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    Expandable cannula for performing cardiopulmonary bypass and method for using same
    1.
    发明授权
    Expandable cannula for performing cardiopulmonary bypass and method for using same 失效
    用于进行体外循环的可扩展插管及其使用方法

    公开(公告)号：US06190357B1

    公开(公告)日：2001-02-20

    申请号：US09063588

    申请日：1998-04-21

    申请人： Richard M. Ferrari ,  Dwight P. Morejohn ,  Ivan Sepetka ,  Robert C. Glines

    发明人： Richard M. Ferrari ,  Dwight P. Morejohn ,  Ivan Sepetka ,  Robert C. Glines

    IPC分类号： A61M2900

    CPC分类号： A61M25/0023 ,  A61B17/3439 ,  A61B2017/00243

    摘要： A device for occlusion of a body passageway and subsequent perfusion of the body passageway with arterial return blood, cardioplegia and other fluid is disclosed. The device of the present invention is an expandable cannula comprising a flexible, expandable tubular elongate body having a first diameter and a second diameter, wherein the expandable cannula is inserted having a first diameter and then expanded to a second diameter to provide perfusion flow to the body passageway through at least one arterial return aperture provided on the distal end of the expandable tubular elongate body in fluid communication with a perfusion lumen provided within the cannula. The device may be further provided with one or more additional lumens for providing additional functions to the vessel lumen and may also include an expandable occluding member fixed at the distal end of the cannula for isolating the surgical area from the rest of the arterial system. A preferred method of use of the present invention is also disclosed wherein having a first diameter is inserted endovascularly into the vessel of a patient and advanced to a point of interest. At the point of interest, the device is expanded to a second diameter and perfusion flow to the vessel lumen is provided. Following the performance of a surgical procedure, perfusion flow is terminated and the device is removed from the vessel.

    摘要翻译： 公开了一种用于闭塞身体通道并随后用动脉血回流，心麻痹等流体灌注身体通道的装置。 本发明的装置是一种可扩张套管，其包括具有第一直径和第二直径的柔性可扩张管状细长体，其中，所述可扩张插管插入具有第一直径，然后膨胀至第二直径，以向 通过设置在可扩张管状细长体的远端上的至少一个动脉返回孔，其与设置在套管内的灌注腔流体连通。 该装置还可以设置有一个或多个另外的腔，用于向血管内腔提供附加功能，并且还可以包括固定在套管远端的可扩张闭塞构件，用于将手术区域与动脉系统的其余部分隔离。 还公开了本发明的优选使用方法，其中将第一直径血管内插入患者的血管并进入感兴趣点。 在感兴趣的地方，将装置扩张到第二直径，并且提供到血管腔的灌注流。 在执行外科手术之后，终止灌注流程，并且从血管中移除装置。

    Low profile vessel occluder with and without detachable applicator
    2.
    发明授权
    Low profile vessel occluder with and without detachable applicator 失效
    具有和不具有可拆卸涂抹器的低轮廓血管封堵器

    公开(公告)号：US6001111A

    公开(公告)日：1999-12-14

    申请号：US8113

    申请日：1998-01-16

    申请人： Ivan Sepetka ,  Robert G. Matheny ,  James A. Magovern ,  Dwight P. Morejohn ,  Robert C. Glines

    发明人： Ivan Sepetka ,  Robert G. Matheny ,  James A. Magovern ,  Dwight P. Morejohn ,  Robert C. Glines

    IPC分类号： A61B17/04 ,  A61B17/06 ,  A61B17/064 ,  A61B17/122 ,  A61B17/128 ,  A61B17/00

    CPC分类号： A61B17/122 ,  A61B17/0487 ,  A61B17/06 ,  A61B17/0643 ,  A61B17/128 ,  A61B2017/0461 ,  A61B2017/0464

    摘要： A low profile unobtrusive occluder device is disclosed which is particularly applicable for occluding blood vessels in minimally invasive beating heart CABG surgical procedures, wherein relatively small surgical openings are provided. At least one flexible member is provided on the occluder, which is placed against the vessel. A suture thread is passed under the vessel to encompass the vessel between the occluder and suture thread. The suture thread is selectively attached to the occluder such that the flexible member, when deformed, applies continuous selected tension on the suture thread to apply a corresponding compression on the vessel which occludes the flow of blood. An applicator is attached to the occluder to enable installation thereof, but is detachable after installation such that only the low profile occluder remains on the heart surface during surgery. The applicator is re-attached to the occluder to facilitate removal of the latter. In an alternative embodiment, the occluder is formed as an adjustable part of a heart contacting member of a thoracotomy stabilizer apparatus.

    摘要翻译： 公开了一种低调的不引人注意的闭塞器装置，其特别适用于在微创搏动心脏CABG外科手术中闭塞血管，其中提供了相对较小的手术开口。 至少一个柔性构件设置在封闭器上，其抵靠容器放置。 缝合线在血管下方通过封闭器和缝合线之间的容器。 缝合线选择性地附接到闭塞器，使得当变形时，柔性构件在缝合线上施加连续的选定张力，以在封闭血流的血管上施加相应的压缩。 敷贴器附接到封堵器以使其能够安装，但是在安装之后可拆卸，使得在外科手术期间只有低轮廓的封堵器保留在心脏表面上。 将施用器重新连接到封堵器以便于去除封堵器。 在替代实施例中，封堵器形成为开胸稳定器装置的心脏接触构件的可调部分。

    Cannula purse string suture clamping device
    6.
    发明授权
    Cannula purse string suture clamping device 失效
    插管夹缝合夹紧装置

    公开(公告)号：US5911728A

    公开(公告)日：1999-06-15

    申请号：US972797

    申请日：1997-11-18

    申请人： Ivan Sepetka ,  Robert C. Glines ,  Dwight P. Morejohn ,  Edmund J. Morrissey, III

    发明人： Ivan Sepetka ,  Robert C. Glines ,  Dwight P. Morejohn ,  Edmund J. Morrissey, III

    IPC分类号： A61B17/00 ,  A61B17/04 ,  A61B17/11 ,  A61B17/12 ,  A61B17/34

    CPC分类号： A61B17/12009 ,  A61B17/11 ,  A61B2017/00243 ,  A61B2017/0496 ,  A61B2017/1142 ,  A61B2017/3419

    摘要： Several embodiments of a clamping device are disclosed, for tightening and securing a purse string suture used to seal the tissue around a cannula or a catheter or the like placed in a heart, major vessel or other tissue structure. The clamping device includes a compressible sleeve means solidly secured at a proximal end to a compression-applying means such as a clamp mechanism. A suture-pulling needle is inserted through a common lumen, whereby the trailing ends of the suture thread which forms the purse string suture may be pulled through the compressible sleeve means and clamp mechanism. Application of a force to the clamp mechanism while it is not locked to the trailing ends compresses the compressible sleeve means. Release of the clamp mechanism locks the enclosed trailing ends of the suture thread. The compressed sleeve means applies constant and precalibrated tension on the purse string suture to continuously maintain the seal about the cannula. The clamping device is removed by unlocking the clamp mechanism and withdrawing the device from the suture thread.

    摘要翻译： 公开了夹紧装置的几个实施例，用于紧固和固定用于密封置于心脏，主要血管或其它组织结构中的套管或导管等周围的组织的钱包缝合线。 夹紧装置包括可靠的套筒装置，其在近端处牢固地固定到诸如夹紧机构的压缩施加装置。 将缝线拉针插入共同的内腔中，由此形成钱包线缝合线的缝合线的后端可以被拉动通过可压缩套筒装置和夹紧机构。 当夹紧机构未被锁定到尾端时施加力到夹紧机构压缩可压缩套筒装置。 夹紧机构的释放锁定缝合线的封闭尾端。 压缩套筒装置在钱包线缝合线上施加恒定的和预先校准的张力，以连续地保持套管周围的密封。 夹紧装置通过解锁夹紧机构并从缝合线中取出装置来移除。

    Automatic purse string suture device
    7.
    发明授权
    Automatic purse string suture device 失效
    自动se绳缝合装置

    公开(公告)号：US5891159A

    公开(公告)日：1999-04-06

    申请号：US850321

    申请日：1997-05-02

    申请人： Benjamin Sherman ,  Robert C. Glines ,  Ivan Sepetka ,  Charles S. Taylor ,  Dwight P. Morejohn

    发明人： Benjamin Sherman ,  Robert C. Glines ,  Ivan Sepetka ,  Charles S. Taylor ,  Dwight P. Morejohn

    IPC分类号： A61B17/00 ,  A61B17/04 ,  A61B17/11 ,  A61B17/28 ,  A61B17/34

    CPC分类号： A61B17/0482 ,  A61B17/0469 ,  A61B17/1114 ,  A61B17/29 ,  A61B2017/00243 ,  A61B2017/1107 ,  A61B2017/3488

    摘要： An automatic purse string suture device is disclosed that enables a surgeon to install a purse string suture in tissue structures, particularly for sealing the tissue about a cannula. The device is particularly suited for minimally invasive cardiothoracic procedures and is comprised of an applicator having an elongated structure with protrusions extending from the distal edge thereof. Also provided are means for advancing a needle through a passage to pass a suture through tissue that has been conformed to the distal edge of the device. Various means for conforming the tissue to the distal edge are disclosed as are methods for using the device to facilitate cardiothoracic surgery.

    摘要翻译： 公开了一种自动钱包缝合装置，其使得外科医生能够在组织结构中安装钱包线缝合线，特别是用于在套管周围密封组织。 该装置特别适用于微创心胸手术，并且包括具有细长结构的施用器，其具有从其远端边缘延伸的突起。 还提供了用于使针穿过通道以使缝合线穿过已经符合设备的远侧边缘的组织的装置。 公开了用于使组织与远侧边缘一致的各种方法，如同使用该装置促进心胸外科手术的方法一样。

    Devices and methods for minimally invasive harvesting of a vessel especially the saphenous vein for coronary bypass grafting
    9.
    发明授权
    Devices and methods for minimally invasive harvesting of a vessel especially the saphenous vein for coronary bypass grafting 失效
    用于微创收集血管的装置和方法，特别是用于冠状动脉搭桥术的隐静脉

    公开(公告)号：US6019771A

    公开(公告)日：2000-02-01

    申请号：US759102

    申请日：1996-12-02

    申请人： Brian J. Bennett ,  Dwight P. Morejohn ,  Ivan Sepetka

    发明人： Brian J. Bennett ,  Dwight P. Morejohn ,  Ivan Sepetka

    IPC分类号： A61B17/00 ,  A61B17/128 ,  A61B17/32

    CPC分类号： A61B17/00008 ,  A61B17/32002 ,  A61B17/1285 ,  A61B17/3201

    摘要： Devices and methods for minimally invasive harvesting of a vessel, especially the saphenous vein for coronary artery bypass grafting, are disclosed which facilitate a minimally invasive vessel harvesting procedure. Generally, an instrument is provided which facilitates introduction of vessel harvesting tools through a minimally invasive incision, and provides the capability to separate the vessel from surrounding tissue while minimizing trauma to the patient and preserving the patency of the vessel. The instrument includes a mechanism for separating the vessel from surrounding tissue and may also include mechanisms for severing side branches from the vessel during the harvesting procedure. In one embodiment, an integrated vessel harvesting assembly is provided which may rotate around a vessel and provides a unitary mechanism for separating the vessel from surrounding tissue and for severing the side branches.

    摘要翻译： 公开了用于微创收集血管，尤其是用于冠状动脉旁路移植术的隐静脉的装置和方法，其有助于微创血管收获程序。 通常，提供了便于通过微创切口引入血管收集工具的仪器，并且提供了将血管与周围组织分开同时最小化对患者的创伤并保持血管通畅性的能力。 该仪器包括用于将容器与周围组织分开的机构，并且还可包括用于在收获过程期间切断侧分支的装置。 在一个实施例中，提供集成的血管收集组件，其可围绕血管旋转并且提供用于将血管与周围组织分离并用于切断侧枝的整体机构。