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公开(公告)号：US20150088293A1
公开(公告)日：2015-03-26
申请号：US14556785
申请日：2014-12-01
发明人： Robert METZGER
CPC分类号： A61F2/30942 , A61B34/10 , A61B2017/568 , A61B2034/102 , A61B2034/108 , A61F2/3859 , A61F2/46 , A61F2/5046 , A61F2002/30952 , A61F2002/4633 , G06F17/50 , G06F19/00 , G16H50/50
摘要： A pre-operative planning and manufacturing method for orthopedic surgery includes obtaining pre-operative medical image data representing a joint portion of a patient. The method also includes constructing a three-dimensional digital model of the joint portion and manufacturing a patient-specific alignment guide for the joint portion from the three-dimensional digital model of the joint portion when the image data is sufficient to construct the three-dimensional digital model of the joint portion. The patient-specific alignment guide has a three-dimensional patient-specific surface pre-operatively configured to nest and closely conform to a corresponding surface of the joint portion of the patient in only one position relative to the joint portion. The method further includes determining, from the image data, a size of a non-custom implant to be implanted in the patient and assembling a surgical kit including the non-custom implant when there is insufficient image data to construct the patient-specific alignment guide therefrom.
摘要翻译： 用于矫形外科手术的术前规划和制造方法包括获得表示患者的关节部分的术前医学图像数据。 该方法还包括当图像数据足以构成三维数字模型时，从关节部分的三维数字模型中构建关节部分的三维数字模型并制造用于关节部分的患者特异性对准引导件 联合部分的数字模型。 患者特异性对准引导件具有三维患者特异性表面，其预处理构造成仅在相对于关节部分的一个位置中嵌套并且紧密地符合患者的关节部分的对应表面。 该方法还包括从图像数据确定要植入患者的非定制植入物的尺寸，并且当没有足够的图像数据构建患者特异性对准指南时，组装包括非定制植入物的手术套件 由此。
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公开(公告)号：US20140309644A1
公开(公告)日：2014-10-16
申请号：US14316993
申请日：2014-06-27
IPC分类号： A61B17/17
CPC分类号： A61B17/17 , A61B17/15 , A61B17/151 , A61B17/154 , A61B17/155 , A61B17/1659 , A61B17/1675 , A61B17/1739 , A61B17/1764 , A61B17/58 , A61B34/10 , A61B2017/32006 , A61B2017/568 , A61B2034/108
摘要： An orthopedic device for cutting or resurfacing an outer bone surface of a bone of a patient includes first and second guides. Each guide has a patient-specific surface preoperatively configured as a negative surface of a portion of the outer bone surface of the bone and a plurality of elongated slots. The elongated slots of the second guide are offset relative to the elongated slots of the first guide and configured for guiding a tool to resurface the outer bone surface.
摘要翻译： 用于切割或重塑患者的骨的外骨表面的矫形装置包括第一和第二引导件。 每个引导件具有术前被构造为骨的外骨表面的一部分的负表面的多个细长槽。 第二引导件的细长槽相对于第一引导件的细长槽偏移并且构造成用于引导工具以重新显现外骨表面。
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公开(公告)号：US20140081275A1
公开(公告)日：2014-03-20
申请号：US14086447
申请日：2013-11-21
IPC分类号： A61B17/17
CPC分类号： A61B17/1764 , A61B17/155 , A61B17/157 , A61B17/58 , A61B34/10 , A61B2017/568 , A61B2034/108 , A61F2/389 , A61F2002/30014 , A61F2002/30018 , A61F2002/30604 , A61F2002/30617 , A61F2002/4662 , A61F2002/4668
摘要： A method of preparing a distal femur for a knee joint implant includes mounting a patient-specific bone engagement surface of a femoral alignment guide on a complementary surface of a distal femur of a patient. A plurality of alignment pins is inserted through a corresponding plurality of guiding bores of the femoral alignment guide into the distal femur. A cutting guide is mounted on first and second alignment pins of the plurality of alignment pins, and a first resection of the distal femur is made using the cutting guide while cutting through the femoral alignment guide.
摘要翻译： 制备用于膝关节植入件的远端股骨的方法包括将患者特定的股骨对准引导件的骨接合表面安装在患者的远端股骨的互补表面上。 多个对准销插入穿过股骨对准引导件的相应多个引导孔进入远端股骨。 切割引导件安装在多个对准销的第一和第二对准销上，并且在切割穿过股骨对准引导件时使用切割引导件进行远端股骨的第一切除。
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公开(公告)号：US20140018948A1
公开(公告)日：2014-01-16
申请号：US14020378
申请日：2013-09-06
发明人： Robert METZGER
IPC分类号： G06F17/50
CPC分类号： A61F2/30942 , A61B34/10 , A61B2017/568 , A61B2034/102 , A61B2034/108 , A61F2/3859 , A61F2/46 , A61F2/5046 , A61F2002/30952 , A61F2002/4633 , G06F17/50 , G06F19/00 , G16H50/50
摘要： A pre-operative planning and manufacturing method for orthopedic surgery includes obtaining pre-operative medical image data representing a joint portion of a patient. The method also includes constructing a three-dimensional digital model of the joint portion and manufacturing a patient-specific alignment guide for the joint portion from the three-dimensional digital model of the joint portion when the image data is sufficient to construct the three-dimensional digital model of the joint portion. The patient-specific alignment guide has a three-dimensional patient-specific surface pre-operatively configured to nest and closely conform to a corresponding surface of the joint portion of the patient in only one position relative to the joint portion. The method further includes determining, from the image data, a size of a non-custom implant to be implanted in the patient and assembling a surgical kit including the non-custom implant when there is insufficient image data to construct the patient-specific alignment guide therefrom.
摘要翻译： 用于矫形外科手术的术前规划和制造方法包括获得表示患者的关节部分的术前医学图像数据。 该方法还包括当图像数据足以构成三维数字模型时，从关节部分的三维数字模型中构建关节部分的三维数字模型并制造用于关节部分的患者特异性对准引导件 联合部分的数字模型。 患者特异性对准引导件具有三维患者特异性表面，其预处理构造成仅在相对于关节部分的一个位置中嵌套并且紧密地符合患者的关节部分的对应表面。 该方法还包括从图像数据中确定待植入患者的非定制植入物的尺寸，并且当没有足够的图像数据构建患者特异性对准指南时，组装包括非定制植入物的手术套件 由此。
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公开(公告)号：US20150305754A1
公开(公告)日：2015-10-29
申请号：US14703083
申请日：2015-05-04
发明人： Robert METZGER
CPC分类号： A61B17/1764 , A61B17/02 , A61B17/142 , A61B17/155 , A61B17/157 , A61B17/1675
摘要： A system for performing a resection of a selected portion of an anatomy with a resection instrument. The system includes a first member, a first movement defining portion defined by the first member, a second member, and a second movement defining portion of the second member. The first member is fixable to the selected portion of the anatomy. The second member is configured to cooperate with the first member. The first movement defining portion and the second movement defining portion are operable to allow the second member to be moveable relative to the first member from a first position to a second position. The resection instrument is positionable relative to the second member in the first position and in the second position to form a selected resection of the selected portion of the anatomy.
摘要翻译： 一种用切除器械切除解剖结构的选定部分的系统。 该系统包括第一构件，由第一构件限定的第一运动限定部分，第二构件和第二构件的第二运动限定部分。 第一个成员可以固定到解剖结构的所选部分。 第二构件配置成与第一构件配合。 第一移动限定部分和第二移动限定部分可操作以允许第二构件相对于第一构件从第一位置移动到第二位置。 切除器械可在第一位置和第二位置相对于第二构件定位，以形成所选择的解剖结构部分的切除。
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公开(公告)号：US20140378979A1
公开(公告)日：2014-12-25
申请号：US14483214
申请日：2014-09-11
发明人： Kevin T. STONE , Thomas J. MAUCH , Robert METZGER
IPC分类号： A61B17/17
CPC分类号： A61B17/1764 , A61B17/151 , A61B17/152 , A61B34/10 , A61B2034/105 , A61B2034/108
摘要： A method for preparing a bone of a joint during joint arthroplasty. The method includes mounting an alignment guide on the bone of a patient along an alignment direction. The method further includes anchoring the alignment guide into a cartilage of the bone using a plurality of patient-specific anchoring elements extending from an inner surface of alignment guide, each anchoring element having a patient-specific length extending between the inner surface and an end point of the corresponding anchoring element.
摘要翻译： 关节置换术期间关节骨的制备方法。 该方法包括沿对准方向将对准引导件安装在患者的骨骼上。 该方法还包括使用从对准引导件的内表面延伸的多个特定于患者的锚定元件将对准引导件固定到骨的软骨中，每个锚定元件具有在内表面和终点之间延伸的患者特定长度 的对应锚固元件。
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公开(公告)号：US20150057757A1
公开(公告)日：2015-02-26
申请号：US14532333
申请日：2014-11-04
IPC分类号： A61F2/38
CPC分类号： A61F2/3886 , A61F2/3836 , A61F2/3868 , A61F2002/30462 , A61F2002/30708 , A61F2220/0075
摘要： A method of implanting a prosthetic knee joint assembly. The method includes: coupling a femoral component to a femur, and coupling a tibial component to a tibia; coupling a ligament link to one of the femur or the tibia; coupling the ligament link to a coupling component of one of the femoral component or the tibial component; arranging the ligament link in a first position relative to the tibial component when the prosthetic knee joint assembly is implanted in a left knee; and arranging the ligament link in a second position relative to the tibial component when the prosthetic knee joint assembly is implanted in a right knee, the second position is different from the first position.
摘要翻译： 一种植入假膝关节组件的方法。 该方法包括：将股骨部件联接到股骨，以及将胫骨部件联接到胫骨; 将韧带连接到股骨或胫骨之一; 将韧带连接件联接到股骨部件或胫骨部件中的一个的联接部件; 当假体膝关节组件植入左膝时，将韧带连杆相对于胫骨部件布置在第一位置; 以及当所述假膝关节组件植入右膝盖时，将所述韧带连杆相对于所述胫骨部件布置在第二位置，所述第二位置与所述第一位置不同。
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公开(公告)号：US20140100578A1
公开(公告)日：2014-04-10
申请号：US14107316
申请日：2013-12-16
发明人： Robert METZGER , Nathan E. Belcher
IPC分类号： A61B17/17
CPC分类号： A61B17/58 , A61B17/00234 , A61B17/157 , A61B17/1764 , A61B34/10 , A61B2017/22001 , A61B2034/102
摘要： A device for an orthopedic knee procedure. The device includes a tibial drill guide having a body portion and first and second posts extending from the body portion, the first post shorter in length than the second post. The device includes a patient-specific tibial alignment guide including a body with an inner anatomy-engaging surface shaped to closely conform and mate with a corresponding tibial joint surface. The first and second guiding receptacles define first and second inner channels sized and shaped to receive the first and second posts of the tibial drill guide. The first receptacle being shorter in length than the second receptacle, such that when the alignment guide is mounted on the tibial joint surface and the drill guide is mounted on the alignment guide, the first receptacle and the first post define a clearance gap between the tibia and the device for a patellar tendon.
摘要翻译： 矫形膝关节手术装置。 该装置包括具有主体部分的胫骨钻引导件，以及从主体部分延伸的第一和第二柱，第一柱的长度比第二柱短。 该装置包括特定于患者的胫骨对准引导件，其包括具有内部解剖结合表面的主体，该内部构造形状以与相应的胫骨关节表面紧密配合并配合。 第一和第二引导容器限定第一和第二内部通道的尺寸和形状以接收胫骨钻引导件的第一和第二柱。 所述第一容器的长度短于所述第二容器，使得当所述对准引导件安装在所述胫骨关节表面上并且所述钻子引导器安装在所述对准引导件上时，所述第一容器和所述第一柱限定所述胫骨之间的间隙 和用于髌骨腱的装置。
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公开(公告)号：US20140094816A1
公开(公告)日：2014-04-03
申请号：US14100134
申请日：2013-12-09
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： A61F2/46
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： A method for inserting an acetabular implant into the acetabulum of a patient. The method includes engaging a patient-specific surface of acetabular alignment guide to a complementary rim surface and periacetabular area of a patient. A plurality of alignment pins are inserted through corresponding alignment apertures of the acetabular alignment guide and into the periacetabular area of the patient. The acetabular alignment guide is removed without removing the alignment pins from the patient. An alignment adapter is coupled to an acetabular inserter over the alignment pins and an acetabular implant is implanted using the acetabular inserter.
摘要翻译： 一种将髋臼植入物插入患者髋臼的方法。 该方法包括将髋臼对准引导件的患者特异性表面接合到患者的互补边缘表面和眶周区域。 多个对准销插入穿过髋臼对准引导件的对应的对准孔并进入患者的髋臼周围区域。 移除髋臼对准引导件，而不从患者移除对准销。 对准适配器通过对准销连接到髋臼插入器，并且使用髋臼插入器植入髋臼植入物。
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公开(公告)号：US20150351781A1
公开(公告)日：2015-12-10
申请号：US14746104
申请日：2015-06-22
IPC分类号： A61B17/17
CPC分类号： A61B17/1764 , A61B17/154 , A61B17/155 , A61B17/157 , A61B17/1703
摘要： A cut block positioning jig including a first alignment member, a second alignment member, and both first and second guide members. The first alignment member is movable towards and away from a patient's bone to which the positioning jig is mounted to arrange the jig at a predetermined position relative to the bone based on x-rays of the patient. The second alignment member is movable towards and away from the bone to arrange the jig at the predetermined position relative to the bone. The first and second guide members are configured to direct cut block support members to the bone to couple a cut block to the bone to provide the bone with patient-specific cuts.
摘要翻译： 一种切割块定位夹具，包括第一对准构件，第二对准构件以及第一和第二引导构件。 第一对准构件可朝向和远离患者骨骼移动，定位夹具安装到患者骨骼上，以将夹具基于患者的X射线相对于骨骼布置在预定位置。 第二对准构件可朝向和远离骨骼移动，以将夹具相对于骨头布置在预定位置。 第一和第二引导构件构造成将切割块支撑构件引导到骨头以将切割块连接到骨头，以向骨骼提供患者特异性切口。
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