公开(公告)号：US07507231B2

公开(公告)日：2009-03-24

申请号：US11019200

申请日：2004-12-23

申请人： Reinhold Schmieding ,  Randall L. Hacker

发明人： Reinhold Schmieding ,  Randall L. Hacker

IPC分类号： A61B17/00

CPC分类号： A61B17/1626 ,  A61B17/32002 ,  A61B2017/00199 ,  A61B2017/00367 ,  A61B2017/00977

摘要： A powered surgical system includes a power console with locking speed control capabilities. The surgical power console delivers power to two separate surgical instruments, particularly surgical handpieces used in orthopedic procedures. The user/console interface includes footswitches, handpiece mounted switches, and front panel controls. The console provides controls for speed and direction of the handpiece, as well as the ability to switch directions on a variable time basis. Advantageously, the console provides a “cruise control” capability which locks in the speed of a particular handpiece. Once the cruise control option is selected, the surgeon can engage the cruise control function simply by using a “gas pedal” footswitch. Once a desired handpiece speed is established, the surgeon's foot can be removed from the footswitch, allowing the surgeon greater comfort, greater range of motion, and improved access to the operational situs. Disengagement of cruise control is achieved easily by actuating any of the foot control or front panel switches, for example.

摘要翻译： 动力手术系统包括具有锁定速度控制功能的功率控制台。 手术功率控制台为两个独立的外科手术器械提供动力，特别是矫形手术中使用的手术器械。 用户/控制台界面包括脚踏开关，手机安装开关和前面板控制。 控制台为手机的速度和方向提供控制，以及可变时间切换方向的功能。 有利地，控制台提供锁定特定手机的速度的“巡航控制”功能。 一旦选择了巡航控制选项，外科医生就可以通过使用“加速踏板”脚踏开关来进行巡航控制功能。 一旦建立了所需的手机速度，就可以从脚踏开关去除外科医生的脚，从而允许外科医生更大的舒适性，更大的运动范围以及改善对操作部位的使用。 例如，通过启动任何脚踏控制或前面板开关来轻松实现巡航控制的分离。

公开(公告)号：US08328716B2

公开(公告)日：2012-12-11

申请号：US10443893

申请日：2003-05-23

申请人： Reinhold Schmieding ,  Randall L. Hacker

发明人： Reinhold Schmieding ,  Randall L. Hacker

IPC分类号： A61B1/32

CPC分类号： A61B17/0281 ,  A61B17/02 ,  A61B17/3421 ,  A61B2017/0268 ,  A61B2017/347 ,  A61B2017/349

摘要： A retracting two-piece cannula for distracting soft tissue from bone (e.g., the articular surface of a knee) to provide a surgical workspace for osteochondral repair. After inserting an outer cannula provided with a threaded outer surface into an incision (preferably widened by one or more dilators), the outer cannula is rotated to engage the threaded outer surface with the soft tissue to be distracted. An inner cannula is then inserted into the outer cannula and advanced until it contacts the articular surface. Further relative movement between the inner and outer cannulas causes the outer cannula to be drawn away from the articular surface, thereby retracting the soft tissue and establishing the workspace. The inner and outer cannula are then locked together to maintain the workspace, and an osteochondral core may be introduced through the inner cannula.

摘要翻译： 一种用于从骨骼（例如，膝关节的关节表面）分散注意力的软组织的缩回两件式套管，以提供用于骨软骨修复的手术工作空间。 在将具有螺纹外表面的外套管插入切口中（优选地由一个或多个扩张器加宽）之后，外套管旋转以使带螺纹的外表面与软组织接合以分散注意力。 然后将内插管插入外插管并前进直到其接触关节表面。 内套管和外套管之间的进一步相对运动导致外套管从关节表面拉开，从而缩回软组织并建立工作空间。 然后将内套管和外套管锁定在一起以保持工作空间，并且可以通过内套管引入软骨软骨芯。

公开(公告)号：US07591820B2

公开(公告)日：2009-09-22

申请号：US10637536

申请日：2003-08-11

申请人： Reinhold Schmieding ,  Randall L. Hacker ,  Timothy R. Hoover

发明人： Reinhold Schmieding ,  Randall L. Hacker ,  Timothy R. Hoover

IPC分类号： A61B17/00

CPC分类号： A61B17/1675 ,  A61B17/1635 ,  A61B2017/564

摘要： A retrograde osteochondral autograft transfer system that ensures that grafted healthy bone is implanted into the recipient site in a retrograde manner as opposed to a conventional anterior manner, so that the grafted healthy bone is flush with the bone surface of the recipient size. The retrograde osteochondral autograft transfer system of the present invention employs two identically-sized harvesters which are aligned with each other for transfer and reversal of a harvested osteochondral core, such that the core can be introduced into the recipient site through a tunnel leading to the recipient site, with an articular surface of the core advanced in a leading position.

摘要翻译： 逆行骨软骨自体移植系统，其确保将移植的健康骨以与传统的前方式相反的逆行方式植入受体部位，使得移植的健康骨与受体大小的骨表面齐平。 本发明的逆行骨软骨自体移植系统使用两个相同大小的收割机，它们彼此对准以便收集的骨软骨核心的转移和逆转，使得核心可以通过通向受体的隧道引入受体部位 现场，关节面的核心先进，处于领先地位。

公开(公告)号：US20120265298A1

公开(公告)日：2012-10-18

申请号：US13532203

申请日：2012-06-25

申请人： Reinhold Schmieding ,  Craig D. Morgan ,  David N. Caborn

发明人： Reinhold Schmieding ,  Craig D. Morgan ,  David N. Caborn

IPC分类号： A61F2/08

CPC分类号： A61F2/08 ,  A61F2/0811 ,  A61F2002/0882

摘要： A method and construct for joint repair in which attachment of a double bundle graft ligament approximates anatomic orientation using interference fixation in a single bone tunnel. The double bundle graft features separable strands. A threaded screw is inserted between the separable strands and provides interference fixation of the graft against radially opposing walls defining the bone tunnel. Attachment of the graft using separated strands more closely approximate the configuration of the native ligament. The resulting reconstruction exhibits mechanical functionality that more accurately mimics that of the intact joint, with a minimum of associated tissue morbidity.

摘要翻译： 用于关节修复的方法和构造，其中双束移植韧带的附着在单个骨隧道中使用干涉固定近似于解剖学取向​​。 双束移植物具有可分离的链。 螺纹螺钉插入在可分离的股线之间并且提供移植物抵抗限定骨隧道的径向相对的壁的干涉固定。 使用分离的链附着移植物更接近天然韧带的构型。 所得到的重建显示机械功能，其更准确地模拟完整关节的功能，具有最小的相关组织发病率。

公开(公告)号：US20120165868A1

公开(公告)日：2012-06-28

申请号：US13412163

申请日：2012-03-05

申请人： Stephen S. Burkhart ,  Peter J. Dreyfuss ,  John A. Sodeika ,  Reinhold Schmieding

发明人： Stephen S. Burkhart ,  Peter J. Dreyfuss ,  John A. Sodeika ,  Reinhold Schmieding

IPC分类号： A61B17/04

CPC分类号： A61B17/0401 ,  A61B2017/00893 ,  A61B2017/0408 ,  A61B2017/0409 ,  A61B2017/0412 ,  A61B2017/0438 ,  A61B2017/044 ,  A61B2017/045 ,  A61B2017/8655

摘要： A fenestrated suture anchor for fixation of tissue to bone. In a preferred embodiment, the suture includes an implant, such a swivel implant with a forked tip for capturing suture. The implant is secured in a hole in bone by advancing a fixation device, such as a cannulated interference screw, to engage and fully seat the implant. The cannulated fixation device is provided with a plurality of openings or fenestrations of various dimensions and geometries to provide multiple pathways through the anchor (i.e., though the interior of the body and through the fenestrations) to allow blood to flow to increase the healing zone, for example, for rotator cuff repair, while also promoting bone in-growth.

摘要翻译： 用于将组织固定到骨头的开窗缝合锚。 在优选实施例中，缝合线包括植入物，这种旋转植入物具有用于捕获缝线的叉形尖端。 植入物通过使固定装置（例如插管的干涉螺钉）前进而固定在骨中的孔中以接合和完全固定植入物。 插管式固定装置设置有多个不同尺寸和几何形状的开口或开窗，以提供穿过锚固件的多个通道（即，通过身体的内部并通过开窗），以允许血液流动以增加愈合区域， 例如，用于肩袖修复，同时也促进骨生长。

公开(公告)号：US20120158433A1

公开(公告)日：2012-06-21

申请号：US13329872

申请日：2011-12-19

申请人： Reinhold Schmieding ,  Bryan T. Hanypsiak ,  Ashley Willobee ,  James H. Lubowitz ,  Daniel C. Beard ,  Uwe Kronewiter ,  Amy S. Roller

发明人： Reinhold Schmieding ,  Bryan T. Hanypsiak ,  Ashley Willobee ,  James H. Lubowitz ,  Daniel C. Beard ,  Uwe Kronewiter ,  Amy S. Roller

IPC分类号： G06Q50/24

CPC分类号： G06Q50/24 ,  G06Q10/10

摘要： An internet-based patient health outcome data collection system, and a system for accessing information from the collected database. The system includes a web-based patient and doctor interface that allows both a patient and doctor to separately input data into the data collection database. The web-based patient interface allows a patient to input data such as responses to questions regarding levels of pain, function, satisfaction, quality of life, activities of daily living, unexpected results, and questions, pre- and post-procedure. The doctor interface also includes an analysis tool that allows the doctor to analyze the data from a specific patient, a group of patients, or all the patients, with specific characteristics as chosen by the doctor. The doctor interface also allows the doctor to compare an individual patient against a group of the doctor's patients, all patients in the study that meet criteria chosen by the doctor, or global data.

摘要翻译： 基于互联网的患者健康结果数据收集系统，以及从收集的数据库中访问信息的系统。 该系统包括基于网络的患者和医生界面，其允许患者和医生分别将数据输入数据收集数据库。 基于网络的患者界面允许患者输入诸如对于关于疼痛水平，功能，满意度，生活质量，日常生活活动，意想不到的结果和问题，手术前和手术后的问题的回答的数据。 医生界面还包括一​​个分析工具，允许医生分析来自特定患者，一组患者或所有患者的数据，具有由医生选择的具体特征。 医生接口还允许医生将患者与一组医生的患者进行比较，所有研究中符合医生选择的标准的患者或全球数据。

公开(公告)号：US20120150225A1

公开(公告)日：2012-06-14

申请号：US13403366

申请日：2012-02-23

申请人： Stephen S. Burkhart ,  Peter J. Dreyfuss ,  John A. Sodeika ,  Reinhold Schmieding

发明人： Stephen S. Burkhart ,  Peter J. Dreyfuss ,  John A. Sodeika ,  Reinhold Schmieding

IPC分类号： A61B17/04

CPC分类号： A61B17/0401 ,  A61B2017/0409 ,  A61B2017/0414 ,  A61B2017/0438 ,  A61B2017/044 ,  A61B2017/0445 ,  A61B2017/0458 ,  A61B2017/0459 ,  A61F2/0805 ,  A61F2/0811 ,  A61F2002/0817 ,  A61F2002/0841 ,  A61F2002/0852 ,  A61F2002/0858 ,  A61F2002/0888

摘要： A method and device for knotless fixation of tissue. A swivel anchor having a rotatable implant is used to capture suture for surgical tissue repair without requiring suture knots. The implant may be provided with a conical metal tip which is self-punching and avoids the need for pre-drilling a hole in bone. The implant includes a closed aperture to allow free sliding of a suture strand. The swivel anchor is secured in a hole in bone by advancing a fenestrated fixation device, such as a cannulated interference screw, over the body of the implant.

摘要翻译： 用于无缝固定组织的方法和装置。 具有可旋转植入物的旋转锚具用于捕获用于外科组织修复的缝线，而不需要缝线结。 植入物可以设置有自冲孔的锥形金属末端，并且避免了在骨中预钻孔的需要。 植入物包括一个封闭的孔，以允许缝合线自由滑动。 将旋转锚固件固定在骨中的孔中，将经过开孔的固定装置（例如插管的干涉螺钉）推入植入物的主体上。

公开(公告)号：US20120004687A1

公开(公告)日：2012-01-05

申请号：US12963102

申请日：2010-12-08

申请人： Reinhold Schmieding ,  R. Donald Grafton ,  Mark Brunsvold

发明人： Reinhold Schmieding ,  R. Donald Grafton ,  Mark Brunsvold

IPC分类号： A61B17/04

CPC分类号： A61B17/0401 ,  A61B2017/00004 ,  A61B2017/0409 ,  A61B2017/0414 ,  A61B2017/044 ,  Y10S606/916

摘要： A suture anchor has a continuous thread spiraling around a tapering central core. At the distal end, the suture anchor terminates in a rounded point. At the proximal end of the suture anchor is an eye for receiving suture. The suture anchor has a large thread surface per turn of thread. Anti-backout ridges can be formed on the front and/or back faces of the threads. A driver for the suture anchor is provided, the driver including a shaft having a central axis, a length, a distal end, and a proximal end. The shaft is provided at its distal end with an opening aligned with the central axis of the shaft, for receiving the hexagonal proximal end of the suture anchor. One or more sutures threaded through the suture eye are threaded through the hollow tubular shaft. The suture is pulled into and captured by V-shaped notches on the proximal end of the handle to hold the suture anchor in place on the distal end of the driver under the tension of the captured sutures.

摘要翻译： 缝合锚具有围绕逐渐变细的中心芯螺旋的连续螺纹。 在远端，缝线锚终止于圆角。 在缝合锚的近端是接收缝线的眼睛。 缝合锚具每一圈螺纹具有大的螺纹表面。 可以在螺纹的前表面和/或后表面上形成抗回退脊。 提供了一种用于缝合锚固件的驱动器，该驱动器包括具有中心轴线，长度，远端和近端的轴。 轴在其远端处设置有与轴的中心轴线对准的开口，用于接收缝合线锚的六边形近端。 穿过缝合线的一根或多根缝合线穿过中空管状轴。 将缝合线拉入手柄的近端处的V形凹口并被捕获，以在所捕获的缝合线的张力下将缝线锚固件保持在驾驶员的远端上的适当位置。

公开(公告)号：US07819917B2

公开(公告)日：2010-10-26

申请号：US12021203

申请日：2008-01-28

申请人： Reinhold Schmieding ,  Craig D. Morgan ,  David N. Caborn

发明人： Reinhold Schmieding ,  Craig D. Morgan ,  David N. Caborn

IPC分类号： A61F2/08

CPC分类号： A61F2/08 ,  A61F2/0811 ,  A61F2002/0882

摘要： A method and construct for joint repair in which attachment of a double bundle graft ligament approximates anatomic orientation using interference fixation in a single bone tunnel. The double bundle graft features separable strands. A threaded screw is inserted between the separable strands and provides interference fixation of the graft against radially opposing walls defining the bone tunnel. Attachment of the graft using separated strands more closely approximate the configuration of the native ligament. The resulting reconstruction exhibits mechanical functionality that more accurately mimics that of the intact joint, with a minimum of associated tissue morbidity.

摘要翻译： 用于关节修复的方法和构造，其中双束移植韧带的附着在单个骨隧道中使用干涉固定近似于解剖学取向​​。 双束移植物具有可分离的链。 螺纹螺钉插入在可分离的股线之间并且提供移植物抵抗限定骨隧道的径向相对的壁的干涉固定。 使用分离的链附着移植物更接近天然韧带的构型。 所得到的重建显示机械功能，其更准确地模拟完整关节的功能，具有最小的相关组织发病率。

公开(公告)号：US20090248592A1

公开(公告)日：2009-10-01

申请号：US12476906

申请日：2009-06-02

申请人： Reinhold Schmieding

发明人： Reinhold Schmieding

IPC分类号： G06Q90/00 ,  A61B17/00

CPC分类号： G06Q30/02 ,  A61F2002/2835 ,  A61F2002/2839 ,  G06Q50/22 ,  G06Q50/24 ,  G06Q99/00

摘要： A method for selling a product and all phases of service and support to a customer for optimal use of the product includes customizing a product for a surgical allograft procedure to be performed and providing the customized product and services as an integrated turnkey package to a medical provider. The products include bone and soft tissue allografts for all types of orthopedic reconstructive procedures and a loan of the associated instrumentation. The service portion of the package includes training support on use of the instruments, training of operating room personnel, technical and customer support both before the performance of the procedure and on-site support. After completion of the surgical procedure, the service provider arranges for the return of the loaned instrumentation.

摘要翻译： 销售产品的方法以及为客户提供最佳使用的所有阶段的服务和支持的方法包括定制要执行的手术同种异体移植程序的产品，并将定制的产品和服务作为整合的交钥匙包提供给医疗提供者 。 产品包括用于所有类型骨科重建手术的骨和软组织同种异体移植物以及相关仪器的贷款。 该软件包的服务部分包括在执行程序和现场支持之前对仪器使用的培训支持，手术室人员的培训，技术和客户支持。 在手术完成后，服务提供者安排借用的仪器的退回。