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公开(公告)号：US08634897B2
公开(公告)日：2014-01-21
申请号：US12966407
申请日：2010-12-13
IPC分类号： A61B5/055
CPC分类号： A61B19/50 , A61B6/12 , A61B6/4441 , A61B34/10 , A61B34/20 , A61B34/25 , A61B90/36 , A61B2017/00725 , A61B2034/104 , A61B2034/107 , A61B2034/2072 , A61B2090/061 , A61B2090/376 , A61B2090/378 , G06F19/00
摘要： A method and apparatus for determining, calculating, and/or viewing a trajectory. The trajectory can be displayed on a display relative to image data of a patient. A user can use the system to determine relationships between two or more trajectories that have been determined. The relationships can be within two dimensional, three-dimensional, or four dimensional space. The relationships can include distance, angle, etc. The relationships can also be determined between real time trajectories and stored trajectories, or combinations thereof.
摘要翻译： 一种用于确定，计算和/或查看轨迹的方法和装置。 轨迹可以相对于患者的图像数据显示在显示器上。 用户可以使用该系统来确定已确定的两个或更多个轨迹之间的关系。 关系可以在二维，三维或四维空间内。 关系可以包括距离，角度等。还可以在实时轨迹和存储的轨迹之间确定关系，或者其组合。
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公开(公告)号：USRE45484E1
公开(公告)日：2015-04-21
申请号：US13453709
申请日：2012-04-23
CPC分类号： A61B17/8875 , A61B17/16 , A61B17/1655 , A61B34/10 , A61B34/20 , A61B90/36 , A61B90/96 , A61B2017/0046 , A61B2034/107 , A61B2034/2055 , A61B2034/2072 , A61B2090/3983
摘要： A trackable medical instrument for use in a computer assisted image guided medical and surgical navigation systems that generate images during medical and surgical procedures, includes a guide member having an emitter array for being tracked by the system and a drive shaft contained within the guide member having a proximal and a distal end, the drive shaft being rotatable within the guide member while being fixable axially inside the guide member, the proximal end of the drive shaft having a first connector for interchangeably receiving at least one drive source, and the distal end having a second connector for interchangeably receiving at least one instrument tip.
摘要翻译： 一种用于在医疗和外科手术过程中产生图像的计算机辅助图像引导医疗和外科导航系统中的可追踪医疗器械，包括具有用于由系统跟踪的发射器阵列的引导构件和包含在引导构件内的驱动轴， 近端和远端，所述驱动轴可在所述引导构件内旋转，同时可轴向地固定在所述引导构件内部，所述驱动轴的近端具有用于可互换地容纳至少一个驱动源的第一连接器，并且所述远端具有 用于可互换地接收至少一个仪器尖端的第二连接器。
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公开(公告)号：US20110077508A1
公开(公告)日：2011-03-31
申请号：US12966407
申请日：2010-12-13
IPC分类号： A61B5/05
CPC分类号： A61B19/50 , A61B6/12 , A61B6/4441 , A61B34/10 , A61B34/20 , A61B34/25 , A61B90/36 , A61B2017/00725 , A61B2034/104 , A61B2034/107 , A61B2034/2072 , A61B2090/061 , A61B2090/376 , A61B2090/378 , G06F19/00
摘要： A method and apparatus for determining, calculating, and/or viewing a trajectory. The trajectory can be displayed on a display relative to image data of a patient. A user can use the system to determine relationships between two or more trajectories that have been determined. The relationships can be within two dimensional, three-dimensional, or four dimensional space. The relationships can include distance, angle, etc. The relationships can also be determined between real time trajectories and stored trajectories, or combinations thereof.
摘要翻译： 一种用于确定，计算和/或查看轨迹的方法和装置。 轨迹可以相对于患者的图像数据显示在显示器上。 用户可以使用系统来确定已经确定的两个或更多个轨迹之间的关系。 关系可以在二维，三维或四维空间内。 关系可以包括距离，角度等。还可以在实时轨迹和存储的轨迹之间确定关系，或者其组合。
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4.发明申请公开(公告)号：US20090203967A1
公开(公告)日：2009-08-13
申请号：US12384542
申请日：2009-04-06
IPC分类号： A61B1/32
CPC分类号： A61B17/3439 , A61B17/0206 , A61B17/0293 , A61B17/3423 , A61B2017/2829 , A61B2017/2837
摘要： Methods and devices retract tissue for minimally invasive surgery in a patient. A retractor includes a working channel formed by a first portion and a second portion. The first and second portions are movable relative to one another from a first configuration for insertion that minimizes trauma to skin and tissue to an enlarged configuration after insertion to further retract skin and tissue in a minimally invasive manner. Instruments are engageable to the first and second portions and operable to move the first and second portions relative to one another.
摘要翻译： 方法和装置缩回组织以在患者中进行微创手术。 牵开器包括由第一部分和第二部分形成的工作通道。 第一和第二部分可以相对于彼此移动，从用于插入的第一构造可以将插入后的皮肤和组织的创伤最小化到进一步缩回皮肤和组织的微小形式的扩大构型。 仪器可接合到第一和第二部分并且可操作以相对于彼此移动第一和第二部分。
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公开(公告)号：US06945933B2
公开(公告)日：2005-09-20
申请号：US10180658
申请日：2002-06-26
CPC分类号： A61B17/3439 , A61B17/0206 , A61B17/0293 , A61B17/3423 , A61B2017/2829 , A61B2017/2837
摘要： Methods and devices retract tissue for minimally invasive surgery in a patient. A retractor includes a working channel formed by a first portion and a second portion. The first and second portions are movable relative to one another from a first configuration for insertion that minimizes trauma to skin and tissue to an enlarged configuration after insertion to further retract skin and tissue in a minimally invasive manner. Instruments are engageable to the first and second portions and operable to move the first and second portions relative to one another.
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公开(公告)号：US09095444B2
公开(公告)日：2015-08-04
申请号：US12508669
申请日：2009-07-24
CPC分类号： A61B17/8052 , A61B17/7059 , A61B17/8605 , A61B17/8625 , A61B17/863 , A61B2017/00955 , A61F2/30749 , A61F2/30965 , A61F2/4425 , A61F2/4455 , A61F2002/30016 , A61F2002/30517 , A61F2002/30578 , A61F2002/30649 , A61F2002/30787 , A61F2002/30794 , A61F2002/4475 , A61F2220/0008 , A61F2220/0025 , A61F2250/0019 , A61F2310/00017 , A61F2310/00023
摘要： An implant with an interference fit fastener for attaching the implant to a bone. The interference fit prevents backout of the fastener after the attachment. The implant may include a passage with a first end and second end. The passage may include a first interference section between the first and second ends. A fastener with an elongated shape may be sized to extend through the passage to attach the implant to the bone. The fastener may include a second interference section. During insertion of the fastener through the passage and into the bone, the second interference section of the fastener may contact against and modify or be modified by the first interference section of the passage. This modification may create the interference fit between the implant and the fastener that prevents backout. The interference sections may remain in contact or may move apart once the fastener is fully attached to the bone.
摘要翻译： 具有用于将植入物附接到骨头的过盈配合紧固件的植入物。 过盈配合可以防止紧固件在附件之后脱落。 植入物可以包括具有第一端和第二端的通道。 通道可以包括第一和第二端之间的第一干涉部分。 具有细长形状的紧固件的尺寸可以设置成延伸穿过通道以将植入物附接到骨头。 紧固件可以包括第二干涉部分。 在将紧固件穿过通道插入骨头期间，紧固件的第二干涉部分可以与通道的第一干涉部分接触并改变或修改。 该修改可以产生植入物和紧固件之间的过盈配合，其防止回退。 一旦紧固件完全附接到骨头上，干涉部分可以保持接触或者可以移开。
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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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公开(公告)号：US07608096B2
公开(公告)日：2009-10-27
申请号：US10385396
申请日：2003-03-10
IPC分类号： A61B17/70
CPC分类号： A61B17/701 , A61B17/7007 , A61B17/8014 , A61B17/8042 , A61B17/8047
摘要： An apparatus is provided for correcting spinal abnormalities, and particularly for providing compression and/or distraction of vertebrae without additional tools or instrumentation. A plate member is provided with a plurality of slots, one of which has a sloped internal edge or surface. The plate is anchored to one vertebra by a first anchor, and a second anchor is then placed through the slot with the sloped internal edge or surface and tightened. Such tightening causes the plate to move with respect to the tightened anchor, and thus to transmit compression or distraction to the vertebrae. The apparatus is particularly useful in minimally-invasive surgeries but can also be used in more traditional open surgeries.
摘要翻译： 提供了用于校正脊柱异常的装置，特别是用于在没有附加工具或器械的情况下提供椎骨的压缩和/或牵引。 板构件设置有多个狭槽，其中一个槽具有倾斜的内部边缘或表面。 该板通过第一锚固件锚固到一个椎骨，然后将第二锚固件通过具有倾斜的内部边缘或表面的狭槽放置，并且紧固。 这种紧固导致板相对于紧固的锚移动，从而将压缩或牵引传递到椎骨。 该装置在微创手术中特别有用，但也可用于更传统的开放手术。
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9.发明授权Systems and methods for determining optimal retractor length in minimally invasive procedures 有权用于在微创手术中确定最佳牵开器长度的系统和方法公开(公告)号：US07434325B2
公开(公告)日：2008-10-14
申请号：US10899225
申请日：2004-07-26
申请人： Kevin T. Foley , Anthony J. Melkent
发明人： Kevin T. Foley , Anthony J. Melkent
CPC分类号： A61B17/025 , A61B90/06 , A61B2017/00261 , A61B2017/0256 , A61B2090/062
摘要： A measurement instrument is provided with indicia extending therealong. The measurement instrument indicia is correlated with an indicator of a reference instrument. The measurement instrument is positionable adjacent the entry location of a portal into a patient when the reference instrument is in the portal. The indicator of the reference instrument is correlated to a target location in the patient, and a location of the indicator along the indicia provides an indication of the optimal length for a retractor to be positioned in the portal.
摘要翻译： 测量仪器具有沿其延伸的标记。 测量仪器标记与参考仪器的指标相关。 当参考仪器在门户中时，测量仪器可以定位在入口进入病人的入口位置。 参考仪器的指示器与患者中的目标位置相关，并且沿着标记的指示器的位置提供了牵开器位于门静脉中的最佳长度的指示。
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公开(公告)号：US20110106157A1
公开(公告)日：2011-05-05
申请号：US12609520
申请日：2009-10-30
CPC分类号： A61B17/863 , A61F2/447 , A61F2002/30787 , A61F2002/3079 , A61F2002/30843 , A61F2002/30891 , A61F2002/4475
摘要： The present invention is generally directed to a unique bone screw which, in one form, may be used to engage with and attach an implant to bone or bony tissue. In one embodiment, a bone screw includes an elongate shank extending along a longitudinal axis from an enlarged proximal head portion to a distal tip. The elongate shank includes a first portion having a first non-tapered, linear external profile and a second portion having a first tapered external profile that increases toward the proximal head portion. The second portion is positioned between the first portion and the head portion and terminates distally of the proximal head portion. In one form of this embodiment, the bone screw can be advanced through a passage of an implant such that an interference fit is provided between the bone screw and the implant.
摘要翻译： 本发明通常涉及一种独特的骨螺钉，其以一种形式可用于与植入物或骨组织接合并附着植入物。 在一个实施例中，骨螺钉包括沿着纵向轴线从扩大的近侧头部部分延伸到远侧末端的细长柄部。 细长柄包括具有第一非锥形线性外部轮廓的第一部分和具有朝近侧头部部分增加的第一锥形外部轮廓的第二部分。 第二部分位于第一部分和头部之间，并且在近端头部的远侧终止。 在该实施例的一种形式中，骨螺钉可以通过植入物的通道前进，使得在骨螺钉和植入物之间提供过盈配合。
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