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1. 发明申请

US20110202077A1 Temporary Anastomotic Seal and Method 审中-公开
标题翻译：临时吻合口腔和方法
公开(公告)号：US20110202077A1
公开(公告)日：2011-08-18
申请号：US13033549
申请日：2011-02-23
申请人： Albert K. Chin , Dwight Morejohn , Charles S. Taylor , Steven B. Choi , Eugene Reis , John W. Davis , Geoffrey H. Willis , Edwarda A. Pineda , Kushalp P. Vepa
发明人： Albert K. Chin , Dwight Morejohn , Charles S. Taylor , Steven B. Choi , Eugene Reis , John W. Davis , Geoffrey H. Willis , Edwarda A. Pineda , Kushalp P. Vepa
IPC分类号： A61B17/11
CPC分类号： A61B17/0057 , A61B17/12022 , A61B17/12027 , A61B17/12031 , A61B17/12036 , A61B17/1204 , A61B17/12045 , A61B17/32053 , A61B2017/00362 , A61B2017/00575 , A61B2017/0061 , A61B2017/00632 , A61B2017/00637 , A61B2017/00641 , A61B2017/00659 , A61B2017/1107
摘要： Forming a proximal anastomosis on an aortic wall includes method and instrumentation and apparatus for forming an aortic puncture and inserting into the vessel through the puncture a fluid-impervious sealing element with a protruding retainer. An anastomosis of a graft vessel over the puncture is partially completed with the retainer of the sealing element protruding through the partial anastomosis. The retainer facilitates removal of the sealing element from the partial anastomosis prior to completion of the procedure.
摘要翻译：在主动脉壁上形成近端吻合包括用于形成主动脉穿刺的方法和仪器和装置，并且通过穿刺插入具有突出保持器的不透液体的密封元件的容器中。通过部分吻合突出的密封元件的保持器部分地完成了在穿刺上的移植血管的吻合。保持器有助于在完成手术之前从部分吻合中去除密封元件。

2. 发明授权

US09345461B2 Temporary anastomotic seal and method 有权
公开(公告)号：US09345461B2
公开(公告)日：2016-05-24
申请号：US13033549
申请日：2011-02-23
申请人： Albert K. Chin , Dwight Morejohn , Charles S. Taylor , Steven B. Choi , Eugene Reis , John W. Davis , Geoffrey H. Willis , Edward A. Pineda , Kushal P. Vepa
发明人： Albert K. Chin , Dwight Morejohn , Charles S. Taylor , Steven B. Choi , Eugene Reis , John W. Davis , Geoffrey H. Willis , Edward A. Pineda , Kushal P. Vepa
IPC分类号： A61B17/08 , A61B17/00 , A61B17/12 , A61B17/3205 , A61B17/11
CPC分类号： A61B17/0057 , A61B17/12022 , A61B17/12027 , A61B17/12031 , A61B17/12036 , A61B17/1204 , A61B17/12045 , A61B17/32053 , A61B2017/00362 , A61B2017/00575 , A61B2017/0061 , A61B2017/00632 , A61B2017/00637 , A61B2017/00641 , A61B2017/00659 , A61B2017/1107
摘要： Forming a proximal anastomosis on an aortic wall includes method and instrumentation and apparatus for forming an aortic puncture and inserting into the vessel through the puncture a fluid-impervious sealing element with a protruding retainer. An anastomosis of a graft vessel over the puncture is partially completed with the retainer of the sealing element protruding through the partial anastomosis. The retainer facilitates removal of the sealing element from the partial anastomosis prior to completion of the procedure.

3. 发明授权

US07947062B2 Temporary anastomotic seal and method 失效
标题翻译：临时吻合口腔和方法
公开(公告)号：US07947062B2
公开(公告)日：2011-05-24
申请号：US10123470
申请日：2002-04-15
申请人： Albert K. Chin , Dwight Morejohn , Charles S. Taylor , Steven B. Choi , Eugene Reis , John W. Davis , Geoffrey H. Willis , Edward A. Pineda , Kushal P. Vepa
发明人： Albert K. Chin , Dwight Morejohn , Charles S. Taylor , Steven B. Choi , Eugene Reis , John W. Davis , Geoffrey H. Willis , Edward A. Pineda , Kushal P. Vepa
IPC分类号： A61B17/08 , A61M29/00 , A61B17/34
CPC分类号： A61B17/0057 , A61B17/12022 , A61B17/12027 , A61B17/12031 , A61B17/12036 , A61B17/1204 , A61B17/12045 , A61B17/32053 , A61B2017/00362 , A61B2017/00575 , A61B2017/0061 , A61B2017/00632 , A61B2017/00637 , A61B2017/00641 , A61B2017/00659 , A61B2017/1107
摘要： Forming a proximal anastomosis on an aortic wall includes method and instrumentation and apparatus for forming an aortic puncture and inserting into the vessel through the puncture a fluid-impervious sealing element with a protruding retainer. An anastomosis of a graft vessel over the puncture is partially completed with the retainer of the sealing element protruding through the partial anastomosis. The retainer facilitates removal of the sealing element from the partial anastomosis prior to completion of the procedure.
摘要翻译：在主动脉壁上形成近端吻合包括用于形成主动脉穿刺的方法和仪器和装置，并且通过穿刺插入具有突出保持器的不透液体的密封元件的容器中。通过部分吻合突出的密封元件的保持器部分地完成了在穿刺上的移植血管的吻合。保持器有助于在完成手术之前从部分吻合中去除密封元件。

4. 发明申请

US20080039879A1 Devices and methods for atrial appendage exclusion 审中-公开
标题翻译：装置和方法排除心房附件
公开(公告)号：US20080039879A1
公开(公告)日：2008-02-14
申请号：US11502249
申请日：2006-08-09
申请人： Albert K. Chin , John W. Davis , Ketan Shroff , Amit Agarwal , Shuji Uemura , Alfredo R. Cantu , Geoffrey H. Willis , Peter L. Callas , Charles Gresl
发明人： Albert K. Chin , John W. Davis , Ketan Shroff , Amit Agarwal , Shuji Uemura , Alfredo R. Cantu , Geoffrey H. Willis , Peter L. Callas , Charles Gresl
IPC分类号： A61B17/08
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。提供了用于闭塞心房附件的装置，工具和方法。

5. 发明授权

US06814743B2 Temporary seal and method for facilitating anastomosis 有权
标题翻译：临时密封和便于吻合的方法
公开(公告)号：US06814743B2
公开(公告)日：2004-11-09
申请号：US10033614
申请日：2001-12-26
申请人： Albert K. Chin , Dwight Morejohn , Charles Taylor
发明人： Albert K. Chin , Dwight Morejohn , Charles Taylor
IPC分类号： A61B1704
CPC分类号： A61B17/0057 , A61B17/12022 , A61B17/12027 , A61B17/12031 , A61B17/12036 , A61B17/1204 , A61B17/12045 , A61B17/32053 , A61B2017/00362 , A61B2017/00575 , A61B2017/0061 , A61B2017/00632 , A61B2017/00637 , A61B2017/00641 , A61B2017/00659 , A61B2017/1107
摘要： Forming a proximal anastomosis on an aortic wall includes method and instrumentation and apparatus for forming an aortic puncture and inserting a fluid-impervious sealing element with a lateral flange and central stem into the vessel through the puncture. An anastomosis of a graft vessel over the puncture is partially completed with the central stem of the sealing element protruding through the partial anastomosis. A removal instrument attaches to the central stem and retrieves the sealing element that disassembles in helical disassociation of the flange and stem into a continuous strand that is withdrawn from the partial anastomosis prior to completion of the procedure.

6. 发明申请

US20080306335A1 Endoscopic vessel harvesting system components 有权
标题翻译：内窥镜血管收集系统部件
公开(公告)号：US20080306335A1
公开(公告)日：2008-12-11
申请号：US11446024
申请日：2006-06-01
申请人： Liming Lau , Peter L. Callas , Michael C. Stewart , Geoffrey H. Willis , Ryan C. Abbott , Charles J. Adam , Kimberly D. Barkman , Albert K. Chin , Kenny L. Dang , Joseph N. Lamberti , Arthur M. Lin , Ravi Pamnani
发明人： Liming Lau , Peter L. Callas , Michael C. Stewart , Geoffrey H. Willis , Ryan C. Abbott , Charles J. Adam , Kimberly D. Barkman , Albert K. Chin , Kenny L. Dang , Joseph N. Lamberti , Arthur M. Lin , Ravi Pamnani
IPC分类号： A61B1/015 , A61B1/018
CPC分类号： A61B17/00008 , A61B1/126 , A61B90/361 , A61B90/70 , A61B2017/320044
摘要： Components for an endoscopic vessel harvesting system suitable for harvesting target vessels such as the saphenous vein or radial artery for cardiac artery bypass graft surgery. The main components of such systems include a vessel dissector and a vessel harvester, both of which work in conjunction with a separately provided endoscope. The vessel dissector is an elongated cannula having a blunt tip for separating layers of facial around vessels. The tip may be movable, and is typically transparent to permit viewing forward of the tip using the endoscope. Internal features of the tip may reduce glare back to the endoscope. Several devices improve visibility through the tip by reducing interference from tissue or fluid on the tip. The vessel harvester also has an elongated cannula for receiving the endoscope. Several tools within the harvester permit manipulation, severing, and sealing of vessels forward of the distal end. The tool for manipulating vessels may have a low-profile for increased visibility of operation, and may be coupled to the cannula with a damping mechanism to reduce the possibility of avulsion of the vessels. Various vessel cutting and sealing devices are provided that may accommodate various sizes of vessels and improve cutting and sealing efficacy.
摘要翻译：适用于收集目标血管如隐静脉或桡动脉用于心脏动脉旁路移植手术的内窥镜血管收获系统的组件。这种系统的主要部件包括容器分离器和容器收集器，两者都与单独提供的内窥镜一起工作。血管分离器是具有钝头的细长插管，用于分隔血管周围的面部层。尖端可以是可移动的，并且通常是透明的，以允许使用内窥镜观察尖端的前方。尖端的内部特征可以减少眩光回内窥镜。几个设备通过减少尖端上的组织或液体的干扰来改善尖端的可见性。容器收割机还具有用于接收内窥镜的细长套管。收割机内的几个工具允许在远端前方操纵，切断和密封容器。用于操纵血管的工具可以具有较小的轮廓以提高手术的可视性，并且可以用阻尼机构联接到套管，以减少血管撕脱的可能性。提供了可容纳各种尺寸的容器并提高切割和密封功效的各种容器切割和密封装置。

7. 发明授权

US09770230B2 Endoscopic vessel harvesting system components 有权
公开(公告)号：US09770230B2
公开(公告)日：2017-09-26
申请号：US11446024
申请日：2006-06-01
申请人： Liming Lau , Geoffrey H. Willis , Albert K. Chin , Arthur M. Lin
发明人： Liming Lau , Geoffrey H. Willis , Albert K. Chin , Arthur M. Lin
IPC分类号： A61B1/00 , A61B1/04 , A61B17/00 , A61M37/00 , A61M3/00 , A61M5/178 , A61B1/12 , A61B17/32 , A61B90/00 , A61B90/70
CPC分类号： A61B17/00008 , A61B1/126 , A61B90/361 , A61B90/70 , A61B2017/320044
摘要： Components for an endoscopic vessel harvesting system suitable for harvesting target vessels such as the saphenous vein or radial artery for cardiac artery bypass graft surgery. The main components of such systems include a vessel dissector and a vessel harvester, both of which work in conjunction with a separately provided endoscope. The vessel dissector is an elongated cannula having a blunt tip for separating layers of facial around vessels. The tip may be movable, and is typically transparent to permit viewing forward of the tip using the endoscope. Internal features of the tip may reduce glare back to the endoscope. Several devices improve visibility through the tip by reducing interference from tissue or fluid on the tip. The vessel harvester also has an elongated cannula for receiving the endoscope. Several tools within the harvester permit manipulation, severing, and sealing of vessels forward of the distal end. The tool for manipulating vessels may have a low-profile for increased visibility of operation, and may be coupled to the cannula with a damping mechanism to reduce the possibility of avulsion of the vessels. Various vessel cutting and sealing devices are provided that may accommodate various sizes of vessels and improve cutting and sealing efficacy.

8. 发明授权

US07534243B1 Dissection and welding of tissue 有权
标题翻译：组织的解剖和焊接
公开(公告)号：US07534243B1
公开(公告)日：2009-05-19
申请号：US10455942
申请日：2003-06-06
申请人： Albert K. Chin , Joseph N. Lamberti , Charles J. Adam , Geoffrey H. Willis
发明人： Albert K. Chin , Joseph N. Lamberti , Charles J. Adam , Geoffrey H. Willis
IPC分类号： A61B18/12
CPC分类号： A61B17/00008 , A61B17/0218 , A61B18/082 , A61B18/1445 , A61B18/28 , A61B2017/00212 , A61B2017/00504 , A61B2017/00973 , A61B2017/320044 , A61B2018/00345 , A61B2018/00404 , A61B2018/00601 , A61B2018/00619 , A61B2018/00916 , A61B2018/00982
摘要： A tissue dissector and method for welding and severing blood vessels includes advancing the tip of a tissue-dissecting surgical instrument through tissue, with a tissue welder substantially concealed within the tip during tissue dissection. Blood vessels encountered in the tissue being dissected are selectively captivated and compressed in substantial contact with the tissue welder to elevate the temperature of the compressed tissue sufficiently to hemostatically weld and sever the compressed blood vessel.
摘要翻译：用于焊接和切断血管的组织切除器和方法包括：在组织剥离期间，组织切割手术器械的尖端通过组织推进，组织焊接器基本上隐藏在尖端内。被解剖的组织中遇到的血管被选择性地俘获并与组织焊机大体接触地压缩，以将压缩的组织的温度充分地升高以止血地焊接并切断压缩的血管。

9. 发明申请

US20100280324A1 Organ Manipulator Having Suction Member Supported with Freedom to Move Relative to Its Support 有权
标题翻译：具有吸引成员的器官操纵器支持相对于其支持的自由移动
公开(公告)号：US20100280324A1
公开(公告)日：2010-11-04
申请号：US12837391
申请日：2010-07-15
申请人： Steven Peng , Larry Voss , David E. Hancock , Grace A. Carlson , John W. Davis , Albert K. Chin , Jaime S. Vargas
发明人： Steven Peng , Larry Voss , David E. Hancock , Grace A. Carlson , John W. Davis , Albert K. Chin , Jaime S. Vargas
IPC分类号： A61B1/32
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 disk mounted to a joint providing freedom of movement of the at least one suction member or adhesive disk relative to its support. A method for retracting and maintaining 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) is provided.
摘要翻译：一种器官操纵器，其包括至少一个吸附构件或粘合盘，该吸附构件或粘合盘安装到接头，提供至少一个吸附构件或粘合剂盘相对于其支撑件的运动的自由度。提供了一种使用抽吸（或粘附力）将器官缩回和维持在缩回位置，使得器官能够正常地自由移动（例如，以打败或经历其它有限幅度运动）的方法。

10. 发明授权

US06432044B1 Combined vessel dissection and transection device and method 有权
标题翻译：组合血管解剖和横断装置及方法
公开(公告)号：US06432044B1
公开(公告)日：2002-08-13
申请号：US09490552
申请日：2000-01-25
申请人： John P. Lunsford , Charles J. Adam , John W. Davis , Albert K. Chin
发明人： John P. Lunsford , Charles J. Adam , John W. Davis , Albert K. Chin
IPC分类号： A61B1732
CPC分类号： A61B17/0218 , A61B17/00008 , A61B2017/320044
摘要： A retractor and a surgical tool are positioned within a cannula, and a dissection cradle of the retractor is positioned at the distal end of the cannula. The retractor includes a first portion with an axis approximately parallel to the axis of the cannula and a second portion with an axis skewed relative to the axis of the cannula. The dissection cradle is located at the distal end of the second portion of the retractor, and may include two substantially parallel, spaced legs with the retractor shaped in a loop between and in a plane skewed relative to the axes of the legs, and with the loop directed away from the surgical tool. Thus, in operation, when the surgeon locates a vessel and side branch of interest, the surgeon extends the retractor to cradle the vessel in the dissection cradle. Once cradled, the retractor may be fully extended to urge the vessel away from the axis of the cannula to isolate the side branch for exposure to the surgical tool. Removable, transparent tips are selectively positioned at the distal end of the cannula for performing dissection and transection via a single cannula. Additionally, the tips are configured to align the apices of the tips with the central axis of the endoscope to maximize the visual field through the tips via the endoscope. Wing-like protrusions on an alternate tip for the cannula facilitate tissue dissection in forming a tunnel in tissue along a target vessel. Swept back forward edges on the wing-like protrusions promote easy tissue dissection using reduced force to advance the cannula and alternate tip through tissue surrounding the target vessel.
摘要翻译：牵开器和手术工具定位在套管内，并且牵开器的解剖支架位于套管的远端。牵开器包括具有大致平行于套管轴线的轴线的第一部分和具有相对于套管轴线倾斜的轴线的第二部分。解剖支架位于牵开器的第二部分的远端，并且可以包括两个基本上平行的间隔开的腿，其中牵开器成形为相对于腿的轴线倾斜的平面之间的环中，并且与环路远离手术工具。因此，在操作中，当外科医生定位感兴趣的血管和侧分支时，外科医生将牵开器延伸到支撑解剖支架中的血管。一旦收起，收缩器可以被完全延伸以促使血管远离套管的轴线，以隔离侧分支以暴露于外科手术工具。可移除的透明尖端选择性地定位在套管的远端，以通过单个插管进行解剖和切断。另外，尖端被配置成将尖端的顶点与内窥镜的中心轴线对准，以通过内窥镜通过尖端最大化视野。用于插管的备选尖端上的翼状突起促进组织解剖，以沿着靶容器在组织中形成隧道。在翼状突起上扫掠前部前缘，通过减小力促进组织夹层，从而使插管和交替的尖端通过围绕目标血管的组织。

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