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1. 发明申请

US20070233128A1 Method and apparatus for ACL reconstruction using retrograde cutter 有权
标题翻译：使用逆行切割器进行ACL重建的方法和装置
公开(公告)号：US20070233128A1
公开(公告)日：2007-10-04
申请号：US11598093
申请日：2006-11-13
申请人： Reinhold Schmieding , Jeffrey Wyman
发明人： Reinhold Schmieding , Jeffrey Wyman
IPC分类号： A61B17/00
CPC分类号： A61B17/00234 , A61B17/0401 , A61B17/0485 , A61B17/1617 , A61B17/1675 , A61B17/1714 , A61B17/1764 , A61B17/32002 , A61B2017/0404 , A61B2017/320032 , A61B2090/062
摘要： A method and apparatus for anterior cruciate ligament (ACL) reconstruction using holes in bone created by retrograde cutting. A rotary cutter, mounted onto an insertion post of a tibial guide, is inserted through an anteromedial portal and the rotary cutter placed on the anatomical origin of an ACL tibial insertion. A drill pin is drilled through the tibia and advanced until it contacts and engages a cannulation in the rotary cutter on the guide. Further rotation of the drill pin disengages the rotary cutter from the guide. The retrograde drill pin is then retracted and simultaneously rotated for retrograde cutting of a socket or tunnel of desired depth in the tibia. A strand is passed through the cannulation of the drill pin into the joint. The end of the strand is retrieved from the anteromedial portal and a loop formed for subsequent graft installation. A similar technique is used to form a socket or tunnel in the femur except that a femur guide is used in place of the tibial guide. A graft of appropriate length is pulled through the anteromedial portal by the loops formed in the strands and the ends of the graft are drawn into the femoral and tibial sockets. The reconstruction is completed by securing the graft ends.
摘要翻译：一种使用逆行切割产生的骨中的孔的前交叉韧带（ACL）重建的方法和装置。安装在胫骨引导件的插入柱上的旋转切割器通过前内侧入口插入并且旋转刀具放置在ACL胫骨插入的解剖起点上。钻头穿过胫骨钻出并前进，直到其接触并与引导件上的旋转切割器中的插管接合。钻销的进一步旋转使旋转切割器与引导件脱离接触。逆行钻销然后缩回并同时旋转以逆行切割胫骨中所需深度的插座或隧道。股线穿过钻销的插管进入关节。股线的末端从前内侧门静脉取出，并形成一个循环用于随后的移植物安装。使用类似的技术在股骨中形成插座或隧道，除了使用股骨导向件代替胫骨引导件。将适当长度的移植物通过形成在股线中的环被牵引通过前内侧入口，并将移植物的端部拉入股骨和胫骨插槽。通过固定移植物端部完成重建。

2. 发明授权

US07063717B2 Biointerference screw fixation technique 有权
公开(公告)号：US07063717B2
公开(公告)日：2006-06-20
申请号：US10256076
申请日：2002-09-27
申请人： Patrick St. Pierre , Jeffrey Wyman , Reinhold Schmieding , Philip S. O'Quinn
发明人： Patrick St. Pierre , Jeffrey Wyman , Reinhold Schmieding , Philip S. O'Quinn
IPC分类号： A61B17/04
CPC分类号： A61F2/0805 , A61B17/8875 , A61F2/0811 , Y10S606/908 , Y10S606/916
摘要： Endosteal fixation of a ligament graft with an interference fixation device installed in a retrograde manner in ACL reconstruction is disclosed. The interference fixation device may be a screw or a ribbed implant fitted with a length of reinforced suture or wire for pulling the interference fixation device through the tibial tunnel. The suture extends beyond the leading tip of the interference fixation device a sufficient length to allow the interference fixation device to be passed into the joint by pulling on the suture or wire exiting the tibial tunnel. A driver or an impaction device, such as a slap hammer, is employed to advance and insert the interference fixation device in a retrograde manner into the tibial tunnel. Accordingly, interference fixation of the graft near the tibial plateau is provided, thereby eliminating graft abrasion at the tibial plateau tunnel opening.

3. 发明授权

US06461373B2 Biointerference screw fixation technique 有权
公开(公告)号：US06461373B2
公开(公告)日：2002-10-08
申请号：US09864258
申请日：2001-05-25
申请人： Jeffrey Wyman , Reinhold Schmieding , Philip S. O'Quinn
发明人： Jeffrey Wyman , Reinhold Schmieding , Philip S. O'Quinn
IPC分类号： A61B1700
CPC分类号： A61F2/0805 , A61B17/8875 , A61F2/0811 , Y10S606/916
摘要： Endosteal fixation of a ligament graft with an interference fixation device installed in a retrograde manner is disclosed. An interference screw is installed at the top of the tibial tunnel, through the tibial plateau, in a procedure for ACL reconstruction. The interference screw is fitted with a length of suture for pulling the screw onto a driver placed through the tibial tunnel. The suture is secured to the screw using a knot, an adhesive, insert molding, and equivalents. The suture extends beyond the leading tip of the screw a sufficient length to allow the screw to be passed into the joint by pulling on the suture exiting the tibial tunnel. A driver fits into a drive opening in the leading front end of the screw. Turning the driver advances the screw in a retrograde manner into the tunnel. Accordingly, interference fixation of the graft near the tibial plateau is provided, thereby eliminating graft abrasion at the tibial plateau tunnel opening.

4. 发明授权

US08668738B2 Method and apparatus for ACL reconstruction using retrograde cutter 有权
标题翻译：使用逆行切割器进行ACL重建的方法和装置
公开(公告)号：US08668738B2
公开(公告)日：2014-03-11
申请号：US11598093
申请日：2006-11-13
申请人： Reinhold Schmieding , Jeffrey Wyman
发明人： Reinhold Schmieding , Jeffrey Wyman
IPC分类号： A61F2/08 , A61F2/00
CPC分类号： A61B17/00234 , A61B17/0401 , A61B17/0485 , A61B17/1617 , A61B17/1675 , A61B17/1714 , A61B17/1764 , A61B17/32002 , A61B2017/0404 , A61B2017/320032 , A61B2090/062
摘要： A method and apparatus for anterior cruciate ligament (ACL) reconstruction using sockets in bone created by retrograde cutting. A retrograde rotary cutter, inserted onto an insertion post of a tibial guide, is inserted through an anteromedial portal and the rotary cutter placed on the anatomical origin of an ACL tibial insertion. A retrograde drill pin, guided by a drill guide, is drilled through the tibia until it contacts the rotary cutter. Once the cutter is disengaged from the guide and securely engaged in the retrograde drill pin, the retrograde drill pin is retracted for retrograde cutting of a socket of desired depth in the tibia.
摘要翻译：一种用于通过逆行切割产生的骨中插槽进行前十字韧带（ACL）重建的方法和装置。插入到胫骨引导件的插入柱上的逆行旋转切割器插入通过前内侧入口并且旋转切割器放置在ACL胫骨插入的解剖起点上。通过胫骨钻出由钻子引导器引导的逆行钻销，直到其与旋转切割器接触。一旦切割器从引导件脱离并且牢固地接合在逆行钻销中，则逆行钻销被缩回以逆行切割胫骨中期望深度的插座。

5. 发明申请

US20090265004A1 RETROGRADE FIXATION TECHNIQUE WITH INSERT-MOLDED INTERFERENCE SCREW 审中-公开
标题翻译：具有插入式干涉螺钉的重新定位技术
公开(公告)号：US20090265004A1
公开(公告)日：2009-10-22
申请号：US12490193
申请日：2009-06-23
申请人： Craig D. Morgan , Jeffrey Wyman , Reinhold Schmieding , Philip S. O'Quinn
发明人： Craig D. Morgan , Jeffrey Wyman , Reinhold Schmieding , Philip S. O'Quinn
IPC分类号： A61F2/08
CPC分类号： A61B17/8875 , A61F2/0805 , A61F2/0811
摘要： Endosteal fixation of a ligament graft with a bioabsorbable interference screw installed in a retrograde manner in ACL reconstruction. The bioabsorbable interference screw is insert-molded with a length of suture extending from the distal tip of the screw for pulling the interference screw into the joint and into position for retrograde insertion at the top of the tibial tunnel. The interference screw has a cannulation extending partially through the screw from the leading tip. The cannulation is shaped to receive a correspondingly shaped driver. The driver is inserted into the tibial tunnel to engage the screw. By turning the driver, the interference screw is turned into the tibial tunnel in a retrograde manner. Accordingly, interference fixation of the graft near the tibial plateau is provided, thereby eliminating graft abrasion at the tibial plateau tunnel opening.
摘要翻译：在ACL重建中以逆行方式安装具有生物可吸收的干涉螺钉的韧带移植物的内固定固定。生物可吸收的干涉螺钉被插入模制，其中一段长度的缝合线从螺钉的远端延伸，用于将干涉螺丝拉入关节并进入到胫骨隧道顶部逆行插入的位置。干涉螺钉具有从前端部分地穿过螺钉延伸的插管。插管被成形为接收相应形状的驱动器。将驱动器插入胫骨隧道以接合螺钉。通过转动驱动器，干涉螺钉以逆行方式转入胫骨隧道。因此，提供了在胫骨平台附近的移植物的干涉固定，从而消除了胫骨平台隧道开口处的移植物磨损。

6. 发明授权

US07556638B2 Retrograde fixation technique with insert-molded interference screw 有权
标题翻译：具有嵌入式干涉螺钉的逆行固定技术
公开(公告)号：US07556638B2
公开(公告)日：2009-07-07
申请号：US10358192
申请日：2003-02-05
申请人： Craig D. Morgan , Jeffrey Wyman , Reinhold Schmieding , Philip S. O'Quinn
发明人： Craig D. Morgan , Jeffrey Wyman , Reinhold Schmieding , Philip S. O'Quinn
IPC分类号： A61B17/04
CPC分类号： A61B17/8875 , A61F2/0805 , A61F2/0811
摘要： Endosteal fixation of a ligament graft with a bioabsorbable interference screw installed in a retrograde manner in ACL reconstruction. The bioabsorbable interference screw is insert-molded with a length of suture extending from the distal tip of the screw for pulling the interference screw into the joint and into position for retrograde insertion at the top of the tibial tunnel. The interference screw has a cannulation extending partially through the screw from the leading tip. The cannulation is shaped to receive a correspondingly shaped driver. The driver is inserted into the tibial tunnel to engage the screw. By turning the driver, the interference screw is turned into the tibial tunnel in a retrograde manner. Accordingly, interference fixation of the graft near the tibial plateau is provided, thereby eliminating graft abrasion at the tibial plateau tunnel opening.
摘要翻译：在ACL重建中以逆行方式安装具有生物可吸收的干涉螺钉的韧带移植物的内固定固定。生物可吸收的干涉螺钉被插入模制，其中一段长度的缝合线从螺钉的远端延伸，用于将干涉螺丝拉入关节并进入到胫骨隧道顶部逆行插入的位置。干涉螺钉具有从前端部分地穿过螺钉延伸的插管。插管被成形为接收相应形状的驱动器。将驱动器插入胫骨隧道以接合螺钉。通过转动驱动器，干涉螺丝以逆行方式转入胫骨隧道。因此，提供了在胫骨平台附近的移植物的干涉固定，从而消除了胫骨平台隧道开口处的移植物磨损。

7. 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。

8. 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.

9. 发明授权

US09060768B2 Tissue fixator 有权
标题翻译：组织固定器
公开(公告)号：US09060768B2
公开(公告)日：2015-06-23
申请号：US13249449
申请日：2011-09-30
申请人： Michael Charles Ferragamo , Jeffrey Wyman , Alfred Rodrique Berune, Jr. , Michael James Perriello , Gary Robert McCarthy
发明人： Michael Charles Ferragamo , Jeffrey Wyman , Alfred Rodrique Berune, Jr. , Michael James Perriello , Gary Robert McCarthy
IPC分类号： A61B17/06 , A61B17/04 , A61F2/08
CPC分类号： A61F2/0811 , A61B17/0401 , A61B17/06004 , A61B2017/0404 , A61B2017/0417 , A61B2017/06019 , A61B2017/0608 , A61B2017/061 , A61F2002/0852
摘要： The present disclosure relates to a needle for attaching a fixator to a soft tissue graft. The needle includes a pointed distal end and a proximal end, the proximal end including a suture coupler, the suture coupler including a hook and a pocket formed by the hook, wherein the needle is curved along an entire length of the needle. A fixator for use with the needle and method of fixating a soft tissue graft to a bone is also disclosed.
摘要翻译：本公开涉及一种用于将固定器附接到软组织移植物的针。针包括尖锐的远端和近端，近端包括缝合线耦合器，缝合线耦合器包括钩和由钩形成的口袋，其中针沿针的整个长度弯曲。还公开了一种用于针头的固定器和将软组织移植物固定在骨上的方法。

10. 发明授权

US08840644B2 Toggle bolt suture anchor 有权
标题翻译：切换螺栓缝合锚
公开(公告)号：US08840644B2
公开(公告)日：2014-09-23
申请号：US13070692
申请日：2011-03-24
申请人： Anthony P. Napolitano , Jeffrey Wyman
发明人： Anthony P. Napolitano , Jeffrey Wyman
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0483 , A61B2017/0404 , A61B2017/0409 , A61B2017/0411 , A61B2017/0414 , A61B2017/0417 , A61B2017/0496
摘要： In one embodiment, the present invention may include a system for securing soft tissue relative to a bone including a tissue anchor having a substantially planar body having a channel and at least one bore hole; an inserter rod having a longitudinal length and adapted to be positioned within the channel of the tissue anchor; and an engagement structure on at least one of the channel or the inserter rod adapted to removeably affix the tissue anchor to the inserter rod.
摘要翻译：在一个实施例中，本发明可以包括用于相对于骨头固定软组织的系统，该系统包括具有基本上平坦的主体的组织锚固体，该主体具有通道和至少一个钻孔; 插入杆，具有纵向长度并适于定位在组织锚的通道内; 以及在所述通道或所述插入杆中的至少一个上的接合结构，其适于将所述组织锚固件可移除地固定到所述插入杆上。

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