利索-全球专利检索

  1. 登录
  2. 注册

搜索结果

8 条记录 (耗时 0.011 秒)

    Method and apparatus for anchoring a suture
    2.
    发明公开
    Method and apparatus for anchoring a suture 失效
    用于锚定Nähfähden方法和装置

    公开(公告)号：EP0699416A3

    公开(公告)日：1996-04-17

    申请号：EP95305709.8

    申请日：1995-08-16

    申请人： Bonutti, Peter M.

    发明人： Bonutti, Peter M.

    IPC分类号： A61B17/04

    CPC分类号： A61B17/0401 ,  A61B2017/0409 ,  A61B2017/0411 ,  A61B2017/0414 ,  A61B2090/062

    摘要： A tubular anchor may have a polygonal cross-sectional configuration with flat outer side surfaces areas connected by a plurality of outer corner portions. A passage through the anchor may be formed by flat inner side surfaces interconnected by inner corner portions. A suture is inserted through the passage. A concentrated force may be applied against a limited area on a trailing end of the anchor to rotate the anchor to move an outer corner portion of the anchor into engagement with body tissue. The suture may engage an inner corner portion of the anchor. The suture may be inserted through a plurality of anchors and the anchors moved through a tubular member into the body tissue under the influence of force transmitted from a trailing anchor to a leading anchor. When the leading anchor is moved into the body tissue, it is rotated under the influence of force applied against a trailing end of the leading anchor. If desired, two anchors may be interconnected. A groove may advantageously be provided along the leading end and side of an anchor to receive the suture.

    Adjustable orthosis
    3.
    发明公开
    Adjustable orthosis 失效
    Verstellbare Orthese。

    公开(公告)号：EP0564734A1

    公开(公告)日：1993-10-13

    申请号：EP92303251.0

    申请日：1992-04-10

    申请人： Bonutti, Peter M.

    发明人： Bonutti, Peter M.

    IPC分类号： A61F5/01

    CPC分类号： A61F5/013 ,  A61F5/0123 ,  A61F2005/0153

    摘要： An adjustable orthosis (10) for stretching tissue by moving a joint between first and second relatively pivotable body portions includes a first arm (24) with a cuff (28) at its outer end for releasably attaching the first arm to the first body portion, and a second arm (44) with a cuff (52) at its outer end for releasably attaching the second arm to the second body portion. The arms are pivotally connected at their inner ends. An actuator 22 is connected to the arms for applying force to the arms to pivot them relative to each other to move the joint. The actuator includes flexible force transmitting means (110) connected with at least one of the arms, and drive means (82) for applying force to the flexible force transmitting means to move the first and second arms relative to each other. In a preferred embodiment, the flexible force transmitting means is a rope or cable and the drive means is a manually actuatable winch for winding the rope or cable. The drive means is located at a distance from the pivotal connection of the first and second arms. The orthosis is adjustable while on the limb to a plurality of different positions including at least a first position in which the joint is flexed to a relatively greater degree and a second position in which the joint is extended to a relatively greater degree. The orthosis can also be used to flex.

    摘要翻译： 用于通过移动第一和第二可相对枢转的身体部分之间的关​​节来拉伸组织的可调节矫正装置（10）包括在其外端具有袖带（28）的第一臂（24），用于将第一臂可释放地附接到第一主体部分， 以及在其外端具有袖带（52）的第二臂（44），用于将第二臂可释放地附接到第二主体部分。 臂在其内端枢转连接。 致动器22连接到臂上，用于向臂施力，以使它们相对于彼此枢转以移动接头。 致动器包括与至少一个臂连接的柔性力传递装置（110）和用于向柔性力传递装置施加力以相对于彼此移动第一和第二臂的驱动装置（82）。 在优选实施例中，柔性力传递装置是绳索或缆索，并且驱动装置是用于卷绕绳索或缆索的可手动致动的绞盘。 驱动装置位于与第一和第二臂的枢转连接一定距离处。 矫形器在肢体上可调节到多个不同的位置，包括至少第一位置，其中关节弯曲到相对较大的程度，第二位置中关节被延伸到相对较大的程度。 矫形器也可用于弯曲。

    Method and apparatus for anchoring a suture
    6.
    发明公开
    Method and apparatus for anchoring a suture 失效
    Verfahren und Vorrichtung zur Verankerung vonNähfähden

    公开(公告)号：EP0699416A2

    公开(公告)日：1996-03-06

    申请号：EP95305709.8

    申请日：1995-08-16

    申请人： Bonutti, Peter M.

    发明人： Bonutti, Peter M.

    IPC分类号： A61B17/04

    CPC分类号： A61B17/0401 ,  A61B2017/0409 ,  A61B2017/0411 ,  A61B2017/0414 ,  A61B2090/062

    摘要： A tubular anchor may have a polygonal cross-sectional configuration with flat outer side surfaces areas connected by a plurality of outer corner portions. A passage through the anchor may be formed by flat inner side surfaces interconnected by inner corner portions. A suture is inserted through the passage. A concentrated force may be applied against a limited area on a trailing end of the anchor to rotate the anchor to move an outer corner portion of the anchor into engagement with body tissue. The suture may engage an inner corner portion of the anchor. The suture may be inserted through a plurality of anchors and the anchors moved through a tubular member into the body tissue under the influence of force transmitted from a trailing anchor to a leading anchor. When the leading anchor is moved into the body tissue, it is rotated under the influence of force applied against a trailing end of the leading anchor. If desired, two anchors may be interconnected. A groove may advantageously be provided along the leading end and side of an anchor to receive the suture.

    摘要翻译： 管状锚固件可以具有多边形横截面形状，其中平坦的外侧表面区域由多个外角部连接。 穿过锚固件的通道可以由通过内拐角部分相互连接的平坦内侧面形成。 缝合线穿过通道插入。 集中力可以施加在锚固件的尾端上的有限区域上，以使锚固件旋转，以使锚固件的外角部分与身体组织接合。 缝线可以接合锚的内角部。 缝合线可以穿过多个锚固件插入，并且锚固件在从尾部锚固件传递到前导锚固件的作用力的作用下移动通过管状构件进入身体组织。 当引导锚移动到身体组织中时，其在施加到引导锚的尾端的力的影响下旋转。 如果需要，两个锚可以相互连接。 可以有利地沿着锚的前端和侧面设置凹槽以接收缝合线。

    Orthosis with distraction through range of motion
    7.
    发明公开
    Orthosis with distraction through range of motion 失效
    Orthese mit Distraktionübereinen Bewegungsbereich。

    公开(公告)号：EP0510840A1

    公开(公告)日：1992-10-28

    申请号：EP92303205.6

    申请日：1992-04-10

    申请人： Bonutti, Peter M.

    发明人： Bonutti, Peter M. ,  Zitzmann, Gary E.

    IPC分类号： A61F5/01

    CPC分类号： A61F5/0102 ,  A61F5/0123 ,  A61F5/013 ,  A61F2005/0137 ,  A61F2005/0139 ,  A61F2005/0153 ,  A61H1/024 ,  A61H1/0277 ,  G04F5/025 ,  G04G9/085

    摘要： An orthosis (10) for stretching tissue that limits compressive forces on the soil tissue around a joint during movement of the joint. The orthosis includes two relatively pivotable cuff arms (22,40) with a cuff (12,16) on each arm. The cuffs clamp onto the body portions on either side of the joint. The pivot axis (D) of the cuff arms is spaced from the pivot axis (A) of the joint, so that movement of the cuff arms to extend the joint results in distractive forces being applied to the joint. The cuffs are selectively moved on the cuff arms, during extension and flexion, to provide the proper amount of distractive forces to the joint and to limit compressive forces on the joint. A mechanical advantage is gained through the use of a gear drive mechanism for transmitting to the joint the force applied by the patient. This allows the orthosis to be relatively small and lightweight. The orthosis also provides a portable system for continuous passive motion therapy for a joint. The orthosis may be operated by a manual plus electric drive cycling it between extremes of motion. Provision is made for monitoring the range of motion or the force applied.

    摘要翻译： 用于拉伸组织的矫形器（10），其在关节运动期间限制关节周围的土壤组织上的压缩力。 矫形器包括在每个臂上具有袖带（12,16）的两个相对可枢转的袖口臂（22,40）。 袖带夹在接头两侧的主体部分上。 袖带臂的枢转轴线（D）与关节的枢转轴线（A）间隔开，使得袖带臂延伸关节的运动导致施加到关节的分离力。 在延伸和弯曲期间，袖带选择性地在袖口臂上移动，以向接头提供适当量的分离力并限制关节上的压缩力。 通过使用齿轮驱动机构来向接头传递由患者施加的力而获得机械优点。 这使得矫形器相对较小和重量轻。 矫形器还提供用于关节的连续被动运动治疗的便携式系统。 矫形器可以通过手动加上电动驱动器在极限运动之间进行操作。 规定用于监测运动范围或施加的力。

    Orthosis with joint distraction
    8.
    发明公开
    Orthosis with joint distraction 失效
    关节分散的矫形器

    公开(公告)号：EP0509723A1

    公开(公告)日：1992-10-21

    申请号：EP92303235.3

    申请日：1992-04-10

    申请人： Bonutti, Peter M.

    发明人： Bonutti, Peter M.

    IPC分类号： A61F5/01

    CPC分类号： A61F5/0123 ,  A61F5/013 ,  A61F2005/0137 ,  A61F2005/0139 ,  A61F2005/0153

    摘要： An orthosis for extension and flexion of a joint of a limb provides for distraction of the joint upon extension. In one embodiment, a spreading arrangement positively moves the orthosis arms longitudinally outwardly relative to each other upon rotation from a flexed position to an extended position. In another embodiment, the axis of rotation of the orthosis arms is located outwardly from the axis of rotation of the limb. Upon rotation of the arms relative to each other from a flexed position to an extended position, the orthosis arms move longitudinally outwardly because of the geometry of the orthosis. Because the cuffs on the arms are clamped to the limb segments, the limb segments are also forced outwardly, providing joint distraction. Structure is provided for limiting the amount of joint distraction and avoiding injury to the joint.
    The inner ends of the orthosis arms are linked together to maintain them in position relative to each other. The cuffs which attach the arms to the limb segments are adjustable longitudinally along the arms, to provide for different positions of the cuffs on the on limb, different length limbs, and the use of the orthosis on either a knee joint or an elbow joint.

    摘要翻译： 用于伸展和弯曲肢体关节的矫形器在伸展时提供关节的分离。 在一个实施例中，展开装置在从弯曲位置旋转到展开位置时相对于彼此纵向地向外移动矫形器臂。 在另一个实施例中，矫形臂的旋转轴线从肢体的旋转轴线向外定位。 当臂从弯曲位置相对于彼此旋转到伸展位置时，由于矫形器的几何形状，矫形臂向外纵向移动。 由于手臂上的袖口夹在肢体节段上，所以肢体节段也被迫向外，从而提供关节分离。 提供了用于限制关节分离量并避免伤害关节的结构。 矫形器臂的内端连接在一起以保持它们相对于彼此的位置。 将臂连接到肢节段上的袖口可沿着手臂纵向调节，以提供袖口在不同肢体上的不同位置，不同长度的肢体以及在膝关节或肘关节上使用矫形器。