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公开(公告)号：US09380980B2
公开(公告)日：2016-07-05
申请号：US10598600
申请日：2005-03-07
申请人： Ian Revie , Alan Ashby , Dudi Reznick , Yaacov Nitzan
发明人： Ian Revie , Alan Ashby , Dudi Reznick , Yaacov Nitzan
CPC分类号： A61B5/6878 , A61B5/0031 , A61B5/103 , A61B5/1118 , A61B5/1121 , A61B5/1127 , A61B5/4528 , A61B5/4571 , A61B5/4585 , A61B5/686 , A61B5/7246 , A61B5/7445 , A61B90/98 , A61B2090/3916 , A61B2090/3975 , A61F2002/3067
摘要： A method for assessing the orthopedic performance of a joint of a patient can comprise implanting at least a first and second RF wirelessly detectable markers in first and second bones associated with a site and determining and storing their positions before a surgical procedure is performed. The procedure can be carried out on the site and the positions of the first and second markers can be detected and stored after the procedure has been completed. The detected positions can be used to generate a representation of the orthopedic performance of the joint after the procedure.
摘要翻译： 用于评估患者关节的整形外科性能的方法可以包括将至少第一和第二RF无线可检测标记物植入到与位点相关联的第一和第二骨骼中，并且在执行外科手术之前确定和存储其位置。 该过程可以在现场执行，并且可以在程序完成之后检测和存储第一和第二标记的位置。 检测到的位置可以用于在手术之后产生关节的整形外科表现。
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公开(公告)号：US20080294258A1
公开(公告)日：2008-11-27
申请号：US10598600
申请日：2005-03-07
申请人： Ian Revie , Alan Ashby , Dudi Reznick , Yaacov Nitzan
发明人： Ian Revie , Alan Ashby , Dudi Reznick , Yaacov Nitzan
CPC分类号： A61B5/6878 , A61B5/0031 , A61B5/103 , A61B5/1118 , A61B5/1121 , A61B5/1127 , A61B5/4528 , A61B5/4571 , A61B5/4585 , A61B5/686 , A61B5/7246 , A61B5/7445 , A61B90/98 , A61B2090/3916 , A61B2090/3975 , A61F2002/3067
摘要： Methods, systems and apparatus for monitoring and assessing the orthopaedic performance of a patient are described. The method can comprise implanting at least a first and second RF wirelessly detectable markers in first and second bones associated with a site. A procedure can be carried out on the site and the positions of the first and second markers can be detected after the procedure has been completed. The detected positions can be used to assess the orthopaedic performance of the patient. An orthopaedic monitoring system comprises a monitoring station including a tracking system for RF wirelessly detecting the positions of markers within a working volume of the monitoring station. A computer control system is configured to determine a marker position for each of a plurality of markers implanted in a patient located in the working volume. The computer control system also generates an indication of the orthopaedic performance of the patient from the marker positions. The computer implemented method comprises identifying each of the plurality of markers, determining the positions of each of the markers and using the positions of the markers to generate a representation of the orthopaedic performance of the patient.
摘要翻译： 描述了用于监测和评估患者的整形外科性能的方法，系统和装置。 该方法可以包括在与位点相关联的第一和第二骨中植入至少第一和第二RF无线可检测标记。 可以在现场执行程序，并且可以在程序完成后检测第一和第二标记的位置。 检测到的位置可用于评估患者的整形外科表现。 整形外科监测系统包括监测站，该监测站包括用于RF无线地检测监测站工作体积内标记位置的跟踪系统。 计算机控制系统被配置为确定植入位于工作体积中的患者中的多个标记中的每一个的标记位置。 计算机控制系统还从标记位置产生患者的整形外科表现。 计算机实现的方法包括识别多个标记中的每一个，确定每个标记的位置，并使用标记的位置来生成患者的矫形表现的表示。
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公开(公告)号：US20060189867A1
公开(公告)日：2006-08-24
申请号：US11063019
申请日：2005-02-22
申请人： Ian Revie , Yaacov Nitzan , Dudi Reznick
发明人： Ian Revie , Yaacov Nitzan , Dudi Reznick
IPC分类号： A61B5/05
CPC分类号： A61B90/36 , A61B90/10 , A61B2017/00473 , A61B2017/00482 , A61B2034/105 , A61B2034/2051 , A61B2034/2068 , A61B2090/3954
摘要： A probe for generating position data for use in computer assisted surgery has a handle and a shaft extending from the handle. A tip having a distal end for contacting an object to indicate the position of the object is attached to the shaft. A sensor which can respond to external electromagnetic fields for generating position data with multiple degrees of freedom is located within the shaft towards the distal end of the shaft.
摘要翻译： 用于产生用于计算机辅助手术的位置数据的探针具有手柄和从手柄延伸的轴。 具有用于接触物体以指示物体的位置的远端的末端附接到轴。 可以响应于外部电磁场产生具有多个自由度的位置数据的传感器位于轴内朝向轴的远端。
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公开(公告)号：US07814916B2
公开(公告)日：2010-10-19
申请号：US10598593
申请日：2005-03-07
申请人： Ian Revie , Alan Ashby , Yaacov Nitzan , Paul Gibbons , Ben Stungo , Robert Butcher , Tom Patterson , Jury Baldewein , James Brooks
发明人： Ian Revie , Alan Ashby , Yaacov Nitzan , Paul Gibbons , Ben Stungo , Robert Butcher , Tom Patterson , Jury Baldewein , James Brooks
IPC分类号： A61B19/00
CPC分类号： A61B90/39 , A61B2090/3916 , A61B2090/3975 , A61B2090/3987 , A61B2090/3991
摘要： An implantable marker, instruments for implanting the marker and method for implanting the marker are described. The implantable marker comprises a housing with an outer surface providing a bone anchor and having a cavity within which a marker detectable by a tracking system is secured. The kit includes a guide instrument having a guide channel for receiving an implantable marker, an insertion tool receivable within the channel and having a distal end for releasably engaging an implantable marker, and an implantable marker receivable within the channel. The insertion tool is operable to drive the implantable marker into the bone. The method includes puncturing the skin with an instrument, driving the implantable marker into the bone and withdrawing the instrument, leaving the marker implanted within the bone.
摘要翻译： 描述了可植入标记，用于植入标记的仪器和用于植入标记的方法。 可植入标记包括具有提供骨锚的外表面并具有空腔的壳体，在该空腔内可以确保由跟踪系统可检测的标记。 该套件包括具有用于接收可植入标记的引导通道的导向仪器，可接收在通道内的插入工具，并具有用于可释放地接合可植入标记的远端以及可在该通道内接收的可植入标记。 插入工具可操作以将可植入标记物驱动到骨中。 该方法包括用仪器刺穿皮肤，将可植入标记物推入骨骼并取出器械，将标记物植入骨骼内。
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公开(公告)号：US20080121242A1
公开(公告)日：2008-05-29
申请号：US10598593
申请日：2005-03-07
申请人： Ian Revie , Alan Ashby , Yaacov Nitzan , Paul Gibbons , Ben Stungo , Robert Butcher , Tom Patterson , Jury Baldewein , James Brooks
发明人： Ian Revie , Alan Ashby , Yaacov Nitzan , Paul Gibbons , Ben Stungo , Robert Butcher , Tom Patterson , Jury Baldewein , James Brooks
IPC分类号： A61B19/00
CPC分类号： A61B90/39 , A61B2090/3916 , A61B2090/3975 , A61B2090/3987 , A61B2090/3991
摘要： An implantable marker, instruments for implanting the marker and method for implanting the marker are described. The implanta+e marker comprises a housing with an outer surface providing a bone anchor and having a cavity within which a marker detectable by a tracking system is secured. The kit includes a guide instrument having a guide channel for receiving an implanta+e marker, an insertion tool receivable within the channel and having a distal end for releasably engaging an implanta+e marker, and an implanta+e marker receiva+e within the channel. The insertion tool is operable to drive the implanta+e marker into the bone. The method includes puncturing the skin with an instrument, driving the implanta+e marker into the bone and withdrawing the instrument, leaving the marker implanted within the bone.
摘要翻译： 描述了可植入标记，用于植入标记的仪器和用于植入标记的方法。 植入物+ e标记物包括具有提供骨锚的外表面并具有空腔的壳体，在该空腔内可以确保由跟踪系统可检测的标记。 该套件包括具有用于接收植入物标记的引导通道的引导器具，可插入通道内的插入工具，并且具有用于可释放地接合植入物+ e标记的远端以及内部植入物+ 渠道。 插入工具可操作以将植入物+标记物驱动到骨中。 该方法包括用仪器刺穿皮肤，将植入物+标记物驱动到骨骼中并取出器械，使标记物植入骨骼内。
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公开(公告)号：US20070283773A1
公开(公告)日：2007-12-13
申请号：US11690612
申请日：2007-03-23
申请人： Jury Baldewein , Ian Revie , Yaacov Nitzan , James Brooks
发明人： Jury Baldewein , Ian Revie , Yaacov Nitzan , James Brooks
IPC分类号： G01D21/00
CPC分类号： A61B5/06 , A61B5/0031 , A61B5/01 , A61B5/062 , A61B90/11 , A61B90/39 , A61B2034/2051 , A61B2090/397 , A61B2090/3983 , A61B2090/3987 , A61B2560/063
摘要： A probe assembly for use in a surgical procedure is described. The probe assembly can include a sensor which can be implanted in a patient responsive to external electromagnetic fields for generating position data, an insertion tool for the sensor, which can be used to manipulate the sensor and to deliver it to the desired implantation site and electronic circuitry configured to handle a signal which can interact with the sensor. The electronic circuitry and the insertion tool can have mating formations by which they can be assembled together. The electronic circuitry can be a field generator for generating an electromagnetic field for the sensor.
摘要翻译： 描述了用于外科手术的探针组件。 探针组件可以包括可以响应于用于产生位置数据的外部电磁场植入患者的传感器，用于传感器的插入工具，其可以用于操纵传感器并将其传送到期望的植入部位和电子 经配置以处理可与传感器相互作用的信号的电路。 电子电路和插入工具可以具有配合结构，通过它们可将它们组装在一起。 电子电路可以是用于为传感器产生电磁场的场发生器。
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公开(公告)号：US20060190009A1
公开(公告)日：2006-08-24
申请号：US11063018
申请日：2005-02-22
申请人： Ian Revie , Yaacov Nitzan , Jury Baldewein
发明人： Ian Revie , Yaacov Nitzan , Jury Baldewein
IPC分类号： A61B19/00
CPC分类号： A61B90/36 , A61B34/20 , A61B2034/2051 , A61B2090/3958
摘要： An instrument for implanting a sensor in a body part, in which the sensor has at least one cord extending therefrom which is connected to an external device, includes a guide sheath for defining a path to the surface of the body part through overlaying soft tissue, the sheath having a bore extending along its length between first and second open ends through which the tool can pass and a slot that extends along its length between its first and second open ends. A delivery sheath for implanting the sensor in the hole has a bore extending along its length between a first open end at which the sensor can be mounted and a second end, with the cord extending from the sensor along the bore, in which the sheath has a slot that extends along its length between its first and second end, and wherein the delivery sheath can be received within the guide sheath by sliding the delivery sheath within the bore of the guide sheath. The slots of the guide and delivery sheaths can be aligned to allow the cord to be removed from the bores other than at the ends of the bores.
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公开(公告)号：US20100030231A1
公开(公告)日：2010-02-04
申请号：US11916168
申请日：2006-06-01
申请人： Ian Revie , Yaacov Nitzan , Mike Slomczykowski , Joerg Haechler
发明人： Ian Revie , Yaacov Nitzan , Mike Slomczykowski , Joerg Haechler
CPC分类号： A61B90/36 , A61B34/10 , A61B34/20 , A61B2034/102 , A61B2034/105 , A61B2034/108 , A61B2034/2051 , A61B2034/2055 , A61F2002/4633
摘要： Methods, systems and data processing apparatus and methods are described for use in planning and carrying out a surgical procedure on a joint of a subject. The joint includes a first component and a second component, the first and second components being relatively movable. Joint data describing the configuration of the joint is captured while the joint is in a functional state wherein the joint is undergoing its usual load bearing functional behaviour. The joint data is analyzed to determine joint component orientation data specifying the relative orientation of the first and second components. The orientation of prosthetic implants to be used in the surgical procedure to recreate the joint is planned using the joint component orientation data. The planned orientation of the prosthetic implants improves the recreation of the functional state of the joint.
摘要翻译： 描述了用于在受试者的关节上规划和执行外科手术的方法，系统和数据处理装置和方法。 接头包括第一部件和第二部件，第一和第二部件是可相对移动的。 在关节处于功能状态，其中关节正在经历其通常的负载功能行为时，捕获描述关节的构造的联合数据。 分析联合数据以确定指定第一和第二组分的相对取向的联合分量取向数据。 使用联合分量取向数据计划在外科手术中用于重建关节的假体植入物的取向。 假体植入物的计划取向改善了关节功能状态的恢复。
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公开(公告)号：US07585302B2
公开(公告)日：2009-09-08
申请号：US11063018
申请日：2005-02-22
申请人： Ian Revie , Yaacov Nitzan , Jury Baldewein
发明人： Ian Revie , Yaacov Nitzan , Jury Baldewein
IPC分类号： A61B19/00
CPC分类号： A61B90/36 , A61B34/20 , A61B2034/2051 , A61B2090/3958
摘要： An instrument for implanting a sensor in a body part, in which the sensor has at least one cord extending therefrom which is connected to an external device, includes a guide sheath for defining a path to the surface of the body part through overlaying soft tissue, the sheath having a bore extending along its length between first and second open ends through which the tool can pass and a slot that extends along its length between its first and second open ends. A delivery sheath for implanting the sensor in the hole has a bore extending along its length between a first open end at which the sensor can be mounted and a second end, with the cord extending from the sensor along the bore, in which the sheath has a slot that extends along its length between its first and second end, and wherein the delivery sheath can be received within the guide sheath by sliding the delivery sheath within the bore of the guide sheath. The slots of the guide and delivery sheaths can be aligned to allow the cord to be removed from the bores other than at the ends of the bores.
摘要翻译： 一种用于将传感器植入身体部分的仪器，其中传感器具有至少一条从其延伸的连接到外部装置的绳索，其包括用于通过覆盖软组织来限定通向身体部分表面的路径的引导护套， 所述护套具有沿其长度延伸的孔，所述孔在所述工具可以穿过的第一和第二开口端之间延伸，以及沿其长度在其第一和第二开口端之间延伸的槽。 用于将传感器植入孔中的输送护套具有沿其长度延伸的孔，该孔在可安装传感器的第一开口端和第二端之间延伸，其中绳索沿着孔从传感器延伸，鞘具有 沿其长度在其第一和第二端之间延伸的狭槽，并且其中所述输送护套可以通过在所述引导护套的孔内滑动所述输送护套而被容纳在所述引导护套内。 引导件和输送护套的槽可以对准，以允许绳索除孔之外除去孔之外。
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公开(公告)号：US20070256312A1
公开(公告)日：2007-11-08
申请号：US11690583
申请日：2007-03-23
申请人： Jury Baldewein , Ian Revie , Yaacov Nitzan , Mike Slomczykowski
发明人： Jury Baldewein , Ian Revie , Yaacov Nitzan , Mike Slomczykowski
CPC分类号： A61B90/39 , A61B5/062 , A61B5/064 , A61B90/11 , A61B2034/2051 , A61B2090/3983 , A61B2090/3987
摘要： A template for use in a surgical procedure is described. The template comprises a template body, means for fixing the template body to a patient's tissue, a feature on the template body to indicate the appropriate location of the template body relative to an anatomical landmark, a feature on the template body to indicate the required location of a sensor which is to be implanted in the patient during the surgical procedure, and a feature on the template body for indicating the required location of a field generator which can be fixed to the template.
摘要翻译： 描述了用于外科手术的模板。 模板包括模板主体，用于将模板主体固定到患者组织的装置，模板主体上的特征，以指示模板主体相对于解剖标志的适当位置，模板主体上的特征以指示所需位置 在手术过程中要植入患者体内的传感器，以及模板体上用于指示可固定到模板的场发生器所需位置的特征。
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