Locator and closure device and method of use
    11.
    发明申请
    Locator and closure device and method of use 有权
    定位器和闭合装置及其使用方法

    公开(公告)号:US20050085854A1

    公开(公告)日:2005-04-21

    申请号:US10687848

    申请日:2003-10-17

    申请人: Richard Ginn

    发明人: Richard Ginn

    IPC分类号: A61B17/00 A61B19/00 A61D1/00

    摘要: This invention relates to apparatus and methods for use in sealing a vascular puncture site and to apparatus and methods for properly locating and deploying a sealing device. The locating apparatus comprises a lumen which extends from an opening in the distal region of the apparatus but located proximally of the sealing device, which lumen extends to another opening in the proximal region of the device. When the distal opening is in communication with blood in a blood vessel, blood flow through the lumen and out of the proximal opening signifies such location to the user. When the sealing device is withdrawn such that the sealing device is deployed such that it blocks the blood flow into the distal port, the user will know the location of the sealing device. In a preferred embodiment, the sealing device is then withdrawn proximally a predetermined distance to assure that no part of the sealing device extends into the blood vessel lumen. The sealing device is then detached from the delivery device.

    摘要翻译: 本发明涉及用于密封血管穿刺部位的装置和方法以及用于适当定位和展开密封装置的装置和方法。 定位装置包括从设备的远侧区域中的开口延伸但位于密封装置的近侧的内腔,该内腔延伸到装置的近侧区域中的另一个开口。 当远端开口与血管中的血液连通时,血流通过内腔并离开近端开口表示使用者的这种位置。 当密封装置被抽出时,使得密封装置被展开,使得它阻止进入远端口的血流,使用者将知道密封装置的位置。 在优选实施例中,然后将密封装置向近侧撤回预定距离,以确保密封装置的任何部分不延伸进入血管内腔。 然后将密封装置从输送装置分离。

    Method and apparatus for the minimally invasive harvesting of a
saphenous vein and the like
    12.
    发明授权
    Method and apparatus for the minimally invasive harvesting of a saphenous vein and the like 失效
    用于隐性收获隐静脉等的方法和装置

    公开(公告)号:US6022313A

    公开(公告)日:2000-02-08

    申请号:US106741

    申请日:1998-06-29

    IPC分类号: A61B17/00 A61B1/04

    摘要: A minimally invasive technique for harvesting saphenous veins and the like for use as autografts in coronary artery bypass grafting surgery include a microsurgical instrument adapted to be demountably secured to the distal end of an endoscope. The instrument is inserted through an entry incision in the patient's skin, at the end of the endoscope which is used by a surgeon to advance the instrument along the saphenous vein, using the vein as a guide for the instrument. The instrument is tapered to provide initial separation of surrounding tissues from the vein, and cutting means supported by the instrument and viewed via the endoscope allow dissection of all tissues and side branch vessels from the saphenous vein. The instrument further provides a protective hood which prevents tissues or skin from blocking the endoscope. The desired length of saphenous vein is transected and is extracted via the entry incision. The technique minimizes trauma to the patient and to the saphenous vein graft.

    摘要翻译: 在冠状动脉旁路移植手术中收获用作自体移植物的隐静脉等的微创技术包括适于可拆卸地固定到内窥镜的远端的显微外科器械。 仪器通过外科医生使用的内窥镜末端穿过患者皮肤中的入口切口插入,使用静脉作为仪器的引导件,沿着隐静脉推进仪器。 仪器是锥形的,以提供周围组织与静脉的初始分离,以及由仪器支撑并通过内窥镜观察的切割装置允许从隐静脉解剖所有组织和侧分支血管。 该仪器还提供防止组织或皮肤阻塞内窥镜的保护罩。 所需的隐静脉长度被切断,并通过入口切口提取。 该技术最大限度地减少对患者和隐静脉移植物的创伤。

    Method and apparatus for the minimally invasive harvesting of a
saphenous vein and the like

    公开(公告)号:US5817013A

    公开(公告)日:1998-10-06

    申请号:US618662

    申请日:1996-03-19

    IPC分类号: A61B17/00 A61B1/04

    摘要: A minimally invasive technique for harvesting saphenous veins and the like for use as autografts in coronary artery bypass grafting surgery include a microsurgical instrument adapted to be demountably secured to the distal end of an endoscope. The instrument is inserted through an entry incision in the patient's skin, at the end of the endoscope which is used by a surgeon to advance the instrument along the saphenous vein, using the vein as a guide for the instrument. The instrument is tapered to provide initial separation of surrounding tissues from the vein, and cutting means supported by the instrument and viewed via the endoscope allow dissection of all tissues and side branch vessels from the saphenous vein. The instrument further provides a protective hood which prevents tissues or skin from blocking the endoscope. The desired length of saphenous vein is transected and is extracted via the entry incision. The technique minimizes trauma to the patient and to the saphenous vein graft.

    Systems and Methods for Treating Septal Defects
    16.
    发明申请
    Systems and Methods for Treating Septal Defects 审中-公开
    系统和方法治疗间隔缺损

    公开(公告)号:US20070112358A1

    公开(公告)日:2007-05-17

    申请号:US11427572

    申请日:2006-06-29

    IPC分类号: A61B17/10

    摘要: A system for treating a septal defect having an implantable treatment apparatus and devices for delivering the implantable treatment apparatus, devices for controlling delivery of the treatment apparatus and methods for treating a septal defect are provided. The implantable treatment apparatus is preferably implantable through a septal wall or portion thereof. The treatment system can include a flexible elongate body member, a delivery device configured to deliver the implantable apparatus, a stabilization device configured to stabilize the body member, a positioning device configured to position the delivery device in a desired location, and a proximal control device for controlling delivery of the implantable apparatus.

    摘要翻译: 提供一种用于治疗具有可植入治疗装置的间隔缺损的系统和用于递送可植入治疗装置的装置,用于控制治疗装置的输送的装置和用于治疗间隔缺损的方法。 可植入治疗装置优选通过中隔壁或其部分植入。 治疗系统可以包括柔性细长本体构件,配置成输送可植入装置的输送装置,被配置为使身体构件稳定的稳定装置,配置成将输送装置定位在期望位置的定位装置,以及近端控制装置 用于控制可植入装置的输送。

    Systems And Methods For Closing Internal Tissue Defects
    17.
    发明申请
    Systems And Methods For Closing Internal Tissue Defects 审中-公开
    关闭内部组织缺陷的系统和方法

    公开(公告)号:US20070073315A1

    公开(公告)日:2007-03-29

    申请号:US11558298

    申请日:2006-11-09

    IPC分类号: A61B17/08

    摘要: A delivery system having a steerable delivery device and an elastic clip for treating an internal tissue defect, such as septal defects and the like, is provided. The clip can be deformable between a relaxed state and a stressed state and biased towards the relaxed state. The delivery device can include a flexible tubular needle with a lumen for housing the clip while in the stressed state. When used to treat a septal defect, the needle is advancable through overlapping tissue flaps and a pusher member is advancable within the needle lumen to push the clip distally such that one end of the clip is deployed and engages a tissue flap. The needle can then be retracted allowing the clip to deploy over both flaps of tissue, where the biasing force returns the clip to the relaxed state drawing the tissue flaps together and closing the septal defect.

    摘要翻译: 提供了一种具有可转向递送装置和用于治疗内部组织缺陷(例如间隔缺损等)的弹性夹具的递送系统。 夹子可以在松弛状态和应力状态之间变形,并且朝向松弛状态偏置。 递送装置可以包括具有内腔的柔性管状针,以在处于应力状态时容纳夹子。 当用于治疗间隔缺损时,针可以通过重叠的组织瓣来推动,并且推动器构件可在针内腔内推进以向远侧推动夹子,使得夹子的一端展开并接合组织瓣。 然后针可以缩回,使得夹子能够在组织的两个翼片上展开,其中偏置力将夹子返回到松弛状态,将组织瓣片拉在一起并闭合间隔缺损。

    Systems and methods for closing internal tissue defects
    20.
    发明申请
    Systems and methods for closing internal tissue defects 审中-公开
    关闭内部组织缺陷的系统和方法

    公开(公告)号:US20050267495A1

    公开(公告)日:2005-12-01

    申请号:US10847747

    申请日:2004-05-17

    摘要: A delivery system having a steerable delivery device and an elastic clip for treating an internal tissue defect, such as septal defects and the like, is provided. The clip can be deformable between a relaxed state and a stressed state and biased towards the relaxed state. The delivery device can include a flexible tubular needle with a lumen for housing the clip while in the stressed state. When used to treat a septal defect, the needle is advancable through overlapping tissue flaps and a pusher member is advancable within the needle lumen to push the clip distally such that one end of the clip is deployed and engages a tissue flap. The needle can then be retracted allowing the clip to deploy over both flaps of tissue, where the biasing force returns the clip to the relaxed state drawing the tissue flaps together and closing the septal defect.

    摘要翻译: 提供了一种具有可转向递送装置和用于治疗内部组织缺陷(例如间隔缺损等)的弹性夹具的递送系统。 夹子可以在松弛状态和应力状态之间变形,并且朝向松弛状态偏置。 递送装置可以包括具有内腔的柔性管状针,以在处于应力状态时容纳夹子。 当用于治疗间隔缺损时,针可以通过重叠的组织瓣来推动,并且推动器构件可在针内腔内推进以向远侧推动夹子,使得夹子的一端展开并接合组织瓣。 然后针可以缩回,使得夹子能够在组织的两个翼片上展开,其中偏置力将夹子返回到松弛状态,将组织瓣片拉在一起并闭合间隔缺损。