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31. 发明授权

US06676685B2 Arterial hole closure apparatus 失效
标题翻译：动脉闭孔装置
公开(公告)号：US06676685B2
公开(公告)日：2004-01-13
申请号：US09883427
申请日：2001-06-18
申请人： Roberto Pedros , Keith Ratcliff , John C. Robertson
发明人： Roberto Pedros , Keith Ratcliff , John C. Robertson
IPC分类号： A61B1704
CPC分类号： A61B18/1402 , A61B17/0057 , A61B2018/00404 , A61B2018/0063
摘要： An arterial closure device for use following coronary catherization procedures to close arterial access openings through the arterial wall while permitting post operative flow through the artery includes a housing having proximal and distal ends, and defining a longitudinal axis, first and second arterial tissue everting members mounted adjacent the distal end of the housing and first and second jaw members mounted adjacent the first and second tissue engaging members. The first and second arterial tissue everting members are dimensioned for at least partial positioning within the arterial access opening in the arterial wall and are deployable in at least a radial outward direction relative to the longitudinal axis of the housing to engage respective opposed arterial tissue portions on opposed sides of the opening and move the tissue arterial portions to an everted condition thereof. The first and second jaw members are adapted for relative movement between an open position to facilitate positioning about the arterial tissue portions in the everted condition and a closed position to at least partially draw the arterial tissue portions together to an at least partial approximated condition. An electrode is associated with at least one of the first and second jaw members and arranged to contact the respective arterial tissue portions. The electrode is adapted to be connected to a radio frequency energy source whereby energy is transmitted through the electrode to thermally fuse the arterial tissue positions between the first and second jaw members to substantially close the opening. Preferably, an electrode is associated with each of the first and second jaw members. Each electrode nay be configured as a bipolar electrode.
摘要翻译：一种动脉闭合装置，用于冠状动脉插入程序之后用于通过动脉壁闭合动脉通路口，同时允许手术后流经动脉的手术包括具有近端和远端并限定纵向轴线的壳体，第一和第二动脉组织移植构件安装邻近所述壳体的远端并且邻近所述第一和第二组织接合构件安装的第一和第二钳口构件。第一和第二动脉组织移动构件的尺寸被设计成在动脉壁中的动脉进入开口内至少部分定位，并且可相对于壳体的纵向轴线以至少一个径向向外的方向展开，以将相应的相对的动脉组织部分开口的相对侧并将组织动脉部分移动到其转动状态。第一和第二钳口构件适于在打开位置之间进行相对运动，以有助于围绕转动状态围绕动脉组织部分定位，以及关闭位置，以至少部分地将动脉组织部分拉至至少部分近似状态。电极与第一和第二钳口构件中的至少一个相关联并且布置成接触相应的动脉组织部分。电极适于连接到射频能量源，由此通过电极传输能量以热熔融第一和第二钳口构件之间的动脉组织位置，以基本上封闭开口。优选地，电极与第一和第二钳口构件中的每一个相关联。每个电极可以配置为双极电极。

32. 发明授权

US06413274B1 Stapling apparatus and method for heart valve replacement 失效
标题翻译：心脏瓣膜置换装置及方法
公开(公告)号：US06413274B1
公开(公告)日：2002-07-02
申请号：US09484520
申请日：2000-01-18
申请人： Roberto Pedros
发明人： Roberto Pedros
IPC分类号： A61F224
CPC分类号： A61F2/2427 , Y10S623/904
摘要： There are disclosed various systems and methods for installing a synthetic, artificial heart valve within a patient. One system generally includes a plurality of sutures, each suture having a staple attached to a distal end thereof; a surgical stapler for radially discharging the staples into a heart at a location adjacent a site for installing the heart valve; a support assembly for releasably supporting the plurality of sutures; and a heart valve setter assembly, the heart valve setter assembly being operable to move the heart valve into position within the site in the heart. A method of installing a heart valve within a patient utilizing the system is provided and generally includes the steps of accessing a site within a heart from which a natural heart valve has been removed; positioning a surgical stapler within the site; discharging a plurality or staples, having sutures attached thereto, from the surgical stapler into the heart; lowering the heart valve along the sutures into position within the site in the heart; and securing the heart valve to the heart with the sutures.
摘要翻译：公开了在患者体内安装合成人造心脏瓣膜的各种系统和方法。一个系统通常包括多个缝合线，每个缝合线具有附接到其远端的缝合线; 外科缝合器，用于在邻近安装心脏瓣膜的位置的位置处将缝钉径向排出到心脏中; 用于可释放地支撑所述多根缝合线的支撑组件; 和心脏瓣膜调节器组件，心脏瓣膜调节器组件可操作以将心脏瓣膜移动到心脏内的位置内的适当位置。提供了一种使用该系统在患者体内安装心脏瓣膜的方法，并且通常包括进入心脏中已经去除了天然心脏瓣膜的位置的步骤; 将外科缝合器定位在现场内; 将具有连接到其上的缝线的多个或多个订书钉从外科缝合器排出到心脏中; 将心脏瓣膜沿着缝合线放置在心脏内的位置内; 并用缝合线将心脏瓣膜固定到心脏。

33. 发明授权

US5910155A Vascular wound closure system 失效
标题翻译：血管伤口闭合系统
公开(公告)号：US5910155A
公开(公告)日：1999-06-08
申请号：US092430
申请日：1998-06-05
申请人： Keith Ratcliff , Roberto Pedros
发明人： Keith Ratcliff , Roberto Pedros
IPC分类号： A61B17/00 , A61B17/122 , A61B17/128 , A61B17/04
CPC分类号： A61B17/128 , A61B17/0057 , A61B17/122 , A61B2017/00004 , A61B2017/00668
摘要： An apparatus for facilitating closure of an opening in a blood vessel, includes a closure instrument having an elongated member defining a longitudinal axis and proximal and distal ends. The elongated member has a vacuum lumen extending at least a portion of the length thereof for conveying a vacuum and terminating in a vacuum port adjacent the distal end of the elongated member. The distal end of the elongated member is dimensioned to be positioned proximal a vessel opening in a blood vessel whereby vessel edge portions defining the vessel opening are at least drawn toward the vacuum port in response to a vacuum conveyed through the vacuum lumen. At least one surgical clip is mounted adjacent the distal end of the elongated member and is adapted to be formed to an at least partially formed condition thereof. The one clip is positioned with respect to the vacuum port to engage the vessel edge portions drawn toward the vacuum port upon movement of the one clip to the formed condition thereof to generally approximate the vessel edge portions to at least partially close the vessel opening. A method for facilitating closure of an opening in a blood vessel is also disclosed.
摘要翻译：一种用于促进关闭血管中的开口的装置，包括具有限定纵向轴线和近端和远端的细长构件的封闭器械。细长构件具有延伸其长度的至少一部分的真空腔，用于输送真空并终止在与细长构件的远端相邻的真空口中。细长构件的远端的尺寸设计成位于血管中的容器开口的近侧，由此响应于通过真空腔输送的真空，限定容器开口的容器边缘部分至少朝向真空端口拉出。至少一个手术夹子被安装在细长构件的远端附近，并适于形成至少部分形成的状态。一个夹子相对于真空端口定位以接合在一个夹子移动到其形成状态时被拉向真空端口的容器边缘部分，以大致近似容器边缘部分以至少部分地关闭容器开口。还公开了一种便于关闭血管中的开口的方法。

34. 发明授权

US5984959A Heart valve replacement tools and procedures 失效
标题翻译：心脏瓣膜置换工具及程序
公开(公告)号：US5984959A
公开(公告)日：1999-11-16
申请号：US932570
申请日：1997-09-19
申请人： John Charles Robertson , Brian W. Moulder , Roberto Pedros
发明人： John Charles Robertson , Brian W. Moulder , Roberto Pedros
IPC分类号： A61F2/24
CPC分类号： A61F2/2427 , A61F2/2409 , A61F2250/001
摘要： There are disclosed various systems for installing a heart valve within a patient. In a first system, there are provided a heart valve installation assembly and an expandable heart valve ring installation assembly, each of which comprises a separate tool. The expandable heart valve ring assembly is provided to position and expand a heart valve ring into engagement with tissue. The valve installation assembly is provided to position and engage the heart valve with the expandable heart valve ring. In a second system, the heart valve installation assemblies and expandable ring installation assemblies are provided on a single tool or instrument. There are also disclosed various methods of installing an expandable heart valve ring within a heart and positioning and installing an artificial synthetic heart valve within the expanded heart valve ring.
摘要翻译：已经公开了用于在患者体内安装心脏瓣膜的各种系统。在第一系统中，提供了心脏瓣膜安装组件和可扩张的心脏瓣膜环安装组件，每个组件包括单独的工具。提供可扩张心脏瓣膜环组件以将心脏瓣膜环定位和扩张成与组织接合。提供阀安装组件以将心脏瓣膜与可扩张的心脏瓣膜环定位和接合。在第二系统中，心脏瓣膜安装组件和可扩张环安装组件设置在单个工具或仪器上。还公开了在心脏内安装可扩张的心脏瓣膜环并将人造合成心脏瓣膜定位并安装在扩张的心脏瓣膜环内的各种方法。

35. 发明授权

US08506580B2 Surgical clip applier 有权
标题翻译：手术夹子
公开(公告)号：US08506580B2
公开(公告)日：2013-08-13
申请号：US12595318
申请日：2008-04-10
申请人： Earl M. Zergiebel , Kenneth H. Whitfield , Gregory Sorrentino , Kevin Robert Slisz , Roberto Pedros
发明人： Earl M. Zergiebel , Kenneth H. Whitfield , Gregory Sorrentino , Kevin Robert Slisz , Roberto Pedros
IPC分类号： A61B17/10
CPC分类号： A61B17/128 , A61B17/1285 , A61B90/03 , A61B90/08 , A61B2017/00407 , A61B2017/00734 , A61B2090/038 , A61B2090/0803
摘要： A surgical clip applier is provided including a housing; a pair of handles; a channel assembly extending from the housing; a clip carrier disposed within said channel assembly and defining a channel and a plurality of windows; a wedge plate slidably disposed within said channel assembly and being operatively connected to said handles, said wedge plate including a plurality of apertures formed along a length thereof; a plurality of clips slidably disposed within said channel of said clip carrier; and a clip follower slidably disposed within said channel of said clip carrier at a location proximal of said plurality of clips. The clip follower is configured and adapted for selective engagement with said windows of said clip carrier and said apertures of said wedge plate to distally urge said plurality of clips relative to said clip carrier upon a distal advancement of said wedge plate.
摘要翻译：提供了一种手术夹具，包括壳体; 一把手柄从壳体延伸的通道组件; 设置在所述通道组件内并限定通道和多个窗口的夹子架; 可滑动地设置在所述通道组件内并且可操作地连接到所述把手的楔形板，所述楔形板包括沿其长度形成的多个孔; 可滑动地设置在所述夹子承载件的所述通道内的多个夹子; 以及夹持器，其可滑动地设置在所述夹子承载件的所述通道内，位于所述多个夹子的近端。夹子从动件被构造和适于与所述夹子承载件的所述窗口和所述楔形板的所述孔选择性地接合，以在所述楔形板的远侧前进时远端地相对于所述夹子承载件推动所述多个夹子。

36. 外观设计

USD477666S1 Clip 失效
公开(公告)号：USD477666S1
公开(公告)日：2003-07-22
申请号：US29155892
申请日：2002-02-19
申请人： Wolff M. Kirsch , Douglas J. Cuny , Roberto Pedros , Yong Hua Zhu
设计人： Wolff M. Kirsch , Douglas J. Cuny , Roberto Pedros , Yong Hua Zhu

37. 发明授权

US06248124B1 Arterial hole closure apparatus 失效
标题翻译：动脉闭孔装置
公开(公告)号：US06248124B1
公开(公告)日：2001-06-19
申请号：US09503510
申请日：2000-02-14
申请人： Roberto Pedros , Keith Ratcliff , John C. Robertson
发明人： Roberto Pedros , Keith Ratcliff , John C. Robertson
IPC分类号： A61B1704
CPC分类号： A61B18/1402 , A61B17/0057 , A61B2018/00404 , A61B2018/0063
摘要： An arterial closure device for use following coronary catherization procedures to close arterial access openings through the arterial wall while permitting post operative flow through the artery includes a housing having proximal and distal ends, and defining a longitudinal axis, first and second arterial tissue everting members mounted adjacent the distal end of the housing and first and second jaw members mounted adjacent the first and second tissue engaging members. The first and second arterial tissue everting members are dimensioned for at least partial positioning within the arterial access opening in the arterial wall and are deployable in at least a radial outward direction relative to the longitudinal axis of the housing to engage respective opposed arterial tissue portions on opposed sides of the opening and move the tissue arterial portions to an everted condition thereof. The first and second jaw members are adapted for relative movement between an open position to facilitate positioning about the arterial tissue portions in the everted condition and a closed position to at least partially draw the arterial tissue portions together to an at least partial approximated condition. An electrode is associated with at least one of the first and second jaw members and arranged to contact the respective arterial tissue portions. The electrode is adapted to be connected to a radiofrequency energy source whereby energy is transmitted through the electrode to thermally fuse the arterial tissue positions between the first and second jaw members to substantially close the opening. Preferably, an electrode is associated with each of the first and second jaw members. Each electrode nay be configured as a bipolar electrode.
摘要翻译：一种动脉闭合装置，用于冠状动脉插入程序之后用于通过动脉壁闭合动脉通路口，同时允许手术后流经动脉的手术包括具有近端和远端并限定纵向轴线的壳体，第一和第二动脉组织移植构件安装邻近所述壳体的远端并且邻近所述第一和第二组织接合构件安装的第一和第二钳口构件。第一和第二动脉组织移动构件的尺寸被设计成在动脉壁中的动脉进入开口内至少部分定位，并且可相对于壳体的纵向轴线以至少一个径向向外的方向展开，以将相应的相对的动脉组织部分开口的相对侧并将组织动脉部分移动到其转动状态。第一和第二钳口构件适于在打开位置之间进行相对运动，以有助于围绕转动状态围绕动脉组织部分定位，以及关闭位置，以至少部分地将动脉组织部分拉至至少部分近似状态。电极与第一和第二钳口构件中的至少一个相关联并且布置成接触相应的动脉组织部分。电极适于连接到射频能量源，由此能量通过电极传播，以热熔融第一和第二钳口构件之间的动脉组织位置，以基本上封闭开口。优选地，电极与第一和第二钳口构件中的每一个相关联。每个电极可以配置为双极电极。

38. 发明授权

US6096074A Stapling apparatus and method for heart valve replacement 失效
标题翻译：心脏瓣膜置换装置及方法
公开(公告)号：US6096074A
公开(公告)日：2000-08-01
申请号：US13836
申请日：1998-01-27
申请人： Roberto Pedros
发明人： Roberto Pedros
IPC分类号： A61F2/24
CPC分类号： A61F2/2427 , Y10S623/904
摘要： There are disclosed various systems and methods for installing a synthetic, artificial heart valve within a patient. One system generally includes a plurality of sutures, each suture having a staple attached to a distal end thereof; a surgical stapler for radially discharging the staples into a heart at a location adjacent a site for installing the heart valve; a support assembly for releasably supporting the plurality of sutures; and a heart valve setter assembly, the heart valve setter assembly being operable to move the heart valve into position within the site in the heart. A method of installing a heart valve within a patient utilizing the system is provided and generally includes the steps of accessing a site within a heart from which a natural heart valve has been removed; positioning a surgical stapler within the site; discharging a plurality of staples, having sutures attached thereto, from the surgical stapler into the heart; lowering the heart valve along the sutures into position within the site in the heart; and securing the heart valve to the heart with the sutures.
摘要翻译：公开了在患者体内安装合成人造心脏瓣膜的各种系统和方法。一个系统通常包括多个缝合线，每个缝合线具有附接到其远端的缝合线; 外科缝合器，用于在邻近安装心脏瓣膜的位置的位置处将缝钉径向排出到心脏中; 用于可释放地支撑所述多根缝合线的支撑组件; 和心脏瓣膜调节器组件，心脏瓣膜调节器组件可操作以将心脏瓣膜移动到心脏内的位置内的适当位置。提供了一种使用该系统在患者体内安装心脏瓣膜的方法，并且通常包括进入心脏中已经去除了天然心脏瓣膜的位置的步骤; 将外科缝合器定位在现场内; 将具有附接到其上的缝线的多个钉排出到外科缝合器进入心脏; 将心脏瓣膜沿着缝合线放置在心脏内的位置内; 并用缝合线将心脏瓣膜固定到心脏。

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