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公开(公告)号：US07291176B2
公开(公告)日：2007-11-06
申请号：US10435000
申请日：2003-05-09
IPC分类号： A61F2/32
CPC分类号： A61F2/4684 , A61F2/38 , A61F2/4657 , A61F2002/30604 , A61F2002/30617 , A61F2002/3625 , A61F2002/3652 , A61F2002/3656 , A61F2002/4623 , A61F2002/4668 , A61F2002/4687 , A61F2250/0097
摘要： This invention provides apparatus and a method for assembling a modular hip implant where the desired orientation of the neck component is uniquely determined during the trialing phase of the operation, and that same desired orientation is accurately reproduced during the implantation phase of the actual hip implant device.
摘要翻译： 本发明提供了用于组装模块化髋关节植入物的装置和方法，其中颈部部件的期望取向在手术的试验期间被唯一地确定，并且在实际的髋关节植入装置的植入阶段期间精确地再现相同的期望取向 。
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公开(公告)号：US20080147071A1
公开(公告)日：2008-06-19
申请号：US11893114
申请日：2007-08-14
IPC分类号： A61B17/58
CPC分类号： A61B17/1668 , A61B17/175
摘要： A bone milling instrument is disclosed for creating a shaped cavity from an initial cavity in a bone, the bone milling instrument comprising a reference frame having a proximal end and a distal end, the reference frame defining a longitudinal axis between the proximal end and the distal end, a centering member provided at the distal end of the reference frame, the centering member configured for placement within the initial cavity so as to selectively maintain a relative positioning of the longitudinal axis of the reference frame and the bone with one another, a registration surface for engaging a portion of the initial cavity so as to establish a desired vertical position of the reference frame along the longitudinal axis, the registration surface located proximally of the centering member, and an attachment site provided proximally of the registration surface, a guidance support member having a first end and a second end, an attachment mechanism at the first end of the guidance support member for adjustable connection thereof at the attachment site of the reference frame and a constrained pathway extending between the first end and the second end of the guidance support member; a shuttle having a first connection element and a second connection element, the first connection element configured for positionably attaching the shuttle to the guidance support member so as to allow movement of the shuttle within the constrained pathway, and the second connection element configured to provide a rotational coupler within the shuttle; and a cutting device having a proximal end and a distal end, a cutting portion configured at the distal end of the cutting device, and an attachment portion provided at the proximal end, wherein the cutting device is selectively attached to the rotational coupler within the shuttle so as to allow rotational motion of the cutting portion as the shuttle is selectively positioned within the constrained pathway so as to create the shaped cavity from the initial cavity in the bone.
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公开(公告)号：US07255702B2
公开(公告)日：2007-08-14
申请号：US10435574
申请日：2003-05-09
IPC分类号： A61B17/00
CPC分类号： A61B17/1668 , A61B17/175
摘要： A bone milling instrument is disclosed for creating a shaped cavity from an initial cavity in a bone, the bone milling instrument comprising a reference frame, a centering member at the distal end of the reference frame, a registration surface for engaging a portion of the initial cavity, and an attachment site provided proximally of the registration surface, a guidance support member, an attachment mechanism at the first end of the guidance support member, and a constrained pathway extending between the ends of the guidance support member; a shuttle having a first connection element configured for positionably attaching the shuttle to the guidance support member, and a second connection element configured to provide a rotational coupler; and a cutting device having a cutting portion configured at a distal end thereof, and an attachment portion provided at a proximal end.
摘要翻译： 公开了一种用于从骨骼中的初始腔体形成成形腔的骨铣器械，所述骨铣器械包括参考框架，所述参考框架的远端处的定心构件，用于接合所述初始 空腔和在配准表面的近侧设置的附接位置，引导支撑构件，在引导支撑构件的第一端处的附接机构和在引导支撑构件的端部之间延伸的约束路径; 具有构造成用于将梭子定位地附接到引导支撑构件的第一连接元件的梭子和被配置为提供旋转耦合器的第二连接元件; 以及切割装置，其具有构造在其远端处的切割部分和设置在近端处的附接部分。
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公开(公告)号：US08906032B2
公开(公告)日：2014-12-09
申请号：US12950154
申请日：2010-11-19
CPC分类号： A61B17/1764 , A61B17/1635 , A61B17/1742 , A61B17/1775 , A61B17/1778 , A61B17/8805
摘要： Instruments and associated methods are disclosed for treating joints, and particularly bone tissue. One of these instruments may be a positioning instrument for controlled delivery of a device to a target site of the bone tissue being treated. The positioning instrument may comprise a main body extending at one end into an indicator probe for visual determination of a target site of a bone to be treated, and at an opposite end into a handle. A rail extends from the main body. The instrument also includes an alignment guide having a device portal for insertion of a device therethrough, the alignment guide being detachable and movable along a length of the rail. The device may comprise an implant insertion tool, an injection catheter, a cavity creation tool such as a bone drill, for example, or the device may be an implantable device.
摘要翻译： 公开了用于治疗关节，特别是骨组织的仪器和相关方法。 这些器械中的一个可以是用于将器械控制递送到正在治疗的骨组织的靶位点的定位仪器。 定位仪器可以包括主体，其一端延伸到指示器探针中，用于目视确定待治疗的骨骼的目标部位，并且在相对端处于手柄中。 轨道从主体延伸。 该仪器还包括具有用于将装置插入其中的装置入口的对准引导件，该对准引导件可沿导轨的长度拆卸并且可移动。 该装置可以包括例如植入物插入工具，注射导管，诸如骨钻的空腔创建工具，或者该装置可以是可植入装置。
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公开(公告)号：US20110125265A1
公开(公告)日：2011-05-26
申请号：US12950306
申请日：2010-11-19
申请人： Charanpreet S. Bagga , Shaun B. Hanson , Christopher D. Mandeen , Michael J. Simpson , Steven B. Cohen , Charles F. Leinberry , Peter F. Sharkey
发明人： Charanpreet S. Bagga , Shaun B. Hanson , Christopher D. Mandeen , Michael J. Simpson , Steven B. Cohen , Charles F. Leinberry , Peter F. Sharkey
IPC分类号： A61F2/28
CPC分类号： A61F2/2846 , A61B17/68 , A61B17/7098 , A61B17/8615 , A61B17/863 , A61B17/864 , A61B17/8875 , A61B17/8897
摘要： Devices and associated methods are disclosed for treating bone, and particularly bone tissue at the joints. Disclosed are implantable devices that can be used either alone or in combination with this augmentation or hardening material for the repair of bone defects and which are particularly suited for use at the joints, and even more particularly, suited for use at the subchondral bone level.
摘要翻译： 公开了用于治疗骨骼的装置和相关方法，特别是关节处的骨组织。 公开了可植入装置，其可单独使用或与该增强或硬化材料组合用于修复骨缺损，并且特别适合于在关节处使用，甚至更具体地适合于在软骨下骨水平使用。
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6.发明申请公开(公告)号：US20110125200A1
公开(公告)日：2011-05-26
申请号：US12950061
申请日：2010-11-19
IPC分类号： A61B17/56
CPC分类号： A61B17/17 , A61B17/1635 , A61B17/1764 , A61B17/8805 , A61B90/10 , A61B2090/101 , A61B2090/3966 , A61F2/46
摘要： An instrument for controlled delivery of a device to a target area near a defect of a bone is provided. The instrument comprises a guide frame having a plurality of device portals, each portal defining a trajectory. The guide frame further includes visual markers for aligning the guide frame to an anatomical landmark on the bone to be treated. The instrument also includes a holder for releasable attachment with the guide frame. Each device portal is configured to provide accurate and controlled delivery of the device to the target area. In one example, the markers are radiopaque, and are visualized through fluoroscopy. A method of using the instrument is also provided.
摘要翻译： 提供了一种用于将设备的受控传递到骨缺损附近的目标区域的仪器。 仪器包括具有多个装置入口的引导框架，每个入口限定轨迹。 引导框架还包括用于将引导框架与待治疗骨骼上的解剖学标记对准的视觉标记。 仪器还包括用于与引导框架可释放地附接的保持器。 每个设备门户被配置为提供设备到目标区域的准确和受控的传递。 在一个示例中，标记是不透射线的，并且通过荧光透视可视化。 还提供了使用该仪器的方法。
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公开(公告)号：US09259257B2
公开(公告)日：2016-02-16
申请号：US12950230
申请日：2010-11-19
申请人： Charanpreet S. Bagga , Shaun B. Hanson , Steven B. Cohen , Charles F. Leinberry , Peter F. Sharkey
发明人： Charanpreet S. Bagga , Shaun B. Hanson , Steven B. Cohen , Charles F. Leinberry , Peter F. Sharkey
CPC分类号： A61B17/8872 , A61B17/1635 , A61B17/17 , A61B17/1714 , A61B17/1742 , A61B17/1764 , A61B17/1775 , A61B17/1778 , A61B17/68 , A61B17/8802 , A61B2090/0807
摘要： Instruments and associated methods are disclosed for treating joints, and particularly bone tissue. One of these instruments may be a positioning instrument for controlled delivery of a device to a target site of the bone tissue being treated. The positioning instrument may comprise an alignment guide having a device portal for insertion of a device therethrough. The positioning instrument may have an indicator probe having an extended arm, and a handle portion for maneuvering the positioning instrument. Another instrument may be a device for placement through the device portal of the alignment guide and to the target site. The device may comprise an implant insertion tool, an injection catheter, a cavity creation tool such as a bone drill, for example, or the device may be an implantable device.
摘要翻译： 公开了用于治疗关节，特别是骨组织的仪器和相关方法。 这些器械中的一个可以是用于将器械控制递送到正在治疗的骨组织的靶位点的定位仪器。 定位仪器可以包括具有用于通过其插入设备的装置入口的对准引导件。 定位仪器可以具有具有延伸臂的指示器探针和用于操纵定位仪器的手柄部分。 另一个仪器可以是用于通过对准引导件的设备入口放置到目标位置的装置。 该装置可以包括例如植入物插入工具，注射导管，诸如骨钻的空腔创建工具，或者该装置可以是可植入装置。
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8.发明授权公开(公告)号：US08617166B2
公开(公告)日：2013-12-31
申请号：US12950061
申请日：2010-11-19
IPC分类号： A61F2/46
CPC分类号： A61B17/17 , A61B17/1635 , A61B17/1764 , A61B17/8805 , A61B90/10 , A61B2090/101 , A61B2090/3966 , A61F2/46
摘要： An instrument for controlled delivery of a device to a target area near a defect of a bone is provided. The instrument comprises a guide frame having a plurality of device portals, each portal defining a trajectory. The guide frame further includes visual markers for aligning the guide frame to an anatomical landmark on the bone to be treated. The instrument also includes a holder for releasable attachment with the guide frame. Each device portal is configured to provide accurate and controlled delivery of the device to the target area. In one example, the markers are radiopaque, and are visualized through fluoroscopy. A method of using the instrument is also provided.
摘要翻译： 提供了一种用于将设备的受控传递到骨缺损附近的目标区域的仪器。 仪器包括具有多个装置入口的引导框架，每个入口限定轨迹。 引导框架还包括用于将引导框架与待治疗骨骼上的解剖学标记对准的视觉标记。 仪器还包括用于与引导框架可释放地附接的保持器。 每个设备门户被配置为提供设备到目标区域的准确和受控的传递。 在一个示例中，标记是不透射线的，并且通过荧光透视可视化。 还提供了使用该仪器的方法。
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公开(公告)号：US10064671B2
公开(公告)日：2018-09-04
申请号：US13491958
申请日：2012-06-08
摘要： Instruments and associated methods are disclosed for treating joints, and particularly bone tissue. In general, the embodiments relate to instruments and associated methods for the surgical treatment of a joint, and particularly to a subchondral bone defect at that joint region. More specifically, the embodiments relate to instruments that allow fast, easy, precise, and controllable subchondral delivery to, or removal of materials from, a bone joint being treated.
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10.发明授权公开(公告)号：US09023051B2
公开(公告)日：2015-05-05
申请号：US13402714
申请日：2012-02-22
CPC分类号： A61B17/3403 , A61B6/12 , A61B6/485 , A61B17/1703 , A61B17/1764 , A61B17/8805 , A61B17/8872 , A61B17/8897 , A61B90/39 , A61B2017/3411 , A61B2090/376 , A61B2090/3904 , A61B2090/3966 , A61B2090/3995 , A61M25/01
摘要： A system and associated instruments for locating, and accurately and controllably delivering, a device to an area sufficiently near a bone defect using anatomical landmarks is provided. The instruments allow the surgeon to navigate to the area around the bone defect quickly and easily, while also facilitating proper insertion of the device. In some embodiments, the defect is located on a femur. Guide instruments having a plurality of device portals are also provided for use as standalone instruments or as accessories to the system. In addition, a protective guide sleeve is provided for the insertion of small diameter devices.
摘要翻译： 提供了一种用于使用解剖学标记将装置定位并准确和可控地传递到足够靠近骨缺损的区域的系统和相关联的仪器。 仪器允许外科医生快速方便地导航到骨缺损周围的区域，同时也有利于装置的正确插入。 在一些实施例中，缺陷位于股骨上。 具有多个设备入口的导向仪器还被提供用作独立的仪器或作为系统的附件。 另外，提供了用于插入小直径装置的保护引导套筒。
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