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1. 发明申请

US20180071080A1 BICEPS REPAIR ANCHORS, TOOLS, AND SYSTEMS AND METHODS FOR USING THEM 审中-公开
公开(公告)号：US20180071080A1
公开(公告)日：2018-03-15
申请号：US15614336
申请日：2017-06-05
申请人： John P. Greelis
发明人： John P. Greelis
IPC分类号： A61F2/08 , A61B17/04
CPC分类号： A61F2/0811 , A61B17/0401 , A61B2017/00358 , A61B2017/0403 , A61B2017/0404 , A61B2017/0409 , A61B2017/0453 , A61B2017/0459 , A61B2017/0464 , A61F2/0805 , A61F2002/0829 , A61F2002/0835 , A61F2002/0852 , A61F2002/0858 , A61F2002/0888 , A61F2002/0894
摘要： Tissue anchors and systems and methods for delivering and removing them are provided. In an exemplary embodiment, the tissue anchor may include an outer shell including a proximal end, a distal end, a passage extending therebetween, and a plurality of expandable arms; an expander including a proximal portion disposed within the passage and distal portion that extends distally from the outer shell distal, the expander movable proximally relative to the outer shell to a deployed position wherein the distal portion directs the plurality of arms outwardly to engage adjacent bone. A fork extends from the distal portion of the expander including a pair of tines spaced apart from one another and a concave distal surface extending between the tines. A suture loop extends from the distal portion of the expander for capturing a tissue structure.

2. 发明授权

US08512378B2 Suture anchor 有权
标题翻译：缝合锚
公开(公告)号：US08512378B2
公开(公告)日：2013-08-20
申请号：US13302299
申请日：2011-11-22
申请人： Michael L. Green , Bart Bojanowski , Joseph C. Tauro , John P. Greelis , Malcolm Heaven
发明人： Michael L. Green , Bart Bojanowski , Joseph C. Tauro , John P. Greelis , Malcolm Heaven
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0469 , A61B17/0483 , A61B2017/00986 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0417 , A61B2017/042 , A61B2017/0422 , A61B2017/0454 , A61B2017/0458
摘要： A bone anchor is described having pre-attached suture material. After insertion, lateral wings can be deployed on the bone anchor to prevent anchor pull-out. The suture may be attached at the tip of the anchor by tying it to a wire hook secured in a cavity in the anchor tip. The anchor may be inserted and deployed using an anchor inserter that is configured to apply an axial force to the anchor, thereby deforming the anchor to form the lateral wings.
摘要翻译：描述了具有预连接缝合材料的骨锚。插入后，侧翼可以部署在骨锚上，以防止锚拉出。缝合线可以通过将其绑定到固定在锚定尖端中的空腔中的线钩上而附接在锚的尖端处。锚固件可以使用锚定插入器来插入和展开，所述锚固件插入器构造成对锚固件施加轴向力，从而使锚固件变形以形成侧翼。

3. 发明授权

US5749889A Method and apparatus for performing biopsy 失效
标题翻译：用于进行活检的方法和装置
公开(公告)号：US5749889A
公开(公告)日：1998-05-12
申请号：US600608
申请日：1996-02-13
申请人： Steven R. Bacich , John P. Greelis , Hien Nguyen , Tuoc Nguyen
发明人： Steven R. Bacich , John P. Greelis , Hien Nguyen , Tuoc Nguyen
IPC分类号： A61B17/34 , A61M29/00 , A61M5/00 , A61M5/178 , A61M5/32
CPC分类号： A61B17/3421 , A61B17/3417 , A61B17/3431 , A61B17/3439 , A61B2017/3445
摘要： A surgical access device and method are provided for endoscopic surgeries comprising biopsies or other surgical cutting procedures. The device generally comprises a substantially rigid first channel associated with a first port and a second channel associated with a second port of a proximal housing. The first or main channel extends to a curved distal end of the device, and the second channel is connected to a guide channel extending tangential to the main channel. The guide channel comprises substantially noncompliant material and has a pre-insertion position such that a cross-section of an inserted portion of the device is substantially the same as a cross-section of the main channel. A preferred method of the present invention includes the use of an open-loop device formed at a distal tip of an introducer and an aspiration tube during the location, excision and removal of one or more tissue specimens.
摘要翻译：提供了一种用于内窥镜手术的手术进入装置和方法，其包括活组织检查或其他手术切割程序。该装置通常包括与第一端口相关联的基本刚性的第一通道和与近侧壳体的第二端口相关联的第二通道。第一或主通道延伸到装置的弯曲远端，并且第二通道连接到与主通道相切延伸的引导通道。引导通道包括基本上不合格的材料并且具有预插入位置，使得装置的插入部分的横截面与主通道的横截面基本相同。本发明的优选方法包括在定位，切除和移除一个或多个组织样本的过程中使用形成在导引器的远端处的开环装置和抽吸管。

4. 发明授权

US5505686A Endoscope with protruding member and method of utilizing the same 失效
标题翻译：具有突出构件的内窥镜及其利用方法
公开(公告)号：US5505686A
公开(公告)日：1996-04-09
申请号：US238314
申请日：1994-05-05
申请人： Allan F. Willis , Richard L. Quick , Hien Van Nguyen , Tuoc T. Nguyen , John P. Greelis
发明人： Allan F. Willis , Richard L. Quick , Hien Van Nguyen , Tuoc T. Nguyen , John P. Greelis
IPC分类号： A61B1/018 , A61B1/303 , A61B1/32 , A61B17/42 , A61B1/00
CPC分类号： A61B1/303 , A61B1/00087 , A61B1/018 , A61B1/32 , A61B2017/4233 , A61M2025/09183
摘要： An endoscope including an elongated endoscope body sized and adapted for insertion into a passage, such as a passage of the body of a patient. Optical components are carried by the endoscope body to enable viewing of the passage distally of the distal end of the endoscope body within a field of view of the endoscope. An elongated, resilient member is mounted on and carried by the endoscope body such that the endoscope body and the resilient member are a unitary assembly which can be inserted as a unit into the passage. The resilient member extends beyond the distal end of the endoscope body and is capable of contacting material within or forming the passage and relatively displacing the distal end of the endoscope body and such material within the field of view of the endoscope to enhance viewing of the passage with the endoscope.
摘要翻译：一种内窥镜，其包括细长的内窥镜主体，其尺寸适于插入到通道中，例如患者的身体的通过。光学部件由内窥镜体支承，能够在内窥镜的视野内观察内窥镜主体的远端的通路。细长的弹性构件安装在内窥镜主体上并被其承载，使得内窥镜主体和弹性构件是可作为一个单元插入通道的整体组件。弹性构件延伸超过内窥镜主体的远端，并且能够接触内部的材料或形成通道并使内窥镜主体的远端和内窥镜的视场内的这种材料相对移位，以增强通道的观察与内窥镜。

5. 发明授权

US10575941B2 Biceps repair anchors, tools, and systems and methods for using them 有权
公开(公告)号：US10575941B2
公开(公告)日：2020-03-03
申请号：US15614336
申请日：2017-06-05
申请人： John P. Greelis
发明人： John P. Greelis
IPC分类号： A61F2/08 , A61B17/04 , A61B17/00
摘要： Tissue anchors and systems and methods for delivering and removing them are provided. In an exemplary embodiment, the tissue anchor may include an outer shell including a proximal end, a distal end, a passage extending therebetween, and a plurality of expandable arms; an expander including a proximal portion disposed within the passage and distal portion that extends distally from the outer shell distal, the expander movable proximally relative to the outer shell to a deployed position wherein the distal portion directs the plurality of arms outwardly to engage adjacent bone. A fork extends from the distal portion of the expander including a pair of tines spaced apart from one another and a concave distal surface extending between the tines. A suture loop extends from the distal portion of the expander for capturing a tissue structure.

6. 发明申请

US20120065680A1 SUTURE ANCHOR 有权
公开(公告)号：US20120065680A1
公开(公告)日：2012-03-15
申请号：US13302299
申请日：2011-11-22
申请人： Michael L. Green , Bart Bojanowski , Joseph C. Tauro , John P. Greelis , Malcolm Heaven
发明人： Michael L. Green , Bart Bojanowski , Joseph C. Tauro , John P. Greelis , Malcolm Heaven
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0469 , A61B17/0483 , A61B2017/00986 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0417 , A61B2017/042 , A61B2017/0422 , A61B2017/0454 , A61B2017/0458
摘要： A bone anchor is described having pre-attached suture material. After insertion, lateral wings can be deployed on the bone anchor to prevent anchor pull-out. The suture may be attached at the tip of the anchor by tying it to a wire hook secured in a cavity in the anchor tip. The anchor may be inserted and deployed using an anchor inserter that is configured to apply an axial force to the anchor, thereby deforming the anchor to form the lateral wings.
摘要翻译：描述了具有预连接缝合材料的骨锚。插入后，侧翼可以部署在骨锚上，以防止锚拉出。缝合线可以通过将其绑定到固定在锚定尖端中的空腔中的线钩上而附接在锚的尖端处。锚固件可以使用锚定插入器来插入和展开，所述锚固件插入器构造成对锚固件施加轴向力，从而使锚固件变形以形成侧翼。

7. 发明授权

US5810776A Method and apparatus for performing laparoscopy 失效
标题翻译：执行腹腔镜检查的方法和装置
公开(公告)号：US5810776A
公开(公告)日：1998-09-22
申请号：US600422
申请日：1996-02-13
申请人： Steven R. Bacich , John P. Greelis , Hien Nguyen , Tuoc Nguyen
发明人： Steven R. Bacich , John P. Greelis , Hien Nguyen , Tuoc Nguyen
IPC分类号： A61B17/34 , A61M37/00
CPC分类号： A61B17/3417 , A61B17/3421 , A61B17/3431 , A61B17/3439 , A61B2017/3445 , A61M2025/0025
摘要： A laparoscopic introducer and method of use comprise a laparoscopic channel and a guide channel for a secondary instrument. Upon initial insertion of the introducer, the guide channel closely conforms to the body of the introducer so as to only negligibly increase the cross-sectional profile thereof. Following insertion, the guide channel can be distended by means of a dilator. Thus, the guide channel allows a secondary instrument to be inserted into the body to perform laparoscopic procedures wherein the instrument is inserted and utilized along the same longitudinal axis as the laparoscope. Thus, the number of laparoscopic ports are reduced and visual distortions associated with triangulation are avoided. The guide channel is constructed from an extremely thin, but very strong and noncompliant membrane which may also be reinforced by means of a force distribution mechanism. The guide channel may also be provided with guide rails or other tracking mechanisms to ensure accurate and secure advancement of the dilator or secondary instrument. The method of construction of the introducer and an apparatus and method for dilation are also disclosed.
摘要翻译：腹腔镜引导器和使用方法包括腹腔镜通道和辅助器械的引导通道。在引导器初次插入时，引导通道与导引器的主体紧密地一致，以便仅忽略不计地增加其横截面轮廓。插入后，引导通道可通过扩张器扩张。因此，引导通道允许将二次器械插入体内以执行腹腔镜手术，其中该仪器沿着与腹腔镜相同的纵向轴线被插入和使用。因此，减少腹腔镜口的数量，避免与三角测量相关的视觉失真。引导通道由非常薄但非常坚固和不合格的膜构成，其也可以通过力分配机构加强。引导通道还可以设置有导轨或其它跟踪机构，以确保扩张器或辅助仪器的准确和安全的前进。还公开了导引器的构造方法以及用于扩张的装置和方法。

8. 发明授权

US09826970B2 System and method for securing tissue to bone 有权
公开(公告)号：US09826970B2
公开(公告)日：2017-11-28
申请号：US12903187
申请日：2010-10-12
申请人： Malcolm Heaven , Michael Ko , John P. Greelis , Mikxay Sirivong
发明人： Malcolm Heaven , Michael Ko , John P. Greelis , Mikxay Sirivong
IPC分类号： A61B17/10 , A61B17/08 , A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0424 , A61B2017/0438
摘要： Disclosed herein are methods and devices for securing soft tissue to a rigid material such as bone. A tissue capture anchor is described that comprises an anchor body and a spreader such that tissue may be captured or compressed between outside surfaces on the anchor and spreader and inside surfaces of a bone hole to secure the tissue within the hole. A bone anchor is described that comprises an anchor body with expandable tines and a spreader that expands the tines into bone. The spreader captures tissue via a suture loop at the distal end of the bone anchor. Also described is an inserter that can be used to insert the anchor into bone and move the spreader within the anchor to expand the anchor and capture the tissue between the anchor and the bone. Methods are described that allow use of single bone anchor to secure tissue to bone or also to use more than one bone anchor to provide multiple lengths of suture material to compress a large area of soft tissue against bone.

9. 发明申请

US20140046369A1 SYSTEM AND METHOD FOR SECURING TISSUE TO BONE 有权
标题翻译：用于将组织固定到骨骼的系统和方法
公开(公告)号：US20140046369A1
公开(公告)日：2014-02-13
申请号：US14111523
申请日：2012-04-12
申请人： Malcolm Heaven , Michael Ko , John P. Greelis , Mikxay Sirivong
发明人： Malcolm Heaven , Michael Ko , John P. Greelis , Mikxay Sirivong
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0408 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61F2/0811 , A61F2002/0835 , A61F2002/0841 , A61F2002/0858 , A61F2002/0888
摘要： Disclosed herein are methods and devices for securing soft tissue to a rigid material such as bone. A tissue capture anchor is described that comprises an anchor body and a spreader such that tissue may be captured or compressed between outside surfaces on the anchor and spreader and inside surfaces of a bone hole to secure the tissue within the hole. A bone anchor is described that comprises an anchor body with expandable tines and a spreader that expands the tines into bone. The spreader captures tissue via a suture loop at the distal end of the bone anchor. Also described is an inserter that can be used to insert the anchor into bone and move the spreader within the anchor to expand the anchor and capture the tissue between the anchor and the bone. Methods are described that allow the use of bone anchors to secure tissue to bone.
摘要翻译：本文公开了用于将软组织固定到诸如骨的刚性材料的方法和装置。描述了一种组织捕获锚，其包括锚固体和扩展器，使得组织可以在锚定器和扩展器上的外表面和骨孔的内表面之间被捕获或压缩，以将组织固定在孔内。描述了一种骨锚，其包括具有可扩张尖齿的锚固体和将齿伸展成骨的扩张器。吊具通过骨锚远端的缝合线捕获组织。还描述了一种插入器，其可以用于将锚固件插入骨骼中并且将锚固器中的吊具移动以扩展锚固件并捕获锚固体和骨骼之间的组织。描述了允许使用骨锚将组织固定到骨的方法。

10. 发明授权

US08523902B2 System and method for attaching soft tissue to bone 有权
标题翻译：将软组织粘附到骨骼上的系统和方法
公开(公告)号：US08523902B2
公开(公告)日：2013-09-03
申请号：US12697138
申请日：2010-01-29
申请人： Malcolm Heaven , Mikxay Sirivong , Rudy Pretti , Michael Ko , John P. Greelis
发明人： Malcolm Heaven , Mikxay Sirivong , Rudy Pretti , Michael Ko , John P. Greelis
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0409 , A61B2017/0424
摘要： Disclosed herein are methods and devices for securing soft tissue to a rigid material such as bone. A bone anchor is described that includes an anchor body with expandable tines and a spreader that expands the tines into bone. Also disclosed is a bone anchor that includes a base and a top such that suture material may be attached to apertures in the anchor top or else compressed between surfaces on the base and top to secure the suture to the anchor. Methods are described that allow use of single bone anchor to secure tissue to bone or also to use more than one bone anchor to provide multiple lengths of suture material to compress a large area of soft tissue against bone.
摘要翻译：本文公开了用于将软组织固定到诸如骨的刚性材料的方法和装置。描述了一种骨锚，其包括具有可展开的尖齿的锚固体和将齿伸展成骨的扩张器。还公开了一种骨锚，其包括基部和顶部，使得缝合线材料可以附接到锚固顶部中的孔，或者在基部和顶部上的表面之间被压缩以将缝线固定到锚固件。描述了允许使用单个骨锚将组织固定到骨头上的方法，或者还使用多于一个骨锚来提供多段缝合材料以压缩大面积的软组织抵抗骨骼。

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