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61. 发明授权

US06899722B2 Suture anchor 失效
标题翻译：缝合锚
公开(公告)号：US06899722B2
公开(公告)日：2005-05-31
申请号：US09925551
申请日：2001-08-09
申请人： Peter M. Bonutti
发明人： Peter M. Bonutti
IPC分类号： A61B17/00 , A61B17/04 , A61B17/16
CPC分类号： A61B17/0401 , A61B17/1637 , A61B2017/00526 , A61B2017/00933 , A61B2017/0409 , A61B2017/0414 , A61B2017/0417
摘要： An improved suture anchor is formed from body tissue. The body tissue is shaped to a desired configuration for the anchor and defines a passage through the anchor. A suture is inserted into the passage in the body tissue of the anchor. The anchor is then positioned in a patient's body with a suture extending into the passage in the anchor. The anchor may be formed of osseous body tissue, hard compact bone, dense connective body tissue, or other body tissue. The body tissue may be dried so that it absorbs fluid and expands upon being inserted into a patient's body.
摘要翻译：改进的缝合锚由身体组织形成。身体组织被成形为用于锚固件的期望构造并且限定穿过锚固件的通道。将缝合线插入锚固体的身体组织中的通道中。然后将锚固件定位在患者的身体中，缝线延伸到锚固体中的通道中。锚固体可以由骨组织，硬质紧密骨，致密结缔组织或其他身体组织形成。身体组织可以被干燥，使得其吸收流体并且在插入患者身体时膨胀。

62. 发明授权

US06860904B2 Method for tissue grafting 失效
标题翻译：组织移植方法
公开(公告)号：US06860904B2
公开(公告)日：2005-03-01
申请号：US10279402
申请日：2002-10-24
申请人： Peter M. Bonutti
发明人： Peter M. Bonutti
IPC分类号： A61B17/00 , A61B17/06 , A61B17/86 , A61B17/88 , A61F2/00 , A61F2/02 , A61F2/08 , A61F2/28 , A61F2/30 , A61F2/36 , A61F2/46 , B30B1/04 , B30B11/02
CPC分类号： A61B17/885 , A61B17/06166 , A61B17/1606 , A61B17/86 , A61B2017/00004 , A61B2017/00539 , A61B2017/00544 , A61B2017/00969 , A61F2/08 , A61F2/0811 , A61F2/28 , A61F2/3094 , A61F2/3662 , A61F2/4644 , A61F2002/2839 , A61F2002/30062 , A61F2002/30075 , A61F2002/30224 , A61F2002/30545 , A61F2002/30579 , A61F2210/0004 , A61F2210/0061 , A61F2230/0069 , A61F2240/001 , A61F2250/001 , B30B1/04 , B30B11/02 , Y10S623/901 , Y10S623/908
摘要： A method of tissue grafting. Tissue elements are obtained from at least one human body and are enclosed within a retaining structure. The tissue elements with the retaining structure are shaped to form a grafting material having a predetermined configuration. The grafting material is then implanted into a patient.
摘要翻译：组织移植方法。组织元件从至少一个人体获得并被封闭在保持结构内。具有保持结构的组织元件成形为形成具有预定构型的接枝材料。然后将移植材料植入患者体内。

63. 发明授权

US06736853B2 Method of using tissue cage 失效
标题翻译：使用组织笼的方法
公开(公告)号：US06736853B2
公开(公告)日：2004-05-18
申请号：US10033515
申请日：2001-10-19
申请人： Peter M. Bonutti
发明人： Peter M. Bonutti
IPC分类号： A61F228
CPC分类号： A61F2/3662 , A61B17/06166 , A61B17/1606 , A61B17/86 , A61B17/885 , A61B2017/00004 , A61B2017/00539 , A61B2017/00544 , A61B2017/00969 , A61F2/08 , A61F2/0811 , A61F2/28 , A61F2/3094 , A61F2/4644 , A61F2002/2839 , A61F2002/30062 , A61F2002/30075 , A61F2002/30224 , A61F2002/30545 , A61F2002/30579 , A61F2210/0004 , A61F2210/0061 , A61F2230/0069 , A61F2240/001 , A61F2250/001 , B30B1/04 , B30B11/02 , Y10S623/901 , Y10S623/908 , Y10S623/919 , Y10S623/92
摘要： The present invention relates to a method of utilizing body tissue by forming an implant that includes body tissue positioned in a cage. The cage is formed of material which expands when exposed to body fluid and the cage is positioned in a patient's body at a location where the cage is exposed to such body fluid so that the cage expands in the patients' body as the cage absorbs body fluid. The cage can be provided with openings extending substantially from a first end to a second end to allow tissue ingrowth. The body tissue can be heated or cooled and then shaped prior to placement in the cage. Also, the cage material can be biodegradable.
摘要翻译：本发明涉及通过形成包括位于笼中的身体组织的植入物来利用身体组织的方法。保持架由暴露于体液时膨胀的材料形成，并且保持架定位在患者身体中的保持架暴露于这种体液的位置，使得当笼子吸收体液时，保持架在患者体内膨胀。笼可以设置有从第一端基本上延伸到第二端的开口，以允许组织向内生长。身体组织可以被加热或冷却，然后在放置在笼中之前成形。笼子材料也可以是可生物降解的。

64. 发明授权

US06652532B2 Tissue repair method 失效
标题翻译：组织修复方法
公开(公告)号：US06652532B2
公开(公告)日：2003-11-25
申请号：US10005017
申请日：2001-12-04
申请人： Peter M. Bonutti
发明人： Peter M. Bonutti
IPC分类号： A61B1704
CPC分类号： A61B10/025 , A61B17/1615 , A61B17/1631 , A61B17/1635 , A61B17/32002 , A61B2017/00831 , A61B2017/00969 , A61B2217/005 , A61B2217/007 , A61M1/0056
摘要： The present invention relates to a method of repairing tissue. In one embodiment, one portion of an implant, which is at least partially formed of a biodegradable material, is connected to another portion of the implant by applying heat to the implant. The implant is positioned relative to a patient's body tissue. In another embodiment, graft tissue is enclosed with a biodegradable enclosure having a number of openings. The graft tissue is positioned in the patient's body at a location that enables body tissue to grow through the openings in the enclosure.
摘要翻译：本发明涉及一种修复组织的方法。在一个实施例中，至少部分由可生物降解材料形成的植入物的一部分通过向植入物施加热量而与植入物的另一部分连接。植入物相对于患者的身体组织定位。在另一个实施方案中，移植组织用具有多个开口的可生物降解的外壳封闭。将移植物组织定位在使得身体组织能够通过外壳中的开口生长的位置处于患者体内。

65. 发明授权

US06638279B2 Method of positioning body tissue relative to a bone 有权
标题翻译：相对于骨骼定位身体组织的方法
公开(公告)号：US06638279B2
公开(公告)日：2003-10-28
申请号：US09835473
申请日：2001-04-16
申请人： Peter M. Bonutti
发明人： Peter M. Bonutti
IPC分类号： A61B1756
CPC分类号： A61B17/1796 , A61B17/0401 , A61B17/683 , A61B17/82 , A61B2017/0404 , A61B2017/0445 , A61B2017/0454 , A61B2017/0458 , Y10S606/907 , Y10S606/909 , Y10S606/91
摘要： An anchor connected with a suture is moved through a passage between opposite sides of a bone. The anchor is then pivoted to change its orientation. A second anchor is connected with the suture. While tension is maintained in the suture, the suture is secured against movement relative to the anchors. This may be done by tying the suture or by using a suture retainer to hold the suture. A suture retainer may be used in place of the second anchor. The passage may extend across a fracture in the bone. The passage may have either a nonlinear or linear configuration. A tubular member may be positioned in the passage with the tubular member extending into portions of the passage on opposite sides of the fracture. Opposite end portions of the tubular member may be disposed in a compact outer layer of the bone. If desired, a member other than a suture may be used as a force transmitting member between the two anchors. The tubular member may be formed of bone.
摘要翻译：与缝合线连接的锚定件通过骨的相对侧面之间的通道移动。然后锚固件枢转以改变其定向。第二个锚与缝合线连接。当在缝合线中保持张力时，缝合线被固定成抵抗相对于锚固件的运动。这可以通过绑定缝合线或通过使用缝合线保持器来保持缝线来完成。可以使用缝合线保持器代替第二锚。通道可以延伸穿过骨中的骨折。通道可以具有非线性或线性配置。管状构件可以定位在通道中，管状构件在裂缝的相对侧延伸到通道的一部分。管状构件的相对的端部可以设置在骨的紧凑的外层中。如果需要，除了缝线之外的部件可以用作两个锚之间的力传递部件。管状构件可以由骨形成。

66. 发明授权

US06620181B1 Method of dissecting tissue layers 有权
标题翻译：解剖组织层的方法
公开(公告)号：US06620181B1
公开(公告)日：2003-09-16
申请号：US09526949
申请日：2000-03-16
申请人： Peter M. Bonutti
发明人： Peter M. Bonutti
IPC分类号： A61B132
CPC分类号： A61B17/0218 , A61B17/02 , A61B17/025 , A61B17/320036 , A61B17/320725 , A61B2017/00535 , A61B2017/00557 , A61B2017/0256 , A61B2017/320048 , A61B2090/062 , A61M25/1002 , A61M2025/006
摘要： A fluid operated retractor for use in surgery. The retractor has a portion that is expandable upon the introduction of fluid under pressure. The expandable portion, is made of a material strong enough, and is inflated to enough pressure, to spread adjoining tissues within the body. The retractor is especially useful in fiber optic surgery because it can be inserted percutaneously through a small opening then expanded to a much larger dimension when in the desired location, to retract tissue from within. The retractor may be used to spread a joint such as a knee joint or a shoulder joint, or may be used to separate tissue planes generally, to improve visualization and create a working space for the surgeon.
摘要翻译：一种用于手术的流体操作牵开器。牵引器具有在压力下引入流体时可膨胀的部分。可膨胀部分由足够坚固的材料制成，并被充气至足够的压力，以在身体内扩展相邻的组织。牵开器在光学手术中特别有用，因为它可以通过一个小的开口经皮插入，然后在期望的位置扩展到更大的尺寸，从内部收回组织。牵开器可以用于展开诸如膝关节或肩关节的关节，或者可以用于一般地分开组织平面，以改善可视化并为外科医生创造一个工作空间。

67. 发明授权

US06575982B1 Method and apparatus for use in operating on a bone 有权
标题翻译：用于在骨骼上操作的方法和装置
公开(公告)号：US06575982B1
公开(公告)日：2003-06-10
申请号：US09566070
申请日：2000-05-05
申请人： Peter M. Bonutti
发明人： Peter M. Bonutti
IPC分类号： A61B1756
CPC分类号： A61B17/8095 , A61B17/8004 , A61B17/8061 , A61F2/30 , A61F2/30734 , A61F2002/30108
摘要： The relationship between first and second portions of a bone in a patient's body is changed by moving a wedge member into a slot formed in the bone. Force is applied against hard cortical bone by the wedge member. This force pivots the first portion of the bone relative to the second portion of the bone about an axis extending through bone interconnecting the first and second portions of the bone. As the wedge member moves into the bone, a side surface of the wedge member is moved into alignment with an outer side surface of the bone. The wedge member is fixedly connected with the bone. The wedge member is rigid so that the bone can immediately be load bearing. One or more openings may be provided in the wedge member to enable bone to grow through the wedge member. The wedge member may contain a material which promotes growth of bone through the wedge member.
摘要翻译：通过将楔形构件移动到形成在骨中的狭槽中来改变患者身体中的骨骼的第一和第二部分之间的关系。通过楔形构件对强硬皮质骨施加力。该力使骨头的第一部分相对于骨骼的第二部分围绕穿过骨骼的第一和第二部分相互连接的轴线枢转。当楔形构件移动到骨中时，楔形构件的侧表面被移动成与骨的外侧表面对齐。楔构件与骨固定连接。楔形构件是刚性的，使得骨骼可以立即被承载。可以在楔形构件中设置一个或多个开口，以使骨骼能够通过楔形构件生长。楔形构件可以包含促进骨骼通过楔形构件生长的材料。

68. 发明授权

US06503267B2 Surgical devices assembled using heat bondable materials 失效
标题翻译：使用热粘合材料组装的手术装置
公开(公告)号：US06503267B2
公开(公告)日：2003-01-07
申请号：US09737380
申请日：2000-12-15
申请人： Peter M. Bonutti , Mark V. Brillhart
发明人： Peter M. Bonutti , Mark V. Brillhart
IPC分类号： A61B1704
CPC分类号： A61B17/0401 , A61B17/68 , A61B17/80 , A61B17/866 , A61B2017/00004 , A61B2017/0408 , A61B2017/0454 , A61B2017/0458 , A61B2017/0464 , A61B2017/0619 , A61B2017/867 , A61F2/30734 , A61F2/367 , A61F2/38 , A61F2002/30062 , A61F2002/30065 , A61F2002/30736 , A61F2210/0004 , A61F2210/0071 , B29C65/602 , B29C66/71 , B29C66/721 , B29C66/7212 , B29C66/73791 , B29C66/8322 , Y10S606/908 , Y10S606/91 , B29K2277/00 , B29K2277/10 , B29K2307/04 , B29K2305/12 , B29K2023/04 , B29K2305/00 , B29K2077/10 , B29K2077/00 , B29K2023/06
摘要： Surgical devices such as implants or suture fastenings are assembled from a plurality of discrete components, one of which components includes a heat bondable plastic material for bonding the components together. At least two components are bonded to each other by the applying heat to the heat bondable plastic material of one component. The heat bondable plastic material is preferably a polymeric or composite material suitable for surgical applications and implantation in humans, and may be a biodegradable material. A laser may be used as the heat source. The present invention is advantageously embodied in heat bonded fastenings for sutures or K-wires, in which a variety of different suture anchors are usable, including expandable distal suture anchors. Other embodiments include a metal bone plate which is held to bone by a metal bone screw and a nut of bondable material bonded to the plate to secure the connection; a piece of bondable material bonded to a metal prosthesis to custom fit the prosthesis; and a surgical implant custom formed by bonding together a plurality of discrete elements one or more of which is bondable.
摘要翻译：诸如植入物或缝合线紧固件之类的手术装置由多个分立组件组装，其中一个部件包括用于将部件粘合在一起的可热粘合塑料材料。至少两个组分通过向一个组分的可热粘合的塑料材料施加热量而彼此结合。可热粘合的塑料材料优选是适合于人类手术应用和植入的聚合物或复合材料，并且可以是可生物降解的材料。可以使用激光作为热源。本发明有利地体现在用于缝线或K线的热粘合紧固件中，其中可使用各种不同的缝合锚，包括可扩展的远端缝合锚。其他实施例包括通过金属骨螺钉固定在骨头上的金属骨板和结合到板上的可结合材料的螺母以固定连接件; 结合到金属假体的一块可粘合材料以定制地适合假体; 以及通过将多个离散元件结合在一起而形成的手术植入物，其中一个或多个是可结合的。

69. 发明授权

US06502577B1 Method for moving finger joints 有权
标题翻译：移动手指关节的方法
公开(公告)号：US06502577B1
公开(公告)日：2003-01-07
申请号：US09664922
申请日：2000-09-18
申请人： Peter M. Bonutti
发明人： Peter M. Bonutti
IPC分类号： A61B1900
CPC分类号： A61F5/013 , A61F5/05875 , A61F2005/0137 , A61F2005/0153 , A61H1/0288
摘要： The same orthosis can be used to sequentially move joints of different fingers of a hand. A hand cuff of the orthosis is mounted on the hand. Mechanisms operable to move the joints are connected to the hand cuff at locations aligned with the fingers. The mechanisms are connected with the fingers. The joints of the fingers are moved by operating the mechanisms. The joints and first and second portions of the fingers define on one side of the joints outer sectors which decrease in angle as the joints are extended. Force is applied to the first and second portions of the fingers to move the joints by providing relative rotation between internally and externally threaded members disposed in the outer sectors. Actuator members connected with the internally or externally threaded members are moved along paths that extend through the joints.
摘要翻译：相同的矫形器可以用于顺序地移动手的不同手指的关节。矫正器的手袖安装在手上。可操作以移动关节的机构在与手指对准的位置处连接到手套。机构与手指连接。通过操作机构来移动手指的关节。手指的接头和第一和第二部分限定在接头外部扇形的一侧，当接头伸长时，该部分的角度减小。通过提供布置在外部扇形内部和外部螺纹构件之间的相对旋转，将力施加到手指的第一和第二部分以移动接头。与内螺纹或外螺纹构件连接的致动器构件沿着延伸穿过接头的路径移动。

70. 发明授权

US6152949A Method for securing tissue with anchor 有权
标题翻译：用锚钉固定组织的方法
公开(公告)号：US6152949A
公开(公告)日：2000-11-28
申请号：US378190
申请日：1999-08-20
申请人： Peter M. Bonutti
发明人： Peter M. Bonutti
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0403 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0417 , A61B2017/0427 , A61B2017/0445 , A61B2017/0458 , A61B2017/047
摘要： A suture anchor is formed of a material which absorbs body liquid when exposed to body liquid. The anchor may be at least partially formed of a material having a strong affinity for body liquids. This enables the anchor to absorb body liquid and expand upon being inserted into a patient's body. At least one embodiment of the suture anchor has portions formed of a relatively hard material which does not absorb body liquids and is pressed against body tissue by the material which absorbs body liquid to mechanically interlock the suture anchor and the body tissue. The anchor may be at least partially formed of a cellular material. The cells expand to absorb body liquid. At least one embodiment of the anchor has a pointed leading end portion to form an opening in an imperforate surface on body tissue. The configuration of the anchor may be changed by tensioning the suture while the anchor is disposed in body tissue.
摘要翻译：缝合锚固体由暴露于体液时吸收体液的材料形成。锚可以至少部分地由对身体液体具有强亲合力的材料形成。这使得锚固体能够吸收体液并且在插入到患者体内时膨胀。缝合锚固件的至少一个实施例具有由相对硬的材料形成的部分，其不吸收体液，并且通过吸收身体液体的材料压靠身体组织以机械地互锁缝合锚和身体组织。锚可以至少部分地由细胞材料形成。细胞扩张吸收体液。锚的至少一个实施例具有尖端的前端部分，以在身体组织上的无孔表面中形成开口。可以通过在锚固体设置在身体组织中时张紧缝合线来改变锚的构造。

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