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11. 发明授权

US06884251B2 Apparatus and method for performing an anastomosis 失效
标题翻译：用于进行吻合的装置和方法
公开(公告)号：US06884251B2
公开(公告)日：2005-04-26
申请号：US10384250
申请日：2003-03-06
申请人： Paul A. Spence , Warren P. Williamson, IV , George Christakis , Mark Ortiz , Craig B. Berky , Douglas P. Allen , Matthew J. Huddleston , Delbert Ted Leimbach , Cecil R. Robinson , E. Dale VanHoose , Thomas J. Ward , Marty J. Warnecke
发明人： Paul A. Spence , Warren P. Williamson, IV , George Christakis , Mark Ortiz , Craig B. Berky , Douglas P. Allen , Matthew J. Huddleston , Delbert Ted Leimbach , Cecil R. Robinson , E. Dale VanHoose , Thomas J. Ward , Marty J. Warnecke
IPC分类号： A61B17/11 , A61B17/115 , A61B17/08
CPC分类号： A61B17/11 , A61B17/1152 , A61B2017/1135 , A61B2017/1139
摘要： An anastomosis is performed using a flexible mounting structure mounted on the outside of at least one vessel. Fasteners extend through the vessel and are bent towards the incision to attach the flexible mounting structure to the vessel in a manner that controls the edge of the vessel adjacent to the incision. The mounting structures are oriented on each vessel so fasteners on one mounting structure interdigitate with fasteners on the other mounting structure at the location of contact between the vessels when the two vessels are brought together. This creates two complementary sinusoidal-shaped vessel edges with peaks of one edge being accommodated in the valleys of the other edge. The peak-to-valley orientation forms a sinusoidal-shaped joint which is leak free. The fasteners are spaced so proper pressure is applied to the tissue to promote healing without leaking. Furthermore, the fasteners are sized and shaped to properly engage the tissue and bend in a desired manner. Methods and tools for carrying out the anastomosis according to the invention are also disclosed. Methods for forming the fastener and the tines having the proper characteristics are disclosed. An absorbable ring-shaped stent is also disclosed.
摘要翻译：使用安装在至少一个容器的外部的柔性安装结构进行吻合。紧固件延伸穿过容器并朝向切口弯曲，以将控制与切口相邻的容器边缘的方式将柔性安装结构附接到容器。安装结构被定向在每个容器上，因此当两个容器被接合在一起时，在一个安装结构上的紧固件与另一个安装结构上的紧固件在容器之间的接触位置处相互交错。这产生两个互补的正弦形容器边缘，其中一个边缘的峰值被容纳在另一个边缘的谷部中。峰 - 谷取向形成无泄漏的正弦形接头。紧固件间隔开，以便适当的压力施加到组织以促进愈合而不泄漏。此外，紧固件的尺寸和形状适于适当地接合组织并以期望的方式弯曲。还公开了用于进行根据本发明的吻合的方法和工具。公开了用于形成紧固件和具有适当特性的尖齿的方法。还公开了可吸收的环形支架。

12. 发明授权

US08114129B2 Apparatus and methods for tendon or ligament repair 失效
标题翻译：用于腱或韧带修复的装置和方法
公开(公告)号：US08114129B2
公开(公告)日：2012-02-14
申请号：US12606423
申请日：2009-10-27
申请人： Lawrence M. Lubbers , Kenneth E. Hughes , Carl R. Coleman , Warren P. Williamson, IV , Craig B. Berky , Thomas J. Ward , Matthew J. Huddleston , Mark A. Goldin , William J. Christy , Perry DeFazio , Brian Scott Schumacher , Terence Lee Murphy , Nickola Symone Lewis , Jeremy Jarrett , Joseph E. Young
发明人： Lawrence M. Lubbers , Kenneth E. Hughes , Carl R. Coleman , Warren P. Williamson, IV , Craig B. Berky , Thomas J. Ward , Matthew J. Huddleston , Mark A. Goldin , William J. Christy , Perry DeFazio , Brian Scott Schumacher , Terence Lee Murphy , Nickola Symone Lewis , Jeremy Jarrett , Joseph E. Young
IPC分类号： A61B17/04 , A61F5/00
CPC分类号： A61B17/0401 , A61B17/0487 , A61B17/064 , A61B17/1146 , A61B17/1684 , A61B17/683 , A61B17/685 , A61B2017/0404 , A61B2017/0406 , A61B2017/0408 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0427 , A61B2017/0437 , A61B2017/044 , A61B2017/0441 , A61B2017/0445 , A61B2017/0454 , A61B2017/0456 , A61B2017/0458 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/0488 , A61B2017/0496 , A61B2017/06028 , A61B2017/06057 , A61B2017/0641 , A61B2017/0646 , A61B2017/0648 , A61B2017/0649 , A61B2090/0801 , A61F2/0805 , A61F2/0811 , A61F2002/0829 , A61F2002/0835 , A61F2002/0858 , A61F2002/0888
摘要： Apparatus and methods for repairing damaged tendons or ligaments. Various repair apparatus include an elongate tensile member and a pair of anchor assemblies connected for movement along the tensile member on either side of a repair site, such as a tear or laceration. The anchor assemblies or structures may take many forms, and may include barbed, helical, and crimp-type anchors. In the preferred embodiments, at least one anchor structure is movable along the elongate tensile member to assist with adjusting a tendon segment to an appropriate repair position and the anchor structure or structures are then lockable onto the elongate tensile member to assist with affixing the tendon at the repair position. Tendon and/or ligament-to-bone repair apparatus and methods employ similar concepts.
摘要翻译：用于修复损伤的腱或韧带的装置和方法。各种修理装置包括细长的拉伸构件和一对锚固组件，其连接用于沿着维修部位的任一侧上的拉伸构件移动，例如撕裂或撕裂。锚固组件或结构可以采取许多形式，并且可以包括倒刺，螺旋和压接型锚。在优选实施例中，至少一个锚结构可以沿着细长的拉伸构件移动以帮助将腱段调整到适当的修复位置，并且锚定结构或结构然后可锁定到细长的拉伸构件上以辅助将腱固定在修理位置。肌腱和/或韧带对骨修复装置和方法采用类似的概念。

13. 发明申请

US20100129859A1 APPARATUS AND METHODS FOR AUTOMATED HANDLING AND EMBEDDING OF TISSUE SAMPLES 审中-公开
标题翻译：装置和组织样品的自动处理和嵌入方法
公开(公告)号：US20100129859A1
公开(公告)日：2010-05-27
申请号：US12696506
申请日：2010-01-29
申请人： Douglas P. Allen , Dominic P. DiNovo , Matthew J. Huddleston , Kenneth E. Hughes , George A. Keller , Keith A. Kuisick , Rebeccah P. Quam , Cecil R. Robinson , Jonathan E. Turner , Ernest D. VanHoose , Thomas J. Ward , Warren P. Williamson, IV
发明人： Douglas P. Allen , Dominic P. DiNovo , Matthew J. Huddleston , Kenneth E. Hughes , George A. Keller , Keith A. Kuisick , Rebeccah P. Quam , Cecil R. Robinson , Jonathan E. Turner , Ernest D. VanHoose , Thomas J. Ward , Warren P. Williamson, IV
IPC分类号： G01N1/30 , C12M1/34
CPC分类号： G01N1/36 , G01N35/00732 , G01N2001/366 , Y10T436/2525 , Y10T436/2575
摘要： An automated machine for handling and embedding tissue samples contained on microtome sectionable supports. The machine includes an input member configured to hold a plurality of the microtome sectionable supports prior to a tissue embedding operation. An output member is configured to hold a plurality of the microtome sectionable supports after the tissue embedding operation. A cooling unit is configured to hold at least one of the microtome sectionable supports during the tissue embedding operation. A motorized carrier assembly is mounted for movement and configured to hold at least one of the microtome sectionable supports. The carrier assembly moves the support from the input member to the cooling unit and, finally, to the output member. A dispensing device dispenses an embedding material onto the microtome sectionable support and at least one tissue sample carried by the microtome sectionable support during the embedding operation.
摘要翻译：一种用于处理和嵌入包含在切片机可切片支架上的组织样本的自动化机器。该机器包括一个输入构件，构造成在组织嵌入操作之前保持多个切片机可切割支架。输出构件被配置为在组织嵌入操作之后保持多个切片机可切割支撑件。冷却单元构造成在组织嵌入操作期间保持切片机可分段支撑件中的至少一个。安装电动载体组件用于移动并且构造成保持切片机可分段支撑件中的至少一个。托架组件将支撑件从输入构件移动到冷却单元，最后移动到输出构件。分配装置在嵌入操作期间将嵌入材料分配到切片机可切片支撑件和由切片机可切割支撑件承载的至少一个组织样本。

14. 发明授权

US07722642B2 Extremely long wire fasteners for use in minimally invasive surgery and means and methods for handling those fasteners 有权
标题翻译：用于微创手术的非常长的电线紧固件以及用于处理这些紧固件的装置和方法
公开(公告)号：US07722642B2
公开(公告)日：2010-05-25
申请号：US10786657
申请日：2004-02-25
申请人： Warren P. Williamson, IV , Paul A. Spence , George A. Keller , Cecil R. Robinson , Thomas J. Ward
发明人： Warren P. Williamson, IV , Paul A. Spence , George A. Keller , Cecil R. Robinson , Thomas J. Ward
IPC分类号： A61B17/08 , A61B17/10
CPC分类号： A61F2/2427 , A61B17/0401 , A61B17/0467 , A61B17/0469 , A61B17/0487 , A61B17/064 , A61B17/0644 , A61B17/0684 , A61B17/072 , A61B17/115 , A61B2017/00243 , A61B2017/0406 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0641 , A61B2017/0725 , A61B2017/07271 , A61B2017/3486 , A61B2090/061 , A61B2090/395 , A61F2/2409
摘要： Wire fasteners having legs with lengths that can be one hundred times the width of the fastener are used to secure items, such as prosthesis valves to a patient during minimally invasive surgery. The fasteners are manipulated into position and then are immobilized by means of the legs thereof for tensioning, cutting and forming in situ. The fasteners are manipulated, tensioned and formed from the leg end of the fasteners. Tools for initially placing the fasteners and for immobilizing, tensioning, cutting and bending the fastener legs are disclosed. Once the fasteners are initially placed, the prosthesis is placed on the long legs of the placed fasteners and is guided into position on the legs. Once the prosthesis is in position, the legs of the fasteners are immobilized, tensioned, cut and bent into staple-like shapes to secure the prosthesis to the patient. A method for carrying out the procedure using the long fastener is also disclosed. Using the teaching of the present disclosure, a surgeon can customize a fastener to the particular surgery or even to the particular portion of surgery being performed during the surgery.
摘要翻译：具有长度为紧固件宽度的一百倍的腿的电线紧固件用于在微创手术期间将物品（例如假体瓣膜）固定到患者。紧固件被操纵到位，然后通过其腿部固定，用于原位张紧，切割和成形。紧固件由紧固件的腿端被操纵，张紧和形成。公开了用于初始放置紧固件并固定，张紧，切割和弯曲紧固件腿的工具。一旦紧固件被初始放置，假体被放置在所放置的紧固件的长腿上并且被引导到腿上的位置。一旦假体就位，紧固件的腿被固定，张紧，切割并弯曲成钉状形状以将假体固定到患者身上。还公开了一种使用该长紧固件执行该过程的方法。使用本公开的教导，外科医生可以定制针对特定手术的紧固件，或甚至可以在手术期间执行手术的特定部分。

15. 发明授权

US07611521B2 Apparatus and methods for tendon or ligament repair 失效
标题翻译：用于腱或韧带修复的装置和方法
公开(公告)号：US07611521B2
公开(公告)日：2009-11-03
申请号：US10816725
申请日：2004-04-02
申请人： Lawrence M. Lubbers , Kenneth E. Hughes , Carl R. Coleman , Warren P. Williamson, IV , Craig B. Berky , Thomas J. Ward , Matthew J. Huddleston , Mark A. Goldin , William J. Christy , Perry DeFazio , Brian Scott Schumacher , Terence Lee Murphy , Nickola Symone Lewis , Jeremy Jarrett , Joseph E. Young
发明人： Lawrence M. Lubbers , Kenneth E. Hughes , Carl R. Coleman , Warren P. Williamson, IV , Craig B. Berky , Thomas J. Ward , Matthew J. Huddleston , Mark A. Goldin , William J. Christy , Perry DeFazio , Brian Scott Schumacher , Terence Lee Murphy , Nickola Symone Lewis , Jeremy Jarrett , Joseph E. Young
IPC分类号： A61B17/58 , B25B23/00
CPC分类号： A61B17/0401 , A61B17/0487 , A61B17/064 , A61B17/1146 , A61B17/1684 , A61B17/683 , A61B17/685 , A61B2017/0404 , A61B2017/0406 , A61B2017/0408 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0427 , A61B2017/0437 , A61B2017/044 , A61B2017/0441 , A61B2017/0445 , A61B2017/0454 , A61B2017/0456 , A61B2017/0458 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/0488 , A61B2017/0496 , A61B2017/06028 , A61B2017/06057 , A61B2017/0641 , A61B2017/0646 , A61B2017/0648 , A61B2017/0649 , A61B2090/0801 , A61F2/0805 , A61F2/0811 , A61F2002/0829 , A61F2002/0835 , A61F2002/0858 , A61F2002/0888
摘要： Apparatus and methods for repairing damaged tendons or ligaments. Various repair apparatus include an elongate tensile member and a pair of anchor assemblies connected for movement along the tensile member on either side of a repair site, such as a tear or laceration. The anchor assemblies or structures may take many forms, and may include barbed, helical, and crimp-type anchors. In the preferred embodiments, at least one anchor structure is movable along the elongate tensile member to assist with adjusting a tendon segment to an appropriate repair position and the anchor structure or structures are then lockable onto the elongate tensile member to assist with affixing the tendon at the repair position. Tendon and/or ligament-to-bone repair apparatus and methods employ similar concepts.
摘要翻译：用于修复损伤的腱或韧带的装置和方法。各种修理装置包括细长的拉伸构件和一对锚固组件，其连接用于沿着维修部位的任一侧上的拉伸构件移动，例如撕裂或撕裂。锚固组件或结构可以采取许多形式，并且可以包括倒刺，螺旋和压接型锚。在优选实施例中，至少一个锚结构可以沿着细长的拉伸构件移动以帮助将腱段调整到适当的修复位置，并且锚定结构或结构然后可锁定到细长的拉伸构件上以辅助将腱固定在修理位置。肌腱和/或韧带对骨修复装置和方法采用类似的概念。

16. 发明授权

US08034292B2 Apparatus and methods for automated handling and embedding of tissue samples 有权
标题翻译：用于自动处理和嵌入组织样本的装置和方法
公开(公告)号：US08034292B2
公开(公告)日：2011-10-11
申请号：US13047053
申请日：2011-03-14
申请人： Douglas P. Allen , Dominic P. DiNovo , George A. Keller , Rebeccah P. Quam , Thomas J. Ward , Warren P. Williamson, IV
发明人： Douglas P. Allen , Dominic P. DiNovo , George A. Keller , Rebeccah P. Quam , Thomas J. Ward , Warren P. Williamson, IV
IPC分类号： G01N21/00
CPC分类号： G01N1/36 , G01N35/00732 , G01N2001/366 , Y10T436/2525 , Y10T436/2575
摘要： An automated machine for handling and embedding tissue samples contained on microtome sectionable supports. The machine includes an input member configured to hold a plurality of the microtome sectionable supports prior to a tissue embedding operation. An output member is configured to hold a plurality of the microtome sectionable supports after the tissue embedding operation. A cooling unit is configured to hold at least one of the microtome sectionable supports during the tissue embedding operation. A motorized carrier assembly is mounted for movement and configured to hold at least one of the microtome sectionable supports. The carrier assembly moves the support from the input member to the cooling unit and, finally, to the output member. A dispensing device dispenses an embedding material onto the microtome sectionable support and at least one tissue sample carried by the microtome sectionable support during the embedding operation.
摘要翻译：一种用于处理和嵌入包含在切片机可切片支架上的组织样本的自动化机器。该机器包括一个输入构件，构造成在组织嵌入操作之前保持多个切片机可切割支架。输出构件被配置为在组织嵌入操作之后保持多个切片机可切割支撑件。冷却单元构造成在组织嵌入操作期间保持切片机可分段支撑件中的至少一个。安装电动载体组件用于移动并且构造成保持切片机可分段支撑件中的至少一个。托架组件将支撑件从输入构件移动到冷却单元，最后移动到输出构件。分配装置在嵌入操作期间将嵌入材料分配到切片机可切片支撑件和由切片机可切割支撑件携带的至少一个组织样本。

17. 发明授权

US5972004A Wire fasteners for use in minimally invasive surgery and apparatus and methods for handling those fasteners 失效
标题翻译：用于微创手术的线扣，用于处理这些紧固件的装置和方法
公开(公告)号：US5972004A
公开(公告)日：1999-10-26
申请号：US026671
申请日：1998-02-20
申请人： Warren P. Williamson, IV , Paul A. Spence , George A. Keller , Cecil R. Robinson , Thomas J. Ward
发明人： Warren P. Williamson, IV , Paul A. Spence , George A. Keller , Cecil R. Robinson , Thomas J. Ward
IPC分类号： A61B17/00 , A61B17/04 , A61B17/064 , A61B17/068 , A61B17/072 , A61B17/115 , A61B17/34 , A61B19/00 , A61F2/24
CPC分类号： A61B17/0469 , A61B17/0644 , A61B17/0684 , A61B17/072 , A61F2/2409 , A61F2/2427 , A61B17/0401 , A61B17/0467 , A61B17/0487 , A61B17/064 , A61B17/115 , A61B2017/00243 , A61B2017/0406 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0641 , A61B2017/3486 , A61B2090/061 , A61B2090/395
摘要： Wire fasteners having legs with lengths that can be one hundred times the width of the fastener are used to secure items, such as prosthesis valves to a patient during minimally invasive surgery. The fasteners are manipulated into position and then are immobilized by means of the legs thereof for tensioning, cutting and forming in situ. The fasteners are manipulated, tensioned and formed from the leg end of the fasteners. Tools for initially placing the fasteners and for immobilizing, tensioning, cutting and bending the fastener legs are disclosed. Once the fasteners are initially placed, the prosthesis is placed on the long legs of the placed fasteners and is guided into position on the legs. Once the prosthesis is in position, the legs of the fasteners are immobilized, tensioned, cut and bent into staple-like shapes to secure the prosthesis to the patient. A method for carrying out the procedure using the long fastener is also disclosed. Using the teaching of the present disclosure, a surgeon can customize a fastener to the particular surgery or even to the particular portion of surgery being performed during the surgery.
摘要翻译：具有长度为紧固件宽度的一百倍的腿的电线紧固件用于在微创手术期间将物品（例如假体瓣膜）固定到患者。紧固件被操纵到位，然后通过其腿部固定，用于原位张紧，切割和成形。紧固件由紧固件的腿端被操纵，张紧和形成。公开了用于初始放置紧固件并固定，张紧，切割和弯曲紧固件腿的工具。一旦紧固件被初始放置，假体被放置在所放置的紧固件的长腿上并且被引导到腿上的位置。一旦假体就位，紧固件的腿被固定，张紧，切割并弯曲成钉状形状以将假体固定到患者身上。还公开了一种使用该长紧固件执行该过程的方法。使用本公开的教导，外科医生可以定制针对特定手术的紧固件，或甚至可以在手术期间执行手术的特定部分。

18. 发明授权

US07722810B2 Apparatus and methods for automated handling and embedding of tissue samples 有权
标题翻译：用于自动处理和嵌入组织样本的装置和方法
公开(公告)号：US07722810B2
公开(公告)日：2010-05-25
申请号：US11010773
申请日：2004-12-13
申请人： Douglas P. Allen , Dominic P. DiNovo , Matthew J. Huddleston , Kenneth E. Hughes , George A. Keller , Keith A. Kuisick , Rebeccah P. Quam , Cecil R. Robinson , Jonathan E. Turner , Ernest D. VanHoose , Thomas J. Ward , Warren P. Williamson, IV
发明人： Douglas P. Allen , Dominic P. DiNovo , Matthew J. Huddleston , Kenneth E. Hughes , George A. Keller , Keith A. Kuisick , Rebeccah P. Quam , Cecil R. Robinson , Jonathan E. Turner , Ernest D. VanHoose , Thomas J. Ward , Warren P. Williamson, IV
IPC分类号： G01N21/00
CPC分类号： G01N1/36 , G01N35/00732 , G01N2001/366 , Y10T436/2525 , Y10T436/2575
摘要： An automated machine for handling and embedding tissue samples contained on microtome sectionable supports. The machine includes an input member configured to hold a plurality of the microtome sectionable supports prior to a tissue embedding operation. An output member is configured to hold a plurality of the microtome sectionable supports after the tissue embedding operation. A cooling unit is configured to hold at least one of the microtome sectionable supports during the tissue embedding operation. A motorized carrier assembly is mounted for movement and configured to hold at least one of the microtome sectionable supports. The carrier assembly moves the support from the input member to the cooling unit and, finally, to the output member. A dispensing device dispenses an embedding material onto the microtome sectionable support and at least one tissue sample carried by the microtome sectionable support during the embedding operation.
摘要翻译：一种用于处理和嵌入包含在切片机可切片支架上的组织样本的自动化机器。该机器包括一个输入构件，构造成在组织嵌入操作之前保持多个切片机可切割支架。输出构件被配置为在组织嵌入操作之后保持多个切片机可切割支撑件。冷却单元构造成在组织嵌入操作期间保持切片机可分段支撑件中的至少一个。安装电动载体组件用于移动并且构造成保持切片机可分段支撑件中的至少一个。托架组件将支撑件从输入构件移动到冷却单元，最后移动到输出构件。分配装置在嵌入操作期间将嵌入材料分配到切片机可切片支撑件和由切片机可切割支撑件携带的至少一个组织样本。

19. 发明申请

US20100049320A1 APPARATUS AND METHODS FOR TENDON OR LIGAMENT REPAIR 失效
标题翻译：设备和方法修复或修理
公开(公告)号：US20100049320A1
公开(公告)日：2010-02-25
申请号：US12606423
申请日：2009-10-27
申请人： Lawrence M. Lubbers , Kenneth E. Hughes , Carl R. Coleman , Warren P. Williamson, IV , Craig B. Berky , Thomas J. Ward , Matthew J. Huddleston , Mark A. Goldin , William J. Christy , Perry DeFazio , Brian Scott Schumacher , Terence Lee Murphy , Nickola Symone Lewis , Jeremy Jarrett , Joseph E. Young
发明人： Lawrence M. Lubbers , Kenneth E. Hughes , Carl R. Coleman , Warren P. Williamson, IV , Craig B. Berky , Thomas J. Ward , Matthew J. Huddleston , Mark A. Goldin , William J. Christy , Perry DeFazio , Brian Scott Schumacher , Terence Lee Murphy , Nickola Symone Lewis , Jeremy Jarrett , Joseph E. Young
IPC分类号： A61F2/08
CPC分类号： A61B17/0401 , A61B17/0487 , A61B17/064 , A61B17/1146 , A61B17/1684 , A61B17/683 , A61B17/685 , A61B2017/0404 , A61B2017/0406 , A61B2017/0408 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0427 , A61B2017/0437 , A61B2017/044 , A61B2017/0441 , A61B2017/0445 , A61B2017/0454 , A61B2017/0456 , A61B2017/0458 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/0488 , A61B2017/0496 , A61B2017/06028 , A61B2017/06057 , A61B2017/0641 , A61B2017/0646 , A61B2017/0648 , A61B2017/0649 , A61B2090/0801 , A61F2/0805 , A61F2/0811 , A61F2002/0829 , A61F2002/0835 , A61F2002/0858 , A61F2002/0888
摘要： Apparatus and methods for repairing damaged tendons or ligaments. Various repair apparatus include an elongate tensile member and a pair of anchor assemblies connected for movement along the tensile member on either side of a repair site, such as a tear or laceration. The anchor assemblies or structures may take many forms, and may include barbed, helical, and crimp-type anchors. In the preferred embodiments, at least one anchor structure is movable along the elongate tensile member to assist with adjusting a tendon segment to an appropriate repair position and the anchor structure or structures are then lockable onto the elongate tensile member to assist with affixing the tendon at the repair position. Tendon and/or ligament-to-bone repair apparatus and methods employ similar concepts.
摘要翻译：用于修复损伤的腱或韧带的装置和方法。各种修理装置包括细长的拉伸构件和一对锚固组件，其连接用于沿着维修部位的任一侧上的拉伸构件移动，例如撕裂或撕裂。锚固组件或结构可以采取许多形式，并且可以包括倒刺，螺旋和压接型锚。在优选实施例中，至少一个锚结构可以沿着细长的拉伸构件移动以帮助将腱段调整到适当的修复位置，并且锚定结构或结构然后可锁定到细长的拉伸构件上以辅助将腱固定在修理位置。肌腱和/或韧带对骨修复装置和方法采用类似的概念。

20. 发明授权

US07497865B2 Method and apparatus for performing anastomosis with eversion of tissue edges and joining of exposed intima of the everted tissue 失效
标题翻译：用于通过外翻组织边缘进行吻合的方法和装置，以及接合外露组织的暴露内膜
公开(公告)号：US07497865B2
公开(公告)日：2009-03-03
申请号：US10855604
申请日：2004-05-26
申请人： Geoffrey H. Willis , Thomas A. Kramer , Paul A. Spence , George T. Christakis , Timothy J. McCoy , John W. Davis , Bradley D. Blackwood , Peter Callas , Michael Francis Wei , Jonathan L. Podmore , Andrew Knight , Thomas J. Ward , Warren P. Williamson, IV
发明人： Geoffrey H. Willis , Thomas A. Kramer , Paul A. Spence , George T. Christakis , Timothy J. McCoy , John W. Davis , Bradley D. Blackwood , Peter Callas , Michael Francis Wei , Jonathan L. Podmore , Andrew Knight , Thomas J. Ward , Warren P. Williamson, IV
IPC分类号： A61B17/08 , A61B17/10 , A61B17/04
CPC分类号： A61B17/1152 , A61B17/11 , A61B17/115 , A61B2017/1107 , A61B2017/1132 , A61B2017/1135 , A61B2017/1139
摘要： A ring for use in anastomosis. Preferably, the ring is integrally formed from metal, and includes a ring portion and tines and docking members that extend from the ring portion. The ring portion and tines are malleable, and preferably also the docking members are malleable. The ring portion and tines are malleable in the sense that once deformed from a first shape into a second shape, they will not relax back into the first shape from the second. To install the ring in a vessel with the ring portion extending around an incision or other orifice, the tines pierce the tissue around the orifice and are curled against an anvil. The action of curling the tines inverts the tissue near the orifice edges to expose the inside surface of the vessel or organ. Other aspects of the invention are a method and apparatus for installing an anastomosis ring in an incision or other orifice in a vessel or other organ, a method and apparatus for precisely aligning two anastomosis rings (each installed in an incision or other orifice of a different organ) and fastening the aligned rings together. The clips can be crimped onto the aligned rings, or they can be spring clips which are sprung onto the aligned rings to clamp the rings together by spring force. Also within the scope of the invention are crimping and spring clips for use in listening together two aligned anastomosis rings. In other embodiments, the invention is a method for performing an anastomosis by installing an anastomosis ring in an orifice in an organ, installing another anastomosis ring in an orifice in another organ, precisely aligning the two installed anastomosis rings, and fastening the aligned rings together.
摘要翻译：用于吻合的戒指。优选地，环由金属一体地形成，并且包括从环部延伸的环部分和尖齿和对接构件。环形部分和尖齿是可延展的，并且优选的是对接部件是可延展的。环形部分和尖齿在从第一形状变形成第二形状的意义上是可延展的，它们将不会从第二形状放松回第一形状。为了将环安装在具有围绕切口或其他孔口延伸的环部分的容器中，齿刺穿孔周围的组织并且卷绕在砧座上。卷曲尖齿的作用使孔边缘附近的组织反转以暴露血管或器官的内表面。本发明的其它方面是用于将吻合环安装在容器或其他器官中的切口或其它孔中的方法和装置，用于精确地对准两个吻合环（每个安装在切口或不同的其他孔中的其他孔中的方法和装置）器官）并将对准的环固定在一起。夹子可以压接在对准的环上，或者它们可以是弹簧夹，弹簧夹被弹簧上对准的环，以通过弹簧力将环夹在一起。也在本发明的范围内的是压接和弹簧夹，用于一起收听两个对准的吻合环。在其他实施例中，本发明是一种通过在器官中的孔中安装吻合环来进行吻合的方法，在另一个器官的孔中安装另一个吻合环，精确对准两个安装的吻合环，并将对准的环固定在一起。

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