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1. 发明授权

US07901416B2 Apparatus and method for performing a bypass procedure in a digestive system 有权
标题翻译：在消化系统中执行旁路过程的装置和方法
公开(公告)号：US07901416B2
公开(公告)日：2011-03-08
申请号：US11640080
申请日：2006-12-15
申请人： Tim Nolan , Ernie Aranyi , John Klinger , Keith Ratcliff , John Charles Robertson
发明人： Tim Nolan , Ernie Aranyi , John Klinger , Keith Ratcliff , John Charles Robertson
IPC分类号： A61B17/08 , A61B17/068
CPC分类号： A61B17/115 , A61B17/07207 , A61B17/1114 , A61B2017/00004 , A61B2017/07214 , A61B2017/1135 , A61B2017/1139
摘要： Surgical instrumentation and methods for performing a bypass procedure in a digestive system incorporate laparoscopic techniques to minimize surgical trauma to the patient. The instrumentation includes an outer guide member dimensioned for insertion and passage through an esophagus of a patient and defining an opening therein extending at least along a portion of the length of the outer guide member, an elongate anvil delivery member at least partially disposed within the opening of the outer guide member and being adapted for longitudinal movement within the outer guide member between an initial position and an actuated position and an anvil operatively engageable with the delivery member. The anvil includes an anvil rod defining a longitudinal axis and an anvil head connected to the anvil rod. The anvil head is at least partially disposed within the opening of the outer guide member when in the initial position of the delivery member and is fully exposed from the distal end of the outer guide member upon movement of the delivery member to the actuated position.
摘要翻译：用于在消化系统中执行旁路过程的手术仪器和方法包括腹腔镜技术以最小化对患者的手术创伤。所述仪器包括外引导构件，所述外引导构件的尺寸适于插入和通过患者的食道并且限定其中至少沿着所述外引导构件的所述长度的一部分延伸的开口;至少部分地设置在所述开口内的细长砧输送构件并且适于在外引导构件之间在初始位置和致动位置之间纵向运动，并且可操作地与输送构件接合的砧座。砧座包括限定纵向轴线的砧座杆和连接到砧座杆的砧座头部。当处于输送构件的初始位置时，砧头至少部分地设置在外引导构件的开口内，并且当输送构件移动到致动位置时，砧座头从外引导构件的远端完全暴露。

2. 发明申请

US20110137325A1 APPARATUS AND METHOD FOR PERFORMING A BYPASS PROCEDURE IN A DIGESTIVE SYSTEM 有权
标题翻译：用于在排气系统中执行旁路程序的装置和方法
公开(公告)号：US20110137325A1
公开(公告)日：2011-06-09
申请号：US13023604
申请日：2011-02-09
申请人： Tim Nolan , Ernie Aranwi , John Klinger , Keith Ratcliff , John Charles Robertson
发明人： Tim Nolan , Ernie Aranwi , John Klinger , Keith Ratcliff , John Charles Robertson
IPC分类号： A61B17/11
CPC分类号： A61B17/115 , A61B17/07207 , A61B17/1114 , A61B2017/00004 , A61B2017/07214 , A61B2017/1135 , A61B2017/1139
摘要： Surgical instrumentation and methods for performing a bypass procedure in a digestive system incorporate laparoscopic techniques to minimize surgical trauma to the patient. The instrumentation includes, an outer guide member dimensioned for insertion and passage through an esophagus of a patient and defining an opening therein extending at least along a portion of the length of the outer guide member, an elongate anvil delivery member at least partially disposed within the opening of the outer guide member and being adapted for longitudinal movement within the outer guide member between an initial position and an actuated position and an anvil operatively engageable with the delivery member. The anvil includes an anvil rod defining a longitudinal axis and an anvil head connected to the anvil rod. The anvil head is at least partially disposed within the opening of the outer guide member when in the initial position of the delivery member and is fully exposed from the distal end of the outer guide member upon movement of the delivery member to the actuated position.
摘要翻译：用于在消化系统中执行旁路过程的手术仪器和方法包括腹腔镜技术以最小化对患者的手术创伤。该仪器包括：外引导构件，其尺寸设计成用于插入和通过患者的食道并且限定其中至少沿着所述外引导构件的长度的一部分延伸的开口;至少部分地设置在所述外引导构件内的细长砧输送构件，外引导构件的开口并且适于在外引导构件之间在初始位置和致动位置之间的纵向运动，并且可操作地与输送构件接合的砧座。砧座包括限定纵向轴线的砧座杆和连接到砧座杆的砧座头部。当处于输送构件的初始位置时，砧头至少部分地设置在外引导构件的开口内，并且当输送构件移动到致动位置时，砧座头从外引导构件的远端完全暴露。

3. 发明授权

US5968090A Endovascular graft and method 失效
标题翻译：血管内移植物和方法
公开(公告)号：US5968090A
公开(公告)日：1999-10-19
申请号：US925281
申请日：1997-09-08
申请人： Keith Ratcliff , John Charles Robertson
发明人： Keith Ratcliff , John Charles Robertson
IPC分类号： A61B17/122 , A61F2/06
CPC分类号： A61F2/07 , A61B17/122 , A61F2002/065 , A61F2002/075 , A61F2002/9534
摘要： The endovascular graft disclosed includes a main tubular body having a first end portion and an exterior surface. The first end portion has a flanged end disposed on exterior surface and extending radially thereabout, for engaging blood vessel walls. The graft may be made from a surgically implantible material. The graft has a second end portion of the main body that can either be a continuation of the main body or split into two tubular legs. The two tubular legs, each define a bore. The bore of the main body is in communication with the bores of the legs.A method of installing the endovascular graft includes installing the graft intraluminially to the operative site using a catheter having a balloon portion. The graft is positioned to extend through a damaged portion of a blood vessel. The balloon portion is positioned within a bore defined by the graft proximal to a first end portion, the first end portion having a flanged end. The balloon is expanded such that the flanged end expands into a blood vessel forming a raised portion on an exterior surface of the blood vessel. Finally, surgical clips are atraumatically applied to the raised portion compressing vessel tissue about the flanged end to capture the graft within the blood vessel.
摘要翻译：公开的血管内植入物包括具有第一端部部分和外部表面的主管状体。第一端部具有设置在外表面上并且沿着其周向延伸的凸缘端，用于接合血管壁。移植物可以由外科手术植入材料制成。移植物具有主体的第二端部，其可以是主体的延伸部或分成两个管状腿部。两个管状腿各自限定一个孔。主体的孔与腿的孔连通。安装血管内移植物的方法包括使用具有气囊部分的导管将移植物置于内窥镜处置到手术部位。移植物定位成延伸穿过血管的损伤部分。球囊部分位于由移植物限定的孔中，靠近第一端部，第一端部具有带凸缘的端部。气囊膨胀，使得凸缘端膨胀成形成血管外表面上的凸起部分的血管。最后，外科夹子被不规则地施加到围绕法兰端的压缩血管组织的凸起部分，以在血管内捕获移植物。

4. 发明授权

US08317809B2 Apparatus and method for performing a bypass procedure in a digestive system 有权
标题翻译：在消化系统中执行旁路过程的装置和方法
公开(公告)号：US08317809B2
公开(公告)日：2012-11-27
申请号：US13023604
申请日：2011-02-09
申请人： Tim Nolan , Ernie Aranyi , John Klinger , Keith Ratcliff , John Charles Robertson
发明人： Tim Nolan , Ernie Aranyi , John Klinger , Keith Ratcliff , John Charles Robertson
IPC分类号： A61B17/08 , A61B17/04
CPC分类号： A61B17/115 , A61B17/07207 , A61B17/1114 , A61B2017/00004 , A61B2017/07214 , A61B2017/1135 , A61B2017/1139
摘要： Surgical instrumentation and methods for performing a bypass procedure in a digestive system incorporate laparoscopic techniques to minimize surgical trauma to the patient. The instrumentation includes an outer guide member dimensioned for insertion and passage through an esophagus of a patient and defining an opening therein extending at least along a portion of the length of the outer guide member, an elongate anvil delivery member at least partially disposed within the opening of the outer guide member and being adapted for longitudinal movement within the outer guide member between an initial position and an actuated position and an anvil operatively engageable with the delivery member. The anvil includes an anvil rod defining a longitudinal axis and an anvil head connected to the anvil rod. The anvil head is at least partially disposed within the opening of the outer guide member when in the initial position of the delivery member and is fully exposed from the distal end of the outer guide member upon movement of the delivery member to the actuated position.
摘要翻译：用于在消化系统中执行旁路过程的手术仪器和方法包括腹腔镜技术以最小化对患者的手术创伤。所述仪器包括外引导构件，所述外引导构件的尺寸适于插入和通过患者的食道并且限定其中至少沿着所述外引导构件的所述长度的一部分延伸的开口;至少部分地设置在所述开口内的细长砧输送构件并且适于在外引导构件之间在初始位置和致动位置之间纵向运动，并且可操作地与输送构件接合的砧座。砧座包括限定纵向轴线的砧座杆和连接到砧座杆的砧座头部。当处于输送构件的初始位置时，砧头至少部分地设置在外引导构件的开口内，并且当输送构件移动到致动位置时，砧座头从外引导构件的远端完全暴露。

5. 发明授权

US09173658B2 Apparatus and method for performing a bypass procedure in a digestive system 有权
标题翻译：在消化系统中执行旁路过程的装置和方法
公开(公告)号：US09173658B2
公开(公告)日：2015-11-03
申请号：US11448459
申请日：2006-06-06
申请人： Tim Nolan , Ernie Aranyi , John Klinger , Keith Ratcliff , John Charles Robertson
发明人： Tim Nolan , Ernie Aranyi , John Klinger , Keith Ratcliff , John Charles Robertson
IPC分类号： A61B17/08 , A61B17/115 , A61B17/11 , A61B17/072 , A61B17/00
CPC分类号： A61B17/115 , A61B17/07207 , A61B17/1114 , A61B2017/00004 , A61B2017/07214 , A61B2017/1135 , A61B2017/1139
摘要： An anvil adapter for facilitating connection of a detachable anvil rod to a circular anastomosis instrument, comprising an anvil adapter member defining a longitudinal axis and having first and second ends, the first end configured for releasable attachment to a circular anastomosis instrument, the second end having an interior surface portion defining a longitudinal bore for releasably engaging an end of an anvil rod, the interior surface portion of the second end being dimensioned to releasably engage the end of the anvil rod in locking arrangement therewith to connect second end of the anvil adapter to the anvil rod such that the detachable anvil rod is releasably connected in spaced relation to the circular anastomosis instrument.
摘要翻译：一种用于便于将可拆卸砧杆连接到圆形吻合器的砧座适配器，包括限定纵向轴线的砧座适配器构件，并具有第一和第二端，所述第一端构造成用于可释放地连接到圆形吻合器具，所述第二端具有限定用于可释放地接合砧座杆的端部的纵向孔的内表面部分，所述第二端的内表面部分的尺寸被设计成可释放地与所述砧杆的端部锁定配合，以将所述砧座适配器的第二端连接到所述砧杆使得所述可拆卸的砧杆与所述圆形吻合器以可分离的方式可释放地连接。

6. 发明授权

US07179267B2 Apparatus and method for performing a bypass procedure in a digestive system 有权
标题翻译：在消化系统中执行旁路过程的装置和方法
公开(公告)号：US07179267B2
公开(公告)日：2007-02-20
申请号：US10234086
申请日：2002-08-30
申请人： Tim Nolan , Ernie Aranyi , John Klinger , Keith Ratcliff , John Charles Robertson
发明人： Tim Nolan , Ernie Aranyi , John Klinger , Keith Ratcliff , John Charles Robertson
IPC分类号： A61B17/08 , A61B17/068
CPC分类号： A61B17/1114 , A61B17/07207 , A61B17/115 , A61B17/1155 , A61B2017/00004 , A61B2017/07214 , A61B2017/07257 , A61B2017/1125 , A61B2017/1135 , A61B2017/1139 , A61B2017/2927
摘要： Surgical instrumentation and methods for performing a bypass procedure in a digestive system incorporate laparoscopic techniques to minimize surgical trauma to the patient. The instrumentation includes an outer guide member dimensioned for insertion and passage through an esophagus of a patient and defining an opening therein extending at least along a portion of the length of the outer guide member, an elongate anvil delivery member at least partially disposed within the opening of the outer guide member and being adapted for longitudinal movement within the outer guide member between an initial position and an actuated position and an anvil operatively engageable with the delivery member. The anvil includes an anvil rod defining a longitudinal axis and an anvil head connected to the anvil rod. The anvil head is at least partially disposed within the opening of the outer guide member when in the initial position of the delivery member and is fully exposed from the distal end of the outer guide member upon movement of the delivery member to the actuated position.
摘要翻译：用于在消化系统中执行旁路过程的手术仪器和方法包括腹腔镜技术以最小化对患者的手术创伤。所述仪器包括外引导构件，所述外引导构件的尺寸适于插入和通过患者的食道并且限定其中至少沿着所述外引导构件的所述长度的一部分延伸的开口;至少部分地设置在所述开口内的细长砧输送构件并且适于在外引导构件之间在初始位置和致动位置之间纵向运动，并且可操作地与输送构件接合的砧座。砧座包括限定纵向轴线的砧座杆和连接到砧座杆的砧座头部。当处于输送构件的初始位置时，砧头至少部分地设置在外引导构件的开口内，并且当输送构件移动到致动位置时，砧座头从外引导构件的远端完全暴露。

7. 发明授权

US06676671B2 Stapling apparatus and method for heart valve replacement 失效
标题翻译：心脏瓣膜置换装置及方法
公开(公告)号：US06676671B2
公开(公告)日：2004-01-13
申请号：US09798827
申请日：2001-03-02
申请人： John Charles Robertson , Keith Ratcliff , Brian W. Moulder
发明人： John Charles Robertson , Keith Ratcliff , Brian W. Moulder
IPC分类号： A61B1704
CPC分类号： A61F2/2427 , A61B17/068 , A61B17/072 , A61B17/1155 , A61B2017/00243 , A61B2017/07214 , A61F2/2403
摘要： A surgical stapler for securing a prosthetic heart valve within a patient is disclosed and generally includes a first cylindrical portion for carrying a staple assembly on a distal end thereof, a second cylindrical portion positioned concentrically about the first cylindrical portion and having a camming arm on a distal end thereof and a third cylindrical portion positioned concentrically about the second cylindrical portion and having an anvil flange on a distal end thereof, the camming arm configured to cam the staple assembly radially outward and drive the staple assembly distally such that a first leg of the staple assembly penetrates a cuff of the prosthetic heart valve and a second leg of the staple assembly pierces a portion of heart tissue surrounding the prosthetic heart valve to secure the valve. A method of installing a heart valve within a patient utilizing the surgical stapler is also disclosed.
摘要翻译：公开了一种用于将假体心脏瓣膜固定在患者体内的手术吻合器，并且通常包括用于在其远端上承载缝合钉组件的第一圆柱形部分，与第一圆柱形部分同心地定位的第二圆柱形部分，其远端和第三圆柱形部分，其围绕第二圆柱形部分同心地定位并且在其远端具有砧座凸缘，所述凸轮臂构造成径向向外凸轮订做钉组件，并使钉组件向远侧方向移动，使得第一腿部钉组件穿透假体心脏瓣膜的袖带，并且钉组件的第二腿刺穿围绕假体心脏瓣膜的心脏组织的一部分以固定瓣膜。还公开了使用外科缝合器在患者体内安装心脏瓣膜的方法。

8. 发明授权

US06203553B1 Stapling apparatus and method for heart valve replacement 失效
公开(公告)号：US06203553B1
公开(公告)日：2001-03-20
申请号：US09391538
申请日：1999-09-08
申请人： John Charles Robertson , Keith Ratcliff , Brian W. Moulder
发明人： John Charles Robertson , Keith Ratcliff , Brian W. Moulder
IPC分类号： A61B1704
CPC分类号： A61F2/2427 , A61B17/068 , A61B17/072 , A61B17/1155 , A61B2017/00243 , A61B2017/07214 , A61F2/2403
摘要： A surgical stapler for securing a prosthetic heart valve within a patient generally includes a first cylindrical portion for carrying at least one staple assembly on a distal end thereof; a second cylindrical portion positioned concentrically about the first cylindrical portion and having a camming arm on a distal end thereof, the camming arm configured to cam the at least one staple assembly radially outward and drive the at least one staple assembly distally such that a first leg of the at least one staple assembly penetrates a cuff of the prosthetic heart valve and a second leg of the at least one staple assembly pierces a portion of heart tissue surrounding the prosthetic heart valve, as the second cylindrical portion is moved distally relative to the first cylindrical portion; and a third cylindrical portion positioned concentrically about the second cylindrical portion and having an anvil flange on a distal end thereof, the anvil flange configured to crimp the second leg of the at least one staple assembly toward the first leg of the at least one staple assembly to secure the prosthetic heart valve to the surrounding heart tissue as the third cylindrical portion is moved relative to the second cylindrical portion. A method of installing a heart valve within a patient which includes the steps of accessing a site within a heart from which a natural heart valve has been removed; lowering a prosthetic heart valve into position within the site in the heart; positioning a surgical stapler having at least one staple assembly removably held on a distal end thereof adjacent the prosthetic heart valve within the site in the heart; driving a first leg of the at least one staple assembly through a peripheral cuff of the prosthetic heart valve; and crimping a second leg of the at least one staple assembly in a direction toward the first leg such that the second leg pierces a portion of heart tissue surrounding the prosthetic heart valve, thereby securing the prosthetic heart valve to the surrounding heart tissue.

9. 发明授权

US5947896A Heart stabilizer apparatus and method for use 失效
标题翻译：心脏稳定器及其使用方法
公开(公告)号：US5947896A
公开(公告)日：1999-09-07
申请号：US718283
申请日：1996-09-20
申请人： Charles R. Sherts , David A. Nicholas , Keith Ratcliff , John Charles Robertson , David Farascioni , Daniel E. Alesi , Patrick M. Flanagan
发明人： Charles R. Sherts , David A. Nicholas , Keith Ratcliff , John Charles Robertson , David Farascioni , Daniel E. Alesi , Patrick M. Flanagan
IPC分类号： A61B17/00 , A61B17/02 , A61B17/12 , A61B17/132 , A61B17/28 , A61B19/00 , A61M1/00
CPC分类号： A61B17/0293 , A61B17/12 , A61B17/1325 , A61B2017/00243 , A61B2017/0237 , A61B2017/0243 , A61B2017/2905 , A61B2090/306 , A61B2217/005 , A61B2217/007 , A61B90/50 , A61M1/0058
摘要： Apparatus and method for surgery is disclosed which includes a retractor having a substantially planar base defining an opening for overlying an operative site on a patient, and at least one retractor blade slidably mounted to the base. The base is positioned on the patient such that the opening therein overlies the operative site. The operative site is percutaneously accessed, and obstructing tissue is retracted by engaging the tissue with the retractor blade. A surgical instrument is provided which is engageable with the base and operable at the operative site through the opening in the base. A surgical procedure is carried out through the opening in the base with the surgical instrument.
摘要翻译：公开了一种用于手术的装置和方法，其包括牵开器，所述牵开器具有限定用于覆盖患者的手术部位的开口的基本上平坦的基部，以及可滑动地安装到所述基部的至少一个牵开器刀片。基座定位在患者身上，使得其中的开口覆盖在手术部位上。手术部位经皮访问，并且通过使组织与牵开器叶片接合来阻止组织缩回。提供了一种外科器械，其可与基座接合并且可通过基座中的开口在操作部位操作。外科手术通过手术器械在基部的开口进行。

10. 发明授权

US5984959A Heart valve replacement tools and procedures 失效
标题翻译：心脏瓣膜置换工具及程序
公开(公告)号：US5984959A
公开(公告)日：1999-11-16
申请号：US932570
申请日：1997-09-19
申请人： John Charles Robertson , Brian W. Moulder , Roberto Pedros
发明人： John Charles Robertson , Brian W. Moulder , Roberto Pedros
IPC分类号： A61F2/24
CPC分类号： A61F2/2427 , A61F2/2409 , A61F2250/001
摘要： There are disclosed various systems for installing a heart valve within a patient. In a first system, there are provided a heart valve installation assembly and an expandable heart valve ring installation assembly, each of which comprises a separate tool. The expandable heart valve ring assembly is provided to position and expand a heart valve ring into engagement with tissue. The valve installation assembly is provided to position and engage the heart valve with the expandable heart valve ring. In a second system, the heart valve installation assemblies and expandable ring installation assemblies are provided on a single tool or instrument. There are also disclosed various methods of installing an expandable heart valve ring within a heart and positioning and installing an artificial synthetic heart valve within the expanded heart valve ring.
摘要翻译：已经公开了用于在患者体内安装心脏瓣膜的各种系统。在第一系统中，提供了心脏瓣膜安装组件和可扩张的心脏瓣膜环安装组件，每个组件包括单独的工具。提供可扩张心脏瓣膜环组件以将心脏瓣膜环定位和扩张成与组织接合。提供阀安装组件以将心脏瓣膜与可扩张的心脏瓣膜环定位和接合。在第二系统中，心脏瓣膜安装组件和可扩张环安装组件设置在单个工具或仪器上。还公开了在心脏内安装可扩张的心脏瓣膜环并将人造合成心脏瓣膜定位并安装在扩张的心脏瓣膜环内的各种方法。

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