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    SURGICAL TOOLS FOR TREATMENT OF SPINAL STENOSIS
    1.
    发明申请
    SURGICAL TOOLS FOR TREATMENT OF SPINAL STENOSIS 有权
    用于治疗脊柱狭窄的手术工具

    公开(公告)号：US20100331900A1

    公开(公告)日：2010-12-30

    申请号：US12824043

    申请日：2010-06-25

    申请人： Robert Garabedian ,  Amie R. Borgstrom ,  Gregory B. Arcenio ,  Ronald Leguidleguid ,  Michael P. Wallace ,  Bryan Knodel

    发明人： Robert Garabedian ,  Amie R. Borgstrom ,  Gregory B. Arcenio ,  Ronald Leguidleguid ,  Michael P. Wallace ,  Bryan Knodel

    IPC分类号： A61B17/56

    CPC分类号： A61B17/00234 ,  A61B17/1659 ,  A61B17/1671 ,  A61B2017/00469 ,  A61B2017/320044

    摘要： Described herein are pullwire handle devices for securing to a tissue-penetrating pullwire. In some embodiments, the device includes a handle body, a pullwire lock configured to removably lock the pullwire handle device onto a pullwire within the handle body, and a tip containment element configured to retain the distal tip of the pullwire. In some embodiments, the handle body further comprises a storage chamber configured to store a distal portion of the pullwire. Also described herein are methods for capturing a pullwire using a pullwire handle device. In some embodiments, the method includes the steps of inserting the distal end of a pullwire into the pullwire handle device, advancing the pullwire further into the pullwire handle device while the distal portion of the pullwire is contained within the pullwire handle device, and locking the distal portion of the pullwire within the pullwire handle device.

    摘要翻译： 这里描述的是拉丝手柄装置，用于固定到组织穿透的拉丝。 在一些实施例中，该装置包括手柄主体，拉线锁定，其被配置为将拉线手柄装置可移除地锁定到手柄主体内的拉线上，以及尖端容纳元件，其构造成保持拉线的远端。 在一些实施例中，手柄主体还包括被配置为存储拉丝的远端部分的储存室。 这里还描述了使用拉线手柄装置捕获拉线的方法。 在一些实施例中，该方法包括以下步骤：将拉线的远端插入拉线手柄装置中，将拉线进一步推入拉线手柄装置，同时拉线的远端部分包含在拉丝手柄装置内， 拉线手柄装置内的拉丝的远端部分。

    Surgical tools for treatment of spinal stenosis
    2.
    发明授权
    Surgical tools for treatment of spinal stenosis 有权
    用于治疗脊柱狭窄的手术工具

    公开(公告)号：US08394102B2

    公开(公告)日：2013-03-12

    申请号：US12824043

    申请日：2010-06-25

    申请人： Robert Garabedian ,  Amie R. Borgstrom ,  Gregory B. Arcenio ,  Ronald Leguidleguid ,  Michael P. Wallace ,  Bryan Knodel

    发明人： Robert Garabedian ,  Amie R. Borgstrom ,  Gregory B. Arcenio ,  Ronald Leguidleguid ,  Michael P. Wallace ,  Bryan Knodel

    IPC分类号： A61B17/70

    CPC分类号： A61B17/00234 ,  A61B17/1659 ,  A61B17/1671 ,  A61B2017/00469 ,  A61B2017/320044

    摘要： Described herein are pullwire handle devices for securing to a tissue-penetrating pullwire. In some embodiments, the device includes a handle body, a pullwire lock configured to removably lock the pullwire handle device onto a pullwire within the handle body, and a tip containment element configured to retain the distal tip of the pullwire. In some embodiments, the handle body further comprises a storage chamber configured to store a distal portion of the pullwire. Also described herein are methods for capturing a pullwire using a pullwire handle device. In some embodiments, the method includes the steps of inserting the distal end of a pullwire into the pullwire handle device, advancing the pullwire further into the pullwire handle device while the distal portion of the pullwire is contained within the pullwire handle device, and locking the distal portion of the pullwire within the pullwire handle device.

    摘要翻译： 这里描述的是拉丝手柄装置，用于固定到组织穿透的拉丝。 在一些实施例中，该装置包括手柄主体，拉线锁定，其被配置为将拉线手柄装置可移除地锁定到手柄主体内的拉线上，以及尖端容纳元件，其构造成保持拉线的远端。 在一些实施例中，手柄主体还包括被配置为存储拉丝的远端部分的储存室。 这里还描述了使用拉线手柄装置捕获拉线的方法。 在一些实施例中，该方法包括以下步骤：将拉线的远端插入拉线手柄装置中，将拉线进一步推入拉线手柄装置，同时拉线的远端部分包含在拉丝手柄装置内， 拉线手柄装置内的拉丝的远端部分。

    ACCESS AND TISSUE MODIFICATION SYSTEMS AND METHODS
    3.
    发明申请
    ACCESS AND TISSUE MODIFICATION SYSTEMS AND METHODS 审中-公开
    访问和组织修改系统和方法

    公开(公告)号：US20100004654A1

    公开(公告)日：2010-01-07

    申请号：US12496094

    申请日：2009-07-01

    申请人： Gregory P. SCHMITZ ,  Michael P. Wallace ,  Winnie Chung ,  Amie R. Borgstrom ,  Jeffery L. Bleich ,  Gregory B. Arcenio ,  Ronald Leguidleguid ,  Roy Leguidleguid

    发明人： Gregory P. SCHMITZ ,  Michael P. Wallace ,  Winnie Chung ,  Amie R. Borgstrom ,  Jeffery L. Bleich ,  Gregory B. Arcenio ,  Ronald Leguidleguid ,  Roy Leguidleguid

    IPC分类号： A61B17/60

    CPC分类号： A61B17/025 ,  A61B17/0218 ,  A61B17/7065 ,  A61B2017/0256 ,  A61B2017/32006 ,  A61M29/02

    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 through the body from a first location, around a curved pathway, and out of the body through a second location, so that the distal and proximal ends of the guidewire extend from the body, then pulling a device into position using the guidewire. 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 the 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. Devices to modify tissue may also be positioned or manipulated so that a target tissue within the body is modified.

    摘要翻译： 这里描述的是通过首先将引导线或拉线从第一位置，绕弯曲的路径定位穿过身体，并通过第二位置离开身体来精确地放置和/或操纵身体内的装置的方法和系统，使得 导丝的远端和近端从主体延伸，然后使用导丝将装置拉入位置。 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。 该装置可以通过向远侧拉动导丝线以及向近端延伸的装置的附件进行双手操纵，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）。 修改组织的装置也可以被定位或操纵，从而改变身体内的目标组织。

    Tissue modification devices and methods
    6.
    发明授权
    Tissue modification devices and methods 有权
    组织修饰装置及方法

    公开(公告)号：US08409206B2

    公开(公告)日：2013-04-02

    申请号：US12773595

    申请日：2010-05-04

    申请人： Michael P. Wallace ,  Robert Garabedian ,  Nestor C. Cantorna ,  Jeffery L. Bleich ,  Roy Leguidleguid ,  Ronald Leguidleguid

    发明人： Michael P. Wallace ,  Robert Garabedian ,  Nestor C. Cantorna ,  Jeffery L. Bleich ,  Roy Leguidleguid ,  Ronald Leguidleguid

    IPC分类号： A61B17/00

    CPC分类号： A61B17/025 ,  A61B5/4893 ,  A61B17/0218 ,  A61B17/7062 ,  A61B2017/0256 ,  A61B2017/32006 ,  A61M25/01 ,  A61M25/0105 ,  A61M25/0133 ,  A61M25/0136 ,  A61M25/09 ,  A61M29/02

    摘要： Described herein are devices, systems and methods for cutting tissue in a patient. In some embodiments, a tissue modification region of a device includes a pair of flexible elongate cutting members extending along the length of the tissue modification region. Each elongate cutting member may be configured to cut a discrete trough into tissue to a depth that is greater than the thickness of the cutting member. In some embodiments, the device includes a spacer. The spacer may be sized and configured to operate in one of two modes. A first mode, in which the spacer is coupled to the cutting members such that it holds a portion of each of the two cutting members a distance from one another, and a second mode, in which at least a portion of the spacer is moved away from a cutting member to allow the cutting members to cut further into tissue.

    摘要翻译： 这里描述了用于切割患者组织的装置，系统和方法。 在一些实施例中，装置的组织修改区域包括沿着组织修改区域的长度延伸的一对柔性细长切割构件。 每个细长的切割构件可以被配置成将离散的槽切割成组织到比切割构件的厚度大的深度。 在一些实施例中，该装置包括间隔件。 间隔件的尺寸和构造可以以两种模式之一来操作。 第一模式，其中间隔件联接到切割构件，使得其将两个切割构件中的每一个的一部分保持彼此的距离，以及第二模式，其中至少一部分间隔件移开 从切割构件允许切割构件进一步切割成组织。

    TISSUE MODIFICATION DEVICES AND METHODS
    7.
    发明申请
    TISSUE MODIFICATION DEVICES AND METHODS 有权
    组织修改设备和方法

    公开(公告)号：US20100274250A1

    公开(公告)日：2010-10-28

    申请号：US12773595

    申请日：2010-05-04

    申请人： Michael P. Wallace ,  Robert Garabedian ,  Nestor C. Cantorna ,  Jeffery L. Bleich ,  Roy Leguidleguid ,  Ronald Leguidleguid

    发明人： Michael P. Wallace ,  Robert Garabedian ,  Nestor C. Cantorna ,  Jeffery L. Bleich ,  Roy Leguidleguid ,  Ronald Leguidleguid

    IPC分类号： A61B17/16

    CPC分类号： A61B17/025 ,  A61B5/4893 ,  A61B17/0218 ,  A61B17/7062 ,  A61B2017/0256 ,  A61B2017/32006 ,  A61M25/01 ,  A61M25/0105 ,  A61M25/0133 ,  A61M25/0136 ,  A61M25/09 ,  A61M29/02

    摘要： Described herein are devices, systems and methods for cutting tissue in a patient. In some embodiments, a tissue modification region of a device includes a pair of flexible elongate cutting members extending along the length of the tissue modification region. Each elongate cutting member may be configured to cut a discrete trough into tissue to a depth that is greater than the thickness of the cutting member. In some embodiments, the device includes a spacer. The spacer may be sized and configured to operate in one of two modes. A first mode, in which the spacer is coupled to the cutting members such that it holds a portion of each of the two cutting members a distance from one another, and a second mode, in which at least a portion of the spacer is moved away from a cutting member to allow the cutting members to cut further into tissue.

    摘要翻译： 这里描述了用于切割患者组织的装置，系统和方法。 在一些实施例中，装置的组织修改区域包括沿着组织修改区域的长度延伸的一对柔性细长切割构件。 每个细长的切割构件可以被配置成将离散的槽切割成组织到比切割构件的厚度大的深度。 在一些实施例中，该装置包括间隔件。 间隔件的尺寸和构造可以以两种模式之一来操作。 第一模式，其中间隔件联接到切割构件，使得其将两个切割构件中的每一个的一部分保持彼此的距离，以及第二模式，其中至少一部分间隔件移开 从切割构件允许切割构件进一步切割成组织。

    TISSUE MODIFICATION DEVICES AND METHODS
    8.
    发明申请
    TISSUE MODIFICATION DEVICES AND METHODS 有权
    组织修改设备和方法

    公开(公告)号：US20120095468A1

    公开(公告)日：2012-04-19

    申请号：US13338103

    申请日：2011-12-27

    申请人： Michael P. Wallace ,  Robert Garabedian ,  Nestor C. Cantorna ,  Jeffery L. Bleich ,  Roy Leguidleguid ,  Ronald Leguidleguid

    发明人： Michael P. Wallace ,  Robert Garabedian ,  Nestor C. Cantorna ,  Jeffery L. Bleich ,  Roy Leguidleguid ,  Ronald Leguidleguid

    IPC分类号： A61B17/16

    CPC分类号： A61B17/025 ,  A61B5/4893 ,  A61B17/0218 ,  A61B17/1671 ,  A61B17/32 ,  A61B17/320016 ,  A61B17/7032 ,  A61B17/7062 ,  A61B17/864 ,  A61B2017/0256 ,  A61B2017/32006

    摘要： Described herein are devices and methods for cutting tissue in a patient. In some embodiments, a bimanually controlled device may include a tissue modification region; at least two flexible elongate lengths of cable that extend substantially adjacent to each other proximally to distally; a plurality of rungs extending between the lengths of cable; and a pair of flexible elongate cutting members extending along the length of the tissue modification region of the device. Each elongate cutting member has a thickness cuts a discrete trough into tissue to a depth that is greater than the thickness of the cutting member. The device may further include a substrate sized and configured to releasably hold the cutting members a distance from one another and a pair of couplers positioned toward an outer edge region of the substrate and configured to releasably secure a cutting member to the outer edge region of the substrate.

    摘要翻译： 本文描述了用于在患者体内切割组织的装置和方法。 在一些实施例中，双手控制的装置可以包括组织修改区域; 至少两个柔性长度的电缆，其基本上彼此相邻地向远侧延伸延伸; 在电缆长度之间延伸的多个梯级; 以及沿设备的组织修改区域的长度延伸的一对柔性细长切割构件。 每个细长的切割构件具有将离散凹槽切割成组织的厚度，其厚度大于切割构件的厚度。 该装置还可以包括基板，其尺寸和构造为将切割构件可释放地保持彼此间隔一定距离;以及一对耦合器，其朝向基板的外边缘区域定位，并且构造成将切割构件可释放地固定到外部边缘区域 基质。