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121. 发明授权

US06620195B2 Apparatus and method for attaching a graft ligament to a bone 失效
公开(公告)号：US06620195B2
公开(公告)日：2003-09-16
申请号：US09837594
申请日：2001-04-18
申请人： E. Marlowe Goble , T. Wade Fallin , Kenneth J. Gardner
发明人： E. Marlowe Goble , T. Wade Fallin , Kenneth J. Gardner
IPC分类号： A61F208
CPC分类号： A61B17/1714 , A61B17/1764 , A61B17/864 , A61B17/8645 , A61F2/0805 , A61F2/0811 , A61F2002/0829 , A61F2002/0858 , A61F2002/0882 , Y10S606/908 , Y10S606/916
摘要： A novel fixation system for fixing a graft ligament in a bone tunnel. The fixation system comprises an interference screw comprising a body having a distal end and a proximal end, screw threads extending longitudinally along the body, and a transversely-extending region formed in the body for receiving a transverse pin therein, whereby to securely lock the interference screw, and hence the graft ligament, to the bone. In accordance with a further feature of the present invention, there is provided a method for attaching a graft ligament to a bone, the method comprising the steps of: (i) drilling a tunnel in the bone; (ii) positioning the graft ligament in the bone tunnel; (iii) placing an interference screw in the bone tunnel so as to force the graft ligament laterally against the opposite side of the bone tunnel; and (iv) advancing a transverse pin transversely through the bone and through the interference screw so as to securely lock the interference screw, and hence the graft ligament, to the bone. The present invention can also be applied to attach other objects to bone, e.g., a bone fragment to bone.

122. 发明授权

US06565605B2 Multiple facet joint replacement 有权
公开(公告)号：US06565605B2
公开(公告)日：2003-05-20
申请号：US09736103
申请日：2000-12-13
申请人： E. Marlowe Goble , T. Wade Fallin , Robert W. Hoy
发明人： E. Marlowe Goble , T. Wade Fallin , Robert W. Hoy
IPC分类号： A61F244
CPC分类号： A61F2/4405 , Y10S606/907 , Y10S606/91
摘要： A prosthesis for the replacement of multiple diseased or traumatized spinal facets comprises a portion that replaces at least a bony portion of the facets to be replaced and where the prosthesis attaches to the vertebra in a manner that does not require attachment to, or abutment against, the lamina. Multiple configurations of the prosthesis provide for replacement of the two inferior facets, the two superior facets, a superior and inferior facet, or all four facets. A method of installing the prosthesis is provided that is comprised of the steps of resecting at least a portion of the facets that carry the diseased or traumatized spinal facets and attaching the prosthesis in a manner that does not require attachment or abutment against the lamina.

123. 发明授权

US5458602A Surgical drill guide 失效
标题翻译：外科手术指导
公开(公告)号：US5458602A
公开(公告)日：1995-10-17
申请号：US180100
申请日：1994-01-11
申请人： E. Marlowe Goble , Harold M. Martins , David P. Luman , Daniel A. Perkins
发明人： E. Marlowe Goble , Harold M. Martins , David P. Luman , Daniel A. Perkins
IPC分类号： A61B17/17 , A61F2/32
CPC分类号： A61B17/1714 , A61B17/1764
摘要： An improved drill guide device is provided for accurately drilling a passageway through bone. The drill guide comprises a support, a curved radial rack, a locator boom movably disposed on the curved radial rack, a drill sleeve and an indexing mechanism. The drill sleeve may be discretely indexed toward the target bone and locked/unlocked in position with a single handed operation.
摘要翻译：提供了一种改进的钻孔引导装置，用于准确地钻取通过骨的通道。钻子引导器包括支撑件，弯曲的径向齿条，可移动地设置在弯曲的径向齿条上的定位臂，钻套和分度机构。钻套筒可以离散地朝向目标骨骼索引并且通过单手操作将其锁定/解锁就位。

124. 发明授权

US5417692A Bone fixation and fusion system 失效
标题翻译：骨固定和融合系统
公开(公告)号：US5417692A
公开(公告)日：1995-05-23
申请号：US177752
申请日：1994-01-04
申请人： E. Marlowe Goble , Gregory S. Anderson , David P. Luman
发明人： E. Marlowe Goble , Gregory S. Anderson , David P. Luman
IPC分类号： A61B17/72 , A61C8/00 , A61B17/58
CPC分类号： A61B17/68 , A61B17/7291 , A61C8/0022 , A61B17/72 , A61B17/7225 , Y10S606/909
摘要： A bone fixation and fusion system, that is preferably for use for joining bone ends together, and includes two members, that are each for individual turning into bone material, and include, respectively, male and female connector ends, that are for fitting together to connect together the member ends, bringing the bone material wherein they are turned into engagement and once connected resist being pulled apart. The connector ends are, respectively a cylindrical sleeve that extends axially from one member rear face, that includes a ring formed around the cylinder end and is cross cut longitudinally from that ring end, to form a spring collet, with the other connector end consisting of a cylindrical cavity that is formed longitudinally into the other member rear face for receiving the spring collet therein, which cylindrical cavity may include a groove, grooves or threads formed in the cavity wall that the spring collet ring end flexes into to provide a resistance to the two members being pulled apart. Each member includes a tool engaging end for receiving a turning tool fitted thereto, with threads formed around the member body, and provides, in the embodiment a twist drill as a member forward end for turning into the bone material. The system can be configured for use in a dental procedure where a ceramic or plastic crown or bridge can be formed on one member for installation onto the other member that has been turned into a patient's jaw, or one of the members can be configured as a bone joint fusion member.
摘要翻译：一种骨固定和融合系统，其优选地用于将骨头端部连接在一起，并且包括两个构件，每个构件用于单独转向骨材料，并且分别包括阳连接器端和阴连接器端，用于装配在一起将构件端部连接在一起，使骨材料变得接合，并且一旦连接的抗蚀剂被拉开。连接器端部分别是从一个构件后表面轴向延伸的圆柱形套筒，其包括形成在气缸端部周围的环，并且从该环形端部纵向横切形成弹簧夹头，另一个连接器端部由圆柱形腔体纵向地形成在另一个构件后表面中以用于在其中容纳弹簧夹头，该圆柱形空腔可以包括形成在空腔壁中的凹槽，凹槽或螺纹，弹簧夹头环端部弯曲以提供对两名成员被拉开。每个构件包括用于接收装配到其上的转动工具的工具接合端，并且在构件主体周围形成有螺纹，并且在该实施例中将麻花钻提供为用于转换成骨材料的构件前端。该系统可被配置用于牙科手术中，其中可以在一个构件上形成陶瓷或塑料表冠或桥，以安装到已经变成患者的颌部的另一个构件上，或者其中一个构件可以被配置为骨关节融合部件。

125. 再颁专利

USRE34871E Process of endosteal fixation of a ligament 失效
公开(公告)号：USRE34871E
公开(公告)日：1995-03-07
申请号：US887200
申请日：1992-05-21
申请人： David A. McGuire , E. Marlowe Goble , W. Karl Somers
发明人： David A. McGuire , E. Marlowe Goble , W. Karl Somers
IPC分类号： A61F2/08
CPC分类号： A61F2/0811 , A61F2/0805 , A61F2002/0841 , A61F2002/0858 , A61F2002/087 , A61F2002/0882
摘要： A cannulated interference screw (10) and process for human implantation in an arthroscopic surgical procedure for replacement of a ligament, or the like. The interference screw is provided with a drill end (11) that extends longitudinally from an end of a cylindrical body (14), which drill end includes equally spaced flutes (12) therearound. The flutes extend into first and second cutting threads (15a) and (15b), respectively which cutting threads and threads (15) are formed around the cylindrical body. A center longitudinal passage (16) is formed through the interference screw drill end and cylindrical body, which passage is stepped outwardly within the cylindrical body into a hexagonal sided section (18) that is for receiving a sided end (20) of a driver (19) that is fitted therein. In practice, the cannulated interference screw is installed by sliding it along a guide rod (25) that is fitted in a prepared ligament tunnel (22) through a bone mass, alongside a bone block portion of a ligament (23) within the bone endosteum, which ligament is maintained in that tunnel under tension. The driver is also holed longitudinally to travel along the guide rod to fit into and turn the interference screw, providing fixation of the ligament in that tunnel.

126. 发明授权

US5385567A Sight barrel arthroscopic instrument 失效
标题翻译：视镜关节镜仪器
公开(公告)号：US5385567A
公开(公告)日：1995-01-31
申请号：US580172
申请日：1990-09-07
申请人： E. Marlowe Goble
发明人： E. Marlowe Goble
IPC分类号： A61B17/17 , A61F2/38 , A61B17/60 , A61B19/00
CPC分类号： A61B17/1714 , A61B17/1764 , A61F2/38
摘要： A sight barrel arthroscopic instrument for use in a knee cruciate ligament repair procedure for forming a passage into the femoral endosteum to intersect, at an acute angle, a straight ligament tunnel that is formed from a point on the tibial tuberosity into the femur endosteum. Which instrument references the ligament tunnel to guide drilling of a passage from a point in the roof of the intercondyle notch to intersect the ligament tunnel in the femur endosteum, which passage is for receiving a fastener, such as a set screw, interference screw, or the like, that is installed into a ligament graft fitted in that ligament tunnel, providing an endosteal fixation of which ligament graft in that femur endosteum.
摘要翻译：一种用于膝关节十字韧带修复程序的视镜关节镜仪器，用于形成到股骨内骨的通道，以锐角相交，从由胫骨结节上的点形成的直的韧带隧道进入股骨内骨。哪个仪器参考韧带隧道来引导从髁间隙的顶部的一个通道的钻孔，以与股骨内骨中的韧带隧道相交，该通道用于接收紧固件，例如固定螺钉，干涉螺钉或其被安装到装在该韧带隧道中的韧带移植物中，提供在该股骨内骨中的韧带移植物的内固定。

127. 再颁专利

USRE34293E 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：USRE34293E
公开(公告)日：1993-06-22
申请号：US529319
申请日：1990-05-29
申请人： E. Marlowe Goble , W. Karl Somers
发明人： E. Marlowe Goble , W. Karl Somers
IPC分类号： A61B17/68 , A61F2/02 , A61F2/08 , A61F2/30
CPC分类号： A61F2/0811 , A61B17/686 , A61F2/08 , A61B2017/00004 , A61B2017/0409 , A61B2017/044 , A61B2017/0458 , 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 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. 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 embodiment 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 the setting ligament tensioning, of which ligament connectors can be manufactured from a biodegradable material for absorption by the body.

128. 发明授权

US5147362A Endosteal ligament fixation device 失效
标题翻译：内固定韧带固定装置
公开(公告)号：US5147362A
公开(公告)日：1992-09-15
申请号：US681974
申请日：1991-04-08
申请人： E. Marlowe Goble
发明人： E. Marlowe Goble
IPC分类号： A61B17/04 , A61F2/08 , A61F2/28
CPC分类号： A61F2/0811 , A61B2017/0412 , A61B2017/0437 , A61F2002/0835 , A61F2002/0858 , A61F2002/087 , A61F2002/0882 , A61F2002/2835 , Y10S606/908
摘要： An endosteal ligament fixation device for mounting to a bone end of a bone tendon bone graft for use as a replacement anterior or posterior cruciate ligament. The endosteal ligament fixation device consists of a disk, collar, ring or band that is arranged to be fitted and secured to the graft bone end that includes a number of radially equidistant spaced outwardly projecting resilient barbs or pins extending therefrom, or may involve forming radially equidistantly spaced slanted holes into the graft bone end for mounting individual resilient barbs or pins. The barbs or pins can be sharp, blunt, or otherwise configured to extend into and to hold securely within a bone endosteum. A number of which barbs or pins are set radially into the disk, collar, ring or band, or individually into the bone end so as to be angled to extend off of and are spaced apart from the bone end surface, pointing towards the tendon coupling with that bone end. The barbs or pins are to individually flex inwardly during passage along the ligament tunnel wall when the graft bone end is urged therealong. At the tunnel end, the resilient barbs or pins are to flex outwardly into the bone endosteum, seating the graft bone end therein, and will fully extend into the bone endosteum when a tensile force is applied to the graft.
摘要翻译：一种用于安装到骨腱骨移植物的骨端的内支韧带固定装置，用作替代的前交叉韧带或后交叉韧带。所述内膜韧带固定装置由盘，套环，环或带组成，所述盘，套环，环或带被布置成装配并固定到移植物骨端，所述移植骨端包括多个径向等距离的向外突出的弹性倒钩或从其延伸的销，或可包括径向形成将等距隔开的倾斜孔插入移植物骨端，用于安装各个弹性倒钩或销。倒钩或针脚可以是尖锐的，钝的或以其他方式构造成延伸进入并固定在骨内骨内。许多哪些倒钩或销径向地设置在盘，环，环或带中，或者单独地设置在骨端中，以便成角度地延伸离开骨端表面并与骨端表面间隔开，指向腱连接与那个骨头。当沿着韧带隧道壁通过时，倒钩或销钉将沿着沿着侧向推动的移植骨头端部向内单独弯曲。在隧道端，弹性倒钩或销向外向外伸入骨内骨中，将移植物骨头端部固定在其中，并且当向移植物施加拉力时将完全延伸到骨内骨中。

129. 发明授权

US11337711B2 Knee instruments and methods 有权
公开(公告)号：US11337711B2
公开(公告)日：2022-05-24
申请号：US16795020
申请日：2020-02-19
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.

130. 发明授权

US11234720B2 Knee instruments and methods 有权
公开(公告)号：US11234720B2
公开(公告)日：2022-02-01
申请号：US16287976
申请日：2019-02-27
申请人： E. MARLOWE GOBLE
发明人： E. Marlowe Goble , Daniel J. Triplett
IPC分类号： A61B17/17 , A61B17/15 , A61F2/46 , A61B17/16 , A61B90/00 , A61F2/38
摘要： An adjustable femoral pin guide assembly includes a base and a femoral extension rod assembly. The base may be rotated to align with the femoral shaft axis while the femoral extension rod assembly aligns with the leg mechanical axis. An adjustable distal femoral cut guide assembly may be adjusted to provide a range of varus/valgus angles for the distal femoral resection. An adjustable, single-use, disposable four-in-one cut guide may be adjusted to position saw slots for the anterior and posterior femoral resections and the anterior and posterior chamfer cuts for various size femoral components, then locked. A foot holder assembly includes an anterior tibial target that may be adjusted in three dimensions relative to the tibia. A femoral sizing guide includes a sliding drill guide to position a pin in the distal femur in a specific orientation relative to the leg mechanical axis.

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