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21. 发明申请

US20070179345A1 Retraction of the Left Atrial Appendage 有权
标题翻译：收缩左心耳
公开(公告)号：US20070179345A1
公开(公告)日：2007-08-02
申请号：US11567538
申请日：2006-12-06
申请人： Albert N. Santilli
发明人： Albert N. Santilli
IPC分类号： A61B1/32
CPC分类号： A61B17/282 , A61B17/0206 , A61B17/28 , A61B17/2833 , A61B2017/0237 , A61B2017/2808
摘要： A clamp is provided for attachment to the left atrial appendage (LAA). The clamp can be locked in a closed position so as to remain in place on the LAA. After being attached to the LAA, the clamp can be moved to a desired position such that the LAA can be retracted to a desired extent. The clamp can be held in any desired position, preferably by being connected to a thoracic retractor that is being used to retract the patient's sternum or ribs. A movable member is connected between the clamp and a stationary portion of the retractor. By locking the movable member in a fixed position relative to the stationary portion, the clamp can be maintained in a desired position and the LAA can be retracted as desired.
摘要翻译：提供用于附接到左心耳（LAA）的夹具。夹具可以锁定在关闭位置，以便保持在LAA上的适当位置。在连接到LAA之后，夹具可以移动到期望的位置，使得LAA可以缩回到期望的程度。夹具可以保持在任何期望的位置，优选地通过连接到用于缩回患者胸骨或肋骨的胸部牵开器。可动构件连接在夹具和牵开器的固定部分之间。通过将可动构件相对于固定部分固定在固定位置，可以将夹具保持在期望的位置，并且可以根据需要缩回LAA。

22. 发明授权

US5967972A Minimally invasive surgical retractor and method of operation 失效
标题翻译：微创手术牵开器及手术方法
公开(公告)号：US5967972A
公开(公告)日：1999-10-19
申请号：US49597
申请日：1998-03-27
申请人： Albert N. Santilli , Alex Zapolanski , Amit Patel
发明人： Albert N. Santilli , Alex Zapolanski , Amit Patel
IPC分类号： A61B17/00 , A61B17/02
CPC分类号： A61B17/0206 , A61B2017/00243
摘要： A retractor for use in various types of surgical procedures such as harvesting mammary arteries, coronary bypass surgery, heart valve repairs, mitral valve replacement, partial sternotomies, and other types of surgery includes a toothed crossbar to which a pair of small grips are attached. The first grip is attached to an arm which is removably connected to a first block. The first block is movable along the crossbar, thereby permitting the first grip to be moved toward or away from the second grip. The second grip is attached to an arm which is removably connected to a second block. The second block can be fixed or movably connected to the crossbar. The crossbar includes a hinge that enables the grips to be pivoted relative to each other. Pivoting is accomplished by a pair of vertically extending brackets that are connected to the blocks and which are connected to each other by an adjustable connector. Retractor blades of various types are connected to the adjustable connector or to arm-carried rods by universal clamps. The grips can be removed and replaced with differently configured grips in order to conduct different types of surgical procedures or to conduct surgical procedures on different portions of a patient's body. The retractor according to the invention enables one portion of a patient's body to be both retracted and raised relative to an adjacent portion of the body. Such retraction provides effective access to a surgical site with minimal invasion of the body.
摘要翻译：用于各种类型的外科手术的收缩器，例如收集乳房动脉，冠状动脉旁路手术，心脏瓣膜修复，二尖瓣置换，部分胸骨切开术和其他类型的手术包括一对齿形横杆，一对小手柄附接到该齿形横梁上。第一把手连接到可拆卸地连接到第一块的臂上。第一块可沿着横杆移动，从而允许第一把手朝向或远离第二把手移动。第二把手连接到可拆卸地连接到第二块的臂上。第二块可以固定或可移动地连接到横杆。横杆包括铰链，其能够使把手相对于彼此枢转。枢转是通过一对垂直延伸的支架来完成的，这些托架连接到块上，并通过一个可调连接器相互连接。各种类型的牵引刀片通过通用夹具连接到可调节连接器或手臂杆上。手柄可以被移除并用不同配置的手柄替换，以便进行不同类型的外科手术或在患者身体的不同部分进行外科手术。根据本发明的牵开器使得患者身体的一部分能够相对于身体的相邻部分缩回和升高。这种缩回提供了对身体的最小侵入的对外科手术部位的有效接近。

23. 发明授权

US5961554A Intervertebral spacer 失效
标题翻译：椎间隔
公开(公告)号：US5961554A
公开(公告)日：1999-10-05
申请号：US778023
申请日：1996-12-31
申请人： Frank S Janson , Albert N. Santilli
发明人： Frank S Janson , Albert N. Santilli
IPC分类号： A61F2/00 , A61F2/28 , A61F2/30 , A61F2/44
CPC分类号： A61F2/4455 , A61F2/442 , A61F2/446 , A61F2/4465 , A61F2/447 , A61F2002/2839 , A61F2002/30011 , A61F2002/30126 , A61F2002/30131 , A61F2002/30133 , A61F2002/30143 , A61F2002/30153 , A61F2002/302 , A61F2002/30224 , A61F2002/30235 , A61F2002/3028 , A61F2002/30785 , A61F2002/30789 , A61F2002/30879 , A61F2002/30892 , A61F2002/30896 , A61F2002/30957 , A61F2002/30968 , A61F2230/0008 , A61F2230/0013 , A61F2230/0015 , A61F2230/0017 , A61F2230/0019 , A61F2230/0063 , A61F2230/0065 , A61F2230/0069 , A61F2250/0023 , A61F2310/00023 , Y10S606/907
摘要： A porous intervertebral spacer includes a plurality of fused, generally spherical beads of a biologically inert material, preferably titanium or a titanium alloy. The spacer can include elongate, tortuous strands of titanium wire mesh intermixed with the beads. The spacer also can be made entirely of strands of elongate, fused, tortuous titanium wire mesh. A method of fusing adjacent vertebrae of the spine includes the steps of excising a portion of an intervertebral disc separating adjacent vertebrae and portions of the adjacent vertebrae to define a graft bed, and inserting into she graft bed at least one porous intervertebral spacer according to the invention.
摘要翻译：多孔椎间间隔物包括生物惰性材料的多个熔合的，通常为球形的珠，优选钛或钛合金。间隔件可以包括与珠子混合的细长的，弯曲的钛丝网的股线。间隔件还可以完全由细长的，熔合的，曲折的钛丝网的线制成。融合脊柱的相邻椎骨的方法包括以下步骤：切除分离相邻椎骨和相邻椎骨部分的椎间盘的一部分以限定移植床，并且将移植床插入到至少一个多孔椎间隔垫中，根据发明。

24. 发明授权

US09480480B2 Vascular and intestinal occlusion 有权
标题翻译：血管和肠梗阻
公开(公告)号：US09480480B2
公开(公告)日：2016-11-01
申请号：US11610836
申请日：2006-12-14
申请人： Albert N. Santilli , Robert Michler
发明人： Albert N. Santilli , Robert Michler
IPC分类号： A61B17/04 , A61B17/122 , A61B17/00
CPC分类号： A61B17/122 , A61B17/1227 , A61B2017/00243 , A61B2017/00407
摘要： A device for occluding a conduit includes first and second members, each with first and second ends. The second ends are connected by a hinge. The first ends interlock to close the device about the conduit. The members are shaped such that they can occlude the conduit without causing the development of damaged or necrotic tissue. If desired, a flexible cover can be provided and the first and second members can be disposed within the cover. If such a cover is used, it will contact the conduit in order to cushion the contact between the members and the conduit, minimize the tendency of the conduit to bleed, and increase traction relative to the conduit. The invention also includes methods for using the device to occlude a conduit.
摘要翻译：用于封闭导管的装置包括第一和第二构件，每个具有第一和第二端。第二端通过铰链连接。第一端互锁以围绕导管关闭装置。构件的形状使得它们可以封闭导管而不引起损伤或坏死组织的发展。如果需要，可以设置柔性盖，并且第一和第二构件可以设置在盖内。如果使用这样的盖子，它将接触导管以缓冲构件和导管之间的接触，从而最小化导管渗出的趋势并增加相对于导管的牵引力。本发明还包括使用该装置闭塞导管的方法。

25. 发明申请

US20080312559A1 Method and Apparatus for Performing Gastric Bypass Surgery 审中-公开
标题翻译：用于进行胃旁路手术的方法和装置
公开(公告)号：US20080312559A1
公开(公告)日：2008-12-18
申请号：US12137366
申请日：2008-06-11
申请人： Albert N. Santilli , Gerald Marsh
发明人： Albert N. Santilli , Gerald Marsh
IPC分类号： A61B5/103 , A61M29/02
CPC分类号： A61B17/1114 , A61B17/00234 , A61B2017/00278 , A61B2017/00818 , A61B2017/1135 , A61B2017/1139 , A61B2017/22067
摘要： A specially configured esophageal-gastric tube can be inserted into a patient's esophagus with the tip of the tube in the region of an end-to-end anaotomosis connection. The joined members are occluded upstream and downstream of the anastomosis connection. Fluid is pumped into the occluded section through the esophageal-gastric tube until a desired pressure level is attained. The anastomosis connection then is checked for leaks. The invention also includes a bougie having an end portion made of a material suitable for resisting electro-cauterization temperatures.
摘要翻译：特殊配置的食管胃管可以插入病人的食管中，其管尖在端对端导管连接区域中。连接的构件在吻合连接的上游和下游被闭塞。将液体通过食管胃管泵入封闭部分，直至获得所需的压力水平。然后检查吻合口是否有泄漏。本发明还包括具有由适合于抵抗电烧温度的材料制成的端部部分的咖啡。

26. 发明授权

US07455678B2 Aorta cross clamp assembly 有权
标题翻译：主动脉横切钳组件
公开(公告)号：US07455678B2
公开(公告)日：2008-11-25
申请号：US10631052
申请日：2003-07-29
申请人： Albert N. Santilli
发明人： Albert N. Santilli
IPC分类号： A61B17/08
CPC分类号： A61B17/122 , A61B17/128
摘要： An aorta cross clamp assembly includes a clamp having movable jaws and a removable actuator having movable handles. Initially, the actuator is connected to the clamp with the jaws in an open position. When the actuator handles are closed, the jaws also will be closed. The clamp is provided with a toothed retainer that prevents the jaws from being opened accidently. The actuator can be detached from the clamp and removed from the operative site, leaving the locked clamp in place. When it is desired to remove the clamp, the actuator can be reattached to the clamp and used to disengage the toothed retainer. The actuator then can be used to spread the jaws in order to permit the clamp to be removed. The clamp and the actuator are provided in two forms. In one form, the toothed retainer is engaged and disengaged by movement toward and away from the jaws (“horizontal” movement). In the other form, the toothed retainer is engaged and disengaged by movement generally perpendicular to the jaws (“vertical” movement). Another embodiment employs a clamp having movable jaws and a slender, flexible, actuator that is not intended to be removed during use. The jaws are actuated by axial movement of a screw that is connected to the end of a cable included as part of the actuator. The screw passes through a slotted nut that permits non-rotational axial movement of the screw in one direction to close the jaws, but which requires that the screw be rotated in order to move in the opposite direction to open the jaws.
摘要翻译：主动脉十字夹具组件包括具有可动爪的夹具和具有可移动手柄的可拆卸致动器。最初，致动器连接到夹具，钳口处于打开位置。当执行器手柄关闭时，夹爪也将关闭。夹具设置有齿形保持器，防止夹爪意外打开。致动器可以从夹具上拆下并从操作部位移除，将锁定的夹具保持在适当的位置。当需要拆卸夹具时，执行器可以重新连接到夹具上，并用于脱开带齿保持器。然后，致动器可以用于扩展夹爪，以便允许夹具被移除。夹具和执行机构有两种形式。在一种形式中，齿形保持器通过朝向和远离夹爪（“水平”运动）的移动而接合和分离。在另一种形式中，齿形保持器通过大致垂直于夹爪的运动（“垂直”运动）接合和分离。另一个实施例采用具有可移动钳口的夹具和细长的，柔性的致动器，其不用于在使用期间被移除。夹爪通过连接到作为致动器的一部分的电缆的端部的螺钉的轴向运动来致动。螺钉通过一个开槽的螺母，其允许螺杆在一个方向上的非旋转轴向移动以关闭夹爪，但是这需要旋转螺杆以沿相反方向移动以打开夹爪。

27. 发明申请

US20080249626A1 Arthrodesis of Vertebral Bodies 有权
标题翻译：椎体关节固定术
公开(公告)号：US20080249626A1
公开(公告)日：2008-10-09
申请号：US11696998
申请日：2007-04-05
申请人： Albert N. Santilli , George R. Schoedinger
发明人： Albert N. Santilli , George R. Schoedinger
IPC分类号： A61F2/44
CPC分类号： A61F2/446 , A61F2/3094 , A61F2/4611 , A61F2002/3013 , A61F2002/30574 , A61F2002/30769 , A61F2002/30787 , A61F2002/3092 , A61F2002/30968 , A61F2002/4495 , A61F2002/4627 , A61F2002/4629 , A61F2230/001 , A61F2310/00011 , A61F2310/00203 , A61F2310/00239
摘要： Spinal arthrodesis is accomplished by implanting an intervertebral spacer made of a biocompatible material that promotes tissue ingrowth and bony fusion. The spacer is implanted into a graft bed formed between adjacent vertebral bodies. The spacer includes a body portion having anterior and posterior end faces. Opposed flanges project outwardly from the body portion at axial locations adjacent the anterior and posterior end faces. The flanges taper radially outwardly to an outer edge that is sharp enough to penetrate vertebral end plates. After a graft bed has been formed, and after the vertebral bodies have been distracted, the spacer is inserted into the graft bed and positioned such that the flanges are adjacent the vertebral end plates. Upon release of the distraction, the vertebral bodies will move toward each other and the flanges will be pressed into the end plates. The effect of the pressing action is to secure the spacer tightly in place within the graft bed such that migration of the spacer is prevented.
摘要翻译：通过植入由促进组织向内生长和骨融合的生物相容性材料制成的椎间隔垫完成脊柱关节固定术。将间隔物植入到相邻椎体之间形成的移植床中。间隔件包括具有前端面和后端面的主体部分。相对的凸缘在与前端面和后端面相邻的轴向位置处从主体部分向外突出。凸缘径向向外渐缩到足够锋利的外边缘以穿透椎骨端板。在已经形成移植床之后，并且在椎体被分散之后，将间隔件插入到移植床中并定位成使得凸缘邻近椎骨端板。松开分离后，椎体相互移动，凸缘将被压入端板。按压作用的作用是将间隔物紧紧地固定在移植床内的适当位置，从而防止间隔物的迁移。

28. 发明授权

US07270632B2 Surgical retractor having lifting capability 有权
标题翻译：具有提升能力的手术牵开器
公开(公告)号：US07270632B2
公开(公告)日：2007-09-18
申请号：US11162250
申请日：2005-09-02
申请人： Albert N. Santilli
发明人： Albert N. Santilli
IPC分类号： A61B1/313 , A61B17/02
CPC分类号： A61B17/02 , A61B17/0206 , A61B17/0281 , A61B17/0293
摘要： A surgical retractor includes a pair of small grips that are disposed at the ends of arms that can be moved toward or away from each other. The grips engage and separate the sides of an incision that has been made in a patient. A lifting mechanism that can be attached to one of the arms enables one side of the incision to be raised relative to the other side of the incision. The lifting mechanism includes a clamp that can be connected to the retractor and a foot that is connected to the clamp and which is movable relative thereto. The foot is engageable with the patient such that extension of the foot causes a selected grip to be raised. Retraction of the foot permits the selected grip to be lowered. In the preferred embodiment, the foot is disposed at one end of a notched rack; a rotatable pinion is in contact with the notches to extend and contract the rack; and a pivotally movable pawl permits movement of the rack in one direction and prevents movement of the rack in the other direction.
摘要翻译：手术牵开器包括一对小手柄，其设置在臂的端部，所述臂可以彼此移动或远离。把手握住并分开在病人身上切开的两侧。可以附接到一个臂的提升机构使得切口的一侧能够相对于切口的另一侧升高。提升机构包括可以连接到牵开器的夹具和连接到夹具并且可相对于其移动的脚。脚可与患者接合，使得脚的延伸引起选定的把手被抬起。脚的缩回允许选定的把手降低。在优选实施例中，脚设置在缺口齿条的一端; 可转动小齿轮与凹口接触以延伸和收缩齿条; 并且可枢转地移动的棘爪允许齿条沿一个方向移动，并且防止齿条在另一个方向上移动。

29. 发明授权

US06673075B2 Porous intervertebral spacer 有权
标题翻译：多孔椎间隔垫
公开(公告)号：US06673075B2
公开(公告)日：2004-01-06
申请号：US10004916
申请日：2001-12-03
申请人： Albert N. Santilli
发明人： Albert N. Santilli
IPC分类号： A61B1756
CPC分类号： A61B17/1757 , A61F2/30965 , A61F2/442 , A61F2/447 , A61F2002/30011 , A61F2002/30327 , A61F2002/30576 , A61F2002/30769 , A61F2002/30779 , A61F2002/30789 , A61F2002/30828 , A61F2002/30879 , A61F2002/30957 , A61F2002/30968 , A61F2002/4485 , A61F2250/0023 , A61F2250/0039 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00095 , A61F2310/00131 , A61F2310/00179
摘要： An intervertebral spacer suitable for use as a spinal implant includes a rigid, porous body made of a biocompatible material. The body is strong enough to accommodate loads imposed by adjacent vertebrae and is porous enough to facilitate tissue ingrowth and bony fusion. The porosity is provided by a plurality of randomly sized, substantially interconnected voids disposed throughout the body. The spacer can be manufactured by a variety of techniques. In one technique, a plurality of polymer pellets are placed in a mold of a desired shape and heated to melting or near-melting temperature. The pellets are fused together to form a porous, rigid structure. In another technique, tortuous strands of a biologically inert material are intermixed with each other and are sintered into a desired shape in a mold. The spacer also can be made of a sintered mixture of strands and pellets of a biologically inert material. The material for the strands and the pellets typically is titanium or a titanium alloy, although other metals and certain polymers such as PEEK can be used. In another techniques, the spacer is made of void-containing foam metal, void-containing powdered metal, or void-containing ceramic. The spacer also can be made from a solid block of a biocompatible material by drilling or machining a plurality of interconnected openings that extend through the block. The spacer can be provided in a variety of shapes to suit the needs of individual patients.
摘要翻译：适合用作脊柱植入物的椎间隔垫包括由生物相容性材料制成的刚性多孔体。身体足够强大以适应相邻椎骨施加的负荷，足够多孔以促进组织向内生长和骨融合。孔隙率由多个随机大小的，基本上相互连接的空隙提供，贯穿整个身体。间隔件可以通过各种技术制造。在一种技术中，将多个聚合物颗粒放置在所需形状的模具中并加热至熔融或接近熔融温度。将颗粒熔合在一起以形成多孔刚性结构。在另一种技术中，生物惰性材料的曲折线彼此混合并在模具中烧结成所需的形状。间隔物还可以由生物惰性材料的线股和丸粒的烧结混合物制成。用于线材和丸粒的材料通常是钛或钛合金，尽管可以使用其它金属和某些聚合物如PEEK。在另一种技术中，间隔物由含空泡泡沫金属，含空隙的粉末金属或含空隙的陶瓷制成。间隔物也可以由生物相容性材料的固体块通过钻孔或加工延伸穿过块体的多个相互连接的开口制成。间隔物可以以各种形状提供以适应个体患者的需要。

30. 发明授权

US4940066A Tibia retractor 失效
标题翻译：胫骨牵开器
公开(公告)号：US4940066A
公开(公告)日：1990-07-10
申请号：US273384
申请日：1988-11-17
申请人： Albert N. Santilli , Kenneth M. Kuzmick
发明人： Albert N. Santilli , Kenneth M. Kuzmick
IPC分类号： A61B19/00 , A61G13/12
CPC分类号： A61G13/12 , A61B90/00 , A61G13/0063 , A61G13/1245 , A61G13/125 , Y10S482/907
摘要： A tibia retractor includes a receptacle into which one's foot can be placed. The receptacle can be adjusted to attain a tight-fitting relationship between the foot and the receptacle. A strap extends from one side of the receptacle and is connectable to the other side of the receptacle. The strap is long enough to pass over the femur so that, when the strap is secured in place, the tibia will be held in a fixed position relative to the femur.
摘要翻译：胫骨牵开器包括可放置脚的容器。可以调节容器以在脚和容器之间达成紧密的关系。带从容器的一侧延伸并且可连接到容器的另一侧。皮带长度足以穿过股骨，使得当带固定在适当位置时，胫骨将相对于股骨保持在固定位置。

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