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1. 发明申请

US20100210916A1 Surgical Instruments for Accessing and Stabilizing a Localized Portion of a Beating Heart 审中-公开
标题翻译：用于获取和稳定打击心脏的局部化部分的手术器械
公开(公告)号：US20100210916A1
公开(公告)日：2010-08-19
申请号：US12768414
申请日：2010-04-27
申请人： Lawrence W. Hu , David J. Paul , Eugene Edward Reis , Harry Leonard Green, II , Joshua K. Wallin , Morejohn P. Dwight , Charles S. Taylor , Gary B. Weller , Richard M. Ferrari
发明人： Lawrence W. Hu , David J. Paul , Eugene Edward Reis , Harry Leonard Green, II , Joshua K. Wallin , Morejohn P. Dwight , Charles S. Taylor , Gary B. Weller , Richard M. Ferrari
IPC分类号： A61B1/32
CPC分类号： A61B17/0206 , A61B17/0483 , A61B90/50 , A61B2017/0243 , Y10T403/32024 , Y10T403/32032
摘要： Surgical devices for stabilizing the heart are disclosed which facilitate anastomosis under beating heart conditions. Various instruments or devices may be maneuvered and secured on a retractor device to provide stabilization of the heart. An instrument mount is provided which is preferably configured to accept a surgical instrument, such as a tissue stabilizer, and to allow the instrument to be easily maneuvered to a desired position and subsequently locked into position with a simple operation of a single locking actuator. Further disclosed are stabilizer devices each having at least one surface for contacting the heart and each being adapted to be mounted to the retractor while having the ability to be positioned in the desired location against the heart.
摘要翻译：公开了用于稳定心脏的手术装置，其用于在跳动的心脏状况下进行吻合。各种仪器或装置可以被操纵并固定在牵开装置上以提供心脏的稳定。提供了一种仪器座，其优选地被配置为接受诸如组织稳定器的手术器械，并且允许器械容易地操纵到期望位置，并随后通过单个锁定致动器的简单操作而被锁定到位。进一步公开的是稳定器装置，每个装置具有至少一个用于接触心脏的表面，并且每个表面适于安装到牵开器，同时具有相对于心脏定位在所需位置的能力。

2. 发明授权

US09498198B2 Surgical instruments for accessing and stabilizing a localized portion of a beating heart 有权
标题翻译：用于进入和稳定跳动心脏的局部部分的手术器械
公开(公告)号：US09498198B2
公开(公告)日：2016-11-22
申请号：US12768414
申请日：2010-04-27
申请人： Lawrence W. Hu , David J. Paul , Eugene Edward Reis , Harry Leonard Green, II , Joshua K. Wallin , Morejohn P. Dwight , Charles S. Taylor , Gary B. Weller , Richard M. Ferrari
发明人： Lawrence W. Hu , David J. Paul , Eugene Edward Reis , Harry Leonard Green, II , Joshua K. Wallin , Morejohn P. Dwight , Charles S. Taylor , Gary B. Weller , Richard M. Ferrari
IPC分类号： A61B17/02 , A61B17/04
CPC分类号： A61B17/0206 , A61B17/0483 , A61B90/50 , A61B2017/0243 , Y10T403/32024 , Y10T403/32032
摘要： Surgical devices for stabilizing the heart are disclosed which facilitate anastomosis under beating heart conditions. Various instruments or devices may be maneuvered and secured on a retractor device to provide stabilization of the heart. An instrument mount is provided which is preferably configured to accept a surgical instrument, such as a tissue stabilizer, and to allow the instrument to be easily maneuvered to a desired position and subsequently locked into position with a simple operation of a single locking actuator. Further disclosed are stabilizer devices each having at least one surface for contacting the heart and each being adapted to be mounted to the retractor while having the ability to be positioned in the desired location against the heart.
摘要翻译：公开了用于稳定心脏的手术装置，其用于在跳动的心脏状况下进行吻合。各种仪器或装置可以被操纵并固定在牵开装置上以提供心脏的稳定。提供了一种仪器座，其优选地被配置为接受诸如组织稳定器的手术器械，并且允许器械容易地操纵到期望位置，并随后通过单个锁定致动器的简单操作而被锁定到位。进一步公开的是稳定器装置，每个装置具有至少一个用于接触心脏的表面，并且每个表面适于安装到牵开器，同时具有相对于心脏定位在所需位置的能力。

3. 发明授权

US07736307B2 Surgical instruments for accessing and stabilizing a localized portion of a beating heart 有权
标题翻译：用于进入和稳定跳动心脏的局部部分的手术器械
公开(公告)号：US07736307B2
公开(公告)日：2010-06-15
申请号：US10734353
申请日：2003-12-12
申请人： Lawrence W. Hu , David J. Paul , Eugene Edward Reis , Harry Leonard Green, II , Joshua K. Wallin , Morejohn P. Dwight , Charles S. Taylor , Gary B. Weller , Richard M. Ferrari
发明人： Lawrence W. Hu , David J. Paul , Eugene Edward Reis , Harry Leonard Green, II , Joshua K. Wallin , Morejohn P. Dwight , Charles S. Taylor , Gary B. Weller , Richard M. Ferrari
IPC分类号： A61B1/32
CPC分类号： A61B17/0206 , A61B17/0483 , A61B90/50 , A61B2017/0243 , Y10T403/32024 , Y10T403/32032
摘要： Surgical devices for stabilizing the heart are disclosed which facilitate anastomosis under beating heart conditions. Various instruments or devices may be maneuvered and secured on a retractor device to provide stabilization of the heart. An instrument mount is provided which is preferably configured to accept a surgical instrument, such as a tissue stabilizer, and to allow the instrument to be easily maneuvered to a desired position and subsequently locked into position with a simple operation of a single locking actuator. Further disclosed are stabilizer devices each having at least one surface for contacting the heart and each being adapted to be mounted to the retractor while having the ability to be positioned in the desired location against the heart.
摘要翻译：公开了用于稳定心脏的手术装置，其用于在跳动的心脏状况下进行吻合。各种仪器或装置可以被操纵并固定在牵开装置上以提供心脏的稳定。提供了一种仪器座，其优选地被配置为接受诸如组织稳定器的手术器械，并且允许器械容易地操纵到期望位置，并随后通过单个锁定致动器的简单操作而被锁定到位。进一步公开的是稳定器装置，每个装置具有至少一个用于接触心脏的表面，并且每个表面适于安装到牵开器，同时具有相对于心脏定位在所需位置的能力。

4. 发明授权

US06685632B1 Surgical instruments for accessing and stabilizing a localized portion of a beating heart 有权
标题翻译：用于进入和稳定跳动心脏的局部部分的手术器械
公开(公告)号：US06685632B1
公开(公告)日：2004-02-03
申请号：US09958263
申请日：2002-03-06
申请人： Lawrence W. Hu , David J. Paul , Eugene Edward Reis , Harry Leonard II Green , Joshua K. Wallin , Dwight P. Morejohn , Charles S. Taylor , Gary B. Weller , Richard M. Ferrari
发明人： Lawrence W. Hu , David J. Paul , Eugene Edward Reis , Harry Leonard II Green , Joshua K. Wallin , Dwight P. Morejohn , Charles S. Taylor , Gary B. Weller , Richard M. Ferrari
IPC分类号： A61B1700
CPC分类号： A61B17/0206 , A61B17/0483 , A61B90/50 , A61B2017/0243 , Y10T403/32024 , Y10T403/32032
摘要： Surgical devices for stabilizing the heart which facilitate anastomosis under beating heart conditions. Various instruments or devices may be maneuvered and secured on a retractor device to provide stabilization of the heart. An instrument mount is provided which is preferably configured to accept a surgical instrument, such as a tissue stabilizer, and to allow the instrument to be easily maneuvered to a desired position and subsequently locked into position. Stabilizer devices each having at least one surface for contacting the heart and each being adapted to be mounted to the retractor while having the ability to be positioned in the desired location against the heart are provided.
摘要翻译：用于稳定心脏的手术装置，其便于在心跳状态下吻合。各种仪器或装置可以被操纵并固定在牵开装置上以提供心脏的稳定。提供了一种仪器座，其优选地被配置为接受外科器械，例如组织稳定器，并且允许器械容易地操纵到期望的位置并随后锁定到位。提供了每个具有用于接触心脏的至少一个表面的每个稳定器装置，并且每个表面适于安装到牵开器，同时具有抵抗心脏定位在所需位置的能力。

5. 发明授权

US07238155B2 Method and apparatus for creating a working opening through an incision 有权
标题翻译：通过切口创建工作开口的方法和装置
公开(公告)号：US07238155B2
公开(公告)日：2007-07-03
申请号：US10669524
申请日：2003-09-23
申请人： Lawrence W. Hu , David J. Paul , Eugene Edward Reis , Harry Leonard Green, II
发明人： Lawrence W. Hu , David J. Paul , Eugene Edward Reis , Harry Leonard Green, II
IPC分类号： A61B17/02
CPC分类号： A61B17/0206 , A61B17/0483 , A61B90/50 , A61B2017/0243
摘要： In accordance with the present invention, there is disclosed surgical methods and apparatus for accessing and stabilizing the heart. The methods and apparatus facilitate access to an anastomosis site, allows various instruments or devices to be maneuvered and secured in place, and provide stabilization of the heart. In particular, the apparatus involves a retractor assembly having a pair of opposing blades having a channel adapted to engage an incision in a patient. The retractor blades may have features to cooperatively engage an instrument mount. The instrument mount may hold an instrument, such as a tissue stabilizer, and allows the instrument to be easily maneuvered. The retractor blades may have a number of suture locks for securing sutures used during surgery. The retractor system is particularly useful in accessing, positioning and stabilizing the beating heart for coronary artery bypass graft surgery.
摘要翻译：根据本发明，公开了用于进入和稳定心脏的手术方法和装置。该方法和设备便于进入吻合部位，允许各种仪器或装置被操纵并固定到位，并提供心脏的稳定。特别地，该装置涉及一种牵开器组件，其具有一对相对的刀片，该刀片具有适于接合病人切口的通道。牵开器叶片可具有配合地接合仪器座的特征。仪器安装座可以固定仪器，如组织稳定器，并允许仪器轻松操纵。牵开器叶片可以具有多个缝合线锁，用于固定手术期间使用的缝合线。牵开器系统在进入，定位和稳定用于冠状动脉旁路移植手术的搏动心脏方面特别有用。

6. 发明授权

US06652454B2 Method and apparatus for creating a working opening through an incision 有权
标题翻译：通过切口创建工作开口的方法和装置
公开(公告)号：US06652454B2
公开(公告)日：2003-11-25
申请号：US09758521
申请日：2001-01-10
申请人： Lawrence W. Hu , David J. Paul , Eugene Edward Reis , Harry Leonard Green, II
发明人： Lawrence W. Hu , David J. Paul , Eugene Edward Reis , Harry Leonard Green, II
IPC分类号： A61B1702
CPC分类号： A61B17/0206 , A61B17/0483 , A61B90/50 , A61B2017/0243
摘要： In accordance with the present invention, there is disclosed surgical methods and apparatus for accessing and stabilizing the heart. The methods and apparatus facilitate access to an anastomosis site, allows various instruments or devices to be maneuvered and secured in place, and provide stabilization of the heart. In particular, the apparatus involves a retractor assembly having a pair of opposing blades having a channel adapted to engage an incision in a patient. The retractor blades may have features to cooperatively engage an instrument mount. The instrument mount may hold an instrument, such as a tissue stabilizer, and allows the instrument to be easily maneuvered. The retractor blades may have a number of suture locks for securing sutures used during surgery. The retractor system is particularly useful in accessing, positioning and stabilizing the beating heart for coronary artery bypass graft surgery.
摘要翻译：根据本发明，公开了用于进入和稳定心脏的手术方法和装置。该方法和设备便于进入吻合部位，允许各种仪器或装置被操纵并固定到位，并提供心脏的稳定。特别地，该装置涉及一种牵开器组件，其具有一对相对的刀片，该刀片具有适于接合病人切口的通道。牵开器叶片可具有配合地接合仪器座的特征。仪器安装座可以固定仪器，如组织稳定器，并允许仪器轻松操纵。牵开器叶片可以具有多个缝合线锁，用于固定手术期间使用的缝合线。牵开器系统在进入，定位和稳定用于冠状动脉旁路移植手术的搏动心脏方面特别有用。

7. 发明授权

US06331158B1 Surgical retractor apparatus for operating on the heart through an incision 有权
标题翻译：用于通过切口在心脏上操作的手术牵开器装置
公开(公告)号：US06331158B1
公开(公告)日：2001-12-18
申请号：US09305810
申请日：1999-05-04
申请人： Lawrence W. Hu , David J. Paul , Eugene Edward Reis , Harry Leonard Green, II
发明人： Lawrence W. Hu , David J. Paul , Eugene Edward Reis , Harry Leonard Green, II
IPC分类号： A61B1702
CPC分类号： A61B17/0206 , A61B17/0483 , A61B90/50 , A61B2017/0243
摘要： Surgical methods and apparatus for accessing and stabilizing the heart. The methods and apparatus facilitate access to an anastomosis site, allow various instruments or devices to be maneuvered and secured in place, and provide stabilization of the heart. In particular, the apparatus involves a retractor assembly having a pair of opposing blades having a channel adapted to engage an incision in a patient. The retractor blades may have features to cooperatively engage an instrument mount. The retractor blades may have a number of suture locks for securing sutures used during surgery. The retractor system is particularly useful in accessing, positioning and stabilizing the beating heart for coronary artery bypass graft surgery.
摘要翻译：用于获取和稳定心脏的手术方法和装置。所述方法和装置便于进入吻合部位，允许各种仪器或装置被操纵并固定到位，并提供心脏的稳定。特别地，该装置涉及一种牵开器组件，其具有一对相对的刀片，该刀片具有适于接合病人切口的通道。牵开器叶片可具有配合地接合仪器座的特征。牵开器叶片可以具有多个缝合线锁，用于固定手术期间使用的缝合线。牵开器系统在进入，定位和稳定用于冠状动脉旁路移植手术的搏动心脏方面特别有用。

8. 发明授权

US06231506B1 Method and apparatus for creating a working opening through an incision 有权
标题翻译：通过切口创建工作开口的方法和装置
公开(公告)号：US06231506B1
公开(公告)日：2001-05-15
申请号：US09305803
申请日：1999-05-04
申请人： Lawrence W. Hu , David J. Paul , Eugene Edward Reis , Harry Leonard Green, II
发明人： Lawrence W. Hu , David J. Paul , Eugene Edward Reis , Harry Leonard Green, II
IPC分类号： A61B1702
CPC分类号： A61B17/0206 , A61B17/0483 , A61B90/50 , A61B2017/0243
摘要： In accordance with the present invention, there is disclosed surgical methods and apparatus for accessing and stabilizing the heart. The methods and apparatus facilitate access to an anastomosis site, allows various instruments or devices to be maneuvered and secured in place, and provide stabilization of the heart. In particular, the apparatus involves a retractor assembly having a pair of opposing blades having a channel adapted to engage an incision in a patient. The retractor blades may have features to cooperatively engage an instrument mount. The instrument mount may hold an instrument, such as a tissue stabilizer, and allows the instrument to be easily maneuvered. The retractor blades may have a number of suture locks for securing sutures used during surgery. The retractor system is particularly useful in accessing, positioning and stabilizing the beating heart for coronary artery bypass graft surgery.
摘要翻译：根据本发明，公开了用于进入和稳定心脏的手术方法和装置。该方法和设备便于进入吻合部位，允许各种仪器或装置被操纵并固定到位，并提供心脏的稳定。特别地，该装置涉及一种牵开器组件，其具有一对相对的刀片，该刀片具有适于接合病人切口的通道。牵开器叶片可具有配合地接合仪器座的特征。仪器安装座可以固定仪器，如组织稳定器，并允许仪器轻松操纵。牵开器叶片可以具有多个缝合线锁，用于固定手术期间使用的缝合线。牵开器系统在进入，定位和稳定用于冠状动脉旁路移植手术的搏动心脏方面特别有用。

9. 发明授权

US06283912B1 Surgical retractor platform blade apparatus 有权
标题翻译：手术牵开器刀片装置
公开(公告)号：US06283912B1
公开(公告)日：2001-09-04
申请号：US09305811
申请日：1999-05-04
申请人： Lawrence W. Hu , David J. Paul , Eugene Edward Reis , Harry Leonard Green, II
发明人： Lawrence W. Hu , David J. Paul , Eugene Edward Reis , Harry Leonard Green, II
IPC分类号： A61B1702
CPC分类号： A61B17/0206 , A61B17/02 , A61B17/0483 , A61B90/50 , A61B90/57 , A61B2017/0243
摘要： In accordance with the present invention, there is disclosed surgical methods and apparatus for accessing and stabilizing the heart. The methods and apparatus facilitate access to an anastomosis site, allows various instruments or devices to be maneuvered and secured in place, and provide stabilization of the heart. In particular, the apparatus involves a retractor apparatus having one or more opposing blades having a channel adapted to engage an incision in a patient. The retractor blades may have features to cooperatively engage an instrument mount. The instrument mount preferably is configured to hold an instrument, such as a tissue stabilizer, and allows the instrument to be easily maneuvered. The retractor blades may have a number of suture locks for securing sutures used during surgery. The retractor system is particularly useful in accessing, positioning and stabilizing the beating heart for coronary artery bypass graft surgery.
摘要翻译：根据本发明，公开了用于进入和稳定心脏的手术方法和装置。该方法和设备便于进入吻合部位，允许各种仪器或装置被操纵并固定到位，并提供心脏的稳定。特别地，该装置涉及具有一个或多个相对的叶片的牵开器装置，其具有适于接合病人切口的通道。牵开器叶片可具有配合地接合仪器座的特征。仪器安装件优选地构造成保持仪器，例如组织稳定器，并且允许仪器容易地操纵。牵开器叶片可以具有多个缝合线锁，用于固定手术期间使用的缝合线。牵开器系统在进入，定位和稳定用于冠状动脉旁路移植手术的搏动心脏方面特别有用。

10. 发明授权

US06626830B1 Methods and devices for improved tissue stabilization 有权
标题翻译：改善组织稳定的方法和装置
公开(公告)号：US06626830B1
公开(公告)日：2003-09-30
申请号：US09452760
申请日：1999-12-01
申请人： Antonio Califiore , David J. Paul , Eugene Edward Reis , Harry Leonard Green, II
发明人： Antonio Califiore , David J. Paul , Eugene Edward Reis , Harry Leonard Green, II
IPC分类号： A61B1702
CPC分类号： A61B17/0206 , A61B17/0483 , A61B90/50 , A61B2017/0243 , A61B2090/508
摘要： Devices and methods are disclosed for accessing and stabilizing an unstable or moving tissue structure within a patient's body, and in particular, for temporarily stabilizing a target site on the beating heart. The devices generally involve tissue stabilizers having at least one multiple link support member operably connecting a stabilizer foot to a retractor. To minimize motion at the stabilizer foot and improve overall stabilization of the target site, the tissue stabilizer may involve the a stabilizer foot having multiple support members connected to the stabilizer foot at discreet locations. To improve the ability of an instrument support member to be easily articulated through an access incision to position the stabilizer foot as desired, the instrument support member may be operable associated with an attachment or mount which provides additional degrees of freedom at the connection to the retractor. A mount construction is disclosed that allows the support member and the articulating mount to be locked using a single knob.
摘要翻译：公开了用于访问和稳定患者身体内的不稳定或移动的组织结构的装置和方法，并且特别地，用于临时稳定跳动心脏上的目标部位。装置通常涉及具有至少一个多个连杆支撑构件的组织稳定器，其可操作地将稳定器脚连接到牵开器。为了最小化稳定器脚部的运动并改善目标部位的整体稳定性，组织稳定器可以包括具有多个支撑构件的稳定器脚，该支撑构件在谨慎的位置处连接到稳定器脚。为了提高仪器支撑构件通过通道切口容易地铰接以便根据需要定位稳定器脚的能力，仪器支撑构件可以与附接或安装件相关联，该连接件或安装件在与牵开器的连接处提供附加的自由度。公开了一种安装结构，其允许使用单个旋钮锁定支撑构件和铰接座。

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