公开(公告)号：US06308104B1

公开(公告)日：2001-10-23

申请号：US09338303

申请日：1999-06-22

申请人： Charles S. Taylor ,  Robert G. Matheny ,  Dwight P. Morejohn

发明人： Charles S. Taylor ,  Robert G. Matheny ,  Dwight P. Morejohn

IPC分类号： A61N105

CPC分类号： A61B17/122 ,  A61B17/1227 ,  A61B2017/0243 ,  A61N1/36014

摘要： A method and apparatus for facilitating coronary surgery on the beating heart wherein the vagus nerve is electrically stimulated to purposely temporarily stop or substantially reduce the beating of the heart under precisely controlled conditions. The apparatus controllably applies the electrical stimulus to preselected locations along the vagus nerve and thus to preselected nerve branches related to the heart. The apparatus includes several clip and probe configurations for establishing electrical contact with the vagus nerve. Such purposely caused temporary stoppage or substantial reduction of the beating of the heart facilitates procedures such as suturing of an anastomosis which would otherwise be more difficult because of the motion induced by the beating heart.

摘要翻译： 一种用于促进搏动心脏的冠状动脉手术的方法和装置，其中电刺激迷走神经以故意暂时地停止或基本上减少在精确控制的条件下的心跳。 该装置可控制地将电刺激应用于沿着迷走神经的预选位置，并因此应用于与心脏相关的预选神经分支。 该装置包括用于建立与迷走神经的电接触的多个夹子和探针配置。 这样有意地引起临时停止或大幅度减少心脏搏动的方法有助于诸如缝合吻合术的过程，否则由于跳动心脏引起的运动将更加困难。

公开(公告)号：US06290644B1

公开(公告)日：2001-09-18

申请号：US09305813

申请日：1999-05-04

申请人： Harry Leonard Green, II ,  Joshua K. Wallin ,  Dwight P. Morejohn ,  Charles S. Taylor ,  Gary B. Weller ,  Richard M. Ferrari

发明人： Harry Leonard Green, II ,  Joshua K. Wallin ,  Dwight P. Morejohn ,  Charles S. Taylor ,  Gary B. Weller ,  Richard M. Ferrari

IPC分类号： A61B1702

CPC分类号： A61B17/00234 ,  A61B17/02 ,  A61B17/0206 ,  A61B17/0218 ,  A61B17/0483 ,  A61B17/0642 ,  A61B17/12 ,  A61B17/3421 ,  A61B17/3423 ,  A61B17/8076 ,  A61B90/00 ,  A61B90/50 ,  A61B2017/00243 ,  A61B2017/00539 ,  A61B2017/00703 ,  A61B2017/00858 ,  A61B2017/00991 ,  A61B2017/0243 ,  A61B2017/0648 ,  A61B2017/1139 ,  A61B2017/2825 ,  A61B2017/2913 ,  A61B2017/2929 ,  A61B2017/306 ,  A61B2017/349

摘要： In accordance with the present invention, there is disclosed surgical methods and apparatus for accessing and stabilizing the heart. The methods and apparatus facilitate access to an anastomosis site, allows various instruments or devices to be maneuvered and secured in place, and provide stabilization of the heart. The apparatus may involve a tissue stabilizer, and in particular a tissue stabilizer for use in immobilizing or stabilizing a portion of the beating heart using a compressive force delivered to the heart via the tissue stabilizer. The stabilizer may include a stabilizer base and a shaft. The shaft may be secured within an appropriate instrument mount preferably fixed to a retractor or other stable platform as disclosed herein. The stabilizers of the present invention provide improved access to a surgical site at a target vessel on the surface of the heart and may include features which facilitate optimal presentation of the target vessel.

公开(公告)号：US06190357B1

公开(公告)日：2001-02-20

申请号：US09063588

申请日：1998-04-21

申请人： Richard M. Ferrari ,  Dwight P. Morejohn ,  Ivan Sepetka ,  Robert C. Glines

发明人： Richard M. Ferrari ,  Dwight P. Morejohn ,  Ivan Sepetka ,  Robert C. Glines

IPC分类号： A61M2900

CPC分类号： A61M25/0023 ,  A61B17/3439 ,  A61B2017/00243

摘要： A device for occlusion of a body passageway and subsequent perfusion of the body passageway with arterial return blood, cardioplegia and other fluid is disclosed. The device of the present invention is an expandable cannula comprising a flexible, expandable tubular elongate body having a first diameter and a second diameter, wherein the expandable cannula is inserted having a first diameter and then expanded to a second diameter to provide perfusion flow to the body passageway through at least one arterial return aperture provided on the distal end of the expandable tubular elongate body in fluid communication with a perfusion lumen provided within the cannula. The device may be further provided with one or more additional lumens for providing additional functions to the vessel lumen and may also include an expandable occluding member fixed at the distal end of the cannula for isolating the surgical area from the rest of the arterial system. A preferred method of use of the present invention is also disclosed wherein having a first diameter is inserted endovascularly into the vessel of a patient and advanced to a point of interest. At the point of interest, the device is expanded to a second diameter and perfusion flow to the vessel lumen is provided. Following the performance of a surgical procedure, perfusion flow is terminated and the device is removed from the vessel.

摘要翻译： 公开了一种用于闭塞身体通道并随后用动脉血回流，心麻痹等流体灌注身体通道的装置。 本发明的装置是一种可扩张套管，其包括具有第一直径和第二直径的柔性可扩张管状细长体，其中，所述可扩张插管插入具有第一直径，然后膨胀至第二直径，以向 通过设置在可扩张管状细长体的远端上的至少一个动脉返回孔，其与设置在套管内的灌注腔流体连通。 该装置还可以设置有一个或多个另外的腔，用于向血管内腔提供附加功能，并且还可以包括固定在套管远端的可扩张闭塞构件，用于将手术区域与动脉系统的其余部分隔离。 还公开了本发明的优选使用方法，其中将第一直径血管内插入患者的血管并进入感兴趣点。 在感兴趣的地方，将装置扩张到第二直径，并且提供到血管腔的灌注流。 在执行外科手术之后，终止灌注流程，并且从血管中移除装置。

公开(公告)号：US6146394A

公开(公告)日：2000-11-14

申请号：US472651

申请日：1999-12-27

申请人： Dwight P. Morejohn ,  Ivan Septeka ,  Robert C. Glines

发明人： Dwight P. Morejohn ,  Ivan Septeka ,  Robert C. Glines

IPC分类号： A61B17/00 ,  A61B17/122 ,  A61B17/28 ,  A61B17/30 ,  A61B17/04

CPC分类号： A61B17/122 ,  A61B17/30 ,  A61B2017/00539 ,  A61B2017/00557 ,  A61B2017/2922

摘要： The present invention relates to a vascular clamp assembly. The vascular clamp assembly includes at least one bendable elongated shaft with a proximal part and distal part. A pair of clamping members are located at the distal part of the shaft. The clamp includes means for moving the clamping members between an open position and a clamping position.

摘要翻译： 本发明涉及一种血管钳组件。 血管夹具组件包括至少一个具有近端部分和远端部分的可弯曲细长轴。 一对夹紧件位于轴的远端。 夹具包括用于在打开位置和夹紧位置之间移动夹紧构件的装置。

公开(公告)号：US6042563A

公开(公告)日：2000-03-28

申请号：US49463

申请日：1998-03-27

申请人： Dwight P. Morejohn ,  Ivan Sepetka ,  Son M. Gia

发明人： Dwight P. Morejohn ,  Ivan Sepetka ,  Son M. Gia

IPC分类号： A61B17/12 ,  A61B17/132 ,  A61B17/28 ,  A61M29/00 ,  A61M5/00 ,  A61M5/178

CPC分类号： A61B17/12136 ,  A61B17/12109 ,  A61B17/12013 ,  A61B17/132 ,  A61B17/1322 ,  A61B17/2804 ,  A61M2025/1052

摘要： An improved method and apparatus for occluding a blood vessel is shown and described. A cannula adapted for insertion through a wall of a blood vessel is provided with an expandable member on a distal end which when expanded, substantially fills a cross-sectional annular area of the lumen of the blood vessel. An external clamp is coupled to the cannula and aligned with the expandable member, such that when the clamp is engaged, it moves the annular region of the blood vessel into contact with the inflatable member, the inflatable member and clamp thereby working in cooperation to occlude the blood vessel. The cannula may further be provided with a plurality of lumens extending through the cannula to corresponding openings in a distal end of the cannula, thereby allowing the perfusion of different fluids into the lumen of the blood vessel, both upstream and downstream of the internal occluding member, as well as the venting of fluid from the lumen of the blood vessel. A suture tourniquet may also be coupled to the cannula. Multiple functions are therefore performed by a compact, efficient device that is simple to use. In addition, occlusion is achieved with minimal deformation to the blood vessel, reducing the risk of trauma to the blood vessel and the creation of emboli. The intraluminal occlusion device is also securely held in a selected position, thereby reducing risk of harm to the patient from emboli and undesirable blocking of perfusion of blood to the rest of the patient's body.

摘要翻译： 显示和描述了用于闭塞血管的改进的方法和装置。 适于插入穿过血管壁的插管在远端设置有可扩张构件，当扩张时，基本上填充血管内腔的横截面的环形区域。 外部夹具联接到套管并与可膨胀构件对准，使得当夹具接合时，其将血管的环形区域移动与可充气构件，可充气构件和夹具接触，从而协同工作以阻塞 血管。 套管还可以设置有多个管腔，其穿过套管延伸到插管的远端中的对应开口处，从而允许不同流体在内部阻塞构件的上游和下游灌注到血管的内腔中 ，以及从血管内腔排出液体。 缝线止血带也可以联接到插管。 因此，多功能由简单易用的紧凑，高效的设备执行。 此外，通过对血管的最小变形来实现闭塞，减少对血管的创伤和产生栓塞的风险。 管腔内闭塞装置也被牢固地保持在选定的位置，从而降低了患者从栓子的危害的危险，并且不期望地阻止血液灌注到患者身体的其余部分。

公开(公告)号：US5913876A

公开(公告)日：1999-06-22

申请号：US935126

申请日：1997-09-22

申请人： Charles S. Taylor ,  Robert G. Matheny ,  Dwight P. Morejohn

发明人： Charles S. Taylor ,  Robert G. Matheny ,  Dwight P. Morejohn

IPC分类号： A61B17/02 ,  A61B17/122 ,  A61B17/125 ,  A61N1/36 ,  A61N1/368

CPC分类号： A61B17/122 ,  A61B17/1227 ,  A61B2017/0243 ,  A61N1/36014

摘要： A method and apparatus for facilitating coronary surgery on the beating heart wherein the vagus nerve is electrically stimulated to purposely temporarily stop or substantially reduce the beating of the heart under precisely controlled conditions. The apparatus controllably applies the electrical stimulus to preselected locations along the vagus nerve and thus to preselected nerve branches related to the heart. The apparatus includes several clip and probe configurations for establishing electrical contact with the vagus nerve. Such purposely caused temporary stoppage or substantial reduction of the beating of the heart facilitates procedures such as suturing of an anastomosis which would otherwise be more difficult because of the motion induced by the beating heart.

摘要翻译： 一种用于促进搏动心脏的冠状动脉手术的方法和装置，其中电刺激迷走神经以故意暂时地停止或基本上减少在精确控制的条件下的心跳。 该装置可控制地将电刺激应用于沿着迷走神经的预选位置，并因此应用于与心脏相关的预选神经分支。 该装置包括用于建立与迷走神经的电接触的多个夹子和探针配置。 这样有意地引起临时停止或大幅度减少心脏搏动的方法有助于诸如缝合吻合术的过程，否则由于跳动心脏引起的运动将更加困难。