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公开(公告)号：US07542807B2
公开(公告)日：2009-06-02
申请号：US11186149
申请日：2005-07-20
CPC分类号： A61B18/14 , A61B1/12 , A61B5/0536 , A61B5/6852 , A61B18/1402 , A61B18/1442 , A61B18/1477 , A61B18/148 , A61B18/1492 , A61B18/18 , A61B18/20 , A61B2017/00243 , A61B2017/22051 , A61B2017/2945 , A61B2018/00011 , A61B2018/00023 , A61B2018/00029 , A61B2018/00083 , A61B2018/0022 , A61B2018/00291 , A61B2018/00345 , A61B2018/00351 , A61B2018/00363 , A61B2018/00375 , A61B2018/00404 , A61B2018/00577 , A61B2018/00875 , A61B2018/00982 , A61B2018/0225 , A61B2018/0262 , A61B2018/126 , A61B2018/1425 , A61B2018/1432 , A61B2090/373 , A61B2090/378 , A61N1/0587
摘要： Devices and methods provide for ablation of cardiac tissue for treating cardiac arrhythmias such as atrial fibrillation. Although the devices and methods are often to be used to ablate epicardial tissue in the vicinity of at least one pulmonary vein, various embodiments may be used to ablate other cardiac tissues in other locations on a heart. Devices generally include at least one tissue contacting member for contacting epicardial tissue and securing the ablation device to the epicardial tissue, and at least one ablation member for ablating the tissue. Various embodiments include features, such as suction apertures, which enable the device to attach to the epicardial surface with sufficient strength to allow the tissue to be stabilized via the device. For example, some embodiments may be used to stabilize a beating heart to enable a beating heart ablation procedure.
摘要翻译： 装置和方法提供用于治疗心律失常的心脏组织的消融，例如心房颤动。 尽管通常将装置和方法用于消融至少一个肺静脉附近的心外膜组织，但是可以使用各种实施例来消融心脏上其他位置的其他心脏组织。 装置通常包括用于接触心外膜组织并将消融装置固定到心外膜组织的至少一个组织接触构件以及用于烧蚀组织的至少一个消融构件。 各种实施例包括诸如抽吸孔的特征，其使得装置能够以足够的强度附着到心外膜表面，以允许组织通过装置稳定。 例如，一些实施例可用于稳定跳动心脏以实现搏动心脏消融手术。
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公开(公告)号：US20180310936A9
公开(公告)日：2018-11-01
申请号：US12886436
申请日：2010-09-20
IPC分类号： A61B17/08 , A61B17/122 , A61B17/068 , A61B17/128 , A61B17/00 , A61B17/32
CPC分类号： A61B17/083 , A61B17/0057 , A61B17/068 , A61B17/08 , A61B17/122 , A61B17/1285 , A61B17/320016 , A61B2017/00243
摘要： Devices and methods for clamping tissue and/or moving two tissue structures together by moving two plates or arm together. The pressure or force applied to the tissue may be used to bring the tissue together, to seal an opening or to cut through and remove a portion of the tissue. In one procedure disclosed, a clip applier may be used to apply one or more clips to the left atrial appendage of the heart to prevent clots from the left atrial appendage from embolizing and causing harm to the patient, such as a stroke.
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公开(公告)号：US20090076503A1
公开(公告)日：2009-03-19
申请号：US12323374
申请日：2008-11-25
IPC分类号： A61B18/18
CPC分类号： A61B18/14 , A61B1/12 , A61B5/0536 , A61B5/6852 , A61B18/1402 , A61B18/1442 , A61B18/1477 , A61B18/148 , A61B18/1492 , A61B18/18 , A61B18/20 , A61B2017/00243 , A61B2017/22051 , A61B2017/2945 , A61B2018/00011 , A61B2018/00023 , A61B2018/00029 , A61B2018/00083 , A61B2018/0022 , A61B2018/00291 , A61B2018/00345 , A61B2018/00351 , A61B2018/00363 , A61B2018/00375 , A61B2018/00404 , A61B2018/00577 , A61B2018/00875 , A61B2018/00982 , A61B2018/0225 , A61B2018/0262 , A61B2018/126 , A61B2018/1425 , A61B2018/1432 , A61B2090/373 , A61B2090/378 , A61N1/0587
摘要： Devices and methods provide for ablation of cardiac tissue for treating cardiac arrhythmias such as atrial fibrillation. Although the devices and methods are often be used to ablate epicardial tissue in the vicinity of at least one pulmonary vein, various embodiments may be used to ablate other cardiac tissues in other locations on a heart. Devices generally include at least one tissue contacting member for contacting epicardial tissue and securing the ablation device to the epicardial tissue, and at least one ablation member for ablating the tissue. Various embodiments include features, such as suction apertures, which enable the device to attach to the epicardial surface with sufficient strength to allow the tissue to be stabilized via the device. For example, some embodiments may be used to stabilize a beating heart to enable a beating heart ablation procedure. Many of the devices may be introduced into a patient via minimally invasive introducer devices and the like. Although devices and methods of the invention may be used to ablate epicardial tissue to treat atrial fibrillation, they may also be used in veterinary or research contexts, to treat various heart conditions other than atrial fibrillation and/or to ablate cardiac tissue other than the epicardium.
摘要翻译： 装置和方法提供用于治疗心律失常的心脏组织的消融，例如心房颤动。 虽然通常使用装置和方法来消融至少一个肺静脉附近的心外膜组织，但是可以使用各种实施例来消融心脏上其他位置的其他心脏组织。 装置通常包括用于接触心外膜组织并将消融装置固定到心外膜组织的至少一个组织接触构件以及用于烧蚀组织的至少一个消融构件。 各种实施例包括诸如抽吸孔的特征，其使得装置能够以足够的强度附着到心外膜表面，以允许组织通过装置稳定。 例如，一些实施例可用于稳定跳动心脏以实现搏动心脏消融手术。 可以通过微创导引器装置等将许多装置引入患者体内。 尽管本发明的装置和方法可用于消融心外膜组织以治疗房颤，但它们也可用于兽医学或研究领域，以治疗心房颤动以外的各种心脏病和/或除心外膜外的心脏组织 。
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14.发明申请Method and apparatus for improved stiffness in the linkage assembly of a flexible arm 审中-公开柔性臂连杆组件刚度改善的方法和装置公开(公告)号：US20050152739A1
公开(公告)日：2005-07-14
申请号：US11069403
申请日：2005-02-28
申请人： Tamer Ibrahim , Steve Geyster , James Gleeson , Thomas Haubert , James Prescott
发明人： Tamer Ibrahim , Steve Geyster , James Gleeson , Thomas Haubert , James Prescott
IPC分类号： A61B17/00 , A61B17/02 , A61B19/00 , A61K20060101 , F16C11/06 , F16C11/10 , F16L9/22 , F16L11/18 , F16M11/14 , F16M11/40
CPC分类号： F16M11/40 , A61B1/00149 , A61B17/02 , A61B90/50 , A61B2090/571 , F16L11/18 , F16M11/14 , F16M13/02 , F16M2200/022 , Y10T403/32032 , Y10T403/32041 , Y10T403/32311
摘要： The invention includes linkage assemblies comprising coupled links with metallic contact surfaces with improved stiffness. The inventors found significant mechanical problems with all previous descriptions of metallic contact links sufficient to preclude their commercial use. These metallic contact links are a significant improvement over existing plastic ball and metal joint, or all plastic beads as found in the prior art. The invention includes methods providing these links and high friction couplings between them, as well as the linkage assemblies and flexible arms resulting from these processes.
摘要翻译： 本发明包括连接组件，其包括具有改善刚度的具有金属接触表面的联接连杆。 本发明人发现了所有先前描述的金属接触连接足以阻止其商业用途的重大机械问题。 与现有技术中发现的现有塑料球和金属接头或所有塑料珠相比，这些金属接触连接是显着的改进。 本发明包括在它们之间提供这些连接和高摩擦联接的方法，以及由这些过程产生的连杆组件和柔性臂。
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公开(公告)号：US08523759B2
公开(公告)日：2013-09-03
申请号：US13325236
申请日：2011-12-14
申请人： Art Bertolero , Steve Geyster
发明人： Art Bertolero , Steve Geyster
IPC分类号： A61F2/00
CPC分类号： A61B17/0218 , A61B2017/0243
摘要： Methods for performing minimally invasive heart surgery include accessing a heart of a patient through a first incision on the left thorax of the patient, contacting the heart through the incision with a heart stabilizing device and/or a heart positioning device, introducing at least one coupling device through a second incision on the patient located apart from the first incision, coupling the coupling device with the heart stabilizing device or the heart positioning device, and performing a surgical procedure on the heart. Systems may include a retractor device, a heart stabilizing device, and a coupling device, for enhancing cardiac surgery. Any suitable heart surgery may be performed using methods, devices or systems of the present invention. In one embodiment, a CABG procedure is performed.
摘要翻译： 用于进行微创心脏手术的方法包括通过患者的左胸部的第一切口进入患者的心脏，通过切口与心脏稳定装置和/或心脏定位装置接触心脏，引入至少一个联接器 装置通过位于离开第一切口的患者上的第二切口，将联接装置与心脏稳定装置或心脏定位装置联接，并且在心脏上执行外科手术。 系统可以包括用于增强心脏手术的牵开器装置，心脏稳定装置和联接装置。 可以使用本发明的方法，装置或系统来执行任何合适的心脏手术。 在一个实施例中，执行CABG过程。
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公开(公告)号：US07682305B2
公开(公告)日：2010-03-23
申请号：US10731683
申请日：2003-12-08
申请人： Art Bertolero , Steve Geyster
发明人： Art Bertolero , Steve Geyster
IPC分类号： A61F2/00
CPC分类号： A61B17/0218 , A61B2017/0243
摘要： Methods for performing minimally invasive heart surgery include accessing a heart of a patient through a first incision on the left thorax of the patient, contacting the heart through the incision with a heart stabilizing device and/or a heart positioning device, introducing at least one coupling device through a second incision on the patient located apart from the first incision, coupling the coupling device with the heart stabilizing device or the heart positioning device, and performing a surgical procedure on the heart. Systems may include a retractor device, a heart stabilizing device, and a coupling device, for enhancing cardiac surgery. Any suitable heart surgery may be performed using methods, devices or systems of the present invention. In one embodiment, a CABG procedure is performed.
摘要翻译： 用于进行微创心脏手术的方法包括通过患者的左胸部的第一切口进入患者的心脏，通过切口与心脏稳定装置和/或心脏定位装置接触心脏，引入至少一个联接器 装置通过位于离开第一切口的患者上的第二切口，将联接装置与心脏稳定装置或心脏定位装置联接，并且在心脏上执行外科手术。 系统可以包括用于增强心脏手术的牵开器装置，心脏稳定装置和联接装置。 可以使用本发明的方法，装置或系统来执行任何合适的心脏手术。 在一个实施例中，执行CABG过程。
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公开(公告)号：US20100036195A1
公开(公告)日：2010-02-11
申请号：US12579607
申请日：2009-10-15
申请人： Art Bertolero , Steve Geyster
发明人： Art Bertolero , Steve Geyster
IPC分类号： A61B17/00
CPC分类号： A61B17/0218 , A61B2017/0243
摘要： Methods for performing minimally invasive heart surgery include accessing a heart of a patient through a first incision on the left thorax of the patient, contacting the heart through the incision with a heart stabilizing device and/or a heart positioning device, introducing at least one coupling device through a second incision on the patient located apart from the first incision, coupling the coupling device with the heart stabilizing device or the heart positioning device, and performing a surgical procedure on the heart. Systems may include a retractor device, a heart stabilizing device, and a coupling device, for enhancing cardiac surgery. Any suitable heart surgery may be performed using methods, devices or systems of the present invention. In one embodiment, a CABG procedure is performed.
摘要翻译： 用于进行微创心脏手术的方法包括通过患者的左胸部的第一切口进入患者的心脏，通过切口与心脏稳定装置和/或心脏定位装置接触心脏，引入至少一个联接器 装置通过位于离开第一切口的患者上的第二切口，将联接装置与心脏稳定装置或心脏定位装置联接，并且在心脏上执行外科手术。 系统可以包括用于增强心脏手术的牵开器装置，心脏稳定装置和联接装置。 可以使用本发明的方法，装置或系统来执行任何合适的心脏手术。 在一个实施例中，执行CABG过程。
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公开(公告)号：US20120083664A1
公开(公告)日：2012-04-05
申请号：US13325236
申请日：2011-12-14
申请人： Art Bertolero , Steve Geyster
发明人： Art Bertolero , Steve Geyster
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B2017/0243
摘要： Methods for performing minimally invasive heart surgery include accessing a heart of a patient through a first incision on the left thorax of the patient, contacting the heart through the incision with a heart stabilizing device and/or a heart positioning device, introducing at least one coupling device through a second incision on the patient located apart from the first incision, coupling the coupling device with the heart stabilizing device or the heart positioning device, and performing a surgical procedure on the heart. Systems may include a retractor device, a heart stabilizing device, and a coupling device, for enhancing cardiac surgery. Any suitable heart surgery may be performed using methods, devices or systems of the present invention. In one embodiment, a CABG procedure is performed.
摘要翻译： 用于进行微创心脏手术的方法包括通过患者的左胸部的第一切口进入患者的心脏，通过切口与心脏稳定装置和/或心脏定位装置接触心脏，引入至少一个联接器 装置通过位于离开第一切口的患者上的第二切口，将联接装置与心脏稳定装置或心脏定位装置联接，并且在心脏上执行外科手术。 系统可以包括用于增强心脏手术的牵开器装置，心脏稳定装置和联接装置。 可以使用本发明的方法，装置或系统来执行任何合适的心脏手术。 在一个实施例中，执行CABG过程。
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公开(公告)号：US08092368B2
公开(公告)日：2012-01-10
申请号：US12579607
申请日：2009-10-15
申请人： Art Bertolero , Steve Geyster
发明人： Art Bertolero , Steve Geyster
IPC分类号： A61F2/00
CPC分类号： A61B17/0218 , A61B2017/0243
摘要： Methods for performing minimally invasive heart surgery include accessing a heart of a patient through a first incision on the left thorax of the patient, contacting the heart through the incision with a heart stabilizing device and/or a heart positioning device, introducing at least one coupling device through a second incision on the patient located apart from the first incision, coupling the coupling device with the heart stabilizing device or the heart positioning device, and performing a surgical procedure on the heart. Systems may include a retractor device, a heart stabilizing device, and a coupling device, for enhancing cardiac surgery. Any suitable heart surgery may be performed using methods, devices or systems of the present invention. In one embodiment, a CABG procedure is performed.
摘要翻译： 用于进行微创心脏手术的方法包括通过患者的左胸部的第一切口进入患者的心脏，通过切口与心脏稳定装置和/或心脏定位装置接触心脏，引入至少一个联接器 装置通过位于离开第一切口的患者上的第二切口，将联接装置与心脏稳定装置或心脏定位装置联接，并且在心脏上执行外科手术。 系统可以包括用于增强心脏手术的牵开器装置，心脏稳定装置和联接装置。 可以使用本发明的方法，装置或系统来执行任何合适的心脏手术。 在一个实施例中，执行CABG过程。
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公开(公告)号：US20050010079A1
公开(公告)日：2005-01-13
申请号：US10731683
申请日：2003-12-08
申请人： Art Bertolero , Steve Geyster
发明人： Art Bertolero , Steve Geyster
IPC分类号： A61B20060101 , A61B1/32 , A61B17/02 , A61F13/00
CPC分类号： A61B17/0218 , A61B2017/0243
摘要： Methods for performing minimally invasive heart surgery include accessing a heart of a patient through a first incision on the left thorax of the patient, contacting the heart through the incision with a heart stabilizing device and/or a heart positioning device, introducing at least one coupling device through a second incision on the patient located apart from the first incision, coupling the coupling device with the heart stabilizing device or the heart positioning device, and performing a surgical procedure on the heart. Systems may include a retractor device, a heart stabilizing device, and a coupling device, for enhancing cardiac surgery. Any suitable heart surgery may be performed using methods, devices or systems of the present invention. In one embodiment, a CABG procedure is performed.
摘要翻译： 用于进行微创心脏手术的方法包括通过患者的左胸部的第一切口进入患者的心脏，通过切口与心脏稳定装置和/或心脏定位装置接触心脏，引入至少一个联接器 装置通过位于离开第一切口的患者上的第二切口，将联接装置与心脏稳定装置或心脏定位装置联接，并且在心脏上执行外科手术。 系统可以包括用于增强心脏手术的牵开器装置，心脏稳定装置和联接装置。 可以使用本发明的方法，装置或系统来执行任何合适的心脏手术。 在一个实施例中，执行CABG过程。
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