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31. 发明授权

US07938842B1 Tissue dissector apparatus 有权
标题翻译：组织解剖器
公开(公告)号：US07938842B1
公开(公告)日：2011-05-10
申请号：US09413012
申请日：1999-10-05
申请人： Albert K. Chin
发明人： Albert K. Chin
IPC分类号： A61B17/00
CPC分类号： A61F2/062 , A61B17/00008 , A61B17/32 , A61B17/320016 , A61B17/3201 , A61B18/1445 , A61B18/148 , A61B18/1482 , A61B2017/320048 , A61B2017/320064 , A61B2018/00404 , A61B2018/00428 , A61B2018/00595 , A61B2018/1412 , A61B2018/1452 , A61M29/02
摘要： Surgical apparatus and method includes a cannula that houses an endoscope and supports a dilating element near a distal end of the cannula. The dilating element has a dimension which is greater than the diameter of the cannula for enlarging a surgical cavity in tissue as the cannula is advanced through tissue at a surgical site to provide working space adjacent a target vessel within which surgical instruments may be conveniently manipulated. The dilating element of oval sided shape permits surrounding tissue to be pushed away or otherwise displaced away from the target vessel atraumatically. A locking mechanism is disposed on the cannula, which accepts a succession of mating dilating elements of progressively larger dimensions for successive insertion and enlargement of a surgical cavity as required. In one embodiment, the dilating element is made of rigid plastic, and in another embodiment, the dilating element is made of resilient material that may be confined within a retractable sheath which, in the extended position, encases and compresses the dilating element to a smaller dimension and which, in a retracted position, allows the dilating element to resiliently expand and enlarge the surgical cavity.
摘要翻译：手术装置和方法包括套管，其插入内窥镜并且在套管的远端附近支撑扩张元件。扩张元件的尺寸大于套管的直径，当套管前进穿过手术部位的组织时，用于扩大组织中的手术腔，以提供邻近目标血管的工作空间，在该手术器械内可以方便地操纵手术器械。椭圆形形状的扩张元件允许周围的组织被推开或以其他方式远离目标血管移开。一个锁定机构设置在插管上，其接受逐渐更大尺寸的一系列匹配的扩张元件，用于根据需要连续插入和扩大手术腔。在一个实施例中，扩张元件由刚性塑料制成，并且在另一个实施例中，扩张元件由弹性材料制成，弹性材料可被限制在可伸缩护套内，伸缩位置包裹并将扩张元件压缩至更小的护套并且其在缩回位置允许扩张元件弹性膨胀和扩大手术腔。

32. 发明授权

US07918848B2 Tissue welding and cutting apparatus and method 有权
标题翻译：组织焊接和切割设备及方法
公开(公告)号：US07918848B2
公开(公告)日：2011-04-05
申请号：US11090330
申请日：2005-03-25
申请人： Liming Lau , Arnold M. Escano , Jerry Jarrard , Sam Ho , Ryan C. Abbott , Arthur M. Lin , Jesse McQuiston , Peter L. Callas , Geoffrey H. Willis , Michael C. Stewart , Kimberly D. Barkman , Joseph N. Lamberti , Kenny L. Dang
发明人： Liming Lau , Arnold M. Escano , Jerry Jarrard , Sam Ho , Ryan C. Abbott , Arthur M. Lin , Jesse McQuiston , Peter L. Callas , Geoffrey H. Willis , Michael C. Stewart , Kimberly D. Barkman , Joseph N. Lamberti , Kenny L. Dang
IPC分类号： A61B18/04
CPC分类号： A61B18/085 , A61B17/29 , A61B18/082 , A61B18/1445 , A61B90/03 , A61B2017/00084 , A61B2017/00353 , A61B2017/00504 , A61B2017/2912 , A61B2017/2936 , A61B2017/2945 , A61B2017/3445 , A61B2018/00089 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/1432
摘要： A surgical apparatus and methods for severing and welding tissue, in particular blood vessels, include a pair of relatively movable jaws at a distal end of an elongated shaft. A first heating element on one of the jaws is adapted to heat up to a first temperature and form a welded region within the tissue, while a second heating element on one of the jaws is adapted to heat up to a second temperature and sever the tissue within the welded region. A force-limiting mechanism is provided to limit the pressure applied to the tissue by the jaws to ensure that the tissue is severed and the ends effectively welded within a short amount of time.
摘要翻译：用于切断和焊接组织，特别是血管的手术装置和方法包括在细长轴的远端处的一对相对可动的钳口。其中一个钳口上的第一加热元件适于加热至第一温度并在组织内形成焊接区域，而其中一个钳口上的第二加热元件适于加热至第二温度并切断组织在焊接区域内。提供力限制机构以限制由钳口施加到组织的压力，以确保组织被切断并且端部在短时间内有效地焊接。

33. 发明申请

US20110046624A1 SINGLE HANDLED ENDOSCOPIC VESSEL HARVESTING SYSTEM WITH ROTATION CONTROL 有权
标题翻译：具有旋转控制的单处理内窥镜收集系统
公开(公告)号：US20110046624A1
公开(公告)日：2011-02-24
申请号：US12545672
申请日：2009-08-21
申请人： Arthur M. LIN
发明人： Arthur M. LIN
IPC分类号： A61B18/14 , A61B17/32
CPC分类号： A61B17/00008 , A61B18/1442 , A61B2017/003 , A61B2017/00353 , A61B2017/00389 , A61B2017/2945 , A61B2018/00196 , A61B2018/00208 , A61B2018/00345 , A61B2018/00404 , A61B2018/00601 , A61B2018/00619 , A61B2018/00952 , A61B2018/1432 , A61B2018/1861
摘要： A surgical instrument includes an elongated tube having a proximal end and a distal end, a handle coupled to the proximal end of the tube, and a tool that is rotatable and translatable relative to the tube, wherein the handle includes a control for rotating the tool relative to the tube, and wherein the control is coupled to the tool such that a movement of the control through an angle θc rotates the tool relative to the tube by an angle θt that is greater or less than θc, and wherein the angle θc is variable as determined by a user.
摘要翻译：手术器械包括具有近端和远端的细长管，联接到管的近端的手柄以及可相对于管可旋转和平移的工具，其中手柄包括用于使工具旋转的控制并且其中所述控制器联接到所述工具，使得所述控制件通过角度θ的运动使所述工具相对于所述管旋转角度θ大于或小于所述管道; c，并且其中所述角度和角度; c由用户确定是可变的。

34. 发明授权

US07867163B2 Instrument and method for remotely manipulating a tissue structure 有权
标题翻译：用于远程操纵组织结构的仪器和方法
公开(公告)号：US07867163B2
公开(公告)日：2011-01-11
申请号：US12333542
申请日：2008-12-12
申请人： Albert K. Chin , John P. Lunsford , Tenny Chang , Jeffrey W. Baxter
发明人： Albert K. Chin , John P. Lunsford , Tenny Chang , Jeffrey W. Baxter
IPC分类号： A61B1/32
CPC分类号： A61B1/313 , A61B17/00008 , A61B17/0218 , A61B2017/00292 , A61B2017/003 , A61B2017/00778
摘要： A retractor and a surgical tool are positioned within a cannula, and a dissection cradle of the retractor is positioned at the distal end of the cannula. The retractor includes a dissection cradle that is resiliently supported along an axis skewed relative to the axis of the cannula. The dissection cradle, in operation, is extended to cradle the target vessel, and the retractor may be fully extended to urge the vessel away from the axis of the cannula to isolate a side branch for exposure to a surgical tool. The retractor includes a hollow support and a spray nozzle disposed in the distal end of the retractor to form an irrigation system and lens washer that can be selectively positioned to direct the spray of irrigation fluid at a remote surgical site or at an endoscopic lens.
摘要翻译：牵开器和手术工具定位在套管内，并且牵开器的解剖支架位于套管的远端。牵开器包括一个解剖支架，该夹层支架沿着相对于套管轴线倾斜的轴线弹性支撑。在操作中的解剖支架被延伸到对目标血管进行摇摆，并且牵开器可以被完全延伸以促使血管远离套管的轴线以隔离侧分支以暴露于手术工具。牵开器包括中空支撑件和设置在牵开器的远端中的喷嘴，以形成灌洗系统和透镜垫圈，其可以选择性地定位成将冲洗流体的喷雾引导到远程外科手术部位或内窥镜镜片。

35. 发明申请

US20100191043A1 METHODS AND DEVICES FOR ISOLATING A VESSEL 审中-公开
标题翻译：用于分离船只的方法和装置
公开(公告)号：US20100191043A1
公开(公告)日：2010-07-29
申请号：US12693966
申请日：2010-01-26
申请人： Albert K. Chin
发明人： Albert K. Chin
IPC分类号： A61M29/00
CPC分类号： A61B17/00008 , A61B90/30 , A61B2090/306 , A61B2090/3945
摘要： A method of harvesting a target vessel includes creating a first incision, inserting a light source into a vessel through the first incision, the vessel located next to the target vessel, using the light source to illuminate a portion of the vessel, locating the target vessel from outside the vessel using the illuminated portion of the vessel, and dissecting at least a portion of the target vessel from surrounding tissue. A method that involves a target vessel includes inserting a light source into a vessel that is located next to the target vessel, providing light inside the vessel using the light source, and using light transmitted through a wall of the vessel to illuminate the target vessel or tissue next to the target vessel.
摘要翻译：收集目标血管的方法包括：创建第一切口，通过第一切口将光源插入容器中，所述容器位于靶容器的旁边，使用光源照射血管的一部分，定位靶血管从容器的外部使用照明部分，并且从周围组织解剖目标血管的至少一部分。涉及靶容器的方法包括将光源插入到位于靶容器旁边的容器中，使用光源在容器内提供光，并使用透过容器壁的光来照射目标血管或目标血管旁边的组织。

36. 发明申请

US20090297692A1 SELF-AGGREGATING PROTEIN COMPOSITIONS AND USE AS SEALANTS 有权
标题翻译：自我聚集蛋白质组合物和用作密封剂
公开(公告)号：US20090297692A1
公开(公告)日：2009-12-03
申请号：US12534937
申请日：2009-08-04
申请人： Dan Castro , Al Kuehn , Moon Hae Sunwoo
发明人： Dan Castro , Al Kuehn , Moon Hae Sunwoo
IPC分类号： B05D3/00 , B05D3/02
CPC分类号： A61L33/128 , A61F2310/00365 , A61L27/227 , A61L27/24 , A61L27/34 , A61L33/08 , A61L33/122 , C08L89/00 , C08L5/08 , C08L89/06
摘要： An implantable member for use in the body is provided herein. This implantable member includes a porous biocompatible substrate; the substrate having at least one surface sealed fluid-tight with self-aggregating protein particles of substantially the same diameter range. The self-aggregated protein particles are formed from a deposited aqueous slurry of the protein particles.
摘要翻译：本发明提供一种用于身体的植入物。该可植入构件包括多孔生物相容性基底; 所述基材具有至少一个表面，其密封液体与具有基本上相同直径范围的自聚集蛋白质颗粒密封。自聚集的蛋白质颗粒由蛋白质颗粒的沉积的含水浆液形成。

37. 发明授权

US07544195B2 Electrocautery surgical scissors 失效
标题翻译：电刀手术剪刀
公开(公告)号：US07544195B2
公开(公告)日：2009-06-09
申请号：US12029222
申请日：2008-02-11
申请人： John P Lunsford , Michael C Stewart
发明人： John P Lunsford , Michael C Stewart
IPC分类号： A61B18/18
CPC分类号： A61B18/1442 , A61B17/32 , A61B2018/00595 , A61B2018/146
摘要： Surgical apparatus includes bipolar electrodes and tissue-shearing blades configured to electrically contact tissue for electrocauterization thereof prior to shearing contact of the cutting blades with the tissue over wide angles of presentation of the tissue to the electrodes and blades. Extensions or protrusions disposed along facing edges of the electrodes separate the level at which tissue is electrically contacted by the electrodes from the level at which tissue is sheared by the cutting blades.
摘要翻译：手术设备包括双极电极和组织剪切刀片，其被配置为在剪切刀片与组织在组织的广角上与电极和刀片的剪切接触之前电接触组织以进行电灼。沿着电极的相对边缘设置的延伸部或突起将组织与电极电接触的水平与由切割刀片剪切组织的水平分开。

38. 发明授权

US07497865B2 Method and apparatus for performing anastomosis with eversion of tissue edges and joining of exposed intima of the everted tissue 失效
标题翻译：用于通过外翻组织边缘进行吻合的方法和装置，以及接合外露组织的暴露内膜
公开(公告)号：US07497865B2
公开(公告)日：2009-03-03
申请号：US10855604
申请日：2004-05-26
申请人： Geoffrey H. Willis , Thomas A. Kramer , Paul A. Spence , George T. Christakis , Timothy J. McCoy , John W. Davis , Bradley D. Blackwood , Peter Callas , Michael Francis Wei , Jonathan L. Podmore , Andrew Knight , Thomas J. Ward , Warren P. Williamson, IV
发明人： Geoffrey H. Willis , Thomas A. Kramer , Paul A. Spence , George T. Christakis , Timothy J. McCoy , John W. Davis , Bradley D. Blackwood , Peter Callas , Michael Francis Wei , Jonathan L. Podmore , Andrew Knight , Thomas J. Ward , Warren P. Williamson, IV
IPC分类号： A61B17/08 , A61B17/10 , A61B17/04
CPC分类号： A61B17/1152 , A61B17/11 , A61B17/115 , A61B2017/1107 , A61B2017/1132 , A61B2017/1135 , A61B2017/1139
摘要： A ring for use in anastomosis. Preferably, the ring is integrally formed from metal, and includes a ring portion and tines and docking members that extend from the ring portion. The ring portion and tines are malleable, and preferably also the docking members are malleable. The ring portion and tines are malleable in the sense that once deformed from a first shape into a second shape, they will not relax back into the first shape from the second. To install the ring in a vessel with the ring portion extending around an incision or other orifice, the tines pierce the tissue around the orifice and are curled against an anvil. The action of curling the tines inverts the tissue near the orifice edges to expose the inside surface of the vessel or organ. Other aspects of the invention are a method and apparatus for installing an anastomosis ring in an incision or other orifice in a vessel or other organ, a method and apparatus for precisely aligning two anastomosis rings (each installed in an incision or other orifice of a different organ) and fastening the aligned rings together. The clips can be crimped onto the aligned rings, or they can be spring clips which are sprung onto the aligned rings to clamp the rings together by spring force. Also within the scope of the invention are crimping and spring clips for use in listening together two aligned anastomosis rings. In other embodiments, the invention is a method for performing an anastomosis by installing an anastomosis ring in an orifice in an organ, installing another anastomosis ring in an orifice in another organ, precisely aligning the two installed anastomosis rings, and fastening the aligned rings together.
摘要翻译：用于吻合的戒指。优选地，环由金属一体地形成，并且包括从环部延伸的环部分和尖齿和对接构件。环形部分和尖齿是可延展的，并且优选的是对接部件是可延展的。环形部分和尖齿在从第一形状变形成第二形状的意义上是可延展的，它们将不会从第二形状放松回第一形状。为了将环安装在具有围绕切口或其他孔口延伸的环部分的容器中，齿刺穿孔周围的组织并且卷绕在砧座上。卷曲尖齿的作用使孔边缘附近的组织反转以暴露血管或器官的内表面。本发明的其它方面是用于将吻合环安装在容器或其他器官中的切口或其它孔中的方法和装置，用于精确地对准两个吻合环（每个安装在切口或不同的其他孔中的其他孔中的方法和装置）器官）并将对准的环固定在一起。夹子可以压接在对准的环上，或者它们可以是弹簧夹，弹簧夹被弹簧上对准的环，以通过弹簧力将环夹在一起。也在本发明的范围内的是压接和弹簧夹，用于一起收听两个对准的吻合环。在其他实施例中，本发明是一种通过在器官中的孔中安装吻合环来进行吻合的方法，在另一个器官的孔中安装另一个吻合环，精确对准两个安装的吻合环，并将对准的环固定在一起。

39. 发明授权

US07485092B1 Vessel harvesting apparatus and method 有权
标题翻译：渔船收获设备及方法
公开(公告)号：US07485092B1
公开(公告)日：2009-02-03
申请号：US10054477
申请日：2002-01-18
申请人： Michael C Stewart , Liming Lau , Michael Wei , John P Lunsford , Albert K Chin , Peter Tachi Callas , Benjamin Sherman
发明人： Michael C Stewart , Liming Lau , Michael Wei , John P Lunsford , Albert K Chin , Peter Tachi Callas , Benjamin Sherman
IPC分类号： A61B1/00
CPC分类号： A61B17/00008 , A61B17/0218 , A61B17/320016 , A61B17/3209 , A61B50/30 , A61B90/37
摘要： Apparatus and method for harvesting selected vessels in the body of a patient include manual manipulation of a rigid dissecting endoscope and the reconfiguration thereof to facilitate tissue dissection and tissue dilation in the formation of an anatomical space about the vessel within which side-branch vessels may be manipulated in preparation for severance and removal of the vessel from the anatomical space.
摘要翻译：用于收集患者体内的选定容器的装置和方法包括手动操纵刚性解剖内窥镜及其重构，以促进组织解剖和组织扩张以形成关于侧支血管可能在其内的血管的解剖空间操作准备从解剖空间分离和移除血管。

40. 发明授权

US07479104B2 Organ manipulator apparatus 失效
标题翻译：器官机械手装置
公开(公告)号：US07479104B2
公开(公告)日：2009-01-20
申请号：US10615007
申请日：2003-07-08
申请人： Liming Lau , John P. Lunsford
发明人： Liming Lau , John P. Lunsford
IPC分类号： A61F2/00
CPC分类号： A61B17/0206 , A61B17/30 , A61B90/50 , A61B90/57 , A61B2017/00243 , A61B2017/0243 , A61B2017/308 , A61M1/0066
摘要： Organ manipulation devices for atraumatically grasping the surface of an organ and repositioning the organ to allow access to a location on the organ that would otherwise be substantially inaccessible. Methods of accessing a beating heart, retracting the heart using an organ manipulation apparatus, and stabilizing a surgical target area with a stabilizer. Both the organ manipulator and stabilizer are fixed to a stationary object which may be a sternal retractor. A system for performing beating heart coronary artery bypass grafting includes a sternal retractor, organ manipulator and stabilizer.
摘要翻译：用于无创地抓住器官表面并重新定位器官的器官操纵装置，以允许进入器官的位置，否则其将基本上不可接近。访问搏动心脏的方法，使用器官操纵装置回缩心脏，以及用稳定器稳定手术对象区域。器官操纵器和稳定器都固定到可以是胸骨牵开器的静止物体上。用于执行心跳冠状动脉旁路移植的系统包括胸骨牵开器，器官操纵器和稳定器。

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