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    Tissue bonding system and method for controlling a tissue site during anastomosis
    1.
    发明授权
    Tissue bonding system and method for controlling a tissue site during anastomosis 有权
    组织结合系统和吻合期间控制组织部位的方法

    公开(公告)号：US06398797B2

    公开(公告)日：2002-06-04

    申请号：US09725232

    申请日：2000-11-29

    申请人： David Bombard ,  Theodore Bender ,  Tenny Chang ,  Jaime Vargas ,  Michael Hendricksen ,  Stephen A. Yencho ,  Jamey Nielsen ,  Bernard A. Hausen ,  Brendan Donohoe

    发明人： David Bombard ,  Theodore Bender ,  Tenny Chang ,  Jaime Vargas ,  Michael Hendricksen ,  Stephen A. Yencho ,  Jamey Nielsen ,  Bernard A. Hausen ,  Brendan Donohoe

    IPC分类号： A61B1704

    CPC分类号： A61B17/0644 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/064 ,  A61B17/072 ,  A61B17/11 ,  A61B17/115 ,  A61B17/1152 ,  A61B17/122 ,  A61B2017/00243 ,  A61B2017/07214 ,  A61B2017/07278 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2090/037 ,  A61F2/064

    摘要： A method and system for performing anastomosis uses an anvil to control and support a tissue site during an anastomosis procedure involving tissue bonding techniques such as tissue welding and adhesive tissue bonding. The anvil is particularly useful for supporting a wall of a coronary artery during attachment of a graft vessel in a coronary artery bypass graft procedure. The anvil is inserted into a pressurized or unpressurized target vessel and is pulled against an inner wall of the target vessel causing tenting of the thin tissue of the vessel wall. A graft vessel is then advanced to the anastomosis site and an end of the graft vessel is positioned adjacent an exterior of the target vessel. When tissue welding is used, a graft vessel fixture is positioned over the tissue surfaces to be welded in order to clamp the graft and target vessel tissue together. The tissue contacting surfaces of the anvil and/or graft vessel fixture are provided with one or more energy applying surfaces. Energy in the form of RF power, laser energy or ultrasonic energy is then applied to the compressed graft and target vessel tissue to weld the vessels together. When adhesive bonding is used, the adhesive may be applied to mating surfaces of the graft and/or target vessels either before or after the vessels are brought into contact. After tissue bonding is complete, an incision is formed in the wall of the target vessel to allow blood flow between the target vessel and the graft vessel. The incision may be made with an electro-cautery cutting device.

    摘要翻译： 用于进行吻合的方法和系统在涉及组织粘合技术例如组织焊接和粘合剂组织粘合的吻合过程中使用砧来控制和支撑组织部位。 砧座特别可用于在冠状动脉旁路移植手术中移植血管附着期间支撑冠状动脉壁。 将砧座插入加压或非加压的靶容器中并且被拉到靶容器的内壁上，导致容器壁的薄组织的隆起。 移植血管然后前进到吻合部位，移植血管的末端位于靶血管外部附近。 当使用组织焊接时，将移植物容器夹具放置在待焊接的组织表面上方，以将移植物和靶血管组织夹在一起。 砧座和/或移植物容器固定装置的组织接触表面设置有一个或多个能量施加表面。 然后将RF功率，激光能量或超声波能量的能量施加到压缩的移植物和靶血管组织上以将血管焊接在一起。 当使用粘合剂时，粘合剂可以在容器接触之前或之后施加到移植物和/或靶容器的配合表面。 在组织粘合完成之后，在靶容器的壁中形成切口以允许目标血管和移植血管之间的血液流动。 切口可以用电火花切割装置制成。

    Surgical Staple for Anastomosis
    2.
    发明申请
    Surgical Staple for Anastomosis 有权
    手术吻合吻合术

    公开(公告)号：US20070233164A1

    公开(公告)日：2007-10-04

    申请号：US11759319

    申请日：2007-06-07

    申请人： Theodore Bender ,  David Bombard ,  Philipe Manoux ,  Tenny Chang ,  Jaime Vargas ,  Bryan Knodel

    发明人： Theodore Bender ,  David Bombard ,  Philipe Manoux ,  Tenny Chang ,  Jaime Vargas ,  Bryan Knodel

    IPC分类号： A61B17/11

    CPC分类号： A61B17/0644 ,  A61B17/0684 ,  A61B17/11 ,  A61B17/115 ,  A61B2017/0641 ,  A61B2017/1107 ,  A61B2017/1135

    摘要： A surgical staple for connecting two tubular tissue structures may include a substantially rectangular base having a first edge and a second edge substantially parallel to one another, and a third edge substantially perpendicular to the first and said second edges; and may also include at least three deformable tines extending from the first and second edges of said base; where no tine that extends from the first edge may be positioned at substantially the same distance from the third edge as any said tine that extends from the second edge; and where deformation of the tines secures the tubular tissue structures together.

    摘要翻译： 用于连接两个管状组织结构的外科手术钉可以包括基本上矩形的基部，其具有基本上彼此平行的第一边缘和第二边缘，以及基本上垂直于第一边缘和所述第二边缘的第三边缘; 并且还可以包括从所述基座的第一和第二边缘延伸的至少三个可变形齿; 其中没有从第一边缘延伸的齿可以定位成与从第二边缘延伸的任何所述齿大致相距离第三边缘; 并且其中尖齿的变形将管状组织结构固定在一起。

    Method for tensioning an incision during an anastomosis procedure
    6.
    发明授权
    Method for tensioning an incision during an anastomosis procedure 有权
    在吻合手术期间张紧切口的方法

    公开(公告)号：US07041112B2

    公开(公告)日：2006-05-09

    申请号：US10842998

    申请日：2004-05-11

    申请人： Jaime Vargas ,  Tenny Chang ,  David Bombard

    发明人： Jaime Vargas ,  Tenny Chang ,  David Bombard

    IPC分类号： A61B17/08

    CPC分类号： A61B17/11 ,  A61B17/0218 ,  A61B2017/1107 ,  A61B2017/1135

    摘要： A method for tensioning incisions made in a target vessel during an anastomosis procedure is provided. After an incision is made in a target vessel, incision tensioners are placed within the incision in order to tension the incision. The incision is tensioned when the incision tensioners are pulled taut in order to stretch the incision to a predetermined length or a predetermined force. The tensioners allow for proper grafting of a graft vessel to the target vessel in an end to side anastomosis. In addition, the incision tensioners allow the incision to have a known geometry, thereby allowing precise grafting of the graft vessel to the target vessel during the anastomosis procedure. After the incision is tensioned, the graft vessel is grafted to the target vessel using clips, sutures, staples or other anastomosis devices. One example of anastomosis clips are configured to capture the graft vessel and the target vessel such that the graft vessel grafts with the target vessel.

    摘要翻译： 提供了一种在吻合手术过程中在目标血管中张紧切口的方法。 在目标血管中进行切口后，将切口张紧器置于切口内以拉紧切口。 当将切口张紧器拉紧拉紧以将切口拉伸至预定长度或预定力时，切口被张紧。 张紧器允许在端对侧吻合中将移植物容器适当地接合到靶容器。 此外，切口张紧器允许切口具有已知的几何形状，从而允许在吻合过程期间移植物容器到目标血管的精确移植。 在切口被张紧之后，使用夹子，缝线，缝钉或其它吻合装置将移植血管移植到靶容器。 吻合夹的一个实例被配置成捕获移植物容器和靶容器，使得移植血管与靶血管移植。

    Surgical staple for anastomosis
    10.
    发明授权
    Surgical staple for anastomosis 有权
    手术缝合吻合

    公开(公告)号：US08475493B2

    公开(公告)日：2013-07-02

    申请号：US11759319

    申请日：2007-06-07

    申请人： Theodore M. Bender ,  David L. Bombard ,  Philipe R. Manoux ,  Tenny Chang ,  Jaime S. Vargas ,  Bryan D. Knodel

    发明人： Theodore M. Bender ,  David L. Bombard ,  Philipe R. Manoux ,  Tenny Chang ,  Jaime S. Vargas ,  Bryan D. Knodel

    IPC分类号： A61B17/08

    CPC分类号： A61B17/0644 ,  A61B17/0684 ,  A61B17/11 ,  A61B17/115 ,  A61B2017/0641 ,  A61B2017/1107 ,  A61B2017/1135

    摘要： A surgical staple for connecting two tubular tissue structures may include a substantially rectangular base having a first edge and a second edge substantially parallel to one another, and a third edge substantially perpendicular to the first and said second edges; and may also include at least three deformable tines extending from the first and second edges of said base; where no tine that extends from the first edge may be positioned at substantially the same distance from the third edge as any said tine that extends from the second edge; and where deformation of the tines secures the tubular tissue structures together.

    摘要翻译： 用于连接两个管状组织结构的外科手术钉可以包括基本上矩形的基部，其具有基本上彼此平行的第一边缘和第二边缘，以及基本上垂直于第一边缘和所述第二边缘的第三边缘; 并且还可以包括从所述基座的第一和第二边缘延伸的至少三个可变形齿; 其中没有从第一边缘延伸的齿可以定位成与从第二边缘延伸的任何所述齿大致相距离第三边缘; 并且其中尖齿的变形将管状组织结构固定在一起。