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    • 56. 发明授权
    • Variable angle drill guide and ligament fixation method
    • 可变角钻机导向器和韧带固定方法
    • US5688284A
    • 1997-11-18
    • US717012
    • 1996-09-20
    • Alan ChervitzE. Marlowe Goble
    • Alan ChervitzE. Marlowe Goble
    • A61B17/17
    • A61B17/1714A61B17/1764
    • A variable angle drill guide and method for its use for securing an end of a ligament graft in a tunnel section of a straight tunnel section that has been formed into a patient's knee in a procedure for replacing a cruciate ligament. The drill guide includes a straight reference rod that is for fitting to slide through a straight hole formed in a slide block and includes a crossing straight hole that is for receiving, fitted therethrough, a straight base leg rod that is bent from one end into a straight drill guide mounting leg, the mount leg, in turn, to mount an arcuate shaped slide track along its top end. The slide track is curved to approximately one hundred twenty (120) degrees of arc and is arranged to maintain a drill guide slide traveling therealong that includes a drill guide barrel that is fitted to slide therethrough. By adjusting and locking positioning of the reference rod and base leg rod fitted through the slide block, the drill guide barrel will point at a target depression formed in the reference rod, whereby a drill turned through the drill guide barrel will form a passage from any point on the frontal cortex of the distal femur or proximal tibia to the target depression, formed in the reference rod. This formed passage will be at an angle to the tunnel section that is greater or lesser than a right angle and, upon removal of the reference rod and installation of a ligament graft in the straight tunnel, the formed passage can receive a screw turned therein to contact the ligament graft end, for mounting it in the tunnel section.
    • 一种可变角度钻子引导器及其用于将韧带移植物的端部固定在直肠隧道部分的隧道部分中的方法,所述隧道部分已经在用于替换十字韧带的过程中形成为患者膝盖。 钻头引导件包括一个直的参考杆,用于装配以滑动形成在滑动块中的直孔,并包括一个交叉直孔,用于接纳穿过其中的一个直的底座,该杆从一端弯曲成 直钻头导向器安装腿,安装支脚依次沿其顶端安装弓形滑轨。 滑轨弯曲到大约一百二十(120)度的弧度,并且被布置成保持一个在其上行进的钻导引滑块,其包括装配成通过其滑动的钻子引导筒。 通过调节和锁定通过滑动块安装的参考杆和底座杆的定位,钻子引导筒将指向形成在参考杆中的目标凹陷,由此钻头引导筒的钻头将形成从任何 指向远端股骨或近端胫骨的额叶皮质到目标凹陷,形成在参考杆中。 该形成的通道将与隧道部分成直角,该角度大于或小于直角,并且在移除参考杆并将韧带移植物安装在直通道中时,所形成的通道可接收转入其中的螺钉 接触韧带移植端,将其安装在隧道部分。
    • 57. 发明授权
    • Soft tissue anchor and method
    • 软组织锚和方法
    • US5643320A
    • 1997-07-01
    • US403070
    • 1995-03-13
    • Jerry L. LowerE. Marlowe Goble
    • Jerry L. LowerE. Marlowe Goble
    • A61B17/04A61B17/16A61B17/56A61F2/08
    • A61F2/0811A61B17/0401A61B17/1615A61B2017/0409A61B2017/0414A61B2017/044A61B2017/0458A61F2/0805A61F2002/0829A61F2002/0858A61F2002/0888Y10S606/916
    • A preassembled disposable driver and suture anchor are provided for threaded engagement into a bone to provide an attachment point for soft tissue. The anchor is formed to have an externally threaded body portion for engaging the bone, a distal end portion, and a proximal end portion. When the anchor is threaded into an opening in a bone, the distal end portion is adjacent a bottom of the opening and the proximal end portion is adjacent a mouth of the opening. A suture is attached to said anchor having free ends extending outwardly from the bone opening. The driver is elongated and has a distal end which engages the proximal end of the anchor and a proximal end for gripping by the surgeon. The driver also has a slot for receiving the suture which extends away from the anchor. The distal end portion of the driver is radially enlarged relative to the body portion of the anchor to engage the bone surrounding the mouth of the opening to limit the internal advancement of the driver such that further rotation and threading of the anchor into the bone by the driver will separate the anchor from the driver.
    • 提供预组装的一次性驱动器和缝合锚固件用于螺纹接合到骨中以提供软组织的附接点。 锚固件形成为具有用于接合骨的外螺纹主体部分,远端部分和近端部分。 当锚固件被拧入骨中的开口中时,远端部分邻近开口的底部并且近端部分邻近开口的口。 缝合线附接到所述锚固件,其具有从骨开口向外延伸的自由端。 驾驶员是细长的并且具有接合锚固件的近端的远端和用于由外科医生抓握的近端。 驾驶员还具有用于接收远离锚的缝合线的槽。 驱动器的远端部分相对于锚固体的主体部分径向扩大,以接合围绕开口的口部的骨骼,以限制驾驶员的内部进给,从而锚固体进一步转动和穿过骨骼 驾驶员会将该锚与司机分开。
    • 60. 发明授权
    • Drill guide apparatus for installing a transverse pin
    • 用于安装横向销的钻孔导向装置
    • US5354300A
    • 1994-10-11
    • US4958
    • 1993-01-15
    • E. Marlowe GobleJerry L. Lower
    • E. Marlowe GobleJerry L. Lower
    • A61B17/17A61F5/04
    • A61B17/1714A61F2/0805A61F2/0811A61B17/1764A61F2002/0829A61F2002/087
    • A drill guide is provided for aligning and installing a transverse pin through a tunnel formed by a tunnel drill in a bone to secure a ligament replacement to the bone. The drill guide includes an arm member and a drill guide sleeve coupled to the arm member. The drill guide sleeve is formed to include a central bore for guiding a drill to form a transverse guide hole in the bone to guide insertion of the transverse pin into the bone. The central bore of the drill guide sleeve has an axis which is aligned to intersect the tunnel. The arm member of the drill guide is coupled to the tunnel drill while the tunnel drill is still in the bone to align the arm member and drill guide sleeve at a desired anatomical location using the tunnel drill in the bone as a reference.
    • 提供了一种钻导向器,用于通过由骨骼中的隧道钻孔形成的隧道对准和安装横向销,以确保对骨骼的韧带置换。 钻子引导器包括臂构件和联接到臂构件的钻子引导套筒。 钻子引导套筒形成为包括用于引导钻头以在骨头中形成横向引导孔的中心孔,以引导横向销钉进入骨头。 钻子导向套筒的中心孔具有与隧道相交的轴线。 钻孔引导件的臂构件联接到隧道钻,同时隧道钻头仍然在骨中,以使用骨中的隧道钻作为参考,将臂构件和钻子引导套筒对准所需的解剖位置。