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1. 发明授权

US5944730A Device and method for assisting end-to-side anastomosis 失效
标题翻译：用于协助端对侧吻合的装置和方法
公开(公告)号：US5944730A
公开(公告)日：1999-08-31
申请号：US36125
申请日：1998-03-06
申请人： Anthony A. Nobles , Naoum A. Baladi
发明人： Anthony A. Nobles , Naoum A. Baladi
IPC分类号： A61B17/00 , A61B17/02 , A61B17/11 , A61B17/08
CPC分类号： A61B17/11 , A61B2017/00243 , A61B2017/0243 , A61B2017/1107 , A61B2017/1135
摘要： The present invention provides a device and method for creating a seal around the inner wall of an incision in a blood vessel. The device is particularly adapted to create an anastomosis site for coronary artery bypass grafts to a patient's aorta without obstructing the flow of blood in the aorta. The device comprises an extruded tube with a translatable shaft positioned therein. One end of the shaft is coupled to a handle of the device which allows a practitioner to advance and withdraw the shaft relative to the tube. The other end of the shaft is connected to a flexible inverting member which is attached to the distal end of the tube. By manipulating the handle, the practitioner can remotely deform the inverting member between two configurations: an elongated, narrow configuration in which the inverting member is adapted to be inserted through a small incision, and an inverted configuration in which the inverting member forms an expanded, inward-facing cup. In operation, the medical practitioner inserts the inverting member into the blood vessel through an incision while the inverting member is maintained in its elongated, narrow configuration, and then manipulates the handle to cause the inverting member to assume its inverted configuration. A seal is then formed by applying a proximal force to the device to cause a rim of the cup to form a seal against an inner wall of the blood vessel. This prevents blood from flowing out of the incision and creates a working area for performing an end-to-side anastomosis. The working area is formed without interrupting the flow of blood through the vessel. The device preferably includes a hole punch device slidably mounted to the tube for allowing the practitioner to create an anastomosis hole once the seal has been formed.
摘要翻译：本发明提供一种用于在血管内的切口的内壁周围产生密封的装置和方法。该装置特别适于创建用于冠状动脉旁路移植物到患者主动脉的吻合部位，而不阻塞主动脉中的血液流动。该装置包括其中定位有可平移轴的挤压管。轴的一端连接到装置的手柄上，该手柄允许从业者相对于管推进和撤回轴。轴的另一端连接到柔性反转构件，该柔性翻转构件附接到管的远端。通过操纵手柄，从业者可以在两种构型之间使反转构件远程变形：细长的窄结构，其中翻转构件适于通过小切口插入，以及倒置构造，其中翻转构件形成扩展的，向内的杯子在操作中，医生通过切口将反转构件插入血管，同时反转构件保持在其细长的狭窄构造中，然后操纵手柄以使翻转构件呈现其倒置构型。然后通过向装置施加近端力使杯的边缘与血管的内壁形成密封来形成密封。这样可以防止血液从切口流出，并创建一个进行端对侧吻合的工作区域。形成工作区域，而不会中断通过血管的血液流动。该装置优选地包括可滑动地安装到管的孔冲孔装置，以便一旦形成密封就允许从业者创建吻合孔。

2. 发明授权

US06409739B1 Device and method for assisting end-to side anastomosis 失效
标题翻译：用于协助端对侧吻合的装置和方法
公开(公告)号：US06409739B1
公开(公告)日：2002-06-25
申请号：US09071462
申请日：1998-05-01
申请人： Anthony A. Nobles , Naoum A. Baladi
发明人： Anthony A. Nobles , Naoum A. Baladi
IPC分类号： A61B1708
CPC分类号： A61B17/11 , A61B2017/00243 , A61B2017/0243 , A61B2017/1107 , A61B2017/1135
摘要： The present invention provides a device and method for creating a seal around the inner wall of an incision in a blood vessel. The device is particularly adapted to create an anastomosis site for coronary artery bypass grafts to a patient's aorta without obstructing the flow of blood in the aorta. The device comprises an extruded tube with a translatable shaft positioned therein. One end of the shaft is coupled to a handle of the device which allows a practitioner to advance and withdraw the shaft relative to the tube or, in an alternative embodiment, to advance and withdraw the tube relative to the shaft. The other end of the shaft is connected to a flexible inverting member which is attached to the distal end of the tube. By manipulating the handle, the practitioner can remotely deform the inverting member between two configurations: an elongated, narrow configuration in which the inverting member is adapted to be inserted through a small incision, and an inverted configuration in which the inverting member forms an expanded, inward-facing cup. In operation, the medical practitioner inserts the inverting member into the blood vessel through an incision while the inverting member is maintained in its elongated, narrow configuration, and then manipulates the handle to cause the inverting member to assume its inverted configuration. A seal is then formed by applying a proximal force to the device to cause a rim of the cup to form a seal against an inner wall of the blood vessel. This prevents blood from flowing out of the incision and creates a working area for performing an end-to-side anastomosis. The working area is formed without interrupting the flow of blood through the vessel. The device preferably includes a hole punch device slidably mounted to the tube for allowing the practitioner to create an anastomosis hole once the seal has been formed.
摘要翻译：本发明提供一种用于在血管内的切口的内壁周围产生密封的装置和方法。该装置特别适于创建用于冠状动脉旁路移植物到患者主动脉的吻合部位，而不阻塞主动脉中的血液流动。该装置包括其中定位有可平移轴的挤压管。轴的一端联接到装置的手柄，其允许从业者相对于管推进和撤回轴，或者在替代实施例中，相对于轴推进和撤回管。轴的另一端连接到柔性反转构件，该柔性翻转构件附接到管的远端。通过操纵手柄，从业者可以在两种构型之间使反转构件远程变形：细长的窄结构，其中翻转构件适于通过小切口插入，以及倒置构造，其中翻转构件形成扩展的，向内的杯子在操作中，医生通过切口将反转构件插入血管，同时反转构件保持在其细长的狭窄构造中，然后操纵手柄以使翻转构件呈现其倒置构型。然后通过向装置施加近端力使杯的边缘与血管的内壁形成密封来形成密封。这样可以防止血液从切口流出，并创建一个进行端对侧吻合的工作区域。形成工作区域，而不会中断通过血管的血液流动。该装置优选地包括可滑动地安装到管的孔冲孔装置，以便一旦形成密封就允许从业者创建吻合孔。

3. 发明授权

US06171319B2 Anastomosis device with hole punch 有权
标题翻译：吻合装置带孔冲孔
公开(公告)号：US06171319B2
公开(公告)日：2001-01-09
申请号：US09300187
申请日：1999-04-27
申请人： Anthony A. Nobles , Naoum A. Baladi
发明人： Anthony A. Nobles , Naoum A. Baladi
IPC分类号： A61B1708
CPC分类号： A61B17/11 , A61B2017/00243 , A61B2017/0243 , A61B2017/1107 , A61B2017/1135
摘要： The present invention provides a device and method for creating a seal around the inner wall of an incision in a blood vessel. The device is particularly adapted to create an anastomosis site for coronary artery bypass grafts to a patient's aorta without obstructing the flow of blood in the aorta. The device comprises an extruded tube with a translatable shaft positioned therein. One end of the shaft is coupled to a handle of the device which allows a practitioner to advance and withdraw the shaft relative to the tube. The other end of the shaft is connected to a flexible inverting member which is attached to the distal end of the tube. By manipulating the handle, the practitioner can remotely deform the inverting member between two configurations: an elongated, narrow configuration in which the inverting member is adapted to be inserted through a small incision, and an inverted configuration in which the inverting member forms an expanded, inward-facing cup. In operation, the medical practitioner inserts the inverting member into the blood vessel through an incision while the inverting member is maintained in its elongated, narrow configuration, and then manipulates the handle to cause the inverting member to assume its inverted configuration. A seal is then formed by applying a proximal force to the device to cause a rim of the cup to form a seal against an inner wall of the blood vessel. This prevents blood from flowing out of the incision and creates a working area for performing an end-to-side anastomosis. The working area is formed without interrupting the flow of blood through the vessel. The device preferably includes a hole punch device slidably mounted to the tube for allowing the practitioner to create an anastomosis hole once the seal has been formed.
摘要翻译：本发明提供一种用于在血管内的切口的内壁周围产生密封的装置和方法。该装置特别适于创建用于冠状动脉旁路移植物到患者主动脉的吻合部位，而不阻塞主动脉中的血液流动。该装置包括其中定位有可平移轴的挤压管。轴的一端连接到装置的手柄上，该手柄允许从业者相对于管推进和撤回轴。轴的另一端连接到柔性反转构件，该柔性翻转构件附接到管的远端。通过操纵手柄，从业者可以在两种构型之间使反转构件远程变形：细长的窄结构，其中翻转构件适于通过小切口插入，以及倒置构造，其中翻转构件形成扩展的，向内的杯子在操作中，医生通过切口将反转构件插入血管，同时反转构件保持在其细长的狭窄构造中，然后操纵手柄以使翻转构件呈现其倒置构型。然后通过向装置施加近端力使杯的边缘与血管的内壁形成密封来形成密封。这样可以防止血液从切口流出，并创建一个进行端对侧吻合的工作区域。形成工作区域，而不会中断通过血管的血液流动。该装置优选地包括可滑动地安装到管的孔冲孔装置，以便一旦形成密封就允许从业者创建吻合孔。

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