公开(公告)号：US06652541B1

公开(公告)日：2003-11-25

申请号：US09664589

申请日：2000-09-18

申请人： Jaime Vargas ,  Stephen A. Yencho ,  Jamey Nielsen ,  Michael Hendricksen ,  Bernard A. Hausen

发明人： Jaime Vargas ,  Stephen A. Yencho ,  Jamey Nielsen ,  Michael Hendricksen ,  Bernard A. Hausen

IPC分类号： A61B1711

CPC分类号： A61B17/11 ,  A61B17/064 ,  A61B17/0644 ,  A61B17/32053 ,  A61B17/3415 ,  A61B17/3439 ,  A61B2017/00247 ,  A61B2017/0641 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2018/00392 ,  A61F2/064

摘要： An anastomosis device is a one piece device for connecting a graft vessel to a target vessel without the use of conventional sutures. The anastomosis device includes an expandable tube configured to have a graft vessel secured to the tube. The device has an expandable linkage positioned at one end of the device and expansion of this linkage causes a first radially extending flange to fold outward. This first flange abuts an interior wall of a target vessel and a second flange is formed which abuts an exterior wall of the target vessel trapping the target vessel between the two flanges and secures the end of the graft vessel into an opening in the wall of the target vessel. The device greatly increases the speed with which anastomosis can be performed over known suturing methods and allows anastomosis to be performed in tight spaces.

摘要翻译： 吻合装置是用于在不使用常规缝合线的情况下将移植血管连接到靶血管的单件装置。 吻合装置包括可扩张管，其构造成具有固定到管的移植脉管。 该装置具有位于装置的一端的可扩张连接件，并且该连杆的膨胀使得第一径向延伸的凸缘向外折叠。 该第一法兰邻接目标血管的内壁，并且形成第二凸缘，该第二凸缘邻接在两个凸缘之间捕集目标血管的靶血管的外壁，并将移植血管的端部固定在 目标船。 该设备大大增加了可以通过已知的缝合方法进行吻合的速度，并允许在狭窄的空间中进行吻合。

公开(公告)号：US06419681B1

公开(公告)日：2002-07-16

申请号：US09437428

申请日：1999-11-15

申请人： Jaime Vargas ,  James T. Nielsen ,  Michael Hendricksen ,  Brendan M. Donohoe ,  Stephen Yencho ,  Bernard Hausen

发明人： Jaime Vargas ,  James T. Nielsen ,  Michael Hendricksen ,  Brendan M. Donohoe ,  Stephen Yencho ,  Bernard Hausen

IPC分类号： A61B1704

CPC分类号： A61B17/11 ,  A61B17/064 ,  A61B17/0644 ,  A61B17/32053 ,  A61B17/3415 ,  A61B17/3439 ,  A61B2017/00247 ,  A61B2017/0641 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2018/00392 ,  A61F2/064

摘要： A medical device which can be implanted at a target site in a living body. The device includes an inner flange formed by radial expansion of the device and an outer flange formed by axial compression of the device. The device can include an implant portion and a discard portion which separate from each other during formation of the outer flange. The separation can occur by fracturing a frangible linkage or by mechanically separating a portion of the outer flange from a deployment tool. The device can be a one piece anastomosis device for connecting a graft vessel to a target vessel without the use of conventional sutures. The inner and outer flanges capture the edges of an opening in a target vessel and secure the graft vessel to the opening in the target vessel. The device greatly increases the speed with which anastomosis can be performed over known suturing methods.

公开(公告)号：US06402764B1

公开(公告)日：2002-06-11

申请号：US09440116

申请日：1999-11-15

申请人： Michael Hendricksen ,  Theodore Bender ,  Brendan M. Donohoe ,  Jaime Vargas ,  Andrew Frazier ,  Stephen Yencho ,  Bernard Hausen

发明人： Michael Hendricksen ,  Theodore Bender ,  Brendan M. Donohoe ,  Jaime Vargas ,  Andrew Frazier ,  Stephen Yencho ,  Bernard Hausen

IPC分类号： A61B1700

CPC分类号： A61F2/064 ,  A61B17/0644 ,  A61B17/11 ,  A61B2017/0641 ,  A61B2017/1107

摘要： An everter and threadthrough system useful for attaching a graft vessel to a anastomosis device which can be used to attach a graft vessel to a target vessel without the use of conventional sutures. The threadthrough system engages an end of the graft vessel and pulls the graft vessel through a deployment tool until a portion of the graft vessel extends beyond a distal end of the anastomosis device mounted on the deployment tool. The everter includes a spreading mechanism which expands the end of the graft vessel and folds the expanded end over the anastomosis device. In the case where the anastomosis device includes barbs, the everter can effect penetration of the graft vessel by the barbs. Once the graft vessel is everted over the anastomosis device, the deployment tool can be used to attach the graft vessel to a target vessel.

摘要翻译： 一种用于将移植血管附接到吻合装置的永久和穿线系统，该吻合装置可用于在不使用常规缝合线的情况下将移植血管附着到靶血管。 穿线系统接合移植物容器的端部并且通过展开工具拉动移植物容器，直到移植物容器的一部分延伸超过安装在展开工具上的吻合装置的远端。 其中包括扩张机构，其扩展移植物血管的末端并将扩张的末端折叠在吻合装置上。 在吻合装置包括倒钩的情况下，永久性可以通过倒钩来影响移植脉管的穿透。 一旦移植物容器绕过吻合装置，就可以使用展开工具将移植物容器附接到目标血管。

公开(公告)号：US06371964B1

公开(公告)日：2002-04-16

申请号：US09440263

申请日：1999-11-15

申请人： Jaime Vargas ,  Brendan M. Donohoe ,  Scott C. Anderson ,  Theodore Bender ,  Stephen Yencho ,  Bernard Hausen ,  Michael Hendricksen

发明人： Jaime Vargas ,  Brendan M. Donohoe ,  Scott C. Anderson ,  Theodore Bender ,  Stephen Yencho ,  Bernard Hausen ,  Michael Hendricksen

IPC分类号： A61B1704

CPC分类号： A61B17/11 ,  A61B17/064 ,  A61B17/0644 ,  A61B17/32053 ,  A61B17/3415 ,  A61B17/3439 ,  A61B2017/00247 ,  A61B2017/0641 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2018/00392 ,  A61F2/064

摘要： A trocar useful for forming an incision in a target vessel for placement of an anastomosis device which may have an inner flange formed by radial expansion of the device and an outer flange formed by axial compression of the device. The trocar can have a smaller size during formation of the incision and a larger size when retracted over a deployment tool used to deploy the anastomosis device.

摘要翻译： 一种用于在靶容器中形成切口以用于放置吻合装置的套针针，所述吻合装置可具有由所述装置的径向膨胀形成的内凸缘和通过所述装置的轴向压缩形成的外凸缘。 套管针在切口形成期间可以具有较小的尺寸，并且在用于部署吻合装置的展开工具缩回时具有较大的尺寸。

公开(公告)号：US06179849B2

公开(公告)日：2001-01-30

申请号：US09330244

申请日：1999-06-10

申请人： Stephen A. Yencho ,  Michael Hendricksen ,  Jaime Vargas ,  Jamey Nielsen ,  Bernard A. Hausen ,  Scott Vance

发明人： Stephen A. Yencho ,  Michael Hendricksen ,  Jaime Vargas ,  Jamey Nielsen ,  Bernard A. Hausen ,  Scott Vance

IPC分类号： A61B1704

CPC分类号： A61B17/11 ,  A61B17/064 ,  A61B17/0643 ,  A61B17/0644 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/00252 ,  A61B2017/0641 ,  A61B2017/1107 ,  A61B2017/1135

摘要： The anastomosis device according to the present invention is a one piece device for connecting a graft vessel to a target vessel without the use of conventional sutures. The anastomosis device includes a frame for receiving and holding the end of a graft vessel in an everted position and first and second spreading members configured to be inserted into an opening in the target vessel. The first and second spreading members are arranged substantially in a plane for insertion into an opening in a target vessel, and are moved away from one another to capture the edges of the opening in the target vessel securing the graft vessel to the target vessel. One version of the anastomosis device includes a plurality of linkages arranged in two rows for grasping opposite sides of an opening in the target vessel. A portion of the linkages fold outward to trap vessel walls on opposite sides of the opening in the target vessel. The anastomosis devices greatly increases the speed with which anastomosis can be performed over known suturing methods.

摘要翻译： 根据本发明的吻合装置是用于在不使用常规缝合线的情况下将移植血管连接到靶容器的一体式装置。 吻合装置包括用于接收和保持移植物容器的端部处于脱开位置的框架，以及构造成插入到靶容器中的开口中的第一和第二扩散构件。 第一和第二扩散构件基本上布置在用于插入靶容器中的开口的平面中，并且彼此远离，以捕获将移植物容器固定到靶容器的靶容器中的开口的边缘。 吻合装置的一个版本包括布置成两排的多个连杆，用于抓住目标血管中的开口的相对侧。 连杆的一部分向外折叠，以在靶容器的开口的相对侧上捕获容器壁。 吻合装置大大增加了可以通过已知的缝合方法进行吻合的速度。

公开(公告)号：US07814912B2

公开(公告)日：2010-10-19

申请号：US11174040

申请日：2005-06-29

申请人： Robert M. George ,  Ronald R. Hundertmark ,  Michael Hendricksen

发明人： Robert M. George ,  Ronald R. Hundertmark ,  Michael Hendricksen

IPC分类号： A61B5/08

CPC分类号： A61B17/12022 ,  A61B17/12104 ,  A61B17/12131 ,  A61B2017/1205 ,  A61B2017/12054 ,  A61B2017/242 ,  A61F2002/043 ,  A61F2002/9517

摘要： Disclosed is a sizing device for sizing an inside diameter of a lung passageway. The device includes an elongate shaft configured for positioning in the lung passageway and a sizing element at the distal end of the shaft. The sizing element defines a range of transverse dimensions that correspond to a range of transverse dimensions suitable for use with a predetermined set of bronchial isolation devices. The device is used to determine the suitability of a bronchial isolation device for use in the lung passageway prior to using a separate delivery catheter to deliver the bronchial isolation device into the lung passageway.

摘要翻译： 公开了一种用于调整肺通道内径的尺寸调整装置。 该装置包括被配置用于定位在肺通道中的细长轴和在轴的远端处的施胶元件。 所述施胶元件限定横向尺寸的范围，所述横向尺寸对应于适于与预定支气管隔离装置组一起使用的横向尺寸范围。 在使用单独的输送导管将支气管隔离装置输送到肺通道之前，该装置用于确定用于肺通道中的支气管隔离装置的适用性。

公开(公告)号：US07717115B2

公开(公告)日：2010-05-18

申请号：US10723273

申请日：2003-11-25

申请人： Michael Barrett ,  David Tholfsen ,  Michael Hendricksen ,  Ronald Hundertmark ,  John McCutcheon ,  Antony J. Fields ,  Jeffery J. Dolin ,  Robert M. George

发明人： Michael Barrett ,  David Tholfsen ,  Michael Hendricksen ,  Ronald Hundertmark ,  John McCutcheon ,  Antony J. Fields ,  Jeffery J. Dolin ,  Robert M. George

IPC分类号： A61M16/00 ,  A62B9/06

CPC分类号： A61B17/12104 ,  A61B17/12022 ,  A61B17/12131 ,  A61B2017/1205 ,  A61B2017/242 ,  A61F2002/043 ,  A61F2002/9517

摘要： Disclosed is an apparatus for deploying a bronchial isolation device in a bronchial passageway in a lung of a patient. In one embodiment, the apparatus includes an outer shaft having a distal end. A housing is coupled to the distal end of the outer shaft and configured to receive the bronchial device. An inner shaft is slidably disposed within the outer shaft. A handle is adapted to move the outer shaft relative to both the inner shaft and the handle while the inner shaft remains fixed relative to the handle so as to eject the bronchial isolation device from the housing.

摘要翻译： 公开了一种用于在患者的肺中的支气管通道中展开支气管隔离装置的装置。 在一个实施例中，该装置包括具有远端的外轴。 壳体联接到外轴的远端并且构造成接收支气管装置。 内轴可滑动地设置在外轴内。 手柄适于相对于内轴和把手移动外轴，同时内轴相对于把手保持固定，从而将支气管隔离装置从壳体中排出。

公开(公告)号：US07175637B2

公开(公告)日：2007-02-13

申请号：US09946791

申请日：2001-09-04

申请人： Jaime Vargas ,  Stephen A. Yencho ,  Jamey Nielsen ,  Michael Hendricksen ,  Bernard A. Hausen

发明人： Jaime Vargas ,  Stephen A. Yencho ,  Jamey Nielsen ,  Michael Hendricksen ,  Bernard A. Hausen

IPC分类号： A61B17/08

CPC分类号： A61B17/11 ,  A61B17/064 ,  A61B17/0644 ,  A61B17/32053 ,  A61B17/3415 ,  A61B17/3439 ,  A61B2017/00247 ,  A61B2017/0641 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2018/00392 ,  A61F2/064

摘要： An anastomosis device is a one piece device for connecting a graft vessel to a target vessel without the use of conventional sutures. The anastomosis device includes an expandable tube configured to have a graft vessel secured to the tube. The device has an expandable linkage positioned at one end of the device and expansion of this linkage causes a first radially extending flange to fold outward. This first flange abuts an interior wall of a target vessel and a second flange is formed which abuts an exterior wall of the target vessel trapping the target vessel between the two flanges and secures the end of the graft vessel into an opening in the wall of the target vessel. The device greatly increases the speed with which anastomosis can be performed over known suturing methods and allows anastomosis to be performed in tight spaces.

摘要翻译： 吻合装置是用于在不使用常规缝合线的情况下将移植血管连接到靶血管的单件装置。 吻合装置包括可扩张管，其构造成具有固定到管的移植脉管。 该装置具有位于装置的一端的可扩张连接件，并且该连杆的膨胀使得第一径向延伸的凸缘向外折叠。 该第一法兰邻接目标血管的内壁，并且形成第二凸缘，该第二凸缘邻接在两个凸缘之间捕集目标血管的靶血管的外壁，并将移植血管的端部固定在 目标船。 该设备大大增加了可以通过已知的缝合方法进行吻合的速度，并允许在狭窄的空间中进行吻合。

公开(公告)号：US20060107956A1

公开(公告)日：2006-05-25

申请号：US11282940

申请日：2005-11-18

申请人： Michael Hendricksen ,  Michael Barrett

发明人： Michael Hendricksen ,  Michael Barrett

IPC分类号： A62B9/02 ,  A62B9/06

CPC分类号： A61F2/04 ,  A61B17/12104 ,  A61B17/12172 ,  A61B17/12177 ,  A61F2002/043 ,  Y10T29/49826

摘要： Disclosed is an assembly for loading a bronchial flow control device into a container, such as into a delivery catheter. The assembly includes a funnel housing and a puller housing that mate with one another. The funnel housing defines a funnel-shaped loading cavity that receives a flow control device and that gradually reduces in size moving in a first direction. The puller housing is removably attached to the funnel housing and is also removably attachable to a bronchial flow control device that can be positioned in the loading cavity. The puller housing pulls the bronchial flow control device in the first direction through the funnel housing to gradually contract the bronchial flow control device into a compressed state of reduced size relative to the expanded state.

摘要翻译： 公开了一种用于将支气管流量控制装置装载到诸如输送导管之类的容器中的组件。 该组件包括一个漏斗壳体和一个相互配合的拔出器壳体。 漏斗壳体限定漏斗形加载腔，其接纳流量控制装置，并逐渐减小尺寸沿第一方向移动。 牵引器壳体可移除地附接到漏斗壳体，并且还可移除地附接到能够定位在加载腔中的支气管流量控制装置。 牵引器壳体通过漏斗壳体沿第一方向拉动支气管流量控制装置，以逐渐将支气管流量控制装置收缩成相对于膨胀状态减小尺寸的压缩状态。

公开(公告)号：US20060004305A1

公开(公告)日：2006-01-05

申请号：US11174040

申请日：2005-06-29

申请人： Robert George ,  Ronald Hundertmark ,  Michael Hendricksen

发明人： Robert George ,  Ronald Hundertmark ,  Michael Hendricksen

IPC分类号： A61B5/103

CPC分类号： A61B17/12022 ,  A61B17/12104 ,  A61B17/12131 ,  A61B2017/1205 ,  A61B2017/12054 ,  A61B2017/242 ,  A61F2002/043 ,  A61F2002/9517

摘要： Disclosed is a sizing device for sizing an inside diameter of a lung passageway. The device includes an elongate shaft configured for positioning in the lung passageway and a sizing element at the distal end of the shaft. The sizing element defines a range of transverse dimensions that correspond to a range of transverse dimensions suitable for use with a predetermined set of bronchial isolation devices. The device is used to determine the suitability of a bronchial isolation device for use in the lung passageway prior to using a separate delivery catheter to deliver the bronchial isolation device into the lung passageway.

摘要翻译： 公开了一种用于调整肺通道内径的尺寸调整装置。 该装置包括被配置用于定位在肺通道中的细长轴和在轴的远端处的施胶元件。 所述施胶元件限定横向尺寸的范围，所述横向尺寸对应于适于与预定支气管隔离装置组一起使用的横向尺寸范围。 在使用单独的输送导管将支气管隔离装置输送到肺通道之前，该装置用于确定用于肺通道中的支气管隔离装置的适用性。