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1. 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。

2. 发明申请

WO2009126953A9 METHODS AND DEVICES TO DECREASE TISSUE TRAUMA DURING SURGERY 审中-公开
公开(公告)号：WO2009126953A9
公开(公告)日：2009-10-15
申请号：PCT/US2009/040348
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
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.

3. 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.

4. 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。

5. 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。

6. 发明申请

WO2015065898A1 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：WO2015065898A1
公开(公告)日：2015-05-07
申请号：PCT/US2014/062382
申请日：2014-10-27
申请人： PHYSCIENT, INC.
发明人： MOODY, Ryan , PELL, Charles, Anthony , ESPENHAHN, Eric, Torr , CRENSHAW, Hugh, Charles
IPC分类号： A61B17/32 , A61B17/3209
CPC分类号： A61B17/32 , A61B17/32002 , A61B17/320068 , A61B17/32056 , A61B90/37 , A61B2017/003 , A61B2017/00353 , A61B2017/00858 , A61B2017/320028 , A61B2017/320044 , A61B2017/32006 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/1412 , A61B2018/1422 , A61B2090/08021
摘要： An instrument for differentially dissecting complex tissue is disclosed, comprising a handle, a central longitudinal axis, and an elongate member, with a differential dissecting member (DDM) configured to be rotatably attached to a distal end. The DDM comprises at least one tissue engaging surface, a first torque-point disposed to a first side of an axis of rotation, and a mechanism configured to rotate the DDM around the axis of rotation, causing the tissue engaging surface to move in at least one direction against the complex tissue. The mechanism comprises at least one force-transmitting member attached to the first torque-point member and to a motive source configured to oscillate the DDM. The tissue engaging surface is configured to selectively engage the complex tissue such that it 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器械，包括手柄，中心纵向轴线和细长构件，其中构造成可旋转地附接到远端的差速解剖构件（DDM）。 DDM包括至少一个组织接合表面，设置在旋转轴线的第一侧的第一扭矩点以及被配置为围绕旋转轴线旋转DDM的机构，使组织接合表面至少移动一个针对复杂组织的方向。该机构包括至少一个连接到第一扭矩点构件的力传递构件和被配置为使DDM振荡的动力源。组织接合表面构造成选择性地接合复合组织，使得其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。

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