Penetrating member with direct visualization

    公开(公告)号:US10092315B2

    公开(公告)日:2018-10-09

    申请号:US12510145

    申请日:2009-07-27

    摘要: Systems and methods for accessing the spine include tissue penetrating members with direct visualization capability that may be used to form an access pathway to a targeted treatment site. The direct visualization capability, which may be provided by fiberoptic illumination and imaging components, may be use to visualize the tissue as the access pathway is formed by the tissue penetrating member. The tissue penetrating members include catheters and cannulas with sharpened tips with integrated fiberoptic components and/or channels in which a fiberscope or miniscope may be inserted. Apertures and/or transparent materials are provided to permit imaging of tissue about the distal end of the tissue penetrating member.

    METHOD AND DEVICES FOR TREATING SPINAL STENOSIS
    7.
    发明申请
    METHOD AND DEVICES FOR TREATING SPINAL STENOSIS 有权
    用于治疗脊柱狭窄的方法和装置

    公开(公告)号:US20110288553A1

    公开(公告)日:2011-11-24

    申请号:US12953278

    申请日:2010-11-23

    IPC分类号: A61B17/16

    摘要: Systems and methods for treating spinal stenosis include endoscopic access devices and bone removal devices used to perform a foraminotomy or other bone removal procedures. Some of the bone removal devices include expandable members which may be used to control the forced exerted and/or position of the bone removal mechanism, and to protect neurovascular structures and other soft tissue structures from the bone removal mechanism. Other bone removal devices include a trephine with a viewing window and a guide wire lumen used to position the trephine at a target tissue site using an anchored wire. The viewing window may be used to monitor structures or tissues adjacent to the target tissue site.

    摘要翻译: 用于治疗脊柱狭窄的系统和方法包括用于进行椎间孔切开术或其他骨移除手术的内窥镜检查装置和骨移除装置。 骨去除装置中的一些包括可用于控制骨移除机构的强制施加和/或位置的可扩张构件,以及保护神经血管结构和其他软组织结构免受骨移除机构的影响。 其他骨去除装置包括具有观察窗的环钻和用于使用锚定线将环管定位在目标组织部位的导丝腔。 观察窗可用于监测与目标组织部位相邻的结构或组织。

    EXPANDABLE ROTATING DEVICE AND METHOD FOR TISSUE ASPIRATION
    8.
    发明申请
    EXPANDABLE ROTATING DEVICE AND METHOD FOR TISSUE ASPIRATION 审中-公开
    可扩展旋转装置和组织吸收方法

    公开(公告)号:US20080208230A1

    公开(公告)日:2008-08-28

    申请号:US12035323

    申请日:2008-02-21

    IPC分类号: A61B17/32 C21D1/30

    摘要: An apparatus and method for removing tissue and/or other material from a patient includes a shaft and a tissue disrupting mechanism operatively coupled to the shaft. The shaft may be coupled to a handpiece or a robotic or remote-controlled system. The mechanism may comprise a rotatable or other movable element having a distal portion with fixed or adjustable radial dimensions. The mechanism may have one or more tissue cutting, chopping, grinding, emulsifying or disrupting features with an adjustable outer diameter for removing substantial tissues. The apparatus may be configured to urge or draw substantial material into the device upon rotation or other movement of the shaft and/or tissue, and may optionally be coupled to sources of suction or aspiration. A radiofrequency or other energy source is optionally included for tissue ablation or other tissue remodeling effects, and/or to enhance coagulation.

    摘要翻译: 用于从患者去除组织和/或其他材料的装置和方法包括轴和可操作地联接到轴的组织破坏机构。 轴可以联接到手持件或机器人或远程控制的系统。 机构可以包括具有固定或可调径向尺寸的远侧部分的可旋转或其它可移动元件。 该机构可以具有一个或多个组织切割,切碎,研磨,乳化或破坏特征,具有可调节的外径以去除大量组织。 该装置可以被配置成在轴和/或组织的旋转或其它运动时将大量材料推入或抽取到装置中,并且可以可选地耦合到吸入源或抽吸源。 任选地包括射频或其他能量源用于组织消融或其它组织重建作用,和/或增强凝血。

    PENETRATING MEMBER WITH DIRECT VISUALIZATION
    9.
    发明申请
    PENETRATING MEMBER WITH DIRECT VISUALIZATION 审中-公开
    具有直观可视化的会员

    公开(公告)号:US20100191057A1

    公开(公告)日:2010-07-29

    申请号:US12510145

    申请日:2009-07-27

    IPC分类号: A61B17/34 A61M29/00 A61B1/04

    摘要: Systems and methods for accessing the spine include tissue penetrating members with direct visualization capability that may be used to form an access pathway to a targeted treatment site. The direct visualization capability, which may be provided by fiberoptic illumination and imaging components, may be use to visualize the tissue as the access pathway is formed by the tissue penetrating member. The tissue penetrating members include catheters and cannulas with sharpened tips with integrated fiberoptic components and/or channels in which a fiberscope or miniscope may be inserted. Apertures and/or transparent materials are provided to permit imaging of tissue about the distal end of the tissue penetrating member.

    摘要翻译: 用于访问脊柱的系统和方法包括具有直接可视化能力的组织穿透构件,其可用于形成到目标治疗部位的通路。 可以由光纤照明和成像部件提供的直接可视化功能可以用于当组织穿透构件形成进入通路时使组织可视化。 组织穿透构件包括具有尖锐尖端的导管和插管,其具有集成的光纤组件和/或通道,其中可以插入纤维镜或微型计算机。 提供孔和/或透明材料以允许围绕组织穿透构件的远端成像组织。