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1. 发明申请

US20050080418A1 Instruments and methods for minimally invasive spine surgery 有权
标题翻译：用于微创脊柱手术的仪器和方法
公开(公告)号：US20050080418A1
公开(公告)日：2005-04-14
申请号：US10914983
申请日：2004-08-10
申请人： Robert Simonson , Timothy Beardsley , Douglas Bireley
发明人： Robert Simonson , Timothy Beardsley , Douglas Bireley
IPC分类号： A61B17/02 , A61B19/00 , A61M29/00 , A61B17/70
CPC分类号： A61B17/7083 , A61B17/0218 , A61B17/025 , A61B17/3417 , A61B17/3421 , A61B2017/0256 , A61B2017/3443 , A61B2090/062 , A61M29/00 , A61M29/02
摘要： A minimally invasive surgical method includes inserting a first port that defines a first pathway to a first vertebra, advancing a first anchor through the first port to the first vertebra, inserting a second port that defines a second pathway to a second vertebra, advancing a second anchor through the second port to the second vertebra, positioning a first end of a fixation element in the first port, and advancing the first end of the fixation element subcutaneously through an opening in the first port and an opening in second port to the second anchor. A surgical access port includes a proximal end, a distal end, and a sidewall defining a lumen extending from the proximal end to the distal end. The port may include a first opening formed in the sidewall that defines a passageway for medical hardware from the lumen to external to the port.
摘要翻译：微创手术方法包括将限定第一路径的第一端口插入第一椎骨，将第一锚固件穿过第一端口推进到第一椎骨，将限定第二路径的第二端口插入到第二椎骨，锚定通过第二端口到第二椎骨，将固定元件的第一端定位在第一端口中，并且通过第一端口中的开口皮肤地推进固定元件的第一端，并将第二端口中的开口延伸到第二锚。外科进入口包括近端，远端和限定从近端延伸到远端的内腔的侧壁。端口可以包括形成在侧壁中的第一开口，其限定用于医疗硬件从管腔到端口外部的通道。

2. 发明申请

US20050004593A1 Non cannulated dilators 审中-公开
标题翻译：无插管扩张器
公开(公告)号：US20050004593A1
公开(公告)日：2005-01-06
申请号：US10899707
申请日：2004-07-26
申请人： Robert Simonson
发明人： Robert Simonson
IPC分类号： A61B17/02 , A61B19/00 , A61M29/00
CPC分类号： A61M29/00 , A61B17/0218 , A61B17/025 , A61B2017/0256 , A61B2090/062
摘要： A non-cannulated dilator that is designed with a rigid elongated solid body and with a judiciously configured tip is utilized as the first dilator of a series of dilators which are inserted into the body of a patient for minimally invasive spinal surgery and is made from a solid elongated body, that could be round, ovoid or other cross sectional configuration whose diameter is greater than one and a half (1½) millimeter, and that includes a tool engaging end portion at the proximal end is sufficiently rigid so as not to bend and has a pointed shaped insertion end portion at the distal end with the point of the pointed end being discreetly blunted and utilized in a surgical procedure as a replacement of the typical guide wire and is characterized as providing a “fee” to the surgeon as it penetrates through the tissue and muscle of the patient as it proceeds toward the target.
摘要翻译：被设计为具有刚性细长实体并且具有明智配置的尖端的非插管式扩张器被用作一系列扩张器的第一扩张器，其被插入患者体内用于微创脊柱手术，并且由固体细长体，其可以是直径大于一个半（1/2）毫米的圆形，卵形或其他横截面构造，并且包括在近端处的工具接合端部是足够刚性的，以便不弯曲，在远端具有尖形形状的插入端部，尖端的点被谨慎地钝化并用于外科手术中以代替典型的导丝，并且其特征在于当外科医生穿透时向外科医生提供“费用” 通过患者的组织和肌肉进入目标。

3. 发明申请

US20060030861A1 Methods and devices for retracting tissue in minimally invasive surgery 审中-公开
公开(公告)号：US20060030861A1
公开(公告)日：2006-02-09
申请号：US11185921
申请日：2005-07-20
申请人： Robert Simonson , Eric Kolb , David Konieczynski , Jonathan Fanger , Michael Zajack , Michael Jacene
发明人： Robert Simonson , Eric Kolb , David Konieczynski , Jonathan Fanger , Michael Zajack , Michael Jacene
IPC分类号： A61F2/34
CPC分类号： A61B17/3421 , A61B17/00234 , A61B17/3439 , A61B17/7077 , A61B2017/00261 , A61B2017/3488 , A61F2002/30235 , A61F2002/4635 , A61F2230/0069
摘要： Minimally invasive methods and devices are described for providing access to a surgical site proximate the anterior region of a patient's spine. In an exemplary embodiment, the device is a cannula that includes a distal end adapted to mate with the anterior surface of a vertebra. An exemplary method includes positioning the cannula through an incision, placing the distal end of the cannula against the anterior surface of a vertebra, and performing a surgical procedure through the cannula. Instruments or spinal implants may be inserted through the cannula.

4. 发明申请

US20050216002A1 Configured and sized cannula 有权
标题翻译：配置和尺寸插管
公开(公告)号：US20050216002A1
公开(公告)日：2005-09-29
申请号：US11030218
申请日：2005-01-06
申请人： Robert Simonson
发明人： Robert Simonson
IPC分类号： A61B17/02 , A61M29/00 , A61B17/58
CPC分类号： A61B17/0218 , A61B1/32 , A61B17/025 , A61B17/3417 , A61B17/3421 , A61B17/56 , A61B17/7002 , A61B17/86 , A61B2017/0256 , A61B2017/3433 , A61B2017/3443 , A61B2017/564 , A61M29/02
摘要： A dilator retractor and the dilators that are used for minimally invasive spinal surgery or other surgery are configured to accommodate the anatomical structure of the patient as by configuring the cross sectional area in an elliptical shape, or by forming a funnel configuration with the wider end at the proximate end. In some embodiments the distal end is contoured to also accommodate the anatomical structure of the patient so that a cylindrically shaped, funnel shaped, ovoid shaped dilator retractor can be sloped or tunneled to accommodate the bone structure of the patient or provide access for implants. The dilator retractor is made with different lengths to accommodate the depth of the cavity formed by the dilators.
摘要翻译：用于微创脊柱手术或其他手术的扩张器牵开器和扩张器被配置成适应患者的解剖结构，如通过将横截面积配置为椭圆形，或通过形成具有更宽端部的漏斗形状近端。在一些实施例中，远端的轮廓也适应患者的解剖结构，使得圆柱形的漏斗形的卵形扩张器牵开器可以倾斜或隧道以适应患者的骨骼结构或为植入物提供通路。扩张器牵开器制成不同的长度以适应由扩张器形成的腔的深度。

5. 发明申请

US20050203490A1 Apparatus and method for targeting for surgical procedures 审中-公开
标题翻译：用于靶向外科手术的装置和方法
公开(公告)号：US20050203490A1
公开(公告)日：2005-09-15
申请号：US11125763
申请日：2005-05-10
申请人： Robert Simonson
发明人： Robert Simonson
IPC分类号： A61B17/17 , A61B19/00 , A61B1/32
CPC分类号： A61B17/1757 , A61B17/1703 , A61B90/39 , A61B2090/395
摘要： A targeting instrument that consists of an indicating surface that is a planar body that can be placed so as to lie on the skin of a patient or placed in a cavity in the patient where an operation is being performed by a surgeon, so as to align the operation site with the target being operated on by the surgeon. The targeting instrument can be dimensioned to match the size and shape of the cannula or the desired size of the surgical exposure and can include a stencil configuration to allow the surgeon to inscribe the target area on the skin of the patient. The targeting instrument may include a handle. The method of use is to insert the targeting instrument in the location where the target of the operation is and to hone in on the target with the use of an imaging device. In one method of use this will align the target, select the entry incision and allowing the surgeon to make an accurate and minimally sized incision. In other methods of use, the targeting instrument can be placed in proximity to the skin or thereon of the patient for locating anatomical targets, for localizing bony anatomy.
摘要翻译：一种靶向仪器，其由指示表面组成，该指示表面是平面体，其可以被放置以位于患者的皮肤上或者放置在患者的空腔中，其中由外科医生执行手术，以便对准目标的操作现场由外科医生操作。定位仪器的尺寸可以与套管的尺寸和形状或外科手术曝光的期望尺寸相匹配，并且可以包括模板配置，以允许外科医生将目标区域登记在患者皮肤上。靶向仪器可以包括手柄。使用的方法是将目标仪器插入操作目标位置并使用成像装置在目标上进行磨合。在一种使用方法中，这将对准目标，选择入口切口并允许外科医生做出精确和最小尺寸的切口。在其他使用方法中，靶向仪器可以放置在患者的皮肤附近或其上，以定位解剖学靶标，用于定位骨骼解剖结构。

6. 发明申请

US20060030858A1 Methods and devices for retracting tissue in minimally invasive surgery 审中-公开
标题翻译：在微创手术中回缩组织的方法和装置
公开(公告)号：US20060030858A1
公开(公告)日：2006-02-09
申请号：US11185910
申请日：2005-07-20
申请人： Robert Simonson , Eric Kolb , Bacem Georges , David Konieczynski
发明人： Robert Simonson , Eric Kolb , Bacem Georges , David Konieczynski
IPC分类号： A61B17/58
CPC分类号： A61B17/3421 , A61B17/00234 , A61B17/3439 , A61B17/7077 , A61B2017/00261 , A61B2017/3488 , A61F2002/30235 , A61F2002/4635 , A61F2230/0069
摘要： Minimally invasive methods and devices are described for providing access to a surgical site proximate the anterior region of a patient's spine. In an exemplary embodiment, the device is a cannula that includes a distal end adapted to mate with the anterior surface of a vertebra. An exemplary method includes positioning the cannula through an incision, placing the distal end of the cannula against the anterior surface of a vertebra, and performing a surgical procedure through the cannula. Instruments or spinal implants may be inserted through the cannula.
摘要翻译：描述了微创方法和装置，用于提供接近患者脊柱前部区域的手术部位。在示例性实施例中，该装置是套管，其包括适于与椎骨前表面配合的远端。示例性方法包括将插管定位穿过切口，将套管的远端放置在椎骨的前表面上，并且通过套管执行外科手术。仪器或脊髓植入物可以插入插管中。

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