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公开(公告)号：US08617062B2
公开(公告)日：2013-12-31
申请号：US12832146
申请日：2010-07-08
IPC分类号： A61B17/02
CPC分类号： A61B17/025 , A61B1/32 , A61M29/00
摘要： A device, system and method for dilating a patient during a minimally invasive surgical procedure is disclosed. A surgical dilation system includes a dilator having an outer tubular member and an inner tubular member sized to be movably received within an inside diameter of the outer tubular member. The outer tubular member includes a vertical slot running through a side of the outer tubular member. The inner tubular member has an upper portion and a lower portion. The retractor has a proximal end including at least one mounting member protruding outwardly from a side surface of the retractor and a distal end including at least one fanned blade protruding outwardly from the side surface. When the inner tubular member is oriented in a first position the vertical slot is in a closed state, when the inner tubular member is oriented in a second position the mounting member is permitted to travel downwardly a predetermined distance in the vertical slot, and when the inner tubular member is positioned in a third state the mounting member is permitted to freely travel through the vertical slot.
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公开(公告)号：US08467851B2
公开(公告)日：2013-06-18
申请号：US12946309
申请日：2010-11-15
申请人： David A. Mire , John B. Clayton
发明人： David A. Mire , John B. Clayton
IPC分类号： A61B5/05
CPC分类号： A61B34/20 , A61B90/39 , A61B2034/108 , A61B2034/2051 , A61B2034/2055 , A61B2034/2068 , A61B2034/256 , A61B2090/363 , A61B2090/3916 , A61B2090/3925 , A61B2090/3937 , A61B2090/3954 , A61B2090/3983
摘要： A method and apparatus to perform a procedure that can include a processor assisted surgical procedure. During the procedure patient space and image space can be registered to allow for tracking of various tracking sensors. A dynamic reference frame can be used to maintain localization of the patient space with the image space. The dynamic reference frame can be fixedly interconnected with a bone portion of the anatomy.
摘要翻译： 执行可包括处理器辅助外科手术的过程的方法和装置。 在手术过程中，患者空间和图像空间可以被注册，以便跟踪各种跟踪传感器。 可以使用动态参考框架来维持患者空间与图像空间的定位。 动态参考框架可以与解剖结构的骨骼部分固定地互连。
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公开(公告)号：US20130103103A1
公开(公告)日：2013-04-25
申请号：US13280010
申请日：2011-10-24
摘要： A dilator includes a first portion and a second portion movable between a first position and a second position. The first portion includes a first wall that defines a first cross section and a first cavity. The second portion includes a second wall that defines a second cross section, which is less than the first cross section, and a second cavity. The second portion dilates and/or dissects tissue adjacent a surgical site. In the first position, the second cavity provides direct visualization of the surgical site and the first cavity supports an instrument. In the second position, the second cavity is expandable such that the instrument is movable along the longitudinal axis in the second cavity. Methods of use are disclosed.
摘要翻译： 扩张器包括可在第一位置和第二位置之间移动的第一部分和第二部分。 第一部分包括限定第一横截面和第一腔的第一壁。 第二部分包括限定小于第一横截面的第二横截面的第二壁和第二腔。 第二部分扩张和/或解剖外科手术部位附近的组织。 在第一位置，第二腔提供手术部位的直接可视化，并且第一腔支撑仪器。 在第二位置，第二腔是可膨胀的，使得器械可沿着第二腔中的纵向轴线移动。 公开了使用方法。
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公开(公告)号：US20130068711A1
公开(公告)日：2013-03-21
申请号：US13238087
申请日：2011-09-21
IPC分类号： A61B19/00
CPC分类号： F16M13/02 , A61B90/50 , A61B2090/571 , F16M11/12
摘要： A surgical assembly includes an actuator. A linking member is connected to and extending from the actuator. The linking member includes a series of at least two interconnected inner links that are relatively movable such that the linking member is disposable between a flexible configuration and a rigid configuration. An arm extends from the actuator and includes a series of relatively moveable outer links that define an axial bore configured for disposal of the linking member. Each outer link defines a first mating surface and a second mating surface disposed in a configuration such that the actuator is engageable to move the linking member from the flexible configuration to the rigid configuration to selectively fix the arm in a selected orientation. Methods of use are disclosed.
摘要翻译： 手术组件包括致动器。 连接构件连接到致动器并从致动器延伸。 连接构件包括一系列相对可移动的至少两个相互连接的内部连杆，使得连接构件在柔性构造和刚性构型之间是一次性的。 臂从致动器延伸并且包括一系列相对可移动的外连杆，其限定被构造成用于处置连接构件的轴向孔。 每个外部连杆限定第一配合表面和第二配合表面，该第一配合表面和第二配合表面布置成使得致动器可接合以将连接构件从柔性构造移动到刚性构型，以选择性地将臂固定在选定的方向上。 公开了使用方法。
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公开(公告)号：US20120022575A1
公开(公告)日：2012-01-26
申请号：US12843079
申请日：2010-07-26
IPC分类号： A61M29/00
CPC分类号： A61B17/3439 , A61B5/4893 , A61B17/0218 , A61B17/0293 , A61B2017/00261 , A61B2017/0256 , A61B2017/347
摘要： A surgical dilator capable of dilating an incision in a patient is disclosed. The surgical dilator includes a main body having a distal end and a proximal end. A locking cap is connected with the proximal end of the main body that is operable to lock the surgical dilator in a closed state for insertion into an incision and to unlock the surgical dilator to an open state after being inserted into the incision. A plurality of blades having a second proximal end is pivotally connected with the distal end of the main body and extends downwardly toward a second distal end. When the surgical dilator is in the closed state the blades taper downwardly and inwardly from the second proximal end toward the second distal end to form an insertion tip and when the surgical dilator is in the open state the blades are operable to laterally expand.
摘要翻译： 公开了能够扩张患者切口的手术扩张器。 手术扩张器包括具有远端和近端的主体。 锁定帽与主体的近端连接，其可操作以将手术扩张器锁定在关闭状态以插入切口中，并且在插入切口之后将手术扩张器解锁到打开状态。 具有第二近端的多个叶片与主体的远端枢转连接并向第二远端向下延伸。 当手术扩张器处于关闭状态时，叶片从第二近端朝向第二远端向下和向内逐渐变细，以形成插入尖端，并且当手术扩张器处于打开状态时，刀片可操作以横向膨胀。
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公开(公告)号：US07542791B2
公开(公告)日：2009-06-02
申请号：US10794716
申请日：2004-03-05
申请人： David A Mire , Hai H Trieu , Janice Dugger , Mark W Hunter
发明人： David A Mire , Hai H Trieu , Janice Dugger , Mark W Hunter
IPC分类号： A61B5/05
CPC分类号： A61B34/20 , A61B34/10 , A61B34/25 , A61B2034/102 , A61B2034/105 , A61B2034/107 , A61B2034/2051 , A61B2034/2072 , A61B2034/252 , A61B2034/254 , A61B2034/256 , A61B2090/365 , G06F19/00 , G06F19/325 , G16H50/50
摘要： A method and system to assist in a selection and planning of procedure and assist in selecting a prosthetic for the procedure. Generally, the system allows for image acquisition of a selected area of the anatomy. A model may be formed of the anatomy from the acquired images. The system may also allow for navigational tracking of the procedure to ensure that the procedure is substantially carried out relative to the selected plan.
摘要翻译： 一种帮助选择和规划程序并协助选择手术的假体的方法和系统。 通常，系统允许对解剖结构的选定区域的图像采集。 可以从所获取的图像中的解剖结构形成模型。 该系统还可以允许对程序的导航跟踪以确保相对于所选择的计划基本上执行该过程。
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公开(公告)号：US09486296B2
公开(公告)日：2016-11-08
申请号：US12832598
申请日：2010-07-08
CPC分类号： A61B17/29 , A61B17/00234 , A61B17/02 , A61B90/50 , A61B2017/00407 , A61B2017/0042 , A61B2017/0069 , A61B2017/2908 , A61B2090/508
摘要： A surgical assembly includes a tensioner having a first end and a second end. A tension member extends from the first end of the tensioner. A mounting member is connected to the second end of the tensioner. An arm extends from the first end of the tensioner and includes a series of relatively moveable links that define an axial bore configured for disposal of the tension member. Each link defines a first mating surface and a second mating surface disposed in a configuration such that tensioning of the tension member interlocks the first mating surface with the second mating surface of an adjacent link in the series to selectively fix the links in a selected orientation.
摘要翻译： 手术组件包括具有第一端和第二端的张紧器。 张紧构件从张紧器的第一端延伸。 安装构件连接到张紧器的第二端。 臂从张紧器的第一端延伸并且包括一系列相对可移动的连杆，其限定了构造成用于处置张力构件的轴向孔。 每个连杆限定第一配合表面和第二配合表面，其布置成构造使得张紧构件的张紧将第一配合表面与串联的相邻链节的第二配合表面互锁，以选择性地将链接件固定在选定的方位。
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公开(公告)号：US20120296359A1
公开(公告)日：2012-11-22
申请号：US13109028
申请日：2011-05-17
IPC分类号： A61M29/00
CPC分类号： A61B17/3421 , A61B2017/00261 , A61B2017/320004 , A61B2017/320008 , A61B2017/320044 , A61B2017/3488 , A61B2090/062
摘要： Devices, systems and methods for dilating tissue of a patient during a minimally invasive surgical procedure is disclosed. A surgical dilation system includes a dilator having an elongated, non-cannulated cylindrical body extending between a first end and an opposite second end. The first end includes a first beveled configuration and the second end includes a second, different beveled configuration. The beveled ends can include surface features to provide tissue removal and to enhance engagement with bony tissue.
摘要翻译： 公开了用于在微创手术过程中扩张患者组织的装置，系统和方法。 手术扩张系统包括具有在第一端和相对的第二端之间延伸的细长的非插管的圆柱体的扩张器。 第一端包括第一斜面构造，并且第二端包括第二不同的斜面构型。 倾斜端部可以包括表面特征以提供组织移除并增强与骨组织的接合。
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公开(公告)号：US20120010471A1
公开(公告)日：2012-01-12
申请号：US12832146
申请日：2010-07-08
CPC分类号： A61B17/025 , A61B1/32 , A61M29/00
摘要： A device, system and method for dilating a patient during a minimally invasive surgical procedure is disclosed. A surgical dilation system includes a dilator having an outer tubular member and an inner tubular member sized to be movably received within an inside diameter of the outer tubular member. The outer tubular member includes a vertical slot running through a side of the outer tubular member. The inner tubular member has an upper portion and a lower portion. The retractor has a proximal end including at least one mounting member protruding outwardly from a side surface of the retractor and a distal end including at least one fanned blade protruding outwardly from the side surface. When the inner tubular member is oriented in a first position the vertical slot is in a closed state, when the inner tubular member is oriented in a second position the mounting member is permitted to travel downwardly a predetermined distance in the vertical slot, and when the inner tubular member is positioned in a third state the mounting member is permitted to freely travel through the vertical slot.
摘要翻译： 公开了一种用于在微创外科手术过程中扩张患者的装置，系统和方法。 手术扩张系统包括具有外管状构件和内管状构件的扩张器，其尺寸设计成可移动地容纳在外管状构件的内径内。 外部管状构件包括穿过外部管状构件的一侧的垂直狭槽。 内管状构件具有上部和下部。 牵开器具有近端，该近端包括从牵开器的侧表面向外突出的至少一个安装构件，以及包括从侧表面向外突出的至少一个扇形叶片的远端。 当内部管状构件定位在第一位置时，垂直槽处于关闭状态，当内部管状构件被定向在第二位置时，允许安装构件在垂直槽中向下行进预定距离，并且当 内部管状构件被定位在第三状态，允许安装构件自由地穿过垂直狭槽。
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10.发明申请Surgical Training System and Model With Simulated Neural Responses and Elements 审中-公开外科训练系统和模型与模拟神经反应和元素公开(公告)号：US20100099066A1
公开(公告)日：2010-04-22
申请号：US12255014
申请日：2008-10-21
申请人： David A. Mire , Jeffrey H Nycz , William Keith Adcox , Stanley W. Olson, JR. , Joseph J. Saladino
发明人： David A. Mire , Jeffrey H Nycz , William Keith Adcox , Stanley W. Olson, JR. , Joseph J. Saladino
IPC分类号： G09B23/28
CPC分类号： G09B23/34
摘要： A training apparatus, model, system, and method are disclosed that allows any trainee to train to perform surgeries in areas of the human body that include one or more nerves. The training model is configured to mimic one or more areas of the human anatomy in which the procedure is going to be performed that contains nerves by providing a realistic anatomical model of the area of interest. A neural element is positioned in the anatomical area of interest that is configured to behave like a real nerve. A neural monitoring system is utilized to ensure that while using specially designed surgical tools or devices during the procedure, the surgeon is trained to avoid taking actions that would adversely affect the functionality of the nerves located in this area after the surgery.
摘要翻译： 公开了一种训练装置，模型，系统和方法，其允许任何受训者训练在包括一个或多个神经的人体的区域中进行手术。 训练模型被配置为通过提供感兴趣区域的真实解剖模型来模拟人体解剖结构中将要执行包含神经的程序的一个或多个区域。 神经元被定位在感兴趣的解剖区域中，其被配置为表现得像真正的神经。 使用神经监测系统来确保在手术期间使用特别设计的外科手术工具或装置时，外科医生被训练以避免采取将在手术后位于该区域内的神经的功能的不利影响的动作。
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