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1. 发明申请

US20120323317A1 HEART VALVE PROSTHESIS ANCHORING DEVICE AND METHODS 有权
标题翻译：心脏瓣膜锚固装置和方法
公开(公告)号：US20120323317A1
公开(公告)日：2012-12-20
申请号：US13517810
申请日：2012-06-14
申请人： Emil Karapetian , Chris Okos , Matthew Winston
发明人： Emil Karapetian , Chris Okos , Matthew Winston
IPC分类号： A61F2/24
CPC分类号： A61F2/2409 , A61F2/2448 , A61F2220/0008 , A61F2220/0016 , A61F2220/0033 , A61F2250/0063
摘要： Apparatus and methods for securing heart valve repair or replacement prostheses in or near the heart. The apparatus and methods are particularly well suited for traditional surgery or minimally invasive surgery. The invention secures a heart valve repair or replacement prosthesis in place while lowering surgical exposure. The invention improves the ease of implantation because it reduces the number of surgical knots a clinician would normally tie in the limited space in and around the heart.
摘要翻译：用于在心脏内部或附近确保心脏瓣膜修复或更换假体的装置和方法。该装置和方法特别适用于传统手术或微创手术。本发明在降低手术暴露的同时确保心脏瓣膜修复或更换假体就位。本发明改善了植入的便利性，因为它减少了临床医生通常将心脏内和周围的有限空间结合的手术结的数量。

2. 发明授权

US09023083B2 Method for soft tissue repair with free floating suture locking member 有权
标题翻译：使用自由浮动缝合线锁定构件进行软组织修复的方法
公开(公告)号：US09023083B2
公开(公告)日：2015-05-05
申请号：US13359891
申请日：2012-01-27
申请人： Seth A. Foerster , Steven Wolf , Emil Karapetian , George W. White , David Gregoire , Pablo Catania , Christopher Rodriguez
发明人： Seth A. Foerster , Steven Wolf , Emil Karapetian , George W. White , David Gregoire , Pablo Catania , Christopher Rodriguez
IPC分类号： A61B17/04
CPC分类号： A61F2/0811 , A61B17/0401 , A61B2017/0412 , A61B2017/043 , A61B2017/0451 , A61B2017/0464 , A61F2002/0829 , A61F2002/0864
摘要： A suture anchor device and method for attaching soft tissue to bone includes an anchor body and a suture locking wedge movably disposed within the anchor body. The suture locking wedge includes lateral portions which engage slots or windows in the anchor body. Tension applied to one limb of a suture causes the suture locking wedge to translate and rotate to a position which compresses the suture, thereby locking the suture in the anchor.
摘要翻译：用于将软组织附接到骨头的缝合锚固装置和方法包括锚固体和可移动地设置在锚固体内的缝合线锁定楔。缝合线锁定楔包括接合锚体中的槽或窗的侧部。施加到缝合线的一条腿上的张力导致缝合线锁定楔移动并旋转到压缩缝合线的位置，从而将缝合线锁定在锚定器中。

3. 发明授权

US08840664B2 Heart valve prosthesis anchoring device and methods 有权
标题翻译：心脏瓣膜假体锚固装置及方法
公开(公告)号：US08840664B2
公开(公告)日：2014-09-23
申请号：US13517810
申请日：2012-06-14
申请人： Emil Karapetian , Chris J. Okos , Matthew T. Winston
发明人： Emil Karapetian , Chris J. Okos , Matthew T. Winston
IPC分类号： A61F2/24
CPC分类号： A61F2/2409 , A61F2/2448 , A61F2220/0008 , A61F2220/0016 , A61F2220/0033 , A61F2250/0063
摘要： Apparatus and methods for securing heart valve repair or replacement prostheses in or near the heart. The apparatus and methods are particularly well suited for traditional surgery or minimally invasive surgery. The invention secures a heart valve repair or replacement prosthesis in place while lowering surgical exposure. The invention improves the ease of implantation because it reduces the number of surgical knots a clinician would normally tie in the limited space in and around the heart.
摘要翻译：用于在心脏内部或附近确保心脏瓣膜修复或更换假体的装置和方法。该装置和方法特别适用于传统手术或微创手术。本发明在降低手术暴露的同时确保心脏瓣膜修复或更换假体就位。本发明改善了植入的便利性，因为它减少了临床医生通常将心脏内和周围的有限空间结合的手术结的数量。

4. 发明授权

US07494501B2 Overmolded grasper jaw 有权
标题翻译：包覆成型抓爪下巴
公开(公告)号：US07494501B2
公开(公告)日：2009-02-24
申请号：US10986993
申请日：2004-11-12
申请人： Russell E. Ahlberg , Scott V. Taylor , David Okihisa , Gregory I. Boychuck , Emil Karapetian , John Stout
发明人： Russell E. Ahlberg , Scott V. Taylor , David Okihisa , Gregory I. Boychuck , Emil Karapetian , John Stout
IPC分类号： A61B17/28
CPC分类号： A61B17/282 , A61B17/29 , A61B2017/2825 , A61B2017/2902 , A61B2017/2933 , A61B2017/2934 , A61B2017/2936 , A61B2017/2943
摘要： The invention is directed to a surgical instrument comprising an elongate tube extending along an axis including a camming rod and an actuation mechanism operably connected to the camming rod, the camming rod having a camming pin and a camming projection; a first jaw spine having a first cam slot, a first interior camming surface, and a first exterior camming surface; and a second jaw spine having a second cam slot, a second interior camming surface, and a second exterior camming surface, the second jaw spine pivotally connected to the first jaw spine at a common pivot pin operably connected to the elongate tube to open and close the jaw spines in response to movement of the actuation mechanism. The camming pin rides along the first and second interior camming surfaces and operates to close the jaw spines when the camming rod is moved proximally. When the camming rod moves distally, the camming projection rides on the first and second exterior camming surfaces formed on the proximal sides of the respective first and second jaw spines and operates to open the jaw spines. A feature of the invention is one camming surface on each jaw spine can facilitate closing the jaw spines while the other camming surface on each jaw spine can facilitate opening the jaw spines. These two camming surfaces on each jaw spine can be widely separated. The jaw spines can be formed of a metallic material and are overmolded with an atraumatic plastic material. By overmolding the plastic onto the metal spine, an atraumatic outer surface can be formed of the plastic material along with a high degree of detail.
摘要翻译：本发明涉及一种外科器械，其包括沿轴线延伸的细长管，所述细长管包括可操作地连接到所述凸轮杆的凸轮杆和致动机构，所述凸轮杆具有凸轮销和凸轮凸轮; 具有第一凸轮槽，第一内部凸轮表面和第一外部凸轮表面的第一颚骨脊; 以及具有第二凸轮槽，第二内部凸轮表面和第二外部凸轮表面的第二夹爪，所述第二夹爪枢转地连接到与所述细长管可操作地连接以打开和关闭的公共枢轴的所述第一夹爪颚爪响应于致动机构的移动而刺入。凸轮销沿着第一和第二内部凸轮表面骑行，并且当凸轮杆向近侧移动时操作以闭合颚骨棘爪。当凸轮杆向远侧移动时，凸轮突起可骑在形成在相应的第一和第二爪脊的近侧上的第一和第二外部凸轮表面上，并且操作以打开颚骨。本发明的特征是每个颚骨上的一个凸轮表面可以有助于闭合颚骨棘爪，而每个颌骨上的另一个凸轮表面可以有助于打开颚骨。每个颚骨上的这两个凸轮表面可以被广泛地分开。颚棘可以由金属材料形成，并用无创伤的塑料材料包覆成型。通过将塑料包覆成型到金属脊上，无损伤的外表面可以由塑料材料以高度的细节形成。

5. 发明授权

US09034014B2 Free floating wedge suture anchor for soft tissue repair 有权
标题翻译：自由浮动楔形缝合锚，用于软组织修复
公开(公告)号：US09034014B2
公开(公告)日：2015-05-19
申请号：US13359642
申请日：2012-01-27
申请人： Pablo Catania , Steven Wolf , Emil Karapetian , George W. White , David Gregoire , Seth A. Foerster , Christopher Rodriguez
发明人： Pablo Catania , Steven Wolf , Emil Karapetian , George W. White , David Gregoire , Seth A. Foerster , Christopher Rodriguez
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0409 , A61B2017/0412 , A61B2017/0422 , A61B2017/0451 , A61B2017/0496
摘要： A suture anchor device and method for attaching soft tissue to bone includes an anchor body and a suture locking wedge movably disposed within the anchor body. The suture locking wedge includes lateral portions which engage slots or windows in the anchor body. Tension applied to one limb of a suture causes the suture locking wedge to translate and rotate to a position which compresses the suture, thereby locking the suture in the anchor.
摘要翻译：用于将软组织附接到骨头的缝合锚固装置和方法包括锚固体和可移动地设置在锚固体内的缝合线锁定楔。缝合线锁定楔包括接合锚体中的槽或窗的侧部。施加到缝合线的一条腿上的张力导致缝合线锁定楔移动并旋转到压缩缝合线的位置，从而将缝合线锁定在锚定器中。

6. 发明授权

US08968394B2 Mitral heart valve holder and storage system 有权
标题翻译：二尖瓣心脏保持器和储存系统
公开(公告)号：US08968394B2
公开(公告)日：2015-03-03
申请号：US13469975
申请日：2012-05-11
申请人： Michael C. Murad , Emil Karapetian , W. Vaso Adzich
发明人： Michael C. Murad , Emil Karapetian , W. Vaso Adzich
IPC分类号： A61F2/24 , A61F2/00
CPC分类号： A61F2/2427 , A61F2/0095 , A61F2/2409 , A61F2/2412 , A61F2220/0075 , A61F2230/0006 , A61F2250/001
摘要： An improved holder and storage system for a tissue-type prosthetic mitral heart valve that constricts the commissure posts of the valve and prevents suture looping. A rod axially movable relative to the holder tensions lengths of attachment sutures that extend between the commissure post tips to create a tent and flex the tips inward, thus helping to prevent looping of any of an array of pre-implanted sutures around the leading tips during delivery of the valve. The holder has a safety mechanism that prevents valve delivery before the rod is deployed. One embodiment automatically deploys the rod upon opening a storage jar. One embodiment permits a delivery handle to directly deploy the rod, while another uses a separate worm screw and coupling. A holder clip that attaches to a packaging sleeve may be formed of flexible members meshed together from which the heart valve and holder are easily pulled free to eliminate a step of decoupling the clip from the sleeve.
摘要翻译：一种用于组织型假体二尖瓣心脏瓣膜的改进的保持器和储存系统，其限制瓣膜的连合柱并防止缝线循环。杆相对于保持器可轴向移动，连接缝合线的长度在连接柱末端之间延伸以形成帐篷并向内弯曲顶端，从而有助于防止任何一组预先植入的缝线围绕前端尖端环绕，输送阀门。支架具有安全机构，可在杆部署之前防止阀门传递。一个实施例在打开储存罐时自动展开杆。一个实施例允许递送手柄直接展开杆，而另一个使用单独的蜗杆和联接。附接到包装套筒的保持夹可以由啮合在一起的柔性构件形成，心脏瓣膜和保持器从该夹子容易地拉开，以消除将夹子与套筒分离的步骤。

7. 发明申请

US20130197577A1 RESTRICTED WEDGE SUTURE ANCHOR AND METHOD FOR SOFT TISSUE REPAIR 有权
标题翻译：限制性楔形固定锚和软组织修复方法
公开(公告)号：US20130197577A1
公开(公告)日：2013-08-01
申请号：US13359673
申请日：2012-01-27
申请人： Steven Wolf , Emil Karapetian , George W. White , David Gregoire
发明人： Steven Wolf , Emil Karapetian , George W. White , David Gregoire
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0409 , A61B2017/0412 , A61B2017/043 , A61B2017/0451
摘要： A suture anchor device and method for attaching soft tissue to bone includes an anchor body and a suture locking wedge movably disposed within the anchor body. Tension applied to one side of a suture causes the suture locking wedge to move in a translational and angular dimension to a position which compresses the suture, thereby locking the suture in the anchor. The anchor body includes tracks or slots which guide the suture locking wedge from the unlocked open configuration to the locked configuration.
摘要翻译：用于将软组织附接到骨头的缝合锚固装置和方法包括锚固体和可移动地设置在锚固体内的缝合线锁定楔。施加到缝合线一侧的张力使得缝合线锁定楔以平移和角度尺寸移动到压缩缝合线的位置，从而将缝合线锁定在锚固体中。锚固体包括将缝线锁定楔从解锁的打开构型引导到锁定构型的轨道或槽。

8. 发明申请

US20130197576A1 FREE FLOATING WEDGE SUTURE ANCHOR FOR SOFT TISSUE REPAIR 有权
标题翻译：免费浮动楔形软固定软组织修复
公开(公告)号：US20130197576A1
公开(公告)日：2013-08-01
申请号：US13359642
申请日：2012-01-27
申请人： Pablo Catania , Steven Wolf , Emil Karapetian , George W. White , David Gregoire , Seth A. Foerster , Christopher Rodriguez
发明人： Pablo Catania , Steven Wolf , Emil Karapetian , George W. White , David Gregoire , Seth A. Foerster , Christopher Rodriguez
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0409 , A61B2017/0412 , A61B2017/0422 , A61B2017/0451 , A61B2017/0496
摘要： A suture anchor device and method for attaching soft tissue to bone includes an anchor body and a suture locking wedge movably disposed within the anchor body. The suture locking wedge includes lateral portions which engage slots or windows in the anchor body. Tension applied to one limb of a suture causes the suture locking wedge to translate and rotate to a position which compresses the suture, thereby locking the suture in the anchor.
摘要翻译：用于将软组织附接到骨头的缝合锚固装置和方法包括锚固体和可移动地设置在锚固体内的缝合线锁定楔。缝合线锁定楔包括接合锚体中的槽或窗的侧部。施加到缝合线的一条腿上的张力导致缝合线锁定楔移动并旋转到压缩缝合线的位置，从而将缝合线锁定在锚定器中。

9. 发明申请

US20090326562A1 INDEPENDENT SUTURE TENSIONING AND SNARING APPARATUS 有权
公开(公告)号：US20090326562A1
公开(公告)日：2009-12-31
申请号：US12487338
申请日：2009-06-18
申请人： George W. White , David Gregoire , David Aldridge , Edward E. Dolendo , Emil Karapetian , Norman S. Gordon , Tri Nguyen
发明人： George W. White , David Gregoire , David Aldridge , Edward E. Dolendo , Emil Karapetian , Norman S. Gordon , Tri Nguyen
IPC分类号： A61B17/10
CPC分类号： A61B17/0485 , A61B17/00234 , A61B17/04 , A61B17/0401 , A61B17/0482 , A61B17/06166 , A61B17/8869 , A61B2017/00296 , A61B2017/0053 , A61B2017/0409 , A61B2017/042 , A61B2017/0456 , A61B2017/0464 , A61B2017/0496
摘要： In repairing soft tissue with a bone anchoring instrument (such as reattaching a tendon of a torn rotator cuff), the bone anchoring instrument may be used to anchor the soft tissue to a region of bone. The anchors inserted into the underlying bone may have one or more lengths of suture or wire attached thereto which may be tensioned independently of one another to affix the soft tissue to the bone by having a selector mechanism selectively engage and disengage ratcheted tensioning wheels from one another. Suture loading mechanisms may be employed for passing suture lengths into and/or through the anchors prior to deployment into the bone where such mechanisms may employ suture snares which are configured to reconfigure from an expanded shape through which suture lengths may be easily passed to a low-profile shape which secures the suture lengths within the snare.

10. 发明授权

US08828029B2 Independent suture tensioning and snaring apparatus 有权
标题翻译：独立缝合张紧和绷带装置
公开(公告)号：US08828029B2
公开(公告)日：2014-09-09
申请号：US12487338
申请日：2009-06-18
申请人： George W. White , David Gregoire , David Aldridge , Edward E. Dolendo , Emil Karapetian , Norman S. Gordon , Tri Nguyen
发明人： George W. White , David Gregoire , David Aldridge , Edward E. Dolendo , Emil Karapetian , Norman S. Gordon , Tri Nguyen
IPC分类号： A61B17/04 , A61B17/88 , A61B17/00
CPC分类号： A61B17/0485 , A61B17/00234 , A61B17/04 , A61B17/0401 , A61B17/0482 , A61B17/06166 , A61B17/8869 , A61B2017/00296 , A61B2017/0053 , A61B2017/0409 , A61B2017/042 , A61B2017/0456 , A61B2017/0464 , A61B2017/0496
摘要： In repairing soft tissue with a bone anchoring instrument (such as reattaching a tendon of a torn rotator cuff), the bone anchoring instrument may be used to anchor the soft tissue to a region of bone. The anchors inserted into the underlying bone may have one or more lengths of suture or wire attached thereto which may be tensioned independently of one another to affix the soft tissue to the bone by having a selector mechanism selectively engage and disengage ratcheted tensioning wheels from one another. Suture loading mechanisms may be employed for passing suture lengths into and/or through the anchors prior to deployment into the bone where such mechanisms may employ suture snares which are configured to reconfigure from an expanded shape through which suture lengths may be easily passed to a low-profile shape which secures the suture lengths within the snare.
摘要翻译：在用骨锚固仪器（例如重新安装撕裂的肩袖的肌腱）修复软组织时，可以使用骨锚固器械将软组织锚定到骨骼的一部分。插入到下面的骨中的锚可以具有一个或多个连接到其上的长度的缝合线或线，其可以彼此独立地张紧，以通过使选择器机构选择性地接合和分离棘轮张紧轮从而将软组织附着到骨骼上。可以采用缝合线加载机构将缝合线长度插入和/或穿过锚定器，然后将其插入到骨中，其中这种机构可以使用缝合线圈，其被配置为从扩张形状重新配置，通过该扩张形状缝合线长度可以容易地传递到低 - 将档案的形状固定在圈套内。

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