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公开(公告)号：US07766970B2
公开(公告)日：2010-08-03
申请号：US10862821
申请日：2004-06-07
申请人： Jason M. Shultz , Andrew K. Palmer , Kevin T. Stone , Thomas J. Graham , Brian K. Berelsman , James W. Strickland
发明人： Jason M. Shultz , Andrew K. Palmer , Kevin T. Stone , Thomas J. Graham , Brian K. Berelsman , James W. Strickland
IPC分类号： A61F2/42
CPC分类号： A61F2/4261 , A61B17/80 , A61F2/0095 , A61F2002/30163 , A61F2002/30171 , A61F2002/30179 , A61F2002/30354 , A61F2002/30383 , A61F2002/30448 , A61F2002/30507 , A61F2002/30535 , A61F2002/30538 , A61F2002/30578 , A61F2002/30604 , A61F2002/30614 , A61F2002/30616 , A61F2002/3065 , A61F2002/30654 , A61F2002/30662 , A61F2002/3069 , A61F2002/30787 , A61F2002/30841 , A61F2002/30884 , A61F2002/4264 , A61F2220/0025 , A61F2220/0033 , A61F2220/005 , A61F2230/0028 , A61F2230/005 , A61F2230/0058 , A61F2250/0006 , A61F2250/0058 , A61F2310/00023 , A61F2310/00029 , A61F2310/00161 , A61F2310/00179
摘要： A prosthetic wrist having at least one of a radial insert, which is configured to be fixed to a radius of a patient, a carpal implant and a wrist bearing component. The carpal implant includes a body and a pair of flanges, each of which being skewed to the axis of the body in a manner that permits them to abut the ulnar side of the hamate bone and the radial side of the distal portion of the carpal bone complex, respectively. The radial insert may be provided with a plurality of modular portions to allow for selection and customization of an implant.
摘要翻译： 假肢腕具具有至少一个径向插入件，其被构造成固定到患者的半径，腕部植入物和腕部承载部件。 腕关节植入物包括主体和一对凸缘，每个凸缘以允许它们邻接锤骨的尺骨侧和腕骨远侧部分的径向侧的方式歪斜到身体的轴线 复杂。 径向插入物可以设置有多个模块化部分，以允许植入物的选择和定制。
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公开(公告)号：US20100010636A1
公开(公告)日：2010-01-14
申请号：US12562692
申请日：2009-09-18
IPC分类号： A61F2/42
CPC分类号： A61F2/4261 , A61F2/4606 , A61F2/4684 , A61F2002/30604 , A61F2002/30614 , A61F2002/30616 , A61F2002/30736 , A61F2002/4264 , A61F2002/4266 , A61F2310/00023 , A61F2310/00029
摘要： A prosthesis for placement relative to a carpal complex of a wrist can generally include a carpal implant having a body including an ulnar flange and a radial flange. The body can have a bone abutment surface and at least one flange extending from the bone abutment surface. The at least one flange can extend from the bone abutment surface a distance that spans at least one bone in an implanted position. The at least one flange can have a securing aperture that selectively receives a bone screw that advances into an identified bone of the carpal complex. A wrist bearing component can selectively mate with the carpal implant.
摘要翻译： 相对于手腕腕关节置入的假体通常可以包括具有主体的腕管植入物，该主体包括尺骨凸缘和径向凸缘。 身体可以具有骨邻接表面和从骨邻接表面延伸的至少一个凸缘。 所述至少一个凸缘可以从所述骨邻接表面延伸到在植入位置中跨越至少一个骨的距离。 所述至少一个凸缘可以具有固定孔，其选择性地容纳前进到腕管复合体的已识别骨骼的骨螺钉。 手腕支撑部件可以选择性地与腕部植入物配合。
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公开(公告)号：US20120095565A1
公开(公告)日：2012-04-19
申请号：US13338623
申请日：2011-12-28
IPC分类号： A61F2/42
CPC分类号： A61F2/4261 , A61F2/4606 , A61F2/4684 , A61F2002/30604 , A61F2002/30614 , A61F2002/30616 , A61F2002/30736 , A61F2002/4264 , A61F2002/4266 , A61F2310/00023 , A61F2310/00029
摘要： A method of implanting a prosthesis relative to a carpal complex of a wrist is provided. The method can include providing a carpal implant having a body including an ulnar flange and a radial flange, and locating a bone abutment surface of the ulnar flange against a triquetrum of the carpal complex. The method can also include locating a bone abutment surface of the radial flange against a scaphoid of the carpal complex, and locating a first dorsal flange extending from the ulnar flange against a posterior surface of the triquetrum.
摘要翻译： 提供了一种相对于手腕腕关节植入假体的方法。 该方法可以包括提供具有主体的腕管植入物，该主体包括尺骨凸缘和径向凸缘，以及将尺骨凸缘的骨邻接表面定位在腕管复合体的三棱柱上。 该方法还可以包括将径向凸缘的骨邻接表面定位在腕骨复合体的舟状体上，以及将从尺骨凸缘延伸的第一背侧凸缘定位在三棱柱的后表面上。
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公开(公告)号：US08105390B2
公开(公告)日：2012-01-31
申请号：US12562692
申请日：2009-09-18
IPC分类号： A61F2/42
CPC分类号： A61F2/4261 , A61F2/4606 , A61F2/4684 , A61F2002/30604 , A61F2002/30614 , A61F2002/30616 , A61F2002/30736 , A61F2002/4264 , A61F2002/4266 , A61F2310/00023 , A61F2310/00029
摘要： A prosthesis for placement relative to a carpal complex of a wrist can generally include a carpal implant having a body including an ulnar flange and a radial flange. The body can have a bone abutment surface and at least one flange extending from the bone abutment surface. The at least one flange can extend from the bone abutment surface a distance that spans at least one bone in an implanted position. The at least one flange can have a securing aperture that selectively receives a bone screw that advances into an identified bone of the carpal complex. A wrist bearing component can selectively mate with the carpal implant.
摘要翻译： 相对于手腕腕关节置入的假体通常可以包括具有主体的腕管植入物，该主体包括尺骨凸缘和径向凸缘。 身体可以具有骨邻接表面和从骨邻接表面延伸的至少一个凸缘。 所述至少一个凸缘可以从所述骨邻接表面延伸到在植入位置中跨越至少一个骨的距离。 所述至少一个凸缘可以具有固定孔，其选择性地容纳前进到腕管复合体的已识别骨骼的骨螺钉。 手腕支撑部件可以选择性地与腕部植入物配合。
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公开(公告)号：US06746486B1
公开(公告)日：2004-06-08
申请号：US10279240
申请日：2002-10-24
IPC分类号： A61F242
CPC分类号： A61F2/4261 , A61B17/80 , A61F2/0095 , A61F2002/30163 , A61F2002/30171 , A61F2002/30179 , A61F2002/30354 , A61F2002/30383 , A61F2002/30448 , A61F2002/30507 , A61F2002/30535 , A61F2002/30538 , A61F2002/30578 , A61F2002/30604 , A61F2002/30614 , A61F2002/30616 , A61F2002/3065 , A61F2002/30654 , A61F2002/30662 , A61F2002/3069 , A61F2002/30787 , A61F2002/30841 , A61F2002/30884 , A61F2002/4264 , A61F2220/0025 , A61F2220/0033 , A61F2220/005 , A61F2230/0028 , A61F2230/005 , A61F2230/0058 , A61F2250/0006 , A61F2250/0058 , A61F2310/00023 , A61F2310/00029 , A61F2310/00161 , A61F2310/00179
摘要： A prosthetic wrist having a radial insert, which is configured to be fixed to the resected radius of a patient, a carpal implant and a wrist bearing component. The carpal implant includes a body and a pair of flanges, each of which being skewed to the axis of the body in a manner that permits them to abut the ulnar side of the hamate bone and the radial side of the distal portion of the carpal bone complex, respectively. The wrist bearing component may include a bearing surface for contacting the radial insert that is defined by different radii in the coronal and sagittal planes and an alignment mechanism may be employed to fix the wrist bearing component in a desired orientation.
摘要翻译： 具有径向插入件的假肢腕带，其构造成固定到患者的切除半径，腕部植入物和腕部承载部件。 腕关节植入物包括主体和一对凸缘，每个凸缘以允许它们邻接锤骨的尺骨侧和腕骨远侧部分的径向侧的方式歪斜到身体的轴线 复杂。 腕部轴承部件可以包括用于接触由冠状面和矢状面中的不同半径限定的径向插入件的支承表面，并且可以采用对准机构来将腕部支承部件固定在期望的方位。
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公开(公告)号：US08551180B2
公开(公告)日：2013-10-08
申请号：US13338623
申请日：2011-12-28
IPC分类号： A61F2/42
CPC分类号： A61F2/4261 , A61F2/4606 , A61F2/4684 , A61F2002/30604 , A61F2002/30614 , A61F2002/30616 , A61F2002/30736 , A61F2002/4264 , A61F2002/4266 , A61F2310/00023 , A61F2310/00029
摘要： A method of implanting a prosthesis relative to a carpal complex of a wrist is provided. The method can include providing a carpal implant having a body including an ulnar flange and a radial flange, and locating a bone abutment surface of the ulnar flange against a triquetrum of the carpal complex. The method can also include locating a bone abutment surface of the radial flange against a scaphoid of the carpal complex, and locating a first dorsal flange extending from the ulnar flange against a posterior surface of the triquetrum.
摘要翻译： 提供了一种相对于手腕腕关节植入假体的方法。 该方法可以包括提供具有主体的腕管植入物，该主体包括尺骨凸缘和径向凸缘，以及将尺骨凸缘的骨邻接表面定位在腕管复合体的三棱柱上。 该方法还可以包括将径向凸缘的骨邻接表面定位在腕骨复合体的舟状体上，以及将从尺骨凸缘延伸的第一背侧凸缘定位在三棱柱的后表面上。
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公开(公告)号：US20100179661A1
公开(公告)日：2010-07-15
申请号：US12391904
申请日：2009-02-24
申请人： Brian K. Berelsman , Kevin T. Stone , Thomas J. Graham , Hill Hastings , Nicholas J. Katrana , Nathan A. Winslow
发明人： Brian K. Berelsman , Kevin T. Stone , Thomas J. Graham , Hill Hastings , Nicholas J. Katrana , Nathan A. Winslow
IPC分类号： A61F2/38
CPC分类号： A61F2/38 , A61B17/82 , A61F2/3804 , A61F2002/2835 , A61F2002/30153 , A61F2002/30172 , A61F2002/30192 , A61F2002/30327 , A61F2002/30329 , A61F2002/30332 , A61F2002/30382 , A61F2002/30383 , A61F2002/30387 , A61F2002/30388 , A61F2002/30395 , A61F2002/30403 , A61F2002/30433 , A61F2002/30462 , A61F2002/30476 , A61F2002/3049 , A61F2002/30492 , A61F2002/30497 , A61F2002/305 , A61F2002/30504 , A61F2002/30507 , A61F2002/3054 , A61F2002/30596 , A61F2002/30604 , A61F2002/30607 , A61F2002/30616 , A61F2002/30624 , A61F2002/30632 , A61F2002/30665 , A61F2002/3069 , A61F2002/30772 , A61F2002/30774 , A61F2002/30785 , A61F2002/30792 , A61F2002/30797 , A61F2002/30878 , A61F2002/30975 , A61F2002/3809 , A61F2002/3813 , A61F2002/3822 , A61F2002/3827 , A61F2002/3831 , A61F2002/4602 , A61F2220/0025 , A61F2220/0033 , A61F2220/0041 , A61F2220/0075 , A61F2230/0019 , A61F2230/0041 , A61F2230/0052 , A61F2250/0039 , A61F2250/0062 , A61F2310/00017 , A61F2310/00029 , A61F2310/00161 , A61F2310/00179
摘要： A method and apparatus for replacing a selected portion of the anatomy is described. In particular, a prosthesis can be provided to replace a portion of an articulating joint, such as an elbow. The apparatus can be modular for various reasons and each of the modular portions can include a different dimension to achieve a selected result. For example, the prosthesis can achieve a different size condylar replacement, a selected offset, a selected articulation, or combinations thereof.
摘要翻译： 描述了用于替换解剖结构的所选部分的方法和装置。 特别地，可以提供假体来替换诸如肘部的关节接合的一部分。 由于各种原因，该装置可以是模块化的，并且每个模块部分可以包括不同的尺寸以实现所选择的结果。 例如，假体可以实现不同大小的髁更换，所选偏移，所选择的关节或其组合。
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公开(公告)号：US07604666B2
公开(公告)日：2009-10-20
申请号：US11780370
申请日：2007-07-19
IPC分类号： A61F2/38
CPC分类号： A61F2/3804 , A61B17/82 , A61B17/86 , A61F2/0811 , A61F2/30767 , A61F2/38 , A61F2/384 , A61F2002/2835 , A61F2002/30131 , A61F2002/30153 , A61F2002/30172 , A61F2002/30192 , A61F2002/30327 , A61F2002/30329 , A61F2002/30332 , A61F2002/30367 , A61F2002/30377 , A61F2002/30382 , A61F2002/30383 , A61F2002/30387 , A61F2002/30388 , A61F2002/30395 , A61F2002/30403 , A61F2002/30433 , A61F2002/30462 , A61F2002/30476 , A61F2002/3049 , A61F2002/30492 , A61F2002/30497 , A61F2002/305 , A61F2002/30504 , A61F2002/30507 , A61F2002/3054 , A61F2002/30578 , A61F2002/30594 , A61F2002/30596 , A61F2002/30604 , A61F2002/30607 , A61F2002/30616 , A61F2002/30624 , A61F2002/30632 , A61F2002/30665 , A61F2002/3069 , A61F2002/30772 , A61F2002/30774 , A61F2002/30785 , A61F2002/30792 , A61F2002/30797 , A61F2002/30878 , A61F2002/30975 , A61F2002/3809 , A61F2002/3813 , A61F2002/3822 , A61F2002/3827 , A61F2002/3831 , A61F2002/4602 , A61F2220/0025 , A61F2220/0033 , A61F2220/0041 , A61F2220/0075 , A61F2230/0019 , A61F2230/0041 , A61F2230/0052 , A61F2250/0039 , A61F2250/0062 , A61F2310/00017 , A61F2310/00029 , A61F2310/00161 , A61F2310/00179
摘要： A prosthetic joint kit, particularly well suited for an elbow, transmits load through the prosthetic joint through a pair of spherically shaped bearing surfaces so as to transmit load over a relatively large area rather than at a point or over a line of contact. The prosthetic joint kit may be configured in a modular manner wherein a plurality of interchangeable stem structures, bearing structures and/or bearing inserts of various types are available. Construction in this manner enables a surgeon to configure the prosthetic joint to best suit the needs of the patient. For example, the surgeon may employ a modular flange for compressing a bone graft, a tissue fastener for securing soft tissue to a portion of the prosthetic joint, a cam for limiting the amount by which the prosthetic joint articulates or a bearing insert for tailoring the degree of varus/valgus constraint.
摘要翻译： 特别适合于弯头的假体关节套件通过一对球形支承表面将负载传递通过假肢关节，以便在相对大的区域而不是在一个或多个接触点处传递负载。 假体关节套件可以以模块化方式构造，其中可以使用多种可互换的杆结构，支承结构和/或各种类型的轴承插入件。 以这种方式构造使得外科医生配置假体关节以最适合患者的需要。 例如，外科医生可以使用用于压缩骨移植物的模块化凸缘，用于将软组织固定到假体关节的一部分的组织紧固件，用于限制假体关节铰接的量的凸轮或用于定制 内翻/外翻约束程度。
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公开(公告)号：US10231839B2
公开(公告)日：2019-03-19
申请号：US12391904
申请日：2009-02-24
申请人： Brian K. Berelsman , Kevin T. Stone , Thomas J. Graham , Hill Hastings , Nicholas J. Katrana , Nathan A. Winslow
发明人： Brian K. Berelsman , Kevin T. Stone , Thomas J. Graham , Hill Hastings , Nicholas J. Katrana , Nathan A. Winslow
摘要： A method and apparatus for replacing a selected portion of the anatomy is described. In particular, a prosthesis can be provided to replace a portion of an articulating joint, such as an elbow. The apparatus can be modular for various reasons and each of the modular portions can include a different dimension to achieve a selected result. For example, the prosthesis can achieve a different size condylar replacement, a selected offset, a selected articulation, or combinations thereof.
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公开(公告)号：US07625406B2
公开(公告)日：2009-12-01
申请号：US11780365
申请日：2007-07-19
IPC分类号： A61F2/30
CPC分类号： A61F2/3804 , A61B17/82 , A61B17/86 , A61F2/0811 , A61F2/30767 , A61F2/38 , A61F2/384 , A61F2002/2835 , A61F2002/30131 , A61F2002/30153 , A61F2002/30172 , A61F2002/30192 , A61F2002/30327 , A61F2002/30329 , A61F2002/30332 , A61F2002/30367 , A61F2002/30377 , A61F2002/30382 , A61F2002/30383 , A61F2002/30387 , A61F2002/30388 , A61F2002/30395 , A61F2002/30403 , A61F2002/30433 , A61F2002/30462 , A61F2002/30476 , A61F2002/3049 , A61F2002/30492 , A61F2002/30497 , A61F2002/305 , A61F2002/30504 , A61F2002/30507 , A61F2002/3054 , A61F2002/30578 , A61F2002/30594 , A61F2002/30596 , A61F2002/30604 , A61F2002/30607 , A61F2002/30616 , A61F2002/30624 , A61F2002/30632 , A61F2002/30665 , A61F2002/3069 , A61F2002/30772 , A61F2002/30774 , A61F2002/30785 , A61F2002/30792 , A61F2002/30797 , A61F2002/30878 , A61F2002/30975 , A61F2002/3809 , A61F2002/3813 , A61F2002/3822 , A61F2002/3827 , A61F2002/3831 , A61F2002/4602 , A61F2220/0025 , A61F2220/0033 , A61F2220/0041 , A61F2220/0075 , A61F2230/0019 , A61F2230/0041 , A61F2230/0052 , A61F2250/0039 , A61F2250/0062 , A61F2310/00017 , A61F2310/00029 , A61F2310/00161 , A61F2310/00179
摘要： A prosthetic joint kit, particularly well suited for an elbow, transmits load through the prosthetic joint through a pair of spherically shaped bearing surfaces so as to transmit load over a relatively large area rather than at a point or over a line of contact. The prosthetic joint kit may be configured in a modular manner wherein a plurality of interchangeable stem structures, bearing structures and/or bearing inserts of various types are available. Construction in this manner enables a surgeon to configure the prosthetic joint to best suit the needs of the patient. For example, the surgeon may employ a modular flange for compressing a bone graft, a tissue fastener for securing soft tissue to a portion of the prosthetic joint, a cam for limiting the amount by which the prosthetic joint articulates or a bearing insert for tailoring the degree of varus/valgus constraint.
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