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1. 发明授权

US5810848A Suturing system 失效
标题翻译：缝合系统
公开(公告)号：US5810848A
公开(公告)日：1998-09-22
申请号：US700981
申请日：1996-08-21
申请人： John O. Hayhurst
发明人： John O. Hayhurst
IPC分类号： A61B17/04 , A61B17/11
CPC分类号： A61B17/04 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419
摘要： The suturing system includes a cannula that defines two adjacent lumens. One lumen carries a supply of anchor members that are joined together by a suture. The anchor members are moved by a supply rod, one at a time, from a lower lumen to an upper lumen. The upper lumen terminates in a sharpened tip that is pierced through tissue. The single anchor member that is moved into the upper lumen is then deployed into or behind the pierced tissue and the cannula is retracted. The rod for deploying the anchor member also temporarily blocks movement of additional anchor members from the lower to the upper lumen so that the surgeon can sufficiently tense the suture before piercing the tissue in an adjacent location and depositing a second anchor member. A series of anchor members joined by a continuous suture are deposited in this matter to suture together tissue. Also provided is a gun to which the cannula is mounted for one-handed operation of the system.
摘要翻译：缝合系统包括限定两个相邻腔的套管。一个内腔承载通过缝线连接在一起的锚定构件的供应。锚定构件由供应杆一次一个地从下管腔移动到上管腔。上腔体终止于穿过组织的尖锐尖端。移动到上腔中的单个锚定构件然后展开到穿孔的组织中或后面，套管缩回。用于展开锚固构件的杆还临时阻止附加的锚定构件从下腔到上管腔的移动，使得外科医生在刺穿相邻位置中的组织并沉积第二锚定构件之前可以使缝合线充分地紧张。通过连续缝合连接的一系列锚固构件沉积在该物质中以将组织缝合在一起。还提供了一种喷枪，套管安装到该系统的单手操作上。

2. 发明授权

US5224946A Bone anchor and method of anchoring a suture to a bone 失效
标题翻译：骨锚固和锚固方法
公开(公告)号：US5224946A
公开(公告)日：1993-07-06
申请号：US681070
申请日：1991-04-05
申请人： John O. Hayhurst , Alan A. Small , Jeffrey C. Cerier , Paul DiCarlo , James W. Dwyer
发明人： John O. Hayhurst , Alan A. Small , Jeffrey C. Cerier , Paul DiCarlo , James W. Dwyer
IPC分类号： A61B17/04 , A61B17/06 , A61B17/56 , A61B19/00 , A61F2/08
CPC分类号： A61F2/0811 , A61B17/0401 , A61B2017/0409 , A61B2017/0414 , A61B2017/0458 , A61B2017/0496 , A61B2017/06142 , A61B2090/062 , A61F2002/0888
摘要： A bone anchor (10) for securing a suture to a bone (38). The bone anchor (10) has a tip (16) at its distal end (18) and at least one resilient wall (27) extending to a trailing end (20) of the body (12) of the anchor. The wall (27) has a ridge (14), or barb, formed on an outer surface. The ridge (14) defines an edge (34) that digs into a hole (36) in the bone (38) in which it is positioned. A strand of suturing thread (22) extends through a suture receiving opening (24) in the tip (16) of the anchor. The method of the present invention employs the suture anchor (10) and includes the steps of forming a hole (36) in a bone (38) and inserting the suture anchor (10) to a desired depth in the hole (36) in the bone (38) using an inserter device (100). Suturing thread ( 22) extends from the suture receiving opening (24) in the tip and along the length of the walls (27,28) out of the hole (36) in the bone (38). An anchor spreader (130) is used to firmly seat the anchor (10) in the hole (36). The suture (22) is pulled at the same time to help seat the barbs 14 on the anchor (10) into the bone (38).

3. 发明授权

US5647874A Anchoring and manipulating tissue 失效
标题翻译：锚定和操纵组织
公开(公告)号：US5647874A
公开(公告)日：1997-07-15
申请号：US487009
申请日：1995-06-07
申请人： John O. Hayhurst
发明人： John O. Hayhurst
IPC分类号： A61B17/00 , A61B17/04 , A61F2/08 , A61B17/56
CPC分类号： A61F2/0811 , A61B17/0401 , A61B2017/00004 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/0451 , A61B2017/0458 , A61F2002/0888
摘要： A method whereby an anchor member is configured to provide anchorage of its attached suture within a hole drilled in a bone.
摘要翻译：一种锚定构件被配置成在其中钻出的孔中提供其附接缝合线的锚定的方法。

4. 发明授权

US5236445A Expandable bone anchor and method of anchoring a suture to a bone 失效
标题翻译：可扩展骨锚和将缝合线锚定到骨头的方法
公开(公告)号：US5236445A
公开(公告)日：1993-08-17
申请号：US882723
申请日：1992-05-14
申请人： John O. Hayhurst , Alan A. Small , Jeffrey C. Cerier
发明人： John O. Hayhurst , Alan A. Small , Jeffrey C. Cerier
IPC分类号： A61B17/04 , A61B17/06 , A61B19/00 , A61F2/08
CPC分类号： A61F2/0811 , A61B17/0401 , A61B2017/0409 , A61B2017/0414 , A61B2017/0422 , A61B2017/0438 , A61B2017/0458 , A61B2017/0496 , A61B2017/06142 , A61B2090/062 , A61F2/0805 , A61F2002/0888 , Y10S606/916
摘要： A bone anchor, for securing a suture to a bone, has an open proximal end and a body that tapers to a solid distal tip. The anchor is placed deep in a borehole in a bone using an insertion instrument that is inserted through the open proximal end of the anchor. The tip of the instrument is a spherical knob that snaps into a corresponding recess inside the anchor. The instrument has an oval cross-section that does not bear against the walls of the anchor during insertion. Once the anchor is in place, however, the anchor is expanded by rotating the instrument to bring the exterior of the instrument into contact with the walls of the anchor. The anchor is free to pivot about the spherical knob on the instrument, which allows the anchor to orient itself to the shape and size of the borehole.
摘要翻译：用于将缝合线固定到骨头上的骨锚具有开放的近端和朝向固体远侧末端逐渐变细的身体。使用插入穿过锚固体的开口近端的插入器械将锚放置在骨头中的深孔中。仪器的尖端是一个球形旋钮，其卡入到锚固体内的相应的凹部中。仪器具有椭圆形横截面，在插入过程中不会承受锚固件的壁面。然而，一旦锚固件就位，通过旋转仪器来使锚固体膨胀，使仪器的外部与锚的壁接触。锚固件可自由地围绕仪器上的球形旋钮枢转，这允许锚定器将其自身定向为钻孔的形状和尺寸。

5. 发明授权

US5037422A Bone anchor and method of anchoring a suture to a bone 失效
标题翻译：骨锚和将缝合线锚定在骨头上的方法
公开(公告)号：US5037422A
公开(公告)日：1991-08-06
申请号：US547783
申请日：1990-07-02
申请人： John O. Hayhurst , Alan A. Small , Jeffrey C. Cerier
发明人： John O. Hayhurst , Alan A. Small , Jeffrey C. Cerier
IPC分类号： A61B17/04 , A61B17/06 , A61B19/00 , A61F2/08
CPC分类号： A61F2/0811 , A61B17/0401 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0438 , A61B2017/0458 , A61B2017/0459 , A61B2017/0496 , A61B2017/06142 , A61B2090/062 , A61F2002/0888
摘要： A bone anchor (10) for securing a suture to a bone (38). The bone anchor (10) has a tip (16) at its distal end (18) and at least one resilient wall (27) extending to a trailing end (20) of the body (12) of the anchor. The wall (27) has a ridge (14), or barb, formed on an outer surface. The ridge (14) defines an edge (34) that digs into a hole (36) in the bone (38) in which it is positioned. A strand of suturing thread (22) extends through a suture receiving opening (24) in the tip (16) of the anchor. When tension is applied to the suturing thread (22), it causes the ridge (14) to dig into the walls of the hole (36) in the bone (38). Two resilient walls (27,28) are preferably provided which include an annular ridge-shaped barb (14). The two resilient walls 27, 28 scissor outwardly upon application of tension to the suturing thread. The tip (16) is generally frustoconical with a rounded leading end. The method of the present invention employs the suture anchor (10) and includes the steps of forming a hole (36) in a bone (38), inserting the suture anchor (10) to a desired depth in the hole (36) in the bone (38) with the tip (16) inserted first and the trailing resilient walls (27,28) following the tip. Suturing thread (22) extends from the suture receiving opening (24) in the tip and along the length of the walls (27,28) out of the hole (36) in the bone (38). The next step is to pull on a portion of the suturing thread extending out of the bone (38) to urge the barb (14) into firmer engagement with the bore hole (36).
摘要翻译：一种用于将缝合线固定到骨头（38）上的骨锚（10）。骨锚（10）在其远端（18）处具有尖端（16），并且至少一个弹性壁（27）延伸到锚固体的主体（12）的尾端（20）。壁（27）具有形成在外表面上的脊（14）或倒钩。脊（14）限定了一个边缘（34），该边缘挖入位于其中的骨头（38）中的孔（36）。一股缝合线（22）延伸穿过锚固件的尖端（16）中的缝合线接收开口（24）。当对缝合线（22）施加张力时，使脊（14）进入骨（38）中孔（36）的壁。优选地提供两个弹性壁（27,28），其包括环形的脊形倒钩（14）。当向缝合线施加张力时，两个弹性壁27,28向外剪切。尖端（16）通常为截头圆锥形，具有圆形的前端。本发明的方法采用缝合锚固件（10）并且包括以下步骤：在骨头（38）中形成孔（36），将缝合锚固件（10）插入孔（36）中的所需深度骨头（38），其尖端（16）首先插入，后缘弹性壁（27,28）跟随尖端。缝合线（22）从尖端处的缝合线接收开口（24）延伸并且沿着壁（27,28）的长度从骨头（38）中的孔（36）中延伸出来。接下来的步骤是拉伸从骨头（38）伸出的一部分缝合线，以推动倒钩（14）与钻孔（36）更牢固地接合。

6. 再颁专利

USRE43143E1 Tissue manipulation 有权
标题翻译：组织操作
公开(公告)号：USRE43143E1
公开(公告)日：2012-01-24
申请号：US11292385
申请日：2005-12-02
申请人： John O. Hayhurst
发明人： John O. Hayhurst
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/00004 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/0451 , A61B2017/0464 , A61F2/0811 , A61F2002/0888
摘要： An apparatus and method for manipulating and anchoring tissue is provided. The invention is directed to solving the problem of manipulating and anchoring tissue within a joint when access to that tissue is limited, for example, during arthroscopic surgery.
摘要翻译：提供了一种用于操纵和锚定组织的装置和方法。本发明旨在解决当例如在关节镜手术期间限制对组织的访问时操纵和锚定关节内的组织的问题。

7. 发明授权

US5474572A Clip for suture 失效
标题翻译：夹缝线
公开(公告)号：US5474572A
公开(公告)日：1995-12-12
申请号：US207221
申请日：1994-03-03
申请人： John O. Hayhurst
发明人： John O. Hayhurst
IPC分类号： A61B17/00 , A61B17/04 , A61B17/122 , A61B17/128 , A61B17/08
CPC分类号： A61B17/0487 , A61B17/122 , A61B17/1285 , A61B17/0469 , A61B2017/00004 , A61B2017/0454
摘要： Eliminates the need for tying knots in sutures. The clip (20) is slidable in an open position along sutures (12) that extend from a suturing site. With the clip (20) at the suturing site, the sutures (12) are tensed and the clip is forced into a closed position that fixes the position of the clip (20) relative to the sutures (12).
摘要翻译：消除了在缝合线上捆扎结的需要。夹子（20）可以沿着从缝合部位延伸的缝线（12）在打开位置滑动。在缝合部位处的夹子（20）上，缝合线（12）被拉紧，并且夹子被迫进入关闭位置，该关闭位置固定夹子（20）相对于缝合线（12）的位置。

8. 发明授权

US5078731A Suture clip 失效
标题翻译：缝合夹
公开(公告)号：US5078731A
公开(公告)日：1992-01-07
申请号：US533515
申请日：1990-06-05
申请人： John O. Hayhurst
发明人： John O. Hayhurst
IPC分类号： A61B17/04 , A61B17/00 , A61B17/122 , A61B17/128
CPC分类号： A61B17/0487 , A61B17/122 , A61B17/1285 , A61B17/0469 , A61B2017/00004 , A61B2017/0454
摘要： Eliminates the need for tying knots in sutures. The clip (20) is slidable in an open position along sutures (12) that extend from a suturing site. With the clip (20) at the suturing site, the sutures (12) are tensed and the clip is forced into a closed position that fixes the position of the clip (20) relative to the sutures (12).
摘要翻译：消除了在缝合线上捆扎结的需要。夹子（20）可以沿着从缝合部位延伸的缝线（12）在打开位置滑动。在缝合部位处的夹子（20）上，缝合线（12）被拉紧，并且夹子被迫进入关闭位置，该关闭位置固定夹子（20）相对于缝合线（12）的位置。

9. 发明授权

US5269809A Locking mechanism for use with a slotted suture anchor 失效
标题翻译：用于缝合缝合锚的锁定机构
公开(公告)号：US5269809A
公开(公告)日：1993-12-14
申请号：US681129
申请日：1991-04-05
申请人： John O. Hayhurst , Alan A. Small , Jeffrey C. Cerier
发明人： John O. Hayhurst , Alan A. Small , Jeffrey C. Cerier
IPC分类号： A61B17/00 , A61B17/04 , A61B17/86
CPC分类号： A61B17/0401 , A61B17/0487 , A61B17/8695 , A61B2017/00004 , A61B2017/0409 , A61B2017/0414 , A61B2017/0417 , A61B2017/0445 , A61B2017/0458 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464
摘要： A locking mechanism having a locking element carried by one or more strands of suture material. One end of the suture is attachable to an anchor having a slot extending from a trailing end of the anchor toward a leading end. A portion of the suture is at least partially disposable in the slot. A separate locking member engages the locking element to secure tissue relative to the anchor.

10. 发明授权

US5041129A Slotted suture anchor and method of anchoring a suture 失效
标题翻译：开槽缝线锚和锚定缝合线的方法
公开(公告)号：US5041129A
公开(公告)日：1991-08-20
申请号：US548383
申请日：1990-07-02
申请人： John O. Hayhurst , Alan A. Small , Jeffrey C. Cerier
发明人： John O. Hayhurst , Alan A. Small , Jeffrey C. Cerier
IPC分类号： A61B17/00 , A61B17/04 , A61B17/86
CPC分类号： A61B17/0401 , A61B17/0487 , A61B17/8695 , A61B2017/00004 , A61B2017/0409 , A61B2017/0414 , A61B2017/0417 , A61B2017/0445 , A61B2017/0458
摘要： A suture anchor (10) for securing a suture (20) to body tissue (38) in an athroscopic surgical procedure. The suture anchor is an elongatyed tubular member (12) having first and second ends (14,16). The distal or terminal end (24) of the suture is secured to the first or leading end (14) of the suture anchor (10) with the suture (20) extending through the suture anchor (10). A slot (18) is formed on the suture anchor (10) which extends from the second or trailing end (16) of the suture anchor (10) toward the leading end (14) of the suture anchor (10). The suture anchor (10) is inserted in a first position with the suture (20) extending through the suture anchor (10) from the leading end (14) of the suture anchor (10) to the trailing end (16). The suture (20) shifts from the first position approximately 90 degrees to a second position wherein the suture (20) extends from the leading end (14) of the anchor to the base (26) of the slot (18) with the length of the suture anchor (10) extending transverse to the free end (25) of the suture (20) located outside of the suture anchor (10). The method disclosed includes the steps of inserting the suture anchor (10) with the suture (20) extending longitudinally through the anchor (10) and shifting the orientation of the anchor (10) until the suture (20) extends through a slot (18) in the anchor (10) with the anchor (10) disposed in the body tissue (38) generally transverse to the free end (25) of the suture.
摘要翻译：一种缝合锚（10），用于以横切外科手术将缝合线（20）固定到身体组织（38）。缝合锚是具有第一和第二端（14,16）的伸长的管状构件（12）。缝合线的远端或末端（24）通过缝合线（20）延伸穿过缝合线锚固件（10）而固定到缝线锚固件（10）的第一或前端（14）。在缝线锚固件（10）上形成有从缝线锚固件（10）的第二或后端（16）向缝合锚（10）的前端（14）延伸的槽（18）。将缝合线锚钉（10）插入第一位置，其中缝合线（20）从缝合线锚固件（10）的前端（14）延伸到后端（16）。缝合线（20）从大约90度的第一位置移动到第二位置，其中缝合线（20）从锚固件的前端（14）延伸到槽（18）的基部（26），长度缝合锚（10）横向于位于缝合锚（10）外侧的缝合线（20）的自由端（25）延伸。所公开的方法包括以下步骤：使缝合线（20）纵向延伸穿过锚固件（10）并移动锚定件（10）的定向，直到缝合线（20）延伸穿过狭槽（18）），其中所述锚固件（10）设置在所述主体组织（38）中，大体上横向于所述缝合线的自由端（25）。

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