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1. 发明申请

WO2011140450A1 SURGICAL RASP WITH RADIOFREQUENCY ABLATION 审中-公开
标题翻译：具有放射性消融的外科手术
公开(公告)号：WO2011140450A1
公开(公告)日：2011-11-10
申请号：PCT/US2011/035537
申请日：2011-05-06
申请人： MEDICINELODGE, INC DBA IMDS CO-INNOVATION , NELSON, Keith J. , SINNOTT, M. Mary , HANSEN, Nathan D. , MARIETTA, Joseph Q. , LORANG, Douglas M. , JUSTIN, Daniel F. , LEWIS, Trevor
发明人： NELSON, Keith J. , SINNOTT, M. Mary , HANSEN, Nathan D. , MARIETTA, Joseph Q. , LORANG, Douglas M. , JUSTIN, Daniel F. , LEWIS, Trevor
IPC分类号： A61B18/14 , A61B17/16 , A61B17/32
CPC分类号： A61B18/148 , A61B17/162 , A61B17/1624 , A61B17/1628 , A61B17/1659 , A61B17/32002 , A61B2017/320008 , A61B2017/320028 , A61B2017/320032 , A61B2018/00196 , A61B2018/1861
摘要： A surgical rasping system functional in multiple orthopedic applications, including but not limited to shoulder, knee, hip, wrist, ankle, spinal, or other joint procedures. The system comprises a rasping head which may be low profile and offer a flat cutting/rasping surface, and is configured to be driven by an attached hub that translates a rotational movement into a reciprocating motion. Suction for removal of bone fragments or other tissues is provided through an opening spaced apart from or adjacent to the rasping surface. A radiofrequency ablation (RF) electrode may be carried on the rasping system to provide ablation or coagulation of soft tissues.
摘要翻译：包括但不限于肩膀，膝盖，髋关节，腕部，脚踝，脊柱或其他联合方法在多个矫形应用中起作用的外科手术锉系统。该系统包括可以是低轮廓并提供平坦的切割/碾磨表面的锉刀头，并且被构造成由附接的轮毂驱动，所述轮毂将旋转运动转换成往复运动。通过与碾压表面间隔开或相邻的开口提供用于去除骨碎片或其他组织的吸引。射频消融（RF）电极可以在锉刀系统上承载以提供软组织的消融或凝固。

2. 发明申请

WO2007002262A2 ELECTROSURGICAL POWER CONTROL 审中-公开
标题翻译：静电功率控制
公开(公告)号：WO2007002262A2
公开(公告)日：2007-01-04
申请号：PCT/US2006/024267
申请日：2006-06-22
申请人： SMITH & NEPHEW, INC. , LORANG, Douglas M. , MITCHELL, Matthew E. , DRUCKER, Karen , IKI, Kobi
发明人： LORANG, Douglas M. , MITCHELL, Matthew E. , DRUCKER, Karen , IKI, Kobi
IPC分类号： A61B18/12
CPC分类号： A61B18/18 , A61B18/1206 , A61B18/1233 , A61B2017/00026 , A61B2017/00084 , A61B2018/00666 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00875
摘要： An electrosurgical probe is configured to deliver power to tissue. A value of a parameter (e.g., impedance or temperature) associated with a particular probe design is determined. If the value of the parameter is within a range of values that has been predetermined for the particular probe design, the probe is treating tissue in a desired manner (e.g., ablation or shrinkage). If the value of the parameter is outside the range, power is delivered to the probe according to an algorithm having a pulsed profile including portions of low power and portions of high power. When the value is impedance, and the probe is in an ablative mode, a control module of the probe is configured to limit tissue necrosis. When the probe is in a non-ablative mode, power can be delivered to the probe according to a second algorithm.
摘要翻译：电外科探针被配置成将功率传递给组织。确定与特定探针设计相关联的参数值（例如阻抗或温度）。如果参数的值在针对特定探针设计预定的值的范围内，则探针以期望的方式（例如消融或收缩）处理组织。如果参数的值超出该范围，则根据具有包括低功率部分和高功率部分的脉冲轮廓的算法将功率传递给探头。当该值为阻抗并且探针处于烧蚀模式时，该探针的控制模块被配置为限制组织坏死。当探头处于非烧蚀模式时，可以根据第二种算法将功率传送到探头。

3. 发明申请

WO2005112804A1 FRACTURE FIXATION AND SITE STABILIZATION SYSTEM 审中-公开
标题翻译：断裂固定和场稳定系统
公开(公告)号：WO2005112804A1
公开(公告)日：2005-12-01
申请号：PCT/US2005/017807
申请日：2005-05-20
申请人： MYERS SURGICAL SOLUTIONS, LLC , MYERS, Thomas, H. , LORANG, Douglas, M.
发明人： MYERS, Thomas, H. , LORANG, Douglas, M.
IPC分类号： A61B17/72
CPC分类号： A61B17/7225 , A61B17/7275 , A61B2017/00004 , A61B2017/00867
摘要： A system (10) is disclosed for accomplishing the percutaneous fixation and stabilization of a fracture with a spanning, expandable structural frame (20) placed in the intramedullary canal (120) of the bone (100). The system in one embodiment includes a column of surgical fluid (40) such as bone cement, within which the structural frame acts as a reinforcing cage, and a sheath (30) positioned at the fracture site and at least partially surrounding the frame and fluid. The fluid may be supported by a restrictor and may be agitated with a vibrating probe to remove entrapped air. The structural frame may be self-expanding or opened by an internal force, and it may be retrievable. The frame, fluid, or sheath may contain antibiotics, pharmaceuticals, or other therapeutic compounds to be delivered to the fracture site. This abstract is provided to inform the reader about the subject matter of the application, not to demarcate the meaning or scope of the claims. The system is disclosed for accomplishing the percutaneous fixation and stabilization of a fracture with a spanning, expandable structural frame place in the intramedullary canal of the bone. The system is one embodiment includes a column of surgical fluid such as bone cement, within which the structural frame acts as reinforcing cage, and a sheath positioned at the fracture site and at least partially surrounding the frame and fluid. The fluid may be supported by a restrictor and may be agitated with a vibrating probe to remove entrapped air. The structural frame may be self-expanding or opened by an internal force, and it may be retrievable. The frame, fluid, or sheath may contain antibiotics, pharmaceuticals, or other therapeutic compounds to be delivered to the fracture site.
摘要翻译：公开了一种系统（10），用于通过放置在骨（100）的髓内管（120）中的跨越的可扩展结构框架（20）来完成骨折的经皮固定和稳定。该系统在一个实施例中包括一列例如骨水泥的手术流体（40），其中结构框架用作加固笼，以及位于骨折部位并且至少部分地围绕框架和流体的护套（30）。流体可以由限流器支撑，并且可以用振动探针搅动以除去夹带的空气。结构框架可以是自膨胀的或由内力打开的，并且其可以是可回收的。框架，流体或鞘可以包含抗生素，药物或其它治疗化合物，以将其递送至骨折部位。提供该摘要以通知读者关于申请的主题，而不是划分权利要求的含义或范围。该系统被公开用于通过骨髓髓内管中的跨越，可扩展的结构框架位置实现骨折的经皮固定和稳定。该系统是一个实施例，其包括诸如骨水泥的手术流体柱，其中结构框架用作加固笼，以及位于骨折部位并至少部分围绕框架和流体的护套。流体可以由限流器支撑，并且可以用振动探针搅动以除去夹带的空气。结构框架可以是自膨胀的或由内力打开的，并且其可以是可回收的。框架，流体或鞘可以包含抗生素，药物或其它治疗化合物，以将其递送至骨折部位。

4. 发明申请

WO2012031007A1 DOUBLE BUNDLE ACL REPAIR SYSTEM 审中-公开
标题翻译：双层ACL修理系统
公开(公告)号：WO2012031007A1
公开(公告)日：2012-03-08
申请号：PCT/US2011/050040
申请日：2011-08-31
申请人： MEDICINELODGE, INC DBA IMDS CO-INNOVATION , MYERS, Thomas H. , LORANG, Douglas M. , TRIPLETT, Daniel J. , LEWIS, Chad , HOWARD, Bryan P. , HANSEN, Nathan
发明人： MYERS, Thomas H. , LORANG, Douglas M. , TRIPLETT, Daniel J. , LEWIS, Chad , HOWARD, Bryan P. , HANSEN, Nathan
IPC分类号： A61F2/08
CPC分类号： A61F2/0811 , A61B17/0401 , A61B17/1604 , A61B17/1675 , A61B17/1714 , A61B17/1764 , A61B2017/0404 , A61B2017/0409 , A61B2017/0414 , A61B2017/0419 , A61B2017/0438 , A61B2017/044 , A61B2017/0448 , A61B2017/0453 , A61F2/0805 , A61F2002/0852 , A61F2002/0858 , A61F2002/0882 , A61F2240/005 , A61F2240/008
摘要： A system for single tunnel, double bundle anterior cruciate ligament reconstruction includes implant constructs and instruments. The implant constructs provide a combination of cortical fixation and bone tunnel aperture fixation. The implant constructs separate a graft into distinct bundles. The instruments are used to prepare shaped bone tunnels to receive the implant constructs and graft bundles. Methods for reconstructing the antero-medial and postero-lateral bundles of the anterior cruciate ligament may rely on single femoral and tibial tunnels and a single strand of graft.
摘要翻译：单隧道，双束前十字韧带重建系统包括种植体构造和器械。植入物构造提供皮质固定和骨隧道孔径固定的组合。植入物构建将移植物分成不同的束。这些仪器用于制备成形骨隧道以接收植入物构造物和移植物束。重建前交叉韧带的前内侧和后外侧束的方法可能依赖于单股股骨和胫骨隧道以及单股移植物。

5. 发明申请

WO2010111176A1 SUTURE PASSING APPARATUS AND METHOD 审中-公开
标题翻译：传递装置和方法
公开(公告)号：WO2010111176A1
公开(公告)日：2010-09-30
申请号：PCT/US2010/028135
申请日：2010-03-22
申请人： LINVATEC CORPORATION , AKYUZ, Ephraim , FAUTH, Andrew R. , FRITZ, Joseph A. , GLAD, Jason M. , JUSTIN, Daniel F. , LORANG, Douglas M. , SUMMITT, Matthew C. , SINNOTT, M. Mary , TRIPLETT, Daniel J.
发明人： AKYUZ, Ephraim , FAUTH, Andrew R. , FRITZ, Joseph A. , GLAD, Jason M. , JUSTIN, Daniel F. , LORANG, Douglas M. , SUMMITT, Matthew C. , SINNOTT, M. Mary , TRIPLETT, Daniel J.
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0483 , A61B17/062 , A61B2017/00353 , A61B2017/06042
摘要： An endoscopic surgical instrument for passing a suture through tissue includes a first jaw member, a needle, and a capture feature actuable to grip and retain the suture after the suture has been passed through a tissue body. An actuation mechanism can both move the needle between retracted and extended positions, and move the capture feature between open and closed configurations, via a single actuation. The capture feature may be a trap door which is axially translatable relative to the first jaw member to overlap a portion of the first jaw member and trap a portion of the suture between the trap door and the overlapped portion. The first jaw member may be movable relative to a second jaw member to grasp a tissue body. The instrument can grasp a tissue body, pass the suture through the tissue, capture and retain the suture without being repositioned relative to the tissue.
摘要翻译：用于使缝合线穿过组织的内窥镜手术器械包括第一钳口构件，针和捕获构件，其可致动以在缝合线已经通过组织体之后夹紧并保持缝合线。致动机构可以在缩回位置和延伸位置之间移动针，并且通过单个致动将打开和关闭配置之间的捕获特征移动。捕获特征可以是捕获门，该门可相对于第一钳口构件轴向平移，以与第一钳口构件的一部分重叠，并将捕获门和重叠部分之间的缝合线的一部分捕获。第一钳口构件可以相对于第二钳口构件移动以抓握组织体。仪器可以抓住组织体，使缝合线穿过组织，捕获并保持缝合线而不会相对于组织重新定位。

6. 发明申请

WO2010017521A3 SURGICAL ACCESS WITH TARGET VISUALIZATION 审中-公开
标题翻译：手术访视与目标可视化
公开(公告)号：WO2010017521A3
公开(公告)日：2010-05-06
申请号：PCT/US2009053217
申请日：2009-08-07
申请人： INNOVATIVE SPINE LLC , FALLIN T WADE , SAXTON JOEL , MARLOWE GOBLE E , FARR MORTEZA M , WENTZ MIKE , AKYUZ EPHRAIM , JUSTIN DANIEL F , LORANG DOUGLAS M
发明人： FALLIN T WADE , SAXTON JOEL , GOBLE E MARLOWE , FARR MORTEZA M , WENTZ MIKE , AKYUZ EPHRAIM , JUSTIN DANIEL F , LORANG DOUGLAS M
IPC分类号： A61B17/70 , A61B19/00
CPC分类号： A61B17/025 , A61B17/1604 , A61B17/1659 , A61B17/320708 , A61B17/3421 , A61B17/3468 , A61B90/361 , A61B90/50 , A61B2017/0256 , A61B2017/2904 , A61B2017/320044 , A61B2017/320056 , A61B2017/3447 , A61B2090/3618 , A61F2/4455 , A61F2/447 , A61F2/4601 , A61F2/4611 , A61F2/4684 , A61F2002/30116 , A61F2002/30538 , A61F2002/30616 , A61F2002/30904 , A61F2002/4435 , A61F2002/4627 , A61F2002/4681 , A61F2002/4687 , A61F2230/0006 , A61F2250/0006
摘要： Accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate to the spine. Positioning of the distal end of a radiolucent curved access cannula may be assisted by use of one or more radio-opaque markers. Markers may be positioned to form a cross hair image in fluoroscopy to assist in cannula placement. Radio-opaque inserts placed in and extended beyond the curved access cannula may have radiolucent windows to allow viewing of the cannula's radio-opaque markers. An appropriately placed curved access cannula may be clamped to prevent subsequent movement. Appropriate tools may be introduced through the curved access cannula and the distal radio-opaque tool heads may be viewed relative to the radio-opaque markers. The curved access cannula may be attached to the spine through one or more screws.
摘要翻译：从弯曲的后外侧方法进入脊柱可以包括沿着从皮肤中的开口到接近脊柱的位置的弯曲路径定位的弯曲插管。可以通过使用一个或多个不透射线的标记来辅助射线可透过弯曲的进入插管的远端的定位。标记可以定位成在透视图中形成十字头图像以辅助套管放置。插入并延伸超过弯曲进入插管的无线电不透明插入件可以具有射线透视窗口，以允许观察套管的无线电不透明标记。可以将适当放置的弯曲进入插管夹紧以防止随后的运动。可以通过弯曲的进入插管引入适当的工具，并且可以相对于不透射线的标记来观察远端不透射线的工具头。弯曲的进入插管可以通过一个或多个螺钉附接到脊柱。

7. 发明申请

WO2007002262A3 ELECTROSURGICAL POWER CONTROL 审中-公开
标题翻译：电控功率控制
公开(公告)号：WO2007002262A3
公开(公告)日：2007-05-31
申请号：PCT/US2006024267
申请日：2006-06-22
申请人： SMITH & NEPHEW INC , LORANG DOUGLAS M , MITCHELL MATTHEW E , DRUCKER KAREN , IKI KOBI
发明人： LORANG DOUGLAS M , MITCHELL MATTHEW E , DRUCKER KAREN , IKI KOBI
IPC分类号： A61B18/12
CPC分类号： A61B18/18 , A61B18/1206 , A61B18/1233 , A61B2017/00026 , A61B2017/00084 , A61B2018/00666 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00875
摘要： An electrosurgical probe is configured to deliver power to tissue. A value of a parameter (e.g., impedance or temperature) associated with a particular probe design is determined. If the value of the parameter is within a range of values that has been predetermined for the particular probe design, the probe is treating tissue in a desired manner (e.g., ablation or shrinkage). If the value of the parameter is outside the range, power is delivered to the probe according to an algorithm having a pulsed profile including portions of low power and portions of high power. When the value is impedance, and the probe is in an ablative mode, a control module of the probe is configured to limit tissue necrosis. When the probe is in a non-ablative mode, power can be delivered to the probe according to a second algorithm.
摘要翻译：电外科探针被配置为向组织输送动力。确定与特定探针设计相关联的参数（例如，阻抗或温度）的值。如果参数的值在针对特定探针设计已经预先确定的值的范围内，则探针以期望的方式（例如，消融或收缩）处理组织。如果参数值超出范围，则根据具有包括低功率部分和高功率部分的脉冲轮廓的算法将功率传送到探针。当该值为阻抗，并且探头处于消融模式时，探头的控制模块配置为限制组织坏死。当探头处于非消融模式时，可以根据第二种算法向探头输送功率。

8. 发明申请

WO2010120520A2 DOUBLE BUNDLE ACL REPAIR 审中-公开
标题翻译：双重ACL修复
公开(公告)号：WO2010120520A2
公开(公告)日：2010-10-21
申请号：PCT/US2010/029401
申请日：2010-03-31
申请人： MEDICINELODGE, INC. DBA IMDS CO-INNOVATE , LORANG, Douglas M. , MYERS, Thomas H. , SINNOTT, M. Mary
发明人： LORANG, Douglas M. , MYERS, Thomas H. , SINNOTT, M. Mary
IPC分类号： A61F2/08 , A61L27/56 , A61L27/54 , A61B17/56
CPC分类号： A61F2/0811 , A61B17/0401 , A61B17/1604 , A61B17/1675 , A61B17/1714 , A61B17/1764 , A61B2017/0404 , A61B2017/0409 , A61B2017/0414 , A61B2017/0419 , A61B2017/044 , A61F2/0805 , A61F2002/0829 , A61F2002/0852 , A61F2002/0858 , A61F2002/0882 , A61F2002/0888 , A61F2230/001 , A61F2230/0013 , A61F2230/0082 , A61F2240/008
摘要： A system for single tunnel, double bundle anterior cruciate ligament reconstruction includes implant constructs and instruments. The implant constructs provide a combination of cortical fixation and bone tunnel aperture fixation. The implant constructs separate a graft into distinct bundles. The instruments are used to prepare shaped bone tunnels to receive the implant constructs and graft bundles. Methods for reconstructing the antero-medial and postero-lateral bundles of the anterior cruciate ligament may rely on single femoral and tibial tunnels and a single strand of graft.
摘要翻译：单隧道，双束前十字韧带重建系统包括种植体构造和器械。植入物构造提供皮质固定和骨隧道孔径固定的组合。植入物构建将移植物分成不同的束。仪器用于准备成形的骨隧道以接收植入物构造物和移植物束。重建前交叉韧带的前内侧和后外侧束的方法可能依赖于单股股骨和胫骨隧道以及单股移植物。

9. 发明申请

WO2005112804A9 FRACTURE FIXATION AND SITE STABILIZATION SYSTEM 审中-公开
标题翻译：断裂固定和场稳定系统
公开(公告)号：WO2005112804A9
公开(公告)日：2006-03-23
申请号：PCT/US2005017807
申请日：2005-05-20
申请人： MYERS SURGICAL SOLUTIONS LLC , MYERS THOMAS H , LORANG DOUGLAS M
发明人： MYERS THOMAS H , LORANG DOUGLAS M
IPC分类号： A61B17/00 , A61B17/72
CPC分类号： A61B17/7225 , A61B17/7275 , A61B2017/00004 , A61B2017/00867
摘要： A system (10) is disclosed for accomplishing the percutaneous fixation and stabilization of a fracture with a spanning, expandable structural frame (20) placed in the intramedullary canal (120) of the bone (100). The system in one embodiment includes a column of surgical fluid (40) such as bone cement, within which the structural frame acts as a reinforcing cage, and a sheath (30) positioned at the fracture site and at least partially surrounding the frame and fluid. The fluid may be supported by a restrictor and may be agitated with a vibrating probe to remove entrapped air. The structural frame may be self-expanding or opened by an internal force, and it may be retrievable. The frame, fluid, or sheath may contain antibiotics, pharmaceuticals, or other therapeutic compounds to be delivered to the fracture site. This abstract is provided to inform the reader about the subject matter of the application, not to demarcate the meaning or scope of the claims. The system is disclosed for accomplishing the percutaneous fixation and stabilization of a fracture with a spanning, expandable structural frame place in the intramedullary canal of the bone. The system is one embodiment includes a column of surgical fluid such as bone cement, within which the structural frame acts as reinforcing cage, and a sheath positioned at the fracture site and at least partially surrounding the frame and fluid. The fluid may be supported by a restrictor and may be agitated with a vibrating probe to remove entrapped air. The structural frame may be self-expanding or opened by an internal force, and it may be retrievable. The frame, fluid, or sheath may contain antibiotics, pharmaceuticals, or other therapeutic compounds to be delivered to the fracture site.
摘要翻译：公开了一种系统（10），用于通过放置在骨（100）的髓内管（120）中的跨越可扩展结构框架（20）来完成骨折的经皮固定和稳定。该系统在一个实施方案中包括诸如骨水泥的手术流体列（40），其中结构框架用作加固笼，以及位于骨折部位并且至少部分地围绕框架和流体的护套（30）。流体可以由限流器支撑，并且可以用振动探针搅动以除去夹带的空气。结构框架可以是自膨胀的或由内力打开的，并且其可以是可回收的。框架，流体或鞘可以包含抗生素，药物或其它治疗化合物，以将其递送至骨折部位。提供该摘要以通知读者关于申请的主题，而不是划分权利要求的含义或范围。该系统被公开用于实现经骨固定和稳定骨折的跨越，可扩展的结构框架位置在骨髓内髓腔中。该系统是一个实施例，其包括诸如骨水泥的手术流体柱，其中结构框架用作加固笼，以及位于骨折部位并至少部分围绕框架和流体的护套。流体可以由限流器支撑，并且可以用振动探针搅动以除去夹带的空气。结构框架可以是自膨胀的或由内力打开的，并且其可以是可回收的。框架，流体或护套可以含有抗生素，药物或其它治疗化合物，以将其递送至骨折部位。

10. 发明申请

WO2005048859A1 CARTILAGE TREATMENT PROBE 审中-公开
标题翻译：卡特彼勒治疗探索
公开(公告)号：WO2005048859A1
公开(公告)日：2005-06-02
申请号：PCT/US2004/002654
申请日：2004-01-30
申请人： SMITH & NEPHEW, INC. , MITCHELL, Mathew , IKI, Kobi , AMBRISCO, Bill , LORANG, Douglas, M. , GANNON, Alan, P. , RANALLI, Richard, M.
发明人： MITCHELL, Mathew , IKI, Kobi , AMBRISCO, Bill , LORANG, Douglas, M. , GANNON, Alan, P. , RANALLI, Richard, M.
IPC分类号： A61B18/14
CPC分类号： A61B18/18 , A61B18/1402
摘要： An electrosurgical instrument for ablating cartilage while limiting collateral damage includes a non-conducting head with a small electrically conductive surface. The head of the instrument is coupled to a shaft by a flexible portion. The flexible portion biases the electrically conductive surface towards a tissue surface. The head is pivotably coupled to the shaft such that the electrically conductive surface is oriented substantially parallel to the tissue surface as the head slides across the tissue surface. A method of performing electrosurgery includes positioning the electrically conductive surface adjacent to the tissue surface and sliding the shaft across the tissue surface with the head pivoting such that the electrically conductive surface is oriented substantially parallel to the tissue surface.
摘要翻译：用于消融软骨同时限制附带损伤的电外科器械包括具有小导电表面的非导电头。仪器的头部通过柔性部分连接到轴上。柔性部分将导电表面朝向组织表面偏压。头部可枢转地联接到轴，使得当头部穿过组织表面时，导电表面被定向为基本上平行于组织表面。进行电外科手术的方法包括将导电表面定位在组织表面附近并使轴横过组织表面滑动，头部枢转，使得导电表面基本平行于组织表面定向。

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