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1. 发明授权

US06699244B2 Electrosurgical instrument having a chamber to volatize a liquid 有权
标题翻译：电外科器械具有使液体挥发的室
公开(公告)号：US06699244B2
公开(公告)日：2004-03-02
申请号：US10124954
申请日：2002-04-17
申请人： J. Remberto Carranza , Hugh R. Sharkey , John E. Ashley , Gary S. Fanton
发明人： J. Remberto Carranza , Hugh R. Sharkey , John E. Ashley , Gary S. Fanton
IPC分类号： A61B1814
CPC分类号： A61B18/148 , A61B18/1482 , A61B18/1492 , A61B2017/320008 , A61B2018/00434 , A61B2018/00625 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/1472 , A61B2218/002 , A61N1/06 , A61N1/40
摘要： An electrosurgical instrument is provided which includes a holding formation, a probe shaft, an electric conductor, and a probe tip. The probe shaft is secured to the holding formation and has an elongated section extending therefrom. The electric conductor extends along the elongated section. The probe tip is located on a distal end of the probe shaft opposing the holding formation. The probe tip defines a volatization chamber with a mouth out of the probe tip. The probe tip includes an electrode, to which RF current is provided through the electric conductor. The electrode heats an area adjacent to the probe tip. The electrode also heats a liquid in the first volatization chamber to evaporate the liquid into a vapor pocket that ejects from the first volatization chamber through the mouth out of the probe tip. A pump effect is created so that the liquid maintains the probe tip at a more stable temperature.
摘要翻译：提供了一种电外科器械，其包括保持结构，探针轴，电导体和探针尖端。探头轴固定在保持结构上，并具有从其延伸的细长部分。电导体沿着细长部分延伸。探针尖端位于与保持结构相对的探针轴的远端上。探针尖端限定了具有探针尖端的口的挥发室。探针尖端包括电极，通过电导体提供RF电流。电极加热与探针尖端相邻的区域。电极还加热第一挥发室中的液体以将液体蒸发成从第一挥发室通过探针尖端喷出的蒸气袋。产生泵效应，使得液体将探针尖端保持在更稳定的温度。

2. 发明授权

US06757565B2 Electrosurgical instrument having a predetermined heat profile 失效
标题翻译：具有预定热分布的电外科器械
公开(公告)号：US06757565B2
公开(公告)日：2004-06-29
申请号：US10071470
申请日：2002-02-08
申请人： Hugh R. Sharkey , John E. Ashley , Kobi Iki
发明人： Hugh R. Sharkey , John E. Ashley , Kobi Iki
IPC分类号： A61F712
CPC分类号： A61B18/148
摘要： An electrosurgical instrument is provided, having a holding formation, an elongated probe, an electrode, and a conductor. The elongated probe is connected to and extends from the holding formation. The electrode is located on an end of the elongated probe opposing the holding formation, and has a leading edge and a face. The electrode is locatable so that the face is substantially in a horizontal plane and the leading edge is above the horizontal plane. The conductor extends along the elongated probe and has a portion connected to the electrode to provide RF power thereto. The electrode creates a temperature profile with a temperature adjacent to the leading edge being higher than a temperature adjacent to the face.
摘要翻译：提供了一种具有保持结构，细长探针，电极和导体的电外科器械。细长的探针连接到保持结构并从保持结构延伸。电极位于与保持结构相对的细长探针的端部上，并且具有前缘和面。电极是可定位的，使得所述面基本上处于水平面并且前缘在水平面之上。导体沿着细长的探针延伸并且具有连接到电极的部分以向其提供RF功率。电极产生温度曲线，其中与前缘相邻的温度高于与面相邻的温度。

3. 发明授权

US06749605B2 Catheter for delivery of energy to a surgical site 有权
标题翻译：导管将能量输送到手术部位
公开(公告)号：US06749605B2
公开(公告)日：2004-06-15
申请号：US09776186
申请日：2001-02-01
申请人： John E. Ashley , Hugh R. Sharkey , Joel Saal , Jeffrey A. Saal
发明人： John E. Ashley , Hugh R. Sharkey , Joel Saal , Jeffrey A. Saal
IPC分类号： A61B1818
CPC分类号： A61B18/082 , A61B10/02 , A61B17/00491 , A61B17/1671 , A61B17/29 , A61B17/320016 , A61B17/3203 , A61B17/3421 , A61B17/3496 , A61B18/00 , A61B18/14 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/1492 , A61B18/18 , A61B18/24 , A61B34/20 , A61B2017/00022 , A61B2017/00084 , A61B2017/0011 , A61B2017/00119 , A61B2017/00261 , A61B2017/00274 , A61B2017/003 , A61B2017/00336 , A61B2017/00455 , A61B2017/00867 , A61B2017/22044 , A61B2017/22049 , A61B2017/22082 , A61B2017/22087 , A61B2017/2905 , A61B2017/2927 , A61B2017/320008 , A61B2017/320044 , A61B2017/32113 , A61B2017/3445 , A61B2017/3488 , A61B2018/00011 , A61B2018/00267 , A61B2018/00434 , A61B2018/0044 , A61B2018/00547 , A61B2018/00625 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/046 , A61B2018/1266 , A61B2018/1405 , A61B2018/1407 , A61B2018/1412 , A61B2018/1425 , A61B2018/1435 , A61B2018/1455 , A61B2018/1472 , A61B2018/1807 , A61B2090/0454 , A61B2090/061 , A61B2090/064 , A61B2090/3937 , A61B2217/005 , A61B2217/007 , A61B2218/002 , A61B2218/007 , A61F2/442 , A61F2002/30677 , A61F2007/0298 , A61M25/0144 , A61M25/0155 , A61M25/0158 , A61M2025/0063 , A61M2025/0064 , A61M2025/0163 , A61N1/06 , A61N1/40
摘要： A catheter for delivering energy to a surgical site is disclosed. The catheter includes at a proximal end a handle and at a distal end a probe. The catheter includes at least one energy delivery device and an activation element. The at least one energy delivery device is located at the distal end of the catheter to deliver energy to portions of the surgical site. The activation element is located at the distal end of the catheter, to transition the probe from a linear to a multi-dimensional shape, within the surgical site. Methods for deploying the probe from the linear to multi-dimensional shape are disclosed. In another embodiment of the invention, the catheter includes a heating element fabricated on a substrate by photo-etching to deliver thermal energy to portions of the surgical site. In another embodiment of the invention, the catheter includes an energy delivery element, a tip and a blade. The energy delivery element is located at the distal end of the catheter to deliver energy to portions of the intervertebral disc. The blade is positioned within a first lumen of the tip and is extensible beyond the tip, to cut selected portions within the intervertebral disc. In another embodiment of the invention, a catheter includes both energy and material transfer elements and an interface on the handle thereof. The interface couples the energy delivery element and the material transfer element to external devices for energy and material transfer to and from the intervertebral disc.
摘要翻译：公开了一种用于向外科手术部位输送能量的导管。导管在近端处包括手柄，并且在远端处包括探针。导管包括至少一个能量输送装置和激活元件。所述至少一个能量输送装置位于所述导管的远端，以将能量传递到手术部位的部分。激活元件位于导管的远端，以将探针从线性过渡到多维形状，在手术部位内。公开了将探针从线性部分展开到多维形状的方法。在本发明的另一个实施例中，导管包括通过光蚀刻在基底上制造的加热元件，以将热能传递到手术部位的部分。在本发明的另一个实施例中，导管包括能量输送元件，尖端和一个刀片。能量输送元件位于导管的远端，以将能量传递给椎间盘的部分。刀片定位在尖端的第一内腔内并且可延伸超过尖端，以切割椎间盘内的所选部分。在本发明的另一个实施例中，导管包括能量和材料转移元件以及手柄上的界面。该界面将能量输送元件和材料传递元件耦合到外部装置，以将能量和材料转移到椎间盘和从椎间盘传递。

4. 发明授权

US07309336B2 Catheter for delivery of energy to a surgical site 有权
标题翻译：导管将能量输送到手术部位
公开(公告)号：US07309336B2
公开(公告)日：2007-12-18
申请号：US10898671
申请日：2004-07-26
申请人： John E. Ashley , Hugh R. Sharkey , Joel Saal , Jeffrey A. Saal
发明人： John E. Ashley , Hugh R. Sharkey , Joel Saal , Jeffrey A. Saal
IPC分类号： A61B18/18
CPC分类号： A61B18/082 , A61B10/02 , A61B17/00491 , A61B17/1671 , A61B17/29 , A61B17/320016 , A61B17/3203 , A61B17/3421 , A61B17/3496 , A61B18/00 , A61B18/14 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/1492 , A61B18/18 , A61B18/24 , A61B34/20 , A61B2017/00022 , A61B2017/00084 , A61B2017/0011 , A61B2017/00119 , A61B2017/00261 , A61B2017/00274 , A61B2017/003 , A61B2017/00336 , A61B2017/00455 , A61B2017/00867 , A61B2017/22044 , A61B2017/22049 , A61B2017/22082 , A61B2017/22087 , A61B2017/2905 , A61B2017/2927 , A61B2017/320008 , A61B2017/320044 , A61B2017/32113 , A61B2017/3445 , A61B2017/3488 , A61B2018/00011 , A61B2018/00267 , A61B2018/00434 , A61B2018/0044 , A61B2018/00547 , A61B2018/00625 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/046 , A61B2018/1266 , A61B2018/1405 , A61B2018/1407 , A61B2018/1412 , A61B2018/1425 , A61B2018/1435 , A61B2018/1455 , A61B2018/1472 , A61B2018/1807 , A61B2090/0454 , A61B2090/061 , A61B2090/064 , A61B2090/3937 , A61B2217/005 , A61B2217/007 , A61B2218/002 , A61B2218/007 , A61F2/442 , A61F2002/30677 , A61F2007/0298 , A61M25/0144 , A61M25/0155 , A61M25/0158 , A61M2025/0063 , A61M2025/0064 , A61M2025/0163 , A61N1/06 , A61N1/40
摘要： A catheter for delivering energy to a surgical site is disclosed. The catheter includes at a proximal end a handle and at a distal end a probe. The catheter includes at least one energy delivery device and an activation element. The at least one energy delivery device is located at the distal end of the catheter to deliver energy to portions of the surgical site. The activation element is located at the distal end of the catheter, to transition the probe from a linear to a multi-dimensional shape, within the surgical site. Methods for deploying the probe from the linear to multi-dimensional shape are disclosed.In another embodiment of the invention the catheter includes a heating element fabricated on a substrate by photo-etching to deliver thermal energy to portions of the surgical site. In another embodiment of the invention the catheter includes an energy delivery element, a tip and a blade. The energy delivery element is located at the distal end of the catheter to deliver energy to portions of the intervertebral disc. The blade is positioned within a first lumen of the tip and is extensible beyond the tip, to cut selected portions within the intervertebral disc. In another embodiment of the invention a catheter includes both energy and material transfer elements and an interface on the handle thereof. The interface couples the energy delivery element and the material transfer element to external devices for energy and material transfer to and from the intervertebral disc.
摘要翻译：公开了一种用于向外科手术部位输送能量的导管。导管在近端处包括手柄，并且在远端处包括探针。导管包括至少一个能量输送装置和激活元件。所述至少一个能量输送装置位于所述导管的远端，以将能量传递到手术部位的部分。激活元件位于导管的远端，以将探针从线性过渡到多维形状，在手术部位内。公开了将探针从线性部分展开到多维形状的方法。在本发明的另一个实施例中，导管包括通过光蚀刻在衬底上制造的加热元件，以将热能传递到手术部位的部分。在本发明的另一个实施例中，导管包括能量输送元件，尖端和刀片。能量输送元件位于导管的远端，以将能量传递给椎间盘的部分。刀片定位在尖端的第一内腔内并且可延伸超过尖端，以切割椎间盘内的所选部分。在本发明的另一个实施例中，导管包括能量和材料转移元件以及其手柄上的界面。该界面将能量输送元件和材料传递元件耦合到外部装置，以将能量和材料转移到椎间盘和从椎间盘传递。

5. 发明授权

US06767347B2 Catheter for delivery of energy to a surgical site 有权
标题翻译：导管将能量输送到手术部位
公开(公告)号：US06767347B2
公开(公告)日：2004-07-27
申请号：US09776231
申请日：2001-02-01
申请人： Hugh R. Sharkey , Joel Saal , Jeffrey A. Saal , John E. Ashley
发明人： Hugh R. Sharkey , Joel Saal , Jeffrey A. Saal , John E. Ashley
IPC分类号： A61B1818
CPC分类号： A61B18/082 , A61B10/02 , A61B17/00491 , A61B17/1671 , A61B17/29 , A61B17/320016 , A61B17/3203 , A61B17/3421 , A61B17/3496 , A61B18/00 , A61B18/14 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/1492 , A61B18/18 , A61B18/24 , A61B34/20 , A61B2017/00022 , A61B2017/00084 , A61B2017/0011 , A61B2017/00119 , A61B2017/00261 , A61B2017/00274 , A61B2017/003 , A61B2017/00336 , A61B2017/00455 , A61B2017/00867 , A61B2017/22044 , A61B2017/22049 , A61B2017/22082 , A61B2017/22087 , A61B2017/2905 , A61B2017/2927 , A61B2017/320008 , A61B2017/320044 , A61B2017/32113 , A61B2017/3445 , A61B2017/3488 , A61B2018/00011 , A61B2018/00267 , A61B2018/00434 , A61B2018/0044 , A61B2018/00547 , A61B2018/00625 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/046 , A61B2018/1266 , A61B2018/1405 , A61B2018/1407 , A61B2018/1412 , A61B2018/1425 , A61B2018/1435 , A61B2018/1455 , A61B2018/1472 , A61B2018/1807 , A61B2090/0454 , A61B2090/061 , A61B2090/064 , A61B2090/3937 , A61B2217/005 , A61B2217/007 , A61B2218/002 , A61B2218/007 , A61F2/442 , A61F2002/30677 , A61F2007/0298 , A61M25/0144 , A61M25/0155 , A61M25/0158 , A61M2025/0063 , A61M2025/0064 , A61M2025/0163 , A61N1/06 , A61N1/40
摘要： A catheter for delivering energy to a surgical site is disclosed. The catheter includes at a proximal end a handle and at a distal end a probe. The catheter includes at least one energy delivery device and an activation element. The at least one energy delivery device is located at the distal end of the catheter to deliver energy to portions of the surgical site. The activation element is located at the distal end of the catheter, to transition the probe from a linear to a multi-dimensional shape, within the surgical site. Methods for deploying the probe from the linear to multi-dimensional shape are disclosed. In another embodiment of the invention, the catheter includes a heating element fabricated on a substrate by photo-etching to deliver thermal energy to portions of the surgical site. In another embodiment of the invention, the catheter includes an energy delivery element, a tip and a blade. The energy delivery element is located at the distal end of the catheter to deliver energy to portions of the intervertebral disc. The blade is positioned within a first lumen of the tip and is extensible beyond the tip, to cut selected portions within the intervertebral disc. In another embodiment of the invention, a catheter includes both energy and material transfer elements and an interface on the handle thereof. The interface couples the energy delivery element and the material transfer element to external devices for energy and material transfer to and from the intervertebral disc.

6. 发明授权

US06258086B1 Catheter for delivery of energy to a surgical site 有权
标题翻译：导管将能量输送到手术部位
公开(公告)号：US06258086B1
公开(公告)日：2001-07-10
申请号：US09272806
申请日：1999-03-19
申请人： John E. Ashley , Hugh R. Sharkey , Joel Saal , Jeff A. Saal
发明人： John E. Ashley , Hugh R. Sharkey , Joel Saal , Jeff A. Saal
IPC分类号： A61B1818
CPC分类号： A61B18/082 , A61B10/02 , A61B17/00491 , A61B17/1671 , A61B17/29 , A61B17/320016 , A61B17/3203 , A61B17/3421 , A61B17/3496 , A61B18/00 , A61B18/14 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/1492 , A61B18/18 , A61B18/24 , A61B34/20 , A61B2017/00022 , A61B2017/00084 , A61B2017/0011 , A61B2017/00119 , A61B2017/00261 , A61B2017/00274 , A61B2017/003 , A61B2017/00336 , A61B2017/00455 , A61B2017/00867 , A61B2017/22044 , A61B2017/22049 , A61B2017/22082 , A61B2017/22087 , A61B2017/2905 , A61B2017/2927 , A61B2017/320008 , A61B2017/320044 , A61B2017/32113 , A61B2017/3445 , A61B2017/3488 , A61B2018/00011 , A61B2018/00267 , A61B2018/00434 , A61B2018/0044 , A61B2018/00547 , A61B2018/00625 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/046 , A61B2018/1266 , A61B2018/1405 , A61B2018/1407 , A61B2018/1412 , A61B2018/1425 , A61B2018/1435 , A61B2018/1455 , A61B2018/1472 , A61B2018/1807 , A61B2090/0454 , A61B2090/061 , A61B2090/064 , A61B2090/3937 , A61B2217/005 , A61B2217/007 , A61B2218/002 , A61B2218/007 , A61F2/442 , A61F2002/30677 , A61F2007/0298 , A61M25/0144 , A61M25/0155 , A61M25/0158 , A61M2025/0063 , A61M2025/0064 , A61M2025/0163 , A61N1/06 , A61N1/40
摘要： A catheter for delivering energy to a surgical site is disclosed. The catheter includes at a proximal end a handle and at a distal end a probe. The catheter includes at least one energy delivery device and an activation element. The at least one energy delivery device is located at the distal end of the catheter to deliver energy to portions of the surgical site. The activation element is located at the distal end of the catheter, to transition the probe from a linear to a multi-dimensional shape, within the surgical site. Methods for deploying the probe from the linear to multi-dimensional shape are disclosed.
摘要翻译：公开了一种用于向外科手术部位输送能量的导管。导管在近端处包括手柄，并且在远端处包括探针。导管包括至少一个能量输送装置和激活元件。所述至少一个能量输送装置位于所述导管的远端，以将能量传递到手术部位的部分。激活元件位于导管的远端，以将探针从线性过渡到多维形状，在手术部位内。公开了将探针从线性部分展开到多维形状的方法。

7. 发明授权

US08696751B2 Adjustable distraction cage with linked locking mechanisms 有权
标题翻译：可调节牵引笼与链接锁定机构
公开(公告)号：US08696751B2
公开(公告)日：2014-04-15
申请号：US12787281
申请日：2010-05-25
申请人： John E. Ashley , Philip J. Simpson , Walter Dean Gillespie , Damien J. Shulock , Murali Kadaba , David G. Matsuura , George A. Mansfield, III , Thomas Grotz , Rudy Pretti
发明人： John E. Ashley , Philip J. Simpson , Walter Dean Gillespie , Damien J. Shulock , Murali Kadaba , David G. Matsuura , George A. Mansfield, III , Thomas Grotz , Rudy Pretti
IPC分类号： A61F2/44
CPC分类号： A61F2/441 , A61F2/30742 , A61F2/442 , A61F2/4455 , A61F2/4611 , A61F2002/30079 , A61F2002/3008 , A61F2002/30133 , A61F2002/30365 , A61F2002/30405 , A61F2002/30476 , A61F2002/30484 , A61F2002/30499 , A61F2002/30505 , A61F2002/30514 , A61F2002/30522 , A61F2002/30525 , A61F2002/3055 , A61F2002/30551 , A61F2002/30565 , A61F2002/30579 , A61F2002/30581 , A61F2002/30589 , A61F2002/30601 , A61F2002/30841 , A61F2002/482 , A61F2002/485 , A61F2210/009 , A61F2220/0025 , A61F2220/0033 , A61F2230/0015 , A61F2250/0007 , A61F2250/0069 , A61F2250/0098 , A61F2310/00017 , A61F2310/00023
摘要： A spinal implant which is configured to be deployed between adjacent vertebral bodies. The implant has at least one extendable support element with a refracted configuration to facilitate deployment of the implant and an extended configuration so as to expand the implant and effectively distract the disc space, stabilize the motion segments and eliminate pathologic spine motion. The implant has a minimal dimension in its unexpanded state that is smaller than the dimensions of the neuroforamen through which it typically passes to be deployed within the intervertebral space. The implant is provided with a locking system having a plurality of linked locking elements that work in unison to lock the implant in an extended configuration. Bone engaging anchors also may be provided to ensure secure positioning.
摘要翻译：脊柱植入物，其构造成部署在相邻的椎体之间。植入物具有至少一个具有折射构造的可延伸的支撑元件，以便于植入物的展开和延伸的构造，以便扩大植入物并有效地分散椎间盘空间，稳定运动节段并消除病理脊柱运动。植入物在其未展开状态下具有小于其通常通过的神经孔的尺寸的最小尺寸，以被部署在椎间空间内。植入物具有锁定系统，该锁定系统具有多个连接的锁定元件，其一致地工作以将植入物锁定在延伸构造中。也可以提供骨接合锚，以确保安全的定位。

8. 发明授权

US08435296B2 Hydraulically actuated expanding spine cage with extendable locking anchor 有权
公开(公告)号：US08435296B2
公开(公告)日：2013-05-07
申请号：US12548260
申请日：2009-08-26
申请人： Murali Kadaba , Philip J. Simpson , John E. Ashley , Walter Dean Gillespie , Thomas Grotz , George A. Mansfield, III , David G. Matsuura , Rudy Pretti
发明人： Murali Kadaba , Philip J. Simpson , John E. Ashley , Walter Dean Gillespie , Thomas Grotz , George A. Mansfield, III , David G. Matsuura , Rudy Pretti
IPC分类号： A61F2/44
CPC分类号： A61F2/44 , A61F2/30742 , A61F2/442 , A61F2/4455 , A61F2002/30079 , A61F2002/3008 , A61F2002/30133 , A61F2002/30365 , A61F2002/30405 , A61F2002/30476 , A61F2002/30484 , A61F2002/30499 , A61F2002/30505 , A61F2002/30514 , A61F2002/30522 , A61F2002/30525 , A61F2002/3055 , A61F2002/30579 , A61F2002/30581 , A61F2002/30589 , A61F2002/30601 , A61F2002/30841 , A61F2002/482 , A61F2002/485 , A61F2210/009 , A61F2220/0025 , A61F2220/0033 , A61F2230/0015 , A61F2250/0007 , A61F2250/0069 , A61F2250/0098 , A61F2310/00017 , A61F2310/00023
摘要： A spinal implant which is configured to be deployed between adjacent vertebral bodies. The implant has at least one extendable support element with a retracted configuration to facilitate deployment of the implant and an extended configuration so as to expand the implant and effectively distract the disc space, stabilize the motion segments and eliminate pathologic spine motion. Angular deformities can also be corrected, and natural curvatures restored. Preferably, the implant has a minimal dimension in its unexpanded state that is smaller than the dimensions of the neuroforamen through which it typically passes to be deployed within the intervertebral space. The implant is provided with a locking system preferably having a plurality of locking elements to lock the implant in an extended configuration. Bone engaging anchors also may be provided to ensure secure positioning.

9. 发明授权

US08192495B2 Lockable spinal implant 有权
标题翻译：可锁定脊柱植入物
公开(公告)号：US08192495B2
公开(公告)日：2012-06-05
申请号：US12384622
申请日：2009-04-07
申请人： Philip J. Simpson , David G. Matsuura , Walter Dean Gillespie , George A. Mansfield, III , John E. Ashley
发明人： Philip J. Simpson , David G. Matsuura , Walter Dean Gillespie , George A. Mansfield, III , John E. Ashley
IPC分类号： A61F2/44
CPC分类号： A61F2/44 , A61F2/30742 , A61F2/442 , A61F2/4455 , A61F2002/30079 , A61F2002/3008 , A61F2002/30133 , A61F2002/30365 , A61F2002/30405 , A61F2002/30476 , A61F2002/30484 , A61F2002/30499 , A61F2002/30505 , A61F2002/30514 , A61F2002/30522 , A61F2002/30525 , A61F2002/3055 , A61F2002/30579 , A61F2002/30581 , A61F2002/30589 , A61F2002/30601 , A61F2002/30841 , A61F2002/482 , A61F2002/485 , A61F2210/009 , A61F2220/0025 , A61F2220/0033 , A61F2230/0015 , A61F2250/0007 , A61F2250/0069 , A61F2250/0098 , A61F2310/00017 , A61F2310/00023
摘要： A spinal implant which is configured to be deployed between adjacent vertebral bodies. The implant has at least one extendable support element with a retracted configuration to facilitate deployment of the implant and an extended configuration so as to expand the implant and effectively distract the disc space, stabilize the motion segments and eliminate pathologic spine motion. Angular deformities can also be corrected, and natural curvatures restored. Preferably, the implant has a minimal dimension in its unexpanded state that is smaller than the dimensions of the neuroforamen through which it typically passes to be deployed within the intervertebral space. The implant is provided with a locking system preferably having a plurality of locking elements to lock the implant in an extended configuration.
摘要翻译：脊柱植入物，其构造成部署在相邻的椎体之间。植入物具有至少一个具有缩回构型的可延伸的支撑元件，以便于植入物的展开和延伸构造，以便扩大植入物并有效地分散椎间盘空间，稳定运动节段并消除病理脊柱运动。角度畸形也可以被修正，自然曲率恢复。优选地，植入物在其未展开状态下具有小于其通常通过以在椎间空间内展开的神经孔的尺寸的最小尺寸。植入物设置有锁定系统，优选地具有多个锁定元件以将植入物锁定在延伸构造中。

10. 发明授权

US06176857B1 Method and apparatus for applying thermal energy to tissue asymmetrically 失效
标题翻译：将热能不对称地施加到组织的方法和装置
公开(公告)号：US06176857B1
公开(公告)日：2001-01-23
申请号：US09158320
申请日：1998-09-22
申请人： John E. Ashley
发明人： John E. Ashley
IPC分类号： A61B1804
CPC分类号： A61B18/08 , A61B18/1482 , A61B2018/00023 , A61B2018/00029 , A61B2018/00047 , A61B2018/00821
摘要： Systems and methods are described for treating tissue with thermal energy while minimizing the amount of thermal energy to which adjacent tissue is exposed. A surgical instrument for delivering thermal energy to a section of tissue during percutaneous surgery, includes: an elongated shaft having a proximal end and a distal end; and a split tip electrode coupled to the distal end, the split tip electrode i) including a first component and a second component coupled to the first component, and ii) defining a principle axis. The thermal energy is delivered to the section of tissue so as to heat the section of tissue asymmetrically with regard to the principle axis of the split tip electrode. The systems and methods provide advantages in that thermal energy can be directed to one side of the split tip so that a first of two juxtaposed areas of a surgical site can be heated while a second of the two juxtaposed layers is substantially not heated. In alternate embodiments a portion of the site may be actively cooled while an adjacent portion of the site may be actively cooled.
摘要翻译：描述了用热处理组织同时最小化相邻组织暴露的热能量的系统和方法。用于在经皮手术期间将热能递送到组织的一部分的手术器械包括：具有近端和远端的细长轴; 以及联接到所述远端的分离尖端电极，所述分离尖端电极i）包括耦合到所述第一部件的第一部件和第二部件，以及ii）限定主轴线。将热能输送到组织的部分，以便相对于分裂尖端电极的主轴线不对称地加热组织的部分。该系统和方法提供的优点在于，热能可以被引导到分裂尖端的一侧，使得可以加热手术部位的两个并置的区域中的第一个，而两个并置的层中的第二个基本上不被加热。在替代实施例中，站点的一部分可以被主动冷却，同时站点的相邻部分可以被主动冷却。

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