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    Surgical access device, system, and methods of use
    1.
    发明授权
    Surgical access device, system, and methods of use 有权
    手术进入装置，系统和使用方法

    公开(公告)号：US08105236B2

    公开(公告)日：2012-01-31

    申请号：US11448228

    申请日：2006-06-07

    申请人： Hugues F. Malandain ,  Derek Rothwell ,  Avram Allan Edidin

    发明人： Hugues F. Malandain ,  Derek Rothwell ,  Avram Allan Edidin

    IPC分类号： A61B1/32

    CPC分类号： A61B17/3403 ,  A61B17/02 ,  A61B17/0293 ,  A61B17/3439 ,  A61B90/30 ,  A61B90/35 ,  A61B2017/3407 ,  A61B2017/3447

    摘要： A surgical access device can include a plurality of retractor members that together define a lumen having a first cross-sectional dimension. Each of the plurality of retractor members can be moved radially outward to at least a second cross-sectional dimension to create a surgical access passage. The surgical access device, systems and kits comprising the surgical access device, and methods of using the surgical access device can include a mechanism for inserting an elongate member from exterior the body to the surgical site, a mechanism for moving the retractor members radially outward, a mechanism for guiding the radially outward movement of the retractor members, a mechanism for securing each of the retractor members in a range of positions, and a mechanism for illuminating the surgical site. Variations of the devices, systems, kits, and methods are useful for creating and maintaining a surgical access passage for performing minimally invasive surgery.

    摘要翻译： 外科进入装置可以包括多个牵开器构件，其一起限定具有第一横截面尺寸的内腔。 多个牵开器构件中的每一个可以径向向外移动到至少第二横截面尺寸以产生外科进入通道。 包括外科进入装置的外科进入装置，系统和套件以及使用外科进入装置的方法可以包括用于将细长构件从身体外部插入外科手术部位的机构，用于将牵开器构件径向向外移动的机构， 用于引导牵开器构件的径向向外运动的机构，用于将各牵引器构件固定在一定范围内的机构，以及用于照明外科手术部位的机构。 装置，系统，试剂盒和方法的变化对于创建和维持用于进行微创手术的外科进入通道是有用的。

    SURGICAL ACCESS DEVICE SYSTEM AND METHODS OF USE
    2.
    发明申请
    SURGICAL ACCESS DEVICE SYSTEM AND METHODS OF USE 审中-公开
    手术访问装置系统及其使用方法

    公开(公告)号：US20120101341A1

    公开(公告)日：2012-04-26

    申请号：US13335292

    申请日：2011-12-22

    申请人： Hugues F. Malandain ,  Derek Rothwell ,  Avram Allan Edidin

    发明人： Hugues F. Malandain ,  Derek Rothwell ,  Avram Allan Edidin

    IPC分类号： A61B1/32

    CPC分类号： A61B17/3403 ,  A61B17/02 ,  A61B17/0293 ,  A61B17/3439 ,  A61B90/30 ,  A61B90/35 ,  A61B2017/3407 ,  A61B2017/3447

    摘要： A surgical access device can include a plurality of retractor members that together define a lumen having a first cross-sectional dimension. Each of the plurality of retractor members can be moved radially outward to at least a second cross-sectional dimension to create a surgical access passage. The surgical access device, systems and kits comprising the surgical access device, and methods of using the surgical access device can include a mechanism for inserting an elongate member from exterior the body to the surgical she, a mechanism for moving the retractor members radially outward, a mechanism for guiding the radially outward movement of the retractor members, a mechanism for securing each of the retractor members in a range of positions, and a mechanism for illuminating the surgical site. Variations of the devices, systems, kits, and methods are useful for creating and maintaining a surgical access passage for performing minimally invasive surgery.

    摘要翻译： 外科进入装置可以包括多个牵开器构件，其一起限定具有第一横截面尺寸的内腔。 多个牵开器构件中的每一个可以径向向外移动到至少第二横截面尺寸以产生外科进入通道。 包括外科进入装置的外科进入装置，系统和试剂盒以及使用外科进入装置的方法可以包括用于将细长构件从身体外部插入外科手术机构的机构，用于将牵开器构件径向向外移动的机构， 用于引导牵开器构件的径向向外运动的机构，用于将各牵引器构件固定在一定范围内的机构，以及用于照明外科手术部位的机构。 装置，系统，试剂盒和方法的变化对于创建和维持用于进行微创手术的外科进入通道是有用的。

    Tissue extraction device and method of using the same
    4.
    发明申请
    Tissue extraction device and method of using the same 审中-公开
    组织提取装置及其使用方法

    公开(公告)号：US20080058674A1

    公开(公告)日：2008-03-06

    申请号：US11511531

    申请日：2006-08-29

    申请人： Lex Jansen ,  Art Ferdinand ,  Hugues F. Malandain ,  Claudia Orellana ,  Chris Phan ,  Derek Rothwell ,  Jennifer Wong

    发明人： Lex Jansen ,  Art Ferdinand ,  Hugues F. Malandain ,  Claudia Orellana ,  Chris Phan ,  Derek Rothwell ,  Jennifer Wong

    IPC分类号： A61B10/00

    CPC分类号： A61B10/0266 ,  A61B10/025 ,  A61B10/04 ,  A61B2017/00867

    摘要： Apparatuses and methods for performing minimally invasive medical procedures are disclosed herein. In one example, an apparatus includes an elongate body that has a deformable distal portion and defines a lumen, the lumen extends through the deformable distal portion. The deformable distal portion has a cutting portion and defines an opening. The elongate body has a first configuration in which the opening is a first size and a second configuration in which the opening is a second size smaller than the first size of the opening. The elongate body in the first configuration is configured to be percutaneously inserted at least partially into a tissue such that at least a portion of the tissue is disposed within the lumen. The elongate body is configured to move to the second configuration when the elongate body reaches a threshold temperature while inserted in the tissue.

    摘要翻译： 本文公开了用于执行微创医疗程序的装置和方法。 在一个示例中，设备包括具有可变形的远侧部分并限定内腔的细长主体，内腔延伸穿过可变形远端部分。 可变形远端部分具有切割部分并限定开口。 细长体具有第一构造，其中开口是第一尺寸和第二构造，其中开口是小于开口的第一尺寸的第二尺寸。 第一构造中的细长体构造成至少部分地经皮地插入到组织中，使得组织的至少一部分设置在内腔内。 细长体构造成当细长体在插入组织中时达到阈值温度时移动到第二构型。

    Apparatus and methods of tissue removal within a spine
    6.
    发明申请
    Apparatus and methods of tissue removal within a spine 审中-公开
    脊柱内组织去除的装置和方法

    公开(公告)号：US20070149990A1

    公开(公告)日：2007-06-28

    申请号：US11450878

    申请日：2006-06-12

    申请人： Erika Palmer ,  Alberto Cantu ,  Lloyd Diamond ,  Chris Phan ,  Derek Rothwell ,  Meera Sankaran

    发明人： Erika Palmer ,  Alberto Cantu ,  Lloyd Diamond ,  Chris Phan ,  Derek Rothwell ,  Meera Sankaran

    IPC分类号： A61B17/32 ,  A61B17/00 ,  A61B10/00

    CPC分类号： A61B17/3207 ,  A61B17/320725 ,  A61B2017/00261 ,  A61B2017/306 ,  A61B2017/32006 ,  A61B2017/320733

    摘要： In one embodiment, an apparatus includes an elongate body having a collapsed configuration and an expanded configuration. The elongate body has a cutting portion at a distal portion of the elongate body, and the cutting portion defines an opening in the elongate body. The distal portion of the elongate body is configured to be inserted into a nucleus of an intervertebral disc when the elongate body is in the collapsed configuration. The cutting portion of the elongate body is configured to disrupt at least a portion of tissue within the nucleus of the intervertebral disc when the elongate body is in the expanded configuration. The elongate body is configured to capture the portion of tissue within the opening of the elongate body when the elongate body is moved from the expanded configuration to the collapsed configuration while disposed within the nucleus of the intervertebral disc.

    摘要翻译： 在一个实施例中，一种装置包括具有折叠构型和扩张构型的细长主体。 细长主体在细长主体的远端部分具有切割部分，并且切割部分限定细长主体中的开口。 细长体的远侧部分构造成当细长体处于折叠构型时插入到椎间盘的细胞核中。 细长体的切割部分构造成当细长体处于膨胀构型时破坏椎间盘的细胞核内的至少一部分组织。 细长主体被配置为当细长主体从扩张构型移动到折叠构型而被放置在椎间盘的核内时，捕获细长主体的开口内的组织部分。

    Medical device with dual expansion mechanism
    7.
    发明授权
    Medical device with dual expansion mechanism 有权
    医疗器械具有双重膨胀机制

    公开(公告)号：US09089347B2

    公开(公告)日：2015-07-28

    申请号：US11773871

    申请日：2007-07-05

    申请人： Meera Sankaran ,  Derek Rothwell

    发明人： Meera Sankaran ,  Derek Rothwell

    IPC分类号： A61B17/32 ,  A61B17/16 ,  A61B17/00

    CPC分类号： A61B17/1671 ,  A61B17/1617 ,  A61B2017/00867 ,  A61B2217/005

    摘要： Apparatuses and methods for accessing a tissue and expanding an apparatus within the tissue are disclosed. In one embodiment, an apparatus includes a first expandable member and a second expandable member disposed within the first expandable member. The first expandable member is configured to disrupt a body when in an expanded configuration and rotated relative to the body. The second expandable member is configured to block at least a portion of disrupted portions of the body from being disposed within the first expandable member. In some embodiments, the first expandable member is coupled to a sheath. The first expandable member is configured to be inserted at least partially into the body while disposed within a lumen of the sheath. The sheath is configured to be moved proximally while at least partially inserted into the body such that the first expandable member is moved from its collapsed to its expanded configuration.

    摘要翻译： 公开了用于访问组织并扩展组织内的装置的装置和方法。 在一个实施例中，一种装置包括第一可膨胀构件和设置在第一可膨胀构件内的第二可膨胀构件。 第一可膨胀构件被构造成当处于膨胀构型并相对于身体旋转时破坏身体。 第二可膨胀构件被构造成阻挡主体的至少一部分被破坏的部分设置在第一可膨胀构件内。 在一些实施例中，第一可膨胀构件联接到护套。 第一可膨胀构件构造成在设置在护套的内腔中的同时至少部分地插入体内。 护套被构造成向近侧移动，同时至少部分地插入到主体中，使得第一可扩张构件从其折叠移动到其扩张构型。

    MEDICAL DEVICE WITH DUAL EXPANSION MECHANISM
    8.
    发明申请
    MEDICAL DEVICE WITH DUAL EXPANSION MECHANISM 有权
    具有双重扩张机制的医疗装置

    公开(公告)号：US20080009875A1

    公开(公告)日：2008-01-10

    申请号：US11773871

    申请日：2007-07-05

    申请人： Meera Sankaran ,  Derek Rothwell

    发明人： Meera Sankaran ,  Derek Rothwell

    IPC分类号： A61B17/16

    CPC分类号： A61B17/1671 ,  A61B17/1617 ,  A61B2017/00867 ,  A61B2217/005

    摘要： Apparatuses and methods for accessing a tissue and expanding an apparatus within the tissue are disclosed. In one embodiment, an apparatus includes a first expandable member and a second expandable member disposed within the first expandable member. The first expandable member is configured to disrupt a body when in an expanded configuration and rotated relative to the body. The second expandable member is configured to block at least a portion of disrupted portions of the body from being disposed within the first expandable member. In some embodiments, the first expandable member is coupled to a sheath. The first expandable member is configured to be inserted at least partially into the body while disposed within a lumen of the sheath. The sheath is configured to be moved proximally while at least partially inserted into the body such that the first expandable member is moved from its collapsed to its expanded configuration.

    摘要翻译： 公开了用于访问组织并扩展组织内的装置的装置和方法。 在一个实施例中，一种装置包括第一可膨胀构件和设置在第一可膨胀构件内的第二可膨胀构件。 第一可膨胀构件被构造成当处于膨胀构型并相对于身体旋转时破坏身体。 第二可膨胀构件被构造成阻挡主体的至少一部分被破坏的部分设置在第一可膨胀构件内。 在一些实施例中，第一可膨胀构件联接到护套。 第一可膨胀构件构造成在设置在护套的内腔中的同时至少部分地插入体内。 鞘被构造成向近侧移动，同时至少部分地插入到主体中，使得第一可扩张构件从其折叠移动到其扩张构型。

    Surgical access device, system, and methods of use
    9.
    发明申请
    Surgical access device, system, and methods of use 有权
    手术进入装置，系统和使用方法

    公开(公告)号：US20070010716A1

    公开(公告)日：2007-01-11

    申请号：US11448228

    申请日：2006-06-07

    申请人： Hugues Malandain ,  Derek Rothwell ,  Avram Edidin

    发明人： Hugues Malandain ,  Derek Rothwell ,  Avram Edidin

    IPC分类号： A61B1/32

    CPC分类号： A61B17/3403 ,  A61B17/02 ,  A61B17/0293 ,  A61B17/3439 ,  A61B90/30 ,  A61B90/35 ,  A61B2017/3407 ,  A61B2017/3447

    摘要： A surgical access device can include a plurality of retractor members that together define a lumen having a first cross-sectional dimension. Each of the plurality of retractor members can be moved radially outward to at least a second cross-sectional dimension to create a surgical access passage. The surgical access device, systems and kits comprising the surgical access device, and methods of using the surgical access device can include a mechanism for inserting an elongate member from exterior the body to the surgical site, a mechanism for moving the retractor members radially outward, a mechanism for guiding the radially outward movement of the retractor members, a mechanism for securing each of the retractor members in a range of positions, and a mechanism for illuminating the surgical site. Variations of the devices, systems, kits, and methods are useful for creating and maintaining a surgical access passage for performing minimally invasive surgery.

    摘要翻译： 外科进入装置可以包括多个牵开器构件，其一起限定具有第一横截面尺寸的内腔。 多个牵开器构件中的每一个可以径向向外移动到至少第二横截面尺寸以产生外科进入通道。 包括外科进入装置的外科进入装置，系统和套件以及使用外科进入装置的方法可以包括用于将细长构件从身体外部插入外科手术部位的机构，用于将牵开器构件径向向外移动的机构， 用于引导牵开器构件的径向向外运动的机构，用于将各牵引器构件固定在一定范围内的机构，以及用于照明外科手术部位的机构。 装置，系统，试剂盒和方法的变化对于创建和维持用于进行微创手术的外科进入通道是有用的。