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1. 发明专利

JP2009000535A Device used for closing septal defect 有权
标题翻译：用于闭合缺陷的装置
公开(公告)号：JP2009000535A
公开(公告)日：2009-01-08
申请号：JP2008178318
申请日：2008-07-08
申请人： St Jude Medical Atg Inc , セントジュードメディカルエーティージー, インコーポレイテッド
发明人： BERG TODD A , PETERSON ALEX A , WAHLBERG MARK D , ST GERMAIN JON P
IPC分类号： A61F2/02 , A61B17/00 , A61B17/064 , A61B17/08 , A61B17/11 , A61B17/34 , A61F2/06
CPC分类号： A61B17/3468 , A61B17/0057 , A61B17/064 , A61B17/0643 , A61B17/08 , A61B17/11 , A61B17/3415 , A61B2017/00575 , A61B2017/00659 , A61B2017/0641 , A61F2/064
摘要： PROBLEM TO BE SOLVED: To provide an improved and simplified graft connector and others used for closing septum deletion.
SOLUTION: A medical graft connector or plug is made by cutting end portions of a tube of highly elastic material axially at numerous locations spaced circumferentially around the tube to produce a plurality of fingers (which extend axially from each end of an uncut medial portion of the tube). The fingers are deflected radially outward from the medial portion and set in that condition. For a graft connector, the medial portion is coaxially connected to an end portion of a tubular graft. The connecting portion is then installed through an aperture in the side wall of a patient's tubular body conduit, for example, by using a delivery tube. When the delivery conduit is withdrawn from the connector, the fingers spring out to engage the inner and outer surfaces of the body conduit wall.
COPYRIGHT: (C)2009,JPO&INPIT
摘要翻译：要解决的问题：提供改进和简化的移植连接器和其他用于闭合隔膜缺失的问题。解决方案：医疗移植物连接器或插头通过在围绕管子周向间隔开的多个位置处轴向切割高弹性材料管的端部而制成，以产生多个指状物（其从未切割内侧的每个端部轴向延伸管的部分）。手指从中间部分径向向外偏转并设置在该状态。对于移植物连接器，中间部分同轴地连接到管状移植物的端部。然后，连接部分通过例如通过使用输送管安装在病人管状体导管的侧壁中的孔中。当输送导管从连接器中取出时，指状物弹出以与体导管壁的内表面和外表面接合。版权所有（C）2009，JPO＆INPIT

2. 发明申请

WO2002091952A2 MEDICAL GRAFTING METHODS AND APPARATUS 审中-公开
标题翻译：医疗招聘方法和设备
公开(公告)号：WO2002091952A2
公开(公告)日：2002-11-21
申请号：PCT/US2002/015306
申请日：2002-05-14
申请人： ST. JUDE MEDICAL ATG, INC.
发明人： PETERSON, Alex , LOGAN, John , LIM, Jyue, Boon , SWANSON, William , GRUDEM, Jerry
IPC分类号： A61F2/00
CPC分类号： A61B17/064 , A61B17/11 , A61B2017/0641 , A61B2017/1139 , A61F2/064
摘要： A connector for use in providing an anastomotic connection between two tubular body fluid conduits in a patient is provided. The connector is preferably a single, integral structure that can be cut from a tube. The connector has axially spaced portions that include "fingers" for engaging the two body fluid conduits. The connector also has members that have sharpened end portions that engage and penetrate the wall of one of the body fluid conduits. The fingers and sharpened members hold the two conduits together in a fluid-tight engagement. Apparatus for use in deploying a connector is also disclosed.
摘要翻译：提供了用于在患者体内的两个管状体液导管之间提供吻合连接的连接器（10）。连接器（10）优选是可以从管切割的单一的整体结构。连接器（10）具有轴向间隔开的部分（20,40），其包括用于接合两个体液导管的“手指”（22,42）。连接器（10）还具有已经磨削的端部（24）的构件，其接合并穿过体液导管之一的壁。手指（22,42）和锋利的构件（24）将两个管道以流体密封的方式保持在一起。还公开了用于部署连接器的装置。

3. 发明申请

WO2002096297A2 MEDICAL GRAFTING METHODS AND APPARATUS 审中-公开
标题翻译：医疗招聘方法和设备
公开(公告)号：WO2002096297A2
公开(公告)日：2002-12-05
申请号：PCT/US2002/017335
申请日：2002-05-30
申请人： ST. JUDE MEDICAL ATG, INC.
发明人： SWANSON, William, J. , CORNELIUS, Rick , HINDRICHS, Paul, J. , PETERSON, Alex, A.
IPC分类号： A61B17/11
CPC分类号： A61B17/11 , A61B17/064 , A61B17/115 , A61B17/1152 , A61B2017/00557 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135 , A61B2017/1139
摘要： Methods and apparatus for making an anastomotic connection between a first conduit and a second conduit are provided. A connector is mounted annularly around the distal end portion of an inflatable balloon. Upon inflation of the balloon, the connector enlarges radially and shortens axially such that first and second members of the connector engage the first and second conduits, respectively, and draw the two conduits together to create a seal therebetween. Additional apparatus may be provided to reduce the tension on the first conduit (e.g., a graft conduit) and/or to define a kink-free path for the first conduit to follow after making the anastomotic connection.
摘要翻译：提供了用于在第一导管和第二导管之间进行吻合连接的方法和装置。连接器围绕充气气囊的远端部分环形安装。在球囊膨胀时，连接器径向扩大并且轴向缩短，使得连接器的第一和第二构件分别接合第一和第二导管，并将两个导管牵引在一起，以在它们之间产生密封。可以提供附加装置以减小第一导管（例如，移植物导管）上的张力和/或限定在进行吻合连接之后第一导管跟随的无扭结路径。

4. 发明申请

WO2004022149A1 HIGH-STRENGTH BALLOON WITH TAILORED SOFTNESS 审中-公开
标题翻译：具有定制软度的高强度气球
公开(公告)号：WO2004022149A1
公开(公告)日：2004-03-18
申请号：PCT/US2002/026792
申请日：2002-08-22
申请人： ST. JUDE MEDICAL ATG, INC.
发明人： REN, Brooke
IPC分类号： A61M29/00
CPC分类号： A61L29/06 , C08L67/02
摘要： A balloon and novel method of making and using the balloon is provided. In the method, a two-step forming process is provided, which overcomes the traditional brittleness exhibited by polymers when used below Tg. Selection criteria for polymeric materials that may yield medical balloons with desirable balloon strength and flexibility when processed according to the invention is also provided.
摘要翻译：提供了制作和使用气球的气球和新颖的方法。在该方法中，提供了两步形成方法，其克服了低于Tg时聚合物显示的传统脆性。还提供了当根据本发明加工时可产生具有期望球囊强度和柔性的医用气囊的聚合材料的选择标准。

5. 发明申请

WO2004032765A2 SELF-EXPANDING EXTERIOR CONNECTORS FOR CREATING ANASTOMOSES TO SMALL-DIAMETER VESSELS AND METHODS OF USE 审中-公开
标题翻译：自行扩展外部连接器以创建小直径血管的吻合器和使用方法
公开(公告)号：WO2004032765A2
公开(公告)日：2004-04-22
申请号：PCT/US2003/031492
申请日：2003-10-03
申请人： ST. JUDE MEDICAL ATG, INC.
发明人： HINDRICHS, Paul, J. , BRENZEL, Michael, P. , CORNELIUS, Richard, G. , SWANSON, William, J.
IPC分类号： A61B17/11
CPC分类号： A61B17/11 , A61B17/064 , A61B17/0644 , A61B17/1152 , A61B2017/00867 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135
摘要： Methods and apparatus for making an anastomotic connection between a first aperture in a side wall of a graft conduit and a second aperture in a side wall of a body tissue conduit using a hollow self-expanding exterior connector are provided. The tissue about the first aperture is introduced into the hollow connector and is retained by first members of a distal portion of the connector. A delivery tool then collapses the distal perimeter defined by the first members by deforming the connector and delivers the first members into the lumen of the body tissue conduit via the second aperture. Upon inserting the first members into the body tissue conduit, the tool is disemployed and the connector reforms such that the first members and a more proximal portion of the connector external to the body tissue conduit press together the walls of the two conduits around the apertures.
摘要翻译：用于使用中空自膨胀外部连接器在移植管道的侧壁中的第一孔与身体组织导管的侧壁中的第二孔之间形成吻合连接的方法和设备是提供。围绕第一孔的组织被引入中空连接器并由连接器的远侧部分的第一构件保持。递送工具然后通过使连接器变形而使由第一构件限定的远端周界塌陷并且经由第二孔将第一构件递送到身体组织导管的内腔中。在将第一构件插入身体组织导管中后，工具被解雇，并且连接器被重整，使得连接器的第一构件和身体组织导管外部的更近侧部分围绕孔将两个导管的壁压在一起。

6. 发明授权

US07575586B2 Medical graft connector or plug structures, and methods of making and installing same 有权
公开(公告)号：US07575586B2
公开(公告)日：2009-08-18
申请号：US10683537
申请日：2003-10-09
申请人： Todd A Berg , Alex A Peterson , Mark D Wahlberg , Jon P St. Germain
发明人： Todd A Berg , Alex A Peterson , Mark D Wahlberg , Jon P St. Germain
IPC分类号： A61B17/08 , A61F2/04
CPC分类号： A61B17/3468 , A61B17/0057 , A61B17/064 , A61B17/0643 , A61B17/08 , A61B17/11 , A61B17/3415 , A61B2017/00575 , A61B2017/00659 , A61B2017/0641 , A61F2/064
摘要： A medical graft connector or plug is made, for example, by cutting end portions of a tube of highly elastic material axially at numerous locations spaced circumferentially around the tube to produce a plurality of fingers which extend axially from each end of an uncut medial portion of the tube. The fingers are deflected radially outwardly from the medial portion and set in that condition. For a graft connector, the medial portion is coaxially connected to an end portion of a tubular graft. The connector is then installed through an aperture in the side wall of a patient's tubular body conduit, for example, by using a delivery tube in which the fingers are elastically deflected back to approximately their initial positions. When the delivery conduit is withdrawn from the connector, the fingers spring out to engage the inner and outer surfaces of the body conduit wall. For a plug, the medial portion is occluded and then the structure is installed through the aperture to be plugged in a manner similar to installation of the connector.

7. 发明授权

US07569072B2 Artificial heart valve attachment apparatus and methods 有权
标题翻译：人工心脏瓣膜附件装置及方法
公开(公告)号：US07569072B2
公开(公告)日：2009-08-04
申请号：US11285856
申请日：2005-11-23
申请人： Todd A Berg , William J Swanson , Jerry Grudem
发明人： Todd A Berg , William J Swanson , Jerry Grudem
IPC分类号： A61F2/24
CPC分类号： A61F2/2409
摘要： Heart valve attachment apparatus and methods that significantly reduce attachment times are provided. The apparatus and methods utilize a connector band to form an interface between a uni-directional valve and a tissue annulus. The connector band is secured to the tissue annulus by retention fingers.
摘要翻译：提供了显着减少附着时间的心脏瓣膜附接装置和方法。该装置和方法利用连接器带形成单向阀和组织环之间的界面。连接器带通过保持指固定到组织环。

8. 发明授权

US06920882B2 Medical grafting methods and apparatus 有权
公开(公告)号：US06920882B2
公开(公告)日：2005-07-26
申请号：US10120299
申请日：2002-04-09
申请人： Todd Allen Berg , Daniel J. Sullivan , William J. Swanson , Paul J. Hindrichs
发明人： Todd Allen Berg , Daniel J. Sullivan , William J. Swanson , Paul J. Hindrichs
IPC分类号： A61B17/064 , A61B17/08 , A61B17/11 , A61F2/06 , A61B19/00
CPC分类号： A61B17/064 , A61B17/11 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135 , A61B2017/1139 , A61F2/064
摘要： Methods and apparatus for delivering and installing a new length of tubing between two sections of a patient's existing body organ tubing and at least partly outside of that existing structure. For example, the new length of tubing may be for the purpose of providing the patient with a coronary bypass. The new tubing may be an artificial graft, a natural graft (harvested elsewhere from the patient), or both. The new tubing is installed at the operative site primarily by providing at least one graft location with instrumentation inserted through the patient's existing tubular body organ structure. Assistance in installing the new tubing may be provided by minimally invasive surgical access openings in the patient's chest. The tubing may be delivered through the patient's existing tubular body structure or, alternatively, through the surgical access openings.

9. 发明申请

US20040068279A1 Apparatus and methods for creating anastomoses 有权
标题翻译：用于创建吻合的装置和方法
公开(公告)号：US20040068279A1
公开(公告)日：2004-04-08
申请号：US10678405
申请日：2003-10-03
申请人： St. Jude Medical ATG, Inc.
发明人： Paul J. Hindrichs , Michael P. Brenzel , Richard G. Cornelius , William J. Swanson
IPC分类号： A61B017/08
CPC分类号： A61B17/32053 , A61B17/064 , A61B17/0644 , A61B17/11 , A61B17/3209 , A61B17/3211 , A61B2017/00867 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135
摘要： Apparatus and methods for creating anastomoses are provided. An incision tool for creating an incision having a controlled length in a side wall of a patient's body tissue conduit is provided. A delivery device for inserting a hollow annular connector into an incision in a side wall of a patient's body tissue conduit is provided. The delivery device may include first and second anvil structures around which the connector may be disposed. By moving the first anvil structure away from the second anvil structure, the connector may expand to a desired configuration (e.g., non-round) within the aperture. In one example, the connector may be inserted into the aperture to hold the aperture open prior to attachment of a graft conduit to the aperture, thereby allowing a physician to inspect the aperture and the surrounding tissue.
摘要翻译：提供了用于产生吻合的装置和方法。提供了一种用于在患者身体组织导管的侧壁中产生具有受控长度的切口的切口工具。提供了一种用于将中空环形连接器插入患者身体组织导管的侧壁中的切口中的输送装置。输送装置可以包括可以设置连接器的第一和第二砧座结构。通过将第一砧座结构移动离开第二砧座结构，连接器可以扩展到孔内所需的构造（例如非圆形）。在一个示例中，连接器可以插入孔中以在将移植物导管附接到孔之前保持孔开放，从而允许医师检查孔和周围组织。

10. 发明申请

US20030195535A1 Medical grafting methods & apparatus 审中-公开
标题翻译：医用嫁接方法及装置
公开(公告)号：US20030195535A1
公开(公告)日：2003-10-16
申请号：US10411550
申请日：2003-04-09
申请人： St. Jude Medical ATG, Inc.
发明人： William J. Swanson , Jason A. Galdonik , Paul J. Hindrichs , Gregory A. Boldenow , Todd A. Berg , Rick Cornelius , Luis Bonilla
IPC分类号： A61B017/08
CPC分类号： A61B17/115 , A61B17/0644 , A61B17/11 , A61B46/17 , A61B2017/00557 , A61B2017/0641 , A61B2090/0801
摘要： Methods and apparatus for making an anastomotic connection between a first conduit and a second conduit. A connector structure having a first end portion and a second end portion is positioned about a balloon catheter, which when pressurized, expands to a significant extent at the distal end thereof. The balloon enlarges the connector structure when positioned at the distal end portion of the balloon to create the anastomosis, and at the same time reduces the axial length of the connector, thereby compressing the first conduit to the second conduit, creating a hemodynamic seal and a firm attachment of the two conduits. After enlargement, the connector structure remains in place and adds structure to the anastomosis. During introduction, the second end portion of the connector is covered by a nosecone assembly to prevent trauma to the second conduit while the apparatus is being introduced. The nosecone assembly has a flexible structure which may change configuration to expose the second set of members after insertion into the second conduit and to allow removal of the nosecone after deployment.
摘要翻译：用于在第一导管和第二导管之间进行吻合连接的方法和装置。具有第一端部部分和第二端部部分的连接器结构围绕球囊导管定位，当加压时，其在其远端处显着扩张。当定位在球囊的远端部分时，气囊扩大连接器结构以产生吻合，并且同时减小连接器的轴向长度，从而将第一导管压缩到第二导管，产生血流动力学密封和坚固的连接两个管道。放大后，连接器结构保持原位，并将结构添加到吻合中。在引入期间，连接器的第二端部被鼻锥组件覆盖，以在装置被引入时防止对第二导管的创伤。鼻锥组件具有柔性结构，其可以改变配置以在插入第二导管之后露出第二组构件，并且在展开之后允许去除鼻锥。

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