SYSTEMS AND METHODS FOR ALTERING THE SURFACE OF A BONE
    3.
    发明申请
    SYSTEMS AND METHODS FOR ALTERING THE SURFACE OF A BONE 审中-公开
    用于改变骨表面的系统和方法

    公开(公告)号:WO2012024289A2

    公开(公告)日:2012-02-23

    申请号:PCT/US2011/047907

    申请日:2011-08-16

    Abstract: Systems and methods provide patient-specific cutting blocks that allow for bone resurfacing procedures, such as milling or burring, with simplified devices. A computer assisted surgical cutting block is produced having a surface region that matches with the surface region of a patient's bone to be altered. A cutting tool may be provided having a contoured bone mating surface and a contoured and patient-specific shaped cutting guide surface, which is located in a plane above the bone mating surface. One or more channels are provided in the cutting block, and as the surgeon moves the cutting tool (a milling or burring, for example) in the channels the tool cuts the bone both laterally along the surface of the bone and vertically into the bone according to the cutting guide surface and other preselected surface features of the cutting block.

    Abstract translation: 系统和方法提供针对患者的切割块,其允许使用简化的设备进行骨骼重铺处理,诸如铣削或毛刺。 制造具有与要改变的患者骨骼的表面区域匹配的表面区域的计算机辅助手术切割块。 可以提供切割工具,该切割工具具有成型的骨配合表面以及位于骨配合表面上方的平面中的成型的且患者特定形状的切割引导表面。 在切割块中设置一个或多个通道,并且当外科医生将切割工具(例如铣削或毛刺)移动到通道中时,工具沿着骨的表面侧向地切割骨并垂直进入骨 到切割引导表面和切割块的其他预选表面特征。

    PATIENT-MATCHED FEATURES FOR ALIGNING BIOMEDICAL IMPLANTS
    7.
    发明申请
    PATIENT-MATCHED FEATURES FOR ALIGNING BIOMEDICAL IMPLANTS 审中-公开
    患者匹配的特征用于对齐生物医学植入物

    公开(公告)号:WO2012024271A3

    公开(公告)日:2012-05-18

    申请号:PCT/US2011047876

    申请日:2011-08-16

    Abstract: Patient-matched devices according to certain embodiments may include a patient-matched surface that generally conforms to a portion of the patient's anatomy, and an alignment mechanism that is positioned at a fixed orientation with respect to the patient-matched surface. In some embodiments, the alignment mechanism is an alignment post extending away from the patient-matched surface along a predetermined axis. This axis may be pre-operatively determined to correspond to (or at least indirectly reflect) the proper orientation of surgical instruments and/or implants that are used in the surgery. An alignment base and platform may selectively couple to the patient-matched device and other instruments (such as a reamer or an impactor). The surgeon may use alignment indicators on the alignment platform to ensure that the proper orientation is maintained throughout the surgery.

    Abstract translation: 根据某些实施例的患者匹配装置可以包括大致符合患者解剖结构的一部分的患者匹配表面以及相对于患者匹配表面定位在固定取向的对齐机构。 在一些实施例中,对齐机构是沿预定轴线远离患者匹配表面延伸的对齐柱。 该轴可以在手术前被确定为对应于(或至少间接反映)手术器械和/或手术中使用的植入物的正确取向。 对准基座和平台可以选择性地耦合到患者匹配的装置和其他仪器(例如扩眼器或冲击器)。 外科医生可以在对齐平台上使用对齐指示器以确保整个手术过程中保持适当的取向。

    PATIENT-MATCHED ACETABULAR GUIDE
    8.
    发明申请
    PATIENT-MATCHED ACETABULAR GUIDE 审中-公开
    患者匹配的ACETABULAR GUIDE

    公开(公告)号:WO2012021846A3

    公开(公告)日:2012-05-10

    申请号:PCT/US2011047658

    申请日:2011-08-12

    Inventor: SHARP JEFFREY A

    CPC classification number: A61B17/1746 A61B2017/568 A61B2034/108

    Abstract: Systems, devices, and methods for accurately aligning a reference pin within a patient's acetabulum are provided. A patient's acetabular anatomy is imaged and modeled using a computer modeling approach to identify landmarks on the patient's acetabulum. A coordinate system is applied to the anatomical model, and a desired implant axis is defined based on the applied coordinate system. A guide device is created with one or more guide passages aligned with the desired implant axis for accurately placing an acetabular reference pin. The guide devices are patient-matched to an individual patient's anatomy and are expandable to provide an adequate grip on the acetabulum during pin placement. A reference pin fixed into the acetabulum provides a reference axis that corresponds to the desired implant access and can be used for alignment of tools and implants in the acetabulum.

    Abstract translation: 提供了用于在患者髋臼内精确对准参考针的系统,装置和方法。 患者的髋臼解剖结构使用计算机建模方法进行成像和建模,以识别患者髋臼的标志。 将坐标系应用于解剖模型,并且基于所应用的坐标系来定义期望的植入物轴线。 引导装置形成为具有与期望的植入物轴线对准的一个或多个引导通道,以准确地放置髋臼参考销。 引导装置与患者的个体解剖结构具有患者匹配性,并且可扩张以在引脚放置期间提供对髋臼的足够抓握。 固定在髋臼中的参考针提供了与期望的植入物通路相对应的参考轴,并且可以用于对准髋臼中的工具和植入物。

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