US 11,712,264 B2
Multi-shield spinal access system
Daniel Thommen, Lestal (CH); Joern Richter, Kandern (DE); Michael Wang, North Miami, FL (US); Richard Assaker, Kain (BE); Richard Fessler, Winnetka, IL (US); Christoph Mehren, Munich (DE); Seang Beng Tan, Clementi (SG); William Taylor, Del Mar, CA (US); Eric Buehlmann, Duxbury, MA (US); Michael White, Liestal (CH); Piet Hinoul, Basking Ridge, NJ (US); and Richard Kocharian, Princeton, NJ (US)
Assigned to Medos International Sarl, Le Locle (CH)
Filed by Medos International Sarl, Le Locle (CH)
Filed on Jan. 26, 2021, as Appl. No. 17/159,129.
Application 17/159,129 is a continuation of application No. 15/697,494, filed on Sep. 7, 2017, granted, now 11,000,312.
Application 15/697,494 is a continuation in part of application No. 15/437,792, filed on Feb. 21, 2017, granted, now 10,874,425, issued on Dec. 29, 2020.
Application 15/437,792 is a continuation in part of application No. 15/254,877, filed on Sep. 1, 2016, granted, now 10,987,129.
Claims priority of provisional application 62/214,297, filed on Sep. 4, 2015.
Prior Publication US 2021/0204973 A1, Jul. 8, 2021
Int. Cl. A61B 17/34 (2006.01); A61B 1/00 (2006.01); A61B 1/018 (2006.01); A61B 1/05 (2006.01); A61B 1/07 (2006.01); A61B 1/32 (2006.01); A61B 5/06 (2006.01); A61B 5/00 (2006.01); A61B 17/00 (2006.01); A61B 17/02 (2006.01); A61B 90/00 (2016.01); A61B 90/50 (2016.01); A61B 90/57 (2016.01); A61B 1/012 (2006.01); A61B 1/055 (2006.01); A61B 1/12 (2006.01); A61B 1/233 (2006.01); A61B 1/267 (2006.01); A61B 1/313 (2006.01); A61B 1/317 (2006.01); A61B 17/32 (2006.01); A61B 17/60 (2006.01); A61B 17/70 (2006.01); A61B 18/18 (2006.01); A61F 2/44 (2006.01); A61F 2/46 (2006.01); A61B 5/24 (2021.01); A61B 34/20 (2016.01); A61B 34/00 (2016.01); A61B 90/30 (2016.01); A61B 17/16 (2006.01); A61B 17/17 (2006.01); A61B 17/56 (2006.01); A61B 18/00 (2006.01); A61B 34/30 (2016.01)
CPC A61B 17/3421 (2013.01) [A61B 1/00045 (2013.01); A61B 1/00089 (2013.01); A61B 1/00091 (2013.01); A61B 1/00094 (2013.01); A61B 1/00096 (2013.01); A61B 1/00103 (2013.01); A61B 1/00128 (2013.01); A61B 1/00133 (2013.01); A61B 1/00135 (2013.01); A61B 1/00154 (2013.01); A61B 1/012 (2013.01); A61B 1/018 (2013.01); A61B 1/05 (2013.01); A61B 1/051 (2013.01); A61B 1/055 (2013.01); A61B 1/07 (2013.01); A61B 1/126 (2013.01); A61B 1/233 (2013.01); A61B 1/2676 (2013.01); A61B 1/317 (2013.01); A61B 1/3132 (2013.01); A61B 1/3135 (2013.01); A61B 1/32 (2013.01); A61B 5/068 (2013.01); A61B 5/24 (2021.01); A61B 5/407 (2013.01); A61B 5/4041 (2013.01); A61B 17/00234 (2013.01); A61B 17/025 (2013.01); A61B 17/0218 (2013.01); A61B 17/0293 (2013.01); A61B 17/320068 (2013.01); A61B 17/3423 (2013.01); A61B 17/3462 (2013.01); A61B 17/60 (2013.01); A61B 17/708 (2013.01); A61B 17/7032 (2013.01); A61B 17/7074 (2013.01); A61B 18/1815 (2013.01); A61B 90/03 (2016.02); A61B 90/361 (2016.02); A61B 90/50 (2016.02); A61B 90/57 (2016.02); A61F 2/4455 (2013.01); A61F 2/4611 (2013.01); A61B 1/00149 (2013.01); A61B 17/0206 (2013.01); A61B 17/1637 (2013.01); A61B 17/1671 (2013.01); A61B 17/1703 (2013.01); A61B 17/1757 (2013.01); A61B 17/3403 (2013.01); A61B 17/3439 (2013.01); A61B 17/70 (2013.01); A61B 17/7083 (2013.01); A61B 34/30 (2016.02); A61B 34/70 (2016.02); A61B 90/30 (2016.02); A61B 2017/0034 (2013.01); A61B 2017/00261 (2013.01); A61B 2017/00314 (2013.01); A61B 2017/00345 (2013.01); A61B 2017/00407 (2013.01); A61B 2017/00477 (2013.01); A61B 2017/00557 (2013.01); A61B 2017/00738 (2013.01); A61B 2017/00831 (2013.01); A61B 2017/00858 (2013.01); A61B 2017/00871 (2013.01); A61B 2017/00946 (2013.01); A61B 2017/00991 (2013.01); A61B 2017/0256 (2013.01); A61B 2017/0262 (2013.01); A61B 2017/320075 (2017.08); A61B 2017/345 (2013.01); A61B 2017/347 (2013.01); A61B 2017/3443 (2013.01); A61B 2017/3445 (2013.01); A61B 2017/3447 (2013.01); A61B 2017/3454 (2013.01); A61B 2017/3484 (2013.01); A61B 2017/564 (2013.01); A61B 2018/00339 (2013.01); A61B 2018/00565 (2013.01); A61B 2018/00577 (2013.01); A61B 2018/1861 (2013.01); A61B 2018/1869 (2013.01); A61B 2034/2055 (2016.02); A61B 2090/034 (2016.02); A61B 2090/036 (2016.02); A61B 2090/08021 (2016.02); A61B 2090/306 (2016.02); A61B 2090/371 (2016.02); A61B 2090/3983 (2016.02); A61B 2218/002 (2013.01); A61B 2218/007 (2013.01); A61F 2002/4635 (2013.01)] 13 Claims
OG exemplary drawing
 
1. A method of accessing a surgical site in a patient, comprising:
making an incision in a skin of the patient;
percutaneously inserting through the incision a multi-tool having a main body, the main body comprising a handle and a shaft extending from the handle, the shaft comprising a sensor;
navigating insertion of the multi-tool using a navigation array coupled to the main body of the multi-tool;
detecting at least one of the presence, proximity, health, or other attributes of nerve tissue using the sensor;
after the detecting, removing the handle from the shaft;
after the removing, inserting one or more dilators over the shaft of the main body of the multi-tool to dilate the incision;
inserting an access device percutaneously through the dilated incision to position a distal end of the access device at the surgical site; and
removing the one or more dilators and the main body from a working channel of the access device.