JP6167150B2 - 外科的アクセスシステムおよび関連する方法 - Google Patents
外科的アクセスシステムおよび関連する方法 Download PDFInfo
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- JP6167150B2 JP6167150B2 JP2015199428A JP2015199428A JP6167150B2 JP 6167150 B2 JP6167150 B2 JP 6167150B2 JP 2015199428 A JP2015199428 A JP 2015199428A JP 2015199428 A JP2015199428 A JP 2015199428A JP 6167150 B2 JP6167150 B2 JP 6167150B2
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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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0206—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with antagonistic arms as supports for retractor elements
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/32—Devices for opening or enlarging the visual field, e.g. of a tube of the body
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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
- A61B17/02—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
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
-
- 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
- A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/0551—Spinal or peripheral nerve electrodes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/36014—External stimulators, e.g. with patch electrodes
- A61N1/36017—External stimulators, e.g. with patch electrodes with leads or electrodes penetrating the skin
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
- A61N1/36128—Control systems
- A61N1/36135—Control systems using physiological parameters
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/37211—Means for communicating with stimulators
- A61N1/37235—Aspects of the external programmer
- A61N1/37241—Aspects of the external programmer providing test stimulations
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/37211—Means for communicating with stimulators
- A61N1/37235—Aspects of the external programmer
- A61N1/37247—User interfaces, e.g. input or presentation means
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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
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
- A61B2017/00039—Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall 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, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00407—Ratchet means
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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
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
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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
- A61B2017/00477—Coupling
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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
- A61B2017/00681—Aspects not otherwise provided for
- A61B2017/00725—Calibration or performance testing
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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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/025—Joint distractors
- A61B2017/0256—Joint distractors for the spine
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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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/025—Joint distractors
- A61B2017/0256—Joint distractors for the spine
- A61B2017/0262—Joint distractors for the spine with a provision for protecting nerves
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/389—Electromyography [EMG]
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/48—Other medical applications
- A61B5/4887—Locating particular structures in or on the body
- A61B5/4893—Nerves
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6886—Monitoring or controlling distance between sensor and tissue
Description
この国際(PCT)特許出願は、2010年8月23日に出願された米国仮出願整理番号第61/376,163号、2010年10月6日に出願された米国仮出願整理番号第61/390,248号、および2011年4月22日に出願された米国仮出願整理番号第61/473,138号に対する優先権を主張し、それらの各々の完全な開示が、本明細書に完全に明記されているかのように、参照により本願に組み込まれる。
Claims (5)
- 脊髄の手術の標的部位への手術経路を作成するための開創器組立体であって、
開創器本体および前記開創器本体に概ね垂直に延出する複数の開創器ブレードであって、組織開創器が前記手術の標的部位へ進められ、かつ、前記開創器ブレードが分離され、それによって前記手術の標的部位への手術経路が形成される場合に、組織を前記開創器ブレードの内側から離して開創させるために、前記開創器本体が、前記複数の開創器ブレードを互いに分離するように操作可能であり、前記開創器本体が、前記開創器ブレードの遠位端が前記開創器ブレードの近位端よりも幅広く延出するように、前記複数の開創器ブレードのうちの少なくとも2つを広げるようにも操作可能であり、前記少なくとも2つの開創器ブレードを広げることが、前記開創器本体内に据えられた専用のギア機構によって独立して制御され、前記独立して制御可能なギア機構の各々が、送りねじによって駆動されるラックとピニオンである、開創器本体および複数の開創器ブレード、を含む、
開創器組立体。 - 前記開創器本体が連続的な拡大を提供する、
請求項1に記載の開創器組立体。 - 前記開創器組立体が3つのブレードを含む、
請求項1に記載の開創器組立体。 - 前記独立して制御可能なギア機構の各々が、連続的な拡大を提供する、
請求項1に記載の開創器組立体。 - 前記複数の開創器ブレードのうちの少なくとも2つに取り付け可能な補足的開創器ブレード組立体であって、前記補足的開創器ブレード組立体が、細長い補足的開創器ブレードおよびクロスバーコネクタを含み、前記クロスバーコネクタが、前記補足的開創器ブレードと係合しながら、前記少なくとも2つの開創器ブレードに取り付けられるように構成される、補足的開創器ブレード組立体と、を含む、
請求項1に記載の開創器組立体。
Applications Claiming Priority (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US37616310P | 2010-08-23 | 2010-08-23 | |
US61/376,163 | 2010-08-23 | ||
US39024810P | 2010-10-06 | 2010-10-06 | |
US61/390,248 | 2010-10-06 | ||
US201161473138P | 2011-04-07 | 2011-04-07 | |
US61/473,138 | 2011-04-07 |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2014185179A Division JP6254059B2 (ja) | 2010-08-23 | 2014-09-11 | 外科的アクセスシステムおよび関連する方法 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2016025957A JP2016025957A (ja) | 2016-02-12 |
JP6167150B2 true JP6167150B2 (ja) | 2017-07-19 |
Family
ID=45723714
Family Applications (6)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2013525897A Active JP5763194B2 (ja) | 2010-08-23 | 2011-08-23 | 外科的アクセスシステムおよび関連する方法 |
JP2014185179A Active JP6254059B2 (ja) | 2010-08-23 | 2014-09-11 | 外科的アクセスシステムおよび関連する方法 |
JP2015199428A Active JP6167150B2 (ja) | 2010-08-23 | 2015-10-07 | 外科的アクセスシステムおよび関連する方法 |
JP2017155852A Active JP6473202B2 (ja) | 2010-08-23 | 2017-08-10 | 外科的アクセスシステムおよび関連する方法 |
JP2019010161A Active JP6770110B2 (ja) | 2010-08-23 | 2019-01-24 | 外科的アクセスシステムおよび関連する方法 |
JP2020159250A Pending JP2021000503A (ja) | 2010-08-23 | 2020-09-24 | 外科的アクセスシステムおよび関連する方法 |
Family Applications Before (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2013525897A Active JP5763194B2 (ja) | 2010-08-23 | 2011-08-23 | 外科的アクセスシステムおよび関連する方法 |
JP2014185179A Active JP6254059B2 (ja) | 2010-08-23 | 2014-09-11 | 外科的アクセスシステムおよび関連する方法 |
Family Applications After (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2017155852A Active JP6473202B2 (ja) | 2010-08-23 | 2017-08-10 | 外科的アクセスシステムおよび関連する方法 |
JP2019010161A Active JP6770110B2 (ja) | 2010-08-23 | 2019-01-24 | 外科的アクセスシステムおよび関連する方法 |
JP2020159250A Pending JP2021000503A (ja) | 2010-08-23 | 2020-09-24 | 外科的アクセスシステムおよび関連する方法 |
Country Status (7)
Country | Link |
---|---|
US (6) | US9486133B2 (ja) |
JP (6) | JP5763194B2 (ja) |
CN (2) | CN103167825B (ja) |
AU (1) | AU2011293853B2 (ja) |
DE (1) | DE112011102801B4 (ja) |
GB (2) | GB2541563B (ja) |
WO (1) | WO2012026981A1 (ja) |
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