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1. 发明授权

US07927361B2 Method and apparatus for removing material from an intervertebral disc space, such as in performing a nucleotomy 有权
标题翻译：用于从椎间盘空间中去除材料的方法和装置，例如进行核切开术
公开(公告)号：US07927361B2
公开(公告)日：2011-04-19
申请号：US11289266
申请日：2005-11-29
申请人： Dana A. Oliver , Kenneth M. Adams , Tom J. Francis
发明人： Dana A. Oliver , Kenneth M. Adams , Tom J. Francis
IPC分类号： A61B17/88
CPC分类号： A61B17/32002 , A61B2017/00261 , A61B2017/2904
摘要： Instrument and method for removing material from an intervertebral disc. The instrument includes outer and inner tubular members. The outer tubular member defines a passage and a cutting window. The inner tubular member is coaxially disposed within the passage, and defines a central lumen and a cutting tip. The cutting tip forms an open mouth having a plurality of teeth. Upon assembly, the cutting tip is exposed within the cutting window combining to define a shaving head. A powered handpiece is coupled to the inner tubular member, and the shaving head is inserted into an intervertebral disc and positioned such that the cutting tip contacts targeted material (e.g., nucleus, annulus and/or end plate). The handpiece is activated to rotate the cutting tip relative to the cutting window. Contacted material is sheared between an edge of the cutting window and the teeth of the cutting tip.
摘要翻译：用于从椎间盘去除材料的仪器和方法。该仪器包括外部和内部管状构件。外管状构件限定通道和切割窗。内部管状构件同轴地设置在通道内，并且限定中心腔和切割尖端。切割尖端形成具有多个齿的开口。在组装时，切割尖端暴露在切割窗内组合以限定剃须头。动力手持件联接到内部管状构件，并且剃削头被插入到椎间盘中并且被定位成使得切割尖端接触目标材料（例如，细胞核，环带和/或端板）。激活手柄以相对于切割窗口旋转切割尖端。在切割窗口的边缘和切割尖端的齿之间剪切接触材料。

2. 发明申请

US20110166576A1 METHOD AND APPARATUS FOR REMOVING MATERIAL FROM AN INTERVERTEBRAL DISC SPACE, SUCH AS IN PERFORMING A NUCLEOTOMY 审中-公开
标题翻译：用于从椎间盘间隙移除材料的方法和装置，如执行核子
公开(公告)号：US20110166576A1
公开(公告)日：2011-07-07
申请号：US13050388
申请日：2011-03-17
申请人： Dana A. Oliver , Kenneth M. Adams , Tom J. Francis
发明人： Dana A. Oliver , Kenneth M. Adams , Tom J. Francis
IPC分类号： A61B17/16
CPC分类号： A61B17/32002 , A61B2017/00261 , A61B2017/2904
摘要： Instrument and method for removing material from an intervertebral disc. The instrument includes outer and inner tubular members. The outer tubular member defines a passage and a cutting window. The inner tubular member is coaxially disposed within the passage, and defines a central lumen and a cutting tip. The cutting tip forms an open mouth having a plurality of teeth. Upon assembly, the cutting tip is exposed within the cutting window combining to define a shaving head. A powered handpiece is coupled to the inner tubular member, and the shaving head is inserted into an intervertebral disc and positioned such that the cutting tip contacts targeted material (e.g., nucleus, annulus and/or end plate). The handpiece is activated to rotate the cutting tip relative to the cutting window. Contacted material is sheared between an edge of the cutting window and the teeth of the cutting tip.
摘要翻译：用于从椎间盘去除材料的仪器和方法。该仪器包括外部和内部管状构件。外管状构件限定通道和切割窗。内部管状构件同轴地设置在通道内，并且限定中心腔和切割尖端。切割尖端形成具有多个齿的开口。在组装时，切割尖端暴露在切割窗内组合以限定剃须头。动力手持件联接到内部管状构件，并且剃削头被插入到椎间盘中并且被定位成使得切割尖端接触目标材料（例如，细胞核，环带和/或端板）。激活手柄以相对于切割窗口旋转切割尖端。在切割窗口的边缘和切割尖端的齿之间剪切接触材料。

3. 发明授权

US07488322B2 High speed surgical cutting instrument 有权
标题翻译：高速手术切割仪
公开(公告)号：US07488322B2
公开(公告)日：2009-02-10
申请号：US10776835
申请日：2004-02-11
申请人： William Charles Brunnett , Dana A. Oliver , Cecil O. Lewis , Kenneth M. Adams
发明人： William Charles Brunnett , Dana A. Oliver , Cecil O. Lewis , Kenneth M. Adams
IPC分类号： A61B17/32
CPC分类号： A61B17/1633 , A61B17/1624 , A61B17/1631 , A61B17/1662 , A61B17/1679 , A61B17/32002 , A61B2017/00477 , A61B2017/00845 , A61B2017/2904 , A61B2017/320032 , A61B2018/00005
摘要： A surgical cutting instrument including an outer tube, inner wire assembly, cutting tip, coupling chuck, and housing. The outer tube includes a lumen extending from a proximal end to a distal end. The inner wire assembly is received within the lumen. Preferably, the outer tube and inner wire assembly form a longitudinally curved segment. The cutting tip is connected to a distal section of the inner wire assembly. The coupling chuck is secured to a proximal section of the inner wire assembly. The housing maintains the outer tube and the coupling chuck. A rotating journal bearing, preferably a rotating-hydrodynamic bearing, is established between the inner wire assembly and the inner surface of the outer tube, allowing nominal rotational speeds of 80,000 RPM. Preferred embodiments of the surgical cutting instrument enhance surgeon visibility, minimize heat build-up, and provide improved stiffness and thermal protection.
摘要翻译：一种外科切割器具，包括外管，内线组件，切割尖端，联接卡盘和壳体。外管包括从近端延伸到远端的内腔。内部线组件被接收在管腔内。优选地，外管和内线组件形成纵向弯曲的段。切割尖端连接到内部线组件的远端部分。联接卡盘固定到内线组件的近端部分。外壳保持外管和联轴器卡盘。在内管组件和外管的内表面之间建立了旋转轴颈轴承，优选为旋转流体动力轴承，允许额定转速为80,000RPM。外科切割器械的优选实施例增强了外科医生的可视性，最小化了热积聚，并且提供了改善的刚度和热保护。

4. 发明授权

US08172846B2 Method for performing high speed surgical procedures 有权
标题翻译：执行高速外科手术的方法
公开(公告)号：US08172846B2
公开(公告)日：2012-05-08
申请号：US12356173
申请日：2009-01-20
申请人： William Charles Brunnett , Dana A. Oliver , Cecil O. Lewis , Kenneth M. Adams
发明人： William Charles Brunnett , Dana A. Oliver , Cecil O. Lewis , Kenneth M. Adams
IPC分类号： A61B17/32
CPC分类号： A61B17/1633 , A61B17/1624 , A61B17/1631 , A61B17/1662 , A61B17/1679 , A61B17/32002 , A61B2017/00477 , A61B2017/00845 , A61B2017/2904 , A61B2017/320032 , A61B2018/00005
摘要： A method for performing a surgical procedure on tissue at a target site of a patient includes providing a surgical cutting instrument including an outer tube, inner wire assembly and a cutting tip. The outer tube defines a curved segment. The inner wire assembly is rotatably disposed within the outer tube. The cutting tip is connected to the inner wire assembly and positioned at a distal end of the outer tube. The tissue at the target site is exposed and the cutting tip is deployed against the tissue. The method further includes rotating the inner wire assembly relative to the outer tube at speeds in excess of 50,000 RPM such that the cutting tip removes contacted tissue.
摘要翻译：在患者的目标部位的组织上执行外科手术的方法包括提供包括外管，内线组件和切割尖端的外科切割仪器。外管限定弯曲段。内线组件可旋转地设置在外管内。切割尖端连接到内部线组件并且定位在外部管的远端。目标部位的组织被暴露，并且切割尖端相对于组织展开。该方法还包括以超过50,000RPM的速度相对于外管旋转内部线组件，使得切割尖端移除接触的组织。

5. 发明申请

US20090131940A1 METHOD FOR PERFORMING HIGH SPEED SURGICAL PROCEDURES 有权
标题翻译：执行高速手术的方法
公开(公告)号：US20090131940A1
公开(公告)日：2009-05-21
申请号：US12356173
申请日：2009-01-20
申请人： William Charles Brunnett , Dana A. Oliver , Cecil O. Lewis , Kenneth M. Adams
发明人： William Charles Brunnett , Dana A. Oliver , Cecil O. Lewis , Kenneth M. Adams
IPC分类号： A61B17/32
CPC分类号： A61B17/1633 , A61B17/1624 , A61B17/1631 , A61B17/1662 , A61B17/1679 , A61B17/32002 , A61B2017/00477 , A61B2017/00845 , A61B2017/2904 , A61B2017/320032 , A61B2018/00005
摘要： A method for performing a surgical procedure on tissue at a target site of a patient includes providing a surgical cutting instrument including an outer tube, inner wire assembly and a cutting tip. The outer tube defines a curved segment. The inner wire assembly is rotatably disposed within the outer tube. The cutting tip is connected to the inner wire assembly and positioned at a distal end of the outer tube. The tissue at the target site is exposed and the cutting tip is deployed against the tissue. The method further includes rotating the inner wire assembly relative to the outer tube at speeds in excess of 50,000 RPM such that the cutting tip removes contacted tissue.
摘要翻译：在患者的目标部位的组织上执行外科手术的方法包括提供包括外管，内线组件和切割尖端的外科切割仪器。外管限定弯曲段。内线组件可旋转地设置在外管内。切割尖端连接到内部线组件并且定位在外部管的远端。目标部位的组织被暴露，并且切割尖端相对于组织展开。该方法还包括以超过50,000RPM的速度相对于外管旋转内部线组件，使得切割尖端移除接触的组织。

6. 发明申请

US20120203230A1 CURVED BUR 有权
标题翻译：弯曲的胸围
公开(公告)号：US20120203230A1
公开(公告)日：2012-08-09
申请号：US13365888
申请日：2012-02-03
申请人： Kenneth M. Adams
发明人： Kenneth M. Adams
IPC分类号： A61B17/16
CPC分类号： A61B17/32002 , A61B17/00234 , A61B2017/0023 , A61B2017/00477 , A61B2017/320032
摘要： A curved bur with an inner flexible member that is rotatably positioned within an outer tube. The curved bur has a design that constrains the flexible inner coil within the outer tube as the curved bur is rotated (without permitting the coil to stretch and to allow the bur tip to come out of the distal end of the outer tube). To ensure containment of the flexible coil within the outer tube, the outer tube is provided with a constraining neck feature at its distal end to allow the flexible inner assembly to be constrained within the outer tube, and to prevent bur extrusion. The constraining neck feature also centers the bur tip and prevents bur wobble. The curved bur may have a convex or concave bend configuration.
摘要翻译：具有可旋转地定位在外管内的内部柔性构件的弯曲凸起。弯曲的凸起具有当弯曲凸起旋转（不允许线圈拉伸并允许凸起尖端从外管的远端出来）时限制外管内的柔性内线圈的设计。为了确保在外管内容纳柔性线圈，外管在其远端处设置有约束颈部特征，以允许柔性内部组件被限制在外管内，并且防止毛刺挤压。约束颈部特征还使得头尖中心，并防止毛刺摆动。弯曲的凸起可以具有凸形或凹形弯曲构造。

7. 发明申请

US20110065997A1 REMOVABLE SUCTION ASSEMBLY FOR MEDICAL HANDPIECES 有权
标题翻译：医疗器械拆卸组件
公开(公告)号：US20110065997A1
公开(公告)日：2011-03-17
申请号：US12561866
申请日：2009-09-17
申请人： James Hamer , Philip O'Quinn , Kenneth M. Adams , Randall Hacker
发明人： James Hamer , Philip O'Quinn , Kenneth M. Adams , Randall Hacker
IPC分类号： A61M1/00 , A61B18/18 , A61B17/3201 , A61B17/32 , A61B17/28 , A61B1/12 , A61B1/32
CPC分类号： A61B17/32002 , A61B2017/00464 , A61M1/0041
摘要： Systems and methods provide for more efficient cleaning and sterilizing of surgical handpieces by using a removable valve assembly. The valve assembly is removable to provide access to a first suction passageway and a second suction passageway for cleaning purposes. The first suction passageway may also be removable.
摘要翻译：系统和方法通过使用可拆卸的阀组件来提供对外科手术器械的更有效的清洁和消毒。阀组件是可移除的，以提供进入第一吸入通道和第二吸入通道用于清洁目的。第一吸入通道也可以是可移除的。

8. 发明申请

US20080125799A1 Method of fabricating angled tissue cutting instruments 有权
标题翻译：制造角度组织切割仪器的方法
公开(公告)号：US20080125799A1
公开(公告)日：2008-05-29
申请号：US12005811
申请日：2007-12-28
申请人： Kenneth M. Adams
发明人： Kenneth M. Adams
IPC分类号： A61B17/32
CPC分类号： A61B17/32002 , A61B2017/00309 , A61B2017/2905 , A61B2017/320032 , A61B2217/005 , A61B2217/007
摘要： An angled tissue cutting instrument comprises an angled outer tubular member rotatably receiving a flexible inner tubular member. The inner member has a flexible region in correspondence with an angle of the outer member. The flexible region comprises a helically cut length portion of an elongate tubular body of the inner member and a continuous solid flexible surface secured to an outer surface of the body along the helically cut length portion. A method of fabricating a flexible inner tubular member involves forming a helical cut through the solid wall of a length portion of a tubular body and securing a continuous solid flexible surface to the outer surface of the body along the helically cut length portion to form a flexible region.
摘要翻译：成角度的组织切割仪器包括可旋转地接收柔性内部管状构件的成角度的外部管状构件。内部构件具有与外部构件的角度对应的柔性区域。柔性区域包括内部构件的细长管状体的螺旋形切割长度部分和沿螺旋切割长度部分固定到主体外表面的连续固体柔性表面。制造柔性内管状构件的方法包括：通过管状体的长度部分的固体壁形成螺旋切口，并将连续的实心柔性表面沿着螺旋形切割的长度部分固定到主体的外表面，以形成柔性地区。

9. 发明授权

US5601586A Variable angle rotating shaver 失效
标题翻译：可变角度旋转剃须刀
公开(公告)号：US5601586A
公开(公告)日：1997-02-11
申请号：US373165
申请日：1995-01-17
申请人： Joseph Fucci , Fred B. Dinger, III , A. Frank Trott , Kenneth M. Adams , William F. Mazurek
发明人： Joseph Fucci , Fred B. Dinger, III , A. Frank Trott , Kenneth M. Adams , William F. Mazurek
IPC分类号： A61B17/28 , A61B17/32 , A61B19/00
CPC分类号： A61B17/32002 , A61B2017/2927 , A61B2090/067 , A61M2209/04
摘要： A surgical cutting instrument having an elongated rotatable inner member provided with a cutting edge at its distal tip, the inner member adapted to rotate within an elongated outer tube having a window adjacent its distal end adapted to cooperate with the cutting edge of the inner member. The outer tube is provided with a portion thereof adjacent its distal end which enables the distal tip of the outer tube to be bent at an angle relative to the proximal portion of the outer tube. The outer tube may be bent by a user into a selected angular position with the aid of a tool calibrated in a plurality of discrete positions. The tool is adapted to enable the outer tube to be rotated to any selected position prior to being bent so that the window at the distal tip of the outer tube may be caused to face in any desired direction relative to the bend in the outer tube.
摘要翻译：一种具有细长的可旋转的内部构件的外科切割器具，所述内部构件在其远侧末端处设置有切割边缘，所述内部构件适于在细长的外管内旋转，该外部管具有邻近其远端的窗口，其适于与内部构件的切割边缘配合。外管设置有与其远端相邻的部分，其能够使外管的远端相对于外管的近端部分以一定角度弯曲。借助于在多个离散位置中校准的工具，外管可以由使用者弯曲成选定的角位置。工具适于使外管能够在弯曲之前旋转到任何选定的位置，使得可以使外管的远侧末端处的窗口相对于外管中的弯曲部在任何期望的方向上面对。

10. 发明授权

US07785337B2 Surgical micro-burring instrument and method of performing sinus surgery 有权
标题翻译：手术微型锉刀仪及鼻窦手术方法
公开(公告)号：US07785337B2
公开(公告)日：2010-08-31
申请号：US10657915
申请日：2003-09-09
申请人： Kenneth M. Adams , Cecil O. Lewis
发明人： Kenneth M. Adams , Cecil O. Lewis
IPC分类号： A61B17/32
CPC分类号： A61B17/1688 , A61B17/24 , A61B17/32002 , A61B2217/005 , A61B2217/007
摘要： A surgical micro-burring instrument including an outer tubular member coaxially maintaining an inner tubular member. The outer tubular member defines a proximal section, a distal section, and a central lumen extending from the proximal section to the distal section. The distal section forms a pocket and an elevator tip. The pocket has a bottom wall and an opposed upper opening. The elevator tip extends distal the pocket. The inner tubular member forms a bur received within the pocket. Upon final assembly, at least a portion of the bur is exposed relative to the outer tubular member via the upper opening of the pocket. The elevator tip is configured to facilitate lifting of soft tissue, such as mucosa, while positioning the bur, via the pocket, in an appropriate location for cutting contacted harder tissue, such as turbinate bone or septal bone/cartilage.
摘要翻译：一种手术微型毛刺装置，其包括同轴地保持内部管状构件的外部管状构件。外部管状构件限定近端部分，远端部分和从近端部分延伸到远端部分的中心腔。远侧部分形成一个口袋和一个电梯提示头。口袋具有底壁和相对的上开口。电梯尖端在口袋的远端延伸。内部管状构件形成容纳在口袋内的毛刺。在最终组装时，毛坯的至少一部分经由袋的上部开口相对于外管状构件露出。电梯提示头构造成便于软组织（例如粘膜）的提升，同时通过口袋将毛囊定位在合适的位置，用于切割接触较硬的组织，例如鼻骨骨或间隔骨/软骨。

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