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公开(公告)号：US20080132905A1
公开(公告)日：2008-06-05
申请号：US11950404
申请日：2007-12-04
IPC分类号： A61B17/00
摘要： Described herein is a surgical clearing device that includes a neck that defines a longitudinal axis and a clearing portion extending from the neck. The clearing portion extends in a curved path that defines a plane that is approximately perpendicular to the longitudinal axis of the neck. In a preferred embodiment, the neck includes a cone-shaped portion. A portion of the neck extends downwardly from the bottom of the cone-shaped portion and a portion of the neck extends upwardly from the top of the cone-shaped portion.
摘要翻译： 本文描述了一种手术清除装置，其包括限定纵向轴线的颈部和从颈部延伸的清除部分。 清除部分在弯曲路径中延伸，该弯曲路径限定大致垂直于颈部的纵向轴线的平面。 在优选实施例中，颈部包括锥形部分。 颈部的一部分从锥形部分的底部向下延伸，并且颈部的一部分从锥形部分的顶部向上延伸。
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公开(公告)号：US06564078B1
公开(公告)日：2003-05-13
申请号：US09325998
申请日：1999-06-04
申请人： James F. Marino , Corbett W. Stone , Troy K. Christopher , Jeffrey J. Blewett , Brian S. Kelleher
发明人： James F. Marino , Corbett W. Stone , Troy K. Christopher , Jeffrey J. Blewett , Brian S. Kelleher
IPC分类号： A61H504
CPC分类号： A61B5/0492 , A61B5/04012 , A61B5/4041 , A61B5/4893 , A61B17/1757 , A61B17/3417 , A61B17/3439 , A61B18/148 , A61B18/1487 , A61B2017/3484 , A61B2018/00589 , A61B2018/00595 , A61N1/0551
摘要： An expandable tip cannula system, comprising: a hollow cannula shaft having a proximal end and a distal end; and an expandable tip mounted at the distal end of the hollow cannula shaft, the expandable tip comprising a plurality of generally-triangular shaped petals held together in a radially-inwardly tapered arrangement between adjacent petals, each petal comprising a nerve sensing electrode disposed therein.
摘要翻译： 一种可扩展尖端插管系统，包括：具有近端和远端的中空插管轴; 以及安装在所述中空套管轴的远端处的可膨胀尖端，所述可膨胀尖端包括在相邻瓣之间以径向向内的锥形布置保持在一起的多个大致三角形的瓣，每个花瓣包括设置在其中的神经感测电极。
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公开(公告)号：US06221082B1
公开(公告)日：2001-04-24
申请号：US09326739
申请日：1999-06-04
IPC分类号： A61B1900
CPC分类号： A61B17/1757 , A61B17/3421 , A61B90/11 , A61B90/39 , A61B2017/00261
摘要： A spinal surgery system having a base, a cross member suspended from the base, and a pair of cannula guides suspended from the cross member, wherein the cannula guides are adapted to hold cannulae received therein such that the canulae remain co-planar with one another as the cannula guides are moved to various positions in the patient's intervertebral plane. By first suspending a pair of radiopaque markers in the cannual guides, and then viewing the image of the radiopaque markers, the cannulae guides can be aligned so that when the radiopaque markers have been removed and replaced with cannulae, the cannulae can be positioned along various paths which are disposed in the patient's intervertebral plane such that surgical tools can be advanced in preferred paths toward the patient's intervertebral space.
摘要翻译： 脊柱手术系统，其具有基部，从基部悬挂的横向构件和从该横向构件悬挂的一对插管导向件，其中所述插管导向件适于容纳收纳在其中的插管，使得所述套管彼此保持共面 当套管引导件移动到患者的椎间平面内的各个位置时。 通过先将一对不透射线的标记悬挂在插入式导板中，然后观察不透射线标记的图像，可以对齐导管，使得当不透射线的标记物被移除并用插管替换时，套管可以沿着各种 设置在患者椎间平面中的路径，使得外科手术工具可以朝向患者的椎间空间的优选路径前进。
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公开(公告)号：US6063050A
公开(公告)日：2000-05-16
申请号：US174276
申请日：1998-10-16
申请人： Ronald Manna , Scott Isola , H. Jonathan Tovey , Dominick L. Mastri , Corbett W. Stone , Ernie Aranvi
发明人： Ronald Manna , Scott Isola , H. Jonathan Tovey , Dominick L. Mastri , Corbett W. Stone , Ernie Aranvi
IPC分类号： A61B17/3201 , A61B17/28 , A61B17/32 , A61B18/00 , A61B17/20
CPC分类号： A61B17/320092 , A61B2017/2929 , A61B2017/2933 , A61B2017/2936 , A61B2017/2944 , A61B2017/2948 , A61B2017/320072
摘要： An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a pedal actuator. The ultrasonic actuator has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting blade by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting blade. The cutting blade has a cutting surface which is angled with respect to the longitudinal axis of the elongated body portion and, thus, with respect to the axis of vibration. A clamp member having a tissue contact surface is positioned adjacent to the blade member and is movable from an open position in which the tissue contact surface is in close juxtaposed alignment with the cutting surface to clamp tissue therebetween. The clamp member and the angled blade combine to enhance contact between tissue and the cutting surface of the blade member.
摘要翻译： 提供了一种外科用超声波解剖和凝血系统。 该系统包括超声波仪器，控制模块和踏板致动器。 超声波致动器具有壳体和从壳体延伸的细长主体部分。 支撑在壳体内的超声换能器通过振动耦合器可操作地连接到切割刀片。 振动耦合器将高频振动从超声波传感器传导到切割刀片。 切割刀片具有相对于细长主体部分的纵向轴线成角度并且因此相对于振动轴线成角度的切割表面。 具有组织接触表面的夹紧构件定位成与刀片构件相邻，并且可以从打开位置移动，在打开位置，组织接触表面与切割表面紧密地并置对准以夹紧组织。 夹紧构件和成角度的刀片组合以增强组织与刀片构件的切割表面之间的接触。
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公开(公告)号：US6024750A
公开(公告)日：2000-02-15
申请号：US911205
申请日：1997-08-14
CPC分类号： A61B17/320092 , A61B17/29 , A61B17/295 , A61B2017/2825 , A61B2017/320072
摘要： An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a remote actuator. The ultrasonic instrument has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting jaw by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting jaw. The cutting jaw has a blade surface which is curved downwardly and outwardly in the distal direction with respect to the longitudinal axis of the elongated body portion along its length such that an angle defined by a line drawn tangent to the blade surface and the longitudinal axis of the elongated body portion varies between 5 degrees and 75 degrees. A clamp member having a tissue contact surface is positioned adjacent to the cutting jaw and is movable from an open position in which the tissue contact surface is spaced form the blade surface to a clamped position in which the tissue contact surface is in close juxtaposed alignment with the blade surface to clamp tissue therebetween. The clamp member and the curved cutting jaw combine to enhance contact between tissue and the blade surface of the cutting jaw during cutting. Further, the continuously varying angle of the blade surface with respect to the longitudinal axis of the elongated body portion facilitates selective user control over the application of force on tissue during a cutting or dissecting procedure.
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公开(公告)号：US5674230A
公开(公告)日：1997-10-07
申请号：US527125
申请日：1995-09-12
申请人： H. Jonathan Tovey , Corbett W. Stone , Stephen W. Zlock , David A. Nicholas , Paul A. Scirica , Philip Richardson , Margaret Pamela Richardson
发明人： H. Jonathan Tovey , Corbett W. Stone , Stephen W. Zlock , David A. Nicholas , Paul A. Scirica , Philip Richardson , Margaret Pamela Richardson
CPC分类号： A61B17/2909 , A61B17/0469 , A61B17/0625 , A61B17/0491 , A61B17/06114 , A61B2017/0479 , A61B2017/0609 , A61B2017/292 , A61B2017/2936
摘要： An apparatus for manipulating a surgical needle is disclosed, comprising a body portion, a first needle receiving jaw mounted for movement on a distal end of the body portion and having a first needle engaging member, a second needle receiving jaw mounted for movement on the distal end of the body portion and having a second needle engaging member, the second needle engaging member being operatively interconnected to the first needle engaging member for relative reciprocal movement therewith, wherein each of the first and second needle receiving jaws has a recess for receipt of a portion of a surgical needle therein. The first and second needle engaging members are mounted for alternate reciprocal movement into and out of locking engagement with the surgical needle. The apparatus also includes a wheel rotatably mounted within the body portion with a proximal end portion of each of the first and second needle engaging members connected to opposing sides of the wheel such that rotation of the wheel simultaneously retracts one of the needle engaging members and advances the other. Also disclosed is a method of manipulating a surgical needle inside a body cavity using a surgical instrument having a control mechanism, a first jaw and a second jaw, where at least one of the jaws is mounted for movement between a first position adjacent the other jaw and a second position spaced apart from the other jaw.
摘要翻译： 公开了一种用于操纵外科用针的装置，包括主体部分，第一针接收钳口，其安装成用于在主体部分的远端上运动并具有第一针接合构件;第二针接收钳口，其安装成在远端 所述主体部分的端部并且具有第二针接合构件，所述第二针接合构件可操作地互连到所述第一针接合构件以与其相对的往复运动，其中所述第一和第二针接收爪中的每一个具有用于接收 手术针的一部分。 第一和第二针接合构件安装成用于与外科手术针的锁定接合的交替往复运动。 该装置还包括可旋转地安装在主体部分内的轮，其中每个第一和第二针接合构件的每个的近端部分连接到车轮的相对侧，使得轮的旋转同时缩回针接合构件中的一个并且前进 另一个。 还公开了一种使用具有控制机构，第一钳口和第二钳口的外科器械在体腔内操作手术针的方法，其中至少一个钳口被安装用于在邻近另一钳口的第一位置之间移动 以及与另一个钳口间隔开的第二位置。
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公开(公告)号：US5478345A
公开(公告)日：1995-12-26
申请号：US293234
申请日：1994-08-19
CPC分类号： A61B17/0469 , A61B17/06123 , A61B2017/0609
摘要： A loading unit is disclosed for supplying multiple surgical needles or surgical incision members and associated lengths of suture material for positioning the needle or surgical incision member within the jaws of a surgical suturing apparatus. The loading unit generally includes a body portion having apparatus receiving structure for receipt of the surgical suturing apparatus and a carousel rotatably affixed to the body portion and containing a plurality of supply stations thereon. The supply stations generally include a support member for supporting a central portion of a surgical needle and a storage member for temporarily securing a length of suture material associated with the surgical needle. The apparatus receiving structure includes structure for aligning and maintaining the surgical suturing apparatus in position on the loading unit until such time as a surgical incision member has been inserted into jaws associated with the surgical suturing apparatus. Preferably, the apparatus receiving structure includes structure for gasping an elongate portion of the surgical suturing apparatus and structure for supporting jaw members associated with the surgical suturing apparatus. Additionally, in a preferred embodiment, the suture storage members consist of a suture reel which is positioned in a plane offset from the needle support members.
摘要翻译： 公开了一种装载单元，用于提供多个外科手术针或外科切口部件和相关联的长度的缝合材料，用于将针或手术切口部件定位在手术缝合装置的钳口内。 装载单元通常包括主体部分，其具有用于接收外科缝合装置的装置接收结构和可旋转地固定到主体部分并且在其上容纳多个供应站的圆盘传送带。 供应站通常包括用于支撑外科用针的中心部分的支撑构件和用于临时固定与外科手术针相关联的一定长度的缝合材料的存储构件。 装置接收结构包括用于将外科缝合装置对准和维持在装载单元上的位置的结构，直到手术切口构件已经插入到与外科缝合装置相关联的钳口中的时间为止。 优选地，装置接收结构包括用于喘气外科缝合装置的细长部分的结构和用于支撑与手术缝合装置相关联的颚构件的结构。 另外，在优选实施例中，缝合线存储部件由缝合线卷轴组成，缝线卷轴位于从针支撑部件偏移的平面中。
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公开(公告)号：US5464144A
公开(公告)日：1995-11-07
申请号：US134353
申请日：1993-10-08
申请人： Thomas D. Guy , Richard N. Granger , Robert H. Brady , John Webster , James R. Pratt , Corbett W. Stone , Thomas W. Alesi, Jr.
发明人： Thomas D. Guy , Richard N. Granger , Robert H. Brady , John Webster , James R. Pratt , Corbett W. Stone , Thomas W. Alesi, Jr.
IPC分类号： A61B17/00 , A61B17/072 , A61B17/115 , A61B19/00 , A61B17/068
CPC分类号： A61B17/115 , A61B17/072 , A61B17/1155 , A61B2017/00022 , A61B2017/00115 , A61B2017/0725 , A61B2090/061
摘要： An apparatus and system are disclosed for indicating relative positions of elements in a surgical apparatus. The indicating elements can include electrical circuitry for activating visual, audible or tactile indicators, thereby alerting the user that an event has occurred with respect to the instrument.
摘要翻译： 公开了一种用于指示外科装置中元件的相对位置的装置和系统。 指示元件可以包括用于激活视觉，听觉或触觉指示器的电路，从而提醒用户相对于仪器发生了事件。
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公开(公告)号：US10213252B2
公开(公告)日：2019-02-26
申请号：US13385540
申请日：2012-02-24
申请人： Corbett W. Stone , Michael F. Hoey , Rolfe Tyson Gustus , Mike Perry , Arthur G. Blanck , Linas R. Kunstmanas
发明人： Corbett W. Stone , Michael F. Hoey , Rolfe Tyson Gustus , Mike Perry , Arthur G. Blanck , Linas R. Kunstmanas
摘要： Methods and systems are disclosed for treating diseased tissue by gentle heating. The method induces vasodilation on tissue disposed about an lumen having both healthy tissue and diseased tissue. The method includes coupling a probe surface to the luminal tissue at a target location and transmitting desired quantities of tissue remodeling energy from the coupled probe into each of a plurality of discrete remodeling zones in the luminal tissue so that the tissue remodeling energy heats the plurality of remodeling zones, the remodeling energy being configured to avoid muscular contraction and inhibit both acute and long-term occlusion of the lumen.
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公开(公告)号：US08641638B2
公开(公告)日：2014-02-04
申请号：US11981889
申请日：2007-10-31
IPC分类号： A61B5/05
CPC分类号： A61B5/04001 , A61B5/0488 , A61B5/0492 , A61B5/4836 , A61B5/4893 , A61B17/00234 , A61B2017/00022 , A61B2017/00039 , A61N1/08
摘要： Methods for determining structural integrity of a bone within the spine of a patient, the bone having a first aspect and a second aspect, wherein the second aspect separated from the first aspect by a width and located adjacent to a spinal nerve. The methods involve (a) applying an electrical stimulus to the first aspect of the bone; (b) electrically monitoring a muscle myotome associated with the spinal nerve to detect if an onset neuro-muscular response occurs in response to the application of the electrical stimulus to the first aspect of the bone; (c) automatically increasing the magnitude of the electrical stimulus to until the onset neuro-muscular response is detected; and (d) communicating to a user via at least one of visual and audible means information representing the magnitude of the electrical stimulus which caused the onset neuro-muscular response.
摘要翻译： 用于确定患者脊柱内骨骼的结构完整性的方法，所述骨具有第一方面和第二方面，其中所述第二方面与所述第一方面分开宽度并且位于脊神经附近。 所述方法包括（a）对骨骼的第一方面施加电刺激; （b）电性监测与脊髓神经相关的肌肉肌肉注射器，以检测是否发生神经 - 肌肉反应，以响应于电刺激对骨的第一方面的应用; （c）自动增加电刺激的大小，直到发现神经肌肉反应发生; 以及（d）通过视觉和听觉手段中的至少一个与用户通信，该信息表示导致发作神经 - 肌肉反应的电刺激的大小。
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