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公开(公告)号:US20100004654A1
公开(公告)日:2010-01-07
申请号:US12496094
申请日:2009-07-01
申请人: Gregory P. SCHMITZ , Michael P. Wallace , Winnie Chung , Amie R. Borgstrom , Jeffery L. Bleich , Gregory B. Arcenio , Ronald Leguidleguid , Roy Leguidleguid
发明人: Gregory P. SCHMITZ , Michael P. Wallace , Winnie Chung , Amie R. Borgstrom , Jeffery L. Bleich , Gregory B. Arcenio , Ronald Leguidleguid , Roy Leguidleguid
IPC分类号: A61B17/60
CPC分类号: A61B17/025 , A61B17/0218 , A61B17/7065 , A61B2017/0256 , A61B2017/32006 , A61M29/02
摘要: Described herein are methods and systems for precisely placing and/or manipulating devices within the body by first positioning a guidewire or pullwire through the body from a first location, around a curved pathway, and out of the body through a second location, so that the distal and proximal ends of the guidewire extend from the body, then pulling a device into position using the guidewire. The device to be positioned within the body is coupled to the proximal end of the guidewire, and the device is pulled into the body by pulling on the distal end of the guidewire that extends from the body. The device may be bimanually manipulated by pulling the guidewire distally, and an attachment to the device that extends proximally, allowing control of both the proximal and the distal ends. In this manner devices (and particularly implants such as innerspinous distracters, stimulating leads, and disc slings) may be positioned and/or manipulated within the body. Devices to modify tissue may also be positioned or manipulated so that a target tissue within the body is modified.
摘要翻译: 这里描述的是通过首先将引导线或拉线从第一位置,绕弯曲的路径定位穿过身体,并通过第二位置离开身体来精确地放置和/或操纵身体内的装置的方法和系统,使得 导丝的远端和近端从主体延伸,然后使用导丝将装置拉入位置。 定位在主体内的装置与导丝的近端相连,并且通过拉动从身体延伸的导丝的远端将装置拉入身体。 该装置可以通过向远侧拉动导丝线以及向近端延伸的装置的附件进行双手操纵,从而允许近端和远端的控制。 以这种方式,可以在体内定位和/或操纵装置(并且特别是植入物,例如内侧牵引器,刺激引线和盘吊带)。 修改组织的装置也可以被定位或操纵,从而改变身体内的目标组织。
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公开(公告)号:US08568416B2
公开(公告)日:2013-10-29
申请号:US13588969
申请日:2012-08-17
申请人: Gregory P. Schmitz , Michael P. Wallace , Winnie Chung , Amie R. Borgstrom , Jeffery L. Bleich , Gregory B. Arcenio , Ronald Leguidleguid , Roy Leguidleguid , Jefferey Bleam
发明人: Gregory P. Schmitz , Michael P. Wallace , Winnie Chung , Amie R. Borgstrom , Jeffery L. Bleich , Gregory B. Arcenio , Ronald Leguidleguid , Roy Leguidleguid , Jefferey Bleam
IPC分类号: A61B17/00
CPC分类号: A61F2/4611 , A61B5/0488 , A61B5/1076 , A61B5/1101 , A61B5/407 , A61B5/7207 , A61B10/0275 , A61B10/0283 , A61B17/0218 , A61B17/06109 , A61B17/149 , A61B17/1604 , A61B17/1611 , A61B17/1626 , A61B17/1635 , A61B17/1659 , A61B17/1671 , A61B17/1757 , A61B17/29 , A61B17/320016 , A61B17/32002 , A61B17/320068 , A61B17/32053 , A61B17/3207 , A61B17/320708 , A61B17/320758 , A61B17/320783 , A61B17/3401 , A61B17/3403 , A61B17/3421 , A61B17/3468 , A61B17/3496 , A61B17/683 , A61B17/7065 , A61B17/7068 , A61B17/7092 , A61B17/842 , A61B17/8897 , A61B18/02 , A61B18/14 , A61B18/1477 , A61B18/1487 , A61B18/20 , A61B90/04 , A61B90/39 , A61B2017/00039 , A61B2017/00261 , A61B2017/00287 , A61B2017/003 , A61B2017/00349 , A61B2017/00469 , A61B2017/00477 , A61B2017/00557 , A61B2017/00867 , A61B2017/00986 , A61B2017/0225 , A61B2017/320004 , A61B2017/320008 , A61B2017/320044 , A61B2017/32006 , A61B2018/0044 , A61B2018/00565 , A61B2018/00577 , A61B2018/00595 , A61B2018/00601 , A61B2018/1407 , A61B2018/1412 , A61B2018/1425 , A61B2018/1465 , A61B2034/2048 , A61B2090/0427 , A61B2090/061 , A61B2090/064 , A61B2090/08021 , A61F2/0063 , A61M25/09041 , A61M25/0905 , A61N1/0551 , A61N1/08 , A61N2001/0578
摘要: Described herein are methods and systems for precisely placing and/or manipulating devices within the body by first positioning a guidewire or pullwire. The device to be positioned within the body is coupled to the proximal end of the guidewire, and the device is pulled into the body by pulling on the distal end of the guidewire that extends from the body. The device may be bimanually manipulated by pulling the guidewire distally, and an attachment to a device that extends proximally, allowing control of both the proximal and the distal ends. In this manner devices (and particularly implants such as innerspinous distracters, stimulating leads, and disc slings) may be positioned and/or manipulated within the body. Guidewire exchange systems, devices and methods are also described. A guidewire may be exchanged between different surgical devices and may be releaseably or permanently coupled.
摘要翻译: 这里描述的是通过首先定位导丝或拉线来精确地放置和/或操纵装置在体内的方法和系统。 定位在主体内的装置与导丝的近端相连,并且通过拉动从身体延伸的导丝的远端将装置拉入身体。 该装置可以通过将导丝线向远侧拉动和向近端延伸的装置的附件进行双手操作,从而允许近端和远端的控制。 以这种方式,可以在体内定位和/或操纵装置(并且特别是植入物,例如内侧牵引器,刺激引线和盘吊带)。 还将描述导丝交换系统,装置和方法。 导线可以在不同的手术装置之间交换,并且可以是可释放地或永久地耦合的。
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公开(公告)号:US20130053851A1
公开(公告)日:2013-02-28
申请号:US13588969
申请日:2012-08-17
申请人: Gregory P. Schmitz , Michael P. Wallace , Winnie Chung , Amie R. Borgstrom , Jeffery L. Bleich , Gregory B. Arcenio , Ronald Leguidleguid , Roy Leguidleguid , Jefferey Bleam
发明人: Gregory P. Schmitz , Michael P. Wallace , Winnie Chung , Amie R. Borgstrom , Jeffery L. Bleich , Gregory B. Arcenio , Ronald Leguidleguid , Roy Leguidleguid , Jefferey Bleam
IPC分类号: A61B17/90
CPC分类号: A61F2/4611 , A61B5/0488 , A61B5/1076 , A61B5/1101 , A61B5/407 , A61B5/7207 , A61B10/0275 , A61B10/0283 , A61B17/0218 , A61B17/06109 , A61B17/149 , A61B17/1604 , A61B17/1611 , A61B17/1626 , A61B17/1635 , A61B17/1659 , A61B17/1671 , A61B17/1757 , A61B17/29 , A61B17/320016 , A61B17/32002 , A61B17/320068 , A61B17/32053 , A61B17/3207 , A61B17/320708 , A61B17/320758 , A61B17/320783 , A61B17/3401 , A61B17/3403 , A61B17/3421 , A61B17/3468 , A61B17/3496 , A61B17/683 , A61B17/7065 , A61B17/7068 , A61B17/7092 , A61B17/842 , A61B17/8897 , A61B18/02 , A61B18/14 , A61B18/1477 , A61B18/1487 , A61B18/20 , A61B90/04 , A61B90/39 , A61B2017/00039 , A61B2017/00261 , A61B2017/00287 , A61B2017/003 , A61B2017/00349 , A61B2017/00469 , A61B2017/00477 , A61B2017/00557 , A61B2017/00867 , A61B2017/00986 , A61B2017/0225 , A61B2017/320004 , A61B2017/320008 , A61B2017/320044 , A61B2017/32006 , A61B2018/0044 , A61B2018/00565 , A61B2018/00577 , A61B2018/00595 , A61B2018/00601 , A61B2018/1407 , A61B2018/1412 , A61B2018/1425 , A61B2018/1465 , A61B2034/2048 , A61B2090/0427 , A61B2090/061 , A61B2090/064 , A61B2090/08021 , A61F2/0063 , A61M25/09041 , A61M25/0905 , A61N1/0551 , A61N1/08 , A61N2001/0578
摘要: Described herein are methods and systems for precisely placing and/or manipulating devices within the body by first positioning a guidewire or pullwire. The device to be positioned within the body is coupled to the proximal end of the guidewire, and the device is pulled into the body by pulling on the distal end of the guidewire that extends from the body. The device may be bimanually manipulated by pulling the guidewire distally, and an attachment to a device that extends proximally, allowing control of both the proximal and the distal ends. In this manner devices (and particularly implants such as innerspinous distracters, stimulating leads, and disc slings) may be positioned and/or manipulated within the body. Guidewire exchange systems, devices and methods are also described. A guidewire may be exchanged between different surgical devices and may be releaseably or permanently coupled.
摘要翻译: 这里描述的是通过首先定位导丝或拉线来精确地放置和/或操纵装置在体内的方法和系统。 定位在体内的装置与导丝的近端相连,并且通过拉动从身体延伸的导丝的远端将装置拉入身体。 该装置可以通过将导丝线向远侧拉动和向近端延伸的装置的附件进行双手操作,从而允许近端和远端的控制。 以这种方式,可以在体内定位和/或操纵装置(并且特别是植入物,例如内侧牵引器,刺激引线和盘吊带)。 还将描述导丝交换系统,装置和方法。 导线可以在不同的手术装置之间交换,并且可以是可释放地或永久地耦合的。
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公开(公告)号:US20090018507A1
公开(公告)日:2009-01-15
申请号:US12170392
申请日:2008-07-09
申请人: Gregory P. Schmitz , Jeffery L. Bleich , Roy Leguidleguid , Eric C. Miller , Gregory B. Arcenio , Michael P. Wallace
发明人: Gregory P. Schmitz , Jeffery L. Bleich , Roy Leguidleguid , Eric C. Miller , Gregory B. Arcenio , Michael P. Wallace
CPC分类号: A61B17/1757 , A61B17/00234 , A61B17/32053 , A61B17/3401 , A61B17/3403 , A61B17/3439 , A61B17/3472 , A61B2017/00022 , A61B2017/00039 , A61B2017/00261 , A61B2017/00292 , A61B2017/00867 , A61B2017/00991 , A61B2017/22044 , A61B2017/3443 , A61B2017/3484 , A61B2017/3488 , A61B2090/08021
摘要: Described herein are devices and systems for accessing a spine and particularly the epidural region of the spine and methods of using these systems and devices to access the spine or regions of the spine. In particular, cannulas that may be anchored to the ligamentum flavum or the periosteum are described. Ligamentum flavum access tools are also described. These tools may be used with (or without) an anchoring cannula to penetrate the ligamentum flavum and provide access to the epidural space without risk of injury to other structures within the epidural space. The devices, methods and systems described herein are particularly useful in minimally invasive surgical (MIS) uses. The devices, methods and systems described herein may be used for performing spinal decompressions and other spinal procedures.
摘要翻译: 本文描述了用于访问脊柱,特别是脊柱的硬膜外区域的装置和系统以及使用这些系统和装置来访问脊柱或脊柱区域的方法。 特别地,描述了可以锚定到黄韧带或骨膜的插管。 还描述了黄韧带访问工具。 这些工具可以与(或不))锚定套管一起使用以穿透黄韧带并提供对硬膜外腔的通路,而不会对硬膜外腔内的其他结构造成伤害。 本文描述的装置,方法和系统在微创手术(MIS)用途中特别有用。 本文描述的装置,方法和系统可用于执行脊柱减压和其它脊柱手术。
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公开(公告)号:US20110060314A1
公开(公告)日:2011-03-10
申请号:US12911537
申请日:2010-10-25
申请人: Michael P. Wallace , Robert Garabedian , Gregory B. Arcenio , Jeffery L. Bleich , Vahid Saadat , Winnie Chung
发明人: Michael P. Wallace , Robert Garabedian , Gregory B. Arcenio , Jeffery L. Bleich , Vahid Saadat , Winnie Chung
CPC分类号: A61B17/32 , A61B17/149 , A61B17/1659 , A61B17/1671 , A61B17/320016 , A61B17/3401 , A61B17/3403 , A61B17/3468 , A61B18/1477 , A61B18/1487 , A61B90/04 , A61B2017/00261 , A61B2017/003 , A61B2017/00331 , A61B2017/00867 , A61B2017/22038 , A61B2017/22049 , A61B2017/320004 , A61B2017/320044 , A61B2017/32006 , A61B2018/1407 , A61B2018/1425 , A61B2090/061 , A61B2090/08021 , A61F2/0045 , A61M25/0067 , A61M25/09 , A61M2210/1003 , A61N1/0551 , A61N1/36017
摘要: Described herein are devices, systems and methods for treating target tissue in a patient's spine. In general, the methods include the steps of advancing a wire into the patient from a first location, through a neural foramen, and out of the patient from a second location; connecting a tissue modification device to the wire; positioning the tissue modification device through the neural foramen using the wire; modifying target tissue in the spine by moving the tissue modification device against the target tissue; and delivering an agent to modified target tissue, wherein the agent is configured to inhibit blood flow from the modified target tissue. In some embodiments, the step of modifying target tissue comprises removing target tissue located ventral to the superior articular process while avoiding non-target tissue located lateral to the superior articular process.
摘要翻译: 本文描述了用于治疗患者脊柱中的靶组织的装置,系统和方法。 通常,所述方法包括以下步骤:从第一位置,通过神经孔进入患者,并从第二位置离开患者; 将组织修改装置连接到所述线; 通过使用丝线的神经孔定位组织修饰装置; 通过将组织改变装置移动到目标组织上来改变脊柱中的目标组织; 以及将药剂递送至修饰的靶组织,其中所述药剂被配置为抑制来自所述修饰的靶组织的血液流动。 在一些实施方案中,修饰靶组织的步骤包括去除位于上关节进程的腹侧的靶组织,同时避免位于上关节突侧的非靶组织。
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公开(公告)号:US09101386B2
公开(公告)日:2015-08-11
申请号:US12911537
申请日:2010-10-25
申请人: Michael P. Wallace , Robert Garabedian , Gregory B. Arcenio , Jeffery L. Bleich , Vahid Saadat , Winnie Chung
发明人: Michael P. Wallace , Robert Garabedian , Gregory B. Arcenio , Jeffery L. Bleich , Vahid Saadat , Winnie Chung
IPC分类号: A61M25/00 , A61B17/3205 , A61B17/32 , A61B17/16 , A61B19/00 , A61F2/00 , A61B17/34 , A61B18/14 , A61B17/00 , A61B17/14 , A61B17/22 , A61N1/05 , A61N1/36
CPC分类号: A61B17/32 , A61B17/149 , A61B17/1659 , A61B17/1671 , A61B17/320016 , A61B17/3401 , A61B17/3403 , A61B17/3468 , A61B18/1477 , A61B18/1487 , A61B90/04 , A61B2017/00261 , A61B2017/003 , A61B2017/00331 , A61B2017/00867 , A61B2017/22038 , A61B2017/22049 , A61B2017/320004 , A61B2017/320044 , A61B2017/32006 , A61B2018/1407 , A61B2018/1425 , A61B2090/061 , A61B2090/08021 , A61F2/0045 , A61M25/0067 , A61M25/09 , A61M2210/1003 , A61N1/0551 , A61N1/36017
摘要: Described herein are devices, systems and methods for treating target tissue in a patient's spine. In general, the methods include the steps of advancing a wire into the patient from a first location, through a neural foramen, and out of the patient from a second location; connecting a tissue modification device to the wire; positioning the tissue modification device through the neural foramen using the wire; modifying target tissue in the spine by moving the tissue modification device against the target tissue; and delivering an agent to modified target tissue, wherein the agent is configured to inhibit blood flow from the modified target tissue. In some embodiments, the step of modifying target tissue comprises removing target tissue located ventral to the superior articular process while avoiding non-target tissue located lateral to the superior articular process.
摘要翻译: 本文描述了用于治疗患者脊柱中的靶组织的装置,系统和方法。 通常,所述方法包括以下步骤:从第一位置,通过神经孔进入患者,并从第二位置离开患者; 将组织修改装置连接到所述线; 通过使用丝线的神经孔定位组织修饰装置; 通过将组织改变装置移动到目标组织上来改变脊柱中的目标组织; 以及将药剂递送至修饰的靶组织,其中所述药剂被配置为抑制来自所述修饰的靶组织的血液流动。 在一些实施方案中,修饰靶组织的步骤包括去除位于上关节进程的腹侧的靶组织,同时避免位于上关节突侧的非靶组织。
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公开(公告)号:US08551097B2
公开(公告)日:2013-10-08
申请号:US12917253
申请日:2010-11-01
CPC分类号: A61B17/00 , A61B1/3135 , A61B17/00234 , A61B17/0482 , A61B17/0483 , A61B17/1604 , A61B17/1611 , A61B17/1659 , A61B17/1671 , A61B17/1757 , A61B17/8897 , A61B2017/00477 , A61M25/09
摘要: A method and system for guiding at least a portion of a surgical device to a desired position between two tissues in a patient's body involves coupling a guidewire to the device and pulling the distal end of the guidewire to guide at least a portion of the surgical device to a desired position between the two tissues. The surgical device generally includes one or more guidewire coupling members and may comprise a tissue access device. A system may include a guidewire and a surgical device. In some embodiments, a guidewire, a tissue access device, and one or more additional devices to use with the access device may be provided. Methods, devices and systems may be used in open, less-invasive or percutaneous surgical procedures, in various embodiments.
摘要翻译: 用于将外科装置的至少一部分引导到患者身体的两个组织之间的期望位置的方法和系统包括将导丝连接到装置并拉动导丝的远端以引导手术装置的至少一部分 到两个组织之间的期望位置。 手术装置通常包括一个或多个导丝联接构件,并且可以包括组织接近装置。 系统可以包括导丝和外科装置。 在一些实施例中,可以提供导丝,纸巾接近装置以及与接入装置一起使用的一个或多个附加装置。 在各种实施例中,方法,装置和系统可以用于开放式,小侵入性或经皮外科手术。
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公开(公告)号:US20080086114A1
公开(公告)日:2008-04-10
申请号:US11468247
申请日:2006-08-29
IPC分类号: A61B17/00
CPC分类号: A61B17/00 , A61B1/3135 , A61B17/00234 , A61B17/0482 , A61B17/0483 , A61B17/1604 , A61B17/1611 , A61B17/1659 , A61B17/1671 , A61B17/1757 , A61B17/8897 , A61B2017/00477 , A61M25/09
摘要: A method and system for guiding at least a portion of a surgical device to a desired position between two tissues in a patient's body involves coupling a guidewire to the device and pulling the distal end of the guidewire to guide at least a portion of the surgical device to a desired position between the two tissues. The surgical device generally includes one or more guidewire coupling members and may comprise a tissue access device. A system may include a guidewire and a surgical device. In some embodiments, a guidewire, a tissue access device, and one or more additional devices to use with the access device may be provided. Methods, devices and systems may be used in open, less-invasive or percutaneous surgical procedures, in various embodiments.
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公开(公告)号:US20120022538A1
公开(公告)日:2012-01-26
申请号:US13267683
申请日:2011-10-06
IPC分类号: A61B17/16
CPC分类号: A61B17/1671 , A61B17/00234 , A61B17/02 , A61B17/149 , A61B17/1659 , A61B17/1757 , A61B17/32 , A61B17/320016 , A61B17/32002 , A61B17/3421 , A61B2017/00261 , A61B2017/00867 , A61B2017/320004 , A61B2017/32006 , A61B2017/3488 , A61B2090/08021
摘要: A device for removing tissue from a patient may include an elongate flexible body having a proximal end, a distal end, and a longitudinal axis therebetween, the elongate body having opposed first and second major surfaces with a lateral orientation across the axis, and a plurality of blades distributed laterally across the first major surface. Each blade may have a first end adjacent the first surface and extending to a cantilevered second end, a first edge between the first and second ends of the blade being oriented toward the distal end of the elongate body, a second edge between the first and second ends of the blade being oriented toward the proximal end of the elongate body, a height of the blade between its first and second ends, and an axial length of the blade between its first and second edges.
摘要翻译: 用于从患者去除组织的装置可以包括具有近端,远端和其间的纵向轴线的细长柔性体,所述细长体具有相对的第一和第二主表面,横向穿过轴线具有横向取向,并且多个 的叶片横向分布在第一主表面上。 每个叶片可以具有邻近第一表面的第一端并且延伸到悬臂的第二端,叶片的第一和第二端之间的第一边缘朝向细长主体的远端定向,第一边缘在第一和第二端之间 叶片的端部朝向细长体的近端定向,叶片在其第一和第二端之间的高度以及叶片在其第一和第二边缘之间的轴向长度。
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公开(公告)号:US20080033465A1
公开(公告)日:2008-02-07
申请号:US11535000
申请日:2006-09-25
IPC分类号: A61B17/32
CPC分类号: A61B17/1604 , A61B17/1671 , A61B17/320016 , A61B17/32002 , A61B17/320783 , A61B2017/00261 , A61B2017/003 , A61B2017/2901 , A61B2017/2902 , A61B2017/2905 , A61B2017/32006 , A61B2017/320069 , A61B2017/32007
摘要: A device for cutting tissue in a human body may include an elongate shaft having a proximal portion and a distal portion, at least one translatable blade disposed along one side of the distal portion of the shaft, and at least one actuator coupled with the at least one translatable blade and extending to the proximal portion of the shaft, wherein the actuator is configured to translate the blade to cut tissue. In various embodiments, various components of the device may have dimensions that facilitate passing a portion of the device into or through a small space and also facilitate and/or enhance the device's tissue cutting abilies.
摘要翻译: 用于在人体中切割组织的装置可以包括具有近端部分和远侧部分的细长轴,至少一个沿着轴的远端部分的一侧设置的可平移刀片,以及至少一个致动器, 一个可平移的叶片并且延伸到所述轴的近端部分,其中所述致动器构造成将所述叶片平移到切割的组织。 在各种实施例中,装置的各种部件可以具有便于将装置的一部分通入或穿过小空间的尺寸,并且还促进和/或增强装置的组织切割装置。
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