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1. 发明申请

WO2009126953A2 METHODS AND DEVICES TO DECREASE TISSUE TRAUMA DURING SURGERY 审中-公开
标题翻译：在手术期间减少组织病变的方法和装置
公开(公告)号：WO2009126953A2
公开(公告)日：2009-10-15
申请号：PCT/US2009040348
申请日：2009-04-13
申请人： PHYSCIENT INC , CRENSHAW HUGH CHARLES , PELL CHARLES ANTHONY
发明人： CRENSHAW HUGH CHARLES , PELL CHARLES ANTHONY
IPC分类号： A61F2/958
CPC分类号： A61B5/442 , A61B5/0051 , A61B7/00 , A61B17/0206 , A61B17/025 , A61B17/0293 , A61B17/12136 , A61B2017/00172 , A61B2017/00398 , A61B2017/00544 , A61B2017/00557 , A61B2017/00734 , A61B2017/0256 , A61B2090/064 , A61B2562/0219
摘要： Methods and devices are disclosed to reduce the tissue trauma that occurs when a physician retracts or otherwise deforms a patient's tissues for surgery or other medical procedures. In one part, methods and devices are disclosed for controlling the force and pace of retraction to reduce tissue trauma. In another part, methods and devices are disclosed for applying an oscillating load when opening. In another part, pads that cool the tissue around the incision are disclosed. In another part, pads that elute drugs into the tissues of the tissue margin are disclosed. In another part, methods and devices are disclosed that self-align components of the retractor and engage hard tissues directly to avoid soft tissue damage. In another part, pads that engage tissues to cushion, to sense tissue state, and to modulate tissue state are disclosed.
摘要翻译：公开了减少组织创伤的方法和装置，当医生缩回或以其他方式使患者的组织变形以进行手术或其他医疗过程时发生。一方面，公开了用于控制收缩的力和速度以减少组织创伤的方法和装置。另一方面，公开了当打开时施加摆动载荷的方法和装置。在另一部分中，公开了围绕切口冷却组织的垫。另一部分，公开了将药物洗脱到组织边缘的组织中的垫。在另一部分中，公开了自动对齐牵开器的部件并直接接合硬组织以避免软组织损伤的方法和装置。在另一部分中，公开了接合组织以缓冲，感测组织状态和调节组织状态的垫。

2. 发明申请

WO2013163651A9 METHODS AND DEVICES FOR SOFT TISSUE DISSECTION 审中-公开
公开(公告)号：WO2013163651A9
公开(公告)日：2013-10-31
申请号：PCT/US2013/038673
申请日：2013-04-29
申请人： PHYSCIENT, INC.
发明人： CRENSHAW, Hugh, Charles , PELL, Charles, Anthony , ESPENHAHN, Eric, Torr , MOODY, Ryan
IPC分类号： A61B17/3209
摘要： A differential dissecting instrument for differentially dissecting complex tissue is disclosed. The differential dissecting instrument comprises a handle and an elongate member having a first end and a second end, wherein the first end is connected to the handle. The differential dissecting instrument comprises a differential dissecting member configured to be rotatably attached to the second end and further comprises at least one tissue engaging surface. The differential dissecting instrument comprises a mechanism configured to mechanically rotate the differential dissecting member around an axis of rotation, thereby causing the at least one tissue engaging surface to move in at least one direction against the complex tissue. The at least one tissue engaging surface is configured to selectively engage the complex tissue such that the at least one tissue engaging surface disrupts at least one soft tissue in the complex tissue, but does not disrupt firm tissue in the complex tissue.

3. 发明申请

WO2009126953A3 METHODS AND DEVICES TO DECREASE TISSUE TRAUMA DURING SURGERY 审中-公开
标题翻译：减少手术过程中组织创伤的方法和装置
公开(公告)号：WO2009126953A3
公开(公告)日：2010-11-25
申请号：PCT/US2009040348
申请日：2009-04-13
申请人： PHYSCIENT INC , CRENSHAW HUGH CHARLES , PELL CHARLES ANTHONY
发明人： CRENSHAW HUGH CHARLES , PELL CHARLES ANTHONY
IPC分类号： A61B17/02 , A61F2/958
CPC分类号： A61B5/442 , A61B5/0051 , A61B7/00 , A61B17/0206 , A61B17/025 , A61B17/0293 , A61B17/12136 , A61B2017/00172 , A61B2017/00398 , A61B2017/00544 , A61B2017/00557 , A61B2017/00734 , A61B2017/0256 , A61B2090/064 , A61B2562/0219
摘要： Methods and devices are disclosed to reduce the tissue trauma that occurs when a physician retracts or otherwise deforms a patient's tissues for surgery or other medical procedures. In one part, methods and devices are disclosed for controlling the force and pace of retraction to reduce tissue trauma. In another part, methods and devices are disclosed for applying an oscillating load when opening. In another part, pads that cool the tissue around the incision are disclosed. In another part, pads that elute drugs into the tissues of the tissue margin are disclosed. In another part, methods and devices are disclosed that self-align components of the retractor and engage hard tissues directly to avoid soft tissue damage. In another part, pads that engage tissues to cushion, to sense tissue state, and to modulate tissue state are disclosed.
摘要翻译：公开了用于减少当医生缩回或以其他方式使患者的组织变形以用于手术或其他医疗程序时发生的组织创伤的方法和装置。在一部分中，公开了用于控制缩回的力和速度以减少组织创伤的方法和装置。在另一部分中，公开了用于在打开时施加摆动载荷的方法和装置。在另一部分中，公开了冷却切口周围的组织的垫。在另一部分中，披露了将药物洗脱到组织边缘的组织中的垫。在另一部分中，公开了使牵开器的部件自对准并直接接合硬组织以避免软组织损伤的方法和装置。在另一部分中，公开了接合组织以缓冲，感测组织状态并调节组织状态的衬垫。

4. 发明申请

WO2015161249A1 METHODS AND DEVICES FOR SOFT TISSUE DISSECTION 审中-公开
标题翻译：用于软组织分离的方法和装置
公开(公告)号：WO2015161249A1
公开(公告)日：2015-10-22
申请号：PCT/US2015/026466
申请日：2015-04-17
申请人： PHYSCIENT, INC.
发明人： MOODY, Ryan , CRENSHAW, Hugh, C. , ESPENHAHN, Eric, T. , PELL, Charles, A.
IPC分类号： A61B17/32
CPC分类号： A61B17/32002 , A61B17/00234 , A61B17/320016 , A61B2017/00314 , A61B2017/00398 , A61B2017/320004 , A61B2017/320028 , A61B2017/320032 , A61B2017/320044 , A61B2017/32006 , A61B2090/036
摘要： Methods and devices for blunt dissection include a drive mechanism comprising an elongate rotary drive train having a first proximal end connected to a mounting base for attaching to a handle or a surgical robot and a second distal end. The drive mechanism comprises a differential dissecting member (DDM) configured to be rotatably attached to the second distal end. The drive mechanism further comprises a mechanism configured to mechanically rotate the DDM about a substantially transverse axis of member rotational oscillation, thereby causing at least one tissue engaging surface to move in at least one direction against complex tissue and selectively engage the complex tissue such that when the DDM is pressed into the complex tissue, the at least one tissue engaging surface moves across the complex tissue and disrupts at least one soft tissue in the complex tissue, but does not disrupt firm tissue in the complex tissue.
摘要翻译：用于钝性解剖的方法和装置包括驱动机构，其包括细长旋转传动系，其具有连接到安装基座的第一近端，用于附接到手柄或手术机器人和第二远端。驱动机构包括构造成可旋转地附接到第二远端的差分解剖构件（DDM）。所述驱动机构还包括被配置为围绕构件旋转振荡的基本上横向的轴线机械地旋转DDM的机构，从而使至少一个组织接合表面在至少一个方向上抵靠复合组织移动并选择性地接合复合组织， DDM被压入复合组织中，至少一个组织接合表面移动穿过复合组织并且破坏复合组织中的至少一个软组织，但不会破坏复合组织中的硬组织。

5. 发明申请

WO2013163651A1 METHODS AND DEVICES FOR SOFT TISSUE DISSECTION 审中-公开
标题翻译：用于软组织分离的方法和装置
公开(公告)号：WO2013163651A1
公开(公告)日：2013-10-31
申请号：PCT/US2013/038673
申请日：2013-04-29
申请人： PHYSCIENT, INC.
发明人： CRENSHAW, Hugh, Charles , PELL, Charles, Anthony , ESPENHAHN, Eric, Torr , MOODY, Ryan
IPC分类号： A61B17/3209
CPC分类号： A61B17/00 , A61B17/02 , A61B17/320016 , A61B2017/00858 , A61B2017/320004 , A61B2017/320028 , A61B2017/320044 , A61B2017/32006 , A61B2090/036
摘要： A differential dissecting instrument for differentially dissecting complex tissue is disclosed. The differential dissecting instrument comprises a handle and an elongate member having a first end and a second end, wherein the first end is connected to the handle. The differential dissecting instrument comprises a differential dissecting member configured to be rotatably attached to the second end and further comprises at least one tissue engaging surface. The differential dissecting instrument comprises a mechanism configured to mechanically rotate the differential dissecting member around an axis of rotation, thereby causing the at least one tissue engaging surface to move in at least one direction against the complex tissue. The at least one tissue engaging surface is configured to selectively engage the complex tissue such that the at least one tissue engaging surface disrupts at least one soft tissue in the complex tissue, but does not disrupt firm tissue in the complex tissue.
摘要翻译：公开了一种用于差异解剖复杂组织的差分解剖仪。差速解剖装置包括手柄和具有第一端和第二端的细长构件，其中第一端连接到手柄。差速解剖仪包括构造成可旋转地附接到第二端的差分解剖构件，并且还包括至少一个组织接合表面。差速解剖器包括被配置为围绕旋转轴机械地旋转差速解剖构件的机构，从而使至少一个组织接合表面在至少一个方向上移动抵靠复合组织。所述至少一个组织接合表面构造成选择性地接合所述复合组织，使得所述至少一个组织接合表面破坏所述复合组织中的至少一个软组织，但不会破坏所述复合组织中的硬组织。

6. 发明申请

WO2011146739A1 METHODS AND DEVICES TO DECREASE TISSUE TRAUMA DURING SURGERY 审中-公开
标题翻译：在手术期间减少组织病变的方法和装置
公开(公告)号：WO2011146739A1
公开(公告)日：2011-11-24
申请号：PCT/US2011/037191
申请日：2011-05-19
申请人： PHYSCIENT, INC.
发明人： CRENSHAW, Hugh, Charles , PELL, Charles, Anthony , WILLIAMS, Jeffrey, Paul
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B5/0051 , A61B5/442 , A61B5/7239 , A61B7/00 , A61B17/02 , A61B17/0206 , A61B17/025 , A61B17/0293 , A61B17/12136 , A61B90/03 , A61B2017/00022 , A61B2017/00172 , A61B2017/00181 , A61B2017/00314 , A61B2017/00323 , A61B2017/00398 , A61B2017/00539 , A61B2017/00544 , A61B2017/00557 , A61B2017/00734 , A61B2017/0225 , A61B2017/0256 , A61B2017/0262 , A61B2090/064 , A61B2090/065 , A61B2090/0809 , A61B2562/0219 , A61M25/104
摘要： Methods and devices are disclosed to reduce tissue trauma when a physician retracts a patient's tissues for surgery. In one part, methods and devices are disclosed for controlling retraction force and pace. In another part, methods and devices are disclosed for oscillating force when opening. In another part, methods and devices are disclosed for detecting trauma during retraction. In another part, methods and devices are disclosed for balancing forces on multiple retraction elements. In another part, methods and devices are disclosed for reducing forces in multiple dimensions. In another part, methods and devices are disclosed for engaging ribs. In another part, methods and devices are disclosed to compensate for deformation of a retractor under load. In another part, methods and devices are disclosed that combine these methods and devices. In another part, methods and devices are disclosed for controlling pressure inside inflatable devices used for deforming biological tissues.
摘要翻译：公开了一种方法和装置，用于当医师缩回患者组织进行手术时减少组织损伤。一方面，公开了用于控制收缩力和速度的方法和装置。在另一部分中，当打开时公开了振荡力的方法和装置。在另一部分中，公开了用于在收缩期间检测创伤的方法和装置。在另一部分中，公开了用于在多个回缩元件上平衡力的方法和装置。在另一部分中，公开了用于减少多个维度的力的方法和装置。在另一部分中，公开了用于接合肋的方法和装置。在另一部分中，公开了用于补偿牵引器在负载下的变形的方法和装置。另一方面，公开了组合这些方法和装置的方法和装置。在另一部分中，公开了用于控制用于使生物组织变形的可充气装置内的压力的方法和装置。

7. 发明申请

WO2016200757A1 METHODS AND DEVICES TO DECREASE TISSUE TRAUMA DURING SURGERY 审中-公开
标题翻译：在手术期间减少组织病变的方法和装置
公开(公告)号：WO2016200757A1
公开(公告)日：2016-12-15
申请号：PCT/US2016/036130
申请日：2016-06-07
申请人： PHYSCIENT, INC.
发明人： CRENSHAW, Hugh Charles , PELL, Charles Anthony , WILLIAMS, Jeffrey P.
IPC分类号： A61B17/02 , A61B5/00 , A61B7/00 , A61B17/12 , A61B90/00
CPC分类号： A61B17/0218 , A61B5/0051 , A61B5/442 , A61B5/7239 , A61B7/00 , A61B17/02 , A61B17/0206 , A61B17/025 , A61B17/0293 , A61B17/12136 , A61B90/03 , A61B2017/00022 , A61B2017/00172 , A61B2017/00181 , A61B2017/00314 , A61B2017/00323 , A61B2017/00398 , A61B2017/00539 , A61B2017/00544 , A61B2017/00557 , A61B2017/00734 , A61B2017/0225 , A61B2017/0256 , A61B2017/0262 , A61B2090/064 , A61B2090/065 , A61B2090/0809 , A61B2562/0219 , A61M25/104
摘要： Methods and devices are disclosed to reduce tissue trauma when a physician retracts a patient's tissues for surgery. In one part, methods and devices are disclosed for controlling retraction force and pace. In another part, methods and devices are disclosed for oscillating force when opening. In another part, methods and devices are disclosed for detecting trauma during retraction. In another part, methods and devices are disclosed for balancing forces on multiple retraction elements. In another part, methods and devices are disclosed for reducing forces in multiple dimensions. In another part, methods and devices are disclosed for engaging ribs. In another part, methods and devices are disclosed to compensate for deformation of a retractor under load. In another part, methods and devices are disclosed that combine these methods and devices. In another part, methods and devices are disclosed for controlling pressure inside inf1atable devices used for deforming biological tissues.
摘要翻译：公开了一种方法和装置，用于当医师缩回患者组织进行手术时减少组织损伤。一方面，公开了用于控制收缩力和速度的方法和装置。在另一部分中，当打开时公开了振荡力的方法和装置。在另一部分中，公开了用于在收缩期间检测创伤的方法和装置。在另一部分中，公开了用于在多个回缩元件上平衡力的方法和装置。在另一部分中，公开了用于减少多个维度的力的方法和装置。在另一部分中，公开了用于接合肋的方法和装置。在另一部分中，公开了用于补偿牵引器在负载下的变形的方法和装置。另一方面，公开了组合这些方法和装置的方法和装置。另一方面，公开了用于控制用于使生物组织变形的可充电装置内的压力的方法和装置。

8. 发明申请

WO2013036921A1 RIB-PROTECTING DEVICES FOR THORACOSCOPIC SURGERY, AND RELATED METHODS 审中-公开
标题翻译：用于胸外科手术的RIB保护装置及相关方法
公开(公告)号：WO2013036921A1
公开(公告)日：2013-03-14
申请号：PCT/US2012/054442
申请日：2012-09-10
申请人： PHYSCIENT, INC. , PELL, Charles Anthony , CRENSHAW, Hugh Charles , ESPENHAHN, Eric Torr
发明人： PELL, Charles Anthony , CRENSHAW, Hugh Charles , ESPENHAHN, Eric Torr
IPC分类号： A61B17/02
CPC分类号： A61B17/0206 , A61B5/0051 , A61B17/025 , A61B17/0293 , A61B2017/00539 , A61B2017/00544 , A61B2017/00557 , A61B2017/0225 , A61B2017/3488 , A61B2090/064 , A61B2090/08021
摘要： Methods and devices are disclosed to reduce tissue trauma when a surgeon performs surgery by thoracoscopy. Methods and devices are disclosed for protecting tissues adjacent to an intercostal incision from trauma caused by impingement of instruments into an intercostal incision. In one part, these methods and devices include devices that have controls that stick up out of the incision, permitting adjustment by the surgeon. In another part, methods and devices are disclosed for smaller devices that reside entirely under this skin and require no adjustment by the surgeon.
摘要翻译：公开了当外科医生通过胸腔镜检查进行手术时减少组织损伤的方法和装置。公开了用于保护邻近肋间切口的组织免受由器械撞击到肋间切口引起的创伤的方法和装置。一方面，这些方法和装置包括具有伸出切口的控制装置，允许外科医生调整。在另一部分中，公开了完全在该皮肤下方并且不需要由外科医生进行调整的较小装置的方法和装置。

9. 发明申请

WO2009140495A2 METHODS AND DEVICES TO DECREASE TISSUE TRAUMA DURING SURGERY 审中-公开
标题翻译：在手术期间减少组织病变的方法和装置
公开(公告)号：WO2009140495A2
公开(公告)日：2009-11-19
申请号：PCT/US2009/043954
申请日：2009-05-14
申请人： PHYSCIENT, INC. , PELL, Charles, Anthony , CRENSHAW, Hugh, Charles
发明人： PELL, Charles, Anthony , CRENSHAW, Hugh, Charles
IPC分类号： A61B1/32 , A61M5/00
CPC分类号： A61M5/16813 , A61B17/02 , A61B17/3417 , A61B18/02 , A61M5/1407 , A61M5/1452 , A61M2005/006
摘要： Methods and devices are disclosed to reduce the tissue trauma that occurs when a physician retracts or otherwise deforms a patient's tissues for surgery or other medical procedures. In one part, methods and devices are disclosed for cooling the tissue around the incision. In another part, methods and devices are disclosed that elute drugs into the tissues of the tissue margin. In another part, methods and devices are disclosed to engage tissues during retraction to cushion, to sense tissue state, and to modulate tissue state.
摘要翻译：公开了减少组织创伤的方法和装置，当医生缩回或以其他方式使患者的组织变形以进行手术或其他医疗过程时发生。一方面，公开了用于冷却切口周围的组织的方法和装置。另一方面，公开了将药物洗涤到组织边缘的组织中的方法和装置。在另一部分中，公开了方法和装置以在缩回期间接合组织以缓冲，感测组织状态和调节组织状态。

10. 发明申请

WO2015164536A1 INSTRUMENTS, DEVICES, AND RELATED METHODS FOR SOFT TISSUE DISSECTION 审中-公开
标题翻译：仪器，装置和相关方法用于软组织分离
公开(公告)号：WO2015164536A1
公开(公告)日：2015-10-29
申请号：PCT/US2015/027156
申请日：2015-04-22
申请人： PHYSCIENT, INC
发明人： PELL, Charles, A. , MOODY, Ryan , ESPENHAHN, Eric, T. , CRENSHAW, Hugh, C.
IPC分类号： A61B17/32
CPC分类号： A61B17/32002 , A61B2017/320028 , A61B2017/320044 , A61B2017/32006
摘要： A differential dissecting instrument for differentially dissecting complex tissue comprising is disclosed. The differential dissecting instrument comprises a rotary drive train having a central, longitudinal axis, a distal end, and a proximal end. The differential dissecting instrument also comprises at least one differential dissecting bluntwheel, wherein the at least one differential dissecting bluntwheel is rotatably associated with the distal end of the rotary drive train, has at least one axis of rotation substantially transverse to the central, longitudinal axis of the rotary drive train, and is rotated by the rotary drive train. The bluntwheel may comprise projections that are configured to differentially dissect a complex tissue when the differential dissecting instrument is in operation.
摘要翻译：公开了一种用于差异解剖复合组织的差分解剖仪。差速解剖仪包括具有中心，纵向轴线，远端和近端的旋转传动系。所述差分解剖仪器还包括至少一个差分解剖钝器，其中所述至少一个差分解剖钝器与所述旋转传动系的远端可旋转地相关联，具有至少一个旋转轴线基本上横向于所述中心纵向轴线的中心轴线旋转传动系，并通过旋转传动系转动。平坦轮可以包括突起，其被配置为当差分解剖仪器操作时差异地解剖复杂组织。

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