摘要:
Method for assessing the patency of a patient's blood vessel, advantageously during or after treatment of that vessel by an invasive procedure, comprising administering a fluorescent dye to the patient; obtaining at least one angiographic image of the vessel portion; and evaluating the at least one angiographic image to assess the patency of the vessel portion. Other related methods are contemplated, including methods for assessing perfusion in selected body tissue, methods for evaluating the potential of vessels for use in creation of AV fistulas, methods for determining the diameter of a vessel, and methods for locating a vessel located below the surface of a tissue.
摘要:
Method for assessing the patency of a patient's blood vessel, advantageously during or after treatment of that vessel by an invasive procedure, comprising administering a fluorescent dye to the patient; obtaining at least one angiographic image of the vessel portion; and evaluating the at least one angiographic image to assess the patency of the vessel portion. Other related methods are contemplated, including methods for assessing perfusion in selected body tissue, methods for evaluating the potential of vessels for use in creation of AV fistulas, methods for determining the diameter of a vessel, and methods for locating a vessel located below the surface of a tissue.
摘要:
A spinal fixation procedure and system are provided for fixing the spacing of an inferior vertebra relative to a superior vertebra. The procedure for implanting a spinous process spacer can comprise decorticating and/or forming a notch in adjacent spinous processes, measuring the distance between the notches formed in the spinous processes, and inserting an interspinous process implant such that the implant is fitted into the notches of the spinous processes. Other fixation devices, such as bone screws, can also be used for fixing the position of the vertebrae and to create facet fusion.
摘要:
An intervertebral implant and related methods of use are provided for treatment of spaces between two vertebrae. The implant can comprise a first member and a second member that are configured for engagement in a stacked configuration. The first member and second member can be inserted separately so that the intervertebral space can be reached through limited access pathways. The first member and second member can be coupled in situ in the intervertebral space to form an implant of desired height. In this manner, an intervertebral implant having final dimensions that would not fit through a limited access pathway can be implanted through the access pathway by inserting the implant in separate member pieces.
摘要:
A method and apparatus of limiting at least one degree of movement between a superior vertebrae and an inferior vertebrae of a patient includes advancing a distal end of a stabilization device made of a bio-absorbable material, such as cortical bone, into a pedicle of the inferior vertebrae. A proximal portion of the stabilization device is positioned such that the proximal portion limits at least one degree of movement between a superior vertebrae and an inferior vertebrae by contacting a surface of the superior vertebrae.
摘要:
A spinal fixation procedure and system are provided for fixing the spacing of an inferior vertebra relative to a superior vertebra. The procedure for implanting a spinous process spacer can comprise decorticating and/or forming a notch in adjacent spinous processes, measuring the distance between the notches formed in the spinous processes, and inserting an interspinous process implant such that the implant is fitted into the notches of the spinous processes. Other fixation devices, such as bone screws, can also be used for fixing the position of the vertebrae and to create facet fusion.
摘要:
A system and method of bone fixation are provided for improving the bone growth and stability of the fixated bones. For example, a target site for a bone fixation procedure can be accessed at a facet of a first vertebra using a tissue dilator. Bone material can be disrupting from or at the target site, and a bone fixation device can be installed to fix the first vertebra relative to a second vertebra. The disruption and/or removal of the bone material, such as by rasping facets or a facet joint of the first vertebra and the second vertebra, can tend to promote bone growth. Further, it is contemplated that bone graft material can be inserted at the target site, such as into a joint space formed between facets of the first vertebra and the second vertebra.
摘要:
A dilation introducer for orthopedic surgery is provided for minimally invasive access for insertion of an intervertebral implant. The dilation introducer may be used to provide an access position through Kambin's triangle from a posterolateral approach. A first dilator tube with a first longitudinal axis is provided. A second dilator tube may be introduced over the first, advanced along a second longitudinal axis parallel to but offset from the first. A third dilator tube may be introduced over the second, advanced along a third longitudinal axis parallel to but offset from both the first and the second. An access cannula may be introduced over the third dilator tube. With the first, second, and third dilator tubes removed, surgical instruments may pass through the access cannula to operate on an intervertebral disc and/or insert an intervertebral implant.
摘要:
A dilation introducer for orthopedic surgery is provided for minimally invasive access for insertion of an intervertebral implant. The dilation introducer may be used to provide an access position through Kambin's triangle from a posterolateral approach. A first dilator tube with a first longitudinal axis is provided. A second dilator tube may be introduced over the first, advanced along a second longitudinal axis parallel to but offset from the first. A third dilator tube may be introduced over the second, advanced along a third longitudinal axis parallel to but offset from both the first and the second. An access cannula may be introduced over the third dilator tube. With the first, second, and third dilator tubes removed, surgical instruments may pass through the access cannula to operate on an intervertebral disc and/or insert an intervertebral implant.
摘要:
A dilation introducer for orthopedic surgery is provided for minimally invasive access for insertion of an intervertebral implant. The dilation introducer may be used to provide an access position through Kambin's triangle from a posterolateral approach. A first dilator tube with a first longitudinal axis is provided. A second dilator tube may be introduced over the first, advanced along a second longitudinal axis parallel to but offset from the first. A third dilator tube may be introduced over the second, advanced along a third longitudinal axis parallel to but offset from both the first and the second. An access cannula may be introduced over the third dilator tube. With the first, second, and third dilator tubes removed, surgical instruments may pass through the access cannula to operate on an intervertebral disc and/or insert an intervertebral implant.