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公开(公告)号：US07394818B1
公开(公告)日：2008-07-01
申请号：US09668652
申请日：2000-09-22
CPC分类号： H04M3/46 , H04M3/533 , H04M7/1245
摘要： Audible and signaling information sent through a multi-line hunt group may be transmitted over long distances using packet or IP-enabled communication networks. At least one remote site is connected to the communication network. The remote site includes a switch interconnecting a plurality of subscribers. At least one multi-line hunt group is connected to the switch. The communication system also includes at least one service site connected to the communication network. The service site includes a switch connected to a service platform. At least one multi-line hunt group is connected to the switch. A gateway interfaces each multi-line hunt group and the communication network. Each gateway converts audible information received over communication lines and signaling data received over each signaling line into a data format acceptable by the communication network.
摘要翻译： 通过多行寻线组发送的声音和信令信息可以使用分组或启用IP的通信网络在长距离上传输。 至少一个远程站点连接到通信网络。 远程站点包括互连多个订户的交换机。 至少有一个多线寻线组连接到交换机。 通信系统还包括连接到通信网络的至少一个服务站点。 服务站点包括连接到服务平台的交换机。 至少有一个多线寻线组连接到交换机。 网关连接每个多行寻线组和通信网络。 每个网关将通过通信线路接收的可听信息和通过每个信令线路接收的信令数据转换成通信网络可接受的数据格式。
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公开(公告)号：US5776200A
公开(公告)日：1998-07-07
申请号：US472815
申请日：1995-06-07
申请人： Chris E. Johnson , Tim Vendrely , Leo A. Whiteside , Thomas A. Carls , John Steele , Khosrow Naraghian
发明人： Chris E. Johnson , Tim Vendrely , Leo A. Whiteside , Thomas A. Carls , John Steele , Khosrow Naraghian
CPC分类号： A61F2/4684 , A61B17/155 , A61B17/1604 , A61B17/1675 , A61B17/1764 , A61F2/461 , A61B17/157 , A61B2017/1602 , A61B2090/033 , A61B90/06 , A61F2/38 , A61F2/3859 , A61F2/389 , A61F2002/30433 , A61F2002/30594 , A61F2002/30616 , A61F2002/30736 , A61F2002/4623 , A61F2002/4681 , A61F2220/0041
摘要： The method of implanting a femoral and a tibial knee prosthesis and instruments for surgically implanting the femoral and tibial prosthesis component as disclosed. The method includes the formation of a plurality of surgical cuts on the patient's distal femur. A trial tibial prosthesis is then fitted to the surgically prepared distal femur. The trial prosthesis has a femoral articulating surface and a non-articulating surface that fits the patient's distal femur at the surgical cuts. A surgeon then forms a transverse cut on the patient's proximal tibia. The surgeon places a tibial trial prosthesis on the patient's proximal tibia, the trial prosthesis including a tibial trial stem that fits the patient's intramedullary canal, a tibial trial metallic tray or plate, and a plastic trial insert that fits the tibial tray or plate. The plastic insert includes a tibial articulating surface that can articulate with the femoral articulating surface. The respective articulating surfaces are placed in contact and the surgeon then moves the patient's knee through a full range of motion. During this movement of patient's knee through a full range of motion, the surgeon uses a lever that is attached to the trial tibial prosthesis to rotate the trial tibial prosthesis about its stem. The surgeon can try different rotational positions of the tibial trial prosthesis each time moving the knee through a full range of motion to ensure proper orientation and an accurate fit.
摘要翻译： 公开了植入股骨和胫骨膝关节假体的方法和用于手术植入股骨和胫骨假体部件的器械。 该方法包括在患者的远端股骨上形成多个手术切口。 然后将试胫骨假体装配到手术制备的远端股骨。 试验假体具有股骨关节表面和在手术切口处适合患者的远端股骨的非关节表面。 然后，外科医生在患者的胫骨近端形成横切。 外科医生将胫骨试验假体放置在患者的近端胫骨上，试验假体包括适合患者髓内管，胫骨试验金属托盘或板的胫骨试验杆和适合胫骨托盘或板的塑料试验插入物。 塑料插入件包括能够与股骨关节表面铰接的胫骨关节表面。 相应的关节表面被放置成接触，并且外科医生然后使患者的膝盖移动通过全范围的运动。 在患者膝盖运动过程中，外科医生使用一根连接到胫骨假体假肢的杠杆来围绕其茎部旋转胫骨假体。 外科医生可以在每次将膝盖移动一整个运动范围时，尝试胫骨试验假体的不同旋转位置，以确保正确的定向和精确的配合。
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公开(公告)号：US20110301650A1
公开(公告)日：2011-12-08
申请号：US13211993
申请日：2011-08-17
IPC分类号： A61B17/86
CPC分类号： A61B17/7032 , A61B17/7037 , A61B2090/037
摘要： A medical implant device has in one embodiment a receiver member for receiving an elongated member, a crown member, an anchor member and a retaining member. An embodiment of the receiver member has an axial opening, a transverse channel, a chamber including at least one substantially flat wall, and a groove. An embodiment of the crown member has at least one substantially flat side. An embodiment of the anchor member has a head with at least one substantially flat surface that may be parallel to the anchor member's longitudinal axis, and an anchoring portion. An embodiment of the retaining member is a substantially flat clip. The crown member and anchor member are inserted into the chamber, and the retaining member is inserted into the groove beneath them. The anchor member may be pivoted substantially in one plane with respect to the receiver member until locked.
摘要翻译： 医疗植入装置在一个实施例中是用于接收细长构件，冠部构件，锚定构件和保持构件的接收构件。 接收器构件的一个实施例具有轴向开口，横向通道，包括至少一个基本平坦的壁的腔室和凹槽。 冠部件的一个实施例具有至少一个基本平坦的侧面。 锚定构件的实施例具有头部，该头部具有至少一个基本上平坦的表面，该表面可以平行于锚定构件的纵向轴线，以及锚定部分。 保持构件的实施例是基本平坦的夹子。 冠部构件和锚固构件插入腔室中，并且保持构件插入其下方的凹槽中。 锚定构件可以相对于接收器构件基本上在一个平面中枢转直到锁定。
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公开(公告)号：US5683469A
公开(公告)日：1997-11-04
申请号：US473144
申请日：1995-06-07
申请人： Chris E. Johnson , Tim Vendrely , Leo A. Whiteside , Thomas A. "Tommy" Carls , John Steele , Khosrow Naraghian
发明人： Chris E. Johnson , Tim Vendrely , Leo A. Whiteside , Thomas A. "Tommy" Carls , John Steele , Khosrow Naraghian
CPC分类号： A61F2/4684 , A61B17/155 , A61B17/1604 , A61B17/1675 , A61B17/1764 , A61F2/461 , A61B17/157 , A61B2017/1602 , A61B2090/033 , A61B90/06 , A61F2/38 , A61F2/3859 , A61F2/389 , A61F2002/30433 , A61F2002/30594 , A61F2002/30616 , A61F2002/30736 , A61F2002/4623 , A61F2002/4681 , A61F2220/0041
摘要： The method of implanting a femoral and a tibial knee prosthesis and instruments for surgically implanting the femoral and tibial prosthesis component as disclosed. The method includes the formation of a plurality of surgical cuts on the patient's distal femur. A trial tibial prosthesis is then fitted to the surgically prepared distal femur. The trial prosthesis has a femoral articulating surface and a non-articulating surface that fits the patient's distal femur at the surgical cuts. A surgeon then forms a transverse cut on the patient's proximal tibia. The surgeon places a tibial trial prosthesis on the patient's proximal tibia, the trial prosthesis including a tibial trial stem that fits the patient's intramedullary canal, a tibial trial metallic tray or plate, and a plastic trial insert that fits the tibial tray or plate. The plastic insert includes a tibial articulating surface that can articulate with the femoral articulating surface. The respective articulating surfaces are placed in contact and the surgeon then moves the patient's knee through a full range of motion. During this movement of patient's knee through a full range of motion, the surgeon uses a lever that is attached to the trial tibial prosthesis to rotate the trial tibial prosthesis about its stem. The surgeon can try different rotational positions of the tibial trial prosthesis each time moving the knee through a full range of motion to ensure proper orientation and an accurate fit.
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公开(公告)号：US5667511A
公开(公告)日：1997-09-16
申请号：US484611
申请日：1995-06-07
CPC分类号： A61B17/157
摘要： A method of preparing a patient's proximal tibia with a surgical saw and cutting instrumentation is disclosed. The method of the present invention prepares the patient's proximal tibial to receive a tibial implant. The patient's intramedullary canal is first reamed and then an intramedullary rod is placed in the intramedullary canal as a reference. A first cutting instrument is bound on the rod above the patient's proximal tibia. The first cutting instrument includes a stylus that is used to set the depth of cut by referencing the top of the proximal tibia. The proximal tibia is then transversely cut with the saw by tracking the first cutting guide surfaces with the saw. The first cutting instrument is removed together with its stylus. A secondary cutting instrument is then placed on the rod above the proximal tibia. The second cutting instrument has a cutter at its center for cutting longitudinally into the proximal tibia. A secondary cut is made on the proximal tibia by tracking the secondary cutting instrument and a guide surface provided on the upper end of the cutters that engage the center of the proximal tibia.
摘要翻译： 公开了一种用外科手术锯和切割仪器制备患者近端胫骨的方法。 本发明的方法准备患者的近端胫骨以接收胫骨植入物。 首先将患者的髓内管扩张，然后将髓内杆放置在髓内管中作为参考。 第一切割仪器绑在病人胫骨近端的杆上。 第一切割仪器包括用于通过参考胫骨近端的顶部设置切割深度的触针。 然后通过用锯跟踪第一切割引导表面，用锯横向切割近端胫骨。 第一个切割工具与其触笔一起拆除。 然后将二次切割器械放置在胫骨近端上方的杆上。 第二切割仪器在其中心具有切割器，用于纵向切入近端胫骨。 通过跟踪二次切割仪器和设置在接合胫骨近端的中心的切割器的上端上的引导表面，在近端胫骨上形成次切口。
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公开(公告)号：US08075599B2
公开(公告)日：2011-12-13
申请号：US11253046
申请日：2005-10-18
IPC分类号： A61B17/70
CPC分类号： A61B17/7032 , A61B17/7037 , A61B2090/037
摘要： A medical implant device has in one embodiment a receiver member for receiving an elongated member, a crown member, an anchor member and a retaining member. An embodiment of the receiver member has an axial opening, a transverse channel, a chamber including at least one substantially flat wall, and a groove. An embodiment of the crown member has at least one substantially flat side. An embodiment of the anchor member has a head with at least one substantially flat surface that may be parallel to the anchor member's longitudinal axis, and an anchoring portion. An embodiment of the retaining member is a substantially flat clip. The crown member and anchor member are inserted into the chamber, and the retaining member is inserted into the groove beneath them. The anchor member may be pivoted substantially in one plane with respect to the receiver member until locked.
摘要翻译： 医疗植入装置在一个实施例中是用于接收细长构件，冠部构件，锚定构件和保持构件的接收构件。 接收器构件的一个实施例具有轴向开口，横向通道，包括至少一个基本平坦的壁的腔室和凹槽。 冠部件的一个实施例具有至少一个基本平坦的侧面。 锚定构件的实施例具有头部，该头部具有至少一个基本上平坦的表面，该表面可以平行于锚定构件的纵向轴线，以及锚定部分。 保持构件的实施例是基本平坦的夹子。 冠部构件和锚固构件插入腔室中，并且保持构件插入其下方的凹槽中。 锚定构件可以相对于接收器构件基本上在一个平面中枢转直到锁定。
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公开(公告)号：US07618424B2
公开(公告)日：2009-11-17
申请号：US11118513
申请日：2005-04-29
申请人： Bryan S. Wilcox , Rodney Ballard , Chris E. Johnson , George Frey
发明人： Bryan S. Wilcox , Rodney Ballard , Chris E. Johnson , George Frey
CPC分类号： A61B17/025 , A61B17/7032 , A61B17/7077 , A61B2017/00477 , A61B2017/0256
摘要： An apparatus for use in orthopedic distraction or compression is disclosed. In the illustrated embodiments, two arms are provided that are connected by a rod or bar with a mechanism that enables the arms to be brought toward or away from each other. At the end of each arm, a tip for connecting to a bone implant is provided. The tips are pivotable with respect to the arms, and have an opening with a tab that allows insertion of an implant head having branches defining a channel. Once the tips are appropriately positioned, connected and locked to the bone implants, the mechanism can be operated to move the arms together in compression or apart in distraction.
摘要翻译： 公开了一种用于矫形牵引或压缩的装置。 在所示的实施例中，提供了两个臂，其通过杆或杆与具有使得臂能够相互接近或远离的机构连接。 在每个臂的末端，提供用于连接到骨植入物的尖端。 尖端相对于臂可枢转，并且具有带有突片的开口，该突片允许插入具有限定通道的分支的植入头。 一旦尖端被适当地定位，连接并锁定到骨植入物，则该机构可以被操作以将臂以压缩或分开的方式分开移动。
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公开(公告)号：US06689133B2
公开(公告)日：2004-02-10
申请号：US09978932
申请日：2001-10-16
申请人： Matthew M. Morrison , B. Thomas Barker , John Stewart Young , Jeffrey W. Beale , Chris E. Johnson
发明人： Matthew M. Morrison , B. Thomas Barker , John Stewart Young , Jeffrey W. Beale , Chris E. Johnson
IPC分类号： A61B1780
CPC分类号： A61B17/701 , A61B17/7007 , A61B17/8047 , A61B2090/037 , Y10S606/907
摘要： A multi-axial bone fixation implant includes an elongated member, one or more bone anchor assemblies, and stabilizer members which are fitted within the elongated member. A bone bolt having cancellous threads on one end and machine threads at the opposing end and an enlarged portion between these sections is also provided. The bone bolt is anchored into a bone via the cancellous thread end. The machine threaded end passes through an opening of the elongated member and the stabilizer, and is engaged by a coupled washer and nut. The washer includes an undercut within its oblong aperture, and the nut includes a projecting sleeve. The sleeve is inserted into the washer aperture and expanded, so that the undercut retains the sleeve within the washer without impairing the rotatability or translatability of the nut and washer with respect to each other. When locked by the nut and washer atop the elongated member, the enlarged portion of the bolt is forced against an inside wall of the stabilizer, which is in turn locked against the elongated member. Accordingly, the elongated member is fixed with respect to the bone anchor at one of an infinite number of multi-axial angles.
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公开(公告)号：US06280445B1
公开(公告)日：2001-08-28
申请号：US09526189
申请日：2000-03-15
申请人： Matthew M. Morrison , B. Thomas Barker , John Stewart Young , Jeffrey W. Beale , Chris E. Johnson
发明人： Matthew M. Morrison , B. Thomas Barker , John Stewart Young , Jeffrey W. Beale , Chris E. Johnson
IPC分类号： A61B1758
CPC分类号： A61B17/7058 , A61B17/7007 , A61B17/701 , A61B17/7011 , A61B17/7035 , A61B17/7037 , A61B17/7041 , A61B17/8033 , A61B17/8047 , A61B17/8695 , A61B2090/037
摘要： A spinal implant system is disclosed for the fixation of bone segments in the spine. The system includes an elongated member, one or more bone anchor assemblies, and stabilizer members which are fitted within the elongated member. A bone anchor is attached to a bone, and the elongated member and stabilizer are fitted over the bone anchor. A rounded washer and nut having a corresponding rounded underside surface are fitted on to the bone anchor over the elongated member, and tightened. The configuration of the bone anchor assembly, including an intermediate portion of the bone anchor, the arcuate washer, and the nut, along with the configuration of the sliding support, allows multi-axial positioning of the bone anchor with respect to the elongated member at a plurality of locations along a slotted member.
摘要翻译： 公开了用于在脊柱中固定骨段的脊柱植入系统。 该系统包括细长构件，一个或多个骨锚固组件和安装在细长构件内的稳定器构件。 骨锚附接到骨骼上，细长构件和稳定器安装在骨锚上。 具有相应的圆形下表面的圆形垫圈和螺母被安装在细长构件上的骨锚上，并被紧固。 包括骨锚固件的中间部分，弓形垫圈和螺母的骨锚固组件的结构以及滑动支撑件的构型允许骨锚固件相对于细长构件多轴向定位 沿着开槽构件的多个位置。
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公开(公告)号：US5879393A
公开(公告)日：1999-03-09
申请号：US861094
申请日：1997-05-21
申请人： Leo A. Whiteside , Jason D. Blain , Thomas A. Carls , Chris E. Johnson , Anthony J. Melkent , Paul Wheeler
发明人： Leo A. Whiteside , Jason D. Blain , Thomas A. Carls , Chris E. Johnson , Anthony J. Melkent , Paul Wheeler
CPC分类号： A61F2/4684 , A61B17/155 , A61B17/1604 , A61B17/1659 , A61F2/3859 , A61F2002/30604 , A61F2002/30616 , A61F2002/30736 , A61F2002/30878 , A61F2250/006 , A61F2250/0064
摘要： A posterior stabilized femoral trial apparatus for preparing a patient's femur to receive a posterior stabilized femoral prosthesis includes a trial body with proximal and distal portions, the distal portion having an articulating surface for articulating with a patient's tibial component. A module fits the trial body at the proximal surface, the module being selected from a kit or group of modules of differing sizes and shapes. The module includes a rasping surface that extends longitudinally. The trial body includes cutting surfaces at the posterior condyles. The module is removably attachable to the trial body at the proximal surface. During use, the apparatus of the present invention enables the surgeon to resect the patient's femur in a revision surgical case using the trial itself and more particularly the rasping surface and cutting surface thereon.
摘要翻译： 用于准备患者股骨以接收后稳定的股骨假体的后稳定的股骨试验装置包括具有近端和远端部分的试验体，所述远侧部分具有用于与患者的胫骨部件铰接的关节表面。 模块适合试验体在近端表面，模块选自不同尺寸和形状的试剂盒或模块组。 模块包括纵向延伸的锉削表面。 试验体包括后髁上的切割表面。 模块在近端表面可拆卸地附接到试验体。 在使用过程中，本发明的装置使得外科医生能够使用试验本身，特别是其上的锉削表面和切割表面，在修复的手术外壳中切除患者的股骨。
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