公开(公告)号：US20180235595A1

公开(公告)日：2018-08-23

申请号：US15897254

申请日：2018-02-15

申请人： Biomet Sports Medicine, LLC

发明人： Christopher M. Palese ,  Daniel R. Norton

IPC分类号： A61B17/04

CPC分类号： A61B17/0401 ,  A61B2017/00367 ,  A61B2017/0409 ,  A61B2017/0414 ,  A61B2017/0427 ,  A61B2017/0437 ,  A61B2017/0448 ,  A61B2017/045 ,  A61B2017/0451 ,  A61B2017/0456 ,  A61B2090/037

摘要： A suture anchor and methods of use thereof are disclosed. The suture anchor comprises an anchor body having a slot formed in the body and a passage extending through the body in a first direction. The passage is sized to permit a suture to traverse the body through the passage. The suture anchor also has a shaft with a sharp portion, and the slot and the passage intersect within the anchor body. The shaft is movable relative to the anchor body within the slot from a first position in which the sharp portion and the passage do not intersect, to a second position in which the sharp portion and the passage intersect. The shaft can penetrate a suture or multiple suture strands to fix the suture or suture strands relative to the suture anchor.

公开(公告)号：US10045871B2

公开(公告)日：2018-08-14

申请号：US15349127

申请日：2016-11-11

申请人： USGI Medical, Inc.

发明人： Vahid Saadat ,  Richard C. Ewers ,  Cang C. Lam ,  Robert A. Vaughan ,  Chris Rothe ,  Kenneth H. Michlitsch

IPC分类号： A61B17/06 ,  A61F5/00 ,  A61B17/08 ,  A61B17/10 ,  A61B17/04 ,  A61B17/12 ,  A61B17/128 ,  A61B17/064 ,  A61B17/29 ,  A61B17/00 ,  A61B17/34

CPC分类号： A61F5/0086 ,  A61B17/0401 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0483 ,  A61B17/0487 ,  A61B17/06 ,  A61B17/06066 ,  A61B17/064 ,  A61B17/08 ,  A61B17/10 ,  A61B17/12013 ,  A61B17/1285 ,  A61B17/29 ,  A61B2017/00867 ,  A61B2017/0404 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0445 ,  A61B2017/0446 ,  A61B2017/045 ,  A61B2017/0451 ,  A61B2017/0454 ,  A61B2017/0456 ,  A61B2017/0458 ,  A61B2017/0459 ,  A61B2017/0461 ,  A61B2017/0462 ,  A61B2017/0464 ,  A61B2017/0475 ,  A61B2017/0488 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2017/081 ,  A61B2017/3488

摘要： Apparatus for manipulating and securing tissue are described herein. In creating tissue folds within the body of a patient, a tissue manipulation assembly may generally have an elongate tubular member, an engagement member slidably disposed through the tubular member and a distal end adapted to engage tissue via a helical member, tissue stabilizing members positioned at the tubular member distal end which are adapted to stabilize tissue therebetween, and a delivery tube pivotable about the tissue stabilizer. The stabilizing members can be adapted to become angled relative to a longitudinal axis of the elongate tubular member. Moreover, one or all the articulation controls and functions can be integrated into a singular handle assembly connectable to the tissue manipulation assembly via a rigid or flexible tubular body.

公开(公告)号：US09763770B2

公开(公告)日：2017-09-19

申请号：US14979460

申请日：2015-12-27

申请人： Refine, LLC

发明人： Michael J. Lee ,  Randall Lashinski ,  Gordon Bishop ,  Anthony Beatty ,  Jasper Benke ,  Alexe Calarasu ,  Jeremy Kinkade ,  Sean Saint ,  Heather Hardy

IPC分类号： A61F2/12 ,  A61B17/04 ,  A61B17/06 ,  A61B17/34 ,  A61B17/00 ,  A61B17/32 ,  A61F2/00 ,  A61B90/00

CPC分类号： A61F2/12 ,  A61B17/0401 ,  A61B17/0487 ,  A61B17/06066 ,  A61B17/06166 ,  A61B17/3468 ,  A61B2017/00349 ,  A61B2017/00557 ,  A61B2017/00792 ,  A61B2017/00796 ,  A61B2017/00867 ,  A61B2017/0409 ,  A61B2017/0414 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/042 ,  A61B2017/0427 ,  A61B2017/0437 ,  A61B2017/045 ,  A61B2017/0456 ,  A61B2017/0464 ,  A61B2017/06042 ,  A61B2017/06076 ,  A61B2017/06176 ,  A61B2017/0618 ,  A61B2017/06185 ,  A61B2017/320044 ,  A61B2090/036 ,  A61B2090/3908 ,  A61F2/0059

摘要： Described are methods and apparatus for use in supporting tissue in a patient's body. In some embodiments, the patient's breast or another tissue is supported. One method involves introducing a superior soft tissue anchor into a patient, the anchor having an inferiorly facing total surface area; and introducing at least one inferior soft tissue anchor into the patient, such that the at least one inferior soft tissue anchor is suspended from the superior soft tissue anchor, the sum of all of the at least one inferior soft tissue anchors having a superiorly facing total surface area. The inferiorly facing total surface area of the superior anchor can be greater, such as at least two times greater than the superiorly facing total surface area of the at least one inferior anchor.

公开(公告)号：US20170231622A1

公开(公告)日：2017-08-17

申请号：US15584444

申请日：2017-05-02

申请人： ArthroCare Corporation

发明人： George W. White ,  David Gregoire ,  David Aldridge ,  Edward E. Dolendo ,  Emil Karapetian ,  Norman S. Gordon ,  Tri Nguyen

IPC分类号： A61B17/04 ,  A61B17/00 ,  A61B17/88

CPC分类号： A61B17/0485 ,  A61B17/00234 ,  A61B17/04 ,  A61B17/0401 ,  A61B17/0482 ,  A61B17/06166 ,  A61B17/8869 ,  A61B2017/00296 ,  A61B2017/0053 ,  A61B2017/0409 ,  A61B2017/042 ,  A61B2017/0456 ,  A61B2017/0464 ,  A61B2017/0496

摘要： In repairing soft tissue with a bone anchoring instrument (such as reattaching a tendon of a torn rotator cuff), the bone anchoring instrument may be used to anchor the soft tissue to a region of bone. The anchors inserted into the underlying bone may have one or more lengths of suture or wire attached thereto which may be tensioned independently of one another to affix the soft tissue to the bone by having a selector mechanism selectively engage and disengage ratcheted tensioning wheels from one another. Suture loading mechanisms may be employed for passing suture lengths into and/or through the anchors prior to deployment into the bone where such mechanisms may employ suture snares which are configured to reconfigure from an expanded shape through which suture lengths may be easily passed to a low-profile shape which secures the suture lengths within the snare.

公开(公告)号：US20170189010A1

公开(公告)日：2017-07-06

申请号：US15468372

申请日：2017-03-24

申请人： CONMED CORPORATION

发明人： Malcolm Heaven ,  John P. Greelis

IPC分类号： A61B17/04 ,  A61F2/08

CPC分类号： A61B17/0401 ,  A61B2017/0409 ,  A61B2017/0432 ,  A61B2017/0438 ,  A61B2017/0445 ,  A61B2017/0456 ,  A61F2/0811 ,  A61F2002/0823

摘要： A bone anchor, including: a bone engaging member including: a first proximal bone engaging portion and a second distal bone engaging portion; and an expansion feature configured to allow radial expansion of the first bone engaging portion and the second bone engaging portion; an expander having a first proximal expansion portion and a second distal expansion portion and displaceable between a first position relative to the bone engaging member and a second position relative to the bone engaging member; a tissue capture feature; and wherein the first expansion portion of the expander is configured to expand the first bone engaging portion of the bone engaging member and the second expansion portion of the expander is configured to expand the second bone engaging portion of the bone engaging member when the expander is in the second position.

公开(公告)号：US09539001B2

公开(公告)日：2017-01-10

申请号：US14266577

申请日：2014-04-30

申请人： Tornier, Inc.

发明人： Gary S. Fanton ,  John Krumme

IPC分类号： A61B17/04 ,  A61B17/062

CPC分类号： A61B17/0401 ,  A61B17/0483 ,  A61B17/0487 ,  A61B17/062 ,  A61B2017/0409 ,  A61B2017/0412 ,  A61B2017/0427 ,  A61B2017/0437 ,  A61B2017/0445 ,  A61B2017/045 ,  A61B2017/0451 ,  A61B2017/0453 ,  A61B2017/0456 ,  A61B2017/0458 ,  A61B2017/0459

摘要： Systems, apparatuses and methods for securing tissue to bone using a bone anchoring system are described. Methods and apparatuses may allow transformation between locked and unlocked states, thereby allowing adjustment of the tension in the suture. The apparatus and/or methods may allow unidirectional movement of a suture, while preventing slippage or movement of the suture and tissue in the opposite direction. Ends of a suture may be individually tensioned to adjust positioning of a tissue with respect to a bone.

摘要翻译： 描述了使用骨锚固系统将组织固定到骨骼的系统，设备和方法。 方法和装置可以允许在锁定状态和解锁状态之间进行变换，从而允许调节缝合线中的张力。 该装置和/或方法可以允许缝合线的单向移动，同时防止缝合线和组织沿相反方向滑动或移动。 缝合线的端部可以单独张紧以调节组织相对于骨骼的定位。

公开(公告)号：US09510817B2

公开(公告)日：2016-12-06

申请号：US13491273

申请日：2012-06-07

申请人： Vahid Saadat ,  Richard C. Ewers ,  Cang C. Laduca ,  Robert A. Vaughan ,  Chris Rothe ,  Kenneth J. Michlitsch

发明人： Vahid Saadat ,  Richard C. Ewers ,  Cang C. Laduca ,  Robert A. Vaughan ,  Chris Rothe ,  Kenneth J. Michlitsch

IPC分类号： A61B17/04 ,  A61B17/08 ,  A61B17/10 ,  A61B17/06 ,  A61B17/064 ,  A61B17/29 ,  A61B17/00 ,  A61B17/34

CPC分类号： A61F5/0086 ,  A61B17/0401 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0483 ,  A61B17/0487 ,  A61B17/06 ,  A61B17/06066 ,  A61B17/064 ,  A61B17/08 ,  A61B17/10 ,  A61B17/12013 ,  A61B17/1285 ,  A61B17/29 ,  A61B2017/00867 ,  A61B2017/0404 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0445 ,  A61B2017/0446 ,  A61B2017/045 ,  A61B2017/0451 ,  A61B2017/0454 ,  A61B2017/0456 ,  A61B2017/0458 ,  A61B2017/0459 ,  A61B2017/0461 ,  A61B2017/0462 ,  A61B2017/0464 ,  A61B2017/0475 ,  A61B2017/0488 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2017/081 ,  A61B2017/3488

摘要： Apparatus for manipulating and securing tissue are described herein. In creating tissue folds within the body of a patient, a tissue manipulation assembly may generally have an elongate tubular member, an engagement member slidably dispose through the tubular member and a distal end adapted to engage tissue via a helical member, tissue stabilizing members positioned at the tubular member distal end which are adapted to stabilize tissue therebetween, and a delivery tube pivotable about the tissue stabilizer. The stabilizing members can be adapted to become angled relative to longitudinal axis of the elongate tubular member. Moreover, one or all the articulation controls and functions can be integrated into a singular handle assembly connectable to the tissue manipulation assembly via a rigid or flexible tubular body.

摘要翻译： 本文描述了用于操纵和固定组织的装置。 在组织折叠在患者身体内部时，组织操作组件通常可以具有细长的管状构件，可滑动地配置穿过管状构件的接合构件和适于经由螺旋构件接合组织的远端，组织稳定构件 所述管状构件远端适于在其间稳定组织，以及可围绕所述组织稳定器枢转的输送管。 稳定构件可以适于相对于细长管状构件的纵向轴线成角度。 此外，一个或所有关节运动控制和功能可以集成到通过刚性或柔性管状体连接到组织操作组件的单个手柄组件中。

公开(公告)号：US20160331367A1

公开(公告)日：2016-11-17

申请号：US15219983

申请日：2016-07-26

申请人： USGI MEDICAL, INC.

发明人： Vahid Saadat ,  Marvin C. Elmer

IPC分类号： A61B17/04

CPC分类号： A61B17/0401 ,  A61B17/0469 ,  A61B17/0487 ,  A61B17/06066 ,  A61B17/064 ,  A61B17/08 ,  A61B17/10 ,  A61B17/29 ,  A61B2017/00349 ,  A61B2017/00818 ,  A61B2017/00867 ,  A61B2017/0404 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0441 ,  A61B2017/0445 ,  A61B2017/0446 ,  A61B2017/045 ,  A61B2017/0451 ,  A61B2017/0454 ,  A61B2017/0456 ,  A61B2017/0458 ,  A61B2017/0459 ,  A61B2017/0461 ,  A61B2017/0462 ,  A61B2017/0464 ,  A61B2017/0475 ,  A61B2017/0488 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2017/081 ,  A61B2017/3488

摘要： Apparatus and methods for positioning and securing anchors are disclosed herein. The anchors are adapted to be delivered and implanted into or upon tissue, particularly tissue within the gastrointestinal system of a patient. The anchor is adapted to slide uni-directionally over suture such that a tissue plication may be cinched between anchors. A locking mechanism, either within the anchor itself or positioned proximally of the anchor, may allow for the uni-directional translation of the anchor while enabling the anchor to be locked onto the suture if the anchor is pulled, pushed, or otherwise urged in the opposite direction along the suture. This uni-directional anchor locking mechanism facilitates cinching of the tissue plication between the anchors, and it may be utilized in one or several anchors in cinching a tissue fold.

摘要翻译： 本文公开了用于定位和固定锚固件的装置和方法。 锚固件适于被递送并植入到组织中，特别是患者胃肠系统内的组织中。 锚固件适于在缝合线上单向滑动，使得组织褶皱可以在锚固件之间束紧。 在锚固件本身内或定位在近端处的锁定机构可以允许锚固件的单向平移，同时使锚固件被锁定在缝合线上，如果锚被拉动，推动或​​以其他方式被推入 沿缝合方向相反。 这种单向锚定锁定机构有助于锚定器之间的组织褶皱的收缩，并且可以在一个或多个锚定器中用于收紧组织褶皱。

公开(公告)号：US20160302785A1

公开(公告)日：2016-10-20

申请号：US15046414

申请日：2016-02-17

申请人： Cayenne Medical, Inc.

发明人： Kevin S. Nason ,  Jordan A. Hoof

IPC分类号： A61B17/04

CPC分类号： A61B17/0401 ,  A61B17/0485 ,  A61B2017/0409 ,  A61B2017/0412 ,  A61B2017/0414 ,  A61B2017/0427 ,  A61B2017/044 ,  A61B2017/0453 ,  A61B2017/0456 ,  A61B2017/0496 ,  A61B2090/037

摘要： A method for securing suture to bone comprises drilling a hole in a desired portion of bone at a desired procedural site, passing a strand of suture through a portion of soft tissue to be approximated to the portion of bone, and extending the free suture ends proximally from the soft tissue. The suture is loaded into an anchor implant. Using an inserter, on a distal end of which is attached the anchor implant, the anchor implant is manipulated into the bone hole. The suture is then tensioned to a desired level by pulling on the free suture ends, after the anchor implant is positioned in the bone hole. The free suture ends are wrapped about a suture cleat on an inserter handle once the desired tension level is achieved. A proximal anchor component is moved distally to engage with a distal anchor component to lock the anchor in place within the bone hole, and to lock the suture in place within the anchor. Then, the inserter is removed from the procedural site.

公开(公告)号：US20160278761A1

公开(公告)日：2016-09-29

申请号：US15143502

申请日：2016-04-29

申请人： Medos International Sarl

发明人： Mehmet Ziya Sengun ,  Howard Tang ,  David B. Spenciner ,  Gregory R. Whittaker ,  Gerome Miller ,  Joseph Hernandez ,  Robert Stefani

IPC分类号： A61B17/04

CPC分类号： A61B17/0401 ,  A61B17/0482 ,  A61B17/0485 ,  A61B17/06166 ,  A61B2017/0414 ,  A61B2017/044 ,  A61B2017/0445 ,  A61B2017/0448 ,  A61B2017/0456 ,  A61B2017/0458 ,  A61B2017/0464 ,  A61B2017/0475 ,  A61B2017/06185 ,  A61B2090/0807

摘要： A surgical filament snare assembly including an anchor capable of being fixated in bone and having a filament engagement feature. A first filament has a noose with first and second noose limbs connected, preferably slidably connected, to the filament engagement feature of the anchor. The first and second noose limbs emerge from the anchor as first and second free filament limbs which are capable of being passed through tissue to be repaired and then passable through the noose. The noose, such as one or more half-hitches, is capable of receiving the free filament limbs and strangulating them when tension is applied to at least one of the free filament limbs and the noose to enable incremental tensioning of the tissue after the anchor is fixated. Preferably, the snare assembly further includes a flexible sleeve joining at least some portion of the first and second free filament limbs to facilitate passing of the free filament limbs at least through the tissue as a single unit.

摘要翻译： 一种手术细丝圈套组件，其包括能够固定在骨中并且具有细丝接合特征的锚固件。 第一细丝具有连接第一和第二连杆的绞索，优选地可滑动地连接到锚的细丝接合特征。 第一和第二索引杆从锚固件中出现，作为第一和第二自由长丝四肢，其能够通过待修复的组织然后通过绞索。 诸如一个或多个半连接的绞索能够接受自由的长丝四肢并且当张力施加到至少一个自由丝状四肢和绞索上时使其扼杀它们，以便在锚定器之后能够增加张紧组织 固定 优选地，圈套组件还包括连接第一和第二自由细丝四肢的至少一部分的柔性套筒，以便于自由丝状肢体至少通过组织作为单个单元。