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1. 发明授权

US6165196A Perfusion-occlusion apparatus 失效
标题翻译：灌注闭塞装置
公开(公告)号：US6165196A
公开(公告)日：2000-12-26
申请号：US161067
申请日：1998-09-25
申请人： Richard S. Stack , Francis G. Duhaylongsod , Harry R. Phillips, III , Troy Chapman , Michael Hogendijk , Hugh L. Narciso, Jr.
发明人： Richard S. Stack , Francis G. Duhaylongsod , Harry R. Phillips, III , Troy Chapman , Michael Hogendijk , Hugh L. Narciso, Jr.
IPC分类号： A61B17/11 , A61F2/06 , A61M29/02 , A61M29/00
CPC分类号： A61B17/11 , A61F2/064 , A61M2025/1052 , A61M2025/1097
摘要： A perfusion-occlusion catheter provides an occluded region in a vessel to facilitate, for example, an anastomosis in the region, while providing a path for perfusing fluid (blood) through the path for delivery in the vessel downstream from the occluded region. According to one aspect of the invention, at least a portion of the catheter that effects vessel occlusion comprises a shield that when exposed to suture needles or like piercing instruments deflects or resists perforation.
摘要翻译：灌注闭塞导管在血管中提供封闭区域，以促进例如该区域的吻合，同时提供通过路径灌注流体（血液）的路径以在封闭区域下游的血管输送。根据本发明的一个方面，导管的至少一部分实现血管闭塞包括一个屏蔽，当暴露于缝合针或类似的穿刺器械偏转或抵抗穿孔时。

2. 发明授权

US6095997A Intraluminal shunt and methods of use 失效
标题翻译：管腔内分流及使用方法
公开(公告)号：US6095997A
公开(公告)日：2000-08-01
申请号：US034849
申请日：1998-03-04
申请人： Fritz French , Hugh L. Narciso, Jr. , Troy Chapman , Mike Hogendijk
发明人： Fritz French , Hugh L. Narciso, Jr. , Troy Chapman , Mike Hogendijk
IPC分类号： A61B17/00 , A61M39/02 , A61M39/10 , A61M5/00 , A61F2/04 , A61M5/178 , A61M11/00 , A61M29/00
CPC分类号： A61M1/3653 , A61M39/02 , A61B17/00234
摘要： The present invention is directed to intraluminal shunt devices and methods of their use for delivering a drug or other fluid to a target vessel of a patient while also maintaining perfusion of blood through the vessel to reduce ischemia downstream of the vessel. The intraluminal shunt devices may generally include a primary elongate tubular member that is sized and dimensioned to be inserted into the target vessel, such as the right coronary artery. The primary tubular member includes at least one inner lumen which permits blood perfusion through the vessel. At least one secondary tubular member is provided which is in fluid communication with the primary tubular member. The secondary tubular member may be configured for drug or fluid delivery through the primary tubular member and into the vessel in either an anterograde or retrograde direction. Methods of using shunt devices are also described which generally include making an incision in the target vessel, inserting the proximal and distal ends of the primary tubular member into the target vessel via the incision, and selectively delivering the drug or fluid in either an anterograde or retrograde direction through the primary tubular member and into the vessel.
摘要翻译：本发明涉及腔内分流装置及其用于将药物或其它流体递送至患者的靶容器的方法，同时还保持血液通过血管的灌注以减少血管下游的缺血。管腔内分流装置通常可以包括主细长管状构件，其尺寸和尺寸被设计成插入目标血管，例如右冠状动脉。主管状构件包括允许血液灌注通过血管的至少一个内腔。提供至少一个次级管状构件，其与主管状构件流体连通。次级管状构件可以被配置用于通过主管状构件的药物或流体输送并且以顺行或逆行方向进入容器。还描述了使用分流装置的方法，其通常包括在靶容器中进行切口，通过切口将初级管状构件的近端和远端插入靶容器中，并且选择性地将药物或流体递送到顺行或顺行逆行方向通过主管状构件并进入血管。

3. 发明申请

US20050004570A1 Electrosurgical instrument which reduces thermal damage to adjacent tissue 有权
标题翻译：减少对相邻组织的热损伤的电外科手术器械
公开(公告)号：US20050004570A1
公开(公告)日：2005-01-06
申请号：US10834764
申请日：2004-04-29
申请人： Troy Chapman , Chelsea Shields , David Schechter
发明人： Troy Chapman , Chelsea Shields , David Schechter
IPC分类号： A61B20060101 , A61B18/00 , A61B18/14 , A61B18/18
CPC分类号： A61B18/1442 , A61B18/1445 , A61B2018/00023 , A61B2018/00047 , A61B2018/0063 , A61B2018/146
摘要： An electrode sealing assembly for use in combination with an electrosurgical instrument includes first and second jaw members which are movable from a first, spaced-apart position to a second position to grasp tissue. Each of the jaw members includes an insulative housing, a thermally conductive, electrically non-conductive material and a sealing plate. The insulative housing has a series of electromechanical interfaces which mate with a corresponding series of electromechanical interfaces which extend from the sealing plate such that the sealing plates are a capable of conducting bipolar energy through tissue held between the jaw members. The thermally conductive, electrically non-conductive material is configured to encapsulate and secure the sealing plate to the insulative housing.
摘要翻译：用于与电外科器械组合使用的电极密封组件包括第一和第二钳口构件，其可从第一间隔位置移动到第二位置以抓紧组织。每个钳口构件包括绝缘壳体，导热的非导电材料和密封板。绝缘壳体具有一系列机电接口，其与从密封板延伸的相应的一系列机电接口配合，使得密封板能够通过夹持在钳口构件之间的组织传导双极能。导热的非导电材料构造成将密封板封装并固定到绝缘壳体上。

4. 发明申请

US20060052778A1 Incorporating rapid cooling in tissue fusion heating processes 有权
标题翻译：在组织融合加热过程中结合快速冷却
公开(公告)号：US20060052778A1
公开(公告)日：2006-03-09
申请号：US11184338
申请日：2005-07-19
申请人： Troy Chapman , Curt Hammill , Chelsea Shields , David Schechter
发明人： Troy Chapman , Curt Hammill , Chelsea Shields , David Schechter
IPC分类号： A61B18/14
CPC分类号： A61B18/1442 , A61B18/1445 , A61B2018/00023 , A61B2018/00047 , A61B2018/0063 , A61B2018/146
摘要： An electrode sealing assembly for use with an electrosurgical instrument for sealing tissue includes first and second jaw members which are movable from a first position in spaced relation relative to one another to at least one second position for grasping tissue. The jaw members include electrically conductive sealing plates designed to selectively transmit electrosurgical energy to tissue disposed between the sealing plates. The jaw members also include a thermoelectric cooling plate having a first surface in direct contact with an outer surface of the sealing plate. The thermoelectric cooling plate includes first and second electrical connections on opposite sides of the jaw member. The first connection is configured to selectively transmit a first electrical potential and the second connection is configured to selectively transmit a second electrical potential such that heat generated by the sealing plates is transferred away from the tissue via the thermoelectric cooling plate.
摘要翻译：一种与用于密封组织的电外科器械一起使用的电极密封组件包括第一和第二钳口构件，其可以从第一位置相对于彼此间隔开地移动到用于抓握组织的至少一个第二位置。钳口构件包括设计成选择性地将电外科能量传递到设置在密封板之间的组织的导电密封板。钳口构件还包括具有与密封板的外表面直接接触的第一表面的热电冷却板。热电冷却板包括在钳口构件的相对侧上的第一和第二电连接。第一连接被配置为选择性地传输第一电位，并且第二连接被配置为选择性地传输第二电势，使得由密封板产生的热量经由热电冷却板从组织转移离开。

5. 发明授权

US06176864B1 Anastomosis device and method 失效
标题翻译：吻合装置及方法
公开(公告)号：US06176864B1
公开(公告)日：2001-01-23
申请号：US09037109
申请日：1998-03-09
申请人： Troy Chapman
发明人： Troy Chapman
IPC分类号： A61B1700
CPC分类号： A61B17/11 , A61B2017/00004 , A61B2017/1135
摘要： An anastomosis device for use in coupling an end of a graft vessel to a side of a target vessel. The target vessel has an opening formed in a side wall thereof for insertion of the device. The device comprises a tubular member, at least a portion thereof being radially compressible to a compressed state for insertion of the tubular member into the opening in the target vessel and expandable from the compressed state to an expanded state for engagement of an inner graft vessel surface with an inner surface of the target vessel after insertion of the tubular member into the opening in the side wall of the target vessel. The compressible portion of the tubular member has an inner surface and an outer surface defining a wall thickness therebetween. The wall thickness of the compressible portion in its compressed state is less than the wall thickness of the compressible portion in its expanded state.
摘要翻译：一种吻合装置，用于将移植血管的端部联接到靶容器的一侧。目标血管具有形成在其侧壁中的用于插入装置的开口。该装置包括管状构件，其至少一部分可径向压缩至压缩状态，用于将管状构件插入靶容器中的开口中并且可从压缩状态扩展至膨胀状态，用于接合内移植物容器表面在将管状构件插入目标容器的侧壁中的开口中之后，具有目标容器的内表面。管状构件的可压缩部分具有限定其间壁厚的内表面和外表面。压缩状态下的可压缩部的壁厚小于膨胀状态下的可压缩部的壁厚。

6. 发明授权

US6051007A Sternal closure device and instruments therefor 失效
标题翻译：胸围闭合装置及其仪器
公开(公告)号：US6051007A
公开(公告)日：2000-04-18
申请号：US33219
申请日：1998-03-02
申请人： Mike Hogendijk , Troy Chapman
发明人： Mike Hogendijk , Troy Chapman
IPC分类号： A61B17/08 , A61B17/82 , A61B17/04
CPC分类号： A61B17/08 , A61B17/8076 , A61B17/823 , A61B2017/081
摘要： A sternal closure device comprising first and second clamps. The first and second clamps have a generally tubular portion and the second clamp has a portion that is slidably receivable in the tubular portion, and a lock configured to retain said second clamp within said first clamp. A surgical instrument for laterally moving opposed sternal clamps toward one another is also disclosed. The instrument comprises first and second grasping members generally linearly slidably coupled to one another.
摘要翻译：一种包括第一和第二夹具的胸骨闭合装置。第一和第二夹具具有大体上的管状部分，第二夹具具有可滑动地容纳在管状部分中的部分，以及构造成将所述第二夹具保持在所述第一夹具内的锁。还公开了一种用于将相对的胸骨夹具相互横向移动的外科器械。仪器包括大致线性地可滑动地彼此联接的第一和第二把持部件。

7. 发明申请

US20060264931A1 Electrosurgical instrument which reduces thermal damage to adjacent tissue 失效
标题翻译：减少对相邻组织的热损伤的电外科手术器械
公开(公告)号：US20060264931A1
公开(公告)日：2006-11-23
申请号：US10552666
申请日：2004-04-29
申请人： Troy Chapman , Chelsea Shields , David Schechter
发明人： Troy Chapman , Chelsea Shields , David Schechter
IPC分类号： A61B18/14
CPC分类号： A61B18/1442 , A61B18/1445 , A61B2018/00023 , A61B2018/00047 , A61B2018/0063 , A61B2018/146
摘要： An electrode sealing assembly for use in combination with an electrosurgical instrument includes first and second jaw members which are movable from a first, spaced-apart position to a second position to grasp tissue. Each of the jaw members includes an insulative housing, a thermally conductive, electrically non-conductive material and a sealing plate. The insulative housing has a series of electromechanical interfaces which mate with a corresponding series of electromechanical interfaces which extend from the sealing plate such that the sealing plates are a capable of conducting bipolar energy through tissue held between the jaw members. The thermally conductive, configured to encapsulate and secure the sealing plate to the insulative housing.
摘要翻译：用于与电外科器械组合使用的电极密封组件包括第一和第二钳口构件，其可从第一间隔位置移动到第二位置以抓紧组织。每个钳口构件包括绝缘壳体，导热的非导电材料和密封板。绝缘壳体具有一系列机电接口，其与从密封板延伸的相应的一系列机电接口配合，使得密封板能够通过夹持在钳口构件之间的组织传导双极能。导热构件将密封板封装并固定到绝缘壳体上。

8. 发明申请

US20060142791A1 Anastomosis device and method 审中-公开
标题翻译：吻合装置及方法
公开(公告)号：US20060142791A1
公开(公告)日：2006-06-29
申请号：US11358680
申请日：2006-02-21
申请人： Troy Chapman
发明人： Troy Chapman
IPC分类号： A61B17/08
CPC分类号： A61B17/11 , A61B2017/00004 , A61B2017/1135
摘要： An anastomosis device for use in coupling an end of a graft vessel to a side of a target vessel. The target vessel has an opening formed in a side wall thereof for insertion of the device. The device comprises a tubular member, at least a portion thereof being radially compressible to a compressed state for insertion of the tubular member into the opening in the target vessel and expandable from the compressed state to an expanded state for engagement of an inner graft vessel surface with an inner surface of the target vessel after insertion of the tubular member into the opening in the side wall of the target vessel. The compressible portion of the tubular member has an inner surface and an outer surface defining a wall thickness therebetween. The wall thickness of the compressible portion in its compressed state is less than the wall thickness of the compressible portion in its expanded state.
摘要翻译：一种吻合装置，用于将移植血管的端部联接到靶容器的一侧。目标血管具有形成在其侧壁中的用于插入装置的开口。该装置包括管状构件，其至少一部分可径向压缩至压缩状态，用于将管状构件插入靶容器中的开口中并且可从压缩状态扩展至膨胀状态，用于接合内移植物容器表面在将管状构件插入目标容器的侧壁中的开口中之后，具有目标容器的内表面。管状构件的可压缩部分具有限定其间壁厚的内表面和外表面。压缩状态下的可压缩部的壁厚小于膨胀状态下的可压缩部的壁厚。

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