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1. 发明授权

US09884451B2 Method of using ultrasonic vibration to secure body tissue 有权
公开(公告)号：US09884451B2
公开(公告)日：2018-02-06
申请号：US11370775
申请日：2006-03-08
申请人： Peter M. Bonutti , Matthew J. Cremens , Kevin Ruholl
发明人： Peter M. Bonutti , Matthew J. Cremens , Kevin Ruholl
IPC分类号： A61B17/04 , B29C65/08 , B29C65/00 , B29C65/50 , A61B17/06 , B29C65/48
CPC分类号： B29C65/08 , A61B17/0487 , A61B2017/0445 , A61B2017/0454 , A61B2017/0458 , A61B2017/0464 , A61B2017/0488 , A61B2017/0619 , B29C65/4815 , B29C65/5071 , B29C65/5085 , B29C66/1122 , B29C66/526 , B29C66/5261 , B29C66/69 , B29C66/71 , B29C66/7379 , B29C66/73791 , B29C66/81423 , B29C66/83221 , B29C66/83241 , B29C66/861 , B29C66/8614 , B29C66/951 , B29C66/9513 , B29C66/9517 , B29K2067/043 , B29K2077/00 , B29K2067/006 , B29K2067/003 , B29K2059/00
摘要： A suture and a suture retainer are positioned relative to body tissue. Ultrasonic vibratory energy is utilized to heat the suture retainer and effect a bonding of portions of the suture retainer to each other and/or to the suture. Portions of the body tissue may be pressed into linear apposition with each other and held in place by cooperation between the suture and the suture retainer. The suture retainer may include one or more portions between which the suture extends. The suture retainer may include sections which have surface areas which are bonded together. If desired, the suture may be wrapped around one of the sections of the suture retainer. The suture retainer may be formed with a recess in which the suture is received. If desired, the suture retainer may be omitted and the sections of the suture bonded to each other.

2. 发明授权

US09610073B2 Methods and devices for intracorporeal bonding of implants with thermal energy 有权
公开(公告)号：US09610073B2
公开(公告)日：2017-04-04
申请号：US11689670
申请日：2007-03-22
申请人： Peter M. Bonutti , Matthew J. Cremens , Justin E. Beyers
发明人： Peter M. Bonutti , Matthew J. Cremens , Justin E. Beyers
IPC分类号： A61B17/72 , A61B17/04 , A61B17/68 , A61B17/70 , A61B17/80 , A61B17/82 , A61B17/86 , A61B17/88 , A61B17/11 , A61B17/00 , A61F2/30 , A61F2/32 , A61F2/36 , A61F2/38 , A61F2/40 , A61F2/42 , A61F2/44 , A61F2/46 , A61F2/28 , A61F2/34
CPC分类号： A61B17/7233 , A61B17/0401 , A61B17/11 , A61B17/1128 , A61B17/1146 , A61B17/1721 , A61B17/1742 , A61B17/320068 , A61B17/686 , A61B17/7032 , A61B17/7058 , A61B17/7059 , A61B17/7062 , A61B17/72 , A61B17/725 , A61B17/80 , A61B17/8033 , A61B17/8038 , A61B17/82 , A61B17/866 , A61B17/8685 , A61B17/88 , A61B17/8863 , A61B2017/00004 , A61B2017/00504 , A61B2017/0409 , A61B2017/044 , A61B2017/8655 , A61F2/30756 , A61F2/32 , A61F2/3603 , A61F2/38 , A61F2/3804 , A61F2/3859 , A61F2/389 , A61F2/40 , A61F2/4081 , A61F2/4202 , A61F2/4455 , A61F2/468 , A61F2002/2817 , A61F2002/30062 , A61F2002/30065 , A61F2002/30133 , A61F2002/30451 , A61F2002/30604 , A61F2002/30677 , A61F2002/3068 , A61F2002/30785 , A61F2002/30787 , A61F2002/30878 , A61F2002/30892 , A61F2002/30894 , A61F2002/30971 , A61F2002/30973 , A61F2002/3401 , A61F2002/3403 , A61F2002/444 , A61F2002/828 , A61F2210/0004 , A61F2210/0071 , A61F2220/0058 , A61F2230/0015 , A61F2250/0068 , A61F2310/00011 , A61F2310/00365 , A61F2310/00383 , G06F21/10 , G06F2221/0773 , G06F2221/2137
摘要： The present invention provides a method for stabilizing a fractured bone. The method includes positioning an elongate rod in the medullary canal of the fractured bone and forming a passageway through the cortex of the bone. The passageway extends from the exterior surface of the bone to the medullary canal of the bone. The method also includes creating a bonding region on the elongate rod. The bonding region is generally aligned with the passageway of the cortex. Furthermore, the method includes positioning a fastener in the passageway of the cortex and on the bonding region of the elongate rod and thermally bonding the fastener to the bonding region of the elongate rod while the fastener is positioned in the passageway of the cortex.

3. 发明授权

US08162977B2 Method for joining implants 有权
标题翻译：连接植入物的方法
公开(公告)号：US08162977B2
公开(公告)日：2012-04-24
申请号：US11932602
申请日：2007-10-31
申请人： Peter M. Bonutti , Matthew J. Cremens
发明人： Peter M. Bonutti , Matthew J. Cremens
IPC分类号： A61B17/04
CPC分类号： A61B17/0487 , A61B17/320068 , A61B2017/045 , A61B2017/0459 , A61B2017/0464 , A61B2017/0488 , A61B2017/0619 , Y10T24/39
摘要： The present invention provides a method of securing a suture. The method includes providing a retainer having first and second sections. The first section has a central post, and the second section has a central bore dimensioned to receive the central post. The method also includes moving a suture through a passage in the first section, wrapping the suture around the central post, and moving the suture through a channel of the second section. The method further includes interconnecting the first and second sections with the central post positioned in the central bore and with the suture disposed between the first and second sections. Moreover, the method includes bonding the first and second sections together to secure the suture relative to the retainer.
摘要翻译：本发明提供一种固定缝合线的方法。该方法包括提供具有第一和第二部分的保持器。第一部分有一个中心柱，第二部分有一个中心孔，用于容纳中心柱。所述方法还包括将缝合线移动通过第一部分中的通道，围绕中心柱包裹缝合线，以及使缝合线移动通过第二部分的通道。该方法还包括将第一和第二部分与定位在中心孔中的中心柱相互连接，并且缝合线布置在第一和第二部分之间。此外，该方法包括将第一和第二部分结合在一起以相对于保持器固定缝线。

4. 发明授权

US07094251B2 Apparatus and method for securing a suture 有权
标题翻译：用于固定缝合线的装置和方法
公开(公告)号：US07094251B2
公开(公告)日：2006-08-22
申请号：US10228855
申请日：2002-08-27
申请人： Peter M. Bonutti , Matthew J. Cremens
发明人： Peter M. Bonutti , Matthew J. Cremens
IPC分类号： A61B17/04
CPC分类号： A61B17/0487 , A61B17/320068 , A61B2017/045 , A61B2017/0459 , A61B2017/0464 , A61B2017/0488 , A61B2017/0619 , Y10T24/39
摘要： A suture retainer has an upper or cover section and a lower or base section which cooperate to define passages through which portions of a suture extend. Projections on the cover section of the retainer extend into recesses on the base section of the retainer. A center projection on the base section extends between the two projections on the cover section. The projections cooperate with surfaces on body sections of the cover and base section of the retainer to position and grip portions of the suture. The retainer may be moved along the portions of the suture while the retainer is gripped by an applicator assembly. The applicator assembly is operable to apply energy to the retainer to bond end portions of the projections on the cover section to bottoms of recesses in the base section of the retainer.
摘要翻译：缝合线保持器具有上部或覆盖部分和下部或底部部分，其协作以限定缝合线的哪些部分延伸穿过的通道。保持架的盖部分上的突出部延伸到保持器的基部上的凹部中。基部上的中心突起在盖部分上的两个突起之间延伸。突起与保持器的盖和基部的主体部分上的表面配合以定位和夹紧缝合线的部分。保持器可以沿着缝合线的部分移动，同时保持器被施用器组件夹紧。施加器组件可操作以将能量施加到保持器以将覆盖部分上的突起的端部粘合到保持器的基部中的凹部的底部。

5. 发明授权

US06159234A Method and apparatus for securing a suture 有权
公开(公告)号：US06159234A
公开(公告)日：2000-12-12
申请号：US348940
申请日：1999-07-07
申请人： Peter M. Bonutti , Matthew J. Cremens , Ping Liu
发明人： Peter M. Bonutti , Matthew J. Cremens , Ping Liu
IPC分类号： A61B17/04
CPC分类号： A61B17/0487 , A61B2017/0445 , A61B2017/045 , A61B2017/0453 , A61B2017/0454 , A61B2017/0458 , A61B2017/0464 , A61B2017/0488
摘要： An improved method is provided to secure a suture relative to body tissue. A suture retainer is moved along first and second sections of a suture toward the body tissue. When a predetermined minimum force is being transmitted between the suture retainer and the body tissue, the first and second sections of the suture are gripped with the suture retainer by plastically deforming material of the suture retainer. The material of the suture retainer cold flows under the influence of force applied against the surface areas on the suture retainer. One or more bends are formed in each of the sections of the suture to increase the holding action between the suture retainer and the sections of the suture. The bends may be formed by wrapping a turn of the suture around a portion of the suture retainer. During movement of the suture retainer toward the body tissue, the bends are moved along the first and second sections of the suture.

6. 发明授权

US09750496B2 System for securing a portion of a body 有权
公开(公告)号：US09750496B2
公开(公告)日：2017-09-05
申请号：US13455093
申请日：2012-04-24
申请人： Peter M. Bonutti , Matthew J. Cremens
发明人： Peter M. Bonutti , Matthew J. Cremens
IPC分类号： A61B17/04 , A61B17/10 , A61B17/32 , A61B17/06
CPC分类号： A61B17/0487 , A61B17/320068 , A61B2017/045 , A61B2017/0459 , A61B2017/0464 , A61B2017/0488 , A61B2017/0619 , Y10T24/39
摘要： Embodiments may have one or more projections which engage one or more recesses to position the sections of the retainer relative to each other. An applicator assembly may be used to apply energy to the retainer. Energy applied to the retainer may affect bonding of end portions of the projections to bottom portions of recesses in the retainer. The end portions of the projections may function as energy directors which concentrate energy. The applicator assembly may grip the retainer with a predetermined force. While the applicator assembly is gripping the retainer, the applicator assembly may apply energy to the retainer to effect bonding of sections of the retainer together.

7. 发明授权

US09067362B2 Method of using ultrasonic vibration to secure body tissue with fastening element 有权
标题翻译：使用超声波振动以固定元件固定身体组织的方法
公开(公告)号：US09067362B2
公开(公告)日：2015-06-30
申请号：US11932051
申请日：2007-10-31
申请人： Peter M. Bonutti , Matthew J. Cremens , Kevin Ruholl
发明人： Peter M. Bonutti , Matthew J. Cremens , Kevin Ruholl
IPC分类号： A61B17/04 , B29C65/08 , B29C65/00 , B29C65/50 , A61B17/06 , B29C65/48
CPC分类号： B29C65/08 , A61B17/0487 , A61B2017/0445 , A61B2017/0454 , A61B2017/0458 , A61B2017/0464 , A61B2017/0488 , A61B2017/0619 , B29C65/4815 , B29C65/5071 , B29C65/5085 , B29C66/1122 , B29C66/526 , B29C66/5261 , B29C66/69 , B29C66/71 , B29C66/7379 , B29C66/73791 , B29C66/81423 , B29C66/83221 , B29C66/83241 , B29C66/861 , B29C66/8614 , B29C66/951 , B29C66/9513 , B29C66/9517 , B29K2067/043 , B29K2077/00 , B29K2067/006 , B29K2067/003 , B29K2059/00
摘要： A suture and a suture retainer are positioned relative to body tissue. Ultrasonic vibratory energy is utilized to heat the suture retainer and effect a bonding of portions of the suture retainer to each other and/or to the suture. Portions of the body tissue may be pressed into linear apposition with each other and held in place by cooperation between the suture and the suture retainer. The suture retainer may include one or more portions between which the suture extends. The suture retainer may include sections which have surface areas which are bonded together. If desired, the suture may be wrapped around one of the sections of the suture retainer. The suture retainer may be formed with a recess in which the suture is received. If desired, the suture retainer may be omitted and the sections of the suture bonded to each other.
摘要翻译：缝合线和缝合线保持器相对于身体组织定位。使用超声波振动能量来加热缝合线保持器并且实现缝合线保持器的部分彼此和/或缝合线的结合。身体组织的部分可以彼此压制成线性组合，并且通过缝合线和缝线保持器之间的协作保持在适当位置。缝合线保持器可以包括缝合线延伸在其之间的一个或多个部分。缝合线保持器可以包括具有结合在一起的表面区域的部分。如果需要，缝合线可以缠绕在缝合线保持器的一个部分上。缝合线保持器可以形成有其中接收缝合线的凹部。如果需要，可以省略缝合线保持器并且将缝合线的部分彼此粘结。

8. 发明授权

US07879072B2 Method for implanting a flowable fastener 有权
标题翻译：植入可流动紧固件的方法
公开(公告)号：US07879072B2
公开(公告)日：2011-02-01
申请号：US11443934
申请日：2006-05-31
申请人： Peter M. Bonutti , Matthew J. Cremens , Ping Liu
发明人： Peter M. Bonutti , Matthew J. Cremens , Ping Liu
IPC分类号： A61B17/04
CPC分类号： A61B17/0487 , A61B2017/0445 , A61B2017/045 , A61B2017/0454 , A61B2017/0456 , A61B2017/0464 , A61B2017/0488 , A61B2017/0496
摘要： The present invention provides a method for securing an implant in the human body. The method includes providing a fastener having a substantially smooth outer surface and a conical shaped portion having a first end and a tapered end. The fastener is made of a polymeric material. The method also includes inserting the fastener in the body with the tapered end of the conical shaped portion leading the first end, heating the polymeric material of the fastener in the body, and applying pressure to the polymeric material of the fastener while heating to cause the polymeric material to flow in the body. Furthermore, the method includes collapsing the fastener with the heat and pressure to thereby secure the fastener relative to tissue in the body.
摘要翻译：本发明提供一种用于将植入物固定在人体内的方法。该方法包括提供具有基本平滑的外表面的紧固件和具有第一端和锥形端部的圆锥形部分。紧固件由聚合材料制成。该方法还包括将紧固件插入本体中，锥形部分的锥形端引导第一端，加热紧固件在体内的聚合材料，并在加热时向紧固件的聚合材料施加压力，从而使聚合材料在体内流动。此外，该方法包括使紧固件以热和压力塌缩，从而相对于身体中的组织固定紧固件。

9. 发明授权

US07147652B2 Method and apparatus for securing a suture 有权
公开(公告)号：US07147652B2
公开(公告)日：2006-12-12
申请号：US10235576
申请日：2002-09-05
申请人： Peter M. Bonutti , Matthew J. Cremens , Ping Liu
发明人： Peter M. Bonutti , Matthew J. Cremens , Ping Liu
IPC分类号： A61B17/04
CPC分类号： A61B17/0487 , A61B2017/0445 , A61B2017/045 , A61B2017/0454 , A61B2017/0456 , A61B2017/0458 , A61B2017/0464 , A61B2017/0488 , A61B2017/0496
摘要： Improved method is provided to secure a suture relative to body tissue. A suture retainer is moved along first and second sections of a suture toward the body tissue. When a predetermined minimum force is being transmitted between the suture retainer and the body tissue, the first and second sections of the suture are gripped with the suture retainer by plastically deforming material of the suture retainer. The material of the suture retainer cold flows under the influence of force applied against the surface areas on the suture retainer. One or more bends are formed in each of the sections of the suture to increase the holding action between the suture retainer and the sections of the suture. The bends may be formed by wrapping a turn of the suture around a portion of the suture retainer. During movement of the suture retainer toward the body tissue, the bends are moved along the first and second sections of the suture.

10. 发明授权

US6010525A Method and apparatus for securing a suture 失效
公开(公告)号：US6010525A
公开(公告)日：2000-01-04
申请号：US905084
申请日：1997-08-01
申请人： Peter M. Bonutti , Matthew J. Cremens , Ping Liu
发明人： Peter M. Bonutti , Matthew J. Cremens , Ping Liu
IPC分类号： A61B17/04
CPC分类号： A61B17/0487 , A61B2017/0445 , A61B2017/045 , A61B2017/0454 , A61B2017/0456 , A61B2017/0458 , A61B2017/0464 , A61B2017/0488 , A61B2017/0496
摘要： Improved method is provided to secure a suture relative to body tissue. A suture retainer is moved along first and second sections of a suture toward the body tissue. When a predetermined minimum force is being transmitted between the suture retainer and the body tissue, the first and second sections of the suture are gripped with the suture retainer by plastically deforming material of the suture retainer. The material of the suture retainer cold flows under the influence of force applied against the surface areas on the suture retainer. One or more bends are formed in each of the sections of the suture to increase the holding action between the suture retainer and the sections of the suture. The bends may be formed by wrapping a turn of the suture around a portion of the suture retainer. During movement of the suture retainer toward the body tissue, the bends are moved along the first and second sections of the suture.

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