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1. 发明公开

EP0358372A1 Channel ligament clamp and system 失效
标题翻译： RinnenförmigeBandklammer und Klammersystem。
公开(公告)号：EP0358372A1
公开(公告)日：1990-03-14
申请号：EP89308518.3
申请日：1989-08-23
申请人： Goble, E. Marlowe , Somers, W. Karl
发明人： Goble, E. Marlowe , Somers, W. Karl
IPC分类号： A61F2/08 , A61B17/08
CPC分类号： A61F2/0811 , A61B17/0642 , A61B17/17 , A61B2017/0641 , A61B2017/0648 , A61F2002/0829 , A61F2002/0864 , A61F2002/0888 , A61F2002/30841 , A61F2002/30892
摘要： A channel ligament clamp comprising:- a section (10) of channel constructed from a material suitable for human implantation having upstanding spaced apart parallel spikes (11) as the channel sides with a web (13) therebetween, said web being adapted to fit over a ligament (18) for attachment to a bone surface (17) with a said ligament contained between said spikes. Pins (15) extend from said web alongside and parallel to said spikes, and at least one laterally centered hole (14) is formed through said web for receiving a screw-type fastener (40) therethrough.
摘要翻译：一种通道韧带夹，包括： - 由适合于人类植入的材料构成的通道的部分（10），其具有直立的间隔开的平行尖峰（11），其中通道侧具有在其间的腹板（13），所述腹板适于配合用于附接到骨表面（17）的韧带（18），所述韧带包含在所述钉之间。引脚（15）从所述腹板沿着并平行于所述尖钉延伸，并且穿过所述腹板形成至少一个横向居中的孔（14），用于接收穿过其中的螺钉型紧固件（40）。

2. 发明公开

EP0376641A1 Ligament anchor system 失效
标题翻译：韧带Verankerungssystem。
公开(公告)号：EP0376641A1
公开(公告)日：1990-07-04
申请号：EP89313500.4
申请日：1989-12-22
申请人： Goble, E. Marlowe , Somers, W. Karl
发明人： Goble, E. Marlowe , Somers, W. Karl
IPC分类号： A61F2/08
CPC分类号： A61B17/686 , A61F2/0811 , A61F2002/0829 , A61F2002/0852 , A61F2002/087 , A61F2002/0882 , Y10S606/907 , Y10S606/916 , Y10S623/902
摘要： An anchor system that is preferably for use in an arthoscopic cruciate ligament replacement procedure for securing a ligament (37) or (50), or ligament type device, with or without a stint (38), within a prepared ligament tunnel (33). The system includes a pair of threaded footings (11) for turning in opposite tapped ligament tunnel cortex ends (34) and (35) and studs (10), each having an eyelet end (18) or, for a prosthetic ligament (50) is secured to the ligament end, the studs each having a cylindrical body (17) and flared end (12). The stud flared end terminates in a lip (15) wherefrom a lock wall (16) extends at an angle to the vertical to the cylindrical body, which flared end is cross-cut at (19) and (20), forming sections. The stud flared end (12) sections to close together to fit through the threaded footing (11) and flex outwardly beyond that footing end (24), the lip lock wall (16) to flex over that footing end locking the stud herein.
In practice, the ligament (37) with or without the stint (38) is formed into a loop for sliding along the stud (10), slot (20) into the eyelet (18), or the studs are attached to a prosthetic ligament ends in its manufacture, the pair of studs and connected ligament and stint for manipulation through an arthoscopic port (36) formed into the patient's knee, each stud for seating into a threaded footing, the studs each locking therein with the ligament stretched across the knee intra articular joint. Whereafter, tension on the ligament can be adjusted by individually turning the threaded footings appropriately into or out of the cortex threads.
摘要翻译：一种锚系统，其优选用于在用于固定具有或不具有静脉（38）的韧带（37）或（50）或韧带类型装置（38）内的韧带（37）或韧带类型装置（30）内的用于矫形十字韧带的替代方法。该系统包括一对螺纹底脚（11），用于转动相对的带螺纹的韧带隧道皮质端（34）和（35）和螺柱（10），每个具有孔眼端部（18）或者用于假肢韧带（50）固定到韧带端部，每个柱体具有圆柱体（17）和扩口端（12）。螺柱膨胀的端部终止于唇部（15），其中锁定壁（16）以与圆柱体垂直的方式成一定角度延伸，在（19）和（20）处形成截面。螺柱膨胀的端部（12）部分靠近在一起以穿过螺纹底脚（11）并向外弯曲超过该基脚端部（24），唇形锁定壁（16）在该基部上弯曲，从而锁定螺柱。在实践中，具有或不具有静脉（38）的韧带（37）形成为用于沿着螺柱（10），狭槽（20）滑入孔眼（18）中的环路，或者将螺柱连接到假肢韧带在其制造中结束，一对螺柱和连接的韧带并且通过形成患者膝盖的美观端口（36）进行操纵，每个螺柱用于安置到螺纹底脚中，每个锁钉锁定在其中，韧带延伸穿过膝部关节内关节之后，可以通过单独将螺纹底座适当地转动到或旋出皮质螺纹来调节韧带上的张力。

3. 发明公开

EP0442182A1 Drill guide 有权
标题翻译： Bohrschablone。
公开(公告)号：EP0442182A1
公开(公告)日：1991-08-21
申请号：EP90301601.2
申请日：1990-02-15
申请人： Goble, E. Marlowe , Somers, W. Karl
发明人： Goble, E. Marlowe , Somers, W. Karl
IPC分类号： A61B17/16 , A61F2/08
CPC分类号： A61B17/1714 , A61B17/1764
摘要： The present invention is in a drill guide (20) that is for use with and for mounting to a "K" wire (13) that has been fitted through an anterior or posterior cruciate ligament tunnel. The drill guide (20) includes identical parallel rails (21) that are mounted to a stationary bracket (22), essentially at right angles, and are journaled to a traveling bracket (25), the traveling bracket further including set screws (28) to releasably lock it to the rails. The stationary and traveling brackets (22) and (25), respectively, are each isosceles triangular in shape, and each mounts a guide cylinder (23) and (26), respectively, at right angles through their apexes such that longitudinal openings through which guide cylinders are aligned to receive the "K" wire fitted therethrough. A trolley (30) is arranged for travel on rails (21) between the stationary and traveling brackets (22) and (25), and can be releasably locked in place. The trolley mounts a replaceable drill sleeve (36) with a barrel (40) that includes a longitudinal hole (41) formed therethrough wherethrough a drill (44) is turned.
摘要翻译：本发明涉及一种用于和用于安装到通过前交叉韧带隧道或后交叉韧带隧道安装的“K”线（13）的钻子引导器（20）。所述钻子引导器（20）包括相同的平行轨道（21），所述平行轨道（21）基本上以直角安装到固定支架（22），并且轴颈支撑到行进支架（25），所述行走托架还包括固定螺钉（28）以可释放地将其锁定到轨道。固定和行进的支架（22）和（25）分别是三角形的等腰形，并且分别通过它们的顶点以直角安装引导筒（23）和（26），使得纵向开口导向圆柱体对准以接纳穿过其中的“K”线。手推车（30）布置成用于在固定和行进支架（22）和（25）之间的轨道（21）上行进，并且可以可释放地锁定就位。手推车安装具有筒体（40）的可替换钻套（36），所述筒体（40）包括穿过其中的纵向孔（41），通过钻头（44）转动。

4. 发明公开

EP0361756A1 Apparatus and procedure for verifying isometric ligament positioning 失效
标题翻译： Gerätund Verfahren zur Verifizierung der isometrischenBänder-Positionierung。
公开(公告)号：EP0361756A1
公开(公告)日：1990-04-04
申请号：EP89309489.6
申请日：1989-09-19
申请人： Goble, E. Marlowe , Somers, W. Karl
发明人： Goble, E. Marlowe , Somers, W. Karl
IPC分类号： A61B17/56 , A61F2/00
CPC分类号： A61F2/0811 , A61B17/0401 , A61B17/8645 , A61B90/06 , A61B2017/044 , A61B2017/0458 , A61B2017/0496 , A61B2090/064 , A61F2/0805 , A61F2002/0882 , A61F2240/008
摘要： For knee reconstruction surgery involving replacement of an anterior or posterior cruciate ligament the present invention is in a process for verifying isometric ligament positioning at the femoral and tibial points of origin that includes, as apparatus, an arrangement of a stud (19) with attached suture (24) to serve as a mock ligament for testing isometry. In practice, as for an anterior cruciate ligament replacement procedure, a surgeon, observing on a fluoroscopic monitor (17), forms a tibial tunnel (18) from a point medial to the tibial tuberosity that exits a test or proposed tibial point of ligament origin. The stud (19) is arranged for turning on a driver (20) that is then passed through that formed tunnel and the stud (19) is turned into the test or proposed femoral point of ligament origin. The driver (20) is then pulled out of engagement with the stud (19) exposing the suture (24) that extends from that stud (19), which suture (24) is attached under tension to a tension isometer (25), and the knee (10) is flexed through its full range of motion. With an isometrically correct selection of the femoral and tibial ligament points of origin, the tension isometer (25) will show no more than a three (3) pound change in force and no more than a two (2) mm change in ligament length or distance between the two points of origin over a full range of knee (10) flexure.
摘要翻译：对于涉及替换前交叉韧带或后交叉韧带的膝关节重建手术，本发明处于用于验证在股骨和胫骨原点处的等距韧带定位的过程，其包括作为装置的具有连接的缝合线的螺柱（19）的布置（24）作为测试等距的模拟韧带。在实践中，对于前交叉韧带置换手术，外科医生在透视监视器（17）上观察，形成从内侧到胫骨结节的胫骨隧道（18），该胫骨隧道离开测试或提出的韧带起源的胫骨点。螺柱（19）被布置成用于打开驱动器（20），然后使其穿过形成的隧道，并且螺柱（19）被转换成测试或提出的韧带起点的股骨点。然后，驱动器（20）脱离与螺柱（19）的接合，露出从该螺柱（19）延伸的缝合线（24），该缝合线（24）在张力下附接到张力计（25），以及膝盖（10）在其全部运动范围内弯曲。通过正交选择股骨和胫骨韧带的原点，张力计（25）将显示不超过三（3）磅的力的变化，不超过两（2）mm的韧带长度变化或两点之间的距离在全范围的膝盖（10）弯曲之间。

5. 发明授权

EP0442182B1 Drill guide 有权
标题翻译： Bohrschablone。
公开(公告)号：EP0442182B1
公开(公告)日：1995-05-03
申请号：EP90301601.2
申请日：1990-02-15
申请人： Goble, E. Marlowe , Somers, W. Karl
发明人： Goble, E. Marlowe , Somers, W. Karl
IPC分类号： A61B17/16 , A61F2/08
CPC分类号： A61B17/1714 , A61B17/1764

6. 发明公开

EP0496140A1 Endosteal fixation stud and system 失效
标题翻译：骨内固定螺柱和系统
公开(公告)号：EP0496140A1
公开(公告)日：1992-07-29
申请号：EP91300495.8
申请日：1991-01-23
申请人： Goble, E. Marlowe , Somers, W. Karl
发明人： Goble, E. Marlowe , Somers, W. Karl
IPC分类号： A61F2/08
CPC分类号： A61F2/0811 , A61F2002/0829 , A61F2002/0864 , A61F2002/087 , A61F2002/0882
摘要： An endosteal fixation stud (10) for mounting a prosthetic or soft tissue graft or combination thereof, under tension at a cortex end of a bone tunnel and process for its use. The endosteal fixation stud includes a cylindrical body (11) that is preferably manufactured from a somewhat resilient material, and is suitable for implantation in a human body. The cylindrical body (11) is stepped outwardly, proximate to a rear end, into a bridge (12) that has spaced rearwardly extending arms (13) wherebetween the graft is secured. The cylindrical body (12) forward end is split into equal parallel sections that can be flexed together, one of which sections includes a hook (16) that extends outwardly and rearwardly, that will align with the cylindrical body surface when the two cylindrical body sections are compressed together. The endosteal fixation stud can be arranged to be pushed or pulled through a bone tunnel.
A single endosteal fixation stud (10) is utilized to mount a graft end to the cortex at a bone tunnel end, the graft extending therefrom through the tunnel and out the opposite bone tunnel end, whereat it is bent and secured under tension, as with a staple, to the cortex surface adjacent to that bone tunnel end.
摘要翻译：一种骨内固定钉（10），用于在骨隧道的皮质端处张紧时安装假体或软组织移植物或其组合，以及其使用过程。骨内固定螺柱包括圆柱形本体（11），该圆柱形本体（11）优选由有弹性的材料制成，并且适于植入人体。圆柱形本体（11）在靠近后端处向外成阶梯形地进入桥（12），桥（12）具有间隔开的向后延伸的臂（13），其中在移植物被固定之间。圆柱形本体（12）的前端被分成可以一起弯曲的相等的平行部分，其中一个部分包括向外和向后延伸的钩（16），当两个圆柱形本体部分被压缩在一起。骨内固定钉可以布置成通过骨隧道被推或拉。利用单个骨内固定螺栓（10）将移植物端部安装到骨隧道端的皮层处，移植物通过骨隧道从骨隧道端部延伸出并从相对的骨隧道端部出来，在那里弯曲并在张力下固定，如钉到邻近该骨隧道端的皮质表面。

7. 发明公开

EP0342281A1 Ligament attachment method and apparatus 失效
标题翻译： Vorrichtung und Verfahren zur Festlegung einer Sehne。
公开(公告)号：EP0342281A1
公开(公告)日：1989-11-23
申请号：EP88304498.4
申请日：1988-05-18
申请人： Goble, E. Marlowe , Somers, W. Karl
发明人： Goble, E. Marlowe , Somers, W. Karl
IPC分类号： A61F2/08
CPC分类号： A61B17/686 , A61F2/0811 , A61F2002/0835 , A61F2002/0864 , A61F2002/087 , A61F2002/0882 , A61F2002/30062 , A61F2002/3085 , A61F2210/0004
摘要： The invention provides a system for surgically implanting an allograft or prosthetic ligament as a replacement for a patient's cruciate ligaments. In a practice of the system, as a replacement for an anterior cruciate ligament, the patient's leg is bent and maintained at approximately a ninety degree (90°) angle, a single incision is made medial to the tibial tuberosity. From this incision, under fluoroscopic and arthroscopic control, a guidewire is driven through the tibia and across the cruciate ligament junctions with the proximal tibia and distal femur ends and into the femur cortex. Successively larger drills are then turned along the guidewire to form a ligament tunnel, with, as a last step in the tunnel formation process, the preparation of the femur cortex end of the tunnel to receive a femoral connector of the implanted ligament, which connector is arranged in one embodiment to be outwardly flared and in another embodiment to be turned into the appropriately prepared femur end of the ligament tunnel to lock therein. The invention, in addition to the embodiments of the ligament femur end connectors, further includes a tibial surface ligament tibial end connector for both securing the ligament end to the bone and for setting ligament tensioning, of which ligament connectors can be manufactured from a biodegradable material for absorption by the body.
摘要翻译：本发明提供了一种用于手术植入同种异体移植物或假肢韧带以作为患者十字韧带的替代物的系统。在该系统的实践中，作为前交叉韧带的替代物，患者的腿弯曲并保持在大约九十度（90度）的角度，单个切口在胫骨结节内侧。从这个切口，在荧光镜和关节镜控制下，导丝通过胫骨并穿过十字韧带与胫骨近端和股骨远端端部并进入股骨皮层。然后随后更大的钻头沿着导丝线转动以形成韧带隧道，作为隧道形成过程的最后一步，隧道的股骨皮质端的准备以接收植入的韧带的股骨连接器，该连接器在一个实施例中被布置为向外张开，并且在另一个实施例中被转换成适当准备的韧带隧道的股骨端以锁定在其中。除了韧带股骨端连接器的实施例之外，本发明还包括胫骨表面韧带胫骨端连接器，用于将韧带末端固定到骨骼并用于设置韧带张紧，其中韧带连接器可以由生物可降解材料为身体吸收。

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