公开(公告)号：US20130296895A1

公开(公告)日：2013-11-07

申请号：US13465299

申请日：2012-05-07

申请人： Mehmet Sengun

发明人： Mehmet Sengun

IPC分类号： A61B17/04

CPC分类号： A61B17/0401 ,  A61B17/0469 ,  A61B17/0485 ,  A61B17/0487 ,  A61B2017/0414 ,  A61B2017/0427 ,  A61B2017/044 ,  A61B2017/0456 ,  A61B2017/0458 ,  A61B2017/0474 ,  A61B2017/0475

摘要： Systems, devices, and methods are provided for securing soft tissue to bone, for securing one or more objects using a surgical filament, and for drawing two or more tissues together so they can be secured in a desired location. One exemplary embodiment of a surgical repair method includes selecting a surgical repair construct that includes a snare linkage having a collapsible snare and a collapsible loop coupled to the snare linkage. Steps can be performed as part of the method such that the snare of the snare linkage is collapsed around a portion of the loop passing through the snare. The snare linkage and loop construct can be coupled to tissue and bone such that the snare and loop are both advanced distally towards bone to bring the tissue into proximity with the bone. Other exemplary systems, devices, and methods for use with soft tissue repair are also provided.

摘要翻译： 提供的系统，装置和方法用于将软组织固定到骨上，用于使用外科细丝固定一个或多个物体，以及将两个或更多个组织拉在一起，使得它们可以固定在期望的位置。 手术修复方法的一个示例性实施例包括选择外科修复构造，其包括具有可折叠圈套和与该圈套连接件联接的可折叠环的圈套连接件。 步骤可以作为该方法的一部分进行，使得圈套连杆的圈套围绕通过圈套的环的一部分折叠。 圈套连接和环构造可以耦合到组织和骨，使得圈套和环都向远侧朝向骨前进，使组织接近骨骼。 还提供了用于软组织修复的其它示例性系统，装置和方法。

公开(公告)号：US20120253390A1

公开(公告)日：2012-10-04

申请号：US13435846

申请日：2012-03-30

申请人： Mehmet Sengun

发明人： Mehmet Sengun

IPC分类号： A61B17/04

CPC分类号： A61B17/0401 ,  A61B17/0482 ,  A61B17/0485 ,  A61B17/06166 ,  A61B2017/0414 ,  A61B2017/044 ,  A61B2017/0445 ,  A61B2017/0448 ,  A61B2017/0456 ,  A61B2017/0458 ,  A61B2017/0464 ,  A61B2017/0475 ,  A61B2017/06185 ,  A61B2090/0807

摘要： A surgical filament snare assembly including an anchor capable of being fixated in bone and having a filament engagement feature. A first filament has a noose with first and second noose limbs connected, preferably slidably, to the filament engagement feature. The first and second noose limbs emerge from the anchor as first and second free filament limbs that are capable of being passed through tissue to be repaired and then passable through the noose. The noose is capable of receiving the free filament limbs and strangulating them when tension is applied to at least one of the free filament limbs and the noose to enable incremental tensioning of the tissue after anchor fixation. Preferably, the snare assembly further includes a flexible sleeve joining at least some portion of the first and second free filament limbs to facilitate passing of the free filament limbs as a single unit.

摘要翻译： 一种手术细丝圈套组件，其包括能够固定在骨中并且具有细丝接合特征的锚固件。 第一个细丝具有一个连接第一和第二个单独的连接，优选地可滑动地连接到灯丝接合特征的第一个和第二个松套。 第一和第二索引杆从锚固件中作为第一和第二自由长丝四肢出现，其能够通过待修复的组织然后通过绞索。 当张力施加到至少一个自由长丝四肢和绞索上时，绞索能够接收自由的长丝四肢并扼制它们，以便在固定固定之后能够增加组织张力。 优选地，圈套组件还包括连接第一和第二自由细丝四肢的至少一部分的柔性套筒，以便于作为单个单元通过自由丝状四肢。

公开(公告)号：US20130296896A1

公开(公告)日：2013-11-07

申请号：US13465362

申请日：2012-05-07

申请人： Mehmet Sengun

发明人： Mehmet Sengun

IPC分类号： A61B17/04

CPC分类号： A61B17/0401 ,  A61B17/06166 ,  A61B2017/0403 ,  A61B2017/0414 ,  A61B2017/0475 ,  A61B2017/0496 ,  A61B2017/06176 ,  A61B2017/06185

摘要： Systems, devices, and methods are provided for securing soft tissue to bone. One exemplary embodiment of a surgical repair construct includes an anchor, a filament having a snare on one end and a collapsible loop on another end, and a suture having a plurality of stationary protrusions. The suture is configured to be coupled to detached tissue and have its ends passed through an opening in the snare. The snare can be collapsed around the suture so at least one of the protrusions is proximal of the collapsed snare. The anchor can be disposed in bone and the filament coupled thereto. Accordingly, collapsing the snare around the suture couples the tissue to bone, and applying tension to a tensioning limb of the filament can collapse the loop to incrementally tighten and secure the tissue to bone. Other exemplary systems, devices, and methods for use with tissue repair are also provided.

摘要翻译： 提供系统，装置和方法来将软组织固定到骨骼上。 手术修复构造的一个示例性实施例包括锚固体，在一端具有圈套的细丝和在另一端上的可折叠环，以及具有多个固定突起的缝合线。 缝合线被配置成联接到脱离的组织并且其端部穿过网圈中的开口。 该圈套可以围绕缝合线折叠，使得突起中的至少一个位于收缩的圈套的近侧。 锚固件可以设置在骨头中，并且灯丝联接到其上。 因此，围绕缝合线塌陷圈套将组织耦合到骨骼，并且向细丝的张紧肢部施加张力可以使环圈折叠以递增地紧固并将组织固定到骨骼上。 还提供了用于组织修复的其它示例性系统，装置和方法。

公开(公告)号：US20060129086A1

公开(公告)日：2006-06-15

申请号：US10905044

申请日：2004-12-13

申请人： Ian McRury ,  Mehmet Sengun ,  Kevin Ranucci ,  Douglas Dunn

发明人： Ian McRury ,  Mehmet Sengun ,  Kevin Ranucci ,  Douglas Dunn

IPC分类号： A61B17/20

CPC分类号： A61B17/3203 ,  A61B17/32037

摘要： Various surgical fluid jet cutting instruments for selective bulk removal and precision sculpting of tissue are provided. In one exemplary embodiment, the instrument can include a fluid delivery tube having a nozzle for forming a high pressure fluid jet, and at least two evacuation tubes that are adapted to be selectively and removably coupled to the fluid delivery tube. Each evacuation tube can have an evacuation port or jet-receiving opening that is adapted to be positioned opposite to and spaced apart from the nozzle for receiving the high pressure fluid jet. Each evacuation tube can also be adapted for a specific use. For example, the instrument can include a first evacuation tube that is adapted to allow bulk removal of tissue, and a second evacuation tube that is adapted to allow precision sculpting of tissue.

摘要翻译： 提供了用于选择性散装移除和组织精确雕刻的各种手术流体射流切割仪器。 在一个示例性实施例中，仪器可以包括具有用于形成高压流体射流的喷嘴的流体输送管，以及适于选择性地和可移除地联接到流体输送管的至少两个抽气管。 每个排气管可以具有排气口或喷射接收开口，其适于被定位成与喷嘴相对并间隔开以接收高压流体射流。 每个疏散管也可以适用于特定用途。 例如，仪器可以包括适于允许大量去除组织的第一抽空管，以及适于允许组织精确雕刻的第二抽空管。

公开(公告)号：US20070179514A1

公开(公告)日：2007-08-02

申请号：US11306751

申请日：2006-01-10

申请人： Mehmet Sengun

发明人： Mehmet Sengun

IPC分类号： A61B17/32

CPC分类号： A61B17/3203 ,  A61B2017/00154 ,  A61B2017/22008 ,  A61B2017/22089 ,  A61B2017/32032 ,  A61B2018/00041

摘要： Various methods and devices are provided for cutting tissue using a high pressure fluid jet. In one exemplary embodiment, a high pressure fluid jet delivery device is provided having a nozzle adapted to direct fluid to a tissue site. A heating element is disposed on the nozzle and is adapted to heat fluid surrounding a high pressure fluid jet flowing from the nozzle to form at least one vapor bubble. The vapor bubble can reduce the interaction between the high pressure fluid jet and the fluid surrounding the high pressure fluid jet.

摘要翻译： 提供了使用高压流体射流切割组织的各种方法和装置。 在一个示例性实施例中，提供了具有适于将流体引导至组织部位的喷嘴的高压流体喷射输送装置。 加热元件设置在喷嘴上并且适于加热围绕从喷嘴流动的高压流体射流的流体以形成至少一个蒸气泡。 蒸气泡可以减少高压流体射流与围绕高压流体射流的流体之间的相互作用。

公开(公告)号：US20070173873A1

公开(公告)日：2007-07-26

申请号：US11307121

申请日：2006-01-24

申请人： Kevin Ranucci ,  Mehmet Sengun

发明人： Kevin Ranucci ,  Mehmet Sengun

IPC分类号： A61B17/32

CPC分类号： A61B17/32002 ,  A61B2017/00539 ,  A61B2017/00553 ,  A61B2017/320032 ,  F16D57/02

摘要： Systems and methods are provided for passively dissipating a rotational speed of a fluid-driven rotatable shaft. In particular, a dissipation member is provided for dissipating the rotational speed of a shaft having an end effector formed thereon. As the rotational speed of the shaft increases, the dissipation member will apply a counter-torque to the shaft, thereby limiting the rotational speed of the shaft. In an exemplary embodiment, the counter-torque has a non-linear dependence on the rotational speed of the shaft, such that the counter-torque increases at a rate greater than a rate of increase in the rotational speed. Thus, when the end effector of the rotatable shaft is placed in contact with tissue and the operational speed of the shaft is reduced, the dissipation member will apply a minimal or low counter-torque to the rotatable shaft. When the end effector of the rotatable shaft is removed from the tissue and the operational speed of the shaft increases, the counter-torque applied by the dissipation member will increase thereby limiting the operational speed of the shaft.

摘要翻译： 提供了用于被动地耗散流体驱动的可旋转轴的转速的系统和方法。 特别地，提供了用于消散其上形成有末端执行器的轴的旋转速度的散开构件。 当轴的旋转速度增加时，散开构件将向轴施加反扭矩，从而限制轴的旋转速度。 在示例性实施例中，反扭矩对轴的转速具有非线性依赖性，使得反扭矩以大于转速增加速率的速率增加。 因此，当可旋转轴的末端执行器被放置成与组织接触并且轴的操作速度减小时，散开构件将向可旋转轴施加最小或低的反向扭矩。 当可旋转轴的端部执行器从组织移除并且轴的操作速度增加时，由散热构件施加的反扭矩将增加，从而限制轴的操作速度。

公开(公告)号：US20060142773A1

公开(公告)日：2006-06-29

申请号：US10905351

申请日：2004-12-29

申请人： Mehmet Sengun ,  Elizabeth Heneberry ,  Ian McRury ,  Kevin Ranucci ,  Douglas Dunn

发明人： Mehmet Sengun ,  Elizabeth Heneberry ,  Ian McRury ,  Kevin Ranucci ,  Douglas Dunn

IPC分类号： A61B17/16

CPC分类号： A61B17/3203 ,  A61B17/1644 ,  A61B17/32037 ,  A61B2017/1648

摘要： A high pressure fluid jet system is provided, which is useful for cutting hard material during a surgical procedure. The cutting of hard material is more efficient as the system delivers abrasive solid particles with the high pressure fluid. In an exemplary embodiment, abrasive solid particles can be mixed with a pressurized stream of fluid prior to delivery of the fluid to a nozzle of an application tool. Alternatively, the abrasive solid particles can be entrained in the pressurized fluid stream or the pressurized fluid stream can erode a solid or suspension form of the abrasive particles.

摘要翻译： 提供了一种高压流体喷射系统，可用于在外科手术过程中切割硬质材料。 硬质材料的切割更有效，因为系统用高压流体输送磨料固体颗粒。 在示例性实施例中，在将流体输送到施加工具的喷嘴之前，磨料固体颗粒可与加压流体流混合。 或者，磨料固体颗粒可以夹带在加压流体流中，或者加压流体流可以侵蚀固体或悬浮​​液形式的磨料颗粒。

公开(公告)号：US20060120899A1

公开(公告)日：2006-06-08

申请号：US10904959

申请日：2004-12-07

申请人： Mehmet Sengun ,  Christopher Weinert ,  Kevin Ranucci ,  Ian McRury

发明人： Mehmet Sengun ,  Christopher Weinert ,  Kevin Ranucci ,  Ian McRury

IPC分类号： F04B35/04 ,  F04B17/04

CPC分类号： F04B53/007 ,  A61B17/3203 ,  A61B17/32037 ,  F04B53/16

摘要： A pump cartridge for use in a high pressure fluid jet system is provided. In an exemplary embodiment, the pump cartridge can be adapted to couple to a drive mechanism for driving fluid from a fluid source, through the pump cartridge, to a fluid jet delivery device, and the pump cartridge can be reusable to allow the pump cartridge to be sterilized between uses.

摘要翻译： 提供用于高压流体喷射系统的泵筒。 在示例性实施例中，泵筒可以适于联接到用于将流体从流体源穿过泵筒驱动到驱动流体喷射输送装置的驱动机构，并且泵筒可以是可重复使用的，以允许泵筒 在使用之间灭菌。

公开(公告)号：US20060100569A1

公开(公告)日：2006-05-11

申请号：US10904456

申请日：2004-11-11

申请人： Ian McRury ,  Mehmet Sengun ,  Kevin Ranucci ,  Douglas Dunn

发明人： Ian McRury ,  Mehmet Sengun ,  Kevin Ranucci ,  Douglas Dunn

IPC分类号： A61B17/20

CPC分类号： A61B17/3203 ,  A61B17/1644 ,  A61B17/32037 ,  A61B2017/1648 ,  A61B2217/005

摘要： Various surgical fluid jet cutting instruments for selective bulk removal and precision sculpting of tissue are provided. In an exemplary embodiment, the instrument includes a fluid delivery tube having a nozzle for forming a high pressure fluid jet, and an evacuation tube having an evacuation port or jet-receiving opening opposite to and spaced apart from the nozzle for receiving the high pressure fluid jet. In use, the fluid jet and/or the evacuation port can be moved relative to one another to allow the device to be selectively used for bulk removal of tissue and for precision sculpting of tissue.

摘要翻译： 提供了用于选择性散装移除和组织精确雕刻的各种手术流体射流切割仪器。 在示例性实施例中，仪器包括具有用于形成高压流体射流的喷嘴的流体输送管，以及具有与喷嘴相对并与喷嘴间隔开的排气口或喷射接收开口的排气管，用于接收高压流体 喷射。 在使用中，流体喷射和/或排气口可以相对于彼此移动，以允许该装置被选择性地用于组织的大量移除和用于组织的精确雕刻。

公开(公告)号：US20130296934A1

公开(公告)日：2013-11-07

申请号：US13465376

申请日：2012-05-07

申请人： Mehmet Sengun

发明人： Mehmet Sengun

IPC分类号： A61B17/04

CPC分类号： A61B17/0401 ,  A61B17/06166 ,  A61B17/842 ,  A61B17/844 ,  A61B90/90 ,  A61B90/92 ,  A61B2017/00336 ,  A61B2017/00845 ,  A61B2017/00849 ,  A61B2017/0406 ,  A61B2017/0414 ,  A61B2017/0417 ,  A61B2017/042 ,  A61B2017/0458 ,  A61B2017/0459 ,  A61B2017/0464 ,  A61B2017/0475 ,  A61B2017/0496 ,  A61B2017/0618 ,  A61B2017/06185 ,  A61F2/0811 ,  A61F2002/0835 ,  A61F2002/0852 ,  A61F2002/0888

摘要： Systems, devices, and methods are provided for securing soft tissue to bone. One exemplary embodiment of a surgical soft tissue repair device includes a snare assembly coupled to a soft anchor in which the soft anchor has a first, unstressed configuration that can be used to insert the anchor into bone and a second, anchoring configuration that can be used to fixate the anchor in the bone. The snare assembly can be configured to actuate the anchor from the first configuration to the second configuration, and it can also be used to engage and approximate tissue by drawing the tissue closer to the anchor fixated in the bone. The snare assembly can be used in conjunction with a number of different anchor configurations, and other exemplary systems, devices, and methods for use with soft tissue repair are also provided.

摘要翻译： 提供系统，装置和方法来将软组织固定到骨骼上。 手术软组织修复装置的一个示例性实施例包括耦合到软锚的圈套组件，其中软锚具有可用于将锚固件插入骨中的第一未受压构造，以及可以使用的第二锚定构型 将锚定在骨头中。 该圈套组件可以被配置为将锚固件从第一构型致动到第二构型，并且还可以通过将组织靠近固定在骨中的锚固件来使组织接近和近似组织。 该圈套组件可以与许多不同的锚定构型一起使用，并且还提供了用于软组织修复的其它示例性系统，装置和方法。