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    Organ manipulator and positioner and methods of using the same
    1.
    发明授权
    Organ manipulator and positioner and methods of using the same 失效
    器官操纵器和定位器及其使用方法

    公开(公告)号：US07179224B2

    公开(公告)日：2007-02-20

    申请号：US10749061

    申请日：2003-12-30

    申请人： Geoffrey H. Willis

    发明人： Geoffrey H. Willis

    IPC分类号： A61B1/32

    CPC分类号： A61B17/30 ,  A61B2017/00243 ,  A61B2017/0237 ,  A61B2017/308

    摘要： Devices and methods are provided for manipulating and supporting an organ. The subject devices are characterized by having an inflatable annular member having a central opening and an organ contacting surface, a vacuum distribution element configured to create a diffused vacuum space in the central opening, and a positioning element having a lumen coupled to a vacuum source and to the inflatable annular member. The subject devices are suitable for use in a variety of surgical approaches and, as such, may be configured to be inserted into a patient's chest cavity through a sheath. Methods are also provided for using the subject devices, where the order of the methods may be altered. Also provided are systems and kits for manipulating and positioning an organ.

    摘要翻译： 提供了用于操纵和支撑器官的装置和方法。 本发明装置的特征在于具有可膨胀的环形构件，其具有中心开口和器官接触表面，真空分配元件，构造成在中心开口中产生扩散的真空空间;以及定位元件，其具有联接到真空源的管腔， 到可膨胀的环形构件。 本发明的装置适用于各种手术方法，并且因此可被配置成通过护套插入患者的胸腔。 还提供了用于使用主题装置的方法，其中可以改变方法的顺序。 还提供了用于操纵和定位器官的系统和套件。

    Surgical procedures and devices for increasing cardiac output of the heart
    2.
    发明申请
    Surgical procedures and devices for increasing cardiac output of the heart 失效
    用于增加心脏输出量的外科手术和装置

    公开(公告)号：US20020169360A1

    公开(公告)日：2002-11-14

    申请号：US10096299

    申请日：2002-03-11

    申请人： Cardiothoracic Systems, Inc., a California Corporation

    发明人： Charles S. Taylor ,  Michael V. Morejohn

    IPC分类号： A61F002/04

    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。

    Surgical instrument for facilitating the detachment of an artery and the like
    3.
    发明授权
    Surgical instrument for facilitating the detachment of an artery and the like 失效
    用于促进动脉等的分离的手术器械

    公开(公告)号：US6110170A

    公开(公告)日：2000-08-29

    申请号：US106867

    申请日：1998-06-29

    申请人： Charles S. Taylor ,  Hani Shennib ,  Michael V. Morejohn

    发明人： Charles S. Taylor ,  Hani Shennib ,  Michael V. Morejohn

    IPC分类号： A61B17/00 ,  A61B17/02 ,  A61B17/28 ,  A61B17/32 ,  A61B18/14 ,  A61B18/18

    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.

    摘要翻译： 外科器械被配置为有助于执行从其周围的动脉周围的连接组织和侧分支血管分离内部乳腺动脉（IMA）等的步骤，其中分离程序是执行的初步 的冠状动脉旁路移植手术，其中通过微创开胸术分离IMA。 为此，细长杆在其近端包括手柄，在其远端工作端处包括动脉接合环，弧形，叉形结构或钩。 实施例可以包括电外科能力或电绝缘。 因此，外科医生具有通过具有增强的速度，可见性和运动自由的微创切口从其原始位置收集完整且未损坏的移植血管的手段。

    Devices and methods for harvesting vascular conduits
    5.
    发明授权
    Devices and methods for harvesting vascular conduits 失效
    用于收集血管导管的装置和方法

    公开(公告)号：US5913866A

    公开(公告)日：1999-06-22

    申请号：US32747

    申请日：1998-02-27

    申请人： Richard S. Ginn ,  Harry Leonard Green, II

    发明人： Richard S. Ginn ,  Harry Leonard Green, II

    IPC分类号： A61B17/00 ,  A61B17/32 ,  A61B17/36

    CPC分类号： A61B17/00008 ,  A61B17/320016 ,  A61B2017/00969

    摘要： Devices and methods for minimally invasive harvesting of a vessel or vascular conduit, especially the saphenous vein for coronary artery bypass grafting, are disclosed. Generally, an instrument is provided which has one or more specially designed end effectors which are permanently or detachably mounted to a harvesting implement, and may also be interchangeable with each other. The end effectors have features or elements which facilitate separation of connective tissue from the vessel and/or engagement of side branches to be separated from the vessel. In various embodiments, the instrument also provides means for quickly and easily attaching and detaching the end effectors as well as means for engaging with an endoscope, if desired. The harvesting methods provide for use of the instruments through one or more minimally invasive incisions.

    摘要翻译： 公开了用于血管或血管导管，特别是冠状动脉旁路移植术的隐静脉的微创收获的装置和方法。 通常，提供具有一个或多个特别设计的端部执行器的仪器，其永久地或可拆卸地安装到收获工具上，并且也可以彼此互换。 末端执行器具有促进结缔组织与血管分离和/或与血管分离的侧枝的接合的特征或元件。 在各种实施例中，如果需要，仪器还提供用于快速且容易地附接和分离端部执行器以及用于与内窥镜接合的装置的装置。 收获方法通过一个或多个微创切口提供使用仪器。

    Surgical instruments for making precise incisions in a cardiac vessel
    7.
    发明授权
    Surgical instruments for making precise incisions in a cardiac vessel 失效
    用于在心脏血管中进行精确切口的手术器械

    公开(公告)号：US5776154A

    公开(公告)日：1998-07-07

    申请号：US603329

    申请日：1996-02-20

    申请人： Charles S. Taylor ,  John J. Frantzen ,  Ivan Sepetka

    发明人： Charles S. Taylor ,  John J. Frantzen ,  Ivan Sepetka

    IPC分类号： A61B17/00 ,  A61B17/28 ,  A61B17/32

    CPC分类号： A61B17/32 ,  A61B17/320016 ,  A61B2017/00243 ,  A61B2017/00703 ,  A61B2017/00778 ,  A61B2017/2925 ,  A61B2017/320052

    摘要： Surgical instruments and methods for making substantially linear incisions, especially through the wall of vessels, such as arteries, specifically designed for coronary artery bypass graft procedures (CABG) on the beating heart. The invention is particularly useful to create the incision in the artery to which a bypass graft is sewn, typically the left anterior descending artery (LAD). The instruments allow incisions to be rapidly made, precisely measured, and cleanly formed so that a bypass graft can be rapidly sewn in place, without undue trauma to surrounding tissue and excessive loss of blood. In one embodiment, a hand-held instrument has a cutting edge formed on the interior edge of a curved blade fixed near the end of the instrument. The tip of the blade has a point for penetrating the vessel wall which may have several alternate shapes to facilitate penetration of the vessel wall while minimizing trauma to the surrounding tissue. In another embodiment the hand-held instrument includes a moveable member which creates an incision by engaging a cutting blade against a stop, cutting tissue therebetween, the stop including a pointed tip similar to the previous embodiment. In another embodiment, the instrument features a motion-canceling member which compensates for the movement of the target surface to be incised. This embodiment has a cutting blade which is manipulated from a handle which is isolated from the movement of the tissue containing or proximate to the target of the incision.

    摘要翻译： 用于进行基本上线性切口的手术器械和方法，特别是通过专门设计用于搏动心脏上的冠状动脉旁路移植手术（CABG）的诸如动脉的血管壁。 本发明特别有用于在缝合旁路移植物的动脉中产生切口，通常为左前降支动脉（LAD）。 这些仪器允许快速地进行切割，精确测量和清洁地形成，使得旁路移植物可以快速缝合就位，而不会对周围组织造成过度的创伤和过度的血液损失。 在一个实施例中，手持式仪器具有形成在靠近仪器端部的弯曲刀片的内边缘上的切割刃。 叶片的尖端具有穿透血管壁的点，该点可以具有若干替代形状，以促进血管壁的穿透，同时最小化对周围组织的创伤。 在另一个实施例中，手持式仪器包括可移动构件，其通过将切割刀片接合止挡件而形成切口，在其间切割组织，止动件包括类似于先前实施例的尖端。 在另一个实施例中，仪器具有补偿待切割的目标表面的移动的运动消除构件。 该实施例具有从手柄操纵的切割刀片，该手柄与包含或接近切口目标的组织的运动隔离。

    Method and apparatus for creating a working opening through an incision
    9.
    发明授权
    Method and apparatus for creating a working opening through an incision 有权
    通过切口创建工作开口的方法和装置

    公开(公告)号：US07238155B2

    公开(公告)日：2007-07-03

    申请号：US10669524

    申请日：2003-09-23

    申请人： Lawrence W. Hu ,  David J. Paul ,  Eugene Edward Reis ,  Harry Leonard Green, II

    发明人： Lawrence W. Hu ,  David J. Paul ,  Eugene Edward Reis ,  Harry Leonard Green, II

    IPC分类号： A61B17/02

    CPC分类号： A61B17/0206 ,  A61B17/0483 ,  A61B90/50 ,  A61B2017/0243

    摘要： In accordance with the present invention, there is disclosed surgical methods and apparatus for accessing and stabilizing the heart. The methods and apparatus facilitate access to an anastomosis site, allows various instruments or devices to be maneuvered and secured in place, and provide stabilization of the heart. In particular, the apparatus involves a retractor assembly having a pair of opposing blades having a channel adapted to engage an incision in a patient. The retractor blades may have features to cooperatively engage an instrument mount. The instrument mount may hold an instrument, such as a tissue stabilizer, and allows the instrument to be easily maneuvered. The retractor blades may have a number of suture locks for securing sutures used during surgery. The retractor system is particularly useful in accessing, positioning and stabilizing the beating heart for coronary artery bypass graft surgery.

    摘要翻译： 根据本发明，公开了用于进入和稳定心脏的手术方法和装置。 该方法和设备便于进入吻合部位，允许各种仪器或装置被操纵并固定到位，并提供心脏的稳定。 特别地，该装置涉及一种牵开器组件，其具有一对相对的刀片，该刀片具有适于接合病人切口的通道。 牵开器叶片可具有配合地接合仪器座的特征。 仪器安装座可以固定仪器，如组织稳定器，并允许仪器轻松操纵。 牵开器叶片可以具有多个缝合线锁，用于固定手术期间使用的缝合线。 牵开器系统在进入，定位和稳定用于冠状动脉旁路移植手术的搏动心脏方面特别有用。