公开(公告)号：US20050033366A1

公开(公告)日：2005-02-10

申请号：US10888938

申请日：2004-07-09

申请人： J. Cole ,  Daniel Justin

发明人： J. Cole ,  Daniel Justin

IPC分类号： A61B17/58 ,  A61B17/04 ,  A61B17/68 ,  A61B17/82 ,  A61B17/88 ,  A61F2/08 ,  A61B17/08

CPC分类号： A61B17/8869 ,  A61B17/0401 ,  A61B17/683 ,  A61B17/82 ,  A61B17/8863 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0454 ,  A61B2017/0458 ,  A61F2/0805 ,  A61F2/0811 ,  A61F2002/0829 ,  A61F2002/0852 ,  A61F2002/0858 ,  A61F2002/0864 ,  A61F2002/087 ,  A61F2002/0882 ,  A61F2002/0888 ,  Y10T29/53952 ,  Y10T29/53987

摘要： A tissue anchoring system includes a tissue anchor affixed to an end of a cable and supported for insertion on a delivery device, the manipulation of which permits placement of the anchor on a far side of the tissue. A tensioning, crimping and cutting tool designed for use along the cable's longitudinal axis, thus reducing the number of incisions required. A suture anchoring system is also described for introducing a loop of suture into a surgical site and anchoring it, for instance, across a tear in soft tissue.

摘要翻译： 组织锚固系统包括固定到电缆的端部并被支撑以插入到输送装置上的组织锚，其操作允许锚固体放置在组织的远侧上。 设计用于沿着电缆的纵向轴线的张紧，压接和切割工具，从而减少所需切口的数量。 还描述了缝合线锚定系统，用于将缝合线引入外科手术部位并将其锚定在例如软组织中的撕裂处。

公开(公告)号：US08177796B2

公开(公告)日：2012-05-15

申请号：US12728768

申请日：2010-03-22

申请人： Ephraim Akyuz ,  Andrew R. Fauth ,  Joseph A. Fritz ,  Jason Glad ,  Daniel Justin ,  Douglas M. Lorang ,  Matthew C. Summitt ,  M. Mary Sinnott ,  Daniel J. Triplett

发明人： Ephraim Akyuz ,  Andrew R. Fauth ,  Joseph A. Fritz ,  Jason Glad ,  Daniel Justin ,  Douglas M. Lorang ,  Matthew C. Summitt ,  M. Mary Sinnott ,  Daniel J. Triplett

IPC分类号： A61B17/04

CPC分类号： A61B17/0469 ,  A61B17/0483 ,  A61B17/062 ,  A61B2017/00353 ,  A61B2017/06042

摘要： An endoscopic surgical instrument for passing a suture through tissue includes a first jaw member, a needle, and a capture feature actuable to grip and retain the suture after the suture has been passed through a tissue body. An actuation mechanism can both move the needle between retracted and extended positions, and move the capture feature between open and closed configurations, via a single actuation. The capture feature may be a trap door which is axially translatable relative to the first jaw member to overlap a portion of the first jaw member and trap a portion of the suture between the trap door and the overlapped portion. The first jaw member may be movable relative to a second jaw member to grasp a tissue body. The instrument can grasp a tissue body, pass the suture through the tissue, capture and retain the suture without being repositioned relative to the tissue.

摘要翻译： 用于使缝合线穿过组织的内窥镜手术器械包括第一钳口构件，针和捕获构件，其可致动以在缝合线已经通过组织体之后夹紧并保持缝合线。 致动机构可以在缩回位置和延伸位置之间移动针，并且通过单个致动将打开和关闭配置之间的捕获特征移动。 捕获特征可以是捕获门，该门可相对于第一钳口构件轴向平移，以与第一钳口构件的一部分重叠并且将捕获门和重叠部分之间的缝合线的一部分捕获。 第一钳口构件可以相对于第二钳口构件移动以抓握组织体。 仪器可以抓住组织体，使缝合线穿过组织，捕获并保持缝合线而不会相对于组织重新定位。

公开(公告)号：US20070202351A1

公开(公告)日：2007-08-30

申请号：US11432426

申请日：2006-05-10

申请人： Daniel Justin ,  Brent Stucker ,  T. Fallin ,  Durga Janaki Gabbita

发明人： Daniel Justin ,  Brent Stucker ,  T. Fallin ,  Durga Janaki Gabbita

IPC分类号： B32B15/04 ,  B32B15/00

CPC分类号： A61F2/30767 ,  A61C8/0012 ,  A61F2/3099 ,  A61F2/36 ,  A61F2/3662 ,  A61F2/38 ,  A61F2/3804 ,  A61F2/3859 ,  A61F2/40 ,  A61F2/4225 ,  A61F2/4241 ,  A61F2/4261 ,  A61F2002/30451 ,  A61F2002/30604 ,  A61F2002/30733 ,  A61F2002/30805 ,  A61F2002/30878 ,  A61F2002/30922 ,  A61F2002/30929 ,  A61F2002/30934 ,  A61F2002/30967 ,  A61F2002/3097 ,  A61F2002/30971 ,  A61F2002/3611 ,  A61F2002/3625 ,  A61F2002/3652 ,  A61F2002/4253 ,  A61F2220/0058 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00131 ,  A61F2310/00293 ,  A61F2310/00407 ,  A61F2310/00413 ,  A61L27/04 ,  A61L27/306 ,  A61L27/56 ,  B22F3/1055 ,  B23K26/32 ,  B23K26/324 ,  B23K26/34 ,  B23K35/0244 ,  B23K35/0261 ,  B23K35/325 ,  B23K35/327 ,  B23K2103/05 ,  B23K2103/08 ,  B23K2103/14 ,  B23K2103/18 ,  B23K2103/26 ,  B23K2103/50 ,  B23K2103/52 ,  C22C14/00 ,  C23C4/12 ,  C23C24/10 ,  C23C26/02 ,  C23C28/021 ,  C23C28/023 ,  C23C28/028 ,  C23C28/321 ,  C23C28/322 ,  C23C28/34 ,  C23C28/341 ,  C23C28/347 ,  C23C28/36 ,  Y02P10/295 ,  Y10T428/12458 ,  Y10T428/12493 ,  Y10T428/12576 ,  Y10T428/12806 ,  Y10T428/12812 ,  Y10T428/12847 ,  Y10T428/12931

摘要： A method is provided for depositing a hard wear resistant surface onto a porous or non-porous base material of a medical implant. The wear resistant surface of the medical implant device may be formed by a Laser Based Metal Deposition (LBMD) method such as Laser Engineered Net Shaping (LENS). The wear resistant surface may include a blend of multiple different biocompatible materials. Further, functionally graded layers of biocompatible materials may be used to form the wear resistant surface. Usage of a porous material for the base may promote bone ingrowth to allow the implant to fuse strongly with the bone of a host patient. The hard wear resistant surface provides device longevity, particularly when applied to bearing surfaces such as artificial joint bearing surfaces or a dental implant bearing surfaces.

摘要翻译： 提供了一种将硬耐磨表面沉积到医用植入物的多孔或非多孔基材上的方法。 医疗植入装置的耐磨表面可以通过激光基金属沉积（LBMD）方法形成，例如激光工程网整形（LENS）。 耐磨表面可以包括多种不同生物相容性材料的混合物。 此外，生物相容性材料的功能梯度层可用于形成耐磨表面。 用于基底的多孔材料的使用可以促进骨向内生长以允许植入物与宿主患者的骨骼牢固地融合。 耐磨损的表面提供了设备寿命，特别是当应用于诸如人造关节轴承表面或牙科植入物轴承表面的支承表面时。

公开(公告)号：US20070185492A1

公开(公告)日：2007-08-09

申请号：US11734502

申请日：2007-04-12

申请人： Alan Chervitz ,  Daniel Justin ,  T. Fallin ,  Robert Hoy

发明人： Alan Chervitz ,  Daniel Justin ,  T. Fallin ,  Robert Hoy

IPC分类号： A61F2/30

CPC分类号： A61F2/4405 ,  A61B17/7049 ,  A61B17/7064 ,  A61B17/7067 ,  A61B17/8625 ,  A61B17/8695 ,  A61B2017/8655 ,  A61F2/30771 ,  A61F2/4611 ,  A61F2002/30125 ,  A61F2002/30154 ,  A61F2002/30156 ,  A61F2002/30163 ,  A61F2002/30171 ,  A61F2002/30426 ,  A61F2002/30433 ,  A61F2002/30448 ,  A61F2002/30514 ,  A61F2002/30574 ,  A61F2002/30576 ,  A61F2002/30578 ,  A61F2002/30579 ,  A61F2002/30616 ,  A61F2002/30663 ,  A61F2002/3082 ,  A61F2002/30841 ,  A61F2002/3085 ,  A61F2002/30934 ,  A61F2220/0025 ,  A61F2220/0041 ,  A61F2220/005 ,  A61F2230/0008 ,  A61F2230/0021 ,  A61F2230/0023 ,  A61F2230/005 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00029 ,  A61F2310/00131 ,  A61F2310/00179 ,  A61F2310/00203 ,  A61F2310/00239 ,  A61F2310/00796 ,  A61F2310/00928

摘要： Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra.

摘要翻译： 一个或多个小关节的上和/或下小面可以由上和/或下小面关节假体代替。 在一个实施例中，提供了一种上或下假体的套件，其中所述假体具有至少两个尺寸，所述尺寸在所述套件的各个构件之间彼此独立地变化。 每个假体可以具有骨接合表面，其具有能够相对于脊椎的相应切除而被多轴旋转的表面。 每个假体还可以具有成形为使得在附接到脊柱之后，当脊柱弯曲时，被替换的或部分替换的小关节提供较大的内侧横向运动范围，而不是当脊柱延伸时。 交叉连接可以用于将左和右假体连接在一起，使得它们被稳定在它们直接抵靠椎骨的位置。

公开(公告)号：US20060122612A1

公开(公告)日：2006-06-08

申请号：US11338259

申请日：2006-01-24

申请人： Daniel Justin ,  Thomas Fallin ,  Thomas Winters

发明人： Daniel Justin ,  Thomas Fallin ,  Thomas Winters

IPC分类号： A61B17/58

CPC分类号： A61B17/863 ,  A61B17/864 ,  A61B2017/00004 ,  A61B2017/0646 ,  A61B2017/0648 ,  Y10S606/908 ,  Y10S606/916

摘要： A screw, driving device, and method are provided for repairing a tissue injury of a patient, such as a meniscal tear in a knee or osteochondritis dissecans. The screw has a root, a distal section having a narrowing cross section toward the distal end, and a thread along at least a portion of the root between the proximal end and the distal end. Along a leading section extending from the distal end, the helical pitch is substantially constant; along a trailing section between the leading section and the root's proximal end, the helical pitch decreases. The substantially constant pitch along the leading section assists in preventing a stripping of the helical section. At the proximal end is a head having a diameter greater than a major root diameter of the central section. The head is for improving the tissue retention characteristics of the screw.

公开(公告)号：US20060009774A1

公开(公告)日：2006-01-12

申请号：US10901935

申请日：2004-07-28

申请人： E. Goble ,  Robert Hodorek ,  Daniel Justin ,  Joel Dever ,  Marc Yap

发明人： E. Goble ,  Robert Hodorek ,  Daniel Justin ,  Joel Dever ,  Marc Yap

IPC分类号： A61B17/14 ,  A61F2/30 ,  A61F2/38 ,  A61B17/90 ,  A61B17/17 ,  A61F2/46

CPC分类号： A61B17/8869 ,  A61B17/15 ,  A61B17/157 ,  A61B17/1659 ,  A61B17/1664 ,  A61B17/1675 ,  A61B17/1682 ,  A61B17/1684 ,  A61B17/1714 ,  A61B17/1735 ,  A61B17/1764 ,  A61B17/842 ,  A61B17/8861 ,  A61B17/8875 ,  A61B17/8897 ,  A61B2017/1602 ,  A61F2/30749 ,  A61F2/3603 ,  A61F2/38 ,  A61F2/3877 ,  A61F2/4003 ,  A61F2/4202 ,  A61F2002/30462 ,  A61F2002/30604 ,  A61F2002/3895 ,  A61F2002/4007 ,  A61F2002/4205 ,  A61F2002/4635 ,  A61F2002/4636 ,  A61F2220/0008 ,  A61F2220/0075

摘要： A method includes the acts of sliding a first end of a flexible first line through a channel in a first bone anchor. A portion of the first line is connected to an implant having a top articular surface and an opposing bone apposition surface. The first line extending between the implant and the first bone anchor is then tensioned. While the tensioning force is maintained on the first line, the first line is secured to the first bone anchor.

摘要翻译： 一种方法包括使柔性第一线的第一端通过第一骨锚中的通道滑动的动作。 第一线的一部分连接到具有顶部关节表面和相对的骨对置表面的植入物。 然后在植入物和第一骨锚之间延伸的第一线张紧。 当张紧力保持在第一线上时，第一线固定到第一骨锚。

公开(公告)号：US20050080486A1

公开(公告)日：2005-04-14

申请号：US10687865

申请日：2003-10-17

申请人： T. Fallin ,  E. Goble ,  Robert Hoy ,  Daniel Justin ,  Alan Chervitz ,  Jude Paganelli ,  Dan Triplott

发明人： T. Fallin ,  E. Goble ,  Robert Hoy ,  Daniel Justin ,  Alan Chervitz ,  Jude Paganelli ,  Dan Triplott

IPC分类号： A61F20060101 ,  A61F2/44

CPC分类号： A61F2/4405 ,  A61B17/7062 ,  A61B17/7064 ,  A61B17/844 ,  A61F2/4637 ,  A61F2002/448

摘要： A prosthesis for the replacement of at least a portion of the bone of a facet located on a mammalian vertebra, comprising: an articulating surface that articulates with another facet; a bone contacting surface that contacts a surface of the vertebra, the articulating surface being connected to the bone contacting surface; and a fixation element that attaches the bone contacting surface to the vertebra, the fixation element being adapted for implantation into an interior bone space of a pedicle of the vertebra; wherein the prosthesis is configured so that no portion of the prosthesis contacts the posterior arch of the vertebra.

摘要翻译： 一种用于置换位于哺乳动物脊椎骨的小面骨的至少一部分的假体，包括：与其他小面相关联的关节表面; 接触椎骨表面的骨接触表面，所述关节表面连接到所述骨接触表面; 以及固定元件，其将所述骨接触表面附接到所述椎骨，所述固定元件适于植入所述椎骨的椎弓根的内部骨空间中; 其中所述假体构造成使得所述假体的任何部分都不接触所述椎骨的后拱。

公开(公告)号：US20050065527A1

公开(公告)日：2005-03-24

申请号：US10964590

申请日：2004-10-13

申请人： Daniel Justin

发明人： Daniel Justin

IPC分类号： A61B17/17 ,  A61B17/56 ,  A61B17/88 ,  A61F2/08

CPC分类号： A61F2/0805 ,  A61B17/1714 ,  A61B17/1735 ,  A61B17/8875 ,  A61B2017/564 ,  A61F2/0811 ,  A61F2002/0852 ,  A61F2002/0882

摘要： Apparatus and method is disclosed for securing a graft ligament in a bone tunnel. [In one form of the invention, the] A method is disclosed [comprises) comprising the steps of [(1)] forming a first bone tunnel [in a bone, the first bone tunnel having a first opening at one end thereof,] and [forming] a second bone tunnel [in the same bone, the second bone tunnel] being transverse to, and intersecting one another [, the first bone tunnel, the second bone tunnel having first and second portions extending from the first bone tunnel, the first portion of the second bone tunnel having a second opening at one end thereof, and the second portion of the second bone tunnel having a third opening at one end thereof]; [(2)] positioning a closed loop of a flexible member within the first bone tunnel and [the first] a portion of the second bone tunnel such that [a first portion of] the closed loop extends out of the first bone tunnel [opening] and [a second portion of the closed loop extends out of] the second [opening,] bone tunnel, parting the closed loop outside the second [opening] bone tunnel so as to create a first free end and a second free end, and passing the second free end through the opposite end of second bone tunnel [so that the second free end extends out of the third opening], and positioning the graft ligament over a portion of the flexible member extending out of the first opening; and [(3)] pulling [the first and second free ends of] the flexible member so as to draw the graft ligament into the first bone tunnel.

摘要翻译： 公开了用于将移植韧带固定在骨隧道中的装置和方法。 在本发明的一种形式中，公开了一种[包括]的方法，包括以下步骤：[（1）]形成第一骨隧道[在骨中，第一骨隧道在其一端具有第一开口] 和[形成]第二骨隧道[在同一骨骼中，第二骨隧道]横向于彼此并且彼此相交[，第一骨隧道，第二骨隧道具有从第一骨隧道延伸的第一和第二部分， 所述第二骨隧道的第一部分在其一端具有第二开口，并且所述第二骨隧道的第二部分在其一端具有第三开口]; [（2）]将柔性构件的闭环定位在第一骨隧道内的第一骨隧道和[第一]一部分第二骨隧道中，使得闭合环的[第一部分]延伸出第一骨隧道[开] 并且[闭合环的第二部分延伸出]第二个[开口]骨隧道，将闭合环分开在第二个[开口]骨隧道之外，以便产生第一自由端和第二自由端，以及 使第二自由端穿过第二骨隧道的相对端（使得第二自由端延伸出第三开口），并将移植物韧带定位在延伸出第一开口的柔性构件的一部分上; 和[（3）]拉动柔性构件的[第一和第二自由端]，以将移植韧带拉入第一骨隧道。

公开(公告)号：US20070270967A1

公开(公告)日：2007-11-22

申请号：US11670292

申请日：2007-02-01

申请人： T. Fallin ,  E. Goble ,  Robert Hoy ,  Daniel Justin ,  Alan Chervitz ,  Jude Paganelli ,  Dan Triplett

发明人： T. Fallin ,  E. Goble ,  Robert Hoy ,  Daniel Justin ,  Alan Chervitz ,  Jude Paganelli ,  Dan Triplett

IPC分类号： A61F2/44

CPC分类号： A61F2/4405 ,  A61B17/7062 ,  A61B17/7064 ,  A61B17/844 ,  A61F2/4637 ,  A61F2002/448

摘要： A prosthesis for the replacement of at least a portion of the bone of a facet located on a mammalian vertebra, comprising: an articulating surface that articulates with another facet; a bone contacting surface that contacts a surface of the vertebra, the articulating surface being connected to the bone contacting surface; and a fixation element that attaches the bone contacting surface to the vertebra, the fixation element being adapted for implantation into an interior bone space of a pedicle of the vertebra; wherein the prosthesis is configured so that no portion of the prosthesis contacts the posterior arch of the vertebra.

摘要翻译： 一种用于置换位于哺乳动物脊椎骨的小面骨的至少一部分的假体，包括：与其他小面相关联的关节表面; 接触椎骨表面的骨接触表面，所述关节表面连接到所述骨接触表面; 以及固定元件，其将所述骨接触表面附接到所述椎骨，所述固定元件适于植入所述椎骨的椎弓根的内部骨空间中; 其中所述假体构造成使得所述假体的任何部分都不接触所述椎骨的后拱。

公开(公告)号：US20070072475A1

公开(公告)日：2007-03-29

申请号：US11534985

申请日：2006-09-25

申请人： Daniel Justin ,  Lytton Williams ,  Darin Ewer ,  Nathan Pierce

发明人： Daniel Justin ,  Lytton Williams ,  Darin Ewer ,  Nathan Pierce

IPC分类号： H01R13/627

CPC分类号： A61F2/442 ,  A61B17/025 ,  A61B2017/0256 ,  A61F2/4425 ,  A61F2/4455 ,  A61F2/4611 ,  A61F2002/2817 ,  A61F2002/2835 ,  A61F2002/30331 ,  A61F2002/30387 ,  A61F2002/30484 ,  A61F2002/30497 ,  A61F2002/305 ,  A61F2002/30517 ,  A61F2002/30538 ,  A61F2002/30604 ,  A61F2002/30607 ,  A61F2002/30614 ,  A61F2002/30617 ,  A61F2002/30772 ,  A61F2002/30841 ,  A61F2002/30901 ,  A61F2002/4622 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2250/0006 ,  A61F2250/0062 ,  A61F2250/0097

摘要： A revisable intervertebral implant may include two end plates designed to detachably receive a variety of intermediate components including articulating bearing inserts, elastic inserts, and fusion blocks. Each intermediate component may be secured to a snap insert that snaps into engagement with the corresponding end plate in response to pressure urging the intermediate component toward the end plate along a cephalad-caudal direction. The end plates may first be secured to the corresponding vertebral bodies, and then the intermediate component(s) may be snapped into locking engagement with the implanted end plates to complete in-situ assembly of the intervertebral implant. The implant may easily be revised by snapping the intermediate component(s) out of engagement with the end plates, removing the intermediate component(s), inserting the new intermediate component(s) into the space between the end plates, and snapping the new intermediate component(s) into engagement with the end plates.

摘要翻译： 可修改的椎间植入物可以包括设计成可拆卸地接收各种中间部件的两个端板，包括铰接轴承插入件，弹性插入件和熔合块。 每个中间部件可以被固定到卡扣插入件，该卡扣插入件响应于沿着头部 - 尾部方向将中间部件推向端板的压力而与相应的端板接合。 端板可以首先固定到相应的椎体上，然后可以将中间部件咬合成与植入的端板锁定接合，以完成椎间植入物的原位组装。 可以通过将中间组件与端板脱离接合而拆下植入物，去除中间组分，将新的中间组分插入到端板之间的空间中，并将新的 中间部件与端板接合。