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1. 发明申请

US20130150901A1 Reduced Component Bone Plating System 有权
标题翻译：减少组件骨电镀系统
公开(公告)号：US20130150901A1
公开(公告)日：2013-06-13
申请号：US13313350
申请日：2011-12-07
申请人： Juergen A. Kortenbach , Robert Sixto, JR. , Andrea Suarez
发明人： Juergen A. Kortenbach , Robert Sixto, JR. , Andrea Suarez
IPC分类号： A61B17/80
CPC分类号： A61B17/8052 , A61B17/8057 , A61B17/8061 , A61B17/8605
摘要： An orthopedic screw system includes a screw with a locking head that can both lockingly engage in a fixed angle threaded screw hole to secure a plate to a bone without compression, and non-lockingly engage at a compression screw hole to provide compression between the plate and the bone. The structure of the system is particularly well adapted to plates and screw of small dimensions, such as screws smaller than 3.5 mm and is capable of providing high compressive force, on the order of 120 lbs of axial load, without significant plastic deformation between the screw and plate.
摘要翻译：矫形螺钉系统包括具有锁定头的螺钉，其可以锁定地接合在固定角度的螺纹孔中，以将板固定在骨头上而不受压缩，并且非锁定地接合在压缩螺钉孔处以在板和骨头。该系统的结构特别适用于小尺寸的板和螺钉，例如小于3.5mm的螺钉，并且能够提供大约120磅的轴向载荷的高压缩力，而螺杆之间没有明显的塑性变形和板。

2. 发明申请

US20120143247A1 Method for Fastening a Hinged Surgical Fastener on Tissue 有权
标题翻译：在组织上固定铰链手术紧固件的方法
公开(公告)号：US20120143247A1
公开(公告)日：2012-06-07
申请号：US13158771
申请日：2011-06-13
申请人： Kevin W. Smith , Juergen A. Kortenbach , Robert Sixto, JR.
发明人： Kevin W. Smith , Juergen A. Kortenbach , Robert Sixto, JR.
IPC分类号： A61B17/064
CPC分类号： A61B17/0643 , A61B17/068 , A61B17/10 , A61B2017/00349 , A61B2017/00827
摘要： A method for fastening a two-piece surgical fastener to bodily tissue whereby the surgical fastener has a safety position. The method comprises inserting first and second piercing posts through at least two layers of tissue and attaching a receiving portion to the coupling ends of the first and second piercing posts. Each of the first and second piercing posts have a fixed end and a coupling end, the first piercing post being fixedly-attached at its fixed end to a first base portion, the second piercing post being fixedly-attached at its fixed end to a second base portion, the first and second base portions being foldably coupled to one another by a hinge, where a bias device imparts a bias force on at least one of the first base portion and the second base portion in a direction toward the other and substantially perpendicular to a longitudinal axis of the hinge.
摘要翻译：一种用于将两件式手术紧固件紧固到身体组织的方法，由此手术紧固件具有安全位置。该方法包括将第一和第二刺穿柱穿过至少两层纸巾，并将接收部分附接到第一和第二穿刺柱的联接端。第一穿刺柱和第二穿刺柱中的每一个具有固定端和联接端，第一穿刺柱在其固定端处固定地附接到第一基部，第二穿刺柱在其固定端固定地附接到第二穿孔所述第一基部和第二基部通过铰链彼此可折叠地连接，偏置装置在朝向另一基部和第二基部的至少一个的方向上施加偏压力并且基本垂直到铰链的纵向轴线。

3. 发明申请

US20110071555A1 Method for Applying Surgical Clips Particularly Useful in the Endoluminal Treatment of Gastroesophageal Reflux Disease (GERD) 审中-公开
公开(公告)号：US20110071555A1
公开(公告)日：2011-03-24
申请号：US12748944
申请日：2010-03-29
申请人： Michael Sean McBrayer , Thomas O. Bales, JR. , Charles R. Slater , Juergen A. Kortenbach , Robert Sixto, JR.
发明人： Michael Sean McBrayer , Thomas O. Bales, JR. , Charles R. Slater , Juergen A. Kortenbach , Robert Sixto, JR.
IPC分类号： A61B17/00
CPC分类号： A61B17/122 , A61B10/06 , A61B17/0644 , A61B17/068 , A61B17/1285 , A61B18/1445 , A61B90/50 , A61B2017/00296 , A61B2017/00827 , A61B2017/0647 , A61B2017/2905 , A61B2017/2919 , A61B2017/2926 , A61B2017/320064 , A61B2018/00577 , A61B2018/1253 , A61B2018/126
摘要： Surgical clips, which are particularly useful in the transoral invagination and fundoplication of the stomach to the esophagus, and methods of applying the surgical clips to living tissue are disclosed. The clips include first and second arms joined by a bridge to form a substantially U-shape, and which are provided with a first structure adapted to prevent a movement of the clip in a direction perpendicular to a longitudinal axis of the clip after the clip is applied to tissue. In addition, the clips preferably also include a second structure adapted to prevent rotation of the clip about the longitudinal axis of the clip after the clip is applied to tissue.

4. 发明申请

US20090125070A1 Fracture Fixation Plate for the Coronoid of the Proximal Ulna 有权
标题翻译：用于近端Ulna的冠状动脉的骨折固定板
公开(公告)号：US20090125070A1
公开(公告)日：2009-05-14
申请号：US12261456
申请日：2008-10-30
申请人： Robert Sixto, JR. , Juergen A. Kortenbach , Scott Steinmann
发明人： Robert Sixto, JR. , Juergen A. Kortenbach , Scott Steinmann
IPC分类号： A61B17/70 , A61B17/04 , A61B19/00
CPC分类号： A61B17/80 , A61B17/17 , A61B17/1728 , A61B17/1739 , A61B17/8061 , A61B17/8085 , A61B17/809 , A61B17/864 , A61B17/8863 , B25B27/026 , B25B27/064 , Y10S606/902
摘要： A system for the internal fixation of a fractured bone of an elbow joint of a patient includes at least one bone plate, each bone plate having a plurality of holes and generally configured to fit an anatomical surface of the fractured bone. The at least one plate is adapted to be customized to the shape of a patient's bone. The system also includes a plurality of fasteners including at least one locking fastener for attaching the bone plate to the bone. At least one of the holes is a threaded hole. Guides for plate benders, drills, and/or K-wires can be pre-assembled to the threaded holes, and the locking fastener can lock into any of the threaded holes after the guides are removed.
摘要翻译：用于患者的肘关节的骨折的内部固定的系统包括至少一个骨板，每个骨板具有多个孔，并且通常构造成适合骨折骨的解剖表面。所述至少一个板适于根据患者骨骼的形状来定制。该系统还包括多个紧固件，其包括用于将骨板附接到骨头的至少一个锁定紧固件。至少一个孔是螺纹孔。板式弯管机，钻头和/或K线的导轨可以预先组装到螺纹孔中，并且在引导件被移除之后，锁定紧固件可以锁定到任何螺纹孔中。

5. 发明申请

US20080294178A1 Surgical clip application assembly 审中-公开
公开(公告)号：US20080294178A1
公开(公告)日：2008-11-27
申请号：US11726248
申请日：2007-03-21
申请人： Juergen A. Kortenbach , Robert Sixto, JR. , Kevin W. Smith , Charles Slater , Saul Gottlieb
发明人： Juergen A. Kortenbach , Robert Sixto, JR. , Kevin W. Smith , Charles Slater , Saul Gottlieb
IPC分类号： A61B17/128
CPC分类号： A61B17/1285 , A61B1/00073 , A61B1/00087 , A61B1/0014 , A61B1/018 , A61B10/06 , A61B17/00234 , A61B17/0218 , A61B17/0644 , A61B17/122 , A61B17/1227 , A61B18/1445 , A61B90/50 , A61B2017/00292 , A61B2017/00296 , A61B2017/00464 , A61B2017/00827 , A61B2017/2936 , A61B2017/320064 , A61B2018/00577 , A61B2018/00982 , A61B2018/1253 , A61B2018/126 , A61B2090/306 , A61B2090/3614
摘要： An apparatus for the transoral invagination and fundoplication of the stomach to the esophagus includes a clip applier having sharp toothed jaws for grasping and damaging the fundus prior to applying the clip. The clip applier has an overall diameter of less than 7 mm. The clip applier jaws are coupled to a pull wire via a linkage which increases the mechanical advantage and thus permits greater grasping force. A plurality of clip designs are also provided.

6. 发明申请

US20100179568A1 Methods for the Surgical Application of a Fastener and the Endoluminal Treatment of Gastroesophageal Reflux Disease (GERD) 有权
标题翻译：紧固件手术应用方法和胃食管反流病（GERD）的腔内治疗
公开(公告)号：US20100179568A1
公开(公告)日：2010-07-15
申请号：US12689772
申请日：2010-01-19
申请人： Juergen A. Kortenbach , Robert Sixto, JR. , Kevin W. Smith
发明人： Juergen A. Kortenbach , Robert Sixto, JR. , Kevin W. Smith
IPC分类号： A61B17/00
CPC分类号： A61B17/0643 , A61B17/068 , A61B17/29 , A61B2017/00827 , A61B2017/2905
摘要： A surgical instrument includes an end effector having a clevis and first and second jaws mutually rotatable between open and closed positions. The jaws are proximally directed and laterally displaced relative to a longitudinal axis of a control shaft of the instrument. The jaws hold first and second parts of a fastener, respectively. The first part includes a base having upstanding tissue piercing posts, and the second part includes another base defining apertures for receiving the posts, as well as a portion movable relative to the second base. When the upstanding posts are inserted into the apertures, the movable portion can be moved into a second configuration to lock the parts of the fastener together. The instrument is adapted to move the second part into the second configuration. A method for using the apparatus and fastener are also provided.
摘要翻译：手术器械包括端部执行器，其具有U形夹以及在打开位置和闭合位置之间可相互旋转的第一和第二钳口。夹钳相对于仪器的控制轴的纵向轴线向近侧指向并横向移位。夹爪分别固定紧固件的第一和第二部分。第一部分包括具有直立的组织穿刺柱的基部，并且第二部分包括限定用于接收柱的孔的另一底部以及相对于第二基部可移动的部分。当直立柱插入孔中时，可移动部分可以移动到第二构型中以将紧固件的部件锁定在一起。该仪器适于将第二部分移动到第二配置中。还提供了一种使用该装置和紧固件的方法。

7. 发明申请

US20090125069A1 Fracture Fixation Plates for the Distal Humerus 有权
标题翻译：用于远端肱骨的骨折固定板
公开(公告)号：US20090125069A1
公开(公告)日：2009-05-14
申请号：US12261433
申请日：2008-10-30
申请人： Robert Sixto, JR. , Juergen A. Kortenbach , Jose Luis Francese , Michael Wich , Roy Sanders , Scott Steinmann
发明人： Robert Sixto, JR. , Juergen A. Kortenbach , Jose Luis Francese , Michael Wich , Roy Sanders , Scott Steinmann
IPC分类号： A61B17/70 , A61B17/04 , A61B19/00
CPC分类号： A61B17/80 , A61B17/17 , A61B17/1728 , A61B17/1739 , A61B17/8061 , A61B17/8085 , A61B17/809 , A61B17/864 , A61B17/8863 , B25B27/026 , B25B27/064 , Y10S606/902
摘要： A system for the internal fixation of a fractured bone of an elbow joint of a patient includes at least one bone plate, each bone plate having a plurality of holes and generally configured to fit an anatomical surface of the fractured bone. The at least one plate is adapted to be customized to the shape of a patient's bone. The system also includes a plurality of fasteners including at least one locking fastener for attaching the bone plate to the bone. At least one of the holes is a threaded hole. Guides for plate benders, drills, and/or K-wires can be pre-assembled to the threaded holes, and the locking fastener can lock into any of the threaded holes after the guides are removed.
摘要翻译：用于患者的肘关节的骨折的内部固定的系统包括至少一个骨板，每个骨板具有多个孔，并且通常构造成适合骨折骨的解剖表面。所述至少一个板适于根据患者骨骼的形状来定制。该系统还包括多个紧固件，其包括用于将骨板附接到骨头的至少一个锁定紧固件。至少一个孔是螺纹孔。板式弯管机，钻头和/或K线的导轨可以预先组装到螺纹孔中，并且在引导件被移除之后，锁定紧固件可以锁定到任何螺纹孔中。

8. 发明申请

US20090118769A1 Fracture Fixation Plate for the Proximal Radius 有权
标题翻译：用于近端半径的断裂固定板
公开(公告)号：US20090118769A1
公开(公告)日：2009-05-07
申请号：US12261413
申请日：2008-10-30
申请人： Robert Sixto, JR. , Juergen A. Kortenbach , Jose Luis Francese , Michael Wich , Roy Sanders , Scott Steinmann
发明人： Robert Sixto, JR. , Juergen A. Kortenbach , Jose Luis Francese , Michael Wich , Roy Sanders , Scott Steinmann
IPC分类号： A61B17/70
CPC分类号： A61B17/80 , A61B17/17 , A61B17/1728 , A61B17/1739 , A61B17/8061 , A61B17/8085 , A61B17/809 , A61B17/864 , A61B17/8863 , B25B27/026 , B25B27/064 , Y10S606/902
摘要： A system for the internal fixation of a fractured bone of an elbow joint of a patient includes at least one bone plate, each bone plate having a plurality of holes and generally configured to fit an anatomical surface of the fractured bone. The at least one plate is adapted to be customized to the shape of a patient's bone. The system also includes a plurality of fasteners including at least one locking fastener for attaching the bone plate to the bone. At least one of the holes is a threaded hole. Guides for plate benders, drills, and/or K-wires can be pre-assembled to the threaded holes, and the locking fastener can lock into any of the threaded holes after the guides are removed.
摘要翻译：用于患者的肘关节的骨折的内部固定的系统包括至少一个骨板，每个骨板具有多个孔，并且通常构造成适合骨折骨的解剖表面。所述至少一个板适于根据患者骨骼的形状来定制。该系统还包括多个紧固件，其包括用于将骨板附接到骨头的至少一个锁定紧固件。至少一个孔是螺纹孔。板式弯管机，钻头和/或K线的导轨可以预先组装到螺纹孔中，并且在引导件被移除之后，锁定紧固件可以锁定到任何螺纹孔中。

9. 发明申请

US20110125168A1 Methods for the Endoluminal Treatment of Gastroesophageal Reflux Disease (GERD) 审中-公开
标题翻译：胃食管反流病（GERD）的腔内治疗方法
公开(公告)号：US20110125168A1
公开(公告)日：2011-05-26
申请号：US12723755
申请日：2010-03-15
申请人： Robert Sixto, JR. , Michael Sean McBrayer , Juergen A. Kortenbach , Charles Slater , Kevin W. Smith
发明人： Robert Sixto, JR. , Michael Sean McBrayer , Juergen A. Kortenbach , Charles Slater , Kevin W. Smith
IPC分类号： A61B17/10
CPC分类号： A61B17/122 , A61B1/00073 , A61B1/00087 , A61B1/0014 , A61B1/018 , A61B10/06 , A61B17/00234 , A61B17/0218 , A61B17/1227 , A61B17/1285 , A61B18/1445 , A61B90/50 , A61B2017/00292 , A61B2017/00296 , A61B2017/00464 , A61B2017/2936 , A61B2017/320064 , A61B2018/00577 , A61B2018/00982 , A61B2018/1253 , A61B2018/126 , A61B2090/306 , A61B2090/3614
摘要： A medical method includes sliding two substantially straight unconnected arms over a fold of body tissue such that a first arm contacts a first portion of the fold and a second arm contacts a second portion. Then, each arm is bent completely through the fold such that both of the arms compress the portions of the fold into contact with each other. Another method includes releasably coupling first and second substantially linear arms to a bridge, each of the arms having a substantially straight sliding portion and a bendable piercing portion. The arms are slid over opposing sides of two body tissue layers, the first arm sliding over the first layer and the second over the second layer. While the sliding portions of the arms remain substantially straight, each piercing portion is bent completely through the adjacent layer and halfway through the other layer to compress the two layers together.
摘要翻译：医疗方法包括将两个基本上直的未连接的臂滑动到身体组织的折叠上，使得第一臂接触折叠的第一部分，而第二臂接触第二部分。然后，每个臂完全弯曲通过折叠，使得两个臂都将折叠部分压缩成彼此接触。另一种方法包括将第一和第二基本线性的臂可释放地联接到桥，每个臂具有基本上直的滑动部分和可弯曲的刺穿部分。臂在两个身体组织层的相对侧滑动，第一臂在第一层上滑动，第二臂在第二层上滑动。当臂的滑动部分保持基本上直线时，每个刺穿部分完全弯曲穿过相邻的层并且穿过另一层的中间，以将两个层压在一起。

10. 发明申请

US20100251861A1 Torque-Limiting Fastener Driver 有权
标题翻译：扭矩限制紧固件驱动
公开(公告)号：US20100251861A1
公开(公告)日：2010-10-07
申请号：US12419339
申请日：2009-04-07
申请人： Robert Sixto, JR. , Juergen A. Kortenbach , Javier E. Castaneda , Eduardo A. Ampuero , Alfredo Castaneda , Joel G. Marquart
发明人： Robert Sixto, JR. , Juergen A. Kortenbach , Javier E. Castaneda , Eduardo A. Ampuero , Alfredo Castaneda , Joel G. Marquart
IPC分类号： B25B23/142 , B25B15/02
CPC分类号： B25B15/02 , A61B17/888 , A61B2090/031 , B25B23/0042 , B25B23/1415 , B25B23/1427
摘要： A torque-limiting fastener driver for driving a bone fastener into bone includes a handle supporting a driver shaft. The driver shaft includes limited components which are designed to provide feedback to a user regarding the applied torsional force. In addition, the driver shaft is designed to controllably fail before any potential uncontrolled failure of the distal driving tip. This prevents application of too much torque and controlled design of the shape and size of the failed components.
摘要翻译：用于将骨固定件驱动到骨头中的扭矩限制紧固件驱动器包括支撑驱动轴的手柄。驱动轴包括有限的部件，其被设计成向使用者提供关于施加的扭转力的反馈。此外，驱动器轴设计成在远侧驱动尖端的任何潜在的不受控制的故障之前可控制地失效。这样可以防止过大的扭矩和受控设计的失效部件的形状和尺寸。

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