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公开(公告)号：US07803155B2
公开(公告)日：2010-09-28
申请号：US11419840
申请日：2006-05-23
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B2018/00029 , A61B2018/00077 , A61B2018/00291 , A61B2018/00351 , A61B2018/00363 , A61B2018/00577 , A61B2018/00613 , A61B2018/1435 , A61B2018/1465 , A61B2218/002 , A61B2218/007
摘要： An embodiment of the invention includes a surgical device for coagulating soft tissue such as atrial tissue in the treatment of atrial fibrillation, atrial flutter, and atrial tachycardia; tendon or ligament shrinkage; or articular cartilage removal. The surgical device integrates a suction mechanism with the coagulation mechanism improving the lesion creation capabilities of the device. The surgical device comprises an elongate member having an insulative covering attached about conductive elements capable of coagulating soft tissue when radiofrequency or direct current energy is transmitted to the conductive elements. Openings through the insulative covering expose regions of the conductive elements and are coupled to lumens in the elongate member which are routed to a vacuum source. Suction causes the soft tissue to actively engage the opening thus the integrated, exposed conductive elements to facilitate the coagulation process and ensure the lesions created are consistent, continuous, and transmural. The embodiments of the invention can also incorporate cooling mechanisms associated with the conductive elements and coupled to a fluid source to passively transport fluid along the contacted soft tissue surface to cool thus pushing the maximum temperature deeper into tissue.
摘要翻译： 本发明的一个实施例包括用于在治疗心房颤动，心房扑动和心房心动过速中凝固软组织例如心房组织的手术装置; 腱或韧带收缩; 或关节软骨清除。 手术装置将抽吸机构与凝固机构相结合，改善了装置的病变创造能力。 手术装置包括细长构件，其具有绝缘覆盖物，该绝缘覆盖物围绕能够在射频或直流能量传递到导电元件时使软组织凝结的导电元件附近。 穿过绝缘覆盖物的开口暴露导电元件的区域，并且连接到被延伸到真空源的细长构件中的腔。 抽吸使得软组织积极地接合开口，从而使整合的暴露的导电元件有助于凝固过程，并确保所产生的损伤是一致的，连续的和透壁的。 本发明的实施例还可以包括与导电元件相关联的冷却机构并且耦合到流体源，以沿被接触的软组织表面被动地输送流体，从而将最大温度推向组织。
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公开(公告)号：US07780661B2
公开(公告)日：2010-08-24
申请号：US11432962
申请日：2006-05-12
IPC分类号： A61B18/18
CPC分类号： A61B18/1492 , A61B2018/00029 , A61B2018/00077 , A61B2018/00291 , A61B2018/00351 , A61B2018/00363 , A61B2018/00577 , A61B2018/00613 , A61B2018/1435 , A61B2018/1465 , A61B2218/002 , A61B2218/007
摘要： An embodiment of the invention includes a surgical device for coagulating soft tissue such as atrial tissue in the treatment of atrial fibrillation, atrial flutter, and atrial tachycardia; tendon or ligament shrinkage; or articular cartilage removal. The surgical device integrates a suction mechanism with the coagulation mechanism improving the lesion creation capabilities of the device. The surgical device comprises an elongate member having an insulative covering attached about conductive elements capable of coagulating soft tissue when radiofrequency or direct current energy is transmitted to the conductive elements. Openings through the insulative covering expose regions of the conductive elements and are coupled to lumens in the elongate member which are routed to a vacuum source. Suction causes the soft tissue to actively engage the opening thus the integrated, exposed conductive elements to facilitate the coagulation process and ensure the lesions created are consistent, continuous, and transmural. The embodiments of the invention can also incorporate cooling mechanisms associated with the conductive elements and coupled to a fluid source to passively transport fluid along the contacted soft tissue surface to cool thus pushing the maximum temperature deeper into tissue.
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公开(公告)号：US06887192B1
公开(公告)日：2005-05-03
申请号：US09706307
申请日：2000-11-03
CPC分类号： A61F2/2481 , A61B2017/00039 , A61B2017/00243 , A61B2017/00734 , A61B2017/00862 , A61M1/1008 , A61M1/1055 , A61M1/1056 , A61M1/1068 , A61M1/1086 , A61M1/12 , A61M2205/33 , A61M2205/3303 , A61N2/02
摘要： This is a support device that prevents, reduces, and delays remodeling of diseased cardiac tissue, and also decreases the impact of such remodeling on collateral tissue is disclosed. The invention further reinforces abnormal tissue regions to prevent over-expansion of the tissue due to increased afterload and excessive wall tension. As a result, the support device prevents phenomenon such as systolic stretch from occurring and propagating. The support structure maintains and restores diastolic compliance, wall motion, and ejection fraction to preserve heart functionality. As such, the support device prevents and treats cardiomyopathy and congestive heart failure.
摘要翻译： 这是一种支持装置，其防止，减少和延迟患病心脏组织的重塑，并且还减少了这种重塑对侧支组织的影响。 本发明进一步加强了异常组织区域，以防止由于增加的后负荷和过度的壁张力导致组织的过度膨胀。 结果，支撑装置防止诸如收缩期拉伸的现象发生和传播。 支撑结构保持和恢复舒张顺应性，壁运动和射血分数以保持心脏功能。 因此，支持装置防止和治疗心肌病和充血性心力衰竭。
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公开(公告)号：US06648900B2
公开(公告)日：2003-11-18
申请号：US09997619
申请日：2001-11-28
申请人： Sidney D. Fleischman , Russell A. Houser , James G. Whayne , Thomas H. Campbell , Patrick M. Owens
发明人： Sidney D. Fleischman , Russell A. Houser , James G. Whayne , Thomas H. Campbell , Patrick M. Owens
IPC分类号： A61B1708
CPC分类号： A61F2/064 , A61B17/11 , A61B17/32053 , A61B2017/00867 , A61B2017/1107 , A61B2017/1135 , A61B2017/306 , A61F2/91
摘要： An end-side anastomosis system including a fitting including a base for attachment to a graft, the base be configured to form a seal with an opening in a host vessel wall a leading petal having a cross-section with a radius of curvature approximating a radius of curvature of the host vessel, the leading petal being configured to dilate the host vessel wall opening while advancing the fitting through the opening and a rear petal, the rear petal being deflectable to be advanced through the host vessel opening.
摘要翻译： 一种端侧吻合系统，包括包括用于附接到移植物的基部的配件，所述基座被构造成与主容器壁中的开口形成具有近似半径的曲率半径的横截面的前导花瓣的密封件 所述前花瓣被构造成在通过所述开口推进所述配件和后花瓣时扩张所述主容器壁开口，所述后花瓣可偏转以前进通过所述主容器开口。
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公开(公告)号：US06607505B1
公开(公告)日：2003-08-19
申请号：US09497541
申请日：2000-02-03
申请人： Russell B. Thompson , Sidney D. Fleischman , Josef V. Koblish , James G. Whayne , Steven E. Levin
发明人： Russell B. Thompson , Sidney D. Fleischman , Josef V. Koblish , James G. Whayne , Steven E. Levin
IPC分类号： A61M3100
CPC分类号： A61M25/0144 , A61B18/1492 , A61B2017/00867 , A61B2018/00065 , A61B2018/00553 , A61B2018/00577 , A61B2018/00797 , A61B2018/1407 , A61B2018/142 , A61B2018/1467 , A61B2018/1861 , A61M25/0043 , A61M25/01 , A61M25/0141 , A61M25/0147 , A61M25/0152 , A61M37/00 , A61M2025/015 , A61M2025/0161 , A61M2025/0163 , C08L2201/12
摘要： A catheter assembly having a sheath, which includes a side wall enclosing an interior bore, and a distal region. The assembly also has a bendable catheter tube, which is carried for sliding movement in the interior bore. A pull wire also runs through the interior bore of the sheath, preferably within a lumen. The catheter tube has a distal portion with a coupling which joins the distal portion of the catheter tube and the distal portion of the pull wire. Relative movement of the pull wire and the sheath causes bending of the catheter tube outwardly through the opening, in response to sliding movement of the catheter tube within the interior bore toward the distal region of the sheath.
摘要翻译： 具有护套的导管组件，其包括封闭内孔的侧壁和远端区域。 组件还具有可弯曲的导管，其被承载用于在内孔中滑动。 拉线也穿过护套的内孔，优选地在内腔内。 导管具有远端部分，其具有连接导管管的远端部分和拉线的远端部分的联接件。 牵引线和护套的相对运动导致导管管向外穿过开口弯曲，以响应导管在内孔内朝向护套的远端区域的滑动运动。
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公开(公告)号：US06361559B1
公开(公告)日：2002-03-26
申请号：US09329504
申请日：1999-06-10
IPC分类号： A61F200
CPC分类号： A61F2/064 , A61B17/11 , A61B17/32053 , A61B2017/00867 , A61B2017/1107 , A61B2017/1135 , A61B2017/306 , A61F2/91
摘要： A sutureless anastomosis systems for securing a bypass graft to a host vessel or other tubular structure including a bypass graft and fitting. A compression mechanism may be used with the system for attachment of the bypass graft to the fitting. An electrode is connected to the fitting and an energy source. The energy source transmits energy to the electrode and causes the adjacent tissue to rise in temperature and bond to a vessel or fitting.
摘要翻译： 用于将旁路移植物固定到宿主容器或其他包括旁路移植物和配件的管状结构的无缝合吻合系统。 压缩机构可以与系统一起使用以将旁路移植物附接到配件。 电极连接到配件和能源。 能量源将能量传递到电极并使相邻组织温度升高并且结合到容器或配件。
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公开(公告)号：US10448963B2
公开(公告)日：2019-10-22
申请号：US13184310
申请日：2011-07-15
IPC分类号： A61B17/29 , A61B17/00 , A61B17/04 , A61B17/064 , A61B17/08 , A61B17/128 , A61B17/068 , A61B17/06 , A61B17/30 , A61F2/08
摘要： Devices, systems and methods are disclosed for repairing soft tissue. The surgical system allows for the creation of tissue repair by grasping, aligning and sewing or fixing tissue. For example, this system may be used for clipping together excessive capsular tissue and reducing the overall capsular volume. The deployment device includes a central grasping mechanism and an outer clip delivery system. The clip embodiments may be single or multi-component (penetration and locking base components) that penetrate tissue layers and deploy or lock to clip the tissue together. An example of the system is used to reduce the joint capsule tissue laxity and reduces the potential for subluxation or dislocation of the joint by either restricting inferior laxity (anterior or posterior) and resolving or eliminating pathologic anterior or posterior translation.
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公开(公告)号：US10433859B2
公开(公告)日：2019-10-08
申请号：US11408307
申请日：2006-04-21
IPC分类号： A61B17/29 , A61B17/34 , A61M29/02 , A61B1/04 , A61B17/068 , A61B18/14 , A61B17/00 , A61B17/02 , A61B17/30 , A61B17/32 , A61B18/00 , A61M25/10 , A61N7/02 , A61B90/00
摘要： Methods and devices described herein facilitate diaphragm entry for posterior access of body organs.
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公开(公告)号：US09561044B2
公开(公告)日：2017-02-07
申请号：US11408315
申请日：2006-04-21
IPC分类号： A61B17/00 , A61B17/29 , A61B17/34 , A61M29/02 , A61B1/04 , A61B17/068 , A61B18/14 , A61B17/02 , A61B17/30 , A61B17/32 , A61B18/00 , A61M25/10 , A61N7/02
CPC分类号： A61B17/29 , A61B1/04 , A61B17/068 , A61B17/3421 , A61B17/3468 , A61B18/14 , A61B90/37 , A61B2017/00243 , A61B2017/00278 , A61B2017/0237 , A61B2017/2906 , A61B2017/291 , A61B2017/2927 , A61B2017/308 , A61B2017/320044 , A61B2017/320048 , A61B2017/3419 , A61B2017/3445 , A61B2017/3484 , A61B2017/3486 , A61B2017/3488 , A61B2018/00291 , A61M25/1002 , A61M25/1011 , A61M29/02 , A61N7/02
摘要： Methods and devices described herein facilitate diaphragm entry for posterior access of body organs.
摘要翻译： 本文描述的方法和装置便于隔膜进入用于身体器官的后路。
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公开(公告)号：US09498113B2
公开(公告)日：2016-11-22
申请号：US13491402
申请日：2012-06-07
CPC分类号： A61B1/32 , A61B1/07 , A61B17/3421 , A61B2017/3486 , A61B2018/00291
摘要： Methods and devices described herein facilitate improved treatment of body organs.
摘要翻译： 本文描述的方法和装置有助于改善身体器官的治疗。
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