公开(公告)号：US06620189B1

公开(公告)日：2003-09-16

申请号：US09707257

申请日：2000-11-06

申请人： Timothy R. Machold ,  Wade A. Keller ,  Alex T. Roth ,  Nicole Denise Bloom

发明人： Timothy R. Machold ,  Wade A. Keller ,  Alex T. Roth ,  Nicole Denise Bloom

IPC分类号： A61F700

CPC分类号： A61F7/0085 ,  A61B2017/00092 ,  A61B2017/00119 ,  A61B2017/00123 ,  A61B2017/00199 ,  A61B2017/22051 ,  A61F7/0097 ,  A61F7/10 ,  A61F7/123 ,  A61F2007/0054 ,  A61F2007/0096 ,  A61F2007/126 ,  A61M25/10 ,  A61M25/1011 ,  A61M2025/1072 ,  A61M2025/1086 ,  A61M2205/12 ,  A61M2205/127

摘要： Methods and apparatuses for temperature modification of a patient, or selected regions thereof, including an induced state of hypothermia. The temperature modification is accomplished using an in-dwelling heat exchange catheter within which a fluid heat exchange medium circulates. A heat exchange cassette of any one of several disclosed variations is attached to the circulatory conduits of the catheter, the heat exchange cassette being sized to engage a cavity within one of various described re-usable control units. The control units include a heater/cooler device, a user input device, and a processor connected to receive input from various sensors around the body and the system. The heater/cooler device may be thermoelectric to enable both heating and cooling based on polarity. A temperature control scheme for ramping the body temperature up or down without overshoot is provided. The disposable heat exchange cassettes may include an integral pump head that engages with a pump drive mechanism within the re-usable control unit. More than one control unit may be provided to receive the same heat exchange cassette so that, for example, a large capacity control unit can be used initially, and a smaller, battery-powered unit can be substituted once the patient reaches the desired target temperature.

摘要翻译： 包括诱导低温的状态的患者的温度改变方法和装置，或其选定区域。 使用在其中流体热交换介质循环的内部热交换导管来实现温度改变。 几个公开的变型中的任何一个的热交换盒附接到导管的循环导管，热交换盒的尺寸适于接合各种所描述的可重复使用的控制单元之一内的空腔。 控制单元包括加热器/冷却器装置，用户输入装置和连接以接收来自身体和系统周围的各种传感器的输入的处理器。 加热器/冷却器装置可以是热电，以使得能够基于极性进行加热和冷却。 提供了一种用于使体温上升或下降而没有过冲的温度控制方案。 一次性热交换盒可以包括与可再使用的控制单元内的泵驱动机构接合的整体泵头。 可以提供多于一个控制单元以接收相同的热交换盒，使得例如最初可以使用大容量控制单元，并且一旦患者达到期望的目标温度，可以取代较小的电池供电的单元 。

公开(公告)号：US06616675B1

公开(公告)日：2003-09-09

申请号：US09117520

申请日：1999-03-17

申请人： Philip C. Evard ,  Joshua Makower ,  J. C. Flaherty ,  Timothy R. Machold ,  Jason B. Whitt ,  Patrick E. Macaulay ,  John T. Garibotto ,  Alex T. Roth

发明人： Philip C. Evard ,  Joshua Makower ,  J. C. Flaherty ,  Timothy R. Machold ,  Jason B. Whitt ,  Patrick E. Macaulay ,  John T. Garibotto ,  Alex T. Roth

IPC分类号： A61B1708

CPC分类号： A61B1/3137 ,  A61B17/00234 ,  A61B17/00491 ,  A61B17/0643 ,  A61B17/11 ,  A61B18/00 ,  A61B18/1445 ,  A61B18/1477 ,  A61B18/1492 ,  A61B18/24 ,  A61B90/361 ,  A61B90/40 ,  A61B2017/00243 ,  A61B2017/00247 ,  A61B2017/00252 ,  A61B2017/00504 ,  A61B2017/0641 ,  A61B2017/0647 ,  A61B2017/0649 ,  A61B2017/1107 ,  A61B2017/1139 ,  A61B2017/22038 ,  A61B2017/22077 ,  A61B2018/00392 ,  A61B2018/00404 ,  A61B2018/00869 ,  A61B2018/1425 ,  A61B2018/1475 ,  A61B2090/378 ,  A61B2090/3925 ,  A61B2090/3929 ,  A61B2090/3958 ,  A61F2/07 ,  A61F2/2493 ,  A61F2/90 ,  A61F2/95 ,  A61F2/958 ,  A61F2002/30079 ,  A61F2002/8486 ,  A61F2210/009 ,  A61F2230/001 ,  A61M2025/0076 ,  A61M2025/0096 ,  A61M2025/1052

摘要： Anastomotic connectors and apparatus for forming and/or maintaining connections between openings formed in anatomical structures, such as blood vessels. The apparatus is initially deployed in a first configuration which is sufficiently compact to be delivered through the lumen of a catheter or cannula. Thereafter, the device is expanded to a second configuration whereby it engages the anatomical structures and forms or maintains the desired connection between openings in the anatomical structures.

摘要翻译： 用于在解剖结构（例如血管）中形成的开口之间形成和/或维持连接的吻合连接器和装置。 该装置最初部署在第一配置中，该构型足够紧凑以便通过导管或套管的内腔输送。 此后，该装置被扩展成第二构型，由此其与解剖结构接合并且在解剖结构中的开口之间形成或维持期望的连接。

公开(公告)号：US6139492A

公开(公告)日：2000-10-31

申请号：US288279

申请日：1999-04-08

申请人： Mark A. Vierra ,  Alex T. Roth

发明人： Mark A. Vierra ,  Alex T. Roth

IPC分类号： A61B1/32 ,  A61B17/00 ,  A61B17/02 ,  A61B17/04 ,  A61B17/11

CPC分类号： A61B17/0469 ,  A61B17/0483 ,  A61B17/062 ,  A61B17/11 ,  A61B2017/00243 ,  A61B2017/0243 ,  A61B2017/1107

摘要： The invention provides a system and method for performing less-invasive surgical procedures within a body cavity. In a preferred embodiment, the invention provides a system and method for isolating a surgical site such as an anastomosis between an internal mammary artery and a coronary artery in a thoracoscopic coronary artery bypass grafting procedure. The system comprises a foot (11) pivotally coupled to the distal end of a shaft (3) by a linkage (13). The foot has first and second engaging portions (15, 17) with contact surfaces for engaging a tissue surface. The engaging portions are movable between an open position, where the contact surfaces are separated by a gap, and a collapsed position, where the foot is configured for delivery through the percutaneous penetration. An actuator, at the proximal end of the shaft, can be rotated to pivot the foot about a transverse axis so that the contact surfaces are oriented generally parallel to the surgical site to apply pressure to the tissue structure on both sides of the surgical site.

摘要翻译： 本发明提供一种用于在体腔内执行较小侵入性外科手术的系统和方法。 在优选实施例中，本发明提供了用于在胸腔镜冠状动脉旁路移植手术中分离外科手术部位的系统和方法，例如内部乳房动脉和冠状动脉之间的吻合。 系统包括通过连杆（13）枢转地联接到轴（3）的远端的脚（11）。 脚具有第一和第二接合部分（15,17），其具有用于接合组织表面的接触表面。 接合部分可以在接触表面被间隙分开的打开位置和折叠位置之间移动，其中脚构造成通过经皮渗透进行输送。 在轴的近端处的致动器可以旋转以使脚围绕横向轴线枢转，使得接触表面大致平行于外科手术部位定向，以对手术部位两侧的组织结构施加压力。

公开(公告)号：US5626598A

公开(公告)日：1997-05-06

申请号：US421354

申请日：1995-04-12

申请人： Alex T. Roth

发明人： Alex T. Roth

IPC分类号： A61B1/00 ,  A61B17/00 ,  A61B17/34 ,  A61B19/00 ,  A61B5/00

CPC分类号： A61B17/3496 ,  A61B17/3417 ,  A61B2017/00473 ,  A61B2090/08021

摘要： A retracting tip trocar assembly including a trocar tube and a shaft having a piercing tip at one end thereof. The device includes a retracting mechanism which allows the piercing tip to be held in a cutting position upon application of an insertion force such as when the piercing tip is pressed against a wall of a human body cavity. Upon release of the insertion force, such as when the piercing tip passes through the wall, the retracting mechanism causes the piercing tip to be retracted into the trocar tube.

摘要翻译： 一种收回尖头套管针组件，其包括套管针管和在其一端具有穿刺尖端的轴。 该装置包括一个缩回机构，其允许穿刺尖端在施加插入力时保持在切割位置，例如当穿刺尖端被压靠人体腔壁时。 当释放插入力时，例如当穿刺尖端穿过壁时，缩回机构使穿刺尖端缩回到套管针管中。

公开(公告)号：US4920974A

公开(公告)日：1990-05-01

申请号：US181217

申请日：1988-04-13

申请人： Alex T. Roth ,  Richard M. Soderstrom

发明人： Alex T. Roth ,  Richard M. Soderstrom

IPC分类号： A61B10/00 ,  A61B10/02 ,  A61B17/00

CPC分类号： A61B10/0291 ,  A61B2017/00438

摘要： A method is provided for obtaining cervical cell culture specimens. The method makes use of a test device which may be used in conjunction with the manual cervical examination prior to delivery. The device includes an elastically resilient sheath adapted to grip a finger and a sterile pad of absorbent material on one end adapted to collect and retain the cell culture specimen. A kit is provided as well, the kit including a support member for maintaining the device in an unrolled, elongated, unrolled configuration and is designed so as to maintain sterile conditions and minimize contamination during storage and transport.

摘要翻译： 提供了一种获得宫颈细胞培养标本的方法。 该方法使用可在交付前与手动子宫颈检查结合使用的测试装置。 该装置包括弹性弹性鞘，其适于在适于收集和保持细胞培养样本的一端上夹持手指和吸收材料的无菌垫。 还提供了试剂盒，该试剂盒包括用于将装置保持在展开的，细长的，展开的结构中的支撑构件，并被设计成保持无菌条件并使储存和运输期间的污染最小化。

公开(公告)号：US4654030A

公开(公告)日：1987-03-31

申请号：US832742

申请日：1986-02-24

申请人： Frederic H. Moll ,  Alex T. Roth ,  Peter F. Costa ,  William A. Holmes

发明人： Frederic H. Moll ,  Alex T. Roth ,  Peter F. Costa ,  William A. Holmes

IPC分类号： A61B17/34 ,  A61B19/00 ,  A61M5/18

CPC分类号： A61B17/3496 ,  A61B17/3474 ,  A61B2090/08021

摘要： A trocar assembly consisting of a trocar tube subassembly and a separable, interfitting trocar subassembly is described. The trocar tube assembly includes a hollow body having a first front opening in which a trocar tube is mounted, a second rear opening for receiving the trocar subassembly, and a manually pivotable flap valve mechanism mounted within the body. The trocar subassembly includes a head having a central bore in which are mounted the (1) rear ends of an elongated obturator having a pyramidal-shaped piercing head with a triangular-shaped base, and a concentric tubular shield having a triangular shaped front opening for the piercing head that is formed by bevels in its leading edge that have approximately the same slope as the surfaces that define the three sides of the piercing head, and (2) a coil spring backing the shield for biasing the shield between retracted and extended positions. When the two subassemblies are fit together, the obturator and concentric shield extend through the hollow body with the front wall of the head fitting within a recess in the rear wall of the hollow body such that the trocar assembly cannot be rotated without disengaging the two subassemblies. The shield has a slot in its outer wall that is engaged by the flap valve to lock the shield in its extended position. The shield may be unlocked by pivoting the flap valve out of the slot, sliding the trocar assembly rearwardly so that the front wall of the head is clear of the recess in the rear wall of the hollow body, rotating the trocar subassembly to a position in which the flap valve and slot are not aligned and sliding the front wall of the trocar assembly back into the recess in the rear wall of the hollow body.

摘要翻译： 描述了一种套管针组件，其由套管针管子组件和可分离的配合套管针组件组成。 套管针管组件包括具有第一前开口的套管针组件，其中安装有套管针管，用于容纳套管针组件的第二后开口，以及安装在主体内的可手动枢转的瓣阀机构。 套管针组件包括具有中心孔的头部，其中安装有（1）细长闭塞器的后端，其具有三角形基部的金字塔状刺穿头部，以及具有三角形前开口的同心管状护罩， 穿刺头由其前缘中的斜面形成，其具有与限定穿刺头的三个侧面的表面大致相同的倾斜度，以及（2）螺旋弹簧，用于将护罩偏压在缩回位置和伸出位置之间 。 当两个子组件装配在一起时，闭塞器和同心屏蔽件延伸穿过中空本体，头部的前壁装配在中空本体的后壁中的凹部内，使得套管针组件不能在不分离两个子组件的情况下旋转 。 屏蔽件在其外壁上具有狭槽，其通过瓣阀接合以将屏蔽件锁定在其延伸位置。 可以通过将瓣阀枢转离开槽来解除屏蔽，使套管针组件向后滑动，使得头部的前壁远离中空体的后壁中的凹部，将套管针组件旋转到 其中瓣阀和狭槽未对准并且将套管针组件的前壁滑回到中空体的后壁中的凹部中。