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61. 发明申请

US20110224710A1 METHODS, SYSTEMS AND DEVICES FOR CARPAL TUNNEL RELEASE 有权
标题翻译：用于卡通隧道泄漏的方法，系统和设备
公开(公告)号：US20110224710A1
公开(公告)日：2011-09-15
申请号：US13112918
申请日：2011-05-20
申请人： Jeffery L. Bleich
发明人： Jeffery L. Bleich
IPC分类号： A61B17/32 , A61N1/00
CPC分类号： A61B17/320016 , A61B17/149 , A61B17/1671 , A61B17/29 , A61B17/32002 , A61B17/32053 , A61B17/320758 , A61B17/3401 , A61B17/3403 , A61B17/3421 , A61B17/3496 , A61B18/02 , A61B18/04 , A61B18/1442 , A61B18/1477 , A61B18/1487 , A61B90/04 , A61B2017/00261 , A61B2017/00287 , A61B2017/003 , A61B2017/00867 , A61B2017/320004 , A61B2017/320044 , A61B2017/32006 , A61B2017/3445 , A61B2017/3447 , A61B2018/00577 , A61B2018/00589 , A61B2018/1407 , A61B2018/1425 , A61B2090/061 , A61B2090/08021 , A61N1/0551 , A61N1/36017
摘要： Described herein are methods, systems, and devices for performing a minimally invasive carpal tunnel release procedure to cut a target transverse carpal ligament. In some embodiments, the method may include the steps of advancing a probe percutaneously though a patient's skin from a first location, advancing a tissue modification device from the first location and between the target ligament and non-target tissue so that a proximal handle on the tissue modification device extends from the patient at the first location, attaching a distal handle in communication with the distal end of the tissue modification device. In some embodiments, a system may include a probe configured to be advanced percutaneously though a patient's skin from a first location, a tissue modification device comprising a proximal handle and a flexible distal region having uni-directional blades, and a distal handle configured to connect to the distal end of the tissue modification device.
摘要翻译：本文描述了用于执行微创腕管释放程序以切割目标横腕腕韧带的方法，系统和装置。在一些实施例中，该方法可以包括以下步骤：通过患者皮肤从第一位置经皮穿过探针，使组织改变装置从第一位置推进，并且在目标韧带与非目标组织之间，使得近端手柄组织改变装置在第一位置处从患者延伸，附接与组织改变装置的远端连通的远侧手柄。在一些实施例中，系统可以包括探针，其被配置为通过来自第一位置的患者皮肤，包括近侧手柄的组织改变装置和具有单向刀片的柔性远侧区域经皮进行，以及被配置为连接到组织改变装置的远端。

62. 发明授权

US07738969B2 Devices and methods for selective surgical removal of tissue 有权
公开(公告)号：US07738969B2
公开(公告)日：2010-06-15
申请号：US12357289
申请日：2009-01-21
申请人： Jeffery L. Bleich
发明人： Jeffery L. Bleich
IPC分类号： A61B5/04 , A61B5/05 , A61B10/00 , A61B17/00 , A61B17/56 , A61F5/04 , A61N1/00
CPC分类号： A61B17/320758 , A61B17/1671 , A61B17/29 , A61B17/320016 , A61B17/32002 , A61B17/32053 , A61B17/3401 , A61B17/3403 , A61B17/3421 , A61B17/3496 , A61B18/1477 , A61B18/1487 , A61B90/04 , A61B2017/00261 , A61B2017/00287 , A61B2017/003 , A61B2017/00867 , A61B2017/320004 , A61B2017/320044 , A61B2017/32006 , A61B2018/1407 , A61B2018/1425 , A61B2090/061 , A61B2090/08021 , A61F2/0045 , A61N1/0551 , A61N1/36017
摘要： Methods and apparatus are provided for selective surgical removal of tissue. In one variation, tissue may be ablated, resected, removed, or otherwise remodeled by standard small endoscopic tools delivered into the epidural space through an epidural needle. The sharp tip of the needle in the epidural space, can be converted to a blunt tipped instrument for further safe advancement. The current invention includes specific tools that enable safe tissue modification in the epidural space, including a barrier that separates the area where tissue modification will take place from adjacent vulnerable neural and vascular structures. A nerve stimulator may be provided to reduce a risk of inadvertent neural abrasion.

63. 发明授权

US07578819B2 Spinal access and neural localization 有权
标题翻译：脊柱进入和神经定位
公开(公告)号：US07578819B2
公开(公告)日：2009-08-25
申请号：US11457416
申请日：2006-07-13
申请人： Jeffery L. Bleich , Ron Leguidleguid , Jefferey Bleam
发明人： Jeffery L. Bleich , Ron Leguidleguid , Jefferey Bleam
IPC分类号： A61B5/05 , A61B5/04 , A61B17/00 , A61B18/04 , A61B17/56 , A61B17/20 , A61N1/00
CPC分类号： A61B17/1626 , A61B17/1671 , A61B17/1757 , A61B17/8861 , A61B17/8897
摘要： A method in which a probe is advanced between a neural tissue structure and a non-neural tissue structure such as the intervertebral foramen. The probe includes electrodes on opposite surfaces. Threshold currents required to stimulate action potentials for each electrode are determined. A ratio of the threshold currents are calculated. Tissue is removed from the non-neural tissue structure when the ratio is greater than a predetermined threshold.
摘要翻译：探针在神经组织结构与诸如椎间孔的非神经组织结构之间前进的方法。探头包括相对表面上的电极。确定刺激每个电极的动作电位所需的阈值电流。计算阈值电流的比率。当该比例大于预定阈值时，从非神经组织结构中去除组织。

64. 发明授权

US08652138B2 Flexible tissue rasp 有权
标题翻译：柔性组织锉
公开(公告)号：US08652138B2
公开(公告)日：2014-02-18
申请号：US13243095
申请日：2011-09-23
申请人： Jeffery L. Bleich , Edwin J. Hlavka
发明人： Jeffery L. Bleich , Edwin J. Hlavka
IPC分类号： A61B17/00
CPC分类号： A61B17/1659 , A61B17/00234 , A61B17/02 , A61B17/1671 , A61B17/1757 , A61B17/320016 , A61B17/32002 , A61B17/3421 , A61B2017/00261 , A61B2017/00867 , A61B2017/32006 , A61B2017/3488 , A61B2090/08021
摘要： Methods and devices are described for modifying tissue in a spine of a patient to treat or alleviate spinal stenosis. In one embodiment, a method may include: advancing at least a distal portion of an elongate tissue modification device into an epidural space and between target tissue and non-target tissue in the spine; positioning the tissue modification device so that at least one abrasive surface of the device faces target tissue and at least one non-abrasive surface faces non-target tissue; applying tensioning force at or near separate distal and proximal portions of the tissue modification device; and translating the tissue modification device back and forth while maintaining at least some tensioning force to abrade at least a portion of the target tissue with the at least one abrasive surface. Unwanted damage to the non-target tissue may be prevented via the at least one non-abrasive surface.
摘要翻译：描述了用于修改患者脊柱中的组织以治疗或减轻脊柱狭窄的方法和装置。在一个实施例中，一种方法可以包括：将细长组织修饰装置的至少远端部分推进到脊柱中的硬膜外腔和目标组织与非靶组织之间; 定位组织改变装置使得装置的至少一个研磨表面面向靶组织，并且至少一个非研磨表面面向非靶组织; 在组织改变装置的分离的远侧和近端部分处或附近施加张紧力; 并且在保持至少一些张紧力的同时使所述组织改变装置来回移动，以利用所述至少一个研磨表面磨蚀所述目标组织的至少一部分。可以通过至少一个非研磨表面来防止对非目标组织的不良伤害。

65. 发明授权

US08585704B2 Flexible tissue removal devices and methods 有权
标题翻译：灵活的组织去除装置和方法
公开(公告)号：US08585704B2
公开(公告)日：2013-11-19
申请号：US13267683
申请日：2011-10-06
申请人： Gregory P. Schmitz , Jeffery L. Bleich , Steven A. Spisak , Roy Leguidleguid , Jefferey Bleam
发明人： Gregory P. Schmitz , Jeffery L. Bleich , Steven A. Spisak , Roy Leguidleguid , Jefferey Bleam
IPC分类号： A61B17/00 , A61B17/14 , A61B17/32
CPC分类号： A61B17/1671 , A61B17/00234 , A61B17/02 , A61B17/149 , A61B17/1659 , A61B17/1757 , A61B17/32 , A61B17/320016 , A61B17/32002 , A61B17/3421 , A61B2017/00261 , A61B2017/00867 , A61B2017/320004 , A61B2017/32006 , A61B2017/3488 , A61B2090/08021
摘要： A device for removing tissue from a patient may include an elongate flexible body having a proximal end, a distal end, and a longitudinal axis therebetween, the elongate body having opposed first and second major surfaces with a lateral orientation across the axis, and a plurality of blades distributed laterally across the first major surface. Each blade may have a first end adjacent the first surface and extending to a cantilevered second end, a first edge between the first and second ends of the blade being oriented toward the distal end of the elongate body, a second edge between the first and second ends of the blade being oriented toward the proximal end of the elongate body, a height of the blade between its first and second ends, and an axial length of the blade between its first and second edges.
摘要翻译：用于从患者去除组织的装置可以包括具有近端，远端和其间的纵向轴线的细长柔性体，所述细长体具有相对的第一和第二主表面，横向穿过轴线具有横向取向，并且多个的叶片横向分布在第一主表面上。每个叶片可以具有邻近第一表面的第一端并且延伸到悬臂的第二端，叶片的第一和第二端之间的第一边缘朝向细长主体的远端定向，第一边缘在第一和第二端之间叶片的端部朝向细长体的近端定向，叶片在其第一和第二端之间的高度以及叶片在其第一和第二边缘之间的轴向长度。

66. 发明申请

US20120239041A1 DEVICES AND METHODS FOR TISSUE MODIFICATION 有权
标题翻译：用于组织修改的装置和方法
公开(公告)号：US20120239041A1
公开(公告)日：2012-09-20
申请号：US13484744
申请日：2012-05-31
申请人： Jeffery L. Bleich , Edwin J. Hlavka
发明人： Jeffery L. Bleich , Edwin J. Hlavka
IPC分类号： A61B17/00
CPC分类号： A61B17/320016 , A61B17/1671 , A61B17/29 , A61B17/32002 , A61B17/32053 , A61B17/320758 , A61B17/3401 , A61B17/3403 , A61B17/3421 , A61B17/3496 , A61B18/1477 , A61B18/1487 , A61B90/04 , A61B2017/00261 , A61B2017/00287 , A61B2017/003 , A61B2017/00867 , A61B2017/320004 , A61B2017/320044 , A61B2017/32006 , A61B2017/3445 , A61B2017/3447 , A61B2018/1407 , A61B2018/1425 , A61B2090/061 , A61B2090/08021 , A61N1/0551 , A61N1/36017
摘要： Methods and apparatus are provided for selective surgical removal of tissue. In one variation, tissue may be ablated, resected, removed, or otherwise remodeled by standard small endoscopic tools delivered into the epidural space through an epidural needle. The sharp tip of the needle in the epidural space, can be converted to a blunt tipped instrument for further safe advancement. The current invention includes specific tools that enable safe tissue modification in the epidural space, including a barrier that separates the area where tissue modification will take place from adjacent vulnerable neural and vascular structures. A nerve stimulator may be provided to reduce a risk of inadvertent neural abrasion.
摘要翻译：提供了用于选择性手术去除组织的方法和装置。在一个变化中，组织可以被通过硬膜外针递送到硬膜外腔的标准小内窥镜工具进行消融，切除，去除或其它改造。在硬膜外腔中的尖锐尖端，可以转换成钝器，以进一步安全推进。本发明包括能够在硬膜外腔中进行安全组织修复的特定工具，包括将相邻的脆弱神经和血管结构发生组织修饰的区域分开的屏障。可以提供神经刺激器以减少无意神经磨损的风险。

67. 发明授权

US08221397B2 Devices and methods for tissue modification 有权
标题翻译：组织修饰的装置和方法
公开(公告)号：US08221397B2
公开(公告)日：2012-07-17
申请号：US12428369
申请日：2009-04-22
申请人： Jeffery L. Bleich , Edwin J. Hlavka
发明人： Jeffery L. Bleich , Edwin J. Hlavka
IPC分类号： A61B17/00
CPC分类号： A61B17/320016 , A61B17/1671 , A61B17/29 , A61B17/32002 , A61B17/32053 , A61B17/320758 , A61B17/3401 , A61B17/3403 , A61B17/3421 , A61B17/3496 , A61B18/1477 , A61B18/1487 , A61B90/04 , A61B2017/00261 , A61B2017/00287 , A61B2017/003 , A61B2017/00867 , A61B2017/320004 , A61B2017/320044 , A61B2017/32006 , A61B2017/3445 , A61B2017/3447 , A61B2018/1407 , A61B2018/1425 , A61B2090/061 , A61B2090/08021 , A61N1/0551 , A61N1/36017
摘要： Methods and apparatus are provided for selective surgical removal of tissue. In one variation, tissue may be ablated, resected, removed, or otherwise remodeled by standard small endoscopic tools delivered into the epidural space through an epidural needle. The sharp tip of the needle in the epidural space, can be converted to a blunt tipped instrument for further safe advancement. The current invention includes specific tools that enable safe tissue modification in the epidural space, including a barrier that separates the area where tissue modification will take place from adjacent vulnerable neural and vascular structures. A nerve stimulator may be provided to reduce a risk of inadvertent neural abrasion.
摘要翻译：提供了用于选择性手术去除组织的方法和装置。在一个变化中，组织可以被通过硬膜外针递送到硬膜外腔的标准小内窥镜工具进行消融，切除，去除或其它改造。在硬膜外腔中的尖锐尖端，可以转换成钝器，以进一步安全推进。本发明包括能够在硬膜外腔中进行安全组织修复的特定工具，包括将相邻的脆弱神经和血管结构发生组织修饰的区域分开的屏障。可以提供神经刺激器以减少无意神经磨损的风险。

68. 发明授权

US07857813B2 Tissue access guidewire system and method 有权
标题翻译：组织接触导丝系统及方法
公开(公告)号：US07857813B2
公开(公告)日：2010-12-28
申请号：US11468247
申请日：2006-08-29
申请人： Gregory Schmitz , Jefferey Bleam , Roy Leguidleguid , Jeffery L. Bleich
发明人： Gregory Schmitz , Jefferey Bleam , Roy Leguidleguid , Jeffery L. Bleich
IPC分类号： A61B10/00 , A61B17/00 , A61M25/00 , A61F11/00
CPC分类号： A61B17/00 , A61B1/3135 , A61B17/00234 , A61B17/0482 , A61B17/0483 , A61B17/1604 , A61B17/1611 , A61B17/1659 , A61B17/1671 , A61B17/1757 , A61B17/8897 , A61B2017/00477 , A61M25/09
摘要： A method and system for guiding at least a portion of a surgical device to a desired position between two tissues in a patient's body involves coupling a guidewire to the device and pulling the distal end of the guidewire to guide at least a portion of the surgical device to a desired position between the two tissues. The surgical device generally includes one or more guidewire coupling members and may comprise a tissue access device. A system may include a guidewire and a surgical device. In some embodiments, a guidewire, a tissue access device, and one or more additional devices to use with the access device may be provided. Methods, devices and systems may be used in open, less-invasive or percutaneous surgical procedures, in various embodiments.
摘要翻译：用于将外科装置的至少一部分引导到患者身体的两个组织之间的期望位置的方法和系统包括将导丝连接到装置并拉动导丝的远端以引导手术装置的至少一部分到两个组织之间的期望位置。手术装置通常包括一个或多个导丝联接构件，并且可以包括组织接近装置。系统可以包括导丝和外科装置。在一些实施例中，可以提供导丝，纸巾接近装置以及与接入装置一起使用的一个或多个附加装置。在各种实施例中，方法，装置和系统可以用于开放式，小侵入性或经皮外科手术。

69. 发明申请

US20090204119A1 DEVICES AND METHODS FOR TISSUE MODIFICATION 有权
标题翻译：用于组织修改的装置和方法
公开(公告)号：US20090204119A1
公开(公告)日：2009-08-13
申请号：US12428369
申请日：2009-04-22
申请人： Jeffery L. Bleich , Edwin J. Hlavka
发明人： Jeffery L. Bleich , Edwin J. Hlavka
IPC分类号： A61B17/56
CPC分类号： A61B17/320016 , A61B17/1671 , A61B17/29 , A61B17/32002 , A61B17/32053 , A61B17/320758 , A61B17/3401 , A61B17/3403 , A61B17/3421 , A61B17/3496 , A61B18/1477 , A61B18/1487 , A61B90/04 , A61B2017/00261 , A61B2017/00287 , A61B2017/003 , A61B2017/00867 , A61B2017/320004 , A61B2017/320044 , A61B2017/32006 , A61B2017/3445 , A61B2017/3447 , A61B2018/1407 , A61B2018/1425 , A61B2090/061 , A61B2090/08021 , A61N1/0551 , A61N1/36017
摘要： Methods and apparatus are provided for selective surgical removal of tissue. In one variation, tissue may be ablated, resected, removed, or otherwise remodeled by standard small endoscopic tools delivered into the epidural space through an epidural needle. The sharp tip of the needle in the epidural space, can be converted to a blunt tipped instrument for further safe advancement. The current invention includes specific tools that enable safe tissue modification in the epidural space, including a barrier that separates the area where tissue modification will take place from adjacent vulnerable neural and vascular structures. A nerve stimulator may be provided to reduce a risk of inadvertent neural abrasion.
摘要翻译：提供了用于选择性手术去除组织的方法和装置。在一个变化中，组织可以被通过硬膜外针递送到硬膜外腔的标准小内窥镜工具进行消融，切除，去除或其它改造。在硬膜外腔中的尖锐尖端，可以转换成钝器，以进一步安全推进。本发明包括能够在硬膜外腔中进行安全组织修复的特定工具，包括将相邻的脆弱神经和血管结构发生组织修饰的区域分开的屏障。可以提供神经刺激器以减少无意神经磨损的风险。

70. 发明申请

US20090125036A1 DEVICES AND METHODS FOR SELECTIVE SURGICAL REMOVAL OF TISSUE 有权
标题翻译：用于选择性手术去除组织的装置和方法
公开(公告)号：US20090125036A1
公开(公告)日：2009-05-14
申请号：US12357289
申请日：2009-01-21
申请人： Jeffery L. Bleich
发明人： Jeffery L. Bleich
IPC分类号： A61B17/26 , A61B19/00 , A61B17/32 , A61B5/05
CPC分类号： A61B17/320758 , A61B17/1671 , A61B17/29 , A61B17/320016 , A61B17/32002 , A61B17/32053 , A61B17/3401 , A61B17/3403 , A61B17/3421 , A61B17/3496 , A61B18/1477 , A61B18/1487 , A61B90/04 , A61B2017/00261 , A61B2017/00287 , A61B2017/003 , A61B2017/00867 , A61B2017/320004 , A61B2017/320044 , A61B2017/32006 , A61B2018/1407 , A61B2018/1425 , A61B2090/061 , A61B2090/08021 , A61F2/0045 , A61N1/0551 , A61N1/36017
摘要： Methods and apparatus are provided for selective surgical removal of tissue. In one variation, tissue may be ablated, resected, removed, or otherwise remodeled by standard small endoscopic tools delivered into the epidural space through an epidural needle. The sharp tip of the needle in the epidural space, can be converted to a blunt tipped instrument for further safe advancement. The current invention includes specific tools that enable safe tissue modification in the epidural space, including a barrier that separates the area where tissue modification will take place from adjacent vulnerable neural and vascular structures. A nerve stimulator may be provided to reduce a risk of inadvertent neural abrasion.
摘要翻译：提供了用于选择性手术去除组织的方法和装置。在一个变化中，组织可以被通过硬膜外针递送到硬膜外腔的标准小内窥镜工具进行消融，切除，去除或其它改造。在硬膜外腔中的尖锐尖端，可以转换成钝器，以进一步安全推进。本发明包括能够在硬膜外腔中进行安全组织修复的特定工具，包括将相邻的脆弱神经和血管结构发生组织修饰的区域分开的屏障。可以提供神经刺激器以减少无意神经磨损的风险。

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