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公开(公告)号：US20080009794A1
公开(公告)日：2008-01-10
申请号：US11112971
申请日：2005-04-22
IPC分类号： A61M29/00
CPC分类号： A61M39/06 , A61B17/0057 , A61M25/10 , A61M2039/0686 , A61M2205/3331 , A61M2205/583
摘要： An apparatus for providing hemostasis within a puncture through tissue includes an elongate member having a lumen extending between proximal and distal ends thereof, an expandable member carried on the distal end and a housing on the proximal end, the housing including an interior communicating with the lumen, and further including a valve assembly with a one-way valve allowing access into the housing interior upon application of a pressure differential across the valve, and a movable plunger for overriding and opening the valve.
摘要翻译： 一种用于在通过组织穿刺的内部提供止血的装置包括细长构件，其具有在其近端和远端之间延伸的腔，在远端上承载的可扩张构件和在近端上的壳体，所述壳体包括与内腔连通的内部 并且还包括具有单向阀的阀组件，其允许在跨过阀施加压力差时进入壳体内部，以及可移动的柱塞，用于超越和打开阀。
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公开(公告)号：US08551097B2
公开(公告)日：2013-10-08
申请号：US12917253
申请日：2010-11-01
CPC分类号： A61B17/00 , A61B1/3135 , A61B17/00234 , A61B17/0482 , A61B17/0483 , A61B17/1604 , A61B17/1611 , A61B17/1659 , A61B17/1671 , A61B17/1757 , A61B17/8897 , A61B2017/00477 , A61M25/09
摘要： A method and system for guiding at least a portion of a surgical device to a desired position between two tissues in a patient's body involves coupling a guidewire to the device and pulling the distal end of the guidewire to guide at least a portion of the surgical device to a desired position between the two tissues. The surgical device generally includes one or more guidewire coupling members and may comprise a tissue access device. A system may include a guidewire and a surgical device. In some embodiments, a guidewire, a tissue access device, and one or more additional devices to use with the access device may be provided. Methods, devices and systems may be used in open, less-invasive or percutaneous surgical procedures, in various embodiments.
摘要翻译： 用于将外科装置的至少一部分引导到患者身体的两个组织之间的期望位置的方法和系统包括将导丝连接到装置并拉动导丝的远端以引导手术装置的至少一部分 到两个组织之间的期望位置。 手术装置通常包括一个或多个导丝联接构件，并且可以包括组织接近装置。 系统可以包括导丝和外科装置。 在一些实施例中，可以提供导丝，纸巾接近装置以及与接入装置一起使用的一个或多个附加装置。 在各种实施例中，方法，装置和系统可以用于开放式，小侵入性或经皮外科手术。
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公开(公告)号：US20080086114A1
公开(公告)日：2008-04-10
申请号：US11468247
申请日：2006-08-29
IPC分类号： A61B17/00
CPC分类号： A61B17/00 , A61B1/3135 , A61B17/00234 , A61B17/0482 , A61B17/0483 , A61B17/1604 , A61B17/1611 , A61B17/1659 , A61B17/1671 , A61B17/1757 , A61B17/8897 , A61B2017/00477 , A61M25/09
摘要： A method and system for guiding at least a portion of a surgical device to a desired position between two tissues in a patient's body involves coupling a guidewire to the device and pulling the distal end of the guidewire to guide at least a portion of the surgical device to a desired position between the two tissues. The surgical device generally includes one or more guidewire coupling members and may comprise a tissue access device. A system may include a guidewire and a surgical device. In some embodiments, a guidewire, a tissue access device, and one or more additional devices to use with the access device may be provided. Methods, devices and systems may be used in open, less-invasive or percutaneous surgical procedures, in various embodiments.
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公开(公告)号：US20080051812A1
公开(公告)日：2008-02-28
申请号：US11461740
申请日：2006-08-01
IPC分类号： A61B17/32
CPC分类号： A61B17/320016 , A61B17/1604 , A61B17/1611 , A61B17/1671 , A61B2017/003 , A61B2017/32004 , A61B2017/320069 , A61B2017/32007
摘要： A device for cutting tissue in a human body may include an elongate, hollow shaft having a proximal portion and a distal portion, a bundle of flexible wires slidably disposed within at least a portion of the shaft and having a proximal end and a distal end, and an actuator coupled with the proximal portion of the shaft and the proximal end of the bundle of wires. The distal end of the bundle may be configured to facilitate cutting of tissue, and the wires of the bundle may be at least partially free to move, relative to one another, to allow a cross-sectional shape of the bundle to differ along a length from the proximal to the distal end. The actuator may be configured to move the wires back and forth through the hollow shaft to cause the distal ends of the wires to cut tissue.
摘要翻译： 用于在人体中切割组织的装置可以包括具有近端部分和远侧部分的细长的中空轴，可滑动地设置在所述轴的至少一部分内并具有近端和远端的柔性线束， 以及与所述轴的近侧部分和所述电线束的近端耦合的致动器。 束的远端可以被配置为便于切割组织，并且束的线可以至少部分地相对于彼此自由移动，以允许束的横截面形状沿长度方向不同 从近端到远端。 致动器可以被配置为通过空心轴来回移动电线，以使电线的远端切割组织。
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公开(公告)号：US08257356B2
公开(公告)日：2012-09-04
申请号：US12127535
申请日：2008-05-27
IPC分类号： A61B17/00
CPC分类号： A61B17/320758 , A61B17/1671 , A61B17/29 , A61B17/320016 , A61B17/32002 , A61B17/32053 , A61B17/320708 , A61B17/3401 , A61B17/3403 , A61B17/3421 , A61B17/3496 , A61B18/1477 , A61B18/1487 , A61B90/04 , A61B2017/00261 , A61B2017/00287 , A61B2017/003 , A61B2017/00349 , A61B2017/00469 , A61B2017/00477 , A61B2017/00867 , A61B2017/320004 , A61B2017/320044 , A61B2017/32006 , A61B2018/1407 , A61B2018/1425 , A61B2090/061 , A61B2090/08021 , A61M25/09041 , A61M25/0905 , A61N1/0551 , A61N1/08 , A61N2001/0578
摘要： Guidewire exchange systems, devices and methods, for positioning and actuating surgical devices in a desired position between two tissues in a patient's body are described. A guidewire may be coupled to a surgical device for positioning and actuating (e.g., urging against a target tissue). The guidewire may be exchanged between different surgical devices during the same procedure, and the guidewire and surgical devices may be releaseably or permanently coupled. The surgical device generally includes one or more guidewire coupling members. A system may include a guidewire and a surgical device having a guidewire coupling member. Methods, devices and systems may be used in open, less-invasive or percutaneous surgical procedures.
摘要翻译： 导丝交换系统，装置和方法，用于将外科装置定位和致动在患者身体的两个组织之间的期望位置。 导丝可以联接到手术装置以用于定位和致动（例如，针对靶组织的推动）。 可以在相同的程序期间在不同的手术装置之间交换导丝，并且导丝和外科手术装置可以是可释放的或永久地联接的。 手术装置通常包括一个或多个导丝联接构件。 系统可以包括导线和具有导丝联接构件的手术装置。 方法，装置和系统可以用于开放的，较少侵入的或经皮的外科手术中。
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公开(公告)号：US20120022538A1
公开(公告)日：2012-01-26
申请号：US13267683
申请日：2011-10-06
IPC分类号： A61B17/16
CPC分类号： A61B17/1671 , A61B17/00234 , A61B17/02 , A61B17/149 , A61B17/1659 , A61B17/1757 , A61B17/32 , A61B17/320016 , A61B17/32002 , A61B17/3421 , A61B2017/00261 , A61B2017/00867 , A61B2017/320004 , A61B2017/32006 , A61B2017/3488 , A61B2090/08021
摘要： A device for removing tissue from a patient may include an elongate flexible body having a proximal end, a distal end, and a longitudinal axis therebetween, the elongate body having opposed first and second major surfaces with a lateral orientation across the axis, and a plurality of blades distributed laterally across the first major surface. Each blade may have a first end adjacent the first surface and extending to a cantilevered second end, a first edge between the first and second ends of the blade being oriented toward the distal end of the elongate body, a second edge between the first and second ends of the blade being oriented toward the proximal end of the elongate body, a height of the blade between its first and second ends, and an axial length of the blade between its first and second edges.
摘要翻译： 用于从患者去除组织的装置可以包括具有近端，远端和其间的纵向轴线的细长柔性体，所述细长体具有相对的第一和第二主表面，横向穿过轴线具有横向取向，并且多个 的叶片横向分布在第一主表面上。 每个叶片可以具有邻近第一表面的第一端并且延伸到悬臂的第二端，叶片的第一和第二端之间的第一边缘朝向细长主体的远端定向，第一边缘在第一和第二端之间 叶片的端部朝向细长体的近端定向，叶片在其第一和第二端之间的高度以及叶片在其第一和第二边缘之间的轴向长度。
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公开(公告)号：US20070225703A1
公开(公告)日：2007-09-27
申请号：US11687558
申请日：2007-03-16
IPC分类号： A61F5/00
CPC分类号： A61B17/1671 , A61B17/00234 , A61B17/02 , A61B17/149 , A61B17/1659 , A61B17/1757 , A61B17/32 , A61B17/320016 , A61B17/32002 , A61B17/3421 , A61B2017/00261 , A61B2017/00867 , A61B2017/320004 , A61B2017/32006 , A61B2017/3488 , A61B2090/08021
摘要： A device for modifying tissue in a patient may include: an elongate body having a rigid proximal portion and a flexible distal portion having first and second major surfaces; a proximal handle coupled with the proximal portion of the body; one or more tissue modifying members disposed along the first major surface of the distal portion of the body; a guidewire coupled with and extending from the distal portion of the body; and a distal handle removably couplable with the guidewire outside the patient.
摘要翻译： 用于修改患者组织的装置可以包括：细长体，其具有刚性近端部分和具有第一和第二主表面的柔性远侧部分; 与所述主体的近侧部分联接的近侧手柄; 沿着身体远端部分的第一主表面设置的一个或多个组织修改构件; 与所述主体的所述远端部分连接并从所述远端部分延伸的导丝; 以及远端手柄，其可拆卸地与患者外部的导丝联接。
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公开(公告)号：US08430881B2
公开(公告)日：2013-04-30
申请号：US11405848
申请日：2006-04-17
IPC分类号： A61B17/00
CPC分类号： A61B17/1659 , A61B17/00234 , A61B17/02 , A61B17/1671 , A61B17/1757 , A61B17/320016 , A61B17/32002 , A61B17/3421 , A61B2017/00261 , A61B2017/00867 , A61B2017/32006 , A61B2017/3488 , A61B2090/08021
摘要： A device for modifying one or more tissues in a patient's spine may include: an elongate, at least partially flexible body having a proximal portion and a distal portion, wherein at least the distal portion has dimensions that allow it to be passed into an epidural space and between target and non-target tissues of the spine; at least one movable blade disposed along one side of the elongate body; at least one actuator coupled with the at least one blade and disposed at or near the proximal or distal portion of the body for moving the blade(s) to modify one or more target tissues, wherein the at least one actuator is configured to move the blade(s) without significantly translating the elongate body proximally or distally; and means at or near the proximal and distal portions of the elongate body for facilitating application of at least one of anchoring force and tensioning force to the body to urge the at least one blade against the target tissue.
摘要翻译： 用于修改患者脊柱中的一个或多个组织的装置可以包括：细长的至少部分柔性的身体，其具有近端部分和远端部分，其中至少远端部分具有允许其进入硬膜外腔的尺寸 和脊柱的靶和非靶组织之间; 沿着所述细长体的一侧设置的至少一个可动刀片; 至少一个致动器，其与所述至少一个叶片耦合并且设置在所述主体的近端或远端部分处或附近，用于移动所述叶片以修改一个或多个目标组织，其中所述至少一个致动器被配置成使所述至少一个致动器移动 刀片不在近侧或远端显着地平移细长体; 以及在所述细长体的近端部分和远端部分附近的装置，用于便于将至少一个锚定力和张紧力施加到身体以将至少一个刀片推向靶组织。
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公开(公告)号：US07806856B2
公开(公告)日：2010-10-05
申请号：US11112971
申请日：2005-04-22
CPC分类号： A61M39/06 , A61B17/0057 , A61M25/10 , A61M2039/0686 , A61M2205/3331 , A61M2205/583
摘要： An apparatus for providing hemostasis within a puncture through tissue includes an elongate member having a lumen extending between proximal and distal ends thereof, an expandable member carried on the distal end and a housing on the proximal end, the housing including an interior communicating with the lumen, and further including a valve assembly with a one-way valve allowing access into the housing interior upon application of a pressure differential across the valve, and a movable plunger for overriding and opening the valve.
摘要翻译： 一种用于在通过组织穿刺的内部提供止血的装置包括细长构件，其具有在其近端和远端之间延伸的腔，在远端上承载的可扩张构件和在近端上的壳体，所述壳体包括与内腔连通的内部 并且还包括具有单向阀的阀组件，其允许在跨过阀施加压力差时进入壳体内部，以及可移动的柱塞，用于超越和打开阀。
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公开(公告)号：US20110046613A1
公开(公告)日：2011-02-24
申请号：US12917253
申请日：2010-11-01
IPC分类号： A61B17/00
CPC分类号： A61B17/00 , A61B1/3135 , A61B17/00234 , A61B17/0482 , A61B17/0483 , A61B17/1604 , A61B17/1611 , A61B17/1659 , A61B17/1671 , A61B17/1757 , A61B17/8897 , A61B2017/00477 , A61M25/09
摘要： A method and system for guiding at least a portion of a surgical device to a desired position between two tissues in a patient's body involves coupling a guidewire to the device and pulling the distal end of the guidewire to guide at least a portion of the surgical device to a desired position between the two tissues. The surgical device generally includes one or more guidewire coupling members and may comprise a tissue access device. A system may include a guidewire and a surgical device. In some embodiments, a guidewire, a tissue access device, and one or more additional devices to use with the access device may be provided. Methods, devices and systems may be used in open, less-invasive or percutaneous surgical procedures, in various embodiments.
摘要翻译： 用于将外科装置的至少一部分引导到患者身体的两个组织之间的期望位置的方法和系统包括将导丝连接到装置并拉动导丝的远端以引导手术装置的至少一部分 到两个组织之间的期望位置。 手术装置通常包括一个或多个导丝联接构件，并且可以包括组织接近装置。 系统可以包括导丝和外科装置。 在一些实施例中，可以提供导丝，纸巾接近装置以及与接入装置一起使用的一个或多个附加装置。 在各种实施例中，方法，装置和系统可以用于开放式，小侵入性或经皮外科手术。
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