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1.发明授权
公开(公告)号：US6042607A
公开(公告)日：2000-03-28
申请号：US802948
申请日：1997-02-21
申请人： Warren Williamson, IV , Paul A. Spence , George T. Christakis , Thomas J. Ward , Dominic P. DiNovo , George A. Keller , Cecil R. Robinson , E. Dale VanHoose
发明人： Warren Williamson, IV , Paul A. Spence , George T. Christakis , Thomas J. Ward , Dominic P. DiNovo , George A. Keller , Cecil R. Robinson , E. Dale VanHoose
IPC分类号： A61B17/00 , A61B17/04 , A61B17/064 , A61B17/068 , A61B17/072 , A61B17/115 , A61B17/34 , A61B19/00 , A61F2/24
CPC分类号： A61B17/072 , A61B17/0469 , A61B17/0644 , A61B17/0684 , A61F2/2409 , A61F2/2427 , A61F2/2496 , A61B17/0401 , A61B17/0467 , A61B17/0487 , A61B17/064 , A61B17/115 , A61B2017/00243 , A61B2017/0406 , A61B2017/047 , A61B2017/3486 , A61B2090/061 , A61B2090/395
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, two at a time to attach the cuff to the tissue from the inside out. The tool stores a plurality of fasteners. Drawstrings are operated from outside the patient's body and cinch the sewing cuff to 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. At least two rows of staggered fasteners are 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.
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口袋，以及紧固件递送工具，其在递送紧固件的同时将袖带保持在患者组织上，同时两次将袖带从内向外连接到组织。 该工具存储多个紧固件。 束带从患者身体外部进行操作，并将缝合袖带固定在阀体上。 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。 形成至少两排交错的紧固件，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。
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公开(公告)号：US5716370A
公开(公告)日：1998-02-10
申请号：US606343
申请日：1996-02-23
IPC分类号： A61B17/00 , A61B17/04 , A61B17/064 , A61B17/068 , A61B17/072 , A61B17/115 , A61B17/34 , A61B19/00 , A61F2/24 , A61B17/08
CPC分类号： A61B17/072 , A61B17/0469 , A61B17/0644 , A61B17/0684 , A61F2/2409 , A61F2/2427 , A61F2/2496 , A61B17/0401 , A61B17/0467 , A61B17/0487 , A61B17/064 , A61B17/115 , A61B2017/00243 , A61B2017/0406 , A61B2017/047 , A61B2017/3486 , A61B2090/061 , A61B2090/395
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, two at a time in opposite directions, to attach the cuff to the tissue from the inside out. Drawstrings are operated from outside the patient's body and cinch the sewing cuff to the valve body. The cuff is releasably mounted on the tool. The tool stores a plurality of fasteners thereon. Two rows of staggered fasteners are 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.
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袖口，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，两次在相反方向上，以将袖带附着到组织上 里面出来 束带从患者身体外部进行操作，并将缝合袖带固定在阀体上。 袖带可拆卸地安装在工具上。 该工具在其上存储多个紧固件。 形成两排交错紧固件，其中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。
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公开(公告)号：US06969349B1
公开(公告)日：2005-11-29
申请号：US10403193
申请日：2003-03-31
CPC分类号： A61B17/02 , A61B17/0206 , A61B17/0218 , A61B2017/0243 , A61B2017/306 , A61B2017/308
摘要： A heart retractor links lifting of the heart and regional immobilization which stops one part of the heart from moving to allow expeditious suturing while permitting other parts of the heart to continue to function whereby coronary surgery can be performed on a beating heart while maintaining cardiac output unabated and uninterrupted. Circumflex coronary artery surgery can be performed using the heart retractor of the present invention. The retractor includes a plurality of flexible arms and a plurality of rigid arms as well as a surgery target immobilizing element. One form of the retractor can be used in minimally invasive surgery, while other forms of the retractor can accommodate variations in heart size and paracardial spacing.
摘要翻译： 心脏牵开器连接心脏的抬起和区域性固定，其阻止心脏的一部分移动以允许快速缝合，同时允许心脏的其他部分继续发挥作用，从而可以在跳动的心脏上进行冠状动脉手术，同时保持心输出量不减 并不间断。 可以使用本发明的心脏牵开器进行环形冠状动脉手术。 牵开器包括多个柔性臂和多个刚性臂以及手术目标固定元件。 牵开器的一种形式可用于微创手术，而其他形式的牵开器可以适应心脏尺寸和心包间隔的变化。
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公开(公告)号：US06726622B2
公开(公告)日：2004-04-27
申请号：US10025941
申请日：2001-12-20
IPC分类号： A61B1700
CPC分类号： A61B17/0218 , A61B2017/00305 , A61B2017/00309 , A61B2017/0243 , A61B2017/308
摘要： A heart retractor links lifting of the heart and regional immobilization which stops one part of the heart from moving to allow expeditious suturing while permitting other parts of the heart to continue to function whereby coronary surgery can be performed on a beating heart while maintaining cardiac output unabated and uninterrupted. Circumflex coronary artery surgery can be performed using the heart retractor of the present invention. The retractor includes a plurality of flexible arms and a plurality of rigid arms as well as a surgery target immobilizing element. One form of the retractor can be used in minimally invasive surgery, while other forms of the retractor can accommodate variations in heart size and paracardial spacing.
摘要翻译： 心脏牵开器连接心脏的抬起和区域性固定，其阻止心脏的一部分移动以允许快速缝合，同时允许心脏的其他部分继续发挥作用，从而可以在跳动的心脏上进行冠状动脉手术，同时保持心输出量不减 并不间断。 可以使用本发明的心脏牵开器进行环形冠状动脉手术。 牵开器包括多个柔性臂和多个刚性臂以及手术目标固定元件。 牵开器的一种形式可用于微创手术，而其他形式的牵开器可以适应心脏尺寸和心包间隔的变化。
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公开(公告)号：US06743170B1
公开(公告)日：2004-06-01
申请号：US09956418
申请日：2001-09-18
IPC分类号： A61B132
CPC分类号： A61B17/0218 , A61B17/00491 , A61B17/02 , A61B17/0206 , A61B17/0293 , A61B17/04 , A61B17/064 , A61B17/068 , A61B17/29 , A61B2017/00305 , A61B2017/00309 , A61B2017/0243 , A61B2017/308
摘要： A system for manipulating a heart during cardiac surgery permits coronary surgery on a beating heart while maintaining cardiac output unabated and uninterrupted. Circumflex coronary artery surgery can be performed using the system. The system locates a suspension head near the apical region of the heart and a gross support near the base of the heart near the AV groove. A frame is positioned within the patient's thoracic region and moves with the patient, and a surgical target immobilizer can be used to assist in the movement of the heart if desired. A special suction cup is used which accommodates multiplanar movement of the heart and the myocardium while also preventing heart tissue from interrupting the suction being applied to the heart. One form of the system can be used in minimally invasive surgery.
摘要翻译： 在心脏手术期间操作心脏的系统允许在跳动心脏上进行冠状动脉手术，同时保持心输出量不变且不间断。 Circumflex冠状动脉手术可以使用系统进行。 该系统位于心脏顶端附近的悬架头部，靠近AV凹槽附近靠近心脏底部的大体支撑。 框架位于患者的胸部区域内并与患者一起移动，并且如果需要，可以使用外科手术目标固定器来辅助心脏的移动。 使用特殊的吸盘，其容纳心脏和心肌的多平面运动，同时还防止心脏组织中断被施加到心脏的吸力。 该系统的一种形式可用于微创手术。
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公开(公告)号：US06610008B1
公开(公告)日：2003-08-26
申请号：US09962291
申请日：2001-09-24
IPC分类号： A61B132
CPC分类号： A61B17/0218 , A61B2017/00305 , A61B2017/00309 , A61B2017/0243 , A61B2017/308
摘要： A heart retractor links lifting of the heart and regional immobilization which stops one part of the heart from moving to allow expeditious suturing while permitting other parts of the heart to continue to function whereby coronary surgery can be performed on a beating heart while maintaining cardiac output unabated and uninterrupted. Circumflex coronary artery surgery can be performed using the heart retractor of the present invention. The retractor includes a plurality of flexible arms and a plurality of rigid arms as well as a surgery target immobilizing element. One form of the retractor can be used in minimally invasive surgery, while other forms of the retractor can accommodate variations in heart size and paracardial spacing.
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公开(公告)号：US06705988B2
公开(公告)日：2004-03-16
申请号：US10029792
申请日：2001-12-28
IPC分类号： A61B132
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支撑元件（大体支撑元件优选地包括尺寸和形状以摇摆左心室的心肌的头部），系统 悬架头构造成当至少部分地覆盖在右心室上的位置处定位在心脏的顶端附近时在心脏上施加提升力;以及可释放的附接元件，用于可释放地附接至少一个总支撑元件和悬架头 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合线）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，但不包括总支持元素。
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公开(公告)号：US06390976B1
公开(公告)日：2002-05-21
申请号：US09109924
申请日：1998-07-02
IPC分类号： A61B132
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。
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公开(公告)号：US06361493B1
公开(公告)日：2002-03-26
申请号：US09441542
申请日：1999-11-16
IPC分类号： A61B132
CPC分类号： A61B17/0218 , A61B2017/00305 , A61B2017/00309 , A61B2017/0243 , A61B2017/308
摘要： A heart retractor links lifting of the heart and regional immobilization which stops one part of the heart from moving to allow expeditious suturing while permitting other parts of the heart to continue to function whereby coronary surgery can be performed on a beating heart while maintaining cardiac output unabated and uninterrupted. Circumflex coronary artery surgery can be performed using the heart retractor of the present invention. The retractor includes a plurality of flexible arms and a plurality of rigid arms as well as a surgery target immobilizing element. One form of the retractor can be used in minimally invasive surgery, while other forms of the retractor can accommodate variations in heart size and paracardial spacing.
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公开(公告)号：US6019722A
公开(公告)日：2000-02-01
申请号：US936184
申请日：1997-09-17
CPC分类号： A61B17/0218 , A61B2017/00305 , A61B2017/00309 , A61B2017/0243 , A61B2017/308
摘要： A heart retractor links lifting of the heart and regional immobilization which stops one part of the heart from moving to allow expeditious suturing while permitting other parts of the heart to continue to function whereby coronary surgery can be performed on a beating heart while maintaining cardiac output unabated and uninterrupted. Circumflex coronary artery surgery can be performed using the heart retractor of the present invention. The retractor includes a plurality of flexible arms and a plurality of rigid arms as well as a surgery target immobilizing element. One form of the retractor can be used in minimally invasive surgery, while other forms of the retractor can accommodate variations in heart size and paracardial spacing.
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