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公开(公告)号：US07455677B2
公开(公告)日：2008-11-25
申请号：US10934862
申请日：2004-09-03
申请人： Jaime S. Vargas , Stephen A. Yencho , James T. Nielsen , Brendan M. Donohoe , Theodore M. Bender , Brian R. DuBois , Scott O. Chamness , Nathan H. White , Gregory B. Arcenio , Heather L. Klaubert , Russell C. Mead, Jr.
发明人： Jaime S. Vargas , Stephen A. Yencho , James T. Nielsen , Brendan M. Donohoe , Theodore M. Bender , Brian R. DuBois , Scott O. Chamness , Nathan H. White , Gregory B. Arcenio , Heather L. Klaubert , Russell C. Mead, Jr.
IPC分类号： A61B17/08
CPC分类号： A61B17/32053 , A61B17/115 , A61B17/12013 , A61B2010/0208 , A61B2017/00252 , A61B2017/00969 , A61B2017/1103 , A61B2017/1107 , A61B2017/1135 , A61B2017/320064 , A61B2017/349 , A61B2017/925 , A61B2017/928
摘要： An anastomosis device includes a deployable section that may be connected to a discard section. The deployable section may be configured to expand in two substantially orthogonal directions during deployment. The deployable section may include a ring that includes one or more expandable elements.
摘要翻译： 吻合装置包括可以连接到丢弃部分的可部署部分。 可部署部分可以被配置为在展开期间在两个基本正交的方向上扩展。 可部署部分可以包括包括一个或多个可扩张元件的环。
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公开(公告)号：US07223274B2
公开(公告)日：2007-05-29
申请号：US10934883
申请日：2004-09-03
申请人： Jaime S. Vargas , Stephen A. Yencho , James T. Nielsen , Brendan M. Donohoe , Theodore M. Bender , Brian R. DuBois , Scott O. Chamness , Nathan H. White , Gregory B. Arcenio , Heather L. Klaubert , Russell C. Mead, Jr.
发明人： Jaime S. Vargas , Stephen A. Yencho , James T. Nielsen , Brendan M. Donohoe , Theodore M. Bender , Brian R. DuBois , Scott O. Chamness , Nathan H. White , Gregory B. Arcenio , Heather L. Klaubert , Russell C. Mead, Jr.
CPC分类号： A61B17/115 , A61B17/064 , A61B17/11 , A61B17/32053 , A61B2017/00252 , A61B2017/00969 , A61B2017/0641 , A61B2017/1103 , A61B2017/1107
摘要： A method for performing anastomosis between a graft vessel and a target vessel with an integrated anastomosis tool may include actuating at least one control on the integrated anastomosis tool to create an opening in the target vessel and complete an anastomosis with the target vessel. Another method for performing anastomosis may include creating an opening in intact tissue of the target vessel with an integrated anastomosis tool; and deploying an anastomosis device with the integrated anastomosis tool. The anastomosis may be performed with an anastomosis device, such as an anastomosis device having a deployable section detachable from a discard section.
摘要翻译： 使用整合的吻合工具在移植物容器和目标血管之间进行吻合的方法可以包括致动整合的吻合工具上的至少一个对照以在靶容器中形成开口并与目标血管完成吻合。 用于进行吻合的另一种方法可以包括用集成的吻合工具在目标血管的完整组织中产生开口; 并使用集成吻合工具部署吻合装置。 吻合可以用吻合装置进行，例如具有可从丢弃部分拆卸的可展开部分的吻合装置。
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公开(公告)号：US07029482B1
公开(公告)日：2006-04-18
申请号：US10057795
申请日：2002-01-23
申请人： Jaime S. Vargas , Stephen A. Yencho , James T. Nielsen , Brendan M. Donohoe , Theodore M. Bender , Brian R. DuBois , Scott O. Chamness , Nathan H. White , Gregory B. Arcenio , Heather L. Klaubert , Russell C. Mead, Jr.
发明人： Jaime S. Vargas , Stephen A. Yencho , James T. Nielsen , Brendan M. Donohoe , Theodore M. Bender , Brian R. DuBois , Scott O. Chamness , Nathan H. White , Gregory B. Arcenio , Heather L. Klaubert , Russell C. Mead, Jr.
IPC分类号： A61B17/04
CPC分类号： A61B17/32053 , A61B17/115 , A61B17/12013 , A61B2010/0208 , A61B2017/00252 , A61B2017/00969 , A61B2017/1103 , A61B2017/1107 , A61B2017/1135 , A61B2017/320064 , A61B2017/349 , A61B2017/925 , A61B2017/928
摘要： A single integrated tool is used both to create an opening in a vessel wall and deploy an anastomosis device into that opening, thereby simplifying an anastomosis procedure such as a coronary artery bypass graft procedure. The creation of the opening and deployment of the anastomosis device may be actuated with a single control.
摘要翻译： 使用单个集成工具来在血管壁中形成开口并将吻合装置部署到该开口中，从而简化了吻合程序，例如冠状动脉旁路移植手术。 吻合装置的打开和部署的创建可以用单个控制来启动。
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公开(公告)号：US06962595B1
公开(公告)日：2005-11-08
申请号：US10172781
申请日：2002-06-14
申请人： Scott O. Chamness , Nathan H. White , Theodore M. Bender , Brendan M. Donohoe , Jaime S. Vargas , Stephen A. Yencho , James T. Nielsen , Brian R. DuBois
发明人： Scott O. Chamness , Nathan H. White , Theodore M. Bender , Brendan M. Donohoe , Jaime S. Vargas , Stephen A. Yencho , James T. Nielsen , Brian R. DuBois
IPC分类号： A61B10/00 , A61B10/02 , A61B17/00 , A61B17/11 , A61B17/115 , A61B17/12 , A61B17/32 , A61B17/34 , A61B17/92 , A61B17/08
CPC分类号： A61B17/32053 , A61B17/115 , A61B17/12013 , A61B2010/0208 , A61B2017/00252 , A61B2017/00969 , A61B2017/1103 , A61B2017/1107 , A61B2017/1135 , A61B2017/320064 , A61B2017/349 , A61B2017/925 , A61B2017/928
摘要： A single integrated tool is used both to create an opening in a vessel wall and deploy an anastomosis device into that opening, thereby simplifying an anastomosis procedure such as a coronary artery bypass graft procedure. The creation of the opening and deployment of the anastomosis device may be actuated with a single control.
摘要翻译： 使用单个集成工具来在血管壁中形成开口并将吻合装置部署到该开口中，从而简化了吻合程序，例如冠状动脉旁路移植手术。 吻合装置的打开和部署的创建可以用单个控制来启动。
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公开(公告)号：US06869437B1
公开(公告)日：2005-03-22
申请号：US09993438
申请日：2001-11-13
申请人： Bernard A. Hausen , Jaime S. Vargas , Stephen A. Yencho , James T. Nielsen , Theodore M. Bender , Brendan M. Donohoe , Philip E. Oyer , Scott O. Chamness
发明人： Bernard A. Hausen , Jaime S. Vargas , Stephen A. Yencho , James T. Nielsen , Theodore M. Bender , Brendan M. Donohoe , Philip E. Oyer , Scott O. Chamness
IPC分类号： A61B17/00 , A61B17/02 , A61B17/08 , A61B17/11 , A61B17/115
CPC分类号： A61B17/11 , A61B17/115 , A61B2017/00243 , A61B2017/0243 , A61B2017/1107 , A61B2017/1135
摘要： A coronary artery bypass graft procedure is performed through one or more openings made in the patient to create a point of entry to the thoracic cavity. A vein measurement device measures the distance between the proximal and distal anastomotic sites for each graft. A proximal anastomosis tool splits to release a graft vessel after deploying an anastomosis device at the proximal anastomosis site. The tool may be articulated. An integrated stabilizer stabilizes one or more tools relative to the surface of the beating heart at a distal anastomotic site. A distal anastomotic tool may be provided as part of the integrated stabilizer, and connects one end of the graft vessel to a target vessel. An epicardial dissector may be provided as part of the integrated stabilizer, and dissects the epicardium from the target vessel at a distal anastomotic site, as needed.
摘要翻译： 通过在患者中制造的一个或多个开口进行冠状动脉旁路移植手术以产生进入胸腔的点。 静脉测量装置测量每个移植物的近端和远端吻合部位之间的距离。 在近端吻合部位部署吻合装置之后，近端吻合工具分裂以释放移植血管。 该工具可以铰接。 整合的稳定器在远端吻合部位稳定一个或多个相对于打浆心脏表面的工具。 可以提供远端吻合工具作为整合的稳定器的一部分，并且将移植血管的一端连接到目标血管。 可以提供心外膜解剖器作为整合的稳定器的一部分，并且根据需要在远端吻合部位从目标血管切开心外膜。
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公开(公告)号：US07662162B2
公开(公告)日：2010-02-16
申请号：US11083721
申请日：2005-03-18
申请人： Bernard A. Hausen , Jaime S. Vargas , Stephen A. Yencho , James T. Nielsen , Theodore M. Bender , Brendan M. Donohoe , Philip E. Oyer , Scott O. Chamness
发明人： Bernard A. Hausen , Jaime S. Vargas , Stephen A. Yencho , James T. Nielsen , Theodore M. Bender , Brendan M. Donohoe , Philip E. Oyer , Scott O. Chamness
CPC分类号： A61B17/11 , A61B17/115 , A61B2017/00243 , A61B2017/0243 , A61B2017/1107 , A61B2017/1135
摘要： A minimally-invasive coronary artery bypass graft procedure may be performed with a splittable proximal anastomosis tool. A distal anastomosis tool may be used as well, where that distal anastomosis tool may include a staple holder having two spaced-apart arms, staples detachably held by the staple holder, and an anvil connected to the staple holder.
摘要翻译： 微创冠状动脉旁路移植手术可以用可分离的近端吻合手术进行。 也可以使用远端吻合工具，其中远端吻合工具可以包括具有两个间隔开的臂的缝钉夹持器，由钉仓可拆卸地保持的缝钉和连接到钉保持器的砧座。
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公开(公告)号：US07766924B1
公开(公告)日：2010-08-03
申请号：US10392336
申请日：2003-03-19
申请人： David L. Bombard , Jaime S. Vargas , James T. Nielsen , Philipe R. Manoux , Tenny Chang , Stephen A. Yencho , Bernard A. Hausen , Brendan M. Donohoe , Theodore M. Bender , Nathan H. White , Bryan D. Knodel
发明人： David L. Bombard , Jaime S. Vargas , James T. Nielsen , Philipe R. Manoux , Tenny Chang , Stephen A. Yencho , Bernard A. Hausen , Brendan M. Donohoe , Theodore M. Bender , Nathan H. White , Bryan D. Knodel
IPC分类号： A61B17/10
CPC分类号： A61B17/1152 , A61B17/0469 , A61B17/072 , A61B17/122 , A61B2017/00243 , A61B2017/0641 , A61B2017/07214 , A61B2017/07285 , A61B2017/1107 , A61B2017/1135 , A61B2090/037 , A61F2/064
摘要： An anastomosis tool includes a handle connected to a tissue effector that may be capable of being oriented in two or more positions relative to the handle. The tissue effector holds a graft vessel having at least one flap defined in at least one end thereof against the side of a target vessel. Actuation of a trigger or other mechanism on the handle causes the tissue effector to deploy one or more connectors into the flaps of the graft vessel and the side of the target vessel, thereby connecting the graft vessel to the target vessel.
摘要翻译： 吻合工具包括连接到组织执行器的手柄，所述手柄可以相对于手柄定位在两个或更多个位置。 组织效应器保持移植物容器，其具有至少一个翼片，其至少一个端部限定在靶容器的侧面。 手柄上的触发器或其他机构的致动导致组织效应器将一个或多个连接器部署到移植物容器的瓣片和靶容器的侧面中，从而将移植血管连接到靶容器。
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公开(公告)号：US07699859B2
公开(公告)日：2010-04-20
申请号：US10988325
申请日：2004-11-12
申请人： David L. Bombard , Jaime S. Vargas , James T. Nielsen , Philipe R. Manoux , Tenny Chang , Stephen A. Yencho , Bernard A. Hausen , Brendan M. Donohoe , Theodore M. Bender , Nathan H. White , Bryan D. Knodel
发明人： David L. Bombard , Jaime S. Vargas , James T. Nielsen , Philipe R. Manoux , Tenny Chang , Stephen A. Yencho , Bernard A. Hausen , Brendan M. Donohoe , Theodore M. Bender , Nathan H. White , Bryan D. Knodel
IPC分类号： A61B17/08
CPC分类号： A61B17/1152 , A61B17/0469 , A61B17/072 , A61B17/122 , A61B2017/00243 , A61B2017/0641 , A61B2017/07214 , A61B2017/07285 , A61B2017/1107 , A61B2017/1135 , A61B2090/037 , A61F2/064
摘要： A method for anastomosing a first vessel to a second vessel may include connecting an end of the first vessel to the side of the second vessel and creating an opening in the wall of the second vessel from within the lumen of the second vessel, where that opening allows fluid communication between the lumen of the first vessel and the lumen of the second vessel.
摘要翻译： 用于将第一容器吻合到第二容器的方法可以包括将第一容器的端部连接到第二容器的侧面并且在第二容器的内腔内从第二容器的内腔中产生在第二容器的壁中的开口， 允许第一容器的内腔和第二容器的内腔之间的流体连通。
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公开(公告)号：US07303570B2
公开(公告)日：2007-12-04
申请号：US10988335
申请日：2004-11-12
申请人： David L. Bombard , Jaime S. Vargas , James T. Nielsen , Philipe R. Manoux , Tenny Chang , Stephen A. Yencho , Bernard A. Hausen , Brendan M. Donohoe , Theodore M. Bender , Nathan H. White , Bryan D. Knodel
发明人： David L. Bombard , Jaime S. Vargas , James T. Nielsen , Philipe R. Manoux , Tenny Chang , Stephen A. Yencho , Bernard A. Hausen , Brendan M. Donohoe , Theodore M. Bender , Nathan H. White , Bryan D. Knodel
IPC分类号： A61B17/08
CPC分类号： A61B17/1152 , A61B17/0469 , A61B17/072 , A61B17/122 , A61B2017/00243 , A61B2017/07285 , A61B2017/1107 , A61B2017/1135 , A61B2090/037 , A61F2/064
摘要： An anastomosis tool may include a connector holder connected to an anvil. The connector holder may be bifurcated and configured to straddle the graft vessel. The connector holder may be generally U-shaped. The connector holder may be shaped to extend around more than half of the circumference of the graft vessel.
摘要翻译： 吻合工具可以包括连接到砧座的连接器支架。 连接器保持器可以分叉并构造成跨越移植管。 连接器支架可以是大致U形的。 连接器保持器可以成形为围绕移植管的圆周的一半以上延伸。
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公开(公告)号：US09622748B2
公开(公告)日：2017-04-18
申请号：US11378127
申请日：2006-03-17
申请人： David L. Bombard , Jaime S. Vargas , James T. Nielsen , Phillipe R. Manoux , Tenny Chang , Stephen A. Yencho , Bernard A. Hausen , Brendan M. Donohoe , Theodore M. Bender , Nathan H. White , Bryan D. Knodel
发明人： David L. Bombard , Jaime S. Vargas , James T. Nielsen , Phillipe R. Manoux , Tenny Chang , Stephen A. Yencho , Bernard A. Hausen , Brendan M. Donohoe , Theodore M. Bender , Nathan H. White , Bryan D. Knodel
IPC分类号： A61B17/115 , A61B17/04 , A61B17/072 , A61B17/122 , A61B17/00 , A61B17/11 , A61F2/06 , A61B90/00
CPC分类号： A61B17/1152 , A61B17/0469 , A61B17/072 , A61B17/122 , A61B2017/00243 , A61B2017/07285 , A61B2017/1107 , A61B2017/1135 , A61B2090/037 , A61F2/064
摘要： A surgical tool for performing anastomosis may include a handle and a tissue effector connected by a shaft, at least party of which may be flexible. The tissue effector may include a staple holder connected to an anvil.
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