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111. 发明授权

US5851219A Suture anchor assembly 失效
标题翻译：缝合锚固装配
公开(公告)号：US5851219A
公开(公告)日：1998-12-22
申请号：US960936
申请日：1997-10-30
申请人： E. Marlowe Goble , Alan Chervitz , David P. Luman , Kenneth L. Jensen
发明人： E. Marlowe Goble , Alan Chervitz , David P. Luman , Kenneth L. Jensen
IPC分类号： A61B17/04 , A61B17/06 , A61B17/56 , A61B17/88
CPC分类号： A61B17/0401 , A61B17/8605 , A61B17/8875 , A61B2017/0409 , A61B2017/0414 , A61B2017/044 , A61B2017/06142 , Y10S606/916
摘要： There is presented a suture anchor comprising a head portion and a connector portion. The head portion includes a pointed free end, a cutting flute extending substantially throughout the length of the head portion, and screw threads extending substantially throughout the length of the head portion. The connector portion extends axially from the head portion for releasable connection to an anchor inserter. The connector portion is provided with structure for attachment of a suture thereto. There is further presented a suture anchor inserter for use in combination with the suture anchor in attachment of the anchor to a bone, and a suture anchor length of suture material. There is still further presented a method for anchoring a length of suture to a bone.
摘要翻译：呈现了包括头部和连接器部分的缝合锚。头部包括尖端的自由端，基本贯穿头部的整个长度延伸的切割槽，以及基本贯穿头部的整个长度延伸的螺纹。连接器部分从头部轴向延伸，以便可释放地连接到锚定插入器。连接器部分设置有用于将缝合线附接到其上的结构。还提供了一种缝合锚钉插入器，其与缝合锚固件组合使用，以将锚固件附接到骨骼上，以及缝合线锚定长度的缝合材料。还进一步提出了将一段缝合线锚定在骨头上的方法。

112. 外观设计

USD374482S Orthopaedic washer 失效
公开(公告)号：USD374482S
公开(公告)日：1996-10-08
申请号：US47759
申请日：1995-12-12
申请人： E. Marlowe Goble , David P. Luman , S. Kyle Hayes
设计人： E. Marlowe Goble , David P. Luman , S. Kyle Hayes

113. 外观设计

USD368777S Orthopaedic washer 失效
公开(公告)号：USD368777S
公开(公告)日：1996-04-09
申请号：US014648
申请日：1993-09-15
申请人： E. Marlowe Goble , David P. Luman , S. Kyle Hayes
设计人： E. Marlowe Goble , David P. Luman , S. Kyle Hayes

114. 发明授权

US5425490A Instrument with dual holding feature 失效
标题翻译：仪器具有双重保持功能
公开(公告)号：US5425490A
公开(公告)日：1995-06-20
申请号：US181840
申请日：1994-01-18
申请人： E. Marlowe Goble , David P. Luman
发明人： E. Marlowe Goble , David P. Luman
IPC分类号： A61B17/00 , A61B17/064 , A61B17/92 , A61F2/08 , B25C3/00 , B25C5/06
CPC分类号： B25C3/006 , A61B17/0642 , A61B17/92 , A61B2017/0046 , A61B2017/0641 , A61B2017/922 , A61F2/0805
摘要： A driver instrument with dual holding features for use with a combination of a medical staple and movable washer with that are used in a surgical procedure for attaching a ligament, or the like, onto a bone surface. The driver includes a straight body that is preferably cylindrical, is formed of a hard metal and includes a hand engaging central portion. A driver top end is flanged outwardly into flat head end that can be struck, as with a hammer to impart a hammer force therethrough, with the driver lower end portion formed with a threaded portion for turning into a threaded hole formed through a web of the medical staple, and with a spring collet formed with, or connected axially to, the driver lower end portion. Installation of the medical staple and washer onto the driver involves passing the spring collect through the staple web hole ahead of the driver threaded portion, and through a smooth walled hole formed through the movable washer, with a spring collet ring end passing through the washer hole and restricting removal therefrom. The driver that mounts the medical staple and movable washer, is held by a surgeon to position the staple legs onto a bone surface, straddling a ligament, and then is used to seat the staple into which bone by applying a hammer force to the driver head end. Whereafter, the driver threaded portion is turned out of the staple web threaded hole, pulling also the driver spring collet section out of the washer hole.
摘要翻译：具有双重保持功能的驱动器具，用于与医用订书钉和可移动垫圈的组合一起使用，用于将韧带等附接到骨表面的外科手术中。驱动器包括优选为圆柱形的直体，由硬质金属形成并包括手接合中心部分。驱动器顶端向外凸出成平头部，与锤子一样可以被击打以施加锤击力，驱动器下端部分形成有螺纹部分，该螺纹部分转变成通过网状物形成的螺纹孔医用订书钉，以及与驱动器下端部分形成或轴向连接的弹簧夹头。将医用订书钉和垫圈安装在驾驶员上，包括使弹簧收集器穿过驱动器螺纹部分前方的订书钉孔，并穿过可移动垫圈形成的平滑的壁孔，弹簧夹头环通过垫圈孔并限制从中取出。安装医用订书钉和可移动垫圈的驱动器由外科医生保持，以将钉腿定位在骨表面上，跨过韧带，然后用于通过向驱动头施加锤击力来将钉放置在其中结束。此后，驱动器螺纹部分从订书钉卷筒螺纹孔转出，也将驱动器弹簧夹头部分拉出垫圈孔。

115. 发明授权

US5397356A Pin for securing a replacement ligament to a bone 失效
标题翻译：用于固定替换韧带到骨头的针
公开(公告)号：US5397356A
公开(公告)日：1995-03-14
申请号：US5242
申请日：1993-01-15
申请人： E. Marlowe Goble , Jerry L. Lower
发明人： E. Marlowe Goble , Jerry L. Lower
IPC分类号： A61B17/58 , A61B17/86 , A61F2/08 , A61F2/38
CPC分类号： A61F2/0811 , A61B17/86 , A61F2/38 , A61F2002/0829 , A61F2002/087 , A61F2002/0882
摘要： A pin is provided for securing a replacement ligament inside a tunnel of a receptor bone. The pin includes a body portion having a threaded section for engaging the receptor bone to anchor the pin in the receptor bone. The body portion also includes a tapered shank located adjacent the threaded portion. The tapered shank is configured to enter a drilled hole having a predetermined diameter formed in the replacement ligament to force the replacement ligament against the wall of the tunnel. The tapered shank has a first diameter at a first end of the tapered shank opposite the threaded portion which is smaller than the predetermined diameter of the drilled hole and a second diameter adjacent the threaded portion which is larger than the predetermined diameter so that the tapered shank engages the replacement ligament in the tunnel as the pin is inserted through the drilled hole in the replacement ligament to force the replacement ligament against a side wall of the tunnel to promote healing of the replacement ligament within the receptor bone. The pin further includes a head coupled to an end of the body portion adjacent the threaded section for driving the pin into the receptor bone.
摘要翻译：提供一个销，用于将置换韧带固定在受体骨的隧道内。销包括主体部分，该主体部分具有螺纹部分，用于接合受体骨以将销锚定在受体骨中。主体部分还包括位于螺纹部分附近的锥形柄部。锥形柄构造成进入具有形成在置换韧带中的预定直径的钻孔，以迫使置换韧带抵靠隧道的壁。锥形柄在锥形柄部的与螺纹部分相对的第一端处具有小于钻孔的预定直径的第一直径，并且与螺纹部分相邻的第二直径大于预定直径，使得锥形柄部当销钉穿过置换韧带中的钻孔插入隧道中时，将替换的韧带与隧道中的替换韧带接合，以迫使置换韧带抵靠隧道的侧壁，以促进受体骨内置换韧带愈合。销还包括联接到主体部分的与螺纹部分相邻的端部的头部，用于将销引导到受体骨中。

116. 再颁专利

USRE34762E Procedure for verifying isometric ligament positioning 失效
标题翻译：验证等距韧带定位的程序
公开(公告)号：USRE34762E
公开(公告)日：1994-10-18
申请号：US101040
申请日：1993-08-03
申请人： E. Marlowe Goble , W. Karl Somers
发明人： E. Marlowe Goble , W. Karl Somers
IPC分类号： A61B17/56 , A61B17/04 , A61B17/86 , A61B19/00 , A61F2/02 , A61F2/08
CPC分类号： A61F2/0811 , A61B17/8645 , A61B90/06 , A61F2/0805 , A61B17/0401 , A61B2017/044 , A61B2017/0458 , A61B2017/0496 , A61B2090/064 , A61F2002/0882 , A61F2240/008
摘要： For knee reconstruction surgery involving replacement of an anterior or posterior cruciate ligament the present invention is in a process of verifying isometric ligament positioning at the femoral and tibial points of origin that includes, as apparatus, an arrangement of a stud (19) with attached suture (24) to serve as a mock ligament for testing isometry. In practice, as for an anterior cruciate ligament replacement procedure, a surgeon, observing on a fluoroscopic monitor (17), forms a tibial tunnel (18) from a point medial to the tibial tuberosity that exits a test or proposed tibial point of ligament origin. The stud (19) is arranged for turning on a driver (20) that is then passed through that formed tunnel and the stud is turned into the test or proposed femoral point of ligament origin. The driver (20) is then pulled out of engagement with the stud (19) exposing the suture (24) that extends from that stud, which suture (24) is attached under tension to a tension isometer (25) and the knee (10) is flexed through its full range of motion. With an isometrically correct selection of the femoral and tibial ligament points of origin, the tension isometer (25) will show no more than a three (3) pound change in force and no more than a two (2) mm change in ligament length or distance between the two points of origin over a full range of knee (10) flexure.
摘要翻译：对于涉及替换前交叉韧带或后交叉韧带的膝关节重建手术，本发明处于验证在股骨和胫骨原点处的等距韧带定位的过程，其包括作为装置的具有连接的缝合线的螺栓（19）的布置（24）作为测试等距的模拟韧带。在实践中，对于前交叉韧带置换手术，外科医生在透视监视器（17）上观察，形成从内侧到胫骨结节的胫骨隧道（18），该胫骨隧道离开测试或提出的韧带起源的胫骨点。螺柱（19）被布置成用于打开驱动器（20），然后使其穿过形成的隧道，并且螺柱变成测试或提出的韧带起始的股骨点。然后将驱动器（20）拉出与突出部（19）的接合处，所述螺柱（19）露出从所述螺柱延伸的缝合线（24），所述缝合线（24）在张力下连接到张力计（25）和膝盖（10））通过其全范围的运动弯曲。通过正交选择股骨和胫骨韧带的原点，张力计（25）将显示不超过三（3）磅的力的变化，不超过两（2）mm的韧带长度变化或两点之间的距离在全范围的膝盖（10）弯曲处。

117. 发明授权

US5234434A Mutliple guide sleeve drill guide 失效
标题翻译：多引导套筒钻头指南
公开(公告)号：US5234434A
公开(公告)日：1993-08-10
申请号：US930273
申请日：1992-08-17
申请人： E. Marlowe Goble , W. Karl Somers
发明人： E. Marlowe Goble , W. Karl Somers
IPC分类号： A61B17/00 , A61B17/17
CPC分类号： A61B17/1714 , A61B17/1764 , A61F2/0805 , A61B17/00234 , A61F2002/0852 , A61F2002/0882
摘要： The invention is in a double guide sleeve drill guide for use in an arthroscopic surgical procedure for replacement of a cruciate ligament in a straight ligament tunnel procedure that involves forming intersecting tunnels to the femoral and tibial sections of which straight ligament tunnel. The drill guide of the invention includes straight parallel reference and guide rods that are in the extend from a web member at right angles and are in the same plane, forming a U-shaped device, with the reference rod arranged for fitting into which straight ligament tunnel. The connection of which reference rod to the web member is adjustable along the web member for setting a spacing distance between which reference and guide rods, and equidistant markings are scribed along the reference rod as a scale. The guide rod mounts a pair of blocks, one fixed and one movable, with threaded holes formed through each for receiving a guide sleeve wherethrough a drill is turned, guiding drilling of holes that intersect which femoral and tibial tunnel sections. The fixed block is slightly movable to spread apart the threaded guide sleeve hole that is formed as two segments, to allow for passage of a drill sleeve slid therein. The two threaded guide sleeve hole sections are closed together to mesh with a guide sleeve threaded body portion, and a slot is formed in the guide rod that intersects the fixed block threaded guide sleeve hole to allow a drill or K-wire to pass therethrough.
摘要翻译：本发明是一种用于关节镜外科手术中的双引导套筒钻引导件，用于在直韧韧带隧道手术中替换十字韧带，其涉及在其直线韧带隧道的股骨和胫骨部分形成相交的隧道。本发明的钻子引导件包括直的平行基准杆和引导杆，其从腹板构件以直角延伸并且在同一平面内，形成U形装置，其中参考杆被安装成直线韧带隧道。参考杆与腹板构件的连接可沿腹板构件调节，用于设定参考杆和导向杆之间的间隔距离，并且等距标记沿着参考杆作为刻度刻划。引导杆安装一个固定的和一个可移动的块，其中形成有用于接收钻头转动的导向套筒的螺纹孔，用于引导穿过与股骨和胫骨隧道部分相交的孔的钻孔。固定块稍微移动以将形成为两个段的螺纹导向套筒孔分开，以允许钻套在其中滑动的通过。两个螺纹导向套筒孔部分被封闭在一起以与导向套筒螺纹主体部分啮合，并且在引导杆中形成有与固定块螺纹导向套筒孔相交的槽，以允许钻头或K线通过。

118. 发明授权

US5129902A Endosteal ligament retainer and process 失效
标题翻译：内固定韧带保留和过程
公开(公告)号：US5129902A
公开(公告)日：1992-07-14
申请号：US511761
申请日：1990-04-20
申请人： E. Marlowe Goble , Karl Somers
发明人： E. Marlowe Goble , Karl Somers
IPC分类号： A61F2/08
CPC分类号： A61F2/0811 , A61F2002/0829 , A61F2002/0852 , A61F2002/0882 , Y10S606/908 , Y10S606/91 , Y10S606/916
摘要： An endosteal ligament retainer for use in an arthroscopic surgical procedure to replace an anterior or posterior cruciate ligament, the retainer for endosteally mounting a ligament end, with or without a stent, tendon, or the like into the endosteum end of a femoral or tibial tunnel section. The embodiments of the retainer, include a disk shaped base, that can be axially pivotally mounted to a screw head end and may be holed or include upstanding arcuate walls projecting from the disk edge that are for securing a ligament end thereto, as by sewing with a suture. Alternatively, a center holed disk and screw fitted axially therethrough make up the retainer, which disk includes spaced apart radial holes for receiving a suture or sutures sewn therethrough and to a ligament end, mounting the disk across that ligament end. Additionally, the retainer can be a disk fixed across a rear end of a nail or peg to attached a ligament graft end thereto, the nail or peg leading or forward end to include spaced individual flexing rings that will collapse opposite to the direction or travel into a close fitting tunnel end to then flex outwardly, locking in the endosteum when a tensile force is applied thereto.A driver is provided for fitting longitudinally through or alongside a ligament graft, which driver connects to either turn the screw or urge the nail or peg into the tunnel endosteum end. The driver, ligament and endosteal ligament retainer are for fitting by a surgeon into and along the aligned femoral and tibial tunnels into a prepared bone endosteum tunnel end for endosteally mounting the ligament graft end thereto.
摘要翻译：一种用于关节镜外科手术以替代前交叉韧带或后交叉韧带的内皮韧带保持器，用于内固定韧带末端的保持器，具有或不具有支架，腱等到股骨或胫骨隧道的内骨端部分。保持器的实施例包括盘形基座，其可以轴向地枢转地安装到螺钉头端部，并且可以是孔或包括从盘边缘突出的用于将韧带端部固定的直立弓形壁，如通过缝合缝合线或者，轴向穿过的中心孔盘和螺钉组成保持器，该盘包括间隔开的径向孔，用于接收缝合在其中的缝合线或缝合线以及韧带端，将盘安装在该韧带末端。此外，保持器可以是固定在钉子或栓钉的后端上的盘，以将韧带移植端附接到其上，指甲或栓钉前端或前端，以包括将相对于该方向折叠或行进的间隔开的单独的弯曲环紧密的隧道端然后向外弯曲，当向其施加张力时锁定在内壁中。提供驱动器以纵向穿过或沿着韧带移植物连接，该驱动器连接以转动螺钉或将钉子或栓钉推入隧道内端。驱动器，韧带和内膜韧带保持器用于由外科医生进入和沿着对准的股骨和胫骨隧道进入准备好的骨内骨隧道端，用于将韧带移植端内向内固定。

119. 发明授权

US5037426A Procedure for verifying isometric ligament positioning 失效
标题翻译：验证等距韧带定位的程序
公开(公告)号：US5037426A
公开(公告)日：1991-08-06
申请号：US246324
申请日：1988-09-19
申请人： E. Marlowe Goble , W. Karl Somers
发明人： E. Marlowe Goble , W. Karl Somers
IPC分类号： A61B17/56 , A61B17/04 , A61B17/86 , A61B19/00 , A61F2/02 , A61F2/08
CPC分类号： A61F2/0811 , A61B17/8645 , A61B90/06 , A61F2/0805 , A61B17/0401 , A61B2017/044 , A61B2017/0458 , A61B2017/0496 , A61B2090/064 , A61F2002/0882 , A61F2240/008
摘要： For knee reconstruction surgery involving replacement of an anterior or posterior cruciate ligament the present invention is in a process for verifying isometric ligament positioning at the femoral and tibial points of origin that includes, as apparatus, an arrangement of a stud (19) with attached suture (24) to serve as a mock ligament for testing isometry. In practice, as for an anterior cruciate ligament replacement procedure, a surgeon, observing on a fluoroscopic monitor (17), forms a tibial tunnel (18) from a point medial to the tibial tuberosity that exits a test or proposed tibial point of ligament origin. The stud (19) is arranged for turning on a driver (20) that is then passed through that formed tunnel and the stud is turned into the test or proposed femoral point of ligament origin. The driver (20) is then pulled out of engagement with the stud (19) exposing the suture (24) that extends from that stud, which suture (24) is attached under tension to a tension isometer (25) and the knee (10) is flexed through its full range of motion. With an isometrically correct selection of the femoral and tibial ligament points of origin, the tension isometer (25) will show no more than a three (3) pound change in force and no more than a two (2) mm change in ligament length or distance between the two points of origin over a full range of knee (10) flexure.

120. 发明授权

US4960420A Channel ligament clamp and system 失效
标题翻译：通道韧带夹和系统
公开(公告)号：US4960420A
公开(公告)日：1990-10-02
申请号：US235194
申请日：1988-08-23
申请人： E. Marlowe Goble , W. Karl Somers
发明人： E. Marlowe Goble , W. Karl Somers
IPC分类号： A61B17/11 , A61B17/064 , A61B17/17 , A61B17/56 , A61F2/08 , A61F2/30
CPC分类号： A61F2/0811 , A61B17/0642 , A61B17/17 , A61B2017/0641 , A61B2017/0648 , A61F2002/0829 , A61F2002/0864 , A61F2002/0888 , A61F2002/30841 , A61F2002/30892
摘要： A ligament fixation device and system for its use that includes a channel ligament clamp (10) fabricated for human implantation and consisting of a channel section having a web (13) between parallel sides wherefrom sections have been removed leaving spaced apart pointed spikes (11) that extend outwardly from walls (12), the channel web including a group of pointed pins (15) that extend therefrom parallel and alongside the spikes (11), and at least one screw-type fastener hole (14) formed therethrough. The system of the invention includes tooling for locating a ligament on a bone surface and scoring that surface for drilling. After drilling, a right angle post (22) of a drilling guide (21) is fitted into that drilled hole (20) and the drill guide longitudinal axis is aligned with the ligament location on the bone surface, which drilling guide has an array of spike and pin holes formed therethrough for receiving a drill turned individually therethrough into the bone surface. In practice, the clamp (10) is positioned over the drilled holes, with a ligament under tension therebetween and the pointed pins (15) are driven through the ligament and into the prepared pin holes, preferably utilizing a seating tool (30), and a screw (40) is turned through the web hole (19) and the ligament into the prepared hole (20), to sandwich the ligament that is contained between the clamp spikes (12) against the bone surface.

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