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1. 发明授权

US07004959B2 Apparatus and method for use in positioning an anchor 失效
公开(公告)号：US07004959B2
公开(公告)日：2006-02-28
申请号：US10208510
申请日：2002-07-30
申请人： Peter M. Bonutti
发明人： Peter M. Bonutti
IPC分类号： A61B17/04
CPC分类号： A61B17/3468 , A61B17/0401 , A61B17/17 , A61B17/1796 , A61B2017/00455 , A61B2017/0409 , A61B2017/0417 , A61B2017/0496 , A61B2090/034 , A61B2090/062
摘要： An apparatus for use in positioning an anchor includes a tubular outer member and an inner or pusher member. During use of the apparatus, a slot facilitates visualization of the position of the anchor relative to body tissue. An anchor retainer may be provided at one end of the tubular outer member to grip the anchor and hold the anchor in place during assembly. The anchor retainer also holds the anchor during movement of the apparatus from an assembly location to an operating room or other location where the apparatus is to be used. Indicia may be provided on the inner member to indicate the position of the anchor relative to body tissue. The tubular outer member may be utilized to guide a drill during formation of an opening in body tissue and may be subsequently utilized to guide movement of an anchor into the opening in the body tissue.

2. 发明授权

US06932835B2 Suture securing tool 失效
标题翻译：缝合固定工具
公开(公告)号：US06932835B2
公开(公告)日：2005-08-23
申请号：US10390304
申请日：2003-03-17
申请人： Peter M. Bonutti , Matthew J. Cremens , Ping Liu
发明人： Peter M. Bonutti , Matthew J. Cremens , Ping Liu
IPC分类号： A61B17/04
CPC分类号： A61B17/0487 , A61B2017/0445 , A61B2017/045 , A61B2017/0454 , A61B2017/0456 , A61B2017/0458 , A61B2017/0464 , A61B2017/0488 , A61B2017/0496
摘要： The present invention relates to a suture securing tool for securing a suture against body tissue with a suture retainer. The tool includes first, second, and third force application assemblies. The first force application assembly is connectable with at least one end portion of the suture for tensioning the suture with a suture tensioning force which is a function of suture size and strength. The second force application assembly presses the suture retainer against the body tissue and has an opening through which at least one end portion of the suture is extendable. The third force application assembly plastically deforms the suture retainer to thereby secure the suture against body tissue.
摘要翻译：缝线固定工具技术领域本发明涉及一种用缝合线固定器将缝合线固定在身体组织上的缝线固定工具。该工具包括第一，第二和第三力应用程序组件。第一力施加组件可与缝合线的至少一个端部连接，以用缝合线尺寸和强度的函数缝合张紧力张紧缝合线。第二力施加组件将缝合线保持器压靠在身体组织上并且具有开口，缝合线的至少一个端部可以通过该开口延伸。第三力施加组件使缝线保持器塑性变形，从而将缝线固定抵靠身体组织。

3. 发明授权

US06921377B2 Finger orthosis 有权
公开(公告)号：US06921377B2
公开(公告)日：2005-07-26
申请号：US10329895
申请日：2002-12-26
申请人： Peter M. Bonutti
发明人： Peter M. Bonutti
IPC分类号： A61F5/01 , A61H1/02 , A61F5/00
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.

4. 发明授权

US06908466B1 Surgical devices having a biodegradable material with a therapeutic agent 失效
标题翻译：具有具有治疗剂的可生物降解材料的手术装置
公开(公告)号：US06908466B1
公开(公告)日：2005-06-21
申请号：US10347854
申请日：2003-01-21
申请人： Peter M. Bonutti , Mark V. Brillhart
发明人： Peter M. Bonutti , Mark V. Brillhart
IPC分类号： A61B17/00 , A61B17/04 , A61B17/06 , A61B17/68 , A61B17/80 , A61B17/86 , A61F2/00 , A61F2/02 , A61F2/30 , A61F2/36 , A61F2/38 , B29C65/60
CPC分类号： B29C65/602 , 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 , B29C66/7212 , B29C66/73791 , B29C66/7392 , B29C66/8322 , Y10S606/908 , Y10S606/91 , B29K2307/04 , B29K2277/10
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。

5. 发明申请

US20070088362A1 Apparatus and methods for surgery 有权
标题翻译：手术的装置和方法
公开(公告)号：US20070088362A1
公开(公告)日：2007-04-19
申请号：US11202294
申请日：2005-10-05
申请人： Peter Bonutti , Glen Phillips
发明人： Peter Bonutti , Glen Phillips
IPC分类号： A61F2/00
CPC分类号： A61B17/0401 , A61B17/00491 , A61B17/0218 , A61B17/0467 , A61B17/0469 , A61B17/0482 , A61B17/0483 , A61B17/0485 , A61B17/0487 , A61B17/1615 , A61B17/1637 , A61B17/1671 , A61B17/1675 , A61B17/17 , A61B17/1757 , A61B17/683 , A61B17/7053 , A61B17/842 , A61B17/8869 , A61B2017/00004 , A61B2017/00477 , A61B2017/00818 , A61B2017/00876 , A61B2017/00893 , A61B2017/00898 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/0464 , A61B2017/0488 , A61B2017/0496 , A61B2017/06176 , A61B2017/2926 , A61B2090/064 , A61F2/08 , A61F2/28 , A61F2/442 , A61F2002/2817 , A61F2002/30062 , A61F2002/30677 , A61F2002/4435 , A61F2002/444 , A61F2210/0004 , A61F2310/00293 , A61F2310/00359
摘要： An implant guidance and positioning device is provided for dynamic and rigid fixation of tissue or an implant. The device includes a handle and an elongated hook connected with the handle, which may have a lumen extending therethrough or may have a socket that can receive fasteners. The device also includes a guide channel or slot disposed in the handle. The longitudinal axis of the guide channel or slot may be generally aligned with or slightly offset from a distal end of the elongated hook or socket.
摘要翻译：提供植入物引导和定位装置用于组织或植入物的动态和刚性固定。该装置包括手柄和与把手连接的细长钩，其可以具有延伸穿过其中的内腔或者可以具有能够接收紧固件的插座。该装置还包括设置在手柄中的引导通道或槽。引导通道或狭槽的纵向轴线可以大致与细长钩或插座的远端对准或稍微偏离。

6. 发明授权

US07147652B2 Method and apparatus for securing a suture 有权
公开(公告)号：US07147652B2
公开(公告)日：2006-12-12
申请号：US10235576
申请日：2002-09-05
申请人： Peter M. Bonutti , Matthew J. Cremens , Ping Liu
发明人： Peter M. Bonutti , Matthew J. Cremens , Ping Liu
IPC分类号： A61B17/04
CPC分类号： A61B17/0487 , A61B2017/0445 , A61B2017/045 , A61B2017/0454 , A61B2017/0456 , A61B2017/0458 , A61B2017/0464 , A61B2017/0488 , A61B2017/0496
摘要： Improved method is provided to secure a suture relative to body tissue. A suture retainer is moved along first and second sections of a suture toward the body tissue. When a predetermined minimum force is being transmitted between the suture retainer and the body tissue, the first and second sections of the suture are gripped with the suture retainer by plastically deforming material of the suture retainer. The material of the suture retainer cold flows under the influence of force applied against the surface areas on the suture retainer. One or more bends are formed in each of the sections of the suture to increase the holding action between the suture retainer and the sections of the suture. The bends may be formed by wrapping a turn of the suture around a portion of the suture retainer. During movement of the suture retainer toward the body tissue, the bends are moved along the first and second sections of the suture.

7. 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。

8. 发明授权

US07208013B1 Composite surgical devices 失效
标题翻译：复合外科手术器械
公开(公告)号：US07208013B1
公开(公告)日：2007-04-24
申请号：US10347855
申请日：2003-01-21
申请人： Peter M. Bonutti
发明人： Peter M. Bonutti
IPC分类号： A61F2/02 , A61F2/32
CPC分类号： B29C65/602 , 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 , B29C66/7212 , B29C66/73791 , B29C66/7392 , B29C66/8322 , Y10S606/908 , Y10S606/91 , B29K2307/04 , B29K2277/10
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。

9. 发明授权

US06989029B2 Tissue cage 失效
公开(公告)号：US06989029B2
公开(公告)日：2006-01-24
申请号：US10371265
申请日：2003-02-21
申请人： Peter M. Bonutti
发明人： Peter M. Bonutti
IPC分类号： A61F2/02
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： The present invention relates to an implantable cage for holding tissue graft material. The cage includes a chamber configured and dimensioned to receive the tissue graft material and at least one side wall defining the chamber. In one embodiment, the cage is made of a biodegradable material. In another embodiment, the cage is made of a material that includes a bone-growth enhancer.

10. 发明授权

US06955683B2 Tissue fixation device 失效
标题翻译：组织固定装置
公开(公告)号：US06955683B2
公开(公告)日：2005-10-18
申请号：US10442353
申请日：2003-05-21
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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