公开(公告)号：US07500971B2

公开(公告)日：2009-03-10

申请号：US11925540

申请日：2007-10-26

申请人： John Y. Chang ,  Joshua Makower ,  Julia D. Vrany ,  Theodore C. Lamson ,  Amrish Jayprakash Walke

发明人： John Y. Chang ,  Joshua Makower ,  Julia D. Vrany ,  Theodore C. Lamson ,  Amrish Jayprakash Walke

IPC分类号： A61M31/00

CPC分类号： A61F11/002 ,  A61B5/065 ,  A61B10/06 ,  A61B17/1204 ,  A61B17/12045 ,  A61B17/12104 ,  A61B17/12136 ,  A61B17/1604 ,  A61B17/1608 ,  A61B17/1679 ,  A61B17/1688 ,  A61B17/24 ,  A61B17/32002 ,  A61B17/32075 ,  A61B17/3478 ,  A61B34/20 ,  A61B50/13 ,  A61B50/15 ,  A61B50/20 ,  A61B90/16 ,  A61B90/361 ,  A61B2017/00247 ,  A61B2017/003 ,  A61B2017/320004 ,  A61B2017/3486 ,  A61B2017/3488 ,  A61B2018/00392 ,  A61B2034/2051 ,  A61F2/958 ,  A61F2250/0067 ,  A61M25/007 ,  A61M25/10 ,  A61M2025/105 ,  A61M2025/1052

摘要： Sinusitis, mucocysts, tumors, infections, hearing disorders, choanal atresia, fractures and other disorders of the paranasal sinuses, Eustachian tubes, Lachrymal ducts and other ear, nose, throat and mouth structures are diagnosed and/or treated using minimally invasive approaches and, in many cases, flexible catheters as opposed to instruments having rigid shafts. Various diagnostic procedures and devices are used to perform imaging studies, mucus flow studies, air/gas flow studies, anatomic dimension studies and endoscopic studies. Access and occluding devices may be used to facilitate insertion of working devices such asendoscopes, wires, probes, needles, catheters, balloon catheters, dilation catheters, dilators, balloons, tissue cutting or remodeling devices, suction or irrigation devices, imaging devices, sizing devices, biopsy devices, image-guided devices containing sensors or transmitters, electrosurgical devices, energy emitting devices, devices for injecting diagnostic or therapeutic agents, devices for implanting devices such as stents, substance eluting or delivering devices and implants, etc.

摘要翻译： 鼻窦炎，粘膜囊肿，肿瘤，感染，听力障碍，胆管闭锁，鼻旁窦的骨折和其他疾病，咽鼓管，泪道和其他耳，鼻，喉和嘴结构被诊断和/或使用微创方法治疗， 在许多情况下，柔性导管与具有刚性轴的仪器相反。 使用各种诊断程序和装置进行成像研究，粘液流动研究，空气/气体流动研究，解剖维度研究和内窥镜研究。 可以使用进入和闭塞装置以便于诸如内窥镜，电线，探针，针，导管，球囊导管，扩张导管，扩张器，球囊，组织切割或重塑装置等工作装置的插入，抽吸或冲洗装置，成像装置，定径装置 ，活检装置，包含传感器或发射器的图像引导装置，电外科装置，能量发射装置，用于注射诊断或治疗剂的装置，用于植入诸如支架的装置，物质洗脱或递送装置和植入物等的装置。

公开(公告)号：US20090018573A1

公开(公告)日：2009-01-15

申请号：US11947351

申请日：2007-11-29

申请人： Elmar Teichtmann

发明人： Elmar Teichtmann

IPC分类号： A61B17/28

CPC分类号： A61B17/29 ,  A61B17/1608 ,  A61B2017/2902 ,  A61B2017/2939

摘要： The invention relates to a medical instrument having a hollow shaft, a tool positioned on the distal end of the shaft consisting of a rigid jaw member and a jaw member that can rotate with respect to the rigid jaw member, as well as a handle positioned on the proximal end of the shaft. The tool and the handle are in active connection with one another by a push-pull rod mounted in the shaft, and the jaw members of the tool are mounted on one another by pins. It is proposed with the invention that the push-pull rod should be configured as a hollow slide tube mounted in the shaft so that it can slide axially and is in active connection with the rotatable jaw member by an actuation element that is essentially rod-shaped.

摘要翻译： 本发明涉及一种具有中空轴的医疗器械，位于轴的远端上的工具，其由刚性钳口构件和能够相对于刚性钳口构件旋转的钳口构件以及位于 轴的近端。 工具和手柄通过安装在轴中的推拉杆彼此主动连接，并且工具的钳口构件通过销彼此安装。 本发明提出推拉杆应该被构造为安装在轴中的中空滑动管，使得其可以轴向滑动并且通过致动元件主动连接，该致动元件基本上是杆形的 。

公开(公告)号：US07465304B1

公开(公告)日：2008-12-16

申请号：US10412772

申请日：2003-04-14

申请人： Scott M. W. Haufe ,  Anthony R. Mork

发明人： Scott M. W. Haufe ,  Anthony R. Mork

IPC分类号： A61B17/00

CPC分类号： A61B17/1671 ,  A61B17/1604 ,  A61B17/1608

摘要： A surgical kit is used for performing an anterior cervical disectomy, the surgical kit having a sheath that is inserted into a mammal by using a bullet coupled to the sheath and impacting on the bullet. Various cutters, including a cervical cutter having a drill tip end, a serrated cutter having an enclave for receiving cutting spoils therein, and a deburrment cutter having a burr end, are insertable through the sheath for cutting bone and disc matter. An impactor can be used to move the sheath within the mammal during use of the serrated cutter and deburrment cutter without the need to remove either tool. A pituitaries is used to remove loose bone and disc material.

摘要翻译： 手术套件用于执行前颈椎切除术，手术套件具有通过使用联接到护套并撞击子弹的子弹插入到哺乳动物中的护套。 包括具有钻头末端的子宫颈切割器，具有用于在其中容纳切屑的毛坯的锯齿形切割器和具有毛刺末端的去毛刺切割器的各种切割器可插入穿过护套以切割骨和盘状物质。 在使用锯齿切割机和去毛刺切割机期间，可以使用冲击器来移动哺乳动物内的护套，而不需要移除任一工具。 使用垂体去除松散的骨骼和椎间盘材料。

公开(公告)号：US20080234720A1

公开(公告)日：2008-09-25

申请号：US11926467

申请日：2007-10-29

申请人： John Y. Chang ,  Joshua Makower ,  Julia D. Vrany ,  Theodore C. Lamson ,  Amrish Jayprakash Walke

发明人： John Y. Chang ,  Joshua Makower ,  Julia D. Vrany ,  Theodore C. Lamson ,  Amrish Jayprakash Walke

IPC分类号： A61M29/02

CPC分类号： A61F11/002 ,  A61B5/065 ,  A61B10/06 ,  A61B17/1204 ,  A61B17/12045 ,  A61B17/12104 ,  A61B17/12136 ,  A61B17/1604 ,  A61B17/1608 ,  A61B17/1679 ,  A61B17/1688 ,  A61B17/24 ,  A61B17/32002 ,  A61B17/32075 ,  A61B17/3478 ,  A61B34/20 ,  A61B50/13 ,  A61B50/15 ,  A61B50/20 ,  A61B90/16 ,  A61B90/361 ,  A61B2017/00247 ,  A61B2017/003 ,  A61B2017/320004 ,  A61B2017/3486 ,  A61B2017/3488 ,  A61B2018/00392 ,  A61B2034/2051 ,  A61F2/958 ,  A61F2250/0067 ,  A61M25/007 ,  A61M25/10 ,  A61M2025/105 ,  A61M2025/1052

摘要： Sinusitis, mucocysts, tumors, infections, hearing disorders, choanal atresia, fractures and other disorders of the paranasal sinuses, Eustachian tubes, Lachrymal ducts and other ear, nose, throat and mouth structures are diagnosed and/or treated using minimally invasive approaches and, in many cases, flexible catheters as opposed to instruments having rigid shafts. Various diagnostic procedures and devices are used to perform imaging studies, mucus flow studies, air/gas flow studies, anatomic dimension studies and endoscopic studies. Access and occluding devices may be used to facilitate insertion of working devices such asendoscopes, wires, probes, needles, catheters, balloon catheters, dilation catheters, dilators, balloons, tissue cutting or remodeling devices, suction or irrigation devices, imaging devices, sizing devices, biopsy devices, image-guided devices containing sensors or transmitters, electrosurgical devices, energy emitting devices, devices for injecting diagnostic or therapeutic agents, devices for implanting devices such as stents, substance eluting or delivering devices and implants, etc.

公开(公告)号：US20080208249A1

公开(公告)日：2008-08-28

申请号：US12035366

申请日：2008-02-21

申请人： Jason Blain ,  Eric J. Kovach

发明人： Jason Blain ,  Eric J. Kovach

IPC分类号： A61B17/00

CPC分类号： A61B17/1671 ,  A61B17/1608 ,  A61B17/1615 ,  A61B17/1642 ,  A61B17/562 ,  A61B17/7064 ,  A61B2218/00

摘要： Devices and methods for creating holes in the articular process of the vertebra are provided. One embodiment of the invention comprises a drill head comprising a frame, punch arm with punch tip and opposing plate. Methods of using the resulting holes to anchor or stabilize facet joint prosthesis, and also altering the spacing and motion at the facet joints of the vertebral column, are provided.

摘要翻译： 提供了在椎骨关节突中产生孔的装置和方法。 本发明的一个实施例包括钻头，其包括框架，具有冲头顶端的冲压臂和相对的板。 提供了使用所产生的孔来锚定或稳定小关节假体的方法，并且还改变了脊柱的小关节处的间隔和运动。

公开(公告)号：US20080097516A1

公开(公告)日：2008-04-24

申请号：US11926524

申请日：2007-10-29

申请人： John Chang ,  Joshua Makower ,  Julia Vrany ,  Theodore Lamson ,  Amrish Walke

发明人： John Chang ,  Joshua Makower ,  Julia Vrany ,  Theodore Lamson ,  Amrish Walke

IPC分类号： A61M29/02

CPC分类号： A61F11/002 ,  A61B5/065 ,  A61B10/06 ,  A61B17/1204 ,  A61B17/12045 ,  A61B17/12104 ,  A61B17/12136 ,  A61B17/1604 ,  A61B17/1608 ,  A61B17/1679 ,  A61B17/1688 ,  A61B17/24 ,  A61B17/32002 ,  A61B17/32075 ,  A61B17/3478 ,  A61B34/20 ,  A61B50/13 ,  A61B50/15 ,  A61B50/20 ,  A61B90/16 ,  A61B90/361 ,  A61B2017/00247 ,  A61B2017/003 ,  A61B2017/320004 ,  A61B2017/3486 ,  A61B2017/3488 ,  A61B2018/00392 ,  A61B2034/2051 ,  A61F2/958 ,  A61F2250/0067 ,  A61M25/007 ,  A61M25/10 ,  A61M2025/105 ,  A61M2025/1052

摘要： Sinusitis, mucocysts, tumors, infections, hearing disorders, choanal atresia, fractures and other disorders of the paranasal sinuses, Eustachian tubes, Lachrymal ducts and other ear, nose, throat and mouth structures are diagnosed and/or treated using minimally invasive approaches and, in many cases, flexible catheters as opposed to instruments having rigid shafts. Various diagnostic procedures and devices are used to perform imaging studies, mucus flow studies, air/gas flow studies, anatomic dimension studies and endoscopic studies. Access and occluding devices may be used to facilitate insertion of working devices such asendoscopes, wires, probes, needles, catheters, balloon catheters, dilation catheters, dilators, balloons, tissue cutting or remodeling devices, suction or irrigation devices, imaging devices, sizing devices, biopsy devices, image-guided devices containing sensors or transmitters, electrosurgical devices, energy emitting devices, devices for injecting diagnostic or therapeutic agents, devices for implanting devices such as stents, substance eluting or delivering devices and implants, etc.

公开(公告)号：US20070299526A1

公开(公告)日：2007-12-27

申请号：US11762945

申请日：2007-06-14

申请人： Hugues MALANDAIN

发明人： Hugues MALANDAIN

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 forming an incision in a body at a location apart from a mid-line axis defined by a portion of a spinal column including a first pair of adjacent spinous processes. A first support member is inserted percutaneously through the incision into a space between the first pair of adjacent spinous processes. A second support member is inserted percutaneously through the incision into a space between a second pair of adjacent spinous processes different from the first pair of adjacent spinous processes.

摘要翻译： 一种方法包括在与包括第一对相邻棘突的脊柱的一部分限定的中线轴线之间的位置处在身体中形成切口。 第一支撑构件通过切口经皮插入到第一对相邻棘突之间的空间中。 第二支撑构件通过切口经皮插入到与第一对相邻棘突不同的第二对相邻棘突之间的空间中。

公开(公告)号：US20070260245A1

公开(公告)日：2007-11-08

申请号：US11625626

申请日：2007-01-22

申请人： Hugues Malandain ,  Avram Edidin

发明人： Hugues Malandain ,  Avram Edidin

IPC分类号： A61B17/58

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。

公开(公告)号：US20070179524A1

公开(公告)日：2007-08-02

申请号：US11700915

申请日：2007-02-01

申请人： Robert M. Weber ,  Philips S. O'Quinn

发明人： Robert M. Weber ,  Philips S. O'Quinn

IPC分类号： A61B17/00

CPC分类号： A61B17/00 ,  A61B17/1604 ,  A61B17/1608 ,  A61B17/2833 ,  A61B17/2909 ,  A61B2017/2837 ,  A61B2017/2923 ,  A61B2017/2946

摘要： A handle for surgical instruments that has a “wishbone” configuration. In one embodiment, the instrument is provided with a ratchet mechanism allows two operating handles to be locked in a predetermined position (for example, when the surgical instrument that is maneuvered is in use) or to move relative to each other when the ratchet is partially or fully released (for example, when the surgical instrument that is maneuvered is not in use). In another embodiment, the instrument is provided with a rotary gear mechanism.

摘要翻译： 具有“叉骨”配置的手术器械手柄。 在一个实施例中，仪器设置有棘轮机构，允许两个操作手柄锁定在预定位置（例如，当操纵的手术器械正在使用时）或当棘轮部分地相对于彼此移动时 或完全释放（例如，当未操作的手术器械未被使用时）。 在另一个实施例中，仪器设置有旋转齿轮机构。

公开(公告)号：US20070032811A1

公开(公告)日：2007-02-08

申请号：US11509298

申请日：2006-08-24

申请人： Martin Storz

发明人： Martin Storz

IPC分类号： A61B17/32

CPC分类号： A61B17/1608 ,  A61B17/29 ,  A61B2017/2902 ,  A61B2017/2904 ,  A61B2017/2918 ,  A61B2017/292 ,  A61B2017/2924 ,  A61B2017/294 ,  A61B2017/2946 ,  A61B2090/0813 ,  A61B2090/3614

摘要： The invention relates to a medical cutting and/or holding instrument having a shaft, a handle consisting of two gripping members that is positioned on the proximal end of the shaft, and a push-pull rod mounted in a guide groove of the shaft to actuate a tool consisting of two jaw members that is positioned on the distal end of the shaft, such that for opening and closing the tool the push-pull rod can be coupled on the distal end with at least one rotatable jaw member of the tool and on the proximal end with a rotatable gripping member of the handle, and such that the push-pull rod and the rotatable gripping member can be dissolubly connected with one another by a coupling mechanism. To produce a medical cutting and/or holding instrument that can also be used for endoscopic purposes, it is proposed with the invention that the push-pull rod is coupled with the rotatable components both on the proximal and the distal ends with free play in a direction essentially perpendicular to the direction of motion of the push-pull rod.

摘要翻译： 本发明涉及一种具有轴的医疗切割和/或保持器具，由两个位于轴的近端上的夹紧构件组成的手柄以及安装在该轴的引导槽中的推拉杆以致动 由两个位于所述轴的远端上的钳口构件组成的工具，使得为了打开和关闭所述工具，所述推拉杆可在所述远端与所述工具的至少一个可旋转的钳口构件联接在一起 所述近端具有所述手柄的可旋转夹持构件，并且使得所述推拉杆和所述可旋转夹持构件可以通过联接机构彼此溶解地连接。 为了生产也可以用于内窥镜目的的医疗切割和/或保持器械，本发明提出推拉杆与近端和远端的可转动部件联接， 方向基本上垂直于推拉杆的运动方向。