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公开(公告)号：US08182423B2
公开(公告)日：2012-05-22
申请号：US12649604
申请日：2009-12-30
申请人： Patrick Miles , Scot Martinelli , Eric Finley , James Gharib , Allen Farquhar , Norbert Kaula , Jeffrey Blewett , Goretti Medeiros, legal representative
发明人： Patrick Miles , Scot Martinelli , Eric Finley , James Gharib , Allen Farquhar , Norbert Kaula , Jeffrey Blewett
CPC分类号： A61B17/02 , A61B1/32 , A61B5/0492 , A61B5/4893 , A61B5/7405 , A61B5/742 , A61B17/0206 , A61B17/0218 , A61B17/025 , A61B17/0293 , A61B2017/00026 , A61B2017/00039 , A61B2017/0256 , A61B2017/0262
摘要： A system for accessing a surgical target site and related methods, involving an initial distraction system for creating an initial distraction corridor, and an assembly capable of distracting from the initial distraction corridor to a secondary distraction corridor and thereafter sequentially receiving a plurality of retractor blades for retracting from the secondary distraction corridor to thereby create an operative corridor to the surgical target site, 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.
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公开(公告)号：US08114019B2
公开(公告)日：2012-02-14
申请号：US12650123
申请日：2009-12-30
申请人： Patrick Miles , Scot Martinelli , Eric Finley , James Gharib , Allen Farquhar , Norbert Kaula , Jeffrey Blewett , Goretti Medeiros, legal representative
发明人： Patrick Miles , Scot Martinelli , Eric Finley , James Gharib , Allen Farquhar , Norbert Kaula , Jeffrey Blewett
IPC分类号： A61B1/32
CPC分类号： A61B17/025 , A61B1/32 , A61B5/4893 , A61B17/0206 , A61B17/0218 , A61B2017/00473 , A61B2017/0262
摘要： 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.
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3.发明授权公开(公告)号：US08068912B2
公开(公告)日：2011-11-29
申请号：US10754899
申请日：2004-01-09
申请人： Norbert Kaula , Jeffrey Blewett , Goretti Medeiros, legal representative , James Gharib , Allen Farquhar
发明人： Norbert Kaula , Jeffrey Blewett , James Gharib , Allen Farquhar
IPC分类号： A61B5/05
CPC分类号： A61B5/4893 , A61B5/04001 , A61B5/0488 , A61B5/1106 , A61B5/4836 , A61B5/7217 , A61B5/743 , A61B17/00 , A61B17/02 , A61B2017/00039 , A61N1/08 , A61N1/36 , A61N1/36017
摘要： The present invention involves systems and methods for determining nerve proximity, nerve direction, and pathology relative to a surgical instrument based on an identified relationship between neuromuscular responses and the stimulation signal that caused the neuromuscular responses.
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公开(公告)号：US07819801B2
公开(公告)日：2010-10-26
申请号：US10789797
申请日：2004-02-27
申请人： Patrick Miles , Scot Martinelli , Eric Finley , James Gharib , Allen Farquhar , Norbert Kaula , Jeffrey Blewett , Goretti Medeiros, legal representative
发明人： Patrick Miles , Scot Martinelli , Eric Finley , James Gharib , Allen Farquhar , Norbert Kaula , Jeffrey Blewett
IPC分类号： A61B1/32
CPC分类号： A61B17/0206 , A61B1/32 , A61B5/04001 , A61B5/4836 , A61B17/02 , A61B17/0218 , A61B2017/0256
摘要： A surgical access system including a tissue distraction assembly and a tissue retraction 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.
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公开(公告)号：US07691057B2
公开(公告)日：2010-04-06
申请号：US10759811
申请日：2004-01-16
申请人： Patrick Miles , Scot Martinelli , Eric Finley , James Gharib , Allen Farquhar , Norbert Kaula , Jeffrey Blewett , Goretti Medeiros, legal representative
发明人： Patrick Miles , Scot Martinelli , Eric Finley , James Gharib , Allen Farquhar , Norbert Kaula , Jeffrey Blewett
IPC分类号： A61B1/32
CPC分类号： A61B17/025 , A61B1/32 , A61B5/4893 , A61B17/0206 , A61B17/0218 , A61B2017/00473 , A61B2017/0262
摘要： A surgical access system including a tissue distraction assembly and a tissue retraction 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.
摘要翻译： 一种包括组织牵引组件和组织缩回组件的手术进入系统，其两者可以装备有一个或多个电极，用于检测神经结构的存在（以及可选的距离和/或方向） 以及在手术目标地点建立手术走廊之后。
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公开(公告)号：US07522953B2
公开(公告)日：2009-04-21
申请号：US10809280
申请日：2004-03-25
发明人： Jeffrey J. Blewett
CPC分类号： A61F2/4611 , A61B1/32 , A61B5/04001 , A61B5/0492 , A61B5/4893 , A61B5/6828 , A61B5/6831 , A61B17/0218 , A61B17/3417 , A61B17/3421 , A61B17/3423 , A61B34/20 , A61B34/25 , A61B90/36 , A61B90/37 , A61B2017/00039 , A61B2017/00199 , A61B2017/0262 , A61B2034/2053 , A61B2034/2072 , A61F2/4455 , A61F2002/4635 , A61N1/0551 , A61N1/0553 , A61N1/36 , A61N1/36135 , A61N1/36142 , A61N1/36157 , A61N1/37247
摘要： The present invention involves systems and related methods for performing surgical procedures and assessments, including the use of neurophysiology-based monitoring to: (a) determine nerve proximity and nerve direction to surgical instruments employed in accessing a surgical target site; (b) assess the pathology (health or status) of a nerve or nerve root before, during, or after a surgical procedure; and/or (c) assess pedicle integrity before, during or after pedicle screw placement, all in an automated, easy to use, and easy to interpret fashion so as to provide a surgeon-driven system.
摘要翻译： 本发明涉及用于执行外科手术和评估的系统和相关方法，包括使用基于神经生理学的监测来：（a）确定在进入手术靶位点时使用的手术器械的神经接近度和神经方向; （b）在外科手术之前，期间或之后评估神经或神经根的病理（健康或状况）; 和/或（c）在椎弓根螺钉放置之前，之中或之后评估椎弓根完整性，全部以自动化，易于使用和易于解释的方式，以提供外科医生驱动的系统。
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公开(公告)号：US08343046B2
公开(公告)日：2013-01-01
申请号：US13417499
申请日：2012-03-12
申请人： Patrick Miles , Scot Martinelli , Eric Finley , James Gharib , Allen Farquhar , Norbert Kaula , Jeffrey Blewett , Goretti Medeiros, legal representative
发明人： Patrick Miles , Scot Martinelli , Eric Finley , James Gharib , Allen Farquhar , Norbert Kaula , Jeffrey Blewett
IPC分类号： A61B1/32
CPC分类号： A61B17/025 , A61B1/32 , A61B5/4893 , A61B17/0206 , A61B17/0218 , A61B2017/00473 , A61B2017/0262
摘要： A method for accessing a spinal disc of a lumbar spine of a patient using a surgical access system including a tissue distraction assembly and a tissue retraction assembly. The method can include maintaining an operative corridor along a lateral, trans-psoas path using the retraction assembly.
摘要翻译： 一种使用包括组织牵引组件和组织缩回组件的外科进入系统来访问患者的腰椎的椎间盘的方法。 该方法可以包括使用回缩组件沿着横向，反式腰带路径维持手术走廊。
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公开(公告)号：US08187179B2
公开(公告)日：2012-05-29
申请号：US12650336
申请日：2009-12-30
申请人： Patrick Miles , Scot Martinelli , Eric Finley , James Gharib , Allen Farquhar , Norbert Kaula , Jeffrey Blewett , Goretti Medeiros, legal representative
发明人： Patrick Miles , Scot Martinelli , Eric Finley , James Gharib , Allen Farquhar , Norbert Kaula , Jeffrey Blewett
CPC分类号： A61B17/02 , A61B1/32 , A61B5/0492 , A61B5/4893 , A61B5/7405 , A61B5/742 , A61B17/0206 , A61B17/0218 , A61B17/025 , A61B17/0293 , A61B2017/00026 , A61B2017/00039 , A61B2017/0256 , A61B2017/0262
摘要： A system for accessing a surgical target site and related methods, involving an initial distraction system for creating an initial distraction corridor, and an assembly capable of distracting from the initial distraction corridor to a secondary distraction corridor and thereafter sequentially receiving a plurality of retractor blades for retracting from the secondary distraction corridor to thereby create an operative corridor to the surgical target site, 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.
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公开(公告)号：US08137284B2
公开(公告)日：2012-03-20
申请号：US10682568
申请日：2003-10-08
申请人： Patrick Miles , Scott Martinelli , Eric Finley , James Gharib , Allen Farquhar , Norbert Kaula , Jeffrey Blewett , Goretti Medeiros, legal representative
发明人： Patrick Miles , Scott Martinelli , Eric Finley , James Gharib , Allen Farquhar , Norbert Kaula , Jeffrey Blewett
IPC分类号： A61B5/05
CPC分类号： A61B17/025 , A61B1/32 , A61B5/0488 , A61B17/0218 , A61B17/0293 , A61B17/3421 , A61B90/37 , A61B2017/00261 , A61B2017/0256 , A61B2017/0262 , A61M29/02
摘要： A system for accessing a surgical target site and related methods, involving an initial distraction system for creating an initial distraction corridor, and an assembly capable of distracting from the initial distraction corridor to a secondary distraction corridor and thereafter sequentially receiving a plurality of retractor blades for retracting from the secondary distraction corridor to thereby create an operative corridor to the surgical target site, 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.
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公开(公告)号：US08133173B2
公开(公告)日：2012-03-13
申请号：US12650301
申请日：2009-12-30
申请人： Patrick Miles , Scot Martinelli , Eric Finley , James Gharib , Allen Farquhar , Norbert Kaula , Jeffrey Blewett , Goretti Medeiros, legal representative
发明人： Patrick Miles , Scot Martinelli , Eric Finley , James Gharib , Allen Farquhar , Norbert Kaula , Jeffrey Blewett
IPC分类号： A61B1/32
CPC分类号： A61B17/025 , A61B1/32 , A61B5/4893 , A61B17/0206 , A61B17/0218 , A61B2017/00473 , A61B2017/0262
摘要： 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.
摘要翻译： 一种包括组织牵引组件和组织缩回组件的手术进入系统，其两者可以装备有一个或多个电极，用于检测神经结构的存在（以及可选的距离和/或方向） 以及在手术目标地点建立手术走廊之后。
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