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41. 发明授权

US07736307B2 Surgical instruments for accessing and stabilizing a localized portion of a beating heart 有权
标题翻译：用于进入和稳定跳动心脏的局部部分的手术器械
公开(公告)号：US07736307B2
公开(公告)日：2010-06-15
申请号：US10734353
申请日：2003-12-12
申请人： Lawrence W. Hu , David J. Paul , Eugene Edward Reis , Harry Leonard Green, II , Joshua K. Wallin , Morejohn P. Dwight , Charles S. Taylor , Gary B. Weller , Richard M. Ferrari
发明人： Lawrence W. Hu , David J. Paul , Eugene Edward Reis , Harry Leonard Green, II , Joshua K. Wallin , Morejohn P. Dwight , Charles S. Taylor , Gary B. Weller , Richard M. Ferrari
IPC分类号： A61B1/32
CPC分类号： A61B17/0206 , A61B17/0483 , A61B90/50 , A61B2017/0243 , Y10T403/32024 , Y10T403/32032
摘要： Surgical devices for stabilizing the heart are disclosed which facilitate anastomosis under beating heart conditions. Various instruments or devices may be maneuvered and secured on a retractor device to provide stabilization of the heart. An instrument mount is provided which is preferably configured to accept a surgical instrument, such as a tissue stabilizer, and to allow the instrument to be easily maneuvered to a desired position and subsequently locked into position with a simple operation of a single locking actuator. Further disclosed are stabilizer devices each having at least one surface for contacting the heart and each being adapted to be mounted to the retractor while having the ability to be positioned in the desired location against the heart.
摘要翻译：公开了用于稳定心脏的手术装置，其用于在跳动的心脏状况下进行吻合。各种仪器或装置可以被操纵并固定在牵开装置上以提供心脏的稳定。提供了一种仪器座，其优选地被配置为接受诸如组织稳定器的手术器械，并且允许器械容易地操纵到期望位置，并随后通过单个锁定致动器的简单操作而被锁定到位。进一步公开的是稳定器装置，每个装置具有至少一个用于接触心脏的表面，并且每个表面适于安装到牵开器，同时具有相对于心脏定位在所需位置的能力。

42. 发明授权

US07335158B2 Surgical devices for imposing a negative pressure to stabilize the cardiac tissue during surgery 失效
标题翻译：用于在手术期间施加负压以稳定心脏组织的手术装置
公开(公告)号：US07335158B2
公开(公告)日：2008-02-26
申请号：US10216616
申请日：2002-08-08
申请人： Charles S. Taylor
发明人： Charles S. Taylor
IPC分类号： A61F2/00 , A13F13/00 , A61B17/00 , A61B19/00
CPC分类号： A61B17/0218 , A61B17/00 , A61B90/40 , A61B2017/00243 , A61B2017/00703 , A61B2017/0243 , A61B2017/306 , A61B2017/3488
摘要： The invention is devices and techniques which use a negative (suction) pressure or vacuum, applied through a surgical instrument, to fix the position of a portion of the surface of a beating heart so that a surgical procedure can be more easily performed. The devices apply a negative pressure at several points on the outer surface of the heart such that a portion of the heart is fixed in place by the suction imposed through the surgical instrument. Because the instrument fixes the position of the tissue, and because the instruments remain at a constant distance from the particular portion of the heart where the surgery is being performed, the device may also serve as a support or platform so that other surgical instruments or devices can be advantageously used at the site. In certain preferred embodiments, the devices described herein have structures to facilitate the use of additional surgical instruments such that the placement of negative pressure device permit the surgeon to advantageously manipulate the other instruments during surgery. The negative pressure is preferably imposed through a plurality of ports which may be disposed in a substantially planar surface of the instrument which contacts the cardiac tissue.
摘要翻译：本发明是使用通过外科器械施加的负（吸力）压力或真空来固定跳动心脏表面的一部分的位置使得外科手术可以更容易地进行的装置和技术。这些装置在心脏的外表面上的几个点处施加负压，使得心脏的一部分通过通过手术器械施加的抽吸被固定就位。因为仪器固定组织的位置，并且因为仪器保持与正在执行手术的心脏的特定部分恒定的距离，所以该装置还可以用作支撑或平台，使得其它手术器械或装置可以有利地在现场使用。在某些优选实施例中，本文所述的装置具有便于使用额外外科器械的结构，使得负压装置的放置允许外科医生在手术期间有利地操纵其他器械。负压优选通过多个端口施加，所述多个端口可以设置在与心脏组织接触的仪器的基本平坦的表面中。

43. 发明授权

US07255551B2 High volume print-forming system 有权
标题翻译：大容量印刷成型系统
公开(公告)号：US07255551B2
公开(公告)日：2007-08-14
申请号：US10754795
申请日：2004-01-08
申请人： Charles S. Taylor , Paul Cherkas , Robert A. Geshlider , Dwight P. Morejohn , Sue W. Vican , Bhupendra O. Shah , Eric Reeser
发明人： Charles S. Taylor , Paul Cherkas , Robert A. Geshlider , Dwight P. Morejohn , Sue W. Vican , Bhupendra O. Shah , Eric Reeser
IPC分类号： B05C5/00 , B28B5/00 , B28B1/32 , B28B17/00
CPC分类号： B05C5/00 , B28B1/00 , B28B1/001 , B29C64/106 , B29C64/20 , B33Y40/00
摘要： A system is provided for high volume print-forming of structures made up of multiple separate layers. A support bed is provided which has multiple steps arrayed thereon at different heights. Substrate blocks rest upon each of the steps. A printing process is utilized to print material from which the structures are to be formed down onto the substrate blocks. This printing process prints different layers onto each of the substrate blocks. The substrate blocks then move to a different step on the support bed and the printing process is repeated. Each support block has a partial structure thereon which receives its next successive layer in each printing cycle until the partial structure becomes a completed structure by having each of its layers sequentially printed thereon. Subsystems are provided for moving the substrate blocks upon the support bed and for properly holding and aligning substrate blocks upon the support bed.
摘要翻译：提供了一种用于由多个分开的层构成的结构的大容量印刷形成的系统。提供了一种支撑床，其具有在不同高度上排列的多个台阶。基板块位于每个步骤上。使用印刷工艺将结构要从其形成的材料印刷到衬底块上。该印刷过程在每个基板块上印刷不同的层。衬底块然后移动到支撑床上的不同步骤，并重复打印过程。每个支撑块具有其上的部分结构，其在每个打印循环中接收其下一个连续层，直到部分结构通过使其每个层顺序地印刷在其上而形成完整的结构。提供子系统用于将衬底块移动到支撑床上并且用于将衬底块适当地保持和对准在支撑床上。

44. 发明授权

US06746467B1 Access platform for internal mammary dissection 失效
标题翻译：内部乳腺切开手术平台
公开(公告)号：US06746467B1
公开(公告)日：2004-06-08
申请号：US09431362
申请日：1999-11-01
申请人： Charles S. Taylor , Ivan Sepetka
发明人： Charles S. Taylor , Ivan Sepetka
IPC分类号： A61B1702
CPC分类号： A61B17/3423 , A61B17/0206 , A61B17/025 , A61B90/50 , A61B2017/3427 , A61B2017/349
摘要： An access platform having a first and a second blade interconnected to a spreader member that laterally drives the blades apart or together and support pads interconnected to a blade. A torsional member is operably interconnected to a blade and the spreader member and is used to vertically displace the interconnected blade and, thus, increase a surgeon's working space and visual access for the dissection of an internal mammary artery. A tissue retractor interconnected to the blades and is used to draw the soft tissue around an incision away from the surgeon's working area.
摘要翻译：一种进入平台，其具有与扩展构件相互连接的第一和第二叶片，所述第一和第二叶片横向地驱动叶片彼此分离或一起，并且支撑与叶片互连的垫。扭转构件可操作地连接到叶片和吊具构件，并且用于垂直地移位互连的叶片，并且因此增加外科医生的工作空间和用于内部乳房动脉解剖的视觉通路。组织牵开器互连到叶片上，用于将软组织围绕切口远离外科医生的工作区域。

45. 发明授权

US06602189B1 Access platform for internal mammary dissection 有权
标题翻译：内部乳腺切开手术平台
公开(公告)号：US06602189B1
公开(公告)日：2003-08-05
申请号：US09480830
申请日：2000-01-10
申请人： Federico J. Bennetti , Charles S. Taylor , William N. Aldrich , Ivan Sepetka , Robert G. Matheny , Eugene E. Reis , Brent Regan , Richard M. Ferrari
发明人： Federico J. Bennetti , Charles S. Taylor , William N. Aldrich , Ivan Sepetka , Robert G. Matheny , Eugene E. Reis , Brent Regan , Richard M. Ferrari
IPC分类号： A61B1728
CPC分类号： A61B17/3423 , A61B17/0206 , A61B17/025 , A61B17/3476 , A61B90/50 , A61B2017/349
摘要： An access platform having a first and a second blade interconnected to a spreader member that laterally drives the blades apart or together and a sternal pad interconnected to a blade. The superior blade is preferably pivotally coupled to the spreader member such that it naturally rises as the blades are separated. Alternatively, a vertical displacement member is operably interconnected to a blade and the spreader member and is used to vertically displace the interconnected superior blade and, thus, increase a surgeon's working space and visual access for the dissection of an internal mammary artery. A tissue retractor is interconnected to the blades to draw the soft tissue around an incision away from the surgeon's working area.
摘要翻译：一种进入平台，具有互连到扩张器构件的第一和第二刀片，所述第二和第二刀片横向地驱动刀片彼此分开或一起，以及与刀片互连的胸骨垫。优选的叶片优选地枢转地联接到扩展器构件，使得其随着叶片分离而自然地上升。或者，垂直移位构件可操作地连接到叶片和吊架构件，并且用于垂直地移位互连的上叶片，并且因此增加外科医生的工作空间和用于解剖内部乳房动脉的视觉进入。组织牵缩器与刀片相互连接以将软组织围绕切口远离外科医生的工作区域。

46. 发明授权

US06381499B1 Method and apparatus for using vagus nerve stimulation in surgery 失效
标题翻译：手术中使用迷走神经刺激的方法和装置
公开(公告)号：US06381499B1
公开(公告)日：2002-04-30
申请号：US09574586
申请日：2000-05-17
申请人： Charles S. Taylor , Robert G. Matheny , Dwight P. Morejohn
发明人： Charles S. Taylor , Robert G. Matheny , Dwight P. Morejohn
IPC分类号： A61N132
CPC分类号： A61B17/122 , A61B17/1227 , A61B2017/0243 , A61N1/36014
摘要： A method and apparatus for facilitating coronary surgery on the beating heart wherein the vagus nerve is electrically stimulated to purposely temporarily stop or substantially reduce the beating of the heart under precisely controlled conditions. The apparatus controllably applies electrical stimulus to pre-selected locations along the vagus nerve and to pre-selected nerve branches related to the heart. The apparatus includes several clip and probe configurations for establishing electrical contact with the vagus nerve. Such purposely caused temporary stoppage or substantial reduction of the beating of the heart facilitates procedures such as suturing of an anastomosis which would otherwise be more difficult because of the motion induced by the beating heart.
摘要翻译：一种用于促进搏动心脏的冠状动脉手术的方法和装置，其中电刺激迷走神经以故意暂时地停止或基本上减少在精确控制的条件下的心跳。该装置可控制地将电刺激应用于沿着迷走神经的预先选择的位置和与心脏相关的预先选择的神经分支。该装置包括用于建立与迷走神经的电接触的多个夹子和探针配置。这样有意地引起临时停止或大幅度减少心脏搏动的方法有助于诸如缝合吻合术的过程，否则由于跳动心脏引起的运动将更加困难。

47. 发明授权

US6036641A Surgical instruments for stabilizing the beating heart during coronary artery bypass graft surgery 失效
标题翻译：用于在冠状动脉旁路移植手术期间稳定跳动心脏的手术器械
公开(公告)号：US6036641A
公开(公告)日：2000-03-14
申请号：US931158
申请日：1997-09-16
申请人： Charles S. Taylor , Dwight P. Morejohn , Benjamin Sherman , Gary B. Weller , William Friederich Witt , Caralin R. Adair
发明人： Charles S. Taylor , Dwight P. Morejohn , Benjamin Sherman , Gary B. Weller , William Friederich Witt , Caralin R. Adair
IPC分类号： A61B17/00 , A61B17/02 , A61B17/064 , A61B17/11 , A61B17/12 , A61B17/28 , A61B17/30 , A61B17/34 , A61B19/00
CPC分类号： A61B17/3421 , A61B17/00234 , A61B17/0206 , A61B17/0218 , A61B17/3423 , A61B90/00 , A61B17/02 , A61B17/0642 , A61B17/12 , A61B17/8076 , A61B2017/00243 , A61B2017/00539 , A61B2017/00703 , A61B2017/00858 , A61B2017/00991 , A61B2017/0243 , A61B2017/0648 , A61B2017/1139 , A61B2017/2825 , A61B2017/2913 , A61B2017/2929 , A61B2017/306 , A61B2017/349
摘要： This invention is methods and devices for stabilizing the beating heart during a surgical procedure on the heart. Pursuant to the invention, a stabilizing device is introduced through an opening in the chest and brought into contact with the beating heart. By contacting the heart with the device and by exerting a stabilizing force on the device, the motion of the heart caused by the contraction of the heart muscles is effectively eliminated such that the heart is stabilized and the site of the surgery moves only minimally if at all. Typically, in separate steps, the surgeon contacts the heart with the stabilizing device, assesses the degree of movement of the anastomosis site, and exerts a force on the stabilizing device such that the contraction of the beating heart causes only minimal excess motion at the surgery site. By fixing the position of the stabilizing device in a configuration where the motion of the beating heart is effectively eliminated, the surgeon is able to stabilize the beating heart for the duration of the procedure. The stabilizing device may be attached to a rigid support or may be attached to a semi-rigid support which is rendered motionless mechanically, chemically, or by human intervention. In certain preferred embodiments, the stabilizing device is affixed to a semi-rigid support which is caused to become rigid such that the position of the stabilizing means becomes fixed by the support, and the heart remains substantially motionless during the procedure.
摘要翻译：本发明是在心脏手术过程中稳定跳动心脏的方法和装置。根据本发明，稳定装置通过胸部的开口引入并与打浆心接触。通过将心脏与装置接触并且通过在装置上施加稳定力，由心脏肌肉收缩引起的心脏的运动被有效地消除，使得心脏稳定，并且手术部位仅在最小程度上移动，如果在所有。通常，在单独的步骤中，外科医生与稳定装置接触心脏，评估吻合部位的移动程度，并且在稳定装置上施加力，使得跳动心脏的收缩在手术时仅引起极小的过度运动现场。通过将稳定装置的位置固定在跳动心脏的运动被有效地消除的构造中，外科医生能够在手术期间稳定跳动的心脏。稳定装置可以附接到刚性支撑件，或者可以附接到半刚性支撑件，其通过机械，化学方式或通过人为干预使其不动。在某些优选实施例中，稳定装置被固定到半刚性支撑件上，半刚性支撑件变得刚性，使得稳定装置的位置由支撑件固定，并且心脏在手术过程中保持基本上不动。

48. 发明授权

US5976171A Access platform for internal mammary dissection 失效
标题翻译：内部乳腺切开手术平台
公开(公告)号：US5976171A
公开(公告)日：1999-11-02
申请号：US619903
申请日：1996-03-20
申请人： Charles S. Taylor
发明人： Charles S. Taylor
IPC分类号： A61B17/02 , A61B17/34 , A61B19/00
CPC分类号： A61B17/3423 , A61B17/0206 , A61B90/50 , A61B17/025 , A61B2017/3427 , A61B2017/349
摘要： An access platform having a first and a second blade interconnected to a spreader member that laterally drives the blades apart or together and support pads interconnected to a blade. A torsional member is operably interconnected to a blade and the spreader member and is used to vertically displace the interconnected blade and, thus, increase a surgeon's working space and visual access for the dissection of an internal mammary artery. A tissue retractor interconnected to the blades and is used to draw the soft tissue around an incision away from the surgeon's working area.
摘要翻译：一种进入平台，其具有与扩展构件相互连接的第一和第二叶片，所述第一和第二叶片横向地驱动叶片彼此分离或一起，并且支撑与叶片互连的垫。扭转构件可操作地连接到叶片和吊具构件，并且用于垂直地移位互连的叶片，并且因此增加外科医生的工作空间和用于内部乳房动脉解剖的视觉通路。组织牵开器互连到叶片上，用于将软组织围绕切口远离外科医生的工作区域。

49. 发明授权

US5891159A Automatic purse string suture device 失效
标题翻译：自动se绳缝合装置
公开(公告)号：US5891159A
公开(公告)日：1999-04-06
申请号：US850321
申请日：1997-05-02
申请人： Benjamin Sherman , Robert C. Glines , Ivan Sepetka , Charles S. Taylor , Dwight P. Morejohn
发明人： Benjamin Sherman , Robert C. Glines , Ivan Sepetka , Charles S. Taylor , Dwight P. Morejohn
IPC分类号： A61B17/00 , A61B17/04 , A61B17/11 , A61B17/28 , A61B17/34
CPC分类号： A61B17/0482 , A61B17/0469 , A61B17/1114 , A61B17/29 , A61B2017/00243 , A61B2017/1107 , A61B2017/3488
摘要： An automatic purse string suture device is disclosed that enables a surgeon to install a purse string suture in tissue structures, particularly for sealing the tissue about a cannula. The device is particularly suited for minimally invasive cardiothoracic procedures and is comprised of an applicator having an elongated structure with protrusions extending from the distal edge thereof. Also provided are means for advancing a needle through a passage to pass a suture through tissue that has been conformed to the distal edge of the device. Various means for conforming the tissue to the distal edge are disclosed as are methods for using the device to facilitate cardiothoracic surgery.
摘要翻译：公开了一种自动钱包缝合装置，其使得外科医生能够在组织结构中安装钱包线缝合线，特别是用于在套管周围密封组织。该装置特别适用于微创心胸手术，并且包括具有细长结构的施用器，其具有从其远端边缘延伸的突起。还提供了用于使针穿过通道以使缝合线穿过已经符合设备的远侧边缘的组织的装置。公开了用于使组织与远侧边缘一致的各种方法，如同使用该装置促进心胸外科手术的方法一样。

50. 发明授权

US5727569A Surgical devices for imposing a negative pressure to fix the position of cardiac tissue during surgery 失效
标题翻译：用于施加负压以固定手术期间心脏组织位置的手术装置
公开(公告)号：US5727569A
公开(公告)日：1998-03-17
申请号：US603328
申请日：1996-02-20
申请人： Federico J. Benetti , Robert G. Matheny , Charles S. Taylor
发明人： Federico J. Benetti , Robert G. Matheny , Charles S. Taylor
IPC分类号： A61B17/00 , A61B17/02 , A61B17/30 , A61B17/34 , A61B19/00
CPC分类号： A61B17/00 , A61B2017/00243 , A61B2017/00703 , A61B2017/0243 , A61B2017/306 , A61B2017/3488 , A61B90/40
摘要： The invention is devices and techniques which use a negative (suction) pressure or vacuum, applied through a surgical instrument, to fix the position of a portion of the surface of a beating heart so that a surgical procedure can be more easily performed. The devices apply a negative pressure at several points on the outer surface of the heart such that a portion of the heart is fixed in place by the suction imposed through the surgical instrument. Because the instrument fixes the position of the tissue, and because the instruments remain at a constant distance from the particular portion of the heart where the surgery is being performed, the device may also serve as a support or platform so that other surgical instruments or devices can be advantageously used at the site. In certain preferred embodiments, the devices described herein have structures to facilitate the use of additional surgical instruments such that the placement of negative pressure device permit the surgeon to advantageously manipulate the other instruments during surgery. The negative pressure is preferably imposed through a plurality of ports which may be disposed in a substantially planar surface of the instrument which contacts the cardiac tissue.
摘要翻译：本发明是使用通过外科器械施加的负（吸力）压力或真空来固定跳动心脏表面的一部分的位置使得外科手术可以更容易地进行的装置和技术。这些装置在心脏的外表面上的几个点处施加负压，使得心脏的一部分通过通过手术器械施加的抽吸被固定就位。因为仪器固定组织的位置，并且因为仪器保持与正在执行手术的心脏的特定部分恒定的距离，所以该装置还可以用作支撑或平台，使得其它手术器械或装置可以有利地在现场使用。在某些优选实施例中，本文所述的装置具有便于使用额外外科器械的结构，使得负压装置的放置允许外科医生在手术期间有利地操纵其他器械。负压优选通过多个端口施加，所述多个端口可以设置在与心脏组织接触的仪器的基本平坦的表面中。

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