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公开(公告)号：US20090082806A1
公开(公告)日：2009-03-26
申请号：US11860407
申请日：2007-09-24
申请人： Hugh S. West, JR. , Peter C. Miller
发明人： Hugh S. West, JR. , Peter C. Miller
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0469 , A61B17/06166 , A61B2017/0406 , A61B2017/0412 , A61B2017/0417 , A61B2017/06057 , A61B2017/06176 , A61B2017/0646
摘要： A meniscal repair system including a pair of elongate needles with a suture filament attached between respective proximal ends of the needles. Two implants are attached to the suture (e.g., molded thereon) between the needles so as to form a suture bridge between the implants. One implant may comprise a barbed shaft aligned with the suture, while the other may be in the form of a T-bar that can be deployed so as to be perpendicular to a portion of the suture filament. The system may further include one or more dilators (e.g., one or more suture knots or molded beads) disposed along the length of the suture filament to aid in passage of the implant after the associated needle.
摘要翻译： 一种半月板修复系统，包括一对细长的针，其中缝合线丝连接在针的各个近端之间。 将两个植入物连接到针之间的缝合线（例如，其上模制）上，以便在植入物之间形成缝合桥。 一个植入物可以包括与缝合线对准的有刺的轴，而另一个植入物可以是T形杆的形式，其可以展开以垂直于缝合线的一部分。 该系统可以进一步包括一个或多个沿着缝合线长度设置的扩张器（例如，一个或多个缝线结或模制珠），以帮助植入物在相关联的针之后通过。
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公开(公告)号：US08597307B2
公开(公告)日：2013-12-03
申请号：US13163663
申请日：2011-06-17
申请人： Peter C. Miller
发明人： Peter C. Miller
IPC分类号： A61B17/10
CPC分类号： A61B17/0467 , A61B17/320016
摘要： A suture cutting device is provided, the device suitable for cutting high strength suture materials used in arthroscopic surgeries. The device includes a distal blade portion movable within a distal suture guide, the distal suture guide including a lateral suture guide slot. The distal blade portion includes a dorsal recess that, in combination with an upper wall of an enclosed blade guide slot, controls an amount of dorsal movement of a cutting edge during a longitudinal movement of the cutting edge. The combined dorsal movement and longitudinal movement of the cutting edge creating a sliding/slicing movement of the cutting edge against a suture in the suture guide slot. At least a proximal blade portion and an extension blade portion are made of a single blade, those portions defining a spring, contacting a trigger, and effectuating a movement from a first position to a second position.
摘要翻译： 提供缝合切割装置，该装置适用于切割用于关节镜手术的高强度缝合材料。 所述装置包括可在远端缝合线引导件内移动的远端刀片部分，所述远端缝合线引导件包括横向缝合线引导槽。 远端叶片部分包括背部凹部，其与封闭叶片引导槽的上壁组合控制切割刃在切割刃的纵向运动期间的背部运动量。 切削刃的组合的背部运动和纵向运动产生切削刃相对于缝合线引导槽中的缝线的滑动/切片运动。 至少近侧叶片部分和延伸叶片部分由单个叶片制成，这些部分限定弹簧，接触触发器并且实现从第一位置到第二位置的运动。
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3.发明授权公开(公告)号：US08591453B2
公开(公告)日：2013-11-26
申请号：US11642457
申请日：2006-12-20
IPC分类号： A61M1/00
CPC分类号： A61M3/0283 , A61M1/0062 , A61M3/0258 , A61M2205/12 , A61M2205/3344
摘要： A dual pump irrigation/aspiration pump system capable of operating in a plurality of different modes suitable for a variety of different endoscopic surgical procedures. The system monitors actual or calculated intra-articular pressure and adjusts flow to maintain surgeon requested pressure at the surgical site while controlling outflow. The irrigation/aspiration pump system has an inflow pump and tubing dedicated to communicating fluid to the surgical work site and an outflow pump and tubing dedicated to removing fluid from the work site at a controlled rate. The system further has different size inflow and outflow pumps and tubing cassettes, means for altering the outflow fluid flow rate to accommodate a surgical tool and a means for declogging the surgical tool in the event of blockage. In a preferred embodiment a pressure control system provides inferred pressure information representative of the pressure at the work site.
摘要翻译： 一种双泵灌溉/抽吸泵系统，其能够以适合于各种不同内窥镜外科手术的多种不同模式操作。 系统监测实际或计算的关节内压力并调节流量，以在控制流出的同时维持手术部位的外科医生所需的压力。 灌溉/抽吸泵系统具有专用于将流体连通到外科手术部位的流入泵和管道，以及专用于以受控速率从工作地点移除流体的流出泵和管道。 该系统还具有不同尺寸的流入和流出泵和管道盒，用于改变流出流体流速以容纳外科手术工具的装置和用于在发生堵塞的情况下对外科手术工具进行分解的装置。 在优选实施例中，压力控制系统提供代表工作现场压力的推断压力信息。
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公开(公告)号：US07845424B1
公开(公告)日：2010-12-07
申请号：US12149791
申请日：2008-05-08
申请人： Peter C. Miller
发明人： Peter C. Miller
IPC分类号： A62C35/00
CPC分类号： A62C35/15 , A62C35/026 , A62C35/60 , A62C37/50
摘要： A packaged residential fire pump system for sprinkler protection of one- and two-family dwellings. The system independently provides sufficient water pressure, and volume, for a two sprinkler flow for a period of time. An existing domestic water supply is supplemented with a dead water storage tank. The system can be combined with hydraulically sized, or scheduled, system piping and sprinkler heads.
摘要翻译： 一套住宅消防泵系统，用于一户和两户住宅的喷水灭火。 该系统独立地提供足够的水压和体积，用于两个喷洒器流动一段时间。 现有的生活用水补充有一个死水储水箱。 该系统可与液压尺寸或预定的系统管道和喷头组合。
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公开(公告)号：US09173652B2
公开(公告)日：2015-11-03
申请号：US13815577
申请日：2013-03-11
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0404 , A61B2017/0406 , A61B2017/0409 , A61B2017/0464
摘要： An inserter for simultaneously creating a bone tunnel and delivering an all-suture anchor. The inserter is capable of inserting into the bone tunnel a soft, non-rigid suture anchor by forming a bone tunnel (to serve as an anchor receiving area) and simultaneously, in one motion, delivering the soft suture anchor to the anchor receiving area. The soft suture anchor is made entirely of non-rigid materials including, but not limited to, filaments of soft, malleable materials such as those commonly used to make sutures. The inserter is able to not only carry or deliver the all-suture anchor into a bony substrate, but is able to do so without having to preform a hole in the bone.
摘要翻译： 一种用于同时创建骨隧道并输送全缝合锚的插入器。 插入器能够通过形成骨隧道（用作锚定接收区域）并且同时在一个运动中将柔性缝合锚定器递送到锚定接收区域而将其插入到骨隧道中。 软缝合锚完全由非刚性材料制成，包括但不限于柔软的，有延展性的材料，例如通常用于缝合的那些。 插入器不仅可以将全缝合锚固件运送或输送到骨基底中，而且能够这样做，而不必在骨中预成孔。
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公开(公告)号：US20080171984A1
公开(公告)日：2008-07-17
申请号：US12007075
申请日：2008-01-07
申请人： Peter C. Miller
发明人： Peter C. Miller
IPC分类号： A61M5/00
CPC分类号： A61B17/3421 , A61B2017/349
摘要： A cannula and cannula driver system comprises a tubular cannula and a driver, the driver comprising an elongated obturator shaft and a handle. A noncircular recess is formed on one of the of the cannula and the obturator shaft which receives a correspondingly-shaped projection formed about the other of the cannula and obturator shaft, so that when the obturator shaft is inserted into the tubular cannula, the projection fits into the recess, whereby torque applied to the handle of the driver is transferred to the cannula.
摘要翻译： 插管和插管驱动器系统包括管状插管和驱动器，驱动器包括细长的闭塞轴和手柄。 一个非圆形凹槽形成在套管和闭孔轴中的一个上，其接收围绕套管和闭塞轴中的另一个形成的相应形状的突起，使得当闭塞轴插入到管状插管中时，突起适配 进入凹部，由此施加到驾驶员的把手的扭矩被转移到套管。
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公开(公告)号：US5944739A
公开(公告)日：1999-08-31
申请号：US41219
申请日：1998-03-12
CPC分类号： A61B17/17 , A61B17/0401 , A61B17/34 , A61B2017/0409 , A61B2017/0424 , A61B2017/045 , A61B2017/0496 , A61B2090/08021
摘要： A suture anchor installation system includes a body portion having a distal end and a proximal end, an elongated shaft extending distally from the distal end of the body portion, the shaft having a distal end with an annular region disposed at the distal end of the shaft. A suture anchor is attachable within the annular region and comprising a setting portion and an engagement portion, the suture anchor having at least one suture associated therewith. A suture retaining member is positioned on the body portion, the suture retaining member including tabs to grip the at least one suture extending from the suture anchor to maintain the setting portion within the engagement portion. A loading unit for use with a suturing apparatus is mountable on the body portion including a mounting member positioned on the body portion and configured to releasably hold at least one suture needle, the at least one suture needle being associated with the at least one suture extending from the suture anchor. The loading unit further includes a receiving structure formed in the body portion for receiving a distal end portion of the suturing apparatus in operative alignment with mounting member to facilitate mounting of the at least one surgical needle in the suturing apparatus. A method for applying a suture anchor comprises the steps of providing a suture anchor installation system, implanting the suture anchor into a bone, securing the suture anchor within the bone, mounting the suture apparatus into the receiving structure of the loading unit, loading the at least one suture needle into the suturing apparatus, and suturing the suture anchor to soft tissue with the at least one suture needle.
摘要翻译： 缝合锚固装置系统包括具有远端和近端的主体部分，从主体部分的远端向远端延伸的细长轴，该轴具有远端，其具有设置在轴的远端处的环形区域 。 缝合锚固件可附接在环形区域内并且包括固定部分和接合部分，所述缝合锚具具有与其相关联的至少一个缝合线。 缝合线保持构件定位在主体部分上，缝合线保持构件包括突片以夹持从缝合线锚固件延伸的至少一个缝合线，以将固定部分保持在接合部分内。 用于缝合装置的加载单元可安装在主体部分上，包括定位在主体部分上的安装构件，并且构造成可释放地保持至少一个缝合针，所述至少一个缝合针与至少一个缝合线延伸 从缝线锚。 装载单元还包括形成在主体部分中的接收结构，用于接收与安装构件有效对准的缝合设备的远端部分，以便于将至少一个外科手术针安装在缝合设备中。 一种施加缝合锚的方法包括以下步骤：提供缝合锚固件安装系统，将缝合锚固件植入骨骼中，将缝合锚固件固定在骨骼内，将缝合设备安装到装载单元的接收结构中， 将至少一个缝合针插入到缝合装置中，并且用至少一个缝合针将缝合锚定缝合到软组织。
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公开(公告)号：US09168034B2
公开(公告)日：2015-10-27
申请号：US12756554
申请日：2010-04-08
CPC分类号： A61B17/0401 , A61B17/0467 , A61B2017/0409 , A61B2017/0414 , A61B2017/0432 , A61B2017/0437 , A61B2017/045 , A61B2090/037
摘要： There is described a suture anchor with anchor members moveable as between a suture-unlocked configuration and suture-locked configuration. In one embodiment, the anchor members include an outer anchor member with features, e.g., flexible barbs, configured to secure the suture anchor in the suture-locked configuration to material proximate a pre-formed hole in bone material. The outer anchor member is also configured with a bore to receive suture material, and which is sized and shaped to receive an inner anchor member therein. The inner anchor member includes securing features such as projections that compress the suture material against the surface of the bore when the suture anchor is actuated from the suture-unlocked configuration to the suture-locked configuration.
摘要翻译： 描述了具有锚定构件的缝合锚，其可在缝合线解锁构造和缝合线锁定构型之间移动。 在一个实施例中，锚固构件包括外部锚定构件，其具有例如柔性倒钩的特征，构造成将缝合线锚固件以缝合线锁定构造固定到靠近骨材料中的预先形成的孔的材料。 外部锚定构件还构造有用于接收缝合材料的孔，并且其尺寸和形状以在其中容纳内部锚定构件。 内部锚定构件包括固定特征，例如当缝线锚固件从缝合线解锁构型被致动到缝线锁定构型时将诸如突起的固定特征压缩在缝隙表面上。
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公开(公告)号：US20140257383A1
公开(公告)日：2014-09-11
申请号：US13815577
申请日：2013-03-11
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0404 , A61B2017/0406 , A61B2017/0409 , A61B2017/0464
摘要： This invention pertains to the percutaneous insertion of a soft, non-rigid suture anchor construct preloaded onto an inserter which is “self-punching”. The preferred embodiment of soft suture anchor disclosed herein is a suture anchor which is entirely comprised of filaments of compressible, distendable, soft materials such as commonly used suture materials. The inserter is adapted to not only carry the all-suture anchor into a bony substrate, but is also capable of forming a hole in the bone, to receive the anchor, in the same step.
摘要翻译： 本发明涉及预先加载到插入器上的软的非刚性缝合锚构造的经皮插入，该插入器是“自冲”。 本文公开的软缝合锚的优选实施例是缝合锚，其完全由诸如常用缝合材料的可压缩，可膨胀的软材料的长丝组成。 插入器适于不仅将全缝合锚固件运送到骨基底中，而且还能够在相同的步骤中在骨中形成孔以接收锚。
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公开(公告)号：US20120109194A1
公开(公告)日：2012-05-03
申请号：US13317055
申请日：2011-10-07
IPC分类号： A61B17/04
CPC分类号： A61F2/0811 , A61B17/0401 , A61B2017/0404 , A61B2017/0459 , A61B2017/0495 , A61F2002/0852 , A61F2002/0882
摘要： A suspensory graft ligament fixation device is shown to be particularly suitable for maximizing the contact between a soft tissue graft and the bone tunnel prepared to receive the graft. The suspensory fixation device has an elongated anchor member adapted to be transversely situated at the exit of the bone tunnel. A loop member is suspended transversely from the anchor member and has a loop length which is adjustable. When a graft ligament is attached to the saddle end of the loop, the length of the loop member may be shortened to pull the graft member into the bone tunnel until it bottoms out at the floor of the bone tunnel.
摘要翻译： 悬臂移植韧带固定装置显示特别适用于使软组织移植物和准备接受移植物的骨隧道之间的接触最大化。 悬挂式固定装置具有适于横向位于骨隧道出口处的细长锚定构件。 环形构件从锚定构件横向悬挂并且具有可调整的环长度。 当移植韧带连接到环的鞍座端时，环形构件的长度可以缩短以将移植物件拉入骨隧道，直到其在骨隧道的底部底部流出。
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