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公开(公告)号：US5766250A
公开(公告)日：1998-06-16
申请号：US736554
申请日：1996-10-28
CPC分类号： A61F2/0805 , A61B17/1675 , A61F2/0811 , A61B17/1655 , A61B17/1714 , A61B2090/062 , A61F2002/0829 , A61F2002/0864 , A61F2002/087 , A61F2002/0882 , Y10S606/908
摘要： A ligament fixator for a ligament anchor system and a process its use in an arthroscopic procedure for mounting a ligament graft end in a tunnel formed into a bone. The anchor system includes footing member for positioning in a bone tunnel, and includes a longitudinal opening formed therethrough, and a ligament carrying member that has a forward of proximal portion for fitting through the member longitudinal opening and includes a coupling for securing it to the footing member. The ligament carrying member further including as a rear or distal portion that incorporates a ligament mounting section having a center longitudinal axis wherefrom at least one and preferably a pair of spaced apart pointed posts extend at essentially right angles that include serrations or downwardly sloping teeth formed along at least one side of each post, the post or posts for passing through transverse holes formed in an end of a ligament graft, such as a bone end of a bone tendon ligament graft, with the ligament graft bone end urged onto the mounting plate posts axially mounting it thereto. The ligament carrying member with axially mounted ligament graft are guided in the bone tunnel and into the footing longitudinal opening, with the ligament carrying member to lock therein, completing the ligament graft end mounting in the bone tunnel. With, after the ligament graft is placed under tension and the opposite graft end secured, should an adjustment of ligament graft tension be desirable, the footing member is turned appropriately in the bone tunnel.
摘要翻译： 用于韧带锚固系统的韧带固定器及其在关节镜方法中用于将韧带移植物端部安装在形成骨骼的隧道中的过程。 锚定系统包括用于定位在骨隧道中的基脚构件，并且包括由其穿过的纵向开口，以及韧带承载构件，其具有用于通过构件纵向开口配合的近侧部分的前部，并且包括用于将其固定到基脚 会员。 所述韧带承载构件还包括作为后部或远端部分，所述后部或远端部分包括具有中心纵向轴线的韧带安装部分，所述韧带安装部分具有中心纵向轴线，所述中心纵向轴线至少一个并且优选地一对间隔开的尖部支柱基本上成直角延伸，所述直角包括沿着 每个柱的至少一侧，用于穿过形成在韧带移植物的端部中的横向孔的柱或柱，例如骨腱韧带移植物的骨端，将韧带移植骨端推动到安装板柱上 轴向安装在其上。 具有轴向安装的韧带移植物的韧带承载构件在骨隧道中引导并进入基脚纵向开口，韧带承载构件锁定在其中，完成在骨隧道中的韧带移植端。 在韧带移植物处于张力下并且相对的移植物端固定之后，如果需要调节韧带移植物张力，则在骨隧道中适当地转动基脚构件。
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公开(公告)号：US5713897A
公开(公告)日：1998-02-03
申请号：US812487
申请日：1997-03-06
申请人： E. Marlowe Goble , David P. Luman , Alan Chervitz , Brad Story , Tim Simon
发明人： E. Marlowe Goble , David P. Luman , Alan Chervitz , Brad Story , Tim Simon
CPC分类号： A61F2/0805 , A61B90/06 , A61B2090/064
摘要： An anterior cruciate ligament or soft tissue tensioning and knee displacement measuring device and method for its use to apply a tensile stress into a repaired or replaced graft and to maintain tension on that graft while an interference screw, or like fastener, is turned into a tunnel section end, containing the graft or sutures connected to the graft, wedging it against the tunnel wall, and, during application of the tensile stress, for determining the distance that the knee is displaced. The invention includes a tensioning device having, as a body, a pair of straight rails with a cross member secured across the rails rear or distal ends with forward or proximal rail ends connected to mounting tubes that are for fitting into pins as have been mounted into to extend from a bone cortex, alongside the tunnel section end, and including a trolley maintained to travel between the body rails. The trolley includes a mount arranged to receive and maintain sutures that extend out from the tunnel end, with trolley movement provided by turning a connected rod turned through the cross member to impart a tensile force into the ligament graft, with the amount of the applied force measured by a slide indicator arranged with the trolley. Additionally, the invention includes the knee displacement measuring device for measuring displacement during application of a tensile stress to sutures attached to the ligament graft.
摘要翻译： 前交叉韧带或软组织张力和膝盖位移测量装置及其方法，用于将拉伸应力施加到修复或替代的移植物中并且在干涉螺钉或类似的紧固件变成隧道时保持该移植物上的张力 包含连接到移植物的移植物或缝合线，将其楔入隧道壁，并且在施加拉伸应力期间用于确定膝盖移位的距离。 本发明包括一个张紧装置，其具有作为主体的一对直轨，横向部件固定在轨道的后端或远端，前端或近端的轨道端连接到安装管，安装管用于安装到销中， 从骨皮质，沿着隧道截面端延伸，并且包括保持在身体轨道之间行进的手推车。 手推车包括安装件，其布置成接收和保持从隧道端延伸出的缝合线，通过转动穿过横梁的连接杆来提供手推车运动，以将拉力施加到韧带移植物中，施加的力量 通过与手推车布置的滑动指示器来测量。 另外，本发明还包括膝关节位移测量装置，用于在拉伸应力施加到附着于韧带移植物的缝合线时测量位移。
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公开(公告)号：US5584860A
公开(公告)日：1996-12-17
申请号：US389149
申请日：1995-02-15
CPC分类号： A61B17/0401 , A61B2017/0409 , A61B2017/0496 , A61B2017/06142
摘要： A suture anchor loader and driver for mounting a suture anchor with a connected suture, that is arranged for mounting and maintaining the suture to the driver distal end while driving the anchor into a bone, whereafter the driver is removed from the anchor, leaving the suture extending from the seated anchor. The driver includes a cylindrical solid body and has an anchor mount formed as its distal end that is for receiving a coupling end of the anchor fitted therethrough and includes a center longitudinal passage, wherethrough the anchor suture is fitted. A first curved passage is formed in the driver body distal end and intersects the center longitudinal passage through the anchor mount, and extends to the driver body surface where it intersects a straight longitudinal groove that is formed along the driver body. The groove intersects, on its proximal end, an inlet end of a second curved passage that extends through and exits the driver body surface on the opposite side to the longitudinal groove and first curved passage end, which first curved passage, longitudinal groove and second curved passage are to receive the suture threaded therethrough. The invention provides several embodiments of arrangements for maintaining the threaded suture alongside the driver body, and provides, on the driver body proximal end, a drill coupling arrangement that is to fit into and be turned by a conventional drill, T-handle, or the like, for seating the anchor into a bone material.
摘要翻译： 一种缝合锚固装载机和驱动器，用于安装具有连接缝合线的缝合锚固件，其被布置用于在将锚固件移动到骨骼中的同时将缝合线安装并保持到驱动器远端，此后将驱动器从锚定件移除，离开缝合线 从座位锚延伸。 驾驶员包括圆柱形固体，并且具有形成为其远端的锚固安装座，其用于接收锚固穿过其中的锚固件的联接端，并且包括中心纵向通道，通过锚定缝合线安装。 第一弯曲通道形成在驱动器主体远端中，并且与通过锚固安装件的中心纵向通道相交，并且延伸到与驱动器主体形成的直线纵向槽相交的驾驶员主体表面。 所述槽在其近端处相交于第二弯曲通道的入口端，所述第二弯曲通道的入口端在与所述纵向槽和所述纵向槽相反的一侧延伸并且离开所述驱动器主体表面，所述第一弯曲通道端，所述第一弯曲通道，纵向槽和第二弯曲 通道是接收穿过其中的缝合线。 本发明提供了用于将螺纹缝合线沿着驱动器主体保持的布置的几个实施例，并且在驱动器主体近端上提供钻头联接装置，该钻头联接装置适合于传统的钻头，T形手柄或 就像把锚固定在骨料中一样。
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公开(公告)号：US5458602A
公开(公告)日：1995-10-17
申请号：US180100
申请日：1994-01-11
CPC分类号： A61B17/1714 , A61B17/1764
摘要： An improved drill guide device is provided for accurately drilling a passageway through bone. The drill guide comprises a support, a curved radial rack, a locator boom movably disposed on the curved radial rack, a drill sleeve and an indexing mechanism. The drill sleeve may be discretely indexed toward the target bone and locked/unlocked in position with a single handed operation.
摘要翻译： 提供了一种改进的钻孔引导装置，用于准确地钻取通过骨的通道。 钻子引导器包括支撑件，弯曲的径向齿条，可移动地设置在弯曲的径向齿条上的定位臂，钻套和分度机构。 钻套筒可以离散地朝向目标骨骼索引并且通过单手操作将其锁定/解锁就位。
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公开(公告)号：US5417692A
公开(公告)日：1995-05-23
申请号：US177752
申请日：1994-01-04
CPC分类号： A61B17/68 , A61B17/7291 , A61C8/0022 , A61B17/72 , A61B17/7225 , Y10S606/909
摘要： A bone fixation and fusion system, that is preferably for use for joining bone ends together, and includes two members, that are each for individual turning into bone material, and include, respectively, male and female connector ends, that are for fitting together to connect together the member ends, bringing the bone material wherein they are turned into engagement and once connected resist being pulled apart. The connector ends are, respectively a cylindrical sleeve that extends axially from one member rear face, that includes a ring formed around the cylinder end and is cross cut longitudinally from that ring end, to form a spring collet, with the other connector end consisting of a cylindrical cavity that is formed longitudinally into the other member rear face for receiving the spring collet therein, which cylindrical cavity may include a groove, grooves or threads formed in the cavity wall that the spring collet ring end flexes into to provide a resistance to the two members being pulled apart. Each member includes a tool engaging end for receiving a turning tool fitted thereto, with threads formed around the member body, and provides, in the embodiment a twist drill as a member forward end for turning into the bone material. The system can be configured for use in a dental procedure where a ceramic or plastic crown or bridge can be formed on one member for installation onto the other member that has been turned into a patient's jaw, or one of the members can be configured as a bone joint fusion member.
摘要翻译： 一种骨固定和融合系统，其优选地用于将骨头端部连接在一起，并且包括两个构件，每个构件用于单独转向骨材料，并且分别包括阳连接器端和阴连接器端，用于装配在一起 将构件端部连接在一起，使骨材料变得接合，并且一旦连接的抗蚀剂被拉开。 连接器端部分别是从一个构件后表面轴向延伸的圆柱形套筒，其包括形成在气缸端部周围的环，并且从该环形端部纵向横切形成弹簧夹头，另一个连接器端部由 圆柱形腔体纵向地形成在另一个构件后表面中以用于在其中容纳弹簧夹头，该圆柱形空腔可以包括形成在空腔壁中的凹槽，凹槽或螺纹，弹簧夹头环端部弯曲以提供对 两名成员被拉开。 每个构件包括用于接收装配到其上的转动工具的工具接合端，并且在构件主体周围形成有螺纹，并且在该实施例中将麻花钻提供为用于转换成骨材料的构件前端。 该系统可被配置用于牙科手术中，其中可以在一个构件上形成陶瓷或塑料表冠或桥，以安装到已经变成患者的颌部的另一个构件上，或者其中一个构件可以被配置为 骨关节融合部件。
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公开(公告)号：USRE34871E
公开(公告)日：1995-03-07
申请号：US887200
申请日：1992-05-21
IPC分类号： A61F2/08
CPC分类号： A61F2/0811 , A61F2/0805 , A61F2002/0841 , A61F2002/0858 , A61F2002/087 , A61F2002/0882
摘要： A cannulated interference screw (10) and process for human implantation in an arthroscopic surgical procedure for replacement of a ligament, or the like. The interference screw is provided with a drill end (11) that extends longitudinally from an end of a cylindrical body (14), which drill end includes equally spaced flutes (12) therearound. The flutes extend into first and second cutting threads (15a) and (15b), respectively which cutting threads and threads (15) are formed around the cylindrical body. A center longitudinal passage (16) is formed through the interference screw drill end and cylindrical body, which passage is stepped outwardly within the cylindrical body into a hexagonal sided section (18) that is for receiving a sided end (20) of a driver (19) that is fitted therein. In practice, the cannulated interference screw is installed by sliding it along a guide rod (25) that is fitted in a prepared ligament tunnel (22) through a bone mass, alongside a bone block portion of a ligament (23) within the bone endosteum, which ligament is maintained in that tunnel under tension. The driver is also holed longitudinally to travel along the guide rod to fit into and turn the interference screw, providing fixation of the ligament in that tunnel.
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公开(公告)号：US5385567A
公开(公告)日：1995-01-31
申请号：US580172
申请日：1990-09-07
申请人： E. Marlowe Goble
发明人： E. Marlowe Goble
CPC分类号： A61B17/1714 , A61B17/1764 , A61F2/38
摘要： A sight barrel arthroscopic instrument for use in a knee cruciate ligament repair procedure for forming a passage into the femoral endosteum to intersect, at an acute angle, a straight ligament tunnel that is formed from a point on the tibial tuberosity into the femur endosteum. Which instrument references the ligament tunnel to guide drilling of a passage from a point in the roof of the intercondyle notch to intersect the ligament tunnel in the femur endosteum, which passage is for receiving a fastener, such as a set screw, interference screw, or the like, that is installed into a ligament graft fitted in that ligament tunnel, providing an endosteal fixation of which ligament graft in that femur endosteum.
摘要翻译： 一种用于膝关节十字韧带修复程序的视镜关节镜仪器，用于形成到股骨内骨的通道，以锐角相交，从由胫骨结节上的点形成的直的韧带隧道进入股骨内骨。 哪个仪器参考韧带隧道来引导从髁间隙的顶部的一个通道的钻孔，以与股骨内骨中的韧带隧道相交，该通道用于接收紧固件，例如固定螺钉，干涉螺钉或 其被安装到装在该韧带隧道中的韧带移植物中，提供在该股骨内骨中的韧带移植物的内固定。
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公开(公告)号：USRE34293E
公开(公告)日：1993-06-22
申请号：US529319
申请日：1990-05-29
申请人： E. Marlowe Goble , W. Karl Somers
发明人： E. Marlowe Goble , W. Karl Somers
CPC分类号： A61F2/0811 , A61B17/686 , A61F2/08 , A61B2017/00004 , A61B2017/0409 , A61B2017/044 , A61B2017/0458 , A61F2002/0835 , A61F2002/0864 , A61F2002/087 , A61F2002/0882 , A61F2002/30062 , A61F2002/3085 , A61F2210/0004
摘要： The invention provides a system for surgically implanting an allograft or prosthetic ligament as a replacement for a patient's cruciate ligaments. In a practice of the system, as a replacement for an anterior cruciate ligament, the patient's leg is bent and maintained at approximately a ninety degree (90.degree.) angle, a single incision is made medial to the tibial tuberosity, From this incision, under fluoroscopic and arthroscopic control, a guidewire is driven through the tibia and across the cruciate ligament junctions with the proximal tibia and distal femur ends and into the femur cortex. Succesively larger drills are then turned along the guidewire to form a ligament tunnel, with, as a last step in the tunnel formation process, the preparation of the femur cortex end of the tunnel to receive a femoral connector of the implanted ligament, which connector is arranged in one embodiment to be outwardly flared and in another embodiment to be turned into the appropriately prepared femur end of the ligament tunnel to lock therein. The invention, in addition to the embodiment of the ligament femur end connectors, further includes a tibial surface ligament tibial end connector for both securing the ligament end to the bone and the setting ligament tensioning, of which ligament connectors can be manufactured from a biodegradable material for absorption by the body.
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公开(公告)号：US5147362A
公开(公告)日：1992-09-15
申请号：US681974
申请日：1991-04-08
申请人： E. Marlowe Goble
发明人： E. Marlowe Goble
CPC分类号： A61F2/0811 , A61B2017/0412 , A61B2017/0437 , A61F2002/0835 , A61F2002/0858 , A61F2002/087 , A61F2002/0882 , A61F2002/2835 , Y10S606/908
摘要： An endosteal ligament fixation device for mounting to a bone end of a bone tendon bone graft for use as a replacement anterior or posterior cruciate ligament. The endosteal ligament fixation device consists of a disk, collar, ring or band that is arranged to be fitted and secured to the graft bone end that includes a number of radially equidistant spaced outwardly projecting resilient barbs or pins extending therefrom, or may involve forming radially equidistantly spaced slanted holes into the graft bone end for mounting individual resilient barbs or pins. The barbs or pins can be sharp, blunt, or otherwise configured to extend into and to hold securely within a bone endosteum. A number of which barbs or pins are set radially into the disk, collar, ring or band, or individually into the bone end so as to be angled to extend off of and are spaced apart from the bone end surface, pointing towards the tendon coupling with that bone end. The barbs or pins are to individually flex inwardly during passage along the ligament tunnel wall when the graft bone end is urged therealong. At the tunnel end, the resilient barbs or pins are to flex outwardly into the bone endosteum, seating the graft bone end therein, and will fully extend into the bone endosteum when a tensile force is applied to the graft.
摘要翻译： 一种用于安装到骨腱骨移植物的骨端的内支韧带固定装置，用作替代的前交叉韧带或后交叉韧带。 所述内膜韧带固定装置由盘，套环，环或带组成，所述盘，套环，环或带被布置成装配并固定到移植物骨端，所述移植骨端包括多个径向等距离的向外突出的弹性倒钩或从其延伸的销，或可包括径向形成 将等距隔开的倾斜孔插入移植物骨端，用于安装各个弹性倒钩或销。 倒钩或针脚可以是尖锐的，钝的或以其他方式构造成延伸进入并固定在骨内骨内。 许多哪些倒钩或销径向地设置在盘，环，环或带中，或者单独地设置在骨端中，以便成角度地延伸离开骨端表面并与骨端表面间隔开，指向腱连接 与那个骨头。 当沿着韧带隧道壁通过时，倒钩或销钉将沿着沿着侧向推动的移植骨头端部向内单独弯曲。 在隧道端，弹性倒钩或销向外向外伸入骨内骨中，将移植物骨头端部固定在其中，并且当向移植物施加拉力时将完全延伸到骨内骨中。
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公开(公告)号：US11337711B2
公开(公告)日：2022-05-24
申请号：US16795020
申请日：2020-02-19
申请人： E. Marlowe Goble
摘要： Knee arthroplasty instrument systems directly reference and align with the anterior distal femoral cortex and the mechanical axis of the leg. The anterior femoral resection is aligned in the same plane as the anterior distal femoral cortex. The center of the femoral head, the medial/lateral center of the distal femur, the medial/lateral center of the proximal tibia, and the second toe, medial/lateral center of the ankle, or anterior tibial spine are all aligned to the mechanical axis of the leg. Methods of using the instrument systems are disclosed.
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