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公开(公告)号:US20100324596A1
公开(公告)日:2010-12-23
申请号:US12803110
申请日:2010-06-19
IPC分类号: A61B17/04
CPC分类号: A61B17/0401 , A61B17/0467 , A61B2017/00805 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0437 , A61B2017/0445 , A61B2017/0446 , A61B2017/045 , A61B2017/0458 , A61B2017/0464 , A61B2017/0496 , A61B2090/062
摘要: An elastically curved suture anchor is resiliently straightened and delivered into tissue by a needle. When the needle is withdrawn, resumption of the curvature provides leverage for anchor rotation as the attached suture is pulled to fasten the anchor within the tissue. A fin at the proximal end of the anchor further increases the rotational leverage and expedites anchor fastening. When two or more anchors with connecting suture are delivered in series on a needle, the tension of the suture helps to draw the anchors together and approximates the pierced tissue.
摘要翻译: 弹性弯曲的缝合锚固件被弹性地拉直并通过针递送到组织中。 当针被取出时,恢复曲率提供锚定旋转的杠杆作用,因为所附连接的缝合线被拉紧以将锚固件固定在组织内。 在锚的近端处的翅片进一步增加旋转杠杆并加快锚固。 当具有连接缝合线的两个或多个锚固件被串联地递送到针上时,缝合线的张力有助于将锚固件拉到一起并且近似穿刺的组织。
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公开(公告)号:US07918879B2
公开(公告)日:2011-04-05
申请号:US10913041
申请日:2004-08-05
CPC分类号: A61B17/0642 , A61B17/0401 , A61B17/0643 , A61B17/0644 , A61B17/0682 , A61B17/86 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0427 , A61B2017/0438 , A61B2017/044 , A61B2017/0445 , A61B2017/0646 , A61B2017/0647 , A61B2017/0648 , A61F2/0805 , A61F2/0811 , A61F2002/0835 , A61F2002/0841 , A61F2002/0858 , A61F2002/4435
摘要: Anchoring elements of a fastener are made elastically curved. The curvatures of the elements are resiliently straightened by a trocar for tissue insertion. As the trocar is withdrawn, the anchoring elements resume the curved configuration, laterally pressing the elements against tissue to anchor the fastener.
摘要翻译: 紧固件的锚定元件被弹性弯曲。 元件的曲率由用于组织插入的套管针弹性地拉直。 当套管针撤出时,锚定元件恢复弯曲构造,将元件侧向地按压组织以锚固紧固件。
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公开(公告)号:US08454655B2
公开(公告)日:2013-06-04
申请号:US12803110
申请日:2010-06-19
IPC分类号: A61B17/04
CPC分类号: A61B17/0401 , A61B17/0467 , A61B2017/00805 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0437 , A61B2017/0445 , A61B2017/0446 , A61B2017/045 , A61B2017/0458 , A61B2017/0464 , A61B2017/0496 , A61B2090/062
摘要: An elastically curved suture anchor is resiliently straightened and delivered into tissue by a needle. When the needle is withdrawn, resumption of the curvature provides leverage for anchor rotation as the attached suture is pulled to fasten the anchor within the tissue. A fin at the proximal end of the anchor further increases the rotational leverage and expedites anchor fastening. When two or more anchors with connecting suture are delivered in series on a needle, the tension of the suture helps to draw the anchors together and approximates the pierced tissue.
摘要翻译: 弹性弯曲的缝合锚固件被弹性地拉直并通过针递送到组织中。 当针被取出时,恢复曲率提供锚定旋转的杠杆作用,因为所附连接的缝合线被拉紧以将锚固件固定在组织内。 在锚的近端处的翅片进一步增加旋转杠杆并加快锚固。 当具有连接缝合线的两个或多个锚固件被串联地递送到针上时,缝合线的张力有助于将锚固件拉到一起并且近似穿刺的组织。
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公开(公告)号:US20100198274A1
公开(公告)日:2010-08-05
申请号:US12798773
申请日:2010-04-10
IPC分类号: A61B17/56
CPC分类号: A61B17/70 , A61B2017/00004 , A61B2017/00867 , A61F2002/4435
摘要: With limited nutrients within the avascular disc, the water-retaining proteoglycans begin to diminish, resulting in dehydration, flattening and/or bulging of the disc. The flattened disc causes segmental instability, eroding the facet joints and causing pain.In this invention, a disc inserting device contains a horizontally oriented protrusion with superior and inferior plateaus for inserting into the degenerated disc to maintain or restore disc height. The horizontally oriented protrusion is adjoined to a vertically oriented concave bracket with screw holes for fastening the concave bracket to the vertebral bodies sandwiching the degenerated disc. Thereby, the disc height is restored and fortified to reduce segmental instability and erosion of facet joints for pain relief. Furthermore, by altering the slopes of the plateaus, thickness and depth of the protrusion, spinal stenosis, scoliosis, kyphosis, lordosis or spondylolisthesis can be corrected with the disc inserting device.
摘要翻译: 在无血管盘内有营养成分,保水蛋白聚糖开始减弱,导致椎间盘脱水,扁平化和/或隆起。 扁平盘导致节段不稳定,侵蚀小关节并引起疼痛。 在本发明中,盘插入装置包括一个具有上下平台的水平方向的突起,用于插入退化的盘中以维持或恢复盘的高度。 水平定向的突起与垂直定向的凹形支架相邻,其具有用于将凹形支架固定到夹着退化盘的椎体的螺钉孔。 因此,恢复并强化椎间盘高度以减少小面关节的节段性不稳定性和疼痛缓解的侵蚀。 此外,通过改变高原的斜坡,突起的厚度和深度,可以用盘插入装置来校正脊柱狭窄,脊柱侧弯,脊柱后凸,脊柱前凸或脊椎前移。
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公开(公告)号:US07766939B2
公开(公告)日:2010-08-03
申请号:US10914059
申请日:2004-08-05
IPC分类号: A61B17/04
CPC分类号: A61B17/0401 , A61B17/0467 , A61B2017/00805 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0437 , A61B2017/0445 , A61B2017/0446 , A61B2017/045 , A61B2017/0458 , A61B2017/0464 , A61B2017/0496 , A61B2090/062
摘要: An elastically curved suture anchor is resiliently straightened and delivered into tissue by a needle. When the needle is withdrawn, resumption of the curvature provides leverage for anchor rotation as the attached suture is pulled to fasten the anchor within the tissue. A fin at the proximal end of the anchor further increases the rotational leverage and expedites anchor fastening. When two or more anchors with connecting suture are delivered in series on a needle, the tension of the suture helps to draw the anchors together and approximates the pierced tissue.
摘要翻译: 弹性弯曲的缝合锚固件被弹性地拉直并通过针递送到组织中。 当针被取出时,恢复曲率提供锚定旋转的杠杆作用,因为所附连接的缝合线被拉紧以将锚固件固定在组织内。 在锚的近端处的翅片进一步增加旋转杠杆并加快锚固。 当具有连接缝合线的两个或多个锚固件被串联地递送到针上时,缝合线的张力有助于将锚固件拉到一起并且近似穿刺的组织。
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公开(公告)号:US09326791B2
公开(公告)日:2016-05-03
申请号:US13815782
申请日:2013-03-15
CPC分类号: A61B17/3468 , A61F2/0036 , A61F2/442 , A61F2/4611 , A61F2002/30289 , A61F2002/30294 , A61F2002/30677 , A61F2002/4435 , A61F2002/4495 , A61F2002/4635 , A61F2210/0061 , A61F2230/0091 , A61F2310/00598 , A61F2310/0061 , A61F2310/0097 , A61F2310/00976 , A61F2310/00982
摘要: The distal portion of a shape-memory filament extends from a needle containing at least one filament gripping element. To implant the shape-memory filament in tissue, the needle is inserted into a cannula with a flexible and removable hook. During partial withdrawal of the needle, the hook holds the distal portion of the filament stationary to deposit a section of filament in the distal portion of the cannula. The needle is re-advanced, pushing the section of the shape-memory filament to coil or fold within the tissue. Rotation of the needle with the filament gripping element further tightens the coiled or folded filament. Partial withdrawal, re-advancement, rotation and pushing of the needle are repeated to fill, pack, strengthen, enlarge or augment the tissue with the shape-memory filament.
摘要翻译: 形状记忆细丝的远端部分从包含至少一个细丝夹持元件的针头延伸。 为了将形状记忆细丝植入组织中,将针插入具有柔性和可拆卸钩的插管中。 在针的部分撤回期间,钩保持细丝的远端部分固定,以将一段细丝沉积在套管的远端部分中。 针再次前进,将形状记忆细丝的部分推向组织内卷曲或折叠。 针头与灯丝夹紧元件的旋转进一步拧紧卷绕或折叠的灯丝。 重复部分取出,重新推进,旋转和推动针,以填充,包装,强化,增大或增加具有形状记忆细丝的组织。
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公开(公告)号:US20120022425A1
公开(公告)日:2012-01-26
申请号:US13136129
申请日:2011-07-25
CPC分类号: A61K38/005 , A61F2002/30677 , A61F2002/444 , A61K9/0019 , A61K31/00 , A61K31/11 , A61K31/19
摘要: The intervertebral disc is avascular. Nutrients and waste are diffused through adjacent vertebral bodies into the disc. As we age, calcified layers form between the disc and vertebral bodies, blocking diffusion of nutrients, oxygen and pH buffer in blood. Under anaerobic conditions, lactic acid is produced, irritating nerve endings and causing nonspecific pain. In addition, the disc begins to starve and flatten. The weight shifts abnormally from disc to the facet joints causing strain and back pain.Lactic acid inhibitor inhibits production of lactic acid from pyruvate within the disc to reduce or alleviate back pain.
摘要翻译: 椎间盘无血管。 营养物和废物通过相邻的椎体扩散到椎间盘中。 随着年龄的增长,椎间盘和椎体之间形成钙化层,阻止血液中营养物质,氧气和pH缓冲液的扩散。 在厌氧条件下,产生乳酸,刺激性神经末梢并引起非特异性疼痛。 此外,光盘开始饿死并变平。 重量从椎间盘异常移动到小关节,引起应变和背部疼痛。 乳酸抑制剂抑制椎间盘内的丙酮酸生成乳酸以减轻或减轻背痛。
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公开(公告)号:US08690857B2
公开(公告)日:2014-04-08
申请号:US13136129
申请日:2011-07-25
IPC分类号: A61M31/00
CPC分类号: A61K38/005 , A61F2002/30677 , A61F2002/444 , A61K9/0019 , A61K31/00 , A61K31/11 , A61K31/19
摘要: The intervertebral disc is avascular. Nutrients and waste are diffused through adjacent vertebral bodies into the disc. As we age, calcified layers form between the disc and vertebral bodies, blocking diffusion of nutrients, oxygen and pH buffer in blood. Under anaerobic conditions, lactic acid is produced, irritating nerve endings and causing nonspecific pain. In addition, the disc begins to starve and flatten. The weight shifts abnormally from disc to the facet joints causing strain and back pain.Lactic acid inhibitor inhibits production of lactic acid from pyruvate within the disc to reduce or alleviate back pain.
摘要翻译: 椎间盘无血管。 营养物和废物通过相邻的椎体扩散到椎间盘中。 随着年龄的增长,椎间盘和椎体之间形成钙化层,阻止血液中营养物质,氧气和pH缓冲液的扩散。 在厌氧条件下,产生乳酸,刺激性神经末梢并引起非特异性疼痛。 此外,光盘开始饿死并变平。 重量从椎间盘异常移动到小关节,引起应变和背部疼痛。 乳酸抑制剂抑制椎间盘内的丙酮酸生成乳酸以减轻或减轻背痛。
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公开(公告)号:US20130289599A1
公开(公告)日:2013-10-31
申请号:US13261607
申请日:2012-03-23
IPC分类号: A61B17/34
CPC分类号: A61F2/442 , A61B17/0483 , A61B17/3468 , A61B17/7061 , A61B17/7094 , A61B17/8852 , A61B2017/00805 , A61B2017/00867 , A61F2/0036 , A61F2/4611 , A61F2002/30289 , A61F2002/30294 , A61F2002/30677 , A61F2002/444 , A61F2002/4495 , A61F2002/4635 , A61F2210/0061 , A61F2230/0091 , A61F2250/0067 , A61F2310/00598 , A61F2310/0061 , A61F2310/0097 , A61F2310/00976 , A61F2310/00982
摘要: A distal portion of a filament is extended beyond the distal end of a needle with a gripper. The needle with the extended filament is inserted into a cannula with snagging points at the distal opening of the cannula in tissue. The snagging points of the cannula hook and retain the distal portion of the filament. During partial withdrawal of the needle, a section of filament is deposited in the lumen of the cannula between the distal ends of the needle and cannula. When the needle is re-advanced, the section of filament is expelled or pushed out of the cannula into tissue. The needle is then rotated; the gripper engages and spirals the expelled filament, burrowing into tissue. The needle can further advanced to push and pack the spiral of filament deep into the tissue. The knot-like filament spiral is individually formed by rotation of the needle and friction between the extended filament and tissue. The process of needle partial withdrawal, re-advancement, rotation and pushing is repeated to pack and fill the tissue with interconnecting spirals of filament to prevent migration from tissue. Spiraling of the filament driven by the rotating needle is space seeking, filling, fitting or conforming to fortify, bulk, fill, cushion or repair the tissue. Bulking with filament spirals can repair degenerated disc, urinary incontinence, fecal incontinence or other defective tissue. The filament spirals can also be used as a suture anchor deep within tissue.
摘要翻译: 长丝的远端部分用夹具延伸超过针的远端。 将具有延伸细丝的针插入具有在组织中插管的远端开口处的阻塞点的插管中。 插管钩的阻塞点并保持丝的远端部分。 在针的部分抽出期间,在针和插管的远端之间的一段细丝沉积在套管的内腔中。 当针被重新推进时,细丝的部分被排出或从套管推出到组织中。 然后将针旋转; 夹具接合并螺旋排出的细丝,挖入组织。 针可以进一步推进以将丝的螺旋深入推入并包装到组织中。 结状丝状螺旋通过针的旋转和延长的丝和组织之间的摩擦分别形成。 针头部分抽出,再推进,旋转和推动的过程重复,用纤维互连的螺旋填充和填充组织以防止从组织迁移。 由旋转针驱动的丝的螺旋形是空间寻找,填充,配合或符合以强化,散装,填充,缓冲或修复组织。 用丝状螺旋填充可以修复退化的椎间盘,尿失禁,大便失禁或其他有缺陷的组织。 长丝螺旋也可以用作组织内深层的缝合锚。
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公开(公告)号:US09138254B2
公开(公告)日:2015-09-22
申请号:US13261607
申请日:2012-03-23
IPC分类号: A61B17/06 , A61B17/34 , A61B17/88 , A61F2/44 , A61F2/46 , A61B17/70 , A61B17/00 , A61F2/30 , A61B17/04
CPC分类号: A61F2/442 , A61B17/0483 , A61B17/3468 , A61B17/7061 , A61B17/7094 , A61B17/8852 , A61B2017/00805 , A61B2017/00867 , A61F2/0036 , A61F2/4611 , A61F2002/30289 , A61F2002/30294 , A61F2002/30677 , A61F2002/444 , A61F2002/4495 , A61F2002/4635 , A61F2210/0061 , A61F2230/0091 , A61F2250/0067 , A61F2310/00598 , A61F2310/0061 , A61F2310/0097 , A61F2310/00976 , A61F2310/00982
摘要: A distal portion of a filament is extended beyond the distal end of a needle with a gripper. The needle with the extended filament is inserted into a cannula with snagging points at the distal opening of the cannula in tissue. The snagging points of the cannula hook and retain the distal portion of the filament. During partial withdrawal of the needle, a section of filament is deposited in the lumen of the cannula between the distal ends of the needle and cannula. When the needle is re-advanced, the section of filament is expelled or pushed out of the cannula into tissue. The needle is then rotated; the gripper engages and spirals the expelled filament, burrowing into tissue. The needle can further advanced to push and pack the spiral of filament deep into the tissue. The knot-like filament spiral is individually formed by rotation of the needle and friction between the extended filament and tissue. The process of needle partial withdrawal, re-advancement, rotation and pushing is repeated to pack and fill the tissue with interconnecting spirals of filament to prevent migration from tissue. Spiraling of the filament driven by the rotating needle is space seeking, filling, fitting or conforming to fortify, bulk, fill, cushion or repair the tissue. Bulking with filament spirals can repair degenerated disc, urinary incontinence, fecal incontinence or other defective tissue. The filament spirals can also be used as a suture anchor deep within tissue.
摘要翻译: 长丝的远端部分用夹具延伸超过针的远端。 将具有延伸细丝的针插入具有在组织中插管的远端开口处的阻塞点的插管中。 插管钩的阻塞点并保持丝的远端部分。 在针的部分抽出期间,在针和插管的远端之间的一段细丝沉积在套管的内腔中。 当针被重新推进时,细丝的部分被排出或从套管推出到组织中。 然后将针旋转; 夹具接合并螺旋排出的细丝,挖入组织。 针可以进一步推进以将丝的螺旋深入推入并包装到组织中。 结状丝状螺旋通过针的旋转和延长的丝和组织之间的摩擦分别形成。 针头部分抽出,再推进,旋转和推动的过程重复,用纤维互连的螺旋填充和填充组织以防止从组织迁移。 由旋转针驱动的丝的螺旋形是空间寻找,填充,配合或符合以强化,散装,填充,缓冲或修复组织。 用丝状螺旋填充可以修复退化的椎间盘,尿失禁,大便失禁或其他有缺陷的组织。 长丝螺旋也可以用作组织内深层的缝合锚。
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