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151 条记录 (耗时 0.056 秒)

    Tissue modification devices and methods
    53.
    发明授权
    Tissue modification devices and methods 有权
    组织修饰装置及方法

    公开(公告)号：US08398641B2

    公开(公告)日：2013-03-19

    申请号：US13338103

    申请日：2011-12-27

    申请人： Michael P. Wallace ,  Robert Garabedian ,  Nestor C. Cantorna ,  Jeffery L. Bleich ,  Roy Leguidleguid ,  Ronald Leguidleguid

    发明人： Michael P. Wallace ,  Robert Garabedian ,  Nestor C. Cantorna ,  Jeffery L. Bleich ,  Roy Leguidleguid ,  Ronald Leguidleguid

    IPC分类号： A61B17/00

    CPC分类号： A61B17/025 ,  A61B5/4893 ,  A61B17/0218 ,  A61B17/1671 ,  A61B17/32 ,  A61B17/320016 ,  A61B17/7032 ,  A61B17/7062 ,  A61B17/864 ,  A61B2017/0256 ,  A61B2017/32006

    摘要： Described herein are devices and methods for cutting tissue in a patient. In some embodiments, a bimanually controlled device may include a tissue modification region; at least two flexible elongate lengths of cable that extend substantially adjacent to each other proximally to distally; a plurality of rungs extending between the lengths of cable; and a pair of flexible elongate cutting members extending along the length of the tissue modification region of the device. Each elongate cutting member has a thickness cuts a discrete trough into tissue to a depth that is greater than the thickness of the cutting member. The device may further include a substrate sized and configured to releasably hold the cutting members a distance from one another and a pair of couplers positioned toward an outer edge region of the substrate and configured to releasably secure a cutting member to the outer edge region of the substrate.

    摘要翻译： 本文描述了用于在患者体内切割组织的装置和方法。 在一些实施例中，双手控制的装置可以包括组织修改区域; 至少两个柔性长度的电缆，其基本上彼此相邻地向远侧延伸延伸; 在电缆长度之间延伸的多个梯级; 以及沿设备的组织修改区域的长度延伸的一对柔性细长切割构件。 每个细长的切割构件具有将离散凹槽切割成组织的厚度，其厚度大于切割构件的厚度。 该装置还可以包括基板，其尺寸和构造为将切割构件可释放地保持彼此间隔一定距离;以及一对耦合器，其朝向基板的外边缘区域定位，并且构造成将切割构件可释放地固定到外部边缘区域 基质。

    Surgical tools for treatment of spinal stenosis
    54.
    发明授权
    Surgical tools for treatment of spinal stenosis 有权
    用于治疗脊柱狭窄的手术工具

    公开(公告)号：US08394102B2

    公开(公告)日：2013-03-12

    申请号：US12824043

    申请日：2010-06-25

    申请人： Robert Garabedian ,  Amie R. Borgstrom ,  Gregory B. Arcenio ,  Ronald Leguidleguid ,  Michael P. Wallace ,  Bryan Knodel

    发明人： Robert Garabedian ,  Amie R. Borgstrom ,  Gregory B. Arcenio ,  Ronald Leguidleguid ,  Michael P. Wallace ,  Bryan Knodel

    IPC分类号： A61B17/70

    CPC分类号： A61B17/00234 ,  A61B17/1659 ,  A61B17/1671 ,  A61B2017/00469 ,  A61B2017/320044

    摘要： Described herein are pullwire handle devices for securing to a tissue-penetrating pullwire. In some embodiments, the device includes a handle body, a pullwire lock configured to removably lock the pullwire handle device onto a pullwire within the handle body, and a tip containment element configured to retain the distal tip of the pullwire. In some embodiments, the handle body further comprises a storage chamber configured to store a distal portion of the pullwire. Also described herein are methods for capturing a pullwire using a pullwire handle device. In some embodiments, the method includes the steps of inserting the distal end of a pullwire into the pullwire handle device, advancing the pullwire further into the pullwire handle device while the distal portion of the pullwire is contained within the pullwire handle device, and locking the distal portion of the pullwire within the pullwire handle device.

    摘要翻译： 这里描述的是拉丝手柄装置，用于固定到组织穿透的拉丝。 在一些实施例中，该装置包括手柄主体，拉线锁定，其被配置为将拉线手柄装置可移除地锁定到手柄主体内的拉线上，以及尖端容纳元件，其构造成保持拉线的远端。 在一些实施例中，手柄主体还包括被配置为存储拉丝的远端部分的储存室。 这里还描述了使用拉线手柄装置捕获拉线的方法。 在一些实施例中，该方法包括以下步骤：将拉线的远端插入拉线手柄装置中，将拉线进一步推入拉线手柄装置，同时拉线的远端部分包含在拉丝手柄装置内， 拉线手柄装置内的拉丝的远端部分。

    METHOD, SYSTEM AND APPARATUS FOR NEURAL LOCALIZATION
    56.
    发明申请
    METHOD, SYSTEM AND APPARATUS FOR NEURAL LOCALIZATION 审中-公开
    方法，系统和设备神经定位

    公开(公告)号：US20130012831A1

    公开(公告)日：2013-01-10

    申请号：US13619930

    申请日：2012-09-14

    申请人： Gregory P. Schmitz ,  Michael P. Wallace ,  Jeffery L. Bleich ,  Eric C. Miller

    发明人： Gregory P. Schmitz ,  Michael P. Wallace ,  Jeffery L. Bleich ,  Eric C. Miller

    IPC分类号： A61B5/05

    CPC分类号： A61B5/0488 ,  A61B5/1104 ,  A61B5/4041 ,  A61B5/4504 ,  A61B5/4893 ,  A61B5/6855 ,  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。

    Method, system and apparatus for neural localization
    57.
    发明授权
    Method, system and apparatus for neural localization 有权
    用于神经定位的方法，系统和装置

    公开(公告)号：US08303516B2

    公开(公告)日：2012-11-06

    申请号：US13090944

    申请日：2011-04-20

    申请人： Gregory P. Schmitz ,  Michael P. Wallace ,  Jeffery L. Bleich ,  Eric C. Miller

    发明人： Gregory P. Schmitz ,  Michael P. Wallace ,  Jeffery L. Bleich ,  Eric C. Miller

    IPC分类号： A61B5/05

    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。

    FLEXIBLE NEURAL LOCALIZATION DEVICES AND METHODS
    59.
    发明申请
    FLEXIBLE NEURAL LOCALIZATION DEVICES AND METHODS 有权
    灵活的神经定位设备和方法

    公开(公告)号：US20120123294A1

    公开(公告)日：2012-05-17

    申请号：US13340363

    申请日：2011-12-29

    申请人： Benjamin Kao-Shing Sun ,  Michael P. Wallace ,  Christopher D. Summa

    发明人： Benjamin Kao-Shing Sun ,  Michael P. Wallace ,  Christopher D. Summa

    IPC分类号： A61B5/05

    CPC分类号： A61N1/0551 ,  A61B5/04001 ,  A61B5/0488 ,  A61B5/1107 ,  A61B5/4519 ,  A61B5/4893 ,  A61B5/6852 ,  A61B5/6855 ,  A61B17/149 ,  A61B17/1671 ,  A61B17/1757 ,  A61B17/7092 ,  A61B17/8897 ,  A61B2562/0209 ,  A61B2562/0261 ,  A61B2562/043 ,  A61B2562/046 ,  A61N1/0553

    摘要： Methods for determining if a nerve is nearby a device. The neural stimulation tools described herein are configured to be flexible and low-profile, so that they can be used within body regions that may be tortuous or difficult to reach, such as within a compressed or partially occluded neural foramen. In most cases, these tools described herein are ribbon-shaped and adapted to be manipulated bimanually, applying force to the ends of the devices from separate locations outside of the patient's body. Thus, the distal end region of the device may be configured to couple to the proximal end of a guidewire. One or more surfaces of the devices may include an electrode or multi-polar network of electrodes configured to stimulate only nerves within a predetermined distance of a particular face of the device. Methods of using these devices are described.

    摘要翻译： 确定神经是否在设备附近的方法。 本文所述的神经刺激工具被配置为柔性和低轮廓，使得它们可以在可能曲折或难以到达的身体区域内使用，例如在压缩或部分闭塞的神经孔内。 在大多数情况下，这里描述的这些工具是带状的并且适于双向操纵，从患者身体外部的分离位置向装置的端部施加力。 因此，装置的远端区域可以被配置为联接到导丝的近端。 器件的一个或多个表面可以包括电极或多极电极网络，其被配置为仅在装置的特定面部的预定距离内刺激神经。 描述使用这些装置的方法。

    METHOD OF STIMULATING FASTIGIUM NUCLEUS TO TREAT NEUROLOGICAL DISORDERS
    60.
    发明申请
    METHOD OF STIMULATING FASTIGIUM NUCLEUS TO TREAT NEUROLOGICAL DISORDERS 有权
    刺激核仁治疗神经病变的方法

    公开(公告)号：US20120109234A1

    公开(公告)日：2012-05-03

    申请号：US13347434

    申请日：2012-01-10

    申请人： Michael P. Wallace ,  James Carl Makous

    发明人： Michael P. Wallace ,  James Carl Makous

    IPC分类号： A61N1/36 ,  A61M37/00

    CPC分类号： A61N1/36082 ,  A61N1/36103

    摘要： A method of treating a neurological disorder comprises introducing an electrical stimulation lead within a patient's head, locating the stimulation lead within the 4th ventricle of the patient's head, and placing the stimulation lead adjacent the fastigium nucleus of the patient's brain. The method may further comprise stimulating the fastigium nucleus with the stimulation lead to treat the neurological disorder, for example, by increasing the flow of blood within the patient's brain.

    摘要翻译： 治疗神经障碍的方法包括在患者头部内引入电刺激引线，将刺激引线置于患者头部的第四脑室内，并将刺激引线放置在患者大脑的快速核附近。 该方法可以进一步包括用刺激引线刺激快镰核，以治疗神经障碍，例如通过增加患者脑内血液的流动。