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    TRANSCUTANEOUSLY ADJUSTABLE FLUID-FILLED IMPLANTS
    1.
    发明申请
    TRANSCUTANEOUSLY ADJUSTABLE FLUID-FILLED IMPLANTS 审中-公开
    经过可调节的流体填充的植入物

    公开(公告)号：US20100249946A1

    公开(公告)日：2010-09-30

    申请号：US12412830

    申请日：2009-03-27

    申请人： Michael D. Lesh ,  Stewart Kume ,  Randy J. Kesten ,  Geoffrey Willis ,  Leo Centeno ,  Jeff Christian

    发明人： Michael D. Lesh ,  Stewart Kume ,  Randy J. Kesten ,  Geoffrey Willis ,  Leo Centeno ,  Jeff Christian

    IPC分类号： A61F2/02

    CPC分类号： A61F2/0059 ,  A61F2250/0003

    摘要： Disclosed are implantable tissue augmentation devices, methods, and associated tools. The devices include an inflatable body, having a self-sealing membrane operably attached to a wall of the implant. The self-sealing membrane provides access for filling the device, and includes a first layer comprising a fabric. The fabric has a first plurality of yarn strands positioned in a first direction, and a second plurality of yarn strands positioned in a second direction. The first and second plurality of yarn strands intersect to form a matrix pattern with cells defined by free spaces between yarn strands. The membrane also includes a first elastomeric material configured to fill the cells as well as form a coating over the first and second plurality of yarn strand, and a second layer comprising a second elastomeric material. The second elastomeric material has a lower durometer than the first elastomeric material. Kits and systems are also disclosed.

    摘要翻译： 公开了可植入组织增强装置，方法和相关联的工具。 所述装置包括可充气体，其具有可操作地附接到所述植入物的壁的自密封膜。 自密封膜提供用于填充装置的通路，并且包括包括织物的第一层。 织物具有沿第一方向定位的第一多根纱线和位于第二方向上的第二多根纱线。 第一和第二多根纱线相交以形成具有由纱线之间的自由空间限定的细胞的矩阵图案。 膜还包括构造成填充细胞并且在第一和第二多根纱线上形成涂层的第一弹性体材料，以及包含第二弹性体材料的第二层。 第二弹性体材料具有比第一弹性体材料低的硬度。 还披露了套件和系统。

    DISCECTOMY DEVICES AND RELATED METHODS
    4.
    发明申请
    DISCECTOMY DEVICES AND RELATED METHODS 审中-公开
    分离装置及相关方法

    公开(公告)号：US20130023882A1

    公开(公告)日：2013-01-24

    申请号：US13396438

    申请日：2012-02-14

    申请人： Myra I. L. Fabro ,  Gary D. Zaretzka ,  Stewart Kume ,  John Davis ,  Sam Boong Park

    发明人： Myra I. L. Fabro ,  Gary D. Zaretzka ,  Stewart Kume ,  John Davis ,  Sam Boong Park

    IPC分类号： A61B17/16

    CPC分类号： A61B17/32002 ,  A61B17/1615 ,  A61B17/162 ,  A61B17/1622 ,  A61B17/1633 ,  A61B17/1671 ,  A61B17/295 ,  A61B2017/320024 ,  A61B2217/005 ,  A61B2217/007

    摘要： A tissue removal device may comprise a handheld housing, a motor, and a tissue removal mechanism coupled to the handheld housing. The tissue removal mechanism may comprise a tissue collection chamber coupled to a distal portion of the handheld housing, a jaw member comprising first and second jaw portions, where the first jaw portion is coupled to a first elongated member and the second jaw portion is coupled to a second elongated member configured to actuate the second jaw portion, a rotatable shaft disposed within a lumen of the first elongated member, a helical member disposed around at least a portion of the rotatable shaft, and an impeller coupled to at least one of a distal end of the helical member and a distal end of the rotatable shaft. Rotation of the rotatable shaft may effect rotation of the helical member and the impeller.

    摘要翻译： 组织去除装置可以包括手持壳体，马达和联接到手持壳体的组织去除机构。 组织移除机构可以包括联接到手持式壳体的远端部分的组织收集腔，包括第一和第二钳口部分的钳口构件，其中第一钳口部分联接到第一细长构件，并且第二钳口部分联接到 构造成致动所述第二钳口部分的第二细长构件，设置在所述第一细长构件的内腔内的可旋转轴，围绕所述可旋转轴的至少一部分设置的螺旋构件，以及联接到远端 螺旋构件的端部和可旋转轴的远端。 旋转轴的旋转可能影响螺旋构件和叶轮的旋转。

    Tissue removal system with retention mechanism
    6.
    发明授权
    Tissue removal system with retention mechanism 有权
    具有保留机制的组织清除系统

    公开(公告)号：US09320535B2

    公开(公告)日：2016-04-26

    申请号：US13297260

    申请日：2011-11-15

    申请人： Gary D. Zaretzka ,  Myra I. L. Fabro ,  Stewart Kume ,  John To

    发明人： Gary D. Zaretzka ,  Myra I. L. Fabro ,  Stewart Kume ,  John To

    IPC分类号： A61B17/32 ,  A61B17/3207 ,  A61B17/00 ,  A61B17/22

    CPC分类号： A61B17/32002 ,  A61B17/320725 ,  A61B17/320783 ,  A61B2017/00261 ,  A61B2017/00398 ,  A61B2017/22038 ,  A61B2017/22079 ,  A61B2017/320733 ,  A61B2017/320775

    摘要： Systems and methods for minimally invasive discectomy procedures are described herein. In some variations, a tissue removal system may comprise a handheld housing, an outer shaft comprising a distal portion and a proximal portion coupled to the handheld housing, a distal sheath coupled to the distal portion of the outer shaft, a motor, an inner shaft coupled to the motor, where the inner shaft is located partially within the outer shaft and partially within the distal sheath, a tip portion coupled to a distal portion of the inner shaft, and an elongate member distally extending through a distal opening of the inner shaft, the elongate member having a retracted configuration and an extended configuration, where the distal sheath comprises at least one element (e.g. at least one protrusion) that engages the tip portion to couple the tip portion to the distal sheath.

    摘要翻译： 本文描述了用于微创椎间盘切除术的系统和方法。 在一些变型中，组织去除系统可以包括手持式外壳，外轴包括远端部分和联接到手持式外壳的近端部分，与外轴的远端部分联接的远端护套，电动机，内轴 耦合到所述电动机，其中所述内轴部分地位于所述外轴内部并且部分地位于所述远侧护套内，与所述内轴的远端部分联接的末端部分和远离所述内轴的远端开口的细长构件 所述细长构件具有缩回构型和延伸构型，其中所述远侧护套包括接合所述尖端部分以将所述尖端部分连接到所述远侧护套的至少一个元件（例如至少一个突出部）。

    TISSUE REMOVAL SYSTEM WITH RETENTION MECHANISM
    8.
    发明申请
    TISSUE REMOVAL SYSTEM WITH RETENTION MECHANISM 有权
    组织拆卸系统与保持机制

    公开(公告)号：US20120209273A1

    公开(公告)日：2012-08-16

    申请号：US13297260

    申请日：2011-11-15

    申请人： Gary D. Zaretzka ,  Myra I. L. Fabro ,  Stewart Kume ,  John To

    发明人： Gary D. Zaretzka ,  Myra I. L. Fabro ,  Stewart Kume ,  John To

    IPC分类号： A61B17/16

    CPC分类号： A61B17/32002 ,  A61B17/320725 ,  A61B17/320783 ,  A61B2017/00261 ,  A61B2017/00398 ,  A61B2017/22038 ,  A61B2017/22079 ,  A61B2017/320733 ,  A61B2017/320775

    摘要： Systems and methods for minimally invasive discectomy procedures are described herein. In some variations, a tissue removal system may comprise a handheld housing, an outer shaft comprising a distal portion and a proximal portion coupled to the handheld housing, a distal sheath coupled to the distal portion of the outer shaft, a motor, an inner shaft coupled to the motor, where the inner shaft is located partially within the outer shaft and partially within the distal sheath, a tip portion coupled to a distal portion of the inner shaft, and an elongate member distally extending through a distal opening of the inner shaft, the elongate member having a retracted configuration and an extended configuration, where the distal sheath comprises at least one element (e.g. at least one protrusion) that engages the tip portion to couple the tip portion to the distal sheath.

    摘要翻译： 本文描述了用于微创椎间盘切除术的系统和方法。 在一些变型中，组织去除系统可以包括手持式外壳，外轴包括远端部分和联接到手持式外壳的近端部分，与外轴的远端部分联接的远端护套，电动机，内轴 耦合到所述电动机，其中所述内轴部分地位于所述外轴内部并且部分地位于所述远侧护套内，与所述内轴的远端部分联接的末端部分和远离所述内轴的远端开口的细长构件 所述细长构件具有缩回构型和延伸构型，其中所述远侧护套包括接合所述尖端部分以将所述尖端部分连接到所述远侧护套的至少一个元件（例如至少一个突出部）。

    Valved tissue augmentation implant
    10.
    发明申请
    Valved tissue augmentation implant 审中-公开
    瓣膜增生植入物

    公开(公告)号：US20060058892A1

    公开(公告)日：2006-03-16

    申请号：US10942317

    申请日：2004-09-16

    申请人： Michael Lesh ,  Stewart Kume

    发明人： Michael Lesh ,  Stewart Kume

    IPC分类号： A61F2/10 ,  A61F2/02

    CPC分类号： A61B17/3468 ,  A61B2017/00747 ,  A61B2017/00792 ,  A61F2/0059

    摘要： A medical device and methods for filling tissue are disclosed. The device has a first configuration wherein the device can pass through a small catheter or needle placed in the tissue to be filled and a second configuration in which the device is expanded within the tissue to be filled. The exterior profile of the expanded device may be customized along its length, to achieve a desired cosmetic or therapeutic result. In one embodiment, the device comprises an outer sleeve for containing filler and a valve on the sleeve for retaining the filler therein. The device is adapted to be placed through a needle in the skin to reduce facial wrinkles or augment facial features such as the lips.

    摘要翻译： 公开了用于填充组织的医疗装置和方法。 该装置具有第一配置，其中该装置可以通过放置在待填充的组织中的小导管或针和第二构型，其中该装置在待填充的组织内扩张。 扩展装置的外部轮廓可以沿其长度定制，以实现期望的化妆品或治疗结果。 在一个实施例中，该装置包括用于容纳填充物的外套筒和用于将填料保持在其上的套筒上的阀。 该装置适于通过皮肤中的针放置以减少面部皱纹或增加诸如嘴唇的面部特征。