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公开(公告)号：US09907589B2
公开(公告)日：2018-03-06
申请号：US14828934
申请日：2015-08-18
CPC分类号： A61B17/8042 , A61B17/7059
摘要： A surgical plate device that incorporates a screw locking mechanism in each screw hole by which the surgical plate device is affixed to a bony segment. The screw locking mechanism includes a tab structure emanating from an interior portion (or either surface) of the surgical plate that is biased into a portion of the corresponding screw hole. When a screw is inserted into the screw hole, the head of the screw temporarily biases the tab structure out of the screw hole, until the head of the screw passes below the plane of the tab structure, at which point the tab structure rebounds into the previously occupied portion of the screw hole, thereby covering a portion of the head of the screw and preventing it from “backing out.”
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2.发明授权
公开(公告)号：US5554158A
公开(公告)日：1996-09-10
申请号：US451530
申请日：1995-05-26
CPC分类号： A61B17/1764 , A61B17/1675 , A61B2017/1602
摘要： An intercondylar notch cutter using a plunge milling bit and bit guide which engages parallel tracks in a trial prosthesis. The intercondylar notch cutter comprises a cutting bit and a guide sleeve. The cutting bit can be thrust into the femur and then translated through the femur cutting a notch without removing the trial prosthesis. The bit is supported by a guide or housing with a guide platform which extends medially and laterally from the guide. Two condyle articulating surfaces on the platform slidingly engage a condyle surface on a trial prosthesis. Along the condyle surfaces on the trial prosthesis are two parallel grooves. Posts on the notch cutter are slidingly received within the grooves. A surgeon first places the trial implant on the femur without cutting an intercondylar notch. The surgeon can proceed immediately to cut an intercondyle notch without removing the femoral trial prosthesis.
摘要翻译： 一种使用插入铣头和钻头引导件的髁间切割刀具，其与试验假体中的平行轨道接合。 髁间切割器包括切割钻头和引导套筒。 切削刀头可以推入股骨，然后通过股骨翻转切口而不移除试验假体。 该钻头由具有引导平台的引导件或外壳支撑，导向平台从引导件中间和横向延伸。 平台上的两个髁关节表面滑动地接合在假体上的髁表面。 沿着试验假体的髁表面是两个平行的凹槽。 切口刀具上的刀片滑动地容纳在凹槽内。 外科医生首先将试验植入物置于股骨上，而不切割髁间隙。 外科医生可以立即进行切割髁间隙，而不需要移除股骨假体。
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公开(公告)号：US5486177A
公开(公告)日：1996-01-23
申请号：US359873
申请日：1994-12-20
申请人： Charles W. Mumme , Philip Gold
发明人： Charles W. Mumme , Philip Gold
CPC分类号： A61B17/1677 , A61B17/1767 , A61B2017/1602 , A61B2090/033 , Y10T408/567 , Y10T408/99
摘要： A patella planer for preparing a resected surface on a patella in a single operation. The patella planer has an adjustable stop which can be used on either side of the planer so that the planer may be used on the right or left knee. The adjustable stop has a floating zero pointer which can be set to accommodate varying thickness of the patient's patella. The amount of patella material to be removed can be selected by adjusting an offset stop pin.
摘要翻译： 髌骨刨床，用于在单次手术中准备髌骨上的切除面。 髌骨刨床具有可调节的停止点，可以在刨床的两侧使用，以便可以在胫骨右侧或左侧使用刨床。 可调节止动器具有浮动零指针，可以设置为适应患者髌骨的不同厚度。 可以通过调节偏移停止销来选择要移除的髌骨材料的数量。
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公开(公告)号：US5364402A
公开(公告)日：1994-11-15
申请号：US99157
申请日：1993-07-29
CPC分类号： A61B17/157
摘要： A tibial spacer saw guide for guiding the resection of a bony defect of the lateral or medial condyle of the proximal tibia to accommodate a spacer to be implanted beneath a tibial baseplate of a tibial prosthesis. The saw guide includes a plate having a plurality of locating holes corresponding in spacing and location to pins extending from the inferior surface of the tibial baseplate. The plate has medial and lateral guide edges for guiding a sagittal osteotomy where the guide edges are located relative to the locating holes, and thus relative to the pegs of the tibial baseplate. The saw guide also includes an anterior block extending from the plate and having a plurality of slots for guiding a horizontal osteotomy for the spacer of selected depth. The plate rests on an initially resected surface, and thus the horizontal osteotomy for the spacer is located relative to the initial osteotomy surface. The block is repositionable relative to the plate such that the saw guide can be used for both medial and lateral spacers of both the left and right tibias.
摘要翻译： 一种用于引导切除近端胫骨的外侧或内侧髁的骨缺损的胫骨间隔锯引导件，以容纳待植入在胫骨假体的胫骨基底下方的间隔件。 锯条引导件包括具有多个定位孔的板，该多个定位孔的间隔和位置对应于从胫骨基板的下表面延伸的销。 板具有用于引导矢状截骨的内侧和侧向引导边缘，其中引导边缘相对于定位孔定位，并且因此相对于胫骨基板的钉。 锯条引导件还包括从板延伸的前部块，并且具有多个槽，用于引导用于选定深度的间隔件的水平截骨。 板位于最初切除的表面上，因此用于间隔物的水平截骨相对于初始截骨表面定位。 该块可相对于板重新定位，使得锯条引导件可用于左右胫骨的内侧和外侧间隔件。
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公开(公告)号：US07641696B2
公开(公告)日：2010-01-05
申请号：US10753108
申请日：2004-01-06
IPC分类号： A61F2/42
CPC分类号： A61F2/4241 , A61F2/30767 , A61F2002/30014 , A61F2002/30021 , A61F2002/30026 , A61F2002/3008 , A61F2002/30112 , A61F2002/30158 , A61F2002/3026 , A61F2002/30301 , A61F2002/30574 , A61F2002/30616 , A61F2002/30685 , A61F2002/30878 , A61F2002/4258 , A61F2230/0004 , A61F2230/0026 , A61F2230/008 , A61F2230/0095 , A61F2250/0018 , A61F2250/0098 , A61F2310/00173 , A61F2310/00574
摘要： Hemi joint replacements for the base of the first metacarpal of the CMC joint are provided which can effectively restore and reestablish functional joint mechanics while preserving the soft tissues that contribute to joint stability and function. The implants have a unique head shape with a saddle-like articular surface that is shaped somewhat similar to a conventional bicycle seat. A set of four proportionately larger and smaller implants allows a surgeon to choose the appropriately sized prosthesis for implantation in respect of the metacarpal osteotomy.
摘要翻译： 提供了用于CMC关节第一掌骨基部的半关节置换术，可有效恢复和重新建立功能关节力学，同时保留有助于关节稳定性和功能的软组织。 植入物具有独特的头部形状，其具有鞍状的关节表面，其形状有点类似于传统的自行车座椅。 一组四个成比例地较大和较小的植入物允许外科医生选择适当尺寸的假体以进行针骨截骨术的植入。
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公开(公告)号：US06699292B2
公开(公告)日：2004-03-02
申请号：US09995365
申请日：2001-11-27
IPC分类号： A61F242
CPC分类号： A61B17/15 , A61F2/30767 , A61F2/30965 , A61F2/4241 , A61F2002/30153 , A61F2002/30158 , A61F2002/3021 , A61F2002/3026 , A61F2002/30616 , A61F2002/4246 , A61F2002/4248 , A61F2230/0019 , A61F2230/0026 , A61F2230/0067 , A61F2230/008 , A61F2310/00161 , A61F2310/00574
摘要： First and second elements that have mating heads form an interphalangeal joint prosthesis that allows smooth articulation dorsal to volar. The first element head has a proximal surface defined by two intersecting planes, a stem portion that extends longitudinally therefrom and a convex bicondylar articulating surface having a central valley. The second element has a biconcave articulating proximal surface which mates with the first element articulating surface and a stem portion that extends longitudinally from the distal surface thereof, with a notch being formed in a dorsal surface of the head at a location that does not disturb attachments to the dorsal tubercle or the function of the median band of the extensor expansion. Sets of such joint prostheses of varying sizes are provided which are designed so that adjacent sizes interfit. A method for treating a deteriorated PIP joint is described.
摘要翻译： 具有匹配头部的第一和第二元件形成一个指间关节假体，其能够平滑地铰接到背侧。 第一元件头具有由两个相交平面限定的近端表面，从纵向延伸的杆部分和具有中心谷的凸形双髁铰接表面。 所述第二元件具有与所述第一元件铰接表面配合的双凹孔铰接近端表面和从其远端表面纵向延伸的杆部分，其中凹口形成在所述头部的背面中，所述切口不会干扰附件 到背部结节或伸肌扩张的中间带的功能。 提供了各种尺寸的这种关节假体的组合，其被设计成使得相邻的尺寸互相配合。 描述了一种处理劣化的PIP接头的方法。
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公开(公告)号：US5423827A
公开(公告)日：1995-06-13
申请号：US252695
申请日：1994-06-02
CPC分类号： A61B17/1764 , Y10T408/567
摘要： A surgical jig for orienting a femoral component of a prosthetic knee prosthesis angularly with respect to the axis of the patient's femur which jig utilizes a single drill plate or guide for condylar pins, but permits variation in the placement of those pins. The jig comprises a distal plate which is placed against the distal end of the femur. The distal plate has two condyle fingers for grasping the posterior side of the femoral condyles. Gage means are provided to measure the size of the distal end of the femur. A rotatable drill guide permits the surgeon to adjust the placement of two drill bores for receiving condyle pins on a femoral component of a knee prosthesis.
摘要翻译： 一种手术夹具，用于使假肢膝关节假体的股骨部件相对于患者股骨的轴线成角度地定向，该夹具利用单个钻孔板或引导件用于髁销，但允许这些销的位置变化。 夹具包括靠近股骨远端的远端板。 远侧板具有两个髁指，用于抓住股骨髁的后侧。 提供测量装置以测量股骨远端的尺寸。 可旋转的钻子引导件允许外科医生调整两个钻孔的位置，用于接收膝关节假体的股骨部件上的髁突销。
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公开(公告)号：US6074424A
公开(公告)日：2000-06-13
申请号：US12532
申请日：1998-01-23
CPC分类号： A61F2/3859 , A61F2002/30736
摘要： An implantable orthopedic knee joint prosthesis includes a femoral component having an internal box geometry defined by a bone-engaging surface configured as a primary prosthesis. The femoral component has a threaded bore therein communicating with the bone-engaging surface. An adapter has a mating surface complementary to the box geometry of the femoral component and an internal box geometry defined by a bone-engaging surface configured as a revision prosthesis. A hole through the adapter is aligned with the threaded bore of the femoral component and has a recessed shoulder. An adapter screw has a head and a threaded shank, the head sized to be received within the hole of the adapter in engagement with the shoulder, and the shank being sized to be threadedly received within the threaded bore of the femoral component. The adapter screw includes a threaded bore therein. A spacer has a mating surface complementary to the box geometry of the adapter and an internal box geometry defined by a bone-engaging surface configured as a revision prosthesis. The spacer has a hole therethrough aligned with the threaded bore of the adapter screw. A spacer screw has a head and a threaded shank, the shank being sized to be threadedly received within the threaded bore of the adapter screw.
摘要翻译： 可植入矫形膝关节假体包括股骨部件，其具有由构成为主假体的骨接合表面限定的内部箱体几何形状。 股骨部件具有与骨接合表面连通的螺纹孔。 适配器具有与股骨部件的箱体几何形状互补的配合表面和由构造为修正假体的骨接合表面限定的内部箱体几何形状。 通过适配器的孔与股骨部件的螺纹孔对齐并且具有凹入的肩部。 适配器螺钉具有头部和螺纹柄部，所述头部的尺寸被设计成被容纳在与所述肩部接合的所述适配器的孔内，并且所述柄的尺寸设计成螺纹地容纳在所述股骨部件的螺纹孔内。 转接螺钉在其中包括螺纹孔。 间隔件具有与适配器的箱形几何互补的配合表面和由构造为修正假体的骨接合表面限定的内部箱体几何形状。 间隔件具有穿过与适配螺钉的螺纹孔对准的孔。 间隔螺钉具有头部和螺纹柄部，柄部的尺寸设计成螺纹地容纳在适配器螺钉的螺纹孔内。
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公开(公告)号：US5411505A
公开(公告)日：1995-05-02
申请号：US253102
申请日：1994-06-02
申请人： Charles W. Mumme
发明人： Charles W. Mumme
IPC分类号： A61B17/15
CPC分类号： A61B17/155
摘要： A jig for resecting the distal end of a femur to receive a femoral component of a knee prosthesis. The jig has independent medial and lateral condyle sagittal saw guides. The guides aid a surgeon in cutting three of four resected surfaces or planes for each condyle. The femoral component accepts shims over either condyle to compensate for uneven loss of healthy bone. The shims do not change the internal geometry of the femoral component, but associate each proximal displacement with an anterior displacement of the geometry. Each saw guide slides on a slanted dovetail track so that the proper amount of anterior displacement can be maintained so that shims may maintain the common internal geometry.
摘要翻译： 用于切除股骨远端以接收膝盖假体的股骨部件的夹具。 夹具有独立的内侧和外侧髁矢状面导板。 指南帮助外科医生切割每个髁的四个切除表面或平面中的三个。 股骨组件接受任何髁上的垫片以补偿健康骨的不均匀损失。 垫片不改变股骨部件的内部几何形状，而是将每个近端位移与几何的前移位相关联。 每个锯条导轨在倾斜的燕尾轨道上滑动，从而可以保持适当量的前移位，以使垫片可以保持共同的内部几何形状。
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公开(公告)号：USD490900S1
公开(公告)日：2004-06-01
申请号：US29173701
申请日：2003-01-02
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