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    • 3. 发明申请
    • Surgical Device for Anterolateral and Posterolateral Reconstruction
    • US20070239166A1
    • 2007-10-11
    • US11740607
    • 2007-04-26
    • David McGuireJeffrey WolchokSteven Hendricks
    • David McGuireJeffrey WolchokSteven Hendricks
    • A61F5/01
    • A61B17/1714A61B17/1764A61B2090/061
    • An isometer for determining isometric graft tunnel placement for lateral side surgical augmentation or reconstruction for anterolateral or posterior lateral rotary knee instability. This graft tunnel placement isometry assessment and measurement device is designed to be used with a graft and an extra-articular technique that restores rotatory, lateral, and anterior/posterior knee stability when used by itself or in combination with intra-articular ACL/PCL reconstruction. The isometer includes an elongated body with a slider rod that slides horizontally within the body and a cannulated fixed stylus attached transversely to the first end of the elongated body. Within that cannulated fixed stylus is a guide pin that slides freely but that can also be fixed using a fixed-stylus set screw. Similarly, a cannulated movable stylus is attached transversely to the first end of the slider rod, and within that cannulated movable stylus is a guide pin that slides freely but that can also be fixed using a movable-stylus set screw. There is a pointer encircling the slider rod that slides with the slider rod, but whose position along the slider rod can also be adjusted manually. The slider rod may also have a rotatable member that allows each end of the slider rod to rotate relative to the other end. The rotatable member obviates slider rod impingement during operation. To determine rotary knee isometry during knee reconstructive surgery, the guide pins are positioned over previously identified lateral reconstruction tunnel sites. The guide pins are then driven into the bone tunnel sites and the knee put through a full range of motion by flexing and extending the knee while the isometer position is maintained and the pointer movement is monitored. If movement of the pointer is unacceptably large, the guide pins are re-set, re-positioned and re-driven into different pre-identified lateral reconstruction tunnel sites, and pointer movement during full range motion is again monitored until movement is acceptably small.
    • 4. 发明申请
    • Bioabsorbable fasteners for preparing and securing ligament replacement grafts
    • 用于制备和固定韧带置换移植物的生物可吸收紧固件
    • US20050149033A1
    • 2005-07-07
    • US10971721
    • 2004-10-22
    • David McGuireStephen Hendricks
    • David McGuireStephen Hendricks
    • A61B17/16A61B17/17A61F2/08A61B17/56
    • A61F2/0811A61B17/1635A61B17/1714A61B17/1764A61F2002/0829A61F2002/087A61F2002/0882A61F2210/0004A61F2240/005
    • A bioabsorbable implantable device for replacing sutures in construction of a composite graft in ligament replacement surgery. In certain embodiments the device has a female component and a male component where the female component receives and secures the male component. In other embodiments the components of the device are in the shape of a rivet or a staple. The bioabsorbable implantable devices can be used for securing tendon grafts to bone blocks and for holding together the fibers of the tendon graft when the bone-tendon-bone graft is inserted into a patient during surgery. The bioabsorbable implantable device may also be part of a package for use in surgery. The package includes a sterile container for holding at least a graft that is of a predetermined length and width. The package may also include bone blocks. The package is marked as to the graft size including the width and the length of the graft. The graft and the bone blocks may be autogenous, allogenic or constructed from man-made materials.
    • 一种生物可吸收的可植入装置,用于在韧带置换手术中替代复合移植物的结构中的缝合线。 在某些实施例中,该装置具有阴部件和阳部件,其中阴部件接收并固定阳部件。 在其它实施例中,装置的部件是铆钉或钉的形状。 生物可吸收的可植入装置可以用于将腱移植物固定到骨块上,并且当在手术期间将骨腱 - 骨移植物插入患者时,将腱移植物的纤维保持在一起。 生物可吸收可植入装置也可以是用于手术的包装的一部分。 该包装包括用于至少保持具有预定长度和宽度的移植物的无菌容器。 包装还可以包括骨块。 包装被标记为移植物尺寸,包括移植物的宽度和长度。 移植物和骨块可以是自生的,同种异体的或由人造材料构成的。
    • 5. 发明授权
    • Process of endosteal fixation of a ligament
    • 韧带内固定过程
    • US4927421A
    • 1990-05-22
    • US352153
    • 1989-05-15
    • E. Marlowe GobleW. Karl SomersDavid McGuire
    • E. Marlowe GobleW. Karl SomersDavid McGuire
    • A61F2/08
    • A61F2/0811A61F2/0805A61F2002/0841A61F2002/0858A61F2002/087A61F2002/0882
    • A cannulated interference screw (10) and process for human implantation in an arthroscopic surgical procedure for replacement of a ligament, or the like. The interference screw is provided with a drill end (11) that extends longitudinally from an end of a cylindrical body (14), which drill end includes equally spaced flutes (12) therearound. The flutes extend into first and second cutting threads (15a) and (15b), respectively which cutting threads and threads (15) are formed around the cylindrical body. A center longitudinal passage (16) is formed through the interference screw drill end and cylindrical body, which passage is stepped outwardly within the cylindrical body into a hexagonal sided section (18) that is for receiving a sided end (20) of a driver (19) that is fitted therein. In practice, the cannulated interference screw is installed by sliding it along a guide rod (25) that is fitted in a prepared ligament tunnel (22) through a bone mass, alongside a bone block portion of a ligament (23) within the bone endosteum, which ligament is maintained in that tunnel under tension. The driver is also holed longitudinally to travel along the guide rod to fit into and turn the interference screw, providing fixation of the ligament in that tunnel.
    • 插管式干涉螺钉(10)以及用于人工植入用于替换韧带的关节镜外科手术的方法等。 干涉螺钉设置有从圆柱形主体(14)的端部纵向延伸的钻头(11),该钻头端部包括等间隔的凹槽(12)。 凹槽分别延伸到第一和第二切割螺纹(15a)和(15b)中,切割螺纹和螺纹(15)围绕圆柱体形成。 中心纵向通道(16)通过干涉螺丝钻头和圆筒体形成,该通道在圆柱体内部向外延伸成六边形部分(18),该六边形部分用于接纳驱动器的侧端(20) 19)。 在实践中,插管的干涉螺钉通过沿着固定在制备的韧带隧道(22)中的导杆(25)沿着骨块内的韧带(23)的骨块部分沿骨内骨骼的骨块部分滑动而安装 该韧带在紧张情况下保持在该隧道内。 驾驶员还沿着纵向移动以沿着导杆行进以适应并转动干涉螺钉,从而提供韧带在该隧道中的固定。
    • 10. 发明申请
    • Surgical device for a anterolateral reconstruction
    • 外侧重建手术装置
    • US20050261701A1
    • 2005-11-24
    • US11125808
    • 2005-05-10
    • David McGuireJeffrey WolchokSteven Hendricks
    • David McGuireJeffrey WolchokSteven Hendricks
    • A61B17/17A61B17/58
    • A61B17/1714A61B17/1764
    • An isometer for determining isometric graft tunnel placement for lateral side surgical augmentation or reconstruction for anterolateral rotatory knee instability. This graft tunnel placement isometry assessment and measurement device is designed to be used with a graft and an extra-articular technique that restores rotatory, lateral, and anterior knee stability when used by itself or in combination with intra-articular ACL reconstruction. The isometer includes an elongated body with a slider rod that slides horizontally within the body and a cannulated fixed stylus attached transversely to the first end of the elongated body. Within that cannulated fixed stylus is a guide pin that slides freely but that can also be fixed using a fixed-stylus set screw. Similarly, a cannulated movable stylus is attached transversely to the first end of the slider rod, and within that cannulated movable stylus is a guide pin that slides freely but that can also be fixed using a movable-stylus set screw. There is a pointer encircling the slider rod that slides with the slider rod, but whose position along the slider rod can also be adjusted manually. To determine rotary knee isometry during knee reconstructive surgery, the guide pins are positioned over previously identified lateral reconstruction tunnel sites. The guide pins are then driven into the bone tunnel sites and the knee put through a full range of motion by flexing and extending the knee while the isometer position is maintained and the pointer movement is monitored. If movement of the pointer is unacceptably large, the guide pins are re-set, re-positioned and re-driven into different pre-identified lateral reconstruction tunnel sites, and pointer movement during full range motion is again monitored until movement is acceptably small.
    • 用于确定外侧旋转性膝关节不稳定性的侧面手术增大或重建的等距移植物隧道放置的等长计。 该移植隧道放置等距评估和测量装置被设计成与移植物和关节外技术一起使用,其在自身使用时或与关节内ACL重建组合使用时恢复旋转,外侧和前膝关节的稳定性。 该计时器包括具有滑动杆的细长主体,其在主体内水平滑动,并且插入式固定触针横向于细长主体的第一端附接。 在该插管式固定式触控笔中,可以自由滑动的导向销,但也可以使用固定式触针固定螺丝固定。 类似地,插入式活动触针横向于滑动杆的第一端附接,并且在该插管式活动触针内是可自由滑动的引导销,但是也可以使用活动触针固定螺钉固定。 有一个环绕滑杆的指针,滑杆与滑块一起滑动,但也可以手动调节滑杆的位置。 为了确定膝关节重建手术期间的旋转膝关节等距线,引导针位于先前识别的横向重建隧道位置。 引导销然后被驱动到骨隧道位置,膝盖通过弯曲和伸展膝盖而保持计尺位置并监视指针运动。 如果指针的运动不可接受地大,则引导引脚被重新设置,重新定位并重新驱动到不同的预先确定的横向重建隧道位置,并且在全范围运动期间的指针运动被再次监测,直到运动可接受地较小。