JP5175264B2 - 組織を修正する装置及び方法 - Google Patents

組織を修正する装置及び方法 Download PDF

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Publication number
JP5175264B2
JP5175264B2 JP2009500564A JP2009500564A JP5175264B2 JP 5175264 B2 JP5175264 B2 JP 5175264B2 JP 2009500564 A JP2009500564 A JP 2009500564A JP 2009500564 A JP2009500564 A JP 2009500564A JP 5175264 B2 JP5175264 B2 JP 5175264B2
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JP
Japan
Prior art keywords
tissue
patient
distal
proximal
target
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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.)
Expired - Fee Related
Application number
JP2009500564A
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English (en)
Japanese (ja)
Other versions
JP2009529981A (ja
JP2009529981A5 (fr
Inventor
ブレイチ，ジェフリー，エル．
サアーダット，バヒド
スピサック，スティーブン，エイ．
アシュレイ，ジョン
レギドレギド，ロイ
ブリーム，ジェフリー
レギドレギド，ロナルド
ドリューズ，マイク
フヴァルカ，エドウィン，ジェイ．
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Baxano Inc
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Baxano Inc
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Filing date
Publication date
Priority claimed from US11/375,265 external-priority patent/US7887538B2/en
Priority claimed from US11/405,848 external-priority patent/US8430881B2/en
Priority claimed from US11/405,859 external-priority patent/US20070213734A1/en
Priority claimed from US11/406,486 external-priority patent/US7938830B2/en
Priority claimed from US11/429,377 external-priority patent/US8048080B2/en
Application filed by Baxano Inc filed Critical Baxano Inc
Publication of JP2009529981A publication Critical patent/JP2009529981A/ja
Publication of JP2009529981A5 publication Critical patent/JP2009529981A5/ja
Application granted granted Critical
Publication of JP5175264B2 publication Critical patent/JP5175264B2/ja
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; 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, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; 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, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1671—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; 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, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; 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, e.g. tourniquets
    • 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, e.g. tourniquets
    • 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, setting implements or the like
    • 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, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; 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, e.g. tourniquets
    • 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, e.g. tourniquets
    • 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, e.g. tourniquets
    • 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, setting implements or the like
    • 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, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00261—Discectomy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00867—Material properties shape memory effect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B2017/32006—Surgical cutting instruments with a cutting strip, band or chain, e.g. like a chainsaw
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • 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
    • A—HUMAN NECESSITIES
    • 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)
JP2009500564A 2006-03-13 2007-03-09 組織を修正する装置及び方法 Expired - Fee Related JP5175264B2 (ja)

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 US8430881B2 (en) 2004-10-15 2006-04-17 Mechanical tissue modification devices and methods
US11/405,859 US20070213734A1 (en) 2006-03-13 2006-04-17 Tissue modification barrier devices and methods
US11/405,848 2006-04-17
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
US11/429,377 2006-05-04
US11/429,377 US8048080B2 (en) 2004-10-15 2006-05-04 Flexible tissue rasp
PCT/US2007/063679 WO2007106740A2 (fr) 2006-03-13 2007-03-09 Procédés et appareil s'appliquant à la modification de tissus

Publications (3)

Publication Number Publication Date
JP2009529981A JP2009529981A (ja) 2009-08-27
JP2009529981A5 JP2009529981A5 (fr) 2010-04-22
JP5175264B2 true JP5175264B2 (ja) 2013-04-03

Family

ID=38510184

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2009500564A Expired - Fee Related JP5175264B2 (ja) 2006-03-13 2007-03-09 組織を修正する装置及び方法

Country Status (5)

Country Link
EP (1) EP2019635A2 (fr)
JP (1) JP5175264B2 (fr)
AU (1) AU2007226692B2 (fr)
CA (1) CA2646251A1 (fr)
WO (1) WO2007106740A2 (fr)

Families Citing this family (14)

* Cited by examiner, † Cited by third party
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
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
EP3035870A1 (fr) * 2013-08-19 2016-06-29 Smith & Nephew, Inc. Ablation d'un tissu osseux sous visualisation directe
CA2925933A1 (fr) 2013-09-30 2015-04-02 Cordynamix, Inc. Procedes et dispositifs pour assistance diastolique
US10772678B2 (en) 2013-09-30 2020-09-15 Michael D. Laufer Methods and devices for diastolic assist
US11547446B2 (en) 2014-01-13 2023-01-10 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
US10342579B2 (en) 2014-01-13 2019-07-09 Trice Medical, Inc. Fully integrated, disposable tissue visualization device
EP3560412B1 (fr) 2015-08-11 2020-11-18 Trice Medical, Inc. Dispositif jetable et entièrement intégré de visualisation de tissus
US10335225B2 (en) 2016-11-21 2019-07-02 Arthrex, Inc. Electrosurgical medical device handpiece with insulated aspiration system
EP3773235B1 (fr) 2018-03-29 2023-07-19 Trice Medical, Inc. Endoscope entièrement intégré ayant des capacités de biopsie
CN113692255A (zh) * 2019-04-16 2021-11-23 实验室和人们 组织去除装置

Family Cites Families (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1998034553A1 (fr) * 1997-02-11 1998-08-13 Michelson Gary K Systeme pour poser des plaques d'osteosynthese cervicales anterieures, instrument et methode de pose
US6440147B1 (en) * 1998-09-03 2002-08-27 Rubicor Medical, Inc. Excisional biopsy devices and methods
WO2000038574A1 (fr) * 1998-12-23 2000-07-06 Nuvasive, Inc. Systemes de catheter et de surveillance de nerfs
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
US20050065542A1 (en) * 2003-07-08 2005-03-24 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
CA2574977C (fr) * 2004-07-29 2010-01-26 X-Sten, Corp. Dispositifs de modification de ligament vertebral

Also Published As

Publication number Publication date
JP2009529981A (ja) 2009-08-27
WO2007106740A2 (fr) 2007-09-20
CA2646251A1 (fr) 2007-09-20
AU2007226692B2 (en) 2013-01-17
AU2007226692A1 (en) 2007-09-20
WO2007106740A3 (fr) 2008-11-06
EP2019635A2 (fr) 2009-02-04

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