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1.发明授权Apparatus and method for providing a reference indication to a patient tissue 有权用于向患者组织提供参考指示的装置和方法公开(公告)号：US08992539B2
公开(公告)日：2015-03-31
申请号：US13472662
申请日：2012-05-16
CPC分类号： A61B17/1739 , A61B17/15 , A61B17/1703 , A61B17/1778 , A61B2017/568 , A61F2/46 , A61F2/4612 , A61F2002/4635 , A61F2002/4687
摘要： An apparatus for providing a reference indication to a patient tissue includes a primary locating block having a patient-specific primary mating surface contoured for mating contact with a portion of the patient tissue in a predetermined primary mating orientation custom-configured responsive to preoperative imaging of the patient tissue. At least one mounting feature is provided to the primary locating block. At least one secondary item is configured for selective engagement with the primary locating block. The secondary item is at least one of a noncustomized secondary item and a patient-specific secondary item. The secondary item provides a reference indication to at least a portion of the patient tissue. The mounting feature of the primary locating block is configured for engagement with at least one secondary item in a predetermined secondary mounting relationship. The secondary mounting relationship is custom-configured for the patient tissue responsive to preoperative imaging of the patient tissue.
摘要翻译： 用于向患者组织提供参考指示的装置包括主要定位块，该主定位块具有患者特异性主配合表面，所述主定位块具有轮廓以与预先确定的主配合取向配合接触的患者组织的一部分， 患者组织。 至少一个安装特征被提供给主定位块。 至少一个次级物品被配置为与主定位块选择性地接合。 次要项目是非自定义次级项目和特定于患者的次级项目中的至少一个。 次级项目为患者组织的至少一部分提供参考指示。 主定位块的安装特征被配置成与预定的辅助安装关系中的至少一个次要物品接合。 二次安装关系是针对病人组织的术前成像进行响应的患者组织定制配置的。
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2.发明授权Apparatus and method for transferring predetermined spatial positioning information to an adjustable tool 有权将预定的空间定位信息传送到可调工具的装置和方法公开(公告)号：US08926627B2
公开(公告)日：2015-01-06
申请号：US13606160
申请日：2012-09-07
CPC分类号： A61F2/4657 , A61B17/1778 , A61F2/30724 , A61F2/30942 , A61F2/40 , A61F2/4603 , A61F2/4612 , A61F2002/30726 , A61F2002/4668 , A61F2002/4687
摘要： An apparatus transfers predetermined spatial positioning information to an adjustable tool. Means are provided for temporarily holding at least a carrier portion of the adjustable tool stationary relative to a manipulable reference surface. Means are provided for imparting predetermined spatial positioning information to the reference surface in a first degree of freedom. Means are provided for imparting predetermined spatial positioning information to the reference surface in a second degree of freedom. The predetermined spatial positioning information is imparted to the reference surface in the first and second degrees of freedom to generate a pre-set reference surface. At least a portion of the adjustable tool is held stationary relative to the pre-set reference surface. At least a functional portion of the adjustable tool is manipulated into a predetermined setting position relative to the reference surface. The predetermined setting position reflects a position of the pre-set reference surface.
摘要翻译： 设备将预定的空间定位信息传送到可调工具。 提供了用于临时保持可调节工具的至少一个承载部分相对于可操纵的参考表面固定的装置。 提供了用于在第一自由度中将参考表面赋予预定空间定位信息的装置。 提供了用于在第二自由度中将参考表面赋予预定空间定位信息的装置。 将预定的空间定位信息以第一和第二自由度赋予参考表面以产生预置参考表面。 可调节工具的至少一部分相对于预设的参考表面保持静止。 可调整工具的至少一个功能部分相对于参考表面被操纵到预定的设置位置。 预定的设定位置反映预先设定的基准面的位置。
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公开(公告)号：US08784429B2
公开(公告)日：2014-07-22
申请号：US13348034
申请日：2012-01-11
CPC分类号： A61B90/06 , A61B17/8897 , A61B2090/062 , A61B2090/0811
摘要： A distance indicator for indicating the distance that a device has traveled includes an elongate housing with a guidewire connector configured for operative connection to a guidewire to hold the housing stationary with respect thereto. A plunger is operatively connected to the housing for longitudinal motion with respect to the housing. A first plunger end is configured to operatively contact the device. As the guidewire connector is holding the housing stationary with respect to the guidewire, the first plunger end is placed into operative contact with the device with the plunger and housing in a first relative plunger/housing position. The device moves longitudinally. The plunger moves into a second relative plunger/housing position assisted by the operative connection between the first plunger end and the device. The longitudinal difference between the first and second relative plunger/housing positions indicates a distance that the device has moved longitudinally with respect to the guidewire.
摘要翻译： 用于指示设备行进的距离的距离指示器包括具有导丝连接器的细长壳体，所述引导线连接器被配置为可操作地连接到导线，以将壳体相对于其固定住。 柱塞可操作地连接到壳体，用于相对于壳体的纵向运动。 第一柱塞端构造成可操作地接触该装置。 由于导丝连接器将壳体相对于导丝固定住，所以第一柱塞端被放置成与装置工作接触，柱塞和壳体处于第一相对柱塞/壳体位置。 设备纵向移动。 柱塞移动到由第一柱塞端和装置之间的操作连接辅助的第二相对柱塞/壳体位置。 第一和第二相对柱塞/壳体位置之间的纵向差表示装置相对于导丝纵向移动的距离。
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公开(公告)号：US20130267958A1
公开(公告)日：2013-10-10
申请号：US13859831
申请日：2013-04-10
CPC分类号： A61B17/17 , A61B17/1746 , A61B17/1778 , A61B90/06 , A61B2090/067
摘要： A directed structure placement guide assists with positioning at least one directed structure in at least one of a predetermined insertion trajectory and a predetermined insertion location with respect to a patient tissue surface during preparation of the patient tissue surface to receive an implant. The implant has a tissue-contacting surface. A guide base has a distal base surface mimicking the structure of at least a portion of a tissue-contacting surface of the implant. The guide base also has a proximal base surface longitudinally spaced from the proximal base surface. At least one insertion guiding structure is movably supported by the guide base and is adjustable into a guiding configuration in which at least one of the predetermined insertion trajectory and the predetermined insertion location is selectively imparted to the directed structure.
摘要翻译： 定向结构放置引导件有助于在制备患者组织表面以接收植入物期间相对于患者组织表面将预定插入轨迹和预定插入位置中的至少一个中的至少一个定向结构定位。 植入物具有组织接触表面。 引导基部具有模仿植入物的组织接触表面的至少一部分的结构的远侧基面。 引导基部还具有与近侧基部表面纵向间隔开的近侧基部表面。 至少一个插入引导结构由引导基座可移动地支撑并且可调节成引导构造，其中预定插入轨迹和预定插入位置中的至少一个被选择性地施加到引导结构。
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5.发明申请SYSTEM OF PREOPERATIVE PLANNING AND PROVISION OF PATIENT-SPECIFIC SURGICAL AIDS 有权预防性规划和患者特异性手术艾滋病的提供制度公开(公告)号：US20130230838A1
公开(公告)日：2013-09-05
申请号：US13864558
申请日：2013-04-17
IPC分类号： G09B23/28
CPC分类号： G09B23/28 , A61B17/1739 , A61B17/1778 , A61B34/10 , A61B34/25 , A61B2017/568 , A61B2034/105 , A61B2034/108 , A61F2/4081 , A61F2002/4633 , G06F19/00 , G09B23/30 , G09B23/32 , G09B23/34
摘要： A method for assisting a user with surgical implementation of a preoperative plan includes generating a physical native tissue model of a native patient tissue. The physical native tissue model includes at least one primary patient tissue area including a surface of interest, at least one secondary patient tissue area including no surfaces of interest, and a base surface for engaging a supporting structure. The physical native tissue model, as generated, includes at least one information feature providing clinically useful information to the user. The information feature is substantially separated from the surface of interest. An apparatus for assisting a user with surgical implementation of a preoperative plan is also provided.
摘要翻译： 用于辅助用户外科实施术前计划的方法包括生成天然患者组织的物理天然组织模型。 物理本地组织模型包括至少一个主要患者组织区域，包括感兴趣的表面，至少一个不包括感兴趣的表面的辅助患者组织区域和用于接合支撑结构的基底表面。 生成的物理本地组织模型包括向用户提供临床上有用的信息的至少一个信息特征。 信息特征基本上与感兴趣的表面分离。 还提供了一种用于协助用户外科实施术前计划的装置。
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公开(公告)号：US20120290323A1
公开(公告)日：2012-11-15
申请号：US13469281
申请日：2012-05-11
IPC分类号： G06Q50/24
摘要： This disclosure relates to a visualization tool that can be implemented to facilitate medical decision making by providing an interactive graphical map of relevant health data. The interactive map can include graphical elements representing health data that can be obtained from an EHR and associations between such data that are represented by graphical connections. The graphical elements and associations can be modified to reflect medical decision making.
摘要翻译： 本公开涉及一种可视化工具，其可以通过提供相关健康数据的交互式图形图来实现以促进医学决策。 交互式地图可以包括表示可以从EHR获得的健康数据的图形元素以及由图形连接表示的这些数据之间的关联。 可以修改图形元素和关联，以反映医学决策。
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公开(公告)号：US08268007B2
公开(公告)日：2012-09-18
申请号：US12823765
申请日：2010-06-25
申请人： Wael K. Barsoum , Viktor E. Krebs
发明人： Wael K. Barsoum , Viktor E. Krebs
IPC分类号： A61F2/30
CPC分类号： A61F2/36 , A61F2/30734 , A61F2/385 , A61F2002/30332 , A61F2002/30364 , A61F2002/3037 , A61F2002/3054 , A61F2002/3055 , A61F2002/30601 , A61F2002/30738 , A61F2002/3656 , A61F2220/0033
摘要： An elongate, longitudinally oriented outer sleeve includes an outer sleeve surface defining a radially oriented proximal sleeve border, a radially oriented proximal sleeve rim intersecting the outer sleeve surface at the proximal sleeve border, an outer sleeve body enclosed by the outer sleeve surface and the proximal sleeve rim, and an elongate, longitudinally oriented stem-receiving cavity formed in the outer sleeve body and intersecting the proximal sleeve rim to define a stem-receiving aperture. A joint articulating member includes an elongate, longitudinally oriented stem, an articulating surface, and an interface rim. When the stem is at least partially inserted into the stem-receiving cavity, the proximal sleeve rim and the interface rim interact to change a longitudinal relationship between the outer sleeve and the joint articulating member responsive to relative radially-oriented rotation between the stem and the stem-receiving cavity.
摘要翻译： 细长的纵向定向的外套筒包括限定径向取向的近侧套筒边界的外套筒表面，与近侧套筒边界处的外套筒表面相交的径向取向的近侧套筒边缘，由外套筒表面和近侧套筒表面封闭的外套筒主体 套筒边缘和细长的纵向定向的杆接收空腔，其形成在外套管本体中并且与近侧套筒边缘相交以限定杆接收孔。 一关节铰接件包括细长的纵向取向的杆，铰接表面和界面边缘。 当杆至少部分地插入到杆接收腔中时，近侧套筒边缘和界面边缘相互作用以响应于杆和杆之间的相对径向取向的旋转而改变外套筒和接头铰接构件之间的纵向关系 杆接收腔。
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公开(公告)号：US20120203237A1
公开(公告)日：2012-08-09
申请号：US13348034
申请日：2012-01-11
IPC分类号： A61B17/56
CPC分类号： A61B90/06 , A61B17/8897 , A61B2090/062 , A61B2090/0811
摘要： A distance indicator for indicating the distance that a device has traveled includes an elongate housing with a guidewire connector configured for operative connection to a guidewire to hold the housing stationary with respect thereto. A plunger is operatively connected to the housing for longitudinal motion with respect to the housing. A first plunger end is configured to operatively contact the device. As the guidewire connector is holding the housing stationary with respect to the guidewire, the first plunger end is placed into operative contact with the device with the plunger and housing in a first relative plunger/housing position. The device moves longitudinally. The plunger moves into a second relative plunger/housing position assisted by the operative connection between the first plunger end and the device. The longitudinal difference between the first and second relative plunger/housing positions indicates a distance that the device has moved longitudinally with respect to the guidewire.
摘要翻译： 用于指示设备行进的距离的距离指示器包括具有导丝连接器的细长壳体，所述引导线连接器被配置为可操作地连接到导线，以将壳体相对于其固定住。 柱塞可操作地连接到壳体，用于相对于壳体的纵向运动。 第一柱塞端构造成可操作地接触该装置。 由于导丝连接器将壳体相对于导丝固定住，所以第一柱塞端被放置成与装置工作接触，柱塞和壳体处于第一相对柱塞/壳体位置。 设备纵向移动。 柱塞移动到由第一柱塞端和装置之间的操作连接辅助的第二相对柱塞/壳体位置。 第一和第二相对柱塞/壳体位置之间的纵向差表示装置相对于导丝纵向移动的距离。
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9.发明申请公开(公告)号：US20120109226A1
公开(公告)日：2012-05-03
申请号：US13282528
申请日：2011-10-27
IPC分类号： A61B17/56
CPC分类号： A61B17/88 , A61B17/1739 , A61B17/1778 , A61B17/8872 , A61B34/10 , A61B2034/107 , A61B2034/108 , A61B2090/3916
摘要： A stock instrument includes at least one guide interacting feature. A lower instrument surface of the stock instrument is placed into contact with the patient tissue. A guide has a lower guide surface contoured to substantially mate with at least a portion of an upper instrument surface of the stock instrument. A predetermined instrument orientation upon the patient tissue is defined, which is preselected responsive to preoperative imaging of the patient tissue. The guide and instrument are mated in a predetermined relative guide/instrument orientation wherein at least one guide interacting feature of the instrument is placed into engagement with at least one instrument guiding feature of the guide. The guide is moved into a predetermined guide orientation with respect to the patient tissue and concurrently the instrument is moved into a predetermined instrument orientation with respect to the patient tissue.
摘要翻译： 股票工具包括至少一个指导相互作用特征。 存放仪器的较低仪器表面与患者组织接触。 引导件具有成形的下引导表面，以与存货工具的上部工具表面的至少一部分基本配合。 定义在患者组织上的预定的仪器取向，其被选择为对患者组织的术前成像进行响应。 导向器和仪器以预定的相对引导/仪器取向配合，其中仪器的至少一个引导器相互作用特征被放置成与引导件的至少一个仪器引导特征接合。 引导件相对于患者组织移动到预定的引导方向，并且同时使器械相对于患者组织移动到预定的仪器取向。
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公开(公告)号：US20100198276A1
公开(公告)日：2010-08-05
申请号：US12613792
申请日：2009-11-06
IPC分类号： A61B17/56
CPC分类号： A61B17/7266 , A61B17/725 , A61B17/744 , A61B17/80 , A61B17/8625 , A61B2017/8655 , A61F2/30749 , A61F2/34 , A61F2/3662 , A61F2002/30579 , A61F2220/0008
摘要： An improved fastener apparatus includes an outer sleeve which is moved into a patient's body tissue. A distal end portion of the outer sleeve is expanded in the patient's body tissue. An inner sleeve is moved axially through the outer sleeve and a distal end of the inner sleeve is expanded in the patient's body tissue. The fastener apparatus may be provided with an external thread convolution on either or both of the inner and outer sleeves. During expansion of the distal end portion of either the inner or outer sleeve, a proximal end portion of the outer sleeve may be gripped and pulled to offset forces applied to the distal end portion of one of the sleeves. Although inner and outer sleeves may advantageously be utilized, the fastener apparatus may be constructed with only a single sleeve or three or more sleeves if desired. A secondary fastener assembly may be moved through a main fastener assembly.
摘要翻译： 改进的紧固件装置包括被移动到患者身体组织中的外套筒。 外套筒的远端部分在患者的身体组织中膨胀。 内套筒轴向移动穿过外套筒，并且内套筒的远端在患者的身体组织中膨胀。 紧固件装置可以在内套筒和外套筒之一或两者上设置有外螺纹卷积。 在内套筒或外套筒的远端部分的膨胀期间，外套筒的近端部分可以被夹紧并拉动以偏移施加到一个套筒的远端部分的力。 尽管可以有利地利用内部和外部套筒，但是如果需要，紧固件装置可以仅构造成仅具有单个套筒或三个或更多个套筒。 次级紧固件组件可以移动通过主紧固件组件。
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