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1. 发明公开

EP1139883A1 TISSUE FASTENING DEVICES AND DELIVERY MEANS 有权
标题翻译：布固定件和其插入
公开(公告)号：EP1139883A1
公开(公告)日：2001-10-10
申请号：EP99946938.0
申请日：1999-09-15
申请人： Yeung, Teresa, T. , Yeung, Jeffery E.
发明人： Yeung, Teresa, T. , Yeung, Jeffery E.
IPC分类号： A61B17/08 , A61B17/064 , A61B17/068 , A61B17/04
CPC分类号： A61B17/068 , A61B17/0401 , A61B17/06109 , A61B17/064 , A61B17/083 , A61B17/1227 , A61B17/1285 , A61B2017/00004 , A61B2017/00429 , A61B2017/00805 , A61B2017/00862 , A61B2017/00867 , A61B2017/00938 , A61B2017/0409 , A61B2017/0414 , A61B2017/0458 , A61B2017/0462 , A61B2017/0464 , A61B2017/0646 , A61B2017/0648 , A61B2017/2927 , A61F2002/30092 , A61F2210/0014 , Y10S606/911
摘要： A fastener (13) and fastener delivery device (73) for guiding, delivering and deploying the fastener (13) into tissue to provide sustained gripping forces and methods of use. The fastener (13) is curved with a spring-like or shape memory material (15) and gripping elements (14). The fastener (13) is resiliently straightened and loaded into a cartridge (7) within a needle (1). The needle (1) and cartridge (7) both contain a slit (2, 8), and the slits (2, 8) extend to the distal openings (16, 17) of the needle (1) and cartridge (7). When the slits (2, 8) are not aligned, out-of-phase with each other, the fastener (13) remains resiliently straightened in the needle (1). When the slits (2, 8) overlap, in-phase with each other, the fastener (13) resiliently curves and deploys from the slits (2, 8), elastically gripping adjacent tissue. The device (73) is free to be withdrawn, allowing the fastener (13) to slide out from the distal openings (16, 17) of both cartridge (7) and needle (1).

2. 发明授权

EP2688499B1 TISSUE REPAIR WITH SPACE-SEEKING SPIRALS OF FILAMENT 失效
标题翻译：组织修复与空间寻找螺旋丝
公开(公告)号：EP2688499B1
公开(公告)日：2017-09-27
申请号：EP12723539.8
申请日：2012-03-23
申请人： Yeung, Jeffrey E. , Yeung, Teresa T.
发明人： Yeung, Jeffrey E. , Yeung, Teresa T.
IPC分类号： A61F2/00 , A61B17/04 , A61B17/00 , A61F2/30 , A61F2/44 , A61F2/46 , A61B17/70 , A61B17/88 , A61B17/34
CPC分类号： A61F2/442 , A61B17/0483 , A61B17/3468 , A61B17/7061 , A61B17/7094 , A61B17/8852 , A61B2017/00805 , A61B2017/00867 , A61F2/0036 , A61F2/4611 , A61F2002/30289 , A61F2002/30294 , A61F2002/30677 , A61F2002/444 , A61F2002/4495 , A61F2002/4635 , A61F2210/0061 , A61F2230/0091 , A61F2250/0067 , A61F2310/00598 , A61F2310/0061 , A61F2310/0097 , A61F2310/00976 , A61F2310/00982
摘要： A distal portion of a filament is extended beyond the distal end of a needle with a gripper. The needle with the extended filament is inserted into a cannula with snagging points at the distal opening of the cannula in tissue. The snagging points of the cannula hook and retain the distal portion of the filament. During partial withdrawal of the needle, a section of filament is deposited in the lumen of the cannula between the distal ends of the needle and cannula. When the needle is re-advanced, the section of filament is expelled or pushed out of the cannula into tissue. The needle is then rotated; the gripper engages and spirals the expelled filament, burrowing into tissue. The needle can further advanced to push and pack the spiral of filament deep into the tissue. The knot-like filament spiral is individually formed by rotation of the needle and friction between the extended filament and tissue. The process of needle partial withdrawal, re-advancement, rotation and pushing is repeated to pack and fill the tissue with interconnecting spirals of filament to prevent migration from tissue. Spiraling of the filament driven by the rotating needle is space seeking, filling, fitting or conforming to fortify, bulk, fill, cushion or repair the tissue. Bulking with filament spirals can repair degenerated disc, urinary incontinence, fecal incontinence or other defective tissue. The filament spirals can also be used as a suture anchor deep within tissue.
摘要翻译：用夹子将细丝的远端部分延伸到针的远端之外。将具有延长细丝的针插入套管中，在套管的远侧开口处的组织中具有阻断点。套管的钩挂点钩住并保持细丝的远端部分。在针的部分撤回期间，一部分细丝在针和套管的远端之间沉积在套管的内腔中。当针头再次前进时，细丝部分被排出或推出套管进入组织。针然后旋转; 抓爪啮合并螺旋排出的细丝，钻入组织。针可以进一步推进以将丝的螺旋深深地推入组织中。结状细丝螺旋通过针的旋转和延伸细丝与组织之间的摩擦而单独形成。重复针部分撤回，重新推进，旋转和推动的过程以用相互连接的细丝螺旋来填充和填充组织以防止从组织移动。由旋转针驱动的细丝的螺旋化是空间寻找，填充，配合或符合强化，填充，填充，缓冲或修复组织。用丝状螺旋进行膨胀可修复退化椎间盘，尿失禁，大便失禁或其他有缺陷的组织。丝状螺旋也可以用作组织深处的缝合锚钉。

3. 发明公开

EP2688499A1 TISSUE REPAIR WITH SPACE-SEEKING SPIRALS OF FILAMENT 失效
标题翻译： GEWEBEREPARATUR MIT RAUMSUCHENDEN FILAMENT-SPIRALEN
公开(公告)号：EP2688499A1
公开(公告)日：2014-01-29
申请号：EP12723539.8
申请日：2012-03-23
申请人： Yeung, Jeffrey E. , Yeung, Teresa, T.
发明人： Yeung, Jeffrey E. , Yeung, Teresa, T.
IPC分类号： A61B17/70 , A61F2/46 , A61F2/44 , A61B17/88 , A61B17/34
CPC分类号： A61F2/442 , A61B17/0483 , A61B17/3468 , A61B17/7061 , A61B17/7094 , A61B17/8852 , A61B2017/00805 , A61B2017/00867 , A61F2/0036 , A61F2/4611 , A61F2002/30289 , A61F2002/30294 , A61F2002/30677 , A61F2002/444 , A61F2002/4495 , A61F2002/4635 , A61F2210/0061 , A61F2230/0091 , A61F2250/0067 , A61F2310/00598 , A61F2310/0061 , A61F2310/0097 , A61F2310/00976 , A61F2310/00982
摘要： A distal portion of a filament is extended beyond the distal end of a needle with a gripper. The needle with the extended filament is inserted into a cannula with snagging points at the distal opening of the cannula in tissue. The snagging points of the cannula hook and retain the distal portion of the filament. During partial withdrawal of the needle, a section of filament is deposited in the lumen of the cannula between the distal ends of the needle and cannula. When the needle is re-advanced, the section of filament is expelled or pushed out of the cannula into tissue. The needle is then rotated; the gripper engages and spirals the expelled filament, burrowing into tissue. The needle can further advanced to push and pack the spiral of filament deep into the tissue. The knot-like filament spiral is individually formed by rotation of the needle and friction between the extended filament and tissue. The process of needle partial withdrawal, re-advancement, rotation and pushing is repeated to pack and fill the tissue with interconnecting spirals of filament to prevent migration from tissue. Spiraling of the filament driven by the rotating needle is space seeking, filling, fitting or conforming to fortify, bulk, fill, cushion or repair the tissue. Bulking with filament spirals can repair degenerated disc, urinary incontinence, fecal incontinence or other defective tissue. The filament spirals can also be used as a suture anchor deep within tissue.
摘要翻译：丝线的远端部分用夹具延伸超过针的远端。将具有延伸细丝的针插入具有在组织中插管的远端开口处的阻塞点的插管中。插管钩的阻塞点并保持丝的远端部分。在针的部分抽出期间，在针和插管的远端之间的一段细丝沉积在套管的内腔中。当针被再推进时，细丝的部分被排出或从套管推出到组织中。然后旋转针头; 夹具接合并螺旋排出的细丝，挖入组织。针可以进一步推进以将丝的螺旋深入到组织中。结状丝状螺旋通过针的旋转和延长的细丝与组织之间的摩擦分别形成。针头部分抽出，再推进，旋转和推动的过程重复，用纤维互连的螺旋填充和填充组织以防止从组织迁移。由旋转针驱动的细丝的螺旋形是空间寻找，填充，配合或符合强化，散装，填充，缓冲或修复组织。用丝线螺旋填充可以修复退化的椎间盘，尿失禁，大便失禁或其他有缺陷的组织。长丝螺旋也可以用作组织内部的缝合锚。

4. 发明公开

EP1399077A2 INTERVERTEBRAL DISC REPAIR COMPRESSION DEVICE AND TROCAR 有权
标题翻译：压缩设备和套管针用于修复椎间盘假体
公开(公告)号：EP1399077A2
公开(公告)日：2004-03-24
申请号：EP02706259.5
申请日：2002-02-13
申请人： Yeung, Jeffrey E. , Yeung, Teresa, T.
发明人： Yeung, Jeffrey E. , Yeung, Teresa, T.
IPC分类号： A61B17/70
CPC分类号： A61B17/1757 , A61B17/70 , A61B2017/00004 , A61B2017/00867 , A61F2002/4435
摘要： A saddle-shaped compression device and methods of fastening a dysfunctional intervertebral disc are used to (1) compress a protrusion to alleviate nerve impingement, (2) fortify the annulus to stabilize a motion segment, (3) minimize the inward/outward bulging and delamination of the annulus, (4) atrophy the nerve to treat discogenic pain, (5) correct the curvature of spinal deformities, (6) elevate the disc space to treat spinal stenosis, and (7) seal the seepage of nucleus pulposus from a herniated disc.

5. 发明授权

EP1478283B1 EXPANDABLE FASTENER WITH COMPRESSIVE GRIPS 有权
标题翻译：可压缩的交叉元件可涂抹的固定件
公开(公告)号：EP1478283B1
公开(公告)日：2010-07-14
申请号：EP03713327.9
申请日：2003-01-31
申请人： Yeung, Jeffrey E. , Yeung, Teresa, T.
发明人： Yeung, Jeffrey E. , Yeung, Teresa, T.
IPC分类号： A61B17/04
CPC分类号： A61B17/0642 , A61B17/0401 , A61B17/0643 , A61B17/0644 , A61B17/0682 , A61B17/86 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0427 , A61B2017/0438 , A61B2017/044 , A61B2017/0445 , A61B2017/0646 , A61B2017/0647 , A61B2017/0648 , A61F2/0805 , A61F2/0811 , A61F2002/0835 , A61F2002/0841 , A61F2002/0858 , A61F2002/4435
摘要： Anchoring elements of a fastener (144) are made elastically curved. The curvatures of the elements are resiliently straightened by a trocar (103) for tissue insertion. As the trocar is withdrawn, the anchoring elements resume the curved configuration, laterally pressing the elements against tissue to anchor the fastener.

6. 发明公开

EP1482841A1 SUTURE ANCHOR AND APPROXIMATING DEVICE 有权
标题翻译： SEAM锚与调适设备
公开(公告)号：EP1482841A1
公开(公告)日：2004-12-08
申请号：EP02807095.1
申请日：2002-12-24
申请人： Yeung, Jeffery E. , Yeung, Teresa, T.
发明人： Yeung, Jeffery E. , Yeung, Teresa, T.
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0467 , A61B2017/00805 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0437 , A61B2017/0445 , A61B2017/0446 , A61B2017/045 , A61B2017/0458 , A61B2017/0464 , A61B2017/0496 , A61B2090/062
摘要： An elastically curved suture anchor is resiliently straightened and delivered into tissue by a needle. When the needle is withdrawn, resumption of the curvature provides leverage for anchor rotation as the attached suture is pulled to fasten the anchor within the tissue. A fin at the proximal end of the anchor further increases the rotational leverage and expedites anchor fastening. When two or more anchors with connecting suture are delivered in series on a needle, the tension of the suture helps to draw the anchors together and approximates the pierced tissue.

7. 发明授权

EP1399077B1 Intervertebral disc repair compression device and trocar 有权
标题翻译：压缩设备和套管针用于修复椎间盘假体
公开(公告)号：EP1399077B1
公开(公告)日：2006-08-23
申请号：EP02706259.5
申请日：2002-02-13
申请人： Yeung, Jeffrey E. , Yeung, Teresa, T.
发明人： Yeung, Jeffrey E. , Yeung, Teresa, T.
IPC分类号： A61B17/70
CPC分类号： A61B17/1757 , A61B17/70 , A61B2017/00004 , A61B2017/00867 , A61F2002/4435
摘要： A saddle-shaped compression device and methods of fastening a dysfunctional intervertebral disc are used to (1) compress a protrusion to alleviate nerve impingement, (2) fortify the annulus to stabilize a motion segment, (3) minimize the inward/outward bulging and delamination of the annulus, (4) atrophy the nerve to treat discogenic pain, (5) correct the curvature of spinal deformities, (6) elevate the disc space to treat spinal stenosis, and (7) seal the seepage of nucleus pulposus from a herniated disc.

8. 发明授权

EP1482841B1 SUTURE ANCHOR AND APPROXIMATING DEVICE 有权
标题翻译： SEAM锚与调适设备
公开(公告)号：EP1482841B1
公开(公告)日：2005-12-07
申请号：EP02807095.1
申请日：2002-12-24
申请人： Yeung, Jeffrey E. , Yeung, Teresa, T.
发明人： Yeung, Jeffrey E. , Yeung, Teresa, T.
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0467 , A61B2017/00805 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0437 , A61B2017/0445 , A61B2017/0446 , A61B2017/045 , A61B2017/0458 , A61B2017/0464 , A61B2017/0496 , A61B2090/062
摘要： An elastically curved suture anchor is resiliently straightened and delivered into tissue by a needle. When the needle is withdrawn, resumption of the curvature provides leverage for anchor rotation as the attached suture is pulled to fasten the anchor within the tissue. A fin at the proximal end of the anchor further increases the rotational leverage and expedites anchor fastening. When two or more anchors with connecting suture are delivered in series on a needle, the tension of the suture helps to draw the anchors together and approximates the pierced tissue.

9. 发明公开

EP1478283A2 EXPANDABLE FASTENER WITH COMPRESSIVE GRIPS 有权
标题翻译：可压缩的交叉元件可涂抹的固定件
公开(公告)号：EP1478283A2
公开(公告)日：2004-11-24
申请号：EP03713327.9
申请日：2003-01-31
申请人： Yeung, Jeffrey E. , Yeung, Teresa, T.
发明人： Yeung, Jeffrey E. , Yeung, Teresa, T.
IPC分类号： A61B17/04
CPC分类号： A61B17/0642 , A61B17/0401 , A61B17/0643 , A61B17/0644 , A61B17/0682 , A61B17/86 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0427 , A61B2017/0438 , A61B2017/044 , A61B2017/0445 , A61B2017/0646 , A61B2017/0647 , A61B2017/0648 , A61F2/0805 , A61F2/0811 , A61F2002/0835 , A61F2002/0841 , A61F2002/0858 , A61F2002/4435
摘要： Anchoring elements of a fastener (144) are made elastically curved. The curvatures of the elements are resiliently straightened by a trocar (103) for tissue insertion. As the trocar is withdrawn, the anchoring elements resume the curved configuration, laterally pressing the elements against tissue to anchor the fastener.

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