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1. 发明授权

US09211140B2 Dynamically expandable cannulae and systems and methods for performing percutaneous surgical procedures employing same 有权
标题翻译：动态扩张套管以及用于进行使用其的经皮外科手术的系统和方法
公开(公告)号：US09211140B2
公开(公告)日：2015-12-15
申请号：US12953882
申请日：2010-11-24
申请人： Carl Lauryssen , Gary A. Schneiderman , Darrel S. Brodke , Frank M. Phillips
发明人： Carl Lauryssen , Gary A. Schneiderman , Darrel S. Brodke , Frank M. Phillips
IPC分类号： A61B17/70 , A61B17/34 , A61F2/46 , A61F2/44 , A61B1/313 , A61B17/00 , A61F2/30
CPC分类号： A61F2/4611 , A61B1/3135 , A61B17/3439 , A61B17/3462 , A61B2017/00261 , A61F2/4455 , A61F2002/30579 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029
摘要： In one form, a system for use in percutaneous surgical procedures includes a cannula having an elongate body extending along a longitudinal axis between a proximal end and a distal end and including a working channel dynamically expandable from a first, unexpanded configuration. The system also includes a device that is positionable in and engageable with the working channel to expand the working channel from the first configuration as the device is moved through the working channel. In response to disengagement of the device with the working channel, the working channel returns to the first, unexpanded configuration. In one aspect of this form, the device includes an interbody spinal implant that is deliverable to a surgical site through the working channel of the cannula. In another form, a method for performing a percutaneous surgical procedure is provided. However, different forms and applications are envisioned.
摘要翻译：在一种形式中，用于经皮外科手术过程的系统包括套管，所述插管具有沿近端和远端之间的纵向轴线延伸的细长体，并且包括从第一未膨胀构型动态膨胀的工作通道。该系统还包括能够定位在工作通道中并且可与工作通道接合的装置，以在装置移动通过工作通道时从第一配置扩展工作通道。响应于设备与工作通道的分离，工作通道返回到第一未扩展配置。在该形式的一个方面，该装置包括经由插管的工作通道输送到手术部位的椎间体脊柱植入物。在另一种形式中，提供了一种用于执行经皮外科手术的方法。但是，设想了不同的形式和应用。

2. 发明授权

US08252013B2 Expandable surgical access device and methods of use 有权
标题翻译：可扩展手术进入装置及其使用方法
公开(公告)号：US08252013B2
公开(公告)日：2012-08-28
申请号：US12112781
申请日：2008-04-30
申请人： Carla Leibowitz , Gary A. Schneiderman
发明人： Carla Leibowitz , Gary A. Schneiderman
IPC分类号： A61M29/02
CPC分类号： A61B17/3423 , A61B17/3431 , A61B17/3439
摘要： An expandable surgical access device can include an elongate member comprising an expansion lumen between a proximal end and a distal end, and an expandable body operably attached to the distal end of the elongate member. The expandable body can be inserted to an internal location in a body in a collapsed configuration. When in a desired position, the expandable body can be expanded outward to an expanded configuration. In the expanded configuration, the expandable body can be adapted to protect adjacent anatomical structures and can have an internal diameter defining an operating lumen sufficient to allow passage of a cannula through the operating lumen. The expandable body may be further expanded inward to a constricting configuration whereby the expandable body can be adapted to constrict about and anchor the cannula in the operating lumen.
摘要翻译：可扩张的手术进入装置可以包括细长构件，其包括在近端和远端之间的扩张腔，以及可伸缩体，其可操作地附接到细长构件的远端。可膨胀体可以以折叠构型插入体内的内部位置。当处于期望的位置时，可膨胀体可以向外扩展到扩张构型。在扩展构型中，可膨胀体可以适于保护相邻的解剖结构，并且可以具有限定操作管腔的内径，足以允许套管穿过操作管腔。可膨胀体可以进一步向内扩张到收缩构型，由此可膨胀体可以适应于将套管约束并将其锚固在操作管腔中。

3. 发明授权

US07887589B2 Minimally invasive spinal disc stabilizer and insertion tool 失效
标题翻译：微创脊椎椎间盘稳定器和插入工具
公开(公告)号：US07887589B2
公开(公告)日：2011-02-15
申请号：US11194050
申请日：2005-07-29
申请人： Bradley J. Glenn , Gary A. Schneiderman
发明人： Bradley J. Glenn , Gary A. Schneiderman
IPC分类号： A61F2/44
CPC分类号： A61F2/4611 , A61F2/4425 , A61F2002/30093 , A61F2002/30116 , A61F2002/30135 , A61F2002/30153 , A61F2002/30166 , A61F2002/30172 , A61F2002/30177 , A61F2002/30179 , A61F2002/30181 , A61F2002/30301 , A61F2002/30329 , A61F2002/30369 , A61F2002/30433 , A61F2002/30538 , A61F2002/30556 , A61F2002/30571 , A61F2002/30579 , A61F2002/30599 , A61F2002/30604 , A61F2002/30624 , A61F2002/30649 , A61F2002/30774 , A61F2002/30836 , A61F2002/30841 , A61F2002/443 , A61F2002/4627 , A61F2002/4629 , A61F2210/0019 , A61F2220/0025 , A61F2220/0033 , A61F2220/0041 , A61F2230/0004 , A61F2230/0006 , A61F2230/0019 , A61F2230/0028 , A61F2230/0052 , A61F2230/0056 , A61F2230/0058 , A61F2230/006 , A61F2230/0095 , A61F2250/0006 , A61F2250/0009 , A61F2250/0063 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00047 , A61F2310/00059 , A61F2310/00131 , A61F2310/00155 , A61F2310/0097 , A61F2310/00976
摘要： The invention relates to a spinal implant to be inserted between two vertebra to support and stabilize adjacent vertebra and allow for physiological motion. One embodiment of the implant includes an upper assembly and a lower assembly, where the assemblies are adapted to articulate relative to one another. This implant also includes elongate elements that are deployable between a closed position and an open position. Portions of the implant can interlock to form various shapes. The invention includes an implantable device to support the vertebrae, and a minimally invasive method for inserting and deploying the device within the intervertebral space.
摘要翻译：本发明涉及一种脊椎植入物，其被插入到两个椎骨之间以支撑和稳定相邻的椎骨并允许生理运动。植入物的一个实施例包括上部组件和下部组件，其中组件适于相对于彼此铰接。该植入物还包括可在关闭位置和打开位置之间展开的细长元件。植入物的部分可互锁以形成各种形状。本发明包括用于支撑椎骨的可植入装置，以及用于在椎间空间内插入和展开该装置的微创方法。

4. 发明申请

US20100145340A1 Introducer Tool for Bone Measurement 审中-公开
标题翻译：骨骼测量介绍工具
公开(公告)号：US20100145340A1
公开(公告)日：2010-06-10
申请号：US12328873
申请日：2008-12-05
申请人： Christopher U. Phan , Gary A. Schneiderman
发明人： Christopher U. Phan , Gary A. Schneiderman
IPC分类号： A61B17/00 , A61B17/58 , A61M29/00
CPC分类号： A61B17/3417 , A61B17/1671 , A61B17/3423 , A61B17/8819 , A61B17/8855 , A61B90/39 , A61B2090/062 , A61B2090/0811
摘要： A system for performing a medical procedure includes an introducer and a guide pin that include features that coordinate to indicate the distance the guide pin is extended beyond the tip of the introducer when both are deployed at a target location. By incorporating measurement features into the guide pin/introducer combination, accurate measurement capabilities are provided without requiring dedicated measurement tools.
摘要翻译：用于执行医疗过程的系统包括引导器和引导销，其包括当两者都部署在目标位置时协调以指示引导件延伸超过导引器的尖端的距离的特征。通过将测量特征结合到导销/导引器组合中，可以提供精确的测量功能，而无需专门的测量工具。

5. 发明申请

US20100076491A1 Intervertebral space implant for use in spinal fusion procedures 失效
标题翻译：用于脊柱融合手术的椎间隙植入物
公开(公告)号：US20100076491A1
公开(公告)日：2010-03-25
申请号：US12592471
申请日：2009-11-24
申请人： Bradley J. Glenn , Gary A. Schneiderman
发明人： Bradley J. Glenn , Gary A. Schneiderman
IPC分类号： A61B17/88
CPC分类号： A61F2/4611 , A61F2/442 , A61F2/4455 , A61F2002/30153 , A61F2002/30179 , A61F2002/30331 , A61F2002/30507 , A61F2002/30523 , A61F2002/30538 , A61F2002/30556 , A61F2002/30604 , A61F2002/30626 , A61F2002/30975 , A61F2002/4622 , A61F2002/4628 , A61F2220/0025 , A61F2220/0033 , A61F2230/0019 , A61F2250/0006 , A61F2250/0009 , A61F2310/00017 , Y10S606/91
摘要： An implant assembly is provided for surgical implantation into an intervertebral space, such as for stabilization of vertebrae adjacent the intervertebral space during a spinal fusion procedure. The implant assembly includes a primary segment separate from a secondary segment. These segments are elongate and of sufficiently small cross-section that they can be implanted posteriorly in a minimally invasive manner. The primary segment preferably includes a tunnel and the secondary segment preferably includes a neck with the tunnel and neck sized complementally so that the segments stabilize each other where they intersect with the neck within the tunnel. The entire implant assembly is thus provided which both widens and supports the intervertebral space and is sufficiently rigid to provide adequate support for the intervertebral space as the vertebrae are fusing together.
摘要翻译：植入物组件被提供用于手术植入椎间空间，例如用于在脊柱融合手术期间使与脊椎间隙相邻的椎骨稳定。植入物组件包括与次级段分离的主要段。这些段是细长的并且具有足够小的横截面，使得它们可以以微创方式向后植入。主段优选地包括隧道，并且次级段优选地包括具有隧道和颈部的颈部，其互补地尺寸使得段在其与隧道内的颈部相交的地方彼此稳定。因此，提供了整个植入物组件，其既拓宽并且支撑椎间空间，并且具有足够的刚度，以在脊椎融合在一起时为椎间空间提供足够的支撑。

6. 发明申请

US20080255619A1 Posterior spinal fixation with colinear facet screw 审中-公开
标题翻译：后路脊柱固定与共线小面螺钉
公开(公告)号：US20080255619A1
公开(公告)日：2008-10-16
申请号：US12082421
申请日：2008-04-10
申请人： Gary A. Schneiderman , Bradley J. Glenn
发明人： Gary A. Schneiderman , Bradley J. Glenn
IPC分类号： A61B17/58 , A61B17/56
CPC分类号： A61B17/7058 , A61B17/7007 , A61B17/701 , A61B17/7011 , A61B17/7056 , A61B17/8605 , A61B17/864 , A61B17/8685
摘要： A three element spinal fixation system for implantation from a posterior lateral incision. The first element in the form of a translaminar cannula is adapted to be implanted along a longitudinal axis of a lamina of a vertebra. A bracket is provided as a second element with a first end removably secured to the translaminar cannula and the second end secured to vertebra inferior to an adjacent vertebra in which the translaminar cannula is implanted. The translaminar cannula has a hollow central bore which receives a third element in the form of a translaminar facet screw. The translaminar facet screw is sufficiently long to be able to pass through the central bore and out of the translaminar cannula, passing through the facet joint to fix the two vertebra at the facet joint. Both contralateral and ipsilateral fixation are thus provided with all three elements implanted from a single ipsilateral incision.
摘要翻译：一种用于从后侧切口植入的三元素脊柱固定系统。翻译套管形式的第一个元件适于沿脊椎椎板的纵向轴线植入。提供支架作为第二元件，其第一端部可移除地固定到所述层状导管，并且所述第二端固定到相邻椎骨下方的椎骨，所述相邻椎骨植入所述椎间孔插管。翻译管插管具有中空的中心孔，该中心孔容纳以平移小面螺钉形式的第三元件。翻译小面螺钉足够长以能够穿过中心孔并离开层状导管，穿过小面关节以将两个椎骨固定在小关节处。因此，对侧和同侧固定都具有从单个同侧切口植入的所有三个元件。

7. 发明申请

US20120130161A1 Dynamically Expandable Cannulae and Systems and Methods for Performing Percutaneous Surgical Procedures Employing Same 有权
标题翻译：动态扩张插管和使用其的经皮手术程序的系统和方法
公开(公告)号：US20120130161A1
公开(公告)日：2012-05-24
申请号：US12953882
申请日：2010-11-24
申请人： Carl Lauryssen , Gary A. Schneiderman , Darrel S. Brodke , Frank M. Phillips
发明人： Carl Lauryssen , Gary A. Schneiderman , Darrel S. Brodke , Frank M. Phillips
IPC分类号： A61B1/00
CPC分类号： A61F2/4611 , A61B1/3135 , A61B17/3439 , A61B17/3462 , A61B2017/00261 , A61F2/4455 , A61F2002/30579 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029
摘要： In one form, a system for use in percutaneous surgical procedures includes a cannula having an elongate body extending along a longitudinal axis between a proximal end and a distal end and including a working channel dynamically expandable from a first, unexpanded configuration. The system also includes a device that is positionable in and engageable with the working channel to expand the working channel from the first configuration as the device is moved through the working channel. In response to disengagement of the device with the working channel, the working channel returns to the first, unexpanded configuration. In one aspect of this form, the device includes an interbody spinal implant that is deliverable to a surgical site through the working channel of the cannula. In another form, a method for performing a percutaneous surgical procedure is provided. However, different forms and applications are envisioned.
摘要翻译：在一种形式中，用于经皮外科手术过程的系统包括套管，所述插管具有沿近端和远端之间的纵向轴线延伸的细长体，并且包括从第一未膨胀构型动态膨胀的工作通道。该系统还包括能够定位在工作通道中并且可与工作通道接合的装置，以在装置移动通过工作通道时从第一配置扩展工作通道。响应于设备与工作通道的分离，工作通道返回到第一未扩展配置。在该形式的一个方面，该装置包括经由插管的工作通道输送到手术部位的椎间体脊柱植入物。在另一种形式中，提供了一种用于执行经皮外科手术的方法。但是，设想了不同的形式和应用。

8. 发明授权

US08097035B2 Intervertebral space implant for use in spinal fusion procedures 失效
标题翻译：用于脊柱融合手术的椎间隙植入物
公开(公告)号：US08097035B2
公开(公告)日：2012-01-17
申请号：US12592471
申请日：2009-11-24
申请人： Bradley J. Glenn , Gary A. Schneiderman
发明人： Bradley J. Glenn , Gary A. Schneiderman
IPC分类号： A61F2/44 , A61B17/88
CPC分类号： A61F2/4611 , A61F2/442 , A61F2/4455 , A61F2002/30153 , A61F2002/30179 , A61F2002/30331 , A61F2002/30507 , A61F2002/30523 , A61F2002/30538 , A61F2002/30556 , A61F2002/30604 , A61F2002/30626 , A61F2002/30975 , A61F2002/4622 , A61F2002/4628 , A61F2220/0025 , A61F2220/0033 , A61F2230/0019 , A61F2250/0006 , A61F2250/0009 , A61F2310/00017 , Y10S606/91
摘要： An implant assembly is provided for surgical implantation into an intervertebral space, such as for stabilization of vertebrae adjacent the intervertebral space during a spinal fusion procedure. The implant assembly includes a primary segment separate from a secondary segment. These segments are elongate and of sufficiently small cross-section that they can be implanted posteriorly in a minimally invasive manner. The primary segment preferably includes a tunnel and the secondary segment preferably includes a neck with the tunnel and neck sized complementally so that the segments stabilize each other where they intersect with the neck within the tunnel. The entire implant assembly is thus provided which both widens and supports the intervertebral space and is sufficiently rigid to provide adequate support for the intervertebral space as the vertebrae are fusing together.
摘要翻译：植入物组件被提供用于手术植入椎间空间，例如用于在脊柱融合手术期间使与脊椎间隙相邻的椎骨稳定。植入物组件包括与次级段分离的主要段。这些段是细长的并且具有足够小的横截面，使得它们可以以微创方式向后植入。主段优选地包括隧道，并且次级段优选地包括具有隧道和颈部的颈部，其互补地尺寸使得段在其与隧道内的颈部相交的地方彼此稳定。因此，提供了整个植入物组件，其既拓宽并且支撑椎间空间，并且具有足够的刚度，以在脊椎融合在一起时为椎间空间提供足够的支撑。

9. 发明申请

US20090275890A1 Expandable Surgical Access Device and Methods of Use 有权
标题翻译：可扩展手术进入装置及使用方法
公开(公告)号：US20090275890A1
公开(公告)日：2009-11-05
申请号：US12112781
申请日：2008-04-30
申请人： Carla Leibowitz , Gary A. Schneiderman
发明人： Carla Leibowitz , Gary A. Schneiderman
IPC分类号： A61M29/00
CPC分类号： A61B17/3423 , A61B17/3431 , A61B17/3439
摘要： An expandable surgical access device can include an elongate member comprising an expansion lumen between a proximal end and a distal end, and an expandable body operably attached to the distal end of the elongate member. The expandable body can be inserted to an internal location in a body in a collapsed configuration. When in a desired position, the expandable body can be expanded outward to an expanded configuration. In the expanded configuration, the expandable body can be adapted to protect adjacent anatomical structures and can have an internal diameter defining an operating lumen sufficient to allow passage of a cannula through the operating lumen. The expandable body may be further expanded inward to a constricting configuration whereby the expandable body can be adapted to constrict about and anchor the cannula in the operating lumen.
摘要翻译：可扩张的手术进入装置可以包括细长构件，其包括在近端和远端之间的扩张腔，以及可伸缩体，其可操作地附接到细长构件的远端。可膨胀体可以以折叠构型插入体内的内部位置。当处于期望的位置时，可膨胀体可以向外扩展到扩张构型。在扩展构型中，可膨胀体可以适于保护相邻的解剖结构，并且可以具有限定操作管腔的内径，足以允许套管穿过操作管腔。可膨胀体可以进一步向内扩张到收缩构型，由此可膨胀体可以适应于将套管约束并将其锚固在操作管腔中。

10. 发明申请

US20120277864A1 CANNULA ASSEMBLY WITH NON-CIRCULAR PROFILE AND METHOD OF USE 审中-公开
标题翻译：具有非圆形轮廓的肛门组件及其使用方法
公开(公告)号：US20120277864A1
公开(公告)日：2012-11-01
申请号：US13094654
申请日：2011-04-26
申请人： Darrel S. Brodke , Carl Lauryssen , Frank M. Phillips , Gary A. Schneiderman , Bruce Chabansky , Calin Druma
发明人： Darrel S. Brodke , Carl Lauryssen , Frank M. Phillips , Gary A. Schneiderman , Bruce Chabansky , Calin Druma
IPC分类号： A61F2/44
CPC分类号： A61F2/4611 , A61B2017/0256 , A61F2/442 , A61F2002/30601 , A61F2002/4627
摘要： A cannula assembly and related methods of use. The cannula assembly includes a cannula and a stylet. The cannula has an outer surface that is non-circular. Rotation of the cannula about its longitudinal axis changes the orientation of the cannula's larger outer dimension so that the cannula may be used as a distraction tool. Rotation is effected by rotating a stylet handle, which rotates the associated stylet shaft, which in turn rotates the cannula. Related methods include rotating a handle of the stylet, while the shaft of the stylet is disposed in the bore of the cannula, about the first longitudinal axis so as to rotate the cannula about the longitudinal axis to distract vertebral bodies.
摘要翻译：套管总成及相关使用方法。插管组件包括套管和探针。套管具有非圆形的外表面。套管围绕其纵向轴线的旋转改变了套管较大的外部尺寸的取向，使得套管可用作牵引工具。通过旋转探针手柄来实现旋转，所述探针手柄旋转相关的心尖轴，其又旋转插管。相关方法包括旋转探针的把手，同时围绕第一纵向轴线将探针的轴设置在套管的孔中，以便围绕纵向轴线旋转套管以分散脊椎体。

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