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1. 发明申请

WO2003068083A1 AN APPARATUS FOR CONNECTING A LONGITUDINAL MEMBER TO A BONE PORTION 审中-公开
标题翻译：将长时间会员连接到骨架部件的装置
公开(公告)号：WO2003068083A1
公开(公告)日：2003-08-21
申请号：PCT/US2003/004361
申请日：2003-02-13
申请人： ENDIUS INCORPORATED , SHLUZAS, Alan, E.
发明人： SHLUZAS, Alan, E.
IPC分类号： A61B17/56
CPC分类号： A61B17/7037 , A61B17/7032
摘要： An apparatus (10) includes a fastener (16) engageable with a bone portion to connect a longitudinal member (12) to the bone portion. A housing (40) has a first passage (42) configured to receive the longitudinal member and a second passage (44) extending transverse to the first passage. The fastener extends through an opening (50) in the housing into the second passage. A longitudinal axis (18) of the fastener is positionable in any one of a plurality of angular positions relative to a longitudinal axis (46) of the second passage. A spacer (60) received in the second passage of the housing is engageable with the fastener and the longitudinal member. A positioning member (70) applies a force to prevent relative movement between the fastener and the housing and permit manual movement of the fastener relative to the housing against the force when the longitudinal member is disengaged from the spacer. A clamping mechanism (90) clamps the longitudinal member, the spacer, and the housing to the fastener to prevent movement of the fastener relative to the housing.
摘要翻译：一种装置（10）包括可与骨部分接合以将纵向构件（12）连接到骨部分的紧固件（16）。壳体（40）具有构造成容纳纵向构件的第一通道（42）和横向于第一通道延伸的第二通道（44）。紧固件延伸穿过壳体中的开口（50）进入第二通道。紧固件的纵向轴线（18）可相对于第二通道的纵向轴线（46）定位在多个角位置中的任一个中。容纳在壳体的第二通道中的间隔件（60）可与紧固件和纵向构件接合。定位构件（70）施加力以防止紧固件和壳体之间的相对运动，并且允许克服当纵向构件与间隔件分离时的力相对于壳体的手动移动。夹持机构（90）将纵向构件，间隔件和壳体夹紧到紧固件以防止紧固件相对于壳体移动。

2. 发明申请

WO2004000145A1 SURGICAL INSTRUMENT FOR MOVING VERTEBRAE 审中-公开
标题翻译：用于移动VERTEBRAE的手术仪器
公开(公告)号：WO2004000145A1
公开(公告)日：2003-12-31
申请号：PCT/US2003/020003
申请日：2003-06-24
申请人： ENDIUS INCORPORATED , SHLUZAS, Alan, E. , ANDERSON, Stephen, J. , PAGLIUCA, James, J. , UNGER, John, D.
发明人： SHLUZAS, Alan, E. , ANDERSON, Stephen, J. , PAGLIUCA, James, J. , UNGER, John, D.
IPC分类号： A61B17/58
CPC分类号： A61B17/701 , A61B17/0206 , A61B17/025 , A61B17/7007 , A61B17/7037 , A61B17/7079 , A61B17/7091 , A61B17/8019 , A61B17/8894 , A61B2017/0256
摘要： A surgical instrument (10) extendable through a cannula for moving a first bone portion relative to a second bone portion includes a first portion (30) having a longitudinal axis engageable with a first member (18) connected with to the first bone portion. A second portion is engageable with a second member connected with the second bone portion. The second portion is movable relative to the first portion from a first position toward a second position to move the first and second bone portions away from each other. An actuator (52) connected with the second portion moves the second portion relative to the first portion in a direction extending transverse to the longitudinal axis.
摘要翻译：通过插管可延伸的用于相对于第二骨部分移动第一骨部分的手术器械（10）包括具有与与第一骨部分连接的第一部件（18）可纵向连接的纵向轴线的第一部分（30）。第二部分可与与第二骨部分连接的第二部件接合。第二部分可相对于第一部分从第一位置向第二位置移动，以使第一和第二骨部分彼此远离。与第二部分连接的致动器（52）在横向于纵向轴线的方向上相对于第一部分移动第二部分。

3. 发明申请

WO2006045089A3 AN APPARATUS FOR CONNECTING A LONGITUDINAL MEMBER TO A BONE PORTION 审中-公开
公开(公告)号：WO2006045089A3
公开(公告)日：2006-04-27
申请号：PCT/US2005/038019
申请日：2005-10-20
申请人： ENDIUS INCORPORATED , SHLUZAS, Alan, E.
发明人： SHLUZAS, Alan, E.
IPC分类号： A61B17/70 , A61M29/00
摘要： A device for provides access to a surgical location within a patient. The device has an elongate body that has a proximal portion, a distal portion, a first slot segment, and a second slot segment that is angled relative to said first slot segment. The elongate body defines a passage for accessing the surgical location with surgical instruments. The elongate body has a contracted configuration for insertion into the patient and an expanded configuration for providing access to the surgical location. The cross-sectional area of the passage at a first location of the elongate body is greater than the cross-sectional area of said passage at a second location of the elongate body. A movable tab is configured to extend into the second slot segment when the elongate body is in the expanded configuration to retain the elongate body in the expanded configuration.

4. 发明申请

WO2004022108A2 SURGICAL INSTRUMENT FOR MOVING A VERTEBRA 审中-公开
标题翻译：用于移动VERTEBRA的手术仪器
公开(公告)号：WO2004022108A2
公开(公告)日：2004-03-18
申请号：PCT/US2003/027879
申请日：2003-09-05
申请人： ENDIUS INCORPORATED , SHLUZAS, Alan, E.
发明人： SHLUZAS, Alan, E.
IPC分类号： A61L
CPC分类号： A61B17/7086 , A61B17/7032 , A61B17/7037 , A61B17/7091
摘要： A surgical instrument includes a first device adapted to be connected to a fastener fixed to a first bone portion. A second device includes a first portion associated with the first device and a second portion for supporting a member which engages the fastener fixed to the first bone portion and secures a rod connected to the second bone portion to the fastener. The second portion is adapted for pressing the member against the rod. The first device has a part that prevents the second device from moving toward the fastener that is connected to the first device so that the member is rotated relative to the fastener but is not moved axially relative to the fastener in response to rotation of the second device.
摘要翻译：手术器械包括适于连接到固定到第一骨部分上的紧固件的第一装置。第二装置包括与第一装置相关联的第一部分和用于支撑构件的第二部分，该部件接合固定到第一骨部分的紧固件，并将连接到第二骨部分的杆固定到紧固件。第二部分适于将构件压靠在杆上。第一装置具有防止第二装置朝向连接到第一装置的紧固件移动的部分，使得构件相对于紧固件旋转，但是不响应于第二装置的旋转而相对于紧固件轴向移动。

5. 发明申请

WO2004021899A1 SYSTEM AND METHODS FOR PERFORMING MINIMALLY-INVASIVE SURGICAL PROCEDURES 审中-公开
标题翻译：用于执行最小程度的外科手术的系统和方法
公开(公告)号：WO2004021899A1
公开(公告)日：2004-03-18
申请号：PCT/US2002/028106
申请日：2002-09-05
申请人： ENDIUS INCORPORATED , DIPOTO, Gene, P. , PAGLIUCA, James, J. , UNGER, John, D. , SHLUZAS, Alan, E. , ANDERSON, Stephen, J.
发明人： DIPOTO, Gene, P. , PAGLIUCA, James, J. , UNGER, John, D. , SHLUZAS, Alan, E. , ANDERSON, Stephen, J.
IPC分类号： A61B17/56
CPC分类号： A61B17/7037 , A61B1/00149 , A61B1/313 , A61B17/0218 , A61B17/0293 , A61B17/29 , A61B17/3423 , A61B17/3439 , A61B17/7032 , A61B17/7079 , A61B17/7082 , A61B17/7083 , A61B17/7091 , A61B90/50 , A61B2017/2926
摘要： Systems and methods for performing surgical procedures on bone structures located within body tissue including an expandable conduit (22) comprising a wall portion (22) defining an internal passage therethrough and an initial configuration having a first cross-sectional area at a distal portion (24) thereof for percutaneous insertion into the body tissue. The wall portion (22) is movable against the body tissue to a second configuration having an enlarged cross-sectional area at the distal portion (22) thereof. An elongated member (650) and a first and second fastener (600) are configured for insertion into the internal passage. The first and second fasteners (600) are configured for fixation to the bone portion. The fastener (600) defines a recess for receiving the elongated member (650) therein. A driver member (660) is used to secure the clamping member (610) to the housing (604). The first and second bone portions are preferably first and second vertebrae.
摘要翻译：用于对位于身体组织内的骨结构进行外科手术的系统和方法，包括可扩张管道（22），该可扩张管道（22）包括限定穿过其中的内部通道的壁部分（22），以及在远端部分（24）处具有第一横截面积的初始构型），用于经皮插入身体组织。所述壁部分（22）能够相对于所述主体组织移动到在其远端部分（22）处具有增大的横截面面积的第二构造。细长构件（650）和第一和第二紧固件（600）构造成用于插入到内部通道中。第一和第二紧固件（600）构造成用于固定到骨部分。紧固件（600）限定用于在其中容纳细长构件（650）的凹部。驱动器构件（660）用于将夹紧构件（610）固定到壳体（604）。第一和第二骨部优选为第一和第二椎骨。

6. 发明申请

WO2012040233A2 SYSTEM FOR PROVIDING SURGICAL ACCESS 审中-公开
标题翻译：提供手术治疗的系统
公开(公告)号：WO2012040233A2
公开(公告)日：2012-03-29
申请号：PCT/US2011/052404
申请日：2011-09-20
申请人： ENTOURAGE MEDICAL TECHNOLOGIES, LLC , SHANLEY, John, F. , DIAZ, Stephen, H. , SHLUZAS, Alan, E. , LITVACK, Frank
发明人： SHANLEY, John, F. , DIAZ, Stephen, H. , SHLUZAS, Alan, E. , LITVACK, Frank
IPC分类号： A61B17/00 , A61B17/04
CPC分类号： A61B17/0625 , A61B17/0057 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/06 , A61B17/06066 , A61B17/34 , A61B17/3403 , A61B90/06 , A61B90/08 , A61B90/37 , A61B2017/00044 , A61B2017/00243 , A61B2017/00575 , A61B2017/00628 , A61B2017/00663 , A61B2017/0414 , A61B2017/0417 , A61B2017/0443 , A61B2017/047 , A61B2017/0472 , A61B2017/0475 , A61B2017/0496 , A61B2017/06023 , A61B2017/06042 , A61B2017/06076 , A61B2017/06171 , A61B2017/06176 , A61B2017/3405 , A61B2017/3409 , A61B2017/3413 , A61B2090/062 , A61B2090/065 , A61B2090/0807 , A61B2090/0811 , A61B2090/3735
摘要： One embodiment is directed to a system for providing surgical access across a wall of a tissue structure, comprising a delivery member, a first helical member, an anchor member removably coupled to the helical member distal end, and a suture member coupled distally to a portion of the anchor member and extending proximally to a position wherein at least a portion of it may be freely manipulated by an operator; wherein upon rotation of the delivery member in a first direction, the first helical member and coupled anchor member are advanced across at least a portion of the wall of the tissue structure, pulling along the distal portion of the suture member in a deployed suture pattern which remains coupled to the anchor member, the deployed suture pattern being characterized in that it is substantially helical with between about one and three helical loops.
摘要翻译：一个实施例涉及一种用于提供穿过组织结构的壁的手术进入的系统，包括递送构件，第一螺旋构件，可移除地联接到螺旋构件远端的锚定构件，以及沿远端结合到部分并且向近侧延伸到其操作者可以自由地操纵其至少一部分的位置; 其中当沿着第一方向转动所述传送构件时，所述第一螺旋构件和所述联接的锚定构件穿过所述组织结构的所述壁的至少一部分，沿着所述缝合构件的远端部分以部署的缝合线图案保持联接到锚定构件，所展开的缝合线图案的特征在于其在大约一个和三个螺旋环之间是基本螺旋形的。

7. 发明申请

WO2005046492A1 ADJUSTABLE HEIGHT ACCESS DEVICE FOR TREATING THE SPINE OF A PATIENT 审中-公开
标题翻译：用于治疗患者脊柱的可调节高度接近装置
公开(公告)号：WO2005046492A1
公开(公告)日：2005-05-26
申请号：PCT/US2004/035072
申请日：2004-10-25
申请人： ENDIUS. INC. , DIPOTO, Gene , SHLUZAS, Alan, E.
发明人： DIPOTO, Gene , SHLUZAS, Alan, E.
IPC分类号： A61B17/34
CPC分类号： A61B1/313 , A61B1/00149 , A61B1/00154 , A61B1/31 , A61B1/3135 , A61B17/00 , A61B17/02 , A61B17/0218 , A61B17/1757 , A61B17/32002 , A61B17/3403 , A61B17/3423 , A61B17/3439 , A61B17/3462 , A61B17/7001 , A61B17/7007 , A61B17/701 , A61B17/7032 , A61B17/7037 , A61B17/7038 , A61B17/7041 , A61B17/7044 , A61B17/7058 , A61B17/7082 , A61B17/7083 , A61B17/7085 , A61B17/8875 , A61B34/70 , A61B90/11 , A61B90/30 , A61B90/361 , A61B90/50 , A61B2017/00261 , A61B2017/00557 , A61B2090/062 , A61B2090/08021 , A61B2090/306 , A61B2217/005 , A61B2217/007
摘要： A device for providing access to a surgical location within a patient is provided. The device includes an elongate body (11004, 12004, 13004) and a sleeve (11006, 12006, 13006). The elongate body (11004, 12004, 13004) has an outer surface (11008, 12008, 13008), an inner surface (11012, 12012, 13012), and a distal portion (11016, 12016, 13016). The inner surface (11012, 12012, 13012) defines a passage (11020, 12020, 13020) that extends through the elongate body (11004, 12004, 13004) along a longitudinal axis (11024, 12024, 13024) through which surgical instruments can be inserted to the surgical location. The distal portion (11016, 12016, 13016) is capable of having an expanded configuration when inserted within the patient. In the expanded configuration, the cross-sectional area of the passage (11020, 12020, 13020) at a first location (11028, 12028, 13028) is greater than the cross-sectional area of the passage (11020, 12020, 13020) at a second location (11032, 12032, 13032), wherein the first location (11028, 12028, 13028) is distal to the second location (11032, 12032, 13032). The sleeve (11006, 12006, 13006) is configured to be moved relative to the elongate body (11004, 12004, 13004) along the longitudinal axis (11024, 12024, 13024) to increase or to decrease the length of the passage (11020, 12020, 13020) along the longitudinal axis (11024, 12024, 13024).
摘要翻译：提供了一种用于提供对患者内的手术位置的访问的装置。该装置包括细长主体（11004,12004,13004）和套筒（11006,122006,13006）。细长体（11004,12004,13004）具有外表面（11008,12008,13008），内表面（11012,12012,13012）和远端部分（11016,12016,13016）。内表面（11012,12012,13012）限定了沿着纵向轴线（11024,12024,13024）延伸穿过细长主体（1104,12024,13024）的通道（11020,12020,13020），手术器械可通过该纵向轴线插入手术位置。远端部分（11016,12016,13016）能够在插入患者体内时具有扩张构型。在扩展构型中，在第一位置（11028,12028,13028）处的通道（11020,12020,13020）的横截面面积大于通道（11020,12020,13020）处的通道的横截面面积第二位置（11032,12032,13032），其中所述第一位置（11028,12028,13028）远离所述第二位置（11032,12032,13032）。套筒（11006,122006，13006）构造成沿着纵向轴线（11024,12024,13024）相对于细长主体（11004,12004,13004）移动，以增加或减小通道（11020,1230） 12020,13020）沿纵向轴线（11024,12024,13024）。

8. 发明申请

WO2011156782A1 SYSTEM AND METHOD FOR TRANSAPICAL ACCESS AND CLOSURE 审中-公开
标题翻译：用于透视访问和关闭的系统和方法
公开(公告)号：WO2011156782A1
公开(公告)日：2011-12-15
申请号：PCT/US2011/040085
申请日：2011-06-10
申请人： ENTOURAGE MEDICAL TECHNOLOGIES, LLC , LITVACK, Frank , SHANLEY, John, F. , SHLUZAS, Alan, E. , DIAZ, Stephen, H. , STEESE-BRADLEY, Gary
发明人： LITVACK, Frank , SHANLEY, John, F. , SHLUZAS, Alan, E. , DIAZ, Stephen, H. , STEESE-BRADLEY, Gary
IPC分类号： A61B17/00
CPC分类号： A61B17/3423 , A61B17/00234 , A61B17/0057 , A61B17/0218 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/08 , A61B17/10 , A61B17/3468 , A61B90/30 , A61B90/361 , A61B2017/00243 , A61B2017/00247 , A61B2017/00349 , A61B2017/00579 , A61B2017/00592 , A61B2017/00601 , A61B2017/00606 , A61B2017/00615 , A61B2017/00619 , A61B2017/00623 , A61B2017/00637 , A61B2017/00654 , A61B2017/00668 , A61B2017/0237 , A61B2017/0414 , A61B2017/0427 , A61B2017/0464 , A61B2017/0472 , A61B2017/0496 , A61B2017/06009 , A61B2017/06023 , A61B2017/06042 , A61B2017/06076 , A61B2017/06176 , A61B2017/22067 , A61B2017/22069 , A61B2017/306 , A61B2017/3425 , A61B2017/3445 , A61B2017/3484 , A61B2017/3488 , A61B2090/036 , A61B2090/306 , A61B2090/3735
摘要： Embodiments are described for creating and closing tissue access ports, such as transapical access ports, which involve placement of an introducer across the subject tissue structure, and deployment of a controllable port closure device assembly configured to remain in place with a ratcheting mechanism, and to hold the tissue surrounding the previous access port location closed against a sealing disc with proximal and distal strut assemblies, after the introducer has been removed.
摘要翻译：描述了用于创建和关闭组织进入端口（例如经验访问端口）的实施例，其涉及导引器跨越对象组织结构的放置，以及配置成利用棘轮机构保持在适当位置的可控制端口闭合装置组件的展开，以及在引导器已经被移除之后，将围绕先前进入端口位置的组织保持靠近具有近端和远端支柱组件的密封盘。

9. 发明申请

WO2007146833A2 METHODS AND APPARATUS FOR ACCESS TO AND/OR TREATMENT OF THE SPINE 审中-公开
标题翻译：用于获取和/或治疗脊椎的方法和装置
公开(公告)号：WO2007146833A2
公开(公告)日：2007-12-21
申请号：PCT/US2007/070798
申请日：2007-06-08
申请人： ENDIUS, INC. , DIPOTO, Gene, P. , ANDERSON, Stephen, J. , SHLUZAS, Alan, E.
发明人： DIPOTO, Gene, P. , ANDERSON, Stephen, J. , SHLUZAS, Alan, E.
IPC分类号： A61B17/02 , A61B17/34 , A61B17/70
CPC分类号： A61B17/02 , A61B17/0218 , A61B17/0482 , A61B17/0483 , A61B17/06109 , A61B17/3421 , A61B17/3439 , A61B17/7002 , A61B17/7032 , A61B17/7035 , A61B17/708 , A61B17/7082 , A61B17/7083 , A61B17/7085 , A61B17/7091 , A61B17/8863 , A61B2017/0256 , A61B2017/3443
摘要： Systems, devices, and methods suitable for use with procedures performed at least partially percutaneously are provided. In some procedures, two or more access devices for providing access to adjacent surgical locations within a patient are used. Certain embodiments of the access device comprise an elongate body having a distal end with one or more cutouts. The cutouts on adjacent access devices are generally aligned with each other to permit passage of a portion of a fixation element from one access device to the other access device. A fastener with an elongated removable head may be delivered to the surgical site through the access device. After a distal end of the fastener is secured to the surgical site, a portion of the elongated housing is detached from the remainder of the fastener and removed from the patient.
摘要翻译：提供了适用于至少部分经皮进行的程序的系统，装置和方法。在一些程序中，使用用于提供对患者内的相邻手术位置的访问的两个或多个访问装置。进入装置的某些实施例包括具有一个或多个切口的远端的细长主体。相邻进入装置上的切口通常彼此对准以允许固定元件的一部分从一个进入装置通过到另一个进入装置。具有细长可拆卸头部的紧固件可以通过接入装置被输送到手术部位。在紧固件的远端固定到手术部位之后，细长壳体的一部分与紧固件的其余部分分离并从患者身上移除。

10. 发明申请

WO2005096968A1 ACCESS DEVICE HAVING DISCRETE VISUALIZATION LOCATIONS 审中-公开
标题翻译：具有分离可视化位置的访问设备
公开(公告)号：WO2005096968A1
公开(公告)日：2005-10-20
申请号：PCT/US2005/010609
申请日：2005-03-31
申请人： ENDIUS, INC. , SHLUZAS, Alan, E. , DIPOTO, Gene, P.
发明人： SHLUZAS, Alan, E. , DIPOTO, Gene, P.
IPC分类号： A61B17/34
CPC分类号： A61B17/3439 , A61B1/313 , A61B17/02 , A61B17/0293 , A61B17/1757 , A61B17/7037 , A61B17/7082 , A61B17/7083 , A61B90/50 , A61B2017/00261 , A61B2017/0256 , A61B2017/3445 , A61B2017/3449 , A61B2090/306
摘要： A device (4010) for providing access to a surgical location within a patient comprises an elongate body having a proximal portion (4032) and a distal portion (4028). The elongate body defines a first passage (4066) for accessing the surgical location with surgical instruments. The device (4010) has a contracted configuration for insertion into the patient and an expanded configuration for providing access to the surgical location. The cross-sectional area of the first passage (4066) at a first location of the expanded configuration is greater than the cross-sectional area of the first passage (4066) at a second location of the expanded configuration. A second passage (4012) is separate from the first passage (4066) and is formed integrally with the elongate body. The second passage (4012) extends from the proximal portion (4032) toward the distal portion (4028) and is sized and configured to receive a viewing element for visualizing the surgical location.
摘要翻译：用于提供对患者内的手术位置的接近的装置（4010）包括具有近端部分（4032）和远端部分（4028）的细长主体。细长主体限定用于利用外科器械进入外科手术位置的第一通道（4066）。装置（4010）具有用于插入到患者体内的收缩构造和用于提供对外科手术位置的接近的扩展构造。在扩展构型的第一位置处的第一通道（4066）的横截面面积大于扩展构型的第二位置处的第一通道（4066）的横截面积。第二通道（4012）与第一通道（4066）分离，并与细长体一体形成。第二通道（4012）从近端部分（4032）延伸到远端部分（4028），并且其尺寸和构造用于容纳用于使外科手术位置可视化的观察元件。

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