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1. 发明授权

US07445594B1 Method and apparatus for temporarily immobilizing a local area of tissue 有权
标题翻译：临时固定组织局部区域的方法和装置
公开(公告)号：US07445594B1
公开(公告)日：2008-11-04
申请号：US09678203
申请日：2000-10-02
申请人： Cornelius Borst , Hendricus J. Mansvelt Beck , Paul F. Grundeman , Cornelis Wilhelmus Jozef Verlaan
发明人： Cornelius Borst , Hendricus J. Mansvelt Beck , Paul F. Grundeman , Cornelis Wilhelmus Jozef Verlaan
IPC分类号： A61F2/00 , A61F13/00 , A61B19/00
CPC分类号： A61B17/02 , A61B17/0206 , A61B90/50 , A61B2017/00243 , A61B2017/00398 , A61B2017/00703 , A61B2017/0243 , A61B2017/306
摘要： A method and apparatus for temporarily immobilizing a local area of tissue. In particular, the present invention provides a method and apparatus for temporarily immobilizing a local area of tissue within a patient's body cavity. In one embodiment, the tissue immobilized is heart tissue to thereby permit surgery on a coronary vessel in that area without significant deterioration of the pumping function of the beating heart. The local area of heart tissue is immobilized to a degree sufficient to permit minimally invasive or micro-surgery on that area of the heart. The apparatus for temporarily immobilizing a local area of tissue includes a first tissue engaging member and a second tissue engaging member coupled to a spreader. The spreader is operated by an actuator to selectively control the movement of the first tissue engager and the second tissue engager. The method for temporarily immobilizing a local area of tissue includes controlling the spreading of the first tissue engaging member and the second tissue engaging member so a selective amount of spreading occurs.
摘要翻译：一种临时固定组织局部区域的方法和装置。特别地，本发明提供了一种临时固定患者体腔内的组织局部区域的方法和装置。在一个实施方案中，固定的组织是心脏组织，从而允许在该区域的冠状血管上进行手术，而不会显着降低跳动心脏的泵送功能。心脏组织的局部区域被固定到足以允许在该区域的微创或微手术的程度。用于临时固定组织局部区域的装置包括第一组织接合构件和联接到扩展器的第二组织接合构件。扩张器由致动器操作以选择性地控制第一组织接合器和第二组织接合器的运动。用于临时固定组织局部区域的方法包括控制第一组织接合构件和第二组织接合构件的扩展，从而发生选择性的扩展。

2. 发明授权

US06464630B1 Method and apparatus for temporarily immobilizing a local area of tissue 有权
公开(公告)号：US06464630B1
公开(公告)日：2002-10-15
申请号：US09493629
申请日：2000-01-28
申请人： Cornelius Borst , Hendricus J. Mansvelt Beck , Paul F. Gründeman , Erik W. L. Jansen
发明人： Cornelius Borst , Hendricus J. Mansvelt Beck , Paul F. Gründeman , Erik W. L. Jansen
IPC分类号： A61F1300
CPC分类号： A61B17/02 , A61B17/0206 , A61B90/50 , A61B2017/00243 , A61B2017/00703 , A61B2017/0243 , A61B2017/306 , A61B2018/00291
摘要： A method and apparatus for temporarily immobilizing a local area of tissue. In particular, the present invention provides a method and apparatus for temporarily immobilizing a local area of heart tissue to thereby permit surgery on a coronary vessel in that area without significant deterioration of the pumping function of the beating heart. The local area of heart tissue is immobilized to a degree sufficient to permit minimally invasive or micro-surgery on that area of the heart. The present invention features a suction device to accomplish the immobilization. The suction device is coupled to a source of negative pressure. The suction device has a series of suction ports on one surface. Suction through the device causes suction to be maintained at the ports. The device further is shaped to conform to the surface of the heart. Thus, when the device is placed on the surface of the heart and suction is created, the suction through the ports engages the surface of the heart. The suction device is further fixed or immobilized to a stationary object, such as an operating table or a sternal or rib retractor. Thus, the local area of the heart near the suction device is temporarily fixed or immobilized relative to the stationary object while suction is maintained. In such a fashion, the coronary artery may be immobilized even though the heart itself is still beating so that a bypass graft may be performed. In addition the suction device may be used in either a conventional, open-chest environment or in a minimally-invasive environment, e.g. endoscopic.

3. 发明授权

US07201716B2 Method and apparatus for temporarily immobilizing a local area of tissue 有权
公开(公告)号：US07201716B2
公开(公告)日：2007-04-10
申请号：US10781378
申请日：2004-02-18
申请人： Eric Boone , Jack Goodman , John D. Hall , Vincent J. Testa , Eric Vroegop , William G. O'Neill , Cornelius Borst , Hendricus J. Mansvelt-Beck , Paul F. Grundeman
发明人： Eric Boone , Jack Goodman , John D. Hall , Vincent J. Testa , Eric Vroegop , William G. O'Neill , Cornelius Borst , Hendricus J. Mansvelt-Beck , Paul F. Grundeman
IPC分类号： A61F13/00 , A61F2/00
CPC分类号： A61B17/02 , A61B17/0218 , A61B2017/00314 , A61B2017/0243 , A61B2017/2904 , A61B2017/2905 , A61B2017/306
摘要： The invention is a method and apparatus for performing beating heart surgery, in which a single articulating arm supports multiple suction pods. Once the suction pods are applied to the heart surface, tightening a cable fixes the arm in place. Then, the suction pods may be spread apart from each other to tighten the surface of the cardiac tissue lying between the suction pods. In one embodiment, fixation of the arm as well as the spreading apart of the suction pods may occur concurrently or almost concurrently through the tensioning of a single cable. Additional embodiments of the method, system and its components are shown.

4. 发明授权

US06755780B2 Method and apparatus for temporarily immobilizing a local area of tissue 失效
标题翻译：临时固定组织局部区域的方法和装置
公开(公告)号：US06755780B2
公开(公告)日：2004-06-29
申请号：US10137111
申请日：2002-04-30
申请人： Cornelius Borst , Hendricus J. Mansvelt Beck , Paul F. Gr{overscore (u)}ndeman , Erik W. L. Jansen
发明人： Cornelius Borst , Hendricus J. Mansvelt Beck , Paul F. Gr{overscore (u)}ndeman , Erik W. L. Jansen
IPC分类号： A61F1300
CPC分类号： A61B17/02 , A61B17/0206 , A61B90/50 , A61B2017/00243 , A61B2017/00703 , A61B2017/0243 , A61B2017/306 , A61B2018/00291
摘要： A method and apparatus for temporarily immobilizing a local area of tissue. In particular, the present invention provides a method and apparatus for temporarily immobilizing a local area of heart tissue to thereby permit surgery on a coronary vessel in that area without significant deterioration of the pumping function of the beating heart. The local area of heart tissue is immobilized to a degree sufficient to permit minimally invasive or micro-surgery on that area of the heart. The present invention features a suction device to accomplish the immobilization. The suction device is coupled to a source of negative pressure. The suction device has a series of suction ports on one surface. Suction through the device causes suction to be maintained at the ports. The device further is shaped to conform to the surface of the heart. Thus, when the device is placed on the surface of the heart and suction is created, the suction through the ports engages the surface of the heart. The suction device is further fixed or immobilized to a stationary object, such as an operating table or a sternal or rib retractor. Thus, the local area of the heart near the suction device is temporarily fixed or immobilized relative to the stationary object while suction is maintained. In such a fashion, the coronary artery may be immobilized even though the heart itself is still beating so that a bypass graft may be performed. In addition the suction device may be used in either a conventional, open-chest environment or in a minimally-invasive environment, e.g. endoscopic.
摘要翻译：一种临时固定组织局部区域的方法和装置。特别地，本发明提供一种用于临时固定心脏组织的局部区域的方法和装置，从而允许在该区域的冠状血管上进行手术，而不会显着降低跳动心脏的泵送功能。心脏组织的局部区域被固定到足以允许在该区域的微创或微手术的程度。本发明的特征在于一种用于实现固定的抽吸装置。抽吸装置耦合到负压源。抽吸装置在一个表面上具有一系列吸入口。通过设备的吸入会导致在端口处保持吸力。该装置进一步被成形为符合心脏的表面。因此，当将装置放置在心脏的表面上并产生抽吸时，通过这些端口的吸力与心脏的表面接合。抽吸装置进一步固定或固定到诸如操作台或胸骨或肋骨卷收器的静止物体上。因此，吸引装置附近的心脏的局部区域相对于静止物体暂时固定或固定，同时保持抽吸。以这种方式，即使心脏本身仍在跳动，也可以固定冠状动脉，从而可以执行旁路移植物。此外，抽吸装置可以用于常规的，开放胸部的环境中或在微创环境中使用。内窥镜

5. 发明授权

US07611455B2 Method and apparatus for temporarily immobilizing a local area of tissue 失效
公开(公告)号：US07611455B2
公开(公告)日：2009-11-03
申请号：US11249530
申请日：2005-10-13
申请人： Cornelius Borst , Hendricus J. Mansvelt Beck , Paul F. Grundeman , Erik W. L. Jansen
发明人： Cornelius Borst , Hendricus J. Mansvelt Beck , Paul F. Grundeman , Erik W. L. Jansen
IPC分类号： A61F2/00
CPC分类号： A61B17/02 , A61B17/0206 , A61B90/50 , A61B2017/00243 , A61B2017/00703 , A61B2017/0243 , A61B2017/306 , A61B2018/00291
摘要： A method and apparatus for temporarily immobilizing a local area of tissue. In particular, the present invention provides a method and apparatus for temporarily immobilizing a local area of heart tissue to thereby permit surgery on a coronary vessel in that area without significant deterioration of the pumping function of the beating heart. The local area of heart tissue is immobilized to a degree sufficient to permit minimally invasive or micro-surgery on that area of the heart. The present invention features a suction device to accomplish the immobilization. The suction device is coupled to a source of negative pressure. The suction device has a series of suction ports on one surface. Suction through the device causes suction to be maintained at the ports. The device further is shaped to conform to the surface of the heart. Thus, when the device is placed on the surface of the heart and suction is created, the suction through the ports engages the surface of the heart. The suction device is further fixed or immobilized to a stationary object, such as an operating table or a sternal or rib retractor. Thus, the local area of the heart near the suction device is temporarily fixed or immobilized relative to the stationary object while suction is maintained. In such a fashion, the coronary artery may be immobilized even though the heart itself is still beating so that a bypass graft may be performed. In addition the suction device may be used in either a conventional, open-chest environment or in a minimally-invasive environment, e.g. endoscopic.

6. 发明授权

US06464629B1 Method and apparatus for temporarily immobilizing a local area of tissue 有权
标题翻译：临时固定组织局部区域的方法和装置
公开(公告)号：US06464629B1
公开(公告)日：2002-10-15
申请号：US09396047
申请日：1999-09-15
申请人： Eric Boone , Jack Goodman , John D. Hall , William G. O'Neill , Vincent J. Testa , Eric Vroegop , Cornelius Borst , Hendricus J. Mansvelt-Beck , Paul F. Gründeman
发明人： Eric Boone , Jack Goodman , John D. Hall , William G. O'Neill , Vincent J. Testa , Eric Vroegop , Cornelius Borst , Hendricus J. Mansvelt-Beck , Paul F. Gründeman
IPC分类号： A61F200
CPC分类号： A61B17/02 , A61B17/0218 , A61B2017/00314 , A61B2017/0243 , A61B2017/2904 , A61B2017/2905 , A61B2017/306
摘要： The invention is a method and apparatus for performing beating heart surgery, in which a single articulating arm supports multiple suction pods. Once the suction pods are applied to the heart surface, tightening a cable fixes the arm in place. Then, the suction pods may be spread apart from each other to tighten the surface of the cardiac tissue lying between the suction pods. In one embodiment, fixation of the arm as well as the spreading apart of the suction pods may occur concurrently or almost concurrently through the tensioning of a single cable. Additional embodiments of the method, system and its components are shown.
摘要翻译：本发明是一种用于进行心跳手术的方法和装置，其中单个关节臂支撑多个抽吸荚。一旦吸入荚被施加到心脏表面上，紧固电缆将臂固定到位。然后，抽吸荚可以彼此分开，以紧固位于抽吸荚之间的心脏组织的表面。在一个实施例中，臂的固定以及吸入舱的扩展分开可以通过单个电缆的张紧同时或几乎同时地发生。示出了该方法，系统及其部件的附加实施例。

7. 发明授权

US06364826B1 Method and apparatus for temporarily immobilizing a local area of tissue 有权
公开(公告)号：US06364826B1
公开(公告)日：2002-04-02
申请号：US09334531
申请日：1999-06-16
申请人： Cornelius Borst , Hendricus J. Mansvelt Beck , Paul F. Gründeman , Erik W. L. Jansen
发明人： Cornelius Borst , Hendricus J. Mansvelt Beck , Paul F. Gründeman , Erik W. L. Jansen
IPC分类号： A61B101
CPC分类号： A61B17/02 , A61B17/0206 , A61B90/50 , A61B2017/00243 , A61B2017/00703 , A61B2017/0243 , A61B2017/306 , A61B2018/00291
摘要： A method and apparatus for temporarily immobilizing a local area of tissue. In particular, the present invention provides a method and apparatus for temporarily immobilizing a local area of heart tissue to thereby permit surgery on a coronary vessel in that area without significant deterioration of the pumping function of the beating heart. The local area of heart tissue is immobilized to a degree sufficient to permit minimally invasive or micro-surgery on that area of the heart. The present invention features a suction device to accomplish the immobilization. The suction device is coupled to a source of negative pressure. The suction device has a series of suction ports on one surface. Suction through the device causes suction to be maintained at the ports. The device further is shaped to conform to the surface of the heart. Thus, when the device is placed on the surface of the heart and suction is created, the suction through the ports engages the surface of the heart. The suction device is further fixed or immobilized to a stationary object, such as an operating table or a sternal or rib retractor. Thus, the local area of the heart near the suction device is temporarily fixed or immobilized relative to the stationary object while suction is maintained. In such a fashion, the coronary artery may be immobilized even though the heart itself is still beating so that a bypass graft may be performed. In addition the suction device may be used in either a conventional, open-chest environment or in a minimally-invasive environment, e.g. endoscopic.

8. 发明授权

US07189201B2 Method and apparatus for temporarily immobilizing a local area of tissue 有权
标题翻译：临时固定组织局部区域的方法和装置
公开(公告)号：US07189201B2
公开(公告)日：2007-03-13
申请号：US10137159
申请日：2002-04-30
申请人： Cornelius Borst , Hendricus J. Mansvelt Beck , Paul F. Grundeman , Cornelis Wilhelmus Jozef Verlaan
发明人： Cornelius Borst , Hendricus J. Mansvelt Beck , Paul F. Grundeman , Cornelis Wilhelmus Jozef Verlaan
IPC分类号： A61F2/00 , A61F13/00 , A47J45/00 , A61B19/00
CPC分类号： A61B17/02 , A61B17/0206 , A61B90/50 , A61B2017/00243 , A61B2017/00398 , A61B2017/00703 , A61B2017/0243 , A61B2017/306
摘要： A method and apparatus for temporarily immobilizing a local area of tissue. In particular, the present invention provides a method and apparatus for temporarily immobilizing a local area of tissue within a patient's body cavity. In one embodiment, the tissue immobilized is heart tissue to thereby permit surgery on a coronary vessel in that area without significant deterioration of the pumping function of the beating heart. The local area of heart tissue is immobilized to a degree sufficient to permit minimally invasive or micro-surgery on that area of the heart. The apparatus for temporarily immobilizing a local area of tissue includes a first tissue engaging member and a second tissue engaging member coupled to a spreader The spreader is operated by an actuator to selectively control the movement of the first tissue engager and the second tissue engager The method for temporarily immobilizing a local area of tissue includes controlling the spreading of the first tissue engaging member and the second tissue engaging member so a selective amount of spreading occurs.
摘要翻译：一种临时固定组织局部区域的方法和装置。特别地，本发明提供了一种临时固定患者体腔内的组织局部区域的方法和装置。在一个实施方案中，固定的组织是心脏组织，从而允许在该区域的冠状动脉血管上进行手术，而不会显着降低跳动心脏的泵送功能。心脏组织的局部区域被固定到足以允许在该区域的微创或微手术的程度。用于临时固定组织局部区域的装置包括第一组织接合构件和联接到扩展器的第二组织接合构件。扩张器由致动器操作以选择性地控制第一组织接合器和第二组织接合器的移动。该方法为了临时固定组织的局部区域，包括控制第一组织接合构件和第二组织接合构件的扩展，从而发生选择性的扩展。

9. 发明授权

US07048683B2 Method and apparatus for temporarily immobilizing a local area of tissue 有权
公开(公告)号：US07048683B2
公开(公告)日：2006-05-23
申请号：US10136713
申请日：2002-04-30
申请人： Cornelius Borst , Hendricus J. Mansvelt Beck , Paul F. Grundeman , Erik W. L. Jansen
发明人： Cornelius Borst , Hendricus J. Mansvelt Beck , Paul F. Grundeman , Erik W. L. Jansen
IPC分类号： A61F13/00
CPC分类号： A61B17/02 , A61B17/0206 , A61B90/50 , A61B2017/00243 , A61B2017/00703 , A61B2017/0243 , A61B2017/306 , A61B2018/00291
摘要： A method and apparatus for temporarily immobilizing a local area of tissue. In particular, the present invention provides a method and apparatus for temporarily immobilizing a local area of heart tissue to thereby permit surgery on a coronary vessel in that area without significant deterioration of the pumping function of the beating heart. The local area of heart tissue is immobilized to a degree sufficient to permit minimally invasive or micro-surgery on that area of the heart. The present invention features a suction device to accomplish the immobilization. The suction device is coupled to a source of negative pressure. The suction device has a series of suction ports on one surface. Suction through the device causes suction to be maintained at the ports. The device further is shaped to conform to the surface of the heart. Thus, when the device is placed on the surface of the heart and suction is created, the suction through the ports engages the surface of the heart. The suction device is further fixed or immobilized to a stationary object, such as an operating table or a sternal or rib retractor. Thus, the local area of the heart near the suction device is temporarily fixed or immobilized relative to the stationary object while suction is maintained. In such a fashion, the coronary artery may be immobilized even though the heart itself is still beating so that a bypass graft may be performed. In addition the suction device may be used in either a conventional, open-chest environment or in a minimally-invasive environment, e.g. endoscopic.

10. 发明授权

US06740028B2 Method and apparatus for temporarily immobilizing a local area of tissue 有权
标题翻译：临时固定组织局部区域的方法和装置
公开(公告)号：US06740028B2
公开(公告)日：2004-05-25
申请号：US10099177
申请日：2002-03-13
申请人： Eric Boone , Jack Goodman , John D. Hall , Vincent J. Testa , Eric Vroegop , William G. O'Neill , Cornelius Borst , Hendricus J. Mansvelt-Beck , Paul F. Gründeman
发明人： Eric Boone , Jack Goodman , John D. Hall , Vincent J. Testa , Eric Vroegop , William G. O'Neill , Cornelius Borst , Hendricus J. Mansvelt-Beck , Paul F. Gründeman
IPC分类号： A61F200
CPC分类号： A61B17/02 , A61B17/0218 , A61B2017/00314 , A61B2017/0243 , A61B2017/2904 , A61B2017/2905 , A61B2017/306
摘要： The invention is a method and apparatus for performing beating heart surgery, in which a single articulating arm supports multiple suction pods. Once the suction pods are applied to the heart surface, tightening a cable fixes the arm in place. Then, the suction pods may be spread apart from each other to tighten the surface of the cardiac tissue lying between the suction pods. In one embodiment, fixation of the arm as well as the spreading apart of the suction pods may occur concurrently or almost concurrently through the tensioning of a single cable. Additional embodiments of the method, system and its components are shown.
摘要翻译：本发明是一种用于进行心跳手术的方法和装置，其中单个关节臂支撑多个抽吸荚。一旦吸入荚被施加到心脏表面上，紧固电缆将臂固定到位。然后，抽吸荚可以彼此分开，以紧固位于抽吸荚之间的心脏组织的表面。在一个实施例中，臂的固定以及吸入舱的扩展分开可以通过单个电缆的张紧同时或几乎同时地发生。示出了该方法，系统及其部件的附加实施例。

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