公开(公告)号：US11678906B2

公开(公告)日：2023-06-20

申请号：US16687520

申请日：2019-11-18

申请人： Amplify Surgical, Inc.

发明人： Andy Wonyong Choi ,  Dong-Hwa Heo ,  Jeffrey Roh

IPC分类号： A61B17/34 ,  A61B5/00 ,  A61B5/24 ,  A61N7/00 ,  A61B90/00 ,  A61B17/00 ,  A61B8/08 ,  A61N1/36 ,  A61N5/06

CPC分类号： A61B17/3423 ,  A61B5/24 ,  A61B5/4893 ,  A61B5/6852 ,  A61B8/085 ,  A61B2017/003 ,  A61B2017/0042 ,  A61B2017/00199 ,  A61B2017/00261 ,  A61B2017/00367 ,  A61B2017/00398 ,  A61B2017/00544 ,  A61B2017/00973 ,  A61B2017/3445 ,  A61B2090/376 ,  A61B2217/005 ,  A61B2217/007 ,  A61B2505/05 ,  A61B2562/0209 ,  A61B2562/04 ,  A61N1/36017 ,  A61N2005/0612 ,  A61N2007/0047

摘要： A multi-portal method for treating a subject's spine includes distracting adjacent vertebrae using a distraction instrument positioned at a first entrance along the subject to enlarge an intervertebral space between the adjacent vertebrae. An interbody fusion implant can be delivered into the enlarged intervertebral space. The interbody fusion implant can be positioned directly between vertebral bodies of the adjacent vertebrae while endoscopically viewing the interbody fusion implant using an endoscopic instrument. The patient's spine can be visualized using endoscopic techniques to view, for example, the spine, tissue, instruments, and implants before, during, and after implantation, or the like. The visualization can help a physician throughout the surgical procedure to improve patient outcome.

公开(公告)号：US09724044B2

公开(公告)日：2017-08-08

申请号：US14665195

申请日：2015-03-23

申请人： WOODWELDING AG

发明人： Jörg Mayer ,  Barbara Froesch ,  Mario Lehmann ,  Jens Langhoff ,  Thomas Knecht ,  Stephanie Mehl ,  Andrea Mueller

IPC分类号： A61B17/68 ,  A61B5/00 ,  A61B5/07 ,  A61D7/00 ,  A61N7/00 ,  A61B90/90 ,  A61B90/98 ,  A61B17/34 ,  A61B17/00 ,  A61B17/56 ,  A61B17/86 ,  A61F2/30 ,  A61F2/28

CPC分类号： A61B5/6878 ,  A61B5/076 ,  A61B5/4839 ,  A61B17/3472 ,  A61B17/68 ,  A61B90/90 ,  A61B90/98 ,  A61B2017/00955 ,  A61B2017/561 ,  A61B2017/8655 ,  A61B2503/40 ,  A61B2562/164 ,  A61D7/00 ,  A61F2/30744 ,  A61F2002/2839 ,  A61N7/00 ,  A61N2007/0047

摘要： For fixedly implanting a device for material or signal delivery or acquisition or a part of such a device in a human or animal body, an opening is provided in hard tissue of the body, the opening reaching through a hard tissue layer, e.g. through a cortical bone layer into cancellous bone underneath. The device includes a plug portion and/or a cover portion which includes a ring of a material having thermoplastic properties extending around the plug portion or on a tissue facing surface of the cover portion. The opening provided in the hard tissue has a cross section at least in the area of its mouth that is adapted to the plug or cover portion such that the plug portion can be introduced through the mouth of the opening or the cover portion can be positioned over the mouth of the opening such that the ring extends around the opening, along its wall and/or on the hard tissue surface around its mouth.

公开(公告)号：US20170113069A1

公开(公告)日：2017-04-27

申请号：US15401464

申请日：2017-01-09

申请人： OLYMPUS CORPORATION

发明人： Sadao EBATA

IPC分类号： A61N7/00 ,  A61B8/06 ,  A61B8/02

CPC分类号： A61N7/00 ,  A61B5/01 ,  A61B5/0285 ,  A61B8/02 ,  A61B8/06 ,  A61N7/02 ,  A61N7/022 ,  A61N2007/0043 ,  A61N2007/0047

摘要： An ultrasonic energy therapy device including: an insertion portion that has an elongated shape and is insertable into a blood vessel; a piezoelectric element that is attached to the insertion portion and radiates ultrasonic energy from inside of the blood vessel toward a biological tissue outside the blood vessel; a thermometric sensor; a temperature detection section that detects the temperature of the thermometric sensor; and a control section that controls the piezoelectric element depending on the temperature of the thermometric sensor measured by the temperature detection section so that the ultrasonic energy in a desired amount is radiated to the biological tissue.

公开(公告)号：US09433383B2

公开(公告)日：2016-09-06

申请号：US14661138

申请日：2015-03-18

申请人： Monteris Medical Corporation

发明人： Eric Andrews ,  Mark Grant ,  Brooke Ren ,  Richard Tyc

IPC分类号： A61B6/04 ,  A61F5/37 ,  A61B5/00 ,  A61B5/055 ,  A61B17/17 ,  A61B17/00 ,  A61B17/34 ,  A61F7/12 ,  A61M5/14 ,  A61N7/02 ,  A61B18/04 ,  A61B18/14 ,  A61N5/10 ,  A61B5/01 ,  A61F7/00 ,  A61N7/00 ,  A61B18/00 ,  A61B18/02

CPC分类号： A61B90/14 ,  A61B5/0035 ,  A61B5/0042 ,  A61B5/01 ,  A61B5/015 ,  A61B5/055 ,  A61B5/0555 ,  A61B5/4839 ,  A61B5/702 ,  A61B5/742 ,  A61B5/748 ,  A61B6/032 ,  A61B6/04 ,  A61B6/0421 ,  A61B6/0492 ,  A61B17/00234 ,  A61B17/1703 ,  A61B17/1739 ,  A61B17/3403 ,  A61B18/04 ,  A61B18/1477 ,  A61B18/1492 ,  A61B18/22 ,  A61B34/10 ,  A61B34/20 ,  A61B90/11 ,  A61B90/37 ,  A61B90/50 ,  A61B2018/00011 ,  A61B2018/00321 ,  A61B2018/00446 ,  A61B2018/00791 ,  A61B2018/0293 ,  A61B2018/1869 ,  A61B2034/107 ,  A61B2034/2051 ,  A61B2034/2065 ,  A61B2090/103 ,  A61B2090/374 ,  A61B2090/3954 ,  A61B2576/026 ,  A61F5/37 ,  A61F5/3707 ,  A61N5/062 ,  A61N5/1048 ,  A61N7/02 ,  A61N7/022 ,  A61N2005/1051 ,  A61N2005/1055 ,  A61N2005/1097 ,  A61N2007/003 ,  A61N2007/0047 ,  A61N2007/025

摘要： In one aspect, the present disclosure relates to a head fixation apparatus including a number of support posts, and a curved ring portion including a number of connectors configured to adjustably and releasably mount support posts on the lower ring portion, such that the support posts are selectively mounted to a subset of the connectors in a customized arrangement for a patient. The apparatus may include a ring mount configured for fixation to a platform, including a curved channel substantially matching a curvature of the curved ring portion, and a mount locking mechanism for locking the curved ring portion within the channel of the ring mount. The curved ring portion may be configured to rotate within the channel of the ring mount while the ring mount is fixed to the platform, an angular head position of the patient being selectably adjustable while the patient is laying on the platform.

摘要翻译： 一方面，本公开涉及一种包括多个支撑柱的头部固定装置和包括多个连接器的弯曲环部分，所述多个连接器被构造成可调节地和可释放地安装在所述下部环上的支撑柱，使得所述支撑柱是 以针对患者的定制布置选择性地安装到连接器的子集。 该装置可以包括被配置为固定到平台的环形安装座，包括基本上匹配弯曲环部分的曲率的弯曲通道和用于将弯曲环部分锁定在环形安装件的通道内的安装锁定机构。 弯曲的环部分可以被构造成在环形支架固定到平台的同时，在环形支架的通道内旋转，当病人躺在平台上时患者的角度头部位置是可选择地调节的。

公开(公告)号：US20140276692A1

公开(公告)日：2014-09-18

申请号：US13837964

申请日：2013-03-15

申请人： John W. Sliwa ,  Zhenyi Ma ,  Stephen A. Morse

发明人： John W. Sliwa ,  Zhenyi Ma ,  Stephen A. Morse

IPC分类号： A61B17/32 ,  A61B18/24 ,  A61B18/18

CPC分类号： A61B17/320068 ,  A61B18/1492 ,  A61B18/18 ,  A61B90/37 ,  A61B2018/00577 ,  A61B2090/064 ,  A61B2090/0807 ,  A61B2090/3782 ,  A61B2090/3784 ,  A61B2217/007 ,  A61N7/00 ,  A61N2007/0047

摘要： The present disclosure relates generally to systems and methods for aligning directionally operable medical devices with and upon target tissue. In particular, the instant disclosure relates to systems and methods for aligning medical devices such as directional ablation catheters to and upon target tissue by monitoring irrigant backpressure.

摘要翻译： 本公开一般涉及用于使可定向操作的医疗装置与目标组织上和之间的对准的系统和方法。 特别地，本公开涉及通过监测冲洗背压来将诸如定向消融导管的医疗装置与目标组织对准的系统和方法。

公开(公告)号：US20140188111A1

公开(公告)日：2014-07-03

申请号：US13760042

申请日：2013-02-05

申请人： Paul Joseph Weber

发明人： Paul Joseph Weber

IPC分类号： A61B18/14

CPC分类号： A61B18/14 ,  A61B18/082 ,  A61B18/1402 ,  A61B18/148 ,  A61B18/1482 ,  A61B18/149 ,  A61B18/1815 ,  A61B18/201 ,  A61B34/30 ,  A61B90/98 ,  A61B2017/00106 ,  A61B2017/00221 ,  A61B2018/00023 ,  A61B2018/00303 ,  A61B2018/00589 ,  A61B2018/00601 ,  A61B2018/00619 ,  A61B2018/00642 ,  A61B2018/0066 ,  A61B2018/00666 ,  A61B2018/00708 ,  A61B2018/00714 ,  A61B2018/0072 ,  A61B2018/00761 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/00815 ,  A61B2018/00821 ,  A61B2018/00863 ,  A61B2018/00875 ,  A61B2018/00898 ,  A61B2018/00982 ,  A61B2018/1807 ,  A61B2018/2211 ,  A61B2090/3945 ,  A61B2218/002 ,  A61B2218/007 ,  A61N7/00 ,  A61N2007/0047

摘要： Methods, apparatus and systems for tissue dissection and modification are disclosed herein. A method for tissue dissection and modification may comprise inserting a tissue dissecting and modifying wand (TDM) through an incision in a patient's body. The TDM may comprise a tip having a plurality of protrusions with lysing segments positioned between the protrusions to dissect and/or modify tissue. The TDM may also comprise an energy window positioned on top of the TDM that is configured to deliver energy to modify tissues. After separating tissue using the lysing segment(s) to define a target region, the energy window may be activated and moved around within the target region to modify tissues. In some implementations, the energy window may be activated prior to and/or during dissection of the tissue such that the tissue is separated while tissue is modified within the target region.

摘要翻译： 本文公开了用于组织解剖和修饰的方法，装置和系统。 用于组织解剖和修饰的方法可以包括通过患者体内的切口插入组织解剖和修改棒（TDM）。 TDM可以包括具有多个突起的末端，其中裂解段定位在突起之间以解剖和/或修饰组织。 TDM还可以包括位于TDM顶部的能量窗口，其被配置为递送能量以修改组织。 在使用裂解段分离组织以限定目标区域之后，能量窗口可以被激活并在目标区域内移动以修改组织。 在一些实施方案中，能量窗口可以在组织解剖之前和/或期间激活，使得组织在组织在目标区域内被修饰时被分离。

公开(公告)号：US20140188107A1

公开(公告)日：2014-07-03

申请号：US13760028

申请日：2013-02-05

申请人： Paul Joseph Weber

发明人： Paul Joseph Weber

IPC分类号： A61B18/14

CPC分类号： A61B18/14 ,  A61B18/082 ,  A61B18/1402 ,  A61B18/148 ,  A61B18/1482 ,  A61B18/149 ,  A61B18/1815 ,  A61B18/201 ,  A61B34/30 ,  A61B90/98 ,  A61B2017/00106 ,  A61B2017/00221 ,  A61B2018/00023 ,  A61B2018/00303 ,  A61B2018/00589 ,  A61B2018/00601 ,  A61B2018/00619 ,  A61B2018/00642 ,  A61B2018/0066 ,  A61B2018/00666 ,  A61B2018/00708 ,  A61B2018/00714 ,  A61B2018/0072 ,  A61B2018/00761 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/00815 ,  A61B2018/00821 ,  A61B2018/00863 ,  A61B2018/00875 ,  A61B2018/00898 ,  A61B2018/00982 ,  A61B2018/1807 ,  A61B2018/2211 ,  A61B2090/3945 ,  A61B2218/002 ,  A61B2218/007 ,  A61N7/00 ,  A61N2007/0047

摘要： Methods and systems for tissue dissection and modification are disclosed herein. A method for tissue dissection and modification may comprise inserting a tissue dissecting and modifying wand (TDM) through an incision in a patient's body. The TDM may comprise a tip having a plurality of protrusions with lysing segments positioned between the protrusions to dissect and/or modify tissue. The TDM may also comprise an energy window positioned on top of the TDM that is configured to deliver energy to modify tissues. After separating tissue using the lysing segment(s) to define a target region, the energy window may be activated and moved around within the target region to modify tissues. In some implementations, the energy window may be activated prior to and/or during dissection of the tissue such that the tissue is separated while tissue is modified within the target region.

摘要翻译： 本文公开了用于组织解剖和修饰的方法和系统。 用于组织解剖和修饰的方法可以包括通过患者体内的切口插入组织解剖和修改棒（TDM）。 TDM可以包括具有多个突起的末端，其中裂解段定位在突起之间以解剖和/或修饰组织。 TDM还可以包括位于TDM顶部的能量窗口，其被配置为递送能量以修改组织。 在使用裂解段分离组织以限定目标区域之后，能量窗口可以被激活并在目标区域内移动以修改组织。 在一些实施方案中，能量窗口可以在组织解剖之前和/或期间激活，使得组织在组织在目标区域内被修饰时被分离。

公开(公告)号：US20130116603A1

公开(公告)日：2013-05-09

申请号：US13727895

申请日：2012-12-27

申请人： Henry Nita

发明人： Henry Nita

IPC分类号： A61N7/00

CPC分类号： A61N7/00 ,  A61B8/0808 ,  A61B90/11 ,  A61B2017/22008 ,  A61N7/022 ,  A61N2007/0047

摘要： A method for delivering ultrasound energy to a patient's intracranial space involves forming at least one hole in the patient's skull, advancing at least one ultrasound delivery device at least partway through the hole(s), and transmitting ultrasound energy from the ultrasound delivery device(s). According to various embodiments, ultrasound delivery devices may be advanced into the epidural space, one or both ventricles and/or an intracerebral space of the patient's brain. In alternative embodiments, one or multiple holes may be formed in the skull, and any number of ultrasound delivery devices may be used. Intracranial ultrasound delivery may be used in diagnostic or therapeutic treatment of ischemic stroke, head trauma, atherosclerosis, perfusion disorders and other acute or chronic neurological conditions.

摘要翻译： 用于将超声能量递送到患者的颅内空间的方法包括在患者的颅骨中形成至少一个孔，至少一次通过所述孔推进至少一个超声输送装置，以及从所述超声输送装置 ）。 根据各种实施例，超声输送装置可以进入硬膜外腔，患者脑中的一个或两个心室和/或脑内空间。 在替代实施例中，可以在颅骨中形成一个或多个孔，并且可以使用任何数量的超声输送装置。 颅内超声输送可用于诊断或治疗缺血性卒中，头部创伤，动脉粥样硬化，灌注障碍和其他急性或慢性神经病症。

公开(公告)号：US20190217128A1

公开(公告)日：2019-07-18

申请号：US16249891

申请日：2019-01-16

申请人： Circuit Therapeutics, Inc.

发明人： Brian Andrew Ellingwood ,  Brian Beckey ,  Christopher L. Towne ,  Dan Andersen

IPC分类号： A61N7/00 ,  A61B17/34

CPC分类号： A61N7/02 ,  A61B5/4836 ,  A61B17/3468 ,  A61N7/00 ,  A61N2007/0021 ,  A61N2007/0026 ,  A61N2007/0047 ,  A61N2007/0073 ,  A61N2007/0078

摘要： One embodiment is directed to an implantable probe system for delivering acoustical energy to a targeted tissue portion of a patient, comprising: a plurality of substrate portions, each substrate portion comprising at least one acoustical emitter; a probe body portion having proximal and distal ends and being movably coupled to the plurality of substrates and configured to at least partially encapsulate the plurality of substrates; and a distal end portion coupled to the distal end of the probe body portion, the distal end portion comprising at least one guiding feature configured to redirect a path of at least one of the substrate portions as such substrate portion is extended through and past the distal end portion by moving the plurality of substrates relative to the probe body portion

公开(公告)号：US20190209228A1

公开(公告)日：2019-07-11

申请号：US16316161

申请日：2017-07-06

申请人： CARTHERA

发明人： Michael CANNEY

IPC分类号： A61B18/00 ,  A61N7/00

CPC分类号： A61B18/00 ,  A61B2018/00178 ,  A61B2018/00642 ,  A61B2018/00898 ,  A61N7/00 ,  A61N2007/0043 ,  A61N2007/0047

摘要： The present invention relates to a pathology treatment apparatus comprising: an ultrasound generator device (1), a remote control unit (2) for delivering electricity to the device (1) during at least an activation cycle and determining and controlling the operating parameters thereof, each activation cycle (50) being preceded by a standby cycle, means (31, 32) of electrical connection between the device (1) and the control unit (2), notable in that the control unit (2) is programmed to detect a fault with the electrical connection between the device (1) and the said control unit (2) during at least a standby cycle.