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公开(公告)号：US5618307A
公开(公告)日：1997-04-08
申请号：US567996
申请日：1995-12-04
申请人： Brian S. Donlon , Richard L. Mueller, Jr. , S. Christopher Daniel , Hanson S. Gifford, III , John H. Stevens
发明人： Brian S. Donlon , Richard L. Mueller, Jr. , S. Christopher Daniel , Hanson S. Gifford, III , John H. Stevens
IPC分类号： A61B17/00 , A61B17/064 , A61B17/12 , A61B17/122 , A61B17/128 , A61B17/28 , A61B17/34
CPC分类号： A61B17/29 , A61B17/00234 , A61B17/12013 , A61B17/122 , A61B17/064 , A61B17/1227 , A61B17/1285 , A61B17/2909 , A61B17/34 , A61B2017/00243 , A61B2017/00353 , A61B2017/00544 , A61B2017/2905 , A61B2017/2933 , A61B2017/2943 , A61B2017/2945 , A61B2017/2946 , A61B2017/3445 , A61B2018/1432 , A61M2205/3344 , A61M2205/3355
摘要： A deployable clamp for clamping a patient's ascending aorta between the coronary arteries and the brachiocephalic artery. The clamp is detachably mounted to the distal end of an elongated clamp positioner and is manipulated and actuated from the proximal end of the clamp positioner at a location outside of the patient's thoracic cavity. When actuated, the clamp blocks blood flow through the ascending aorta.
摘要翻译： 用于将患者升主动脉夹在冠状动脉和头臂动脉之间的可展开夹具。 夹具可拆卸地安装到细长夹具定位器的远端，并且在夹持定位器的近端处于患者胸腔外侧的位置处被操纵和致动。 当启动时，夹具阻止血流通过升主动脉。
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公开(公告)号：US5972030A
公开(公告)日：1999-10-26
申请号：US949282
申请日：1997-10-21
IPC分类号： A61B17/00 , A61B17/02 , A61B17/04 , A61B17/06 , A61B17/122 , A61B17/28 , A61B17/30 , A61B17/34 , A61B18/00 , A61B18/14 , A61B19/00 , A61F2/24 , A61F2/958 , A61F7/00 , A61F7/10 , A61M1/00 , A61M1/36
CPC分类号： A61B17/0057 , A61B17/00234 , A61B17/0218 , A61B17/0293 , A61B17/0469 , A61B17/06061 , A61B17/122 , A61B17/29 , A61B17/3421 , A61B18/1492 , A61B90/36 , A61B90/50 , A61F2/2427 , A61F2/2448 , A61F2/2466 , A61F2/2496 , A61F7/10 , A61M39/0247 , A61B17/0467 , A61B17/2909 , A61B2017/00053 , A61B2017/00243 , A61B2017/00247 , A61B2017/00575 , A61B2017/00867 , A61B2017/00907 , A61B2017/00946 , A61B2017/0237 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/0496 , A61B2017/2912 , A61B2017/2926 , A61B2017/2927 , A61B2017/2932 , A61B2017/2943 , A61B2017/306 , A61B2017/308 , A61B2017/3405 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2018/00982 , A61B2090/061 , A61B2090/306 , A61F2/2442 , A61F2/2445 , A61F2007/0001 , A61F2007/0054 , A61F2007/101 , A61M1/3621 , A61M2025/028 , A61M2039/027 , A61M2039/0279 , A61M2202/047 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , A61M25/1011
摘要： Devices and methods are provided for less-invasive surgical treatment of cardiac valves whereby the need for a gross thoracotomy or median sternotomy is eliminated. In one aspect of the invention, a delivery system for a cardiac valve prosthesis such as an annuloplasty ring or prosthetic valve includes an elongated handle configured to extend into the heart through an intercostal space from outside of the chest cavity, and a prosthesis holder attached to the handle for releasably holding a prosthesis. The prosthesis holder is attached to the handle in such a way that the holder, prosthesis and handle have a profile with a height smaller than the width of an intercostal space when the adjacent ribs are unretracted, preferably less than about 30 mm. In a further aspect, the invention provides a method for repairing or replacing a heart valve which includes the steps of introducing a prosthesis through an intercostal space and through a penetration in a wall of the heart, and securing the prosthesis to an interior wall of the heart, wherein each step is carried out without cutting, removing, or significantly retracting the ribs or sternum.
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公开(公告)号：US06558318B1
公开(公告)日：2003-05-06
申请号：US09430929
申请日：1999-11-01
IPC分类号： A61B132
CPC分类号： A61M39/0247 , A61B17/00234 , A61B17/0218 , A61B17/0467 , A61B17/0469 , A61B17/06061 , A61B17/2909 , A61B17/3417 , A61B18/1492 , A61B90/50 , A61B2017/00243 , A61B2017/00247 , A61B2017/00349 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2943 , A61B2017/2946 , A61B2017/306 , A61B2017/3405 , A61B2017/3425 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61F2/2427 , A61M25/1011 , A61M2025/028 , A61M2039/027 , A61M2039/0279 , A61M2205/3344 , A61M2205/3355 , A61M2205/366
摘要： A method for manipulating a tissue structure within a thoracic cavity of a patient includes the step of providing a tissue positioning tool having a shaft, a tool support apparatus and a tissue supporting member releasably connectable to the shaft. The tool support apparatus includes a clamp assembly configured to secure the shaft to the tool support apparatus. The tool support apparatus is positioned on an outer surface of a patient's chest and at least a portion of the shaft and the tissue supporting member are introduced into the patient's thoracic cavity. The tissue supporting member is attached to the portion of the shaft that is disposed within the patient so as to contact a tissue structure. A force is applied to the shaft to displace the tissue structure and the shaft is locked to the tool support apparatus with the clamp assembly.
摘要翻译： 用于操纵患者胸腔内的组织结构的方法包括提供具有轴的组织定位工具的步骤，工具支撑装置和可释放地连接到所述轴的组织支撑构件。 工具支撑装置包括构造成将轴固定到工具支撑装置的夹具组件。 工具支撑装置定位在患者胸部的外表面上，并且轴和组织支撑构件的至少一部分被引入到患者的胸腔中。 组织支撑构件附接到设置在患者体内的轴的部分，以便接触组织结构。 力施加到轴以移动组织结构，并且利用夹具组件将轴锁定到工具支撑装置。
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公开(公告)号：US06564805B2
公开(公告)日：2003-05-20
申请号：US10198513
申请日：2002-07-18
IPC分类号： A61B1900
CPC分类号： A61B17/0057 , A61B17/00234 , A61B17/0218 , A61B17/0293 , A61B17/0467 , A61B17/0469 , A61B17/06061 , A61B17/122 , A61B17/29 , A61B17/2909 , A61B17/3421 , A61B18/1492 , A61B90/36 , A61B90/50 , A61B2017/00053 , A61B2017/00243 , A61B2017/00247 , A61B2017/00575 , A61B2017/00867 , A61B2017/00907 , A61B2017/00946 , A61B2017/0237 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/0496 , A61B2017/2912 , A61B2017/2926 , A61B2017/2927 , A61B2017/2932 , A61B2017/2943 , A61B2017/306 , A61B2017/308 , A61B2017/3405 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2018/00982 , A61B2090/061 , A61B2090/306 , A61F2/2427 , A61F2/2442 , A61F2/2445 , A61F2/2448 , A61F2/2466 , A61F2/2496 , A61F7/10 , A61F2007/0001 , A61F2007/0054 , A61F2007/101 , A61M1/3621 , A61M25/1011 , A61M39/0247 , A61M2025/028 , A61M2039/027 , A61M2039/0279 , A61M2202/047 , A61M2205/3344 , A61M2205/3355 , A61M2205/366
摘要： Devices and methods are provided for less-invasive surgical treatment of cardiac valves whereby the need for a gross thoracotomy or median sternotomy is eliminated. In one aspect of the invention, a delivery system for a cardiac valve prosthesis such as an annuloplasty ring or prosthetic valve includes an elongated handle configured to extend into the heart through an intercostal space from outside of the chest cavity, and a prosthesis holder attached to the handle for releasably holding a prosthesis. The prosthesis holder is attached to the handle in such a way that the holder, prosthesis and handle have a profile with a height smaller than the width of an intercostal space when the adjacent ribs are unretracted, preferably less than about 30 mm. In a further aspect, the invention provides a method for repairing or replacing a heart valve which includes the steps of introducing a prosthesis through an intercostal space and through a penetration in a wall of the heart, and securing the prosthesis to an interior wall of the heart, wherein each step is carried out without cutting, removing, or significantly retracting the ribs or sternum.
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公开(公告)号：US5980455A
公开(公告)日：1999-11-09
申请号：US893066
申请日：1997-07-15
IPC分类号： A61B17/00 , A61B17/02 , A61B17/04 , A61B17/06 , A61B17/28 , A61B17/30 , A61B17/34 , A61B18/14 , A61B19/00 , A61F2/24 , A61F2/958 , A61M1/00 , A61B1/313
CPC分类号： A61M39/0247 , A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/06061 , A61B18/1492 , A61B90/50 , A61F2/2427 , A61B17/0467 , A61B17/2909 , A61B17/3417 , A61B2017/00243 , A61B2017/00247 , A61B2017/00349 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2943 , A61B2017/2946 , A61B2017/306 , A61B2017/3405 , A61B2017/3425 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61M2025/028 , A61M2039/027 , A61M2039/0279 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , A61M25/1011
摘要： A method for manipulating a tissue structure within a body cavity provides for retracting and supporting the heart wall to provide access into the heart during a cardiac surgical procedure. In one embodiment of the present invention, a surgical tool support apparatus comprises a base having an atraumatic tissue-engaging surface and an aperture for receiving an elongate tool. The apparatus also has a clamp assembly aligned with the aperture and spaced-apart from a surface of the base opposite to the tissue-engaging surface. The apparatus is particularly useful in maintaining a retracting force on a surgical tool used to manipulate tissue within a body cavity such as the thoracic cavity.
摘要翻译： 用于操纵体腔内的组织结构的方法提供回缩和支撑心脏壁以在心脏外科手术过程中提供进入心脏的通路。 在本发明的一个实施例中，一种手术工具支撑装置包括具有无创伤组织接合表面的底座和用于接收细长工具的孔。 该装置还具有与孔对准并且与基部的与组织接合表面相对的表面间隔开的夹具组件。 该装置特别可用于在用于操纵诸如胸腔的体腔内的组织的外科手术工具上保持缩回力。
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