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    • 2. 发明申请
    • PROTECTIVE DEVICE
    • 保护装置
    • WO2012173709A1
    • 2012-12-20
    • PCT/US2012/036094
    • 2012-05-02
    • COOPER TECHNOLOGIES COMPANYSTRONG, James, AlanMILLER, David, R.
    • STRONG, James, AlanMILLER, David, R.
    • F16B37/14
    • F16B37/14
    • A device includes a cover that includes a base. The cover is configured to be positioned over a mount that couples a support structure of an electrical device to another element. The electrical device includes an energized terminal that is configured to connect to an electrical power system and a grounded terminal. The device also includes an insulating interface coupled to the base of the cover such that, when the cover is positioned over the mount, the interface contacts the support structure to substantially electrically insulate the mount. A system includes an electrical device, a support structure that holds the electrical device on the first side, a mount configured to couple the structure to another element, the mount being grounded during operation of the system, and a protective device positioned over the mount.
    • 一种装置包括包括底座的盖。 盖被配置为定位在将电气设备的支撑结构耦合到另一元件的安装件上。 电气设备包括被配置为连接到电力系统和接地终端的通电端子。 该装置还包括耦合到盖的基部的绝缘接口,使得当盖定位在安装件上方时,接口接触支撑结构以使安装座基本上电绝缘。 一种系统包括电气设备,将电气设备保持在第一侧上的支撑结构,被配置为将结构耦合到另一元件的安装座,该安装座在系统操作期间接地,以及位于该安装件上方的保护装置。
    • 3. 发明申请
    • DEVICES AND METHODS FOR TISSUE REMOVAL
    • 用于组织去除的装置和方法
    • WO2006044727A2
    • 2006-04-27
    • PCT/US2005/037136
    • 2005-10-15
    • BAXANO, INC.BLEICH, Jeffery, L.SPISAK, Steven, A.HLAVKA, Edwin, J.SAADAT, VahidMILLER, David, R.YURCHENCO, James
    • BLEICH, Jeffery, L.SPISAK, Steven, A.HLAVKA, Edwin, J.SAADAT, VahidMILLER, David, R.YURCHENCO, James
    • A61B5/05
    • A61B17/320758A61B1/3135A61B17/149A61B17/1659A61B17/1671A61B17/29A61B17/320016A61B17/32002A61B17/32053A61B17/3401A61B17/3403A61B17/3421A61B17/3496A61B18/1477A61B18/1487A61B90/04A61B90/361A61B2017/00261A61B2017/00287A61B2017/003A61B2017/00867A61B2017/00907A61B2017/320004A61B2017/320044A61B2017/32006A61B2017/3445A61B2017/3447A61B2018/1407A61B2018/1425A61B2090/061A61B2090/08021A61F2/0045A61N1/0551A61N1/36017
    • Methods and apparatus are provided for selective surgical removal of tissue, e.g., for enlargement of diseased spinal structures, such as impinged lateral recesses and pathologically narrowed neural foramen. In one variation, tissue may be ablated, resected, removed, or otherwise remodeled by standard small endoscopic tools delivered into the epidural space through an epidural needle. Once the sharp tip of the needle is in the epidural space, it is converted to a blunt tipped instrument for further safe advancement. A specially designed epidural catheter that is used to cover the previously sharp needle tip may also contain a fiberoptic cable. Further embodiments of the current invention include a double barreled epidural needle or other means for placement of a working channel for the placement of tools within the epidural space, beside the epidural instrument. The current invention includes specific tools that enable safe tissue modification in the epidural space, including a barrier that separates the area where tissue modification will take place from adjacent vulnerable neural and vascular structures. In one variation, a tissue abrasion device is provided including a thin belt or ribbon with an abrasive cutting surface. The device may be placed through the neural foramina of the spine and around the anterior border of a facet joint. Once properly positioned, a medical practitioner may enlarge the lateral recess and neural foramina via frictional abrasion, i.e., by sliding the abrasive surface of the ribbon across impinging tissues. A nerve stimulator optionally may be provided to reduce a risk of inadvertent neural abrasion. Additionally, safe epidural placement of the working barrier and epidural tissue modification tools may be further improved with the use of electrical nerve stimulation capabilities within the invention that, when combined with neural stimulation monitors, provide neural localization capabilities to the surgeon. The device optionally may be placed within a protective sheath that exposes the abrasive surface of the ribbon only in the area where tissue removal is desired. Furthermore, an endoscope may be incorporated into the device in order to monitor safe tissue removal. Finally, tissue remodeling within the epidural space may be ensured through the placement of compression dressings against remodeled tissue surfaces, or through the placement of tissue retention straps, belts or cables that are wrapped around and pull under tension aspects of the impinging soft tissue and bone in the posterior spinal canal.
    • 提供了用于选择性手术去除组织的方法和装置,例如用于扩大患病的脊柱结构,例如冲击的侧向凹陷和病理变窄的神经孔。 在一个变化中,组织可以被通过硬膜外针递送到硬膜外腔的标准小内窥镜工具进行消融,切除,去除或其它改造。 一旦尖锐尖端的针头在硬膜外腔中,就会被转换成钝头,以进一步安全的进行。 用于覆盖先前锋利的针尖的特别设计的硬膜外导管还可以包含光纤电缆。 本发明的另外的实施例包括双重硬膜外针或其他用于放置用于在硬膜外腔内的硬膜外腔内放置工具的工作通道的装置。 本发明包括能够在硬膜外腔中进行安全组织修复的特定工具,包括将相邻的脆弱神经和血管结构发生组织修饰的区域分开的屏障。 在一个实施例中,提供了一种组织磨损装置,其包括具有研磨切割表面的薄带或带。 该装置可以通过脊柱的神经孔和围绕小关节的前边缘放置。 一旦适当定位,医生可以通过摩擦磨损,即通过将带的研磨表面滑动穿过冲击组织来扩大横向凹部和神经孔。 任选地可以提供神经刺激器以减少无意神经磨损的风险。 此外,通过使用本发明中的电神经刺激能力,可以进一步改善工作屏障和硬膜外组织修饰工具的安全硬膜外放置,当与神经刺激监测器组合时,向外科医生提供神经定位能力。 该装置可选择地放置在保护套内,仅在期望组织移除的区域中暴露带的研磨表面。 此外,为了监视安全的组织去除,可以将内窥镜结合到装置中。 最后,可以通过将压缩敷料放置在重建的组织表面上,或者通过放置组织保持带,皮带或电缆,在打入的软组织和骨骼的张力方面被缠绕和拉动来确保硬膜外腔内的组织重建 在后椎管内。
    • 5. 发明申请
    • SPINAL DIAGNOSTIC METHODS AND APPARATUS
    • 脊柱诊断方法和装置
    • WO2005102440A2
    • 2005-11-03
    • PCT/US2005/012981
    • 2005-04-15
    • INNOSPINE, INC.MILLER, David, R.ALAMIN, ToddCAMPBELL, Peter, F.
    • MILLER, David, R.ALAMIN, ToddCAMPBELL, Peter, F.
    • A61M31/00
    • A61B17/3478A61B17/3421A61B17/3472A61B2017/00261A61B2017/00469A61B2017/3488
    • Methods, devices and systems facilitate diagnosis, and in some cases treatment, of back pain originating in intervertebral discs. Methods generally involve introducing one or more substances into one or more discs using a catheter device. In one embodiment, a patient assumes a position that causes back pain, and a substance such as an anesthetic or analgesic is introduced into the disc to determine whether the substance relieves the pain. Injections into multiple discs may optionally be performed, to help pinpoint a disc as a source of the patient's pain. In some embodiments, the catheter device is left in place, and possibly coupled with another implantable device, to provide treatment of one or more discs. A catheter device includes at least one anchoring member for maintaining a distal portion of the catheter within a disc.
    • 方法,装置和系统便于在椎间盘中产生的背部疼痛的诊断以及在某些情况下治疗。 方法通常包括使用导管装置将一种或多种物质引入一个或多个盘中。 在一个实施方案中,患者承担引起背部疼痛的位置,并且将诸如麻醉剂或镇痛剂的物质引入椎间盘以确定该物质是否释放疼痛。 可以可选地执行到多个盘中的注射,以帮助确定光盘作为患者疼痛的来源。 在一些实施例中,导管装置留在原位,并且可能与另一种可植入装置联接,以提供对一个或多个盘的治疗。 导管装置包括用于将导管的远侧部分保持在盘内的至少一个锚固构件。