摘要:
A system, method and/or apparatus is provided for visualization or imaging of the transverse carpal ligament and surrounding structures/features of a hand of a patient, and treatment of the transverse carpal ligament, particularly, but not necessarily, for performing non-invasive carpal tunnel release. The subject invention utilizes ultrasound waves preferably, but not necessarily, in the high frequency range and cavitations to image the transverse carpal ligament (TCL), record its location in three-dimensional space, and perform precision treatment on the transverse carpal ligament. Treatment may range from stretching or lengthening the TCL to complete tissue ablation or dissection of a portion or portions of the TCL (as is performed in a standard carpal tunnel release procedure) in order to release pressure within the carpal tunnel. Particularly, high temperature conditions are generated at target tissue of the TCL resulting in elongation or necrosis/dissection. The subject system, apparatus and/or method provides the surgeon to relieve a patient of carpal tunnel syndrome symptoms in a bloodless, efficient, and accurate manner.
摘要:
A system, method and/or apparatus is provided for visualization or imaging of the transverse carpal ligament and surrounding structures/features of a hand of a patient, and treatment of the transverse carpal ligament, particularly, but not necessarily, for performing non-invasive carpal tunnel release. The subject invention utilizes ultrasound waves preferably, but not necessarily, in the high frequency range and cavitations to image the transverse carpal ligament (TCL), record its location in three-dimensional space, and perform precision treatment on the transverse carpal ligament. Treatment may range from stretching or lengthening the TCL to complete tissue ablation or dissection of a portion or portions of the TCL (as is performed in a standard carpal tunnel release procedure) in order to release pressure within the carpal tunnel. Particularly, high temperature conditions are generated at target tissue of the TCL resulting in elongation or necrosis/dissection. The subject system, apparatus and/or method provides the surgeon to relieve a patient of carpal tunnel syndrome symptoms in a bloodless, efficient, and accurate manner.
摘要:
An instrument for recording and replicating the spatial orientation of a dialable component of an implant relative to a bone engaging component of the implant includes a base assembly configured to support the trial implant so that the datum is in a predetermined orientation, a fixture supported on said base assembly, said fixture including an alignment tool configured to engage the first dialable component of the trial implant when the trial implant is supported by said base assembly, and a locking assembly configured to record the angular orientation of said alignment tool relative to said fixture with said alignment tool engaged with the first dialable component, and to replicate the recorded angular orientation with the alignment tool and a second dialable component.
摘要:
A joint prosthesis includes a bone engaging portion having a first recess portion, and an internal wall defining a second recess portion, an articulating component, an insert component having (i) a first insert portion configured to snugly fit within said second recess portion in contact with the internal wall, and (ii) a projecting portion that fixedly projects from said first insert portion and is configured to snugly fit with the first recess portion so as to rotationally fix the first insert portion within the second recess portion, said insert component also having a first coupling portion, and a mating component configured to mate with said articulating component and having a second coupling portion configured to mate with the first coupling portion to form a fixed male/female couple at variable version and inclination angular orientations with respect to the insert component.
摘要:
An instrument for recording and replicating the spatial orientation of a dialable component of an implant relative to a bone engaging component of the implant includes a base assembly for supporting the bone engaging component and a fixture supported on the base assembly for supporting an alignment tool. The alignment tool is configured to engage a portion of the dialable component when the implant is supported by the base assembly. The fixture includes a locking assembly for locking the spatial position of the alignment tool relative to a pre-determined datum on a trial implant. The same instrument can be used to support a final implant and to replicate the spatial position of the alignment tool relative to the same datum on the final implant. The alignment tool can then be used to align the dialable component of the implant. The alignment tool can also constitute an impacting tool so that it can be used to impact the dialable component into locking engagement with the implant using the same instrument.
摘要:
A surgical garment includes a head gear apparatus for supporting a face shield and shroud. The head gear apparatus includes a helmet that supports a fan assembly, and that defines forward and rear ventilation passageways. The helmet includes a chin bar that defines a centrally located slot, and an upper ledge. The upper edge of the face shield contacts the upper ledge, while the lower edge of the shield includes a tab that extends through the slot. The chin bar and face shield include a plurality of magnetic elements that magnetically connect the lower edge of the face shield to the chin bar. The helmet is suspended from a strap assembly that is carried directly on the head of the wearer. The strap assembly includes an adjustable occipital support that bears against the occiput of the wearer. The face shield can include a plurality of film layers that can be removed when soiled. The fan assembly includes an inlet opening and the shroud includes a filter assembly that is sized to overlay the inlet opening and a portion of the helmet surrounding the inlet opening.
摘要:
A prosthesis system includes at least one stem including a cavity, a plurality of heads having a head coupling portion, at least one first coupler including a first upper coupling portion and a first lower coupling portion, the first upper coupling portion configured to couple with the head coupling portion of each of the plurality of heads and the first lower coupling portion configured to couple with the stem with a predetermined version angle and a predetermined inclination angle, and at least one second coupler including a second upper coupling portion and a second lower coupling portion, the second upper coupling portion configured to couple with the head coupling portion of each of the plurality of heads and the second lower coupling portion configured to couple with the stem with any of a plurality of version angles and any of a plurality of inclination angles.
摘要:
A joint prosthesis includes a bone engaging portion having a first recess portion, and an internal wall defining a second recess portion, an articulating component, an insert component having (i) a first insert portion configured to snugly fit within said second recess portion in contact with the internal wall, and (ii) a projecting portion that fixedly projects from said first insert portion and is configured to snugly fit with the first recess portion so as to rotationally fix the first insert portion within the second recess portion, said insert component also having a first coupling portion, and a mating component configured to mate with said articulating component and having a second coupling portion configured to mate with the first coupling portion to form a fixed male/female couple at variable version and inclination angular orientations with respect to the insert component.
摘要:
A joint prosthesis includes a bone engaging portion, such as a stem, and articulating component, such as a humeral head, and an insert component that supports the articulating component and is removable from the stem. A mating component mates with the humeral head and is configured to engage the insert component at adjustable angles according to the anatomy of the patient's joint. In a revision surgery, the stem remains within the patient's bone while the insert component is removed with the mating component and humeral head fixed to the insert component. A new insert component may be prepared with the mating component and humeral head oriented to replicate the angular orientation of the previous prosthesis. The new insert component is then mounted within an insert cavity in the implanted stem and rigidly fastened to complete the revision.
摘要:
A prosthesis for a joint includes a stem for engagement with a bone. The stem includes a surface defining a bore. The prosthesis further includes a joint component. The joint component includes a bearing surface for articulating engagement with at least one of a natural opposing joint component and a prosthetic opposing joint component. The prosthesis further includes a mounting element. The mounting element includes a proximal portion for engagement with the joint component and further includes a substantially solid articulating portion having a contiguous periphery. The substantially solid articulating portion is configured to facilitate articulating movement of the substantially solid articulating portion within the bore when the contiguous periphery is not forcefully engaged with the bore, and the substantially solid articulating portion and the bore are configured to fixedly couple the mounting element to the stem when the contiguous periphery is forcefully engaged with the bore.