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    Method and apparatus for using vagus nerve stimulation in surgery
    21.
    发明授权
    Method and apparatus for using vagus nerve stimulation in surgery 失效
    手术中使用迷走神经刺激的方法和装置

    公开(公告)号：US06308104B1

    公开(公告)日：2001-10-23

    申请号：US09338303

    申请日：1999-06-22

    申请人： Charles S. Taylor ,  Robert G. Matheny ,  Dwight P. Morejohn

    发明人： Charles S. Taylor ,  Robert G. Matheny ,  Dwight P. Morejohn

    IPC分类号： A61N105

    CPC分类号： A61B17/122 ,  A61B17/1227 ,  A61B2017/0243 ,  A61N1/36014

    摘要： A method and apparatus for facilitating coronary surgery on the beating heart wherein the vagus nerve is electrically stimulated to purposely temporarily stop or substantially reduce the beating of the heart under precisely controlled conditions. The apparatus controllably applies the electrical stimulus to preselected locations along the vagus nerve and thus to preselected nerve branches related to the heart. The apparatus includes several clip and probe configurations for establishing electrical contact with the vagus nerve. Such purposely caused temporary stoppage or substantial reduction of the beating of the heart facilitates procedures such as suturing of an anastomosis which would otherwise be more difficult because of the motion induced by the beating heart.

    摘要翻译： 一种用于促进搏动心脏的冠状动脉手术的方法和装置，其中电刺激迷走神经以故意暂时地停止或基本上减少在精确控制的条件下的心跳。 该装置可控制地将电刺激应用于沿着迷走神经的预选位置，并因此应用于与心脏相关的预选神经分支。 该装置包括用于建立与迷走神经的电接触的多个夹子和探针配置。 这样有意地引起临时停止或大幅度减少心脏搏动的方法有助于诸如缝合吻合术的过程，否则由于跳动心脏引起的运动将更加困难。

    Method and apparatus for using vagus nerve stimulation in surgery
    23.
    发明授权
    Method and apparatus for using vagus nerve stimulation in surgery 失效
    手术中使用迷走神经刺激的方法和装置

    公开(公告)号：US5913876A

    公开(公告)日：1999-06-22

    申请号：US935126

    申请日：1997-09-22

    申请人： Charles S. Taylor ,  Robert G. Matheny ,  Dwight P. Morejohn

    发明人： Charles S. Taylor ,  Robert G. Matheny ,  Dwight P. Morejohn

    IPC分类号： A61B17/02 ,  A61B17/122 ,  A61B17/125 ,  A61N1/36 ,  A61N1/368

    CPC分类号： A61B17/122 ,  A61B17/1227 ,  A61B2017/0243 ,  A61N1/36014

    摘要： A method and apparatus for facilitating coronary surgery on the beating heart wherein the vagus nerve is electrically stimulated to purposely temporarily stop or substantially reduce the beating of the heart under precisely controlled conditions. The apparatus controllably applies the electrical stimulus to preselected locations along the vagus nerve and thus to preselected nerve branches related to the heart. The apparatus includes several clip and probe configurations for establishing electrical contact with the vagus nerve. Such purposely caused temporary stoppage or substantial reduction of the beating of the heart facilitates procedures such as suturing of an anastomosis which would otherwise be more difficult because of the motion induced by the beating heart.

    摘要翻译： 一种用于促进搏动心脏的冠状动脉手术的方法和装置，其中电刺激迷走神经以故意暂时地停止或基本上减少在精确控制的条件下的心跳。 该装置可控制地将电刺激应用于沿着迷走神经的预选位置，并因此应用于与心脏相关的预选神经分支。 该装置包括用于建立与迷走神经的电接触的多个夹子和探针配置。 这样有意地引起临时停止或大幅度减少心脏搏动的方法有助于诸如缝合吻合术的过程，否则由于跳动心脏引起的运动将更加困难。

    Surgical procedures and devices for increasing cardiac output of the heart
    24.
    发明授权
    Surgical procedures and devices for increasing cardiac output of the heart 失效
    用于增加心脏输出量的外科手术和装置

    公开(公告)号：US07361137B2

    公开(公告)日：2008-04-22

    申请号：US10096299

    申请日：2002-03-11

    申请人： Charles S. Taylor ,  Michael V. Morejohn

    发明人： Charles S. Taylor ,  Michael V. Morejohn

    IPC分类号： A61N1/362

    CPC分类号： A61B17/0401 ,  A61B17/00234 ,  A61B17/0487 ,  A61B2017/00247 ,  A61B2017/00557 ,  A61B2017/00632 ,  A61B2017/0404 ,  A61B2017/0464 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2018/00392 ,  A61F2/2481 ,  A61F2/2487

    摘要： Methods and devices for passively assisting the cardiac function of the heart are disclosed. A method of increasing the cardiac output of a heart includes providing a site of surgical access to the portion of the heart to be restrained, reducing the cardiac expansion of the portion of the heart to be restrained, and maintaining the reduction of cardiac expansion of the portion of the heart to be restrained for a substantial amount of time. Cardiac assist devices for increasing the cardiac output of the heart are disclosed comprising a reinforcing portion configured to contact a portion of the heart tissue wherein the reinforcing portion restricts the expansion of the portion of the heart tissue. The reinforcing portion can be a number of structures, including pads, frames, straps, and other retaining means for limiting cardiac expansion of the portion of the heart tissue to be restrained.

    摘要翻译： 公开了用于被动地协助心脏功能的方法和装置。 增加心脏心输出量的方法包括提供对被抑制心脏部分的手术通道的位置，减少被抑制的心脏部分的心脏扩张，以及维持心脏扩张的减少 心脏的一部分被约束了大量的时间。 公开了用于增加心脏的心输出量的心脏辅助装置，其包括构造成接触心脏组织的一部分的加强部分，其中增强部分限制心脏组织部分的扩张。 加强部分可以是许多结构，包括垫，框架，带和用于限制要抑制的心脏组织部分的心脏扩张的其它保持装置。

    Surgical devices for imposing a negative pressure to stabilize cardiac tissue during surgery
    25.
    发明授权
    Surgical devices for imposing a negative pressure to stabilize cardiac tissue during surgery 失效

    公开(公告)号：US06852075B1

    公开(公告)日：2005-02-08

    申请号：US09440106

    申请日：1999-11-15

    申请人： Charles S. Taylor

    发明人： Charles S. Taylor

    IPC分类号： A61B17/00 ,  A61B17/02 ,  A61B17/30 ,  A61B17/34 ,  A61B19/00 ,  A61F2/00

    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.

    Xyphoid access for cardiac surgical procedures
    26.
    发明授权
    Xyphoid access for cardiac surgical procedures 失效
    用于心脏外科手术的螺钉通道

    公开(公告)号：US06736774B2

    公开(公告)日：2004-05-18

    申请号：US09757128

    申请日：2001-01-08

    申请人： Federico J. Benetti ,  Charles S. Taylor ,  Michael V. Morejohn

    发明人： Federico J. Benetti ,  Charles S. Taylor ,  Michael V. Morejohn

    IPC分类号： A61B132

    CPC分类号： A61B17/0206 ,  A61B17/02 ,  A61B17/0293 ,  A61B2017/0237 ,  A61B2017/0243

    摘要： Surgical procedures on the beating heart are enabled by an incision made in the xyphoid area and specially designed retractors and related devices to facilitate cardiac surgical procedures. Specifically, coronary artery bypass graft procedures (CABG) are achieved using a vertically offsetting retractor or access platform in combination with a beating heart stabilizer. The surgical methodology permits procedures such as the CABG procedure without penetrating the rib cage or performing a sternotomy or thorocotomy.

    摘要翻译： 在心脏跳动的外科手术可以通过在假体区域中进行的切口和专门设计的牵开器和相关装置来促进心脏手术。 具体来说，冠状动脉旁路移植手术（CABG）使用垂直抵消的牵开器或进入平台与跳动心脏稳定器组合来实现。 手术方法允许诸如CABG手术的过程，而不穿透肋骨架或执行胸骨切开术或胸腔切开术。

    Perfusion device for maintaining blood flow in a vessel while isolating an anastomosis
    28.
    发明授权
    Perfusion device for maintaining blood flow in a vessel while isolating an anastomosis 失效
    用于在分离吻合期间维持血管中的血液流动的灌注装置

    公开(公告)号：US06071297A

    公开(公告)日：2000-06-06

    申请号：US956164

    申请日：1997-10-22

    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.

    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。

    Surgical instrument for cardiac valve repair on the beating heart
    29.
    发明授权
    Surgical instrument for cardiac valve repair on the beating heart 失效
    手术器械用于心脏瓣膜修复的跳动心脏

    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。