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    Devices and methods for performing a vascular anastomosis
    1.
    发明申请
    Devices and methods for performing a vascular anastomosis 审中-公开
    用于进行血管吻合的装置和方法

    公开(公告)号：US20050149077A1

    公开(公告)日：2005-07-07

    申请号：US11059169

    申请日：2005-02-16

    申请人： Hanson Gifford ,  Lee Bolduc ,  Jeffrey Stein ,  Paul DiCesare ,  Peter Costa ,  William Holmes

    发明人： Hanson Gifford ,  Lee Bolduc ,  Jeffrey Stein ,  Paul DiCesare ,  Peter Costa ,  William Holmes

    IPC分类号： A61B17/00 ,  A61B17/064 ,  A61B17/11 ,  A61B17/115 ,  A61B17/12 ,  A61F2/00 ,  A61B17/08

    CPC分类号： A61B17/12109 ,  A61B17/064 ,  A61B17/0643 ,  A61B17/11 ,  A61B17/115 ,  A61B17/12036 ,  A61B17/12045 ,  A61B17/12136 ,  A61B2017/00243 ,  A61B2017/0641 ,  A61B2017/1135 ,  A61B2017/12127 ,  A61F2002/30092 ,  A61F2210/0014

    摘要： A system for performing an end-to-side vascular anastomosis including an anastomosis device, an application instrument and methods for performing a vascular anastomosis. The system is applicable for performing an anastomosis between a vascular graft and the ascending aorta in coronary artery bypass surgery, particularly in port-access CABG surgery. A first aspect of the invention includes a vascular anastomosis staple. A first configuration has two parts: an anchor member, forming the attachment with the target vessel wall and a coupling member, forming the attachment with the bypass graft vessel. The anastomosis is completed by inserting the coupling member, with the graft vessel attached, into the anchor member. A second configuration combines the functions of the anchor member and the coupling member into a one-piece anastomosis staple. A second aspect of the invention includes an anastomotic fitting, having an inner flange over which the graft vessel is everted and an outer flange which contacts the exterior surface of the target vessel. A tailored amount of compression applied by the inner and outer flanges grips the target vessel wall and creates a leak-proof seal between the graft vessel and the target vessel. A third aspect of the invention has a flange to which the graft vessel attaches, by everting the graft vessel over the flange, and a plurality of staple-like members which attach the flange and the everted end of the graft vessel to the wall of the target vessel to form the anastomosis

    摘要翻译： 一种用于执行端对侧血管吻合的系统，包括吻合装置，应用仪器和用于进行血管吻合的方法。 该系统适用于在冠状动脉旁路手术中进行血管移植物和升主动脉之间的吻合，特别是在进入CABG手术中。 本发明的第一方面包括血管吻合缝。 第一构造具有两部分：锚定构件，与目标血管壁形成附件和联接构件，与旁路移植血管形成附件。 通过将连接构件插入到锚定构件中来完成吻合。 第二种结构将锚定构件和联接构件的功能结合成一体式吻合钉。 本发明的第二方面包括一种吻合装置，其具有内部凸缘，移植物容器在其上延伸，外部凸缘接触靶容器的外表面。 由内外法兰施加的定制的压缩量夹住目标血管壁，并在移植血管和靶血管之间产生防漏密封。 本发明的第三方面具有凸缘，移植管通过使移植物容器穿过凸缘而附接到该凸缘上，以及多个钉状构件，其将该移植物容器的凸缘和脱出端附接到 靶血管形成吻合

    Devices and methods for performing avascular anastomosis
    2.
    发明申请
    Devices and methods for performing avascular anastomosis 审中-公开
    用于进行无血管吻合的装置和方法

    公开(公告)号：US20050251164A1

    公开(公告)日：2005-11-10

    申请号：US11051788

    申请日：2005-02-04

    申请人： Hanson Gifford ,  Lee Bolduc ,  Jeffrey Stein ,  Paul DiCesare ,  Peter Costa ,  William Holmes

    发明人： Hanson Gifford ,  Lee Bolduc ,  Jeffrey Stein ,  Paul DiCesare ,  Peter Costa ,  William Holmes

    IPC分类号： A61B17/00 ,  A61B17/064 ,  A61B17/11 ,  A61B17/115 ,  A61B17/12 ,  A61F2/00 ,  A61B17/08

    CPC分类号： A61B17/12109 ,  A61B17/064 ,  A61B17/0643 ,  A61B17/11 ,  A61B17/115 ,  A61B17/12036 ,  A61B17/12045 ,  A61B17/12136 ,  A61B2017/00243 ,  A61B2017/0641 ,  A61B2017/1135 ,  A61B2017/12127 ,  A61F2002/30092 ,  A61F2210/0014

    摘要： A system for performing an end-to-side vascular anastomosis. including an anastomosis device, an application instrument and methods for performing a vascular anastomosis. The system is applicable for performing an anastomosis between a vascular graft and the ascending aorta in coronary artery bypass surgery, particularly in port-access CABG surgery. A first aspect of the invention includes a vascular anastomosis staple. A first configuration has two parts: an anchor member, forming the attachment with the target vessel wall and a coupling member, forming the attachment with the bypass graft vessel. The anastomosis is completed by inserting the coupling member, with the graft vessel attached, into the anchor member. A second configuration combines the functions of the anchor member and the coupling member into a one-piece anastomosis staple. A second aspect of the invention includes an anastomotic fitting, having an inner flange over which the graft vessel is everted and an outer flange which contacts the exterior surface of the target vessel. A tailored amount of compression applied by the inner and outer flanges grips the target vessel wall and creates a leak-proof seal between the graft vessel and the target vessel. A third aspect of the invention has a flange to which the graft vessel attaches, by everting the graft vessel over the flange, and a plurality of staple-like members which attach the flange and the everted end of the graft vessel to the wall of the target vessel to form the anastomosis

    摘要翻译： 用于进行端对侧血管吻合的系统。 包括吻合装置，应用仪器和用于进行血管吻合的方法。 该系统适用于在冠状动脉旁路手术中进行血管移植物和升主动脉之间的吻合，特别是在进入CABG手术中。 本发明的第一方面包括血管吻合缝。 第一构造具有两部分：锚定构件，与目标血管壁形成附件和联接构件，与旁路移植血管形成附件。 通过将连接构件插入到锚定构件中来完成吻合。 第二种结构将锚定构件和联接构件的功能结合成一体式吻合钉。 本发明的第二方面包括一种吻合装置，其具有内部凸缘，移植物容器在其上延伸，外部凸缘接触靶容器的外表面。 由内外法兰施加的定制的压缩量夹住目标血管壁，并在移植血管和靶血管之间产生防漏密封。 本发明的第三方面具有凸缘，移植管通过使移植物容器穿过凸缘而附接到该凸缘上，以及多个钉状构件，其将该移植物容器的凸缘和脱出端附接到 靶血管形成吻合

    Devices and methods for performing avascular anastomosis
    4.
    发明申请
    Devices and methods for performing avascular anastomosis 审中-公开
    用于进行无血管吻合的装置和方法

    公开(公告)号：US20050096675A1

    公开(公告)日：2005-05-05

    申请号：US10998779

    申请日：2004-11-29

    申请人： Hanson Gifford ,  Lee Bolduc ,  Jeffrey Stein ,  Paul DiCesare ,  Peter Costa ,  William Holmes

    发明人： Hanson Gifford ,  Lee Bolduc ,  Jeffrey Stein ,  Paul DiCesare ,  Peter Costa ,  William Holmes

    IPC分类号： A61B17/00 ,  A61B17/064 ,  A61B17/11 ,  A61B17/115 ,  A61B17/12 ,  A61F2/00 ,  A61B17/08

    CPC分类号： A61B17/12109 ,  A61B17/064 ,  A61B17/0643 ,  A61B17/11 ,  A61B17/115 ,  A61B17/12036 ,  A61B17/12045 ,  A61B17/12136 ,  A61B2017/00243 ,  A61B2017/0641 ,  A61B2017/1135 ,  A61B2017/12127 ,  A61F2002/30092 ,  A61F2210/0014

    摘要： A system for performing an end-to-side vascular anastomosis, including an anastomosis device, an application instrument and methods for performing a vascular anastomosis. The system is applicable for performing an anastomosis between a vascular graft and the ascending aorta in coronary artery bypass surgery, particularly in port-access CABG surgery. A first aspect of the invention includes a vascular anastomosis staple. A first configuration has two parts: an anchor member, forming the attachment with the target vessel wall and a coupling member, forming the attachment with the bypass graft vessel. The anastonosis is completed by inserting the coupling member, with the graft vessel attached, into the anchor member. A second configuration combines the functions of the anchor member and the coupling member into a one-piece anastomosis staple. A second aspect of the invention includes an anastomotic fitting, having an inner flange over which the graft vessel is everted and an outer flange which contacts the exterior surface of the target vessel. A tailored amount of compression applied by the inner and outer flanges grips the target vessel wall and creates a leak-proof seal between the graft vessel and the target vessel. A third aspect of the invention has a flange to which the graft vessel attaches, by everting the graft vessel over the flange, and a plurality of staple-like members which attach the flange and the everted end of the graft vessel to the wall of the target vessel to form the anastomosis

    摘要翻译： 一种用于执行端对侧血管吻合的系统，包括吻合装置，应用仪器和用于进行血管吻合的方法。 该系统适用于在冠状动脉旁路手术中进行血管移植物和升主动脉之间的吻合，特别是在进入CABG手术中。 本发明的第一方面包括血管吻合缝合物。 第一构造具有两部分：锚定构件，与目标血管壁形成附件和联接构件，与旁路移植血管形成附件。 通过将连接构件插入移植物血管插入锚定构件来完成吻合。 第二种结构将锚定构件和联接构件的功能结合成一体式吻合钉。 本发明的第二方面包括一种吻合装置，其具有内部凸缘，移植物容器在其上延伸，外部凸缘接触目标血管的外表面。 由内外法兰施加的定制的压缩量夹住目标血管壁，并在移植血管和靶血管之间产生防漏密封。 本发明的第三方面具有凸缘，移植管通过使移植物容器穿过凸缘而附接到该凸缘上，以及多个钉状构件，其将该移植物容器的凸缘和脱出端附接到 靶血管形成吻合

    Prosthesis delivery systems and methods
    6.
    发明授权
    Prosthesis delivery systems and methods 有权
    假体输送系统和方法

    公开(公告)号：US08080050B2

    公开(公告)日：2011-12-20

    申请号：US11633724

    申请日：2006-12-05

    申请人： Andrew L. Chiang ,  Lee Bolduc

    发明人： Andrew L. Chiang ,  Lee Bolduc

    IPC分类号： A61F2/06

    CPC分类号： A61F2/07 ,  A61F2/954 ,  A61F2/966 ,  A61F2002/065 ,  A61F2002/9511 ,  A61F2002/9517 ,  A61F2002/9665 ,  A61F2220/0075

    摘要： Apparatus and method deliver a prosthesis into a hollow body organ or blood vessel. The systems and methods make use of a catheter. A carrier on the distal end of the catheter is sized and configured to carry the prosthesis. A release mechanism and an enclosure mechanism on the distal end are operable to retain and enclose the prosthesis on the carrier. The release mechanism and the enclosure mechanism are also operable to selectively expose and release the prosthesis from the carrier for deployment in the hollow body organ or blood vessel.

    摘要翻译： 装置和方法将假体递送到中空身体器官或血管中。 系统和方法利用导管。 在导管的远端上的载体的尺寸和构造用于承载假体。 远端上的释放机构和封闭机构可操作以将假体保持并包围在载体上。 释放机构和封闭机构还可操作以选择性地将假体从载体上释放并释放，以展开在中空体器官或血管中。

    Devices, systems, and methods for prosthesis delivery and implantation
    7.
    发明授权
    Devices, systems, and methods for prosthesis delivery and implantation 有权
    用于假体输送和植入的装置，系统和方法

    公开(公告)号：US07637932B2

    公开(公告)日：2009-12-29

    申请号：US11255116

    申请日：2005-10-20

    申请人： Lee Bolduc ,  Gilbert Laroya ,  Joshua Stafford

    发明人： Lee Bolduc ,  Gilbert Laroya ,  Joshua Stafford

    IPC分类号： A61F2/06

    CPC分类号： A61B17/064 ,  A61B17/068 ,  A61B50/20 ,  A61B50/30 ,  A61B2017/0649 ,  A61B2017/0688 ,  A61B2017/2905 ,  A61F2/07 ,  A61F2/86 ,  A61F2/88 ,  A61F2/89 ,  A61F2/954 ,  A61F2/958 ,  A61F2002/065 ,  A61F2002/067 ,  A61F2002/075 ,  A61F2002/9505 ,  A61F2002/9511 ,  A61F2002/9517 ,  A61F2002/9534 ,  A61F2220/0075 ,  Y10T29/49947

    摘要： Devices, systems, and methods use a catheter device sized and configured for introduction to a targeted site in a hollow body organ or blood vessel. The catheter device includes a first release mechanisms coupled to the prosthesis to secure at least one region of the prosthesis to the catheter shaft, and a second release mechanism coupled to the prosthesis in cooperation with the first release mechanism to prevent full release of the at least one region of the at least one region of the prosthesis from the catheter shaft after actuation of the first release mechanism. A fastening device sized and configured for introduction to the targeted site in the hollow body organ or blood vessel occupied by the catheter device, includes an actuator to deploy a fastener in the at least one region of the prosthesis after actuation of the first release mechanism and before actuation of the second release mechanism.

    摘要翻译： 装置，系统和方法使用尺寸和构造用于引入中空身体器官或血管中的目标部位的导管装置。 导管装置包括联接到假体的第一释放机构以将假体的至少一个区域固定到导管轴，以及与第一释放机构协作地联接到假体的第二释放机构，以防止至少完全释放 在第一释放机构致动之后，从导管轴将假体的至少一个区域的一个区域。 紧固装置的尺寸和构造用于引入到由导管装置占据的中空体器官或血管中的目标部位，包括在第一释放机构致动之后将紧固件展开在假体的至少一个区域中的致动器，以及 在第二释放机构的致动之前。