公开(公告)号：USRE34871E

公开(公告)日：1995-03-07

申请号：US887200

申请日：1992-05-21

申请人： David A. McGuire ,  E. Marlowe Goble ,  W. Karl Somers

发明人： David A. McGuire ,  E. Marlowe Goble ,  W. Karl Somers

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.

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

IPC分类号： A61B17/68 ,  A61F2/02 ,  A61F2/08 ,  A61F2/30

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.

公开(公告)号：US5507750A

公开(公告)日：1996-04-16

申请号：US122917

申请日：1993-09-16

申请人： E. Marlowe Goble ,  Richard B. Caspari ,  W. Karl Somers

发明人： E. Marlowe Goble ,  Richard B. Caspari ,  W. Karl Somers

IPC分类号： A61F2/08 ,  A61B17/56

CPC分类号： A61F2/0805

摘要： An apparatus for use in positioning a ligament or a graft within a joint during surgery. The apparatus includes a tensioning assembly which is operable to adjustably apply tension to the ligament or graft during surgery. The apparatus further includes support assembly which is operable to secure the tensioning assembly to the extremity associated with the joint. Alternatively, the tensioning assembly may be secured directly to the bone forming the joint.

摘要翻译： 一种用于在手术期间在关节内定位韧带或移植物的装置。 该装置包括张紧组件，其可操作以在手术期间可调节地对韧带或移植物施加张力。 该装置还包括支撑组件，其可操作以将张紧组件固定到与关节相关联的末端。 或者，张紧组件可以直接固定到形成接头的骨头上。

公开(公告)号：US5141520A

公开(公告)日：1992-08-25

申请号：US783915

申请日：1991-10-29

申请人： E. Marlowe Goble ,  W. Karl Somers

发明人： E. Marlowe Goble ,  W. Karl Somers

IPC分类号： A61B17/04

CPC分类号： A61B17/0401 ,  A61B2017/0409 ,  A61B2017/044

摘要： A harpoon suture anchor and driver, which suture anchor includes a pointed forward harpoon end that is for driving into a bone, the driver for mounting the suture anchor onto one end and is configured to receive a hammer force on its other end, and transmit that force into so as to drive the suture anchor harpoon end into which bone. An end of a suture connects into a cavity of a suture anchor cylindrical body, which cylindrical body fits into a suture anchor mount of the driver that includes a collar for contacting the bone surface limiting suture anchor penetration. Which suture anchor mount is open therethrough as is a driver rod connected thereto, the openings for maintaining the suture fitted therein until the driver and suture anchor mount are pulled therefrom. The invention includes three embodiments of suture anchor harpoon ends: a first embodiment of which is a regular cone that is inturned at a skirt into a wall that extends to the cylindrical body, sloping towards the pointed end, the skirt to flex inwardly as the suture anchor is hammered into a bone; a second embodiment of which is like the first embodiment except spaced arcuate flutes are removed from the regular cone body, leaving spaced body sections in a cross configuration, skirt sections of which body sections to flex inwardly during installation; and a third embodiment of which that is like the second embodiment except that the removed flutes are identically twisted or angled to the longitudinal axis, with the body sections likewise twisted, which twist imparts a rotation to the suture anchor around its longitudinal axes as it is hammered into a bone.

摘要翻译： 鱼叉缝合锚和驾驶员，其缝合锚包括用于驱动到骨头中的尖的前叉头端，用于将缝合锚固件安装在一端上的驱动器，并且构造成在其另一端上接收锤击力，并将其 用力驱动缝合锚杆，将鱼叉末端插入其中。 缝合线的端部连接到缝合锚固体圆柱体的空腔中，该圆柱体装配到驱动器的缝合锚固件安装件中，其包括用于接触骨表面限制缝合锚固穿孔的套环。 哪个缝合锚固装置通过其与其连接的驱动杆打开，用于将缝合线保持在其中的开口用于从其中拉出驱动器和缝合锚固装置。 本发明包括缝合锚头鱼叉端部的三个实施例：其第一实施例是在裙部处被转入壁的规则锥体，其延伸到圆柱体，朝向尖端倾斜，裙部作为缝合线向内弯曲 锚被钉入骨头; 其第二实施例类似于第一实施例，除了间隔的弓形凹槽从正常锥体移除，留下间隔的主体部分为交叉构型，其中主体部分的裙部在安装期间向内弯曲; 并且其第三实施例类似于第二实施例，除了移除的槽纹与纵向轴线相同地扭曲或成角度，同时主体部分同样扭曲，该扭转使得缝合锚固件围绕其纵向轴线旋转，因为它是 敲入骨头。

公开(公告)号：US5013316A

公开(公告)日：1991-05-07

申请号：US498831

申请日：1990-03-26

申请人： E. Marlowe Goble ,  W. Karl Somers

发明人： E. Marlowe Goble ,  W. Karl Somers

IPC分类号： A61B17/88 ,  A61B19/00 ,  A61F2/08

CPC分类号： A61F2/0811 ,  A61B17/8875 ,  A61B17/8888 ,  A61B2090/036 ,  A61F2/0805 ,  A61F2002/0835 ,  A61F2002/0858 ,  A61F2002/0888

摘要： A soft tissue anchor involving a footing stud that includes a drill end followed by self tapping threads, the footing stud arranged for turning and tapping into a bone mass. The footing stud for endosteal seating at a ligament attachment site on that bone mass. A center longitudinal hole is arranged in that footing stud rear end that receives and locks to a pointed cone base end edge of a tack that is fitted therein. The tack includes a tack shaft whereto is axially attached, on one end, the pointed cone base with a broad head secured to the other shaft end. The tack broad head is disk shaped and includes spikes that project at spaced radial intervals from the undersurface thereof, parallel to the shaft, and includes a center axial threaded post that extends outwardly from a top surface thereof. Which threaded post is for turning into a threaded end of a tack driver. The tack pointed cone is for passing through a ligament, or the like, and locking in the footing stud, in which configuration the spikes that extend from the undersurface of the broad head spikes have penetrated the ligament and the ligament is held and compressed tightly against the bone surface.

摘要翻译： 一种软组织锚，其涉及一种基脚，其包括钻头，随后是自攻螺纹，所述基脚用于转动和攻丝成骨块。 用于在骨块上的韧带附着部位的内固定座的基脚。 一个中心的纵向孔被布置在该基脚螺栓后端中，该后端接收和锁定到装在其中的一个钉的尖端锥形基端边缘。 该粘性包括一个固定轴，其一端轴向安装在该锥形底座上，该锥形底座具有固定于另一个轴端的宽头部。 大头宽是圆盘形的，并且包括与其平面于轴的下表面间隔开的径向间隔突出的尖头，并且包括从其顶表面向外延伸的中心轴向螺纹柱。 哪个螺纹柱是为了变成一个螺丝刀的螺纹端。 粘性尖锥体用于穿过韧带等，并锁定在基脚中，在该构型中，从宽头钉的下表面延伸的尖钉已经穿过韧带，并且韧带被保持并压紧以抵抗 骨表面。

公开(公告)号：US4901711A

公开(公告)日：1990-02-20

申请号：US290423

申请日：1988-12-27

申请人： E. Marlowe Goble ,  W. Karl Somers

发明人： E. Marlowe Goble ,  W. Karl Somers

IPC分类号： A61B17/16 ,  A61B17/17 ,  A61B17/56

CPC分类号： A61B17/1714 ,  A61B17/1764

摘要： The present invention is in a drill guide (20) that is for use with and for mounting to a "K" wire (13) that has been fitted through an anterior or posterior cruciate ligament tunnel. The drill guide (20) includes identical parallel rails (21) that are mounted to a stationary bracket (22), essentially at right angles, and are journaled to a traveling bracket (25), the traveling bracket further including set screws (28) to releasably lock it to the rails. The stationary and traveling brackets (22) and (25), respectively, are each isosceles triangular in shape, and each mounts a guide cylinder (23) and (26), respectively, at right angles through their apexes such that longitudinal openings through which guide cylinders are aligned to receive the "K" wire fitted therethrough. A trolley (30) is arranged for travel on rails (21) between the stationary and traveling brackets (22) and (25), and can be releasably locked in place. The trolley mounts a replaceable drill sleeve (36) with a barrel (40) that includes a longitudinal hole (41) formed therethrough wherethrough a drill (44) is turned.

公开(公告)号：USRE34762E

公开(公告)日：1994-10-18

申请号：US101040

申请日：1993-08-03

申请人： E. Marlowe Goble ,  W. Karl Somers

发明人： E. Marlowe Goble ,  W. Karl Somers

IPC分类号： A61B17/56 ,  A61B17/04 ,  A61B17/86 ,  A61B19/00 ,  A61F2/02 ,  A61F2/08

CPC分类号： A61F2/0811 ,  A61B17/8645 ,  A61B90/06 ,  A61F2/0805 ,  A61B17/0401 ,  A61B2017/044 ,  A61B2017/0458 ,  A61B2017/0496 ,  A61B2090/064 ,  A61F2002/0882 ,  A61F2240/008

摘要： For knee reconstruction surgery involving replacement of an anterior or posterior cruciate ligament the present invention is in a process of verifying isometric ligament positioning at the femoral and tibial points of origin that includes, as apparatus, an arrangement of a stud (19) with attached suture (24) to serve as a mock ligament for testing isometry. In practice, as for an anterior cruciate ligament replacement procedure, a surgeon, observing on a fluoroscopic monitor (17), forms a tibial tunnel (18) from a point medial to the tibial tuberosity that exits a test or proposed tibial point of ligament origin. The stud (19) is arranged for turning on a driver (20) that is then passed through that formed tunnel and the stud is turned into the test or proposed femoral point of ligament origin. The driver (20) is then pulled out of engagement with the stud (19) exposing the suture (24) that extends from that stud, which suture (24) is attached under tension to a tension isometer (25) and the knee (10) is flexed through its full range of motion. With an isometrically correct selection of the femoral and tibial ligament points of origin, the tension isometer (25) will show no more than a three (3) pound change in force and no more than a two (2) mm change in ligament length or distance between the two points of origin over a full range of knee (10) flexure.

摘要翻译： 对于涉及替换前交叉韧带或后交叉韧带的膝关节重建手术，本发明处于验证在股骨和胫骨原点处的等距韧带定位的过程，其包括作为装置的具有连接的缝合线的螺栓（19）的布置 （24）作为测试等距的模拟韧带。 在实践中，对于前交叉韧带置换手术，外科医生在透视监视器（17）上观察，形成从内侧到胫骨结节的胫骨隧道（18），该胫骨隧道离开测试或提出的韧带起源的胫骨点 。 螺柱（19）被布置成用于打开驱动器（20），然后使其穿过形成的隧道，并且螺柱变成测试或提出的韧带起始的股骨点。 然后将驱动器（20）拉出与突出部（19）的接合处，所述螺柱（19）露出从所述螺柱延伸的缝合线（24），所述缝合线（24）在张力下连接到张力计（25）和膝盖（10） ）通过其全范围的运动弯曲。 通过正交选择股骨和胫骨韧带的原点，张力计（25）将显示不超过三（3）磅的力的变化，不超过两（2）mm的韧带长度变化或 两点之间的距离在全范围的膝盖（10）弯曲处。

公开(公告)号：US5234434A

公开(公告)日：1993-08-10

申请号：US930273

申请日：1992-08-17

申请人： E. Marlowe Goble ,  W. Karl Somers

发明人： E. Marlowe Goble ,  W. Karl Somers

IPC分类号： A61B17/00 ,  A61B17/17

CPC分类号： A61B17/1714 ,  A61B17/1764 ,  A61F2/0805 ,  A61B17/00234 ,  A61F2002/0852 ,  A61F2002/0882

摘要： The invention is in a double guide sleeve drill guide for use in an arthroscopic surgical procedure for replacement of a cruciate ligament in a straight ligament tunnel procedure that involves forming intersecting tunnels to the femoral and tibial sections of which straight ligament tunnel. The drill guide of the invention includes straight parallel reference and guide rods that are in the extend from a web member at right angles and are in the same plane, forming a U-shaped device, with the reference rod arranged for fitting into which straight ligament tunnel. The connection of which reference rod to the web member is adjustable along the web member for setting a spacing distance between which reference and guide rods, and equidistant markings are scribed along the reference rod as a scale. The guide rod mounts a pair of blocks, one fixed and one movable, with threaded holes formed through each for receiving a guide sleeve wherethrough a drill is turned, guiding drilling of holes that intersect which femoral and tibial tunnel sections. The fixed block is slightly movable to spread apart the threaded guide sleeve hole that is formed as two segments, to allow for passage of a drill sleeve slid therein. The two threaded guide sleeve hole sections are closed together to mesh with a guide sleeve threaded body portion, and a slot is formed in the guide rod that intersects the fixed block threaded guide sleeve hole to allow a drill or K-wire to pass therethrough.

摘要翻译： 本发明是一种用于关节镜外科手术中的双引导套筒钻引导件，用于在直韧韧带隧道手术中替换十字韧带，其涉及在其直线韧带隧道的股骨和胫骨部分形成相交的隧道。 本发明的钻子引导件包括直的平行基准杆和引导杆，其从腹板构件以直角延伸并且在同一平面内，形成U形装置，其中参考杆被安装成直线韧带 隧道。 参考杆与腹板构件的连接可沿腹板构件调节，用于设定参考杆和导向杆之间的间隔距离，并且等距标记沿着参考杆作为刻度刻划。 引导杆安装一个固定的和一个可移动的块，其中形成有用于接收钻头转动的导向套筒的螺纹孔，用于引导穿过与股骨和胫骨隧道部分相交的孔的钻孔。 固定块稍微移动以将形成为两个段的螺纹导向套筒孔分开，以允许钻套在其中滑动的通过。 两个螺纹导向套筒孔部分被封闭在一起以与导向套筒螺纹主体部分啮合，并且在引导杆中形成有与固定块螺纹导向套筒孔相交的槽，以允许钻头或K线通过。

公开(公告)号：US5129902A

公开(公告)日：1992-07-14

申请号：US511761

申请日：1990-04-20

申请人： E. Marlowe Goble ,  Karl Somers

发明人： E. Marlowe Goble ,  Karl Somers

IPC分类号： A61F2/08

CPC分类号： A61F2/0811 ,  A61F2002/0829 ,  A61F2002/0852 ,  A61F2002/0882 ,  Y10S606/908 ,  Y10S606/91 ,  Y10S606/916

摘要： An endosteal ligament retainer for use in an arthroscopic surgical procedure to replace an anterior or posterior cruciate ligament, the retainer for endosteally mounting a ligament end, with or without a stent, tendon, or the like into the endosteum end of a femoral or tibial tunnel section. The embodiments of the retainer, include a disk shaped base, that can be axially pivotally mounted to a screw head end and may be holed or include upstanding arcuate walls projecting from the disk edge that are for securing a ligament end thereto, as by sewing with a suture. Alternatively, a center holed disk and screw fitted axially therethrough make up the retainer, which disk includes spaced apart radial holes for receiving a suture or sutures sewn therethrough and to a ligament end, mounting the disk across that ligament end. Additionally, the retainer can be a disk fixed across a rear end of a nail or peg to attached a ligament graft end thereto, the nail or peg leading or forward end to include spaced individual flexing rings that will collapse opposite to the direction or travel into a close fitting tunnel end to then flex outwardly, locking in the endosteum when a tensile force is applied thereto.A driver is provided for fitting longitudinally through or alongside a ligament graft, which driver connects to either turn the screw or urge the nail or peg into the tunnel endosteum end. The driver, ligament and endosteal ligament retainer are for fitting by a surgeon into and along the aligned femoral and tibial tunnels into a prepared bone endosteum tunnel end for endosteally mounting the ligament graft end thereto.

摘要翻译： 一种用于关节镜外科手术以替代前交叉韧带或后交叉韧带的内皮韧带保持器，用于内固定韧带末端的保持器，具有或不具有支架，腱等到股骨或胫骨隧道的内骨端 部分。 保持器的实施例包括盘形基座，其可以轴向地枢转地安装到螺钉头端部，并且可以是孔或包括从盘边缘突出的用于将韧带端部固定的直立弓形壁，如通过缝合 缝合线 或者，轴向穿过的中心孔盘和螺钉组成保持器，该盘包括间隔开的径向孔，用于接收缝合在其中的缝合线或缝合线以及韧带端，将盘安装在该韧带末端。 此外，保持器可以是固定在钉子或栓钉的后端上的盘，以将韧带移植端附接到其上，指甲或栓钉前端或前端，以包括将相对于该方向折叠或行进的间隔开的单独的弯曲环 紧密的隧道端然后向外弯曲，当向其施加张力时锁定在内壁中。 提供驱动器以纵向穿过或沿着韧带移植物连接，该驱动器连接以转动螺钉或将钉子或栓钉推入隧道内端。 驱动器，韧带和内膜韧带保持器用于由外科医生进入和沿着对准的股骨和胫骨隧道进入准备好的骨内骨隧道端，用于将韧带移植端内向内固定。

公开(公告)号：US5037426A

公开(公告)日：1991-08-06

申请号：US246324

申请日：1988-09-19

申请人： E. Marlowe Goble ,  W. Karl Somers

发明人： E. Marlowe Goble ,  W. Karl Somers

IPC分类号： A61B17/56 ,  A61B17/04 ,  A61B17/86 ,  A61B19/00 ,  A61F2/02 ,  A61F2/08

CPC分类号： A61F2/0811 ,  A61B17/8645 ,  A61B90/06 ,  A61F2/0805 ,  A61B17/0401 ,  A61B2017/044 ,  A61B2017/0458 ,  A61B2017/0496 ,  A61B2090/064 ,  A61F2002/0882 ,  A61F2240/008

摘要： For knee reconstruction surgery involving replacement of an anterior or posterior cruciate ligament the present invention is in a process for verifying isometric ligament positioning at the femoral and tibial points of origin that includes, as apparatus, an arrangement of a stud (19) with attached suture (24) to serve as a mock ligament for testing isometry. In practice, as for an anterior cruciate ligament replacement procedure, a surgeon, observing on a fluoroscopic monitor (17), forms a tibial tunnel (18) from a point medial to the tibial tuberosity that exits a test or proposed tibial point of ligament origin. The stud (19) is arranged for turning on a driver (20) that is then passed through that formed tunnel and the stud is turned into the test or proposed femoral point of ligament origin. The driver (20) is then pulled out of engagement with the stud (19) exposing the suture (24) that extends from that stud, which suture (24) is attached under tension to a tension isometer (25) and the knee (10) is flexed through its full range of motion. With an isometrically correct selection of the femoral and tibial ligament points of origin, the tension isometer (25) will show no more than a three (3) pound change in force and no more than a two (2) mm change in ligament length or distance between the two points of origin over a full range of knee (10) flexure.