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US6564078B1 Expired / Lapsed US ⏱️ 0.0 years remaining

Nerve surveillance cannula systems

Assignee: Nuvasive Inc
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Filing: 1999-06-04
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Granted: 2003-05-13
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Expires: 2019-06-04
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Abstract

Abstract An expandable tip cannula system, comprising: a hollow cannula shaft having a proximal end and a distal end; and an expandable tip mounted at the distal end of the hollow cannula shaft, the expandable tip comprising a plurality of generally-triangular shaped petals held together in a radially-inwardly tapered arrangement between adjacent petals, each petal comprising a nerve sensing electrode disposed therein.

Inventors

  • 👤 James F. Marino
  • 👤 Corbett W. Stone
  • 👤 Troy K. Christopher
  • 👤 Jeffrey J. Blewett
  • 👤 Brian S. Kelleher

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-25 16:37
CPC Classifications
A; A61; A61B; A61B5/00; A61B5/24; A61B5/25; A61B5/279; A61B5/296; A61B17/00; A61B17/16; A61B17/17; A61B17/1739; A61B17/1757; A61B17/34; A61B17/3417; A61B18/00; A61B18/04; A61B18/12; A61B18/14; A61B18/148; A61B18/1487; A61B5/316; A61B5/40; A61B5/4029; A61B5/4041; A61B5/48; A61B5/4887; A61B5/4893; A61N; A61N1/00; A61N1/02; A61N1/04; A61N1/05; A61N1/0551; A61B17/3421; A61B17/3439; A61B2017/348; A61B2017/3482; A61B2017/3484; A61B2018/00571; A61B2018/00589; A61B2018/00595

Claims Analysis

Total Claims: 14
Claim 1
Independent Claim 88 words
A method of accessing an intervertebra splace while protecting adjacent spinal nerves, comprising: advancing a cannula through a patient's facia and para-spinal musculature, the cannula comprising an expandable tip with a plurality of nerve sensing electrodes disposed thereon; sensing the presence of a nerve with the nerve sensing electrodes; inserting a slidable member though the cannula to open the expandable tip of the cannula; and removing the slidable member from the expandable tip cannula, thereby providing a cannulated access to the intervertebral space through the expandable tip cannula.
Claim 2
Independent Claim 88 words
A method of accessing an intervertebra splace while protecting adjacent spinal nerves, comprising: advancing a cannula through a patient's facia and para-spinal musculature, the cannula comprising an expandable tip with a plurality of nerve sensing electrodes disposed thereon; sensing the presence of a nerve with the nerve sensing electrodes; inserting a slidable member though the cannula to open the expandable tip of the cannula; and removing the slidable member from the expandable tip cannula, thereby providing a cannulated access to the intervertebral space through the expandable tip cannula.
Claim 3
Dependent Claim 26 words
The method of claim 1 , wherein, the expandable tip comprises a plurality of generally-triangular shaped petals, each petal having a nerve sensing electrode disposed thereon.
Claim 4
Dependent Claim 32 words
The method of claim 1 , wherein sensing the presence of a nerve with the nerve sensing electrodes, comprises: sensing the axial position of the nerve relative to the expandable tip cannula.
Claim 5
Dependent Claim 32 words
The method of claim 1 , wherein sensing the presence of a nerve with the nerve sensing electrodes, comprises: sensing the radial position of the nerve relative to the expandable tip cannula.
Claim 6
Dependent Claim 12 words
The method of claim 1 , wherein, the cannula is inserted percutaneously.
Claim 7
Dependent Claim 12 words
The method of claim 2 , wherein, the cannula is inserted posterolateraly.
Claim 8
Dependent Claim 24 words
The method of claim 1 , further comprising, avoiding an adjacent spinal nerve by moving the cannula in a direction away from the nerve.
Claim 9
Dependent Claim 15 words
The method of claim 1 , further comprising, activating the electrodes to cauterize blood vessels.
Claim 10
Independent Claim 89 words
A method of providing a passageway to a patient's intervertebral space, comprising: advancing a nerve surveillance probe in a cannula towards said patient's intervertebral space, sensing the presence of a nerve with at least one electrode disposed on said nerve surveillance probe; expanding an expandable covering disposed over said cannula; receiving a second cannula over said expandable covering after said expanded covering is in an expanded position; and removing said nerve surveillance probe and expandable covering from within said second cannula thereby providing a passageway to said intervertebral space.
Claim 11
Independent Claim 89 words
A method of providing a passageway to a patient's intervertebral space, comprising: advancing a nerve surveillance probe in a cannula towards said patient's intervertebral space, sensing the presence of a nerve with at least one electrode disposed on said nerve surveillance probe; expanding an expandable covering disposed over said cannula; receiving a second cannula over said expandable covering after said expanded covering is in an expanded position; and removing said nerve surveillance probe and expandable covering from within said second cannula thereby providing a passageway to said intervertebral space.
Claim 12
Dependent Claim 92 words
A nerve surveillance system, comprising: a first cannula having an expandable distal end; a second cannula received within said first cannula and dimensioned such that, when slidably advanced through said first cannula, said expandable distal end of said first cannula will open; and an obturator received within said second cannula, said obturator having a centrally disposed nerve surveillance electrode disposed proximate to a distal end thereof, said nerve surveillance electrode being equipped to deliver energy in an amount sufficient for nerve surveillance and in an amount insufficient to ablate or cauterize tissue.
Claim 13
Dependent Claim 92 words
A nerve surveillance system, comprising: a first cannula having an expandable distal end; a second cannula received within said first cannula and dimensioned such that, when slidably advanced through said first cannula, said expandable distal end of said first cannula will open; and an obturator received within said second cannula, said obturator having a centrally disposed nerve surveillance electrode disposed proximate to a distal end thereof, said nerve surveillance electrode being equipped to deliver energy in an amount sufficient for nerve surveillance and in an amount insufficient to ablate or cauterize tissue.
Claim 14
Dependent Claim 44 words
The nerve surveillance system of claim 9 , wherein said second cannula has at least one nerve surveillance electrode at its distal end capable of delivering energy in an amount sufficient for nerve surveillance and in an amount insufficient to ablate or cauterize tissue.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2006-05-12 2006-11-11 2007-05-13 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2010-05-12 2010-11-11 2011-05-13 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2014-05-12 2014-11-11 2015-05-13 $7700.00 Window Closed / Lapsed

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