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1. 发明授权

US07090690B2 Devices and methods for repairing soft tissue 有权
标题翻译：用于修复软组织的装置和方法
公开(公告)号：US07090690B2
公开(公告)日：2006-08-15
申请号：US10299171
申请日：2002-11-19
申请人： Seth A. Foerster , Norman S. Gordon , Mark A. Ritchart , Gregory H. Bain , George White
发明人： Seth A. Foerster , Norman S. Gordon , Mark A. Ritchart , Gregory H. Bain , George White
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/042 , A61B2017/0424 , A61B2017/0427 , A61B2017/0435 , A61B2017/0437 , A61B2017/045 , A61B2017/0451 , A61B2017/0453 , A61B2017/0454
摘要： Devices and methods are disclosed for securing soft tissue to bone, and particularly for axially anchoring suture which attaches the soft tissue to adjacent bone structure.
摘要翻译：公开了用于将软组织固定到骨上的装置和方法，特别是用于将软组织附接到相邻骨结构的轴向锚定缝合线。

2. 发明授权

US07637926B2 Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device 失效
标题翻译：使用无缝缝合锚固装置将结缔组织附着于骨的方法和装置
公开(公告)号：US07637926B2
公开(公告)日：2009-12-29
申请号：US11058383
申请日：2005-02-14
申请人： Seth A. Foerster , Norman S. Gordon
发明人： Seth A. Foerster , Norman S. Gordon
IPC分类号： A61B17/04 , A61B17/84 , A61B17/82
CPC分类号： A61B17/0401 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/042 , A61B2017/0427 , A61B2017/0437 , A61B2017/0451 , A61B2017/0454 , A61B2017/0458
摘要： An innovative bone anchor and methods for securing soft tissue, such as tendons, to bone, which permit a suture attachment that lies entirely beneath the cortical bone surface. Advantageously, the suturing material between the soft tissue and the bone anchor is secured without the need for tying a knot. The suture attachment to the bone anchor involves the looping of a length of suture around a pulley within the bone anchor, tightening the suture and attached soft tissue, and clamping the suture within the bone anchor. The bone anchor may be a tubular body having a lumen containing a plurality of suture-locking elements that clamp the suture therein. The locking elements may be thin and C-shaped. One or more locking plugs attached to separable actuation rods displace axially within the lumen and act on the locking elements to displace them radially. A generally uniform passage through the locking elements in their first positions converts to a smaller irregular passage after the locking plug displaces the elements to their second positions, thus effectively clamping the suture. The bone anchor further may include locking structure for securing itself within a bone cavity.
摘要翻译：一种创新的骨锚和用于将软组织（例如肌腱）固定到骨上的方法，其允许完全位于皮层骨表面下方的缝合线附着。有利地，固定软组织和骨锚之间的缝合材料，而不需要捆扎结。与骨锚固件的缝合线附件涉及一段长度的缝合线围绕骨锚固件内的皮带轮的环绕，收紧缝线和附着的软组织，以及将缝合线夹紧在骨锚固体内。骨锚定体可以是具有内腔的管状体，其具有将缝合线夹持在其中的多个缝合线锁定元件。锁定元件可以是薄的和C形的。附接到可分离的致动杆的一个或多个锁定插头在腔内轴向位移并且作用在锁定元件上以使其径向位移。在锁定塞将元件移位到其第二位置之后，通过锁定元件在其第一位置的通常均匀的通道转换成较小的不规则通道，从而有效地夹紧缝合线。骨锚还可以包括用于将自身固定在骨腔内的锁定结构。

3. 发明授权

US07674274B2 Method and apparatus for attaching connective tissues to bone using a cortical bone anchoring device 有权
标题翻译：使用皮质骨锚固装置将结缔组织附着于骨的方法和装置
公开(公告)号：US07674274B2
公开(公告)日：2010-03-09
申请号：US10396886
申请日：2003-03-25
申请人： Seth A. Foerster , Norman S. Gordon
发明人： Seth A. Foerster , Norman S. Gordon
IPC分类号： A61B17/04
CPC分类号： A61F2/0811 , A61B17/0401 , A61B2017/0409 , A61B2017/0414 , A61B2017/0458 , A61F2/0805 , A61F2002/0835 , A61F2002/0864 , A61F2002/0888
摘要： A bone anchor device for attaching connective tissue to bone comprises a disk adapted for insertion into a portion of bone to which the connective tissue is to be attached. The disk is movable between a bent orientation for presenting a smaller cross-section and an expanded orientation for presenting a larger cross-section. The bent orientation is utilized for inserting the disk through a small hole into a region of cancellous bone beneath the cortical bone layer, after which the disk is actuated to its expanded orientation so that it will be permanently anchored in the cancellous bone, as it will be too large to return proximally through the hole in the cortical bone layer. Two embodiments are disclosed. In a first embodiment, the disk is initially formed in the expanded orientation, of spring steel. In a second embodiment, the disk is initially formed in the bent orientation, and spring steel is not required.
摘要翻译：用于将结缔组织附着于骨的骨锚设备包括适于插入到要连接结缔组织的一部分骨的盘。盘可以在用于呈现较小横截面的弯曲取向和用于呈现较大横截面的展开方向之间移动。弯曲的方向用于将盘穿过小孔插入皮质骨层下面的松质骨区域，之后将盘驱动到其扩张的方向，使得其永久地锚定在松质骨中，因为它将太大，不能通过皮质骨层中的孔向近端返回。公开了两个实施例。在第一实施例中，盘最初以弹性钢的膨胀方向形成。在第二实施例中，盘最初以弯曲取向形成，并且不需要弹簧钢。

4. 发明授权

US06855157B2 Method and apparatus for attaching connective tissues to bone using a knotless suture anchoring device 有权
标题翻译：使用无缝缝合锚固装置将结缔组织附着于骨的方法和装置
公开(公告)号：US06855157B2
公开(公告)日：2005-02-15
申请号：US10067164
申请日：2002-02-04
申请人： Seth A. Foerster , Norman S. Gordon
发明人： Seth A. Foerster , Norman S. Gordon
IPC分类号： A61B17/56 , A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/042 , A61B2017/0427 , A61B2017/0437 , A61B2017/0451 , A61B2017/0454 , A61B2017/0458
摘要： An innovative bone anchor and methods for securing soft tissue, such as tendons, to bone, which permit a suture attachment that lies entirely beneath the cortical bone surface. Advantageously, the suturing material between the soft tissue and the bone anchor is secured without the need for tying a knot. The suture attachment to the bone anchor involves the looping of a length of suture around a pulley within the bone anchor, tightening the suture and attached soft tissue, and clamping the suture within the bone anchor. The bone anchor may be a tubular body having a lumen containing a plurality of suture-locking elements that clamp the suture therein. The locking elements may be thin and C-shaped. One or more locking plugs attached to separable actuation rods displace axially within the lumen and act on the locking elements to displace them radially. A generally uniform passage through the locking elements in their first positions converts to a smaller irregular passage after the locking plug displaces the elements to their second positions, thus effectively clamping the suture. The bone anchor further may include locking structure for securing itself within a bone cavity.
摘要翻译：一种创新的骨锚和用于将软组织（例如肌腱）固定到骨上的方法，其允许完全位于皮层骨表面下方的缝合线附着。有利地，固定软组织和骨锚之间的缝合材料，而不需要捆扎结。与骨锚固件的缝合线附件涉及一段长度的缝合线围绕骨锚固件内的皮带轮的环绕，收紧缝线和附着的软组织，以及将缝合线夹紧在骨锚固体内。骨锚定体可以是具有内腔的管状体，其具有将缝合线夹持在其中的多个缝合线锁定元件。锁定元件可以是薄的和C形的。附接到可分离的致动杆的一个或多个锁定插头在腔内轴向位移并且作用在锁定元件上以使其径向位移。在锁定塞将元件移位到其第二位置之后，通过锁定元件在其第一位置的通常均匀的通道转换成较小的不规则通道，从而有效地夹紧缝合线。骨锚还可以包括用于将自身固定在骨腔内的锁定结构。

5. 发明授权

US06660008B1 Method and apparatus for attaching connective tissues to bone using a suture anchoring device 有权
公开(公告)号：US06660008B1
公开(公告)日：2003-12-09
申请号：US09876341
申请日：2001-06-07
申请人： Seth A. Foerster , Minh Tran , Norman S. Gordon
发明人： Seth A. Foerster , Minh Tran , Norman S. Gordon
IPC分类号： A61B1756
CPC分类号： A61B17/0401 , A61B2017/00004 , A61B2017/0412 , A61B2017/0414 , A61B2017/042 , A61B2017/0438 , A61B2017/0458 , A61B2090/037 , A61F2/0811 , A61F2002/0888
摘要： A bone anchor and methods for using same to secure connective tissue, such as tendons, to bone are disclosed which permit a suture attachment that lies entirely beneath the cortical bone surface. The bone anchor of the invention incorporates a deformable body that creates an increased anchor body diameter after it is inserted into the cancellous bone and deployed beneath the cortical surface of the bone. The increased body diameter, by virtue of its intrinsic geometry, creates both axial and rotational fixation of the bone anchor or suture fixation point.

6. 发明授权

US06547800B2 Method and apparatus for attaching connective tissues to bone using a cortical bone anchoring device 有权
公开(公告)号：US06547800B2
公开(公告)日：2003-04-15
申请号：US09876260
申请日：2001-06-06
申请人： Seth A. Foerster , Norman S. Gordon
发明人： Seth A. Foerster , Norman S. Gordon
IPC分类号： A61B1704
CPC分类号： A61F2/0811 , A61B17/0401 , A61B2017/0409 , A61B2017/0414 , A61B2017/0458 , A61F2/0805 , A61F2002/0835 , A61F2002/0864 , A61F2002/0888
摘要： A bone anchor device for attaching connective tissue to bone comprises a disk adapted for insertion into a portion of bone to which the connective tissue is to be attached. The disk is movable between a bent orientation for presenting a smaller cross-section and an expanded orientation for presenting a larger cross-section. The bent orientation is utilized for inserting the disk through a small hole into a region of cancellous bone beneath the cortical bone layer, after which the disk is actuated to its expanded orientation so that it will be permanently anchored in the cancellous bone, as it will be too large to return proximally through the hole in the cortical bone layer. Two embodiments are disclosed. In a first embodiment, the disk is initially formed in the expanded orientation, of spring steel. In a second embodiment, the disk is initially formed in the bent orientation, and spring steel is not required.

7. 发明授权

US06770084B1 Suture capture device 有权
标题翻译：缝合线捕获装置
公开(公告)号：US06770084B1
公开(公告)日：2004-08-03
申请号：US10308732
申请日：2002-12-03
申请人： Gregory H. Bain , Norman S. Gordon
发明人： Gregory H. Bain , Norman S. Gordon
IPC分类号： A61B1704
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/0485 , A61B17/06066 , A61B17/29 , A61B2017/0472 , A61B2017/06009 , A61B2017/06019 , A61B2017/06042 , A61B2017/2926
摘要： A suturing instrument for placing mattress stitches in soft tissue, such as a rotator cuff, includes an elongate shaft with both a stationary jaw and a movable jaw disposed at the distal end thereof. The shaft is coupled to a handle grip at the proximal end, which is configured to manipulate the jaws into open and closed positions. The jaws are configured to allow for atraumatic grasping of soft tissues. The stationary jaw may include a molded tip that holds and positions opposite ends of a single strand of suture material. The serrated upper jaw is configured to grasp and immobilize the tissue to be sutured. Hooked needles are movably positioned to pierce the grasped and immobilized tissues, and to engage and retrieve the opposite ends of the single strand of suture material. The handle is released to open the moveable jaw, whereupon the instrument may be withdrawn, trailing the suture, and leaving a mattress stitch in the grasped tissue.
摘要翻译：用于将软垫组织中的床垫针迹（例如肩袖）的缝合器具包括具有设置在其远端处的固定夹爪和可动夹爪的细长轴。所述轴联接到近端处的手柄把手，其构造成将钳口操纵到打开和关闭位置。钳口构造成允许软组织的无创抓取。固定颚可以包括模制顶端，其保持并定位单股缝合材料的相对端。锯齿状上颚构造成抓住并固定要缝合的组织。钩针可移动地定位成刺穿被抓握和固定的组织，并且接合和取回单股缝合材料的相对端。手柄被释放以打开可移动的下颚，于是该器械可以被撤回，在缝合线之后，并在被抓取的组织中留下床垫针迹。

8. 发明授权

US07879048B2 Suture capture device 有权
标题翻译：缝合线捕获装置
公开(公告)号：US07879048B2
公开(公告)日：2011-02-01
申请号：US10856716
申请日：2004-05-28
申请人： Gregory H. Bain , Norman S. Gordon
发明人： Gregory H. Bain , Norman S. Gordon
IPC分类号： A61B17/04 , A61B17/12
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/0485 , A61B17/06066 , A61B17/29 , A61B2017/0472 , A61B2017/06009 , A61B2017/06019 , A61B2017/06042 , A61B2017/2926
摘要： A suturing instrument for placing mattress stitches in soft tissue, such as a rotator cuff, includes an elongate shaft with both a stationary jaw and a movable jaw disposed at the distal end thereof. The shaft is coupled to a handle grip at the proximal end, which is configured to manipulate the jaws into open and closed positions. The jaws are configured to allow for a traumatic grasping of soft tissues. The stationary jaw may include a molded tip that holds and positions opposite ends of a single strand of suture material. The serrated upper jaw is configured to grasp and immobilize the tissue to be sutured. Hooked needles are movably positioned to pierce the grasped and immobilized tissues, and to engage and retrieve the opposite ends of the single strand of suture material. The handle is released to open the moveable jaw, whereupon the instrument may be withdrawn, trailing the suture, and leaving a mattress stitch in the grasped tissue.
摘要翻译：用于将软垫组织中的床垫针迹（例如肩袖）的缝合器具包括具有设置在其远端处的固定夹爪和可动夹爪的细长轴。所述轴联接到近端处的手柄把手，其构造成将钳口操纵到打开和关闭位置。钳口构造成允许对软组织的创伤性抓握。固定颚可以包括模制顶端，其保持并定位单股缝合材料的相对端。锯齿状上颚构造成抓住并固定要缝合的组织。钩针可移动地定位成刺穿被抓握和固定的组织，并且接合和取回单股缝合材料的相对端。手柄被释放以打开可移动的下颚，于是该器械可以被撤回，在缝合线之后，并在被抓取的组织中留下床垫针迹。

9. 发明授权

US08834495B2 Independent suture tensioning and snaring apparatus 有权
公开(公告)号：US08834495B2
公开(公告)日：2014-09-16
申请号：US12487352
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 , A61B17/12 , 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.

10. 发明申请

US20090326564A1 INDEPENDENT SUTURE TENSIONING AND SNARING APPARATUS 有权
公开(公告)号：US20090326564A1
公开(公告)日：2009-12-31
申请号：US12487389
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
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.

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