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1. 发明授权

US07497865B2 Method and apparatus for performing anastomosis with eversion of tissue edges and joining of exposed intima of the everted tissue 失效
标题翻译：用于通过外翻组织边缘进行吻合的方法和装置，以及接合外露组织的暴露内膜
公开(公告)号：US07497865B2
公开(公告)日：2009-03-03
申请号：US10855604
申请日：2004-05-26
申请人： Geoffrey H. Willis , Thomas A. Kramer , Paul A. Spence , George T. Christakis , Timothy J. McCoy , John W. Davis , Bradley D. Blackwood , Peter Callas , Michael Francis Wei , Jonathan L. Podmore , Andrew Knight , Thomas J. Ward , Warren P. Williamson, IV
发明人： Geoffrey H. Willis , Thomas A. Kramer , Paul A. Spence , George T. Christakis , Timothy J. McCoy , John W. Davis , Bradley D. Blackwood , Peter Callas , Michael Francis Wei , Jonathan L. Podmore , Andrew Knight , Thomas J. Ward , Warren P. Williamson, IV
IPC分类号： A61B17/08 , A61B17/10 , A61B17/04
CPC分类号： A61B17/1152 , A61B17/11 , A61B17/115 , A61B2017/1107 , A61B2017/1132 , A61B2017/1135 , A61B2017/1139
摘要： A ring for use in anastomosis. Preferably, the ring is integrally formed from metal, and includes a ring portion and tines and docking members that extend from the ring portion. The ring portion and tines are malleable, and preferably also the docking members are malleable. The ring portion and tines are malleable in the sense that once deformed from a first shape into a second shape, they will not relax back into the first shape from the second. To install the ring in a vessel with the ring portion extending around an incision or other orifice, the tines pierce the tissue around the orifice and are curled against an anvil. The action of curling the tines inverts the tissue near the orifice edges to expose the inside surface of the vessel or organ. Other aspects of the invention are a method and apparatus for installing an anastomosis ring in an incision or other orifice in a vessel or other organ, a method and apparatus for precisely aligning two anastomosis rings (each installed in an incision or other orifice of a different organ) and fastening the aligned rings together. The clips can be crimped onto the aligned rings, or they can be spring clips which are sprung onto the aligned rings to clamp the rings together by spring force. Also within the scope of the invention are crimping and spring clips for use in listening together two aligned anastomosis rings. In other embodiments, the invention is a method for performing an anastomosis by installing an anastomosis ring in an orifice in an organ, installing another anastomosis ring in an orifice in another organ, precisely aligning the two installed anastomosis rings, and fastening the aligned rings together.
摘要翻译：用于吻合的戒指。优选地，环由金属一体地形成，并且包括从环部延伸的环部分和尖齿和对接构件。环形部分和尖齿是可延展的，并且优选的是对接部件是可延展的。环形部分和尖齿在从第一形状变形成第二形状的意义上是可延展的，它们将不会从第二形状放松回第一形状。为了将环安装在具有围绕切口或其他孔口延伸的环部分的容器中，齿刺穿孔周围的组织并且卷绕在砧座上。卷曲尖齿的作用使孔边缘附近的组织反转以暴露血管或器官的内表面。本发明的其它方面是用于将吻合环安装在容器或其他器官中的切口或其它孔中的方法和装置，用于精确地对准两个吻合环（每个安装在切口或不同的其他孔中的其他孔中的方法和装置）器官）并将对准的环固定在一起。夹子可以压接在对准的环上，或者它们可以是弹簧夹，弹簧夹被弹簧上对准的环，以通过弹簧力将环夹在一起。也在本发明的范围内的是压接和弹簧夹，用于一起收听两个对准的吻合环。在其他实施例中，本发明是一种通过在器官中的孔中安装吻合环来进行吻合的方法，在另一个器官的孔中安装另一个吻合环，精确对准两个安装的吻合环，并将对准的环固定在一起。

2. 发明授权

US06811555B1 Method and apparatus for performing anastomosis with eversion of tissue edges and joining of exposed intima of the everted tissue 失效
标题翻译：用于通过外翻组织边缘进行吻合的方法和装置，以及接合外露组织的暴露的内膜
公开(公告)号：US06811555B1
公开(公告)日：2004-11-02
申请号：US09654605
申请日：2000-09-01
申请人： Geoffrey H. Willis , Thomas A. Kramer , Paul A. Spence , George T. Christakis , Timothy J. McCoy , John W. Davis , Bradley D. Blackwood , Peter Callas , Michael Francis Wei , Jonathan L. Podmore , Andrew Knight , Thomas J. Ward , Warren P. Williamson, IV
发明人： Geoffrey H. Willis , Thomas A. Kramer , Paul A. Spence , George T. Christakis , Timothy J. McCoy , John W. Davis , Bradley D. Blackwood , Peter Callas , Michael Francis Wei , Jonathan L. Podmore , Andrew Knight , Thomas J. Ward , Warren P. Williamson, IV
IPC分类号： A61B1708
CPC分类号： A61B17/1152 , A61B17/11 , A61B17/115 , A61B2017/1107 , A61B2017/1132 , A61B2017/1135 , A61B2017/1139
摘要： A ring for use in anastomosis. Preferably, the ring is integrally formed from metal, and includes a ring portion and tines and docking members that extend from the ring portion. The ring portion and tines are malleable, and preferably also the docking members are malleable. The ring portion and tines are malleable in the sense that once deformed from a first shape into a second shape, they will not relax back into the first shape from the second. To install the ring in a vessel with the ring portion extending around an incision or other orifice, the tines pierce the tissue around the orifice and are curled against an anvil. The action of curling the tines inverts the tissue near the orifice edges to expose the inside surface of the vessel or organ. Other aspects of the invention are a method and apparatus for installing an anastomosis ring in an incision or other orifice in a vessel or other organ, a method and apparatus for precisely aligning two anastomosis rings (each installed in an incision or other orifice of a different organ) and fastening the aligned rings together. The clips can be crimped onto the aligned rings, or they can be spring clips which are sprung onto the aligned rings to clamp the rings together by spring force. Also within the scope of the invention are crimping and spring clips for use in fastening together two aligned anastomosis rings. In other embodiments, the invention is a method for performing an anastomosis by installing an anastomosis ring in an orifice in an organ, installing another anastomosis ring in an orifice in another organ, precisely aligning the two installed anastomosis rings, and fastening the aligned rings together.
摘要翻译：用于吻合的戒指。优选地，环由金属一体地形成，并且包括从环部延伸的环部分和尖齿和对接构件。环形部分和尖齿是可延展的，并且优选的是对接部件是可延展的。环形部分和尖齿在从第一形状变形成第二形状的意义上是可延展的，它们将不会从第二形状放松回第一形状。为了将环安装在具有围绕切口或其他孔口延伸的环部分的容器中，齿刺穿孔周围的组织并且卷绕在砧座上。卷曲尖齿的作用使孔边缘附近的组织反转以暴露血管或器官的内表面。本发明的其它方面是用于将吻合环安装在容器或其他器官中的切口或其它孔中的方法和装置，用于精确地对准两个吻合环（每个安装在切口或不同的其他孔中的其他孔中的方法和装置）器官）并将对准的环固定在一起。夹子可以压接在对准的环上，或者它们可以是弹簧夹，弹簧夹被弹簧上对准的环，以通过弹簧力将环夹在一起。也在本发明的范围内的是压接和弹簧夹，用于将两个对准的吻合环紧固在一起。在其他实施例中，本发明是一种通过在器官中的孔中安装吻合环来进行吻合的方法，在另一个器官的孔中安装另一个吻合环，精确对准两个安装的吻合环，并将对准的环固定在一起。

3. 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.

4. 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。

5. 发明授权

US06890338B1 Method and apparatus for performing anastomosis using ring having tines with weak sections 失效
标题翻译：使用具有弱部分的尖齿的环进行吻合的方法和装置
公开(公告)号：US06890338B1
公开(公告)日：2005-05-10
申请号：US09794670
申请日：2001-02-27
申请人： John W. Davis , Geoffrey H. Willis
发明人： John W. Davis , Geoffrey H. Willis
IPC分类号： A61B17/064 , A61B17/11 , A61B17/08
CPC分类号： A61B17/0644 , A61B17/11 , A61B2017/00477 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135 , A61B2017/1139
摘要： Anastomosis devices, methods and apparatus for installing the devices in the performance of an anastomosis. One example of a device includes a central ring portion from which malleable tines and optionally also fastener elements extend. Each tine may have a weakened section at which it preferentially folds or buckles when subjected to bending force. Each tine can grab and evert tissue around an orifice in which it is installed, as it is moved from an initial to a final configuration. To install a device, the tines are advanced against an anvil to cause them to grab tissue around the orifice and curl radially. The anvil is then retracted to fold the tines so their curled ends move radially outward.
摘要翻译：吻合装置，用于在进行吻合时安装装置的方法和装置。装置的一个实例包括中心环部分，可延展尖齿和任选地也可由紧固件元件延伸。每个齿可能具有弱化部分，在受到弯曲力时它优先折叠或弯曲。每个齿可以在从初始状态移动到最终配置时，围绕其安装的孔口抓住并转移组织。为了安装一个装置，尖针先进抵靠砧座，使它们抓住孔周围的组织并且径向卷曲。然后将砧座缩回以折叠尖齿，使得它们的卷曲端部径向向外移动。

6. 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。

7. 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。

8. 发明授权

US5509279A Cooler backpack with compartments 失效
标题翻译：散热器背包与隔间
公开(公告)号：US5509279A
公开(公告)日：1996-04-23
申请号：US255650
申请日：1994-06-08
申请人： Douglas M. Brown , Donald J. Erickson , Geoffrey H. Willis
发明人： Douglas M. Brown , Donald J. Erickson , Geoffrey H. Willis
IPC分类号： A45C11/20 , A45F3/04 , F25D3/08 , F25D31/00
CPC分类号： F25D3/08 , A45C11/20 , A45F3/04 , F25D2303/081 , F25D2303/0822 , F25D2303/08222 , F25D2303/0841 , F25D2303/0843 , F25D2331/8011 , F25D2331/803 , F25D2331/805 , F25D31/007
摘要： A cooler backpack includes two or more separate storage compartments adjoining a central ice container. One of the compartments may be adapted to store cans or bottles of beverages in a plurality of recesses formed in one side of the ice container. Another of the compartments may be used for food storage and includes an insulated hard shell container having one or more shelves. The storage compartments and ice container fit within a durable insulated backpack. Apertures in the side of the backpack provide separate access to each of the storage compartments.
摘要翻译：一个更冷的背包包括两个或更多个独立的存储隔间，毗邻中央冰箱。隔室中的一个可以适于在多个形成在冰容器的一侧的凹部中储存罐或瓶饮料。隔室中的另一个可以用于食物储存，并且包括具有一个或多个搁架的绝缘硬壳容器。储物室和冰箱容纳在耐用的绝缘背包中。背包侧面的孔径可以单独进入每个储物室。

9. 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。

10. 发明授权

US07621895B2 Needle array devices and methods 失效
标题翻译：针阵列设备和方法
公开(公告)号：US07621895B2
公开(公告)日：2009-11-24
申请号：US11436709
申请日：2006-05-17
申请人： Geoffrey H. Willis , Eric Willis , Shuji Uemura , Mike Stewart , Alfredo Cantu
发明人： Geoffrey H. Willis , Eric Willis , Shuji Uemura , Mike Stewart , Alfredo Cantu
IPC分类号： A61M5/00
CPC分类号： A61M25/0084 , A61M25/0068 , A61M25/1006 , A61M2005/341 , A61M2025/0036 , A61M2025/004 , A61M2025/0085 , A61M2025/0087 , A61M2025/0096
摘要： Methods and delivery devices for maximizing injectate dispersion in lesioned tissue using needle-based injection devices are herein disclosed. The delivery devices include injection devices with various needle arrays and/or modified needle tip configurations. The needle tip configurations can include linear, hooked or corkscrew tips and/or multiple circumferential openings.
摘要翻译：本文公开了使用基于针的注射装置使损伤组织中的注射分散最大化的方法和递送装置。递送装置包括具有各种针阵列和/或修改的针尖构造的注射装置。针尖构造可以包括线性，钩形或开瓶器尖端和/或多个周向开口。

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