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1. 发明授权

US07942830B2 Ipsilateral approach to minimally invasive ligament decompression procedure 有权
标题翻译：微创韧带减压手术方法
公开(公告)号：US07942830B2
公开(公告)日：2011-05-17
申请号：US11382349
申请日：2006-05-09
申请人： Murray David Solsberg , Donald Schomer , Timothy Marshall Reeves , Bryce Way
发明人： Murray David Solsberg , Donald Schomer , Timothy Marshall Reeves , Bryce Way
IPC分类号： A61B17/3205
CPC分类号： A61B17/22 , A61B6/481 , A61B10/0275 , A61B17/0218 , A61B17/064 , A61B17/221 , A61B17/320016 , A61B17/320783 , A61B2017/0412 , A61B2017/0427 , A61B2017/0437 , A61B2017/0647 , A61B2017/22034 , A61M5/007
摘要： A method for treating spinal stenosis is disclosed. The method can include generating a view of a portion of the spinal canal and compressing the dural sac by injecting a fluid to form a safety zone and establish a working zone, wherein the safety zone can be between the working zone and the dural sac. The method can also include percutaneously accessing the epidural space on a first side of the median plane, inserting a tissue removal tool into tissue in the working zone on the first side of the median plane, and using the tissue removal tool to percutaneously reduce a stenosis on the first side of the median plane.
摘要翻译：公开了治疗脊柱狭窄的方法。该方法可以包括产生脊柱管的一部分的视图并通过注射流体来形成安全区域并建立工作区域来压缩硬膜囊，其中安全区域可以在工作区域和硬脑膜囊之间。该方法还可以包括经皮访问中间平面第一侧上的硬膜外腔，将组织移除工具插入中位面第一侧上的工作区域的组织中，并使用组织去除工具经皮减少狭窄在中间飞机的第一边。

2. 发明申请

US20070055263A1 Tools for Percutaneous Spinal Ligament Decompression and Device for Supporting Same 审中-公开
标题翻译：经皮脊髓减压手术及其支撑装置
公开(公告)号：US20070055263A1
公开(公告)日：2007-03-08
申请号：US11461020
申请日：2006-07-31
申请人： Bryce Way , Donald Schomer , Murray Solsberg
发明人： Bryce Way , Donald Schomer , Murray Solsberg
IPC分类号： A61B17/00
CPC分类号： A61B17/320016 , A61B10/025 , A61B10/0275 , A61B17/1671 , A61B17/32002 , A61B17/320725 , A61B17/32075 , A61B2017/32004 , A61B2017/320064
摘要： A device for providing percutaneous access to a surgical site. In an embodiment, the device comprises a handle. In addition, the device comprises a bone-cutting member extending from the handle, wherein the bone-cutting member includes a handle end fixed to the handle and a cutting end. Further, the device comprises a portal including a first end, a second end, and a through bore extending therebetween, wherein the bone-cutting member is disposed within the through bore and concentric with the portal Still further, the portal has a first position with the second end releasably coupled to the handle and a second position with the second end released from the handle and the bone-cutting member.
摘要翻译：用于提供经皮进入手术部位的装置。在一个实施例中，该装置包括手柄。此外，该装置包括从手柄延伸的骨切割构件，其中骨切割构件包括固定到手柄的手柄端和切割端。此外，该装置包括门，其包括第一端，第二端和在其间延伸的通孔，其中所述骨切割构件设置在所述通孔内并与所述门户同心。此外，所述门户具有第一位置，可释放地联接到手柄的第二端和第二位置，其中第二端从手柄和骨切割构件释放。

3. 发明申请

US20070027464A1 DEVICE FOR RESECTING SPINAL TISSUE 审中-公开
标题翻译：用于治疗脊髓组织的装置
公开(公告)号：US20070027464A1
公开(公告)日：2007-02-01
申请号：US11461036
申请日：2006-07-31
申请人： Bryce Way , Donald Schomer , Murray Solsberg
发明人： Bryce Way , Donald Schomer , Murray Solsberg
IPC分类号： A61B17/32
CPC分类号： A61B17/1671 , A61B10/0275 , A61B10/06 , A61B17/1608 , A61B17/29 , A61B17/295 , A61B17/320016 , A61B2017/00261 , A61B2017/00336 , A61B2017/00685 , A61B2017/0646 , A61B2017/0647 , A61B2017/2911 , A61B2017/2925 , A61B2017/32004 , A61B2017/320064 , A61M5/007
摘要： A device for excising tissue. In an embodiment, the device comprises an outer sleeve. In addition, the device comprises an inner tubular member slidingly received within the outer sleeve. Further the device comprises a cutting head connected to a distal end of the inner tubular, wherein the cutting head comprises at least three aims extending axially from the inner tubular. Still further, the device has an open position in which the cutting head extends from the outer sleeve, and a closed position in which the cutting head is at least partially disposed within the sleeve.
摘要翻译：用于切除组织的装置。在一个实施例中，该装置包括外套筒。此外，该装置包括滑动地容纳在外套筒内的内管状构件。此外，该装置包括连接到内管的远端的切割头，其中切割头包括从内管轴向延伸的至少三个目的。此外，该装置具有打开位置，其中切割头从外套筒延伸，并且闭合位置，切割头至少部分地设置在套筒内。

4. 发明申请

US20060235451A1 Ligament Decompression Tool with Tissue Engaging Device 审中-公开
标题翻译：具有组织啮合装置的韧带减压工具
公开(公告)号：US20060235451A1
公开(公告)日：2006-10-19
申请号：US11380382
申请日：2006-04-26
申请人： Donald Schomer , Murray Solsberg , Bryce Way
发明人： Donald Schomer , Murray Solsberg , Bryce Way
IPC分类号： A61B17/32
CPC分类号： A61B17/0401 , A61B10/0233 , A61B10/0275 , A61B10/0283 , A61B17/0482 , A61B17/1671 , A61B17/320016 , A61B17/32002 , A61B17/32053 , A61B17/320783 , A61B17/3401 , A61B17/3478 , A61B2010/045 , A61B2017/00261 , A61B2017/00349 , A61B2017/0412 , A61B2017/0419 , A61B2017/0427 , A61B2017/0437 , A61B2017/06052 , A61B2017/06176 , A61B2017/320008 , A61B2017/32004 , A61B2017/320064
摘要： A method for treating stenosis in a spine comprises percutaneously accessing the epidural space in a stenotic region of interest, compressing the thecal sac in the region of interest to form a safety zonem, inserting a tissue removal tool into tissue in the working zone, using the tool to percutaneously reduce the stenosis; and utilizing imaging to visualize the position of the tool during at least a part of the reduction step. A tissue excision system for performing percutaneous surgery, comprises a cannula comprising a tissue-penetrating member having a distal end defining an aperture on one side thereof, an occluding member slidably received on or in the cannula and closing the aperture when the occluding member is adjacent the cannula distal end, means for engaging adjacent tissue via the aperture, and cutting means for resecting a section of the engaged tissue.
摘要翻译：一种用于治疗脊柱狭窄的方法包括：经皮进入感兴趣的狭窄区域的硬膜外腔，压缩感兴趣区域中的囊囊以形成安全区域，将组织移除工具插入工作区域的组织中，使用手术经皮减少狭窄; 并且利用成像在所述还原步骤的至少一部分期间可视化所述工具的位置。用于进行经皮手术的组织切除系统包括套管，其包括组织穿透构件，所述组织穿透构件具有在其一侧上限定孔的远端，当所述闭塞构件相邻时可滑动地容纳在所述套管中或套管中并闭合所述孔的闭塞构件套管远端，用于经由孔接合相邻组织的装置，以及用于切除接合组织的一部分的切割装置。

5. 发明申请

US20060206115A1 Ligament decompression kit with contrast 审中-公开
标题翻译：韧带减压套件与对比
公开(公告)号：US20060206115A1
公开(公告)日：2006-09-14
申请号：US11380370
申请日：2006-04-26
申请人： Donald Schomer , Murray Solsberg , Bryce Way
发明人： Donald Schomer , Murray Solsberg , Bryce Way
IPC分类号： A61B17/00
CPC分类号： A61B17/0401 , A61B10/0233 , A61B10/0275 , A61B10/0283 , A61B17/0482 , A61B17/1671 , A61B17/320016 , A61B17/32002 , A61B17/32053 , A61B17/320783 , A61B17/3401 , A61B17/3478 , A61B2010/045 , A61B2017/00261 , A61B2017/00349 , A61B2017/0412 , A61B2017/0419 , A61B2017/0427 , A61B2017/0437 , A61B2017/06052 , A61B2017/06176 , A61B2017/320008 , A61B2017/32004 , A61B2017/320064
摘要： A method for treating stenosis in a spine comprises percutaneously accessing the epidural space in a stenotic region of interest, compressing the thecal sac in the region of interest to form a safety zonem, inserting a tissue removal tool into tissue in the working zone, using the tool to percutaneously reduce the stenosis; and utilizing imaging to visualize the position of the tool during at least a part of the reduction step. A tissue excision system for performing percutaneous surgery, comprises a cannula comprising a tissue-penetrating member having a distal end defining an aperture on one side thereof, an occluding member slidably received on or in the cannula and closing the aperture when the occluding member is adjacent the cannula distal end, means for engaging adjacent tissue via the aperture, and cutting means for resecting a section of the engaged tissue.
摘要翻译：一种用于治疗脊柱狭窄的方法包括：经皮进入感兴趣的狭窄区域的硬膜外腔，压缩感兴趣区域中的囊囊以形成安全区域，将组织移除工具插入工作区域的组织中，使用手术经皮减少狭窄; 并且利用成像在所述还原步骤的至少一部分期间可视化所述工具的位置。用于进行经皮手术的组织切除系统包括套管，其包括组织穿透构件，所述组织穿透构件具有在其一侧上限定孔的远端，当所述闭塞构件相邻时可滑动地容纳在所述套管中或套管中并闭合所述孔的闭塞构件套管远端，用于经由孔接合邻近组织的装置以及用于切除接合组织的一部分的切割装置。

6. 发明授权

US08696671B2 Percutaneous tissue excision devices 有权
标题翻译：经皮组织切除装置
公开(公告)号：US08696671B2
公开(公告)日：2014-04-15
申请号：US11461045
申请日：2006-07-31
申请人： Murray David Solsberg , Donald Schomer , Bryce Way , Minh Tran
发明人： Murray David Solsberg , Donald Schomer , Bryce Way , Minh Tran
IPC分类号： A61B17/00
CPC分类号： A61B17/1671 , A61B10/0275 , A61B10/06 , A61B17/1608 , A61B17/29 , A61B17/295 , A61B17/320016 , A61B2017/00261 , A61B2017/00336 , A61B2017/00685 , A61B2017/0646 , A61B2017/0647 , A61B2017/2911 , A61B2017/2925 , A61B2017/32004 , A61B2017/320064 , A61M5/007
摘要： A device for percutaneously excising tissue. In an embodiments the device comprises an outer tubular. In addition, the device comprises an inner tubular slidingly received within the outer tubular, wherein the inner tubular has a distal end including an upper member and a lower member. Further, the device includes an open position with the distal end fully extended from the outer tubular, and a closed position with the distal end disposed within the outer tubular, wherein the upper member is biased away from the lower member and is disposed at an open angle θO relative to the lower member when the device is in the opened position.
摘要翻译：用于经皮切除组织的装置。在一个实施例中，该装置包括外管。此外，该装置包括滑动地容纳在外管中的内管，其中内管具有包括上部构件和下部构件的远端。此外，该装置包括开口位置，其远端完全从外管延伸，以及关闭位置，其远端设置在外管内，其中上部构件被偏压远离下部构件并且设置在开口角度和角度;当设备处于打开位置时相对于下部构件。

7. 发明授权

US07896879B2 Spinal ligament modification 有权
标题翻译：脊柱韧带修改
公开(公告)号：US07896879B2
公开(公告)日：2011-03-01
申请号：US11193581
申请日：2005-07-29
申请人： Murray David Solsberg , Donald Schomer , Bryce Way
发明人： Murray David Solsberg , Donald Schomer , Bryce Way
IPC分类号： A61M31/00
CPC分类号： A61B17/0401 , A61B10/0233 , A61B10/0275 , A61B10/0283 , A61B17/0482 , A61B17/1671 , A61B17/320016 , A61B17/32002 , A61B17/32053 , A61B17/320783 , A61B17/3401 , A61B17/3478 , A61B2010/045 , A61B2017/00261 , A61B2017/00349 , A61B2017/0412 , A61B2017/0419 , A61B2017/0427 , A61B2017/0437 , A61B2017/06052 , A61B2017/06176 , A61B2017/320008 , A61B2017/32004 , A61B2017/320064
摘要： A method for treating stenosis in a spine comprises percutaneously accessing the epidural space in a stenotic region of interest, compressing the thecal sac in the region of interest to form a safety zone, inserting a tissue removal tool into tissue in the working zone, using the tool to percutaneously reduce the stenosis; and utilizing imaging to visualize the position of the tool during at least a part of the reduction step. A tissue excision system for performing percutaneous surgery, comprises a cannula comprising a tissue-penetrating member having a distal end defining an aperture on one side thereof, an occluding member slidably received on or in the cannula and closing the aperture when the occluding member is adjacent the cannula distal end, means for engaging adjacent tissue via the aperture, and cutting means for resecting a section of the engaged tissue.
摘要翻译：一种用于治疗脊柱狭窄的方法包括经皮通达感兴趣的狭窄区域中的硬膜外腔，压缩感兴趣区域中的囊囊以形成安全区，将组织移除工具插入工作区域的组织中，使用手术经皮减少狭窄; 并且利用成像在所述还原步骤的至少一部分期间可视化所述工具的位置。用于进行经皮手术的组织切除系统包括套管，其包括组织穿透构件，所述组织穿透构件具有在其一侧上限定孔的远端，当所述闭塞构件相邻时可滑动地容纳在所述套管中或套管中并闭合所述孔的闭塞构件套管远端，用于经由孔接合邻近组织的装置以及用于切除接合组织的一部分的切割装置。

8. 发明申请

US20070299459A1 Percutaneous Tissue Access Device 审中-公开
标题翻译：经皮组织进入装置
公开(公告)号：US20070299459A1
公开(公告)日：2007-12-27
申请号：US11426340
申请日：2006-06-26
申请人： Bryce Way , Donald Schomer
发明人： Bryce Way , Donald Schomer
IPC分类号： A61B17/34
CPC分类号： A61B17/3421 , A61B17/34 , A61B2090/0801
摘要： A surgical device for percutaneously accessing a tissue of interest. In an embodiment, the surgical device comprises a handle including a groove. In addition, the surgical device comprises a resilient member disposed within the groove. Further, the surgical device comprises a locking sleeve at least partially disposed within the groove with a first end compressing the resilient member and a second end extending beyond the groove and including a flange defining a locking recess having a non-circular cross-section. Still further, the surgical device comprises a cannula including a locking end, the locking end including a locking flange having a non-circular cross-section adapted to be at least partially received by the locking recess to prevent the rotation of the cannula relative to the locking sleeve. Moreover, the surgical device comprises a means for rotationally coupling the cannula to the handle.
摘要翻译：用于经皮访问感兴趣组织的手术装置。在一个实施例中，手术装置包括具有凹槽的手柄。此外，手术装置包括设置在凹槽内的弹性构件。此外，手术装置包括至少部分地设置在凹槽内的锁定套筒，其中第一端压缩弹性构件和延伸超过凹槽的第二端，并且包括限定具有非圆形横截面的锁定凹部的凸缘。另外，手术装置包括套管，其包括锁定端，锁定端包括具有非圆形横截面的锁定凸缘，该非圆形横截面适于至少部分地被锁定凹部接收，以防止插管相对于锁紧套。此外，手术装置包括用于将套管旋转地联接到手柄的装置。

9. 发明申请

US20070162061A1 TISSUE EXCISION DEVICES AND METHODS 审中-公开
标题翻译：组织实验装置和方法
公开(公告)号：US20070162061A1
公开(公告)日：2007-07-12
申请号：US11556213
申请日：2006-11-03
申请人： Bryce Way , Donald Schomer , Minh Tran , Murray Solsberg
发明人： Bryce Way , Donald Schomer , Minh Tran , Murray Solsberg
IPC分类号： A61B17/32
CPC分类号： A61B17/1611 , A61B10/0275 , A61B17/1671 , A61B17/221 , A61B2017/22044 , A61B2017/32004 , A61B2017/320064
摘要： A device for percutaneously excising tissue. In an embodiment, the device comprises an elongate body including a first member having a distal cutting end and a second member that slidingly engages the first member. In addition, the second member includes a tissue capture chamber having an opening facing the first member. Further, the first member is moveable relative to the second member between an opened position and a closed position, wherein the first member is disposed across the tissue capture chamber of the second member when the first member is in the closed position.
摘要翻译：用于经皮切除组织的装置。在一个实施例中，该装置包括细长主体，其包括具有远端切割端的第一构件和滑动地接合第一构件的第二构件。此外，第二构件包括具有面向第一构件的开口的组织捕获室。此外，第一构件可相对于第二构件在打开位置和关闭位置之间移动，其中当第一构件处于关闭位置时，第一构件跨越第二构件的组织捕获室设置。

10. 发明申请

US20090036936A1 TRANSLAMINAR APPROACH TO MINIMALLY INVASIVE LIGAMENT DECOMPRESSION PROCEDURE 有权
标题翻译： TRANSLAMINAR的方法，以最小的入侵盗版程序
公开(公告)号：US20090036936A1
公开(公告)日：2009-02-05
申请号：US12188360
申请日：2008-08-08
申请人： Murray Solsberg , Donald Schomer , Timothy Marshall Reeves , Bryce Way
发明人： Murray Solsberg , Donald Schomer , Timothy Marshall Reeves , Bryce Way
IPC分类号： A61F5/00 , A61B19/00 , A61B10/00 , A61B1/04
CPC分类号： A61B17/22 , A61B6/481 , A61B10/0275 , A61B17/0218 , A61B17/064 , A61B17/221 , A61B17/320016 , A61B17/320783 , A61B2017/0412 , A61B2017/0427 , A61B2017/0437 , A61B2017/0647 , A61B2017/22034 , A61M5/007
摘要： Provided herein is a method for treating spinal stenosis comprising percutaneously accessing the epidural space from a first side of the spine. The first side of the spine is located on one side of the medial plane with respect to the spinal cord. A tissue removal tool is then advanced through the first side of the epidural space into the other side of the epidural space, where the other side of the epidural space is located on the other side of the medial plane of the spinal cord. Once the tissue removal tool is located on the second side of the medial plane, stenosis can be reduced using the tissue removal tool.
摘要翻译：本文提供了一种治疗脊柱狭窄的方法，包括从脊柱的第一侧经皮进入硬膜外腔。脊柱的第一侧位于内侧平面相对于脊髓的一侧。然后，组织去除工具通过硬膜外腔的第一侧前进到硬膜外腔的另一侧，其中硬膜外腔的另一侧位于脊髓的内侧平面的另一侧。一旦组织去除工具位于内侧平面的第二侧上，就可以使用组织去除工具来减少狭窄。

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