Methods and apparatus for pivotable guide surfaces for arthroplasty
IPC분류정보
국가/구분
United States(US) Patent
등록
국제특허분류(IPC7판)
A61F-005/00
출원번호
US-0187210
(2008-08-06)
등록번호
US-8298238
(2012-10-30)
발명자
/ 주소
Haines, Timothy G.
출원인 / 주소
Hudson Surgical Design, Inc.
대리인 / 주소
Patterson Thuente Christensen Pedersen, P.A.
인용정보
피인용 횟수 :
1인용 특허 :
301
초록▼
Cutting guides, cutting tools, and soft tissue management techniques permit the use of pivoting guide surfaces to facilitate in controlling the sweep or arc of a cutting tool used in connection with resection and arthroplasty procedures. In accordance with one embodiment, a guide structure is provid
Cutting guides, cutting tools, and soft tissue management techniques permit the use of pivoting guide surfaces to facilitate in controlling the sweep or arc of a cutting tool used in connection with resection and arthroplasty procedures. In accordance with one embodiment, a guide structure is provided with one or more guide pivot aperture(s) and one or more guide pivot reference surface(s) that mate with a bushing assembly controlling a cutting tool. The bushing assembly possesses a bushing reference plan which mates with the pivot reference surface(s) of the guide structure and a bushing pivot pin which mates with the guide pivot aperture(s) of the guide structure. In one embodiment, a bushing guide lumen is operably coupled to the guide structure for articulated and/or axial guidance of the cutting tool.
대표청구항▼
1. An apparatus configured to guide a cutting tool to create a resected surface in a bone during an arthroplasty procedure, the apparatus comprising: a sweeping guide body having fixation features adapted to operably secure the sweeping guide body relative to the bone, the sweeping guide body have a
1. An apparatus configured to guide a cutting tool to create a resected surface in a bone during an arthroplasty procedure, the apparatus comprising: a sweeping guide body having fixation features adapted to operably secure the sweeping guide body relative to the bone, the sweeping guide body have a guide pivot reference surface that includes at least one guide pivot aperture defined therein; anda bushing assembly having a bushing reference plane, a bushing pivot pin and an axial guide structure with an axial guide lumen defined therein with a long axis corresponding to a long axis of a cutting tool,such that, when the fixation features are operably secured to the bone and the bushing assembly operably coacts with the sweeping guide body whereby the bushing reference plane operably mates with the guide pivot reference surface and the bushing pivot pin operably engages with one of the at least one guide pivot apertures, the apparatus is configured to provide articulated and axial guidance of the cutting tool as the cutting tool creates at least a portion of the resected surface by inserting the cutting tool into and beyond the axial guide lumen of the guide structure along a long axis of the bushing assembly and sweeping the cutting tool across at least a portion of the resected surface by pivoting the bushing assembly relative to the sweeping guide body on an axis defined by the bushing pivot pin engaged with the one of the at least one guide pivot apertures, andwherein the bushing assembly further comprises a soft tissue retractor adapted to mitigate contact between the cutting tool and soft tissue surrounding an incision through which the cutting tool is inserted to create the resected surface. 2. The apparatus of claim 1 wherein the guide lumen has an internal cross-section along the long axis of the guide lumen generally corresponding to a cross section of the cutting tool along the long axis of the cutting tool and the guide lumen is adapted to accept cutting tools from the set consisting of: a sagital saw and an ultrasonic blade. 3. The apparatus of claim 1, wherein the guide lumen has an internal cross-section along the long axis of the guide lumen generally corresponding to a cross section of the cutting tool along the long axis of the cutting tool and the guide lumen is adapted to accept a cutting tool comprising a milling bit. 4. The apparatus of claim 1, further comprising a second sweeping guide body having fixation features adapted to operably secure the second sweeping guide body relative to a bone and at least one guide pivot reference surface and guide pivot aperture utilized to provide articulated and axial guidance of the cutting tool as the cutting tool creates at least a portion of the resected surface. 5. The apparatus of claim 1, wherein the aperture in the sweeping guide body comprises an elongate slot. 6. The apparatus of claim 5, wherein the slot includes a depth limiting contour adapted to limit axial movement of the bushing to limit a depth that the cutting tool can cut into the bone. 7. An apparatus configured to guide a cutting tool to create a resected surface in a bone during an arthroplasty procedure, the apparatus comprising: a sweeping guide body having fixation features adapted to operably secure the sweeping guide body relative to the bone, the sweeping guide body have a guide pivot reference surface that includes at least one guide pivot aperture defined therein; anda bushing assembly having a bushing reference plane, a bushing pivot pin and an axial guide structure with an axial guide lumen defined therein with a long axis corresponding to a long axis of a cutting tool, such that, when the fixation features are operably secured to the bone and the bushing assembly operably coacts with the sweeping guide body whereby the bushing reference plane operably mates with the guide pivot reference surface and the bushing pivot pin operably engages with one of the at least one guide pivot apertures, the apparatus is configured to provide articulated and axial guidance of the cutting tool as the cutting tool creates at least a portion of the resected surface by inserting the cutting tool into and beyond the axial guide lumen of the guide structure along a long axis of the bushing assembly and sweeping the cutting tool across at least a portion of the resected surface by pivoting the bushing assembly relative to the sweeping guide body on an axis defined by the bushing pivot pin engaged with the one of the at least one guide pivot apertures, and wherein the sweeping guide body comprises a base and a pivot arm each having a guide surface that is spaced apart from and facing the other guide surface, the pivot arm connected to and rotationally and translationally adjustable relative to the base. 8. An apparatus configured to guide a cutting tool to create a resected surface in a bone during an arthroplasty procedure, comprising: a sweeping guide body having fixation features adapted to operably secure the sweeping guide body relative to the bone, the sweeping guide body having a guide pivot reference surface; anda bushing having a bushing reference plane and an axial cannulation adapted to receive a cutting tool,such that, when the fixation features are operably secured to the bone and the bushing operably coacts with the sweeping guide body such that the bushing reference plane operably mates with the guide pivot reference surface, the apparatus is configured to provide articulated and axial guidance of the cutting tool as the cutting tool creates at least a portion of the resected surface by inserting the cutting tool into and beyond the axial cannulation of the bushing and sweeping the cutting tool across at least a portion of the resected surface by pivoting the bushing assembly relative to the sweeping guide body on an axis defined by a pivot point between the bushing and the sweeping guide body, andwherein the bushing includes a soft tissue retractor adapted to mitigate contact between the cutting tool and soft tissue surrounding an incision through which the cutting tool is inserted to create the resected surface. 9. The apparatus of claim 8, wherein the pivot point between the bushing and the sweeping guide body is fixed. 10. The apparatus of claim 9, wherein the pivot point between the bushing and the sweeping guide body is defined by a pin mated with an aperture. 11. The apparatus of claim 10, wherein the pin is defined on the bushing and the aperture is defined in the sweeping guide body. 12. The apparatus of claim 8, wherein the sweeping guide body comprises a base and a pivot arm each having a guide surface that is spaced apart from and facing the other guide surface, the pivot arm connected to and rotationally and translationally adjustable relative to the base. 13. The apparatus of claim 8, wherein the pivot point includes a pin connected to the bushing inserted into an elongate slot in the sweeping guide body. 14. The apparatus of claim 13, wherein the slot includes a depth limiting contour adapted to limit axial movement of the bushing to limit a depth that the cutting tool can cut into the bone.
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이 특허에 인용된 특허 (301)
Jones, Keith R.; Trevino, Gilberto Isaac Sada; Jones, William W.; Jonsson, Ragnar H., Adaptive method and apparatus for transmission line analysis.
Sutherland Charles J. (232 N. Kingshighway ; No. 2401 St. Louis MO 63108), Apparatus and method for making precise bone cuts in total knee replacement.
Schurman David J. (1044 Verier Pl. Stanford CA 94305) Piziali Robert L. (611 Salvatierra Stanford CA 94305), Articulated prosthetic knee and method for implanting same.
Goodman Floyd G. ; Pringle Patrick E. ; Rich Daniel C. ; Serafin Louis A. ; Stevenson Mark E. ; Warsinske Cheryl Lynne, Artificial joint having natural load transfer.
Long, Jack F.; Maroney, Brian John; Sanders, Roy; Cordes, Kevin M.; Fisher, Michael G., Blade for resection of bone for prosthesis implantation, blade stop and method.
Lane Joseph M. (New York NY) Burstein Albert H. (Stanford CT) Otis James C. (Stamford CT) Wright Timothy M. (Stamford CT), Bone prosthesis for the leg and thigh.
Delp Scott L. (2728 Woodbine Evanston IL 60201) Loan J. Peter (3233 Harrison St. Evanston IL 60201) Robinson Craig B. (3307 N. Kenmore Ave. ; Apt. Garden-Front Chicago IL 60657) Wong Arthur Y. (8261/, Computer-assisted surgical system.
John E. Meyers ; G. Douglas Letson ; Russell Windsor ; Vincent A. Webster ; Bill N. Sisk ; Bill H. Haywood ; Adam Griner ; Michael Cook ; Rodney L. Bays ; Jerry L. Aikins ; Marvin Figueroa, Constrained prosthetic knee with rotating bearing.
Meyers, John E.; Letson, G. Douglas; Windsor, Russell; Webster, Vincent A.; Sisk, Bill N.; Haywood, Bill H.; Griner, Adam; Cook, Michael; Bays, Rodney L.; Aikins, Jerry L.; Figueroa, Marvin, Constrained prosthetic knee with rotating bearing.
Trigg Mark B. (Mulgrave AUX) Drennan John (Wheelers Hill AUX) Hay David G. (Greensborough AUX) Oh Chull H. (Knoxfield AUX) Dietrich Rainer (Beaumaris AUX), Dense SiC ceramic products.
Marik Gregory C. (Collierville TN) Lackey Jennifer J. (Memphis TN) Elliott M. Scott (Memphis TN), Distal femoral cutting guide apparatus with anterior or posterior referencing for use in knee joint replacement surgery.
Shoji Hiromu (14 Grand Canyon Dr. New Orleans LA 70014) Yoshino Shin\ichi (2-35-14 Asahi-machi ; Nerima-ku ; Tokyo JPX), Dual articulating total knee prosthesis.
Bertin Kim C. (245 Highland St. Bountiful UT) Burke Dennis W. (245 Highland St. Milton MA 02186) Stalcup Gregory C. (Columbia City IN) Bays Rodney (Pierceton IN) Vanlaningham Richard D. (Leesburg IN), Femoral milling instrumentation for use in total knee arthroplasty with optional cutting guide attachment.
Bertin Kim C. ; Burke Dennis W. ; Stalcup Gregory C. ; Bays Rodney, Femoral milling instrumentation for use in total knee arthroplasty with optional cutting guide attachment.
Jaimie Henderson ; Richard D. Bucholz ; Kurt R. Smith ; Kevin J. Frank ; John B. Clayton ; Catalina J. Carroll ; Phillip T. Ulberg, Instrument guidance method and system for image guided surgery.
Dunn Harold K. (1231 Chandler Cir. Salt Lake City UT 84103) Bertin Kim C. (666 Northcliffe Cir. Salt Lake City UT 84103), Instruments for shaping distal femoral and proximal tibial surfaces.
Herrington Stephen M. (Warsaw IN) Lombardi ; Jr. Adolph V. (Columbus OH) Vaughn Bradley K. (Worthington OH), Knee joint prosthesis with interchangeable components.
Averill Robert G. (Ringwood NJ) Khowaylo Alex (Allendale NJ) Sidebotham Christopher G. (Bergenfield NJ), Knee prosthesis with accommodation for angular misalignment.
Katz Lawrence, Method and apparatus for locating bone cuts at the distal condylar femur region to receive a femoral prosthesis and properly articulated with patellar and tibial prosthesis.
Samuelson Kent M. (370 Ninth Ave. Salt Lake City UT 84103) Vandewalle Mark V. (7401 E. Shoop Rd. Pierceton IN 46562), Method and apparatus for resecting bone.
Brent D. Mittelstadt, Method for determining the location and orientation of a bone for computer-assisted orthopedic procedures using intraoperatively attached markers.
Caspari Richard B. (2192 Sheppard Town Rd. Maidens VA 23102) Roberts Jeffrey G. (3688 Montclair Dr. Palm Harbor FL 34684) Treace James T. (2701 Bluffs Dr. Largo FL 34640), Method of arthroscopically preparing an articular bone surface.
Walker Peter S. (15 Hallette Hill Rd. Weston MA 02193) Ewald Frederick C. (4 Black Oak Rd. Weston MA 02193), Method of design of human joint prosthesis.
Caspari Richard B. (2192 Sheppard Town Rd. Maidens VA 23102) Roberts Jeffrey G. (3688 Montclair Dr. Palm Harbor FL 34684) Treace James T. (2701 Bluffs Dr. Largo FL 34640), Method of resecting bone.
Caspari Richard B. (2192 Sheppard Town Rd. Maidens VA 23102) Roberts Jeffrey G. (3688 Montclair Dr. Palm Harbor FL 34684) Treace James T. (2701 Bluffs Dr. Largo FL 34640), Methods and apparatus for arthroscopic prosthetic knee replacement.
Axelson, Jr., Stuart L.; Moctezuma, Jose Luis; Krackow, Kenneth A.; Poggie, Matthew P., Methods used in performing femoral and tibial resection in knee surgery.
Ferrante Joseph M. (Cordova TN) Whiteside Leo A. (Chesterfield MO) Coates Bradley J. (Cordova TN), Modular guide for shaping of femur to accommodate intercondylar stabilizing housing and patellar track of implant.
Gustilo Ramon B. (825 8th St. S. Minneapolis MN 55404) Rand James A. (200 SW. First St. Rochester MN 55905) Roberts Jeffrey G. (6248 Rockledge Dr. Bartlett TN 38134) Lackey Jennifer J. (79 E. Lafayet, Modular knee joint prosthesis.
Fabian Dennis F. (Short Hills NJ) Kim William C. (Los Angeles CA) Basset Rick W. (Los Fresnos TX) Jacobs Michael A. (Baltimore MD), Modular knee prosthesis.
Martinez David M. (5486 Quail Ridge Camarilo CA 93010) Carignan Roger G. (2570 Calle Abedul Thousand Oaks CA 91360) Stulberg S. David (5739 S. Blackstone Ave. Chicago IL 60607), Modulator knee prosthesis system.
Vacanti Joseph P. (Winchester MA) Vacanti Charles A. (Lexington MA) Langer Robert S. (Newton MA), Neomorphogenesis of cartilage in vivo from cell culture.
Luckman Thomas (Falmouth MA) Gundlach John D. (Rowley MA) Guerrera Stephen K. (Milford MA), Orthopaedic cutting guides with retractable saw blade slots.
Burke Dennis W. (245 Highland St. Milton MA 02186) Dietz Terry L. (Columbia City IN) O\Connor Daniel (East Taunton MA), Orthopaedic milling template with attachable cutting guide.
Wahlig, Helmut; Dingeldein, Elvira; Sattig, Christoph; Wüst, Edgar, Preparation and application device for materials to be prepared as a paste-like flowable mass, especially bone cement.
Walker Peter S. (The Institute of Orthopaedics ; Department of Biomedical Engineering ; Royal National Orthopaedic Hospital Brockley Hill ; Stanmore ; Middlesex H47 4LP GB2), Prosthesis for knee replacement.
Matsen ; III Frederick A. (Seattle WA) Garbini Joseph L. (Seattle WA) Sidles John A. (Seattle WA) Baumgarten Donald C. (Lynnwood WA) Pratt Brian S. (Seattle WA), Prosthesis template for use in a robot-aided system for surgery.
Pope,Bill J.; Taylor,Jeffrey K.; Dixon,Richard H.; Vail,Michael A.; Jensen,Kenneth M., Prosthetic knee joint having at least one diamond articulation surface.
Matsen ; III Frederick A. (Seattle WA) Garbini Joseph L. (Seattle WA) Sidles John A. (Seattle WA) Baumgarten Donald C. (Lynnwood WA) Pratt Brian S. (Seattle WA), Robot-aided system for surgery.
Matsen ; III Frederick A. (Seattle WA) Garbini Joseph L. (Seattle WA) Sidles John A. (Seattle WA) Baumgarten Donald C. (Lynnwood WA) Pratt Brian S. (Seattle WA), Robot-aided system for surgery.
Ferrante Joseph M. (Cordova TN) Fichera Alfred J. (Cordova TN) Whiteside Leo A. (Chesterfield MO), Rotationally and angularly adjustable tibial cutting guide and method of use.
Coates Bradley J. (Cordova TN) Whiteside Leo A. (Chesterfield MO), Shaping and trial reduction guide for implantation of femoral prosthesis and method of using same.
Bucholz Richard D. ; Foley Kevin T. ; Smith Kurt R. ; Bass Daniel ; Wiedenmaier Thomas ; Pope Todd ; Wiedenmaier Udo, Surgical navigation systems including reference and localization frames.
Fargie William (31220 La Baya Dr. ; No. 110 Westlake Village CA 91362) Friend James (1921 18th St. Bakersfield CA 93301) Wilson John L. (11254 Amestoy Ave. Granada Hills CA 91344), Tibial cutting jig.
Bertin Kim C. ; Booth ; Jr. Robert ; Burke Dennis W. ; Bays Rodney ; Dietz Terry L. ; Stalcup Gregory C. ; Vanlaningham Richard D., Tibial milling guide system.
Dorr Lawrence D. (La Canada CA) Burkinshaw Brian D. (Pflugerville TX) Skraba Joseph S. (Austin TX), Tibial prosthesis with independent medial and lateral baseplates.
Vendrely Tim (Memphis TN) Whiteside Leo A. (Bridgeton MO) Carls Thomas A. T. (Memphis TN) Steele John (Aurora CO) Johnson Chris E. (Memphis TN), Tibial resection instrumentation and surgical method.
Vendrely Tim (Memphis TN) Whiteside Leo A. (Bridgeton MO) Carls Thomas A. T. (Memphis TN) Steele John (Aurora CO) Johnson Chris E. (Memphis TN), Tibial resection instrumentation and surgical method.
Vendrely Tim (Memphis TN) Whiteside Leo A. (Bridgeton MO) Carls Thomas A. Tommy (Memphis TN) Steele John (Aurora CO) Johnson Chris E. (Memphis TN), Tibial resection instrumentation and surgical method.
Johnson Todd S. (5555 Reservoir Dr. Fort Wayne IN) Lane Richard A. (5555 Reservoir Dr. Fort Wayne IN) Petersen Thomas D. (5555 Reservoir Dr. San Diego CA 92120) Nichols Chuck (Addison IL) Howard John, Tibial resector guide.
Johnson Chris E. ; Vendrely Tim ; Whiteside Leo A. ; Carls Thomas A. ; Steele John ; Naraghian Khosrow, Tibial trial prosthesis and bone preparation system.
Liddicoat, John R.; Coppom, Brian Colyer; Streeter, Richard B., Tissue annuloplasty band and apparatus and method for fashioning, sizing and implanting the same.
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