公开(公告)号：US07179272B2

公开(公告)日：2007-02-20

申请号：US10786873

申请日：2004-02-25

Applicant: Maciej J. Kieturakis ,  Kenneth H. Mollenauer ,  Jan M. Echeverry ,  Thomas A. Howell ,  James E. Jervis ,  Helmut Kayan ,  Janine C. Robinson

Inventor： Maciej J. Kieturakis ,  Kenneth H. Mollenauer ,  Jan M. Echeverry ,  Thomas A. Howell ,  James E. Jervis ,  Helmut Kayan ,  Janine C. Robinson

IPC: A61B17/00 ,  A61B1/32 ,  A61M29/02

CPC classification number: A61M25/1002 ,  A61B17/00234 ,  A61B17/02 ,  A61B17/0218 ,  A61B17/320016 ,  A61B17/3421 ,  A61B17/3439 ,  A61B18/08 ,  A61B90/02 ,  A61B90/361 ,  A61B2017/00557 ,  A61B2017/00902 ,  A61B2017/0225 ,  A61B2017/320044 ,  A61B2017/320048 ,  A61B2017/320056 ,  A61B2090/0813 ,  A61F2/0063 ,  A61F2002/0072 ,  A61F2250/0003 ,  A61M25/0668 ,  A61M25/1027 ,  A61M29/02 ,  A61M2025/1004

Abstract: An expansible tunneling apparatus and associated methods for creating an anatomic working space for a surgical procedure. Various embodiments of one and two piece apparatus that permit laparoscopic observation both during tunneling and during subsequent balloon dissection are disclosed. In a disclosed one piece embodiment, a tubular member has a bore extending therethrough and an open distal end. A lip is formed in the distal end of the tubular member to capture the distal tip of a laparoscope that is inserted into the tubular member to permit observation of the procedure both during tunneling to a desired location and during subsequent balloon inflation. An elongated neck of the balloon is secured to the tunneling member. The elongated neck permits the tubular member to be withdrawn slightly from the balloon after inflation to facilitate observation. After the balloon has been advanced to the desired location in the body it is inflated through a balloon inflation lumen to cause the balloon to dissect tissue and create an operating space. Various balloon constructions and a reusable design are also disclosed.

公开(公告)号：US06866676B2

公开(公告)日：2005-03-15

申请号：US10403389

申请日：2003-03-28

Applicant: Maciej J. Kieturakis ,  Kenneth H. Mollenauer ,  Jan M. Echeverry ,  Thomas A. Howell ,  James E. Jervis ,  Helmut Kayan ,  Janine C. Robinson

Inventor： Maciej J. Kieturakis ,  Kenneth H. Mollenauer ,  Jan M. Echeverry ,  Thomas A. Howell ,  James E. Jervis ,  Helmut Kayan ,  Janine C. Robinson

IPC: A61B17/00 ,  A61B17/02 ,  A61B17/32 ,  A61B17/34 ,  A61B18/08 ,  A61B19/00 ,  A61F2/00 ,  A61F2/958 ,  A61M25/00 ,  A61M25/06 ,  A61M29/02

CPC classification number: A61M25/1002 ,  A61B17/00234 ,  A61B17/02 ,  A61B17/0218 ,  A61B17/320016 ,  A61B17/3421 ,  A61B17/3439 ,  A61B18/08 ,  A61B90/02 ,  A61B90/361 ,  A61B2017/00557 ,  A61B2017/00902 ,  A61B2017/0225 ,  A61B2017/320044 ,  A61B2017/320048 ,  A61B2017/320056 ,  A61B2090/0813 ,  A61F2/0063 ,  A61F2002/0072 ,  A61F2250/0003 ,  A61M25/0668 ,  A61M25/1027 ,  A61M29/02 ,  A61M2025/1004

Abstract: An expansible tunneling apparatus and associated methods for creating an anatomic working space for a surgical procedure. Various embodiments of one and two piece apparatus that permit laparoscopic observation both during tunneling and during subsequent balloon dissection are disclosed. In a disclosed one piece embodiment, a tubular member has a bore extending therethrough and an open distal end. A lip is formed in the distal end of the tubular member to capture the distal tip of a laparoscope that is inserted into the tubular member to permit observation of the procedure both during tunneling to a desired location and during subsequent balloon inflation. An elongated neck of the balloon is secured to the tunneling member. The elongated neck permits the tubular member to be withdrawn slightly from the balloon after inflation to facilitate observation. After the balloon has been advanced to the desired location in the body it is inflated through a balloon inflation lumen to cause the balloon to dissect tissue and create an operating space. Various balloon constructions and a reusable design are also disclosed.

Abstract translation: 一种可扩展的隧道装置和相关联的方法，用于创建外科手术的解剖工作空间。 公开了在隧道掘进期间和随后的气球解剖期间允许腹腔镜观察的一个和两个装置的各种实施例。 在公开的单件实施例中，管状构件具有延伸穿过其中的孔和敞开的远端。 在管状构件的远端形成唇缘以捕获插入到管状构件中的腹腔镜的远侧末端，以允许在隧道到期望的位置期间和随后的球囊膨胀期间观察手术过程。 气囊的细长的颈部固定在隧道构件上。 细长的颈部允许管状构件在充气之后从气囊中略微抽出以便于观察。 在气囊已经前进到身体中的所需位置之后，其通过球囊膨胀腔充气以使得气囊解剖组织并创建操作空间。 还公开了各种气球结构和可重复使用的设计。

公开(公告)号：US20170325853A1

公开(公告)日：2017-11-16

申请号：US15530859

申请日：2017-03-09

Applicant: Darin C. Gittings ,  Michael L. Reo ,  Janine C. Robinson

Inventor： Darin C. Gittings ,  Michael L. Reo ,  Janine C. Robinson

IPC: A61B17/70 ,  A61F2/44 ,  A61F2/30 ,  A61B17/00

CPC classification number: A61B17/7071 ,  A61B17/7064 ,  A61B2017/00867 ,  A61F2/4405 ,  A61F2/442 ,  A61F2002/30563 ,  A61F2002/30578 ,  A61F2002/4495

Abstract: Spinal stabilization devices, systems, and methods are described. Foramenal spacers including a rigid member adapted to maintain the integrity of the foramenal space. Facet joint stabilizing members and prosthetic facet joints that augment or replace the native facet joint are also described. Lateral spinal stabilization systems that may be attached to the lateral surfaces of adjacent vertebral bodies are described. Also described are anterior spinal stabilization systems that are to be attached to the anterior surfaces of adjacent vertebral bodies. Several variations of dynamic spinal stabilization devices and systems are described. Each of the foregoing devices, systems, and methods may be used independently, in combination with the other devices, systems, and methods described herein, and/or in combination with prosthetic intervertebral discs.

公开(公告)号：US09381098B2

公开(公告)日：2016-07-05

申请号：US11529824

申请日：2006-09-28

Applicant: Darin C. Gittings ,  Frank Fellenz ,  Jeffrey J. Dolin ,  Janine C. Robinson ,  Daren L. Stewart

Inventor： Darin C. Gittings ,  Frank Fellenz ,  Jeffrey J. Dolin ,  Janine C. Robinson ,  Daren L. Stewart

IPC: A61F2/44 ,  A61F2/46 ,  A61B17/02 ,  A61B17/16 ,  A61B17/17 ,  A61B17/92 ,  A61B19/00 ,  A61F2/30

CPC classification number: A61F2/4684 ,  A61B17/025 ,  A61B17/1604 ,  A61B17/1606 ,  A61B17/1671 ,  A61B17/1735 ,  A61B17/92 ,  A61B90/39 ,  A61B2017/0256 ,  A61B2090/033 ,  A61B2090/061 ,  A61B2090/067 ,  A61F2/4611 ,  A61F2/4657 ,  A61F2002/3008 ,  A61F2002/30507 ,  A61F2002/30538 ,  A61F2002/30553 ,  A61F2002/30563 ,  A61F2002/30579 ,  A61F2002/30601 ,  A61F2002/30616 ,  A61F2002/30884 ,  A61F2002/4627 ,  A61F2002/4628 ,  A61F2002/4658 ,  A61F2002/4668 ,  A61F2220/0025 ,  A61F2250/0006 ,  A61F2250/0008 ,  A61F2250/0098

Abstract: Described are tools—including distractor, trial, chisel, and inserter—that may be used as a system for implanting a prosthetic intervertebral disc in a spine. The distractor moves vertebrae and may have angled forks optionally offset for visibility with removable jaws optionally matching desired lordotic angles. The trial tool(s) may fit within the distractor forks, include a lordotic angle, and may include a disc portion, an adjustable stop, and a feature to control movement of the disc portion relative to the adjustable stop. The chisel tool cuts grooves in the vertebral bodies, which grooves affix the disc to the vertebrae. The chisel(s) may fit within openings in the trial, where those openings also serve as a guide during the groove-cutting step. The inserter tool, optionally with a movable pusher, is used for inserting the prosthetic disc into the prepared intervertebral disc space.

Abstract translation: 描述的是可以用作植入假体椎间盘在脊柱中的系统的工具（包括牵引器，试验，凿子和插入器）。 牵引器移动椎骨并且可以具有倾斜的叉，可选地偏移可见性，可选择地匹配所需的脊柱前凸角。 试验工具可以装配在牵引器叉中，包括脊柱角，并且可以包括盘部分，可调节止动件和用于控制盘部分相对于可调节止动件的移动的特征。 凿工具切割椎体中的凹槽，凹槽将椎间盘固定在椎骨上。 凿子可以安装在试验室的开口内，其中这些开口也在凹槽切割步骤期间用作导向件。 可选地具有可移动推动器的插入器工具用于将假体盘插入准备的椎间盘空间中。

公开(公告)号：US20080077244A1

公开(公告)日：2008-03-27

申请号：US11528175

申请日：2006-09-26

Applicant: Janine C. Robinson

Inventor： Janine C. Robinson

IPC: A61F2/44

CPC classification number: A61F2/442 ,  A61F2/30742 ,  A61F2/3094 ,  A61F2002/30133 ,  A61F2002/30448 ,  A61F2002/30495 ,  A61F2002/30563 ,  A61F2002/30738 ,  A61F2002/30884 ,  A61F2002/4495 ,  A61F2220/0025 ,  A61F2220/005 ,  A61F2230/0015

Abstract: This description deals with a medical device, specifically a prosthetic intervertebral disc having a compressible core and at least one cast, polymeric end plate.

Abstract translation: 该描述涉及医疗装置，具体地说是具有可压缩芯和至少一个铸塑聚合物端板的假体椎间盘。

公开(公告)号：US06168608A

公开(公告)日：2001-01-02

申请号：US09427780

申请日：1999-10-26

Applicant: Jan M. Echeverry ,  Luis M. Fernandez ,  James E. Jervis ,  Janine C. Robinson ,  Shigeru Tanaka ,  Laveille K. Voss

Inventor： Jan M. Echeverry ,  Luis M. Fernandez ,  James E. Jervis ,  Janine C. Robinson ,  Shigeru Tanaka ,  Laveille K. Voss

IPC: A61M2900

CPC classification number: A61B17/0218 ,  A61B90/361 ,  A61B2017/00557 ,  A61B2017/320044 ,  A61B2090/0813

Abstract: An improved laparoscopic apparatus for tunneling to a desired anatomical location and developing a surgical space is disclosed, including a tunneling member adapted to receive a laparoscope therein and an inflatable balloon secured on the tunneling member. The tunneling member has a passage extending between its open proximal and distal ends. A lip is integrally formed on the distal end to retain a laparoscope inserted into the passage, the lip having a substantially rounded and blunt distal edge. The lip defines a recessed or open center area in the distal opening, enhancing the field of view of the laparoscope therethrough. The balloon is formed from flexible, transparent material, and is rolled and secured to the tunneling member. The balloon includes inverted seams and/or unfused outer edges adapted to minimize tissue trauma during inflation, and has an extended distal portion adapted to be unrolled during space development, thereby improving distal space development and enhancing visualization of landmarks within the space being developed.

Abstract translation: 公开了一种改进的用于隧道到期望的解剖位置和开发手术空间的腹腔镜装置，包括适于在其中容纳腹腔镜的隧道构件和固定在隧道构件上的可充气气囊。 隧道构件具有在其开放的近端和远端之间延伸的通道。 在远端一体地形成唇缘以保持插入通道中的腹腔镜，唇缘具有基本上圆形和钝的远端边缘。 唇缘在远侧开口中限定凹入或开放的中心区域，增强腹腔镜通过其的视野。 气囊由柔性透明材料形成，并被卷起并固定到隧道构件上。 气球包括倒置的接缝和/或未融合的外边缘，其适于在充气过程中最小化组织损伤，并且具有适于在空间展开期间展开的延伸的远侧部分，从而改善远端空间发展并增强正在开发的空间内的标志的可视化。

公开(公告)号：US6015421A

公开(公告)日：2000-01-18

申请号：US857193

申请日：1997-05-15

Applicant: Jan M. Echeverry ,  Luis M. Fernandez ,  James E. Jervis ,  Janine C. Robinson ,  Shigeru Tanaka ,  Laveille K. Voss

Inventor： Jan M. Echeverry ,  Luis M. Fernandez ,  James E. Jervis ,  Janine C. Robinson ,  Shigeru Tanaka ,  Laveille K. Voss

IPC: A61B17/00 ,  A61B1/00 ,  A61B17/02 ,  A61B17/32 ,  A61B19/00 ,  A61M29/00

CPC classification number: A61B17/0218 ,  A61B2017/00557 ,  A61B2017/320044 ,  A61B2090/0813 ,  A61B90/361

Abstract: An improved laparoscopic apparatus for tunneling to a desired anatomical location and developing a surgical space is disclosed, including a tunneling member adapted to receive a laparoscope therein and an inflatable balloon secured on the tunneling member. The tunneling member has a passage extending between its open proximal and distal ends. A lip is integrally formed on the distal end to retain a laparoscope inserted into the passage, the lip having a substantially rounded and blunt distal edge. The lip defines a recessed or open center area in the distal opening, enhancing the field of view of the laparoscope therethrough. The balloon is formed from flexible, transparent material, and is rolled and secured to the tunneling member. The balloon includes inverted seams and/or unfused outer edges adapted to minimize tissue trauma during inflation, and has an extended distal portion adapted to be unrolled during space development, thereby improving distal space development and enhancing visualization of landmarks within the space being developed.

Abstract translation: 公开了一种改进的用于隧道到期望的解剖位置和开发手术空间的腹腔镜装置，包括适于在其中容纳腹腔镜的隧道构件和固定在隧道构件上的可充气气囊。 隧道构件具有在其开放的近端和远端之间延伸的通道。 在远端一体地形成唇缘以保持插入通道中的腹腔镜，唇缘具有基本上圆形和钝的远端边缘。 唇缘在远侧开口中限定凹入或开放的中心区域，增强腹腔镜通过其的视野。 气囊由柔性透明材料形成，并被卷起并固定到隧道构件上。 气球包括倒置的接缝和/或未融合的外边缘，其适于在充气过程中最小化组织损伤，并且具有适于在空间展开期间展开的延伸的远侧部分，从而改善远端空间发展并增强正在开发的空间内的标志的可视化。

公开(公告)号：US5772680A

公开(公告)日：1998-06-30

申请号：US570766

申请日：1995-12-12

Applicant: Maciej J. Kieturakis ,  Kenneth H. Mollenauer ,  Jan M. Echeverry ,  Thomas A. Howell ,  James E. Jervis ,  Helmut Kayan ,  Janine C. Robinson

Inventor： Maciej J. Kieturakis ,  Kenneth H. Mollenauer ,  Jan M. Echeverry ,  Thomas A. Howell ,  James E. Jervis ,  Helmut Kayan ,  Janine C. Robinson

IPC: A61B17/00 ,  A61B17/02 ,  A61B17/32 ,  A61B17/34 ,  A61B18/08 ,  A61B19/00 ,  A61F2/00 ,  A61F2/84 ,  A61M25/00 ,  A61M25/06 ,  A61M25/10 ,  A61M29/02

CPC classification number: A61M25/1029 ,  A61B17/00234 ,  A61B17/02 ,  A61B17/0218 ,  A61B17/320016 ,  A61B18/08 ,  A61F2/0063 ,  A61M25/0668 ,  A61M25/1002 ,  A61M25/1038 ,  A61B17/3421 ,  A61B17/3439 ,  A61B2017/00557 ,  A61B2017/320044 ,  A61B2017/320048 ,  A61B2090/0813 ,  A61B90/361 ,  A61F2002/0072 ,  A61M25/1034 ,  A61M29/02

Abstract: An expansible tunneling apparatus and associated methods for creating an anatomic working space for a surgical procedure. Various embodiments of one and two piece apparatus that permit laparoscopic observation both during tunneling and during subsequent balloon dissection are disclosed. In a disclosed one piece embodiment, a tubular member has a bore extending therethrough and an open distal end. A lip is formed in the distal end of the tubular member to capture the distal tip of a laparoscope that is inserted into the tubular member to permit observation of the procedure both during tunneling to a desired location and during subsequent balloon inflation. An elongated neck of the balloon is secured to the tunneling member. The elongated neck permits the tubular member to be withdrawn slightly from the balloon after inflation to facilitate observation. After the balloon has been advanced to the desired location in the body it is inflated through a balloon inflation lumen to cause the balloon to dissect tissue and create an operating space. Various balloon constructions and a reusable design are also disclosed.

Abstract translation: 一种可扩展的隧道装置和相关联的方法，用于创建外科手术的解剖工作空间。 公开了在隧道掘进期间和随后的气球解剖期间允许腹腔镜观察的一个和两个装置的各种实施例。 在公开的单件实施例中，管状构件具有延伸穿过其中的孔和敞开的远端。 在管状构件的远端形成唇缘，以捕获插入到管状构件中的腹腔镜的远侧末端，以允许在隧道到期望的位置期间和随后的球囊膨胀期间观察该程序。 气囊的细长的颈部固定在隧道构件上。 细长的颈部允许管状构件在充气之后从气囊中略微抽出以便于观察。 在气囊已经前进到身体中的所需位置之后，其通过球囊膨胀腔充气以使得气囊解剖组织并创建操作空间。 还公开了各种气球结构和可重复使用的设计。

公开(公告)号：US5611775A

公开(公告)日：1997-03-18

申请号：US238904

申请日：1994-05-06

Applicant: Timothy R. Machold ,  Janine C. Robinson ,  Mary B. Michaels ,  Motasim M. Sirhan

Inventor： Timothy R. Machold ,  Janine C. Robinson ,  Mary B. Michaels ,  Motasim M. Sirhan

IPC: A61F2/958 ,  A61M29/02 ,  A61M31/00

CPC classification number: A61M25/104 ,  A61M25/1011 ,  A61M2025/1013 ,  A61M2025/105 ,  A61M2025/1079 ,  A61M25/1002

Abstract: A catheter and method of using the catheter for the delivery of therapeutic or diagnostic liquid within a body lumen of a patient. The catheter has an outer inflatable member which has a wall with a plurality of apertures which eject therapeutic or diagnostic liquid in a jet-like form deep within the lumenal tissue adjacent to the outer inflatable member. In one embodiment the catheter has an inner inflatable member disposed within the outer inflatable member which upon inflation expands the outer tubular member so as to dilatate a stenotic region of a body lumen such as an artery. The inflatable member may be provided with proximal and distal ends which expand to larger diameters than the central inflatable section so as to seal the larger ends and prevent the loss of fluid.

Abstract translation: 一种导管和使用导管将患者的体腔内的治疗或诊断液体输送的方法。 导管具有外部可膨胀构件，其具有壁，其具有多个孔，其以类似喷射的形式喷射处于与外部可膨胀构件相邻的内腔组织内部深处的液体。 在一个实施例中，导管具有设置在外部可膨胀构件内的内部可膨胀构件，其在膨胀时扩张外部管状构件，以便扩张体腔例如动脉的狭窄区域。 可膨胀构件可以设置有近端和远端，其膨胀到比中心可充气部分更大的直径，以便密封较大的端部并防止流体的损失。

公开(公告)号：US5519197A

公开(公告)日：1996-05-21

申请号：US393139

申请日：1995-02-21

Applicant: Janine C. Robinson ,  Isidro M. Gandionco ,  Jeffrey J. Christian ,  Elisha A. Tal

Inventor： Janine C. Robinson ,  Isidro M. Gandionco ,  Jeffrey J. Christian ,  Elisha A. Tal

IPC: A61B18/00 ,  A61B18/14 ,  G06M1/04 ,  G09F11/23 ,  G06M1/00 ,  G09F9/00

CPC classification number: G09F11/23 ,  G06M1/041 ,  A61B18/14 ,  A61B2018/00178 ,  A61B2018/00988

Abstract: Medical device having a counter for recording usage. A medical tool is provided having a proximal extremity. The tool having a collar fixed thereto and a cap. The cap includes a part which requires replacement and/or cleaning for each use of the tool. A detent assembly is carried by the cap and the collar and includes a rotatable counter wheel and a mechanism for causing advancement of the counter wheel from one number to the next number when the cap is separated from the collar so that the counter wheel is advanced by one increment each time the cap is removed and/or replaced on the collar to give an indication of the number of times that the device has been used.