公开(公告)号：US20120029296A1

公开(公告)日：2012-02-02

申请号：US12846544

申请日：2010-07-29

申请人： Tanmay Mishra ,  Bryan A. Click ,  Bruce Chabansky

发明人： Tanmay Mishra ,  Bryan A. Click ,  Bruce Chabansky

IPC分类号： A61B1/32

CPC分类号： A61B17/3439 ,  A61B2017/00867

摘要： In one form, an expandable cannula assembly for use in percutaneous surgical procedures includes an elongate body extending along a longitudinal axis between a first end and a second end. The elongate body includes a pair of elongate members that cooperate to define a working channel extending between a proximal end and a distal end and being expandable from a first, unexpanded configuration to a second, expanded configuration. The elongate members are displaceable away from one another along the longitudinal axis from the proximal end to the distal end of the working channel in order to expand the working channel from the first configuration to the second configuration. In one aspect, the elongate members engage with one another to lock the working channel in the second configuration and prevent movement of the elongate members toward one another. However, in other embodiments, different forms and applications are envisioned.

摘要翻译： 在一种形式中，用于经皮外科手术过程的可扩张插管组件包括沿第一端和第二端之间的纵向轴线延伸的细长体。 细长主体包括一对细长构件，其协作以限定在近端和远端之间延伸的并且可从第一未膨胀构型扩展到第二膨胀构型的工作通道。 细长构件可以沿着纵向轴线从工作通道的近端到远端彼此远离移位，以便将工作通道从第一构型扩展到第二构型。 在一个方面，细长构件彼此接合以将工作通道锁定在第二构造中并且防止细长构件朝彼此移动。 然而，在其他实施例中，可以想到不同的形式和应用。

公开(公告)号：US09011468B2

公开(公告)日：2015-04-21

申请号：US13231572

申请日：2011-09-13

申请人： Theodore Ketai ,  Jacob Greenberg ,  Daniel Hale ,  Tanmay Mishra ,  Gabriel Gonzales ,  Raghuveer Basude ,  Michael Hong

发明人： Theodore Ketai ,  Jacob Greenberg ,  Daniel Hale ,  Tanmay Mishra ,  Gabriel Gonzales ,  Raghuveer Basude ,  Michael Hong

IPC分类号： A61B17/08 ,  A61B17/10 ,  A61F2/24 ,  A61B17/00

CPC分类号： A61B17/08 ,  A61B17/10 ,  A61B2017/00243 ,  A61F2/2454 ,  A61F2/2466

摘要： The invention provides devices, systems and methods for tissue approximation and repair at treatment sites. The devices, systems and methods of the invention will find use in a variety of therapeutic procedures, including endovascular, minimally-invasive, and open surgical procedures, and can be used in various anatomical regions, including the abdomen, thorax, cardiovascular system, heart, intestinal tract, stomach, urinary tract, bladder, lung, and other organs, vessels, and tissues. The invention is particularly useful in those procedures requiring minimally-invasive or endovascular access to remote tissue locations, where the instruments utilized must negotiate long, narrow, and tortuous pathways to the treatment site. In addition, many of the devices and systems of the invention are adapted to be reversible and removable from the patient at any point without interference with or trauma to internal tissues.

摘要翻译： 本发明提供了用于在治疗部位组织近似和修复的装置，系统和方法。 本发明的装置，系统和方法将用于各种治疗方法，包括血管内，微创和开放性外科手术，并可用于各种解剖学领域，包括腹部，胸部，心血管系统，心脏 ，肠道，胃，尿道，膀胱，肺和其他器官，血管和组织。 本发明在需要微创或血管内进入远程组织位置的那些程序中特别有用，其中所使用的仪器必须协商到治疗部位的长，窄和曲折的路径。 此外，本发明的许多装置和系统适于在任何点处可逆地从患者移除，而不会干扰或损伤内部组织。

公开(公告)号：US20120283776A1

公开(公告)日：2012-11-08

申请号：US13100408

申请日：2011-05-04

申请人： Tanmay Mishra

发明人： Tanmay Mishra

IPC分类号： A61B17/70

CPC分类号： A61B17/7064

摘要： A spinal implant extendable across a facet joint to aid in fixation of the facet joint includes an elongate connecting member, a bone allograft, and a locking member. The elongate connecting member is sized to extend across a facet joint and includes a distal bone anchor. The bone allograft is sized for placement in a bore formed through the facet joint and configured to be placed about the elongate connecting member. The locking member includes a longitudinal bore sized to receive the elongate connecting member, and the locking member has an unlocked condition permitting movement relative the elongate connecting member and a locked condition rigidly fixing the locking member in place on the elongate connecting member. The locking member is configured to cooperate with the distal bone anchor to compress the facet joint, and the locking member is configured to lock the spinal implant across the facet joint.

摘要翻译： 可以跨越小关节延伸以有助于小面关节的固定的脊柱植入物包括细长连接构件，骨同种异体移植物和锁定构件。 细长连接构件的尺寸设置成跨越小关节延伸并且包括远端骨锚。 骨同种异体移植物的尺寸适于放置在通过小关节形成的孔中并且被配置为围绕细长的连接构件放置。 锁定构件包括尺寸适于接收细长连接构件的纵向孔，并且锁定构件具有允许相对于细长连接构件运动的解锁状态和将锁定构件刚性地固定在细长连接构件上的适当位置的锁定状态。 锁定构件被构造成与远端骨锚配合以压缩小关节，并且锁定构件被构造成将脊柱植入物锁定在小平面上。

公开(公告)号：US08409257B2

公开(公告)日：2013-04-02

申请号：US12943606

申请日：2010-11-10

申请人： Avram Allan Edidin ,  Nikolas F. Kerr ,  Greg C. Marik ,  Newton H. Metcalf, Jr. ,  Tanmay Mishra ,  Michael A. Smith ,  Jusong Xia

发明人： Avram Allan Edidin ,  Nikolas F. Kerr ,  Greg C. Marik ,  Newton H. Metcalf, Jr. ,  Tanmay Mishra ,  Michael A. Smith ,  Jusong Xia

IPC分类号： A61B17/70 ,  A61B17/88

CPC分类号： A61B17/7064 ,  A61B17/1637 ,  A61B17/1671 ,  A61B17/1757 ,  A61B17/8605 ,  A61B17/864 ,  A61B17/8695

摘要： In one form, a method for stabilization of a facet joint of the spinal column includes forming a cavity between adjacent bones defining the facet joint and positioning an implant in the cavity between the adjacent bones. In one aspect of this form, the method also includes positioning a bone anchor across the facet joint and engaging the bone anchor with each of the adjacent bones to force the bones toward one another and clamp the implant therebetween. In a further aspect of this form, the implant is a cancellous bone dowel and becomes fractured into a plurality of fragments upon being clamped between the adjacent bones and/or otherwise interacting with the bone anchor. In another form, systems and devices for performing percutaneous facet joint stabilization and/or fusion are provided. However, different forms and applications are also envisioned.

摘要翻译： 在一种形式中，用于稳定脊柱的小关节的方法包括在限定小关节的相邻骨之间形成腔，并将植入物定位在相邻骨之间的空腔中。 在该形式的一个方面，该方法还包括将骨锚定位器跨过小关节定位并且将骨锚定体与每个相邻骨骼接合以迫使骨头朝向彼此并且将植入物夹在其间。 在该形式的另一方面，植入物是松质骨榫，并且在被夹持在相邻骨之间和/或以其他方式与骨锚相互作用时，被破碎成多个碎片。 在另一种形式中，提供用于执行经皮小关节稳定和/或融合的系统和装置。 但是，也可以设想不同的形式和应用。

公开(公告)号：US08945177B2

公开(公告)日：2015-02-03

申请号：US13231586

申请日：2011-09-13

申请人： Kent Dell ,  Theodore Ketai ,  Tanmay Mishra ,  Stephanie Jones ,  Jacob Greenberg ,  Michael Hong ,  Daniel Hale ,  Francisco Valencia ,  Steven Tyler

发明人： Kent Dell ,  Theodore Ketai ,  Tanmay Mishra ,  Stephanie Jones ,  Jacob Greenberg ,  Michael Hong ,  Daniel Hale ,  Francisco Valencia ,  Steven Tyler

IPC分类号： A61B17/03 ,  A61B17/08 ,  A61B17/10 ,  A61F2/24 ,  A61B17/00

CPC分类号： A61B17/083 ,  A61B17/08 ,  A61B17/10 ,  A61B2017/00243 ,  A61F2/2454 ,  A61F2/2466

摘要： The invention provides devices, systems and methods for tissue approximation and repair at treatment sites. The devices, systems and methods of the invention will find use in a variety of therapeutic procedures, including endovascular, minimally-invasive, and open surgical procedures, and can be used in various anatomical regions, including the abdomen, thorax, cardiovascular system, heart, intestinal tract, stomach, urinary tract, bladder, lung, and other organs, vessels, and tissues. The invention is particularly useful in those procedures requiring minimally-invasive or endovascular access to remote tissue locations, where the instruments utilized must negotiate long, narrow, and tortuous pathways to the treatment site. In addition, many of the devices and systems of the invention are adapted to be reversible and removable from the patient at any point without interference with or trauma to internal tissues.

摘要翻译： 本发明提供了用于在治疗部位组织近似和修复的装置，系统和方法。 本发明的装置，系统和方法将用于各种治疗方法，包括血管内，微创和开放性外科手术，并可用于各种解剖学领域，包括腹部，胸部，心血管系统，心脏 ，肠道，胃，尿道，膀胱，肺和其他器官，血管和组织。 本发明在需要微创或血管内进入远程组织位置的那些程序中特别有用，其中所使用的仪器必须协商到治疗部位的长，窄和曲折的路径。 此外，本发明的许多装置和系统适于在任何点处可逆地从患者移除，而不会干扰或损伤内部组织。

公开(公告)号：US20100318127A1

公开(公告)日：2010-12-16

申请号：US12483812

申请日：2009-06-12

申请人： Christopher U. Phan ,  Avram A. Edidin ,  Lauren I. Lyons ,  Tanmay Mishra

发明人： Christopher U. Phan ,  Avram A. Edidin ,  Lauren I. Lyons ,  Tanmay Mishra

IPC分类号： A61B17/70 ,  A61F2/44 ,  A61B17/88

CPC分类号： A61B17/7065

摘要： Vertebral implants sized to be inserted into a patient and positioned in an interspinous space. The implants may include a body and a pair of wings that extend outward beyond a first side of the body. The implants are sized and configured for the body to be positioned in the interspinous space with the wings on opposing lateral sides of one of the spinous processes. The wings may be adjusted to various spaced-apart distances to be positioned on the opposing sides of the spinous process. The implants may further be selectively adjustable between a collapsed orientation and a deployed orientation. The collapsed orientation includes one or both wings aligned with the main body to reduce an overall size of the implant to facilitate insertion into a patient. The extended orientation includes the wings extending outward from the first side of the body and along the lateral sides of the spinous process.

摘要翻译： 脊椎植入物尺寸设置成插入病人并定位在棘突间。 植入物可以包括主体和一对向外延伸超过身体的第一侧的翼。 植入物的尺寸和构造适于使身体定位在棘突间的空间中，其中翼在其中一个棘突的相对的侧面上。 翼可以调节到各种间隔距离，以定位在棘突的相对侧上。 植入物还可以在折叠取向和展开方向之间有选择地调节。 折叠的方向包括与主体对准的一个或两个翼片以减小植入物的总体尺寸以便于插入患者体内。 延伸取向包括从身体的第一侧向外延伸并且沿着棘突的横向侧延伸的翼。

公开(公告)号：US20130066342A1

公开(公告)日：2013-03-14

申请号：US13231586

申请日：2011-09-13

申请人： Kent Dell ,  Theodore Ketai ,  Tanmay Mishra ,  Stephanie Jones ,  Jacob Greenberg ,  Michael Hong ,  Daniel Hale ,  Francisco Valencia ,  Steven Tyler

发明人： Kent Dell ,  Theodore Ketai ,  Tanmay Mishra ,  Stephanie Jones ,  Jacob Greenberg ,  Michael Hong ,  Daniel Hale ,  Francisco Valencia ,  Steven Tyler

IPC分类号： A61B17/03

CPC分类号： A61B17/083 ,  A61B17/08 ,  A61B17/10 ,  A61B2017/00243 ,  A61F2/2454 ,  A61F2/2466

摘要： The invention provides devices, systems and methods for tissue approximation and repair at treatment sites. The devices, systems and methods of the invention will find use in a variety of therapeutic procedures, including endovascular, minimally-invasive, and open surgical procedures, and can be used in various anatomical regions, including the abdomen, thorax, cardiovascular system, heart, intestinal tract, stomach, urinary tract, bladder, lung, and other organs, vessels, and tissues. The invention is particularly useful in those procedures requiring minimally-invasive or endovascular access to remote tissue locations, where the instruments utilized must negotiate long, narrow, and tortuous pathways to the treatment site. In addition, many of the devices and systems of the invention are adapted to be reversible and removable from the patient at any point without interference with or trauma to internal tissues.

公开(公告)号：US20120116454A1

公开(公告)日：2012-05-10

申请号：US12943606

申请日：2010-11-10

申请人： Avram Allan Edidin ,  Nikolas F. Kerr ,  Greg C. Marik ,  Newton H. Metcalf, JR. ,  Tanmay Mishra ,  Michael A. Smith ,  Jusong Xia

发明人： Avram Allan Edidin ,  Nikolas F. Kerr ,  Greg C. Marik ,  Newton H. Metcalf, JR. ,  Tanmay Mishra ,  Michael A. Smith ,  Jusong Xia

IPC分类号： A61B17/70 ,  A61B17/88

CPC分类号： A61B17/7064 ,  A61B17/1637 ,  A61B17/1671 ,  A61B17/1757 ,  A61B17/8605 ,  A61B17/864 ,  A61B17/8695

摘要： In one form, a method for stabilization of a facet joint of the spinal column includes forming a cavity between adjacent bones defining the facet joint and positioning an implant in the cavity between the adjacent bones. In one aspect of this form, the method also includes positioning a bone anchor across the facet joint and engaging the bone anchor with each of the adjacent bones to force the bones toward one another and clamp the implant therebetween. In a further aspect of this form, the implant is a cancellous bone dowel and becomes fractured into a plurality of fragments upon being clamped between the adjacent bones and/or otherwise interacting with the bone anchor. In another form, systems and devices for performing percutaneous facet joint stabilization and/or fusion are provided. However, different forms and applications are also envisioned.

摘要翻译： 在一种形式中，用于稳定脊柱的小关节的方法包括在限定小关节的相邻骨之间形成腔，并将植入物定位在相邻骨之间的空腔中。 在该形式的一个方面，该方法还包括将骨锚定位器跨过小关节定位并且将骨锚定体与每个相邻骨骼接合以迫使骨头朝向彼此并且将植入物夹在其间。 在该形式的另一方面，植入物是松质骨榫，并且在被夹持在相邻骨之间和/或以其他方式与骨锚相互作用时，被破碎成多个碎片。 在另一种形式中，提供用于执行经皮小关节稳定和/或融合的系统和装置。 但是，也可以设想不同的形式和应用。

公开(公告)号：US08157842B2

公开(公告)日：2012-04-17

申请号：US12483812

申请日：2009-06-12

申请人： Christopher U. Phan ,  Avram A. Edidin ,  Lauren I. Lyons ,  Tanmay Mishra

发明人： Christopher U. Phan ,  Avram A. Edidin ,  Lauren I. Lyons ,  Tanmay Mishra

IPC分类号： A61B17/70

CPC分类号： A61B17/7065

摘要： Vertebral implants sized to be inserted into a patient and positioned in an interspinous space. The implants may include a body and a pair of wings that extend outward beyond a first side of the body. The implants are sized and configured for the body to be positioned in the interspinous space with the wings on opposing lateral sides of one of the spinous processes. The wings may be adjusted to various spaced-apart distances to be positioned on the opposing sides of the spinous process. The implants may further be selectively adjustable between a collapsed orientation and a deployed orientation. The collapsed orientation includes one or both wings aligned with the main body to reduce an overall size of the implant to facilitate insertion into a patient. The extended orientation includes the wings extending outward from the first side of the body and along the lateral sides of the spinous process.

摘要翻译： 脊椎植入物尺寸设置成插入病人并定位在棘突间。 植入物可以包括主体和一对向外延伸超过身体的第一侧的翼。 植入物的尺寸和构造适于使身体定位在棘突间的空间中，其中翼在其中一个棘突的相对的侧面上。 翼可以调节到各种间隔距离，以定位在棘突的相对侧上。 植入物还可以在折叠取向和展开方向之间有选择地调节。 折叠的方向包括与主体对准的一个或两个翼片以减小植入物的总体尺寸以便于插入患者体内。 延伸取向包括从身体的第一侧向外延伸并且沿着棘突的横向侧延伸的翼。

公开(公告)号：US20110077686A1

公开(公告)日：2011-03-31

申请号：US12569513

申请日：2009-09-29

申请人： Tanmay Mishra ,  Lauren I. Lyons ,  Christopher U. Phan

发明人： Tanmay Mishra ,  Lauren I. Lyons ,  Christopher U. Phan

IPC分类号： A61B17/70

CPC分类号： A61B17/7065

摘要： Medical devices for the treatment of spinal conditions are described herein. The medical device of this invention includes a spacer that is disposed between adjacent spinous processes and has a layer of a soft or compliant material. The layer is preferably thicker along those portions of the spacer directly contacting the adjacent spinous processes and is preferably thinner or non-existent adjacent to the anterior portion of the support member. This preferred asymmetry of the compliant layer allows the spacer to be seated between spinous processes as anteriorly as possible.

摘要翻译： 本文描述了用于治疗脊柱病症的医疗装置。 本发明的医疗装置包括设置在相邻棘突之间并具有柔软或柔顺材料层的隔离物。 该层优选地是沿着间隔件的直接接触相邻棘突的部分较厚，并且优选地较靠近支撑构件的前部更薄或不存在。 顺应层的这种优选的不对称性允许间隔件尽可能向前位于棘突之间。