公开(公告)号：WO2004082725A3

公开(公告)日：2007-05-18

申请号：PCT/US2004008669

申请日：2004-03-18

Applicant: DEPUY MITEK INC ,  WEISEL THOMAS ,  PADGET MARTY

Inventor： WEISEL THOMAS ,  PADGET MARTY

IPC: A61B17/04 ,  A61B17/06 ,  A61L20060101

CPC classification number: A61B17/0469 ,  A61B17/06004 ,  A61B17/06109 ,  A61B2017/06009 ,  A61B2017/06042 ,  A61B2017/292 ,  A61B2017/2924

Abstract: A surgical suturing device having an axis extending between a proximal end and a distal end is operable to move a suture through body tissue. A handle assembly is coupled to an elongated shaft having a hollow configuration. An actuating rod is disposed to extend between the handle assembly and the shaft. A needle assembly at the distal end of the actuating rod is movable with the actuating rod between an extended state and a retracted state. Bifurcated portions of the needle assembly define a suture slot, the bifurcated portions have a proximate relationship when the needle assembly is in the retracted state and having a separated relationship when the needle assembly is in the extended state. The needle assembly is biased to the retracted state and the bifurcated portions are biased to the separated relationship. A handle assembly is operable to move the needle assembly between a free suture state and a captured suture state. In an associated method of use, the needle is bifurcated to form at least one pair of arms to finding a suture slot.

Abstract translation: 具有在近端和远端之间延伸的轴线的手术缝合装置可操作以通过身体组织移动缝合线。 手柄组件联接到具有中空构型的细长轴。 致动杆设置成在手柄组件和轴之间延伸。 在致动杆的远端处的针组件可以通过致动杆在延伸状态和缩回状态之间移动。 针组件的分叉部分限定了缝线槽，当针组件处于缩回状态时，分叉部分具有邻近关系，并且当针组件处于伸展状态时具有分离的关系。 针组件被偏压到缩回状态，并且分叉部分被偏压到分离的关系。 手柄组件可操作以在自由缝合状态和捕获的缝合线状态之间移动针组件。 在相关联的使用方法中，针被分叉以形成至少一对臂以找到缝合缝。

公开(公告)号：WO2006037131A3

公开(公告)日：2006-04-06

申请号：PCT/US2005/035515

申请日：2005-09-28

Applicant: SURGICAL SOLUTIONS LLC ,  WEISEL, Thomas ,  PADGET, Marty ,  SKINLO, David ,  BANNERMAN, Brett

Inventor： WEISEL, Thomas ,  PADGET, Marty ,  SKINLO, David ,  BANNERMAN, Brett

IPC: A61B17/04

Abstract: A suture anchor (e.g. 100) for knotlessly securing nearby tissue to bone is formed from an anchor body (e.g. 101/102) that includes a mechanism for being securely anchored to the bone, an elongated suture puller (e.g. 122) extending through the anchor body with a proximal end for being pulled in a proximal direction by a surgeon and a distal end (e.g. 125) with a suitable mechanism for engaging suture (e.g. 127), suture (e.g. 132) carried by the engaging mechanism (e.g. 127) at the distal end (e.g. 125) of the elongated suture puller (e.g. 122), and a suture locking mechanism (e.g. 110) that substantially prevents the suture (e.g. 122) from moving in at least a first direction after being pulled into and through the anchor body (e.g. 101/102) by the elongated suture puller (e.g. 122).

公开(公告)号：WO2004078221A3

公开(公告)日：2005-04-14

申请号：PCT/US2004006129

申请日：2004-03-01

Applicant: TRIAGE MEDICAL INC ,  CULBERT BRAD S ,  PADGET MARTY

Inventor： CULBERT BRAD S ,  PADGET MARTY

IPC: A61B17/00 ,  A61B17/56 ,  A61B17/74 ,  A61B17/86 ,  A61B17/88 ,  A61L20060101

CPC classification number: A61B17/8875 ,  A61B17/8685 ,  A61B17/869 ,  A61B17/88 ,  A61B17/8863 ,  A61B17/8869 ,  A61B17/8872 ,  A61B17/8883 ,  A61B17/8891 ,  A61B2017/00734

Abstract: Deployment systems (220) for deploying a bone fixation device are disclosed herein. One embodiment of a deployment system (220) includes a syringe-shaped body (222) configured to provide proximal traction to a bone fixation device in response to a compressive force between a finger grip (230) and a plunger (228) adapted to be engaged by the heel of a clinician's hand. The device (220) may include a collet (250) for gripping a proximal pin of a fixation device. The deployment device (220) may also include a tool (260) that includes an elongate body with a distal tip (266) adapted to rotationally engage a bone fixation device in order to axially rotate the fixation device.

Abstract translation: 本文公开了用于部署骨固定装置的部署系统（220）。 部署系统（220）的一个实施例包括注射器状体（222），其被配置为响应于手指握持器（230）和适于被安装的柱塞（228）之间的压缩力而向骨固定装置提供近侧牵引 由临床医生的手脚跟进。 装置（220）可以包括用于夹持固定装置的近端销的夹头（250）。 展开装置（220）还可以包括工具（260），其包括具有适于旋转地接合骨固定装置的远侧末端（266）的细长主体，以便轴向地旋转固定装置。

公开(公告)号：WO2004078220A3

公开(公告)日：2004-12-23

申请号：PCT/US2004006125

申请日：2004-03-01

Applicant: TRIAGE MEDICAL INC ,  CULBERT BRAD S ,  PADGET MARTY

Inventor： CULBERT BRAD S ,  PADGET MARTY

IPC: A61B17/00 ,  A61B17/56 ,  A61B17/68 ,  A61B17/72 ,  A61B17/86 ,  A61B17/88 ,  A61F5/00 ,  A61L20060101

CPC classification number: A61B17/683 ,  A61B17/7266 ,  A61B17/7291 ,  A61B17/8685 ,  A61B17/8872 ,  A61B17/8897 ,  A61B2017/00004

Abstract: A tool (200) for inserting a bone fixation device (32) is provided. The tool (200) generally includes an elongate outer body (210) and an elongate inner body (250), each having a proximal end (212), a distal end (214), and a longitudinal axis. The tool (200) typically includes a pin-receiving portion (304) at the distal end (214) of the outer body (210) for receiving a proximal pin (26) of a bone fixation device (32). The tool (200) may further include first and second levers (230) pivotally mounted to the inner body (250) at respective pivot axes (236), and each of the levers (230) having a gripping portion (234). The levers (230) preferably include finger engagement portions, wire-gripping portions (232), and are preferably configured to be axially movable relative to the outer body (210). The levers (230) are generally configured such that a proximal force on the finger engagement portions (232) relative to the outer body (210) will cause the gripping portions (234) to close and to move proximally such that a guidewire (150) of a bone fixation device placed between the wire-gripping portions (234) may be gripped and pulled proximally.

Abstract translation: 提供了一种用于插入骨固定装置（32）的工具（200）。 工具（200）通常包括细长的外体（210）和细长的内体（250），每个具有近端（212），远端（214）和纵向轴线。 工具（200）通常包括在外体（210）的远端（214）处的用于容纳骨固定装置（32）的近侧销（26）的销接收部分（304）。 工具（200）还可以包括在相应的枢轴（236）处枢转地安装到内主体（250）的第一和第二杠杆（230），并且每个杠杆（230）具有抓握部分（234）。 杆（230）优选地包括手指接合部分，线夹持部分（232），并且优选地构造成相对于外主体（210）可轴向移动。 杠杆（230）通常构造成使得相对于外主体（210）的手指接合部分（232）上的近侧力将导致抓握部分（234）闭合并向近侧移动，使得导丝（150） 放置在线夹持部分（234）之间的骨固定装置可以被夹紧并向近侧拉。

公开(公告)号：WO2006037131A2

公开(公告)日：2006-04-06

申请号：PCT/US2005035515

申请日：2005-09-28

Applicant: SURGICAL SOLUTIONS LLC ,  WEISEL THOMAS ,  PADGET MARTY ,  SKINLO DAVID ,  BANNERMAN BRETT

Inventor： WEISEL THOMAS ,  PADGET MARTY ,  SKINLO DAVID ,  BANNERMAN BRETT

IPC: A61B17/04

CPC classification number: A61B17/0485 ,  A61B17/0401 ,  A61B17/0487 ,  A61B17/0642 ,  A61B2017/044 ,  A61B2017/0448 ,  A61B2017/0451 ,  A61B2017/0456 ,  A61B2017/0458 ,  A61B2017/0496

Abstract: A suture anchor (e.g. 100) for knotlessly securing nearby tissue to bone is formed from an anchor body (e.g. 101/102) that includes a mechanism for being securely anchored to the bone, an elongated suture puller (e.g. 122) extending through the anchor body with a proximal end for being pulled in a proximal direction by a surgeon and a distal end (e.g. 125) with a suitable mechanism for engaging suture (e.g. 127), suture (e.g. 132) carried by the engaging mechanism (e.g. 127) at the distal end (e.g. 125) of the elongated suture puller (e.g. 122), and a suture locking mechanism (e.g. 110) that substantially prevents the suture (e.g. 122) from moving in at least a first direction after being pulled into and through the anchor body (e.g. 101/102) by the elongated suture puller (e.g. 122).

Abstract translation: 锚固体（例如，101/102）由锚固体（例如101/102）形成，用于将附近的组织无缝地固定到骨骼上的缝合锚（例如100），其包括用于牢固地锚固到骨骼上的机构，延伸穿过锚固件的细长缝合线拔出器 主体具有用于由外科医生和远端（例如125）沿近端方向牵引的近端，其具有用于接合缝合线（例如127）的合适机构，由接合机构（例如127）承载的缝合线（例如132）在 细长缝线牵引器（例如122）的远端（例如125）和缝合线锁定机构（例如110），其基本上防止缝合线（例如122）在被拉入并穿过该缝合线之后在至少第一方向上移动 锚定体（例如101/102）由细长的缝线牵引器（例如122）。

公开(公告)号：WO2004078221A2

公开(公告)日：2004-09-16

申请号：PCT/US2004/006129

申请日：2004-03-01

Applicant: TRIAGE MEDICAL INC. ,  CULBERT, Brad, S. ,  PADGET, Marty

Inventor： CULBERT, Brad, S. ,  PADGET, Marty

IPC: A61L

CPC classification number: A61B17/8875 ,  A61B17/8685 ,  A61B17/869 ,  A61B17/88 ,  A61B17/8863 ,  A61B17/8869 ,  A61B17/8872 ,  A61B17/8883 ,  A61B17/8891 ,  A61B2017/00734

Abstract: Deployment systems for deploying a bone fixation device are disclosed herein. One embodiment of a deployment system includes a syringe-shaped body configured to provide proximal traction to a bone fixation device in response to a compressive force between a finger grip and a plunger adapted to be engaged by the heel of a clinician's hand. The device may include a collet for gripping a proximal pin of a fixation device. The deployment device may also include a tool that includes an elongate body with a distal tip adapted to rotationally engage a bone fixation device in order to axially rotate the fixation device. A further deployment device embodiment includes a cauterizing tip for heat-cutting an excess portion of a pin of a bone fixation device.

Abstract translation: 本文公开了用于部署骨固定装置的部署系统。 部署系统的一个实施例包括注射器状体，其被配置为响应于手指握持器和适于与临床医生的手的跟部接合的柱塞之间的压缩力而向骨固定装置提供近侧牵引。 该装置可以包括用于夹紧固定装置的近侧销的夹头。 展开装置还可以包括工具，该工具包括细长体，其具有适于旋转地接合骨固定装置的远侧末端，以便轴向地旋转固定装置。 另外的部署装置实施例包括用于热切割骨固定装置的销的多余部分的烧灼尖端。

公开(公告)号：WO2004078220A9

公开(公告)日：2004-10-28

申请号：PCT/US2004006125

申请日：2004-03-01

Applicant: TRIAGE MEDICAL INC ,  CULBERT BRAD S ,  PADGET MARTY

Inventor： CULBERT BRAD S ,  PADGET MARTY

IPC: A61B17/00 ,  A61B17/56 ,  A61B17/68 ,  A61B17/72 ,  A61B17/86 ,  A61B17/88 ,  A61F5/00 ,  A61L20060101 ,  A61L

CPC classification number: A61B17/683 ,  A61B17/7266 ,  A61B17/7291 ,  A61B17/8685 ,  A61B17/8872 ,  A61B17/8897 ,  A61B2017/00004

Abstract: A tool for inserting a bone fixation device is provided. The tool generally includes an elongate outer body and an elongate inner body, each having a proximal end, a distal end, and a longitudinal axis. The tool typically includes a pin-receiving portion at the distal end of the outer body for receiving a proximal pin of a bone fixation device. The tool may further include first and second levers pivotally mounted to the inner member at respective pivot axes, and each of the levers having a gripping portion. The levers preferably include finger engagement portions, wire-gripping portions, and are preferably configured to be axially movable relative to the outer body. The levers are generally configured such that a proximal force on the finger engagement portions relative to the outer body will cause the pin engagement portions to close and to move proximally such that a guidewire of a bone fixation device placed between the wire-gripping portions may be gripped and pulled proximally.

Abstract translation: 提供了一种用于插入骨固定装置的工具。 该工具通常包括细长的外部主体和细长的内部主体，每个具有近端，远端和纵向轴线。 该工具通常包括在外主体的远端处的销接收部分，用于接收骨固定装置的近端销。 工具还可以包括在相应的枢转轴线处枢转地安装到内部构件的第一和第二杠杆，并且每个杠杆具有抓握部分。 杠杆优选地包括手指接合部分，线抓握部分，并且优选地构造成相对于外部主体可轴向移动。 杠杆通常构造成使得相对于外主体的手指接合部分上的近侧力将导致销接合部分闭合并向近侧移动，使得放置在线抓握部分之间的骨固定装置的导丝线可以是 夹紧并向近侧拉。

公开(公告)号：WO2004082725A2

公开(公告)日：2004-09-30

申请号：PCT/US2004/008669

申请日：2004-03-18

Applicant: SURGICAL SOLUTIONS ,  WEISEL, Thomas ,  PADGET, Marty

Inventor： WEISEL, Thomas ,  PADGET, Marty

IPC: A61L

CPC classification number: A61B17/0469 ,  A61B17/06004 ,  A61B17/06109 ,  A61B2017/06009 ,  A61B2017/06042 ,  A61B2017/292 ,  A61B2017/2924

Abstract: A surgical suturing device having an axis extending between a proximal end and a distal end is operable to move a suture through body tissue. A handle assembly is coupled to an elongated shaft having a hollow configuration. An actuating rod is disposed to extend between the handle assembly and the shaft. A needle assembly at the distal end of the actuating rod is movable with the actuating rod between an extended state and a retracted state. Bifurcated portions of the needle assembly define a suture slot, the bifurcated portions have a proximate relationship when the needle assembly is in the retracted state and having a separated relationship when the needle assembly is in the extended state. The needle assembly is biased to the retracted state and the bifurcated portions are biased to the separated relationship. A handle assembly is operable to move the needle assembly between a free suture state and a captured suture state. In an associated method of use, the needle is bifurcated to form at least one pair of arms to finding a suture slot.

Abstract translation: 具有在近端和远端之间延伸的轴线的手术缝合装置可操作以通过身体组织移动缝合线。 手柄组件联接到具有中空构型的细长轴。 致动杆设置成在手柄组件和轴之间延伸。 在致动杆的远端处的针组件可以通过致动杆在延伸状态和缩回状态之间移动。 针组件的分叉部分限定了缝线槽，当针组件处于缩回状态时，分叉部分具有邻近关系，并且当针组件处于伸展状态时具有分离的关系。 针组件被偏压到缩回状态，并且分叉部分被偏压到分离的关系。 手柄组件可操作以在自由缝合状态和捕获的缝合线状态之间移动针组件。 在相关联的使用方法中，针被分叉以形成至少一对臂以找到缝合缝。

公开(公告)号：WO2004078220A2

公开(公告)日：2004-09-16

申请号：PCT/US2004/006125

申请日：2004-03-01

Applicant: TRIAGE MEDICAL INC. ,  CULBERT, Brad, S. ,  PADGET, Marty

Inventor： CULBERT, Brad, S. ,  PADGET, Marty

IPC: A61L

CPC classification number: A61B17/683 ,  A61B17/7266 ,  A61B17/7291 ,  A61B17/8685 ,  A61B17/8872 ,  A61B17/8897 ,  A61B2017/00004

Abstract: A tool for inserting a bone fixation device is provided. The tool generally includes an elongate outer body and an elongate inner body, each having a proximal end, a distal end, and a longitudinal axis. The tool typically includes a pin-receiving portion at the distal end of the outer body for receiving a proximal pin of a bone fixation device. The tool may further include first and second levers pivotally mounted to the inner member at respective pivot axes, and each of the levers having a gripping portion. The levers preferably include finger engagement portions, wire-gripping portions, and are preferably configured to be axially movable relative to the outer body. The levers are generally configured such that a proximal force on the finger engagement portions relative to the outer body will cause the pin engagement portions to close and to move proximally such that a guidewire of a bone fixation device placed between the wire-gripping portions may be gripped and pulled proximally.

Abstract translation: 提供了一种用于插入骨固定装置的工具。 该工具通常包括细长外主体和细长内主体，每个都具有近端，远端和纵向轴线。 该工具通常包括在外主体的远端处的销接收部分，用于接收骨固定装置的近侧销。 该工具可以进一步包括第一和第二杆，该第一和第二杆在相应的枢转轴线处枢转地安装到内部构件，并且每个杆具有抓握部分。 杆优选地包括手指接合部分，线抓握部分，并且优选地被构造成相对于外主体可轴向移动。 杆通常被构造成使得手指接合部分上的相对于外部主体的近侧力将导致销接合部分闭合并且向近侧移动，使得放置在线夹紧部分之间的骨固定装置的导丝可以是 抓住并拉近。