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1. 发明申请

US20120265205A1 FLEXIBLE ACL INSTRUMENTATION, KIT AND METHOD 有权
标题翻译：灵活的ACL仪器，套件和方法
公开(公告)号：US20120265205A1
公开(公告)日：2012-10-18
申请号：US13085882
申请日：2011-04-13
申请人： Mark Steiner , Kyle Craig Pilgeram , Raymond West , Jeffrey Wyman , Ran Oren , Eran Zakai , Elad Rash
发明人： Mark Steiner , Kyle Craig Pilgeram , Raymond West , Jeffrey Wyman , Ran Oren , Eran Zakai , Elad Rash
IPC分类号： A61B17/17 , A61B17/16
CPC分类号： A61B17/1764 , A61B17/1615 , A61B17/1631 , A61B17/1714
摘要： In a first embodiment, the present invention includes an instrument for use in preparing a femur for soft tissue repair or reconstruction, including a cannulated, curved guide tool having a cannulated body extending to a distal tip and a plane defined by a longitudinal axis of the cannulated body and distal tip; and a flange secured to the distal tip and extending from the distal tip in a direction transverse from the distal tip, the flange having a first curve along at least a portion of the flange and a degree of tilt, relative to the plane, along at least a portion of the flange. In an alternate embodiment, the present invention may also include a method of preparing a bone for reattachment of soft tissue thereto, including visualizing a reattachment site; selecting a guide tool from a plurality of cannulated curved guide tools, each of the plurality of guide tools having a distal tip that includes a flange; directing the distal tip of the selected guide tool towards the reattachment site; and placing the flange against the surrounding anatomy such that the distal tip is on the reattachment site.
摘要翻译：在第一实施例中，本发明包括用于制备用于软组织修复或重建的股骨的器械，包括插管的弯曲导向工具，其具有延伸到远端的插管体和由纵向轴线限定的平面插管体和远端; 以及法兰，其固定到所述远侧末端并且从所述远侧末端沿与所述远侧末端横向的方向延伸，所述凸缘沿着所述凸缘的至少一部分具有第一曲线，并且相对于所述平面沿着至少一部分法兰。在替代实施例中，本发明还可以包括制备用于重新附着软组织的骨的方法，包括使再附着部位可视化; 从多个插管弯曲引导工具中选择引导工具，所述多个引导工具中的每一个具有包括凸缘的远侧末端; 将所选择的引导工具的远侧末端引向重新附接位置; 以及将所述凸缘放置在周围的解剖结构上，使得所述远端位于所述再附着部位上。

2. 发明授权

US09232954B2 Flexible ACL instrumentation, kit and method 有权
标题翻译：灵活的ACL仪器，套件和方法
公开(公告)号：US09232954B2
公开(公告)日：2016-01-12
申请号：US12859580
申请日：2010-08-19
申请人： Mark Steiner , Kyle Craig Pilgeram , Raymond West , Jeffrey Wyman , Matthew Hemstreet , Ran Oren , Eran Zakai , Elad Rash
发明人： Mark Steiner , Kyle Craig Pilgeram , Raymond West , Jeffrey Wyman , Matthew Hemstreet , Ran Oren , Eran Zakai , Elad Rash
IPC分类号： A61B17/17 , A61B17/16
CPC分类号： A61B17/1764 , A61B17/1615 , A61B17/1631 , A61B17/1637 , A61B17/1675 , A61B17/1714
摘要： In a first embodiment, the present invention includes an instrumentation system for preparing a bone for soft tissue repair, the instrumentation system including a flexible drill pin capable of bending along a curved path; an aimer capable of engaging the flexible pin to bend the flexible pin; and a flexible reamer having a flexible portion along at least a portion of its length, the flexible portion comprising a plurality of laser cuts. In an alternate embodiment, the present invention may also include a method for preparing a bone tunnel in a femur adjacent a knee joint, the method including introducing a flexible drill pin into the knee joint; guiding the flexible drill pin towards a surface of the femur with an instrument introduced into the knee joint; drilling the flexible drill pin into the femur; removing the instrument from the knee joint; introducing a cannulated flexible reamer into the knee joint by placing the flexible pin within the cannulation of the flexible reamer; and reaming the bone tunnel in the femur along the path of the flexible pin.
摘要翻译：在第一实施例中，本发明包括一种用于制备用于软组织修复的骨的仪器系统，所述仪器系统包括能够沿弯曲路径弯曲的柔性钻销; 瞄准器，其能够接合柔性销以弯曲柔性销; 以及柔性铰刀，其沿着其长度的至少一部分具有柔性部分，所述柔性部分包括多个激光切割。在替代实施例中，本发明还可以包括一种用于在靠近膝关节的股骨中制备骨隧道的方法，所述方法包括将柔性钻针引入所述膝关节中; 将引导到膝关节的器械引导弹性钻针朝向股骨的表面; 将柔性钻销钻入股骨; 从膝盖关节去除仪器; 通过将柔性销放置在柔性铰刀的插管内，将插入式挠性铰刀引入膝关节; 并且沿着柔性销的路径铰接股骨中的骨隧道。

3. 发明授权

US09795398B2 Flexible ACL instrumentation, kit and method 有权
公开(公告)号：US09795398B2
公开(公告)日：2017-10-24
申请号：US13085882
申请日：2011-04-13
申请人： Mark Steiner , Kyle Craig Pilgeram , Raymond West , Jeffrey Wyman , Ran Oren , Eran Zakai , Elad Rash
发明人： Mark Steiner , Kyle Craig Pilgeram , Raymond West , Jeffrey Wyman , Ran Oren , Eran Zakai , Elad Rash
IPC分类号： A61B17/17 , A61B17/16
CPC分类号： A61B17/1764 , A61B17/1615 , A61B17/1631 , A61B17/1714
摘要： In a first embodiment, the present invention includes an instrument for use in preparing a femur for soft tissue repair or reconstruction, including a cannulated, curved guide tool having a cannulated body extending to a distal tip and a plane defined by a longitudinal axis of the cannulated body and distal tip; and a flange secured to the distal tip and extending from the distal tip in a direction transverse from the distal tip, the flange having a first curve along at least a portion of the flange and a degree of tilt, relative to the plane, along at least a portion of the flange. In an alternate embodiment, the present invention may also include a method of preparing a bone for reattachment of soft tissue thereto, including visualizing a reattachment site; selecting a guide tool from a plurality of cannulated curved guide tools, each of the plurality of guide tools having a distal tip that includes a flange; directing the distal tip of the selected guide tool towards the reattachment site; and placing the flange against the surrounding anatomy such that the distal tip is on the reattachment site.

4. 发明申请

US20110208194A1 FLEXIBLE ACL INSTRUMENTATION, KIT AND METHOD 有权
标题翻译：灵活的ACL仪器，套件和方法
公开(公告)号：US20110208194A1
公开(公告)日：2011-08-25
申请号：US12859580
申请日：2010-08-19
申请人： Mark Steiner , Kyle Craig Pilgeram , Raymond West , Jeffrey Wyman , Matthew Hemstreet , Ran Oren , Eran Zakai , Elad Rash
发明人： Mark Steiner , Kyle Craig Pilgeram , Raymond West , Jeffrey Wyman , Matthew Hemstreet , Ran Oren , Eran Zakai , Elad Rash
IPC分类号： A61B17/16
CPC分类号： A61B17/1764 , A61B17/1615 , A61B17/1631 , A61B17/1637 , A61B17/1675 , A61B17/1714
摘要： In a first embodiment, the present invention includes an instrumentation system for preparing a bone for soft tissue repair, the instrumentation system including a flexible drill pin capable of bending along a curved path; an aimer capable of engaging the flexible pin to bend the flexible pin; and a flexible reamer having a flexible portion along at least a portion of its length, the flexible portion comprising a plurality of laser cuts. In an alternate embodiment, the present invention may also include a method for preparing a bone tunnel in a femur adjacent a knee joint, the method including introducing a flexible drill pin into the knee joint; guiding the flexible drill pin towards a surface of the femur with an instrument introduced into the knee joint; drilling the flexible drill pin into the femur; removing the instrument from the knee joint; introducing a cannulated flexible reamer into the knee joint by placing the flexible pin within the cannulation of the flexible reamer; and reaming the bone tunnel in the femur along the path of the flexible pin.
摘要翻译：在第一实施例中，本发明包括一种用于制备用于软组织修复的骨的仪器系统，所述仪器系统包括能够沿弯曲路径弯曲的柔性钻销; 瞄准器，其能够接合柔性销以弯曲柔性销; 以及柔性铰刀，其沿着其长度的至少一部分具有柔性部分，所述柔性部分包括多个激光切割。在替代实施例中，本发明还可以包括一种用于在靠近膝关节的股骨中制备骨隧道的方法，所述方法包括将柔性钻针引入所述膝关节中; 将引导到膝关节的器械引导弹性钻针朝向股骨的表面; 将柔性钻销钻入股骨; 从膝盖关节去除仪器; 通过将柔性销放置在柔性铰刀的插管内，将插入式挠性铰刀引入膝关节; 并沿着柔性销的路径铰接股骨骨隧道。

5. 发明申请

US20130030442A1 PCL GUIDES FOR DRILLING TIBIAL AND FEMORAL TUNNELS 有权
标题翻译： PCL钻井和铁路隧道指导
公开(公告)号：US20130030442A1
公开(公告)日：2013-01-31
申请号：US13190846
申请日：2011-07-26
申请人： Kyle Craig Pilgeram , Ran Oren , Eran Zakai , Elad Rash
发明人： Kyle Craig Pilgeram , Ran Oren , Eran Zakai , Elad Rash
IPC分类号： A61B17/56
CPC分类号： A61B17/1714 , A61B17/1764
摘要： Disclosed are femoral and tibial drill guides for use in posterior cruciate ligament replacement surgery. Each of the drill guides includes an arc shaped member and an elongate guide member, a stopper member, and an alignment arm member coupled thereto. Prior to preparing a tibial tunnel with a tibial drill guide and a femoral tunnel with a femoral drill guide, a rasp and/or cutter can be used to remove any remnants of the posterior cruciate ligament left prior to replacement thereof. The tibial drill guide includes a concave blocking surface and a viewing aperture on the alignment arm member to block the advancement and view the location of a guide pin exiting from a posterior portion of a tibia, respectively.
摘要翻译：公开了用于后十字韧带置换手术的股骨和胫骨钻子导向器。每个钻子引导件包括弧形构件和细长引导构件，止动构件以及与其连接的对准臂构件。在用胫骨钻引导件和股骨隧道与股骨钻引导器一起准备胫骨隧道之前，可以使用锉刀和/或切割器去除在替换之前留下的后交叉韧带的任何残余物。胫骨钻引导件包括凹形阻挡表面和对准臂构件上的观察孔，以分别阻止前进并且分别观察从胫骨的后部离开的引导销的位置。

6. 发明授权

US09198676B2 PCL guides for drilling tibial and femoral tunnels 有权
标题翻译：用于钻胫骨和股骨隧道的PCL指南
公开(公告)号：US09198676B2
公开(公告)日：2015-12-01
申请号：US13190846
申请日：2011-07-26
申请人： Kyle Craig Pilgeram , Ran Oren , Eran Zakai , Elad Rash
发明人： Kyle Craig Pilgeram , Ran Oren , Eran Zakai , Elad Rash
IPC分类号： A61B17/17
CPC分类号： A61B17/1714 , A61B17/1764
摘要： Disclosed are femoral and tibial drill guides for use in posterior cruciate ligament replacement surgery. Each of the drill guides includes an arc shaped member and an elongate guide member, a stopper member, and an alignment arm member coupled thereto. Prior to preparing a tibial tunnel with a tibial drill guide and a femoral tunnel with a femoral drill guide, a rasp and/or cutter can be used to remove any remnants of the posterior cruciate ligament left prior to replacement thereof. The tibial drill guide includes a concave blocking surface and a viewing aperture on the alignment arm member to block the advancement and view the location of a guide pin exiting from a posterior portion of a tibia, respectively.
摘要翻译：公开了用于后十字韧带置换手术的股骨和胫骨钻子导向器。每个钻子引导件包括弧形构件和细长引导构件，止动构件以及与其连接的对准臂构件。在用胫骨钻引导件和股骨隧道与股骨钻引导器一起准备胫骨隧道之前，可以使用锉刀和/或切割器去除在替换之前留下的后交叉韧带的任何残余物。胫骨钻引导件包括凹形阻挡表面和对准臂构件上的观察孔，以分别阻止前进并且分别观察从胫骨的后部离开的引导销的位置。

7. 发明申请

US20120180291A1 TOGGLE BOLT ASSEMBLY AND METHOD OF ASSEMBLY 有权
标题翻译：螺栓螺栓组件和组装方法
公开(公告)号：US20120180291A1
公开(公告)日：2012-07-19
申请号：US13182851
申请日：2011-07-14
申请人： Ran Oren , Eran Zakai , Elad Rash
发明人： Ran Oren , Eran Zakai , Elad Rash
IPC分类号： B23P11/00
CPC分类号： A61B17/0401 , A61B2017/0404 , A61B2017/0409 , A61B2017/0414 , A61B2017/0417 , A61B2017/045 , Y10T29/49826
摘要： The present invention includes a method of assembling an anchor for use in tissue comprising an anchor body, a continuous closed suture loop and an insert, the method comprising positioning a portion of the continuous closed suture loop through an opening in the anchor body; positioning the insert adjacent the portion of the continuous closed suture loop which was passed through the opening; and securing the insert to the anchor body such that the continuous closed suture loop is secured to the anchor body by the insert.
摘要翻译：本发明包括一种组装用于组织中的锚固件的方法，包括锚固体，连续闭合缝合线环和插入物，所述方法包括将连续闭合的缝合线环的一部分定位穿过锚固体中的开口; 将插入件邻近穿过开口的连续闭合缝合线圈的部分定位; 并且将所述插入件固定到所述锚固体上，使得所述连续闭合缝合线环通过所述插入件固定到所述锚固体。

8. 发明授权

US09713463B2 Toggle bolt assembly and method of assembly 有权
公开(公告)号：US09713463B2
公开(公告)日：2017-07-25
申请号：US13182851
申请日：2011-07-14
申请人： Ran Oren , Eran Zakai , Elad Rash
发明人： Ran Oren , Eran Zakai , Elad Rash
IPC分类号： B21D39/00 , B23P11/00 , B23P19/02 , B65D63/06 , A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0404 , A61B2017/0409 , A61B2017/0414 , A61B2017/0417 , A61B2017/045 , Y10T29/49826
摘要： The present invention includes a method of assembling an anchor for use in tissue comprising an anchor body, a continuous closed suture loop and an insert, the method comprising positioning a portion of the continuous closed suture loop through an opening in the anchor body; positioning the insert adjacent the portion of the continuous closed suture loop which was passed through the opening; and securing the insert to the anchor body such that the continuous closed suture loop is secured to the anchor body by the insert.

9. 发明申请

US20110295260A1 KNEE RECONSTRUCTION PROCEDURE AND SURGICAL IMPLEMENT PARTICULARLY USEFUL FOR SUCH KNEE RECONSTRUCTION PROCEDURE 审中-公开
标题翻译： KNEE重建程序和手术实施特别适用于此类KNEE重建程序
公开(公告)号：US20110295260A1
公开(公告)日：2011-12-01
申请号：US13150330
申请日：2011-06-01
申请人： Ran Oren , Lee Ranon , Elad Rash
发明人： Ran Oren , Lee Ranon , Elad Rash
IPC分类号： A61B17/16 , A61B17/56
CPC分类号： A61B17/1764 , A61B17/1615 , A61B17/1631 , A61B17/1675 , A61B17/1714
摘要： A surgical implement for use in a surgical procedure involving the manipulation of a wire or like article in a body cavity. The surgical implement includes: an elongated stem; a handle carried at the proximal end of the elongated stem; a socket in the form of a removable insert, carried at the distal end of the elongated stem and configured for insertion into a body cavity during the surgical procedure and for receiving the wire or like article; an actuator carried by the elongated stem and movable from a normal position closing the socket at the distal end of the elongated stem, to an actuated position opening the socket; a finger-piece carried by the actuator adjacent the handle so as to be conveniently engageable by a user, while gripping the handle, to move the actuator from its normal position closing the socket, to its actuated position opening the socket; and a spring urging the actuator to its normal position closing the socket. The described preferred embodiment is one wherein the surgical procedure is a knee reconstruction procedure, and the socket is configured to enter through a lateral-medial portal of the knee into the intercondylar notch of the femur bone for forming the femoral tunnel therein.
摘要翻译：一种外科手术器具，用于涉及在体腔内操作丝线或类似物品的手术过程。手术器具包括：细长的杆; 在细长杆的近端处携带的手柄; 以可移除插入物的形式的插座，其承载在细长杆的远端并且构造成用于在外科手术过程中插入体腔中并且用于接收线或类似物品; 由细长杆携带的致动器可从关闭细长杆的远端处的插座的正常位置移动到打开插座的致动位置; 由致动器承载的指状物靠近手柄，以便在握住手柄的同时方便地与使用者接合，以将致动器从其关闭插座的正常位置移动到打开插座的致动位置; 以及将致动器推动到其关闭插座的正常位置的弹簧。所描述的优选实施例是其中外科手术是膝关节重建过程的实施例，并且插座构造成通过膝盖的侧向内侧入口进入股骨骨的髁间切口，以在其中形成股骨隧道。

10. 发明授权

US11364025B2 Suture passer 有权
公开(公告)号：US11364025B2
公开(公告)日：2022-06-21
申请号：US16480324
申请日：2018-01-24
申请人： Elad Rash
发明人： Elad Rash
IPC分类号： A61B17/04
摘要： A suture passer is provided, defining a longitudinal axis and comprising a jaw assembly configured to be operated to selectively grip an internal tissue of a patient, and a needle mechanism configured to be operated to place a suture on the tissue. The assembly comprises a stationary first jaw portion and a second jaw portion pivotable about a jaw axis with respect to the first jaw portion between a closed position and an open position, the jaw assembly being configured to hold a thread for the suture. The needle mechanism comprises a needle being configured for piercing the tissue and pulling the thread from the jaw assembly, and a carrying member at a first end thereof being pivotable, independently of the second jaw portion, with respect to the first jaw portion, the needle being hingedly articulated to a second end of the carrying member.

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