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WO2012024281A2 - Guide de tissu correspondant à un patient pour mise en place de dispositif chirurgical - Google Patents

Guide de tissu correspondant à un patient pour mise en place de dispositif chirurgical Download PDF

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Publication number
WO2012024281A2
WO2012024281A2 PCT/US2011/047897 US2011047897W WO2012024281A2 WO 2012024281 A2 WO2012024281 A2 WO 2012024281A2 US 2011047897 W US2011047897 W US 2011047897W WO 2012024281 A2 WO2012024281 A2 WO 2012024281A2
Authority
WO
WIPO (PCT)
Prior art keywords
patient
guide
surgical
relative
anatomy
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US2011/047897
Other languages
English (en)
Other versions
WO2012024281A3 (fr
Inventor
Luke Gibson
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Smith and Nephew Inc
Original Assignee
Smith and Nephew Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Smith and Nephew Inc filed Critical Smith and Nephew Inc
Priority to BR112013003628A priority Critical patent/BR112013003628A2/pt
Priority to AU2011292143A priority patent/AU2011292143A1/en
Priority to KR1020137006691A priority patent/KR20130137157A/ko
Priority to MX2013001950A priority patent/MX2013001950A/es
Priority to CN201180049964XA priority patent/CN103476354A/zh
Priority to RU2013111483/14A priority patent/RU2013111483A/ru
Publication of WO2012024281A2 publication Critical patent/WO2012024281A2/fr
Publication of WO2012024281A3 publication Critical patent/WO2012024281A3/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/11—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1782—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hand or wrist
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
    • A61B17/62—Ring frames, i.e. devices extending around the bones to be positioned
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/568—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor produced with shape and dimensions specific for an individual patient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers

Definitions

  • This disclosure relates to patient-matched orthopaedic guides.
  • Patient-matched or patient-specific implant guides are used during orthopaedic procedures to accurately insert pins, guide cuts, and place implants.
  • the patient-matched guides are generally based on data received from an MRI or CT scan of the patient and rely on matching an anatomic feature for correct positioning of the guide during a surgical procedure.
  • templates and guides are designed to interface with a subcutaneous surface, such as bone or cartilage.
  • a subcutaneous surface such as bone or cartilage.
  • the body of the orthopaedic guide can be placed on the bone or cartilage and aligned to guide the placement of a pin or screw, or the use of another surgical instrument.
  • an apparatus for guiding surgical instrumentation during surgery includes a body having a first surface and a second surface, the second surface shaped to substantially match an outer surface of a patient's anatomy, and at least one aperture extending between the first surface and the second surface of the body and configured to receive the surgical instrumentation and guide the surgical instrumentation relative to the patient's anatomy.
  • the apparatus further includes a guide extending from the body and defining a channel that is substantially aligned with the aperture and configured to receive and guide the surgical instrumentation relative to the patient's anatomy.
  • the outer surface of the patient's anatomy comprises the skin of the patient.
  • the guide is coupled to the body or is integral with the body.
  • the second surface defines a patient-specific three-dimensional shape.
  • the body comprises a marker that is recognizable to an imaging apparatus. The orientation and position of the guide relative to the body is patient-specific.
  • a patient-matched surgical instrument guiding apparatus includes a body having a first surface and a second surface, the second surface configured for positioning over a patient's skin and shaped to substantially match a contour of an area of the patient's skin adjacent a surgical site, and a guide extending from the body, the guide defining at least one longitudinal passage configured to receive the surgical instrument and guide the surgical instrument relative to the body.
  • Implementations may include one or more of the following features.
  • the position and orientation of the longitudinal passage of the guide is patient-specific.
  • the guide is removably coupled to the body.
  • the second surface defines a patient-specific three-dimensional shape.
  • the body or the guide comprises a marker that is recognizable to an imaging apparatus.
  • the longitudinal passage is an internal bore passing through the guide.
  • the longitudinal passage is defined along an outer surface of the guide.
  • a method of aligning a surgical instrument relative to a patient's anatomy during a surgical procedure includes positioning a body of an instrument alignment guide against an area of a patient's skin adjacent a surgical site, the body having a first surface and a second surface, the second surface shaped to substantially match a contour of the area of the patient's skin adjacent the surgical site, and inserting the surgical instrument along a guiding passage relative to the body of the instrument alignment guide such that the surgical instrument follows a patient-specifically defined axis relative to the surgical site.
  • inserting the surgical instrument comprises inserting the surgical instrument through a guide coupled to the body of the instrument alignment guide.
  • the method further includes performing an imaging scan of the surgical site prior to inserting the surgical instrument along the guiding passage.
  • a method in another general aspect, includes positioning a body of an instrument alignment guide against an area of a patient's skin, the body having a first surface and a second surface, the second surface shaped to substantially match a contour of the area of the patient's skin, performing an imaging scan, and determining an orientation and location of the body relative to the patient's anatomy.
  • Implementations may include one or more of the following features.
  • the method further includes inserting a surgical instrument along a guiding passage relative to the body of the instrument alignment guide such that the surgical instrument follows a patient- specifically defined axis relative to a surgical site.
  • a patient-matched orthopaedic guide includes a body comprised of slots, tubes, or bores to guide surgical instrumentation relative to a patient's anatomy with an outer surface configured to at least partially conform to the anatomical geometry of a patient.
  • the conformal surface of the patient-matched orthopaedic guide may be configured to conform to the skin or other soft tissue of a patient, eliminating the need for incisions to uncover the anatomical surface that interfaces with the conformal surface of the guide.
  • Implementations may include one or more of the following features.
  • a guide may extend from the body of the orthopaedic guide to receive and guide a surgical instrument relative to the patient's anatomy.
  • the guide defines a passageway that may be aligned with a passageway in the body.
  • the guide may also be adjustable.
  • the passageway through the guide is not necessarily enclosed by the guide, but may be set into the outer surface of the guide.
  • a system in another general aspect, includes a guide comprising a body having a first surface and a second surface, the second surface shaped to substantially match an outer surface of a patient's anatomy and at least one aperture extending between the first surface and the second surface of the body and configured to receive a surgical instrument and guide the surgical instrument relative to the patient's anatomy, and an external fixator configured to cooperate with the guide to locate the surgical instrument relative to the patient's anatomy.
  • the external fixator can be an Ilizarov or Hoffman-type, or other applicable external fixator, which cooperates with the guide to locate a surgical instrument, such as a screw or pin, relative to the patient's anatomy.
  • Multiple apertures may be incorporated into the patient-matched tissue guide. The apertures may be angled relative to one another and/or the patient's anatomy to allow the best fit for the external fixation.
  • the disclosed apparatuses and methods include several advancements.
  • the disclosed apparatuses and methods provide features and structures that allow for surgeries to be minimally invasive by providing a way for the orthopaedic guide to be placed on soft tissue such as skin or fatty tissue without the need for an incision.
  • soft tissue such as skin or fatty tissue
  • FIG. 1 illustrates a perspective view of an exemplary implementation of the device on a patient's wrist.
  • FIG. 2 is a side schematic view of an exemplary implementation of the device.
  • FIG. 3 is a side schematic view of another exemplary implementation of the device.
  • FIG. 4 shows a perspective view of the device in use in conjunction with an external fixation device.
  • Fig. 1 illustrates an exemplary implementation of a patient-specific tissue guide 100 configured to guide surgical instrumentation relative to a patient's anatomy.
  • the tissue guide 100 is configured to guide surgical instrumentation, such as a drill and/or a screw, relative to a patient's wrist area.
  • the guide 100 includes a body 110, with a patient-matched surface 120 configured to contact and conform to an outer portion of the patient's anatomy, for example the skin. Because the conforming surface 120 is configured to contact and conform to an outer portion of the skin or fatty tissue, the need for one or more incisions is reduced or eliminated in order to properly place the guide 100 relative to the patient's anatomy and to guide surgical instrumentation relative to the targeted site.
  • An additional guide 130 extends from the body 110 and is configured to receive surgical instrumentation and guide the surgical instrumentation relative to the patent's anatomy as will be explained in more detail below.
  • FIG. 2 shows a side view of an exemplary implementation of a patient-matched tissue guide 200.
  • the patient-specific guide 200 includes a body 210 having an outer surface 220 of which at least a portion 230 is configured to conform to the contours of the outer surface of a patient's anatomy 240, such as the patient's skin.
  • the conformal surface 230 may define a patient-specific three-dimensional shape.
  • At least one aperture 250 runs from the outer surface 220 of the body 210 to the conformal surface 230.
  • the aperture 250 guides surgical instrumentation relative to the patient's anatomy.
  • the body 210 may contain a marker 270 at a known location relative to the geometry of the body 210 that is recognizable to an imaging device (not shown).
  • a guide 280 may be removably coupled to the body 210.
  • the guide 280 defines a longitudinal channel 290, which is aligned with the aperture 250.
  • the channel 290 in conjunction with the aperture 250 defines an axis 297, which is based on patient-specific data received via MRI or CT scans, and is configured to guide a surgical instrument, such as a drill bit, screw, reamer, etc., relative to the patient's anatomy.
  • a marker 270 that is recognizable to an imaging apparatus may be attached to the guide body 210 at a known location relative to the geometry of the guide 200.
  • the placement of the guide 280 relative to the body 210 may be based on patient-specific data and may be adjustable after placement of the guide 200 relative to the patient's anatomy.
  • a surgical instrument is aligned relative to a patient's anatomy by positioning the body 210 of the instrument alignment guide 200 against an area of a patient's outer tissue 240 adjacent to the surgical site.
  • the conformal surface 230 matching an area of the patient's tissue 240 is brought adjacent to the surgical site.
  • a surgical instrument is inserted along the guiding passage or aperture 250 relative to the instrument alignment guide 200 such that the surgical instrument follows a patient-specific axis 297 relative to the surgical site. If a guide 280 is coupled to the body 210 of the instrument 200, the surgical instrument is also inserted through the channel 290 in the guide as well.
  • An imaging scan can be performed before and/or after the instrument alignment guide 200 is placed on the patient's skin.
  • Image scans are one method that may be employed to determine the proper orientation and location of the body relative to the patient's anatomy.
  • An image scan of the surgical site may be performed prior to inserting the surgical instrument along the passage 250 of the body or the channel 290 of the guide 200. This may allow the surgeon to check the positioning of the guide with respect to the anatomy of the patient before beginning surgery.
  • Fig. 3 shows a side view of an alternative implementation of a patient-matched tissue guide 300.
  • the body 310 of the patient-specific guide 300 has an outer surface 320 of which at least a portion 330 is configured to conform to the contours of the tissue to which it contacts, such as the outer surface of a patient's skin.
  • At least one aperture or channel 340 runs from the outer surface 320 of the body 310 to the conformal surface 330.
  • the body 310 may include one or more markers 360 that is distinguishable from the surrounding material by imaging methods, and that may be used for positioning of the guide 300 or locating other instrumentation during a surgical procedure.
  • An instrument guide 370 may be connected to the body 310.
  • the guide 370 cooperates with the channel or aperture 340 to define an axis 380 that is further defined by patient-specific data received via MRI or CT scan.
  • the axis 380 represents the patient-specific path along which the surgical instrument is guided by the channel or aperture 340 and/or a longitudinal bore 390 defined by the guide 370.
  • the axis 380 is configured to guide a drill bit or screw along a specific path and across a fracture in a patient's wrist.
  • the guide 370 has a longitudinal bore 390 along the patient-specific axis 380, which is defined along an outer surface 315 of the guide 370.
  • One or more markers 360 may be attached or coupled to the guide 370 and used in conjunction with imaging technology for positioning the guide 370 or locating other instrumentation relative to the surgical site.
  • Fig. 4 illustrates a system 400 that includes patient-matched tissue guides 405, 406 and an external fixator 450, such as an Ilizarov fixation device.
  • an external fixator 450 such as an Ilizarov fixation device.
  • guides 405, 406 may be monolithic or they may be integral. Further, guides 405, 406 may be separate components but held together in a fixed relationship by a bracket (not shown) or some other device.
  • the guides 405, 406 include a body 410 and a pilot 470 defining one or more channels or apertures (not shown) that define an axis based on patient-specific data derived from a MRI or CT scan.
  • the axis represents a patient-specific path along which a surgical instrument, such as a pin 420, is guided through the body 410 and/or the pilot 470.
  • the axis may be configured to guide a screw, kirschner wire, or pin along a patient-specific path into and through a patient's tibia in order to avoid arteries, veins, or other critical anatomical features.
  • the body 410 includes multiple pilots 470 that are substantially on the same plane.
  • the body 410 may include four pilots on the same plane but angled away from one another to allow for the implantation of two kirschner wires.
  • the patient specific data can be used to accurately place the pilots 470 and allow for the correct angulation between pilots. Further, the patient specific data can be used to correlate pilot placement on the proximal guide 405 and the distal guide 406.
  • each guide 405, 406 may be pliant or two-piece, snap together such that they substantially encircle a body portion.
  • pilots 470 of different sizes may be provided on each body 410 to allow for placement of multiple instruments (e.g., multiple screws, kirschner wires, or pins) to cooperate with an external fixation device 450. These pilots 470 may be offset and/or angled relative to one another to allow for proper alignment upon implantation or after rotation/distraction of the joint(s).
  • instruments e.g., multiple screws, kirschner wires, or pins
  • a surgeon may view a proposed tissue-guide 405, 406 and communicate with a designer or manufacturer via a website to accept or revise a patient-specific surgical plan.
  • a patient-matched guide 405, 406 can be then be made that conforms to the patient's anatomy and will direct surgical instruments relative to the patient's anatomy.
  • the surgical instrument is aligned relative to a patient's anatomy by positioning the body 410 of the instrument alignment guide 405, 406 against an area of a patient's outer tissue 440 adjacent to the surgical site.
  • a conformal surface of the guide 405 (not shown) matching an area of the patient's tissue 440 is brought adjacent to the surgical site.
  • a surgical instrument for example a screw, kirschner wire, or pin, is inserted through pilot 470 and relative to the body 410 such that the surgical instrument follows a patient-specific path relative to the surgical site.
  • the external fixator 450 cooperates with the screws, kirschner wires, and/or pins to locate the surgical instrument relative to the patient's anatomy. Additionally, the external fixator 450 and the tissue guide 405, 406 may be provided in a kit.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Dentistry (AREA)
  • Surgical Instruments (AREA)

Abstract

L'invention porte sur un appareil, pour le guidage d'instruments chirurgicaux pendant une intervention chirurgicale, qui comprend un corps ayant une première surface et une seconde surface, la seconde surface étant formée de façon à correspondre sensiblement à une surface externe de l'anatomie d'un patient, et au moins une ouverture s'étendant entre la première surface et la seconde surface du corps et configurée pour recevoir les instruments chirurgicaux et pour guider ceux-ci par rapport à l'anatomie du patient.
PCT/US2011/047897 2010-08-16 2011-08-16 Guide de tissu correspondant à un patient pour mise en place de dispositif chirurgical Ceased WO2012024281A2 (fr)

Priority Applications (6)

Application Number Priority Date Filing Date Title
BR112013003628A BR112013003628A2 (pt) 2010-08-16 2011-08-16 guia de tecido correspondente a um paciente para operação de dispositivo cirúrgico
AU2011292143A AU2011292143A1 (en) 2010-08-16 2011-08-16 Patient-matched tissue guide for placing a surgical device
KR1020137006691A KR20130137157A (ko) 2010-08-16 2011-08-16 외과용 장치를 배치하기 위한 환자―맞춤형 조직 가이드
MX2013001950A MX2013001950A (es) 2010-08-16 2011-08-16 Guia de tejido ajustada en pacientes para colocar un dispositivo quirurgico.
CN201180049964XA CN103476354A (zh) 2010-08-16 2011-08-16 用于放置手术装置的患者匹配的组织引导件
RU2013111483/14A RU2013111483A (ru) 2010-08-16 2011-08-16 Направляющее приспособление с подгонкой под пациента, помещаемое на ткань для задания положения хирургического инструмента

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US37395810P 2010-08-16 2010-08-16
US61/373,958 2010-08-16

Publications (2)

Publication Number Publication Date
WO2012024281A2 true WO2012024281A2 (fr) 2012-02-23
WO2012024281A3 WO2012024281A3 (fr) 2012-05-24

Family

ID=45605628

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2011/047897 Ceased WO2012024281A2 (fr) 2010-08-16 2011-08-16 Guide de tissu correspondant à un patient pour mise en place de dispositif chirurgical

Country Status (7)

Country Link
KR (1) KR20130137157A (fr)
CN (1) CN103476354A (fr)
AU (1) AU2011292143A1 (fr)
BR (1) BR112013003628A2 (fr)
MX (1) MX2013001950A (fr)
RU (1) RU2013111483A (fr)
WO (1) WO2012024281A2 (fr)

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103445852A (zh) * 2013-08-14 2013-12-18 复旦大学附属华山医院 一种交叉钢针导向器
CN103598958A (zh) * 2013-12-09 2014-02-26 冉旭东 一种摆位器
EP2830521A4 (fr) * 2012-03-28 2015-11-25 Orthosoft Inc Chirurgie d'implantation glénoïde utilisant une instrumentation spécifique au patient
WO2016019424A1 (fr) * 2014-08-05 2016-02-11 D Urso Paul S Modèle stéréotaxique
FR3049188A1 (fr) * 2016-03-23 2017-09-29 Vincent Salabi Coque pour le guidage d’un outil chirurgical dans un os fracture, son procede de fabrication et outil chirurgical cooperant avec la coque
EP3764917A4 (fr) * 2018-05-15 2021-05-05 Cairnsurgical, Inc. Dispositifs pour guider des procédures de traitement et/ou d'ablation de tissu
US11219441B2 (en) 2014-08-05 2022-01-11 Paul S. D'Urso Surgical access retractor

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105963009B (zh) * 2016-06-07 2018-12-25 复旦大学附属华山医院 一种腕部骨折经皮固定用手术导板和方法
KR101900785B1 (ko) * 2016-11-16 2018-09-20 재단법인 아산사회복지재단 맞춤형 수술가이드, 및 맞춤형 수술가이드 생성방법 및 생성프로그램
CN106725850A (zh) * 2017-02-06 2017-05-31 北京瀚智恒远科技发展有限公司 一种医疗辅助装置及其制备方法
CN108670398B (zh) * 2018-04-23 2023-12-22 苏州铸正机器人有限公司 手术器械插入限位机构、手术插入装置及手术机器人
CN109481017B (zh) * 2018-12-24 2024-12-13 北京华科恒生医疗科技有限公司 导向螺丝及坐标系配准方法

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US5695501A (en) * 1994-09-30 1997-12-09 Ohio Medical Instrument Company, Inc. Apparatus for neurosurgical stereotactic procedures
CN2279894Y (zh) * 1996-12-18 1998-04-29 王漕河 全身通用外固定器
US6327491B1 (en) * 1998-07-06 2001-12-04 Neutar, Llc Customized surgical fixture
US20050075649A1 (en) * 2003-10-02 2005-04-07 Bova Frank Joseph Frameless stereotactic guidance of medical procedures
US20060276786A1 (en) * 2005-05-25 2006-12-07 Brinker Mark R Apparatus for accurately positioning fractured bone fragments toward facilitating use of an external ring fixator system

Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2830521A4 (fr) * 2012-03-28 2015-11-25 Orthosoft Inc Chirurgie d'implantation glénoïde utilisant une instrumentation spécifique au patient
US10543100B2 (en) 2012-03-28 2020-01-28 Zimmer, Inc. Glenoid implant surgery using patient specific instrumentation
US11432934B2 (en) 2012-03-28 2022-09-06 Zimmer, Inc. Glenoid implant surgery using patient specific instrumentation
CN103445852A (zh) * 2013-08-14 2013-12-18 复旦大学附属华山医院 一种交叉钢针导向器
CN103598958A (zh) * 2013-12-09 2014-02-26 冉旭东 一种摆位器
CN103598958B (zh) * 2013-12-09 2015-06-03 冉旭东 一种摆位器
WO2015085604A1 (fr) * 2013-12-09 2015-06-18 冉旭东 Positionneur
WO2016019424A1 (fr) * 2014-08-05 2016-02-11 D Urso Paul S Modèle stéréotaxique
US11219441B2 (en) 2014-08-05 2022-01-11 Paul S. D'Urso Surgical access retractor
FR3049188A1 (fr) * 2016-03-23 2017-09-29 Vincent Salabi Coque pour le guidage d’un outil chirurgical dans un os fracture, son procede de fabrication et outil chirurgical cooperant avec la coque
EP3764917A4 (fr) * 2018-05-15 2021-05-05 Cairnsurgical, Inc. Dispositifs pour guider des procédures de traitement et/ou d'ablation de tissu
US11298205B2 (en) 2018-05-15 2022-04-12 CairnSurgical, Inc. Devices for guiding tissue treatment and/or tissue removal procedures

Also Published As

Publication number Publication date
AU2011292143A1 (en) 2013-03-14
KR20130137157A (ko) 2013-12-16
RU2013111483A (ru) 2014-09-27
BR112013003628A2 (pt) 2016-09-06
CN103476354A (zh) 2013-12-25
WO2012024281A3 (fr) 2012-05-24
MX2013001950A (es) 2013-07-29

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