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公开(公告)号：US06322526B1
公开(公告)日：2001-11-27
申请号：US09514453
申请日：2000-02-25
IPC分类号： A61B500
CPC分类号： A61F2/2496 , Y10S623/90
摘要： A valve sizer having a movable element mounted to the distal end of a shaft. A valve sizing portion includes the movable element so that the valve sizing portion may be adjusted to correspond to a number of different available replacement valve sizes. An indicator mounted to the proximal end of the shaft indicates the valve size corresponding to the outer dimension of the valve sizing portion.
摘要翻译： 一种具有安装到轴的远端的可移动元件的阀门分级器。 阀门尺寸部分包括可移动元件，使得可以调节阀门上浆部分以对应于多个不同的可用替换阀尺寸。 安装到轴的近端的指示器指示对应于阀门尺寸部分的外部尺寸的阀门尺寸。
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公开(公告)号：US6042554A
公开(公告)日：2000-03-28
申请号：US273955
申请日：1999-03-22
CPC分类号： A61F2/2496 , Y10S623/90
摘要： A valve sizer having a movable element mounted to the distal end of a shaft. A valve sizing portion includes the movable element so that the valve sizing portion may be adjusted to correspond to a number of different available replacement valve sizes. An indicator mounted to the proximal end of the shaft indicates the valve size corresponding to the outer dimension of the valve sizing portion.
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公开(公告)号：US5885228A
公开(公告)日：1999-03-23
申请号：US646850
申请日：1996-05-08
CPC分类号： A61F2/2496 , Y10S623/90
摘要： A valve sizer having a movable element mounted to the distal end of a shaft. A valve sizing portion includes the movable element so that the valve sizing portion may be adjusted to correspond to a number of different available replacement valve sizes. An indicator mounted to the proximal end of the shaft indicates the valve size corresponding to the outer dimension of the valve sizing portion.
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公开(公告)号：US5860992A
公开(公告)日：1999-01-19
申请号：US594869
申请日：1996-01-31
申请人： Sean Christopher Daniel , Brian S. Donlon , Michi E. Garrison , Hanson S. Gifford, III , Daniel C. Rosenman , William S. Peters , Robert L. Lathrop, II , George Crothall , James B. Mullin , Gerald R. Anderson , Wiley A. Kittrell
发明人： Sean Christopher Daniel , Brian S. Donlon , Michi E. Garrison , Hanson S. Gifford, III , Daniel C. Rosenman , William S. Peters , Robert L. Lathrop, II , George Crothall , James B. Mullin , Gerald R. Anderson , Wiley A. Kittrell
CPC分类号： A61B17/0491 , A61B17/0469 , A61B17/062 , A61B17/0625 , A61B2017/047 , A61B2017/0472 , A61B2017/061 , A61F2/2409
摘要： The invention provides devices and methods for suture placement while performing less invasive surgical procedures within a body cavity. In an exemplary embodiment, the invention provides for the placement of sutures within the heart or a great vessel that is accessed from outside the closed chest. According to one exemplary method, the patient's heart valve is accessed through an intercostal port in the patient's chest. At least one needle having a suture is then directed into the annulus while visualizing through the port placement of the needle into the annulus. The needle is then passed through the annulus.
摘要翻译： 本发明提供了用于缝合放置的装置和方法，同时在体腔内执行较少侵入性的外科手术。 在一个示例性实施例中，本发明提供将缝合线放置在心脏内或从封闭胸部外部进入的大容器中。 根据一种示例性方法，患者的心脏瓣膜通过患者胸部的肋间端口进入。 至少一根具有缝合线的针头然后被引导到环形空间中，同时通过针头插入环形空间的端口可视化。 然后针穿过环。
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5.发明授权Methods and devices for occluding the ascending aorta and maintaining circulation oxygenated blood in the patient when the patient's heart is arrested 有权当患者的心脏被捕时，用于闭塞升主动脉并维持患者循环氧合血液的方法和装置公开(公告)号：US06902556B2
公开(公告)日：2005-06-07
申请号：US10162799
申请日：2002-06-05
申请人： Kevin V. Grimes , Jan Komtebedde , Daniel C. Rosenman , Hanson S. Gifford, III , Michi E. Garrison , Wesley D. Sterman , David M. Taylor , A. Adam Sharkawy , Pinaki Ray
发明人： Kevin V. Grimes , Jan Komtebedde , Daniel C. Rosenman , Hanson S. Gifford, III , Michi E. Garrison , Wesley D. Sterman , David M. Taylor , A. Adam Sharkawy , Pinaki Ray
CPC分类号： A61B17/3417 , A61B17/0206 , A61B17/3421 , A61B2017/00243 , A61M25/10 , A61M25/1002 , A61M2025/1052 , A61M2025/1084 , A61M2210/127
摘要： A method and device for occluding a patient's ascending aorta, maintaining circulation of oxygenated blood in the patient and delivering cardioplegic fluid to arrest the patient's heart. An aortic occlusion catheter has an occluding member for occluding the ascending aorta. The aortic occlusion catheter passes through a cannula. Delivery of oxygenated blood is accomplished through either the cannula of the aortic occlusion catheter. In another aspect of the invention, an arterial cannula having a curved or angled distal portion. An introducer straightens the distal portion for introduction into the patient. In still another aspect of the invention, an open-mesh stabilizer is used to stabilize a discoid occluding member.
摘要翻译： 一种用于闭塞患者升主动脉的方法和装置，保持患者中含氧血液的循环并输送心脏停搏液以阻止患者的心脏。 主动脉闭塞导管具有用于闭塞升主动脉的阻塞构件。 主动脉闭塞导管穿过套管。 氧合血液的输送通过主动脉闭塞导管的插管来实现。 在本发明的另一方面，一种具有弯曲或成角度的远侧部分的动脉插管。 引导器拉直远端部分以引入患者体内。 在本发明的另一方面，使用开口网稳定剂来稳定盘状闭塞构件。
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公开(公告)号：US06651671B1
公开(公告)日：2003-11-25
申请号：US09416492
申请日：1999-10-12
IPC分类号： A61B1900
CPC分类号： A61B17/00234 , A61B17/0057 , A61B17/0218 , A61B17/0293 , A61B17/0467 , A61B17/0469 , A61B17/06061 , A61B17/122 , A61B17/29 , A61B17/2909 , A61B17/3417 , A61B17/3421 , A61B18/1492 , A61B90/36 , A61B90/50 , A61B2017/00053 , A61B2017/00243 , A61B2017/00247 , A61B2017/00278 , 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 , A61F2/2496 , 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 , Y10S623/902
摘要： Systems and methods are disclosed for performing less-invasive surgical procedures within the heart. A method for less-invasive repair or replacement of a cardiac valve comprises placing an instrument through an intercostal access port and through a penetration in a wall of a vessel in communication with the heart, advancing the instrument into the heart, and using the instrument to perform a surgical intervention on a cardiac valve in the heart under visualization through an intercostal access port. The surgeons hands are kept outside of the chest during each step. The surgical intervention may comprise replacing the cardiac valve with a prosthetic valve, wherein the native valve is removed using a tissue removal instrument, the native valve annulus is sized with a specialized sizing device, a prosthetic valve is introduced through an intercostal access port and through the penetration in the vessel, and the prosthetic valve is secured at the native valve position, all using instruments positioned through intercostal access ports without placing the hands inside the chest. Systems and devices for performing these procedures are also disclosed.
摘要翻译： 公开了用于在心脏内执行较小侵入性外科手术的系统和方法。 一种用于少量修复或更换心脏瓣膜的方法包括将器械放置在肋间通路口中，并通过与心脏通信的血管壁穿透，将仪器推入心脏，并使用仪器 通过肋间进入口在可视化的心脏内对心脏瓣膜进行手术干预。 在每一步中，外科医生的手都保持在胸前。 外科手术可以包括用假性瓣膜替换心脏瓣膜，其中使用组织去除器械去除天然瓣膜，使用专门的上浆装置来确定天然瓣膜的大小，通过肋间进入口引入人工瓣膜并通过 容器中的渗透和人造瓣膜固定在天然瓣膜位置，所有这些都使用通过肋间通路口定位的器械，而不将手放在胸部内。 还公开了用于执行这些程序的系统和装置。
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公开(公告)号：US06592547B2
公开(公告)日：2003-07-15
申请号：US09235043
申请日：1999-01-21
申请人： Kevin V. Grimes , Jan Komtebedde , Daniel C. Rosenman , Hanson S. Gifford, III , Michi E. Garrison , Wesley D. Sterman , David M. Taylor , A. Adam Sharkawy , Pinaki Ray
发明人： Kevin V. Grimes , Jan Komtebedde , Daniel C. Rosenman , Hanson S. Gifford, III , Michi E. Garrison , Wesley D. Sterman , David M. Taylor , A. Adam Sharkawy , Pinaki Ray
IPC分类号： A61M2900
CPC分类号： A61B17/3417 , A61B17/0206 , A61B17/3421 , A61B2017/00243 , A61M25/10 , A61M25/1002 , A61M2025/1052 , A61M2025/1084 , A61M2210/127
摘要： A method and device for occluding a patient's ascending aorta, maintaining circulation of oxygenated blood in the patient and delivering cardioplegic fluid to arrest the patient's heart. An aortic occlusion catheter has an occluding member for occluding the ascending aorta. The aortic occlusion catheter passes through a cannula. Delivery of oxygenated blood is accomplished through either the cannula or the aortic occlusion catheter. In another aspect of the invention, an arterial cannula having a curved or angled distal portion. An introducer straightens the distal portion for introduction into the patient. In still another aspect of the invention, an open-mesh stabilizer is used to stabilize a discoid occluding member.
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公开(公告)号：US6010531A
公开(公告)日：2000-01-04
申请号：US594870
申请日：1996-01-31
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： A61B17/00234 , A61B17/0057 , A61B17/0218 , A61B17/0293 , A61B17/0469 , A61B17/06061 , A61B17/122 , A61B17/29 , A61B17/3417 , A61B17/3421 , A61B18/1492 , A61B90/36 , A61B90/50 , A61F2/2427 , A61F7/10 , A61M39/0247 , A61B17/0467 , A61B17/2909 , A61B2017/00053 , A61B2017/00243 , A61B2017/00247 , A61B2017/00278 , 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 , A61F2/2496 , A61F2007/0001 , A61F2007/0054 , A61F2007/101 , A61M1/3621 , A61M2025/028 , A61M2039/027 , A61M2039/0279 , A61M2202/047 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , A61M25/1011 , Y10S623/902
摘要： Systems and methods are disclosed for performing less-invasive surgical procedures within the heart. A method for less-invasive repair or replacement of a cardiac valve comprises placing an instrument through an intercostal access port and through a penetration in a wall of a vessel in communication with the heart, advancing the instrument into the heart, and using the instrument to perform a surgical intervention on a cardiac valve in the heart under visualization through an intercostal access port. The surgeons hands are kept outside of the chest during each step. The surgical intervention may comprise replacing the cardiac valve with a prosthetic valve, wherein the native valve is removed using a tissue removal instrument, the native valve annulus is sized with a specialized sizing device, a prosthetic valve is introduced through an intercostal access port and through the penetration in the vessel, and the prosthetic valve is secured at the native valve position, all using instruments positioned through intercostal access ports without placing the hands inside the chest. Systems and devices for performing these procedures are also disclosed.
摘要翻译： 公开了用于在心脏内执行较小侵入性外科手术的系统和方法。 一种用于小面积修复或更换心脏瓣膜的方法包括将器械放置在肋间通路口中，并通过与心脏连通的血管壁穿透，将仪器推入心脏，并使用仪器 通过肋间进入口在可视化的心脏内对心脏瓣膜进行手术干预。 在每一步中，外科医生的手都保持在胸前。 外科手术可以包括用假性瓣膜替换心脏瓣膜，其中使用组织去除器械去除天然瓣膜，使用专门的上浆装置来确定天然瓣膜的大小，通过肋间进入口引入人工瓣膜并通过 容器中的渗透和人造瓣膜固定在天然瓣膜位置，所有这些都使用通过肋间通路口定位的器械，而不将手放在胸部内。 还公开了用于执行这些程序的系统和装置。
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公开(公告)号：US10226563B2
公开(公告)日：2019-03-12
申请号：US12645179
申请日：2009-12-22
申请人： Michi E. Garrison , Tony M. Chou , Gregory M. Hyde
发明人： Michi E. Garrison , Tony M. Chou , Gregory M. Hyde
IPC分类号： A61M1/36 , A61B17/3207 , A61M25/06 , A61M25/10 , A61N7/00 , A61B17/22 , A61F2/01 , A61M25/00 , A61M29/02
摘要： Methods and devices are disclosed that enable safe, rapid and relatively short and straight access to the cerebral arteries for the introduction of interventional devices to treat acute ischemic stroke. In addition, the disclosed methods and devices provide means to securely close the access site to the cerebral arteries to avoid the potentially devastating consequences of a transcervical hematoma.
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公开(公告)号：US09011467B2
公开(公告)日：2015-04-21
申请号：US12540341
申请日：2009-08-12
IPC分类号： A61B17/04 , A61B17/00 , A61F2/966 , A61M25/04 , A61M25/06 , A61B17/22 , A61F2/856 , A61F2/954 , A61F2/06 , A61M25/10
CPC分类号： A61B17/0057 , A61B17/0469 , A61B2017/00663 , A61B2017/047 , A61B2017/0472 , A61B2017/0477 , A61B2017/0496 , A61B2017/22038 , A61B2017/22067 , A61F2/856 , A61F2/954 , A61F2/966 , A61F2002/061 , A61M25/04 , A61M25/0618 , A61M25/0662 , A61M25/10 , A61M2025/1052
摘要： A suture-based vessel closure device can perform the dilation of an arteriotomy puncture and does not require previous dilation of the arteriotomy puncture by a separate device or by a procedural sheath dilator. The suture-based vessel closure device can place one or more sutures across the vessel access site such that, when the suture ends are tied off after sheath removal, the stitch or stitches provide hemostasis to the access site.
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