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公开(公告)号：US20100036495A1
公开(公告)日：2010-02-11
申请号：US12460413
申请日：2009-07-17
IPC分类号： A61F2/44
CPC分类号： A61F2/4611 , A61F2/4465 , A61F2002/30332 , A61F2002/30405 , A61F2002/30604 , A61F2002/30616 , A61F2002/30858 , A61F2002/448 , A61F2002/4677 , A61F2220/0025 , A61F2220/0033 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029
摘要： A device for treating a spine includes a proximal component positioned partially or entirely within a first vertebra and a distal component positioned partially or entirely within a second vertebra and may also include an intermediate component. A method for treating a spine includes forming a curved channel that extends through a first vertebra from a pedicle to an endplate, and advancing the components through the curved channel, the orientation of the proximal component relative to the distal component changing by at least 40 degrees while the proximal component passes through the curved channel. In another aspect, a method for treating a spine includes forming a curved channel that has a pedicle region, a central region, and an endplate region, where the channel diameter for the central region is larger than the channel diameter for the pedicle region or the endplate region, and advancing an implant through the channel.
摘要翻译： 用于治疗脊柱的装置包括部分地或完全地位于第一椎骨内的近侧部件和位于第二椎骨部分或全部定位的远侧部件，并且还可以包括中间部件。 一种用于治疗脊柱的方法包括形成弯曲通道，该弯曲通道从椎弓根延伸穿过第一椎骨到终板，并且使部件通过弯曲通道前进，近端部件相对于远端部件的取向至少改变40度 而近端部件通过弯曲的通道。 另一方面，一种用于治疗脊柱的方法包括形成具有椎弓根区域，中心区域和端板区域的弯曲通道，其中中心区域的通道直径大于椎弓根区域的通道直径或 端板区域，并且通过通道推进植入物。
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公开(公告)号：US07951107B2
公开(公告)日：2011-05-31
申请号：US11193225
申请日：2005-07-29
IPC分类号： A61M1/00
CPC分类号： A61B17/3203 , A61B17/32037 , A61B2017/00477 , F16L17/035 , F16L19/0218
摘要： A method and apparatus are provided for quickly connecting a handpiece to a pressurized fluid source. A hollow tube on the handpiece is inserted through an aperture in an annular gasket which is held in a chamber in a body. On application of pressurized fluid to the body, the gasket is pressed against the walls of the chamber, and against the tube, thereby channeling the pressurized fluid through the hollow tube. The handpiece is retained in connection with the body by a releasable connector, such as a latch. The handpiece can be removed and replaced by releasing and remaking the connection.
摘要翻译： 提供了一种用于将手持件快速连接到加压流体源的方法和装置。 手柄上的中空管被插入通过保持在体内的腔室中的环形垫圈中的孔中。 在将加压流体施加到主体上时，垫圈被压靠在腔室的壁上并靠在管上，从而将加压流体引导通过中空管。 手持件通过可释放的连接器（例如闩锁）与主体相关联地保持。 手机可以通过释放和重新连接进行拆卸和更换。
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3.发明申请LIQUID JET SURGICAL INSTRUMENT HAVING A DISTAL END WITH A SELECTIVELY CONTROLLABLE SHAPE 审中-公开具有可选择形状的液体液体手术器械公开(公告)号：US20100010524A1
公开(公告)日：2010-01-14
申请号：US12161884
申请日：2007-01-24
IPC分类号： A61B17/3203
CPC分类号： A61B17/3203 , A61B2017/003 , A61B2017/00893 , A61B2017/2927
摘要： The invention provides a variety of surgical instruments for forming a liquid jet, which are useful for performing a wide variety of surgical procedures. In some embodiments, the invention provides surgical liquid jet instruments having a pressure tube and an evacuation tube, where the pressure tube includes at least one nozzle for forming a liquid jet and where the evacuation tube includes a jet-receiving opening for receiving the liquid jet when the instrument is in operation. In some embodiments, the distal ends of both the pressure and evacuation tubes have a first configuration in a non-relaxed state and a second configuration in a more relaxed state. In some embodiments, a straightener is constructed to selectively control the configuration of the distal ends of both the pressure and evacuation tubes. The invention also provides surgical methods utilizing the inventive surgical liquid jet instruments for cutting or ablating a selected tissue within portions of a patient's spine, such as within the intervertebral disc.
摘要翻译： 本发明提供用于形成液体射流的各种外科器械，其可用于执行各种各样的外科手术。 在一些实施例中，本发明提供具有压力管和排气管的手术液体喷射器械，其中压力管包括用于形成液体射流的至少一个喷嘴，并且其中抽真空管包括用于接收液体射流的喷射接收开口 当仪器运行时。 在一些实施例中，压力和排气管的远端具有处于非松弛状态的第一构型和处于更放松状态的第二构型。 在一些实施例中，矫直机被构造成选择性地控制压力和排气管的远端的构造。 本发明还提供了利用本发明的外科液体喷射器械在患者脊柱的部分内（例如在椎间盘内）切割或消融选定组织的手术方法。
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公开(公告)号：US20100228273A1
公开(公告)日：2010-09-09
申请号：US12573487
申请日：2009-10-05
申请人： Kevin P. Staid , James J. Frassica , Brian G. Connor , Derek Bruce Eldridge , Ernie Dion , James E. Barrington
发明人： Kevin P. Staid , James J. Frassica , Brian G. Connor , Derek Bruce Eldridge , Ernie Dion , James E. Barrington
IPC分类号： A61B17/3203
CPC分类号： A61B17/3203 , A61B17/32037 , A61B2017/00261 , A61B2017/32032 , A61B2090/08021 , A61B2217/005 , A61B2217/007
摘要： The invention provides a variety of surgical instruments for forming a liquid jet, which are useful for performing a wide variety of surgical procedures. In some embodiments, the invention provides surgical liquid jet instruments having a pressure tube and an evacuation tube, where the pressure tube includes at least one nozzle for forming a liquid jet and where the evacuation tube includes a jet-receiving opening for receiving the liquid jet when the instrument is in operation. In some embodiments, the surgical liquid jet instrument is constructed to minimize damage to the tissue surrounding the tissue that is desired to be removed. In some embodiments, the outer surface of the distal tip of the evacuation tube wall and/or the pressure tube wall is blunted to minimize tissue damage. The invention also provides surgical methods utilizing the inventive surgical liquid jet instruments for cutting or ablating a selected tissue within portions of a patient's spine, such as within the intervertebral disc.
摘要翻译： 本发明提供用于形成液体射流的各种外科器械，其可用于执行各种各样的外科手术。 在一些实施例中，本发明提供具有压力管和排气管的手术液体喷射器械，其中压力管包括用于形成液体射流的至少一个喷嘴，并且其中抽真空管包括用于接收液体射流的喷射接收开口 当仪器运行时。 在一些实施例中，手术液体喷射器械构造成使对期望被去除的组织周围的组织的损伤最小化。 在一些实施例中，排空管壁和/或压力管壁的远侧末端的外表面被钝化以最小化组织损伤。 本发明还提供了利用本发明的外科液体喷射器械在患者脊柱的部分内（例如在椎间盘内）切割或消融选定组织的手术方法。
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5.发明授权Surgical devices incorporating liquid jet assisted tissue manipulation and methods for their use 有权采用液体喷射辅助组织操作的手术装置及其使用方法公开(公告)号：US08162966B2
公开(公告)日：2012-04-24
申请号：US10695632
申请日：2003-10-27
IPC分类号： A61B17/32
CPC分类号： A61B17/3203 , A61B17/320016 , A61B17/32002 , A61B17/32037 , A61B17/320708 , A61B17/320783 , A61B2017/00535 , A61M1/0084 , A61M3/0283 , A61M3/0287
摘要： Surgical instruments are disclosed that utilize high-pressure liquid jets to perform a variety of useful functions. In certain embodiments, surgical instruments are described incorporating one or more liquid jets utilized to contact tissue excised by a non-liquid jet tissue-cutting component of the surgical instrument. In certain embodiments, a liquid jet of a surgical instrument can be utilized for the purpose of excising tissue of a patient immobilized and/or manipulated by the surgical instrument. Also described are surgical devices of the type characterized by curettes, rongeurs, bone punches, bone cutting forceps, morcellators, surgical micrograspers, with functionality and performance supplemented by the integration of a liquid jet. Also disclosed are methods of using certain liquid jet-containing surgical instruments for performing surgical procedures, for example surgical procedures on the spinal column of a patient.
摘要翻译： 公开了使用高压液体射流来执行各种有用功能的手术器械。 在某些实施例中，描述了外科器械，其包括一个或多个液体射流，其用于接触由外科器械的非液体射流组织切割部件切除的组织。 在某些实施例中，外科器械的液体射流可以用于切除由外科器械固定和/或操纵的患者的组织。 还描述了这样一种类型的手术装置，其特征在于具有通过液体射流整合的功能和性能的刮匙，护膝，骨冲孔，骨切割钳，手术微创手术器械。 还公开了使用某些含液体射流的手术器械来执行外科手术的方法，例如在患者的脊柱上的外科手术。
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公开(公告)号：US09597107B2
公开(公告)日：2017-03-21
申请号：US10544015
申请日：2004-02-02
IPC分类号： A61B17/3203 , A61B17/32 , A61M1/00 , A61M3/02 , A61B17/3207 , A61B17/00
CPC分类号： A61B17/3203 , A61B17/320016 , A61B17/32002 , A61B17/32037 , A61B17/320708 , A61B17/320783 , A61B2017/00535 , A61M1/0084 , A61M3/0283 , A61M3/0287
摘要： Disclosed are nozzles and nozzle assemblies of liquid jet-forming surgical instruments, surgical instruments employing such nozzles and/or nozzle assemblies, and methods of fabricating the nozzle assemblies in forming surgical instruments. Also, disclosed are liquid jet-forming surgical instruments including both liquid jet-forming nozzles and optional evacuation lumens, which when provided can be configured to receive the liquid jet and evacuate the liquid forming the liquid jet. Certain embodiments of such surgical instruments include inventive nozzle alignment component(s) to facilitate alignment of the nozzles and evacuation lumen upon assembly. In certain embodiments, surgical instruments are provided that include a nozzle that is shaped to form a liquid jet, which has surfaces that are optically smooth. In certain embodiments, the nozzle has a configuration enabling the nozzle to form a liquid jet that has the ability to remain collimated over longer distances than is typically achievable with conventional liquid jet surgical instrument nozzles having the same ratio of nozzle length to minimum inner diameter of the jet opening. In certain embodiments, nozzle assemblies comprising an operative assembly of at least two subcomponents, which together provide a nozzle are provided. In certain embodiments, the at least two sub-components may comprise a nozzle-providing component, such as a nozzle ring, and a holder that is configured to retain and position the nozzle-providing component in the nozzle assembly. In certain embodiments, the nozzle-providing component can comprise a liquid flow passage having a diameter that continuously decreases along at least a portion of its length.
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公开(公告)号：US20090306692A1
公开(公告)日：2009-12-10
申请号：US12298638
申请日：2007-04-25
IPC分类号： A61B17/3203 , B29C65/00 , C25D1/02
CPC分类号： A61B17/3203 , A61B2017/00526
摘要： Certain embodiments of the invention provide a variety of methods of manufacturing a liquid jet-forming surgical instrument. According to these methods, a nozzle assembly of the instrument is electroformed on a mandrel. The nozzle assembly includes a nozzle providing a jet-opening, wherein the nozzle is shaped to form a liquid jet. In some embodiments, the mandrel includes a first mandrel portion and a second mandrel portion. Once the nozzle assembly is formed, the mandrel may be removed from the nozzle assembly. The nozzle assembly may in certain embodiments be coupled to an outlet of the pressure tube. In certain embodiments, an inlet of an evacuation tube is positioned such that a jet-receiving opening of the evacuation tube is positioned opposite the jet-opening of the nozzle.
摘要翻译： 本发明的某些实施例提供了制造液体喷射形成手术器械的各种方法。 根据这些方法，将仪器的喷嘴组件电铸在心轴上。 喷嘴组件包括提供喷射开口的喷嘴，其中喷嘴成形为形成液体射流。 在一些实施例中，心轴包括第一心轴部分和第二心轴部分。 一旦喷嘴组件形成，心轴可以从喷嘴组件移除。 在某些实施例中，喷嘴组件可联接到压力管的出口。 在某些实施例中，排气管的入口被定位成使得排气管的喷射接收开口定位成与喷嘴的喷射开口相对。
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公开(公告)号：US06923792B2
公开(公告)日：2005-08-02
申请号：US10215209
申请日：2002-08-08
CPC分类号： A61B17/3203 , A61B17/32037 , A61B2017/00477 , F16L17/035 , F16L19/0218
摘要： A method and apparatus are provided for quickly connecting a handpiece to a pressurized fluid source. A hollow tube on the handpiece is inserted through an aperture in an annular gasket which is held in a chamber in a body. On application of pressurized fluid to the body, the gasket is pressed against the walls of the chamber, and against the tube, thereby channeling the pressurized fluid through the hollow tube. The handpiece is retained in connection with the body by a releasable connector, such as a latch. The handpiece can be removed and replaced by releasing and remaking the connection.
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