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1. 发明申请

WO2020172451A1 SYSTEM AND METHOD FOR HIGH TIBIAL OSTEOTOMY 审中-公开
公开(公告)号：WO2020172451A1
公开(公告)日：2020-08-27
申请号：PCT/US2020/019094
申请日：2020-02-20
申请人： SMITH & NEPHEW, INC. , SMITH & NEPHEW ORTHOPAEDICS AG , SMITH & NEPHEW ASIA PACIFIC PTE LIMITED
发明人： BETTENGA, Mason , MERCER, Jacob , WYMAN, Jeffrey , LAPRADE, Robert , GETGOOD, Al , VAN HEERWAARDEN, Ronald , VOLKER, Musahl , MALONE, Miles S. H. , HAMILTON, Jason , HOLMBERG, Rebecca , COLLERAN, Dennis , SLUSARZ JR., John Albert
IPC分类号： A61B17/80 , A61B17/15 , A61B17/17
摘要： Apparatus and methods for a high tibial osteotomy (HTO) are disclosed, including system and methods for guiding a medial cut, system and methods for guiding an anterior cut, and also system and methods for providing fixation and compression to a lateral hinge during an HTO. Each of the apparatus may stand-alone. The system for creating a medial cut may include a retractor, a linkable cutting guide and a pin. The system for guiding an anterior cut may include a guide for sliding over a pin and an alignment surface and a fixation means. The apparatus for fixing and compressing a lateral hinge may include a plate, an adjustable drill guide for adjusting an offset of the plate from a bone surface and a bi-angle drill guide.

2. 发明申请

WO2018081374A1 SUTURE PASSER AND GRASPER INSTRUMENT AND METHOD 审中-公开
标题翻译： SUTURE PASSER和GRASPER仪器和方法
公开(公告)号：WO2018081374A1
公开(公告)日：2018-05-03
申请号：PCT/US2017/058460
申请日：2017-10-26
申请人： SMITH & NEPHEW, INC.
发明人： TORRIE, Paul Alexander
IPC分类号： A61B17/04 , A61B17/06
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/0483 , A61B17/0485 , A61B17/06109 , A61B2017/00349 , A61B2017/00367 , A61B2017/00477 , A61B2017/06009 , A61B2017/061 , A61B2090/034
摘要： Disclosed herein is a combination suture passer and grasper instrument (10, 110) having a needle (16, 116) which can deliver a suture (30) to a repair site, and then use deformable wire arms (24, 26, 124, 126) to capture the suture (30) and drag it into a hollow interior of the needle (16, 116), thus eliminating the need for two separate instruments.
摘要翻译：本文公开了具有针（16,116）的组合缝线穿引器和抓紧器械（10,110），所述针可将缝合线（30）输送到修复部位，然后使用可变形的线臂（24,26,124,126）以捕获缝线（30）并将其拖入针（16,116）的中空内部，因此不需要两个单独的器械。

3. 发明申请

WO2016061315A1 ENDOSCOPE WITH A MULTIPLE DIAMETER WORKING SECTION 审中-公开
标题翻译：内窥镜具有多个直径工作部分
公开(公告)号：WO2016061315A1
公开(公告)日：2016-04-21
申请号：PCT/US2015/055670
申请日：2015-10-15
申请人： SMITH & NEPHEW, INC.
发明人： BEGG, Nikolai David
IPC分类号： A61B1/00 , A61B1/303 , G02B23/24 , A61B1/018 , A61B1/002
CPC分类号： A61B1/313 , A61B1/00066 , A61B1/00071 , A61B1/00078 , A61B1/00094 , A61B1/00096 , A61B1/00135 , A61B1/00195 , A61B1/002 , A61B1/018 , A61B1/303 , G02B23/2476
摘要： An endoscope (100) having a multiple diameter working section (104) is disclosed. The endoscope includes a housing (102), a working section, and a rod-lens optical system (514a-d). The housing is at a proximal end of the endoscope. The working section is integral with and extends from the housing. The working section includes at least a first section and a second section. The first section is contiguous to the housing, and the second section is at a distal end of the endoscope. The rod-lens optical system is positioned at least partially in the first section of the working section and at least partially in the second section of the working section. The endoscope is defined such that the outer diameter of the first section is larger than the outer diameter of the second section.
摘要翻译：公开了具有多径工作部（104）的内窥镜（100）。内窥镜包括壳体（102），工作部分和棒状透镜光学系统（514a-d）。外壳位于内窥镜的近端。工作部分与外壳是一体的，并从外壳延伸出来。工作部分至少包括第一部分和第二部分。第一部分与壳体相邻，第二部分位于内窥镜的远端。杆透镜光学系统至少部分地定位在工作部分的第一部分中，并且至少部分地定位在工作部分的第二部分中。内窥镜被限定为使得第一部分的外径大于第二部分的外径。

4. 发明申请

WO2015130405A1 SYSTEMS AND METHODS SYSTEMS RELATED TO ELECTROSURGICAL WANDS WITH SCREEN ELECTRODES 审中-公开
标题翻译：系统和方法与屏幕电极相关的电磁波系统
公开(公告)号：WO2015130405A1
公开(公告)日：2015-09-03
申请号：PCT/US2014/072981
申请日：2014-12-31
申请人： ARTHROCARE CORPORATION
发明人： GOODE, Johnson E. , BIEBERICH, Mark , TETZLAFF, Philip M. , WOLOSZKO, Jean
IPC分类号： A61B18/14
CPC分类号： A61B18/14 , A61B18/042 , A61B18/148 , A61B2018/00577 , A61B2018/1405 , A61B2018/162 , A61B2218/007
摘要： An electrosurgical wand for treating tissue at a target site within or on a patient's body is described, having an elongate shaft with a handle and a distal end portion. The distal end portion has an active electrode, an insulative spacer body and a return electrode; the active electrode supported by the insulative spacer body and spaced away from the return electrode. The active electrode has both lateral and medial edge surfaces. The insulative spacer body has an aspiration cavity fluidly connected with an aspiration lumen, and at least one tapered aperture extending beyond at least one of the electrode medial edge surfaces and directed to the aspiration cavity.
摘要翻译：描述了一种用于在患者体内或身体上的目标部位处理组织的电外科手术棒，其具有带手柄和远端部分的细长轴。前端部分具有有源电极，绝缘间隔体和返回电极; 所述有源电极由所述绝缘间隔体支撑并与所述返回电极间隔开。有源电极具有侧向和中间边缘表面。绝缘间隔体具有与抽吸腔流体连接的抽吸腔，以及延伸超过电极内侧边缘表面中的至少一个并且被引导至抽吸腔的至少一个锥形孔。

5. 发明申请

WO2015095524A2 KNOTLESS ALL SUTURE TISSUE REPAIR 审中-公开
标题翻译：无缝所有组织修复
公开(公告)号：WO2015095524A2
公开(公告)日：2015-06-25
申请号：PCT/US2014/071164
申请日：2014-12-18
申请人： ARTHROCARE CORPORATION
发明人： RODRIGUEZ, Christopher , NGUYEN, Tri
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0485 , A61B17/06166 , A61B2017/00004 , A61B2017/042 , A61B2017/045 , A61B2017/0459 , A61B2017/0462 , A61B2017/0464 , A61B2017/0618 , A61B2017/06185
摘要： A knotless tissue repair assembly for attachment of tissue to bone includes an anchoring implant with a length of suture threaded therethrough. The implant is preferably a soft flexible three-dimensional structure. The implant may be actuated from a first elongate low profile shape into a second short radially expanded shape having a larger diameter than the hole through which it was placed. The suture extends through the anchor, through a tissue to be secured, and back through a designated suture-binding region or passageway within the anchor enabling the suture to be secured therein and without the need for a physician to tie a knot. Further tension applied to a suture leg approximates the tissue to the anchor until a desired tension or distance between the tissue and anchor is achieved.
摘要翻译：用于将组织附着到骨头的无节组织修复组件包括具有穿过其中的一段缝合线的锚固植入物。植入物优选为柔软的柔性三维结构。植入物可以从第一细长的低轮廓形状致动成具有比其放置的孔更大的直径的第二短径向扩张形状。缝合线延伸穿过锚固件，通过待固定的组织，并穿过锚固体内的指定的缝合线绑定区域或通道，使缝合线固定在其中，而不需要医生扎结。施加到缝合腿的进一步的张力将近似于锚固体的组织，直到实现组织和锚固件之间的期望的张力或距离。

6. 发明申请

WO2015073859A1 SURGICAL INSTRUMENT FOR MANIPULATING AND PASSING SUTURE 审中-公开
标题翻译：手术仪器用于手术和通气
公开(公告)号：WO2015073859A1
公开(公告)日：2015-05-21
申请号：PCT/US2014/065758
申请日：2014-11-14
申请人： ARTHROCARE CORPORATION
发明人： FOERSTER, Seth A. , WEISEL, Thomas , PISARNWONGS, Roger
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0483 , A61B17/06109 , A61B2017/06009 , A61B2017/06042
摘要： A suture manipulating instrument for passing and retrieving suture through a tissue includes a handle mechanism, an elongate shaft extending from the handle, and a working distal end. The working distal end includes a needle body, a lumen defined by the needle body, a tissue penetrating distal tip, and a lateral slot. A preformed inner member is movably disposed within the lumen of the needle. The handle mechanism is used to extend the wire from the lateral slot of the needle, and to retract the wire into the lateral slot, allowing the working end of the instrument to grasp and manipulate suture by pinning and/or trapping the suture against the needle. In embodiments the inner member is further retracted within the needle lumen, drawing a length of suture into the needle lumen. The suture is subsequently ejected from the needle lumen to form a suture loop.
摘要翻译：用于通过组织通过和取回缝合线的缝合线操纵仪器包括手柄机构，从手柄延伸的细长轴和工作的远端。工作的远端包括针体，由针体限定的腔，穿透远端的组织和横向狭槽。预成形的内部构件可移动地设置在针的内腔内。手柄机构用于从针的横向狭槽延伸线，并且将线收回到侧向槽中，允许器械的工作端通过将针缝合和/或将针缝扎在针上而抓住并操纵缝合线。在实施例中，内部构件进一步缩回到针内腔内，将一定长度的缝合线拉入针内腔。缝合线随后从针管腔排出以形成缝线环。

7. 发明申请

WO2009086261A1 SURGICAL DRILLING AIMER 审中-公开
标题翻译：手术钻孔机
公开(公告)号：WO2009086261A1
公开(公告)日：2009-07-09
申请号：PCT/US2008/087933
申请日：2008-12-22
申请人： SMITH & NEPHEW, INC. , MCCARTHY, Gary, R. , FERRAGAMO, Michael, C. , SPEAR, Susan, L.
发明人： MCCARTHY, Gary, R. , FERRAGAMO, Michael, C. , SPEAR, Susan, L.
IPC分类号： A61B17/17 , A61B17/00
CPC分类号： A61B17/1714 , A61B1/32 , A61B2017/0046 , A61B2017/00469
摘要： A surgical aimer including a shaft having a proximal portion and a distal portion and a- handle coupled to the proximal portion of the shaft. The handle includes a mechanism for coupling the shaft to the handle and releasing the shaft from the handle. The handle is configured to allow a surgeon the option of an in-line or a pistol grip aimer position during preparation of a femoral tunnel for a ligament reconstruction procedure.
摘要翻译：一种手术瞄准器，包括具有近端部分和远端部分的轴，以及联接到所述轴的近端部分的手柄。手柄包括用于将轴连接到手柄并将轴从手柄释放的机构。手柄被配置为允许外科医生在用于韧带重建程序的股骨隧道的准备期间具有在线或手枪夹持瞄准器位置的选项。

8. 发明申请

WO2020172659A1 COMBINATION ELECTROSURGICAL AND MECHANICAL RESECTION DEVICE 审中-公开
公开(公告)号：WO2020172659A1
公开(公告)日：2020-08-27
申请号：PCT/US2020/019479
申请日：2020-02-24
申请人： SMITH & NEPHEW, INC. , SMITH & NEPHEW ORTHOPAEDICS AG , SMITH & NEPHEW ASIA PACIFIC PTE LIMITED
发明人： DOLL, Sean , LATHROP, Robert , DI STEFANO, Craig
IPC分类号： A61B18/14 , A61B17/32 , A61B18/16 , A61B18/12
摘要： A combination medical device for removing and treating tissue in a patient is disclosed. The device includes a reusable handle and a blade selectively connectable to the handle. The blade includes an outer sleeve having a lumen with an inner shaft disposed therein. The inner shaft may be coupled to a motor drive unit disposed within the handle and may rotate so as to mechanically cut tissue as the inner shaft rotates. The outer sleeve includes at least one electrode for electrosurgically treating tissue. The reusable handle includes at least one control switch for controlling a parameter associated with the rotation of the inner shaft. The blade also may include a switch assembly in electrical communication with the at least one electrode, the switch assembly including attachment means for selective attachment of the switch assembly to the reusable handle.

9. 发明申请

WO2019222439A1 TISSUE REPAIR DEVICE AND METHOD 审中-公开
公开(公告)号：WO2019222439A1
公开(公告)日：2019-11-21
申请号：PCT/US2019/032557
申请日：2019-05-16
申请人： SMITH & NEPHEW, INC. , SMITH & NEPHEW ORTHOPAEDICS AG , SMITH & NEPHEW PTE. LIMITED
发明人： SANTANGELO, Stephen A. , O'LEARY, Anthony , CUNNINGHAM, Matthew D.
IPC分类号： A61B17/04
摘要： Embodiments of the invention include a tissue repair system (1) and related components and associated methods that provide for suturing of tissue using three or more suture anchoring implants (200, 1200), including multiple pairs of connected implants (200, 1200) in some embodiments, all of which may be deployed from a single device (100). Some embodiments achieve this by employing a push mechanism (130) capable of being activated to advance the push mechanism (130) incrementally to discrete positions within the device (100) and deploy implants (200, 1200) one at a time from the device (100).

10. 发明申请

WO2011025767A1 MAGNETIC SUTURE OR INSTRUMENT 审中-公开
标题翻译：磁性仪器或仪器
公开(公告)号：WO2011025767A1
公开(公告)日：2011-03-03
申请号：PCT/US2010/046443
申请日：2010-08-24
申请人： SMITH & NEPHEW, INC. , ANNA, Fay
发明人： ANNA, Fay
IPC分类号： A61B17/04 , A61B17/06
CPC分类号： A61B17/06166 , A61B17/0401 , A61B2017/00876 , A61B2017/0448 , A61B2017/0454
摘要： A suture includes magnetic material in the suture for manipulating movement of the suture during a suturing procedure. A method for suturing involves attaching a suture anchor to a part of a human body, where the suture anchor is connected to a suture having a metallic or magnetic element wrapped around an elongated section of the suture. The method involves using a magnetic force to pull or push the suture through a tissue, where the magnetic force is coupled to the metal or magnetic element of the suture.
摘要翻译：缝合线包括缝合线中的磁性材料，用于在缝合过程期间操纵缝合线的运动。用于缝合的方法包括将缝合锚固件附接到人体的一部分，其中缝合线锚连接到具有缠绕在缝合线的细长部分上的金属或磁性元件的缝合线。该方法包括使用磁力来拉动或推动缝合线穿过组织，其中磁力联接到缝合线的金属或磁性元件。

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