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41. 发明申请

US20100272607A1 RADIAL DESIGN OXYGENATOR WITH HEAT EXCHANGER AND INLET MANDREL 审中-公开
标题翻译：带热交换器和入口管的径向设计氧化剂
公开(公告)号：US20100272607A1
公开(公告)日：2010-10-28
申请号：US12428716
申请日：2009-04-23
申请人： Walt L. Carpenter , Robert W. Olsen , Michael J. Hobday , Alford L. McLevish , Christopher J. Plott , Roderick E. Briscoe , Patrick J. Cloutier , Anil Thapa , Ming Li , Kevin McIntosh , Ken Merte
发明人： Walt L. Carpenter , Robert W. Olsen , Michael J. Hobday , Alford L. McLevish , Christopher J. Plott , Roderick E. Briscoe , Patrick J. Cloutier , Anil Thapa , Ming Li , Kevin McIntosh , Ken Merte
IPC分类号： A61M1/36
CPC分类号： A61M1/1698
摘要： Described is an apparatus for oxygenating and controlling the temperature of blood in an extracorporeal circuit, the apparatus having an inlet and an outlet that is located radially outward from the inlet in order to define a flowpath through the apparatus, the apparatus comprising: a core in communication with the inlet such that blood from a patient can be supplied to the core, the core comprising a first element and a second element that interfit to define openings, wherein the elements and the openings together enhance flow of blood from the patient radially outward from the core; a heat exchanger that is arranged about the core and through which blood from the core can move radially outward; and an oxygenator that is arranged about the heat exchanger and through which blood from the heat exchanger can move radially outward before exiting the apparatus through the outlet.
摘要翻译：描述了一种用于对体外循环中的血液进行氧化和控制的装置，该装置具有从入口径向向外定位的入口和出口，以便限定穿过该装置的流路，该装置包括：与入口的连通，使得来自患者的血液可以被供应到芯部，所述芯部包括互相限定开口的第一元件和第二元件，其中所述元件和开口一起增强了来自患者的血液从径向向外的径向向外的流动核心; 布置在芯体周围的热交换器，来自芯体的血液可以通过该热交换器径向向外移动; 以及围绕热交换器布置的氧合器，并且来自热交换器的血液可以在通过出口离开设备之前径向向外移动。

42. 发明申请

US20100269342A1 METHOD OF MAKING RADIAL DESIGN OXYGENATOR WITH HEAT EXCHANGER 审中-公开
标题翻译：具有热交换器的径向设计氧化剂的制备方法
公开(公告)号：US20100269342A1
公开(公告)日：2010-10-28
申请号：US12428706
申请日：2009-04-23
申请人： Walt L. Carpenter , Robert W. Olsen , Michael J. Hobday , Alford L. McLevish , Christopher J. Plott , Roderick E. Briscoe , Patrick J. Cloutier , Anil Thapa , Ming Li
发明人： Walt L. Carpenter , Robert W. Olsen , Michael J. Hobday , Alford L. McLevish , Christopher J. Plott , Roderick E. Briscoe , Patrick J. Cloutier , Anil Thapa , Ming Li
IPC分类号： B21D53/02
CPC分类号： A61M1/1698 , A61M1/1625 , A61M1/1629 , B01D61/00 , B01D63/021 , B01D63/025 , B01D2313/20 , B01D2313/38 , Y10T29/4935
摘要： Described is a method of making an apparatus for oxygenating and controlling the temperature of blood in an extracorporeal circuit, the steps comprising: providing a core through which blood can be supplied to the apparatus from a patient; providing a heat exchanger about the core such that blood from the core can move radially outward through the heat exchanger; providing an oxygenator about the heat exchanger such that blood from the heat exchanger can move radially outward through the oxygenator; and placing the core, heat exchanger and oxygenator in a housing that includes an inlet in communication with the core and an outlet that is located radially outward from the inlet in order to define a flowpath for blood through the apparatus.
摘要翻译：描述了一种制造用于对体外循环中的血液进行氧化和控制的装置的方法，所述步骤包括：提供核心，血液可以通过该核心从患者提供给所述装置; 提供围绕芯的热交换器，使得来自芯的血液可以径向向外移动通过热交换器; 在所述热交换器周围提供氧合器，使得来自所述热交换器的血液可径向向外移动通过所述氧合器; 以及将所述芯，热交换器和氧合器放置在壳体中，所述壳体包括与所述芯部连通的入口和从所述入口径向向外定位的出口，以便限定通过所述设备的血液的流动路径。

43. 发明申请

US20100204716A1 METHODS AND DEVICES FOR OCCLUSION OF AN ATRIAL APPENDAGE 审中-公开
标题翻译：方法和装置用于消除ATRIAL附件
公开(公告)号：US20100204716A1
公开(公告)日：2010-08-12
申请号：US12768200
申请日：2010-04-27
申请人： Mark T. Stewart , Alison Lutterman , David E. Francischelli , Leonard H. Leuer , Daneil C. Haeg , Marie T. Steinbrink , Roderick E. Briscoe , Tom P. Daigel , Eduardo N. Warman , Paul T. Rothstein , Phillip C. Falkner , Douglas A. Hettrick , David J.S. Kim , Steven C. Christian
发明人： Mark T. Stewart , Alison Lutterman , David E. Francischelli , Leonard H. Leuer , Daneil C. Haeg , Marie T. Steinbrink , Roderick E. Briscoe , Tom P. Daigel , Eduardo N. Warman , Paul T. Rothstein , Phillip C. Falkner , Douglas A. Hettrick , David J.S. Kim , Steven C. Christian
IPC分类号： A61B17/128 , A61B17/122
CPC分类号： A61B17/12 , A61B17/0057 , A61B17/12009 , A61B17/12013 , A61B17/122 , A61B17/128 , A61B17/1285 , A61B90/39 , A61B2017/00243 , A61B2017/00575 , A61B2017/12018 , A61B2017/306
摘要： Some embodiments of the invention provide a system for occluding a left atrial appendage of a patient. Some embodiments of the system can include a ring occluder that can be positioned around the left atrial appendage and a ring applicator to position the ring occluder with respect to the left atrial appendage. One embodiment discloses a method of accessing endocardial surfaces of the heart through the atrial appendage. Additional embodiments of the invention provide a clip occluder that can be positioned around the left atrial appendage. A clip applicator can position the clip occluder with respect to the left atrial appendage.
摘要翻译：本发明的一些实施例提供一种用于闭塞患者左心耳的系统。该系统的一些实施例可以包括可以围绕左心耳定位的环封闭器和环施加器来相对于左心耳定位环封闭器。一个实施例公开了通过心房接近心脏心脏表面的方法。本发明的另外的实施例提供了可以围绕左心耳定位的夹子封堵器。夹子施放器可以相对于左心耳定位夹子封堵器。

44. 发明申请

US20100114136A1 CUTTING DEVICE AND METHOD OF VESSEL HARVESTING 审中-公开
标题翻译：切割装置和船舶收集方法
公开(公告)号：US20100114136A1
公开(公告)日：2010-05-06
申请号：US12688028
申请日：2010-01-15
申请人： Cynthia T. Clague , Michael J. Hobday , Raymond W. Usher , Roderick E. Briscoe , Katherine S. Olig , Ana R. Menk , Christopher P. Olig , Eric A. Meyer , Steven C. Christian , Thomas P. Daigle , Robert H. Reetz , Jeffrey D. Sandstrom , James R. Keogh , Matthew D. Bonner , Scott E. Jahns , Philip J. Haarstad
发明人： Cynthia T. Clague , Michael J. Hobday , Raymond W. Usher , Roderick E. Briscoe , Katherine S. Olig , Ana R. Menk , Christopher P. Olig , Eric A. Meyer , Steven C. Christian , Thomas P. Daigle , Robert H. Reetz , Jeffrey D. Sandstrom , James R. Keogh , Matthew D. Bonner , Scott E. Jahns , Philip J. Haarstad
IPC分类号： A61B17/22
CPC分类号： A61B17/32 , A61B17/00008 , A61B17/3205 , A61B17/32053 , A61B2017/320064
摘要： Embodiments of the invention provide a cutting device and method of vessel harvesting. The cutting device can include at least one tubular member, a cutting element, and a centering member. The cutting device can include at least one tubular member with a flexible section and a cutting element. The method of vessel harvesting can include spacing a cutting element of the cutting device from the vessel as the cutting element is advanced over the vessel.
摘要翻译：本发明的实施例提供一种切割装置和容器收获方法。切割装置可以包括至少一个管状构件，切割元件和定心构件。切割装置可以包括具有柔性部分和切割元件的至少一个管状部件。当切割元件在容器上前进时，容器收集的方法可以包括将切割装置的切割元件与容器间隔开。

45. 发明申请

US20090326527A1 Cardiac Mapping Instrument with Shapeable Electrode 有权
标题翻译：具有可塑性电极的心脏测绘仪器
公开(公告)号：US20090326527A1
公开(公告)日：2009-12-31
申请号：US12480926
申请日：2009-06-09
申请人： Jon M. Ocel , Roderick E. Briscoe , David E. Francischelli , Scott E. Jahns , James R. Keogh , Katherine S. Jolly , Matthew D. Bonner
发明人： Jon M. Ocel , Roderick E. Briscoe , David E. Francischelli , Scott E. Jahns , James R. Keogh , Katherine S. Jolly , Matthew D. Bonner
IPC分类号： A61B18/14 , A61B18/18 , A61N1/362
CPC分类号： A61B5/042 , A61B5/7475 , A61B18/14 , A61B2017/2927 , A61B2018/1472 , A61N1/056
摘要： An instrument including an elongated shaft and a non-conductive handle is disclosed. The shaft defines a proximal section and a distal section. The distal section forms an electrically conductive tip. Further, the shaft is adapted to be transitionable from a straight state to a first bent state. The shaft is capable of independently maintaining the distinct shapes associated with the straight state and the first bent state. The handle is rigidly coupled to the proximal section of the shaft. The instrument is useful for epicardial pacing and/or mapping of the heart for temporary pacing on a beating heart, for optimizing the placement of ventricular leads for the treatment of patients with congestive heart failure and ventricular dysynchrony and/or for use in surgical ablation procedures.
摘要翻译：公开了一种包括细长轴和非导电手柄的仪器。轴限定近端部分和远端部分。远侧部分形成导电尖端。此外，轴适于从直状态转变到第一弯曲状态。轴能够独立地保持与直线状态和第一弯曲状态相关联的不同形状。手柄刚性地联接到轴的近端部分。该仪器可用于心脏起搏和/或心脏在心脏跳动中临时起搏的作用，以优化用于治疗患有充血性心力衰竭和心室异常不适和/或用于外科手术切除手术的患者的心室导线的放置。

46. 发明申请

US20090105630A1 ARTERIAL BLOOD FILTER 有权
标题翻译：动脉血液过滤器
公开(公告)号：US20090105630A1
公开(公告)日：2009-04-23
申请号：US11948290
申请日：2007-11-30
申请人： Trevor C. Huang , Alford L. McLevish , Joseph L. Kalscheuer , Roderick E. Briscoe
发明人： Trevor C. Huang , Alford L. McLevish , Joseph L. Kalscheuer , Roderick E. Briscoe
IPC分类号： A61M1/34
CPC分类号： B01D19/0057 , A61M1/3633 , A61M2206/10 , A61M2206/16
摘要： An arterial line blood filter for use in extracorporeal blood circuits during heart bypass surgery has, among other components, a housing with a cap portion, a base portion, and a generally cylindrical wall portion. The blood filter has a filter element disposed within the housing. An inlet is positioned at an upward angle with respect to the housing and includes an opening in the generally cylindrical wall portion in fluid communication with the inlet chamber. In some embodiments the position of the inlet limits the pressure drop and prime volume of the filter. According to one embodiment, the cap portion has an upwardly sloping inner surface and there is a vent in the cap portion. The inner surface of the cap portion can have a projection proximate the vent configured to limit immobilization of gaseous microemboli within the inlet chamber.
摘要翻译：在心脏旁路手术期间用于体外血液回路的动脉血液过滤器除了其它部件之外还具有具有盖部分，基部部分和大致圆柱形壁部分的壳体。血液过滤器具有设置在壳体内的过滤元件。入口相对于壳体以向上的角度定位，并且在大致圆柱形壁部分中包括与入口室流体连通的开口。在一些实施例中，入口的位置限制了过滤器的压降和原始体积。根据一个实施例，帽部分具有向上倾斜的内表面，并且在帽部分中具有通气口。帽部分的内表面可以具有靠近通气口的突出部，其构造成限制气体微栓塞在入口室内的固定。

47. 发明授权

US07497857B2 Endocardial dispersive electrode for use with a monopolar RF ablation pen 失效
标题翻译：用于单极射频消融笔的心内膜分散电极
公开(公告)号：US07497857B2
公开(公告)日：2009-03-03
申请号：US10425531
申请日：2003-04-29
申请人： Roderick E. Briscoe
发明人： Roderick E. Briscoe
IPC分类号： A61B18/14 , A61B18/16
CPC分类号： A61B18/1492 , A61B18/16 , A61B2018/00148 , A61B2018/00214 , A61B2018/0022 , A61B2018/00351
摘要： Methods and devices for forming a lesion in a target tissue having a cavity within. A first RF electrode and a second RF electrode can be coupled to opposite poles of an RF current source. The second electrode can be inserted into the tissue cavity and expanded to contact the target tissue from within. The first electrode can be externally disposed against the target tissue while applying RF current between the first and second electrodes to ablate the target tissue. Some methods are directed to ablating tribiculated atrial wall tissue to treat atrial fibrillation. The second electrode can contact the tribiculated tissue directly from within to provide a direct path between the two electrodes. In some methods, the second electrode is inserted through an incision made to remove an atrial appendage. The methods can provide deeper, narrower lesions relative to those made using remote, indifferent electrodes. Atrial fibrillation ablation procedures can be performed using the invention, requiring fewer incisions than conventional methods.
摘要翻译：在具有腔内的靶组织中形成病变的方法和装置。第一RF电极和第二RF电极可以耦合到RF电流源的相对极。第二电极可以插入到组织腔中并膨胀以从内部接触靶组织。第一电极可以在外部设置在靶组织上，同时在第一和第二电极之间施加RF电流以烧蚀靶组织。一些方法是针对消融多发性心房壁组织以治疗房颤。第二电极可以直接从内部接触多形性组织以提供两个电极之间的直接路径。在一些方法中，第二电极通过切口插入以除去心耳。相对于使用远程，无关电极的方法，这些方法可以提供更深，更窄的病变。可以使用本发明进行心房颤动消融手术，比常规方法需要更少的切口。

48. 发明申请

US20080249546A1 ANASTOMOSIS SYSTEMS AND METHODS 审中-公开
标题翻译： ANASTOMOSIS系统和方法
公开(公告)号：US20080249546A1
公开(公告)日：2008-10-09
申请号：US11970319
申请日：2008-01-07
申请人： Jeffrey D. Sandstrom , Eric A. Meyer , Damian A. Jelich , Robert H. Reetz , Roderick E. Briscoe
发明人： Jeffrey D. Sandstrom , Eric A. Meyer , Damian A. Jelich , Robert H. Reetz , Roderick E. Briscoe
IPC分类号： A61B17/08
CPC分类号： A61B17/115 , A61B17/0644 , A61B17/1155 , A61B2017/00243 , A61B2017/00867 , A61B2017/0647 , A61B2017/1107 , A61B2017/1135
摘要： A surgical connection apparatus including a plurality of delivery assemblies, a housing assembly, and a drive mechanism. The delivery assemblies each include an outer member, an inner member, and optionally a retention member. The inner member is disposed within the outer member, terminates at a distal tip and forms an internal passage that is open at a window. The delivery assemblies releasably retain a self-closing clip. The housing assembly maintains the delivery assemblies in a generally circular arrangement. The drive mechanism operates to transition the delivery assembly in releasing a self-closing clip from the corresponding delivery assembly. With this construction, a plurality of self-closing clips can be simultaneously deployed in a manner effectuating, for example, an end-to-side anastomosis.
摘要翻译：一种外科连接装置，包括多个输送组件，壳体组件和驱动机构。输送组件各自包括外部构件，内部构件和可选地保持构件。内部构件设置在外部构件中，终止于远侧末端并形成在窗口处打开的内部通道。输送组件可释放地保持自闭合夹。壳体组件将输送组件保持为大致圆形的布置。驱动机构用于在从相应的输送组件释放自闭合夹子的过程中转换输送组件。利用这种结构，可以以例如端对侧吻合的方式同时展开多个自闭合夹。

49. 发明授权

US06758809B2 Surgical tool for engagement of body tissue 有权
标题翻译：用于接合身体组织的外科手术工具
公开(公告)号：US06758809B2
公开(公告)日：2004-07-06
申请号：US10164734
申请日：2002-06-06
申请人： Roderick E. Briscoe , David J. S. Kim
发明人： Roderick E. Briscoe , David J. S. Kim
IPC分类号： A61B1702
CPC分类号： A61B17/02 , A61B90/50 , A61B2017/00314 , A61B2017/0243 , A61B2017/2904 , A61B2017/2905 , A61B2017/308 , A61B2090/571
摘要： An improved stabilizer or retractor or other surgical tool having an elongated distal arm carrying a tissue-contacting mechanism at its distal end and a tensioning mechanism at its proximal end for locking functional components of the tool in a desired position or configuration. The tensioning mechanism is mounted to a turret or other structure attaching the distal arm to a base by means of a shorter, proximally extending flexible arm. The flexible proximal arm allows the tensioning mechanism to be moved relative to the base so that it can be placed more conveniently in the operative field.
摘要翻译：一种改进的稳定器或牵开器或其它手术工具，其具有在其远端承载组织接触机构的细长远侧臂和其近端处的张紧机构，用于将所述工具的功能部件锁定在期望的位置或构型。张紧机构安装到转台或其他结构，通过较短的向近端延伸的柔性臂将远端臂连接到基座。柔性近侧臂允许张紧机构相对于基部移动，使得其可以更方便地放置在手术区域中。

50. 发明授权

US5807328A Balloon catheter assembly with selectively occluded and vented lumen 失效
标题翻译：球囊导管组件，具有选择性闭塞和排气的腔
公开(公告)号：US5807328A
公开(公告)日：1998-09-15
申请号：US625911
申请日：1996-04-01
申请人： Roderick E. Briscoe
发明人： Roderick E. Briscoe
IPC分类号： A61F2/958 , A61M25/00 , A61M29/00
CPC分类号： A61M25/0075 , A61M25/10 , A61M2025/1052
摘要： A catheter assembly having a selectively occluded and vented lumen is provided. The catheter includes an obturator for preventing the back flow of fluid from the distal tip of the catheter into a balloon provided on the body of the catheter. The catheter has at least one groove for venting the balloon during the process of inserting the catheter assembly into fluid under pressure. The combination of the obturator and the venting groove prohibits premature inflation of the balloon by pressurized fluid entering the distal end of the catheter and also enables for the venting of any air entrapped inside the balloon prior to inflation thereof. When incorporated into a retrograde cardioplegia solution catheter, this structure dramatically reduces the force needed to insert the catheter assembly into the coronary sinus and also reduces trauma to the tissue of the coronary sinus during the insertion process.
摘要翻译：提供了具有选择性闭塞和通气腔的导管组件。导管包括用于防止流体从导管的远端顶端返回到设置在导管主体上的球囊的闭塞器。在将导管组件压入流体的过程中，导管具有至少一个用于排出气囊的凹槽。闭孔器和通气槽的组合禁止通过进入导管远端的加压流体对球囊的过早充气，并且还使得在充气之前将气球中的任何空气排出。当结合到逆行心麻痹解决方案导管中时，该结构显着降低将导管组件插入冠状窦所需的力，并且还可以在插入过程中减少冠状窦组织的创伤。

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