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1. 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。

2. 发明申请

WO1998012972A1 SUTURE ANCHOR ASSEMBLY AND METHODS 审中-公开
标题翻译：固定锚固装置及方法
公开(公告)号：WO1998012972A1
公开(公告)日：1998-04-02
申请号：PCT/US1997017236
申请日：1997-09-25
申请人： INNOVASIVE DEVICES, INC.
发明人： INNOVASIVE DEVICES, INC. , MCDEVITT, Dennis , RICE, John
IPC分类号： A61B17/04
CPC分类号： F16B13/0866 , A61B17/0401 , A61B2017/00862 , A61B2017/0409 , A61B2017/0412 , A61B2017/042 , A61B2017/0424 , A61B2017/0425 , A61B2017/0458 , A61B2017/2925 , A61B2090/037
摘要： A suture anchor assembly (10) is described which includes an elongated insertion stem (12), and an approximately cylindrical anchoring element (20) having an axial channel (26) for receiving the insertion stem (12). In its non-expanded state, the anchoring element (20) can be placed into a pre-drilled opening in a bone. An expander element (35) loaded onto the insertion stem (12) is engaged with a proximal end (22) of the anchoring element (20). The proximal end (22) of the anchoring element (20) is capable of telescoping or cam movement over the distal end (40) of the expander element (35) so that resilient proximal portions of the anchoring element (20) are forced outward against the expander element (35) causing the resilient proximal portions of the anchoring element (20) to expand into the bone hole, fixing the anchoring element (20) 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（10），其包括细长的插入杆（12）和具有用于接纳插入杆（12）的轴向通道（26）的近似圆柱形的锚固元件（20）。在其未膨胀状态下，锚固元件（20）可以放置在骨中的预先钻孔中。装载到插入杆（12）上的膨胀元件（35）与锚定元件（20）的近端（22）接合。锚固元件（20）的近端（22）能够在膨胀器元件（35）的远端（40）上伸缩或凸轮运动，使得锚固元件（20）的弹性近端部被迫向外抵靠膨胀器元件（35）使锚固元件（20）的弹性近端部分膨胀进入骨孔，将锚定元件（20）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。

3. 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。

4. 发明申请

WO1995015726A1 BONE FASTENER 审中-公开
标题翻译：骨骼紧固
公开(公告)号：WO1995015726A1
公开(公告)日：1995-06-15
申请号：PCT/US1994013954
申请日：1994-12-06
申请人： INNOVASIVE DEVICES, INC.
发明人： INNOVASIVE DEVICES, INC. , NICHOLSON, James, E. , HART, Rickey, D. , RICE, John
IPC分类号： A61B17/56
CPC分类号： A61F2/0811 , A61B17/0401 , A61B17/0467 , A61B17/32053 , A61B17/68 , A61B17/686 , A61B17/82 , A61B2017/0403 , A61B2017/0406 , A61B2017/0408 , A61B2017/0409 , A61B2017/0414 , A61B2017/042 , A61B2017/0424 , A61B2017/0425 , A61B2017/044 , A61B2017/0445 , A61B2017/045 , A61B2017/0458 , A61B2090/037 , A61F2/0805 , A61F2002/0835 , A61F2002/0841 , A61F2002/0852 , A61F2002/0858 , A61F2002/0864 , A61F2002/0882 , A61F2002/0888 , Y10S606/916
摘要： A bone fastener including an expandable member (10) having an axial channel (18) and an elongated element (34), insertable into the axial channel (18), is described. The expandable member (10) is configured to be insertable into a bore drilled in a bone. The distal end (14) of the expandable member (10) also may include a structure for axially releasing the expandable member (10) from an emplacement device that places the expandable member (10) into a bone opening. In one embodiment the structure for axially releasing includes a frangible membrane capable of being severed from the expandable member (10) during emplacement of the expandable member (10) in a bone opening. A rivet (22) for coupling an object to bone for use with an expandable member (10), is also described. The distal end (14) of the elongated element (34) is shaped into a radially projecting portion adapted for engagement with a washer (62) that contacts the object to be coupled. The washer (62), having upper and lower surfaces, and a bore defined between the surfaces, is disposed around a portion of the shaft. The elongated element (10) is adapted for movement independent of the washer since the radial projection of the element has a different radius of curvature than the washer (62).
摘要翻译：描述了包括可插入轴向通道（18）中的具有轴向通道（18）和细长元件（34）的可膨胀构件（10）的骨紧固件。可膨胀构件（10）构造成可插入到钻孔中的孔中。可膨胀构件（10）的远端（14）还可以包括用于将可膨胀构件（10）从将可膨胀构件（10）放入骨开口的放置装置中轴向释放的结构。在一个实施例中，用于轴向释放的结构包括在将可扩张构件（10）放置在骨头开口中时能够从可膨胀构件（10）切断的易碎膜。还描述了用于将物体耦合到骨头以与可膨胀构件（10）一起使用的铆钉（22）。细长元件（34）的远端（14）成形为径向突出部分，其适于与接触待连接物体的垫圈（62）接合。具有上表面和下表面的垫圈（62）和限定在表面之间的孔围绕轴的一部分设置。细长元件（10）适于独立于垫圈运动，因为元件的径向突起具有与垫圈（62）不同的曲率半径。

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