Connect public, paid and private patent data with Google Patents Public Datasets

Knee retractor

Download PDF

Info

Publication number
US3750652A
US3750652A US3750652DA US3750652A US 3750652 A US3750652 A US 3750652A US 3750652D A US3750652D A US 3750652DA US 3750652 A US3750652 A US 3750652A
Authority
US
Grant status
Grant
Patent type
Prior art keywords
retractor
knee
joint
end
arms
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
Inventor
J Sherwin
Original Assignee
J Sherwin
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Grant date

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/025Joint distractors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/025Joint distractors
    • A61B2017/0268Joint distractors for the knee

Abstract

This disclosure relates to a surgical retractor for use by an orthopedic surgeon for a controlled distraction of a knee joint through an anterior incision. This retractor generally consists of a pair of screw actuated retractor arms, the tips of which are operatively embedded in the intercondylar region of the patient''s knee.

Description

I United States Patent 1 [111 3,750,652 Sherwin Au 7 1973 KNEE RETRACTOR 1,534,066 4 1925 Larkey 81/72 ux [76] Inventor: John M. Sherwin, 246 N. Gate Rd., OTHER PUBLICATIONS Manchester Catalog of the v. Mueller & Co., Chicago, Ill. 1938, p. [22] Filed: Mar. 5, 1971 [211 Appl' 132L276 Primary ExaminerLucie H. Laudenslager AttorneyFrederick D. Goode [52] US. Cl. 128/17, 128/20 [58] Field of Search 81/72, 302; 128/17, I

128/18 19, 20; 294/97 This disclosure relates to a surgical retractor for use by an orthopedic surgeon for a controlled distraction of a [56] References Cited knee joint through an anterior incision. This retractor generally consists of a pair of screw actuated retractor UNITED STATES PATENTS arms, the tips of which are operatively embedded in the goeloffs 128/17 intercondylar region of the patients knee avis 1,342,025 6/1920 Mallove 81/72 4 Claims, 7 Drawing Figures KNEE RETRACTOR This invention relates to a device useful in orthopaedic surgery, and more particularly relates to a knee retractor which is employed by a surgeon in operating on a patients knee through an anterior incision, as, for example, to perform a meniscectomy, or for the posterior view of a knee joint to permit the removal of foreign bodies, loose bodies, or the posterior horn of the menis- Operating procedures for performing meniscectomy have not changed in any substantial way for the last 30 years. Current state of the art techniques for doing this kind of an operation call for an anterior incision of some 1 7% to 2 inches in length, either anteromedial or anterolateral depending on which side of the knee joint the surgeon intends to do the surgery on. The incision is made and the joint is approached in the usual way employing conventional right-angle retractors to hold the incision open. In performing a meniscectomy, special surgical scalpels are employed to detach the anterior horn of the meniscus and these are then passed around the outer limits of the meniscus detaching it from its margins to the most posterior attachment possible within the limitations of the incision. However, once the detaching reaches approximately ninety degrees around to the side of the joint, the surgeon is frustrated by the extremely tight fibular or tibial collateral ligaments which hold the knee joint closed and laterally intact. Thus, there is no view of the posterior horn of the meniscus, nor is there any way of viewing any loose bodies in the posterior aspect of the joint short of a second posterior incision. Obviously, in order to complete the surgical excision, the surgeon must see what he is doing, since manipulating the scalpel blindly, that is, without a direct visual view, could easily sever any one of several ligaments which hold the knee joint intact, and thus cause severe and permanent patient damage. Accordingly, this problem of non-visibility is currently solved by one of two major methods. First, with the help of one or two surgical assistants, the femur and tibia portions adjacent the knee are manually grasped and forcibly levered so as to cause the knee joint to open laterally, thus providing a direct view of the posterior aspect. This standard surgical procedure is more fully described in Campbells Operative Orthopaedics, 4th edition, page 798. This is a less than desirable method of operating because of the substantial stress imposed on the convex apex of the levered knee joint. A second method used to approach the posterior aspect of the meniscus is to make a second posterolateral or posteromedial incision. This, of course, prolongs the operation and also complicates it in terms of wound healing. Further, in many cases, it produces a painful posterior incision.

The present invention overcomes these prior art disadvantages by providing a generally bow shaped knee retractor having a pair of screw activated articulating arms in which the terminal tip portions open and close. In the closed position these tips are inserted into the inter-condylar region between the femur and tibia, and then opened so as to forcibly effect a distraction of about one-eighth inch in the knee joint without imposing any harmful stresses thereon. This distraction thus provides an approach to the posterior aspect of the knee joint from an anterior incision.

It is, accordingly, among the various objects of this invention to provide a surgical instrument for distracting the knee joint during a knee operation without imposing harmful stresses on the joint.

It is further an object of this invention to provide a surgical instrument for distracting a knee joint to avoid iatrogenic damage to the joint as a result of blind posterior meniscotom manipulation.

Another object of this invention is to provide a surgical knee retractor instrument for use through an anterior incision thereby providing a direct view of the posterior aspect of the patients knee joint.

An important feature of this knee retractor is that this single instrument may be employed interchangeably for either an antero-medial or anterolateral approach to either a right knee or a left knee, thus doing away with the necessity of so-called mirror image instruments.

A further feature of this invention is that the angular disposition of the retractor arms serves to hold the incision open, thus doing away with the necessity of using a skin, a subcutaneous tissue, and joint capsule right angle retractors, while at the same time performing its primary function of joint distraction.

These and other objects and features will become apparent from the following description when taken in conjunction with the accompanying drawings and photographs in which like numerals refer to like parts in the different views.

FIG. 1 illustrates a front elevation view of the surgical knee retractor;

FIG. 2 illustrates a side elevation view of the knee retractor in FIG. 1;

FIG. 3 illustrates a top plan view of FIG. 1;

FIG. 4 illustrates a bottom plan view of FIG. 1;

FIG. 5 illustrates the knee retractor positioned in the inter-condylar region of a distracted knee joint;

FIG. 6 illustrates a cross-sectioned view of the thrust bearing joint taken on line 6-6 of FIG. 1; and

FIG. 7 illustrates a top plan view taken on line 77 of FIG. 1.

Referring now with greater particularity to the drawings, there is shown in FIGS. 1 4 the knee retractor l0 fabricated of surgical stainless steel or other suitable material. This knee retractor is generally comprised of two non-planar generally bowered (within included angle A of FIG. 2) retractors arms l1, 12 which are adapted to pivotally open and close by the coaction of a thumbscrew 17 and lever arms 18, 19 and 20, 21, operatively connected therewith. The non-planar bowed shape of the retractor arms is characterized by the lower end portions of arms ll, 12 being outwardly, i.e., angularly, disposed with respect to the upper ends thereof as shown by angle A in FIG. 2. Each of these lower end portions of arms ll, 12 is also inwardly bent or off-set toward each other, as seen in FIG. 1, so as to be substantially justaposed when the retractor is in a normally closed position. As shown in FIGS. 1, 2 and 3 each of the retractor arms 11, 12 is pivotally connected at its upper end thereof by a pin 16 into its respective recess 13, 14 of cross-arm l5. Centrally located through cross-arm 15 between pins 16 is threaded aperture 22 adapted to receive threaded shaft 23 carrying a knurled handle 24 at its upper end, and being rotatably connected at its lower end to an actuating link 25 by a thrust bearing 26.

The thrust bearing connection between threaded shaft 23 and actuating link 25 is shown in enlarged cross-sectional detail in FIG. 6. As shown in this illustration, the end portion of threaded shaft 23 is turned to a stem portion 27 of reduced diameter so as to slipfit through aperture 28 in link 25. The bottom end of stem portion 27 is internally threaded to receive a typical machine screw 29 which has a screw head 30 broad enough to extend beyond the diameter of steam portion 27 and thus come into bearing relation against the lower surface of stem 27 and preferably just barely spaced apart from the surface of actuating link 25. Interposed between the upper surface of actuating link 25 and the shoulder or end portion of threaded shaft 23 is a thrust bearing 26 comprised of two annular retaining members 31, 32 separated by an annular disc 45 of Delvin or other suitable plastic material having the qualities of lubricity and non-wearing. in view of the structural details of this connection, it can be seen that as threaded shaft 23 is rotated, screw 29 will rotate with it and any relative movement between parts will occur at the thrust bearing and between screw head 30 and actuating link 25. I I

Actuating link 25 has two recesses at each end thereof 33, 34 and 35, 36 for receiving respectively an end portion of each lever arm 37, 38 and 39, 40 which is pivotally fastened thereto by pins 41. The other end portions of each lever arm are pivotally connected to their respective retractor arm by pins 42.

The lower end portions of retractor arms 11,12 each have generally beveled surface 43 which carries an outwardly disposed sharpened tip portion 44 of 3 mm in length.

It should now be apparent in light of the foregoing description that as thumb-screw 17 is rotated in a clockwise direction, threaded shaft 23 will advance downwardly through cross-arm exerting a laterally extending force component through each lever arm 37, 38 and 39, 40 to the retractor arms 11, 12 thus causing them to open.

In surgical use, the patient's leg is preferably supported so that the knee is naturally bent at an angular disposition of approximately 45 or more. A conventional incision and approach is made through the subcutaneous tissues and capsule of the knee joint through the synoyium to the joint itself. As shown in FIG. 5, the knee retractor is oriented so that the interior angle A of FIG. 2 faces downward. The tips 44 at the end of the retractor arms are placed deep in the intercondylar notch of the femur 50 well away from any weight bearing surface superiorly and inferiorly into the anterior aspect of the anterior cruciate ligament 49 also a nonweight bearing portion of the tibia 51. Once the retractor tips are in position, thumb-screw 17 may be rotated thus spreading retractor arms ll, 12 apart with a force sufficient to overcome the ligament forces tending to keep the knee joint in its naturally approximated position, i.e., the tibia against the femur. The tips 44 are designed with a generally sharpened conical shape for the obvious reason of preventing any slippage. Though, as can be seen from FIG. 6, these tips presumably indent the cartilage in their respective areas of contact, they do not disrupt in any way the weight bearing surface gliding features of the knee joint. Distraction is carried out as far as possible until there is sufiicient resistance so that the retractor will open no further. This will usually open the side of the knee joint being operated on approximately one-eighth of an inch. This, of course, depends on the health of the knees collateral ligaments and in the usual young knee, about one-eighth of an inch is the maximum opening. This small distraction, however, is the crucial contribution of this instrument. However, in a knee where collateral ligaments have been destroyed, as, for example, in the injury 0- Donahues Triad, where the medial collateral ligament, medial meniscus, and the anterior cruciate ligament have all been torn, distraction of the knee is possible up to one-half inch, and beyond that, distraction is not necessary.

Use of the herein disclosed knee retractor results in an average reduction in operating time of 25 percent since no extraordinary surgical maneuvers are necessary to achieve opening of the posterior aspect of the joint in order to assure removal of the entire meniscus. A further desirable feature of this knee retractor, particularly from a cosmetic point of view, is that its use allows a minimal skin incision anteriorly only, and with the reduced morbidity in wound healing, recovery time is substantially reduced with limited ambulation occurring in normal cases within 3 days.

Thus, it should now be apparent in light of theforegoing disclosure that as a result of the generally bowed shape, seen in FIG. 2, coupled with the retractor arm off-set portions, shown in FIG. 1, l have provided a useful surgical instrument which provides means for a controlled knee joint distraction heretofore unavailable.

The particular embodiment of the invention herein chosen for illustration and description is exemplary only and it will, accordingly, be understood that various changes in the details, materials and arrangement of parts herein described and illustrated may be made by those skilled in the art within the principles and scope of the invention as expressed in the appended claims.

Having thus described my invention, I claim:

1. A surgical retractor for use in knee joint distraction comprising:

a. a cross-arm member;

b. a pair of non-planar generally-bow-shaped retractor arms each pivotally connected at its upper end thereof to a respective end of said cross-arm member;

c. the lower end of each retractor arm having an elongated off-set portion which is angularly outwardly disposed in a laterally extending plane with respect to the upper end thereof, and generally parallel to each other, each off-set portionbeing juxtaposed the other in the normally closed retractor position; and

d. actuating means operatively connected to said retractor arms for opening and closing them.

2. The retractor set forth in claim 1 wherein each said off-set portion carries adjacent its lower end a sharpened tip extending outwardly in opposed relation to one another in a direction substantially colinear with the travel of the retractor arms, as they are opened, and adapted for insertion into the intercondylar notch of the femur in the knee joint being distracted. I

3. The retractor set forth in claim 2 wherein said actuating means comprises;

a. screw means operatively carried by said cross-arm;

b. an actuating link supported on the end of said screw means; and

c. laterally extendable lever arm members pivotally a. a threaded shaft; and

connecting said actuating link with said retractor athrust bearing interposed between the end ofsaid arms. 4. The retractor set forth in claim 3 wherein said threaded Shaft the actuatmg screw means comprises; 5 v a

Claims (4)

1. A surgical retractor for use in knee joint distraction comprising: a. a cross-arm member; b. a pair of non-planar generally bow-shaped retractor arms each pivotally connected at its upper end thereof to a respective end of said cross-arm member; c. the lower end of each retractor arm having an elongated offset portion which is angularly outwardly disposed in a laterally extending plane with respect to the upper end thereof, and generally parallel to each other, each off-set portion being juxtaposed the other in the normally closed retractor position; and d. actuating means operatively connected to said retractor arms for opening and closing them.
2. The retractor set forth in claim 1 wherein each said off-set portion carries adjacent its lower end a sharpened tip extending outwardly in opposed relation to one another in a direction substantially colinear with the travel of the retractor arms, as they are opened, and adapted for insertion into the intercondylar notch of the femur in the knee joint being distracted.
3. The retractor set forth in claim 2 wherein said actuating means comprises; a. screw means operatively carried by said cross-arm; b. an actuating link supported on the end of said screw means; and c. laterally extendable lever arm members pivotally connecting said actuating link with said retractor arms.
4. The retractor set forth in claim 3 wherein said screw means comprises; a. a threaded shaft; and b. a thrust bearing interposed between the end of said threaded shaft and the actuating link.
US3750652A 1971-03-05 1971-03-05 Knee retractor Expired - Lifetime US3750652A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US12127671 true 1971-03-05 1971-03-05

Publications (1)

Publication Number Publication Date
US3750652A true US3750652A (en) 1973-08-07

Family

ID=22395634

Family Applications (1)

Application Number Title Priority Date Filing Date
US3750652A Expired - Lifetime US3750652A (en) 1971-03-05 1971-03-05 Knee retractor

Country Status (1)

Country Link
US (1) US3750652A (en)

Cited By (123)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3840014A (en) * 1971-09-24 1974-10-08 Nat Res Dev Retractor for hip joint surgery
US4364389A (en) * 1980-03-19 1982-12-21 Waldemar Link Gmbh & Co. Instrument for holding and inserting the tibia plate for an endo-knee prosthesis having sliding surfaces
US4416275A (en) * 1981-12-21 1983-11-22 Omley Herbert A Apparatus for applying a urine receptacle to a male
US4484918A (en) * 1981-12-21 1984-11-27 Omley Herbert A Method and tool for expanding a resilient ring for sliding over and positioning on a penis for anchoring a resilient catheter thereto
US4777939A (en) * 1983-03-09 1988-10-18 George Kees Research & Development Co., Inc. Retractor structure
WO1988008689A1 (en) * 1987-05-14 1988-11-17 Williams Richard C Cervical fusion retractor
US4899761A (en) * 1988-03-31 1990-02-13 Brown Mark D Apparatus and method for measuring spinal instability
US4924857A (en) * 1988-12-23 1990-05-15 Saeed Mahmoodian Surgical retractor
US4934352A (en) * 1982-10-22 1990-06-19 Sullivan Jr Eugene M Surgical retractor handle construction
US5059194A (en) * 1990-02-12 1991-10-22 Michelson Gary K Cervical distractor
EP0464463A1 (en) * 1990-07-03 1992-01-08 Richard Wolf GmbH Organ manipulator
US5081983A (en) * 1990-02-20 1992-01-21 Villalta Josue J Medical retractor device
US5116338A (en) * 1988-02-03 1992-05-26 Pfizer Hospital Products Group, Inc. Apparatus for knee prosthesis
US5125396A (en) * 1990-10-05 1992-06-30 Ray R Charles Surgical retractor
US5217463A (en) * 1990-04-11 1993-06-08 Mikhail W F Michael Method for performing knee surgery and retractors for use therein
WO1994004084A1 (en) * 1992-08-21 1994-03-03 Microsurge, Inc. Improved handle mechanism for manual instruments
US5303694A (en) * 1993-02-09 1994-04-19 Mikhail Michael W E Method for performing hip surgery and retractor for use therein
US5312403A (en) * 1991-05-03 1994-05-17 Synthes (U.S.A.) External fixation device
US5380331A (en) * 1990-04-11 1995-01-10 Mikhail; W. E. Michael Method for performing knee surgery and retractors for use therein
US5400774A (en) * 1993-11-08 1995-03-28 Villalta; Josue J. Four blade medical retractor
US5429121A (en) * 1991-03-20 1995-07-04 Per Jettman Surgical retractor
US5431653A (en) * 1993-07-06 1995-07-11 Callaway; George H. Knee joint flexion-gap distraction device
WO1995025485A1 (en) * 1994-03-23 1995-09-28 Schnorrenberg Chirurgiemechanik Gmbh Positioning and support device for the spinal column
WO1996000526A1 (en) * 1994-06-28 1996-01-11 Aesculap Ag Surgical instrument
US5649929A (en) * 1995-07-10 1997-07-22 Callaway; George Hadley Knee joint flexion-gap distraction device
US5667481A (en) * 1995-02-01 1997-09-16 Villalta; Josue J. Four blade medical retractor
US5741253A (en) * 1988-06-13 1998-04-21 Michelson; Gary Karlin Method for inserting spinal implants
US5772661A (en) * 1988-06-13 1998-06-30 Michelson; Gary Karlin Methods and instrumentation for the surgical correction of human thoracic and lumbar spinal disease from the antero-lateral aspect of the spine
US5776054A (en) * 1996-08-07 1998-07-07 Bobra; Dilip Apparatus for retracting tissue
DE29806973U1 (en) * 1998-04-20 1998-08-06 Klappenecker Ulrich rib spreaders
US5797909A (en) * 1988-06-13 1998-08-25 Michelson; Gary Karlin Apparatus for inserting spinal implants
US5935151A (en) * 1995-12-15 1999-08-10 Broughton; Bruce G. Vertebral distraction pump
US6013028A (en) * 1999-04-23 2000-01-11 Integra Neurocare Llc Tissue spreading instrument for use in narrow passage
WO2000019911A3 (en) * 1998-10-02 2000-07-13 Max Aebi Spinal disc space distractor
US6096038A (en) * 1988-06-13 2000-08-01 Michelson; Gary Karlin Apparatus for inserting spinal implants
US6120502A (en) * 1988-06-13 2000-09-19 Michelson; Gary Karlin Apparatus and method for the delivery of electrical current for interbody spinal arthrodesis
US6123705A (en) * 1988-06-13 2000-09-26 Sdgi Holdings, Inc. Interbody spinal fusion implants
US6149650A (en) * 1988-06-13 2000-11-21 Michelson; Gary Karlin Threaded spinal implant
US6152874A (en) * 1996-04-26 2000-11-28 Genzyme Corporation Adjustable multi-purpose coronary stabilizing retractor
WO2000078225A1 (en) * 1999-06-19 2000-12-28 Mathys Medizinaltechnik Ag Ligament-tensioning device for non-spheroid joints
US6210412B1 (en) 1988-06-13 2001-04-03 Gary Karlin Michelson Method for inserting frusto-conical interbody spinal fusion implants
US6224595B1 (en) 1995-02-17 2001-05-01 Sofamor Danek Holdings, Inc. Method for inserting a spinal implant
WO2001041652A1 (en) * 1999-12-10 2001-06-14 Synthes Ag Chur Device for distracting or compressing bones or bone fragments
US6599292B1 (en) * 1998-01-05 2003-07-29 Tegementa, L.L.C. Distraction device for vertebral disc procedures and method of distracting
US20030181912A1 (en) * 1997-02-11 2003-09-25 Michelson Gary K. Anterior cervical plating system and bone screw
US20030236528A1 (en) * 2002-06-24 2003-12-25 Thramann Jeffrey J Impactor for use with cervical plate
US6716218B2 (en) * 2001-02-28 2004-04-06 Hol-Med Corporation Instrument for bone distraction and compression having ratcheting tips
US20040087948A1 (en) * 2002-08-29 2004-05-06 Loubert Suddaby Spinal facet fixation device
WO2004041066A2 (en) * 2002-10-30 2004-05-21 Mekanika, Inc. Apparatus and method for measuring instability of a motion segment unit of a spine
US6758849B1 (en) 1995-02-17 2004-07-06 Sdgi Holdings, Inc. Interbody spinal fusion implants
US20040147935A1 (en) * 2003-01-25 2004-07-29 Christopher Segler Tarsal Joint Space Distractor
US6770074B2 (en) 1988-06-13 2004-08-03 Gary Karlin Michelson Apparatus for use in inserting spinal implants
US20040172040A1 (en) * 2001-10-19 2004-09-02 Heggeness Michael H. Bone compression devices and systems and methods of contouring and using same
US20040176764A1 (en) * 2003-03-03 2004-09-09 Centerpulse Spine-Tech, Inc. Apparatus and method for spinal distraction using a flip-up portal
US20040215197A1 (en) * 2003-04-24 2004-10-28 Smith Maurice M. Minimally invasive instruments and methods for preparing vertebral endplates
US20040250266A1 (en) * 2001-09-26 2004-12-09 Sanyo Electric Co., Ltd Disk recording or reproducing device with retractable tray
US6837851B1 (en) * 1999-10-18 2005-01-04 Coroneo, Inc. Adjustable surgical retractor
US6875213B2 (en) 1993-06-10 2005-04-05 Sdgi Holdings, Inc. Method of inserting spinal implants with the use of imaging
US20050080320A1 (en) * 2003-08-14 2005-04-14 Lee Andrew Max Multiple-blade retractor
US20050101985A1 (en) * 2002-10-25 2005-05-12 Hamada James S. Minimal access lumbar diskectomy instrumentation and method
US6923810B1 (en) 1988-06-13 2005-08-02 Gary Karlin Michelson Frusto-conical interbody spinal fusion implants
US20050251147A1 (en) * 2004-05-07 2005-11-10 Novak Vincent P Open wedge osteotomy system and surgical method
US20060004380A1 (en) * 2004-07-02 2006-01-05 Didomenico Scott R Compressor-distractor
US20060149255A1 (en) * 2005-01-06 2006-07-06 Doubler Robert L Spinal implant kit
US20060167487A1 (en) * 2002-10-25 2006-07-27 Hamada James S Minimal access lumbar diskectomy instrumentation and method
US20060178693A1 (en) * 2002-10-25 2006-08-10 Hamada James S Minimal access lumbar diskectomy instrumentation and method
US20060217808A1 (en) * 2005-01-31 2006-09-28 Novak Vincent P Multi-part implant for open wedge knee osteotomies
US20060241636A1 (en) * 2005-01-31 2006-10-26 Novak Vincent P Method and apparatus for forming a wedge-like opening in a bone for an open wedge osteotomy
US20060264963A1 (en) * 2004-10-27 2006-11-23 Peter Reed Vertebral spreading instrument comprising markers
US20070016209A1 (en) * 2005-01-31 2007-01-18 Kelly Ammann Method and apparatus for performing an open wedge, high tibial osteotomy
US20070038216A1 (en) * 2002-10-25 2007-02-15 Hamada James S Minimal incision maximal access MIS spine instrumentation and method
US20070123859A1 (en) * 2005-10-25 2007-05-31 Depuy Spine, Inc. Laminar hook spring
US20070173826A1 (en) * 2006-01-20 2007-07-26 Alpha Orthopaedics Intramedullar devices and methods to reduce and/or fix damaged bone
US20070213830A1 (en) * 2005-01-31 2007-09-13 Ammann Kelly G Method and apparatus for performing an open wedge, high tibial osteotomy
US20070244487A1 (en) * 2005-01-31 2007-10-18 Ammann Kelly G Method and appartus for performing an open, wedge, high tibial osteotomy
US7288095B2 (en) 2004-08-12 2007-10-30 Atlas Spine, Inc. Bone plate with screw lock
US7291149B1 (en) 1995-06-07 2007-11-06 Warsaw Orthopedic, Inc. Method for inserting interbody spinal fusion implants
US7322984B2 (en) 2005-01-06 2008-01-29 Spinal, Llc Spinal plate with internal screw locks
US20080039841A1 (en) * 2003-04-24 2008-02-14 Zimmer Gmbh Distance measuring instrument for pedicle screws
WO2008042155A2 (en) * 2006-09-28 2008-04-10 Depuy Spine, Inc. Intervertebral distraction instrument
US20080140213A1 (en) * 2005-01-31 2008-06-12 Ammann Kelly G Method and apparatus for performing an open wedge, high tibial osteotomy
US20080147074A1 (en) * 2005-01-31 2008-06-19 Ammann Kelly G Method and apparatus for performing a high tibial, dome osteotomy
US20080147073A1 (en) * 2005-01-31 2008-06-19 Ammann Kelly G Method and apparatus for performing an open wedge, high tibial osteotomy
US20080208197A1 (en) * 2006-11-30 2008-08-28 Kelly Ammann Method and apparatus for performing an open wedge, high tibial osteotomy
US20080208199A1 (en) * 2006-11-22 2008-08-28 Kelly Ammann Method and apparatus for performing an open wedge, high tibial osteotomy
US20080243257A1 (en) * 2006-12-01 2008-10-02 Taber Justin R Method and apparatus for performing an open wedge, low femoral osteotomy
US7431722B1 (en) 1995-02-27 2008-10-07 Warsaw Orthopedic, Inc. Apparatus including a guard member having a passage with a non-circular cross section for providing protected access to the spine
US20080262318A1 (en) * 2007-04-17 2008-10-23 K2M, Inc. Minimally open interbody access retraction device and surgical method
US7468069B2 (en) 2004-02-10 2008-12-23 Atlas Spine, Inc. Static anterior cervical plate
US20090018543A1 (en) * 2005-01-31 2009-01-15 Ammann Kelly G Method and apparatus for performing an open wedge, high tibial osteotomy
US7491205B1 (en) 1988-06-13 2009-02-17 Warsaw Orthopedic, Inc. Instrumentation for the surgical correction of human thoracic and lumbar spinal disease from the lateral aspect of the spine
US20090054899A1 (en) * 2005-01-31 2009-02-26 Ammann Kelly G Method and apparatus for performing an open wedge, high tibial osteotomy
US7510557B1 (en) 2000-01-14 2009-03-31 Bonutti Research Inc. Cutting guide
US7534254B1 (en) 1988-06-13 2009-05-19 Warsaw Orthopedic, Inc. Threaded frusto-conical interbody spinal fusion implants
US20090138021A1 (en) * 2005-09-30 2009-05-28 Callum Colquhoun Instrument assembly for use in knee joint replacement surgery
US20090182203A1 (en) * 2008-01-10 2009-07-16 Hartnick Christopher J Tissue retraction device
US20090270869A1 (en) * 2005-09-30 2009-10-29 Callum Colquhoun Distractor instrument
US7651497B2 (en) 1997-02-11 2010-01-26 Warsaw Orthopedic, Inc. Segmentable plate with locking element
WO2010017307A1 (en) * 2008-08-05 2010-02-11 Tornier, Inc. Glenoid exposure instrumentation
US20100145345A1 (en) * 2005-01-31 2010-06-10 Kelly Ammann Method and apparatus for performing an open wedge, high tibial osteotomy
US7736380B2 (en) 2004-12-21 2010-06-15 Rhausler, Inc. Cervical plate system
US20100234897A1 (en) * 2009-03-13 2010-09-16 Lanx, Inc. Spinal plate assemblies with backout protection cap and methods
US20100256686A1 (en) * 2009-04-06 2010-10-07 Lanx, Inc. Bone plate assemblies with backout protection and visual indicator
US20100264678A1 (en) * 2009-04-20 2010-10-21 Rolling Jr Joseph E Introduction of the panther multi task tool
WO2010125598A1 (en) * 2009-04-29 2010-11-04 Lrnerio Angelo Muttillo An autostatic retractor with screw closure mechanism for neck surgery
US7850608B2 (en) 2002-10-25 2010-12-14 K2M, Inc. Minimal incision maximal access MIS spine instrumentation and method
US7959635B1 (en) * 2000-01-14 2011-06-14 Marctec, Llc. Limited incision total joint replacement methods
US8137406B2 (en) 2006-09-27 2012-03-20 Arthrex, Inc. Method and apparatus for performing an open wedge, high tibial osteotomy
US20120259343A1 (en) * 2011-04-08 2012-10-11 Allen Medical Systems, Inc. Low profile distractor apparatuses
US20130072939A1 (en) * 2007-05-17 2013-03-21 Michael T. Gauthier Compessor Distractor Tool
US8623030B2 (en) 2001-08-28 2014-01-07 Bonutti Skeletal Innovations Llc Robotic arthroplasty system including navigation
US8652181B2 (en) 2002-06-24 2014-02-18 Lanx, Inc. Cervical plate
US8747439B2 (en) 2000-03-13 2014-06-10 P Tech, Llc Method of using ultrasonic vibration to secure body tissue with fastening element
US8771279B2 (en) 2005-01-31 2014-07-08 Arthrex, Inc. Method and apparatus for performing an osteotomy in bone
US8808329B2 (en) 1998-02-06 2014-08-19 Bonutti Skeletal Innovations Llc Apparatus and method for securing a portion of a body
US8814902B2 (en) 2000-05-03 2014-08-26 Bonutti Skeletal Innovations Llc Method of securing body tissue
US8845699B2 (en) 1999-08-09 2014-09-30 Bonutti Skeletal Innovations Llc Method of securing tissue
US8845687B2 (en) 1996-08-19 2014-09-30 Bonutti Skeletal Innovations Llc Anchor for securing a suture
US20140330084A1 (en) * 2013-05-03 2014-11-06 Rultract, Inc. Surgical retractor with spreadable rakes
US9265514B2 (en) 2012-04-17 2016-02-23 Miteas Ltd. Manipulator for grasping tissue
US20160100901A1 (en) * 2014-10-06 2016-04-14 Ibrahim Zakhary Dental expansion assembly
US9750619B2 (en) 2011-09-07 2017-09-05 Depuy Ireland Unlimited Company Surgical instrument
US9770238B2 (en) 2001-12-03 2017-09-26 P Tech, Llc Magnetic positioning apparatus

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US569839A (en) * 1896-10-20 John t
US815907A (en) * 1905-03-27 1906-03-20 Cleveland G Davis Dental expander or dilator.
US1342025A (en) * 1919-06-16 1920-06-01 Jacob Greenberg Basin-plug wrench
US1534066A (en) * 1924-01-09 1925-04-21 Riley E Larkey Extracting tool

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US569839A (en) * 1896-10-20 John t
US815907A (en) * 1905-03-27 1906-03-20 Cleveland G Davis Dental expander or dilator.
US1342025A (en) * 1919-06-16 1920-06-01 Jacob Greenberg Basin-plug wrench
US1534066A (en) * 1924-01-09 1925-04-21 Riley E Larkey Extracting tool

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
Catalog of the V. Mueller & Co., Chicago, Ill. 1938, p. 67. *

Cited By (265)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3840014A (en) * 1971-09-24 1974-10-08 Nat Res Dev Retractor for hip joint surgery
US4364389A (en) * 1980-03-19 1982-12-21 Waldemar Link Gmbh & Co. Instrument for holding and inserting the tibia plate for an endo-knee prosthesis having sliding surfaces
US4416275A (en) * 1981-12-21 1983-11-22 Omley Herbert A Apparatus for applying a urine receptacle to a male
US4484918A (en) * 1981-12-21 1984-11-27 Omley Herbert A Method and tool for expanding a resilient ring for sliding over and positioning on a penis for anchoring a resilient catheter thereto
US4934352A (en) * 1982-10-22 1990-06-19 Sullivan Jr Eugene M Surgical retractor handle construction
US4777939A (en) * 1983-03-09 1988-10-18 George Kees Research & Development Co., Inc. Retractor structure
WO1988008689A1 (en) * 1987-05-14 1988-11-17 Williams Richard C Cervical fusion retractor
US5116338A (en) * 1988-02-03 1992-05-26 Pfizer Hospital Products Group, Inc. Apparatus for knee prosthesis
US4899761A (en) * 1988-03-31 1990-02-13 Brown Mark D Apparatus and method for measuring spinal instability
US7534254B1 (en) 1988-06-13 2009-05-19 Warsaw Orthopedic, Inc. Threaded frusto-conical interbody spinal fusion implants
US6264656B1 (en) 1988-06-13 2001-07-24 Gary Karlin Michelson Threaded spinal implant
US5772661A (en) * 1988-06-13 1998-06-30 Michelson; Gary Karlin Methods and instrumentation for the surgical correction of human thoracic and lumbar spinal disease from the antero-lateral aspect of the spine
US7686805B2 (en) 1988-06-13 2010-03-30 Warsaw Orthopedic, Inc. Methods for distraction of a disc space
US6770074B2 (en) 1988-06-13 2004-08-03 Gary Karlin Michelson Apparatus for use in inserting spinal implants
US6210412B1 (en) 1988-06-13 2001-04-03 Gary Karlin Michelson Method for inserting frusto-conical interbody spinal fusion implants
US7452359B1 (en) 1988-06-13 2008-11-18 Warsaw Orthopedic, Inc. Apparatus for inserting spinal implants
US7491205B1 (en) 1988-06-13 2009-02-17 Warsaw Orthopedic, Inc. Instrumentation for the surgical correction of human thoracic and lumbar spinal disease from the lateral aspect of the spine
US8758344B2 (en) 1988-06-13 2014-06-24 Warsaw Orthopedic, Inc. Spinal implant and instruments
US6149650A (en) * 1988-06-13 2000-11-21 Michelson; Gary Karlin Threaded spinal implant
US6123705A (en) * 1988-06-13 2000-09-26 Sdgi Holdings, Inc. Interbody spinal fusion implants
US6120502A (en) * 1988-06-13 2000-09-19 Michelson; Gary Karlin Apparatus and method for the delivery of electrical current for interbody spinal arthrodesis
US6270498B1 (en) 1988-06-13 2001-08-07 Gary Karlin Michelson Apparatus for inserting spinal implants
US6096038A (en) * 1988-06-13 2000-08-01 Michelson; Gary Karlin Apparatus for inserting spinal implants
US8734447B1 (en) 1988-06-13 2014-05-27 Warsaw Orthopedic, Inc. Apparatus and method of inserting spinal implants
US8066705B2 (en) 1988-06-13 2011-11-29 Warsaw Orthopedic, Inc. Instrumentation for the endoscopic correction of spinal disease
US7569054B2 (en) 1988-06-13 2009-08-04 Warsaw Orthopedic, Inc. Tubular member having a passage and opposed bone contacting extensions
US8251997B2 (en) 1988-06-13 2012-08-28 Warsaw Orthopedic, Inc. Method for inserting an artificial implant between two adjacent vertebrae along a coronal plane
US5741253A (en) * 1988-06-13 1998-04-21 Michelson; Gary Karlin Method for inserting spinal implants
US5797909A (en) * 1988-06-13 1998-08-25 Michelson; Gary Karlin Apparatus for inserting spinal implants
US7914530B2 (en) 1988-06-13 2011-03-29 Warsaw Orthopedic, Inc. Tissue dilator and method for performing a spinal procedure
US6923810B1 (en) 1988-06-13 2005-08-02 Gary Karlin Michelson Frusto-conical interbody spinal fusion implants
US8353909B2 (en) 1988-06-13 2013-01-15 Warsaw Orthopedic, Inc. Surgical instrument for distracting a spinal disc space
US7722619B2 (en) 1988-06-13 2010-05-25 Warsaw Orthopedic, Inc. Method of maintaining distraction of a spinal disc space
US4924857A (en) * 1988-12-23 1990-05-15 Saeed Mahmoodian Surgical retractor
US5059194A (en) * 1990-02-12 1991-10-22 Michelson Gary K Cervical distractor
US5081983A (en) * 1990-02-20 1992-01-21 Villalta Josue J Medical retractor device
US5217463A (en) * 1990-04-11 1993-06-08 Mikhail W F Michael Method for performing knee surgery and retractors for use therein
US5290290A (en) * 1990-04-11 1994-03-01 Mikhail Michael W E Method for performing knee surgery and retractors for use therein
US5308349A (en) * 1990-04-11 1994-05-03 Mikhail W F Michael Method for performing knee surgery and retractors for use therein
US5397330A (en) * 1990-04-11 1995-03-14 Mikhail; E. Michael Posterior cruciate ligament retractor for use in performing knee surgery
US5380331A (en) * 1990-04-11 1995-01-10 Mikhail; W. E. Michael Method for performing knee surgery and retractors for use therein
US5308350A (en) * 1990-04-11 1994-05-03 Mikhail Michael W E Femoral distractor for use in knee surgery
EP0464463A1 (en) * 1990-07-03 1992-01-08 Richard Wolf GmbH Organ manipulator
US5125396A (en) * 1990-10-05 1992-06-30 Ray R Charles Surgical retractor
US5429121A (en) * 1991-03-20 1995-07-04 Per Jettman Surgical retractor
US5312403A (en) * 1991-05-03 1994-05-17 Synthes (U.S.A.) External fixation device
US5308357A (en) * 1992-08-21 1994-05-03 Microsurge, Inc. Handle mechanism for manual instruments
WO1994004084A1 (en) * 1992-08-21 1994-03-03 Microsurge, Inc. Improved handle mechanism for manual instruments
US5303694A (en) * 1993-02-09 1994-04-19 Mikhail Michael W E Method for performing hip surgery and retractor for use therein
US7326214B2 (en) 1993-06-10 2008-02-05 Warsaw Orthopedic, Inc. Bone cutting device having a cutting edge with a non-extending center
US7399303B2 (en) 1993-06-10 2008-07-15 Warsaw Orthopedic, Inc. Bone cutting device and method for use thereof
US7887565B2 (en) 1993-06-10 2011-02-15 Warsaw Orthopedic, Inc. Apparatus and method for sequential distraction
US6875213B2 (en) 1993-06-10 2005-04-05 Sdgi Holdings, Inc. Method of inserting spinal implants with the use of imaging
US7264622B2 (en) 1993-06-10 2007-09-04 Warsaw Orthopedic, Inc. System for radial bone displacement
US7993347B1 (en) 1993-06-10 2011-08-09 Warsaw Orthopedic, Inc. Guard for use in performing human interbody spinal surgery
US5431653A (en) * 1993-07-06 1995-07-11 Callaway; George H. Knee joint flexion-gap distraction device
US5400774A (en) * 1993-11-08 1995-03-28 Villalta; Josue J. Four blade medical retractor
WO1995025485A1 (en) * 1994-03-23 1995-09-28 Schnorrenberg Chirurgiemechanik Gmbh Positioning and support device for the spinal column
US6605089B1 (en) 1994-05-27 2003-08-12 Gary Karlin Michelson Apparatus and method for the delivery of electrical current for interbody spinal arthrodesis
US7455672B2 (en) 1994-05-27 2008-11-25 Gary Karlin Michelson Method for the delivery of electrical current to promote bone growth between adjacent bone masses
US8206387B2 (en) 1994-05-27 2012-06-26 Michelson Gary K Interbody spinal implant inductively coupled to an external power supply
US7935116B2 (en) 1994-05-27 2011-05-03 Gary Karlin Michelson Implant for the delivery of electrical current to promote bone growth between adjacent bone masses
WO1996000526A1 (en) * 1994-06-28 1996-01-11 Aesculap Ag Surgical instrument
US5709706A (en) * 1994-06-28 1998-01-20 Aesculap Ag Surgical instrument
US5667481A (en) * 1995-02-01 1997-09-16 Villalta; Josue J. Four blade medical retractor
US6758849B1 (en) 1995-02-17 2004-07-06 Sdgi Holdings, Inc. Interbody spinal fusion implants
US6224595B1 (en) 1995-02-17 2001-05-01 Sofamor Danek Holdings, Inc. Method for inserting a spinal implant
US7207991B2 (en) 1995-02-27 2007-04-24 Warsaw Orthopedic, Inc. Method for the endoscopic correction of spinal disease
US7431722B1 (en) 1995-02-27 2008-10-07 Warsaw Orthopedic, Inc. Apparatus including a guard member having a passage with a non-circular cross section for providing protected access to the spine
US8226652B2 (en) 1995-06-07 2012-07-24 Warsaw Orthopedic, Inc. Threaded frusto-conical spinal implants
US7691148B2 (en) 1995-06-07 2010-04-06 Warsaw Orthopedic, Inc. Frusto-conical spinal implant
US8679118B2 (en) 1995-06-07 2014-03-25 Warsaw Orthopedic, Inc. Spinal implants
US8057475B2 (en) 1995-06-07 2011-11-15 Warsaw Orthopedic, Inc. Threaded interbody spinal fusion implant
US7828800B2 (en) 1995-06-07 2010-11-09 Warsaw Orthopedic, Inc. Threaded frusto-conical interbody spinal fusion implants
US8409292B2 (en) 1995-06-07 2013-04-02 Warsaw Orthopedic, Inc. Spinal fusion implant
US7942933B2 (en) 1995-06-07 2011-05-17 Warsaw Orthopedic, Inc. Frusto-conical spinal implant
US7291149B1 (en) 1995-06-07 2007-11-06 Warsaw Orthopedic, Inc. Method for inserting interbody spinal fusion implants
US5649929A (en) * 1995-07-10 1997-07-22 Callaway; George Hadley Knee joint flexion-gap distraction device
US5935151A (en) * 1995-12-15 1999-08-10 Broughton; Bruce G. Vertebral distraction pump
US6152874A (en) * 1996-04-26 2000-11-28 Genzyme Corporation Adjustable multi-purpose coronary stabilizing retractor
US5776054A (en) * 1996-08-07 1998-07-07 Bobra; Dilip Apparatus for retracting tissue
US8845687B2 (en) 1996-08-19 2014-09-30 Bonutti Skeletal Innovations Llc Anchor for securing a suture
US8480717B2 (en) 1997-02-11 2013-07-09 Warsaw Orthopedic, Inc. Orthopedic implant with locking element
US6936050B2 (en) 1997-02-11 2005-08-30 Gary K. Michelson Multilock anterior cervical plating system
US8641743B2 (en) 1997-02-11 2014-02-04 Warsaw Orthopedic, Inc. Orthopedic implant with locking element
US6969390B2 (en) 1997-02-11 2005-11-29 Michelson Gary K Anterior cervical plating system and bone screw
US8262708B2 (en) 1997-02-11 2012-09-11 Warsaw Orthopedic, Inc. Single-lock plating system
US7651497B2 (en) 1997-02-11 2010-01-26 Warsaw Orthopedic, Inc. Segmentable plate with locking element
US7704255B2 (en) 1997-02-11 2010-04-27 Warsaw Orthopedic, Inc. Threadless multi-lock anterior cervical plating system
US6926718B1 (en) 1997-02-11 2005-08-09 Gary K. Michelson Multilock anterior cervical plating system
US6712818B1 (en) 1997-02-11 2004-03-30 Gary K. Michelson Method for connecting adjacent vertebral bodies of a human spine with a plating system
US20030181912A1 (en) * 1997-02-11 2003-09-25 Michelson Gary K. Anterior cervical plating system and bone screw
US8123788B2 (en) 1997-02-11 2012-02-28 Warsaw Orthopedic, Inc. Plating system having retaining member that permits movement of at least one bone fastener
US20030191471A1 (en) * 1997-02-11 2003-10-09 Michelson Gary K. Multilock anterior cervical plating system
US20030191472A1 (en) * 1997-02-11 2003-10-09 Michelson Gary K. Multilock anterior cervical plating system
US8048075B2 (en) 1997-02-11 2011-11-01 Warsaw Orthopedic, Inc. Orthopedic implant with locking element
US7625381B2 (en) 1997-02-11 2009-12-01 Warsaw Orthopedic, Inc. System and method for stabilizing a portion of the spine
US6936051B2 (en) 1997-02-11 2005-08-30 Gary K. Michelson Multilock anterior cervical plating system
US6599292B1 (en) * 1998-01-05 2003-07-29 Tegementa, L.L.C. Distraction device for vertebral disc procedures and method of distracting
US8808329B2 (en) 1998-02-06 2014-08-19 Bonutti Skeletal Innovations Llc Apparatus and method for securing a portion of a body
DE29806973U1 (en) * 1998-04-20 1998-08-06 Klappenecker Ulrich rib spreaders
US6712825B2 (en) 1998-10-02 2004-03-30 Max Aebi Spinal disc space distractor
US6261296B1 (en) 1998-10-02 2001-07-17 Synthes U.S.A. Spinal disc space distractor
US20050177173A1 (en) * 1998-10-02 2005-08-11 Max Aebi Spinal disc space distractor
WO2000019911A3 (en) * 1998-10-02 2000-07-13 Max Aebi Spinal disc space distractor
US6013028A (en) * 1999-04-23 2000-01-11 Integra Neurocare Llc Tissue spreading instrument for use in narrow passage
WO2000078225A1 (en) * 1999-06-19 2000-12-28 Mathys Medizinaltechnik Ag Ligament-tensioning device for non-spheroid joints
US8845699B2 (en) 1999-08-09 2014-09-30 Bonutti Skeletal Innovations Llc Method of securing tissue
US20050096508A1 (en) * 1999-10-18 2005-05-05 Valerio Valentini Adjustable surgical retractor
US6837851B1 (en) * 1999-10-18 2005-01-04 Coroneo, Inc. Adjustable surgical retractor
WO2001041652A1 (en) * 1999-12-10 2001-06-14 Synthes Ag Chur Device for distracting or compressing bones or bone fragments
US20030187453A1 (en) * 1999-12-10 2003-10-02 Fridolin Schlapfer Device for distracting or compressing bones or bone fragments
US7008432B2 (en) 1999-12-10 2006-03-07 Synthes Device for distracting or compressing bones on bone fragments
US7959635B1 (en) * 2000-01-14 2011-06-14 Marctec, Llc. Limited incision total joint replacement methods
US8784495B2 (en) 2000-01-14 2014-07-22 Bonutti Skeletal Innovations Llc Segmental knee arthroplasty
US7708740B1 (en) 2000-01-14 2010-05-04 Marctec, Llc Method for total knee arthroplasty and resecting bone in situ
US7806896B1 (en) 2000-01-14 2010-10-05 Marctec, Llc Knee arthroplasty method
US9101443B2 (en) 2000-01-14 2015-08-11 Bonutti Skeletal Innovations Llc Methods for robotic arthroplasty
US7806897B1 (en) 2000-01-14 2010-10-05 Marctec, Llc Knee arthroplasty and preservation of the quadriceps mechanism
US9192459B2 (en) 2000-01-14 2015-11-24 Bonutti Skeletal Innovations Llc Method of performing total knee arthroplasty
US8632552B2 (en) 2000-01-14 2014-01-21 Bonutti Skeletal Innovations Llc Method of preparing a femur and tibia in knee arthroplasty
US7635390B1 (en) 2000-01-14 2009-12-22 Marctec, Llc Joint replacement component having a modular articulating surface
US7828852B2 (en) 2000-01-14 2010-11-09 Marctec, Llc. Inlaid articular implant
US7837736B2 (en) 2000-01-14 2010-11-23 Marctec, Llc Minimally invasive surgical systems and methods
US7615054B1 (en) 2000-01-14 2009-11-10 Martec, LLC Bicompartmental knee implant and method
US8425522B2 (en) 2000-01-14 2013-04-23 Bonutti Skeletal Innovations Llc Joint replacement method
US7892236B1 (en) 2000-01-14 2011-02-22 Marctec, Llc System and method for total joint replacement
US7931690B1 (en) 2000-01-14 2011-04-26 Marctec, Llc Method of resurfacing an articular surface of a bone
US8133229B1 (en) 2000-01-14 2012-03-13 Marctec, Llc. Knee arthroplasty method
US7749229B1 (en) 2000-01-14 2010-07-06 Marctec, Llc Total knee arthroplasty through shortened incision
US7510557B1 (en) 2000-01-14 2009-03-31 Bonutti Research Inc. Cutting guide
US9795394B2 (en) 2000-01-14 2017-10-24 Bonutti Skeletal Innovations Llc Method for placing implant using robotic system
US8747439B2 (en) 2000-03-13 2014-06-10 P Tech, Llc Method of using ultrasonic vibration to secure body tissue with fastening element
US8814902B2 (en) 2000-05-03 2014-08-26 Bonutti Skeletal Innovations Llc Method of securing body tissue
US6716218B2 (en) * 2001-02-28 2004-04-06 Hol-Med Corporation Instrument for bone distraction and compression having ratcheting tips
US8641726B2 (en) 2001-08-28 2014-02-04 Bonutti Skeletal Innovations Llc Method for robotic arthroplasty using navigation
US9763683B2 (en) 2001-08-28 2017-09-19 Bonutti Skeletal Innovations Llc Method for performing surgical procedures using optical cutting guides
US8623030B2 (en) 2001-08-28 2014-01-07 Bonutti Skeletal Innovations Llc Robotic arthroplasty system including navigation
US8834490B2 (en) 2001-08-28 2014-09-16 Bonutti Skeletal Innovations Llc Method for robotic arthroplasty using navigation
US8858557B2 (en) 2001-08-28 2014-10-14 Bonutti Skeletal Innovations Llc Method of preparing a femur and tibia in knee arthroplasty
US9060797B2 (en) 2001-08-28 2015-06-23 Bonutti Skeletal Innovations Llc Method of preparing a femur and tibia in knee arthroplasty
US8840629B2 (en) 2001-08-28 2014-09-23 Bonutti Skeletal Innovations Llc Robotic arthroplasty system including navigation
US20040250266A1 (en) * 2001-09-26 2004-12-09 Sanyo Electric Co., Ltd Disk recording or reproducing device with retractable tray
US20040172040A1 (en) * 2001-10-19 2004-09-02 Heggeness Michael H. Bone compression devices and systems and methods of contouring and using same
US9770238B2 (en) 2001-12-03 2017-09-26 P Tech, Llc Magnetic positioning apparatus
US20030236528A1 (en) * 2002-06-24 2003-12-25 Thramann Jeffrey J Impactor for use with cervical plate
US8652181B2 (en) 2002-06-24 2014-02-18 Lanx, Inc. Cervical plate
US8778001B2 (en) 2002-06-24 2014-07-15 Lanx, Inc. Cervical plate
US20040087948A1 (en) * 2002-08-29 2004-05-06 Loubert Suddaby Spinal facet fixation device
US8303499B2 (en) 2002-10-25 2012-11-06 K2M, Inc. Minimal incision maximal access MIS spine instrumentation and method
US9095301B2 (en) 2002-10-25 2015-08-04 K2M, Inc. Minimal incision maximal access MIS spine instrumentation and method
US20060178693A1 (en) * 2002-10-25 2006-08-10 Hamada James S Minimal access lumbar diskectomy instrumentation and method
US7946982B2 (en) 2002-10-25 2011-05-24 K2M, Inc. Minimal incision maximal access MIS spine instrumentation and method
US20070038216A1 (en) * 2002-10-25 2007-02-15 Hamada James S Minimal incision maximal access MIS spine instrumentation and method
US20050101985A1 (en) * 2002-10-25 2005-05-12 Hamada James S. Minimal access lumbar diskectomy instrumentation and method
US20050240209A1 (en) * 2002-10-25 2005-10-27 Hamada James S Minimal access lumbar diskectomy instrumentation and method
US7887482B2 (en) 2002-10-25 2011-02-15 K2M, Inc. Minimal access lumbar diskectomy instrumentation and method
US20080132764A1 (en) * 2002-10-25 2008-06-05 Hamada James S Minimal access lumbar diskectomy instrumentation and method
US7883522B2 (en) * 2002-10-25 2011-02-08 K2M, Inc. Minimal access lumbar diskectomy instrumentation and method
US8636657B2 (en) 2002-10-25 2014-01-28 K2M, Inc. Minimal incision maximal access MIS spine instrumentation and method
US8298139B2 (en) 2002-10-25 2012-10-30 K2M, Inc. Minimal incision maximal access MIS spine instrumentation and method
US7850608B2 (en) 2002-10-25 2010-12-14 K2M, Inc. Minimal incision maximal access MIS spine instrumentation and method
US7318817B2 (en) * 2002-10-25 2008-01-15 K2M, Inc. Minimal access lumbar diskectomy instrumentation and method
US20060167487A1 (en) * 2002-10-25 2006-07-27 Hamada James S Minimal access lumbar diskectomy instrumentation and method
US7935054B2 (en) 2002-10-25 2011-05-03 K2M, Inc. Minimal access lumbar diskectomy instrumentation and method
WO2004041066A2 (en) * 2002-10-30 2004-05-21 Mekanika, Inc. Apparatus and method for measuring instability of a motion segment unit of a spine
US20040116835A1 (en) * 2002-10-30 2004-06-17 Holmes David C. Apparatus and method for measuring instability of a motion segment unit of a spine
US7153281B2 (en) * 2002-10-30 2006-12-26 Mekanika, Inc Apparatus and method for measuring instability of a motion segment unit of a spine
WO2004041066A3 (en) * 2002-10-30 2004-08-05 Mekanika Inc Apparatus and method for measuring instability of a motion segment unit of a spine
US20040147935A1 (en) * 2003-01-25 2004-07-29 Christopher Segler Tarsal Joint Space Distractor
US7097647B2 (en) 2003-01-25 2006-08-29 Christopher Paige Segler Tarsal joint space distractor
US20040176764A1 (en) * 2003-03-03 2004-09-09 Centerpulse Spine-Tech, Inc. Apparatus and method for spinal distraction using a flip-up portal
US7674265B2 (en) * 2003-04-24 2010-03-09 Warsaw Orthopedic, Inc. Minimally invasive instruments and methods for preparing vertebral endplates
US8257362B2 (en) * 2003-04-24 2012-09-04 Zimmer Gmbh Distance measuring instrument for pedicle screws
US8460296B2 (en) 2003-04-24 2013-06-11 Warsaw Orthopedic, Inc. Minimally invasive instruments and methods for preparing vertebral endplates
US20100152791A1 (en) * 2003-04-24 2010-06-17 Smith Maurice M Minimally invasive instruments and methods for preparing vertebral endplates
US20040215197A1 (en) * 2003-04-24 2004-10-28 Smith Maurice M. Minimally invasive instruments and methods for preparing vertebral endplates
US20080039841A1 (en) * 2003-04-24 2008-02-14 Zimmer Gmbh Distance measuring instrument for pedicle screws
US7481766B2 (en) 2003-08-14 2009-01-27 Synthes (U.S.A.) Multiple-blade retractor
US20050080320A1 (en) * 2003-08-14 2005-04-14 Lee Andrew Max Multiple-blade retractor
US7468069B2 (en) 2004-02-10 2008-12-23 Atlas Spine, Inc. Static anterior cervical plate
US20050251147A1 (en) * 2004-05-07 2005-11-10 Novak Vincent P Open wedge osteotomy system and surgical method
US20050273114A1 (en) * 2004-05-07 2005-12-08 Novak Vincent P Open wedge osteotomy system and surgical method
US8083746B2 (en) 2004-05-07 2011-12-27 Arthrex, Inc. Open wedge osteotomy system and surgical method
US9351773B2 (en) 2004-07-02 2016-05-31 DePuy Synthes Products, Inc. Compressor-distractor
US8753348B2 (en) 2004-07-02 2014-06-17 DePuy Synthes Products, LLC Compressor-distractor
US20060004380A1 (en) * 2004-07-02 2006-01-05 Didomenico Scott R Compressor-distractor
US7288095B2 (en) 2004-08-12 2007-10-30 Atlas Spine, Inc. Bone plate with screw lock
US8043295B2 (en) * 2004-10-27 2011-10-25 Brainlab Ag Vertebral spreading instrument comprising markers
US20060264963A1 (en) * 2004-10-27 2006-11-23 Peter Reed Vertebral spreading instrument comprising markers
US7736380B2 (en) 2004-12-21 2010-06-15 Rhausler, Inc. Cervical plate system
US7438715B2 (en) 2005-01-06 2008-10-21 Spinal Llc Spinal implant kit
US7322984B2 (en) 2005-01-06 2008-01-29 Spinal, Llc Spinal plate with internal screw locks
US20060149255A1 (en) * 2005-01-06 2006-07-06 Doubler Robert L Spinal implant kit
US8771279B2 (en) 2005-01-31 2014-07-08 Arthrex, Inc. Method and apparatus for performing an osteotomy in bone
US20080147074A1 (en) * 2005-01-31 2008-06-19 Ammann Kelly G Method and apparatus for performing a high tibial, dome osteotomy
US8211112B2 (en) 2005-01-31 2012-07-03 Arthrex, Inc. Multi-part implant for open wedge knee osteotomies
US8702715B2 (en) 2005-01-31 2014-04-22 Arthrex, Inc. Method and apparatus for performing an open wedge, high tibial osteotomy
US20080147073A1 (en) * 2005-01-31 2008-06-19 Ammann Kelly G Method and apparatus for performing an open wedge, high tibial osteotomy
US20060217808A1 (en) * 2005-01-31 2006-09-28 Novak Vincent P Multi-part implant for open wedge knee osteotomies
US8062301B2 (en) 2005-01-31 2011-11-22 Arthrex, Inc. Method and apparatus for performing a high tibial, dome osteotomy
US20110218540A1 (en) * 2005-01-31 2011-09-08 Ammann Kelly G Method and Apparatus for Performing An Open Wedge Osteotomy
US8236000B2 (en) * 2005-01-31 2012-08-07 Arthrex, Inc. Method and apparatus for performing an open wedge, high tibial osteotomy
US7967823B2 (en) 2005-01-31 2011-06-28 Arthrex, Inc. Method and apparatus for performing an open wedge, high tibial osteotomy
US9113920B2 (en) 2005-01-31 2015-08-25 Arthrex, Inc. Method and apparatus for performing an open wedge osteotomy
US20070016209A1 (en) * 2005-01-31 2007-01-18 Kelly Ammann Method and apparatus for performing an open wedge, high tibial osteotomy
US20100145345A1 (en) * 2005-01-31 2010-06-10 Kelly Ammann Method and apparatus for performing an open wedge, high tibial osteotomy
US8834475B2 (en) 2005-01-31 2014-09-16 Arthrex, Inc. Method and apparatus for performing an open wedge, high tibial osteotomy
US7935119B2 (en) 2005-01-31 2011-05-03 Ibalance Medical, Inc. Method for performing an open wedge, high tibial osteotomy
US20090287217A1 (en) * 2005-01-31 2009-11-19 Kelly Ammann Method and apparatus for performing an open wedge, high tibial osteotomy
US9693787B2 (en) 2005-01-31 2017-07-04 Arthrex, Inc. Apparatus for performing an open wedge, high tibial osteotomy
US20080140213A1 (en) * 2005-01-31 2008-06-12 Ammann Kelly G Method and apparatus for performing an open wedge, high tibial osteotomy
US20070213830A1 (en) * 2005-01-31 2007-09-13 Ammann Kelly G Method and apparatus for performing an open wedge, high tibial osteotomy
US20070244487A1 (en) * 2005-01-31 2007-10-18 Ammann Kelly G Method and appartus for performing an open, wedge, high tibial osteotomy
US9707023B2 (en) 2005-01-31 2017-07-18 Arthrex, Inc. Apparatus for performing an open wedge, high tibial osteotomy
US8540777B2 (en) 2005-01-31 2013-09-24 Arthrex, Inc. Method and apparatus for performing an open wedge, high tibial osteotomy
US8906026B2 (en) 2005-01-31 2014-12-09 Arthrex, Inc. Method and apparatus for performing an open wedge, high tibial osteotomy
US20090018543A1 (en) * 2005-01-31 2009-01-15 Ammann Kelly G Method and apparatus for performing an open wedge, high tibial osteotomy
US8888785B2 (en) 2005-01-31 2014-11-18 Arthrex, Inc. Method and apparatus for performing an open wedge, high tibial osteotomy
US20060241636A1 (en) * 2005-01-31 2006-10-26 Novak Vincent P Method and apparatus for forming a wedge-like opening in a bone for an open wedge osteotomy
US8496662B2 (en) 2005-01-31 2013-07-30 Arthrex, Inc. Method and apparatus for forming a wedge-like opening in a bone for an open wedge osteotomy
US20090054899A1 (en) * 2005-01-31 2009-02-26 Ammann Kelly G Method and apparatus for performing an open wedge, high tibial osteotomy
US20090138021A1 (en) * 2005-09-30 2009-05-28 Callum Colquhoun Instrument assembly for use in knee joint replacement surgery
US9498199B2 (en) 2005-09-30 2016-11-22 Depuy International Ltd. Distractor instrument
US8998917B2 (en) * 2005-09-30 2015-04-07 Depuy International Ltd. Instrument assembly for use in knee joint replacement surgery
US20090270869A1 (en) * 2005-09-30 2009-10-29 Callum Colquhoun Distractor instrument
US20070123859A1 (en) * 2005-10-25 2007-05-31 Depuy Spine, Inc. Laminar hook spring
US8267970B2 (en) * 2005-10-25 2012-09-18 Depuy Spine, Inc. Laminar hook spring
US7901409B2 (en) * 2006-01-20 2011-03-08 Canaveral Villegas Living Trust Intramedullar devices and methods to reduce and/or fix damaged bone
US20070173826A1 (en) * 2006-01-20 2007-07-26 Alpha Orthopaedics Intramedullar devices and methods to reduce and/or fix damaged bone
US8137406B2 (en) 2006-09-27 2012-03-20 Arthrex, Inc. Method and apparatus for performing an open wedge, high tibial osteotomy
US20080161817A1 (en) * 2006-09-28 2008-07-03 Depuy Spine, Inc. Intervertebral distraction device
WO2008042155A2 (en) * 2006-09-28 2008-04-10 Depuy Spine, Inc. Intervertebral distraction instrument
WO2008042155A3 (en) * 2006-09-28 2008-06-26 Comagoj Coric Intervertebral distraction instrument
US20080208199A1 (en) * 2006-11-22 2008-08-28 Kelly Ammann Method and apparatus for performing an open wedge, high tibial osteotomy
US8709052B2 (en) 2006-11-22 2014-04-29 Arthrex, Inc. Method and apparatus for performing an open wedge, high tibial osteotomy
US8409209B2 (en) 2006-11-22 2013-04-02 Arthrex, Inc. Method and apparatus for performing an open wedge, high tibial osteotomy
US20080208197A1 (en) * 2006-11-30 2008-08-28 Kelly Ammann Method and apparatus for performing an open wedge, high tibial osteotomy
US20080243257A1 (en) * 2006-12-01 2008-10-02 Taber Justin R Method and apparatus for performing an open wedge, low femoral osteotomy
US8083749B2 (en) 2006-12-01 2011-12-27 Arthrex, Inc. Method and apparatus for performing an open wedge, low femoral osteotomy
US20080262318A1 (en) * 2007-04-17 2008-10-23 K2M, Inc. Minimally open interbody access retraction device and surgical method
US9675337B2 (en) 2007-04-17 2017-06-13 K2M, Inc. Minimally open interbody access retraction device and surgical method
US8979749B2 (en) 2007-04-17 2015-03-17 K2M, Inc. Minimally open interbody access retraction device and surgical method
US9107719B2 (en) * 2007-05-17 2015-08-18 Gauthier Biomedical, Inc. Compressor distractor tool
US20130072939A1 (en) * 2007-05-17 2013-03-21 Michael T. Gauthier Compessor Distractor Tool
US8007435B2 (en) 2008-01-10 2011-08-30 Massachusetts Eye & Ear Infirmary Tissue retraction device
US20090182203A1 (en) * 2008-01-10 2009-07-16 Hartnick Christopher J Tissue retraction device
WO2010017307A1 (en) * 2008-08-05 2010-02-11 Tornier, Inc. Glenoid exposure instrumentation
WO2010053994A1 (en) * 2008-11-04 2010-05-14 Tornier, Inc. Joint exposure device
WO2010065233A1 (en) * 2008-11-25 2010-06-10 Tornier, Inc. Joint exposure device
US8486115B2 (en) 2009-03-13 2013-07-16 Lanx, Inc. Spinal plate assemblies with backout protection cap and methods
US20100234897A1 (en) * 2009-03-13 2010-09-16 Lanx, Inc. Spinal plate assemblies with backout protection cap and methods
US20100256686A1 (en) * 2009-04-06 2010-10-07 Lanx, Inc. Bone plate assemblies with backout protection and visual indicator
US8211154B2 (en) 2009-04-06 2012-07-03 Lanx, Inc. Bone plate assemblies with backout protection and visual indicator
US20100264678A1 (en) * 2009-04-20 2010-10-21 Rolling Jr Joseph E Introduction of the panther multi task tool
WO2010125598A1 (en) * 2009-04-29 2010-11-04 Lrnerio Angelo Muttillo An autostatic retractor with screw closure mechanism for neck surgery
FR2945436A1 (en) * 2009-05-14 2010-11-19 Tornier Sa surgical instrumentation bone distraction of the shoulder
US9173649B2 (en) * 2011-04-08 2015-11-03 Allen Medical Systems, Inc. Low profile distractor apparatuses
US20120259343A1 (en) * 2011-04-08 2012-10-11 Allen Medical Systems, Inc. Low profile distractor apparatuses
US9750619B2 (en) 2011-09-07 2017-09-05 Depuy Ireland Unlimited Company Surgical instrument
US9610088B2 (en) 2012-04-17 2017-04-04 A-Base Korlatolt Felelossegu Tarsasag Manipulator for grasping tissue
US9265514B2 (en) 2012-04-17 2016-02-23 Miteas Ltd. Manipulator for grasping tissue
US9636098B2 (en) * 2013-05-03 2017-05-02 Rultract, Inc. Surgical retractor with spreadable rakes
US20140330084A1 (en) * 2013-05-03 2014-11-06 Rultract, Inc. Surgical retractor with spreadable rakes
US20160100901A1 (en) * 2014-10-06 2016-04-14 Ibrahim Zakhary Dental expansion assembly

Similar Documents

Publication Publication Date Title
US3638654A (en) Suturing instrument
US5284162A (en) Method of treating the colon
Elliot et al. Direct closure of the radial forearm flap donor defect
US5653715A (en) Apparatus for preparing an intraocular lens for insertion
US7033369B2 (en) Cannula for receiving surgical instruments
Cuschieri et al. Laparoscopic cholecystectomy
US5467786A (en) Method for repairing tears and incisions in soft tissue
US5152771A (en) Valve cutter for arterial by-pass surgery
US4753235A (en) Forceps-type surgical instrument
US4607637A (en) Surgical instrument for performing anastomosis with the aid of ring-like fastening elements and the fastening elements for performing anastomosis
US4932395A (en) Hemi-laminectomy retractor attachment device
US6056766A (en) Stabilized trocar, and method of using same
US6685709B2 (en) Apparatus and method for reconstructing ligaments
Last The popliteus muscle and the lateral meniscus
US5846187A (en) Redo sternotomy retractor
US7201754B2 (en) Device for installing an anchor in a bone
US5868752A (en) IOL insertion apparatus and method for using same
Lindenfeld Medial approach in elbow arthroscopy
US4747404A (en) Foldable intraocular lens inserter
Adams et al. An anatomic reconstruction of the distal radioulnar ligaments for posttraumatic distal radioulnar joint instability
US5928252A (en) Device and method for driving a needle and meniscal repair
US20080097430A1 (en) Anterior cruciate ligament tether
US4433961A (en) Human knee model suitable for teaching operative arthroscopy and having replaceable joint
US5653761A (en) Method of lumbar intervertebral disk stabilization
US5026393A (en) Method of implanting an intraocular lens in a human eye and intraocular lens for same