公开(公告)号：US08317696B2

公开(公告)日：2012-11-27

申请号：US12654183

申请日：2009-12-14

申请人： Anthony Paolitto ,  Jonathan Paquette ,  Valerio Valentini

发明人： Anthony Paolitto ,  Jonathan Paquette ,  Valerio Valentini

IPC分类号： A61B1/32

CPC分类号： A61B5/1076 ,  A61B90/06 ,  A61B2017/00907 ,  A61B2090/061 ,  A61F2/2415 ,  A61F2/2496 ,  A61F2250/0097

摘要： A surgical tool for visually assessing or measuring the aortic structures contained within a generally tubular aortic root. The surgical tool is appropriately configured and sized to be insertable within an aortic root during surgery. The surgical tool comprises a handle portion and a cylindrical portion connectable thereto. The cylindrical portion defines an external cylindrical surface and extends in height along a tool axis between a base portion and a top portion. The cylindrical portion being optically clear or having at least a section thereof that is sufficiently transparent whereby, in use, when the surgical tool is placed within the aortic root and the aortic structures are in contact with the external cylindrical surface, the aortic structures are visible through said optically clear or sufficiently transparent section. The cylindrical portion preferably further comprises an array of reference datum and measurement increments visible through the optically clear section such that the visualization and measurement of the aortic structures may be effected with reference to the array.

摘要翻译： 用于视觉评估或测量包含在大致管状主动脉根部内的主动脉结构的外科手术工具。 外科手术工具被适当地构造和尺寸以在手术期间被插入到主动脉根部内。 外科手术工具包括手柄部分和可与其连接的圆柱形部分。 圆柱形部分限定外部圆柱形表面，并且沿工具轴线在基部和顶部之间的高度上延伸。 圆柱形部分是光学透明的或至少具有足够透明度的部分，由此在使用中，当外科手术工具放置在主动脉根部内并且主动脉结构与外部圆柱形表面接触时，主动脉结构可见 通过所述光学透明或足够透明的部分。 圆柱形部分优选地还包括通过光学透明部分可见的参考基准和测量增量的阵列，使得可以参考阵列来实现主动脉结构的可视化和测量。

公开(公告)号：US20100217092A1

公开(公告)日：2010-08-26

申请号：US12654183

申请日：2009-12-14

申请人： Anthony Paolitto ,  Jonathan Paquette ,  Valerio Valentini

发明人： Anthony Paolitto ,  Jonathan Paquette ,  Valerio Valentini

IPC分类号： A61B1/32

CPC分类号： A61B5/1076 ,  A61B90/06 ,  A61B2017/00907 ,  A61B2090/061 ,  A61F2/2415 ,  A61F2/2496 ,  A61F2250/0097

摘要： A surgical tool for visually assessing or measuring the aortic structures contained within a generally tubular aortic root. The surgical tool is appropriately configured and sized to be insertable within an aortic root during surgery. The surgical tool comprises a handle portion and a cylindrical portion connectable thereto. The cylindrical portion defines an external cylindrical surface and extends in height along a tool axis between a base portion and a top portion. The cylindrical portion being optically clear or having at least a section thereof that is sufficiently transparent whereby, in use, when the surgical tool is placed within the aortic root and the aortic structures are in contact with the external cylindrical surface, the aortic structures are visible through said optically clear or sufficiently transparent section. The cylindrical portion preferably further comprises an array of reference datum and measurement increments visible through the optically clear section such that the visualization and measurement of the aortic structures may be effected with reference to the array.

摘要翻译： 用于视觉评估或测量包含在大致管状主动脉根部内的主动脉结构的外科手术工具。 外科手术工具被适当地构造和尺寸以在手术期间被插入到主动脉根部内。 手术工具包括手柄部分和可连接到其上的圆柱形部分。 圆柱形部分限定外部圆柱形表面，并且沿工具轴线在基部和顶部之间的高度上延伸。 圆柱形部分是光学透明的或至少具有足够透明度的部分，由此在使用中，当外科手术工具放置在主动脉根部内并且主动脉结构与外部圆柱形表面接触时，主动脉结构可见 通过所述光学透明或足够透明的部分。 圆柱形部分优选地还包括通过光学透明部分可见的参考基准和测量增量的阵列，使得可以参考阵列来实现主动脉结构的可视化和测量。

公开(公告)号：US09757231B2

公开(公告)日：2017-09-12

申请号：US13592820

申请日：2012-08-23

申请人： Neil Bulman-Fleming ,  Emmanuel Lansac ,  Trong Tin Nguyen ,  Anthony Paolitto ,  Jonathan Paquette ,  Adrian Ranga ,  Valerio Valentini

发明人： Neil Bulman-Fleming ,  Emmanuel Lansac ,  Trong Tin Nguyen ,  Anthony Paolitto ,  Jonathan Paquette ,  Adrian Ranga ,  Valerio Valentini

IPC分类号： A61F2/24

CPC分类号： A61F2/2445 ,  A61B17/0469 ,  A61F2/2427 ,  A61F2/2448 ,  A61F2/2466 ,  A61F2/2496 ,  A61F2220/0008 ,  A61F2220/0075 ,  A61F2230/0013 ,  A61F2230/0017

摘要： Devices and methods are provided for surgical repair of dilated aortic root to restore aortic valve competence while preserving native leaflets. In one aspect of the invention an expandable annuloplasty ring is provided for external placement at the base of a dilated aortic root. The expandable ring is capable of elastically expanding between a first diastolic diameter and a larger second systolic diameter to provide a physiologically representative surgical repair of the aortic root. In a further aspect of the invention, is provided a holder assembly for aortic annuloplasty ring and suitable for other cardiac valve prosthesis. The holder assembly consists of a holder body pivotingly coupled to a handle member through a ball-and-socket arrangement.

公开(公告)号：US20130073033A1

公开(公告)日：2013-03-21

申请号：US13592820

申请日：2012-08-23

申请人： Neil Bulman-Fleming ,  Emmanuel Lansac ,  Trong Tin Nguyen ,  Anthony Paolitto ,  Jonathan Paquette ,  Adrian Ranga ,  Valerio Valentini

发明人： Neil Bulman-Fleming ,  Emmanuel Lansac ,  Trong Tin Nguyen ,  Anthony Paolitto ,  Jonathan Paquette ,  Adrian Ranga ,  Valerio Valentini

IPC分类号： A61F2/24

CPC分类号： A61F2/2445 ,  A61B17/0469 ,  A61F2/2427 ,  A61F2/2448 ,  A61F2/2466 ,  A61F2/2496 ,  A61F2220/0008 ,  A61F2220/0075 ,  A61F2230/0013 ,  A61F2230/0017

摘要： Devices and methods are provided for surgical repair of dilated aortic root to restore aortic valve competence while preserving native leaflets. In one aspect of the invention an expandable annuloplasty ring is provided for external placement at the base of a dilated aortic root. The expandable ring is capable of elastically expanding between a first diastolic diameter and a larger second systolic diameter to provide a physiologically representative surgical repair of the aortic root. In a further aspect of the invention, is provided a holder assembly for aortic annuloplasty ring and suitable for other cardiac valve prosthesis. The holder assembly consists of a holder body pivotingly coupled to a handle member through a ball-and-socket arrangement.

摘要翻译： 提供了设备和方法用于扩张主动脉根部的手术修复，以恢复主动脉瓣的能力，同时保留天然传单。 在本发明的一个方面，提供了可扩张的瓣膜成形术环，用于在扩张的主动脉根部的基部处进行外部放置。 可扩张环能够在第一舒张直径和较大的第二收缩期直径之间弹性膨胀，以提供主动脉根部的生理代表性手术修复。 在本发明的另一方面，提供了一种用于主动脉瓣环成形术环并适用于其他心脏瓣膜假体的保持器组件。 保持器组件包括通过球 - 插座布置枢转地联接到手柄构件的保持器主体。

公开(公告)号：US20110144450A1

公开(公告)日：2011-06-16

申请号：US12926018

申请日：2010-10-19

申请人： Anthony Paolitto ,  Jonathan Paquette ,  Rene Sylvestre ,  Valerio Valentini

发明人： Anthony Paolitto ,  Jonathan Paquette ,  Rene Sylvestre ,  Valerio Valentini

IPC分类号： A61B1/32

CPC分类号： A61B17/0206 ,  A61B17/02 ,  A61B2017/2927

摘要： A surgical retractor for retracting a body tissue comprising a plurality of cooperating tissue-retracting blades connected to a retractor housing through a linkage arrangement. The tissue-retracting blades are movable between a closed-blade configuration wherein said blades are in proximity to one another and an open-blade configuration wherein said blades are in a spaced apart spatial relationship. The blade spatial relationship being variably selectable by the degree of actuation input applied to a first actuator that is coupled to both the retractor housing and the linkage arrangement. The tissue-retracting blades are also movable, together as a blade assembly in a selected blade spatial relationship, when a second actuation input is applied to a second actuator to articulate a pivoting wrist joint configured in the retractor housing. Actuating the wrist joint through the second actuator allows the surgeon to vary the orientation of the spaced apart blades relative to the housing through an angular displacement of the blades about a wrist pivot axis.

摘要翻译： 一种用于缩回身体组织的外科牵开器，包括通过连接装置连接到牵开器壳体的多个协作的组织缩回刀片。 组织缩回刀片可在闭合刀片构型之间移动，其中所述刀片彼此靠近并且具有开口刀片配置，其中所述刀片处于间隔开的空间关系。 叶片空间关系可通过施加到联接到牵开器壳体和连接装置两者的第一致动器的致动输入程度来可变地选择。 当将第二致动输入施加到第二致动器以将构造在牵开器壳体中的枢转腕关节铰接时，组织缩回刀片也可以一起作为叶片组件以选定的叶片空间关系一起移动。 通过第二致动器来驱动腕关节允许外科医生通过刀片围绕腕枢转轴线的角位移来改变间隔开的刀片相对于外壳的取向。