text:
|Publication number
|Publication type
|Application number
|Publication date
|May 17, 2011
|Filing date
|Jul 26, 2010
|Priority date
|Dec 30, 2003
|Fee status
|Also published as
|Publication number
|Michael J. Christie, David K. Deboer, Michael C. Jones, Steven Wayne Smith, Brad Alan Parker, Charles W. Jaggers, Derek A. Shrack, James Ray Rogers
|Original Assignee
|Depuy Products, Inc.
|Export Citation
|BiBTeX, EndNote, RefMan
|Patent Citations (194), Non-Patent Citations (3), Referenced by (24), Classifications (16), Legal Events (1)
|External Links: USPTO, USPTO Assignment, Espacenet
This application is a continuation of co-pending application Ser. No. 10/748,443, filed on Dec. 30, 2003 (now U.S. Pat. No. 7,785,328 issued Aug. 31, 2010). The disclosure of the above-identified patent application is hereby totally incorporated by reference in its entirety.
This invention relates to the field of artificial joint prostheses and, in particular, to an improved instrument for machining a precise cavity in bone for receiving a prosthesis.
For implantation of prosthetic stems, such as hip stems, accurate preparation of the bone or intramedullary canal is extremely important in order to guarantee good contact between the prosthesis stem and the bone. The underlying concept behind precise preparation is that a precise bone envelope reduces the gaps between the implant (i.e. prosthesis or prosthetic component) and the bone, thereby improving the initial and long-term bone ingrowth/fixation. The bone canal is presently prepared for implantation of a prosthetic stem by drilling and reaming a resected end of a bone, such as a femur, and then preparing an area adjacent the drilled hole to provide a seat for the prosthetic stem or a proximal sleeve coupled to the stem of a modular prosthetic system.
Modular prosthetic systems using proximal sleeves, stems, necks and heads, such as the S-ROM Modular Hip System, available from DePuy Orthopaedics, Warsaw, Ind., put more control in the hands of the surgeon, providing solutions for a variety of surgical scenarios, from primary total hip arthroplasty (THA) to the complex revision or DDH challenges. Such system provides such versatility because the provided plurality of stems, sleeves, necks and heads which can be assembled in a large number of configurations.
Preparation of the area adjacent the drilled hole may be accomplished by broaching or by milling. Broaches or rasps, when used for bone preparation, have limitations. One such limitation is the risk of fracture during broaching. Since broaching is done by pounding the broach into the bone, the bone tends to fracture. Additionally, both broaches and rasps suffer from a tendency to be deflected by harder sections of bone so that they do not create as precise a triangular cavity as can be created by a miller system. In a study that compared an intimate fill with robotically machined femora, Paul et al., found that broaching tore the trabecular bone, whereas femoral canal preparation with reamers was consistently more accurate. Paul, H. A., et al. "Development of s Surgical Robot for Cementless Total Hip Arthroplasty." Clinical Orthopedics and Related Research 285 December 1992: 57-66.
Thus, milling is currently the preferred method of bone preparation in many orthopaedic applications because it is an extremely precise method of bone preparation. A limitation of milling systems today is that they are typically formed so that the drive shaft extends at an angle relative to the remainder of the frame from the end of the miller cutter machining the bone. A fairly large incision must be made to accommodate such milling assemblies. A typical incision for preparing a femur for a total prosthetic hip replacement using a standard triangle miller system is nine inches long. It is not uncommon for incisions as large as 12 inches to be used in a total hip replacement procedure.
A standard triangle miller system typically includes a miller shell, a miller frame and a miller cutter having an end formed for coupling to a drill. A typical miller frame and miller cutter can be seen in U.S. Pat. No. 5,540,694 issued to DeCarlo, Jr. et al. on Jul. 30, 1996. This miller frame allows for precise machining of the triangular canal by a miller cutter held at an angle with respect to the shaft of the frame. The triangular canal facilitates an accurate fit of a proximal sleeve that distributes the load experienced by the prosthesis evenly and provides rotational stability. However, to accommodate this miller, it is necessary to make a fairly large incision which may be undesirable for cosmetic or other reasons.
The large incision is required because the miller cutter includes a fixed unprotected input shaft for connecting to and/or receiving motive (i.e. rotary) power from a drill or similar instrument. As such, the prior reamer is able to accept rotary input power with respect to only one direction. Typically, this direction is at 0� (i.e. "straight on") with respect to the reamer which is approximately thirty two degrees with respect to the shaft of the miller frame. Therefore, not only is the input power direction restricted, but this, in turn, restricts the angle at which the reamer may be used on a patient. Since the input shaft and the drill coupled thereto extend laterally beyond the edge of the miller frame an incision substantially larger than the width of the frame must be made to accommodate the reamer, frame and drill during surgery. Since the input shaft is unprotected the incision must be large enough to accommodate the reamer, frame, input shaft and drill without the input shaft engaging soft tissue.
In view of the above, it would be desirable to have a bone miller or guided reamer that could fit into a smaller incision during a surgical process.
It would be even further desirable to have a bone milling device as desired above that also is able to accept input rotary power from various angular orientations and/or allows bone milling device to be positioned at various angular orientations relative to the input rotary power.
A milling system is disclosed for creating a cavity in a bone. The cavity has a cross section which has a generally triangular profile having a first side generally parallel with an axis of the bone and a second side forming an acute angle with the first side. The cavity is contiguous with a pre-existing conical cavity in the bone. The system comprises a drive shaft, a frame for carrying a cutter and a cutter for cutting the cavity. The drive shaft has an axis, a proximal end configured for coupling to a drive means and a distal end configured to form a portion of a drive joint for coupling the drive shaft to a cutter. The frame includes a shaft having a longitudinal axis and a cutter mount for mounting a cutter at a first angle approximating the acute angle with respect to the shaft. The mount includes a bracket extending laterally from the shaft to a bearing configured to receive a portion of a cutter and maintain the received cutter oriented at the first angle during rotation. The cutter has a head configured to form a portion of a drive joint for coupling the cutter to a drive shaft. The drive shaft is coupled to the cutter to form the drive joint. The cutter is received in the mount at the first angle and the axis of the drive shaft forms a second angle with the longitudinal axis less than the first angle.
An apparatus for creating a cavity in a bone for receiving a prosthesis which has a conical portion and a projection of a generally triangular profile is disclosed. The apparatus comprises a shell, a frame, and a cutter. The shell includes a conical portion which defines a longitudinal axis and a shaft-receiving cavity for receiving a frame. The frame includes a shaft, a drive shaft and a shield. The shaft is received by the shaft-receiving cavity and is movable with respect to the shell along the longitudinal axis. The frame is configured to carry the cutter disposed at an acute angle relative to the longitudinal axis. The drive shaft is disposed at an angle relative to the longitudinal axis less than the acute angle and is configured at one end to couple to and drive the cutter. The shield is disposed about portions of the drive shaft adjacent the one end. The cutter has a generally triangular profile and is carried by the frame and is configured to mate with and be driven by the drive shaft.
A method for cutting a triangular cavity in bone includes the steps of providing a cutter having a cutter bearing, providing a frame, journaling the cutter bearing in the frame incising the patient, providing a drive shaft and cutting the cavity. The provided cutter comprises a cutting surface having an outer diameter and a cutter bearing at one end of the cutting surface having an outer diameter larger than the outer diameter of the cutting surface. The provided frame has a shaft movable relative to the bone to be prepared which comprises a frame bearing which is complementary to the cutter bearing and which has an inner diameter which is larger than the outer diameter of the cutter's cutting surface and is configured to hold the bearing at a first acute angle relative to the shaft. The shaft has a width extending between the shaft and the bearing.
Journaling the cutter bearing in the frame is accomplished by passing the cutter's cutting surface through the frame bearing and engaging the cutter bearing with the frame bearing. The incising occurs adjacent the bone to be prepared to form an incision having a length approximating the width of the provided frame. The provided drive shaft includes portions configured to couple to and drive the cutter when the drive shaft is disposed at a second angle relative to the shaft which second angle is less than the first angle. The cavity is cut by driving the cutter with the drive shaft disposed at the second angle and moving the frame relative to the bone.
The disclosed triangular miller is configured to reduce the size of incision required for preparation of a bone with a reamer or milling tool to receive a prosthetic stem therein. The disclosed triangular miller frame includes one or more of the following features, either alone or in combination. A drive shaft alignment bracket supporting a drive shaft. A constant velocity joint at the interface between the drive shaft and the milling tool or reamer facilitating various drive shaft angles. A spring loaded sleeve surrounding portions of the drive shaft to protect soft tissue adjacent to the bone being prepared.
The accompanying drawings, which are incorporated in and constitute part of the specification, illustrate the preferred embodiments of the invention, and together with the description, serve to explain the principles of the invention. It is to be understood, of course, that both the drawings and the description are explanatory only and are not restrictive of the invention.
Corresponding reference characters indicate corresponding parts throughout the several views. Like reference characters tend to indicate like parts throughout the several views.
For the purposes of promoting an understanding of the principles of the invention, reference will now be made to the embodiments illustrated in the drawings and described in the following written specification. It is understood that no limitation to the scope of the invention is thereby intended. It is further understood that the present invention includes any alterations and modifications to the illustrated embodiments and includes further applications of the principles of the invention as would normally occur to one skilled in the art to which this invention pertains.
The disclosed triangle miller assembly 20 allows a surgeon to machine (mill) bone through a smaller incision 18 compared to existing surgical instruments. The disclosed miller assembly 20 is derived from a standard miller assembly such as that disclosed in DeCarlo, Jr. et al., Instrument for Cutting Bone, U.S. Pat. No. 5,540,694, issued Jul. 30, 1996, the disclosure of which is hereby incorporated herein by this reference. A miller frame similar to that disclosed in DeCarlo, Jr. et al. may be modified by adding a strike plate 50 at the proximal end of the frame 24, a shielded drive shaft assembly 120 and a drive shaft alignment bracket 100 and by moving the reamer bracket downwardly and inwardly. The reamer bracket 52 is moved in a manner that maintains the alignment of the bushing axis 55 with the axis 99 of the tip-receiving hole 58. Generally, however, the disclosed miller frame 24 and miller cutter 22 of miller system 20 are fabricated independently from any prior art system.
The drive shaft bracket 100 is configured to support the shielded drive shaft assembly 120 substantially parallel to the frame axis 66. The strike plate 50 facilitates exerting down pressure needed during the milling process. A mallet maybe used to strike the strike plate 50 if required. The strike plate 50 also facilitates extraction of the miller frame 24 following bone cutting.
Additionally, the miller cutter 22 used with the disclosed milling system 20 differs from that disclosed in DeCarlo, Jr. et al. Miller cutter 22 is shorter and is configured to be coupled through a universal coupling with a drive shaft 128 having an axis 142 not coincident with the axis 113 of the miller cutter 22.
The movement of the bearing bracket 64 downwardly and inwardly reduces the effective width 32 (from the shaft 48 to the edge of the bracket 64) of the miller frame 24. However, this reduction in the effective width 24 of the frame contributes only a small amount to the reduction in the size of the incision 18 required to perform a prosthetic surgery. The majority of the reduction in the size of the surgical incision 18 arises from modification of the miller cutter 22 to permit coupling to a drive shaft 128 that is not parallel to the axis of the miller cutter 22. Due to this modification the cutter 22 and drive shaft 128 need not extend beyond the effective width 32 of the miller frame 24. By providing a protective sleeve 124 surrounding the drive shaft 128, soft tissue cannot engage the spinning shaft 128 during operation and clearance beyond the drive shaft 128 can be further reduced.
The drive shaft alignment bracket 100 supports the drive shaft 128 in a position parallel to the axis 66 of the shaft 48 of the miller frame 24 so that the entire assembly presents a uniform cross section from the top of the reamer upward. When the drive shaft assembly is parallel to the axis 66 of the shaft 48, the miller frame 24 has a maximum width approximately equal to the effective width 32. The drive shaft 128 is coupled to the miller cutter 22 through a universal coupling. The sleeve 124 protects the soft tissue surrounding the bone being cut from the drive shaft 128. Thus, the surgical incision 18 required to use the disclosed miller system 20 is only slightly larger than the effective width 32 of the miller frame 24. The disclosed miller frame 24 has an effective width 32 of approximately 2.25 inches compared to the effective width of approximately 2.5-2.75 inches of the miller frame of a typical miller system for a hip prosthesis.
With reference now to the drawings, wherein like reference characters designate like or corresponding parts throughout the several views, there is shown in
While in the illustrated embodiment, only two miller shells 26, two pilot shafts 42, and two miller cutters 22 are shown, it is to be understood that a plurality of miller shells, pilot shafts and miller cutters may be made available to the surgeon using the disclosed miller instrument 20. Each miller cutter 22 is configured to be held by miller frame 24. Each miller shell 26 is configured to slidably receive the miller frame 24. Each pilot shaft 42 is configured to mount to each miller shell 26. Thus a plurality of miller instruments 20 may be formed each utilizing the same miller frame 24.
Miller shell 26 has a longitudinal axis 40. Pilot shaft 42 is removably attached to the main body of the miller shell 26 by, for example, a screw thread 38. The miller shell 26 also has an external conical surface 44 which engages the wall of the pre-existing conical cavity, as shown, for example, in
In the illustrated embodiment, miller frame 24 includes a wire assembly 62 and a shielded drive shaft assembly 120. The wire assembly 62 includes a shaft 48, a strike plate 50, and a guide tab bracket 52, a cutter bearing bracket 64 and a drive shaft alignment bracket 100. Shaft 48 includes a proximal end 47, a distal end 49 and a longitudinal axis 66. The strike plate 50 is coupled to the proximal end 47 of shaft as shown, for example, in
The strike plate 50 is a rounded rectangular plate including a top surface 35 substantially parallel to a bottom surface 37. Strike plate 50 is formed to include a mounting hole (obscured by proximal end 47 of shaft 48 in
Shaft 48 also includes tip hole 58 which engages complementary tip 60 on cutter 22. Shaft 48 includes pin 72 which engages surface 74 of miller shell 26 during withdrawal of the miller shell 26 from the patient's bone (see below). Additionally, shaft 48 is formed to include a flute cavity 68 configured to allow the flutes of a cutter 22 to turn therein when the tip 60 is received in tip hole 58.
Shaft 48 is sized to fit within shaft-receiving cavity 46 of miller shell 26 with bracket 52 and mounting arms 70, 102 being slidable in slot 76 formed in the upper portion of the miller shell 26. Pin 72 is also sized to fit through slot 76. To that end, guide tab bracket 52, mounting arms 70, 102 of cutter brackets 64 and drive shaft alignment bracket 100, respectively, have a thickness 94 slightly less than the width of the slot 76. Illustratively, thickness 94 of bracket 52 and mounting arms 70, 102 is 0.186 inches while the width 96 of slot 76 is 0.1975 inches. Bracket 52 and mounting arms 70, 102 are located at different angular positions around the circumference of shaft 48 from pin 72 so that the shaft 48 must be rotated about its longitudinal axis 66 to first align pin 72 with slot 76 and then sequentially align bracket 52 and mounting arms 70, 102 with slot 76 during assembly of the instrument 20.
Referring now to
The shaft 48 of the wire assembly 62 of the miller frame 24 includes a longitudinal axis 66 which, when the shaft 48 is received in the miller shell 26, as shown, for example, in
As shown, for example, in
The shielded drive shaft assembly 120 includes a drive shaft mechanism 122, a protective sleeve 124 and a spring 126. Protective sleeve 124 is disposed around portions of the drive shaft mechanism 122 that might be inserted into a surgical incision 18. Spring 126 urges the drive shaft mechanism 122 and protective sleeve 124 distally to induce drive shaft mechanism 122 to couple with miller cutter 22. As shown, for example, in
As shown generally in
Adjacent the proximal end 176, the body 170 is formed to include a grip 180 to facilitate grasping the sleeve 124. The proximal end 176 of sleeve 124 engages release button 134 extending radially outwardly from a stepped cavity formed in the central portion 144 of drive shaft 128. Distal end 174 is formed to include a hood 192 sized to cover proximal surface 53 of bushing 54. A tapered wall extends between hood 192 and the remainder of body 170 of sleeve 124 to minimize the trauma to surrounding tissue coming in contact with the sleeve during removal of the miller cutter 22 from the incision 18.
The sleeve 124 includes a slit 182 that facilitates loading and unloading of the miller cutters 22 onto the miller frame 24. The slit 182 extends through the body 170 and communicates with the lumen 178. The slit 182 extends through the end wall 193 upwardly for a length greater than the minimum displacement between the proximal surface 109 of the drive shaft bracket 100 and the proximal wall of the bushing 54. The slit has a width 183 slightly greater than the thickness 94 of the mounting arm 102 to facilitate mounting arm 102 sliding therein. In the illustrated embodiment, slit 182 has a width 183 of 0.200 inches.
A miller cutter 22 is loaded onto the frame 24 by pulling the sleeve 124 back against the bias spring 126 until the opening 184 of the notch 186 on the sleeve 124 is lined up with the mounting arm 102 on the drive shaft bracket 100 of the miller frame 24. Once the sleeve 124 is lined up with the mounting arm 102, the sleeve 124 is twisted about its longitudinal axis 172 so that the mounting arm 102 passes through the opening 184 of, and is received in, the notch 186 in the sleeve 124.
In the illustrated embodiment, opening 184 has a width 188 slightly larger than the width 106 of the mounting arm 102 of the alignment bracket 100. Also, notch 186 has a width 190 greater than both the width 188 of the opening 184 and the width 106 of the mounting arm 102. Opening 184 and notch 186 are positioned along the slit so that, when the mounting arm 102 is received in the notch 186, miller cutters 22 may be loaded and unloaded without interference from the sleeve 124 or the drive shaft mechanism 122.
When the mounting arm 102 is received in the notch 186, the bracket 100 and sleeve 124 cooperate to overcome forces stored in the bias spring 126 and retain the sleeve 124 and the shaft mechanism 122 in a retracted position, as shown, for example, in
The drive shaft 128 and sleeve 124 both move upward (compressing the spring 126 between the proximal end wall 162 of the ball nose drive 130 and the distal wall 101 of the receiver 104 of the drive bracket 100) during insertion and removal of the miller cutters 22. The arm 102 of the drive bracket 100 is received in the side opening notch 186 in the sleeve 124 when the sleeve 124 is twisted 90 degrees (or less) to lock the sleeve 124 and drive shaft 128 in a retracted position.
The protective sleeve 124 is removed from the miller frame 24 by depressing the release button 134 on the drive shaft 128 to compress a spring 138 held therein against the set screw 136. Once the release button 134 is depressed, the soft tissue protector sleeve 124 is free to slide upwardly and off of the drive shaft assembly 122.
As shown, for example, in
In the illustrated drive shaft mechanism 124, the drive shaft 128 is connected at its distal end 152 to the drive nose 130. As shown, for example, in
The distal end 156 of drive nose 130 is formed to serve as a slotted sphere component of a pinned-sleeve shaft coupling. Thus distal end 156 of drive nose 130 has a hemi-spherical end wall 158 through which a slot 166 is formed to create forks 168. Slot 166 has a width slightly greater than the diameter of a dowel pin 114 extending transversely across a cavity 116 formed in the head 80 of the cutter 22. The head 80, cavity 116 and dowel pin 114 of the cutter 22 and the fork 128 on the spherical distal end 156 of the drive nose 130 cooperate to form a pinned-sleeve shaft coupling. A pinned-sleeve shaft coupling is one type of a universal coupling or drive joint that facilitates driving cutter 22 with a drive shaft 128 of drive shaft assembly 122 that has a longitudinal axis 142 forming an angle 194 with the longitudinal axis 113 of the cutter 22. It is within the scope of the disclosure for drive shaft 128 to be coupled to cutter 22 using other universal couplings, such as, for example, a Hooke's joint, a pinned sphere shaft coupling, a grooved-sphere joint or the like or a constant velocity joint such as, for example, forked shafts with a slotted joint and a spigot joint extending therebetween, a triple strand spring, a Rzeppa, a Bendix-Weiss joint or the like.
As shown, for example, in
Those skilled in the art will recognize that when miller cutter 22 is received in miller frame 24, tip 60 is received in tip-receiving hole 58 and head 80 is received in bushing 54. When cutter 22 is so received, the axis 113 of cutter 22 is coincident with axis 99 of tip-receiving aperture 58 and with axis 55 of bushing 54. Thus, axis 113 of cutter 22 forms an angle with longitudinal axis 66 of shaft 48 equal to angle 99 and forms an angle with longitudinal axis 142 of drive shaft 28 that is equal to angle 194.
During assembly of instrument 20, cutter 22 is inserted into miller frame 24 after miller frame 24 has been assembled into miller shell 26. As shown, representatively by two cutters 22 in
As discussed above, miller frame 24 and miller shell 26 include indicators 28, 30. Indicators 30 comprises three indices corresponding to three different triangles, referred to as small ("SML"), large ("LRG"), and double extra large ("XXL") in the figures. More or less indices can be used as desired and, of course, can be otherwise designated. Illustratively, indicator 28 comprises the upper end of miller shell 26. However, it is within the scope of the disclosure for miller shell 26 to include other structures or indicia thereon acting as indicator 28 for alignment with indicators 28 of miller frame 24.
The operation of the indicators 28, 30 can be seen most clearly in
Miller shell 26 can include indicia 82 which relate to the geometry of the neck of the femoral prosthesis which is to be implanted. As shown in
The overall procedure in which instrument 20 is used is as follows. First, an incision 18 large enough to receive the effective width of the miller frame 24 is made through which the patient's femur is prepared by cutting with a straight reamer to establish an extended cavity and center line for receipt of the distal stem of the femoral prosthesis. Second, the proximal femur is reamed with a conical reamer to form a cavity for receiving the conical portion of a sleeve or a stem of a prosthesis. This conical cavity is on the same center line as the straight cavity and the reaming is conducted until the proximal end of the reamer is even with the proximal end of the resected femur (see reference numeral 92 in
Third, surgical instrument 20 in its assembled form as shown in
Specifically, the diameter of cutter 22 is selected based on the width W of the triangular projection of the sleeve which is to be implanted (see FIG. 1 of incorporated U.S. Pat. No. 5,540,694). The miller shell 26 is selected based on the size of the conical reamer used in step 2. Specifically, conical portion 44 of miller shell 26 has the same taper and same maximum diameter as the conical reamer. The height of conical portion 44 is preferably slightly less than the height of the conical reamer so that the proximal end of the conical portion can be aligned with the resected end 92 of the femur without bottoming out in the reamed conical cavity. The pilot shaft 42 is selected based on the size of the straight reamer used in step 1 which in turn is selected by the surgeon based on the inside diameter of the patient's femur.
To provide the surgeon with the ability to match the finished prosthesis to various patient requirements, sleeves of various sizes and configurations and femoral prostheses having various proximal and distal diameters are provided to the surgeon along with corresponding sets of cutters 22, pilot shafts 42, miller shells 26, and straight and conical reamers. Preferably, only a single miller frame 24 is used in the overall system, such miller frame 24 being able to accept all cutters 22 and being receivable in all miller shells 26.
The initial insertion of instrument 20 into the cavity in the femur brings the proximal end of conical portion 44 into alignment with the proximal end 92 of the resected femur. At this point, the surgeon can use indicia 82 to confirm his or her selection of a neck geometry for the femoral prosthesis.
Cutter 22 is then rotated by the drive shaft assembly 122 coupled to the driving means (not shown) while miller frame 24 is moved along longitudinal axis 40 of miller shell 26. This process is continued until the appropriate index 30 on miller frame 24 is aligned with reference surface 28, e.g., until the "LRG" index is aligned if the sleeve to be inserted is to have a "LRG" triangular projection. In some cases, the original choice of triangular projection may be too small to reach the patient's hard bone at the proximal end of the femur, in which case the cutting of the triangular cavity would be continued to the next index mark and a further evaluation would be made at that point. If suitable at this point, a sleeve having a triangular portion corresponding to the index mark 30 to which the cutting was continued would be used. Depending upon the circumstances, all or portions of the process may be repeated until a suitable fit is achieved.
Instrument 20 is removed from the patient's femur by pulling miller frame 24 straight out using strike plate 50 while rotating the strike plate 50 to ensure the engagement of pin 72 with surface 74 of miller shell 26. A light tap on the strike plate 50 from below with a hand, mallet, or other instrument, is usually sufficient to release miller shell 26 from the patient's bone allowing complete removal of the instrument 20. Implantation of the femoral prosthesis then follows.
Instrument 20 is fabricated using conventional techniques used in the manufacture of surgical instruments. Similarly, the instrument 20, except for sleeve 124 is composed of conventional stainless steels or other materials employed in constructing surgical instruments. Illustratively, sleeve 124 is fabricated from a composite material such as Celcon or another suitable material.
Also, while shielded drive shaft assembly 120 has been shown oriented parallel to the shaft 48, it is within the scope of the disclosure for shielded drive shaft assembly to be oriented at other angle with respect to the shaft 48. Those skilled in the art will recognize that if the shielded drive shaft assembly slants inwardly (distally to proximally) that the full benefits of the reduction in incision length will be recognized. At such an angle, sleeve 124 could even be removed from drive shaft 1 assembly 22 within the scope of the disclosure. However, as the inwardly slant increases, those skilled in the art will recognize that the complexity of the coupling between the drive shaft 128 and the miller cutter 22 will likely increase resulting in a loss of the benefit of being able to use a simple pinned-sleeve shaft coupling. It is also within the scope of the disclosure for shielded drive shaft 120 or an unshielded drive shaft 128 to slant outwardly (distally to proximally) with respect to shaft 48. Those skilled in the art will recognize that as the outward slant increase and approaches a situation in which the driving force spins about the axis 113 of cutter 22, the amount the size of the incision 18 can be decreased gets smaller resulting in larger incisions 18. Also, the amount the size of the incision 18 can be decreased gets smaller resulting in larger incisions 18 as shielding is removed between the drive shaft 128 and soft tissue.
Although specific embodiments of the invention have been described herein, other embodiments may be perceived by those skilled in the art without departing from the scope of the invention as defined by the following claims. For example, although the invention has been described in terms of the implantation of the femoral portion of a hip prosthesis, it can be used with prostheses for other joints such as the shoulder, knee, or elbow.
|Cited Patent
|Filing date
|Publication date
|Aug 22, 1969
|Jan 11, 1972
|Fishbein Meyer
|Orthopedic single-blade bone cutter
|Nov 11, 1971
|May 14, 1974
|Const Supply Co
|Alignment instrument
|Sep 9, 1975
|Jan 25, 1977
|Friedrichsfeld Gmbh
|Tool for forming a bed in a hip bone to receive an artificial acetabulum
|Oct 1, 1976
|Sep 26, 1978
|Aesculap-Werke Aktiengesellschaft Vormals Jetter & Scheerer
|Milling tool for surgical purposes
|Jan 5, 1983
|Sep 25, 1984
|Regents Of The University Of Michigan
|Intramedullary reamer
|May 1, 1985
|Apr 21, 1987
|Waldemar Link Gmbh & Co.
|Arrangement for preparing an anatomically measured endoprosthesis
|Aug 27, 1986
|Jan 5, 1988
|Zimmer, Inc.
|Acetabular cup inserting instrument
|Jun 26, 1986
|Apr 19, 1988
|Finsbury (Instruments) Limited
|Surgical tool
|Sep 24, 1987
|Oct 18, 1988
|Sulzer Brothers Limited
|Bone milling instrument
|Aug 31, 1989
|Apr 17, 1990
|Boehringer Mannheim Corporation
|Structural joint
|Dec 19, 1989
|Nov 13, 1990
|United States Manufacturing Company
|Adjustable prosthetic joint with alignment means
|May 4, 1990
|Mar 26, 1991
|Venus Corporation
|Modular hip stem prosthesis apparatus and method
|Nov 3, 1989
|Mar 26, 1991
|Dow Corning Wright Corporation
|Modular hip joint prosthesis with adjustable anteversion
|May 10, 1989
|May 14, 1991
|Spine-Tech, Inc.
|Spinal stabilization method
|Feb 7, 1990
|Sep 10, 1991
|Smith & Nephew Richards Inc.
|Mill and guide apparatus for preparation of a hip prosthesis
|Mar 7, 1991
|Oct 1, 1991
|Smith & Nephew Richards Inc.
|Femoral instrumentation for long stem surgery
|Sep 4, 1990
|Mar 31, 1992
|Pfizer Hospital Products Group, Inc.
|Modular trial hip replacement system
|Oct 31, 1990
|Aug 4, 1992
|Dow Corning Wright Corporation
|Instrument for implanting modular hip joint prosthesis with adjustable anteversion and method of using said instrument
|Jan 8, 1990
|Dec 15, 1992
|Caspari Richard B
|Methods and apparatus for arthroscopic prosthetic knee replacement
|Jul 23, 1991
|Mar 9, 1993
|Ling Robin S M
|System for performing hip prosthesis revision surgery
|Jan 17, 1991
|Mar 30, 1993
|Hinckfuss Bruce W
|Two stage joint prosthesis
|Nov 1, 1990
|Apr 13, 1993
|Paxson Robert D
|Modular hip joint prosthesis with adjustable anteversion
|May 11, 1992
|May 4, 1993
|Zimmer, Inc.
|Front milling guide for use in orthopaedic surgery
|Oct 9, 1991
|Jul 20, 1993
|Caspari Richard B
|Method of resecting bone
|Jan 26, 1993
|Nov 23, 1993
|Caspari Richard B
|Method of arthroscopically preparing an articular bone surface
|Oct 9, 1991
|Apr 19, 1994
|Caspari Richard B
|Methods and apparatus for arthroscopic prosthetic knee replacement
|Aug 11, 1992
|Aug 9, 1994
|Chapman Lake Instruments, Inc.
|Bone face cutter
|Nov 30, 1992
|Aug 30, 1994
|Wright Medical Technology, Inc.
|Medical instrument and procedure
|Feb 6, 1992
|Sep 6, 1994
|Zimmer, Inc.
|Apparatus and method for milling bone
|Aug 13, 1993
|Dec 6, 1994
|Depuy Inc.
|Modular hip prosthesis
|Jun 8, 1993
|Dec 13, 1994
|Dcd, Ltd.
|Polycentric reamer
|Dec 5, 1991
|Feb 7, 1995
|University College London
|Surgical instrument for shaping a bone
|Oct 9, 1991
|Mar 7, 1995
|Caspari; Richard B.
|Method of implanting a prosthesis
|Jan 7, 1993
|Apr 4, 1995
|Venus Corporation
|Bone milling guide apparatus and method
|Dec 1, 1993
|May 16, 1995
|Amei Technologies Inc.
|Spinal fixation system and pedicle clamp
|Oct 27, 1993
|Nov 21, 1995
|Halpern; Alan A.
|Femoral superior neck remodelling means and method
|Oct 26, 1993
|Nov 28, 1995
|Ling; Robin S. M.
|System for performing hip prosthesis revision surgery
|Dec 17, 1993
|Dec 12, 1995
|Zimmer, Inc.
|Femoral milling instrumentation for use in total knee arthroplasty with optional cutting guide attachment
|Jun 10, 1994
|Jan 23, 1996
|Zimmer, Inc.
|Apparatus for milling bone
|Jun 20, 1994
|Mar 5, 1996
|Zimmer, Inc.
|Proximal body milling apparatus
|Dec 15, 1994
|Apr 16, 1996
|Cycam, Inc.
|Random surface protrusions on an implantable device
|Feb 23, 1993
|Apr 16, 1996
|Lennox; Dennis W.
|Adjustable prosthetic socket component, for articulating anatomical joints
|Sep 28, 1993
|Apr 16, 1996
|Smith & Nephew Richards Inc.
|Modular hip prosthesis
|Sep 28, 1994
|Apr 16, 1996
|Kim-Med, Inc.
|Hip replacement system and method for implanting the same
|Feb 23, 1994
|Jun 18, 1996
|Stone; Kevin T.
|Surgical reamer
|Oct 5, 1994
|Jul 9, 1996
|Smith & Nephew Richards, Inc.
|Surgical milling system
|Sep 16, 1994
|Jul 30, 1996
|Joint Medical Products Corporation
|Instrument for cutting bone
|May 26, 1995
|Oct 29, 1996
|Burke; Dennis W.
|Method for implanting a prosthetic device into a bone
|Mar 13, 1995
|Jan 14, 1997
|Zimmer, Inc.
|Orthopaedic milling guide for milling intersecting planes
|Aug 25, 1995
|Feb 11, 1997
|Zimmer, Inc.
|Orthopaedic milling template with attachable cutting guide
|Apr 3, 1996
|Feb 11, 1997
|Howmedica Inc.
|Method of sizing a femoral canal using a modular femoral trial hip replacement system
|Nov 21, 1995
|Mar 4, 1997
|Osteotech, Inc.
|Bone milling apparatus
|Feb 9, 1995
|Mar 4, 1997
|Howmedica Inc.
|Prosthetic hip implantation method and apparatus
|Sep 9, 1994
|Jul 1, 1997
|Sulzer Orthopedics Inc.
|Angled orthopedic surfacer and guide
|Mar 2, 1995
|Jul 8, 1997
|Zimmer, Inc.
|Hip stem provisional having adjustable neck offsets
|Feb 22, 1996
|Aug 5, 1997
|Zimmer, Inc.
|Dual slide cutting guide
|Jul 29, 1991
|Aug 19, 1997
|Joint Medical Products Corporation
|Prosthetic joint system for bone replacement
|Apr 26, 1996
|Nov 4, 1997
|Mikhail; W. E. Michael
|System for performing hip prothesis revision surgery
|Nov 9, 1994
|Dec 16, 1997
|Osteonics Corp.
|Bone graft delivery system and method
|Apr 23, 1996
|Dec 30, 1997
|Implex Corporation
|Prosthetic device
|Feb 11, 1997
|Mar 17, 1998
|Wright Medical Technology, Inc.
|Femoral neck anteversion guide
|Mar 25, 1997
|Apr 28, 1998
|Zimmer, Inc.
|Femoral milling instrumentation for use in total knee arthoroplasty with optional cutting guide attachment
|May 17, 1996
|May 26, 1998
|Hudson Surgical Design
|Prosthetic implant
|Feb 1, 1996
|Jun 16, 1998
|Osteonics Corp.
|Femoral revision broach with modular trial components and method
|Mar 31, 1997
|Jun 23, 1998
|Zimmer Inc.
|Femoral milling instrumentation for use in total knee arthroplasty with optional cutting guide attachment
|Jun 7, 1995
|Jul 7, 1998
|Smith & Nephew, Inc.
|Tibial trial prosthesis and bone preparation system
|Apr 21, 1997
|Aug 11, 1998
|Biomet, Inc
|Neck length measuring device and method of using same for implanting a hip prosthesis
|Feb 20, 1996
|Sep 22, 1998
|Hudson Surgical Design, Inc.
|Method and apparatus for bony material removal
|Feb 21, 1997
|Sep 22, 1998
|Smith & Nephew, Inc.
|Posterior stabilized/constrained reamer guide
|Nov 13, 1996
|Sep 22, 1998
|Howmedica Inc.
|Machining assembly and methods for preparing the medullary cavity of a femur in hip arthroplasty
|May 1, 1995
|Dec 29, 1998
|Zimmer, Inc.
|Femoral milling instrumentation for use in total knee arthroplasty with optional cutting guide attachment
|Dec 5, 1995
|Jan 12, 1999
|Metagen, Llc
|Modular prosthesis
|Apr 30, 1997
|Jan 19, 1999
|Biomet, Inc.
|Version adjustment instrument for modular femoral components and method of using same
|May 29, 1997
|Jan 19, 1999
|Dennis W. Burke
|Guide for femoral milling instrumention for use in total knee arthroplasty
|Aug 30, 1996
|Mar 2, 1999
|Powell; Douglas Hunter
|Adjustable modular orthopedic implant
|Jul 14, 1997
|Mar 9, 1999
|Hudson Surgical Design, Inc.
|Prosthetic implant
|Sep 30, 1996
|Mar 9, 1999
|Johnson & Johnson Professional, Inc.
|Modular prosthesis
|Jun 30, 1997
|May 25, 1999
|Powell; Douglas Hunter
|Adjustable modular orthopedic implant
|May 10, 1994
|Jun 1, 1999
|Howmedica, Inc.
|Flexible medullary reaming system
|Jan 20, 1998
|Jul 6, 1999
|Johnson & Johnson Professional, Inc.
|Oblong acetabular component instrumentation
|Jun 28, 1996
|Aug 10, 1999
|Johnson & Johnson Professional, Inc.
|Prosthesis with variable fit and strain distribution
|Mar 12, 1997
|Sep 14, 1999
|Burke; Dennis W.
|Centering device for femoral implant and method and apparatus for implementation thereof
|May 20, 1998
|Sep 28, 1999
|Bristol-Myers Squibb Co.
|Orthopaedic milling instrument
|Apr 23, 1998
|Oct 19, 1999
|Precifar S.A.
|Milling cutter for medical purposes
|Jun 1, 1998
|Nov 2, 1999
|Johnson & Johnson Professional, Inc.
|Calcar milling guide and system
|Jul 11, 1997
|Nov 2, 1999
|Johnson & Johnson Professional, Inc
|Modular instrumentation for bone preparation and implant trial reduction of orthopedic implants
|Oct 21, 1997
|Nov 2, 1999
|Johnson & Johnson Professional, Inc.
|Modular prosthesis system with hybrid fixation
|Nov 13, 1996
|Nov 30, 1999
|Noble; Philip C.
|Surgical broach and methods for preparing the medullary cavity of a femur in hip arthroplasty
|Nov 7, 1997
|Apr 4, 2000
|Depuy International, Ltd.
|Broach for shaping a medullary cavity in a bone
|Sep 17, 1998
|May 2, 2000
|Hudson Surgical Design, Inc.
|Method and apparatus for patella resection and guide handle
|Aug 14, 1998
|Jun 6, 2000
|Johnson & Johnson Professional, Inc.
|Cylindrical box femoral stem
|Sep 28, 1998
|Jun 27, 2000
|Depuy Orthopaedics, Inc.
|Modular orthopaedic clamping tool
|Jun 16, 1999
|Jul 18, 2000
|Bristol-Myers Squibb Company
|Fastener for a modular implant
|Apr 16, 1999
|Sep 12, 2000
|Sulzer Orthopedics Inc.
|Instruments for forming bony cavity for implantable femoral, hip prosthesis
|Jan 29, 1999
|Sep 19, 2000
|Bristol-Myers Squibb Company
|Instrument and method for seating prosthesis
|Mar 5, 1999
|Oct 3, 2000
|Sulzer Orthopedics Inc.
|Universal distal broach and stem trial
|Jul 31, 1996
|Dec 12, 2000
|Michelson; Gary K.
|Milling instrumentation and method for preparing a space between adjacent vertebral bodies
|Sep 25, 1998
|Dec 19, 2000
|Depuy Orthopaedics, Inc.
|Long bone reamer with depth stop indicator
|Jun 8, 1999
|Jan 30, 2001
|Dennis W. Burke
|Centering device for femoral implant and method and apparatus for implementation thereof
|Jan 20, 1998
|Feb 27, 2001
|Depuy Orthopaedics, Inc.
|Modular long stem hip trial
|Mar 3, 1999
|Mar 6, 2001
|Hudson Surgical Design, Inc.
|Prosthetic implant
|Jan 5, 1998
|Mar 6, 2001
|Biomet, Inc.
|Method and apparatus for segmental bone replacement
|Jul 15, 1998
|Mar 27, 2001
|Medidea, Llc
|Reduction-based joint replacement apparatus and methods
|Nov 24, 1999
|May 1, 2001
|Bristol-Myers Squibb Co.
|Orthopaedic instrumentation assembly and method of using same
|Mar 10, 2000
|May 29, 2001
|Bristol-Myers Squibb Co
|Assembly tool for prosthetic implant
|Jan 28, 2000
|Jul 10, 2001
|Garland U. Edwards
|Surgical reamer cutter
|Mar 28, 1998
|Jul 10, 2001
|Stryker Technologies Corporation
|Methods and tools for femoral intermedullary revision surgery
|Jun 2, 2000
|Jul 10, 2001
|Bristol-Myers Squibb Co
|Head center instrument and method of using the same
|Dec 11, 1998
|Aug 7, 2001
|Smith & Nephew, Inc.
|Methods and instruments for performing radial impacting
|Apr 2, 1997
|Sep 11, 2001
|Franz Copf
|Prosthesis part
|Feb 10, 1998
|Nov 20, 2001
|Petrus Tarasius Josephus Spiering
|Mill, in particular for milling of bone, as well as a drum, provided with cutting members, applicable in the mill
|Mar 13, 2000
|Nov 20, 2001
|Exactech, Inc
|Modular hip prosthesis
|Feb 2, 2000
|Dec 25, 2001
|Synthes (Usa)
|Surgical reamer and method of using same
|Jun 7, 2001
|Mar 12, 2002
|Hammill Manufacturing Co.
|Sight gauge modular joint and method
|May 15, 2001
|Mar 26, 2002
|Wright Medical Technology, Inc.
|Radial head implant system including modular implant and modular radial head locking instrument
|Mar 6, 1995
|Aug 13, 2002
|Wright Medical Technology, Inc.
|Modular trial instrument with interlock mechanism
|Mar 31, 2000
|Aug 13, 2002
|Gregory W. Stocks
|Joint prosthesis assembly and method for installing same
|Dec 12, 2000
|Aug 27, 2002
|Gary K. Michelson
|Milling instrumentation and method for preparing a space between adjacent vertebral bodies
|Feb 2, 2001
|Jan 21, 2003
|Biomet, Inc.
|Method and apparatus for segmental bone replacement
|Jan 25, 2001
|Feb 11, 2003
|Zimmer, Inc.
|Method and apparatus for preparing a femur to receive a modular prosthetic femoral component
|Nov 20, 2001
|Jul 8, 2003
|Centerpulse Orthopedics Inc.
|Apparatus for, and method of, providing hip prosthesis implantation
|Feb 20, 1998
|Dec 16, 2003
|Co.Don Aktiengesellschaft
|Set of surgical instruments
|Apr 26, 2000
|Jan 13, 2004
|Zimmer Technology, Inc.
|Method and apparatus for performing a minimally invasive total hip arthroplasty
|Oct 17, 2001
|Feb 17, 2004
|Hammill Manufacturing Co.
|Split sleeve modular joint
|May 30, 2000
|Mar 9, 2004
|Apex Surgical, Llc
|Implantable joint prosthesis
|Nov 10, 2000
|May 25, 2004
|Trans1 Inc.
|Methods and apparatus for forming shaped axial bores through spinal vertebrae
|Jul 30, 2001
|Aug 3, 2004
|Klaus Draenert
|Modular revision prosthesis
|Apr 3, 2002
|Nov 30, 2004
|Stryker Corporation
|Surgical cutting accessory with nickel titanium alloy cutting head
|Dec 14, 2001
|Jan 25, 2005
|Ira L. Shapira
|Method and apparatus for extracting bone marrow
|Feb 27, 2003
|Apr 5, 2005
|Zimmer Austin, Inc.
|Elongated driving bit attachable to a driving instrument and method of use for minimally invasive hip surgery
|Mar 29, 2002
|Sep 27, 2005
|Depuy Orthopaedics, Inc.
|Medical instrument for milling a curved path in bone and procedure
|Jan 29, 2003
|Feb 21, 2006
|Howmedica Osteonics Corp.
|Apparatus and method for preparing bone for antirotational implantation of an orthopedic endoprosthesis
|Dec 9, 2003
|Mar 7, 2006
|Olympus Corporation
|High frequency surgical instrument
|Jun 25, 2003
|Jul 11, 2006
|Depuy Products, Inc.
|Modular tapered reamer for bone preparation and associated method
|Jun 25, 2003
|Jan 5, 2010
|Warsaw Orthopedic, Inc.
|Transpedicular intervertebral disk access methods and devices
|Jan 11, 2001
|May 10, 2001
|Alan Lombardo
|Methods and tools for femoral intermedullary revision surgery
|Feb 2, 2001
|Jul 12, 2001
|Martin Daniel L.
|Method and apparatus for segmental bone replacement
|Apr 4, 2001
|Aug 23, 2001
|Philipp Lubinus
|Milling tool for emptying the femoral medullary space and hip prosthesis to be inserted in the space created
|Feb 13, 2001
|Oct 25, 2001
|Kuslich Stephen D.
|Expandable reamer
|Jun 1, 2001
|Dec 5, 2002
|Middleton Lance M.
|Tissue cavitation device and method
|Nov 12, 2001
|May 15, 2003
|Brown Scott C.
|Apparatus and method for bone positioning
|Jul 31, 2002
|Jun 12, 2003
|Showa Ika Kohgyo Co., Ltd
|Implant for bone connector
|Dec 14, 2000
|Jun 19, 2003
|Denis Bouttens
|Shoulder prosthesis assembly
|Aug 9, 2002
|Jul 10, 2003
|Stocks Gregory W.
|Joint prosthesis assembly and method for installing same
|Feb 12, 2003
|Sep 11, 2003
|Fallin T. Wade
|Surgical milling instrument for shaping a bone cavity
|Mar 6, 2002
|Sep 11, 2003
|Christopher Scifert
|Intramedullary trial fixation device
|Mar 29, 2002
|Oct 2, 2003
|Mccleary Larry G.
|Medical instrument for milling a curved path in bone and procedure
|Apr 25, 2002
|Oct 30, 2003
|Medicinelodge, Inc.
|Triapartite attachment mechanism and method for a modular prosthesis
|Feb 4, 2003
|Nov 27, 2003
|Dana Mears
|Method and apparatus for performing a minimally invasive total hip arthroplasty
|May 22, 2003
|Jan 22, 2004
|Beguec Pierre Le
|Apparatus for the preparation of a femur bone for for the implantation of a prosthesis
|May 9, 2003
|Mar 18, 2004
|Serra Michael A.
|System for trial implantation of a femoral hip prosthesis
|Sep 30, 2002
|Apr 1, 2004
|Mccleary Larry G.
|Modular trial mechanism
|May 9, 2003
|May 13, 2004
|Serra Michael A.
|Bone milling instrument
|Dec 20, 2002
|Jun 24, 2004
|Dwyer Kimberly A.
|Alignment device for modular implants and method
|Dec 20, 2002
|Jun 24, 2004
|Daniels David W.
|Instrument and associated method of trialing for modular hip stems
|Dec 20, 2002
|Jun 24, 2004
|Daniels David W.
|Modular hip stems and associated method of trialing
|Jan 29, 2003
|Jul 29, 2004
|Mcgovern Michael A.
|Apparatus and method for preparing bone for antirotational implantation of an orthopedic endoprosthesis
|Jun 25, 2003
|Dec 30, 2004
|Daniels David Wayne
|Modular tapered reamer for bone preparation and associated method
|Jun 25, 2003
|Dec 30, 2004
|Daniels David Wayne
|Non-linear reamer for bone preparation and associated method
|Jun 30, 2003
|Dec 30, 2004
|Vanasse Thomas M
|Modular trial neck segment
|Jul 3, 2003
|Jan 6, 2005
|Gary Sederholm
|Modular hip prosthesis
|Dec 30, 2003
|Jul 14, 2005
|Christie Michael J.
|Minimally invasive bone miller apparatus
|May 5, 2005
|Oct 6, 2005
|Gursharan Chana
|Surgical devices and methods of use
|Dec 2, 2004
|Oct 20, 2005
|Burdulis Albert G Jr
|Surgical tools facilitating increased accuracy, speed and simplicity in performing joint arthroplasty
|Jul 15, 2004
|Jan 19, 2006
|Pepper John R
|Cutting device
|Feb 11, 1993
|May 17, 1994
|Zimmer, Inc.
|Bone milling template
|Mar 15, 1993
|Apr 11, 1995
|Zimmer, Inc.
|Bone milling template
|Jan 2, 1996
|Apr 1, 2003
|Smith & Nephew, Inc.
|Mill and guide apparatus for preparation of a hip prosthesis
|Oct 28, 1985
|Apr 30, 1987
|Mecron Med Prod Gmbh
|Bohrsystem, enthaltend eine bohrlehre zum einsetzen einer endoprothese sowie zugehoerige prothese
|Jun 20, 1986
|Dec 30, 1986
|Finsbury (Instruments) Limited
|Surgical tool
|Jan 7, 1991
|Oct 21, 1998
|Zimmer, Inc.
|Milling cutter for bone resection
|Jul 21, 1992
|Sep 2, 1998
|ELTING, James
|System for performing hip prosthesis revision surgery
|Dec 16, 1994
|Aug 22, 2001
|Bertin, Kim C.
|Femoral milling instrumentation for use in total knee arthroplasty with optional cutting guide attachment
|Feb 12, 1996
|Aug 14, 1996
|Bristol-Myers Squibb Company
|Orthopaedic milling guide with cutter lockout
|Nov 3, 1997
|Feb 25, 2004
|Noble, Philip Christopher
|Machining assembly for preparing the medullary cavity of a femur in hip arthroplasty
|May 10, 1994
|Sep 2, 1998
|Howmedica Inc.
|Flexible medullary reaming system
|Dec 16, 1994
|Mar 30, 2005
|Kim C. Bertin
|Milling instrumentation for use in total knee arthroplasty
|May 10, 1994
|May 2, 2002
|Stryker Technologies Corporation
|Flexible medullary reaming system
|Mar 7, 2001
|Oct 12, 2005
|SDGI Holdings, Inc.
|Instruments for laparoscopic spinal surgery
|Dec 30, 2002
|Jul 2, 2003
|Depuy Orthopaedics, Inc.
|Augmented glenoid component having an interrupted surface
|Mar 29, 2003
|Nov 19, 2003
|Depuy Orthopaedics, Inc.
|Medical instrument for milling bone along a curve
|May 23, 2003
|Jun 16, 2004
|Sarah L. Thelen
|Apparatus for reducing femoral fractures
|Jul 2, 2004
|Jan 5, 2005
|Centerpulse Orthopedics Inc.
|Modular hip prosthesis
|Apr 21, 2005
|Nov 2, 2005
|Calamel Serge
|Implant gl�noidien pour proth�se totale d'�paule invers�e, et proth�se totale d'�paule invers�e le comprenant.
|Title not available
|Title not available
|Title not available
|Title not available
|Jul 7, 1992
|Feb 4, 1993
|Aktiebolaget Astra
|Hip joint prosthesis
|May 10, 1994
|Dec 8, 1994
|Howmedica Inc.
|Flexible medullary reaming system
|Sep 16, 1997
|Apr 16, 1998
|Future Sea Farms Inc.
|Low head pumping system for fish farms
|Feb 7, 2003
|Aug 14, 2003
|Gursharan Singh Chana
|Device for holding and rotating an acetabulum reamer
|Apr 28, 2003
|Nov 13, 2003
|Precimed S.A.
|Reamer spindle for minimally invasive joint surgery
|May 9, 2003
|Nov 20, 2003
|Hayes Medical, Inc.
|System for trial implantation of a femoral hip prosthesis
|Defuy Orthopaedics, Inc., "S-ROM Modular Hip System, Minimally Invasive Calcar Miller Surgical Technique," 0612-04-503, 2004, DePuy Orthopaedics, Inc (12 pages).
|European Search Report for corresponding Application No. 09168260, dated Jan. 13, 2010 (7 pages).
|Paul, H. A. et al., "Development of a Surgical Robot for Cementless Total Hip Arthroplasty," Clinical Orthopaedics and Related Research 285, Dec. 1992, 57-66 (10 pages).
|Citing Patent
|Filing date
|Publication date
|Nov 20, 2007
|Sep 3, 2013
|Smith & Nephew, Inc.
|Patello-femoral joint implant and instrumentation
|Mar 5, 2013
|May 27, 2014
|Si-Bone Inc.
|Systems and methods for the fixation or fusion of bone using compressive implants
|Mar 8, 2013
|Jul 15, 2014
|Si-Bone Inc.
|Artificial SI joint
|Jan 23, 2014
|Sep 23, 2014
|Si-Bone Inc.
|Systems and methods for the fixation or fusion of bone
|Nov 12, 2012
|Sep 23, 2014
|Si-Bone Inc.
|Systems and methods for the fixation or fusion of bone
|May 20, 2013
|Oct 14, 2014
|Si-Bone Inc.
|Apparatus, systems, and methods for achieving lumbar facet fusion
|Jun 24, 2013
|Dec 30, 2014
|Si-Bone Inc.
|Apparatus, systems, and methods for stabilizing a spondylolisthesis
|Oct 5, 2010
|Mar 24, 2015
|Si-Bone Inc.
|Systems and methods for the fusion of the sacral-iliac joint
|Dec 7, 2012
|Apr 21, 2015
|Howmedica Osteonics Corp.
|Surgical reaming instrument for shaping a bone cavity
|May 16, 2014
|May 26, 2015
|Si-Bone Inc.
|Systems and methods for the fusion of the sacral-iliac joint
|Mar 8, 2013
|Jun 2, 2015
|Si-Bone Inc.
|Integrated implant
|Dec 28, 2012
|Oct 6, 2015
|Howmedica Osteonics Corp.
|Systems and methods for preparing bone voids to receive a prosthesis
|Apr 8, 2013
|Jun 28, 2016
|Si-Bone Inc.
|Apparatus, systems, and methods for achieving trans-iliac lumbar fusion
|May 9, 2014
|Nov 8, 2016
|Si-Bone Inc.
|Systems and methods for the fixation or fusion of bone using compressive implants
|Apr 22, 2013
|Nov 15, 2016
|Si-Bone Inc.
|Apparatus, systems and methods for achieving anterior lumbar interbody fusion
|Mar 12, 2014
|Dec 27, 2016
|Howmedica Osteonics Corp.
|Void filling joint prosthesis and associated instruments
|Apr 1, 2011
|Feb 7, 2017
|Si-Bone Inc.
|Systems and methods for the fixation or fusion of bone
|Sep 11, 2013
|Apr 4, 2017
|Peter Michael Sutherland Walker
|Method and apparatus for hip replacements
|Jan 18, 2011
|Apr 18, 2017
|Si-Bone Inc.
|Systems and methods for the fixation or fusion of bone
|Oct 5, 2010
|Apr 14, 2011
|SI Bone, Inc.
|Systems and methods for the fusion of the sacral-iliac joint
|Jan 18, 2011
|May 19, 2011
|Reiley Mark A
|Systems and methods for the fixation or fusion of bone
|Apr 1, 2011
|Jul 28, 2011
|Si-Bone, Inc.
|Systems and methods for the fixation or fusion of bone
|Nov 20, 2007
|Oct 11, 2012
|Smith & Nephew, Inc.
|Patello-femoral joint implant and instrumentation
|Mar 8, 2013
|Sep 12, 2013
|Si-Bone Inc.
|Revision tool and method
|U.S. Classification
|606/79, 606/80, 606/87
|International Classification
|Cooperative Classification
|European Classification


text:
Joan Cronan
Joan Cronan, the former Lady Vols Athletic Director has spent thirty years with Tennessee Athletics. In that time, the Lady Vols have become one of the most visible and well-respected programs in the country, amassing ten NCAA national championship titles, forty-six top-five NCAA finishes, and twenty-nine Southeastern Conference regular-season championships. "She has led with humility and grace and demands excellence from everybody that works with her," said University of Tennessee Chancellor, Jimmy Cheek. "She's built a powerhouse of a program that also graduates and educates young ladies."
Andrew Williams
2012 Area 4 Special Olympics Athlete of the Year
Andrew began participating in Special Olympics as a freshman in high school. His name was drawn to attend the National Games in Lincoln, Nebraska in 2010 where Andrew brought home a bronze medal. In 2011 Andrew was chosen to participate in the National Invitational Golf Tournament where on the last hole was able to beat his opponent by 1 stroke to bring home the gold medal. In 2012 Andrew was again chosen to attend the N.I.T. Golf Tournament, and brought home a silver medal. As a member of the Chattanooga Chill Unified Volleyball Team, his team won the gold in 2010 in Arizona and in 2012 in Utah. Andrew was Area 4's Athlete of the Year in 2012, and carried the torch to light the big cauldron at the annual Area 4 Special Olympics Track & Field Meet. He also led all the athletes in the Special Olympics oath.
The U.S. Champion Goodlettsville Little League Team
The Goodlettsville All-Stars proved they had the making of a championship team when they defeated Warner Robbins to advance to the Little League World Series becoming the first team from Tennessee in 25 years. The final step to the United States Championship had Goodlettsville playing a rematch against California. The sequel had Goodlettsville defeating California 24-16 in what was THE game for the ages. The win gave Goodlettsville and the state of Tennessee their first United States Championship in Little League World Series history. The team's accomplishments prove that with hard work and a positive attitude under stressful circumstances, anything is possible.
Middle Tennessee Head Coach Rick Stockstill
In his seventh year at the helm of the Middle Tennessee State University Blue Raiders football Coach Rick Stockstill turned in arguably his best coaching effort. Following a tough 2-10 campaign in 2011, Stockstill worked day and night to get the program back to the success it enjoyed the previous two seasons. His Blue Raiders responded by going 8-4, finishing second in the Sun Belt Conference, and getting a huge upset win at Georgia Tech in late September. The six-game turnaround from 2011 to 2012 matched the nation's top win improvement with Ohio State and Kent State. Individually, eight players earned all-conference honors while safety Kevin Byard was voted to the FWAA Freshman All-American Team. Byard is just the third freshman All-American in school history.
Peggy Michaels, PE teacher and chair of the Physical Education Department at GPS
Ms. Michaels is recognized across the state and the Southeast for the SHAPE (Starting Habits to Attain Physical Excellence) fitness and wellness program that she designed to use in PE classes at the Girls Preparatory School in Chattanooga, TN. It has been recognized as one of the top high school physical education programs in the Southeast.
Lettering in two sports, volleyball and basketball, at Tyner High School in the 1960s, Ms. Michaels attended Tennessee Tech University, from which she received the Flavious Smith Distinguished Alumnus of the Year Award. Diagnosed with multiple sclerosis over 25 years ago, Ms. Michaels has adapted her teaching style due to her physical limitations, but her interaction with students is ongoing and personal. She is a member of the Tennessee Multiple Sclerosis Hall of Fame.
Rachel Bevans
Ninety year old Rachel Bevans has been an inspiration and advocate for tennis for many years. A 1941 graduate of Columbia High School she continued to play tennis at Lipscomb University, which was a junior college at the time. After putting her athletic career on hold while raising her family, she started playing tennis again in a league at the Donelson YMCA where she still plays tennis every Tuesday. Bevans said "I've been blessed with pretty good health, and I think you need to keep going as long as you can. That's my plan".
Brian Baker
After a stellar Junior career in which Brian was ranked number 2 in the world in singles and number5 in doubles he turned pro in 2003. Brian's promising pro career was soon sidetracked by numerous injuries that required significant surgeries and rehab. Then from an Assistant Coaching position at Belmont Baker made an unprecedented climb back into the A.T.P. rankings and back in Grand Prix tournaments. His climb back on the tour was again detoured this year when a knee injury forced Brian to withdraw from the Australian Open while leading in his second round match. During 2013 he was ranked 53 in the world, his highest ranking on the tour.
MIKE REED TSSAA Nomination
During his 31 years in Hamblen County school system at Morristown West, Mike Reed has seen a lot of athletic success as a coach, principal and athletic director. He was a teacher/coach for 16 years from 1967-1983. He served as Athletic Director for a total of 18 years (1987-1993 and from 2003-Present.) He was Principal for 12 years (1993-2005,) TSSAA Board of Control 27 years (1986-Present.) Reed was the recipient of the A. F. Bridges Sportsmanship Award for Principal of the Year—First Athletic District for the 1999 – 2000 school year. He was selected by Hamblen County Director of Schools to participate in Tennessee Leadership Institute for Exemplary Superintendent Training through East Tennessee State University/Bellsouth Foundation during the 1994 – 1995 school year. Reed was a Member of the National Association of Secondary School Principals (NASSP) from 1993 to 2005; Member of the Tennessee Education Association (1966 – 2005); Member of the National Education Association (1966 – 2005); District and Regional Basketball Tournament Director numerous times. Reed retired as Principal from Morristown-West in 2005, and at that time became an Assistant Principal in charge of athletics working a 100-day contract—he is still in that position today.

subset: commoncrawl


text:
Everyone's Personal Concierge
Become a Pulsd Member and get access to all the hottest NYC restaurants, brunches, night life, and events your city has to offer.
Already on pulsd? Sign in
Williams-Sonoma technique cooking classes are an awesome, way to learn some fantastic recipes with a variety of foods. Up this week - What's in Season: Winter Vegetables!
- Cooking Winter Vegetables & Bake
If winter vegetables are a mystery to you, join us for a class that uncovers the wonders of these tasty and hearty foods. Learn how to select, prepare and enjoy what's in season now – from squashes to greens. This class will make your winter produce shopping more interesting and your winter meals more delicious!
Share this on Facebook and Retweet this! These events take place at most WIlliams-Sonoma Stores. Please call your local store to reserve your spot and time.


text:
It only takes a minute to get started. Fill out our uncomplicated sign up form and login to the site.
This step is optional but will seriously boost your chances of having members look at your profile. Write about yourself, your interests and upload your best photograph.
Use our website's advanced search to uncover members who satisfy your needs. Or just leaf through listings and uncover singles that you find attractive.
Found someone who is attractive to you? Send an email to them or just a wink and let it develop from there. With a little luck you'll be on your way to a lifetime of happiness.
You won't regret it


text:
It only takes a minute to get started. Fill out our uncomplicated sign up form and login to the website.
This step is discretionary but will seriously raise your chances of getting noticed by other people on the website. Write a little something about yourself, your interests and attach a nice photograph of yourself.
Use our website's cutting-edge search to encounter members who fulfill your requirements. Or just flip through listings and encounter members that you find attractive.
Found someone who you like the look of? Send an email to them or just a wink and take it from there. With a little luck you'll be on your way to a lifetime of happiness.
It's quick and easy


text:
Mamelodi Sundowns progressed to the quarterfinals of the Nedbank Cup with a 1-0 win over 10-men Golden Arrows on Friday night
Mamelodi Sundowns started off positively against Golden Arrows and threatened the opposition with Nyasha Mushekwi and Jabu Manqele combining well upfront, but Arrows keeper Nkosingiphile Gumede did well to deal with the danger in the opening minutes of the game.
Arrows dominated possession inside the Sundowns' half and Thamsanqa Gabuza nearly capitalized on Wayne Sandilands' error in the 13th minute, but his shot was deflected for a corner. The visitors had their penalty appeal turned down in the 15th minute after Bongi Ntuli fell inside the box.
Sundowns created the best chance of the first half in the 25th minute when Mushekwi received possession on the edge of the box, but Arrows keeper Gumede pulled a great save to deny the home side an opener.
Tshepo Liphoko pulled the trigger from the free-kick in the 27th minute but Sandilands had an important touch on it, as the ball bounced off the crossbar for Arrows' third corner of the evening. As the game approached the final 10 minutes, Sundowns' Samuel Julies dribbled a few Arrows defenders but his shot was deflected for a corner with Gumede well stretched.
Sundowns' Ramahlwe Mphahlele was caught out of position by Gabuza and the Arrows marksman's shot came off the woodwork with Sandilands in no man's land, but the score remained 0-0 at half time.
The second half started with some drama when Arrows' defender Maswanabo Bovu received his second yellow card just two minutes into the second stanza for his late tackle on Hlompho Kekana. Pitso Mosimane had introduced Anthony Laffor at the beginning of the second 45 minutes for unimpressive Richard Henyekane, as he looked for more attacking options with Arrows holding firm.
Arrows was again denied by the framework 11 minutes into the second half, when Gift Sithole got a free header inside the box, beating Mushekwi on air but his efforts came off the crossbar with Sandilands well beaten.
Sundowns thought they have taken the lead when Laffor connected well with the ball but Arrows' keeper Gumede stood his ground and denied the Liberian with a brilliant save to keep the score 0-0 after 70 minutes.
Substitute Katlego Mphela was played through by another Sundowns substitute Teko Modise in the 77th minute, but Arrows defence reacted quickly to close down Mphela. The home side finally broke the deadlock in the 80th minute when Anthony Laffor kept his cool from Tebogo Langerman's cross to make it 1-0.
Arrows fought hard to get back to the game but it was too late for the KwaZulu Natal team to at least force the game into the extra time, and Laffor's goal was enough to see Sundowns through to the last eight of the Nedbank Cup.


text:
A menu for a new year + wild boar with chocolate sauce
It may not be new — the inspiration from this menu comes from Pellegrino Artusi's nineteenth century cookbook — but it certainly is a nice way to start a new year. I've written about Artusi's menus before, but in the very early stages of this blog (which has just turned 6 years old!). They have always charmed me and fascinated me, as an insight into what might be on tables in the late 1800s. Unsurprisingly, the menus... Read More
Four ways to fall in love with Florence
It was 2001. Two weeks shy of my 21st birthday, exactly 15 years ago. I arrived at the Santa Maria Novella station in Florence after flying halfway around the globe to Rome to start a semester-long etching course as part of my Fine Art degree. I had a suitcase and a few Italian lessons behind me — not enough to understand a conversation but maybe to figure out a menu, for the most part. I had no idea where I would even stay the night, let... Read More
From the farm: Eggs poached in tomato sauce
One of the places that I can truly call my happy place is a farm in San Gimignano. Partly it's because of the wonderful Fioroni family who run Fattoria Poggio Alloro, who I feel are like long lost family because of the way we are embraced (literally and figuratively!) when we arrive, the way we are fed (as if we must not have eaten in weeks), and the familiar way that this place somehow feels like home (we also always stay in the same room,... Read More
Nonna Lina's Pomarola
I never met Nonna Lina, my husband's grandmother. She passed away six weeks before I met him, coincidentally on the exact same day my maternal grandfather died. But from the way my husband and my mother-in-law talk about her, the constant references to her, especially when we are in the kitchen, I feel like I know her. And I feel connected to her when I cook her recipes. Lina was tiny, little Tuscan lady, and a good cook. A pedantic one. But... Read More
Maritozzi with whipped cream
When it comes to Roman food, there is one place I like to go first — the blog of Rachel Roddy, Rachel Eats. Her book, Five Quarters, is coming out any day now and I'm pretty sure its going to be a firm favourite that doesn't even make it to the bookshelf, it'll just sit permanently on the kitchen counter next to my other most well-used cookbooks. We had a little chat about maritozzi, these delightfully sticky, sweet Roman... Read More
Making food memories with sweet pizza
I have to admit, I was late in the game with discovering Ruth Reichl's work. In fact, I hadn't really known much about her until she came to Australia last year for the Melbourne Writers' Festival to talk about her novel Delicious! But then I was serendipitously sent a wonderful book, the Italian translation of Reichl's memoir, Tender at the Bone (La parte piu' tenera in Italian). It's the first of a series of... Read More
An egg for a child
One of her first food words was "uova", eggs, which also happen to be her favourite breakfast, usually soft boiled and eaten with a spoon (a bit messy as she insists on feeding herself) or fried, sunny side down. It's one of the few foods I can easily get my little girl eat. Partly I think it's the fascination with the egg itself – that hard shell outside, smooth and weighty in her little dimpled hands, then so fragile when cracked. It's... Read More
Beans Cooked in a Tuscan Jar
"First you need good beans." The good advice of Elizabeth David always goes straight to the heart of the matter. We arrived back in Tuscany a week ago for what should be a few good months of family time, visiting friends and research, all peppered with good doses of eating and drinking. No sooner had we arrived at my mother in law's house, weary from traveling halfway across the globe, did the pantry and kitchen doors open wide in invitation... Read More
100 year old apricot jam
This is a 123 year old recipe for apricot jam. It comes from my battered and worn pocket sized edition of Pellegrino Artusi's Science in the Kitchen and the Art of Eating Well. I only bought it a few years ago, it's just battered because I use it all the time. I carry it around in my bag and read it's old fashioned Italian like a novel. It's often held open on one page with one hand while the other whisks or stirs. I don't... Read More
Italian Table Talk: Ragu di coniglio, a family recipe
It's perhaps a tad stereotypical but the idea of the family recipe and Italian cuisine really go hand in hand – that idea of the Italian nonna, apron on, standing over bubbling, steaming pots, weaving magic without the use of recipe book, putting her secret touches here and there, getting ready to feed an army, even if there are only four of you eating. It may not be everyone's nonna, but some still remember her like that. After much... Read More


text:
Tommy Hilfiger
Tommy Hilfiger TH Turnlock Wallet
Ships from USA , delivers within 14-21 DaysAdd to wishlist
- Signature "TH" turnlock closure
- Exterior features gold- or silver-tone hardware and 1 zip pocket
- Interior features 1 zip pocket 2 slip pockets and 6 card slots
- 5-3/4" W x 4" H x 1" D
- Leather
- Imported
- Web ID: 826786417
Special Offers
Return Policy
No questions asked return or exchange*: items may be returned or exchanged for a full refund in the original form of payment or a Vogily Credit within 14 days after shipping. Your satisfaction is our biggest prize, so we do everything to ensure that you are happy with your purchase. All products are 100% authentic, procured from brands directly and are backed by our purchase protection with 10 times money back guarantee. *Please refer to the detailed return policy on the site for exceptions
Ships from USA , delivers within 14-21 Days


text:
Brand Label: Fendi
Available for Purchase Online at Luisa via Roma US for $2050.00Pin It
Height: 12.5cm Length: 21cm Depth: 9.5cm. Detachable, adjustable leather shoulder strap. Two leather top handles. Zip closure. Leather floral appliqués with studs. Leather tag. One internal pocket. Lined.
Shop other brand label items from Fendi on FashionStylist.com.
This item was published for sale online by Luisa via Roma US on October 3, 2016 2:44 pm and last updated by us February 12, 2017 1:08 pm.
Editor Picks: Handbags for the Win
3 1 Phillip Lim Mini Soleil Bucket Bag Women's
Alexander Wang Alpha Suede Bucket Bag
Moschino Bear Leather Crossbody Bag
Burberry Bridle Leather Shoulder Bag
Moschino Its Lit Matchbook Bucket Bag
Editor Picks: All The Cozy Things
Atm Anthony Thomas Melillo Sparkle Pullover Sweatshirt
Burberry Bell Sleeve Sweatshirt Pink
Grey By Jason Wu Merino V Neck Pullover Sweatshirt
Valentino Long Sleeve Rockstud Trim Blouse White
Rag Bone Wool Felt Double Face Wrap Navy Shawl
Editor Picks: The Luxe Luxe
Boucheron 18k Pink Gold Herisson Hedgehog Pendant
Mizuki Fluid Baroque Double Pearl Open Cuff Bracelet
Tamara Comolli Bouton 18k Yellow Gold Pav Eacute
Robert Coin Princess 18k Rose Gold Narrow Diamond
Mimi So Wonderland 18k Yellow Gold Diamond Twig
Editor Picks: The 'IT' Shoes of the Season
Laurence Dacade Pete Embroidered 95mm Booties
Alexander Mcqueen Floral Suede Platform Wedge
Valentino Rockstud Lace Up Pointed Toe Pumps Poudre
Laurence Dacade Mila Sequined 100mm Chelsea Boots
Christian Louboutin Ferme Rouge Self Tie Red Sole
Editor Picks: The Beauty Items on Your Wishlist
Nails Inc The Soft Metals Nail Polish Collection
Benefit Cosmetics Benetint Cheek Lip Stain 0 13
Bite Beauty Best Redux Makeup
Lancome Juicy Shaker 381 Mangoes Wild 0 22 Makeup
Benefit Cosmetics Ka Brow Cream Gel Eyebrow Color
Browse More Fashion Apparel by Fendi (view more)
- $2600.00
Fendi Embellished Micro Double Baguette Cross
- $380.00
Fendi Logo Bubble Patch Polo Shirt
- $360.00
Fendi Mini Bugs Swim Shorts
- $390.00
Fendi Bugs Panel Swim Shorts
- $750.00
Fendi Women's Ananas Bag Charm
- $1300.00
Fendi Women's Witches Bag Charm
- $200.00
Fendi Silk Floral Stripe Scarf
- $600.00
Fendi Floral Silk Crepe Square Scarf
- $202.00
Fendi 0066 Sunglasses
- $2850.00
Fendi Bow Collar Single Breasted Coat With Leather
New promo codes and links offering limited time promotions, sales coupons, and special offers on Fendi designer fashions and accessories will be posted on each designer label apparel page. For the latest up to date information on this Fendi Mini By The Way Bag W Floral Detail fashion item, including product specifications, ordering options, pricing, shipping details, high resolution pictures, shopper comments, and other sales media, visit the Luisa via Roma US Online Store.


text:
The QuestionMature
"I'm so sorry," I say to Ryder, rushing forward to hug him. He pushes me away, causing me to stumble backwards, right into Amy. She catches me, gripping my right arm tightly to keep me balanced.
Even this touch makes me blush, distracting me from Ryder and his problems. Shaking my head clear, I turn my attention back to him. He's standing in the middle of the alley, a few feet away from everyone else, his arms crossed over his chest but his face contorted, proving that he's on the brink of tears.
"Look, I didn't mean to upset you!" I tell him, a little louder than I mean to.
Instead of responding to me and talking all of this out, he spins around on his heels and stomps off, towards the street. He glances over his shoulder; not at me, but at Elliot. Then he turns his head back around and keeps walking.
A few moments after Ryder disappears around the corner, Elliot speaks.
"I should get going. If I leave now, I can get back to school and say my dad's car broke down or something," he says, swinging his backpack over his shoulders. "Catch ya'll later."
Soon after he says this, I find myself alone with Amy. I glance over at her and she smiles at me. Weakly, I smile back at her. 'Why do I feel so nervous around her?'
"Well, I'm not going back to school today," she announces. The statement surprises me; I thought for sure that she'd go back with some lie about being late.
"I guess I'm not either," I mumble, avoiding eye contact with her. It seems like every time I look at her, my face turns red as a tomato.
Amy looks around, as if making sure nobody was listening, and then turns her attention and stares straight at me. "Can I ask you a question?"
"You already asked me one," I say, offering a weak chuckle. 'Stupid joke. Oh, so stupid...'
She grins at me, acting as if the joke was actually funny. Her face suddenly grows serious once more and she hesitates for a minute. "Do you like me?"


text:
- A typical organization loses 5.3 hours per employee per week due to inefficient processes impacting how they work.
- Nearly two hours each day are spent looking for the right expertise and information to do our jobs.
- Two-thirds of people believe there are colleagues who can help them do their jobs better...but they don't know how to find them.
Social Business transformation
- Sort by:
- Date
- Title
- Likes
- Comments ▼
- Views
Join us for the IBM Smart Work Videocast and Global Jam Sept 16-18
Ready for some statistics?
Automatic blogging and Twittering while watching TV shows
Check out this IBM patent for a special TV remote control that allows you to automatically blog and twitter about the TV show you are going to watch:
Smarter Collaboration TCO ROI Calculator
AntonySatyadas 1100009CNT Tags:  virtualize migrate tco roi liberate 1 Comment 3,770 Views
This is my top TCO calculator....
Smarter Collaboration and Mobility
AntonySatyadas 1100009CNT Tags:  mobility 1 Comment 3,679 Views
Many of you might have seen this statistics:
By 2011, IBM expects the number of mobile phone users to hit ONE Billion.
IBM will be investing $100M over the next 5 years in mobile computing efforts - emerging market mobility, mobile enterprise enablement, enterprise to end-user mobile experience, etc.. (http://finance.yahoo.com/news/IBM-to-Invest-100-Million-in-prnews-15546580.html?.v=1)
"For the 83 percent of the world that does not have easy access to the Web via PCs, IBM is helping mobile phone users become more productive. In these locations, there is a dearth of skills, such as technological and language literacy; a lack of infrastructure, such as reliable electrical power; as well as limited availability of smartphones.
IBM Research has established a pilot program in southern India that allows people, including farmers, repairmen, small business owners, and consumers, to post, retrieve or exchange timely information via voice on cellphones. Content -- such as weather and ocean conditions, grain prices, advertisements, bus schedules, news, class schedules, product catalogues, health information and available services appointments -- is created and updated by entrepreneurs and municipalities."So what does this mean to collaborating smarter? Well for starters, anytime anywhere access and interaction with people, information sources, content...
Smarter Villages go hand in hand with Smarter Cities
AntonySatyadas 1100009CNT Tags:  collaboration smart villages cities 1 Comment 3,891 Views
With more than 70% of people predicted to live in cities by 2050, the debate is on around how cities can get smarter: http://www.ibm.com/ibm/ideasfromibm/us/smartplanet/index.shtml#ibm-video?&re=sp5
Equally important becomes the question: how can we make Villages smarter so that maybe more people can be living in the villages. Here is a discussion I have started on this targeting a little state Kerala in India and how we can lead change...
Looming Windows 7 disaster for Windows XP shops MUST READ
AntonySatyadas 1100009CNT Tags:  xp microsoft zdnet agreement forrester windows7 vista gartner enterprise 1 Comment 5,348 Views
Oh oh.. Must Read
"Under Microsoft's planned enterprise licensing rules, businesses that buy PCs before April 23, 2010, with Windows 7 preinstalled can downgrade them to Windows XP, then later upgrade them to Windows 7 when they're ready to migrate their users. But PCs bought on or after April 23 can only be downgraded to Vista -- which is of no help for XP-based organizations, Silver notes -- and could cause major headaches and add more costs to the Windows 7 migration effort."
"Both Forrester Research and Gartner advise clients to wait 12 to 18 months after Windows 7 ships before adopting the new OS, so they can test compatibility of their hardware and software, as well as ensure their vendors' Windows 7 support meets their needs. But Microsoft's six-month downgrade restriction for XP means that the businesses that chose not to install Vista have to rush the migration process. Or they can spend extra money and enroll in Microsoft's Software Assurance program, which then lets them install any OS version at the price of the extra yearly fee (about $90) per PC."
IT needs to work through several other issues when figuring out its Windows 7 migration strategy, Silver points out.
Go liberate (http://www.ibm.com/software/info/liberate), and then figure out alternative migration and virtualization strategies (http://www.ibm.com/lotus/openclient)...
The way we will work - great article in Time special report
AntonySatyadas 1100009CNT Tags:  collaboration smart work 1 Comment 3,886 Views
Great article in the Time magazine (May 25,2009) on the future of work...
1. Retail salespersons
2. office workers
3. registered nurses
4. food prep. and services workers
5. customer services reps
6. janitors and cleaners (not maids/housekeepers)
7. post secondary teachers
8. nursing aides, orderlies and attendants
9. personal and homecare aids
10. home health aides
10 jobs predicted to have the fastest growth rates by 2016:
1. home health aides
2 personal and homecare aides
3. computer software engineers
4. medical assistants
5. hetwork systems and data communication analysts
6. personal finance advisers
7. substance abuse and behavioral disorder counselors
8. veterinary technologists and technicians
9. vets
10 makeup artists, theatrical and performance
Portal, Web 2.0 Smarter Collaboration rollouts in Singapore
Great story of several customers in Singapore adoption IBM technologies for Smarter Collaboration:
"After running a proof of concept in 2007 of possible systems, theschool decided to build its portal with IBM WebSphere and Quickrproducts. It tied six different backend systems, including a studentadministration system running on PeopleSoft software, Blackboard forits course management system and Microsoft Windows Live for e-mail, hesaid.
The school is currently running a pilot trial of 3,000students, and is in the midst of procuring new servers for the finalroll out, which would affect some 13,000 students come February 2010"
"Singapore-based Donut Empire is also jumping on the Web 2.0 bandwagon. The local chain launched a blog site two weeks ago, after a planning period of six months with its Web design company and IBM, according to its co-founder.
Donut Empire also hopes the use of Web 2.0 tools would help itaddress its business objectives such as communicating with itsemployees and franchisees, as well as quicken the response time totheir questions, said Chiew"
[Read More]
Funny and interesting videos that won the Linux foundation video competition
Check these out...
Funniest: http://video.linuxfoundation.org/video/1154
Winner: http://video.linuxfoundation.org/video/1106
See this article for more details: http://www.linux-magazine.com/online/news/we_re_linux_video_competition_winners_announced
[Read More]
Desktop of the future Club at Lotusphere 2008 Orlando
AntonySatyadas 1100009CNT Tags:  canonical csscorp occs redhat mainsoft odf lotusphere2008 desktop novell collaboration client linux microsoft open lotusphere 1 Comment 5,352 Views
Are you attending Lotusphere 2008 in Orlando?
Visit Desktop of the future Club
Check out the sessions in Swan Peacock 2 room starting Monday afternoon (Jan 21st) thru Wed evening (Jan 23rd). The schedule is in a one pager in your attendee bag.
Learn all about the IBM Open Collaboration Client Solution, activities with Linux distros. such as Novell, Red Hat, and other business partners such as Mainsoft, Csscorp, Ericom, Win4lin, Diamondedge, Cashal, etc. Learn about migration strategies.
Value for Customers, Business Partners, ...
[Read More]
From IBM Lotus Notes 5 and Microsoft Desktop to IBM open client solution -- Customer in New Zealand
AntonySatyadas 1100009CNT Tags:  bennett zealand notes linux michael exchange domino client mark microsoft open desktop new sampson 1 Comment 5,716 Views
According to Michael Sampson's blog (http://www.michaelsampson.net/2007/07/mark-bennett-on.html ) a Lotus Notes 5 customer in New Zealand is planning a roll-out of Notes 8."All of the Domino Servers run on Linux, and they are considering the roll-out of some Linux desktops. In terms of Notes 8, Mark says, "What exactly do our people need beyond Notes 8, the inbuilt productivity editors, and a browser?" In other words, Notes 8 paves the way for a move away from both a Windows desktop and Microsoft Office."
See also the IBM web page discussing the IBM open client solution on Linux: http://www.ibm.com/lotus/openclient[Read More]
Forrester Report: Only 11% of customers will definitely renew Microsoft Enteprise Agreement
AntonySatyadas 1100009CNT Tags:  enterprise forrester agreement microsoft-watch microsoft report 1 Comment 4,233 Views
Check this out: http://seattlepi.nwsource.com/business/323025_msftcontracts10.html , http://www.forrester.com/Research/Document/Excerpt/0,7211,42562,00.html and this one too: http://www.microsoft-watch.com/content/operating_systems/software_assurance_storm_warning.html
Per a recent Forrester report, only 11% of the 61 will definitely renew Microsoft Enterprise Agreement. 26% have decided NOT to renew. 86% (more than 3000 user organizations) have the agreement up for renewal in 2007.
"Julie Giera, the Forrester Research vice president who wrote the report, said she speaks with hundreds of Microsoft Software Assurance customers each year, and the findings from the formal study are consistent with what she has been hearing from many of them."
Apparently the Microsoft response did not address the point that was being made in the report: http://www.microsoft-watch.com/content/business_applications/microsofts_licensing_response.html
So folks, if you have a Microsoft enterprise agreement up for renewal or considering to sign a new one, think twice or thrice... Get to the facts. Figure out how you can free up quite a lot of money in your IT budget. See http://www-142.ibm.com/software/sw-lotus/lotus/general.nsf/wdocs/license .
Let me know if you need more guidance on this.[Read More]
US Department of Transportation bans Windows Vista, Explorer 7, and Office 2007 upgrades as more countries adopt open standards and ODF
AntonySatyadas 1100009CNT Tags:  2007 government office federal south dot california germany africa odf microsoft faa vista 1 Comment 5,327 Views
See this article in Informationweek: http://www.informationweek.com/news/showArticle.jhtml?articleID=197700789
Microsoft caught offering money to "Correct" Wikipedia ODF/OOXML articles!
AntonySatyadas 1100009CNT Tags:  xml odf wikipedia infoworld informationweek ooxml cnn 1 Comment 4,180 Views
You just can't make this stuff up: Just last month Microsoft's effort to encourage bloggers to write favorable reviews of Vista by giving away free Acer laptops was exposed. See http://macdailynews.com/index.php/weblog/comments/12071/
Now Microsoft is offering to pay bloggers money to "correct" Wikipedia articles about the Open Document Format (ODF) and Microsoft Office Open XML (OOXML)!
As you know Microsoft has been hotly pursuing ISO to see if OOXML can be standarized. However, some argue that OOXML is not really "open" (http://www.grokdoc.net/index.php/EOOXML_objections ) and with ODF, the world already has an ISO standard that works and is open, independent of Microsoft's proprietary technology.
So what does Microsoft do to combat the growing global momentum behind ODF? They offer to pay bloggers to "correct" Wikipedia entries about ODF!
http://news.yahoo.com/s/infoworld/20070123/tc_infoworld/85339 ; http://www.informationweek.com/showArticle.jhtml? articleID=196903015&cid=RSSfeed_TechWeb ; http://www.cnn.com/2007/TECH/internet/01/24/microsoft.wikipedia.ap/index.html
Microsoft's efforts to put their own twist on open standards continues. What could possibly be next?[Read More]
Redhat deals as Redmondians FUD
AntonySatyadas 1100009CNT Tags:  aol fud redhat vienna sun infoworld apple microsoft novell 1 Comment 4,389 Views
Three articles of interest:
1. Redhats: City of Vienna, Austria has selected Red Hat Enterprise Linux as its server platform of choice. (http://www.eweek.com/article2/0,1895,2062154,00.asp)
2. Redmondians: Apparently some see a pattern exemplified bythe Microsoft - Novell alliance:
The question to ask is: What interoperability capability came out of such a level of collaboration with Microsoft? See what InfoWorld has to say: http://www.infoworld.com/article/06/11/21/48OPreality_1.html
3. So what is the meaning of the Microsoft-Novell deal? Looks like Novell and Microsoft disagree... seems like more Microsoft FUD for sure: http://news.com.com/Microsoft%2C+Novell+spar+over+Linux+agreement/2100-7344_3-6137444.html
[Read More]


text:
Father Dimitri Kasmir: September 16th, 6:42 AM – Home
"It was right that we should make merry and be glad, for your brother was dead and is alive again, and was lost and is found." - Luke 15:32
Ugh... my head...
"Dimitri! Father Dimitri!"
There was a pain in my head that reminded me of the pressure you feel standing underneath the rotors of a Blackhawk. What is it about alcohol that makes your head feel great in the evening, and a complete disaster in the morning? The clock taunted me and buzzed its lovely beckoning call to warn me of approaching Matins service, and that I needed to wake up anyway.
"Damnit KAZ!!! WAKE UP! It's Mike!!!"
"Ok, Mike hang on!"
I slid into my robe and slippers, then headed downstairs to see what had gotten Mike Krunz in an uproar. Mike and I, of similar age, went to high school together, the military together, and even now, he helps me with maintenance of the church and unlocks the doors every morning for those who wish to pray before he heads off to work. However, as I know he is awake at this time every morning, he is far from what I'd consider a morning person. His visit to my abode this early cannot be without significance.
I opened the door to a vision that always gives me a sense of de'ja vu. I swear every time I've seen this man, he's looked exactly the same. Shaven head, yet somehow unkept looking, thick black eyebrows, turned up nose, and a cigarette dangling from his lower lip, never falling. The glow of the embers made a soft orange light that complimented that of the Sun rising off to his right, and framed his standard 5 o'clock shadow.
"Ok Mike, what's going on? Any particular reason you felt the need to try to break my front door down?"
"Kaz, I think you need to get over to the Church. God is needed today in a big way."
"What in the world are you babbling about?" I inquired.
"You really don't want to know what I think. Just hurry up and get dressed." he returned.
Mike reminded me that I am not dressed or showered, but I wanted to make sure Mike realized proper preparations take time. "Alright. Put out your butt, go on in and grab a bite. I'll be ready in a minute."
"Kaz, just please don't take too long, you can get ready for services later."
As Mike wandered into the kitchen, I trudged up the front stairwell like each step was covered in 3 feet of snow. Reaching the top, I felt a buzz enter my head from the small physical exertion, and last night's attempts at self-medication.
I shouted down the stairwell extremely puzzled. "Hey Mike, why aren't you on the way to work?"
After a few seconds, I knew I was not getting an answer. No matter, he'd probably been distracted by some shiny object of some sort. In the desert under fire, I'd trusted him with my life, but here as a civilian? I think he can only focus when he's got immediate, physical harm bearing down on him, which, if had kept banging on my blasted door, he would have.
I had put on my anterri hastily with some sneakers to keep prep time to a minimum. Returning my (now filled) flask to its home in my robe, I had run downstairs to gather Mike and return to the Church.
"Mike! Mike?" I shouted his name, but my call was not returned. A few moments later, I had noticed that my basement door was open, and heard Krunz muttering to himself. "Mike, what is going on? Hello?" I pressed. "I'm ready to go when you are!"
"One damn moment Dimitri, trust me, you'll need this"
In a moment, Mike had emerged from the basement. I had thought his face looked more pale than it usually does, but then again, he didn't have his cup of coffee yet this morning. He had turned to me, and raised his right arm, holding... my Beretta M9 service pistol. Correction, my LOADED Beretta M9 service pistol.
"Come on man, why would I need this?"
"Haven't you been paying attention to the damn news? All hell is about to break loose. For s@#t's sake Dimitri, don't you even watch the NEWS anymore before drinking yourself unconcious? Holy s@#t man, have you fallen that far?"
"I have to admit, I haven't paid much attention to the news lately... come on, we can talk about it on the way over to the Church."
Only, we didn't talk about it on the short walk to the church. We didn't even get the chance. The moment I walked out my front door, I understood why Mike was so spooked. It was eerily silent, except for the direction of the church, where I could hear singing, crying, and yelling. Mike and I picked up our pace and ran across the parking lot to the front of the church. The lot didn't have many cars, but there was a line out front that contained at least 30 people.
"Father Dimitri! What's going on?" "I've lost contact with my daughter and the phones are down, can you pray for her?" "Father Dimitri, what's happening?" "I heard there were gang riots going on, but it seems too widespread. Are people going nuts?" "It's the end of days, not no stinking riots." "Hey Mom, I told you zombies could happen." "It's not zombies, Brad, stop making things up."
On and on it went...
"People! Please! Look, panicking right now is not, nor will ever be the answer. We must trust in God to guide us to the right path. Let's just enter the church for now to Pray for our loved ones, and guidance, and then we'll all gather in the reception area to turn on the news and see what's happening, ok? It's not the end of days, it's no zombie apocolypse, it's probably a bunch of riots because let's face it, the economy stinks. We are all struggling to pay our bills, to keep food on our tables for our children, to make ends meet. We're working too hard for too little while the poor get poorer and the rich get richer. It was only a matter of time before the pressure took it's toll on the peace. Let's just pray for God to take care of us, and watch and guide us, as much as he is good, and loveth mankind. Amen."
After crossing myself, Mike and I opened the main doors to the vestibule, letting people into the the pew area. As I went towards the Iconostas, a young man I only vaguely recognized came up to me.
"Father, would you have any objections to me watching the news now instead of waiting for the whole group? She works up in Forest Lake and I can't get her on her cell."
I nodded my approval and asked if Mike could let him in to the reception area. Watching them go, I returned to the back of the church behind the Iconostas, and reached into my robes for a drink. I had a feeling I'd need a few more before the day was through. Bolstered by liquid courage, I went in front of the pews, and began a quick prayer service.
During the service, I had attempted to focus on the people who had come this morning. Some were people who used to come every Sunday, and during weeknight services. Others were people that I knew only came for Holidays, and one or two I hadn't recognized at all. I led everyone down the hallway to the reception area, where Mike and the young man I had seen before were intent on the news broadcast in front of them on the TV.
"State police and the National Guard have issued a request asking that people stay in their homes today. There have been reports of multiple car accidents across the Twin Cities area, clogging all major arteries, exaserbated by other people leaving their cars behind unattended in frustration. It is unknown what has caused the huge rash of accidents, but what is known is that even with assistance of National Guard volunteers, there is not enough manpower to clear the accidents quick enough to alleviate the traffic pressure. The local police has been stretched thin trying to quell the riots that have spawned overnight in downtown, especially to the southwest of the Mississippi river..."
At that point, I had begun to lose focus on the news report, and shifted my attention to the people that have followed me in here. Mike and the young man were busy chatting about the news reports. Mrs. Emma Chrin and her son Bradley were arguing about whether or not zombies were real. At one of the tables, a group of older parishoners had gathered, and could be seen praying together. I was snapped out of my people watching by Teresa "Terry" Batiuk. Terry was well known in the parish, as of all the people in the church, she probably had one of the strongest people mentally you'd ever meet. She'd have to be... she came over to the United States on a boat from Russia when she was 6 years old, lived through World War II, the eventual "Red Scare", and Cold War. As long as I had known her, she was sharp of mind, and for someone in now entering her 80s, in remarkably good condition.
"Hello Father, can I trouble you for a moment?"
"Of course Terry, I'm glad to see you. Been missing you at services lately."
"We can talk about that later Father. I'm more concerned about John over there. He said someone attacked him this morning, and apparently tripped on something and gashed his arm pretty bad. I think he might need some medical attention."
"Thanks Terry. I'll send Mike over, as he has some experience with wounds. Could you see about calling the hospital or the police to get him some help?"
"Of course Father."
I walked over to where John was sitting, and indeed he had a fairly deep laceration on his arm that had been covered with a strip of his own ripped shirt. A man in his mid 60s, John had a pot belly, greying hair, and that horrible comb-over I promised myself I'd never do no matter how bad my own male pattern baldness would get. I waved to Krunz to get his attention, and began to ask John what happened. John had repeated the same story to me that he must have given to Terry not 15 minutes earlier. Some derrainged teenager attempted to mug him, and during his attempt to get away, he tripped on some loose concrete, and cut his arm on an exposed fence. During recalling the story, Mike had returned with some clean bandages and alcohol from the first aid kits we keep a stock of in case someone has a food allergy or some other unexpected emergency happens during a large church function. The strangest part of John's story was the way he described his attacker. He stated the kid's eyes were bloodshot, with pale skin, disheveled clothing, and walked with a limp. He never asked John for his money, and in fact, never spoke at all, but just attacked him. The teen did not attack with a normal "fists and kicks" method, or a weapon, but in an animalistic fashion, with scratches and bites.
John's story attracted attention. After all was said and done, including John, at least 4 of the people in the Church at the time were attacked, 2 of which actually were bitten, but the bites did not look very serious. John's injury was by far the worst.
After attending to John, and speaking to quite a few of the others, Mike pulled me aside.
"Kaz, we need to talk."
"Sure Mike, what's on your mind? Is this what you didn't want to speak about earlier?"
"Random riots, traffic jams all over the place, phone calls having problems, people being attacked in the streets, rumors about some rampant virus, rabies my ass by the way..."
"John, Steven, Anna, Alex... they were all attacked on their way here. I think we seriously need to start making preparations."
"Preparations for what Mike?"
"Survival. The end of the line. I think God might be returning, and this time, he's pissed off."