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    • 2. 发明申请
    • Apparatuses for the performance of a minimally invasive ventral hernia repair
    • 用于进行微创腹侧疝修复的装置
    • US20090234379A1
    • 2009-09-17
    • US12075629
    • 2008-03-14
    • Robert D. Rehnke
    • Robert D. Rehnke
    • A61B17/32A61B17/94A61B17/068
    • A61B17/0682A61B17/2812A61B2017/00743A61B2017/081A61B2017/2927A61B2017/320044
    • An Apparatus for the performance of a minimally invasive ventral hernia repair. The apparatus including a mechanical blunt dissector, fascial graspers, and a midline fascial stapling device. The mechanical blunt dissector is capable of performing a blunt dissection of the space between the External Oblique (EO) muscle and the Internal Oblique (IO) muscle. The device has a blunt spoonbill shaped set of plates with an open center (for improved endoscopic visualization during the dissection), connected to long arms which connect to a pair of hand grips. However, the blunt dissector may include a tapered blunt distal tip to the spoonbill element—more like a duck's bill—for advancing the mechanical dissector forward into the loose areolar connective tissue that exists between the EO and IO muscles. The apparatus further includes graspers formed of long endoscopic graspers that are modified to grasp and lock on to tissue as thick and tough as rectus fascia. A further inclusion in the present invention is a fascial stapler designed for approximation of the mid line rectus fascia.
    • 用于进行微创腹侧疝修复的装置。 该装置包括机械钝器解剖器,筋膜抓取器和中线筋膜缝合装置。 机械钝性解剖器能够对外倾斜(EO)肌肉和内倾斜(IO)肌肉之间的空间进行钝性解剖。 该装置具有平坦的琵鹭形的一组具有开放中心的板(用于在解剖期间改善内窥镜可视化),连接到连接到一对手柄的长臂。 然而,钝性解剖器可以包括到琵鹭元件的锥形钝头远端 - 更像鸭子的钞票 - 用于将机械解剖器向前推进到存在于EO和IO肌肉之间的松散的非结缔组织中。 该装置还包括由长内窥镜抓取器形成的抓持器,该夹持器被修改以将其固定在与直肌筋膜一样厚且坚韧的组织上。 在本发明中进一步的包括是用于近似中线直肌筋膜的筋骨缝合器。
    • 4. 发明授权
    • Instruments and methods for minimally invasive carpal tunnel release
    • 微创腕管释放仪器和方法
    • US08523892B2
    • 2013-09-03
    • US12860361
    • 2010-08-20
    • Robert D. RehnkeJorge Rodriguez
    • Robert D. RehnkeJorge Rodriguez
    • A61B17/32
    • A61B1/313A61B17/320036A61B90/36
    • Instruments for use in minimally invasive carpal tunnel release include a cannula and a cutting member movable longitudinally within the cannula to advance a cutting blade of the cutting member along a longitudinal slot in the cannula to sever a transverse carpal ligament disposed over the slot. A dilating member is provided for creating a subligamentous space to accommodate the cannula and/or for removing adhered synovium from a lower surface of the ligament. A method for minimally invasive carpal tunnel release involves establishing a proximal entry into the carpal tunnel from an incision in the volar aspect of the forearm, introducing the cannula in the carpal tunnel via the incision, and severing the transverse carpal ligament from proximal to distal with the cutting blade of the cuffing member under direct endoscopic visualization.
    • 用于微创腕管隧道释放的仪器包括插管和可在套管内纵向移动的切割构件,以沿着插管中的纵向狭槽推进切割构件的切割刀片,以切断设置在狭槽上的横向腕韧带。 提供扩张构件,用于产生亚细胞空间以容纳套管和/或从韧带的下表面去除粘附的滑膜。 用于微创腕管隧道释放的方法包括从前臂的手腕切口中的切口建立近端入口到腕管中,通过切口将插管引入腕管,并且从近端到远端切断横腕腕韧带, 在直接内窥镜可视化的情况下,该切口的切割刀片。
    • 5. 发明申请
    • Instruments and Methods for Minimally Invasive Carpal Tunnel Release
    • 微创腕管释放仪器与方法
    • US20110046652A1
    • 2011-02-24
    • US12860361
    • 2010-08-20
    • Robert D. RehnkeJorge Rodriguez
    • Robert D. RehnkeJorge Rodriguez
    • A61B17/32
    • A61B1/313A61B17/320036A61B90/36
    • Instruments for use in minimally invasive carpal tunnel release include a cannula and a cutting member movable longitudinally within the cannula to advance a cutting blade of the cutting member along a longitudinal slot in the cannula to sever a transverse carpal ligament disposed over the slot. A dilating member is provided for creating a subligamentous space to accommodate the cannula and/or for removing adhered synovium from a lower surface of the ligament. A method for minimally invasive carpal tunnel release involves establishing a proximal entry into the carpal tunnel from an incision in the volar aspect of the forearm, introducing the cannula in the carpal tunnel via the incision, and severing the transverse carpal ligament from proximal to distal with the cutting blade of the cuffing member under direct endoscopic visualization.
    • 用于微创腕管隧道释放的仪器包括插管和可在套管内纵向移动的切割构件,以沿着插管中的纵向狭槽推进切割构件的切割刀片,以切断设置在狭槽上的横向腕韧带。 提供扩张构件,用于产生亚细胞空间以容纳套管和/或从韧带的下表面去除粘附的滑膜。 用于微创腕管隧道释放的方法包括从前臂的手腕切口中的切口建立近端入口到腕管中,通过切口将插管引入腕管,并且从近端到远端切断横腕腕韧带, 在直接内窥镜可视化的情况下,该切口的切割刀片。
    • 6. 发明申请
    • Instruments and method for minimally invasive carpal tunnel release
    • 微创腕管释放仪器和方法
    • US20070288043A1
    • 2007-12-13
    • US11449470
    • 2006-06-08
    • Robert D. Rehnke
    • Robert D. Rehnke
    • A61B17/32
    • A61B17/320036A61B1/313A61B90/36
    • Instruments for use in minimally invasive carpal tunnel release include a cannula and a cutting member movable longitudinally within the cannula to advance a cutting blade of the cutting member along a longitudinal slot in the cannula to sever a transverse carpal ligament disposed over the slot. A dilating member is provided for creating a subligamentous space to accommodate the cannula and/or for removing adhered synovium from a lower surface of the ligament. A method for minimally invasive carpal tunnel release involves establishing a subcutaneous pathway to the carpal tunnel from an incision in the forearm, introducing the cannula in the carpal tunnel via the pathway, and severing the transverse carpal ligament with the cutting blade of the cutting member, all of which steps are performed under direct endoscopic visualization.
    • 用于微创腕管隧道释放的仪器包括插管和可在套管内纵向移动的切割构件,以沿着插管中的纵向狭槽推进切割构件的切割刀片,以切断设置在狭槽上的横向腕韧带。 提供扩张构件,用于产生亚细胞空间以容纳套管和/或从韧带的下表面去除粘附的滑膜。 用于微创腕管隧道释放的方法包括从前臂切口建立到腕管的皮下路径,通过路径将插管引入腕管,并用切割构件的切割刀片切断横腕腕韧带, 所有这些步骤都在直接内窥镜可视化下进行。
    • 9. 发明授权
    • Instruments and method for minimally invasive carpal tunnel release
    • 微创腕管释放仪器和方法
    • US07780690B2
    • 2010-08-24
    • US11449470
    • 2006-06-08
    • Robert D. Rehnke
    • Robert D. Rehnke
    • A61B17/32
    • A61B17/320036A61B1/313A61B90/36
    • Instruments for use in minimally invasive carpal tunnel release include a cannula and a cutting member movable longitudinally within the cannula to advance a cutting blade of the cutting member along a longitudinal slot in the cannula to sever a transverse carpal ligament disposed over the slot. A dilating member is provided for creating a subligamentous space to accommodate the cannula and/or for removing adhered synovium from a lower surface of the ligament. A method for minimally invasive carpal tunnel release involves establishing a subcutaneous pathway to the carpal tunnel from an incision in the forearm, introducing the cannula in the carpal tunnel via the pathway, and severing the transverse carpal ligament with the cutting blade of the cutting member, all of which steps are performed under direct endoscopic visualization.
    • 用于微创腕管隧道释放的仪器包括插管和可在套管内纵向移动的切割构件,以沿着插管中的纵向狭槽推进切割构件的切割刀片,以切断设置在狭槽上的横向腕韧带。 提供扩张构件,用于产生亚细胞空间以容纳套管和/或从韧带的下表面去除粘附的滑膜。 用于微创腕管隧道释放的方法包括从前臂切口建立到腕管的皮下路径,通过路径将插管引入腕管,并用切割构件的切割刀片切断横腕腕韧带, 所有这些步骤都在直接内窥镜可视化下进行。
    • 10. 发明授权
    • Method for surgical dissection, sizing and expansion
    • 手术解剖,尺寸和扩张方法
    • US07575597B2
    • 2009-08-18
    • US11974546
    • 2007-10-15
    • Robert D. Rehnke
    • Robert D. Rehnke
    • A61F2/12
    • A61F2/12A61B17/0218A61B90/02A61B90/06A61B2017/00557A61B2017/320044A61B2017/320048A61B2090/063
    • A method for surgical dissection, sizing and for expansion of a tissue pocket in a naturally occurring fascial cleft is disclosed for use in plastic surgery applications and other applications where it is desirable to dissect an anatomically defined and bounded tissue pocket, determine the appropriate size of a prosthesis to be implanted into the tissue pocket and, if necessary, further expand the tissue overlying the tissue pocket. An inflatable device which performs the three distinct functions of dissection, sizing and tissue expansion is used. In a preferred method, a dissecting balloon device is tunneled bluntly to a desired location within a fascial cleft in the female breast. The device is then inflated to dissect tissue layers adjacent the fascial cleft until ligaments defining boundaries of the fascial cleft are reached, to create a tissue pocket extending to the ligmentous boundaries. After dissection, the tissue pocket may be sized by withdrawing/adjusting fluid from the inflatable member until the desired aesthetic appearance is achieved. If immediate or traditional tissue expansion is desired, the inflatable member may be utilized as a tissue expander and temporarily left in place to provide gradual tissue expansion. After the desired dissection, sizing and optional expanding, an implant prosthesis may be inserted into the tissue pocket and filled to a volume determined in the sizing step.
    • 公开了一种用于外科手术解剖,上浆和膨胀天然存在的筋膜裂缝中的组织袋的方法,用于整形手术应用和其它应用中,其中希望解剖解剖学限定的和有界的组织袋,确定适当的尺寸 待植入组织袋的假体,如果需要,进一步扩张组织袋上方的组织。 使用执行解剖,上浆和组织扩张三个不同功能的充气装置。 在优选的方法中,解剖球囊装置被钝化地隧穿到女性乳房内的筋膜裂缝内的所需位置。 然后将装置充气以解剖邻近筋膜裂缝的组织层,直到达到限定筋膜裂缝边界的韧带,以产生延伸到结扎边界的组织袋。 解剖后,组织袋可以通过从可膨胀构件中抽出/调节流体而达到所需的美学外观尺寸。 如果需要立即或传统的组织膨胀,则可膨胀构件可用作组织扩张器并且暂时留在适当位置以提供逐渐的组织扩张。 在所需的解剖,尺寸和可选的扩张之后,可以将植入假体插入到组织袋中并填充到在施胶步骤中确定的体积。