CA2646251A1 - Methods and apparatus for tissue modification - Google Patents
Methods and apparatus for tissue modification Download PDFInfo
- Publication number
- CA2646251A1 CA2646251A1 CA002646251A CA2646251A CA2646251A1 CA 2646251 A1 CA2646251 A1 CA 2646251A1 CA 002646251 A CA002646251 A CA 002646251A CA 2646251 A CA2646251 A CA 2646251A CA 2646251 A1 CA2646251 A1 CA 2646251A1
- Authority
- CA
- Canada
- Prior art keywords
- tissue
- patient
- distal
- proximal
- modifying
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/1659—Surgical rasps, files, planes, or scrapers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/1613—Component parts
- A61B17/1626—Control means; Display units
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/1662—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1671—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body for the spine
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
- A61B17/1757—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the spine
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8861—Apparatus for manipulating flexible wires or straps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
- A61B17/0218—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8897—Guide wires or guide pins
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00261—Discectomy
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B2017/32006—Surgical cutting instruments with a cutting strip, band or chain, e.g. like a chainsaw
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/34—Trocars; Puncturing needles
- A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
- A61B2017/3482—Means for supporting the trocar against the body or retaining the trocar inside the body inside
- A61B2017/3484—Anchoring means, e.g. spreading-out umbrella-like structure
- A61B2017/3488—Fixation to inner organ or inner body tissue
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0801—Prevention of accidental cutting or pricking
- A61B2090/08021—Prevention of accidental cutting or pricking of the patient or his organs
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Dentistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Pathology (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (11)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US11/375,265 US7887538B2 (en) | 2005-10-15 | 2006-03-13 | Methods and apparatus for tissue modification |
| US11/375,265 | 2006-03-13 | ||
| US11/405,848 | 2006-04-17 | ||
| US11/405,848 US8430881B2 (en) | 2004-10-15 | 2006-04-17 | Mechanical tissue modification devices and methods |
| US11/406,486 US7938830B2 (en) | 2004-10-15 | 2006-04-17 | Powered tissue modification devices and methods |
| US11/405,859 | 2006-04-17 | ||
| US11/406,486 | 2006-04-17 | ||
| US11/405,859 US20070213734A1 (en) | 2006-03-13 | 2006-04-17 | Tissue modification barrier devices and methods |
| US11/429,377 US8048080B2 (en) | 2004-10-15 | 2006-05-04 | Flexible tissue rasp |
| US11/429,377 | 2006-05-04 | ||
| PCT/US2007/063679 WO2007106740A2 (en) | 2006-03-13 | 2007-03-09 | Methods and apparatus for tissue modification |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA2646251A1 true CA2646251A1 (en) | 2007-09-20 |
Family
ID=38510184
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA002646251A Abandoned CA2646251A1 (en) | 2006-03-13 | 2007-03-09 | Methods and apparatus for tissue modification |
Country Status (5)
| Country | Link |
|---|---|
| EP (1) | EP2019635A2 (enExample) |
| JP (1) | JP5175264B2 (enExample) |
| AU (1) | AU2007226692B2 (enExample) |
| CA (1) | CA2646251A1 (enExample) |
| WO (1) | WO2007106740A2 (enExample) |
Families Citing this family (16)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20100022824A1 (en) | 2008-07-22 | 2010-01-28 | Cybulski James S | Tissue modification devices and methods of using the same |
| KR100946270B1 (ko) | 2008-08-12 | 2010-03-09 | 주식회사 메가젠임플란트 | 연조직 절단 치과용 공구 |
| US10028753B2 (en) | 2008-09-26 | 2018-07-24 | Relievant Medsystems, Inc. | Spine treatment kits |
| US20100121139A1 (en) | 2008-11-12 | 2010-05-13 | Ouyang Xiaolong | Minimally Invasive Imaging Systems |
| DE202011103583U1 (de) | 2011-07-22 | 2011-10-28 | Martin Fähndrich | Instrumentarium zum Behandeln von Spinalkanalstenosen |
| JP2016530958A (ja) * | 2013-08-19 | 2016-10-06 | スミス アンド ネフュー インコーポレーテッド | 直接可視化の下での骨除去 |
| EP3052031A4 (en) | 2013-09-30 | 2017-05-17 | Cordynamix, Inc. | Methods and devices for diastolic assist |
| US10772678B2 (en) | 2013-09-30 | 2020-09-15 | Michael D. Laufer | Methods and devices for diastolic assist |
| US10342579B2 (en) | 2014-01-13 | 2019-07-09 | Trice Medical, Inc. | Fully integrated, disposable tissue visualization device |
| US9370295B2 (en) | 2014-01-13 | 2016-06-21 | Trice Medical, Inc. | Fully integrated, disposable tissue visualization device |
| US11547446B2 (en) | 2014-01-13 | 2023-01-10 | Trice Medical, Inc. | Fully integrated, disposable tissue visualization device |
| EP3334322A1 (en) | 2015-08-11 | 2018-06-20 | Trice Medical, Inc. | Fully integrated, disposable tissue visualization device |
| US10335225B2 (en) | 2016-11-21 | 2019-07-02 | Arthrex, Inc. | Electrosurgical medical device handpiece with insulated aspiration system |
| US11622753B2 (en) | 2018-03-29 | 2023-04-11 | Trice Medical, Inc. | Fully integrated endoscope with biopsy capabilities and methods of use |
| CN113692255A (zh) * | 2019-04-16 | 2021-11-23 | 实验室和人们 | 组织去除装置 |
| US20250160809A1 (en) * | 2023-11-21 | 2025-05-22 | Nicholas J. Schoch | Surgical retractor device and method of use |
Family Cites Families (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE69842242D1 (de) * | 1997-02-11 | 2011-06-09 | Zimmer Spine Inc | Platte für die vordere Halswirbelsäule mit Fixierungssystem für Schrauben |
| US6440147B1 (en) * | 1998-09-03 | 2002-08-27 | Rubicor Medical, Inc. | Excisional biopsy devices and methods |
| EP1146816B1 (en) * | 1998-12-23 | 2005-10-12 | Nuvasive Inc. | Nerve surveillance cannulae systems |
| IL131197A (en) * | 1999-08-01 | 2009-12-24 | Assaf Dekel | Apparatus for spinal procedures |
| US20030191474A1 (en) * | 2000-02-16 | 2003-10-09 | Cragg Andrew H. | Apparatus for performing a discectomy through a trans-sacral axial bore within the vertebrae of the spine |
| JP4517170B2 (ja) * | 2002-09-27 | 2010-08-04 | サージファイル，インク． | 遮蔽往復外科用器具 |
| WO2005007202A2 (en) * | 2003-07-08 | 2005-01-27 | Board Of Regents, The University Of Texas System | Surgical cutting tools and related methods |
| US8328810B2 (en) * | 2004-06-17 | 2012-12-11 | Boston Scientific Scimed, Inc. | Slidable sheaths for tissue removal devices |
| WO2006015302A1 (en) * | 2004-07-29 | 2006-02-09 | X-Sten, Corp. | Spinal ligament modification devices |
-
2007
- 2007-03-09 AU AU2007226692A patent/AU2007226692B2/en not_active Ceased
- 2007-03-09 WO PCT/US2007/063679 patent/WO2007106740A2/en not_active Ceased
- 2007-03-09 CA CA002646251A patent/CA2646251A1/en not_active Abandoned
- 2007-03-09 EP EP07758250A patent/EP2019635A2/en not_active Withdrawn
- 2007-03-09 JP JP2009500564A patent/JP5175264B2/ja not_active Expired - Fee Related
Also Published As
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|---|---|
| EP2019635A2 (en) | 2009-02-04 |
| JP5175264B2 (ja) | 2013-04-03 |
| WO2007106740A2 (en) | 2007-09-20 |
| JP2009529981A (ja) | 2009-08-27 |
| AU2007226692B2 (en) | 2013-01-17 |
| AU2007226692A1 (en) | 2007-09-20 |
| WO2007106740A3 (en) | 2008-11-06 |
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