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    Surgical procedures and devices for increasing cardiac output of the heart
    21.
    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。

    Sergical procedures and devices for increasing cardiac output of the heart
    22.
    发明申请
    Sergical procedures and devices for increasing cardiac output of the heart 审中-公开
    用于增加心脏输出量的血清程序和装置

    公开(公告)号：US20080161638A1

    公开(公告)日：2008-07-03

    申请号：US12074181

    申请日：2008-02-29

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

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

    IPC分类号： A61F2/00

    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 retained.

    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，包括用于限制要保留的心脏组织部分的心脏扩张的垫，框架，带和其它保持装置。

    Surgical clips and apparatus and method for clip placement
    23.
    发明授权
    Surgical clips and apparatus and method for clip placement 有权
    手术夹子和夹子放置的装置和方法

    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。

    Method for facilitating the detachment of an artery and the like
    24.
    发明授权
    Method for facilitating the detachment of an artery and the like 失效
    促进动脉等的分离的方法

    公开(公告)号：US06453906B1

    公开(公告)日：2002-09-24

    申请号：US09625397

    申请日：2000-07-26

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

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

    IPC分类号： A61B1900

    CPC分类号： A61B17/00008 ,  A61B17/00234 ,  A61B17/02 ,  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.

    摘要翻译： 手术器械被配置为有助于执行从其周围的动脉周围的连接组织和侧分支血管分离内部乳腺动脉（IMA）等的步骤，其中分离程序是执行的初步 的冠状动脉旁路移植手术，其中通过微创开胸术分离IMA。 为此，细长杆在其近端包括手柄，在其远端工作端处包括动脉接合环，弧形，叉形结构或钩。 实施例可以包括电外科能力或电绝缘。 因此，外科医生具有通过具有增强的速度，可见性和运动自由的微创切口从其原始位置收集完整且未损坏的移植血管的手段。

    Surgical instrument for facilitating the detachment of an artery and the like
    25.
    发明授权
    Surgical instrument for facilitating the detachment of an artery and the like 失效
    用于促进动脉等的分离的手术器械

    公开(公告)号：US6110170A

    公开(公告)日：2000-08-29

    申请号：US106867

    申请日：1998-06-29

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

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

    IPC分类号： A61B17/00 ,  A61B17/02 ,  A61B17/28 ,  A61B17/32 ,  A61B18/14 ,  A61B18/18

    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.

    摘要翻译： 外科器械被配置为有助于执行从其周围的动脉周围的连接组织和侧分支血管分离内部乳腺动脉（IMA）等的步骤，其中分离程序是执行的初步 的冠状动脉旁路移植手术，其中通过微创开胸术分离IMA。 为此，细长杆在其近端包括手柄，在其远端工作端处包括动脉接合环，弧形，叉形结构或钩。 实施例可以包括电外科能力或电绝缘。 因此，外科医生具有通过具有增强的速度，可见性和运动自由的微创切口从其原始位置收集完整且未损坏的移植血管的手段。

    Surgical devices for imposing a negative pressure to stabilize cardiac tissue during surgery
    28.
    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.

    Surgical instruments and procedures for stabilizing the beating heart during coronary artery bypass graft surgery
    30.
    发明授权
    Surgical instruments and procedures for stabilizing the beating heart during coronary artery bypass graft surgery 失效
    用于在冠状动脉旁路移植手术期间稳定跳动心脏的手术器械和程序

    公开(公告)号：US06394951B1

    公开(公告)日：2002-05-28

    申请号：US09525774

    申请日：2000-03-13

    申请人： Charles S. Taylor ,  Dwight P. Morejohn ,  Benjamin Sherman ,  Gary B. Weller ,  William Friederich Witt ,  Caralin R. Adair

    发明人： Charles S. Taylor ,  Dwight P. Morejohn ,  Benjamin Sherman ,  Gary B. Weller ,  William Friederich Witt ,  Caralin R. Adair

    IPC分类号： A61B132

    CPC分类号： A61B17/3421 ,  A61B17/00234 ,  A61B17/02 ,  A61B17/0206 ,  A61B17/0218 ,  A61B17/0642 ,  A61B17/12 ,  A61B17/3423 ,  A61B17/8076 ,  A61B90/00 ,  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： 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。