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    • 5. 发明申请
    • DILATION SYSTEM AND METHOD OF USING THE SAME
    • 放置系统及其使用方法
    • US20110208226A1
    • 2011-08-25
    • US12681671
    • 2008-10-06
    • Peter FatoneBrandon Randall
    • Peter FatoneBrandon Randall
    • A61M29/00A61N1/00
    • A61B17/025A61B5/0492A61B5/4893A61B17/0218A61B17/1757A61B17/3417A61B17/3421A61B17/3423A61B17/3476A61B2017/00039A61B2017/003A61B2017/00331A61B2017/0262A61B2017/3433A61B2090/062
    • Directional sequential and blunt stimulating dilation systems (10) and related methods for accessing a patient's spine (2) through the patient's psoas muscle (4) include sequential directional dilators (30, 40) or a blunt stimulating dilator (100, 100′) with at least one channel formed therein. Neural elements or nerves (9) of the psoas muscle are preferably mapped using a stimulating probe (20) thereby defining a safe zone of passage to the patient's spine. The stimulating probe is inserted through the psoas muscle toward the patient's spine. The directional sequential dilators may be inserted to dilate the tissue on any side of the stimulating probe without significantly impacting tissue on the opposite side of the stimulating probe, which may be located, proximate the neural elements. The dilators are rendered directional by having bores (35, 45), by means of which they can be inserted over each other and over the probe, which are offset from their longitudinal axes (31, 41).
    • 定向顺序和钝性刺激扩张系统(10)以及通过患者腰痛肌肉(4)进入患者脊柱(2)的相关方法包括顺序定向扩张器(30,40)或钝性刺激性扩张器(100,100'),具有 形成在其中的至少一个通道。 优选使用刺激探针(20)来映射腰肌的神经元件或神经(9),由此限定通向患者脊柱的安全区域。 刺激探针通过腰肌肌肉插入患者脊柱。 可以插入定向顺序扩张器以在刺激探针的任何一侧扩张组织,而不会在靠近神经元件的刺激探针的相对侧上显着影响组织。 扩张器通过具有孔(35,45)而被定向,借助于它们,它们可以彼此插入并且越过探针,它们从它们的纵向轴线(31,41)偏移。