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    Surgical access system and related methods
    1.
    发明申请
    Surgical access system and related methods 审中-公开
    手术进入系统及相关方法

    公开(公告)号：US20150105624A1

    公开(公告)日：2015-04-16

    申请号：US11528996

    申请日：2006-09-27

    申请人： Scot Martinelli ,  Jared Arambula

    发明人： Scot Martinelli ,  Jared Arambula

    IPC分类号： A61B17/02 ,  A61B17/34

    CPC分类号： A61B90/30 ,  A61B17/0293 ,  A61B17/34 ,  A61B2017/00261 ,  A61B2017/0256

    摘要： A surgical access system and related methods which involve the ability to minimally invasively provide an operative corridor to a disk space while simultaneously providing the ability to distract the disk space. The access system comprises a tissue distraction assembly and a tissue retraction assembly. The tissue distraction assembly (in conjunction with one or more elements of the tissue retraction assembly) is capable of, as an initial step, distracting a region of tissue between the skin of the patient and the surgical target site. The tissue retraction assembly is capable of, as a secondary step, being introduced into this distracted region to thereby define and establish the operative corridor. Once established, any of a variety of surgical instruments, devices, or implants may be passed through and/or manipulated within the operative corridor depending upon the given surgical procedure.

    摘要翻译： 手术进入系统和相关方法涉及到能够最小限度地向磁盘空间提供可操作的走廊，同时提供分散磁盘空间的能力。 进入系统包括组织牵引组件和组织缩回组件。 作为初始步骤，组织牵引组件（与组织缩回组件的一个或多个元件相结合）能够使患者皮肤和手术靶位点之间的组织区域分散。 作为第二步骤，组织回缩组件能够被引入到该分心区域中，从而限定和建立手术走廊。 一旦建立，取决于给定的外科手术，各种手术器械，装置或植入物中的任何一种可以在手术走廊内通过和/或操纵。

    Insulated pedicle access system and related methods
    2.
    发明授权
    Insulated pedicle access system and related methods 有权
    绝缘椎弓根进入系统及相关方法

    公开(公告)号：US08784330B1

    公开(公告)日：2014-07-22

    申请号：US13109981

    申请日：2011-05-17

    申请人： Thomas Scholl ,  Albert Kim ,  Jared Arambula ,  Scot Martinelli ,  Eric Finley ,  Albert Pothier

    发明人： Thomas Scholl ,  Albert Kim ,  Jared Arambula ,  Scot Martinelli ,  Eric Finley ,  Albert Pothier

    IPC分类号： A61B10/00 ,  A61B5/00 ,  A61B5/0488 ,  A61B5/04 ,  A61N1/08 ,  A61B17/16

    CPC分类号： A61B5/04001 ,  A61B5/0488 ,  A61B5/0492 ,  A61B5/05 ,  A61B5/4504 ,  A61B5/4893 ,  A61B17/1671 ,  A61N1/0551 ,  A61N1/08

    摘要： A pedicle access system including a cannula, a stylet, and a removable T-handle. The pedicle access system may be used to percutaneously approach the pedicle, initiate pilot hole formation, and conduct a stimulation signal to the target site for the purposes of performing a pedicle integrity assessment during the pilot hole formation. To do this, the cannula and stylet are locked in combination and inserted through an operating corridor to the pedicle target site, using the T-handle to facilitate easy movement and positioning of the cannula/stylet combination. A stimulation signal may be applied during pilot hole formation to conduct the pedicle integrity assessment. In a significant aspect, the T-handle may be detached from the cannula/stylet combination to facilitate the use of various surgical tools as necessary.

    摘要翻译： 一种椎弓根进入系统，其包括插管，探针和可移除的T形手柄。 椎弓根进入系统可以用于经皮接近椎弓根，开始导向孔形成，并且在引导孔形成期间执行椎弓根完整性评估的目的部位进行刺激信号。 为了做到这一点，插管和探针被组合锁定，并通过操作走廊插入到椎弓根靶部位，使用T形手柄便于插管/探针组合的容易移动和定位。 在引导孔形成期间可以施加刺激信号以进行椎弓根完整性评估。 在显着的方面，T型手柄可以从插管/探针组合分离，以便于根据需要使用各种外科手术工具。

    Surgical access system and related methods
    3.
    发明授权
    Surgical access system and related methods 有权
    手术进入系统及相关方法

    公开(公告)号：US08303515B2

    公开(公告)日：2012-11-06

    申请号：US12635869

    申请日：2009-12-11

    申请人： Patrick Miles ,  Scot Martinelli ,  Eric Finley ,  Luiz Pimenta

    发明人： Patrick Miles ,  Scot Martinelli ,  Eric Finley ,  Luiz Pimenta

    IPC分类号： A61B5/05

    CPC分类号： A61B17/02 ,  A61B1/32 ,  A61B5/04001 ,  A61B5/4836 ,  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. Some embodiments of the surgical access system may be particularly suited for establishing an operative corridor to a surgical target site in the spine. Such an operative corridor may be established through the retroperitoneal space and the psoas muscle during a direct lateral, retroperitoneal approach to the spine.

    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。 手术进入系统的一些实施例可以特别适于建立到脊柱中的外科手术靶位置的手术走廊。 这种手术通道可以在脊柱的直接侧腹后腹部接近的腹膜后空间和腰肌中建立。