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公开(公告)号：US20110213316A1
公开(公告)日：2011-09-01
申请号：US12973741
申请日：2010-12-20
申请人： Tamer Ibrahim , Jeffrey P. Sites
发明人： Tamer Ibrahim , Jeffrey P. Sites
CPC分类号： A61B17/3431 , A61B2017/3456 , A61M1/3653 , A61M1/3659 , A61M25/0041 , A61M25/005 , A61M25/007 , A61M29/00 , A61M2025/0063
摘要： A self-dilating cannula for introduction into a patient's vasculature includes an elongate body and an atraumatic tip. The elongate body has a proximal end, a distal end, and a fluid-flow lumen extending therebetween. The atraumatic tip is positioned at the elongate body's distal end and has a blunted end and a conical shape. The atraumatic tip includes a plurality of fluid-flow openings proximal to the blunted nose that are configured to disperse fluid from the fluid-flow lumen in a plurality of directions with respect to the atraumatic tip. The atraumatic tip also includes an opening in the blunted nose that is sized to a guidewire.
摘要翻译： 用于引入患者脉管系统的自扩张套管包括细长体和无创伤的尖端。 细长体具有近端，远端和在其间延伸的流体流动腔。 无创尖端位于细长体的远端，并具有钝端和圆锥形。 无创尖端包括靠近钝头的多个流体流动开口，其被配置成相对于无创伤尖端在多个方向上分散来自流体流动腔的流体。 无创尖端还包括在钝头中的开口，其大小适合于导丝。
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公开(公告)号：US09339599B2
公开(公告)日：2016-05-17
申请号：US12973741
申请日：2010-12-20
申请人： Tamer Ibrahim , Jeffrey P. Sites
发明人： Tamer Ibrahim , Jeffrey P. Sites
CPC分类号： A61B17/3431 , A61B2017/3456 , A61M1/3653 , A61M1/3659 , A61M25/0041 , A61M25/005 , A61M25/007 , A61M29/00 , A61M2025/0063
摘要： A self-dilating cannula for introduction into a patient's vasculature includes an elongate body and an atraumatic tip. The elongate body has a proximal end, a distal end, and a fluid-flow lumen extending therebetween. The atraumatic tip is positioned at the elongate body's distal end and has a blunted end and a conical shape. The atraumatic tip includes a plurality of fluid-flow openings proximal to the blunted nose that are configured to disperse fluid from the fluid-flow lumen in a plurality of directions with respect to the atraumatic tip. The atraumatic tip also includes an opening in the blunted nose that is sized to a guidewire.
摘要翻译： 用于引入患者脉管系统的自扩张套管包括细长体和无创伤的尖端。 细长体具有近端，远端和在它们之间延伸的流体流动腔。 无创尖端位于细长体的远端，并具有钝端和圆锥形。 无创尖端包括靠近钝头的多个流体流动开口，其被配置成相对于无创伤尖端在多个方向上分散来自流体流动腔的流体。 无创尖端还包括在钝头中的开口，其大小适合于导丝。
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3.发明授权Tissue retractors with fluid evacuation/infusion and/or light emission capability 有权具有排液/输液和/或发光能力的组织牵开器公开(公告)号：US08696556B2
公开(公告)日：2014-04-15
申请号：US12510500
申请日：2009-07-28
IPC分类号： A61B1/32
CPC分类号： A61B17/02 , A61B2017/00946 , A61B2017/0237 , A61B2017/2908 , A61B2090/309 , A61B2090/508
摘要： Retractor apparatus including a blade and a fluid port and/or a light emitter associated with blade, and surgical systems including an arm and a retractor apparatus.
摘要翻译： 包括叶片和与叶片相关联的流体端口和/或发光体的牵引器装置以及包括臂和牵开器装置的手术系统。
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公开(公告)号：US20110152741A1
公开(公告)日：2011-06-23
申请号：US12966924
申请日：2010-12-13
申请人： Michael Banchieri , Tamer Ibrahim
发明人： Michael Banchieri , Tamer Ibrahim
CPC分类号： A61B17/3498 , A61B17/3423 , A61M1/3653 , A61M1/3659 , A61M25/005 , A61M25/007 , A61M29/00
摘要： A cannula system for removing fluid from a patient's vasculature includes a cannula and an obturator. The cannula includes a proximal end, a distal end, and an elongate flexible tube extending therebetween. The cannula has a central lumen. The obturator is sized for insertion into the cannula's central lumen and is also configured to extend beyond the cannula distal end. A tapered portion at the cannula's distal end provides a smooth transition and an interference fit between the cannula and the obturator. The obturator includes an obturator central lumen and an opening at its distal end that is sized to receive a guidewire.
摘要翻译： 用于从患者的脉管系统中去除流体的套管系统包括套管和闭塞器。 套管包括近端，远端和在它们之间延伸的细长柔性管。 套管具有中央腔。 闭塞器的尺寸适于插入插管的中心腔，并且还被构造成延伸超过套管远端。 插管远端的锥形部分提供了平滑的过渡和插管与闭孔之间的过盈配合。 闭塞器包括闭孔器中心腔和其远端处的开口，其尺寸设置成接收导丝。
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公开(公告)号：US07931579B2
公开(公告)日：2011-04-26
申请号：US11512796
申请日：2006-08-29
申请人： Arthur A. Bertolero , Tamer Ibrahim
发明人： Arthur A. Bertolero , Tamer Ibrahim
IPC分类号： A61F13/00
CPC分类号： A61B17/0206 , A61B2017/0237 , A61B2017/308
摘要： Apparatus and methods for stabilizing and/or positioning tissues or organs during surgical procedures. One feature of the positioners of the invention includes the use of one or more suction elements used to grip the organ or tissue. The main body of the suction element comprises body defining a polyhedral shaped chamber, an elliptical ring structure and a vacuum port. The invention further includes structures to support the suction element and hold the suction element and attached tissue in a fixed position including catheters, lockable flexible arms, and retractors.
摘要翻译： 用于在外科手术过程中稳定和/或定位组织或器官的装置和方法。 本发明的定位器的一个特征包括使用一个或多个用于夹紧器官或组织的抽吸元件。 抽吸元件的主体包括限定多面体形状的室，椭圆环结构和真空端口的主体。 本发明还包括用于支撑抽吸元件并将抽吸元件和附着的组织保持在包括导管，可锁定的柔性臂和牵开器的固定位置的结构。
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公开(公告)号：US20110060331A1
公开(公告)日：2011-03-10
申请号：US12781072
申请日：2010-05-17
申请人： Tamer Ibrahim , David K. Swanson
发明人： Tamer Ibrahim , David K. Swanson
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B18/06 , A61B18/22 , A61B2018/00214 , A61B2018/0022 , A61B2018/00273 , A61B2018/00357 , A61B2018/00375 , A61B2018/00702 , A61B2018/00791 , A61B2018/00898 , A61B2018/0212 , A61B2018/1807 , A61B2018/1861 , A61B2218/002 , A61N7/022
摘要： Systems and methods for forming a lesion on an endocardial tissue of a patient's heart involve placing an ablation assembly inside of the heart and adjacent to the endocardial tissue, and placing a guiding assembly outside of the heart. An ablation assembly includes an ablation element and a first attraction element, and a guiding assembly includes a second attraction element. First and second attraction elements can be attracted via magnetism. Techniques involve forming an ablation on the cardiac tissue of a patient's heart with an ablation element of the ablation assembly. Optionally, techniques may include moving the second attraction element of the guiding assembly relative to the patient's heart, so as to effect a corresponding movement of the ablation element of the ablation assembly.
摘要翻译： 用于在患者心脏的心内膜组织上形成损伤的系统和方法包括将消融组件放置在心脏内部并且邻近心内膜组织，并将引导组件放置在心脏外部。 消融组件包括消融元件和第一吸引元件，并且引导组件包括第二吸引元件。 第一和第二吸引元素可以通过磁力吸引。 技术涉及用消融组件的消融元件在患者心脏的心脏组织上形成消融。 可选地，技术可以包括相对于患者的心脏移动引导组件的第二吸引元件，以便实现消融组件的消融元件的相应运动。
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公开(公告)号：US20110009853A1
公开(公告)日：2011-01-13
申请号：US12886436
申请日：2010-09-20
CPC分类号： A61B17/083 , A61B17/0057 , A61B17/068 , A61B17/08 , A61B17/122 , A61B17/1285 , A61B17/320016 , A61B2017/00243
摘要： Devices and methods for clamping tissue and/or moving two tissue structures together by moving two plates or arm together. The pressure or force applied to the tissue may be used to bring the tissue together, to seal an opening or to cut through and remove a portion of the tissue. In one procedure disclosed, a clip applier may be used to apply one or more clips to the left atrial appendage of the heart to prevent clots from the left atrial appendage from embolizing and causing harm to the patient, such as a stroke.
摘要翻译： 通过将两个板或臂一起移动来夹紧组织和/或移动两个组织结构在一起的装置和方法。 施加到组织的压力或力可以用于将组织带到一起，以密封开口或切割并去除组织的一部分。 在所公开的一个程序中，施夹器可用于将一个或多个夹子应用于心脏的左心耳，以防止左心耳附近的血栓栓塞并对患者造成伤害，例如中风。
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公开(公告)号：US07226448B2
公开(公告)日：2007-06-05
申请号：US10410618
申请日：2003-04-08
IPC分类号： A61B18/18
CPC分类号： A61B18/1492 , A61B1/12 , A61B18/14 , A61B18/1402 , A61B18/1442 , A61B18/1445 , A61B18/18 , A61B2017/00243 , A61B2017/22051 , A61B2017/2945 , A61B2018/00023 , A61B2018/00029 , A61B2018/00291 , A61B2018/00345 , A61B2018/00351 , A61B2018/00363 , A61B2018/00404 , A61B2018/00577 , A61B2018/00875 , A61B2018/00982 , A61B2018/126 , A61B2018/1432
摘要： Devices and methods provide for ablation of cardiac tissue for treating cardiac arrhythmias such as atrial fibrillation. Although the devices and methods are often be used to ablate epicardial tissue in the vicinity of at least one pulmonary vein, various embodiments may be used to ablate other cardiac tissues in other locations on a heart. Devices generally include at least one tissue contacting member for contacting epicardial tissue and securing the ablation device to the epicardial tissue, and at least one ablation member for ablating the tissue. Various embodiments include features, such as suction apertures, which enable the device to attach to the epicardial surface with sufficient strength to allow the tissue to be stabilized via the device. For example, some embodiments may be used to stabilize a beating heart to enable a beating heart ablation procedure. Many of the devices may be introduced into a patient via minimally invasive introducer devices and the like. Although devices and methods of the invention may be used to ablate epicardial tissue to treat atrial fibrillation, they may also be used in veterinary or research contexts, to treat various heart conditions other than atrial fibrillation and/or to ablate cardiac tissue other than the epicardium.
摘要翻译： 装置和方法提供用于治疗心律失常的心脏组织的消融，例如心房颤动。 虽然通常使用装置和方法来消融至少一个肺静脉附近的心外膜组织，但是可以使用各种实施例来消融心脏上其他位置的其他心脏组织。 装置通常包括用于接触心外膜组织并将消融装置固定到心外膜组织的至少一个组织接触构件以及用于烧蚀组织的至少一个消融构件。 各种实施例包括诸如抽吸孔的特征，其使得装置能够以足够的强度附着到心外膜表面，以允许组织通过装置稳定。 例如，一些实施例可用于稳定跳动心脏以实现搏动心脏消融手术。 可以通过微创导引器装置等将许多装置引入患者体内。 尽管本发明的装置和方法可用于消融心外膜组织以治疗房颤，但它们也可用于兽医学或研究领域，以治疗心房颤动以外的各种心脏病和/或除心外膜外的心脏组织 。
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公开(公告)号：US20050113811A1
公开(公告)日：2005-05-26
申请号：US10825786
申请日：2004-04-16
申请人： Russell Houser , Arthur Bertolero , Lon Annest , Bill Hare , Tamer Ibrahim , Steve Geyster , Wendel Smith
发明人： Russell Houser , Arthur Bertolero , Lon Annest , Bill Hare , Tamer Ibrahim , Steve Geyster , Wendel Smith
IPC分类号： A61B17/00
CPC分类号： A61B17/0057 , A61B2017/00659 , A61B2017/00663
摘要： A kit and method are described for treating congestive heart failure. The kit may comprise multiple components including a shaping device, deployment tool, patch, and suture. The method may utilize one or more of these components.
摘要翻译： 描述了用于治疗充血性心力衰竭的试剂盒和方法。 套件可以包括多个组件，包括成形装置，展开工具，贴片和缝合线。 该方法可以利用这些组件中的一个或多个。
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公开(公告)号：US20050101839A1
公开(公告)日：2005-05-12
申请号：US10988027
申请日：2004-11-12
申请人： Arthur Bertolero , Tamer Ibrahim
发明人： Arthur Bertolero , Tamer Ibrahim
CPC分类号： A61B17/34 , A61B2017/00243 , A61B2017/0243 , A61B2017/3482 , A61B2017/3484 , A61B2017/3486 , A61B2017/3492
摘要： A thorax mounted stabilizing platform for a surgical device, such as a tissue stabilizer, can be inserted through a minimally invasive incision and affixed to the thoracic wall to stabilize the surgical device. The stabilizing platform includes a rod that is introduced into a percutaneous opening in the patient. An internal and/or an external fixing device is deployed to attach the rod to the patient. One or more surgical devices may be mounted to the distal or internal end of the rod. An adjustment knob or other actuation mechanism is located at the proximal or external end of the rod to actuate or manipulate the surgical device(s) attached to the distal end.
摘要翻译： 用于外科装置（例如组织稳定器）的胸部安装的稳定平台可以通过微创切口插入并固定到胸壁以稳定手术装置。 稳定平台包括被引入患者体内的经皮开口的杆。 内部和/或外部固定装置被部署以将杆附接到患者。 一个或多个手术装置可以安装到杆的远端或内端。 调节旋钮或其他致动机构位于杆的近端或外端，以驱动或操纵附接到远端的手术装置。
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