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1. 发明申请

US20120046677A1 MODULAR VESSEL HARVESTING SYSTEM AND METHOD 有权
标题翻译：模块化船体采收系统及方法
公开(公告)号：US20120046677A1
公开(公告)日：2012-02-23
申请号：US13027205
申请日：2011-02-14
申请人： Arthur M. Lin , Joseph N. Lamberti , Kenny Dang , Michael C. Stewart , Charles J. Adam , Justin N. Williams
发明人： Arthur M. Lin , Joseph N. Lamberti , Kenny Dang , Michael C. Stewart , Charles J. Adam , Justin N. Williams
IPC分类号： A61B17/22
CPC分类号： A61B17/00008 , A61B18/14 , A61B2017/00367 , A61B2017/00969 , A61B2017/320044 , A61B2017/3419 , A61B2017/3445
摘要： A vessel harvesting system that is suitable for harvesting target vessels such as the saphenous vein or radial artery for cardiac artery bypass graft surgery. The system includes a vessel harvesting tool with an elongated cannula and a plurality of surgical instruments therein for separating the target vessels from the surrounding tissue and side branches. The harvesting tool includes a modular handle unit with a base attached to the elongated cannula and a sled that can adapt the base to various types of vessel severing/securing tools, such as tissue welders, bipolar scissors, and bipolar bisectors. The handle unit may be relatively rigid and integrated with the various tool movement controls to facilitate one-handed operation by a user. A severing/securing tool rotation mechanism may be incorporated within the handle and operated by a thumbwheel or other such mechanism. The vessel harvesting system may also provide distal CO2 insufflation for enhanced maintenance of the operating cavity.
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血管采集系统。该系统包括具有细长插管的血管收集工具和其中的多个外科器械，用于将靶容器与周围组织和侧枝分开。收割工具包括具有附接到细长插管的基座的模块化手柄单元和可以使底座适应各种类型的容器切割/固定工具（例如组织焊接机，双极剪刀和双极平分线）的滑板。手柄单元可以是相对刚性的并且与各种工具移动控件集成以便于用户的单手操作。切割/固定工具旋转机构可以结合在手柄内并由指轮或其它这样的机构操作。容器收集系统还可以提供远端CO 2吹入以增强操作腔的维护。

2. 发明授权

US08906048B2 Modular vessel harvesting system and method 有权
标题翻译：模块化血管采收系统及方法
公开(公告)号：US08906048B2
公开(公告)日：2014-12-09
申请号：US13027205
申请日：2011-02-14
申请人： Arthur M. Lin , Joseph N. Lamberti , Kenny Dang , Michael C. Stewart , Charles J. Adam , Justin N. Williams
发明人： Arthur M. Lin , Joseph N. Lamberti , Kenny Dang , Michael C. Stewart , Charles J. Adam , Justin N. Williams
IPC分类号： A61B17/22 , A61B18/14 , A61B17/00 , A61B17/34 , A61B17/32
CPC分类号： A61B17/00008 , A61B18/14 , A61B2017/00367 , A61B2017/00969 , A61B2017/320044 , A61B2017/3419 , A61B2017/3445
摘要： A vessel harvesting system that is suitable for harvesting target vessels such as the saphenous vein or radial artery for cardiac artery bypass graft surgery. The system includes a vessel harvesting tool with an elongated cannula and a plurality of surgical instruments therein for separating the target vessels from the surrounding tissue and side branches. The harvesting tool includes a modular handle unit with a base attached to the elongated cannula and a sled that can adapt the base to various types of vessel severing/securing tools, such as tissue welders, bipolar scissors, and bipolar bisectors. The handle unit may be relatively rigid and integrated with the various tool movement controls to facilitate one-handed operation by a user. A severing/securing tool rotation mechanism may be incorporated within the handle and operated by a thumbwheel or other such mechanism. The vessel harvesting system may also provide distal CO2 insufflation for enhanced maintenance of the operating cavity.
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血管采集系统。该系统包括具有细长插管的血管收集工具和其中的多个外科器械，用于将靶容器与周围组织和侧枝分开。收割工具包括具有附接到细长插管的基座的模块化手柄单元和可以使底座适应各种类型的容器切割/固定工具（例如组织焊接机，双极剪刀和双极平分线）的滑板。手柄单元可以是相对刚性的并且与各种工具移动控件集成以便于用户的单手操作。切割/固定工具旋转机构可以结合在手柄内并由指轮或其它这样的机构操作。容器收集系统还可以提供远端CO 2吹入以增强操作腔的维护。

3. 发明授权

US07887558B2 Modular vessel harvesting system and method 有权
标题翻译：模块化血管采收系统及方法
公开(公告)号：US07887558B2
公开(公告)日：2011-02-15
申请号：US10951426
申请日：2004-09-28
申请人： Arthur M. Lin , Joseph N. Lamberti , Kenny Dang , Michael C. Stewart , Charles J. Adam , Justin N. Williams
发明人： Arthur M. Lin , Joseph N. Lamberti , Kenny Dang , Michael C. Stewart , Charles J. Adam , Justin N. Williams
IPC分类号： A61B17/22
CPC分类号： A61B17/00008 , A61B18/14 , A61B2017/00367 , A61B2017/00969 , A61B2017/320044 , A61B2017/3419 , A61B2017/3445
摘要： A vessel harvesting system that is suitable for harvesting target vessels such as the saphenous vein or radial artery for cardiac artery bypass graft surgery. The system includes a vessel harvesting tool with an elongated cannula and a plurality of surgical instruments therein for separating the target vessels from the surrounding tissue and side branches. The harvesting tool includes a modular handle unit with a base attached to the elongated cannula and a sled that can adapt the base to various types of vessel severing/securing tools, such as tissue welders, bipolar scissors, and bipolar bisectors. The handle unit may be relatively rigid and integrated with the various tool movement controls to facilitate one-handed operation by a user. A severing/securing tool rotation mechanism may be incorporated within the handle and operated by a thumbwheel or other such mechanism. The vessel harvesting system may also provide distal CO2 insufflation for enhanced maintenance of the operating cavity.
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血管采集系统。该系统包括具有细长插管的血管收集工具和其中的多个外科器械，用于将靶容器与周围组织和侧枝分开。收割工具包括具有附接到细长插管的基座的模块化手柄单元和可以使底座适应各种类型的容器切割/固定工具（例如组织焊接机，双极剪刀和双极平分线）的滑板。手柄单元可以是相对刚性的并且与各种工具移动控件集成以便于用户的单手操作。切割/固定工具旋转机构可以结合在手柄内并由指轮或其它这样的机构操作。容器收集系统还可以提供远端CO 2吹入以增强操作腔的维护。

4. 发明申请

US20110257643A1 APPARATUS AND METHOD FOR REGULATING TISSUE WELDER JAWS 审中-公开
标题翻译：用于调节组织焊接机的装置和方法
公开(公告)号：US20110257643A1
公开(公告)日：2011-10-20
申请号：US13047778
申请日：2011-03-14
申请人： Liming Lau , Arthur M. Lin , Sam Ho , Ryan C. Abbott , Kenny L. Dang , Jesse McQuiston , Peter L. Callas , Arnold M. Escano , Michael C. Stewart , Jerry Jarrard , Joseph N. Lamberti , Justin N. Williams , Kristopher Yee
发明人： Liming Lau , Arthur M. Lin , Sam Ho , Ryan C. Abbott , Kenny L. Dang , Jesse McQuiston , Peter L. Callas , Arnold M. Escano , Michael C. Stewart , Jerry Jarrard , Joseph N. Lamberti , Justin N. Williams , Kristopher Yee
IPC分类号： A61B18/04
CPC分类号： A61B18/085 , A61B17/29 , A61B18/082 , A61B18/1445 , A61B90/03 , A61B2017/00084 , A61B2017/00353 , A61B2017/00504 , A61B2017/2912 , A61B2017/2936 , A61B2017/2945 , A61B2017/3445 , A61B2018/00089 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/1432
摘要： A surgical apparatus and methods for severing and welding tissue, in particular blood vessels. The apparatus includes an elongated shaft having a pair of relatively movable jaws at a distal end thereof. A first heating element on one of the jaws is adapted to heat up to a first temperature and form a welded region within the tissue, while a second heating element on one of the jaws is adapted to heat up to a second temperature and sever the tissue within the welded region. The first and second heating elements may be provided on the same or opposite jaws. A control handle provided on the proximal end of the elongated shaft includes controls for opening and closing the jaws, and may include an actuator for sending current through the first and second heating elements. The first and second heating elements may be electrically connected in series, and the first heating element may be bifurcated such that it conducts about one half of the current as the second heating element. A force-limiting mechanism provided either within the control handle, in the elongated shaft, or at the jaws limits the pressure applied to the tissue by the jaws to ensure that the tissue is severed and the ends effectively welded within a short amount of time.
摘要翻译：用于切断和焊接组织，特别是血管的手术设备和方法。该装置包括细长轴，其在其远端具有一对相对可动的钳口。其中一个钳口上的第一加热元件适于加热至第一温度并在组织内形成焊接区域，而其中一个钳口上的第二加热元件适于加热至第二温度并切断组织在焊接区域内。第一和第二加热元件可以设置在相同或相对的夹爪上。设置在细长轴的近端的控制手柄包括用于打开和关闭钳口的控制器，并且可以包括用于通过第一和第二加热元件发送电流的致动器。第一和第二加热元件可以串联电连接，并且第一加热元件可以分叉，使得其作为第二加热元件传导大约电流的一半。设置在控制手柄，细长轴或钳口内的力限制机构限制由钳口施加到组织上的压力，以确保组织被切断并且端部在短时间内有效地焊接。

5. 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。

6. 发明授权

US07918848B2 Tissue welding and cutting apparatus and method 有权
标题翻译：组织焊接和切割设备及方法
公开(公告)号：US07918848B2
公开(公告)日：2011-04-05
申请号：US11090330
申请日：2005-03-25
申请人： Liming Lau , Arnold M. Escano , Jerry Jarrard , Sam Ho , Ryan C. Abbott , Arthur M. Lin , Jesse McQuiston , Peter L. Callas , Geoffrey H. Willis , Michael C. Stewart , Kimberly D. Barkman , Joseph N. Lamberti , Kenny L. Dang
发明人： Liming Lau , Arnold M. Escano , Jerry Jarrard , Sam Ho , Ryan C. Abbott , Arthur M. Lin , Jesse McQuiston , Peter L. Callas , Geoffrey H. Willis , Michael C. Stewart , Kimberly D. Barkman , Joseph N. Lamberti , Kenny L. Dang
IPC分类号： A61B18/04
CPC分类号： A61B18/085 , A61B17/29 , A61B18/082 , A61B18/1445 , A61B90/03 , A61B2017/00084 , A61B2017/00353 , A61B2017/00504 , A61B2017/2912 , A61B2017/2936 , A61B2017/2945 , A61B2017/3445 , A61B2018/00089 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/1432
摘要： A surgical apparatus and methods for severing and welding tissue, in particular blood vessels, include a pair of relatively movable jaws at a distal end of an elongated shaft. A first heating element on one of the jaws is adapted to heat up to a first temperature and form a welded region within the tissue, while a second heating element on one of the jaws is adapted to heat up to a second temperature and sever the tissue within the welded region. A force-limiting mechanism is provided to limit the pressure applied to the tissue by the jaws to ensure that the tissue is severed and the ends effectively welded within a short amount of time.
摘要翻译：用于切断和焊接组织，特别是血管的手术装置和方法包括在细长轴的远端处的一对相对可动的钳口。其中一个钳口上的第一加热元件适于加热至第一温度并在组织内形成焊接区域，而其中一个钳口上的第二加热元件适于加热至第二温度并切断组织在焊接区域内。提供力限制机构以限制由钳口施加到组织的压力，以确保组织被切断并且端部在短时间内有效地焊接。

7. 发明授权

US07695470B1 Integrated vessel ligator and transector 有权
标题翻译：综合血管结扎器和转导器
公开(公告)号：US07695470B1
公开(公告)日：2010-04-13
申请号：US10602490
申请日：2003-06-23
申请人： Michael C. Stewart , Geoffrey H. Willis , Joseph N. Lamberti , Charles J. Adam , Harry Ino , John P. Lunsford
发明人： Michael C. Stewart , Geoffrey H. Willis , Joseph N. Lamberti , Charles J. Adam , Harry Ino , John P. Lunsford
IPC分类号： A61B17/39
CPC分类号： A61B17/00008 , A61B17/0218 , A61B17/320016 , A61B18/1442 , A61B18/1445 , A61B18/28 , A61B2017/00212 , A61B2017/00504 , A61B2017/00973 , A61B2017/320044 , A61B2018/00345 , A61B2018/00404 , A61B2018/00601 , A61B2018/00619 , A61B2018/00916 , A61B2018/00982 , A61B2018/1407 , A61B2018/1412 , A61B2018/1455
摘要： Surgical treatment of tissue includes electrocauterization of blood vessels interposed between spaced sets of electrodes of opposite polarity, and includes transection of such tissue by a cutter that is mounted between the spaced sets of electrodes for translational and lateral movement relative to the sets of electrodes. Orientations of the sets of electrodes within a range of angles about an elongated axis of a supporting body are controlled by manual movement of an actuator mounted near a proximal end of the body for movement through a smaller range of angles via linkage connecting the actuator to the electrodes. Tissue dissection with gas insufflation to form an anatomical space in tissue is facilitated by a fluid outlet port located near the tissue-dissecting tip at the distal end of the elongated body that delivers through the tissue-dissecting tip to the dissected tissue a fluid under pressure that is supplied along a lumen within the elongated body.
摘要翻译：组织的外科治疗包括插入间隔开的相反电极组之间的血管的电灼，并且包括通过安装在间隔开的电极组之间的切割器来切断这种组织，用于相对于电极组的平移和横向移动。在围绕支撑体的细长轴线的角度范围内的电极组的定向通过安装在主体的近端附近的致动器的手动运动来控制，以通过将致动器连接到所述致动器的连杆的较小范围的角度来移动电极。通过气体吹入组织解剖以在组织中形成解剖空间，通过位于细长体远端的组织解剖尖端附近的流体出口来促进，该组织解剖尖端通过组织解剖尖端将压力下的流体传送到解剖组织其沿着细长体内的内腔供应。

8. 发明申请

US20100234843A1 APPARATUS AND METHOD FOR INTEGRATED VESSEL LIGATOR AND TRANSECTOR 失效
标题翻译：集成式船舶和转移器的装置和方法
公开(公告)号：US20100234843A1
公开(公告)日：2010-09-16
申请号：US12730729
申请日：2010-03-24
申请人： Michael C. Stewart , Geoffrey H. Willis , Joseph N. Lamberti , Charles J. Adam , Harry Ino , John P. Lunsford
发明人： Michael C. Stewart , Geoffrey H. Willis , Joseph N. Lamberti , Charles J. Adam , Harry Ino , John P. Lunsford
IPC分类号： A61B18/14 , A61B17/32
CPC分类号： A61B17/00008 , A61B17/0218 , A61B17/320016 , A61B18/1442 , A61B18/1445 , A61B18/28 , A61B2017/00212 , A61B2017/00504 , A61B2017/00973 , A61B2017/320044 , A61B2018/00345 , A61B2018/00404 , A61B2018/00601 , A61B2018/00619 , A61B2018/00916 , A61B2018/00982 , A61B2018/1407 , A61B2018/1412 , A61B2018/1455
摘要： Surgical treatment of tissue includes electrocauterization of blood vessels interposed between spaced sets of electrodes of opposite polarity, and includes transection of such tissue by a cutter that is mounted between the spaced sets of electrodes for translational and lateral movement relative to the sets of electrodes. Orientations of the sets of electrodes within a range of angles about an elongated axis of a supporting body are controlled by manual movement of an actuator mounted near a proximal end of the body for movement through a smaller range of angles via linkage connecting the actuator to the electrodes. Tissue dissection with gas insufflation to form an anatomical space in tissue is facilitated by a fluid outlet port located near the tissue-dissecting tip at the distal end of the elongated body that delivers through the tissue-dissecting tip to the dissected tissue a fluid under pressure that is supplied along a lumen within the elongated body.
摘要翻译：组织的外科治疗包括插入间隔开的相反电极组之间的血管的电灼，并且包括通过安装在间隔开的电极组之间的切割器来切断这种组织，用于相对于电极组的平移和横向移动。在围绕支撑体的细长轴线的角度范围内的电极组的定向通过安装在主体的近端附近的致动器的手动运动来控制，以通过将致动器连接到所述致动器的连杆的较小范围的角度来移动电极。通过气体吹入组织解剖以在组织中形成解剖空间，通过位于细长体远端的组织解剖尖端附近的流体出口来促进，该组织解剖尖端通过组织解剖尖端将压力下的流体传送到解剖组织其沿着细长体内的内腔供应。

9. 发明授权

US08075559B2 Apparatus and method for integrated vessel ligator and transector 失效
标题翻译：综合血管结扎器和转导器的装置和方法
公开(公告)号：US08075559B2
公开(公告)日：2011-12-13
申请号：US12730729
申请日：2010-03-24
申请人： Michael C. Stewart , Geoffrey H. Willis , Joseph N. Lamberti , Charles J. Adam , Harry Ino , John P. Lunsford
发明人： Michael C. Stewart , Geoffrey H. Willis , Joseph N. Lamberti , Charles J. Adam , Harry Ino , John P. Lunsford
IPC分类号： A61B18/18
CPC分类号： A61B17/00008 , A61B17/0218 , A61B17/320016 , A61B18/1442 , A61B18/1445 , A61B18/28 , A61B2017/00212 , A61B2017/00504 , A61B2017/00973 , A61B2017/320044 , A61B2018/00345 , A61B2018/00404 , A61B2018/00601 , A61B2018/00619 , A61B2018/00916 , A61B2018/00982 , A61B2018/1407 , A61B2018/1412 , A61B2018/1455
摘要： Surgical treatment of tissue includes electro cauterization of blood vessels interposed between spaced sets of electrodes of opposite polarity, and includes transection of such tissue by a cutter that is mounted between the spaced sets of electrodes for translational and lateral movement relative to the sets of electrodes. Orientations of the sets of electrodes within a range of angles about an elongated axis of a supporting body are controlled by manual movement of an actuator mounted near a proximal end of the body for movement through a smaller range of angles via linkage connecting the actuator to the electrodes. Tissue dissection with gas insufflation to form an anatomical space in tissue is facilitated by a fluid outlet port located near the tissue-dissecting tip at the distal end of the elongated body that delivers through the tissue-dissecting tip to the dissected tissue a fluid under pressure that is supplied along a lumen within the elongated body.
摘要翻译：组织的手术治疗包括插入间隔开的极性电极组之间的血管的电烧灼，并且包括通过安装在间隔开的电极组之间的切割器来切断这种组织，用于相对于电极组的平移和横向移动。在围绕支撑体的细长轴线的角度范围内的电极组的定向通过安装在主体的近端附近的致动器的手动运动来控制，以通过将致动器连接到所述致动器的连杆的较小范围的角度来移动电极。通过气体吹入组织解剖以在组织中形成解剖空间，通过位于细长体远端的组织解剖尖端附近的流体出口来促进，该组织解剖尖端通过组织解剖尖端将压力下的流体传送到解剖组织其沿着细长体内的内腔供应。

10. 发明授权

US08932208B2 Apparatus and methods for performing minimally-invasive surgical procedures 有权
标题翻译：用于进行微创外科手术的装置和方法
公开(公告)号：US08932208B2
公开(公告)日：2015-01-13
申请号：US11544897
申请日：2006-10-07
申请人： Amar Kendale , Juan I. Perez , Fred Villagomez , Frederick Barrigar , Joseph N. Lamberti , Amit Agarwal , Peter Callas , Michael C. Stewart , Arthur Lin , Ryan Abbott , Alfredo Cantu R.
发明人： Amar Kendale , Juan I. Perez , Fred Villagomez , Frederick Barrigar , Joseph N. Lamberti , Amit Agarwal , Peter Callas , Michael C. Stewart , Arthur Lin , Ryan Abbott , Alfredo Cantu R.
IPC分类号： A61B1/06 , A61B1/313 , A61B1/012 , A61B1/018 , A61B1/00 , A61B1/04 , A61B18/18 , A61B17/00
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。

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