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    • 6. 发明授权
    • Heart stabilizer with controllable stay suture and cutting element
    • 心肌稳定器具有可控制的缝合和切割元件
    • US6015427A
    • 2000-01-18
    • US882774
    • 1997-07-07
    • Richard L. MuellerSteve A. DanielStuart D. Harman
    • Richard L. MuellerSteve A. DanielStuart D. Harman
    • A61B17/02A61B17/04A61B17/122A61B17/00
    • A61B17/02A61B17/0466A61B17/0487A61B17/1227A61B2017/0243A61B2017/0454A61B2017/0464A61B2017/0496
    • A heart stabilizer and suture control device for stabilizing the heart and for occluding a preselected portion of coronary artery by developing a downward force on the heart and simultaneously developing an upward force across a coronary artery in a predetermined position. The device has at least two stabilization pads, the stabilization pads each having an operative size and shape, and each having a first end and a second end and a lower contacting surface. The second ends have suture retaining grooves, and the stabilization pad has a suture locking means for securing the distal end of a suture means thereto. The device also comprises a linking member locking the two stabilization pads an operative distance apart. The device has suture means with a proximal end coupled to the linking member and extending from the first end to the suture retaining groove of the second end, the suture means having a distal end which can be locked to the stabilization pad with the suture locking means thereon. The device also has means for rotating the linking member such that when operatively positioned adjacent a coronary artery to be occluded with the suture threaded between the coronary artery and the remaining portion of the heart muscle, rotating the linking member will cause the proximal end of the suture means to be wound onto the linking member and thus tighten the suture between the first end and the second end of each stabilization pad and urge the coronary artery against the contacting surface, thereby causing occlusion of the coronary artery as desired.
    • 一种心脏稳定器和缝合线控制装置,用于通过在心脏上产生向下的力同时在预定位置上跨越冠状动脉形成向上的力来稳定心脏并阻塞冠状动脉的预选部分。 该装置具有至少两个稳定垫,稳定垫各自具有可操作的尺寸和形状,并且每个具有第一端和第二端和下接触表面。 第二端具有缝合线保持槽,并且稳定垫具有用于将缝线装置的远端固定到其上的缝合线锁定装置。 该装置还包括连接构件,其将两个稳定垫片间隔开操作距离。 该装置具有缝合装置,其近端联接到连接构件并且从第一端的第一端延伸到缝合线保持槽,缝合线装置具有远端,该远端可利用缝合线锁定装置锁定到稳定垫 上。 该装置还具有用于旋转连接构件的装置,使得当可操作地定位成邻近冠状动脉以被缝合在冠状动脉与心脏肌肉的剩余部分之间的缝合线时,旋转连接构件将导致连接构件的近端 缝合装置被缠绕到连接构件上,从而在每个稳定垫的第一端和第二端之间紧固缝合线,并且迫使冠状动脉抵靠接触表面,从而根据需要引起冠状动脉闭塞。
    • 7. 发明授权
    • Combined mechanical/optical system for transmyocardial revascularization
    • 用于经心肌血运重建的组合机械/光学系统
    • US5713894A
    • 1998-02-03
    • US607782
    • 1996-02-27
    • Douglas Murphy-ChutorianStuart D. Harman
    • Douglas Murphy-ChutorianStuart D. Harman
    • A61B18/20A61B17/00A61B18/24A61N5/06
    • A61B18/245A61B2017/00247A61B2018/00392
    • The method for combined mechanical/laser myocardial revascularization of a human heart includes: inserting a mechanical piercing device and an elongated flexible lasing apparatus into the chest cavity of a patient; mechanically piercing, micro-tearing or spreading the epicardium of the heart; and then lasing from beneath the epicardium through the myocardium. The apparatus is guided to an area exterior to a ventricle of the patient's heart, and the distal end of the optical fiber apparatus is placed internal to the exterior wall of the heart through an opening which has been created by mechanically piercing, micro-tearing or spreading the epicardium, so that the myocardium and not the epicardium is irradiated with laser energy to allow passage of said optical fiber distal end or said laser energy into the left ventricular cavity without causing a laser irradiation of the epicardium which might be a cause of operative bleeding and for better allowing the sealing of the epicardium after the apparatus is removed.
    • 人心脏联合机械/激光心肌血运重建的方法包括:将机械穿刺装置和细长的柔性激光装置插入患者的胸腔; 机械穿刺,微裂或散布心脏的心外膜; 然后通过心肌从心外膜下射出。 该装置被引导到患者心脏的心室的外部区域,并且光纤装置的远端通过开口被放置在心脏的外壁的内部,所述开口通过机械刺穿,微撕裂或 扩散心外膜,使得心肌而不是心外膜被激光能量照射以允许所述光纤远端或所述激光能量通过到左心室,而不引起激光照射心外膜,这可能是手术的原因 出血并且更好地允许在除去装置之后密封心外膜。