公开(公告)号：US10470707B2

公开(公告)日：2019-11-12

申请号：US12427612

申请日：2009-04-21

申请人： Patrick Miles ,  Scot Martinelli ,  Eric Finley ,  Jamil Elbanna ,  James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett ,  Goretti Medeiros

发明人： Patrick Miles ,  Scot Martinelli ,  Eric Finley ,  Jamil Elbanna ,  James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett

IPC分类号： A61B5/00 ,  A61B5/0488 ,  A61B5/05 ,  A61B5/11 ,  A61N1/08 ,  A61B5/04 ,  A61B17/16 ,  A61B17/17 ,  A61N1/36

摘要： The present invention involves systems and related methods for performing percutaneous pedicle integrity assessments involving the use of neurophysiology.

公开(公告)号：US20110313530A1

公开(公告)日：2011-12-22

申请号：US13215791

申请日：2011-08-23

申请人： James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett ,  Eric Finley ,  Jamil Elbanna ,  Scot Martinelli ,  Goretti Medeiros

发明人： James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett ,  Eric Finley ,  Jamil Elbanna ,  Scot Martinelli ,  Goretti Medeiros

IPC分类号： A61F2/44

CPC分类号： A61F2/4611 ,  A61B1/32 ,  A61B5/04001 ,  A61B5/0492 ,  A61B5/4893 ,  A61B5/6828 ,  A61B5/6831 ,  A61B17/0218 ,  A61B17/3417 ,  A61B17/3421 ,  A61B17/3423 ,  A61B34/20 ,  A61B34/25 ,  A61B90/36 ,  A61B90/37 ,  A61B2017/00039 ,  A61B2017/00199 ,  A61B2017/0262 ,  A61B2034/2053 ,  A61B2034/2072 ,  A61F2/4455 ,  A61F2002/4635 ,  A61N1/0551 ,  A61N1/0553 ,  A61N1/36 ,  A61N1/36135 ,  A61N1/36142 ,  A61N1/36157 ,  A61N1/37247

摘要： The present invention involves systems and related methods for performing surgical procedures and assessments, including the use of neurophysiology-based monitoring to: (a) determine nerve proximity and nerve direction to surgical instruments employed in accessing a surgical target site; (b) assess the pathology (health or status) of a nerve or nerve root before, during, or after a surgical procedure; and/or (c) assess pedicle integrity before, during or after pedicle screw placement, all in an automated, easy to use, and easy to interpret fashion so as to provide a surgeon-driven system.

摘要翻译： 本发明涉及用于执行外科手术和评估的系统和相关方法，包括使用基于神经生理学的监测来：（a）确定在进入手术靶位点时使用的手术器械的神经接近度和神经方向; （b）在外科手术之前，期间或之后评估神经或神经根的病理（健康或状况）; 和/或（c）在椎弓根螺钉放置之前，之中或之后评估椎弓根完整性，全部以自动化，易于使用和易于解释的方式，以提供外科医生驱动的系统。

公开(公告)号：US08027716B2

公开(公告)日：2011-09-27

申请号：US12426792

申请日：2009-04-20

申请人： James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett ,  Goretti Medeiros, legal representative ,  Eric Finley ,  Jamil Elbanna ,  Scot Martinelli

发明人： James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett ,  Eric Finley ,  Jamil Elbanna ,  Scot Martinelli

IPC分类号： A61B5/04 ,  A61B5/05 ,  A61B18/04 ,  A61N1/00

CPC分类号： A61F2/4611 ,  A61B1/32 ,  A61B5/04001 ,  A61B5/0492 ,  A61B5/4893 ,  A61B5/6828 ,  A61B5/6831 ,  A61B17/0218 ,  A61B17/3417 ,  A61B17/3421 ,  A61B17/3423 ,  A61B34/20 ,  A61B34/25 ,  A61B90/36 ,  A61B90/37 ,  A61B2017/00039 ,  A61B2017/00199 ,  A61B2017/0262 ,  A61B2034/2053 ,  A61B2034/2072 ,  A61F2/4455 ,  A61F2002/4635 ,  A61N1/0551 ,  A61N1/0553 ,  A61N1/36 ,  A61N1/36135 ,  A61N1/36142 ,  A61N1/36157 ,  A61N1/37247

摘要： The present invention involves systems and related methods for performing surgical procedures and assessments, including the use of neurophysiology-based monitoring to: (a) determine nerve proximity and nerve direction to surgical instruments employed in accessing a surgical target site; (b) assess the pathology (health or status) of a nerve or nerve root before, during, or after a surgical procedure; and/or (c) assess pedicle integrity before, during or after pedicle screw placement, all in an automated, easy to use, and easy to interpret fashion so as to provide a surgeon-driven system.

公开(公告)号：US20050075578A1

公开(公告)日：2005-04-07

申请号：US10809280

申请日：2004-03-25

申请人： James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett ,  Goretti Medeiros ,  Eric Finley ,  Jamil Elbanna ,  Scot Martinelli

发明人： James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett ,  Goretti Medeiros ,  Eric Finley ,  Jamil Elbanna ,  Scot Martinelli

IPC分类号： A61B5/0488 ,  A61B20060101 ,  A61B1/00 ,  A61B5/04 ,  A61B5/0492 ,  A61B17/34 ,  A61B19/00 ,  A61B5/05

CPC分类号： A61F2/4611 ,  A61B1/32 ,  A61B5/04001 ,  A61B5/0492 ,  A61B5/4893 ,  A61B5/6828 ,  A61B5/6831 ,  A61B17/0218 ,  A61B17/3417 ,  A61B17/3421 ,  A61B17/3423 ,  A61B34/20 ,  A61B34/25 ,  A61B90/36 ,  A61B90/37 ,  A61B2017/00039 ,  A61B2017/00199 ,  A61B2017/0262 ,  A61B2034/2053 ,  A61B2034/2072 ,  A61F2/4455 ,  A61F2002/4635 ,  A61N1/0551 ,  A61N1/0553 ,  A61N1/36 ,  A61N1/36135 ,  A61N1/36142 ,  A61N1/36157 ,  A61N1/37247

摘要： The present invention involves systems and related methods for performing surgical procedures and assessments, including the use of neurophysiology-based monitoring to: (a) determine nerve proximity and nerve direction to surgical instruments employed in accessing a surgical target site; (b) assess the pathology (health or status) of a nerve or nerve root before, during, or after a surgical procedure; and/or (c) assess pedicle integrity before, during or after pedicle screw placement, all in an automated, easy to use, and easy to interpret fashion so as to provide a surgeon-driven system.

摘要翻译： 本发明涉及用于执行外科手术和评估的系统和相关方法，包括使用基于神经生理学的监测来：（a）确定在进入手术靶位点时使用的手术器械的神经接近度和神经方向; （b）在外科手术之前，期间或之后评估神经或神经根的病理（健康或状况）; 和/或（c）在椎弓根螺钉放置之前，之中或之后评估椎弓根完整性，全部以自动化，易于使用和易于解释的方式，以提供外科医生驱动的系统。

公开(公告)号：US20090204176A1

公开(公告)日：2009-08-13

申请号：US12427612

申请日：2009-04-21

申请人： Patrick Miles ,  Scot Martinelli ,  Eric Finley ,  Jamil Elbanna ,  James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett ,  Goretti Medeiros

发明人： Patrick Miles ,  Scot Martinelli ,  Eric Finley ,  Jamil Elbanna ,  James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett ,  Goretti Medeiros

IPC分类号： A61N1/18

摘要： The present invention involves systems and related methods for performing percutaneous pedicle integrity assessments involving the use of neurophysiology.

摘要翻译： 本发明涉及用于执行涉及使用神经生理学的经皮椎弓根完整性评估的系统和相关方法。

公开(公告)号：US20090204016A1

公开(公告)日：2009-08-13

申请号：US12426792

申请日：2009-04-20

申请人： James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett ,  Goretti Medeiros ,  Eric Finley ,  Jamil Elbanna ,  Scot Martinelli

发明人： James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett ,  Goretti Medeiros ,  Eric Finley ,  Jamil Elbanna ,  Scot Martinelli

IPC分类号： A61B5/0492

CPC分类号： A61F2/4611 ,  A61B1/32 ,  A61B5/04001 ,  A61B5/0492 ,  A61B5/4893 ,  A61B5/6828 ,  A61B5/6831 ,  A61B17/0218 ,  A61B17/3417 ,  A61B17/3421 ,  A61B17/3423 ,  A61B34/20 ,  A61B34/25 ,  A61B90/36 ,  A61B90/37 ,  A61B2017/00039 ,  A61B2017/00199 ,  A61B2017/0262 ,  A61B2034/2053 ,  A61B2034/2072 ,  A61F2/4455 ,  A61F2002/4635 ,  A61N1/0551 ,  A61N1/0553 ,  A61N1/36 ,  A61N1/36135 ,  A61N1/36142 ,  A61N1/36157 ,  A61N1/37247

摘要： The present invention involves systems and related methods for performing surgical procedures and assessments, including the use of neurophysiology-based monitoring to: (a) determine nerve proximity and nerve direction to surgical instruments employed in accessing a surgical target site; (b) assess the pathology (health or status) of a nerve or nerve root before, during, or after a surgical procedure; and/or (c) assess pedicle integrity before, during or after pedicle screw placement, all in an automated, easy to use, and easy to interpret fashion so as to provide a surgeon-driven system.

公开(公告)号：US08182423B2

公开(公告)日：2012-05-22

申请号：US12649604

申请日：2009-12-30

申请人： Patrick Miles ,  Scot Martinelli ,  Eric Finley ,  James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett ,  Goretti Medeiros, legal representative

发明人： Patrick Miles ,  Scot Martinelli ,  Eric Finley ,  James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett

IPC分类号： A61B1/32 ,  A61N1/00

CPC分类号： A61B17/02 ,  A61B1/32 ,  A61B5/0492 ,  A61B5/4893 ,  A61B5/7405 ,  A61B5/742 ,  A61B17/0206 ,  A61B17/0218 ,  A61B17/025 ,  A61B17/0293 ,  A61B2017/00026 ,  A61B2017/00039 ,  A61B2017/0256 ,  A61B2017/0262

摘要： A system for accessing a surgical target site and related methods, involving an initial distraction system for creating an initial distraction corridor, and an assembly capable of distracting from the initial distraction corridor to a secondary distraction corridor and thereafter sequentially receiving a plurality of retractor blades for retracting from the secondary distraction corridor to thereby create an operative corridor to the surgical target site, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.

公开(公告)号：US08114019B2

公开(公告)日：2012-02-14

申请号：US12650123

申请日：2009-12-30

申请人： Patrick Miles ,  Scot Martinelli ,  Eric Finley ,  James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett ,  Goretti Medeiros, legal representative

发明人： Patrick Miles ,  Scot Martinelli ,  Eric Finley ,  James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett

IPC分类号： A61B1/32

CPC分类号： A61B17/025 ,  A61B1/32 ,  A61B5/4893 ,  A61B17/0206 ,  A61B17/0218 ,  A61B2017/00473 ,  A61B2017/0262

摘要： A surgical access system including a tissue distraction assembly and a tissue refraction assembly, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.

公开(公告)号：US07819801B2

公开(公告)日：2010-10-26

申请号：US10789797

申请日：2004-02-27

申请人： Patrick Miles ,  Scot Martinelli ,  Eric Finley ,  James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett ,  Goretti Medeiros, legal representative

发明人： Patrick Miles ,  Scot Martinelli ,  Eric Finley ,  James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett

IPC分类号： A61B1/32

CPC分类号： A61B17/0206 ,  A61B1/32 ,  A61B5/04001 ,  A61B5/4836 ,  A61B17/02 ,  A61B17/0218 ,  A61B2017/0256

摘要： A surgical access system including a tissue distraction assembly and a tissue retraction assembly, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.

公开(公告)号：US07691057B2

公开(公告)日：2010-04-06

申请号：US10759811

申请日：2004-01-16

申请人： Patrick Miles ,  Scot Martinelli ,  Eric Finley ,  James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett ,  Goretti Medeiros, legal representative

发明人： Patrick Miles ,  Scot Martinelli ,  Eric Finley ,  James Gharib ,  Allen Farquhar ,  Norbert Kaula ,  Jeffrey Blewett

IPC分类号： A61B1/32

CPC分类号： A61B17/025 ,  A61B1/32 ,  A61B5/4893 ,  A61B17/0206 ,  A61B17/0218 ,  A61B2017/00473 ,  A61B2017/0262

摘要： A surgical access system including a tissue distraction assembly and a tissue retraction assembly, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.

摘要翻译： 一种包括组织牵引组件和组织缩回组件的手术进入系统，其两者可以装备有一个或多个电极，用于检测神经结构的存在（以及可选的距离和/或方向） 以及在手术目标地点建立手术走廊之后。