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：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：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：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：US20100174281A1

公开(公告)日：2010-07-08

申请号：US12688219

申请日：2010-01-15

申请人： Scott E. Jahns ,  James R. Keogh ,  Paul A. Pignato ,  Christopher P. Olig ,  Karen P. Montpetit ,  Cynthia T. Clague ,  Raymond W. Usher ,  Philip J. Haarstad ,  Gary W. Guenst

发明人： Scott E. Jahns ,  James R. Keogh ,  Paul A. Pignato ,  Christopher P. Olig ,  Karen P. Montpetit ,  Cynthia T. Clague ,  Raymond W. Usher ,  Philip J. Haarstad ,  Gary W. Guenst

IPC分类号： A61B17/11 ,  A61B18/14 ,  A61B18/18 ,  A61B17/04 ,  A61B17/3209

CPC分类号： A61B17/32053 ,  A61B17/0482 ,  A61B17/11 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2017/1139

摘要： A device for temporarily sealing an opening in a blood vessel is provided. The device comprises a cutting mechanism for creating an opening in a blood vessel and a seal for sealing the opening in the blood vessel. The seal is delivered through an inner lumen of a tool body coupled to the cutting mechanism. Methods for using the device to construct an anastomosis between two vessels are also provided.

摘要翻译： 提供了用于临时密封血管中的开口的装置。 该装置包括用于在血管中形成开口的切割机构和用于密封血管中的开口的密封件。 密封件通过联接到切割机构的工具主体的内腔传送。 还提供了使用该装置来构建两个血管之间的吻合的方法。

公开(公告)号：US10278723B2

公开(公告)日：2019-05-07

申请号：US12688219

申请日：2010-01-15

申请人： Scott E. Jahns ,  James R. Keogh ,  Paul A. Pignato ,  Christopher P. Olig ,  Karen P. Montpetit ,  Cynthia T. Clague ,  Raymond W. Usher ,  Philip J. Haarstad ,  Gary W. Guenst

发明人： Scott E. Jahns ,  James R. Keogh ,  Paul A. Pignato ,  Christopher P. Olig ,  Karen P. Montpetit ,  Cynthia T. Clague ,  Raymond W. Usher ,  Philip J. Haarstad ,  Gary W. Guenst

IPC分类号： A61B17/04 ,  A61B17/11 ,  A61B17/3205

摘要： A device for temporarily sealing an opening in a blood vessel is provided. The device comprises a cutting mechanism for creating an opening in a blood vessel and a seal for sealing the opening in the blood vessel. The seal is delivered through an inner lumen of a tool body coupled to the cutting mechanism. Methods for using the device to construct an anastomosis between two vessels are also provided.

公开(公告)号：US08454634B2

公开(公告)日：2013-06-04

申请号：US11604956

申请日：2006-11-28

申请人： Scott E. Jahns ,  James R. Keogh ,  Paul A. Pignato ,  Christopher P. Olig ,  Karen P. Montpetit ,  Cynthia T. Clague ,  Raymond W. Usher ,  Philip J. Haarstad ,  Gary W. Guenst

发明人： Scott E. Jahns ,  James R. Keogh ,  Paul A. Pignato ,  Christopher P. Olig ,  Karen P. Montpetit ,  Cynthia T. Clague ,  Raymond W. Usher ,  Philip J. Haarstad ,  Gary W. Guenst

IPC分类号： A61B17/08 ,  A61D1/00

CPC分类号： A61B17/32053 ,  A61B17/0482 ,  A61B17/11 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2017/1139

摘要： A device for temporarily sealing an opening in a blood vessel is provided. The device comprises a cutting mechanism for creating an opening in a blood vessel and a seal for sealing the opening in the blood vessel. The seal is delivered through an inner lumen of a tool body coupled to the cutting mechanism. Methods for using the device to construct an anastomosis between two vessels are also provided.

摘要翻译： 提供了用于临时密封血管中的开口的装置。 该装置包括用于在血管中形成开口的切割机构和用于密封血管中的开口的密封件。 密封件通过联接到切割机构的工具主体的内腔传送。 还提供了使用该装置来构建两个血管之间的吻合的方法。

公开(公告)号：US07871417B2

公开(公告)日：2011-01-18

申请号：US10824341

申请日：2004-04-14

申请人： Gary W. Guenst

发明人： Gary W. Guenst

IPC分类号： A61B17/08

CPC分类号： A61B17/11 ,  A61B17/12045 ,  A61B2017/00252 ,  A61B2017/1107 ,  A61B2017/3419

摘要： Methods and devices for perfusing a blood vessel during the entire course of an end-to-side or end-to-end anastomosis procedure. One method can be used to form an end-to-side anastomosis of a saphenous vein graft to a coronary artery during an off-pump, beating heart, coronary artery bypass graft. In this example, the distal end of an elongate tube carrying a saphenous vein graft is advanced into an arteriotomy distal to an occlusion in the coronary artery. Perfusing blood flow is provided through the tube to the coronary artery, the vein graft is advanced over the tube to the arteriotomy and sutured completely to the coronary artery. The elongate tube can be retracted through the now secured vein graft, and the coronary artery supplied again from the proximal end of the vein graft. Some tubular devices include a reversibly expandable distal region, to form a seal between the inserted tube and the coronary artery being perfused, to prevent blood flow into the surgical field.

摘要翻译： 在端对端或端对端吻合手术的整个过程中灌注血管的方法和装置。 一种方法可以用于在非抽血，跳动心脏，冠状动脉旁路移植术期间形成隐静脉移植物到冠状动脉的端对侧吻合。 在该示例中，携带隐静脉移植物的细长管的远端进入远端冠状动脉闭塞的动脉切开术。 将血流通过管道提供给冠状动脉，静脉移植物在管上前进到动脉切开术并且完全缝合到冠状动脉。 细长管可以通过现在固定的静脉移植物缩回，并且从静脉移植物的近端再次供应冠状动脉。 一些管状装置包括可逆扩展的远端区域，以在插入的管和被灌注的冠状动脉之间形成密封，以防止血液流入手术区域。