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公开(公告)号:US06837848B2
公开(公告)日:2005-01-04
申请号:US10342932
申请日:2003-01-15
CPC分类号: A61B18/1485 , A61B18/1402 , A61B46/00 , A61B46/23 , A61B50/20 , A61B2018/00291 , A61B2090/306 , A61B2090/3614 , A61B2218/007 , A61M1/008
摘要: A tubular suction tool for accessing an anatomic surface or anatomic space and particularly the pericardium to access pericardial space and the epicardial surface of the heart to implant cardiac leads in a minimally invasive manner are disclosed. The suction tool incorporates a suction pad concave wall defining a suction cavity, a plurality of suction ports arrayed about the concave wall, and a suction lumen, to form a bleb of tissue into the suction cavity when suction is applied. The suction cavity extends along one side of the suction pad, so that the suction pad and suction cavity can be applied tangentially against a tissue site. The suction tool can incorporate light emission and video imaging of tissue adjacent the suction pad. A working lumen terminating in a working lumen port into the suction cavity enables introduction of tools, cardiac leads, and other instruments, cells, drugs or materials into or through the tissue bleb drawn into the suction cavity.
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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.
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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
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。
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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。
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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: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。
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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: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。
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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: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.
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