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公开(公告)号:US20080039879A1
公开(公告)日:2008-02-14
申请号:US11502249
申请日:2006-08-09
申请人: Albert K. Chin , John W. Davis , Ketan Shroff , Amit Agarwal , Shuji Uemura , Alfredo R. Cantu , Geoffrey H. Willis , Peter L. Callas , Charles Gresl
发明人: Albert K. Chin , John W. Davis , Ketan Shroff , Amit Agarwal , Shuji Uemura , Alfredo R. Cantu , Geoffrey H. Willis , Peter L. Callas , Charles Gresl
IPC分类号: A61B17/08
CPC分类号: A61B17/122 , A61B17/064 , A61B17/0643 , A61B17/068 , A61B17/1227 , A61B2017/00243 , A61B2017/0647 , A61B2017/0649 , A61B2017/1225
摘要: Devices, tools and methods for occluding fluid flow between two walls of tissue in a patient. Two walls of tissue are compressed together with sufficient compressive force to prevent fluid flow between the two walls, while ensuring that the compressive force is not so great as to cause tissue necrosis. The devices, tools and methods may be carried out using minimally invasive surgical techniques, such as in reduced-access surgical sites. Devices, tools and methods are provided for occluding an atrial appendix.
摘要翻译: 用于阻塞患者组织的两个壁之间的流体流动的装置,工具和方法。 组织的两个墙壁以足够的压缩力被压缩在一起,以防止两个壁之间的流体流动,同时确保压缩力不会大到导致组织坏死。 装置,工具和方法可以使用微创手术技术进行,例如在减少手术部位。 提供了用于闭塞心房附件的装置,工具和方法。
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公开(公告)号:US20080306335A1
公开(公告)日:2008-12-11
申请号:US11446024
申请日:2006-06-01
申请人: Liming Lau , Peter L. Callas , Michael C. Stewart , Geoffrey H. Willis , Ryan C. Abbott , Charles J. Adam , Kimberly D. Barkman , Albert K. Chin , Kenny L. Dang , Joseph N. Lamberti , Arthur M. Lin , Ravi Pamnani
发明人: Liming Lau , Peter L. Callas , Michael C. Stewart , Geoffrey H. Willis , Ryan C. Abbott , Charles J. Adam , Kimberly D. Barkman , Albert K. Chin , Kenny L. Dang , Joseph N. Lamberti , Arthur M. Lin , Ravi Pamnani
CPC分类号: A61B17/00008 , A61B1/126 , A61B90/361 , A61B90/70 , A61B2017/320044
摘要: Components for an endoscopic vessel harvesting system suitable for harvesting target vessels such as the saphenous vein or radial artery for cardiac artery bypass graft surgery. The main components of such systems include a vessel dissector and a vessel harvester, both of which work in conjunction with a separately provided endoscope. The vessel dissector is an elongated cannula having a blunt tip for separating layers of facial around vessels. The tip may be movable, and is typically transparent to permit viewing forward of the tip using the endoscope. Internal features of the tip may reduce glare back to the endoscope. Several devices improve visibility through the tip by reducing interference from tissue or fluid on the tip. The vessel harvester also has an elongated cannula for receiving the endoscope. Several tools within the harvester permit manipulation, severing, and sealing of vessels forward of the distal end. The tool for manipulating vessels may have a low-profile for increased visibility of operation, and may be coupled to the cannula with a damping mechanism to reduce the possibility of avulsion of the vessels. Various vessel cutting and sealing devices are provided that may accommodate various sizes of vessels and improve cutting and sealing efficacy.
摘要翻译: 适用于收集目标血管如隐静脉或桡动脉用于心脏动脉旁路移植手术的内窥镜血管收获系统的组件。 这种系统的主要部件包括容器分离器和容器收集器,两者都与单独提供的内窥镜一起工作。 血管分离器是具有钝头的细长插管,用于分隔血管周围的面部层。 尖端可以是可移动的,并且通常是透明的,以允许使用内窥镜观察尖端的前方。 尖端的内部特征可以减少眩光回内窥镜。 几个设备通过减少尖端上的组织或液体的干扰来改善尖端的可见性。 容器收割机还具有用于接收内窥镜的细长套管。 收割机内的几个工具允许在远端前方操纵,切断和密封容器。 用于操纵血管的工具可以具有较小的轮廓以提高手术的可视性,并且可以用阻尼机构联接到套管,以减少血管撕脱的可能性。 提供了可容纳各种尺寸的容器并提高切割和密封功效的各种容器切割和密封装置。
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公开(公告)号:US09345461B2
公开(公告)日:2016-05-24
申请号:US13033549
申请日:2011-02-23
申请人: Albert K. Chin , Dwight Morejohn , Charles S. Taylor , Steven B. Choi , Eugene Reis , John W. Davis , Geoffrey H. Willis , Edward A. Pineda , Kushal P. Vepa
发明人: Albert K. Chin , Dwight Morejohn , Charles S. Taylor , Steven B. Choi , Eugene Reis , John W. Davis , Geoffrey H. Willis , Edward A. Pineda , Kushal P. Vepa
IPC分类号: A61B17/08 , A61B17/00 , A61B17/12 , A61B17/3205 , A61B17/11
CPC分类号: A61B17/0057 , A61B17/12022 , A61B17/12027 , A61B17/12031 , A61B17/12036 , A61B17/1204 , A61B17/12045 , A61B17/32053 , A61B2017/00362 , A61B2017/00575 , A61B2017/0061 , A61B2017/00632 , A61B2017/00637 , A61B2017/00641 , A61B2017/00659 , A61B2017/1107
摘要: Forming a proximal anastomosis on an aortic wall includes method and instrumentation and apparatus for forming an aortic puncture and inserting into the vessel through the puncture a fluid-impervious sealing element with a protruding retainer. An anastomosis of a graft vessel over the puncture is partially completed with the retainer of the sealing element protruding through the partial anastomosis. The retainer facilitates removal of the sealing element from the partial anastomosis prior to completion of the procedure.
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公开(公告)号:US07947062B2
公开(公告)日:2011-05-24
申请号:US10123470
申请日:2002-04-15
申请人: Albert K. Chin , Dwight Morejohn , Charles S. Taylor , Steven B. Choi , Eugene Reis , John W. Davis , Geoffrey H. Willis , Edward A. Pineda , Kushal P. Vepa
发明人: Albert K. Chin , Dwight Morejohn , Charles S. Taylor , Steven B. Choi , Eugene Reis , John W. Davis , Geoffrey H. Willis , Edward A. Pineda , Kushal P. Vepa
CPC分类号: A61B17/0057 , A61B17/12022 , A61B17/12027 , A61B17/12031 , A61B17/12036 , A61B17/1204 , A61B17/12045 , A61B17/32053 , A61B2017/00362 , A61B2017/00575 , A61B2017/0061 , A61B2017/00632 , A61B2017/00637 , A61B2017/00641 , A61B2017/00659 , A61B2017/1107
摘要: Forming a proximal anastomosis on an aortic wall includes method and instrumentation and apparatus for forming an aortic puncture and inserting into the vessel through the puncture a fluid-impervious sealing element with a protruding retainer. An anastomosis of a graft vessel over the puncture is partially completed with the retainer of the sealing element protruding through the partial anastomosis. The retainer facilitates removal of the sealing element from the partial anastomosis prior to completion of the procedure.
摘要翻译: 在主动脉壁上形成近端吻合包括用于形成主动脉穿刺的方法和仪器和装置,并且通过穿刺插入具有突出保持器的不透液体的密封元件的容器中。 通过部分吻合突出的密封元件的保持器部分地完成了在穿刺上的移植血管的吻合。 保持器有助于在完成手术之前从部分吻合中去除密封元件。
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公开(公告)号:US20110202077A1
公开(公告)日:2011-08-18
申请号:US13033549
申请日:2011-02-23
申请人: Albert K. Chin , Dwight Morejohn , Charles S. Taylor , Steven B. Choi , Eugene Reis , John W. Davis , Geoffrey H. Willis , Edwarda A. Pineda , Kushalp P. Vepa
发明人: Albert K. Chin , Dwight Morejohn , Charles S. Taylor , Steven B. Choi , Eugene Reis , John W. Davis , Geoffrey H. Willis , Edwarda A. Pineda , Kushalp P. Vepa
IPC分类号: A61B17/11
CPC分类号: A61B17/0057 , A61B17/12022 , A61B17/12027 , A61B17/12031 , A61B17/12036 , A61B17/1204 , A61B17/12045 , A61B17/32053 , A61B2017/00362 , A61B2017/00575 , A61B2017/0061 , A61B2017/00632 , A61B2017/00637 , A61B2017/00641 , A61B2017/00659 , A61B2017/1107
摘要: Forming a proximal anastomosis on an aortic wall includes method and instrumentation and apparatus for forming an aortic puncture and inserting into the vessel through the puncture a fluid-impervious sealing element with a protruding retainer. An anastomosis of a graft vessel over the puncture is partially completed with the retainer of the sealing element protruding through the partial anastomosis. The retainer facilitates removal of the sealing element from the partial anastomosis prior to completion of the procedure.
摘要翻译: 在主动脉壁上形成近端吻合包括用于形成主动脉穿刺的方法和仪器和装置,并且通过穿刺插入具有突出保持器的不透液体的密封元件的容器中。 通过部分吻合突出的密封元件的保持器部分地完成了在穿刺上的移植血管的吻合。 保持器有助于在完成手术之前从部分吻合中去除密封元件。
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公开(公告)号:US07918848B2
公开(公告)日:2011-04-05
申请号:US11090330
申请日:2005-03-25
申请人: Liming Lau , Arnold M. Escano , Jerry Jarrard , Sam Ho , Ryan C. Abbott , Arthur M. Lin , Jesse McQuiston , Peter L. Callas , Geoffrey H. Willis , Michael C. Stewart , Kimberly D. Barkman , Joseph N. Lamberti , Kenny L. Dang
发明人: Liming Lau , Arnold M. Escano , Jerry Jarrard , Sam Ho , Ryan C. Abbott , Arthur M. Lin , Jesse McQuiston , Peter L. Callas , Geoffrey H. Willis , Michael C. Stewart , Kimberly D. Barkman , Joseph N. Lamberti , Kenny L. Dang
IPC分类号: A61B18/04
CPC分类号: A61B18/085 , A61B17/29 , A61B18/082 , A61B18/1445 , A61B90/03 , A61B2017/00084 , A61B2017/00353 , A61B2017/00504 , A61B2017/2912 , A61B2017/2936 , A61B2017/2945 , A61B2017/3445 , A61B2018/00089 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/1432
摘要: A surgical apparatus and methods for severing and welding tissue, in particular blood vessels, include a pair of relatively movable jaws at a distal end of an elongated shaft. A first heating element on one of the jaws is adapted to heat up to a first temperature and form a welded region within the tissue, while a second heating element on one of the jaws is adapted to heat up to a second temperature and sever the tissue within the welded region. A force-limiting mechanism is provided to limit the pressure applied to the tissue by the jaws to ensure that the tissue is severed and the ends effectively welded within a short amount of time.
摘要翻译: 用于切断和焊接组织,特别是血管的手术装置和方法包括在细长轴的远端处的一对相对可动的钳口。 其中一个钳口上的第一加热元件适于加热至第一温度并在组织内形成焊接区域,而其中一个钳口上的第二加热元件适于加热至第二温度并切断组织 在焊接区域内。 提供力限制机构以限制由钳口施加到组织的压力,以确保组织被切断并且端部在短时间内有效地焊接。
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公开(公告)号:US07534243B1
公开(公告)日:2009-05-19
申请号:US10455942
申请日:2003-06-06
IPC分类号: A61B18/12
CPC分类号: A61B17/00008 , A61B17/0218 , A61B18/082 , A61B18/1445 , A61B18/28 , A61B2017/00212 , A61B2017/00504 , A61B2017/00973 , A61B2017/320044 , A61B2018/00345 , A61B2018/00404 , A61B2018/00601 , A61B2018/00619 , A61B2018/00916 , A61B2018/00982
摘要: A tissue dissector and method for welding and severing blood vessels includes advancing the tip of a tissue-dissecting surgical instrument through tissue, with a tissue welder substantially concealed within the tip during tissue dissection. Blood vessels encountered in the tissue being dissected are selectively captivated and compressed in substantial contact with the tissue welder to elevate the temperature of the compressed tissue sufficiently to hemostatically weld and sever the compressed blood vessel.
摘要翻译: 用于焊接和切断血管的组织切除器和方法包括:在组织剥离期间,组织切割手术器械的尖端通过组织推进,组织焊接器基本上隐藏在尖端内。 被解剖的组织中遇到的血管被选择性地俘获并与组织焊机大体接触地压缩,以将压缩的组织的温度充分地升高以止血地焊接并切断压缩的血管。
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公开(公告)号:US07621895B2
公开(公告)日:2009-11-24
申请号:US11436709
申请日:2006-05-17
申请人: Geoffrey H. Willis , Eric Willis , Shuji Uemura , Mike Stewart , Alfredo Cantu
发明人: Geoffrey H. Willis , Eric Willis , Shuji Uemura , Mike Stewart , Alfredo Cantu
IPC分类号: A61M5/00
CPC分类号: A61M25/0084 , A61M25/0068 , A61M25/1006 , A61M2005/341 , A61M2025/0036 , A61M2025/004 , A61M2025/0085 , A61M2025/0087 , A61M2025/0096
摘要: Methods and delivery devices for maximizing injectate dispersion in lesioned tissue using needle-based injection devices are herein disclosed. The delivery devices include injection devices with various needle arrays and/or modified needle tip configurations. The needle tip configurations can include linear, hooked or corkscrew tips and/or multiple circumferential openings.
摘要翻译: 本文公开了使用基于针的注射装置使损伤组织中的注射分散最大化的方法和递送装置。 递送装置包括具有各种针阵列和/或修改的针尖构造的注射装置。 针尖构造可以包括线性,钩形或开瓶器尖端和/或多个周向开口。
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公开(公告)号:US09770230B2
公开(公告)日:2017-09-26
申请号:US11446024
申请日:2006-06-01
申请人: Liming Lau , Geoffrey H. Willis , Albert K. Chin , Arthur M. Lin
发明人: Liming Lau , Geoffrey H. Willis , Albert K. Chin , Arthur M. Lin
IPC分类号: A61B1/00 , A61B1/04 , A61B17/00 , A61M37/00 , A61M3/00 , A61M5/178 , A61B1/12 , A61B17/32 , A61B90/00 , A61B90/70
CPC分类号: A61B17/00008 , A61B1/126 , A61B90/361 , A61B90/70 , A61B2017/320044
摘要: Components for an endoscopic vessel harvesting system suitable for harvesting target vessels such as the saphenous vein or radial artery for cardiac artery bypass graft surgery. The main components of such systems include a vessel dissector and a vessel harvester, both of which work in conjunction with a separately provided endoscope. The vessel dissector is an elongated cannula having a blunt tip for separating layers of facial around vessels. The tip may be movable, and is typically transparent to permit viewing forward of the tip using the endoscope. Internal features of the tip may reduce glare back to the endoscope. Several devices improve visibility through the tip by reducing interference from tissue or fluid on the tip. The vessel harvester also has an elongated cannula for receiving the endoscope. Several tools within the harvester permit manipulation, severing, and sealing of vessels forward of the distal end. The tool for manipulating vessels may have a low-profile for increased visibility of operation, and may be coupled to the cannula with a damping mechanism to reduce the possibility of avulsion of the vessels. Various vessel cutting and sealing devices are provided that may accommodate various sizes of vessels and improve cutting and sealing efficacy.
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公开(公告)号:US20070270757A1
公开(公告)日:2007-11-22
申请号:US11436709
申请日:2006-05-17
申请人: Geoffrey H. Willis , Eric Willis , Shuji Uemura , Mike Stewart , Alfredo Cantu
发明人: Geoffrey H. Willis , Eric Willis , Shuji Uemura , Mike Stewart , Alfredo Cantu
IPC分类号: A61M5/00
CPC分类号: A61M25/0084 , A61M25/0068 , A61M25/1006 , A61M2005/341 , A61M2025/0036 , A61M2025/004 , A61M2025/0085 , A61M2025/0087 , A61M2025/0096
摘要: Methods and delivery devices for maximizing injectate dispersion in lesioned tissue using needle-based injection devices are herein disclosed. The delivery devices include injection devices with various needle arrays and/or modified needle tip configurations. The needle tip configurations can include linear, hooked or corkscrew tips and/or multiple circumferential openings.
摘要翻译: 本文公开了使用基于针的注射装置使损伤组织中的注射分散最大化的方法和递送装置。 递送装置包括具有各种针阵列和/或修改的针尖构造的注射装置。 针尖构造可以包括线性,钩形或开瓶器尖端和/或多个周向开口。
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