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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.
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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
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。
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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。
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公开(公告)号：US07083620B2
公开(公告)日：2006-08-01
申请号：US10621893
申请日：2003-07-17
申请人： Scott E. Jahns , David E. Francischelli , Alison A. Lutterman , James R. Keogh , Roderick E. Briscoe , William G. O'Neill , Jack Goodman , Tom P. Daigle , Paul T. Rothstein , Adam A. Podbelski , Stephen J Roddy , David J. S. Kim , Mark R. Bilitz
发明人： Scott E. Jahns , David E. Francischelli , Alison A. Lutterman , James R. Keogh , Roderick E. Briscoe , William G. O'Neill , Jack Goodman , Tom P. Daigle , Paul T. Rothstein , Adam A. Podbelski , Stephen J Roddy , David J. S. Kim , Mark R. Bilitz
CPC分类号： A61B18/1445 , A61B2018/1861
摘要： A hemostat-type device for ablative treatment of tissue, particularly for treatment of atrial fibrillation, is constructed with features that provide easy and effective treatment. A swiveling head assembly can allow the jaws to be adjusted in pitch and roll. Malleable jaws can permit curved lesion shapes. A locking detent can secure the jaws in a closed position during the procedure. An illuminated indicator provides confirmation that the device is operating. A fluid delivery system simplifies irrigated ablation procedures.
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公开(公告)号：US08012163B2
公开(公告)日：2011-09-06
申请号：US10078303
申请日：2002-02-15
申请人： William G. O'Neill
发明人： William G. O'Neill
IPC分类号： A61B17/08
CPC分类号： A61B17/12 , A61B17/1325 , A61B2017/0243 , A61B2017/12004 , A61B2017/306 , A61B2017/308
摘要： A method for occluding a blood vessel at a compression site is provided. Suction is applied to stabilize a surgical location adjacent the compression site. A first compressor is positioned proximal the surgical location and adjacent the blood vessel. The blood vessel is occluded with the first compressor in response to the positioning. Systems and apparatuses for using the method are also provided.
摘要翻译： 提供了一种在压缩部位闭塞血管的方法。 施加吸力以稳定邻近压缩部位的手术位置。 第一压缩机定位在手术位置的近侧并与血管相邻。 响应于定位，血管与第一压缩机闭塞。 还提供了使用该方法的系统和装置。
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公开(公告)号：US5163912A
公开(公告)日：1992-11-17
申请号：US728600
申请日：1991-07-11
IPC分类号： A61M25/01
CPC分类号： A61M25/0102
摘要： A catheter and stylet assembly comprising an elongate catheter having a lumen open at the proximal and distal ends of the catheter, and a connector adjacent the proximal end of the catheter for connecting the catheter to an extracorporeal support system. A stiff-flexible stylet is provided that is slidably receivable in the lumen of the catheter for providing rigidity to the catheter to facilitate introduction of the catheter into a chamber of a heart or other organ. First and second shoulders are provided on the catheter for abutting a latching portion of the stylet to secure the stylet in either of two positions relative to the catheter. The two positions include a first position wherein the distal end of the stylet extends outwardly from the distal end of the catheter for introducing the catheter into an artery or vein, or directly through the heart wall, and a second position wherein the distal end of the stylet is received within the lumen of the catheter for positioning the catheter in the heart.
摘要翻译： 导管和探针组件，其包括细长导管，其具有在导管的近端和远端处开口的腔，以及邻近导管近端的连接器，用于将导管连接到体外支撑系统。 提供了一种刚性柔性探针，其可滑动地容纳在导管的内腔中，以便为导管提供刚性，以便于将导管引入心脏或其他器官的腔室。 第一和第二肩部设置在导管上，用于邻接管心针的闩锁部分，以将探针固定在相对于导管的两个位置中的任一个位置。 两个位置包括第一位置，其中探针的远端从导管的远端向外延伸，以将导管引入动脉或静脉，或者直接通过心脏壁，以及第二位置，其中， 导管容纳在导管的内腔内，用于将导管定位在心脏中。
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7.发明授权公开(公告)号：US06740028B2
公开(公告)日：2004-05-25
申请号：US10099177
申请日：2002-03-13
申请人： Eric Boone , Jack Goodman , John D. Hall , Vincent J. Testa , Eric Vroegop , William G. O'Neill , Cornelius Borst , Hendricus J. Mansvelt-Beck , Paul F. Gründeman
发明人： Eric Boone , Jack Goodman , John D. Hall , Vincent J. Testa , Eric Vroegop , William G. O'Neill , Cornelius Borst , Hendricus J. Mansvelt-Beck , Paul F. Gründeman
IPC分类号： A61F200
CPC分类号： A61B17/02 , A61B17/0218 , A61B2017/00314 , A61B2017/0243 , A61B2017/2904 , A61B2017/2905 , A61B2017/306
摘要： The invention is a method and apparatus for performing beating heart surgery, in which a single articulating arm supports multiple suction pods. Once the suction pods are applied to the heart surface, tightening a cable fixes the arm in place. Then, the suction pods may be spread apart from each other to tighten the surface of the cardiac tissue lying between the suction pods. In one embodiment, fixation of the arm as well as the spreading apart of the suction pods may occur concurrently or almost concurrently through the tensioning of a single cable. Additional embodiments of the method, system and its components are shown.
摘要翻译： 本发明是一种用于进行心跳手术的方法和装置，其中单个关节臂支撑多个抽吸荚。 一旦吸入荚被施加到心脏表面上，紧固电缆将臂固定到位。 然后，抽吸荚可以彼此分开，以紧固位于抽吸荚之间的心脏组织的表面。 在一个实施例中，臂的固定以及吸入舱的扩展分开可以通过单个电缆的张紧同时或几乎同时地发生。 示出了该方法，系统及其部件的附加实施例。
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公开(公告)号：US5395331A
公开(公告)日：1995-03-07
申请号：US21526
申请日：1993-02-23
CPC分类号： A61M25/0068 , A61M25/0023 , A61M25/0102 , A61M25/10 , A61M25/1002 , A61M25/1018 , A61M2025/0002 , A61M2025/0003 , A61M2025/0081 , A61M2025/1086 , A61M2202/0472 , A61M2230/50 , A61M25/04 , A61M25/1025
摘要： A coronary sinus catheter for the retrograde infusion of cardioplegia solutions into the coronary sinus. The catheter is adapted for improved retention in the coronary sinus. The catheter comprises a catheter tube having infusion, pressure-sensing and balloon-inflation lumens, an inflatable balloon and a pressure sensor tube in fluid communication with the balloon-inflation lumen for sensing pressure in the inflatable balloon. The internal volume of the pressure sensor tube is relatively non-expansible relative to the internal volume of the inflation balloon in normal operation of the catheter. The balloon includes a plurality of segmented annular ribs.
摘要翻译： 冠状动脉窦导管用于将心麻痹液逆行输注入冠状窦。 该导管适于改善冠状窦中的保留。 导管包括具有输注，压力感测和球囊充气腔的导管，可充气球囊和与球囊膨胀腔流体连通的压力传感器管，用于感测可充气球囊中的压力。 在导管的正常操作中，压力传感器管的内部体积相对于充气气囊的内部容积相对不可扩展。 气囊包括多个分段环形肋。
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公开(公告)号：US5084033A
公开(公告)日：1992-01-28
申请号：US492604
申请日：1990-03-12
IPC分类号： A61M25/00
CPC分类号： A61M25/0068 , A61M25/008
摘要： An improved arterial cannula tip of the type comprising a hollow tube having a bent inlet conduit, the improvement comprising constructing the cannula tip so that the wall of the cannula tip is thicker at the inside of the bend than in the surrounding areas. The cannula is preferably formed by taking a generally tubular blank having an area in which the wall of the blank is thicker than the surrounding areas, and bending the blank in this area of increased thickness. The blank may be formed by molding the blank in a mold with a core pin bent or configured to form the area of increased thickness on one side of the blank.
摘要翻译： 改进的包括具有弯曲入口导管的中空管的动脉插管尖端，该改进包括构建套管末端，使得套管末端的壁在弯曲的内部比在周围区域更厚。 插管优选地通过使一个大致管状的坯料形成，该坯料具有一个区域，在该区域中，坯件的壁比周围区域更厚，并且在该厚度增加的区域中弯曲坯料。 坯件可以通过将坯料模制成模具来形成，其中芯销弯曲或构造成在坯料的一侧上形成增加厚度的区域。
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公开(公告)号：US06723087B2
公开(公告)日：2004-04-20
申请号：US10017095
申请日：2001-12-14
申请人： William G. O'Neill , William Steele
发明人： William G. O'Neill , William Steele
IPC分类号： B25J1100
CPC分类号： A61B34/30 , A61B34/70 , A61B2017/00539
摘要： The invention provides an apparatus and method for performing surgery on a patient. The surgical apparatus includes an input device, at least one hydraulic amplifier operably attached to the input device, and an actuator operably attached to the hydraulic amplifier. Input to the input device is hydraulically modulated via the hydraulic amplifier to manipulate the actuator. The surgical method includes receiving a mechanical input for an action. The mechanical input is hydraulically modulated. The action is controlled based on the hydraulically modulated input.
摘要翻译： 本发明提供了一种用于对患者进行手术的装置和方法。 手术装置包括输入装置，可操作地连接到输入装置的至少一个液压放大器和可操作地附接到液压放大器的致动器。 通过液压放大器对输入装置的输入进行液压调制，以操纵执行器。 手术方法包括接收用于动作的机械输入。 机械输入是液压调制的。 该动作基于液压调制输入进行控制。
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