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1.发明授权System and method for assisting with arrangement of a stock instrument with respect to a patient tissue 有权用于帮助股票工具相对于患者组织布置的系统和方法公开(公告)号：US09254155B2
公开(公告)日：2016-02-09
申请号：US13282528
申请日：2011-10-27
CPC分类号： A61B17/88 , A61B17/1739 , A61B17/1778 , A61B17/8872 , A61B34/10 , A61B2034/107 , A61B2034/108 , A61B2090/3916
摘要： A stock instrument includes at least one guide interacting feature. A lower instrument surface of the stock instrument is placed into contact with the patient tissue. A guide has a lower guide surface contoured to substantially mate with at least a portion of an upper instrument surface of the stock instrument. A predetermined instrument orientation upon the patient tissue is defined, which is preselected responsive to preoperative imaging of the patient tissue. The guide and instrument are mated in a predetermined relative guide/instrument orientation wherein at least one guide interacting feature of the instrument is placed into engagement with at least one instrument guiding feature of the guide. The guide is moved into a predetermined guide orientation with respect to the patient tissue and concurrently the instrument is moved into a predetermined instrument orientation with respect to the patient tissue.
摘要翻译： 股票工具包括至少一个指导相互作用特征。 存放仪器的较低仪器表面与患者组织接触。 引导件具有成形的下引导表面，以与存货工具的上部工具表面的至少一部分基本配合。 定义在患者组织上的预定的仪器取向，其被选择为对患者组织的术前成像进行响应。 导向器和仪器以预定的相对引导/仪器取向配合，其中仪器的至少一个引导器相互作用特征被放置成与引导件的至少一个仪器引导特征接合。 引导件相对于患者组织移动到预定的引导方向，并且同时使器械相对于患者组织移动到预定的仪器取向。
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2.发明申请SYSTEM OF PREOPERATIVE PLANNING AND PROVISION OF PATIENT-SPECIFIC SURGICAL AIDS 审中-公开预防性规划和患者特异性手术艾滋病的提供制度公开(公告)号：US20120276509A1
公开(公告)日：2012-11-01
申请号：US13463075
申请日：2012-05-03
IPC分类号： G09B23/28
CPC分类号： G09B23/28 , A61B17/1739 , A61B17/1778 , A61B34/10 , A61B34/25 , A61B2017/568 , A61B2034/105 , A61B2034/108 , A61F2/4081 , A61F2002/4633 , G09B23/30 , G09B23/32 , G09B23/34
摘要： A method for assisting a user with surgical implementation of a preoperative plan includes generating a physical native tissue model of a native patient tissue. The physical native tissue model includes at least one primary patient tissue area including a surface of interest, at least one secondary patient tissue area including no surfaces of interest, and a base surface for engaging a supporting structure. The physical native tissue model, as generated, includes at least one information feature providing clinically useful information to the user. The information feature is substantially separated from the surface of interest. An apparatus for assisting a user with surgical implementation of a preoperative plan is also provided.
摘要翻译： 用于辅助用户外科实施术前计划的方法包括生成天然患者组织的物理天然组织模型。 物理本地组织模型包括至少一个主要患者组织区域，包括感兴趣的表面，至少一个不包括感兴趣的表面的辅助患者组织区域和用于接合支撑结构的基底表面。 生成的物理本地组织模型包括向用户提供临床上有用的信息的至少一个信息特征。 信息特征基本上与感兴趣的表面分离。 还提供了一种用于协助用户外科实施术前计划的装置。
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3.发明申请公开(公告)号：US20120143267A1
公开(公告)日：2012-06-07
申请号：US13282509
申请日：2011-10-27
IPC分类号： A61B17/56
CPC分类号： A61B17/1778 , A61B17/151 , A61B17/152 , A61B17/1746 , A61B34/10 , A61B2017/568 , A61B2034/104 , A61B2034/105 , A61B2034/108
摘要： A patient tissue includes a primary patient tissue area and an anatomically differentiated bordering secondary patient tissue area. An apparatus is at least partially customized responsive to preoperative imaging of the patient tissue. Means are provided for mating with the primary patient tissue area in a preselected relative orientation. Means are provided for fixing a first landmark to the primary patient tissue area in at least one of a predetermined marking location and a predetermined marking trajectory. Means are provided for fixing a second landmark to the secondary patient tissue area in at least one of a predetermined marking location and a predetermined marking trajectory. A method of associating a plurality of landmarks with a patient tissue is also provided.
摘要翻译： 患者组织包括主要患者组织区域和解剖学上分化的毗邻次要患者组织区域。 响应于患者组织的术前成像，至少部分地定制装置。 提供了用于以预选的相对取向与主要患者组织区域配合的装置。 提供了用于在预定标记位置和预定标记轨迹中的至少一个中将第一标记固定到主要患者组织区域的装置。 提供了用于在预定标记位置和预定标记轨迹中的至少一个中将第二标记固定到次级患者组织区域的装置。 还提供了将多个界标与患者组织相关联的方法。
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公开(公告)号：US08731885B2
公开(公告)日：2014-05-20
申请号：US13744658
申请日：2013-01-18
IPC分类号： G06G7/48
CPC分类号： G06F19/3437 , A61B34/10 , A61B90/36 , A61B2034/101 , A61F2/30942 , A61F2002/30948 , A61F2002/30952 , G06F19/00 , G09B23/30 , G16H50/50
摘要： A method of preparing for a surgical procedure includes creating a three-dimensional bone model of a subject bone of a patient. At least a portion of the bone model is compared to at least one three-dimensional reference anatomic model. At least one structural difference between the bone model and the at least one reference anatomic model is identified. At least one desired subject bone structural change is specified to produce a modified bone model responsive to the step of identifying at least one structural difference between the bone model and the at least one reference anatomic model. An apparatus for preparing for a surgical procedure is also provided.
摘要翻译： 准备外科手术的方法包括产生患者骨骼的三维骨模型。 骨模型的至少一部分与至少一个三维参考解剖模型进行比较。 识别骨模型和至少一个参考解剖模型之间的至少一个结构差异。 指定至少一个期望的受试者骨骼结构变化以响应于识别骨模型和至少一个参考解剖模型之间的至少一个结构差异的步骤来产生修改的骨模型。 还提供了一种外科手术准备装置。
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5.发明申请SYSTEM OF PREOPERATIVE PLANNING AND PROVISION OF PATIENT-SPECIFIC SURGICAL AIDS 有权预防性规划和患者特异性手术艾滋病的提供制度公开(公告)号：US20120141034A1
公开(公告)日：2012-06-07
申请号：US13282550
申请日：2011-10-27
CPC分类号： A61B17/1739 , A61B17/1778 , A61B34/10 , A61B34/25 , A61B2017/568 , A61B2034/105 , A61B2034/108 , A61F2/4081 , A61F2002/4633
摘要： A method of preoperative planning and provision of patient-specific surgical aids includes creating a virtual model of a native patient tissue. A virtual device is placed into a predetermined device orientation relative to the virtual model of the native patient tissue. At least one predetermined landmark orientation is specified for placement of at least one virtual landmark relative to the native patient tissue. A virtual patient-specific template containing the predetermined landmark orientation and having a landmark guiding feature is generated. At least one virtual patient-specific placement guide configured to interact simultaneously with at least one previously placed virtual landmark and the virtual device when the virtual device is in the predetermined device orientation is generated. A physical patient-specific template is created as a tangible representation of the virtual patient-specific template. A physical patient-specific placement guide is created as a tangible representation of the virtual patient-specific placement guide.
摘要翻译： 术前规划和提供患者特异性手术辅助装置的方法包括创建本地患者组织的虚拟模型。 将虚拟设备相对于本机患者组织的虚拟模型放置成预定的设备取向。 为至少一个虚拟地标相对于本机患者组织的放置指定至少一个预定的标记取向。 生成包含预定的标记取向并具有地标引导特征的虚拟患者特定模板。 至少一个虚拟患者特定的放置引导件被配置为当虚拟设备处于预定的设备取向时与至少一个先前放置的虚拟界标和虚拟设备同时交互。 创建具体的患者特定模板作为虚拟患者特定模板的有形表示。 身体特定的物理位置指南被创建为虚拟患者特定放置指南的有形表示。
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公开(公告)号：US20120130382A1
公开(公告)日：2012-05-24
申请号：US13226948
申请日：2011-09-07
IPC分类号： A61B17/56
CPC分类号： A61F2/4603 , A61B17/15 , A61B17/17 , A61B2017/568 , A61B2034/107 , A61B2034/108 , A61F2/4607 , A61F2002/30542 , A61F2002/4687
摘要： A positioning apparatus for guiding resection of a patient tissue and guiding placement of a prosthetic implant component in a desired implant position with respect to the resected patient tissue and method of use are described. A locating block includes a mating surface contoured for mating contact with the patient tissue. A cutting plane indicator provides a physical indication of a desired cutting plane for the resection. A placement indicator is spaced apart from the locating block and includes a component-contacting feature. An elongate spacing arm is operative to space the placement indicator apart from the locating block. The spacing arm is configured to place the component-contacting feature of the placement indicator at a predetermined placement position in three-dimensional space relative to the patient tissue. The placement position predetermination is at least partially based upon pre-operative imaging of the patient tissue.
摘要翻译： 描述了一种用于引导患者组织的切除并且相对于切除的患者组织和使用方法将假体植入部件引导到期望的植入位置的定位装置。 定位块包括配对表面，用于与患者组织配合接触。 切割平面指示器提供用于切除的所需切割平面的物理指示。 放置指示器与定位块间隔开并且包括部件接触特征。 细长的间隔臂可操作以将放置指示器与定位块分开。 间隔臂被构造成将放置指示器的与零件接触的特征相对于患者组织放置在三维空间中的预定放置位置。 放置位置预先确定至少部分地基于患者组织的术前成像。
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7.发明申请SYSTEM AND METHOD FOR ASSISTING WITH ATTACHMENT OF A STOCK IMPLANT TO A PATIENT TISSUE 有权用于辅助植入植入物到患者组织的系统和方法公开(公告)号：US20120109137A1
公开(公告)日：2012-05-03
申请号：US13282495
申请日：2011-10-27
IPC分类号： A61B17/56
CPC分类号： A61B17/1728 , A61B17/1746 , A61B17/1753 , A61B17/1778 , A61B17/8061 , A61B17/8897 , A61B34/10 , A61B2017/00526 , A61B2017/568 , A61B2017/90 , A61F2/34 , A61F2/4609 , A61F2002/3401 , A61F2002/3403 , A61F2002/3408
摘要： A guide for assisting with attachment of a stock prosthetic implant to a patient tissue includes a lower guide surface configured to contact an upper implant surface of the stock prosthetic implant when a lower implant surface of the stock prosthetic implant contacts the patient tissue. An upper guide surface is accessible to a user when the lower guide surface is in contact with the upper implant surface. At least one guiding aperture extends through the guide body between the upper and lower guide surfaces at a predetermined aperture location with respect to the guide body and defines a predetermined target trajectory through the guide body. At least one of the target trajectory and the aperture location of each guiding aperture is preselected responsive to preoperative imaging of the patient tissue. A method of assisting with attachment of a stock prosthetic implant to a patient tissue is also provided.
摘要翻译： 用于辅助将股票假体植入物附着到患者组织的引导件包括下部引导表面，该下部引导表面构造成当股票假体植入物的下部植入物表面接触患者组织时接触股票假体植入物的上部植入物表面。 当下引导表面与上植入物表面接触时，使用者可以访问上引导表面。 至少一个引导孔在相对于引导体的预定孔位置处延伸穿过上引导表面和下引导表面之间的引导体，并且通过引导体限定预定的目标轨迹。 响应于患者组织的术前成像，预先选择每个引导孔的目标轨迹和孔位置中的至少一个。 还提供了一种辅助将股票假体植入物附着到患者组织的方法。
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公开(公告)号：US09615840B2
公开(公告)日：2017-04-11
申请号：US13282509
申请日：2011-10-27
CPC分类号： A61B17/1778 , A61B17/151 , A61B17/152 , A61B17/1746 , A61B34/10 , A61B2017/568 , A61B2034/104 , A61B2034/105 , A61B2034/108
摘要： A patient tissue includes a primary patient tissue area and an anatomically differentiated bordering secondary patient tissue area. An apparatus is at least partially customized responsive to preoperative imaging of the patient tissue. Means are provided for mating with the primary patient tissue area in a preselected relative orientation. Means are provided for fixing a first landmark to the primary patient tissue area in at least one of a predetermined marking location and a predetermined marking trajectory. Means are provided for fixing a second landmark to the secondary patient tissue area in at least one of a predetermined marking location and a predetermined marking trajectory. A method of associating a plurality of landmarks with a patient tissue is also provided.
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公开(公告)号：US09033990B2
公开(公告)日：2015-05-19
申请号：US13859831
申请日：2013-04-10
CPC分类号： A61B17/17 , A61B17/1746 , A61B17/1778 , A61B90/06 , A61B2090/067
摘要： A directed structure placement guide assists with positioning at least one directed structure in at least one of a predetermined insertion trajectory and a predetermined insertion location with respect to a patient tissue surface during preparation of the patient tissue surface to receive an implant. The implant has a tissue-contacting surface. A guide base has a distal base surface mimicking the structure of at least a portion of a tissue-contacting surface of the implant. The guide base also has a proximal base surface longitudinally spaced from the proximal base surface. At least one insertion guiding structure is movably supported by the guide base and is adjustable into a guiding configuration in which at least one of the predetermined insertion trajectory and the predetermined insertion location is selectively imparted to the directed structure.
摘要翻译： 定向结构放置引导件有助于在制备患者组织表面以接收植入物期间相对于患者组织表面将预定插入轨迹和预定插入位置中的至少一个中的至少一个定向结构定位。 植入物具有组织接触表面。 引导基部具有模仿植入物的组织接触表面的至少一部分的结构的远侧基面。 引导基部还具有与近侧基部表面纵向间隔开的近侧基部表面。 至少一个插入引导结构由引导基座可移动地支撑并且可调节成引导构造，其中预定插入轨迹和预定插入位置中的至少一个被选择性地施加到引导结构。
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10.发明申请公开(公告)号：US20130245632A1
公开(公告)日：2013-09-19
申请号：US13613511
申请日：2012-09-13
IPC分类号： A61B17/17
CPC分类号： A61B17/17 , A61B17/1746
摘要： An apparatus for dictating an insertion trajectory and location for insertion of an elongate pin into a surface includes a primary leg having longitudinally spaced proximal and distal primary leg ends. At least one subordinate leg has longitudinally spaced proximal and distal subordinate leg ends. The proximal subordinate leg end is movably attached to the primary leg by a coupling mechanism allowing at least two degrees of freedom of motion of the subordinate leg relative to the primary leg. The distal subordinate leg end is configured for contact with the surface concurrently with contact of the distal primary leg end with the surface, to support the apparatus during use of the apparatus. The primary leg guides longitudinal translational movement of the elongate pin to insertion into the surface at the dictated insertion trajectory and location when the apparatus is supported in a predetermined guiding relationship with the surface.
摘要翻译： 用于规定用于将细长销插入表面的插入轨迹和位置的装置包括具有纵向间隔开的近端和远端主支腿端部的主支腿。 至少一个从属腿具有纵向间隔的近侧和远侧的从属腿端。 近端从属腿端通过联接机构可移动地附接到主腿，允许从属腿相对于主腿的运动的至少两个自由度。 所述远侧次级脚端构造成与所述远端主支腿端部与所述表面的接触同时与所述表面接触，以在所述装置的使用期间支撑所述装置。 主支腿引导细长销的纵向平移运动，以在装置以预定的与表面的引导关系被支撑时以规定的插入轨迹和位置插入到表面中。
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