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    • 25. 发明授权
    • Trajectory guide with instrument immobilizer
    • 带仪表防盗器的轨迹导轨
    • US06902569B2
    • 2005-06-07
    • US09932141
    • 2001-08-17
    • Kari ParmerThomas I. MillerJohn David
    • Kari ParmerThomas I. MillerJohn David
    • A61B19/00A61F11/00
    • A61B90/11A61B2017/347A61B2090/374A61B2090/3933A61B2090/3954
    • A method and apparatus accurately maintains alignment of a surgical instrument. The apparatus includes a base with an attached movable member. The movable member includes a passage forming a portion of a trajectory path. A relaxable or rigid material has a similar passage in common with the passage of the movable member. If a relaxable material is used, the passage portion of the relaxable region is held open by an inserted stem removably attached to the movable member. The instrument is then inserted into the center of the stem and thus into the trajectory path. The stem is removed by withdrawing it from the movable member over the proximal portion of the instrument. This releases the relaxable region to tightly hold the instrument in place. Alternatively, using a relaxable or rigid component, the component is slid laterally to at least partially offset a passage through the component from the passage of the movable member to reduce a combined effective area of the passages and to grasp an instrument.
    • 一种方法和装置精确地维持外科器械的对准。 该装置包括具有附接的可动构件的底座。 可动构件包括形成轨迹路径的一部分的通路。 可松动或刚性材料具有与可动构件的通过相同的通道。 如果使用可松弛的材料,可松动区域的通道部分通过可移除地附接到可动构件的插入杆保持打开。 然后将仪器插入杆的中心,从而插入到轨迹路径中。 通过从仪器的近端部分上的可移动部件取出来除去杆。 这释放了可松弛的区域,以将仪器紧紧地固定到位。 或者,使用可松弛或刚性部件,部件被横向滑动以至少部分地偏移通过部件的通道与可移动部件的通道,以减少通道的组合有效面积并且抓住器械。
    • 28. 发明授权
    • Multi-lumen instrument guide
    • 多腔仪器指南
    • US07744606B2
    • 2010-06-29
    • US11005605
    • 2004-12-04
    • Thomas I. MillerJames G. Skakoon
    • Thomas I. MillerJames G. Skakoon
    • A61B19/00
    • A61B90/11
    • This document discusses, among other things, a method of manufacture including a mold having at least one pin, and surrounding the pin with a hardenable material to form a first guide layer. The mold and pin are removed from the resulting first guide layer, to define a substantially untapered first instrument passage that corresponds to the geometry of the pin. Optionally, the first instrument passage includes at least five substantially untapered channels including a central channel. The first instrument passage is aligned with a substantially untapered second instrument passage of a stacked second guide layer. In a further example, the first and second guide layers are coupled to a guide coupler that cooperatively aligns the first and second instrument passages. The guide layers can be used with a trajectory guide for image guided surgery.
    • 本文件尤其涉及一种制造方法,其包括具有至少一个销的模具,并且用可硬化材料围绕销以形成第一引导层。 将模具和销从所得到的第一引导层中移除,以限定对应于销的几何形状的基本上无缝的第一仪器通道。 可选地,第一仪器通道包括至少五个基本上无缝的通道,包括中心通道。 第一仪器通道与堆叠的第二引导层的基本上未配置的第二仪器通道对准。 在另一示例中,第一和第二引导层联接到协作地对准第一和第二仪器通道的引导耦合器。 引导层可以与图像引导手术的轨迹指南一起使用。