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1. 发明专利

JPH1014928A ACCESS DEVICE FOR DISSECTION OF PECTORAL REGION 失效
公开(公告)号：JPH1014928A
公开(公告)日：1998-01-20
申请号：JP7878197
申请日：1997-02-20
申请人： CARDIOTHORACIC SYS INC
发明人： TAYLOR CHARLES S , ALDRICH WILLIAM N , BENETTI FEDERICO J , FERRARI RICHARD M , MATHENY ROBERT G , MOREJOHN DWIGHT P , REGAN BRENT , REIS EUGENE E , SEPETKA IVAN , SHERMAN BENJAMIN F , WITT WILLIAM F
IPC分类号： A61B17/02 , A61B17/34 , A61B19/00
摘要： PROBLEM TO BE SOLVED: To increase a working space and a visual access for surgeons. SOLUTION: An access device 10 has first and second blades 50 and 51 which are connected to an expansion member 12 to be separated from each other or drawn to each other and a sternum pad connected to the blades 50 and 51. An upper-level blade is rotatably connected to the expansion member 12 and when the upper-level blade is separated, it rises naturally. The alternative is that a vertically moving member is rotatably connected to the blade and the expansion member 12. The vertically moving member is used to vertically move the upper-level blade. As a result, a working space and a visual access of surgeons are increased for dissection of an artery in a pectoral region. A tissue retractor is connected to the blades and a soft tissue an incision can be segregated from the working region of the surgeons.

2. 发明申请

WO2006127241A3 ABLATION INSTRUMENTS AND METHODS FOR PERFORMING ABALATION 审中-公开
标题翻译：排除仪器和执行排放的方法
公开(公告)号：WO2006127241A3
公开(公告)日：2007-07-26
申请号：PCT/US2006017527
申请日：2006-05-05
申请人： CARDIOTHORACIC SYS INC , CHIN ALBERT K , CALLAS PETER , UEMURA SHUJI , WILLIS GEOFFREY H
发明人： CHIN ALBERT K , CALLAS PETER , UEMURA SHUJI , WILLIS GEOFFREY H
IPC分类号： A61B18/14
CPC分类号： A61B18/1482 , A61B2018/0022 , A61B2018/00351 , A61B2018/00375
摘要： Methods, devices and instruments provided for performing ablation transmurally across the wall of an organ. Devices may directly access tissue to be ablated through direct access openings formed in the patient and, optionally, an organ where the ablation is to be performed. Instruments facilitating making openings, dissecting, and delivery of ablation instruments are also described.
摘要翻译：提供用于跨器官壁穿透的方法，装置和仪器。设备可以直接通过形成在患者中的直接进入开口和任选地进行消融的器官访问要消融的组织。还描述了促进消融器械的开口，解剖和输送的仪器。

3. 发明申请

WO2006127237A3 SURGICAL STABILIZERS AND METHODS FOR USE IN REDUCED-ACCESS SURGICAL SITES 审中-公开
标题翻译：手术稳定剂及其在减少手术治疗中的使用方法
公开(公告)号：WO2006127237A3
公开(公告)日：2007-09-27
申请号：PCT/US2006017454
申请日：2006-05-04
申请人： CARDIOTHORACIC SYS INC , DAVIS JOHN W
发明人： DAVIS JOHN W
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B2017/0243 , A61B2017/2926 , A61B2017/2927 , A61B2017/306
摘要： Devices and methods for stabilizing tissue within a patient's body. Such a device is adapted to assume a reduced configuration and an operating configuration. The device assumes the reduced configuration for passage through a small opening to deliver a working end of the device to a site of the tissue to be stabilized. Such a device may include first and second contact members that are mounted for rotation, with each having a contact surface adapted to contact a surface of the tissue. When the device is in the operating configuration, a largest cross-sectional dimension of the contact members may be greater than a largest dimension of an opening through which the contact members were passed.. However, when in the reduced configuration, largest cross-sectional dimension of the contact members is less than the largest dimension of the opening.
摘要翻译：用于稳定患者体内组织的装置和方法。这种装置适于采取减小的配置和操作配置。该装置采取减小的构型以通过小开口以将装置的工作端传送到待稳定的组织的部位。这种装置可以包括安装成旋转的第一和第二接触构件，每个具有适于接触组织表面的接触表面。当装置处于操作构造时，接触构件的最大横截面尺寸可以大于接触构件通过的开口的最大尺寸。然而，当处于减小构造时，最大横截面接触构件的尺寸小于开口的最大尺寸。

4. 发明申请

WO2008021111A3 SURGICAL ASSEMBLIES AND METHODS FOR VISUALIZING AND PERFORMING SURGICAL PROCEDURES IN REDUCED-ACCESS SURGICAL SITES 审中-公开
标题翻译：外科手术组合和方法，用于在减少手术部位进行视觉和执行外科手术
公开(公告)号：WO2008021111A3
公开(公告)日：2008-12-11
申请号：PCT/US2007017592
申请日：2007-08-08
申请人： CARDIOTHORACIC SYS INC , LAU LIMING , WILLIS GEOFFREY H , DAVIS JOHN W
发明人： LAU LIMING , WILLIS GEOFFREY H , DAVIS JOHN W
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B90/50 , A61B2017/0243 , A61B2017/306
摘要： Assemblies and methods for carrying out a procedure on an organ or tissue in a closed or restricted space surgical site. A low profile head is configured and dimensioned to be delivered to a target location on the organ or tissue through an opening in a patient and having a contact surface configured to contact a surface of the organ or tissue at the target location. An elongated member extends proximally from the low profile head and has sufficient length so that a proximal end portion of the elongated member extends out of the opening in the patient when the contact surface of the head contacts the organ or tissue at the target location. The elongated member has a lumen extending longitudinally therethrough. An endoscope is dimensioned to be received in the lumen and has an elongated shaft of sufficient length such that when a distal tip of the endoscope extends into the head, and the contact surface contacts the organ or tissue at the target location, a proximal end portion of the elongated shaft of the endoscope extends out of the opening in the patient.
摘要翻译：在封闭或受限制的空间外科手术部位的器官或组织上进行手术的组件和方法。低矮头部的构造和尺寸设计成通过患者的开口输送到器官或组织上的目标位置，并且具有被配置为接触目标位置处的器官或组织的表面的接触表面。细长构件从低轮廓头部向近侧延伸并且具有足够的长度，使得当头部的接触表面在目标位置处接触器官或组织时，细长构件的近端部分延伸出患者的开口。细长构件具有纵向延伸穿过其中的内腔。内窥镜的尺寸被设计成容纳在内腔中，并且具有足够长度的细长轴，使得当内窥镜的远侧末端延伸到头部中并且接触表面接触目标位置处的器官或组织时，近端部分内窥镜的细长轴从病人的开口延伸出来。

5. 发明申请

WO0117437A2 ORGAN MANIPULATOR HAVING SUCTION MEMBER SUPPORTED WITH FREEDOM TO MOVE RELATIVE TO ITS SUPPORT 审中-公开
标题翻译：具有自愿支持自由的有吸引力成员的组织操纵员与其支持相关
公开(公告)号：WO0117437A2
公开(公告)日：2001-03-15
申请号：PCT/US0024372
申请日：2000-09-05
申请人： CARDIOTHORACIC SYS INC
发明人： PENG STEVEN , VOSS LARRY , HANCOCK DAVID , CARLSON GRACE , DAVIS JOHN , CHIN ALBERT , VARGAS JAIME
IPC分类号： A61B19/00 , A61B17/02 , A61B17/08 , A61B17/28 , A61B17/30
CPC分类号： A61B17/02 , A61B17/085 , A61B2017/0243 , A61B2017/2905 , A61B2017/2929 , A61B2017/293 , A61B2017/308
摘要： An organ manipulator including at least one suction member or adhesive disc mounted to a compliant joint, a flexible locking arm for mounting such suction member or compliant joint, and a method for retracting and suspending an organ in a retracted position using suction (or adhesive force) so that the organ is free to move normally (e.g., to beat or undergo other limited-amplitude motion) in at least the vertical direction during both steps. In preferred embodiments, a suction member exerts suction to retract a beating heart and suspend it in a retracted position during surgery. As the retracted heart beats, the compliant joint allows it to expand and contract freely (and otherwise move naturally) at least in the vertical direction so that hemodynamic function is not compromised. The suction member conforms or can be conformed to the organ anatomy, and its inner surface is preferably smooth and lined with absorbent material to improve traction without causing trauma to the organ. The compliant joint can connect the member to an arm which is adjustably mounted to a sternal retractor or operating table. The compliant joint can be a sliding ball joint, a hinged joint, a pin sliding in a slot, a universal joint, a spring assembly, or another compliant element. In preferred embodiments, the method includes the steps of affixing a suction member to a beating heart at a position concentric with the heart's apex, and applying suction to the heart while moving the member to retract the heart such that the heart has freedom to undergo normal beating motion at least in the vertical direction during retraction.
摘要翻译：一种器官操纵器，包括至少一个吸附构件或安装在顺应性接头上的粘性盘，用于安装该抽吸构件或柔顺接头的柔性锁定臂，以及使用吸力（或粘合力）将器官缩回和悬挂在缩回位置的方法），使得器官在两个步骤中至少在垂直方向上自由地正常移动（例如，以打败或经历其它有限幅度的运动）。在优选实施例中，抽吸构件进行抽吸以缩回跳动的心脏并且在手术期间将其悬挂在缩回位置。随着缩回的心脏跳动，柔顺关节允许其至少在垂直方向上自由地膨胀和自然地收缩（或自然地移动），使得血液动力学功能不受损害。抽吸构件符合或可以符合器官解剖结构，并且其内表面优选地是平滑的并且衬有吸收材料，以改善牵引力而不会对器官造成伤害。柔性接头可以将构件连接到可调节地安装到胸骨牵开器或手术台上的臂。柔性接头可以是滑动球接头，铰接接头，在槽中滑动的销，万向接头，弹簧组件或另一柔性元件。在优选实施例中，该方法包括以下步骤：将吸引构件固定在与心脏顶点同心的位置处的跳动心脏，并且在移动构件以使心脏收缩的同时向心脏施加吸力，使得心脏具有正常的自由至少在缩回过程中垂直方向进行跳动运动。

6. 发明申请

WO2006127236A3 SURGICAL INSTRUMENTS AND METHODS FOR USE IN REDUCED-ACCESS SURGICAL SITES 审中-公开
标题翻译：手术仪器和用于减少手术手术的方法
公开(公告)号：WO2006127236A3
公开(公告)日：2009-04-23
申请号：PCT/US2006017443
申请日：2006-05-04
申请人： CARDIOTHORACIC SYS INC , DAVIS JOHN W , WILLIS GEOFFREY H , WILLIS ERIC , GRESL CHARLES , CALLAS PETER , VASSILIADES THOMAS
发明人： DAVIS JOHN W , WILLIS GEOFFREY H , WILLIS ERIC , GRESL CHARLES , CALLAS PETER , VASSILIADES THOMAS
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B90/50 , A61B90/57 , A61B2017/0243 , A61B2017/306
摘要： Devices and methods for stabilizing a portion of an organ or tissue in a closed or restricted space surgical site. Devices and methods for manipulating an organ or tissue in a closed or restricted space surgical site. Devices and methods for positioning and orienting stabilizers and manipulators I a closed or restricted space surgical site.
摘要翻译：用于稳定封闭或受限空间手术部位的器官或组织的一部分的装置和方法。用于操纵封闭或受限空间外科手术部位的器官或组织的装置和方法。用于定位和定向稳定器和操纵器的装置和方法I是封闭或受限的空间外科手术部位。

7. 发明申请

WO2008020975A3 DEVICES AND METHODS FOR ATRIAL APPENDAGE EXCLUSION 审中-公开
标题翻译：用于ATRIAL附录排除的装置和方法
公开(公告)号：WO2008020975A3
公开(公告)日：2008-10-30
申请号：PCT/US2007016824
申请日：2007-07-26
申请人： CARDIOTHORACIC SYS INC , CHIN ALBERT K , DAVID JOHN W , SHROFF KETAN , AGARWAL AMIT , UEMURA SHUJI , CANTU ALFREDO R , WILLIS GEOFFREY H , CALLAS PETER , GRESL CHARLES
发明人： CHIN ALBERT K , DAVID JOHN W , SHROFF KETAN , AGARWAL AMIT , UEMURA SHUJI , CANTU ALFREDO R , WILLIS GEOFFREY H , CALLAS PETER , GRESL CHARLES
IPC分类号： A61B1/00
CPC分类号： A61B17/122 , A61B17/064 , A61B17/0643 , A61B17/068 , A61B17/1227 , A61B2017/00243 , A61B2017/0647 , A61B2017/0649 , A61B2017/1225
摘要： Devices, tools and methods for occluding fluid flow between two walls of tissue in a patient. Two walls of tissue are compressed together with sufficient compressive force to prevent fluid flow between the two walls, while ensuring that the compressive force is not so great as to cause tissue necrosis. The devices, tools and methods may be carried out using minimally invasive surgical techniques, such as in reduced-access surgical sites. Devices, tools and methods are provided for occluding an atrial appendix.
摘要翻译：用于阻塞患者组织的两个壁之间的流体流动的装置，工具和方法。组织的两个墙壁以足够的压缩力被压缩在一起，以防止两个壁之间的流体流动，同时确保压缩力不会大到导致组织坏死。装置，工具和方法可以使用微创手术技术进行，例如在减少手术部位。提供了用于阻塞心房附件的装置，工具和方法。

8. 发明申请

WO2008042034A2 APPARATUS AND METHODS FOR PERFORMING MINIMALLY-INVASIVE SURGICAL PROCEDURES 审中-公开
标题翻译：用于执行最小的外科手术的装置和方法
公开(公告)号：WO2008042034A2
公开(公告)日：2008-04-10
申请号：PCT/US2007016811
申请日：2007-07-26
申请人： CARDIOTHORACIC SYS INC , KENDALE AMAR , PEREZ JUAN I , VILLAGOMEZ FRED , BARRIGAR FREDERICK , LAMBERTI JOSEPH N , AGARWAL AMIT , CALLAS PETER , STEWART MICHAEL C , LIN ARTHUR , ABBOTT RYAN , CANTU ALFREDO R
发明人： KENDALE AMAR , PEREZ JUAN I , VILLAGOMEZ FRED , BARRIGAR FREDERICK , LAMBERTI JOSEPH N , AGARWAL AMIT , CALLAS PETER , STEWART MICHAEL C , LIN ARTHUR , ABBOTT RYAN , CANTU ALFREDO R
IPC分类号： A61B18/14 , A61B5/04
CPC分类号： A61B17/32 , A61B1/00096 , A61B1/00101 , A61B1/0125 , A61B1/018 , A61B1/313 , A61B17/3421 , A61B17/3478 , A61B18/18 , A61B2017/00243 , A61B2017/320044 , A61B2017/3445 , A61B2017/3456
摘要： Devices, tools and methods for performing minimally invasive surgical procedures. Methods of performing minimally invasive ablation procedures. Methods of performing rapid exchange of tools in a device while the device remains in a reduced-access surgical space.
摘要翻译：用于执行微创外科手术的装置，工具和方法。执行微创消融手术的方法。在设备保持在缩小的手术空间中时，在设备中执行工具的快速交换的方法。

9. 发明申请

WO0117437A9 ORGAN MANIPULATOR 审中-公开
公开(公告)号：WO0117437A9
公开(公告)日：2001-12-27
申请号：PCT/US0024372
申请日：2000-09-05
申请人： CARDIOTHORACIC SYS INC
发明人： PENG STEVEN , VOSS LARRY , HANCOCK DAVID , CARLSON GRACE , DAVIS JOHN , CHIN ALBERT , VARGAS JAIME
IPC分类号： A61B19/00 , A61B17/02 , A61B17/08 , A61B17/28 , A61B17/30
CPC分类号： A61B17/02 , A61B17/085 , A61B2017/0243 , A61B2017/2905 , A61B2017/2929 , A61B2017/293 , A61B2017/308
摘要： An organ manipulator including at least one suction member or adhesive disc mounted to a compliant joint, a flexible locking arm for mounting such suction member or compliant joint, and a method for retracting and suspending an organ in a retracted position using suction (or adhesive force) so that the organ is free to move normally (e.g., to beat or undergo other limited-amplitude motion) in at least the vertical direction during both steps. In preferred embodiments, a suction member exerts suction to retract a beating heart and suspend it in a retracted position during surgery. As the retracted heart beats, the compliant joint allows it to expand and contract freely (and otherwise move naturally) at least in the vertical direction so that hemodynamic function is not compromised.
摘要翻译：一种器官操纵器，其包括至少一个安装到顺应性关节的抽吸构件或粘性盘，用于安装这种抽吸构件或顺应性关节的柔性锁臂，以及使用抽吸（或粘合力）将器官缩回并悬挂在缩回位置的方法），使得器官在两个步骤期间至少在垂直方向上自由地正常移动（例如，击打或经历其他有限振幅的运动）。在优选实施例中，抽吸构件施加抽吸以在手术期间缩回心跳并将其悬挂在缩回位置。当收缩的心脏跳动时，顺应性关节允许其至少在垂直方向上自由地膨胀和收缩（并且自然地移动），从而不会损害血液动力学功能。

10. 发明公开

EP1883364A4 APPARATUS AND METHODS FOR PERFORMING ABLATION 审中-公开
标题翻译：用于消融实施的装置和方法
公开(公告)号：EP1883364A4
公开(公告)日：2010-04-14
申请号：EP06752326
申请日：2006-05-04
申请人： CARDIOTHORACIC SYS INC
发明人： CHIN ALBERT K , WILLIS GEOFFREY H , UEMURA SHUJI , CANTU ALFRED R , JAVIER MANUEL A JR , JOHNSON THEODORE C , AGARWAL AMIT
IPC分类号： A61B18/18 , A61N1/00
CPC分类号： A61B1/313 , A61B1/00096 , A61B1/00101 , A61B18/18 , A61B2017/00243

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