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1. 发明授权

US5507750A Method and apparatus for tensioning grafts or ligaments 失效
标题翻译：用于张紧移植物或韧带的方法和装置
公开(公告)号：US5507750A
公开(公告)日：1996-04-16
申请号：US122917
申请日：1993-09-16
申请人： E. Marlowe Goble , Richard B. Caspari , W. Karl Somers
发明人： E. Marlowe Goble , Richard B. Caspari , W. Karl Somers
IPC分类号： A61F2/08 , A61B17/56
CPC分类号： A61F2/0805
摘要： An apparatus for use in positioning a ligament or a graft within a joint during surgery. The apparatus includes a tensioning assembly which is operable to adjustably apply tension to the ligament or graft during surgery. The apparatus further includes support assembly which is operable to secure the tensioning assembly to the extremity associated with the joint. Alternatively, the tensioning assembly may be secured directly to the bone forming the joint.
摘要翻译：一种用于在手术期间在关节内定位韧带或移植物的装置。该装置包括张紧组件，其可操作以在手术期间可调节地对韧带或移植物施加张力。该装置还包括支撑组件，其可操作以将张紧组件固定到与关节相关联的末端。或者，张紧组件可以直接固定到形成接头的骨头上。

2. 发明授权

US4549540A Thigh restraining apparatus and method 失效
标题翻译：大腿约束装置及方法
公开(公告)号：US4549540A
公开(公告)日：1985-10-29
申请号：US552375
申请日：1983-11-16
申请人： Richard B. Caspari , Terry L. Whipple , James A. Thimsen
发明人： Richard B. Caspari , Terry L. Whipple , James A. Thimsen
IPC分类号： A61F5/37 , A61G13/12 , A61F13/00
CPC分类号： A61G13/12 , A61F5/3761 , A61G13/0063 , A61G13/101 , A61G13/1245
摘要： A thigh restraining apparatus especially useful in connection with arthroscopic knee surgery wherein the surgeon may perform the operation while viewing the knee on a television screen. A bar member extends across the operating table supported by horizontally extending rail members customarily provided on operating tables. A specially designed sphygmomanometer constitutes a tourniquet member and applies a known pressure to the thigh of the patient. A strap member envelops the thigh of the patient and is reeled out or in by a screw feed as required to accommodate the patient's thigh. One end of the strap is secured and an intermediate portion is removably attached to the sphygmomanometer. If necessary, both knees may be operated upon sequentially without disturbing a required sterile field by positioning a pair of strap feeding devices on opposite sides of the bar member and securing each strap to an adjacent sphygmomanometer applied to each of the patient's thighs.
摘要翻译：一种特别适用于关节镜膝关节手术的大腿限制装置，其中外科医生可以在电视屏幕上观察膝盖时执行操作。杆构件延伸穿过由通常在操作台上提供的水平延伸的轨道构件支撑的操作台。特别设计的血压计构成止血带构件，并将已知的压力施加到患者的大腿上。带状部件包围患者的大腿，并根据需要卷绕出来或通过螺丝进给，以容纳患者的大腿。带的一端被固定，并且中间部分可移除地附接到血压计。如果需要，可以顺序地操作两个膝盖，而不会干扰所需的无菌区域，方法是将一对带子进给装置定位在杆件的相对侧上，并将每个带固定到应用于每个患者大腿的相邻血压计上。

3. 发明授权

US5395376A Method of implanting a prosthesis 失效
标题翻译：植入假体的方法
公开(公告)号：US5395376A
公开(公告)日：1995-03-07
申请号：US785428
申请日：1991-10-09
申请人： Richard B. Caspari , Jeffrey G. Roberts , James T. Treace
发明人： Richard B. Caspari , Jeffrey G. Roberts , James T. Treace
IPC分类号： A61B17/00 , A61B17/14 , A61B17/15 , A61B17/16 , A61B17/17 , A61F2/38 , A61F2/46 , A61M1/00 , A61F1/00
CPC分类号： A61B17/1675 , A61B17/1624 , A61B17/1764 , A61F2/38 , A61B17/15 , A61B17/1615 , A61B17/7098 , A61B17/8822 , A61B2017/00544 , A61B2017/1602 , A61M1/008 , A61M2205/103 , Y10S623/919 , Y10T407/1948
摘要： Methods and apparatus for prosthetic knee replacement permit preparation of tibial plateau and femoral condyle surfaces and implant of tibial and femoral protheses components with the use of arthroscopic surgical techniques. The bone surfaces are resected by moving a rotating milling cutter longitudinally across the bone surface and moving the rotating milling cutter substantially laterally across the bone. Cement is supplied between the prostheses and the bone surfaces after positioning of the prostheses on the bone, and cement bonding is enhanced by applying suction to the bone to draw the cement into the bone.
摘要翻译：假体膝关节置换的方法和装置允许使用关节镜手术技术制备胫骨平台和股骨髁表面，并植入胫骨和股骨的组合。通过将旋转铣刀纵向移动穿过骨表面并且使旋转的铣刀大致横向穿过骨移动来切除骨表面。在将假体放置在骨头上之后，在假体和骨表面之间供应水泥，并且通过对骨吸引将水泥拉入骨头来增强水泥粘合。

4. 发明授权

US4957498A Suturing instrument 失效
标题翻译：缝合仪器
公开(公告)号：US4957498A
公开(公告)日：1990-09-18
申请号：US432886
申请日：1989-11-07
申请人： Richard B. Caspari , Arthur F. Trott , F. Barry Bays
发明人： Richard B. Caspari , Arthur F. Trott , F. Barry Bays
IPC分类号： A61B17/04
CPC分类号： A61B17/0469
摘要： A suturing instrument for use in arthroscopic surgery includes a hollow needle for penetrating tissue to be sutured within the body while the tissue is clamped between relatively movable jaws, and a suture feed mechanism for feeding suture material through the hollow needle such that the jaws can be opened and the suturing instrument withdrawn from the body pulling the free end segment of the suture material with the instrument. A knot can be tied in the suture material externally of the body and the knot moved back into the body at a position adjacent the tissue.
摘要翻译：用于关节镜手术的缝合器具包括：中空针，用于在将组织夹持在相对可动的钳口之间时穿透组织以缝合在身体内;以及缝合线馈送机构，用于通过中空针提供缝合材料，使得钳口可以打开并且缝合器械从身体退出，用仪器拉动缝合材料的自由端部分。结可以绑在身体外部的缝合材料中，并且结在与组织相邻的位置移回身体。

5. 发明授权

US4616637A Shoulder traction apparatus 失效
标题翻译：肩牵引装置
公开(公告)号：US4616637A
公开(公告)日：1986-10-14
申请号：US650664
申请日：1984-09-14
申请人： Richard B. Caspari , Terry L. Whipple , James A. Thimsen
发明人： Richard B. Caspari , Terry L. Whipple , James A. Thimsen
IPC分类号： A61F5/04 , A61G13/00
CPC分类号： A61F5/04 , A61G13/0036 , A61G13/0072 , A61G13/1235 , A61G2200/322 , A61G2200/54
摘要： A shoulder traction applying apparatus which clamps to an operating table. The forearm of a patient is gripped by a tapering sleeve-like member and a cord therefrom is entrained over a pair of pulleys at opposite ends of a boom member. The remote end of the cord is selectively weighted to apply tension to the cord and achieve a desired traction. The boom is secured to the top member of a pair of separable members of which the lower member is clamped to the operating table. The top member is rotatable by a hand crank which turns a worm gear that meshes with a spur gear fixedly secured to the top member. The lower member may be raised or lowered by cranking a pinion of a rack and pinion assembly wherein the rack is mounted on the lower member. Hand controlled spring pressure locks the lower member in the position selected by the rack and pinion assembly. A caster-mounted stand stores the top and lower members when the apparatus is not in use.
摘要翻译：肩部牵引施加装置，其夹持在操作台上。患者的前臂由锥形套筒状构件夹持，并且其绳索被夹带在悬臂构件的相对端处的一对滑轮上。帘线的远端被选择性地加权，以向绳索施加张力并实现期望的牵引力。悬臂被固定到一对可分离构件的顶部构件，下部构件被夹紧到操作台上。顶部构件通过手动曲柄旋转，该手动曲柄转动与固定地固定到顶部构件的正齿轮啮合的蜗轮。下部构件可以通过启动齿条和小齿轮组件的小齿轮而升高或降低，其中齿条安装在下部构件上。手控弹簧压力将下部构件锁定在由齿条和小齿轮组件选择的位置。当装置不使用时，脚轮架支架存储顶部和下部构件。

6. 发明授权

US06290711B1 Connector device and method for surgically joining and securing flexible tissue repair members 有权
标题翻译：用于手术接合和固定柔性组织修复构件的连接器装置和方法
公开(公告)号：US06290711B1
公开(公告)日：2001-09-18
申请号：US09374727
申请日：1999-08-13
申请人： Richard B. Caspari , Daniel F. Justin
发明人： Richard B. Caspari , Daniel F. Justin
IPC分类号： A61B1704
CPC分类号： A61B17/0401 , A61B2017/0409 , A61B2017/0414 , A61B2017/044
摘要： A connector for joining sections of flexible material includes a locking member that has an engagement portion at a distal end and that can support a flexible member at a proximal end. An outer member is engageable with the locking member's engagement portion and is movable between a disengaged position and a locking position in cooperation with the locking member. When the outer member is in the locking position, the flexible material piece is retainable along the nonlinear path against movement between the locking member and the outer member. The connector is lockable at a desired surgical site in a generally collinear fashion with the flexible material piece. The nonlinear pathway defined by the material enhances the strength of the connection, which is particularly effective in the case of suture material, which is known to slip easily. The piece of material to be secured may include one or more pieces of suture or a loop of suture having two ends, or sections of wire, cable, or tissue pieces.
摘要翻译：用于连接柔性材料部分的连接器包括锁定构件，该锁定构件在远端具有接合部分，并且可以在近端处支撑柔性构件。外部构件可与锁定构件的接合部分接合，并且可以在与锁定构件协作的情况下在脱离位置和锁定位置之间移动。当外部构件处于锁定位置时，柔性材料片沿着非线性路径保持，以抵抗锁定构件和外部构件之间的运动。连接器可以与所述柔性材料片以大致共线的方式锁定在期望的外科手术部位。由材料限定的非线性通道增强了连接的强度，这在已知易滑动的缝合材料的情况下特别有效。待固定的材料片可以包括一条或多条缝合线或具有两个端部的缝合线或线，线或组织片的部分。

7. 发明授权

US5902321A Device and method for delivering a connector for surgically joining and securing flexible tissue repair members 失效
标题翻译：用于递送用于手术连接和固定柔性组织修复构件的连接器的装置和方法
公开(公告)号：US5902321A
公开(公告)日：1999-05-11
申请号：US901027
申请日：1997-07-25
申请人： Richard B. Caspari , Alan Chervitz , Thomas Wade Fallin , Rickey D. Hart , Daniel F. Justin , Daniel A. Perkins
发明人： Richard B. Caspari , Alan Chervitz , Thomas Wade Fallin , Rickey D. Hart , Daniel F. Justin , Daniel A. Perkins
IPC分类号： A61B19/00 , A61B17/04 , A61B17/11
CPC分类号： A61B17/0487 , A61B17/0467 , A61B2017/0445 , A61B2017/045 , A61B2017/0479 , A61B2017/0488 , A61B2090/037
摘要： A connector delivery device and method include a rod frangibly affixed to an inner member and a support member slidable around the rod. The support member is adapted to support an outer member for movement relative to the inner member for forming a snap fit therebetween, the snap fit for trapping flexible material such as suture at a surgical site. In an alternate embodiment a pistol-type handle and trigger operate to move a push rod seated within an outer barrel against the outer member to push the outer member over the inner member to form the snap fit. A collet is attached to a collet barrel slidable within the outer barrel, the collet barrel positioned in surrounding relation to the push rod. The collet, which is spring biased into a closed position, supports the outer member prior to activation of the delivery device.
摘要翻译：连接器传送装置和方法包括易于固定到内部构件的杆和可围绕杆滑动的支撑构件。支撑构件适于支撑外部构件以相对于内部构件移动以在其间形成卡扣配合，用于在手术部位捕获诸如缝合线的柔性材料的卡扣配合。在替代实施例中，手枪型手柄和触发器用于将位于外筒内的推杆抵靠外部构件移动，以将外部构件推到内部构件上以形成卡扣配合。夹套连接到可在外筒内滑动的夹头筒，该夹头筒位于推杆的周围。弹簧偏压到关闭位置的夹头在启动输送装置之前支撑外部构件。

8. 发明授权

US5304181A Methods and apparatus for arthroscopic prosthetic knee replacement 失效
标题翻译：关节镜假体膝关节置换的方法和装置
公开(公告)号：US5304181A
公开(公告)日：1994-04-19
申请号：US773213
申请日：1991-10-09
申请人： Richard B. Caspari , Jeffrey G. Roberts , James T. Treace
发明人： Richard B. Caspari , Jeffrey G. Roberts , James T. Treace
IPC分类号： A61B17/00 , A61B17/14 , A61B17/15 , A61B17/16 , A61B17/17 , A61F2/38 , A61F2/46 , A61M1/00 , A61B17/32
CPC分类号： A61B17/1675 , A61B17/1624 , A61B17/1764 , A61F2/38 , A61B17/15 , A61B17/1615 , A61B17/7098 , A61B17/8822 , A61B2017/00544 , A61B2017/1602 , A61M1/008 , A61M2205/103 , Y10S623/919 , Y10T407/1948
摘要： Methods and apparatus for prosthetic knee replacement permit preparation of tibial plateau and femoral condyle surfaces and implant of tibial and femoral protheses components with the use of arthroscopic surgical techniques. The bone surfaces are resected by moving a rotating milling cutter longitudinally across the bone surface and moving the rotating milling cutter substantially laterally across the bone. Cement is supplied between the prostheses and the bone surfaces after positioning of the prostheses on the bone, and cement bonding is enhanced by applying suction to the bone to draw the cement into the bone. The apparatus for resecting the bone surfaces includes a rotating milling cutter having a body with cutting edges and holes extending through the body communicating with the interior of the body. Suction is applied to the end of the body to draw out tissue fragments through the holes and out of the body.
摘要翻译：假体膝关节置换的方法和装置允许使用关节镜手术技术制备胫骨平台和股骨髁表面，并植入胫骨和股骨的组合。通过将旋转铣刀纵向移动穿过骨表面并且使旋转的铣刀大致横向穿过骨移动来切除骨表面。在将假体放置在骨头上之后，在假体和骨表面之间供应水泥，并且通过对骨吸引将水泥拉入骨头来增强水泥粘合。用于切割骨表面的装置包括旋转铣刀，其具有带有切割边缘的主体和延伸穿过与身体内部连通的主体的孔。抽吸被施加到身体的末端以通过孔抽出组织碎片并从体外抽出。

9. 发明授权

US4923461A Method of arthroscopic suturing of tissue 失效
标题翻译：关节镜缝合方法
公开(公告)号：US4923461A
公开(公告)日：1990-05-08
申请号：US326991
申请日：1989-03-22
申请人： Richard B. Caspari , Arthur F. Trott , F. Barry Bays
发明人： Richard B. Caspari , Arthur F. Trott , F. Barry Bays
IPC分类号： A61B17/04
CPC分类号： A61B17/0469
摘要： A method of suturing tissue in the body particularly useful in arthroscopic surgery requiring only small incisions or portals for insertion of diagnostic and surgical instruments includes the steps of inserting an instrument in the body having a distal end carrying relatively movable jaws with openings therein, manipulating the jaws to penetrate the tissue to be sutured and to move the jaws to positions adjacent each other with the openings therein aligned, feeding suture material through the openings in the jaws, securing ends of the suture material to form a knot and moving the knot to a position adjacent the tissue.
摘要翻译：特别可用于关节镜手术中仅需要小切口或入口用于插入诊断和手术器械的关节镜手术的方法包括以下步骤：将具有远端的仪器插入到具有开口的相对可移动钳口的远端，操纵钳口以穿透要缝合的组织并且将钳口移动到彼此相邻的位置，其中开口对准，通过缝合材料中的开口供给缝合材料，固定缝合材料的端部以形成结并将结节移动到位于邻近组织的位置。

10. 发明授权

US4890615A Arthroscopic suturing instrument 失效
标题翻译：关节镜缝合仪
公开(公告)号：US4890615A
公开(公告)日：1990-01-02
申请号：US117158
申请日：1987-11-05
申请人： Richard B. Caspari , Arthur F. Trott , F. Barry Bays
发明人： Richard B. Caspari , Arthur F. Trott , F. Barry Bays
IPC分类号： A61B17/04
CPC分类号： A61B17/0469
摘要： A suturing instrument for use in arthroscopic surgery includes a hollow needle for penetrating tissue to be sutured within the body while the tissue is clamped between relatively movable jaws, and a suture feed mechanism for feeding suture material through the hollow needle such that the jaws can be opened and the suturing instrument withdrawn from the body pulling the free end segment of the suture material with the instrument. A knot can be tied in the suture material externally of the body and the knot moved back into the body at a position adjacent the tissue.

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