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    Balloon assisted apparatus and method for accessing an intervertebral disc
    2.
    发明申请
    Balloon assisted apparatus and method for accessing an intervertebral disc 审中-公开
    用于进入椎间盘的气囊辅助装置和方法

    公开(公告)号：US20070078436A1

    公开(公告)日：2007-04-05

    申请号：US11250617

    申请日：2005-10-17

    申请人： Andrea Leung ,  Hugues Malandain ,  Erika Palmer ,  Paul Sand

    发明人： Andrea Leung ,  Hugues Malandain ,  Erika Palmer ,  Paul Sand

    IPC分类号： A61M31/00

    CPC分类号： A61M29/02 ,  A61B17/3421 ,  A61B17/3478 ,  A61B90/02 ,  A61B2017/00261 ,  A61B2017/00526 ,  A61B2017/320048 ,  A61M25/1029 ,  A61M29/00

    摘要： An apparatus includes a projection having a sharpened end portion configured to be inserted through an annulus of an intervertebral disc to define a distracted volume in the annulus. An expandable member is coupled to the projection and defines a longitudinal axis. The expandable member is configured to be expanded from a collapsed configuration to an expanded configuration in a direction substantially perpendicular to the longitudinal axis when at least a portion of the expandable member is disposed within the distracted volume of the annulus of the intervertebral disc. When the expandable member expands, it defines an expanded volume and defines a cross-sectional perimeter while in the expanded configuration. A cannula is configured to be at least partially inserted into the expanded volume. The cannula defines a cross-sectional outer perimeter having no portion extending outside of the cross-sectional perimeter of the expandable member while in its expanded configuration.

    摘要翻译： 一种装置包括具有尖锐端部的突起，其被构造成插入通过椎间盘的环状物以限定在环空中的分散的体积。 可膨胀构件联接到突起并且限定纵向轴线。 可膨胀构件被构造成当至少一部分可扩张构件设置在椎间盘的环的分散体积内时，在基本上垂直于纵向轴线的方向上从折叠构型扩张到扩张构型。 当可膨胀构件膨胀时，其限定膨胀的体积并且在膨胀构型中限定横截面周长。 套管被构造成至少部分地插入到膨胀的容积中。 插管限定了横截面的外周边，在其扩展构型中没有部分延伸到可扩张构件的横截面周边的外侧。

    Systems and Methods for Needle Access to an Intervertebral Disc
    4.
    发明申请
    Systems and Methods for Needle Access to an Intervertebral Disc 有权
    针入椎间盘的系统和方法

    公开(公告)号：US20080312636A1

    公开(公告)日：2008-12-18

    申请号：US11764085

    申请日：2007-06-15

    申请人： David Miller ,  Michael Smith ,  Steve Mouw ,  Erika Palmer

    发明人： David Miller ,  Michael Smith ,  Steve Mouw ,  Erika Palmer

    IPC分类号： A61M25/00 ,  A61M1/06

    CPC分类号： A61B17/7061 ,  A61B5/4824 ,  A61B17/3401 ,  A61B17/3415 ,  A61B17/3472 ,  A61B17/8827 ,  A61B90/39 ,  A61B90/92 ,  A61B90/94 ,  A61B2017/3486 ,  A61B2090/062 ,  A61M25/04 ,  A61M25/06 ,  A61M25/065 ,  A61M25/10 ,  A61M2025/0008

    摘要： A catheter with a balloon anchor may be sized to fit through an inner needle and introduced into the patient through the needle. The inner needle may comprise an atraumatic needle with a side port and/or a blunt tip. The catheter may include a radiopaque coil disposed over the distal portion of the catheter body to assist with catheter placement when viewed with fluoroscopy and/or x-ray. The distal portion of the catheter can be very flexible. A balloon inflation tube may terminate proximal to a proximal end of the expandable balloon anchor such that the distal portion of catheter can be flexible. This termination of the inflation tube may also position the inflation tube away from the annulus and nerve roots, so as to avoid irritation of the annulus and rubbing of the nerve roots that may potentially obscure FAD test results.

    摘要翻译： 具有气囊锚固件的导管的尺寸可以通过内针装配并通过针引入患者体内。 内针可以包括具有侧端口和/或钝头的无创伤针。 导管可以包括设置在导管主体的远端部分上方的不透射线的线圈，以在用荧光透视和/或x射线观察时辅助导管放置。 导管的远端部分可以非常灵活。 球囊充气管可以在可扩张气囊锚固件的近端附近终止，使得导管的远端部分可以是柔性的。 膨胀管的这种终止还可以使充气管远离环带和神经根，以避免刺激环带和摩擦神经根，这可能潜在地模糊FAD测试结果。

    Apparatus and methods of tissue removal within a spine
    6.
    发明申请
    Apparatus and methods of tissue removal within a spine 审中-公开
    脊柱内组织去除的装置和方法

    公开(公告)号：US20070149990A1

    公开(公告)日：2007-06-28

    申请号：US11450878

    申请日：2006-06-12

    申请人： Erika Palmer ,  Alberto Cantu ,  Lloyd Diamond ,  Chris Phan ,  Derek Rothwell ,  Meera Sankaran

    发明人： Erika Palmer ,  Alberto Cantu ,  Lloyd Diamond ,  Chris Phan ,  Derek Rothwell ,  Meera Sankaran

    IPC分类号： A61B17/32 ,  A61B17/00 ,  A61B10/00

    CPC分类号： A61B17/3207 ,  A61B17/320725 ,  A61B2017/00261 ,  A61B2017/306 ,  A61B2017/32006 ,  A61B2017/320733

    摘要： In one embodiment, an apparatus includes an elongate body having a collapsed configuration and an expanded configuration. The elongate body has a cutting portion at a distal portion of the elongate body, and the cutting portion defines an opening in the elongate body. The distal portion of the elongate body is configured to be inserted into a nucleus of an intervertebral disc when the elongate body is in the collapsed configuration. The cutting portion of the elongate body is configured to disrupt at least a portion of tissue within the nucleus of the intervertebral disc when the elongate body is in the expanded configuration. The elongate body is configured to capture the portion of tissue within the opening of the elongate body when the elongate body is moved from the expanded configuration to the collapsed configuration while disposed within the nucleus of the intervertebral disc.

    摘要翻译： 在一个实施例中，一种装置包括具有折叠构型和扩张构型的细长主体。 细长主体在细长主体的远端部分具有切割部分，并且切割部分限定细长主体中的开口。 细长体的远侧部分构造成当细长体处于折叠构型时插入到椎间盘的细胞核中。 细长体的切割部分构造成当细长体处于膨胀构型时破坏椎间盘的细胞核内的至少一部分组织。 细长主体被配置为当细长主体从扩张构型移动到折叠构型而被放置在椎间盘的核内时，捕获细长主体的开口内的组织部分。

    Apparatus and methods of tissue removal within a spine
    7.
    发明申请
    Apparatus and methods of tissue removal within a spine 审中-公开
    脊柱内组织去除的装置和方法

    公开(公告)号：US20070060935A1

    公开(公告)日：2007-03-15

    申请号：US11450874

    申请日：2006-06-12

    申请人： Jeffrey Schwardt ,  Alberto Cantu ,  Erika Palmer

    发明人： Jeffrey Schwardt ,  Alberto Cantu ,  Erika Palmer

    IPC分类号： A61B17/32

    CPC分类号： A61B17/3207 ,  A61B17/22 ,  A61B17/32056 ,  A61B17/320783 ,  A61B2017/00261 ,  A61B2017/306 ,  A61B2017/320004 ,  A61B2017/320064

    摘要： In one embodiment, an apparatus includes a cannula configured to provide percutaneous access to a nucleus of an intervertebral disc, and an elongate body configured to be movably disposed within a lumen of the cannula. The cannula also defines an opening. The elongate body defines an internal passageway and an opening at a distal portion of the elongate body. The internal passageway of the elongate body can be coupled to a suction source. The elongate body has a cutting portion disposed on an edge of the opening of the elongate body and the elongate body is configured to draw a portion of tissue from within the nucleus of the intervertebral disc into the opening of the elongate body when the suction source is activated. The cutting portion is configured to sever the portion of tissue from the remaining tissue when the elongate body is moved relative to the cannula.

    摘要翻译： 在一个实施例中，一种装置包括配置成提供对椎间盘的细胞核的经皮通路的套管，以及构造成可移动地设置在套管内腔内的细长体。 套管还限定一个开口。 细长主体在细长主体的远端部分限定内部通道和开口。 细长体的内部通道可以联接到抽吸源。 细长体具有设置在细长主体的开口的边缘上的切割部分，并且细长主体构造成当抽吸源是从内部的椎间盘的细胞核内部抽出一部分组织到细长体的开口内时 活性。 切割部分构造成当细长主体相对于套管移动时，从剩余组织切断组织的部分。

    Systems and methods for needle access to an intervertebral disc
    8.
    发明授权
    Systems and methods for needle access to an intervertebral disc 有权
    用于针入椎间盘的系统和方法

    公开(公告)号：US08226619B2

    公开(公告)日：2012-07-24

    申请号：US11764050

    申请日：2007-06-15

    申请人： David Miller ,  Michael Smith ,  Steve Mouw ,  Erika Palmer

    发明人： David Miller ,  Michael Smith ,  Steve Mouw ,  Erika Palmer

    IPC分类号： A61M5/32

    CPC分类号： A61B17/7061 ,  A61B5/4824 ,  A61B17/3401 ,  A61B17/3415 ,  A61B17/3472 ,  A61B17/8827 ,  A61B90/39 ,  A61B90/92 ,  A61B90/94 ,  A61B2017/3486 ,  A61B2090/062 ,  A61M25/04 ,  A61M25/06 ,  A61M25/065 ,  A61M25/10 ,  A61M2025/0008

    摘要： A catheter with a balloon anchor may be sized to fit through an inner needle and introduced into the patient through the needle. The inner needle may comprise an atraumatic needle with a side port and/or a blunt tip. The catheter may include a radiopaque coil disposed over the distal portion of the catheter body to assist with catheter placement when viewed with fluoroscopy and/or x-ray. The distal portion of the catheter can be very flexible. A balloon inflation tube may terminate proximal to a proximal end of the expandable balloon anchor such that the distal portion of catheter can be flexible. This termination of the inflation tube may also position the inflation tube away from the annulus and nerve roots, so as to avoid irritation of the annulus and rubbing of the nerve roots that may potentially obscure FAD test results.

    摘要翻译： 具有气囊锚固件的导管的尺寸可以通过内针装配并通过针引入患者体内。 内针可以包括具有侧端口和/或钝头的无创伤针。 导管可以包括设置在导管主体的远端部分上方的不透射线的线圈，以在用荧光透视和/或x射线观察时辅助导管放置。 导管的远端部分可以非常灵活。 球囊充气管可以在可扩张气囊锚固件的近端附近终止，使得导管的远端部分可以是柔性的。 膨胀管的这种终止还可以使充气管远离环带和神经根，以避免刺激环带和摩擦神经根，这可能潜在地模糊FAD测试结果。

    Minimally invasive apparatus and method for treatment of a tumor associated with a bone
    9.
    发明申请
    Minimally invasive apparatus and method for treatment of a tumor associated with a bone 审中-公开
    用于治疗与骨相关的肿瘤的微创装置和方法

    公开(公告)号：US20060264896A1

    公开(公告)日：2006-11-23

    申请号：US11124387

    申请日：2005-05-09

    申请人： Erika Palmer

    发明人： Erika Palmer

    IPC分类号： A61M31/00

    CPC分类号： A61B10/025 ,  A61B10/0283 ,  A61B17/22 ,  A61B17/3421 ,  A61B17/3472 ,  A61B17/3478 ,  A61B2017/00261 ,  A61B2017/306 ,  A61B2017/3445 ,  A61B2090/3916 ,  A61B2090/3995 ,  A61B2217/005

    摘要： A method includes percutaneously accessing a patient via a cannula, such that a distal end of the cannula is disposed substantially adjacent a tumor associated with a bone of the patient. A composition of the tumor is modified via a medical device movably disposed within the cannula. At least a portion of the tumor is removed through the cannula. The modifying is performed during a first time period and the removing is performed during a second time period. At least a portion of the first time period overlaps with at least a portion of the second time period.

    摘要翻译： 一种方法包括经由插管经皮访问患者，使得套管的远端基本上邻近于与患者的骨骼相关联的肿瘤。 通过可移动地设置在套管内的医疗装置来改变肿瘤的组成。 通过套管去除肿瘤的至少一部分。 修改在第一时间段期间执行，并且在第二时间段期间执行删除。 第一时间段的至少一部分与第二时间段的至少一部分重叠。

    Systems and methods for needle access to an intervertebral disc
    10.
    发明授权
    Systems and methods for needle access to an intervertebral disc 有权
    用于针入椎间盘的系统和方法

    公开(公告)号：US08002743B2

    公开(公告)日：2011-08-23

    申请号：US11764085

    申请日：2007-06-15

    申请人： David Miller ,  Michael Smith ,  Steve Mouw ,  Erika Palmer

    发明人： David Miller ,  Michael Smith ,  Steve Mouw ,  Erika Palmer

    IPC分类号： A61M29/00 ,  A61M1/00 ,  A61M5/00

    CPC分类号： A61B17/7061 ,  A61B5/4824 ,  A61B17/3401 ,  A61B17/3415 ,  A61B17/3472 ,  A61B17/8827 ,  A61B90/39 ,  A61B90/92 ,  A61B90/94 ,  A61B2017/3486 ,  A61B2090/062 ,  A61M25/04 ,  A61M25/06 ,  A61M25/065 ,  A61M25/10 ,  A61M2025/0008

    摘要： A catheter with a balloon anchor may be sized to fit through an inner needle and introduced into the patient through the needle. The inner needle may comprise an atraumatic needle with a side port and/or a blunt tip. The catheter may include a radiopaque coil disposed over the distal portion of the catheter body to assist with catheter placement when viewed with fluoroscopy and/or x-ray. The distal portion of the catheter can be very flexible. A balloon inflation tube may terminate proximal to a proximal end of the expandable balloon anchor such that the distal portion of catheter can be flexible. This termination of the inflation tube may also position the inflation tube away from the annulus and nerve roots, so as to avoid irritation of the annulus and rubbing of the nerve roots that may potentially obscure FAD test results.

    摘要翻译： 具有气囊锚固件的导管的尺寸可以通过内针装配并通过针引入患者体内。 内针可以包括具有侧端口和/或钝头的无创伤针。 导管可以包括设置在导管主体的远端部分上方的不透射线的线圈，以在用荧光透视和/或x射线观察时辅助导管放置。 导管的远端部分可以非常灵活。 球囊充气管可以在可扩张气囊锚固件的近端附近终止，使得导管的远端部分可以是柔性的。 膨胀管的这种终止还可以使充气管远离环带和神经根，以避免刺激环带和摩擦神经根，这可能潜在地模糊FAD测试结果。