57 results about "Nerve root" patented technology

The present disclosure is directed to devices, kits, and methods for treating lumbar spinal stenosis by at least partially decompressing a compressed nerve root. The method can include identifying the compressed nerve root and percutaneously accessing a region of a lamina located adjacent to the compressed nerve root. The method can also include forming a channel through the region of the lamina, wherein the channel can be formed medial to a lateral border of the lamina. Further, the method can include expanding the channel in a lateral direction.

This invention relates to a novel P-approach endoscopic lumbar fusion surgery method, belonging to the field of lumbar fusion surgery technology. This method addresses the high risk of nerve injury and insufficient operational precision in existing endoscopic fusion techniques by proposing an improved solution. It utilizes Kirschner wires for positioning at the inferior articular process to establish a precise entry point avoiding the nerve root pathway; a visually guided circular saw is used throughout the endoscopic procedure to construct a safe triangular working channel directly reaching the spinal canal; under full endoscopic monitoring, a unilateral approach is used for bilateral spinal canal decompression, thoroughly removing diseased tissue and scraping the endplates until punctate bleeding occurs; a bone graft cannula with a curved tip is used to precisely implant the fusion device into the anterior region of the intervertebral space, restoring intervertebral height through a self-locking structure; finally, a universal pedicle screw is percutaneously implanted for fixation. This method reduces the risk of nerve injury, improves surgical safety and efficiency, and is suitable for patients with lumbar spondylolisthesis complicated by spinal stenosis.

The application discloses a safe operation device suitable for spine minimally invasive surgery, which comprises a mirror-under power drill and an electric safety protection sleeve, wherein the handle of the mirror-under power drill and the drill are matched with the electric safety protection sleeve; the handle is connected with the drill, and the drill penetrates through the electric safety protection sleeve. The application provides a safe operation device suitable for spine minimally invasive surgery, which comprises a mirror-under power drill and a safety protection sleeve. When in use, the safety protection sleeve is directly fixed on the surface of the lamina to be removed, the mirror-under power drill can penetrate through the sleeve to complete the mirror-under grinding operation of the lamina, and the real-time lamina removal condition can be clearly seen through the end observation hole, so that the lamina is quickly removed while the nerve root is completely ensured not to be damaged.

The invention discloses a lumbar surgery AI dynamic simulation system and decision making method based on multi-modal data fusion, and belongs to the field of medical artificial intelligence, the technical scheme is that the system comprises a multi-modal data input interface, a dynamic modeling engine, a surgical decision making matrix and a three-dimensional comparison unit, and specifically, CT / MRI, electromyogram and gait mechanics data are fused; constructing a spinal canal 4D model through improved U-Net < 3 + >, and predicting a nerve root dynamic path by means of GCN-LSTM; and in combination with a lumbar stenosis type, matching an adaptive operation form, and generating a pre-operation and post-operation quantitative comparison report marked by three colors. A spinal canal-nerve-biomechanics dynamic correlation model is innovatively established, 217 L4-S1 segment anatomical variation templates are arranged in the model, and the anatomical variation adaptation rate reaches 92.3%. Clinical test results show that the operation time planned by the system is averagely shortened by 26 minutes, and the postoperative reoperation rate is reduced to 2.4%.

The nerve retractor comprises a first blade, a second blade, a first handle and a second handle, an annular plate is arranged at the near end of the first blade, the first handle is fixedly connected with the annular plate, the second blade is rotationally connected with the second handle on the annular plate, and the first handle is fixedly connected with the annular plate. The first handle and the second handle are both sleeved with handle sleeves. When the second handle gets close to the first handle, the second blade moves in the direction away from the first blade, and the through hole of the annular plate, the second blade and the first blade form a channel; the first blade is shorter than the second blade; a locking piece is arranged between the first handle and the second handle and used for locking the positions of the second handle and the first handle. The double-blade distraction structure is adopted, the problem that the force exerting direction is not easy to grasp during distraction is effectively solved, meanwhile, the working channel formed by the annular plate and the two blades is good in stability, nerve roots can be effectively distraction, and meanwhile instrument operation of a surgeon is not affected.

The present disclosure relates generally to a device and method for aiding in the repair of a dural tear. According to example embodiments, the device is placed substantially within a dural sac interior to a dural tear. The device provides a shield that prevents the underlying nerve roots (including rootlets) of the spinal cord from intruding into the torn area and prevents them from being injured during the repair procedure. The device also redirects cerebrospinal fluid from the area, which aids the surgeon in viewing the procedure site during suturing and / or repair.

The horizontal type cervical traction bed comprises a bed body, the head position of the bed body is provided with a head movable bed plate capable of sliding along an arc-shaped track, and the head movable bed plate is connected with the bed body through an arc-shaped sliding rail mechanism arranged below the head movable bed plate; the arc-shaped sliding rail mechanism can be movably adjusted according to the use requirements of a patient; a neck fixing mechanism is arranged above the head moving bed board and used for fixing the head of a patient. According to the horizontal type cervical vertebra traction bed adapting to the physiological curvature of the cervical vertebra, through the unique arc-shaped traction groove design, the natural physiological curvature of the cervical vertebra of the human body can be perfectly matched; in the traction process, traction force can be evenly distributed according to the bending shape of the cervical vertebra and accurately acts on each vertebral body, intervertebral space is effectively expanded, compression of the intervertebral disc on nerve roots and spinal cords is remarkably relieved, and compared with traditional traction equipment, the precision and effectiveness of traction treatment are greatly improved, and a more remarkable symptom relieving effect is brought to a patient.

The present invention relates to a neuromodulation / neurostimulation system (10) for the treatment of spasticity in a mammal, said system (10) comprising: —at least one control unit (12) configured and arranged to provide stimulation data, and—at least one stimulation unit (14), operatively connected to the at least one control unit (12), said at least one stimulation unit (14) being configured and arranged to deliver epidural electrical stimulation to the spinal cord of said mammal, according to said stimulation data, wherein the at least one stimulation unit (14) includes a biocompatible implantable lead (18) configured and arranged to cover at least a portion of the spinal cord of said mammal to deliver epidural electrical stimulation to the dorsal roots innervating the spastic muscles to target neuronal circuitry responsible for spastic episodes.

The invention relates to a spine intervertebral dilator which comprises a main support, a fixed supporting arm, a sliding supporting arm, a distraction blade and a control module, a biological impedance sensor array is integrated on the working surface of the distraction blade, and the biological impedance sensor array conducts real-time induction at the moment of touching nerve roots by detecting the electrophysiological characteristic difference of contact tissue; the control module receives impedance data of the biological impedance sensor array in real time, and when the biological impedance sensor array detects an impedance threshold value, the self-locking alarm module is triggered immediately and is self-locked; according to the spine intervertebral dilator, tissue electrophysiological characteristic differences are detected in real time through the integrated biological impedance sensor array, accurate recognition of nervous tissues is achieved in combination with multi-sensor fusion and a deep learning algorithm, a self-locking mechanism is triggered immediately when nerve roots are touched, and the spine intervertebral dilator is used for distraction of the nerve roots. The device has the advantages that nervous tissue is accurately recognized, real-time self-locking protection is achieved, and the risk of nerve injury in the operation is reduced.

The present disclosure is directed to devices, kits, and methods for treating lumbar spinal stenosis by at least partially decompressing a compressed nerve root. The method can include identifying the compressed nerve root and percutaneously accessing a region of a lamina located adjacent to the compressed nerve root. The method can also include forming a channel through the region of the lamina, wherein the channel can be formed medial to a lateral border of the lamina. Further, the method can include expanding the channel in a lateral direction.

A pedicle replacement device is designed to both replace the pedicle through osseointegration and protect the nerves and surrounding tissue from injury by pedicle screws or other surgical devices and instruments. The implant is configured to shield a fixture, reduce nerve root irritation, and diminish loosening of the fixture, when the fixture is implanted into the void of a target site. The implant includes features for stabilizing and securing the implant within the void at the target site. For example, in one embodiment, the implant includes counterclockwise threads that stabilize the implant against rotational and extractive forces that could disturb the implant.

Systems, devices, and methods for transvascular ablation of target tissue. In some examples, the devices and methods can be used for splanchnic nerve ablation to increase splanchnic venous blood volume to treat at least one of heart failure and hypertension. For example, the devices disclosed herein can be advanced in an endovascular manner to a target blood vessel in a thoracic splanchnic nerve (TSN) region, such as a splanchnic greater nerve (GSN) or TSN nerve root. Methods of treating heart failure, such as HFpEF, by endovascular ablation of thoracic splanchnic nerves to increase venous volume and reduce pulmonary blood pressure are also disclosed.

A retractor, preferably a nerve root retractor, comprising three components: an upper portion, a mid-portion, and a lower portion. The nerve retractor is designed to eliminate the requirement of having a person hold the retractor tool during a surgical procedure. The nerve retractor can be secured to a portion of the anatomical structure involved with, or near, the surgical procedure site, and utilizes an actuating device which allows the user to manipulate the angle of orientation of the arm portion or anatomical structure retractor portion. The anatomical structure retractor may comprise a modular anatomical structure engaging member / head, allowing the surgeon to use multiple or differently configured structure engaging members / heads during a procedure as needed.

Systems, devices, and methods for transvascular ablation of target tissue. The devices and methods are for splanchnic nerve ablation to increase splanchnic venous blood capacitance to treat at least one of heart failure and hypertension. The devices are advanced endovascularly to a target vessel in the region of a thoracic splanchnic nerve (TSN), such as a greater splanchnic nerve (GSN) or a TSN nerve root. Also disclosed are methods of treating heart failure, such as HFpEF, by endovascularly ablating a thoracic splanchnic nerve to increase venous capacitance and reduce pulmonary blood pressure.

The present invention discloses a posterior lumbar zero-profile fusion system and a method for using the same. The fusion system includes a fusion device and an impactor; the impactor includes a connecting seat, which is detachably connected to the fusion device; at least two inclined locking holes are provided on the front side of the fusion device; the axial height of the connecting seat is more than 1.5 cm; the connecting seat is provided with at least two inclined through-channels, and the outlet end of each channel corresponds to a locking hole; the angle between the channel axis and the connecting seat axis is 30 to 35 degrees. According to the present invention, it is only necessary to retract nerve tissues such as nerve roots and dura mater sacs once, and after the fusion device is placed between vertebrae by the impactor, the connecting seat is not directly removed. In the process of screwing in the locking screw, the locking screw and the screwdriver are completely in the connecting seat and the fusion device, and do not contact the surrounding nerve tissue to avoid damaging the surrounding nerve tissue of the vertebrae. Only one posterior spinal canal incision is required, which can greatly reduce surgical costs, surgical risks, surgical trauma and surgical time.

The utility model discloses a kind of nerve root retractor for fixed spine surgery, nerve root retractor is by retractor head, retractor body and retractor handle constitute, retractor handle and retractor body are 90 degrees angle mode setting, the bottom of retractor body is equipped with retractor head, the middle of retractor handle is equipped with through-hole, through-hole is equipped with insert, compared with existing handheld retractor, the utility model design can fix retractor, with through-hole in the middle of retractor handle, through-hole is equipped with insert, in operation, the utility model retractor can be fixed on spinous process of spine by insert tightening, completely need not doctor or assistant handheld retractor, using fixed mode can solve the situation of sliding or moving, guarantee normal operation.

The utility model discloses a visual spine endoscope fusion channel device, which relates to the field of medical equipment and comprises a soft tissue expansion rod, a sleeve, a first fusion channel and a second fusion channel. When the second fusion channel is used, two arc-shaped blocking faces are fixed to the two sides of the end, located in the body of the patient, of the second fusion channel respectively, and the blocking faces are used for separating and blocking the neurodural mater and the export nerve root to the outer side of the second fusion channel. The soft tissue expansion rod, the sleeve, the first fusion channel and the second fusion channel which are designed to be of an oval structure are different from an existing coaxial endoscope system, in the operation process, the area of an incision formed in the body of a patient is smaller, and the operation space is larger; under the direct view of an endoscope camera system, conventional operation tools such as vertebral plate forceps are used for biting and removing bone tissues such as vertebral plates and zygopophysis for windowing, so that the operation time is greatly shortened, the situation that channels with different sizes are replaced for multiple times is avoided, and multiple injuries to soft tissues of a patient caused by repeated replacement of the channels are avoided. The replacement frequency is reduced, and the surgical operation time is shortened.

In various embodiments, methods are provided to improve motor function, and / or to improve motor control, and / or to improve sensory function, and / or to reduce pain in subjects with nerve root palsies (e.g., radiculopathies including, but not limited to cauda equina syndrome). In certain embodiments, methods are provided for the magnetic stimulation of the spinal cord or regions thereof to improve motor function of upper and / or lower extremities in subjects with impaired extremity motor function due to spinal cord or brain injury or pathology.

The invention provides an energy output control method and system based on a composite catheter. The energy output control method comprises the steps that a radio frequency electrode is pushed to the far end of the composite catheter; radio frequency energy is output to the target intervertebral disc protrusion tissue through the radio frequency electrode, so that the size of the target intervertebral disc protrusion tissue is reduced, and a cavity is formed; normal saline is injected into the cavity, and the far end of the optical fiber is pushed to the cavity through an optical fiber channel in the composite catheter; laser energy is output to the fiber ring near the cavity through the optical fiber to solidify the fiber ring near the cavity. The cavity formed by the target intervertebral disc protrusion tissue can separate the nerve root from the target intervertebral disc which is not ablated, so that the compression of the target intervertebral disc protrusion tissue on the nerve root can be obviously reduced; the heat effect of the laser can be utilized to act on the fibrous ring of the collagen, so that the fibrous ring of the collagen is shrunk and thickened, equivalently, the fibrous ring is reinforced, and the recurrence of the target intervertebral disc protrusion is effectively prevented.

The utility model discloses a kind of guiding formula arc intervertebral fusion cage sets, it includes: shaft sleeve, intervertebral fusion cage and guide needle, the shaft sleeve includes: first blocking part and second blocking part, the intervertebral fusion cage is housed in the shaft sleeve, the intervertebral fusion cage is configured to rotate radially from the shaft sleeve, the guide needle is configured to pass through the intervertebral fusion cage to guide the intervertebral fusion cage to target position, when carrying out spinal interbody fusion cage fusion, intervertebral fusion cage can be guided to the vertebral body opening of target, is implanted with the rotation to comply with the arc of vertebral body, to avoid injury surrounding nerve root or soft tissue, and reduce the opening area required for operation, reach the requirement of wound range minimization.

This utility model discloses a nerve root retractor for UBE surgery, relating to the field of auxiliary instruments for minimally invasive spinal surgery. In lumbar discectomy, there are shortcomings in the procedure where an assistant must hold a nerve retractor to retract the nerve during disc removal, which is not always secure and can easily lead to operator fatigue. Improper operation can also easily cause nerve root damage to the patient. This utility model provides a nerve root retractor for UBE surgery, including a Kirschner wire with a retractor plate near its front end and a handle at the upper end. The Kirschner wire includes a pointed portion and a straight rod portion, with the retractor plate positioned near the pointed portion of the straight rod portion. The handle includes a vertically positioned operating rod and a positioning rod, with the positioning rod aligned along the axial direction of the Kirschner wire. A positioning block is provided on the positioning rod.

The utility model discloses a treatment chair for bone setting of a rat with cervical spondylotic radiculopathy, which belongs to the technical field of medical instruments and comprises a bottom plate, a side plate is fixedly mounted on the bottom plate, a lifting component, a fixing component and an auxiliary component are arranged on the side plate, and the neck and the waist of the rat can be accurately fixed by the aid of the fixing component and the auxiliary component. The device is suitable for rats with different body types and illness states, the stability and effect in the bonesetting treatment process are ensured, the lifting assembly is arranged, the rotary lifting bonesetting technique that the head of the rat is rotated and then lifted can be achieved, and the receding sliding plate is arranged, so that the situation that the rat is hurt when the lifting force of the rat exceeds the rated force can be effectively prevented; by arranging the friction ring plate, the positions of all the arc-shaped strip blocks can be locked, the arc-shaped strip blocks are prevented from moving in the treatment process, and therefore the stability and safety of the device are improved, modular arrangement is adopted as a whole, and disassembly and maintenance are convenient.

The utility model belongs to the technical field of medical equipment, particularly relates to a working sleeve device comprising a nerve root probing hook capable of protecting and passively separating, and aims to solve the problems that the existing nerve root is easy to have pathological phenomena such as adhesion, prolapse and the like and is not beneficial to surgical operation, the following scheme is provided: the working sleeve device comprises a working sleeve main body, the working sleeve main body is composed of a connecting part main body and a front lens tube, the front lens tube is fixedly installed at one end of the connecting part main body, and the front lens tube is communicated with the interior of the connecting part main body. Stable protection and blunt separation of nerve roots in an operation are realized; due to the inclined design of the probing hook body, the nerve root separation effect is improved, and stimulation to a patient is effectively reduced; due to the design of the pushing assembly, the probing hook body can be accurately adjusted and conveniently operated, the operation accuracy is improved, the operation difficulty is reduced, and high practicability is achieved.

This invention discloses a nerve dissector with guiding function, belonging to the field of medical device technology. It includes a dissector body with a channel concentric with its center. A Kirschner wire is installed within the channel, with one end serving as the insertion end and the other as the exit end. One end of the dissector body is a hook portion with a traction section. The exit end is located below the traction section, and the insertion end is located at the end of the dissector body furthest from the hook portion. This nerve dissector with guiding function avoids the limitations of traditional nerve dissectors, which, due to design constraints, struggle to maintain a stable position after nerve root retraction. Furthermore, if the surgeon releases the dissector or during instrument changes, the nerve root may easily spring back to its original narrow position due to loss of traction, obstructing the surgical field again and increasing the difficulty and risk of the procedure.

The utility model discloses a kind of pulling distraction devices for lumbar UBE operation, it is related to medical instrument technical field, including left forceps body and right forceps body. One end of left forceps body is equipped with in-vivo extension piece, in-vivo extension piece is connected with placement part, and placement part is equipped with bone surface embedding body;Right forceps body is rotatably connected with left forceps body and can be relatively fixed, one end of right forceps body is equipped with pulling part, and pulling part is connected with distraction extension body. Among them, bone surface embedding body is located at the side of placement part away from right forceps body, and distraction extension body is set to the side away from left forceps body. The above-mentioned pulling distraction device for lumbar UBE operation, the fixed part of left forceps body is used to place in the upper vertebral plate and articular process joint medial bone surface polished by abrasive drill, and is embedded into bone surface by bone surface embedding body, and the distraction extension body of right forceps body is used to extend into ventral running nerve root, and the nerve root and dural sac can be appropriately pulled apart by the pulling part of right forceps body, expose operation visual field, without the help of assistant.

The invention relates to the field of traditional Chinese medicines, and particularly provides a traditional Chinese medicine composition for treating kidney deficiency and phlegm stasis type lumbar intervertebral disc protrusion, a preparation and application. The traditional Chinese medicine composition is prepared from the following components: schizophragma integrifolium, rhizoma dioscoreae nipponicae, herba pyrolae, cortex acanthopanacis, ground beetle, leech, rhizoma cyperi, rhizoma arisaematis, stiff silkworm, radix ranunculi ternati, antler, dog bone, astragalus membranaceus, angelica sinensis, radix paeoniae alba, sargentgloryvine stem, spina gleditsiae and liquorice. The traditional Chinese medicine composition formula has the multiple effects of promoting blood circulation to arrest pain, relaxing tendons and activating collaterals, promoting qi circulation and reducing phlegm, tonifying kidney and strengthening essence, strengthening tendons and bones and the like, LDH is treated in a multi-target and multi-channel mode, blood circulation of the waist is improved, metabolism is promoted, and therefore the degree of lumbocrural pain is relieved, and the lumbar vertebra function is enhanced. The traction relieves the intervertebral disc pressure by enlarging the width of the lumbar intervertebral space, relieves the nerve root pressure, and further improves the symptoms such as pain and numbness of the waist and the legs. Therefore, the application of the combined therapy disclosed by the invention can more effectively relieve the waist and leg pain degree and dysfunction of the patient.

A nerve probing hook with a cutting function comprises an operating rod, a probe is arranged at the lower end of the operating rod, a probe cover plate is arranged above the probe, a cutter is arranged at the bottom of the probe cover plate, a push-pull rod penetrating through the operating rod is arranged in the operating rod, and the lower end of the push-pull rod is connected with the probe cover plate and the cutter and drives the probe cover plate and the cutter to move up and down. The utility model provides a nerve probing hook with a cutting function, which changes the single function of the nerve probing hook, so that the nerve probing hook can be used for probing and releasing nerve roots and simultaneously carrying out safe excision and dissection operation on surrounding adhesion tissues synchronously. When cutting is not needed, the device can be used as a common nerve probing hook.

The utility model discloses a new variable angle intervention puncture trocar for treating lumbar disc herniation, which comprises an inner needle, an outer needle and an angle adjusting device, the needle tip of the inner needle is a round blunt head to reduce the frictional resistance when passing through the through hole of the outer needle needle sheath; the inner needle is made of a metal material with weak hardness, the front end of the inner needle can be shaped at an angle of 0-30 degrees according to the actual needs of surgery, so that after the outer needle reaches a certain puncture position, the inner needle can be moved to a position that cannot be reached by the outer needle according to the puncture direction to perform relevant injection operations such as injection of medicine; in addition, the inner needle can also achieve physical loosening of blunt dissection of adhesion around the nerve root; the utility model has the advantages of simple structure, reasonable design, small size, light weight, convenient transportation and storage, long service life and high suitability for non-vascular intervention operation of the spine in the treatment of lumbar disc herniation.

The present invention relates to the use of botulinum toxins for the treatment of peripheral neuropathic pain (PNP) by topical administration of botulinum toxins. The administration includes subcutaneously injecting an effective amount of botulinum toxin into a region of the skin of the patient affected by pain according to a specific administration regimen. The peripheral neuropathic pain may be, for example, post-herpes zoster neuralgia, peripheral nerve injury (e.g., due to surgery or trauma), trigeminal neuralgia, painful polyneuropathy (e.g., diabetic neuropathic pain), and painful nerve root disease.

The invention belongs to the technical field of neural restoration, and discloses a compensatory cell activation method and application, two special pens without electronic elements are used, one pen is a detection pen used for positioning problematic nerves, the other pen is a conditioning pen used for nerve conditioning, and the two pens are used in cooperation; a probe pen is used for searching for nerve reaction points in a specific area of the body surface, malfunctional nerves and nerve roots / neurons of the malfunctional nerves are accurately positioned, a conditioning pen is used for accurately and mildly stimulating the positioned nerve reaction points, signals are conducted with the nerves, a compensation mechanism is activated, and damaged / dormant neural pathways are repaired or awakened; and the normal control ability of the brain on limbs is recovered. The method is noninvasive and painless, accurate in positioning, simple and convenient to operate, easy to learn and operate, rapid and efficient.