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1. 发明申请

WO2013096219A1 APPARATUS AND METHOD FOR FORMING PILOT HOLES IN BONE AND DELIVERING FASTENERS THEREIN FOR RETAINING AN IMPLANT 审中-公开
标题翻译：用于形成骨头中的引导孔和用于保留植入物的递送紧固件的装置和方法
公开(公告)号：WO2013096219A1
公开(公告)日：2013-06-27
申请号：PCT/US2012/070143
申请日：2012-12-17
申请人： ROTATION MEDICAL, INC.
发明人： EUTENEUER, Charles, L. , WESTLING, Thomas, A. , ZENZ-OLSON, Nathaniel, Z. , WITZMANN, Michael
IPC分类号： A61B17/16 , A61F2/08 , A61B17/34 , A61B17/064
CPC分类号： A61F2/0811 , A61B17/0642 , A61B17/068 , A61B17/0682 , A61B17/1604 , A61B17/3468 , A61B17/3472 , A61B17/56 , A61B17/88 , A61B17/8872 , A61B2017/3454 , A61B2017/3488 , A61B2017/564
摘要： Apparatus and methods for forming pilot holes in bone and deploying a staple therein for fixing a sheet-like implant to the bone. A pilot hole forming trocar assembly including a trocar and a position retention sleeve can be included. The trocar can be releasably coupled to the position retention sleeve and slide in keyed arrangement within the sleeve when uncoupled. The trocar can include a distal portion having a retractable blade and a pair of pilot hole forming spikes extending distally from the trocar shaft. Once the pilot holes are formed, the position retention sleeve maintains the position relative to the pilot holes while the trocar is removed and a staple delivery device can be inserted in the lumen of the position retention sleeve to deploy a staple in the pilot holes.
摘要翻译：用于在骨中形成引导孔并在其中展开钉以将片状植入物固定到骨上的装置和方法。可以包括一个包括套管针和位置保持套筒的导向孔形成套管针组件。套管针可以可释放地联接到位置保持套筒，并且当脱开时可以在套筒内以键合方式滑动。套针针可以包括具有可伸缩刀片的远侧部分和从套管针轴向远侧延伸的一对引导孔形成的钉。一旦形成导向孔，位置保持套筒在套管针被移除的同时保持相对于导向孔的位置，并且钉子输送装置可以插入位置保持套筒的内腔中，以将钉子展开在引导孔中。

2. 发明申请

WO2012112565A3 METHODS AND APPARATUS FOR DELIVERING AND POSITIONING SHEET-LIKE MATERIALS 审中-公开
公开(公告)号：WO2012112565A3
公开(公告)日：2012-08-23
申请号：PCT/US2012/025067
申请日：2012-02-14
申请人： ROTATION MEDICAL, INC. , EUTENEUER, Charles, L. , QUACKENBUSH, John
发明人： EUTENEUER, Charles, L. , QUACKENBUSH, John
IPC分类号： A61F2/00 , A61B17/00 , A61F2/08
摘要： An implant delivery system (60) for delivering a sheet-like implant (50) is disclosed. The device includes an implant spreader assembly (124) disposed proximate the distal end of a delivery shaft. The implant spreader assembly includes a first arm (120) and a second arm (122). The arms are coupled to the delivery shaft such that the first arm and second arm are moveable between a closed position and an open position. When the first and second arms are in the closed position, the arms extend generally in the longitudinal direction. When pivoting to the open position the distal end of each arm travels in a generally transverse direction to spread a sheet-like implant.

3. 发明申请

WO2013119321A1 FASTENERS FOR AFFIXING SHEET -LIKE MATERIALS TO BONE OR TISSUE 审中-公开
标题翻译：用于制作薄片的紧固件 - 将材料用于骨或组织
公开(公告)号：WO2013119321A1
公开(公告)日：2013-08-15
申请号：PCT/US2012/070150
申请日：2012-12-17
申请人： ROTATION MEDICAL, INC.
发明人： EUTENEUER, Charles, L. , MCCARVILLE, Rebecca , FRION, Duane
IPC分类号： A61B17/064
CPC分类号： A61B17/068 , A61B17/0642 , A61B17/0682 , A61B17/08 , A61B2017/564 , A61F2/0811
摘要： A fastener for attaching a sheet-like implant to tissue or bone may be provided with a first arm having a proximal end and a distal end, a second arm having a proximal end and a distal end, and a bridge extending therebetween. Each of the first and second arms include a trunk portion defining at least a portion thereof, the trunk portion having a lateral extent larger than a lateral extent of the bridge or non-trunk portion of the arm adjacent thereto and can be mounted eccentrically to the bridge or non-trunk portion of the arm adjacent thereto such that the staple includes a first change in lateral stiffness disposed proximate the bridge or non-trunk portion of the arm abutment with the trunk. Fastener delivery devices and methods are also disclosed.
摘要翻译：用于将片状植入物附接到组织或骨骼的紧固件可以设置有具有近端和远端的第一臂，具有近端和远端的第二臂和在其间延伸的桥。第一和第二臂中的每一个包括限定其至少一部分的主干部分，该主干部分的横向范围大于与其相邻的臂或非主干部分的横向范围，并且可以偏心安装到邻近臂的桥或非主干部分，使得订书钉包括靠近与主干的臂邻接的桥或非主干部分处设置的侧向刚度的第一变化。还公开了紧固件输送装置和方法。

4. 发明申请

WO2010141906A1 METHODS AND APPARATUS FOR DEPLOYING SHEET-LIKE MATERIALS 审中-公开
标题翻译：用于制作薄片材料的方法和装置
公开(公告)号：WO2010141906A1
公开(公告)日：2010-12-09
申请号：PCT/US2010/037522
申请日：2010-06-04
申请人： ROTATION MEDICAL, INC. , EUTENEUER, Charles, L. , MCCARVILLE, Rebecca , FRION, Duane , ZENZ-OLSEN, Nathaniel , FEEHAN, Diane, M. , QUACKENBUSH, John
发明人： EUTENEUER, Charles, L. , MCCARVILLE, Rebecca , FRION, Duane , ZENZ-OLSEN, Nathaniel , FEEHAN, Diane, M. , QUACKENBUSH, John
IPC分类号： A61F2/08 , A61F2/00
CPC分类号： A61B17/8872 , A61B17/0642 , A61B17/0682 , A61B17/88 , A61B2017/303 , A61F2/0063 , A61F2/08 , A61F2/0811 , A61F2002/0072
摘要： Implant delivery systems for delivering sheet-like implants include a delivery shaft, an implant expander (120), a sheath(102), and a sheet-like implant(50). In some embodiments, the delivery shaft has a proximal end and a distal end. The implant expander is mounted to the distal end of the delivery shaft. The implant expander includes a central portion and a plurality of leg portions radiating from the central portion. The implant expander is evertable between an unstressed configuration in which a distal surface of the implant expander defines a concave surface, and a first compact configuration in which the distal surface of the implant expander defines a convex surface. The implant expander has a first lateral extent when the implant expander is free to assume the unstressed configuration. The sheath defines a lumen having a lumen diameter. At least a portion of the delivery shaft is slidably disposed in the lumen. The lumen diameter is smaller than the first lateral extent of the implant expander so that the sheath holds the implant expander in the first compact configuration when slidably disposed therein. The sheet-like implant overlays at least a portion of the distal surface of the implant expander with portions of the sheet-like implant extending between the leg portions of the implant expander and the sheath. Methods of treating a rotator cuff of a shoulder are also disclosed.
摘要翻译：用于递送片状植入物的植入物递送系统包括输送轴，植入物扩张器（120），护套（102）和片状植入物（50）。在一些实施例中，输送轴具有近端和远端。植入物扩张器安装到输送轴的远端。植入物扩张器包括从中心部分辐射的中心部分和多个腿部。植入物扩张器可以在其中植入物扩张器的远端表面限定凹表面的无应力构型和其中植入物扩张器的远侧表面限定凸表面的第一紧凑构型之间是可转换的。当植入物扩张器自由地呈现不受应力的构型时，植入物扩张器具有第一横向范围。护套限定具有内腔直径的内腔。输送轴的至少一部分可滑动地设置在内腔中。管腔直径小于植入物扩张器的第一横向范围，使得当可滑动地设置在其中时，护套将植入物扩张器保持在第一紧凑构型中。片状植入物覆盖植入物扩张器的远端表面的至少一部分，片状植入物的部分在植入物扩张器的腿部和护套之间延伸。还公开了治疗肩肩的肩袖的方法。

5. 发明申请

WO2010141872A1 APPARATUS FOR FIXING SHEET-LIKE MATERIALS TO A TARGET TISSUE 审中-公开
标题翻译：将材料固定到目标组织的装置
公开(公告)号：WO2010141872A1
公开(公告)日：2010-12-09
申请号：PCT/US2010/037480
申请日：2010-06-04
申请人： ROTATION MEDICAL, INC. , EUTENEUER, Charles, L. , McCARVILLE, Rebecca , FRION, Duane , ZENZ-OLSEN, Nathaniel , FEEHAN, Diane, M.
发明人： EUTENEUER, Charles, L. , McCARVILLE, Rebecca , FRION, Duane , ZENZ-OLSEN, Nathaniel , FEEHAN, Diane, M.
IPC分类号： A61B17/04
CPC分类号： A61B17/068 , A61B17/0491 , A61B17/064 , A61B17/0642 , A61B17/0643 , A61B17/0644 , A61B17/0682 , A61B2017/00004 , A61B2017/0046 , A61B2017/00862 , A61B2017/0645 , A61F2/0063 , A61F2/08 , A61F2/30749 , A61F2220/0016
摘要： A staple for attaching a sheet-like implant to tissue or bone may include first and second arms, and first and second flukes. In some embodiments, the first arm has a proximal end and a distal end, and the second arm has a proximal end and a distal end. A bridge extends from the proximal end of the first arm to the proximal end of the second arm. The first fluke has a proximal end abutting the distal end of the first arm, and the first fluke extends distally from the first arm. The first fluke has a lateral extent larger than a lateral extent of the first arm and is mounted eccentrically thereto. The first fluke includes a proximal surface projecting at an outward angle in a proximal direction away from the distal end of the first arm to engage the tissue or bone when inserted therein. The second fluke has similar features. This arrangement causes the first and second flukes to rotate in response to a pullout force on the bridge. Methods for attaching a sheet-like implant to a target tissue are also disclosed.
摘要翻译：用于将片状植入物附接到组织或骨头的钉可包括第一和第二臂以及第一和第二吸虫。在一些实施例中，第一臂具有近端和远端，并且第二臂具有近端和远端。桥从第一臂的近端延伸到第二臂的近端。第一吸头具有邻近第一臂的远端的近端，并且第一吸头从第一臂向远侧延伸。所述第一吸头具有大于所述第一臂的横向延伸度的横向范围，并且偏心地安装在其上。第一吸头包括近端表面，该近端表面在远离第一臂的远端的近端方向上以向外的角度突出，以在插入其中时接合组织或骨骼。第二个吸虫具有相似的特征。这种布置使得第一和第二吸管响应于桥上的拉出力而旋转。还公开了将片状植入物附着到靶组织的方法。

6. 发明申请

WO2013101638A1 METHODS AND APPARATUS FOR DELIVERING AND POSITIONING SHEET -LIKE MATERIALS IN SURGERY 审中-公开
标题翻译：手术切片和定位片材的方法和装置
公开(公告)号：WO2013101638A1
公开(公告)日：2013-07-04
申请号：PCT/US2012/070831
申请日：2012-12-20
申请人： ROTATION MEDICAL, INC.
发明人： EUTENEUER, Charles, L. , ZENZ-OLSON, Nathaniel, Z. , QUACKENBUSH, John , SIMS, Jeff
IPC分类号： A61B17/84 , A61F2/08 , A61F2/00
CPC分类号： A61F2/0811 , A61B90/39 , A61B2090/061 , A61B2090/0817 , A61B2090/3908 , A61B2090/3937 , A61F2/0063 , A61F2/08 , A61F2/0805 , A61F2/40 , A61F2002/0072 , A61F2002/0864 , F04C2270/0421
摘要： An implant delivery system for delivering a sheet-like implant is disclosed. The implant delivery system includes a distal guidewire port for receiving the proximal end of guidewire after the guidewire distal end has been affixed to a first point on bone or other tissue. The implant delivery system is tracked over the guidewire to a selected position defined by the guidewire attachment. The device includes an implant spreader assembly disposed proximate the distal end of a delivery shaft. The implant spreader assembly includes a first arm and a second arm. The arms are coupled to the delivery shaft such that the first arm and second arm are moveable between a closed position and an open position. When pivoting to the open position the distal end of each arm travels in a generally transverse direction to spread a sheet-like implant.
摘要翻译：公开了用于递送片状植入物的植入物递送系统。植入物递送系统包括远端导丝端口，用于在导丝远端已经固定到骨骼或其他组织上的第一点之后接收导丝的近端。植入物递送系统通过导丝跟踪到由导丝连接限定的选定位置。该装置包括靠近输送轴的远端设置的植入物撒播器组件。植入物撒布机组件包括第一臂和第二臂。臂联接到输送轴，使得第一臂和第二臂可在关闭位置和打开位置之间移动。当枢转到打开位置时，每个臂的远端在大致横向上移动以扩展片状植入物。

7. 发明申请

WO2013096224A1 FASTENERS FOR AFFIXING SHEET -LIKE MATERIALS TO BONE OR TISSUE 审中-公开
标题翻译：用于制作薄片的紧固件 - 将材料用于骨或组织
公开(公告)号：WO2013096224A1
公开(公告)日：2013-06-27
申请号：PCT/US2012/070153
申请日：2012-12-17
申请人： ROTATION MEDICAL, INC.
发明人： EUTENEUER, Charles, L.
IPC分类号： A61B17/064
CPC分类号： A61B17/068 , A61B17/0642 , A61B17/0682 , A61B17/072 , A61B17/07207 , A61B17/08 , A61B2017/00407 , A61B2017/00668 , A61B2017/07214
摘要： A fastener for attaching a sheet-like implant to tissue or bone may be provided with a first arm having a proximal portion and a distal portion, a second arm having a proximal portion and a distal portion, and a bridge formed at least in part by the proximal portion of the first arm overlapping the proximal portion of the second arm. Each of the first and second arms can include at least a partial loop member having a lumen therethrough slidably receiving the other arm, each arm further including a tissue retention member on a distal portion having a projection extending therefrom for engagement of bone or tissue when inserted therein. The staple can also include a one-way position retention assembly for allowing distal movement of each at least partial loop member relative to the other arm therethrough to tension the fastener and maintain a desired configuration.
摘要翻译：用于将片状植入物附接到组织或骨骼的紧固件可以设置有具有近端部分和远侧部分的第一臂，具有近端部分和远端部分的第二臂，以及至少部分地由第一臂的近端部分与第二臂的近端部分重叠。第一和第二臂中的每一个可以包括至少一个部分环构件，其具有通过其可滑动地容纳另一个臂的内腔，每个臂还包括在远侧部分上的组织保持构件，其具有从其延伸的突出部，用于在插入时与骨骼或组织接合在其中。订书钉还可以包括单向位置保持组件，用于允许每个至少部分环构件相对于另一个臂通过其远端移动以张紧紧固件并保持所需的构造。

8. 发明申请

WO2010141907A1 APPARATUS HAVING BOWSTRING-LIKE STAPLE DELIVERY TO A TARGET TISSUE 审中-公开
标题翻译：具有类似分类交付目标组织的装置
公开(公告)号：WO2010141907A1
公开(公告)日：2010-12-09
申请号：PCT/US2010/037526
申请日：2010-06-04
申请人： ROTATION MEDICAL, INC. , EUTENEUER, Charles, L. , MCCARVILLE, Rebecca , FRION, Duane , ZENZ-OLSEN, Nathaniel , FEEHAN, Diane, M.
发明人： EUTENEUER, Charles, L. , MCCARVILLE, Rebecca , FRION, Duane , ZENZ-OLSEN, Nathaniel , FEEHAN, Diane, M.
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/0491 , A61B17/064 , A61B17/0642 , A61B17/0643 , A61B17/0644 , A61B17/0682 , A61B2017/00004 , A61B2017/0046 , A61B2017/00862 , A61B2017/0645 , A61F2/0063 , A61F2/08 , A61F2/30749 , A61F2220/0016
摘要： Devices for attaching a sheet-like implant to a target tissue include a sheath and a staple push rod. The sheath has a distal end configured to be pressed against the target tissue. The staple push rod is disposed within at least a portion of the sheath and is slidable relative thereto. The staple push rod includes a pair of stakes. Each stake is dimensioned to abut a surface of a staple to apply pushing forces thereto. The stakes are biased to assume a bow-like shape such that an intermediate portion of a staple extends tautly between the first stake and the second stake when the stakes are extending beyond the distal end of the tubular member. Methods for attaching a sheet-like implant to a target tissue are also disclosed.
摘要翻译：用于将片状植入物附着到靶组织的装置包括护套和钉推杆。护套具有构造成压靠目标组织的远端。缝钉推杆设置在护套的至少一部分内并且可相对于其滑动。订书钉推杆包括一对桩。每个桩的尺寸被设计成邻接钉的表面以向其施加推力。桩被偏压以呈现弓形形状，使得当桩子延伸超出管状构件的远端时，钉的中间部分在第一桩和第二桩之间拉紧。还公开了将片状植入物附着到靶组织的方法。

9. 发明申请

WO2013101640A1 GUIDEWIRE HAVING A DISTAL FIXATION MEMBER FOR DELIVERING AND POSITIONING SHEET-LIKE MATERIALS IN SURGERY 审中-公开
标题翻译：具有远程固定成员的指南，用于在手术中传送和定位片材物质
公开(公告)号：WO2013101640A1
公开(公告)日：2013-07-04
申请号：PCT/US2012/070845
申请日：2012-12-20
申请人： ROTATION MEDICAL, INC.
发明人： EUTENEUER, Charles, L. , ZENZ-OLSON, Nathaniel, Z. , QUACKENBUSH, John , SIMS, Jeff , VAN KAMPEN, Craig
IPC分类号： A61B17/84 , A61F2/08 , A61F2/00
CPC分类号： A61B17/8897 , A61B17/1778 , A61B17/84 , A61B17/848 , A61B2017/22044 , A61F2/0063 , A61F2/08 , A61F2/4612 , A61F2002/0072
摘要： A guidewire for use with an implant delivery system in delivering a sheet-like implant is disclosed. The guidewire can include a distal tissue fixation member for releasable connection to a first location proximate a treatment site. An implant delivery system can include a distal guidewire port for receiving the proximal end of the guidewire. The implant delivery system is tracked over the guidewire to a selected position defined by the guidewire attachment. The tissue fixation member includes means for temporarily or reversibly fixing the distal end of the guidewire to tissue, such as bone. The means for affixing can include a K-wire, a screw, a pin or other fixation member.
摘要翻译：公开了一种用于在输送片状植入物中用于植入物递送系统的导丝。导丝可以包括远端组织固定构件，用于可释放地连接到靠近治疗部位的第一位置。植入物递送系统可以包括用于接收导丝的近端的远侧导丝端口。植入物递送系统通过导丝跟踪到由导丝连接限定的选定位置。组织固定构件包括用于临时或可逆地将导丝的远端固定到诸如骨骼的组织的装置。用于固定的装置可以包括K线，螺丝，销或其他固定构件。

10. 发明申请

WO2010081029A1 IMPLANTABLE TENDON PROTECTION SYSTEMS AND RELATED KITS AND METHODS 审中-公开
标题翻译：可植入式保护系统及相关工具及方法
公开(公告)号：WO2010081029A1
公开(公告)日：2010-07-15
申请号：PCT/US2010/020534
申请日：2010-01-08
申请人： ROTATION MEDICAL, INC. , EUTENEUER, Charles, L. , HEKTNER, Thomas, R. , WESTLING, Thomas, A. , MCCARVILLE, Rebecca , FRION, Duane
发明人： EUTENEUER, Charles, L. , HEKTNER, Thomas, R. , WESTLING, Thomas, A. , MCCARVILLE, Rebecca , FRION, Duane
IPC分类号： A61F2/08
CPC分类号： A61F2/0805 , A61F2/0063 , A61F2/0077 , A61F2/08 , A61F2002/0072 , A61F2002/0086
摘要： An implantable tendon protection system comprising: a body adapted to be implanted within a bursa overlying a tendon of a patient, the body comprising a tendon engaging surface configured to attach to the tendon.
摘要翻译：一种可植入肌腱保护系统，包括：适于植入在覆盖患者腱的囊内的身体，所述身体包括被配置为附接到腱的腱接合表面。

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