公开(公告)号：US07655012B2

公开(公告)日：2010-02-02

申请号：US10842651

申请日：2004-05-10

申请人： Gene DiPoto ,  Alan E. Shluzas ,  Victor Rossin ,  Stephen Anderson ,  Daniel Baker

发明人： Gene DiPoto ,  Alan E. Shluzas ,  Victor Rossin ,  Stephen Anderson ,  Daniel Baker

IPC分类号： A61B17/60

CPC分类号： A61B17/7037 ,  A61B1/3135 ,  A61B17/00234 ,  A61B17/02 ,  A61B17/32002 ,  A61B17/3421 ,  A61B17/3439 ,  A61B17/7011 ,  A61B17/7032 ,  A61B17/7079 ,  A61B17/7082 ,  A61B17/7083 ,  A61B17/7091 ,  A61B90/361 ,  A61B90/50 ,  A61B2017/00261 ,  A61B2017/320032 ,  A61B2090/306 ,  A61F2/28 ,  A61F2/4455 ,  A61F2/4611 ,  A61F2002/30112 ,  A61F2002/30133 ,  A61F2002/30841 ,  A61F2002/30878 ,  A61F2002/3092 ,  A61F2002/448 ,  A61F2002/4635 ,  A61F2230/0004 ,  A61F2230/0015 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00359

摘要： In one embodiment, an access device is inserted through an incision in skin of a patient. The access device is expanded from a first configuration to a second configuration, the second configuration having an enlarged cross-sectional area at a distal portion of said access device such that the distal portion extends across at least a portion of the interbody space. A prosthetic spinal disc implant is then delivered through the access device.

摘要翻译： 在一个实施例中，通过患者皮肤中的切口插入进入装置。 进入装置从第一构造扩展到第二构造，第二构造在所述进入装置的远侧部分处具有扩大的横截面面积，使得远侧部分延伸穿过至少一部分体间空间。 然后通过进入装置输送假肢脊髓植入物。

公开(公告)号：US08366747B2

公开(公告)日：2013-02-05

申请号：US10969293

申请日：2004-10-20

申请人： Alan E. Shluzas

发明人： Alan E. Shluzas

IPC分类号： A61B17/70

CPC分类号： A61B17/7037 ,  A61B17/7032 ,  A61F2/28 ,  A61F2/4455 ,  A61F2/4611 ,  A61F2002/30133 ,  A61F2002/3082 ,  A61F2002/30828 ,  A61F2002/30841 ,  A61F2002/30879 ,  A61F2002/30891 ,  A61F2002/30892 ,  A61F2002/448 ,  A61F2230/0015 ,  A61F2310/00017 ,  A61F2310/00023 ,  A61F2310/00359

摘要： A device for provides access to a surgical location within a patient. The device has an elongate body that has a proximal portion, a distal portion, a first slot segment, and a second slot segment that is angled relative to said first slot segment. The elongate body defines a passage for accessing the surgical location with surgical instruments. The elongate body has a contracted configuration for insertion into the patient and an expanded configuration for providing access to the surgical location. The cross-sectional area of the passage at a first location of the elongate body is greater than the cross-sectional area of said passage at a second location of the elongate body. A movable tab is configured to extend into the second slot segment when the elongate body is in the expanded configuration to retain the elongate body in the expanded configuration.

摘要翻译： 用于提供对患者内的手术位置的访问的装置。 该装置具有细长主体，其具有近端部分，远侧部分，第一狭槽部分和相对于所述第一狭槽部分成角度的第二狭槽部分。 细长主体限定了一个通过手术器械进入手术位置的通道。 细长体具有用于插入到患者体内的收缩构造和用于提供对手术位置的通路的扩张构型。 在细长主体的第一位置处的通道的横截面积大于在细长主体的第二位置处的所述通道的横截面面积。 可移动突出部构造成当细长主体处于膨胀构型中时延伸到第二槽段中，以将细长主体保持在膨胀构型中。

公开(公告)号：US20120071920A1

公开(公告)日：2012-03-22

申请号：US13214079

申请日：2011-08-19

申请人： John F. Shanley ,  Stephen H. Diaz ,  Alan E. Shluzas ,  Frank Litvack

发明人： John F. Shanley ,  Stephen H. Diaz ,  Alan E. Shluzas ,  Frank Litvack

IPC分类号： A61B17/04

CPC分类号： A61B17/0625 ,  A61B17/0057 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0487 ,  A61B17/06 ,  A61B17/06066 ,  A61B17/34 ,  A61B17/3403 ,  A61B90/06 ,  A61B90/08 ,  A61B90/37 ,  A61B2017/00044 ,  A61B2017/00243 ,  A61B2017/00575 ,  A61B2017/00628 ,  A61B2017/00663 ,  A61B2017/0414 ,  A61B2017/0417 ,  A61B2017/0443 ,  A61B2017/047 ,  A61B2017/0472 ,  A61B2017/0475 ,  A61B2017/0496 ,  A61B2017/06023 ,  A61B2017/06042 ,  A61B2017/06076 ,  A61B2017/06171 ,  A61B2017/06176 ,  A61B2017/3405 ,  A61B2017/3409 ,  A61B2017/3413 ,  A61B2090/062 ,  A61B2090/065 ,  A61B2090/0807 ,  A61B2090/0811 ,  A61B2090/3735

摘要： One embodiment is directed to a system for providing surgical access across a wall of a tissue structure, comprising a delivery member having proximal and distal ends; a first helical member having proximal and distal ends and a helical shape, the proximal end coupled to the delivery member distal end, the distal end extending distally of the delivery member distal end; an anchor member removably coupled to the helical member distal end; and a suture member coupled distally to a portion of the anchor member and extending proximally to a position wherein at least a portion of it may be freely manipulated by an operator; wherein upon rotation of the delivery member in a first direction, the first helical member and coupled anchor member are advanced across at least a portion of the wall of the tissue structure, pulling along the distal portion of the suture member in a deployed suture pattern which remains coupled to the anchor member, the deployed suture pattern being characterized in that it is substantially helical and represents a number of helical loops encapsulated by the wall of the tissue structure that is greater than about one helical loop, and is less than about three helical loops.

摘要翻译： 一个实施例涉及一种用于提供穿过组织结构的壁的手术进入的系统，包括具有近端和远端的递送构件; 第一螺旋构件，其具有近端和远端以及螺旋形状，所述近端联接到所述输送构件远端，所述远端延伸到所述输送构件远端; 锚固构件可拆卸地联接到所述螺旋构件远端; 以及缝合构件，其远端地联接到所述锚固构件的一部分并且向近侧延伸到其中至少一部分可由操作者自由地操纵的位置; 其中当沿着第一方向转动所述传送构件时，所述第一螺旋构件和所述联接的锚定构件穿过所述组织结构的所述壁的至少一部分，沿着所述缝合构件的远端部分以部署的缝合线图案 保持联接到锚定构件，所展开的缝合线图案的特征在于其基本上是螺旋形的并且表示由组织结构的壁包围的多个螺旋环，其大于约一个螺旋环，并且小于约三个螺旋 循环。

公开(公告)号：US07766930B2

公开(公告)日：2010-08-03

申请号：US10686063

申请日：2003-10-15

申请人： Gene P. DiPoto ,  Alan E. Shluzas

发明人： Gene P. DiPoto ,  Alan E. Shluzas

IPC分类号： A61B17/00 ,  A61B29/00

CPC分类号： A61B17/0218 ,  A61B17/0293 ,  A61B17/3439 ,  A61B2017/00261

摘要： A cannula (10) for receiving surgical instruments for performing a surgical procedure on a body includes a tubular structure (12) defining a passage (16) through which the surgical instruments are inserted into the body. The tubular structure (12) includes an expandable portion (40) for enabling an increase in the cross-sectional area of the passage (16). The expandable portion (40) of the tubular structure (12) has a slot (100) and a guide member (114) disposed in the slot. The guide member (114) is movable from a first end (102) of the slot (100) toward a second end (104) of the slot to enable the cross-sectional area of the passage (16) to increase. The expandable portion (40) has a stop (106) between the first and second ends (102 and 104) of the slot (100) engageable with the guide member (114) to retain the guide member in a position relative to the slot and resist movement of the guide member from the position relative to the slot.

摘要翻译： 用于接收用于在主体上执行外科手术的外科器械的套管（10）包括限定通道（16）的管状结构（12），所述外科器械通过该通道插入体内。 管状结构（12）包括可扩展部分（40），用于增加通道（16）的横截面面积。 管状结构（12）的可膨胀部分（40）具有槽（100）和布置在槽中的引导构件（114）。 引导构件（114）可从狭槽（100）的第一端（102）朝狭缝的第二端（104）移动，以使通道（16）的横截面面积增加。 可膨胀部分（40）在狭槽（100）的第一和第二端（102和104）之间具有可与导向构件（114）接合以将引导构件保持在相对于狭槽的位置的止挡件（106） 防止引导构件从相对于狭槽的位置移动。

公开(公告)号：US07341594B2

公开(公告)日：2008-03-11

申请号：US10830937

申请日：2004-04-23

申请人： Alan E. Shluzas ,  Stephen J. Anderson ,  James J. Pagliuca ,  John D. Unger

发明人： Alan E. Shluzas ,  Stephen J. Anderson ,  James J. Pagliuca ,  John D. Unger

IPC分类号： A61B17/58 ,  A61F2/00

CPC分类号： A61B17/701 ,  A61B17/0206 ,  A61B17/025 ,  A61B17/7007 ,  A61B17/7037 ,  A61B17/7079 ,  A61B17/7091 ,  A61B17/8019 ,  A61B17/8894 ,  A61B2017/0256

摘要： A surgical instrument extendable through a cannula for moving a first bone portion relative to a second bone portion includes a first portion having a longitudinal axis engageable with a first member connected with to the first bone portion. A second portion is engageable with a second member connected with the second bone portion. The second portion is movable relative to the first portion from a first position toward a second position to move the first and second bone portions away from each other. An actuator connected with the second portion moves the second portion relative to the first portion in a direction extending transverse to the longitudinal axis.

摘要翻译： 可通过套管延伸的用于相对于第二骨部分移动第一骨部分的手术器械包括具有与与第一骨部分连接的第一部件可接合的纵向轴线的第一部分。 第二部分可与与第二骨部分连接的第二部件接合。 第二部分可相对于第一部分从第一位置向第二位置移动，以使第一和第二骨部分彼此远离。 与第二部分连接的致动器在横向于纵向轴线的方向上相对于第一部分移动第二部分。

公开(公告)号：US09730690B2

公开(公告)日：2017-08-15

申请号：US13214103

申请日：2011-08-19

申请人： John F. Shanley ,  Stephen H. Diaz ,  Alan E. Shluzas ,  Frank Litvack

发明人： John F. Shanley ,  Stephen H. Diaz ,  Alan E. Shluzas ,  Frank Litvack

IPC分类号： A61B17/04 ,  A61B17/062 ,  A61B17/00 ,  A61B17/06 ,  A61B17/34 ,  A61B90/00

CPC分类号： A61B17/0625 ,  A61B17/0057 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0487 ,  A61B17/06 ,  A61B17/06066 ,  A61B17/34 ,  A61B17/3403 ,  A61B90/06 ,  A61B90/08 ,  A61B90/37 ,  A61B2017/00044 ,  A61B2017/00243 ,  A61B2017/00575 ,  A61B2017/00628 ,  A61B2017/00663 ,  A61B2017/0414 ,  A61B2017/0417 ,  A61B2017/0443 ,  A61B2017/047 ,  A61B2017/0472 ,  A61B2017/0475 ,  A61B2017/0496 ,  A61B2017/06023 ,  A61B2017/06042 ,  A61B2017/06076 ,  A61B2017/06171 ,  A61B2017/06176 ,  A61B2017/3405 ,  A61B2017/3409 ,  A61B2017/3413 ,  A61B2090/062 ,  A61B2090/065 ,  A61B2090/0807 ,  A61B2090/0811 ,  A61B2090/3735

摘要： One embodiment is directed to a method for providing surgical access across a wall of a tissue structure, comprising: installing a guiding member into the wall of the tissue structure to a desired guiding depth; using the installed guiding member as a positional guide, advancing a helical member into the wall of the tissue to a desired helical member depth, the helical member comprising a helical member distal end removably coupled to an anchor member which is coupled to a distal end of a suture member, such that advancing the helical member into the wall causes the anchor member to be advanced into the wall and to pull a distal portion of the suture member along with the anchor member into the wall to substantially encapsulate a number of helical loops of suture member that is greater than about 1 loop and less than about 3 loops; withdrawing the helical member from the wall of the tissue structure, leaving the anchor member in a deployed configuration decoupled from the helical member and coupled to at least a portion of the wall of the tissue structure; and tensioning the suture member to apply a load to the deployed anchor member.

公开(公告)号：US09579097B2

公开(公告)日：2017-02-28

申请号：US13214122

申请日：2011-08-19

申请人： Alan E. Shluzas

发明人： Alan E. Shluzas

IPC分类号： A61B17/04 ,  A61B17/062 ,  A61B17/00 ,  A61B17/06 ,  A61B17/34

CPC分类号： A61B17/0625 ,  A61B17/0057 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0487 ,  A61B17/06 ,  A61B17/06066 ,  A61B17/34 ,  A61B17/3403 ,  A61B90/06 ,  A61B90/08 ,  A61B90/37 ,  A61B2017/00044 ,  A61B2017/00243 ,  A61B2017/00575 ,  A61B2017/00628 ,  A61B2017/00663 ,  A61B2017/0414 ,  A61B2017/0417 ,  A61B2017/0443 ,  A61B2017/047 ,  A61B2017/0472 ,  A61B2017/0475 ,  A61B2017/0496 ,  A61B2017/06023 ,  A61B2017/06042 ,  A61B2017/06076 ,  A61B2017/06171 ,  A61B2017/06176 ,  A61B2017/3405 ,  A61B2017/3409 ,  A61B2017/3413 ,  A61B2090/062 ,  A61B2090/065 ,  A61B2090/0807 ,  A61B2090/0811 ,  A61B2090/3735

摘要： One embodiment is directed to a method for tensioning a suture member that crosses a portion of a wall of a tissue structure, comprising: advancing a distal portion of the suture member across at least a portion of a wall of the tissue structure; advancing a tensioning assembly, through which the suture member is threaded, toward the wall of the tissue structure; manipulating a elongate compressive loading member to adjust the physical relationship between the tensioning assembly, suture member, and tissue structure wall by modulating the position of the tensioning member base relative to the suture member and tissue structure wall with the tensioning mode switching member in the first mode; and controllably switching the tensioning mode switching member to the second mode.

摘要翻译： 一个实施例涉及用于张紧穿过组织结构的壁的一部分的缝合构件的方法，包括：使缝合构件的远侧部分穿过组织结构的壁的至少一部分; 将缝合构件穿过其的张紧组件推向组织结构的壁; 操纵细长的压缩加载构件以通过调节张紧构件基座相对于缝合构件和组织结构壁的位置来调节张紧组件，缝合构件和组织结构壁之间的物理关系，其中张紧模式切换构件在第一 模式; 并且可控制地将张紧模式切换部件切换到第二模式。

公开(公告)号：US09044267B2

公开(公告)日：2015-06-02

申请号：US13640041

申请日：2011-06-10

申请人： Frank Litvack ,  John F. Shanley ,  Alan E. Shluzas ,  Stephen H. Diaz ,  Gary Steese-Bradley

发明人： Frank Litvack ,  John F. Shanley ,  Alan E. Shluzas ,  Stephen H. Diaz ,  Gary Steese-Bradley

IPC分类号： A61B1/00 ,  A61B17/34 ,  A61B17/00 ,  A61B17/04 ,  A61B17/08 ,  A61B19/00 ,  A61B17/06 ,  A61B17/22 ,  A61B17/30

CPC分类号： A61B17/3423 ,  A61B17/00234 ,  A61B17/0057 ,  A61B17/0218 ,  A61B17/0401 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0487 ,  A61B17/08 ,  A61B17/10 ,  A61B17/3468 ,  A61B90/30 ,  A61B90/361 ,  A61B2017/00243 ,  A61B2017/00247 ,  A61B2017/00349 ,  A61B2017/00579 ,  A61B2017/00592 ,  A61B2017/00601 ,  A61B2017/00606 ,  A61B2017/00615 ,  A61B2017/00619 ,  A61B2017/00623 ,  A61B2017/00637 ,  A61B2017/00654 ,  A61B2017/00668 ,  A61B2017/0237 ,  A61B2017/0414 ,  A61B2017/0427 ,  A61B2017/0464 ,  A61B2017/0472 ,  A61B2017/0496 ,  A61B2017/06009 ,  A61B2017/06023 ,  A61B2017/06042 ,  A61B2017/06076 ,  A61B2017/06176 ,  A61B2017/22067 ,  A61B2017/22069 ,  A61B2017/306 ,  A61B2017/3425 ,  A61B2017/3445 ,  A61B2017/3484 ,  A61B2017/3488 ,  A61B2090/036 ,  A61B2090/306 ,  A61B2090/3735

摘要： Embodiments are described for creating and closing tissue access ports, such as transapical access ports, which involve placement of an introducer across the subject tissue structure, and deployment of a controllable port closure device assembly configured to remain in place with a ratcheting mechanism, and to hold the tissue surrounding the previous access port location closed against a sealing disc with proximal and distal strut assemblies, after the introducer has been removed.

公开(公告)号：US20120089159A1

公开(公告)日：2012-04-12

申请号：US13214121

申请日：2011-08-19

申请人： Alan E. Shluzas

发明人： Alan E. Shluzas

IPC分类号： A61B17/04

CPC分类号： A61B17/0625 ,  A61B17/0057 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0487 ,  A61B17/06 ,  A61B17/06066 ,  A61B17/34 ,  A61B17/3403 ,  A61B90/06 ,  A61B90/08 ,  A61B90/37 ,  A61B2017/00044 ,  A61B2017/00243 ,  A61B2017/00575 ,  A61B2017/00628 ,  A61B2017/00663 ,  A61B2017/0414 ,  A61B2017/0417 ,  A61B2017/0443 ,  A61B2017/047 ,  A61B2017/0472 ,  A61B2017/0475 ,  A61B2017/0496 ,  A61B2017/06023 ,  A61B2017/06042 ,  A61B2017/06076 ,  A61B2017/06171 ,  A61B2017/06176 ,  A61B2017/3405 ,  A61B2017/3409 ,  A61B2017/3413 ,  A61B2090/062 ,  A61B2090/065 ,  A61B2090/0807 ,  A61B2090/0811 ,  A61B2090/3735

摘要： One embodiment is directed to a system for tensioning a suture member that crosses a portion of a tissue structure, comprising: a tensioning member base having a tissue interface surface configured to engage a portion of the tissue structure when coupled to a suture member that may be threaded through the tensioning member base and into the tissue structure; a suture clamping member configured to be switched from a first mode, wherein a suture may be tensioned back and forth through a space defined at least in part by the clamping member, to a second mode, wherein a suture may only be tensioned in one direction relative to the suture clamping member; and a mode switching member movably coupled to the suture clamping member and configured to be operable to switch the suture clamping member from the first mode to the second mode.

摘要翻译： 一个实施例涉及一种用于张紧穿过组织结构的一部分的缝合线构件的系统，包括：张紧构件基部，其具有构造成当联接到缝合构件的组织结构的一部分时可与 穿过张紧构件基部并进入组织结构; 构造成从第一模式切换的缝合线夹持构件，其中缝合线可以通过至少部分地由夹紧构件限定的空间来回张紧到第二模式，其中缝合线可以仅在一个方向上张紧 相对于缝合线夹紧构件; 以及模式切换构件，其可移动地联接到所述缝合线夹紧构件并且被配置为可操作以将所述缝合线夹紧构件从所述第一模式切换到所述第二模式。

公开(公告)号：US20120071922A1

公开(公告)日：2012-03-22

申请号：US13214095

申请日：2011-08-19

申请人： John F. Shanley ,  Stephen H. Diaz ,  Alan E. Shluzas ,  Frank Litvack

发明人： John F. Shanley ,  Stephen H. Diaz ,  Alan E. Shluzas ,  Frank Litvack

IPC分类号： A61B17/04

CPC分类号： A61B17/0625 ,  A61B17/0057 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0487 ,  A61B17/06 ,  A61B17/06066 ,  A61B17/34 ,  A61B17/3403 ,  A61B90/06 ,  A61B90/08 ,  A61B90/37 ,  A61B2017/00044 ,  A61B2017/00243 ,  A61B2017/00575 ,  A61B2017/00628 ,  A61B2017/00663 ,  A61B2017/0414 ,  A61B2017/0417 ,  A61B2017/0443 ,  A61B2017/047 ,  A61B2017/0472 ,  A61B2017/0475 ,  A61B2017/0496 ,  A61B2017/06023 ,  A61B2017/06042 ,  A61B2017/06076 ,  A61B2017/06171 ,  A61B2017/06176 ,  A61B2017/3405 ,  A61B2017/3409 ,  A61B2017/3413 ,  A61B2090/062 ,  A61B2090/065 ,  A61B2090/0807 ,  A61B2090/0811 ,  A61B2090/3735

摘要： One embodiment is directed to a system for providing surgical access across a wall of a tissue structure, comprising: a delivery member having proximal and distal ends; a plurality of helical members, each having proximal and distal ends and a helical shape, each proximal end coupled to the delivery member distal end, each distal end extending distally of the delivery member distal end; a plurality of anchor members removably coupled to the helical member distal ends; and a plurality of suture members coupled distally to a portion of one of the anchor members and extending proximally to a position wherein at least a portion of each may be freely manipulated by an operator; wherein upon rotation of the delivery member in a first direction, the helical members and coupled anchor members are advanced across at least a portion of the wall of the tissue structure, pulling along the distal portions of the suture members in a deployed suture pattern which remains coupled to the anchor member.

摘要翻译： 一个实施例涉及一种用于提供穿过组织结构的壁的手术进入的系统，包括：具有近端和远端的递送构件; 多个螺旋构件，每个具有近端和远端以及螺旋形状，每个近端联接到输送构件远端，每个远端延伸到输送构件远端的远侧; 多个可拆卸地联接到所述螺旋构件远端的锚固构件; 以及多个缝合构件，其远端地联接到所述锚固构件之一的一部分并且向近侧延伸到其中每个的至少一部分可以由操作者自由地操纵的位置; 其中当沿着第一方向转动所述输送构件时，所述螺旋构件和联接的锚定构件跨越所述组织结构的所述壁的至少一部分前进，沿着所述缝合构件的远端部分以所保留的展开的缝合线图案 耦合到锚定成员。