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公开(公告)号：US08568461B2
公开(公告)日：2013-10-29
申请号：US12127215
申请日：2008-05-27
申请人： Andrew C. Kohm
发明人： Andrew C. Kohm
CPC分类号： A61B17/7065 , A61B17/025 , A61B2017/00557 , A61B2017/0256
摘要： Medical devices and related methods for the treatment of spinal conditions are described herein. In one embodiment, a method includes disposing at least a portion of a support member into a space between adjacent spinous processes. The support member defines a lumen between a proximal end and a distal end of the support member. An expandable member is inserted through the lumen of the support member such that a distal end portion of the expandable member is disposed outside a distal end of the lumen and a proximal end portion of the expandable member is disposed outside a proximal end of the lumen. The distal end portion and the proximal end portion of the expandable member are then expanded such that each of the distal end portion and the proximal end portion of the expandable member has an outer diameter greater than an outer diameter of the support member.
摘要翻译： 本文描述了用于治疗脊柱病症的医疗装置和相关方法。 在一个实施例中，一种方法包括将支撑构件的至少一部分设置在相邻棘突之间的空间中。 支撑构件限定支撑构件的近端和远端之间的内腔。 可膨胀构件插入通过支撑构件的内腔，使得可扩张构件的远端部分设置在内腔的远端的外侧，并且可扩张构件的近端部分设置在内腔的近端的外侧。 然后可膨胀构件的远端部分和近端部分被膨胀，使得可扩张构件的远端部分和近端部分的每一个具有大于支撑构件的外径的外径。
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公开(公告)号：US08100943B2
公开(公告)日：2012-01-24
申请号：US11454194
申请日：2006-06-16
IPC分类号： A61F2/44
CPC分类号： A61B17/025 , A61B17/7062 , A61B17/7065 , A61B2017/00557 , A61B2017/0256
摘要： An apparatus includes an elongate member having a portion configured to be deformed from a first configuration to a second configuration. In one variation, the apparatus includes an outer body, having a collapsed configuration and an expanded configuration, and an inner body. A portion of the outer body is configured to be disposed between adjacent spinous processes. The inner body is disposed within the interior region of the outer body. The inner body has an outer surface in slidable contact with an inner surface of the outer body.
摘要翻译： 一种装置包括细长构件，其具有被构造成从第一构型变形到第二构型的部分。 在一个变型中，该装置包括具有折叠构造和扩展构造的外部主体和内部主体。 外体的一部分被配置为设置在相邻棘突之间。 内体设置在外体的内部区域内。 内体具有与外体的内表面滑动接触的外表面。
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公开(公告)号：US08057513B2
公开(公告)日：2011-11-15
申请号：US11356301
申请日：2006-02-17
IPC分类号： A61F2/44
CPC分类号： A61B17/025 , A61B17/7065 , A61B2017/00557 , A61B2017/0256
摘要： Spinal implants and methods for performing surgical procedures on the spine are describe herein. In one embodiment, for example, a method includes percutaneously inserting into a body an expandable member having a first configuration, a second configuration and a third configuration. The expandable member includes a support portion and a retention portion. The support portion has a longitudinal axis and is configured to be disposed between adjacent spinous processes. The retention portion is configured to limit movement of the support portion along the longitudinal axis. When the expandable member is in the first configuration, it is disposed in a first location between the adjacent spinous processes. The expandable member is then expanded from the first configuration to the second configuration. The expandable member is then contracted from the second configuration to the third configuration and disposed in a second location, the second location being different from the first location.
摘要翻译： 本文描述了用于在脊柱上执行外科手术的脊柱植入物和方法。 在一个实施例中，例如，一种方法包括将具有第一配置，第二配置和第三配置的可扩展元件经皮插入到主体中。 可膨胀构件包括支撑部分和保持部分。 支撑部分具有纵向轴线并被配置为设置在相邻的棘突之间。 保持部分构造成限制支撑部分沿着纵向轴线的移动。 当可膨胀构件处于第一构造时，其被布置在相邻棘突之间的第一位置。 然后将可扩展构件从第一构型扩展到第二构造。 然后，可扩展构件从第二构造收缩到第三构造并且设置在第二位置，第二位置不同于第一位置。
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公开(公告)号：US07998208B2
公开(公告)日：2011-08-16
申请号：US11693502
申请日：2007-03-29
IPC分类号： A61F2/44
CPC分类号： A61B17/025 , A61B17/7062 , A61B17/7065 , A61B17/8863 , A61B2017/00557 , A61B2017/0256
摘要： An apparatus includes an elongate member including a cutting edge disposed at a distal end portion of the elongate member. The cutting edge is configured to cut a portion of an implant when the elongate member moves relative to the implant.
摘要翻译： 一种装置包括细长构件，其包括设置在细长构件的远端部分处的切割边缘。 切割边缘构造成当细长构件相对于植入物移动时切割植入物的一部分。
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公开(公告)号：US08157841B2
公开(公告)日：2012-04-17
申请号：US11752983
申请日：2007-05-24
IPC分类号： A61B17/70
CPC分类号： A61B17/025 , A61B17/7065 , A61B2017/00557 , A61B2017/0256 , A61F2/44
摘要： A method includes inserting an implant having a support member and a retention member movably coupled to the support member such that at least a portion of the support member of the implant is disposed between a first spinous process and a second spinous process. The implant is rotated relative to the first spinous process and the second spinous process about an axis substantially normal to a mid-line axis of a spinal column while the portion of the support member is disposed between the first spinous process and the second spinous process. In some embodiments, the implant is rotated such that an inner surface of an end portion of the retention member is between an outer surface of the end portion of the retention member and the first spinous process. The retention member is translated relative to the support member.
摘要翻译： 一种方法包括插入具有支撑构件和可移动地联接到支撑构件的保持构件的植入物，使得植入物的支撑构件的至少一部分设置在第一棘突和第二棘突之间。 植入物相对于第一棘突和第二棘突围绕基本上垂直于脊柱的中线轴线的轴线旋转，而支撑构件的部分设置在第一棘突和第二棘突之间。 在一些实施例中，旋转植入物使得保持构件的端部的内表面位于保持构件的端部的外表面和第一棘突之间。 保持构件相对于支撑构件平移。
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公开(公告)号：US20080288078A1
公开(公告)日：2008-11-20
申请号：US12127213
申请日：2008-05-27
申请人： Andrew C. Kohm , Avram A. Edidin
发明人： Andrew C. Kohm , Avram A. Edidin
CPC分类号： A61B17/7065 , A61B17/025 , A61B2017/00557 , A61B2017/0256
摘要： Medical devices and related methods for the treatment of spinal conditions are described herein. In one embodiment, a method includes disposing at least a portion of an implant in a space between adjacent spinous processes. The implant has a support member, a distal hub member, and an expandable member. At least a portion of the support member is disposed into the space between the adjacent spinous processes. A threaded member coupled to the distal hub member is rotated in a first rotational direction such that the distal hub member is moved in a first direction along a path defined by a longitudinal axis of the support member and at least a portion of the expandable member is moved to an expanded configuration.
摘要翻译： 本文描述了用于治疗脊柱病症的医疗装置和相关方法。 在一个实施例中，一种方法包括将植入物的至少一部分设置在相邻棘突之间的空间中。 植入物具有支撑构件，远侧轮毂构件和可扩张构件。 支撑构件的至少一部分设置在相邻棘突之间的空间中。 联接到远端轮毂构件的螺纹构件在第一旋转方向上旋转，使得远侧轮毂构件沿着由支撑构件的纵向轴线限定的路径沿第一方向移动，并且可扩张构件的至少一部分是 移动到扩展配置。
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公开(公告)号：US20080288072A1
公开(公告)日：2008-11-20
申请号：US12127215
申请日：2008-05-27
申请人： Andrew C. Kohm
发明人： Andrew C. Kohm
CPC分类号： A61B17/7065 , A61B17/025 , A61B2017/00557 , A61B2017/0256
摘要： Medical devices and related methods for the treatment of spinal conditions are described herein. In one embodiment, a method includes disposing at least a portion of a support member into a space between adjacent spinous processes. The support member defines a lumen between a proximal end and a distal end of the support member. An expandable member is inserted through the lumen of the support member such that a distal end portion of the expandable member is disposed outside a distal end of the lumen and a proximal end portion of the expandable member is disposed outside a proximal end of the lumen. The distal end portion and the proximal end portion of the expandable member are then expanded such that each of the distal end portion and the proximal end portion of the expandable member has an outer diameter greater than an outer diameter of the support member.
摘要翻译： 本文描述了用于治疗脊柱病症的医疗装置和相关方法。 在一个实施例中，一种方法包括将支撑构件的至少一部分设置在相邻棘突之间的空间中。 支撑构件限定支撑构件的近端和远端之间的内腔。 可膨胀构件插入通过支撑构件的内腔，使得可扩张构件的远端部分设置在内腔的远端的外侧，并且可扩张构件的近端部分设置在内腔的近端的外侧。 然后可膨胀构件的远端部分和近端部分被膨胀，使得可扩张构件的远端部分和近端部分的每一个具有大于支撑构件的外径的外径。
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公开(公告)号：US08029567B2
公开(公告)日：2011-10-04
申请号：US11356295
申请日：2006-02-17
IPC分类号： A61F2/44
CPC分类号： A61B17/025 , A61B17/7065 , A61B2017/00557 , A61B2017/0256
摘要： Apparatuses and methods for performing minimally-invasive medical procedures are described. In one embodiment, for example, an apparatus includes an elongate member having a proximal portion configured to move repeatedly between a first configuration and a second configuration. At least a section of the proximal portion is collapsed in the first configuration and is expanded in the second configuration. The elongate member has a distal portion configured to move repeatedly between a first configuration and a second configuration. At least a section of the proximal portion is collapsed in the first configuration and is expanded in the second configuration. A non-expanding central portion is positioned between the proximal portion and the distal portion. The non-expanding central portion is configured to engage adjacent spinous processes.
摘要翻译： 描述了用于执行微创医疗程序的装置和方法。 在一个实施例中，例如，一种装置包括细长构件，该细长构件具有配置成在第一构型和第二构型之间重复移动的近侧部分。 近端部分的至少一部分在第一构造中折叠并且在第二构造中扩张。 细长构件具有构造成在第一构型和第二构造之间重复移动的远侧部分。 近端部分的至少一部分在第一构造中折叠并且在第二构造中扩张。 未膨胀的中心部分位于近端部分和远端部分之间。 非扩张中心部分构造成接合相邻的棘突。
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公开(公告)号：US07998174B2
公开(公告)日：2011-08-16
申请号：US11454156
申请日：2006-06-16
IPC分类号： A61F2/44
CPC分类号： A61B17/025 , A61B17/7062 , A61B17/7065 , A61B2017/00557 , A61B2017/0256
摘要： An apparatus includes an elongate member having a portion configured to be deformed from a first configuration to a second configuration. In one variation, the apparatus includes an outer body, defining an interior region, and an inner body. A portion of the outer body is configured to be disposed between adjacent spinous processes. The inner body is disposed within the interior region of the outer body. A distal end portion of the inner body is coupled to a distal end portion of the outer body. A proximal end portion of the inner body configured to removably receive a tool to move the outer body between a collapsed configuration and an expanded configuration.
摘要翻译： 一种装置包括细长构件，其具有被构造成从第一构型变形到第二构型的部分。 在一个变型中，该装置包括限定内部区域的外部主体和内部主体。 外体的一部分被配置为设置在相邻棘突之间。 内体设置在外体的内部区域内。 内部主体的远端部分联接到外部主体的远端部分。 内部主体的近端部分被构造成可移除地接收工具以在收缩构型和扩张构型之间移动外部主体。
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公开(公告)号：US07927354B2
公开(公告)日：2011-04-19
申请号：US11356296
申请日：2006-02-17
IPC分类号： A61F2/44
CPC分类号： A61B17/025 , A61B17/7062 , A61B17/7065 , A61B2017/0256 , C09D11/324
摘要： Apparatuses and methods for performing minimally invasive medical procedures are disclosed herein. In one example, an apparatus includes a first body coupled to a second body. The first body and the second body collectively configured to be releasably coupled to an implant device configured to be disposed between adjacent spinous processes. A first engaging portion is coupled to the first body, and a second engaging portion is coupled to the second body. The first engaging portion and/or the second engaging portion is configured to be received within a first opening defined by the implant device. The first body configured to be moved relative to the second body such that a distance between the first engaging portion and the second engaging portion is moved between a first distance and a second distance and simultaneously a length of the implant device is moved between a first length and a second length.
摘要翻译： 本文公开了用于执行微创医疗程序的装置和方法。 在一个示例中，装置包括联接到第二主体的第一主体。 第一主体和第二主体共同构造成可释放地联接到构造成设置在相邻棘突之间的植入装置。 第一接合部分联接到第一主体，并且第二接合部分联接到第二主体。 第一接合部分和/或第二接合部分构造成容纳在由植入装置限定的第一开口内。 所述第一主体被构造成相对于所述第二主体移动，使得所述第一接合部分和所述第二接合部分之间的距离在第一距离和第二距离之间移动，并且同时所述植入装置的长度在第一长度 和第二长度。
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