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    Multi-Wire Tissue Cutter
    1.
    发明申请
    Multi-Wire Tissue Cutter 审中-公开
    多线组织切割机

    公开(公告)号：US20080051812A1

    公开(公告)日：2008-02-28

    申请号：US11461740

    申请日：2006-08-01

    申请人： Greg Schmitz ,  Jefferey Bleam ,  Jefffrey L. Bleich ,  Roy Leguidleguid ,  Vahid Saadat

    发明人： Greg Schmitz ,  Jefferey Bleam ,  Jefffrey L. Bleich ,  Roy Leguidleguid ,  Vahid Saadat

    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。

    Mechanical tissue modification devices and methods
    2.
    发明授权
    Mechanical tissue modification devices and methods 有权
    机械组织修饰装置及方法

    公开(公告)号：US08430881B2

    公开(公告)日：2013-04-30

    申请号：US11405848

    申请日：2006-04-17

    申请人： Jeffery L. Bleich ,  Vahid Saadat ,  Roy Leguidleguid ,  Jefferey Bleam

    发明人： Jeffery L. Bleich ,  Vahid Saadat ,  Roy Leguidleguid ,  Jefferey Bleam

    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。

    Mechanical tissue modification devices and methods
    3.
    发明申请
    Mechanical tissue modification devices and methods 有权
    机械组织修饰装置及方法

    公开(公告)号：US20120078253A9

    公开(公告)日：2012-03-29

    申请号：US11405848

    申请日：2006-04-17

    申请人： Jeffery Bleich ,  Vahid Saadat ,  Roy Leguidleguid ,  Jefferey Bleam

    发明人： Jeffery Bleich ,  Vahid Saadat ,  Roy Leguidleguid ,  Jefferey Bleam

    IPC分类号： A61B17/16

    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。

    Tissue access guidewire system and method
    4.
    发明授权
    Tissue access guidewire system and method 有权
    组织接触导丝系统及方法

    公开(公告)号：US08551097B2

    公开(公告)日：2013-10-08

    申请号：US12917253

    申请日：2010-11-01

    申请人： Gregory P. Schmitz ,  Jefferey Bleam ,  Roy Leguidleguid ,  Jeffery L. Bleich

    发明人： Gregory P. Schmitz ,  Jefferey Bleam ,  Roy Leguidleguid ,  Jeffery L. Bleich

    IPC分类号： A61B10/00 ,  A61B17/00 ,  A61M25/00 ,  A61F11/00

    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。

    Apparatus and method for temporary hemostasis
    8.
    发明申请
    Apparatus and method for temporary hemostasis 有权
    临时止血装置及方法

    公开(公告)号：US20080009794A1

    公开(公告)日：2008-01-10

    申请号：US11112971

    申请日：2005-04-22

    申请人： Celso Bagaoisan ,  Jefferey Bleam ,  Roy Leguidleguid

    发明人： Celso Bagaoisan ,  Jefferey Bleam ,  Roy Leguidleguid

    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。

    TISSUE ACCESS GUIDEWIRE SYSTEM AND METHOD
    10.
    发明申请
    TISSUE ACCESS GUIDEWIRE SYSTEM AND METHOD 有权
    组织访问指导系统和方法

    公开(公告)号：US20110046613A1

    公开(公告)日：2011-02-24

    申请号：US12917253

    申请日：2010-11-01

    申请人： Gregory Schmitz ,  Jefferey Bleam ,  Roy Leguidleguid ,  Jeffery L. Bleich

    发明人： Gregory Schmitz ,  Jefferey Bleam ,  Roy Leguidleguid ,  Jeffery L. Bleich

    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。