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    • 2. 发明授权
    • Bone fixator for a ligament anchor system
    • 用于韧带锚系统的骨固定器
    • US5931840A
    • 1999-08-03
    • US14739
    • 1998-01-28
    • E. Marlowe GobleThomas Wade FallinAlan ChervitzRamarao Gundlapalli
    • E. Marlowe GobleThomas Wade FallinAlan ChervitzRamarao Gundlapalli
    • A61B17/16A61B17/17A61B19/00A61F2/08A61B17/56
    • A61F2/0805A61B17/1675A61F2/0811A61B17/1655A61B17/1714A61B2090/062A61F2002/0829A61F2002/0864A61F2002/087A61F2002/0882Y10S606/908
    • A bone fixator for a ligament anchor system and a process its use in an arthroscopic procedure for mounting a ligament graft end in a tunnel formed into a bone. The bone fixator includes threaded footing member for mounting in a bone tunnel, that includes a longitudinal opening formed therethrough, and a ligament carrying member that has a forward of proximal portion for fitting through the threaded footing member longitudinal opening and including a coupling arrangement for securing the ligament carrying member in the threaded footing member. The ligament carrying member further includes as a rear or distal portion that incorporates a ligament mounting section, that, in one embodiment, is an eyelet section to receive a ligament graft fitted therethrough and folded upon itself and in another embodiment is a flat section having a center longitudinal axis wherefrom at least one and preferably a pair of spaced apart pointed posts extend at essentially right angles that include serrations or downwardly sloping teeth formed along at least one side of each post, the post or posts for passing through transverse holes formed in an end of a ligament graft, such as a bone end of a bone tendon ligament graft, with the ligament graft bone end urged onto the mounting plate posts axially mounting it thereto. The ligament carrying member with axially mounted ligament graft are guided in the bone tunnel and into the footing longitudinal opening, with the ligament carrying member to lock therein, completing the ligament graft end mounting in the bone tunnel. With, after the ligament graft is placed under tension and the opposite graft end secured to the tibia cortex, should an adjustment of ligament graft tension be desirable, the footing member is turned appropriately in the bone tunnel.
    • 用于韧带锚定系统的骨固定器和其在关节镜手术中用于将韧带移植物端部安装在形成骨骼的隧道中的过程。 骨固定器包括用于安装在骨隧道中的螺纹底脚构件,其包括通过其形成的纵向开口,以及韧带承载构件,其具有近侧部分的前部,用于通过螺纹底脚构件纵向开口装配,并且包括用于固定的联接装置 所述韧带承载构件在所述螺纹底脚构件中。 韧带承载构件还包括作为后部或远端部分,其包括韧带安装部分,在一个实施例中,是一个孔眼部分,用于接收穿过其并自身折叠的韧带移植物,并且在另一个实施例中是具有 中心纵向轴线,其中至少一个并且优选地一对间隔开的尖柱以基本上直角延伸,其包括沿着每个柱的至少一侧形成的锯齿或向下倾斜的齿,所述柱或柱用于穿过形成在 韧带移植物的端部,例如骨腱韧带移植物的骨端,韧带移植骨端部被推压到轴向安装在其上的安装板柱上。 具有轴向安装的韧带移植物的韧带承载构件在骨隧道中引导并进入基脚纵向开口,韧带承载构件锁定在其中,完成在骨隧道中的韧带移植端。 由于在将韧带移植物置于张力下并且相对的移植物端部固定到胫骨皮质之后,如果需要调节韧带移植物张力,则在骨隧道中适当地转动基脚构件。
    • 7. 发明授权
    • Self-tensioning soft tissue fixation device and method
    • 自张紧软组织固定装置及方法
    • US06036694A
    • 2000-03-14
    • US128210
    • 1998-08-03
    • E. Marlowe GobleThomas Wade FallinDaniel A. Perkins
    • E. Marlowe GobleThomas Wade FallinDaniel A. Perkins
    • A61F2/08A61B17/56
    • A61F2/0811A61F2/0805A61F2002/0829A61F2002/0864A61F2002/087A61F2002/0882
    • The device for affixing a flexible load-bearing element within a bone tunnel includes a securing element that attaches to the flexible element. A bone tunnel fixation element has an outer surface that is adapted to movably engage the bone tunnel. A deformable biasing element is positionable within the fixation element bore adjacent the proximal end. A locking member is dimensioned for movement within the fixation element bore and is positionable adjacent the distal end thereof. The locking member is lockable to the securing element, and the biasing means is for biasing the locking member toward the bore's distal end. Thus as a tension is applied to the securing means, a deformation of the biasing element is caused that is indicative of a magnitude of the applied tension. Therefore, a common element serves to perform pretensioning, and the need for a separate tensioning system is obviated.
    • 用于将柔性承载元件固定在骨隧道内的装置包括附接到柔性元件的固定元件。 骨隧道固定元件具有适于可移动地接合骨隧道的外表面。 可变形偏置元件可定位在邻近近端的固定元件孔内。 锁定构件的尺寸适于在固定元件孔内移动并且可邻近其远端定位。 锁定构件可锁定到固定元件,并且偏置装置用于朝着孔的远端偏置锁定构件。 因此,当张紧被施加到固定装置时,引起偏压元件的变形,这表明施加的张力的大小。 因此,共同的元件用于执行预张紧,并且消除了对单独的张紧系统的需要。
    • 9. 发明授权
    • Anchor driver
    • 锚司机
    • US5411506A
    • 1995-05-02
    • US225768
    • 1994-04-11
    • E. Marlowe GobleAlan ChervitzDavid P. LumanKenneth L. Jensen
    • E. Marlowe GobleAlan ChervitzDavid P. LumanKenneth L. Jensen
    • A61B17/04A61B17/06A61B17/88A61F2/08A61B17/56
    • A61F2/0811A61B17/0401A61B17/06114A61B17/8875A61B2017/0409A61B2017/0414A61F2/0805A61F2002/0888
    • An anchor driver for mounting a ligament anchor and turning it into a bone, which ligament anchor includes a suture attached to a rear end that is maintained in a driver body until the anchor driver is pulled off of the ligament anchor seated in the bone. The driver body is preferably a rigid straight tube that includes an anchor mount disposed on a forward end whereto the ligament anchor is fitted. So arranged, a suture, that is disposed on the ligament anchor coupling end, will extend therefrom as a suture strand or strands that are fitted through the anchor mount, to pass through the driver body and are then bent to double back upon themselves and fitted back into the driver body. For maintaining the suture strand or stands in a straight attitude, in one embodiment a resilient cap is provided that has a hole or slot formed therein wherethrough the suture strand bend or bends are fitted into a cavity within the cap, which cap is then fitted over the driver body open end. With, in another embodiment, a grommet and thin walled tube are disposed end to end in the driver body wherethrough the suture strand or strands are fitted that are then bent to double back alongside the tube, and are maintained within the driver body, which driver body then receives a cap fitted over an open rear end thereof.
    • 用于安装韧带锚固件并将其转动成骨的锚固器驱动器,所述韧带锚固件包括附接到后端的缝合线,所述缝合线保持在驱动器主体中,直到锚固器驱动器从坐在骨头中的韧带锚固件拉出。 驱动器主体优选地是刚性直管,其包括布置在韧带锚固件的前端上的锚固安装座。 如此布置,设置在韧带锚固连接端上的缝合线将作为缝合线或股线从其延伸穿过锚定安装件穿过驱动器主体并且然后被弯曲以双重重叠并安装 回到司机身上。 为了保持缝线或直立姿态,在一个实施例中,提供弹性盖,其中形成有孔或狭缝,通过缝合线弯曲或弯曲,缝合线弯曲或弯曲装配到帽内的空腔中,然后将帽安装在 司机身体开放。 在另一个实施例中,索环和薄壁管端对端设置在驱动器主体中,通过缝合线或股线被装配,然后沿着管弯曲双向后退,并且保持在驱动器主体内,该驱动器 身体然后接收安装在其敞开的后端上的帽子。