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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。
    • 2. 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。
    • 3. 发明授权
    • Ligament fixator for a ligament anchor system
    • 用于韧带锚系统的韧带固定器
    • US5766250A
    • 1998-06-16
    • US736554
    • 1996-10-28
    • Alan ChervitzE. Marlowe GobleRamarao Gundlapalli
    • Alan ChervitzE. Marlowe GobleRamarao Gundlapalli
    • A61B17/16A61B17/17A61B19/00A61F2/08
    • A61F2/0805A61B17/1675A61F2/0811A61B17/1655A61B17/1714A61B2090/062A61F2002/0829A61F2002/0864A61F2002/087A61F2002/0882Y10S606/908
    • A ligament 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 anchor system includes footing member for positioning in a bone tunnel, and includes a longitudinal opening formed therethrough, and a ligament carrying member that has a forward of proximal portion for fitting through the member longitudinal opening and includes a coupling for securing it to the footing member. The ligament carrying member further including as a rear or distal portion that incorporates a ligament mounting 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, should an adjustment of ligament graft tension be desirable, the footing member is turned appropriately in the bone tunnel.
    • 用于韧带锚固系统的韧带固定器及其在关节镜方法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。 锚定系统包括用于定位在骨隧道中的基脚构件,并且包括由其穿过的纵向开口,以及韧带承载构件,其具有用于通过构件纵向开口配合的近侧部分的前部,并且包括用于将其固定到基脚 会员。 所述韧带承载构件还包括作为后部或远端部分,所述后部或远端部分包括具有中心纵向轴线的韧带安装部分,所述韧带安装部分具有中心纵向轴线,所述中心纵向轴线至少一个并且优选地一对间隔开的尖部支柱基本上成直角延伸,所述直角包括沿着 每个柱的至少一侧,用于穿过形成在韧带移植物的端部中的横向孔的柱或柱,例如骨腱韧带移植物的骨端,将韧带移植骨端推动到安装板柱上 轴向安装在其上。 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。 在韧带移植物处于张力下并且相对的移植物端固定之后,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
    • Expandable body suture
    • 可扩展身体缝合
    • US5645568A
    • 1997-07-08
    • US560682
    • 1995-11-20
    • Alan ChervitzRamarao Gundlapalli
    • Alan ChervitzRamarao Gundlapalli
    • A61B17/04A61B17/06
    • A61B17/06166A61B2017/0406A61B2017/0461A61B2017/06057A61B2017/0618
    • An expandable body suture that has a suture body that is formed in the manufacturing process over at least one pledget device that has an elongate shape with essentially a constant cross section along its mid-section and is of a diameter to fit snugly into a hole formed in a bone, ligament, tendon, or the like. The pledget device can be formed from a cloth, fabric or resinous material, is preferably resilient, is positioned in the suture body during manufacture or can be arranged on a cord or string whereover the suture body is formed during its manufacture as by weaving suture threads or strands thereover. For forming a hole in bone, ligament or tendon to receive the pledget device pulled therein, a needle or needles are secured to the suture body end or ends for forming the hole and pulling the suture body therethrough.
    • 一种可扩张体缝合线,其具有在制造过程中形成的缝合线体,该缝合线体在至少一个具有细长形状的细长形状上形成,该细长形状沿其中间部分基本上具有恒定的横截面,并且具有直径以适合于适合地形成孔 在骨骼,韧带,肌腱等中。 该布置装置可以由布,织物或树脂材料形成,优选地是弹性的,在制造过程中被定位在缝合线本体中,或者可以布置在线或绳上,在其制造过程中形成缝合线本体,通过编织缝线 或股线。 为了在骨头,韧带或肌腱中形成孔以接收拉入其中的毛细管装置,将针或针固定到缝合线本体端部或端部以形成孔并将缝线体从其中拉出。