公开(公告)号：US5607391A

公开(公告)日：1997-03-04

申请号：US306277

申请日：1994-09-14

申请人： John F. Klinger ,  Paul A. Matula ,  H. Jonathan Tovey ,  Ernie Aranyi

发明人： John F. Klinger ,  Paul A. Matula ,  H. Jonathan Tovey ,  Ernie Aranyi

IPC分类号： A61B17/3211 ,  A61B17/00 ,  A61B17/02 ,  A61B17/32 ,  A61B17/34 ,  A61B18/14 ,  A61B18/24 ,  A61M1/00 ,  A61M25/00

CPC分类号： A61B17/3203 ,  A61B17/0218 ,  A61M1/0064 ,  A61B17/00234 ,  A61B17/3213 ,  A61B18/14 ,  A61B18/1482 ,  A61B18/24 ,  A61B2017/00464 ,  A61B2017/320044 ,  A61B2017/3445 ,  A61M1/0031

摘要： An endoscopic surgical instrument for aspiration and irrigation of a surgical site is disclosed. Connection ports for irrigation fluid and a suction source are provided which communicate with a single lumen cannula which transports both the irrigation fluid and the suction pressure to the surgical site. A valve mechanism having a novel valve stem and valve arrangement is also disclosed for providing higher pressure capabilities for the instrument. In one embodiment, the single lumen cannula is provided with a sliding sleeve to vary the pressure of the irrigation fluid to provide for high pressure application of the irrigation fluid to perform hydrodissection. The aspiration-irrigation instrument may also include electrocautery capabilities and a detachable cannula assembly for interchanging cannulas having different working tool members. In one embodiment, a sliding outer sleeve is also provided for selectively exposing the working tool members. An insertion port for reception of a surgical instrument which may be utilized with the suction and irrigation device during surgical procedures is also disclosed.

摘要翻译： 公开了一种用于外科手术部位的抽吸和灌洗的内窥镜手术器械。 提供了用于冲洗流体和抽吸源的连接端口，其与单个内腔套管连通，所述套管将冲洗流体和吸入压力都输送到手术部位。 还公开了一种具有新颖的阀杆和阀装置的阀机构，用于为仪器提供更高的压力能力。 在一个实施例中，单腔套管设置有滑动套管以改变冲洗流体的压力，以提供冲洗流体的高压施加以执行加压切割。 抽吸 - 冲洗仪器还可以包括电灼功能和用于互换具有不同工作工具构件的插管的可拆卸插管组件。 在一个实施例中，还提供滑动外套筒以选择性地暴露工作工具构件。 还公开了用于接收外科手术器械的插入口，其可以在外科手术期间与吸入和冲洗装置一起使用。

公开(公告)号：US06716189B1

公开(公告)日：2004-04-06

申请号：US09328248

申请日：1999-06-08

申请人： Robert Jarvik ,  Daniel E. Alesi ,  John F. Klinger ,  Robert J. Geiste ,  Steven R. Day ,  Keith Payea ,  Kenneth G. Hammerquist ,  Steven J. Stern ,  Francis X. Kaczynski ,  Mark Howansky ,  Deborah M. Cashin

发明人： Robert Jarvik ,  Daniel E. Alesi ,  John F. Klinger ,  Robert J. Geiste ,  Steven R. Day ,  Keith Payea ,  Kenneth G. Hammerquist ,  Steven J. Stern ,  Francis X. Kaczynski ,  Mark Howansky ,  Deborah M. Cashin

IPC分类号： A61M3700

CPC分类号： A61M1/3666 ,  A61M1/10 ,  A61M1/101 ,  A61M1/3626 ,  A61M1/3639 ,  A61M1/3653 ,  A61M1/3656 ,  A61M1/3659 ,  A61M1/3667 ,  A61M39/281

摘要： A method for providing at least partial bypass of the heart to supplement the pumping function of the heart to thereby enable the surgeon to perform various surgical procedures thereon includes providing a circulatory assist system having a portable extracorporeal axial flow pump with a pump housing, a rotating pumping member disposed in the pump housing and inlet and outlet cannulated tubes respectively connected to inlet and outlet ports of the pump housing, accessing the patient's left atrium of the heart with the inlet cannulated tube, accessing the aorta with the outlet cannulated tube, actuating the rotating pumping member to draw oxygenated blood from the left atrium of the heart through the lumen of the inlet cannulated tube and into the inlet port of the pump housing whereby the pumping member imparts mechanical energy to the oxygenated blood passing through the pump housing and directs the oxygenated blood through the outlet port and through the lumen of the outlet cannulated tube to be transferred by the aorta to the systemic arteries and permitting the right side of the heart to function whereby oxygen-depleted blood returning through the systemic veins to the right atrium is directed through the right ventricle to the patient's lungs for oxygenation and subsequent pulmonary circulation.

摘要翻译： 一种用于提供心脏的至少部分旁路以补充心脏的泵送功能的方法，从而使得外科医生能够对其执行各种外科手术，其中包括提供循环辅助系统，其具有带有泵壳体的便携式体外轴流泵，旋转 泵送构件设置在泵壳体中，以及分别连接到泵壳体的入口和出口端口的入口和出口管状管，利用入口插管管访问患者的心脏左心房，利用出口管腔进入主动脉，致动 旋转泵送构件，以从心脏的左心房通过入口插管管的内腔吸入氧合血液，并进入泵壳体的入口端口，由此泵送构件向通过泵壳体的氧合血液施加机械能，并引导 氧合血液通过出口口并通过出口管腔插管 管由主动脉转移到全身动脉，并允许心脏的右侧起作用，从而通过系统静脉返回到右心房的贫氧血液通过右心室被引导到患者的肺部用于氧合和随后的肺 循环。

公开(公告)号：US5965089A

公开(公告)日：1999-10-12

申请号：US943504

申请日：1997-10-03

申请人： Robert Jarvik ,  Daniel E. Alesi ,  John F. Klinger ,  Robert J. Geiste ,  Steven R. Day ,  Keith Payea ,  Kenneth G. Hammerquist ,  Steven J. Stern ,  Francis X. Kaczynski ,  Mark Howansky ,  Deborah M. Cashin

发明人： Robert Jarvik ,  Daniel E. Alesi ,  John F. Klinger ,  Robert J. Geiste ,  Steven R. Day ,  Keith Payea ,  Kenneth G. Hammerquist ,  Steven J. Stern ,  Francis X. Kaczynski ,  Mark Howansky ,  Deborah M. Cashin

IPC分类号： A61M1/10 ,  A61M1/36 ,  A61M39/28 ,  A61M1/14 ,  A61M37/00

CPC分类号： A61M1/101 ,  A61M1/3653 ,  A61M1/3626 ,  A61M1/3639 ,  A61M1/3666 ,  A61M39/281

摘要： A method for providing at least partial bypass of the heart to supplement the pumping function of the heart to thereby enable the surgeon to perform various surgical procedures thereon includes providing a circulatory assist system having a portable extracorporeal axial flow pump with a pump housing, a rotating pumping member disposed in the pump housing and inlet and outlet cannulated tubes respectively connected to inlet and outlet ports of the pump housing, accessing the patient's left atrium of the heart with the inlet cannulated tube, accessing the aorta with the outlet cannulated tube, actuating the rotating pumping member to draw oxygenated blood from the left atrium of the heart through the lumen of the inlet cannulated tube and into the inlet port of the pump housing whereby the pumping member imparts mechanical energy to the oxygenated blood passing through the pump housing and directs the oxygenated blood through the outlet port and through the lumen of the outlet cannulated tube to be transferred by the aorta to the systemic arteries and permitting the right side of the heart to function whereby oxygen-depleted blood returning through the systemic veins to the right atrium is directed through the right ventricle to the patient's lungs for oxygenation and subsequent pulmonary circulation.

摘要翻译： 一种用于提供心脏的至少部分旁路以补充心脏的泵送功能的方法，从而使得外科医生能够对其执行各种外科手术，其中包括提供循环辅助系统，其具有带有泵壳体的便携式体外轴流泵，旋转 泵送构件设置在泵壳体中，以及分别连接到泵壳体的入口和出口端口的入口和出口管状管，利用入口插管管访问患者的心脏左心房，利用出口管腔进入主动脉，致动 旋转泵送构件，以从心脏的左心房通过入口插管管的内腔吸入氧合血液，并进入泵壳体的入口端口，由此泵送构件向通过泵壳体的氧合血液施加机械能，并引导 氧合血液通过出口口并通过出口管腔插管 管由主动脉转移到全身动脉并允许心脏的右侧起作用，从而通过系统静脉返回到右心房的贫氧血液通过右心室被引导到患者的肺部用于氧合和随后的肺 循环。

公开(公告)号：US07264606B2

公开(公告)日：2007-09-04

申请号：US10818226

申请日：2004-04-05

申请人： Robert Jarvik ,  Daniel E. Alesi ,  John F. Klinger ,  Robert J. Geiste ,  Steven R. Day ,  Keith Payea ,  Kenneth G. Hammerquist ,  Steven J. Stern ,  Francis X. Kaczynski ,  Mark Howansky ,  Deborah M. Cashin

发明人： Robert Jarvik ,  Daniel E. Alesi ,  John F. Klinger ,  Robert J. Geiste ,  Steven R. Day ,  Keith Payea ,  Kenneth G. Hammerquist ,  Steven J. Stern ,  Francis X. Kaczynski ,  Mark Howansky ,  Deborah M. Cashin

IPC分类号： A61M37/00 ,  A61M1/36 ,  A61N1/362 ,  A61M5/00 ,  A61M1/00

CPC分类号： A61M1/3666 ,  A61M1/10 ,  A61M1/101 ,  A61M1/3626 ,  A61M1/3639 ,  A61M1/3653 ,  A61M1/3656 ,  A61M1/3659 ,  A61M1/3667 ,  A61M39/281

摘要： A method for providing at least partial bypass of the heart to supplement the pumping function of the heart to thereby enable the surgeon to perform various surgical procedures thereon includes providing a circulatory assist system having a portable extracorporeal axial flow pump with a pump housing, a rotating pumping member disposed in the pump housing and inlet and outlet cannulated tubes respectively connected to inlet and outlet ports of the pump housing, accessing the patient's left atrium of the heart with the inlet cannulated tube, accessing the aorta with the outlet cannulated tube, actuating the rotating pumping member to draw oxygenated blood from the left atrium of the heart through the lumen of the inlet cannulated tube and into the inlet port of the pump housing whereby the pumping member imparts mechanical energy to the oxygenated blood passing through the pump housing and directs the oxygenated blood through the outlet port and through the lumen of the outlet cannulated tube to be transferred by the aorta to the systemic arteries and permitting the right side of the heart to function whereby oxygen-depleted blood returning through the systemic veins to the right atrium is directed through the right ventricle to the patient's lungs for oxygenation and subsequent pulmonary circulation.

摘要翻译： 一种用于提供心脏的至少部分旁路以补充心脏的泵送功能的方法，从而使得外科医生能够对其执行各种外科手术，其中包括提供循环辅助系统，其具有带有泵壳体的便携式体外轴流泵，旋转 泵送构件设置在泵壳体中，以及分别连接到泵壳体的入口和出口端口的入口和出口管状管，利用入口插管管访问患者的心脏左心房，利用出口管腔进入主动脉，致动 旋转泵送构件，以从心脏的左心房通过入口插管管的内腔吸入氧合血液，并进入泵壳体的入口端口，由此泵送构件向通过泵壳体的氧合血液施加机械能，并引导 氧合血液通过出口口并通过出口管腔插管 管由主动脉转移到全身动脉，并允许心脏的右侧起作用，从而通过系统静脉返回到右心房的贫氧血液通过右心室被引导到患者的肺部用于氧合和随后的肺 循环。