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1. 发明申请

WO1996027333A1 APPARATUS AND METHODS FOR ARTICULAR CARTILAGE DEFECT REPAIR 审中-公开
标题翻译：装置和方法用于牙齿缺损修复
公开(公告)号：WO1996027333A1
公开(公告)日：1996-09-12
申请号：PCT/US1996001923
申请日：1996-02-08
申请人： INNOVASIVE DEVICES, INC.
发明人： INNOVASIVE DEVICES, INC. , HART, Rickey, D. , BARBER, F., Alan , CHOW, James, C.
IPC分类号： A61B17/16
CPC分类号： A61B17/32053 , A61B17/1637 , A61B17/1675 , A61F2/30756 , A61F2/3859 , A61F2/4601 , A61F2/4618 , A61F2002/2839 , A61F2002/30224 , A61F2002/30759 , A61F2002/30764 , A61F2002/4627 , A61F2002/4649 , A61F2230/0069
摘要： A bone plug removal tool (30) is described. The tool (30) includes a cylindrical cutting element (32) having an external surface (34) and having an internal surface (36) defining an internal bore (38) extending along a longitudinal axis (40) of the cutting element (32) from a proximal end (42) to a distal end (43). A cutting tooth (44) is located at the proximal end (42) of the cutting element (32) and extends into the internal bore (38). A replaceable outer cylindrical sheath (48) is arranged concentrically around the external surface (34) of the cylindrical cutting element (32). A bone plug emplacement tool (80) to be used in conjunction with the removal tool (30) is also disclosed. The emplacement tool (80) includes a cylindrical element (82) having an internal surface (84) defining an internal bore (86) extending along a longitudinal axis (87) of the element (82) from a proximal end (88). The internal surface (84) further defines an internal step (90) adjacent a distal end (92) of the element (82). A stem is disposed for coaxial movement within the element (82), the stem (94) having a proximal end disposed within the internal bore (86). A shoulder (98) is defined in the stem (94) for mating engagement within the internal distal step (90) of the element (82) in order to limit distal movement of the stem (94) within the internal bore (86). A kit incorporating the various tools is disclosed. The kit, for repair of an articular cartilage (112), includes the bone plug removal tool (30) of the invention, an elongated plunger (70) for insertion into the proximal end (42) of the cutting element (32) and for coaxial movement within it, the plunger (70) for displacing a bone plug (78, 118) from the distal end (43) of cutting element (32) and the bone plug emplacement tool (80) of the invention. Kits may also include a drill bit containing a depth stop. A method of repairing a defective articular cartilage is also described.
摘要翻译：描述了骨插头移除工具（30）。工具（30）包括具有外表面（34）并且具有限定沿切割元件（32）的纵向轴线（40）延伸的内孔（38）的内表面（36）的圆柱形切割元件（32）从近端（42）到远端（43）。切割齿（44）位于切割元件（32）的近端（42）处并延伸到内孔（38）中。可替换的外圆柱形护套（48）围绕圆柱形切割元件（32）的外表面（34）同心地布置。还公开了与去除工具（30）一起使用的骨插入工具（80）。放置工具（80）包括具有内表面（84）的圆柱形元件（82），内表面限定从近端（88）沿元件（82）的纵向轴线（87）延伸的内孔（86）。内表面（84）进一步限定与元件（82）的远端（92）相邻的内部台阶（90）。杆设置成在元件（82）内同轴运动，杆（94）具有设置在内孔（86）内的近端。肩部（98）限定在杆（94）中，用于在元件（82）的内部远端步骤（90）内配合接合，以限制杆（94）在内孔（86）内的远端运动。公开了包含各种工具的套件。用于修复关节软骨（112）的试剂盒包括本发明的骨塞移除工具（30），用于插入到切割元件（32）的近端（42）中的细长柱塞（70）用于使骨插头（78,118）从切割元件（32）的远端（43）和本发明的骨插入工具（80）移位的柱塞（70）。套件还可以包括一个包含深度挡块的钻头。还描述了修复有缺陷的关节软骨的方法。

2. 发明申请

WO1994008521A1 SURGICAL INSTRUMENT 审中-公开
标题翻译：手术器械
公开(公告)号：WO1994008521A1
公开(公告)日：1994-04-28
申请号：PCT/US1993009571
申请日：1993-10-07
申请人： INNOVASIVE DEVICES, INC.
发明人： INNOVASIVE DEVICES, INC. , HART, Rickey, D. , WINTERS, Richard, M. , RICE, John, T. , NICHOLSON, James, E.
IPC分类号： A61B17/36
CPC分类号： A61B18/1442 , A61B10/02 , A61B17/0467 , A61B17/0469 , A61B17/320016 , A61B17/3201 , A61B2017/2931 , A61B2018/1253 , A61B2018/1861
摘要： An improved surgical tool of the type comprising a handle (2) having a movable tool-operating handle member (10) and a tool head (6) having a first and second tissue engaging members movable between open and closed positions coupled to the movable handle member (10). The improved tool is characterised by an inner shaft (100) secured to a stationary part of the handle (2), and a hollow outer shaft (104) disposed in telescoping relation to the inner shaft (100), with the tool head (6) being secured to the inner shaft (100) and the outer shaft (104) being movable axially relative to the inner shaft (100) by manipulation of the movable tool-operating member (10) to cause opening and closing of the tissue engaging members.
摘要翻译：一种改进的手术工具，其类型包括具有可移动的工具操作手柄构件（10）的手柄（2）和具有第一和第二组织接合构件的工具头（6），所述第一和第二组织接合构件可在打开和关闭位置之间移动，会员（10）。改进的工具的特征在于固定在手柄（2）的固定部分上的内轴（100）和与工具头（6）相对于内轴（100）伸缩的中空外轴（104））被固定到所述内轴（100）上，并且所述外轴（104）可通过操作所述可移动工具操作构件（10）而相对于所述内轴（100）轴向移动，从而使所述组织接合构件。

3. 发明申请

WO1998022048A1 APPARATUS AND METHODS FOR ANCHORING AUTOLOGOUS OR ARTIFICIAL TENDON GRAFTS IN BONE 审中-公开
标题翻译：骨骼自动或人工腱植入装置及方法
公开(公告)号：WO1998022048A1
公开(公告)日：1998-05-28
申请号：PCT/US1997022061
申请日：1997-11-21
申请人： INNOVASIVE DEVICES, INC. , HART, Rickey, D.
发明人： INNOVASIVE DEVICES, INC.
IPC分类号： A61F02/08
CPC分类号： A61B17/686 , A61F2/0805 , A61F2/0811 , A61F2002/0835 , A61F2002/0852 , A61F2002/087 , A61F2002/0882 , Y10S606/907
摘要： An anchor assembly (12) for autologous or artificial tendon grafts comprises an insertion element (14) and a stabilizing element (15). The insertion element has a stem (20) and a head (21) containing an aperture (13) large enough to receive a graft (10). The stabilizing element (15) is adapted to be embedded in bone, and comprises a sleeve (19) with a cavity (17) arranged to receive and hold the insertion element stem (20). In use, the stabilizing element (15) is affixed in the bone, and the stem (20) of the insertion element (14) is placed therein. A tendon graft (10) may be secured to the insertion element (14) either before or after its placement in the stabilizing element (15). Two such anchors may be linked with one or multiple grafts, in either a two-ply or four-ply arrangement.
摘要翻译：用于自体或人造肌腱移植物的锚固组件（12）包括插入元件（14）和稳定元件（15）。插入元件具有杆（20）和头（21），头部（21）包含足够大以容纳移植物（10）的孔（13）。稳定元件（15）适于嵌入在骨中，并且包括具有空腔（17）的套筒（19），该空腔被布置成接收和保持插入元件杆（20）。在使用中，稳定元件（15）固定在骨中，插入元件（14）的杆（20）放置在其中。腱移植物（10）可以在其放置在稳定元件（15）中之前或之后固定到插入元件（14）。两个这样的锚可以与一个或多个移植物连接，两层或四层布置。

4. 发明申请

WO1996009797A1 SUTURE TENSIONING DEVICE 审中-公开
标题翻译：舒适张力装置
公开(公告)号：WO1996009797A1
公开(公告)日：1996-04-04
申请号：PCT/US1995012236
申请日：1995-09-22
申请人： INNOVASIVE DEVICES, INC.
发明人： INNOVASIVE DEVICES, INC. , HART, Rickey, D. , RICE, John
IPC分类号： A61B17/04
CPC分类号： A61B17/0483 , A61B17/04 , A61B17/0401 , A61B50/33 , A61B90/06 , A61B2017/00805 , A61B2017/0496 , A61B2090/064 , A61B2090/3937
摘要： A suture tensioning device (10) is described that comprises first (12) and second (14) jaws in facing relationship and oriented in parallel to each other. The first (12) and second (14) jaws are disposed in relative slidable engaement so that one of the jaws is adapted for parallel movement towards and away from the other jaw to define a variable gap (13) between them. A suture retainer (38) is engaged with a surface (30) of the second jaw (14) to enable a suture (20) to be tied so that the suture (20) exerts a variable tension on the surface (30) caused by the variable gap (13) between the first (12) and second (14) parallel jaws. Preferably, the first jaw (12) has defined therein a shape (42) designed to engage with a surface (16) from which a suture emanates. Preferably, the device includes two L-shaped elements (24, 25), each element having a shorter (28, 31) and a longer (26, 32) arm in orthogonal relationship. The longer arms (26, 32) of the respective support elements (24, 25) are slidably engaged with each other and adapted for movement from a first position, wherein the shorter arms (28, 31) are in registration and spaced apart from each other, to a second position, where the shorter arms (28, 31) are in registration and are closer together or farther apart than at the first position, so that a variable gap (13) between the shorter arms (28, 31) is defined. A suture retainer is engaged with one (28) of shorter arms and adapted for tying off a suture (20) emanating from a surface (16) and a conforming element (42) is engaged with the other arm (31). Methods for adjustably tensioning a suture (20) and a kit for performing suspension of a tissue (22) are described.
摘要翻译：描述了一种缝合线张紧装置（10），其包括面对关系的第一（12）和第二（14）夹爪并且彼此平行取向。第一（12）和第二（14）钳口设置在相对可滑动的接合处，使得一个钳口适于平行地移动并朝向另一个钳口移动，以在它们之间限定可变间隙（13）。缝合线保持器（38）与第二钳口（14）的表面（30）接合，以使缝合线（20）能够被捆绑，使得缝合线（20）在表面（30）上施加可变张力，该张力由第一（12）和第二（14）平行钳口之间的可变间隙（13）。优选地，第一钳口（12）在其中限定有设计成与缝合线从该表面（16）接合的形状（42）。优选地，该装置包括两个L形元件（24,25），每个元件具有正交关系的较短（28,31）和较长（26,32）臂。相应的支撑元件（24,25）的较长的臂（26,32）彼此可滑动地接合并且适于从第一位置移动，其中较短的臂（28,31）成对准并且与每个另一方面，在短臂（28,31）对准并且与第一位置更靠近在一起或更远离的第二位置处，使得短臂（28,31）之间的可变间隙（13）是定义。缝合线保持器与一个（28）较短的臂接合并且适于搭扣从表面（16）发出的缝合线（20），并且一致元件（42）与另一臂（31）接合。描述了可调节张紧缝合线（20）的方法和用于执行组织（22）的悬挂的套件。

5. 发明申请

WO1995029636A1 SURGICAL INSTRUMENT 审中-公开
标题翻译：手术器械
公开(公告)号：WO1995029636A1
公开(公告)日：1995-11-09
申请号：PCT/US1995005277
申请日：1995-04-27
申请人： INNOVASIVE DEVICES, INC.
发明人： INNOVASIVE DEVICES, INC. , HART, Rickey, D.
IPC分类号： A61B17/00
CPC分类号： A61B18/1442 , A61B10/02 , A61B17/0467 , A61B17/0469 , A61B17/320016 , A61B17/3201 , A61B2017/2931 , A61B2018/1253 , A61B2018/1861
摘要： A surgical tool including a handle (2) having a movable tool operating member (10) engaged therewith, a tool head (400) having first and second members (500, 600), and a coupling attaching the tool head (400) to the handle (2). The first and second members (500, 600) of the tool head (400) each include a cutting blade (530, 630) having a portion of a suture throw rundown tool (510, 610) extending distally therefrom. The cutting blades (530, 630) abut one another so as to act as a scissors when the first and second members (500, 600) are moved between open and closed positions. Further, the suture throw rundown tool portions (5100, 610) mate with one another when the first and second members (500, 600) are in their closed position. The handle member (2) also is adapted to rotate an inner shaft (100) about its longitudinal axis. A method of using the surgical tool in the course of tying off lengths of suture extending from the surgical site also is provided.
摘要翻译：一种手术工具，其包括具有与其接合的可移动工具操作构件（10）的手柄（2），具有第一和第二构件（500,600）的工具头（400）和将工具头（400）附接到手柄（2）。工具头（400）的第一和第二构件（500,600）各自包括切割刀片（530,630），其具有从其向远侧延伸的缝合线破碎工具（510,610）的一部分。当第一和第二构件（500,600）在打开位置和关闭位置之间移动时，切割刀片（530,630）彼此邻接，以用作剪刀。此外，当第一和第二构件（500,600）处于其关闭位置时，缝合线延伸工具部分（5100,610）彼此配合。手柄构件（2）也适于围绕其纵向轴线旋转内轴（100）。还提供了在从外科手术部位延伸的缝合线缝合的过程中使用外科手术工具的方法。

6. 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。

7. 发明申请

WO1996014798A1 SUTURE ANCHOR ASSEMBLY AND METHODS 审中-公开
标题翻译：固定锚固装置和方法
公开(公告)号：WO1996014798A1
公开(公告)日：1996-05-23
申请号：PCT/US1995014724
申请日：1995-11-09
申请人： INNOVASIVE DEVICES, INC.
发明人： INNOVASIVE DEVICES, INC. , McDEVITT, Dennis
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/00862 , A61B2017/0409 , A61B2017/0412 , A61B2017/0422 , A61B2017/0424 , A61B2017/0425 , A61B2017/2925 , A61B2090/037 , F16B13/0866 , Y10S606/908 , Y10S606/91 , Y10S606/916
摘要： A suture anchor assembly is described which includes an elongated insertion stem and an approximately cylindrical anchoring element having an axial channel for receiving the insertion stem. In its nonexpended state, the anchoring element can be placed into a pre-drilled opening in a bone. An expander element loaded onto the insertion stem is engaged with a proximal end of the anchoring element. The proximal end of the anchoring element is capable of telescoping movement over the distal end of the expander element so that resilient proximal portions of the anchoring element are forced outward against the expander element, causing the resilient proximal portions of the anchoring element to expand into the bone hole, fixing the anchoring element in a pressure fit firmly within the opening. A kit for emplacing and removing the suture anchor is also provided as well as methods for attaching a suture to a bone using the present assembly.
摘要翻译：描述了一种缝合锚固组件，其包括细长的插入杆和具有用于接收插入杆的轴向通道的大致圆柱形的锚定元件。在其非刺激状态下，锚定元件可以放置在骨中的预先钻孔中。装载到插入杆上的膨胀元件与锚定元件的近端接合。锚固元件的近端能够在膨胀器元件的远端上伸缩运动，使得锚固元件的弹性近端部分被压靠在膨胀器元件上，使得锚固元件的弹性近端部分膨胀成骨孔，将锚定元件牢固地固定在开口内。还提供了用于放置和移除缝合线锚的套件以及使用本组件将缝合线附接到骨骼的方法。

8. 发明申请

WO1995002998A1 SUTURE GRASPING DEVICE 审中-公开
标题翻译：缝制设备
公开(公告)号：WO1995002998A1
公开(公告)日：1995-02-02
申请号：PCT/US1994008546
申请日：1994-07-25
申请人： INNOVASIVE DEVICES, INC.
发明人： INNOVASIVE DEVICES, INC. , HART, Rickey, D.
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0483 , A61B17/0485 , A61B17/221 , A61B17/30 , A61B18/14 , A61B2017/00349 , A61B2017/0046 , A61B2017/2215 , A61B2017/2929
摘要： A device (5) for snaring cord-like objects is provided. The device comprises a hollow shaft (10) having a pointed distal end, a rod (12) having a pair of wires (15, 20) attached to its distal end, the wires being spring biased away from one another, and activation means (25). The rod and wires are located in the lumen of the shaft in reciprocally movable relationship therewith. The activation means is attached to the proximal ends of the shaft and the rod so as to allow the controlled movement of the rod and wires relative to the shaft. One of the wire-like elements defines a hook-shaped configuration (85) at its distal end. The device allows the wire-like elements to be selectively located within the distal end of the shaft or in a configuration wherein the wire-like elements extend outwardly from the distal end of the shaft in flaring relationship to one another.
摘要翻译：提供了用于卷绕线状物体的装置（5）。所述装置包括具有尖端远端的中空轴（10），具有连接到其远端的一对线（15,20）的杆（12），所述线被彼此偏离的弹簧偏压，以及激活装置 25）。杆和线位于轴的内腔中，与其相互可移动的关系。激活装置附接到轴和杆的近端，以允许杆和线相对于轴的受控运动。线状元件中的一个在其远端限定了钩形构造（85）。该装置允许线状元件选择性地位于轴的远端内，或者以这样的构型，其中线状元件从轴的远端向外延伸，彼此以扩张关系。

9. 发明申请

WO9641574A3 SURGICAL SYSTEM AND METHOD FOR THE REATTACHMENT OF SOFT TISSUE TO BONE 审中-公开
标题翻译：用于骨组织软组织重建的外科系统和方法
公开(公告)号：WO9641574A3
公开(公告)日：1997-03-06
申请号：PCT/US9609088
申请日：1996-06-06
申请人： INNOVASIVE DEVICES INC
发明人： NICHOLSON JAMES , HART RICKEY D , RICE JOHN
IPC分类号： A61B17/00 , A61B17/04 , A61B17/28 , A61B17/32 , A61B19/00
CPC分类号： A61B17/0401 , A61B17/0469 , A61B17/320016 , A61B17/3201 , A61B2017/00349 , A61B2017/0046 , A61B2017/0403 , A61B2017/0408 , A61B2017/0409 , A61B2017/0414 , A61B2017/0424 , A61B2017/044 , A61B2017/0445 , A61B2017/0458 , A61B2017/0474 , A61B2017/2925 , A61B2017/2929 , A61B2017/294 , A61B2090/037
摘要： The present invention is directed to novel surgical systems that include a combination of an improved bone fastener, suture grasping device and/or suture throw rundown instrument. The systems can be used, e.g., for endoscopic procedures to repair and reattach soft tissues. The systems include a bone fastener comprising an expandable member having an axial channel and an elongated element inserted into the axial channel. The expandable member is configured to be insertible into a bore drilled in bone. The member is expanded using a continuous, compressive force (i.e., pressure without impulse or impact). The expandable member is grasped at its distal end throughout the emplacement procedure and is axially released from an emplacement tool. The systems can further include a suture grasping device comprising a rigid, hollow shaft, a rod, a first elongate wire-like element, a second elongated wire-like element, and an actuation device. The systems further include a suture throw rundown element comprising a handle assembly having first and second handle members movably connected for movement relative to one another, an elongate rod releasably secured to the first handle member.

10. 发明申请

WO1996041574A2 SURGICAL SYSTEM AND METHOD FOR THE REATTACHMENT OF SOFT TISSUE TO BONE 审中-公开
标题翻译：用于骨骼软组织重建的外科系统和方法
公开(公告)号：WO1996041574A2
公开(公告)日：1996-12-27
申请号：PCT/US1996009088
申请日：1996-06-06
申请人： INNOVASIVE DEVICES, INC.
发明人： INNOVASIVE DEVICES, INC. , NICHOLSON, James , HART, Rickey, D. , RICE, John
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0469 , A61B17/320016 , A61B17/3201 , A61B2017/00349 , A61B2017/0046 , A61B2017/0403 , A61B2017/0408 , A61B2017/0409 , A61B2017/0414 , A61B2017/0424 , A61B2017/044 , A61B2017/0445 , A61B2017/0458 , A61B2017/0474 , A61B2017/2925 , A61B2017/2929 , A61B2017/294 , A61B2090/037
摘要： The present invention is directed to novel surgical systems that include a combination of an improved bone fastener, suture grasping device and/or suture throw rundown instrument. The systems can be used, e.g., for endoscopic procedures to repair and reattach soft tissues. The systems include a bone fastener comprising an expandable member having an axial channel and an elongated element inserted into the axial channel. The expandable member is configured to be insertible into a bore drilled in bone. The member is expanded using a continuous, compressive force (i.e., pressure without impulse or impact). The expandable member is grasped at its distal end throughout the emplacement procedure and is axially released from an emplacement tool. The systems can further include a suture grasping device comprising a rigid, hollow shaft, a rod, a first elongate wire-like element, a second elongated wire-like element, and an actuation device. The systems further include a suture throw rundown element comprising a handle assembly having first and second handle members movably connected for movement relative to one another, an elongate rod releasably secured to the first handle member.
摘要翻译：本发明涉及新颖的手术系统，其包括改进的骨紧固件，缝合线抓握装置和/或缝线堕落装置的组合。该系统可以用于例如内窥镜手术来修复和重新连接软组织。所述系统包括骨紧固件，其包括具有轴向通道的可扩张构件和插入到所述轴向通道中的细长元件。可扩张构件构造成可插入到钻孔中的钻孔中。使用连续的压缩力（即，没有冲击或冲击的压力）使构件膨胀。可扩展构件在整个安置过程中在其远端被抓住并且从放置工具轴向地释放。该系统还可以包括缝合抓持装置，其包括刚性中空轴，杆，第一细长线状元件，第二细长线状元件和致动装置。所述系统还包括缝合线破碎元件，其包括手柄组件，该手柄组件具有可移动地连接以相对于彼此移动的第一和第二手柄构件，可释放地固定到第一手柄构件的细长杆。

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