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公开(公告)号：US06346109B1
公开(公告)日：2002-02-12
申请号：US09591376
申请日：2000-06-09
IPC分类号： A61B1756
CPC分类号： A61B17/064 , A61B17/0469 , A61B17/068 , A61B2017/0416 , A61B2017/0646 , A61B2017/0647 , Y10S606/916
摘要： A system for inserting a cannulated tissue anchor during endoscopic surgical procedures. The system incorporates an elongated generally cylindrical tissue anchor having a plurality of barbs outwardly extending from its body and a transverse head situated at its proximal end. The head is elongated along a major axis which is misaligned relative to the rows of barbs on the body of the tissue anchor in order to enhance retention of the anchor within selected tissue. The anchor may be inserted during an endoscopic surgical procedure by a single-handed operation utilizing an instrument having a longitudinally slidable needle for guiding the anchor into place and a longitudinally slidable push rod for pushing the anchor along the needle. The system incorporates a package/loading device to facilitate the assembly of a cannulated tissue anchor with the inserter, the package/loading device being provided with a means for guiding the inserter needle through the axial bore of the tissue anchor.
摘要翻译： 在内镜手术过程中插入插管组织锚的系统。 该系统包括细长的大致圆柱形的组织锚，其具有从其主体向外延伸的多个倒钩和位于其近端的横向头部。 头部沿着长轴延伸，该长轴相对于组织锚固体的身体上的倒钩行排列不对准，以便增强锚定体在选定组织内的保持力。 锚固件可以在内窥镜手术过程中通过单手操作来插入，该单手操作利用具有用于将锚固件引导到位的纵向可滑动的针的器具以及用于沿着针推动锚的纵向可滑动的推杆。 该系统包括一个包装/装载装置，以方便与插入器组装插管组织锚，该包装/装载装置设置有用于引导插入针穿过组织锚的轴向孔的装置。
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公开(公告)号：US06280448B1
公开(公告)日：2001-08-28
申请号：US09591375
申请日：2000-06-09
申请人： A. Frank Trott , Joseph Fucci , Sam R. Marchand , Anne F. Booth
发明人： A. Frank Trott , Joseph Fucci , Sam R. Marchand , Anne F. Booth
IPC分类号： A61B1756
CPC分类号： A61B17/064 , A61B17/0469 , A61B17/068 , A61B2017/0416 , A61B2017/0646 , A61B2017/0647 , Y10S606/916
摘要： A system for inserting a cannulated tissue anchor during endoscopic surgical procedures. The system incorporates an elongated generally cylindrical tissue anchor having a plurality of barbs outwardly extending from its body and a transverse head situated at its proximal end. The head is elongated along a major axis which is misaligned relative to the rows of barbs on the body of the tissue anchor in order to enhance retention of the anchor within selected tissue. The anchor may be inserted during an endoscopic surgical procedure by a single-handed operation utilizing an instrument having a longitudinally slidable needle for guiding the anchor into place and a longitudinally slidable push rod for pushing the anchor along the needle. The system incorporates a package/loading device to facilitate the assembly of a cannulated tissue anchor with the inserter, the package/loading device being provided with a means for guiding the inserter needle through the axial bore of the tissue anchor.
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公开(公告)号：US5607432A
公开(公告)日：1997-03-04
申请号：US343749
申请日：1995-01-23
申请人： Joseph Fucci
发明人： Joseph Fucci
CPC分类号： A61B17/0401 , A61B17/92 , A61B2017/0411 , A61B2017/0414 , A61B2017/044
摘要： A threaded bone anchor retriever and method for retrieving threaded bone anchors and the like from an implantation site. The anchor retriever is particularly suitable for retrieving threaded suture anchors during endoscopic surgical procedures. The retriever comprises an elongated shaft having an anchor engaging means at its distal tip for engaging the drive portion of the threaded anchor and for turning it in a direction to remove it from the implantation site. A concentric anchor engaging sleeve is adapted to move longitudinally relative to the elongated shaft in order to engage the threaded body of the anchor as it is removed from the implantation site. The invention includes a method for using the anchor retriever, particularly during endoscopic procedures, to remove anchors which may or may not have tissue growth overlying the implantation site.
摘要翻译： 一种用于从植入部位检索螺纹骨锚等的螺纹骨锚回收器和方法。 锚索犬特别适用于在内镜手术过程中收回螺纹缝合锚。 牵引器包括细长轴，其在其远端处具有锚固接合装置，用于接合螺纹锚固件的驱动部分并且用于使其沿着从植入部位移除的方向转动。 同心锚固接合套筒适于相对于细长轴线纵向移动，以便当其从植入部位移除时接合锚固件的螺纹体。 本发明包括一种使用锚固器的方法，特别是在内窥镜手术过程中，去除可能或可能不具有覆盖植入部位的组织生长的锚固件。
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公开(公告)号：US5411514A
公开(公告)日：1995-05-02
申请号：US265558
申请日：1994-06-24
CPC分类号： A61B17/32002 , A61B2017/2927 , A61B2090/067 , A61M2209/04
摘要： A surgical cutting instrument having an elongated rotatable inner member provided with a cutting edge at its distal tip, the inner member adapted to rotate within an elongated outer tube having a window adjacent its distal end adapted to cooperate with the cutting edge of the inner member. The outer tube is provided with a portion thereof adjacent its distal end which enables the distal tip of the outer tube to be bent at an angle relative to the proximal portion of the outer tube. The outer tube may be bent by a user into a selected angular position with the aid of a tool calibrated in a plurality of discrete positions. The tool is adapted to enable the outer tube to be rotated to any selected position prior to being bent so that the window at the distal tip of the outer tube may be caused to face in any desired direction relative to the bend in the outer tube.
摘要翻译： 一种具有细长的可旋转的内部构件的外科切割器具，所述内部构件在其远侧末端处设置有切割边缘，所述内部构件适于在细长的外管内旋转，该外部管具有邻近其远端的窗口，其适于与内部构件的切割边缘配合。 外管设置有与其远端相邻的部分，其能够使外管的远端相对于外管的近端部分以一定角度弯曲。 借助于在多个离散位置中校准的工具，外管可以由使用者弯曲成选定的角位置。 工具适于使外管能够在弯曲之前旋转到任何选定的位置，使得可以使外管的远侧末端处的窗口相对于外管中的弯曲部在任何期望的方向上面对。
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公开(公告)号：US5286253A
公开(公告)日：1994-02-15
申请号：US958830
申请日：1992-10-09
申请人： Joseph Fucci
发明人： Joseph Fucci
CPC分类号： A61B17/32002
摘要： A thin-walled sleeve of polymeric or similar material is heat shrunk or otherwise closely fitted over a flexible torque-transmitting shaft in an angled rotary surgical instrument. The sheath primarily provides a seal to maintain aspiration or suction through the porous flexible shaft, and also provides an additional bearing surface on the distal end of the flexible shaft, facilitates insertion and removal of the flexible shaft, and provides a low friction surface between the flexible shaft and outer sheath of the instrument.
摘要翻译： 聚合物或类似材料的薄壁套管是热收缩的或以其它方式紧密地配合在成角度旋转手术器械的柔性扭矩传递轴上。 护套主要提供密封以保持通过多孔柔性轴的抽吸或抽吸，并且还在柔性轴的远端上提供另外的支承表面，便于插入和移除柔性轴，并且在第二位置之间提供低摩擦表面 柔性轴和仪器的外护套。
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公开(公告)号：US07189238B2
公开(公告)日：2007-03-13
申请号：US10666644
申请日：2003-09-18
IPC分类号： A61B17/58
CPC分类号： A61F2/0811 , A61F2002/0841 , A61F2002/0858 , A61F2002/0888
摘要： A soft tissue anchor is provided for attaching soft tissue to bone. The anchor is useful generally throughout the body where soft tissue needs to be anchored to bone. It is particularly useful for reattaching separated tissues adjacent to an articular joint such as the hip, knee, or shoulder. For example it is well suited for reattaching labral tissue that has become separated from the glenoid rim adjacent a shoulder joint.
摘要翻译： 提供软组织锚以将软组织附着于骨。 锚固体通常在整个身体中是有用的，其中软组织需要锚定到骨骼上。 对于重新附着关节关节（例如髋关节，膝盖或肩部）附近的分离组织特别有用。 例如，它非常适合于重新安置已经与肩关节相邻的关节盂骨缘分离的唇部组织。
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公开(公告)号：US6146387A
公开(公告)日：2000-11-14
申请号：US141175
申请日：1998-08-26
申请人： A. Frank Trott , Joseph Fucci , Robert C. Hackett , T. Dan Moore , Mark A. Bellafiore , Sam R. Marchand , Anne F. Booth
发明人： A. Frank Trott , Joseph Fucci , Robert C. Hackett , T. Dan Moore , Mark A. Bellafiore , Sam R. Marchand , Anne F. Booth
IPC分类号： A61B17/00 , A61B17/04 , A61B17/064 , A61B17/068 , A61F2/02 , A61B17/58
CPC分类号： A61B17/064 , A61B17/0469 , A61B17/068 , A61B2017/0416 , A61B2017/0646 , A61B2017/0647 , Y10S606/916
摘要： A system for inserting a cannulated tissue anchor during endoscopic surgical procedures. The system incorporates an elongated generally cylindrical tissue anchor having a plurality of barbs outwardly extending from its body and a transverse head situated at its proximal end. The head is elongated along a major axis which is misaligned relative to the rows of barbs on the body of the tissue anchor in order to enhance retention of the anchor within selected tissue. The anchor may be inserted during an endoscopic surgical procedure by a single-handed operation utilizing an instrument having a longitudinally slidable needle for guiding the anchor into place and a longitudinally slidable push rod for pushing the anchor along the needle. The system incorporates a package/loading device to facilitate the assembly of a cannulated tissue anchor with the inserter, the package/loading device being provided with a means for guiding the inserter needle through the axial bore of the tissue anchor.
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公开(公告)号：US5871504A
公开(公告)日：1999-02-16
申请号：US954781
申请日：1997-10-21
CPC分类号： A61F2/0805 , A61F2/0811 , A61F2002/0829 , A61F2002/0852 , A61F2002/087 , A61F2002/0882 , Y10S606/91 , Y10S606/916
摘要： Improved ligament anchor structures and methods for affixing graft ligaments to bone are provided. The ligament anchor assembly includes a sleeve having gripping means for being firmly secured within a bone tunnel and a bore extending therethrough. The graft ligament is secured to an insert sized to pass through the bore in the sleeve. The bore in the sleeve and the external surface of the insert have cooperating asymmetrical teeth formed thereon so that the insert can pass through the sleeve in only one direction. The sleeve is first placed in a bone tunnel and the opposite end of the ligament secured in the corresponding bone, followed by final adjustment of the ligament tension without disturbing the anchors of either end of the graft ligament.
摘要翻译： 提供了改进的韧带锚固结构和将移植韧带固定在骨上的方法。 韧带锚固组件包括具有用于牢固地固定在骨隧道内的夹持装置和延伸穿过其中的孔的套筒。 移植韧带被固定到尺寸适于穿过套筒中的孔的插入件。 套筒中的孔和插入件的外表面具有形成在其上的配合的不对称齿，使得插入件仅在一个方向上穿过套筒。 首先将套管放置在骨隧道中，并将韧带的相对端固定在相应的骨中，随后最终调整韧带张力，而不会干扰移植韧带两端的锚固件。
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公开(公告)号：US5697950A
公开(公告)日：1997-12-16
申请号：US597792
申请日：1996-02-07
CPC分类号： A61B17/0485 , A61B17/0401 , A61B17/0469 , A61B17/0483 , A61B2017/0409 , A61B2017/0414 , A61B2017/044 , A61B2017/0454 , A61B2090/037
摘要： A method and apparatus for facilitating use of a threaded suture anchor in combination with a reusable cannulated anchor driver. The device enables a suture anchor to be preassembled with a suture so that a user need not assemble a suture anchor with suture immediately prior to use. The preassembled anchor/suture is provided with a suture stiffening or support member by which the free ends of the suture may be easily threaded into the axial bore of a cannulated driver. The support member may comprise a length of shrinkable tubing frictionally engaging at least a portion of the free ends of the suture extending from the anchor. In another embodiment, the support means may comprise an elongated non-shrinkable material such as a rod attached to the suture and enabling the anchor/suture/rod assembly to be threaded into a cannulated driver simply by the force of gravity acting upon the rod.
摘要翻译： 一种用于有助于使用螺纹缝合锚与可重复使用的插管锚固驱动器的方法和装置。 该装置使缝合锚固件能够用缝合线预先组装，使得使用者在使用之前不需要在缝合线上组装缝合锚。 预组装的锚固/缝合线设置有缝合线加强或支撑构件，通过该缝合线加固或支撑构件，缝合线的自由端可以容易地旋入插管驱动器的轴向孔中。 支撑构件可以包括一定长度的可收缩管，摩擦地接合从锚延伸的缝合线的自由端的至少一部分。 在另一个实施例中，支撑装置可以包括细长的不可收缩材料，例如连接到缝合线上的杆，并且使得锚/缝合/杆组件能够简单地通过作用在杆上的重力而旋入插管驱动器。
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公开(公告)号：US06290702B1
公开(公告)日：2001-09-18
申请号：US09591374
申请日：2000-06-09
申请人： Joseph Fucci , T. Dan Moore
发明人： Joseph Fucci , T. Dan Moore
IPC分类号： A61B1756
CPC分类号： A61B17/064 , A61B17/0469 , A61B17/068 , A61B2017/0416 , A61B2017/0646 , A61B2017/0647 , Y10S606/916
摘要： A system for inserting a cannulated tissue anchor during endoscopic surgical procedures. The system incorporates an elongated generally cylindrical tissue anchor having a plurality of barbs outwardly extending from its body and a transverse head situated at its proximal end. The head is elongated along a major axis which is misaligned relative to the rows of barbs on the body of the tissue anchor in order to enhance retention of the anchor within selected tissue. The anchor may be inserted during an endoscopic surgical procedure by a single-handed operation utilizing an instrument having a longitudinally slidable needle for guiding the anchor into place and a longitudinally slidable push rod for pushing the anchor along the needle. The system incorporates a package/loading device to facilitate the assembly of a cannulated tissue anchor with the inserter, the package/loading device being provided with a means for guiding the inserter needle through the axial bore of the tissue anchor.
摘要翻译： 在内镜手术过程中插入插管组织锚的系统。 该系统包括细长的大致圆柱形的组织锚，其具有从其主体向外延伸的多个倒钩和位于其近端的横向头部。 头部沿着长轴延伸，该长轴相对于组织锚固体的身体上的倒钩行排列不对准，以便增强锚定体在选定组织内的保持力。 锚固件可以在内窥镜手术过程中通过单手操作来插入，该单手操作利用具有用于将锚固件引导到位的纵向可滑动的针的器具以及用于沿着针推动锚的纵向可滑动的推杆。 该系统包括一个包装/装载装置，以方便与插入器组装插管组织锚固件，该包装/装载装置设有用于引导插入针穿过组织锚的轴向孔的装置。
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