公开(公告)号：US06602189B1

公开(公告)日：2003-08-05

申请号：US09480830

申请日：2000-01-10

申请人： Federico J. Bennetti ,  Charles S. Taylor ,  William N. Aldrich ,  Ivan Sepetka ,  Robert G. Matheny ,  Eugene E. Reis ,  Brent Regan ,  Richard M. Ferrari

发明人： Federico J. Bennetti ,  Charles S. Taylor ,  William N. Aldrich ,  Ivan Sepetka ,  Robert G. Matheny ,  Eugene E. Reis ,  Brent Regan ,  Richard M. Ferrari

IPC分类号： A61B1728

CPC分类号： A61B17/3423 ,  A61B17/0206 ,  A61B17/025 ,  A61B17/3476 ,  A61B90/50 ,  A61B2017/349

摘要： An access platform having a first and a second blade interconnected to a spreader member that laterally drives the blades apart or together and a sternal pad interconnected to a blade. The superior blade is preferably pivotally coupled to the spreader member such that it naturally rises as the blades are separated. Alternatively, a vertical displacement member is operably interconnected to a blade and the spreader member and is used to vertically displace the interconnected superior blade and, thus, increase a surgeon's working space and visual access for the dissection of an internal mammary artery. A tissue retractor is interconnected to the blades to draw the soft tissue around an incision away from the surgeon's working area.

摘要翻译： 一种进入平台，具有互连到扩张器构件的第一和第二刀片，所述第二和第二刀片横向地驱动刀片彼此分开或一起，以及与刀片互连的胸骨垫。 优选的叶片优选地枢转地联接到扩展器构件，使得其随着叶片分离而自然地上升。 或者，垂直移位构件可操作地连接到叶片和吊架构件，并且用于垂直地移位互连的上叶片，并且因此增加外科医生的工作空间和用于解剖内部乳房动脉的视觉进入。 组织牵缩器与刀片相互连接以将软组织围绕切口远离外科医生的工作区域。

公开(公告)号：US06381499B1

公开(公告)日：2002-04-30

申请号：US09574586

申请日：2000-05-17

申请人： Charles S. Taylor ,  Robert G. Matheny ,  Dwight P. Morejohn

发明人： Charles S. Taylor ,  Robert G. Matheny ,  Dwight P. Morejohn

IPC分类号： A61N132

CPC分类号： A61B17/122 ,  A61B17/1227 ,  A61B2017/0243 ,  A61N1/36014

摘要： A method and apparatus for facilitating coronary surgery on the beating heart wherein the vagus nerve is electrically stimulated to purposely temporarily stop or substantially reduce the beating of the heart under precisely controlled conditions. The apparatus controllably applies electrical stimulus to pre-selected locations along the vagus nerve and to pre-selected nerve branches related to the heart. The apparatus includes several clip and probe configurations for establishing electrical contact with the vagus nerve. Such purposely caused temporary stoppage or substantial reduction of the beating of the heart facilitates procedures such as suturing of an anastomosis which would otherwise be more difficult because of the motion induced by the beating heart.

摘要翻译： 一种用于促进搏动心脏的冠状动脉手术的方法和装置，其中电刺激迷走神经以故意暂时地停止或基本上减少在精确控制的条件下的心跳。 该装置可控制地将电刺激应用于沿着迷走神经的预先选择的位置和与心脏相关的预先选择的神经分支。 该装置包括用于建立与迷走神经的电接触的多个夹子和探针配置。 这样有意地引起临时停止或大幅度减少心脏搏动的方法有助于诸如缝合吻合术的过程，否则由于跳动心脏引起的运动将更加困难。

公开(公告)号：US6110190A

公开(公告)日：2000-08-29

申请号：US243238

申请日：1999-02-03

申请人： Richard S. Ginn ,  Hani Shennib ,  Charles S. Taylor ,  Ivan Sepetka

发明人： Richard S. Ginn ,  Hani Shennib ,  Charles S. Taylor ,  Ivan Sepetka

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

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.

公开(公告)号：US6036641A

公开(公告)日：2000-03-14

申请号：US931158

申请日：1997-09-16

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： A61B17/00 ,  A61B17/02 ,  A61B17/064 ,  A61B17/11 ,  A61B17/12 ,  A61B17/28 ,  A61B17/30 ,  A61B17/34 ,  A61B19/00

CPC分类号： A61B17/3421 ,  A61B17/00234 ,  A61B17/0206 ,  A61B17/0218 ,  A61B17/3423 ,  A61B90/00 ,  A61B17/02 ,  A61B17/0642 ,  A61B17/12 ,  A61B17/8076 ,  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： This invention is methods and devices for stabilizing 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 such that the position of the stabilizing means becomes fixed by the support, and the heart remains substantially motionless during the procedure.

摘要翻译： 本发明是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，稳定装置被固定到半刚性支撑件上，半刚性支撑件变得刚性，使得稳定装置的位置由支撑件固定，并且心脏在手术过程中保持基本上不动。

公开(公告)号：US5976171A

公开(公告)日：1999-11-02

申请号：US619903

申请日：1996-03-20

申请人： Charles S. Taylor

发明人： Charles S. Taylor

IPC分类号： A61B17/02 ,  A61B17/34 ,  A61B19/00

CPC分类号： A61B17/3423 ,  A61B17/0206 ,  A61B90/50 ,  A61B17/025 ,  A61B2017/3427 ,  A61B2017/349

摘要： An access platform having a first and a second blade interconnected to a spreader member that laterally drives the blades apart or together and support pads interconnected to a blade. A torsional member is operably interconnected to a blade and the spreader member and is used to vertically displace the interconnected blade and, thus, increase a surgeon's working space and visual access for the dissection of an internal mammary artery. A tissue retractor interconnected to the blades and is used to draw the soft tissue around an incision away from the surgeon's working area.

摘要翻译： 一种进入平台，其具有与扩展构件相互连接的第一和第二叶片，所述第一和第二叶片横向地驱动叶片彼此分离或一起，并且支撑与叶片互连的垫。 扭转构件可操作地连接到叶片和吊具构件，并且用于垂直地移位互连的叶片，并且因此增加外科医生的工作空间和用于内部乳房动脉解剖的视觉通路。 组织牵开器互连到叶片上，用于将软组织围绕切口远离外科医生的工作区域。

公开(公告)号：US5891159A

公开(公告)日：1999-04-06

申请号：US850321

申请日：1997-05-02

申请人： Benjamin Sherman ,  Robert C. Glines ,  Ivan Sepetka ,  Charles S. Taylor ,  Dwight P. Morejohn

发明人： Benjamin Sherman ,  Robert C. Glines ,  Ivan Sepetka ,  Charles S. Taylor ,  Dwight P. Morejohn

IPC分类号： A61B17/00 ,  A61B17/04 ,  A61B17/11 ,  A61B17/28 ,  A61B17/34

CPC分类号： A61B17/0482 ,  A61B17/0469 ,  A61B17/1114 ,  A61B17/29 ,  A61B2017/00243 ,  A61B2017/1107 ,  A61B2017/3488

摘要： An automatic purse string suture device is disclosed that enables a surgeon to install a purse string suture in tissue structures, particularly for sealing the tissue about a cannula. The device is particularly suited for minimally invasive cardiothoracic procedures and is comprised of an applicator having an elongated structure with protrusions extending from the distal edge thereof. Also provided are means for advancing a needle through a passage to pass a suture through tissue that has been conformed to the distal edge of the device. Various means for conforming the tissue to the distal edge are disclosed as are methods for using the device to facilitate cardiothoracic surgery.

摘要翻译： 公开了一种自动钱包缝合装置，其使得外科医生能够在组织结构中安装钱包线缝合线，特别是用于在套管周围密封组织。 该装置特别适用于微创心胸手术，并且包括具有细长结构的施用器，其具有从其远端边缘延伸的突起。 还提供了用于使针穿过通道以使缝合线穿过已经符合设备的远侧边缘的组织的装置。 公开了用于使组织与远侧边缘一致的各种方法，如同使用该装置促进心胸外科手术的方法一样。

公开(公告)号：US5336230A

公开(公告)日：1994-08-09

申请号：US971896

申请日：1992-11-04

申请人： Jonathan J. Leichtling ,  Charles S. Taylor

发明人： Jonathan J. Leichtling ,  Charles S. Taylor

IPC分类号： A61B17/04 ,  A61B17/28 ,  A61B17/34 ,  A61B17/00

CPC分类号： A61B17/0469 ,  A61B17/2909 ,  A61B2017/2837 ,  A61B2017/3445

摘要： Endoscopic suture tying apparatus adapted to be grasped by the hand for use in a laparoscopic procedure with an introducer device extending into the body of a patient having a sleeve with a bore therein extending therethrough into the body of the patient. A holding sleeve is provided which is sized so that it can be introduced through the bore of the introducer device. First and second grasping devices are provided which are mounted in the holding sleeve. Each of the grasping devices is comprised of a hollow tubular member having a bore therein and a push-pull rod slidably mounted in the bore in the tubular member. The outer tubular member has proximal and distal extremities. First and second jaws are provided which are secured to the distal extremity of the tubular member. The jaws are movable between open and closed positions with respect to each other. The outer sleeve and the rod are connected to the first and second jaws whereby upon relative movement between the outer sleeve and the rod the first and second jaws are moved between said open and closed positions. Handles are secured to the proximal extremity of the outer sleeve and to the proximal extremity of the rod for causing the relative movement between the tubular and the rod.

摘要翻译： 内窥镜缝合装置，其适于被手抓住以便在腹腔镜手术中使用，该导引器装置延伸到具有套筒的患者体内，该套管具有穿过其中延伸穿过其中的孔的患者体内。 提供了一个保持套筒，其尺寸使得其可以通过导引器装置的孔引入。 提供安装在保持套筒中的第一和第二把持装置。 每个抓握装置由其中具有孔的中空管状构件和可滑动地安装在管状构件的孔中的推拉杆构成。 外管状构件具有近端和远端。 提供了第一和第二钳口，其固定到管状构件的远端。 夹爪可相对于彼此在打开和关闭位置之间移动。 外套筒和杆连接到第一和第二夹爪，由此在外套筒和杆之间相对运动时，第一和第二夹爪在所述打开位置和关闭位置之间移动。 手柄固定到外套筒的近端和杆的近端，用于引起管和杆之间的相对运动。

公开(公告)号：US4811613A

公开(公告)日：1989-03-14

申请号：US93007

申请日：1987-09-04

申请人： Alan C. Phillips ,  Terence J. O'Brien ,  Charles S. Taylor

发明人： Alan C. Phillips ,  Terence J. O'Brien ,  Charles S. Taylor

IPC分类号： G01C19/42 ,  G01C19/08 ,  G01C19/28

CPC分类号： G01C19/08 ,  G01C19/28 ,  Y10T74/1275 ,  Y10T74/1293

摘要： A two-axis angular rate gyroscopic apparatus is provided having a rotatable dish. The dish has a central hub portion and a plurality of flexible members, each of which extends from the hub portion. The entire disk is electrically conductive and connected to a reference potential. A plurality of electrically conductive members which are mounted end-to-end are located on an insulated plate mounted adjacent to the disk. A motor is provided for rotating the disk at approximately 2000 rpm. In addition, each of the flexible members in the disk has a pie-shaped section removed therefrom in order to increase its flexibility. By increasing the flexibility of the movable members, performance at low motor speeds is facilitated. An electronic circuit provides an output corresponding to the differential capacitance between the rotating disk and the members on the plate mounted adjacent thereto.

公开(公告)号：US20110202077A1

公开(公告)日：2011-08-18

申请号：US13033549

申请日：2011-02-23

申请人： Albert K. Chin ,  Dwight Morejohn ,  Charles S. Taylor ,  Steven B. Choi ,  Eugene Reis ,  John W. Davis ,  Geoffrey H. Willis ,  Edwarda A. Pineda ,  Kushalp P. Vepa

发明人： Albert K. Chin ,  Dwight Morejohn ,  Charles S. Taylor ,  Steven B. Choi ,  Eugene Reis ,  John W. Davis ,  Geoffrey H. Willis ,  Edwarda A. Pineda ,  Kushalp P. Vepa

IPC分类号： A61B17/11

CPC分类号： A61B17/0057 ,  A61B17/12022 ,  A61B17/12027 ,  A61B17/12031 ,  A61B17/12036 ,  A61B17/1204 ,  A61B17/12045 ,  A61B17/32053 ,  A61B2017/00362 ,  A61B2017/00575 ,  A61B2017/0061 ,  A61B2017/00632 ,  A61B2017/00637 ,  A61B2017/00641 ,  A61B2017/00659 ,  A61B2017/1107

摘要： Forming a proximal anastomosis on an aortic wall includes method and instrumentation and apparatus for forming an aortic puncture and inserting into the vessel through the puncture a fluid-impervious sealing element with a protruding retainer. An anastomosis of a graft vessel over the puncture is partially completed with the retainer of the sealing element protruding through the partial anastomosis. The retainer facilitates removal of the sealing element from the partial anastomosis prior to completion of the procedure.

摘要翻译： 在主动脉壁上形成近端吻合包括用于形成主动脉穿刺的方法和仪器和装置，并且通过穿刺插入具有突出保持器的不透液体的密封元件的容器中。 通过部分吻合突出的密封元件的保持器部分地完成了在穿刺上的移植血管的吻合。 保持器有助于在完成手术之前从部分吻合中去除密封元件。

公开(公告)号：US20110172568A1

公开(公告)日：2011-07-14

申请号：US13070353

申请日：2011-03-23

申请人： Charles S. Taylor

发明人： Charles S. Taylor

IPC分类号： A61H7/00

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.

摘要翻译： 本发明是使用通过外科器械施加的负（吸力）压力或真空来固定跳动心脏表面的一部分的位置使得外科手术可以更容易地进行的装置和技术。 这些装置在心脏的外表面上的几个点处施加负压，使得心脏的一部分通过通过手术器械施加的抽吸被固定就位。 因为仪器固定组织的位置，并且因为仪器保持与正在进行手术的心脏的特定部分恒定的距离，所以该装置还可以用作支撑或平台，使得其他手术器械或装置 可以有利地在现场使用。 在某些优选实施例中，本文所述的装置具有便于使用额外外科器械的结构，使得负压装置的放置允许外科医生在手术期间有利地操纵其他器械。 负压优选通过多个端口施加，所述多个端口可以设置在与心脏组织接触的仪器的基本平坦的表面中。