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公开(公告)号：US20140142627A1
公开(公告)日：2014-05-22
申请号：US13855445
申请日：2013-04-02
CPC分类号： A61B17/0401 , A61B17/0482 , A61B17/06166 , A61B90/92 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0416 , A61B2017/0432 , A61B2017/0433 , A61B2017/0438 , A61B2017/044 , A61B2017/0441 , A61B2017/0445 , A61B2017/0448 , A61B2017/045 , A61B2017/0451 , A61B2017/0453 , A61B2017/0454 , A61B2017/0461 , A61B2017/0496 , A61B2017/06142 , A61B2090/0807 , B29C45/00
摘要： Various devices, systems and methods for knotless suturing of tissue are disclosed. These devices allow sutures to be anchored to bone, and more specifically provide a suture anchor which eliminates the need for knotting the suture. Thus, damaged tissue may be re-attached to a substrate tissue. The anchors have a minimum of moving parts may be suited to being a single molded polymer construction. The anchors will find particular utility in hip and shoulder arthroscopy, e.g. labral re-attachment and similar procedures.
摘要翻译： 公开了用于组织的无缝缝合的各种装置，系统和方法。 这些装置允许缝合线锚固到骨骼上，并且更具体地提供缝合锚钉，其消除了缝合缝合的需要。 因此，损伤的组织可以重新连接到基底组织。 锚固件具有最小的移动部件可以适合于单一的模制聚合物结构。 髋关节置换术将在髋关节和肩关节镜下发现特别有用。 乳头再次附着和类似手术。
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公开(公告)号：US20100292733A1
公开(公告)日：2010-11-18
申请号：US12776225
申请日：2010-05-07
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0482 , A61B17/06166 , A61B90/92 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0416 , A61B2017/0432 , A61B2017/0433 , A61B2017/0438 , A61B2017/044 , A61B2017/0441 , A61B2017/0445 , A61B2017/0448 , A61B2017/045 , A61B2017/0451 , A61B2017/0453 , A61B2017/0454 , A61B2017/0461 , A61B2017/0496 , A61B2017/06142 , A61B2090/0807 , B29C45/00
摘要： Various devices, systems and methods for knotless suturing of tissue are disclosed. These devices allow sutures to be anchored to bone, and more specifically provide a suture anchor which eliminates the need for knotting the suture. Thus, damaged tissue may be re-attached to a substrate tissue. The anchors have a minimum of moving parts may be suited to being a single molded polymer construction. The anchors will find particular utility in hip and shoulder arthroscopy, e.g. labral re-attachment and similar procedures.
摘要翻译： 公开了用于组织的无缝缝合的各种装置，系统和方法。 这些装置允许缝合线锚固到骨骼上，并且更具体地提供缝合锚钉，其消除了缝合缝合的需要。 因此，损伤的组织可以重新连接到基底组织。 锚固件具有最小的移动部件可以适合于单一的模制聚合物结构。 髋关节置换术将在髋关节和肩关节镜下发现特别有用。 乳头再次附着和类似手术。
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公开(公告)号：US20110166579A1
公开(公告)日：2011-07-07
申请号：US12862701
申请日：2010-08-24
申请人： Mark Deem , Michael Hendricksen , Darin Gittings , Mark Hirotsuka , Paritosh Ambekar , J. Brook Burley , William Kaiser , James Flom
发明人： Mark Deem , Michael Hendricksen , Darin Gittings , Mark Hirotsuka , Paritosh Ambekar , J. Brook Burley , William Kaiser , James Flom
IPC分类号： A61B17/56
CPC分类号： A61F2/02 , A61B17/02 , A61B17/025 , A61B17/3421 , A61B17/68 , A61B2017/00115 , A61B2017/00557 , A61B2017/00946 , A61B2017/0212 , A61B2017/0275 , A61B2017/320048 , A61B2017/3488 , A61B2090/0817 , A61F2/30 , A61F2/958 , A61F5/04 , A61M25/0045 , A61M25/0068 , A61M25/0102 , A61M25/10 , A61M25/1002 , A61M27/00 , A61M2025/0004 , A61M2025/0081 , A61M2025/0175 , A61M2025/1072 , A61M2210/02
摘要： Devices and methods are disclosed for providing access to a central compartment of a hip joint. The devices can access the central compartment by distracting all or a portion of the labrum. The labrum can be distracted by advancing a device underneath the bottom edge of the labrum, and using the device to further distract the labrum. Some devices can move underneath the labrum to provide a gap for other devices to access the central compartment.
摘要翻译： 公开了用于提供进入髋关节中央隔室的装置和方法。 这些装置可以通过分散全部或部分的唇缘进入中央隔间。 可以通过将设备放在盂唇底部下方，并使用该装置来进一步分散唇咙，来分心唇咙。 一些设备可以在唇缘下方移动，为其他设备提供访问中央隔间的空隙。
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公开(公告)号：US08974462B2
公开(公告)日：2015-03-10
申请号：US12862701
申请日：2010-08-24
申请人： Mark Deem , Michael Hendricksen , Darin Gittings , Mark Hirotsuka , Paritosh Ambekar , J. Brook Burley , William Kaiser , James Flom
发明人： Mark Deem , Michael Hendricksen , Darin Gittings , Mark Hirotsuka , Paritosh Ambekar , J. Brook Burley , William Kaiser , James Flom
IPC分类号： A61B17/58 , A61B17/60 , A61F2/00 , A61B17/02 , A61B17/34 , A61F5/04 , A61M25/10 , A61B17/00 , A61B17/32 , A61B19/00 , A61M25/00 , A61M25/01 , A61M27/00
CPC分类号： A61F2/02 , A61B17/02 , A61B17/025 , A61B17/3421 , A61B17/68 , A61B2017/00115 , A61B2017/00557 , A61B2017/00946 , A61B2017/0212 , A61B2017/0275 , A61B2017/320048 , A61B2017/3488 , A61B2090/0817 , A61F2/30 , A61F2/958 , A61F5/04 , A61M25/0045 , A61M25/0068 , A61M25/0102 , A61M25/10 , A61M25/1002 , A61M27/00 , A61M2025/0004 , A61M2025/0081 , A61M2025/0175 , A61M2025/1072 , A61M2210/02
摘要： Devices and methods are disclosed for providing access to a central compartment of a hip joint. The devices can access the central compartment by distracting all or a portion of the labrum. The labrum can be distracted by advancing a device underneath the bottom edge of the labrum, and using the device to further distract the labrum. Some devices can move underneath the labrum to provide a gap for other devices to access the central compartment.
摘要翻译： 公开了用于提供进入髋关节中央隔室的装置和方法。 这些装置可以通过分散全部或部分的唇缘进入中央隔间。 可以通过将设备放在盂唇底部下方，并使用该装置来进一步分散唇咙，来分心唇咙。 一些设备可以在唇缘下方移动，为其他设备提供访问中央隔间的空隙。
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公开(公告)号：US09421098B2
公开(公告)日：2016-08-23
申请号：US13329083
申请日：2011-12-16
IPC分类号： A61F2/24
CPC分类号： A61F2/2454 , A61F2/2418 , A61F2/243 , A61F2/2445 , A61F2/2466 , A61F2220/0016 , A61F2220/0075 , A61F2230/0008 , A61F2250/0003 , A61F2250/0004 , A61F2250/0008 , A61F2250/006
摘要： Systems for mitral valve repair are disclosed where one or more mitral valve interventional devices may be advanced intravascularly into the heart of a patient and deployed upon or along the mitral valve to stabilize the valve leaflets. The interventional device may also facilitate the placement or anchoring of a prosthetic mitral valve implant. The interventional device may generally comprise a distal set of arms pivotably and/or rotating coupled to a proximal set of arms which are also pivotably and/or rotating coupled. The distal set of arms may be advanced past the catheter opening to a subannular position (e.g., below the mitral valve) and reconfigured from a low-profile delivery configuration to a deployed securement configuration. The proximal arm members may then be deployed such that the distal and proximal arm members may grip the leaflets between the two sets of arms to stabilize the leaflets.
摘要翻译： 公开了用于二尖瓣修复的系统，其中一个或多个二尖瓣介入装置可以血管内推进到患者的心脏中并部署在二尖瓣上或沿着二尖瓣以稳定瓣膜小叶。 介入装置还可以促进假体二尖瓣植入物的放置或锚定。 介入装置通常可包括可枢转地和/或旋转地联接到也可枢转地和/或旋转耦合的近侧臂组的远侧臂组。 远侧组的臂可以通过导管开口前进到子宫位置（例如，在二尖瓣下方），并且从低轮廓递送配置重新配置到展开的固定构造。 近端臂构件然后可以被展开，使得远端和近端臂构件可以夹紧两组臂之间的传单以稳定传单。
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公开(公告)号：US08617167B2
公开(公告)日：2013-12-31
申请号：US12961213
申请日：2010-12-06
申请人： Thomas Weisel , Geoff Willis , James Flom , Hanson S. Gifford , Mark Deem , Darin Gittings , Lynette Ross , Dwayne Dupree , Matthew Frushell
发明人： Thomas Weisel , Geoff Willis , James Flom , Hanson S. Gifford , Mark Deem , Darin Gittings , Lynette Ross , Dwayne Dupree , Matthew Frushell
IPC分类号： A61F2/46
CPC分类号： A61B17/025 , A61B17/0218 , A61B17/3417 , A61B34/73 , A61B2017/00637 , A61B2017/0225 , A61B2017/0275 , A61B2017/0409 , A61B2017/0417 , A61B2017/320048 , A61B2017/3488 , A61B2018/00273 , A61B2018/00279
摘要： Devices and methods are disclosed herein for accessing the hip joint. A first device can be securely attached to the capsule of a joint. The first device can tent the capsule to increase the volume of the peripheral compartment. A second device can be biased against the first device to pierce the tented capsule and create a portal. Devices and methods are also disclosed herein for distending the capsule of a joint. A distention device may access a portal established within the capsule. The distention device can expand the capsule by applying an expansive force within the peripheral compartment. The distention device can maintain distention of the peripheral compartment while other devices access the joint.
摘要翻译： 本文公开了用于进入髋关节的装置和方法。 第一装置可以牢固地附接到关节的胶囊。 第一个装置可以掩盖胶囊以增加周边隔室的体积。 可以将第二装置偏压抵靠第一装置以刺穿帐篷式胶囊并创建入口。 本文还公开了用于膨胀接头的胶囊的装置和方法。 扩张装置可以访问胶囊内建立的门户。 膨胀装置可以通过在周边隔室内施加膨胀力来膨胀胶囊。 膨胀装置可以保持周边隔室的膨胀，而其他装置进入接头。
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公开(公告)号：US20110224742A1
公开(公告)日：2011-09-15
申请号：US12961213
申请日：2010-12-06
申请人： Thomas Weisel , Geoff Willis , James Flom , Hanson S. Gifford , Mark Deem , Darin Gittings , Lynette Ross , Dwayne Dupree , Matthew Frushell
发明人： Thomas Weisel , Geoff Willis , James Flom , Hanson S. Gifford , Mark Deem , Darin Gittings , Lynette Ross , Dwayne Dupree , Matthew Frushell
CPC分类号： A61B17/025 , A61B17/0218 , A61B17/3417 , A61B34/73 , A61B2017/00637 , A61B2017/0225 , A61B2017/0275 , A61B2017/0409 , A61B2017/0417 , A61B2017/320048 , A61B2017/3488 , A61B2018/00273 , A61B2018/00279
摘要： Devices and methods are disclosed herein for accessing the hip joint. A first device can be securely attached to the capsule of a joint. The first device can tent the capsule to increase the volume of the peripheral compartment. A second device can be biased against the first device to pierce the tented capsule and create a portal. Devices and methods are also disclosed herein for distending the capsule of a joint. A distention device may access a portal established within the capsule. The distention device can expand the capsule by applying an expansive force within the peripheral compartment. The distention device can maintain distention of the peripheral compartment while other devices access the joint.
摘要翻译： 本文公开了用于进入髋关节的装置和方法。 第一装置可以牢固地附接到关节的胶囊。 第一个装置可以掩盖胶囊以增加周边隔室的体积。 可以将第二装置偏压抵靠第一装置以刺穿帐篷式胶囊并创建入口。 本文还公开了用于膨胀接头的胶囊的装置和方法。 扩张装置可以访问胶囊内建立的门户。 膨胀装置可以通过在周边隔室内施加膨胀力来膨胀胶囊。 膨胀装置可以保持周边隔室的膨胀，而其他装置进入接头。
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8.发明申请公开(公告)号：US20140031863A1
公开(公告)日：2014-01-30
申请号：US13749038
申请日：2013-01-24
申请人： Darin C. Gittings , Mark Deem , Michael Hendricksen , Vivek Shenoy , Hanson S. Gifford, III , Stephen Boyd
发明人： Darin C. Gittings , Mark Deem , Michael Hendricksen , Vivek Shenoy , Hanson S. Gifford, III , Stephen Boyd
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0466 , A61B2017/00867 , A61B2017/0409 , A61B2017/0414 , A61B2017/0417 , A61B2017/0422 , A61B2017/0429 , A61B2017/044 , A61B2017/0446 , A61B2017/0448 , A61B2017/045 , A61B2017/0451 , A61B2017/0454 , A61B2017/0459 , A61B2017/0462 , A61B2017/0496
摘要： A knotless suture anchoring system includes an outer anchor having a central channel and a distal tip adapted to penetrate tissue. An inner anchor is positionable in the central channel of the outer anchor and a locking feature on one or both of the inner and outer anchors retains the inner anchor within the central channel. A continuous length of suture is coupled with the inner and outer suture anchors and has a free end. At least one of the inner and the outer anchors also has a cinching mechanism that allows the suture to be tensioned by passage of the suture through the cinching mechanism in a first direction while movement of the suture through the cinching mechanism in a second direction opposite the first direction is constrained.
摘要翻译： 无缝缝合线锚固系统包括具有中心通道和适于穿透组织的远侧末端的外部锚固件。 内部锚定件可定位在外部锚固件的中心通道中，并且内部和外部锚固件中的一个或两个上的锁定特征将内锚定件保持在中心通道内。 连续长度的缝合线与内缝线和外缝合锚连接并具有自由端。 内锚固件和外锚固件中的至少一个还具有收紧机构，该夹紧机构允许缝线通过缝合线在第一方向上通过收紧机构而被张紧，同时缝线通过收紧机构沿与第二方向相反的第二方向运动 第一方向受到约束
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公开(公告)号：US09179904B2
公开(公告)日：2015-11-10
申请号：US13620766
申请日：2012-09-15
申请人： David Boudreault , Vivek Shenoy , Hanson S. Gifford , Mark Deem , Michael Hendricksen , Doug Sutton
发明人： David Boudreault , Vivek Shenoy , Hanson S. Gifford , Mark Deem , Michael Hendricksen , Doug Sutton
IPC分类号： A61B17/02 , A61B17/34 , A61M25/10 , A61B1/317 , A61F5/01 , A61B17/00 , A61M25/00 , A61M25/01
CPC分类号： A61B17/025 , A61B1/317 , A61B17/02 , A61B17/0218 , A61B17/3421 , A61B2017/00115 , A61B2017/00557 , A61B2017/0212 , A61B2017/0225 , A61B2017/0275 , A61B2017/3488 , A61F5/0193 , A61M25/0068 , A61M25/008 , A61M25/0102 , A61M25/0147 , A61M25/1002 , A61M25/1027 , A61M2025/0063 , A61M2025/0081 , A61M2025/0163 , A61M2025/1068 , A61M2025/1072 , A61M2025/1081 , A61M2025/1086 , A61M2025/1088
摘要： A method of treating a patient's joint having opposing joint surfaces includes providing an elongate member having a proximal end, a distal end and an expandable member near the distal end. The expandable member is positioned in the joint between the joint surfaces and expanded so as to separate the joint surfaces away from one another into a distracted position. The joint is manipulated while in the distracted position so that the joint is distracted and in flexion. A diagnostic or therapeutic procedure is then performed on the joint while maintaining the joint in the flexed and distracted position.
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公开(公告)号：US20130231671A1
公开(公告)日：2013-09-05
申请号：US13620766
申请日：2012-09-15
申请人： David Boudreault , Vivek Shenoy , Hanson S. Gifford , Mark Deem , Michael Hendricksen , Doug Sutton
发明人： David Boudreault , Vivek Shenoy , Hanson S. Gifford , Mark Deem , Michael Hendricksen , Doug Sutton
IPC分类号： A61B17/02
CPC分类号： A61B17/025 , A61B1/317 , A61B17/02 , A61B17/0218 , A61B17/3421 , A61B2017/00115 , A61B2017/00557 , A61B2017/0212 , A61B2017/0225 , A61B2017/0275 , A61B2017/3488 , A61F5/0193 , A61M25/0068 , A61M25/008 , A61M25/0102 , A61M25/0147 , A61M25/1002 , A61M25/1027 , A61M2025/0063 , A61M2025/0081 , A61M2025/0163 , A61M2025/1068 , A61M2025/1072 , A61M2025/1081 , A61M2025/1086 , A61M2025/1088
摘要： A method of treating a patient's joint having opposing joint surfaces includes providing an elongate member having a proximal end, a distal end and an expandable member near the distal end. The expandable member is positioned in the joint between the joint surfaces and expanded so as to separate the joint surfaces away from one another into a distracted position. The joint is manipulated while in the distracted position so that the joint is distracted and in flexion. A diagnostic or therapeutic procedure is then performed on the joint while maintaining the joint in the flexed and distracted position.
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