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公开(公告)号:US08845639B2
公开(公告)日:2014-09-30
申请号:US13007381
申请日:2011-01-14
申请人: Michael P. Wallace , Robert Garabedian , Gregory P. Schmitz , Jeffery L. Bleich , Nestor C. Cantorna , Ronald Leguidleguid , Roy Leguidleguid , Michael Sheinberg
发明人: Michael P. Wallace , Robert Garabedian , Gregory P. Schmitz , Jeffery L. Bleich , Nestor C. Cantorna , Ronald Leguidleguid , Roy Leguidleguid , Michael Sheinberg
CPC分类号: A61B17/1671 , A61B17/149 , A61B17/1659 , A61B17/320016 , A61B17/32002 , A61B17/3207 , A61B2017/00261 , A61B2017/320004 , A61B2017/320008 , A61B2017/32006 , A61B2017/32008 , A61B2090/3925 , A61B2090/3954 , A61B2090/3966
摘要: Described herein are elongate devices for modifying tissue having a plurality of flexibly connected and rungs or links, and methods of using them, including methods of using them to decompress stenotic spinal tissue. These devices may be included as part of a system for modifying tissue. In general, these devices include a plurality of blades positioned on for formed from) rungs that are flexibly connected and may be separated by one or more spacers. The rungs are typically wider than they are long (e.g., rectangular). The rungs may be arranged, ladder like, and may be connected by a flexible connector substrate or between two or more cables. Different sized rungs may be used, or rungs with different cutting properties. In some variations the tissue modification devices may have a non-linear axial shape, or may be converted from a first axial shape to a second axial shape.
摘要翻译: 本文描述的是用于修改具有多个柔性连接和梯级或链节的组织的细长装置,以及使用它们的方法,包括使用它们来减压狭窄的脊髓组织的方法。 可以将这些装置作为用于修改组织的系统的一部分。 通常,这些装置包括多个叶片,其位于用于形成的梯级上,所述多个叶片被柔性地连接并且可被一个或多个间隔件隔开。 梯级通常比它们长(例如,矩形)宽。 梯级可以布置成梯子,并且可以通过柔性连接器基板或两根或更多根电缆连接。 可以使用不同尺寸的梯级,或者具有不同切割性能的梯级。 在一些变型中,组织改变装置可以具有非线性轴向形状,或者可以从第一轴向形状转换成第二轴向形状。
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公开(公告)号:US20110112539A1
公开(公告)日:2011-05-12
申请号:US13007381
申请日:2011-01-14
申请人: Michael P. Wallace , Robert Garabedian , Gregory P. Schmitz , Jeffery L. Bleich , Nestor C. Cantorna , Ronald Leguidleguid , Roy Leguidleguild , Michael A. Sheinberg
发明人: Michael P. Wallace , Robert Garabedian , Gregory P. Schmitz , Jeffery L. Bleich , Nestor C. Cantorna , Ronald Leguidleguid , Roy Leguidleguild , Michael A. Sheinberg
IPC分类号: A61B17/16
CPC分类号: A61B17/1671 , A61B17/149 , A61B17/1659 , A61B17/320016 , A61B17/32002 , A61B17/3207 , A61B2017/00261 , A61B2017/320004 , A61B2017/320008 , A61B2017/32006 , A61B2017/32008 , A61B2090/3925 , A61B2090/3954 , A61B2090/3966
摘要: Described herein are elongate devices for modifying tissue having a plurality of flexibly connected and rungs or links, and methods of using them, including methods of using them to decompress stenotic spinal tissue. These devices may be included as part of a system for modifying tissue. In general, these devices include a plurality of blades positioned on for formed from) rungs that are flexibly connected and may be separated by one or more spacers. The rungs are typically wider than they are long (e.g., rectangular). The rungs may be arranged, ladder like, and may be connected by a flexible connector substrate or between two or more cables. Different sized rungs may be used, or rungs with different cutting properties. In some variations the tissue modification devices may have a non-linear axial shape, or may be converted from a first axial shape to a second axial shape.
摘要翻译: 本文描述的是用于修改具有多个柔性连接和梯级或链节的组织的细长装置,以及使用它们的方法,包括使用它们来减压狭窄的脊髓组织的方法。 可以将这些装置作为用于修改组织的系统的一部分。 通常,这些装置包括多个叶片,其位于用于形成的梯级上,所述多个叶片被柔性地连接并且可被一个或多个间隔件隔开。 梯级通常比它们长(例如,矩形)宽。 梯级可以布置成梯子,并且可以通过柔性连接器基板或两根或更多根电缆连接。 可以使用不同尺寸的梯级,或者具有不同切割性能的梯级。 在一些变型中,组织改变装置可以具有非线性轴向形状,或者可以从第一轴向形状转换成第二轴向形状。
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公开(公告)号:US20090149865A1
公开(公告)日:2009-06-11
申请号:US12324147
申请日:2008-11-26
申请人: Gregory P. Schmitz , Michael P. Wallace , Ronald Leguidleguid , Nestor C. Cantorna , James Shapiro , Jeffery L. Bleich
发明人: Gregory P. Schmitz , Michael P. Wallace , Ronald Leguidleguid , Nestor C. Cantorna , James Shapiro , Jeffery L. Bleich
CPC分类号: A61B17/1631 , A61B17/149 , A61B17/1659 , A61B17/1671 , A61B17/1735 , A61B17/320016 , A61B17/32002 , A61B17/3207 , A61B2017/00261 , A61B2017/320004 , A61B2017/320008 , A61B2017/32006
摘要: Described herein are elongate device for modifying tissue having a plurality of flexibly connected rungs or links, and methods of using them, including methods of using them to decompress stenotic spinal tissue. These devices may be included as part of a system for modifying tissue. In general, these devices include a plurality of blades positioned on (or formed from) rungs that are flexibly connected. The rungs are typically rigid, somewhat flat and wider than they are long (e.g., rectangular). The rungs may be arranged, ladder like, and may be connected by a flexible connector substrate or between two or more cables. Different sized rungs may be used. The blades (on the rungs) may be arranged in a staggered arrangement. A tissue-collection or tissue capture element (e.g., chamber, bag, or the like) may be used to collect the cut or modified tissue. In some variations the tissue modification devices may have a non-linear axial shape, or may be converted from a first axial shape to a second axial shape.
摘要翻译: 本文描述的是用于修改具有多个柔性连接的梯级或链节的组织的细长装置,以及使用它们的方法,包括使用它们来减压狭窄的脊髓组织的方法。 可以将这些装置作为用于修改组织的系统的一部分。 通常,这些装置包括位于柔性连接的(或由)梯级形成的多个叶片。 梯级通常是刚性的,稍微平坦并且比它们长(例如矩形)更宽。 梯级可以布置成梯子,并且可以通过柔性连接器基板或两根或更多根电缆连接。 可以使用不同尺寸的梯级。 刀片(在梯级上)可以以交错排列布置。 可以使用组织收集或组织捕获元件(例如,室,袋等)来收集切割或修饰的组织。 在一些变型中,组织改变装置可以具有非线性轴向形状,或者可以从第一轴向形状转换成第二轴向形状。
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公开(公告)号:US08192436B2
公开(公告)日:2012-06-05
申请号:US12324147
申请日:2008-11-26
申请人: Gregory P. Schmitz , Michael P. Wallace , Ronald Leguidleguid , Nestor C. Cantorna , James Shapiro , Jeffery L. Bleich
发明人: Gregory P. Schmitz , Michael P. Wallace , Ronald Leguidleguid , Nestor C. Cantorna , James Shapiro , Jeffery L. Bleich
CPC分类号: A61B17/1631 , A61B17/149 , A61B17/1659 , A61B17/1671 , A61B17/1735 , A61B17/320016 , A61B17/32002 , A61B17/3207 , A61B2017/00261 , A61B2017/320004 , A61B2017/320008 , A61B2017/32006
摘要: Described herein are elongate device for modifying tissue having a plurality of flexibly connected rungs or links, and methods of using them, including methods of using them to decompress stenotic spinal tissue. These devices may be included as part of a system for modifying tissue. In general, these devices include a plurality of blades positioned on (or formed from) rungs that are flexibly connected. The rungs are typically rigid, somewhat flat and wider than they are long (e.g., rectangular). The rungs may be arranged, ladder like, and may be connected by a flexible connector substrate or between two or more cables. Different sized rungs may be used. The blades (on the rungs) may be arranged in a staggered arrangement. A tissue-collection or tissue capture element (e.g., chamber, bag, or the like) may be used to collect the cut or modified tissue. In some variations the tissue modification devices may have a non-linear axial shape, or may be converted from a first axial shape to a second axial shape.
摘要翻译: 本文描述的是用于修改具有多个柔性连接的梯级或链节的组织的细长装置,以及使用它们的方法,包括使用它们来减压狭窄的脊髓组织的方法。 可以将这些装置作为用于修改组织的系统的一部分。 通常,这些装置包括位于柔性连接的(或由)梯级形成的多个叶片。 梯级通常是刚性的,稍微平坦并且比它们长(例如矩形)更宽。 梯级可以布置成梯子,并且可以通过柔性连接器基板或两根或更多根电缆连接。 可以使用不同尺寸的梯级。 刀片(在梯级上)可以以交错排列布置。 可以使用组织收集或组织捕获元件(例如,室,袋等)来收集切割或修饰的组织。 在一些变型中,组织改变装置可以具有非线性轴向形状,或者可以从第一轴向形状转换成第二轴向形状。
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公开(公告)号:US08663228B2
公开(公告)日:2014-03-04
申请号:US13232882
申请日:2011-09-14
申请人: Gregory P. Schmitz , Michael P. Wallace , Ronald Leguidleguid , Nestor C. Cantorna , James Shapiro , Jeffery L. Bleich
发明人: Gregory P. Schmitz , Michael P. Wallace , Ronald Leguidleguid , Nestor C. Cantorna , James Shapiro , Jeffery L. Bleich
CPC分类号: A61B17/1631 , A61B17/149 , A61B17/1659 , A61B17/1671 , A61B17/1735 , A61B17/320016 , A61B17/32002 , A61B17/3207 , A61B2017/00261 , A61B2017/320004 , A61B2017/320008 , A61B2017/32006
摘要: Described herein are elongate devices for modifying tissue having a plurality of flexibly connected rungs or links, and methods of using them, including methods of using them to decompress stenotic spinal tissue. These devices may be included as part of a system for modifying tissue. In general, these devices include a plurality of blades positioned on (or formed from) rungs that are flexibly connected. The rungs are typically rigid, somewhat flat and wider than they are long (e.g., rectangular). The rungs may be arranged, ladder like, and may be connected by a flexible connector substrate or between two or more cables. Different sized rungs may be used. The blades (on the rungs) may be arranged in a staggered arrangement. A tissue-collection or tissue capture element may be used to collect the cut or modified tissue.
摘要翻译: 本文描述的是用于修改具有多个柔性连接的梯级或链节的组织的细长装置,以及使用它们的方法,包括使用它们来减压狭窄的脊髓组织的方法。 可以将这些装置作为用于修改组织的系统的一部分。 通常,这些装置包括位于柔性连接的(或由)梯级形成的多个叶片。 梯级通常是刚性的,稍微平坦并且比它们长(例如矩形)更宽。 梯级可以布置成梯子,并且可以通过柔性连接器基板或两根或更多根电缆连接。 可以使用不同尺寸的梯级。 刀片(在梯级上)可以以交错排列布置。 可以使用组织收集或组织捕获元件来收集切割或修饰的组织。
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公开(公告)号:US20120065639A1
公开(公告)日:2012-03-15
申请号:US13232882
申请日:2011-09-14
申请人: Gregory P. Schmitz , Michael P. Wallace , Ronald Leguidleguid , Nestor C. Cantorna , James Shapiro , Jeffery L. Bleich
发明人: Gregory P. Schmitz , Michael P. Wallace , Ronald Leguidleguid , Nestor C. Cantorna , James Shapiro , Jeffery L. Bleich
IPC分类号: A61B17/16
CPC分类号: A61B17/1631 , A61B17/149 , A61B17/1659 , A61B17/1671 , A61B17/1735 , A61B17/320016 , A61B17/32002 , A61B17/3207 , A61B2017/00261 , A61B2017/320004 , A61B2017/320008 , A61B2017/32006
摘要: Described herein are elongate devices for modifying tissue having a plurality of flexibly connected rungs or links, and methods of using them, including methods of using them to decompress stenotic spinal tissue. These devices may be included as part of a system for modifying tissue. In general, these devices include a plurality of blades positioned on (or formed from) rungs that are flexibly connected. The rungs are typically rigid, somewhat flat and wider than they are long (e.g., rectangular). The rungs may be arranged, ladder like, and may be connected by a flexible connector substrate or between two or more cables. Different sized rungs may be used. The blades (on the rungs) may be arranged in a staggered arrangement. A tissue-collection or tissue capture element may be used to collect the cut or modified tissue.
摘要翻译: 本文描述的是用于修改具有多个柔性连接的梯级或链节的组织的细长装置,以及使用它们的方法,包括使用它们来减压狭窄的脊髓组织的方法。 可以将这些装置作为用于修改组织的系统的一部分。 通常,这些装置包括位于柔性连接的(或由)梯级形成的多个叶片。 梯级通常是刚性的,稍微平坦并且比它们长(例如矩形)更宽。 梯级可以布置成梯子,并且可以通过柔性连接器基板或两根或更多根电缆连接。 可以使用不同尺寸的梯级。 刀片(在梯级上)可以以交错排列布置。 可以使用组织收集或组织捕获元件来收集切割或修饰的组织。
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公开(公告)号:US08568416B2
公开(公告)日:2013-10-29
申请号:US13588969
申请日:2012-08-17
申请人: Gregory P. Schmitz , Michael P. Wallace , Winnie Chung , Amie R. Borgstrom , Jeffery L. Bleich , Gregory B. Arcenio , Ronald Leguidleguid , Roy Leguidleguid , Jefferey Bleam
发明人: Gregory P. Schmitz , Michael P. Wallace , Winnie Chung , Amie R. Borgstrom , Jeffery L. Bleich , Gregory B. Arcenio , Ronald Leguidleguid , Roy Leguidleguid , Jefferey Bleam
IPC分类号: A61B17/00
CPC分类号: A61F2/4611 , A61B5/0488 , A61B5/1076 , A61B5/1101 , A61B5/407 , A61B5/7207 , A61B10/0275 , A61B10/0283 , A61B17/0218 , A61B17/06109 , A61B17/149 , A61B17/1604 , A61B17/1611 , A61B17/1626 , A61B17/1635 , A61B17/1659 , A61B17/1671 , A61B17/1757 , A61B17/29 , A61B17/320016 , A61B17/32002 , A61B17/320068 , A61B17/32053 , A61B17/3207 , A61B17/320708 , A61B17/320758 , A61B17/320783 , A61B17/3401 , A61B17/3403 , A61B17/3421 , A61B17/3468 , A61B17/3496 , A61B17/683 , A61B17/7065 , A61B17/7068 , A61B17/7092 , A61B17/842 , A61B17/8897 , A61B18/02 , A61B18/14 , A61B18/1477 , A61B18/1487 , A61B18/20 , A61B90/04 , A61B90/39 , A61B2017/00039 , A61B2017/00261 , A61B2017/00287 , A61B2017/003 , A61B2017/00349 , A61B2017/00469 , A61B2017/00477 , A61B2017/00557 , A61B2017/00867 , A61B2017/00986 , A61B2017/0225 , A61B2017/320004 , A61B2017/320008 , A61B2017/320044 , A61B2017/32006 , A61B2018/0044 , A61B2018/00565 , A61B2018/00577 , A61B2018/00595 , A61B2018/00601 , A61B2018/1407 , A61B2018/1412 , A61B2018/1425 , A61B2018/1465 , A61B2034/2048 , A61B2090/0427 , A61B2090/061 , A61B2090/064 , A61B2090/08021 , A61F2/0063 , A61M25/09041 , A61M25/0905 , A61N1/0551 , A61N1/08 , A61N2001/0578
摘要: Described herein are methods and systems for precisely placing and/or manipulating devices within the body by first positioning a guidewire or pullwire. The device to be positioned within the body is coupled to the proximal end of the guidewire, and the device is pulled into the body by pulling on the distal end of the guidewire that extends from the body. The device may be bimanually manipulated by pulling the guidewire distally, and an attachment to a device that extends proximally, allowing control of both the proximal and the distal ends. In this manner devices (and particularly implants such as innerspinous distracters, stimulating leads, and disc slings) may be positioned and/or manipulated within the body. Guidewire exchange systems, devices and methods are also described. A guidewire may be exchanged between different surgical devices and may be releaseably or permanently coupled.
摘要翻译: 这里描述的是通过首先定位导丝或拉线来精确地放置和/或操纵装置在体内的方法和系统。 定位在主体内的装置与导丝的近端相连,并且通过拉动从身体延伸的导丝的远端将装置拉入身体。 该装置可以通过将导丝线向远侧拉动和向近端延伸的装置的附件进行双手操作,从而允许近端和远端的控制。 以这种方式,可以在体内定位和/或操纵装置(并且特别是植入物,例如内侧牵引器,刺激引线和盘吊带)。 还将描述导丝交换系统,装置和方法。 导线可以在不同的手术装置之间交换,并且可以是可释放地或永久地耦合的。
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公开(公告)号:US20130053851A1
公开(公告)日:2013-02-28
申请号:US13588969
申请日:2012-08-17
申请人: Gregory P. Schmitz , Michael P. Wallace , Winnie Chung , Amie R. Borgstrom , Jeffery L. Bleich , Gregory B. Arcenio , Ronald Leguidleguid , Roy Leguidleguid , Jefferey Bleam
发明人: Gregory P. Schmitz , Michael P. Wallace , Winnie Chung , Amie R. Borgstrom , Jeffery L. Bleich , Gregory B. Arcenio , Ronald Leguidleguid , Roy Leguidleguid , Jefferey Bleam
IPC分类号: A61B17/90
CPC分类号: A61F2/4611 , A61B5/0488 , A61B5/1076 , A61B5/1101 , A61B5/407 , A61B5/7207 , A61B10/0275 , A61B10/0283 , A61B17/0218 , A61B17/06109 , A61B17/149 , A61B17/1604 , A61B17/1611 , A61B17/1626 , A61B17/1635 , A61B17/1659 , A61B17/1671 , A61B17/1757 , A61B17/29 , A61B17/320016 , A61B17/32002 , A61B17/320068 , A61B17/32053 , A61B17/3207 , A61B17/320708 , A61B17/320758 , A61B17/320783 , A61B17/3401 , A61B17/3403 , A61B17/3421 , A61B17/3468 , A61B17/3496 , A61B17/683 , A61B17/7065 , A61B17/7068 , A61B17/7092 , A61B17/842 , A61B17/8897 , A61B18/02 , A61B18/14 , A61B18/1477 , A61B18/1487 , A61B18/20 , A61B90/04 , A61B90/39 , A61B2017/00039 , A61B2017/00261 , A61B2017/00287 , A61B2017/003 , A61B2017/00349 , A61B2017/00469 , A61B2017/00477 , A61B2017/00557 , A61B2017/00867 , A61B2017/00986 , A61B2017/0225 , A61B2017/320004 , A61B2017/320008 , A61B2017/320044 , A61B2017/32006 , A61B2018/0044 , A61B2018/00565 , A61B2018/00577 , A61B2018/00595 , A61B2018/00601 , A61B2018/1407 , A61B2018/1412 , A61B2018/1425 , A61B2018/1465 , A61B2034/2048 , A61B2090/0427 , A61B2090/061 , A61B2090/064 , A61B2090/08021 , A61F2/0063 , A61M25/09041 , A61M25/0905 , A61N1/0551 , A61N1/08 , A61N2001/0578
摘要: Described herein are methods and systems for precisely placing and/or manipulating devices within the body by first positioning a guidewire or pullwire. The device to be positioned within the body is coupled to the proximal end of the guidewire, and the device is pulled into the body by pulling on the distal end of the guidewire that extends from the body. The device may be bimanually manipulated by pulling the guidewire distally, and an attachment to a device that extends proximally, allowing control of both the proximal and the distal ends. In this manner devices (and particularly implants such as innerspinous distracters, stimulating leads, and disc slings) may be positioned and/or manipulated within the body. Guidewire exchange systems, devices and methods are also described. A guidewire may be exchanged between different surgical devices and may be releaseably or permanently coupled.
摘要翻译: 这里描述的是通过首先定位导丝或拉线来精确地放置和/或操纵装置在体内的方法和系统。 定位在体内的装置与导丝的近端相连,并且通过拉动从身体延伸的导丝的远端将装置拉入身体。 该装置可以通过将导丝线向远侧拉动和向近端延伸的装置的附件进行双手操作,从而允许近端和远端的控制。 以这种方式,可以在体内定位和/或操纵装置(并且特别是植入物,例如内侧牵引器,刺激引线和盘吊带)。 还将描述导丝交换系统,装置和方法。 导线可以在不同的手术装置之间交换,并且可以是可释放地或永久地耦合的。
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公开(公告)号:US20090018507A1
公开(公告)日:2009-01-15
申请号:US12170392
申请日:2008-07-09
申请人: Gregory P. Schmitz , Jeffery L. Bleich , Roy Leguidleguid , Eric C. Miller , Gregory B. Arcenio , Michael P. Wallace
发明人: Gregory P. Schmitz , Jeffery L. Bleich , Roy Leguidleguid , Eric C. Miller , Gregory B. Arcenio , Michael P. Wallace
CPC分类号: A61B17/1757 , A61B17/00234 , A61B17/32053 , A61B17/3401 , A61B17/3403 , A61B17/3439 , A61B17/3472 , A61B2017/00022 , A61B2017/00039 , A61B2017/00261 , A61B2017/00292 , A61B2017/00867 , A61B2017/00991 , A61B2017/22044 , A61B2017/3443 , A61B2017/3484 , A61B2017/3488 , A61B2090/08021
摘要: Described herein are devices and systems for accessing a spine and particularly the epidural region of the spine and methods of using these systems and devices to access the spine or regions of the spine. In particular, cannulas that may be anchored to the ligamentum flavum or the periosteum are described. Ligamentum flavum access tools are also described. These tools may be used with (or without) an anchoring cannula to penetrate the ligamentum flavum and provide access to the epidural space without risk of injury to other structures within the epidural space. The devices, methods and systems described herein are particularly useful in minimally invasive surgical (MIS) uses. The devices, methods and systems described herein may be used for performing spinal decompressions and other spinal procedures.
摘要翻译: 本文描述了用于访问脊柱,特别是脊柱的硬膜外区域的装置和系统以及使用这些系统和装置来访问脊柱或脊柱区域的方法。 特别地,描述了可以锚定到黄韧带或骨膜的插管。 还描述了黄韧带访问工具。 这些工具可以与(或不))锚定套管一起使用以穿透黄韧带并提供对硬膜外腔的通路,而不会对硬膜外腔内的其他结构造成伤害。 本文描述的装置,方法和系统在微创手术(MIS)用途中特别有用。 本文描述的装置,方法和系统可用于执行脊柱减压和其它脊柱手术。
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公开(公告)号:US08551097B2
公开(公告)日:2013-10-08
申请号:US12917253
申请日:2010-11-01
CPC分类号: A61B17/00 , A61B1/3135 , A61B17/00234 , A61B17/0482 , A61B17/0483 , A61B17/1604 , A61B17/1611 , A61B17/1659 , A61B17/1671 , A61B17/1757 , A61B17/8897 , A61B2017/00477 , A61M25/09
摘要: A method and system for guiding at least a portion of a surgical device to a desired position between two tissues in a patient's body involves coupling a guidewire to the device and pulling the distal end of the guidewire to guide at least a portion of the surgical device to a desired position between the two tissues. The surgical device generally includes one or more guidewire coupling members and may comprise a tissue access device. A system may include a guidewire and a surgical device. In some embodiments, a guidewire, a tissue access device, and one or more additional devices to use with the access device may be provided. Methods, devices and systems may be used in open, less-invasive or percutaneous surgical procedures, in various embodiments.
摘要翻译: 用于将外科装置的至少一部分引导到患者身体的两个组织之间的期望位置的方法和系统包括将导丝连接到装置并拉动导丝的远端以引导手术装置的至少一部分 到两个组织之间的期望位置。 手术装置通常包括一个或多个导丝联接构件,并且可以包括组织接近装置。 系统可以包括导丝和外科装置。 在一些实施例中,可以提供导丝,纸巾接近装置以及与接入装置一起使用的一个或多个附加装置。 在各种实施例中,方法,装置和系统可以用于开放式,小侵入性或经皮外科手术。
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