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1. 发明授权

US07722632B2 Surgical suture holding device 有权
标题翻译：手术缝合保持装置
公开(公告)号：US07722632B2
公开(公告)日：2010-05-25
申请号：US10435236
申请日：2003-05-09
申请人： Paul T. Rothstein , Paul Pignato , Thomas Daigle , Jack Goodman
发明人： Paul T. Rothstein , Paul Pignato , Thomas Daigle , Jack Goodman
IPC分类号： A61B17/04
CPC分类号： A61B17/06061 , A61B17/0483 , A61B90/50 , A61B2017/0237
摘要： A device for holding a surgical suture including a base, a guide body, a cam body, a bearing member, and a spring member. The base has a top side, a front edge, and a back edge. The guide body projects from the top side of the base and defines a guide face having an entrance side and an exit side. The entrance side is adjacent the front edge and the exit side is adjacent the back edge. The cam body is pivotally mounted to the top side and forms a toothed surface positioned to selectively secure a surgical suture against the guide face. The spring member is positioned between the cam body and the bearing member, biasing the toothed surface toward the guide face.
摘要翻译：一种用于保持包括基部，引导体，凸轮体，支承构件和弹簧构件的手术缝合线的装置。底座具有顶侧，前边缘和后边缘。引导体从基部的顶侧突出并且限定具有入口侧和出口侧的引导面。入口侧邻近前缘，出口侧邻近后缘。凸轮主体枢转地安装到顶侧并形成齿形表面，其被定位成选择性地将外科缝合线固定抵靠引导面。弹簧构件定位在凸轮本体和轴承构件之间，将齿形表面朝向引导面偏置。

2. 发明授权

US07083620B2 Electrosurgical hemostat 有权
公开(公告)号：US07083620B2
公开(公告)日：2006-08-01
申请号：US10621893
申请日：2003-07-17
申请人： Scott E. Jahns , David E. Francischelli , Alison A. Lutterman , James R. Keogh , Roderick E. Briscoe , William G. O'Neill , Jack Goodman , Tom P. Daigle , Paul T. Rothstein , Adam A. Podbelski , Stephen J Roddy , David J. S. Kim , Mark R. Bilitz
发明人： Scott E. Jahns , David E. Francischelli , Alison A. Lutterman , James R. Keogh , Roderick E. Briscoe , William G. O'Neill , Jack Goodman , Tom P. Daigle , Paul T. Rothstein , Adam A. Podbelski , Stephen J Roddy , David J. S. Kim , Mark R. Bilitz
IPC分类号： A61B18/18 , A61B17/28
CPC分类号： A61B18/1445 , A61B2018/1861
摘要： A hemostat-type device for ablative treatment of tissue, particularly for treatment of atrial fibrillation, is constructed with features that provide easy and effective treatment. A swiveling head assembly can allow the jaws to be adjusted in pitch and roll. Malleable jaws can permit curved lesion shapes. A locking detent can secure the jaws in a closed position during the procedure. An illuminated indicator provides confirmation that the device is operating. A fluid delivery system simplifies irrigated ablation procedures.

3. 发明授权

US09050129B2 Auto-closure apical access positioner device and method 有权
标题翻译：自动闭合顶针定位器装置及方法
公开(公告)号：US09050129B2
公开(公告)日：2015-06-09
申请号：US12750829
申请日：2010-03-31
申请人： Paul T. Rothstein , Alexander J. Hill , Michael J. Hobday , Michael M. Green , Paul A. Iaizzo
发明人： Paul T. Rothstein , Alexander J. Hill , Michael J. Hobday , Michael M. Green , Paul A. Iaizzo
IPC分类号： A61B17/34 , A61B17/064 , A61B17/068 , A61B19/00 , A61B17/00 , A61B17/30
CPC分类号： A61B17/3423 , A61B17/064 , A61B17/068 , A61B90/30 , A61B2017/00022 , A61B2017/00243 , A61B2017/00575 , A61B2017/306 , A61B2017/3425 , A61B2017/3488
摘要： A positioning device for providing access to a ventricle of a heart. In one embodiment, the device includes a cup positionable over an apex of the heart and at least a first access valve in the cup for accessing an entry point to the ventricle of the heart.
摘要翻译：一种用于提供对心脏心室的通路的定位装置。在一个实施例中，该装置包括可定位在心脏的顶点上方的杯子，以及杯中的至少第一进入阀，用于接近心脏心室的入口点。

4. 发明授权

US08449449B2 Methods and apparatus providing suction-assisted tissue engagement through a minimally invasive incision 有权
公开(公告)号：US08449449B2
公开(公告)日：2013-05-28
申请号：US12330033
申请日：2008-12-08
申请人： Philip J. Haarstad , Christopher P. Olig , Paul T. Rothstein , Michael J. Hobday , William A. Steinberg , David J. S. Kim , Thomas P. Daigle , Ann M. Thomas , Brian J. Ross , Steven C. Christian , Robert H. Reetz , Douglas H. Gubbin
发明人： Philip J. Haarstad , Christopher P. Olig , Paul T. Rothstein , Michael J. Hobday , William A. Steinberg , David J. S. Kim , Thomas P. Daigle , Ann M. Thomas , Brian J. Ross , Steven C. Christian , Robert H. Reetz , Douglas H. Gubbin
IPC分类号： A61F2/00
CPC分类号： A61M1/008 , A61B17/00234 , A61B17/0206 , A61B17/0218 , A61B17/8866 , A61B90/50 , A61B2017/00243 , A61B2017/0243 , A61B2017/306 , A61B2017/308
摘要： Suction-assisted tissue-engaging devices, systems, and methods are disclosed that can be employed through minimal surgical incisions to engage tissue during a medical procedure through application of suction to the tissue through a suction member applied to the tissue. A shaft is introduced into a body cavity through a first incision, and a suction head is attached to the shaft via a second incision. The suction head is applied against the tissue by manipulation of the shaft and suction is applied to engage the tissue while the medical procedure is performed through the second incision. A system coupled to the shaft and a fixed reference point stabilizes the shaft and suction head. When the medical procedure is completed, suction is discontinued, the suction head is detached from the shaft and withdrawn from the body cavity through the second incision, and the shaft is retracted through the first incision.

5. 发明授权

US07758580B2 Compound bipolar ablation device and method 失效
标题翻译：复合双极消融装置及方法
公开(公告)号：US07758580B2
公开(公告)日：2010-07-20
申请号：US11143400
申请日：2005-06-02
申请人： Paul T. Rothstein , Roderick E. Briscoe , David E. Francischelli , David J. S. Kim , Alison Lutterman
发明人： Paul T. Rothstein , Roderick E. Briscoe , David E. Francischelli , David J. S. Kim , Alison Lutterman
IPC分类号： A61B18/12
CPC分类号： A61B18/1442 , A61B2018/00363 , A61B2018/00375 , A61B2018/00577
摘要： Method and apparatus for ablating target tissue adjacent pulmonary veins of a patient. The ablation device can include a lower jaw assembly including a proximal jaw having a proximal electrode and a distal jaw having a distal electrode, and an upper jaw assembly including an upper jaw having an upper electrode. A proximal actuator can be movable between a first position in which the proximal jaw is open and a second position in which the proximal jaw is clamped with respect to the upper jaw. A distal actuator can be movable between a third position in which the distal jaw is open and a fourth position in which the distal jaw is clamped with respect to the upper jaw.
摘要翻译：用于消融患者的肺静脉附近的靶组织的方法和装置。消融装置可以包括下钳口组件，其包括具有近端电极的近端钳口和具有远端电极的远端钳口，以及包括具有上电极的上钳口的上钳口组件。近侧致动器可以在其中近端颚打开的第一位置和相对于上颚夹紧近端颌的第二位置之间移动。远端致动器可以在其中远侧钳口打开的第三位置和第二位置之间移动，在第四位置，远端钳口相对于上钳夹紧。

6. 发明授权

US07566334B2 Ablation device with jaws 有权
标题翻译：消融装置与下颚
公开(公告)号：US07566334B2
公开(公告)日：2009-07-28
申请号：US11142954
申请日：2005-06-02
申请人： Steven C. Christian , Paul T. Rothstein , Tom P. Daigle
发明人： Steven C. Christian , Paul T. Rothstein , Tom P. Daigle
IPC分类号： A61B18/18
CPC分类号： A61B18/1442 , A61B18/1492 , A61B2018/00363 , A61B2018/00375 , A61B2018/00577
摘要： System, device and method for ablating target tissue adjacent pulmonary veins of a patient through an incision. An ablation device can include a hinge including a cam assembly, a moving arm, a floating jaw, and a lower jaw. Fingers can engage the floating jaw to hold the floating jaw in a first position with respect to the moving arm. Some embodiments of the invention can provide an ablation device including a central support, an upper four-bar linkage coupled to the central support, an upper jaw coupled to the upper linkage, a lower four-bar linkage coupled to the central support, and a lower jaw coupled to the lower linkage. Some embodiments of the invention can provide an ablation device having an upper jaw including a first cannula connection and a lower jaw including a second cannula connection. The system can include a first catheter coupled to the first cannula connection and a second catheter coupled to the second cannula connection. The first and second catheters can be inserted through the incision and can move the upper and lower jaws adjacent the pulmonary veins.
摘要翻译：用于通过切口消融患者的肺静脉附近的靶组织的系统，装置和方法。消融装置可以包括铰链，其包括凸轮组件，移动臂，浮动夹爪和下颚。手指可以接合浮动的颚板将浮动颚部相对于移动臂保持在第一位置。本发明的一些实施例可以提供消融装置，其包括中央支撑件，联接到中心支撑件的上部四杆连接件，联接到上部连接件的上部钳口，联接到中心支撑件的下部四杆连杆，以及下颚连接到下连杆。本发明的一些实施例可以提供一种消融装置，其具有包括第一插管连接的上颚和包括第二插管连接的下颚。该系统可以包括耦合到第一插管连接的第一导管和耦合到第二插管连接的第二导管。第一和第二导管可以穿过切口插入并且能够移动邻近肺静脉的上下爪。

7. 发明授权

US07494460B2 Methods and apparatus providing suction-assisted tissue engagement through a minimally invasive incision 有权
标题翻译：通过微创切口提供吸力辅助组织接合的方法和装置
公开(公告)号：US07494460B2
公开(公告)日：2009-02-24
申请号：US10675815
申请日：2003-09-30
申请人： Philip J. Haarstad , Christopher P. Olig , Paul T. Rothstein , Michael J. Hobday , William J. Steinberg , David J. S. Kim , Thomas P. Daigle , Ann M. Thomas , Brian J. Ross , Steven C. Christian , Robert H. Reetz , Douglas H. Gubbin
发明人： Philip J. Haarstad , Christopher P. Olig , Paul T. Rothstein , Michael J. Hobday , William J. Steinberg , David J. S. Kim , Thomas P. Daigle , Ann M. Thomas , Brian J. Ross , Steven C. Christian , Robert H. Reetz , Douglas H. Gubbin
IPC分类号： A61F2/00
CPC分类号： A61M1/008 , A61B17/00234 , A61B17/0206 , A61B17/0218 , A61B17/8866 , A61B90/50 , A61B2017/00243 , A61B2017/0243 , A61B2017/306 , A61B2017/308
摘要： Suction-assisted tissue-engaging devices, systems, and methods are disclosed that can be employed through minimal surgical incisions to engage tissue during a medical procedure through application of suction to the tissue through a suction member applied to the tissue. A shaft is introduced into a body cavity through a first incision, and a suction head is attached to the shaft via a second incision. The suction head is applied against the tissue by manipulation of the shaft and suction is applied to engage the tissue while the medical procedure is performed through the second incision. A system coupled to the shaft and a fixed reference point stabilizes the shaft and suction head. When the medical procedure is completed, suction is discontinued, the suction head is detached from the shaft and withdrawn from the body cavity through the second incision, and the shaft is retracted through the first incision.
摘要翻译：公开了吸入辅助的组织接合装置，系统和方法，其可以通过最小的手术切口使用，以在医疗过程中通过通过施加到组织的抽吸构件向组织施加抽吸来接合组织。通过第一切口将轴引入体腔，并且通过第二切口将吸头附接到轴。通过操纵轴将吸头施加到组织上，并且在通过第二切口执行医疗程序时施加抽吸以接合组织。耦合到轴和固定参考点的系统稳定轴和抽吸头。当医疗程序完成时，停止抽吸，抽吸头从轴上分离并通过第二切口从体腔排出，并且轴通过第一切口缩回。

8. 发明授权

US07338434B1 Method and system for organ positioning and stabilization 有权
标题翻译：器官定位和稳定的方法和系统
公开(公告)号：US07338434B1
公开(公告)日：2008-03-04
申请号：US10643299
申请日：2003-08-19
申请人： Philip J. Haarstad , Christopher P. Olig , Paul T. Rothstein , Michael J. Hobday , David J. S. Kim , James R. Keogh
发明人： Philip J. Haarstad , Christopher P. Olig , Paul T. Rothstein , Michael J. Hobday , David J. S. Kim , James R. Keogh
IPC分类号： A61F2/00
CPC分类号： A61B17/0206 , A61B17/00234 , A61B17/8866 , A61B90/50 , A61B2017/00243 , A61B2017/0243 , A61B2017/306 , A61B2017/308
摘要： This invention provides a heart positioning device, method and system for positioning, manipulating, holding, grasping, immobilizing and/or stabilizing a heart. The heart positioning device may include a suction head and a shaft with a means for remotely changing the position of the head from a first position axially aligned with the shaft to a second, unaligned position and a sleeve slideably positioned on the shaft and sized to receive the suction head in a compressed condition.
摘要翻译：本发明提供了一种用于定位，操纵，保持，抓住，固定和/或稳定心脏的心脏定位装置，方法和系统。心脏定位装置可以包括抽吸头和轴，其具有用于远程地将头部的位置从与轴轴向对准的第一位置延伸到第二未对准位置的装置和可滑动地定位在轴上的套筒，吸头处于压缩状态。

9. 发明授权

US08998933B2 Surgical fastening clips, systems and methods for proximating tissue 有权
标题翻译：手术紧固夹，用于接近组织的系统和方法
公开(公告)号：US08998933B2
公开(公告)日：2015-04-07
申请号：US12039629
申请日：2008-02-28
申请人： Paul T. Rothstein , Cynthia T. Clague , Michael M. Green , Damian A. Jelich , Eric A. Meyer , Mark T. Stewart , Chris M. Coppin , Rany Huynh , Mark W. Torrianni , Asha S. Nayak , John R. Liddicoat , Timothy G. Laske
发明人： Paul T. Rothstein , Cynthia T. Clague , Michael M. Green , Damian A. Jelich , Eric A. Meyer , Mark T. Stewart , Chris M. Coppin , Rany Huynh , Mark W. Torrianni , Asha S. Nayak , John R. Liddicoat , Timothy G. Laske
IPC分类号： A61B17/10 , A61B17/00 , A61B17/064 , A61B17/08
CPC分类号： A61B17/0057 , A61B17/068 , A61B2017/00243 , A61B2017/00575 , A61B2017/00623 , A61B2017/00867 , A61B2017/0649 , A61B2017/081
摘要： A surgical fastener clip for proximating tissue, the clip providing an undeflected state in which the clip comprises a center portion, a first leg, and a second leg. The center portion has a perimeter defining a circle-like shape. The legs project outwardly relative to the perimeter from a point of departure to a tip. Extension of each of the legs relative to the perimeter defines an identical wind direction that is either clockwise or counterclockwise. The clip optionally includes a linear cross-member extending across the perimeter. The surgical clip can be formed by a wire that is partially wound onto itself in a spiral-like fashion, with the center portion and the legs being co-planar in the undeflected state. During use, the clip is rotated, drawing tissue into the center portion. Systems incorporating the clip are also provided.
摘要翻译：一种用于接近组织的手术紧固夹，所述夹提供未偏转状态，其中所述夹包括中心部分，第一腿部和第二腿部。中心部分具有限定圆形形状的周长。腿从出发点到尖端相对于周边向外突出。每个腿相对于周边的延伸限定了顺时针或逆时针方向相同的风向。夹子可选地包括跨越周边延伸的线性横向构件。手术夹可以由线形成，该线以螺旋状的方式部分地缠绕在自身上，其中心部分和腿在非偏转状态下是共面的。在使用过程中，夹子旋转，将纸巾拉入中心部分。还提供了结合夹子的系统。

10. 发明授权

US08926635B2 Methods and devices for occlusion of an atrial appendage 有权
标题翻译：用于闭塞心房的方法和装置
公开(公告)号：US08926635B2
公开(公告)日：2015-01-06
申请号：US12572846
申请日：2009-10-02
申请人： David E. Francischelli , Roderick E. Briscoe , Leonard H. Leuer , Daniel C. Haeg , Tom P. Daigle , David Kim , Mark T. Stewart , Andrew L. Olson , Patrick J. Cloutier , Christopher W. Smith , Michael J. Hobday , Tessy Kanayinkal , Douglas H. Gubbin , Paul T. Rothstein , Joseph E. Cardinal , Jessica L. Foley , Christopher J. Plott
发明人： David E. Francischelli , Roderick E. Briscoe , Leonard H. Leuer , Daniel C. Haeg , Tom P. Daigle , David Kim , Mark T. Stewart , Andrew L. Olson , Patrick J. Cloutier , Christopher W. Smith , Michael J. Hobday , Tessy Kanayinkal , Douglas H. Gubbin , Paul T. Rothstein , Joseph E. Cardinal , Jessica L. Foley , Christopher J. Plott
IPC分类号： A61B17/12 , A61B17/128 , A61B17/00
CPC分类号： A61B17/12 , A61B17/12009 , A61B17/1285 , A61B2017/00243 , A61B2017/12018
摘要： A novel occluder application and clip device for treatment of embolic stroke caused by atrial fibrillation uses multiple sutures in a non directional handle to affix the occlusion device to the applicator and manipulate the occluder from an open and receiving position to a closed and occluding position. The occluder is retained in place by a clamping means related to locks retainers, resilient material or otherwise. An actuator mechanism is used to manipulate the occluder to a locked or occluding position. The applicator with the occluder attached has a low profile and remote manipulations to allow the occluder to be delivered to the clamping location within a patient through a small incision or delivery port such as a trocar cannula or the like.
摘要翻译：用于治疗由心房颤动引起的栓塞性中风的新型闭塞器应用和夹持装置在非方向性手柄中使用多个缝线以将闭塞装置固定到施用器上，并将闭塞器从打开和接收位置操纵到闭合和闭塞位置。封闭器通过与锁定件，弹性材料或其他方式相关的夹紧装置保持在适当的位置。致动器机构用于将闭塞器操纵到锁定或闭塞位置。具有闭塞器的施用器具有低轮廓和远程操作，以允许阻塞器通过诸如套管针插管等的小切口或输送口输送到患者体内的夹紧位置。

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