公开(公告)号：US06629997B2

公开(公告)日：2003-10-07

申请号：US09818811

申请日：2001-03-27

申请人： Kevin A. Mansmann

发明人： Kevin A. Mansmann

IPC分类号： A61F208

CPC分类号： A61F2/3872 ,  A61F2/30767 ,  A61F2/30965 ,  A61F2/3804 ,  A61F2/40 ,  A61F2/4202 ,  A61F2/4225 ,  A61F2/4241 ,  A61F2/4261 ,  A61F2002/30009 ,  A61F2002/30014 ,  A61F2002/30016 ,  A61F2002/30034 ,  A61F2002/30062 ,  A61F2002/30069 ,  A61F2002/30131 ,  A61F2002/30563 ,  A61F2210/0004 ,  A61F2230/0013 ,  A61F2250/0018 ,  A61F2250/0019 ,  A61F2250/0028 ,  A61F2250/0031 ,  A61F2310/00796

摘要： A device for surgical implantation to replace damaged tissue in a joint (such as a meniscus in a knee) is created from a hydrogel that is reinforced by a three-dimensional flexible fibrous mesh. In a meniscal implant, the mesh is exposed at one or more locations around the periphery, to provide anchoring attachments that can be sutured, pinned, or otherwise securely affixed to tissue that surrounds the implant. The fibrous mesh should extend throughout most of the thickness of the hydrogel, to create an “interpenetrating network” (IPN) of fibers modelled after certain types of natural body tissues. Articulating surfaces which will rub and slide against cartilage should be coated with a hydrogel layer that is completely smooth and nonabrasive, and made of a material that remains constantly wet. This composite structure provides a meniscal implant with improved strength, performance, and wettability compared to implants of the prior art. This type of implant may also be useful in repairing other joints, such as shoulders, wrists, ankles, or elbows, and in repairing injured or diseased hands, fingers, feet, or toes.

摘要翻译： 用于替换关节（例如膝盖中的弯液面）中受损组织的手术植入装置由从三维柔性纤维网增强的水凝胶产生。 在半月板植入物中，网状物在围绕周边的一个或多个位置处暴露，以提供可被缝合，固定或以其他方式牢固地固定在围绕植入物的组织的锚定附件。 纤维网应延伸到水凝胶的大部分厚度，以产生在某些类型的天然身体组织之后建模的纤维的“互穿网络”（IPN）。 将摩擦和滑动抵靠软骨的铰接表面应涂覆完全光滑和无磨损的水凝胶层，并由保持不断润湿的材料制成。 与现有技术的植入物相比，该复合结构提供了具有改善的强度，性能和润湿性的半月板植入物。 这种类型的植入物也可用于修复其他关节，例如肩膀，手腕，脚踝或肘部，以及修复受伤或患病的手，手指，脚或脚趾。

公开(公告)号：US06620195B2

公开(公告)日：2003-09-16

申请号：US09837594

申请日：2001-04-18

申请人： E. Marlowe Goble ,  T. Wade Fallin ,  Kenneth J. Gardner

发明人： E. Marlowe Goble ,  T. Wade Fallin ,  Kenneth J. Gardner

IPC分类号： A61F208

CPC分类号： A61B17/1714 ,  A61B17/1764 ,  A61B17/864 ,  A61B17/8645 ,  A61F2/0805 ,  A61F2/0811 ,  A61F2002/0829 ,  A61F2002/0858 ,  A61F2002/0882 ,  Y10S606/908 ,  Y10S606/916

摘要： A novel fixation system for fixing a graft ligament in a bone tunnel. The fixation system comprises an interference screw comprising a body having a distal end and a proximal end, screw threads extending longitudinally along the body, and a transversely-extending region formed in the body for receiving a transverse pin therein, whereby to securely lock the interference screw, and hence the graft ligament, to the bone. In accordance with a further feature of the present invention, there is provided a method for attaching a graft ligament to a bone, the method comprising the steps of: (i) drilling a tunnel in the bone; (ii) positioning the graft ligament in the bone tunnel; (iii) placing an interference screw in the bone tunnel so as to force the graft ligament laterally against the opposite side of the bone tunnel; and (iv) advancing a transverse pin transversely through the bone and through the interference screw so as to securely lock the interference screw, and hence the graft ligament, to the bone. The present invention can also be applied to attach other objects to bone, e.g., a bone fragment to bone.

公开(公告)号：US06585769B1

公开(公告)日：2003-07-01

申请号：US09543288

申请日：2000-04-05

申请人： Nabil L. Muhanna ,  Lance Middleton

发明人： Nabil L. Muhanna ,  Lance Middleton

IPC分类号： A61F208

CPC分类号： A61B17/7059 ,  A61B17/86 ,  A61F2/08 ,  A61F2/0811 ,  A61F2/44 ,  A61F2/442 ,  A61F2/4455 ,  A61F2002/0829 ,  A61F2002/087 ,  A61F2002/0888 ,  A61F2002/3013 ,  A61F2230/001

摘要： A simple and flexible artificial ligament which easily conforms to a patient's anatomy and can be used independently or in combination with an intervertebral graft, implant or prosthesis to return stability to the spine subsequent to a surgical spinal procedure is disclosed. In one preferred embodiment, the artificial ligament is in the form of a flexible conformable plate dimensioned to span adjacent vertebrae and having openings for reception of bone screws, fasteners, etc. to mount the plate to the vertebrae. The biomechanical supporting characteristics of the plate approximate the characteristics of the ligament (e.g., anterior spinal) which it replaces thereby providing appropriate support to the spine in extension which also permitting normal spine mobility. A method of supporting adjacent vertebrae with the artificial ligament is also disclosed.

摘要翻译： 公开了一种简单而灵活的人造韧带，其易于符合患者的解剖结构，并且可以独立使用或与脊椎移植物，植入物或假体组合使用以在脊柱手术后恢复脊柱的稳定性。 在一个优选实施例中，人造韧带是柔性适形板的形式，其尺寸适于跨越相邻的椎骨并且具有用于接收骨螺钉，紧固件等以将板安装到椎骨的开口。 板的生物力学支持特性近似于其替代的韧带（例如，前脊柱）的特征，从而为延伸中的脊柱提供适当的支撑，这也允许正常的脊柱移动。 还公开了一种用人造韧带支撑相邻椎骨的方法。

公开(公告)号：US06517579B1

公开(公告)日：2003-02-11

申请号：US09655703

申请日：2000-09-06

申请人： Lonnie E. Paulos ,  Benjamin J. Ellis

发明人： Lonnie E. Paulos ,  Benjamin J. Ellis

IPC分类号： A61F208

CPC分类号： A61F2/0811 ,  A61F2002/0835 ,  A61F2002/0858 ,  A61F2002/0882

摘要： An anchoring apparatus and method of use are disclosed that secure a tendon or ligament within an interior opening of a bone structure is disclosed. The apparatus comprises a securing device, a retention device, and an anchoring device. The securing device has an elongated body with an outer surface and an inner surface wherein the tendon or ligament fits between the interior of the open bone structure and the outer surface of the securing device. The retention device has an elongated body and a retention head, wherein the retention device securely fits within the interior surface of the securing device. The anchoring or holding device connects to the retention head of the retention device and extends outside the interior opening of the bone structure to engage the outer surface of the bone structure to hold the retention device and securing device in a fixed position inside the bone structure.

摘要翻译： 公开了一种锚固装置和使用方法，其将骨骼结构的内部开口内的腱或韧带固定。 该装置包括固定装置，保持装置和锚定装置。 固定装置具有细长体，其具有外表面和内表面，其中腱或韧带配合在开放骨结构的内部和固定装置的外表面之间。 保持装置具有细长主体和保持头，其中保持装置牢固地配合在固定装置的内表面内。 锚定或保持装置连接到保持装置的保持头部并且延伸到骨结构的内部开口的外侧，以接合骨结构的外表面，以将保持装置和固定装置保持在骨结构内的固定位置。

公开(公告)号：US06497726B1

公开(公告)日：2002-12-24

申请号：US09481319

申请日：2000-01-11

申请人： Kevin C. Carter ,  Michael Esch ,  Paul LaRochelle

发明人： Kevin C. Carter ,  Michael Esch ,  Paul LaRochelle

IPC分类号： A61F208

CPC分类号： A61F2/0811 ,  A61B17/1635 ,  A61B17/1637 ,  A61B17/1675 ,  A61B2217/007 ,  A61F2/08 ,  A61F2002/0858 ,  A61F2002/087 ,  A61F2002/0882 ,  A61F2002/2839 ,  A61F2002/4649 ,  A61F2230/0069 ,  A61F2310/00359

摘要： Disclosed herein is an improved Bone Tendon Bone graft for use in orthopedic surgical procedures. Specifically exemplified herein is a Bone Tendon Bone graft comprising one or more bone blocks having a groove cut into the surface therefor, wherein said groove is sufficient to accommodate fixation screw. Also disclosed is a method of harvesting grafts that has improved efficiency and increases the quantity of extracted tissue and minimizes time required by surgeon for implantation.

摘要翻译： 本文公开了一种用于矫形外科手术的改进的骨腱骨移植物。 具体举例说明的是一种骨腱骨移植物，其包含一个或多个骨块，所述骨块具有切入其表面的凹槽，其中所述凹槽足以容纳固定螺钉。 还公开了一种收获移植物的方法，其具有提高的效率并增加提取的组织的量并且最小化外科医生用于植入所需的时间。

公开(公告)号：US06443964B1

公开(公告)日：2002-09-03

申请号：US09463318

申请日：2000-01-24

申请人： François Régis Ory ,  Michel Therin ,  Alfredo Meneghin

发明人： François Régis Ory ,  Michel Therin ,  Alfredo Meneghin

IPC分类号： A61F208

CPC分类号： D04B21/12 ,  A61F2/0063 ,  A61F2002/0068 ,  D10B2403/0213 ,  D10B2509/08

摘要： An integral fabric made of at least one thread and having a thickness making apparent two opposite porous surfaces, the fabric having a honeycomb-like structure comprising transverse channels along the thickness of the fabric which are close and parallel to one another and emerging into an opening on either porous surface.

摘要翻译： 由至少一根螺纹制成并且具有形成明显的两个相对的多孔表面的厚度的整体织物，该织物具有蜂窝状结构，该蜂窝状结构包括沿着织物厚度的横向通道，该横向通道彼此紧密并平行并且形成开口 在多孔表面上。

公开(公告)号：US06235057B1

公开(公告)日：2001-05-22

申请号：US08801240

申请日：1997-02-19

申请人： Gregory James Roger ,  Leo Arieh Pinczewski

发明人： Gregory James Roger ,  Leo Arieh Pinczewski

IPC分类号： A61F208

CPC分类号： A61B17/1675 ,  A61B17/1604 ,  A61B17/1615 ,  A61F2/0811 ,  A61F2002/0858 ,  A61F2002/087 ,  A61F2002/0882 ,  A61F2002/0888 ,  Y10S606/916

摘要： A method for the reconstruction of the anterior cruciate ligament of a patient is described. The process comprises the steps of: 1) harvesting from the patient semitendonosus and gracilis tendons, or other suitable tendons of adequate length, to form a tendon graft; 2) forming a hole through the patient's femur from the intercondylar notch therein anteriorly and laterally; 3) enlarging the cross-sectional area of that femoral hole adjacent the notch sufficiently to receive one end of the tendon graft and a suitable screw; 4) forming a suitably positioned hole through the patient's tibia opening at one end adjacent the medial tibial spine and having a cross-sectional area sufficient to receive the other end of the tendon graft and a suitable screw; 5) drawing the one end of the tendon graft through the tibial hole and the joint into the femoral hole while leaving the other end of the tendon graft in the tibial hole; 6) inserting a suitable screw into the femoral hole from its intercondylar notch end until the head of the screw is just within that end of the hole and the screw is pressing the tendon graft directly and firmly against a sidewall of the femoral hole; and 7) after tensioning the tendon graft, inserting a suitable screw into the hole in the tibia externally until the head of the screw is within the exterior end of the tibial hole and the screw is pressing the tendon graft directly and firmly against a sidewall of the tibial hole.

摘要翻译： 描述了用于重建患者的前十字韧带的方法。 该方法包括以下步骤：1）从患者颈部和小腿肌腱或足够长度的其他合适的腱中收获以形成腱移植物; 2）在前后横向从髁间隙中穿过患者股骨形成孔; 3）扩大与缺口相邻的股骨孔的横截面面积足以接收腱移植物的一端和合适的螺钉; 4）通过患者的胫骨开口在邻近胫骨内侧的一端形成适当定位的孔，以及 具有足以容纳腱移植物的另一端的横截面积和合适的螺钉; 5）将腱移植物的一端通过胫骨孔和关节拉入股骨孔，同时留下腱的另一端 移植在胫骨孔中; 6）从其髁间隙端部将合适的螺钉插入股骨孔，直到螺钉的头部刚好在孔的端部内，并且螺钉为 将腱移植物直接且牢固地靠在股骨孔的侧壁上; 和7）在张紧肌腱移植物之后，将合适的螺钉插入到胫骨外部的孔中，直到螺钉的头部在胫骨孔的外端内，并且螺钉将腱移植物直接且牢固地压靠在胫骨的侧壁上 胫骨孔。

公开(公告)号：US06190411B1

公开(公告)日：2001-02-20

申请号：US09155677

申请日：1999-01-29

申请人： Kokbing Lo

发明人： Kokbing Lo

IPC分类号： A61F208

CPC分类号： A61F2/0811 ,  A61F2002/0829 ,  A61F2002/0864 ,  A61F2002/087 ,  A61F2002/0882

摘要： Disclosed is a fixing element for connecting a ligament to a bone part of a human or animal. The fixing element includes a hollow, substantially cylindrical element fixable in a continuous opening in the bone part, and an engaging element for the ligament anchorable in the cylindrical element at least at two mutually differing axial positions.

摘要翻译： 公开了一种用于将韧带连接到人或动物的骨骼部分的固定元件。 固定元件包括可固定在骨部分中的连续开口中的中空的基本圆柱形元件，以及用于至少在两个相互不同的轴向位置处可固定在圆柱形元件中的韧带的接合元件。

公开(公告)号：US06187053B1

公开(公告)日：2001-02-13

申请号：US08970804

申请日：1997-11-14

申请人： Will Minuth

发明人： Will Minuth

IPC分类号： A61F208

CPC分类号： A61L27/3847 ,  A61B17/80 ,  A61F2/30756 ,  A61F2/30767 ,  A61F2/3094 ,  A61F2002/2835 ,  A61F2002/30448 ,  A61F2002/30948 ,  A61F2002/3611 ,  A61F2220/005 ,  A61L27/3616 ,  A61L27/3895 ,  Y10S623/901

摘要： In a process for producing a natural implant for tissue of a human or animal body, the body's own cells are multiplied and/or differentiated on a cell base using a culture medium to form the implant.

摘要翻译： 在用于生产人或动物体的组织的天然植入物的方法中，使用培养基将身体自身的细胞在细胞基底上倍增和/或分化以形成植入物。

公开(公告)号：US06830588B2

公开(公告)日：2004-12-14

申请号：US09866448

申请日：2001-05-25

申请人： Akihisa Furukawa ,  Toshiyuki Tagaki ,  Hidetoshi Matsuki ,  Yun Luo ,  Junko Hayashi ,  Tomoyuki Yambe ,  Takamichi Kamiyama ,  Shintaro Amae ,  Motoshi Wada

发明人： Akihisa Furukawa ,  Toshiyuki Tagaki ,  Hidetoshi Matsuki ,  Yun Luo ,  Junko Hayashi ,  Tomoyuki Yambe ,  Takamichi Kamiyama ,  Shintaro Amae ,  Motoshi Wada

IPC分类号： A61F208

CPC分类号： A61F2/0036 ,  A61F2210/0033

摘要： With an object of providing an artificial sphincter for which repeated shape changes are possible, and for which the quantity of shape change is sufficient so as to be used as a substitute for a large natural sphincter, an artificial sphincter 11 that opens and closes, as required, either the anus of a living body or part of the intestine 19 led outside the body is provided, wherein this artificial sphincter 11 comprises a pair of shape memory alloy elements 13 that change reversibly between two opposite shapes upon changes in temperature and hinges 15 that link the shape memory alloy elements 1 together in a cylindrical shape.

摘要翻译： 为了提供可以重复形状变化的人造括约肌的目的，并且其形状变化量足以使其用作大的天然括约肌的替代物，打开和关闭的人造括约肌11作为 需要提供一种生物体的肛门或引导到体外的肠的一部分19，其中该人造括约肌11包括一对形状记忆合金元件13，其在温度变化和铰链15上在两个相反形状之间可逆地改变 将形状记忆合金元件1连接成圆柱形。