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1. 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。

2. 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。

3. 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。

4. 发明授权

US06206822B1 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：US06206822B1
公开(公告)日：2001-03-27
申请号：US09347200
申请日：1999-07-02
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： A61B104
CPC分类号： A61M29/02 , A61B17/02 , A61B17/1671 , A61B17/3417 , A61B17/3421 , A61B90/50 , A61B2017/00261 , A61B2017/00296 , A61B2017/0046 , A61B2017/00469 , A61B2017/0262 , A61B2017/3445 , A61B2017/347 , A61B2090/306 , A61B2090/3614 , A61B2090/373 , A61M29/00
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 (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). 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。

5. 发明授权

US07993378B2 Methods for percutaneous spinal surgery 有权
标题翻译：经皮脊柱手术方法
公开(公告)号：US07993378B2
公开(公告)日：2011-08-09
申请号：US11714578
申请日：2007-03-06
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： A61B17/88 , A61F2/44
CPC分类号： A61M29/02 , A61B17/02 , A61B17/1671 , A61B17/3417 , A61B17/3421 , A61B90/50 , A61B2017/00261 , A61B2017/00296 , A61B2017/0046 , A61B2017/00469 , A61B2017/0262 , A61B2017/3445 , A61B2017/347 , A61B2090/306 , A61B2090/3614 , A61B2090/373 , A61M29/00
摘要： A method for accessing the spine includes making an incision in the skin of a patient. The skin and tissue can be dilated, and a cannula inserted through the dilated skin and tissue. The cannula includes a distal end positioned adjacent a first working space that includes paraspinous tissue. The cannula can be repositioned through the incision to a second working space adjacent the distal end of the cannula.
摘要翻译：用于访问脊柱的方法包括在患者的皮肤中进行切口。皮肤和组织可以扩张，插管穿过扩张的皮肤和组织。套管包括邻近包括棘突状组织的第一工作空间定位的远端。套管可以通过切口重新定位到邻近套管远端的第二工作空间。

6. 发明授权

US06520907B1 Methods for accessing the spinal column 有权
标题翻译：方法进入脊柱
公开(公告)号：US06520907B1
公开(公告)日：2003-02-18
申请号：US09449647
申请日：1999-11-30
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： A61B1313
CPC分类号： A61M29/02 , A61B17/02 , A61B17/1671 , A61B17/3417 , A61B17/3421 , A61B90/50 , A61B2017/00261 , A61B2017/00296 , A61B2017/0046 , A61B2017/00469 , A61B2017/0262 , A61B2017/3445 , A61B2017/347 , A61B2090/306 , A61B2090/3614 , A61B2090/373 , A61M29/00
摘要： A method for accessing the spine includes making an incision in the skin of a patient. The skin and tissue can be dilated, and a cannula inserted through the dilated skin and tissue. The cannula includes a distal end positioned adjacent a first working space that includes paraspinous tissue. The cannula can be repositioned through the incision to a second working space adjacent the distal end of the cannula.
摘要翻译：用于访问脊柱的方法包括在患者的皮肤中进行切口。皮肤和组织可以扩张，插管穿过扩张的皮肤和组织。套管包括邻近包括棘突状组织的第一工作空间定位的远端。套管可以通过切口重新定位到邻近套管远端的第二工作空间。

7. 发明授权

US6162170A 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：US6162170A
公开(公告)日：2000-12-19
申请号：US233880
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： A61B1/00 , A61B17/00 , A61B17/16 , A61B17/34 , A61B19/00 , A61M29/00
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 method for percutaneous surgery on the spine of a patient under direct visualization is performed through a single cannula having a predetermined length. The length is determined by measuring a distance from the lamina of a spinal vertebra to the skin of the patient, determining a first portion of the length to be less than the measured distance, and determining a second portion of the length to be about one fourth (1/4) the length of the first portion. The first portion is the length of the cannula to be introduced into the patient and the second portion extends external to the patient. This length is preferably 5.5 to 7.0 times greater than the transverse dimension of the cannula. Such dimensions for the cannula permits the longitudinal axis of a tool to be angled between 5 degrees and 8 degrees with respect to the longitudinal axis of the cannula.
摘要翻译：通过具有预定长度的单个插管来进行在直接可视化下对患者的脊柱进行经皮手术的方法。通过测量从脊椎椎板到患者皮肤的距离来确定长度，确定长度的第一部分小于测量的距离，并将长度的第二部分确定为大约四分之一（+ E，fra 1/4 + EE）第一部分的长度。第一部分是要引入患者的插管的长度，第二部分在患者外部延伸。该长度优选为插管的横向尺寸的5.5至7.0倍。用于插管的这种尺寸允许工具的纵向轴线相对于插管的纵向轴线在5度和8度之间成角度。

8. 发明授权

US06425859B1 Cannula and a retractor for percutaneous surgery 有权
标题翻译：插管和经皮手术牵开器
公开(公告)号：US06425859B1
公开(公告)日：2002-07-30
申请号：US09436946
申请日：1999-11-09
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： A61B132
CPC分类号： A61M29/02 , A61B17/02 , A61B17/1671 , A61B17/3417 , A61B17/3421 , A61B90/50 , A61B2017/00261 , A61B2017/00296 , A61B2017/0046 , A61B2017/00469 , A61B2017/0262 , A61B2017/3445 , A61B2017/347 , A61B2090/306 , A61B2090/3614 , A61B2090/373 , A61M29/00
摘要： A device for retracting tissue that includes a cannula and a retractor positionable in the working channel of the cannula. The retractor includes a working tip configured to atraumatically displace tissue as the retractor is manipulated through the tissue.
摘要翻译：一种用于回缩组织的装置，其包括可定位在插管的工作通道中的套管和牵开器。牵开器包括构造成在牵开器通过组织被操纵时不可抗力地移位组织的工作尖端。

9. 发明授权

US5954635A Devices and methods for percutaneous surgery 失效
公开(公告)号：US5954635A
公开(公告)日：1999-09-21
申请号：US920990
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 , A61B1/04
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.

10. 发明授权

US5902231A Devices and methods for percutaneous surgery 失效
标题翻译：用于经皮手术的装置和方法
公开(公告)号：US5902231A
公开(公告)日：1999-05-11
申请号：US736626
申请日：1996-10-24
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 , A61B1/00
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 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, 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：示出了在直接可视化下和通过单个插管进行经皮手术的装置和方法。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。

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