公开(公告)号：US09579188B2

公开(公告)日：2017-02-28

申请号：US14085295

申请日：2013-11-20

Applicant: SMITH & NEPHEW, INC.

Inventor： Steve Mark Bowman ,  Alfred R. Berube ,  Bernard Joseph Bourque ,  Wei Yang ,  Mark Edwin Housman ,  John Stroncek

IPC: A61B17/86 ,  A61F2/08 ,  A61B17/04 ,  A61B17/88 ,  A61B17/00

CPC classification number: A61F2/0811 ,  A61B17/0401 ,  A61B17/864 ,  A61B17/8645 ,  A61B17/869 ,  A61B17/888 ,  A61B17/8888 ,  A61B2017/00004 ,  A61B2017/00455 ,  A61B2017/00477 ,  A61B2017/00893 ,  A61B2017/00933 ,  A61B2017/00964 ,  A61B2017/0409 ,  A61B2017/044 ,  A61B2017/0458 ,  A61B2017/8655 ,  A61F2/0805 ,  A61F2002/0841 ,  A61F2002/0858 ,  A61F2002/0888 ,  A61F2250/0097

Abstract: The present disclosure relates to an interference screw having a body with a proximal end, distal end, and longitudinal axis extending between thereinbetween. The screw further includes threads for fixing the screw into bone. The screw further includes a through bore defined by the body. The through bore extends between the proximal and distal ends along the longitudinal axis, and has a surface. The screw further includes a controlling member formed by the through bore surface. To install the screw into bone, a surgeon turns the screw with a driver that engages with the controlling member. The driver only engages the controlling member when it is in a driving orientation with respect to the controlling member. Advantageously, with this “one-way” engagement the surgeon can control and confirm the orientation of the driver without seeing the driver and/or screw.

Abstract translation: 本公开涉及一种具有主体的干涉螺钉，所述主体具有在其间延伸的近端，远端和纵向轴线。 螺钉还包括用于将螺钉固定到骨中的螺纹。 螺杆还包括由主体限定的通孔。 通孔沿着纵向轴线在近端和远端之间延伸，并且具有表面。 螺杆还包括由通孔表面形成的控制构件。 为了将螺钉安装到骨骼中，外科医生用与控制构件啮合的驱动器来转动螺钉。 当驾驶员相对于控制构件处于驾驶方向时，驾驶员仅与控制构件接合。 有利地，通过这种“单向”接合，外科医生可以控制和确认驾驶员的方向，而不需要看到驾驶员和/或螺丝。

公开(公告)号：US09566057B2

公开(公告)日：2017-02-14

申请号：US14103323

申请日：2013-12-11

Applicant: Cook Medical Technologies LLC

Inventor： Kristyn Gadlage ,  Graham Barnett

IPC: A61B17/04

CPC classification number: A61B17/0401 ,  A61B17/0487 ,  A61B2017/00818 ,  A61B2017/0404 ,  A61B2017/0414 ,  A61B2017/0417 ,  A61B2017/0451 ,  A61B2017/0456 ,  A61B2017/0458 ,  A61B2017/0464

Abstract: The present invention provides suture retention devices for retaining a suture on a bodily wall, e.g. for affixing the suture to the skin such as during the creation of an external percutaneous fluidic connection. In one embodiment, a device includes a base member and a swivel member. In another embodiment, the device includes a base member, first and second jaws, and a key. Operation of the swivel member or key serves to lock the suture to the device, and hence maintain tension on the suture while affixed to the skin.

Abstract translation: 本发明提供了用于将缝合线保持在身体壁上的缝合线保持装置，例如， 用于将缝合线固定到皮肤上，例如在创建外部经皮流体连接期间。 在一个实施例中，装置包括基座构件和旋转构件。 在另一个实施例中，该装置包括基座构件，第一和第二夹爪以及键。 旋转构件或键的操作用于将缝合线锁定到装置，并且因此在固定在皮肤上的同时保持缝线上的张力。

公开(公告)号：US09566056B2

公开(公告)日：2017-02-14

申请号：US14072417

申请日：2013-11-05

Applicant: AEVUMED, INC.

Inventor： Miles Ole Curtis ,  Saif Khalil

IPC: A61B17/04 ,  A61B17/06 ,  A61B17/00

CPC classification number: A61B17/0401 ,  A61B17/06 ,  A61B2017/00477 ,  A61B2017/044 ,  A61B2017/0458

Abstract: A suture anchor is described. The suture anchor includes an elongate anchor body having a proximal end and a distal end, at least one suture secured within the anchor body, and at least one piercing structure secured within the body extending proximally out of the proximal end of the body, wherein the at least one piercing structure is engaged with the at least one suture. A method of attaching soft tissue to bone in a subject is also described. The method includes the steps of securing an anchor device into a bore formed in the bone, the anchor device comprising an anchor body and at least one pre-loaded piercing structure with at least one suture attached to both the anchor body and the piercing structure, piercing a soft tissue by forcing the at least one piercing structure through the soft tissue, such that at least a portion of the at least one suture passes through the soft tissue, and tying the at least one suture against the soft tissue to secure the soft tissue to the bone.

Abstract translation: 描述缝合锚。 缝合锚固件包括具有近端和远端的细长锚固体，固定在锚固体内的至少一条缝合线，以及固定在体内的至少一个穿孔结构，其向近端延伸出主体近端，其中， 至少一个穿孔结构与所述至少一个缝合线接合。 还描述了将软组织粘附到受试者中的骨的方法。 该方法包括以下步骤：将锚固装置固定到形成在骨中的孔中，所述锚固装置包括锚固体和至少一个预加载穿刺结构，其中至少一个缝合线附接到锚固体和刺穿结构， 通过迫使所述至少一个刺穿结构穿过所述软组织来刺穿软组织，使得所述至少一个缝合线的至少一部分穿过所述软组织，并且将所述至少一个缝合线绑在所述软组织上以固定所述软组织 组织到骨头。

公开(公告)号：US20170035552A1

公开(公告)日：2017-02-09

申请号：US15224284

申请日：2016-07-29

Applicant: KATOR, LLC

Inventor： T. Wade Fallin ,  Joel Helgerson

IPC: A61F2/08 ,  A61B17/04

CPC classification number: A61B17/0401 ,  A61B17/0485 ,  A61B17/06133 ,  A61B90/92 ,  A61B2017/0053 ,  A61B2017/0403 ,  A61B2017/0409 ,  A61B2017/0412 ,  A61B2017/0414 ,  A61B2017/0424 ,  A61B2017/0425 ,  A61B2017/045 ,  A61B2017/0458 ,  A61B2090/037 ,  A61B2090/0807 ,  A61F2/0811 ,  A61F2002/0835 ,  A61F2002/0882

Abstract: Examples of the invention include implants, instruments, and methods for surgical transosseous attachment to a bone. More particularly, examples of the invention relate to knotless suture anchors.

Abstract translation: 本发明的实例包括用于外科手术骨固定到骨骼的植入物，器械和方法。 更具体地，本发明的实例涉及无缝缝合锚。

公开(公告)号：US20160374795A1

公开(公告)日：2016-12-29

申请号：US15256945

申请日：2016-09-06

Applicant: Tenjin LLC

Inventor： Christopher P. DOUGHERTY ,  Gary R. HEISLER ,  Robert A. VAN WYK

IPC: A61F2/08 ,  A61B17/04

CPC classification number: A61F2/0811 ,  A61B17/0401 ,  A61B17/0483 ,  A61B17/0485 ,  A61B2017/00477 ,  A61B2017/0409 ,  A61B2017/0427 ,  A61B2017/044 ,  A61B2017/0445 ,  A61B2017/0458 ,  A61B2017/0496 ,  A61B2017/06042 ,  A61B2090/034 ,  A61B2090/064 ,  A61F2/0805 ,  A61F2002/0841 ,  A61F2002/0858 ,  A61F2002/0888

Abstract: Described herein is a simplified placement system and method for a tissue graft anchor by which a surgeon may introduce one or more sutures into a hole in a boney tissue, apply a precise amount of tension to the sutures to advance a soft tissue graft to a desired location, and then advance the anchor into the bone, preferably while maintaining the requisite pre-determined suture tension and without introducing spin to the suture. Particularly preferred embodiments relate to multi-anchor constructs formed by. a. affixing at least one suture to the bone medial to the lateral edge of the soft tissue using a first implant, such as a cannulated knotless suture anchor, such that no portion of the implant lies lateral to the soft tissue edge; b. passing a first length of suture from the first implant over the soft tissue; c. forming a socket lateral to the edge of the soft tissue such that it is not underneath the soft tissue; d. establishing a desired tension in the first length of suture; and e. placing the implant in the socket so as to trap a portion of the first length of suture between at least a first portion of the implant and the wall of the socket so as to provide fixation. Multi-anchor constructs of the present invention may employ threaded implants exclusively, push-in implants exclusively, or a combination of threaded and push-in implants.

公开(公告)号：US09521999B2

公开(公告)日：2016-12-20

申请号：US11224060

申请日：2005-09-13

Applicant: Peter J. Dreyfuss ,  Stephen S. Burkhart

Inventor： Peter J. Dreyfuss ,  Stephen S. Burkhart

IPC: A61B17/04 ,  A61B17/00

CPC classification number: A61B17/0401 ,  A61B2017/00004 ,  A61B2017/0409 ,  A61B2017/0414 ,  A61B2017/044 ,  A61B2017/0445 ,  A61B2017/0458 ,  A61L17/10 ,  A61L17/145

Abstract: A suture anchor includes a threaded anchor body having a first central bore in communication with a second central bore. The suture anchor includes an internal eyelet formed of a loop disposed at least partially inside the first central bore. The ends extending from the loop are tied together to form at least one knot which is housed in the second central bore provided at the distal end of the anchor body. The knot increases the pullout strength of the suture even in soft bone, provides increased suture fixation, and eliminates the anchor “pull back.”

Abstract translation: 缝合锚包括具有与第二中心孔连通的第一中心孔的带螺纹的锚固体。 缝合锚固件包括由至少部分地设置在第一中心孔内部的环形成的内部孔眼。 从环延伸的端部被捆绑在一起以形成至少一个结，该结被容纳在设置在锚固体的远端处的第二中心孔中。 即使在软骨中，结也增加缝合线的拉拔强度，提供增加的缝线固定，并消除锚“拉回”。

公开(公告)号：US09504462B2

公开(公告)日：2016-11-29

申请号：US14446019

申请日：2014-07-29

Applicant: Arthrex, Inc.

Inventor： Thomas Dooney, Jr. ,  Alan M. Hirahara

IPC: A61B17/04 ,  A61B17/06

CPC classification number: A61B17/0401 ,  A61B2017/0406 ,  A61B2017/0412 ,  A61B2017/0445 ,  A61B2017/0458 ,  A61B2017/06185

Abstract: Systems and methods for soft tissue to bone repairs, without knot tying. The soft tissue repair systems include self-cinching constructs with splices and loops having attached flexible materials that are pre-loaded onto modified knotless anchors (for example, swivel and/or screw-in suture anchors and/or push-in suture anchors with a distal eyelet) to position the self-locking, adjustable construct at the repair site. The systems allow for knotless tensioning of the tissue after the knotless anchors have been implanted.

Abstract translation: 软组织对骨修复的系统和方法，无结结扎。 软组织修复系统包括具有接头和环的自身紧固构造，其具有附接的柔性材料，其被预加载到修改的无缝锚固件上（例如，旋转和/或螺旋缝合锚固件和/或推入缝合锚定器，其具有 远端孔眼）将自锁，可调节构造物定位在修复现场。 该系统允许无节点锚固植入后无组织地张紧组织。

公开(公告)号：US09498202B2

公开(公告)日：2016-11-22

申请号：US13938071

申请日：2013-07-09

Applicant: Edwards Lifesciences Corporation

Inventor： Mohammad Jafari ,  Ming H. Wu ,  Hengchu Cao ,  Ralph Schneider ,  Manouchehr A. Miraki

IPC: A61B17/04 ,  A61B17/064 ,  A61F2/08 ,  B65D33/16 ,  A61F2/24

CPC classification number: A61B17/0401 ,  A61B17/0487 ,  A61B17/0642 ,  A61B2017/0404 ,  A61B2017/0406 ,  A61B2017/0419 ,  A61B2017/042 ,  A61B2017/0437 ,  A61B2017/0438 ,  A61B2017/0446 ,  A61B2017/0448 ,  A61B2017/045 ,  A61B2017/0451 ,  A61B2017/0454 ,  A61B2017/0456 ,  A61B2017/0458 ,  A61B2017/0461 ,  A61B2017/0462 ,  A61B2017/0464 ,  A61B2017/0488 ,  A61B2017/049 ,  A61F2/0811 ,  A61F2/2448 ,  B65D33/1625 ,  Y10T24/155 ,  Y10T24/44923

Abstract: Disclosed herein are exemplary embodiments of suture securement devices that replace the need to tie knots in sutures. Some embodiments comprise an annular outer body and one or more suture engagement tabs extending inwardly from the outer body. The devices can comprise a superelastic and/or shape-memory material and have a generally in-plane initial configuration. The suture engagement portions are deformable out-of-plane to an active configuration with the outer body compressed and the tabs interlocked with each other. The device can be heat-set in the deformed configuration. The interlocked tabs exert a pinching force on sutures passing between them that restricts the sutures from sliding through the opening in one longitudinal direction.

Abstract translation: 这里公开了缝合线固定装置的示例性实施例，其代替在缝合线中结扎的需要。 一些实施例包括环形外体和从外体向内延伸的一个或多个缝合线接合片。 该装置可以包括超弹性和/或形状记忆材料，并且具有大致平面的初始构型。 缝合线接合部分可以在平面外成形为活动构型，外部主体被压缩，并且翼片彼此互锁。 该设备可以在变形的配置中进行热定形。 互锁的舌片在通过它们之间的缝合线上施加夹紧力，其限制缝合线在一个纵向方向上滑动通过开口。

公开(公告)号：US09492158B2

公开(公告)日：2016-11-15

申请号：US13751846

申请日：2013-01-28

Applicant: Biomet Sports Medicine, LLC

Inventor： Kevin T. Stone ,  Gregory J. Denham ,  Ryan Harper ,  Ryan A. Kaiser

IPC: A61B17/04 ,  A61B17/00 ,  A61B17/06 ,  A61F2/00 ,  A61F2/08

CPC classification number: A61B17/0401 ,  A61B17/0487 ,  A61B17/06166 ,  A61B2017/00336 ,  A61B2017/00858 ,  A61B2017/0404 ,  A61B2017/0406 ,  A61B2017/0417 ,  A61B2017/044 ,  A61B2017/0445 ,  A61B2017/0458 ,  A61B2017/0477 ,  A61B2017/06185 ,  A61F2/0063 ,  A61F2/08 ,  A61F2/0805 ,  A61F2/0811 ,  A61F2002/0829 ,  A61F2002/0852 ,  A61F2002/0882

Abstract: A method and apparatus for surgically repairing a tear in soft tissue is disclosed. A plurality of collapsible tubes are positioned about the suture. The collapsible tubes are pushed through soft tissue and orthopedic mesh on opposite sides of a tear in soft tissue. When tension is applied to the suture, the tubes are compressed to fix the suture to the soft tissue and draw the soft tissue portions together.

公开(公告)号：US09402621B2

公开(公告)日：2016-08-02

申请号：US13625413

申请日：2012-09-24

Applicant: Biomet Sports Medicine, LLC

Inventor： Kevin T. Stone ,  Gregory J. Denham ,  Ryan Harper

IPC: A61B17/04

CPC classification number: A61B17/0487 ,  A61B17/0401 ,  A61B17/0469 ,  A61B2017/0404 ,  A61B2017/0409 ,  A61B2017/0414 ,  A61B2017/0432 ,  A61B2017/044 ,  A61B2017/0445 ,  A61B2017/0448 ,  A61B2017/0458 ,  A61B2017/0464

Abstract: A method for securing a strand to a fixation member for arthroscopic fixation, wherein the fixation member includes a channel on an exterior surface and an aperture therethrough. The method includes passing a strand having first and second ends through a flexible sleeve, passing the sleeve through the aperture of the fixation member in a first direction, tensioning the strand, and pulling the sleeve in a second direction different than the first direction to secure the sleeve to the fixation member without tying the strand on the fixation member.

Abstract translation: 一种用于将股线固定到关节镜固定的固定构件的方法，其中所述固定构件包括在外表面上的通道和穿过其中的孔。 该方法包括使具有第一端和第二端的线穿过柔性套筒，使套筒沿着第一方向穿过固定构件的孔，张紧线束，并且沿不同于第一方向的第二方向拉动套筒以固定 该套筒固定在固定件上，而不将该绳束捆在固定件上。