公开(公告)号：US07530999B2

公开(公告)日：2009-05-12

申请号：US11061950

申请日：2005-02-17

申请人： Ron Clark ,  Raymond E. Olsen

发明人： Ron Clark ,  Raymond E. Olsen

IPC分类号： A61F2/08

CPC分类号： A61F2/0811 ,  A61B17/1615 ,  A61B17/1675 ,  A61B17/1714 ,  A61B17/1764 ,  A61F2/0805 ,  A61F2002/0852 ,  A61F2002/0882

摘要： A surgical method and implant for directing and securing a replacement ligament into the femur or tibia of the knee. A transverse tunnel may be formed in the femur approximately perpendicular to a femoral tunnel. A flexible strand passing through the transverse tunnel may be used to draw the replacement ligament into the femoral tunnel. The implant may then be placed into the transverse tunnel and through the replacement ligament to secure the replacement ligament in place. The implant may include an eyelet to receive the flexible strand and a tapered portion forming a shoulder to prevent the implant from being inserted too far into the transverse tunnel. The implant may also have a multi-angular configured portion to secure the implant within the transverse tunnel through an interference fit.

公开(公告)号：US06878166B2

公开(公告)日：2005-04-12

申请号：US10061094

申请日：2002-02-01

申请人： Ron Clark ,  Raymond E. Olsen

发明人： Ron Clark ,  Raymond E. Olsen

IPC分类号： A61B17/16 ,  A61B17/17 ,  A61F2/08

CPC分类号： A61F2/0811 ,  A61B17/1615 ,  A61B17/1675 ,  A61B17/1714 ,  A61B17/1764 ,  A61F2/0805 ,  A61F2002/0852 ,  A61F2002/0882 ,  Y10S606/907 ,  Y10S606/909 ,  Y10S606/91

摘要： A surgical method and implant for directing and securing a replacement ligament into the femur or tibia of the knee. A transverse tunnel may be formed in the femur approximately perpendicular to a femoral tunnel. A flexible strand passing through the transverse tunnel may be used to draw the replacement ligament into the femoral tunnel. The implant may then be placed into the transverse tunnel and through the replacement ligament to secure the replacement ligament in place. The implant may include an eyelet to receive the flexible strand and a tapered portion forming a shoulder to prevent the implant from being inserted too far into the transverse tunnel. The implant may also have a multi-angular configured portion to secure the implant within the transverse tunnel through an interference fit.

公开(公告)号：US06306138B1

公开(公告)日：2001-10-23

申请号：US09508154

申请日：2000-03-07

申请人： Ron Clark ,  Jerry L. Lower ,  Raymond E. Olsen

发明人： Ron Clark ,  Jerry L. Lower ,  Raymond E. Olsen

IPC分类号： A61F208

CPC分类号： A61F2/0805 ,  A61B17/1714 ,  A61B17/1764 ,  A61B2090/062 ,  A61F2/0811 ,  A61F2002/0841 ,  A61F2002/0852 ,  A61F2002/0882

摘要： A pin (20) and method for use are provided for securing a replacement ligament (24) inside a tunnel (10) of a receptor bone (36). A threaded section (30) of the pin (20) engages and anchors the pin (20) in the receptor bone (36). A first taper (26) opposite the threaded section (30) is configured to enter a drilled hole (14) which is transverse to the tunnel (10), capture a looped replacement ligament (24), and extend into the medial side (25) of the receptor bone (36). A second taper (28) urges the replacement ligament (24) against the wall (15) of the tunnel (10) and provides resistance when the second taper (28) contacts the medial side (25) of the bone (36), thus signaling that the pin (20) has been inserted to the proper depth. The body (21) of the pin (20) secures the looped replacement ligament (24) in the tunnel (10) and holds the replacement ligament (24) in contact with the wall (15) of the tunnel (10) to insure ingrowth.

摘要翻译： 提供销（20）和使用方法用于将置换韧带（24）固定在受体骨（36）的隧道（10）内。 销（20）的螺纹部分（30）将销钉（20）接合并固定在受体骨头（36）中。 与螺纹部分（30）相对的第一锥形部分（26）构造成进入与隧道（10）横向的钻孔（14），捕获环形置换韧带（24），并延伸到内侧（25） ）的受体骨（36）。 第二锥体（28）将替换韧带（24）推向隧道（10）的壁（15），并且当第二锥形件（28）接触骨骼（36）的内侧面（25）时提供阻力，从而 指示销（20）已被插入到适当的深度。 销（20）的主体（21）将环形替换韧带（24）固定在通道（10）中，并保持置换韧带（24）与隧道（10）的壁（15）接触以确保向内生长 。

公开(公告)号：US06780188B2

公开(公告)日：2004-08-24

申请号：US10028504

申请日：2001-10-22

申请人： Ron Clark ,  Jerry L. Lower ,  Raymond E. Olsen

发明人： Ron Clark ,  Jerry L. Lower ,  Raymond E. Olsen

IPC分类号： A61B1786

CPC分类号： A61F2/0805 ,  A61B17/1714 ,  A61B17/1764 ,  A61B2090/062 ,  A61F2/0811 ,  A61F2002/0841 ,  A61F2002/0852 ,  A61F2002/0882

摘要： A pin (20) is provided for securing a replacement ligament (24) inside a tunnel (10) of a receptor bone (36). A threaded section (30) of the pin (20) engages and anchors the pin (20) in the receptor bone (36). A first taper (26) opposite the threaded section (30) is configured to enter a drilled hole (14) which is transverse to the tunnel (10), capture a looped replacement ligament (24), and extend into the medial side (25) of the receptor bone (36). A second taper (28) urges the replacement ligament (24) against the wall (15) of the tunnel (10) and provides resistance when the second taper (28) contacts the medial side (25) of the bone (36), thus signaling that the pin (20) has been inserted to the proper depth. The body (21) of the pin (20) secures the looped replacement ligament (24) in the tunnel (10) and holds the replacement ligament (24) in contact with the wall (15) of the tunnel (10) to insure ingrowth.

摘要翻译： 提供销（20）用于将置换韧带（24）固定在受体骨（36）的隧道（10）内。 销（20）的螺纹部分（30）将销钉（20）接合并固定在受体骨头（36）中。 与螺纹部分（30）相对的第一锥形部分（26）构造成进入与隧道（10）横向的钻孔（14），捕获环形置换韧带（24），并延伸到内侧（25） ）的受体骨（36）。 第二锥体（28）将替换韧带（24）推向隧道（10）的壁（15），并且当第二锥形件（28）接触骨骼（36）的内侧面（25）时提供阻力，从而 指示销（20）已被插入到适当的深度。 销（20）的主体（21）将环形替换韧带（24）固定在通道（10）中，并保持置换韧带（24）与隧道（10）的壁（15）接触以确保向内生长 。

公开(公告)号：US07837718B2

公开(公告)日：2010-11-23

申请号：US11059869

申请日：2005-02-16

申请人： Ron Clark ,  Raymond E. Olsen

发明人： Ron Clark ,  Raymond E. Olsen

IPC分类号： A61B17/56

CPC分类号： A61F2/0811 ,  A61B17/1615 ,  A61B17/1675 ,  A61B17/1714 ,  A61B17/1764 ,  A61F2/0805 ,  A61F2002/0852 ,  A61F2002/0882 ,  Y10S606/907 ,  Y10S606/909 ,  Y10S606/91

摘要： A surgical method and implant for directing and securing a replacement ligament into the femur or tibia of the knee. A transverse tunnel may be formed in the femur approximately perpendicular to a femoral tunnel. A flexible strand passing through the transverse tunnel may be used to draw the replacement ligament into the femoral tunnel. The implant may then be placed into the transverse tunnel and through the replacement ligament to secure the replacement ligament in place. The implant may include an eyelet to receive the flexible strand and a tapered portion forming a shoulder to prevent the implant from being inserted too far into the transverse tunnel. The implant may also have a multi-angular configured portion to secure the implant within the transverse tunnel through an interference fit.

摘要翻译： 用于将替代韧带引导并固定到膝盖的股骨或胫骨中的手术方法和植入物。 横向隧道可以在大致垂直于股骨隧道的股骨中形成。 穿过横向隧道的柔性股线可用于将置换韧带拉入股骨隧道。 然后可以将植入物放置在横向隧道中并通过置换韧带，以将置换韧带固定到位。 植入物可以包括接收柔性股线的孔眼和形成肩部的锥形部分，以防止植入物插入到横向隧道中太远的位置。 植入物还可以具有多角度构造的部分，以通过过盈配合将植入物固定在横向隧道内。

公开(公告)号：US06558389B2

公开(公告)日：2003-05-06

申请号：US09846552

申请日：2001-04-30

申请人： Ron Clark ,  Raymond E. Olsen

发明人： Ron Clark ,  Raymond E. Olsen

IPC分类号： A61B1756

CPC分类号： A61F2/0805 ,  A61F2/0811 ,  A61F2002/0829 ,  A61F2002/0852 ,  A61F2002/0858 ,  A61F2002/087 ,  A61F2002/0882 ,  A61F2250/0007 ,  Y10S606/908 ,  Y10S606/91

摘要： A system for endosteal tibial ligament fixation with adjustable tensioning is disclosed. A grasping hook located on a shaft is used to draw a ligament graft into a contoured drill hole formed in a bone. A series of slanted ridges on the shaft can pass in only one direction through a securing push nut residing in the contoured drill hole, resulting in an interference fit that secures the attachment system, while allowing the tension of the ligament graft to be adjusted.

公开(公告)号：US5393302A

公开(公告)日：1995-02-28

申请号：US74542

申请日：1993-06-11

申请人： Ron Clark ,  Raymond E. Olsen ,  E. Marlowe Goble

发明人： Ron Clark ,  Raymond E. Olsen ,  E. Marlowe Goble

IPC分类号： A61B17/04 ,  A61B17/064 ,  A61B19/00 ,  A61F2/08 ,  A61F2/38

CPC分类号： A61F2/0805 ,  A61B17/0469 ,  A61B17/0642 ,  A61B2090/373 ,  A61B2090/3941 ,  A61F2/0811 ,  A61F2/38 ,  A61F2002/0852 ,  A61F2002/0882

摘要： A process that utilizes a tendon threader for positioning and endosteally mounting a tendon within the endosteum of a closed tunnel end of a straight ligament tunnel that has been formed in a patient's knee in an arthroscopic surgical procedure for replacement of a cruciate ligament. The preferred tendon threader for use in a practice of the process includes a straight tubular body, with a handle arranged on one end, and the other tube end includes a pair of aligned wide longitudinal slots formed, with tube end remainder portions adjacent to which wide longitudinal slots each having a small longitudinal slot formed therein, the small slots for receiving a tendon, or a suture sewn onto the end of a tendon, fitted therein, forming a loop across the tube end. In a practice of the process the tendon threader is inserted into the straight ligament tunnel to where the tendon or suture loop is proximate to a ligament tunnel section end. Which procedure may be observed on a fluoroscopic monitor or utilizing an arthroscope fitted in the tendon threader tubular body. Whereat, a surgeon turns a pin into the side of the patient's knee, that travels through the ligament tunnel section and through the tendon or suture loop. The tendon threader is then removed leaving the tendon or suture folded over the pin, which tendon or suture end is then pulled over the pin to where the tendon ends are positioned over one another for mounting, under tension, as by stapling, onto the bone cortex surface adjacent to the straight ligament open tunnel end, completing the ligament mounting.

摘要翻译： 一种使用腱穿线器来定位和内部地将腱固定在已经在用于替换十字韧带的关节镜外科手术中在患者膝盖中形成的直韧带隧道的封闭隧道端的内壁内的内窥镜的过程。 用于该方法的实践中使用的优选的腱穿线器包括直管状体，其一端设置有把手，另一管端包括形成的一对排列的宽纵向狭缝，其中管端部残余部分与其相邻 纵向狭槽各自具有形成在其中的小纵向槽，用于接收腱的小槽或缝合在其上的腱端部上的缝合线，跨越管端形成环。 在该过程的实践中，将腱穿线器插入到直线韧带隧道中，其中腱或缝线环接近韧带隧道截面端。 在荧光透视监视器上可以观察到哪个程序，或者利用安装在腱穿线管体中的关节镜。 Whereat，一名外科医生将一根针头转到患者膝盖的一侧，穿过韧带隧道部分并穿过肌腱或缝线环。 然后去除腱穿线器，使腱或缝合线折叠在销上，然后将该腱或缝合线端部拉过销至腱端部彼此定位的位置，以在张紧下安装，如通过缝合到骨头上 皮质表面相邻于直韧带开放通道端，完成韧带的安装。

公开(公告)号：US20090228112A1

公开(公告)日：2009-09-10

申请号：US12393682

申请日：2009-02-26

申请人： Ron Clark ,  David Blakemore ,  Ross Mack

发明人： Ron Clark ,  David Blakemore ,  Ross Mack

IPC分类号： A61F2/38

CPC分类号： A61F2/389 ,  A61F2002/30449 ,  A61F2002/3895 ,  A61F2220/005 ,  A61F2310/00353

摘要： The present invention relates to a tibial prosthesis useful in knee replacement surgeries. The prosthesis includes one or more cement introduction ports which may be used to deliver and control delivery of bone cement to a prosthesis-bone interface after the prosthesis has been positioned on a resurfaced area of a tibia bone. The prosthesis is suitable for implantation using arthroscopic as well as open surgical procedures. The prosthesis may be used as a unicondylar implant in either compartment of the knee or in both compartments of the knee.

摘要翻译： 本发明涉及一种可用于膝关节置换手术的胫骨假体。 假体包括一个或多个水泥引入口，其可以用于在假体已经被定位在胫骨骨的表面区域之后递送和控制骨水泥递送到假体 - 骨界面。 该假体适用于使用关节镜以及开放性外科手术进行植入。 假体可以用作膝盖的任一隔室或膝盖的两个隔室中的单髁植入物。

公开(公告)号：US20050137708A1

公开(公告)日：2005-06-23

申请号：US11020398

申请日：2004-12-22

申请人： Ron Clark

发明人： Ron Clark

IPC分类号： A61B17/00 ,  A61B17/06 ,  A61B17/86 ,  A61F2/00 ,  A61F2/30 ,  A61F2/38 ,  A61F2/46

CPC分类号： A61F2/38 ,  A61B17/00234 ,  A61B17/06166 ,  A61B17/86 ,  A61B17/8805 ,  A61F2/3859 ,  A61F2/389 ,  A61F2002/30133 ,  A61F2002/30387 ,  A61F2002/30604 ,  A61F2002/30787 ,  A61F2002/30794 ,  A61F2002/30975 ,  A61F2002/3895 ,  A61F2002/4631 ,  A61F2002/4635 ,  A61F2220/0025 ,  A61F2230/0015 ,  A61F2310/00011

摘要： A knee joint resurfacing implant is disclosed. The knee joint resurfacing implant may include femoral implant and tibial implant components. The femoral implant components may be attached to the femur using screws or other fixation devices. The femoral implant component may be configured to share loads between cortical and cancellous bone material. The tibial implant components are formed in modular portions which may be assembled within the knee joint and may be free-floating or fixed to the tibial surface. The implant components are of such a size and configuration that the components may be placed into the knee joint through an external skin incisions that measure 3 cm or less. Accordingly, the size of skin incisions required for implantation may be reduced when compared to incisions which are now commonly used.

摘要翻译： 公开了一种膝关节重塑植入物。 膝关节重建植入物可以包括股骨植入物和胫骨植入物组件。 股骨植入物部件可以使用螺钉或其它固定装置附接到股骨。 股骨植入物部件可以被配置成在皮质和松质骨材料之间共享负载。 胫骨植入物部件形成为可以组装在膝关节内的模块化部分，并且可自由浮动或固定到胫骨表面。 植入物组件具有这样的尺寸和构造，即组件可以通过测量3cm或更小的外部皮肤切口放置在膝关节中。 因此，与现在常用的切口相比，植入所需的皮肤切口的尺寸可以减小。

公开(公告)号：US20050070906A1

公开(公告)日：2005-03-31

申请号：US10873765

申请日：2004-06-21

申请人： Ron Clark ,  Raymond Olsen

发明人： Ron Clark ,  Raymond Olsen

IPC分类号： A61F2/08 ,  A61B17/56

CPC分类号： A61F2/0805 ,  A61F2/0811 ,  A61F2002/0829 ,  A61F2002/0852 ,  A61F2002/0858 ,  A61F2002/087 ,  A61F2002/0882

摘要： A system for endosteal tibial ligament fixation with adjustable tensioning is disclosed. A grasping hook located on a shaft is used to draw a ligament graft into a contoured drill hole formed in a bone. A series of slanted ridges on the shaft can pass in only one direction through a securing push nut residing in the contoured drill hole, resulting in an interference fit that secures the attachment system, while allowing the tension of the ligament graft to be adjusted.

摘要翻译： 公开了一种具有可调节张紧的胫骨内固定固定系统。 使用位于轴上的抓钩将韧带移植物拉成形成在骨中的轮廓钻孔中。 轴上的一系列斜脊可以通过位于成型钻孔中的固定推力螺母沿一个方向穿过，导致固定附接系统的过盈配合，同时允许调节韧带移植物的张力。