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91. 发明申请

US20100160771A1 Method and Apparatus for Performing a Navigated Procedure 有权
标题翻译：执行导航程序的方法和装置
公开(公告)号：US20100160771A1
公开(公告)日：2010-06-24
申请号：US12626223
申请日：2009-11-25
申请人： Frans L.H. Gielen , Peter Appenrodt , Andrew N. Csavoy , Jeffrey M. Waynik , Mark S. Freas , Matthew S. Solar
发明人： Frans L.H. Gielen , Peter Appenrodt , Andrew N. Csavoy , Jeffrey M. Waynik , Mark S. Freas , Matthew S. Solar
IPC分类号： A61B5/05
CPC分类号： A61B34/20 , A61B90/11 , A61B90/18 , A61B2017/3407 , A61B2017/3409 , A61B2034/105 , A61B2034/2051 , A61B2034/2059 , A61B2034/2068 , A61B2090/101 , A61B2090/103 , A61B2090/364 , A61B2090/373 , A61B2090/3983
摘要： A system can be used to navigate or guide an instrument or device into an anatomy of a patient. The navigation can occur with the use of image data acquired of the patient. The image data can be registered to the patient space for navigation. One or more tracking devices can be the associated with the patient and with guiding instruments for tracking guiding devices relative to the patient.
摘要翻译：系统可用于将仪器或设备导向或引导到患者的解剖结构中。导航可以通过使用患者获取的图像数据来进行。图像数据可以登记到患者空间进行导航。一个或多个跟踪装置可以与患者相关联并且具有用于跟踪相对于患者的引导装置的引导装置。

92. 发明授权

US07704260B2 Low profile instrument immobilizer 有权
标题翻译：低调仪器防盗器
公开(公告)号：US07704260B2
公开(公告)日：2010-04-27
申请号：US11005907
申请日：2004-12-06
申请人： James G. Skakoon , Matthew S. Solar , Thomas I. Miller , Patrick R. Helmer , Mark Stephen Freas
发明人： James G. Skakoon , Matthew S. Solar , Thomas I. Miller , Patrick R. Helmer , Mark Stephen Freas
IPC分类号： A61B19/00
CPC分类号： A61M25/02 , A61B5/6864 , A61B17/3415 , A61B17/3423 , A61B90/11 , A61B90/50 , A61B2017/347 , A61B2090/103 , A61M2025/024 , A61N1/0536 , A61N1/0539
摘要： This document discusses, among other things, examples of a low profile instrument immobilizer and means for positioning the same. In one example, the low profile instrument immobilizer grasps, secures, and immobilizes an electrode or other instrument that extends through a burr hole in a skull to a target location in a patient's brain.
摘要翻译：本文件尤其讨论了一种低调仪器防盗器的示例和用于定位它的装置。在一个示例中，低调仪器固定器抓住，固定和固定延伸穿过颅骨中的钻孔的电极或其它器械到患者大脑中的目标位置。

93. 发明授权

US07699854B2 Trajectory guide with angled or patterned guide lumens or height adjustment 有权
标题翻译：轨迹导轨，带有倾斜或图案化的引导腔或高度调节
公开(公告)号：US07699854B2
公开(公告)日：2010-04-20
申请号：US11381647
申请日：2006-05-04
申请人： Rudy A. Mazzocchi , Matthew S. Solar , Thomas B. Freeman
发明人： Rudy A. Mazzocchi , Matthew S. Solar , Thomas B. Freeman
IPC分类号： A61B19/00
CPC分类号： A61B90/11 , A61B17/3462 , A61B2017/3445 , A61B2017/3449 , A61B2017/3466
摘要： This document discusses trajectory guides that include an instrument guide with at least one lumen angled with respect to an orthogonal or other through-axis. In one example, patterned lumens on the instrument guide provide a mirror image pattern of trajectory axes intersecting a target plane. In another example, height adjustment of the instrument guide extends these or other targeting techniques to a three-dimensional volume. This document also describes a method of manufacturing such an instrument guide, which is also applicable to manufacturing an instrument guide providing parallel lumens.
摘要翻译：本文件讨论了包括仪器指南的轨迹指南，其具有至少一个相对于正交或其它贯穿轴线成角度的内腔。在一个示例中，仪器指南上的图案化流明提供了与目标平面相交的轨迹轴的镜像图案。在另一个示例中，仪器指南的高度调节将这些或其他瞄准技术扩展到三维体积。本文件还描述了制造这种仪器引导件的方法，其也可应用于制造提供平行流明的仪器引导件。

94. 发明申请

US20100063388A1 Fiducial Marker Devices, Tools, and Methods 有权
标题翻译：基准标记设备，工具和方法
公开(公告)号：US20100063388A1
公开(公告)日：2010-03-11
申请号：US12619512
申请日：2009-11-16
申请人： Matthew S. Solar , Thomas L. Bridges , David M. Lee , Mark Stephen Freas
发明人： Matthew S. Solar , Thomas L. Bridges , David M. Lee , Mark Stephen Freas
IPC分类号： A61B5/05
CPC分类号： A61B34/20 , A61B34/10 , A61B90/39 , A61B2034/2055 , A61B2034/2068 , A61B2034/207 , A61B2034/2072 , A61B2090/0801 , A61B2090/363 , A61B2090/3916 , A61B2090/3937 , A61B2090/3954 , A61B2090/397 , A61B2090/3983 , A61B2090/3987 , A61B2090/3995
摘要： This document discusses, among other things, fiducial marker devices, tools, and methods. One example illustrates a combined computed tomography (CT) imageable fiducial locator head, an integral bone screw, and an integral divot for receiving a positioning wand of an image-guided surgical (IGS) workstation. A further example includes a fluid/gel-absorbing coating or cover into which a magnetic resonance (MR) imageable fluid is introduced, thereby permitting both CT and MR imaging. Protective caps and collars may be used to protect the fiducial marker from mechanical impact and/or to guide the fiducial marker during affixation. A bull's-eye or other template is used to select a center of a substantially spherical fiducial marker head on an image, such as for use during patient registration.
摘要翻译：本文件除其他外，讨论了基准标记设备，工具和方法。一个例子示出了组合的计算机断层摄影（CT）可成像的基准定位头，整体骨螺钉和用于接收图像引导外科（IGS）工作站的定位棒的整体式牙齿。另外的实例包括其中引入磁共振（MR）可成像流体的流体/凝胶吸收涂层或盖，从而允许CT和MR成像。可以使用防护帽和套圈来保护基准标记免受机械冲击和/或在固定期间引导基准标记。公牛眼或其他模板用于选择图像上的基本上为球形的基准标记头的中心，例如用于患者登记期间的使用。

95. 发明申请

US20100057008A1 Organ Access Device and Method 有权
标题翻译：器官接触装置及方法
公开(公告)号：US20100057008A1
公开(公告)日：2010-03-04
申请号：US12615182
申请日：2009-11-09
申请人： Matthew S. Solar
发明人： Matthew S. Solar
IPC分类号： A61M5/178 , A61B1/32
CPC分类号： A61B90/11 , A61B2017/3405 , A61B2090/363 , A61B2090/3916 , B33Y80/00
摘要： An insertion guide device guides an instrument toward a target location in a subject. The insertion guide device includes a base portion securable to the subject and an insertion guide portion defining an insertion axis. The insertion guide portion guides the instrument along the insertion axis, and the insertion guide portion is moveably supported by the base portion for movement of the insertion axis about at least two axes. Moreover, the insertion guide device includes a locking device that selectively fixes the insertion guide portion relative to the base portion. The locking device selectively fixes the insertion axis relative to the at least two axes substantially concurrently.
摘要翻译：插入引导装置将仪器引导到被检体内的目标位置。插入引导装置包括可固定到被检体的基部和限定插入轴的插入引导部。插入引导部分沿着插入轴线引导器械，并且插入引导部分由基部可动地支撑，以使插入轴线绕至少两个轴线移动。此外，插入引导装置包括锁定装置，该锁定装置相对于基部选择性地固定插入引导部。锁定装置基本上同时相对于至少两个轴选择性地固定插入轴线。

96. 发明授权

US07559935B2 Target depth locators for trajectory guide for introducing an instrument 有权
标题翻译：用于导入仪器的轨迹导轨的目标深度定位器
公开(公告)号：US07559935B2
公开(公告)日：2009-07-14
申请号：US10370083
申请日：2003-02-20
申请人： Matthew S. Solar , Thomas L. Bridges , Thomas I. Miller , James G. Skakoon , David Lee
发明人： Matthew S. Solar , Thomas L. Bridges , Thomas I. Miller , James G. Skakoon , David Lee
IPC分类号： A61B19/00
CPC分类号： A61B90/11 , A61B90/39 , A61B2017/3405
摘要： This document discusses, among other things, examples of a stereotactic apparatus that includes reticles or other imagable locators for confirming placement of an instrument introduced along a desired trajectory. In certain examples, the reticles are re-positionable with respect to the trajectory to permit placement confirmation along different views. In other examples, the reticles are positionable toward or away from a skull.
摘要翻译：本文件尤其涉及一种立体定向装置的实例，其包括用于确认沿所需轨迹引入的仪器放置的标线片或其它可成像定位器。在某些实例中，标线可相对于轨迹重新定位，以允许沿不同视图的位置确认。在其他示例中，掩模版可朝向或远离头骨定位。

97. 发明授权

US07204840B2 Deep organ access device and method 有权
标题翻译：深层器官进入装置及方法
公开(公告)号：US07204840B2
公开(公告)日：2007-04-17
申请号：US09828451
申请日：2001-04-06
申请人： James G. Skakoon , Robert Wharen , Matthew S. Solar , Kari Parmer , Rudy A. Mazzocchi , John David , Frank Murdock , David Hatcher , Thomas I. Miller , Timothy Alan Parmer , Charles L. Truwit
发明人： James G. Skakoon , Robert Wharen , Matthew S. Solar , Kari Parmer , Rudy A. Mazzocchi , John David , Frank Murdock , David Hatcher , Thomas I. Miller , Timothy Alan Parmer , Charles L. Truwit
IPC分类号： A61B19/00
CPC分类号： A61N1/0539 , A61B34/20 , A61B90/11 , A61B2017/0023 , A61B2017/00398 , A61B2017/00911 , A61B2017/3407 , A61B2017/3409 , A61B2017/3411 , A61B2017/347 , A61B2034/2051 , A61B2034/2055 , A61B2090/103 , A61B2090/363 , A61B2090/374 , A61B2090/3762 , A61B2090/3983 , A61N1/0534
摘要： Devices and methods provide accurate targeting, placement, and/or stabilization of an electrode or other instrument(s) into the brain or other body organ, such as to treat severe tremor or other neurological disorders. Targeting is performed using any form of image-guidance, including real-time MRI, CT, or frameless surgical navigation systems.
摘要翻译：装置和方法提供将电极或其他器械精确地靶向，放置和/或稳定到脑或其他身体器官中，例如治疗严重的震颤或其它神经障碍。使用任何形式的图像引导进行定向，包括实时MRI，CT或无框架手术导航系统。

98. 外观设计

USD527820S1 Fiducial marker 失效
标题翻译：基准标记
公开(公告)号：USD527820S1
公开(公告)日：2006-09-05
申请号：US29199266
申请日：2004-02-12
申请人： Matthew S. Solar , Thomas L. Bridges , David M. Lee , Mark Stephen Freas , Rudy A. Mazzocchi
设计人： Matthew S. Solar , Thomas L. Bridges , David M. Lee , Mark Stephen Freas , Rudy A. Mazzocchi

99. 发明授权

US06793664B2 System and method of minimally-invasive exovascular aneurysm treatment 失效
标题翻译：微创血管外动脉瘤治疗的系统和方法
公开(公告)号：US06793664B2
公开(公告)日：2004-09-21
申请号：US09884434
申请日：2001-06-19
申请人： Rudy A. Mazzocchi , Thomas I. Miller , Kari Parmer , Timothy Alan Parmer , Matthew S. Solar
发明人： Rudy A. Mazzocchi , Thomas I. Miller , Kari Parmer , Timothy Alan Parmer , Matthew S. Solar
IPC分类号： A61B1708
CPC分类号： A61B17/1285 , A61B17/122 , A61B18/1482 , A61B90/11 , A61B90/50 , A61B2017/00867 , A61B2090/374
摘要： This document discusses an exovascular approach to treating an aneurysm using a minimally-invasive instrument guided by magnetic resonance imaging (MRI), computed tomography (CT), or another suitable imaging device. A trajectory guide entry device assists in targeting the aneurysm and determining the proper trajectory thereto. Examples of the aneurysm treatment device include a clip, a clasp, a snare, a loop, a hook, a staple, and an electrocautery or other electrode, or any combination of such devices. The aneurysm treatment device is delivered by a probe, such as a tube or other catheter.
摘要翻译：本文件讨论了使用由磁共振成像（MRI），计算机断层扫描（CT）或其他合适成像装置引导的微创仪器治疗动脉瘤的血管外途径。轨迹引导进入装置有助于靶向动脉瘤并确定其正确的轨迹。动脉瘤治疗装置的实例包括夹子，扣环，圈套，环，钩，钉，电烙或其他电极，或这些装置的任何组合。动脉瘤治疗装置由诸如管或其他导管的探针递送。

100. 发明授权

US06716215B1 Cranial drill with sterile barrier 有权
标题翻译：颅钻与无菌屏障
公开(公告)号：US06716215B1
公开(公告)日：2004-04-06
申请号：US09699044
申请日：2000-10-27
申请人： John David , Matthew S. Solar , Gerald W Mills
发明人： John David , Matthew S. Solar , Gerald W Mills
IPC分类号： A61B1502
CPC分类号： A61B17/1622 , A61B17/1624 , A61B17/1628 , A61B17/1646 , A61B17/1739 , A61B46/10 , A61B90/05 , A61B90/40 , A61B2017/00553 , A61B2090/033
摘要： A medical device is provided comprising a MRI compatible cranial drill having a removable sterilizable drill bit and a sterile barrier. The sterile barrier has an interior portion, a proximal end, a distal end, a proximal opening at the proximal end and an opening at the distal end. The opening at the distal end further comprises an aperture. The drill is insertable into the proximal opening, the aperture being constructed and arranged to seal around the drill bit such that the drill is enclosed in the interior portion of the sterile barrier and only a portion of the sterile drill bit extends exteriorly of the barrier. In one embodiment, the medical device includes a MRI compatible adjustable depth stop which limits and defines depth of penetration of the drill. In one embodiment the present invention provides a method for providing access to a body of a surgical patient, which includes providing a medical device comprising in combination a MRI compatible drill and a sterile drill bit, providing a locking trajectory guide, mounting the trajectory guide on the patient's body, selecting a predetermined depth and adjusting the depth stop to the predetermined depth, advancing the medical device to the body and aligning it with the trajectory guide, utilizing the medical device to cause the sterile drill bit to penetrate the body the predetermined depth to which the depth stop is adjusted, and removing the sterile drill bit from the body. In one embodiment, the medical device includes a sterile barrier.
摘要翻译：提供了一种医疗装置，其包括具有可移除的可消毒钻头和无菌屏障的MRI兼容颅钻。无菌屏障具有内部部分，近端，远端，近端的近端开口和远端的开口。在远端处的开口还包括孔。钻头可插入近端开口中，孔被构造和布置成围绕钻头密封，使得钻头被封闭在无菌屏障的内部部分中，并且只有一部分无菌钻头在屏障的外部延伸。在一个实施例中，医疗装置包括MRI兼容的可调深度限位器，其限制和限定钻头的穿透深度。在一个实施例中，本发明提供了一种用于提供对外科患者身体的接近的方法，其包括提供包括组合MRI兼容钻头和无菌钻头的医疗装置，提供锁定轨迹引导件，将轨迹引导件安装在患者身体，选择预定深度并将深度停止调整到预定深度，将医疗装置推进到身体并将其与轨迹引导件对准，利用医疗装置使无菌钻头穿透身体预定深度深度限位器被调整到其上，并且从身体去除无菌钻头。在一个实施例中，医疗装置包括无菌屏障。

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