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    Surgical devices for imposing a negative pressure to stabilize cardiac tissue during surgery
    2.
    发明授权
    Surgical devices for imposing a negative pressure to stabilize cardiac tissue during surgery 失效

    公开(公告)号：US07497824B2

    公开(公告)日：2009-03-03

    申请号：US10943445

    申请日：2004-09-16

    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.

    Surgical instruments and procedures for stabilizing the beating heart during coronary artery bypass graft surgery
    3.
    发明授权
    Surgical instruments and procedures for stabilizing the beating heart during coronary artery bypass graft surgery 失效
    用于在冠状动脉旁路移植手术期间稳定跳动心脏的手术器械和程序

    公开(公告)号：US06701930B2

    公开(公告)日：2004-03-09

    申请号：US10007550

    申请日：2001-11-06

    申请人： Federico J. Benetti ,  Charles S. Taylor ,  Ivan Sepetka ,  Amr Salahieh ,  Robert C. Glines ,  William N. Aldrich ,  Brent Regan ,  John J. Frantzen

    发明人： Federico J. Benetti ,  Charles S. Taylor ,  Ivan Sepetka ,  Amr Salahieh ,  Robert C. Glines ,  William N. Aldrich ,  Brent Regan ,  John J. Frantzen

    IPC分类号： A61B100

    CPC分类号： A61B17/0218 ,  A61B17/00234 ,  A61B17/02 ,  A61B17/0206 ,  A61B17/0642 ,  A61B17/12 ,  A61B17/3421 ,  A61B17/3423 ,  A61B90/00 ,  A61B2017/00243 ,  A61B2017/00557 ,  A61B2017/00703 ,  A61B2017/00858 ,  A61B2017/0243 ,  A61B2017/1139 ,  A61B2017/2825 ,  A61B2017/2913 ,  A61B2017/2929 ,  A61B2017/306 ,  A61B2017/349

    摘要： The invention is methods and devices which a surgeon may use to stabilize the beating heart during a surgical procedure on the heart. Pursuant to the invention, a stabilizing device is introduced through an opening in the chest and brought into contact with the beating heart. By contacting the heart with the device and by exerting a stabilizing force on the device, the motion of the heart caused by the contraction of the heart muscles is effectively eliminated such that the heart is stabilized and the site of the surgery moves only minimally if at all. Typically, in separate steps, the surgeon contacts the heart with the stabilizing device, assesses the degree of movement of the anastomosis site, and exerts a force on the stabilizing device such that the contraction of the beating heart causes only minimal excess motion at the surgery site. By fixing the position of the stabilizing device in a configuration where the motion of the beating heart is effectively eliminated, the surgeon is able to stabilize the beating heart for the duration of the procedure. The stabilizing device may be attached to a rigid support or may be attached to a semi-rigid support which is rendered motionless mechanically, chemically, or by human intervention. In certain preferred embodiments, the stabilizing device is affixed to a semi-rigid support which is caused to become rigid, by any of a variety of techniques, such that the position of the stabilizing device becomes fixed by the support, and the heart remains substantially motionless for the duration of the procedure.

    摘要翻译： 本发明是外科医生可以在心脏手术过程中稳定跳动心脏的方法和装置。 根据本发明，稳定装置通过胸部的开口引入并与打浆心接触。 通过将心脏与装置接触并且通过在装置上施加稳定力，由心脏肌肉收缩引起的心脏的运动被有效地消除，使得心脏稳定，并且手术部位仅在最小程度上移动，如果在 所有。 通常，在单独的步骤中，外科医生与稳定装置接触心脏，评估吻合部位的移动程度，并且在稳定装置上施加力，使得跳动心脏的收缩在手术时仅引起极小的过度运动 现场。 通过将稳定装置的位置固定在跳动心脏的运动被有效地消除的构造中，外科医生能够在手术期间稳定跳动的心脏。 稳定装置可以附接到刚性支撑件，或者可以附接到半刚性支撑件，其通过机械，化学方式或通过人为干预使其不动。 在某些优选实施例中，稳定装置通过各种技术中的任何一种固定到刚性刚性的半刚性支撑件上，使得稳定装置的位置由支撑件固定，心脏基本保持 在程序期间不动。

    Stereoscopic percutaneous visualization system
    4.
    发明授权
    Stereoscopic percutaneous visualization system 失效
    立体经皮可视化系统

    公开(公告)号：US06508759B1

    公开(公告)日：2003-01-21

    申请号：US09429763

    申请日：1999-10-28

    申请人： Charles S. Taylor ,  Brian S. Donlon ,  Timothy R. Machold

    发明人： Charles S. Taylor ,  Brian S. Donlon ,  Timothy R. Machold

    IPC分类号： A61B100

    CPC分类号： G02B23/2415 ,  A61B1/00149 ,  A61B1/00193 ,  A61B1/002 ,  A61B1/3132 ,  A61B1/317 ,  A61B17/3421 ,  A61B90/361 ,  A61B90/50 ,  A61B2017/00243 ,  A61B2017/3492 ,  A61B2090/3616 ,  G02B21/22

    摘要： A surgical microscope comprising a microscope body, lens means attached to the microscope body for magnifying an object image, an eyepiece attached to the microscope body for viewing the magnified object image, and coupling means attached to the microscope body for retaining a supplementary lens in optical alignment with the lens means, the coupling means being configured for introducing the supplementary lens through a percutaneous penetration into a body cavity, wherein the eyepiece and the lens means are configured to facilitate stereoscopic viewing. In a variation of the surgical microscope, a plurality of binocular eyepieces are attached to the microscope body to allow multiple persons to contemporaneously view the magnified object image.

    摘要翻译： 一种手术显微镜，包括显微镜主体，附接到显微镜主体上的放大对象图像的透镜装置，附接到显微镜主体以观察放大对象图像的目镜，以及附接到显微镜主体的耦合装置，用于将辅助透镜保持在光学 与透镜装置对准，联接装置被配置为将辅助透镜经由经皮穿透引入体腔中，其中目镜和透镜装置构造成便于立体观看。 在手术显微镜的变型中，多个双目目镜被附接到显微镜主体，以允许多个人同时观看放大对象图像。

    Method for facilitating the detachment of an artery and the like
    5.
    发明授权
    Method for facilitating the detachment of an artery and the like 失效
    促进动脉等的分离的方法

    公开(公告)号：US06453906B1

    公开(公告)日：2002-09-24

    申请号：US09625397

    申请日：2000-07-26

    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： A61B1900

    CPC分类号： A61B17/00008 ,  A61B17/00234 ,  A61B17/02 ,  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： 手术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。

    Surgical instrument for facilitating the detachment of an artery and the like
    8.
    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。

    Procedures for stabilizing the beating heart during coronary artery bypass graft surgery
    9.
    发明授权
    Procedures for stabilizing the beating heart during coronary artery bypass graft surgery 失效
    在冠状动脉旁路移植手术期间稳定跳动心脏的程序

    公开(公告)号：US6050266A

    公开(公告)日：2000-04-18

    申请号：US99855

    申请日：1998-06-18

    申请人： Federico J. Benetti ,  Charles S. Taylor

    发明人： Federico J. Benetti ,  Charles S. Taylor

    IPC分类号： A61B17/00 ,  A61B17/02 ,  A61B17/064 ,  A61B17/11 ,  A61B17/12 ,  A61B17/28 ,  A61B17/30 ,  A61B17/34 ,  A61B19/00

    CPC分类号： A61B17/0218 ,  A61B17/00234 ,  A61B17/0206 ,  A61B17/3423 ,  A61B90/00 ,  A61B17/02 ,  A61B17/0642 ,  A61B17/12 ,  A61B17/3421 ,  A61B2017/00243 ,  A61B2017/00557 ,  A61B2017/00703 ,  A61B2017/00858 ,  A61B2017/0243 ,  A61B2017/1139 ,  A61B2017/2825 ,  A61B2017/2913 ,  A61B2017/2929 ,  A61B2017/306 ,  A61B2017/349

    摘要： The invention is methods and devices which a surgeon may use to stabilize the beating heart during a surgical procedure on the heart. Pursuant to the invention, a stabilizing device is introduced through an opening in the chest and brought into contact with the beating heart. By contacting the heart with the device and by exerting a stabilizing force on the device, the motion of the heart caused by the contraction of the heart muscles is effectively eliminated such that the heart is stabilized and the site of the surgery moves only minimally if at all. Typically, in separate steps, the surgeon contacts the heart with the stabilizing means, assesses the degree of movement of the anastomosis site, and exerts a force on the stabilizing means such that the contraction of the beating heart causes only minimal excess motion at the surgery site. By fixing the position of the stabilizing means in a configuration where the motion of the beating heart is effectively eliminated, the surgeon is able to stabilize the beating heart for the duration of the procedure. The stabilizing means may be attached to a rigid support or may be attached to a semi-rigid support which is rendered motionless mechanically, chemically, or by human intervention. In certain preferred embodiments, the stabilizing means is affixed to a semi-rigid support which is caused to become rigid, by any of a variety of techniques, such that the position of the stabilizing means becomes fixed by the support, and the heart remains substantially motionless for the duration of the procedure.

    摘要翻译： 本发明是外科医生可以在心脏手术过程中稳定跳动心脏的方法和装置。 根据本发明，稳定装置通过胸部的开口引入并与打浆心接触。 通过将心脏与装置接触并且通过在装置上施加稳定力，由心脏肌肉收缩引起的心脏的运动被有效地消除，使得心脏稳定，并且手术部位仅在最小程度上移动，如果在 所有。 通常，在单独的步骤中，外科医生将心脏与稳定装置接触，评估吻合部位的移动程度，并对稳定装置施加力，使得跳动心脏的收缩在手术时仅引起极小的过度运动 现场。 通过将稳定装置的位置固定在跳动心脏的运动被有效地消除的构造中，外科医生能够在手术期间稳定跳动的心脏。 稳定装置可以附接到刚性支撑件，或者可以附接到半刚性支撑件，其通过机械，化学方式或通过人为干预使其不动。 在某些优选实施例中，稳定装置通过各种技术中的任一种被固定到半刚性支撑件上，使其变得刚性，使得稳定装置的位置由支撑件固定，并且心脏基本保持 在程序期间不动。