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    BENDABLE AND REBENDABLE ENDOSCOPIC ELECTROSURGICAL DEVICE
    2.
    发明申请
    BENDABLE AND REBENDABLE ENDOSCOPIC ELECTROSURGICAL DEVICE 审中-公开
    可弯曲和可重复的内窥镜电刺激装置

    公开(公告)号：US20160367314A1

    公开(公告)日：2016-12-22

    申请号：US15252873

    申请日：2016-08-31

    申请人： Tenjin LLC

    发明人： Christopher P. DOUGHERTY ,  Robert A. VAN WYK ,  Gary R. HEISLER

    IPC分类号： A61B18/14 ,  A61B18/12 ,  A61B17/00

    CPC分类号： A61B18/1492 ,  A61B17/00234 ,  A61B18/1233 ,  A61B18/1482 ,  A61B2017/00309 ,  A61B2018/00077 ,  A61B2018/00083 ,  A61B2018/00107 ,  A61B2018/00577 ,  A61B2018/00625 ,  A61B2018/00982 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/147 ,  A61B2018/167 ,  A61B2217/005 ,  A61B2218/007

    摘要： In the context of endoscopic electrosurgery, there is a need for a sufficiently robust, rigid, and preferably aspirating electrosurgical device that may be repeatedly flexed in the field to allow access to a wide array of remote tissues using a single device and, more preferably, during a single minimally invasive procedure. The present invention addresses this significant need by providing the distal portion of the elongate tubular member of an electrosurgical device with a bend region having a non-uniform flexural strength along its length, such that one may bend the tubular member at said bend region not only to an initial small radius bend, but subsequently rebend the distal portion to other angles as needed, with all bends occurring in the same distal region. A number of different mechanisms for reducing the flexural strength in the bend region are disclosed herein, including, for example, notching the tube in the bend region, annealing the tube in the bend region, reducing the wall thickness in the bend region, utilizing a material having lower flexular and/or yield strength to form the bend region, utilizing a small diameter elongate conductive element having negligible rigidity, such as a wire, and combinations thereof.

    摘要翻译： 在内窥镜电外科手术的背景下，需要足够坚固，刚性和优选的吸引电外科装置，其可以在现场中重复弯曲，以允许使用单个装置进入宽范围的远程组织阵列，并且更优选地， 在单次微创手术中。 本发明通过提供具有沿其长度具有不均匀弯曲强度的弯曲区域的电外科装置的细长管状构件的远侧部分来解决这一显着需要，使得可以在所述弯曲区域处弯曲管状构件不仅 到初始的小半径弯曲，但随后根据需要使远端部分重新变成其他角度，所有弯曲发生在相同的远侧区域中。 本文公开了一些用于降低弯曲区域中的弯曲强度的不同机构，包括例如在弯曲区域中切割管，在弯曲区域退火管，减小弯曲区域中的壁厚，利用 具有较低的弯曲和/或屈服强度以形成弯曲区域的材料，利用具有可忽略的刚度的小直径细长导电元件，例如导线及其组合。

    DEVICES, SYSTEMS AND METHODS FOR DISC AND MENISCUS REPAIR
    3.
    发明申请
    DEVICES, SYSTEMS AND METHODS FOR DISC AND MENISCUS REPAIR 审中-公开
    装置，系统和方法用于椎间盘和肉眼修复

    公开(公告)号：US20160206300A1

    公开(公告)日：2016-07-21

    申请号：US14601789

    申请日：2015-01-21

    申请人： Tenjin LLC

    发明人： Christopher P. DOUGHERTY ,  Gary R. Heisler ,  Robert A. Van WYK

    IPC分类号： A61B17/00

    CPC分类号： A61B17/00491 ,  A61B17/8802 ,  A61B2017/003 ,  A61B2017/00495 ,  A61B2017/8838 ,  A61L24/108 ,  A61L2400/06

    摘要： Arising from the discovery that a non-immunogenic poly-synthetic bioadhesive based on polyphenolic proteins produced by sandcastle worms (Phragmatopoma californica) may be used to anneal tears of the meniscus and annulus fibroses and repair spinal disc herniations, herein disclosed are suture-less meniscal and disc repair devices, systems and methods that may be implemented least invasively, in fluid filled or dry/semi-dry environments using simple instrumentation and without the need for suturing or the placement of anchors. The present invention is less technically demanding for the practioner and thus expected enhance outcomes and represent a distinct advancement over prior art techniques presently available.

    摘要翻译： 从发现基于由沙堡虫（Phragmatopoma californica）产生的多酚蛋白质的非免疫多聚合物生物粘附剂可用于退火半月板和环状纤维的泪液并修复脊髓椎间盘突出症的发现，本文公开的是无缝合半月板 以及在流体填充或干/半干燥环境中使用简单的仪器并且不需要缝合或锚定物的放置可以最小限度地实施的椎间盘修复装置，系统和方法。 本发明在技术上对技术要求较低，因此预期会提高结果，并且与目前可获得的现有技术相比表现出明显的进步。

    ONE-HANDED AND DOUBLE ROW METHODS FOR TISSUE FIXATION
    4.
    发明申请
    ONE-HANDED AND DOUBLE ROW METHODS FOR TISSUE FIXATION 有权

    公开(公告)号：US20230085430A1

    公开(公告)日：2023-03-16

    申请号：US18057013

    申请日：2022-11-18

    申请人： Tenjin LLC

    发明人： Christopher P. DOUGHERTY ,  Gary R. Heisler ,  Robert A. Van Wyk

    IPC分类号： A61F2/08 ,  A61B17/04 ,  A61B17/00

    摘要： Described herein is a simplified placement system and method for a tissue graft anchor by which a surgeon may introduce one or more sutures into a hole in a boney tissue, apply a precise amount of tension to the sutures to advance a soft tissue graft to a desired location, and then advance the anchor into the bone, preferably while maintaining the requisite pre-determined suture tension and without introducing spin to the suture. Particularly preferred embodiments allow for the one-handed operation, namely embodiments in which relative axial movement between the inner tensioning device and outer driver device is optionally physically constrained, for example by means of cooperating and/or compressive elements disposed in the respective hub and handle portions, are described herein. Other preferred embodiments of the present invention relate to multi-anchor constructs that may employ threaded implants exclusively, push-in implants exclusively, or a combination of threaded and push-in implants.

    CERAMIC IMPLANT PLACEMENT SYSTEMS AND SUPERELASTIC SUTURE RETENTION LOOPS FOR USE THEREWITH
    5.
    发明申请
    CERAMIC IMPLANT PLACEMENT SYSTEMS AND SUPERELASTIC SUTURE RETENTION LOOPS FOR USE THEREWITH 有权
    陶瓷植入式放置系统及超滤保护套

    公开(公告)号：US20170000476A1

    公开(公告)日：2017-01-05

    申请号：US15256815

    申请日：2016-09-06

    申请人： Tenjin LLC

    发明人： Christopher P. DOUGHERTY ,  Gary R. HEISLER ,  Robert A. VAN WYK

    IPC分类号： A61B17/04 ,  A61F2/08

    CPC分类号： A61B17/0469 ,  A61B17/0401 ,  A61B17/0483 ,  A61B17/0485 ,  A61B2017/00477 ,  A61B2017/0088 ,  A61B2017/0403 ,  A61B2017/0409 ,  A61B2017/044 ,  A61B2017/0445 ,  A61B2017/0458 ,  A61B2017/0496 ,  A61B2017/06042 ,  A61B2090/034 ,  A61B2090/064 ,  A61F2/0811 ,  A61F2002/0841 ,  A61F2002/0852 ,  A61F2002/0858 ,  A61F2002/0888

    摘要： Described herein is a simplified placement system and method for a tissue graft anchor by which a surgeon may introduce one or more sutures into a hole in a boney tissue, apply a precise amount of tension to the sutures to advance a soft tissue graft to a desired location, and then advance the anchor into the bone, preferably while maintaining the requisite pre-determined suture tension and without introducing spin to the suture. Particularly preferred embodiments allow for the placement of small diameter knotless anchors. For example, the implant placement system may include a cannulated tensioning device having disposed therein an elongate member of a suitably elastic metallic or polymeric material, such as nitinol, that includes at its distal end a loop of material suitable for suture retention. The implant placement system may further include high tensile strength knotless anchors provided with internal drive features that coordinate with torque-transmitting features unique to the driver devices of the present invention.

    摘要翻译： 这里描述的是用于组织移植物锚固件的简化的放置系统和方法，外科医生可以通过该位置系统和方法将一个或多个缝合线引入到纸币组织的孔中，对缝合线施加精确量的张力以将软组织移植物推进到期望的 位置，然后将锚固进入骨骼，优选地同时保持必要的预定缝合线张力并且不引入旋转到缝合线。 特别优选的实施例允许放置小直径无缝锚定器。 例如，植入物放置系统可以包括插管张紧装置，其中设置有适当弹性的金属或聚合物材料（例如镍钛诺）的细长构件，其在其远端包括适于缝合线保持的材料环。 植入物放置系统可以进一步包括具有内部驱动特征的高抗拉强度无节缝锚，该内部驱动特征与本发明的驱动装置特有的扭矩传递特征协调。

    IMPLANT PLACEMENT SYSTEMS AND ONE-HANDED METHODS FOR TISSUE FIXATION USING SAME
    7.
    发明申请
    IMPLANT PLACEMENT SYSTEMS AND ONE-HANDED METHODS FOR TISSUE FIXATION USING SAME 审中-公开

    公开(公告)号：US20190290420A1

    公开(公告)日：2019-09-26

    申请号：US16294663

    申请日：2019-03-06

    申请人： Tenjin LLC

    发明人： Christopher P. DOUGHERTY ,  Gary R. HEISLER ,  Robert A. VAN WYK

    IPC分类号： A61F2/08 ,  A61B17/00 ,  A61B17/04

    摘要： Described herein is a simplified placement system and method for a tissue graft anchor by which a surgeon may introduce one or more sutures into a hole in a boney tissue, apply a precise amount of tension to the sutures to advance a soft tissue graft to a desired location, and then advance the anchor into the bone, preferably while maintaining the requisite pre-determined suture tension and without introducing spin to the suture. Particularly preferred embodiments allow for the one-handed operation. To that end, embodiments in which relative axial movement between the inner tensioning device and outer driver device is optionally physically constrained, for example by means of cooperating and/or compressive elements disposed in the respective hub and handle portions, are described herein.