Method and system for performing endoscopic surgery at locations where
tissue inserts into bone
    1.
    发明授权
    Method and system for performing endoscopic surgery at locations where tissue inserts into bone 失效
    在组织插入骨骼的位置执行内窥镜手术的方法和系统

    公开(公告)号:US5400768A

    公开(公告)日:1995-03-28

    申请号:US41947

    申请日:1993-04-02

    IPC分类号: A61B17/32 A61B17/34 A61B1/00

    摘要: An endoscopic system and method for performing endoscopic surgery at locations where tissue inserts into bone which including a sleeve member for forming an opening in the body between tissue and bone having a tube, an instrument portion interconnected to a register portion, open ends, slot segments extending inwardly from said open ends, access opening for accessing the interface of tissue and bone, and an obturator configured for inserting slidably into the sleeve member and in the body between tissue and bone.

    摘要翻译: 一种内窥镜系统和方法,用于在组织插入到骨中的位置处执行内窥镜手术,所述位置包括用于在组织和骨骼之间的体内形成具有管的套筒构件,与寄存器部分互连的器械部分,开口端,狭槽段 从所述开口端向内延伸,用于进入组织和骨骼界面的进入口,以及构造成用于可滑动地插入到套管构件中以及在组织和骨之间的体内的闭塞器。

    Method and system for performing endoscopic surgery at locations where
tissue inserts into bone
    3.
    发明授权
    Method and system for performing endoscopic surgery at locations where tissue inserts into bone 失效
    在组织插入骨骼的位置执行内窥镜手术的方法和系统

    公开(公告)号:US5429117A

    公开(公告)日:1995-07-04

    申请号:US084859

    申请日:1993-06-29

    IPC分类号: A61B17/32 A61B17/34 A61B1/00

    摘要: An endoscopic system and method for performing endoscopic surgery at locations where tissue inserts into bone which includes a sleeve member, obturator, cutting and excision instruments, and a marking and insertion assembly wherein the sleeve member has an expanded portal through which instrument access and improved visualization can be performed at arcuate lines of insertion of tissue into bone. The sleeve member can include a flange for engaging tissue along the line of insertion and exposing the bone and measurement means for gauging precisely the reduction or resection of bone. An alternative embodiment of the sleeve member has a non-uniform aperture with an instrument portion and a register portion providing increased space and maneuverability for instruments when operating at the portal on tissue or bone that can include the flange. Cutting instruments are provided with an extension portion to extravasate from tissue and palpitate underlying tissue. An marking and insertion assembly for use in heel surgeries to remedy plantar fasciitis and in conjunction with a lateral radiograph provides precise location of an entry incision and precise medial to lateral insertion of a guide wire forming a channel for the sleeve member. The method system also provides for minimum incision surgery in the caudal release of the plantar fascia and reduction of a spur on the os calcis.

    摘要翻译: 一种内窥镜系统和方法,用于在组织插入骨头的位置处进行内窥镜手术,所述位置包括套筒构件,闭孔器,切割和切除器械以及标记和插入组件,其中所述套筒构件具有扩大的入口,通过所述入口扩大仪器进入和改善的可视化 可以在将组织插入骨的弓形线中进行。 套筒构件可以包括用于沿着插入线接合组织并暴露骨骼的凸缘和用于精确地测量骨的减少或切除的测量装置的凸缘。 套筒构件的替代实施例具有不均匀的孔,其具有仪器部分和对准部分,当在可包括凸缘的组织或骨骼上的入口处操作时,为器械提供增加的空间和操纵性。 切割器具具有延伸部分,以从组织外渗并触及下面的组织。 用于脚后跟手术的标记和插入组件用于补救足底筋膜炎并且与横向X光照相结合,提供入口切口的精确位置以及形成用于套筒构件的通道的导丝的侧向插入的精确内侧。 该方法系统还提供了对足底筋膜的尾部释放的最小切口手术和减少手术切除术上的刺激。

    Method and system for performing endoscopic surgery at locations where
tissue inserts into bone
    4.
    发明授权
    Method and system for performing endoscopic surgery at locations where tissue inserts into bone 失效
    在组织插入骨骼的位置执行内窥镜手术的方法和系统

    公开(公告)号:US5253659A

    公开(公告)日:1993-10-19

    申请号:US914192

    申请日:1992-07-14

    IPC分类号: A61B17/32 A61B17/34 A61B19/00

    摘要: An endoscopic system and method for performing endoscopic surgery at locations where tissue inserts into bone which includes a sleeve member, obturator, cutting and excision instruments, and a marking and insertion assembly wherein the sleeve member has an expanded portal through which instrument access and improved visualization can be performed at arcuate lines of insertion of tissue into bone. The sleeve member can include a flange for engaging tissue along the line of insertion and exposing the bone and measurement means for gauging precisely the reduction or resection of bone. An alternative embodiment of the sleeve member has a non-uniform aperture with an instrument portion and a register portion providing increased space and maneuverability for instruments when operating at the portal on tissue or bone that can include the flange. Cutting instruments are provided with an extension portion to extravasate from tissue and palpitate underlying tissue. An marking and insertion assembly for use in heel surgeries to remedy plantar fasciitis and in conjunction with a lateral radiograph provides precise location of an entry incision and precise medial to lateral insertion of a guide wire forming a channel for the sleeve member. The method and system also provides for minimal incision surgery in the caudal release of the plantar fascia and reduction of a spur on the os calcis.

    摘要翻译: 一种内窥镜系统和方法,用于在组织插入骨头的位置处进行内窥镜手术,所述位置包括套筒构件,闭孔器,切割和切除器械以及标记和插入组件,其中所述套筒构件具有扩大的入口,通过所述入口扩大仪器进入和改善的可视化 可以在将组织插入骨的弓形线中进行。 套筒构件可以包括用于沿着插入线接合组织并暴露骨骼的凸缘和用于精确地测量骨的减少或切除的测量装置的凸缘。 套筒构件的替代实施例具有不均匀的孔,其具有仪器部分和对准部分,当在可包括凸缘的组织或骨骼上的入口处操作时,为器械提供增加的空间和操纵性。 切割器具具有延伸部分,以从组织外渗并触及下面的组织。 用于脚后跟手术的标记和插入组件用于补救足底筋膜炎并且与横向X光照相结合,提供入口切口的精确位置以及形成用于套筒构件的通道的导丝的侧向插入的精确内侧。 该方法和系统还提供在足底筋膜的尾部释放中的最小切口手术并减少OS钙沉积。