Patient-specific humeral guide designs

Information

  • Patent Grant
  • 10925622
  • Patent Number
    10,925,622
  • Date Filed
    Friday, January 25, 2019
    5 years ago
  • Date Issued
    Tuesday, February 23, 2021
    3 years ago
Abstract
A humeral cut guide member for resectioning or resurfacing a humeral head, including a bone-engagement member including a first patient-specific bone-engagement surface that is complementary and made to substantially mate and nest in only one position on a specific patient's humeral head; a registration member connected to the bone-engagement member including a second patient-specific bone engagement surface that is sized and made to substantially mate and nest in only one position with the specific patient's bicipital groove; and a cut guide plate connected to the bone-engagement member and defining an elongated slot.
Description
FIELD

The present disclosure relates to humeral cut guide members.


BACKGROUND

This section provides background information related to the present disclosure which is not necessarily prior art.


During shoulder arthroplasty, the humeral bone may require resurfacing or resecting for receipt of a shoulder implant. Prior to surgery, it is common for the surgeon to take various images via X-ray, CT, ultrasound, MRI, or PET of the surgical area including the humeral bone. Based on these images, the surgeon can determine the best course of action for resurfacing or resecting the humeral bone, as well as determine whether the primary procedure for shoulder repair is an anatomical or reverse arthroplasty. During the surgery, however, it is not uncommon for the surgeon to determine that the preselected courses of action are not suitable for the patient. If the course of action changes during surgery, new instruments may be required to properly complete the resurfacing or resecting of the humeral bone before completing the arthroplasty procedure.


SUMMARY

This section provides a general summary of the disclosure, and is not a comprehensive disclosure of its full scope or all of its features.


The present disclosure provides a humeral cut guide member for resurfacing a humeral head. The humeral cut guide member includes a bone-engagement member including a first patient-specific bone-engagement surface that is complementary and made to substantially mate and nest in only one position on a specific patient's humeral head, and a registration member connected to the bone-engagement member including a second patient-specific bone engagement surface that is sized and made to substantially mate and nest in only one position with the specific patient's bicipital groove. The humeral cut guide member also includes a cut guide plate connected to the bone-engagement member and defining an elongated slot.


The present disclosure also provides a humeral cut guide member for resectioning or resurfacing a humeral head including a bone-engagement member including a first patient-specific bone-engagement surface that is complementary and made to substantially mate and nest in only one position on a specific patient's humeral head, and a registration member connected to the bone-engagement member including a second patient-specific bone engagement surface that is sized and made to substantially mate and nest in only one position with the specific patient's bicipital groove. The humeral cut guide member also includes a cut guide plate connected to the bone-engagement member and defining an elongated slot, wherein the cut guide plate is connected to the bone-engagement member by a tube-shaped member extending outward from the bone-engagement member, and the cut guide plate includes a connection portion for receipt of the tube-shaped member such that a position of the cut guide plate relative to the specific patient's humeral head is selectively adjustable along the tube-shaped member.


The present disclosure also provides a method of resectioning or resurfacing a humeral head using a humeral cut guide member including a bone-engagement member that includes a first patient-specific bone-engagement surface that is complementary and made to substantially mate and nest in only one position on a specific patient's humeral head, and including a cut guide plate connected to the bone-engagement member. The method includes affixing the humeral cut guide member to the only one position of the specific patient's humeral head; and selectively adjusting a position of the cut guide plate relative to the specific patient's humeral head by moving the cut guide plate along a tube-shaped member that extends from the bone-engagement member.


Further areas of applicability will become apparent from the description provided herein. The description and specific examples in this summary are intended for purposes of illustration only and are not intended to limit the scope of the present disclosure.





DRAWINGS

The drawings described herein are for illustrative purposes only of selected embodiments and not all possible implementations, and are not intended to limit the scope of the present disclosure.



FIG. 1 is an exploded view of a prior art implant for reverse shoulder arthroplasty;



FIG. 2 is an environmental view of the prior art implant of FIG. 1;



FIG. 3 is a perspective environmental view of a humeral cut guide member according to a first embodiment of the present disclosure;



FIG. 4 is another perspective environmental view of the humeral cut guide member according to the first embodiment of the present disclosure;



FIG. 5 is another perspective environmental view of the humeral cut guide member according to the first embodiment of the present disclosure;



FIG. 6 is a perspective environmental view of a humeral cut guide member according to a second embodiment of the present disclosure;



FIG. 7 is another perspective environmental view of the humeral cut guide member according to the second embodiment of the present disclosure;



FIG. 8 is another perspective environmental view of the humeral cut guide member according to the second embodiment of the present disclosure;



FIG. 9 is a perspective environmental view of a humeral cut guide member according to a third embodiment of the present disclosure;



FIG. 10 is another perspective environmental view of the humeral cut guide member according to the third embodiment of the present disclosure;



FIG. 11 is a perspective environmental view of a humeral cut guide member according to a fourth embodiment of the present disclosure;



FIG. 12 is another perspective environmental view of the humeral cut guide member according to the fourth embodiment of the present disclosure;



FIG. 13 is another perspective environmental view of a modified humeral cut guide member according to the fourth embodiment of the present disclosure;



FIG. 14 is a perspective environmental view of a humeral cut guide member according to a fifth embodiment of the present disclosure;



FIG. 15 is another perspective environmental view of the humeral cut guide member according to the fifth embodiment of the present disclosure;



FIG. 16 is another perspective environmental view of the humeral cut guide member according to the fifth embodiment of the present disclosure;



FIG. 17 is another perspective environmental view of the humeral cut guide member according to the fifth embodiment of the present disclosure;



FIG. 18 is another perspective environmental view of the humeral cut guide member according to the fifth embodiment of the present disclosure;



FIG. 19 is another perspective environmental view of the humeral cut guide member according to the fifth embodiment of the present disclosure; and



FIG. 20 is a perspective view of a modified humeral cut guide member according to the fifth embodiment of the present disclosure.





Corresponding reference numerals indicate corresponding parts throughout the several views of the drawings.


DETAILED DESCRIPTION

Example embodiments will now be described more fully with reference to the accompanying drawings.


The present disclosure generally provide patient-specific surgical instruments that include, for example, alignment guides, drill guides, and other tools for use in shoulder joint replacement, shoulder resurfacing procedures and other procedures related to the shoulder joint or the various bones of the shoulder joint, including the humeral head. The present disclosure can be applied to anatomic shoulder replacement and reverse shoulder replacement. The patient-specific instruments can be used either with conventional implant components or with patient-specific implant components and/or bone grafts that are prepared using computer-assisted image methods according to the present disclosure. Computer modeling for obtaining three-dimensional images of the patient's anatomy using medical scans of the patient's anatomy (such as MRI, CT, ultrasound, X-rays, PET, etc.), the patient-specific prosthesis components and the patient-specific guides, templates and other instruments, can be prepared using various commercially available CAD programs and/or software available, for example, by Object Research Systems or ORS, Montreal, Canada.


The patient-specific instruments and any associated patient-specific implants and bone grafts can be generally designed and manufactured based on computer modeling of the patient's 3-D anatomic image generated from medical image scans including, for example, X-rays, MRI, CT, PET, ultrasound or other medical scans. The patient-specific instruments can have a three-dimensional engagement surface that is complementary and made to substantially mate and match in only one position (i.e., as a substantially negative or mirror or inverse surface) with a three-dimensional bone surface with or without associated soft tissues, which is reconstructed as a 3-D image via the aforementioned CAD or software. Very small irregularities need not be incorporated in the three-dimensional engagement surface. The patient-specific instruments can include custom-made guiding formations, such as, for example, guiding bores or cannulated guiding posts or cannulated guiding extensions or receptacles that can be used for supporting or guiding other instruments, such as drill guides, reamers, cutters, cutting guides and cutting blocks or for inserting guiding pins, K-wire, or other fasteners according to a surgeon-approved pre-operative plan.


In various embodiments, the patient-specific instruments of the present disclosure can also include one or more patient-specific guide members for receiving and guiding a tool, such as a drill or saw at corresponding patient-specific insertion points and orientations relative to a selected anatomic or reverse axis for the specific patient. The patient-specific instruments can include guiding or orientation formations and features for guiding the implantation of patient-specific or off-the-shelf implants associated with the surgical procedure. The geometry, shape and orientation of the various features of the patient-specific instruments, as well as various patient-specific implants and bone grafts, if used, can be determined during the pre-operative planning stage of the procedure in connection with the computer-assisted modeling of the patient's anatomy. During the pre-operative planning stage, patient-specific instruments, custom, semi-custom or non-custom implants and other non-custom tools, can be selected and the patient-specific components can be manufactured for a specific-patient with input from a surgeon or other professional associated with the surgical procedure.


In the following discussion, the terms “patient-specific”, “custom-made” or “customized” are defined to apply to components, including tools, implants, portions or combinations thereof, which include certain geometric features, including surfaces, curves, or other lines, and which are made to closely conform substantially as mirror-images or negatives or complementary surfaces of corresponding geometric features or anatomic landmarks of a patient's anatomy obtained or gathered during a pre-operative planning stage based on 3-D computer images of the corresponding anatomy reconstructed from image scans of the patient by computer imaging methods. Further, patient-specific guiding features, such as, guiding apertures, guiding slots, guiding members or other holes or openings that are included in alignment guides, drill guides, cutting guides, rasps or other instruments or in implants are defined as features that are made to have positions, orientations, dimensions, shapes and/or define cutting planes and axes specific to the particular patient's anatomy including various anatomic or mechanical axes based on the computer-assisted pre-operative plan associated with the patient.


The patient-specific guide members can be configured to mate in alignment with natural anatomic landmarks by orienting and placing the corresponding alignment guide intra-operatively on top of the bone to mate with corresponding landmarks. The anatomic landmarks function as passive fiducial identifiers or fiducial markers for positioning of the various alignment guide members, drill guides or other patient-specific instruments.


The various patient-specific alignment guide members can be made of any biocompatible material, including, polymer, ceramic, metal or combinations thereof. The patient-specific alignment guide members can be disposable and can be combined or used with reusable and non-patient-specific cutting and guiding components.


More specifically, the present disclosure provides various embodiments of patient-specific humeral cut guide members for anatomic and reverse arthroplasty. The humeral cut guides of the present disclosure can have patient-specific engagement surfaces that reference various portions of the shoulder joint and include tubular drill guides, guiding bores or sleeves or other guiding formations that can accurately position guide pins for later humeral preparation and implantation procedures and for alignment purposes, including implant position control, implant version control, implant inclination control for both anatomic and reverse arthroplasty.


In the following, when a portion of a humeral guide member is described as “referencing” a portion of the anatomy, it will be understood that the referencing portion of the humeral guide member is a patient-specific portion that mirrors or is a negative of the corresponding referenced anatomic portion.


In some embodiments the humeral guide member can have built-in holes, openings or windows that allow the surgeon to mark the humeral bone or a model of the humeral bone with a marking pen, burr, scalpel, or any other device that can create markings to be used as landmarks on or in the humeral bone or humeral model. These landmarks can be used for the orientation of a secondary guide.


Referring to FIGS. 1 and 2, a prior art reverse shoulder implant 10 is illustrated. The reverse shoulder implant 10 includes a humeral stem 12, a humeral tray 14, a humeral bearing 16, a glenosphere 18 and a baseplate 20 having a plate portion 22 and a central boss 24. The humeral stem 12 is implanted in the humeral bone 26 and has a proximal end 28 coupled via a Morse taper connection to a male taper 30 extending from a plate 32 of the humeral tray 14. The glenosphere 18 can be modular and include a head 34 articulating with the bearing 16 and an offset double-taper component 36. The double-taper component 36 has a first tapered portion 38 coupled to a corresponding tapered opening 40 of the head 34 and a second tapered portion 42 coupled to the central boss 24 of the glenoid baseplate 20. A central screw 44 passes through the baseplate 20 into the glenoid face 46 of the patient's scapula. Peripheral screws 48 are used to lock the baseplate 20 in the glenoid face 46.


As best illustrated in FIG. 2, humeral bone 26 includes a planar surface 50 for abutment with plate 32 of humeral tray 14. To provide planar surface 50, humeral bone 26 is cut using a tool such as a bone saw (not shown). To properly orient the saw at the correct angle relative to humeral bone 26, the present disclosure provides a humeral cut guide system 52.


Referring to FIGS. 3-5, an exemplary humeral cut guide system 52 according to an aspect of the present disclosure is illustrated. Humeral cut guide system 52 includes a patient-specific humeral cut guide member 54. Humeral cut guide member 54 is configured to be patient-specific such that humeral cut guide member 54 mates with and nests in only one position on humeral bone 26. In this regard, humeral cut guide member 54 includes a bone-engagement member 58 having a bone-engagement surface 60 that is complementary and made to substantially mate and nest in only one position (i.e., as a substantially negative or mirror or inverse surface) with a three-dimensional bone surface 61 of humeral bone 26 with or without associated soft tissues, which is reconstructed as a 3-D image via the aforementioned CAD or software.


As best illustrated in FIG. 3, bone-engagement member 58 and bone-engagement surface 60 are each pie-shaped and specifically designed to mate and nest on a proximal portion of the lesser tuberosity 62 of humeral bone 26. An opposing surface 64 of bone-engagement member 58 defines a protrusion 66 that provides a curved contact surface 68 that allows humeral cut guide member 54 to be manipulated by the surgeon into correct alignment on the humeral bone 26. In other words, the surgeon may place a finger-tip upon contact surface 68, which allows the surgeon to more easily orient the humeral cut guide member 54 in a manner that bone-engagement surface 60 properly aligns with bone surface 62 of humeral bone 26.


A curved connecting member 70 extends away from bone-engagement member 58 and connects bone-engagement member 58 with a patient-specific pin guide aperture 72. Pin guide aperture 72 is aligned per the specific patient and allows for passage of a drill, Steinmann pin, or guidewire (not shown), that allows humeral bone 26 to be reamed at the appropriate location for any desired resurfacing of humeral bone 26. As illustrated, connecting member 70 is spaced apart from humeral bone 26. It should be understood, however, that connecting member 70 may be designed to abut humeral bone 26. In such a case, connecting member 70 may also include a patient-specific mating surface that is designed to mate and nest with humeral bone 26 in a single position.


A registration member 74 extends away from bone-engagement member 58 in a direction different from that of connecting member 70. Similar to bone-engagement member 58, registration member 74 includes a bone-engagement surface 76 that is designed to mate and nest with humeral bone 26 in a single position. Specifically, bone-engagement surface 76 of registration member 74 is patient-specifically sized and shaped to mate with the bicipital groove 78 (see, e.g., FIG. 6) of humeral bone 26. Thus, registration member 74 is an elongated tab-shaped member having a proximal end 80 unitary or connected to bone-engagement member 58 and a distal end 82 located away from bone-engagement member 58. With the pie-shaped bone-engagement member 58 and elongated registration member 74, humeral cut guide member 54 is configured to nest with humeral head 26 in a single position with as little material as possible. In this manner, a majority (i.e., at least 75%) of humeral head 26 is exposed during the surgical procedure to allow the surgeon greater visual access to the humeral head 26.


Humeral cut guide member 54 includes a cut guide plate 84 including an elongated slot 86. As best shown in FIG. 5, cut guide plate 84 is unitary or connected to bone-engagement member 58 with a cylindrically-shaped member 88 that extends outward from bone-engagement member 58 in a direction different from each of connecting member 70 and registration member 74. Cylindrically-shaped member 88 extends outward from bone-engagement member 88 to an extent that cut guide plate 84 will be spaced apart from humeral head 26. By spacing cut guide plate 84 away from humeral head 26, the unnecessary removal of soft-tissue (e.g., muscle, cartilage, etc.) from humeral head 26 is prevented, which assists in the patient's recovery after the arthroplasty. It should be understood, however, that cut guide plate 84 may be configured to abut humeral bone 26 during pre-operative design of humeral cut guide system 52, if desired.


Cut guide plate 84 includes an upper surface 90 and a lower surface 92, with elongated slot 86 positioned therebetween. Upper surface 90 includes a reinforcing rib 94 extending along an entire length of upper surface 90. Lower surface 92 defines a pair of tube-shaped apertures 96. Tube-shaped apertures are configured to receive a drill (not shown) for drilling humeral bone 26. After drilling of the humeral bone 26, a pair of pins (not shown) such as Steinmann pins or K-wires may be implanted in humeral bone 26, which may be used to assist in securing humeral cut guide member 54 to humeral bone 26. Alternatively, the pair of pins may be used to support a secondary cut guide (not shown) that is configured to assist in resecting or resurfacing of the humeral bone 26 at a different angle in comparison to the angle defined by humeral cut guide member 54. An exemplary secondary cut guide may be found in U.S. Ser. No. 14/265,577 assigned to Biomet Manufacturing, LLC. In this regard, after implantation of the pins, the humeral cut guide member 54 may be removed from humeral bone 26 with the pins remaining in place. The secondary cut guide may then be mated with the pins relative to the humeral bone 26.


Although not required, lower surface 92 may extend outward relative to upper surface 90 such that a shelf or platform 98 is formed. Platform 98 allows for a greater amount of surface area for the tool blade (not shown) to lie upon during resurfacing or resecting of the humeral bone 26. In this manner, the tool blade is substantially prevented from being improperly angled during the resurfacing or resecting of the humeral bone 26 to form planar surface 50. It should be understood that if platform 98 is used, upper surface 90 and reinforcing rib 94 may be omitted. In such a configuration, the tool blade would simply lie upon platform 98 during resurfacing or resecting of the humeral bone 26.


Now referring to FIGS. 6-8, another exemplary humeral cut guide system 200 is illustrated. Humeral cut guide system 200 includes a humeral cut guide member 202. Humeral cut guide member 202 is configured to be patient-specific such that humeral cut guide member 202 mates with and nests in only one position on humeral bone 26. In this regard, humeral cut guide member 202 includes a bone-engagement member 204 having a bone-engagement surface 206 that is complementary and made to substantially mate and nest in only one position (i.e., as a substantially negative or mirror or inverse surface) with a three-dimensional bone surface 61 of humeral bone 26 with or without associated soft tissues, which is reconstructed as a 3-D image via the aforementioned CAD or software.


As best illustrated in FIG. 6, bone-engagement member 204 and bone-engagement surface 206 are specifically designed to mate and nest on a distal portion of the lesser tuberosity 62 of humeral bone 26. In this regard, a bone-engagement member 204 is a curved member including an upper edge 208 located adjacent the distal portion of the less tuberosity 62, an opposing lower edge 210, and side edges 212.


As best illustrated in, for example, FIGS. 7 and 8, bone-engagement member 204 wraps about a portion of humeral bone 26 in the medial direction from the bicipital groove 78. A registration member 214 is located at a first end 216 of bone-engagement member 204. Registration member 214 extends away from upper edge 208 of bone-engagement member 204 in a direction substantially orthogonal to bone-engagement member 204. Similar to bone-engagement member 204, registration member 214 includes a bone-engagement surface 218 that is designed to mate and nest with humeral bone 26 in a single position.


Specifically, bone-engagement surface 218 of registration member 214 is patient-specifically sized and shaped to mate with the bicipital groove 78 of humeral bone 26. Thus, registration member 214 is an elongated tab-shaped member having a proximal end 220 unitary or connected to bone-engagement member 214 and a distal end 222 located away from upper edge 208. With the bone-engagement member 204 and elongated registration member 214, humeral cut guide member 204 is configured to nest with humeral head 26 at a position that allows for nearly an entirety (i.e., at least 90%) of humeral head 26 to be exposed during the surgical procedure to allow the surgeon greater visual access to the humeral head 26.


Humeral cut guide member 202 includes a cut guide plate 224 including an elongated slot 226. As best shown in FIG. 8, cut guide plate 224 is unitary or connected to bone-engagement member 214 at a second end 228 of bone-engagement member 214. Specifically, cut guide plate 224 includes an upper surface 230 and a lower surface 232, with elongated slot 226 positioned therebetween. Lower surface 232 defines a first tube-shaped aperture 234 that, in addition to being configured to receive a drill (not shown) for drilling humeral bone 26, connects cut guide plate 224 to second end 228. A second tube-shaped aperture 236 is located at distal end 222 of registration member 214, and is connected to cut guide plate 224 via a connecting arm 238.


Similar to the above-described embodiment illustrated in FIGS. 3-5, after drilling of the humeral bone 26, a pair of pins (not shown) such as Steinmann pins or K-wires may be implanted in humeral bone 26 using first and second tube-shaped apertures 234 and 236, which may be used to assist in securing humeral cut guide member 202 to humeral bone 26. Alternatively and as also described in the exemplary embodiment illustrated in FIGS. 3-5, the pair of pins may be used to support a secondary cut guide (not shown) that is configured to assist in resecting or resurfacing of the humeral bone 26 at a different angle in comparison to the angle defined by humeral cut guide member 202.


Although cut guide plate 224 is illustrated as being spaced apart from humeral head 26, it should be understood that cut guide plate 224 may be configured to abut humeral bone 26 during pre-operative design of humeral cut guide system 52, if desired. By spacing cut guide plate 224 away from humeral head 26, however, the unnecessary removal of soft-tissue (e.g., muscle, cartilage, etc.) from humeral head 26 is prevented, which assists in the patient's recovery after the arthroplasty. Further, although not required, lower surface 232 may extend outward relative to upper surface 230 such that a shelf or platform 98 (see FIG. 5, described above) is formed. Platform 98 allows for a greater amount of surface area for the tool blade (not shown) to lie upon during resurfacing or resecting of the humeral bone 26. In this manner, the tool blade is substantially prevented from being improperly angled during the resurfacing or resecting of the humeral bone 26 to form planar surface 50.


Still further, it should be understood that humeral cut guide system 200 may include the curved connecting member 70, which may extend away from upper surface 230 of cut guide plate 224 and connect cut guide plate 224 member with a patient-specific pin guide aperture 72 (see, e.g., FIG. 3). The pin guide aperture 72 may be aligned per the specific patient and allows for passage of a drill, Steinmann pin, or guidewire (not shown), that allows humeral bone 26 to be reamed at the appropriate location for any desired resurfacing of humeral bone 26.


Now referring to FIGS. 9 and 10, another exemplary humeral cut guide system 300 is illustrated. Humeral cut guide system 300 includes a humeral cut guide member 302. Humeral cut guide member 302 is configured to be patient-specific such that humeral cut guide member 302 mates with and nests in only one position on humeral bone 26. In this regard, humeral cut guide member 302 includes a bone-engagement member 304 having a bone-engagement surface 306 that is complementary and made to substantially mate and nest in only one position (i.e., as a substantially negative or mirror or inverse surface) with a three-dimensional bone surface 62 of humeral bone 26 with or without associated soft tissues, which is reconstructed as a 3-D image via the aforementioned CAD or software.


As best illustrated in FIG. 9, bone-engagement member 304 and bone-engagement surface 306 are specifically designed to mate and nest medially off of the proximal humeral bone 26. In this regard, a bone-engagement member 304 is a curved member including an upper edge 308 located adjacent the distal portion of the greater tuberosity 63, an opposing lower edge 310, and side edges 312. Bone-engagement member 304 wraps about a portion of humeral bone 26 laterally from the distal portion of the greater tuberosity 63 in a direction toward bicipital groove 78, and includes a first end 314 and a second end 316. Extending from second end 316 is a cut guide plate 318 including an elongated slot 320.


As best shown in FIG. 9, cut guide plate 318 is unitary or connected to bone-engagement member 304 at a second end 316. Cut guide plate 318 includes an upper surface 322 and a lower surface 324, with elongated slot 320 positioned therebetween. Lower surface 322 defines a first tube-shaped aperture 326 that is configured to receive a drill (not shown) for drilling humeral bone 26, and after drilling of the humeral bone 26, is configured to receive a pin (not shown) that is operable to secure humeral cut guide member 302 to the humeral bone 26. A second tube-shaped aperture 328 may also be formed at second end 316 that is configured to receive a drill (not shown) for drilling humeral bone 26, and after drilling of the humeral bone 26, is configured to receive a pin (not shown) that is operable to secure humeral cut guide member 302 to the humeral bone 26. The above-noted configuration allows for nearly an entirety (i.e., at least 90%) of humeral head 26 to be exposed during the surgical procedure to allow the surgeon greater visual access to the humeral head 26.


Although not illustrated, it should be understood that humeral cut guide system 300 may include the curved connecting member 70, which may extend away from upper surface 322 of cut guide plate 318 and connect cut guide plate 318 with a patient-specific pin guide aperture 72 (see, e.g., FIG. 3). The pin guide aperture 72 may be aligned per the specific patient and allows for passage of a drill, Steinmann pin, or guidewire (not shown), that allows humeral bone 26 to be reamed at the appropriate location for any desired resurfacing of humeral bone 26. Alternatively, the curved connecting member 70 and pin guide aperture 72 may extend from upper edge 308 at a location positioned proximate first end 314.


In addition, although cut guide plate 318 is illustrated as being spaced apart from humeral head 26, it should be understood that cut guide plate 318 may be configured to abut humeral bone 26 during pre-operative design of humeral cut guide system 300, if desired. By spacing cut guide plate 318 away from humeral head 26, the unnecessary removal of soft-tissue (e.g., muscle, cartilage, etc.) from humeral head 26 is prevented, which assists in the patient's recovery after the arthroplasty. Further, although not required, lowersurface 322 may extend outward relative to upper surface 320 such that a shelf or platform 98 (see FIG. 5, described above) is formed. Platform 98 allows for a greater amount of surface area for the tool blade (not shown) to lie upon during resurfacing or resecting of the humeral bone 26. In this manner, the tool blade is substantially prevented from being improperly angled during the resurfacing or esecting of the humeral bone 26 to form planar surface 50.


Now referring to FIGS. 11 and 12, another exemplary humeral cut guide system 400 according to an aspect of the present disclosure is illustrated. Humeral cut guide system 400 includes a ring-shaped patient-specific humeral cut guide member 402 that encircles the greater tuberosity 63 of the humeral head 26. Humeral cut guide member 402 is patient-specific and includes a bone-engagement surface 404 that is complementary and made to substantially mate and nest in only one position (i.e., as a substantially negative or mirror or inverse surface) with a three-dimensional bone surface 61 of humeral bone 26 with or without associated soft tissues, which is reconstructed as a 3-D image via the aforementioned CAD or software. Although humeral cut guide member 402 is illustrated as being ring-shaped, it should be understood that humeral cut guide member 402 may be horseshoe-shaped (FIG. 13), if desired.


Humeral cut guide member 402, in addition to bone-engagement surface 404, includes an upper surface 406 and a lower surface 408. Extending radially inward and over humeral head 26 toward a center of humeral cut guide member 402 are a plurality of pie-shaped ribs 410. Ribs 410 may include a wider proximal portion 412 unitary with humeral cut guide member 402 and a narrower distal portion 414. Alternatively, ribs 410 may include the same width along the entire length thereof. Although only three ribs 410 are illustrated in FIGS. 11 and 12, it should be understood that a greater or lesser number of ribs 410 may be used, without departing from the scope of the present disclosure. Regardless, spaces 411 between ribs 410 allow for easier viewing of humeral head 26 by the surgeon during the surgical procedure. In this regard, humeral cut guide member 402 is designed such that at least 50% of the humeral head 26 is exposed or visible when humeral cut guide member 402 is mated thereto.


The distal portions 414 terminate at a patient specific pin guide aperture 416. Pin guide aperture 416 may be aligned per the specific patient and allows for passage of a drill, Steinmann pin, or guidewire (not shown), that allows humeral bone 26 to be reamed at the appropriate location for any desired resurfacing of humeral bone 26. Pin guide aperture 416 includes an exterior surface 418 and a bone-engagement surface 420. Bone-engagement surface 420 may be patient specifically designed pre-operatively. Further, although ribs 410 are illustrated as being spaced apart from humeral head 26, it should be understood that ribs 410 may abut humeral head 26 with a patient specific bone-engagement surface as well.


A cut guide plate 422 is unitary or connected to humeral cut guide member 402 by a pair of connection members 424 such that cut guide plate 422 is spaced apart from humeral bone 26. By spacing cut guide plate 422 away from humeral head 26, the unnecessary removal of soft-tissue (e.g., muscle, cartilage, etc.) from humeral head 26 is prevented, which assists in the patient's recovery after the arthroplasty. Cut guide plate 422 includes an upper surface 426 and a lower surface 428, with an elongated slot 430 positioned therebetween. Lower surface 428 defines a pair of tube-shaped apertures 432 that are configured to receive a drill (not shown) for drilling humeral bone 26. After drilling of the humeral bone 26, the tube-shaped apertures 432 are configured to receive a pin (not shown) that is operable to secure humeral cut guide member 402 to the humeral bone 26. The above-noted configuration allows for a majority of humeral head 26 to be exposed during the surgical procedure to allow the surgeon greater visual access to the humeral head 26.


Although cut guide plate 422 is illustrated as being spaced apart from humeral head 26, which is desirable to preserve soft tissue as noted above, it should be understood that cut guide plate 422 may be configured abut humeral bone 26 during pre-operative design of humeral cut guide system 400, if desired. Further, although not required, lower surface 428 may extend outward relative to upper surface 426 such that a shelf or platform 98 is formed. Platform 98 allows for a greater amount of surface area for the tool blade (not shown) to lie upon during resurfacing or resecting of the humeral bone 26. In this manner, the tool blade is substantially prevented from being improperly angled during the resurfacing or resecting of the humeral bone 26 to form planar surface 50.


Moreover, although not illustrated in FIGS. 11 and 12, it should be understood that humeral cut guide member 402 may include a registration member (see, e.g., the registration member 74 in FIG. 3) similar to those described above. That is, humeral cut guide member 402 may include registration member (not shown) that extends away from humeral cut guide member 402 in a direction different from that ribs 410 including a bone-engagement surface 76 that is designed to mate and nest with the bicipital groove 78 of humeral bone 26.


Now referring to FIGS. 14-20, another exemplary humeral cut guide system 500 according to an aspect of the present disclosure is illustrated. Humeral cut guide system 500 includes a patient-specific humeral cut guide member 502. Humeral cut guide member 502 is configured to be patient-specific such that humeral cut guide member 502 mates with and nests in only one position on humeral bone 26. In this regard, humeral cut guide member 502 includes a bone-engagement member 504 having a bone-engagement surface 506 that is complementary and made to substantially mate and nest in only one position (i.e., as a substantially negative or mirror or inverse surface) with a three-dimensional bone surface 62 of humeral bone 26 with or without associated soft tissues, which is reconstructed as a 3-D image via the aforementioned CAD or software.


As best illustrated in FIG. 14, bone-engagement member 504 includes an elongated primary member 508 extending in a first direction (i.e., a direction parallel with a coronal plane of the body) over humeral head 26, including a pin guide aperture 510. Pin guide aperture 510 is aligned per the specific patient and allows for passage of a drill, Steinmann pin, or guide wire (not shown), that allows humeral bone 26 to be reamed at the appropriate location for any desired resurfacing of humeral bone 26. Bone-engagement member 504 also includes a pair of secondary members 512 extending substantially orthogonal to primary member 508. Secondary members 512 define a portion of bone-engagement surface 506, and assist in mating and nesting humeral cut guide member 502 in only one position on humeral bone 26 with or without associated soft tissues.


Bone-engagement member 504 also includes a registration member 514 that is patient-specifically sized and shaped to mate with the bicipital groove 78 of humeral bone 26. Thus, registration member 514 is an elongated tab-shaped member having a proximal end 516 unitary or connected to bone-engagement member 504 and a distal end 518 located away from bone-engagement member 504. With the primary member 508, secondary members 512, and elongated registration member 514, humeral cut guide member 504 is configured to nest with humeral head 26 in a single position with as little material as possible. In this manner, a majority of humeral head 26 is exposed during the surgical procedure to allow the surgeon greater visual access to the humeral head 26. In this regard, humeral cut guide member 502 is designed such that at least 60% of the humeral head 26 is exposed or visible when humeral cut guide member 402 is mated thereto.


Registration member 514 may also define a protrusion 520 that provides a curved contact surface 522 that allows humeral cut guide member 504 to be manipulated by the surgeon into correct alignment on the humeral bone 26. In other words, the surgeon may place a finger-tip upon contact surface 522, which allows the surgeon to more easily orient the humeral cut guide member 504 in a manner that bone-engagement surface 506 properly aligns with bone surface 62 of humeral bone 26.


Humeral cut guide member 502 includes a cut guide plate 524 including an elongated slot 526. As best shown in FIGS. 14, 15, 18, and 19, cut guide plate 524 is connected to bone-engagement member 504 with a tube-shaped member 528 that extends outward from registration member 514 such that cut guide plate 524 may be spaced apart from humeral head 26. By spacing cut guide plate 524 away from humeral head 26, the unnecessary removal of soft-tissue (e.g., muscle, cartilage, etc.) from humeral head 26 is prevented, which assists in the patient's recovery after the arthroplasty. Although tube-shaped member 528 extends outward from bone-engagement member 504 to an extent that cut guide plate 524 will be spaced apart from humeral head 26, it should be understood, however, that the location of cut guide plate 524 may be adjusted along tube-shaped member 528 such that cut guide plate 524 may be moved closer to humeral bone 26, if desired.


More specifically, cut guide plate 524 includes a connection portion 530 at an end 532 thereof that is configured to mate with tube-shaped member 528. Further, connection portion 530 may include a mating aperture 534 that is designed to mate with one of a plurality of protrusions 536 formed along a surface 539 of tube-shaped member 528. In this regard, connection portion 530 may be urged along tube-shaped member 528 to adjust the position of cut guide plate 524 relative to humeral head 26. As connection portion 530 is urged along tube-shaped member 528, the mating aperture 534 will mate with protrusions 536 such that connection portion 530 may be positioned at the selected protrusion 536. Connection portion 530 may then only be moved when a force sufficient to disengage the mating aperture 534 from the selected protrusion 536 is provided to the connection portion 530. In this manner, the position of cut guide plate 524 may be selectively adjusted based on the preferences of the surgeon during the shoulder arthroplasty. It should be understood that although cut guide plate 524 has been described above as being movable along tube-shaped member 528, the present disclosure contemplates configurations where cut guide plate 524 is immovably fixed to tube-shaped member 528.


As best shown in FIG. 16, cut guide plate 524 includes an upper member 538 spaced apart from a lower member 540, with elongated slot 526 defined by a gap 542 between upper member 538 and lower member 540. Lower member 540 defines an elongated aperture 544 that is configured to receive a drill (not shown) for drilling humeral bone 26. After drilling of the humeral bone 26, a pin (not shown) such as a Steinmann pin or K-wire may be implanted in humeral bone 26, which may be used to assist in positioning humeral cut guide member 502 relative to humeral bone 26. In the illustrated embodiment, elongated aperture 544 travels parallel to tube-shaped member 528 to allow cut guide plate 524 to move along tube-shaped member 528 without interference from the pin (not shown). If cut guide plate 524 is immovable fixed to tube-shaped member 528, however, it will be appreciated that elongated aperture 544 may extend in a non-parallel manner relative to tube-shaped member 528 to assist in securing cut guide member 502 to humeral bone 526.


Although only a single elongated aperture 544 is illustrated in the figures, it should be understood that a pair of elongated apertures 544 may be used to allow for a pair of pins to be used to support a secondary cut guide (not shown) that is configured to assist in resecting or resurfacing of the humeral bone 26 at a different angle in comparison to the angle defined by humeral cut guide member 502. An exemplary secondary cut guide may be found in U.S. Ser. No. 14/265,577 assigned to Biomet Manufacturing, LLC. In this regard, after implantation of the pins, the humeral cut guide member 502 may be removed from humeral bone 26 with the pins remaining in place. The secondary cut guide may then be mated with the pins relative to the humeral bone 26.


Although not required, lower member 540 may define a surface 546 that extends outward relative to upper member 538 such that a shelf or platform 548 is formed. Platform 548 allows for a greater amount of surface area for the tool blade (not shown) to lie upon during resurfacing or resecting of the humeral bone 26. In this manner, the tool blade is substantially prevented from being improperly angled during the resurfacing or resecting of the humeral bone 26 to form planar surface 50.


Lastly, as best shown in FIG. 20, a support bar 550 may fix upper member 538 to lower member 540. Support bar 550 is formed at an opposite end 552 of cut guide plate 524 relative to tube-shaped member 528, and assist in maintaining the proper gap 542 between upper member 538 and lower member 540. Notwithstanding, it should be understood that support bar 550 is removable during surgery by cutting support bar 550 with the saw or blade for resecting or resurfacing humeral bone 26, as desired by the surgeon. It should be understood that although tube-shaped member 528 is illustrated as fixing cut guide plate 524 in one position relative to humeral head 26, tube-shaped member 528 may be adjustable as illustrated in FIGS. 14-19.


The foregoing description of the embodiments has been provided for purposes of illustration and description. It is not intended to be exhaustive or to limit the disclosure. Individual elements or features of a particular embodiment are generally not limited to that particular embodiment, but, where applicable, are interchangeable and can be used in a selected embodiment, even if not specifically shown or described. The same may also be varied in many ways. Such variations are not to be regarded as a departure from the disclosure, and all such modifications are intended to be included within the scope of the disclosure.

Claims
  • 1. A humeral cut guide member for a humeral head, comprising: a bone-engagement member including a first patient-specific bone-engagement surface that is complementary and made to substantially mate and nest in only one position on a specific patient's humeral head;a registration member connected to the bone-engagement member including a second patient-specific bone engagement surface that is sized and made to substantially mate and nest in only one position with the specific patient's bicipital groove;a cut guide plate connected to and extending away from the bone-engagement member such that, upon the bone-engagement member mating and nesting with the specific patient's humeral head, the cut guide plate is spaced apart from the humeral head;a connecting member connected to and extending away from the bone-engagement member; anda humeral-head-engagement member connected to the connecting member;wherein the humeral-head-engagement member comprises a third patient-specific surface that is sized and made to substantially mate and nest in only one position with an articulating surface of the specific patient's humeral head.
  • 2. The humeral cut guide member according to claim 1, wherein the cut guide plate includes a shelf.
  • 3. The humeral cut guide member according to claim 1, wherein the cut guide plate includes at least one tube-shaped aperture.
  • 4. The humeral cut guide member according to claim 1, wherein the cut guide plate includes a removable support configured to be cut away by guiding a cutting instrument along the cut guide plate.
  • 5. The humeral cut guide system according to claim 1, wherein the bone-engagement member is configured to mate with a surface proximal to a lesser tuberosity.
  • 6. The humeral cut guide member of claim 1, wherein the humeral-head-engagement member comprises an aperture for receiving a pin.
  • 7. The humeral cut guide member of claim 1, wherein the humeral-head-engagement member and the registration member comprise substantially cylindrical bodies.
  • 8. The humeral cut guide member of claim 1, wherein the registration member includes an aperture to receive a pin.
  • 9. A humeral cut guide member for a humeral head, comprising: a first bone-engagement member including a first patient-specific bone-engagement surface that is complementary and made to substantially mate and nest in only one position on a specific patient's humeral head;a second bone-engagement member connected to the first bone-engagement member including a second patient-specific bone engagement surface that is sized and made to substantially mate and nest in only one position with the specific patient's bicipital groove;a cut guide plate connected to the first bone-engagement member;a connecting member extending from the first bone-engagement member; anda third bone-engagement member connected to the connecting member;wherein the connecting member is spaced from bone between the first and third bone-engagement members; andthe cut guide plate is spaced from bone by the first bone-engagement member.
  • 10. The humeral cut guide member according to claim 9, wherein the cut guide plate includes a shelf and at least one tube-shaped aperture.
  • 11. The humeral cut guide member according to claim 9, wherein the humeral cut guide is a monolithic body.
  • 12. The humeral cut guide member of claim 9, wherein the cut guide plate includes an extension to engage bone and the cut guide plate is spaced from bone between the extension and the first bone-engagement member.
  • 13. The humeral cut guide member of claim 9, wherein: the first bone-engagement member is configured to mate with a surface proximal to a lesser tuberosity; andthe third bone-engagement member is configured to mate with an articulating surface of the humeral head.
  • 14. The humeral cut guide member of claim 9, wherein the third bone-engagement member comprises an aperture for receiving a pin.
  • 15. A humeral cut guide member for a humeral head of a humerus bone, comprising: a cut guide plate defining a surface for guiding a cutting tool;a first bone-engagement member connected to the cut guide plate and including a first bone-engagement surface that is positioned to mate with the humerus bone proximal a lesser tuberosity;a second bone-engagement member connected to the cut guide plate and including a second bone-engagement surface that is positioned to mate with a bicipital groove of the humerus bone; anda third bone-engagement member connected to the cut guide plate and including a third bone-engagement surface that is positioned to mate with an articulating surface of a humeral head of the humerus bone;wherein the first, second and third bone-engagement members are configured to elevate the cut guide plate away from engagement with the humerus bone.
  • 16. The humeral cut guide member of claim 15, wherein: the first bone-engagement surface comprises a first patient-specific bone-engagement surface that is complementary and made to substantially mate and nest in only one position proximal to a lesser tuberosity of a specific patient's humerus bone;the second bone-engagement surface comprises a second patient-specific bone-engagement surface that is sized and made to substantially mate and nest in only one position with a bicipital groove of the specific patient's humerus bone; andthe third bone-engagement surface comprises a third patient-specific bone-engagement surface that is sized and made to substantially mate and nest in only one position with an articulating surface of the specific patient's humerus bone.
  • 17. The humeral cut guide member of claim 15, wherein the third bone-engagement member comprises an aperture for receiving a pin.
US Referenced Citations (1111)
Number Name Date Kind
1480285 Moore Jan 1924 A
2181746 Siebrandt Nov 1939 A
2407845 Orisan Sep 1946 A
2416228 Sheppard Feb 1947 A
2618913 Plancon Nov 1952 A
2910978 Urist Nov 1959 A
3330611 Heifetz Jul 1967 A
3840904 Tronzo Oct 1974 A
3975858 Much Aug 1976 A
4246895 Rehder Jan 1981 A
4306866 Weissman Dec 1981 A
4324006 Charnley Apr 1982 A
4421112 Mains et al. Dec 1983 A
4436684 White Mar 1984 A
4457306 Borzone Jul 1984 A
4475549 Oh Oct 1984 A
4506393 Murphy Mar 1985 A
4524766 Petersen Jun 1985 A
4528980 Kenna Jul 1985 A
4565191 Slocum Jan 1986 A
4619658 Pappas et al. Oct 1986 A
4621630 Kenna Nov 1986 A
4632111 Roche Dec 1986 A
4633862 Petersen Jan 1987 A
4663720 Duret et al. May 1987 A
4689984 Kellner Sep 1987 A
4695283 Aldinger Sep 1987 A
4696292 Heiple Sep 1987 A
4703751 Pohl Nov 1987 A
4704686 Aldinger Nov 1987 A
4706660 Petersen Nov 1987 A
4719907 Banko et al. Jan 1988 A
4721104 Kaufman et al. Jan 1988 A
4722330 Russell et al. Feb 1988 A
4759350 Dunn et al. Jul 1988 A
4778474 Homsy Oct 1988 A
4800874 David et al. Jan 1989 A
4821213 Cline et al. Apr 1989 A
4822365 Walker et al. Apr 1989 A
4841975 Woolson Jun 1989 A
4846161 Roger Jul 1989 A
4871975 Nawata et al. Oct 1989 A
4892545 Day et al. Jan 1990 A
4893619 Dale et al. Jan 1990 A
4896663 Vandewalls Jan 1990 A
4907577 Wu Mar 1990 A
4927422 Engelhardt May 1990 A
4936862 Walker et al. Jun 1990 A
4952213 Bowman et al. Aug 1990 A
4959066 Dunn et al. Sep 1990 A
4976737 Leake Dec 1990 A
4979949 Matsen, III et al. Dec 1990 A
4985037 Petersen Jan 1991 A
5002579 Copf et al. Mar 1991 A
5006121 Hafeli Apr 1991 A
5007936 Woolson Apr 1991 A
5030219 Matsen et al. Jul 1991 A
5030221 Buechel et al. Jul 1991 A
5041117 Engelhardt Aug 1991 A
5053037 Lackey et al. Oct 1991 A
5053039 Hofmann et al. Oct 1991 A
5056351 Stiver et al. Oct 1991 A
5086401 Glassman et al. Feb 1992 A
5098383 Hemmy et al. Mar 1992 A
5098436 Ferrante et al. Mar 1992 A
5108425 Hwang Apr 1992 A
5122144 Bert et al. Jun 1992 A
5123927 Duncan et al. Jun 1992 A
5129908 Petersen Jul 1992 A
5129909 Sutherland Jul 1992 A
5133760 Petersen et al. Jul 1992 A
5140777 Ushiyama et al. Aug 1992 A
5150304 Berchem et al. Sep 1992 A
5176684 Ferrante et al. Jan 1993 A
5194066 Van Zile Mar 1993 A
5234433 Bert et al. Aug 1993 A
5246444 Schreiber Sep 1993 A
5253506 Davis et al. Oct 1993 A
5258032 Bertin Nov 1993 A
5261915 Durlacher et al. Nov 1993 A
5274565 Reuben Dec 1993 A
5282802 Mahony, III Feb 1994 A
5299288 Glassman et al. Mar 1994 A
5300077 Howell Apr 1994 A
5320529 Pompa Jun 1994 A
5320625 Bertin Jun 1994 A
5323697 Schrock Jun 1994 A
5342366 Whiteside et al. Aug 1994 A
5344423 Dietz et al. Sep 1994 A
5360446 Kennedy Nov 1994 A
5364402 Mumme et al. Nov 1994 A
5368858 Hunziker Nov 1994 A
5370692 Fink et al. Dec 1994 A
5370699 Hood et al. Dec 1994 A
5405395 Coates Apr 1995 A
5408409 Glassman et al. Apr 1995 A
5411521 Putnam et al. May 1995 A
5415662 Ferrante et al. May 1995 A
5417694 Marik et al. May 1995 A
5438263 Dworkin et al. Aug 1995 A
5440496 Andersson et al. Aug 1995 A
5448489 Reuben Sep 1995 A
5449360 Schreiber Sep 1995 A
5452407 Crook Sep 1995 A
5454816 Ashby Oct 1995 A
5462550 Dietz et al. Oct 1995 A
5472415 King et al. Dec 1995 A
5474559 Bertin et al. Dec 1995 A
5490854 Fisher et al. Feb 1996 A
5496324 Barnes Mar 1996 A
5507833 Bohn Apr 1996 A
5514519 Neckers May 1996 A
5520695 Luckman May 1996 A
5527317 Ashby et al. Jun 1996 A
5539649 Walsh et al. Jul 1996 A
5540695 Levy Jul 1996 A
5545222 Bonutti Aug 1996 A
5549688 Ries et al. Aug 1996 A
5554190 Draenert Sep 1996 A
5560096 Stephens Oct 1996 A
5571110 Matsen, III et al. Nov 1996 A
5578037 Sanders et al. Nov 1996 A
5593411 Stalcup et al. Jan 1997 A
5595703 Swaelens et al. Jan 1997 A
5601565 Huebner Feb 1997 A
5607431 Dudasik et al. Mar 1997 A
5611802 Samuelson et al. Mar 1997 A
5613969 Jenkins, Jr. Mar 1997 A
5620448 Puddu Apr 1997 A
5634927 Houston et al. Jun 1997 A
5641323 Caldarise Jun 1997 A
5653714 Dietz et al. Aug 1997 A
5658294 Sederholm Aug 1997 A
5662656 White Sep 1997 A
5662710 Bonutti Sep 1997 A
5671018 Ohara et al. Sep 1997 A
5676668 McCue et al. Oct 1997 A
5677107 Neckers Oct 1997 A
5681354 Eckhoff Oct 1997 A
5682886 Delp et al. Nov 1997 A
5683469 Johnson et al. Nov 1997 A
5690635 Matsen, III et al. Nov 1997 A
5697933 Gundlapalli et al. Dec 1997 A
5702460 Carls et al. Dec 1997 A
5702464 Lackey et al. Dec 1997 A
5704941 Jacober et al. Jan 1998 A
5709689 Ferrante et al. Jan 1998 A
5720752 Elliott et al. Feb 1998 A
5722978 Jenkins, Jr. Mar 1998 A
5725376 Poirier Mar 1998 A
5725593 Caracciolo Mar 1998 A
5735277 Schuster Apr 1998 A
5745834 Bampton et al. Apr 1998 A
5748767 Raab May 1998 A
5749875 Puddu May 1998 A
5749876 Duvillier et al. May 1998 A
5762125 Mastrorio Jun 1998 A
5766251 Koshino Jun 1998 A
5768134 Swaelens et al. Jun 1998 A
5769092 Williamson, Jr. Jun 1998 A
5776200 Johnson et al. Jul 1998 A
5786217 Tubo et al. Jul 1998 A
5792143 Samuelson et al. Aug 1998 A
5798924 Eufinger et al. Aug 1998 A
5799055 Peshkin et al. Aug 1998 A
5835619 Morimoto et al. Nov 1998 A
5860980 Axelson, Jr. et al. Jan 1999 A
5860981 Bertin et al. Jan 1999 A
5871018 Delp et al. Feb 1999 A
5876456 Sederholm et al. Mar 1999 A
5879398 Swarts et al. Mar 1999 A
5879402 Lawes et al. Mar 1999 A
5880976 DiGioia III et al. Mar 1999 A
5885297 Matsen Mar 1999 A
5885298 Herrington et al. Mar 1999 A
5888219 Bonutti Mar 1999 A
5895389 Schenk et al. Apr 1999 A
5899907 Johnson May 1999 A
5901060 Schall et al. May 1999 A
5911724 Wehrli Jun 1999 A
5921988 Legrand Jul 1999 A
5925049 Gustilo et al. Jul 1999 A
5942370 Neckers Aug 1999 A
5967777 Klein et al. Oct 1999 A
5976149 Masini Nov 1999 A
5980526 Johnson et al. Nov 1999 A
6008433 Stone Dec 1999 A
6019767 Howell Feb 2000 A
6033415 Mittelstadt et al. Mar 2000 A
6042612 Voydeville Mar 2000 A
6056754 Haines et al. May 2000 A
6059789 Dinger May 2000 A
6059833 Doets May 2000 A
6066175 Henderson et al. May 2000 A
6086593 Bonutti Jul 2000 A
6120510 Albrektsson et al. Sep 2000 A
6120544 Grundei et al. Sep 2000 A
6126690 Ateshian et al. Oct 2000 A
6126692 Robie et al. Oct 2000 A
6136033 Suemer Oct 2000 A
6156069 Amstutz Dec 2000 A
6159217 Robie et al. Dec 2000 A
6161080 Aouni-Ateshian et al. Dec 2000 A
6162257 Gustilo et al. Dec 2000 A
6165223 Metzger et al. Dec 2000 A
6187010 Masini Feb 2001 B1
6195615 Lysen Feb 2001 B1
6203546 Macmahon Mar 2001 B1
6205411 Digioia, III et al. Mar 2001 B1
6206927 Fell et al. Mar 2001 B1
6210445 Zawadzki Apr 2001 B1
6238435 Meulink et al. May 2001 B1
6254604 Howell Jul 2001 B1
6258097 Cook et al. Jul 2001 B1
6264698 Lawes et al. Jul 2001 B1
6270529 Terrill-Grisoni et al. Aug 2001 B1
6273891 Masini Aug 2001 B1
6290727 Otto et al. Sep 2001 B1
6293971 Nelson et al. Sep 2001 B1
6302913 Ripamonti et al. Oct 2001 B1
6310269 Friese et al. Oct 2001 B1
6312258 Ashman Nov 2001 B1
6312473 Oshida Nov 2001 B1
6319285 Chamier et al. Nov 2001 B1
6322728 Brodkin et al. Nov 2001 B1
6325829 Schmotzer Dec 2001 B1
6327491 Franklin et al. Dec 2001 B1
6338738 Bellotti et al. Jan 2002 B1
6343987 Hayama et al. Feb 2002 B2
6354011 Albrecht Mar 2002 B1
6361563 Terrill-Grisoni et al. Mar 2002 B2
6379299 Borodulin et al. Apr 2002 B1
6379388 Ensign et al. Apr 2002 B1
6383228 Schmotzer May 2002 B1
6391251 Keicher et al. May 2002 B1
6395005 Lovell May 2002 B1
6413279 Metzger et al. Jul 2002 B1
6424332 Powell Jul 2002 B1
6427698 Yoon et al. Aug 2002 B1
6459948 Ateshian et al. Oct 2002 B1
6463351 Clynch Oct 2002 B1
6475243 Sheldon et al. Nov 2002 B1
6482236 Habecker Nov 2002 B2
6488715 Pope et al. Dec 2002 B1
6503255 Albrektsson et al. Jan 2003 B1
6508980 Sachs et al. Jan 2003 B1
6510334 Schuster et al. Jan 2003 B1
6514259 Picard et al. Feb 2003 B2
6517583 Pope et al. Feb 2003 B1
6519998 Ertl et al. Feb 2003 B2
6520964 Tallarida et al. Feb 2003 B2
6533737 Brosseau et al. Mar 2003 B1
6547823 Scarborough et al. Apr 2003 B2
6551325 Neubauer et al. Apr 2003 B2
6554837 Hauri et al. Apr 2003 B1
6556008 Thesen Apr 2003 B2
6558391 Axelson, Jr. et al. May 2003 B2
6558428 Park May 2003 B2
6562073 Foley May 2003 B2
6564085 Meaney et al. May 2003 B2
6567681 Lindequist May 2003 B1
6575980 Robie et al. Jun 2003 B1
6575982 Bonutti Jun 2003 B1
6589283 Metzger et al. Jul 2003 B1
6591581 Schmieding Jul 2003 B2
6605293 Giordano et al. Aug 2003 B1
6610067 Tallarida et al. Aug 2003 B2
6622567 Hamel et al. Sep 2003 B1
6629999 Serafin, Jr. Oct 2003 B1
6641617 Merrill et al. Nov 2003 B1
6676892 Das et al. Jan 2004 B2
6682566 Draenert et al. Jan 2004 B2
6696073 Boyce et al. Feb 2004 B2
6697664 Kienzle, III et al. Feb 2004 B2
6701174 Krause et al. Mar 2004 B1
6709462 Hanssen Mar 2004 B2
6711431 Sarin et al. Mar 2004 B2
6711432 Krause et al. Mar 2004 B1
6712856 Carignan et al. Mar 2004 B1
6716249 Hyde Apr 2004 B2
6725077 Balloni et al. Apr 2004 B1
6738657 Franklin et al. May 2004 B1
6740092 Lombardo et al. May 2004 B2
6749638 Saladino Jun 2004 B1
6750653 Zou et al. Jun 2004 B1
6772026 Bradbury et al. Aug 2004 B2
6780190 Maroney Aug 2004 B2
6786930 Biscup Sep 2004 B2
6799066 Steines et al. Sep 2004 B2
6823871 Schmieding Nov 2004 B2
6827723 Carson Dec 2004 B2
6887247 Couture et al. May 2005 B1
6905514 Carignan et al. Jun 2005 B2
6916324 Sanford Jul 2005 B2
6923817 Carson et al. Aug 2005 B2
6923831 Fell et al. Aug 2005 B2
6932842 Litschko et al. Aug 2005 B1
6942475 Ensign et al. Sep 2005 B2
6944518 Roose Sep 2005 B2
6945976 Ball et al. Sep 2005 B2
6953480 Mears et al. Oct 2005 B2
6960216 Kolb et al. Nov 2005 B2
6975755 Baumberg Dec 2005 B1
6990220 Ellis et al. Jan 2006 B2
6993406 Cesarano, III et al. Jan 2006 B1
7001385 Bonutti Feb 2006 B2
7029479 Tallarida et al. Apr 2006 B2
7042222 Zheng et al. May 2006 B2
7048741 Swanson May 2006 B2
7050877 Iseki et al. May 2006 B2
7060074 Rosa et al. Jun 2006 B2
7074241 McKinnon Jul 2006 B2
RE39301 Bertin Sep 2006 E
7104997 Lionberger et al. Sep 2006 B2
7105026 Johnson et al. Sep 2006 B2
7115131 Engh et al. Oct 2006 B2
7121832 Hsieh et al. Oct 2006 B2
7141053 Rosa et al. Nov 2006 B2
D533664 Büttler et al. Dec 2006 S
7169185 Sidebotham Jan 2007 B2
7174282 Hollister et al. Feb 2007 B2
7176466 Rousso et al. Feb 2007 B2
7184814 Lang et al. Feb 2007 B2
7198628 Ondrla et al. Apr 2007 B2
7218232 Disilvestro et al. May 2007 B2
7239908 Alexander et al. Jul 2007 B1
7241315 Evans Jul 2007 B2
7255702 Serra et al. Aug 2007 B2
7258701 Aram et al. Aug 2007 B2
7275218 Petrella et al. Sep 2007 B2
7282054 Steffensmeier et al. Oct 2007 B2
7291177 Gibbs Nov 2007 B2
7294133 Zink et al. Nov 2007 B2
7297164 Johnson et al. Nov 2007 B2
7309339 Cusick et al. Dec 2007 B2
7333013 Berger Feb 2008 B2
7335231 McLean Feb 2008 B2
7371260 Malinin May 2008 B2
7383164 Aram et al. Jun 2008 B2
7385498 Dobosz Jun 2008 B2
7388972 Kitson Jun 2008 B2
7390327 Collazo et al. Jun 2008 B2
7392076 Moctezuma de La Barrera Jun 2008 B2
7427200 Noble et al. Sep 2008 B2
7427272 Richard et al. Sep 2008 B2
7465320 Kito et al. Dec 2008 B1
7468075 Lang et al. Dec 2008 B2
7474223 Nycz et al. Jan 2009 B2
7488325 Qian et al. Feb 2009 B2
7494510 Zweymuller Feb 2009 B2
7517365 Carignan et al. Apr 2009 B2
7519540 Mayaud Apr 2009 B2
7527631 Maroney et al. May 2009 B2
7534263 Burdulis, Jr. et al. May 2009 B2
7537664 O'Neill et al. May 2009 B2
7542791 Mire et al. Jun 2009 B2
7559931 Stone Jul 2009 B2
7575602 Amirouche et al. Aug 2009 B2
7578851 Dong et al. Aug 2009 B2
7582091 Duncan et al. Sep 2009 B2
7591821 Kleman Sep 2009 B2
7601155 Petersen Oct 2009 B2
7603192 Martin et al. Oct 2009 B2
7604639 Swanson Oct 2009 B2
7611516 Maroney Nov 2009 B2
7618451 Berez et al. Nov 2009 B2
7621915 Frederick et al. Nov 2009 B2
7625409 Saltzman et al. Dec 2009 B2
7646161 Albu-schäffer et al. Jan 2010 B2
7651501 Penenberg et al. Jan 2010 B2
7670345 Plassky et al. Mar 2010 B2
7674100 Hayes-pankhurst et al. Mar 2010 B2
7682398 Croxton et al. Mar 2010 B2
7695477 Creger et al. Apr 2010 B2
7695521 Ely et al. Apr 2010 B2
7699847 Sheldon et al. Apr 2010 B2
7704253 Bastian et al. Apr 2010 B2
7723395 Ringeisen et al. May 2010 B2
7747305 Dean et al. Jun 2010 B2
D622854 Otto et al. Aug 2010 S
7780672 Metzger et al. Aug 2010 B2
7780740 Steinberg Aug 2010 B2
7789885 Metzger Sep 2010 B2
7794466 Merchant et al. Sep 2010 B2
7794467 McGinley et al. Sep 2010 B2
7794504 Case Sep 2010 B2
7806896 Bonutti Oct 2010 B1
7809184 Neubauer et al. Oct 2010 B2
7819925 King et al. Oct 2010 B2
7828806 Graf et al. Nov 2010 B2
7833245 Kaes et al. Nov 2010 B2
7837040 Ward et al. Nov 2010 B2
7837690 Metzger Nov 2010 B2
7846382 Strand Dec 2010 B2
7850698 Straszheim-Morley et al. Dec 2010 B2
7879109 Borden et al. Feb 2011 B2
7892261 Bonutti Feb 2011 B2
7896921 Smith et al. Mar 2011 B2
7926363 Miller et al. Apr 2011 B2
7935119 Ammann et al. May 2011 B2
7935150 Carignan et al. May 2011 B2
7938861 King et al. May 2011 B2
7959637 Fox et al. Jun 2011 B2
7962196 Tuma Jun 2011 B2
7963968 Dees, Jr. Jun 2011 B2
7967823 Ammann et al. Jun 2011 B2
7967868 White et al. Jun 2011 B2
7974677 Mire et al. Jul 2011 B2
7981158 Fitz et al. Jul 2011 B2
7988736 May et al. Aug 2011 B2
7993353 Roβner et al. Aug 2011 B2
8062301 Ammann et al. Nov 2011 B2
8066708 Lang et al. Nov 2011 B2
8070752 Metzger et al. Dec 2011 B2
8083745 Lang et al. Dec 2011 B2
8083746 Novak Dec 2011 B2
8083749 Taber Dec 2011 B2
8086336 Christensen Dec 2011 B2
8092465 Metzger et al. Jan 2012 B2
8105330 Fitz et al. Jan 2012 B2
8122582 Burdulis, Jr. et al. Feb 2012 B2
8133230 Stevens et al. Mar 2012 B2
8133234 Meridew et al. Mar 2012 B2
8137406 Novak et al. Mar 2012 B2
8147861 Jones et al. Apr 2012 B2
8160345 Pavlovskaia et al. Apr 2012 B2
8167951 Ammann et al. May 2012 B2
8170641 Belcher May 2012 B2
8182489 Horacek May 2012 B2
8192441 Collazo Jun 2012 B2
8192495 Simpson et al. Jun 2012 B2
8200355 Lee et al. Jun 2012 B2
8211112 Novak et al. Jul 2012 B2
8221430 Park et al. Jul 2012 B2
8241292 Collazo Aug 2012 B2
8241293 Stone et al. Aug 2012 B2
8246680 Betz et al. Aug 2012 B2
8260589 Kumar Sep 2012 B1
8265790 Amiot et al. Sep 2012 B2
8268099 O'Neill et al. Sep 2012 B2
8268100 O'Neill et al. Sep 2012 B2
D669176 Frey Oct 2012 S
8282646 Schoenefeld et al. Oct 2012 B2
8298237 Schoenefeld et al. Oct 2012 B2
8303596 Plaβky et al. Nov 2012 B2
8313491 Green, II et al. Nov 2012 B2
D672038 Frey Dec 2012 S
8333772 Fox et al. Dec 2012 B2
8337503 Lian Dec 2012 B2
8355773 Leitner et al. Jan 2013 B2
8372078 Collazo Feb 2013 B2
8377066 Katrana et al. Feb 2013 B2
8388690 Singhatat et al. Mar 2013 B2
8398646 Metzger et al. Mar 2013 B2
8407067 Uthgenannt et al. Mar 2013 B2
8414594 Berger et al. Apr 2013 B2
8419741 Carignan et al. Apr 2013 B2
8425522 Bonutti Apr 2013 B2
8430882 Lowry et al. Apr 2013 B2
8430931 Acker et al. Apr 2013 B2
8439675 De Moyer May 2013 B2
8439925 Marino et al. May 2013 B2
8444564 Mahfouz et al. May 2013 B2
8444651 Kunz et al. May 2013 B2
8457930 Schroeder Jun 2013 B2
8460302 Park et al. Jun 2013 B2
8469961 Alleyne et al. Jun 2013 B2
8473305 Belcher et al. Jun 2013 B2
8486150 White et al. Jul 2013 B2
8500740 Bojarski et al. Aug 2013 B2
8532361 Pavlovskaia et al. Sep 2013 B2
8532806 Masson Sep 2013 B1
8532807 Metzger Sep 2013 B2
8535387 Meridew et al. Sep 2013 B2
8543234 Gao Sep 2013 B2
8545508 Collazo Oct 2013 B2
8568487 Witt et al. Oct 2013 B2
8591516 Metzger et al. Nov 2013 B2
8597365 Meridew Dec 2013 B2
8603180 White et al. Dec 2013 B2
8608748 Metzger et al. Dec 2013 B2
8608749 Meridew et al. Dec 2013 B2
8617170 Ashby et al. Dec 2013 B2
8617174 Axelson, Jr. et al. Dec 2013 B2
8617175 Park et al. Dec 2013 B2
8632547 Maxson et al. Jan 2014 B2
8652142 Geissler Feb 2014 B2
8668700 Catanzarite et al. Mar 2014 B2
8702712 Jordan et al. Apr 2014 B2
8702715 Ammann et al. Apr 2014 B2
8706285 Narainasamy et al. Apr 2014 B2
8715289 Smith May 2014 B2
8728387 Jones et al. May 2014 B2
8735773 Lang May 2014 B2
8764760 Metzger et al. Jul 2014 B2
8775133 Schroeder Jul 2014 B2
8777875 Park Jul 2014 B2
8828016 Major et al. Sep 2014 B2
8828087 Stone et al. Sep 2014 B2
8828089 Perez et al. Sep 2014 B1
8834568 Shapiro Sep 2014 B2
8858561 White et al. Oct 2014 B2
8864769 Stone et al. Oct 2014 B2
8900244 Meridew et al. Dec 2014 B2
8903530 Metzger Dec 2014 B2
8956364 Catanzarite Feb 2015 B2
8979936 White et al. Mar 2015 B2
9005297 Katrana et al. Apr 2015 B2
10226262 Kehres et al. Mar 2019 B2
10568647 Kehres et al. Feb 2020 B2
20010005797 Barlow et al. Jun 2001 A1
20010011190 Park Aug 2001 A1
20010021876 Terrill-Grisoni et al. Sep 2001 A1
20010054478 Watanabe et al. Dec 2001 A1
20020007294 Bradbury et al. Jan 2002 A1
20020029045 Bonutti Mar 2002 A1
20020052606 Bonutti May 2002 A1
20020059049 Bradbury et al. May 2002 A1
20020082741 Mazumder et al. Jun 2002 A1
20020087274 Alexander et al. Jul 2002 A1
20020092532 Yoon Jul 2002 A1
20020107522 Picard et al. Aug 2002 A1
20020128872 Giammattei Sep 2002 A1
20020147415 Martelli Oct 2002 A1
20020186818 Arnaud et al. Dec 2002 A1
20020193797 Johnson et al. Dec 2002 A1
20020198528 Engh et al. Dec 2002 A1
20020198531 Millard et al. Dec 2002 A1
20030009171 Tornier Jan 2003 A1
20030009234 Treacy et al. Jan 2003 A1
20030011624 Ellis Jan 2003 A1
20030018338 Axelson, Jr. et al. Jan 2003 A1
20030039676 Boyce et al. Feb 2003 A1
20030055502 Lang et al. Mar 2003 A1
20030105526 Bryant et al. Jun 2003 A1
20030109784 Loh et al. Jun 2003 A1
20030120276 Tallarida et al. Jun 2003 A1
20030130741 McMinn Jul 2003 A1
20030139817 Tuke et al. Jul 2003 A1
20030158606 Coon et al. Aug 2003 A1
20030171757 Coon et al. Sep 2003 A1
20030216669 Lang et al. Nov 2003 A1
20040018144 Briscoe Jan 2004 A1
20040030245 Noble et al. Feb 2004 A1
20040054372 Corden et al. Mar 2004 A1
20040054416 Wyss et al. Mar 2004 A1
20040068187 Krause et al. Apr 2004 A1
20040092932 Aubin et al. May 2004 A1
20040098133 Carignan et al. May 2004 A1
20040102852 Johnson et al. May 2004 A1
20040102866 Harris et al. May 2004 A1
20040106926 Leitner et al. Jun 2004 A1
20040115586 Andreiko et al. Jun 2004 A1
20040122436 Grimm Jun 2004 A1
20040122439 Dwyer et al. Jun 2004 A1
20040128026 Harris et al. Jul 2004 A1
20040133276 Lang et al. Jul 2004 A1
20040138754 Lang et al. Jul 2004 A1
20040143336 Burkinshaw Jul 2004 A1
20040147927 Tsougarakis et al. Jul 2004 A1
20040148026 Bonutti Jul 2004 A1
20040153079 Tsougarakis et al. Aug 2004 A1
20040153087 Sanford et al. Aug 2004 A1
20040158254 Eisermann Aug 2004 A1
20040162619 Blaylock et al. Aug 2004 A1
20040167390 Alexander et al. Aug 2004 A1
20040171924 Mire et al. Sep 2004 A1
20040172137 Blaylock et al. Sep 2004 A1
20040181144 Cinquin et al. Sep 2004 A1
20040193169 Schon et al. Sep 2004 A1
20040204644 Tsougarakis et al. Oct 2004 A1
20040204760 Fitz et al. Oct 2004 A1
20040212586 Trueman, III Oct 2004 A1
20040220583 Pieczynski, II et al. Nov 2004 A1
20040236341 Petersen Nov 2004 A1
20040236424 Berez et al. Nov 2004 A1
20040243481 Bradbury et al. Dec 2004 A1
20040254584 Sarin et al. Dec 2004 A1
20040260301 Lionberger et al. Dec 2004 A1
20050008887 Haymann et al. Jan 2005 A1
20050010227 Paul Jan 2005 A1
20050010300 Disilvestro et al. Jan 2005 A1
20050015022 Richard et al. Jan 2005 A1
20050019664 Matsumoto Jan 2005 A1
20050027303 Lionberger et al. Feb 2005 A1
20050027361 Reiley Feb 2005 A1
20050043806 Cook et al. Feb 2005 A1
20050043837 Rubbert et al. Feb 2005 A1
20050049524 Lefevre et al. Mar 2005 A1
20050049603 Calton et al. Mar 2005 A1
20050059873 Glozman et al. Mar 2005 A1
20050060040 Auxepaules et al. Mar 2005 A1
20050065628 Roose Mar 2005 A1
20050070897 Petersen Mar 2005 A1
20050071015 Sekel Mar 2005 A1
20050075641 Singhatat et al. Apr 2005 A1
20050096535 De La Barrera May 2005 A1
20050113841 Sheldon et al. May 2005 A1
20050113846 Carson May 2005 A1
20050119664 Carignan et al. Jun 2005 A1
20050131662 Ascenzi et al. Jun 2005 A1
20050137708 Clark Jun 2005 A1
20050148843 Roose Jul 2005 A1
20050149042 Metzger Jul 2005 A1
20050171545 Walsh et al. Aug 2005 A1
20050177245 Leatherbury et al. Aug 2005 A1
20050203536 Laffargue et al. Sep 2005 A1
20050203540 Broyles Sep 2005 A1
20050209605 Grimm et al. Sep 2005 A1
20050216305 Funderud Sep 2005 A1
20050222571 Ryan Oct 2005 A1
20050222573 Branch et al. Oct 2005 A1
20050228393 Williams, III et al. Oct 2005 A1
20050234461 Burdulis, Jr. et al. Oct 2005 A1
20050234465 McCombs et al. Oct 2005 A1
20050234468 Carson Oct 2005 A1
20050240195 Axelson, Jr. et al. Oct 2005 A1
20050240267 Randall et al. Oct 2005 A1
20050244239 Shimp Nov 2005 A1
20050245934 Tuke et al. Nov 2005 A1
20050245936 Tuke et al. Nov 2005 A1
20050251147 Novak Nov 2005 A1
20050267353 Marquart et al. Dec 2005 A1
20050267485 Cordes et al. Dec 2005 A1
20050267584 Burdulis, Jr. et al. Dec 2005 A1
20050273114 Novak Dec 2005 A1
20050283252 Coon et al. Dec 2005 A1
20050283253 Coon et al. Dec 2005 A1
20060004284 Grunschlager et al. Jan 2006 A1
20060015120 Richard et al. Jan 2006 A1
20060030853 Haines Feb 2006 A1
20060038520 Negoro Feb 2006 A1
20060052725 Santilli Mar 2006 A1
20060058803 Cuckler et al. Mar 2006 A1
20060058884 Aram et al. Mar 2006 A1
20060058886 Wozencroft Mar 2006 A1
20060089621 Fard Apr 2006 A1
20060093988 Swaelens et al. May 2006 A1
20060094951 Dean et al. May 2006 A1
20060095044 Grady, Jr. et al. May 2006 A1
20060100832 Bowman May 2006 A1
20060105011 Sun et al. May 2006 A1
20060111722 Bouadi May 2006 A1
20060122616 Bennett et al. Jun 2006 A1
20060122618 Claypool et al. Jun 2006 A1
20060136058 Pietrzak Jun 2006 A1
20060142657 Quaid et al. Jun 2006 A1
20060147332 Jones et al. Jul 2006 A1
20060149283 May et al. Jul 2006 A1
20060155380 Clemow et al. Jul 2006 A1
20060161165 Swanson et al. Jul 2006 A1
20060161167 Myers et al. Jul 2006 A1
20060172263 Quadling et al. Aug 2006 A1
20060178497 Gevaert et al. Aug 2006 A1
20060184177 Echeverri Aug 2006 A1
20060184250 Bandoh et al. Aug 2006 A1
20060190086 Clemow et al. Aug 2006 A1
20060192319 Solar Aug 2006 A1
20060195111 Couture Aug 2006 A1
20060195194 Gunther Aug 2006 A1
20060195198 James Aug 2006 A1
20060200158 Farling et al. Sep 2006 A1
20060204932 Haymann et al. Sep 2006 A1
20060210644 Levin Sep 2006 A1
20060217808 Novak Sep 2006 A1
20060235421 Rosa et al. Oct 2006 A1
20060241635 Stumpo et al. Oct 2006 A1
20060241636 Novak et al. Oct 2006 A1
20060271058 Ashton et al. Nov 2006 A1
20060276796 Creger et al. Dec 2006 A1
20060276797 Botimer Dec 2006 A1
20060287733 Bonutti Dec 2006 A1
20060287891 Grasso et al. Dec 2006 A1
20060293681 Claypool et al. Dec 2006 A1
20070015995 Lang et al. Jan 2007 A1
20070016008 Schoenefeld Jan 2007 A1
20070016209 Ammann et al. Jan 2007 A1
20070027680 Ashley et al. Feb 2007 A1
20070039205 Erb et al. Feb 2007 A1
20070043582 Peveto et al. Feb 2007 A1
20070066917 Hodorek et al. Mar 2007 A1
20070073133 Schoenefeld Mar 2007 A1
20070073136 Metzger Mar 2007 A1
20070073137 Schoenefeld Mar 2007 A1
20070083214 Duncan et al. Apr 2007 A1
20070083266 Lang Apr 2007 A1
20070100258 Shoham et al. May 2007 A1
20070100450 Hodorek May 2007 A1
20070100462 Lang et al. May 2007 A1
20070106299 Manspeizer May 2007 A1
20070118055 McCombs May 2007 A1
20070118138 Seo et al. May 2007 A1
20070118243 Schroeder et al. May 2007 A1
20070129809 Meridew et al. Jun 2007 A1
20070142914 Jones et al. Jun 2007 A1
20070150068 Dong et al. Jun 2007 A1
20070156066 McGinley et al. Jul 2007 A1
20070156171 Lang et al. Jul 2007 A1
20070162038 Tuke Jul 2007 A1
20070162039 Wozencroft Jul 2007 A1
20070173946 Bonutti Jul 2007 A1
20070173948 Meridew et al. Jul 2007 A1
20070185498 Lavallee Aug 2007 A2
20070191962 Jones Aug 2007 A1
20070198022 Lang et al. Aug 2007 A1
20070203430 Lang et al. Aug 2007 A1
20070203605 Melton et al. Aug 2007 A1
20070219639 Otto et al. Sep 2007 A1
20070219640 Steinberg Sep 2007 A1
20070224238 Mansmann et al. Sep 2007 A1
20070226986 Park et al. Oct 2007 A1
20070233121 Carson et al. Oct 2007 A1
20070233136 Wozencroft Oct 2007 A1
20070233140 Metzger et al. Oct 2007 A1
20070233141 Park et al. Oct 2007 A1
20070233269 Steines et al. Oct 2007 A1
20070233272 Boyce et al. Oct 2007 A1
20070238069 Lovald et al. Oct 2007 A1
20070239282 Caylor, III et al. Oct 2007 A1
20070239481 Disilvestro et al. Oct 2007 A1
20070244487 Ammann et al. Oct 2007 A1
20070250169 Lang Oct 2007 A1
20070253617 Arata et al. Nov 2007 A1
20070255288 Mahfouz et al. Nov 2007 A1
20070255412 Hajaj et al. Nov 2007 A1
20070262867 Westrick et al. Nov 2007 A1
20070272747 Woods et al. Nov 2007 A1
20070276224 Lang et al. Nov 2007 A1
20070276400 Moore et al. Nov 2007 A1
20070276501 Betz et al. Nov 2007 A1
20070288029 Justin et al. Dec 2007 A1
20070288030 Metzger et al. Dec 2007 A1
20080009952 Hodge Jan 2008 A1
20080015599 D'alessio et al. Jan 2008 A1
20080015603 Collazo Jan 2008 A1
20080015604 Collazo Jan 2008 A1
20080015605 Collazo Jan 2008 A1
20080021299 Meulink Jan 2008 A1
20080021494 Schmelzeisen-Redeker et al. Jan 2008 A1
20080021567 Meulink et al. Jan 2008 A1
20080027563 Johnson et al. Jan 2008 A1
20080033442 Amiot et al. Feb 2008 A1
20080039850 Rowley et al. Feb 2008 A1
20080051799 Bonutti et al. Feb 2008 A1
20080051910 Kammerzell et al. Feb 2008 A1
20080058945 Hajaj et al. Mar 2008 A1
20080058947 Earl et al. Mar 2008 A1
20080062183 Swaelens Mar 2008 A1
20080065225 Wasielewski et al. Mar 2008 A1
20080094396 Sabczynsdi et al. Apr 2008 A1
20080097451 Chen et al. Apr 2008 A1
20080114370 Schoenefeld May 2008 A1
20080133022 Caylor Jun 2008 A1
20080140081 Heavener et al. Jun 2008 A1
20080140209 Iannotti et al. Jun 2008 A1
20080140213 Ammann et al. Jun 2008 A1
20080146969 Kurtz Jun 2008 A1
20080147072 Park et al. Jun 2008 A1
20080147073 Ammann et al. Jun 2008 A1
20080147074 Ammann et al. Jun 2008 A1
20080161815 Schoenefeld et al. Jul 2008 A1
20080161816 Stevens et al. Jul 2008 A1
20080172125 Ek Jul 2008 A1
20080195099 Minas Aug 2008 A1
20080195107 Cuckler et al. Aug 2008 A1
20080195108 Bhatnagar et al. Aug 2008 A1
20080195109 Hunter et al. Aug 2008 A1
20080195216 Philipp Aug 2008 A1
20080200926 Verard et al. Aug 2008 A1
20080208200 Crofford Aug 2008 A1
20080208353 Kumar et al. Aug 2008 A1
20080215059 Carignan et al. Sep 2008 A1
20080230422 Pleil et al. Sep 2008 A1
20080234664 May et al. Sep 2008 A1
20080234683 May Sep 2008 A1
20080234685 Gjerde Sep 2008 A1
20080234833 Bandoh et al. Sep 2008 A1
20080243127 Lang et al. Oct 2008 A1
20080255674 Rahaman et al. Oct 2008 A1
20080257363 Schoenefeld et al. Oct 2008 A1
20080262500 Collazo Oct 2008 A1
20080262624 White et al. Oct 2008 A1
20080269596 Revie et al. Oct 2008 A1
20080269906 Iannotti et al. Oct 2008 A1
20080275452 Lang et al. Nov 2008 A1
20080281328 Lang et al. Nov 2008 A1
20080281329 Fitz et al. Nov 2008 A1
20080281426 Fitz et al. Nov 2008 A1
20080287926 Abou El Kheir Nov 2008 A1
20080287954 Kunz et al. Nov 2008 A1
20080294170 O'Brien Nov 2008 A1
20080294266 Steinberg Nov 2008 A1
20080300600 Guelat et al. Dec 2008 A1
20080306485 Coon et al. Dec 2008 A1
20080306558 Hakki Dec 2008 A1
20080312659 Metzger et al. Dec 2008 A1
20080319448 Lavallee et al. Dec 2008 A1
20090012526 Fletcher Jan 2009 A1
20090018546 Daley Jan 2009 A1
20090018666 Grundei et al. Jan 2009 A1
20090024131 Metzger et al. Jan 2009 A1
20090024169 Triplett et al. Jan 2009 A1
20090043556 Axelson et al. Feb 2009 A1
20090048618 Harrison et al. Feb 2009 A1
20090066936 Huang et al. Mar 2009 A1
20090076371 Lang et al. Mar 2009 A1
20090076512 Ammann et al. Mar 2009 A1
20090076520 Choi Mar 2009 A1
20090076555 Lowry et al. Mar 2009 A1
20090082770 Worner et al. Mar 2009 A1
20090082774 Oti et al. Mar 2009 A1
20090087276 Rose Apr 2009 A1
20090088674 Caillouette et al. Apr 2009 A1
20090088753 Aram et al. Apr 2009 A1
20090088754 Aker et al. Apr 2009 A1
20090088755 Aker et al. Apr 2009 A1
20090088758 Bennett Apr 2009 A1
20090088759 Aram et al. Apr 2009 A1
20090088760 Aram et al. Apr 2009 A1
20090088761 Roose et al. Apr 2009 A1
20090088763 Aram et al. Apr 2009 A1
20090088865 Brehm Apr 2009 A1
20090088866 Case Apr 2009 A1
20090089034 Penney et al. Apr 2009 A1
20090089081 Haddad Apr 2009 A1
20090093815 Fletcher et al. Apr 2009 A1
20090093816 Roose et al. Apr 2009 A1
20090096613 Westrick Apr 2009 A1
20090099567 Zajac Apr 2009 A1
20090105837 Lafosse et al. Apr 2009 A1
20090116621 Yuan et al. May 2009 A1
20090118736 Kreuzer May 2009 A1
20090118769 Sixto, Jr. et al. May 2009 A1
20090131941 Park et al. May 2009 A1
20090131942 Aker et al. May 2009 A1
20090138020 Park et al. May 2009 A1
20090149964 May et al. Jun 2009 A1
20090149965 Quaid Jun 2009 A1
20090149977 Schendel Jun 2009 A1
20090151736 Belcher et al. Jun 2009 A1
20090157083 Park et al. Jun 2009 A1
20090163922 Meridew et al. Jun 2009 A1
20090163923 Flett et al. Jun 2009 A1
20090164024 Rudan et al. Jun 2009 A1
20090177282 Bureau et al. Jul 2009 A1
20090187193 Maroney et al. Jul 2009 A1
20090209884 Van Vorhis et al. Aug 2009 A1
20090209961 Ferrante et al. Aug 2009 A1
20090222014 Bojarski et al. Sep 2009 A1
20090222015 Park et al. Sep 2009 A1
20090222016 Park et al. Sep 2009 A1
20090222103 Fitz et al. Sep 2009 A1
20090226068 Fitz et al. Sep 2009 A1
20090228016 Alvarez Sep 2009 A1
20090234360 Alexander Sep 2009 A1
20090248044 Amiot et al. Oct 2009 A1
20090250413 Hoeppner Oct 2009 A1
20090254093 White et al. Oct 2009 A1
20090254367 Belcher et al. Oct 2009 A1
20090259312 Shterling et al. Oct 2009 A1
20090264889 Long et al. Oct 2009 A1
20090270868 Park et al. Oct 2009 A1
20090274350 Pavlovskaia et al. Nov 2009 A1
20090287217 Ammann et al. Nov 2009 A1
20090287309 Walch et al. Nov 2009 A1
20090306676 Lang et al. Dec 2009 A1
20090307893 Burdulis, Jr. et al. Dec 2009 A1
20090318836 Stone et al. Dec 2009 A1
20090318921 White et al. Dec 2009 A1
20100010493 Dower Jan 2010 A1
20100016984 Trabish Jan 2010 A1
20100016986 Trabish Jan 2010 A1
20100023015 Park Jan 2010 A1
20100030231 Revie et al. Feb 2010 A1
20100036404 Yi et al. Feb 2010 A1
20100042105 Park et al. Feb 2010 A1
20100049195 Park et al. Feb 2010 A1
20100057088 Shah Mar 2010 A1
20100076439 Hatch Mar 2010 A1
20100076505 Borja Mar 2010 A1
20100076563 Otto et al. Mar 2010 A1
20100076571 Hatch Mar 2010 A1
20100082034 Remia Apr 2010 A1
20100082035 Keefer Apr 2010 A1
20100082067 Kondrashov Apr 2010 A1
20100087829 Metzger Apr 2010 A1
20100094295 Schnieders et al. Apr 2010 A1
20100105011 Karkar et al. Apr 2010 A1
20100121334 Couture et al. May 2010 A1
20100121335 Penenberg et al. May 2010 A1
20100137869 Borja et al. Jun 2010 A1
20100137924 Tuke et al. Jun 2010 A1
20100139377 Huang et al. Jun 2010 A1
20100145343 Johnson et al. Jun 2010 A1
20100145344 Jordan et al. Jun 2010 A1
20100152782 Stone et al. Jun 2010 A1
20100160917 Fitz et al. Jun 2010 A1
20100160919 Axelson, Jr. et al. Jun 2010 A1
20100168752 Edwards Jul 2010 A1
20100168754 Fitz et al. Jul 2010 A1
20100168857 Hatch Jul 2010 A1
20100168866 Shih Jul 2010 A1
20100179663 Steinberg Jul 2010 A1
20100185202 Lester et al. Jul 2010 A1
20100191244 White et al. Jul 2010 A1
20100198067 Mahfouz et al. Aug 2010 A1
20100198224 Metzger et al. Aug 2010 A1
20100212138 Carroll et al. Aug 2010 A1
20100217109 Belcher Aug 2010 A1
20100217270 Polinski et al. Aug 2010 A1
20100217336 Crawford et al. Aug 2010 A1
20100217338 Carroll et al. Aug 2010 A1
20100217399 Groh Aug 2010 A1
20100228257 Bonutti Sep 2010 A1
20100249657 Nycz et al. Sep 2010 A1
20100249796 Nycz Sep 2010 A1
20100256649 Capsal et al. Oct 2010 A1
20100262150 Lian Oct 2010 A1
20100274253 Ure Oct 2010 A1
20100281678 Burdulis, Jr. et al. Nov 2010 A1
20100286700 Snider et al. Nov 2010 A1
20100291401 Medina et al. Nov 2010 A1
20100292743 Singhal et al. Nov 2010 A1
20100298894 Bojarski et al. Nov 2010 A1
20100305574 Fitz et al. Dec 2010 A1
20100318088 Warne et al. Dec 2010 A1
20100324692 Uthgenannt et al. Dec 2010 A1
20110004317 Hacking et al. Jan 2011 A1
20110008754 Bassett et al. Jan 2011 A1
20110009869 Marino et al. Jan 2011 A1
20110014081 Jones et al. Jan 2011 A1
20110015636 Katrana et al. Jan 2011 A1
20110015639 Metzger et al. Jan 2011 A1
20110015752 Meridew Jan 2011 A1
20110016690 Narainasamy et al. Jan 2011 A1
20110022049 Huebner et al. Jan 2011 A1
20110022174 Holdstein et al. Jan 2011 A1
20110029088 Rauscher et al. Feb 2011 A1
20110029091 Bojarski et al. Feb 2011 A1
20110029093 Bojarski Feb 2011 A1
20110029116 Jordan et al. Feb 2011 A1
20110035012 Linares Feb 2011 A1
20110040303 Iannotti et al. Feb 2011 A1
20110040334 Kaes et al. Feb 2011 A1
20110046735 Metzger et al. Feb 2011 A1
20110054478 Vanasse et al. Mar 2011 A1
20110066193 Lang et al. Mar 2011 A1
20110066245 Lang et al. Mar 2011 A1
20110071528 Carson Mar 2011 A1
20110071529 Carson Mar 2011 A1
20110071530 Carson Mar 2011 A1
20110071532 Carson Mar 2011 A1
20110071533 Metzger et al. Mar 2011 A1
20110071581 Lang et al. Mar 2011 A1
20110071802 Bojarski et al. Mar 2011 A1
20110087332 Bojarski et al. Apr 2011 A1
20110092804 Schoenefeld et al. Apr 2011 A1
20110093086 Witt et al. Apr 2011 A1
20110106093 Romano et al. May 2011 A1
20110106254 Abel et al. May 2011 A1
20110125264 Bagga et al. May 2011 A1
20110125284 Gabbrielli et al. May 2011 A1
20110130795 Ball Jun 2011 A1
20110151027 Clineff et al. Jun 2011 A1
20110151259 Jarman-Smith et al. Jun 2011 A1
20110153025 McMinn Jun 2011 A1
20110160736 Meridew et al. Jun 2011 A1
20110160867 Meridew et al. Jun 2011 A1
20110166578 Stone et al. Jul 2011 A1
20110172672 Dubeau et al. Jul 2011 A1
20110177590 Clyne et al. Jul 2011 A1
20110184419 Meridew et al. Jul 2011 A1
20110184526 White et al. Jul 2011 A1
20110190899 Pierce et al. Aug 2011 A1
20110190901 Weissberg et al. Aug 2011 A1
20110213376 Maxson et al. Sep 2011 A1
20110214279 Park et al. Sep 2011 A1
20110218545 Catanzarite et al. Sep 2011 A1
20110224674 White et al. Sep 2011 A1
20110238071 Fernandez-Scoma Sep 2011 A1
20110245835 Dodds et al. Oct 2011 A1
20110251617 Ammann et al. Oct 2011 A1
20110257657 Turner et al. Oct 2011 A1
20110269100 Furrer et al. Nov 2011 A1
20110275032 Tardieu et al. Nov 2011 A1
20110276145 Carignan et al. Nov 2011 A1
20110282473 Pavlovskaia et al. Nov 2011 A1
20110295887 Palmese et al. Dec 2011 A1
20110313424 Bono et al. Dec 2011 A1
20110319745 Frey Dec 2011 A1
20120010619 Barsoum Jan 2012 A1
20120010710 Frigg Jan 2012 A1
20120010711 Antonyshyn et al. Jan 2012 A1
20120029345 Mahfouz et al. Feb 2012 A1
20120029520 Lang et al. Feb 2012 A1
20120041445 Roose et al. Feb 2012 A1
20120041446 Wong et al. Feb 2012 A1
20120041564 Landon Feb 2012 A1
20120065640 Metzger et al. Mar 2012 A1
20120078254 Ashby et al. Mar 2012 A1
20120078258 Lo et al. Mar 2012 A1
20120078259 Meridew Mar 2012 A1
20120089595 Jaecksch et al. Apr 2012 A1
20120101586 Carson Apr 2012 A1
20120109137 Iannotti et al. May 2012 A1
20120109138 Meridew et al. May 2012 A1
20120109226 Iannotti et al. May 2012 A1
20120116203 Vancraen et al. May 2012 A1
20120123422 Agnihotri et al. May 2012 A1
20120130382 Iannotti et al. May 2012 A1
20120136365 Iannotti et al. May 2012 A1
20120141034 Iannotti et al. Jun 2012 A1
20120143197 Lang et al. Jun 2012 A1
20120143267 Iannotti et al. Jun 2012 A1
20120150242 Mannion Jun 2012 A1
20120158002 Carignan et al. Jun 2012 A1
20120165954 Nimal Jun 2012 A1
20120192401 Pavlovskaia et al. Aug 2012 A1
20120196314 Nawaz et al. Aug 2012 A1
20120209276 Schuster Aug 2012 A1
20120215225 Philippon et al. Aug 2012 A1
20120215310 Sharp et al. Aug 2012 A1
20120221017 Bonutti Aug 2012 A1
20120226283 Meridew et al. Sep 2012 A1
20120232596 Ribeiro Sep 2012 A1
20120245587 Fang et al. Sep 2012 A1
20120259335 Scifert et al. Oct 2012 A1
20120265208 Smith Oct 2012 A1
20120271131 Kling et al. Oct 2012 A1
20120271314 Stemniski et al. Oct 2012 A1
20120271366 Katrana et al. Oct 2012 A1
20120276509 Iannotti et al. Nov 2012 A1
20120277751 Catanzarite et al. Nov 2012 A1
20120289965 Gelaude et al. Nov 2012 A1
20120296339 Iannotti et al. Nov 2012 A1
20120303004 Uthgenannt et al. Nov 2012 A1
20120303033 Weiner et al. Nov 2012 A1
20120310364 Li et al. Dec 2012 A1
20120310399 Metzger Dec 2012 A1
20120316564 Serbousek et al. Dec 2012 A1
20120323246 Catanzarite et al. Dec 2012 A1
20120323282 Brianza et al. Dec 2012 A1
20120323323 Vargas et al. Dec 2012 A1
20130001121 Metzger Jan 2013 A1
20130006250 Metzger et al. Jan 2013 A1
20130018483 Li et al. Jan 2013 A1
20130035766 Meridew Feb 2013 A1
20130046310 Ranawat et al. Feb 2013 A1
20130053854 Schoenefeld et al. Feb 2013 A1
20130056912 O'Neill et al. Mar 2013 A1
20130060253 Couture et al. Mar 2013 A1
20130072940 Dawood et al. Mar 2013 A1
20130085500 Meridew et al. Apr 2013 A1
20130085590 Bryan et al. Apr 2013 A1
20130119579 Iannotti et al. May 2013 A1
20130123850 Schoenefeld et al. May 2013 A1
20130131681 Katrana et al. May 2013 A1
20130144392 Hughes Jun 2013 A1
20130197528 Zakaria et al. Aug 2013 A1
20130197529 Metzger Aug 2013 A1
20130197687 Pavlovskaia et al. Aug 2013 A1
20130218163 Frey Aug 2013 A1
20130245631 Bettenga Sep 2013 A1
20130245801 Schroeder Sep 2013 A1
20130261503 Sherman Oct 2013 A1
20130264749 Jones et al. Oct 2013 A1
20130268085 Dong Oct 2013 A1
20130289730 Gabriel et al. Oct 2013 A1
20130317510 Couture et al. Nov 2013 A1
20130317511 Bojarski et al. Nov 2013 A1
20130326878 Boehm et al. Dec 2013 A1
20130338673 Keppler Dec 2013 A1
20140005672 Edwards et al. Jan 2014 A1
20140012266 Bonin, Jr. et al. Jan 2014 A1
20140052270 Witt et al. Feb 2014 A1
20140066937 Wiebe, III et al. Mar 2014 A1
20140081659 Nawana et al. Mar 2014 A1
20140088724 Meridew Mar 2014 A1
20140094816 White et al. Apr 2014 A1
20140100578 Metzger et al. Apr 2014 A1
20140107651 Meridew et al. Apr 2014 A1
20140107654 Kehres et al. Apr 2014 A1
20140107715 Heilman et al. Apr 2014 A1
20140081275 Metzger et al. May 2014 A1
20140127211 Geles et al. May 2014 A1
20140135775 Maxson et al. May 2014 A1
20140163564 Bollinger Jun 2014 A1
20140163565 Bollinger Jun 2014 A1
20140172116 Maxson Jun 2014 A1
20140180295 Buza et al. Jun 2014 A1
20140188119 Catanzarite et al. Jul 2014 A1
20140222157 Al Hares et al. Aug 2014 A1
20140243833 Smith Aug 2014 A1
20140257304 Eash Sep 2014 A1
20140257508 Bojarski et al. Sep 2014 A1
20140276854 Schoenefeld et al. Sep 2014 A1
20140276856 Schoenefeld Sep 2014 A1
20140276870 Eash Sep 2014 A1
20140276873 Meridew et al. Sep 2014 A1
20140296859 Claypool et al. Oct 2014 A1
20140303938 Schoenefeld et al. Oct 2014 A1
20140303990 Schoenefeld et al. Oct 2014 A1
20140309644 Metzger et al. Oct 2014 A1
20140324058 Metzger et al. Oct 2014 A1
20140378979 Stone et al. Dec 2014 A1
20150088293 Metzger Mar 2015 A1
20150112348 Schoenefeld et al. Apr 2015 A1
20150112349 Schoenefeld Apr 2015 A1
20150320430 Kehres et al. Nov 2015 A1
20160374696 Kehres et al. Dec 2016 A1
20160374697 Kehres et al. Dec 2016 A1
Foreign Referenced Citations (175)
Number Date Country
2447694 Dec 2002 CA
2501041 Apr 2004 CA
2505371 May 2004 CA
2505419 Jun 2004 CA
2506849 Jun 2004 CA
2546958 Jun 2005 CA
2546965 Jun 2005 CA
2588907 Jun 2006 CA
2590534 Jun 2006 CA
1630495 Jun 2005 CN
1728976 Feb 2006 CN
1729483 Feb 2006 CN
1729484 Feb 2006 CN
1913844 Feb 2007 CN
101111197 Jan 2008 CN
101790353 Jul 2010 CN
102038553 May 2011 CN
102335742 Feb 2012 CN
102802543 Nov 2012 CN
103945780 Jul 2014 CN
108124422 Jun 2018 CN
3447365 Jul 1986 DE
04219939 Dec 1993 DE
4421153 Dec 1995 DE
10341187 Mar 2005 DE
102009028503 Feb 2011 DE
102011082902 Mar 2012 DE
102012205820 Oct 2012 DE
112010003901 Nov 2012 DE
0114505 Aug 1984 EP
0255797 Feb 1988 EP
0326768 Aug 1989 EP
0579868 Jan 1994 EP
0591985 Apr 1994 EP
0645984 Apr 1995 EP
0650706 May 1995 EP
0916324 May 1999 EP
1321107 Jun 2003 EP
1327424 Jul 2003 EP
1437102 Jul 2004 EP
01486900 Dec 2004 EP
1634551 Mar 2006 EP
1832239 Sep 2007 EP
1852072 Nov 2007 EP
2029061 Mar 2009 EP
2168507 Mar 2010 EP
2303146 Apr 2011 EP
2303192 Apr 2011 EP
2352445 Aug 2011 EP
2396741 Dec 2011 EP
2398381 Dec 2011 EP
2403437 Jan 2012 EP
2491873 Aug 2012 EP
2502582 Sep 2012 EP
2709568 Mar 2014 EP
2659226 Sep 1991 FR
2721195 Dec 1995 FR
2768916 Apr 1999 FR
2979817 Mar 2013 FR
2094590 Sep 1982 GB
2197790 Jun 1988 GB
2442441 Apr 2008 GB
2447702 Sep 2008 GB
2483980 Mar 2012 GB
2486390 Jun 2012 GB
2490220 Oct 2012 GB
2491526 Dec 2012 GB
59157715 Sep 1984 JP
60231208 Nov 1985 JP
6233790 Aug 1994 JP
2000245758 Sep 2000 JP
2005218861 Aug 2005 JP
2009514612 Apr 2009 JP
2011505080 Feb 2011 JP
2011527885 Nov 2011 JP
2014521384 Aug 2014 JP
5710014 Apr 2015 JP
2015516220 Jun 2015 JP
2018520769 Aug 2018 JP
20050072500 Jul 2005 KR
20050084024 Aug 2005 KR
2083179 Jul 1997 RU
2113182 Jun 1998 RU
2125835 Feb 1999 RU
2138223 Sep 1999 RU
2175534 Nov 2001 RU
2187975 Aug 2002 RU
2218242 Dec 2003 RU
231755 May 2005 TW
201114409 May 2011 TW
WO-8807840 Oct 1988 WO
WO-9107139 May 1991 WO
WO-9325157 Dec 1993 WO
WO-9528688 Oct 1995 WO
WO-9952473 Oct 1999 WO
WO-9959106 Nov 1999 WO
WO-0170142 Sep 2001 WO
WO-0184479 Nov 2001 WO
WO-0217821 Mar 2002 WO
WO-2002026145 Apr 2002 WO
WO-0236024 May 2002 WO
WO-02096268 Dec 2002 WO
WO-03051210 Jun 2003 WO
WO-03051211 Jun 2003 WO
WO-2004032806 Apr 2004 WO
WO-2004049981 Jun 2004 WO
WO-2004051301 Jun 2004 WO
WO-2004078069 Sep 2004 WO
WO-2005051233 Jun 2005 WO
WO-2005051239 Jun 2005 WO
WO-2005051240 Jun 2005 WO
WO-2005077039 Aug 2005 WO
WO-06060795 Jun 2006 WO
WO-2006058057 Jun 2006 WO
WO-2006092600 Sep 2006 WO
WO-2006127486 Nov 2006 WO
WO-2006134345 Dec 2006 WO
WO-2006136955 Dec 2006 WO
WO-07041375 Apr 2007 WO
WO-2007053572 May 2007 WO
WO-2007062079 May 2007 WO
WO-2007092841 Aug 2007 WO
WO-2007137327 Dec 2007 WO
WO-2007145937 Dec 2007 WO
WO-2008014618 Feb 2008 WO
WO-2008021494 Feb 2008 WO
WO-2008040961 Apr 2008 WO
WO-2008044055 Apr 2008 WO
WO-2008091358 Jul 2008 WO
WO-2008101090 Aug 2008 WO
WO-2008109751 Sep 2008 WO
WO-2008112996 Sep 2008 WO
WO-2008140748 Nov 2008 WO
WO-2009001083 Dec 2008 WO
WO-2009001109 Dec 2008 WO
WO-2009025783 Feb 2009 WO
WO-2009073781 Jun 2009 WO
WO-2009129063 Oct 2009 WO
WO-2009129067 Oct 2009 WO
WO-2010033431 Mar 2010 WO
WO-2010093902 Aug 2010 WO
WO-2010096553 Aug 2010 WO
WO-2010096557 Aug 2010 WO
WO-2010124164 Oct 2010 WO
WO-2010129870 Nov 2010 WO
WO-2010144705 Dec 2010 WO
WO-2010148103 Dec 2010 WO
WO-2010150223 Dec 2010 WO
WO-2011018458 Feb 2011 WO
WO-2011019797 Feb 2011 WO
WO-2011041398 Apr 2011 WO
WO-2011060536 May 2011 WO
WO-2011080260 Jul 2011 WO
WO-2011106711 Sep 2011 WO
WO-2011109260 Sep 2011 WO
WO-2011110374 Sep 2011 WO
WO-2011117644 Sep 2011 WO
WO-2012006444 Jan 2012 WO
WO-2012033821 Mar 2012 WO
WO-2012058344 May 2012 WO
WO-2012058349 May 2012 WO
WO-2012058353 May 2012 WO
WO-2012058355 May 2012 WO
WO-2012061042 May 2012 WO
WO-2012116206 Aug 2012 WO
WO-2012141790 Oct 2012 WO
WO-2012158917 Nov 2012 WO
WO-2012173929 Dec 2012 WO
WO-2012174008 Dec 2012 WO
WO-2013170872 Nov 2013 WO
WO-2014019712 Feb 2014 WO
2014035991 Mar 2014 WO
WO-2014070889 May 2014 WO
WO-2015084831 Jun 2015 WO
WO-2016209585 Dec 2016 WO
Non-Patent Literature Citations (182)
Entry
“U.S. Appl. No. 15/073,223, Non Final Office Action dated Mar. 20, 2019”, 13 pages.
“U.S. Appl. No. 15/073,223, Response filed Jun. 20, 2019 to Non Final Office Action dated Mar. 20, 2019”, 14 pages.
“U.S. Appl. No. 15/073,223, Final Office Action dated Jul. 25, 2019”, 12 pages.
“U.S. Appl. No. 15/073,223, Response filed Sep. 25, 2019 to Final Office Action dated Jul. 25, 2019”, 14 pages.
“U.S. Appl. No. 15/073,223, Examiner Interview Summary dated Sep. 27, 2019”, 3 pages.
“U.S. Appl. No. 15/073,223, Notice of Allowance dated Oct. 16, 2019”, 7 pages.
“Chinese Application Serial No. 201680037982.9, Office Action dated Mar. 18, 2020”, with English translation, 21 pages.
“Japanese Application Serial No. 2017-566749, Notification of Reasons for Rejection dated Mar. 24, 2020”, with English translation, 5 pages.
Australian Application No. 2016283530, First Examination Report dated Apr. 16 2020, 3 pages.
“3D-Implantatplanung and Stereolithographielmplantatbohrschablonen”, Stomatologie 101.3, (2004), 55-59.
“Amazing Precision. Beautiful Results. The next evolution of MAKOplasty® is here”, MAKO Surgical Corp., (Feb. 2009), 6 pgs.
“U.S. Appl. No. 14/750,325, Final Office Action dated Aug. 8, 2018”, 18 pgs.
“U.S. Appl. No. 14/750,325, Non Final Office Action dated Jan. 12, 2018”, 16 pgs.
“U.S. Appl. No. 14/750,325, Notice of Allowance dated Oct. 29, 2018”, 9 pgs.
“U.S. Appl. No. 14/750,325, Preliminary Amendment filed Sep. 10, 2015”, 10 pgs.
“U.S. Appl. No. 14/750,325, Response filed Oct. 25, 2017 to Restriction Requirement dated Aug. 28, 2017”, 7 pgs.
“U.S. Appl. No. 14/750,325, Response filed Apr. 12, 2018 to Non Final Office Action dated Jan. 12, 2018”, 15 pgs.
“U.S. Appl. No. 14/750,325, Response filed Oct. 5, 2018 to Final Office Action dated Aug. 8, 2018”, 12 pgs.
“U.S. Appl. No. 14/750,325, Restriction Requirement dated Aug. 28, 2017”, 6 pgs.
“Ascent Total Knee System”, Biomet, Inc., (Oct. 31, 1999), 16 pgs.
“Australian Application Serial No. 2013222609, First Examiner Report dated Feb. 16, 2015”, 5 pgs.
“Comprehensive® Reverse Shoulder System”, Biomet Orthopedics brochure, (2009), 8 pgs.
“Comprehensive® Reverse Shoulder System Surgical Technique”, Biomet Orthopedics, (2009-2012), 48 pgs.
“Comprehensive® Reverse Shoulder System Technical Design Features”, Biomet Orthopedics, (2009), 3 pgs.
“Comprehensive® Shoulder System Surgical Technique”, Biomet Orthopedics brochure, (2007), 1-53.
“Comprehensive® Total Shoulder System”, Biomet Orthopedics brochure, (2011), 4 pgs.
“Customized Patient Instruments, Patient specific instruments for patient specific needs”, DePuy Orthopaedics, Inc., (2008), 14 pgs.
“Customized Patient Instruments, Primary Cruciate Retaining Surgical Technique for use with the Sigma® Knee System Utilizing Specialist® 2 Instrumentation”, DePuy Orthopaedics, Inc., (2008), 1-23.
“Discovery® Elbow System”, Biomet Orthopedics, Inc., (Nov. 30, 2007), 3 pgs.
“Discovery® Elbow System Surgical Technique”, Biomet Orthopedics, Inc., (Dec. 31, 2008), 1-25.
“European Application Serial No. 07809326.7, Examination Notification Art. 94(3) dated Jan. 22, 2015”, 6 pgs.
“European Application Serial No. 07809326.7, Extended European Search Report dated Nov. 15, 2011”, 6 pgs.
“European Application Serial No. 09731923.0, Examination Notification Art. 94(3) dated Feb. 10, 2015”, 7 pgs.
“European Application Serial No. 10705064.3, Examination Notification Art. 94(3) dated Feb. 4 2015”, 6 pgs.
“European Application Serial No. 12724475.4, Examination Notification Art. 94(3) dated Nov. 24, 2014”, 7 pgs.
“Great Britain Application Serial No. 1116054.6, Search Report dated Dec. 21, 2011”, 4 pgs.
“Hipsextant Instructions of Use”, Surgical Planning Associates, Inc., (2011), 19 pgs.
“International Application Serial No. PCT/EP2010/061630, International Search Report dated Nov. 30, 2010”, 3 pgs.
“International Application Serial No. PCT/US2007/013223, International Preliminary Report on Patentability dated Dec. 24, 2008”, 5 pgs.
“International Application Serial No. PCT/US2007/013223, International Search Report dated Nov. 26, 2007”, 3 pgs.
“International Application Serial No. PCT/US2007/013223, Written Opinion dated Nov. 26, 2007”, 4 pgs.
“International Application Serial No. PCT/US2009/039507, International Preliminary Report on Patentability dated Oct. 28, 2010”, 9 pgs.
“International Application Serial No. PCT/US2009/039507, International Search Report dated Jul. 14, 2009”, 6 pgs.
“International Application Serial No. PCT/US2009/039507, Written Opinion dated Jul. 14, 2009”, 7 pgs.
“International Application Serial No. PCT/US2009/039578, International Preliminary Report on Patentability dated Oct. 28, 2010”, 9 pgs.
“International Application Serial No. PCT/US2009/039578, International Search Report dated Jul. 31, 2009”, 6 pgs.
“International Application Serial No. PCT/US2009/039578, Written Opinion dated Jul. 31, 2009”, 7 pgs.
“International Application Serial No. PCT/US2009/056670, International Preliminary Report on Patentability dated Mar. 31, 2011”, 12 pgs.
“International Application Serial No. PCT/US2009/056670, International Search Report dated Mar. 2, 2010”, 7 pgs.
“International Application Serial No. PCT/US2009/056670, Invitation to Pay Additional Fees and Partial Search Report dated Nov. 26, 2009”.
“International Application Serial No. PCT/US2009/056670, Written Opinion dated Mar. 2, 2010”, 10 pgs.
“International Application Serial No. PCT/US2010/024073, International Preliminary Report on Patentability dated Aug. 25, 2011”, 8 pgs.
“International Application Serial No. PCT/US2010/024073, International Search Report dated Jun. 4, 2010”, 4 pgs.
“International Application Serial No. PCT/US2010/024073, Written Opinion dated Jun. 4, 2010”, 6 pgs.
“International Application Serial No. PCT/US2010/024579, International Preliminary Report on Patentability dated Sep. 1, 2011”, 7 pgs.
“International Application Serial No. PCT/US2010/024579, International Search Report dated Apr. 22, 2010”, 3 pgs.
“International Application Serial No. PCT/US2010/024579, Written Opinion dated Apr. 22, 2010”, 5 pgs.
“International Application Serial No. PCT/US2010/024584, International Preliminary Report on Patentability dated Sep. 1, 2011”, 8 pgs.
“International Application Serial No. PCT/US2010/024584, International Search Report dated Aug. 19, 2010”, 6 pgs.
“International Application Serial No. PCT/US2010/024584, Written Opinion dated Aug. 19, 2010”, 6 pgs.
“International Application Serial No. PCT/US2010/038177, International Preliminary Report on Patentability dated Dec. 22, 2011”, 10 pgs.
“International Application Serial No. PCT/US2010/038177, International Search Report dated Aug. 24, 2010”, 4 pgs.
“International Application Serial No. PCT/US2010/038177, Written Opinion dated Aug. 24, 2010”, 8 pgs.
“International Application Serial No. PCT/US2010/038845, International Preliminary Report on Patentability dated Jan. 5, 2012”, 9 pgs.
“International Application Serial No. PCT/US2010/038845, International Search Report dated Oct. 5, 2010”, 4 pgs.
“International Application Serial No. PCT/US2010/038845, Written Opinion dated Oct. 5, 2010”, 7 pgs.
“International Application Serial No. PCT/US2010/050701, International Preliminary Report on Patentability dated Apr. 12, 2012”, 10 pgs.
“International Application Serial No. PCT/US2010/050701, International Search Report dated Dec. 7, 2010”, 6 pgs.
“International Application Serial No. PCT/US2010/050701, Written Opinion dated Dec. 7, 2010”, 8 pgs.
“International Application Serial No. PCT/US2011/026333, International Preliminary Report on Patentability dated Sep. 7, 2012”, 10 pgs.
“International Application Serial No. PCT/US2011/026333, International Search Report dated Aug. 9, 2011”, 6 pgs.
“International Application Serial No. PCT/US2011/026333, Invitation to Pay Additional Fees dated May 3, 2011”.
“International Application Serial No. PCT/US2011/026333, Written Opinion dated Aug. 9, 2011”,8 pgs.
“International Application Serial No. PCT/US2011/026412, International Search Report dated May 9, 2011”, 5 pgs.
“International Application Serial No. PCT/US2011/026412, Written Opinion dated May 9, 2011”,6 pgs.
“International Application Serial No. PCT/US2011/057300, International Search Report dated Mar. 5, 2012”, 7 pgs.
“International Application Serial No. PCT/US2011/057300, Written Opinion dated Mar. 5, 2012”, 9 pgs.
“International Application No. PCT/US2012/026356, International Preliminary Report on Patentability dated Sep. 6, 2013”, 8 pgs.
“International Application Serial No. PCT/US2012/026356, International Search Report dated May 8, 2012”, 5 pgs.
“International Application Serial No. PCT/US2012/026356, Written Opinion dated May 8, 2012”, 6 pgs.
“International Application Serial No. PCT/US2012/038351, International Preliminary Report on Patentability dated Nov. 28, 2013”, 9 pgs.
“International Application Serial No. PCT/US2012/038351, Written Opinion dated Jul. 6, 2012”, 8 pgs.
“International Application Serial No. PCT/US2012/041893, International Search Report dated Oct. 23, 2012”, 5 pgs.
“International Application Serial No. PCT/US2012/042081, International Preliminary Report on Patentability dated Jan. 3, 2014”, 7 pgs.
“International Application Serial No. PCT/US2012/042081, Written Opinion dated Sep. 5, 2012”, 6 pgs.
“International Application Serial No. PCT/US2012/052853, International Preliminary Report on Patentability dated Mar. 13, 2014”, 14 pgs.
“International Application Serial No. PCT/US2012/052853, International Search Report dated Nov. 15, 2012”, 6 pgs.
“International Application Serial No. PCT/US2012/052853, Written Opinion dated Nov. 15, 2012”, 12 pgs.
“International Application Serial No. PCT/US2012/059189, International Preliminary Report on Patentability dated Apr. 24, 2014”, 10 pgs.
“International Application Serial No. PCT/US2012/059189, International Search Report dated Dec. 18, 2012”, 6 pgs.
“International Application Serial No. PCT/US2012/059189, Written Opinion dated Dec. 18, 2012”, 9 pgs.
“International Application Serial No. PCT/US2012/060842, International Preliminary Report on Patentability dated May 8, 2014”, 7 pgs.
“International Application Serial No. PCT/US2012/060842, International Search Report dated Feb. 6, 2013”, 4 pgs.
“International Application Serial No. PCT/US2012/060842, Written Opinion dated Feb. 6, 2013”, 5 pgs.
“International Application Serial No. PCT/US2012/060848, International Preliminary Report on Patentability dated May 8, 2014”, 11 pgs.
“International Application Serial No. PCT/US2012/060848, Invitation to Pay Additional Fees dated Feb. 6, 2013”.
“International Application Serial No. PCT/US2012/060848, Written Opinion dated Apr. 12, 2013”, 9 pgs.
“International Application Serial No. PCT/US2012/060853, International Preliminary Report on Patentability dated May 8, 2014”, 11 pgs.
“International Application Serial No. PCT/US2012/060853, Invitation to Pay Additional Fees dated Feb. 7, 2013”, 4 pgs.
“International Application Serial No. PCT/US2012/060853, Written Opinion dated Apr. 9, 2013”, 9 pgs.
“International Application Serial No. PCT/US2012/060854, International Preliminary Report on Patentability dated May 8, 2014”, 8 pgs.
“International Application Serial No. PCT/US2012/060854, International Search Report dated Feb. 6, 2013”, 4 pgs.
“International Application Serial No. PCT/US2012/060854, Written Opinion dated Feb. 6, 2013”, 6 pgs.
“International Application Serial No. PCT/US2013/026875, International Preliminary Report on Patentability dated Sep. 4, 2014”, 9 pgs.
“International Application Serial No. PCT/US2013/026875, International Search Report dated Jun. 7, 2013”, 5 pgs.
“International Application Serial No. PCT/US2013/026875, Written Opinion dated Jun. 7, 2013”, 8 pgs.
“International Application Serial No. PCT/US2013/057097, International Preliminary Report on Patentability dated Mar. 12, 2015”, 10 pgs.
“International Application Serial No. PCT/US2013/057097, International Search Report dated Oct. 14, 2013”, 6 pgs.
“International Application Serial No. PCT/US2013/057097, Written Opinion dated Oct. 14, 2013”, 9 pgs.
“International Application Serial No. PCT/US2013/067505, International Preliminary Report on Patentability dated May 14, 2015”, 13 pgs.
“International Application Serial No. PCT/US2013/067505, International Search Report dated Apr. 14, 2014”, 5 pgs.
“International Application Serial No. PCT/US2013/067505, Invitation to Pay Additional Fees dated Feb. 6, 2014”, 6 pgs.
“International Application Serial No. PCT/US2013/067505, Written Opinion dated Apr. 14, 2014”, 11 pgs.
“International Application Serial No. PCT/US2013/074288, International Search Report dated May 23, 2014”, 7 pgs.
“International Application Serial No. PCT/US2013/074288, Written Opinion dated May 23, 2014”, 11 pgs.
“International Application Serial No. PCT/US2014/022000, International Search Report dated Jun. 24, 2014”, 3 pgs.
“International Application Serial No. PCT/US2014/022000, Written Opinion dated Jun. 24, 2014”, 5 pgs.
“International Application Serial No. PCT/US2014/023655, International Search Report dated Jul. 10, 2014”, 4 pgs.
“International Application Serial No. PCT/US2014/023655, Written Opinion dated Jul. 10, 2014”, 6 pgs.
“International Application Serial No. PCT/US2014/068131, International Search Report dated May 8, 2015”, 5 pgs.
“International Application Serial No. PCT/US2014/068131, Written Opinion dated May 8, 2015”, 9 pgs.
“International Application Serial No. PCT/US2016/035506, International Search Report dated Sep. 6, 2016”, 4 pgs.
“International Application Serial No. PCT/US2016/035506, Written Opinion dated Sep. 6, 2016”, 7 pgs.
“Is Subchondroplasty® Right for Me?”, [Online] retrieved from the internet: <http://www.subchondroplast}'..com/about subchondroplasty}'./is subchondroplasty right for >, (Jul. 1, 2013), 1 pg.
“Japanese Application Serial No. 2014511538, Office Action dated Apr. 7, 2015”, (W/ English Translation), 8 pgs.
“Knee tensor combined with laser femoral head locator”, Research Disclosure, No. 507, (Jul. 2006), 903.
“Method for constructing an allograft sleeve”, Research Disclosure, No. 476, (Dec. 2003), 1294.
“OSS™ Orthopaedic Salvage System, Femoral/Tibial Augmentation”, Biomet Orthopedics, Inc.,, (Mar. 31, 2004), 1-8.
“Oxford® Partial Knee”, Biomet, (Feb. 2011), 8 pgs.
“Oxford® Partial Knee Microplasty® Instrumentation Surgical Technique”, Biomet, (May 2011), 1-54.
“Patient Matched PMI Implants, C.A.M.R.A. 3-D Imaging”, Brochure, Biomet, Inc., Form Y-BMI-191/013191, (1991), 6 pgs.
“Regenerex® Tibial Cone Augment, Surgical Technique Addendum to the Vanguard® SSK Revision System”, brochure. Biomet® Orthopedics., (Mar. 31, 2010), 1-8.
“Signature™ Hip Technology Personalized Patient Care brochure”, Biomet® Orthopedics., (2013), 8 pgs.
“Signature™ Personalized Patient Care”, Surgical Technique Acetabular Guide System brochure, Biomet® Orthopedics, (2013), 1-13.
“Signature™ Personalized Patient Care, Surgical Technique Addendum to the Vanguard Knee System”, Biomet® Orthopedics Brochure, (May 15, 2009), 1-8.
“Subchondroplasty”, [Online] retrieved from the internet: <http://www.subchondroplasty.com/>, (Jul. 1, 2013), 1 pg.
“The Oxford™ Partial Knee Surgical Technique”, Biomet, (Feb. 2010), 1-38.
“TruMatch™ Personalized knee replacement solutions”, SIGMA® DePuy Orthopaedics, Inc, tri-fold brochure, (2009), 2 pgs.
“Vanguard® PFR Partial Knee Patellofemoral Replacement System”, Surgical Technique, Biomet Orthopaedics,, (Aug. 31, 2010), 1-25.
“What is Subchondroplasty”, [Online]. Retrieved from the Internet: <http://www.subchondroplasty.com/about subchondroplasty/what is subchondroplasty.>, (Jul. 1, 2013), 2 pgs.
“Zimmer® UniSpacer® Knee System”, Zimmer, Inc., (2005), 4 pgs.
Birnbaum, Klaus M. D, “Computer-Assisted Orthopedic Surgery With Individual Templates and Comparison to Conventional Method”, SPINE vol. 26, No. 4, Lippincott Williams & Wilkins, Inc., (2001), 365-370.
Botha, Charl P, “Technical Report: DeVIDE—The Delft Visualisation and Image processing Development Environment”, (May 31, 2006), 1-49.
Cohen, Zohara A, et al., “Knee cartilage topography, thickness, and contact areas from MRI: in-vitro calibration and in-vivo measurements”, Journal of the OsteoArthritis Research Society International. Osteoarthritis and Cartilage, vol. 7; No. 1, (1999), 95-109.
Deakon, “Posterior Cruciate Ligament Reconstruction Technique Using the Modular ACL/PCL Guide Rationale and Surgical Technique”, Arthrotek®, a Biomet Company, (2003), 6 pgs.
Eckhoff, Donald G, et al., “Three-Dimensional Mechanics, Kinematics, and Morphology of the Knee Viewed in Virtual Reality”, The Journal of Bone & Joint Surgery, vol. 81, (Dec. 4, 2005), 71-80.
Farr, J, et al., “Anteromedial Tibial Tubercle Osteotomy (Fulkerson Osteotomy)”, Re-print from V. Sanchis-Alfonso (ed), Anterior Knee Pain and patellar Instability, DOI: 10.1007/978-0-85729-507-1_ 40,© Springer-Verlag London Limited, (2011), 9 pgs.
Farr, J, et al., “Surgical Technique for Anteromedialization of the Tibial Tubercle with the Tracker™ AMZ Guide System”, Sports Medicine and Arthroscopy Review, vol. 2, No. 3, (1994), 12 pgs.
Fortin, Thomas, et al., “Precise Dental Implant Placement in Bone Using Surgical Guides in Conjunction with Medical Imaging Techniques”, Journal of Oral Implantology, Clinical, vol. 26, No. 4, (2000), 300-303.
Friedman, R J, et al., “The Use of Computerized Tomography in The Measurement of Glenoid Version”, Journal of Bone & Joint Surgery Am. (JBJS) 1992;74, (Aug. 1992), 1032-1037.
Haaker, R G, et al., “Minimal-invasive navigiert implantierte unikondylare Knieendoprothese”, Orthopade 2006 35: Spinger Medizin Verlag, (Sep. 13, 2006), 1073-1079.
Hafez, M A, et al., “Computer-assisted Total Knee Arthroplasty Using Patient-specific Templating”, Clinical Orthopaedics and Related Research, No. 444 Lippincott Williams & Wilkins, (2006), 184-192.
Hazan, Eric J, “Computer-Assisted Orthopaedic Surgery, A New Paradigm”, Techniques in Orthopaedics® vol. 18, No. 2,, (2003), 221-229.
Hutmacher, Dietmar W, “Scaffolds in tissue engineering bone and cartilage”, Biomaterials, 21(24), (2000), 2529-2543.
Kaus, Michael R, “Automated Segmentation of MR Images of Brain Tumors”, Radiology, vol. 218, No. 2,, (2001), 586-591.
Kelly, Todd C, “Role of Navigation in Total Hip Arthroplasty”, The Journal of Bone & Joint Surgery(2009) vol. 91-A, Supplement 1, (2009), 153-8.
Klein, M, “Robot assisted insertion of craniofacial implants—clinical experience”, CARS 2001, Elsevier Science B.V., (2001), 133-138.
Lombardi, Adolph, et al., “Patient-Specific Approach in Total Knee Arthroplasty”, Knee Orthopedics, ORTHOSuperSite, [Online]. Retrieved from the Internet: <http://www.orthosupersite.com/view.aspx?rid=31419,>, (Sep. 1, 2008), 5 pgs.
Lynch, John A, et al., “Cartilage segmentation of 3D MRI scans of the osteoarthritic knee combining user knowledge and active contours”, Medical Imaging 2000: Image Processing SPIE vol. 3979, (2000), 925-935.
Murphy, S B, et al., “The Hip Sextant: Navigation of Acetabular Component Orientation Using a Mechanical Instrument”, (2009), 1 pg.
Nicholls, Paul M. D, “Trauma Grand Rounds PMI (Patient-Matched Implants)”, Biomet Orthopedics, Inc.,, (Feb. 29, 2000), 1 pg.
Overhoff, H M, et al., “Total Knee Arthroplasty: Coordinate System Definition and Planning based on 3-D Ultrasound Image Volumes”, CARS 2001, Elsevier Science B.V., (2001), 283-288.
Portheine, F, “CT-basierte Planung und DISOS-Schablonennavigation in der Kniegelenkendoprothetik”, Navigation und Robotic in der Gelenk—und Wirbelsaulenchiruqie, Kapitel 32, Springer Verlag, (2003), 262-269.
Portheine, F, et al., “Entwicklung eines klinischen Demonstrators fur die computerunterstutzte Orthopadische Chirurgie mit CT-Bildbasierten Individualschablonen, Bildverarbeitung fur die Medizin”, English version: FIP ID 752773, (1998), 5 pgs.
Portheine, K, “Development of a clinical demonstrator for computer assisted orthopedic surgery with CT-image based individual templates”, Computer Assisted Radiology and Surgery Elsevier Science B.V., English Version of FIP ID 752770, (1997), 944-949.
Radermacher, K, et al., “Computer Integrated Orthopaedic Surgery: Connection of Planning and Execution in Surgical Intervention”, Computer-integrated surgery: technology and clinical applications, (1996), 451-463.
Radermacher, K, et al., “CT Image-Based Planning and Execution of Interventions in Orthopedic Surgery Using Individual Templates, Experimental Results and Aspects of Clinical Applications”, Computer Assisted Orthopedic Surgery (CAOS), Hogrefe & Huber Publishers, (1995), 42-52.
Radermacher, K, et al., “Image Guided Orthopedic Surgery Using Individual Templates”, Springer Berlin/Heidelberg, CVRMed-MRCAS'97, vol. 1205, (1997), 606-615.
Radermacher, K, et al., “Technique for Better Execution of CT Scan Planned Orthopedic Surgery on Bone Structures”, British Library—“The world's knowledge” 2nd Congress of ISCAS Conference, (Jun. 1995), 933-938.
Radermacher, Klaus, et al., “Computer Assisted Orthopaedic Surgery with Image Based Individual Templates”, Clinical Orthopaedics and Related Research No. 354, Lippincott Williams & Wilkins, (Sep. 1998), 28-38.
Sharp, Michael S, “Patient-Specific, Resurfacing Bi-Compartmental Arthuroplasty Futuretech”, Orthopaedic Product News, (Apr. 2008), 12-15.
Sisto, Domenick J, et al., “Custom Patellofemoral Arthroplasty of the Knee Surgical Technique”, Journal of Bone and Joint Surgery, vol. 89-A, (2006), 214-225.
Slamin, John, et al., “Do You Have This Implant in My Size?”, MDT Medical Design Technology, [Online]. Retrieved from the Internet: <http://www.mdtmag.com/scripts/ShowPR.asp?PUBCODE=046&ACCT=0007796& ISSUE . . .>, (Jul. 31, 2008), 3 pgs.
Steinwachs, Matthias Reinhard, “Cartilage Repair—Autologous Chondrocyte Transplantation and Autologous Matrix-induced Chondrogenesis”, European Musculoskeletal Review, (2006), 65-68.
Subburaj, K, et al., “Automated 3D Geometric Reasoning in Computer Assisted Joint Reconstructive Surgery”, IEEE International Conference on Automation Science and Engineering, (2009), 367-372.
Thoma, W, et al., “Endoprothetischen Versorgung des Kniegelenks auf der Basis eines 3D-computertomographischen Subtraktionversfahrens”, Topic: Computer-aided orthopedic surgery. Orthopedist 2000 29: Sprinqer Verlag W/ Original German Document, (2000), 641-644.
“U.S. Appl. No. 15/073,223, Response filed Dec. 21, 2018 to Restriction Requirement dated Oct. 23, 2018”, 7 pgs.
“U.S. Appl. No. 15/073,223, Restriction Requirement dated Dec. 23, 2018”, 8 pgs.
“European Application Serial No. 16732055.5, Response filed Sep. 13, 2018 to Office Aciton dated Mar. 6, 2018”, 84 pgs.
“International Application Serial No. PCT/US2016/035506, International Preliminary Report on Patentability dated Jan. 4, 2018”, 9 pgs.
“Chinese Application Serial No. 201680037982.9, Response filed Jun. 28, 2020 to Office Action dated Mar. 18, 2020”, w/ English claims, 12 pgs.
“Japanese Application Serial No. 2017-566749, Response filed Jun. 18, 2020 to Notification of Reasons for Rejection dated Mar. 24, 2020”, w/ English claims, 21 pgs.
Related Publications (1)
Number Date Country
20190150958 A1 May 2019 US
Continuations (1)
Number Date Country
Parent 14750325 Jun 2015 US
Child 16257967 US