公开(公告)号：US20130184574A1

公开(公告)日：2013-07-18

申请号：US13549828

申请日：2012-07-16

Applicant: Richard R. Newhauser, JR. ,  Eric A. Goldfarb ,  John W. White ,  Arthur M. Lin

Inventor： Richard R. Newhauser, JR. ,  Eric A. Goldfarb ,  John W. White ,  Arthur M. Lin

IPC: A61M3/02

CPC classification number: A61M3/0279 ,  A61B17/24 ,  A61M3/0283 ,  A61M25/0054

Abstract: An irrigation catheter for the treatment of the sinus anatomy is described. The catheter comprises a proximal portion, a rigid middle portion, and a flexible distal portion. The flexible distal portion comprises an irrigation tip and the proximal portion has a stiffness that is intermediate the stiffness of the rigid middle portion and the flexible distal portion. The irrigation tip has a tip opening and one or more radially facing openings. A method for irrigating or suctioning the sinus anatomy includes inserting an irrigation catheter into a patient's anatomy and irrigating or suctioning a target space.

Abstract translation: 描述了用于治疗窦解剖的灌洗导管。 导管包括近端部分，刚性中部部分和柔性远端部分。 柔性远侧部分包括冲洗尖端，并且近端部分具有刚性，其刚性刚性刚性中间部分和柔性远侧部分的刚度。 冲洗头具有尖端开口和一个或多个径向面对的开口。 用于冲洗或抽吸窦解剖结构的方法包括将冲洗导管插入患者的解剖结构中并冲洗或吸引目标空间。

公开(公告)号：US07918848B2

公开(公告)日：2011-04-05

申请号：US11090330

申请日：2005-03-25

Applicant: Liming Lau ,  Arnold M. Escano ,  Jerry Jarrard ,  Sam Ho ,  Ryan C. Abbott ,  Arthur M. Lin ,  Jesse McQuiston ,  Peter L. Callas ,  Geoffrey H. Willis ,  Michael C. Stewart ,  Kimberly D. Barkman ,  Joseph N. Lamberti ,  Kenny L. Dang

Inventor： Liming Lau ,  Arnold M. Escano ,  Jerry Jarrard ,  Sam Ho ,  Ryan C. Abbott ,  Arthur M. Lin ,  Jesse McQuiston ,  Peter L. Callas ,  Geoffrey H. Willis ,  Michael C. Stewart ,  Kimberly D. Barkman ,  Joseph N. Lamberti ,  Kenny L. Dang

IPC: A61B18/04

CPC classification number: A61B18/085 ,  A61B17/29 ,  A61B18/082 ,  A61B18/1445 ,  A61B90/03 ,  A61B2017/00084 ,  A61B2017/00353 ,  A61B2017/00504 ,  A61B2017/2912 ,  A61B2017/2936 ,  A61B2017/2945 ,  A61B2017/3445 ,  A61B2018/00089 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61B2018/00619 ,  A61B2018/1432

Abstract: A surgical apparatus and methods for severing and welding tissue, in particular blood vessels, include a pair of relatively movable jaws at a distal end of an elongated shaft. A first heating element on one of the jaws is adapted to heat up to a first temperature and form a welded region within the tissue, while a second heating element on one of the jaws is adapted to heat up to a second temperature and sever the tissue within the welded region. A force-limiting mechanism is provided to limit the pressure applied to the tissue by the jaws to ensure that the tissue is severed and the ends effectively welded within a short amount of time.

Abstract translation: 用于切断和焊接组织，特别是血管的手术装置和方法包括在细长轴的远端处的一对相对可动的钳口。 其中一个钳口上的第一加热元件适于加热至第一温度并在组织内形成焊接区域，而其中一个钳口上的第二加热元件适于加热至第二温度并切断组织 在焊接区域内。 提供力限制机构以限制由钳口施加到组织的压力，以确保组织被切断并且端部在短时间内有效地焊接。

公开(公告)号：US20110046624A1

公开(公告)日：2011-02-24

申请号：US12545672

申请日：2009-08-21

Applicant: Arthur M. LIN

Inventor： Arthur M. LIN

IPC: A61B18/14 ,  A61B17/32

CPC classification number: A61B17/00008 ,  A61B18/1442 ,  A61B2017/003 ,  A61B2017/00353 ,  A61B2017/00389 ,  A61B2017/2945 ,  A61B2018/00196 ,  A61B2018/00208 ,  A61B2018/00345 ,  A61B2018/00404 ,  A61B2018/00601 ,  A61B2018/00619 ,  A61B2018/00952 ,  A61B2018/1432 ,  A61B2018/1861

Abstract: A surgical instrument includes an elongated tube having a proximal end and a distal end, a handle coupled to the proximal end of the tube, and a tool that is rotatable and translatable relative to the tube, wherein the handle includes a control for rotating the tool relative to the tube, and wherein the control is coupled to the tool such that a movement of the control through an angle θc rotates the tool relative to the tube by an angle θt that is greater or less than θc, and wherein the angle θc is variable as determined by a user.

Abstract translation: 手术器械包括具有近端和远端的细长管，联接到管的近端的手柄以及可相对于管可旋转和平移的工具，其中手柄包括用于使工具旋转的控制 并且其中所述控制器联接到所述工具，使得所述控制件通过角度θ的运动使所述工具相对于所述管旋转角度θ大于或小于所述管道; c， 并且其中所述角度和角度; c由用户确定是可变的。

公开(公告)号：US20080306335A1

公开(公告)日：2008-12-11

申请号：US11446024

申请日：2006-06-01

Applicant: Liming Lau ,  Peter L. Callas ,  Michael C. Stewart ,  Geoffrey H. Willis ,  Ryan C. Abbott ,  Charles J. Adam ,  Kimberly D. Barkman ,  Albert K. Chin ,  Kenny L. Dang ,  Joseph N. Lamberti ,  Arthur M. Lin ,  Ravi Pamnani

Inventor： Liming Lau ,  Peter L. Callas ,  Michael C. Stewart ,  Geoffrey H. Willis ,  Ryan C. Abbott ,  Charles J. Adam ,  Kimberly D. Barkman ,  Albert K. Chin ,  Kenny L. Dang ,  Joseph N. Lamberti ,  Arthur M. Lin ,  Ravi Pamnani

IPC: A61B1/015 ,  A61B1/018

CPC classification number: A61B17/00008 ,  A61B1/126 ,  A61B90/361 ,  A61B90/70 ,  A61B2017/320044

Abstract: Components for an endoscopic vessel harvesting system suitable for harvesting target vessels such as the saphenous vein or radial artery for cardiac artery bypass graft surgery. The main components of such systems include a vessel dissector and a vessel harvester, both of which work in conjunction with a separately provided endoscope. The vessel dissector is an elongated cannula having a blunt tip for separating layers of facial around vessels. The tip may be movable, and is typically transparent to permit viewing forward of the tip using the endoscope. Internal features of the tip may reduce glare back to the endoscope. Several devices improve visibility through the tip by reducing interference from tissue or fluid on the tip. The vessel harvester also has an elongated cannula for receiving the endoscope. Several tools within the harvester permit manipulation, severing, and sealing of vessels forward of the distal end. The tool for manipulating vessels may have a low-profile for increased visibility of operation, and may be coupled to the cannula with a damping mechanism to reduce the possibility of avulsion of the vessels. Various vessel cutting and sealing devices are provided that may accommodate various sizes of vessels and improve cutting and sealing efficacy.

Abstract translation: 适用于收集目标血管如隐静脉或桡动脉用于心脏动脉旁路移植手术的内窥镜血管收获系统的组件。 这种系统的主要部件包括容器分离器和容器收集器，两者都与单独提供的内窥镜一起工作。 血管分离器是具有钝头的细长插管，用于分隔血管周围的面部层。 尖端可以是可移动的，并且通常是透明的，以允许使用内窥镜观察尖端的前方。 尖端的内部特征可以减少眩光回内窥镜。 几个设备通过减少尖端上的组织或液体的干扰来改善尖端的可见性。 容器收割机还具有用于接收内窥镜的细长套管。 收割机内的几个工具允许在远端前方操纵，切断和密封容器。 用于操纵血管的工具可以具有较小的轮廓以提高手术的可视性，并且可以用阻尼机构联接到套管，以减少血管撕脱的可能性。 提供了可容纳各种尺寸的容器并提高切割和密封功效的各种容器切割和密封装置。

公开(公告)号：US20080275479A1

公开(公告)日：2008-11-06

申请号：US12113547

申请日：2008-05-01

Applicant: Albert K. Chin ,  Arthur M. Lin ,  Alfredo R. Cantu ,  Hung Pham

Inventor： Albert K. Chin ,  Arthur M. Lin ,  Alfredo R. Cantu ,  Hung Pham

IPC: A61B17/11

CPC classification number: A61B17/0057 ,  A61B34/76 ,  A61B2017/00845 ,  A61B2017/00858 ,  A61B2090/034

Abstract: Described herein are methods and devices for loading an anastomotic seal into a delivery lumen. A loading device can fold the seal into a configuration for insertion into the delivery lumen. For example, the loading device can fold the seal into a prolate spheroidal shape. The delivery lumen can then be inserted into the loading device and mated with the folded seal.

Abstract translation: 这里描述的是用于将吻合密封件装载到输送腔中的方法和装置。 加载装置可以将密封件折叠成用于插入输送腔的构造。 例如，装载装置可以将密封件折叠成长椭球形。 然后将输送腔插入装载装置并与折叠的密封件配合。

公开(公告)号：US08906048B2

公开(公告)日：2014-12-09

申请号：US13027205

申请日：2011-02-14

Applicant: Arthur M. Lin ,  Joseph N. Lamberti ,  Kenny Dang ,  Michael C. Stewart ,  Charles J. Adam ,  Justin N. Williams

Inventor： Arthur M. Lin ,  Joseph N. Lamberti ,  Kenny Dang ,  Michael C. Stewart ,  Charles J. Adam ,  Justin N. Williams

IPC: A61B17/22 ,  A61B18/14 ,  A61B17/00 ,  A61B17/34 ,  A61B17/32

CPC classification number: A61B17/00008 ,  A61B18/14 ,  A61B2017/00367 ,  A61B2017/00969 ,  A61B2017/320044 ,  A61B2017/3419 ,  A61B2017/3445

Abstract: A vessel harvesting system that is suitable for harvesting target vessels such as the saphenous vein or radial artery for cardiac artery bypass graft surgery. The system includes a vessel harvesting tool with an elongated cannula and a plurality of surgical instruments therein for separating the target vessels from the surrounding tissue and side branches. The harvesting tool includes a modular handle unit with a base attached to the elongated cannula and a sled that can adapt the base to various types of vessel severing/securing tools, such as tissue welders, bipolar scissors, and bipolar bisectors. The handle unit may be relatively rigid and integrated with the various tool movement controls to facilitate one-handed operation by a user. A severing/securing tool rotation mechanism may be incorporated within the handle and operated by a thumbwheel or other such mechanism. The vessel harvesting system may also provide distal CO2 insufflation for enhanced maintenance of the operating cavity.

Abstract translation: 适用于收集目标血管如隐静脉或桡动脉用于心脏动脉旁路移植手术的血管采集系统。 该系统包括具有细长插管的血管收集工具和其中的多个外科器械，用于将靶容器与周围组织和侧枝分开。 收割工具包括具有附接到细长插管的基座的模块化手柄单元和可以使底座适应各种类型的容器切割/固定工具（例如组织焊接机，双极剪刀和双极平分线）的滑板。 手柄单元可以是相对刚性的并且与各种工具移动控件集成以便于用户的单手操作。 切割/固定工具旋转机构可以结合在手柄内并由指轮或其它这样的机构操作。 容器收集系统还可以提供远端CO 2吹入以增强操作腔的维护。

公开(公告)号：US20110257643A1

公开(公告)日：2011-10-20

申请号：US13047778

申请日：2011-03-14

Applicant: Liming Lau ,  Arthur M. Lin ,  Sam Ho ,  Ryan C. Abbott ,  Kenny L. Dang ,  Jesse McQuiston ,  Peter L. Callas ,  Arnold M. Escano ,  Michael C. Stewart ,  Jerry Jarrard ,  Joseph N. Lamberti ,  Justin N. Williams ,  Kristopher Yee

Inventor： Liming Lau ,  Arthur M. Lin ,  Sam Ho ,  Ryan C. Abbott ,  Kenny L. Dang ,  Jesse McQuiston ,  Peter L. Callas ,  Arnold M. Escano ,  Michael C. Stewart ,  Jerry Jarrard ,  Joseph N. Lamberti ,  Justin N. Williams ,  Kristopher Yee

IPC: A61B18/04

CPC classification number: A61B18/085 ,  A61B17/29 ,  A61B18/082 ,  A61B18/1445 ,  A61B90/03 ,  A61B2017/00084 ,  A61B2017/00353 ,  A61B2017/00504 ,  A61B2017/2912 ,  A61B2017/2936 ,  A61B2017/2945 ,  A61B2017/3445 ,  A61B2018/00089 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61B2018/00619 ,  A61B2018/1432

Abstract: A surgical apparatus and methods for severing and welding tissue, in particular blood vessels. The apparatus includes an elongated shaft having a pair of relatively movable jaws at a distal end thereof. A first heating element on one of the jaws is adapted to heat up to a first temperature and form a welded region within the tissue, while a second heating element on one of the jaws is adapted to heat up to a second temperature and sever the tissue within the welded region. The first and second heating elements may be provided on the same or opposite jaws. A control handle provided on the proximal end of the elongated shaft includes controls for opening and closing the jaws, and may include an actuator for sending current through the first and second heating elements. The first and second heating elements may be electrically connected in series, and the first heating element may be bifurcated such that it conducts about one half of the current as the second heating element. A force-limiting mechanism provided either within the control handle, in the elongated shaft, or at the jaws limits the pressure applied to the tissue by the jaws to ensure that the tissue is severed and the ends effectively welded within a short amount of time.

Abstract translation: 用于切断和焊接组织，特别是血管的手术设备和方法。 该装置包括细长轴，其在其远端具有一对相对可动的钳口。 其中一个钳口上的第一加热元件适于加热至第一温度并在组织内形成焊接区域，而其中一个钳口上的第二加热元件适于加热至第二温度并切断组织 在焊接区域内。 第一和第二加热元件可以设置在相同或相对的夹爪上。 设置在细长轴的近端的控制手柄包括用于打开和关闭钳口的控制器，并且可以包括用于通过第一和第二加热元件发送电流的致动器。 第一和第二加热元件可以串联电连接，并且第一加热元件可以分叉，使得其作为第二加热元件传导大约电流的一半。 设置在控制手柄，细长轴或钳口内的力限制机构限制由钳口施加到组织上的压力，以确保组织被切断并且端部在短时间内有效地焊接。

公开(公告)号：US20090043243A1

公开(公告)日：2009-02-12

申请号：US12113484

申请日：2008-05-01

Applicant: Paul A. DeLIPSKI ,  Albert K. CHIN ,  Arthur M. LIN ,  Alfredo R. CANTU ,  Thang Tom UNG

Inventor： Paul A. DeLIPSKI ,  Albert K. CHIN ,  Arthur M. LIN ,  Alfredo R. CANTU ,  Thang Tom UNG

IPC: A61M5/00

CPC classification number: A61B17/0057 ,  A61B2017/00252 ,  A61B2017/00362 ,  A61B2017/00526 ,  A61B2017/00862 ,  A61B2017/1107 ,  A61B2090/034

Abstract: Disclosed herein are methods, devices, and systems for folding a sealing element. A loader can receive a substantially unfolded sealing element, which when moved through the loader is configured for receipt in an insertion instrument. For example, the sealing element can be folded into a substantially prolate spheroidal shape. The folded sealing element can then be inserted into the insertion instrument. In one aspect, the loader is adapted to allow insertion of the folded sealing element into the insertion instrument when the folded sealing element is within a channel of the loader.

Abstract translation: 本文公开了用于折叠密封元件的方法，装置和系统。 装载机可以接收基本上展开的密封元件，其在移动通过装载器时构造成用于容纳在插入器具中。 例如，密封元件可以折叠成大体上呈椭圆形的球形。 然后可以将折叠的密封元件插入到插入器具中。 在一个方面，当折叠的密封元件在装载机的通道内时，装载器适于允许折叠的密封元件插入到插入器具中。

公开(公告)号：US09554817B2

公开(公告)日：2017-01-31

申请号：US13222353

申请日：2011-08-31

Applicant: Eric A. Goldfarb ,  Richard R. Newhauser, Jr. ,  Thomas R. Jenkins ,  John W. White ,  Mina W. B. Chow ,  Serena Swei Loh ,  Mei Y. Pader ,  Scott O. Chamness ,  Luke W. Clauson ,  Matthew B. Newell ,  Arthur M. Lin

Inventor： Eric A. Goldfarb ,  Richard R. Newhauser, Jr. ,  Thomas R. Jenkins ,  John W. White ,  Mina W. B. Chow ,  Serena Swei Loh ,  Mei Y. Pader ,  Scott O. Chamness ,  Luke W. Clauson ,  Matthew B. Newell ,  Arthur M. Lin

IPC: A61B17/00 ,  A61B17/24 ,  A61M25/01 ,  A61M25/09 ,  A61B17/3207 ,  A61B17/22 ,  A61M29/02 ,  A61M25/06

CPC classification number: A61M25/09041 ,  A61B17/24 ,  A61B17/3207 ,  A61B2017/00292 ,  A61B2017/00331 ,  A61B2017/00535 ,  A61B2017/22042 ,  A61B2017/22069 ,  A61M3/0295 ,  A61M25/0113 ,  A61M29/00 ,  A61M29/02 ,  A61M2025/0681 ,  A61M2025/09125 ,  A61M2210/0618

Abstract: A medical device and method for the treatment of a sinus opening includes a handle, a guide catheter, a guide wire, a balloon catheter, a guide wire movement mechanism and a balloon catheter movement mechanism. The guide wire and balloon catheter are both disposed at least partially in the handle and catheter lumen. The guide wire movement mechanism is configured for advancement and retraction of the guide wire through the handle and catheter lumen by user operation of the guide wire movement mechanism. The guide wire movement mechanism includes an integrated guide wire locking and rotation mechanism configured for rotation of the guide wire and for securely locking and unlocking the guide wire to the guide wire movement mechanism. The balloon catheter movement mechanism is configured for advancement and retraction of the balloon catheter through the handle and catheter lumen by user operation of the balloon catheter movement mechanism.

Abstract translation: 用于治疗窦口的医疗装置和方法包括手柄，引导导管，导丝，气囊导管，导丝移动机构和气囊导管移动机构。 引导线和气囊导管至少部分地设置在手柄和导管腔中。 引导线移动机构构造成用于通过导丝移动机构的用户操作使导丝通过手柄和导管腔进行和缩回。 引导线移动机构包括被构造成用于旋转引导线并且用于将引导线牢固地锁定和解锁到引导线移动机构的整体导丝线锁定和旋转机构。 气囊导管移动机构构造成用于通过球囊导管移动机构的用户操作通过手柄和导管腔前进和缩回气囊导管。

公开(公告)号：US08657818B2

公开(公告)日：2014-02-25

申请号：US12545672

申请日：2009-08-21

Applicant: Arthur M. Lin

Inventor： Arthur M. Lin

IPC: A61B18/14

CPC classification number: A61B17/00008 ,  A61B18/1442 ,  A61B2017/003 ,  A61B2017/00353 ,  A61B2017/00389 ,  A61B2017/2945 ,  A61B2018/00196 ,  A61B2018/00208 ,  A61B2018/00345 ,  A61B2018/00404 ,  A61B2018/00601 ,  A61B2018/00619 ,  A61B2018/00952 ,  A61B2018/1432 ,  A61B2018/1861

Abstract: A surgical instrument includes an elongated tube having a proximal end and a distal end, a handle coupled to the proximal end of the tube, and a tool that is rotatable and translatable relative to the tube, wherein the handle includes a control for rotating the tool relative to the tube, and wherein the control is coupled to the tool such that a movement of the control through an angle θc rotates the tool relative to the tube by an angle θt that is greater or less than θc, and wherein the angle θc is variable as determined by a user.

Abstract translation: 手术器械包括具有近端和远端的细长管，联接到管的近端的手柄以及可相对于管可旋转和平移的工具，其中手柄包括用于使工具旋转的控制 并且其中所述控制件联接到所述工具，使得所述控件通过角度的移动使所述工具相对于所述管旋转大于或小于所述管的角度，并且其中所述角度为 变量由用户确定。