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1. 发明申请

US20060064115A1 Minimally invasive mitral valve repair method and apparatus 有权
公开(公告)号：US20060064115A1
公开(公告)日：2006-03-23
申请号：US11273900
申请日：2005-11-15
申请人： William Allen , Alan Bachman , Scott Reed , Leland Adams , Robert Steckel
发明人： William Allen , Alan Bachman , Scott Reed , Leland Adams , Robert Steckel
IPC分类号： A61B17/10
CPC分类号： A61B17/062 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/064 , A61B17/068 , A61B17/122 , A61B17/1227 , A61B2017/00243 , A61B2017/00783 , A61B2017/0417 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0472 , A61B2017/06057 , A61B2017/0641 , A61B2017/306
摘要： The present invention is directed to an apparatus and method for the stabilization and fastening of two pieces of tissue. A single device may be used to both stabilize and fasten the two pieces of tissue, or a separate stabilizing device may be used in conjunction with a fastening device. The stabilizing device may comprise a probe with vacuum ports and/or mechanical clamps disposed at the distal end to approximate the two pieces of tissue. After the pieces of tissue are stabilized, they are fastened together using sutures or clips. One exemplary embodiment of a suture-based fastener comprises a toggle and suture arrangement deployed by a needle, wherein the needle enters the front side of the tissue and exits the blind side. In a second exemplary embodiment, the suture-based fastener comprises a needle connected to a suture. The needle enters the blind side of the tissue and exits the front side. The suture is then tied in a knot to secure the pieces of tissue. One example of a clip-based fastener comprises a spring-loaded clip having two arms with tapered distal ends and barbs. The probe includes a deployment mechanism which causes the clip to pierce and lockingly secure the two pieces of tissue.

2. 发明申请

US20060064116A1 Minimally invasive mitral valve repair method and apparatus 有权
公开(公告)号：US20060064116A1
公开(公告)日：2006-03-23
申请号：US11274877
申请日：2005-11-15
申请人： William Allen , Alan Bachman , Scott Reed , Leland Adams , Robert Steckel
发明人： William Allen , Alan Bachman , Scott Reed , Leland Adams , Robert Steckel
IPC分类号： A61B17/10
CPC分类号： A61B17/062 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/064 , A61B17/068 , A61B17/122 , A61B17/1227 , A61B2017/00243 , A61B2017/00783 , A61B2017/0417 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0472 , A61B2017/06057 , A61B2017/0641 , A61B2017/306
摘要： The present invention is directed to an apparatus and method for the stabilization and fastening of two pieces of tissue. A single device may be used to both stabilize and fasten the two pieces of tissue, or a separate stabilizing device may be used in conjunction with a fastening device. The stabilizing device may comprise a probe with vacuum ports and/or mechanical clamps disposed at the distal end to approximate the two pieces of tissue. After the pieces of tissue are stabilized, they are fastened together using sutures or clips. One exemplary embodiment of a suture-based fastener comprises a toggle and suture arrangement deployed by a needle, wherein the needle enters the front side of the tissue and exits the blind side. In a second exemplary embodiment, the suture-based fastener comprises a needle connected to a suture. The needle enters the blind side of the tissue and exits the front side. The suture is then tied in a knot to secure the pieces of tissue. One example of a clip-based fastener comprises a spring-loaded clip having two arms with tapered distal ends and barbs. The probe includes a deployment mechanism which causes the clip to pierce and lockingly secure the two pieces of tissue.

3. 发明申请

US20050267493A1 Method and system for tissue repair using dual catheters 审中-公开
标题翻译：使用双导管进行组织修复的方法和系统
公开(公告)号：US20050267493A1
公开(公告)日：2005-12-01
申请号：US11186119
申请日：2005-07-20
申请人： Stefan Schreck , William Allen , Scott Reed , Alan Bachman , Robert Steckel , Frederick Karl , Leland Adams , Robert Chapolini
发明人： Stefan Schreck , William Allen , Scott Reed , Alan Bachman , Robert Steckel , Frederick Karl , Leland Adams , Robert Chapolini
IPC分类号： A61B17/00 , A61B17/04 , A61B17/06 , A61B17/064 , A61B17/068 , A61B17/122 , A61B17/30 , A61B17/10
CPC分类号： A61B17/068 , A61B17/0469 , A61B17/0482 , A61B17/064 , A61B17/122 , A61B17/1227 , A61B2017/00243 , A61B2017/00783 , A61B2017/06057 , A61B2017/0641 , A61B2017/306
摘要： The present system is directed to a method and system to stabilize and repair tissue. At least two opposing devices may be used to stabilize and repair the tissue, with the two devices cooperatively engaging the tissue interposed therebetween. Stabilization may be accomplished by opposing force, vacuum force, or mechanical devices disposed at the distal portion of one or both devices. After the tissue has been stabilized, fasteners may be deployed into the tissue. Fasteners include sutures, clips, and staples. Also disclosed is a minimally invasive method of accessing tissue located within a body and conducting a repair of the area using the system disclosed herein.
摘要翻译：本系统针对稳定和修复组织的方法和系统。可以使用至少两个相对的装置来稳定和修复组织，其中两个装置协同地将组织插入其间。稳定化可以通过设置在一个或两个装置的远端部分的相反的力，真空力或机械装置来实现。在组织稳定之后，紧固件可以部署到组织中。紧固件包括缝线，夹子和钉。还公开了一种使用本文公开的系统访问身体内的组织并进行该区域的修复的微创方法。

4. 发明授权

US07258694B1 Medical punch and surgical procedure 失效
标题翻译：医疗冲孔和外科手术
公开(公告)号：US07258694B1
公开(公告)日：2007-08-21
申请号：US10863097
申请日：2004-06-07
申请人： Steven Choi , Scott Reed , Alan Bachman
发明人： Steven Choi , Scott Reed , Alan Bachman
IPC分类号： A61B17/32 , A61B17/3209
CPC分类号： A61B17/32053 , A61B2017/00778 , A61B2017/22034 , A61B2090/061
摘要： A medical punch includes a longitudinally dividable anvil with a reduced cross-sectional dimension facilitating insertion of the anvil into the vessel wall to achieve a clean aperture in the vessel wall by cooperative shearing action of a cutting edge and an anvil edge. In another embodiment, the instrument incorporates a measuring device for determining the thickness of a vessel wall between an anvil and a distal end of a cylindrical structure which together form a caliper, and the measuring device can also constitute a medical punch by cooperative shearing action of a cutting edge and an anvil to achieve a clean aperture in the vessel wall.
摘要翻译：医用冲头包括具有减小的横截面尺寸的可纵向分割的砧，便于将砧座插入容器壁中，以通过切割边缘和砧座边缘的协同剪切动作来实现容器壁中的清洁孔。在另一个实施例中，该仪器包括一个测量装置，用于确定砧座与圆柱形结构的远端之间的血管壁的厚度，该圆柱形结构一起形成一个卡尺，并且该测量装置还可以通过协作的剪切作用切割边缘和砧座，以在血管壁中实现清洁的孔。

5. 发明授权

US06626930B1 Minimally invasive mitral valve repair method and apparatus 有权
标题翻译：微创二尖瓣修复方法及装置
公开(公告)号：US06626930B1
公开(公告)日：2003-09-30
申请号：US09562406
申请日：2000-05-01
申请人： William J. Allen , Alan Bachman , Scott Reed , Ray Adams , Robert R. Steckel
发明人： William J. Allen , Alan Bachman , Scott Reed , Ray Adams , Robert R. Steckel
IPC分类号： A61B1708
CPC分类号： A61B17/062 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/064 , A61B17/068 , A61B17/122 , A61B17/1227 , A61B2017/00243 , A61B2017/00783 , A61B2017/0417 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0472 , A61B2017/06057 , A61B2017/0641 , A61B2017/306
摘要： The present invention is directed to an apparatus and method for the stabilization and fastening of two pieces of tissue. A single device may be used to both stabilize and fasten the two pieces of tissue, or a separate stabilizing device may be used in conjunction with a fastening device. The stabilizing device may comprise a probe with vacuum ports and/or mechanical clamps disposed at the distal end to approximate the two pieces of tissue. After the pieces of tissue are stabilized, they are fastened together using sutures or clips. One exemplary embodiment of a suture-based fastener comprises a toggle and suture arrangement deployed by a needle, wherein the needle enters the front side of the tissue and exits the blind side. In a second exemplary embodiment, the suture-based fastener comprises a needle connected to a suture. The needle enters the blind side of the tissue and exits the front side. The suture is then tied in a knot to secure the pieces of tissue. One example of a clip-based fastener comprises a spring-loaded clip having two arms with tapered distal ends and barbs. The probe includes a deployment mechanism which causes the clip to pierce and lockingly secure the two pieces of tissue.
摘要翻译：本发明涉及一种用于稳定和紧固两片组织的装置和方法。可以使用单个装置来稳定和紧固两片组织，或者单独的稳定装置可以与紧固装置结合使用。稳定装置可以包括具有真空端口的探针和/或设置在远端处的近似两个组织的机械夹具。在组织片稳定后，使用缝合线或夹子将它们固定在一起。基于缝合线的紧固件的一个示例性实施例包括由针部署的肘节和缝合线布置，其中针进入组织的前侧并离开盲侧。在第二示例性实施例中，基于缝合线的紧固件包括连接到缝线的针。针进入组织的盲侧并从前侧离开。然后将缝合线绑在一起，以固定薄片。基于夹子的紧固件的一个示例包括弹簧加载夹具，其具有带有锥形远端和倒钩的两个臂。探针包括展开机构，其使得夹子刺穿并锁定地固定两片组织。

6. 发明授权

US08690904B2 Percutaneous access conduit 有权
标题翻译：经皮导管
公开(公告)号：US08690904B2
公开(公告)日：2014-04-08
申请号：US11893853
申请日：2007-08-18
申请人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
发明人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
IPC分类号： A61B17/32 , A61F11/00
CPC分类号： A61B17/02 , A61B17/0057 , A61B17/2812 , A61B17/282 , A61B17/3403 , A61B17/3439 , A61B2017/00424 , A61B2017/00654 , A61B2017/00778 , A61B2017/320044 , A61B2017/3405 , A61B2090/062 , A61B2090/306
摘要： A tubular conduit is used to access blood vessels or other structures in the human body. The conduit has a distal tip angled to match the angle of entry into the body and an end contour adapted for the surface of the target vessel or organ. The contour may be curved to match the curve on the outer surface of the vessel or organ. The conduit's angled and contoured distal end may be adapted to engage, and align the conduit with, the surface of the vessel or organ. The conduit bears a longitudinal groove along its lower, inner surface. When the conduit is appropriately aligned, the groove may be used to guide a needle tip to the desired location, for example, the mid-line of the vessel or organ.
摘要翻译：管状导管用于进入人体内的血管或其他结构。导管具有成角度的远端以匹配进入体内的角度以及适于目标血管或器官表面的端部轮廓。轮廓可以弯曲以匹配血管或器官的外表面上的曲线。导管的成角度和轮廓的远端可以适于将导管与容器或器官的表面接合并对齐。导管沿其下部内表面具有纵向凹槽。当导管适当地对准时，凹槽可用于将针尖引导到所需位置，例如容器或器官的中线。

7. 发明授权

US07666201B2 Spreading instrument 有权
标题翻译：传播仪器
公开(公告)号：US07666201B2
公开(公告)日：2010-02-23
申请号：US10862905
申请日：2004-06-07
申请人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
发明人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
IPC分类号： A61B17/32
CPC分类号： A61B17/02 , A61B17/0057 , A61B17/2812 , A61B17/282 , A61B17/3403 , A61B17/3439 , A61B2017/00424 , A61B2017/00654 , A61B2017/00778 , A61B2017/320044 , A61B2017/3405 , A61B2090/062 , A61B2090/306
摘要： A spreading instrument includes instrument fingers which can be spread to partially define a cylindrical passage between the instrument fingers. A rounded groove on the interior surface of each instrument finger is tapered lengthwise, becoming shallower towards the distal end of the finger. When the fingers are spread, the opposing grooves partly define a cylindrical passage adapted to receive a tubular structure.
摘要翻译：扩展仪器包括可以扩展以在仪器指状物之间部分限定圆柱形通道的器械指状物。每个乐器手指的内表面上的圆形凹槽是纵向渐缩的，朝着手指的远端变浅。当手指被展开时，相对的槽部分地限定适于接收管状结构的圆柱形通道。

8. 发明申请

US20050033339A1 Percutaneous entry system and method 有权
标题翻译：经皮进入系统和方法
公开(公告)号：US20050033339A1
公开(公告)日：2005-02-10
申请号：US10862905
申请日：2004-06-07
申请人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
发明人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
IPC分类号： A61B17/28 , A61B17/34 , A61B19/00 , A61B17/32
CPC分类号： A61B17/02 , A61B17/0057 , A61B17/2812 , A61B17/282 , A61B17/3403 , A61B17/3439 , A61B2017/00424 , A61B2017/00654 , A61B2017/00778 , A61B2017/320044 , A61B2017/3405 , A61B2090/062 , A61B2090/306
摘要： The present invention relates to ergonomic hand instruments and medical procedures. In particular, the invention relates to a dissector, and methods for the dissection of tissue from skin to an underlying blood vessel and the methods of accomplishing such dissections and arterial and venous punctures.
摘要翻译：本发明涉及符合人体工程学的手动工具和医疗程序。特别地，本发明涉及一种解剖器，以及从皮肤到潜在血管的组织解剖的方法以及完成这种解剖和动脉和静脉穿刺的方法。

9. 发明申请

US20070288046A1 Percutaneous access conduit and methods 有权
标题翻译：经皮导管和方法
公开(公告)号：US20070288046A1
公开(公告)日：2007-12-13
申请号：US11893853
申请日：2007-08-18
申请人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
发明人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
IPC分类号： A61B17/3201
CPC分类号： A61B17/02 , A61B17/0057 , A61B17/2812 , A61B17/282 , A61B17/3403 , A61B17/3439 , A61B2017/00424 , A61B2017/00654 , A61B2017/00778 , A61B2017/320044 , A61B2017/3405 , A61B2090/062 , A61B2090/306
摘要： A tubular conduit is used to access blood vessels or other structures in the human body. The conduit has a distal tip angled to match the angle of entry into the body and an end contour adapted for the surface of the target vessel or organ. The contour may be curved to match the curve on the outer surface of the vessel or organ. The conduit's angled and contoured distal end may be adapted to engage, and align the conduit with, the surface of the vessel or organ. The conduit bears a longitudinal groove along its lower, inner surface. When the conduit is appropriately aligned, the groove may be used to guide a needle tip to the desired location, for example, the mid-line of the vessel or organ.
摘要翻译：管状导管用于进入人体内的血管或其他结构。导管具有成角度的远端以匹配进入体内的角度以及适于目标血管或器官表面的端部轮廓。轮廓可以弯曲以匹配血管或器官的外表面上的曲线。导管的成角度和轮廓的远端可以适于将导管与容器或器官的表面接合并对齐。导管沿其下部内表面具有纵向凹槽。当导管适当地对准时，凹槽可用于将针尖引导到所需位置，例如容器或器官的中线。

10. 发明授权

US08603130B2 Instrument for engaging a body structure 失效
标题翻译：用于接合身体结构的仪器
公开(公告)号：US08603130B2
公开(公告)日：2013-12-10
申请号：US12072603
申请日：2008-02-27
申请人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
发明人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
IPC分类号： A61M29/00 , A61B17/00 , A61B17/08
CPC分类号： A61B17/02 , A61B17/0057 , A61B17/2812 , A61B17/282 , A61B17/3403 , A61B17/3439 , A61B2017/00424 , A61B2017/00654 , A61B2017/00778 , A61B2017/320044 , A61B2017/3405 , A61B2090/062 , A61B2090/306
摘要： An instrument for engaging an underlying blood vessel or body structure. The instrument comprises a pair of instrument arms, and an instrument finger extends at an angle from each arm. The distal end of each instrument finger comprises a bottom surface at an angle to the axis of the instrument finger such that it is adapted to rest upon the underlying blood vessel or body structure. In certain embodiments the bottom surfaces are in a plane that is substantially parallel to the plane of the instrument arms.
摘要翻译：用于接合潜在血管或身体结构的仪器。仪器包括一对仪器臂，并且仪器手指从每个臂以一定角度延伸。每个器械手指的远端包括与仪器手指的轴线成一角度的底表面，使得其适于搁置在下面的血管或身体结构上。在某些实施例中，底表面处于基本上平行于器械臂平面的平面内。

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