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1. 发明授权

US08617062B2 Over dilation 有权
公开(公告)号：US08617062B2
公开(公告)日：2013-12-31
申请号：US12832146
申请日：2010-07-08
申请人： David A. Mire , Kelli N. Sebastian , Paul F. Wheeler , John A. Elliott
发明人： David A. Mire , Kelli N. Sebastian , Paul F. Wheeler , John A. Elliott
IPC分类号： A61B17/02
CPC分类号： A61B17/025 , A61B1/32 , A61M29/00
摘要： A device, system and method for dilating a patient during a minimally invasive surgical procedure is disclosed. A surgical dilation system includes a dilator having an outer tubular member and an inner tubular member sized to be movably received within an inside diameter of the outer tubular member. The outer tubular member includes a vertical slot running through a side of the outer tubular member. The inner tubular member has an upper portion and a lower portion. The retractor has a proximal end including at least one mounting member protruding outwardly from a side surface of the retractor and a distal end including at least one fanned blade protruding outwardly from the side surface. When the inner tubular member is oriented in a first position the vertical slot is in a closed state, when the inner tubular member is oriented in a second position the mounting member is permitted to travel downwardly a predetermined distance in the vertical slot, and when the inner tubular member is positioned in a third state the mounting member is permitted to freely travel through the vertical slot.

2. 发明申请

US20120296359A1 DILATION INSTRUMENTS AND METHODS 有权
标题翻译：放大仪器和方法
公开(公告)号：US20120296359A1
公开(公告)日：2012-11-22
申请号：US13109028
申请日：2011-05-17
申请人： David A. Mire , Kelli N. Sebastian , John A. Elliott
发明人： David A. Mire , Kelli N. Sebastian , John A. Elliott
IPC分类号： A61M29/00
CPC分类号： A61B17/3421 , A61B2017/00261 , A61B2017/320004 , A61B2017/320008 , A61B2017/320044 , A61B2017/3488 , A61B2090/062
摘要： Devices, systems and methods for dilating tissue of a patient during a minimally invasive surgical procedure is disclosed. A surgical dilation system includes a dilator having an elongated, non-cannulated cylindrical body extending between a first end and an opposite second end. The first end includes a first beveled configuration and the second end includes a second, different beveled configuration. The beveled ends can include surface features to provide tissue removal and to enhance engagement with bony tissue.
摘要翻译：公开了用于在微创手术过程中扩张患者组织的装置，系统和方法。手术扩张系统包括具有在第一端和相对的第二端之间延伸的细长的非插管的圆柱体的扩张器。第一端包括第一斜面构造，并且第二端包括第二不同的斜面构型。倾斜端部可以包括表面特征以提供组织移除并增强与骨组织的接合。

3. 发明申请

US20120010471A1 OVER DILATION 有权
标题翻译：超过了
公开(公告)号：US20120010471A1
公开(公告)日：2012-01-12
申请号：US12832146
申请日：2010-07-08
申请人： David A. Mire , Kelli N. Sebastian , Paul F. Wheeler , John A. Elliott
发明人： David A. Mire , Kelli N. Sebastian , Paul F. Wheeler , John A. Elliott
IPC分类号： A61M29/02 , A61B1/32
CPC分类号： A61B17/025 , A61B1/32 , A61M29/00
摘要： A device, system and method for dilating a patient during a minimally invasive surgical procedure is disclosed. A surgical dilation system includes a dilator having an outer tubular member and an inner tubular member sized to be movably received within an inside diameter of the outer tubular member. The outer tubular member includes a vertical slot running through a side of the outer tubular member. The inner tubular member has an upper portion and a lower portion. The retractor has a proximal end including at least one mounting member protruding outwardly from a side surface of the retractor and a distal end including at least one fanned blade protruding outwardly from the side surface. When the inner tubular member is oriented in a first position the vertical slot is in a closed state, when the inner tubular member is oriented in a second position the mounting member is permitted to travel downwardly a predetermined distance in the vertical slot, and when the inner tubular member is positioned in a third state the mounting member is permitted to freely travel through the vertical slot.
摘要翻译：公开了一种用于在微创外科手术过程中扩张患者的装置，系统和方法。手术扩张系统包括具有外管状构件和内管状构件的扩张器，其尺寸设计成可移动地容纳在外管状构件的内径内。外部管状构件包括穿过外部管状构件的一侧的垂直狭槽。内管状构件具有上部和下部。牵开器具有近端，该近端包括从牵开器的侧表面向外突出的至少一个安装构件，以及包括从侧表面向外突出的至少一个扇形叶片的远端。当内部管状构件定位在第一位置时，垂直槽处于关闭状态，当内部管状构件被定向在第二位置时，允许安装构件在垂直槽中向下行进预定距离，并且当内部管状构件被定位在第三状态，允许安装构件自由地穿过垂直狭槽。

4. 发明授权

US08834507B2 Dilation instruments and methods 有权
标题翻译：扩张仪器和方法
公开(公告)号：US08834507B2
公开(公告)日：2014-09-16
申请号：US13109028
申请日：2011-05-17
申请人： David A. Mire , Kelli N. Sebastian , John A. Elliott
发明人： David A. Mire , Kelli N. Sebastian , John A. Elliott
IPC分类号： A61M29/00 , A61B17/34 , A61B17/32 , A61B19/00 , A61B17/00
CPC分类号： A61B17/3421 , A61B2017/00261 , A61B2017/320004 , A61B2017/320008 , A61B2017/320044 , A61B2017/3488 , A61B2090/062
摘要： Devices, systems and methods for dilating tissue of a patient during a minimally invasive surgical procedure is disclosed. A surgical dilation system includes a dilator having an elongated, non-cannulated cylindrical body extending between a first end and an opposite second end. The first end includes a first beveled configuration and the second end includes a second, different beveled configuration. The beveled ends can include surface features to provide tissue removal and to enhance engagement with bony tissue.
摘要翻译：公开了用于在微创手术过程中扩张患者组织的装置，系统和方法。手术扩张系统包括具有在第一端和相对的第二端之间延伸的细长的非插管的圆柱体的扩张器。第一端包括第一斜面构造，并且第二端包括第二不同的斜面构型。倾斜端部可以包括表面特征以提供组织移除并增强与骨组织的接合。

5. 发明申请

US20130103103A1 SURGICAL SYSTEM METHODS FOR SPINAL ACCESS 审中-公开
标题翻译：脊柱外科手术方法
公开(公告)号：US20130103103A1
公开(公告)日：2013-04-25
申请号：US13280010
申请日：2011-10-24
申请人： David A. Mire , Paula A. Nichter , Kelli N. Sebastian , Bryant Lee
发明人： David A. Mire , Paula A. Nichter , Kelli N. Sebastian , Bryant Lee
IPC分类号： A61B17/56 , A61B1/32
CPC分类号： A61B1/32 , A61M29/00
摘要： A dilator includes a first portion and a second portion movable between a first position and a second position. The first portion includes a first wall that defines a first cross section and a first cavity. The second portion includes a second wall that defines a second cross section, which is less than the first cross section, and a second cavity. The second portion dilates and/or dissects tissue adjacent a surgical site. In the first position, the second cavity provides direct visualization of the surgical site and the first cavity supports an instrument. In the second position, the second cavity is expandable such that the instrument is movable along the longitudinal axis in the second cavity. Methods of use are disclosed.
摘要翻译：扩张器包括可在第一位置和第二位置之间移动的第一部分和第二部分。第一部分包括限定第一横截面和第一腔的第一壁。第二部分包括限定小于第一横截面的第二横截面的第二壁和第二腔。第二部分扩张和/或解剖外科手术部位附近的组织。在第一位置，第二腔提供手术部位的直接可视化，并且第一腔支撑仪器。在第二位置，第二腔是可膨胀的，使得器械可沿着第二腔中的纵向轴线移动。公开了使用方法。

6. 发明申请

US20130068711A1 SURGICAL ASSEMBLY WITH VARIABLE POSITIONING ARM 审中-公开
标题翻译：具有可变定位臂的外科装配
公开(公告)号：US20130068711A1
公开(公告)日：2013-03-21
申请号：US13238087
申请日：2011-09-21
申请人： Kelli N. Sebastian , John Stewart Young , David A. Mire
发明人： Kelli N. Sebastian , John Stewart Young , David A. Mire
IPC分类号： A61B19/00
CPC分类号： F16M13/02 , A61B90/50 , A61B2090/571 , F16M11/12
摘要： A surgical assembly includes an actuator. A linking member is connected to and extending from the actuator. The linking member includes a series of at least two interconnected inner links that are relatively movable such that the linking member is disposable between a flexible configuration and a rigid configuration. An arm extends from the actuator and includes a series of relatively moveable outer links that define an axial bore configured for disposal of the linking member. Each outer link defines a first mating surface and a second mating surface disposed in a configuration such that the actuator is engageable to move the linking member from the flexible configuration to the rigid configuration to selectively fix the arm in a selected orientation. Methods of use are disclosed.
摘要翻译：手术组件包括致动器。连接构件连接到致动器并从致动器延伸。连接构件包括一系列相对可移动的至少两个相互连接的内部连杆，使得连接构件在柔性构造和刚性构型之间是一次性的。臂从致动器延伸并且包括一系列相对可移动的外连杆，其限定被构造成用于处置连接构件的轴向孔。每个外部连杆限定第一配合表面和第二配合表面，该第一配合表面和第二配合表面布置成使得致动器可接合以将连接构件从柔性构造移动到刚性构型，以选择性地将臂固定在选定的方向上。公开了使用方法。

7. 发明申请

US20120022575A1 LATERALLY EXPANDING SURGICAL DILATOR 审中-公开
标题翻译：左侧扩张外科手术
公开(公告)号：US20120022575A1
公开(公告)日：2012-01-26
申请号：US12843079
申请日：2010-07-26
申请人： David A. Mire , Kelli N. Sebastian , Paul F. Wheeler
发明人： David A. Mire , Kelli N. Sebastian , Paul F. Wheeler
IPC分类号： A61M29/00
CPC分类号： A61B17/3439 , A61B5/4893 , A61B17/0218 , A61B17/0293 , A61B2017/00261 , A61B2017/0256 , A61B2017/347
摘要： A surgical dilator capable of dilating an incision in a patient is disclosed. The surgical dilator includes a main body having a distal end and a proximal end. A locking cap is connected with the proximal end of the main body that is operable to lock the surgical dilator in a closed state for insertion into an incision and to unlock the surgical dilator to an open state after being inserted into the incision. A plurality of blades having a second proximal end is pivotally connected with the distal end of the main body and extends downwardly toward a second distal end. When the surgical dilator is in the closed state the blades taper downwardly and inwardly from the second proximal end toward the second distal end to form an insertion tip and when the surgical dilator is in the open state the blades are operable to laterally expand.
摘要翻译：公开了能够扩张患者切口的手术扩张器。手术扩张器包括具有远端和近端的主体。锁定帽与主体的近端连接，其可操作以将手术扩张器锁定在关闭状态以插入切口中，并且在插入切口之后将手术扩张器解锁到打开状态。具有第二近端的多个叶片与主体的远端枢转连接并向第二远端向下延伸。当手术扩张器处于关闭状态时，叶片从第二近端朝向第二远端向下和向内逐渐变细，以形成插入尖端，并且当手术扩张器处于打开状态时，刀片可操作以横向膨胀。

8. 发明申请

US20120022570A1 DILATION APPARATUS AND METHOD 审中-公开
标题翻译：放置装置和方法
公开(公告)号：US20120022570A1
公开(公告)日：2012-01-26
申请号：US12842092
申请日：2010-07-23
申请人： David A. Mire , Kelli N. Sebastian , Paul F. Wheeler
发明人： David A. Mire , Kelli N. Sebastian , Paul F. Wheeler
IPC分类号： A61M29/00
CPC分类号： A61M29/00
摘要： A surgical dilator and method of dilating an incision in a patient is disclosed. The surgical dilator includes a first dilation member having a distal end and a proximal end. The proximal end includes an aperture having a first retaining pin positioned therein that is exposed on an outside surface of the proximal end of the first dilation member. A second dilation member is included that has a distal end, a proximal end, and a hollow interior. The distal end is sized to receive the proximal end of the first dilation member. The second dilation member includes a first compression slot sized to receive the retaining pin of the first dilation member. The first and second dilation members are configured to be oriented in an expanded state and a compressed state in which the second dilation member is compressed down onto the first dilation member such that the first dilation member is received in the hollow interior of the second dilation member.
摘要翻译：公开了一种在患者体内扩张切口的手术扩张器和方法。手术扩张器包括具有远端和近端的第一扩张构件。近端包括具有定位在其中的第一保持销的孔，其暴露在第一扩张构件的近端的外表面上。包括具有远端，近端和中空内部的第二扩张构件。远端的尺寸被设计成容纳第一扩张构件的近端。第二扩张构件包括尺寸适于接收第一扩张构件的固定销的第一压缩槽。第一扩张构件和第二扩张构件被构造成在扩张状态和压缩状态下被定向，其中第二扩张构件被压缩到第一扩张构件上，使得第一扩张构件被容纳在第二扩张构件的中空内部。

9. 发明申请

US20120010629A1 SURGICAL ASSEMBLY WITH FLEXIBLE ARM 有权
标题翻译：手术组装与灵活ARM
公开(公告)号：US20120010629A1
公开(公告)日：2012-01-12
申请号：US12832598
申请日：2010-07-08
申请人： David A. Mire , Kelli N. Sebastian , Paul F. Wheeler , David L. Fiorella
发明人： David A. Mire , Kelli N. Sebastian , Paul F. Wheeler , David L. Fiorella
IPC分类号： A61B19/00
CPC分类号： A61B17/29 , A61B17/00234 , A61B17/02 , A61B90/50 , A61B2017/00407 , A61B2017/0042 , A61B2017/0069 , A61B2017/2908 , A61B2090/508
摘要： A surgical assembly includes a tensioner having a first end and a second end. A tension member extends from the first end of the tensioner. A mounting member is connected to the second end of the tensioner. An arm extends from the first end of the tensioner and includes a series of relatively moveable links that define an axial bore configured for disposal of the tension member. Each link defines a first mating surface and a second mating surface disposed in a configuration such that tensioning of the tension member interlocks the first mating surface with the second mating surface of an adjacent link in the series to selectively fix the links in a selected orientation.
摘要翻译：手术组件包括具有第一端和第二端的张紧器。张紧构件从张紧器的第一端延伸。安装构件连接到张紧器的第二端。臂从张紧器的第一端延伸并且包括一系列相对可移动的连杆，其限定了构造成用于处置张力构件的轴向孔。每个连杆限定第一配合表面和第二配合表面，其布置成构造使得张紧构件的张紧将第一配合表面与串联的相邻链节的第二配合表面互锁，以选择性地将链接件固定在选定的方位。

10. 发明授权

US09486296B2 Surgical assembly with flexible arm 有权
标题翻译：手术组装灵活的手臂
公开(公告)号：US09486296B2
公开(公告)日：2016-11-08
申请号：US12832598
申请日：2010-07-08
申请人： David A. Mire , Kelli N. Sebastian , Paul F. Wheeler , David L. Fiorella
发明人： David A. Mire , Kelli N. Sebastian , Paul F. Wheeler , David L. Fiorella
IPC分类号： A61B19/00 , A61B17/02 , A61B17/29
CPC分类号： A61B17/29 , A61B17/00234 , A61B17/02 , A61B90/50 , A61B2017/00407 , A61B2017/0042 , A61B2017/0069 , A61B2017/2908 , A61B2090/508
摘要： A surgical assembly includes a tensioner having a first end and a second end. A tension member extends from the first end of the tensioner. A mounting member is connected to the second end of the tensioner. An arm extends from the first end of the tensioner and includes a series of relatively moveable links that define an axial bore configured for disposal of the tension member. Each link defines a first mating surface and a second mating surface disposed in a configuration such that tensioning of the tension member interlocks the first mating surface with the second mating surface of an adjacent link in the series to selectively fix the links in a selected orientation.
摘要翻译：手术组件包括具有第一端和第二端的张紧器。张紧构件从张紧器的第一端延伸。安装构件连接到张紧器的第二端。臂从张紧器的第一端延伸并且包括一系列相对可移动的连杆，其限定了构造成用于处置张力构件的轴向孔。每个连杆限定第一配合表面和第二配合表面，其布置成构造使得张紧构件的张紧将第一配合表面与串联的相邻链节的第二配合表面互锁，以选择性地将链接件固定在选定的方位。

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