公开(公告)号：US06685632B1

公开(公告)日：2004-02-03

申请号：US09958263

申请日：2002-03-06

申请人： Lawrence W. Hu ,  David J. Paul ,  Eugene Edward Reis ,  Harry Leonard II Green ,  Joshua K. Wallin ,  Dwight P. Morejohn ,  Charles S. Taylor ,  Gary B. Weller ,  Richard M. Ferrari

发明人： Lawrence W. Hu ,  David J. Paul ,  Eugene Edward Reis ,  Harry Leonard II Green ,  Joshua K. Wallin ,  Dwight P. Morejohn ,  Charles S. Taylor ,  Gary B. Weller ,  Richard M. Ferrari

IPC分类号： A61B1700

CPC分类号： A61B17/0206 ,  A61B17/0483 ,  A61B90/50 ,  A61B2017/0243 ,  Y10T403/32024 ,  Y10T403/32032

摘要： Surgical devices for stabilizing the heart which facilitate anastomosis under beating heart conditions. Various instruments or devices may be maneuvered and secured on a retractor device to provide stabilization of the heart. An instrument mount is provided which is preferably configured to accept a surgical instrument, such as a tissue stabilizer, and to allow the instrument to be easily maneuvered to a desired position and subsequently locked into position. Stabilizer devices each having at least one surface for contacting the heart and each being adapted to be mounted to the retractor while having the ability to be positioned in the desired location against the heart are provided.

摘要翻译： 用于稳定心脏的手术装置，其便于在心跳状态下吻合。 各种仪器或装置可以被操纵并固定在牵开装置上以提供心脏的稳定。 提供了一种仪器座，其优选地被配置为接受外科器械，例如组织稳定器，并且允许器械容易地操纵到期望的位置并随后锁定到位。 提供了每个具有用于接触心脏的至少一个表面的每个稳定器装置，并且每个表面适于安装到牵开器，同时具有抵抗心脏定位在所需位置的能力。

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：US06193732B1

公开(公告)日：2001-02-27

申请号：US09226662

申请日：1999-01-08

申请人： John J. Frantzen ,  Charles S. Taylor ,  Michael V. Morejohn ,  Dwight P. Morejohn ,  Ronald Devore

发明人： John J. Frantzen ,  Charles S. Taylor ,  Michael V. Morejohn ,  Dwight P. Morejohn ,  Ronald Devore

IPC分类号： A61B1708

CPC分类号： A61B17/1227 ,  A61B17/128 ,  A61B2017/00867

摘要： An improved surgical clip and clip applicator for placing a surgical clip over a target structure. The surgical clip generally has a pair of opposing clamp arms, each having an associated clamping surface, and a connecting portion joining the clamp arms and biasing them to a normally closed position. The surgical clip may be opened and locked into the open position prior to being loaded into a clip applicator or the surgical clip may be opened by a clip applicator itself. The surgical clip and clip applicators require reduced actuation forces and simplified applicator mechanisms.

摘要翻译： 一种用于将手术夹子放置在目标结构上的改进的手术夹子和夹子施加器。 手术夹具通常具有一对相对的夹持臂，每个夹具臂具有相关联的夹紧表面，以及连接部分，该连接部分将夹紧臂连接并将其偏置到常闭位置。 手术夹可以在装入夹子施加器之前打开并锁定到打开位置，或者手术夹可以由夹子施加器本身打开。 手术夹子和夹子施放器需要减少的致动力和简化的施用器机构。

公开(公告)号：US06478734B1

公开(公告)日：2002-11-12

申请号：US09378292

申请日：1999-08-20

申请人： Charles S. Taylor ,  William N. Aldrich ,  Dwight P. Morejohn

发明人： Charles S. Taylor ,  William N. Aldrich ,  Dwight P. Morejohn

IPC分类号： A61B1702

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, so 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通路。 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：US06776783B1

公开(公告)日：2004-08-17

申请号：US09747636

申请日：2000-12-21

申请人： John J. Frantzen ,  Charles S. Taylor ,  Michael V. Morejohn ,  Dwight P. Morejohn ,  Ronald Devore

发明人： John J. Frantzen ,  Charles S. Taylor ,  Michael V. Morejohn ,  Dwight P. Morejohn ,  Ronald Devore

IPC分类号： A61B1708

CPC分类号： A61B17/1227 ,  A61B17/128 ,  A61B2017/00867

摘要： An improved surgical clip and clip applicator for placing a surgical clip over a target structure. The surgical clip generally has a pair of opposing clamp arms, each having an associated clamping surface, and a connecting portion joining the clamp arms and biasing them to a normally closed position. The surgical clip may be opened and locked into the open position prior to being loaded into a clip applicator or the surgical clip may be opened by a clip applicator itself. The surgical clip and clip applicators require reduced actuation forces and simplified applicator mechanisms.

摘要翻译： 一种用于将手术夹子放置在目标结构上的改进的手术夹子和夹子施加器。 手术夹具通常具有一对相对的夹持臂，每个夹具臂具有相关联的夹紧表面，以及连接部分，该连接部分将夹紧臂连接并将其偏置到常闭位置。 手术夹可以在装入夹子施加器之前打开并锁定到打开位置，或者手术夹可以由夹子施加器本身打开。 手术夹子和夹子施放器需要减少的致动力和简化的施用器机构。

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。

公开(公告)号：US5925054A

公开(公告)日：1999-07-20

申请号：US790827

申请日：1997-01-23

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： A61B17/00 ,  A61B17/04 ,  A61B17/11 ,  A61B17/12 ,  A61B17/08

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

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：US6110190A

公开(公告)日：2000-08-29

申请号：US243238

申请日：1999-02-03

申请人： Richard S. Ginn ,  Hani Shennib ,  Charles S. Taylor ,  Ivan Sepetka

发明人： Richard S. Ginn ,  Hani Shennib ,  Charles S. Taylor ,  Ivan Sepetka

IPC分类号： A61B17/00 ,  A61B17/02 ,  A61B17/28 ,  A61B17/32 ,  A61B18/14

CPC分类号： A61B17/00008 ,  A61B17/02 ,  A61B17/00234 ,  A61B17/320016 ,  A61B2017/00867 ,  A61B2017/00969 ,  A61B2017/2905 ,  A61B2017/2927 ,  A61B2018/00916 ,  A61B2018/1253 ,  A61B2018/1407 ,  A61B2018/1435

摘要： A surgical instrument is configured to aid in performing a procedure of detaching an internal mammary artery (IMA) and the like, from the connecting tissues and side branch vessels which surround the artery in its native location, wherein the detaching procedure is preliminary to the performing of a coronary artery bypass grafting procedure and wherein the IMA is detached via a minimally invasive thoracotomy. To this end, an elongated slender rod includes a handle at its proximal end and an artery engaging loop, arc, fork configuration, or hook at its distal working end. Embodiments may incorporate electrosurgical capability or electrical insulation. A surgeon thus has means for harvesting an intact and undamaged graft vessel from its native location through a minimally invasive incision with enhanced speed, visibility, and freedom of motion.