公开(公告)号：US20100160738A1

公开(公告)日：2010-06-24

申请号：US12636860

申请日：2009-12-14

申请人： Patrick Miles ,  Scot Martinelli ,  Eric Finley ,  James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey J. Blewett ,  Goretti Medeiros

发明人： Patrick Miles ,  Scot Martinelli ,  Eric Finley ,  James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey J. Blewett ,  Goretti Medeiros

IPC分类号： A61B1/32

CPC分类号： A61B17/025 ,  A61B1/32 ,  A61B5/4893 ,  A61B17/0206 ,  A61B17/0218 ,  A61B2017/00473 ,  A61B2017/0262

摘要： 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.

公开(公告)号：US20090259108A1

公开(公告)日：2009-10-15

申请号：US12428081

申请日：2009-04-22

申请人： Patrick Miles ,  Scot Martinelli ,  Eric Finley ,  James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett ,  Goretti Medeiros

发明人： Patrick Miles ,  Scot Martinelli ,  Eric Finley ,  James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett ,  Goretti Medeiros

IPC分类号： A61B1/32 ,  A61M29/00

CPC分类号： 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

摘要： 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.

摘要翻译： 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。

公开(公告)号：US20050075578A1

公开(公告)日：2005-04-07

申请号：US10809280

申请日：2004-03-25

申请人： James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett ,  Goretti Medeiros ,  Eric Finley ,  Jamil Elbanna ,  Scot Martinelli

发明人： James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett ,  Goretti Medeiros ,  Eric Finley ,  Jamil Elbanna ,  Scot Martinelli

IPC分类号： A61B5/0488 ,  A61B20060101 ,  A61B1/00 ,  A61B5/04 ,  A61B5/0492 ,  A61B17/34 ,  A61B19/00 ,  A61B5/05

CPC分类号： 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

摘要： 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.

摘要翻译： 本发明涉及用于执行外科手术和评估的系统和相关方法，包括使用基于神经生理学的监测来：（a）确定在进入手术靶位点时使用的手术器械的神经接近度和神经方向; （b）在外科手术之前，期间或之后评估神经或神经根的病理（健康或状况）; 和/或（c）在椎弓根螺钉放置之前，之中或之后评估椎弓根完整性，全部以自动化，易于使用和易于解释的方式，以提供外科医生驱动的系统。

公开(公告)号：US08672840B2

公开(公告)日：2014-03-18

申请号：US13466398

申请日：2012-05-08

申请人： Patrick Miles ,  Scot Martinelli ,  Eric Finley ,  James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Goretti Medeiros

发明人： Patrick Miles ,  Scot Martinelli ,  Eric Finley ,  James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey J. Blewett

IPC分类号： A61B1/32 ,  A61B5/0488 ,  A61B5/053

CPC分类号： 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

摘要： 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.

公开(公告)号：US08591432B2

公开(公告)日：2013-11-26

申请号：US12983627

申请日：2011-01-03

申请人： Luiz Pimenta ,  Patrick Miles ,  Scot Martinelli ,  Eric Finley

发明人： Luiz Pimenta ,  Patrick Miles ,  Scot Martinelli ,  Eric Finley

IPC分类号： A61B5/05

CPC分类号： A61B17/02 ,  A61B1/32 ,  A61B5/04001 ,  A61B5/4836 ,  A61B2017/0256

摘要： A surgical access system including a tissue distraction assembly and a tissue retraction 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. Some embodiments of the surgical access system may be particularly suited for establishing an operative corridor to a surgical target site in the spine. Such an operative corridor may be established through the retroperitoneal space and the psoas muscle during a direct lateral, retroperitoneal approach to the spine.

摘要翻译： 一种包括组织牵引组件和组织缩回组件的手术进入系统，其两者可以装备有一个或多个电极，用于检测神经结构的存在（以及可选的距离和/或方向） 以及在手术目标地点建立手术走廊之后。 手术进入系统的一些实施例可以特别适于建立到脊柱中的外科手术靶位置的手术走廊。 这种手术通道可以在脊柱的直接侧腹后腹部接近的腹膜后空间和腰肌中建立。

公开(公告)号：US08512235B2

公开(公告)日：2013-08-20

申请号：US13486093

申请日：2012-06-01

申请人： Patrick Miles ,  Scot Martinelli ,  Eric Finley ,  James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Goretti Medeiros

发明人： Patrick Miles ,  Scot Martinelli ,  Eric Finley ,  James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey J. Blewett

IPC分类号： A61B1/32

CPC分类号： A61B17/025 ,  A61B1/32 ,  A61B5/0488 ,  A61B17/0218 ,  A61B17/0293 ,  A61B17/3421 ,  A61B90/37 ,  A61B2017/00261 ,  A61B2017/0256 ,  A61B2017/0262 ,  A61M29/02

摘要： 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.

公开(公告)号：US08439832B2

公开(公告)日：2013-05-14

申请号：US12984368

申请日：2011-01-04

申请人： Patrick Miles ,  Scot Martinelli ,  Eric Finley ,  James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Goretti Medeiros

发明人： Patrick Miles ,  Scot Martinelli ,  Eric Finley ,  James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett

IPC分类号： A61B1/32

CPC分类号： A61B17/025 ,  A61B1/32 ,  A61B5/4893 ,  A61B17/0206 ,  A61B17/0218 ,  A61B2017/00473 ,  A61B2017/0262

摘要： 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.

公开(公告)号：US08355780B2

公开(公告)日：2013-01-15

申请号：US12623016

申请日：2009-11-20

申请人： Patrick Miles ,  Scot Martinelli ,  Eric Finley

发明人： Patrick Miles ,  Scot Martinelli ,  Eric Finley

IPC分类号： A61N1/00 ,  A61B1/32 ,  A61B5/04

CPC分类号： A61B17/0206 ,  A61B1/06 ,  A61B1/32 ,  A61B5/0488 ,  A61B5/0492 ,  A61B5/05 ,  A61B5/1104 ,  A61B5/4893 ,  A61B17/02 ,  A61B17/0218 ,  A61B17/025 ,  A61B90/37 ,  A61B2017/00039 ,  A61B2017/00473 ,  A61B2017/0256 ,  A61B2017/0262 ,  A61B2505/05 ,  A61B2560/045 ,  A61N1/0551 ,  A61N1/08 ,  Y10S606/909

摘要： 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.

摘要翻译： 一种包括组织牵引组件和组织折射组件的外科进入系统，两者都可以配备有一个或多个电极，用于检测神经结构的存在（以及可选的距离和/或方向） 以及在手术目标地点建立手术走廊之后。

公开(公告)号：US20120303125A1

公开(公告)日：2012-11-29

申请号：US13568236

申请日：2012-08-07

申请人： James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett ,  Goretti Medeiros ,  Eric Finley ,  Jamil Ebanna ,  Scot Martinelli

发明人： James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett ,  Goretti Medeiros ,  Eric Finley ,  Jamil Ebanna ,  Scot Martinelli

IPC分类号： A61F2/44

CPC分类号： 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

摘要： 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.

摘要翻译： 本发明涉及用于执行外科手术和评估的系统和相关方法，包括使用基于神经生理学的监测来：（a）确定在进入手术靶位点时使用的手术器械的神经接近度和神经方向; （b）在外科手术之前，期间或之后评估神经或神经根的病理（健康或状况）; 和/或（c）在椎弓根螺钉放置之前，之中或之后评估椎弓根完整性，全部以自动化，易于使用和易于解释的方式，以提供外科医生驱动的系统。

公开(公告)号：USD666293S1

公开(公告)日：2012-08-28

申请号：US29411651

申请日：2012-01-24

申请人： Patrick Miles ,  Scot Martinelli ,  Eric Finley

设计人： Patrick Miles ,  Scot Martinelli ,  Eric Finley

CPC分类号： 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

摘要： 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.