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    Surgical devices for imposing a negative pressure to stabilize the cardiac tissue during surgery
    73.
    发明授权
    Surgical devices for imposing a negative pressure to stabilize the cardiac tissue during surgery 失效

    公开(公告)号：US08382654B2

    公开(公告)日：2013-02-26

    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： A61F2/00

    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.

    Surgical devices for imposing a negative pressure to stabilize cardiac tissue during surgery
    75.
    发明授权
    Surgical devices for imposing a negative pressure to stabilize cardiac tissue during surgery 失效

    公开(公告)号：US07485090B2

    公开(公告)日：2009-02-03

    申请号：US10946596

    申请日：2004-09-21

    申请人： Charles S. Taylor

    发明人： Charles S. Taylor

    IPC分类号： A61F2/00 ,  A61F13/00 ,  A47J45/00 ,  A61B19/00

    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.

    Access platform for internal mammary dissection
    78.
    发明授权
    Access platform for internal mammary dissection 失效
    内部乳腺切开手术平台

    公开(公告)号：US06478734B1

    公开(公告)日：2002-11-12

    申请号：US09378292

    申请日：1999-08-20

    申请人： Charles S. Taylor ,  William N. Aldrich ,  Dwight P. Morejohn

    发明人： Charles S. Taylor ,  William N. Aldrich ,  Dwight P. Morejohn

    IPC分类号： A61B1702

    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 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, so 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。 上部叶片枢转地联接到扩展构件，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通路。 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。

    Method and apparatus for using vagus nerve stimulation in surgery
    79.
    发明授权
    Method and apparatus for using vagus nerve stimulation in surgery 失效
    手术中使用迷走神经刺激的方法和装置

    公开(公告)号：US06308104B1

    公开(公告)日：2001-10-23

    申请号：US09338303

    申请日：1999-06-22

    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： A61N105

    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 the electrical stimulus to preselected locations along the vagus nerve and thus to preselected 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选位置，并因此应用于与心脏相关的预选神经分支。 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。