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公开(公告)号：US5688280A
公开(公告)日：1997-11-18
申请号：US686894
申请日：1996-07-26
申请人： Robert E. Booth, Jr. , Gregory C. Stalcup , Rodney Bays , Billy N. Sisk , Steven E. Dietzel , Timothy R. Miller
发明人： Robert E. Booth, Jr. , Gregory C. Stalcup , Rodney Bays , Billy N. Sisk , Steven E. Dietzel , Timothy R. Miller
CPC分类号： A61F2/4657 , A61B17/025 , A61B17/15 , A61B17/154 , A61B17/155 , A61B2017/0268 , A61B2017/2837 , A61B2090/061 , A61F2/38
摘要： The instrumentation set of this invention assists the surgeon in selecting the proper implant components, in determining the amount of distal bone to resect, and in aligning instrumentation designed to resect the bone. The instrumentation set provides numerous systems for verifying to the surgeon that he has correctly aligned the instruments prior to removing any bone. The set includes a rotational alignment guide, which aids the surgeon in establishing the appropriate rotational alignment for the knee as determined by reference to standard femoral landmarks such as the posterior condyles and epicondyles. The rotational alignment guide includes a slot for guiding a saw blade for removal of the posterior condyles of the femur. The set further includes a tensor designed to tense the knee joint in flexion and extension. The tensor is activated by a torque wrench so that a measured mount of tension force can be applied to the joint. The tensor is configured to slidably carry a sizing rod which contacts the femur and includes a plurality of markings, which relate to the size of the femur as well as the spacing between the femur and tibia. This information is used by the surgeon to select the proper size of femoral and tibial articulate surface components. The sizing rod also indicates to the surgeon any variation required in the amount of bone to be resected.
摘要翻译： 本发明的仪器组协助外科医生选择适当的植入部件，确定要切除的远端骨的量，以及对准被设计用于切除骨骼的仪器。 仪器组提供了许多系统，用于向外科医生验证他在去除任何骨骼之前已正确对准仪器。 该组包括旋转对准引导件，其帮助外科医生建立用于膝部的适当的旋转对准，如通过参考标准股骨标记（例如后髁和上髁）所确定的。 旋转对准引导件包括用于引导锯片以移除股骨的后髁的狭槽。 该组还包括设计成在弯曲和伸展时拉紧膝关节的张量。 张力由扭矩扳手激活，使得测量到的拉力可以施加到接头上。 张量构造成可滑动地携带与股骨接触的尺寸杆，并且包括多个标记，其与股骨的尺寸以及股骨和胫骨之间的间隔相关。 该信息由外科医生用于选择股骨和胫骨关节表面部件的适当尺寸。 定型杆还向外科医生指示要切除的骨量所需的任何变化。
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公开(公告)号：US5562674A
公开(公告)日：1996-10-08
申请号：US395234
申请日：1995-02-27
CPC分类号： A61B17/155 , A61B17/1764 , A61B17/1675 , A61B2017/1602
摘要： The invention is directed to an intramedullary guide rod assembly for use in orthopaedic surgery for aligning one or more milling or cutting guides. A guide member is pivotally connected to an intramedullary guide rod intermediate and proximal and distal ends thereof. An alignment mechanism selectively locks the guide member to the intramedullary guide rod between discrete predetermined positions relative the guide rod.
摘要翻译： 本发明涉及一种用于矫形外科手术中用于对准一个或多个研磨或切割引导件的髓内导杆组件。 引导构件枢转地连接到髓内导杆的中间及其近端和远端。 对准机构将引导构件选择性地将引导构件锁定在相对于导杆的离散的预定位置之间的髓内导杆上。
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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
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。
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公开(公告)号：US5769855A
公开(公告)日：1998-06-23
申请号：US829626
申请日：1997-03-31
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.
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公开(公告)号：US5540696A
公开(公告)日：1996-07-30
申请号：US369226
申请日：1995-01-06
CPC分类号： A61F2/4657 , A61B17/025 , A61B17/15 , A61B17/154 , A61B17/155 , A61B2017/0268 , A61B2017/2837 , A61B2090/061 , A61F2/38
摘要： The instrumentation set of this invention assists the surgeon in selecting the proper implant components, in determining the amount of distal bone to resect, and in aligning instrumentation designed to resect the bone. The instrumentation set provides numerous systems for verifying to the surgeon that he has correctly aligned the instruments prior to removing any bone.The set includes a rotational alignment guide, which aids the surgeon in establishing the appropriate rotational alignment for the knee as determined by reference to standard femoral landmarks such as the posterior condyles and epicondyles. The rotational alignment guide includes a slot for guiding a saw blade for removal of the posterior condyles of the femur.The set further includes a tensor designed to tense the knee joint in flexion and extension. The tensor is activated by a torque wrench so that a measured amount of tension force can be applied to the joint. The tensor is configured to slidably carry sizing rods, which contact the femur and include a plurality of markings, which relate to the size of the femur as well as the spacing between the femur and tibia. This information is used by the surgeon to select the proper size of femoral and tibial articulate surface components. The sizing rods are connected to the tensor when the tibial is in flexion and in extension, which will indicate to the surgeon any variation required in the amount of bone to be resected.
摘要翻译： 本发明的仪器组协助外科医生选择适当的植入部件，确定要切除的远端骨的量，以及对准被设计用于切除骨骼的仪器。 仪器组提供了许多系统，用于向外科医生验证他在去除任何骨骼之前已正确对准仪器。 该组包括旋转对准引导件，其帮助外科医生建立用于膝部的适当的旋转对准，如通过参考标准股骨标记（例如后髁和上髁）所确定的。 旋转对准引导件包括用于引导锯片以移除股骨的后髁的狭槽。 该组还包括设计成在弯曲和伸展时拉紧膝关节的张量。 张力由扭矩扳手激活，使得可以对接头施加测量量的张力。 所述张量被构造成可滑动地携带与所述股骨接触并且包括与股骨的尺寸以及股骨和胫骨之间的间隔相关的多个标记的定尺寸杆。 该信息由外科医生用于选择股骨和胫骨关节表面部件的适当尺寸。 当胫骨屈曲和伸展时，定尺杆连接到张量，这将向外科医生指示要切除的骨量所需的任何变化。
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公开(公告)号：USD367706S
公开(公告)日：1996-03-05
申请号：US22635
申请日：1994-05-09
申请人： Gregory C. Stalcup , Rodney Bays
设计人： Gregory C. Stalcup , Rodney Bays
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7.发明授权
公开(公告)号：US5860981A
公开(公告)日：1999-01-19
申请号：US864792
申请日：1997-05-29
申请人： Kim C. Bertin , Dennis W. Burke , Gregory C. Stalcup , Rodney Bays , Richard D. Vanlaningham , Terry L. Dietz , Daniel O'Connor
发明人： Kim C. Bertin , Dennis W. Burke , Gregory C. Stalcup , Rodney Bays , Richard D. Vanlaningham , Terry L. Dietz , Daniel O'Connor
CPC分类号： A61B17/17 , A61B17/155 , 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.
摘要翻译： 本发明的铣削装置提供了连接到股骨的铣削引导件，用于容纳铣削装置。 铣削仪器包括对准引导件，其被外科医生用于将股骨托架或基部设置在暴露的股骨的靠近其远端的内侧和外侧上。 一旦设置了支架，则取下对准导板，并将铣削导轨连接到基座。 铣削引导件建立了一系列参考平面，每个参考平面包括一个槽。 具有连接到其上的毛刺的动力铣削装置由沿着参考平面的狭槽引导，以精确地磨碎骨的一部分。 铣削装置包括一个线轴形的尖端，其正好与槽接合，以确保铣削装置基本上垂直于铣削导向器的参考平面。 如果需要，其他仪器可以连接到股骨基座，这将形成用于附加仪器的公共连接点，从而确保各种仪器之间的对准。 可选地，单件切割引导件可以连接到基部以允许通过标准摆动锯片切除骨骼。 切割引导件包括多个狭槽，使得股骨所需的所有切口可以由一个切割引导件制成，而不会使引导件重新定向。
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公开(公告)号：US5383875A
公开(公告)日：1995-01-24
申请号：US251449
申请日：1994-05-31
IPC分类号： H01H3/20
CPC分类号： H01H3/20 , H01H2300/014
摘要： A control lever assembly adapted for use with a powered surgical instrument which prevents the instrument from being inadvertently or accidentally activated. The assembly 10 includes a depressible control lever 20 for controlling the action of the instrument and a second safety lever or latch 30 which engages the trigger pin 6 of instrument only when selectively positioned with respect to control lever 20. Control lever 20 is secured to cutting device 2 by a mounting bracket 12. Safety latch 30 is pivotally carried by control lever 20 for shiftable movement between a safety position and an operational position. In the operational position, safety latch 30 engages trigger pin 6 when control lever 20 is depressed. Safety latch 30 cannot be switched from its safety position to its operational position when control lever 20 is depressed; therefore, the instrument is "locked-out" and cannot be inadvertently activated even when control lever 20 is depressed. Safety latch 30 can only be manually shifted from the safety position to the operational position when control lever 20 is released, which ensures safe handling of the instrument.
摘要翻译： 一种适于与动力手术器械一起使用的控制杆组件，其防止仪器被无意或意外激活。 组件10包括用于控制仪器的作用的可按压的控制杆20和仅在选择性地相对于控制杆20定位时与仪器的触发销6接合的第二安全杆或闩锁30.控制杆20被固定成切割 装置2通过安装支架12.安全闩锁30由控制杆20枢转地支承，以在安全位置和操作位置之间进行可移动运动。 在操作位置时，当按下控制杆20时，安全闩锁30接合触发销6。 当控制杆20被按下时，安全闩锁30不能从其安全位置切换到其操作位置; 因此，即使当按下控制杆20时，仪器也被“锁定”并且不能被无意地激活。 当控制杆20被释放时，安全闩锁30只能从安全位置手动移动到操作位置，这确保了仪器的安全处理。
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公开(公告)号：US5853415A
公开(公告)日：1998-12-29
申请号：US432481
申请日：1995-05-01
申请人： Kim C. Bertin , Dennis W. Burke , Gregory C. Stalcup , Rodney Bays , Richard D. Vanlaningham , Terry L. Dietz , Daniel O'Connor
发明人： Kim C. Bertin , Dennis W. Burke , Gregory C. Stalcup , Rodney Bays , Richard D. Vanlaningham , Terry L. Dietz , Daniel O'Connor
CPC分类号： A61B17/17 , A61B17/155 , 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.
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10.发明授权Femoral milling instrumentation for use in total knee arthoroplasty with optional cutting guide attachment 失效股骨切割仪用于全膝关节置换术，可选择切割导向器附件
公开(公告)号：US5743915A
公开(公告)日：1998-04-28
申请号：US823740
申请日：1997-03-25
CPC分类号： A61B17/17 , A61B17/155 , 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.
摘要翻译： 本发明的铣削装置提供了连接到股骨的铣削引导件，用于容纳铣削装置。 铣削仪器包括对准引导件，其被外科医生用于将股骨托架或基部设置在暴露的股骨的靠近其远端的内侧和外侧上。 一旦设置了支架，则取下对准导板，并将铣削导轨连接到基座。 铣削引导件建立了一系列参考平面，每个参考平面包括一个槽。 具有连接到其上的毛刺的动力铣削装置由沿着参考平面的狭槽引导，以精确地磨碎骨的一部分。 铣削装置包括一个线轴形的尖端，其正好与槽接合，以确保铣削装置基本上垂直于铣削导向器的参考平面。 如果需要，其他仪器可以连接到股骨基座，这将形成用于附加仪器的公共连接点，从而确保各种仪器之间的对准。 可选地，单件切割引导件可以连接到基部以允许通过标准摆动锯片切除骨骼。 切割引导件包括多个狭槽，使得股骨所需的所有切口可以由一个切割引导件制成，而不会使引导件重新定向。
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