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公开(公告)号：US07967833B2
公开(公告)日：2011-06-28
申请号：US10941661
申请日：2004-09-15
申请人： Wesley D. Sterman , Michi E. Garrison , Hanson S. Gifford, III , John H. Stevens , William S. Peters
发明人： Wesley D. Sterman , Michi E. Garrison , Hanson S. Gifford, III , John H. Stevens , William S. Peters
IPC分类号： A61B17/00
CPC分类号： A61B17/00234 , A61B17/0057 , A61B17/0218 , A61B17/0467 , A61B17/0469 , A61B17/06061 , A61B17/064 , A61B17/068 , A61B17/12013 , A61B17/122 , A61B17/1227 , A61B17/1285 , A61B17/29 , A61B17/2909 , A61B17/30 , A61B17/3403 , A61B18/1442 , A61B18/1492 , A61B90/50 , A61B2017/00243 , A61B2017/00247 , A61B2017/00637 , A61B2017/00663 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2943 , A61B2017/306 , A61B2017/3405 , A61B2017/3427 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2090/064 , A61F2/2427 , A61F2/2496 , A61M1/3664 , A61M25/0023 , A61M25/0032 , A61M25/1011 , A61M39/0247 , A61M2025/0003 , A61M2025/028 , A61M2025/1052 , A61M2039/027 , A61M2039/0279 , A61M2202/047 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , A61M2210/127 , A61M2230/005
摘要： The invention provides devices and methods for performing closed-chest surgical intervention within an internal cavity of a patient's heart or great vessel. A scope extending through a percutaneous intercostal penetration in the patient's chest is used to view an internal portion of the patient's chest. An internal penetration is formed in a wall of the heart or great vessel using cutting means introduced through a percutaneous penetration in an intercostal space in the patient's chest. An interventional tool is inserted through the internal penetration to perform a surgical procedure under visualization using the scope. A cutting tool is introduced into the patient's left atrium from a right portion of the patient's chest to remove the patient's mitral valve. A replacement valve is then introduced through an intercostal space in the right portion of the chest and through the internal penetration in the heart, and the replacement valve is attached in the mitral valve position.
摘要翻译： 本发明提供了用于在患者的心脏或大容器的内腔内执行闭胸手术干预的装置和方法。 使用延伸穿过患者胸部经皮肋间穿透的范围来观察患者胸部的内部部分。 使用通过在患者胸部的肋间空间经皮渗透引入的切割装置在心脏或大容器的壁上形成内部穿透。 通过内部穿透插入介入工具，以使用范围进行可视化的外科手术。 从患者胸部的右侧部分向患者的左心房引入切割工具以移除患者的二尖瓣。 然后将置换瓣膜通过胸部右侧部分的肋间空间并通过心脏内部穿透引入，置换瓣膜连接于二尖瓣位置。
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公开(公告)号：US06899704B2
公开(公告)日：2005-05-31
申请号：US09902523
申请日：2001-07-10
申请人： Wesley D. Sterman , Michi E. Garrison , Hanson S. Gifford, III , John H. Stevens , William S. Peters
发明人： Wesley D. Sterman , Michi E. Garrison , Hanson S. Gifford, III , John H. Stevens , William S. Peters
IPC分类号： A61B17/00 , A61B17/02 , A61B17/04 , A61B17/06 , A61B17/28 , A61B17/30 , A61B17/34 , A61B18/14 , A61B19/00 , A61F2/24 , A61F2/958 , A61M1/00 , A61M1/36 , A61M25/00 , A61B18/18 , A61B37/00
CPC分类号： A61B17/00234 , A61B17/0057 , A61B17/0218 , A61B17/0467 , A61B17/0469 , A61B17/06061 , A61B17/064 , A61B17/068 , A61B17/12013 , A61B17/122 , A61B17/1227 , A61B17/1285 , A61B17/29 , A61B17/2909 , A61B17/30 , A61B17/3403 , A61B18/1442 , A61B18/1492 , A61B90/50 , A61B2017/00243 , A61B2017/00247 , A61B2017/00637 , A61B2017/00663 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2943 , A61B2017/306 , A61B2017/3405 , A61B2017/3427 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2090/064 , A61F2/2427 , A61F2/2496 , A61M1/3664 , A61M25/0023 , A61M25/0032 , A61M25/1011 , A61M39/0247 , A61M2025/0003 , A61M2025/028 , A61M2025/1052 , A61M2039/027 , A61M2039/0279 , A61M2202/047 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , A61M2210/127 , A61M2230/005
摘要： The invention provides devices and methods for performing less-invasive surgical procedures within an organ or vessel. In an exemplary embodiment, the invention provides a method of closed-chest surgical intervention within an internal cavity of a patient's heart or great vessel. According to the method, the patient's heart is arrested and cardiopulmonary bypass is established. A scope extending through a percutaneous intercostal penetration in the patient's chest is used to view an internal portion of the patient's chest. An internal penetration is formed in a wall of the heart or great vessel using cutting means introduced through a percutaneous penetration in an intercostal space in the patient's chest. An interventional tool is then introduced, usually through a cannula positioned in a percutaneous intercostal penetration. The interventional tool is inserted through the internal penetration in the heart or great vessel to perform a surgical procedure within the internal cavity under visualization by means of the scope. In a preferred embodiment, a cutting tool is introduced into the patient's left atrium from a right portion of the patient's chest to remove the patient's mitral valve. A replacement valve is then introduced through an intercostal space in the right portion of the chest and through the internal penetration in the heart, and the replacement valve is attached in the mitral valve position.
摘要翻译： 本发明提供了用于在器官或血管内执行较少侵入性外科手术的装置和方法。 在一个示例性实施例中，本发明提供了一种在患者心脏或大血管的内腔内进行闭胸手术干预的方法。 根据该方法，患者的心脏被停止并建立了体外循环。 使用延伸穿过患者胸部经皮肋间穿透的范围来观察患者胸部的内部部分。 使用通过在患者胸部的肋间空间经皮渗透引入的切割装置在心脏或大容器的壁上形成内部穿透。 然后引入介入工具，通常通过定位在经皮肋间穿透中的套管。 介入工具通过心脏或大容器中的内部穿透插入，通过范围在可视化的内部空腔内执行外科手术。 在优选实施例中，切割工具从患者胸部的右侧部分引入患者的左心房以移除患者的二尖瓣。 然后将置换瓣膜通过胸部右侧部分的肋间空间并通过心脏内部穿透引入，置换瓣膜连接于二尖瓣位置。
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公开(公告)号：US5718725A
公开(公告)日：1998-02-17
申请号：US463814
申请日：1995-06-05
IPC分类号： A61B17/00 , A61B17/02 , A61B17/04 , A61B17/06 , A61B17/28 , A61B17/30 , A61B17/34 , A61B18/14 , A61B19/00 , A61F2/24 , A61F2/958 , A61M1/00 , A61M37/00
CPC分类号： A61M39/0247 , A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/06061 , A61B18/1492 , A61B90/50 , A61F2/2427 , A61B17/0467 , A61B17/2909 , A61B2017/00243 , A61B2017/00247 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2943 , A61B2017/306 , A61B2017/3405 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61M2025/028 , A61M2025/1052 , A61M2039/0279 , A61M2039/0282 , A61M2202/047 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , A61M2210/127 , A61M25/1011
摘要： The invention provides devices and methods for performing less-invasive surgical procedures within an organ or vessel. In an exemplary embodiment, the invention provides a method of closed-chest surgical intervention within an internal cavity of a patient's heart or great vessel. According to the method, the patient's heart is arrested and cardiopulmonary bypass is established. A scope extending through a percutaneous intercostal penetration in the patient's chest is used to view an internal portion of the patient's chest. An internal penetration is formed in a wall of the heart or great vessel using cutting means introduced through a percutaneous penetration in an intercostal space in the patient's chest. An interventional tool is then introduced, usually through a cannula positioned in a percutaneous intercostal penetration. The interventional tool is inserted through the internal penetration in the heart or great vessel to perform a surgical procedure within the internal cavity under visualization by means of the scope. In a preferred embodiment, a cutting tool is introduced into the patient's left atrium from a right portion of the patient's chest to remove the patient's mitral valve. A replacement valve is then introduced through an intercostal space in the right portion of the chest and through the internal penetration in the heart, and the replacement valve is attached in the mitral valve position.
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公开(公告)号：US5571215A
公开(公告)日：1996-11-05
申请号：US163241
申请日：1993-12-06
IPC分类号： A61B17/00 , A61B1/00 , A61B17/02 , A61B17/04 , A61B17/06 , A61B17/064 , A61B17/068 , A61B17/12 , A61B17/122 , A61B17/128 , A61B17/28 , A61B17/30 , A61B17/34 , A61B18/14 , A61B19/00 , A61F2/24 , A61F2/958 , A61M1/00 , A61M25/00
CPC分类号： A61M39/0247 , A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/06061 , A61B17/122 , A61B17/1227 , A61B17/1285 , A61B18/1442 , A61B18/1492 , A61B90/50 , A61F2/2427 , A61B17/0057 , A61B17/0467 , A61B17/064 , A61B17/068 , A61B17/12013 , A61B17/29 , A61B17/2909 , A61B17/30 , A61B17/3403 , A61B2017/00243 , A61B2017/00247 , A61B2017/00637 , A61B2017/00663 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2943 , A61B2017/306 , A61B2017/3405 , A61B2017/3427 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2090/064 , A61F2/2496 , A61M2025/0003 , A61M2025/028 , A61M2039/0279 , A61M2202/047 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , A61M2210/127 , A61M25/1011 , Y10S623/904
摘要： The invention provides devices and methods for performing less-invasive surgical procedures within an organ or vessel. In an exemplary embodiment, the invention provides a method of closed-chest surgical intervention within an internal cavity of a patient's heart or great vessel. According to the method, the patient's heart is arrested and cardiopulmonary bypass is established. A scope extending through a percutaneous intercostal penetration in the patient's chest is used to view an internal portion of the patient's chest. An internal penetration is formed in a wall of the heart or great vessel using cutting means introduced through a percutaneous penetration in an intercostal space in the patient's chest. An interventional tool is then introduced, usually through a cannula positioned in a percutaneous intercostal penetration. The interventional tool is inserted through the internal penetration in the heart or great vessel to perform a surgical procedure within the internal cavity under visualization by means of the scope. In a preferred embodiment, a cutting tool is introduced into the patient's left atrium from a right portion of the patient's chest to remove the patient's mitral valve. A replacement valve is then introduced through an intercostal space in the right portion of the chest and through the internal penetration in the heart, and the replacement valve is attached in the mitral valve position.
-
公开(公告)号：US5682906A
公开(公告)日：1997-11-04
申请号：US465383
申请日：1995-06-05
IPC分类号： A61B17/00 , A61B17/02 , A61B17/04 , A61B17/06 , A61B17/28 , A61B17/30 , A61B17/34 , A61B18/14 , A61B19/00 , A61F2/24 , A61F2/958 , A61M1/00
CPC分类号： A61M39/0247 , A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/06061 , A61B18/1442 , A61B18/1492 , A61B90/50 , A61F2/2427 , A61B17/0467 , A61B17/2909 , A61B2017/00243 , A61B2017/00247 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2943 , A61B2017/2945 , A61B2017/306 , A61B2017/3405 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2018/1432 , A61F2/2496 , A61M2025/028 , A61M2039/0279 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , A61M25/1011 , Y10S623/904
摘要： The invention provides devices and methods for performing less-invasive surgical procedures within an organ or vessel. In an exemplary embodiment, the invention provides a method of closed-chest surgical intervention within an internal cavity of a patient's heart or great vessel. According to the method, the patient's heart is arrested and cardiopulmonary bypass is established. A scope extending through a percutaneous intercostal penetration in the patient's chest is used to view an internal portion of the patient's chest. An internal penetration is formed in a wall of the heart or great vessel using cutting means introduced through a percutaneous penetration in an intercostal space in the patient's chest. An interventional tool is then introduced, usually through a cannula positioned in a percutaneous intercostal penetration. The interventional tool is inserted through the internal penetration in the heart or great vessel to perform a surgical procedure within the internal cavity under visualization by means of the scope. In a preferred embodiment, a cutting tool is introduced into the patient's left atrium from a right portion of the patient's chest to remove the patient's mitral valve. A replacement valve is then introduced through an intercostal space in the right portion of the chest and through the internal penetration in the heart, and the replacement valve is attached in the mitral valve position.
摘要翻译： 本发明提供了用于在器官或血管内执行较少侵入性外科手术的装置和方法。 在一个示例性实施例中，本发明提供了一种在患者心脏或大血管的内腔内进行闭胸手术干预的方法。 根据该方法，患者的心脏被停止并建立了体外循环。 使用延伸穿过患者胸部经皮肋间穿透的范围来观察患者胸部的内部部分。 使用通过在患者胸部的肋间空间经皮渗透引入的切割装置在心脏或大容器的壁上形成内部穿透。 然后引入介入工具，通常通过定位在经皮肋间穿透中的套管。 介入工具通过心脏或大容器中的内部穿透插入，通过范围在可视化的内部空腔内执行外科手术。 在优选实施例中，切割工具从患者胸部的右侧部分引入患者的左心房以移除患者的二尖瓣。 然后将置换瓣膜通过胸部右侧部分的肋间空间并通过心脏内部穿透引入，置换瓣膜连接于二尖瓣位置。
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公开(公告)号：US5814097A
公开(公告)日：1998-09-29
申请号：US645692
申请日：1996-05-14
IPC分类号： A61B17/00 , A61B17/02 , A61B17/04 , A61B17/30 , A61B17/34 , A61B18/14 , A61F2/24 , A61F2/958 , A61M1/00 , A61M25/00
CPC分类号： A61M39/0247 , A61B17/00234 , A61B17/0218 , A61B18/1492 , A61F2/2427 , A61B2017/00243 , A61B2017/00247 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/306 , A61B2017/3405 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61M2025/0031 , A61M2025/028 , A61M2025/1052 , A61M2039/027 , A61M2039/0279 , A61M2202/047 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , A61M2210/127 , A61M25/0023 , A61M25/0032 , A61M25/1011
摘要： The invention provides devices and methods for performing less-invasive surgical procedures within an organ or vessel. In an exemplary embodiment, the invention provides a method of closed-chest surgical intervention within an internal cavity of a patient's heart or great vessel. According to the method, the patient's heart is arrested and cardiopulmonary bypass is established. A scope extending through a percutaneous intercostal penetration in the patient's chest is used to view an internal portion of the patient's chest. An internal penetration is formed in a wall of the heart or great vessel using cutting means introduced through a percutaneous penetration in an intercostal space in the patient's chest. An interventional tool is then introduced, usually through a cannula positioned in a percutaneous intercostal penetration. The interventional tool is inserted through the internal penetration in the heart or great vessel to perform a surgical procedure within the internal cavity under visualization by means of the scope. In a preferred embodiment, a cutting tool is introduced into the patient's left atrium from a right portion of the patient's chest to remove the patient's mitral valve. A replacement valve is then introduced through an intercostal space in the right portion of the chest and through the internal penetration in the heart, and the replacement valve is attached in the mitral valve position.
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公开(公告)号：US6029671A
公开(公告)日：2000-02-29
申请号：US650112
申请日：1996-05-22
IPC分类号： A61B17/00 , A61B17/02 , A61B17/04 , A61B17/06 , A61B17/28 , A61B17/30 , A61B17/34 , A61B18/14 , A61B19/00 , A61F2/24 , A61F2/958 , A61M1/00 , A61M1/36 , A61M25/00 , A61M25/01 , A61M25/06 , A61M29/02
CPC分类号： A61M39/0247 , A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/06061 , A61B18/1492 , A61B90/50 , A61F2/2427 , A61M1/3653 , A61M1/3659 , A61M25/0041 , A61M25/0152 , A61M25/0662 , A61M25/10 , A61M25/1011 , A61B17/0467 , A61B17/2909 , A61B2017/00243 , A61B2017/00247 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2943 , A61B2017/306 , A61B2017/3405 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2090/3784 , A61M2025/0031 , A61M2025/004 , A61M2025/0078 , A61M2025/028 , A61M2025/1047 , A61M2025/1052 , A61M2025/1077 , A61M2025/1095 , A61M2202/047 , A61M2205/11 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , A61M2210/125 , A61M2210/127 , A61M25/0023 , A61M25/0125 , A61M25/1002
摘要： A system for inducing cardioplegic arrest and performing an endovascular procedure within the heart or blood vessels of a patient. An endoaortic partitioning catheter has an inflatable balloon which occludes the ascending aorta when inflated. Cardioplegic fluid may be infused through a lumen of the endoaortic partitioning catheter to stop the heart while the patient's circulatory system is supported on cardiopulmonary bypass. One or more endovascular devices are introduced through an internal lumen of the endoaortic partitioning catheter to perform a diagnostic or therapeutic endovascular procedure within the heart or blood vessels of the patient. Surgical procedures such as coronary artery bypass surgery or heart valve replacement may be performed in conjunction with the endovascular procedure while the heart is stopped. Embodiments of the system are described for performing: fiberoptic angioscopy of structures within the heart and its blood vessels, valvuloplasty for correction of valvular stenosis in the aortic or mitral valve of the heart, angioplasty for therapeutic dilatation of coronary artery stenoses, coronary stenting for dilatation and stenting of coronary artery stenoses, atherectomy or endarterectomy for removal of atheromatous material from within coronary artery stenoses, intravascular ultrasonic imaging for observation of structures and diagnosis of disease conditions within the heart and its associated blood vessels, fiberoptic laser angioplasty for removal of atheromatous material from within coronary artery stenoses, transmyocardial revascularization using a side-firing fiberoptic laser catheter from within the chambers of the heart, and electrophysiological mapping and ablation for diagnosing and treating electrophysiological conditions of the heart.
摘要翻译： 用于诱导心脏停搏并在患者的心脏或血管内进行血管内手术的系统。 内主动脉分隔导管具有可膨胀的气囊，其在膨胀时封闭升主动脉。 可以通过内主动脉分隔导管的内腔灌输心脏停跳液体，以在患者的循环系统支持在体外循环时停止心脏。 通过内主动脉分隔导管的内腔引入一个或多个血管内装置，以在患者的心脏或血管内执行诊断或治疗性血管内手术。 外科手术如冠状动脉旁路手术或心脏瓣膜置换可以在心脏停止时与血管内手术一起进行。 描述了该系统的实施例，用于执行：心脏及其血管内的结构的光纤血管镜检查，用于矫正心脏主动脉或二尖瓣的瓣膜狭窄的瓣膜成形术，用于冠状动脉狭窄治疗性扩张的血管成形术，用于扩张的冠状动脉支架置入 冠状动脉狭窄支架术，冠状动脉切除术或内膜切除术，用于从冠状动脉狭窄中去除动脉粥样硬化材料，用于观察结构的血管内超声成像和心脏及其相关血管内疾病状况的诊断，用于去除动脉粥样硬化材料的光纤激光血管成形术 从冠状动脉狭窄中，使用来自心脏室内的侧发光纤激光导管进行的经心肌血运重建，以及用于诊断和治疗心脏电生理状况的电生理映射和消融。
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公开(公告)号：US06283127B1
公开(公告)日：2001-09-04
申请号：US09161190
申请日：1998-09-25
IPC分类号： A61B1700
CPC分类号： A61B17/00234 , A61B17/0057 , A61B17/0218 , A61B17/0467 , A61B17/0469 , A61B17/06061 , A61B17/064 , A61B17/068 , A61B17/12013 , A61B17/122 , A61B17/1227 , A61B17/1285 , A61B17/29 , A61B17/2909 , A61B17/30 , A61B17/3403 , A61B18/1442 , A61B18/1492 , A61B90/50 , A61B2017/00243 , A61B2017/00247 , A61B2017/00637 , A61B2017/00663 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2943 , A61B2017/306 , A61B2017/3405 , A61B2017/3427 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2090/064 , A61F2/2427 , A61F2/2496 , A61M1/3664 , A61M25/0023 , A61M25/0032 , A61M25/1011 , A61M39/0247 , A61M2025/0003 , A61M2025/028 , A61M2025/1052 , A61M2039/027 , A61M2039/0279 , A61M2202/047 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , A61M2210/127 , A61M2230/005
摘要： The invention provides devices and methods for performing less-invasive surgical procedures within an organ or vessel. In an exemplary embodiment, the invention provides a method of closed-chest surgical intervention within an internal cavity of a patient's heart or great vessel. According to the method, the patient's heart is arrested and cardiopulmonary bypass is established. A scope extending through a percutaneous intercostal penetration in the patient's chest is used to view an internal portion of the patient's chest. An internal penetration is formed in a wall of the heart or great vessel using cutting means introduced through a percutaneous penetration in an intercostal space in the patient's chest. An interventional tool is then introduced, usually through a cannula positioned in a percutaneous intercostal penetration. The interventional tool is inserted through the internal penetration in the heart or great vessel to perform a surgical procedure within the internal cavity under visualization by means of the scope. In a preferred embodiment, a cutting tool is introduced into the patient's left atrium from a right portion of the patient's chest to remove the patient's mitral valve. A replacement valve is then introduced through an intercostal space in the right portion of the chest and through the internal penetration in the heart, and the replacement valve is attached in the mitral valve position.
摘要翻译： 本发明提供了用于在器官或血管内执行较少侵入性外科手术的装置和方法。 在一个示例性实施例中，本发明提供了一种在患者心脏或大血管的内腔内进行闭胸手术干预的方法。 根据该方法，患者的心脏被停止并建立了体外循环。 使用延伸穿过患者胸部经皮肋间穿透的范围来观察患者胸部的内部部分。 使用通过在患者胸部的肋间空间经皮渗透引入的切割装置在心脏或大容器的壁上形成内部穿透。 然后引入介入工具，通常通过定位在经皮肋间穿透中的套管。 介入工具通过心脏或大容器中的内部穿透插入，通过范围在可视化的内部空腔内执行外科手术。 在优选实施例中，切割工具从患者胸部的右侧部分引入患者的左心房以移除患者的二尖瓣。 然后将置换瓣膜通过胸部右侧部分的肋间空间并通过心脏内部穿透引入，置换瓣膜连接于二尖瓣位置。
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9.发明授权Methods and devices for occluding the ascending aorta and maintaining circulation oxygenated blood in the patient when the patient's heart is arrested 有权当患者的心脏被捕时，用于闭塞升主动脉并维持患者循环氧合血液的方法和装置公开(公告)号：US06902556B2
公开(公告)日：2005-06-07
申请号：US10162799
申请日：2002-06-05
申请人： Kevin V. Grimes , Jan Komtebedde , Daniel C. Rosenman , Hanson S. Gifford, III , Michi E. Garrison , Wesley D. Sterman , David M. Taylor , A. Adam Sharkawy , Pinaki Ray
发明人： Kevin V. Grimes , Jan Komtebedde , Daniel C. Rosenman , Hanson S. Gifford, III , Michi E. Garrison , Wesley D. Sterman , David M. Taylor , A. Adam Sharkawy , Pinaki Ray
CPC分类号： A61B17/3417 , A61B17/0206 , A61B17/3421 , A61B2017/00243 , A61M25/10 , A61M25/1002 , A61M2025/1052 , A61M2025/1084 , A61M2210/127
摘要： A method and device for occluding a patient's ascending aorta, maintaining circulation of oxygenated blood in the patient and delivering cardioplegic fluid to arrest the patient's heart. An aortic occlusion catheter has an occluding member for occluding the ascending aorta. The aortic occlusion catheter passes through a cannula. Delivery of oxygenated blood is accomplished through either the cannula of the aortic occlusion catheter. In another aspect of the invention, an arterial cannula having a curved or angled distal portion. An introducer straightens the distal portion for introduction into the patient. In still another aspect of the invention, an open-mesh stabilizer is used to stabilize a discoid occluding member.
摘要翻译： 一种用于闭塞患者升主动脉的方法和装置，保持患者中含氧血液的循环并输送心脏停搏液以阻止患者的心脏。 主动脉闭塞导管具有用于闭塞升主动脉的阻塞构件。 主动脉闭塞导管穿过套管。 氧合血液的输送通过主动脉闭塞导管的插管来实现。 在本发明的另一方面，一种具有弯曲或成角度的远侧部分的动脉插管。 引导器拉直远端部分以引入患者体内。 在本发明的另一方面，使用开口网稳定剂来稳定盘状闭塞构件。
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公开(公告)号：US06592547B2
公开(公告)日：2003-07-15
申请号：US09235043
申请日：1999-01-21
申请人： Kevin V. Grimes , Jan Komtebedde , Daniel C. Rosenman , Hanson S. Gifford, III , Michi E. Garrison , Wesley D. Sterman , David M. Taylor , A. Adam Sharkawy , Pinaki Ray
发明人： Kevin V. Grimes , Jan Komtebedde , Daniel C. Rosenman , Hanson S. Gifford, III , Michi E. Garrison , Wesley D. Sterman , David M. Taylor , A. Adam Sharkawy , Pinaki Ray
IPC分类号： A61M2900
CPC分类号： A61B17/3417 , A61B17/0206 , A61B17/3421 , A61B2017/00243 , A61M25/10 , A61M25/1002 , A61M2025/1052 , A61M2025/1084 , A61M2210/127
摘要： A method and device for occluding a patient's ascending aorta, maintaining circulation of oxygenated blood in the patient and delivering cardioplegic fluid to arrest the patient's heart. An aortic occlusion catheter has an occluding member for occluding the ascending aorta. The aortic occlusion catheter passes through a cannula. Delivery of oxygenated blood is accomplished through either the cannula or the aortic occlusion catheter. In another aspect of the invention, an arterial cannula having a curved or angled distal portion. An introducer straightens the distal portion for introduction into the patient. In still another aspect of the invention, an open-mesh stabilizer is used to stabilize a discoid occluding member.
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