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21. 发明申请

WO2006130693A2 KNOTLESS SUTURE ANCHORING DEVICE HAVING DEFORMING SECTION TO ACCOMMODATE SUTURES OF VARIOUS DIAMETERS 审中-公开
标题翻译：具有变形部分以适应各种直径的无缝锚固装置
公开(公告)号：WO2006130693A2
公开(公告)日：2006-12-07
申请号：PCT/US2006021125
申请日：2006-06-01
申请人： ARTHROUCARE CORP , FOERSTER SETH A , VIJAY FRANCIS , WOLOSZKO JEAN
发明人： FOERSTER SETH A , VIJAY FRANCIS , WOLOSZKO JEAN
CPC分类号： A61B17/0401 , A61B17/0487 , A61B2017/0409 , A61B2017/0414 , A61B2017/0417 , A61B2017/045 , A61B2017/0458 , A61B2017/0496 , A61F2/0805 , A61F2/0811 , A61F2002/0835 , A61F2002/0864 , A61F2002/0882 , A61F2002/0888
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. The suturing material between the soft tissue and the bone anchor may be 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 suture return member or path within the bone anchor, tightening the suture and attached soft tissue, and compressing the suture against the bone anchor. The bone anchor may be a tubular body having a lumen with a locking plug that compresses the suture therein. One of the components of the locking structure may include a deformable or flexible section, member, or surface. The locking plug may include a shaft and an enlarged head that interferes with the tubular body to provide a positive stop. An actuation rod attached at a frangible section to the shaft may be manipulated by an external handle during locking of the suture within the bone anchor. 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，其允许完全位于皮质骨表面下方的缝合线附着。可以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围绕骨锚固件内的缝合线返回构件或路径的一段缝合线，使缝合线和附接的软组织紧固，以及将缝合线压靠骨锚。骨锚可以是具有内腔的管状体，其具有在其中压缩缝合线的锁定塞。锁定结构的部件之一可包括可变形或柔性部分，部件或表面。锁定塞可以包括轴和扩大的头部，其干扰管状体以提供止挡。在锁定缝合线在骨锚固体内时，可以通过外部手柄来操纵在易碎部分处连接到轴的致动杆。骨锚还可以包括用于将自身固定在骨腔内的锁定结构。

22. 发明申请

WO2006116558A2 DEVICE AND METHODS FOR ENDOSCOPIC ANNULOPLASTY 审中-公开
标题翻译：内窥镜放射治疗仪器及方法
公开(公告)号：WO2006116558A2
公开(公告)日：2006-11-02
申请号：PCT/US2006/015941
申请日：2006-04-25
申请人： EVALVE, INC. , ST. GOAR, Frederick , FANN, James , DEEM, Mark , GIFFORD III, Hanson , DIECK, Martin , MARTIN, Brian, B. , FAN, Sylvia , GOLDFARB, Eric , DELL, Kent , POWELL, Ferolyn
发明人： ST. GOAR, Frederick , FANN, James , DEEM, Mark , GIFFORD III, Hanson , DIECK, Martin , MARTIN, Brian, B. , FAN, Sylvia , GOLDFARB, Eric , DELL, Kent , POWELL, Ferolyn
IPC分类号： A61B19/00
CPC分类号： A61B17/00234 , A61B17/0487 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/07207 , A61B17/08 , A61B17/29 , A61B17/2909 , A61B2017/00243 , A61B2017/00783 , A61B2017/00867 , A61B2017/0409 , A61B2017/0417 , A61B2017/045 , A61B2017/0474 , A61B2017/0488 , A61B2017/0496 , A61B2017/06052 , A61B2017/06076 , A61B2017/06171 , A61B2017/0641 , A61B2017/0649 , A61B2017/088 , A61B2017/2905 , A61B2017/2927 , A61B2017/2932 , A61B2017/2944 , A61B2017/2946 , A61B2017/306 , A61F2/2427 , A61F2/2445 , A61F2/2466 , A61M25/0147 , A61M25/0152
摘要： The methods, devices, and systems are provided for performing endovascular repair of atrioventricular and other cardiac valves in the heart. Regurgitation of an atrioventricular valve, particularly a mitral valve, can be repaired by modifying a tissue structure selected from the valve leaflets, the valve annulus, the valve chordae, and the papillary muscles. These structures may be modified by suturing, stapling, snaring, or shortening, using interventional tools which are introduced to a heart chamber. The tissue structures can be temporarily modified prior to permanent modification. For example, opposed valve leaflets may be temporarily grasped and held into position prior to permanent attachment. In one aspect, a structure is deployed in a gutter region of the valve annulus to modify the shape of the valve.
摘要翻译：提供的方法，装置和系统用于执行心脏中房室结和其他心脏瓣膜的血管内修复。房室瓣，特别是二尖瓣的反流可以通过修改选自瓣膜小叶，瓣膜环，瓣膜腱索和乳头肌的组织结构来修复。这些结构可以通过使用引入心脏室的介入工具通过缝合，缝合，痉挛或缩短来改变。组织结构可以在永久性修改之前暂时修改。例如，相对的瓣叶可以在永久性附着之前被暂时抓住并保持就位。在一个方面，结构被布置在阀环的沟槽区域中以改变阀的形状。

23. 发明申请

WO2006088359A1 SECURING ELEMENT 审中-公开
标题翻译：安全元件
公开(公告)号：WO2006088359A1
公开(公告)日：2006-08-24
申请号：PCT/NL2006/000080
申请日：2006-02-16
申请人： LO, Kokbing
发明人： LO, Kokbing
IPC分类号： A61F2/08
CPC分类号： A61B17/0401 , A61B2017/0414 , A61B2017/045 , A61F2/0811 , A61F2002/0829 , A61F2002/0864 , A61F2002/0882 , A61F2250/0073
摘要： A securing element is intended for connecting a ligament to a bone part of a human or animal. The securing element comprises a wire or thread which is intended to be connected to the ligament. A clamping element of the securing element clamps 'at least one part of the wire or thread in a releasable manner, for which purpose the clamping element comprises a first clamping part and a second clamping part. The first clamping part is provided with a conical first surface and the second clamping part is provided with a corresponding conical second surface on a side facing the first clamping part, in order for the at least one part of the ligament coupling element to be clamped between the first and second surfaces . The clamping element can be actuated from outside the bod .
摘要翻译：固定元件用于将韧带连接到人或动物的骨骼部分。固定元件包括旨在连接到韧带的线或线。固定元件的夹持元件以可释放的方式夹紧线或线的至少一部分，为此，夹紧元件包括第一夹紧部和第二夹紧部。第一夹紧部分设置有锥形第一表面，并且第二夹紧部分在面向第一夹持部分的一侧上设置有相应的圆锥形第二表面，以便将韧带耦合元件的至少一部分夹在第一和第二表面。夹紧元件可以从机体外部启动。

24. 发明申请

WO2006011786A1 ORTHOPAEDIC SECURING ASSEMBLY 审中-公开
标题翻译：正确的安全装配
公开(公告)号：WO2006011786A1
公开(公告)日：2006-02-02
申请号：PCT/NL2005/000522
申请日：2005-07-19
申请人： GLASTRA, Hendrik
发明人： GLASTRA, Hendrik
IPC分类号： A61F2/08
CPC分类号： A61F2/0811 , A61B2017/044 , A61B2017/045 , A61B2017/0496 , A61F2002/0829 , A61F2002/0882 , A61F2250/0007 , A61F2250/0012
摘要： The invention provides an assembly of very small dimensions for effecting a connection between a (natural or synthetic) ligament or tendon, on the one hand, and a bone part, on the other hand, comprising a housing whose first end is directed to the ligament and which is to be fixed in the bone part, containing a controllably displaceable carrier which can be coupled to the ligament and interacts with an actuator which can be reached from the second housing end, and having a flexible stretch-free element, the first end of which can be fastened to the free ligament end and the second end of which can be inserted into the second housing end, can be guided around the displaceable carrier in a U-shaped loop and finally fixed to the housing.
摘要翻译：本发明提供了一种非常小的尺寸的组件，用于实现（天然或合成）韧带或腱（一方面）与骨部分之间的连接，另一方面，组合件包括其第一端被引导到韧带的壳体并且其将固定在骨部分中，其包含可控制位移的载体，其可以连接到韧带并与可从第二壳体端到达的致动器相互作用，并且具有柔性无拉伸元件，第一端可以将其固定到自由韧带端部并且其第二端可以插入第二壳体端部中，可以以U形环路围绕可移动的载体被引导并最终固定到壳体。

25. 发明申请

WO2005112784A2 DEVICES AND METHODS FOR LOCKING AND CUTTING A SUTURE IN A MEDICAL PROCEDURE 审中-公开
标题翻译：用于锁定和切割医疗程序的设备和方法
公开(公告)号：WO2005112784A2
公开(公告)日：2005-12-01
申请号：PCT/US2005/016615
申请日：2005-05-12
申请人： ETHICON ENDO-SURGERY, INC. , KUHNS, Jesse, J. , SWAIN, Christopher, Paul , MOSSE, Charles, Alexander , VAKHARIA, Omar, J. , NOBIS, Rudolph, H.
发明人： KUHNS, Jesse, J. , SWAIN, Christopher, Paul , MOSSE, Charles, Alexander , VAKHARIA, Omar, J. , NOBIS, Rudolph, H.
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0467 , A61B17/0469 , A61B17/0487 , A61B17/06166 , A61B2017/0409 , A61B2017/0417 , A61B2017/0445 , A61B2017/045 , A61B2017/0451 , A61B2017/0454 , A61B2017/0458 , A61B2017/0464 , A61B2017/0488 , A61B2017/0496 , A61B2017/06052
摘要： Devices and methods are provided which may be used for suturing, including performing a totally transoral surgical procedure, such as a posterior gastropexy procedure. A suture lock and cut assembly is provided to lock and cut one or more sutures in one motion, which motion can be a non-curved, non rotational linear motion. The suture lock and cut assembly with one or more sutures threaded therethrough may be pushed through, for example, a patient's esophagus and into the stomach by the tip of an endoscope, or alternatively, sized to be fed through the working channel of the endoscope.
摘要翻译：提供了可以用于缝合的装置和方法，包括完成全面的手术操作，例如胃后路手术。提供缝合线锁和切割组件以在一个运动中锁定和切割一个或多个缝合线，该运动可以是非弯曲的非旋转线性运动。具有穿过其中的一个或多个缝合线的缝合线锁定和切割组件可以被推送通过例如患者的食道并且通过内窥镜的尖端被推入胃部，或者可选地尺寸设置成被馈送通过内窥镜的工作通道。

26. 发明申请

WO01097677A2 GRAFT FIXATION USING A SCREW OR PLUG AGAINST SUTURE OR TISSUE 审中-公开
标题翻译：使用螺丝或插头避免或组织的牙齿固定
公开(公告)号：WO01097677A2
公开(公告)日：2001-12-27
申请号：PCT/US2001/019653
申请日：2001-06-20
IPC分类号： A61B17/04 , A61B17/86 , A61B17/88 , A61F2/08 , A61B
CPC分类号： A61F2/0805 , A61B17/0401 , A61B17/864 , A61B17/8645 , A61B17/8875 , A61B2017/0409 , A61B2017/044 , A61B2017/0445 , A61B2017/045 , A61B2017/0458 , A61F2/0811 , A61F2002/0841 , A61F2002/0858 , A61F2002/0888
摘要： A method for securing soft tissue to bone with excellent pull-out strength which does not require the surgeon to tie suture knots to secure the tissue to the bone. A blind hole or socket is created in the bone at the location the graft is to be secured. Preferably, suture is then passed through the graft at desired points. A cannulated driver is pre-loaded with a cannulated plug or screw slidably disposed onto the distal portion of the driver. In a preferred embodiment, a separate piece of suture is passed through the cannula of the driver with a loop end of that suture exposed at the distal end of the driver. The ends of the suture attached to the graft are fed through the suture loop at the end of the driver. Alternatively, the graft itself may be fed through the suture loop, in which case it is not necessary to attach suture through the graft. In another embodiment, the suture loop exposed at the distal end of the cannula of the driver may be omitted, and the sutures attached to the graft may then be fed through the driver cannula from the distal end to position the graft relative to the driver. The driver is inserted into the hole with the screw or plug just outside the hole. Tension is then placed on the suture. Once adequate tension is achieved on the suture, the driver is pressed into the hole, which engages the first thread or bump of the screw or plug on the bone. The screw or plug is then fully advanced into the hole using the driver. When the screw or plug is fully inserted, the suture loop is freed and the driver is removed. The loose ends of the sutures protruding from the anchor site can be cleaned up by clipping them short.
摘要翻译：一种用于将软组织固定到骨头上的方法，具有优异的拔出强度，其不需要外科医生将缝合线结合以将组织固定在骨上。在移植物被固定的位置处，在骨骼中产生盲孔或窝。优选地，缝合线然后在所需点穿过移植物。插管式驾驶员预先装有可滑动地设置在驾驶员的远端部分上的插管或螺钉。在优选实施例中，单独的缝合片穿过驱动器的插管，该缝合线的环形端部露出在驱动器的远端。附着在移植物上的缝合线的末端通过在驱动器末端的缝线环进给。或者，移植物本身可以通过缝线回路进给，在这种情况下，不需要通过移植物连接缝合线。在另一个实施例中，可以省略在驱动器的套管的远端露出的缝合线环，并且然后可以将连接到移植物的缝线从远端进入驱动器套管，以相对于驱动器定位移植物。将驱动器插入孔中，将螺丝或插头插入孔外。然后将张力放在缝合线上。一旦在缝合线上获得足够的张力，则将驾驶员压入孔中，该孔与螺钉或栓塞在骨头上的第一螺纹或凸起接合。然后使用驱动器将螺钉或塞子完全推进到孔中。当螺钉或插头完全插入时，缝合线环被释放并且驱动器被移除。从锚点突出的缝合线的松散端可以通过剪短来清除。

27. 发明申请

WO9835606A3 METHOD AND APPARATUS FOR MINIMALLY INVASIVE PELVIC SURGERY 审中-公开
标题翻译：用于最小的入侵性手术手术的方法和装置
公开(公告)号：WO9835606A3
公开(公告)日：1998-12-10
申请号：PCT/US9803069
申请日：1998-02-13
申请人： BOSTON SCIENT IRELAND LTD , GELLMAN BARRY N , SAUVAGEAU DAVID , BRENNEMAN RODNEY , MORIN ARMAND A , PINTAURO WILLIAM , APPELL RODNEY
发明人： GELLMAN BARRY N , SAUVAGEAU DAVID , BRENNEMAN RODNEY , MORIN ARMAND A , PINTAURO WILLIAM , APPELL RODNEY
IPC分类号： A61B17/00 , A61B17/02 , A61B17/04 , A61B17/06 , A61B17/16 , A61B17/17 , A61B17/34 , A61B17/42 , A61B19/00 , A61M25/08 , A61B
CPC分类号： A61B17/0206 , A61B17/00234 , A61B17/0401 , A61B17/0487 , A61B17/06 , A61B17/06109 , A61B17/1604 , A61B17/1611 , A61B17/1739 , A61B17/1796 , A61B17/3417 , A61B17/3439 , A61B17/4241 , A61B2017/00424 , A61B2017/00557 , A61B2017/00805 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/045 , A61B2017/0451 , A61B2017/0453 , A61B2017/0462 , A61B2017/047 , A61B2090/036 , A61B2090/061
摘要： The invention provides a driver (70) and methods for advancing needles, cannulas (90), and other medical devices through the pubic bone (45). The driver (70) may be used in connection with a driver frame assembly (100) for proper positioning and stabilization of the driver (70), and with other devices for creating a cavity in the urethral floor and for positioning medical devices therein. The invention also provides simple connections (126) for attaching a suture (88) to a device within the cavity in the urethral floor or in the vagina (4), and also for attaching sutures (88) to the pubic bone (45).

28. 发明申请

WO1998011839A1 ADJUSTABLE LENGTH STRAP AND FOOTING FOR LIGAMENT MOUNTING AND METHOD FOR ITS USE 审中-公开
标题翻译：可调节的长度条和用于其重要安装的装置及其使用方法
公开(公告)号：WO1998011839A1
公开(公告)日：1998-03-26
申请号：PCT/US1997016047
申请日：1997-08-29
申请人： MEDICINELODGE, INC.
发明人： MEDICINELODGE, INC. , CHERVITZ, Alan , GOBLE, E., Marlowe , FALLIN, Thomas, Wade
IPC分类号： A61B17/84
CPC分类号： A61B17/0401 , A61B2017/0404 , A61B2017/0414 , A61B2017/045 , A61B2017/0454 , A61B2017/0456 , A61F2/0811 , A61F2002/0829 , A61F2002/087 , A61F2002/0882 , A61F2250/0007
摘要： This invention is a ligament mounting (10) and method for endosteal mounting an end of a ligament graft (21) in a prepared bone tunnel section (26, 27) in a procedure to replace a patient's ligament. The ligament mounting includes a strap (11) and footing (15) combination which may, for some embodiments, be of a material which is absorbed by the patient's body during the healing process. Formed as a straight section, the strap includes a proximal end for passage through the footing, which is to be arranged across a cortex end of the ligament tunnel section, and a distal end for receiving the ligament graft or a suture or sutures (20) connected to the graft end. The strap and footing are formed to allow passage of the strap through the footing in one direction and, by a locking arrangement (13), to prohibit the strap from being pulled back through the footing.
摘要翻译：本发明是一种用于在制备骨隧道部分（26,27）中将韧带移植物（21）的端部固定在替代患者韧带的过程中的韧带安装（10）和方法。韧带安装包括带（11）和基脚（15）组合，在一些实施例中，该组合可以是在愈合过程期间被患者身体吸收的材料。形成为直的部分，所述带包括用于穿过所述基脚的近端，所述近端将被布置在所述韧带隧道部分的皮质端上，以及用于接收所述韧带移植物或缝线或缝合线（20）的远端，连接到移植端。带子和基脚形成为允许带子沿着一个方向通过基脚，并且通过锁定装置（13），以防止带子被拉回通过基脚。

29. 发明申请

WO1998006344A1 METHODS AND APPARATUS FOR PREVENTING MIGRATION OF SUTURES THROUGH TRANSOSSEOUS TUNNELS 审中-公开
标题翻译：用于防止通过隧道隧道移动的方法和装置
公开(公告)号：WO1998006344A1
公开(公告)日：1998-02-19
申请号：PCT/US1997014006
申请日：1997-08-08
申请人： INNOVASIVE DEVICES, INC.
发明人： INNOVASIVE DEVICES, INC. , MCDEVITT, Dennis , NICHOLSON, James
IPC分类号： A61B17/56
CPC分类号： A61B17/686 , A01B1/222 , A61B17/0401 , A61B17/0467 , A61B17/32053 , A61B17/82 , A61B2017/0403 , A61B2017/0406 , A61B2017/0409 , A61B2017/0414 , A61B2017/0424 , A61B2017/0425 , A61B2017/044 , A61B2017/0445 , A61B2017/045 , A61B2017/0458 , A61B2017/0464 , A61B2090/037 , A61F2/0805 , A61F2/0811 , A61F2002/0835 , A61F2002/0841 , A61F2002/0864 , A61F2002/0882 , Y10S623/902
摘要： This invention is an improved method for attaching soft tissue to bone by passing a suture (26) through an opening (30) in the bone, e.g., a transosseous tunnel, and affixing the soft tissue with the suture (26). The improvement for preventing the suture (26) from migrating through the bone at the end of the opening (30), includes placing an eyelet (32) into an end of the bone opening (30) and passing the suture through the eyelet (32), as well as through the opening in the bone, in order to affix the soft tissue to the bone with the suture (26).
摘要翻译：本发明是一种通过使缝合线（26）穿过骨骼中的开口（30），例如经骨隧道，并且用缝合线（26）固定软组织来将软组织附着到骨骼上的改进方法。用于防止缝合线（26）在开口（30）的端部移动通过骨头的改进包括将孔眼（32）放置在骨头开口（30）的端部中并使缝线穿过孔眼（32）），以及通过骨中的开口，以便用缝合线（26）将软组织粘合到骨头上。

30. 发明申请

WO1994005218A1 DEVICE FOR USE IN SECURING A THREAD 审中-公开
标题翻译：用于保护螺纹的装置
公开(公告)号：WO1994005218A1
公开(公告)日：1994-03-17
申请号：PCT/GB1993001860
申请日：1993-09-03
申请人： UNIVERSITY COLLEGE LONDON , SWAIN, Paul , GONG, Feng , BROWN, Geoffrey, John , MILLS, Timothy, Noel
发明人： UNIVERSITY COLLEGE LONDON
IPC分类号： A61B17/04
CPC分类号： A61B17/0487 , A61B17/0469 , A61B2017/045 , A61B2017/0488 , Y10S227/902
摘要： A device for use in securing a thread in surgery comprises a tube (1) having an overtube (2) at one end thereof for releasably receiving a sleeve (7). The sleeve (7) has a cavity (8) in which a plug (10) is insertable. In use, the thread is trapped between the interior of the cavity (8) and the exterior of the sleeve (7).
摘要翻译：用于固定手术中的螺纹的装置包括管（1），其一端具有外套管（2），用于可释放地容纳套筒（7）。套筒（7）具有可插入插头（10）的空腔（8）。在使用中，螺纹被捕获在空腔（8）的内部和套筒（7）的外部之间。

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