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91. 再颁专利

USRE34762E Procedure for verifying isometric ligament positioning 失效
标题翻译：验证等距韧带定位的程序
公开(公告)号：USRE34762E
公开(公告)日：1994-10-18
申请号：US101040
申请日：1993-08-03
申请人： E. Marlowe Goble , W. Karl Somers
发明人： E. Marlowe Goble , W. Karl Somers
IPC分类号： A61B17/56 , A61B17/04 , A61B17/86 , A61B19/00 , A61F2/02 , A61F2/08
CPC分类号： A61F2/0811 , A61B17/8645 , A61B90/06 , A61F2/0805 , A61B17/0401 , A61B2017/044 , A61B2017/0458 , A61B2017/0496 , A61B2090/064 , 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 of 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 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, 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栓（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，并且螺柱变成测试或提出的韧带起始的股骨点。然后将驱动器（20）拉出与突出部（19）的接合处，所述螺柱（19）露出从所述螺柱延伸的缝合线（24），所述缝合线（24）在张力下连接到张力计（25）和膝盖（10））通过其全范围的运动弯曲。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）弯曲处。

92. 发明授权

US5234434A Mutliple guide sleeve drill guide 失效
标题翻译：多引导套筒钻头指南
公开(公告)号：US5234434A
公开(公告)日：1993-08-10
申请号：US930273
申请日：1992-08-17
申请人： E. Marlowe Goble , W. Karl Somers
发明人： E. Marlowe Goble , W. Karl Somers
IPC分类号： A61B17/00 , A61B17/17
CPC分类号： A61B17/1714 , A61B17/1764 , A61F2/0805 , A61B17/00234 , A61F2002/0852 , A61F2002/0882
摘要： The invention is in a double guide sleeve drill guide for use in an arthroscopic surgical procedure for replacement of a cruciate ligament in a straight ligament tunnel procedure that involves forming intersecting tunnels to the femoral and tibial sections of which straight ligament tunnel. The drill guide of the invention includes straight parallel reference and guide rods that are in the extend from a web member at right angles and are in the same plane, forming a U-shaped device, with the reference rod arranged for fitting into which straight ligament tunnel. The connection of which reference rod to the web member is adjustable along the web member for setting a spacing distance between which reference and guide rods, and equidistant markings are scribed along the reference rod as a scale. The guide rod mounts a pair of blocks, one fixed and one movable, with threaded holes formed through each for receiving a guide sleeve wherethrough a drill is turned, guiding drilling of holes that intersect which femoral and tibial tunnel sections. The fixed block is slightly movable to spread apart the threaded guide sleeve hole that is formed as two segments, to allow for passage of a drill sleeve slid therein. The two threaded guide sleeve hole sections are closed together to mesh with a guide sleeve threaded body portion, and a slot is formed in the guide rod that intersects the fixed block threaded guide sleeve hole to allow a drill or K-wire to pass therethrough.
摘要翻译：本发明是一种用于关节镜外科手术中的双引导套筒钻引导件，用于在直韧韧带隧道手术中替换十字韧带，其涉及在其直线韧带隧道的股骨和胫骨部分形成相交的隧道。本发明的钻子引导件包括直的平行基准杆和引导杆，其从腹板构件以直角延伸并且在同一平面内，形成U形装置，其中参考杆被安装成直线韧带隧道。参考杆与腹板构件的连接可沿腹板构件调节，用于设定参考杆和导向杆之间的间隔距离，并且等距标记沿着参考杆作为刻度刻划。引导杆安装一个固定的和一个可移动的块，其中形成有用于接收钻头转动的导向套筒的螺纹孔，用于引导穿过与股骨和胫骨隧道部分相交的孔的钻孔。固定块稍微移动以将形成为两个段的螺纹导向套筒孔分开，以允许钻套在其中滑动的通过。两个螺纹导向套筒孔部分被封闭在一起以与导向套筒螺纹主体部分啮合，并且在引导杆中形成有与固定块螺纹导向套筒孔相交的槽，以允许钻头或K线通过。

93. 发明授权

US5129902A Endosteal ligament retainer and process 失效
标题翻译：内固定韧带保留和过程
公开(公告)号：US5129902A
公开(公告)日：1992-07-14
申请号：US511761
申请日：1990-04-20
申请人： E. Marlowe Goble , Karl Somers
发明人： E. Marlowe Goble , Karl Somers
IPC分类号： A61F2/08
CPC分类号： A61F2/0811 , A61F2002/0829 , A61F2002/0852 , A61F2002/0882 , Y10S606/908 , Y10S606/91 , Y10S606/916
摘要： An endosteal ligament retainer for use in an arthroscopic surgical procedure to replace an anterior or posterior cruciate ligament, the retainer for endosteally mounting a ligament end, with or without a stent, tendon, or the like into the endosteum end of a femoral or tibial tunnel section. The embodiments of the retainer, include a disk shaped base, that can be axially pivotally mounted to a screw head end and may be holed or include upstanding arcuate walls projecting from the disk edge that are for securing a ligament end thereto, as by sewing with a suture. Alternatively, a center holed disk and screw fitted axially therethrough make up the retainer, which disk includes spaced apart radial holes for receiving a suture or sutures sewn therethrough and to a ligament end, mounting the disk across that ligament end. Additionally, the retainer can be a disk fixed across a rear end of a nail or peg to attached a ligament graft end thereto, the nail or peg leading or forward end to include spaced individual flexing rings that will collapse opposite to the direction or travel into a close fitting tunnel end to then flex outwardly, locking in the endosteum when a tensile force is applied thereto.A driver is provided for fitting longitudinally through or alongside a ligament graft, which driver connects to either turn the screw or urge the nail or peg into the tunnel endosteum end. The driver, ligament and endosteal ligament retainer are for fitting by a surgeon into and along the aligned femoral and tibial tunnels into a prepared bone endosteum tunnel end for endosteally mounting the ligament graft end thereto.
摘要翻译：一种用于关节镜外科手术以替代前交叉韧带或后交叉韧带的内皮韧带保持器，用于内固定韧带末端的保持器，具有或不具有支架，腱等到股骨或胫骨隧道的内骨端部分。保持器的实施例包括盘形基座，其可以轴向地枢转地安装到螺钉头端部，并且可以是孔或包括从盘边缘突出的用于将韧带端部固定的直立弓形壁，如通过缝合缝合线或者，轴向穿过的中心孔盘和螺钉组成保持器，该盘包括间隔开的径向孔，用于接收缝合在其中的缝合线或缝合线以及韧带端，将盘安装在该韧带末端。此外，保持器可以是固定在钉子或栓钉的后端上的盘，以将韧带移植端附接到其上，指甲或栓钉前端或前端，以包括将相对于该方向折叠或行进的间隔开的单独的弯曲环紧密的隧道端然后向外弯曲，当向其施加张力时锁定在内壁中。提供驱动器以纵向穿过或沿着韧带移植物连接，该驱动器连接以转动螺钉或将钉子或栓钉推入隧道内端。驱动器，韧带和内膜韧带保持器用于由外科医生进入和沿着对准的股骨和胫骨隧道进入准备好的骨内骨隧道端，用于将韧带移植端内向内固定。

94. 发明授权

US5037426A Procedure for verifying isometric ligament positioning 失效
标题翻译：验证等距韧带定位的程序
公开(公告)号：US5037426A
公开(公告)日：1991-08-06
申请号：US246324
申请日：1988-09-19
申请人： E. Marlowe Goble , W. Karl Somers
发明人： E. Marlowe Goble , W. Karl Somers
IPC分类号： A61B17/56 , A61B17/04 , A61B17/86 , A61B19/00 , A61F2/02 , A61F2/08
CPC分类号： A61F2/0811 , A61B17/8645 , A61B90/06 , A61F2/0805 , A61B17/0401 , A61B2017/044 , A61B2017/0458 , A61B2017/0496 , A61B2090/064 , 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 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, 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.

95. 发明授权

US4960420A Channel ligament clamp and system 失效
标题翻译：通道韧带夹和系统
公开(公告)号：US4960420A
公开(公告)日：1990-10-02
申请号：US235194
申请日：1988-08-23
申请人： E. Marlowe Goble , W. Karl Somers
发明人： E. Marlowe Goble , W. Karl Somers
IPC分类号： A61B17/11 , A61B17/064 , A61B17/17 , A61B17/56 , A61F2/08 , A61F2/30
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 ligament fixation device and system for its use that includes a channel ligament clamp (10) fabricated for human implantation and consisting of a channel section having a web (13) between parallel sides wherefrom sections have been removed leaving spaced apart pointed spikes (11) that extend outwardly from walls (12), the channel web including a group of pointed pins (15) that extend therefrom parallel and alongside the spikes (11), and at least one screw-type fastener hole (14) formed therethrough. The system of the invention includes tooling for locating a ligament on a bone surface and scoring that surface for drilling. After drilling, a right angle post (22) of a drilling guide (21) is fitted into that drilled hole (20) and the drill guide longitudinal axis is aligned with the ligament location on the bone surface, which drilling guide has an array of spike and pin holes formed therethrough for receiving a drill turned individually therethrough into the bone surface. In practice, the clamp (10) is positioned over the drilled holes, with a ligament under tension therebetween and the pointed pins (15) are driven through the ligament and into the prepared pin holes, preferably utilizing a seating tool (30), and a screw (40) is turned through the web hole (19) and the ligament into the prepared hole (20), to sandwich the ligament that is contained between the clamp spikes (12) against the bone surface.

96. 发明授权

US4870957A Ligament anchor system 失效
标题翻译：韧带锚系统
公开(公告)号：US4870957A
公开(公告)日：1989-10-03
申请号：US289728
申请日：1988-12-27
申请人： E. Marlowe Goble , W. Karl Somers
发明人： E. Marlowe Goble , W. Karl Somers
IPC分类号： A61B17/68 , 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 therein.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.

97. 发明授权

US4772286A Ligament attachment method and apparatus 失效
标题翻译：韧带附着方法及装置
公开(公告)号：US4772286A
公开(公告)日：1988-09-20
申请号：US15432
申请日：1987-02-17
申请人： E. Marlowe Goble , W. Karl Somers
发明人： E. Marlowe Goble , W. Karl Somers
IPC分类号： A61B17/56 , A61B17/68 , A61F2/02 , A61F2/08 , A61F2/30 , A61F2/28
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.degree.) angle, a single incision is made medial to the tibial tuberosity. From this incision, under fluoroscopic and arthroscopic contol, 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. Succesively 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体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，在荧光镜和关节镜轮廓下，导丝通过胫骨并穿过十字韧带与近端胫骨和股骨远端端部并进入股骨皮层。然后成功地较大的钻头沿着导丝线转动以形成韧带隧道，作为隧道形成过程中的最后一个步骤，准备隧道的股骨皮质端以接收植入的韧带的股骨连接器，该连接器布置在一个实施例中以向外扩张，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头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。

98. 发明申请

US20220273321A1 KNEE INSTRUMENTS AND METHODS 有权
公开(公告)号：US20220273321A1
公开(公告)日：2022-09-01
申请号：US17746157
申请日：2022-05-17
申请人： E. Marlowe GOBLE
发明人： E. Marlowe Goble , Carlyle J. Creger , Daniel J. Triplett
IPC分类号： A61B17/17 , A61B17/15 , A61B90/00
摘要： Knee arthroplasty instrument systems directly reference and align with the anterior distal femoral cortex and the mechanical axis of the leg. The anterior femoral resection is aligned in the same plane as the anterior distal femoral cortex. The center of the femoral head, the medial/lateral center of the distal femur, the medial/lateral center of the proximal tibia, and the second toe, medial/lateral center of the ankle, or anterior tibial spine are all aligned to the mechanical axis of the leg. Methods of using the instrument systems are disclosed.

99. 发明授权

US11266423B2 Knee instruments and methods 有权
公开(公告)号：US11266423B2
公开(公告)日：2022-03-08
申请号：US15995075
申请日：2018-05-31
申请人： E. Marlowe Goble
发明人： E. Marlowe Goble , Carlyle J. Creger , Daniel J. Triplett
IPC分类号： A61B17/17 , A61B17/15 , A61B90/00
摘要： Knee arthroplasty instrument systems directly reference and align with the anterior distal femoral cortex and the mechanical axis of the leg. The anterior femoral resection is aligned in the same plane as the anterior distal femoral cortex. The center of the femoral head, the medial/lateral center of the distal femur, the medial/lateral center of the proximal tibia, and the second toe, medial/lateral center of the ankle, or anterior tibial spine are all aligned to the mechanical axis of the leg. Methods of using the instrument systems are disclosed.

100. 发明申请

US20200330110A1 KNEE INSTRUMENTS AND METHODS 审中-公开
公开(公告)号：US20200330110A1
公开(公告)日：2020-10-22
申请号：US16920476
申请日：2020-07-03
申请人： E. Marlowe Goble
发明人： E. Marlowe Goble , Daniel J. Triplett
IPC分类号： A61B17/17 , A61F2/46 , A61B17/15 , A61B17/16
摘要： An Achilles tendon alignment system may include an Achilles tendon referencing feature and a target fixed in a target position relative to the Achilles tendon referencing feature. When the Achilles tendon referencing feature references an Achilles tendon of a patient, the target may be aligned with a mechanical axis of a tibia of the patient in the vicinity of an ankle joint of the patient in an anterior view. Another Achilles tendon alignment system may include an Achilles receiver and a target configured to couple with the Achilles receiver. The Achilles receiver may include a notch configured to receive an Achilles tendon of a patient. When the Achilles receiver is coupled with the target, the target is located at a target position anterior to the notch.

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