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71. 发明授权

US08216221B2 Cardiac ablation systems and methods 有权
标题翻译：心脏消融系统及方法
公开(公告)号：US08216221B2
公开(公告)日：2012-07-10
申请号：US12124766
申请日：2008-05-21
申请人： Tamer Ibrahim , Mike J. Banchieri , Dwight P. Morejohn
发明人： Tamer Ibrahim , Mike J. Banchieri , Dwight P. Morejohn
IPC分类号： A61B18/12
CPC分类号： A61B18/1492 , A61B2018/00273 , A61B2018/00291 , A61B2018/00363 , A61B2018/00375 , A61B2018/00577 , A61B2018/1407
摘要： Cardiac ablation systems and methods of their use and manufacture involve an ablation mechanism, a stabilizer mechanism, and a cinching mechanism that urges the ablation mechanism toward a patient tissue. Embodiments encompass methods for administering epicardial and endocardial lesions, including box lesions and connecting lesions, to patient tissue.
摘要翻译：心脏消融系统及其使用和制造方法包括消融机构，稳定器机构和将消融机构推向患者组织的收紧机构。实施例包括用于向患者组织施用心外膜和心内膜损伤（包括箱状病变和连接损伤）的方法。

72. 发明申请

US20110066000A1 SCOPE AND MAGNETIC INTRODUCER SYSTEMS AND METHODS 审中-公开
标题翻译：范围和磁导入系统和方法
公开(公告)号：US20110066000A1
公开(公告)日：2011-03-17
申请号：US12879106
申请日：2010-09-10
申请人： Tamer Ibrahim , Michael J. Banchieri , Tony Wong , Dwight P. Morejohn
发明人： Tamer Ibrahim , Michael J. Banchieri , Tony Wong , Dwight P. Morejohn
IPC分类号： A61B1/32 , A61B19/00
CPC分类号： A61B17/3421 , A61B1/00154 , A61B1/3132 , A61B17/3462 , A61B2017/00243 , A61B2017/347 , A61B2217/005 , A61B2217/007 , A61M1/0084
摘要： Exemplary scope systems and methods involve a cannula assembly, a sheath assembly, and a tubing set. A cannula assembly, which may be a non-magnetic scope cap assembly, can include a cannula body, a proximal housing having a strap, an optical window, and a luer for suction or flushing. A cannula body may include a first lumen or scope channel for receiving a visualization device such as an endoscope or laparoscope, a distal end having suction or flushing flush apertures, and a second lumen for providing fluid communication between the apertures and the luer. Exemplary magnetic introducer systems and methods involve a cannula assembly, a sheath assembly, a tubing set. In some cases, the cannula assembly of a magnetic introducer system can be a magnetic scope cap assembly. In addition to cannula and sheath assemblies, magnetic introducer systems can include a magnetic introducer tubing assembly and a stylet assembly.
摘要翻译：示例性范围系统和方法涉及插管组件，护套组件和管组。可以是非磁性镜头盖组件的套管组件可以包括套管主体，具有带的近侧壳体，光学窗口和用于抽吸或冲洗的路厄尔。套管主体可以包括用于接收诸如内窥镜或腹腔镜的可视化装置的第一管腔或观察器通道，具有抽吸或冲洗冲洗孔的远端以及用于在孔和路厄之间提供流体连通的第二腔。示例性的磁导引器系统和方法包括插管组件，护套组件，管组。在一些情况下，磁性引导器系统的套管组件可以是磁性镜罩组件。除了套管和护套组件之外，磁引导器系统可以包括磁导引管组件和探针组件。

73. 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.

74. 发明授权

US09474574B2 Stabilized ablation systems and methods 有权
标题翻译：稳定的消融系统和方法
公开(公告)号：US09474574B2
公开(公告)日：2016-10-25
申请号：US13473311
申请日：2012-05-16
申请人： Tamer Ibrahim , Dwight P. Morejohn , Michael J. Banchieri , Ara Stephanian , John D. Pavlidis , David K. Swanson
发明人： Tamer Ibrahim , Dwight P. Morejohn , Michael J. Banchieri , Ara Stephanian , John D. Pavlidis , David K. Swanson
IPC分类号： A61B18/18 , A61B18/14 , A61N7/02 , A61B18/02 , A61B18/20 , A61B18/00
CPC分类号： A61B18/1492 , A61B18/02 , A61B18/1815 , A61B18/20 , A61B2018/00011 , A61B2018/00291 , A61B2018/00357 , A61B2018/00375 , A61B2018/00577 , A61B2018/00613 , A61B2018/00791 , A61B2018/00821 , A61B2018/142 , A61B2018/1467 , A61B2090/064 , A61B2218/002 , A61N7/022
摘要： Surgical systems and methods for administering an ablation treatment and other therapeutic or diagnostic protocols to a patient tissue involve a flexible stabilizer mechanism having an inner recess and an ablation mechanism coupled with the stabilizer mechanism.
摘要翻译：用于向患者组织施用消融治疗和其它治疗或诊断方案的手术系统和方法包括具有与稳定器机构联接的内凹部和消融机构的柔性稳定器机构。

75. 发明授权

US08628522B2 Cardiac ablation systems and methods 有权
标题翻译：心脏消融系统及方法
公开(公告)号：US08628522B2
公开(公告)日：2014-01-14
申请号：US12124743
申请日：2008-05-21
申请人： Tamer Ibrahim , Mike J. Banchieri , Dwight P. Morejohn
发明人： Tamer Ibrahim , Mike J. Banchieri , Dwight P. Morejohn
IPC分类号： A61B18/04
CPC分类号： A61B18/1492 , A61B2018/00273 , A61B2018/00291 , A61B2018/00363 , A61B2018/00375 , A61B2018/00577 , A61B2018/1407
摘要： Cardiac ablation systems and methods of their use and manufacture involve an ablation mechanism, a stabilizer mechanism, and a cinching mechanism that urges the ablation mechanism toward a patient tissue. Embodiments encompass methods for administering epicardial and endocardial lesions, including box lesions and connecting lesions, to patient tissue.
摘要翻译：心脏消融系统及其使用和制造方法包括消融机构，稳定器机构和将消融机构推向患者组织的收紧机构。实施例包括用于向患者组织施用心外膜和心内膜损伤（包括箱状病变和连接损伤）的方法。

76. 发明申请

US20090163768A1 MAGNETIC INTRODUCER SYSTEMS AND METHODS 审中-公开
标题翻译：磁导入系统和方法
公开(公告)号：US20090163768A1
公开(公告)日：2009-06-25
申请号：US12339331
申请日：2008-12-19
申请人： Tamer Ibrahim , Mike J. Banchieri , Dwight P. Morejohn
发明人： Tamer Ibrahim , Mike J. Banchieri , Dwight P. Morejohn
IPC分类号： A61B1/01 , A61B17/34 , A61B1/018
CPC分类号： A61B17/29 , A61B5/06 , A61B5/062 , A61B17/3421 , A61B18/1492 , A61B90/361 , A61B2017/00247 , A61B2017/00296 , A61B2017/00331 , A61B2017/00477 , A61B2017/00876 , A61B2017/2933 , A61B2017/2944 , A61B2018/00392 , A61B2018/1495 , A61B2090/3614
摘要： Systems and methods for placing a treatment device within a patient involve advancing a magnetic first introducer into the patient, advancing a magnetic second introducer into the patient, coupling the first introducer with the second introducer via magnetic force, and using the introducer devices to place a treatment device at a desired location within the patient. Optionally, such techniques involve visualization of the introducers or treatment devices during the procedure.
摘要翻译：用于将治疗装置放置在患者体内的系统和方法涉及将磁性第一导引器推进到患者体内，将磁性第二导引器推入患者体内，通过磁力将第一导引器与第二导引器联接，并使用导引器装置治疗装置。可选地，这种技术涉及在该过程期间引导者或治疗装置的可视化。

77. 发明授权

US06776783B1 Surgical clips and apparatus and method for clip placement 有权
标题翻译：手术夹子和夹子放置的装置和方法
公开(公告)号：US06776783B1
公开(公告)日：2004-08-17
申请号：US09747636
申请日：2000-12-21
申请人： John J. Frantzen , Charles S. Taylor , Michael V. Morejohn , Dwight P. Morejohn , Ronald Devore
发明人： John J. Frantzen , Charles S. Taylor , Michael V. Morejohn , Dwight P. Morejohn , Ronald Devore
IPC分类号： A61B1708
CPC分类号： A61B17/1227 , A61B17/128 , A61B2017/00867
摘要： An improved surgical clip and clip applicator for placing a surgical clip over a target structure. The surgical clip generally has a pair of opposing clamp arms, each having an associated clamping surface, and a connecting portion joining the clamp arms and biasing them to a normally closed position. The surgical clip may be opened and locked into the open position prior to being loaded into a clip applicator or the surgical clip may be opened by a clip applicator itself. The surgical clip and clip applicators require reduced actuation forces and simplified applicator mechanisms.
摘要翻译：一种用于将手术夹子放置在目标结构上的改进的手术夹子和夹子施加器。手术夹具通常具有一对相对的夹持臂，每个夹具臂具有相关联的夹紧表面，以及连接部分，该连接部分将夹紧臂连接并将其偏置到常闭位置。手术夹可以在装入夹子施加器之前打开并锁定到打开位置，或者手术夹可以由夹子施加器本身打开。手术夹子和夹子施放器需要减少的致动力和简化的施用器机构。

78. 发明授权

US06381499B1 Method and apparatus for using vagus nerve stimulation in surgery 失效
标题翻译：手术中使用迷走神经刺激的方法和装置
公开(公告)号：US06381499B1
公开(公告)日：2002-04-30
申请号：US09574586
申请日：2000-05-17
申请人： Charles S. Taylor , Robert G. Matheny , Dwight P. Morejohn
发明人： Charles S. Taylor , Robert G. Matheny , Dwight P. Morejohn
IPC分类号： A61N132
CPC分类号： A61B17/122 , A61B17/1227 , A61B2017/0243 , A61N1/36014
摘要： A method and apparatus for facilitating coronary surgery on the beating heart wherein the vagus nerve is electrically stimulated to purposely temporarily stop or substantially reduce the beating of the heart under precisely controlled conditions. The apparatus controllably applies electrical stimulus to pre-selected locations along the vagus nerve and to pre-selected nerve branches related to the heart. The apparatus includes several clip and probe configurations for establishing electrical contact with the vagus nerve. Such purposely caused temporary stoppage or substantial reduction of the beating of the heart facilitates procedures such as suturing of an anastomosis which would otherwise be more difficult because of the motion induced by the beating heart.
摘要翻译：一种用于促进搏动心脏的冠状动脉手术的方法和装置，其中电刺激迷走神经以故意暂时地停止或基本上减少在精确控制的条件下的心跳。该装置可控制地将电刺激应用于沿着迷走神经的预先选择的位置和与心脏相关的预先选择的神经分支。该装置包括用于建立与迷走神经的电接触的多个夹子和探针配置。这样有意地引起临时停止或大幅度减少心脏搏动的方法有助于诸如缝合吻合术的过程，否则由于跳动心脏引起的运动将更加困难。

79. 发明授权

US6036641A Surgical instruments for stabilizing the beating heart during coronary artery bypass graft surgery 失效
标题翻译：用于在冠状动脉旁路移植手术期间稳定跳动心脏的手术器械
公开(公告)号：US6036641A
公开(公告)日：2000-03-14
申请号：US931158
申请日：1997-09-16
申请人： Charles S. Taylor , Dwight P. Morejohn , Benjamin Sherman , Gary B. Weller , William Friederich Witt , Caralin R. Adair
发明人： Charles S. Taylor , Dwight P. Morejohn , Benjamin Sherman , Gary B. Weller , William Friederich Witt , Caralin R. Adair
IPC分类号： A61B17/00 , A61B17/02 , A61B17/064 , A61B17/11 , A61B17/12 , A61B17/28 , A61B17/30 , A61B17/34 , A61B19/00
CPC分类号： A61B17/3421 , A61B17/00234 , A61B17/0206 , A61B17/0218 , A61B17/3423 , A61B90/00 , A61B17/02 , A61B17/0642 , A61B17/12 , A61B17/8076 , A61B2017/00243 , A61B2017/00539 , A61B2017/00703 , A61B2017/00858 , A61B2017/00991 , A61B2017/0243 , A61B2017/0648 , A61B2017/1139 , A61B2017/2825 , A61B2017/2913 , A61B2017/2929 , A61B2017/306 , A61B2017/349
摘要： This invention is methods and devices for stabilizing the beating heart during a surgical procedure on the heart. Pursuant to the invention, a stabilizing device is introduced through an opening in the chest and brought into contact with the beating heart. By contacting the heart with the device and by exerting a stabilizing force on the device, the motion of the heart caused by the contraction of the heart muscles is effectively eliminated such that the heart is stabilized and the site of the surgery moves only minimally if at all. Typically, in separate steps, the surgeon contacts the heart with the stabilizing device, assesses the degree of movement of the anastomosis site, and exerts a force on the stabilizing device such that the contraction of the beating heart causes only minimal excess motion at the surgery site. By fixing the position of the stabilizing device in a configuration where the motion of the beating heart is effectively eliminated, the surgeon is able to stabilize the beating heart for the duration of the procedure. The stabilizing device may be attached to a rigid support or may be attached to a semi-rigid support which is rendered motionless mechanically, chemically, or by human intervention. In certain preferred embodiments, the stabilizing device is affixed to a semi-rigid support which is caused to become rigid such that the position of the stabilizing means becomes fixed by the support, and the heart remains substantially motionless during the procedure.
摘要翻译：本发明是在心脏手术过程中稳定跳动心脏的方法和装置。根据本发明，稳定装置通过胸部的开口引入并与打浆心接触。通过将心脏与装置接触并且通过在装置上施加稳定力，由心脏肌肉收缩引起的心脏的运动被有效地消除，使得心脏稳定，并且手术部位仅在最小程度上移动，如果在所有。通常，在单独的步骤中，外科医生与稳定装置接触心脏，评估吻合部位的移动程度，并且在稳定装置上施加力，使得跳动心脏的收缩在手术时仅引起极小的过度运动现场。通过将稳定装置的位置固定在跳动心脏的运动被有效地消除的构造中，外科医生能够在手术期间稳定跳动的心脏。稳定装置可以附接到刚性支撑件，或者可以附接到半刚性支撑件，其通过机械，化学方式或通过人为干预使其不动。在某些优选实施例中，稳定装置被固定到半刚性支撑件上，半刚性支撑件变得刚性，使得稳定装置的位置由支撑件固定，并且心脏在手术过程中保持基本上不动。

80. 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。

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