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11. 发明授权

US06346111B1 Suturing instruments and methods of use 失效
标题翻译：缝合仪器和使用方法
公开(公告)号：US06346111B1
公开(公告)日：2002-02-12
申请号：US09409332
申请日：1999-09-30
申请人： Norman S. Gordon , Robert P. Cooper , Richard L. Quick
发明人： Norman S. Gordon , Robert P. Cooper , Richard L. Quick
IPC分类号： A61B1704
CPC分类号： A61B17/0469 , A61B17/0057 , A61B17/0482 , A61B17/06066 , A61B17/0625 , A61B17/2909 , A61B2017/00637 , A61B2017/00663 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0479 , A61B2017/06057 , A61B2017/2901
摘要： A method and device for the placement of sutures and for the purpose of approximating tissue. The invention relates to devices for approximation, ligation and fixation of tissue using a suture, to various constituent parts comprising said devices, and particularly to the placement of sutures into certain difficult to access ligamental structures, to the approximation of tissue separated by means of an endosurgical trocar being inserted into a body cavity, and to approximation, ligation, and fixation of body tissue using both traditional open surgical and endosurgical techniques and instruments. The invention provides for the loading of suture material including needles into the device, introduction and placement of the device into the body cavity, with the distal end having deployable needle guides, extending the needle guides either simultaneously or individually to the periphery of the wound, engaging the wound with the needle guides, driving the needles and suture material through the tissue to be approximated into a catch mechanism, retracting the needle guides and withdrawing the device, leaving a loop of suture material in the margin of tissue. The suture may then be tied to approximate the wound and excess suture material cut off. The invention also provides for the placement of sutures for the endoscopic approximation, fixation, and ligation of tissues within a body cavity including the driving and retrieval of needle and suture combinations, and facilitating the tying of knots.
摘要翻译：用于放置缝合线并用于近似组织的方法和装置。本发明涉及用于使用缝合线的组织的近似，连接和固定的装置，包括所述装置的各种组成部分，特别涉及将缝合线放置在某些难以进入的结构结构中，以通过将外科手术套管插入体腔，并使用传统的开放式外科手术和内窥镜技术和手段近似，连接和固定身体组织。本发明提供将包括针的缝合材料装载到装置中，将装置引入和放置到体腔中，其中远端具有可展开的针引导件，将针引导件同时或单独地延伸到伤口的周边，将伤口与针引导件接合，将针和缝合材料驱动穿过组织以近似成捕获机构，缩回针引导件并取出装置，在组织边缘留下一环缝合材料。然后可以将缝合线绑扎以近似伤口并切断多余的缝线材料。本发明还提供了用于内窥镜近似，固定和结扎组织在体腔内的缝线的布置，包括针和缝合组合的驱动和取出，以及促进结的束缚。

12. 发明授权

US09636101B2 Bone anchor having an integrated stress isolator 有权
公开(公告)号：US09636101B2
公开(公告)日：2017-05-02
申请号：US13602941
申请日：2012-09-04
申请人： Steven Wolf , Vincent Tangherlini , Norman S. Gordon
发明人： Steven Wolf , Vincent Tangherlini , Norman S. Gordon
IPC分类号： A61F2/08 , A61B17/04 , A61B90/00
CPC分类号： A61B17/0401 , A61B2017/0409 , A61B2017/0414 , A61B2017/0445 , A61B2017/0451 , A61B2017/0456 , A61B2090/037 , A61F2/0811 , A61F2002/0817 , A61F2002/0829 , A61F2002/0841 , A61F2002/0847 , A61F2002/0852
摘要： The present disclosure includes a knotless suture anchoring system for anchoring a suture with respect to a body cavity, including a bone anchor body with at least one rigid anchoring structure to secure the anchor body within the body cavity. The anchor body has a longitudinal bore and cross-pin extending across the bore. A retention member is coupled to the anchor body with a break notch therebetween, which may selectively fracture to separate the body from the retention member. Additionally there is a suture cutout on the retention member and a relief feature positioned along the break notch and approximately diametrically opposed from the suture cutout, the relief feature acting to alter the force dissipation along the break notch during the separation of the retention member from the anchor body.

13. 发明授权

US08617186B2 Independent suture tensioning and snaring apparatus 有权
标题翻译：独立缝合张紧和绷带装置
公开(公告)号：US08617186B2
公开(公告)日：2013-12-31
申请号：US13334649
申请日：2011-12-22
申请人： George W. White , David Gregoire , David Aldridge , Edward E. Dolendo , Emil Karapetian , Norman S. Gordon , Tri Nguyen
发明人： George W. White , David Gregoire , David Aldridge , Edward E. Dolendo , Emil Karapetian , Norman S. Gordon , Tri Nguyen
IPC分类号： A61B17/04 , A61B17/12
CPC分类号： A61B17/0485 , A61B17/00234 , A61B17/04 , A61B17/0401 , A61B17/0482 , A61B17/06166 , A61B17/8869 , A61B2017/00296 , A61B2017/0053 , A61B2017/0409 , A61B2017/042 , A61B2017/0456 , A61B2017/0464 , A61B2017/0496
摘要： In repairing soft tissue with a bone anchoring instrument (such as reattaching a tendon of a torn rotator cuff), the bone anchoring instrument may be used to anchor the soft tissue to a region of bone. The anchors inserted into the underlying bone may have one or more lengths of suture or wire attached thereto which may be tensioned independently of one another to affix the soft tissue to the bone by having a selector mechanism selectively engage and disengage ratcheted tensioning wheels from one another. Suture loading mechanisms may be employed for passing suture lengths into and/or through the anchors prior to deployment into the bone where such mechanisms may employ suture snares which are configured to reconfigure from an expanded shape through which suture lengths may be easily passed to a low-profile shape which secures the suture lengths within the snare.
摘要翻译：在用骨锚固仪器（例如重新安装撕裂的肩袖的肌腱）修复软组织时，可以使用骨锚固器械将软组织锚定到骨骼的一部分。插入到下面的骨中的锚可以具有一个或多个连接到其上的长度的缝合线或线，其可以彼此独立地张紧，以通过使选择器机构选择性地接合和分离棘轮张紧轮从而将软组织附着到骨骼上。可以采用缝合线加载机构将缝合线长度插入和/或穿过锚定器，然后将其插入到骨中，其中这种机构可以使用缝合线圈，其被配置为从扩张形状重新配置，通过该扩张形状缝合线长度可以容易地通过到低 - 将档案的形状固定在圈套内。

14. 发明申请

US20120095507A1 INDEPENDENT SUTURE TENSIONING AND SNARING APPARATUS 有权
标题翻译：独立的拉伸和淋浴设备
公开(公告)号：US20120095507A1
公开(公告)日：2012-04-19
申请号：US13334649
申请日：2011-12-22
申请人： George W. White , David Gregoire , David Aldridge , Edward E. Dolendo , Emil Karapetian , Norman S. Gordon , Tri Nguyen
发明人： George W. White , David Gregoire , David Aldridge , Edward E. Dolendo , Emil Karapetian , Norman S. Gordon , Tri Nguyen
IPC分类号： A61B17/04
CPC分类号： A61B17/0485 , A61B17/00234 , A61B17/04 , A61B17/0401 , A61B17/0482 , A61B17/06166 , A61B17/8869 , A61B2017/00296 , A61B2017/0053 , A61B2017/0409 , A61B2017/042 , A61B2017/0456 , A61B2017/0464 , A61B2017/0496
摘要： In repairing soft tissue with a bone anchoring instrument (such as reattaching a tendon of a torn rotator cuff), the bone anchoring instrument may be used to anchor the soft tissue to a region of bone. The anchors inserted into the underlying bone may have one or more lengths of suture or wire attached thereto which may be tensioned independently of one another to affix the soft tissue to the bone by having a selector mechanism selectively engage and disengage ratcheted tensioning wheels from one another. Suture loading mechanisms may be employed for passing suture lengths into and/or through the anchors prior to deployment into the bone where such mechanisms may employ suture snares which are configured to reconfigure from an expanded shape through which suture lengths may be easily passed to a low-profile shape which secures the suture lengths within the snare.
摘要翻译：在用骨锚固仪器（例如重新安装撕裂的肩袖的肌腱）修复软组织时，可以使用骨锚固器械将软组织锚定到骨骼的一部分。插入到下面的骨中的锚可以具有一个或多个连接到其上的长度的缝合线或线，其可以彼此独立地张紧，以通过使选择器机构选择性地接合和分离棘轮张紧轮从而将软组织附着到骨骼上。可以采用缝合线加载机构将缝合线长度插入和/或穿过锚定器，然后将其插入到骨中，其中这种机构可以使用缝合线圈，其被配置为从扩张形状重新配置，通过该扩张形状缝合线长度可以容易地传递到低 - 将档案的形状固定在圈套内。

15. 发明申请

US20090326563A1 INDEPENDENT SUTURE TENSIONING AND SNARING APPARATUS 有权
标题翻译：独立的拉伸和淋浴设备
公开(公告)号：US20090326563A1
公开(公告)日：2009-12-31
申请号：US12487352
申请日：2009-06-18
申请人： George W. White , David Gregoire , David Aldridge , Edward E. Dolendo , Emil Karapetian , Norman S. Gordon , Tri Nguyen
发明人： George W. White , David Gregoire , David Aldridge , Edward E. Dolendo , Emil Karapetian , Norman S. Gordon , Tri Nguyen
IPC分类号： A61B17/04
CPC分类号： A61B17/0485 , A61B17/00234 , A61B17/04 , A61B17/0401 , A61B17/0482 , A61B17/06166 , A61B17/8869 , A61B2017/00296 , A61B2017/0053 , A61B2017/0409 , A61B2017/042 , A61B2017/0456 , A61B2017/0464 , A61B2017/0496
摘要： In repairing soft tissue with a bone anchoring instrument (such as reattaching a tendon of a torn rotator cuff), the bone anchoring instrument may be used to anchor the soft tissue to a region of bone. The anchors inserted into the underlying bone may have one or more lengths of suture or wire attached thereto which may be tensioned independently of one another to affix the soft tissue to the bone by having a selector mechanism selectively engage and disengage ratcheted tensioning wheels from one another. Suture loading mechanisms may be employed for passing suture lengths into and/or through the anchors prior to deployment into the bone where such mechanisms may employ suture snares which are configured to reconfigure from an expanded shape through which suture lengths may be easily passed to a low-profile shape which secures the suture lengths within the snare.
摘要翻译：在用骨锚固仪器（例如重新安装撕裂的肩袖的肌腱）修复软组织时，可以使用骨锚固器械将软组织锚定到骨骼的一部分。插入到下面的骨中的锚可以具有一个或多个连接到其上的长度的缝合线或线，其可以彼此独立地张紧，以通过使选择器机构选择性地接合和分离棘轮张紧轮从而将软组织附着到骨骼上。可以采用缝合线加载机构将缝合线长度插入和/或穿过锚定器，然后将其插入到骨中，其中这种机构可以使用缝合线圈，其被配置为从扩张形状重新配置，通过该扩张形状缝合线长度可以容易地传递到低 - 将档案的形状固定在圈套内。

16. 发明授权

US5971939A Needle core biopsy device 失效
标题翻译：针芯活检装置
公开(公告)号：US5971939A
公开(公告)日：1999-10-26
申请号：US64179
申请日：1998-04-22
申请人： Stephen A. DeSantis , Norman S. Gordon , Robert P. Cooper
发明人： Stephen A. DeSantis , Norman S. Gordon , Robert P. Cooper
IPC分类号： A61B10/00 , A61B10/02 , A61B17/32
CPC分类号： A61B10/0283 , A61B10/0275 , A61B2010/0208
摘要： A needle biopsy device has a suction source, an inner cannula, and an outer cannula. The inner cannula has a biopsy reservoir formed proximate the distal end thereof and also has a lumen formed therein. The lumen provides fluid communication from the suction source to the biopsy reservoir. The outer cannula is slidably disposed about the inner cannula and has a cutter formed at the distal end thereof. The outer cannula has a distal position wherein it substantially covers the biopsy reservoir and has a proximate position wherein the biopsy reservoir is substantially exposed. An actuating mechanism moves the outer cannula from the distal position to the proximate position thereof, facilitates the application of suction from the suction source to the biopsy reservoir and moves the outer cannula from the proximate position to the distal position thereof. Moving the outer cannula from the distal position to the proximate position thereof and creating suction that the biopsy reservoir causes a tissue sample to be pulled into the biopsy reservoir. Moving the outer cannula from the proximal position to the distal position thereof causes the cutter to cut the tissue sample from surrounding tissue and also captures the tissue sample within the biopsy reservoir.
摘要翻译：针活检装置具有抽吸源，内套管和外插管。内套管具有邻近其远端形成的活检储存器，并且其中形成有内腔。管腔提供从抽吸源到活检池的流体连通。外套管可滑动地设置在内套管的周围，并具有形成在其远端的切割器。外套管具有远端位置，其中其基本上覆盖活检储存器并且具有近似位置，其中活检储存器基本上暴露。致动机构将外套管从远侧位置移动到其近端位置，便于将吸力从抽吸源施加到活检池，并将外套管从邻近位置移动到其远端位置。将外套管从远侧位置移动到其近端位置，并产生抽吸，使得活检池将组织样本拉入活检池。将外套管从近侧位置移动到远端位置使得切割器从周围组织切割组织样本并且还捕获活组织检查储存器内的组织样本。

17. 发明授权

US5700272A Endoscopic suture system 失效
标题翻译：内窥镜缝合系统
公开(公告)号：US5700272A
公开(公告)日：1997-12-23
申请号：US534501
申请日：1995-09-27
申请人： Norman S. Gordon , Robert P. Cooper , Richard L. Quick
发明人： Norman S. Gordon , Robert P. Cooper , Richard L. Quick
IPC分类号： A61B17/00 , A61B17/04 , A61B17/06 , A61B17/28
CPC分类号： A61B17/0625 , A61B17/0469 , A61B17/0482 , A61B17/06066 , A61B17/0057 , A61B17/2909 , A61B2017/00637 , A61B2017/00663 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0479 , A61B2017/06057 , A61B2017/2901
摘要： A method and device for the placement of sutures and for the purpose of approximating tissue. A particular utility is effected in the approximation of the tissue separated by means of an endosurgical trocar being inserted into a body cavity. The invention provides for the loading of suture material including needles into the device, introduction and placement of the device into the body cavity, with the distal end having deployable needle guides, extending the needle guides either simultaneously or individually to the periphery of the wound, engaging the wound with the needle guides, driving the needles and suture material through the tissue to be approximated into a catch mechanism, retracting the needle guides and withdrawing the device, leaving a loop of suture material in the margin of tissue. The suture may then be tied to approximate the wound and excess suture material cut off.
摘要翻译：用于放置缝合线并用于近似组织的方法和装置。在通过插入到体腔中的内窥镜套管针分离的组织的近似中实现特定用途。本发明提供将包括针的缝合材料装载到装置中，将装置引入和放置到体腔中，其中远端具有可展开的针引导件，将针引导件同时或单独地延伸到伤口的周边，将伤口与针引导件接合，将针和缝合材料驱动穿过组织以近似成捕获机构，缩回针引导件并取出装置，在组织边缘留下一环缝合材料。然后可以将缝合线绑扎以近似伤口并切断多余的缝线材料。

18. 发明授权

US5578044A Endoscopic suture system 失效
标题翻译：内窥镜缝合系统
公开(公告)号：US5578044A
公开(公告)日：1996-11-26
申请号：US311967
申请日：1994-09-26
申请人： Norman S. Gordon , Robert P. Cooper
发明人： Norman S. Gordon , Robert P. Cooper
IPC分类号： A61B17/00 , A61B17/04 , A61B17/06 , A61B17/28
CPC分类号： A61B17/0625 , A61B17/0469 , A61B17/0482 , A61B17/06066 , A61B17/0057 , A61B17/062 , A61B17/2909 , A61B2017/00637 , A61B2017/00663 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0479 , A61B2017/06057 , A61B2017/2901
摘要： A method and device for the placement of sutures and for the purpose of approximating tissue. A particular utility is effected in the approximation of the tissue separated by means of an endosurgical trocar being inserted into a body cavity. The invention provides for the loading of suture material including needles into the device, introduction and placement of the device into the body cavity, with the distal end having deployable needle guides, extending the needle guides either simultaneously or individually to the periphery of the wound, engaging the wound with the needle guides, driving the needles and suture material through the tissue to be approximated into a catch mechanism, retracting the needle guides and withdrawing the device, leaving a loop of suture material in the margin of tissue. The suture may then be tied to approximate the wound and excess suture material cut off. The invention also provides for the placement of sutures for the endoscopic approximation, fixation, and ligation of tissues within a body cavity including the driving and retrieval of needle and suture combinations, and facilitating the tying of knots.
摘要翻译：用于放置缝合线并用于近似组织的方法和装置。在通过插入到体腔中的内窥镜套管针分离的组织的近似中实现特定用途。本发明提供将包括针的缝合材料装载到装置中，将装置引入和放置到体腔中，其中远端具有可展开的针引导件，将针引导件同时或单独地延伸到伤口的周边，将伤口与针引导件接合，将针和缝合材料驱动穿过组织以近似成捕获机构，缩回针引导件并取出装置，在组织边缘留下一环缝合材料。然后可以将缝合线绑扎以近似伤口并切断多余的缝线材料。本发明还提供了用于内窥镜近似，固定和结扎组织在体腔内的缝线的布置，包括针和缝合组合的驱动和取出，以及促进结的束缚。

19. 发明授权

US5458609A Surgical needle and retainer system 失效
标题翻译：手术针和保持器系统
公开(公告)号：US5458609A
公开(公告)日：1995-10-17
申请号：US57699
申请日：1993-05-04
申请人： Norman S. Gordon , Robert P. Cooper , Richard L. Quick
发明人： Norman S. Gordon , Robert P. Cooper , Richard L. Quick
IPC分类号： A61B17/00 , A61B17/04 , A61B17/06 , A61B17/28
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/06066 , A61B17/0625 , A61B17/0057 , A61B17/2909 , A61B2017/00637 , A61B2017/00663 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0479 , A61B2017/06057 , A61B2017/2901
摘要： A method and device for the placement of sutures and for the purpose of approximating tissue. A particular utility is effected in the approximation of the tissue separated by means of an endosurgical trocar being inserted into a body cavity. The invention provides for the loading of suture material including needles into the device, introduction and placement of the device into the body cavity, with the distal end having deployable needle guides, extending the needle guides either simultaneously or individually to the periphery of the wound, engaging the wound with the needle guides, driving the needles and suture material through the tissue to be approximated into a catch mechanism, retracting the needle guides and withdrawing the device, leaving a loop of suture material in the margin of tissue. The suture may then be tied to approximate the wound and excess suture material cut off.
摘要翻译：用于放置缝合线并用于近似组织的方法和装置。在通过插入到体腔中的内窥镜套管针分离的组织的近似中实现特定用途。本发明提供将包括针的缝合材料装载到装置中，将装置引入和放置到体腔中，其中远端具有可展开的针引导件，将针引导件同时或单独地延伸到伤口的周边，将伤口与针引导件接合，将针和缝合材料驱动穿过组织以近似成捕获机构，缩回针引导件并取出装置，在组织边缘留下一环缝合材料。然后可以将缝合线绑扎以近似伤口并切断多余的缝线材料。

20. 发明授权

US08828029B2 Independent suture tensioning and snaring apparatus 有权
标题翻译：独立缝合张紧和绷带装置
公开(公告)号：US08828029B2
公开(公告)日：2014-09-09
申请号：US12487338
申请日：2009-06-18
申请人： George W. White , David Gregoire , David Aldridge , Edward E. Dolendo , Emil Karapetian , Norman S. Gordon , Tri Nguyen
发明人： George W. White , David Gregoire , David Aldridge , Edward E. Dolendo , Emil Karapetian , Norman S. Gordon , Tri Nguyen
IPC分类号： A61B17/04 , A61B17/88 , A61B17/00
CPC分类号： A61B17/0485 , A61B17/00234 , A61B17/04 , A61B17/0401 , A61B17/0482 , A61B17/06166 , A61B17/8869 , A61B2017/00296 , A61B2017/0053 , A61B2017/0409 , A61B2017/042 , A61B2017/0456 , A61B2017/0464 , A61B2017/0496
摘要： In repairing soft tissue with a bone anchoring instrument (such as reattaching a tendon of a torn rotator cuff), the bone anchoring instrument may be used to anchor the soft tissue to a region of bone. The anchors inserted into the underlying bone may have one or more lengths of suture or wire attached thereto which may be tensioned independently of one another to affix the soft tissue to the bone by having a selector mechanism selectively engage and disengage ratcheted tensioning wheels from one another. Suture loading mechanisms may be employed for passing suture lengths into and/or through the anchors prior to deployment into the bone where such mechanisms may employ suture snares which are configured to reconfigure from an expanded shape through which suture lengths may be easily passed to a low-profile shape which secures the suture lengths within the snare.
摘要翻译：在用骨锚固仪器（例如重新安装撕裂的肩袖的肌腱）修复软组织时，可以使用骨锚固器械将软组织锚定到骨骼的一部分。插入到下面的骨中的锚可以具有一个或多个连接到其上的长度的缝合线或线，其可以彼此独立地张紧，以通过使选择器机构选择性地接合和分离棘轮张紧轮从而将软组织附着到骨骼上。可以采用缝合线加载机构将缝合线长度插入和/或穿过锚定器，然后将其插入到骨中，其中这种机构可以使用缝合线圈，其被配置为从扩张形状重新配置，通过该扩张形状缝合线长度可以容易地传递到低 - 将档案的形状固定在圈套内。

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