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    • 2. 发明授权
    • Devices and methods for performing avascular anastomosis
    • 用于进行无血管吻合的装置和方法
    • US07112211B2
    • 2006-09-26
    • US10339434
    • 2003-01-09
    • Hanson S. Gifford, IIILee R. BolducJeffrey A. SteinPaul C. DiCesarePeter F. CostaWilliam A. Holmes
    • Hanson S. Gifford, IIILee R. BolducJeffrey A. SteinPaul C. DiCesarePeter F. CostaWilliam A. Holmes
    • A61B17/11
    • 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合物。 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,外部凸缘接触目标血管的外表面。 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。
    • 5. 发明授权
    • Devices and methods for performing a vascular anastomosis
    • 用于进行血管吻合的装置和方法
    • US06171321B2
    • 2001-01-09
    • US09315365
    • 1999-05-18
    • Hanson S. Gifford, IIILee R. BolducJeffrey A. SteinPaul C. DiCesarePeter F. CostaWilliam A. Holmes
    • Hanson S. Gifford, IIILee R. BolducJeffrey A. SteinPaul C. DiCesarePeter F. CostaWilliam A. Holmes
    • A61B1711
    • 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.
    • 一种用于执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合物。 第一构造具有两部分:锚定构件,与靶血管壁形成附件和联接构件。 用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,外部凸缘接触目标血管的外表面。 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。
    • 9. 发明授权
    • Trocar
    • 套管针
    • US4654030A
    • 1987-03-31
    • US832742
    • 1986-02-24
    • Frederic H. MollAlex T. RothPeter F. CostaWilliam A. Holmes
    • Frederic H. MollAlex T. RothPeter F. CostaWilliam A. Holmes
    • A61B17/34A61B19/00A61M5/18
    • A61B17/3496A61B17/3474A61B2090/08021
    • A trocar assembly consisting of a trocar tube subassembly and a separable, interfitting trocar subassembly is described. The trocar tube assembly includes a hollow body having a first front opening in which a trocar tube is mounted, a second rear opening for receiving the trocar subassembly, and a manually pivotable flap valve mechanism mounted within the body. The trocar subassembly includes a head having a central bore in which are mounted the (1) rear ends of an elongated obturator having a pyramidal-shaped piercing head with a triangular-shaped base, and a concentric tubular shield having a triangular shaped front opening for the piercing head that is formed by bevels in its leading edge that have approximately the same slope as the surfaces that define the three sides of the piercing head, and (2) a coil spring backing the shield for biasing the shield between retracted and extended positions. When the two subassemblies are fit together, the obturator and concentric shield extend through the hollow body with the front wall of the head fitting within a recess in the rear wall of the hollow body such that the trocar assembly cannot be rotated without disengaging the two subassemblies. The shield has a slot in its outer wall that is engaged by the flap valve to lock the shield in its extended position. The shield may be unlocked by pivoting the flap valve out of the slot, sliding the trocar assembly rearwardly so that the front wall of the head is clear of the recess in the rear wall of the hollow body, rotating the trocar subassembly to a position in which the flap valve and slot are not aligned and sliding the front wall of the trocar assembly back into the recess in the rear wall of the hollow body.
    • 描述了一种套管针组件,其由套管针管子组件和可分离的配合套管针组件组成。 套管针管组件包括具有第一前开口的套管针组件,其中安装有套管针管,用于容纳套管针组件的第二后开口,以及安装在主体内的可手动枢转的瓣阀机构。 套管针组件包括具有中心孔的头部,其中安装有(1)细长闭塞器的后端,其具有三角形基部的金字塔状刺穿头部,以及具有三角形前开口的同心管状护罩, 穿刺头由其前缘中的斜面形成,其具有与限定穿刺头的三个侧面的表面大致相同的倾斜度,以及(2)螺旋弹簧,用于将护罩偏压在缩回位置和伸出位置之间 。 当两个子组件装配在一起时,闭塞器和同心屏蔽件延伸穿过中空本体,头部的前壁装配在中空本体的后壁中的凹部内,使得套管针组件不能在不分离两个子组件的情况下旋转 。 屏蔽件在其外壁上具有狭槽,其通过瓣阀接合以将屏蔽件锁定在其延伸位置。 可以通过将瓣阀枢转离开槽来解除屏蔽,使套管针组件向后滑动,使得头部的前壁远离中空体的后壁中的凹部,将套管针组件旋转到 其中瓣阀和狭槽未对准并且将套管针组件的前壁滑回到中空体的后壁中的凹部中。
    • 10. 发明授权
    • Device for engaging tissue having a preexisting opening
    • 用于接合具有预先存在的开口的组织的装置
    • US08617190B2
    • 2013-12-31
    • US13073119
    • 2011-03-28
    • Hanson S. Gifford, IIILee R. BolducJeffrey A. SteinPaul C. DiCesarePeter F. CostaWilliam A. Holmes
    • Hanson S. Gifford, IIILee R. BolducJeffrey A. SteinPaul C. DiCesarePeter F. CostaWilliam A. Holmes
    • A61B17/11
    • 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.
    • 一种用于执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合物。 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,外部凸缘接触目标血管的外表面。 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。