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公开(公告)号：US09034038B2
公开(公告)日：2015-05-19
申请号：US12419532
申请日：2009-04-07
申请人： Bryan Barr , David Hovda , Yves Arramon
发明人： Bryan Barr , David Hovda , Yves Arramon
CPC分类号： A61F2/4425 , A61F2/30734 , A61F2002/30362 , A61F2002/30515 , A61F2002/30528 , A61F2002/30604 , A61F2002/30662 , A61F2002/30663 , A61F2002/3069 , A61F2002/30884 , A61F2002/30899 , A61F2002/30904 , A61F2002/443 , A61F2220/0025 , A61F2220/0033
摘要： A spacer for an artificial spinal disc arrangement is provided. The artificial disc arrangement includes an upper plate, a lower plate, and articulating surfaces between the upper and lower plates arranged to permit motion between the upper and lower plates. The spacer has a first surface for contacting the upper plate and a second surface for contacting the lower plate and is of sufficient thickness such that, when disposed between the upper and lower plates, the spacer limits motion between the upper and lower plates. An artificial disc, a method of limiting motion of an artificial disc in a patient, and a method of performing spinal disc surgery are also disclosed.
摘要翻译： 提供了用于人造脊椎盘装置的间隔件。 人造盘装置包括上板，下板和上板和下板之间的铰接表面，其布置成允许上板和下板之间的运动。 间隔件具有用于接触上板的第一表面和用于接触下板的第二表面，并且具有足够的厚度，使得当设置在上板和下板之间时，间隔件限制上板和下板之间的运动。 还公开了一种人造盘，限制人体椎间盘在患者体内的运动的方法，以及进行椎间盘手术的方法。
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公开(公告)号：US20100087868A1
公开(公告)日：2010-04-08
申请号：US12419532
申请日：2009-04-07
申请人： Bryan Barr , David Hovda , Yves Arramon
发明人： Bryan Barr , David Hovda , Yves Arramon
CPC分类号： A61F2/4425 , A61F2/30734 , A61F2002/30362 , A61F2002/30515 , A61F2002/30528 , A61F2002/30604 , A61F2002/30662 , A61F2002/30663 , A61F2002/3069 , A61F2002/30884 , A61F2002/30899 , A61F2002/30904 , A61F2002/443 , A61F2220/0025 , A61F2220/0033
摘要： A spacer for an artificial spinal disc arrangement is provided. The artificial disc arrangement includes an upper plate, a lower plate, and articulating surfaces between the upper and lower plates arranged to permit motion between the upper and lower plates. The spacer has a first surface for contacting the upper plate and a second surface for contacting the lower plate and is of sufficient thickness such that, when disposed between the upper and lower plates, the spacer limits motion between the upper and lower plates. An artificial disc, a method of limiting motion of an artificial disc in a patient, and a method of performing spinal disc surgery are also disclosed.
摘要翻译： 提供了用于人造脊椎盘装置的间隔件。 人造盘装置包括上板，下板和上板和下板之间的铰接表面，其布置成允许上板和下板之间的运动。 间隔件具有用于接触上板的第一表面和用于接触下板的第二表面，并且具有足够的厚度，使得当设置在上板和下板之间时，间隔件限制上板和下板之间的运动。 还公开了一种人造盘，限制人体椎间盘在患者体内的运动的方法，以及进行椎间盘手术的方法。
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公开(公告)号：US20080009847A1
公开(公告)日：2008-01-10
申请号：US11842294
申请日：2007-08-21
申请人： Olivier Ricart , Jean Woloszko , David Hovda , Hira Thapliyal , Philip Eggers
发明人： Olivier Ricart , Jean Woloszko , David Hovda , Hira Thapliyal , Philip Eggers
CPC分类号： A61B18/1402 , A61B18/1206 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B18/1492 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00327 , A61B2018/00392 , A61B2018/00434 , A61B2018/0044 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00589 , A61B2018/00601 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1407 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/007 , A61F2/2493
摘要： Systems, apparatus, and methods for treating spinal tissue and other body structures in open and endoscopic spine surgery to relieve symptoms, such as neck or back pain. In particular, the present invention provides methods for the controlled heating of various tissues in or around the vertebral column, including various interspinous tissues, such that spinal ligaments and cartilage surrounding the vertebrae and the facet joints are shrunk or tightened to stabilize the vertebral column of a patient. Thermal energy is applied to the target tissue in a subablation mode of an electrosurgical system to cause shrinkage of the tissue, thereby stiffening the interspinous tissue and stabilizing the vertebral column. In an exemplary embodiment, a high frequency RF voltage can be applied between one or more active electrode(s) and one or more return electrode(s) to heat a target interspinous tissue to within a temperature range at which irreversible shrinkage of the tissue occurs.
摘要翻译： 用于在开放和内窥镜脊柱手术中治疗脊髓组织和其他身体结构的系统，装置和方法，以缓解症状，例如颈部或背部疼痛。 特别地，本发明提供了用于受控加热椎骨柱内或周围的各种组织的方法，包括各种棘突间组织，使得脊椎韧带和围绕椎骨和小关节的软骨收缩或收缩以稳定椎骨柱的 病人。 以电外科系统的消融模式将热能施加到靶组织，引起组织收缩，从而加强棘突间组织并稳定脊柱。 在示例性实施例中，可以在一个或多个有效电极和一个或多个返回电极之间施加高频RF电压，以将目标棘突间组织加热到组织发生不可逆收缩的温度范围内 。
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44.发明授权公开(公告)号：US08758441B2
公开(公告)日：2014-06-24
申请号：US12255737
申请日：2008-10-22
申请人： David Hovda , Yves Arramon
发明人： David Hovda , Yves Arramon
IPC分类号： A61F2/44
CPC分类号： A61F2/4465 , A61B17/86 , A61F2/30771 , A61F2002/30056 , A61F2002/30772 , A61F2002/30787 , A61F2002/30884 , A61F2002/30899 , A61F2002/30904 , A61F2002/449 , A61F2250/0032 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00071 , A61F2310/00131 , A61F2310/00179 , A61F2310/00407 , A61F2310/00431 , A61F2310/00604 , A61F2310/00796 , A61F2310/0088 , A61F2310/00976
摘要： A vertebral body replacement includes first and second end plates, and a compliant connector section between the end plates having one or more helical cuts to provide limited compliance between the end plates. The compliant connector section can be provided in a separate spacer that fits between the end plates or directly in one or more of the end plates. The adjoining end plate surfaces, and/or adjoining surfaces of the spacer, include a rotational interlock to inhibit rotational motion between the surfaces and allow a modular stacking assembly of the vertebral body replacement to accommodate a wide range of patients.
摘要翻译： 椎体替换包括第一和第二端板，以及在端板之间具有一个或多个螺旋切口的柔性连接器部分，以在端板之间提供有限的顺应性。 柔性连接器部分可以设置在单独的间隔件中，该隔离件适配在端板之间或直接位于一个或多个端板中。 邻接的端板表面和/或间隔件的邻接表面包括旋转互锁以阻止表面之间的旋转运动，并允许椎体替换的模块化堆叠组合以适应广泛的患者。
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公开(公告)号：US07331956B2
公开(公告)日：2008-02-19
申请号：US11498846
申请日：2006-08-02
申请人： David Hovda , Jean Woloszko , Norman Sanders , Brian Martini
发明人： David Hovda , Jean Woloszko , Norman Sanders , Brian Martini
IPC分类号： A61B18/14
CPC分类号： A61B18/148 , A01N43/52 , A01N43/80 , A01N43/90 , A61B18/1206 , A61B18/14 , A61B18/1402 , A61B18/1477 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B18/1492 , A61B90/11 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2017/00261 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00291 , A61B2018/00327 , A61B2018/00392 , A61B2018/00434 , A61B2018/0044 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00589 , A61B2018/00601 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1407 , A61B2018/1425 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/007 , A61F2/2493 , C07D403/12 , C07D409/12 , C07D413/12 , C07D491/04
摘要： Apparatus and methods for treating back pain of a patient by denervation of an intervertebral disc or a region of the posterior longitudinal ligament by the controlled application of heat to a target tissue. In one embodiment, the invention may include a procedure combining both decompression of a disc, and denervation of the annulus fibrosus. In one embodiment, a method of the invention includes positioning an active electrode of an electrosurgical instrument in at least close proximity to an intervertebral disc, and applying at least a first high frequency voltage between the active electrode and a return electrode, wherein nervous tissue within the annulus fibrosus is inactivated, and discogenic pain of the patient is alleviated. In one embodiment, the invention includes positioning a first electrode of a dual-shaft electrosurgical instrument at a first location in relation to a target disc, positioning a second electrode of the instrument at a second location, and applying a high frequency voltage between the first and second electrodes, wherein the first and second electrodes are disposed on separate shafts of the instrument.
摘要翻译： 用于通过将受控制的热量施加到靶组织来去除椎间盘或后纵韧带区域来治疗患者的背部疼痛的装置和方法。 在一个实施例中，本发明可以包括组合椎间盘减压和纤维环的去神经支配的过程。 在一个实施例中，本发明的方法包括将电外科器械的有源电极定位在至少紧邻椎间盘的位置，以及在有效电极和返回电极之间施加至少第一高频电压，其中在 纤维环失活，患者的椎间盘疼痛得到缓解。 在一个实施例中，本发明包括将双轴电外科器械的第一电极相对于目标盘定位在第一位置，将仪器的第二电极定位在第二位置，并且在第一位置之间施加高频电压 和第二电极，其中所述第一和第二电极设置在所述器械的分开的轴上。
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公开(公告)号：US20070010809A1
公开(公告)日：2007-01-11
申请号：US11498846
申请日：2006-08-02
申请人： David Hovda , Jean Woloszko , Norman Sanders , Brian Martini
发明人： David Hovda , Jean Woloszko , Norman Sanders , Brian Martini
CPC分类号： A61B18/148 , A01N43/52 , A01N43/80 , A01N43/90 , A61B18/1206 , A61B18/14 , A61B18/1402 , A61B18/1477 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B18/1492 , A61B90/11 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2017/00261 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00291 , A61B2018/00327 , A61B2018/00392 , A61B2018/00434 , A61B2018/0044 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00589 , A61B2018/00601 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1407 , A61B2018/1425 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/007 , A61F2/2493 , C07D403/12 , C07D409/12 , C07D413/12 , C07D491/04
摘要： Apparatus and methods for treating back pain of a patient by denervation of an intervertebral disc or a region of the posterior longitudinal ligament by the controlled application of heat to a target tissue. In one embodiment, the invention may include a procedure combining both decompression of a disc, and denervation of the annulus fibrosus. In one embodiment, a method of the invention includes positioning an active electrode of an electrosurgical instrument in at least close proximity to an intervertebral disc, and applying at least a first high frequency voltage between the active electrode and a return electrode, wherein nervous tissue within the annulus fibrosus is inactivated, and discogenic pain of the patient is alleviated. In one embodiment, the invention includes positioning a first electrode of a dual-shaft electrosurgical instrument at a first location in relation to a target disc, positioning a second electrode of the instrument at a second location, and applying a high frequency voltage between the first and second electrodes, wherein the first and second electrodes are disposed on separate shafts of the instrument.
摘要翻译： 用于通过将受控制的热量施加到靶组织来去除椎间盘或后纵韧带区域来治疗患者的背部疼痛的装置和方法。 在一个实施例中，本发明可以包括组合椎间盘减压和纤维环的去神经支配的过程。 在一个实施例中，本发明的方法包括将电外科器械的有源电极定位在至少紧邻椎间盘的位置，以及在有效电极和返回电极之间施加至少第一高频电压，其中在 纤维环失活，患者的椎间盘疼痛得到缓解。 在一个实施例中，本发明包括将双轴电外科器械的第一电极相对于目标盘定位在第一位置，将仪器的第二电极定位在第二位置，并且在第一位置之间施加高频电压 和第二电极，其中所述第一和第二电极设置在所述器械的分开的轴上。
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公开(公告)号：US20060253117A1
公开(公告)日：2006-11-09
申请号：US11373356
申请日：2006-03-09
申请人： David Hovda , Maria Ellsberry , Philip Eggers , Hira Thapliyal
发明人： David Hovda , Maria Ellsberry , Philip Eggers , Hira Thapliyal
IPC分类号： A61B18/18
CPC分类号： A61B18/1492 , A61B18/1206 , A61B18/1402 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00327 , A61B2018/00392 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00601 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1407 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/007 , A61F2/2493 , A61M3/0283
摘要： The present invention provides systems and methods for selectively applying electrical energy to a target location within the head and neck of a patient's body, particularly including tissue in the ear, nose and throat. The present invention applies high frequency (RF) electrical energy to one or more electrode terminals in the presence of electrically conductive fluid to remove and/or modify the structure of tissue structures. The present invention is particularly useful for treating sleep obstructive disorders, such as sleep apnea and snoring.
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公开(公告)号：US20050004634A1
公开(公告)日：2005-01-06
申请号：US10903655
申请日：2004-07-29
申请人： Olivier Ricart , Jean Woloszko , David Hovda , Hira Thapliyal , Philip Eggers
发明人： Olivier Ricart , Jean Woloszko , David Hovda , Hira Thapliyal , Philip Eggers
CPC分类号： A61B18/1402 , A61B18/1206 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B18/1492 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00327 , A61B2018/00392 , A61B2018/00434 , A61B2018/0044 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00589 , A61B2018/00601 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1407 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/007 , A61F2/2493
摘要： Systems, apparatus, and methods for treating spinal tissue and other body structures in open and endoscopic spine surgery to relieve symptoms, such as neck or back pain. In particular, the present invention provides methods for the controlled heating of various tissues in or around the vertebral column, including various interspinous tissues, such that spinal ligaments and cartilage surrounding the vertebrae and the facet joints are shrunk or tightened to stabilize the vertebral column of a patient. Thermal energy is applied to the target tissue in a subablation mode of an electrosurgical system to cause shrinkage of the tissue, thereby stiffening the interspinous tissue and stabilizing the vertebral column. In an exemplary embodiment, a high frequency RF voltage can be applied between one or more active electrode(s) and one or more return electrode(s) to heat a target interspinous tissue to within a temperature range at which irreversible shrinkage of the tissue occurs.
摘要翻译： 用于在开放和内窥镜脊柱手术中治疗脊髓组织和其他身体结构的系统，装置和方法，以缓解症状，例如颈部或背部疼痛。 特别地，本发明提供了用于受控加热椎骨柱内或周围的各种组织的方法，包括各种棘突间组织，使得脊椎韧带和围绕椎骨和小关节的软骨收缩或收缩以稳定椎骨柱的 病人。 以电外科系统的消融模式将热能施加到靶组织，引起组织收缩，从而加强棘突间组织并稳定脊柱。 在一个示例性实施例中，可以在一个或多个有效电极和一个或多个返回电极之间施加高频RF电压，以将目标棘突间组织加热到组织发生不可逆收缩的温度范围内 。
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