Organ manipulator apparatus
    42.
    发明申请
    Organ manipulator apparatus 失效
    器官机械手装置

    公开(公告)号:US20050010197A1

    公开(公告)日:2005-01-13

    申请号:US10615007

    申请日:2003-07-08

    IPC分类号: A61B17/00 A61B17/02 A61B19/00

    摘要: Organ manipulation devices for atraumatically grasping the surface of an organ and repositioning the organ to allow access to a location on the organ that would otherwise be substantially inaccessible. Methods of accessing a beating heart, retracting the heart using an organ manipulation apparatus, and stabilizing a surgical target area with a stabilizer. Both the organ manipulator and stabilizer are fixed to a stationary object which may be a sternal retractor. A system for performing beating heart coronary artery bypass grafting includes a sternal retractor, organ manipulator and stabilizer.

    摘要翻译: 用于无创地抓住器官表面并重新定位器官的器官操纵装置,以允许进入器官的位置,否则其将基本上不可接近。 访问搏动心脏的方法,使用器官操纵装置回缩心脏,以及用稳定器稳定手术对象区域。 器官操纵器和稳定器都固定到可以是胸骨牵开器的静止物体上。 用于执行心跳冠状动脉旁路移植的系统包括胸骨牵开器,器官操纵器和稳定器。

    Surgical helical fastener with applicator
    44.
    发明授权
    Surgical helical fastener with applicator 失效
    手术螺旋紧固件与敷料器

    公开(公告)号:US06296656B1

    公开(公告)日:2001-10-02

    申请号:US08499279

    申请日:1995-07-07

    IPC分类号: A61B1700

    摘要: A helical fastener having a high retentive surface area is provided and has a first end for enhancing penetration into tissue and a second end comprising a coil sectioning a diameter of the fastener for receiving longitudinal and rotational forces. The helical fasteners are attached to body tissue by a fastener applicator having a proximal portion comprising a handle and an actuator and an elongate distal portion for housing a plurality of fasteners. A transferring action of the actuator provides longitudinal and rotational movement of the fasteners out of the distal portion and into body tissue.

    摘要翻译: 提供具有高保持表面积的螺旋紧固件,并具有用于增强穿入组织的第一端和包括用于接收纵向和旋转力的用于紧固紧固件的直径的线圈的第二端。 螺旋紧固件通过紧固件施用器附接到身体组织,所述紧固件施加器具有包括手柄和致动器的近侧部分和用于容纳多个紧固件的细长远侧部分。 致动器的转移动作提供紧固件从远端部分到身体组织的纵向和旋转运动。

    Vessel Retractor
    49.
    发明申请
    Vessel Retractor 有权
    船舶牵引器

    公开(公告)号:US20080103365A1

    公开(公告)日:2008-05-01

    申请号:US11969318

    申请日:2008-01-04

    IPC分类号: A61B1/32

    摘要: A retractor and a surgical tool are positioned within a cannula, and a dissection cradle of the retractor is positioned at the distal end of the cannula. The retractor includes a first portion with an axis approximately parallel to the axis of the cannula and a second portion with an axis that can be skewed relative to the axis of the cannula. The dissection cradle is located at the distal end of the second portion of the retractor, and may include two substantially parallel, spaced legs with the retractor shaped in a loop between and in a plane skewed relative to the axes of the legs, and with the loop directed away from the surgical tool. Thus, in operation, a surgeon locates a vessel and side branch of interest and extends the retractor to cradle the vessel in the dissection cradle. Once cradled, the retractor may be deflected to urge the vessel away from the axis of the cannula to isolate the side branch for exposure to the surgical tool. Removable, transparent tips are selectively positioned at the distal end of the cannula for performing dissection and transection via a single cannula. Additionally, the tips are configured to align the apices of the tips with the central axis of the endoscope to maximize the visual field through the tips via the endoscope. Wing-like protrusions on an alternate tip for the cannula facilitate tissue dissection in forming a tunnel in tissue along a target vessel. Swept back forward edges on the wing-like protrusions promote easy dissection using reduced force to advance the cannula and alternate tip tough tissue surrounding the target vessel.

    摘要翻译: 牵开器和手术工具定位在套管内,并且牵开器的解剖支架位于套管的远端。 牵开器包括具有大致平行于套管轴线的轴线的第一部分和具有相对于套管轴线可偏斜的轴线的第二部分。 解剖支架位于牵开器的第二部分的远端,并且可以包括两个基本上平行的间隔开的腿,其中牵开器成形为相对于腿的轴线倾斜的平面之间的环中,并且与 环路远离手术工具。 因此,在操作中,外科医生定位感兴趣的血管和侧支,并且将牵开器延伸到支架中,以将解剖支架中的血管摇动。 一旦收起,收缩器可能被偏转以促使血管远离套管的轴线以隔离侧分支以暴露于外科手术工具。 可移除的透明尖端选择性地定位在套管的远端,以通过单个插管进行解剖和切断。 另外,尖端被配置成将尖端的顶点与内窥镜的中心轴线对准,以通过内窥镜通过尖端最大化视野。 用于插管的备选尖端上的翼状突起促进组织解剖,以沿着靶容器在组织中形成隧道。 在翼状突起上扫掠前部前缘促进易于使用减小力的解剖以推进​​套管和围绕目标血管的交替的尖端韧性组织。