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    Tibial milling guide system
    2.
    发明授权
    Tibial milling guide system 失效
    胫骨导引系统

    公开(公告)号：US5908424A

    公开(公告)日：1999-06-01

    申请号：US242987

    申请日：1994-05-16

    申请人： Kim C. Bertin ,  Robert Booth, Jr. ,  Dennis W. Burke ,  Rodney Bays ,  Terry L. Dietz ,  Gregory C. Stalcup ,  Richard D. Vanlaningham

    发明人： Kim C. Bertin ,  Robert Booth, Jr. ,  Dennis W. Burke ,  Rodney Bays ,  Terry L. Dietz ,  Gregory C. Stalcup ,  Richard D. Vanlaningham

    IPC分类号： B23C3/00 ,  A61B17/16 ,  A61B17/17 ,  A61B17/56 ,  A61B17/58 ,  A61B19/00 ,  A61F2/46

    CPC分类号： A61B17/1764 ,  A61B17/1675 ,  A61B2017/1602 ,  A61B2090/062 ,  A61F2002/4658

    摘要： A tibial milling guide which incorporates a combination of instruments for producing a planar surface on a portion of the tibia using a milling device. The system includes: an extramedullary alignment guide with a detachable reference guide, an adjustable milling base assembly, a detachable milling template, a sizing gauge, and a milling depth gauge. The reference guide is used to position the alignment guide to the tibia. The reference guide has a T-shaped member which provides a planar reference and a centering reference to the tibial head. The reference guide also allows the surgeon to set the rotational alignment before the alignment guide is secured in place. The adjustable milling base assembly is also detachably connected to the alignment guide. The milling base assembly includes a slide and a shiftable base that allows for lateral adjustments of the template with respect to the articular surface after the alignment guide has been properly secured to the tibia. The milling base is also extensibly connected to the alignment guide to allow the spacing between the articular surface and the template to be adjusted.

    摘要翻译： 胫骨铣削引导件，其结合使用铣削装置在胫骨的一部分上产生平坦表面的装置的组合。 该系统包括：具有可拆卸参考导向器的髓外对准引导件，可调铣削基座组件，可拆卸铣削模板，定径计和铣削深度计。 参考指南用于将对准引导件定位到胫骨。 参考指南具有T形构件，其提供平面参考和对胫骨头的定心参考。 参考指南还允许外科医生在对准引导件固定就位之前设置旋转对准。 可调铣削基座组件也可拆卸地连接到对准引导件。 铣削基座组件包括滑块和可移动底座，其允许在对准引导件已经被适当地固定到胫骨之后相对于关节表面横向调整模板。 铣削基座也可伸缩地连接到对准引导件，以允许调节关节表面和模板之间的间隔。

    Femoral milling instrumentation for use in total knee arthroplasty with optional cutting guide attachment
    3.
    发明授权
    Femoral milling instrumentation for use in total knee arthroplasty with optional cutting guide attachment 失效

    公开(公告)号：US5769855A

    公开(公告)日：1998-06-23

    申请号：US829626

    申请日：1997-03-31

    申请人： Kim C. Bertin ,  Dennis W. Burke ,  Gregory C. Stalcup ,  Rodney Bays

    发明人： Kim C. Bertin ,  Dennis W. Burke ,  Gregory C. Stalcup ,  Rodney Bays

    IPC分类号： A61B17/15 ,  A61B17/16 ,  A61B17/17 ,  A61B17/56

    CPC分类号： A61B17/155 ,  A61B17/154 ,  A61B17/17 ,  A61B17/1764 ,  A61B17/1675 ,  A61B2017/1602

    摘要： The milling instrumentation of this invention provides a milling guide connected to the femur for accommodating a milling device. The milling instrumentation includes an alignment guide which is used by the surgeon to set a femoral bracket or base on the medial and lateral sides of the exposed femur adjacent its distal end. Once the brackets are set, the alignment guide is removed and a milling guide is connected to the bases. The milling guide establishes a series of reference planes each including a slot. A powered milling device having a burr connected thereto is guided by the slots along the reference planes to accurately mill away a portion of the bone. The milling device includes a bobbin-shaped tip which positively engages the slots to ensure that the milling device is held substantially perpendicular to the reference planes of the milling guide. If necessary, other instrumentation may be connected to the femoral bases which would form a common connection point for the additional instruments thereby ensuring alignment between the various instruments. Optionally, a one piece cutting guide may be connected to the bases to allow resection of the bone by a standard oscillating saw blade. The cutting guide includes a plurality of slots such that all the cuts required for the femur can be made with one cutting guide without reorienting the guide.

    Alignment guide for use in orthopaedic surgery
    4.
    发明授权
    Alignment guide for use in orthopaedic surgery 失效
    骨科手术中使用的对齐指南

    公开(公告)号：US5484446A

    公开(公告)日：1996-01-16

    申请号：US265884

    申请日：1994-06-27

    申请人： Dennis W. Burke ,  Thomas Petersen ,  David Krueger ,  Rodney L. Bays

    发明人： Dennis W. Burke ,  Thomas Petersen ,  David Krueger ,  Rodney L. Bays

    IPC分类号： A61B17/56 ,  A61B17/15 ,  A61F2/46 ,  A61B17/17

    CPC分类号： A61B17/154 ,  A61B17/155

    摘要： The alignment guide of this invention includes a cam rotatable about the longitudinal axis of the alignment guide as defined by an intramedullary rod. A base plate is pivotally connected to the intramedullary rod and includes a pair of cam followers positioned on opposite sides of the intramedullary rod. In use, as the cam is rotated relative to the rod, the cam followers ride against the cam causing the plate to pivot or angulate relative to the rod. A plurality of indicia are formed on the cam to indicate to the surgeon the relative angle between the plate and the rod. The base plate includes a quick connect mechanism to permit the surgeon to quickly attach a device such as a cutting guide or pinning guide to the base plate. The cutting guide is fixed relative to the base plate such that the cutting guide will be at the same angular orientation as the plate relative to the intramedullary rod.

    摘要翻译： 本发明的对准引导件包括能够围绕由髓内杆限定的对准引导件的纵向轴线旋转的凸轮。 基板枢转地连接到髓内杆，并且包括位于髓内杆的相对侧上的一对凸轮从动件。 在使用中，当凸轮相对于杆旋转时，凸轮从动件抵靠凸轮，导致板相对于杆枢转或成角度。 在凸轮上形成多个标记，以向外科医生指示板和杆之间的相对角度。 基板包括快速连接机构，以允许外科医生将诸如切割引导件或钉扎引导件的装置快速附接到基板。 切割引导件相对于基板固定，使得切割引导件将与板相对于髓内杆处于相同的角度定向。

    Apparatus for cemented implantation of prostheses
    5.
    发明授权
    Apparatus for cemented implantation of prostheses 失效
    用于胶结植入假体的装置

    公开(公告)号：US4595006A

    公开(公告)日：1986-06-17

    申请号：US408468

    申请日：1982-08-16

    申请人： Dennis W. Burke ,  William H. Harris

    发明人： Dennis W. Burke ,  William H. Harris

    IPC分类号： A61F2/46

    CPC分类号： A61B17/8825 ,  A61B17/8808 ,  A61B17/8822 ,  A61B17/8827 ,  A61B2017/8838

    摘要： Apparatus and method for polymerizing cement under pressurized conditions and for applying the cement under pressure at the appropriate time to a human bone cavity for implantation of a prosthesis, including a stemmed femoral component and an acetabular component. This apparatus alters the physical conditions under which bone cement cures, causing a decrease in cement porosity and thus increasing the resultant cement strength. The apparatus includes a pneumatically actuated gun having a piston for applying pressure to the cement, and applying cement to the bone, a pressurizable housing securable to the gun for containing the cement, and a nozzle having a valve which allows the cement to remain pressurized until application thereof through the nozzle. In one embodiment, one component of a two component polymerizable cement is provided in a sealed bladder secured to the nozzle while the other component is injected into the bladder and mixed with the first component when the cement is ready for use. A vent may be provided in the piston of the pneumatic gun to allow air to escape through the piston to prevent the injection of air into the cement. A sealing gasket may be provided on the end of the nozzle for placement over the open end of the bone cavity so that cement can be applied thereto under pressure.

    摘要翻译： 用于在加压条件下聚合水泥的装置和方法，并且用于在合适的时间在压力下将水泥施加到人骨腔，用于植入假体，包括茎状股骨部件和髋臼部件。 该装置改变骨水泥固化的物理条件，导致水泥孔隙度降低，从而增加所得到的水泥强度。 该设备包括气动致动的枪，其具有用于向水泥施加压力并将骨水泥施加到活塞上的活塞，用于容纳水泥的可固定到枪的可加压壳体，以及具有允许水泥保持加压的阀的喷嘴，直到 通过喷嘴的应用。 在一个实施方案中，双组分可聚合水泥的一个组分设置在固定到喷嘴上的密封囊中，而当水泥准备使用时，将另一组分注入到气囊中并与第一组分混合。 可以在气动枪的活塞中设置排气口，以允许空气通过活塞逸出，以防止空气注入水泥中。 可以在喷嘴的端部设置密封垫圈以放置在骨腔的开口端上，使得水泥可以在压力下施加到其上。

    Method and apparatus for trochanter fixation
    6.
    发明授权
    Method and apparatus for trochanter fixation 有权
    转子固定方法及装置

    公开(公告)号：US06338734B1

    公开(公告)日：2002-01-15

    申请号：US09525549

    申请日：2000-03-14

    申请人： Dennis W. Burke ,  Ryan J. Schoenefeld

    发明人： Dennis W. Burke ,  Ryan J. Schoenefeld

    IPC分类号： A61B1756

    CPC分类号： A61B17/8061 ,  A61B17/74 ,  A61B17/842 ,  Y10S606/902

    摘要： An implant for use in fixing an resected portion of a bone to a proximal portion of the bone. The implant includes an anatomically shaped plate member having a generally straight first portion and a second portion. The first portion has a bone receiving groove on its inner side and at least one lower wire receiving groove on its exterior side. The bone receiving groove is adapted to receive a generally straight portion of the proximal portion of the bone. The second portion is coupled to the first portion at a first end and terminates at a distal end in at least one inwardly directed hook-shaped member. The second portion is curved to generally match the contour of an end portion of the bone. The hook-shaped member is adapted to abut the resected portion of the bone to prevent the resected portion from migrating from the straight portion of the proximal portion of the bone. A method for fixing an resected greater trochanter to a proximal femur is also provided.

    摘要翻译： 一种用于将骨的切除部分固定到骨的近端部分的植入物。 植入物包括具有大致直的第一部分和第二部分的解剖学上形状的板状部件。 第一部分在其内侧具有骨接收槽，在其外侧具有至少一个下部电线接收槽。 骨接收槽适于容纳骨的近端部分的大致直线部分。 第二部分在第一端处联接到第一部分并且终止于至少一个向内指向的钩状构件中的远端。 第二部分是弯曲的，以大致匹配骨的端部部分的轮廓。 钩形构件适于邻接骨的切除部分，以防止切除部分从骨的近端部分的直线部分迁移。 还提供了将切除的大转子固定到股骨近端的方法。