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1. 发明授权

US06899670B2 Organ manipulator having suction member supported with freedom to move relative to its support 有权
标题翻译：器官操纵器具有支撑自由以相对于其支撑件移动的抽吸构件
公开(公告)号：US06899670B2
公开(公告)日：2005-05-31
申请号：US10193575
申请日：2002-07-10
申请人： Steven Peng , Larry Voss , David E. Hancock , Grace A. Carlson , John Davis , Albert K. Chin , Jaime S. Vargas
发明人： Steven Peng , Larry Voss , David E. Hancock , Grace A. Carlson , John Davis , Albert K. Chin , Jaime S. Vargas
IPC分类号： A61B19/00 , A61B17/02 , A61B17/08 , A61B17/28 , A61B17/30 , A61F13/00
CPC分类号： A61B17/02 , A61B17/085 , A61B2017/0243 , A61B2017/2905 , A61B2017/2929 , A61B2017/293 , A61B2017/308
摘要： An organ manipulator including at least one suction member or adhesive disc mounted to a compliant joint, a flexible locking arm for mounting such suction member or compliant joint, and a method for retracting and suspending an organ in a retracted position using suction (or adhesive force) so that the organ is free to move normally (e.g., to beat or undergo other limited-amplitude motion) in at least the vertical direction during both steps. In preferred embodiments, a suction member exerts suction to retract a beating heart and suspend it in a retracted position during surgery. As the retracted heart beats, the compliant joint allows it to expand and contract freely (and otherwise move naturally) at least in the vertical direction so that hemodynamic function is not compromised. The suction member conforms or can be conformed to the organ anatomy, and its inner surface is preferably smooth and lined with absorbent material to improve traction without causing trauma to the organ. The compliant joint can connect the member to an arm which is adjustably mounted to a sternal retractor or operating table. The compliant joint can be a sliding ball joint, a hinged joint, a pin sliding in a slot, a universal joint, a spring assembly, or another compliant element. In preferred embodiments, the method includes the steps of affixing a suction member to a beating heart at a position concentric with the heart's apex, and applying suction to the heart while moving the member to retract the heart such that the heart has freedom to undergo normal beating motion at least in the vertical direction during retraction.
摘要翻译：一种器官操纵器，包括至少一个吸附构件或安装在顺应性接头上的粘性盘，用于安装该抽吸构件或柔顺接头的柔性锁定臂，以及使用吸力（或粘合力）将器官缩回和悬挂在缩回位置的方法），使得器官在两个步骤中至少在垂直方向上自由地正常移动（例如，以打败或经历其它有限幅度运动）。在优选实施例中，抽吸构件在手术期间施加抽吸以缩回跳动心脏并将其悬挂在缩回位置。随着缩回的心脏跳动，柔顺关节允许其至少在垂直方向上自由地膨胀和自然地收缩（或自然地移动），使得血液动力学功能不受损害。抽吸构件符合或可以符合器官解剖结构，并且其内表面优选地是平滑的并且衬有吸收材料，以改善牵引力而不会对器官造成伤害。柔性接头可以将构件连接到可调节地安装到胸骨牵开器或手术台的臂上。柔性接头可以是滑动球接头，铰接接头，在槽中滑动的销，万向接头，弹簧组件或另一柔性元件。在优选实施例中，该方法包括以下步骤：将吸引构件固定在与心脏顶点同心的位置处的跳动心脏，并且在移动构件以使心脏收缩的同时向心脏施加吸力，使得心脏具有正常的自由至少在缩回过程中垂直方向进行打击运动。

2. 发明授权

US06506149B2 Organ manipulator having suction member supported with freedom to move relative to its support 有权
标题翻译：器官操纵器具有支撑自由以相对于其支撑件移动的抽吸构件
公开(公告)号：US06506149B2
公开(公告)日：2003-01-14
申请号：US09390792
申请日：1999-09-07
申请人： Steven Peng , Larry Voss , David E. Hancock , Grace A. Carlson , John W. Davis , Albert K. Chin , Jaime S. Vargas
发明人： Steven Peng , Larry Voss , David E. Hancock , Grace A. Carlson , John W. Davis , Albert K. Chin , Jaime S. Vargas
IPC分类号： A61F1300
CPC分类号： A61B17/02 , A61B17/085 , A61B2017/0243 , A61B2017/2905 , A61B2017/2929 , A61B2017/293 , A61B2017/308
摘要： An organ manipulator including at least one suction member or adhesive disc mounted to a compliant joint, a flexible locking arm for mounting such suction member or compliant joint, and a method for retracting and suspending an organ in a retracted position using suction (or adhesive force) so that the organ is free to move normally (e.g., to beat or undergo other limited-amplitude motion) in at least the vertical direction during both steps. In preferred embodiments, a suction member exerts suction to retract a beating heart and suspend it in a retracted position during surgery. As the retracted heart beats, the compliant joint allows it to expand and contract freely (and otherwise move naturally) at least in the vertical direction so that hemodynamic function is not compromised. The suction member conforms or can be conformed to the organ anatomy, and its inner surface is preferably smooth and lined with absorbent material to improve traction without causing trauma to the organ. The compliant joint can connect the member to an arm which is adjustably mounted to a sternal retractor or operating table. The compliant joint can be a sliding ball joint, a hinged joint, a pin sliding in a slot, a universal joint, a spring assembly, or another compliant element. In preferred embodiments, the method includes the steps of affixing a suction member to a beating heart at a position concentric with the heart's apex, and applying suction to the heart while moving the member to retract the heart such that the heart has freedom to undergo normal beating motion at least in the vertical direction during retraction.
摘要翻译：一种器官操纵器，包括至少一个吸附构件或安装在顺应性接头上的粘性盘，用于安装该抽吸构件或柔顺接头的柔性锁定臂，以及使用吸力（或粘合力）将器官缩回和悬挂在缩回位置的方法），使得器官在两个步骤中至少在垂直方向上自由地正常移动（例如，以打败或经历其它有限幅度运动）。在优选实施例中，抽吸构件在手术期间施加抽吸以缩回跳动心脏并将其悬挂在缩回位置。随着缩回的心脏跳动，柔顺关节允许其至少在垂直方向上自由地膨胀和自然地收缩（或自然地移动），使得血液动力学功能不受损害。抽吸构件符合或可以符合器官解剖结构，并且其内表面优选地是平滑的并且衬有吸收材料，以改善牵引力而不会对器官造成伤害。柔性接头可以将构件连接到可调节地安装到胸骨牵开器或手术台的臂上。柔性接头可以是滑动球接头，铰接接头，在槽中滑动的销，万向接头，弹簧组件或另一柔性元件。在优选实施例中，该方法包括以下步骤：将吸引构件固定在与心脏顶点同心的位置处的跳动心脏，并且在移动构件以使心脏收缩的同时向心脏施加吸力，使得心脏具有正常的自由至少在缩回过程中垂直方向进行打击运动。

3. 发明授权

US07226409B2 Organ manipulator having suction member supported with freedom to move relative to its support 有权
标题翻译：器官操纵器具有支撑自由以相对于其支撑件移动的抽吸构件
公开(公告)号：US07226409B2
公开(公告)日：2007-06-05
申请号：US10801024
申请日：2004-03-15
申请人： Steven Peng , Larry Voss , David E. Hancock , Grace A. Carlson , John W. Davis , Albert K. Chin , Jaime S. Vargas
发明人： Steven Peng , Larry Voss , David E. Hancock , Grace A. Carlson , John W. Davis , Albert K. Chin , Jaime S. Vargas
IPC分类号： A61F13/00
CPC分类号： A61B17/02 , A61B17/085 , A61B2017/0243 , A61B2017/2905 , A61B2017/2929 , A61B2017/293 , A61B2017/308
摘要： An organ manipulator including at least one suction member or adhesive disk mounted to a joint providing freedom of movement of the at least one suction member or adhesive disk relative to its support. A method for retracting and suspending an organ in a retracted position using suction (or adhesive force) so that the organ is free to move normally (e.g., to beat or undergo other limited-amplitude motion) in at least the vertical direction during both steps.
摘要翻译：一种器官操纵器，其包括至少一个吸附构件或粘合盘，该吸附构件或粘合盘安装到接头，提供至少一个吸附构件或粘合剂盘相对于其支撑件的运动的自由度。一种使用抽吸（或粘附力）将器官缩回并悬挂在缩回位置的方法，使得器官在两个步骤中至少在垂直方向上自由地正常移动（例如，以拍打或经历其它有限幅度的运动）。

4. 发明申请

US20100280324A1 Organ Manipulator Having Suction Member Supported with Freedom to Move Relative to Its Support 有权
标题翻译：具有吸引成员的器官操纵器支持相对于其支持的自由移动
公开(公告)号：US20100280324A1
公开(公告)日：2010-11-04
申请号：US12837391
申请日：2010-07-15
申请人： Steven Peng , Larry Voss , David E. Hancock , Grace A. Carlson , John W. Davis , Albert K. Chin , Jaime S. Vargas
发明人： Steven Peng , Larry Voss , David E. Hancock , Grace A. Carlson , John W. Davis , Albert K. Chin , Jaime S. Vargas
IPC分类号： A61B1/32
CPC分类号： A61B17/02 , A61B17/085 , A61B2017/0243 , A61B2017/2905 , A61B2017/2929 , A61B2017/293 , A61B2017/308
摘要： An organ manipulator including at least one suction member or adhesive disk mounted to a joint providing freedom of movement of the at least one suction member or adhesive disk relative to its support. A method for retracting and maintaining an organ in a retracted position using suction (or adhesive force) so that the organ is free to move normally (e.g., to beat or undergo other limited-amplitude motion) is provided.
摘要翻译：一种器官操纵器，其包括至少一个吸附构件或粘合盘，该吸附构件或粘合盘安装到接头，提供至少一个吸附构件或粘合剂盘相对于其支撑件的运动的自由度。提供了一种使用抽吸（或粘附力）将器官缩回和维持在缩回位置，使得器官能够正常地自由移动（例如，以打败或经历其它有限幅度运动）的方法。

5. 发明授权

US08092369B2 Organ manipulator having suction member supported with freedom to move relative to its support 有权
标题翻译：器官操纵器具有支撑自由以相对于其支撑件移动的抽吸构件
公开(公告)号：US08092369B2
公开(公告)日：2012-01-10
申请号：US12837391
申请日：2010-07-15
申请人： Steven Peng , Larry Voss , David E. Hancock , Grace A. Carlson , John W. Davis , Albert K. Chin , Jaime S. Vargas
发明人： Steven Peng , Larry Voss , David E. Hancock , Grace A. Carlson , John W. Davis , Albert K. Chin , Jaime S. Vargas
IPC分类号： A61F13/00
CPC分类号： A61B17/02 , A61B17/085 , A61B2017/0243 , A61B2017/2905 , A61B2017/2929 , A61B2017/293 , A61B2017/308
摘要： An organ manipulator including at least one suction member or adhesive disk mounted to a joint providing freedom of movement of the at least one suction member or adhesive disk relative to its support. A method for retracting and maintaining an organ in a retracted position using suction (or adhesive force) so that the organ is free to move normally (e.g., to beat or undergo other limited-amplitude motion) is provided.
摘要翻译：一种器官操纵器，其包括至少一个吸附构件或粘合盘，该吸附构件或粘合盘安装到接头，提供至少一个吸附构件或粘合剂盘相对于其支撑件的运动的自由度。提供了一种使用抽吸（或粘附力）将器官缩回和维持在缩回位置，使得器官能够正常地自由移动（例如，以打败或经历其它有限幅度运动）的方法。

6. 发明授权

US07766817B2 Organ manipulator having suction member supported with freedom to move relative to its support 有权
标题翻译：器官操纵器具有支撑自由以相对于其支撑件移动的抽吸构件
公开(公告)号：US07766817B2
公开(公告)日：2010-08-03
申请号：US11789383
申请日：2007-04-23
申请人： Steven Peng , Larry Voss , David E. Hancock , Grace A. Carlson , John W. Davis , Albert K. Chin , Jaime S. Vargas
发明人： Steven Peng , Larry Voss , David E. Hancock , Grace A. Carlson , John W. Davis , Albert K. Chin , Jaime S. Vargas
IPC分类号： A61F13/00
CPC分类号： A61B17/02 , A61B17/085 , A61B2017/0243 , A61B2017/2905 , A61B2017/2929 , A61B2017/293 , A61B2017/308
摘要： An organ manipulator including at least one suction member or adhesive disc mounted to a joint providing freedom of movement of the at least one suction member or adhesive disk relative to its support. A method for retracting and suspending an organ in a retracted position using suction (or adhesive force) so that the organ is free to move normally (e.g., to beat or undergo other limited-amplitude motion) in at least the vertical direction during both steps.
摘要翻译：一种器官操纵器，包括至少一个吸附构件或粘性盘，该吸附构件或粘合盘安装到接头，提供至少一个吸附构件或粘合剂盘相对于其支撑件的运动的自由度。一种使用抽吸（或粘附力）将器官缩回并悬挂在缩回位置的方法，使得器官在两个步骤中至少在垂直方向上自由地正常移动（例如，以拍打或经历其它有限幅度的运动）。

7. 发明授权

US06730020B2 Locking arm having ball joints for use in an organ manipulator apparatus 有权
标题翻译：具有用于器官机械手装置的球窝接头的锁定臂
公开(公告)号：US06730020B2
公开(公告)日：2004-05-04
申请号：US09747388
申请日：2000-12-22
申请人： Steven Peng , Larry Voss , David E. Hancock , Grace A. Carlson , John W Davis , Albert K. Chin , Jaime S. Vargas
发明人： Steven Peng , Larry Voss , David E. Hancock , Grace A. Carlson , John W Davis , Albert K. Chin , Jaime S. Vargas
IPC分类号： A61B132
CPC分类号： A61B17/02 , A61B17/085 , A61B2017/0243 , A61B2017/2905 , A61B2017/2929 , A61B2017/293 , A61B2017/308
摘要： A flexible locking arm for use in an organ manipulator apparatus. The flexible locking arm has a flexible state, used to position the organ manipulator as needed, and a fixed state for mounting the manipulator in a desired orientation. Even in the fixed state, the organ manipulator maintains a limited freedom of movement, to allow the organ held to continue to move substantially according to its natural motion during functioning. For example, in an embodiment where a suction member exerts suction to retract a beating heart and suspend it in a retracted position during surgery by setting the flexible arm to the fixed state, as the retracted heart beats, a complaint joint allows it to expand and contract freely (and otherwise move naturally) at least in the vertical direction so that hemodynamic function is not substantially compromised.
摘要翻译：一种用于器官机械手装置的柔性锁定臂。柔性锁定臂具有柔性状态，用于根据需要定位器官操纵器，以及用于将操纵器安装在所需方位的固定状态。即使在固定状态下，器官操纵器也保持有限的运动自由度，从而允许所保持的器官在功能期间根据其自然运动而继续大量移动。例如，在吸引构件通过将柔性臂设定为固定状态时，吸引构件进行吸引以缩回搏动心脏并将其悬挂在缩回位置的实施例中，随着收缩的心跳，投诉关节允许其扩张，并且至少在垂直方向自由地（或以其他方式自然移动），使得血液动力学功能基本上不受损害。

8. 发明授权

US06287250B1 Method and apparatus for cardiac lifting during beating heart surgery using pericardial clips 失效
标题翻译：心脏手术过程中心脏起搏的方法和装置
公开(公告)号：US06287250B1
公开(公告)日：2001-09-11
申请号：US09400326
申请日：1999-09-21
申请人： Steven Peng , Grace A. Carlson , Albert K. Chin
发明人： Steven Peng , Grace A. Carlson , Albert K. Chin
IPC分类号： A61B1900
CPC分类号： A61B17/02 , A61B17/0206 , A61B17/083 , A61B2017/0243
摘要： A clip which can be temporarily clamped to a cut edge of a pericardium during heart surgery. Two or more of the clips, which may be each connected to a respective flexible member, are clipped to the pericardium and tension is applied to the connectors to suspend the clips and the pericardium, as well as the heart, form a support, while enabling the heart to continue to beat normally.
摘要翻译：在心脏手术期间可以将夹子临时夹紧到心包的切割边缘。两个或更多个可以各自连接到相应的柔性构件的夹子被夹紧到心包，并且张力被施加到连接器以悬挂夹子，并且心包以及心脏形成支撑件，同时使能心脏继续正常跳动。

9. 发明授权

US08192442B2 Bone treatment systems and methods 有权
标题翻译：骨治疗系统和方法
公开(公告)号：US08192442B2
公开(公告)日：2012-06-05
申请号：US12502163
申请日：2009-07-13
申请人： Csaba Truckai , John H. Shadduck , Robert Luzzi , Grace A. Carlson , C. Travis Rappleye
发明人： Csaba Truckai , John H. Shadduck , Robert Luzzi , Grace A. Carlson , C. Travis Rappleye
IPC分类号： A61B17/00 , A61F2/44
CPC分类号： A61B17/8836 , A61B17/864 , A61B2017/00022 , A61B2017/00026 , A61B2017/00084 , A61F2/44
摘要： The present invention relates in certain embodiments to medical devices for treating osteoplasty procedures such as vertebral compression fractures. More particularly, embodiments of the invention relate to instruments and methods for controllably restoring vertebral body height by controlling the geometry of fill material introduced into cancellous bone. A method of treating bone includes injecting a volume of fill material into a bone and selectively modifying a viscosity of the bone filler to control the direction of flow of the fill material within the bone. A system for treating bone using this method includes an introducer for delivering fill material into the bone and an energy source selectively coupleable to the fill material to alter the viscosity of the fill material via an energy emitter in the introducer.
摘要翻译：本发明在某些实施例中涉及用于治疗诸如椎体压缩性骨折的骨整形术程序的医疗装置。更具体地，本发明的实施例涉及通过控制引入松质骨的填充材料的几何形状来可控地恢复椎体高度的仪器和方法。治疗骨的方法包括将一定体积的填充材料注入骨骼中，并选择性地改变骨填充物的粘度以控制骨中填充材料的流动方向。使用该方法治疗骨的系统包括用于将填充材料输送到骨中的导引器和能够选择性地与填充材料相连的能量源，以经由引入器中的能量发射器改变填充材料的粘度。

10. 发明授权

US07678116B2 Bone treatment systems and methods 有权
标题翻译：骨治疗系统和方法
公开(公告)号：US07678116B2
公开(公告)日：2010-03-16
申请号：US11165651
申请日：2005-06-24
申请人： Csaba Truckai , John H. Shadduck , Robert Luzzi , Grace A. Carlson , C. Travis Rappleye
发明人： Csaba Truckai , John H. Shadduck , Robert Luzzi , Grace A. Carlson , C. Travis Rappleye
IPC分类号： A61B17/00
CPC分类号： A61B17/8836 , A61B17/7095 , A61B17/7098 , A61B17/864 , A61B17/8811 , A61B2017/00022 , A61B2017/00026 , A61B2017/00084 , A61F2/44
摘要： The present invention relates in certain embodiments to medical devices for treating osteoplasty procedures such as vertebral compression fractures. More particularly, embodiments of the invention relate to instruments and methods for controllably restoring vertebral body height by controlling the geometry of fill material introduced into cancellous bone. An exemplary system utilizes Rf energy in combination a conductive bone fill material for polymerizing the surface of the inflow plume to control the geometry of the fill material and the application of force caused by inflows of fill material. In another embodiment, method of treating bone includes injecting a volume of fill material into a bone and selectively modifying a viscosity of a selected portion of the bone filler to control the direction of flow of the fill material within the bone. A system for treating bone using this method includes an introducer for delivering fill material into the bone and an energy source selectively coupleable to the fill material to alter the viscosity of the fill material as it flows out of the introducer.
摘要翻译：本发明在某些实施例中涉及用于治疗诸如椎体压缩性骨折的骨整形术程序的医疗装置。更具体地，本发明的实施例涉及通过控制引入松质骨的填充材料的几何形状来可控地恢复椎体高度的仪器和方法。示例性系统利用Rf能量组合导电骨填充材料，用于聚合流入羽流的表面以控制填充材料的几何形状以及由填充材料的流入引起的力的施加。在另一个实施方案中，治疗骨的方法包括将一定体积的填充材料注入骨中，并选择性地改变骨填充物的选定部分的粘度以控制填充材料在骨内的流动方向。使用这种方法治疗骨骼的系统包括用于将填充材料输送到骨骼中的导引器，以及选择性地与填充材料耦合的能量源，以改变填充材料流出导引器时的粘度。

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