Surface figure control for coated optics
    81.
    发明授权
    Surface figure control for coated optics 有权
    涂层光学元件的表面图形控制

    公开(公告)号:US06206528B1

    公开(公告)日:2001-03-27

    申请号:US09164413

    申请日:1998-09-30

    IPC分类号: G02B7182

    摘要: A pedestal optical substrate that simultaneously provides high substrate dynamic stiffness, provides low surface figure sensitivity to mechanical mounting hardware inputs, and constrains surface figure changes caused by optical coatings to be primarily spherical in nature. The pedestal optical substrate includes a disk-like optic or substrate section having a top surface that is coated, a disk-like base section that provides location at which the substrate can be mounted, and a connecting cylindrical section between the base and optics or substrate sections. The optic section has an optical section thickness2/optical section diameter ratio of between about 5 to 10 mm, and a thickness variation between front and back surfaces of less than about 10%. The connecting cylindrical section may be attached via three spaced legs or members. However, the pedestal optical substrate can be manufactured from a solid piece of material to form a monolith, thus avoiding joints between the sections, or the disk-like base can be formed separately and connected to the connecting section. By way of example, the pedestal optical substrate may be utilized in the fabrication of optics for an extreme ultraviolet (EUV) lithography imaging system, or in any optical system requiring coated optics and substrates with reduced sensitivity to mechanical mounts.

    摘要翻译: 同时提供高基板动态刚度的基座光学基板,为机械安装硬件输入提供低的表面图灵敏度,并且将由光学涂层引起的表面图形变化限制为主要是球形的。 基座光学基板包括具有被涂覆的顶表面的盘状光学元件或基板部分,提供可安装基板的位置的盘状基部部分和基部与光学元件或基板之间的连接圆柱形部分 部分。 光学部分的光学部分厚度2 /光学截面直径比在约5至10mm之间,前表面和背面之间的厚度变化小于约10%。 连接圆柱形部分可以通过三个间隔开的腿或构件附接。 然而,基座光学基板可以由固体材料制成以形成整料,从而避免了两部分之间的接合,或者可以单独地形成盘状基底并连接到连接部分。 作为示例,基座光学基板可以用于制造用于极紫外(EUV)光刻成像系统的光学器件,或者可用于需要涂覆的光学器件和对机械安装件的灵敏度降低的基板的任何光学系统中。

    Device to permit offpump beating heart coronary bypass surgery
    84.
    发明授权
    Device to permit offpump beating heart coronary bypass surgery 失效
    允许偏心跳动心脏冠状动脉旁路手术的装置

    公开(公告)号:US08753266B2

    公开(公告)日:2014-06-17

    申请号:US11704019

    申请日:2007-02-07

    IPC分类号: A61B1/32

    摘要: A heart retractor links lifting of the heart and regional immobilization which stops one part of the heart from moving to allow expeditious suturing while permitting other parts of the heart to continue to function whereby coronary surgery can be performed on a beating heart while maintaining cardiac output unabated and uninterrupted. Circumflex coronary artery surgery can be performed using the heart retractor of the present invention. The retractor includes a plurality of flexible arms and a plurality of rigid arms as well as a surgery target immobilizing element. One form of the retractor can be sued in minimally invasive surgery, while other forms of the retractor can accommodate variations in heart size and paracardial spacing.

    摘要翻译: 心脏牵开器连接心脏的抬起和区域性固定,其阻止心脏的一部分移动以允许快速缝合,同时允许心脏的其他部分继续发挥作用,从而可以在跳动的心脏上进行冠状动脉手术,同时保持心输出量不减 并不间断。 可以使用本发明的心脏牵开器进行环形冠状动脉手术。 牵开器包括多个柔性臂和多个刚性臂以及手术目标固定元件。 收缩器的一种形式可以在微创手术中起诉,而其他形式的牵开器可以适应心脏尺寸和心包间隔的变化。

    Means and method of replacing a heart valve in a minimally invasive manner

    公开(公告)号:USRE44075E1

    公开(公告)日:2013-03-12

    申请号:US12134170

    申请日:2008-06-05

    IPC分类号: A61F2/24

    摘要: A heart valve can be replaced using minimally invasive methods which include a sutureless sewing cuff that and a fastener delivery tool that holds the cuff against the patient's tissue while delivering fasteners to attach the cuff to the tissue from the inside out. The tool stores a plurality of fasteners and is self-contained whereby a fastener is delivered and placed all from inside a vessel. The fasteners are self-forming whereby they do not need an anvil to be formed. Anchor elements are operated from outside the patient's body to cinch a prosthesis to an anchoring cuff of the valve body. The cuff is releasably mounted on the tool and the tool holds the cuff against tissue and drives the fastener through the cuff and the tissue before folding over the legs of the fastener whereby secure securement between the cuff and the tissue is assured. Fasteners are placed and formed whereby fasteners are located continuously throughout the entire circumference of the cuff. A minimally invasive surgical method is disclosed, and a method and tool are disclosed for repairing abdominal aortic aneurysms in a minimally invasive manner. Fasteners that are permanently deformed during the process of attaching the cuff are disclosed as are fasteners that are not permanently deformed during the attaching process.

    Cannula Systems and Methods
    88.
    发明申请
    Cannula Systems and Methods 审中-公开
    插管系统和方法

    公开(公告)号:US20120059213A1

    公开(公告)日:2012-03-08

    申请号:US13227272

    申请日:2011-09-07

    申请人: Paul A. Spence

    发明人: Paul A. Spence

    IPC分类号: A61M1/10

    摘要: Disclosed herein is a cannula assembly for directing the flow of material from an organ chamber, e.g., blood from the left chamber of the heart, and methods of placing the cannula assembly in fluidic communication with the chamber. The cannula assembly includes an elongate tubular member and a coupling assembly disposed at the distal end of elongate tubular member. The elongate tubular member includes a lumen extending from a distal opening at the distal end to a proximal opening at the proximal end. The coupling assembly includes a retaining element and a retention member configured to cooperate with each other and with the portion of the organ wall surrounding the opening in the wall to couple or anchor cannula system to the wall and to provide fluidic communication between the distal opening of the elongate tubular member and the organ chamber.

    摘要翻译: 本文公开了用于引导来自器官腔室(例如来自心脏左室的血液)的材料流的插管组件,以及将插管组件放置成与腔室流体连通的方法。 插管组件包括细长的管状构件和设置在细长管状构件的远端处的联接组件。 细长管状构件包括从远端的远侧开口延伸到近端处的近端开口的内腔。 联接组件包括保持元件和保持构件,该保持构件构造成彼此协作并且与围绕壁中的开口的器官壁的部分相配合或将插管系统锚定到壁上并且在套管的远端开口之间提供流体连通 细长管状构件和器官腔室。

    METHODS RELATED TO DIVERTING MATERIAL IN BLOOD FLOW AWAY FROM THE HEAD
    89.
    发明申请
    METHODS RELATED TO DIVERTING MATERIAL IN BLOOD FLOW AWAY FROM THE HEAD 审中-公开
    从头部流出的血液中的材料相关的方法

    公开(公告)号:US20110224582A1

    公开(公告)日:2011-09-15

    申请号:US13114601

    申请日:2011-05-24

    申请人: Paul A. Spence

    发明人: Paul A. Spence

    IPC分类号: A61N7/00

    摘要: A system for directing ultrasonic energy through blood flow in the aorta of a patient proximate the origins of the great vessels to the head of the patient to divert material in the blood flow from the origins of the great vessels. The system includes a first device configured for introduction into the cardiovascular system of the patient and positioning proximate the origins of the great vessels to the head of the patient, and at least one ultrasonic energy emitter carried by the first device.

    摘要翻译: 一种用于将超声波能量通过大血管起源的患者的主动脉中的血流引导到患者头部的系统,以从大血管的起源转移血流中的物质。 该系统包括被配置为引入患者的心血管系统并将其靠近患者的头部的大容器的起点定位的第一装置和由第一装置承载的至少一个超声能量发射器。

    HEART VALVE REPAIR APPARATUS AND METHODS
    90.
    发明申请
    HEART VALVE REPAIR APPARATUS AND METHODS 审中-公开
    心瓣修复装置及方法

    公开(公告)号:US20100318184A1

    公开(公告)日:2010-12-16

    申请号:US12858935

    申请日:2010-08-18

    申请人: Paul A. Spence

    发明人: Paul A. Spence

    IPC分类号: A61F2/24

    摘要: Valve repair apparatus and methods for ensuring proper coaptation and operation of the leaflets of a heart valve. Main aspects of the disclosure relate to devices including a support member configured for attachment to the heart valve annulus, a post extending from the support member away from the plane of the annulus and a connector coupled with the post and configured for attachment to at least one of the leaflets. The various embodiments may include a replacement heart valve connected with the support member for facilitating full replacement as opposed to near repair of an existing native heart valve. Various other devices include support structure and one or more posts connected to opposite sides of the support structure and extending from one side of the valve annulus to another to modify the shape of the annulus.

    摘要翻译: 瓣膜修复装置和方法,用于确保心脏瓣膜单张的适当接合和操作。 本公开的主要方面涉及包括构造成用于附接到心脏瓣膜环的支撑构件的装置,从支撑构件远离环空平面延伸的柱以及与柱连接的连接件,并且构造成用于附接至至少一个 的传单。 各种实施例可以包括与支撑构件连接的替换心脏瓣膜,以便于完全替换,而不是现有天然心脏瓣膜的近修复。 各种其他装置包括支撑结构和连接到支撑结构的相对侧并且从阀环的一侧延伸到另一侧的一个或多个柱,以改变环的形状。