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

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

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。

公开(公告)号：US5702397A

公开(公告)日：1997-12-30

申请号：US603119

申请日：1996-02-20

申请人： E. Marlowe Goble ,  David P. Luman ,  Alan Chervitz ,  C. Brad Story ,  Ramarao Gundlalpalli

发明人： E. Marlowe Goble ,  David P. Luman ,  Alan Chervitz ,  C. Brad Story ,  Ramarao Gundlalpalli

IPC分类号： A61B17/04 ,  A61F2/08 ,  A61B17/84

CPC分类号： A61B17/0401 ,  A61F2/0811 ,  A61B17/0487 ,  A61B2017/0424 ,  A61B2017/0425 ,  A61B2017/0438 ,  A61B2017/0445 ,  A61B2017/045 ,  A61B2017/0451 ,  A61B2017/0453 ,  A61B2017/0454 ,  A61F2/0805 ,  A61F2002/0829 ,  A61F2002/0864 ,  A61F2002/0882

摘要： A bone anchor and method for its use in an arthroscopic and open soft tissue surgical procedure to mount a ligament graft, or the like, under tension and at variable lengths in a tunnel section that is formed through a bone or bones. The bone anchor embodiments of the invention each have a body for mounting into and/or adjacent a bone cortex surface in a tunnel section to allow at least one suture or shaft that has been fitted through the bone anchor, and is attached to the ligament graft to be pulled through the bone anchor. The suture or shaft to pass across a movable clamp fitted within the body to move so as to allow the suture or shaft to be pulled freely through the bone anchor distal, but will clamp against the suture or shaft, prohibiting its being pulled back therethrough. A pulling of the suture or shaft through the seated bone anchor applies a tension and sets a required length to a graft whose opposite end is secured, with the clamp locking against a section of that suture or shaft, to maintain that applied tension. Whereafter, the excess suture or shaft can be cut away, permanently mounting the graft.

摘要翻译： 一种用于关节镜和开放性软组织外科手术中的骨锚和方法，用于在通过骨或骨形成的隧道部分中以张力和可变长度安装韧带移植物等。 本发明的骨锚实施例各自具有用于安装在隧道部分中的骨皮质表面中和/或邻近骨骼表面的主体，以允许至少一个已经穿过骨锚固件并且被附接到韧带移植物的缝合线或轴 被拉过骨锚。 缝合线或轴穿过安装在体内的可移动夹具以移动以允许缝合线或轴自由地穿过骨锚固件远离，但是将夹紧在缝合线或轴上，从而阻止其被拉回。 通过坐着的骨锚将牵引的缝合线或轴施加张力，并将所需的长度设置到相对端固定的移植物上，同时夹具锁定在该缝合线或轴的一部分上，以保持施加的张力。 之后，可以切除多余的缝合线或轴，永久性地安装移植物。

公开(公告)号：US5851219A

公开(公告)日：1998-12-22

申请号：US960936

申请日：1997-10-30

申请人： E. Marlowe Goble ,  Alan Chervitz ,  David P. Luman ,  Kenneth L. Jensen

发明人： E. Marlowe Goble ,  Alan Chervitz ,  David P. Luman ,  Kenneth L. Jensen

IPC分类号： A61B17/04 ,  A61B17/06 ,  A61B17/56 ,  A61B17/88

CPC分类号： A61B17/0401 ,  A61B17/8605 ,  A61B17/8875 ,  A61B2017/0409 ,  A61B2017/0414 ,  A61B2017/044 ,  A61B2017/06142 ,  Y10S606/916

摘要： There is presented a suture anchor comprising a head portion and a connector portion. The head portion includes a pointed free end, a cutting flute extending substantially throughout the length of the head portion, and screw threads extending substantially throughout the length of the head portion. The connector portion extends axially from the head portion for releasable connection to an anchor inserter. The connector portion is provided with structure for attachment of a suture thereto. There is further presented a suture anchor inserter for use in combination with the suture anchor in attachment of the anchor to a bone, and a suture anchor length of suture material. There is still further presented a method for anchoring a length of suture to a bone.

摘要翻译： 呈现了包括头部和连接器部分的缝合锚。 头部包括尖端的自由端，基本贯穿头部的整个长度延伸的切割槽，以及基本贯穿头部的整个长度延伸的螺纹。 连接器部分从头部轴向延伸，以便可释放地连接到锚定插入器。 连接器部分设置有用于将缝合线附接到其上的结构。 还提供了一种缝合锚钉插入器，其与缝合锚固件组合使用，以将锚固件附接到骨骼上，以及缝合线锚定长度的缝合材料。 还进一步提出了将一段缝合线锚定在骨头上的方法。

公开(公告)号：US5411506A

公开(公告)日：1995-05-02

申请号：US225768

申请日：1994-04-11

申请人： E. Marlowe Goble ,  Alan Chervitz ,  David P. Luman ,  Kenneth L. Jensen

发明人： E. Marlowe Goble ,  Alan Chervitz ,  David P. Luman ,  Kenneth L. Jensen

IPC分类号： A61B17/04 ,  A61B17/06 ,  A61B17/88 ,  A61F2/08 ,  A61B17/56

CPC分类号： A61F2/0811 ,  A61B17/0401 ,  A61B17/06114 ,  A61B17/8875 ,  A61B2017/0409 ,  A61B2017/0414 ,  A61F2/0805 ,  A61F2002/0888

摘要： An anchor driver for mounting a ligament anchor and turning it into a bone, which ligament anchor includes a suture attached to a rear end that is maintained in a driver body until the anchor driver is pulled off of the ligament anchor seated in the bone. The driver body is preferably a rigid straight tube that includes an anchor mount disposed on a forward end whereto the ligament anchor is fitted. So arranged, a suture, that is disposed on the ligament anchor coupling end, will extend therefrom as a suture strand or strands that are fitted through the anchor mount, to pass through the driver body and are then bent to double back upon themselves and fitted back into the driver body. For maintaining the suture strand or stands in a straight attitude, in one embodiment a resilient cap is provided that has a hole or slot formed therein wherethrough the suture strand bend or bends are fitted into a cavity within the cap, which cap is then fitted over the driver body open end. With, in another embodiment, a grommet and thin walled tube are disposed end to end in the driver body wherethrough the suture strand or strands are fitted that are then bent to double back alongside the tube, and are maintained within the driver body, which driver body then receives a cap fitted over an open rear end thereof.

摘要翻译： 用于安装韧带锚固件并将其转动成骨的锚固器驱动器，所述韧带锚固件包括附接到后端的缝合线，所述缝合线保持在驱动器主体中，直到锚固器驱动器从坐在骨头中的韧带锚固件拉出。 驱动器主体优选地是刚性直管，其包括布置在韧带锚固件的前端上的锚固安装座。 如此布置，设置在韧带锚固连接端上的缝合线将作为缝合线或股线从其延伸穿过锚定安装件穿过驱动器主体并且然后被弯曲以双重重叠并安装 回到司机身上。 为了保持缝线或直立姿态，在一个实施例中，提供弹性盖，其中形成有孔或狭缝，通过缝合线弯曲或弯曲，缝合线弯曲或弯曲装配到帽内的空腔中，然后将帽安装在 司机身体开放。 在另一个实施例中，索环和薄壁管端对端设置在驱动器主体中，通过缝合线或股线被装配，然后沿着管弯曲双向后退，并且保持在驱动器主体内，该驱动器 身体然后接收安装在其敞开的后端上的帽子。

公开(公告)号：US5584860A

公开(公告)日：1996-12-17

申请号：US389149

申请日：1995-02-15

申请人： E. Marlowe Goble ,  Alan Chervitz ,  David P. Luman ,  George A. Perakis

发明人： E. Marlowe Goble ,  Alan Chervitz ,  David P. Luman ,  George A. Perakis

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

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。

公开(公告)号：US5931840A

公开(公告)日：1999-08-03

申请号：US14739

申请日：1998-01-28

申请人： E. Marlowe Goble ,  Thomas Wade Fallin ,  Alan Chervitz ,  Ramarao Gundlapalli

发明人： E. Marlowe Goble ,  Thomas Wade Fallin ,  Alan Chervitz ,  Ramarao Gundlapalli

IPC分类号： A61B17/16 ,  A61B17/17 ,  A61B19/00 ,  A61F2/08 ,  A61B17/56

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 bone 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 bone fixator includes threaded footing member for mounting in a bone tunnel, that includes a longitudinal opening formed therethrough, and a ligament carrying member that has a forward of proximal portion for fitting through the threaded footing member longitudinal opening and including a coupling arrangement for securing the ligament carrying member in the threaded footing member. The ligament carrying member further includes as a rear or distal portion that incorporates a ligament mounting section, that, in one embodiment, is an eyelet section to receive a ligament graft fitted therethrough and folded upon itself and in another embodiment is a flat 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 to the tibia cortex, should an adjustment of ligament graft tension be desirable, the footing member is turned appropriately in the bone tunnel.

摘要翻译： 用于韧带锚定系统的骨固定器和其在关节镜手术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。 骨固定器包括用于安装在骨隧道中的螺纹底脚构件，其包括通过其形成的纵向开口，以及韧带承载构件，其具有近侧部分的前部，用于通过螺纹底脚构件纵向开口装配，并且包括用于固定的联接装置 所述韧带承载构件在所述螺纹底脚构件中。 韧带承载构件还包括作为后部或远端部分，其包括韧带安装部分，在一个实施例中，是一个孔眼部分，用于接收穿过其并自身折叠的韧带移植物，并且在另一个实施例中是具有 中心纵向轴线，其中至少一个并且优选地一对间隔开的尖柱以基本上直角延伸，其包括沿着每个柱的至少一侧形成的锯齿或向下倾斜的齿，所述柱或柱用于穿过形成在 韧带移植物的端部，例如骨腱韧带移植物的骨端，韧带移植骨端部被推压到轴向安装在其上的安装板柱上。 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。 由于在将韧带移植物置于张力下并且相对的移植物端部固定到胫骨皮质之后，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。

公开(公告)号：US5688284A

公开(公告)日：1997-11-18

申请号：US717012

申请日：1996-09-20

申请人： Alan Chervitz ,  E. Marlowe Goble

发明人： Alan Chervitz ,  E. Marlowe Goble

IPC分类号： A61B17/17

CPC分类号： A61B17/1714 ,  A61B17/1764

摘要： A variable angle drill guide and method for its use for securing an end of a ligament graft in a tunnel section of a straight tunnel section that has been formed into a patient's knee in a procedure for replacing a cruciate ligament. The drill guide includes a straight reference rod that is for fitting to slide through a straight hole formed in a slide block and includes a crossing straight hole that is for receiving, fitted therethrough, a straight base leg rod that is bent from one end into a straight drill guide mounting leg, the mount leg, in turn, to mount an arcuate shaped slide track along its top end. The slide track is curved to approximately one hundred twenty (120) degrees of arc and is arranged to maintain a drill guide slide traveling therealong that includes a drill guide barrel that is fitted to slide therethrough. By adjusting and locking positioning of the reference rod and base leg rod fitted through the slide block, the drill guide barrel will point at a target depression formed in the reference rod, whereby a drill turned through the drill guide barrel will form a passage from any point on the frontal cortex of the distal femur or proximal tibia to the target depression, formed in the reference rod. This formed passage will be at an angle to the tunnel section that is greater or lesser than a right angle and, upon removal of the reference rod and installation of a ligament graft in the straight tunnel, the formed passage can receive a screw turned therein to contact the ligament graft end, for mounting it in the tunnel section.

摘要翻译： 一种可变角度钻子引导器及其用于将韧带移植物的端部固定在直肠隧道部分的隧道部分中的方法，所述隧道部分已经在用于替换十字韧带的过程中形成为患者膝盖。 钻头引导件包括一个直的参考杆，用于装配以滑动形成在滑动块中的直孔，并包括一个交叉直孔，用于接纳穿过其中的一个直的底座，该杆从一端弯曲成 直钻头导向器安装腿，安装支脚依次沿其顶端安装弓形滑轨。 滑轨弯曲到大约一百二十（120）度的弧度，并且被布置成保持一个在其上行进的钻导引滑块，其包括装配成通过其滑动的钻子引导筒。 通过调节和锁定通过滑动块安装的参考杆和底座杆的定位，钻子引导筒将指向形成在参考杆中的目标凹陷，由此钻头引导筒的钻头将形成从任何 指向远端股骨或近端胫骨的额叶皮质到目标凹陷，形成在参考杆中。 该形成的通道将与隧道部分成直角，该角度大于或小于直角，并且在移除参考杆并将韧带移植物安装在直通道中时，所形成的通道可接收转入其中的螺钉 接触韧带移植端，将其安装在隧道部分。

公开(公告)号：US06283996B1

公开(公告)日：2001-09-04

申请号：US09024156

申请日：1998-02-17

申请人： Alan Chervitz ,  E. Marlowe Goble ,  Thomas Wade Fallin

发明人： Alan Chervitz ,  E. Marlowe Goble ,  Thomas Wade Fallin

IPC分类号： A61F208

CPC分类号： A61B17/0401 ,  A61B2017/0404 ,  A61B2017/0414 ,  A61B2017/045 ,  A61B2017/0454 ,  A61B2017/0456 ,  A61F2/0811 ,  A61F2002/0829 ,  A61F2002/087 ,  A61F2002/0882 ,  A61F2250/0007

摘要： A ligament mounting and method for its use for endosteally mounting an end of a ligament graft in a prepared bone tunnel section in a surgical procedure to replace a patient's ligament. The ligament mounting includes a strap and footing combination that are suitable for human implanting and may be formed from a material that is absorbed by the patient's body during the healing process. The strap is formed as a section of flexible material, includes a proximal end for passage through a footing that is for arrangement across a cortex end of the ligament tunnel section, and with the strap distal end arranged to connect to a ligament graft end. The strap and footing are formed to allow for passage of the strap in one direction and to bind when the footing is compressed to crimp onto said strap, prohibiting it from being pulled back through the footing when a pulling force is applied, maintaining a ligament graft under tension in the tunnel section endosteum.

摘要翻译： 一种韧带安装及其方法，用于在手术过程中将韧带移植物的端部内固定在制备的骨隧道部分中以替代患者的韧带。 韧带安装包括适于人类植入的带和基脚组合，并且可以由在愈合过程期间被患者身体吸收的材料形成。 带子形成为柔性材料的一部分，包括用于通过穿过穿过韧带隧道部分的皮质端的基脚的近端，并且带远端设置成连接到韧带移植端。 带子和基脚被形成为允许带子沿一个方向通过，并且当基脚被压缩以卷曲到所述带子上时，绑带，当施加拉力时禁止其被拉回通过基脚，保持韧带移植物 在隧道部分内部处于紧张状态。

公开(公告)号：US5895375A

公开(公告)日：1999-04-20

申请号：US890834

申请日：1997-07-10

申请人： Todd Wilcox ,  E. Marlowe Goble ,  Alan Chervitz

发明人： Todd Wilcox ,  E. Marlowe Goble ,  Alan Chervitz

IPC分类号： A61B17/60 ,  A61B17/72 ,  A61F2/00 ,  A61F2/02 ,  A61F2/26 ,  A61F2/30 ,  A61F2/32 ,  A61F2/34 ,  A61F2/36 ,  A61F2/38 ,  A61M39/02 ,  A61M5/152

CPC分类号： A61F2/26 ,  A61B17/60 ,  A61B17/72 ,  A61F2/32 ,  A61M39/0208 ,  A61B17/7216 ,  A61B17/7258 ,  A61B17/7283 ,  A61F2/3662 ,  A61F2/38 ,  A61F2002/30062 ,  A61F2002/30581 ,  A61F2002/30672 ,  A61F2002/30677 ,  A61F2002/30787 ,  A61F2002/3401 ,  A61F2002/3438 ,  A61F2002/3493 ,  A61F2002/3611 ,  A61F2002/3631 ,  A61F2002/368 ,  A61F2002/3692 ,  A61F2002/3694 ,  A61F2210/0004 ,  A61F2250/0067

摘要： A surgical site chemical dispensing system for dispensing a liquid chemical agent, such as an antibiotic, anesthetic, growth factor, hormone, anti-neoplastic agent, or the like, directly onto a site of a surgical procedure. The system includes at least one bladder formed from a pair of thin sections of a flexible material to have an internal cavity that connects to an open tube wherethrough the liquid chemical agent is passed, under pressure, into the bladder. The liquid chemical agent passes, as a low volume flow, through at least one hole formed through a bladder section of material and onto the surgical procedure site. The invention includes a fixation device that includes at least one hollow pin for passing a volume of the liquid chemical agent therethrough directly into or onto a bone proximate to a fracture therein.

摘要翻译： 用于将诸如抗生素，麻醉剂，生长因子，激素，抗肿瘤剂等的液体化学试剂直接分配到外科手术部位的手术部位化学分配系统。 该系统包括由柔性材料的一对薄部分形成的至少一个囊，以具有连接到通过液体化学试剂在压力下通过的开放管的内部空腔。 液体化学剂作为低体积流动通过穿过材料的膀胱部分形成的至少一个孔并且到达外科手术部位。 本发明包括固定装置，该固定装置包括至少一个中空销，用于将一定体积的液体化学试剂直接通过其中的骨折附近或其上的骨折。

公开(公告)号：US08636798B2

公开(公告)日：2014-01-28

申请号：US11402206

申请日：2006-04-11

申请人： E. Marlowe Goble ,  Daniel F. Justin ,  Alan Chervitz ,  T. Wade Fallin

发明人： E. Marlowe Goble ,  Daniel F. Justin ,  Alan Chervitz ,  T. Wade Fallin

IPC分类号： A61F2/08

CPC分类号： A61F2/0805 ,  A61B17/863 ,  A61B17/8685 ,  A61B2090/037 ,  A61F2/08 ,  A61F2/0811 ,  A61F2002/0829 ,  A61F2002/0852 ,  A61F2002/0858 ,  A61F2002/087 ,  A61F2002/0882 ,  Y10S606/916

摘要： Apparatus and method for reconstructing a ligament.

摘要翻译： 用于重建韧带的装置和方法。