公开(公告)号：US20090143638A1

公开(公告)日：2009-06-04

申请号：US12368090

申请日：2009-02-09

申请人： James R. Keogh ,  Scott E. Jahns ,  Michael A. Colson ,  Karen Montpetit ,  Thomas Daigle ,  Douglas H. Gubbin ,  Gary W. Guenst ,  Christopher Olig ,  Paul A. Pignato ,  William G. O'Neill ,  Katherine Jolly

发明人： James R. Keogh ,  Scott E. Jahns ,  Michael A. Colson ,  Karen Montpetit ,  Thomas Daigle ,  Douglas H. Gubbin ,  Gary W. Guenst ,  Christopher Olig ,  Paul A. Pignato ,  William G. O'Neill ,  Katherine Jolly

IPC分类号： A61B18/14 ,  A61B17/00

CPC分类号： A61B17/0206 ,  A61B17/22004 ,  A61B2017/0243 ,  A61B2017/2905 ,  A61B2017/308 ,  A61N1/36114

摘要： This invention provides a system and method for positioning, manipulating, holding, grasping, immobilizing and/or stabilizing a heart including one or more tissue-engaging devices, one or more suction sources, one or more fluid sources, one or more energy sources, one or more sensors and one or more processors. The system and method may include an indifferent electrode, a drug delivery device and an illumination device. The system's tissue-engaging device may comprise a tissue-engaging head, a support apparatus and a clamping mechanism for attaching the tissue-engaging device to a stable object. The system may be used during various medical procedures including the deployment of an anastomotic device, intermittently stopping and starting of the heart, ablation of cardiac tissues and the placement of cardiac leads.

摘要翻译： 本发明提供了一种用于定位，操纵，保持，抓住，固定和/或稳定包括一个或多个组织接合装置，一个或多个抽吸源，一个或多个流体源，一个​​或多个能量源的心脏的系统和方法， 一个或多个传感器和一个或多个处理器。 该系统和方法可以包括无关电极，药物输送装置和照明装置。 系统的组织接合装置可以包括组织接合头，支撑装置和用于将组织接合装置附接到稳定物体的夹紧机构。 该系统可以在各种医疗过程中使用，包括部署吻合装置，间歇性地停止和起始心脏，消融心脏组织和放置心脏引线。

公开(公告)号：US07507235B2

公开(公告)日：2009-03-24

申请号：US10156315

申请日：2002-05-28

申请人： James R. Keogh ,  Scott E Jahns ,  Michael A. Colson ,  Gary W. Guenst ,  Christopher Olig ,  Paul A. Pignato ,  Karen Montpetit ,  Thomas Daigle ,  Douglas H. Gubbin ,  William G. O'Neill ,  Katherine Jolly

发明人： James R. Keogh ,  Scott E Jahns ,  Michael A. Colson ,  Gary W. Guenst ,  Christopher Olig ,  Paul A. Pignato ,  Karen Montpetit ,  Thomas Daigle ,  Douglas H. Gubbin ,  William G. O'Neill ,  Katherine Jolly

IPC分类号： A61B18/14

CPC分类号： A61B17/0206 ,  A61B17/22004 ,  A61B2017/0243 ,  A61B2017/2905 ,  A61B2017/308 ,  A61N1/36114

摘要： This invention provides a system and method for positioning, manipulating, holding, grasping, immobilizing and/or stabilizing a heart including one or more tissue-engaging devices, one or more suction sources, one or more fluid sources, one or more energy sources, one or more sensors and one or more processors. The system and method may include an indifferent electrode, a drug delivery device and an illumination device. The system's tissue-engaging device may comprise a tissue-engaging head, a support apparatus and a clamping mechanism for attaching the tissue-engaging device to a stable object. The system may be used during various medical procedures including the deployment of an anastomotic device, intermittently stopping and starting of the heart, ablation of cardiac tissues and the placement of cardiac leads.

公开(公告)号：US06447443B1

公开(公告)日：2002-09-10

申请号：US09879294

申请日：2001-06-12

申请人： James R. Keogh ,  Scott E. Jahns ,  Michael A. Colson ,  Gary W. Guenst ,  Christopher Olig ,  Paul A. Pignato ,  Karen Montpetit ,  Thomas Daigle ,  Douglas H. Gubbin ,  William G. O'Neill ,  Katherine Jolly

发明人： James R. Keogh ,  Scott E. Jahns ,  Michael A. Colson ,  Gary W. Guenst ,  Christopher Olig ,  Paul A. Pignato ,  Karen Montpetit ,  Thomas Daigle ,  Douglas H. Gubbin ,  William G. O'Neill ,  Katherine Jolly

IPC分类号： A61F200

CPC分类号： A61B17/0206 ,  A61B17/22004 ,  A61B2017/0243 ,  A61B2017/2905 ,  A61B2017/308 ,  A61N1/36114

摘要： This invention provides a system and method for positioning, manipulating, holding, grasping, immobilizing and/or stabilizing a heart including one or more tissue-engaging devices, one or more suction sources, one or more fluid sources, one or more energy sources, one or more sensors and one or more processors. The system and method may include an indifferent electrode, a drug delivery device and an illumination device. The system's tissue-engaging device may comprise a tissue-engaging head, a support apparatus and a clamping mechanism for attaching the tissue-engaging device to a stable object. The system may be used during various medical procedures including the deployment of an anastomotic device, intermittently stopping and starting of the heart, ablation of cardiac tissues and the placement of cardiac leads.

摘要翻译： 本发明提供了一种用于定位，操纵，保持，抓住，固定和/或稳定包括一个或多个组织接合装置，一个或多个抽吸源，一个或多个流体源，一个​​或多个能量源的心脏的系统和方法， 一个或多个传感器和一个或多个处理器。 该系统和方法可以包括无关电极，药物递送装置和照明装置。 系统的组织接合装置可以包括组织接合头，支撑装置和用于将组织接合装置附接到稳定物体的夹紧机构。 该系统可以在各种医疗过程中使用，包括部署吻合装置，间歇性地停止和起始心脏，消融心脏组织和放置心脏引线。

公开(公告)号：US06676597B2

公开(公告)日：2004-01-13

申请号：US09879293

申请日：2001-06-12

申请人： Gary W. Guenst ,  Christopher Olig ,  Paul A. Pignato ,  Karen Montpetit ,  Thomas Daigle ,  Douglas H. Gubbin ,  Scott E. Jahns ,  Katherine Jolly

发明人： Gary W. Guenst ,  Christopher Olig ,  Paul A. Pignato ,  Karen Montpetit ,  Thomas Daigle ,  Douglas H. Gubbin ,  Scott E. Jahns ,  Katherine Jolly

IPC分类号： A61F1300

CPC分类号： A61B17/0206 ,  A61B17/22004 ,  A61B2017/0243 ,  A61B2017/2905 ,  A61B2017/308 ,  A61N1/36114

摘要： This invention provides an organ positioning device and method that employs suction to hold organ tissue to the device. The device allows the organ, for example, heart to be positioned in a desired orientation but otherwise allowing movement of the heart as the heart beats. The device is designed to be relatively atraumatic to heart tissue. Generally, the device comprises a resiliently flexible suction head having a plurality of legs that flex to conform to the surface of the heart. The suction head has vacuum passageways in fluid communication with the legs to apply suction between the legs and the surface of the heart.

公开(公告)号：US07326173B2

公开(公告)日：2008-02-05

申请号：US10716799

申请日：2003-11-19

申请人： Gary W. Guenst ,  Christopher Olig ,  Paul A. Pignato ,  Karen Montpetit ,  Thomas Daigle ,  Douglas H. Gubbin ,  Scott E. Jahns ,  Katherine Jolly

发明人： Gary W. Guenst ,  Christopher Olig ,  Paul A. Pignato ,  Karen Montpetit ,  Thomas Daigle ,  Douglas H. Gubbin ,  Scott E. Jahns ,  Katherine Jolly

IPC分类号： A61F2/00

CPC分类号： A61B17/0206 ,  A61B17/22004 ,  A61B2017/0243 ,  A61B2017/2905 ,  A61B2017/308 ,  A61N1/36114

摘要： This invention provides an organ positioning device and method that employs suction to hold organ tissue to the device. The device allows the organ, for example, heart to be positioned in a desired orientation but otherwise allowing movement of the heart as the heart beats. The device is designed to be relatively atraumatic to heart tissue. Generally, the device comprises a resiliently flexible suction head having a plurality of legs that flex to conform to the surface of the heart. The suction head has vacuum passageways in fluid communication with the legs to apply suction between the legs and the surface of the heart.

摘要翻译： 本发明提供了一种器官定位装置和方法，其采用抽吸将器官组织保持在装置上。 该装置允许器官例如心脏以期望的方向定位，但是否则允许心脏随着心脏跳动而移动心脏。 该装置被设计成对心脏组织相对无创伤。 通常，该装置包括弹性柔性的抽吸头，其具有弯曲以符合心脏表面的多个腿部。 吸头具有与腿部流体连通的真空通道，以在腿部和心脏表面之间施加吸力。

公开(公告)号：US07438680B2

公开(公告)日：2008-10-21

申请号：US10654040

申请日：2003-09-03

申请人： Gary W. Guenst ,  Christopher Olig ,  Paul A. Pignato ,  Karen Montpetit ,  Thomas Daigle ,  Douglas H. Gubbin ,  Scott E. Jahns ,  Katherine Jolly

发明人： Gary W. Guenst ,  Christopher Olig ,  Paul A. Pignato ,  Karen Montpetit ,  Thomas Daigle ,  Douglas H. Gubbin ,  Scott E. Jahns ,  Katherine Jolly

IPC分类号： A61F2/00

CPC分类号： A61B17/0206 ,  A61B17/22004 ,  A61B2017/0243 ,  A61B2017/2905 ,  A61B2017/308 ,  A61N1/36114

摘要： This invention provides an organ positioning device and method that employs suction to hold organ tissue to the device. The device allows the organ, for example, heart to be positioned in a desired orientation but otherwise allowing movement of the heart as the heart beats. The device is designed to be relatively atraumatic to heart tissue. Generally, the device comprises a resiliently flexible suction head having a plurality of legs that flex to conform to the surface of the heart. The suction head has vacuum passageways in fluid communication with the legs to apply suction between the legs and the surface of the heart.

摘要翻译： 本发明提供了一种器官定位装置和方法，其采用抽吸将器官组织保持在装置上。 该装置允许器官例如心脏以期望的方向定位，但是另外允许心脏随着心脏跳动而移动心脏。 该装置被设计成对心脏组织相对无创伤。 通常，该装置包括弹性柔性的抽吸头，其具有弯曲以符合心脏表面的多个腿部。 吸头具有与腿部流体连通的真空通道，以在腿部和心脏表面之间施加吸力。

公开(公告)号：US06866628B2

公开(公告)日：2005-03-15

申请号：US10122971

申请日：2002-04-11

申请人： Jack Goodman ,  Tom Daigle ,  Douglas H. Gubbin ,  David J. S. Kim

发明人： Jack Goodman ,  Tom Daigle ,  Douglas H. Gubbin ,  David J. S. Kim

IPC分类号： A61B17/02 ,  A61B17/28 ,  A61B17/30 ,  A61B1/00

CPC分类号： A61B17/02 ,  A61B2017/00314 ,  A61B2017/2905 ,  A61B2017/306

摘要： An improved tissue engagement device such as a suction stabilizer or retractor. The stabilizer or retractor is provided with one or more suction pods mounted to the distal end of a flexible arm. The flexible arm is coupled to a base assembly, which attaches the arm to an associated retractor or other structure that is fixedly located relative to the operative site. The base assembly includes a fixed portion, which is coupled to the retractor or other fixed mounting point and a rotatable turret, allowing rotation of the arm relative to the fixed portion of the base assembly. A tensioning mechanism mounted to the turret applies tension to compress the turret around a corresponding pivot mounted to the fixed portion of the base to rotationally lock the turret and to lock the arm in its current configuration.

摘要翻译： 改进的组织接合装置，例如吸力稳定器或牵开器。 稳定器或牵开器设置有一个或多个安装到柔性臂的远端的抽吸舱。 柔性臂联接到基部组件，其将臂附接到相对于牵开器或相对于手术部位固定定位的其他结构。 基座组件包括固定部分，该固定部分联接到牵开器或其他固定安装点以及可转动的转台，允许臂相对于基座组件的固定部分旋转。 安装到转台上的张紧机构施加张力以围绕安装到基座的固定部分的相应枢轴压缩转台，以旋转地锁定转台并将臂锁定在其当前配置中。

公开(公告)号：US20090082620A1

公开(公告)日：2009-03-26

申请号：US12330033

申请日：2008-12-08

申请人： Philip J. Haarstad ,  Christpher P. Olig ,  Paul T. Rothstein ,  Michael J. Hobday ,  William A. Steinberg ,  David J.S. Kim ,  Thomas P. Daigle ,  Ann M. Thomas ,  Brian J. Rose ,  Steven C. Christian ,  Robert H. Reetz ,  Douglas H. Gubbin

发明人： Philip J. Haarstad ,  Christpher P. Olig ,  Paul T. Rothstein ,  Michael J. Hobday ,  William A. Steinberg ,  David J.S. Kim ,  Thomas P. Daigle ,  Ann M. Thomas ,  Brian J. Rose ,  Steven C. Christian ,  Robert H. Reetz ,  Douglas H. Gubbin

IPC分类号： A61B17/00

CPC分类号： A61M1/008 ,  A61B17/00234 ,  A61B17/0206 ,  A61B17/0218 ,  A61B17/8866 ,  A61B90/50 ,  A61B2017/00243 ,  A61B2017/0243 ,  A61B2017/306 ,  A61B2017/308

摘要： Suction-assisted tissue-engaging devices, systems, and methods are disclosed that can be employed through minimal surgical incisions to engage tissue during a medical procedure through application of suction to the tissue through a suction member applied to the tissue. A shaft is introduced into a body cavity through a first incision, and a suction head is attached to the shaft via a second incision. The suction head is applied against the tissue by manipulation of the shaft and suction is applied to engage the tissue while the medical procedure is performed through the second incision. A system coupled to the shaft and a fixed reference point stabilizes the shaft and suction head. When the medical procedure is completed, suction is discontinued, the suction head is detached from the shaft and withdrawn from the body cavity through the second incision, and the shaft is retracted through the first incision.

摘要翻译： 公开了吸入辅助的组织接合装置，系统和方法，其可以通过最小的手术切口使用，以在医疗过程中通过通过施加到组织的抽吸构件向组织施加抽吸来接合组织。 通过第一切口将轴引入体腔，并且通过第二切口将吸头附接到轴。 通过操纵轴将吸头施加到组织上，并且在通过第二切口执行医疗程序时施加抽吸以接合组织。 耦合到轴和固定参考点的系统稳定轴和抽吸头。 当医疗程序完成时，停止抽吸，抽吸头从轴上分离并通过第二切口从体腔排出，并且轴通过第一切口缩回。

公开(公告)号：US20080139879A1

公开(公告)日：2008-06-12

申请号：US11789546

申请日：2007-04-25

申请人： Andrew L. Olson ,  Michael J. Hobday ,  Steven C. Christian ,  Tom P. Daigle ,  Robert H. Reetz ,  Douglas H. Gubbin ,  Roderick E. Briscoe ,  William A. Steinberg ,  Adam A. Podbelski ,  Christopher J. Plott ,  Patrick J. Cloutier ,  Gerard C. Forest ,  Christopher P. Olig

发明人： Andrew L. Olson ,  Michael J. Hobday ,  Steven C. Christian ,  Tom P. Daigle ,  Robert H. Reetz ,  Douglas H. Gubbin ,  Roderick E. Briscoe ,  William A. Steinberg ,  Adam A. Podbelski ,  Christopher J. Plott ,  Patrick J. Cloutier ,  Gerard C. Forest ,  Christopher P. Olig

IPC分类号： A61B19/00

CPC分类号： A61B17/02 ,  A61B17/0293 ,  A61B90/50 ,  A61B2017/0243

摘要： Tissue stabilizers including a clamp assembly, a turret assembly, an articulating arm having a tension element extending therethrough, a collet assembly and a head-link assembly are disclosed. Methods of stabilizing tissue are also disclosed.

摘要翻译： 公开了一种组织稳定器，包括夹具组件，转塔组件，具有穿过其延伸的张紧元件的铰接臂，夹头组件和头部连接组件。 还公开了稳定组织的方法。

公开(公告)号：US08449449B2

公开(公告)日：2013-05-28

申请号：US12330033

申请日：2008-12-08

申请人： Philip J. Haarstad ,  Christopher P. Olig ,  Paul T. Rothstein ,  Michael J. Hobday ,  William A. Steinberg ,  David J. S. Kim ,  Thomas P. Daigle ,  Ann M. Thomas ,  Brian J. Ross ,  Steven C. Christian ,  Robert H. Reetz ,  Douglas H. Gubbin

发明人： Philip J. Haarstad ,  Christopher P. Olig ,  Paul T. Rothstein ,  Michael J. Hobday ,  William A. Steinberg ,  David J. S. Kim ,  Thomas P. Daigle ,  Ann M. Thomas ,  Brian J. Ross ,  Steven C. Christian ,  Robert H. Reetz ,  Douglas H. Gubbin

IPC分类号： A61F2/00

CPC分类号： A61M1/008 ,  A61B17/00234 ,  A61B17/0206 ,  A61B17/0218 ,  A61B17/8866 ,  A61B90/50 ,  A61B2017/00243 ,  A61B2017/0243 ,  A61B2017/306 ,  A61B2017/308

摘要： Suction-assisted tissue-engaging devices, systems, and methods are disclosed that can be employed through minimal surgical incisions to engage tissue during a medical procedure through application of suction to the tissue through a suction member applied to the tissue. A shaft is introduced into a body cavity through a first incision, and a suction head is attached to the shaft via a second incision. The suction head is applied against the tissue by manipulation of the shaft and suction is applied to engage the tissue while the medical procedure is performed through the second incision. A system coupled to the shaft and a fixed reference point stabilizes the shaft and suction head. When the medical procedure is completed, suction is discontinued, the suction head is detached from the shaft and withdrawn from the body cavity through the second incision, and the shaft is retracted through the first incision.