公开(公告)号：US5972020A

公开(公告)日：1999-10-26

申请号：US801129

申请日：1997-02-14

申请人： Alain Carpentier ,  Charles S. Taylor

发明人： Alain Carpentier ,  Charles S. Taylor

IPC分类号： A61B17/00 ,  A61B17/02 ,  A61B17/34 ,  A61F2/24 ,  A61B17/28

CPC分类号： A61B17/3421 ,  A61B2017/00243 ,  A61B2017/0243 ,  A61B2017/3445 ,  A61B2017/3449 ,  A61B2017/3488 ,  A61F2/2427

摘要： The invention is an apparatus and method to perform a surgical procedure within the beating heart. The instrument provides a seal to surround cardiac tissue, thereby defining a segregated surgical field within the body of the instrument. A suction device is preferred to remove blood and fluids from the surgical field so that a surgical procedure can be performed while the heart continues to beat. The instrument is particularly suitable for a procedure to repair defective or diseased cardiac valves, such as the mitral valve; a procedure which previously required that the heart be stopped so that the corrective surgical procedure could be performed.

摘要翻译： 本发明是一种在搏动心脏内执行外科手术的装置和方法。 仪器提供围绕心脏组织的密封，从而在仪器体内限定分离的外科视野。 抽吸装置优选从外科手术区域移除血液和流体，使得可以在心脏继续击打时进行外科手术。 该仪器特别适用于修复有缺陷或患病的心脏瓣膜如二尖瓣的手术; 以前需要停止心脏以便可以执行矫正外科手术的程序。

公开(公告)号：US5925054A

公开(公告)日：1999-07-20

申请号：US790827

申请日：1997-01-23

申请人： Charles S. Taylor ,  Alfredo R. Cantu ,  Son M. Gia ,  Jeff A. Krolic ,  Robert G. Matheny ,  Amr Salahieh ,  Ivan Sepetka

发明人： Charles S. Taylor ,  Alfredo R. Cantu ,  Son M. Gia ,  Jeff A. Krolic ,  Robert G. Matheny ,  Amr Salahieh ,  Ivan Sepetka

IPC分类号： A61B17/00 ,  A61B17/04 ,  A61B17/11 ,  A61B17/12 ,  A61B17/08

CPC分类号： A61B17/11 ,  A61B17/12045 ,  A61B17/12109 ,  A61B17/12131 ,  A61B17/12136 ,  A61B17/1219 ,  A61B17/0469 ,  A61B2017/1135 ,  A61B2017/12127

摘要： A plurality of embodiments of a distal perfusion device are disclosed, which device facilitates anastomosis constructions by maintaining a dry anastomosis site while simultaneously maintaining blood flow distally in the blood vessel to prevent ischemia and reduce overall patient trauma. The perfusion device is configured for installation into a blood vessel such as a left anterior descending coronary artery through an incision therein, to which is to be grafted a distal end of a blood vessel such as an internal mammary artery. The device includes a central member of selected configuration and material, terminating at either end thereof in respective selectively tapered end members. A lumen extending through the central member and end members, and selected perforations in the end members, maintain blood flow through the perfusion device. A selected portion or portions of the device's outer circumference fit snugly within the artery in the regions beyond and/or at the anastomosis site, to maintain the latter free of blood. Several methods for deploying and removing respective embodiments of the device also are illustrated.

公开(公告)号：US5894843A

公开(公告)日：1999-04-20

申请号：US603758

申请日：1996-02-20

申请人： Federico J. Benetti ,  Charles S. Taylor ,  Ivan Sepetka ,  Amr Salahieh ,  Robert C. Glines ,  William N. Aldrich ,  Brent Regan ,  John J. Frantzen

发明人： Federico J. Benetti ,  Charles S. Taylor ,  Ivan Sepetka ,  Amr Salahieh ,  Robert C. Glines ,  William N. Aldrich ,  Brent Regan ,  John J. Frantzen

IPC分类号： A61B17/00 ,  A61B17/02 ,  A61B17/064 ,  A61B17/11 ,  A61B17/12 ,  A61B17/28 ,  A61B17/30 ,  A61B17/34 ,  A61B19/00

CPC分类号： A61B17/0218 ,  A61B17/00234 ,  A61B17/0206 ,  A61B17/3423 ,  A61B90/00 ,  A61B17/02 ,  A61B17/0642 ,  A61B17/12 ,  A61B17/3421 ,  A61B2017/00243 ,  A61B2017/00557 ,  A61B2017/00703 ,  A61B2017/00858 ,  A61B2017/0243 ,  A61B2017/1139 ,  A61B2017/2825 ,  A61B2017/2913 ,  A61B2017/2929 ,  A61B2017/306 ,  A61B2017/349

摘要： The invention is methods and devices which a surgeon may use to stabilize the beating heart during a surgical procedure on the heart. Pursuant to the invention, a stabilizing device is introduced through an opening in the chest and brought into contact with the beating heart. By contacting the heart with the device and by exerting a stabilizing force on the device, the motion of the heart caused by the contraction of the heart muscles is effectively eliminated such that the heart is stabilized and the site of the surgery moves only minimally if at all. Typically, in separate steps, the surgeon contacts the heart with the stabilizing device, assesses the degree of movement of the anastomosis site, and exerts a force on the stabilizing device such that the contraction of the beating heart causes only minimal excess motion at the surgery site. By fixing the position of the stabilizing device in a configuration where the motion of the beating heart is effectively eliminated, the surgeon is able to stabilize the beating heart for the duration of the procedure. The stabilizing device may be attached to a rigid support or may be attached to a semi-rigid support which is rendered motionless mechanically, chemically, or by human intervention. In certain preferred embodiments, the stabilizing device is affixed to a semi-rigid support which is caused to become rigid, by any of a variety of techniques, such that the position of the stabilizing device becomes fixed by the support, and the heart remains substantially motionless for the duration of the procedure.

摘要翻译： 本发明是外科医生可以在心脏手术过程中稳定跳动心脏的方法和装置。 根据本发明，稳定装置通过胸部的开口引入并与打浆心接触。 通过将心脏与装置接触并且通过在装置上施加稳定力，由心脏肌肉收缩引起的心脏的运动被有效地消除，使得心脏稳定，并且手术部位仅在最小程度上移动，如果在 所有。 通常，在单独的步骤中，外科医生与稳定装置接触心脏，评估吻合部位的移动程度，并且在稳定装置上施加力，使得跳动心脏的收缩在手术时仅引起极小的过度运动 现场。 通过将稳定装置的位置固定在跳动心脏的运动被有效地消除的构造中，外科医生能够在手术期间稳定跳动的心脏。 稳定装置可以附接到刚性支撑件，或者可以附接到半刚性支撑件，其通过机械，化学方式或通过人为干预使其不动。 在某些优选实施例中，稳定装置通过各种技术中的任何一种固定到刚性刚性的半刚性支撑件上，使得稳定装置的位置由支撑件固定，心脏基本保持 在程序期间不动。

公开(公告)号：USRE34466E

公开(公告)日：1993-12-07

申请号：US979469

申请日：1992-11-20

申请人： Charles S. Taylor ,  Robert M. Abrams ,  Kirsten L. Messner ,  Beverly Huss ,  Craig E. Mar ,  Jeffrey L. Kraus ,  Linda T. Guthrie

发明人： Charles S. Taylor ,  Robert M. Abrams ,  Kirsten L. Messner ,  Beverly Huss ,  Craig E. Mar ,  Jeffrey L. Kraus ,  Linda T. Guthrie

IPC分类号： A61M25/01 ,  A61B6/00

CPC分类号： A61M25/0905 ,  Y10T29/49876 ,  Y10T29/49945

摘要： An extendable guidewire system for introducing a dilatation catheter into the cardiovascular system. The guidewire has guidewire and extension sections with a connection therebetween which permits the two sections to be joined together and separated simply by pushing the two sections together and pulling them apart. One of the sections can be used for positioning the catheter within the cardiovascular system, and the other section can be employed to extend the wire to change catheters.

公开(公告)号：US4955384A

公开(公告)日：1990-09-11

申请号：US350580

申请日：1989-05-11

申请人： Charles S. Taylor ,  Hilary J. Hampton

发明人： Charles S. Taylor ,  Hilary J. Hampton

IPC分类号： A61M25/01 ,  A61B6/00 ,  A61M25/00

CPC分类号： A61M25/09 ,  A61M2025/09008 ,  Y10T74/20456

摘要： A guidewire or guiding element for vascular catheters, particularly balloon dilatation catheters having an elongated core member with a tapered distal portion with a flexible length of interfitting links on the tapered distal portion. The individual links generally comprise a base with an aperture therein and a plurality of upwardly extending arms with the ends of the arms bent inwardly toward the longitudinal axis of the flexible length to engage the base of an adjacent link. Improved flexibility and torquability are provided by the flexible length of interfitting links.

公开(公告)号：US4940062A

公开(公告)日：1990-07-10

申请号：US199099

申请日：1988-05-26

申请人： Hilary J. Hampton ,  John W. Gaiser ,  Charles S. Taylor ,  Timothy R. Machold

发明人： Hilary J. Hampton ,  John W. Gaiser ,  Charles S. Taylor ,  Timothy R. Machold

IPC分类号： A61M25/01 ,  A61B17/22 ,  A61M25/09

CPC分类号： A61M25/09033 ,  A61B2017/22001 ,  A61M2025/09175 ,  A61M2025/1079

摘要： The invention is directed to a guiding member for vascular catheters, particularly dilatation catheters for angioplasty procedures having a deflectable tip. The guiding member generally includes an elongated core wire having a tapered distal portion, a coil encasing at least part of the tapered distal portion of a core wire. The coil has an expanded section, and a reference member disposed therein which is secured to the coil proximally and distally of the expanded coil section. The core wire is secured to the coil at a location distally of the expanded section but proximally to the distal tip of the coil. Relative axial movement between the core wire and the coil causes expansion or contraction of the expanded coil section which results in tip deflection.

公开(公告)号：US09498198B2

公开(公告)日：2016-11-22

申请号：US12768414

申请日：2010-04-27

申请人： Lawrence W. Hu ,  David J. Paul ,  Eugene Edward Reis ,  Harry Leonard Green, II ,  Joshua K. Wallin ,  Morejohn P. Dwight ,  Charles S. Taylor ,  Gary B. Weller ,  Richard M. Ferrari

发明人： Lawrence W. Hu ,  David J. Paul ,  Eugene Edward Reis ,  Harry Leonard Green, II ,  Joshua K. Wallin ,  Morejohn P. Dwight ,  Charles S. Taylor ,  Gary B. Weller ,  Richard M. Ferrari

IPC分类号： A61B17/02 ,  A61B17/04

CPC分类号： A61B17/0206 ,  A61B17/0483 ,  A61B90/50 ,  A61B2017/0243 ,  Y10T403/32024 ,  Y10T403/32032

摘要： Surgical devices for stabilizing the heart are disclosed which facilitate anastomosis under beating heart conditions. Various instruments or devices may be maneuvered and secured on a retractor device to provide stabilization of the heart. An instrument mount is provided which is preferably configured to accept a surgical instrument, such as a tissue stabilizer, and to allow the instrument to be easily maneuvered to a desired position and subsequently locked into position with a simple operation of a single locking actuator. Further disclosed are stabilizer devices each having at least one surface for contacting the heart and each being adapted to be mounted to the retractor while having the ability to be positioned in the desired location against the heart.

摘要翻译： 公开了用于稳定心脏的手术装置，其用于在跳动的心脏状况下进行吻合。 各种仪器或装置可以被操纵并固定在牵开装置上以提供心脏的稳定。 提供了一种仪器座，其优选地被配置为接受诸如组织稳定器的手术器械，并且允许器械容易地操纵到期望位置，并随后通过单个锁定致动器的简单操作而被锁定到位。 进一步公开的是稳定器装置，每个装置具有至少一个用于接触心脏的表面，并且每个表面适于安装到牵开器，同时具有相对于心脏定位在所需位置的能力。

公开(公告)号：US07497824B2

公开(公告)日：2009-03-03

申请号：US10943445

申请日：2004-09-16

申请人： Charles S. Taylor

发明人： Charles S. Taylor

IPC分类号： A61F2/00 ,  A61F13/00 ,  A47J45/00 ,  A61B19/00

CPC分类号： A61B17/0218 ,  A61B17/00 ,  A61B90/40 ,  A61B2017/00243 ,  A61B2017/00703 ,  A61B2017/0243 ,  A61B2017/306 ,  A61B2017/3488

摘要： The invention is devices and techniques which use a negative (suction) pressure or vacuum, applied through a surgical instrument, to fix the position of a portion of the surface of a beating heart so that a surgical procedure can be more easily performed. The devices apply a negative pressure at several points on the outer surface of the heart such that a portion of the heart is fixed in place by the suction imposed through the surgical instrument. Because the instrument fixes the position of the tissue, and because the instruments remain at a constant distance from the particular portion of the heart where the surgery is being performed, the device may also serve as a support or platform so that other surgical instruments or devices can be advantageously used at the site. In certain preferred embodiments, the devices described herein have structures to facilitate the use of additional surgical instruments such that the placement of negative pressure device permit the surgeon to advantageously manipulate the other instruments during surgery. The negative pressure is preferably imposed through a plurality of ports which may be disposed in a substantially planar surface of the instrument which contacts the cardiac tissue.

公开(公告)号：US06701930B2

公开(公告)日：2004-03-09

申请号：US10007550

申请日：2001-11-06

申请人： Federico J. Benetti ,  Charles S. Taylor ,  Ivan Sepetka ,  Amr Salahieh ,  Robert C. Glines ,  William N. Aldrich ,  Brent Regan ,  John J. Frantzen

发明人： Federico J. Benetti ,  Charles S. Taylor ,  Ivan Sepetka ,  Amr Salahieh ,  Robert C. Glines ,  William N. Aldrich ,  Brent Regan ,  John J. Frantzen

IPC分类号： A61B100

CPC分类号： A61B17/0218 ,  A61B17/00234 ,  A61B17/02 ,  A61B17/0206 ,  A61B17/0642 ,  A61B17/12 ,  A61B17/3421 ,  A61B17/3423 ,  A61B90/00 ,  A61B2017/00243 ,  A61B2017/00557 ,  A61B2017/00703 ,  A61B2017/00858 ,  A61B2017/0243 ,  A61B2017/1139 ,  A61B2017/2825 ,  A61B2017/2913 ,  A61B2017/2929 ,  A61B2017/306 ,  A61B2017/349

摘要： The invention is methods and devices which a surgeon may use to stabilize the beating heart during a surgical procedure on the heart. Pursuant to the invention, a stabilizing device is introduced through an opening in the chest and brought into contact with the beating heart. By contacting the heart with the device and by exerting a stabilizing force on the device, the motion of the heart caused by the contraction of the heart muscles is effectively eliminated such that the heart is stabilized and the site of the surgery moves only minimally if at all. Typically, in separate steps, the surgeon contacts the heart with the stabilizing device, assesses the degree of movement of the anastomosis site, and exerts a force on the stabilizing device such that the contraction of the beating heart causes only minimal excess motion at the surgery site. By fixing the position of the stabilizing device in a configuration where the motion of the beating heart is effectively eliminated, the surgeon is able to stabilize the beating heart for the duration of the procedure. The stabilizing device may be attached to a rigid support or may be attached to a semi-rigid support which is rendered motionless mechanically, chemically, or by human intervention. In certain preferred embodiments, the stabilizing device is affixed to a semi-rigid support which is caused to become rigid, by any of a variety of techniques, such that the position of the stabilizing device becomes fixed by the support, and the heart remains substantially motionless for the duration of the procedure.

摘要翻译： 本发明是外科医生可以在心脏手术过程中稳定跳动心脏的方法和装置。 根据本发明，稳定装置通过胸部的开口引入并与打浆心接触。 通过将心脏与装置接触并且通过在装置上施加稳定力，由心脏肌肉收缩引起的心脏的运动被有效地消除，使得心脏稳定，并且手术部位仅在最小程度上移动，如果在 所有。 通常，在单独的步骤中，外科医生与稳定装置接触心脏，评估吻合部位的移动程度，并且在稳定装置上施加力，使得跳动心脏的收缩在手术时仅引起极小的过度运动 现场。 通过将稳定装置的位置固定在跳动心脏的运动被有效地消除的构造中，外科医生能够在手术期间稳定跳动的心脏。 稳定装置可以附接到刚性支撑件，或者可以附接到半刚性支撑件，其通过机械，化学方式或通过人为干预使其不动。 在某些优选实施例中，稳定装置通过各种技术中的任何一种固定到刚性刚性的半刚性支撑件上，使得稳定装置的位置由支撑件固定，心脏基本保持 在程序期间不动。

公开(公告)号：US06508759B1

公开(公告)日：2003-01-21

申请号：US09429763

申请日：1999-10-28

申请人： Charles S. Taylor ,  Brian S. Donlon ,  Timothy R. Machold

发明人： Charles S. Taylor ,  Brian S. Donlon ,  Timothy R. Machold

IPC分类号： A61B100

CPC分类号： G02B23/2415 ,  A61B1/00149 ,  A61B1/00193 ,  A61B1/002 ,  A61B1/3132 ,  A61B1/317 ,  A61B17/3421 ,  A61B90/361 ,  A61B90/50 ,  A61B2017/00243 ,  A61B2017/3492 ,  A61B2090/3616 ,  G02B21/22

摘要： A surgical microscope comprising a microscope body, lens means attached to the microscope body for magnifying an object image, an eyepiece attached to the microscope body for viewing the magnified object image, and coupling means attached to the microscope body for retaining a supplementary lens in optical alignment with the lens means, the coupling means being configured for introducing the supplementary lens through a percutaneous penetration into a body cavity, wherein the eyepiece and the lens means are configured to facilitate stereoscopic viewing. In a variation of the surgical microscope, a plurality of binocular eyepieces are attached to the microscope body to allow multiple persons to contemporaneously view the magnified object image.

摘要翻译： 一种手术显微镜，包括显微镜主体，附接到显微镜主体上的放大对象图像的透镜装置，附接到显微镜主体以观察放大对象图像的目镜，以及附接到显微镜主体的耦合装置，用于将辅助透镜保持在光学 与透镜装置对准，联接装置被配置为将辅助透镜经由经皮穿透引入体腔中，其中目镜和透镜装置构造成便于立体观看。 在手术显微镜的变型中，多个双目目镜被附接到显微镜主体，以允许多个人同时观看放大对象图像。