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    Organ manipulator having suction member supported with freedom to move relative to its support
    1.
    发明授权
    Organ manipulator having suction member supported with freedom to move relative to its support 有权
    器官操纵器具有支撑自由以相对于其支撑件移动的抽吸构件

    公开(公告)号：US06506149B2

    公开(公告)日：2003-01-14

    申请号：US09390792

    申请日：1999-09-07

    申请人： Steven Peng ,  Larry Voss ,  David E. Hancock ,  Grace A. Carlson ,  John W. Davis ,  Albert K. Chin ,  Jaime S. Vargas

    发明人： Steven Peng ,  Larry Voss ,  David E. Hancock ,  Grace A. Carlson ,  John W. Davis ,  Albert K. Chin ,  Jaime S. Vargas

    IPC分类号： A61F1300

    CPC分类号： A61B17/02 ,  A61B17/085 ,  A61B2017/0243 ,  A61B2017/2905 ,  A61B2017/2929 ,  A61B2017/293 ,  A61B2017/308

    摘要： An organ manipulator including at least one suction member or adhesive disc mounted to a compliant joint, a flexible locking arm for mounting such suction member or compliant joint, and a method for retracting and suspending an organ in a retracted position using suction (or adhesive force) so that the organ is free to move normally (e.g., to beat or undergo other limited-amplitude motion) in at least the vertical direction during both steps. In preferred embodiments, a suction member exerts suction to retract a beating heart and suspend it in a retracted position during surgery. As the retracted heart beats, the compliant joint allows it to expand and contract freely (and otherwise move naturally) at least in the vertical direction so that hemodynamic function is not compromised. The suction member conforms or can be conformed to the organ anatomy, and its inner surface is preferably smooth and lined with absorbent material to improve traction without causing trauma to the organ. The compliant joint can connect the member to an arm which is adjustably mounted to a sternal retractor or operating table. The compliant joint can be a sliding ball joint, a hinged joint, a pin sliding in a slot, a universal joint, a spring assembly, or another compliant element. In preferred embodiments, the method includes the steps of affixing a suction member to a beating heart at a position concentric with the heart's apex, and applying suction to the heart while moving the member to retract the heart such that the heart has freedom to undergo normal beating motion at least in the vertical direction during retraction.

    摘要翻译： 一种器官操纵器，包括至少一个吸附构件或安装在顺应性接头上的粘性盘，用于安装该抽吸构件或柔顺接头的柔性锁定臂，以及使用吸力（或粘合力）将器官缩回和悬挂在缩回位置的方法 ），使得器官在两个步骤中至少在垂直方向上自由地正常移动（例如，以打败或经历其它有限幅度运动）。 在优选实施例中，抽吸构件在手术期间施加抽吸以缩回跳动心脏并将其悬挂在缩回位置。 随着缩回的心脏跳动，柔顺关节允许其至少在垂直方向上自由地膨胀和自然地收缩（或自然地移动），使得血液动力学功能不受损害。 抽吸构件符合或可以符合器官解剖结构，并且其内表面优选地是平滑的并且衬有吸收材料，以改善牵引力而不会对器官造成伤害。 柔性接头可以将构件连接到可调节地安装到胸骨牵开器或手术台的臂上。 柔性接头可以是滑动球接头，铰接接头，在槽中滑动的销，万向接头，弹簧组件或另一柔性元件。 在优选实施例中，该方法包括以下步骤：将吸引构件固定在与心脏顶点同心的位置处的跳动心脏，并且在移动构件以使心脏收缩的同时向心脏施加吸力，使得心脏具有正常的自由 至少在缩回过程中垂直方向进行打击运动。

    Locking arm having ball joints for use in an organ manipulator apparatus
    6.
    发明授权
    Locking arm having ball joints for use in an organ manipulator apparatus 有权
    具有用于器官机械手装置的球窝接头的锁定臂

    公开(公告)号：US06730020B2

    公开(公告)日：2004-05-04

    申请号：US09747388

    申请日：2000-12-22

    申请人： Steven Peng ,  Larry Voss ,  David E. Hancock ,  Grace A. Carlson ,  John W Davis ,  Albert K. Chin ,  Jaime S. Vargas

    发明人： Steven Peng ,  Larry Voss ,  David E. Hancock ,  Grace A. Carlson ,  John W Davis ,  Albert K. Chin ,  Jaime S. Vargas

    IPC分类号： A61B132

    CPC分类号： A61B17/02 ,  A61B17/085 ,  A61B2017/0243 ,  A61B2017/2905 ,  A61B2017/2929 ,  A61B2017/293 ,  A61B2017/308

    摘要： A flexible locking arm for use in an organ manipulator apparatus. The flexible locking arm has a flexible state, used to position the organ manipulator as needed, and a fixed state for mounting the manipulator in a desired orientation. Even in the fixed state, the organ manipulator maintains a limited freedom of movement, to allow the organ held to continue to move substantially according to its natural motion during functioning. For example, in an embodiment where a suction member exerts suction to retract a beating heart and suspend it in a retracted position during surgery by setting the flexible arm to the fixed state, as the retracted heart beats, a complaint joint allows it to expand and contract freely (and otherwise move naturally) at least in the vertical direction so that hemodynamic function is not substantially compromised.

    摘要翻译： 一种用于器官机械手装置的柔性锁定臂。 柔性锁定臂具有柔性状态，用于根据需要定位器官操纵器，以及用于将操纵器安装在所需方位的固定状态。 即使在固定状态下，器官操纵器也保持有限的运动自由度，从而允许所保持的器官在功能期间根据其自然运动而继续大量移动。 例如，在吸引构件通过将柔性臂设定为固定状态时，吸引构件进行吸引以缩回搏动心脏并将其悬挂在缩回位置的实施例中，随着收缩的心跳，投诉关节允许其扩张，并且 至少在垂直方向自由地（或以其他方式自然移动），使得血液动力学功能基本上不受损害。

    Organ manipulator having suction member supported with freedom to move relative to its support
    7.
    发明授权
    Organ manipulator having suction member supported with freedom to move relative to its support 有权
    器官操纵器具有支撑自由以相对于其支撑件移动的抽吸构件

    公开(公告)号：US06899670B2

    公开(公告)日：2005-05-31

    申请号：US10193575

    申请日：2002-07-10

    申请人： Steven Peng ,  Larry Voss ,  David E. Hancock ,  Grace A. Carlson ,  John Davis ,  Albert K. Chin ,  Jaime S. Vargas

    发明人： Steven Peng ,  Larry Voss ,  David E. Hancock ,  Grace A. Carlson ,  John Davis ,  Albert K. Chin ,  Jaime S. Vargas

    IPC分类号： A61B19/00 ,  A61B17/02 ,  A61B17/08 ,  A61B17/28 ,  A61B17/30 ,  A61F13/00

    CPC分类号： A61B17/02 ,  A61B17/085 ,  A61B2017/0243 ,  A61B2017/2905 ,  A61B2017/2929 ,  A61B2017/293 ,  A61B2017/308

    摘要： An organ manipulator including at least one suction member or adhesive disc mounted to a compliant joint, a flexible locking arm for mounting such suction member or compliant joint, and a method for retracting and suspending an organ in a retracted position using suction (or adhesive force) so that the organ is free to move normally (e.g., to beat or undergo other limited-amplitude motion) in at least the vertical direction during both steps. In preferred embodiments, a suction member exerts suction to retract a beating heart and suspend it in a retracted position during surgery. As the retracted heart beats, the compliant joint allows it to expand and contract freely (and otherwise move naturally) at least in the vertical direction so that hemodynamic function is not compromised. The suction member conforms or can be conformed to the organ anatomy, and its inner surface is preferably smooth and lined with absorbent material to improve traction without causing trauma to the organ. The compliant joint can connect the member to an arm which is adjustably mounted to a sternal retractor or operating table. The compliant joint can be a sliding ball joint, a hinged joint, a pin sliding in a slot, a universal joint, a spring assembly, or another compliant element. In preferred embodiments, the method includes the steps of affixing a suction member to a beating heart at a position concentric with the heart's apex, and applying suction to the heart while moving the member to retract the heart such that the heart has freedom to undergo normal beating motion at least in the vertical direction during retraction.

    摘要翻译： 一种器官操纵器，包括至少一个吸附构件或安装在顺应性接头上的粘性盘，用于安装该抽吸构件或柔顺接头的柔性锁定臂，以及使用吸力（或粘合力）将器官缩回和悬挂在缩回位置的方法 ），使得器官在两个步骤中至少在垂直方向上自由地正常移动（例如，以打败或经历其它有限幅度运动）。 在优选实施例中，抽吸构件在手术期间施加抽吸以缩回跳动心脏并将其悬挂在缩回位置。 随着缩回的心脏跳动，柔顺关节允许其至少在垂直方向上自由地膨胀和自然地收缩（或自然地移动），使得血液动力学功能不受损害。 抽吸构件符合或可以符合器官解剖结构，并且其内表面优选地是平滑的并且衬有吸收材料，以改善牵引力而不会对器官造成伤害。 柔性接头可以将构件连接到可调节地安装到胸骨牵开器或手术台的臂上。 柔性接头可以是滑动球接头，铰接接头，在槽中滑动的销，万向接头，弹簧组件或另一柔性元件。 在优选实施例中，该方法包括以下步骤：将吸引构件固定在与心脏顶点同心的位置处的跳动心脏，并且在移动构件以使心脏收缩的同时向心脏施加吸力，使得心脏具有正常的自由 至少在缩回过程中垂直方向进行打击运动。

    Combined vessel dissection and transection device and method
    10.
    发明授权
    Combined vessel dissection and transection device and method 有权
    组合血管解剖和横断装置及方法

    公开(公告)号：US06432044B1

    公开(公告)日：2002-08-13

    申请号：US09490552

    申请日：2000-01-25

    申请人： John P. Lunsford ,  Charles J. Adam ,  John W. Davis ,  Albert K. Chin

    发明人： John P. Lunsford ,  Charles J. Adam ,  John W. Davis ,  Albert K. Chin

    IPC分类号： A61B1732

    CPC分类号： A61B17/0218 ,  A61B17/00008 ,  A61B2017/320044

    摘要： A retractor and a surgical tool are positioned within a cannula, and a dissection cradle of the retractor is positioned at the distal end of the cannula. The retractor includes a first portion with an axis approximately parallel to the axis of the cannula and a second portion with an axis skewed relative to the axis of the cannula. The dissection cradle is located at the distal end of the second portion of the retractor, and may include two substantially parallel, spaced legs with the retractor shaped in a loop between and in a plane skewed relative to the axes of the legs, and with the loop directed away from the surgical tool. Thus, in operation, when the surgeon locates a vessel and side branch of interest, the surgeon extends the retractor to cradle the vessel in the dissection cradle. Once cradled, the retractor may be fully extended to urge the vessel away from the axis of the cannula to isolate the side branch for exposure to the surgical tool. Removable, transparent tips are selectively positioned at the distal end of the cannula for performing dissection and transection via a single cannula. Additionally, the tips are configured to align the apices of the tips with the central axis of the endoscope to maximize the visual field through the tips via the endoscope. Wing-like protrusions on an alternate tip for the cannula facilitate tissue dissection in forming a tunnel in tissue along a target vessel. Swept back forward edges on the wing-like protrusions promote easy tissue dissection using reduced force to advance the cannula and alternate tip through tissue surrounding the target vessel.

    摘要翻译： 牵开器和手术工具定位在套管内，并且牵开器的解剖支架位于套管的远端。 牵开器包括具有大致平行于套管轴线的轴线的第一部分和具有相对于套管轴线倾斜的轴线的第二部分。 解剖支架位于牵开器的第二部分的远端，并且可以包括两个基本上平行的间隔开的腿，其中牵开器成形为相对于腿的轴线倾斜的平面之间的环中，并且与 环路远离手术工具。 因此，在操作中，当外科医生定位感兴趣的血管和侧分支时，外科医生将牵开器延伸到支撑解剖支架中的血管。 一旦收起，收缩器可以被完全延伸以促使血管远离套管的轴线，以隔离侧分支以暴露于外科手术工具。 可移除的透明尖端选择性地定位在套管的远端，以通过单个插管进行解剖和切断。 另外，尖端被配置成将尖端的顶点与内窥镜的中心轴线对准，以通过内窥镜通过尖端最大化视野。 用于插管的备选尖端上的翼状突起促进组织解剖，以沿着靶容器在组织中形成隧道。 在翼状突起上扫掠前部前缘，通过减小力促进组织夹层，从而使插管和交替的尖端通过围绕目标血管的组织。