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公开(公告)号：US06447484B1
公开(公告)日：2002-09-10
申请号：US09012520
申请日：1998-01-23
申请人： Roderick E. Briscoe , Paul F. Rom , Karyl L. Stapert , David B. DeWindt , Ronald A. Devries , Steven R. Gundry , William F. Sidor
发明人： Roderick E. Briscoe , Paul F. Rom , Karyl L. Stapert , David B. DeWindt , Ronald A. Devries , Steven R. Gundry , William F. Sidor
IPC分类号： A61M5178
CPC分类号： A61M25/0021 , A61B17/3415 , A61B2017/00243 , A61M25/00 , A61M25/0023 , A61M25/0045 , A61M25/0068 , A61M25/007 , A61M2025/0018 , A61M2025/0079 , A61M2210/125
摘要： An obturator for a cannula includes an elongate member and a flexible disc. The cannula has proximal and distal ends and a lumen extending therebetween. The distal end of the cannula has a circular cross-section. The cannula also includes a first portion having a non-circular cross-section and at least one fluid aperture formed adjacent the distal end. The flexible disc of the obturator is coupled to a distal end of the elongate member, both of which are adapted to be telescopically received in the lumen of the cannula. The flexible disc is configured to restrict the flow of fluid, entering the at least one fluid aperture, through the lumen.
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公开(公告)号：US5385548A
公开(公告)日：1995-01-31
申请号：US51023
申请日：1993-04-22
CPC分类号： A61M25/1002 , A61M2025/1052 , A61M2025/1095 , A61M2210/127
摘要： A catheter for retrograde perfusion of the heart through the coronary sinus, which has an infusion lumen for introducing perfusion liquid into the heart, a self inflating balloon, and a channeled flow tip at a distal end of the catheter for perfusing a cardioplegia solution into the coronary sinus.
摘要翻译： 用于通过冠状窦逆行灌注心脏的导管，其具有用于将灌注液体引入心脏的输液腔，自充气球囊和在导管的远端处的通道流动尖端，用于将心麻痹液注入 冠状窦
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公开(公告)号：US08167867B2
公开(公告)日：2012-05-01
申请号：US11893393
申请日：2007-08-16
申请人： Roderick E. Briscoe , Paul F. Rom , Karyl L. Stapert , David B. DeWindt , Ronald A. Devries , Steven R Gundry , William F Sidor
发明人： Roderick E. Briscoe , Paul F. Rom , Karyl L. Stapert , David B. DeWindt , Ronald A. Devries , Steven R Gundry , William F Sidor
IPC分类号： A61M25/00
CPC分类号： A61M25/0021 , A61B17/3415 , A61B2017/00243 , A61M25/00 , A61M25/0023 , A61M25/0045 , A61M25/0068 , A61M25/007 , A61M2025/0018 , A61M2025/0079 , A61M2210/125
摘要： A method of performing minimally invasive cardiac surgery includes the step of creating an access aperture into a patient's chest cavity, the access aperture being considerably smaller than a traditional cardiac surgery incision. A cannula is provided that has an oval portion with a longer major axis and a shorter minor axis and the cannula is inserted into the chest cavity through the access aperture.
摘要翻译： 执行微创心脏手术的方法包括在患者胸腔中产生进入孔的步骤，所述进入孔远小于传统的心脏手术切口。 提供一种具有椭圆形部分的套管，该椭圆形部分具有较长的长轴和较短的短轴，套管通过进入孔插入胸腔。
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公开(公告)号：US07909794B2
公开(公告)日：2011-03-22
申请号：US10858685
申请日：2004-06-01
IPC分类号： A61M29/00
CPC分类号： A61M25/10 , A61M25/0075 , A61M25/10184 , A61M29/02 , A61M2025/1052
摘要： An autoinflating catheter and balloon assembly having an autoregulating structure to prevent overinflation of the balloon as a result of variable fluid flow rates through the catheter lumen. A tight-fitting elastomeric balloon is provided on the distal end of the catheter body, and the assembly is constructed so that at least a portion of the fluid flow through the lumen is directed to the balloon to inflate it. As the balloon is inflated, more and more of the fluid flow through the catheter is discharged from the catheter, thereby preventing overinflation of the balloon.
摘要翻译： 一种具有自动调节结构的自动填充导管和球囊组件，以防止由于可变的流体流速通过导管内腔而导致球囊过度充气。 在导管主体的远端设置紧密的弹性体球囊，并且该组件被构造成使得流过该内腔的流体的至少一部分被引导到气囊以使其膨胀。 当气囊膨胀时，流过导管的越来越多的流体从导管排出，从而防止气囊的过度充气。
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公开(公告)号：US20090105630A1
公开(公告)日：2009-04-23
申请号：US11948290
申请日：2007-11-30
IPC分类号： A61M1/34
CPC分类号： B01D19/0057 , A61M1/3633 , A61M2206/10 , A61M2206/16
摘要： An arterial line blood filter for use in extracorporeal blood circuits during heart bypass surgery has, among other components, a housing with a cap portion, a base portion, and a generally cylindrical wall portion. The blood filter has a filter element disposed within the housing. An inlet is positioned at an upward angle with respect to the housing and includes an opening in the generally cylindrical wall portion in fluid communication with the inlet chamber. In some embodiments the position of the inlet limits the pressure drop and prime volume of the filter. According to one embodiment, the cap portion has an upwardly sloping inner surface and there is a vent in the cap portion. The inner surface of the cap portion can have a projection proximate the vent configured to limit immobilization of gaseous microemboli within the inlet chamber.
摘要翻译： 在心脏旁路手术期间用于体外血液回路的动脉血液过滤器除了其它部件之外还具有具有盖部分，基部部分和大致圆柱形壁部分的壳体。 血液过滤器具有设置在壳体内的过滤元件。 入口相对于壳体以向上的角度定位，并且在大致圆柱形壁部分中包括与入口室流体连通的开口。 在一些实施例中，入口的位置限制了过滤器的压降和原始体积。 根据一个实施例，帽部分具有向上倾斜的内表面，并且在帽部分中具有通气口。 帽部分的内表面可以具有靠近通气口的突出部，其构造成限制气体微栓塞在入口室内的固定。
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46.发明授权公开(公告)号：US07497857B2
公开(公告)日：2009-03-03
申请号：US10425531
申请日：2003-04-29
申请人： Roderick E. Briscoe
发明人： Roderick E. Briscoe
CPC分类号： A61B18/1492 , A61B18/16 , A61B2018/00148 , A61B2018/00214 , A61B2018/0022 , A61B2018/00351
摘要： Methods and devices for forming a lesion in a target tissue having a cavity within. A first RF electrode and a second RF electrode can be coupled to opposite poles of an RF current source. The second electrode can be inserted into the tissue cavity and expanded to contact the target tissue from within. The first electrode can be externally disposed against the target tissue while applying RF current between the first and second electrodes to ablate the target tissue. Some methods are directed to ablating tribiculated atrial wall tissue to treat atrial fibrillation. The second electrode can contact the tribiculated tissue directly from within to provide a direct path between the two electrodes. In some methods, the second electrode is inserted through an incision made to remove an atrial appendage. The methods can provide deeper, narrower lesions relative to those made using remote, indifferent electrodes. Atrial fibrillation ablation procedures can be performed using the invention, requiring fewer incisions than conventional methods.
摘要翻译： 在具有腔内的靶组织中形成病变的方法和装置。 第一RF电极和第二RF电极可以耦合到RF电流源的相对极。 第二电极可以插入到组织腔中并膨胀以从内部接触靶组织。 第一电极可以在外部设置在靶组织上，同时在第一和第二电极之间施加RF电流以烧蚀靶组织。 一些方法是针对消融多发性心房壁组织以治疗房颤。 第二电极可以直接从内部接触多形性组织以提供两个电极之间的直接路径。 在一些方法中，第二电极通过切口插入以除去心耳。 相对于使用远程，无关电极的方法，这些方法可以提供更深，更窄的病变。 可以使用本发明进行心房颤动消融手术，比常规方法需要更少的切口。
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公开(公告)号：US20080249546A1
公开(公告)日：2008-10-09
申请号：US11970319
申请日：2008-01-07
申请人： Jeffrey D. Sandstrom , Eric A. Meyer , Damian A. Jelich , Robert H. Reetz , Roderick E. Briscoe
发明人： Jeffrey D. Sandstrom , Eric A. Meyer , Damian A. Jelich , Robert H. Reetz , Roderick E. Briscoe
IPC分类号： A61B17/08
CPC分类号： A61B17/115 , A61B17/0644 , A61B17/1155 , A61B2017/00243 , A61B2017/00867 , A61B2017/0647 , A61B2017/1107 , A61B2017/1135
摘要： A surgical connection apparatus including a plurality of delivery assemblies, a housing assembly, and a drive mechanism. The delivery assemblies each include an outer member, an inner member, and optionally a retention member. The inner member is disposed within the outer member, terminates at a distal tip and forms an internal passage that is open at a window. The delivery assemblies releasably retain a self-closing clip. The housing assembly maintains the delivery assemblies in a generally circular arrangement. The drive mechanism operates to transition the delivery assembly in releasing a self-closing clip from the corresponding delivery assembly. With this construction, a plurality of self-closing clips can be simultaneously deployed in a manner effectuating, for example, an end-to-side anastomosis.
摘要翻译： 一种外科连接装置，包括多个输送组件，壳体组件和驱动机构。 输送组件各自包括外部构件，内部构件和可选地保持构件。 内部构件设置在外部构件中，终止于远侧末端并形成在窗口处打开的内部通道。 输送组件可释放地保持自闭合夹。 壳体组件将输送组件保持为大致圆形的布置。 驱动机构用于在从相应的输送组件释放自闭合夹子的过程中转换输送组件。 利用这种结构，可以以例如端对侧吻合的方式同时展开多个自闭合夹。
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公开(公告)号：US06758809B2
公开(公告)日：2004-07-06
申请号：US10164734
申请日：2002-06-06
IPC分类号： A61B1702
CPC分类号： A61B17/02 , A61B90/50 , A61B2017/00314 , A61B2017/0243 , A61B2017/2904 , A61B2017/2905 , A61B2017/308 , A61B2090/571
摘要： An improved stabilizer or retractor or other surgical tool having an elongated distal arm carrying a tissue-contacting mechanism at its distal end and a tensioning mechanism at its proximal end for locking functional components of the tool in a desired position or configuration. The tensioning mechanism is mounted to a turret or other structure attaching the distal arm to a base by means of a shorter, proximally extending flexible arm. The flexible proximal arm allows the tensioning mechanism to be moved relative to the base so that it can be placed more conveniently in the operative field.
摘要翻译： 一种改进的稳定器或牵开器或其它手术工具，其具有在其远端承载组织接触机构的细长远侧臂和其近端处的张紧机构，用于将所述工具的功能部件锁定在期望的位置或构型。 张紧机构安装到转台或其他结构，通过较短的向近端延伸的柔性臂将远端臂连接到基座。 柔性近侧臂允许张紧机构相对于基部移动，使得其可以更方便地放置在手术区域中。
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49.发明授权
公开(公告)号：US5807328A
公开(公告)日：1998-09-15
申请号：US625911
申请日：1996-04-01
申请人： Roderick E. Briscoe
发明人： Roderick E. Briscoe
CPC分类号： A61M25/0075 , A61M25/10 , A61M2025/1052
摘要： A catheter assembly having a selectively occluded and vented lumen is provided. The catheter includes an obturator for preventing the back flow of fluid from the distal tip of the catheter into a balloon provided on the body of the catheter. The catheter has at least one groove for venting the balloon during the process of inserting the catheter assembly into fluid under pressure. The combination of the obturator and the venting groove prohibits premature inflation of the balloon by pressurized fluid entering the distal end of the catheter and also enables for the venting of any air entrapped inside the balloon prior to inflation thereof. When incorporated into a retrograde cardioplegia solution catheter, this structure dramatically reduces the force needed to insert the catheter assembly into the coronary sinus and also reduces trauma to the tissue of the coronary sinus during the insertion process.
摘要翻译： 提供了具有选择性闭塞和通气腔的导管组件。 导管包括用于防止流体从导管的远端顶端返回到设置在导管主体上的球囊的闭塞器。 在将导管组件压入流体的过程中，导管具有至少一个用于排出气囊的凹槽。 闭孔器和通气槽的组合禁止通过进入导管远端的加压流体对球囊的过早充气，并且还使得在充气之前将气球中的任何空气排出。 当结合到逆行心麻痹解决方案导管中时，该结构显着降低将导管组件插入冠状窦所需的力，并且还可以在插入过程中减少冠状窦组织的创伤。
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公开(公告)号：US5429608A
公开(公告)日：1995-07-04
申请号：US228713
申请日：1994-04-18
CPC分类号： A61M25/002 , A61M25/0111
摘要： An apparatus for the sanitary simultaneous removal of a plurality of indwelling tubes from an implantation site in a patient comprises a tube adapter that is connectable to the indwelling tubes. An impervious sleeve is fan-folded into a hub which extends around the tube adapter. In assembly the folded sleeve is retained by a shrink-wrapped plastic film. The sleeve can be extended for receiving the indwelling tubes therethrough and to encompass the implantation site. The indwelling tube and the implantation site are isolated from the environment when the distal open end of the sleeve is extended and applied about the implantation site and the indwelling tube is withdrawn into the sleeve. A drawstring is provided for closing the distal end of the sleeve after the tube has been withdrawn. The indwelling tubes can be maintained under suction or in connection with a drain during the removal operation.
摘要翻译： 用于从患者的植入部位卫生地同时移除多个留置管的装置包括可连接到留置管的管适配器。 不可渗透的套管被风扇折叠成围绕管接头延伸的毂。 在组装中，折叠的套筒由收缩包装的塑料膜保持。 套筒可以被延伸用于接收留置的管子并且包围植入部位。 当套管的远侧开口端延伸并且围绕植入部位施加并且将留置管撤回到套管中时，留置管和植入部位与环境隔离。 提供束带，用于在管被抽出之后关闭套管的远端。 在拆卸操作期间，留置管可以保持在抽吸下或与排水管连接。
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