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    • 71. 发明申请
    • A METHOD OF MAKING A LEFT VENTRICULAR ASSIST DEVICE
    • 制造左心室辅助装置的方法
    • WO1996040312A1
    • 1996-12-19
    • PCT/US1996009759
    • 1996-06-07
    • W.L. GORE & ASSOCIATES, INC.
    • W.L. GORE & ASSOCIATES, INC.CAMPBELL, Michael, L.DAUGHERTY, John, R.SHAW, Edward, E.VILLALPANDO, Pete, L.
    • A61M01/10
    • A61M1/1037A61M1/1001A61M1/1003A61M1/1018A61M1/106A61M1/1068A61M1/107A61M1/1074A61M1/1086A61M1/1087A61M1/12A61M1/127A61M2205/33A61M2205/3303
    • A method of making a left ventricular assist device (LVAD) using muscle wrapped around a mandrel to form a muscle pouch, the open end of which is sewn to a circular sheet of patch material having connections to one end of each of a pair of vascular grafts, or alternatively to one end of a single vascular graft. The second ends of these vascular grafts are used to connect the LVAD to the aorta. After the muscle pouch has been formed around the mandrel, the mandrel is removed and replaced by a balloon which is inserted into the muscle pouch and inflated to maintain the desired shape of the muscle pouch during healing and stimulation of the pouch. The balloon is subsequently removed preceding activation of theLVAD to allow it to begin pumping blood. Alternatively, various other shape-maintaining forms which are expandable and collapsible may be used in place of the balloon. In another alternative embodiment, an additional strip of latissimus dorsi or other appropriate muscle or a mechanical clamping device may be used to synchronously compress the aorta between the ends of the vascular grafts anastomosed to the aorta.
    • 使用围绕心轴缠绕的肌肉来制造左心室辅助装置(LVAD)的方法,以形成肌肉袋,其开口端被缝合到具有与一对血管的每一个的一端连接的补片材料的圆形片 移植物,或者替代为单个血管移植物的一端。 这些血管移植物的第二端用于连接LVAD与主动脉。 在心轴周围形成肌肉袋之后,心轴被移除,并被插入肌肉袋中的气球代替,并且在愈合和刺激小袋期间充气以保持肌肉袋的所需形状。 随后在激活VAD之前移除气囊,以使其开始抽血。 或者,可以使用可膨胀和可折叠的各种其它形状保持形式来代替气球。 在另一替代实施例中,可以使用额外的背阔肌或其他适当的肌肉或机械夹紧装置的条带来同步地压缩主动脉在与主动脉吻合的血管移植物的端部之间。
    • 77. 发明申请
    • GUIDED BONE RASP
    • 指导骨RASP
    • WO1996022057A1
    • 1996-07-25
    • PCT/US1995002998
    • 1995-03-13
    • W.L. GORE & ASSOCIATES, INC.
    • W.L. GORE & ASSOCIATES, INC.TERRY, Glenn, C.THURBER, Walter, A.
    • A61B17/16
    • A61B17/1675A61B17/1659A61B17/1714A61B17/1764
    • A surgical tool for use in preparing a graft path in anterior cruciate ligament reconstruction in a knee joint in which aligned tibial and femoral osseous tunnels are made for a bone-tendon-bone graft or similar surgery where two bone tunnels are in alignment.The tool comprises an elongated guide body having a guide shaft capable of being positioned within the tibial tunnel and extending into the femoral tunnel, and an elongated channel-like main body which is coaxial with the guide shaft. The main body includes a rasping head and is rotatably and axially slidable on the guide shaft for guided rasping of bone surfaces along the graft path. The rasp head fully encircles the guide shaft and is capable of following the guide shaft to enter and extend beyond the tibial tunnel. The leading end of the guide body includes a guide head with a flexible structure for connecting the head to the guide shaft. The guide head is movable through the tibial tunnel and into the femoral tunnel to position the guide shaft for subsequent rasping of surfaces along the graft path by manually moving the rasping head along and/or about the shaft. The flexible connection of the guide head to the guide shaft enables the knee to be flexed, when the guide body is in place, for inspection of the graft path in the area of the intercondylar notch while the rasping body may serve as a trial prosthesis to check for interference.
    • 一种用于在膝关节前交叉韧带重建中准备移植路径的手术工具,其中对准的胫骨和股骨骨隧道被制成用于骨 - 腱骨移植物或两个骨隧道对准的类似手术。工具 包括细长的引导体,其具有能够定位在胫骨隧道内并延伸到股骨隧道内的引导轴以及与引导轴同轴的细长的槽状主体。 主体包括一个锉刀头,并可在导向轴上可旋转和轴向滑动,用于沿着移植路径引导骨表面移动。 锉刀头完全环绕引导轴,并且能够跟随引导轴进入和延伸超过胫骨隧道。 引导体的前端包括具有用于将头部连接到引导轴的柔性结构的引导头。 引导头可以通过胫骨隧道移动并进入股骨隧道,以定位导向轴,以便随后沿着移动路径沿着和/或围绕轴移动锉刀头,从而沿着移植物路径移动表面。 引导头与引导轴的柔性连接使得当引导体就位时,膝盖能够弯曲,用于在髁间隙的区域中检查移植路径,同时r体可用作试验假体 检查干扰。