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公开(公告)号：US08100943B2
公开(公告)日：2012-01-24
申请号：US11454194
申请日：2006-06-16
IPC分类号： A61F2/44
CPC分类号： A61B17/025 , A61B17/7062 , A61B17/7065 , A61B2017/00557 , A61B2017/0256
摘要： An apparatus includes an elongate member having a portion configured to be deformed from a first configuration to a second configuration. In one variation, the apparatus includes an outer body, having a collapsed configuration and an expanded configuration, and an inner body. A portion of the outer body is configured to be disposed between adjacent spinous processes. The inner body is disposed within the interior region of the outer body. The inner body has an outer surface in slidable contact with an inner surface of the outer body.
摘要翻译： 一种装置包括细长构件，其具有被构造成从第一构型变形到第二构型的部分。 在一个变型中，该装置包括具有折叠构造和扩展构造的外部主体和内部主体。 外体的一部分被配置为设置在相邻棘突之间。 内体设置在外体的内部区域内。 内体具有与外体的内表面滑动接触的外表面。
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公开(公告)号：US08029567B2
公开(公告)日：2011-10-04
申请号：US11356295
申请日：2006-02-17
IPC分类号： A61F2/44
CPC分类号： A61B17/025 , A61B17/7065 , A61B2017/00557 , A61B2017/0256
摘要： Apparatuses and methods for performing minimally-invasive medical procedures are described. In one embodiment, for example, an apparatus includes an elongate member having a proximal portion configured to move repeatedly between a first configuration and a second configuration. At least a section of the proximal portion is collapsed in the first configuration and is expanded in the second configuration. The elongate member has a distal portion configured to move repeatedly between a first configuration and a second configuration. At least a section of the proximal portion is collapsed in the first configuration and is expanded in the second configuration. A non-expanding central portion is positioned between the proximal portion and the distal portion. The non-expanding central portion is configured to engage adjacent spinous processes.
摘要翻译： 描述了用于执行微创医疗程序的装置和方法。 在一个实施例中，例如，一种装置包括细长构件，该细长构件具有配置成在第一构型和第二构型之间重复移动的近侧部分。 近端部分的至少一部分在第一构造中折叠并且在第二构造中扩张。 细长构件具有构造成在第一构型和第二构造之间重复移动的远侧部分。 近端部分的至少一部分在第一构造中折叠并且在第二构造中扩张。 未膨胀的中心部分位于近端部分和远端部分之间。 非扩张中心部分构造成接合相邻的棘突。
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公开(公告)号：US07998174B2
公开(公告)日：2011-08-16
申请号：US11454156
申请日：2006-06-16
IPC分类号： A61F2/44
CPC分类号： A61B17/025 , A61B17/7062 , A61B17/7065 , A61B2017/00557 , A61B2017/0256
摘要： An apparatus includes an elongate member having a portion configured to be deformed from a first configuration to a second configuration. In one variation, the apparatus includes an outer body, defining an interior region, and an inner body. A portion of the outer body is configured to be disposed between adjacent spinous processes. The inner body is disposed within the interior region of the outer body. A distal end portion of the inner body is coupled to a distal end portion of the outer body. A proximal end portion of the inner body configured to removably receive a tool to move the outer body between a collapsed configuration and an expanded configuration.
摘要翻译： 一种装置包括细长构件，其具有被构造成从第一构型变形到第二构型的部分。 在一个变型中，该装置包括限定内部区域的外部主体和内部主体。 外体的一部分被配置为设置在相邻棘突之间。 内体设置在外体的内部区域内。 内部主体的远端部分联接到外部主体的远端部分。 内部主体的近端部分被构造成可移除地接收工具以在收缩构型和扩张构型之间移动外部主体。
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公开(公告)号：US07927354B2
公开(公告)日：2011-04-19
申请号：US11356296
申请日：2006-02-17
IPC分类号： A61F2/44
CPC分类号： A61B17/025 , A61B17/7062 , A61B17/7065 , A61B2017/0256 , C09D11/324
摘要： Apparatuses and methods for performing minimally invasive medical procedures are disclosed herein. In one example, an apparatus includes a first body coupled to a second body. The first body and the second body collectively configured to be releasably coupled to an implant device configured to be disposed between adjacent spinous processes. A first engaging portion is coupled to the first body, and a second engaging portion is coupled to the second body. The first engaging portion and/or the second engaging portion is configured to be received within a first opening defined by the implant device. The first body configured to be moved relative to the second body such that a distance between the first engaging portion and the second engaging portion is moved between a first distance and a second distance and simultaneously a length of the implant device is moved between a first length and a second length.
摘要翻译： 本文公开了用于执行微创医疗程序的装置和方法。 在一个示例中，装置包括联接到第二主体的第一主体。 第一主体和第二主体共同构造成可释放地联接到构造成设置在相邻棘突之间的植入装置。 第一接合部分联接到第一主体，并且第二接合部分联接到第二主体。 第一接合部分和/或第二接合部分构造成容纳在由植入装置限定的第一开口内。 所述第一主体被构造成相对于所述第二主体移动，使得所述第一接合部分和所述第二接合部分之间的距离在第一距离和第二距离之间移动，并且同时所述植入装置的长度在第一长度 和第二长度。
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公开(公告)号：US08105236B2
公开(公告)日：2012-01-31
申请号：US11448228
申请日：2006-06-07
IPC分类号： A61B1/32
CPC分类号： A61B17/3403 , A61B17/02 , A61B17/0293 , A61B17/3439 , A61B90/30 , A61B90/35 , A61B2017/3407 , A61B2017/3447
摘要： A surgical access device can include a plurality of retractor members that together define a lumen having a first cross-sectional dimension. Each of the plurality of retractor members can be moved radially outward to at least a second cross-sectional dimension to create a surgical access passage. The surgical access device, systems and kits comprising the surgical access device, and methods of using the surgical access device can include a mechanism for inserting an elongate member from exterior the body to the surgical site, a mechanism for moving the retractor members radially outward, a mechanism for guiding the radially outward movement of the retractor members, a mechanism for securing each of the retractor members in a range of positions, and a mechanism for illuminating the surgical site. Variations of the devices, systems, kits, and methods are useful for creating and maintaining a surgical access passage for performing minimally invasive surgery.
摘要翻译： 外科进入装置可以包括多个牵开器构件，其一起限定具有第一横截面尺寸的内腔。 多个牵开器构件中的每一个可以径向向外移动到至少第二横截面尺寸以产生外科进入通道。 包括外科进入装置的外科进入装置，系统和套件以及使用外科进入装置的方法可以包括用于将细长构件从身体外部插入外科手术部位的机构，用于将牵开器构件径向向外移动的机构， 用于引导牵开器构件的径向向外运动的机构，用于将各牵引器构件固定在一定范围内的机构，以及用于照明外科手术部位的机构。 装置，系统，试剂盒和方法的变化对于创建和维持用于进行微创手术的外科进入通道是有用的。
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公开(公告)号：US08038698B2
公开(公告)日：2011-10-18
申请号：US11252879
申请日：2005-10-19
IPC分类号： A61F2/44
CPC分类号： A61B17/025 , A61B17/7065 , A61B2017/00557 , A61B2017/0256
摘要： An apparatus includes an elongate member having a proximal portion configured to be deformed from a first configuration to a second configuration. The elongate member has a distal portion configured to be deformed from a first configuration to a second configuration. A non-expanding central portion is positioned between the proximal portion and the distal portion. The non-expanding central portion is configured to engage adjacent spinous processes.
摘要翻译： 一种装置包括细长构件，其具有被配置为从第一构型变形到第二构造的近端部分。 细长构件具有构造成从第一构造变形到第二构造的远侧部分。 未膨胀的中心部分位于近端部分和远端部分之间。 非扩张中心部分构造成接合相邻的棘突。
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公开(公告)号：US08454693B2
公开(公告)日：2013-06-04
申请号：US13033915
申请日：2011-02-24
IPC分类号： A61F2/44
CPC分类号： A61B17/7065 , A61B17/025 , A61B17/1604 , A61B17/1608 , A61B17/1671 , A61B17/1757 , A61B17/7047 , A61B17/7062 , A61B17/8863 , A61B2017/00557 , A61B2017/0256
摘要： A method includes moving a spinal implant such that a central portion of the spinal implant is disposed between adjacent spinous processes, radially extending a proximal portion of the spinal implant on a first side of the adjacent spinous processes such that movement of the proximal portion between the adjacent spinous processes is inhibited, and radially extending a distal portion of the spinal implant on a second side of the adjacent spinous processes opposite the first side such that movement of the distal portion between the adjacent spinous processes is inhibited.
摘要翻译： 一种方法包括移动脊柱植入物，使得脊柱植入物的中心部分设置在相邻的棘突之间，在相邻棘突的第一侧上径向延伸脊柱植入物的近端部分，使得近端部分在 相邻的棘突被抑制，并且径向延伸脊柱植入物的远侧部分在与第一侧相对的相邻棘突的第二侧上，使得远端部分在相邻棘突之间的移动被抑制。
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公开(公告)号：US08029549B2
公开(公告)日：2011-10-04
申请号：US11927831
申请日：2007-10-30
IPC分类号： A61F2/44
CPC分类号： A61B17/7065 , A61B2017/00557 , A61F2/44
摘要： A method includes positioning a medical device within a body between adjacent spinous processes, moving the medical device from a collapsed configuration to an expanded configuration within the body using an actuator removably coupled to the medical device, and removing the actuator from the body while the medical device remains between the adjacent spinous processes.
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公开(公告)号：US20080147192A1
公开(公告)日：2008-06-19
申请号：US11788752
申请日：2007-04-19
CPC分类号： A61B17/7065 , A61B17/025 , A61B17/7062 , A61B2017/00557 , A61B2017/0256
摘要： An apparatus includes a guide shaft, an expansion member coupled to the guide shaft, and an actuator. The expansion member is configured to impart a force from within an interior of an implant to deform the implant. The actuator is coupled to the expansion member, the actuator is configured to move the expansion member from a first position to a second position.
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公开(公告)号：US20120101341A1
公开(公告)日：2012-04-26
申请号：US13335292
申请日：2011-12-22
IPC分类号： A61B1/32
CPC分类号： A61B17/3403 , A61B17/02 , A61B17/0293 , A61B17/3439 , A61B90/30 , A61B90/35 , A61B2017/3407 , A61B2017/3447
摘要： A surgical access device can include a plurality of retractor members that together define a lumen having a first cross-sectional dimension. Each of the plurality of retractor members can be moved radially outward to at least a second cross-sectional dimension to create a surgical access passage. The surgical access device, systems and kits comprising the surgical access device, and methods of using the surgical access device can include a mechanism for inserting an elongate member from exterior the body to the surgical she, a mechanism for moving the retractor members radially outward, a mechanism for guiding the radially outward movement of the retractor members, a mechanism for securing each of the retractor members in a range of positions, and a mechanism for illuminating the surgical site. Variations of the devices, systems, kits, and methods are useful for creating and maintaining a surgical access passage for performing minimally invasive surgery.
摘要翻译： 外科进入装置可以包括多个牵开器构件，其一起限定具有第一横截面尺寸的内腔。 多个牵开器构件中的每一个可以径向向外移动到至少第二横截面尺寸以产生外科进入通道。 包括外科进入装置的外科进入装置，系统和试剂盒以及使用外科进入装置的方法可以包括用于将细长构件从身体外部插入外科手术机构的机构，用于将牵开器构件径向向外移动的机构， 用于引导牵开器构件的径向向外运动的机构，用于将各牵引器构件固定在一定范围内的机构，以及用于照明外科手术部位的机构。 装置，系统，试剂盒和方法的变化对于创建和维持用于进行微创手术的外科进入通道是有用的。
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