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21.
公开(公告)号:US20080312660A1
公开(公告)日:2008-12-18
申请号:US12140201
申请日:2008-06-16
申请人: Jeffery L. Bleich , Gregory P. Schmitz , Eric C. Miller , Michael Villalta , Jefferey Bleam , James Yurchenco , Michael P. Wallace
发明人: Jeffery L. Bleich , Gregory P. Schmitz , Eric C. Miller , Michael Villalta , Jefferey Bleam , James Yurchenco , Michael P. Wallace
CPC分类号: A61B5/1076 , A61B5/4504 , A61B5/4533 , A61B17/320016 , A61B90/06 , A61B2017/00261 , A61B2017/320008 , A61B2090/061 , A61B2090/063
摘要: Described herein are method, systems and devices for measuring the region adjacent to or around a nerve root, such as the space within an intervertebral foramen before, during and/or after a spinal decompression procedure. Measurement devices may be advanced by pulling on them using a guidewire passing through the intervertebral foramen and out of the subject. The measurement device may include sounds for determining one or more dimensions of the space around a nerve root within an intervertebral space, lateral recess or central canal. Various embodiments of sounds, including calibrated, inflatable, expandable, moldable, and tapered sounds (or combinations of these) are described.
摘要翻译: 这里描述了用于测量与神经根相邻或周围的区域的方法,系统和装置,例如脊椎减压手术之前,期间和/或之后的椎间孔内的空间。 可以使用穿过椎间孔的导丝并拉出受试者来拉伸测量装置。 测量装置可以包括用于确定椎间空间,侧向凹陷或中心管内的神经根周围的空间的一个或多个维度的声音。 描述了声音的各种实施例,包括校准的,可充气的,可扩展的,可模制的和渐缩的声音(或这些的组合)。
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公开(公告)号:US20240358450A1
公开(公告)日:2024-10-31
申请号:US18593893
申请日:2024-03-02
申请人: Gregory P. Schmitz
发明人: Gregory P. Schmitz
CPC分类号: A61B34/30 , A61B18/1492 , A61B34/71 , A61B2034/301 , A61B2034/303 , A61B2034/715
摘要: Catheter device and driving system configured to navigate the catheter through complex narrow tissue openings such as lung bronchi pathway openings of 3 millimeters or less. The device comprises a proximal catheter portion containing a hollow torque shaft, with a distal catheter portion connected to the proximal portion by an isolation transition coupler connected to this torque shaft. The distal position of the catheter is controlled by at least one steering cable/isolation coil arrangement. The system uses processor-controlled actuators that simultaneously rotate the torque shaft and the at least one steering cable/isolation coil in a 1:1 relationship, while also actuating the steering cable. The catheter is tipped by a tool plate, which can be equipped with various sensors and other instruments, connected to the outside via other conduits.
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23.
公开(公告)号:US20240358357A1
公开(公告)日:2024-10-31
申请号:US18422454
申请日:2024-01-25
申请人: Gregory P. Schmitz
发明人: Gregory P. Schmitz
CPC分类号: A61B17/00234 , A61B34/30 , A61B2017/00292 , A61B2017/00398 , A61B2034/301 , A61B2034/303 , A61M25/0113
摘要: System and method for using processor-controlled actuators to drive multi-stage catheter devices configured to navigate through complex narrow tissue openings such as lung bronchi pathway openings. The device comprises a proximal catheter portion containing a hollow torque shaft, with a distal catheter portion connected to the proximal portion by a rotatable coupler connected to this hollow shaft. The distal position of the proximal catheter can be controlled by independently controlled proximal stage steering cables positioned outside of the shaft, and the shaft itself can be used to rotate the distal catheter about the rotatable coupler. The position of the distal end of the distal catheter can be further controlled by distal stage steering cables positioned inside of the hollow shaft. The device is tipped by a tool plate, which can be equipped with various sensors and other instruments, connected to the outside via other conduits.
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公开(公告)号:US12127805B1
公开(公告)日:2024-10-29
申请号:US18634962
申请日:2024-04-14
申请人: Gregory P. Schmitz
发明人: Gregory P. Schmitz
CPC分类号: A61B34/30 , A61B1/00149 , A61B1/0055 , A61B1/018 , A61B1/2676 , A61B2034/301 , A61B2034/303 , A61M25/0113 , A61M25/0138
摘要: Catheter device and driving system configured to navigate the catheter through complex narrow tissue openings such as lung bronchi pathway openings of 3 millimeters or less. The device comprises a proximal catheter portion containing a hollow torque shaft, with a distal catheter portion connected to the proximal portion connected to this torque shaft. The distal position of the catheter is controlled by at least one steering cable/tensioning cable arrangement. The system uses processor-controlled actuators that simultaneously rotate the torque shaft and the at least one steering cable/tensioning cable in a 1:1 relationship, while also actuating the steering cable. The catheter is tipped by a tool plate, which can be equipped with various sensors and other instruments and connected to the outside via other conduits.
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公开(公告)号:US11925427B2
公开(公告)日:2024-03-12
申请号:US18186176
申请日:2023-03-19
申请人: Gregory P. Schmitz
发明人: Gregory P. Schmitz
CPC分类号: A61B34/30 , H02K15/00 , A61B2034/306 , A61B2034/715
摘要: Computerized system and method of manufacturing an articulated surgical device. Surgical device pathway data (often from medical scans), target and entry point location data, and design parameters in computer memory are used to automatically design, and subsequently manufacture the customized device. The device typically comprises a plurality of units, which may have varying lengths and widths, connected to other units by at least one moveable joint. The device is configured to accommodate multiple pull cables, often running from the distal to the proximal end. These cables enable an operator, often using a proximal control device, to precisely control the orientation of the distal end as the device traverses a patient's body pathways. The distal end of the device may have an effector unit configured to perform a medical task. Design and manufacture are facilitated by use of AI computerized design methods and computer controlled (CNC, laser cutting, 3D printing) methods.
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公开(公告)号:US20230190393A1
公开(公告)日:2023-06-22
申请号:US18110925
申请日:2023-02-17
申请人: Gregory P. Schmitz
发明人: Gregory P. Schmitz
CPC分类号: A61B34/30 , H02K15/00 , A61B2034/715
摘要: In an example, there is provided a method for manipulating a robotic surgery tool, the method comprising: applying tension to a first pull wire to cause a first link of a joint device of the tool to pivot in a first plane relative to a yoke attached to the first link; and applying tension to a second pull wire to cause a second link attached to the yoke to pivot in a second plane orthogonal to the first plane.
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公开(公告)号:US08663228B2
公开(公告)日:2014-03-04
申请号:US13232882
申请日:2011-09-14
申请人: Gregory P. Schmitz , Michael P. Wallace , Ronald Leguidleguid , Nestor C. Cantorna , James Shapiro , Jeffery L. Bleich
发明人: Gregory P. Schmitz , Michael P. Wallace , Ronald Leguidleguid , Nestor C. Cantorna , James Shapiro , Jeffery L. Bleich
CPC分类号: A61B17/1631 , A61B17/149 , A61B17/1659 , A61B17/1671 , A61B17/1735 , A61B17/320016 , A61B17/32002 , A61B17/3207 , A61B2017/00261 , A61B2017/320004 , A61B2017/320008 , A61B2017/32006
摘要: Described herein are elongate devices for modifying tissue having a plurality of flexibly connected rungs or links, and methods of using them, including methods of using them to decompress stenotic spinal tissue. These devices may be included as part of a system for modifying tissue. In general, these devices include a plurality of blades positioned on (or formed from) rungs that are flexibly connected. The rungs are typically rigid, somewhat flat and wider than they are long (e.g., rectangular). The rungs may be arranged, ladder like, and may be connected by a flexible connector substrate or between two or more cables. Different sized rungs may be used. The blades (on the rungs) may be arranged in a staggered arrangement. A tissue-collection or tissue capture element may be used to collect the cut or modified tissue.
摘要翻译: 本文描述的是用于修改具有多个柔性连接的梯级或链节的组织的细长装置,以及使用它们的方法,包括使用它们来减压狭窄的脊髓组织的方法。 可以将这些装置作为用于修改组织的系统的一部分。 通常,这些装置包括位于柔性连接的(或由)梯级形成的多个叶片。 梯级通常是刚性的,稍微平坦并且比它们长(例如矩形)更宽。 梯级可以布置成梯子,并且可以通过柔性连接器基板或两根或更多根电缆连接。 可以使用不同尺寸的梯级。 刀片(在梯级上)可以以交错排列布置。 可以使用组织收集或组织捕获元件来收集切割或修饰的组织。
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公开(公告)号:US20120065639A1
公开(公告)日:2012-03-15
申请号:US13232882
申请日:2011-09-14
申请人: Gregory P. Schmitz , Michael P. Wallace , Ronald Leguidleguid , Nestor C. Cantorna , James Shapiro , Jeffery L. Bleich
发明人: Gregory P. Schmitz , Michael P. Wallace , Ronald Leguidleguid , Nestor C. Cantorna , James Shapiro , Jeffery L. Bleich
IPC分类号: A61B17/16
CPC分类号: A61B17/1631 , A61B17/149 , A61B17/1659 , A61B17/1671 , A61B17/1735 , A61B17/320016 , A61B17/32002 , A61B17/3207 , A61B2017/00261 , A61B2017/320004 , A61B2017/320008 , A61B2017/32006
摘要: Described herein are elongate devices for modifying tissue having a plurality of flexibly connected rungs or links, and methods of using them, including methods of using them to decompress stenotic spinal tissue. These devices may be included as part of a system for modifying tissue. In general, these devices include a plurality of blades positioned on (or formed from) rungs that are flexibly connected. The rungs are typically rigid, somewhat flat and wider than they are long (e.g., rectangular). The rungs may be arranged, ladder like, and may be connected by a flexible connector substrate or between two or more cables. Different sized rungs may be used. The blades (on the rungs) may be arranged in a staggered arrangement. A tissue-collection or tissue capture element may be used to collect the cut or modified tissue.
摘要翻译: 本文描述的是用于修改具有多个柔性连接的梯级或链节的组织的细长装置,以及使用它们的方法,包括使用它们来减压狭窄的脊髓组织的方法。 可以将这些装置作为用于修改组织的系统的一部分。 通常,这些装置包括位于柔性连接的(或由)梯级形成的多个叶片。 梯级通常是刚性的,稍微平坦并且比它们长(例如矩形)更宽。 梯级可以布置成梯子,并且可以通过柔性连接器基板或两根或更多根电缆连接。 可以使用不同尺寸的梯级。 刀片(在梯级上)可以以交错排列布置。 可以使用组织收集或组织捕获元件来收集切割或修饰的组织。
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公开(公告)号:US20110112539A1
公开(公告)日:2011-05-12
申请号:US13007381
申请日:2011-01-14
申请人: Michael P. Wallace , Robert Garabedian , Gregory P. Schmitz , Jeffery L. Bleich , Nestor C. Cantorna , Ronald Leguidleguid , Roy Leguidleguild , Michael A. Sheinberg
发明人: Michael P. Wallace , Robert Garabedian , Gregory P. Schmitz , Jeffery L. Bleich , Nestor C. Cantorna , Ronald Leguidleguid , Roy Leguidleguild , Michael A. Sheinberg
IPC分类号: A61B17/16
CPC分类号: A61B17/1671 , A61B17/149 , A61B17/1659 , A61B17/320016 , A61B17/32002 , A61B17/3207 , A61B2017/00261 , A61B2017/320004 , A61B2017/320008 , A61B2017/32006 , A61B2017/32008 , A61B2090/3925 , A61B2090/3954 , A61B2090/3966
摘要: Described herein are elongate devices for modifying tissue having a plurality of flexibly connected and rungs or links, and methods of using them, including methods of using them to decompress stenotic spinal tissue. These devices may be included as part of a system for modifying tissue. In general, these devices include a plurality of blades positioned on for formed from) rungs that are flexibly connected and may be separated by one or more spacers. The rungs are typically wider than they are long (e.g., rectangular). The rungs may be arranged, ladder like, and may be connected by a flexible connector substrate or between two or more cables. Different sized rungs may be used, or rungs with different cutting properties. In some variations the tissue modification devices may have a non-linear axial shape, or may be converted from a first axial shape to a second axial shape.
摘要翻译: 本文描述的是用于修改具有多个柔性连接和梯级或链节的组织的细长装置,以及使用它们的方法,包括使用它们来减压狭窄的脊髓组织的方法。 可以将这些装置作为用于修改组织的系统的一部分。 通常,这些装置包括多个叶片,其位于用于形成的梯级上,所述多个叶片被柔性地连接并且可被一个或多个间隔件隔开。 梯级通常比它们长(例如,矩形)宽。 梯级可以布置成梯子,并且可以通过柔性连接器基板或两根或更多根电缆连接。 可以使用不同尺寸的梯级,或者具有不同切割性能的梯级。 在一些变型中,组织改变装置可以具有非线性轴向形状,或者可以从第一轴向形状转换成第二轴向形状。
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公开(公告)号:US20090069709A1
公开(公告)日:2009-03-12
申请号:US12060229
申请日:2008-03-31
IPC分类号: A61B5/053
CPC分类号: A61B5/0488 , A61B5/1104 , A61B5/4041 , A61B5/4504 , A61B5/4893 , A61B5/6855 , A61B2562/0209 , A61B2562/0261 , A61B2562/043 , A61B2562/046
摘要: Described herein are devices, systems and methods for determining if a nerve is nearby a device or a region of a device. In general, a device for determining if a nerve is nearby a device includes an elongate body having an outer surface with one or more bipole pairs arranged on the outer surface. Bipole pairs may also be referred to as tight bipoles. The bipole pairs may be arranged as a bipole network, and may include a cathode and an anode that are spaced relatively close together to form a limited broadcast field. In general, the broadcast filed is a controlled or “tight” broadcast field that extends from the bipole pair(s). Methods of using these devices and system are also described.
摘要翻译: 本文描述了用于确定神经是否在设备或设备的区域附近的装置,系统和方法。 通常,用于确定神经是否在设备附近的装置包括具有外表面的细长主体,所述外表面具有布置在外表面上的一个或多个双极对。 双极对也可以称为紧双极。 双极对可以被布置为双极网络,并且可以包括相对靠近在一起而形成有限的广播场的阴极和阳极。 通常,广播文件是从双极对延伸的受控或“紧密”的广播字段。 还描述了使用这些装置和系统的方法。
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