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139 条记录 (耗时 0.029 秒)

    Low profile vessel occluder with and without detachable applicator
    21.
    发明授权
    Low profile vessel occluder with and without detachable applicator 失效
    具有和不具有可拆卸涂抹器的低轮廓血管封堵器

    公开(公告)号：US6001111A

    公开(公告)日：1999-12-14

    申请号：US8113

    申请日：1998-01-16

    申请人： Ivan Sepetka ,  Robert G. Matheny ,  James A. Magovern ,  Dwight P. Morejohn ,  Robert C. Glines

    发明人： Ivan Sepetka ,  Robert G. Matheny ,  James A. Magovern ,  Dwight P. Morejohn ,  Robert C. Glines

    IPC分类号： A61B17/04 ,  A61B17/06 ,  A61B17/064 ,  A61B17/122 ,  A61B17/128 ,  A61B17/00

    CPC分类号： A61B17/122 ,  A61B17/0487 ,  A61B17/06 ,  A61B17/0643 ,  A61B17/128 ,  A61B2017/0461 ,  A61B2017/0464

    摘要： A low profile unobtrusive occluder device is disclosed which is particularly applicable for occluding blood vessels in minimally invasive beating heart CABG surgical procedures, wherein relatively small surgical openings are provided. At least one flexible member is provided on the occluder, which is placed against the vessel. A suture thread is passed under the vessel to encompass the vessel between the occluder and suture thread. The suture thread is selectively attached to the occluder such that the flexible member, when deformed, applies continuous selected tension on the suture thread to apply a corresponding compression on the vessel which occludes the flow of blood. An applicator is attached to the occluder to enable installation thereof, but is detachable after installation such that only the low profile occluder remains on the heart surface during surgery. The applicator is re-attached to the occluder to facilitate removal of the latter. In an alternative embodiment, the occluder is formed as an adjustable part of a heart contacting member of a thoracotomy stabilizer apparatus.

    摘要翻译： 公开了一种低调的不引人注意的闭塞器装置，其特别适用于在微创搏动心脏CABG外科手术中闭塞血管，其中提供了相对较小的手术开口。 至少一个柔性构件设置在封闭器上，其抵靠容器放置。 缝合线在血管下方通过封闭器和缝合线之间的容器。 缝合线选择性地附接到闭塞器，使得当变形时，柔性构件在缝合线上施加连续的选定张力，以在封闭血流的血管上施加相应的压缩。 敷贴器附接到封堵器以使其能够安装，但是在安装之后可拆卸，使得在外科手术期间只有低轮廓的封堵器保留在心脏表面上。 将施用器重新连接到封堵器以便于去除封堵器。 在替代实施例中，封堵器形成为开胸稳定器装置的心脏接触构件的可调部分。

    Surgical method for stabilizing the beating heart during coronary artery bypass graft surgery
    23.
    发明授权
    Surgical method for stabilizing the beating heart during coronary artery bypass graft surgery 失效
    冠状动脉旁路移植手术中稳定跳动心脏的手术方法

    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。

    Detachable pusher-vasoocclusion coil assembly with threaded coupling
    25.
    发明授权
    Detachable pusher-vasoocclusion coil assembly with threaded coupling 失效
    具有螺纹联接功能的可拆卸式推动器 - 瓦斯绕组线圈组件

    公开(公告)号：US5234437A

    公开(公告)日：1993-08-10

    申请号：US806898

    申请日：1991-12-12

    申请人： Ivan Sepetka

    发明人： Ivan Sepetka

    IPC分类号： A61F2/82 ,  A61B17/00 ,  A61B17/12 ,  A61B19/00 ,  A61F2/00 ,  A61F2/06 ,  A61F2/84 ,  A61F2/88

    CPC分类号： A61B17/12022 ,  A61B17/1214 ,  A61B2017/12095 ,  A61B90/39

    摘要： A pusher-vasoocclusive coil assembly that is advanced through a catheter to a site within a vessel and is manipulated to detach the coil from the assembly. The pusher has a distal end that is initially threaded into the proximal end of the coil and the assembly includes a sleeve that is slid over the pusher and whose distal edge abuts the proximal end of the coil to hold the coil in place while the distal end of the pusher is threaded out of the coil to detach the coil at the site.

    摘要翻译： 推进器 - 血管收缩线圈组件，其通过导管前进到血管内的部位，并被操纵以将线圈从组件分离。 推动器具有最初螺纹连接到线圈的近端中的远端，并且组件包括在推动器上滑动的套筒，并且其远侧边缘邻近线圈的近端以将线圈保持就位，而远端 的推动器螺纹从线圈中脱离现场的线圈。