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    • 11. 发明申请
    • Methods and Devices for Rotator Cuff Repair
    • 旋转器袖带修复的方法和装置
    • US20070198087A1
    • 2007-08-23
    • US11671102
    • 2007-02-05
    • Struan ColemanDavid P. MartinSaid RizkAjay AhujaSimon F. Williams
    • Struan ColemanDavid P. MartinSaid RizkAjay AhujaSimon F. Williams
    • A61F2/08A61F5/00A61B17/04
    • A61F2/08A61B17/0401A61B17/0469A61B17/064A61B17/0642A61B2017/00893A61L27/18A61L2430/10C08L67/04
    • Interposition and augmentation devices for tendon and ligament repair, including rotator cuff repair, have been developed as well as methods for their delivery using arthroscopic methods. The devices are preferably derived from biocompatible polyhydroxyalkanoates, and preferably from copolymers or homopolymers of 4-hydroxybutyrate. The devices may be delivered arthroscipiclly, and offer additional benefits such as support for the surgical repair, high initial strength, prolonged strength retention in vivo, flexibility, anti-adhesion properties, improved biocompatibility, an ability to remodel in vivo to healthy tissue, minimal risk for disease transmission or to potentiate infection, options for fixation including sufficiently high strength to prevent suture pull out or other detachment of the implanted device, eventual absorption eliminating future risk of foreign body reactions or interference with subsequent procedures, competitive cost, and long-term mechanical stability. The device are also particularly suitable for use in pediatric populations where their eventual absorption should not hinder growth.
    • 已经开发了用于肌腱和韧带修复的包括肩袖修复的插入和增大装置以及使用关节镜方法进行递送的方法。 所述装置优选衍生自生物相容性聚羟基链烷酸酯,优选衍生自4-羟基丁酸酯的共聚物或均聚物。 这些装置可以被关节镜递送,并提供额外的益处,例如支持手术修复,高初始强度,在体内延长的强度保持力,柔韧性,抗粘连性,改善的生物相容性,体内重塑健康组织的能力,最小化 疾病传播的风险或增强感染的选择,包括足够高的强度的选项,以防止缝合线拔出或植入装置的其他脱离,最终吸收消除异物反应的未来风险或干扰后续程序,竞争性成本, 长期机械稳定性。 该装置还特别适用于儿科人群,其最终吸收不应阻碍生长。
    • 18. 发明授权
    • Medical devices and applications of polyhydroxyalkanoate polymers
    • 聚羟基链烷酸酯聚合物的医疗装置和应用
    • US07179883B2
    • 2007-02-20
    • US11020896
    • 2004-12-22
    • Simon F. WilliamsDavid P. MartinFrank A. Skraly
    • Simon F. WilliamsDavid P. MartinFrank A. Skraly
    • C08G63/08
    • A61L27/58A61F2/07A61F2210/0004A61K31/715A61L17/12A61L27/18A61L31/06A61L31/148A61L31/16A61L2300/00C08G63/06C08J9/26C08J2201/0444C08J2201/0482C08J2367/04C08K5/0033C08L67/04C12P7/625Y10S606/911
    • Devices formed of or including biocompatible polyhydroxyalkanoates are provided with controlled degradation rates, preferably less than one year under physiological conditions. Preferred devices include sutures, suture fasteners, meniscus repair devices, rivets, tacks, staples, screws (including interference screws), bone plates and bone plating systems, surgical mesh, repair patches, slings, cardiovascular patches, orthopedic pins (including bone filling augmentation material), adhesion barriers, stents, guided tissue repair/regeneration devices, articular cartilage repair devices, nerve guides, tendon repair devices, atrial septal defect repair devices, pericardial patches, bulking and filling agents, vein valves, bone marrow scaffolds, meniscus regeneration devices, ligament and tendon grafts, ocular cell implants, spinal fusion cages, skin substitutes, dural substitutes, bone graft substitutes, bone dowels, wound dressings, and hemostats. The polyhydroxyalkanoates can contain additives, be formed of mixtures of monomers or include pendant groups or modifications in their backbones, or can be chemically modified, all to alter the degradation rates. The polyhydroxyalkanoate compositions also provide favorable mechanical properties, biocompatibility, and degradation times within desirable time frames under physiological conditions.
    • 由生物相容性聚羟基链烷酸酯形成或包括生物相容性聚羟基链烷酸酯的设备具有受控的降解速率,优选在生理条件下小于一年。 优选的装置包括缝线,缝线紧固件,弯液面修复装置,铆钉,钉,钉,螺钉(包括干涉螺钉),骨板和骨电镀系统,外科手术网,修复贴片,吊索,心血管贴片,矫形针 材料),粘附屏障,支架,引导组织修复/再生装置,关节软骨修复装置,神经导管,肌腱修复装置,房间隔缺损修复装置,心包块,填充剂和填充剂,静脉瓣,骨髓支架,半月板再生 装置,韧带和腱移植物,眼细胞植入物,脊髓融合笼,皮肤替代物,硬脑膜替代物,骨移植物替代物,骨榫,伤口敷料和止血剂。 聚羟基链烷酸酯可以含有由单体的混合物形成的添加剂,或者在其主链中包括侧基或修饰,或者可以化学改性,以改变降解速率。 聚羟基链烷酸酯组合物还在生理条件下的期望时间范围内提供有利的机械性能,生物相容性和降解时间。
    • 20. 发明授权
    • Therapeutic uses of polymers and oligomers comprising gamma-hydroxybutyrate
    • 包含γ-羟基丁酸酯的聚合物和低聚物的治疗用途
    • US06623730B1
    • 2003-09-23
    • US09661948
    • 2000-09-14
    • Simon F. WilliamsDavid P. Martin
    • Simon F. WilliamsDavid P. Martin
    • A61K31765
    • A61K31/19A61K31/765
    • Oligomers and polymer compositions are provided which comprise GHB and produce GHB after administration in vivo. Devices for the storage and delivery of these polymers and oligomers are also provided. These oligomers and polymer compositions are useful in a variety of applications. The compositions can be used therapeutically, for example, in the treatment of patients with narcolepsy, chronic schizophrenia, catatonic schizophrenia, atypical psychoses, chronic brain syndrome, neurosis, alcoholism, drug addiction and withdrawal, Parkinson's disease and other neuropharmacological illnesses, hypertension, ischemia, circulatory collapse, radiation exposure, cancer, and myocardial infarction. Other uses for the compositions include anesthesia induction, sedation, growth hormone production, heightened sexual desire, anorectic effects, euphoria, smooth muscle relaxation, muscle mass production, and sleep, including rapid eye movement sleep. In a still further embodiment, the oligomers and polymers may be used to produce absence seizures.
    • 提供含有GHB并在体内施用后产生GHB的低聚物和聚合物组合物。 还提供了用于储存和递送这些聚合物和低聚物的装置。 这些低聚物和聚合物组合物可用于各种应用中。 组合物可用于治疗例如发作性睡病,慢性精神分裂症,紧张性精神分裂症,非典型精神病,慢性脑综合征,神经症,酒精中毒,药物成瘾和戒断,帕金森病和其他神经药理学疾病,高血压,缺血的患者的治疗 ,循环衰竭,放射线暴露,癌症和心肌梗死。 组合物的其它用途包括麻醉诱导,镇静,生长激素生成,性欲升高,厌食症,欣快,平滑肌松弛,肌肉量产和睡眠,​​包括快速眼动睡眠。 在另一个实施方案中,低聚物和聚合物可以用于产生不发作的发作。