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1. 发明授权

US07575586B2 Medical graft connector or plug structures, and methods of making and installing same 有权
公开(公告)号：US07575586B2
公开(公告)日：2009-08-18
申请号：US10683537
申请日：2003-10-09
申请人： Todd A Berg , Alex A Peterson , Mark D Wahlberg , Jon P St. Germain
发明人： Todd A Berg , Alex A Peterson , Mark D Wahlberg , Jon P St. Germain
IPC分类号： A61B17/08 , A61F2/04
CPC分类号： A61B17/3468 , A61B17/0057 , A61B17/064 , A61B17/0643 , A61B17/08 , A61B17/11 , A61B17/3415 , A61B2017/00575 , A61B2017/00659 , A61B2017/0641 , A61F2/064
摘要： A medical graft connector or plug is made, for example, by cutting end portions of a tube of highly elastic material axially at numerous locations spaced circumferentially around the tube to produce a plurality of fingers which extend axially from each end of an uncut medial portion of the tube. The fingers are deflected radially outwardly from the medial portion and set in that condition. For a graft connector, the medial portion is coaxially connected to an end portion of a tubular graft. The connector is then installed through an aperture in the side wall of a patient's tubular body conduit, for example, by using a delivery tube in which the fingers are elastically deflected back to approximately their initial positions. When the delivery conduit is withdrawn from the connector, the fingers spring out to engage the inner and outer surfaces of the body conduit wall. For a plug, the medial portion is occluded and then the structure is installed through the aperture to be plugged in a manner similar to installation of the connector.

2. 发明授权

US07569072B2 Artificial heart valve attachment apparatus and methods 有权
标题翻译：人工心脏瓣膜附件装置及方法
公开(公告)号：US07569072B2
公开(公告)日：2009-08-04
申请号：US11285856
申请日：2005-11-23
申请人： Todd A Berg , William J Swanson , Jerry Grudem
发明人： Todd A Berg , William J Swanson , Jerry Grudem
IPC分类号： A61F2/24
CPC分类号： A61F2/2409
摘要： Heart valve attachment apparatus and methods that significantly reduce attachment times are provided. The apparatus and methods utilize a connector band to form an interface between a uni-directional valve and a tissue annulus. The connector band is secured to the tissue annulus by retention fingers.
摘要翻译：提供了显着减少附着时间的心脏瓣膜附接装置和方法。该装置和方法利用连接器带形成单向阀和组织环之间的界面。连接器带通过保持指固定到组织环。

3. 发明授权

US06920882B2 Medical grafting methods and apparatus 有权
公开(公告)号：US06920882B2
公开(公告)日：2005-07-26
申请号：US10120299
申请日：2002-04-09
申请人： Todd Allen Berg , Daniel J. Sullivan , William J. Swanson , Paul J. Hindrichs
发明人： Todd Allen Berg , Daniel J. Sullivan , William J. Swanson , Paul J. Hindrichs
IPC分类号： A61B17/064 , A61B17/08 , A61B17/11 , A61F2/06 , A61B19/00
CPC分类号： A61B17/064 , A61B17/11 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135 , A61B2017/1139 , A61F2/064
摘要： Methods and apparatus for delivering and installing a new length of tubing between two sections of a patient's existing body organ tubing and at least partly outside of that existing structure. For example, the new length of tubing may be for the purpose of providing the patient with a coronary bypass. The new tubing may be an artificial graft, a natural graft (harvested elsewhere from the patient), or both. The new tubing is installed at the operative site primarily by providing at least one graft location with instrumentation inserted through the patient's existing tubular body organ structure. Assistance in installing the new tubing may be provided by minimally invasive surgical access openings in the patient's chest. The tubing may be delivered through the patient's existing tubular body structure or, alternatively, through the surgical access openings.

4. 发明申请

US20040068279A1 Apparatus and methods for creating anastomoses 有权
标题翻译：用于创建吻合的装置和方法
公开(公告)号：US20040068279A1
公开(公告)日：2004-04-08
申请号：US10678405
申请日：2003-10-03
申请人： St. Jude Medical ATG, Inc.
发明人： Paul J. Hindrichs , Michael P. Brenzel , Richard G. Cornelius , William J. Swanson
IPC分类号： A61B017/08
CPC分类号： A61B17/32053 , A61B17/064 , A61B17/0644 , A61B17/11 , A61B17/3209 , A61B17/3211 , A61B2017/00867 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135
摘要： Apparatus and methods for creating anastomoses are provided. An incision tool for creating an incision having a controlled length in a side wall of a patient's body tissue conduit is provided. A delivery device for inserting a hollow annular connector into an incision in a side wall of a patient's body tissue conduit is provided. The delivery device may include first and second anvil structures around which the connector may be disposed. By moving the first anvil structure away from the second anvil structure, the connector may expand to a desired configuration (e.g., non-round) within the aperture. In one example, the connector may be inserted into the aperture to hold the aperture open prior to attachment of a graft conduit to the aperture, thereby allowing a physician to inspect the aperture and the surrounding tissue.
摘要翻译：提供了用于产生吻合的装置和方法。提供了一种用于在患者身体组织导管的侧壁中产生具有受控长度的切口的切口工具。提供了一种用于将中空环形连接器插入患者身体组织导管的侧壁中的切口中的输送装置。输送装置可以包括可以设置连接器的第一和第二砧座结构。通过将第一砧座结构移动离开第二砧座结构，连接器可以扩展到孔内所需的构造（例如非圆形）。在一个示例中，连接器可以插入孔中以在将移植物导管附接到孔之前保持孔开放，从而允许医师检查孔和周围组织。

5. 发明申请

US20030195535A1 Medical grafting methods & apparatus 审中-公开
标题翻译：医用嫁接方法及装置
公开(公告)号：US20030195535A1
公开(公告)日：2003-10-16
申请号：US10411550
申请日：2003-04-09
申请人： St. Jude Medical ATG, Inc.
发明人： William J. Swanson , Jason A. Galdonik , Paul J. Hindrichs , Gregory A. Boldenow , Todd A. Berg , Rick Cornelius , Luis Bonilla
IPC分类号： A61B017/08
CPC分类号： A61B17/115 , A61B17/0644 , A61B17/11 , A61B46/17 , A61B2017/00557 , A61B2017/0641 , A61B2090/0801
摘要： Methods and apparatus for making an anastomotic connection between a first conduit and a second conduit. A connector structure having a first end portion and a second end portion is positioned about a balloon catheter, which when pressurized, expands to a significant extent at the distal end thereof. The balloon enlarges the connector structure when positioned at the distal end portion of the balloon to create the anastomosis, and at the same time reduces the axial length of the connector, thereby compressing the first conduit to the second conduit, creating a hemodynamic seal and a firm attachment of the two conduits. After enlargement, the connector structure remains in place and adds structure to the anastomosis. During introduction, the second end portion of the connector is covered by a nosecone assembly to prevent trauma to the second conduit while the apparatus is being introduced. The nosecone assembly has a flexible structure which may change configuration to expose the second set of members after insertion into the second conduit and to allow removal of the nosecone after deployment.
摘要翻译：用于在第一导管和第二导管之间进行吻合连接的方法和装置。具有第一端部部分和第二端部部分的连接器结构围绕球囊导管定位，当加压时，其在其远端处显着扩张。当定位在球囊的远端部分时，气囊扩大连接器结构以产生吻合，并且同时减小连接器的轴向长度，从而将第一导管压缩到第二导管，产生血流动力学密封和坚固的连接两个管道。放大后，连接器结构保持原位，并将结构添加到吻合中。在引入期间，连接器的第二端部被鼻锥组件覆盖，以在装置被引入时防止对第二导管的创伤。鼻锥组件具有柔性结构，其可以改变配置以在插入第二导管之后露出第二组构件，并且在展开之后允许去除鼻锥。

6. 发明申请

US20030083541A1 Medical grafting methods and apparatus 审中-公开
公开(公告)号：US20030083541A1
公开(公告)日：2003-05-01
申请号：US10309377
申请日：2002-12-02
申请人： St. Jude Medical ATG, Inc.
发明人： Daniel J. Sullivan , Thomas J. Bachinski , David S. Goldsteen
IPC分类号： A61F002/04
CPC分类号： A61F2/064 , A61B17/32056 , A61B2017/003 , A61B2017/2939 , A61B2090/306 , A61B2090/3614 , A61F2/90 , A61F2/95 , A61F2/958 , A61F2002/826 , A61M2025/0175 , A61M2025/0233 , Y10S623/903
摘要： Methods and apparatus for delivering and installing a new length of tubing between two sections of a patient's existing body organ tubing and at least partly outside of that existing structure. For example, the new length of tubing may be for the purpose of providing the patient with a coronary bypass. The new tubing may be an artificial graft, a natural graft (harvested elsewhere from the patient), or both. The new tubing is delivered to and installed at the operative site primarily by working through the patient's existing tubular body organ structure. This avoids the need for any significant surgery on the patient.

7. 发明授权

US07578829B2 Medical grafting methods and apparatus 失效
公开(公告)号：US07578829B2
公开(公告)日：2009-08-25
申请号：US10680036
申请日：2003-10-06
申请人： David S. Goldsteen , Thomas J. Bachinski , Rudy Mazzocchi , Daniel J. Sullivan
发明人： David S. Goldsteen , Thomas J. Bachinski , Rudy Mazzocchi , Daniel J. Sullivan
IPC分类号： A61B17/08
CPC分类号： A61B1/0058 , A61B17/0057 , A61B17/11 , A61B17/1114 , A61B17/221 , A61B17/32056 , A61B2017/003 , A61B2017/1107 , A61B2017/1135 , A61B2017/1139 , A61B2017/2212 , A61B2017/2939 , A61B2090/306 , A61B2090/3614 , A61F2/06 , A61F2/064 , A61F2/07 , A61F2/90 , A61F2/95 , A61F2/954 , A61F2/958 , A61F2002/061 , A61F2002/065 , A61F2002/3008 , A61F2002/30092 , A61F2002/826 , A61F2002/8486 , A61F2210/0014 , A61F2240/001 , A61F2250/0098 , A61M25/0041 , A61M25/0108 , A61M25/0133 , A61M25/0147 , A61M25/0152 , A61M25/04 , A61M25/09025 , A61M2025/0293 , A61M2025/1052 , Y10S623/903
摘要： Methods and apparatus for delivering and installing a new length of tubing between two sections of a patient's existing body organ tubing and at least partly outside of that existing structure. For example, the new length of tubing may be for the purpose of providing the patient with a coronary bypass. The new tubing may be an artificial graft, a natural graft (harvested elsewhere from the patient), or both. The new tubing is delivered to and installed at the operative site primarily by working through the patient's existing tubular body organ structure. This avoids the need for any significant surgery on the patient. The artificial grafts may have shapes other than tubular. Certain procedural and apparatus aspects of the invention have uses other than in connection with grafting in general or tubular grafting in particular.

8. 发明申请

US20080039882A1 Vessel cutting devices 有权
标题翻译：船舶切割装置
公开(公告)号：US20080039882A1
公开(公告)日：2008-02-14
申请号：US11901550
申请日：2007-09-17
申请人： Todd Berg , Christopher Prigge
发明人： Todd Berg , Christopher Prigge
IPC分类号： A61B17/32
CPC分类号： A61B17/11 , A61B17/32002 , A61B17/32053 , A61B2017/00243 , A61B2017/00252 , A61B2017/00557 , A61B2017/1107
摘要： A catheter-based system for accessing specific body cavities percutaneously and minimizing patient trauma is provided. In the preferred embodiment, in order to create an aperture at an access site in a patient's existing tubular body organ structure, a delivery sheath is passed axially along the interior of a portion of the existing tubular body organ structure to place a distal end of the delivery sheath near the access site. A centering wire is passed axially along the interior of the delivery sheath, piercing through from inside to outside of the patient's existing tubular body organ structure at the access site by causing an end portion of the centering wire to emerge from the distal end of the delivery sheath. A cutting catheter is passed substantially coaxially over the centering wire and axially along the interior of the delivery sheath. The aperture is formed by advancing a distal end of the cutting catheter through from inside to outside of the patient's existing tubular body organ structure at the access site and advancing the distal end of the delivery sheath through from inside to outside of the patient's existing tubular body organ structure at the access site.
摘要翻译：提供了一种基于导管的系统，用于经皮穿透特定体腔，并尽量减少患者的创伤。在优选实施例中，为了在患者现有的管状体器官结构中的进入位置处形成孔，输送护套沿着现有管状体器官结构的一部分的内部轴向通过，以将该远端输送护套靠近进入现场。定心线沿着输送鞘的内部轴向通过，通过使定心线的端部从输送的远端出来，在进入位置处穿过患者现有管状体器官结构的内部到外部鞘。切割导管基本同轴地通过定心线并且沿着输送鞘的内部轴向地通过。通过使切割导管的远端从进入位置处的患者现有的管状体器官结构的内部到外部前进并且将输送护套的远端从病人现有管状体的内部向外延伸而形成孔器官结构在访问现场。

9. 发明授权

US07094248B2 Medical grafting connectors and fasteners 失效
标题翻译：医疗接头连接器和紧固件
公开(公告)号：US07094248B2
公开(公告)日：2006-08-22
申请号：US10817120
申请日：2004-04-02
申请人： Thomas J Bachinski , David S Goldsteen , Daniel J Sullivan
发明人： Thomas J Bachinski , David S Goldsteen , Daniel J Sullivan
IPC分类号： A61B17/08
CPC分类号： A61F2/07 , A61B17/11 , A61B17/1114 , A61B2017/1107 , A61B2017/1132 , A61B2017/1135 , A61B2017/1139 , A61F2/06 , A61F2/064 , A61F2/848 , A61F2/88 , A61F2/90 , A61F2002/061 , A61F2002/065 , A61F2002/30092 , A61F2210/0014 , A61F2220/0016 , A61F2220/0075 , A61M2025/1052
摘要： A body tissue graft for use in a patient includes a frame structure made of a first elastic material, a covering of a second elastic material on the frame structure, the covering substantially filling openings in the frame structure, and a connector connected to the frame structure. Projections are secured to the connector structure. The projections facilitate attachment of the tubular graft in a patient by securing the graft to the body tissue with which the graft is employed. The connector selectively circumferentially expands, and the projections selectively circumferentially expand. This may be done using an inflatable balloon to circumferentially expand the projections. A restraining member may be provided to restrain the projections in a cone shape so that an end of the graft may be used to open an aperture through a side wall of existing body organ tubing, and a portion of the projections may enter the aperture.
摘要翻译：用于患者的身体组织移植物包括由第一弹性材料制成的框架结构，框架结构上的第二弹性材料的覆盖物，基本上填充框架结构中的开口的盖子和连接到框架结构的连接器。突起固定在连接器结构上。通过将移植物固定到使用移植物的身体组织上，所述突起便于将管状移植物附接到患者体内。连接器选择性地周向地膨胀，并且突起选择性地周向地膨胀。这可以使用可膨胀气囊来周向地扩展突起。可以设置限制构件以将突起限制为锥形，使得移植物的端部可以用于通过现有身体器官管的侧壁打开孔，并且一部分突起可以进入孔。

10. 发明申请

US20050240205A1 Medical grafting methods and apparatus 有权
标题翻译：医疗移植方法和装置
公开(公告)号：US20050240205A1
公开(公告)日：2005-10-27
申请号：US11169114
申请日：2005-06-27
申请人： Todd Berg , Daniel Sullivan , William Swanson , Paul Hindrichs
发明人： Todd Berg , Daniel Sullivan , William Swanson , Paul Hindrichs
IPC分类号： A61B17/064 , A61B17/08 , A61B17/11 , A61F2/06
CPC分类号： A61B17/064 , A61B17/11 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135 , A61B2017/1139 , A61F2/064
摘要： Methods and apparatus for delivering and installing a new length of tubing between two sections of a patient's existing body organ tubing and at least partly outside of that existing structure. For example, the new length of tubing may be for the purpose of providing the patient with a coronary bypass. The new tubing may be an artificial graft, a natural graft (harvested elsewhere from the patient), or both. The new tubing is installed at the operative site primarily by providing at least one graft location with instrumentation inserted through the patient's existing tubular body organ structure. Assistance in installing the new tubing may be provided by minimally invasive surgical access openings in the patient's chest. The tubing may be delivered through the patient's existing tubular body structure or, alternatively, through the surgical access openings.
摘要翻译：用于在患者现有身体器官管的两个部分之间并且至少部分地位于该现有结构之外递送和安装新长度的管的方法和装置。例如，新的管子长度可以用于为患者提供冠状动脉旁路。新的管道可以是人造移植物，天然移植物（从患者的其他地方收获）或两者。新的管道安装在手术部位，主要通过提供至少一个移植位置，通过患者现有的管状体器官结构插入仪器。可以通过患者胸部的微创手术进入口来提供安装新管道的帮助。管道可以通过患者现有的管状体结构输送，或者替代地通过外科进入口。

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