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    • 1. 发明授权
    • Bone fixator for a ligament anchor system
    • 用于韧带锚系统的骨固定器
    • US5931840A
    • 1999-08-03
    • US14739
    • 1998-01-28
    • E. Marlowe GobleThomas Wade FallinAlan ChervitzRamarao Gundlapalli
    • E. Marlowe GobleThomas Wade FallinAlan ChervitzRamarao Gundlapalli
    • A61B17/16A61B17/17A61B19/00A61F2/08A61B17/56
    • A61F2/0805A61B17/1675A61F2/0811A61B17/1655A61B17/1714A61B2090/062A61F2002/0829A61F2002/0864A61F2002/087A61F2002/0882Y10S606/908
    • A bone fixator for a ligament anchor system and a process its use in an arthroscopic procedure for mounting a ligament graft end in a tunnel formed into a bone. The bone fixator includes threaded footing member for mounting in a bone tunnel, that includes a longitudinal opening formed therethrough, and a ligament carrying member that has a forward of proximal portion for fitting through the threaded footing member longitudinal opening and including a coupling arrangement for securing the ligament carrying member in the threaded footing member. The ligament carrying member further includes as a rear or distal portion that incorporates a ligament mounting section, that, in one embodiment, is an eyelet section to receive a ligament graft fitted therethrough and folded upon itself and in another embodiment is a flat section having a center longitudinal axis wherefrom at least one and preferably a pair of spaced apart pointed posts extend at essentially right angles that include serrations or downwardly sloping teeth formed along at least one side of each post, the post or posts for passing through transverse holes formed in an end of a ligament graft, such as a bone end of a bone tendon ligament graft, with the ligament graft bone end urged onto the mounting plate posts axially mounting it thereto. The ligament carrying member with axially mounted ligament graft are guided in the bone tunnel and into the footing longitudinal opening, with the ligament carrying member to lock therein, completing the ligament graft end mounting in the bone tunnel. With, after the ligament graft is placed under tension and the opposite graft end secured to the tibia cortex, should an adjustment of ligament graft tension be desirable, the footing member is turned appropriately in the bone tunnel.
    • 用于韧带锚定系统的骨固定器和其在关节镜手术中用于将韧带移植物端部安装在形成骨骼的隧道中的过程。 骨固定器包括用于安装在骨隧道中的螺纹底脚构件,其包括通过其形成的纵向开口,以及韧带承载构件,其具有近侧部分的前部,用于通过螺纹底脚构件纵向开口装配,并且包括用于固定的联接装置 所述韧带承载构件在所述螺纹底脚构件中。 韧带承载构件还包括作为后部或远端部分,其包括韧带安装部分,在一个实施例中,是一个孔眼部分,用于接收穿过其并自身折叠的韧带移植物,并且在另一个实施例中是具有 中心纵向轴线,其中至少一个并且优选地一对间隔开的尖柱以基本上直角延伸,其包括沿着每个柱的至少一侧形成的锯齿或向下倾斜的齿,所述柱或柱用于穿过形成在 韧带移植物的端部,例如骨腱韧带移植物的骨端,韧带移植骨端部被推压到轴向安装在其上的安装板柱上。 具有轴向安装的韧带移植物的韧带承载构件在骨隧道中引导并进入基脚纵向开口,韧带承载构件锁定在其中,完成在骨隧道中的韧带移植端。 由于在将韧带移植物置于张力下并且相对的移植物端部固定到胫骨皮质之后,如果需要调节韧带移植物张力,则在骨隧道中适当地转动基脚构件。
    • 4. 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。
    • 7. 发明授权
    • Anchor driver
    • 锚司机
    • US5411506A
    • 1995-05-02
    • US225768
    • 1994-04-11
    • E. Marlowe GobleAlan ChervitzDavid P. LumanKenneth L. Jensen
    • E. Marlowe GobleAlan ChervitzDavid P. LumanKenneth L. Jensen
    • A61B17/04A61B17/06A61B17/88A61F2/08A61B17/56
    • A61F2/0811A61B17/0401A61B17/06114A61B17/8875A61B2017/0409A61B2017/0414A61F2/0805A61F2002/0888
    • An anchor driver for mounting a ligament anchor and turning it into a bone, which ligament anchor includes a suture attached to a rear end that is maintained in a driver body until the anchor driver is pulled off of the ligament anchor seated in the bone. The driver body is preferably a rigid straight tube that includes an anchor mount disposed on a forward end whereto the ligament anchor is fitted. So arranged, a suture, that is disposed on the ligament anchor coupling end, will extend therefrom as a suture strand or strands that are fitted through the anchor mount, to pass through the driver body and are then bent to double back upon themselves and fitted back into the driver body. For maintaining the suture strand or stands in a straight attitude, in one embodiment a resilient cap is provided that has a hole or slot formed therein wherethrough the suture strand bend or bends are fitted into a cavity within the cap, which cap is then fitted over the driver body open end. With, in another embodiment, a grommet and thin walled tube are disposed end to end in the driver body wherethrough the suture strand or strands are fitted that are then bent to double back alongside the tube, and are maintained within the driver body, which driver body then receives a cap fitted over an open rear end thereof.
    • 用于安装韧带锚固件并将其转动成骨的锚固器驱动器,所述韧带锚固件包括附接到后端的缝合线,所述缝合线保持在驱动器主体中,直到锚固器驱动器从坐在骨头中的韧带锚固件拉出。 驱动器主体优选地是刚性直管,其包括布置在韧带锚固件的前端上的锚固安装座。 如此布置,设置在韧带锚固连接端上的缝合线将作为缝合线或股线从其延伸穿过锚定安装件穿过驱动器主体并且然后被弯曲以双重重叠并安装 回到司机身上。 为了保持缝线或直立姿态,在一个实施例中,提供弹性盖,其中形成有孔或狭缝,通过缝合线弯曲或弯曲,缝合线弯曲或弯曲装配到帽内的空腔中,然后将帽安装在 司机身体开放。 在另一个实施例中,索环和薄壁管端对端设置在驱动器主体中,通过缝合线或股线被装配,然后沿着管弯曲双向后退,并且保持在驱动器主体内,该驱动器 身体然后接收安装在其敞开的后端上的帽子。
    • 10. 发明授权
    • Bone-tendon-bone drill guide
    • 骨腱骨钻指南
    • US5697933A
    • 1997-12-16
    • US574398
    • 1995-12-18
    • Ramarao GundlapalliAlan ChervitzE. Marlowe Goble
    • Ramarao GundlapalliAlan ChervitzE. Marlowe Goble
    • A61B17/17A61B17/56
    • A61F2/0811A61B17/1714A61F2002/087A61F2240/001
    • A bone-tendon-bone drill guide for use is guiding drilling to form a pair of transverse holes through a bone end of a bone-tendon-bone ligament graft to receive a suture or sutures threaded therethrough to form a suture sling or craddle supporting the bone end as the suture are pulled into a tunnel section of a straight that has been formed into a patient's bone. The drill guide includes a pair of scissor arms connected at a pivot that are formed to where moving of lower hand engaging portions of the arms together also moves upper ends of the arms together whereacross opposing jaws are maintained. The jaws each include curved surface therealong for engaging a bone end fitted therebetween and each preferably includes spikes that extend from a jaw face for engaging, to hold in place, the bone end as a drill is turned through straight drill guide holes formed through a jaw to form transverse holes through the bone end, with the drill to exit the bone end and pass through openings formed through the other jaw. To lock the jaws in place, the drill guide further includes a straight brace that is pivotally connected to the lower end of one scissoring arm to pivot an edge thereof into alignment with a single tooth that extends from the bottom end of the other scissoring arm, the straight brace including a series of teeth formed along its edge to engage the single tooth and is spring biased to urge the series of teeth against the single tooth, urging a meshing engagement therebetween.
    • 用于使用的骨 - 腱骨钻子引导件是引导钻孔,以形成穿过骨 - 腱 - 骨韧带移植物的骨端的一对横向孔,以接收穿过其的缝合线或缝合线,以形成缝合线或支撑 当缝合线被拉入已经形成患者骨骼的直线的隧道部分时,骨端部。 钻子引导器包括连接在枢轴处的一对剪刀臂,所述剪刀臂形成为使得臂的下手接合部分的移动在一起也将臂的上端移动到一起,在该两臂相互保持相对的夹爪的位置。 夹爪各自包括弯曲表面,用于接合安装在其间的骨头端,并且每个夹具优选地包括从颚面延伸的钉,用于接合,当钻头转过通过颚形成的直钻孔引导孔时,保持在骨头端 以通过骨端形成横向孔,钻头离开骨端并穿过通过其他颚形成的开口。 为了将钳口锁定在适当的位置,钻子引导器还包括直立的支架,其可枢转地连接到一个剪切臂的下端,以使其边缘与从另一个剪切臂的底端延伸的单个齿对准, 所述直的支架包括沿其边缘形成的一系列齿,以接合所述单个齿并且被弹簧偏压以将所述一系列齿推到所述单个齿上,从而促使其间的啮合。