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    • 42. 发明申请
    • Devices and methods for performing avascular anastomosis
    • 用于进行无血管吻合的装置和方法
    • US20050251164A1
    • 2005-11-10
    • US11051788
    • 2005-02-04
    • Hanson GiffordLee BolducJeffrey SteinPaul DiCesarePeter CostaWilliam Holmes
    • Hanson GiffordLee BolducJeffrey SteinPaul DiCesarePeter CostaWilliam Holmes
    • A61B17/00A61B17/064A61B17/11A61B17/115A61B17/12A61F2/00A61B17/08
    • A61B17/12109A61B17/064A61B17/0643A61B17/11A61B17/115A61B17/12036A61B17/12045A61B17/12136A61B2017/00243A61B2017/0641A61B2017/1135A61B2017/12127A61F2002/30092A61F2210/0014
    • A system for performing an end-to-side vascular anastomosis. including an anastomosis device, an application instrument and methods for performing a vascular anastomosis. The system is applicable for performing an anastomosis between a vascular graft and the ascending aorta in coronary artery bypass surgery, particularly in port-access CABG surgery. A first aspect of the invention includes a vascular anastomosis staple. A first configuration has two parts: an anchor member, forming the attachment with the target vessel wall and a coupling member, forming the attachment with the bypass graft vessel. The anastomosis is completed by inserting the coupling member, with the graft vessel attached, into the anchor member. A second configuration combines the functions of the anchor member and the coupling member into a one-piece anastomosis staple. A second aspect of the invention includes an anastomotic fitting, having an inner flange over which the graft vessel is everted and an outer flange which contacts the exterior surface of the target vessel. A tailored amount of compression applied by the inner and outer flanges grips the target vessel wall and creates a leak-proof seal between the graft vessel and the target vessel. A third aspect of the invention has a flange to which the graft vessel attaches, by everting the graft vessel over the flange, and a plurality of staple-like members which attach the flange and the everted end of the graft vessel to the wall of the target vessel to form the anastomosis
    • 用于进行端对侧血管吻合的系统。 包括吻合装置,应用仪器和用于进行血管吻合的方法。 该系统适用于在冠状动脉旁路手术中进行血管移植物和升主动脉之间的吻合,特别是在进入CABG手术中。 本发明的第一方面包括血管吻合缝。 第一构造具有两部分:锚定构件,与目标血管壁形成附件和联接构件,与旁路移植血管形成附件。 通过将连接构件插入到锚定构件中来完成吻合。 第二种结构将锚定构件和联接构件的功能结合成一体式吻合钉。 本发明的第二方面包括一种吻合装置,其具有内部凸缘,移植物容器在其上延伸,外部凸缘接触靶容器的外表面。 由内外法兰施加的定制的压缩量夹住目标血管壁,并在移植血管和靶血管之间产生防漏密封。 本发明的第三方面具有凸缘,移植管通过使移植物容器穿过凸缘而附接到该凸缘上,以及多个钉状构件,其将该移植物容器的凸缘和脱出端附接到 靶血管形成吻合
    • 46. 发明授权
    • Full thickness resection device control handle
    • 全厚度切除装置控制手柄
    • US06520971B1
    • 2003-02-18
    • US09722026
    • 2000-11-27
    • Stephen J. PerryPaul DiCesarePatrick GuteliusMark MonroeJeffrey Radziunas
    • Stephen J. PerryPaul DiCesarePatrick GuteliusMark MonroeJeffrey Radziunas
    • A61B1710
    • A61B17/2909A61B17/07207A61B17/320016A61B2017/0725A61B2017/2905A61B2017/2923A61B2017/320032
    • A control handle for a full thickness resection device is disclosed. In an embodiment for the control handle of the present invention, the control handle includes a body and a staple firing assembly coupled to the body. The staple firing assembly includes a rotatable staple firing ring, a worm gear assembly rotatably engaged with the staple firing ring, and a flexible drive shaft coupled to the worm gear assembly. In an embodiment for a method of the present invention, a method for actuating a full thickness resection device is provided. The method includes the steps of rotating a staple firing ring in a first direction and actuating a worm gear assembly in a first operative mode in response to the rotation of the staple firing ring in the first direction, the worm gear assembly is coupled to the staple firing ring. A flexible drive shaft is rotated in the first direction, the flexible drive shaft being coupled to the worm gear assembly, and torsional energy is stored in the flexible drive shaft during rotation of the flexible drive shaft in the first direction. The worm gear assembly is actuated in a second operative mode and a release rate of the stored torsional energy in the flexible drive shaft is controlled by the worm gear assembly. The flexible drive shaft is rotated in a second direction.
    • 公开了一种全厚度切除装置的控制手柄。 在本发明的控制手柄的一个实施例中,控制手柄包括主体和联接到主体的订书钉组件。 订书钉组装包括可转动的订书钉预制环,可旋转地与订书钉发射环接合的蜗轮组件和联接到蜗轮组件的柔性驱动轴。 在本发明的方法的实施例中,提供了一种用于致动全厚度切除装置的方法。 该方法包括以下步骤:响应于第一方向上的订书钉击发环的旋转,以第一方向旋转订书钉击发环并以第一操作模式致动蜗轮组件,蜗轮组件联接到订书钉 射击戒指 柔性驱动轴沿着第一方向旋转,柔性驱动轴联接到蜗轮组件,并且扭转能量在柔性驱动轴沿第一方向旋转期间被存储在柔性驱动轴中。 蜗轮组件以第二操作模式致动,并且柔性驱动轴中存储的扭转能量的释放速率由蜗轮组件控制。 柔性驱动轴沿第二方向旋转。