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1. 发明申请

WO2003026482A3 SYSTEM AND METHODS FOR PERFORMING SURGICAL PROCEDURES AND ASSESSMENTS 审中-公开
公开(公告)号：WO2003026482A3
公开(公告)日：2003-04-03
申请号：PCT/US2002/030617
申请日：2002-09-25
申请人： NUVASIVE, INC. , GHARIB, James , KAULA, Norbert , FARQUHAR, Allen , FINLEY, Eric , ELBANNA, Jamil , MARTINELLI, Scot
发明人： GHARIB, James , KAULA, Norbert , FARQUHAR, Allen , FINLEY, Eric , ELBANNA, Jamil , MARTINELLI, Scot
IPC分类号： A61B5/04
摘要： The present invention involves systems (20) and related methods for performing surgical procedures and assessments, including the use of neurophysiology-based monitoring to: (a) determine nerve proximity and nerve direction to surgical instruments (30) employed in accessing a surgical target site; (b) assess the pathology (health or status) of a nerve or nerve root before, during, or after a surgical procedure; and/or (c) assess pedicle integrity before, during or after pedicle screw placement, all in an automated, easy to use, and easy to interpret fashion so as to provide a surgeon-driven system.

2. 发明申请

WO2003037170A3 SYSTEM AND METHODS FOR PERFORMING PERCUTANEOUS PEDICLE INTEGRITY ASSESSMENTS 审中-公开
公开(公告)号：WO2003037170A3
公开(公告)日：2003-05-08
申请号：PCT/US2002/035047
申请日：2002-10-30
申请人： NUVASIVE, INC. , MILES, Patrick , MARTINELLI, Scot , FINLEY, Eric , ELBANNA, Jamil , GHARIB, James , FARQUHAR, Allen , KAULA, Norbert
发明人： MILES, Patrick , MARTINELLI, Scot , FINLEY, Eric , ELBANNA, Jamil , GHARIB, James , FARQUHAR, Allen , KAULA, Norbert
IPC分类号： A61B5/04
摘要： The present invention involves systems (20) and related methods for performing percutaneous pedicle integrity assessments involving the use of neurophysiology. The fundamental method steps for performing the percutaneous pedicle integrity assessments include (a) percutaneously introducing an insulation member to a pedicle target site; (b) establishing electrical communication between a stimulation element and an interior of a pedicle screw pilot hole; (c) applying a stimulation signal to the stimulation element; and (d) monitoring to assess whether nerves adjacent the pedicle are innervating as a result of the step of applying the stimulation signal to the stimulation element.

3. 发明申请

WO2003037170A2 SYSTEM AND METHODS FOR PERFORMING PERCUTANEOUS PEDICLE INTEGRITY ASSESSMENTS 审中-公开
标题翻译：用于执行PERCUTANEOEO PEDICLE INTEGRITY评估的系统和方法
公开(公告)号：WO2003037170A2
公开(公告)日：2003-05-08
申请号：PCT/US2002/035047
申请日：2002-10-30
申请人： NUVASIVE, INC. , MILES, Patrick , MARTINELLI, Scot , FINLEY, Eric , ELBANNA, Jamil , GHARIB, James , FARQUHAR, Allen , KAULA, Norbert
发明人： MILES, Patrick , MARTINELLI, Scot , FINLEY, Eric , ELBANNA, Jamil , GHARIB, James , FARQUHAR, Allen , KAULA, Norbert
IPC分类号： A61B
CPC分类号： A61B5/0488 , A61B5/4893 , A61B17/7092 , A61N1/0551 , A61N1/08
摘要： The present invention involves systems and related methods for performing percutaneous pedicle integrity assessments involving the use of neurophysiology.
摘要翻译：本发明涉及用于执行涉及使用神经生理学的经皮椎弓根完整性评估的系统和相关方法。

4. 发明申请

WO2010147829A1 EXPANDING INTERVERTEBRAL DEVICE AND METHODS OF USE 审中-公开
标题翻译：扩展椎间融合器件及其使用方法
公开(公告)号：WO2010147829A1
公开(公告)日：2010-12-23
申请号：PCT/US2010/038028
申请日：2010-06-09
申请人： TRINITY ORTHOPEDICS, LLC , MARINO, James, F. , ELBANNA, Jamil
发明人： MARINO, James, F. , ELBANNA, Jamil
IPC分类号： A61B17/88 , A61B17/70
CPC分类号： A61B17/8858 , A61B17/7098 , A61B17/8811 , A61B2017/00867
摘要： Disclosed is a spinal stabilization device having a plurality of elongate arms having a distal end portion and a proximal end portion, wherein the elongate arms define an interior volume between the distal end portion and the proximal end portion; at least one limit band coupled circumferentially to one or more of the plurality of elongate arms; and a tensioning element positioned within the interior volume. The plurality of elongate arms can transition from a constrained, delivery configuration that is radially contracted and axially elongated to a relaxed, deployment configuration that is radially expanded and axially shortened.
摘要翻译：公开了一种脊椎稳定装置，其具有多个具有远端部分和近端部分的细长臂，其中细长臂限定了在远端部分和近端部分之间的内部容积; 至少一个极限带，其周向地耦合到所述多个细长臂中的一个或多个; 以及定位在内部容积内的张紧元件。多个细长臂可以从径向收缩和轴向延伸的约束的输送构型转变成径向膨胀和轴向缩短的松弛的展开构型。

5. 发明申请

WO2015120165A1 ANCHOR DEVICES AND METHODS OF USE 审中-公开
标题翻译：锚固装置及其使用方法
公开(公告)号：WO2015120165A1
公开(公告)日：2015-08-13
申请号：PCT/US2015/014645
申请日：2015-02-05
申请人： MARINO, James, F. , ELBANNA, Jamil
发明人： MARINO, James, F. , ELBANNA, Jamil
IPC分类号： A61B17/04 , A61F2/08
CPC分类号： A61B17/0401 , A61B2017/00986 , A61B2017/0403 , A61B2017/0438 , A61B2017/0446 , A61B2017/0454 , A61F2/0811 , A61F2002/0835 , A61F2002/0864 , A61F2002/0888
摘要： An anchor device (10) for attaching materials within bone including a body (15) having a distal end region, a proximal end region, and a plurality of struts extending between the distal end region to the proximal end region and at least partially surrounding an interior volume of the body. The anchor device includes an attachment feature (40) positioned within the interior volume of the body and coupled near the distal end region. The attachment feature is configured to secure material to the body. Upon removal of a constraint and after delivery of the anchor device into bone, the body (15) passively transitions from a constrained, delivery configuration that is radially contracted and axially elongated to a relaxed, deployment configuration that is radially expanded and axially shortened.
摘要翻译：一种用于在骨骼内附着材料的锚定装置（10），包括具有远端区域的本体（15），近端区域和在远端区域与近端区域之间延伸的多个支柱，并且至少部分地围绕身体内部体积。锚定装置包括定位在主体的内部容积内并连接在远端区域附近的附接特征（40）。附件特征被配置成将材料固定到身体上。在去除约束并且在将锚固装置递送到骨中之后，主体（15）被从径向收缩并且轴向延伸的约束的输送构型被动地过渡到径向膨胀和轴向缩短的松弛的展开构型。

6. 发明申请

WO2018125834A1 SURGICAL NAVIGATION USING A GUIDE FOR INSTRUMENTATION POSITIONING 审中-公开
公开(公告)号：WO2018125834A1
公开(公告)日：2018-07-05
申请号：PCT/US2017/068303
申请日：2017-12-22
申请人： MARINO, James, F. , ELBANNA, Jamil
发明人： MARINO, James, F. , ELBANNA, Jamil
IPC分类号： A61B18/04
摘要： The disclosed devices and methods relate to fixing (i.e., positioning) a multiaxial reference sensor (e.g., inclinometer(s) and compass sensor) or a mechanical guide to the skeletal anatomy in a known orientation, and then utilizing this reference sensor or mechanical guide to position instrumentation and/or implants with a second multiaxial positioning sensor or via a guide rod that provides spatial positioning information relative to the reference sensor or skeletally fixed references.

7. 发明申请

WO2009111480A2 SPOOL INTERVERTEBRAL DISTRACTION DEVICE AND METHOD 审中-公开
公开(公告)号：WO2009111480A2
公开(公告)日：2009-09-11
申请号：PCT/US2009/035887
申请日：2009-03-03
申请人： TRINITY ORTHOPEDICS, LLC , MARINO, James , ELBANNA, Jamil
发明人： MARINO, James , ELBANNA, Jamil
IPC分类号： A61B17/28
CPC分类号： A61B17/8872 , A61B2017/0256 , A61F2/0095 , A61F2/442 , A61F2/4611 , A61F2002/30293 , A61F2002/30324 , A61F2002/30331 , A61F2002/30429 , A61F2002/30492 , A61F2002/30616 , A61F2002/30617 , A61F2002/4627 , A61F2002/4629 , A61F2220/0025 , A61F2220/0033 , A61F2230/0091 , A61F2250/0036 , A61F2250/0097 , A61F2310/00017 , A61F2310/00023
摘要： An intervertebral disc space distraction system includes a spool core sized to be percutaneously positioned within a portion of a disc space between adjacent vertebral bodies, the spool core having a first diameter. The system further includes an elongate film removably attached to the spool core, wherein the elongate film can be wound around the spool core to increase the first diameter of the spool core.
摘要翻译：椎间盘空间牵引系统包括卷轴芯，其尺寸设置成经皮定位在相邻椎体之间的盘片空间的一部分内，卷轴芯具有第一直径。该系统还包括可移除地附接到卷轴芯的细长膜，其中，细长膜可卷绕在卷轴芯上以增加卷轴芯的第一直径。

8. 发明申请

WO2010045383A2 INSERTION AND REDUCTION TOOL FOR PEDICLE SCREW ASSEMBLY 审中-公开
标题翻译：螺钉螺钉组件的插入和缩小工具
公开(公告)号：WO2010045383A2
公开(公告)日：2010-04-22
申请号：PCT/US2009/060711
申请日：2009-10-14
申请人： TRINITY ORTHOPEDICS, LLC , MARINO, James, F. , ELBANNA, Jamil
发明人： MARINO, James, F. , ELBANNA, Jamil
IPC分类号： A61B17/88
CPC分类号： A61B17/7037 , A61B17/7002 , A61B17/7038 , A61B17/7076 , A61B17/7086 , A61B17/7091
摘要： Disclosed are devices, methods and systems for manipulating a pedicle screw assembly and for inserting and reducing a rod relative to the pedicle screw assembly. The system can include a cannula assembly having a reduction cannula with an internal bore extending between a proximal region and a distal region and an insertion cannula co-axially positioned within the internal bore of the reduction cannula. The insertion cannula includes a pair of opposed prongs extending distally from a distal region of the insertion cannula, wherein each prong is interposed between a pair of flexible projecting elements. The pair of opposed prongs of the insertion cannula and the distal region of the reduction cannula are aligned to collectively define an opening that is sized and shaped for receiving a spinal rod. The device also can include an annular collar mounted on the proximal region of the reduction cannula and rotatably coupled to a proximal region of the insertion cannula. The cannula assembly can also be a pivoting cannula assembly.
摘要翻译：公开了用于操纵椎弓根螺钉组件以及用于相对于椎弓根螺钉组件插入和缩小杆的装置，方法和系统。该系统可以包括套管组件，该套管组件具有减压插管和插入插管，该减压插管具有在近侧区域和远侧区域之间延伸的内孔，该插管同轴定位在减缩套管的内孔内。插入套管包括从插入套管的远侧区域向远侧延伸的一对相对的叉，其中每个叉插入在一对柔性突出元件之间。插入套管的一对相对的叉尖和缩小套管的远侧区域对齐以共同限定开口，该开口的尺寸和形状被设计成用于接收脊柱杆。该装置还可以包括安装在减缩套管的近侧区域上并且可旋转地联接到插入套管的近侧区域的环形套环。套管组件也可以是枢转套管组件。

9. 发明申请

WO2009143496A1 DEVICES AND METHODS FOR SPINAL REDUCTION, DISPLACEMENT AND RESECTION 审中-公开
标题翻译：用于脊柱减少，移位和排列的装置和方法
公开(公告)号：WO2009143496A1
公开(公告)日：2009-11-26
申请号：PCT/US2009/045088
申请日：2009-05-22
申请人： TRINITY ORTHOPEDICS, LLC , MARINO, James , ELBANNA, Jamil
发明人： MARINO, James , ELBANNA, Jamil
IPC分类号： A61B17/16
CPC分类号： A61B17/1617 , A61B17/1671
摘要： Disclosed are minimally-invasive methods, devices and systems for performing multiple therapeutic procedures in the spine through small access portals of sufficient dimension that minimize trauma to the patient and surrounding tissue. The devices described herein use the mechanical principals of radial expansion resulting from linear approximation of an elastic or hinged element that can be deformed. The deformable element can be biased to displace or bend in a particular direction such as away from an axis of shortening thereby providing space in which a spinal treatment can be performed or wherein the space created is the spinal treatment desired. Additionally, the expanded dimensions of the device can be used to manipulate tissue, as in reduction, dissection, or resection efforts.
摘要翻译：公开了用于通过足够尺寸的小型进入门户在脊柱中执行多个治疗程序的最小侵入性方法，装置和系统，其最小化对患者和周围组织的创伤。本文描述的装置使用由可以变形的弹性或铰链元件的线性近似导致的径向膨胀的机械原理。可变形元件可被偏置以在特定方向上移位或弯曲，例如远离起酥油的轴线，从而提供可进行脊柱治疗的空间，或者其中产生的空间是所需的脊柱治疗。此外，装置的扩展尺寸可用于操作组织，如减少，解剖或切除努力。

10. 发明申请

WO2016191416A1 ANCHOR DEVCES AND METHODS OF USE 审中-公开
标题翻译：锚固件及其使用方法
公开(公告)号：WO2016191416A1
公开(公告)日：2016-12-01
申请号：PCT/US2016/033906
申请日：2016-05-24
申请人： MARINO, James, F. , ELBANNA, Jamil
发明人： MARINO, James, F. , ELBANNA, Jamil
IPC分类号： A61F2/08 , A61B17/04
CPC分类号： A61B17/0401 , A61B2017/00004 , A61B2017/00867 , A61B2017/00986 , A61B2017/0403 , A61B2017/0409 , A61B2017/042 , A61B2017/0438 , A61B2017/0451 , A61B2017/0496 , A61F2/0811 , A61F2002/0852 , A61F2002/0858 , A61F2002/0888
摘要： The method of fixing soft tissue to bone includes placing an anchor device superficial to a segment of soft tissue superficially juxtaposed to a unicortical blind hole in a bone, the anchor device having a relaxed state characterized by a first outer dimension. The method includes driving the soft tissue segment into the blind hole using the anchor device. The anchor device transiently constricts to a constricted state during insertion through the blind hole, the constricted state characterized by a second outer dimension that is smaller than the first outer dimension. The method includes trapping a portion of the soft tissue segment between a portion of the anchor device and a portion of the bone when at least a portion of the anchor device is disposed sub-cortically and relaxes towards the relaxed state. Related devices, systems and methods are also described.
摘要翻译：将软组织固定在骨头上的方法包括将锚固装置放置在与骨骼中的单皮质盲孔表面并列的软组织的一段上，该锚定装置具有以第一外部尺寸为特征的松弛状态。该方法包括使用锚定装置将软组织段驱动到盲孔中。在穿过盲孔的插入过程中，锚定装置暂时收缩到收缩状态，收缩状态的特征在于小于第一外部尺寸的第二外部尺寸。该方法包括当锚定装置的至少一部分被皮质地设置并朝向松弛状态放松时，将锚定装置的一部分与骨的一部分之间的一部分软组织区段捕获。还描述了相关设备，系统和方法。

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