公开(公告)号：US20090143638A1

公开(公告)日：2009-06-04

申请号：US12368090

申请日：2009-02-09

申请人： James R. Keogh ,  Scott E. Jahns ,  Michael A. Colson ,  Karen Montpetit ,  Thomas Daigle ,  Douglas H. Gubbin ,  Gary W. Guenst ,  Christopher Olig ,  Paul A. Pignato ,  William G. O'Neill ,  Katherine Jolly

发明人： James R. Keogh ,  Scott E. Jahns ,  Michael A. Colson ,  Karen Montpetit ,  Thomas Daigle ,  Douglas H. Gubbin ,  Gary W. Guenst ,  Christopher Olig ,  Paul A. Pignato ,  William G. O'Neill ,  Katherine Jolly

IPC分类号： A61B18/14 ,  A61B17/00

CPC分类号： A61B17/0206 ,  A61B17/22004 ,  A61B2017/0243 ,  A61B2017/2905 ,  A61B2017/308 ,  A61N1/36114

摘要： This invention provides a system and method for positioning, manipulating, holding, grasping, immobilizing and/or stabilizing a heart including one or more tissue-engaging devices, one or more suction sources, one or more fluid sources, one or more energy sources, one or more sensors and one or more processors. The system and method may include an indifferent electrode, a drug delivery device and an illumination device. The system's tissue-engaging device may comprise a tissue-engaging head, a support apparatus and a clamping mechanism for attaching the tissue-engaging device to a stable object. The system may be used during various medical procedures including the deployment of an anastomotic device, intermittently stopping and starting of the heart, ablation of cardiac tissues and the placement of cardiac leads.

摘要翻译： 本发明提供了一种用于定位，操纵，保持，抓住，固定和/或稳定包括一个或多个组织接合装置，一个或多个抽吸源，一个或多个流体源，一个​​或多个能量源的心脏的系统和方法， 一个或多个传感器和一个或多个处理器。 该系统和方法可以包括无关电极，药物输送装置和照明装置。 系统的组织接合装置可以包括组织接合头，支撑装置和用于将组织接合装置附接到稳定物体的夹紧机构。 该系统可以在各种医疗过程中使用，包括部署吻合装置，间歇性地停止和起始心脏，消融心脏组织和放置心脏引线。

公开(公告)号：US07507235B2

公开(公告)日：2009-03-24

申请号：US10156315

申请日：2002-05-28

申请人： James R. Keogh ,  Scott E Jahns ,  Michael A. Colson ,  Gary W. Guenst ,  Christopher Olig ,  Paul A. Pignato ,  Karen Montpetit ,  Thomas Daigle ,  Douglas H. Gubbin ,  William G. O'Neill ,  Katherine Jolly

发明人： James R. Keogh ,  Scott E Jahns ,  Michael A. Colson ,  Gary W. Guenst ,  Christopher Olig ,  Paul A. Pignato ,  Karen Montpetit ,  Thomas Daigle ,  Douglas H. Gubbin ,  William G. O'Neill ,  Katherine Jolly

IPC分类号： A61B18/14

CPC分类号： A61B17/0206 ,  A61B17/22004 ,  A61B2017/0243 ,  A61B2017/2905 ,  A61B2017/308 ,  A61N1/36114

摘要： This invention provides a system and method for positioning, manipulating, holding, grasping, immobilizing and/or stabilizing a heart including one or more tissue-engaging devices, one or more suction sources, one or more fluid sources, one or more energy sources, one or more sensors and one or more processors. The system and method may include an indifferent electrode, a drug delivery device and an illumination device. The system's tissue-engaging device may comprise a tissue-engaging head, a support apparatus and a clamping mechanism for attaching the tissue-engaging device to a stable object. The system may be used during various medical procedures including the deployment of an anastomotic device, intermittently stopping and starting of the heart, ablation of cardiac tissues and the placement of cardiac leads.

公开(公告)号：US06447443B1

公开(公告)日：2002-09-10

申请号：US09879294

申请日：2001-06-12

申请人： James R. Keogh ,  Scott E. Jahns ,  Michael A. Colson ,  Gary W. Guenst ,  Christopher Olig ,  Paul A. Pignato ,  Karen Montpetit ,  Thomas Daigle ,  Douglas H. Gubbin ,  William G. O'Neill ,  Katherine Jolly

发明人： James R. Keogh ,  Scott E. Jahns ,  Michael A. Colson ,  Gary W. Guenst ,  Christopher Olig ,  Paul A. Pignato ,  Karen Montpetit ,  Thomas Daigle ,  Douglas H. Gubbin ,  William G. O'Neill ,  Katherine Jolly

IPC分类号： A61F200

CPC分类号： A61B17/0206 ,  A61B17/22004 ,  A61B2017/0243 ,  A61B2017/2905 ,  A61B2017/308 ,  A61N1/36114

摘要： This invention provides a system and method for positioning, manipulating, holding, grasping, immobilizing and/or stabilizing a heart including one or more tissue-engaging devices, one or more suction sources, one or more fluid sources, one or more energy sources, one or more sensors and one or more processors. The system and method may include an indifferent electrode, a drug delivery device and an illumination device. The system's tissue-engaging device may comprise a tissue-engaging head, a support apparatus and a clamping mechanism for attaching the tissue-engaging device to a stable object. The system may be used during various medical procedures including the deployment of an anastomotic device, intermittently stopping and starting of the heart, ablation of cardiac tissues and the placement of cardiac leads.

摘要翻译： 本发明提供了一种用于定位，操纵，保持，抓住，固定和/或稳定包括一个或多个组织接合装置，一个或多个抽吸源，一个或多个流体源，一个​​或多个能量源的心脏的系统和方法， 一个或多个传感器和一个或多个处理器。 该系统和方法可以包括无关电极，药物递送装置和照明装置。 系统的组织接合装置可以包括组织接合头，支撑装置和用于将组织接合装置附接到稳定物体的夹紧机构。 该系统可以在各种医疗过程中使用，包括部署吻合装置，间歇性地停止和起始心脏，消融心脏组织和放置心脏引线。

公开(公告)号：US20100174281A1

公开(公告)日：2010-07-08

申请号：US12688219

申请日：2010-01-15

申请人： Scott E. Jahns ,  James R. Keogh ,  Paul A. Pignato ,  Christopher P. Olig ,  Karen P. Montpetit ,  Cynthia T. Clague ,  Raymond W. Usher ,  Philip J. Haarstad ,  Gary W. Guenst

发明人： Scott E. Jahns ,  James R. Keogh ,  Paul A. Pignato ,  Christopher P. Olig ,  Karen P. Montpetit ,  Cynthia T. Clague ,  Raymond W. Usher ,  Philip J. Haarstad ,  Gary W. Guenst

IPC分类号： A61B17/11 ,  A61B18/14 ,  A61B18/18 ,  A61B17/04 ,  A61B17/3209

CPC分类号： A61B17/32053 ,  A61B17/0482 ,  A61B17/11 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2017/1139

摘要： A device for temporarily sealing an opening in a blood vessel is provided. The device comprises a cutting mechanism for creating an opening in a blood vessel and a seal for sealing the opening in the blood vessel. The seal is delivered through an inner lumen of a tool body coupled to the cutting mechanism. Methods for using the device to construct an anastomosis between two vessels are also provided.

摘要翻译： 提供了用于临时密封血管中的开口的装置。 该装置包括用于在血管中形成开口的切割机构和用于密封血管中的开口的密封件。 密封件通过联接到切割机构的工具主体的内腔传送。 还提供了使用该装置来构建两个血管之间的吻合的方法。

公开(公告)号：US10278723B2

公开(公告)日：2019-05-07

申请号：US12688219

申请日：2010-01-15

申请人： Scott E. Jahns ,  James R. Keogh ,  Paul A. Pignato ,  Christopher P. Olig ,  Karen P. Montpetit ,  Cynthia T. Clague ,  Raymond W. Usher ,  Philip J. Haarstad ,  Gary W. Guenst

发明人： Scott E. Jahns ,  James R. Keogh ,  Paul A. Pignato ,  Christopher P. Olig ,  Karen P. Montpetit ,  Cynthia T. Clague ,  Raymond W. Usher ,  Philip J. Haarstad ,  Gary W. Guenst

IPC分类号： A61B17/04 ,  A61B17/11 ,  A61B17/3205

摘要： A device for temporarily sealing an opening in a blood vessel is provided. The device comprises a cutting mechanism for creating an opening in a blood vessel and a seal for sealing the opening in the blood vessel. The seal is delivered through an inner lumen of a tool body coupled to the cutting mechanism. Methods for using the device to construct an anastomosis between two vessels are also provided.

公开(公告)号：US08454634B2

公开(公告)日：2013-06-04

申请号：US11604956

申请日：2006-11-28

申请人： Scott E. Jahns ,  James R. Keogh ,  Paul A. Pignato ,  Christopher P. Olig ,  Karen P. Montpetit ,  Cynthia T. Clague ,  Raymond W. Usher ,  Philip J. Haarstad ,  Gary W. Guenst

发明人： Scott E. Jahns ,  James R. Keogh ,  Paul A. Pignato ,  Christopher P. Olig ,  Karen P. Montpetit ,  Cynthia T. Clague ,  Raymond W. Usher ,  Philip J. Haarstad ,  Gary W. Guenst

IPC分类号： A61B17/08 ,  A61D1/00

CPC分类号： A61B17/32053 ,  A61B17/0482 ,  A61B17/11 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2017/1139

摘要： A device for temporarily sealing an opening in a blood vessel is provided. The device comprises a cutting mechanism for creating an opening in a blood vessel and a seal for sealing the opening in the blood vessel. The seal is delivered through an inner lumen of a tool body coupled to the cutting mechanism. Methods for using the device to construct an anastomosis between two vessels are also provided.

摘要翻译： 提供了用于临时密封血管中的开口的装置。 该装置包括用于在血管中形成开口的切割机构和用于密封血管中的开口的密封件。 密封件通过联接到切割机构的工具主体的内腔传送。 还提供了使用该装置来构建两个血管之间的吻合的方法。

公开(公告)号：US07083620B2

公开(公告)日：2006-08-01

申请号：US10621893

申请日：2003-07-17

申请人： Scott E. Jahns ,  David E. Francischelli ,  Alison A. Lutterman ,  James R. Keogh ,  Roderick E. Briscoe ,  William G. O'Neill ,  Jack Goodman ,  Tom P. Daigle ,  Paul T. Rothstein ,  Adam A. Podbelski ,  Stephen J Roddy ,  David J. S. Kim ,  Mark R. Bilitz

发明人： Scott E. Jahns ,  David E. Francischelli ,  Alison A. Lutterman ,  James R. Keogh ,  Roderick E. Briscoe ,  William G. O'Neill ,  Jack Goodman ,  Tom P. Daigle ,  Paul T. Rothstein ,  Adam A. Podbelski ,  Stephen J Roddy ,  David J. S. Kim ,  Mark R. Bilitz

IPC分类号： A61B18/18 ,  A61B17/28

CPC分类号： A61B18/1445 ,  A61B2018/1861

摘要： A hemostat-type device for ablative treatment of tissue, particularly for treatment of atrial fibrillation, is constructed with features that provide easy and effective treatment. A swiveling head assembly can allow the jaws to be adjusted in pitch and roll. Malleable jaws can permit curved lesion shapes. A locking detent can secure the jaws in a closed position during the procedure. An illuminated indicator provides confirmation that the device is operating. A fluid delivery system simplifies irrigated ablation procedures.

公开(公告)号：US06735471B2

公开(公告)日：2004-05-11

申请号：US09964308

申请日：2001-09-26

申请人： Michael R. S. Hill ,  Scott E. Jahns ,  James R. Keogh ,  David E. Euler ,  Michael R. Ujhelyi ,  Nancy J. Rakow ,  Michael A. Colson

发明人： Michael R. S. Hill ,  Scott E. Jahns ,  James R. Keogh ,  David E. Euler ,  Michael R. Ujhelyi ,  Nancy J. Rakow ,  Michael A. Colson

IPC分类号： A61N1362

CPC分类号： A61N1/0517 ,  A61M5/14276 ,  A61N1/0519 ,  A61N1/0556 ,  A61N1/056 ,  A61N1/36007 ,  A61N1/3601 ,  A61N1/36114 ,  A61N1/362 ,  A61N1/385 ,  A61N1/39

摘要： A method of performing a medical procedure, such as surgery, is provided. A nerve is stimulated in order to adjust the beating of the heart to a first condition, such as a stopped or slowed condition. The medical procedure is performed on the heart or another organ. The stimulation of the nerve is stopped in order to adjust the beating of the heart to a second condition, such as a beating condition. The heart itself may also be stimulated to a beating condition, such as by pacing. The stimulation of the nerve may be continued in order to allow the medical procedure to be continued. Systems and devices for performing the medical procedure are also provided.

摘要翻译： 提供了一种执行诸如手术的医疗程序的方法。 刺激神经以将心脏的跳动调节到第一状态，例如停止或减缓的状态。 医疗程序在心脏或另一个器官上进行。 停止对神经的刺激，以便将心脏的跳动调节到第二状态，例如打浆状态。 心脏本身也可能被刺激到跳动状态，例如通过起搏。 可以继续刺激神经以允许继续医疗程序。 还提供用于执行医疗程序的系统和设备。

公开(公告)号：US20130184727A1

公开(公告)日：2013-07-18

申请号：US12445919

申请日：2007-10-16

申请人： Cynthia T. Clague ,  Michael J. Hobday ,  Raymond W. Usher ,  Roderick E. Briscoe ,  Katherine S. Jolly ,  Ana R. Menk ,  Christopher P. Olig ,  Eric A. Meyer ,  Steven C. Christian ,  Thomas P. Daigle ,  Robert H. Reetz ,  Jeffrey D. Sandstrom ,  James R. Keogh ,  Matthew D. Bonner ,  Scott E. Jahns ,  Philip J. Haarstad

发明人： Cynthia T. Clague ,  Michael J. Hobday ,  Raymond W. Usher ,  Roderick E. Briscoe ,  Katherine S. Jolly ,  Ana R. Menk ,  Christopher P. Olig ,  Eric A. Meyer ,  Steven C. Christian ,  Thomas P. Daigle ,  Robert H. Reetz ,  Jeffrey D. Sandstrom ,  James R. Keogh ,  Matthew D. Bonner ,  Scott E. Jahns ,  Philip J. Haarstad

IPC分类号： A61B17/32

CPC分类号： A61B17/32 ,  A61B17/00008 ,  A61B17/3205 ,  A61B17/32053 ,  A61B2017/320064

摘要： Embodiments of the invention provide a vessel support system and a method of vessel harvesting. The system can include a cutting device, a catheter adapted to be inserted into a section of the vessel in order to support the vessel as the cutting device is advanced over the vessel, and a cannula adapted to be coupled to the vessel and adapted to receive the catheter as the catheter is inserted into the section of the vessel. The method can include orienting a cutting device coaxially with the cannula and the catheter and advancing the cutting device over the cannula, the catheter, and the section of the vessel in order to core out the section of the vessel and a portion of the surrounding tissue.

摘要翻译： 本发明的实施例提供了一种血管支持系统和血管收集方法。 该系统可以包括切割装置，适于插入到容器的一部分中的导管，以便当切割装置前进在容器上时支撑容器，以及适于联接到容器并适于接收的套管 作为导管的导管插入血管的部分。 该方法可以包括将切割装置与套管和导管同轴定向，并将切割装置推进套管，导管和容器的部分，以便将血管的一部分和周围组织的一部分 。

公开(公告)号：US08480696B2

公开(公告)日：2013-07-09

申请号：US11155533

申请日：2005-06-16

申请人： Cynthia T. Clague ,  Michael J. Hobday ,  Raymond W. Usher ,  Roderick E. Briscoe ,  Katherine S. Jolly ,  Ana R. Buhr ,  Christopher P. Olig ,  Eric A. Meyer ,  Steven C. Christian ,  Tom P. Daigle ,  Robert H. Reetz ,  Jeffrey D. Sandstrom ,  James R. Keogh ,  Matthew D. Bonner ,  Scott E. Jahns

发明人： Cynthia T. Clague ,  Michael J. Hobday ,  Raymond W. Usher ,  Roderick E. Briscoe ,  Katherine S. Jolly ,  Ana R. Buhr ,  Christopher P. Olig ,  Eric A. Meyer ,  Steven C. Christian ,  Tom P. Daigle ,  Robert H. Reetz ,  Jeffrey D. Sandstrom ,  James R. Keogh ,  Matthew D. Bonner ,  Scott E. Jahns

IPC分类号： A61B17/22

CPC分类号： A61B17/22 ,  A61B17/00008 ,  A61B17/320016 ,  A61B17/32002 ,  A61B17/32053 ,  A61B2017/00557 ,  A61B2017/00778 ,  A61B2017/22062 ,  A61B2017/22068

摘要： The invention provides a system and method for harvesting a vessel section. The system comprises a vessel support member, a handle, and a tubular cutting device. The vessel support member is introduced into the vessel section to be harvested. The tubular cutting device may comprise an outer tubular member or an outer and an inner tubular member. The outer tubular member carries at least one cutting element. The tubular member or members are advanced over the vessel section and vessel support member to core out the vessel section and tissue adjoining the vessel section.

摘要翻译： 本发明提供了一种收集血管部分的系统和方法。 该系统包括容器支撑构件，手柄和管状切割装置。 将容器支撑构件引入待收获的容器部分。 管状切割装置可以包括外部管状构件或外部管状构件和内部管状构件。 外部管状构件承载至少一个切割元件。 管状构件在容器部分和容器支撑构件上前进，以将与容器部分相邻的容器部分和组织芯出。