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    METHODS AND DEVICES FOR OCCLUDING THE ASCENDING AORTA
    1.
    发明申请
    METHODS AND DEVICES FOR OCCLUDING THE ASCENDING AORTA 审中-公开
    用于阻止升降机的方法和装置

    公开(公告)号：WO9937202A3

    公开(公告)日：1999-12-23

    申请号：PCT/US9901340

    申请日：1999-01-22

    Applicant: HEARTPORT INC

    Inventor： GRIMES KEVIN V ,  KOMTEBEDDE JAN ,  ROSENMAN DANIEL C ,  GIFFORD HANSON S III ,  GARRISON MICHI E ,  STERMAN WESLEY D ,  TAYLOR DAVID M ,  SHARKAWY A ADAM ,  RAY PINAKI

    IPC: A61B17/00 ,  A61B17/02 ,  A61B17/34 ,  A61F2/958 ,  A61M29/00

    CPC classification number: A61B17/3417 ,  A61B17/0206 ,  A61B17/3421 ,  A61B2017/00243 ,  A61M25/10 ,  A61M25/1002 ,  A61M2025/1052 ,  A61M2025/1084 ,  A61M2210/127

    Abstract: This invention is a method, and device for occluding a patient's ascending aorta, maintaining circulation of oxygenated blood (72) in the patient, and delivering cardio-plegia fluid (64) to arrest the patient's heart. An aortic occlusion catheter has an occluding member (4) for occluding the ascending aorta. The aortic occlusion catheter (2) passes through a cannula (28). Delivery of oxygenated blood (72) is accomplished through either the cannula (28) or the aortic occlusion catheter (2). In another aspect of the invention, an arterial cannula (28) has a curved or angled distal portion (40). An introducer (50) straightens the distal portion (40) for introduction into the patient. In still another aspect of the invention, an open-mesh stabilizer (172) is used to stabilize a discoid occluding member (4K).

    Abstract translation: 本发明是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（72）的循环，并输送心脏 - 血液（64）以阻止患者的心脏。 主动脉阻塞导管具有用于闭塞升主动脉的闭塞构件（4）。 主动脉闭塞导管（2）穿过套管（28）。 氧合血液（72）的输送通过套管（28）或主动脉闭塞导管（2）完成。 在本发明的另一方面，动脉插管（28）具有弯曲或成角度的远侧部分（40）。 导引器（50）拉直远端部分（40）以引入患者体内。 在本发明的另一方面，开式网眼稳定器（172）用于稳定盘状闭塞构件（4K）。

    IMPROVED SURGICAL STAPLING INSTRUMENT AND METHOD THEREOF
    2.
    发明申请
    IMPROVED SURGICAL STAPLING INSTRUMENT AND METHOD THEREOF 审中-公开
    改进的外科手术仪器及其方法

    公开(公告)号：WO1997028749A1

    公开(公告)日：1997-08-14

    申请号：PCT/US1997001579

    申请日：1997-02-05

    Applicant: HEARTPORT, INC.

    Inventor： HEARTPORT, INC. ,  BOLDUC, Lee, R. ,  HECK, Christopher, F.

    IPC: A61B17/068

    CPC classification number: A61B17/1152 ,  A61B17/0644 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/00243 ,  A61B2017/00252 ,  A61B2017/081 ,  A61B2017/1103 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61F2/064

    Abstract: A method and apparatus (10) for attaching a tubular graft (20) to a body structure (332) is disclosed. The apparatus (10) includes a central rod (12) with an anvil (14) attached at a distal end (16) thereof. Driver pins (24) move distally to eject staples (210) which are housed in a cartridge (26). The staple cartridge (26) has an outer circumference sufficient to accommodate everted end (34) of tubular graft (20), and an inner diameter sufficient to accommodate a majority of the tubular graft (2) therein. Accordingly, the method includes positioning the rod (12) in the graft (20), everting an end (34) of the graft around a shoulder (36) of the staple cartridge (26), inserting the anvil (14) through an opening (334) in the body structure (332), compressing the graft (20) and the body structure (332) between the anvil (14) and shoulder (36), and moving the driver pins (24) distally to engage and drive the staples (210), thus stapling the graft (20) to the body structure (332).

    Abstract translation: 公开了一种用于将管状移植物（20）附接到身体结构（332）的方法和装置（10）。 装置（10）包括具有附接在其远端（16）处的砧座（14）的中心杆（12）。 驱动销（24）向远侧移动以排出容纳在盒（26）中的订书钉（210）。 钉仓（26）具有足以容纳管状移植物（20）的脱开端（34）的外圆周，以及足以容纳其中大多数管状移植物（2）的内径。 因此，该方法包括将杆（12）定位在移植物（20）中，使移植物的端部（34）围绕钉仓（26）的肩部（36）旋转，将砧座（14）插入开口 （332）中，在砧座（14）和肩部（36）之间压缩移植物（20）和主体结构（332），并且使驱动销（24）向远侧移动以接合和驱动 订书钉（210），从而将移植物（20）装订到身体结构（332）。

    STEREOSCOPIC ENDOSCOPE
    3.
    发明申请
    STEREOSCOPIC ENDOSCOPE 审中-公开
    立体视神经内镜

    公开(公告)号：WO1997027798A1

    公开(公告)日：1997-08-07

    申请号：PCT/US1997001372

    申请日：1997-01-31

    Applicant: HEARTPORT, INC.

    Inventor： HEARTPORT, INC. ,  LEINER, Dennis, C. ,  BRUKILACCHIO, Thomas, J.

    IPC: A61B01/00

    CPC classification number: A61B1/00193 ,  H04N13/194 ,  H04N13/239 ,  H04N13/296 ,  H04N13/341 ,  H04N13/398

    Abstract: A stereoscopic endoscope is disclosed having two laterally separated objective lens elements (66, 68) at the distal end (50) of an elongated probe for creating a left and right image. Polarizing elements (70, 72) in series with each objective lens are oriented with their principle axes perpendicular. The orthogonally polarized left and right images are combined with one another along a common optical path through the relay section (52). An image decoupling beam splitting section (56) proximal to the relay section (52) uses a polarizing beam splitter to separate the left and right images based on their orthogonal polarization states and directs them toward the left and right eyepieces in the ocular section (58). An optical hinge section (54) allows relative movement between the ocular section (58) and the distal portion of the endoscope.

    Abstract translation: 公开了在细长探针的远端（50）处具有两个横向分离的物镜元件（66,68）的立体内窥镜，用于产生左图像和右图像。 与每个物镜串联的极化元件（70,72）以它们的主轴线垂直取向。 正交偏振左和右图像沿着通过中继部分（52）的公共光路彼此组合。 靠近中继部分（52）的图像去耦束分离部分（56）使用偏振分束器基于它们的正交极化状态分离左图像和右图像，并将它们引导到眼部分中的左右目镜（58 ）。 光学铰链部分（54）允许目镜部分（58）和内窥镜的远端部分之间的相对移动。

    LESS INVASIVE DEVICES AND METHODS FOR TREATMENT OF CARDIAC VALVES
    5.
    发明申请
    LESS INVASIVE DEVICES AND METHODS FOR TREATMENT OF CARDIAC VALVES 审中-公开
    较少的入侵设备和治疗心脏瓣膜的方法

    公开(公告)号：WO1996039942A1

    公开(公告)日：1996-12-19

    申请号：PCT/US1996007970

    申请日：1996-05-30

    Applicant: HEARTPORT, INC.

    Inventor： HEARTPORT, INC. ,  GARRISON, Michi, E. ,  DONLON, Brian, S. ,  DANIEL, S., Christopher ,  STEVENS, John, H.

    IPC: A61B17/00

    CPC classification number: A61F2/2427 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/0293 ,  A61B90/40 ,  A61B2017/00243 ,  A61B2090/401 ,  A61F2/2403 ,  A61F2/2448 ,  A61F2/2466 ,  A61F2/2496

    Abstract: Device and methods are provided for less invasive surgical treatment of cardiac valves whereby the need for a gross thoracotomy or median sternotomy is eliminated. In one aspect of this invention, a delivery system (10) for a cardiac valve prosthesis such as an annuloplasty ring (90) or prosthetic valve (262) includes an elongated handle (28) configured to extend into the heart through an intercostal space from outside of the chest cavity, and a prosthesis holder (100) attached to the handle for releasably holding a prosthesis. The prosthesis holder (100) is attached to the handle (28) in such a way that the holder (100), prosthesis (90) and handle (28) have a profile with a height smaller than the width of an intercostal space when the adjacent ribs are unrectrated, preferably less than about 30 mm. In a further aspect, the invention provides a method for repairing or replacing a heart valve which includes the steps of introducing a prosthesis (262) through an intercostal space and through a penetration in a wall of the heart, and securing the prosthesis (262) to an interior wall of the heart, wherein each step is carried out without cutting, removing, or significantly retracting the ribs or sternum.

    Abstract translation: 为心脏瓣膜的较少侵入性手术治疗提供了装置和方法，因此消除了对大胸廓切开术或中位胸骨切开术的需要。 在本发明的一个方面，用于心脏瓣膜假体例如瓣环成形术环（90）或人工瓣膜（262）的输送系统（10）包括细长手柄（28），其配置成通过肋间隙 以及附接到手柄上的假体保持器（100），用于可释放地保持假体。 假体保持器（100）以使得保持器（100），假体（90）和手柄（28）具有高度小于肋间空间的宽度的轮廓的方式附接到手柄（28），当该 相邻的肋是非直立的，优选小于约30mm。 在另一方面，本发明提供了一种修复或替换心脏瓣膜的方法，其包括以下步骤：将假体（262）通过肋间空间引入穿过心脏的壁，并固定假体（262） 到心脏的内壁，其中每个步骤在不切割，移除或显着缩回肋骨或胸骨的情况下进行。

    DEVICE AND METHODS FOR CANNULATING A BLOOD VESSEL
    6.
    发明申请
    DEVICE AND METHODS FOR CANNULATING A BLOOD VESSEL 审中-公开
    用于肛门血管的装置和方法

    公开(公告)号：WO0062845A9

    公开(公告)日：2002-06-27

    申请号：PCT/US0009884

    申请日：2000-04-13

    Applicant: HEARTPORT INC

    Inventor： MOSHE MEIR ,  KOMTEBEDDE JAN ,  DECKMAN ROBERT

    IPC: A61M31/00 ,  A61M1/00 ,  A61M25/00 ,  A61M5/00

    CPC classification number: A61M25/0041 ,  A61M25/0009 ,  A61M25/005 ,  A61M2025/0063

    Abstract: A cannula (2) has a distal portion (6) which is angled relative to a proximal portion (4). The distal portion (6) is straightened during introduction with a stiffening element (14). After introduction, the stiffening element (14) is removed so that the distal portion (6) angulates relative to the proximal portion so that the cannula (2) can be moved out of the surgical field. The cannula (2) preferably includes a stabilizing ring (30) having suture holders. The stabilizing ring is also preferably angled relative to the cannula (2).

    Abstract translation: 套管（2）具有相对于近端部分（4）成角度的远侧部分（6）。 远端部分（6）在引入期间用加强元件（14）矫直。 在引入之后，去除加强元件（14），使得远端部分（6）相对于近端部分成角度，使得套管（2）能够移出外科手术区域。 套管（2）优选地包括具有缝线保持器的稳定环（30）。 稳定环也优选相对于插管（2）成角度。

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