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    Process for endosteal ligament mounting
    1.
    发明授权
    Process for endosteal ligament mounting 失效
    内固定韧带的安装过程

    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。

    KNEE INSTRUMENTS AND METHODS
    2.
    发明申请
    KNEE INSTRUMENTS AND METHODS 审中-公开

    公开(公告)号：US20190350601A1

    公开(公告)日：2019-11-21

    申请号：US16530929

    申请日：2019-08-02

    申请人： E. Marlowe Goble

    发明人： E. Marlowe Goble ,  Carlyle J. Creger ,  Daniel J. Triplett

    IPC分类号： A61B17/17 ,  A61B17/15 ,  A61B90/00

    摘要： Knee arthroplasty instrument systems directly reference and align with the anterior distal femoral cortex and the mechanical axis of the leg. The anterior femoral resection is aligned in the same plane as the anterior distal femoral cortex. The center of the femoral head, the medial/lateral center of the distal femur, the medial/lateral center of the proximal tibia, and the second toe, medial/lateral center of the ankle, or anterior tibial spine are all aligned to the mechanical axis of the leg. Methods of using a cut guide assembly and referencing a provisional proximal tibial resection at the base of the tibial eminence are disclosed.

    KNEE INSTRUMENTS AND METHODS
    3.
    发明申请
    KNEE INSTRUMENTS AND METHODS 审中-公开

    公开(公告)号：US20190274696A1

    公开(公告)日：2019-09-12

    申请号：US16287976

    申请日：2019-02-27

    申请人： E. Marlowe Goble ,  Daniel J. Triplett

    发明人： E. Marlowe Goble ,  Daniel J. Triplett

    IPC分类号： A61B17/17 ,  A61F2/46 ,  A61B17/15 ,  A61B17/16

    摘要： An adjustable femoral pin guide assembly includes a base and a femoral extension rod assembly. The base may be rotated to align with the femoral shaft axis while the femoral extension rod assembly aligns with the leg mechanical axis. An adjustable distal femoral cut guide assembly may be adjusted to provide a range of varus/valgus angles for the distal femoral resection. An adjustable, single-use, disposable four-in-one cut guide may be adjusted to position saw slots for the anterior and posterior femoral resections and the anterior and posterior chamfer cuts for various size femoral components, then locked. A foot holder assembly includes an anterior tibial target that may be adjusted in three dimensions relative to the tibia. A femoral sizing guide includes a sliding drill guide to position a pin in the distal femur in a specific orientation relative to the leg mechanical axis.

    Ergonomic surgical instrument handle
    5.
    发明授权
    Ergonomic surgical instrument handle 有权
    人体工程学手术器械手柄

    公开(公告)号：US08683896B2

    公开(公告)日：2014-04-01

    申请号：US13041846

    申请日：2011-03-07

    申请人： Daniel E. Gerbec ,  Joseph Q. Marietta ,  Brandon T. Walker ,  E. Marlowe Goble

    发明人： Daniel E. Gerbec ,  Joseph Q. Marietta ,  Brandon T. Walker ,  E. Marlowe Goble

    IPC分类号： B25G1/01

    CPC分类号： A61B17/00

    摘要： Instrument handles isolate the functions of supporting the instrument and actuating controls on the instrument. An instrument handle may be grasped and supported by the less dexterous digits and palm of a human hand, and controls mounted on the instrument handle may be actuated by the more dexterous digits. The instrument handle may couple to an end effector so that the hand, wrist, elbow, and shoulder remain in a comfortable position when the end effector is positioned to act effectively on a selected portion of a workpiece, such as a surgical site.

    摘要翻译： 仪器手柄隔离支持仪器和启动仪器控制的功能。 仪器手柄可以由人手的较少灵巧的数字和手掌掌握和支撑，并且安装在乐器手柄上的控制可以由更灵巧的数字来启动。 仪器手柄可以联接到末端执行器，使得当端部执行器被定位成有效地作用在诸如外科手术部位的工件的选定部分上时，手，腕，肘部和肩部保持在舒适的位置。

    Integrated infusion and aspiration system and method
    10.
    发明授权
    Integrated infusion and aspiration system and method 失效
    一体化输液和吸气系统及方法

    公开(公告)号：US07163521B2

    公开(公告)日：2007-01-16

    申请号：US10896515

    申请日：2004-07-22

    申请人： E. Marlowe Goble ,  Mark E. Howard ,  Jeffrey T. Mason ,  T. Wade Fallin

    发明人： E. Marlowe Goble ,  Mark E. Howard ,  Jeffrey T. Mason ,  T. Wade Fallin

    IPC分类号： A61M1/00

    CPC分类号： A61M1/0023 ,  A61M1/0037 ,  A61M1/0058 ,  A61M25/0021 ,  A61M25/007 ,  A61M27/00 ,  A61M2025/0004 ,  A61M2025/0037 ,  A61M2025/0039 ,  A61M2025/018

    摘要： An integrated infusion and aspiration system includes a flow control system and a catheter assembly. The catheter assembly includes an infusion catheter and an aspiration catheter, each having ports located at the distal end of thereof. The distal ends of the catheters are separated so that the aspiration catheter ports can be positioned on an opposing side of a surgical wound site from the infusion catheter ports. Methods of operation of the integrated infusion and aspiration system provide for uninterrupted aspiration with concurrent controlled delivery of an infusion solution such that the infusion solution is substantially evenly dispersed of over the wound site.

    摘要翻译： 集成输液和抽吸系统包括流量控制系统和导管组件。 导管组件包括输注导管和抽吸导管，每个具有位于其远端的端口。 导管的远端被分离，使得吸引导管端口可以位于外科伤口部位与输注导管端口相对的一侧。 一体化输注和抽吸系统的操作方法提供不间断的抽吸，同时控制输送输液，使得输注溶液基本均匀地分散在伤口部位上方。