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Небесная энциклопедия

Космические корабли и станции, автоматические КА и методы их проектирования, бортовые комплексы управления, системы и средства жизнеобеспечения, особенности технологии производства ракетно-космических систем

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Мониторинг СМИ

Мониторинг СМИ и социальных сетей. Сканирование интернета, новостных сайтов, специализированных контентных площадок на базе мессенджеров. Гибкие настройки фильтров и первоначальных источников.

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Форма поиска

Поддерживает ввод нескольких поисковых фраз (по одной на строку). При поиске обеспечивает поддержку морфологии русского и английского языка
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Применить Всего найдено 12518. Отображено 100.
24-07-2017 дата публикации

Ранорасширитель для абдоминальных вмешательств

Номер: RU0000172781U1

Полезная модель относится к области медицинской техники, а именно к приспособлениям для удержания открытым хирургического разреза во время операции. Техническим результатом предлагаемого изобретения является улучшение конструкции ранорасширителя за счет надежного соединение частей ранорасширителя, упрощение и облегчение установки, корректировка размеров и формы операционного поля в процессе хирургической операции, а также снижение травматизма. Технический результат достигается за счет отказа от систем крепления изделия к операционному столу и винтовых соединений в пользу применения системы магнитных замков для сборки элементов ранорасширителя. «Ранорасширитель для абдоминальных вмешательств» может быть изготовлен промышленным способом с использованием современных материалов и технологий. Устройство «Ранорасширитель для абдоминальных вмешательств» высокоэффективно, технологично, удобно и надежно позволяет сократить трудоемкость работы при абдоминальных вмешательствах. 172781 Ц ко РОССИЙСКАЯ ФЕДЕРАЦИЯ (19) (11) Зее веса а (13) < < *\ СА 5 КО пазы 91 (51) МПК ФЕДЕРАЛЬНАЯ СЛУЖБА ПО ИНТЕЛЛЕКТУАЛЬНОЙ СОБСТВЕННОСТИ Аб1В 17/02 (2006.01) (12) ОПИСАНИЕ ПОЛЕЗНОЙ МОДЕЛИ К ПАТЕНТУ (21)(22) Заявка: 2016141501, 21.10.2016 (24) Дата начала отсчета срока действия патента: 21.10.2016 Дата регистрации: 24.07.2017 Приоритет(ы): (22) Дата подачи заявки: 21.10.2016 (45) Опубликовано: 24.07.2017 Бюл. № 21 Адрес для переписки: 344037, г. Ростов-на-Дону, 14-я линия, 63, РНИОИЙ, научно-аналит. отд., Ишониной О.Г. (72) Автор(ы): Кит Олег Иванович (КО), Месхи Бесарион Чохоевич (КО), Максимов Алексей Юрьевич (КО), Колесников Владимир Евгеньевич (КП), Шведова Светлана Викторовна (КП), Филиппов Александр Викторович (КО), Бачинский Алексей Сергеевич (КП), Терешенко Евгений Александрович (КО) (73) Патентообладатель(и): федеральное государственное бюджетное учреждение "Ростовский научно-исследовательский онкологический институт" Министерства здравоохранения Российской Федерации (КП), Федеральное ...

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23-10-2017 дата публикации

Гинекологическое зеркало с защитой

Номер: RU0000174593U1

Полезная модель относится к инструментам для обследования при проведении гинекологических осмотров и различных лечебных процедур. Гинекологическое зеркало включает две шарнирно соединенные детали, каждая из которых содержит створку. Оно содержит упругодеформируемое кольцо из резины, охватывающее обе створки. Технический результат заключается в том, что при гинекологическом осмотре и манипуляциях складки стенок влагалища не заходят внутрь зеркала. 11 з.п. ф-лы, 2 ил. Ц 1 174593 ко РОССИЙСКАЯ ФЕДЕРАЦИЯ 19 11 зе ао в ва в (13 ВУ 47453391 (51) МПК ФЕДЕРАЛЬНАЯ СЛУЖБА ПО ИНТЕЛЛЕКТУАЛЬНОЙ СОБСТВЕННОСТИ Аб1В 17/42 (2006.01) (12) ОПИСАНИЕ ПОЛЕЗНОЙ МОДЕЛИ К ПАТЕНТУ (21)(22) Заявка: 2017110798, 31.03.2017 (24) Дата начала отсчета срока действия патента: 31.03.2017 Дата регистрации: 23.10.2017 Приоритет(ы): (22) Дата подачи заявки: 31.03.2017 (45) Опубликовано: 23.10.2017 Бюл. № 30 Адрес для переписки: 129085, Москва, а/я 140, пат. пов. М.А. Гордеевой, рег. М 1343 (72) Автор(ы): Усова Ирина Владимировна (КО), Шакир Виктор Александрович (КО) (73) Патентообладатель(и): Закрытое акционерное общество "ДиаКлон" (КО) (56) Список документов, цитированных в отчете опоиске: 0» 3030947 А, 24.04.1962. 50 632341 А, 20.11.1978. 5Ц 194231 А, 23.05.1967. (54) ГИНЕКОЛОГИЧЕСКОЕ ЗЕРКАЛО С ЗАЩИТОЙ (57) Реферат: Полезная модель относится к инструментам ДлЯ обследования при проведении гинекологических осмотров и различных лечебных процедур. Гинекологическое зеркало включает две шарнирно соединенные детали, каждая из которых содержит створку. Оно Стр.: 1 содержит упругодеформируемое кольцо из резины, охватывающее обе створки. Технический результат заключается в том, что при гинекологическом осмотре и манипуляциях складки стенок влагалища не заходят внутрь зеркала. 11 з.п. ф-лы, 2 ил. па Сб Д р ЕП п Ко 174593 .. `\ .: 1 44 м. р 19 "т к = - ++ 5 .’ ., *. +» *@.. я тж а * м чу ` ` .} ® 9", = й , `` 56 а ть ` ил +1 + ° + ' У У м # = Фиг. 1 Ил ЕП сбч97д па Стр.: 2 10 15 20 25 30 35 40 45 КО 174593 91 ...

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21-01-2019 дата публикации

Ранорасширитель-направитель для проведения винтов при транспедикулярной фиксации позвоночника

Номер: RU0000186447U1

Полезная модель относится к устройствам для проведения транспедикулярной фиксации позвонков и может быть использована в травматологии и ортопедии при лечении повреждений и заболеваний позвоночника. Содержит рукоять и прямоугольную дистальную часть с концом в виде треугольника, заканчивающегося выемкой в форме полумесяца, на концах которой выполнены напайки. На изгибе дистальной части по центру расположена трубка для световода. Стенка трубки является направляющей для винта. Улучшается визуализация операционного поля и снижается риск смещения устройства по дуге позвонка, что повышает точность введения транспедикулярных винтов, снижая ошибки при их введении. 2 ил. РОССИЙСКАЯ ФЕДЕРАЦИЯ (19) RU (11) (13) 186 447 U1 (51) МПК A61B 17/02 (2006.01) ФЕДЕРАЛЬНАЯ СЛУЖБА ПО ИНТЕЛЛЕКТУАЛЬНОЙ СОБСТВЕННОСТИ (12) ОПИСАНИЕ ПОЛЕЗНОЙ МОДЕЛИ К ПАТЕНТУ (52) СПК A61B 17/02 (2018.08) (21)(22) Заявка: 2018121871, 13.06.2018 (24) Дата начала отсчета срока действия патента: Дата регистрации: 21.01.2019 (45) Опубликовано: 21.01.2019 Бюл. № 3 Адрес для переписки: 620014, г. Екатеринбург, пер. Банковский, 7, ГБУЗ СО "ЦСВМП "УИТО им. В.Д. Чаклина", организационно-методический отдел (73) Патентообладатель(и): Государственное бюджетное учреждение здравоохранения Свердловской области "Центр специализированных видов медицинской помощи "Уральский институт травматологии и ортопедии имени В.Д. Чаклина" (ГБУЗ СО "ЦСВМП "УИТО им. В.Д. Чаклина") (RU) (54) Ранорасширитель-направитель для проведения винтов при транспедикулярной фиксации позвоночника (57) Реферат: Полезная модель относится к устройствам для на концах которой выполнены напайки. На проведения транспедикулярной фиксации изгибе дистальной части по центру расположена позвонков и может быть использована в трубка для световода. Стенка трубки является травматологии и ортопедии при лечении направляющей для винта. Улучшается повреждений и заболеваний позвоночника. визуализация операционного поля и снижается Содержит рукоять и прямоугольную дистальную ...

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28-10-2019 дата публикации

Ретрактор для оперативных вмешательств на органах брюшной полости из мини доступа

Номер: RU0000193410U1

Полезная модель ретрактор для оперативных вмешательств на органах брюшной полости из мини доступа относится к медицине, к хирургическим инструментам и может быть использована в различных областях хирургии при традиционных и малоинвазивных полостных операциях. Ретрактор включает рукоятку с отверстиями, рабочую часть в виде лопатки. На рукоятке с отверстиями с помощью скоб закреплен мягкий тонкий двужильный электрический провод, на одном конце которого закреплена светодиодная лента в герметичной силиконовой капсуле и расположена на передней поверхности лопатки, а на втором конце мягкого тонкого двужильного электрического провода расположен штекер. Использование предлагаемого технического решения позволит по сравнению с известными техническими решениями улучшить освещенность труднодоступных, отлогих мест операционной раны во время оперативного вмешательства. Полезная модель направлена на улучшение условий проведения хирургического вмешательства. РОССИЙСКАЯ ФЕДЕРАЦИЯ (19) RU (11) (13) 193 410 U1 (51) МПК A61B 1/06 (2006.01) A61B 1/32 (2006.01) A61B 17/02 (2006.01) A61B 90/30 (2016.01) ФЕДЕРАЛЬНАЯ СЛУЖБА ПО ИНТЕЛЛЕКТУАЛЬНОЙ СОБСТВЕННОСТИ (12) ОПИСАНИЕ ПОЛЕЗНОЙ МОДЕЛИ К ПАТЕНТУ (52) СПК A61B 1/06 (2019.05); A61B 1/32 (2019.05); A61B 17/0218 (2019.05); A61B 17/0281 (2019.05); A61B 90/30 (2019.05) (21)(22) Заявка: 2019116713, 30.05.2019 30.05.2019 Дата регистрации: 28.10.2019 (45) Опубликовано: 28.10.2019 Бюл. № 31 1 9 3 4 1 0 R U (56) Список документов, цитированных в отчете о поиске: RU 142738 U1, 10.07.2014. RU 116762 U1, 10.06.2012. EP 2486855 A1, 15.08.2012. US 2017196652 A1, 13.07.2017. US 2015119649 A1, 30.04.2015. (54) Ретрактор для оперативных вмешательств на органах брюшной полости из мини доступа (57) Реферат: Полезная модель ретрактор для оперативных силиконовой капсуле и расположена на передней вмешательств на органах брюшной полости из поверхности лопатки, а на втором конце мягкого мини доступа относится к медицине, к тонкого двужильного электрического провода ...

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05-12-2019 дата публикации

Хирургический ранорасширитель

Номер: RU0000194319U1

Полезная модель относится к области медицины, конкретнее к медицинской технике, а именно к устройствам для удержания хирургического разреза во время операции. Хирургический ранорасширитель состоит из корпуса (1), выполненного в виде кольца с запрессованными в нем в радиальном направлении резьбовыми втулками (2), в которых установлены лопатки (3) с отполированной поверхностью. Каждая лопатка-расширитель (3) крепится к кольцу (1) через накладной фиксатор (7) при помощи шаровой шпильки (4) и круглой рукоятки с накаткой (5), установленной на шаровой шпильке (4) и зафиксированной штифтом (6). Накладной фиксатор (7) крепится к кольцу (1) винтами (8). Шар шпильки (4) свободно вращается в пространстве между лопаткой-расширителем (3) и накладным фиксатором (7). Вертикальное положение лопаток-расширителей осуществляется под действием силы тяжести, а на шаровой шпильке (4) установлена контрящая гайка (9). Технический результат - повышение эффективности проведения оперативного вмешательства за счет увеличения рабочего пространства, снижение трудоемкости и повышение удобства пользования. 4 ил. РОССИЙСКАЯ ФЕДЕРАЦИЯ (19) RU (11) (13) 194 319 U1 (51) МПК A61B 17/02 (2006.01) ФЕДЕРАЛЬНАЯ СЛУЖБА ПО ИНТЕЛЛЕКТУАЛЬНОЙ СОБСТВЕННОСТИ (12) ОПИСАНИЕ ПОЛЕЗНОЙ МОДЕЛИ К ПАТЕНТУ (52) СПК A61B 17/02 (2019.08) (21)(22) Заявка: 2019124906, 05.08.2019 (24) Дата начала отсчета срока действия патента: Дата регистрации: 05.12.2019 (45) Опубликовано: 05.12.2019 Бюл. № 34 Адрес для переписки: 443096, г. Самара, ул. Дачная, 29, кв. 77, пат. пов. Л.Т. Бусоргиной (73) Патентообладатель(и): Частное учреждение образовательная организация высшего образования "Медицинский университет "Реавиз" (RU) U 1 1 9 4 3 1 9 R U (54) ХИРУРГИЧЕСКИЙ РАНОРАСШИРИТЕЛЬ (57) Реферат: Полезная модель относится к области медицины, конкретнее к медицинской технике, а именно к устройствам для удержания хирургического разреза во время операции. Хирургический ранорасширитель состоит из корпуса (1), выполненного в виде кольца с ...

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23-11-2020 дата публикации

Лапароскопический кольцевой ретрактор для трансмезентериального доступа

Номер: RU0000200985U1

Полезная модель направлена на обеспечения хорошей визуализации операционного поля путем длительной неподвижной фиксации тканей без привлечения ассистентов и дополнительных инструментов при лапароскопических операциях с трансмезентериальным доступом к оперируемому органу.Лапароскопический кольцевой ретрактор для трансмезентериального доступа, включающий эластичный кольцевой элемент, отличающийся тем, что эластичный кольцевой элемент выполнен объемным в форме тора с внутренней полостью, снабжен регулируемым клапаном для изменения объема полости путем нагнетания и эвакуации воздуха, при этом на внешней поверхности ретрактор имеет три равноудаленных друг от друга фиксатора и кольцевую выемку для закрепления устройства в рабочем положении к тканям пациента.Предлагаемое устройство снижает травматизацию больного, облегчает работу хирургической бригады, ускоряет проведение операции, повышает безопасность вмешательства для пациента, снижает вероятность конверсии в открытую операцию, как следствие, сокращает послеоперационный период нахождения в стационаре, позволяя пациенту раньше вернуться к трудовой деятельности. 3 ил. РОССИЙСКАЯ ФЕДЕРАЦИЯ (19) RU (11) (13) 200 985 U1 (51) МПК A61B 17/02 (2006.01) ФЕДЕРАЛЬНАЯ СЛУЖБА ПО ИНТЕЛЛЕКТУАЛЬНОЙ СОБСТВЕННОСТИ (12) ОПИСАНИЕ ПОЛЕЗНОЙ МОДЕЛИ К ПАТЕНТУ (52) СПК A61B 17/0293 (2020.08) (21)(22) Заявка: 2020122548, 08.07.2020 (24) Дата начала отсчета срока действия патента: Дата регистрации: 23.11.2020 (73) Патентообладатель(и): Соколов Александр Александрович (RU) (45) Опубликовано: 23.11.2020 Бюл. № 33 2 0 0 9 8 5 (54) ЛАПАРОСКОПИЧЕСКИЙ КОЛЬЦЕВОЙ РЕТРАКТОР ДЛЯ ТРАНСМЕЗЕНТЕРИАЛЬНОГО ДОСТУПА (57) Реферат: Полезная модель направлена на обеспечения воздуха, при этом на внешней поверхности хорошей визуализации операционного поля путем ретрактор имеет три равноудаленных друг от длительной неподвижной фиксации тканей без друга фиксатора и кольцевую выемку для привлечения ассистентов и дополнительных закрепления устройства в рабочем положении к ...

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12-01-2012 дата публикации

Spinal implant for use during retroperitoneal lateral insertion procedures

Номер: US20120010717A1
Автор: Scott Spann
Принадлежит: Individual

A method is disclosed for introducing a spinal disc implant into an intervertebral space of a subject. The subject is placed in a lateral position, and the anterior face of the spinal disc intervertebral space is accessed, between the L5 and S1 vertebrae, from an anterior and lateral retroperitoneal approach. An operative corridor to the anterior face of the spinal disc space is established by introducing a retractor instrument anterolaterally to the spinal disc space between the anterior superior iliac spine and the anterior inferior iliac spine. The damaged spinal disc contents are removed from the intervertebral space through the operative corridor, and the implant is advanced into the intervertebral space at an oblique angle and pivoted to position the implant substantially laterally within the intervertebral space. Elongated retractor and insertion instruments, as well as a modified disc implant, are also disclosed for carrying out the method.

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19-01-2012 дата публикации

Endoscopic balloon tissue dissector and retractor

Номер: US20120016196A1
Принадлежит: Individual

In endoscopic surgery, a retractor having independently spreadable retractor blades mounted at the distal end of a tube is introduced percutaneously. A balloon dissector is passed through the tube and expanded. Following dissection by expansion of the balloon, the balloon is contracted, the tube is advanced, and the dissected tissue is spread by moving the blades apart from each other. The balloon dissector is withdrawn and another instrument is then introduced to carry out surgery on the anatomical structure exposed by the dissection and spreading steps.

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26-01-2012 дата публикации

Thoracic Retractor

Номер: US20120022335A1
Принадлежит: Karl Storz SE and Co KG

A surgical retractor has a rail, a first arm protruding from the rail at an angle, a second arm being movably mounted on the rail and extending substantially parallel to the first arm, and a multiplicity of holding elements mounted on the first and second arms. A holding element has a multi-axis joint for pivotably holding a blade for engaging tissue to be retracted. In this way, a most flexible surgical retractor is provided.

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02-02-2012 дата публикации

Surgical circular stapler with tissue retention arrangements

Номер: US20120029547A1
Принадлежит: Ethicon Endo Surgery Inc

Surgical instruments and procedures for performing a circular anastomosis of a tubular organ. The surgical instruments may include selectively deployable tissue acquisition members configured to puncture through a portion of the tubular organ and position the portion of the organ adjacent to a fastener face of a staple cartridge supported in the instrument. At least one cutting member may be radially deployed and rotated to sever the positioned portion of organ from a distal portion of the organ. An anvil may be employed to draw another portion of the organ adjacent to the portion of organ positioned adjacent to the fastener face of the staple cartridge. The staples may then be deployed through the adjacent portions of organ and an annular knife may be advanced through the adjacent organ portions to complete the anastomosis.

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16-02-2012 дата публикации

Thoracic access port

Номер: US20120041335A1
Принадлежит: TYCO HEALTHCARE GROUP LP

A surgical access port for accessing a cavity of a patient having an outer frame including first and second frame portions, wherein at least one of the frame portions is movable with respect to the other frame portion. The outer frame has a first length greater than the first width, wherein movement of at least one of the frame portions away from the other frame portion increases the outer frame to a third length greater than the first length. An inner member has a second length and a second width, the second length being substantially transverse to the first length of the outer frame and the second width being substantially transverse to the first width of the outer frame. A flexible member extends between the outer frame and inner member and is movable by movement of at least one of the frame portions.

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23-02-2012 дата публикации

Tissue Retractor and Method of Use

Номер: US20120046527A1
Принадлежит: Globus Medical Inc

Systems, devices and methods related to retractor systems that retract tissue to allow access to a surgical site are described. The retractor systems can include a first rotatable arm attachable to a first blade, a second rotatable arm attachable to a second blade and a third linearly translatable arm attachable to a third blade. An attachment mechanism that is attachable to a fourth blade can be removably coupled to a mount on the frame. The retractors systems can also include two blade systems whereby when the retractor is in a closed configuration, the two blades form an oval opening.

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15-03-2012 дата публикации

Inferior alveolar nerve (ian) protector instrument

Номер: US20120064484A1
Принадлежит: Individual

The various embodiments of the present invention provide an inferior alveolar nerve (IAN) protector instrument for proper protection of neurovascular bundle and to prevent the traumatic injuries during oral and maxillofacial surgeries. The IAN protector instrument made of stainless steel has a shank, a blade and a handle. The shank is formed to serve as a soft tissue flap retractor while supporting the blade. The handle is designed with a finger rest for more control and in the pear shape for palm grasp. The shank is bent twice at 120 degrees. The blade is curved with a radius of curvature equal to ⅙-⅛ of a complete circle. The dissecting edge and both lateral line angles are rounded to avoid untoward cutting. The instrument is designed separately for right and left sides of the mouth.

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22-03-2012 дата публикации

Method for inserting an artificial implant between two adjacent vertebrae along a coronal plane

Номер: US20120071984A1
Автор: Gary Karlin Michelson
Принадлежит: WARSAW ORTHOPEDIC INC

A method for inserting an artificial implant between two adjacent vertebrae along a corona plane,

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29-03-2012 дата публикации

Minimally invasive suction retractor

Номер: US20120078059A1
Принадлежит: MI4Spine LLC

A suction retractor including an elongated tube that is operable to be inserted through a tubular retractor used in minimally invasive surgical procedures. One end of the tube is coupled to a handle having a chamber and the other end of the tube is coupled to a curved retractor portion, where the retractor portion allows the surgeon to hold back various anatomies during the surgical procedure. Thus, the suction retractor provides two functions that may otherwise require two different instruments. The retractor portion includes a series of parallel groves that allow liquids, such as blood, to flow along the retractor portion and into a suction port at the end of the tube. A suction device can be coupled to an outlet port in the handle that causes the blood and other surgical material to be sucked through the tube and out of the handle.

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05-04-2012 дата публикации

Retractor

Номер: US20120083662A1
Принадлежит: K2M Inc

A retractor for use in spinal procedures is disclosed. The retractor includes a first frame member defining a first recess and a second frame member pivotally connected to the first frame member. The second frame member defines a second recess. The retractor further includes a first blade assembly operably received within the first recess and a second blade assembly operably received within the second recess. The first blade assembly includes a first blade configured to pivot relative to the first frame member and a first blade extender selectively extendable from the first blade. The second blade assembly includes a second blade configured to translate within the second recess and a second blade extender selectively extendable from the second blade.

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12-04-2012 дата публикации

Apparatus for Minimally Invasive Posterior Correction of Spinal Deformity

Номер: US20120089190A1
Принадлежит: Individual

An apparatus is operable to correct spinal deformities caused by scoliosis and the like. The apparatus may be used in a minimally invasive fashion and through the posterior side of the patient. A combination of internal screws and rods, as well as external pins, rods, and correction mechanisms, are used to obtain facet unlocking and translational correction of the affected vertebrae. The internal rods are inserted percutaneously and are secured to the affected vertebrae to maintain the deformity correction. External components are then removed, and the small incisions are sutured.

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12-04-2012 дата публикации

Methods for stabilizing bone structures

Номер: US20120089191A1
Принадлежит: Exactech Inc

Methods, systems, devices and tools for placing bone stabilization components in a patient are provided. The systems and devices have a reduced number of discrete components that allow placement through small incisions and tubes. More particularly, the present invention is directed to systems and methods of treating the spine, which eliminate pain and enable spinal motion, which effectively mimics that of a normally functioning spine. Methods are also provided for stabilizing the spine and for implanting the subject systems.

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31-05-2012 дата публикации

Devices and Methods For Treating Bone

Номер: US20120136399A1
Принадлежит: Globus Medical Inc

A device is disclosed for reducing a vertebral compression fracture, comprising a superior end plate and an inferior end plate disposed along a vertical axis. The superior end plate and the inferior end plate are slidably separable in a vertical direction along the vertical axis. An interior chamber is provided in fluid communication with a port extending from an exterior to the interior chamber. The device is deployable within a vertebral body and expandable within the vertebral body by injecting a flowable material into the interior chamber thereby displacing the superior and inferior end plates along the vertical axis.

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14-06-2012 дата публикации

Method of using a surgical tissue retractor

Номер: US20120149991A1
Автор: Eric Kovach, Jason Blain
Принадлежит: Spinal Elements Inc

A method of performing an operation, e.g. a spinal operation, on a patient using a retractor comprising a pair of blade assemblies which are adapted to open about a set of axes that are not parallel to a third spatial axis, and further comprising a pair of arms, which are adapted to move the pair of blade assemblies apart from one another in the third spatial axis. In the method, the blade assemblies are closed to assume a low profile, inserted into a relatively small incision, and stretched apart from each other, thereby stretching the skin about the incision to form an aperture longer than the incision. The blade assemblies are then opened by rotating the blades about the set of axes, stretching the skin around the incision in a second direction that is substantially perpendicular to the first direction (i.e. the direction of the incision.).

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21-06-2012 дата публикации

Method and apparatus for reducing tissue trauma during ipp procedure

Номер: US20120157763A1
Автор: Ryan Darnell
Принадлежит: AMS Research LLC

A traction ring for use in a penile implant procedure can include a plurality of elastic sutures. Each elastic suture can have an elastic body with an attachment loop at one end and an adhesive pad at the opposed end. The attachment loop allows for positioning of the elastic suture at any of a plurality of available attachment grooves located about a perimeter of the traction ring. The adhesive pad is generally attached to penis proximate the penis tip. Adhesive pad can be bonded to the penis with a suitable skin adhesive. The skin adhesive can be contained within a reservoir on the adhesive pad. Alternatively, the adhesive pad can be separated from the elastic body. A removal solvent can be applied to dissolve or otherwise break down the skin adhesive following completion of an implant procedure.

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26-07-2012 дата публикации

Retractor Component System And Method Comprising Same

Номер: US20120190935A1
Принадлежит: Thomas Stuart Loftus

A blade assembly has a blade body and a blade body surround. A retractor attachment structure is attached to the blade body at the first end portion thereof extending from an exterior surface thereof. The retractor attachment structure is configured for having one of the blade body mounting structures of the retractor engaged therewith in a manner whereby the blade body is independently pivotable about and translatable along the blade body mounting structure. An alignment member protrudes from an interior surface of the blade body adjacent its first end portion. A slot extends through the blade body at its first end portion. The blade body surround and the blade body jointly form a generally cylindrical-shaped structure when the blade body is in a seated position within the slot. The cylindrical structure defines a central passage extending between the first and second end portions of blade body surround.

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26-07-2012 дата публикации

Distractor device for joints

Номер: US20120191100A1
Автор: Alberto AGUECI
Принадлежит: ORTHOLAB Srl

A distractor device ( 1 ) comprises a distracting element that includes a fixed plate ( 3 ) and a mobile plate ( 4 ), said mobile plate ( 4 ) being translatable by means of an actuator with respect to a body ( 2 ) of said distracting element between a first position where it is in contact with said fixed plate ( 3 ) and a second position where it is spaced therefrom. The distractor device further includes at least one rod ( 10 ) suitable to be introduced in the medullary cavity of a femur (F) and provided with a stem ( 10 a ) and an abutment plate ( 10 b ) fixed at one end of the stem ( 10 a ) and inclined by a known angle (α) with respect thereto, said abutment plate ( 10 b ) being suitable to receive in abutment the mobile plate ( 4 ) in said second position, and one between the mobile plate ( 4 ) and the fixed plate ( 3 ) being also rotatable with respect to the other, the angle of rotation of the rotatable plate ( 3, 4 ) determined by the contact between the mobile plate ( 4 ) and the abutment plate ( 10 b ) being measured by means of a graduated scale ( 5 d ) and an indicator ( 4 a ) secured to said rotatable plate ( 3, 4 ). Thanks to these features, the distractor device according to the invention allows to check in situ and to correct the theoretical valgism angle of a patient's knee determined during a pre-surgery phase, thus allowing to correctly place the jig for the first distal resection of the femur.

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26-07-2012 дата публикации

Percutaneous compression and distraction system

Номер: US20120191137A1
Принадлежит: Stryker Spine SAS

A compression and distraction shaft assembly applies compression and distraction to bones including vertebrae. Shaft A assembly and shaft B assembly are attached together via a polyaxial fulcrum. The polyaxial fulcrum allows all rotational degrees of freedom between shaft A assembly and shaft B assembly. Such fulcrum, during compression and distraction, does not impart ancillary stresses or motion to vertebrae. An hourglass-shaped bore for engaging pliers is formed in approximately middle of both the shaft A assembly and the shaft B assembly. Distraction pliers having cylindrical tips are used to apply distraction to vertebrae. Once handles are pressed to impart an appropriate amount of distraction to the vertebrae, they are locked in this position. Compression pliers having cylindrical tips are used to apply compression to vertebrae. Once handles are pressed to impart an appropriate amount of compression to the vertebrae, they are locked in this position.

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16-08-2012 дата публикации

Minimally obstructive retractor

Номер: US20120209076A2

This application presents minimally-obstructive and structurally-adjustable retractors which afford an open work area of desirable size and enhanced visualization for a surgeon about the perineum and the posterior vaginal wall of the patient. The retractors may be lightweight and compact, and also configured and dimensioned to minimize slippage during use. The retractors may retract the engorged labia of the postpartum patient as well as the vaginal walls. The device may also be used as a speculum.

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13-09-2012 дата публикации

Surgical instrument

Номер: US20120232530A1
Автор: David Main, Michael White
Принадлежит: Surgical Innovations Ltd

A surgical instrument including an elongate portion arranged, in use, to be inserted through a restricted opening into a body, the elongate portion being movable from a first configuration to a second, different configuration in which two parts of the instrument that are spaced from each other in the first configuration at least partially cross each other in the second configuration.

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27-09-2012 дата публикации

Access port with integrated flexible sleeve

Номер: US20120245430A1
Принадлежит: TYCO HEALTHCARE GROUP LP

A surgical apparatus for positioning within a tissue tract accessing an underlying body cavity is adapted to tissues having different thicknesses. The surgical apparatus includes an anchor member and a flexible sleeve integrated with the anchor member. The anchor member defines at least one longitudinal port for reception of a surgical instrument. The surgical apparatus defines an adjustable length to accommodate tissues with different thicknesses.

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04-10-2012 дата публикации

Surgical illumination system

Номер: US20120253137A1
Принадлежит: Invuity Inc

A surgical illumination system, according to the present disclosure may include one or more illumination elements mounted on or in a collar body or surgical retractor pin that may also include control electronics. The surgical illumination system affords controllable direct illumination of a deep cavity surgical site and may be moved independent of any surgeon or surgical instrument. The collar body or pin provides heat conductivity to remove heat generated by the illumination elements. The collar body is adapted for engagement of Steinman style surgical retractor pins and to afford optimal heat transfer to the retractor pin. Energy for the illumination elements may be provided by batteries or other suitable source through a cable or wireless link.

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04-10-2012 дата публикации

Apical puncture access and closure system

Номер: US20120253386A1
Принадлежит: Edwards Lifesciences Corp

A device, system, and method for providing access to, and sealing of, a body organ includes an implant device. An implant device has a main body having an internal access lumen, with a plurality of prongs extending from a distal end of the main body. The main body can include two lumens, one slidable within the other, to form a single continuous lumen with an adjustable length. The main body has an expanded configuration with an expanded diameter, and an unexpanded configuration with an unexpanded diameter. The prongs have a generally straight configuration where they extend distally of the distal end of the main body, and a bent configuration where the prongs bend around so that their tips extend proximally of the distal end of the main body. The device may include a hemostatic barrier to prevent fluid leakage therethrough when the main body is in the unexpanded configuration.

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11-10-2012 дата публикации

Tissue guard for medical applications

Номер: US20120255558A1
Автор: José Luis Alvarez
Принадлежит: Individual

A tissue guard for medical applications. The tissue guard may include a tissue shielding portion having a central area and a peripheral area, and an attachment portion that is coupled to the shielding portion and adapted to couple to a medical tool. The attachment portion may include a first prong and a second prong, disposed such that the medical tool is received between the prongs.

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11-10-2012 дата публикации

Low profile distractor apparatuses

Номер: US20120259343A1
Принадлежит: Allen Medical Systems Inc

Embodiments of low profile distractor apparatuses are disclosed. The distractor apparatuses generally comprise a mounting body, a tensioning mechanism coupled to the mounting body and a distractor arm coupled to the tensioning mechanism and pivotally coupled to the mounting body for rotation relative to the mounting body. The tensioning axis of the tensioning mechanism is non-coaxial with an effector axis of the distractor arm and a distraction force applied with the distractor arm is translated to the effector axis. This enables the distractor apparatus to be positioned relative to a patient such that the tensioning mechanism is offset from the long axis of the limb of the patient thereby facilitating improved access to the distal portions of the limb.

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01-11-2012 дата публикации

Wound retractor

Номер: US20120277539A1
Принадлежит: Applied Medical Resources Corp

An incrementally adjustable wound retractor ( 500 ), having a first ring ( 504 ) with a diameter greater than the desired diameter of the wound incision, a flexible second ring ( 502 ), having a lumen and a diameter greater than the desired diameter of the wound incision, and a flexible sleeve ( 506 ), disposed in a generally cylindrical form between the first and second rings ( 502, 504 ), where the second ring may be rolled over itself to provide a sleeve with a radical retraction force sufficient to stretch the incision to the desired diameter.

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15-11-2012 дата публикации

Intra-atrial implants made of non-braided material

Номер: US20120290062A1
Принадлежит: Individual

Several unique intra-cardiac pressure devices, placement catheters, methods of placement and methods of treating heart failure are presented. The intra-cardiac pressure devices presented allow sufficient flow from the left atrium to the right atrium to enable the relief of elevated left atrial pressure and resulting patient symptoms. The intra-cardiac pressure devices are made of a non-braided material.

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15-11-2012 дата публикации

Minimally invasive expanding spacer and method

Номер: US20120290094A1
Принадлежит: WARSAW ORTHOPEDIC INC

A minimally invasive spacer for positioning between vertebral members. The spacer is adjustable between a first orientation having a reduced size to facilitate insertion between the vertebral members. A second orientation has an enlarged size for contacting the vertebral members. The spacer includes linkages that are attached to a pair of plates. A pull arm is operatively connected to the linkages for adjusting the spacer from the first orientation to the second orientation. A indicator gauge indicates the height of the spacer.

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22-11-2012 дата публикации

Method and Apparatus for Performing Spinal Fusion Surgery

Номер: US20120296171A1
Принадлежит: Individual

Implants, instruments, and methods for performing surgical procedures on the spine, including one or more of creating an operative corridor to the spine, delivering implants to the spine, fusing one or more segments of the spine, and fixing one or more segments of the spine.

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29-11-2012 дата публикации

Surgical tool holder

Номер: US20120298820A1
Автор: Spiros Manolidis
Принадлежит: Individual

Apparatuses are provided to hold surgical tools during surgery. Such apparatuses may be fixed to a patient's body and include a base member, tool engagement member and one or more intermediary members. Each member may be attached to another by a knob and mating engagement section. Fixation between members may be provided individually for each attachment or may be provided so as to fix more than one attachment at a time.

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06-12-2012 дата публикации

Medical Access Device Having A Protection Against An Excessive Application Of Leverage

Номер: US20120310049A1
Принадлежит: Karl Storz SE and Co KG

A medical access device for creating an access to a body for minimally invasive intervention has a hollow body assembled from at least two parts having longitudinal extending edges. Each part has a distal body portion and at an angle to the latter a proximal body portion. A locking mechanism locks the assembled proximal hollow body portions. The locking mechanism has a hook projecting from an edge of a proximal body. A nose of the hook can enter from proximal to distal in a recess in an edge joining said edge having said hook.

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06-12-2012 дата публикации

Coaxial trocar seals havng sequential adjacent openings

Номер: US20120310165A1
Принадлежит: Applied Medical Resources Corp

An instrument seal of a surgical access device is provided and includes a plurality of nested coaxial seals arranged to cooperate and form a complete, circumferential seal around an inserted instrument.

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13-12-2012 дата публикации

Radiolucent surgical instruments

Номер: US20120316430A1
Принадлежит: CIBOR Inc

A radiolucent surgical instrument comprising an internal stiffener composed of a first composite material having a first modulus and an overmold component formed around at least a portion of the internal stiffener and composed of a second composite material having a second modulus. The first modulus may be greater than the second modulus. The overmold component may be formed around the internal stiffener via injection molding. The internal stiffener may be a structural laminate fabricated by composite ply lay-up and cure and may have a bending stiffness between approximately 10 MSI and 16 MSI. The overmold component may be a short fiber reinforced thermoplastic form and may have a non-uniform distribution of thickness. The surgical instrument may include, for example, retractors, forceps, elevators, dissectors, suction tubes, drill guides, or separators.

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03-01-2013 дата публикации

Minimally invasive surgical retractor with an expanded field of vision

Номер: US20130006059A1
Автор: Joseph Aferzon
Принадлежит: International Spinal Innovations LLC

A surgical retractor includes a first component and a second component. The first component includes a first top structure and a conical outer wall. The first top structure has a first opening. The outer wall extends below the first top structure to form an ellipse-shaped second opening in communication with the first opening. The second component includes a second top structure and conical inner wall. The second top structure has a third. The inner wall extends below the second top structure to form an ellipse-shaped fourth opening in communication with the third opening. The second top structure of the second component is disposed at least partially inside the first top structure of the first component such that the second component is rotatably adjustable with respect to the first component.

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10-01-2013 дата публикации

Dynamic knee balancer with pressure sensing

Номер: US20130013075A1
Принадлежит: Synvasive Technology Inc

A device for performing a surgical procedure on a knee includes an adjustable femoral portion, a tibial portion and at least one sensor coupled with the femoral and/or tibial portions to sense pressure exerted by the femoral and tibial portions against one another. The femoral portion is adapted for removably coupling with a distal end of a femur to adjust tension in soft tissue adjacent the knee and has at least one positioning feature adapted to move relative to the distal end of the femur as the femoral portion is adjusted, thus helping position a femoral prosthetic on the distal end of the femur. The sensor(s) may be adapted to sense pressure at medial and lateral sides of the knee, and relative pressures may be displayed as data on a visual display. Adjustments to the femoral member may be made to balance pressure at flexion and extension of the knee.

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17-01-2013 дата публикации

Foldable surgical retractor

Номер: US20130018229A1
Автор: Jacqueline A. Jaworek
Принадлежит: Cook Medical Technologies LLC

A foldable retractor is provided. The retractor includes an arcuate deformable frame that is defined from a first arm extending through a first portion of an outer circumference of the frame, and a second arm that defines a remaining portion of the outer circumference. The first and second arms each include opposite first and second end portions, wherein the respective first end portions and the respective second end portions are hingedly connected together. The first and second arms of the frame are biased toward a first configuration wherein the combined first and second arms are aligned substantially continuously through the combined first and second end portions and the frame extends through substantially a single plane.

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07-02-2013 дата публикации

Combination ligament tensioner and alignment device

Номер: US20130035694A1
Принадлежит: Zimmer Inc

A feeler gauge and alignment device comprises a first outer shim having a first end, a second end, and an alignment aperture disposed between the first end and the second end, a second outer shim having a first end, a second end, and an alignment aperture disposed between the first end and the second end, and one or more inner shims disposed between the first outer shim and the second outer shim, each of the one or more inner shims having a first end, a second end, and an alignment aperture disposed between the first end and the second end. The first outer shim, the second outer shim, and the one or more inner shims are rotatably coupled about the first ends.

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14-02-2013 дата публикации

Dilator

Номер: US20130041398A1
Принадлежит: Boston Scientific Scimed Inc

A device for dilating a body passage includes an inner element including a shaft portion extending longitudinally from a proximal end to a distal end and an enlarged portion situated in the distal end and an outer sleeve extending longitudinally from a proximal end to a distal end and including a lumen extending therethrough. The lumen is sized and shaped to slidably accommodate the shaft portion of the inner element such that the device is movable between an insertion configuration, in which the enlarged portion extends distally past the distal end of the outer sleeve, and an expanded configuration, in which the distal end of the outer sleeve receives the enlarged portion of the inner element therein.

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21-02-2013 дата публикации

Surgical instrument for endoscopic surgery

Номер: US20130046141A1
Принадлежит: CORPORACIO SANITARIA PARC TAULI

Surgical instrument for endoscopic surgery that permits the simulation of the articulation movements of a surgeon finger, comprising a rigid tube ( 3 ) whose distal end has a first phalanx ( 4 ) articulated, being in turn articulated to a second phalanx ( 5 ), which is linked to the rigid tube ( 3 ) by means of cables housed in cross ducts ( 12 ), situated in the interior of the first phalanx ( 4 ), linking the movement of the second phalanx ( 5 ) to that of the first phalanx ( 4 ), whose articulation takes place due to the actuation of the transmission rod ( 11 ), the rigid tube ( 3 ) being attachable to a handle ( 1 ) that incorporates a controller ( 2 ) for the actuating of the instrument articulation movement by the surgeon, which operates a fork ( 14 ), which in turns actuates the transmission rod ( 11 ).

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07-03-2013 дата публикации

Retractor system for laparoscopic surgery

Номер: US20130060094A1
Автор: Jeongsam Lee
Принадлежит: Individual

Disclosed is a retractor system for laparoscopic surgery. According to one aspect of the present invention, provided is a retractor system for laparoscopic surgery comprising: a sleeve portion for forming a passage at a retractor; an upper guide portion in which an upper circular elastic ring is built, formed at the upper portion of the sleeve portion; a lower guide portion comprising a circular tube in which a lower circular elastic ring is built, formed at the lower portion of the sleeve portion; a tube pressure controller for injecting air or water into the circular tube or discharging the air or water of the circular tube to contract or extend the circular tube, connected to the circular tube through a pipe; and an air injector or a CO2 injector in which one end is mounted to the adjacent area of the sleeve portion, the extended pipe passes through the inside of the lower guide portion along the outer wall of the sleeve portion, and the other end is mounted to the lower portion of the lower guide portion.

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14-03-2013 дата публикации

Laparoscopic surgical device

Номер: US20130066155A1
Принадлежит: NEOSURGICAL Ltd

A laparoscopic surgical device comprising an anchor element comprising a pair of jaws defining a mouth within which at least a portion of an organ or tissue may be grasped is described. The jaws are biased towards one another so as to normally adopt a closed configuration. The anchor element is coupled to a support member, the support member being moveable about the anchor element. The device is dimensioned to be operably passed fully through a trocar into the abdominal cavity wherein it may be manipulated by a surgeon or other operator to grasp the desired target organ or tissue.

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14-03-2013 дата публикации

Tensioning device of a surgical retractor

Номер: US20130066162A1
Автор: Hermann-Josef Schulte
Принадлежит: CONDOR GMBH MEDICALTECHNIK

A tensioning device of a surgical retractor has a tensioning section for applying a tensile force to a tool that is to be arranged thereon, and a holding bar fixed in position relative to the tensioning section, and also a locking device. The locking device is provided between the holding bar and the tensioning section and has a releasable locking function counter to the direction of the tensile force. The tensioning device can be operated comfortably, with minimal force being applied, is optimally accessible and takes up only a small overall volume. This is made possible by the fact that the locking device is configured as a linear ratchet or linear feed mechanism and that the feed mechanism has an actuating lever and an unlocking device.

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28-03-2013 дата публикации

Active spine insert instrument for prosthetic component placement

Номер: US20130079678A1
Принадлежит: ORTHOSENSOR INC

A spine measurement system comprises a spinal instrument, alignment circuitry, insert instrument, and a remote system. The insert instrument comprises a handle, a shaft, and a module. The insert instrument can be used to retain, direct, and place a prosthetic component in a spinal region. The module includes an electronic assembly for receiving, processing, and sending data from the insert instrument. The module includes alignment circuitry for providing trajectory, alignment, and position information on the placement of the prosthetic component. A GUI of remote system can display a workflow and report the trajectory, alignment, and position information of insert instrument during different steps of the workflow. The system allows accurate placement of a prosthetic component in a previously probed region.

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25-04-2013 дата публикации

Trocar System

Номер: US20130102966A1
Принадлежит: Synergetics Inc

Systems and methods for using a trocar system are disclosed. The system generally includes a handle having a first end a second end, a trocar disposed adjacent the first end of the handle, cannulas disposed on the trocar, and a drive system. The drive system is disposed for forward movement of the cannulas in a longitudinal direction away from the second end of the handle.

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02-05-2013 дата публикации

SUCTION RETRACTOR

Номер: US20130109924A1
Автор: Gan Philip
Принадлежит: LIVAC PTY LTD

The subject invention provides a suction retractor comprising a flexible continuous dam which forms a closed loop of any shape and which defines one or more inlet opening into an interior of the closed loop, so that suction can be applied into an interior of the continuous dam. The suction retractor may further comprise a suction tube defining a suction channel, the suction tube attached to or attachable to the continuous dam and when attached the suction channel continuous with the one or more inlet. The one or more inlet may open to a continuous channel extending throughout an interior of the closed loop. Preferably, the continuous dam is planar or substantially planar and comprises a first compacted configuration for insertion and a second open configuration for retraction. The suction retractor of the invention finds application in single incision and convention laparoscopic surgery. 1. A suction retractor comprising:a flexible continuous dam which forms a closed loop of any shape and which defines one or more inlet, the one or more inlet opening into an interior of the closed loop and comprising an opening or orifice into an interior area surrounded and defined by the closed loop, so that suction can be applied through the one or more inlet and into the interior of the continuous dam.2. The suction retractor of further comprising a suction tube defining a suction channel claim 1 , the suction tube attached to or attachable to the continuous dam and when attached the suction channel continuous with the one or more inlet.3. The suction retractor of wherein the one or more inlet opens to a continuous channel extending throughout an interior of the closed loop.4. The suction retractor of wherein the continuous channel comprises an open channel.5. The suction retractor of wherein the continuous channel comprises a plurality of fenestrations.6. (canceled)7. The suction retractor of wherein the continuous dam is planar or substantially planar.8. The suction retractor ...

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23-05-2013 дата публикации

METHODS AND APPARATUS FOR JOINT DISTRACTION

Номер: US20130131444A1
Принадлежит: The Foundry, LLC

A method of treating a patient's joint having opposing joint surfaces includes providing an elongate member having a proximal end, a distal end and an expandable member near the distal end. The expandable member is positioned in the joint between the joint surfaces and expanded so as to separate the joint surfaces away from one another into a distracted position. The joint is manipulated while in the distracted position so that the joint is distracted and in flexion. A diagnostic or therapeutic procedure is then performed on the joint while maintaining the joint in the flexed and distracted position. 124.-. (canceled)25. A method of treating a patient's hip joint , the hip joint having an acetabulum , an acetabular fossa , and a femoral head , said method comprising:providing an elongate member having a proximal end, a distal end and an expandable member near the distal end;advancing the expandable member into the hip joint between the femoral head and the acetabulum;positioning the expandable member into the acetabular fossa;expanding the expandable member thereby separating the femoral head from the acetabulum with the expandable member remaining in the acetabular fossa; andperforming a diagnostic or therapeutic procedure on the hip joint while the expandable member is expanded within the acetablular fossa.2650. The method of claim 25 , wherein the acetabulum comprises a joint surface and the expandable member contacts the joint surface only within a contact area claim 25 , at least about % of the contact area being within the acetabular fossa when the expandable member is expanded.27. The method of claim 25 , wherein the expandable member engages the acetabulum within a contact area claim 25 , the contact area being no more than about 800 mm.28. The method of wherein the expandable member engages the acetabulum within a contact area claim 25 , the contact area being no more than about 50% of the total area of the surface of the acetabulum outside the fossa.29. ...

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30-05-2013 дата публикации

SURGICAL ACCESS SYSTEM AND RELATED METHODS

Номер: US20130137931A1
Принадлежит: NUVASIVE, INC.

A surgical access system including a tissue distraction assembly and a tissue refraction assembly, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site. 1. A system for forming a trans-psoas operative corridor to a lumbar spine , comprising: a first retractor blade is configured to be a posterior-most retractor blade when the three-bladed psoas retractor tool creates the operative corridor along the lateral, trans-psoas path;', 'a second retractor blade is configured to be a caudal-most retractor blade when the three-bladed psoas retractor tool creates the operative corridor along the lateral, trans-psoas path;', 'a third retractor blade is configured to be a cephalad-most retractor blade when the three-bladed psoas retractor tool creates the operative corridor along the lateral, trans-psoas path; and', 'a blade holder assembly comprising adjustable arm members, wherein the posterior-most retractor blade, the caudal-most retractor blade, and the cephalad-most retractor blade extend generally perpendicularly relative to the arm members of the blade holder assembly, wherein the three-bladed psoas retractor tool is adjustable from a first position in which the posterior-most retractor blade, the caudal-most retractor blade, and the cephalad-most retractor blade are positioned to simultaneously advance along the lateral, trans-psoas path to a second position in which the posterior-most retractor blade, the caudal-most retractor blade, and the cephalad-most retractor blade are spaced further apart from one another,', 'the blade holder assembly comprising: a rotatable actuator that causes linear adjustment of a position of the posterior-most retractor blade relative to the caudal-most retractor blade and the cephalad-most retractor blade in response to rotation of the ...

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30-05-2013 дата публикации

Tissue retractor stay

Номер: US20130137934A1
Принадлежит: Abeon Medical Corp

A surgical stay includes an elastomeric elongated member having a first closed end and a second end and a tissue retention member coupled to the first end thereof. The tissue retention member extends outwardly from the first end of the elongated member. A substantial portion of the length of the elongated member is hollow. The elongated member and the tissue retention member are integrally molded so that no openings are present therebetween.

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30-05-2013 дата публикации

Distractor

Номер: US20130138112A1
Автор: Duncan Young
Принадлежит: DePuy Ireland ULC

A surgical distractor comprising a base plate ( 2 ), an intermediate stage ( 6 ) telescopically coupled to the base plate ( 2 ) and a distraction plate ( 4 ) telescopically coupled to the intermediate stage ( 6 ). The intermediate stage ( 6 ) is arranged to rotate relative to at least one of the base plate ( 2 ) and the distraction plate ( 4 ) to cause telescopic movement between the intermediate plate ( 6 ) and at least one of the base plate ( 2 ) and the distraction plate ( 4 ) such that the distraction plate ( 4 ) moves towards or away from the base plate ( 2 ). Surgical instrument kits incorporating distractors and drive elements and a method of distracting two bones within a joint are also disclosed.

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20-06-2013 дата публикации

Abdominoplasty Umbilicus Finder Device and Method

Номер: US20130158588A1
Автор: Steven Warnock
Принадлежит: INNOSPAN ENTERPRISES Inc

A surgical device and method for locating the umbilicus during abdominoplasty surgery may include a device having a body and one or more projections. The body may be generally oval-shaped and fit around the umbilical pedicle. The device may be tacked into place with tacking sutures, by use of anchoring hooks on the body of the device, or otherwise held in place to assist in locating the proper location for a new umbilicus orifice during surgery. The one or more projections may be easily felt under the subcutaneous fat after all the layers of fat and skin have been closed. The method allows simple and accurate determination of the umbilicus following abdominoplasty to ensure proper positioning of the new orifice for the umbilicus.

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11-07-2013 дата публикации

METHODS FOR THE PREVENTION OF SURGICAL SITE INFECTIONS

Номер: US20130178709A1

Several methods to reduce surgical site infections include inserting a surgical access device into an incision, retracting tissue, and introducing fluid into the surgical access device such that the fluid exits the surgical access device and irrigates a surgical site. Other methods do not include introducing fluid into a surgical access device but include suctioning a fluid into the surgical access device and removing the fluid from the body. 1. A method for retracting tissue of a surgical site of a body , the method comprising:inserting at least a portion of a surgical access device into an incision, wherein the surgical access device comprises a first retention member, a second retention member, a pliable membrane coupled between the first retention member and the second retention member, and a fluid delivery inlet configured to be placed in fluid communication with the pliable membrane;advancing the first retention member into the body through the incision;placing the second retention member outside the body;retracting the tissue using the pliable membrane; andintroducing fluid into the fluid delivery inlet such that the fluid exits the pliable membrane.2. The method of claim 1 , further comprising suctioning at least a portion of the fluid into the surgical access device and removing the portion from the body.3. The method of claim 1 , wherein a fluid conduit member is coupled to the first retention member and the method further comprises suctioning the fluid into the fluid conduit member and removing the fluid from the body.4. The method of claim 1 , wherein the fluid comprises an antibiotic fluid.5. The method of claim 1 , wherein the fluid comprises a saline solution.6. The method of claim 1 , wherein the fluid comprises a diagnostic or therapeutic agent.7. The method of claim 1 , further comprising expanding the second retention member whereby expanding the second retention member causes the pliable membrane to retract the tissue around the incision.8. The ...

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11-07-2013 дата публикации

SYSTEMS FOR THE PREVENTION OF SURGICAL SITE INFECTIONS

Номер: US20130178710A1

A surgical access system facilitates access to a surgical site within a patient's body through an incision in the body. Surgical access systems can have at least one retention member and a fluid transportation member configured to deliver fluid to a surgical site or to remove fluid from a surgical site. In some embodiments, a surgical access device irrigates a surgical site to reduce surgical site infections and removes fluid from the surgical site to increase a physician's visibility into the surgical site. 1. A surgical access system adapted to facilitate access to a surgical site within a body of a patient through an incision in the body , the surgical access system comprising:a first retention member;a second retention member coupled to the first retention member by a connector, wherein the first retention member and the second retention member are configured to expand the incision to provide access to the surgical site;a fluid delivery member coupled to the first retention member;a fluid delivery inlet in fluid communication with the fluid delivery member for introducing fluid into the surgical access system; andat least one opening in the fluid delivery member, wherein the at least one opening is in fluid communication with the fluid delivery inlet to allow the fluid introduced into the fluid delivery inlet to exit the surgical access system.2. The surgical access system of claim 1 , further comprising a fluid removal member coupled with at least one of the first retention member claim 1 , the second retention member claim 1 , and the connector.3. The surgical access system of claim 1 , wherein the connector is a pliable membrane.4. A surgical access system adapted to facilitate access to a surgical site within a body of a patient through an incision in the body claim 1 , the surgical access system comprising:a first retention member configured for placement within the body at or near the surgical site;a second retention member configured for placement outside ...

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11-07-2013 дата публикации

Triangulation Methods with Hollow Segments

Номер: US20130178712A1
Принадлежит: COVIDIEN LP

A surgical apparatus providing access to an underlying body cavity through a tissue tract articulates a flexible surgical object inserted therein. The surgical apparatus includes a tube member defining a longitudinal axis and a lumen therethrough to receive the flexible surgical object. The tube member includes a proximal member, a middle member connected to the proximal member at a first joint, and a distal member connected to the middle member at a second joint. The surgical apparatus also includes articulation mechanisms to articulate the tube member. 1. A surgical apparatus for articulating a flexible surgical object to access an underlying body cavity through a tissue tract , which comprises: a proximal member;', 'a middle member connected to the proximal member at a first joint, the middle member configured to pivot relative to the proximal member about the first joint; and', 'a distal member connected to the middle member at a second joint, the distal member configured to pivot relative to the middle member about the second joint., 'a tube member defining a longitudinal axis and a lumen therethrough to receive the flexible surgical object therein, the tube member including'}2. The surgical apparatus according to claim 1 , wherein the tube member is configured to be inserted through an access device which is configured to be positioned within the tissue tract for providing access to the underlying body cavity.3. The surgical apparatus according to claim 1 , wherein the first joint and the second joint have a first claim 1 , parallel configuration in which their axes are in a parallel relation.4. The surgical apparatus according to claim 3 , wherein the first joint and the second joint have a second claim 3 , perpendicular configuration in which their axes are generally perpendicular to each other.5. The surgical apparatus according to claim 4 , wherein the middle member includes a first segment and a second segment disposed axially along the middle member.6. ...

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11-07-2013 дата публикации

Articulation Control Mechanisms

Номер: US20130178713A1
Принадлежит: COVIDIEN LP

A surgical access port and method for achieving articulation is disclosed, the surgical access port including a housing, at least one lumen extending through the housing, and an articulation structure. The housing comprises an access member having a proximal end and a distal end, and defines a longitudinal axis. The lumen in the housing extends from the proximal to the distal end of the access member along the longitudinal axis. The articulation structure comprises a first tubular member and a second tubular member, the second tubular member hingably attached to the first tubular member, and an articulation element slidably attached to the first tubular member. 1. A surgical access port , comprising:a housing comprising an access member having a proximal end and a distal end and defining a longitudinal axis; a first tubular member,', 'a second tubular member hingably attached to an end of the first tubular member, and', 'an articulation element slidably attached to the first tubular member., 'at least one lumen extending through the access member from the proximal to the distal end along the longitudinal axis, the at least one lumen containing at least one articulation structure, the at least one articulation structure having2. The surgical access port of claim 1 , wherein the articulation element is a rigid member.3. The surgical access port of claim 2 , wherein the articulation element includes a first mating surface that engages a second mating surface on the second tubular member.4. The surgical access port of claim 3 , wherein the first and second mating surfaces are comprised of gear teeth.5. The surgical access port of claim 1 , wherein the articulation element is a flexible member.6. The surgical access port of claim 5 , wherein the articulation element is fixably attached to the second tubular member.7. The surgical access port of claim 5 , wherein the articulation element is configured to exert a force at a distal end opposite in direction to a force ...

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11-07-2013 дата публикации

Surgical Instrument with Articulating Assembly

Номер: US20130178837A1
Автор: Jaroslaw T. Malkowski
Принадлежит: COVIDIEN LP

A surgical instrument includes a housing having an elongated member assembly extending from the housing. The elongated member has a first portion and a second portion. The second portion is movably coupled to the first portion by a cable that facilitates the relative movement of the first portion and the second portion.

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11-07-2013 дата публикации

Trocar system for use in laparoscopic surgery

Номер: US20130178885A1
Автор: Jeong Sam Lee
Принадлежит: Individual

A trocar system for use in laparoscopic surgery is disclosed. According to an embodiment of the present invention, the trocar system includes: an upper housing having a circular or oval shape with a lower opening; a plurality of protrusion membranes provided to the upper housing to install a trocar; one or more tubes for sustaining air passage installed on the upper housing; and a lower guide formed at the lower edge of the upper housing, installed on the upper portion of a laparoscopic retractor, and conveniently removed therefrom. The trocar is fixedly installed on the protrusion membrane, and includes: a trocar body having a cylindrical shape; a valve cover disposed over the trocar body to close the upper space thereof; a recess for an installation ring disposed on the lower outer circumference of the trocar body; and an elastic press which is moved in conjunction with the side portion of an upper valve to open the upper valve; the trocar system further includes a seal part. When the trocar body is inserted into the protrusion membrane, the seal part is disposed at the recess for an installation ring to fix the outer circumference of the protrusion membrane.

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18-07-2013 дата публикации

HEART STABILIZER

Номер: US20130184520A1
Автор: Lee Young-Sam
Принадлежит:

Disclosed is a heart stabilizer used when a coronary artery of a heart is operated. The heart stabilizer allows an intake tube connected to a suction unit for holding the heart to perform a suctioning operation while preventing clogging in any circumstances, allows the direction of the suction unit to be converted to forward, rearward, leftward, and rightward directions, allows the angle of the suction unit to be minutely adjusted even after the suction unit is primarily fixed, and is cleaned while the suction unit maintains the adjusting function of the adjustor for adjusting and fixing the angle. 1. A heart stabilizer comprising:{'b': '10', 'a suction unit () fixedly attached to a surface of a heart;'}{'b': 20', '10', '30', '10, 'a suction head () connecting the suction unit () and an adjustor () to adjust and fix an upward, downward, leftward, and rightward movement range of the suction unit ();'}{'b': 30', '40', '20, 'an adjustor () for fixing the adjusted state through manipulation of a handle () while guiding the adjusted movement range of the suction head ();'}{'b': 40', '30', '30', '20', '30, 'the handle () mounted to a rear end of the adjustor () so as to be connected to the adjustor () to fix the suction head () as well as the adjustor () through fastening and unfastening thereof; and'}{'b': 50', '40', '30', '30, 'a main holder () connected to a tin end and a rear end of the handle () so as to extend to the adjustor () to fix the adjustor () to a rail of an operating table,'}{'b': 13', '13', '13', '13', '13', '13, 'i': b', 'a, 'wherein auxiliary radial gas passages () are formed on an inner wall of a gas passage () of an intake tube () so as to be recessed to prevent the intake tube () from failing to properly perform an intake operation when the intake tube () is bent during an operation due to twisting thereof generated when a position of the intake tube () is changed variously.'}215101415151110102014141415161620aa. The heart stabilizer of claim 1 , ...

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18-07-2013 дата публикации

Pneumoperitoneum device

Номер: US20130184536A1
Принадлежит: ATROPOS LIMITED

A bag with one or more openings is placed within a body cavity. Excised tissue is placed within the opening of a deflated bag. One or more openings of the bag are withdrawn outside the body cavity and the bag is inflated. Instruments including laparoscopic visualization are placed within the inflated bag that remains within the body cavity. The tissue retained within the bag is morcellated/crushed/reduced and removed. The bag is deflated and removed with residual tissue/blood/fluids inside. The tissue to be removed is retained in the bag which prevents potentially harmful material such as cancerous cells from being released in the body cavity. 1. Apparatus for use in laparoscopic surgery comprising an inflatable bag having an opening to receive tissue.2. Apparatus as claimed in comprising a retainer for opening the bag.3. Apparatus as claimed in wherein the retainer comprises at least one ring element which extends at least partially around the opening.4. Apparatus as claimed in wherein the ring element is flexible to facilitate entry through an incision and/or an instrument access port.5. (canceled)6. Apparatus as claimed in wherein the retainer comprises ring parts.7. Apparatus as claimed in comprising two separate ring parts.8. Apparatus as claimed in comprising a tether for each of the ring parts.9. Apparatus as claimed in wherein the retainer has an insertion configuration and an expanded deployed configuration.10. Apparatus as claimed in wherein the retainer is biased into the deployed configuration.11. (canceled)12. Apparatus as claimed in comprising a pouch for containing the bag in an insertion configuration claim 1 , wherein the pouch is at least partially insertable through an incision and/or an access port.13. (canceled)14. Apparatus as claimed in comprising an activator for delivering the bag from the pouch claim 12 , on insertion.15. Apparatus as claimed in wherein the activator comprises a tab or a plunger.16. (canceled)17. Apparatus as claimed in ...

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25-07-2013 дата публикации

SURGICAL INSTRUMENT FOR POSITIONING A SLEEVE

Номер: US20130190569A1
Принадлежит: Stryker Trauma GmbH

A surgical instrument for positioning a sleeve is presented. The surgical instrument comprises a shaft, a handle connected to one end of the shaft, a sleeve holder connected to the opposite end of the shaft and defining a space in which the sleeve is to be positioned. The surgical instrument further comprises a locking element adapted to protrude into the space for engagement of the sleeve and a magnet adapted to force the locking element into the space by a magnetic force. 1. A surgical instrument for positioning a sleeve , the surgical instrument comprising:a shaft;a handle connected to one end of the shaft;a sleeve holder connected to the opposite end of the shaft and defining a space in which the sleeve is to be positioned; anda movable locking element coupled to the shaft and adapted to protrude into the space of the sleeve holder for engagement with the sleeve,wherein the instrument further comprises at least one first magnet adapted to force the locking element into the space of the sleeve holder by a magnetic force.2. The surgical instrument of claim 1 , wherein the at least one first magnet is connected to the shaft and at least one second magnet is connected to the locking element claim 1 , and wherein the at least one first and second magnets face each other with a pole of a same type.3. The surgical instrument according to claim 1 , wherein the locking element is forced into the space of the sleeve holder by an attracting magnetic force.4. The surgical instrument of claim 1 , wherein the sleeve holder and the locking element are adapted to hold the sleeve with at least three contact points located along more than 180 degrees of a circumference of the sleeve.5. The surgical instrument of claim 1 , wherein the locking element is movable along a longitudinal axis of the shaft.6. The surgical instrument of claim 5 , wherein the locking element is rod shaped.7. The surgical instrument of claim 6 , wherein an end portion of the locking element adapted to ...

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25-07-2013 дата публикации

WOUND PROTECTOR INCLUDING FLEXIBLE AND RIGID LINERS

Номер: US20130190573A1
Автор: Smith Robert C.
Принадлежит: COVIDIEN LP

A wound protection system is disclosed. The wound protection system includes a wound protector and a seal anchor member that are engageable with one another and insertable into a bodily opening. The wound protection system protects the bodily opening from contamination while facilitating access to underlying bodily structures within the surgical site. 1. A wound protection system , comprising:a liner, the liner insertable into a bodily opening, the liner including a longitudinally extending lumen;a wound protector insertable into the lumen of the liner; anda seal anchor member insertable into the wound protector.2. A wound protection system , comprising:a seal anchor member including a port member, a housing member, and a cover, the port member placeable within the housing member, and the cover secureable to the housing member, the port member including one or more longitudinally extending ports, the cover including an aperture to facilitate access to the one or more longitudinally extending ports through the cover; anda wound protector including a longitudinally extending lumen, the seal anchor member placeable within the wound protector.3. The wound protection system of claim 1 , wherein the liner is transitionable between a contracted condition and an expanded condition claim 1 , the liner defining a first width in the contracted condition and a second width in the expanded condition claim 1 , the second width greater than the first width.4. The wound protection device of claim 1 , further comprising a tool configured and adapted to engage the liner to facilitate transitioning of the liner to the expanded condition.5. The wound protection device of claim of claim 3 , wherein the tool includes a balloon transitionable between a first width and a second width.6. The wound protection device of claim 1 , further comprising a tool configured and adapted to facilitate placement of the liner within a tissue tract.7. The wound protection device of claim 1 , wherein the ...

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25-07-2013 дата публикации

ACCESS PORT HAVING ROLLABLE PROXIMAL END

Номер: US20130190574A1
Автор: Smith Robert C.
Принадлежит: COVIDIEN LP

A surgical access device for insertion into an opening in tissue includes an adjustable member at a proximal end which is transitionable between an un-deployed configuration where the adjustable member is rolled up proximally and a deployed configuration where the adjustable member is unrolled distally to allow for the use of the surgical access device in an opening having a larger size than the surgical access device. The surgical access device includes an elongate member which is adapted for insertion into an opening in tissue and including a lumen extending therethrough for the reception of a surgical instrument. An adjustable member extends from a proximal portion of the elongate member and is variable between the un-deployed configuration and the deployed configuration where the adjustable member extends distally from the proximal portion of the elongate member when in the deployed configuration to at least partially surround the elongate member. 1. A surgical access device comprising:an elongate member adapted for insertion into an opening in tissue, the elongate member including a lumen extending therethrough for the reception of a surgical instrument; andan adjustable member extending from a proximal portion of the elongate member and being variable between an un-deployed configuration and a deployed configuration, the adjustable member extending distally from the proximal portion of the elongate member when in the deployed configuration to at least partially surround the elongate member.2. A surgical access device according to claim 1 , wherein the adjustable member is transitionable from the un-deployed configuration to the deployed configuration by unrolling a distal portion of the adjustable member distally.3. A surgical access device according to claim 2 , wherein the distal portion of the adjustable member includes a rounded tip.4. A surgical access device according to claim 1 , wherein when the adjustable member is in the deployed configuration claim ...

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25-07-2013 дата публикации

Lateral Retractor System and Methods of Use

Номер: US20130190575A1
Принадлежит: Lanx Inc

Technology disclosed herein relates to retractors and methods of use for surgical procedures, and in particular, spinal surgical procedures. In one embodiment, a surgical refractor includes a pair of pivotable armatures and a translatable armature. A body for supporting the armatures is provided, with a handle connected thereto. The handle includes a first rotary actuator, wherein a rotation of the first rotary actuator moves the pair of pivotable armatures in opposite arcuate directions, and a second rotary actuator, wherein a rotation of the second rotary actuator translates the translatable armature in a linear direction.

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01-08-2013 дата публикации

ENDOSCOPIC PORTS FOR MINIMALLY INVASIVE SURGICAL ACCESS AND METHODS OF USE THEREOF

Номер: US20130197316A1
Принадлежит:

A method for providing an endoscopic port includes inserting a distal portion of an expandable member into soft tissue in a patient's body. The distal portion of the expandable member is inflated to form a passageway in the soft tissue. A rigid tube member is delivered into the passageway formed by the expandable member through the inside of the inflatable member. A port is established between a proximal opening in the rigid tube member and a distal opening in the rigid tube member. 1. An endoscopic port apparatus comprising:an inflatable member having a proximal portion and a distal portion, at least the distal portion of the inflatable member being inflatable between a collapsed state and an expanded state;a rigid tube member;a housing having an interior space configured to receive the rigid tube member; andan actuator for exerting a force on the rigid tube member to cause it to move from the interior space in the housing into the distal portion of the inflatable member when the inflatable member is in the expanded state.2. The apparatus of claim 1 , further comprising a guide member that extends into the inflatable member to increase the rigidity of the inflatable member.3. The apparatus of claim 2 , wherein the guide member is coupled to a distal end of the inflatable member.4. The apparatus of claim 1 , wherein the actuator comprises a plunger that exerts a force on the rigid tube member to push the rigid tube member into the distal portion of the inflatable member.5. The apparatus of claim 1 , wherein the actuator comprises a motorized linear actuator that exerts a force on the rigid tube member to push the rigid tube member into the distal portion of the inflatable member.6. The apparatus of claim 1 , wherein the actuator comprises a magnetic member that can be magnetically coupled to the rigid tube to push the rigid tube member into the distal portion of the inflatable member.7. The apparatus of claim 1 , wherein the rigid tube member and/or the inflatable ...

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15-08-2013 дата публикации

Cannula Positioned Targeting Guide

Номер: US20130211200A1
Автор: BRANNON JAMES K.
Принадлежит:

The present invention provides a combination cannula positioned targeting guide adapted for angular receipt and support of a surgical instrument, the combination including an endoscopic portal having an enlarged membrane chamber having a rear port and an elongated portal cannula extending towards a portal tip, the rear port and the portal cannula being axially aligned; a portal stand extending from a substantially rectangular body towards an arcuate channel in communication with the enlarged membrane chamber; and the endoscopic portal being rotationally secured to the portal stand 1. A combination cannula positioned targeting guide adapted for angular receipt and support of a surgical instrument , the combination comprising:an endoscopic portal having a proximately positioned enlarged membrane chamber positioned thereat;said chamber having a rear port rearwardly extending therefrom and an elongated portal cannula extending forwardly from said chamber towards a portal tip, the rear port and the portal cannula being axially aligned;a portal stand extending from a substantially rectangular body towards an arcuate channel in communication with said enlarged membrane chamber; andsaid endoscopic portal being rotationally secured to said portal stand.2. The combination of wherein said cannula is keyed to said portal stand.3. The combination of wherein said portal stand further includes a key and said endoscopic portal includes a ribbed passageway in receipt of said key.4. The combination of wherein said endoscopic portal includes a longitudinal guide presenting an elongated visual reference along said endoscopic portal.5. The combination of wherein said portal stand further includes a angled passageway providing an angular axis extending from said portal stand towards said cannula tip.6. The combination of wherein said angular axis intersects said visual reference at said cannula tip.7. The combination of wherein said endoscopic portal is substantially transparent and ...

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15-08-2013 дата публикации

Minimally invasive surgical acess device

Номер: US20130211202A1
Принадлежит: Thompson MIS

A minimally invasive surgical access device that allows access to a pathology being treated while significantly reducing the risk of damaging anatomical structures proximate the pathology. The access device includes a base portion having a central bore extending therethrough, and retractor blades pivotably mounted to the base portion. An insertion handle is coupled to the base portion to thread the retractor blades into the patient. The insertion handle is removed from the base portion, and a core hollow screw is threaded into the base portion to separate the retractor blades to gain access to the pathology through the hollow screw.

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15-08-2013 дата публикации

Tool For Use In Knee Surgery

Номер: US20130211411A1
Принадлежит: MatOrtho Limited

A jig for use in knee surgery has a component shaped to represent the overall profile of a femoral prosthetic component of a specific side and size. Extending from the jig is an anterior reference arm having at least one of a cutting guide located thereon and means for attaching a cutting guide thereto. Also disclosed is a tibial replacement thickness spacer having a set of leaves. A tibial jig for use in knee surgery has a component having a tibial plate and tibial posts extending downwardly from the tibial plate, and an anterior reference arm. The arm has a cutting guide located thereon. Kits comprising these components are also described. 1. A femoral jig for use in knee surgery , said jig comprising a component shaped to represent the overall profile of a femoral prosthetic component of a specific side and size , and having extending therefrom an anterior reference arm , said arm having at least one of a cutting guide located thereon and means for attaching a cutting guide thereto.2. The jig according to configured as being either for a left knee or for a right knee.3. The jig according to wherein the jig has a thickness selected to have both posterior and distal thicknesses correct for 3 degrees external rotation.4. The jig according to wherein the anterior reference arm is shaped to sit at the ideal proximal lateral femoral component position on the femur ridge.5. The jig according to wherein the anterior reference arm includes adjustment means to allow the surgeon to visualize the fit of a prosthesis one size larger anteriorly.6. The jig according to wherein the adjustment means is a screw.7. The jig according to wherein the jig includes a selectively demountable handle extending upwardly from the jig.8. The jig according to wherein the comprises at least one of a mounting means for a laser and a laser mounted on the handle.9. The jig according to further comprising at least one of a hip centre guide system located on the jig and means for mounting a hip ...

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22-08-2013 дата публикации

OPHTHALMIC INSTRUMENTS, SYSTEMS, PROGRAMS AND METHODS FOR MONITORING EYES

Номер: US20130215383A1
Автор: Siminou Kamran
Принадлежит: NEUROPTICS, INC.

An automated ophthalmic monitoring system for monitoring an eye of a subject is provided. The system includes an eyelid refractor and an ophthalmic imaging device having an imaging sensor or camera. An automated control unit is in communication with the eyelid retractor and the ophthalmic imaging device, wherein the automated control unit controls the operation of the eyelid retractor and the ophthalmic imaging device. 1. (canceled)2. (canceled)3. (canceled)4. (canceled)5. (canceled)6. (canceled)7. (canceled)8. (canceled)9. (canceled)10. (canceled)11. (canceled)12. (canceled)13. (canceled)14. An eyelid refractor having a proximal end and a distal end , the eyelid retractor comprising:an anchoring portion on the proximal end of the eyelid retractor, the anchoring portion having a base with a top side and a bottom side, the bottom side of the base having a first attachment element for adhering the anchoring portion to a subject's forehead;a retractor portion that extends distally from the anchoring portion, wherein the retractor portion comprises a retraction mechanism; andan eyelid attachment member on the distal end of the eyelid retractor, the eyelid attachment member having a top side and a bottom side, wherein the bottom side has a second attachment element for adhering the attachment member to the subject's eyelid, wherein the eyelid attachment member extends distally form the retractor portion;wherein the retractor portion pulls the eyelid anchoring portion in a proximal direction when the retraction mechanism retracts in the proximal direction.15. The eyelid retractor of claim 14 , wherein the retractor portion further comprises a flexible portion distal to the retraction mechanism.16. The eyelid retractor of claim 14 , wherein the retraction mechanism is a retraction arm that extends proximally.17. The eyelid retractor of claim 16 , wherein the retraction arm comprises a connector that connects the retraction arm to a cable.18. The eyelid retractor of claim ...

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22-08-2013 дата публикации

Methods and Apparatus Providing Suction-Assisted Tissue Engagement Through a Minimally Invasive Incision

Номер: US20130217959A1
Принадлежит: Medtronic, Inc.

Suction-assisted tissue-engaging devices, systems, and methods are disclosed that can be employed through minimal surgical incisions to engage tissue during a medical procedure through application of suction to the tissue through a suction member applied to the tissue. A shaft is introduced into a body cavity through a first incision, and a suction head is attached to the shaft via a second incision. The suction head is applied against the tissue by manipulation of the shaft and suction is applied to engage the tissue while the medical procedure is performed through the second incision. A system coupled to the shaft and a fixed reference point stabilizes the shaft and suction head. When the medical procedure is completed, suction is discontinued, the suction head is detached from the shaft and withdrawn from the body cavity through the second incision, and the shaft is retracted through the first incision. 136-. (canceled)37. A method of performing a medical procedure on a body organ , accessed through first and second incisions into a body cavity comprising:providing a first portion, a second portion and a third portion of a suction-assisted tissue-engaging device;coupling together the third portion of the suction-assisted tissue-engaging device to the first portion of the suction-assisted tissue-engaging device;advancing the coupled together first and third portions of the suction-assisted tissue-engaging device through the first incision into the body cavity;uncoupling the third portion of the suction-assisted tissue-engaging device from the first portion of the suction-assisted tissue-engaging device via the second incision;coupling the second portion of the suction-assisted tissue-engaging device to the first portion of the suction-assisted tissue-engaging device via the second incision;positioning the second portion of the suction-assisted tissue-engaging device against the body organ;applying suction through the second portion of the suction-assisted tissue- ...

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22-08-2013 дата публикации

SURGICAL PORTAL WITH ROTATING SEAL

Номер: US20130217972A1
Автор: Smith Robert C.
Принадлежит: COVIDIEN LP

A surgical portal apparatus includes a portal housing, a portal sleeve, and a seal. The portal housing defines a central housing axis and a central housing channel. The portal sleeve extends from the portal housing and is dimensioned to pass through tissue to provide access to underlying tissue via a longitudinal opening. The central housing channel of the portal housing and the longitudinal opening of the portal sleeve define a passageway for reception and passage of a surgical object. The seal has inner surfaces defining a seal passage for establishing a general sealed relation about the surgical object. The seal passage is radially offset with respect to the central housing axis. The seal is adapted to rotate about the central housing axis to vary positioning of the seal passage to substantially maintain the substantial sealed relation upon manipulation of the surgical object within the portal housing. 1. A surgical portal apparatus , which comprises:a portal housing having a housing channel;a portal sleeve extending from the portal housing and defining proximal and distal ends, the portal sleeve dimensioned to pass through tissue to provide access to underlying tissue and having a longitudinal opening, the central housing channel of the portal housing and the longitudinal opening of the portal sleeve defining a central longitudinal axis and a longitudinal passageway for reception and passage of a surgical object;a seal having inner surfaces defining a seal passage for establishing a general sealed relation about the surgical object, the seal passage being radially offset with respect to the central longitudinal axis, the seal being adapted to rotate about central longitudinal axis to vary positioning of the seal passage radially around the central housing axis to substantially maintain the substantial sealed relation upon manipulation of the surgical object within the portal housing; anda manually engageable actuator operatively coupled to the seal and extending ...

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22-08-2013 дата публикации

Medical Device

Номер: US20130217974A1
Автор: Levin Ofek, Levy Arie
Принадлежит:

This invention generally relates to a medical device assembly for facilitating a sealed working channel into a pressurized body cavity, and methods of use thereof. In certain embodiments, devices of the invention include a hollow body that is splittable along its length and being configured to move between an open configuration for operably coupling with a surgical instrument and a closed configuration, in which in the closed configuration, the device provides a seal that prevents gas leakage from an incision site of a body cavity while the instrument is in the body cavity. 1. A device for facilitating creation of a sealed channel into a body cavity , the device comprising: a hollow body that is splittable along its length and being configured to move between an open configuration for operably coupling with a surgical instrument and a closed configuration , wherein in the closed configuration , the device provides a seal that prevents gas leakage from an incision site of a body cavity while the instrument is in the body cavity.2. The device according to claim 1 , wherein the body comprises:a first portion; anda second portion, wherein the first and second portion are hingedly connected.3. The device according to claim 2 , wherein the device further comprises at least one gasket.4. The device according to claim 3 , wherein the gasket is a linear gasket.5. The device according to claim 3 , wherein the gasket is a radial gasket.6. The device according to claim 5 , wherein the gasket prevents gas leakage between the instrument and an inner surface of the device while still allowing movement of the instrument within the device.7. The device according to claim 5 , wherein the gasket prevents gas leakage when the instrument is removed from the device while the device is still within the body cavity.8. The device according to claim 1 , further comprising a locking mechanism for holding the device in a closed configuration.9. The device according to claim 8 , wherein the ...

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22-08-2013 дата публикации

ILLUMINATED SURGICAL ACCESS SYSTEM INCLUDING A SURGICAL ACCESS DEVICE AND INTEGRATED LIGHT EMITTER

Номер: US20130217975A1
Принадлежит: DePuy Spine, Inc.

A surgical access system for providing access to a surgical site in a patient includes a surgical access device defining a working channel for accessing a surgical site and an integrated light emitter for illuminating the surgical site. The light emitter is integrated in proximity to a distal end of the surgical access device. In some embodiments, the light emitter is offset from the distal end. In certain embodiments, the integrated light emitter includes a light transmission medium for transmitting light from a proximal end of the access device to the distal end. 1a surgical access device comprising at least one sidewall and defining an interior path therethrough forming a port for accessing the patient; anda light emitter integrated into the sidewall in proximity to a distal end of the access device to illuminate a surgical site accessed by the surgical access device.. An illuminated surgical access system for providing access to a patient during surgery, comprising: The present invention relates to devices used in surgery. More particularly, the present invention relates to instrumentation and a method for the providing of access and illumination for surgical sites, implements and implants.In minimally invasive surgical procedures, illumination of a working space may be required to facilitate use of surgical instruments. For example, in spinal surgery, access ports, comprising generally tubular, open-ended structures, are often used to provide access to a surgical site. The access ports may require illumination at the distal end thereof to facilitate the surgical procedure.Achieving proper illumination of a surgical site during minimally invasive surgery can be difficult. In the current state of the art, external light sources are used to provide illumination to access ports. However, external light sources are unwieldy, and the link used to transmit the generated light to the access port can be cumbersome and block access by a surgeon to the port. For example, ...

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29-08-2013 дата публикации

Surgical introducer and access port assembly

Номер: US20130225931A1
Принадлежит: COVIDIEN LP

A surgical apparatus for permitting access to tissue includes an elongated introducer and a surgical port. The introducer includes an outer wall segment defining a longitudinal axis, a longitudinal port passage extending therethrough and a longitudinal slot in communication with the port passage. The introducer is dimensioned for at least partial introduction within an opening in tissue. The surgical port includes a port body mounted to the introducer with one of its leading and trailing ends disposed within the port passage and with the intermediate segment extending through the longitudinal slot and the other of the leading and trailing end external of the elongated introducer. The port body is dimensioned to be advanced within the port passage for deployment through the opening in the tissue and is adapted to transition from a compressed state to a released state.

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29-08-2013 дата публикации

ADJUSTABLE HEIGHT PORT INCLUDING RETENTION ELEMENTS

Номер: US20130225933A1
Автор: Kleyman Gennady
Принадлежит: COVIDIEN LP

A surgical apparatus for positioning within a tissue tract accessing an underlying body cavity adapts to tissues having different thickness. The surgical instrument includes a proximal portion with at least one bendable structure attached thereto. The at least one bendable structure is configured to fold anywhere along its length. Folding the at least one bendable structure causes the proximal end of the proximal portion to propagate in a distal direction. 1. A surgical apparatus for positioning within a tissue tract accessing an underlying body cavity , which comprises:a proximal portion bendable by a user between an initial position and a bent position;a distal portion disposed distally with respect to the proximal portion; andat least one bendable structure attached to the proximal portion extending between a first end and a second end of the proximal portion, the at least one bendable structure configured to maintain the proximal portion in the bent position until the user selectively returns the proximal portion towards its initial position.2. The surgical apparatus according to claim 1 , wherein the at least one bendable structure is configured to fold along the length thereof.3. The surgical apparatus according to claim 1 , wherein the proximal portion defines a generally frustoconical configuration.4. The surgical apparatus according to claim 1 , wherein the proximal portion claim 1 , in the bent position claim 1 , shortens an overall length of the apparatus so as to assist in maintaining a seal with tissue surrounding the tissue tract.5. The surgical apparatus according to claim 1 , wherein folding the at least one bendable structure causes the first end of the proximal portion to propagate in a distal direction.6. The surgical apparatus according to claim 1 , wherein the surgical apparatus includes a plurality of bendable structures.7. The surgical apparatus according to claim 1 , wherein the at least one bendable structure is attached to the proximal ...

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29-08-2013 дата публикации

EXPANDABLE ENDOSCOPIC HOODS AND RELATED METHODS OF USE

Номер: US20130225934A1
Принадлежит: BOSTON SCIENTIFIC SCIMED, INC.

A medical device for tissue resection and related methods of use are disclosed. The device may include an elongate member having a proximal end and a distal end. The distal end of the elongate member may include a distal portion defining an end face and a cavity extending distally therefrom. The distal portion may further include multiple sections configured to transition between a first position and a second position different from the first position. The medical device may further include a mechanism configured to adjust a volume of the cavity by moving at least one of the multiple sections from the first position to the second position. 1. A medical device , comprising:an elongate member having a proximal end and a distal end, wherein the distal end of the elongate member includes a distal portion defining an end face and a cavity extending distally therefrom, wherein the distal portion further includes a plurality of sections configured to transition between a first position and a second position different than the first position; anda mechanism configured to adjust a volume of the cavity by moving at least one of the plurality of sections from the first position to the second position.2. The medical device of claim 1 , wherein the distal portion is removably coupled to the elongate member.3. The medical device of claim 1 , wherein the plurality of sections include two sections.4. The medical device of claim 1 , wherein the plurality of sections includes four sections.5. The medical device of claim 1 , wherein the cavity includes a distally-facing opening.6. The medical device of claim 1 , wherein at least one of the plurality of sections is biased towards the first position.7. The medical device of claim 1 , wherein the elongate member further includes a plurality of channels extending between the proximal and distal ends.8. The medical device of claim 1 , further comprising a tissue cutting device disposed in one of the plurality of channels.9. The medical ...

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29-08-2013 дата публикации

SYSTEMS, TOOLS, AND METHODS FOR TREATMENTS OF PELVIC CONDITIONS

Номер: US20130225936A1
Принадлежит: AMS Research Corporation

Described are surgical procedure systems, devices, tools, and methods, useful for treating pelvic conditions in a male or female, involving an expansion member. The invention relates to an expansion member that includes a proximal end, a distal end, a length extending from the proximal end to the distal end, two longitudinal blades extending in the length direction, and a connector connecting the blades. The connector allows movement of the blades to increase or decrease a distance between the blades at the distal end. 1. An expansion member comprisinga proximal end, a distal end, and a length extending from the proximal end to the distal end,two longitudinal blades extending in the length direction,a connector connecting the blades, the connector allowing movement of the blades to increase or decrease a distance between the blades at the distal end.2. An expansion member according to whereinthe blades are connected by a connector comprising a hinge,each blade is connected to a handle at the proximal end, andblade distal ends can be moved relative to each other by manipulation of the handles.3. An expansion member according to comprising a frame at the proximal end claim 1 , a first assembly comprising a first handle and a first blade claim 1 , and a first joint connecting the assembly to the frame.4. An expansion member according to comprising a second assembly comprising a second handle and a second blade claim 3 , and a second joint connecting the assembly to the frame claim 3 , wherein the first assembly and the second assembly can move independently of each other.5. An expansion member according to comprising:a top elongate opening extending along a top side of the expansion member between the proximal end and the distal end, anda bottom elongate opening extending along a bottom side of the expansion member between the proximal end and the distal end.6. An expansion member according to comprising:a flexible membrane spanning the top elongate opening, anda ...

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29-08-2013 дата публикации

TWO-PART ACCESS PORT

Номер: US20130226029A1
Автор: Kleyman Gennady
Принадлежит: COVIDIEN LP

A surgical access apparatus has a body including a proximal portion, a distal portion, and a liner interconnecting the proximal portion and the distal portion. The proximal portion and the distal portion are longitudinally movable relative to each other. A holder is releasably attached to the body for holding the body in a first state, in which the proximal portion and the distal portion are a first distance apart. Removing the holder from the body allows the body to transition to a second state, in which the proximal portion and the distal portion are a second distance apart. The second distance is greater than the first distance. At least one port extends through the proximal portion and is adapted for the reception of an object. Compressible material defining the at least one port is adapted to deform to establish a substantial sealed relation with the object. 1. A surgical access apparatus comprising:a body including a proximal portion, a distal portion, and a liner interconnecting the proximal portion and the distal portion, the proximal portion and the distal portion being longitudinally movable relative to each other;a holder releasably attached to the body for holding the body in a first state, wherein the proximal portion and the distal portion are a first distance apart, wherein releasing the holder from the body allows the body to transition to a second state, wherein the proximal portion and the distal portion are a second distance apart, the second distance being greater than the first distance; andat least one port extending through the proximal portion and being adapted for the reception of an object whereby compressible material defining the at least one port is adapted to deform to establish a substantial sealed relation with the object.2. The surgical access apparatus of claim 1 , wherein the holder is a suture.3. The surgical access apparatus of claim 1 , wherein the holder is welded to the body.4. The surgical access apparatus of claim 1 , ...

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29-08-2013 дата публикации

SWITCHING STICK DILATION METHOD AND APPARATUS

Номер: US20130226215A1
Автор: McDonnell Christopher
Принадлежит: STRYKER SPINE

A method of dilating an incision to provide access to a surgical site. Such method may include the steps of making an incision in the skin of a patient near a predetermined surgical site, inserting into the incision a dilator, inserting at least one shoe horn in juxtaposition or in direct apposition with the dilator, removing the dilator from the incision, inserting a blunt dissector adjacent the at least one shoe horn, removing the at least one shoe horn, inserting a retractor or a tube over the blunt dissector and into the incision such that the retractor or tube is at or adjacent the predetermined surgical site, removing the blunt dissector from the incision, and performing a surgical procedure at the predetermined surgical site through the retractor or tube. 1. A kit for dilation of an incision to provide access to a surgical site , the kit comprising:first and second shoe horns each extending along a length and having at least a portion with an arcuately shaped cross-section in a plane perpendicular to an axis of the length, the arcuately shaped cross-section defining a concave inner surface,wherein in an operative configuration in which the concave inner surfaces of the first and second shoe horns face each other, the first and second shoe horns define a passage through which access to a surgical site can be provided.2. The kit of claim 1 , wherein the concave inner surface of at least one of the first and second shoe horns is partially oval shaped.3. The kit of claim 1 , wherein an insertion end of at least one of the first and second shoe horns is rounded.4. The kit of claim 1 , further comprising a dilator.5. The kit of claim 4 , wherein the dilator is cannulated to define a bore along a length thereof.6. The kit of claim 5 , further comprising a K wire configured to be disposed within the bore.7. The kit of claim 4 , wherein the dilator has a first diameter claim 4 , and further comprising a second dilator having a second diameter larger than the first ...

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05-09-2013 дата публикации

SURGICAL ACCESS SYSTEM AND RELATED METHODS

Номер: US20130231537A1
Принадлежит: NUVASIVE, INC.

A surgical access system including a tissue distraction assembly and a tissue refraction assembly, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site. 1. A system for forming an operating corridor to a lumbar spine , comprising:plurality of sequential dilators of increasing diameters to create a tissue distraction corridor along a lateral, trans-psoas path through bodily tissue to a targeted intervertebral disc of a lumbar spine, and an elongate member sized to be slidably received within one of the plurality of dilators and being deliverable to the targeted intervertebral disc along the lateral, trans-psoas path, at least one of the elongate member and sequential dilators comprising a stimulation electrode along a distal region to deliver electrical stimulation for nerve monitoring when the stimulation electrode is positioned in the lateral, trans-psoas path, said at least one of the elongate member and sequential dilators comprising a proximal connector region for releasable electrical connection with a nerve monitoring system;a bladed retractor assembly comprising a plurality of retractor blades that are simultaneously slidable over an outermost dilator of the plurality of sequential dilators along the lateral, trans-psoas path to enlarge the tissue distraction corridor and thereby form an operative corridor along the lateral, trans-psoas path to the targeted intervertebral disc of the lumbar spine, wherein the bladed retractor assembly is adjustable from a first position in which the plurality of retractor blades are positioned to slide over the outermost dilator of the plurality of sequential dilators to a second position in which the plurality of retractor blades are moved apart from one another,wherein when the bladed refractor assembly forms the ...

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05-09-2013 дата публикации

DEVICE AND METHOD FOR SAFELY EXPANDING MINIMALLY INVASIVE SURGICAL INCISIONS

Номер: US20130231538A1

An insertion tongue of the retractor device may be pushed into the subject through the trocar incision, along one side of the organ. The tip of the insertion tongue pushes the impacted organ and its endoscopic recovery bag slightly away from the cavity wall. A scalpel is passed through the insertion guide with the tip of the scalpel blade in the retention guide on the back of the insertion tongue, and with the sharp side of the scalpel blade facing away from the organ and from the tongue of the retractor device. The scalpel is then passed down through the cavity wall, with its tip in the retention guide, while tension on the retractor device handle away from the organ, and gentle outward traction on the organ (and bag) permits removal of the organ (and bag) as soon as the opening is just large enough to allow it. 1. An apparatus comprising: a refraction member having a proximal portion and a distal portion;', 'said proximal portion comprising an aperture in communication therewith, said aperture configured to accommodate at least a portion of the surgical tool for insertion there through; and', 'said distal portion configured to protect a target region of the subject by blocking and displacing the target region away from the surgical tool to be passed through said proximal portion aperture., 'a surgical retractor device for insertion through an incision in a cavity wall of a subject for use with a surgical tool, said surgical retractor device comprising2. The apparatus of claim 1 , wherein said distal portion comprises a first surface and a second surface claim 1 , and wherein said distal portion comprises a retention guide in communication with said distal portion first surface and configured to receive and guide the portion of the surgical tool inserted through said proximal portion aperture.3. The apparatus of claim 2 , further comprising a check structure in communication with said retention guide claim 2 , wherein said check structure is configured to contact ...

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05-09-2013 дата публикации

METHODS AND APPARATUS FOR JOINT DISTRACTION

Номер: US20130231671A1
Принадлежит: The Foundry, LLC

A method of treating a patient's joint having opposing joint surfaces includes providing an elongate member having a proximal end, a distal end and an expandable member near the distal end. The expandable member is positioned in the joint between the joint surfaces and expanded so as to separate the joint surfaces away from one another into a distracted position. The joint is manipulated while in the distracted position so that the joint is distracted and in flexion. A diagnostic or therapeutic procedure is then performed on the joint while maintaining the joint in the flexed and distracted position. 161.-. (canceled)62. An apparatus for distracting a hip joint having a femoral head and an acetabulum with an acetabular fossa , said apparatus comprising:an elongate flexible member having a proximal end and a distal end; andan expandable member coupled with the elongate member near the distal end, the expandable member being fluidly expandable from a collapsed configuration to an expanded configuration, the expandable member having a transverse dimension of at least about 10 mm in the expanded configuration and being configured to apply a distraction force of at least about 50 lbs. to said acetabulum and said femoral head at a pressure of less than about 100 psi;wherein, the expandable member is configured to engage the acetabulum only within a contact, surface such that at least about 50% of the contact surface is disposed in the acetabular fossa when the expandable member is in the expanded configuration.63. The apparatus of claim 62 , wherein the expanded size and the expanded shape are selected so that the expandable member is biased into the fossa when expanded.64. The apparatus of claim 62 , wherein the expandable member has an outer surface with a radius of curvature of at least about 8 mm in the expanded configuration.65. The apparatus of claim 62 , wherein the expandable member has an axial length in the expanded configuration claim 62 , the axial length ...

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12-09-2013 дата публикации

Rib-protecting devices for thoracoscopic surgery, and related methods

Номер: US20130237766A1
Принадлежит: Physcient Inc

Methods and devices are disclosed to reduce tissue trauma when a surgeon performs surgery by thoracoscopy. Methods and devices are disclosed for protecting tissues adjacent to an intercostal incision from trauma caused by impingement of instruments into an intercostal incision. In one part, these methods and devices include devices that have controls that stick up out of the incision, permitting adjustment by the surgeon. In another part, methods and devices are disclosed for smaller devices that reside entirely under this skin and require no adjustment by the surgeon.

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12-09-2013 дата публикации

INTERNAL RETRACTOR

Номер: US20130237768A1
Автор: HEFTMAN Gilad
Принадлежит: VIRTUAL PORTS LTD.

The present invention provides a retraction device for retraction of an organ within the abdominal cavity, comprising: a. at least one first anchoring means reversibly attached to a first anchoring point within said abdominal cavity; b. at least one second anchoring means reversibly attached to a second anchoring point within said abdominal cavity; and, c. at least one supporting member, defining a predetermined geometrical structure, interconnecting said first anchoring means and said second anchoring means, at least partially support said organ; wherein said at least one supporting member is characterized by a substantially rigid structure, such that said at least one supporting member is substantially not deformed in any direction outside the plane defining said supporting member when a mechanical force is applied, by said organ, on said rigid structure of said supporting member when said organ is retracted via said retraction device. 148-. (canceled)49. A retraction device useful in minimally invasive surgeries for retraction of an organ within the abdominal cavity , said retraction device comprising:a. at least one first anchoring means adapted to be reversibly attached to a first anchoring point within said abdominal cavity;b. at least one second anchoring means adapted to be reversibly attached to a second anchoring point within said abdominal cavity; and,c. at least one supporting member, defining a predetermined geometrical structure, interconnecting said first anchoring means and said second anchoring means, adapted to at least partially support said organ, such that said organ is retracted;wherein said at least one supporting member is characterized by a substantially rigid structure, such that said at least one supporting member is substantially not deformed in any direction outside the plane defining said supporting member when a mechanical force is applied, by said organ, on said rigid structure of said supporting member when said organ is retracted ...

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19-09-2013 дата публикации

SEAL ANCHOR WITH NON-PARALLEL LUMENS

Номер: US20130245373A1
Автор: Okoniewski Gregory
Принадлежит: COVIDIEN LP

A seal anchor member defines a housing defining a longitudinal axis, the housing having leading and trailing ends, and including a plurality of lumens extending between the leading and trailing ends, each lumen being adapted for substantially sealed reception of an object therein and defining a longitudinal axis, wherein at least two of the lumens define longitudinal axes that are non-parallel to facilitate angled, at-rest placement of multiple instruments within the seal anchor member. 1. A surgical device comprising:a flexible seal anchor member defining a longitudinal axis, the seal anchor member including an arcuate distal surface and an arcuate proximal surface, the seal anchor member defining a substantially hour-glass shape when the seal anchor member is in an at-rest condition,the seal anchor member defining at least three lumens extending from the proximal surface and through the seal anchor member to the distal surface, the at least three lumens being configured for substantially sealed reception of a surgical object inserted therein, wherein each one of the at least three lumens define a longitudinal axis, and wherein, when the seal anchor member is in the at-rest condition, at least two lumen cross one another when the seal anchor member is viewed from a side.2. The surgical device of claim 1 , wherein claim 1 , when the seal anchor member is in an at-rest state claim 1 , the longitudinal axis of a first lumen of the at least three lumens is parallel relative to the longitudinal axis of the seal anchor member and the longitudinal axes of a second lumen and a third lumen of the at least three lumen are non-parallel relative to the longitudinal axis of the seal anchor member.3. The surgical device of claim 2 , wherein the first lumen is configured for reception of a camera therein claim 2 , and wherein the second and third lumen are configured for reception of a pair of surgical instruments that claim 2 , from a side view of the seal anchor member claim 2 ...

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19-09-2013 дата публикации

Surgical Device Having a Port with an Undercut

Номер: US20130245379A1
Автор: Kleyman Gennady
Принадлежит: COVIDIEN LP

A surgical apparatus for positioning within a tissue tract accessing an underlying body cavity. The apparatus may include a seal anchor member comprising a compressible material. The seal anchor member may be adapted to transition between a first condition for insertion of at least a portion of the seal anchor member within a tissue tract and a second condition to facilitate a securing of the seal anchor member within a tissue tract and in substantial sealed relation with tissue surfaces defining a tissue tract. The seal anchor member may have proximal and distal ends and may define at least one port extending between the proximal and distal ends, the at least one port being adapted for the reception of an object whereby compressible material defining the at least one port is adapted to deform to establish a substantial sealed relation with the object. The at least one port may include an undercut to reduce the likelihood of leaks therethrough. 1. A surgical apparatus for positioning within a tissue tract in a sealing relation therewith , the surgical apparatus comprising:a seal anchor comprising a gel material, the seal anchor transitionable between compressed and expanded states, the seal anchor defining at least one port configured to receive a surgical instrument therethrough in a sealing relation and at least one undercut extending radially outward from the at least one port.2. The surgical apparatus according to claim 1 , wherein the seal anchor includes proximal and distal portions and an intermediate portion extending between the proximal and distal portions claim 1 , the at least one port extending between the distal and proximal portions.3. The surgical apparatus according to claim 2 , wherein the at least one undercut is formed in the intermediate portion of the seal anchor claim 2 , whereby the at least one undercut is configured to collect gas.4. The surgical apparatus according to claim 2 , wherein the at least one undercut is formed symmetrically with ...

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19-09-2013 дата публикации

System and Method for Retracting Body Tissue

Номер: US20130245383A1
Принадлежит: Globus Medical Inc

A method for retracting body tissue providing a retractor system that includes a rail having two opposed widened rail portions separated by a narrowed portion, each widened portion engageable by a separate clamp. The clamps are configured to support the rail to a fixed surface, or to support a surgical device. Each clamp may independently be positioned or slid along the rail to a desired location without interference with a clamp on an opposing widened rail portion. A device clamp is formed of spherical mating portions which enable alignment of a surgical device along six degrees of freedom, and tightenable by securing a single fastener. A retractor blade mount enables an angular and tilting disposition of a retractor blade, as well as remote manipulation of the retractor blade.

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19-09-2013 дата публикации

SPONDYLOLISTHESIS REDUCTION SYSTEM

Номер: US20130245692A1
Принадлежит:

A system for reducing deformities in the spine includes a first tower assembly and a second tower assembly. The first tower assembly includes a first tower that couples to a first screw in a first vertebral level, a load transfer ring rotatable coupled to the first tower, and a load transfer link rotatably coupled to the load transfer ring. The second tower assembly includes a second tower that couples to a second screw in a second vertebral level, a load applicator secured to the second tower, and a load transfer member rotatably coupled to the second tower and linked to the load transfer link. The load applicator applies force to the load transfer member to position the first tower assembly relative to the second tower assembly. 1. A system for reducing deformities in the spine , comprising:a first tower assembly including a first mount and a second tower assembly including a second mount, wherein the first mount is operably coupled to the proximal end of the first tower assembly, and the second mount is operably coupled to the proximal end of the second tower assembly;a load reduction arm including a central shaft, and the load reduction arm operably coupled to the first mount and translatable with the second mount to transmit a leverage and cause relative movement of the first tower assembly from the second tower assembly from an unreduced state into a reduced state.2. The system of claim 1 , wherein the second mount includes a reduction drive shaft that is operably coupled with a drive shaft bore mounted on the proximal end of the second mount claim 1 , wherein the reduction drive shaft includes a substantially threaded portion along the exterior of the reduction drive shaft to operably couple with a threaded portion along the interior of the drive shaft bore.3. The system of claim 2 , wherein the first end of the load reduction arm is rotatably coupled to the distal end of the first mount claim 2 , and the central shaft of the load reduction arm is operably ...

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26-09-2013 дата публикации

Tissue Retractor Assembly

Номер: US20130253275A1
Принадлежит: NOVATRACT SURGICAL, INC.

An intracorporeal surgical tissue retractor is provided having an anchor selectively deployable in a first tissue not to be retracted and a grasper selectively deployable on a second tissue to be retracted. A longitudinally selectively movable support is threadable through the anchor and attached at a substantially distal end of the movable support to the grasper. A deployment user interface is couplable to the movable support and has a proximal end manipulable by a user extracorporeally and a distal end releasably attachable to both the anchor and the grasper, adapted to intracorporeally deploy the anchor into the first tissue and the grasper onto the second tissue. The user interface includes a first actuator having an anchor positioning tool enabling selective deployment of the anchor in the first tissue, and a second actuator enabling selective opening and closing of the jaws of the grasper. 1. An intracorporeal surgical tissue retractor , comprising:a) an anchor selectively deployable in a first tissue not to be retracted;b) a grasper selectively deployable on a second tissue to be retracted;c) a longitudinally selectively movable support threadable through said anchor and attached at a substantially distal end of said movable support to said grasper; andd) a deployment user interface, couplable to said movable support and having a proximal end manipulable by a user extracorporeally and a distal end releasably attachable to both said anchor and said grasper, adapted to intracorporeally deploy said anchor into the first tissue and said grasper onto the second tissue.2. An intracorporeal surgical tissue retractor according to claim 1 , wherein when said grasper is deployed on the second tissue and said movable support is selectively moved proximally claim 1 , the second tissue is selectively retracted.3. An intracorporeal surgical tissue retractor according to claim 1 , wherein when said anchor is deployed in the first tissue claim 1 , said grasper is deployed on ...

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26-09-2013 дата публикации

CANNULA VALVE ASSEMBLY

Номер: US20130253280A1
Автор: Pribanic Russell
Принадлежит: COVIDIEN LP

A surgical access device includes a housing member, a tubular member, a rotor and a lever. The housing member defines a lumen therethrough and includes a port in fluid communication with the lumen. The tubular member defines a longitudinal axis and a channel therethrough in fluid communication with the lumen of the housing member. The rotor defines a longitudinal passage therethrough and a bore on a sidewall of the rotor. The rotor is rotatably associated with the housing member and is coupled to the tubular member. The lever is translatably mounted on the housing member. Axial translation of the lever causes rotation of the rotor about the longitudinal axis between an open position in which the bore is aligned with the port providing a fluid communication between the port and the tubular member and a closed position in which the side wall of the rotor closes off the port. 1. A surgical access device comprising:a housing member defining a lumen therethrough, the housing member including a port in fluid communication with the lumen;a tubular member defining a channel therethrough in fluid communication with the lumen of the housing member, the tubular member defining a longitudinal axis;a rotor defining a longitudinal passage therethrough and a bore on a sidewall of the rotor, the rotor rotatably associated with the housing member and coupled to the tubular member; anda lever translatably mounted on the housing member, wherein axial translation of the lever causes rotation of the rotor about the longitudinal axis between an open position in which the bore is aligned with the port providing a fluid communication between the port and the tubular member and a closed position in which the side wall of the rotor closes off the port.2. The surgical access device according to claim 1 , wherein the lever includes first and second members in a substantially superposed relation with each other.3. The surgical access device according to claim 2 , wherein the first member is ...

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26-09-2013 дата публикации

LAPAROSCOPIC INSTRUMENT AND TROCAR SYSTEMS AND RELATED SURGICAL METHOD

Номер: US20130253282A1
Автор: Piskun Gregory
Принадлежит: COVIDIEN LP

Laparoscopic instruments and trocars are provided for performing laparoscopic procedures entirely through the umbilicus. A generally C-shaped trocar provides increased work space between the hands of the surgeon as well as S-shaped laparoscopic instruments placed through the trocar when laparoscopic instrument-trocar units are placed through the umbilicus. In order to facilitate retraction of intra-abdominal structures during a laparoscopic procedure, an angulated needle and thread with either one-or two sharp ends is provided. Alternatively, an inflatable unit having at least one generally C-shaped trocar incorporated within the unit's walls can be placed through the umbilicus following a single incision. Generally S-shaped laparoscopic instruments may be placed through the generally C-shaped trocars to facilitate access to intra-abdominal structures. 127-. (canceled)28. A cannula holder comprising:a perimetric wall defining a longitudinal axis and having a first end and a second end, wherein the first end is open and wherein said first end and said second end are each transversed by said axis; anda transverse plate member connected to at least a part of said second end, said transverse plate member extending generally transversely to said axis and including a rigid section attached to said transverse plate member, said transverse plate member having a plurality of passageways traversable by respective cannulas, said passageways being spaced from one another.29. The cannula holder of claim 28 , wherein said cannula holder is at least one of inflatable claim 28 , deflectable or collapsible.30. The cannula holder of claim 28 , wherein at least one of said passageways extends from an upper surface of said transverse plate member to a lower surface thereof.31. The cannula holder of claim 28 , further comprising a one-way valve positioned in at least one of said passageways.32. The cannula holder of claim 28 , at least one of the plurality of said passageways being ...

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03-10-2013 дата публикации

EXPANDABLE TRANSLUMINAL SHEATH

Номер: US20130261399A1
Принадлежит: ONSET MEDICAL CORPORATION

Disclosed is an expandable transluminal sheath, for introduction into the body while in a first, low cross-sectional area configuration, and subsequent expansion of at least a part of the distal end of the sheath to a second, enlarged cross-sectional configuration. The distal end of the sheath is maintained in the first, low cross-sectional configuration and expanded using a radial dilatation device. In an exemplary application, the sheath is utilized to provide access for a diagnostic or therapeutic procedure such as ureteroscopy or stone removal. 1. An expandable transluminal access sheath adapted for providing minimally invasive access to body lumens or cavities , comprising:an axially elongate sheath tube with a proximal and a distal end and a central through lumen;a distal region of the sheath which is expandable in circumference in response to pressure applied therein,a hub affixed to the proximal end of the sheath tube, the hub adapted to form a tapered internal lumen to facilitate the passage of instrumentation;a central obturator, which serves to occlude the central lumen of the sheath during insertion; anda guidewire lumen within the obturator, capable of passing standard medical guidewires;wherein the obturator is a balloon dilator capable of expanding the distal region of the sheath.2. The transluminal sheath of wherein the sheath tube comprises an outer layer claim 1 , an inner layer claim 1 , and a reinforcing layer wherein the outer layer and the inner layer comprises a polymer.3. The transluminal sheath of wherein the polymeric material is polyolefin.4. The transluminal sheath of wherein the polyolefin is selected from a blend of high-density and low-density polyethylene.5. The transluminal sheath of wherein the inner and outer layer are fabricated from different polymers.6. The transluminal sheath of wherein the inner or outer layer are fabricated from a blend of high-density and low-density polyethylene wherein the ratio is 25% of one polymer and ...

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03-10-2013 дата публикации

Instrument Port For Minimally Invasive Cardiac Surgery

Номер: US20130261400A1
Принадлежит:

The instrument ports for introducing instruments into a surgical site that are disclosed herein include a port body having a channel running therethrough from a proximal end to a distal end, an instrument sleeve in slidable contact with the channel, creating a gap therebetween, and a fluid flow element for removing emboli efficiently from the instrument port, wherein the fluid flow element includes the gap. Disclosed fluid flow systems are for use in the disclosed instrument ports. Methods are also disclosed for removably securing an instrument sleeve to a port body by anchoring the instrument port to heart tissue, making at least one flood line in a channel, flushing out emboli, and performing surgery with the instrument port. 1. An instrument port for introducing instruments into a surgical site , comprising:a port body including a channel running therethrough from a proximal end to a distal end of said port body;an instrument sleeve in slidable contact with said channel, creating a gap therebetween, andfluid flow means for removing emboli efficiently from said instrument port, said fluid flow means including said gap.244.-. (canceled) This application is a continuation application and claims priority under 35 U.S.C. §120 from U.S. patent application Ser. No. 12/159,784 (U.S. Pat. No. 8,394,015 to be issued on Mar. 12, 2013), which is a national phase filing under 35 U.S.C. 371, of International Application No. PCT/US07/00270, filed on Jan. 5, 2007, which claims the benefit of priority of U.S. Provisional Patent Application Ser. No. 60/866,255, filed on Nov. 17, 2006 and U.S. Provisional Patent Application Ser. No. 60/756,385, filed on Jan. 5, 2006, the entire contents of all of which are incorporated herein by reference.1. Technical FieldThe present invention relates to methods and instruments used in minimally invasive surgical procedures. In particular, the present invention relates to an instrument port including a flushing system to prevent the introduction ...

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10-10-2013 дата публикации

ILLUMINATED AND MODULAR SOFT TISSUE RETRACTOR

Номер: US20130267786A1
Принадлежит:

A surgical retractor for illuminating a surgical field includes an ergonomic handle, a retractor blade coupled with the handle, a quick release mechanism, and an illuminator blade. The retractor blade is adapted to engage and retract tissue, and the quick release mechanism is adapted to couple the handle with the retractor blade. The illuminator blade acts as a waveguide to transmit light by total internal reflection. Light is extracted from the illuminator to illuminate the surgical field. The retractor blade is releasable from the handle without requiring uncoupling of the illuminator blade from the handle and also without requiring optical uncoupling of the illuminator blade from a light source. The retractor may also be adapted to evacuate smoke from the surgical field. 1. An illuminated and modular surgical retractor for illuminating a surgical field , said surgical retractor comprising:a handle ergonomically designed to fit in a surgeon's hand;a retractor blade releasably coupled with the handle, the retractor blade adapted to engage tissue and retract the tissue in a retraction direction;a quick release mechanism coupled with the handle and the retractor blade, the quick release mechanism adapted to couple the handle with the retractor blade;an illuminator blade releasably coupled with the handle and disposed adjacent the retractor blade, the illuminator blade having a light input portion, a light conducting portion, and a light output portion, wherein the illuminator blade acts as a waveguide to transmit light from the light input portion through the light conducting portion to the light output portion by total internal reflection, andwherein the light is extracted from the light output portion to illuminate the surgical field, andwherein the retractor blade is releasable from the handle in a direction transverse to the retraction direction, andwherein the retractor blade is releasable from the handle without requiring uncoupling of the illuminator blade ...

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10-10-2013 дата публикации

MODULAR APPARATUS AND METHOD FOR SCULPTING THE SURFACE OF A JOINT

Номер: US20130267959A1
Принадлежит:

The present invention provides a method and device for restoring individual patient joint kinematics using minimally invasive surgical procedures. The instrumentation of the invention sculpts the articular surface of a first bone that normally articulates in a predetermined manner with a second bone. The instrumentation includes a bone sculpting tool and a mount for attaching the tool to the second bone. The implant system is comprised of implants that provide intraoperative surgical options for articular constraint and facilitate proper alignment and orientation of the joint to restore kinematics as defined by the individual patient anatomy. 1. An apparatus for distracting a first bone away from a second bone , the apparatus comprising at least one dynamic spacer that functions under load control.2. An apparatus for distracting a first bone away from a second bone , the apparatus comprising at least one dynamic spacer that functions under displacement control.3. The apparatus of or wherein said dynamic spacer is an expandable device.4. The apparatus of wherein the expandable device is selected from intraarticular spacers claim 3 , bladders claim 3 , balloons claim 3 , gear mechanisms claim 3 , scissor mechanisms.5. An apparatus for distracting a first bone away from a second bone claim 3 , the apparatus comprising at least one dynamic spacer that aligns said second bone with said first bone.6. An apparatus for distracting a first bone away from a second bone claim 3 , the apparatus comprising at least one dynamic spacer that assesses kinematics between said first and said second bone.7. A method of distracting a first bone away from a second bone claim 3 , wherein said first bone normally articulates in a predetermined manner with said second bone claim 3 , comprising placing a dynamic spacer between said first and said second bones; and assessing the range of motion of the second bone to the first bone and patient kinematics. This application is a continuation-in- ...

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17-10-2013 дата публикации

Tissue Stabilizing Device and Methods Including a Self-Expandable Head-Link Assembly

Номер: US20130274547A1
Принадлежит: MEDTRONIC INC

A tissue stabilizer including an elongated arm, a collet, and a head-link assembly. The collet is disposed at a distal end of the arm. The head-link assembly includes a tube and a spreading mechanism. The tube forms an intermediate section and opposing arms each terminating at a tip. The spreading mechanism can adjust a lateral distance between the tips, and includes first and second articulating members each having a leg and a collet interface body. The first member further includes a female hinge feature, whereas the second member includes a male hinge feature differing from the female hinge feature. The legs of are mounted to discrete regions of the tube, and the male hinge feature is pivotably coupled to the female hinge feature. Automatic spreading of a lateral distance between the tips occurs in response to a compressive force applied to the collet interface bodies.

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