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11. 发明授权

US5944736A Access platform for internal mammary dissection 失效
公开(公告)号：US5944736A
公开(公告)日：1999-08-31
申请号：US903516
申请日：1997-07-30
申请人： Charles S. Taylor , William N. Aldrich , Federico J. Benetti , Richard S. Ginn , Dwight P. Morejohn , Brent Regan , Eugene E. Reis , Ivan Sepetka , William F. Witt
发明人： Charles S. Taylor , William N. Aldrich , Federico J. Benetti , Richard S. Ginn , Dwight P. Morejohn , Brent Regan , Eugene E. Reis , Ivan Sepetka , William F. Witt
IPC分类号： A61B17/02 , A61B17/34 , A61B19/00
CPC分类号： A61B17/3423 , A61B17/0206 , A61B90/50 , A61B17/025 , A61B17/3476 , A61B2017/349
摘要： An access platform having a first and a second blade interconnected to a spreader member that laterally drives the blades apart or together and a sternal pad interconnected to a blade. The superior blade is pivotally coupled to the spreader member such that it naturally rises as the blades are separated. Alternatively, a vertical displacement member is operably interconnected to a blade and the spreader member and is used to vertically displace the interconnected superior blade and, thus, increase a surgeon's working space and visual access for the dissection of an internal mammary artery. A tissue retractor is interconnected to the blades to draw the soft tissue around an incision away from the surgeon's working area.

12. 发明授权

US5911728A Cannula purse string suture clamping device 失效
标题翻译：插管夹缝合夹紧装置
公开(公告)号：US5911728A
公开(公告)日：1999-06-15
申请号：US972797
申请日：1997-11-18
申请人： Ivan Sepetka , Robert C. Glines , Dwight P. Morejohn , Edmund J. Morrissey, III
发明人： Ivan Sepetka , Robert C. Glines , Dwight P. Morejohn , Edmund J. Morrissey, III
IPC分类号： A61B17/00 , A61B17/04 , A61B17/11 , A61B17/12 , A61B17/34
CPC分类号： A61B17/12009 , A61B17/11 , A61B2017/00243 , A61B2017/0496 , A61B2017/1142 , A61B2017/3419
摘要： Several embodiments of a clamping device are disclosed, for tightening and securing a purse string suture used to seal the tissue around a cannula or a catheter or the like placed in a heart, major vessel or other tissue structure. The clamping device includes a compressible sleeve means solidly secured at a proximal end to a compression-applying means such as a clamp mechanism. A suture-pulling needle is inserted through a common lumen, whereby the trailing ends of the suture thread which forms the purse string suture may be pulled through the compressible sleeve means and clamp mechanism. Application of a force to the clamp mechanism while it is not locked to the trailing ends compresses the compressible sleeve means. Release of the clamp mechanism locks the enclosed trailing ends of the suture thread. The compressed sleeve means applies constant and precalibrated tension on the purse string suture to continuously maintain the seal about the cannula. The clamping device is removed by unlocking the clamp mechanism and withdrawing the device from the suture thread.
摘要翻译：公开了夹紧装置的几个实施例，用于紧固和固定用于密封置于心脏，主要血管或其它组织结构中的套管或导管等周围的组织的钱包缝合线。夹紧装置包括可靠的套筒装置，其在近端处牢固地固定到诸如夹紧机构的压缩施加装置。将缝线拉针插入共同的内腔中，由此形成钱包线缝合线的缝合线的后端可以被拉动通过可压缩套筒装置和夹紧机构。当夹紧机构未被锁定到尾端时施加力到夹紧机构压缩可压缩套筒装置。夹紧机构的释放锁定缝合线的封闭尾端。压缩套筒装置在钱包线缝合线上施加恒定的和预先校准的张力，以连续地保持套管周围的密封。夹紧装置通过解锁夹紧机构并从缝合线中取出装置来移除。

13. 发明授权

US5891159A Automatic purse string suture device 失效
标题翻译：自动se绳缝合装置
公开(公告)号：US5891159A
公开(公告)日：1999-04-06
申请号：US850321
申请日：1997-05-02
申请人： Benjamin Sherman , Robert C. Glines , Ivan Sepetka , Charles S. Taylor , Dwight P. Morejohn
发明人： Benjamin Sherman , Robert C. Glines , Ivan Sepetka , Charles S. Taylor , Dwight P. Morejohn
IPC分类号： A61B17/00 , A61B17/04 , A61B17/11 , A61B17/28 , A61B17/34
CPC分类号： A61B17/0482 , A61B17/0469 , A61B17/1114 , A61B17/29 , A61B2017/00243 , A61B2017/1107 , A61B2017/3488
摘要： An automatic purse string suture device is disclosed that enables a surgeon to install a purse string suture in tissue structures, particularly for sealing the tissue about a cannula. The device is particularly suited for minimally invasive cardiothoracic procedures and is comprised of an applicator having an elongated structure with protrusions extending from the distal edge thereof. Also provided are means for advancing a needle through a passage to pass a suture through tissue that has been conformed to the distal edge of the device. Various means for conforming the tissue to the distal edge are disclosed as are methods for using the device to facilitate cardiothoracic surgery.
摘要翻译：公开了一种自动钱包缝合装置，其使得外科医生能够在组织结构中安装钱包线缝合线，特别是用于在套管周围密封组织。该装置特别适用于微创心胸手术，并且包括具有细长结构的施用器，其具有从其远端边缘延伸的突起。还提供了用于使针穿过通道以使缝合线穿过已经符合设备的远侧边缘的组织的装置。公开了用于使组织与远侧边缘一致的各种方法，如同使用该装置促进心胸外科手术的方法一样。

14. 发明授权

US08419772B2 Systems, methods and devices for correcting spinal deformities 失效
标题翻译：用于矫正脊柱畸形的系统，方法和装置
公开(公告)号：US08419772B2
公开(公告)日：2013-04-16
申请号：US12795975
申请日：2010-06-08
申请人： Matthew Thompson , Hiram Chee , Richard Ginn , Darin Gittings , Ivan Sepetka , David White
发明人： Matthew Thompson , Hiram Chee , Richard Ginn , Darin Gittings , Ivan Sepetka , David White
IPC分类号： A61B17/70
CPC分类号： A61B17/70 , A61B17/7004 , A61B17/701 , A61B17/7019 , A61B17/7025 , A61B17/7028 , A61B17/7031 , A61B17/7049 , A61B17/7068 , A61B17/707 , A61B17/809 , A61B2017/00867
摘要： Provided herein are systems, devices and methods for the correction of spinal deformities with the use one or more implantable rods configured to apply a corrective force to the spine. Methods of minimally invasive implantation of a corrective system are provided, such as where the corrective system is attached only to the spinous process of one or more vertebral bodies. Various corrective systems as well as components thereof are also provided, such as those that allow limited movement with respect to the spinal column.
摘要翻译：本文提供了用于使用一个或多个被配置为向脊柱施加矫正力的可植入杆来校正脊柱畸形的系统，装置和方法。提供了一种矫正系统的微创植入方法，例如矫正系统仅与一个或多个椎体的棘突相连的部位。还提供了各种校正系统及其部件，例如允许相对于脊柱有限运动的那些。

15. 发明授权

US08062307B2 Systems, methods and devices for removing obstructions from a blood vessel 有权
标题翻译：用于从血管移除障碍物的系统，方法和装置
公开(公告)号：US08062307B2
公开(公告)日：2011-11-22
申请号：US12005989
申请日：2007-12-28
申请人： Ivan Sepetka , Emily Vu , Dan Nguyen , John Miller , Ryan Pierce , Tiffany Tran Ngo , Norman Fung
发明人： Ivan Sepetka , Emily Vu , Dan Nguyen , John Miller , Ryan Pierce , Tiffany Tran Ngo , Norman Fung
IPC分类号： A61B17/22
CPC分类号： A61B17/22031 , A61B17/221 , A61B17/320725 , A61B18/1492 , A61B2017/00287 , A61B2017/22034 , A61B2017/22035 , A61B2017/22067 , A61B2017/2212 , A61B2017/2217 , A61B2017/320716 , A61B2018/00214 , A61B2018/00898
摘要： Devices and methods for removing an obstruction from a blood vessel are described. The devices are deployed in a collapsed condition and are then expanded within the body. The devices are then manipulated to engage and remove the obstruction.
摘要翻译：描述了用于从血管中移除梗阻的装置和方法。设备部署在折叠状态，然后在体内扩展。然后操纵装置以接合和移除阻塞物。

16. 发明申请

US20110224773A1 METHODS AND DEVICES FOR PROTECTING A PASSAGEWAY IN A BODY WHEN ADVANCING DEVICES THROUGH THE PASSAGEWAY 审中-公开
标题翻译：在通过通讯方式提升设备时保护身体的方法和设备
公开(公告)号：US20110224773A1
公开(公告)日：2011-09-15
申请号：US13048856
申请日：2011-03-15
申请人： Hanson S. Gifford , Ivan Sepetka , Mark E. Deem , Allan R. Will , Martin S. Dieck , Sunmi Chew
发明人： Hanson S. Gifford , Ivan Sepetka , Mark E. Deem , Allan R. Will , Martin S. Dieck , Sunmi Chew
IPC分类号： A61F2/82
CPC分类号： A61F2/07 , A61F2/0095 , A61F2/013 , A61F2/90 , A61F2/958 , A61F2/966 , A61F2/97 , A61F2002/018 , A61F2002/072 , A61F2002/075 , A61F2230/0006 , A61F2230/0067 , A61F2230/0069 , A61F2230/0078 , A61F2250/0098
摘要： A liner is advanced through a narrowed region in a vessel such as the internal carotid artery. The liner is advanced through the narrowed region in a collapsed position. A stent is then advanced through the liner and expanded to open the narrowed region. The liner may also have an anchor which expands an end of the liner before the stent is introduced.
摘要翻译：衬垫穿过诸如颈内动脉的血管中的狭窄区域前进。衬里在折叠位置前进通过狭窄区域。然后将支架推进穿过衬垫并膨胀以打开变窄的区域。衬垫还可以具有在引入支架之前膨胀衬套的端部的锚固件。

17. 再颁专利

USRE42662E1 Endovascular electrolytically detachable wire and tip for the formation of thrombus in arteries, veins, aneurysms, vascular malformations and arteriovenous fistulas 失效
标题翻译：动脉，静脉，动脉瘤，血管畸形和动静脉瘘中血栓形成的血管内电解可分离线和尖端
公开(公告)号：USRE42662E1
公开(公告)日：2011-08-30
申请号：US11377892
申请日：2006-03-15
申请人： Guido Guglielmi , Ivan Sepetka
发明人： Guido Guglielmi , Ivan Sepetka
IPC分类号： A61B18/08 , A61B17/00
CPC分类号： A61M25/09 , A61B17/12022 , A61B17/12113 , A61B17/1214 , A61B17/12145 , A61B17/1215 , A61B17/12172 , A61B18/1492 , A61B90/39 , A61B2017/00292 , A61B2017/12063 , A61B2017/12095 , A61B2017/22038 , A61B2018/00678 , A61B2018/00761 , A61B2018/00875 , A61B2018/00886 , A61B2018/1226 , A61B2018/1253 , A61B2018/126 , A61B2018/1266 , A61B2018/1435 , A61B2018/1495 , A61B2090/3966 , A61M2025/09175
摘要： An artery, vein, aneurysm, vascular malformation or arterial fistula is occluded through endovascular occlusion by the endovascular insertion of a platinum wire and/or tip into the vascular cavity. The vascular cavity is packed with the tip to obstruct blood flow or access of blood in the cavity such that the blood clots in the cavity and an occlusion if formed. The tip may be elongate and flexible so that it packs the cavity by being folded upon itself a multiple number of times, or may pack the cavity by virtue of a filamentary or fuzzy structure of the tip. The tip is then separated from the wire mechanically or by electrolytic separation of the tip from the wire. The wire and the microcatheter are thereafter removed leaving the tip embedded in the thrombus formed within the vascular cavity. Movement of wire in the microcatheter is more easily tracked by providing a radioopaque proximal marker on the microcatheter and a corresponding indicator marker on the wire. Electrothrombosis is facilitate by placing the ground electrode on the distal end of the microcatheter and flowing current between the microcatheter electrode and the tip.
摘要翻译：动脉，静脉，动脉瘤，血管畸形或动脉瘘通过血管内插入铂丝和/或尖端进入血管腔而通过血管内阻塞闭塞。血管腔填充有尖端以阻止血液流动或进入腔中的血液，使得腔中的血块凝块和形成闭塞。尖端可以是细长的和柔性的，使得其通过在其自身上折叠多次来包装空腔，或者可以通过尖端的丝状或模糊结构来包装空腔。然后将尖端机械地从线分离，或者通过电极将电极与线分离。之后取出线和微导管，留下尖端嵌入形成在血管腔内的血栓。通过在微导管上提供不透射线的近端标记物和线上的相应指示标记，更容易跟踪导线在微导管中的移动。通过将接地电极放置在微导管的远端并在微导管电极和尖端之间流动电流来促进血栓形成。

18. 发明授权

US07766921B2 Systems, methods and devices for removing obstructions from a blood vessel 有权
公开(公告)号：US07766921B2
公开(公告)日：2010-08-03
申请号：US10839977
申请日：2004-05-05
申请人： Ivan Sepetka , Son Gia , John Miller , Ryan Pierce , Maria Aboytes , Tiffany Tran Ngo
发明人： Ivan Sepetka , Son Gia , John Miller , Ryan Pierce , Maria Aboytes , Tiffany Tran Ngo
IPC分类号： A61B17/42
CPC分类号： A61B17/3207 , A61B17/22031 , A61B17/221 , A61B17/320725 , A61B18/1492 , A61B2017/22034 , A61B2017/2217 , A61B2017/320716 , A61B2018/00214 , A61B2018/00898
摘要： Devices and methods for removing an obstruction from a blood vessel are described. The devices are deployed in a collapsed condition and are then expanded within the body. The devices are then manipulated to engage and remove the obstruction.

19. 发明申请

US20080281350A1 Aneurysm Occlusion Devices 审中-公开
标题翻译：动脉瘤闭塞装置
公开(公告)号：US20080281350A1
公开(公告)日：2008-11-13
申请号：US11956323
申请日：2007-12-13
申请人： Ivan Sepetka , Greg Mirigian , Arindam Datta , Steven Hochberg , Ricardo Aboytes , Trang Ngo
发明人： Ivan Sepetka , Greg Mirigian , Arindam Datta , Steven Hochberg , Ricardo Aboytes , Trang Ngo
IPC分类号： A61M29/02
CPC分类号： A61B17/12022 , A61B17/0057 , A61B17/12113 , A61B17/12145 , A61B17/12172 , A61B17/12181 , A61B2017/00575 , A61B2017/00592 , A61B2017/00606 , A61B2017/00615 , A61B2017/00619 , A61B2017/12054 , A61B2017/12095 , A61M2025/0042
摘要： An implantable occlusion device for bridging the neck of an aneurysm comprises a biocompatible matrix. The device is movable between a compressed position prior to implantation and a generally concave or cup-shaped position following implantation. The device may comprise a frame having a plurality of elements. The frame elements have a first pre-deployment position generally parallel to a major axis of the delivery lumen, and a second post-deployment position spread radially from the major axis of the delivery lumen. The biocompatible matrix and/or the frame elements may also form or be manipulated to form a generally concave or cupped shape. The matrix can be porous or semiporous, such as a foam or a reticulated matrix. The occlusion device can be folded, twisted and/or stretched to adopt a narrow profile for loading into a coaxial delivery device and expand in place as it adopts its original shape on release. The device may be released or manipulated to a desired shape to occlude an aneurysm. Methods of using the implantable device are also provided.
摘要翻译：用于桥接动脉瘤颈部的可植入闭塞装置包括生物相容性基质。该装置可在植入之前的压缩位置和植入后的大致凹形或杯状位置之间移动。该装置可以包括具有多个元件的框架。框架元件具有大致平行于输送腔的长轴的第一预部署位置和从输送腔的长轴径向扩展的第二后部署位置。生物相容性基质和/或框架元件也可以形成或被操作以形成大体上凹形或杯状的形状。基质可以是多孔的或半孔的，例如泡沫或网状基质。闭塞装置可以被折叠，扭曲和/或拉伸以采用狭窄的轮廓以装载到同轴输送装置中，并且在释放时采用其原始形状而扩展就位。该装置可以被释放或操纵到期望的形状以阻塞动脉瘤。还提供了使用可植入装置的方法。

20. 发明申请

US20080234706A1 Systems, methods and devices for removing obstructions from a blood vessel 审中-公开
公开(公告)号：US20080234706A1
公开(公告)日：2008-09-25
申请号：US12008108
申请日：2008-01-07
申请人： Ivan Sepetka , Martin Dieck , Son Gia , John Miller , Ryan Pierce , Maria Aboytes , Tiffany Tran Ngo
发明人： Ivan Sepetka , Martin Dieck , Son Gia , John Miller , Ryan Pierce , Maria Aboytes , Tiffany Tran Ngo
IPC分类号： A61B17/22
CPC分类号： A61B17/221 , A61B17/22031 , A61B18/1492 , A61B2017/22034 , A61B2017/2212 , A61B2017/2215 , A61B2017/2217 , A61B2018/00214 , A61B2018/00898 , A61F2/013 , A61F2002/016 , A61F2002/018 , A61F2230/0091 , A61M25/0068 , A61M25/0074 , A61M25/008 , A61M25/0082
摘要： Devices and methods for removing an obstruction from a blood vessel are described. The devices are deployed in a collapsed condition and are then expanded within the body. The devices are then manipulated to engage and remove the obstruction.

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