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11. 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.

12. 发明授权

US4870957A Ligament anchor system 失效
标题翻译：韧带锚系统
公开(公告)号：US4870957A
公开(公告)日：1989-10-03
申请号：US289728
申请日：1988-12-27
申请人： E. Marlowe Goble , W. Karl Somers
发明人： E. Marlowe Goble , W. Karl Somers
IPC分类号： A61B17/68 , A61F2/08
CPC分类号： A61B17/686 , A61F2/0811 , A61F2002/0829 , A61F2002/0852 , A61F2002/087 , A61F2002/0882 , Y10S606/907 , Y10S606/916 , Y10S623/902
摘要： An anchor system that is preferably for use in an arthoscopic cruciate ligament replacement procedure for securing a ligament (37) or (50), or ligament type device, with or without a stint (38), within a prepared ligament tunnel (33). The system includes a pair of threaded footings (11) for turning in opposite tapped ligament tunnel cortex ends (34) and (35) and studs (10), each having an eyelet end (18) or, for a prosthetic ligament (50) is secured to the ligament end, the studs each having a cylindrical body (17) and flared end (12). The stud flared end terminates in a lip (15) wherefrom a lock wall (16) extends at an angle to the vertical to the cylindrical body, which flared end is cross-cut at (19) and (20), forming sections. The stud flared end (12) sections to close together to fit through the threaded footing (11) and flex outwardly beyond that footing end (24), the lip lock wall (16) to flex over that footing end locking the stud therein.In practice, the ligament (37) with or without the stint (38) is formed into a loop for sliding along the stud (10), slot (20) into the eyelet (18), or the studs are attached to a prosthetic ligament ends in its manufacture, the pair of studs and connected ligament and stint for manipulation through an arthoscopic port (36) formed into the patient's knee, each stud for seating into a threaded footing, the studs each locking therein with the ligament stretched across the knee intra articular joint. Whereafter, tension on the ligament can be adjusted by individually turning the threaded footings appropriately into or out of the cortex threads.

13. 发明授权

US4772286A Ligament attachment method and apparatus 失效
标题翻译：韧带附着方法及装置
公开(公告)号：US4772286A
公开(公告)日：1988-09-20
申请号：US15432
申请日：1987-02-17
申请人： E. Marlowe Goble , W. Karl Somers
发明人： E. Marlowe Goble , W. Karl Somers
IPC分类号： A61B17/56 , A61B17/68 , A61F2/02 , A61F2/08 , A61F2/30 , A61F2/28
CPC分类号： A61B17/686 , A61F2/0811 , A61F2002/0835 , A61F2002/0864 , A61F2002/087 , A61F2002/0882 , A61F2002/30062 , A61F2002/3085 , A61F2210/0004
摘要： The invention provides a system for surgically implanting an allograft or prosthetic ligament as a replacement for a patient's cruciate ligaments. In a practice of the system, as a replacement for an anterior cruciate ligament, the patient's leg is bent and maintained at approximately a ninety degree (90.degree.) angle, a single incision is made medial to the tibial tuberosity. From this incision, under fluoroscopic and arthroscopic contol, a guidewire is driven through the tibia and across the cruciate ligament junctions with the proximal tibia and distal femur ends and into the femur cortex. Succesively larger drills are then turned along the guidewire to form a ligament tunnel, with, as a last step in the tunnel formation process, the preparation of the femur cortex end of the tunnel to receive a femoral connector of the implanted ligament, which connector is arranged in one embodiment to be outwardly flared and in another embodiment to be turned into the appropriately prepared femur end of the ligament tunnel to lock therein. The invention, in addition to the embodiments of the ligament femur end connectors, further includes a tibial surface ligament tibial end connector for both securing the ligament end to the bone and for setting ligament tensioning, of which ligament connectors can be manufactured from a biodegradable material for absorption by the body.
摘要翻译：本发明提供了一种用于手术植入同种异体移植物或假体韧带以作为患者十字韧带的替代物的系统。在该系统的实践中，作为前交叉韧带的替代物，患者的腿弯曲并保持在大约九十度（90度）的角度，单个切口在胫骨结节内侧。从这个切口，在荧光镜和关节镜轮廓下，导丝通过胫骨并穿过十字韧带与近端胫骨和股骨远端端部并进入股骨皮层。然后成功地较大的钻头沿着导丝线转动以形成韧带隧道，作为隧道形成过程中的最后一个步骤，准备隧道的股骨皮质端以接收植入的韧带的股骨连接器，该连接器布置在一个实施例中以向外扩张，并且在另一个实施例中被转换成适当准备的韧带隧道的股骨端以锁定在其中。除了韧带股骨端连接器的实施例之外，本发明还包括胫骨表面韧带胫骨端连接器，用于将韧带末端固定到骨头并用于设置韧带张紧，其中韧带连接器可以由生物可降解材料为身体吸收。

14. 发明授权

US5314427A Channel ligament clamp 失效
标题翻译：通道韧带夹
公开(公告)号：US5314427A
公开(公告)日：1994-05-24
申请号：US959546
申请日：1992-10-13
申请人： E. Marlowe Goble , W. Karl Somers
发明人： E. Marlowe Goble , W. Karl Somers
IPC分类号： A61B17/064 , A61F2/08 , A61F2/30 , A61B17/56 , F16B15/00
CPC分类号： A61F2/0811 , A61B17/0642 , A61B2017/0641 , A61F2/0805 , A61F2002/0829 , A61F2002/0858 , A61F2002/30841 , A61F2002/30892
摘要： The improved channel ligament clamp of the invention is for human implantation in a surgical procedure for securing a ligament, that is either natural or prosthetic, onto a bone cortex and includes, as a clamp body, a rectangular section of a thin, flat metal material, such as titanium, with identical equal opposite edge portions of which material bent at approximately right angles forming upstanding parallel side walls. Edges of which upstanding parallel side walls are for contacting a bone surface whereto the clamp is secured to closely contain a ligament section therebetween without crushing it, and which parallel side walls are the side walls of a channel section with the flat material therebetween constituting the channel section web. Which channel section web includes a plurality of pointed end parallel pins secured thereto that extend at right angles and are parallel to clamp the side walls. Preferably four pins are employed with each arranged as a corner of a square pattern, and a hole that is preferably threaded, is formed through the web in the center of which formed square for passing a screw type connector therethrough.
摘要翻译：本发明的改进的通道韧带夹具是用于将外科手术中的人植入固定在骨皮质上的天然或假体的韧带，并且包括作为夹具体的薄的扁平金属材料的矩形截面，例如钛，其具有相同的相等的相对边缘部分，其材料以大致直角弯曲，形成直立的平行侧壁。其直立的平行侧壁的边缘用于接触固定夹具的骨表面，以密封地容纳其间的韧带部分，而不破坏它，并且平行的侧壁是通道部分的侧壁，其间的平坦材料构成通道部分网。哪个通道部分网包括固定到其上的多个尖端平行销，其以直角延伸并平行于夹紧侧壁。优选地，使用四个销，每个销被布置为正方形图案的角部，并且优选地是螺纹的孔形成为穿过其中心的纸幅形成为用于使螺钉型连接器通过的方形。

15. 发明授权

US4997433A Endosteal fixation stud and system 失效
标题翻译：骨内固定栓和系统
公开(公告)号：US4997433A
公开(公告)日：1991-03-05
申请号：US465914
申请日：1990-01-16
申请人： E. Marlowe Goble , W. Karl Somers
发明人： E. Marlowe Goble , W. Karl Somers
IPC分类号： A61B17/56 , A61F2/08 , A61F2/30
CPC分类号： A61F2/0811 , A61F2002/0829 , A61F2002/0864 , A61F2002/087 , A61F2002/0882
摘要： An endosteal fixation for mounting a prosthetic or soft tissue graft or combination thereof, under tension at a cortex end of a bone tunnel and process for its use. The endosteal fixation stud includes a cylindrical body that is preferably manufactured from a somewhat resilient material, and is suitable for implantation in a human body. The cylindrical body is stepped outwardly, proximate to a rear end, into a bridge that has spaced rearwardly extending arms wherebetween the graft is secured. The cylindrical body forward end is split into equal parallel sections that can be flexed together, one of which sections includes a hook that extends and rearwardly, that will align with the cylindrical body surface when the two cylindrical body sections are compressed together. The endosteal fixation stud can be arranged to be pushed or pulled through a bone tunnel.A single endosteal fixation stud is utilized to mount a graft and to the cortex at a bone tunnel end, the graft extending therefrom through the tunnel and out the opposite bone tunnel end, whereat it is bent and secured under tension, as with a staple, to the cortex surface adjacent to that bone tunnel end.
摘要翻译：用于在骨隧道的皮层末端处张力地安装假体或软组织移植物或其组合的骨内固定物及其使用方法。骨内固定钉包括圆柱体，其优选地由稍微弹性的材料制成，并且适合于植入人体。圆柱形体靠近后端向外延伸成具有间隔开的向后延伸臂的桥，其中移植物之间固定。圆柱体前端被分成相同的平行部分，该平行部分可以弯曲在一起，其中一个部分包括一个向上和向后延伸的钩子，当两个圆柱形主体部分被压缩在一起时，它们将与圆柱形主体表面对齐。骨内固定钉可以被布置成被推或穿过骨隧道。单个内固定固定螺柱用于在骨隧道端安装移植物和皮质，移植物通过隧道从其延伸穿过相对的骨隧道端，并在其上被弯曲并在紧固下固定，如钉，到与该骨隧道末端相邻的皮质表面。

16. 发明申请

US20190350601A1 KNEE INSTRUMENTS AND METHODS 审中-公开
公开(公告)号：US20190350601A1
公开(公告)日：2019-11-21
申请号：US16530929
申请日：2019-08-02
申请人： E. Marlowe Goble
发明人： E. Marlowe Goble , Carlyle J. Creger , Daniel J. Triplett
IPC分类号： A61B17/17 , A61B17/15 , A61B90/00
摘要： Knee arthroplasty instrument systems directly reference and align with the anterior distal femoral cortex and the mechanical axis of the leg. The anterior femoral resection is aligned in the same plane as the anterior distal femoral cortex. The center of the femoral head, the medial/lateral center of the distal femur, the medial/lateral center of the proximal tibia, and the second toe, medial/lateral center of the ankle, or anterior tibial spine are all aligned to the mechanical axis of the leg. Methods of using a cut guide assembly and referencing a provisional proximal tibial resection at the base of the tibial eminence are disclosed.

17. 发明申请

US20190274696A1 KNEE INSTRUMENTS AND METHODS 审中-公开
公开(公告)号：US20190274696A1
公开(公告)日：2019-09-12
申请号：US16287976
申请日：2019-02-27
申请人： E. Marlowe Goble , Daniel J. Triplett
发明人： E. Marlowe Goble , Daniel J. Triplett
IPC分类号： A61B17/17 , A61F2/46 , A61B17/15 , A61B17/16
摘要： An adjustable femoral pin guide assembly includes a base and a femoral extension rod assembly. The base may be rotated to align with the femoral shaft axis while the femoral extension rod assembly aligns with the leg mechanical axis. An adjustable distal femoral cut guide assembly may be adjusted to provide a range of varus/valgus angles for the distal femoral resection. An adjustable, single-use, disposable four-in-one cut guide may be adjusted to position saw slots for the anterior and posterior femoral resections and the anterior and posterior chamfer cuts for various size femoral components, then locked. A foot holder assembly includes an anterior tibial target that may be adjusted in three dimensions relative to the tibia. A femoral sizing guide includes a sliding drill guide to position a pin in the distal femur in a specific orientation relative to the leg mechanical axis.

18. 发明授权

US08876906B2 Method and apparatus for spine joint replacement 有权
标题翻译：脊柱关节置换的方法和装置
公开(公告)号：US08876906B2
公开(公告)日：2014-11-04
申请号：US13098896
申请日：2011-05-02
申请人： T. Wade Fallin , Robert W. Hoy , E. Marlowe Goble
发明人： T. Wade Fallin , Robert W. Hoy , E. Marlowe Goble
IPC分类号： A61F2/44 , A61F2/30 , A61B17/86
CPC分类号： A61F2/4405 , A61B17/86 , A61F2/30767 , A61F2/442 , A61F2002/30168 , A61F2002/30177 , A61F2002/30578 , A61F2002/30708 , A61F2002/30878 , A61F2002/449 , A61F2230/0043 , A61F2230/0056 , A61F2250/0084 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00604 , A61F2310/00634
摘要： A prosthesis for the replacement of the cartilaginous structures of a spine motion segment is described. The prosthesis comprises an intervertebral disc prosthesis in combination with a facet joint prosthesis.
摘要翻译：描述了用于替代脊柱运动段的软骨结构的假体。假体包括与小关节假体组合的椎间盘假体。

19. 发明授权

US08683896B2 Ergonomic surgical instrument handle 有权
标题翻译：人体工程学手术器械手柄
公开(公告)号：US08683896B2
公开(公告)日：2014-04-01
申请号：US13041846
申请日：2011-03-07
申请人： Daniel E. Gerbec , Joseph Q. Marietta , Brandon T. Walker , E. Marlowe Goble
发明人： Daniel E. Gerbec , Joseph Q. Marietta , Brandon T. Walker , E. Marlowe Goble
IPC分类号： B25G1/01
CPC分类号： A61B17/00
摘要： Instrument handles isolate the functions of supporting the instrument and actuating controls on the instrument. An instrument handle may be grasped and supported by the less dexterous digits and palm of a human hand, and controls mounted on the instrument handle may be actuated by the more dexterous digits. The instrument handle may couple to an end effector so that the hand, wrist, elbow, and shoulder remain in a comfortable position when the end effector is positioned to act effectively on a selected portion of a workpiece, such as a surgical site.
摘要翻译：仪器手柄隔离支持仪器和启动仪器控制的功能。仪器手柄可以由人手的较少灵巧的数字和手掌掌握和支撑，并且安装在乐器手柄上的控制可以由更灵巧的数字来启动。仪器手柄可以联接到末端执行器，使得当端部执行器被定位成有效地作用在诸如外科手术部位的工件的选定部分上时，手，腕，肘部和肩部保持在舒适的位置。

20. 发明授权

US08313511B2 Facet joint replacement 有权
标题翻译：方面关节置换
公开(公告)号：US08313511B2
公开(公告)日：2012-11-20
申请号：US11211849
申请日：2005-08-24
申请人： E. Marlowe Goble , T. Wade Fallin , Robert W. Hoy
发明人： E. Marlowe Goble , T. Wade Fallin , Robert W. Hoy
IPC分类号： A61B17/70
CPC分类号： A61F2/44 , A61F2/30767 , A61F2/4405 , A61F2002/30574 , A61F2002/30578 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00395 , A61F2310/00604 , A61F2310/00634 , A61F2310/00796 , A61F2310/00958 , A61F2310/00976 , Y10S606/907
摘要： A prosthesis for the replacement of a diseased or traumatized facet of a mammalian vertebra includes a surface that articulates with another prosthetic facet or a natural facet, a portion that replaces at least a bony portion of the diseased or traumatized spine facet which is to be replaced, and an element to attach the prosthesis to the vertebra in a manner that does not require attachment to or abutment against the posterior arch. A method of installing the prosthesis includes the steps of resecting at least a portion of a facet and attaching the prosthesis in a manner that does not require attachment or abutment against the posterior arch.
摘要翻译：用于替换哺乳动物脊椎的患病或创伤小面的假体包括与另一个假体小面或天然小面相关联的表面，替代待被替换的患病或创伤脊柱面的至少骨部分的部分以及以不需要附接到或与后弓邻接的方式将假体附接到椎骨的元件。安装假体的方法包括以不需要附接或抵靠后弓的方式切除小面的至少一部分并附接假体的步骤。

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