公开(公告)号：US08092542B2

公开(公告)日：2012-01-10

申请号：US12624160

申请日：2009-11-23

申请人： Vincent Bryan ,  Alex Kunzler ,  Charles R. Clark ,  Robert Conta ,  Carlos E. Gil

发明人： Vincent Bryan ,  Alex Kunzler ,  Charles R. Clark ,  Robert Conta ,  Carlos E. Gil

IPC分类号： A61F2/44 ,  A61F2/28

CPC分类号： A61B17/1757 ,  A61B17/02 ,  A61B17/1664 ,  A61B17/1671 ,  A61B17/1675 ,  A61B17/1684 ,  A61B90/10 ,  A61B90/50 ,  A61B2017/0256 ,  A61B2017/1602 ,  A61B2090/034 ,  A61F2/30742 ,  A61F2/30744 ,  A61F2/442 ,  A61F2/4425 ,  A61F2/4611 ,  A61F2002/30204 ,  A61F2002/30235 ,  A61F2002/30474 ,  A61F2002/30499 ,  A61F2002/30528 ,  A61F2002/30563 ,  A61F2002/30578 ,  A61F2002/30616 ,  A61F2002/30662 ,  A61F2002/30673 ,  A61F2002/30682 ,  A61F2002/30769 ,  A61F2002/30772 ,  A61F2002/443 ,  A61F2220/0025 ,  A61F2230/0065 ,  A61F2230/0069 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00203 ,  A61F2310/00239 ,  A61F2310/00407

摘要： The invention relates to a surgical implant that provides an artificial diarthroidal-like joint, suitable for use in replacing any joint, but particularly suitable for use as an intervertebral disc endoprosthesis. The invention contains two rigid opposing shells, each having an outer surface adapted to engage the surfaces of the bones of a joint in such a way that the shells are immobilized by friction between their outer surfaces and the surfaces of the bone. These outer surfaces are sufficiently rough that large frictional forces strongly resist any slippage between the outer surface and the bone surfaces in the joint. They may be convex, and when inserted into a milled concavity, are immediately mechanically stable. Desirably, the outer surfaces of the shells are adapted to allow for bony ingrowth, which further stabilizes the shells in place. The inner surfaces of the shells are relatively smooth, and adapted to slide easily across a portion of the outer surface of a central body disposed between the shells. The central body has a shape that cooperates with the shape of the inner surface of the shell so as to provide a range of motion similar to that provided by a healthy joint. A flexible sheath extends between edges of the opposing shells. The inner surface of this sheath, together with the inner surfaces of the rigid shells, defines a cavity encasing the central body. At least a portion of this cavity is filled with a fluid lubricant, further decreasing the frictional force between inner surfaces of the shell and the surface of the central body.

摘要翻译： 本发明涉及一种手术植入物，其提供适于用于替换任何关节，但特别适合用作椎间盘内假体的人造骨关节样关节。 本发明包含两个刚性的相对的壳，每个具有外表面，该外表面适合于接合骨头的表面，使得外壳通过其外表面和骨表面之间的摩擦固定。 这些外表面足够粗糙，使得大的摩擦力强烈地抵抗接合处的外表面和骨表面之间的任何滑动。 它们可以是凸形的，并且当插入铣削凹部时，它们立即机械地稳定。 理想地，壳的外表面适于允许骨向内生长，这进一步将壳稳定在适当位置。 壳的内表面相对平滑，并且适于容易地滑过设置在壳之间的中心体的外表面的一部分。 中心体具有与壳的内表面的形状配合的形状，以提供类似于由健康关节提供的运动范围。 柔性护套在相对的壳的边缘之间延伸。 该护套的内表面与刚性外壳的内表面一起限定了一个包围中心体的空腔。 该空腔的至少一部分填充有流体润滑剂，进一步降低了壳的内表面与中心体的表面之间的摩擦力。

公开(公告)号：US20100070042A1

公开(公告)日：2010-03-18

申请号：US12624160

申请日：2009-11-23

申请人： Vincent Bryan ,  Alex Kunzler ,  Charles R. Clark ,  Robert Conta ,  Carlos E. Gil

发明人： Vincent Bryan ,  Alex Kunzler ,  Charles R. Clark ,  Robert Conta ,  Carlos E. Gil

IPC分类号： A61F2/44 ,  A61F2/28

CPC分类号： A61B17/1757 ,  A61B17/02 ,  A61B17/1664 ,  A61B17/1671 ,  A61B17/1675 ,  A61B17/1684 ,  A61B90/10 ,  A61B90/50 ,  A61B2017/0256 ,  A61B2017/1602 ,  A61B2090/034 ,  A61F2/30742 ,  A61F2/30744 ,  A61F2/442 ,  A61F2/4425 ,  A61F2/4611 ,  A61F2002/30204 ,  A61F2002/30235 ,  A61F2002/30474 ,  A61F2002/30499 ,  A61F2002/30528 ,  A61F2002/30563 ,  A61F2002/30578 ,  A61F2002/30616 ,  A61F2002/30662 ,  A61F2002/30673 ,  A61F2002/30682 ,  A61F2002/30769 ,  A61F2002/30772 ,  A61F2002/443 ,  A61F2220/0025 ,  A61F2230/0065 ,  A61F2230/0069 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00203 ,  A61F2310/00239 ,  A61F2310/00407

摘要： The invention relates to a surgical implant that provides an artificial diarthroidal-like joint, suitable for use in replacing any joint, but particularly suitable for use as an intervertebral disc endoprosthesis. The invention contains two rigid opposing shells, each having an outer surface adapted to engage the surfaces of the bones of a joint in such a way that the shells are immobilized by friction between their outer surfaces and the surfaces of the bone. These outer surfaces are sufficiently rough that large frictional forces strongly resist any slippage between the outer surface and the bone surfaces in the joint. They may be convex, and when inserted into a milled concavity, are immediately mechanically stable. Desirably, the outer surfaces of the shells are adapted to allow for bony ingrowth, which further stabilizes the shells in place. The inner surfaces of the shells are relatively smooth, and adapted to slide easily across a portion of the outer surface of a central body disposed between the shells. The central body has a shape that cooperates with the shape of the inner surface of the shell so as to provide a range of motion similar to that provided by a healthy joint. A flexible sheath extends between edges of the opposing shells. The inner surface of this sheath, together with the inner surfaces of the rigid shells, defines a cavity encasing the central body. At least a portion of this cavity is filled with a fluid lubricant, further decreasing the frictional force between inner surfaces of the shell and the surface of the central body.

摘要翻译： 本发明涉及一种手术植入物，其提供适于用于替换任何关节，但特别适合用作椎间盘内假体的人造骨关节样关节。 本发明包含两个刚性的相对的壳，每个具有外表面，该外表面适合于接合骨头的表面，使得外壳通过其外表面和骨表面之间的摩擦固定。 这些外表面足够粗糙，使得大的摩擦力强烈地抵抗接合处的外表面和骨表面之间的任何滑动。 它们可以是凸形的，并且当插入铣削凹部时，它们立即机械地稳定。 理想地，壳的外表面适于允许骨向内生长，这进一步将壳稳定在适当位置。 壳的内表面相对平滑，并且适于容易地滑过设置在壳之间的中心体的外表面的一部分。 中心体具有与壳的内表面的形状配合的形状，以提供类似于由健康关节提供的运动范围。 柔性护套在相对的壳的边缘之间延伸。 该护套的内表面与刚性外壳的内表面一起限定了一个包围中心体的空腔。 该空腔的至少一部分填充有流体润滑剂，进一步降低了壳的内表面与中心体的表面之间的摩擦力。

公开(公告)号：US07641692B2

公开(公告)日：2010-01-05

申请号：US09924298

申请日：2001-08-08

申请人： Vincent Bryan ,  Alex Kunzler ,  Charles R. Clark ,  Robert Conta ,  Carlos E. Gil

发明人： Vincent Bryan ,  Alex Kunzler ,  Charles R. Clark ,  Robert Conta ,  Carlos E. Gil

IPC分类号： A61F2/44

CPC分类号： A61B17/1757 ,  A61B17/02 ,  A61B17/1664 ,  A61B17/1671 ,  A61B17/1675 ,  A61B17/1684 ,  A61B90/10 ,  A61B90/50 ,  A61B2017/0256 ,  A61B2017/1602 ,  A61B2090/034 ,  A61F2/30742 ,  A61F2/30744 ,  A61F2/442 ,  A61F2/4425 ,  A61F2/4611 ,  A61F2002/30204 ,  A61F2002/30235 ,  A61F2002/30474 ,  A61F2002/30499 ,  A61F2002/30528 ,  A61F2002/30563 ,  A61F2002/30578 ,  A61F2002/30616 ,  A61F2002/30662 ,  A61F2002/30673 ,  A61F2002/30682 ,  A61F2002/30769 ,  A61F2002/30772 ,  A61F2002/443 ,  A61F2220/0025 ,  A61F2230/0065 ,  A61F2230/0069 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00203 ,  A61F2310/00239 ,  A61F2310/00407

摘要： The invention relates to a surgical implant that provides an artificial diarthroidal-like D joint, suitable for use in replacing any joint, but particularly suitable for use as an intervertebral disc endoprosthesis. The invention contains two rigid opposing shells, each having an outer surface adapted to engage the surfaces of the bones of a joint in such a way that the shells are immobilized by friction between their outer surfaces and the surfaces of the bone. These outer surfaces are sufficiently rough, while the inner surfaces of the shells are relatively smooth. The central body has a shape that cooperates with the shape of the inner surface of the shell so as to provide a range of motion similar to that provided by a healthy joint.

摘要翻译： 本发明涉及一种手术植入物，其提供人造的类似二尖瓣状的D型接头，适用于替换任何关节，特别适合用作椎间盘内置假体。 本发明包含两个刚性的相对的壳，每个具有外表面，该外表面适合于接合骨头的表面，使得外壳通过其外表面和骨表面之间的摩擦固定。 这些外表面足够粗糙，而壳体的内表面相对光滑。 中心体具有与壳的内表面的形状配合的形状，以提供类似于由健康关节提供的运动范围。

公开(公告)号：US20110295374A1

公开(公告)日：2011-12-01

申请号：US13204187

申请日：2011-08-05

申请人： Vincent Bryan ,  Alex Kunzler ,  Charles R. Clark ,  Robert Conta ,  Carlos E. Gil

发明人： Vincent Bryan ,  Alex Kunzler ,  Charles R. Clark ,  Robert Conta ,  Carlos E. Gil

IPC分类号： A61F2/44

CPC分类号： A61B17/1757 ,  A61B17/02 ,  A61B17/1664 ,  A61B17/1671 ,  A61B17/1675 ,  A61B17/1684 ,  A61B90/10 ,  A61B90/50 ,  A61B2017/0256 ,  A61B2017/1602 ,  A61B2090/034 ,  A61F2/30742 ,  A61F2/30744 ,  A61F2/442 ,  A61F2/4425 ,  A61F2/4611 ,  A61F2002/30204 ,  A61F2002/30235 ,  A61F2002/30474 ,  A61F2002/30499 ,  A61F2002/30528 ,  A61F2002/30563 ,  A61F2002/30578 ,  A61F2002/30616 ,  A61F2002/30662 ,  A61F2002/30673 ,  A61F2002/30682 ,  A61F2002/30769 ,  A61F2002/30772 ,  A61F2002/443 ,  A61F2220/0025 ,  A61F2230/0065 ,  A61F2230/0069 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00203 ,  A61F2310/00239 ,  A61F2310/00407

摘要： The invention relates to a surgical implant that provides an artificial diarthroidal-like joint, suitable for use in replacing any joint, but particularly suitable for use as an intervertebral disc endoprosthesis. The invention contains two rigid opposing shells, each having an outer surface adapted to engage the surfaces of the bones of a joint in such a way that the shells are immobilized by friction between their outer surfaces and the surfaces of the bone. These outer surfaces are sufficiently rough that large frictional forces strongly resist any slippage between the outer surface and the bone surfaces in the joint. They may be convex, and when inserted into a milled concavity, are immediately mechanically stable. Desirably, the outer surfaces of the shells are adapted to allow for bony ingrowth, which further stabilizes the shells in place. The inner surfaces of the shells are relatively smooth, and adapted to slide easily across a portion of the outer surface of a central body disposed between the shells. The central body has a shape that cooperates with the shape of the inner surface of the shell so as to provide a range of motion similar to that provided by a healthy joint. A flexible sheath extends between edges of the opposing shells. The inner surface of this sheath, together with the inner surfaces of the rigid shells, defines a cavity encasing the central body. At least a portion of this cavity is filled with a fluid lubricant, further decreasing the frictional force between inner surfaces of the shell and the surface of the central body.

摘要翻译： 本发明涉及一种手术植入物，其提供适于用于替换任何关节，但特别适合用作椎间盘内假体的人造骨关节样关节。 本发明包含两个刚性的相对的壳，每个具有外表面，该外表面适合于接合骨头的表面，使得外壳通过其外表面和骨表面之间的摩擦固定。 这些外表面足够粗糙，使得大的摩擦力强烈地抵抗接合处的外表面和骨表面之间的任何滑动。 它们可以是凸形的，并且当插入铣削凹部时，它们立即机械地稳定。 理想地，壳的外表面适于允许骨向内生长，这进一步将壳稳定在适当位置。 壳的内表面相对平滑，并且适于容易地滑过设置在壳之间的中心体的外表面的一部分。 中心体具有与壳的内表面的形状配合的形状，以提供类似于由健康关节提供的运动范围。 柔性护套在相对的壳的边缘之间延伸。 该护套的内表面与刚性外壳的内表面一起限定了一个包围中心体的空腔。 该空腔的至少一部分填充有流体润滑剂，进一步降低了壳的内表面与中心体的表面之间的摩擦力。

公开(公告)号：US06949105B2

公开(公告)日：2005-09-27

申请号：US09923891

申请日：2001-08-07

申请人： Vincent Bryan ,  Alex Kunzler ,  Robert Conta ,  Randy Allard ,  Richard J. Broman ,  Anthony Finazzo ,  Carlos E. Gil ,  Jeffrey P. Rouleau ,  Leonard Tokish, Jr. ,  David Yager

发明人： Vincent Bryan ,  Alex Kunzler ,  Robert Conta ,  Randy Allard ,  Richard J. Broman ,  Anthony Finazzo ,  Carlos E. Gil ,  Jeffrey P. Rouleau ,  Leonard Tokish, Jr. ,  David Yager

IPC分类号： A61B19/00 ,  A61B17/02 ,  A61B17/16 ,  A61B17/17 ,  A61B17/56 ,  A61B17/88 ,  A61B19/02 ,  A61F2/00 ,  A61F2/30 ,  A61F2/44 ,  A61F2/46

CPC分类号： A61B17/0293 ,  A61B17/02 ,  A61B17/1671 ,  A61B17/1757 ,  A61B17/8866 ,  A61B50/20 ,  A61B90/10 ,  A61B90/50 ,  A61B2017/0256 ,  A61B2017/1602 ,  A61B2090/034 ,  A61F2/30742 ,  A61F2/30744 ,  A61F2/442 ,  A61F2/4425 ,  A61F2/4611 ,  A61F2002/30204 ,  A61F2002/30235 ,  A61F2002/30474 ,  A61F2002/30499 ,  A61F2002/30528 ,  A61F2002/30563 ,  A61F2002/30578 ,  A61F2002/30616 ,  A61F2002/30673 ,  A61F2002/30682 ,  A61F2002/30769 ,  A61F2002/30772 ,  A61F2002/443 ,  A61F2220/0025 ,  A61F2230/0065 ,  A61F2230/0069 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00203 ,  A61F2310/00239

摘要： The invention relates to a technique for precisely locating a line containing a predetermined point within the surgical site using a series of levels and plumb lines and internal anatomical features of the surgical site, using this location to precisely position and temporarily affix a site preparation scaffold relative to the patient's anatomy so that site preparation instruments can be introduced into the site at precise locations governed by the scaffold geometry and patient anatomy. This precise positioning of the scaffold also provides a way for the surgeon to use patient anatomical features to reliably and precisely prepare the surgical site. Scaffolds having angling features further increase the precise preparation of the surgical site. This increased precision in site preparation increases the probability of a successful procedure, and decreases the likelihood that additional surgery may be needed.

摘要翻译： 本发明涉及一种用于使用一系列水平和铅垂线以及手术部位的内部解剖特征精确地定位包含手术部位内的预定点的线的技术，其使用该位置精确地定位并临时固定位点制备支架相对 到患者的解剖结构，以便在由支架几何形状和患者解剖结构控制的精确位置处将位点准备仪器引入到位置。 脚手架的这种精确定位还为外科医生使用患者解剖特征可靠且准确地准备手术部位提供了一种方法。 具有垂直特征的支架进一步增加了手术部位的精确准备。 这种现场准备精度的提高增加了手术成功的可能性，并降低了可能需要进行额外手术的可能性。

公开(公告)号：US08137277B2

公开(公告)日：2012-03-20

申请号：US13040730

申请日：2011-03-04

申请人： Jeffrey H. Nycz ,  Carlos E. Gil ,  William T. Donofrio ,  Jeetendra Subhash Bharadwaj

发明人： Jeffrey H. Nycz ,  Carlos E. Gil ,  William T. Donofrio ,  Jeetendra Subhash Bharadwaj

IPC分类号： A61B8/00

CPC分类号： A61B8/0875 ,  A61B8/4281 ,  A61B8/4472 ,  A61B8/56

摘要： Apparatus and methods for assessing tissue characteristics such as the dimensions and volume of an osteolytic lesion are disclosed. The apparatus may utilize ultrasound to provide visual and volumetric feedback related to a lesion or other tissue. Further the apparatus may be utilized to determine whether the lesion has been completely removed and filled with the appropriate amount of graft material.

摘要翻译： 公开了用于评估组织特征如溶骨性病变的尺寸和体积的装置和方法。 该装置可以利用超声波来提供与病变或其他组织相关的视觉和体积反馈。 此外，该装置可以用于确定病变是否已被完全去除并且用适量的移植材料填充。

公开(公告)号：US20100198268A1

公开(公告)日：2010-08-05

申请号：US12364621

申请日：2009-02-03

申请人： Jeffrey ZHANG ,  Randall N. Allard ,  Frank J. Schwab ,  Lawrence G. Lenke ,  Carlos E. Gil ,  Greg C. Marik

发明人： Jeffrey ZHANG ,  Randall N. Allard ,  Frank J. Schwab ,  Lawrence G. Lenke ,  Carlos E. Gil ,  Greg C. Marik

IPC分类号： A61B17/58

CPC分类号： A61B17/7032 ,  A61B17/0206 ,  A61B17/025 ,  A61B17/7074 ,  A61B17/7083 ,  A61B50/30 ,  A61B2017/0256

摘要： A tissue extender includes a ring defining a proximal end opening to engage a head of a subcutaneous screw, a first extender portion coupled to the ring at a proximal end of the first extender portion, and a second extender portion coupled to the ring at a proximal end of the second extender portion. The first extender portion includes a first coupling portion disposed at a distal end of the first extender portion, and the second extender portion includes a second coupling portion at a distal end of the second extender portion. The first and second extender portions define two side openings disposed on opposite sides of the tissue extender. The distal ends of the first and second extender portions together define a distal end opening. The first coupling portion engages the second coupling portion when the tissue extender is in an extended state. The distal end opening is larger in the extended state than in an unextended state.

摘要翻译： 组织延伸器包括限定近端开口以接合皮下螺钉的头部的环，在第一延伸部分的近端处联接到环的第一扩张器部分和在近端处联接到环的第二延伸部分 第二延伸部分的末端。 第一延伸部分包括设置在第一延伸部分的远端处的第一联接部分，并且第二延伸部分包括在第二延伸部分的远端处的第二联接部分。 第一和第二延伸部分限定了设置在组织延伸器的相对侧上的两个侧开口。 第一和第二延伸部分的远端一起限定远端开口。 当组织延伸器处于伸展状态时，第一联接部分接合第二联接部分。 远端开口在伸展状态下大于非延伸状态。

公开(公告)号：US07758583B2

公开(公告)日：2010-07-20

申请号：US11554936

申请日：2006-10-31

申请人： Carlos E. Gil ,  Jeetendra Subhash Bharadwaj ,  Michael Allen Dupree

发明人： Carlos E. Gil ,  Jeetendra Subhash Bharadwaj ,  Michael Allen Dupree

IPC分类号： A61B17/56 ,  A61B17/58 ,  A61B17/88 ,  A61F2/02 ,  A61F2/28

CPC分类号： A61F2/4618 ,  A61F2/30756 ,  A61F2/3859 ,  A61F2002/2839 ,  A61F2002/30261 ,  A61F2002/30566 ,  A61F2002/30601 ,  A61F2002/30759 ,  A61F2002/4619 ,  A61F2002/4627 ,  A61F2230/0082

摘要： A surgical instrument and method are provided for positioning an osteochondral plug within a bone defect site. The instrument includes an elongate shaft, a ribbon, an elongate sleeve and a locking mechanism. The shaft has proximal and distal ends, with the distal end being shaped to contact the osteochondral plug. The ribbon extends along two sides of the shaft and around the distal end, forming a loop that is used to secure the osteochondral plug to the distal end. The sleeve is movably mounted to the shaft for reciprocating relative thereto between retracted and extended positions. The sleeve includes a slot that allows for visualization and cutting of the ribbon. The locking mechanism locks the ribbon in place and thereby controls the size and tension of the loop that surrounds the osteochondral plug, securing it to the distal end of the shaft.

摘要翻译： 提供了一种外科手术器械和方法，用于将骨软骨塞塞定位在骨缺损部位内。 仪器包括细长轴，带状物，细长套筒和锁定机构。 轴具有近端和远端，远端被成形为接触骨软骨塞。 带状物沿着轴的两侧延伸并且围绕远端延伸，形成用于将软骨软骨塞固定到远端的环。 套筒可移动地安装到轴上，用于在缩回位置和伸出位置之间相对于其往复运动。 套筒包括允许可视化和切割色带的槽。 锁定机构将带固定在适当位置，从而控制围绕骨软骨塞的环的尺寸和张力，将其固定到轴的远端。

公开(公告)号：US07722614B2

公开(公告)日：2010-05-25

申请号：US11340884

申请日：2006-01-27

申请人： Daniel Shimko ,  Jeetendra Bharadwaj ,  Carlos E. Gil ,  Eric Weeks

发明人： Daniel Shimko ,  Jeetendra Bharadwaj ,  Carlos E. Gil ,  Eric Weeks

IPC分类号： A61F2/28 ,  A61F2/38

CPC分类号： A61B17/1764 ,  A61B17/1604 ,  A61B17/1637 ,  A61B17/1675 ,  A61B17/8897 ,  A61B2090/062

摘要： A surgical procedure and a device used in the procedure according to which one end portion of a guide rod is inserted into the condyle of a damaged area of a human. The rod is used as a guide for a drill bit and a chisel to cut an opening in the condyle.

摘要翻译： 一种外科手术和在该过程中使用的装置，其中导杆的一个端部插入到人的受损区域的髁上。 该杆用作钻头和凿子以在髁中切开开口的引导件。

公开(公告)号：US07670342B2

公开(公告)日：2010-03-02

申请号：US11338926

申请日：2006-01-25

申请人： Jeetendra Bharadwaj ,  Carlos E. Gil ,  Daniel Shimko ,  Eric Weeks

发明人： Jeetendra Bharadwaj ,  Carlos E. Gil ,  Daniel Shimko ,  Eric Weeks

IPC分类号： A61B17/00

CPC分类号： A61B17/32053 ,  A61B17/1604 ,  A61B17/1635 ,  A61B17/1675 ,  A61B2017/00477

摘要： A surgical procedure according to which a cutting blade is positioned over an area of the bone to be cut and indicia is projected onto the area. The blade is adjusted relative to the area until the indicia takes a predetermined configuration on the area corresponding to the desired position of the blade relative to the area. Then the blade can be driven to cut an opening in the bone.

摘要翻译： 一种外科手术，根据该手术，切割刀片定位在待切割的骨的区域上方，并且将标记投影到该区域上。 刀片相对于该区域被调整，直到标记在对应于刀片相对于该区域的期望位置的区域上进行预定的配置。 然后可以驱动刀片切割骨头中的一个开口。