-
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。
-
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。
-
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.
-
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。
-
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。
-
6.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。
-
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。
-
公开(公告)号：US07404792B2
公开(公告)日：2008-07-29
申请号：US10745781
申请日：2003-12-24
IPC分类号： A61F2/00
CPC分类号： A61B17/0218 , A61B17/00491 , A61B17/02 , A61B17/0206 , A61B17/0293 , A61B17/04 , A61B17/064 , A61B17/068 , A61B17/29 , A61B2017/0243 , A61B2017/308
摘要： A system for manipulating and supporting a beating heart during cardiac surgery, including a gross support element for engaging and supporting the heart (the gross support element preferably including a head which is sized and shaped to cradle the myocardium of the left ventricle”), a suspension head configured to exert lifting force on the heart when positioned near the apical region of the heart at a position at least partially overlying the right ventricle, and a releasable attachment element for releasably attaching at least one of the gross support element and the suspension head to the heart. The releasable attachment element can be a mechanical element (such as one or more staples or sutures') or an adhesive such as glue. Alternatively, the system includes a suspension head and a releasable attachment element for releasably attaching it to the heart, but does not include a gross support element.
摘要翻译： 一种用于在心脏手术期间操纵和支撑跳动心脏的系统，包括用于接合和支撑心脏的总体支撑元件（总体支撑元件优选地包括头部，其尺寸和形状适于摇动左心室的心肌），悬架 头部构造成当至少部分地覆盖右心室的位置处定位在心脏的顶部区域附近时在心脏上施加提升力;以及可释放的附接元件，用于将大体支撑元件和悬架头部中的至少一个可释放地附接到 心脏 可释放的附接元件可以是机械元件（例如一个或多个缝钉或缝线）或诸如胶的粘合剂。 或者，该系统包括悬挂头和可释放的附接元件，用于可释放地将其附接到心脏，但不包括总支撑元件。
-
9.再颁专利公开(公告)号：USRE40377E1
公开(公告)日：2008-06-10
申请号：US10863862
申请日：2004-06-07
IPC分类号： A61F2/24
摘要： A heart valve can be replaced using minimally invasive methods which include a sutureless sewing cuff that and a fastener delivery tool that holds the cuff against the patient's tissue while delivering fasteners to attach the cuff to the tissue from the inside out. The tool stores a plurality of fasteners and is self-contained whereby a fastener is delivered and placed all from inside a vessel. The fasteners are self-forming whereby they do not need an anvil to be formed. Anchor elements are operated from outside the patient's body to cinch a prosthesis to an anchoring cuff of the valve body. The cuff is releasably mounted on the tool and the tool holds the cuff against tissue and drives the fastener through the cuff and the tissue before folding over the legs of the fastener whereby secure securement between the cuff and the tissue is assured. Fasteners are placed and formed whereby fasteners are located continuously throughout the entire circumference of the cuff. A minimally invasive surgical method is disclosed, and a method and tool are disclosed for repairing abdominal aortic aneurysms in a minimally invasive manner. Fasteners that are permanently deformed during the process of attaching the cuff are disclosed as are fasteners that are not permanently deformed during the attaching process.
摘要翻译： 可以使用微创方法来替换心脏瓣膜，所述方法包括无缝线缝合套，以及紧固件递送工具，其将袖带保持抵靠患者组织，同时递送紧固件以将袖带从内向外附接到组织。 该工具存储多个紧固件并且是独立的，由此紧固件全部从容器内部输送和放置。 紧固件是自成型的，由此它们不需要形成砧座。 锚杆元件从患者身体外部操作，将假体固定到阀体的锚定箍。 袖带可释放地安装在工具上，并且工具将袖带保持抵靠组织，并且在折叠紧固件的腿部之前通过袖口和组织驱动紧固件，从而确保袖带和组织之间的牢固固定。 紧固件被放置和形成，由此紧固件连续地位于袖带的整个圆周上。 公开了一种微创手术方法，并且公开了一种以微创方式修复腹主动脉瘤的方法和工具。 在附接袖带的过程中永久变形的紧固件公开为在附接过程中不会永久变形的紧固件。
-
公开(公告)号：US6080173A
公开(公告)日：2000-06-27
申请号：US318866
申请日：1999-05-26
CPC分类号： A61B17/32053 , A61B2017/1107
摘要： A surgical punch prevents tissue debris associated with punching a hole in a patient's tissue, such as an aorta during an anastomosis procedure, from reentering the patient's bloodstream. The punch includes elements that move the debris away from the cutting site and then capture that debris inside the instrument. The punch also includes means for aligning the punch with the selected site and for atraumatically holding the tissue prior to cutting. Various means for moving the tissue debris and for trapping the tissue debris in the instrument are also disclosed.
摘要翻译： 外科手术冲击器防止在吻合过程期间冲击患者组织（例如主动脉）中的孔而与患者血流重新进入相关联的组织碎片。 冲头包括将碎屑从切割部位移开的元件，然后捕获仪器内的碎屑。 冲头还包括用于将冲头与选定部位对准的装置，并且用于在切割之前无创地保持组织。 还公开了用于移动组织碎片和捕获器械中的组织碎片的各种手段。
-
-
-
-
-
-
-
-
-
搜索结果
98 条记录 (耗时 0.032 秒)
