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公开(公告)号：US09066727B2
公开(公告)日：2015-06-30
申请号：US13039498
申请日：2011-03-03
CPC分类号： A61B17/1764 , A61B17/155 , A61B17/56 , A61B34/10 , A61B2017/568 , A61B2034/108
摘要： An orthopedic device for joint arthroplasty includes a patient-specific alignment guide constructed and configured for a specific patient from medical scans that show a bone surface of a bone of the patient without any overlying soft tissue. The patient-specific alignment guide includes a patient-specific inner surface configured to be offset from and mimic the bone surface and form a clearance for soft tissue overlying the bone surface. The alignment guide also includes a plurality of patient-specific contact areas configured to mate and register directly on the bone surface without intervening soft tissue for direct bone registration. The plurality of patient-specific contact areas includes non-contiguous surface contact areas.
摘要翻译： 用于关节置换术的整形外科装置包括由医疗扫描构造和配置用于特定患者的患者特异性对准引导件，其显示患者的骨的骨表面而没有任何上覆的软组织。 患者特异性对准引导件包括构造成偏离并模拟骨表面的患者特异性内表面，并且对于覆盖骨表面的软组织形成间隙。 对准引导件还包括多个患者特异性的接触区域，其被配置为直接配对并记录在骨表面上，而无需中间的软组织用于直接骨骼配准。 多个患者特异性接触区域包括不连续的表面接触区域。
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公开(公告)号：US08668700B2
公开(公告)日：2014-03-11
申请号：US13097145
申请日：2011-04-29
CPC分类号： A61B17/155 , A61B17/1764 , A61B2017/568 , B33Y80/00
摘要： A convertible patient-specific guide for use in arthroplasty has a body having a patient-specific three-dimensional undersurface closely mateable engageable in only one position with a corresponding joint surface of a specific patient. The convertible guide includes patient-specific guiding formations extending from the body and configured for guiding both a total arthroplasty of the joint and a partial arthroplasty of the joint, such that the arthroplasty to be performed is intraoperatively changeable.
摘要翻译： 用于关节成形术的可转换的患者特异性导向器具有身体，其具有可与仅特定患者的相应联合表面仅在一个位置接合的患者特异性三维下表面。 可转换引导件包括从身体延伸的构造成用于引导关节的全关节置换和关节的部分关节成形术的患者特定的引导结构，使得要进行的关节成形术在术中可变。
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公开(公告)号：US20120277751A1
公开(公告)日：2012-11-01
申请号：US13097145
申请日：2011-04-29
IPC分类号： A61B17/90
CPC分类号： A61B17/155 , A61B17/1764 , A61B2017/568 , B33Y80/00
摘要： A convertible patient-specific guide for use in arthroplasty has a body having a patient-specific three-dimensional undersurface closely mateable engageable in only one position with a corresponding joint surface of a specific patient. The convertible guide includes patient-specific guiding formations extending from the body and configured for guiding both a total arthroplasty of the joint and a partial arthroplasty of the joint, such that the arthroplasty to be performed is intraoperatively changeable.
摘要翻译： 用于关节成形术的可转换的患者特异性导向器具有身体，其具有可与仅特定患者的相应联合表面仅在一个位置接合的患者特异性三维下表面。 可转换引导件包括从身体延伸的构造成用于引导关节的全关节置换和关节的部分关节成形术的患者特定的引导结构，使得要进行的关节成形术在术中可变。
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公开(公告)号：US20110218545A1
公开(公告)日：2011-09-08
申请号：US13039498
申请日：2011-03-03
IPC分类号： A61B17/90
CPC分类号： A61B17/1764 , A61B17/155 , A61B17/56 , A61B34/10 , A61B2017/568 , A61B2034/108
摘要： An orthopedic device for joint arthroplasty includes a patient-specific alignment guide constructed and configured for a specific patient from medical scans that show a bone surface of a bone of the patient without any overlying soft tissue. The patient-specific alignment guide includes a patient-specific inner surface configured to be offset from and mimic the bone surface and form a clearance for soft tissue overlying the bone surface. The alignment guide also includes a plurality of patient-specific contact areas configured to mate and register directly on the bone surface without intervening soft tissue for direct bone registration. The plurality of patient-specific contact areas includes non-contiguous surface contact areas.
摘要翻译： 用于关节置换术的整形外科装置包括由医疗扫描构造和配置用于特定患者的患者特异性对准引导件，其显示患者的骨的骨表面而没有任何上覆的软组织。 患者特异性对准引导件包括构造成偏离并模拟骨表面的患者特异性内表面，并且对于覆盖骨表面的软组织形成间隙。 对准引导件还包括多个患者特异性的接触区域，其被配置为直接配对并记录在骨表面上，而无需中间的软组织用于直接骨骼配准。 多个患者特异性接触区域包括不连续的表面接触区域。
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5.发明授权公开(公告)号：US09084618B2
公开(公告)日：2015-07-21
申请号：US13493509
申请日：2012-06-11
CPC分类号： A61B17/1764 , A61B17/155 , A61B17/1675 , A61B17/17 , A61B2017/568
摘要： An orthopedic device includes a drill guide configured to be mounted on a patient-specific alignment guide for intraoperatively confirming alignment of the patient-specific alignment guide relative to a bone. The patient-specific alignment guide includes first and second referencing holes. The drill guide includes a main body with a first coupling member and a second coupling member. The first and second coupling members are configured to be received within the first and second referencing holes, respectively. The first and second coupling members each include corresponding first and second drill openings configured to align with the first and second referencing holes, respectively. The drill openings each guide a drilling tool toward the bone to drill corresponding holes in the bone. The main body also includes an alignment confirmation feature configured for confirming alignment of the patient-specific alignment guide relative to the bone before drilling holes in the bone.
摘要翻译： 整形外科装置包括钻引导件，其构造成安装在患者特异的对准引导件上，用于在手术中确认患者特异性对准引导件相对于骨骼的对准。 患者专用对准引导件包括第一和第二参考孔。 钻子引导器包括具有第一联接构件和第二联接构件的主体。 第一和第二联接构件分别被配置为容纳在第一参考孔和第二参考孔内。 第一和第二联接构件各自包括被配置为分别与第一和第二参考孔对准的对应的第一和第二钻孔。 钻孔开口每个引导钻孔工具朝向骨头以在骨中钻取相应的孔。 主体还包括对准确认特征，其配置用于在钻孔之前确认患者特异性对准引导件相对于骨骼的对准。
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公开(公告)号：US08591516B2
公开(公告)日：2013-11-26
申请号：US12955361
申请日：2010-11-29
CPC分类号： A61B17/1764 , A61B17/155 , A61B17/157 , A61B17/58 , A61B34/10 , A61B2017/568 , A61B2034/108 , A61F2/389 , A61F2002/30014 , A61F2002/30018 , A61F2002/30604 , A61F2002/30617 , A61F2002/4662 , A61F2002/4668
摘要： An orthopedic device includes a patient-specific alignment guide operable for preparing a bone of a patient for resection during joint arthroplasty. The alignment guide includes a patient-specific bone engagement surface complementary to a surface of the bone of the patient and imaged from a bone scan of the patient. The alignment guide includes a plurality of guiding bores, and a plurality of alignment pins received through corresponding guiding bores for attaching the alignment guide to the bone. The alignment pins are resorbable and can be cut off during a resection of the bone.
摘要翻译： 整形外科装置包括患者专用对准引导件，其可操作用于在关节置换术期间准备用于切除的患者的骨骼。 对准引导件包括与患者的骨表面互补并且从患者的骨扫描成像的与患者特异的骨接合表面。 对准引导件包括多个引导孔，并且多个对准销通过相应的引导孔接收，用于将对准引导件附接到骨骼。 对准销是可再吸收的，并且可以在切除骨骼期间被切断。
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公开(公告)号：US20120303004A1
公开(公告)日：2012-11-29
申请号：US13527981
申请日：2012-06-20
申请人： Brian A. Uthgenannt , Christopher W. Friend , Bradley T. Durcholz , Joshua B. Catanzarite , Robert Metzger , Kai Robert Worrell
发明人： Brian A. Uthgenannt , Christopher W. Friend , Bradley T. Durcholz , Joshua B. Catanzarite , Robert Metzger , Kai Robert Worrell
CPC分类号： A61B17/56 , A61B17/154 , A61B34/10 , A61B50/10 , A61B50/13 , A61B50/15 , A61B50/30 , A61B50/33 , A61B2017/564 , A61B2034/105 , A61B2034/108 , A61B2034/252 , A61B2034/258 , A61B2050/105 , A61B2050/185
摘要： A method for preparing surgical kits for use during a surgery includes preparing a pre-operative surgical plan for a patient and selecting a set of surgical instruments based on the pre-operative surgical plan. The set of surgical instruments includes at least a general instrument, a first size-specific instrument, a patient-specific instrument, and a surgeon-specific instrument. The general instrument is selected from a predetermined group of off-the-shelf instruments. The first size-specific instrument has a first size selected from predetermined sizes. The patient-specific instrument includes a three-dimensional contoured engagement surface configured to nest into a portion of a native anatomy in a single location. The surgeon-specific instrument is selected based on a surgeon preference and is a different instrument than the selected general instrument, first size-specific instrument, and patient-specific instrument. The method further includes preparing a surgeon instrument kit containing the set of surgical instruments in sterilized form.
摘要翻译： 一种用于准备在手术中使用的手术套件的方法包括为患者准备手术前手术计划，并且基于手术前手术计划选择一组手术器械。 该组手术器械至少包括一般仪器，第一尺寸特异性仪器，患者专用仪器和外科医生特异性仪器。 一般仪器选自预定的一组现成的仪器。 第一尺寸特定仪器具有从预定尺寸选择的第一尺寸。 患者特异性仪器包括被配置为在单个位置嵌套到本体解剖结构的一部分中的三维轮廓接合表面。 外科医生特定的仪器是根据外科医生的偏好选择的，并且是与选定的一般仪器，第一尺寸特异性仪器和患者特异性仪器不同的仪器。 该方法还包括制备包含灭菌形式的外科器械组的外科医生仪器套件。
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公开(公告)号：US20110071533A1
公开(公告)日：2011-03-24
申请号：US12955361
申请日：2010-11-29
IPC分类号： A61B17/56
CPC分类号： A61B17/1764 , A61B17/155 , A61B17/157 , A61B17/58 , A61B34/10 , A61B2017/568 , A61B2034/108 , A61F2/389 , A61F2002/30014 , A61F2002/30018 , A61F2002/30604 , A61F2002/30617 , A61F2002/4662 , A61F2002/4668
摘要： An orthopedic device includes a patient-specific alignment guide operable for preparing a bone of a patient for resection during joint arthroplasty. The alignment guide includes a patient-specific bone engagement surface complementary to a surface of the bone of the patient and imaged from a bone scan of the patient. The alignment guide includes a plurality of guiding bores, and a plurality of alignment pins received through corresponding guiding bores for attaching the alignment guide to the bone. The alignment pins are resorbable and can be cut off during a resection of the bone.
摘要翻译： 整形外科装置包括患者专用对准引导件，其可操作用于在关节置换术期间准备用于切除的患者的骨骼。 对准引导件包括与患者的骨表面互补并且从患者的骨扫描成像的与患者特异的骨接合表面。 对准引导件包括多个引导孔，并且多个对准销通过相应的引导孔接收，用于将对准引导件附接到骨骼。 对准销是可再吸收的，并且可以在切除骨骼期间被切断。
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公开(公告)号：US20090254367A1
公开(公告)日：2009-10-08
申请号：US12483807
申请日：2009-06-12
CPC分类号： G06F19/321 , A61B17/155 , A61B34/10 , A61F2/30942 , A61F2/3859 , A61F2002/30616 , A61F2002/30617 , A61F2002/30708 , A61F2002/3071 , A61F2002/30948 , A61F2002/30953 , A61F2002/3096 , A61F2002/30962 , A61F2002/4633 , A61F2250/0084 , A61F2250/0085 , A61F2250/0097 , B33Y50/00 , B33Y80/00 , G06F19/00 , G06F19/3481 , G06Q30/0601 , G06Q50/22 , G16H40/63 , G16H50/50
摘要： An orthopedic implant manufacturing method. The method includes preparing a pre-operative surgical plan for a specific patient, the surgical plan including a three-dimensional image of a patient's joint indicating at least one resection plane, communicating the surgical plan to a surgeon of the patient, and receiving approval of the surgical plan and the resection plane by the surgeon. The method also includes providing automated osteophyte/protrusion removal control for surgeon manipulation, receiving a modified three-dimensional image of a patient's joint indicating an osteophyte/protrusion removal and a recommendation for a corresponding selected orthopedic implant from the surgeon, and requesting manufacture of the selected orthopedic implant.
摘要翻译： 矫形植入物制造方法。 该方法包括为特定患者准备手术前手术计划，所述手术方案包括指示至少一个切除平面的患者关节的三维图像，将手术计划传达给患者的外科医生，并且接受 手术计划和外科医生的切除面。 该方法还包括提供用于外科医生操作的自动骨赘/突出物去除控制，接收指示骨赘/突起移除的患者关节的修改的三维图像以及来自外科医生的对应的所选矫形外科植入物的推荐，并请求制造 选择骨科植入物。
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公开(公告)号：US08407067B2
公开(公告)日：2013-03-26
申请号：US12872663
申请日：2010-08-31
CPC分类号： A61B17/1675 , A61B17/155 , A61B17/1764 , A61B34/10 , A61B90/96 , A61B90/98 , A61B2017/00526 , A61F2/30942 , A61F2/38 , A61F2/3859 , A61F2002/30616 , A61F2002/30617 , A61F2002/30708 , A61F2002/3071 , A61F2002/30884 , A61F2002/30948 , A61F2002/30952 , A61F2002/30953 , A61F2002/3096 , A61F2002/30962 , A61F2002/3863 , A61F2002/4633 , A61F2250/0084 , A61F2250/0085 , A61F2250/0097 , B33Y50/00 , B33Y80/00 , G06F19/00 , G16H50/50 , Y10T29/49
摘要： An orthopedic device includes a femoral implant having a non-custom internal bone engagement surface. The femoral implant includes at least nine parameters adjusted preoperatively to correspond to a specific patient. The parameters can include patient-specific lengths, such as, for example, medial and lateral condyle widths and notch height, and patient-specific medial and lateral angles.
摘要翻译： 矫形装置包括具有非定制内部骨接合表面的股骨植入物。 股骨植入物包括在术前调整以对应于特定患者的至少九个参数。 参数可以包括患者特异性长度，例如内侧和外侧髁宽度和切口高度，以及患者特定的内侧和外侧角度。
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