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1. 发明授权

US07953471B2 Method and apparatus for implantation between two vertebral bodies 有权
标题翻译：两个椎体之间植入的方法和装置
公开(公告)号：US07953471B2
公开(公告)日：2011-05-31
申请号：US12509868
申请日：2009-07-27
申请人： John B. Clayton , Y. Raja Rempersaud
发明人： John B. Clayton , Y. Raja Rempersaud
IPC分类号： A61B5/05
CPC分类号： A61B5/06 , A61B5/4504 , A61B5/4514 , A61B5/4528
摘要： A method and system to assist in a planning and navigation of procedure. Generally, the system allows for image acquisition of a selected area of the anatomy. The images may then be used to mark various points to determine true anatomical definitions and planes. The definitions may assist in positioning a prosthesis.
摘要翻译：一种协助程序规划和导航的方法和系统。通常，系统允许对解剖结构的选定区域的图像采集。然后可以使用图像来标记各个点以确定真实的解剖学定义和平面。这些定义可以帮助定位假体。

2. 发明申请

US20110301593A1 SURGICAL NAVIGATIONAL AND NEUROMONITORING INSTRUMENT 审中-公开
标题翻译：手术导航仪和神经元仪器
公开(公告)号：US20110301593A1
公开(公告)日：2011-12-08
申请号：US13105734
申请日：2011-05-11
申请人： Robert Teichman , Laurent Verard , Eric Ryterski , W. Keith Adcox , John B. Clayton , David Mire
发明人： Robert Teichman , Laurent Verard , Eric Ryterski , W. Keith Adcox , John B. Clayton , David Mire
IPC分类号： A61B18/18 , A61N1/00
CPC分类号： A61B6/506 , A61B17/02 , A61B17/1655 , A61B17/1671 , A61B17/8875 , A61B34/20 , A61B34/25 , A61B90/36 , A61B2017/00026 , A61B2017/00039 , A61B2017/00734 , A61B2034/105 , A61B2034/107 , A61B2034/2051 , A61B2034/256 , A61B2090/365 , A61N1/0551 , A61N1/36014
摘要： The invention relates to a surgical instrument capable of applying an electrostimulation to a neural structure. The surgical instrument also has a tracking system associated therewith to provide navigational tracking during a surgical procedure.
摘要翻译：本发明涉及能够对神经结构施加电刺激的外科器械。手术器械还具有与其相关联的跟踪系统，以在外科手术过程中提供导航跟踪。

3. 再颁专利

USRE39133E1 Percutaneous registration apparatus and method for use in computer-assisted surgical navigation 有权
公开(公告)号：USRE39133E1
公开(公告)日：2006-06-13
申请号：US10423332
申请日：2003-04-24
申请人： John B. Clayton , Anthony Melkent , Kevin T. Foley , Michael C. Sherman
发明人： John B. Clayton , Anthony Melkent , Kevin T. Foley , Michael C. Sherman
IPC分类号： A61B5/05
CPC分类号： A61B17/70 , A61B17/7032 , A61B17/7083 , A61B34/10 , A61B34/20 , A61B90/11 , A61B2017/00477 , A61B2034/2055 , A61B2034/2072 , A61B2090/363 , A61B2090/3945 , A61B2090/3983
摘要： An apparatus and procedures for percutaneous placement of surgical implants and instruments such as, for example, screws, rods, wires and plates into various body parts using image guided surgery. The invention includes an apparatus for use with a surgical navigation system, an attaching device rigidly connected to a body part, such as the spinous process of a vertebrae, with an identification superstructure rigidly but removably connected to the attaching device. This identification superstructure, for example, is a reference arc and fiducial array which accomplishes the function of identifying the location of the superstructure, and, therefore, the body part to which it is fixed, during imaging by CAT scan or MRI, and later during medical procedures.

4. 发明授权

US06681001B1 Computer integrated telecommunications systems and methods 失效
标题翻译：计算机集成电信系统和方法
公开(公告)号：US06681001B1
公开(公告)日：2004-01-20
申请号：US09131521
申请日：1998-08-10
申请人： John B. Clayton , Michael J. Newman , Steven M. Staudaher
发明人： John B. Clayton , Michael J. Newman , Steven M. Staudaher
IPC分类号： H04M342
CPC分类号： H04M3/42314 , H04M3/42323 , H04M3/533 , H04M7/12 , H04Q3/625 , H04Q2213/13031 , H04Q2213/13034 , H04Q2213/1305 , H04Q2213/13093 , H04Q2213/13103 , H04Q2213/13106 , H04Q2213/13209 , H04Q2213/1322 , H04Q2213/13292 , H04Q2213/13389
摘要： Computer integrated telecommunication systems are disclosed that provide a message exchange interface that transfers data and control requests generated by applications running on a computer system directly to a telecommunications unit that is adapted to respond to the data and control requests generated by these application programs. In particular, PBX systems are disclosed that include message exchange interfaces that provide fault tolerant operation and that directly map application programs running on a computer system into the controller element of the PBX system. Further systems are disclosed that provide message exchange interfaces that allow the efficient transfer of audio signals between a computer system and a telecommunication unit.
摘要翻译：公开了一种计算机集成电信系统，其提供一种消息交换接口，其将在计算机系统上运行的应用程序产生的数据和控制请求直接传送到电信单元，该电信单元适于响应数据并控制由这些应用程序生成的请求。特别地，公开了包括提供容错操作并将计算机系统上运行的应用程序直接映射到PBX系统的控制器元件的消息交换接口的PBX系统。公开了进一步的系统，其提供允许在计算机系统和电信单元之间有效传输音频信号的消息交换接口。

5. 发明授权

US06217509B1 Devices and methods for percutaneous surgery 有权
标题翻译：用于经皮手术的装置和方法
公开(公告)号：US06217509B1
公开(公告)日：2001-04-17
申请号：US09233879
申请日：1999-01-20
申请人： Kevin Thomas Foley , Maurice Mell Smith , John B. Clayton , Joseph Moctezuma
发明人： Kevin Thomas Foley , Maurice Mell Smith , John B. Clayton , Joseph Moctezuma
IPC分类号： A61B100
CPC分类号： A61M29/00 , A61B17/1671 , A61B17/3417 , A61B17/3421 , A61B90/361 , A61B90/50 , A61B2017/00261 , A61B2017/00296 , A61B2017/0046 , A61B2017/00469 , A61B2017/00477 , A61B2017/3445 , A61B2017/347 , A61B2090/062 , A61B2090/306 , A61B2090/3614 , A61B2090/373
摘要： A device (10) is provided which includes an elongated cannula (20) having a first inner diameter (DI) and an outer diameter (DO) sized for percutaneous introduction into a patient. The cannula (20) defines a working channel (25) between its ends (21, 22) which has a second diameter (D2) equal to the diameter (DI) of the cannula sized for receiving a tool therethrough. An elongated viewing element (50) is engageable to the cannula (20) adjacent the working channel (25), preferably by a fixture (30, 170). The fixture (30, 170) includes a housing/body (31, 171) attachable to the proximal end (22) of the cannula (20). The housing (31) defines an optics bore (60, 180) to support a viewing element (50) for translation and rotation relative to the cannula (20) so that the longitudinal axis of the optics bore (60, 180) will translate parallel to and rotate about the longitudinal axis of the working channel (25). Methods are also provided for performing surgeries percutaneously with direct visualization and without the requirement for a fluid-maintained workspace.
摘要翻译：提供了一种装置（10），其包括具有第一内径（DI）和外径（DO）的细长套管（20），所述第一内径（DI）和外径（DO）的尺寸用于经皮引入患者体内。套管（20）在其端部（21,22）之间限定工作通道（25），该工作通道具有等于套管的直径（DI）的第二直径（D2），该直径（DI）的尺寸用于容纳穿过其中的工具。细长的观察元件（50）可以优选地通过固定装置（30,170）与邻近工作通道（25）的插管（20）接合。固定器（30,170）包括可附接到套管（20）的近端（22）的壳体/主体（31,171）。壳体（31）限定光学孔（60,180）以支撑观察元件（50），用于相对于套管（20）的平移和旋转，使得光学孔（60,180）的纵向轴线将平行平移绕工作通道（25）的纵向轴线旋转并旋转。还提供了用于通过直接可视化经皮进行手术并且不需要流体维持的工作空间的方法。

6. 发明授权

US06176823B1 Fixture for supporting a viewing element within a cannula 有权
标题翻译：用于支撑套管内的观察元件的夹具
公开(公告)号：US06176823B1
公开(公告)日：2001-01-23
申请号：US09200010
申请日：1998-11-25
申请人： Kevin Thomas Foley , Maurice Mell Smith , John B. Clayton , Joseph Moctezuma
发明人： Kevin Thomas Foley , Maurice Mell Smith , John B. Clayton , Joseph Moctezuma
IPC分类号： A61B100
CPC分类号： A61M29/00 , A61B17/1671 , A61B17/3417 , A61B17/3421 , A61B90/361 , A61B90/50 , A61B2017/00261 , A61B2017/00296 , A61B2017/0046 , A61B2017/00469 , A61B2017/00477 , A61B2017/3445 , A61B2017/347 , A61B2090/062 , A61B2090/306 , A61B2090/3614 , A61B2090/373
摘要： A fixture for performing percutaneous surgery under direct visualization and through a single cannula includes a housing/body attachable to the proximal end of the cannula by a ring. The ring encircles the cannula and is provided with a pair of opposing arms defining a slot therebetween. A mechanism connected to the arms is operable to compress and release the arms such that the fixture can grip the cannula at a plurality of locations along the cannula. The housing/body includes a support column extending between the housing/body and the ring and an optics bore for supporting a portion of a viewing element.
摘要翻译：用于在直接可视化下和通过单个插管进行经皮手术的夹具包括通过环可附接到套管的近端的壳体/主体。该环围绕套管并且设置有一对在其间限定狭槽的相对臂。连接到臂的机构可操作以压缩和释放臂，使得夹具可以沿着套管沿着多个位置夹持套管。壳体/主体包括在壳体/主体和环之间延伸的支撑柱和用于支撑观察元件的一部分的光学孔。

7. 发明授权

US6167145A Bone navigation system 失效
标题翻译：骨导航系统
公开(公告)号：US6167145A
公开(公告)日：2000-12-26
申请号：US623956
申请日：1996-03-29
申请人： Kevin T. Foley , Kurt R. Smith , John B. Clayton
发明人： Kevin T. Foley , Kurt R. Smith , John B. Clayton
IPC分类号： G06F19/00 , G06T7/00 , G06K9/00
CPC分类号： G06F19/321 , G06F19/00 , G06T7/33 , G06T2207/10072 , G06T2207/10121 , G06T2207/10132 , G06T2207/30012 , G06T2207/30016
摘要： A system for use during a medical or surgical procedure on a body. The system generates a display representing the position of two or more body elements during the procedure based on an image data set generated by a scanner prior to the procedure. The image data set has reference points for each of the body elements, the reference points of a particular body element having a fixed spatial relation to the particular body element. The system includes an apparatus for identifying, during the procedure, the relative position of each of the reference points of each of the body elements to be displayed. The system also includes a processor for modifying the image data set according to the identified relative position of each of the reference points during the procedure, as identified by the identifying apparatus, said processor generating a displaced image data set representing the position of the body elements during the procedure. The system also includes a display utilizing the displaced image data set generated by the processor, illustrating the relative position of the body elements during the procedure. Methods relating to the system are also disclosed.
摘要翻译：在身体的医疗或外科手术过程中使用的系统。该系统基于在该过程之前由扫描器生成的图像数据集，在该过程期间生成表示两个或多个身体元件的位置的显示。图像数据集具有每个身体元素的参考点，特定身体元件的参考点与特定身体元件具有固定的空间关系。该系统包括用于在过程期间识别要显示的每个身体元素的每个参考点的相对位置的装置。该系统还包括处理器，用于根据识别装置识别的过程期间根据所识别的每个参考点的相对位置修改图像数据集，所述处理器生成表示身体元件的位置的位移图像数据集在程序中。该系统还包括使用由处理器生成的移位图像数据集的显示器，示出了在该过程期间主体元件的相对位置。还公开了与系统有关的方法。

8. 发明授权

US6007487A Tissue retractor for use through a cannula 失效
标题翻译：通过套管使用的组织牵开器
公开(公告)号：US6007487A
公开(公告)日：1999-12-28
申请号：US920991
申请日：1997-08-29
申请人： Kevin Thomas Foley , Maurice Mell Smith , John B. Clayton , Joseph Moctezuma
发明人： Kevin Thomas Foley , Maurice Mell Smith , John B. Clayton , Joseph Moctezuma
IPC分类号： A61B17/00 , A61B17/16 , A61B17/34 , A61B19/00 , A61M29/00 , A61B1/313
CPC分类号： A61M29/02 , A61B17/02 , A61B17/3417 , A61M29/00 , A61B17/1671 , A61B17/3421 , A61B2017/00261 , A61B2017/00296 , A61B2017/0046 , A61B2017/00469 , A61B2017/0262 , A61B2017/3445 , A61B2017/347 , A61B2090/306 , A61B2090/3614 , A61B2090/373 , A61B90/50
摘要： Devices and methods for performing percutaneous spinal surgery under direct visualization and through a single cannula are shown. A device (10) is provided which includes an elongated cannula (20) having a first inner diameter (D.sub.I) and an outer diameter (D.sub.O) sized for percutaneous introduction into a patient. The cannula (20) defines a working channel (25) between its ends (21, 22) which has a second diameter (D.sub.2) equal to the diameter (D.sub.I) of the cannula sized for receiving a tool therethrough. An elongated viewing element (50) is engageable to the cannula (20) adjacent the working channel (25), preferably by a fixture (30). The fixture (30) includes a housing (31) attachable to the proximal end (22) of the cannula (20) that defines a working channel opening (35) which is in communication with the working channel (25). The housing (31) also defines an optics bore (60) adjacent the working channel opening (35). In certain embodiments, the fixture (30) supports the viewing element (50) for translation and/or rotation within the optics bore (60) along the longitudinal axis of the bore, and for rotation of the housing (31) relative to the cannula (20) so that the longitudinal axis of the optics bore (60) will rotate about the longitudinal axis of the working channel (25). Methods are also provided for performing spinal surgeries percutaneously with direct visualization and without the requirement for a fluid-maintained workspace.
摘要翻译：示出了在直接可视化下和通过单个插管进行经皮脊柱手术的装置和方法。提供了一种装置（10），其包括具有第一内径（DI）和外径（DO）的细长套管（20），所述第一内径（DI）和外径（DO）的尺寸用于经皮引入患者体内。套管（20）在其端部（21,22）之间限定工作通道（25），该工作通道具有等于套管的直径（DI）的第二直径（D2），该直径（DI）的尺寸用于容纳穿过其中的工具。细长的观察元件（50）可以优选地通过夹具（30）与靠近工作通道（25）的套管（20）接合。固定装置（30）包括可连接到套管（20）的近端（22）的壳体（31），该壳体限定与工作通道（25）连通的工作通道开口（35）。壳体（31）还限定邻近工作通道开口（35）的光学孔（60）。在某些实施例中，固定装置（30）支撑观察元件（50），用于沿着孔的纵向轴线在光学孔眼（60）内平移和/或旋转，并且用于壳体（31）相对于插管（20），使得光学孔（60）的纵向轴线将围绕工作通道（25）的纵向轴线旋转。还提供了用于通过直接可视化经皮肤执行脊柱手术并且不需要流体维持的工作空间的方法。

9. 发明授权

US07835778B2 Method and apparatus for surgical navigation of a multiple piece construct for implantation 有权
标题翻译：用于植入的多片构造物的手术导航的方法和装置
公开(公告)号：US07835778B2
公开(公告)日：2010-11-16
申请号：US10687539
申请日：2003-10-16
申请人： Kevin T. Foley , Stacy Sprouse , David Mire , John B. Clayton , Mark W. Hunter
发明人： Kevin T. Foley , Stacy Sprouse , David Mire , John B. Clayton , Mark W. Hunter
IPC分类号： A61B5/00
CPC分类号： A61B17/8872 , A61B17/00234 , A61B17/1735 , A61B17/1757 , A61B17/7089 , A61B34/10 , A61B34/20 , A61B34/25 , A61B90/10 , A61B90/36 , A61B90/39 , A61B2017/00477 , A61B2034/107 , A61B2034/2055 , A61B2034/2068 , A61B2034/2072 , A61B2034/256 , A61B2090/365 , A61B2090/3983
摘要： A method and apparatus for percutaneous and/or minimally invasive implantation of a construct. The construct may be implanted using a navigation system for planning and execution of a procedure. A plurality of portions of the construct may be interconnected using locations and paths determined and navigated with the navigation system.
摘要翻译：一种用于经皮和/或微创植入结构的方法和装置。可以使用用于规划和执行程序的导航系统植入构造体。可以使用与导航系统确定和导航的位置和路径来互连该构造的多个部分。

10. 发明授权

US06482182B1 Anchoring system for a brain lead 有权
标题翻译：大脑刺激引导系统
公开(公告)号：US06482182B1
公开(公告)日：2002-11-19
申请号：US09389130
申请日：1999-09-02
申请人： Catalina J. Carroll , Jaimie Henderson , John B. Clayton , Phillip T. Ulberg
发明人： Catalina J. Carroll , Jaimie Henderson , John B. Clayton , Phillip T. Ulberg
IPC分类号： A61M532
CPC分类号： A61N1/0539 , A61M25/02 , A61M2025/0233 , A61M2210/0687
摘要： A brain lead anchoring system is described which allows for installation of a brain stimulation lead or a drug delivery catheter without the lead or catheter ever being unsupported during installation so that the lead or catheter does not move during the anchoring procedure. An anchor assembly contains an anchoring mechanism that is biased in the closed or anchoring position and is only open to allow installation of a lead when it is mated to an introducer instrument, which has prongs that open the anchoring mechanism. Once the lead is appropriately positioned within the brain and while the lead is still supported by the installation guiding device, the introducer instrument is withdrawn from the anchoring mechanism, which thus allows the anchoring mechanism to return to its closed position. A locking cap covers the aperture through the anchor assembly into the skull and mechanically ensures that the anchoring mechanism remains in the closed position. The anchor assembly also has channels in its top surface within which the lead may be inserted so that the lead may be lain flat on the surface of the patient's skull.
摘要翻译：描述了一种脑引导锚定系统，其允许安装脑刺激引线或药物递送导管，而不会在安装期间引导或导管不被支撑，使得在锚固过程期间引线或导管不移动。锚固组件包括锚定机构，该锚固机构在关闭或锚定位置被偏置，并且仅当打开以允许引线安装到具有打开锚定机构的插入件的导引器仪器的导引器仪器时才能安装。一旦引线被适当地定位在大脑内，并且引线仍然被安装引导装置支撑时，导引器器械将从锚定机构中退出，从而允许锚固机构返回其关闭位置。锁定盖将穿过锚固组件的孔覆盖到颅骨中并机械地确保锚定机构保持在关闭位置。锚固组件还在其顶表面中具有通道，在该顶部表面内可以插入引线，使得引线可能在患者头骨的表面上平坦。

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