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51.发明申请SYSTEM AND METHODS FOR DETERMINING NERVE PROXIMITY, DIRECTION, AND PATHOLOGY DURING SURGERY 有权用于确定手术过程中神经靠近，方向和病理学的系统和方法公开(公告)号：US20110184308A1
公开(公告)日：2011-07-28
申请号：US13080493
申请日：2011-04-05
Applicant: Norbert F. Kaula , Jeffrey J. Blewett (deceased) , James Gharib , Allen Farquhar , Goretti Medeiros
Inventor： Norbert F. Kaula , Jeffrey J. Blewett (deceased) , James Gharib , Allen Farquhar , Goretti Medeiros
IPC: A61B5/0488
CPC classification number: A61B5/4893 , A61B5/04001 , A61B5/0488 , A61B5/1106 , A61B5/4836 , A61B5/7217 , A61B5/743 , A61B17/00 , A61B17/02 , A61B2017/00039 , A61N1/08 , A61N1/36 , A61N1/36017
Abstract: The present invention involves systems and methods for determining nerve proximity, nerve direction, and pathology relative to a surgical instrument based on an identified relationship between neuromuscular responses and the stimulation signal that caused the neuromuscular responses.
Abstract translation: 本发明涉及用于基于神经肌肉反应和引起神经肌肉反应的刺激信号之间确定的关系来确定相对于外科器械的神经接近度，神经方向和病理学的系统和方法。
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公开(公告)号：US07935051B2
公开(公告)日：2011-05-03
申请号：US12428081
申请日：2009-04-22
Applicant: Patrick Miles , Scot Martinelli , Eric Finley , James Gharib , Allen Farquhar , Norbert Kaula , Jeffrey Blewett , Goretti Medeiros, legal representative
Inventor： Patrick Miles , Scot Martinelli , Eric Finley , James Gharib , Allen Farquhar , Norbert Kaula , Jeffrey Blewett
CPC classification number: A61B17/02 , A61B1/32 , A61B5/0492 , A61B5/4893 , A61B5/7405 , A61B5/742 , A61B17/0206 , A61B17/0218 , A61B17/025 , A61B17/0293 , A61B2017/00026 , A61B2017/00039 , A61B2017/0256 , A61B2017/0262
Abstract: A system for accessing a surgical target site and related methods, involving an initial distraction system for creating an initial distraction corridor, and an assembly capable of distracting from the initial distraction corridor to a secondary distraction corridor and thereafter sequentially receiving a plurality of retractor blades for retracting from the secondary distraction corridor to thereby create an operative corridor to the surgical target site, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.
Abstract translation: 用于接近外科手术目标部位的系统和相关方法，涉及用于产生初始牵引走廊的初始牵引系统，以及能够将初始牵引走廊分散到次级牵引走廊的组件，并且随后顺序地接收多个牵开器叶片，用于 从第二分离走廊收回，从而为外科手术目标部位创建一个手术走廊，两者都可配备一个或多个电极，用于检测神经结构的存在（以及可能的距离和/或方向），之前 在建立手术目标地点的手术走廊期间和之后。
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53.发明申请Systems and Methods for Performing Neurophysiologic Assesments With Pressure Monitoring 审中-公开用压力监测进行神经生理分析的系统和方法公开(公告)号：US20100317989A1
公开(公告)日：2010-12-16
申请号：US12817161
申请日：2010-06-16
Applicant: James Gharib , Allen Farquhar , Scott Martinelli , David Ivanko , Ben Verhage
Inventor： James Gharib , Allen Farquhar , Scott Martinelli , David Ivanko , Ben Verhage
IPC: A61B5/05
CPC classification number: A61B5/04001 , A61B5/0488 , A61B5/05 , A61B5/4029 , A61B5/4893
Abstract: Systems and methods for performing neurophysiologic assessments of neural tissue including nerve pathology monitoring which may or may not be augmented by adding the ability to assess or monitor the pressure being exerted upon a nerve or nerve root before, during and/or after retraction.
Abstract translation: 用于进行神经组织的神经生理学评估的系统和方法，包括神经病理学监测，其可以或可以不通过增加评估或监测在收缩之前，期间和/或之后施加在神经或神经根上的压力的能力来增强。
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公开(公告)号：US20100105986A1
公开(公告)日：2010-04-29
申请号：US12649604
申请日：2009-12-30
Applicant: Patrick Miles , Scot Martinelli , Eric Finley , James Gharib , Allen Farquhar , Norbert Kaula , Jeffrey Blewett , Goretti Medeiros
Inventor： Patrick Miles , Scot Martinelli , Eric Finley , James Gharib , Allen Farquhar , Norbert Kaula , Jeffrey Blewett , Goretti Medeiros
CPC classification number: A61B17/02 , A61B1/32 , A61B5/0492 , A61B5/4893 , A61B5/7405 , A61B5/742 , A61B17/0206 , A61B17/0218 , A61B17/025 , A61B17/0293 , A61B2017/00026 , A61B2017/00039 , A61B2017/0256 , A61B2017/0262
Abstract: A system for accessing a surgical target site and related methods, involving an initial distraction system for creating an initial distraction corridor, and an assembly capable of distracting from the initial distraction corridor to a secondary distraction corridor and thereafter sequentially receiving a plurality of retractor blades for retracting from the secondary distraction corridor to thereby create an operative corridor to the surgical target site, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.
Abstract translation: 用于接近外科手术目标部位的系统和相关方法，涉及用于产生初始牵引走廊的初始牵引系统，以及能够将初始牵引走廊分散到次级牵引走廊的组件，并且随后顺序地接收多个牵开器叶片，用于 从第二分离走廊收回，从而为外科手术目标部位创建一个手术走廊，两者都可配备一个或多个电极，用于检测神经结构的存在（以及可能的距离和/或方向），之前 在建立手术目标地点的手术走廊期间和之后。
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55.发明申请System and methods for assessing the neuromuscular pathway prior to nerve testing 有权在神经测试之前评估神经肌肉通路的系统和方法公开(公告)号：US20090018610A1
公开(公告)日：2009-01-15
申请号：US11665038
申请日：2005-10-07
Applicant: James Gharib , Allen Farquhar , Kelli Howell , Doug Layman , Albert Pothier
Inventor： James Gharib , Allen Farquhar , Kelli Howell , Doug Layman , Albert Pothier
IPC: A61N1/00
CPC classification number: A61B19/46 , A61B5/04001 , A61B5/0488 , A61B5/1106 , A61B5/4836 , A61B5/6823 , A61B17/02 , A61B17/17 , A61B17/8875 , A61B90/06 , A61B2505/05 , A61B2562/046 , A61N1/0456
Abstract: The present invention involves a system and methods for assessing the state of the neuromuscular pathway to ensure further nerve tests aimed at detecting at least one of a breach in a pedicle wall, nerve proximity, nerve direction, and nerve pathology, are not conducted when neuromuscular blockade levels may decrease the reliability of the results.
Abstract translation: 本发明涉及一种用于评估神经肌肉途径状态的系统和方法，以确保旨在检测椎弓根壁，神经接近，神经方向和神经病理学中的至少一种的神经测试，当神经肌肉 封锁水平可能降低结果的可靠性。
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Patent Agency Ranking
公开(公告)号：US20080058606A1
公开(公告)日：2008-03-06
申请号：US10682568
申请日：2003-10-08
Applicant: Patrick Miles , Scot Martinelli , Eric Finley , James Gharib , Allen Farquhar , Norbert Kaula , Jeffrey Blewett
Inventor： Patrick Miles , Scot Martinelli , Eric Finley , James Gharib , Allen Farquhar , Norbert Kaula , Jeffrey Blewett
IPC: A61B1/32
CPC classification number: A61B17/025 , A61B1/32 , A61B5/0488 , A61B17/0218 , A61B17/0293 , A61B17/3421 , A61B90/37 , A61B2017/00261 , A61B2017/0256 , A61B2017/0262 , A61M29/02
Abstract: A system for accessing a surgical target site and related methods, involving an initial distraction system for creating an initial distraction corridor, and an assembly capable of distracting from the initial distraction corridor to a secondary distraction corridor and thereafter sequentially receiving a plurality of retractor blades for retracting from the secondary distraction corridor to thereby create an operative corridor to the surgical target site, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.
Abstract translation: 用于接近外科手术目标部位的系统和相关方法，涉及用于产生初始牵引走廊的初始牵引系统，以及能够将初始牵引走廊分散到次级牵引走廊的组件，并且随后顺序地接收多个牵开器叶片，用于 从第二分离走廊收回，从而为外科手术目标部位创建一个手术走廊，两者都可配备一个或多个电极，用于检测神经结构的存在（以及可能的距离和/或方向），之前 在建立手术目标地点的手术走廊期间和之后。
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公开(公告)号：US09295396B2
公开(公告)日：2016-03-29
申请号：US13597160
申请日：2012-08-28
Applicant: James Gharib , Allen Farquhar , Doug Layman , Thomas Scholl , Albert Kim , Albert Pothier , Patrick Miles , Josef Gorek , Mark Peterson
Inventor： James Gharib , Allen Farquhar , Doug Layman , Thomas Scholl , Albert Kim , Albert Pothier , Patrick Miles , Josef Gorek , Mark Peterson
IPC: A61B5/04 , A61B5/05 , A61B18/04 , A61B18/18 , A61N1/00 , A61B5/0488 , A61B5/00 , A61N1/08 , A61B17/16 , A61B17/17 , A61B17/00 , A61N1/05 , A61N1/36 , A61B5/0492
CPC classification number: A61B5/04001 , A61B5/0488 , A61B5/0492 , A61B5/05 , A61B5/407 , A61B5/4566 , A61B5/4893 , A61B5/7271 , A61B5/7405 , A61B5/742 , A61B5/7455 , A61B5/746 , A61B17/00 , A61B17/1626 , A61B17/1671 , A61B17/1757 , A61B34/20 , A61B2017/00022 , A61B2017/00026 , A61N1/0551 , A61N1/08 , A61N1/36014
Abstract: The present invention relates to a system and methods generally aimed at surgery. More particularly, the present invention is directed at a system and related methods for performing surgical procedures and assessments involving the use of neurophysiology.
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公开(公告)号：US08568331B2
公开(公告)日：2013-10-29
申请号：US11883710
申请日：2006-02-02
Applicant: Rudolph Bertagnoli , James Gharib , G. Bryan Cornwall , Rory Schermerhorn
Inventor： Rudolph Bertagnoli , James Gharib , G. Bryan Cornwall , Rory Schermerhorn
IPC: A61B5/05
CPC classification number: A61B5/4041 , A61B5/04001 , A61B90/36 , A61N1/08
Abstract: The present invention involves a system and methods for nerve testing during anterior surgery, including but not limited to anterior total disc replacement surgery, nucleus replacement, and interbody fusion.
Abstract translation: 本发明涉及前方手术期间的神经测试的系统和方法，包括但不限于前部全盘替换手术，核替换和椎体间融合。
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公开(公告)号：US08548579B2
公开(公告)日：2013-10-01
申请号：US13568236
申请日：2012-08-07
Applicant: James Gharib , Allen Farquhar , Norbert Kaula , Eric Finley , Jamil Ebanna , Scot Martinelli , Goretti Medeiros
Inventor： James Gharib , Allen Farquhar , Norbert Kaula , Jeffrey Blewett , Eric Finley , Jamil Ebanna , Scot Martinelli
IPC: A61B5/04
CPC classification number: A61F2/4611 , A61B1/32 , A61B5/04001 , A61B5/0492 , A61B5/4893 , A61B5/6828 , A61B5/6831 , A61B17/0218 , A61B17/3417 , A61B17/3421 , A61B17/3423 , A61B34/20 , A61B34/25 , A61B90/36 , A61B90/37 , A61B2017/00039 , A61B2017/00199 , A61B2017/0262 , A61B2034/2053 , A61B2034/2072 , A61F2/4455 , A61F2002/4635 , A61N1/0551 , A61N1/0553 , A61N1/36 , A61N1/36135 , A61N1/36142 , A61N1/36157 , A61N1/37247
Abstract: The present invention involves systems and related methods for performing surgical procedures and assessments, including the use of neurophysiology-based monitoring to: (a) determine nerve proximity and nerve direction to surgical instruments employed in accessing a surgical target site; (b) assess the pathology (health or status) of a nerve or nerve root before, during, or after a surgical procedure; and/or (c) assess pedicle integrity before, during or after pedicle screw placement, all in an automated, easy to use, and easy to interpret fashion so as to provide a surgeon-driven system.
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公开(公告)号：US08403841B2
公开(公告)日：2013-03-26
申请号：US12636860
申请日：2009-12-14
Applicant: Patrick Miles , Scot Martinelli , Eric Finley , James Gharib , Allen Farquhar , Norbert Kaula , Goretti Medeiros
Inventor： Patrick Miles , Scot Martinelli , Eric Finley , James Gharib , Allen Farquhar , Norbert Kaula , Jeffrey Blewett
IPC: A61B1/32
CPC classification number: A61B17/025 , A61B1/32 , A61B5/4893 , A61B17/0206 , A61B17/0218 , A61B2017/00473 , A61B2017/0262
Abstract: A surgical access system including a tissue distraction assembly and a tissue refraction assembly, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.
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