公开(公告)号：US08480696B2

公开(公告)日：2013-07-09

申请号：US11155533

申请日：2005-06-16

申请人： Cynthia T. Clague ,  Michael J. Hobday ,  Raymond W. Usher ,  Roderick E. Briscoe ,  Katherine S. Jolly ,  Ana R. Buhr ,  Christopher P. Olig ,  Eric A. Meyer ,  Steven C. Christian ,  Tom P. Daigle ,  Robert H. Reetz ,  Jeffrey D. Sandstrom ,  James R. Keogh ,  Matthew D. Bonner ,  Scott E. Jahns

发明人： Cynthia T. Clague ,  Michael J. Hobday ,  Raymond W. Usher ,  Roderick E. Briscoe ,  Katherine S. Jolly ,  Ana R. Buhr ,  Christopher P. Olig ,  Eric A. Meyer ,  Steven C. Christian ,  Tom P. Daigle ,  Robert H. Reetz ,  Jeffrey D. Sandstrom ,  James R. Keogh ,  Matthew D. Bonner ,  Scott E. Jahns

IPC分类号： A61B17/22

CPC分类号： A61B17/22 ,  A61B17/00008 ,  A61B17/320016 ,  A61B17/32002 ,  A61B17/32053 ,  A61B2017/00557 ,  A61B2017/00778 ,  A61B2017/22062 ,  A61B2017/22068

摘要： The invention provides a system and method for harvesting a vessel section. The system comprises a vessel support member, a handle, and a tubular cutting device. The vessel support member is introduced into the vessel section to be harvested. The tubular cutting device may comprise an outer tubular member or an outer and an inner tubular member. The outer tubular member carries at least one cutting element. The tubular member or members are advanced over the vessel section and vessel support member to core out the vessel section and tissue adjoining the vessel section.

摘要翻译： 本发明提供了一种收集血管部分的系统和方法。 该系统包括容器支撑构件，手柄和管状切割装置。 将容器支撑构件引入待收获的容器部分。 管状切割装置可以包括外部管状构件或外部管状构件和内部管状构件。 外部管状构件承载至少一个切割元件。 管状构件在容器部分和容器支撑构件上前进，以将与容器部分相邻的容器部分和组织芯出。

公开(公告)号：US20130184727A1

公开(公告)日：2013-07-18

申请号：US12445919

申请日：2007-10-16

申请人： Cynthia T. Clague ,  Michael J. Hobday ,  Raymond W. Usher ,  Roderick E. Briscoe ,  Katherine S. Jolly ,  Ana R. Menk ,  Christopher P. Olig ,  Eric A. Meyer ,  Steven C. Christian ,  Thomas P. Daigle ,  Robert H. Reetz ,  Jeffrey D. Sandstrom ,  James R. Keogh ,  Matthew D. Bonner ,  Scott E. Jahns ,  Philip J. Haarstad

发明人： Cynthia T. Clague ,  Michael J. Hobday ,  Raymond W. Usher ,  Roderick E. Briscoe ,  Katherine S. Jolly ,  Ana R. Menk ,  Christopher P. Olig ,  Eric A. Meyer ,  Steven C. Christian ,  Thomas P. Daigle ,  Robert H. Reetz ,  Jeffrey D. Sandstrom ,  James R. Keogh ,  Matthew D. Bonner ,  Scott E. Jahns ,  Philip J. Haarstad

IPC分类号： A61B17/32

CPC分类号： A61B17/32 ,  A61B17/00008 ,  A61B17/3205 ,  A61B17/32053 ,  A61B2017/320064

摘要： Embodiments of the invention provide a vessel support system and a method of vessel harvesting. The system can include a cutting device, a catheter adapted to be inserted into a section of the vessel in order to support the vessel as the cutting device is advanced over the vessel, and a cannula adapted to be coupled to the vessel and adapted to receive the catheter as the catheter is inserted into the section of the vessel. The method can include orienting a cutting device coaxially with the cannula and the catheter and advancing the cutting device over the cannula, the catheter, and the section of the vessel in order to core out the section of the vessel and a portion of the surrounding tissue.

摘要翻译： 本发明的实施例提供了一种血管支持系统和血管收集方法。 该系统可以包括切割装置，适于插入到容器的一部分中的导管，以便当切割装置前进在容器上时支撑容器，以及适于联接到容器并适于接收的套管 作为导管的导管插入血管的部分。 该方法可以包括将切割装置与套管和导管同轴定向，并将切割装置推进套管，导管和容器的部分，以便将血管的一部分和周围组织的一部分 。

公开(公告)号：US20110152904A1

公开(公告)日：2011-06-23

申请号：US12445918

申请日：2007-10-16

申请人： Cynthia T. Clague ,  Michael J. Hobday ,  Raymond W. Usher ,  Roderick E. Briscoe ,  Katherine S. Jolly ,  Rebecca Buhr ,  Christopher P. Olig ,  Eric A. Meyer ,  Steven C. Christian ,  Thomas P. Daigle ,  Robert H. Reetz ,  Jeffrey D. Sandstrom ,  James R. Keogh ,  Matthew D. Bonner ,  Scott E. Jahns ,  Philip J. Haarstad

发明人： Cynthia T. Clague ,  Michael J. Hobday ,  Raymond W. Usher ,  Roderick E. Briscoe ,  Katherine S. Jolly ,  Rebecca Buhr ,  Christopher P. Olig ,  Eric A. Meyer ,  Steven C. Christian ,  Thomas P. Daigle ,  Robert H. Reetz ,  Jeffrey D. Sandstrom ,  James R. Keogh ,  Matthew D. Bonner ,  Scott E. Jahns ,  Philip J. Haarstad

IPC分类号： A61B17/22

CPC分类号： A61B17/32 ,  A61B17/00008 ,  A61B17/3205 ,  A61B17/32053 ,  A61B2017/320064

摘要： Embodiments of the invention provide a cutting device and method of vessel harvesting. The cutting device can include at least one tubular member, a cutting element, and a centering member. The cutting device can include at least one tubular member with a flexible section and a cutting element. The method of vessel harvesting can include spacing a cutting element of the cutting device from the vessel as the cutting element is advanced over the vessel.

摘要翻译： 本发明的实施例提供一种切割装置和容器收获方法。 切割装置可以包括至少一个管状构件，切割元件和定心构件。 切割装置可以包括具有柔性部分和切割元件的至少一个管状部件。 当切割元件在容器上前进时，容器收集的方法可以包括将切割装置的切割元件与容器间隔开。

公开(公告)号：US20080161843A1

公开(公告)日：2008-07-03

申请号：US11974922

申请日：2007-10-16

申请人： Cynthia T. Clague ,  Michael J. Hobday ,  Raymond W. Usher ,  Roderick E. Briscoe ,  Katherine S. Olig ,  Ana R. Menk ,  Christopher P. Olig ,  Eric A. Meyer ,  Steven C. Christian ,  Thomas P. Daigle ,  Robert H. Reetz ,  Jeffrey D. Sandstrom ,  James R. Keogh ,  Matthew D. Bonner ,  Scott E. Jahns ,  Philip J. Haarstad

发明人： Cynthia T. Clague ,  Michael J. Hobday ,  Raymond W. Usher ,  Roderick E. Briscoe ,  Katherine S. Olig ,  Ana R. Menk ,  Christopher P. Olig ,  Eric A. Meyer ,  Steven C. Christian ,  Thomas P. Daigle ,  Robert H. Reetz ,  Jeffrey D. Sandstrom ,  James R. Keogh ,  Matthew D. Bonner ,  Scott E. Jahns ,  Philip J. Haarstad

IPC分类号： A61B17/32 ,  A61M5/00 ,  A61M31/00 ,  A61M5/178 ,  A61B19/00

CPC分类号： A61B17/32 ,  A61B17/00008 ,  A61B17/3205 ,  A61B17/32053 ,  A61B2017/320064

摘要： Embodiments of the invention provide a vessel support system and a method of vessel harvesting. The system can include a cutting device, a catheter adapted to be inserted into a section of the vessel in order to support the vessel as the cutting device is advanced over the vessel, and a cannula adapted to be coupled to the vessel and adapted to receive the catheter as the catheter is inserted into the section of the vessel. The method can include orienting a cutting device coaxially with the cannula and the catheter and advancing the cutting device over the cannula, the catheter, and the section of the vessel in order to core out the section of the vessel and a portion of the surrounding tissue.

摘要翻译： 本发明的实施例提供了一种血管支持系统和血管收集方法。 该系统可以包括切割装置，适于插入到容器的一部分中的导管，以便当切割装置前进在容器上时支撑容器，以及适于联接到容器并适于接收的套管 作为导管的导管插入血管的部分。 该方法可以包括将切割装置与套管和导管同轴定向，并将切割装置推进套管，导管和容器的部分，以便将血管的一部分和周围组织的一部分 。

公开(公告)号：US20080161841A1

公开(公告)日：2008-07-03

申请号：US11974914

申请日：2007-10-16

申请人： Cynthia T. Clague ,  Michael J. Hobday ,  Raymond W. Usher ,  Roderick E. Briscoe ,  Katherine S. Olig ,  Ana R. Menk ,  Christopher P. Olig ,  Eric A. Meyer ,  Steven C. Christian ,  Thomas P. Daigle ,  Robert H. Reetz ,  Jeffrey D. Sandstrom ,  James R. Keogh ,  Matthew D. Bonner ,  Scott E. Jahns ,  Philip J. Haarstad

发明人： Cynthia T. Clague ,  Michael J. Hobday ,  Raymond W. Usher ,  Roderick E. Briscoe ,  Katherine S. Olig ,  Ana R. Menk ,  Christopher P. Olig ,  Eric A. Meyer ,  Steven C. Christian ,  Thomas P. Daigle ,  Robert H. Reetz ,  Jeffrey D. Sandstrom ,  James R. Keogh ,  Matthew D. Bonner ,  Scott E. Jahns ,  Philip J. Haarstad

IPC分类号： A61B17/3205

CPC分类号： A61B17/32 ,  A61B17/00008 ,  A61B17/3205 ,  A61B17/32053 ,  A61B2017/320064

摘要： Embodiments of the invention provide a cutting device and method of vessel harvesting. The cutting device can include at least one tubular member, a cutting element, and a centering member. The cutting device can include at least one tubular member with a flexible section and a cutting element. The method of vessel harvesting can include spacing a cutting element of the cutting device from the vessel as the cutting element is advanced over the vessel.

摘要翻译： 本发明的实施例提供一种切割装置和容器收获方法。 切割装置可以包括至少一个管状构件，切割元件和定心构件。 切割装置可以包括具有柔性部分和切割元件的至少一个管状部件。 当切割元件在容器上前进时，容器收集的方法可以包括将切割装置的切割元件与容器间隔开。

公开(公告)号：US20100121362A1

公开(公告)日：2010-05-13

申请号：US12689357

申请日：2010-01-19

申请人： Cynthia T. Clague ,  Michael J. Hobday ,  Raymond W. Usher ,  Roderick E. Briscoe ,  Katherine S. Olig ,  Ana R. Menk ,  Christopher P. Olig ,  Eric A. Meyer ,  Steven C. Christian ,  Thomas P. Daigle ,  Robert H. Reetz ,  Jeffrey D. Sandstrom ,  James R. Keogh ,  Matthew D. Bonner ,  Scott E. Jahns ,  Philip J. Haarstad

发明人： Cynthia T. Clague ,  Michael J. Hobday ,  Raymond W. Usher ,  Roderick E. Briscoe ,  Katherine S. Olig ,  Ana R. Menk ,  Christopher P. Olig ,  Eric A. Meyer ,  Steven C. Christian ,  Thomas P. Daigle ,  Robert H. Reetz ,  Jeffrey D. Sandstrom ,  James R. Keogh ,  Matthew D. Bonner ,  Scott E. Jahns ,  Philip J. Haarstad

IPC分类号： A61B17/22 ,  A61M25/00

CPC分类号： A61B17/32 ,  A61B17/00008 ,  A61B17/3205 ,  A61B17/32053 ,  A61B2017/320064

摘要： Embodiments of the invention provide a vessel support system and a method of vessel harvesting. The system can include a cutting device, a catheter adapted to be inserted into a section of the vessel in order to support the vessel as the cutting device is advanced over the vessel, and a cannula adapted to be coupled to the vessel and adapted to receive the catheter as the catheter is inserted into the section of the vessel. The method can include orienting a cutting device coaxially with the cannula and the catheter and advancing the cutting device over the cannula, the catheter, and the section of the vessel in order to core out the section of the vessel and a portion of the surrounding tissue.

摘要翻译： 本发明的实施例提供了一种血管支持系统和血管收集方法。 该系统可以包括切割装置，适于插入到容器的一部分中的导管，以便当切割装置前进在容器上时支撑容器，以及适于联接到容器并适于接收的套管 作为导管的导管插入血管的部分。 该方法可以包括将切割装置与套管和导管同轴定向，并将切割装置推进套管，导管和容器的部分，以便将血管的一部分和周围组织的一部分 。

公开(公告)号：US20080167669A1

公开(公告)日：2008-07-10

申请号：US11974906

申请日：2007-10-16

申请人： Cynthia T. Clague ,  Michael J. Hobday ,  Raymond W. Usher ,  Roderick E. Briscoe ,  Katherine S. Olig ,  Ana R. Menk ,  Christopher P. Olig ,  Eric A. Meyer ,  Steven C. Christian ,  Thomas P. Daigle ,  Robert H. Reetz ,  Jeffrey D. Sandstrom ,  James R. Keogh ,  Matthew D. Bonner ,  Scott E. Jahns ,  Philip J. Haarstad

发明人： Cynthia T. Clague ,  Michael J. Hobday ,  Raymond W. Usher ,  Roderick E. Briscoe ,  Katherine S. Olig ,  Ana R. Menk ,  Christopher P. Olig ,  Eric A. Meyer ,  Steven C. Christian ,  Thomas P. Daigle ,  Robert H. Reetz ,  Jeffrey D. Sandstrom ,  James R. Keogh ,  Matthew D. Bonner ,  Scott E. Jahns ,  Philip J. Haarstad

IPC分类号： A61B17/32 ,  A61B17/22

CPC分类号： A61B17/32 ,  A61B17/00008 ,  A61B17/3205 ,  A61B17/32053 ,  A61B2017/320064

摘要： Embodiments of the invention provide a vessel tensioning handle and method of placing tension on a section of a vessel being harvested. The handle can include a housing, a bobbin assembly, a vessel tensioning tape, and a tensioning device member. The tensioning device member can be coupled to a cannula that is coupled to the vessel. The method can include using the vessel tensioning tape to place tension on the section of the vessel as the cutting device is advanced over the vessel.

摘要翻译： 本发明的实施例提供了一种容器张紧手柄和将张力放置在正在收获的容器的一部分上的方法。 手柄可以包括壳体，筒管组件，容器张紧带和张紧装置构件。 张紧装置构件可以联接到联接到容器的套管。 该方法可以包括当切割装置在容器上前进时使用容器张紧带将张力放置在容器的部分上。

公开(公告)号：US20100114136A1

公开(公告)日：2010-05-06

申请号：US12688028

申请日：2010-01-15

申请人： Cynthia T. Clague ,  Michael J. Hobday ,  Raymond W. Usher ,  Roderick E. Briscoe ,  Katherine S. Olig ,  Ana R. Menk ,  Christopher P. Olig ,  Eric A. Meyer ,  Steven C. Christian ,  Thomas P. Daigle ,  Robert H. Reetz ,  Jeffrey D. Sandstrom ,  James R. Keogh ,  Matthew D. Bonner ,  Scott E. Jahns ,  Philip J. Haarstad

发明人： Cynthia T. Clague ,  Michael J. Hobday ,  Raymond W. Usher ,  Roderick E. Briscoe ,  Katherine S. Olig ,  Ana R. Menk ,  Christopher P. Olig ,  Eric A. Meyer ,  Steven C. Christian ,  Thomas P. Daigle ,  Robert H. Reetz ,  Jeffrey D. Sandstrom ,  James R. Keogh ,  Matthew D. Bonner ,  Scott E. Jahns ,  Philip J. Haarstad

IPC分类号： A61B17/22

CPC分类号： A61B17/32 ,  A61B17/00008 ,  A61B17/3205 ,  A61B17/32053 ,  A61B2017/320064

摘要： Embodiments of the invention provide a cutting device and method of vessel harvesting. The cutting device can include at least one tubular member, a cutting element, and a centering member. The cutting device can include at least one tubular member with a flexible section and a cutting element. The method of vessel harvesting can include spacing a cutting element of the cutting device from the vessel as the cutting element is advanced over the vessel.

摘要翻译： 本发明的实施例提供一种切割装置和容器收获方法。 切割装置可以包括至少一个管状构件，切割元件和定心构件。 切割装置可以包括具有柔性部分和切割元件的至少一个管状部件。 当切割元件在容器上前进时，容器收集的方法可以包括将切割装置的切割元件与容器间隔开。

公开(公告)号：US07189231B2

公开(公告)日：2007-03-13

申请号：US10917755

申请日：2004-08-13

申请人： Cynthia T. Clague ,  Philip J. Haarstad ,  Scott E. Jahns ,  James R. Keogh ,  Christopher P. Olig ,  Raymond W. Usher

发明人： Cynthia T. Clague ,  Philip J. Haarstad ,  Scott E. Jahns ,  James R. Keogh ,  Christopher P. Olig ,  Raymond W. Usher

IPC分类号： A61B18/18

CPC分类号： A61B18/14 ,  A61B18/1482 ,  A61B2018/00386 ,  A61B2018/1407 ,  A61B2090/034 ,  A61B2090/036

摘要： Methods and apparatus employed in surgery involving making precise incisions in vessels of the body, particularly cardiac blood vessels in coronary revascularization procedures conducted on the stopped or beating heart are disclosed. Such incisions are created by applying an elongated electrosurgical cutting electrode to the outer surface of the vessel wall in substantially parallel alignment with the body vessel axis, the elongated electrosurgical cutting electrode having a predetermined cutting electrode length exceeding the cutting electrode width. RF energy is applied between the electrosurgical cutting electrode and the ground electrode at an energy level and for a duration sufficient to cut an elongated slit through the vessel wall where the elongated electrosurgical cutting electrode is applied to the surface of the vessel wall.

公开(公告)号：US06960209B2

公开(公告)日：2005-11-01

申请号：US10278966

申请日：2002-10-23

申请人： Cynthia T. Clague ,  Philip J. Haarstad ,  Scott E. Jahns ,  James R. Keogh ,  Christopher P. Olig ,  Raymond W. Usher

发明人： Cynthia T. Clague ,  Philip J. Haarstad ,  Scott E. Jahns ,  James R. Keogh ,  Christopher P. Olig ,  Raymond W. Usher

IPC分类号： A61B18/14 ,  A61B19/00 ,  A61B18/18

CPC分类号： A61B18/14 ,  A61B18/1482 ,  A61B2018/00386 ,  A61B2018/1407 ,  A61B2090/034 ,  A61B2090/036

摘要： Methods and apparatus employed in surgery involving making precise incisions in vessels of the body, particularly cardiac blood vessels in coronary revascularization procedures conducted on the stopped or beating heart are disclosed. Such incisions are created by applying an elongated electrosurgical cutting electrode to the outer surface of the vessel wall in substantially parallel alignment with the body vessel axis, the elongated electrosurgical cutting electrode having a predetermined cutting electrode length exceeding the cutting electrode width. RF energy is applied between the electrosurgical cutting electrode and the ground electrode at an energy level and for a duration sufficient to cut an elongated slit through the vessel wall where the elongated electrosurgical cutting electrode is applied to the surface of the vessel wall.

摘要翻译： 公开了涉及在停止或跳动的心脏进行的冠状动脉血运重建手术中精确切开身体血管，特别是心脏血管的手术方法和装置。 这种切口是通过将细长的电外科切割电极以与体血管轴线基本平行对准的方式将细长的电外科切割电极施加到血管壁的外表面而形成的，细长的电外切割电极具有超过切割电极宽度的预定切割电极长度。 RF能量在电外科切割电极和接地电极之间以能量水平施加，持续时间足以切割通过血管壁的细长狭缝，其中细长的电外科切割电极被施加到血管壁的表面。