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1. 发明申请

US20070238917A1 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：US20070238917A1
公开(公告)日：2007-10-11
申请号：US11789383
申请日：2007-04-23
申请人： Steven Peng , Larry Voss , David Hancock , Grace Carlson , John Davis , Albert Chin , Jaime Vargas
发明人： Steven Peng , Larry Voss , David Hancock , Grace Carlson , John Davis , Albert Chin , Jaime Vargas
IPC分类号： A61B17/00
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）。

2. 发明授权

US07611523B2 Method for sutureless connection of vessels 有权
标题翻译：血管无缝连接方法
公开(公告)号：US07611523B2
公开(公告)日：2009-11-03
申请号：US10665170
申请日：2003-09-18
申请人： Jaime Vargas , Stephen A. Yencho , Jamey Nielsen , Michael Hendricksen , Bernard A. Hausen
发明人： Jaime Vargas , Stephen A. Yencho , Jamey Nielsen , Michael Hendricksen , Bernard A. Hausen
IPC分类号： A61B17/08
CPC分类号： A61B17/11 , A61B17/064 , A61B17/0644 , A61B17/32053 , A61B17/3415 , A61B17/3439 , A61B2017/00247 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135 , A61B2018/00392 , A61F2/064
摘要： An anastomosis device is a one piece device for connecting a graft vessel to a target vessel without the use of conventional sutures. The anastomosis device includes an expandable tube configured to have a graft vessel secured to the tube. The device has an expandable linkage positioned at one end of the device and expansion of this linkage causes a first radially extending flange to fold outward. This first flange abuts an interior wall of a target vessel and a second flange is formed which abuts an exterior wall of the target vessel trapping the target vessel between the two flanges and secures the end of the graft vessel into an opening in the wall of the target vessel. The device greatly increases the speed with which anastomosis can be performed over known suturing methods and allows anastomosis to be performed in tight spaces.
摘要翻译：吻合装置是用于在不使用常规缝合线的情况下将移植血管连接到靶血管的单件装置。吻合装置包括可扩张管，其构造成具有固定到管的移植脉管。该装置具有位于装置的一端的可扩张连接件，并且该连杆的膨胀使得第一径向延伸的凸缘向外折叠。该第一法兰邻接目标血管的内壁，并且形成第二凸缘，该第二凸缘邻接在两个凸缘之间捕集目标血管的靶血管的外壁，并将移植血管的端部固定在目标船。该设备大大增加了可以通过已知的缝合方法进行吻合的速度，并允许在狭窄的空间中进行吻合。

3. 发明授权

US07217285B2 Apparatus for performing anastomosis 有权
标题翻译：用于进行吻合的装置
公开(公告)号：US07217285B2
公开(公告)日：2007-05-15
申请号：US10897783
申请日：2004-07-23
申请人： Jaime Vargas , Michael Hendricksen , Stephen A. Yencho , Jamey Nielsen , Bernard A. Hausen , Brendan Donohoe
发明人： Jaime Vargas , Michael Hendricksen , Stephen A. Yencho , Jamey Nielsen , Bernard A. Hausen , Brendan Donohoe
IPC分类号： A61F2/06
CPC分类号： A61B17/0644 , A61B17/0469 , A61B17/0482 , A61B17/064 , A61B17/072 , A61B17/11 , A61B17/115 , A61B17/1152 , A61B17/122 , A61B2017/00243 , A61B2017/07214 , A61B2017/07278 , A61B2017/1107 , A61B2017/1135 , A61B2090/037 , A61F2/064
摘要： An apparatus for performing anastomosis between a graft vessel and a target vessel may include a connector holder having spaced-apart arms, and a member connected to the connector holder, where the member is insertable through an opening in a wall of the target vessel at least partially into the lumen of 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. One or more connectors may be deformable against the member.
摘要翻译：用于在移植血管和目标血管之间进行吻合的装置可以包括具有间隔开的臂的连接器保持器和连接到连接器保持器的构件，其中构件至少可以通过目标血管的壁中的开口插入部分地进入目标血管的内腔。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。一个或多个连接器可以相对于构件变形。

4. 发明授权

US07041112B2 Method for tensioning an incision during an anastomosis procedure 有权
标题翻译：在吻合手术期间张紧切口的方法
公开(公告)号：US07041112B2
公开(公告)日：2006-05-09
申请号：US10842998
申请日：2004-05-11
申请人： Jaime Vargas , Tenny Chang , David Bombard
发明人： Jaime Vargas , Tenny Chang , David Bombard
IPC分类号： A61B17/08
CPC分类号： A61B17/11 , A61B17/0218 , A61B2017/1107 , A61B2017/1135
摘要： A method for tensioning incisions made in a target vessel during an anastomosis procedure is provided. After an incision is made in a target vessel, incision tensioners are placed within the incision in order to tension the incision. The incision is tensioned when the incision tensioners are pulled taut in order to stretch the incision to a predetermined length or a predetermined force. The tensioners allow for proper grafting of a graft vessel to the target vessel in an end to side anastomosis. In addition, the incision tensioners allow the incision to have a known geometry, thereby allowing precise grafting of the graft vessel to the target vessel during the anastomosis procedure. After the incision is tensioned, the graft vessel is grafted to the target vessel using clips, sutures, staples or other anastomosis devices. One example of anastomosis clips are configured to capture the graft vessel and the target vessel such that the graft vessel grafts with the target vessel.
摘要翻译：提供了一种在吻合手术过程中在目标血管中张紧切口的方法。在目标血管中进行切口后，将切口张紧器置于切口内以拉紧切口。当将切口张紧器拉紧拉紧以将切口拉伸至预定长度或预定力时，切口被张紧。张紧器允许在端对侧吻合中将移植物容器适当地接合到靶容器。此外，切口张紧器允许切口具有已知的几何形状，从而允许在吻合过程期间移植物容器到目标血管的精确移植。在切口被张紧之后，使用夹子，缝线，缝钉或其它吻合装置将移植血管移植到靶容器。吻合夹的一个实例被配置成捕获移植物容器和靶容器，使得移植血管与靶血管移植。

5. 发明申请

US20050228483A1 Vascular bifurcation prosthesis with multiple thin fronds 有权
标题翻译：血管分叉假体与多个薄叶
公开(公告)号：US20050228483A1
公开(公告)日：2005-10-13
申请号：US11076448
申请日：2005-03-09
申请人： Aaron Kaplan , Jaime Vargas
发明人： Aaron Kaplan , Jaime Vargas
IPC分类号： A61F2/82 , A61F2/06
CPC分类号： A61F2/958 , A61F2/852 , A61F2/856 , A61F2/91 , A61F2/915 , A61F2/954 , A61F2002/821 , A61F2002/8486 , A61F2002/91525 , A61F2002/91533 , A61F2002/91575 , A61F2220/0016 , A61F2250/006
摘要： An embodiment of the invention provides a prosthesis for placement at an Os opening from a main body lumen to a branch body lumen. The prosthesis comprises a radially expansible support and a plurality of fronds extending axially from an end of the support. The support is configured to be deployed in at least a portion of the branch body lumen. At least one of the plurality of fronds is extendable into the main body lumen.
摘要翻译：本发明的一个实施例提供了一种用于放置在从主体内腔到分支体腔的Os开口处的假体。假体包括径向可膨胀的支撑件和从支撑件的端部轴向延伸的多个叶状体。支撑构造成部署在分支体腔的至少一部分中。多个叶状体中的至少一个可延伸到主体腔内。

6. 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。

7. 发明授权

US06893449B2 Device for cutting and anastomosing tissue 失效
标题翻译：切割和吻合组织的装置
公开(公告)号：US06893449B2
公开(公告)日：2005-05-17
申请号：US09989055
申请日：2001-11-21
申请人： Jaime Vargas , Brendan M. Donohoe , Scott C. Anderson , Theodore Bender , Stephen Yencho , Bernard Hausen , Michael Hendricksen
发明人： Jaime Vargas , Brendan M. Donohoe , Scott C. Anderson , Theodore Bender , Stephen Yencho , Bernard Hausen , Michael Hendricksen
IPC分类号： A61B17/00 , A61B17/064 , A61B17/11 , A61B17/115 , A61B17/32 , A61B17/34 , A61F2/06
CPC分类号： A61B17/32053 , A61B17/064 , A61B17/0644 , A61B17/11 , A61B17/115 , A61B17/3415 , A61B17/3439 , A61B2017/00247 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135 , A61B2018/00392 , A61F2/064
摘要： A trocar useful for forming an incision in a target vessel for placement of an anastomosis device which may have an inner flange formed by radial expansion of the device and an outer flange formed by axial compression of the device. The trocar can have a smaller size during formation of the incision and a larger size when retracted over a deployment tool used to deploy the anastomosis device.
摘要翻译：一种用于在靶容器中形成切口以用于放置吻合装置的套针针，所述吻合装置可具有由所述装置的径向膨胀形成的内凸缘和通过所述装置的轴向压缩形成的外凸缘。套管针在切口形成期间可以具有较小的尺寸，并且在用于部署吻合装置的展开工具缩回时具有较大的尺寸。

8. 发明授权

US06673088B1 Tissue punch 有权
标题翻译：组织打孔
公开(公告)号：US06673088B1
公开(公告)日：2004-01-06
申请号：US09542976
申请日：2000-04-04
申请人： Jaime Vargas , Brendan M. Donohoe , Scott C. Anderson , Theodore Bender , Stephen Yencho , Bernard Hausen , Michael Hendricksen , James T. Nielsen
发明人： Jaime Vargas , Brendan M. Donohoe , Scott C. Anderson , Theodore Bender , Stephen Yencho , Bernard Hausen , Michael Hendricksen , James T. Nielsen
IPC分类号： A61B1734
CPC分类号： A61B17/32053 , A61B17/064 , A61B17/0644 , A61B17/11 , A61B17/115 , A61B17/3415 , A61B17/3439 , A61B2017/00247 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135 , A61B2018/00392 , A61F2/064
摘要： A tissue punch for creating a hole in the wall of a target blood vessel for receiving an anastomosis device includes a piercing element for penetrating the tissue and a cutting element for cutting a plug of tissue around the pierced hole. The tissue punch includes a trocar for inserting the piercing element. After punching is complete, the piercing element is removed from the trocar through a side wall of the trocar so that a medical device can be deployed through the trocar lumen. The tissue punch may also include a tissue trap for trapping the plug of tissue.
摘要翻译：用于在用于接收吻合装置的目标血管的壁中产生孔的组织穿孔器包括用于穿透组织的刺穿元件和用于切割穿孔周围的组织塞的切割元件。组织冲头包括用于插入穿刺元件的套管针。在冲压完成之后，刺穿元件通过套管针的侧壁从套针针上移除，使得医疗装置可以通过套管针管部署。组织穿孔器还可以包括用于捕获组织塞的组织阱。

9. 发明授权

US06537288B2 Implantable medical device such as an anastomosis device 有权
公开(公告)号：US06537288B2
公开(公告)日：2003-03-25
申请号：US10003406
申请日：2001-12-06
申请人： Jaime Vargas , James T. Nielsen , Michael Hendricksen , Brendan M. Donohoe , Stephen Yencho , Bernard Hausen
发明人： Jaime Vargas , James T. Nielsen , Michael Hendricksen , Brendan M. Donohoe , Stephen Yencho , Bernard Hausen
IPC分类号： A61B1704
CPC分类号： A61B17/32053 , A61B17/064 , A61B17/0644 , A61B17/11 , A61B17/115 , A61B17/3415 , A61B17/3417 , A61B17/3439 , A61B17/3468 , A61B2017/00247 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135 , A61B2017/2915 , A61B2017/2916 , A61B2017/2934 , A61B2017/2936 , A61B2018/00392 , A61B2090/037 , A61F2/064
摘要： A medical device which can be implanted at a target site in a living body. The device includes an inner flange formed by radial expansion of the device and an outer flange formed by axial compression of the device. The device can include an implant portion and a discard portion which separate from each other during formation of the outer flange. The separation can occur by fracturing a frangible linkage or by mechanically separating a portion of the outer flange from a deployment tool. The device can be a one piece anastomosis device for connecting a graft vessel to a target vessel without the use of conventional sutures. The inner and outer flanges capture the edges of an opening in a target vessel and secure the graft vessel to the opening in the target vessel. The device greatly increases the speed with which anastomosis can be performed over known suturing methods.

10. 发明授权

US06478804B2 Anastomosis system and method for controlling a tissue site 有权
公开(公告)号：US06478804B2
公开(公告)日：2002-11-12
申请号：US09842792
申请日：2001-04-27
申请人： Jaime Vargas , Michael Hendricksen , Stephen A. Yencho , Jamey Nielsen , Bernard A. Hausen , Brendan Donohoe
发明人： Jaime Vargas , Michael Hendricksen , Stephen A. Yencho , Jamey Nielsen , Bernard A. Hausen , Brendan Donohoe
IPC分类号： A61B1704
CPC分类号： A61B17/0644 , A61B17/0469 , A61B17/0482 , A61B17/064 , A61B17/072 , A61B17/11 , A61B17/115 , A61B17/1152 , A61B17/122 , A61B2017/00243 , A61B2017/07214 , A61B2017/07278 , A61B2017/1107 , A61B2017/1135 , A61B2090/037 , A61F2/064
摘要： An anastomosis system and method uses an anvil to control and support a tissue site during an anastomosis procedure. The anvil is particularly useful for supporting a wall of a coronary artery during attachment of a graft vessel to the coronary artery because the wall of the coronary artery is very thin, difficult to grasp, and susceptible to tearing. In one method, the anvil is inserted into a pressurized or unpressurized target vessel and is pulled against an inner wall of the target vessel causing tenting of the thin tissue of the vessel wall. A graft vessel is then advanced to the anastomosis site and an end of the graft vessel is positioned adjacent and exterior of the target vessel. Staples are inserted through the tissue of the graft vessel and the target vessel by pivoting the arms of a staple holder towards the anvil. When the ends of the staples engage staple bending features on the anvil, the ends of the staples bend over securing the graft vessel and target vessel together. After stapling is complete, an incision is formed in the wall of the target vessel to allow blood flow between the target vessel and the graft vessel.

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