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1. 发明授权

US08706185B2 Method and apparatus for surgical navigation of a multiple piece construct for implantation 有权
标题翻译：用于植入的多片构造物的手术导航的方法和装置
公开(公告)号：US08706185B2
公开(公告)日：2014-04-22
申请号：US12946288
申请日：2010-11-15
申请人： Kevin T. Foley , Stacy Sprouse , David A. Mire , John B. Clayton , Mark W. Hunter
发明人： Kevin T. Foley , Stacy Sprouse , David A. Mire , John B. Clayton , Mark W. Hunter
IPC分类号： A61B5/05
CPC分类号： A61B17/8872 , A61B17/00234 , A61B17/1735 , A61B17/1757 , A61B17/7089 , A61B34/10 , A61B34/20 , A61B34/25 , A61B90/10 , A61B90/36 , A61B90/39 , A61B2017/00477 , A61B2034/107 , A61B2034/2055 , A61B2034/2068 , A61B2034/2072 , A61B2034/256 , A61B2090/365 , A61B2090/3983
摘要： A method and apparatus for percutaneous and/or minimally invasive implantation of a construct. The construct may be implanted using a navigation system for planning and execution of a procedure. A plurality of portions of the construct may be interconnected using locations and paths determined and navigated with the navigation system.
摘要翻译：一种用于经皮和/或微创植入结构的方法和装置。可以使用用于规划和执行程序的导航系统植入构造体。可以使用与导航系统确定和导航的位置和路径来互连该构造的多个部分。

2. 发明授权

US08467851B2 Method and apparatus for positioning a reference frame 有权
标题翻译：用于定位参考系的方法和装置
公开(公告)号：US08467851B2
公开(公告)日：2013-06-18
申请号：US12946309
申请日：2010-11-15
申请人： David A. Mire , John B. Clayton
发明人： David A. Mire , John B. Clayton
IPC分类号： A61B5/05
CPC分类号： A61B34/20 , A61B90/39 , A61B2034/108 , A61B2034/2051 , A61B2034/2055 , A61B2034/2068 , A61B2034/256 , A61B2090/363 , A61B2090/3916 , A61B2090/3925 , A61B2090/3937 , A61B2090/3954 , A61B2090/3983
摘要： A method and apparatus to perform a procedure that can include a processor assisted surgical procedure. During the procedure patient space and image space can be registered to allow for tracking of various tracking sensors. A dynamic reference frame can be used to maintain localization of the patient space with the image space. The dynamic reference frame can be fixedly interconnected with a bone portion of the anatomy.
摘要翻译：执行可包括处理器辅助外科手术的过程的方法和装置。在手术过程中，患者空间和图像空间可以被注册，以便跟踪各种跟踪传感器。可以使用动态参考框架来维持患者空间与图像空间的定位。动态参考框架可以与解剖结构的骨骼部分固定地互连。

3. 发明申请

US20090234217A1 Method And Apparatus For Preplanning A Surgical Procedure 有权
标题翻译：用于预先计划外科手术的方法和装置
公开(公告)号：US20090234217A1
公开(公告)日：2009-09-17
申请号：US12473557
申请日：2009-05-28
申请人： David A. Mire , Hai H. Trieu , Janice Dugger , Mark W. Hunter
发明人： David A. Mire , Hai H. Trieu , Janice Dugger , Mark W. Hunter
IPC分类号： A61B5/05
CPC分类号： A61B34/20 , A61B34/10 , A61B34/25 , A61B2034/102 , A61B2034/105 , A61B2034/107 , A61B2034/2051 , A61B2034/2072 , A61B2034/252 , A61B2034/254 , A61B2034/256 , A61B2090/365 , G06F19/00 , G06F19/325 , G16H50/50
摘要： A method and system to assist in a selection and planning of procedure and assist in selecting a prosthetic for the procedure. Generally, the system allows for image acquisition of a selected area of the anatomy. A model may be formed of the anatomy from the acquired images. The system may also allow for navigational tracking of the procedure to ensure that the procedure is substantially carried out relative to the selected plan.
摘要翻译：一种帮助选择和规划程序并协助选择手术的假体的方法和系统。通常，系统允许对解剖结构的选定区域的图像采集。可以从所获取的图像中的解剖结构形成模型。该系统还可以允许对程序的导航跟踪以确保相对于所选择的计划基本上执行该过程。

4. 发明授权

US07974677B2 Method and apparatus for preplanning a surgical procedure 有权
标题翻译：用于预先规划外科手术的方法和装置
公开(公告)号：US07974677B2
公开(公告)日：2011-07-05
申请号：US12473557
申请日：2009-05-28
申请人： David A. Mire , Hai H. Trieu , Janice Dugger , Mark W. Hunter
发明人： David A. Mire , Hai H. Trieu , Janice Dugger , Mark W. Hunter
IPC分类号： A61B5/05
CPC分类号： A61B34/20 , A61B34/10 , A61B34/25 , A61B2034/102 , A61B2034/105 , A61B2034/107 , A61B2034/2051 , A61B2034/2072 , A61B2034/252 , A61B2034/254 , A61B2034/256 , A61B2090/365 , G06F19/00 , G06F19/325 , G16H50/50
摘要： A method and system to assist in a selection and planning of procedure and assist in selecting a prosthetic for the procedure. Generally, the system allows for image acquisition of a selected area of the anatomy. A model may be formed of the anatomy from the acquired images. The system may also allow for navigational tracking of the procedure to ensure that the procedure is substantially carried out relative to the selected plan.
摘要翻译：一种帮助选择和规划程序并协助选择手术的假体的方法和系统。通常，系统允许对解剖结构的选定区域的图像采集。可以从所获取的图像中的解剖结构形成模型。该系统还可以允许对程序的导航跟踪以确保相对于所选择的计划基本上执行该过程。

5. 发明申请

US20110060213A1 Method and Apparatus for Positioning a Reference Frame 有权
标题翻译：用于定位参考框架的方法和装置
公开(公告)号：US20110060213A1
公开(公告)日：2011-03-10
申请号：US12946309
申请日：2010-11-15
申请人： David A. Mire , John B. Clayton
发明人： David A. Mire , John B. Clayton
IPC分类号： A61B5/05
CPC分类号： A61B34/20 , A61B90/39 , A61B2034/108 , A61B2034/2051 , A61B2034/2055 , A61B2034/2068 , A61B2034/256 , A61B2090/363 , A61B2090/3916 , A61B2090/3925 , A61B2090/3937 , A61B2090/3954 , A61B2090/3983
摘要： A method and apparatus to perform a procedure that can include a processor assisted surgical procedure. During the procedure patient space and image space can be registered to allow for tracking of various tracking sensors. A dynamic reference frame can be used to maintain localization of the patient space with the image space. The dynamic reference frame can be fixedly interconnected with a bone portion of the anatomy.
摘要翻译：执行可包括处理器辅助外科手术的过程的方法和装置。在手术过程中，患者空间和图像空间可以被注册，以便跟踪各种跟踪传感器。可以使用动态参考框架来维持患者空间与图像空间的定位。动态参考框架可以与解剖结构的骨骼部分固定地互连。

6. 发明授权

US07835784B2 Method and apparatus for positioning a reference frame 有权
标题翻译：用于定位参考系的方法和装置
公开(公告)号：US07835784B2
公开(公告)日：2010-11-16
申请号：US11232445
申请日：2005-09-21
申请人： David A. Mire , John B. Clayton
发明人： David A. Mire , John B. Clayton
IPC分类号： A61B5/05
CPC分类号： A61B34/20 , A61B90/39 , A61B2034/108 , A61B2034/2051 , A61B2034/2055 , A61B2034/2068 , A61B2034/256 , A61B2090/363 , A61B2090/3916 , A61B2090/3925 , A61B2090/3937 , A61B2090/3954 , A61B2090/3983
摘要： A method and apparatus to perform a procedure that can include a processor assisted surgical procedure. During the procedure patient space and image space can be registered to allow for tracking of various tracking sensors. A dynamic reference frame can be used to maintain localization of the patient space with the image space. The dynamic reference frame can be fixedly interconnected with a bone portion of the anatomy.
摘要翻译：执行可包括处理器辅助外科手术的过程的方法和装置。在手术过程中，患者空间和图像空间可以被注册，以便跟踪各种跟踪传感器。可以使用动态参考框架来维持患者空间与图像空间的定位。动态参考框架可以与解剖结构的骨骼部分固定地互连。

7. 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.

8. 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。

9. 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。

10. 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。

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