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1. 发明授权

US08454635B2 Surgical suturing clamp 有权
标题翻译：手术缝合钳
公开(公告)号：US08454635B2
公开(公告)日：2013-06-04
申请号：US10240307
申请日：2001-04-05
申请人： Anthony Paolitto , Valerio Valentini , Raymond Cartier
发明人： Anthony Paolitto , Valerio Valentini , Raymond Cartier
IPC分类号： A61B17/08 , F16G11/00
CPC分类号： A61B17/0487 , A61B17/12009 , A61B2017/0406 , A61B2017/0454 , A61B2017/0464 , A61B2017/06028 , Y10T24/3916
摘要： A surgical loop for constricting or ligating, partially or fully, an anatomic conduit during a surgical intervention. The surgical loop includes an elastomeric tubular body, a curved needle that is attached to one free end of the tubular body to facilitate its insertion through a body tissue containing an anatomic conduit, and a pledget which is frictionally engaged and positionable along the length of the tubular body. The pledget is frictionally engaged with a first portion of the tubular body through a closed-perimeter opening. A second portion of the tubular body is subsequently frictionally engaged or restrained with the pledget through a slot. The pledget is configured with a bias structure which maintains the slot in a biased-closed configuration to engage and restrain the second portion of tubular body.
摘要翻译：用于在外科手术期间收缩或结扎部分或完全解剖导管的手术回路。外科手术环包括弹性管状体，弯曲的针，其连接到管状体的一个自由端，以便于其插入通过包含解剖导管的身体组织，以及沿着所述管状体的长度摩擦接合和定位的毛细管管状体。该密封件通过封闭的周边开口与管状体的第一部分摩擦接合。管状体的第二部分随后通过槽与摩擦接合或约束。该夹具配置有偏置结构，该偏置结构将狭槽保持在偏置闭合构型中以接合和约束管状体的第二部分。

2. 发明授权

US08034102B2 Aortic annuloplasty ring 有权
标题翻译：主动脉瓣成形术环
公开(公告)号：US08034102B2
公开(公告)日：2011-10-11
申请号：US11183939
申请日：2005-07-19
申请人： Neil Bulman-Fleming , Raymond Cartier , Valerio Valentini , Anthony Paolitto
发明人： Neil Bulman-Fleming , Raymond Cartier , Valerio Valentini , Anthony Paolitto
IPC分类号： A61F2/24
CPC分类号： A61F2/2442 , A61F2/06 , A61F2/2445
摘要： An annuloplasty ring to resize a dilated aortic root during valve sparing surgery includes a scalloped space frame having three trough sections connected to define three crest sections. The annuloplasty ring is mounted outside the aortic root, and extends in height between a base plane and a spaced apart commissure plane of the aortic root. At least two adjacent trough sections are coupled by an annulus-restraining member or tether that limits the maximum deflection of the base of the annuloplasty ring. In use, the tether is preferably located in proximity to the base plane of the aortic root. The annuloplasty ring is movable between a first, substantially conical configuration occurring during a diastolic phase of the cardiac cycle, and a second, substantially cylindrical configuration occurring during a systolic phase of the cardiac cycle. The attachment of the annuloplasty ring in proximity to the cardiac valve annulus allows the ring to regulate the dimensions of a dynamic aortic root during the different phases of the cardiac cycle.
摘要翻译：在瓣膜保留手术期间调整扩张的主动脉根部的瓣环成形术环包括具有连接以限定三个峰部分的三个槽部的扇形空间框架。瓣环成形术环安装在主动脉根部外侧，并且在主动脉根部的基面和间隔开的连接面之间的高度上延伸。至少两个相邻的槽部分由环形限制构件或系绳联接，限制了瓣膜成形术环的底部的最大偏移。在使用中，系链优选位于主动脉根部的基础平面附近。瓣膜成形术环可以在心动周期的舒张期期间发生的第一，基本上圆锥形的构型和在心动周期的收缩期期间发生的第二，基本上圆柱形的构型移动。环形成形术环在心脏瓣膜环附近的附着允许环在心动周期的不同阶段期间调节动态主动脉根部的尺寸。

3. 发明授权

US08007515B2 Suture retention device 有权
标题翻译：缝合保持装置
公开(公告)号：US08007515B2
公开(公告)日：2011-08-30
申请号：US11689768
申请日：2007-03-22
申请人： Anthony Paolitto , Valerio Valentini , Raymond Cartier
发明人： Anthony Paolitto , Valerio Valentini , Raymond Cartier
IPC分类号： A61B1/32 , A61B17/10
CPC分类号： A61B17/0206 , A61B17/0293 , A61B17/0487 , A61B17/06061 , A61B2017/0243 , A61B2017/045 , A61B2017/0496 , A61B2017/06052
摘要： A tissue retractor for displacing body tissue during surgery includes a tissue piercing member such as a surgical needle, a wire-like filament such as a suture line affixed to the surgical needle, a fixed element such as an anchoring port being associated with a stable surgical platform such as a sternum retractor and a movable element such as an anchoring plug cooperating with anchoring port to engage a portion of suture line after the suture line is threaded through the body tissue with the surgical needle and after the suture wire is tensioned to effect a predetermined displacement of the body tissue. The predetermined displacement of body tissue is maintained by retention of the engaged portion of suture line by the fixed anchoring port and the movable anchoring plug.
摘要翻译：用于在手术期间移位身体组织的组织牵缩器包括组织穿刺构件，例如外科用针，线状细丝，例如固定到手术针的缝合线，固定元件，例如锚固端口，其与稳定手术平台，例如胸骨牵开器和可移动元件，例如与锚固端口配合的锚定塞，以在缝合线通过手术针穿过身体组织之后并且在缝合线被张紧之后与缝合线的一部分接合以实现预定的身体组织的位移。通过固定的锚固端口和可移动的锚固塞保持缝合线的被啮合部分来维持身体组织的预定位移。

4. 发明申请

US20100286485A1 Adaptable tissue retractor with plurality of movable blades 审中-公开
标题翻译：具有多个可移动刀片的适应性组织牵开器
公开(公告)号：US20100286485A1
公开(公告)日：2010-11-11
申请号：US12662696
申请日：2010-04-29
申请人： Valerio Valentini , Anthony Paolitto
发明人： Valerio Valentini , Anthony Paolitto
IPC分类号： A61B1/32
CPC分类号： A61B1/32 , A61B17/0206 , A61B2017/0237 , A61B2017/2947
摘要： An adjustable multi-bladed tissue retractor capable of producing an incrementally variable or fine-tunable retracted opening in a surgical incision, or a body cavity. The adjustable tissue retractor comprises an actuator coupled to a retractor housing and a movable linkage arrangement capable of moving the plurality of tissue-engaging blades attached thereto, between a closed-blade configuration and an open-blade configuration. Through the application of a predetermined input to the actuator, a controlled, or selectable spaced apart spatial relationship of the plurality of tissue retracting blades results, and whereby, in use, the tissue retractor may be customized, or individually tailored to suit the specific anatomy of the patient.
摘要翻译：一种可调整的多叶组织牵缩器，其能够在手术切口或体腔中产生递增可变或微调可回缩的开口。可调整的组织牵开器包括联接到牵开器壳体的致动器和能够移动附接到其上的多个组织接合刀片的可动连接装置，在闭合刀片构造和开放刀片构造之间。通过对致动器施加预定的输入，多个组织缩回刀片的受控或可选择的间隔开的空间关系导致并且由此在使用中，组织牵开器可以被定制或单独地定制以适合特定解剖结构的病人。

5. 发明授权

US07264000B2 Surgical apparatus and method for performing transabdominal cardiac surgery 失效
标题翻译：用于进行经腹心脏手术的手术设备和方法
公开(公告)号：US07264000B2
公开(公告)日：2007-09-04
申请号：US10243764
申请日：2002-09-16
申请人： Anthony Paolitto , Valerio Valentini , Raymond Cartier
发明人： Anthony Paolitto , Valerio Valentini , Raymond Cartier
IPC分类号： A61B19/00
CPC分类号： A61B17/0469 , A61B17/00234 , A61B17/0218 , A61B17/0293 , A61B17/06061 , A61B17/062 , A61B17/11 , A61B17/29 , A61B17/3421 , A61B17/3462 , A61B90/50 , A61B2017/00243 , A61B2017/00252 , A61B2017/00278 , A61B2017/00353 , A61B2017/0243 , A61B2017/1107 , A61B2017/1135 , A61B2017/2906 , A61B2017/2927 , A61B2017/306 , A61B2017/308 , A61B2017/320044 , A61B2017/3425 , A61B2017/3445 , A61B2017/3449 , A61B2017/3466 , A61B2017/347 , A61B2090/571
摘要： An intervention is performed on a target anatomic structure of a patient body by first altering the configuration of the diaphragm through displacement or puncturing of the latter, in order to create a passageway leading into the thoracic cavity. An implement is introduced into the thoracic cavity through the passageway. The implement is then used while extending through the passageway to alter a biological tissue of the target structure or manipulate the latter. Optionally, a separating component having a peripheral wall encompassing a component channel is introduced into the passageway for receiving the implement and separating the latter from the non-target anatomic structure.
摘要翻译：通过首先通过置换或刺穿隔膜的构造来改变隔膜的构造，来对患者身体的目标解剖结构进行干预，以便产生通向胸腔的通道。通过通道将器具引入胸腔。然后使用器具延伸穿过通道以改变目标结构的生物组织或操纵该结构。可选地，具有包围部件通道的周围壁的分离部件被引入到用于接纳工具的通道中并将其与非目标解剖结构分离。

6. 发明授权

US07001332B1 Surgical deflector tool 失效
标题翻译：手术导流器工具
公开(公告)号：US07001332B1
公开(公告)日：2006-02-21
申请号：US10111899
申请日：2000-11-08
申请人： Valerio Valentini , Anthony Paolitto , Raymond Cartier
发明人： Valerio Valentini , Anthony Paolitto , Raymond Cartier
IPC分类号： A61B1/32
CPC分类号： A61B17/0206 , A61B2017/00243 , A61B2017/308
摘要： A suture deflector for retracting a body tissue by deflecting a surgical suture that is simultaneously attached to a body tissue and a surgical retractor. The suture deflector imparts a deflecting force on the surgical suture to retract a body tissue between a first and second retracted position. The suture deflector consists of a securing mechanism for attaching the suture deflector to a surgical retractor and a deflection member extending from the securing mechanism. The deflection member includes a suture contacting section that is configured so as to prevent the severing of the surgical suture when it is deflected by the suture deflector. In certain embodiments, the deflection member includes a connecting section that extends between the securing mechanism and the suture contacting section and that is also movable relative to the securing mechanism in order to impart a deflecting force on the surgical suture.
摘要翻译：一种用于通过偏转同时附接到身体组织和手术牵开器的手术缝合线来收缩身体组织的缝合线导流器。缝合线偏转器在外科缝合线上施加偏转力以在第一和第二缩回位置之间缩回身体组织。缝合线导流器由用于将缝合线偏转器连接到外科牵开器的固定机构和从固定机构延伸的偏转构件组成。偏转构件包括缝合线接触部分，其被构造成防止当外科缝合线被缝合线偏转器偏转时切断外科缝合线。在某些实施例中，偏转构件包括连接部分，其在固定机构和缝合线接触部分之间延伸，并且也可相对于固定机构移动，以便在外科缝合线上施加偏转力。

7. 发明授权

US06547725B1 Surgical suture and associated anchoring mechanism for tissue retraction 失效
标题翻译：手术缝合和组织收缩的相关锚定机制
公开(公告)号：US06547725B1
公开(公告)日：2003-04-15
申请号：US09762437
申请日：2001-04-10
申请人： Anthony Paolitto , Raymond Cartier , Valerio Valentini
发明人： Anthony Paolitto , Raymond Cartier , Valerio Valentini
IPC分类号： A61B132
CPC分类号： A61B17/0206 , A61B17/0293 , A61B17/0487 , A61B17/06061 , A61B2017/0243 , A61B2017/045 , A61B2017/0496 , A61B2017/06052
摘要： The present invention provides a tissue retractor (2) for displacing body tissue during surgery consisting of a tissue piercing member such as a surgical needle (20), a wire-like filament such as a suture line (23) affixed to the surgical needle (20), a fixed element such as an anchoring port (90) being associated with a stable surgical platform such as a sternum retractor (1), and a movable element such as an anchoring plug (25) cooperating with anchoring port (90) to engage a portion of suture line (23) after the suture line (23) is threaded through the body tissue with the surgical needle (20) and after the suture wire (20) is tension to effect a predetermined displacement of the body tissue. The predetermined displacement of body tissue is maintained by retention of the engaged portion of suture line (23) by the fixed anchoring portion (90) and the movable anchoring plug (25).
摘要翻译：本发明提供了一种组织牵开器（2），用于在外科手术期间移动身体组织，该组织牵开器由诸如外科用针（20）的组织刺穿构件，固定到外科手术针上的缝合线（23）固定元件，例如锚固端口（90），其与诸如胸骨牵开器（1）的稳定手术平台相关联，以及可移动元件，例如与锚定端口（90）配合的锚定插塞（25）在缝合线（23）穿过身体组织之后，用外科手术针（20）和缝合线（20）被拉紧以实现身体组织的预定位移之后，接合缝合线（23）的一部分。通过固定锚固部分（90）和可移动锚固塞（25）保持缝合线（23）的被啮合部分来维持身体组织的预定位移。

8. 发明授权

US08317696B2 Surgical tool for measurement of valve annulus and cusp geometry 有权
标题翻译：手术工具用于测量瓣膜环和尖瓣几何
公开(公告)号：US08317696B2
公开(公告)日：2012-11-27
申请号：US12654183
申请日：2009-12-14
申请人： Anthony Paolitto , Jonathan Paquette , Valerio Valentini
发明人： Anthony Paolitto , Jonathan Paquette , Valerio Valentini
IPC分类号： A61B1/32
CPC分类号： A61B5/1076 , A61B90/06 , A61B2017/00907 , A61B2090/061 , A61F2/2415 , A61F2/2496 , A61F2250/0097
摘要： A surgical tool for visually assessing or measuring the aortic structures contained within a generally tubular aortic root. The surgical tool is appropriately configured and sized to be insertable within an aortic root during surgery. The surgical tool comprises a handle portion and a cylindrical portion connectable thereto. The cylindrical portion defines an external cylindrical surface and extends in height along a tool axis between a base portion and a top portion. The cylindrical portion being optically clear or having at least a section thereof that is sufficiently transparent whereby, in use, when the surgical tool is placed within the aortic root and the aortic structures are in contact with the external cylindrical surface, the aortic structures are visible through said optically clear or sufficiently transparent section. The cylindrical portion preferably further comprises an array of reference datum and measurement increments visible through the optically clear section such that the visualization and measurement of the aortic structures may be effected with reference to the array.
摘要翻译：用于视觉评估或测量包含在大致管状主动脉根部内的主动脉结构的外科手术工具。外科手术工具被适当地构造和尺寸以在手术期间被插入到主动脉根部内。外科手术工具包括手柄部分和可与其连接的圆柱形部分。圆柱形部分限定外部圆柱形表面，并且沿工具轴线在基部和顶部之间的高度上延伸。圆柱形部分是光学透明的或至少具有足够透明度的部分，由此在使用中，当外科手术工具放置在主动脉根部内并且主动脉结构与外部圆柱形表面接触时，主动脉结构可见通过所述光学透明或足够透明的部分。圆柱形部分优选地还包括通过光学透明部分可见的参考基准和测量增量的阵列，使得可以参考阵列来实现主动脉结构的可视化和测量。

9. 发明授权

US08267993B2 Expandable annuloplasty ring and associated ring holder 有权
标题翻译：可扩张瓣环成形术环和相关联的支架
公开(公告)号：US08267993B2
公开(公告)日：2012-09-18
申请号：US11450516
申请日：2006-06-09
申请人： Trong Tin Nguyen , Neil Bulman-Fleming , Anthony Paolitto , Adrian Ranga , Valerio Valentini
发明人： Trong Tin Nguyen , Neil Bulman-Fleming , Anthony Paolitto , Adrian Ranga , Valerio Valentini
IPC分类号： A61F2/24
CPC分类号： A61F2/2445 , A61B17/0469 , A61F2/2427 , A61F2/2448 , A61F2/2466 , A61F2/2496 , A61F2220/0008 , A61F2220/0075 , A61F2230/0013 , A61F2230/0017
摘要： Devices and methods are provided for surgical repair of dilated aortic root to restore aortic valve competence while preserving native leaflets. In one aspect of the invention an expandable annuloplasty ring is provided for external placement at the base of a dilated aortic root. The expandable ring is capable of elastically expanding between a first diastolic diameter and a larger second systolic diameter to provide a physiologically representative surgical repair of the aortic root. In a further aspect of the invention, is provided a holder assembly for aortic annuloplasty ring and suitable for other cardiac valve prosthesis. The holder assembly consists of a holder body pivotingly coupled to a handle member through a ball-and-socket arrangement.
摘要翻译：提供了设备和方法用于扩张主动脉根部的手术修复，以恢复主动脉瓣的能力，同时保留天然传单。在本发明的一个方面，提供了可扩张的瓣膜成形术环，用于在扩张的主动脉根部的基部处进行外部放置。可扩张环能够在第一舒张直径和较大的第二收缩期直径之间弹性膨胀，以提供主动脉根部的生理代表性手术修复。在本发明的另一方面，提供了一种用于主动脉瓣环成形术环并适用于其他心脏瓣膜假体的保持器组件。保持器组件包括通过球 - 插座布置枢转地联接到手柄构件的保持器主体。

10. 发明申请

US20110270283A1 SUTURE RETENTION DEVICE 有权
标题翻译：固定保持装置
公开(公告)号：US20110270283A1
公开(公告)日：2011-11-03
申请号：US13178575
申请日：2011-07-08
申请人： Anthony PAOLITTO , Valerio VALENTINI , Raymond CARTIER
发明人： Anthony PAOLITTO , Valerio VALENTINI , Raymond CARTIER
IPC分类号： A61B17/04
CPC分类号： A61B17/0206 , A61B17/0293 , A61B17/0487 , A61B17/06061 , A61B2017/0243 , A61B2017/045 , A61B2017/0496 , A61B2017/06052
摘要： A tissue retractor for displacing body tissue during surgery includes a tissue piercing member such as a surgical needle, a wire-like filament such as a suture line affixed to the surgical needle, a fixed element such as an anchoring port being associated with a stable surgical platform such as a sternum retractor and a movable element such as an anchoring plug cooperating with anchoring port to engage a portion of suture line after the suture line is threaded through the body tissue with the surgical needle and after the suture wire is tensioned to effect a predetermined displacement of the body tissue. The predetermined displacement of body tissue is maintained by retention of the engaged portion of suture line by the fixed anchoring port and the movable anchoring plug.
摘要翻译：用于在手术期间移位身体组织的组织牵缩器包括组织穿刺构件，例如外科用针，线状细丝，例如固定到手术针的缝合线，固定元件，例如锚固端口，其与稳定手术平台，例如胸骨牵开器和可移动元件，例如与锚固端口配合的锚定塞，以在缝合线通过手术针穿过身体组织之后并且在缝合线被张紧之后与缝合线的一部分接合以实现预定的身体组织的位移。通过固定的锚固端口和可移动的锚固塞保持缝合线的被啮合部分来维持身体组织的预定位移。

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