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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：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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公开(公告)号：US07857813B2
公开(公告)日：2010-12-28
申请号：US11468247
申请日：2006-08-29
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：US20080086034A1
公开(公告)日：2008-04-10
申请号：US11468252
申请日：2006-08-29
IPC分类号： A61B1/32
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：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：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：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：US08585704B2
公开(公告)日：2013-11-19
申请号：US13267683
申请日：2011-10-06
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：US08568416B2
公开(公告)日：2013-10-29
申请号：US13588969
申请日：2012-08-17
申请人： Gregory P. Schmitz , Michael P. Wallace , Winnie Chung , Amie R. Borgstrom , Jeffery L. Bleich , Gregory B. Arcenio , Ronald Leguidleguid , Roy Leguidleguid , Jefferey Bleam
发明人： Gregory P. Schmitz , Michael P. Wallace , Winnie Chung , Amie R. Borgstrom , Jeffery L. Bleich , Gregory B. Arcenio , Ronald Leguidleguid , Roy Leguidleguid , Jefferey Bleam
IPC分类号： A61B17/00
CPC分类号： A61F2/4611 , A61B5/0488 , A61B5/1076 , A61B5/1101 , A61B5/407 , A61B5/7207 , A61B10/0275 , A61B10/0283 , A61B17/0218 , A61B17/06109 , A61B17/149 , A61B17/1604 , A61B17/1611 , A61B17/1626 , A61B17/1635 , A61B17/1659 , A61B17/1671 , A61B17/1757 , A61B17/29 , A61B17/320016 , A61B17/32002 , A61B17/320068 , A61B17/32053 , A61B17/3207 , A61B17/320708 , A61B17/320758 , A61B17/320783 , A61B17/3401 , A61B17/3403 , A61B17/3421 , A61B17/3468 , A61B17/3496 , A61B17/683 , A61B17/7065 , A61B17/7068 , A61B17/7092 , A61B17/842 , A61B17/8897 , A61B18/02 , A61B18/14 , A61B18/1477 , A61B18/1487 , A61B18/20 , A61B90/04 , A61B90/39 , A61B2017/00039 , A61B2017/00261 , A61B2017/00287 , A61B2017/003 , A61B2017/00349 , A61B2017/00469 , A61B2017/00477 , A61B2017/00557 , A61B2017/00867 , A61B2017/00986 , A61B2017/0225 , A61B2017/320004 , A61B2017/320008 , A61B2017/320044 , A61B2017/32006 , A61B2018/0044 , A61B2018/00565 , A61B2018/00577 , A61B2018/00595 , A61B2018/00601 , A61B2018/1407 , A61B2018/1412 , A61B2018/1425 , A61B2018/1465 , A61B2034/2048 , A61B2090/0427 , A61B2090/061 , A61B2090/064 , A61B2090/08021 , A61F2/0063 , A61M25/09041 , A61M25/0905 , A61N1/0551 , A61N1/08 , A61N2001/0578
摘要： Described herein are methods and systems for precisely placing and/or manipulating devices within the body by first positioning a guidewire or pullwire. The device to be positioned within the body is coupled to the proximal end of the guidewire, and the device is pulled into the body by pulling on the distal end of the guidewire that extends from the body. The device may be bimanually manipulated by pulling the guidewire distally, and an attachment to a device that extends proximally, allowing control of both the proximal and the distal ends. In this manner devices (and particularly implants such as innerspinous distracters, stimulating leads, and disc slings) may be positioned and/or manipulated within the body. Guidewire exchange systems, devices and methods are also described. A guidewire may be exchanged between different surgical devices and may be releaseably or permanently coupled.
摘要翻译： 这里描述的是通过首先定位导丝或拉线来精确地放置和/或操纵装置在体内的方法和系统。 定位在主体内的装置与导丝的近端相连，并且通过拉动从身体延伸的导丝的远端将装置拉入身体。 该装置可以通过将导丝线向远侧拉动和向近端延伸的装置的附件进行双手操作，从而允许近端和远端的控制。 以这种方式，可以在体内定位和/或操纵装置（并且特别是植入物，例如内侧牵引器，刺激引线和盘吊带）。 还将描述导丝交换系统，装置和方法。 导线可以在不同的手术装置之间交换，并且可以是可释放地或永久地耦合的。
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公开(公告)号：US20130053851A1
公开(公告)日：2013-02-28
申请号：US13588969
申请日：2012-08-17
申请人： Gregory P. Schmitz , Michael P. Wallace , Winnie Chung , Amie R. Borgstrom , Jeffery L. Bleich , Gregory B. Arcenio , Ronald Leguidleguid , Roy Leguidleguid , Jefferey Bleam
发明人： Gregory P. Schmitz , Michael P. Wallace , Winnie Chung , Amie R. Borgstrom , Jeffery L. Bleich , Gregory B. Arcenio , Ronald Leguidleguid , Roy Leguidleguid , Jefferey Bleam
IPC分类号： A61B17/90
CPC分类号： A61F2/4611 , A61B5/0488 , A61B5/1076 , A61B5/1101 , A61B5/407 , A61B5/7207 , A61B10/0275 , A61B10/0283 , A61B17/0218 , A61B17/06109 , A61B17/149 , A61B17/1604 , A61B17/1611 , A61B17/1626 , A61B17/1635 , A61B17/1659 , A61B17/1671 , A61B17/1757 , A61B17/29 , A61B17/320016 , A61B17/32002 , A61B17/320068 , A61B17/32053 , A61B17/3207 , A61B17/320708 , A61B17/320758 , A61B17/320783 , A61B17/3401 , A61B17/3403 , A61B17/3421 , A61B17/3468 , A61B17/3496 , A61B17/683 , A61B17/7065 , A61B17/7068 , A61B17/7092 , A61B17/842 , A61B17/8897 , A61B18/02 , A61B18/14 , A61B18/1477 , A61B18/1487 , A61B18/20 , A61B90/04 , A61B90/39 , A61B2017/00039 , A61B2017/00261 , A61B2017/00287 , A61B2017/003 , A61B2017/00349 , A61B2017/00469 , A61B2017/00477 , A61B2017/00557 , A61B2017/00867 , A61B2017/00986 , A61B2017/0225 , A61B2017/320004 , A61B2017/320008 , A61B2017/320044 , A61B2017/32006 , A61B2018/0044 , A61B2018/00565 , A61B2018/00577 , A61B2018/00595 , A61B2018/00601 , A61B2018/1407 , A61B2018/1412 , A61B2018/1425 , A61B2018/1465 , A61B2034/2048 , A61B2090/0427 , A61B2090/061 , A61B2090/064 , A61B2090/08021 , A61F2/0063 , A61M25/09041 , A61M25/0905 , A61N1/0551 , A61N1/08 , A61N2001/0578
摘要： Described herein are methods and systems for precisely placing and/or manipulating devices within the body by first positioning a guidewire or pullwire. The device to be positioned within the body is coupled to the proximal end of the guidewire, and the device is pulled into the body by pulling on the distal end of the guidewire that extends from the body. The device may be bimanually manipulated by pulling the guidewire distally, and an attachment to a device that extends proximally, allowing control of both the proximal and the distal ends. In this manner devices (and particularly implants such as innerspinous distracters, stimulating leads, and disc slings) may be positioned and/or manipulated within the body. Guidewire exchange systems, devices and methods are also described. A guidewire may be exchanged between different surgical devices and may be releaseably or permanently coupled.
摘要翻译： 这里描述的是通过首先定位导丝或拉线来精确地放置和/或操纵装置在体内的方法和系统。 定位在体内的装置与导丝的近端相连，并且通过拉动从身体延伸的导丝的远端将装置拉入身体。 该装置可以通过将导丝线向远侧拉动和向近端延伸的装置的附件进行双手操作，从而允许近端和远端的控制。 以这种方式，可以在体内定位和/或操纵装置（并且特别是植入物，例如内侧牵引器，刺激引线和盘吊带）。 还将描述导丝交换系统，装置和方法。 导线可以在不同的手术装置之间交换，并且可以是可释放地或永久地耦合的。
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