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1.发明授权公开(公告)号：US08728162B2
公开(公告)日：2014-05-20
申请号：US13088190
申请日：2011-04-15
申请人： Ephraim Akyuz , Andrew Fauth , Douglas M. Lorang , Daniel J. Triplett , Rick Simmons , Larry T. Khoo , Burak M. Ozgur , Bryan Howard
发明人： Ephraim Akyuz , Andrew Fauth , Douglas M. Lorang , Daniel J. Triplett , Rick Simmons , Larry T. Khoo , Burak M. Ozgur , Bryan Howard
CPC分类号： A61F2/4611 , A61B17/1757 , A61B2017/00261 , A61F2/447 , A61F2/4684 , A61F2002/30387 , A61F2002/4475 , A61F2002/448 , A61F2002/4687
摘要： Apparatus, systems, and methods for spine surgery employ a guide wire temporarily anchored to a contralateral side of an intervertebral disc. The guide wire establishes a reliable pathway for passage and actuation of cannulated instruments or implants through a small working channel leading to an ipsilateral side of the disc. The guide wire may be disconnected and removed from the disc after use.
摘要翻译： 用于脊柱手术的装置，系统和方法使用临时锚定到椎间盘对侧的导丝。 导丝通过通向椎间盘侧面的小工作通道，建立一个可靠的通路，用于通过和致动插管式仪器或植入物。 引导线在使用后可能被断开并从光盘中取出。
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2.发明申请公开(公告)号：US20120022651A1
公开(公告)日：2012-01-26
申请号：US13088190
申请日：2011-04-15
申请人： Ephraim Akyuz , Andrew Fauth , Douglas M. Lorang , Daniel J. Triplett , Rick Simmons , Larry T. Khoo , Burak M. Ozgur , Bryan Howard
发明人： Ephraim Akyuz , Andrew Fauth , Douglas M. Lorang , Daniel J. Triplett , Rick Simmons , Larry T. Khoo , Burak M. Ozgur , Bryan Howard
IPC分类号： A61F2/44
CPC分类号： A61F2/4611 , A61B17/1757 , A61B2017/00261 , A61F2/447 , A61F2/4684 , A61F2002/30387 , A61F2002/4475 , A61F2002/448 , A61F2002/4687
摘要： Apparatus, systems, and methods for spine surgery employ a guide wire temporarily anchored to a contralateral side of an intervertebral disc. The guide wire establishes a reliable pathway for passage and actuation of cannulated instruments or implants through a small working channel leading to an ipsilateral side of the disc. The guide wire may be disconnected and removed from the disc after use.
摘要翻译： 用于脊柱手术的装置，系统和方法使用临时锚定到椎间盘对侧的导丝。 导丝通过通向椎间盘侧面的小工作通道，建立一个可靠的通路，用于通过和致动插管式仪器或植入物。 引导线在使用后可能被断开并从光盘中取出。
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公开(公告)号：US08992558B2
公开(公告)日：2015-03-31
申请号：US13087114
申请日：2011-04-14
申请人： Corbett Stone , Ephraim Akyuz , Stuart Goble , Bryan Howard , Daniel J. Triplett , Douglas M. Lorang , Andrew Fauth
发明人： Corbett Stone , Ephraim Akyuz , Stuart Goble , Bryan Howard , Daniel J. Triplett , Douglas M. Lorang , Andrew Fauth
CPC分类号： A61B17/0293 , A61B17/02 , A61B17/0206 , A61B17/0218 , A61B17/3417 , A61B17/3439 , A61B2017/00039 , A61B2017/00477 , A61B2017/00557 , A61B2017/0256 , A61B2017/3405 , A61B2017/3407 , A61B2090/571 , A61M25/10 , A61M29/00 , A61M29/02
摘要： A minimally invasive dilation device includes a plurality of rigid arms radially arrayed about a center and a dilating member positioned between the arms. A stylus may occupy the center. An outer flexible sleeve may be circumferentially secured to the arms, lying within or without the plurality of arms. An inner mesh may surround the stylus and dilating member. The device may be introduced into tissue toward a targeted area, while in a closed configuration. The dilating member may be a balloon, wherein upon inflation of the balloon, the arms are pushed radially outward, expanding the device and dilating the surrounding tissue. The dilating member may be a tube, wherein upon insertion of the tube, the arms are pushed radially outward. A cannula may be inserted inside the plurality of arms to keep the arms in an open configuration, and the dilating member may be withdrawn, providing an open passageway through the device to the targeted area. The device may be used with a neural monitoring system.
摘要翻译： 微创扩张装置包括围绕中心径向排列的多个刚性臂和位于臂之间的扩张构件。 手写笔可能占据中心。 外部柔性套筒可周向地固定到臂上，位于或不具有多个臂。 内网可围绕触针和扩张构件。 当处于关闭状态时，该装置可以朝向目标区域被引入组织。 扩张构件可以是气囊，其中当气囊膨胀时，臂被径向向外推动，使装置膨胀并且使周围组织膨胀。 扩张构件可以是管，其中当插入管时，臂被径向向外推动。 套管可以插入在多个臂内部以将臂保持在打开构型中，并且扩张构件可以被抽出，从而提供穿过该装置的开放通道到目标区域。 该装置可以与神经监测系统一起使用。
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公开(公告)号：US08177796B2
公开(公告)日：2012-05-15
申请号：US12728768
申请日：2010-03-22
申请人： Ephraim Akyuz , Andrew R. Fauth , Joseph A. Fritz , Jason Glad , Daniel Justin , Douglas M. Lorang , Matthew C. Summitt , M. Mary Sinnott , Daniel J. Triplett
发明人： Ephraim Akyuz , Andrew R. Fauth , Joseph A. Fritz , Jason Glad , Daniel Justin , Douglas M. Lorang , Matthew C. Summitt , M. Mary Sinnott , Daniel J. Triplett
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0483 , A61B17/062 , A61B2017/00353 , A61B2017/06042
摘要： An endoscopic surgical instrument for passing a suture through tissue includes a first jaw member, a needle, and a capture feature actuable to grip and retain the suture after the suture has been passed through a tissue body. An actuation mechanism can both move the needle between retracted and extended positions, and move the capture feature between open and closed configurations, via a single actuation. The capture feature may be a trap door which is axially translatable relative to the first jaw member to overlap a portion of the first jaw member and trap a portion of the suture between the trap door and the overlapped portion. The first jaw member may be movable relative to a second jaw member to grasp a tissue body. The instrument can grasp a tissue body, pass the suture through the tissue, capture and retain the suture without being repositioned relative to the tissue.
摘要翻译： 用于使缝合线穿过组织的内窥镜手术器械包括第一钳口构件，针和捕获构件，其可致动以在缝合线已经通过组织体之后夹紧并保持缝合线。 致动机构可以在缩回位置和延伸位置之间移动针，并且通过单个致动将打开和关闭配置之间的捕获特征移动。 捕获特征可以是捕获门，该门可相对于第一钳口构件轴向平移，以与第一钳口构件的一部分重叠并且将捕获门和重叠部分之间的缝合线的一部分捕获。 第一钳口构件可以相对于第二钳口构件移动以抓握组织体。 仪器可以抓住组织体，使缝合线穿过组织，捕获并保持缝合线而不会相对于组织重新定位。
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公开(公告)号：US20100241142A1
公开(公告)日：2010-09-23
申请号：US12728768
申请日：2010-03-22
申请人： Ephraim Akyuz , Andrew R. Fauth , Joseph A. Fritz , Jason Glad , Daniel Justin , Douglas M. Lorang , Matthew C. Summitt , M. Mary Sinnott , Daniel J. Triplett
发明人： Ephraim Akyuz , Andrew R. Fauth , Joseph A. Fritz , Jason Glad , Daniel Justin , Douglas M. Lorang , Matthew C. Summitt , M. Mary Sinnott , Daniel J. Triplett
IPC分类号： A61B17/12
CPC分类号： A61B17/0469 , A61B17/0483 , A61B17/062 , A61B2017/00353 , A61B2017/06042
摘要： An endoscopic surgical instrument for passing a suture through tissue includes a first jaw member, a needle, and a capture feature actuable to grip and retain the suture after the suture has been passed through a tissue body. An actuation mechanism can both move the needle between retracted and extended positions, and move the capture feature between open and closed configurations, via a single actuation. The capture feature may be a trap door which is axially translatable relative to the first jaw member to overlap a portion of the first jaw member and trap a portion of the suture between the trap door and the overlapped portion. The first jaw member may be movable relative to a second jaw member to grasp a tissue body. The instrument can grasp a tissue body, pass the suture through the tissue, capture and retain the suture without being repositioned relative to the tissue.
摘要翻译： 用于使缝合线穿过组织的内窥镜手术器械包括第一钳口构件，针和捕获构件，其可致动以在缝合线已经通过组织体之后夹紧并保持缝合线。 致动机构可以在缩回位置和延伸位置之间移动针，并且通过单个致动将打开和关闭配置之间的捕获特征移动。 捕获特征可以是捕获门，该门可相对于第一钳口构件轴向平移，以与第一钳口构件的一部分重叠并且将捕获门和重叠部分之间的缝合线的一部分捕获。 第一钳口构件可以相对于第二钳口构件移动以抓握组织体。 仪器可以抓住组织体，使缝合线穿过组织，捕获并保持缝合线而不会相对于组织重新定位。
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公开(公告)号：US20120303046A1
公开(公告)日：2012-11-29
申请号：US13114488
申请日：2011-05-24
申请人： Kevin T. Stone , Chris Palese , Douglas M. Lorang , Andrew Fauth , Darin Ewer , Ephraim Akyuz
发明人： Kevin T. Stone , Chris Palese , Douglas M. Lorang , Andrew Fauth , Darin Ewer , Ephraim Akyuz
IPC分类号： A61B17/06
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/0485 , A61B17/0644 , A61B2017/06009 , A61B2017/06042 , A61B2017/06076
摘要： A suture passing instrument including an operation handle, a needle member, and a suture holder assembly. The operation handle has at least one actuator movable between a first position and a second position. The needle member extends from the operation handle. The needle member has a curved end portion and defines an eyelet extending therethrough. The suture holder assembly extends from the operation handle and has a movable suture carrier at a distal end configured to hold a suture. The movable suture carrier has a suture pusher telescopically and movably received in the movable suture carrier. The suture carrier is movable between a retracted position and an extended position. The suture pusher is movable beyond the suture carrier to carry the suture through the eyelet.
摘要翻译： 包括操作手柄，针构件和缝合线保持器组件的缝合通过器械。 操作手柄具有至少一个可在第一位置和第二位置之间移动的致动器。 针构件从操作手柄延伸。 针构件具有弯曲的端部并限定延伸穿过其的孔眼。 缝合线保持器组件从操作手柄延伸并且具有可配置为保持缝合线的远端处的可移动缝合线架。 可移动缝合线架具有可伸缩并可移动地容纳在可移动缝合线架中的缝合线推动器。 缝合线架可以在缩回位置和延伸位置之间移动。 缝合线推动器可移动超过缝合线架以将缝合线穿过孔眼。
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公开(公告)号：US08709022B2
公开(公告)日：2014-04-29
申请号：US13114488
申请日：2011-05-24
申请人： Kevin T. Stone , Chris Palese , Douglas M. Lorang , Andrew Fauth , Darin Ewer , Ephraim Akyuz
发明人： Kevin T. Stone , Chris Palese , Douglas M. Lorang , Andrew Fauth , Darin Ewer , Ephraim Akyuz
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/0485 , A61B17/0644 , A61B2017/06009 , A61B2017/06042 , A61B2017/06076
摘要： A suture passing instrument including an operation handle, a needle member, and a suture holder assembly. The operation handle has at least one actuator movable between a first position and a second position. The needle member extends from the operation handle. The needle member has a curved end portion and defines an eyelet extending therethrough. The suture holder assembly extends from the operation handle and has a movable suture carrier at a distal end configured to hold a suture. The movable suture carrier has a suture pusher telescopically and movably received in the movable suture carrier. The suture carrier is movable between a retracted position and an extended position. The suture pusher is movable beyond the suture carrier to carry the suture through the eyelet.
摘要翻译： 包括操作手柄，针构件和缝合线保持器组件的缝合通过器械。 操作手柄具有至少一个可在第一位置和第二位置之间移动的致动器。 针构件从操作手柄延伸。 针构件具有弯曲的端部并限定延伸穿过其的孔眼。 缝合线保持器组件从操作手柄延伸并且具有可配置为保持缝合线的远端处的可移动缝合线架。 可移动缝合线架具有可伸缩并可移动地容纳在可移动缝合线架中的缝合线推动器。 缝合线架可以在缩回位置和延伸位置之间移动。 缝合线推动器可移动超过缝合线架以将缝合线穿过孔眼。
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公开(公告)号：US08535377B2
公开(公告)日：2013-09-17
申请号：US13221723
申请日：2011-08-30
申请人： Thomas H. Myers , Douglas M. Lorang , Daniel J. Triplett , Chad Lewis , Bryan Howard , Nathan Hansen
发明人： Thomas H. Myers , Douglas M. Lorang , Daniel J. Triplett , Chad Lewis , Bryan Howard , Nathan Hansen
IPC分类号： A61F2/08
CPC分类号： A61F2/0811 , A61B17/0401 , A61B17/1604 , A61B17/1675 , A61B17/1714 , A61B17/1764 , A61B2017/0404 , A61B2017/0409 , A61B2017/0414 , A61B2017/0419 , A61B2017/0438 , A61B2017/044 , A61B2017/0448 , A61B2017/0453 , A61F2/0805 , A61F2002/0852 , A61F2002/0858 , A61F2002/0882 , A61F2240/005 , A61F2240/008
摘要： A system for single tunnel, double bundle anterior cruciate ligament reconstruction includes implant constructs and instruments. The implant constructs provide a combination of cortical fixation and bone tunnel aperture fixation. The implant constructs separate a graft into distinct bundles. The instruments are used to prepare shaped bone tunnels to receive the implant constructs and graft bundles. Methods for reconstructing the antero-medial and postero-lateral bundles of the anterior cruciate ligament may rely on single femoral and tibial tunnels and a single strand of graft.
摘要翻译： 单隧道，双束前十字韧带重建系统包括种植体构造和器械。 植入物构造提供皮质固定和骨隧道孔径固定的组合。 植入物构建将移植物分成不同的束。 这些仪器用于制备成形骨隧道以接收植入物构造物和移植物束。 重建前交叉韧带的前内侧和后外侧束的方法可能依赖于单股股骨和胫骨隧道以及单股移植物。
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公开(公告)号：US20120059469A1
公开(公告)日：2012-03-08
申请号：US13221723
申请日：2011-08-30
申请人： Thomas H. Myers , Douglas M. Lorang , Daniel J. Triplett , Chad Lewis , Bryan Howard , Nathan Hansen
发明人： Thomas H. Myers , Douglas M. Lorang , Daniel J. Triplett , Chad Lewis , Bryan Howard , Nathan Hansen
IPC分类号： A61F2/08
CPC分类号： A61F2/0811 , A61B17/0401 , A61B17/1604 , A61B17/1675 , A61B17/1714 , A61B17/1764 , A61B2017/0404 , A61B2017/0409 , A61B2017/0414 , A61B2017/0419 , A61B2017/0438 , A61B2017/044 , A61B2017/0448 , A61B2017/0453 , A61F2/0805 , A61F2002/0852 , A61F2002/0858 , A61F2002/0882 , A61F2240/005 , A61F2240/008
摘要： A system for single tunnel, double bundle anterior cruciate ligament reconstruction includes implant constructs and instruments. The implant constructs provide a combination of cortical fixation and bone tunnel aperture fixation. The implant constructs separate a graft into distinct bundles. The instruments are used to prepare shaped bone tunnels to receive the implant constructs and graft bundles. Methods for reconstructing the antero-medial and postero-lateral bundles of the anterior cruciate ligament may rely on single femoral and tibial tunnels and a single strand of graft.
摘要翻译： 单隧道，双束前十字韧带重建系统包括种植体构造和器械。 植入物构造提供皮质固定和骨隧道孔径固定的组合。 植入物构建将移植物分成不同的束。 这些仪器用于制备成形骨隧道以接收植入物构造物和移植物束。 重建前交叉韧带的前内侧和后外侧束的方法可能依赖于单股股骨和胫骨隧道以及单股移植物。
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公开(公告)号：US20100210917A1
公开(公告)日：2010-08-19
申请号：US12692747
申请日：2010-01-25
申请人： T. Wade Fallin , Douglas M. Lorang , Ephraim Akyuz
发明人： T. Wade Fallin , Douglas M. Lorang , Ephraim Akyuz
IPC分类号： A61B1/32
CPC分类号： A61B17/3421 , A61B1/3135 , A61B17/02 , A61B2017/00477 , A61B2017/0256 , A61B2017/3447
摘要： A coupled pair of retractors which are coupled at the distal end to allow the handles at the proximal end to be urged apart to increase the distance between handles to allow for direct line of sight to the surgical site while also allowing the use of curved tools and curved access to the surgical site. A cannula with a cross section taken perpendicular to a straight portion of the cannula that increases between the proximal end of the cannula and the distal end of the cannula allows for direct line of sight to the surgical site while also allowing the use of curved tools and curved access to the surgical site. These tools may be used in a postero-lateral approach from an incision in the back to a target position adjacent to the spine.
摘要翻译： 联接的一对牵开器，其在远端处联接以允许近端处的手柄被分开，以增加手柄之间的距离，以允许直接瞄准手术部位，同时还允许使用弯曲的工具和 弯曲进入手术部位。 具有垂直于插管的直线部分截取的横截面的插管，其在套管的近端和套管的远端之间增加，允许直接视线到手术部位，同时还允许使用弯曲的工具和 弯曲进入手术部位。 这些工具可以用于从背侧的切口到与脊柱相邻的目标位置的后外侧方法。
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