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    METHODS AND DEVICES TO DECREASE TISSUE TRAUMA DURING SURGERY
    1.
    发明申请
    METHODS AND DEVICES TO DECREASE TISSUE TRAUMA DURING SURGERY 审中-公开
    在手术期间减少组织病变的方法和装置

    公开(公告)号：WO2009126953A2

    公开(公告)日：2009-10-15

    申请号：PCT/US2009040348

    申请日：2009-04-13

    Applicant: PHYSCIENT INC ,  CRENSHAW HUGH CHARLES ,  PELL CHARLES ANTHONY

    Inventor： CRENSHAW HUGH CHARLES ,  PELL CHARLES ANTHONY

    IPC: A61F2/958

    CPC classification number: A61B5/442 ,  A61B5/0051 ,  A61B7/00 ,  A61B17/0206 ,  A61B17/025 ,  A61B17/0293 ,  A61B17/12136 ,  A61B2017/00172 ,  A61B2017/00398 ,  A61B2017/00544 ,  A61B2017/00557 ,  A61B2017/00734 ,  A61B2017/0256 ,  A61B2090/064 ,  A61B2562/0219

    Abstract: Methods and devices are disclosed to reduce the tissue trauma that occurs when a physician retracts or otherwise deforms a patient's tissues for surgery or other medical procedures. In one part, methods and devices are disclosed for controlling the force and pace of retraction to reduce tissue trauma. In another part, methods and devices are disclosed for applying an oscillating load when opening. In another part, pads that cool the tissue around the incision are disclosed. In another part, pads that elute drugs into the tissues of the tissue margin are disclosed. In another part, methods and devices are disclosed that self-align components of the retractor and engage hard tissues directly to avoid soft tissue damage. In another part, pads that engage tissues to cushion, to sense tissue state, and to modulate tissue state are disclosed.

    Abstract translation: 公开了减少组织创伤的方法和装置，当医生缩回或以其他方式使患者的组织变形以进行手术或其他医疗过程时发生。 一方面，公开了用于控制收缩的力和速度以减少组织创伤的方法和装置。 另一方面，公开了当打开时施加摆动载荷的方法和装置。 在另一部分中，公开了围绕切口冷却组织的垫。 另一部分，公开了将药物洗脱到组织边缘的组织中的垫。 在另一部分中，公开了自动对齐牵开器的部件并直接接合硬组织以避免软组织损伤的方法和装置。 在另一部分中，公开了接合组织以缓冲，感测组织状态和调节组织状态的垫。

    METHODS AND DEVICES FOR SOFT TISSUE DISSECTION
    2.
    发明申请
    METHODS AND DEVICES FOR SOFT TISSUE DISSECTION 审中-公开

    公开(公告)号：WO2013163651A9

    公开(公告)日：2013-10-31

    申请号：PCT/US2013/038673

    申请日：2013-04-29

    Applicant: PHYSCIENT, INC.

    Inventor： CRENSHAW, Hugh, Charles ,  PELL, Charles, Anthony ,  ESPENHAHN, Eric, Torr ,  MOODY, Ryan

    IPC: A61B17/3209

    Abstract: A differential dissecting instrument for differentially dissecting complex tissue is disclosed. The differential dissecting instrument comprises a handle and an elongate member having a first end and a second end, wherein the first end is connected to the handle. The differential dissecting instrument comprises a differential dissecting member configured to be rotatably attached to the second end and further comprises at least one tissue engaging surface. The differential dissecting instrument comprises a mechanism configured to mechanically rotate the differential dissecting member around an axis of rotation, thereby causing the at least one tissue engaging surface to move in at least one direction against the complex tissue. The at least one tissue engaging surface is configured to selectively engage the complex tissue such that the at least one tissue engaging surface disrupts at least one soft tissue in the complex tissue, but does not disrupt firm tissue in the complex tissue.

    METHODS AND DEVICES TO DECREASE TISSUE TRAUMA DURING SURGERY
    3.
    发明申请
    METHODS AND DEVICES TO DECREASE TISSUE TRAUMA DURING SURGERY 审中-公开
    减少手术过程中组织创伤的方法和装置

    公开(公告)号：WO2009126953A3

    公开(公告)日：2010-11-25

    申请号：PCT/US2009040348

    申请日：2009-04-13

    Applicant: PHYSCIENT INC ,  CRENSHAW HUGH CHARLES ,  PELL CHARLES ANTHONY

    Inventor： CRENSHAW HUGH CHARLES ,  PELL CHARLES ANTHONY

    IPC: A61B17/02 ,  A61F2/958

    CPC classification number: A61B5/442 ,  A61B5/0051 ,  A61B7/00 ,  A61B17/0206 ,  A61B17/025 ,  A61B17/0293 ,  A61B17/12136 ,  A61B2017/00172 ,  A61B2017/00398 ,  A61B2017/00544 ,  A61B2017/00557 ,  A61B2017/00734 ,  A61B2017/0256 ,  A61B2090/064 ,  A61B2562/0219

    Abstract: Methods and devices are disclosed to reduce the tissue trauma that occurs when a physician retracts or otherwise deforms a patient's tissues for surgery or other medical procedures. In one part, methods and devices are disclosed for controlling the force and pace of retraction to reduce tissue trauma. In another part, methods and devices are disclosed for applying an oscillating load when opening. In another part, pads that cool the tissue around the incision are disclosed. In another part, pads that elute drugs into the tissues of the tissue margin are disclosed. In another part, methods and devices are disclosed that self-align components of the retractor and engage hard tissues directly to avoid soft tissue damage. In another part, pads that engage tissues to cushion, to sense tissue state, and to modulate tissue state are disclosed.

    Abstract translation: 公开了用于减少当医生缩回或以其他方式使患者的组织变形以用于手术或其他医疗程序时发生的组织创伤的方法和装置。 在一部分中，公开了用于控制缩回的力和速度以减少组织创伤的方法和装置。 在另一部分中，公开了用于在打开时施加摆动载荷的方法和装置。 在另一部分中，公开了冷却切口周围的组织的垫。 在另一部分中，披露了将药物洗脱到组织边缘的组织中的垫。 在另一部分中，公开了使牵开器的部件自对准并直接接合硬组织以避免软组织损伤的方法和装置。 在另一部分中，公开了接合组织以缓冲，感测组织状态并调节组织状态的衬垫。

    METHODS AND DEVICES FOR SOFT TISSUE DISSECTION
    4.
    发明申请
    METHODS AND DEVICES FOR SOFT TISSUE DISSECTION 审中-公开
    用于软组织分离的方法和装置

    公开(公告)号：WO2015161249A1

    公开(公告)日：2015-10-22

    申请号：PCT/US2015/026466

    申请日：2015-04-17

    Applicant: PHYSCIENT, INC.

    Inventor： MOODY, Ryan ,  CRENSHAW, Hugh, C. ,  ESPENHAHN, Eric, T. ,  PELL, Charles, A.

    IPC: A61B17/32

    CPC classification number: A61B17/32002 ,  A61B17/00234 ,  A61B17/320016 ,  A61B2017/00314 ,  A61B2017/00398 ,  A61B2017/320004 ,  A61B2017/320028 ,  A61B2017/320032 ,  A61B2017/320044 ,  A61B2017/32006 ,  A61B2090/036

    Abstract: Methods and devices for blunt dissection include a drive mechanism comprising an elongate rotary drive train having a first proximal end connected to a mounting base for attaching to a handle or a surgical robot and a second distal end. The drive mechanism comprises a differential dissecting member (DDM) configured to be rotatably attached to the second distal end. The drive mechanism further comprises a mechanism configured to mechanically rotate the DDM about a substantially transverse axis of member rotational oscillation, thereby causing at least one tissue engaging surface to move in at least one direction against complex tissue and selectively engage the complex tissue such that when the DDM is pressed into the complex tissue, the at least one tissue engaging surface moves across the complex tissue and disrupts at least one soft tissue in the complex tissue, but does not disrupt firm tissue in the complex tissue.

    Abstract translation: 用于钝性解剖的方法和装置包括驱动机构，其包括细长旋转传动系，其具有连接到安装基座的第一近端，用于附接到手柄或手术机器人和第二远端。 驱动机构包括构造成可旋转地附接到第二远端的差分解剖构件（DDM）。 所述驱动机构还包括被配置为围绕构件旋转振荡的基本上横向的轴线机械地旋转DDM的机构，从而使至少一个组织接合表面在至少一个方向上抵靠复合组织移动并选择性地接合复合组织， DDM被压入复合组织中，至少一个组织接合表面移动穿过复合组织并且破坏复合组织中的至少一个软组织，但不会破坏复合组织中的硬组织。

    METHODS AND DEVICES FOR SOFT TISSUE DISSECTION
    5.
    发明申请
    METHODS AND DEVICES FOR SOFT TISSUE DISSECTION 审中-公开
    用于软组织分离的方法和装置

    公开(公告)号：WO2013163651A1

    公开(公告)日：2013-10-31

    申请号：PCT/US2013/038673

    申请日：2013-04-29

    Applicant: PHYSCIENT, INC.

    Inventor： CRENSHAW, Hugh, Charles ,  PELL, Charles, Anthony ,  ESPENHAHN, Eric, Torr ,  MOODY, Ryan

    IPC: A61B17/3209

    CPC classification number: A61B17/00 ,  A61B17/02 ,  A61B17/320016 ,  A61B2017/00858 ,  A61B2017/320004 ,  A61B2017/320028 ,  A61B2017/320044 ,  A61B2017/32006 ,  A61B2090/036

    Abstract: A differential dissecting instrument for differentially dissecting complex tissue is disclosed. The differential dissecting instrument comprises a handle and an elongate member having a first end and a second end, wherein the first end is connected to the handle. The differential dissecting instrument comprises a differential dissecting member configured to be rotatably attached to the second end and further comprises at least one tissue engaging surface. The differential dissecting instrument comprises a mechanism configured to mechanically rotate the differential dissecting member around an axis of rotation, thereby causing the at least one tissue engaging surface to move in at least one direction against the complex tissue. The at least one tissue engaging surface is configured to selectively engage the complex tissue such that the at least one tissue engaging surface disrupts at least one soft tissue in the complex tissue, but does not disrupt firm tissue in the complex tissue.

    Abstract translation: 公开了一种用于差异解剖复杂组织的差分解剖仪。 差速解剖装置包括手柄和具有第一端和第二端的细长构件，其中第一端连接到手柄。 差速解剖仪包括构造成可旋转地附接到第二端的差分解剖构件，并且还包括至少一个组织接合表面。 差速解剖器包括被配置为围绕旋转轴机械地旋转差速解剖构件的机构，从而使至少一个组织接合表面在至少一个方向上移动抵靠复合组织。 所述至少一个组织接合表面构造成选择性地接合所述复合组织，使得所述至少一个组织接合表面破坏所述复合组织中的至少一个软组织，但不会破坏所述复合组织中的硬组织。

    METHODS AND DEVICES TO DECREASE TISSUE TRAUMA DURING SURGERY
    9.
    发明申请
    METHODS AND DEVICES TO DECREASE TISSUE TRAUMA DURING SURGERY 审中-公开
    在手术期间减少组织病变的方法和装置

    公开(公告)号：WO2009140495A2

    公开(公告)日：2009-11-19

    申请号：PCT/US2009/043954

    申请日：2009-05-14

    Applicant: PHYSCIENT, INC. ,  PELL, Charles, Anthony ,  CRENSHAW, Hugh, Charles

    Inventor： PELL, Charles, Anthony ,  CRENSHAW, Hugh, Charles

    IPC: A61B1/32 ,  A61M5/00

    CPC classification number: A61M5/16813 ,  A61B17/02 ,  A61B17/3417 ,  A61B18/02 ,  A61M5/1407 ,  A61M5/1452 ,  A61M2005/006

    Abstract: Methods and devices are disclosed to reduce the tissue trauma that occurs when a physician retracts or otherwise deforms a patient's tissues for surgery or other medical procedures. In one part, methods and devices are disclosed for cooling the tissue around the incision. In another part, methods and devices are disclosed that elute drugs into the tissues of the tissue margin. In another part, methods and devices are disclosed to engage tissues during retraction to cushion, to sense tissue state, and to modulate tissue state.

    Abstract translation: 公开了减少组织创伤的方法和装置，当医生缩回或以其他方式使患者的组织变形以进行手术或其他医疗过程时发生。 一方面，公开了用于冷却切口周围的组织的方法和装置。 另一方面，公开了将药物洗涤到组织边缘的组织中的方法和装置。 在另一部分中，公开了方法和装置以在缩回期间接合组织以缓冲，感测组织状态和调节组织状态。

    INSTRUMENTS, DEVICES, AND RELATED METHODS FOR SOFT TISSUE DISSECTION
    10.
    发明申请
    INSTRUMENTS, DEVICES, AND RELATED METHODS FOR SOFT TISSUE DISSECTION 审中-公开
    仪器，装置和相关方法用于软组织分离

    公开(公告)号：WO2015164536A1

    公开(公告)日：2015-10-29

    申请号：PCT/US2015/027156

    申请日：2015-04-22

    Applicant: PHYSCIENT, INC

    Inventor： PELL, Charles, A. ,  MOODY, Ryan ,  ESPENHAHN, Eric, T. ,  CRENSHAW, Hugh, C.

    IPC: A61B17/32

    CPC classification number: A61B17/32002 ,  A61B2017/320028 ,  A61B2017/320044 ,  A61B2017/32006

    Abstract: A differential dissecting instrument for differentially dissecting complex tissue comprising is disclosed. The differential dissecting instrument comprises a rotary drive train having a central, longitudinal axis, a distal end, and a proximal end. The differential dissecting instrument also comprises at least one differential dissecting bluntwheel, wherein the at least one differential dissecting bluntwheel is rotatably associated with the distal end of the rotary drive train, has at least one axis of rotation substantially transverse to the central, longitudinal axis of the rotary drive train, and is rotated by the rotary drive train. The bluntwheel may comprise projections that are configured to differentially dissect a complex tissue when the differential dissecting instrument is in operation.

    Abstract translation: 公开了一种用于差异解剖复合组织的差分解剖仪。 差速解剖仪包括具有中心，纵向轴线，远端和近端的旋转传动系。 所述差分解剖仪器还包括至少一个差分解剖钝器，其中所述至少一个差分解剖钝器与所述旋转传动系的远端可旋转地相关联，具有至少一个旋转轴线基本上横向于所述中心纵向轴线的中心轴线 旋转传动系，并通过旋转传动系转动。 平坦轮可以包括突起，其被配置为当差分解剖仪器操作时差异地解剖复杂组织。

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