公开(公告)号：US06214022B1

公开(公告)日：2001-04-10

申请号：US09301019

申请日：1999-04-28

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： A61B1708

CPC分类号： A61B17/11 ,  A61B17/0469 ,  A61B17/12045 ,  A61B17/12109 ,  A61B17/12131 ,  A61B17/12136 ,  A61B17/1219 ,  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.

摘要翻译： 公开了一种远端灌注装置的多个实施例，该装置通过维持干吻合部位来促进吻合结构，同时在血管中保持血液向远端流动以防止局部缺血并减少总的患者创伤。 灌注装置被构造成通过其中的切口安装到诸如左前降支冠状动脉的血管中，其将被移植到诸如内部乳腺动脉的血管的远端。 该装置包括选定构型和材料的中心构件，其终端位于相应的选择性锥形端构件的任一端。 延伸穿过中心构件和端构件的内腔以及端构件中选择的穿孔保持血流通过灌注装置。 装置的外周的选定部分或部分适合紧贴在吻合部位之外和/或处于吻合部位的区域内的动脉内，以保持后者无血液。 还示出了用于部署和移除设备的各个实施例的几种方法。

公开(公告)号：US5769870A

公开(公告)日：1998-06-23

申请号：US603415

申请日：1996-02-20

申请人： Amr Salahieh ,  Charles S. Taylor ,  Alfredo R. Cantu ,  Ivan Sepetka ,  Robert G. Matheny

发明人： Amr Salahieh ,  Charles S. Taylor ,  Alfredo R. Cantu ,  Ivan Sepetka ,  Robert G. Matheny

IPC分类号： A61B17/11 ,  A61B17/12 ,  A61M29/00

CPC分类号： A61B17/12045 ,  A61B17/11 ,  A61B17/12109 ,  A61B17/12131 ,  A61B17/12136 ,  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：US06656113B2

公开(公告)日：2003-12-02

申请号：US09866109

申请日：2001-05-25

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.

摘要翻译： 根据本发明，公开了用于进入和稳定心脏的手术方法和装置。 该方法和设备便于进入吻合部位，允许各种仪器或装置被操纵并固定到位，并提供心脏的稳定。 该装置可以包括组织稳定器，特别是组织稳定器，用于使用经由组织稳定器输送到心脏的压缩力来固定或稳定一部分打浆心脏。 稳定器可以包括稳定器基座和轴。 轴可以固定在适当的仪器安装件中，优选地固定到如本文所公开的牵开器或其他稳定的平台。 本发明的稳定剂提供对心脏表面上的目标血管的手术部位的改进的接近，并且可以包括促进目标血管的最佳表现的特征。

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：US5944736A

公开(公告)日：1999-08-31

申请号：US903516

申请日：1997-07-30

申请人： Charles S. Taylor ,  William N. Aldrich ,  Federico J. Benetti ,  Richard S. Ginn ,  Dwight P. Morejohn ,  Brent Regan ,  Eugene E. Reis ,  Ivan Sepetka ,  William F. Witt

发明人： Charles S. Taylor ,  William N. Aldrich ,  Federico J. Benetti ,  Richard S. Ginn ,  Dwight P. Morejohn ,  Brent Regan ,  Eugene E. Reis ,  Ivan Sepetka ,  William F. Witt

IPC分类号： A61B17/02 ,  A61B17/34 ,  A61B19/00

CPC分类号： A61B17/3423 ,  A61B17/0206 ,  A61B90/50 ,  A61B17/025 ,  A61B17/3476 ,  A61B2017/349

摘要： An access platform having a first and a second blade interconnected to a spreader member that laterally drives the blades apart or together and a sternal pad interconnected to a blade. The superior blade is pivotally coupled to the spreader member such that it naturally rises as the blades are separated. Alternatively, a vertical displacement member is operably interconnected to a blade and the spreader member and is used to vertically displace the interconnected superior blade and, thus, increase a surgeon's working space and visual access for the dissection of an internal mammary artery. A tissue retractor is interconnected to the blades to draw the soft tissue around an incision away from the surgeon's working area.

公开(公告)号：US5730757A

公开(公告)日：1998-03-24

申请号：US604161

申请日：1996-02-20

申请人： Federico J. Benetti ,  Charles S. Taylor ,  William N. Aldrich ,  Ivan Sepetka ,  Robert G. Matheny ,  Eugene E. Reis ,  Brent Regan ,  Richard M. Ferrari

发明人： Federico J. Benetti ,  Charles S. Taylor ,  William N. Aldrich ,  Ivan Sepetka ,  Robert G. Matheny ,  Eugene E. Reis ,  Brent Regan ,  Richard M. Ferrari

IPC分类号： A61B17/02 ,  A61B17/34 ,  A61B19/00

CPC分类号： A61B17/3423 ,  A61B17/0206 ,  A61B90/50 ,  A61B17/025 ,  A61B2017/3427 ,  A61B2017/349

摘要： An access platform having a first and a second blade interconnected to a spreader member that laterally drives the blades apart or together and support pads interconnected to the first blade. A torsional member is operably interconnected to the first blade and the spreader member and is used to vertically displace the first blade in either direction and, thus, increase a surgeon's working space and visual access for the dissection of an internal mammary artery. A tissue retractor interconnected to the blades is used to draw the soft tissue around an incision away from the surgeon's working area.

摘要翻译： 一种进入平台，其具有与扩展构件相互连接的第一和第二叶片，所述第一和第二叶片横向地驱动叶片彼此分离或一起，并且支撑与第一叶片互连的垫。 扭转构件可操作地连接到第一叶片和展开构件，并且用于沿任一方向垂直地移位第一叶片，并且因此增加外科医生的工作空间和用于内部乳房动脉解剖的视觉进入。 使用与叶片互连的组织牵开器将软组织围绕切口远离外科医生的工作区域。

公开(公告)号：US07909846B1

公开(公告)日：2011-03-22

申请号：US09480826

申请日：2000-01-10

申请人： Charles S. Taylor ,  William N. Aldrich ,  Federico J. Benetti ,  Richard S. Ginn ,  Dwight P. Morejohn ,  Brent Regan ,  Eugene E. Reis ,  Ivan Sepetka ,  William F. Witt

发明人： Charles S. Taylor ,  William N. Aldrich ,  Federico J. Benetti ,  Richard S. Ginn ,  Dwight P. Morejohn ,  Brent Regan ,  Eugene E. Reis ,  Ivan Sepetka ,  William F. Witt

IPC分类号： A61B17/04 ,  A61B17/02

CPC分类号： A61B17/3423 ,  A61B17/0206 ,  A61B17/025 ,  A61B17/3476 ,  A61B90/50 ,  A61B2017/349

摘要： An access platform having a first and a second blade interconnected to a spreader member that laterally drives the blades apart or together and a sternal pad interconnected to a blade. The superior blade is preferably pivotally coupled to the spreader member such that it naturally rises as the blades are separated. Alternatively, a vertical displacement member is operably interconnected to a blade and the spreader member and is used to vertically displace the interconnected superior blade and, thus, increase a surgeon's working space and visual access for the dissection of an internal mammary artery. A tissue retractor is interconnected to the blades to draw the soft tissue around an incision away from the surgeon's working area.

摘要翻译： 一种进入平台，具有互连到扩张器构件的第一和第二刀片，所述第二和第二刀片横向地驱动刀片彼此分开或一起，以及与刀片互连的胸骨垫。 优选的叶片优选地枢转地联接到扩展器构件，使得其随着叶片分离而自然地上升。 或者，垂直移位构件可操作地连接到叶片和吊架构件，并且用于垂直地移位互连的上叶片，并且因此增加外科医生的工作空间和用于解剖内部乳房动脉的视觉进入。 组织牵缩器与刀片相互连接以将软组织围绕切口远离外科医生的工作区域。

公开(公告)号：US06602189B1

公开(公告)日：2003-08-05

申请号：US09480830

申请日：2000-01-10

申请人： Federico J. Bennetti ,  Charles S. Taylor ,  William N. Aldrich ,  Ivan Sepetka ,  Robert G. Matheny ,  Eugene E. Reis ,  Brent Regan ,  Richard M. Ferrari

发明人： Federico J. Bennetti ,  Charles S. Taylor ,  William N. Aldrich ,  Ivan Sepetka ,  Robert G. Matheny ,  Eugene E. Reis ,  Brent Regan ,  Richard M. Ferrari

IPC分类号： A61B1728

CPC分类号： A61B17/3423 ,  A61B17/0206 ,  A61B17/025 ,  A61B17/3476 ,  A61B90/50 ,  A61B2017/349

摘要： An access platform having a first and a second blade interconnected to a spreader member that laterally drives the blades apart or together and a sternal pad interconnected to a blade. The superior blade is preferably pivotally coupled to the spreader member such that it naturally rises as the blades are separated. Alternatively, a vertical displacement member is operably interconnected to a blade and the spreader member and is used to vertically displace the interconnected superior blade and, thus, increase a surgeon's working space and visual access for the dissection of an internal mammary artery. A tissue retractor is interconnected to the blades to draw the soft tissue around an incision away from the surgeon's working area.

摘要翻译： 一种进入平台，具有互连到扩张器构件的第一和第二刀片，所述第二和第二刀片横向地驱动刀片彼此分开或一起，以及与刀片互连的胸骨垫。 优选的叶片优选地枢转地联接到扩展器构件，使得其随着叶片分离而自然地上升。 或者，垂直移位构件可操作地连接到叶片和吊架构件，并且用于垂直地移位互连的上叶片，并且因此增加外科医生的工作空间和用于解剖内部乳房动脉的视觉进入。 组织牵缩器与刀片相互连接以将软组织围绕切口远离外科医生的工作区域。

公开(公告)号：US07699774B1

公开(公告)日：2010-04-20

申请号：US09385812

申请日：1999-08-30

申请人： Charles S. Taylor ,  William N. Aldrich ,  Federico J. Benetti ,  Richard S. Ginn ,  Dwight P. Morejohn ,  Brent Regan ,  Eugene E. Reis ,  Ivan Sepetka ,  William F. Witt

发明人： Charles S. Taylor ,  William N. Aldrich ,  Federico J. Benetti ,  Richard S. Ginn ,  Dwight P. Morejohn ,  Brent Regan ,  Eugene E. Reis ,  Ivan Sepetka ,  William F. Witt

IPC分类号： A61B17/02 ,  A61M29/00

CPC分类号： A61B17/3423 ,  A61B17/0206 ,  A61B17/025 ,  A61B17/3476 ,  A61B90/50 ,  A61B2017/349

摘要： An access platform having a first and a second blade interconnected to a spreader member that laterally drives the blades apart or together and a sternal pad interconnected to a blade. The superior blade is pivotally coupled to the spreader member such that it naturally rises as the blades are separated. Alternatively, a vertical displacement member is operably interconnected to a blade and the spreader member and is used to vertically displace the interconnected superior blade and, thus, increase a surgeon's working space and visual access for the dissection of an internal mammary artery. A tissue retractor is interconnected to the blades to draw the soft tissue around an incision away from the surgeon's working area.

摘要翻译： 一种进入平台，具有互连到扩张器构件的第一和第二刀片，所述第二和第二刀片横向地驱动刀片彼此分开或一起，以及与刀片互连的胸骨垫。 上部叶片枢转地联接到扩展构件，使得其随着叶片分离而自然地上升。 或者，垂直移位构件可操作地连接到叶片和吊架构件，并且用于垂直地移位互连的上叶片，并且因此增加外科医生的工作空间和用于解剖内部乳房动脉的视觉进入。 组织牵缩器与刀片相互连接以将软组织围绕切口远离外科医生的工作区域。

公开(公告)号：US07288065B1

公开(公告)日：2007-10-30

申请号：US09480828

申请日：2000-01-10

申请人： Charles S. Taylor ,  William N. Aldrich ,  Federico J. Benetti ,  Richard S. Ginn ,  Dwight P. Morejohn ,  Brent Regan ,  Eugene E. Reis ,  Ivan Sepetka ,  William F. Witt

发明人： Charles S. Taylor ,  William N. Aldrich ,  Federico J. Benetti ,  Richard S. Ginn ,  Dwight P. Morejohn ,  Brent Regan ,  Eugene E. Reis ,  Ivan Sepetka ,  William F. Witt

IPC分类号： A61B17/04 ,  A61B1/32 ,  A61M29/00

CPC分类号： A61B17/3423 ,  A61B17/0206 ,  A61B17/025 ,  A61B17/3476 ,  A61B90/50 ,  A61B2017/349

摘要： An access platform having a first and a second blade interconnected to a spreader member that laterally drives the blades apart or together and a sternal pad interconnected to a blade. The superior blade is preferably pivotally coupled to the spreader member such that it naturally rises as the blades are separated. Alternatively, a vertical displacement member is operably interconnected to a blade and the spreader member and is used to vertically displace the interconnected superior blade and, thus, increase a surgeon's working space and visual access for the dissection of an internal mammary artery. A tissue retractor is interconnected to the blades to draw the soft tissue around an incision away from the surgeon's working area.

摘要翻译： 一种进入平台，具有互连到扩张器构件的第一和第二刀片，所述第二和第二刀片横向地驱动刀片彼此分开或一起，以及与刀片互连的胸骨垫。 优选的叶片优选地枢转地联接到扩展器构件，使得其随着叶片分离而自然地上升。 或者，垂直移位构件可操作地连接到叶片和吊架构件，并且用于垂直地移位互连的上叶片，并且因此增加外科医生的工作空间和用于解剖内部乳房动脉的视觉进入。 组织牵缩器与刀片相互连接以将软组织围绕切口远离外科医生的工作区域。