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1. 发明授权

US08394098B2 Modular fracture fixation plate system 有权
$Modular fracture fixation plate system$
标题翻译：模块化骨折固定板系统
公开(公告)号：US08394098B2
公开(公告)日：2013-03-12
申请号：US11378703
申请日：2006-03-17
申请人： Jorge L. Orbay , Javier E. Castaneda , Edward Mebarak , Jose Luis Francese , Robert Sixto, Jr.
发明人： Jorge L. Orbay , Javier E. Castaneda , Edward Mebarak , Jose Luis Francese , Robert Sixto, Jr.
IPC分类号： A61B17/80
CPC分类号： A61B17/8061 , A61B17/80 , A61B17/8004 , A61B17/8042 , A61B2017/00004
摘要： A fracture fixation plate system for use on a long bone having a metaphysis and a diaphysis, includes at least one end plate having a head portion for the metaphysis, and at least one fragment plate having a first end and a second end with a plurality of screw holes therebetween. The end plate includes mating structure adapted to mate with and securely couple to at least one end of the at least one fragment plate. The system preferably includes several end plates and fragment plates to accommodate anatomy of various sizes.
摘要翻译：一种在具有干ysis端和骨干的长骨上使用的骨折固定板系统，包括至少一个端板，其具有用于干ysis端的头部，以及至少一个碎片板，其具有第一端和具有多个螺丝孔。端板包括适于与至少一个碎片板的至少一端配合并牢固地联接的配合结构。该系统优选地包括若干端板和碎片板以适应各种尺寸的解剖结构。

2. 发明授权

US08348980B2 Method and plate for fusing the medial column bones of the foot 有权
标题翻译：用于融合脚的内侧柱骨的方法和板
公开(公告)号：US08348980B2
公开(公告)日：2013-01-08
申请号：US12579960
申请日：2009-10-15
申请人： Priya Prasad , Mark S. Myerson , Roy W. Sanders , Craig S. Tsukayama , Robert Sixto, Jr.
发明人： Priya Prasad , Mark S. Myerson , Roy W. Sanders , Craig S. Tsukayama , Robert Sixto, Jr.
IPC分类号： A61B17/66
CPC分类号： A61B17/1728 , A61B17/1775 , A61B17/8014 , A61B17/8057 , A61B17/8061
摘要： A method for joining together a first, a second and a third bone part of a surgical patient includes obtaining a bone plate having a first, a second and a third portion arranged along a longitudinal axis. The first portion contains a first slot for receiving a first compressing screw. The second portion is adjacent to the first portion and contains a second slot for receiving a second compressing screw. The third portion is adjacent to the second portion and contains a threaded hole for receiving a locking screw. The method further includes positioning the first, second and third portions over the first, second and third bone parts. The method further includes inserting the locking screw into the threaded hole and into the third bone part, inserting the second compressing screw into the second slot and into the second bone part, and inserting the first compressing screw into the first slot and into the first bone part, thereby urging the first, second and third bone parts together.
摘要翻译：用于将外科患者的第一，第二和第三骨部分连接在一起的方法包括获得具有沿着纵向轴线布置的第一，第二和第三部分的骨板。第一部分包含用于接收第一压缩螺钉的第一槽。第二部分与第一部分相邻并且包含用于接收第二压缩螺钉的第二狭槽。第三部分与第二部分相邻并且包含用于接收锁定螺钉的螺纹孔。该方法还包括将第一，第二和第三部分定位在第一，第二和第三骨部分上。该方法还包括将锁定螺钉插入螺纹孔并进入第三骨部分，将第二压缩螺钉插入第二槽并进入第二骨部，并将第一压紧螺钉插入第一槽并进入第一骨从而将第一，第二和第三骨骼部分一起推动。

3. 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。

4. 发明授权

US08028608B2 Torque-limiting fastener driver 有权
标题翻译：扭矩限制紧固件驱动器
公开(公告)号：US08028608B2
公开(公告)日：2011-10-04
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： B25B23/153 , B25B15/02 , A61B17/58
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。

5. 发明申请

US20110071573A1 Disposable Orthopaedic Surgery Kit and Components 有权
标题翻译：一次性整形外科手术套件和组件
公开(公告)号：US20110071573A1
公开(公告)日：2011-03-24
申请号：US12884246
申请日：2010-09-17
申请人： Robert Sixto , Juergen Kortenbach , Jose L. Francese
发明人： Robert Sixto , Juergen Kortenbach , Jose L. Francese
IPC分类号： A61B17/80
CPC分类号： A61B17/8061 , A61B17/17 , A61B17/1728 , A61B17/1739 , A61B17/1782 , A61B17/8014 , A61B17/8052 , A61B17/8057 , A61B17/84 , A61B17/8605 , A61B17/8615 , A61B17/865 , A61B17/8875 , A61B17/888 , A61B50/20 , A61B50/30 , A61B50/33 , A61B50/36 , A61B2017/90 , A61B2050/0051 , A61B2050/0056 , A61B2050/0065 , A61B2050/0066 , A61B2050/008 , A61B2050/3008 , A61B2090/062
摘要： A bone plate system for the internal fixation of a fractured bone of a patient has a bone plate with one or more threaded bone fastener apertures and one or more non-threaded bone fastener apertures. The system also has a plurality of bone fasteners, each with a shaft and a head. The heads are dimensioned and configured to threadedly engage the threaded bone fastener apertures to provide a fixed angle locking construct. The heads also are dimensioned and configured to directly engage the non-threaded bone fastener apertures to provide a polyaxial non-locking compressive construct.
摘要翻译：用于患者骨折骨内固定的骨板系统具有骨板，其具有一个或多个螺纹骨紧固件孔和一个或多个非螺纹骨紧固件孔。该系统还具有多个骨固定件，每个具有轴和头部。头部的尺寸和构造被螺纹地接合螺纹骨固定孔，以提供固定角度的锁定结构。头部的尺寸和尺寸被设计成直接接合非螺纹骨固定孔，以提供多轴非锁定压缩构造。

6. 发明申请

US20110071572A1 Disposable Orthopaedic Surgery Kit and Components 有权
标题翻译：一次性整形外科手术套件和组件
公开(公告)号：US20110071572A1
公开(公告)日：2011-03-24
申请号：US12884242
申请日：2010-09-17
申请人： Robert Sixto , Juergen Kortenbach , Jose L. Francese
发明人： Robert Sixto , Juergen Kortenbach , Jose L. Francese
IPC分类号： A61B17/80 , A61B17/58 , A61B19/02
CPC分类号： A61B17/8061 , A61B17/17 , A61B17/1728 , A61B17/1739 , A61B17/1782 , A61B17/8014 , A61B17/8052 , A61B17/8057 , A61B17/84 , A61B17/8605 , A61B17/8615 , A61B17/865 , A61B17/8875 , A61B17/888 , A61B50/20 , A61B50/30 , A61B50/33 , A61B50/36 , A61B2017/90 , A61B2050/0051 , A61B2050/0056 , A61B2050/0065 , A61B2050/0066 , A61B2050/008 , A61B2050/3008 , A61B2090/062
摘要： A disposable single indication orthopedic trauma surgical kit has no bone plates other than a single bone plate precountoured and sized to match an anatomic shape of a portion of a bone of a patient's extremity. The single bone plate has a plurality of fastener apertures. The surgical kit also has a plurality of fasteners with heads that are dimensioned to mate with the fastener apertures. The surgical kit also has a disposable torque driver adapted to engage the fastener heads. The foregoing components are contained in a sterile sealed container.
摘要翻译：一次性单指示矫形外科手术套件除了预先构造的单个骨板之外没有骨板，并且尺寸适合于匹配患者肢体的一部分骨骼的解剖形状。单个骨板具有多个紧固件孔。手术套件还具有多个紧固件，其具有头部，其尺寸被设计成与紧固件孔口配合。手术套件还具有适于接合紧固件头部的一次性扭矩驱动器。前述组分包含在无菌密封容器中。

7. 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.

8. 发明授权

US07862503B2 Rotational, translational and torqueing control members for an endoscopic instrument 有权
标题翻译：用于内窥镜仪器的旋转，平移和扭矩控制构件
公开(公告)号：US07862503B2
公开(公告)日：2011-01-04
申请号：US11924778
申请日：2007-10-26
申请人： Kevin W. Smith , Jose Luis Francese , Juergen A. Kortenbach , Robert Sixto, Jr.
发明人： Kevin W. Smith , Jose Luis Francese , Juergen A. Kortenbach , Robert Sixto, Jr.
IPC分类号： A61B1/00
CPC分类号： A61B17/1285 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2090/0803
摘要： A flexible endoscopic clip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and the lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded control member by the crank causes the pusher to be moved distally.
摘要翻译：灵活的内窥镜施夹器包括具有联接到一端的手动致动器的柔性线圈和联接到另一端的钳口组件。夹子存放在邻近夹爪组件的位置，夹子推动器邻近夹子存放设置。致动器包括用于打开和关闭夹爪的杆，用于旋转夹爪组件的旋钮和用于分配夹子的曲柄。旋钮和杠杆联接到单个控制构件，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。曲柄联接到沿着远端部分螺纹的第二控制构件。螺纹部分接合推动器附近的螺纹构件并且联接到推动器，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。

9. 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。

10. 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.

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