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1. 发明申请

US20080027472A1 Anastomosis System with Anvil Entry Hole Sealer 有权
标题翻译：砧孔入口封口机吻合系统
公开(公告)号：US20080027472A1
公开(公告)日：2008-01-31
申请号：US11865893
申请日：2007-10-02
申请人： James Nielsen , Nathan White , Theodore Bender , Philipe Manoux , David Bombard , Brendan Donohoe , Bryan Knodel
发明人： James Nielsen , Nathan White , Theodore Bender , Philipe Manoux , David Bombard , Brendan Donohoe , Bryan Knodel
IPC分类号： A61B17/11
CPC分类号： A61B17/0057 , A61B17/00491 , A61B17/0206 , A61B17/06166 , A61B17/064 , A61B17/0644 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B17/08 , A61B17/10 , A61B17/115 , A61B17/1152 , A61B17/122 , A61B17/32 , A61B90/50 , A61B2017/00654 , A61B2017/00893 , A61B2017/0641 , A61B2017/0688 , A61B2017/07214 , A61B2017/1103 , A61B2017/1107 , A61B2017/1135 , A61B2017/1157 , A61B2017/320052 , A61B2090/08021
摘要： A system for connecting the end of a graft vessel to the side of a target vessel may include an anvil configured to enter the target vessel through an anvil entry hole in the wall of the target vessel; a holder movable relative to the anvil, where that holder may deploy at least one connector through the graft vessel and into the target vessel at a location spaced apart from the anvil entry hole; and at least one sealer that may be detachably connected to the anvil and/or said holder; where at least one sealer may be configured to substantially close the anvil entry hole in the target vessel. A method for performing anastomosis between a graft vessel and a target vessel may include inserting an anvil through the wall of the target vessel into the lumen of the target vessel from outside of the target vessel through an anvil entry hole; connecting an end of the graft vessel to the side of the target vessel with a plurality of connectors at a location spaced apart from the anvil entry hole; creating an opening in the side of the target vessel, where the opening is located within a perimeter defined by the connectors and spaced apart from the anvil entry hole; withdrawing the anvil through the anvil entry hole; and substantially sealing the anvil entry hole.
摘要翻译：用于将移植物容器的端部连接到靶容器侧的系统可以包括构造成通过目标容器的壁中的砧孔入口进入靶容器的砧座; 相对于砧座可移动的保持器，其中该保持器可以在与砧座入口孔间隔开的位置处将至少一个连接器展开穿过移植物容器并进入目标血管; 以及可以可拆卸地连接到所述砧和/或所述保持器的至少一个密封件; 其中至少一个密封件可以构造成基本上封闭靶容器中的砧孔入口。用于在移植物容器和目标血管之间进行吻合的方法可以包括通过砧座入口孔将目标血管壁从目标血管外部插入到目标血管的内腔中; 在与所述砧座入口孔间隔开的位置处，使多个连接器将所述移植脉管的端部连接到所述靶容器侧; 在目标容器的侧面形成开口，其中开口位于由连接器限定的周边中并与砧座入口孔间隔开; 通过砧座入口将砧座取出; 并且基本上密封砧进入孔。

2. 发明申请

US20050154406A1 Method for anastomosing vessels 审中-公开
标题翻译：吻合血管的方法
公开(公告)号：US20050154406A1
公开(公告)日：2005-07-14
申请号：US10988326
申请日：2004-11-12
申请人： David Bombard , Jaime Vargas , James Nielsen , Philipe Manoux , Tenny Chang , Stephen Yencho , Bernard Hausen , Brendan Donohoe , Theodore Bender , Nathan White , Bryan Knodel
发明人： David Bombard , Jaime Vargas , James Nielsen , Philipe Manoux , Tenny Chang , Stephen Yencho , Bernard Hausen , Brendan Donohoe , Theodore Bender , Nathan White , Bryan Knodel
IPC分类号： A61B17/00 , A61B17/04 , A61B17/072 , A61B17/11 , A61B17/115 , A61B17/122 , A61B19/00 , A61F2/06 , A61B17/08
CPC分类号： A61B17/1152 , A61B17/0469 , A61B17/072 , A61B17/122 , A61B2017/00243 , A61B2017/07285 , A61B2017/1107 , A61B2017/1135 , A61B2090/037 , A61F2/064
摘要： A method for connecting a graft vessel to a target vessel, each vessel having a wall surrounding a lumen, may include providing a connector holder, associating an end of the graft vessel with the connector holder, positioning the connector holder outside of the lumen of the target vessel, outside the lumen of the graft vessel, and in proximity to the outer surface of the wall of the target vessel, and actuating the connector holder to secure the end of the graft vessel to the side of the target vessel.
摘要翻译：一种用于将移植血管连接到靶容器的方法，每个容器具有围绕内腔的壁，可以包括提供连接器保持器，将移植物容器的端部与连接器保持器相关联，将连接器保持器定位在目标血管，在移植血管的腔内，并且靠近靶血管的壁的外表面，并且致动连接器保持器以将移植血管的端部固定到靶血管的侧面。

3. 发明申请

US20060241660A1 Anastomosis system with flexible shaft 有权
标题翻译：具有柔性轴的吻合系统
公开(公告)号：US20060241660A1
公开(公告)日：2006-10-26
申请号：US11378127
申请日：2006-03-17
申请人： David Bombard , Jaime Vargas , James Nielsen , Philipe Manoux , Tenny Chang , Stephen Yencho , Bernard Hausen , Brendan Donohoe , Theodore Bender , Nathan White , Bryan Knodel
发明人： David Bombard , Jaime Vargas , James Nielsen , Philipe Manoux , Tenny Chang , Stephen Yencho , Bernard Hausen , Brendan Donohoe , Theodore Bender , Nathan White , Bryan Knodel
IPC分类号： A61B17/08
CPC分类号： A61B17/1152 , A61B17/0469 , A61B17/072 , A61B17/122 , A61B2017/00243 , A61B2017/07285 , A61B2017/1107 , A61B2017/1135 , A61B2090/037 , A61F2/064
摘要： A surgical tool for performing anastomosis may include a handle and a tissue effector connected by a shaft, at least party of which may be flexible. The tissue effector may include a staple holder connected to an anvil.
摘要翻译：用于进行吻合的手术工具可以包括手柄和由轴连接的组织效应器，其至少一方可以是柔性的。组织执行器可以包括连接到砧座的钉夹。

4. 发明申请

US20050075657A1 Method of performing anastomosis 有权
标题翻译：吻合方法
公开(公告)号：US20050075657A1
公开(公告)日：2005-04-07
申请号：US10988325
申请日：2004-11-12
申请人： David Bombard , Jaime Vargas , James Nielsen , Philipe Manoux , Tenny Chang , Stephen Yencho , Bernard Hausen , Brendan Donohoe , Theodore Bender , Nathan White , Bryan Knodel
发明人： David Bombard , Jaime Vargas , James Nielsen , Philipe Manoux , Tenny Chang , Stephen Yencho , Bernard Hausen , Brendan Donohoe , Theodore Bender , Nathan White , Bryan Knodel
IPC分类号： A61B17/00 , A61B17/04 , A61B17/072 , A61B17/11 , A61B17/115 , A61B17/122 , A61B19/00 , A61F2/06 , A61B17/08
CPC分类号： A61B17/1152 , A61B17/0469 , A61B17/072 , A61B17/122 , A61B2017/00243 , A61B2017/0641 , A61B2017/07214 , A61B2017/07285 , A61B2017/1107 , A61B2017/1135 , A61B2090/037 , A61F2/064
摘要： A method for anastomosing a first vessel to a second vessel may include connecting an end of the first vessel to the side of the second vessel and creating an opening in the wall of the second vessel from within the lumen of the second vessel, where that opening allows fluid communication between the lumen of the first vessel and the lumen of the second vessel.
摘要翻译：用于将第一容器吻合到第二容器的方法可以包括将第一容器的端部连接到第二容器的侧面并且在第二容器的内腔内从第二容器的内腔中产生在第二容器的壁中的开口，允许第一容器的内腔和第二容器的内腔之间的流体连通。

5. 发明申请

US20050131428A1 Anastomosis tool having a connector holder 有权
标题翻译：吻合工具具有连接器支架
公开(公告)号：US20050131428A1
公开(公告)日：2005-06-16
申请号：US10988335
申请日：2004-11-12
申请人： David. Bombard , Jaime Vargas , James Nielson , Philipe Manoux , Tenny Chang , Stephen Yencho , Bernard Hausen , Brendan Donohoe , Theodore Bender , Nathan White , Bryan Knodel
发明人： David. Bombard , Jaime Vargas , James Nielson , Philipe Manoux , Tenny Chang , Stephen Yencho , Bernard Hausen , Brendan Donohoe , Theodore Bender , Nathan White , Bryan Knodel
IPC分类号： A61B17/00 , A61B17/04 , A61B17/072 , A61B17/11 , A61B17/115 , A61B17/122 , A61B19/00 , A61F2/06 , A61B17/08
CPC分类号： A61B17/1152 , A61B17/0469 , A61B17/072 , A61B17/122 , A61B2017/00243 , A61B2017/07285 , A61B2017/1107 , A61B2017/1135 , A61B2090/037 , A61F2/064
摘要： An anastomosis tool may include a connector holder connected to an anvil. The connector holder may be bifurcated and configured to straddle the graft vessel. The connector holder may be generally U-shaped. The connector holder may be shaped to extend around more than half of the circumference of the graft vessel.
摘要翻译：吻合工具可以包括连接到砧座的连接器支架。连接器保持器可以分叉并构造成跨越移植管。连接器支架可以是大致U形的。连接器保持器可以成形为围绕移植管的圆周的一半以上延伸。

6. 发明申请

US20050033329A1 System for performing anastomosis 有权
标题翻译：进行吻合的系统
公开(公告)号：US20050033329A1
公开(公告)日：2005-02-10
申请号：US10898611
申请日：2004-07-23
申请人： David Bombard , Bryan Knodel , Jaime Vargas , Michael Hendricksen , Stephen Yencho , James Nielsen , Bernard Hausen , Brendan Donohoe , Theodore Bender
发明人： David Bombard , Bryan Knodel , Jaime Vargas , Michael Hendricksen , Stephen Yencho , James Nielsen , Bernard Hausen , Brendan Donohoe , Theodore Bender
IPC分类号： A61B17/00 , A61B17/04 , A61B17/072 , A61B17/11 , A61B17/115 , A61B17/122 , A61B19/00 , A61F2/06 , A61B17/08
CPC分类号： A61B17/1152 , A61B17/0469 , A61B17/072 , A61B17/122 , A61B2017/00243 , A61B2017/07214 , A61B2017/07285 , A61B2017/1107 , A61B2017/1135 , A61B2090/037 , A61F2/064
摘要： An anastomosis system for connecting a graft vessel to a target vessel includes spaced-apart arms, and an anvil connected to those arms, where that anvil has a blunt distal end. The anvil is insertable into the target vessel. One or more connectors, such as staples, may be deployed from each arm to connect the graft vessel to the target vessel.
摘要翻译：用于将移植血管连接到靶容器的吻合系统包括间隔开的臂和连接到那些臂的砧座，其中砧座具有钝的远端。砧可插入目标血管。可以从每个臂部署一个或多个连接器，例如钉，以将移植血管连接到目标血管。

7. 发明申请

US20070233163A1 Anastomosis System with Cutting Element 审中-公开
标题翻译：具有切割元件的吻合系统
公开(公告)号：US20070233163A1
公开(公告)日：2007-10-04
申请号：US11756260
申请日：2007-05-31
申请人： David Bombard , Bryan Knodel , Jaime Vargas , Michael Hendricksen , Stephen Yencho , James Nielsen , Bernard Hausen , Brendan Donohoe , Theodore Bender
发明人： David Bombard , Bryan Knodel , Jaime Vargas , Michael Hendricksen , Stephen Yencho , James Nielsen , Bernard Hausen , Brendan Donohoe , Theodore Bender
IPC分类号： A61B17/068
CPC分类号： A61B17/1152 , A61B17/0469 , A61B17/072 , A61B17/122 , A61B2017/00243 , A61B2017/07214 , A61B2017/07285 , A61B2017/1107 , A61B2017/1135 , A61B2090/037 , A61F2/064
摘要： A surgical tool for performing anastomosis between a graft vessel and a target vessel may include an anvil; a cutting element connected to the anvil; and an energy source connected to the cutting element, wherein the energy source is configured to deliver energy to the cutting element. A method for performing anastomosis with that tool may include placing an end of the graft vessel against a side of the target vessel; creating an opening in the wall of the target vessel at a first location; inserting an anvil through the opening from outside the wall of the target vessel into the lumen of the target vessel; creating an incision in the wall of the target vessel spaced apart from the first location; and connecting the graft vessel to the target vessel.
摘要翻译：用于在移植血管和目标血管之间进行吻合的手术工具可以包括砧座; 与砧连接的切割元件; 以及连接到所述切割元件的能量源，其中所述能量源被配置为将能量传递到所述切割元件。用该工具进行吻合的方法可包括将移植血管的端部放置在靶容器的一侧上; 在第一位置在目标船的墙壁上形成一个开口; 将目标容器的壁外的开口插入目标容器的内腔中; 在与第一位置间隔开的目标血管壁上形成切口; 并将移植血管连接到目标血管。

8. 发明申请

US20070233164A1 Surgical Staple for Anastomosis 有权
标题翻译：手术吻合吻合术
公开(公告)号：US20070233164A1
公开(公告)日：2007-10-04
申请号：US11759319
申请日：2007-06-07
申请人： Theodore Bender , David Bombard , Philipe Manoux , Tenny Chang , Jaime Vargas , Bryan Knodel
发明人： Theodore Bender , David Bombard , Philipe Manoux , Tenny Chang , Jaime Vargas , Bryan Knodel
IPC分类号： A61B17/11
CPC分类号： A61B17/0644 , A61B17/0684 , A61B17/11 , A61B17/115 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135
摘要： A surgical staple for connecting two tubular tissue structures may include a substantially rectangular base having a first edge and a second edge substantially parallel to one another, and a third edge substantially perpendicular to the first and said second edges; and may also include at least three deformable tines extending from the first and second edges of said base; where no tine that extends from the first edge may be positioned at substantially the same distance from the third edge as any said tine that extends from the second edge; and where deformation of the tines secures the tubular tissue structures together.
摘要翻译：用于连接两个管状组织结构的外科手术钉可以包括基本上矩形的基部，其具有基本上彼此平行的第一边缘和第二边缘，以及基本上垂直于第一边缘和所述第二边缘的第三边缘; 并且还可以包括从所述基座的第一和第二边缘延伸的至少三个可变形齿; 其中没有从第一边缘延伸的齿可以定位成与从第二边缘延伸的任何所述齿大致相距离第三边缘; 并且其中尖齿的变形将管状组织结构固定在一起。

9. 发明申请

US20080114397A1 Method for Closing an Opening in Tissue With a Splayable Staple 有权
标题翻译：用可折叠钉子封闭组织开口的方法
公开(公告)号：US20080114397A1
公开(公告)日：2008-05-15
申请号：US12013334
申请日：2008-01-11
申请人： Theodore Bender , Zachary Warder-Gabaldon , Matthew Newell , Bernard Hausen , Brian DuBois , Bryan Knodel
发明人： Theodore Bender , Zachary Warder-Gabaldon , Matthew Newell , Bernard Hausen , Brian DuBois , Bryan Knodel
IPC分类号： A61B17/064
CPC分类号： A61B17/0684 , A61B17/0057 , A61B17/0644 , A61B17/10 , A61B2017/00243 , A61B2017/00637 , A61B2017/00668
摘要： One method for closing an opening in tissue may include providing a substantially continuous solid staple having a plurality of tines and a longitudinal centerline, plastically deforming the staple to a splayed configuration; penetrating at least one tine into tissue in proximity to the opening; and plastically deforming the staple to a closed configuration. Another method for closing an opening in tissue may include providing a staple having a plurality of tines; plastically deforming the staple to a splayed configuration by applying force in the distal direction against a proximal surface of the staple; penetrating at least one tine into tissue in proximity to the opening; and plastically deforming the staple from the splayed configuration to a closed configuration by applying force in the distal direction against a proximal surface of the staple.
摘要翻译：用于关闭组织中的开口的一种方法可以包括提供具有多个尖齿和纵向中心线的基本上连续的实心短纤维，使订书钉塑形地变形成张开的构型; 将至少一个刺入到靠近开口的组织中; 并将钉子塑形变形成闭合构型。关闭组织中的开口的另一种方法可以包括提供具有多个齿的钉; 通过在远侧方向上施加相对于钉的近端表面的力，将钉子塑性变形成张开的构型; 将至少一个刺入到靠近开口的组织中; 并且通过在远侧方向上施加相对于钉的近端表面的力，将钉从张开形状塑造变形为闭合构型。

10. 发明申请

US20080093414A1 Heart defect closure apparatus 失效
标题翻译：心脏缺陷闭合装置
公开(公告)号：US20080093414A1
公开(公告)日：2008-04-24
申请号：US11953791
申请日：2007-12-10
申请人： Theodore Bender , Zachary Warder-Gabaldon , Matthew Newell , Bernard Hausen , Brian DuBois , Bryan Knodel
发明人： Theodore Bender , Zachary Warder-Gabaldon , Matthew Newell , Bernard Hausen , Brian DuBois , Bryan Knodel
IPC分类号： A61B17/068
CPC分类号： A61B17/0684 , A61B17/0057 , A61B17/0644 , A61B17/10 , A61B2017/00243 , A61B2017/00637 , A61B2017/00668
摘要： An exemplary medical apparatus insertable into the vasculature of a patient at an insertion point for treating a defect in the heart, may include an elongated, flexible driver sufficient in length to extend from the insertion point to the defect in the heart; and a staple frangibly attached to the distal end of the driver. Another exemplary medical apparatus may include a catheter sufficient in length to extend from the insertion point to the patent foramen ovale; a housing attached to the distal end of the catheter; a driver extending into the housing; and a staple frangibly attached to the driver. Another exemplary medical apparatus may include a steering catheter sufficient in length to extend from the insertion point to the patent foramen ovale; an end effector attached to the distal end of the steering catheter, the end effector having a cross-section sufficiently small to allow it to be moved through the vasculature to the patent foramen ovale; and a staple held by the end effector, wherein the staple is frangibly separable from and deployable out of the end effector to close the patent foramen ovale.
摘要翻译：在插入点处可插入患者脉管系统中以治疗心脏缺陷的示例性医疗装置可以包括长度足以从插入点延伸到心脏缺陷的细长柔性驱动器; 以及可滑动地附接到驾驶员的远端的钉子。另一示例性医疗装置可以包括长度足以从插入点延伸到卵孔卵泡的专利的导管; 附接到所述导管的远端的壳体; 司机延伸到房屋内; 和一个易碎的司机的钥匙。另一个示例性的医疗设备可以包括足够长度的转导导管，以从插入点延伸到卵孔的专利; 附接到转向导管的远端的末端执行器，末端执行器具有足够小的横截面以允许其移动通过脉管系统到卵孔的专利; 以及由末端执行器保持的订书钉，其中所述订书钉从所述末端执行器可分离和可部署，以封闭所述卵孔的专利。

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