公开(公告)号：US20200069345A1

公开(公告)日：2020-03-05

申请号：US16676955

申请日：2019-11-07

申请人： DePuy Synthes Products, Inc.

发明人： David Greg Anderson ,  Christopher W. Sicvol ,  George Joseph Ross ,  Sean P. Selover ,  Ramon Alberto Ruberte

IPC分类号： A61B17/70 ,  A61B17/00

摘要： Minimally invasive methods and devices for introducing a spinal fixation element into a surgical site in a patient's spinal column are provided. In general, the method involves advancing a spinal fixation element in a first, lengthwise orientation along a pathway extending from a minimally invasive percutaneous incision to a spinal anchor site. As the spinal fixation element approaches the spinal anchor site, the fixation element can be manipulated to extend in a second orientation, which is preferably substantially transverse to the first orientation, to position the fixation element in relation to one or more spinal anchors.

公开(公告)号：US20160338745A1

公开(公告)日：2016-11-24

申请号：US15230385

申请日：2016-08-06

申请人： DePuy Synthes Products, Inc.

发明人： David Greg Anderson ,  Christopher W. Sicvol ,  George Joseph Ross ,  Sean P. Selover ,  Ramon Alberto Ruberte

IPC分类号： A61B17/70 ,  A61B17/00

CPC分类号： A61B17/7085 ,  A61B17/00234 ,  A61B17/7011 ,  A61B17/7035 ,  A61B17/7037 ,  A61B17/7074 ,  Y10S606/914

摘要： Minimally invasive methods and devices for introducing a spinal fixation element into a surgical site in a patient's spinal column are provided. In general, the method involves advancing a spinal fixation element in a first, lengthwise orientation along a pathway extending from a minimally invasive percutaneous incision to a spinal anchor site. As the spinal fixation element approaches the spinal anchor site, the fixation element can be manipulated to extend in a second orientation, which is preferably substantially transverse to the first orientation, to position the fixation element in relation to one or more spinal anchors.

公开(公告)号：US11749396B2

公开(公告)日：2023-09-05

申请号：US15216825

申请日：2016-07-22

申请人： DePuy Synthes Products, Inc.

发明人： Namal Nawana ,  William J. Frasier ,  Jennifer DiPietro ,  Christopher Nordstrom ,  Michelle LaWare ,  John Paul Griffin ,  Sean P. Selover ,  Jonathan Bellas ,  Matthew Parsons

IPC分类号： G16H20/40 ,  G16H30/20 ,  G06Q10/00 ,  G06Q10/10 ,  A61B34/20 ,  A61B34/00 ,  A61B34/10 ,  G16H10/20 ,  G16H40/63 ,  G16H40/20 ,  G16H40/40 ,  G16H50/50 ,  G16H50/70 ,  G16H50/20 ,  G16Z99/00 ,  G16H70/20 ,  G09B23/28 ,  A61B5/00 ,  A61B6/00 ,  A61B17/02 ,  A61B5/11 ,  G01L5/00 ,  A61B17/50 ,  A61B8/08 ,  A61B10/00 ,  A61B17/00 ,  A61B90/50 ,  A61B90/98 ,  A61B90/00

CPC分类号： G16H30/20 ,  A61B5/0022 ,  A61B5/1118 ,  A61B5/4509 ,  A61B5/4566 ,  A61B5/4571 ,  A61B5/4824 ,  A61B5/4833 ,  A61B5/4848 ,  A61B5/7282 ,  A61B5/742 ,  A61B5/746 ,  A61B5/7475 ,  A61B6/485 ,  A61B8/08 ,  A61B17/02 ,  A61B17/025 ,  A61B17/50 ,  A61B34/10 ,  A61B34/20 ,  A61B34/25 ,  G01L5/00 ,  G06Q10/00 ,  G06Q10/10 ,  G09B23/28 ,  G16H10/20 ,  G16H20/40 ,  G16H40/20 ,  G16H40/40 ,  G16H40/63 ,  G16H50/20 ,  G16H50/50 ,  G16H50/70 ,  G16H70/20 ,  G16Z99/00 ,  A61B6/4494 ,  A61B6/506 ,  A61B90/98 ,  A61B2010/009 ,  A61B2010/0093 ,  A61B2017/00115 ,  A61B2017/00119 ,  A61B2017/0262 ,  A61B2034/101 ,  A61B2034/105 ,  A61B2034/2051 ,  A61B2034/2055 ,  A61B2034/2057 ,  A61B2034/252 ,  A61B2034/254 ,  A61B2034/256 ,  A61B2090/365 ,  A61B2090/502

摘要： Various systems and methods are provided for surgical and interventional planning, support, post-operative follow-up, and functional recovery tracking. In general, a patient can be tracked throughout medical treatment including through initial onset of symptoms, diagnosis, non-surgical treatment, surgical treatment, and recovery from the surgical treatment. In one embodiment, a patient and one or more medical professionals involved with treating the patient can electronically access a comprehensive treatment planning, support, and review system. The system can provide recommendations regarding diagnosis, non-surgical treatment, surgical treatment, and recovery from the surgical treatment based on data gathered from the patient and the medical professional(s). The system can manage the tracking of multiple patients, thereby allowing for data comparison between similar aspects of medical treatments and for learning over time through continual data gathering, analysis, and assimilation to decision-making algorithms.

公开(公告)号：US20180344308A1

公开(公告)日：2018-12-06

申请号：US16046450

申请日：2018-07-26

申请人： DePuy Synthes Products, Inc.

发明人： Namal Nawana ,  William C. Horton ,  William J. Frasier ,  Cody Cranson ,  Max Reinhardt ,  Mark T. Hall ,  Matthew Parsons ,  Jennifer DiPietro ,  Kevin Lee ,  Michelle LaWare ,  John P. Griffin ,  Sean P. Selover ,  Jonathan Bellas ,  Douglas Raymond ,  Nicholas Pavento ,  Mary L. Fowler ,  Dennis Chien

IPC分类号： A61B17/02 ,  G06Q10/10 ,  A61B34/10 ,  G01L5/00 ,  G06Q10/00 ,  A61B34/20 ,  A61B34/00 ,  G16H40/20 ,  G16H50/50 ,  G16H50/70 ,  G16H50/20 ,  G16H40/40 ,  G16H40/63 ,  G16H10/20 ,  A61B5/00 ,  A61B5/11 ,  A61B17/50 ,  A61B8/08 ,  A61B6/00 ,  A61B10/00 ,  A61B17/00

CPC分类号： A61B17/025 ,  A61B5/0022 ,  A61B5/1118 ,  A61B5/4509 ,  A61B5/4566 ,  A61B5/4571 ,  A61B5/4824 ,  A61B5/4833 ,  A61B5/4848 ,  A61B5/7282 ,  A61B5/742 ,  A61B5/746 ,  A61B5/7475 ,  A61B6/4494 ,  A61B6/485 ,  A61B6/506 ,  A61B8/08 ,  A61B17/02 ,  A61B17/50 ,  A61B34/10 ,  A61B34/20 ,  A61B34/25 ,  A61B2010/009 ,  A61B2010/0093 ,  A61B2017/00115 ,  A61B2017/00119 ,  A61B2017/0262 ,  A61B2034/101 ,  A61B2034/105 ,  A61B2034/2055 ,  A61B2034/2057 ,  A61B2034/252 ,  A61B2034/254 ,  A61B2034/256 ,  G01L5/00 ,  G06F19/00 ,  G06F19/321 ,  G06F19/325 ,  G06F19/3481 ,  G06Q10/00 ,  G06Q10/10 ,  G06Q50/24 ,  G16H10/20 ,  G16H40/20 ,  G16H40/40 ,  G16H40/63 ,  G16H50/20 ,  G16H50/50 ,  G16H50/70 ,  G16Z99/00

摘要： Various systems and methods are provided for surgical and interventional planning, support, post-operative follow-up, and functional recovery tracking. In general, a patient can be tracked throughout medical treatment including through initial onset of symptoms, diagnosis, non-surgical treatment, surgical treatment, and recovery from the surgical treatment. In one embodiment, a patient and one or more medical professionals involved with treating the patient can electronically access a comprehensive treatment planning, support, and review system. The system can provide recommendations regarding diagnosis, non-surgical treatment, surgical treatment, and recovery from the surgical treatment based on data gathered from the patient and the medical professional(s). The system can manage the tracking of multiple patients, thereby allowing for data comparison between similar aspects of medical treatments and for learning over time through continual data gathering, analysis, and assimilation to decision-making algorithms.

公开(公告)号：US09675272B2

公开(公告)日：2017-06-13

申请号：US13799414

申请日：2013-03-13

申请人： DePuy Synthes Products, Inc.

发明人： Sean P. Selover ,  Joseph Hernandez ,  John Riley Hawkins ,  John Dieselman ,  John Paul Griffin ,  Jennifer DiPietro

IPC分类号： A61B5/06 ,  A61B5/05 ,  A61B17/70 ,  A61B34/20 ,  A61B34/10

CPC分类号： A61B5/061 ,  A61B5/065 ,  A61B5/066 ,  A61B5/7405 ,  A61B5/742 ,  A61B5/7455 ,  A61B17/70 ,  A61B34/20 ,  A61B2034/107 ,  A61B2034/2051 ,  A61B2505/05

摘要： Methods, systems, and devices are provided for guiding surgical instruments using radio frequency (RF) technology. In general, the methods, systems, and devices can allow a trajectory, e.g., an angular approach, of a surgical instrument relative to a patient to be identified during use of the instrument in a surgical procedure being performed on the patient. The trajectory can be identified using a plurality of RF modules. The methods, systems, and devices can allow the trajectory to be compared to a predetermined trajectory so as to identify whether the trajectory matches the predetermined trajectory. A result of the matching can be communicated to a user of the instrument. Based on the result, the user can maintain the trajectory, e.g., if the trajectory matches the predetermined trajectory, or can adjust the trajectory to closer align the trajectory with the predetermined trajectory, e.g., if the trajectory does not match the predetermined trajectory.

公开(公告)号：US20160000477A1

公开(公告)日：2016-01-07

申请号：US14853093

申请日：2015-09-14

申请人： DePuy Synthes Products, Inc.

发明人： David Greg Anderson ,  Christopher W. Sicvol ,  George Joseph Ross ,  Sean P. Selover ,  Ramon Alberto Ruberte

IPC分类号： A61B17/70

CPC分类号： A61B17/7085 ,  A61B17/00234 ,  A61B17/7011 ,  A61B17/7035 ,  A61B17/7037 ,  A61B17/7074 ,  Y10S606/914

摘要： Minimally invasive methods and devices for introducing a spinal fixation element into a surgical site in a patient's spinal column are provided. In general, the method involves advancing a spinal fixation element in a first, lengthwise orientation along a pathway extending from a minimally invasive percutaneous incision to a spinal anchor site. As the spinal fixation element approaches the spinal anchor site, the fixation element can be manipulated to extend in a second orientation, which is preferably substantially transverse to the first orientation, to position the fixation element in relation to one or more spinal anchors.

摘要翻译： 提供了用于将脊柱固定元件引入患者脊柱的手术部位的微创方法和装置。 通常，该方法包括沿着从微创经皮切口延伸到脊柱锚定部位的路径沿着第一长度方向前进脊柱固定元件。 当脊骨固定元件接近脊椎锚固部位时，固定元件可以被操纵以在第二方向上延伸，该第二方向优选地基本上横向于第一方向，以将固定元件相对于一个或多个脊椎锚固件定位。

公开(公告)号：US20160338685A1

公开(公告)日：2016-11-24

申请号：US15216825

申请日：2016-07-22

申请人： DePuy Synthes Products, Inc.

发明人： Namal Nawana ,  William J. Frasier ,  Jennifer DiPietro ,  Christopher Nordstrom ,  Michele LeClerc ,  John Paul Griffin ,  Sean P. Selover ,  Jonathan Bellas ,  Matthew Parsons

IPC分类号： A61B17/02 ,  A61B5/00 ,  G06F19/00 ,  A61B34/00 ,  A61B34/20 ,  A61B8/08 ,  A61B34/10

CPC分类号： A61B17/025 ,  A61B5/0022 ,  A61B5/1118 ,  A61B5/4509 ,  A61B5/4566 ,  A61B5/4571 ,  A61B5/4824 ,  A61B5/4833 ,  A61B5/4848 ,  A61B5/7282 ,  A61B5/742 ,  A61B5/746 ,  A61B5/7475 ,  A61B6/4494 ,  A61B6/485 ,  A61B6/506 ,  A61B8/08 ,  A61B17/02 ,  A61B17/50 ,  A61B34/10 ,  A61B34/20 ,  A61B34/25 ,  A61B2010/009 ,  A61B2010/0093 ,  A61B2017/00115 ,  A61B2017/00119 ,  A61B2017/0262 ,  A61B2034/101 ,  A61B2034/105 ,  A61B2034/2055 ,  A61B2034/2057 ,  A61B2034/252 ,  A61B2034/254 ,  A61B2034/256 ,  G01L5/00 ,  G06F19/00 ,  G06F19/321 ,  G06F19/325 ,  G06F19/3481 ,  G06Q10/00 ,  G06Q10/10 ,  G06Q50/24 ,  G16H10/20 ,  G16H40/20 ,  G16H40/40 ,  G16H40/63 ,  G16H50/20 ,  G16H50/50 ,  G16H50/70 ,  G16Z99/00

摘要： Various systems and methods are provided for surgical and interventional planning, support, post-operative follow-up, and functional recovery tracking. In general, a patient can be tracked throughout medical treatment including through initial onset of symptoms, diagnosis, non-surgical treatment, surgical treatment, and recovery from the surgical treatment. In one embodiment, a patient and one or more medical professionals involved with treating the patient can electronically access a comprehensive treatment planning, support, and review system. The system can provide recommendations regarding diagnosis, non-surgical treatment, surgical treatment, and recovery from the surgical treatment based on data gathered from the patient and the medical professional(s). The system can manage the tracking of multiple patients, thereby allowing for data comparison between similar aspects of medical treatments and for learning over time through continual data gathering, analysis, and assimilation to decision-making algorithms.

公开(公告)号：US20150313456A1

公开(公告)日：2015-11-05

申请号：US14797717

申请日：2015-07-13

申请人： DePuy Synthes Products, Inc.

发明人： John Riley Hawkins ,  Nicholas Pavento ,  Sean P. Selover ,  Michelle LeClerc

IPC分类号： A61B1/32 ,  A61B17/02 ,  A61B1/06 ,  A61B5/00 ,  A61B19/00 ,  A61B5/145 ,  A61B5/04 ,  A61B1/07 ,  A61B5/01

CPC分类号： A61B1/32 ,  A61B1/06 ,  A61B1/0684 ,  A61B1/07 ,  A61B5/01 ,  A61B5/04001 ,  A61B5/14503 ,  A61B5/14539 ,  A61B5/14542 ,  A61B5/14546 ,  A61B5/6847 ,  A61B5/746 ,  A61B17/02 ,  A61B17/0206 ,  A61B17/0218 ,  A61B17/025 ,  A61B17/0293 ,  A61B90/06 ,  A61B90/36 ,  A61B2017/00092 ,  A61B2017/00473 ,  A61B2017/00946 ,  A61B2017/0225 ,  A61B2017/0262 ,  A61B2090/064 ,  A61B2090/065 ,  A61B2090/309

摘要： The present disclosure relates to methods and devices for surgically manipulating tissue. In general, the methods and devices can include an elongate retractor shaft having a distal retractor tip that is configured to manipulate tissue, for example the tip can be configured to separate muscle and nerve fibers surrounding a vertebra. The elongate retractor shaft can include an illumination source such that at least a portion of the surgical field is illuminated by the device when the device is used in the body. A sensor can also or alternatively be included on the elongate retractor shaft, for example on the blunt retraction tip, such that the sensor can monitor physiological parameters of the tissue in or adjacent to the surgical field.

摘要翻译： 本公开涉及用于手术操作组织的方法和装置。 通常，所述方法和装置可以包括细长的牵开器轴，其具有构造成操纵组织的远端牵开器顶端，例如尖端可被配置为分离围绕椎骨的肌肉和神经纤维。 细长收缩器轴可以包括照明源，使得当该装置用于身体时，外科手术区域的至少一部分被该装置照射。 传感器还可以或者可选地包括在细长的牵开器轴上，例如在钝器缩回尖端上，使得传感器可以监测在外科视野中或与外科视野相邻的组织的生理参数。

公开(公告)号：US09129054B2

公开(公告)日：2015-09-08

申请号：US14031761

申请日：2013-09-19

申请人： DePuy Synthes Products, Inc.

发明人： Namal Nawana ,  William C. Horton ,  Max Reinhardt ,  Jonathan Bellas ,  Cody Cranson ,  Jennifer DiPietro ,  Mary Louise Fowler ,  William J. Frasier ,  John Paul Griffin ,  Mark T. Hall ,  David D. Konieczynski ,  Michelle LeClerc ,  Thomas Martin ,  Christopher Nordstrom ,  Michael O'Neil ,  James Paiva ,  Matthew Parsons ,  Nicholas Pavento ,  Douglas Raymond ,  James J. Roveda ,  Sean P. Selover ,  Hassan A. Serhan ,  Michael A. Slivka ,  Robert E. Sommerich

IPC分类号： G06F19/00 ,  G06Q50/24 ,  G06Q10/00 ,  A61B5/00 ,  A61B6/00 ,  A61B17/02 ,  A61B19/00 ,  A61B10/00 ,  A61B17/00

CPC分类号： A61B17/025 ,  A61B5/0022 ,  A61B5/1118 ,  A61B5/4509 ,  A61B5/4566 ,  A61B5/4571 ,  A61B5/4824 ,  A61B5/4833 ,  A61B5/4848 ,  A61B5/7282 ,  A61B5/742 ,  A61B5/746 ,  A61B5/7475 ,  A61B6/4494 ,  A61B6/485 ,  A61B6/506 ,  A61B8/08 ,  A61B17/02 ,  A61B17/50 ,  A61B34/10 ,  A61B34/20 ,  A61B34/25 ,  A61B2010/009 ,  A61B2010/0093 ,  A61B2017/00115 ,  A61B2017/00119 ,  A61B2017/0262 ,  A61B2034/101 ,  A61B2034/105 ,  A61B2034/2055 ,  A61B2034/2057 ,  A61B2034/252 ,  A61B2034/254 ,  A61B2034/256 ,  G01L5/00 ,  G06F19/00 ,  G06F19/321 ,  G06F19/325 ,  G06F19/3481 ,  G06Q10/00 ,  G06Q10/10 ,  G06Q50/24 ,  G16H10/20 ,  G16H40/20 ,  G16H40/40 ,  G16H40/63 ,  G16H50/20 ,  G16H50/50 ,  G16H50/70

摘要： Various systems and methods are provided for surgical and interventional planning, support, post-operative follow-up, and functional recovery tracking. In general, a patient can be tracked throughout medical treatment including through initial onset of symptoms, diagnosis, non-surgical treatment, surgical treatment, and recovery from the surgical treatment. In one embodiment, a patient and one or more medical professionals involved with treating the patient can electronically access a comprehensive treatment planning, support, and review system. The system can provide recommendations regarding diagnosis, non-surgical treatment, surgical treatment, and recovery from the surgical treatment based on data gathered from the patient and the medical professional(s). The system can manage the tracking of multiple patients, thereby allowing for data comparison between similar aspects of medical treatments and for learning over time through continual data gathering, analysis, and assimilation to decision-making algorithms.

摘要翻译： 提供各种系统和方法用于手术和介入计划，支持，术后随访和功能恢复跟踪。 通常，可以在整个医疗过程中跟踪患者，包括通过症状的初始发作，诊断，非手术治疗，手术治疗和从手术治疗中恢复。 在一个实施例中，参与治疗患者的患者和一个或多个医疗专业人员可以电子地访问综合治疗计划，支持和审查系统。 该系统可以基于从患者和医疗专业人员收集的数据，提供关于诊断，非手术治疗，手术治疗和从手术治疗恢复的建议。 该系统可以管理多个患者的跟踪，从而允许在医学治疗的类似方面之间进行数据比较，并通过持续的数据收集，分析和同化来决定算法来随着时间的推移进行学习。

公开(公告)号：US20220322928A1

公开(公告)日：2022-10-13

申请号：US17850967

申请日：2022-06-27

申请人： DePuy Synthes Products, Inc.

发明人： John Riley Hawkins ,  Nicholas Pavento ,  Sean P. Selover ,  Michelle LeClerc

IPC分类号： A61B1/32 ,  A61B1/06 ,  A61B17/02 ,  A61B1/07 ,  A61B5/00 ,  A61B5/01 ,  A61B5/145 ,  A61B90/00 ,  A61B5/24

摘要： The present disclosure relates to methods and devices for surgically manipulating tissue. In general, the methods and devices can include an elongate retractor shaft having a distal retractor tip that is configured to manipulate tissue, for example the tip can be configured to separate muscle and nerve fibers surrounding a vertebra. The elongate retractor shaft can include an illumination source such that at least a portion of the surgical field is illuminated by the device when the device is used in the body. A sensor can also or alternatively be included on the elongate retractor shaft, for example on the blunt retraction tip, such that the sensor can monitor physiological parameters of the tissue in or adjacent to the surgical field.