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    • 3. 发明申请
    • Apparatus and method for connecting a conduit to a hollow vessel
    • 将管道连接到中空容器的装置和方法
    • US20060161193A1
    • 2006-07-20
    • US11300589
    • 2005-12-15
    • Richard BeaneJohn BrownJames CrunkletonJames GammieJoseph Smith
    • Richard BeaneJohn BrownJames CrunkletonJames GammieJoseph Smith
    • A61B17/34
    • A61F2/06A61B17/11A61B17/32053A61B17/34A61B2017/00247A61B2017/00252A61B2017/00349A61B2017/00557A61B2017/0061A61B2017/1107A61B2017/1135A61F2/064
    • The present invention provides a system and method for forming a side branch on a hollow vessel, such as the aorta. The side branch is preferably adapted to be connected to a connector conduit, but any other suitable use is also acceptable. The system comprises a graft including a side branch portion, and an applicator comprising a hole forming element adapted to form a hole in the wall of the vessel and an insertion element adapted to be inserted through the wall of the vessel, the insertion element comprising a retraction element adapted to enter into engagement with the graft. The hole forming element may comprise a cutting element adapted to cut a hole in the wall of the vessel, and a positioning element adapted to hold the position of the applicator relative to the vessel. The system further comprises a graft protection element adapted to prevent the graft from being damaged by the cutting element. In this case, the clamping element and the graft protection element may be the same element, for example, an expansion element, which may be expandable from an unexpanded state to fully expanded state and to a partially expanded state. The expansion element may be a balloon, which may be in the shape of a circular toroid, and may include a tension member that restricts the dimensions of the balloon. In addition, the expansion element may be an umbrella mechanism.
    • 本发明提供一种用于在诸如主动脉的中空容器上形成侧分支的系统和方法。 侧分支优选地适于连接到连接器导管,但是任何其它合适的用途也是可接受的。 该系统包括包括侧分支部分的移植物和包括适于在容器的壁中形成孔的孔形成元件的施用器和适于插入通过容器的壁的插入元件,插入元件包括 适于与移植物接合的收缩元件。 孔形成元件可以包括适于切割容器的壁中的孔的切割元件和适于保持施加器相对于容器的位置的定位元件。 该系统还包括适于防止移植物被切割元件损坏的移植物保护元件。 在这种情况下,夹紧元件和移植物保护元件可以是相同的元件,例如膨胀元件,膨胀元件可以从未膨胀状态扩展到完全膨胀状态并且部分膨胀状态。 膨胀元件可以是气球,其可以是环形环形的形状,并且可以包括限制气囊的尺寸的张紧构件。 此外,膨胀元件可以是伞式机构。
    • 4. 发明授权
    • Surgical access port
    • 手术进入口
    • US07008377B2
    • 2006-03-07
    • US10186806
    • 2002-07-01
    • Richard BeaneSteve EkAllison C. NiemannMaureen E. CarrollRandall J. HasslingerEdward I. Stamm, Jr.Javier Verdura
    • Richard BeaneSteve EkAllison C. NiemannMaureen E. CarrollRandall J. HasslingerEdward I. Stamm, Jr.Javier Verdura
    • A61B1/32
    • A61B17/3423A61B17/00234A61B17/0293A61B17/3431A61B17/3462A61B42/00A61B42/10A61B90/30A61B90/40A61B2017/00557A61B2017/3419A61B2017/3449A61B2017/3484A61B2090/306
    • A device for retracting edges of an incision in a surface to form an opening including: a flexible, tubular skirt having an upper end, a lower end, and a channel therebetween; a ring connected to the lower end of the skirt for maintaining the lower end in an open configuration and defining an exit opening to the channel; and an inflatable collar connected to the skirt and surrounding the upper end. The ring is designed to fit through the incision and remain under the surface when it is oriented parallel to surface. The collar, when inflated, maintains the upper end in an open configuration and defines an entry opening to the channel. During use, the ring is inserted through the incision and the collar is inflated while remaining outside of the incision, thereby drawing the skirt against the edges of the incision and retracting the edges of the incision to form the opening. The retracting device can be included in a surgical access port, which further includes a flexible sleeve connected to at least one of the inflatable collar and the skirt, extending the channel from the exit opening of the skirt to an open end of the flexible sleeve distal to the skirt. The device can include a light source in the vicinity of the exit opening.
    • 一种用于回缩表面中的切口的边缘以形成开口的装置,包括:具有上端,下端和在其间的通道的柔性管状裙部; 连接到所述裙部的下端的环,用于将所述下端保持在打开构型并限定到所述通道的出口; 以及连接到裙部并围绕上端的可充气套环。 环被设计成通过切口适应,并且当其平行于表面定向时保持在表面下方。 套环充气时,保持上端处于打开状态,并定义通道通道的入口。 在使用过程中,环被插入穿过切口,并且颈圈在保持在切口外部时被充气,从而将裙部拉到切口的边缘并缩回切口的边缘以形成开口。 缩回装置可以包括在外科进入口中,该外科进入口还包括连接到可膨胀套环和裙部中的至少一个的柔性套管,将通道从裙部的出口开口延伸到柔性套管远端的开口端 到裙子 该装置可以包括在出口附近的光源。
    • 5. 发明授权
    • Surgical access port and laparoscopic surgical method
    • 手术通道和腹腔镜手术方法
    • US06440063B1
    • 2002-08-27
    • US09642438
    • 2000-08-21
    • Richard BeaneSteve EkAllison C. NiemannMaureen E. CarrollRandall J. HasslingerEdward I. Stamm, Jr.Javier Verdura
    • Richard BeaneSteve EkAllison C. NiemannMaureen E. CarrollRandall J. HasslingerEdward I. Stamm, Jr.Javier Verdura
    • A61B132
    • A61B17/3423A61B17/00234A61B17/0293A61B17/3431A61B17/3462A61B42/00A61B42/10A61B90/30A61B90/40A61B2017/00557A61B2017/3419A61B2017/3449A61B2017/3484A61B2090/306
    • A device for retracting edges of an incision in a surface to form an opening including: a flexible, tubular skirt having an upper end, a lower end, and a channel therebetween; a ring connected to the lower end of the skirt for maintaining the lower end in an open configuration and defining an exit opening to the channel; and an inflatable collar connected to the skirt and surrounding the upper end. The ring is designed to fit through the incision and remain under the surface when it is oriented parallel to surface. The collar, when inflated, maintains the upper end in an open configuration and defines an entry opening to the channel. During use, the ring is inserted through the incision and the collar is inflated while remaining outside of the incision, thereby drawing the skirt against the edges of the incision and retracting the edges of the incision to form the opening. The retracting device can be included in a surgical access port, which further includes a flexible sleeve connected to at least one of the inflatable collar and the skirt, extending the channel from the exit opening of the skirt to an open end of the flexible sleeve distal to the skirt. The device can include a light source in the vicinity of the exit opening.
    • 一种用于回缩表面中的切口的边缘以形成开口的装置,包括:具有上端,下端和在其间的通道的柔性管状裙部; 连接到所述裙部的下端的环,用于将所述下端保持在打开构型并限定到所述通道的出口; 以及连接到裙部并围绕上端的可充气套环。 环被设计成通过切口适应,并且当其平行于表面定向时保持在表面下方。 套环充气时,保持上端处于打开状态,并定义通道通道的入口。 在使用过程中,环被插入穿过切口,并且颈圈在保持在切口外部时被充气,从而将裙部拉到切口的边缘并缩回切口的边缘以形成开口。 缩回装置可以包括在外科进入口中,该外科进入口还包括连接到可膨胀套环和裙部中的至少一个的柔性套管,将通道从裙部的出口开口延伸到柔性套管远端的开口端 到裙子 该装置可以包括在出口附近的光源。
    • 10. 发明申请
    • Apparatus and method for connecting a conduit to a hollow organ
    • 将导管连接到中空器官的装置和方法
    • US20050251187A1
    • 2005-11-10
    • US11086577
    • 2005-03-23
    • Richard BeaneJohn BrownJames CrunkletonJames GammieJoseph Smith
    • Richard BeaneJohn BrownJames CrunkletonJames GammieJoseph Smith
    • A61B17/00A61B17/02A61B17/11A61B17/32A61F2/06
    • A61B17/0218A61B17/11A61B17/320016A61B17/32053A61B2017/00247A61B2017/00252A61B2017/00557A61B2017/0237A61B2017/1107A61B2018/00392A61F2/064
    • An apparatus and method for connecting a first conduit to the heart without the need for cardiopulmonary bypass. The first conduit may then be attached to a second conduit that has a prosthetic device interposed. The second conduit may be connected to the aorta prior to the first conduit being attached to the heart. The prosthetic device may be a prosthetic valve or a pump, for example. The apparatus of the present invention includes an implantable connector with first conduit component, a retractor expansion component, a coring component, and a pushing component. The retractor expansion component is slide-ably coupled to the coring component. The retractor expansion component serves to seat against and separate the inside apical wall of the left ventricle so that the coring component may cut cleanly through the myocardium to form a tissue plug without leaving any hanging attachments to the inside walls. By remaining seated against the inside wall, the retractor expansion component follows the tissue plug into the coring component. The surgeon applies force and rotary motion to the pushing component sufficient to cut the tissue plug and implant the prosthetic component.
    • 一种用于将第一导管连接到心脏而不需要体外循环的装置和方法。 然后可以将第一导管连接到插入有假体装置的第二导管。 第二导管可以在第一导管附接到心脏之前连接到主动脉。 假体装置例​​如可以是人工瓣膜或泵。 本发明的装置包括具有第一管道部件的可植入连接器,牵开器膨胀部件,取芯部件和推动部件。 牵开器膨胀部件滑动地联接到取芯部件。 牵开器膨胀部件用于抵靠和分离左心室的顶端壁,使得取芯部件可以通过心肌切割干净地形成组织塞,而不会将悬挂的附件留在内壁上。 通过保持抵靠内壁的位置,牵开器膨胀部件沿着组织插塞进入取芯部件。 外科医生将力和旋转运动施加到推动部件足以切割组织塞并植入假体部件。