JP6116549B2 - 拡張器械及び拡張方法 - Google Patents
拡張器械及び拡張方法 Download PDFInfo
- Publication number
- JP6116549B2 JP6116549B2 JP2014511376A JP2014511376A JP6116549B2 JP 6116549 B2 JP6116549 B2 JP 6116549B2 JP 2014511376 A JP2014511376 A JP 2014511376A JP 2014511376 A JP2014511376 A JP 2014511376A JP 6116549 B2 JP6116549 B2 JP 6116549B2
- Authority
- JP
- Japan
- Prior art keywords
- dilator
- longitudinal axis
- surgical
- surgical dilator
- dilator according
- 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.)
- Expired - Fee Related
Links
- 238000000034 method Methods 0.000 title description 18
- 210000001519 tissue Anatomy 0.000 claims description 25
- 210000000988 bone and bone Anatomy 0.000 claims description 12
- 230000007704 transition Effects 0.000 claims description 12
- 239000000463 material Substances 0.000 claims description 5
- 238000007790 scraping Methods 0.000 claims description 2
- 230000002093 peripheral effect Effects 0.000 claims 1
- 210000004872 soft tissue Anatomy 0.000 description 16
- 238000001356 surgical procedure Methods 0.000 description 11
- 210000003205 muscle Anatomy 0.000 description 10
- 238000011084 recovery Methods 0.000 description 8
- 230000006378 damage Effects 0.000 description 5
- 230000036407 pain Effects 0.000 description 5
- 230000037361 pathway Effects 0.000 description 5
- 230000002980 postoperative effect Effects 0.000 description 5
- 238000013459 approach Methods 0.000 description 4
- 238000002695 general anesthesia Methods 0.000 description 3
- 208000003618 Intervertebral Disc Displacement Diseases 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 230000010339 dilation Effects 0.000 description 2
- 230000003902 lesion Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 208000006097 Spinal Dysraphism Diseases 0.000 description 1
- 208000002847 Surgical Wound Diseases 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 239000000956 alloy Substances 0.000 description 1
- 229910045601 alloy Inorganic materials 0.000 description 1
- 239000011324 bead Substances 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 238000005422 blasting Methods 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 239000002131 composite material Substances 0.000 description 1
- 230000008030 elimination Effects 0.000 description 1
- 238000003379 elimination reaction Methods 0.000 description 1
- 238000005530 etching Methods 0.000 description 1
- 239000012634 fragment Substances 0.000 description 1
- 230000004927 fusion Effects 0.000 description 1
- 239000011521 glass Substances 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000002684 laminectomy Methods 0.000 description 1
- 210000003041 ligament Anatomy 0.000 description 1
- 238000002690 local anesthesia Methods 0.000 description 1
- 239000003550 marker Substances 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 238000002406 microsurgery Methods 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 238000012978 minimally invasive surgical procedure Methods 0.000 description 1
- 238000003032 molecular docking Methods 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 230000001737 promoting effect Effects 0.000 description 1
- 230000037390 scarring Effects 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 210000001032 spinal nerve Anatomy 0.000 description 1
- 238000011477 surgical intervention Methods 0.000 description 1
- 239000010936 titanium Substances 0.000 description 1
- 229910052719 titanium Inorganic materials 0.000 description 1
- 238000013519 translation Methods 0.000 description 1
- 230000014616 translation Effects 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
Images
Classifications
-
- 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
- A61B17/00234—Surgical instruments, devices or methods 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
- A61B17/32—Surgical cutting instruments
- A61B2017/320004—Surgical cutting instruments abrasive
-
- 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
- A61B2017/320004—Surgical cutting instruments abrasive
- A61B2017/320008—Scrapers
-
- 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
- A61B2017/320044—Blunt dissectors
-
- 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
-
- 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
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/062—Measuring instruments not otherwise provided for penetration depth
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Pathology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US13/109,028 | 2011-05-17 | ||
| US13/109,028 US8834507B2 (en) | 2011-05-17 | 2011-05-17 | Dilation instruments and methods |
| PCT/US2012/034694 WO2012158309A2 (en) | 2011-05-17 | 2012-04-23 | Dilation instruments and methods |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2014521379A JP2014521379A (ja) | 2014-08-28 |
| JP2014521379A5 JP2014521379A5 (enExample) | 2016-10-27 |
| JP6116549B2 true JP6116549B2 (ja) | 2017-04-19 |
Family
ID=47175499
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2014511376A Expired - Fee Related JP6116549B2 (ja) | 2011-05-17 | 2012-04-23 | 拡張器械及び拡張方法 |
Country Status (6)
| Country | Link |
|---|---|
| US (1) | US8834507B2 (enExample) |
| EP (1) | EP2709543B1 (enExample) |
| JP (1) | JP6116549B2 (enExample) |
| CN (1) | CN103547227A (enExample) |
| AU (1) | AU2012256311B2 (enExample) |
| WO (1) | WO2012158309A2 (enExample) |
Families Citing this family (34)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE10154163A1 (de) | 2001-11-03 | 2003-05-22 | Advanced Med Tech | Vorrichtung zum Aufrichten und Stabilisieren der Wirbelsäule |
| JP5210305B2 (ja) * | 2006-06-16 | 2013-06-12 | アルファテック スパイン, インコーポレイテッド | 脊椎ネジアセンブリシステム、脊椎ネジアセンブリを移植するためのシステム |
| US8979931B2 (en) | 2006-12-08 | 2015-03-17 | DePuy Synthes Products, LLC | Nucleus replacement device and method |
| US20090088789A1 (en) | 2007-09-28 | 2009-04-02 | O'neil Michael J | Balloon With Shape Control For Spinal Procedures |
| BRPI0818608A2 (pt) | 2007-10-05 | 2015-04-22 | Synthes Gmbh | Sistema de dilatação sequencial direcional para dilatar a partir de um nervo da anatomia de um paciente, e, método para formar uma abertura de acesso através de um músculo psoas até a espinha de um paciente utilizando um sistema de dilatação |
| US9622779B2 (en) | 2011-10-27 | 2017-04-18 | DePuy Synthes Products, Inc. | Method and devices for a sub-splenius / supra-levator scapulae surgical access technique |
| US9808232B2 (en) | 2011-11-01 | 2017-11-07 | DePuy Synthes Products, Inc. | Dilation system |
| US9265490B2 (en) | 2012-04-16 | 2016-02-23 | DePuy Synthes Products, Inc. | Detachable dilator blade |
| US9480855B2 (en) | 2012-09-26 | 2016-11-01 | DePuy Synthes Products, Inc. | NIR/red light for lateral neuroprotection |
| US9980737B2 (en) | 2014-08-04 | 2018-05-29 | Medos International Sarl | Flexible transport auger |
| US10258228B2 (en) * | 2014-08-08 | 2019-04-16 | K2M, Inc. | Retraction devices, systems, and methods for minimally invasive spinal surgery |
| US10111712B2 (en) | 2014-09-09 | 2018-10-30 | Medos International Sarl | Proximal-end securement of a minimally invasive working channel |
| US9924979B2 (en) | 2014-09-09 | 2018-03-27 | Medos International Sarl | Proximal-end securement of a minimally invasive working channel |
| US10264959B2 (en) | 2014-09-09 | 2019-04-23 | Medos International Sarl | Proximal-end securement of a minimally invasive working channel |
| CN104546038A (zh) * | 2015-01-31 | 2015-04-29 | 青岛大学医学院附属医院 | 脊柱后路微创手术视野建立系统 |
| US10786264B2 (en) | 2015-03-31 | 2020-09-29 | Medos International Sarl | Percutaneous disc clearing device |
| CN107847234B (zh) * | 2015-07-21 | 2022-09-02 | 史密夫和内修有限公司 | 整形外科器械 |
| US12150636B2 (en) | 2015-09-04 | 2024-11-26 | Medos International Sárl | Surgical instrument connectors and related methods |
| US11439380B2 (en) | 2015-09-04 | 2022-09-13 | Medos International Sarl | Surgical instrument connectors and related methods |
| US11744447B2 (en) | 2015-09-04 | 2023-09-05 | Medos International | Surgical visualization systems and related methods |
| US10987129B2 (en) | 2015-09-04 | 2021-04-27 | Medos International Sarl | Multi-shield spinal access system |
| CN113143355A (zh) | 2015-09-04 | 2021-07-23 | 美多斯国际有限公司 | 多护罩脊柱进入系统 |
| US11672562B2 (en) | 2015-09-04 | 2023-06-13 | Medos International Sarl | Multi-shield spinal access system |
| WO2017127502A1 (en) * | 2016-01-19 | 2017-07-27 | K2M, Inc. | Tissue dilation system and methods of use |
| US10299838B2 (en) | 2016-02-05 | 2019-05-28 | Medos International Sarl | Method and instruments for interbody fusion and posterior fixation through a single incision |
| US10617440B2 (en) * | 2016-08-11 | 2020-04-14 | Arthrex, Inc. | Systems and methods for performing endoscopic release procedures |
| US11013530B2 (en) | 2019-03-08 | 2021-05-25 | Medos International Sarl | Surface features for device retention |
| US11241252B2 (en) | 2019-03-22 | 2022-02-08 | Medos International Sarl | Skin foundation access portal |
| US11129727B2 (en) | 2019-03-29 | 2021-09-28 | Medos International Sari | Inflatable non-distracting intervertebral implants and related methods |
| US11813026B2 (en) | 2019-04-05 | 2023-11-14 | Medos International Sarl | Systems, devices, and methods for providing surgical trajectory guidance |
| US11246637B2 (en) * | 2020-05-11 | 2022-02-15 | Alphatec Spine, Inc. | Stimulating targeting needle |
| WO2021242544A1 (en) * | 2020-05-27 | 2021-12-02 | Rhode Island Hospital | Lumbar facetectomy guide |
| US11771517B2 (en) | 2021-03-12 | 2023-10-03 | Medos International Sarl | Camera position indication systems and methods |
| CN114652368B (zh) * | 2022-02-10 | 2024-07-09 | 山东威高骨科材料股份有限公司 | 微创三级扩张套筒 |
Family Cites Families (45)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| USD247512S (en) * | 1976-03-15 | 1978-03-14 | The Pantasote Company | Surgical dilator |
| US4895564A (en) | 1988-06-08 | 1990-01-23 | Farrell Edward M | Percutaneous femoral bypass system |
| US6770074B2 (en) | 1988-06-13 | 2004-08-03 | Gary Karlin Michelson | Apparatus for use in inserting spinal implants |
| US5066296A (en) * | 1989-02-02 | 1991-11-19 | Pfizer Hopsital Products Group, Inc. | Apparatus for treating a fracture |
| WO1992008513A1 (en) | 1990-11-20 | 1992-05-29 | Interventional Thermodynamics, Inc. | Tension guide and dilator |
| US5244757A (en) | 1991-01-14 | 1993-09-14 | Kabushiki Kaisha Toshiba | Lithium secondary battery |
| US5269797A (en) | 1991-09-12 | 1993-12-14 | Meditron Devices, Inc. | Cervical discectomy instruments |
| US5171279A (en) | 1992-03-17 | 1992-12-15 | Danek Medical | Method for subcutaneous suprafascial pedicular internal fixation |
| US5792044A (en) | 1996-03-22 | 1998-08-11 | Danek Medical, Inc. | Devices and methods for percutaneous surgery |
| WO1999015084A1 (en) * | 1997-09-22 | 1999-04-01 | Schultz Leonard S | Surgical instruments for minimally invasive surgical procedures |
| US6010520A (en) * | 1998-05-01 | 2000-01-04 | Pattison; C. Phillip | Double tapered esophageal dilator |
| US6159179A (en) | 1999-03-12 | 2000-12-12 | Simonson; Robert E. | Cannula and sizing and insertion method |
| US20060287574A1 (en) | 1999-08-25 | 2006-12-21 | Chin Albert K | Longitudinal dilator |
| AU2729302A (en) | 2000-11-13 | 2002-05-21 | Frank H Boehm Jr | Device and method for lumbar interbody fusion |
| CN2490986Y (zh) * | 2001-02-27 | 2002-05-15 | 邹德威 | 注压扩张器 |
| US20050234497A1 (en) | 2001-04-16 | 2005-10-20 | David Hung | Externally positioned medical dilator |
| US6743207B2 (en) | 2001-04-19 | 2004-06-01 | Scimed Life Systems, Inc. | Apparatus and method for the insertion of a medical device |
| US7008431B2 (en) | 2001-10-30 | 2006-03-07 | Depuy Spine, Inc. | Configured and sized cannula |
| US6916330B2 (en) | 2001-10-30 | 2005-07-12 | Depuy Spine, Inc. | Non cannulated dilators |
| US7074226B2 (en) | 2002-09-19 | 2006-07-11 | Sdgi Holdings, Inc. | Oval dilator and retractor set and method |
| US20040147950A1 (en) | 2003-01-24 | 2004-07-29 | Mueller Richard L. | Atraumatic dilator for human mammary duct |
| US7166088B2 (en) | 2003-01-27 | 2007-01-23 | Heuser Richard R | Catheter introducer system |
| US7811303B2 (en) | 2003-08-26 | 2010-10-12 | Medicine Lodge Inc | Bodily tissue dilation systems and methods |
| US8052613B2 (en) | 2003-10-23 | 2011-11-08 | Trans1 Inc. | Spinal nucleus extraction tool |
| JP5139798B2 (ja) * | 2004-03-26 | 2013-02-06 | ブリヴァント リサーチ アンド ディベロップメント リミテッド | ヒト又は動物の対象体における血管閉塞部位の再開通に用いるためのガイドワイヤー |
| US7909843B2 (en) | 2004-06-30 | 2011-03-22 | Thompson Surgical Instruments, Inc. | Elongateable surgical port and dilator |
| US20060004398A1 (en) | 2004-07-02 | 2006-01-05 | Binder Lawrence J Jr | Sequential dilator system |
| US20060030861A1 (en) | 2004-07-21 | 2006-02-09 | Simonson Robert E | Methods and devices for retracting tissue in minimally invasive surgery |
| US20060030872A1 (en) | 2004-08-03 | 2006-02-09 | Brad Culbert | Dilation introducer for orthopedic surgery |
| JP5164571B2 (ja) * | 2004-08-03 | 2013-03-21 | インターヴェンショナル スパイン インコーポレイテッド | 経皮組織拡張システムおよび関連方法 |
| US20060217664A1 (en) | 2004-11-15 | 2006-09-28 | Hattler Brack G | Telescoping vascular dilator |
| US8454644B2 (en) | 2005-04-06 | 2013-06-04 | Stryker Spine | Switching stick dilation method and apparatus |
| US7427264B2 (en) | 2005-04-22 | 2008-09-23 | Warsaw Orthopedic, Inc. | Instruments and methods for selective tissue retraction through a retractor sleeve |
| CN100340215C (zh) | 2005-09-19 | 2007-10-03 | 吴乃庆 | 骨扩张器 |
| KR20070038396A (ko) | 2005-10-05 | 2007-04-10 | 엘지전자 주식회사 | 영상 신호의 인코딩 및 디코딩 방법 |
| US20070100366A1 (en) | 2005-10-28 | 2007-05-03 | Sara Dziedzic | Minimally invasive tissue expander systems and methods |
| DE102005055071B4 (de) | 2005-11-18 | 2008-10-23 | Itw Automotive Products Gmbh & Co. Kg | Anschlagpuffer für eine Motorhaube von Automobilen |
| US20080033473A1 (en) * | 2006-08-03 | 2008-02-07 | Daniel Refai | Blunt Dissection and Tissue Elevation Instrument |
| US20080051821A1 (en) | 2006-08-22 | 2008-02-28 | Gephart Matthew P | Tissue dilation tool and method of dilating tissue |
| WO2008024883A2 (en) | 2006-08-22 | 2008-02-28 | Pioneer Surgical Technology, Inc. | Tissue dilation tool and method of dilating tissue |
| US8845726B2 (en) | 2006-10-18 | 2014-09-30 | Vertiflex, Inc. | Dilator |
| BRPI0818608A2 (pt) | 2007-10-05 | 2015-04-22 | Synthes Gmbh | Sistema de dilatação sequencial direcional para dilatar a partir de um nervo da anatomia de um paciente, e, método para formar uma abertura de acesso através de um músculo psoas até a espinha de um paciente utilizando um sistema de dilatação |
| US20090275802A1 (en) | 2008-05-01 | 2009-11-05 | Hawkes David T | Distally Expandable Dilation Tube |
| US20100114147A1 (en) | 2008-10-30 | 2010-05-06 | The University Of Toledo | Directional soft tissue dilator and docking pin with integrated light source for optimization of retractor placement in minimally invasive spine surgery |
| WO2010080497A2 (en) | 2008-12-18 | 2010-07-15 | IMDS, Inc. | Systems and methods for dilation and dissection of tissues |
-
2011
- 2011-05-17 US US13/109,028 patent/US8834507B2/en active Active
-
2012
- 2012-04-23 CN CN201280023694.XA patent/CN103547227A/zh active Pending
- 2012-04-23 WO PCT/US2012/034694 patent/WO2012158309A2/en not_active Ceased
- 2012-04-23 JP JP2014511376A patent/JP6116549B2/ja not_active Expired - Fee Related
- 2012-04-23 EP EP12786078.1A patent/EP2709543B1/en active Active
- 2012-04-23 AU AU2012256311A patent/AU2012256311B2/en not_active Ceased
Also Published As
| Publication number | Publication date |
|---|---|
| WO2012158309A2 (en) | 2012-11-22 |
| EP2709543B1 (en) | 2016-03-16 |
| JP2014521379A (ja) | 2014-08-28 |
| CN103547227A (zh) | 2014-01-29 |
| WO2012158309A3 (en) | 2013-01-10 |
| EP2709543A4 (en) | 2014-10-15 |
| EP2709543A2 (en) | 2014-03-26 |
| US20120296359A1 (en) | 2012-11-22 |
| AU2012256311B2 (en) | 2016-09-01 |
| US8834507B2 (en) | 2014-09-16 |
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