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1. 发明申请

WO2017127277A1 FLEXIBLE IMPLANT WITH ADJUSTABLE COILS 审中-公开
标题翻译：具有可调卷尺的柔性植入物
公开(公告)号：WO2017127277A1
公开(公告)日：2017-07-27
申请号：PCT/US2017/013089
申请日：2017-01-12
申请人： DEPUY SYNTHES PRODUCTS, INC.
发明人： SENGUN, Mehmet Ziya , MARKS, Jacob A.
IPC分类号： A61B17/04
CPC分类号： A61F2/0811 , A61B17/0401 , A61B2017/0459 , A61F2002/0823 , A61F2002/0835 , A61F2002/0852
摘要： Devices and methods for securing a graft with respect to bone are provided. One exemplary embodiment of a surgical implant includes a flexible filament body and a suture filament or repair construct that extends through the filament body at multiple locations. The repair construct is formed into one or more coils, which can receive a graft. The flexible filament body can be configured to be actuated between unstressed and anchoring configurations, the latter of which sets a location of the suture filament, and associated graft, in a bone tunnel. More particularly, the flexible filament body can ball up, or become denser, to a size that cannot pass into the bone tunnel in which the suture filament holding the graft is disposed. The present disclosure also provides for feedback units to assist a surgeon in knowing a location of the implant. Further, other exemplary devices and methods are provided.
摘要翻译：提供了用于相对于骨固定移植物的装置和方法。手术植入物的一个示例性实施例包括柔性长丝主体和在多个位置处延伸穿过长丝主体的缝合丝或修复构造。修复构造形成一个或多个线圈，其可以接收移植物。柔性灯丝主体可以被配置为在未受力和锚定构造之间被致动，后者将缝合丝和相关联的移植物的位置设置在骨隧道中。更具体地说，柔性长丝体可以球形化或变得更致密至不能进入保持移植物的缝合线丝布置在其中的骨隧道中的尺寸。本公开还提供反馈单元以帮助外科医生了解植入物的位置。此外，提供了其他示例性设备和方法。

2. 发明申请

WO2015191948A2 METHOD OF GLENOHUMERAL INSTABILITY REPAIR 审中-公开
标题翻译： GLENOHUM不稳定性修复方法
公开(公告)号：WO2015191948A2
公开(公告)日：2015-12-17
申请号：PCT/US2015/035466
申请日：2015-06-12
申请人： SMITH & NEPHEW, INC.
发明人： TAVERNA, Ettore , SANTANGELO, Stephen A. , WYMAN, Jeffrey
IPC分类号： A61B17/56 , A61B17/17 , A61F2/40 , A61F2/46
CPC分类号： A61F2/30771 , A61B17/0401 , A61B17/1778 , A61B17/56 , A61B2017/00933 , A61B2017/0404 , A61B2017/0417 , A61B2017/0459 , A61B2017/0475 , A61B2017/0477 , A61B2017/564 , A61F2/40 , A61F2/4644 , A61F2002/30772

3. 发明申请

WO2015024013A2 METHOD AND APPARATUS FOR CLOSING A FISSURE IN THE ANNULUS OF AN INTERVERTEBRAL DISC, AND/OR FOR EFFECTING OTHER ANATOMICAL REPAIRS AND/OR FIXATIONS 审中-公开
标题翻译：用于封闭椎间盘突出症的方法和装置，和/或用于影响其他解剖修复和/或固定
公开(公告)号：WO2015024013A2
公开(公告)日：2015-02-19
申请号：PCT/US2014051497
申请日：2014-08-18
申请人： SUTURE CONCEPTS INC
发明人： SORENSEN PETER , MORGAN DANIEL , FERREE BRETT A , RUNNELLS CHRISTOPHER
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0401 , A61B17/0482 , A61B2017/0409 , A61B2017/0419 , A61B2017/0446 , A61B2017/0451 , A61B2017/0456 , A61B2017/0459 , A61B2017/0464 , A61B2017/0496 , A61B2017/06052
摘要： Apparatus for attaching a first object to a second object, said apparatus comprising: a distal anchor comprising a generally cylindrical body, a distal end and a proximal end, wherein said distal end comprises an inclined distal end surface, and a vertical bore extending through said generally cylindrical body, perpendicular to the longitudinal axis of said generally cylindrical body; a proximal anchor comprising a generally cylindrical body, a distal end and a proximal end, a top surface and a bottom surface, a first vertical bore extending through said generally cylindrical body from said top surface to said bottom surface, perpendicular to the longitudinal axis of the generally cylindrical body, a second vertical bore spaced distally from said first vertical bore and extending from said top surface to said bottom surface parallel to said first vertical bore, a third vertical bore spaced distally from said second vertical bore and extending from said top surface to said bottom surface parallel to said first vertical bore, and a fourth vertical bore spaced distally from said third vertical bore and extending from said top surface to said bottom surface parallel to said first vertical bore; and a suture having a proximal end and a distal end, with an enlargement formed at said distal end, wherein said suture extends through said vertical bore of said distal anchor, through said fourth vertical bore of said proximal anchor, through said third vertical bore of said proximal anchor, through said second vertical bore of said proximal anchor and through said first vertical bore of said proximal anchor.
摘要翻译：用于将第一物体附接到第二物体的装置，所述装置包括：远端锚，其包括大致圆柱形主体，远端和近端，其中所述远端包括倾斜的远端表面，以及垂直孔，其延伸穿过所述大致圆柱体，垂直于所述大致圆柱体的纵向轴线; 近端锚，其包括大致圆柱形主体，远端和近端，顶表面和底表面，第一垂直孔，其从所述顶表面延伸到所述底表面延伸穿过所述大体圆柱形主体，垂直于纵向轴线大致圆柱体，与所述第一垂直孔向远侧间隔开并且从所述顶表面平行于所述第一垂直孔延伸到所述底表面的第二垂直孔，与所述第二垂直孔向远侧间隔开并从所述顶表面延伸的第三垂直孔至所述底表面平行于所述第一垂直孔，以及第四垂直孔，其与所述第三垂直孔向远侧间隔开并且从所述顶表面平行于所述第一垂直孔延伸到所述底表面; 以及缝合线，其具有近端和远端，在所述远端处形成有放大部，其中所述缝合线延伸穿过所述远侧锚固件的所述垂直孔，穿过所述近端锚的所述第四垂直孔，穿过所述第三垂直孔所述近端锚通过所述近端锚的所述第二垂直孔并穿过所述近端锚的所述第一垂直孔。

4. 发明申请

WO2013142131A1 TISSUE GRAFT ANCHORING 审中-公开
标题翻译：组织格子锚固
公开(公告)号：WO2013142131A1
公开(公告)日：2013-09-26
申请号：PCT/US2013/030340
申请日：2013-03-12
申请人： UNIVERSITY OF PITTSBURGH OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION , SMITH & NEPHEW, INC. , HARNER, Christopher D. , FERRAGAMO, Michael C. , PERRIELLO, Michael J. , BERUBE, Jr., Alfred Rodrigue
发明人： HARNER, Christopher D. , FERRAGAMO, Michael C. , PERRIELLO, Michael J. , BERUBE, Jr., Alfred Rodrigue
IPC分类号： A61F2/08 , A61B17/04
CPC分类号： A61F2/0811 , A61B17/0401 , A61B2017/0404 , A61B2017/0414 , A61B2017/0459 , A61F2/0063 , A61F2002/0852 , A61F2002/0864 , A61F2002/087 , A61F2002/0882
摘要： A fixation device includes a member (26), a woven material (90, 112) attached to the member, and suture (118) extending through the woven material and including free regions for securing the woven material to a tissue graft. A method of securing a tissue graft includes providing a fixation member having a woven material attached thereto and suture extending through the woven material; determining a desired distance between the fixation member and a tissue graft; and attaching the woven material to the tissue graft using the suture at a position to obtain the desired distance.
摘要翻译：固定装置包括构件（26），附接到构件的编织材料（90,112）和延伸穿过编织材料的缝合线（118），并且包括用于将编织材料固定到组织移植物的自由区域。固定组织移植物的方法包括提供固定构件，所述固定构件具有附着于其上的编织材料和延伸穿过编织材料的缝合线; 确定所述固定构件和组织移植物之间的期望距离; 以及使用所述缝合线将织造材料附着到所述组织移植物上以获得期望的距离。

5. 发明申请

WO2013116573A1 TISSUE GRAFT ANCHORING 审中-公开
标题翻译：组织格子锚固
公开(公告)号：WO2013116573A1
公开(公告)日：2013-08-08
申请号：PCT/US2013/024231
申请日：2013-01-31
申请人： SMITH & NEPHEW, INC. , PERRIELLO, Michael James , BERUBE, Jr., Alfred Rodrigue , FERRAGAMO, Michael Charles
发明人： PERRIELLO, Michael James , BERUBE, Jr., Alfred Rodrigue , FERRAGAMO, Michael Charles
IPC分类号： A61B17/04 , A61F2/08
CPC分类号： A61B17/0401 , A61B2017/0404 , A61B2017/0414 , A61B2017/0459 , A61F2/0811 , A61F2002/0852 , A61F2002/0882
摘要： A fixation device (40) includes a member (26) defining at least two openings, and a suture (24) tied to the member by passing the suture through the at least two openings in the member to form two suture loops through which ends of the suture pass. The two suture loops are interconnected. A method of securing a tissue graft includes providing the fixation member, attaching the suture to a tissue graft, and adjusting the length of the suture between the fixation member and the tissue graft by pulling the suture.
摘要翻译：固定装置（40）包括限定至少两个开口的构件（26）和通过使缝合线穿过构件中的至少两个开口而连接到构件的缝合线（24），以形成两个缝合线圈，通过该缝合线缝合通两条缝线环相互连接。固定组织移植物的方法包括提供固定构件，将缝合线附接到组织移植物，以及通过拉动缝合线来调节固定构件和组织移植物之间的缝合线的长度。

6. 发明申请

WO2012158617A3 ADJUSTABLE SUTURE LOCK LOOP 审中-公开
标题翻译：可调节的锁定环
公开(公告)号：WO2012158617A3
公开(公告)日：2013-01-17
申请号：PCT/US2012037785
申请日：2012-05-14
申请人： SUSPENSION ORTHOPAEDIC SOLUTIONS INC , COLLINS ROBERT S , GELFAND JEFFREY , SANTANGELO STEVE
发明人： COLLINS ROBERT S , GELFAND JEFFREY , SANTANGELO STEVE
IPC分类号： A61B17/04 , A61L17/08 , A61L17/10
CPC分类号： A61B17/0401 , A61B2017/00004 , A61B2017/0088 , A61B2017/0404 , A61B2017/0414 , A61B2017/0417 , A61B2017/0419 , A61B2017/0459 , A61B2017/0464 , A61B2017/0496 , A61B2017/06185 , A61F2/0811 , A61F2002/0852
摘要： The present disclosure relates to an adjustable suture lock loop for use in soft tissue repair and, more particularly, an adjustable suture lock loop constructed from a suture material having a lumen and one or more anchors. The adjustable suture lock loop can include a strand of braided suture material having a first end and a second end, and a lumen; and one or more anchors, wherein each anchor has two or more holes disposed therethrough that are large enough to permit the suture to pass therethrough; and both ends of the suture material pass through the lumen of a first section of the suture material, and wherein the first end of the suture material is free, while the second end is secured to form a loop.
摘要翻译：本公开内容涉及用于软组织修复的可调缝合锁定环，更具体地，由具有内腔和一个或多个锚的缝合材料构成的可调缝合线锁环。可调缝合线锁定环可以包括具有第一端和第二端以及内腔的编织缝合材料股线; 和一个或多个锚固件，其中每个锚固件具有穿过其中的两个或更多个孔，其大到足以允许缝合线从中穿过; 并且所述缝合材料的两端通过所述缝合材料的第一部分的内腔，并且其中所述缝合材料的第一端是自由的，而所述第二端被固定以形成环。

7. 发明申请

WO2011003002A3 SYSTEMS AND METHODS FOR ZIPKNOT ACL FIXATION 审中-公开
标题翻译： ZIPKNOT ACL固定的系统和方法
公开(公告)号：WO2011003002A3
公开(公告)日：2011-05-26
申请号：PCT/US2010040796
申请日：2010-07-01
申请人： MEDICINELODGE INC DBA IMDS CO INNOVATION , SINNOTT MARY M , JUSTIN DANIEL F , FAUTH ANDREW , LEWIS CHAD , GOBLE STUART , MOHR KAREN E
发明人： SINNOTT MARY M , JUSTIN DANIEL F , FAUTH ANDREW , LEWIS CHAD , GOBLE STUART , MOHR KAREN E
IPC分类号： A61F2/08 , A61B17/04 , A61B17/11 , A61B19/00
CPC分类号： A61B17/0487 , A61B17/0401 , A61B2017/0404 , A61B2017/0456 , A61B2017/0459 , A61B2017/0477 , A61F2/0811 , A61F2002/0882
摘要： A system and method for securing an ACL graft. The system may comprise a line routed through a plate. The plate comprising an elongated body with a plurality of passageways, and a dogbone feature on one end. The line routed such to create at least one one-way slide so no knots are required. The line may comprise an adjustable loop that receives the graft. The adjustable loop is adjustable through the one-way slide feature of the line routed around and through the plate. The plate may be configured to pass through a bone tunnel with the use of filaments routed through the passageways of the plate or around the dogbone feature of the plate. The filaments may be used to toggle the plate after passage through the bone tunnel to prevent withdrawal back through the bone tunnel because the plate contact area is larger the bone tunnel area.
摘要翻译：一种用于固定ACL移植物的系统和方法。系统可以包括通过板路线的线。所述板包括具有多个通道的细长主体和在一端上的狗骨特征。路线路线至少创建一个单向滑块，因此不需要结。线可以包括接收移植物的可调环。可调节环路可以通过绕路线穿过板材的单向滑动功能进行调节。板可以被配置成通过使用穿过板的通道或围绕板的狗骨特征的细丝穿过骨隧道。长丝可以用于在通过骨隧道之后切换板，以防止通过骨隧道退回，因为板接触面积大于骨隧道面积。

8. 发明申请

WO2010081041A1 MEDICAL DEVICE FOR MODIFICATION OF LEFT ATRIAL APPENDAGE AND RELATED SYSTEMS AND METHODS 审中-公开
标题翻译：用于修改左心室附件的医疗装置及相关系统及方法
公开(公告)号：WO2010081041A1
公开(公告)日：2010-07-15
申请号：PCT/US2010/020549
申请日：2010-01-08
申请人： COHEREX MEDICAL, INC. , MILES, Scott D. , EDMISTON, Daryl R.
发明人： MILES, Scott D. , EDMISTON, Daryl R.
IPC分类号： A61B17/12 , A61B17/00
CPC分类号： A61B17/1215 , A61B17/00234 , A61B17/0057 , A61B17/0401 , A61B17/0487 , A61B17/06166 , A61B17/12022 , A61B17/12031 , A61B17/1204 , A61B17/12122 , A61B17/12131 , A61B17/12159 , A61B17/12172 , A61B17/122 , A61B2017/00243 , A61B2017/00526 , A61B2017/00575 , A61B2017/00579 , A61B2017/00588 , A61B2017/00592 , A61B2017/00597 , A61B2017/00601 , A61B2017/0061 , A61B2017/00632 , A61B2017/00867 , A61B2017/00884 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0437 , A61B2017/0446 , A61B2017/0448 , A61B2017/0459 , A61B2017/0464 , A61B2017/1205 , Y10T29/49826
摘要： Medical devices, systems and methods for modifying a left atrial appendage ("LAA"). In one embodiment, a medical device system includes a jailing member or structure positioned over the ostium of an LAA and at least one tissue growth member positioned within the LAA and retained within the LAA by the jailing member. In another embodiment, a medical device includes an atrial stent coupled with a patch that is configured to cover the ostium of an LAA. The patch may have a tissue growth member associated therewith. In another embodiment, the patch may include an open-cell frame which may be used as a jailing member or structure.
摘要翻译：用于修改左心耳（“LAA”）的医疗设备，系统和方法。在一个实施例中，医疗装置系统包括位于LAA的口上方的锁定构件或结构，以及定位在LAA内的至少一个组织生长构件，并且由锁定构件保持在LAA内。在另一个实施例中，医疗装置包括与构造成覆盖LAA的口的贴片配合的心房支架。贴片可以具有与其相关联的组织生长部件。在另一个实施例中，贴片可以包括可用作挂钩构件或结构的开放式框架。

9. 发明申请

WO2010028324A2 KNOTLESS SUTURE ANCHORS 审中-公开
标题翻译：无钥匙锚杆
公开(公告)号：WO2010028324A2
公开(公告)日：2010-03-11
申请号：PCT/US2009056152
申请日：2009-09-08
申请人： REVOLUTIONARY SURGICAL DEVICE , SALIMAN JUSTIN
发明人： SALIMAN JUSTIN
IPC分类号： A61B17/04 , A61B17/06 , A61B17/068
CPC分类号： A61B17/0487 , A61B17/0401 , A61B2017/0412 , A61B2017/0459 , A61B2017/06142
摘要： Described herein are knotless suture anchors, and systems and methods for using knotless suture anchors. In general, a knotless suture anchor includes an anchor body configured to be anchored or embedded into bone, and a loop that extends from the anchor body as well as a loop-puller string that also extends from the anchor body. The loop can be contracted by pulling on the loop-puller string extending from the anchor. The anchor device is configured so that the loop can only be retracted into the anchor body, but not protracted or expanded. A suture (which may also be attached to the suture anchor) may be passed through the loop before it is contracted. The loop may be contracted so that it is drawn into the anchor body. Thereafter, the suture may be cut or trimmed.
摘要翻译：这里描述的是无缝缝合锚，以及使用无缝缝合锚的系统和方法。通常，无缝缝合锚固件包括构造成锚固或嵌入骨骼的锚固体，以及从锚固体延伸的环以及也从锚固体延伸的环形拉线。通过拉动从锚定器延伸的环形拉线器可以收缩该回路。锚固装置被构造成使得环仅能够缩回到锚固体中，但不能延伸或扩展。缝合线（其也可以附接到缝合锚）可以在其收缩之前通过环路。环可以收缩，使其被拉入锚体。此后，可以切割或修剪缝合线。

10. 发明申请

WO2006039296A3 METHODS AND APPARATUS FOR GRASPING AND CINCHING TISSUE ANCHORS 审中-公开
标题翻译：方法和装置组织和组织组织锚
公开(公告)号：WO2006039296A3
公开(公告)日：2009-04-16
申请号：PCT/US2005034685
申请日：2005-09-26
申请人： USGI MEDICAL INC , SAADAT VAHID , WESTRA HENDRIK S , LAM CANG C , EWERS RICHARD C
发明人： SAADAT VAHID , WESTRA HENDRIK S , LAM CANG C , EWERS RICHARD C
IPC分类号： A61B17/10 , A61B17/00 , A61B17/04 , A61B17/06 , A61B17/22
CPC分类号： A61B17/0469 , A61B17/00234 , A61B17/0401 , A61B17/0487 , A61B17/22031 , A61B17/29 , A61B2017/003 , A61B2017/00349 , A61B2017/00407 , A61B2017/00827 , A61B2017/00867 , A61B2017/0406 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0443 , A61B2017/0445 , A61B2017/0446 , A61B2017/045 , A61B2017/0451 , A61B2017/0454 , A61B2017/0456 , A61B2017/0458 , A61B2017/0459 , A61B2017/0461 , A61B2017/0464 , A61B2017/0474 , A61B2017/0475 , A61B2017/0477 , A61B2017/0488 , A61B2017/0496 , A61B2017/06028 , A61B2017/06052 , A61B2017/06076 , A61B2017/06171 , A61B2017/06176 , A61B2017/0649 , A61B2090/061
摘要： Methods and apparatus for controlled grasping and cinching or locking of a tissue anchor are provided. In one variation, a tube is provided having a lumen and a resilient member that obstructs the lumen. A grasper may be advanced coaxially through the lumen, such that it reversibly displaces the resilient member and extends beyond the lumen's outlet to engage an element of the tissue anchor. The grasper then may be retracted within the tube, such that the resilient member again obstructs the lumen of the tube. Continued retraction of the grasper may act to cinch the anchor, for example, via interaction between the anchor and the obstructing resilient member. During cinching, a cinching mechanism of the anchor optionally may be positioned at least partially within the tube to enhance lateral stability. Furthermore, feedback indicative of a degree of cinching or locking may be provided during cinching.
摘要翻译：提供了用于控制抓握和夹紧或锁定组织锚的方法和装置。在一个实施例中，提供具有内腔和阻碍内腔的弹性构件的管。夹持器可以同轴地穿过内腔前进，使得其可逆地移位弹性构件并延伸超过内腔的出口以接合组织锚的元件。然后，抓紧器可以缩回到管内，使得弹性构件再次阻塞管的内腔。抓持器的继续缩回可以例如通过锚固件和阻碍弹性构件之间的相互作用而使锚固件收紧。在收紧期间，锚固件的收紧机构任选地可以至少部分地定位在管内以增强横向稳定性。此外，可以在收紧期间提供表示收紧或锁定程度的反馈。

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