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51.发明申请Surgical Instruments for Accessing and Stabilizing a Localized Portion of a Beating Heart 审中-公开用于获取和稳定打击心脏的局部化部分的手术器械公开(公告)号：US20100210916A1
公开(公告)日：2010-08-19
申请号：US12768414
申请日：2010-04-27
申请人： Lawrence W. Hu , David J. Paul , Eugene Edward Reis , Harry Leonard Green, II , Joshua K. Wallin , Morejohn P. Dwight , Charles S. Taylor , Gary B. Weller , Richard M. Ferrari
发明人： Lawrence W. Hu , David J. Paul , Eugene Edward Reis , Harry Leonard Green, II , Joshua K. Wallin , Morejohn P. Dwight , Charles S. Taylor , Gary B. Weller , Richard M. Ferrari
IPC分类号： A61B1/32
CPC分类号： A61B17/0206 , A61B17/0483 , A61B90/50 , A61B2017/0243 , Y10T403/32024 , Y10T403/32032
摘要： Surgical devices for stabilizing the heart are disclosed which facilitate anastomosis under beating heart conditions. Various instruments or devices may be maneuvered and secured on a retractor device to provide stabilization of the heart. An instrument mount is provided which is preferably configured to accept a surgical instrument, such as a tissue stabilizer, and to allow the instrument to be easily maneuvered to a desired position and subsequently locked into position with a simple operation of a single locking actuator. Further disclosed are stabilizer devices each having at least one surface for contacting the heart and each being adapted to be mounted to the retractor while having the ability to be positioned in the desired location against the heart.
摘要翻译： 公开了用于稳定心脏的手术装置，其用于在跳动的心脏状况下进行吻合。 各种仪器或装置可以被操纵并固定在牵开装置上以提供心脏的稳定。 提供了一种仪器座，其优选地被配置为接受诸如组织稳定器的手术器械，并且允许器械容易地操纵到期望位置，并随后通过单个锁定致动器的简单操作而被锁定到位。 进一步公开的是稳定器装置，每个装置具有至少一个用于接触心脏的表面，并且每个表面适于安装到牵开器，同时具有相对于心脏定位在所需位置的能力。
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52.发明授权Electrosurgical device for harvesting a vessel especially the internal mammary artery for coronary artery bypass grafting 失效用于收集血管的电外科装置，特别是用于冠状动脉旁路移植的乳内动脉
公开(公告)号：US5891140A
公开(公告)日：1999-04-06
申请号：US773298
申请日：1996-12-23
CPC分类号： A61B18/1445 , A61B17/0218 , A61B17/2812 , A61B17/2841 , A61B17/29 , A61B2017/00371 , A61B2017/00778 , A61B2017/00862 , A61B2017/00973 , A61B2017/2825 , A61B2017/2905 , A61B2017/2912 , A61B2017/2945 , A61B2018/1253 , A61B2018/126 , A61B2018/1432 , A61B2018/1465 , A61B2018/1861
摘要： Devices and methods for minimally invasive harvesting of a vessel, especially the internal mammary artery for coronary artery bypass grafting, are disclosed. Generally, an electrosurgical instrument is provided which has a scissors mechanism or other end effector for dissecting tissue. The instrument also has monopolar or bipolar capabilities. Bipolar blade configurations provide current flow between blades or within each blade of the scissors mechanism or both. The instrument includes at least one ergonomically positioned actuator for actuating movement of the blades or end effectors for cutting tissue, for actuating current flow for cauterizing tissue, or for simultaneously or sequentially actuating movement and current flow. In one embodiment, the actuator is operable by a fingertip. The instrument also has a shaft which extends between the scissor mechanism and a handle portion which may be selectively rotatable or malleable to optimize orientation of the scissor mechanism.
摘要翻译： 公开了用于微创收集血管，尤其是用于冠状动脉旁路移植术的乳内动脉的装置和方法。 通常，提供电外科器械，其具有用于解剖组织的剪刀机构或其他末端执行器。 仪器还具有单极性或双极性。 双极叶片构造提供叶片之间或剪刀机构的每个叶片内的电流或两者。 该仪器包括至少一个人体工程学定位的致动器，用于致动刀片或末端执行器的运动以切割组织，用于致动电流流动以烧制组织，或用于同时或顺序地致动运动和电流。 在一个实施例中，致动器可由指尖操作。 仪器还具有在剪刀机构和手柄部分之间延伸的轴，该手柄部分可选择性地可旋转或可延展以优化剪刀机构的取向。
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公开(公告)号：US5348693A
公开(公告)日：1994-09-20
申请号：US791044
申请日：1991-11-12
申请人： Charles S. Taylor , William B. Tiffany , Paul Cherkas , John J. Frantzen , Hilary J. Hampton , Leonard Nanis , Bhupendra O. Shah
发明人： Charles S. Taylor , William B. Tiffany , Paul Cherkas , John J. Frantzen , Hilary J. Hampton , Leonard Nanis , Bhupendra O. Shah
CPC分类号： B29C67/0077 , H05K3/4664
摘要： A method and system for making a three dimensional product wherein the size and shape of a plurality of cross-sectional segments of the three dimensional object are determined which when assembled together in a particular sequence form the desired three dimensional shape. Thin layers of material in the shape of each of the cross-sectional segments are applied in the particular sequence in which they form the three dimensional object. The application of each of the layers is much like a lithographic printing process in that a resin may be applied by a roller in the shape of the cross-sectional segments.
摘要翻译： 一种用于制造三维产品的方法和系统，其中确定三维物体的多个横截面段的尺寸和形状，其在以特定顺序组装在一起形成期望的三维形状时。 每个横截面段的形状的薄层材料以它们形成三维物体的特定顺序施加。 每个层的应用非常类似于平版印刷工艺，其中树脂可以通过横截面段形式的辊施加。
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54.发明授权公开(公告)号：US07361137B2
公开(公告)日：2008-04-22
申请号：US10096299
申请日：2002-03-11
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。
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55.发明授权公开(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
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.
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公开(公告)号：US5972020A
公开(公告)日：1999-10-26
申请号：US801129
申请日：1997-02-14
CPC分类号： A61B17/3421 , A61B2017/00243 , A61B2017/0243 , A61B2017/3445 , A61B2017/3449 , A61B2017/3488 , A61F2/2427
摘要： The invention is an apparatus and method to perform a surgical procedure within the beating heart. The instrument provides a seal to surround cardiac tissue, thereby defining a segregated surgical field within the body of the instrument. A suction device is preferred to remove blood and fluids from the surgical field so that a surgical procedure can be performed while the heart continues to beat. The instrument is particularly suitable for a procedure to repair defective or diseased cardiac valves, such as the mitral valve; a procedure which previously required that the heart be stopped so that the corrective surgical procedure could be performed.
摘要翻译： 本发明是一种在搏动心脏内执行外科手术的装置和方法。 仪器提供围绕心脏组织的密封，从而在仪器体内限定分离的外科视野。 抽吸装置优选从外科手术区域移除血液和流体，使得可以在心脏继续击打时进行外科手术。 该仪器特别适用于修复有缺陷或患病的心脏瓣膜如二尖瓣的手术; 以前需要停止心脏以便可以执行矫正外科手术的程序。
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公开(公告)号：USRE34466E
公开(公告)日：1993-12-07
申请号：US979469
申请日：1992-11-20
申请人： Charles S. Taylor , Robert M. Abrams , Kirsten L. Messner , Beverly Huss , Craig E. Mar , Jeffrey L. Kraus , Linda T. Guthrie
发明人： Charles S. Taylor , Robert M. Abrams , Kirsten L. Messner , Beverly Huss , Craig E. Mar , Jeffrey L. Kraus , Linda T. Guthrie
CPC分类号： A61M25/0905 , Y10T29/49876 , Y10T29/49945
摘要： An extendable guidewire system for introducing a dilatation catheter into the cardiovascular system. The guidewire has guidewire and extension sections with a connection therebetween which permits the two sections to be joined together and separated simply by pushing the two sections together and pulling them apart. One of the sections can be used for positioning the catheter within the cardiovascular system, and the other section can be employed to extend the wire to change catheters.
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58.发明授权
公开(公告)号：US4955384A
公开(公告)日：1990-09-11
申请号：US350580
申请日：1989-05-11
CPC分类号： A61M25/09 , A61M2025/09008 , Y10T74/20456
摘要： A guidewire or guiding element for vascular catheters, particularly balloon dilatation catheters having an elongated core member with a tapered distal portion with a flexible length of interfitting links on the tapered distal portion. The individual links generally comprise a base with an aperture therein and a plurality of upwardly extending arms with the ends of the arms bent inwardly toward the longitudinal axis of the flexible length to engage the base of an adjacent link. Improved flexibility and torquability are provided by the flexible length of interfitting links.
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公开(公告)号：US4940062A
公开(公告)日：1990-07-10
申请号：US199099
申请日：1988-05-26
CPC分类号： A61M25/09033 , A61B2017/22001 , A61M2025/09175 , A61M2025/1079
摘要： The invention is directed to a guiding member for vascular catheters, particularly dilatation catheters for angioplasty procedures having a deflectable tip. The guiding member generally includes an elongated core wire having a tapered distal portion, a coil encasing at least part of the tapered distal portion of a core wire. The coil has an expanded section, and a reference member disposed therein which is secured to the coil proximally and distally of the expanded coil section. The core wire is secured to the coil at a location distally of the expanded section but proximally to the distal tip of the coil. Relative axial movement between the core wire and the coil causes expansion or contraction of the expanded coil section which results in tip deflection.
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60.发明授权公开(公告)号：US07497824B2
公开(公告)日：2009-03-03
申请号：US10943445
申请日：2004-09-16
申请人： Charles S. Taylor
发明人： Charles S. Taylor
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.
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