公开(公告)号：US10441271B2

公开(公告)日：2019-10-15

申请号：US14880235

申请日：2015-10-11

申请人： DePuy Mitek Inc.

发明人： Ran Oren ,  Eran Zakai ,  Yaron Fuerst ,  Aryeh Mirochinik ,  Ian Crookenden ,  Kevin McKenney ,  Meghan Scanlon ,  Makoto Ohira

IPC分类号： A61B17/04 ,  A61B90/00 ,  A61B17/06 ,  A61B17/00

摘要： A medical implement particularly useful in arthroscopic surgery, includes: a handle having a proximal end configured for manual gripping by a user, a distal end for manipulation during the surgery, an internal passageway extending through the handle from the proximal end to the distal end thereof, and a longitudinally-extending slot extending longitudinally through the handle from its outer surface to the passageway for side-loading the handle with a manipulatable member to be manipulated during surgery. A shield is located within the passageway in the handle. The shield is secured along one edge to the inner surface of handle defining the passageway, and includes an elastic section normally covering the longitudinally-extending slot. The elastic section of the shield is yieldable to permit side-loading of the manipulatable member into the passageway, but to prevent a side-loaded manipulatable member from passing outwardly from the passageway.

公开(公告)号：US09241701B2

公开(公告)日：2016-01-26

申请号：US13249733

申请日：2011-09-30

申请人： Joseph Hernandez

发明人： Joseph Hernandez

IPC分类号： A61B17/04 ,  A61F2/08

CPC分类号： A61B17/0401 ,  A61B2017/0409 ,  A61B2017/044 ,  A61F2/0805 ,  A61F2002/0858 ,  A61F2002/0888

摘要： A trans-soft tissue anchor implantation system in one embodiment includes a positioning wire having a tissue penetrating distal tip, a cannula for passage through the soft tissue and a suture anchor. The cannula has an axial lumen therethrough sized to accommodate at least the positioning wire, a thin-walled distal portion and a tissue engaging feature, such as an arcuate groove, on at least a portion of an outer surface of the cannula proximal of and adjacent to the distal portion. Tissue, such as a tendon, expands into the groove allowing a surgeon to manipulate the tissue with the cannula.

摘要翻译： 在一个实施例中的跨软组织锚植入系统包括具有组织穿透远侧末端的定位线，用于穿过软组织的套管和缝合线锚。 套管具有一个轴向腔，其尺寸适于至少适应定位线，薄壁远侧部分和组织接合特征，例如弓形凹槽，其位于并相邻的套管的外表面的至少一部分上 到远侧部分。 诸如腱的组织扩展到凹槽中，允许外科医生用套管操纵组织。

公开(公告)号：US09155534B2

公开(公告)日：2015-10-13

申请号：US13201864

申请日：2010-02-17

申请人： Ran Oren ,  Eran Zakai ,  Yaron Fuerst ,  Aryeh Mirochinik ,  Ian Crookenden ,  Kevin McKenney ,  Meghan Scanlon ,  Makoto Ohira

发明人： Ran Oren ,  Eran Zakai ,  Yaron Fuerst ,  Aryeh Mirochinik ,  Ian Crookenden ,  Kevin McKenney ,  Meghan Scanlon ,  Makoto Ohira

IPC分类号： A61B17/04 ,  A61B19/00 ,  A61B17/06

CPC分类号： A61B17/0469 ,  A61B17/0483 ,  A61B17/0485 ,  A61B17/06109 ,  A61B90/05 ,  A61B2017/00862

摘要： A medical implement particularly useful in arthroscopic surgery, includes: a handle having a proximal end configured for manual gripping by a user, a distal end for manipulation during the surgery, an internal passageway extending through the handle from the proximal end to the distal end thereof, and a longitudinally-extending slot extending longitudinally through the handle from its outer surface to the passageway for side-loading the handle with a manipulatable member to be manipulated during surgery. A shield is located within the passageway in the handle. The shield is secured along one edge to the inner surface of handle defining the passageway, and includes an elastic section normally covering the longitudinally-extending slot. The elastic section of the shield is yieldable to permit side-loading of the manipulatable member into the passageway, but to prevent a side-loaded manipulatable member from passing outwardly from the passageway.

摘要翻译： 特别适用于关节镜手术的医疗器具包括：手柄，其具有构造成用户手动夹紧的近端，用于手术期间操作的远端，从近端延伸到其远端的内部通道 以及纵向延伸的狭槽，其纵向延伸穿过手柄从其外表面到通道，用于在手术期间用可操纵构件侧向加载手柄以操纵手术。 护罩位于手柄的通道内。 屏蔽件沿着一个边缘固定到限定通道的手柄的内表面，并且包括通常覆盖纵向延伸槽的弹性部分。 护罩的弹性部分是可屈服的，以允许可操纵构件侧向装入通道，但是防止侧面加载的可操纵构件从通道向外通过。

公开(公告)号：US20130325023A1

公开(公告)日：2013-12-05

申请号：US13489070

申请日：2012-06-05

申请人： Mehmet Z. Sengun ,  Eduard Grinberg ,  Michael S. Varieur ,  Dennis M. Burke

发明人： Mehmet Z. Sengun ,  Eduard Grinberg ,  Michael S. Varieur ,  Dennis M. Burke

IPC分类号： A61B17/56

CPC分类号： A61B17/8811 ,  A61B17/56 ,  A61B17/8805 ,  A61F2/0811 ,  A61F2002/0858 ,  A61F2002/087 ,  A61F2002/0888 ,  A61F2210/0085 ,  A61F2250/0003

摘要： Methods and devices are provided for anchoring graft to bone. In one exemplary embodiment, a bone cavity is created in bone, a graft is partially advanced into the bone cavity, and a hardenable filler material is inserted into the cavity. The hardenable filler material can change from a viscous first state to a harder second state, compressing the graft against the walls of the bone cavity and thereby anchoring the graft within the cavity. The hardenable filler material can be inserted in an open sac, a closed sac, other carriers or housings, or directly into the bone cavity.

公开(公告)号：US20130325011A1

公开(公告)日：2013-12-05

申请号：US13487586

申请日：2012-06-04

申请人： Benjamin Cleveland ,  Kristian DiMatteo ,  Erik S. Sojka ,  Christopher G. Weinert ,  Jose E. Lizardi

发明人： Benjamin Cleveland ,  Kristian DiMatteo ,  Erik S. Sojka ,  Christopher G. Weinert ,  Jose E. Lizardi

IPC分类号： A61B17/16 ,  A61B17/04 ,  A61B17/56

CPC分类号： A61B17/1796 ,  A61B17/0482 ,  A61B17/0485 ,  A61B17/16 ,  A61B17/1684 ,  A61B17/1714 ,  A61B17/1778 ,  A61B17/86 ,  A61B17/8875 ,  A61B2017/00407 ,  A61F2/0811 ,  A61F2002/0852 ,  A61F2002/0882 ,  A61F2002/0888

摘要： Methods and devices are provided for forming bone tunnels. In general, the methods and devices allow multiple converging tunnels to be formed in bone, such as in an arthroscopic surgical procedure, e.g., a rotator cuff repair surgical procedure. One or more sutures can be advanced through the converging tunnels, and the suture(s) can be coupled to tissue. The suture(s) with the tissue coupled thereto can be tensioned, thereby helping to maximize an amount of the tissue in contact with the bone. In an exemplary embodiment, a guide device is provided that can be configured to allow a first tunnel to be formed in bone and to allow a plurality of additional tunnels to be formed in the bone at predetermined angular positions relative to the first tunnel such that each of the additional tunnels can extend transverse to the first tunnel and intersect the first tunnel.

摘要翻译： 提供了形成骨隧道的方法和装置。 通常，所述方法和装置允许在骨中形成多个会聚隧道，例如在关节镜外科手术中，例如肩袖修复外科手术。 一个或多个缝合线可以通过会聚隧道前进，并且缝合线可以联接到组织。 具有与其结合的组织的缝合线可以被张紧，从而有助于使与骨接触的组织的量最大化。 在示例性实施例中，提供了引导装置，其可被配置为允许在骨中形成第一隧道并且允许在相对于第一隧道的预定角度位置处在骨头中形成多个附加隧道，使得每个 的附加隧道可以横向于第一隧道延伸并与第一隧道相交。

公开(公告)号：US20130317546A1

公开(公告)日：2013-11-28

申请号：US13478537

申请日：2012-05-23

申请人： Michael C. Brown

发明人： Michael C. Brown

IPC分类号： A61B17/04

CPC分类号： A61B17/0401 ,  A61B2017/044 ,  A61F2002/0852 ,  A61F2002/087

摘要： Methods and devices are provided for securing suture to tissue. In one exemplary embodiment, the implant can include an intermediate portion, a first radially expandable portion extending from the intermediate portion, and a second radially expandable portion extending from the intermediate portion. The implant can be configured to be inserted through a delivery device in a first configuration and deployed into a hole formed in tissue in a second configuration such that the intermediate portion is positioned within the hole. A suture can be inserted through a passageway of the intermediate portion positioned within the hole, and the suture can be tensioned to secure the tissue to bone.

摘要翻译： 提供了用于将缝合线固定到组织上的方法和装置。 在一个示例性实施例中，植入物可以包括中间部分，从中间部分延伸的第一可径向扩张部分和从中间部分延伸的第二可径向扩张部分。 植入物可以构造成以第一构型插入通过输送装置，并且以第二构造部署到组织中形成的孔中，使得中间部分位于孔内。 可以将缝合线插入位于孔内的中间部分的通道中，并且缝合线可以被张紧以将组织固定在骨头上。

公开(公告)号：US20130296895A1

公开(公告)日：2013-11-07

申请号：US13465299

申请日：2012-05-07

申请人： Mehmet Sengun

发明人： Mehmet Sengun

IPC分类号： A61B17/04

CPC分类号： A61B17/0401 ,  A61B17/0469 ,  A61B17/0485 ,  A61B17/0487 ,  A61B2017/0414 ,  A61B2017/0427 ,  A61B2017/044 ,  A61B2017/0456 ,  A61B2017/0458 ,  A61B2017/0474 ,  A61B2017/0475

摘要： Systems, devices, and methods are provided for securing soft tissue to bone, for securing one or more objects using a surgical filament, and for drawing two or more tissues together so they can be secured in a desired location. One exemplary embodiment of a surgical repair method includes selecting a surgical repair construct that includes a snare linkage having a collapsible snare and a collapsible loop coupled to the snare linkage. Steps can be performed as part of the method such that the snare of the snare linkage is collapsed around a portion of the loop passing through the snare. The snare linkage and loop construct can be coupled to tissue and bone such that the snare and loop are both advanced distally towards bone to bring the tissue into proximity with the bone. Other exemplary systems, devices, and methods for use with soft tissue repair are also provided.

摘要翻译： 提供的系统，装置和方法用于将软组织固定到骨上，用于使用外科细丝固定一个或多个物体，以及将两个或更多个组织拉在一起，使得它们可以固定在期望的位置。 手术修复方法的一个示例性实施例包括选择外科修复构造，其包括具有可折叠圈套和与该圈套连接件联接的可折叠环的圈套连接件。 步骤可以作为该方法的一部分进行，使得圈套连杆的圈套围绕通过圈套的环的一部分折叠。 圈套连接和环构造可以耦合到组织和骨，使得圈套和环都向远侧朝向骨前进，使组织接近骨骼。 还提供了用于软组织修复的其它示例性系统，装置和方法。

公开(公告)号：US20130261681A1

公开(公告)日：2013-10-03

申请号：US13435644

申请日：2012-03-30

申请人： Steven N. Bittenson

发明人： Steven N. Bittenson

IPC分类号： A61B17/56

CPC分类号： A61B17/92 ,  A61B17/1604 ,  A61F2/4603 ,  A61F2002/4681 ,  A61F2002/469

摘要： A surgical impact tool comprises an electromagnetic impactor hermetically sealed within a sterilizable housing having one or more external mechanical coupling for transmitting an impact to an object external to the tool. The housing also contains an energy storage medium rechargeable through the hermetic seal, and electronic controls operable through the hermetic seal.

摘要翻译： 手术冲击工具包括气密密封在可消毒外壳内的电磁冲击器，其具有用于将冲击传递到工具外部的物体的一个或多个外部机械联接器。 壳体还包含通过气密密封可再充电的能量存储介质，以及通过气密密封可操作的电子控制器。

公开(公告)号：US20130261664A1

公开(公告)日：2013-10-03

申请号：US13435790

申请日：2012-03-30

申请人： David B. Spenciner ,  Benjamin Chan

发明人： David B. Spenciner ,  Benjamin Chan

IPC分类号： A61B17/04

CPC分类号： A61B17/0401 ,  A61B2017/0412 ,  A61B2017/0422 ,  A61B2017/0424 ,  A61B2017/0427 ,  A61B2017/0445 ,  A61B2017/0448 ,  A61B2017/0451

摘要： A suture anchor, and a surgical filament assembly using same, capable of being fixated in a hole formed in a bone of a patient. The suture anchor preferably includes an anchor body with a passage extending from a proximal end toward a distal end, and at least one bone engaging feature on the exterior of the anchor. A knot patency element disposed within the passage holds a removable sliding knot formed, using the surgical filament. A tightening limb of the sliding knot enables the user to tighten the sliding knot against an object extending through a capture loop to secure the object to the anchor.

摘要翻译： 缝合锚和使用其的手术细丝组件能够固定在形成在患者骨中的孔中。 缝合锚优选地包括具有从近端朝向远端延伸的通道的锚固体，以及在锚的外部上的至少一个骨接合特征。 设置在通道内的结通孔元件使用外科细丝保持形成的可移除的滑动结。 滑动结的紧固肢使使用者能够将滑动结紧固在延伸穿过捕获环的物体上，以将物体固定在锚上。

公开(公告)号：US08540732B2

公开(公告)日：2013-09-24

申请号：US12971457

申请日：2010-12-17

申请人： Christopher Weinert ,  Ron Farkash ,  Dan Nelsen ,  Breck Petrillo ,  Michael C. Pereira ,  David Robson ,  Thomas Weisel ,  Charles Johnson ,  David Skinlo

发明人： Christopher Weinert ,  Ron Farkash ,  Dan Nelsen ,  Breck Petrillo ,  Michael C. Pereira ,  David Robson ,  Thomas Weisel ,  Charles Johnson ,  David Skinlo

IPC分类号： A61B17/04

CPC分类号： A61B17/06066 ,  A61B17/0469 ,  A61B17/0483 ,  A61B17/0625 ,  A61B2017/06042 ,  A61B2017/06095 ,  A61B2017/2837 ,  A61B2017/2845 ,  A61B2090/0814

摘要： A suturing apparatus comprises a pair of jaws. A bendable needle housed in one of the jaws is adapted to carry a suture. An optional suture receiver may be disposed adjacent to the opposite jaw. A transition block curves the needle and directs it in a direction generally unparallel to an axis of the carrying jaw. The needle may also be configured to retrieve a suture. A retaining mechanism holds a suture in place to be engaged by the needle. The jaw housing the needle may include a lateral opening through which the suture may be inserted. The needle may also include a lateral notch which may be aligned with lateral opening to receive the suture. An actuator coupled to the needle enables the user to move the needle proximally to align the notch with the lateral slot.