a vertical axis irrespective of movement of the housing (2). The indicator (4) comprises a marking arranged to indicate the angular position of the indicator (4) relative to the housing (2) about the first axis. The housing (2) has at least one transparent portion for viewing the marking. A measuring element (8) is coupled to the housing (2) and arranged to slide relative to the housing (2) to be aligned with the indicator marking such that the angular position of the housing (2) about the first axis can be recorded.

摘要翻译： 一种定向指南，包括布置成联接到手术器械的壳体。 在一个实施例中，定向指南还包括第一和第二指示器（22,26）。 第一指示器（22）枢转地联接到壳体（20），使得第一指示器（22）可以围绕第一轴线（24）相对于壳体（20）旋转，以保持其围绕第一轴线（24）的角位置 ），而与壳体（20）的运动无关。 第二指示器（26）围绕第一指示器（22）并且枢转地联接到壳体（20），使得第二指示器（26）可以围绕与第二指示器（22）正交的第二轴线（32）相对于壳体（20）旋转 第一轴线（24），以便与壳体（20）的运动无关地相对于垂直轴线保持其围绕第二轴线（32）的角位置。 壳体（20）围绕第一和第二轴线（24,32）的角度位置由第一指示器（22）相对于第二指示器（26）的位置指示。 在第二实施例中，壳体（2）包括填充有流体的空腔。 指示器（4）被支撑在流体内，使得指示器（4）可围绕第一轴线相对于壳体（2）旋转，以使其围绕第一轴线相对于垂直轴线的角位置保持，而不管壳体 （2）。 指示器（4）包括用于指示围绕第一轴线相对于壳体（2）的指示器（4）的角位置的标记。 壳体（2）具有用于观察标记的至少一个透明部分。 测量元件（8）联接到壳体（2）并且布置成相对于壳体（2）滑动以与指示器标记​​对齐，使得可以记录壳体（2）围绕第一轴线的角位置 。

公开(公告)号：US20110307072A1

公开(公告)日：2011-12-15

申请号：US13203110

申请日：2010-02-26

申请人： James Anderson ,  Ivan Green ,  Gary Moore

发明人： James Anderson ,  Ivan Green ,  Gary Moore

IPC分类号： A61F2/28

CPC分类号： A61B17/68 ,  A61B17/8858

摘要： A support structure implant for location within a bone cavity to support the bone which defines the cavity is formed from interlaced wires which extend from a first end of the structure towards an opposite second end. The structure flares outwardly from the first end to a maximum transverse dimension at a wide point between the first and second ends and tapers inwardly between the wide point and the second end to a constant cross-section throat portion at the second end. The structure includes a ring clamp at the second end to retain the wires in the throat portion which includes an internal support ring. The ratio of (a) the distance between the internal support ring and the interface between the tapering portion and the throat portion to (b) the diameter of the throat portion is not more than about 1.0.

摘要翻译： 用于在骨腔内定位以支撑限定空腔的骨的支撑结构植入物由从结构的第一端向相对的第二端延伸的交错线形成。 该结构在第一端部和第二端部之间的宽点处从第一端部向外突出到最大横向尺寸，并且在第二端部之间的宽点和第二端部之间向内逐渐变细到恒定的横截面的喉部。 该结构包括在第二端处的环夹，以将线保持在包括内部支撑环的喉部中。 （a）内部支撑环与锥形部分和喉部之间的界面之间的距离与（b）喉部的直径之比不大于约1.0。

公开(公告)号：US20110307021A1

公开(公告)日：2011-12-15

申请号：US13203178

申请日：2010-02-26

申请人： James Anderson ,  Ivan Green ,  Gary Moore

发明人： James Anderson ,  Ivan Green ,  Gary Moore

IPC分类号： A61B17/56

CPC分类号： A61B17/68 ,  A61B17/8858

摘要： An assembly for deploying a stranded support structure implant within a bone cavity to support the bone which defines the cavity comprises a support structure implant and an insertion tool. The support structure implant is formed from interlaced wires which extend from a first end of the structure towards an opposite second end. The structure flares outwardly from the first end to a maximum transverse dimension at a wide point between the first and second ends, and tapers inwardly between the wide point and the second end to a constant cross-section throat portion at the second end. The structure includes (i) a clip for controlling the spacing between the wires at the first end of the structure, in which the clip carries one of a spigot and a socket, and (ii) a ring clamp at the second end to retain the wires at the second end, in which the ring clamp has at least one clamp engagement formation. The insertion tool includes a probe end which carries the other of a spigot and a socket, so that the probe end and the clip can engage one another by means of the cooperating spigot and socket. An actuator moves the probe end relative to the tool engagement portion to cause the length of the implant to increase and its width to decrease.

摘要翻译： 用于在骨腔内展开绞合的支撑结构植入物以支撑限定腔的骨的组件包括支撑结构植入物和插入工具。 支撑结构植入物由从结构的第一端向相对的第二端延伸的隔行线形成。 该结构在第一端部和第二端部之间的宽点处从第一端部向外突出到最大横向尺寸，并且在第二端部之间的宽点和第二端部之间向内逐渐变细到恒定的横截面的喉部分。 该结构包括（i）用于控制在结构的第一端处的线之间的间隔的夹子，其中夹子承载插口和插座中的一个，以及（ii）在第二端处的环夹具以保持 在第二端的线，其中环夹具具有至少一个夹紧接合结构。 该插入工具包括一个探针端，该探针端承载另一个插口和插座，以便探针端和夹可以通过协作的插口和插座彼此接合。 致动器相对于工具接合部移动探头端部，使得植入物的长度增加并且其宽度减小。