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公开(公告)号：US06199556B1
公开(公告)日：2001-03-13
申请号：US09071757
申请日：1998-05-01
IPC分类号： A61B1900
CPC分类号： A61B17/0206 , A61B17/02 , A61B17/0293 , A61B2017/0237 , A61B2017/0243
摘要： Surgical procedures on the beating heart are enabled by an incision made in the xyphoid area and specially designed retractors and related devices to facilitate cardiac surgical procedures. Specifically, coronary artery bypass graft procedures (CABG) are achieved using a vertically offsetting retractor or access platform in combination with a beating heart stabilizer. The surgical methodology permits procedures such as the CABG procedure without penetrating the rib cage or performing a sternotomy or thorocotomy.
摘要翻译： 在心脏跳动的外科手术可以通过在假体区域中进行的切口和专门设计的牵开器和相关装置来促进心脏手术。 具体来说，冠状动脉旁路移植手术（CABG）使用垂直抵消的牵开器或进入平台与跳动心脏稳定器组合实现。 手术方法允许诸如CABG手术的过程，而不穿透肋骨架或执行胸骨切开术或胸腔切开术。
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公开(公告)号：US06736774B2
公开(公告)日：2004-05-18
申请号：US09757128
申请日：2001-01-08
IPC分类号： A61B132
CPC分类号： A61B17/0206 , A61B17/02 , A61B17/0293 , A61B2017/0237 , A61B2017/0243
摘要： Surgical procedures on the beating heart are enabled by an incision made in the xyphoid area and specially designed retractors and related devices to facilitate cardiac surgical procedures. Specifically, coronary artery bypass graft procedures (CABG) are achieved using a vertically offsetting retractor or access platform in combination with a beating heart stabilizer. The surgical methodology permits procedures such as the CABG procedure without penetrating the rib cage or performing a sternotomy or thorocotomy.
摘要翻译： 在心脏跳动的外科手术可以通过在假体区域中进行的切口和专门设计的牵开器和相关装置来促进心脏手术。 具体来说，冠状动脉旁路移植手术（CABG）使用垂直抵消的牵开器或进入平台与跳动心脏稳定器组合来实现。 手术方法允许诸如CABG手术的过程，而不穿透肋骨架或执行胸骨切开术或胸腔切开术。
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公开(公告)号：US06193732B1
公开(公告)日：2001-02-27
申请号：US09226662
申请日：1999-01-08
申请人： John J. Frantzen , Charles S. Taylor , Michael V. Morejohn , Dwight P. Morejohn , Ronald Devore
发明人： John J. Frantzen , Charles S. Taylor , Michael V. Morejohn , Dwight P. Morejohn , Ronald Devore
IPC分类号： A61B1708
CPC分类号： A61B17/1227 , A61B17/128 , A61B2017/00867
摘要： An improved surgical clip and clip applicator for placing a surgical clip over a target structure. The surgical clip generally has a pair of opposing clamp arms, each having an associated clamping surface, and a connecting portion joining the clamp arms and biasing them to a normally closed position. The surgical clip may be opened and locked into the open position prior to being loaded into a clip applicator or the surgical clip may be opened by a clip applicator itself. The surgical clip and clip applicators require reduced actuation forces and simplified applicator mechanisms.
摘要翻译： 一种用于将手术夹子放置在目标结构上的改进的手术夹子和夹子施加器。 手术夹具通常具有一对相对的夹持臂，每个夹具臂具有相关联的夹紧表面，以及连接部分，该连接部分将夹紧臂连接并将其偏置到常闭位置。 手术夹可以在装入夹子施加器之前打开并锁定到打开位置，或者手术夹可以由夹子施加器本身打开。 手术夹子和夹子施放器需要减少的致动力和简化的施用器机构。
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4.发明申请公开(公告)号：US20080161638A1
公开(公告)日：2008-07-03
申请号：US12074181
申请日：2008-02-29
IPC分类号： A61F2/00
CPC分类号： A61B17/0401 , A61B17/00234 , A61B17/0487 , A61B2017/00247 , A61B2017/00557 , A61B2017/00632 , A61B2017/0404 , A61B2017/0464 , A61B2017/0496 , A61B2017/06052 , A61B2018/00392 , A61F2/2481 , A61F2/2487
摘要： Methods and devices for passively assisting the cardiac function of the heart are disclosed. A method of increasing the cardiac output of a heart includes providing a site of surgical access to the portion of the heart to be restrained, reducing the cardiac expansion of the portion of the heart to be restrained, and maintaining the reduction of cardiac expansion of the portion of the heart to be restrained for a substantial amount of time. Cardiac assist devices for increasing the cardiac output of the heart are disclosed comprising a reinforcing portion configured to contact a portion of the heart tissue wherein the reinforcing portion restricts the expansion of the portion of the heart tissue. The reinforcing portion can be a number of structures, including pads, frames, straps, and other retaining means for limiting cardiac expansion of the portion of the heart tissue to be retained.
摘要翻译： 公开了用于被动地协助心脏功能的方法和装置。 增加心脏心输出量的方法包括提供对被抑制心脏部分的手术通道的位置，减少被抑制的心脏部分的心脏扩张，以及维持心脏扩张的减少 心脏的一部分被约束了大量的时间。 公开了用于增加心脏的心输出量的心脏辅助装置，其包括构造成接触心脏组织的一部分的加强部分，其中增强部分限制心脏组织部分的扩张。 加强部分可以是许多结构，包括用于限制要保留的心脏组织部分的心脏扩张的垫，框架，带和其它保持装置。
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公开(公告)号：US06776783B1
公开(公告)日：2004-08-17
申请号：US09747636
申请日：2000-12-21
申请人： John J. Frantzen , Charles S. Taylor , Michael V. Morejohn , Dwight P. Morejohn , Ronald Devore
发明人： John J. Frantzen , Charles S. Taylor , Michael V. Morejohn , Dwight P. Morejohn , Ronald Devore
IPC分类号： A61B1708
CPC分类号： A61B17/1227 , A61B17/128 , A61B2017/00867
摘要： An improved surgical clip and clip applicator for placing a surgical clip over a target structure. The surgical clip generally has a pair of opposing clamp arms, each having an associated clamping surface, and a connecting portion joining the clamp arms and biasing them to a normally closed position. The surgical clip may be opened and locked into the open position prior to being loaded into a clip applicator or the surgical clip may be opened by a clip applicator itself. The surgical clip and clip applicators require reduced actuation forces and simplified applicator mechanisms.
摘要翻译： 一种用于将手术夹子放置在目标结构上的改进的手术夹子和夹子施加器。 手术夹具通常具有一对相对的夹持臂，每个夹具臂具有相关联的夹紧表面，以及连接部分，该连接部分将夹紧臂连接并将其偏置到常闭位置。 手术夹可以在装入夹子施加器之前打开并锁定到打开位置，或者手术夹可以由夹子施加器本身打开。 手术夹子和夹子施放器需要减少的致动力和简化的施用器机构。
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公开(公告)号：US06453906B1
公开(公告)日：2002-09-24
申请号：US09625397
申请日：2000-07-26
IPC分类号： A61B1900
CPC分类号： A61B17/00008 , A61B17/00234 , A61B17/02 , A61B17/320016 , A61B2017/00867 , A61B2017/00969 , A61B2017/2905 , A61B2017/2927 , A61B2018/00916 , A61B2018/1253 , A61B2018/1407 , A61B2018/1435
摘要： A surgical instrument is configured to aid in performing a procedure of detaching an internal mammary artery (IMA) and the like, from the connecting tissues and side branch vessels which surround the artery in its native location, wherein the detaching procedure is preliminary to the performing of a coronary artery bypass grafting procedure and wherein the IMA is detached via a minimally invasive thoracotomy. To this end, an elongated slender rod includes a handle at its proximal end and an artery engaging loop, arc, fork configuration, or hook at its distal working end. Embodiments may incorporate electrosurgical capability or electrical insulation. A surgeon thus has means for harvesting an intact and undamaged graft vessel from its native location through a minimally invasive incision with enhanced speed, visibility, and freedom of motion.
摘要翻译： 手术器械被配置为有助于执行从其周围的动脉周围的连接组织和侧分支血管分离内部乳腺动脉（IMA）等的步骤，其中分离程序是执行的初步 的冠状动脉旁路移植手术，其中通过微创开胸术分离IMA。 为此，细长杆在其近端包括手柄，在其远端工作端处包括动脉接合环，弧形，叉形结构或钩。 实施例可以包括电外科能力或电绝缘。 因此，外科医生具有通过具有增强的速度，可见性和运动自由的微创切口从其原始位置收集完整且未损坏的移植血管的手段。
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7.发明授权
公开(公告)号：US6110170A
公开(公告)日：2000-08-29
申请号：US106867
申请日：1998-06-29
CPC分类号： A61B17/00008 , A61B17/02 , A61B17/00234 , A61B17/320016 , A61B2017/00867 , A61B2017/00969 , A61B2017/2905 , A61B2017/2927 , A61B2018/00916 , A61B2018/1253 , A61B2018/1407 , A61B2018/1435
摘要： A surgical instrument is configured to aid in performing a procedure of detaching an internal mammary artery (IMA) and the like, from the connecting tissues and side branch vessels which surround the artery in its native location, wherein the detaching procedure is preliminary to the performing of a coronary artery bypass grafting procedure and wherein the IMA is detached via a minimally invasive thoracotomy. To this end, an elongated slender rod includes a handle at its proximal end and an artery engaging loop, arc, fork configuration, or hook at its distal working end. Embodiments may incorporate electrosurgical capability or electrical insulation. A surgeon thus has means for harvesting an intact and undamaged graft vessel from its native location through a minimally invasive incision with enhanced speed, visibility, and freedom of motion.
摘要翻译： 外科器械被配置为有助于执行从其周围的动脉周围的连接组织和侧分支血管分离内部乳腺动脉（IMA）等的步骤，其中分离程序是执行的初步 的冠状动脉旁路移植手术，其中通过微创开胸术分离IMA。 为此，细长杆在其近端包括手柄，在其远端工作端处包括动脉接合环，弧形，叉形结构或钩。 实施例可以包括电外科能力或电绝缘。 因此，外科医生具有通过具有增强的速度，可见性和运动自由的微创切口从其原始位置收集完整且未损坏的移植血管的手段。
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公开(公告)号：US06547821B1
公开(公告)日：2003-04-15
申请号：US09116362
申请日：1998-07-16
IPC分类号： A61M110
CPC分类号： A61B17/0401 , A61B17/00234 , A61B17/0487 , A61B2017/00247 , A61B2017/00557 , A61B2017/00632 , A61B2017/0404 , A61B2017/0464 , A61B2017/0496 , A61B2017/06052 , A61B2018/00392 , A61F2/2481 , A61F2/2487
摘要： Methods and devices for passively assisting the cardiac function of the heart are disclosed. A method of increasing the cardiac output of a heart includes providing a site of surgical access to the portion of the heart to be restrained, reducing the cardiac expansion of the portion of the heart to be restrained, and maintaining the reduction of cardiac expansion of the portion of the heart to be restrained for a substantial amount of time. Cardiac assist devices for increasing the cardiac output of the heart are disclosed comprising a reinforcing portion configured to contact a portion of the heart tissue wherein the reinforcing portion restricts the expansion of the portion of the heart tissue. The reinforcing portion can be a number of structures, including pads, frames, straps, and other retaining means for limiting cardiac expansion of the portion of the heart tissue to be restrained.
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9.发明授权公开(公告)号：US07361137B2
公开(公告)日：2008-04-22
申请号：US10096299
申请日：2002-03-11
IPC分类号： A61N1/362
CPC分类号： A61B17/0401 , A61B17/00234 , A61B17/0487 , A61B2017/00247 , A61B2017/00557 , A61B2017/00632 , A61B2017/0404 , A61B2017/0464 , A61B2017/0496 , A61B2017/06052 , A61B2018/00392 , A61F2/2481 , A61F2/2487
摘要： Methods and devices for passively assisting the cardiac function of the heart are disclosed. A method of increasing the cardiac output of a heart includes providing a site of surgical access to the portion of the heart to be restrained, reducing the cardiac expansion of the portion of the heart to be restrained, and maintaining the reduction of cardiac expansion of the portion of the heart to be restrained for a substantial amount of time. Cardiac assist devices for increasing the cardiac output of the heart are disclosed comprising a reinforcing portion configured to contact a portion of the heart tissue wherein the reinforcing portion restricts the expansion of the portion of the heart tissue. The reinforcing portion can be a number of structures, including pads, frames, straps, and other retaining means for limiting cardiac expansion of the portion of the heart tissue to be restrained.
摘要翻译： 公开了用于被动地协助心脏功能的方法和装置。 增加心脏心输出量的方法包括提供对被抑制心脏部分的手术通道的位置，减少被抑制的心脏部分的心脏扩张，以及维持心脏扩张的减少 心脏的一部分被约束了大量的时间。 公开了用于增加心脏的心输出量的心脏辅助装置，其包括构造成接触心脏组织的一部分的加强部分，其中增强部分限制心脏组织部分的扩张。 加强部分可以是许多结构，包括垫，框架，带和用于限制要抑制的心脏组织部分的心脏扩张的其它保持装置。
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10.发明授权公开(公告)号：US06355030B1
公开(公告)日：2002-03-12
申请号：US09161079
申请日：1998-09-25
IPC分类号： A61B1804
CPC分类号： A61B18/08 , A61B90/30 , A61B2017/00084 , A61B2017/00243 , A61B2018/046 , A61F2/2412 , A61F2/2427 , A61F2/2445 , A61F2/2463 , A61F2250/0059
摘要： The present invention is methods and devices for improving valve function in a heart. Particularly a device of the present invention comprises a an elongate member having a distal end and a proximal end, a thermal heating member fixed to the distal end of the elongate member, wherein the thermal heating member includes at least one thermal heating element adapted to supply thermal energy to a heart valve structure, and an energy source in communication with the thermal heating element. In use, a thermal heating device of the present invention is inserted into working space proximate the valve to be treated and is used to selectively contract the collagen fibers of the valve structure treated so as to improve the performance and functioning of the valve. Devices are disclosed suitable for use with a variety of access procedures on both beating and non-beating hearts, including: a minimally invasive surgical procedure, a sternotomy, a thoracotomy, an endovascular procedure, and endoscopic procedure, or a percutaneous procedure. Methods and devices are disclosed which are suitable for treatment of a chordae, leaflet, or annulus, as well as devices and methods for the replacement of heart valve with prosthetic valves.
摘要翻译： 本发明是用于改善心脏中的瓣膜功能的方法和装置。 特别地，本发明的装置包括具有远端和近端的细长构件，固定到细长构件的远端的热加热构件，其中热加热构件包括至少一个适于供应的热加热元件 与心脏瓣膜结构的热能，以及与热加热元件连通的能量源。 在使用中，将本发明的热加热装置插入靠近待处理的阀的工作空间中，并用于选择性地收缩被处理的阀结构的胶原纤维，以改善阀的性能和功能。 公开的装置被公开适用于跳动和非跳动心脏上的各种进入程序，包括：微创外科手术，胸骨切开术，开胸手术，血管内手术和内窥镜手术或经皮手术。 公开了适用于治疗腱索，小叶或环的方法和装置，以及用人造瓣膜置换心脏瓣膜的装置和方法。
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