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    MEANS OF DIRECT VISUALIZATION THROUGH A CURVED APPROACH PATH
    1.
    发明申请
    MEANS OF DIRECT VISUALIZATION THROUGH A CURVED APPROACH PATH 有权
    通过弯曲的方法直接可视化的手段

    公开(公告)号：US20100210917A1

    公开(公告)日：2010-08-19

    申请号：US12692747

    申请日：2010-01-25

    申请人： T. Wade Fallin ,  Douglas M. Lorang ,  Ephraim Akyuz

    发明人： T. Wade Fallin ,  Douglas M. Lorang ,  Ephraim Akyuz

    IPC分类号： A61B1/32

    CPC分类号： A61B17/3421 ,  A61B1/3135 ,  A61B17/02 ,  A61B2017/00477 ,  A61B2017/0256 ,  A61B2017/3447

    摘要： A coupled pair of retractors which are coupled at the distal end to allow the handles at the proximal end to be urged apart to increase the distance between handles to allow for direct line of sight to the surgical site while also allowing the use of curved tools and curved access to the surgical site. A cannula with a cross section taken perpendicular to a straight portion of the cannula that increases between the proximal end of the cannula and the distal end of the cannula allows for direct line of sight to the surgical site while also allowing the use of curved tools and curved access to the surgical site. These tools may be used in a postero-lateral approach from an incision in the back to a target position adjacent to the spine.

    摘要翻译： 联接的一对牵开器，其在远端处联接以允许近端处的手柄被分开，以增加手柄之间的距离，以允许直接瞄准手术部位，同时还允许使用弯曲的工具和 弯曲进入手术部位。 具有垂直于插管的直线部分截取的横截面的插管，其在套管的近端和套管的远端之间增加，允许直接视线到手术部位，同时还允许使用弯曲的工具和 弯曲进入手术部位。 这些工具可以用于从背侧的切口到与脊柱相邻的目标位置的后外侧方法。

    Means of direct visualization through a curved approach path
    4.
    发明授权
    Means of direct visualization through a curved approach path 有权
    通过弯曲的接近路径直接观察的手段

    公开(公告)号：US09504488B2

    公开(公告)日：2016-11-29

    申请号：US12692747

    申请日：2010-01-25

    申请人： T. Wade Fallin ,  Douglas M. Lorang ,  Ephraim Akyuz

    发明人： T. Wade Fallin ,  Douglas M. Lorang ,  Ephraim Akyuz

    IPC分类号： A61B1/32 ,  A61B17/34 ,  A61B17/02 ,  A61B1/313 ,  A61B17/00

    CPC分类号： A61B17/3421 ,  A61B1/3135 ,  A61B17/02 ,  A61B2017/00477 ,  A61B2017/0256 ,  A61B2017/3447

    摘要： A coupled pair of retractors which are coupled at the distal end to allow the handles at the proximal end to be urged apart to increase the distance between handles to allow for direct line of sight to the surgical site while also allowing the use of curved tools and curved access to the surgical site. A cannula with a cross section taken perpendicular to a straight portion of the cannula that increases between the proximal end of the cannula and the distal end of the cannula allows for direct line of sight to the surgical site while also allowing the use of curved tools and curved access to the surgical site. These tools may be used in a postero-lateral approach from an incision in the back to a target position adjacent to the spine.

    摘要翻译： 联接的一对牵开器，其在远端处联接以允许近端处的手柄被分开，以增加手柄之间的距离，以允许直接瞄准手术部位，同时还允许使用弯曲的工具和 弯曲进入手术部位。 具有垂直于插管的直线部分截取的横截面的插管，其在套管的近端和套管的远端之间增加，允许直接视线到手术部位，同时还允许使用弯曲的工具和 弯曲进入手术部位。 这些工具可以用于从背侧的切口到与脊柱相邻的目标位置的后外侧方法。

    Suture passing apparatus and method
    5.
    发明授权
    Suture passing apparatus and method 有权
    缝合通过装置和方法

    公开(公告)号：US08177796B2

    公开(公告)日：2012-05-15

    申请号：US12728768

    申请日：2010-03-22

    申请人： Ephraim Akyuz ,  Andrew R. Fauth ,  Joseph A. Fritz ,  Jason Glad ,  Daniel Justin ,  Douglas M. Lorang ,  Matthew C. Summitt ,  M. Mary Sinnott ,  Daniel J. Triplett

    发明人： Ephraim Akyuz ,  Andrew R. Fauth ,  Joseph A. Fritz ,  Jason Glad ,  Daniel Justin ,  Douglas M. Lorang ,  Matthew C. Summitt ,  M. Mary Sinnott ,  Daniel J. Triplett

    IPC分类号： A61B17/04

    CPC分类号： A61B17/0469 ,  A61B17/0483 ,  A61B17/062 ,  A61B2017/00353 ,  A61B2017/06042

    摘要： An endoscopic surgical instrument for passing a suture through tissue includes a first jaw member, a needle, and a capture feature actuable to grip and retain the suture after the suture has been passed through a tissue body. An actuation mechanism can both move the needle between retracted and extended positions, and move the capture feature between open and closed configurations, via a single actuation. The capture feature may be a trap door which is axially translatable relative to the first jaw member to overlap a portion of the first jaw member and trap a portion of the suture between the trap door and the overlapped portion. The first jaw member may be movable relative to a second jaw member to grasp a tissue body. The instrument can grasp a tissue body, pass the suture through the tissue, capture and retain the suture without being repositioned relative to the tissue.

    摘要翻译： 用于使缝合线穿过组织的内窥镜手术器械包括第一钳口构件，针和捕获构件，其可致动以在缝合线已经通过组织体之后夹紧并保持缝合线。 致动机构可以在缩回位置和延伸位置之间移动针，并且通过单个致动将打开和关闭配置之间的捕获特征移动。 捕获特征可以是捕获门，该门可相对于第一钳口构件轴向平移，以与第一钳口构件的一部分重叠并且将捕获门和重叠部分之间的缝合线的一部分捕获。 第一钳口构件可以相对于第二钳口构件移动以抓握组织体。 仪器可以抓住组织体，使缝合线穿过组织，捕获并保持缝合线而不会相对于组织重新定位。

    SUTURE PASSING APPARATUS AND METHOD
    7.
    发明申请
    SUTURE PASSING APPARATUS AND METHOD 有权
    传递装置和方法

    公开(公告)号：US20100241142A1

    公开(公告)日：2010-09-23

    申请号：US12728768

    申请日：2010-03-22

    申请人： Ephraim Akyuz ,  Andrew R. Fauth ,  Joseph A. Fritz ,  Jason Glad ,  Daniel Justin ,  Douglas M. Lorang ,  Matthew C. Summitt ,  M. Mary Sinnott ,  Daniel J. Triplett

    发明人： Ephraim Akyuz ,  Andrew R. Fauth ,  Joseph A. Fritz ,  Jason Glad ,  Daniel Justin ,  Douglas M. Lorang ,  Matthew C. Summitt ,  M. Mary Sinnott ,  Daniel J. Triplett

    IPC分类号： A61B17/12

    CPC分类号： A61B17/0469 ,  A61B17/0483 ,  A61B17/062 ,  A61B2017/00353 ,  A61B2017/06042

    摘要： An endoscopic surgical instrument for passing a suture through tissue includes a first jaw member, a needle, and a capture feature actuable to grip and retain the suture after the suture has been passed through a tissue body. An actuation mechanism can both move the needle between retracted and extended positions, and move the capture feature between open and closed configurations, via a single actuation. The capture feature may be a trap door which is axially translatable relative to the first jaw member to overlap a portion of the first jaw member and trap a portion of the suture between the trap door and the overlapped portion. The first jaw member may be movable relative to a second jaw member to grasp a tissue body. The instrument can grasp a tissue body, pass the suture through the tissue, capture and retain the suture without being repositioned relative to the tissue.

    摘要翻译： 用于使缝合线穿过组织的内窥镜手术器械包括第一钳口构件，针和捕获构件，其可致动以在缝合线已经通过组织体之后夹紧并保持缝合线。 致动机构可以在缩回位置和延伸位置之间移动针，并且通过单个致动将打开和关闭配置之间的捕获特征移动。 捕获特征可以是捕获门，该门可相对于第一钳口构件轴向平移，以与第一钳口构件的一部分重叠并且将捕获门和重叠部分之间的缝合线的一部分捕获。 第一钳口构件可以相对于第二钳口构件移动以抓握组织体。 仪器可以抓住组织体，使缝合线穿过组织，捕获并保持缝合线而不会相对于组织重新定位。

    Method and Apparatus for Passing a Suture
    8.
    发明申请
    Method and Apparatus for Passing a Suture 有权
    通过缝线的方法和装置

    公开(公告)号：US20120303046A1

    公开(公告)日：2012-11-29

    申请号：US13114488

    申请日：2011-05-24

    申请人： Kevin T. Stone ,  Chris Palese ,  Douglas M. Lorang ,  Andrew Fauth ,  Darin Ewer ,  Ephraim Akyuz

    发明人： Kevin T. Stone ,  Chris Palese ,  Douglas M. Lorang ,  Andrew Fauth ,  Darin Ewer ,  Ephraim Akyuz

    IPC分类号： A61B17/06

    CPC分类号： A61B17/0469 ,  A61B17/0482 ,  A61B17/0485 ,  A61B17/0644 ,  A61B2017/06009 ,  A61B2017/06042 ,  A61B2017/06076

    摘要： A suture passing instrument including an operation handle, a needle member, and a suture holder assembly. The operation handle has at least one actuator movable between a first position and a second position. The needle member extends from the operation handle. The needle member has a curved end portion and defines an eyelet extending therethrough. The suture holder assembly extends from the operation handle and has a movable suture carrier at a distal end configured to hold a suture. The movable suture carrier has a suture pusher telescopically and movably received in the movable suture carrier. The suture carrier is movable between a retracted position and an extended position. The suture pusher is movable beyond the suture carrier to carry the suture through the eyelet.

    摘要翻译： 包括操作手柄，针构件和缝合线保持器组件的缝合通过器械。 操作手柄具有至少一个可在第一位置和第二位置之间移动的致动器。 针构件从操作手柄延伸。 针构件具有弯曲的端部并限定延伸穿过其的孔眼。 缝合线保持器组件从操作手柄延伸并且具有可配置为保持缝合线的远端处的可移动缝合线架。 可移动缝合线架具有可伸缩并可移动地容纳在可移动缝合线架中的缝合线推动器。 缝合线架可以在缩回位置和延伸位置之间移动。 缝合线推动器可移动超过缝合线架以将缝合线穿过孔眼。