公开(公告)号：US06962595B1

公开(公告)日：2005-11-08

申请号：US10172781

申请日：2002-06-14

申请人： Scott O. Chamness ,  Nathan H. White ,  Theodore M. Bender ,  Brendan M. Donohoe ,  Jaime S. Vargas ,  Stephen A. Yencho ,  James T. Nielsen ,  Brian R. DuBois

发明人： Scott O. Chamness ,  Nathan H. White ,  Theodore M. Bender ,  Brendan M. Donohoe ,  Jaime S. Vargas ,  Stephen A. Yencho ,  James T. Nielsen ,  Brian R. DuBois

IPC分类号： A61B10/00 ,  A61B10/02 ,  A61B17/00 ,  A61B17/11 ,  A61B17/115 ,  A61B17/12 ,  A61B17/32 ,  A61B17/34 ,  A61B17/92 ,  A61B17/08

CPC分类号： A61B17/32053 ,  A61B17/115 ,  A61B17/12013 ,  A61B2010/0208 ,  A61B2017/00252 ,  A61B2017/00969 ,  A61B2017/1103 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2017/320064 ,  A61B2017/349 ,  A61B2017/925 ,  A61B2017/928

摘要： A single integrated tool is used both to create an opening in a vessel wall and deploy an anastomosis device into that opening, thereby simplifying an anastomosis procedure such as a coronary artery bypass graft procedure. The creation of the opening and deployment of the anastomosis device may be actuated with a single control.

摘要翻译： 使用单个集成工具来在血管壁中形成开口并将吻合装置部署到该开口中，从而简化了吻合程序，例如冠状动脉旁路移植手术。 吻合装置的打开和部署的创建可以用单个控制来启动。

公开(公告)号：US08398653B2

公开(公告)日：2013-03-19

申请号：US12968641

申请日：2010-12-15

申请人： Nathan H. White ,  Michael P. Schaller ,  Luke W. Clauson ,  Michael Murillo ,  Bernard A. Hausen

发明人： Nathan H. White ,  Michael P. Schaller ,  Luke W. Clauson ,  Michael Murillo ,  Bernard A. Hausen

IPC分类号： A61B17/068

CPC分类号： A61B17/115 ,  A61B17/1152 ,  A61B2017/00946 ,  A61B2017/07257 ,  A61B2017/22042

摘要： A surgical method for treating a tissue structure having a wall and a lumen may include providing a substantially rigid anvil and a flexible tip affixed to and extending from the distal end of that anvil; making an incision in the wall of the tissue structure; inserting the flexible tip and at least a portion of the rigid anvil through the incision into the lumen of the tissue structure; and deforming at least one connector, introduced from outside the wall of the tissue structure, against the portion of the rigid anvil located within the lumen of the tissue structure.

摘要翻译： 用于治疗具有壁和内腔的组织结构的手术方法可以包括提供固定到该砧座的远端并从该砧座的远端延伸的基本刚性的砧座和柔性尖端; 在组织结构的壁上进行切口; 将所述柔性尖端和所述刚性砧座的至少一部分穿过所述切口插入所述组织结构的内腔中; 以及使从所述组织结构的壁的外侧引入的至少一个连接器变形成位于所述组织结构的内腔内的所述刚性砧座的所述部分。

公开(公告)号：US08167898B1

公开(公告)日：2012-05-01

申请号：US12435653

申请日：2009-05-05

申请人： Michael P. Schaller ,  Michael Murillo ,  Nathan H. White ,  Hung K. Nguyen

发明人： Michael P. Schaller ,  Michael Murillo ,  Nathan H. White ,  Hung K. Nguyen

IPC分类号： A61B17/32

CPC分类号： A61B17/3209 ,  A61B17/07207 ,  A61B2017/07285

摘要： An exemplary surgical apparatus may include an anvil including an outer surface, a channel defined therein, and an aperture defined in the outer surface, where the aperture opens to the channel; and a cutter slidable along and within the channel, where at least a portion of the cutter is flexible. Another exemplary surgical apparatus may include an anvil including an open channel defined therein; and a one-piece cutter including a knife adjacent to a bending region, where the cutter is slidable in the channel; where the knife is initially held completely within the anvil, and where the knife flexes out of the channel and out of the anvil in response to proximal motion of the cutter. An exemplary surgical method of treating tissue within the body of a patient may include providing a flexible cutter including a knife; providing an anvil with a channel defined therein; holding the knife completely within the channel in a stowed position; placing the anvil adjacent to tissue; and moving the cutter proximally, wherein that moving causes at least part of the knife to flex out of the channel and into the tissue adjacent to the anvil.

摘要翻译： 示例性手术装置可以包括砧座，其包括外表面，限定在其中的通道和限定在外表面中的孔，其中孔向通道开口; 以及可沿着通道内和内部滑动的切割器，其中刀具的至少一部分是柔性的。 另一示例性外科手术装置可以包括其中限定的开放通道的砧座; 以及包括邻近弯曲区域的刀的单件式切割器，其中刀具在通道中可滑动; 其中刀最初完全保持在砧座内，并且其中刀响应于切割器的近端运动而从通道弯曲并离开砧座。 治疗患者体内的组织的示例性手术方法可包括提供包括刀的柔性切割器; 提供具有限定在其中的通道的砧座; 将刀完全夹在通道内的收纳位置; 将砧座放置在组织附近; 并且向近侧移动切割器，其中所述移动使至少一部分刀从所述通道弯曲并进入邻近所述砧座的组织中。

公开(公告)号：US08012164B1

公开(公告)日：2011-09-06

申请号：US10054745

申请日：2002-01-22

申请人： Brendan M. Donohoe ,  Theodore M. Bender ,  Brian R. DuBois ,  Scott O. Chamness ,  Stephen A. Yencho ,  Jaime S. Vargas ,  Nathan H. White ,  Gregory B. Arcenio ,  Heather L. Klaubert ,  Russell C. Mead, Jr.

发明人： Brendan M. Donohoe ,  Theodore M. Bender ,  Brian R. DuBois ,  Scott O. Chamness ,  Stephen A. Yencho ,  Jaime S. Vargas ,  Nathan H. White ,  Gregory B. Arcenio ,  Heather L. Klaubert ,  Russell C. Mead, Jr.

IPC分类号： A61B17/04 ,  A61B17/14

CPC分类号： A61B17/32053 ,  A61B2010/0208 ,  A61B2017/1135 ,  A61B2017/320064 ,  A61B2017/349 ,  A61B2017/925 ,  A61B2017/928

摘要： An auger is axially fixed to and positioned within a cutter. The auger and cutter advance at the same time relative to a contact structure placed against a vessel, penetrating the wall of the vessel and cutting a tissue plug. When the auger and the cutter are retracted from the vessel wall, the tissue plug is retained by the auger and cutter and removed from the vessel wall. The auger and the cutter thus create an opening in the vessel wall, without the need for a prior incision in that wall.

摘要翻译： 螺旋钻被轴向地固定到并定位在切割器内。 螺旋钻和切割器相对于靠着容器放置的接触结构同时前进，穿过容器的壁并切割组织塞。 当螺旋推运器和切割器从容器壁缩回时，组织塞被螺旋推运器和切割器保持，并从容器壁移除。 螺旋推运器和切割器因此在血管壁中形成开口，而不需要在该壁中进行先前的切口。

公开(公告)号：US20110106150A1

公开(公告)日：2011-05-05

申请号：US12968641

申请日：2010-12-15

申请人： Nathan H. White ,  Michael P. Schaller ,  Luke W. Clauson ,  Michael Murillo ,  Bernard A. Hausen

发明人： Nathan H. White ,  Michael P. Schaller ,  Luke W. Clauson ,  Michael Murillo ,  Bernard A. Hausen

IPC分类号： A61B17/064

CPC分类号： A61B17/115 ,  A61B17/1152 ,  A61B2017/00946 ,  A61B2017/07257 ,  A61B2017/22042

摘要： A surgical method for treating a tissue structure having a wall and a lumen may include providing a substantially rigid anvil and a flexible tip affixed to and extending from the distal end of that anvil; making an incision in the wall of the tissue structure; inserting the flexible tip and at least a portion of the rigid anvil through the incision into the lumen of the tissue structure; and deforming at least one connector, introduced from outside the wall of the tissue structure, against the portion of the rigid anvil located within the lumen of the tissue structure.

摘要翻译： 用于治疗具有壁和内腔的组织结构的手术方法可以包括提供固定到该砧座的远端并从该砧座的远端延伸的基本刚性的砧座和柔性尖端; 在组织结构的壁上进行切口; 将所述柔性尖端和所述刚性砧座的至少一部分穿过所述切口插入所述组织结构的内腔中; 以及使从所述组织结构的壁的外侧引入的至少一个连接器变形成位于所述组织结构的内腔内的刚性砧座的部分。

公开(公告)号：US07866523B1

公开(公告)日：2011-01-11

申请号：US11859058

申请日：2007-09-21

申请人： Nathan H. White ,  Michael P. Schaller ,  Luke W. Clauson ,  Michael Murillo ,  Bernard A. Hausen

发明人： Nathan H. White ,  Michael P. Schaller ,  Luke W. Clauson ,  Michael Murillo ,  Bernard A. Hausen

IPC分类号： A61B17/068

CPC分类号： A61B17/115 ,  A61B17/1152 ,  A61B2017/00946 ,  A61B2017/07257 ,  A61B2017/22042

摘要： A tool for treating tissue in conjunction with one or more connectors may include an anvil against which at least one connector is urged, and a flexible tip extending from the distal end of said anvil. At least one connector may be held by a connector holder that is pivotally connected to the anvil. The anvil may be used to treat tissue by making an incision in the wall of the blood vessel, inserting the flexible tip and at least a portion of the anvil through the incision into the lumen of the blood vessel, and deforming at least one connector, introduced from outside the wall of the blood vessel, against the portion of the anvil that is located within the lumen of the blood vessel.

摘要翻译： 用于与一个或多个连接器一起治疗组织的工具可以包括砧座，至少一个连接器被推向该砧座，以及从所述砧座的远端延伸的柔性尖端。 至少一个连接器可以由枢转地连接到砧座的连接器保持器保持。 砧座可以用于通过在血管壁中形成切口来处理组织，将柔性尖端和砧座的至少一部分穿过切口插入血管的内腔，并使至少一个连接器变形， 从血管壁的外部引入位于血管腔内的砧座部分。

公开(公告)号：US09414855B1

公开(公告)日：2016-08-16

申请号：US11935315

申请日：2007-11-05

申请人： Nathan H. White ,  Michael P. Schaller ,  Luke W. Clauson

发明人： Nathan H. White ,  Michael P. Schaller ,  Luke W. Clauson

IPC分类号： A61B17/3207

CPC分类号： A61B17/320783 ,  A61B17/07207 ,  A61B2017/07285

摘要： A tool for treating a target vessel may include a longitudinally elongated anvil, a channel defined substantially longitudinally in the anvil, and a knife rotatable from a stowed position substantially completely within the channel to an active position in which at least part of the knife extends upward out of the channel, whereby rotation of the knife from the stowed position to the active position incises the target vessel from the inside out. A method of treating a target vessel having a wall may include providing a longitudinally elongated anvil, a channel defined substantially longitudinally in the anvil, and a knife rotatable into and out of the channel; rotating the knife from a stowed position substantially completely within the channel to an active position in which at least part of the knife extends upward out of the channel, wherein the rotating causes the knife to penetrate through the wall of the target vessel; translating the knife along the anvil to create an incision having a length; and rotating the knife from the active position to a withdrawal position substantially completely within the channel, wherein the rotating is in the same direction as the rotating the knife from the stowed position to the active position.

摘要翻译： 用于处理目标血管的工具可以包括纵向细长的砧座，在砧座中基本上纵向限定的通道，以及可从基本上完全在通道内的收起位置旋转到活动位置的刀，其中刀的至少一部分向上延伸 从而使刀从收起位置旋转到主动位置将目标容器从内部切出。 处理具有壁的目标容器的方法可以包括提供纵向细长的砧座，在砧座中基本上纵向限定的通道，以及可转动地进入和离开通道的刀片; 将刀从收集位置基本上完全地在通道内旋转到活动位置，在该位置中刀的至少一部分向上延伸出通道，其中旋转使刀穿过目标血管的壁; 沿着砧座翻译刀以创建具有长度的切口; 并且将刀从主动位置旋转到基本上完全在通道内的取出位置，其中旋转方向与将刀从收起位置旋转到活动位置相同。