JP5250632B2 - 拡張システム - Google Patents
拡張システム Download PDFInfo
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- JP5250632B2 JP5250632B2 JP2010528207A JP2010528207A JP5250632B2 JP 5250632 B2 JP5250632 B2 JP 5250632B2 JP 2010528207 A JP2010528207 A JP 2010528207A JP 2010528207 A JP2010528207 A JP 2010528207A JP 5250632 B2 JP5250632 B2 JP 5250632B2
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- 230000000638 stimulation Effects 0.000 claims description 76
- 239000000523 sample Substances 0.000 claims description 57
- 210000005036 nerve Anatomy 0.000 claims description 31
- 210000003484 anatomy Anatomy 0.000 claims description 3
- 210000003205 muscle Anatomy 0.000 description 29
- 210000001519 tissue Anatomy 0.000 description 15
- 238000000034 method Methods 0.000 description 13
- 230000001537 neural effect Effects 0.000 description 11
- 230000010339 dilation Effects 0.000 description 10
- 238000001356 surgical procedure Methods 0.000 description 5
- 210000004705 lumbosacral region Anatomy 0.000 description 4
- 238000000926 separation method Methods 0.000 description 4
- 238000013459 approach Methods 0.000 description 3
- 230000001960 triggered effect Effects 0.000 description 3
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000004936 stimulating effect Effects 0.000 description 2
- 230000000451 tissue damage Effects 0.000 description 2
- 231100000827 tissue damage Toxicity 0.000 description 2
- ZZJWDNZVUZMJQV-HYXAFXHYSA-N C/C=C\C(CC1)CC1C=C Chemical compound C/C=C\C(CC1)CC1C=C ZZJWDNZVUZMJQV-HYXAFXHYSA-N 0.000 description 1
- 238000007792 addition Methods 0.000 description 1
- 235000014510 cooky Nutrition 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000007613 environmental effect Effects 0.000 description 1
- 238000002594 fluoroscopy Methods 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 210000002988 lumbosacral plexus Anatomy 0.000 description 1
- 238000012978 minimally invasive surgical procedure Methods 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
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Classifications
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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
- A61B17/34—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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/025—Joint distractors
-
- 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
- A61B17/34—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
- A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
-
- 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
- A61B5/25—Bioelectric electrodes therefor
- A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
- A61B5/296—Bioelectric electrodes therefor specially adapted for particular uses for electromyography [EMG]
-
- 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
-
- 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
-
- 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
- A61B17/3476—Powered trocars, e.g. electrosurgical cutting, lasers, powered knives
-
- 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
-
- 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
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
-
- 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
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
- A61B2017/00318—Steering mechanisms
- A61B2017/00331—Steering mechanisms with preformed bends
-
- 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
-
- 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
- A61B2017/3433—Cannulas with different outer diameters of the cannula
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2/4611—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of spinal prostheses
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Pathology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Physics & Mathematics (AREA)
- Biophysics (AREA)
- Neurology (AREA)
- Surgical Instruments (AREA)
- Electrotherapy Devices (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Description
Claims (9)
- 患者の解剖学的構造における神経から遠ざけて拡張させる方向性順次拡張システムであって、この方向性順次拡張システムが、
プローブ軸線を有する刺激プローブと、
第1の方向性拡張装置であって、第1の長手軸線と、近位端から遠位端へ延びた第1のボアと、第1のボアと連通している第1の通路とを具備し、第1のボアは第1のボア軸線を有し、第1の長手軸線が第1のボア軸線からオフセットしている、上記第1の方向性拡張装置と、
第2の方向性拡張装置であって、第2の長手軸線と、第2の方向性拡張装置における近位端から遠位端へ延びた第2のボアと、第2のボアと連通している第2の通路とを具備し、第2のボアは第2のボア軸線を有し、第2の長手軸線は第2のボア軸線からオフセットしており、刺激プローブは第1のボアの中に着脱可能に受け入れられ、第1の方向性拡張装置は第2のボアの中に着脱可能に受け入れられる、上記第2の方向性拡張装置と、
を備えていることを特徴とする方向性順次拡張システム。 - プローブ軸線は、組み立てられた状態において、第1のボア軸線と同軸的になっていることを特徴とする請求項1に記載の方向性順次拡張システム。
- 第1の長手軸線は、組み立てられた状態において、第2のボア軸線と同軸的になっていることを特徴とする請求項1に記載の方向性順次拡張システム。
- 前記システムが、さらに、
第1の方向性拡張装置の遠位端に配置された第1の先端部であって、第1の長手軸線が第1の先端部を通過している、上記第1の先端部と、
第2の方向性拡張装置の遠位端に配置された第2の先端部であって、第2の長手軸線が第2の先端部を通過している、上記第2の先端部と、
を備えていることを特徴とする請求項1に記載の方向性順次拡張システム。 - 前記方向性順次拡張システムが、さらに、
複数の第1の深さ指示器であって、第1の方向性拡張装置における第1の外面に配置され、複数の第1の深さ指示器は、第1の長手軸線に対して略垂直である第1の外面上にそれぞれ延び、複数の第1の深さ指示器は、第1の先端部と複数の第1の深さ指示器との間に、それぞれ複数の第1の距離を形成する、上記複数の第1の深さ指示器と、
複数の第2の深さ指示器であって、第2の方向性拡張装置における第2の外面に配置され、複数の第2の深さ指示器は、第2の長手軸線に対して略垂直である第2の外面上にそれぞれ延び、複数の第2の深さ指示器は、第2の先端部と複数の第2の深さ指示器との間に、それぞれ複数の第1の距離を形成する、上記第2の深さ指示器と、
を備えていることを特徴とする請求項4に記載の方向性順次拡張システム。 - 第1及び第2の拡張装置は、それぞれそれらの近位端に配置された、第1及び第2の把持部を具備していることを特徴とする請求項1に記載の方向性順次拡張システム。
- 第1の方向性拡張装置は第1の長さを有し、第2の方向性拡張装置は第2の長さを有し、第1の長さは、第2の長さに比べて長くなっていることを特徴とする請求項1に記載の方向性順次拡張システム。
- 刺激プローブは、プローブ長さを有し、プローブ長さは、第1の長さ及び第2の長さに比べて長くなっていることを特徴とする請求項7に記載の方向性順次拡張システム。
- 第1の方向性拡張装置は第1の直径を有し、第2の方向性拡張装置は第2の直径を有し、第2の直径は、第1の直径に比べて大きくなっていることを特徴とする請求項1に記載の方向性順次拡張システム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US97788207P | 2007-10-05 | 2007-10-05 | |
US60/977,882 | 2007-10-05 | ||
PCT/US2008/078927 WO2009046414A1 (en) | 2007-10-05 | 2008-10-06 | Dilation system and method of using the same |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2010540196A JP2010540196A (ja) | 2010-12-24 |
JP2010540196A5 JP2010540196A5 (ja) | 2011-11-24 |
JP5250632B2 true JP5250632B2 (ja) | 2013-07-31 |
Family
ID=40139266
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2010528207A Active JP5250632B2 (ja) | 2007-10-05 | 2008-10-06 | 拡張システム |
Country Status (10)
Country | Link |
---|---|
US (6) | US9387009B2 (ja) |
EP (1) | EP2205171B1 (ja) |
JP (1) | JP5250632B2 (ja) |
KR (1) | KR20100080529A (ja) |
CN (1) | CN101815475B (ja) |
AU (1) | AU2008308426A1 (ja) |
BR (1) | BRPI0818608A2 (ja) |
CA (1) | CA2701504A1 (ja) |
CO (1) | CO6270292A2 (ja) |
WO (1) | WO2009046414A1 (ja) |
Families Citing this family (69)
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CO6270292A2 (es) | 2011-04-20 |
US9737290B2 (en) | 2017-08-22 |
CA2701504A1 (en) | 2009-04-09 |
BRPI0818608A2 (pt) | 2015-04-22 |
US20210169461A1 (en) | 2021-06-10 |
US20190167245A1 (en) | 2019-06-06 |
US10194895B2 (en) | 2019-02-05 |
US9974533B2 (en) | 2018-05-22 |
US20180242963A1 (en) | 2018-08-30 |
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