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公开(公告)号：US06241742B1
公开(公告)日：2001-06-05
申请号：US09220395
申请日：1998-12-24
IPC分类号： A61B1704
CPC分类号： A61B17/1152 , A61B17/11 , A61B2017/1135 , A61B2017/1139 , Y10S623/903
摘要： An anastomosis is performed using a mounting structure mounted on the outside of at least one vessel. The mounting structure includes a flexible mounting structure that is attached to the vessel by a special instrument. A graft vessel is attached to the mounting structure either directly or by means of another mounting structure attached to the graft vessel. Tools for attaching a mounting structure to a vessel are disclosed, and a tool for attaching two mounting structures together is also disclosed. Methods for carrying out the anastomosis according to the invention are also disclosed.
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公开(公告)号：US5868763A
公开(公告)日：1999-02-09
申请号：US714615
申请日：1996-09-16
IPC分类号： A61B17/11 , A61B17/115 , A61B17/04
CPC分类号： A61B17/1152 , A61B17/11 , A61B2017/1135 , A61B2017/1139 , Y10S623/903
摘要： An anastomosis is performed using a mounting structure mounted on the outside of at least one vessel. The mounting structure includes a flexible mounting structure that is attached to the vessel by a special instrument. A graft vessel is attached to the mounting structure either directly or by means of another mounting structure attached to the graft vessel. Tools for attaching a mounting structure to a vessel are disclosed, and a tool for attaching two mounting structures together is also disclosed. Methods for carrying out the anastomosis according to the invention are also disclosed.
摘要翻译： 使用安装在至少一个容器的外部的安装结构进行吻合。 安装结构包括通过专用仪器附接到容器的柔性安装结构。 移植物容器直接或通过附接到移植血管的另一安装结构附接到安装结构。 公开了用于将安装结构附接到容器的工具，并且还公开了用于将两个安装结构连接在一起的工具。 还公开了根据本发明的用于进行吻合的方法。
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公开(公告)号：US06884251B2
公开(公告)日：2005-04-26
申请号：US10384250
申请日：2003-03-06
申请人： Paul A. Spence , Warren P. Williamson, IV , George Christakis , Mark Ortiz , Craig B. Berky , Douglas P. Allen , Matthew J. Huddleston , Delbert Ted Leimbach , Cecil R. Robinson , E. Dale VanHoose , Thomas J. Ward , Marty J. Warnecke
发明人： Paul A. Spence , Warren P. Williamson, IV , George Christakis , Mark Ortiz , Craig B. Berky , Douglas P. Allen , Matthew J. Huddleston , Delbert Ted Leimbach , Cecil R. Robinson , E. Dale VanHoose , Thomas J. Ward , Marty J. Warnecke
IPC分类号： A61B17/11 , A61B17/115 , A61B17/08
CPC分类号： A61B17/11 , A61B17/1152 , A61B2017/1135 , A61B2017/1139
摘要： An anastomosis is performed using a flexible mounting structure mounted on the outside of at least one vessel. Fasteners extend through the vessel and are bent towards the incision to attach the flexible mounting structure to the vessel in a manner that controls the edge of the vessel adjacent to the incision. The mounting structures are oriented on each vessel so fasteners on one mounting structure interdigitate with fasteners on the other mounting structure at the location of contact between the vessels when the two vessels are brought together. This creates two complementary sinusoidal-shaped vessel edges with peaks of one edge being accommodated in the valleys of the other edge. The peak-to-valley orientation forms a sinusoidal-shaped joint which is leak free. The fasteners are spaced so proper pressure is applied to the tissue to promote healing without leaking. Furthermore, the fasteners are sized and shaped to properly engage the tissue and bend in a desired manner. Methods and tools for carrying out the anastomosis according to the invention are also disclosed. Methods for forming the fastener and the tines having the proper characteristics are disclosed. An absorbable ring-shaped stent is also disclosed.
摘要翻译： 使用安装在至少一个容器的外部的柔性安装结构进行吻合。 紧固件延伸穿过容器并朝向切口弯曲，以将控制与切口相邻的容器边缘的方式将柔性安装结构附接到容器。 安装结构被定向在每个容器上，因此当两个容器被接合在一起时，在一个安装结构上的紧固件与另一个安装结构上的紧固件在容器之间的接触位置处相互交错。 这产生两个互补的正弦形容器边缘，其中一个边缘的峰值被容纳在另一个边缘的谷部中。 峰 - 谷取向形成无泄漏的正弦形接头。 紧固件间隔开，以便适当的压力施加到组织以促进愈合而不泄漏。 此外，紧固件的尺寸和形状适于适当地接合组织并以期望的方式弯曲。 还公开了用于进行根据本发明的吻合的方法和工具。 公开了用于形成紧固件和具有适当特性的尖齿的方法。 还公开了可吸收的环形支架。
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公开(公告)号：US06254617B1
公开(公告)日：2001-07-03
申请号：US09200796
申请日：1998-11-27
IPC分类号： A61B1704
CPC分类号： A61B17/1152 , A61B17/11 , A61B2017/1135 , A61B2017/1139 , Y10S623/903
摘要： An anastomosis is performed using a mounting structure mounted on the outside of at least one vessel. The mounting structure includes a flexible mounting structure that is attached to the vessel by a special instrument. A graft vessel is attached to the mounting structure either directly or by means of another mounting structure attached to the graft vessel. Tools for attaching a mounting structure to a vessel are disclosed, and a tool for attaching two mounting structures together is also disclosed. Methods for carrying out the anastomosis according to the invention are also disclosed.
摘要翻译： 使用安装在至少一个容器的外部的安装结构进行吻合。 安装结构包括通过专用仪器附接到容器的柔性安装结构。 移植物容器直接或通过附接到移植血管的另一安装结构附接到安装结构。 公开了用于将安装结构附接到容器的工具，并且还公开了用于将两个安装结构连接在一起的工具。 还公开了根据本发明的用于进行吻合的方法。
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公开(公告)号：US06565581B1
公开(公告)日：2003-05-20
申请号：US09641284
申请日：2000-08-17
申请人： Paul A. Spence , Warren P. Williamson IV , George Christakis , Mark Ortiz , Craig B. Berky , Douglas P. Allen , Matthew J. Huddleston , Delbert Ted Leimbach , Cecil R. Robinson , E. Dale VanHoose , Thomas J. Ward , Marty J. Warnecke
发明人： Paul A. Spence , Warren P. Williamson IV , George Christakis , Mark Ortiz , Craig B. Berky , Douglas P. Allen , Matthew J. Huddleston , Delbert Ted Leimbach , Cecil R. Robinson , E. Dale VanHoose , Thomas J. Ward , Marty J. Warnecke
IPC分类号： A61B1708
CPC分类号： A61B17/11 , A61B17/1152 , A61B2017/1135 , A61B2017/1139
摘要： An anastomosis is performed using a flexible mounting structure mounted on the outside of at least one vessel. Fasteners extend through the vessel and are bent towards the incision to attach the flexible mounting structure to the vessel in a manner that controls the edge of the vessel adjacent to the incision. The mounting structures are oriented on each vessel so fasteners on one mounting structure interdigitate with fasteners on the other mounting structure at the location of contact between the vessels when the two vessels are brought together. This creates two complementary sinusoidal-shaped vessel edges with peaks of one edge being accommodated in the valleys of the other edge. The peak-to-valley orientation forms a sinusoidal-shaped joint which is leak free. The fasteners are spaced so proper pressure is applied to the tissue to promote healing without leaking. Furthermore, the fasteners are sized and shaped to properly engage the tissue and bend in a desired manner. Methods and tools for carrying out the anastomosis according to the invention are also disclosed. Methods for forming the fastener and the tines having the proper characteristics are disclosed. An absorbable ring-shaped stent is also disclosed.
摘要翻译： 使用安装在至少一个容器的外侧上的柔性安装结构进行吻合。 紧固件延伸穿过容器并朝向切口弯曲，以将控制与切口相邻的容器边缘的方式将柔性安装结构附接到容器。 安装结构被定向在每个容器上，因此当两个容器被接合在一起时，在一个安装结构上的紧固件与另一个安装结构上的紧固件在容器之间的接触位置处相互交错。 这产生两个互补的正弦形容器边缘，其中一个边缘的峰值被容纳在另一个边缘的谷部中。 峰 - 谷取向形成无泄漏的正弦形接头。 紧固件间隔开，以便适当的压力施加到组织以促进愈合而不泄漏。 此外，紧固件的尺寸和形状适于适当地接合组织并以期望的方式弯曲。 还公开了用于进行根据本发明的吻合的方法和工具。 公开了用于形成紧固件和具有适当特性的尖齿的方法。 还公开了可吸收的环形支架。
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公开(公告)号：US06652543B2
公开(公告)日：2003-11-25
申请号：US09892235
申请日：2001-06-26
IPC分类号： A61B1704
CPC分类号： A61B17/1152 , A61B17/11 , A61B2017/1135 , A61B2017/1139 , Y10S623/903
摘要： An anastomosis is performed using a mounting structure mounted on the outside of at least one vessel. The mounting structure includes a flexible mounting structure that is attached to the vessel by a special instrument. A graft vessel is attached to the mounting structure either directly or by means of another mounting structure attached to the graft vessel. Tools for attaching a mounting structure to a vessel are disclosed, and a tool for attaching two mounting structures together is also disclosed. Methods for carrying out the anastomosis according to the invention are also disclosed.
摘要翻译： 使用安装在至少一个容器的外部的安装结构进行吻合。 安装结构包括通过专用仪器附接到容器的柔性安装结构。 移植物容器直接或通过附接到移植血管的另一安装结构附接到安装结构。 公开了用于将安装结构附接到容器的工具，并且还公开了用于将两个安装结构连接在一起的工具。 还公开了根据本发明的用于进行吻合的方法。
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7.发明授权Access and cannulation device and method for rapidly placing same and for rapidly closing same in minimally invasive surgery 失效进入和插管装置和方法，用于在微创手术中快速放置并快速封闭相同的装置和方法公开(公告)号：US06488692B1
公开(公告)日：2002-12-03
申请号：US09520468
申请日：2000-03-07
IPC分类号： A61B1704
CPC分类号： A61B17/1152 , A61B17/11 , A61B2017/1135 , A61B2017/1139 , A61B2017/3466
摘要： An access and cannulation device includes a mounting element such as the anastomosis mounting element disclosed in U.S. application Ser. No. 08/714,615 (now U.S. Pat. No. 5,868,763) and U.S. application Ser. No. 09/200,796. The device is used to provide access therethrough and via an incision to the interior of a hollow anatomical structure such as a vessel, an organ or the like during surgery, especially minimally invasive surgery. It includes a flexible sleeve with a suture therein for closing the sleeve and locating edges of the structure adjacent to the incision in position for proper healing after completion of a surgical procedure. A tool is also disclosed for manipulating the device to configure it for the surgery and to close it after completion of the surgery whereby the edges of the wall of the structure adjacent to an incision are approximated to promote proper healing.
摘要翻译： 进入和插管装置包括安装元件，例如美国专利申请系列公开的吻合安装元件。 美国专利申请08 / 714,615（现为美国专利号5,868,763） 第09 / 200,796号。 该装置用于在手术期间，特别是微创外科手术中通过切口提供穿过中空解剖结构（例如血管，器官等）的内部的通路。 其包括柔性套管，其中缝合有用于封闭套管并将结构的边缘定位在切口的适当位置，以在外科手术完成后进行适当的愈合。 还公开了一种用于操作该装置以将其配置为用于外科手术并在手术完成之后将其关闭的工具，由此近似于与切口相邻的结构的壁的边缘近似以促进适当的愈合。
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公开(公告)号：US06190397B1
公开(公告)日：2001-02-20
申请号：US09325457
申请日：1999-06-03
IPC分类号： A61B1704
CPC分类号： A61B17/1152 , A61B17/11 , A61B2017/1135 , A61B2017/1139 , Y10S623/903
摘要： An anastomosis is performed using a mounting structure mounted on the outside of at least one vessels. The mounting structure includes a flexible mounting structure that is attached to the vessel by a special instrument. A graft vessel is attached to the mounting structure either directly or by means of another mounting structure attached to the graft vessel. Tools for attaching a mounting structure to a vessel are disclosed, and a tool for attaching two mounting structures together is also disclosed. Methods for carrying out the anastomosis according to the invention are also disclosed.
摘要翻译： 使用安装在至少一个容器的外部的安装结构进行吻合。 安装结构包括通过专用仪器附接到容器的柔性安装结构。 移植物容器直接或通过附接到移植血管的另一安装结构附接到安装结构。 公开了用于将安装结构附接到容器的工具，并且还公开了用于将两个安装结构连接在一起的工具。 还公开了根据本发明的用于进行吻合的方法。
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9.发明授权Extremely long wire fasteners for use in minimally invasive surgery and means and methods for handling those fasteners 有权用于微创手术的非常长的电线紧固件以及用于处理这些紧固件的装置和方法公开(公告)号：US07722642B2
公开(公告)日：2010-05-25
申请号：US10786657
申请日：2004-02-25
申请人： Warren P. Williamson, IV , Paul A. Spence , George A. Keller , Cecil R. Robinson , Thomas J. Ward
发明人： Warren P. Williamson, IV , Paul A. Spence , George A. Keller , Cecil R. Robinson , Thomas J. Ward
CPC分类号： A61F2/2427 , A61B17/0401 , A61B17/0467 , A61B17/0469 , A61B17/0487 , A61B17/064 , A61B17/0644 , A61B17/0684 , A61B17/072 , A61B17/115 , A61B2017/00243 , A61B2017/0406 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0641 , A61B2017/0725 , A61B2017/07271 , A61B2017/3486 , A61B2090/061 , A61B2090/395 , A61F2/2409
摘要： Wire fasteners having legs with lengths that can be one hundred times the width of the fastener are used to secure items, such as prosthesis valves to a patient during minimally invasive surgery. The fasteners are manipulated into position and then are immobilized by means of the legs thereof for tensioning, cutting and forming in situ. The fasteners are manipulated, tensioned and formed from the leg end of the fasteners. Tools for initially placing the fasteners and for immobilizing, tensioning, cutting and bending the fastener legs are disclosed. Once the fasteners are initially placed, the prosthesis is placed on the long legs of the placed fasteners and is guided into position on the legs. Once the prosthesis is in position, the legs of the fasteners are immobilized, tensioned, cut and bent into staple-like shapes to secure the prosthesis to the patient. A method for carrying out the procedure using the long fastener is also disclosed. Using the teaching of the present disclosure, a surgeon can customize a fastener to the particular surgery or even to the particular portion of surgery being performed during the surgery.
摘要翻译： 具有长度为紧固件宽度的一百倍的腿的电线紧固件用于在微创手术期间将物品（例如假体瓣膜）固定到患者。 紧固件被操纵到位，然后通过其腿部固定，用于原位张紧，切割和成形。 紧固件由紧固件的腿端被操纵，张紧和形成。 公开了用于初始放置紧固件并固定，张紧，切割和弯曲紧固件腿的工具。 一旦紧固件被初始放置，假体被放置在所放置的紧固件的长腿上并且被引导到腿上的位置。 一旦假体就位，紧固件的腿被固定，张紧，切割并弯曲成钉状形状以将假体固定到患者身上。 还公开了一种使用该长紧固件执行该过程的方法。 使用本公开的教导，外科医生可以定制针对特定手术的紧固件，或甚至可以在手术期间执行手术的特定部分。
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公开(公告)号：US07476196B2
公开(公告)日：2009-01-13
申请号：US10863409
申请日：2004-06-08
IPC分类号： A61B19/00
CPC分类号： A61B17/0218 , A61B17/00491 , A61B17/02 , A61B17/0206 , A61B17/0293 , A61B17/04 , A61B17/064 , A61B17/068 , A61B17/29 , A61B2017/00305 , A61B2017/00309 , A61B2017/0243 , A61B2017/308
摘要： A suction cup adapted to engage a surface of a beating heart with sufficient force to move the beating heart to an unnatural position upon moving the suction cup, while the suction cup maintains engagement with the surface of the heart and the heart continues to beat. Various suction cups are described each including at least a first chamber having a flexible rim and configured to engage the surface of the beating heart and a second chamber smaller than the first chamber and fluidly connected therewith. A suspension device configured to engage a beating heart and maintain engagement via suction while moving the suspension device to move the beating heart to an unnatural position and maintain the beating heart in the unnatural position to perform a surgical procedure, while the heart continues to beat, includes a suction cup and a support arm connected thereto. The suction cup has a first chamber configured to engage the surface of the beating heart, and a second chamber smaller than the first chamber and fluidly connected therewith. The second chamber is adapted to fluidly connect the first chamber with a source of suction. The support arm is movable with the suction cup to effect movement of the beating heart after engagement of the suction cup to a surface of the beating heart. A method of manipulating a beating heart to orient the beating heart in a desired position for performing a surgical procedure includes providing a suction cup having a first chamber configured to engage the surface of the beating heart, and a second chamber smaller than the first chamber and fluidly connected with the first chamber, the second chamber being further fluidly connected to a source of suction; contacting a surface of the beating heart with the first chamber; applying suction between the first chamber and the surface of the beating heart, thereby engaging the suction member with the surface of the beating heart; and moving the suction member while maintaining engagement with the surface of the beating heart, thereby moving the beating heart.
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