This invention relates to medical apparatus in general, and more particularly to medical apparatus for effecting hip distraction.
When performing surgical procedures on the hip joint, it is common to distract the hip joint prior to the surgery in order to provide additional room within the hip joint during the surgery and in order to better present selected anatomy to the surgeon. This hip distraction is commonly achieved by applying a distraction force to the distal end of the leg of the patient. Currently, a surgical boot is placed on the foot and lower leg of the patient, the surgical boot is connected to a distraction frame, and then the distraction frame is used to apply a distraction force to the surgical boot, whereby to apply a distraction force to the leg of the patient, whereby to distract and position the hip joint.
The present invention is intended to provide a new and improved distraction frame for applying a distraction force to the leg of the patient so as to effect hip distraction and to allow for leg positioning.
The present invention provides a new and improved distraction frame for applying a distraction force to the leg of the patient so as to effect hip distraction and to allow for leg positioning.
In one form of the invention, there is provided a distraction frame for use with a surgical table, wherein the surgical table comprises a base for positioning on a floor, the distraction frame comprising:
a table mount for fixation to the base of the surgical table;
at least one horizontal strut mounted to the table mount;
at least one vertical strut mounted to the at least one horizontal strut; and
at least one distraction mechanism mounted to the at least one vertical strut, wherein the at least one distraction mechanism is configured for connection to a limb of a patient and for applying a distraction force to the limb of the patient;
wherein the table mount is configured to transfer to the floor a force moment imposed on the table mount when the at least one distraction mechanism applies a distraction force to a limb of a patient.
In another form of the invention, there is provided a method for distracting a limb of a patient, the method comprising:
providing a distraction frame for use with a surgical table, wherein the surgical table comprises a base for positioning on a floor, the distraction frame comprising:
positioning the patient on the surgical table;
connecting the limb of the patient to the at least one distraction mechanism; and
applying a distraction force to the limb of the patient using the at least one distraction mechanism.
In another form of the invention, there is provided a distraction frame comprising:
a table mount for fixation to a surgical table;
at least one horizontal strut mounted to the table mount;
at least one vertical strut mounted to the at least one horizontal strut; and
at least one distraction mechanism mounted to the at least one vertical strut, wherein the at least one distraction mechanism is configured for connection to a limb of a patient and for applying a distraction force to the limb of the patient;
wherein the table mount comprises a surface for selectively contacting the floor, and further wherein the table mount comprises at least one wheel for selectively supporting the surface of the table mount above the floor; and
wherein the at least one horizontal strut comprises at least one caster for selectively rollably supporting the at least one horizontal strut on the floor, and further wherein the table mount comprises at least one foot peg for selectively supporting the at least one caster above the floor;
such that (i) the distraction frame can be moved to the surgical table supported by the at least one wheel and the at least one caster, and (ii) the distraction frame can be fixed adjacent to the surgical table supported by the surface of the table mount and the at least one foot peg.
These and other objects and features of the present invention will be more fully disclosed or rendered obvious by the following detailed description of the preferred embodiments of the invention, which is to be considered together with the accompanying drawings wherein like numbers refer to like parts, and further wherein:
The present invention provides a new and improved distraction frame for applying a distraction force to the leg of a patient so as to effect hip distraction.
More particularly, and looking first at
If desired, surgical table 10 may also comprise a novel table extender 23 which is configured to be mounted to the foot of surgical table 10, whereby to provide additional support for the patient during a surgical procedure. Novel table extender 23 is preferably substantially radiolucent, so that X-ray imaging can be conducted on anatomy supported by novel table extender 23. Novel table extender 23 is described and illustrated in detail in U.S. patent application Ser. Nos. 62/455,143, 62/546,600, and Ser. No. 15/890,047. If desired, table extender 23 may comprise a distraction post 24, which is the traditional means for facilitating hip distraction (e.g., by providing counter-traction to stabilize the patient on the surgical table and by levering the upper end of the leg of the patient against the distraction post so as to dislocate the femoral head from the acetabular cup). Such distraction posts are well known in the art of hip distraction.
Distraction frame 5 generally comprises a table mount 25, a pair of adjustable horizontal struts 30 and a pair of adjustable vertical struts 35.
Table mount 25 (
Body 40 generally comprises a vertical surface 45, a horizontal surface 50 and a recess 53.
Vertical surface 45 of body 40 is intended to sit adjacent to, but slightly spaced from, base 15 of surgical table 10. Alternatively, vertical surface 45 of body 40 may be in contact with base 15 of surgical table 10. Or, alternatively, vertical surface 45 of body 40 may be set a distance off base 15 of surgical table 10. Note that the ability to space vertical surface 45 of body 40 from base 15 of surgical table 10 can be advantageous, since it allows distraction frame 5 to work with a wide range of surgical tables.
Horizontal surface 50 of body 40 is intended to engage the operating room floor during hip distraction.
Recess 53 is intended to receive a retractable wheel assembly 205, wherein retractable wheel assembly 205 is configured for selectively (i) projecting out of recess 53 so as to engage the floor and movably support body 40 of table mount 25 above the floor, such that distraction frame 5 may be moved about a facility (for example, to move distraction frame 5 to another operating room or to a storage area), and (ii) retracting into recess 53 so as to disengage from the operating room floor and lower horizontal surface 50 of body 40 onto the operating room floor so as to prevent movement of distraction frame 5 (e.g., during a surgery).
In one preferred form of the invention, and looking now at
An actuation lever 235, together with a linkage 240 and a bar 245, cooperate with a recess 250 (
Note that when wheels 230 are in their “retracted” position (
It will be appreciated that, in view of the foregoing construction, (i) stepping down on actuation lever 235 locks wheels 230 in their “down” position, so that table mount 25 is movably supported on wheels 230, and (ii) stepping down on release lever 255 retracts wheels 230 into recess 53 of body 40, whereby to allow horizontal surface 50 of body 40 to seat on the operating room floor.
In an alternative embodiment, retractable wheel assembly 205 may comprise a single-pedal mechanism of the sort well known in the art of material transport, with the single-pedal mechanism alternately moving wheels 230 between their upward and downward positions.
Recess 53 also serves to receive the proximal ends of adjustable horizontal struts 30 as will hereinafter be discussed.
Extension assembly 43 (
A pair of L-shaped brackets 60 are slidably mounted to L-shaped extensions 55 and extend under base 15 of surgical table 10 so that the lower ends of L-shaped brackets 60 may be captured beneath table feet 62 (
Alternative constructions can include L-shaped extensions 55 of different lengths or of different cross-sectional shapes and sizes. L-shaped brackets 60 may be similarly varied in construction, for instance, they may not necessarily be positioned under table feet 62 of base 15 of surgical table 10, but may engage elsewhere under base 15 of surgical table 10 so as to achieve the same engagement between the floor, L-shaped extensions 55 and base 15 of surgical table 10 (i.e., with L-shaped extensions 55 being captured to the floor by base 15 of surgical table 10). By way of example but not limitation, L-shaped brackets 60 may be captured beneath another portion of base 15 of surgical table 10. Note that L-shaped brackets 60 may also have a height adjustment feature so that the vertical distance between (i) the portion of the L-shaped bracket which is mounted to the L-shaped extensions 55, and (ii) the portion of the L-shaped bracket which mounts to the surgical table 10, can be varied. This feature can accommodate uneven floors where the distance between each of the L-shaped extensions 55 and the floor may vary.
A pair of adjustable supports 65 (
It will be appreciated that, on account of the foregoing construction, when table mount 25 of distraction frame 5 is mounted to base 15 of surgical table 10 (e.g., by way of L-shaped brackets 60 being captured under table feet 62 of base 15 of surgical table 10, and by adjustable supports 65 being positioned securely against the floor), and distraction frame 5 is thereafter used to apply a distraction force to the leg of a patient (e.g., via adjustable horizontal struts 30, adjustable vertical struts 35, etc.), any force moment produced at table mount 25 will be to transferred to the operating room floor via L-shaped extensions 55 and adjustable supports 65, and via L-shaped extensions 55 and L-shaped brackets 60. See, for example,
Note that modifications to the materials of construction, or to the configuration of the design elements (e.g., L-shaped brackets 60, adjustable supports 65, etc.) may be made to alter the stiffness and performance of distraction frame 5 while still maintaining the same overall design to transfer the patient distraction forces to the floor of the operating room. For example, although adjustable supports 65 are generally shown in the figures as having a threaded adjustment, adjustable supports 65 could also be actuated (e.g., raised and lowered, and locked in place) with a foot pedal mechanism (see, for example, the foot pedal mechanism 67 shown in
Each of the adjustable horizontal struts 30 (
Adjustable horizontal struts 30 are pivotally mounted to body 40 of table mount 25. More particularly, proximal portions 75 of adjustable horizontal struts 30 are mounted to body 40 of table mount 25 with pivot mounts 90 (
Adjustable horizontal struts 30 are detachable from body 40 of table mount 25 with locking pins 92 (
Adjustable horizontal struts 30 comprise casters 95 which are disposed at the distal ends of distal portions 80 of adjustable horizontal struts 30. Distal portions 80 of adjustable horizontal struts 30 also comprise retractable foot pegs 97. When retractable foot pegs 97 are in their retracted positions (
In one preferred form of the invention, and looking now at
Shaft 300 also comprises a track 320, and housing assembly 305 also comprises a finger 325 which rides in track 320. One end of finger 325 is pivotably mounted to housing assembly 305 while the other end of finger 325 comprises a projection 327 (
In one preferred form of the invention, shaft 300 comprises a gas shock assembly 345 (
Adjustable horizontal struts 30 also comprise bearing rails 99 (
Each of the adjustable vertical struts 35 (
In one preferred form of the invention, mounts 115 comprise bearings 121 (
Lock/release mechanisms 120 are used to lock (or release) adjustable vertical struts 35 to (or from) adjustable horizontal struts 30. More particularly, lock/release mechanisms 120 each comprise a control 122 (
Upper portions 110, intermediate portions 107 and lower portions 105 telescope relative to one another. Locking screws 127 (
In one form of the invention, gas shocks 132 (
By way of example but not limitation, where gas shocks 132 are provided to assist in adjusting the dispositions of upper portions 110 and intermediate portions 107 of adjustable vertical struts 35, gas shocks 132 are configured to apply an upward force on intermediate portions 107 of adjustable vertical struts 35 (and hence on upper portions 110, which are connected to intermediate portions 107), and gas shocks 132 include lock mechanisms 133 (
In lieu of a gas shock, alternative constructions may include springs or counter-weight systems to balance the loads carried by adjustable vertical struts 35.
Hinge joints 137 (
In one preferred form of the invention, the various components of distraction frame 5 are constructed so that distraction frame 5 can be “collapsed” into a compacted form, e.g., with adjustable horizontal struts 30 being telescoped into a reduced length and with adjustable vertical struts 35 being telescoped into a reduced length; and with adjustable vertical struts 35 being disposed parallel to adjustable horizontal struts 30; and with distraction mechanisms 140 being disposed parallel to adjustable vertical struts 35 and adjustable horizontal struts 30; and with L-shaped extensions 55 being inverted so that L-shaped brackets 60 and adjustable supports 65 face upward and with L-shaped extensions 55 being reversed relative to body 40 of table mount 25 so that L-shaped extensions 55 are set back over adjustable horizontal struts 30. In addition, wheels 230 of table mount 25 are in their “down” position, and retractable foot pegs 97 of adjustable horizontal struts 30 are in their “up” position so that adjustable horizontal struts 30 rest on casters 95, such that distraction frame 5 rides on wheels 230 and casters 95. See
Distraction frame 5 is preferably used as follows.
First, distraction frame 5 is assembled so that adjustable horizontal struts 30 are mounted to table mount 25, adjustable vertical struts 35 are mounted to adjustable horizontal struts 30, and distraction mechanisms 140 are mounted to upper portions 110 of adjustable vertical struts 35 (if these components are not already mounted to one another). In addition, L-shaped extensions 55 are set so that L-shaped brackets 60 and adjustable supports 65 face downward, and L-shaped extensions 55 are attached to body 40 of table mount 25 so that L-shaped extensions 55 extend away from adjustable horizontal struts 30 (if these components are not already set in this position).
Then distraction frame 5 is wheeled up to surgical table 10 on wheels 230 of retractable wheel assembly 205 and casters 95 of adjustable horizontal struts 30, and distraction frame 5 is assembled to surgical table 10 by mounting table mount 25 to base 15 of surgical table 10, e.g., by setting L-shaped extensions 55 on both sides of base 15 of surgical table 10, positioning L-shaped brackets 60 beneath table feet 62 of surgical table 10, retracting wheels 230 of retractable wheel assembly 205 so that horizontal surface 50 of body 40 seats on the floor, and then lowering feet 62 of surgical table 10 onto L-shaped brackets 60. Adjustable supports 65 are also adjusted as necessary to make secure contact to the floor.
Next, distraction frame 5 is approximately configured for the size of the patient, the size of the surgeon, and the procedure to be conducted. This is done by setting the angles of adjustable horizontal struts 30 relative to table mount 25 (and hence relative to surgical table 10), setting the lengths of adjustable horizontal struts 30, setting the dispositions of adjustable vertical struts 35 on adjustable horizontal struts 30, and setting the heights of adjustable vertical struts 35.
Then the patient's feet and legs are placed into, and secured to, surgical boots 20. Surgical boots 20 are secured to distraction mechanisms 140 disposed at the top ends of upper portions 110 of adjustable vertical struts 35. Further adjustments may be made to distraction frame 5 as necessary.
Distraction may occur with the surgical table set in a horizontal position or in an inclined position (e.g., with the patient in the so-called Trendelenburg position). For purposes of example but not limitation, distraction will now be discussed in the context of the patient having their leg distracted while in the Trendelenberg position.
The patient is tilted on the surgical table to the Trendelenburg position. This is accomplished with the surgical table controls. Preferentially the amount of Trendelenburg angle is 15 degrees or less. To accommodate this change in patient position, distraction frame 5 may be adjusted again as needed. In particular, the height of adjustable vertical struts 35 might be increased to maintain the patient in a planar position (relative to the table top) or with a small amount of hip flexion; horizontal struts 30 may then be adjusted so as to minimize distraction forces applied to the hip. It is also beneficial that during the application and removal of the Trendelenburg angle, lock/release mechanism 120 of mount 115 is able to be maintained in an unlocked position. This allows for the change in angle relative to distraction frame 5 without putting undue stresses on the patient as the leg length changes relative to the horizontal plane of adjustable horizontal strut 30.
Next, distraction frame 5 is more precisely configured to begin the procedure to be conducted. This is done by more precisely setting the angles of adjustable horizontal struts 30 relative to table mount 25 (and hence relative to surgical table 10), more precisely setting the dispositions of adjustable vertical struts 35 on adjustable horizontal struts 30, and more precisely setting the heights of adjustable vertical struts 35, more precisely setting the length and angle of the distraction mechanisms 140, and more precisely setting the angle of surgical boots 20.
The patient's hip may then be distracted by the surgical team by unlocking lock/release mechanism 120 of mount 115 and pulling distally on adjustable vertical struts 35, e.g., via handle 124. From this starting position, at least 8 inches of travel along the horizontal struts 30 is provided for the surgical team to apply this pulling force to the patient. Then distraction mechanisms 140 (disposed at the top ends of upper portions 110 of adjustable vertical struts 35) are adjusted as needed so as to apply the desired distraction force to the distal end of the patient's leg. From the starting position, at least 4 inches of additional travel is provided within distraction mechanism 140 to apply force to the patient's leg. Any combination of these applications of traction is envisioned, as needed for the patient's treatment.
Once the patient's hip is appropriately distracted, a surgical procedure may then be conducted on the distracted hip.
It should be appreciated that distraction frame 5 of the present invention provides the ability to attain more C-arm positions than prior art distraction frames. This is due to the fact that distraction frame 5 mounts to base 15 of surgical table 10 and not to the end of the surgical table. Therefore, the space immediately under table extender 23 and above table mount 25 and adjustable horizontal struts 30 is open and allows the C-arm X-ray machine to be manipulated with a high degree of freedom.
It should also be appreciated that distraction frame 5 of the present invention has 8 degrees of freedom: (1) gross traction extension/retraction (moving adjustable vertical struts 35 away from/toward the patient); (2) adduction/abduction of adjustable horizontal struts 30 pivoting about body 40; (3) adjustable vertical struts 35 raising and lowering; (4) distraction mechanisms 140 (fine traction) pivoting on adjustable vertical struts 35; (5) distraction mechanisms 140 (fine traction) retracting/advancing; and (6), (7) and (8) surgical boots 20 rotating and pivoting about universal joints 145. The 8 degrees of freedom provided by distraction frame 5 are superior to the 3-5 degrees of freedom typically provided by the prior art, thereby providing the surgeon with the ability to position the patient's leg in a greater number of positions and orientations. This allows the surgeon to access anatomy that they could not previously be accessed with the distraction systems of the prior art.
The distraction frame of the present invention also allows for more deep flexion of the patient's hip due to the increased degrees of freedom provided by the distraction frame and due to the disassociation of the height of the distraction frame (where the patient's foot connects to the distraction frame) relative to the top of the surgical table. Because the patient's foot can be raised (by adjustment of the vertical struts) independently of the patient's horizontal position, additional flexion can be achieved by the distraction frame of the present invention.
In addition to the foregoing, it should also be appreciated that distraction frame 5 is able to accommodate a wide range of patient heights, i.e., from approximately 4′10″ to approximately 6′10″. This ability to accommodate a wide range of patient heights is due to the more numerous degrees of freedom combined with the adjustable nature of various components of distraction frame 5, e.g., the adjustability of adjustable horizontal struts 30.
Significantly, adjustable vertical struts 35 can be positioned away from surgical table 10; this provides more space for the surgical staff to maneuver at the end of the table during surgical preparation, including while a patient is being transferred onto the surgical table.
It should also be appreciated that, in addition to manipulating distraction frame 5 to effect hip distraction, the surgical table may also be manipulated to effect hip distraction. More particularly, and looking now at
It should be appreciated that a patient can be in either a lateral decubitus position or a supine position on surgical table 10. In a lateral decubitus position, the patient lays on their side on the surgical table with the non-operative leg supported by the table and the operative leg supported by distraction frame 5. In the supine position, the operative leg is supported by distraction frame 5 and the non-operative leg would rest on surgical table 10 and table extender 23. However, table extender 23 typically stops above the knee of the patient, so the non-operative leg has limited support.
To this end, in an alternative construction, one of adjustable vertical struts 35 may replace its hinge joint 137, distraction mechanism 140, universal joint 145, mount 150, force gauge 157 and lever 155 with a leg board 165 (
It should also be appreciated that distraction frame 5 may be used for orthopedic procedures other than hip arthroscopy, e.g., distraction frame 5 may be used for hip trauma, total hip replacement, etc.
It should be understood that many additional changes in the details, materials, steps and arrangements of parts, which have been herein described and illustrated in order to explain the nature of the present invention, may be made by those skilled in the art while still remaining within the principles and scope of the invention.
This patent application claims benefit of: (i) prior U.S. Provisional Patent Application Ser. No. 62/455,238, filed Feb. 6, 2017 by Stryker Corp. and Conrad Smith et al. for METHOD AND APPARATUS FOR EFFECTING HIP DISTRACTION; and (ii) prior U.S. Provisional Patent Application Ser. No. 62/546,686, filed Aug. 17, 2017 by Stryker Corp. and Conrad Smith et al. for DISTRACTION FRAME FOR EFFECTING HIP DISTRACTION. The two (2) above-identified patent applications are hereby incorporated herein by reference.
Number | Name | Date | Kind |
---|---|---|---|
2150314 | Bell | Mar 1939 | A |
D130079 | Weller | Oct 1941 | S |
D171677 | Adler | Mar 1954 | S |
2732269 | Astroff | Apr 1954 | A |
3220022 | Nelson | Nov 1965 | A |
D221035 | Raines et al. | Jun 1971 | S |
3745996 | Rush, Sr. | Jul 1973 | A |
3808644 | Schoch | May 1974 | A |
D264531 | Trode | May 1982 | S |
4539763 | Walkhoff | Sep 1985 | A |
4551932 | Schoch | Nov 1985 | A |
4573482 | Williams, Jr. | Mar 1986 | A |
4708510 | McConnell et al. | Nov 1987 | A |
4835886 | Chemello et al. | Jun 1989 | A |
4841650 | Dodge et al. | Jun 1989 | A |
4865303 | Hall | Sep 1989 | A |
5052128 | Lonardo | Oct 1991 | A |
5162039 | Dahners | Nov 1992 | A |
5177882 | Berger | Jan 1993 | A |
5249377 | Walkhoff | Oct 1993 | A |
5287575 | Allen et al. | Feb 1994 | A |
5306231 | Cullum et al. | Apr 1994 | A |
5560577 | Keselman | Oct 1996 | A |
5582379 | Keselman et al. | Dec 1996 | A |
5608934 | Torrie et al. | Mar 1997 | A |
D385040 | Keselman | Oct 1997 | S |
D387581 | Parker et al. | Dec 1997 | S |
5702389 | Taylor et al. | Dec 1997 | A |
D389580 | Keselman et al. | Jan 1998 | S |
5728095 | Taylor et al. | Mar 1998 | A |
5819440 | Okajima | Oct 1998 | A |
5918330 | Navarro et al. | Jul 1999 | A |
5971984 | Taylor et al. | Oct 1999 | A |
6109625 | Hewitt | Aug 2000 | A |
6162223 | Orsak et al. | Dec 2000 | A |
6286164 | Lamb et al. | Sep 2001 | B1 |
6678908 | Borders et al. | Jan 2004 | B2 |
D546599 | Goldberg | Jul 2007 | S |
7237556 | Smothers et al. | Jul 2007 | B2 |
7337483 | Boucher et al. | Mar 2008 | B2 |
7343635 | Jackson | Mar 2008 | B2 |
7477926 | McCombs | Jan 2009 | B2 |
7520007 | Skripps | Apr 2009 | B2 |
7520008 | Wong et al. | Apr 2009 | B2 |
7565708 | Jackson | Jul 2009 | B2 |
7572292 | Crabtree | Aug 2009 | B2 |
7591050 | Hammerslag | Sep 2009 | B2 |
7600281 | Skripps | Oct 2009 | B2 |
7669262 | Skripps et al. | Mar 2010 | B2 |
7677249 | Kong et al. | Mar 2010 | B2 |
7739762 | Lamb et al. | Jun 2010 | B2 |
RE41412 | Van Steenburg | Jul 2010 | E |
7762975 | Memminger | Jul 2010 | B2 |
7832401 | Torrie et al. | Nov 2010 | B2 |
7862570 | Russell et al. | Jan 2011 | B2 |
7878992 | Mitsuishi | Feb 2011 | B2 |
7882583 | Skripps | Feb 2011 | B2 |
7947006 | Torrie et al. | May 2011 | B2 |
7949006 | Jagadesan et al. | May 2011 | B2 |
7949386 | Buly et al. | May 2011 | B2 |
7979932 | Liang | Jul 2011 | B2 |
8011045 | Skripps | Sep 2011 | B2 |
8037884 | Weinstein et al. | Oct 2011 | B2 |
8055487 | James | Nov 2011 | B2 |
8060960 | Jackson | Nov 2011 | B2 |
8109942 | Carson | Feb 2012 | B2 |
8152816 | Tuma et al. | Apr 2012 | B2 |
D665912 | Skripps | Aug 2012 | S |
8234730 | Stopps | Aug 2012 | B2 |
8234731 | Skripps | Aug 2012 | B2 |
8256050 | Wong et al. | Sep 2012 | B2 |
8281434 | Skripps | Oct 2012 | B2 |
8322342 | Soto et al. | Dec 2012 | B2 |
8388553 | James et al. | Mar 2013 | B2 |
8397323 | Skripps et al. | Mar 2013 | B2 |
8413660 | Weinstein et al. | Apr 2013 | B2 |
8464720 | Pigazzi et al. | Jun 2013 | B1 |
8469911 | Hiebert | Jun 2013 | B2 |
8486070 | Morgan et al. | Jul 2013 | B2 |
8491597 | Russell et al. | Jul 2013 | B2 |
8491664 | McMahon et al. | Jul 2013 | B2 |
8511314 | Pigazzi et al. | Aug 2013 | B2 |
8545570 | Crabtree et al. | Oct 2013 | B2 |
8555439 | Soto et al. | Oct 2013 | B2 |
8570187 | Janna et al. | Oct 2013 | B2 |
8611697 | Nathaniel et al. | Dec 2013 | B2 |
8679187 | Allen et al. | Mar 2014 | B2 |
8690806 | Hiebert | Apr 2014 | B2 |
8690807 | Hiebert | Apr 2014 | B2 |
8702712 | Jordan et al. | Apr 2014 | B2 |
8707484 | Jackson et al. | Apr 2014 | B2 |
8707486 | Chella et al. | Apr 2014 | B2 |
8719979 | Jackson | May 2014 | B2 |
8721643 | Morgan et al. | May 2014 | B2 |
8795312 | Fan et al. | Aug 2014 | B2 |
8806679 | Soto et al. | Aug 2014 | B2 |
8826474 | Jackson | Sep 2014 | B2 |
8826475 | Jackson | Sep 2014 | B2 |
8828009 | Allen et al. | Sep 2014 | B2 |
8833707 | Steinberg et al. | Sep 2014 | B2 |
8839471 | Jackson | Sep 2014 | B2 |
8844077 | Jackson et al. | Sep 2014 | B2 |
8845568 | Clark et al. | Sep 2014 | B2 |
8856986 | Jackson | Oct 2014 | B2 |
8890511 | Belew | Nov 2014 | B2 |
8893333 | Soto et al. | Nov 2014 | B2 |
8894716 | McMahon et al. | Nov 2014 | B2 |
8938826 | Jackson | Jan 2015 | B2 |
8944065 | Slusarz, Jr. | Feb 2015 | B2 |
8945026 | Moser et al. | Feb 2015 | B2 |
8978180 | Jackson | Mar 2015 | B2 |
8986228 | Auchinleck et al. | Mar 2015 | B2 |
8997284 | Kreuzer et al. | Apr 2015 | B2 |
8997286 | Wyslucha et al. | Apr 2015 | B2 |
8997749 | Drake et al. | Apr 2015 | B2 |
9056012 | Crabtree, Jr. et al. | Jun 2015 | B2 |
9072646 | Skripps et al. | Jul 2015 | B2 |
9085915 | Emmett | Jul 2015 | B1 |
9101393 | Jordan et al. | Aug 2015 | B2 |
9107792 | Catacchio et al. | Aug 2015 | B2 |
9119610 | Matta et al. | Sep 2015 | B2 |
9161875 | Clark et al. | Oct 2015 | B2 |
9161876 | Pigazzi et al. | Oct 2015 | B2 |
9173649 | Clark et al. | Nov 2015 | B2 |
9180062 | Jackson | Nov 2015 | B2 |
9186291 | Jackson et al. | Nov 2015 | B2 |
9198817 | Jackson | Dec 2015 | B2 |
9205013 | Jackson | Dec 2015 | B2 |
9211223 | Jackson | Dec 2015 | B2 |
9226865 | Jackson | Jan 2016 | B2 |
9233043 | Labedz et al. | Jan 2016 | B2 |
9265679 | Jackson | Feb 2016 | B2 |
9289342 | Jackson | Mar 2016 | B2 |
9295433 | Jackson et al. | Mar 2016 | B2 |
9295556 | Perez, III et al. | Mar 2016 | B2 |
9301897 | Jackson | Apr 2016 | B2 |
9308145 | Jackson | Apr 2016 | B2 |
9331262 | Maejima et al. | May 2016 | B2 |
9364380 | Jackson | Jun 2016 | B2 |
9456945 | Jackson | Oct 2016 | B2 |
9468576 | Jackson | Oct 2016 | B2 |
9510987 | Jackson et al. | Dec 2016 | B2 |
9549865 | Hiebert | Jan 2017 | B2 |
9610206 | Jackson | Apr 2017 | B2 |
9672662 | Scanlan et al. | Jun 2017 | B2 |
9750656 | Pigazzi et al. | Sep 2017 | B1 |
9782287 | Pigazz et al. | Oct 2017 | B2 |
9931262 | Pigazz et al. | Apr 2018 | B2 |
9936941 | Weisel et al. | Apr 2018 | B2 |
9949883 | Pigazzi et al. | Apr 2018 | B1 |
10034806 | Greenhalgh, Sr. | Jul 2018 | B1 |
D832334 | Kushner et al. | Oct 2018 | S |
10130542 | Strawder | Nov 2018 | B1 |
10159520 | Krickeberg et al. | Dec 2018 | B2 |
10828218 | Shandas et al. | Nov 2020 | B2 |
20020023298 | Lamb et al. | Feb 2002 | A1 |
20040003468 | Mitsuishi et al. | Jan 2004 | A1 |
20040092854 | D'Amico | May 2004 | A1 |
20040133979 | Newkirk et al. | Jul 2004 | A1 |
20040133983 | Newkirk et al. | Jul 2004 | A1 |
20050160533 | Boucher et al. | Jul 2005 | A1 |
20060047228 | Petelenz et al. | Mar 2006 | A1 |
20060074366 | Ryan et al. | Apr 2006 | A1 |
20060100562 | Pamplin | May 2006 | A1 |
20060130713 | Jones et al. | Jun 2006 | A1 |
20060185090 | Jackson | Aug 2006 | A1 |
20060271056 | Terrill-Grisoni et al. | Nov 2006 | A1 |
20070161935 | Torrie et al. | Jul 2007 | A1 |
20070251011 | Matta | Nov 2007 | A1 |
20070277350 | Hines | Dec 2007 | A1 |
20080214976 | Memminger et al. | Sep 2008 | A1 |
20080216231 | Lambarth et al. | Sep 2008 | A1 |
20080309052 | Neiley et al. | Dec 2008 | A1 |
20090044339 | Morin et al. | Feb 2009 | A1 |
20110023893 | Striggow et al. | Feb 2011 | A1 |
20110119829 | Skripps et al. | May 2011 | A1 |
20110143898 | Trees | Jun 2011 | A1 |
20110190676 | Torrie et al. | Aug 2011 | A1 |
20120059376 | Rains et al. | Mar 2012 | A1 |
20120073476 | Lai | Mar 2012 | A1 |
20120204885 | Koch | Aug 2012 | A1 |
20120233782 | Kreuzer et al. | Sep 2012 | A1 |
20120240938 | Pamichev | Sep 2012 | A1 |
20120255122 | Diel et al. | Oct 2012 | A1 |
20120259261 | Clark et al. | Oct 2012 | A1 |
20120259343 | Clark et al. | Oct 2012 | A1 |
20120305005 | Keith-Lucas et al. | Dec 2012 | A1 |
20130081635 | Drake et al. | Apr 2013 | A1 |
20130111666 | Jackson | May 2013 | A1 |
20130133137 | Jackson et al. | May 2013 | A1 |
20130174853 | Pigazzi | Jul 2013 | A1 |
20130174854 | Pigazzi et al. | Jul 2013 | A1 |
20130191994 | Bellows et al. | Aug 2013 | A1 |
20130199541 | Sluss et al. | Aug 2013 | A1 |
20130247301 | Daley et al. | Sep 2013 | A1 |
20130269710 | Hight et al. | Oct 2013 | A1 |
20130312187 | Jackson | Nov 2013 | A1 |
20130312188 | Jackson | Nov 2013 | A1 |
20130318721 | Gauta | Dec 2013 | A1 |
20130338792 | Schmieding et al. | Dec 2013 | A1 |
20130345605 | Steele | Dec 2013 | A1 |
20140020181 | Jackson | Jan 2014 | A1 |
20140033434 | Jackson | Feb 2014 | A1 |
20140068863 | Clark et al. | Mar 2014 | A1 |
20140068866 | Catacchio et al. | Mar 2014 | A1 |
20140082842 | Jackson | Mar 2014 | A1 |
20140173827 | Hiebert | Jun 2014 | A1 |
20140174451 | Hiebert | Jun 2014 | A1 |
20140196212 | Jackson | Jul 2014 | A1 |
20140201913 | Jackson | Jul 2014 | A1 |
20140201914 | Jackson | Jul 2014 | A1 |
20140208512 | Jackson | Jul 2014 | A1 |
20140208513 | Hiebert | Jul 2014 | A1 |
20140215718 | Wootton | Aug 2014 | A1 |
20140215855 | Frey | Aug 2014 | A1 |
20140222407 | Jordan et al. | Aug 2014 | A1 |
20140283845 | Slusarz, Jr. | Sep 2014 | A1 |
20140309646 | Fan | Oct 2014 | A1 |
20140317847 | Jackson | Oct 2014 | A1 |
20140324056 | Nikolchev et al. | Oct 2014 | A1 |
20140352072 | Holladay | Dec 2014 | A1 |
20140359941 | Sharps et al. | Dec 2014 | A1 |
20140366271 | Marshall | Dec 2014 | A1 |
20150008201 | Qiang et al. | Jan 2015 | A1 |
20150032041 | Ingimundarson et al. | Jan 2015 | A1 |
20150059094 | Jackson | Mar 2015 | A1 |
20150067985 | Gaenzle | Mar 2015 | A1 |
20150088044 | Walborn et al. | Mar 2015 | A1 |
20150122268 | Slusarz, Jr. | May 2015 | A1 |
20150150743 | Jackson | Jun 2015 | A1 |
20150164724 | Drake et al. | Jun 2015 | A1 |
20150196447 | Henderson et al. | Jul 2015 | A1 |
20150202106 | Hight et al. | Jul 2015 | A1 |
20150231013 | Bernardoni et al. | Aug 2015 | A1 |
20150238273 | Jordan et al. | Aug 2015 | A1 |
20150238380 | Kreuzer et al. | Aug 2015 | A1 |
20150245915 | Crabtree, Jr. et al. | Sep 2015 | A1 |
20150245969 | Hight et al. | Sep 2015 | A1 |
20150245971 | Bernardoni et al. | Sep 2015 | A1 |
20150272681 | Skripps et al. | Oct 2015 | A1 |
20150290064 | Kreuzer et al. | Oct 2015 | A1 |
20150297435 | Visco | Oct 2015 | A1 |
20150342813 | Catacchio et al. | Dec 2015 | A1 |
20150366622 | Wyslucha et al. | Dec 2015 | A1 |
20160008201 | Jackson et al. | Jan 2016 | A1 |
20160038364 | Jackson | Feb 2016 | A1 |
20160051432 | Clark et al. | Feb 2016 | A1 |
20160067135 | Pigazzi et al. | Mar 2016 | A1 |
20160095784 | Catacchio et al. | Apr 2016 | A1 |
20160095785 | Catacchio et al. | Apr 2016 | A1 |
20160106612 | Clark et al. | Apr 2016 | A1 |
20160120720 | Hirsch | May 2016 | A1 |
20160120726 | Moriarty | May 2016 | A1 |
20160184154 | Lafleche et al. | Jun 2016 | A1 |
20160228281 | Marshall et al. | Aug 2016 | A1 |
20160279007 | Flatt | Sep 2016 | A1 |
20160287461 | Naughton | Oct 2016 | A1 |
20160317237 | Geiger | Nov 2016 | A1 |
20160338691 | Weber et al. | Nov 2016 | A1 |
20180140493 | Shandas | May 2018 | A1 |
20180221190 | Kaiser et al. | Aug 2018 | A1 |
20180221229 | Kaiser et al. | Aug 2018 | A1 |
20190091089 | Shandas et al. | Mar 2019 | A1 |
20200129356 | Shandas et al. | Apr 2020 | A1 |
20220096304 | Kaiser et al. | Mar 2022 | A1 |
Number | Date | Country |
---|---|---|
10 2005 023 477 | Nov 2006 | DE |
20 2009 003 314 | Jul 2009 | DE |
20 2012 101 347 | Aug 2012 | DE |
10 2011 016 456 | Feb 2016 | DE |
2 574 325 | Apr 2013 | EP |
2 623 082 | Aug 2013 | EP |
2 618 313 | Jul 2014 | EP |
2 873 405 | May 2015 | EP |
2 982 880 | Feb 2016 | EP |
2 802 305 | Oct 2018 | EP |
WO 03061544 | Jul 2003 | WO |
WO 2006091239 | Aug 2006 | WO |
WO 2007021806 | Feb 2007 | WO |
WO 2007080454 | Jul 2007 | WO |
WO 2008150731 | Dec 2008 | WO |
WO 2009062324 | May 2009 | WO |
WO 2013034916 | Mar 2013 | WO |
2013106426 | Jul 2013 | WO |
WO 2014043538 | Mar 2014 | WO |
WO 2014045194 | Mar 2014 | WO |
WO 2014045199 | Mar 2014 | WO |
WO 2014153329 | Sep 2014 | WO |
WO 2014205218 | Dec 2014 | WO |
WO 2016017479 | Feb 2016 | WO |
WO 2016197142 | Dec 2016 | WO |
Entry |
---|
Merriam-Webster, “outrigger,” https://www.merriam-webster.com/dictionary/outrigger. |
Kollmorgen, Robert C., The Pink Hip Kit®: Postless Hip Arthroscopy Positioning System, Xodus Medical. |
Pink Pad—Advanced Trendelenburg Positioning System, Xodus Medical Inc., 2018, https://www.xodusmedical.com/pinkpad. |
The Pink Pad XL®: Advanced Trendelenburg Positioning System, Xodus Medical, 2018. |
Opfell, A. , Hip Arthroscopy & Fracture Kit: Maximize patient safety during arthroscopic hip procedures, Xodus Medical, Jul. 12, 2018. |
The Pink Hip Kit SN: Postless Positioning System—HIP40614SN, Xodus Medical, 2019, https://www.xodusmedical.com/Product/HIP40614SN. |
Terry, M.A., Arthroscopic Hip Patient Positioning Using the Advanced Supine Hip Positioning System: Hip Technique Guide, Smith & Nephew, 2013, pp. 1-8. |
Mei-Dan, O. et al. Hip Arthroscopy Distraction Without the Use of Perineal Post: Prospective Study (Abstract), vol. 36, No. 1, Jan. 2013, pp. e1-e5. |
Young, D.A., et al., Technique allows for hip arthoscopy distraction without perineal post, Orthopedics Today, Jun. 2013, https://www.healio.com/orthopedics/arthroscopy/news/print/orthopedics-today/%7Bac540b4c-9b43-4736-ae8a-606b1457af8b%7D/technique-allows-for-hip-arthroscopy-distraction-without-perineal-post. |
Steep Trendelenburg Positioners, Prime Medical LLC, 2019, http://primemedicalllc.com/steep-trendelenburg-positioners/. |
Trendelenburg Positioning Kits, Soule Medical, 2019, https://www.soulemedical.com/index.php/trendelenburg-positioning-kit. |
Harris, The Pink Hip Kit SN: Postless Poitioning System—72205286, Xodus Medical, 2019, https://www.xodusmedical.com/Product/HIP40614SN. |
Trendelenburg Positioning Kits, Soule Medical, 2018, https://www.soulemedical.com/index.php/trendelenburg-positioning-kit. |
“Secure and easy patient positioning,” technical brochure published by Smith & Nephew, May 2015; 8 pages. |
Communication pursuant to Article 94(3) EPC dated Mar. 12, 2020, directed to EP Application No. 16804665.4; 9 pages. |
Extended Search Report dated Feb. 10, 2021, directed to EP Application No. 18747256.8; 10 pages. |
Extended Search Report dated Nov. 3, 2020, directed to EP Application No. 18747404.4; 6 pages. |
Hip Distraction System: Advanced solutions for supine hip arthroscopy procedures, Arthrex, 2013, pp. 1-6. |
International Search Report and Written Opinion dated Apr. 13, 2018, directed to PCT/US2018/017099; 9 pages. |
International Search Report and Written Opinion dated Aug. 31, 2016, directed to International Application No. PCT/US2016/036090; 8 pages. |
International Search Report and Written Opinion dated May 30, 2018, directed to International Application No. PCT/US2018/017088; 13 pages. |
Kaiser et al., U.S. Office Action dated Jan. 11, 2021, directed to U.S. Appl. No. 15/890,047; 20 pages. |
Kaiser et al., U.S. Office Action dated Jun. 25, 2021, directed to U.S. Appl. No. 15/890,047; 19 pages. |
Kaiser et al., U.S. Office Action dated Sep. 22, 2020, directed to U.S. Appl. No. 15/890,047; 14 pages. |
Kaiser et al., U.S. Appl. No. 62/954,888, filed Dec. 30, 2019, for “Apparatus and Method for Patient Positioning”[A copy is not submitted herewith pursuant to the waiver of 37 C.F.R. § 1.98(a)(2)(iii) issued by the Office on Sep. 21, 2004.]. |
Kaiser et al., U.S. Restriction Requirement dated Jul. 2, 2020, directed to U.S. Appl. No. 15/890,047; 13 pages. |
Klauschie et al. (Jul./Aug. 2010). “Use of Anti-Skid Material and Patient-Positioning To Prevent Patient Shifting Turing Robotic-Assisted Gynecologic Procedures,” The Journal of Minimally Invasive Gynecology 17(4):504-507. |
Shandas et al., U.S. Advisory Action dated May 19, 2021, directed to U.S. Appl. No. 15/579,409; 3 pages. |
Shandas et al., U.S. Office Action dated Feb. 10, 2021, directed to U.S. Appl. No. 15/579,409; 13 pages. |
Shandas et al., U.S. Office Action dated Jul. 8, 2021, directed to U.S. Appl. No. 15/579,409; 11 pages. |
Shandas et al., U.S. Office Action dated Sep. 8, 2020, directed to U.S. Appl. No. 15/579,409; 8 pages. |
Shandas et al., U.S. Restriction Requirement dated May 13, 2020, directed to U.S. Appl. No. 15/579,409; 8 pages. |
U.S. Surgitech, Inc. (Mar. 2019). “SurgyPad—A Unique & Revolutionary Patient Positioning System” Brochure; 1 page. |
Xodus Medical. (Aug. 2019) “Maximizing Trendelenburg Safety—Advanced Trendelenburg Patient Positioning System,” located at https://xodusmedical.com/ProductCategory/Trendelenburg; (14 pages). |
Extended European Search Report dated Jan. 7, 2019, directed to EP Application No. 16804665.4; 8 pages. |
Kaiser et al., U.S. Advisory Action dated Mar. 1, 2022, directed to U.S. Appl. No. 15/890,047; 4 pages. |
Kaiser et al., U.S. Office Action dated Apr. 29, 2022, directed to U.S. Appl. No. 15/890,047; 21 pages. |
Kaiser et al., U.S. Office Action dated Nov. 15, 2021, directed to U.S. Appl. No. 15/890,047; 20 pages. |
Office Action dated Dec. 23, 2021, directed to EP Application No. 16 804 665.4; 5 pages. |
Office Action dated Jul. 5, 2022, directed to EP Application No. 18 747 256.8; 4 pages. |
Shandas et al., U.S. Notice of Allowance and Fee(s) Due dated Feb. 10, 2020, directed to U.S. Appl. No. 16/728,876; 10 pages. |
Shandas et al., U.S. Notice of Allowance and Fee(s) Due dated Feb. 16, 2022, directed to U.S. Appl. No. 15/579,409; 10 pages. |
Shandas et al., U.S. Notice of Allowance and Fee(s) Due dated Jul. 1, 2020, directed to U.S. Appl. No. 16/728,876; 8 pages. |
Shandas et al., U.S. Office Action dated Apr. 26, 2019, directed to U.S. Appl. No. 16/197,913; 17 pages. |
Shandas et al., U.S. Office Action dated Oct. 7, 2019, directed to U.S. Appl. No. 16/197,913; 17 pages. |
Number | Date | Country | |
---|---|---|---|
20180221230 A1 | Aug 2018 | US |
Number | Date | Country | |
---|---|---|---|
62455238 | Feb 2017 | US | |
62546686 | Aug 2017 | US |