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    IMPLANT WITH MULTI-DIRECTIONAL PIVOTING
    1.
    发明申请
    IMPLANT WITH MULTI-DIRECTIONAL PIVOTING 审中-公开
    涉及到多方位的投标

    公开(公告)号：WO2012145043A4

    公开(公告)日：2013-01-10

    申请号：PCT/US2012000214

    申请日：2012-04-20

    Applicant: SIGNAL MEDICAL CORP ,  WHITESIDE LEO A

    Inventor： WHITESIDE LEO A

    IPC: A61F2/38

    CPC classification number: A61F2/385 ,  A61F2002/30624 ,  A61F2002/30632

    Abstract: Implant with multi-directional pivoting has a first component including a first articular surface and a fore-to-aft and side-to-side rotation device; and a second component including a second articular surface for mating with the first surface and a rotation device receptacle. The first component can be mated to the second through cooperation of the rotation device and receptacle, and the first component can cooperate with the second in articular surface contact. The joint may be a knee prosthesis comprising first femoral and second tibial components, with the first surface a femoral condylar surface and the second surface a tibial condylar surface. Therein, the fore-to-aft component can be considered flexion, with the side-to-side component considered version. A knee prosthesis can also be provided with a patella support on a smooth counter surface from full extension to flexion well past 100 degrees and/or with a mechanism preventing excessive downward tibial component travel.

    Abstract translation: 具有多方向旋转的植入物具有包括第一关节表面和前后的侧向旋转装置的第一部件; 以及包括用于与第一表面配合的第二关节表面和旋转装置容器的第二部件。 第一部件可以通过旋转装置和容器的配合与第二部件配合，并且第一部件可以与第二部件在关节面接触中配合。 关节可以是包括第一股骨和第二胫骨部件的膝关节假体，第一表面是股骨髁表面，第二表面是胫骨髁表面。 其中，从前到后的组件可以被认为是屈曲，侧面组件被认为是版本。 膝关节假体还可以在平滑的对面上设置有髌骨支撑，从而完全延伸到100度以上的弯曲和/或具有防止过度向下的胫骨部件行进的机构。

    APPARATUS FOR FITTING IMPLANTS AND BALANCING LIGAMENTS
    3.
    发明申请
    APPARATUS FOR FITTING IMPLANTS AND BALANCING LIGAMENTS 审中-公开
    用于装配植绒和平衡衣物的装置

    公开(公告)号：WO2003065949A2

    公开(公告)日：2003-08-14

    申请号：PCT/US2003/003845

    申请日：2003-02-07

    Applicant: WHITESIDE, Leo A.

    Inventor： WHITESIDE, Leo A.

    IPC: A61F02/38

    CPC classification number: A61B5/1127 ,  A61B5/103 ,  A61B5/4528 ,  A61B5/4533 ,  A61B34/10 ,  A61B34/20 ,  A61B90/36 ,  A61B90/361 ,  A61B2017/564 ,  A61B2034/102 ,  A61B2034/105 ,  A61B2034/2055 ,  A61B2090/3983 ,  A61F2/38 ,  A61F2/3859 ,  A61F2/389 ,  A61F2/4657 ,  A61F2/4684 ,  A61F2002/4632 ,  A61F2002/4666 ,  A61F2002/4696

    Abstract: Apparatus and method for determining the kinematics of a large joint (e.g., a knee) undergoing arthroplasty, for comparing the kinematics of the joint undergoing surgery with the kinematics of the normal joint, and for providing the surgeon with information allowing the balancing of the ligaments of the joint upon the installation of a prosthesis replacement joint. The apparatus (1) includes optical targets (9) mounted on joint replacement components (5, 7) fitted to the resected bones of the joint. One or more video cameras (11) are used to obtain a series of images of the various optical targets as the extremity is flexed, extended, and rotated. A computer (17) is responsive to the images of the targets to determine the kinematics of the joint as it is flexed, extended and rotated. The computer compares the kinematics of the observed joint with the kinematics of a normal joint and determines, based on anomalies of the observed joint relative to the normal joint, whether other implant components or spacers are required, and determines which ligaments must be relaxed or contracted so that the ligaments are balanced. The computer displays suggestions to the surgeon for changing components and for relaxing or contracting specific ligaments such that the ligaments of the joint is balanced with the prosthesis joint in place. A method of computer ligament balancing is also disclosed.

    Abstract translation: 用于确定正在进行关节置换术的大关节（例如，膝盖）的运动学的装置和方法，用于将正在进行手术的关节的运动学与正常关节的运动学进行比较，以及为外科医生提供允许韧带平衡的信息 的关节在安装假体更换关节时。 装置（1）包括安装在接头替换部件（5,7）上的光学目标（9），该部件装配到接头的被切除的骨头上。 一个或多个摄像机（11）用于在末端弯曲，延伸和旋转时获得各种光学目标的一系列图像。 计算机（17）响应于目标的图像以确定关节在其弯曲，延伸和旋转时的运动学。 计算机将观察到的关节的运动学与正常关节的运动学进行比较，并根据观察到的关节相对于正常关节的异常确定是否需要其他植入物部件或间隔物，并确定哪些韧带必须放松或收缩 使韧带平衡。 计算机向外科医生显示改变组件并放松或收缩特定韧带的建议，使得关节的韧带与假体关节平衡。 还公开了一种计算机韧带平衡的方法。

    SPINAL CABLE SYSTEM
    5.
    发明申请
    SPINAL CABLE SYSTEM 审中-公开
    脊柱电缆系统

    公开(公告)号：WO2003041600A1

    公开(公告)日：2003-05-22

    申请号：PCT/US2001/049644

    申请日：2001-11-09

    Applicant: WHITESIDE, Leo, A.

    Inventor： WHITESIDE, Leo, A.

    IPC: A61B17/68

    CPC classification number: A61B17/8861 ,  A61B17/82

    Abstract: A surgical cable system is provided which includes a surgical cable (1) and a passer (21) for passing the cable (1) around a bone to which the cable (1) is to be secured. The cable (1) includes a main cable (3) having a lead cable (5) attached to one end of the main cable (3) and a fastener (9) preattached to the first end of the main cable (3). The lead cable (5) has an enlargement (7) affixed to its free end. The passer (21) includes a curved probe (25) and a recess or cavity (31) is provided in the probe (25) near its tip (27) and a slot (33) extends from the cavity (31) to the tip (27) of the probe (25). The cavity (31) is sized to accept the enlargement (7) of the lead cable (5) and the slot (33) is sized to receive the lead cable (5) so that as the probe (25) is withdrawn from under the bone, the lead cable (5) and the main cable (3) are pulled under the bone so as to minimize the space required to pass the cable (1).. The lead cable (5) and a portion of the main cable (3) may then be inserted in the fastener (9). The cable (1) is then tensioned to a desired level and the fastener (9) is crimped so as to secure the cable (1) around the bone with the desired level of tension.

    Abstract translation: 提供了一种手术电缆系统，其包括外科电缆（1）和用于使电缆（1）围绕电缆（1）将固定到其上的骨头的路人（21）。 电缆（1）包括主电缆（3），其具有连接到主电缆（3）的一端的引线（5）和预先连接到主电缆（3）的第一端的紧固件（9）。 引线（5）具有固定在其自由端的放大（7）。 路人（21）包括弯曲的探针（25），并且在探头（25）的靠近其尖端（27）的位置设置有凹部或空腔（31），并且槽（33）从空腔（31）延伸到尖端 （25）的（27）。 空腔（31）的尺寸适于接纳引线（5）的放大（7），并且槽（33）的尺寸被设计成接收引线（5），使得当探头（25）从 骨头，导线（5）和主电缆（3）被拉到骨下，以便使通过电缆（1）所需的空间最小化。引线（5）和主电缆的一部分 3）然后可以插入紧固件（9）中。 然后将电缆（1）张紧到所需的水平，并且紧固件（9）被压接以便以期望的张力水平将电缆（1）固定在骨骼周围。

    TRAY AND LINER FOR JOINT REPLACEMENT SYSTEM
    6.
    发明申请
    TRAY AND LINER FOR JOINT REPLACEMENT SYSTEM 审中-公开
    用于接头替换系统的托盘和内胆

    公开(公告)号：WO02078565A3

    公开(公告)日：2003-04-24

    申请号：PCT/US0209362

    申请日：2002-03-26

    Applicant: WHITESIDE BIOMECHANICS INC ,  WHITESIDE LEO A

    Inventor： WHITESIDE LEO A

    IPC: A61B17/86 ,  A61F2/00 ,  A61F2/30 ,  A61F2/34 ,  A61F2/38

    CPC classification number: A61F2/389 ,  A61B17/86 ,  A61F2/34 ,  A61F2002/30187 ,  A61F2002/305 ,  A61F2002/30589 ,  A61F2002/30604 ,  A61F2002/30682 ,  A61F2002/30785 ,  A61F2002/30841 ,  A61F2002/30884 ,  A61F2002/30892 ,  A61F2220/0025 ,  A61F2230/0034 ,  A61F2310/00023

    Abstract: A joint replacement component comprising a metal tray (3) and polymer liner (27). The metal tray having screw holes (7a, 7b) for fixation with screws (9) to bone, and a circumferential rim or wall (15) with a smooth inner surface (21). The liner having a flexible sealing ridge (39) around its entire periphery for tray engagement, forming a fluid-tight seal between the liner and tray. The liner having a locking mechanism comprised of tabs (35) at longitudinal ends of the liner, which engage grooves (23) in the tray's front and rear. Following tray fixation to the resected skeletal structure, a surgeon installs the liner within the tray by angling the liner, inserting first tab into its respective groove, pressing the liner downwardly into the tray causing the liners opposing tab to engage its respective groove, snap-locking the liner within the tray, and simultaneously sealing the liner to the tray by the flexible sealing ridge.

    Abstract translation: 包括金属托盘（3）和聚合物衬垫（27）的关节置换部件。 具有用于用螺钉（9）固定到骨头上的螺钉孔（7a，7b）和具有光滑内表面（21）的圆周边缘或壁（15）的金属托盘。 衬套具有围绕其整个周边的柔性密封脊（39）用于托盘接合，在衬套和托盘之间形成流体密封。 所述衬套具有锁定机构，所述锁定机构包括在所述衬套的纵向端部处的突出部（35），所述突出部接合所述托盘的前后中的凹槽（23）。 在托盘固定到切除的骨骼结构之后，外科医生通过使衬垫倾斜来将衬垫安装在托盘内，将第一突片插入其相应的凹槽中，将衬垫向下压入托盘中，使衬垫相对的突片接合其相应的凹槽， 将衬垫锁定在托盘内，同时通过柔性密封脊将衬垫同时密封到托盘上。

    IMPLANT WITH MULTI-DIRECTIONAL PIVOTING
    7.
    发明申请
    IMPLANT WITH MULTI-DIRECTIONAL PIVOTING 审中-公开
    涉及到多方位的投标

    公开(公告)号：WO2012145043A2

    公开(公告)日：2012-10-26

    申请号：PCT/US2012/000214

    申请日：2012-04-20

    Applicant: SIGNAL MEDICAL CORPORATION ,  WHITESIDE, Leo, A.

    Inventor： WHITESIDE, Leo, A.

    IPC: A61F2/64

    CPC classification number: A61F2/385 ,  A61F2002/30624 ,  A61F2002/30632

    Abstract: Implant with multi-directional pivoting has a first component including a first articular surface and a fore-to-aft and side-to-side rotation device; and a second component including a second articular surface for mating with the first articular surface and a rotation device receptacle. The first component can be mated to the second component through cooperation of the rotation device and the rotation device receptacle, and the first component can cooperate with the second component in contact of the first and second articular surfaces and in articulation of the joint when the first component is mated to the second component. The implant can be an artificial joint which generally has natural load transfer capability. In a particular embodiment, the joint is a knee prosthesis; therein, the first and second components are femoral and tibial components, with the first articular surface a femoral condylar surface and the second articular surface a tibial condylar mating surface. In such a knee, the fore-to-aft component can be considered flexion, with the side-to-side component considered version. As well, a knee prosthesis can be provided with a device to support the patella on a smooth counter surface from full extension to flexion well past 100° and/or with a mechanism to prevent excessive downward travel of the tibial component.

    Abstract translation: 具有多方向旋转的植入物具有包括第一关节表面和前后的侧向旋转装置的第一部件; 以及包括用于与第一关节表面配合的第二关节表面和旋转装置容器的第二部件。 第一部件可以通过旋转装置和旋转装置插座的协作而与第二部件配合，并且第一部件可以与第一和第二关节面接触的第二部件以及当第一部件的第一部件 组件配合到第二组件。 植入物可以是通常具有自然载荷转移能力的人造关节。 在特定实施例中，关节是膝关节假体; 其中，第一和第二部件是股骨和胫骨部件，第一关节表面是股骨髁表面，第二关节表面是胫骨髁配合表面。 在这样的膝盖中，前后组件可以被认为是屈曲，侧面的组件被认为是版本。 同样，膝盖假体可以设置有用于将平滑的对置表面上的髌骨支撑完全伸展到100°以上的屈曲和/或用于防止胫骨部件的过度向下行进的机构。

    APPARATUS FOR FITTING IMPLANTS AND BALANCING LIGAMENTS
    9.
    发明申请
    APPARATUS FOR FITTING IMPLANTS AND BALANCING LIGAMENTS 审中-公开

    公开(公告)号：WO2003065949A3

    公开(公告)日：2003-08-14

    申请号：PCT/US2003/003845

    申请日：2003-02-07

    Applicant: WHITESIDE, Leo A.

    Inventor： WHITESIDE, Leo A.

    IPC: A61F02/38

    Abstract: Apparatus and method for determining the kinematics of a large joint (e.g., a knee) undergoing arthroplasty, for comparing the kinematics of the joint undergoing surgery with the kinematics of the normal joint, and for providing the surgeon with information allowing the balancing of the ligaments of the joint upon the installation of a prosthesis replacement joint. The apparatus (1) includes optical targets (9) mounted on joint replacement components (5, 7) fitted to the resected bones of the joint. One or more video cameras (11) are used to obtain a series of images of the various optical targets as the extremity is flexed, extended, and rotated. A computer (17) is responsive to the images of the targets to determine the kinematics of the joint as it is flexed, extended and rotated. The computer compares the kinematics of the observed joint with the kinematics of a normal joint and determines, based on anomalies of the observed joint relative to the normal joint, whether other implant components or spacers are required, and determines which ligaments must be relaxed or contracted so that the ligaments are balanced. The computer displays suggestions to the surgeon for changing components and for relaxing or contracting specific ligaments such that the ligaments of the joint is balanced with the prosthesis joint in place. A method of computer ligament balancing is also disclosed.

    TRAY AND LINER FOR JOINT REPLACEMENT SYSTEM
    10.
    发明申请
    TRAY AND LINER FOR JOINT REPLACEMENT SYSTEM 审中-公开
    用于接头替换系统的托盘和内胆

    公开(公告)号：WO2002078565A2

    公开(公告)日：2002-10-10

    申请号：PCT/US2002/009362

    申请日：2002-03-26

    Applicant: WHITESIDE BIOMECHANICS, INC. ,  WHITESIDE, Leo, A.

    Inventor： WHITESIDE, Leo, A.

    IPC: A61F

    CPC classification number: A61F2/389 ,  A61B17/86 ,  A61F2/34 ,  A61F2002/30187 ,  A61F2002/305 ,  A61F2002/30589 ,  A61F2002/30604 ,  A61F2002/30682 ,  A61F2002/30785 ,  A61F2002/30841 ,  A61F2002/30884 ,  A61F2002/30892 ,  A61F2220/0025 ,  A61F2230/0034 ,  A61F2310/00023

    Abstract: An orthopedic component for total joint replacement that comprises a metal tray (3) and polymer liner (27), the metal tray having screw holes (7a, 7b) for fixation with screws (9) to bone and a circumferential rim or wall (15) with a smooth inner surface (21). The liner (27) is provided with a flexible sealing ridge (39) around its entire periphery, the sealing ridge being positioned so that it sealingly engages the tray rim so as to form a fluid-tight seal between the liner and the tray. The liner is provided with a locking mechanism comprised of tabs at the longitudinal ends of the liner which engage grooves in the front and rear of the tray. In this manner, the surgeon can readily install the liner within the tray after the tray has been surgically affixed to the resected skeletal structure by angling the liner and inserting a first tab into its respective groove and then by pressing the liner downwardly into the tray so that another tab at the opposite end of the liner engages its respective groove thus positively locking the liner with respect to the tray. Simultaneously with snap locking the liner within the tray, the flexible sealing ridge on the tray seals the liner with respect to the tray.

    Abstract translation: 包括金属托盘（3）和聚合物衬垫（27）的关节置换部件。 具有用于用螺钉（9）固定到骨头上的螺钉孔（7a，7b）和具有光滑内表面（21）的圆周边缘或壁（15）的金属托盘。 衬套具有围绕其整个周边的柔性密封脊（39）用于托盘接合，在衬套和托盘之间形成流体密封。 所述衬套具有锁定机构，所述锁定机构包括在所述衬套的纵向端部处的突出部（35），所述突出部接合在所述托盘的前后中的凹槽（23）。 在托盘固定到切除的骨骼结构之后，外科医生通过使衬垫倾斜来将衬垫安装在托盘内，将第一突出部插入其相应的凹槽中，将衬垫向下压入托盘中，使得衬垫相对的突片接合其相应的凹槽， 将衬垫锁定在托盘内，同时通过柔性密封脊将衬垫同时密封到托盘上。

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