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1. 发明授权

US07485092B1 Vessel harvesting apparatus and method 有权
标题翻译：渔船收获设备及方法
公开(公告)号：US07485092B1
公开(公告)日：2009-02-03
申请号：US10054477
申请日：2002-01-18
申请人： Michael C Stewart , Liming Lau , Michael Wei , John P Lunsford , Albert K Chin , Peter Tachi Callas , Benjamin Sherman
发明人： Michael C Stewart , Liming Lau , Michael Wei , John P Lunsford , Albert K Chin , Peter Tachi Callas , Benjamin Sherman
IPC分类号： A61B1/00
CPC分类号： A61B17/00008 , A61B17/0218 , A61B17/320016 , A61B17/3209 , A61B50/30 , A61B90/37
摘要： Apparatus and method for harvesting selected vessels in the body of a patient include manual manipulation of a rigid dissecting endoscope and the reconfiguration thereof to facilitate tissue dissection and tissue dilation in the formation of an anatomical space about the vessel within which side-branch vessels may be manipulated in preparation for severance and removal of the vessel from the anatomical space.
摘要翻译：用于收集患者体内的选定容器的装置和方法包括手动操纵刚性解剖内窥镜及其重构，以促进组织解剖和组织扩张以形成关于侧支血管可能在其内的血管的解剖空间操作准备从解剖空间分离和移除血管。

2. 发明授权

US07479104B2 Organ manipulator apparatus 失效
标题翻译：器官机械手装置
公开(公告)号：US07479104B2
公开(公告)日：2009-01-20
申请号：US10615007
申请日：2003-07-08
申请人： Liming Lau , John P. Lunsford
发明人： Liming Lau , John P. Lunsford
IPC分类号： A61F2/00
CPC分类号： A61B17/0206 , A61B17/30 , A61B90/50 , A61B90/57 , A61B2017/00243 , A61B2017/0243 , A61B2017/308 , A61M1/0066
摘要： Organ manipulation devices for atraumatically grasping the surface of an organ and repositioning the organ to allow access to a location on the organ that would otherwise be substantially inaccessible. Methods of accessing a beating heart, retracting the heart using an organ manipulation apparatus, and stabilizing a surgical target area with a stabilizer. Both the organ manipulator and stabilizer are fixed to a stationary object which may be a sternal retractor. A system for performing beating heart coronary artery bypass grafting includes a sternal retractor, organ manipulator and stabilizer.
摘要翻译：用于无创地抓住器官表面并重新定位器官的器官操纵装置，以允许进入器官的位置，否则其将基本上不可接近。访问搏动心脏的方法，使用器官操纵装置回缩心脏，以及用稳定器稳定手术对象区域。器官操纵器和稳定器都固定到可以是胸骨牵开器的静止物体上。用于执行心跳冠状动脉旁路移植的系统包括胸骨牵开器，器官操纵器和稳定器。

3. 发明申请

US20090023986A1 Vessel Harvesting 审中-公开
标题翻译：船收获
公开(公告)号：US20090023986A1
公开(公告)日：2009-01-22
申请号：US12206100
申请日：2008-09-08
申请人： Michael C. Stewart , Liming Lau , Michael Wei , John P. Lunsford , Albert K. Chin , Peter Tachi Callas , Benjamin Sherman
发明人： Michael C. Stewart , Liming Lau , Michael Wei , John P. Lunsford , Albert K. Chin , Peter Tachi Callas , Benjamin Sherman
IPC分类号： A61B1/00 , A61B17/00
CPC分类号： A61F2/062 , A61B17/00008 , A61B17/32 , A61B17/320016 , A61B17/3201 , A61B18/1445 , A61B18/148 , A61B18/1482 , A61B2017/320048 , A61B2017/320064 , A61B2018/00404 , A61B2018/00428 , A61B2018/00595 , A61B2018/1412 , A61B2018/1452 , A61M29/02
摘要： Apparatus and method for harvesting selected vessels in the body of a patient include manual manipulation of a rigid dissecting endoscope and the reconfiguration thereof to facilitate tissue dissection and tissue dilation in the formation of an anatomical space about the vessel within which side-branch vessels may be manipulated in preparation for severance and removal of the vessel from the anatomical space.
摘要翻译：用于收集患者体内的选定容器的装置和方法包括手动操纵刚性解剖内窥镜及其重构，以促进组织解剖和组织扩张以形成关于侧支血管可能在其内的血管的解剖空间操作准备从解剖空间分离和移除血管。

4. 发明申请

US20090299131A1 Organ Manipulator Apparatus 有权
标题翻译：器官机械手器具
公开(公告)号：US20090299131A1
公开(公告)日：2009-12-03
申请号：US12338471
申请日：2008-12-18
申请人： Harry Leonard Green, II , Jon M. Tanaka , Edward A. Pineda , Dwight P. Morejohn , Liming Lau , John P. Lunsford , Robert Mosley , Joshua Wallin , Iris Leon Corbin
发明人： Harry Leonard Green, II , Jon M. Tanaka , Edward A. Pineda , Dwight P. Morejohn , Liming Lau , John P. Lunsford , Robert Mosley , Joshua Wallin , Iris Leon Corbin
IPC分类号： A61B17/00
CPC分类号： A61B17/0206 , A61B17/30 , A61B90/50 , A61B90/57 , A61B2017/00243 , A61B2017/0243 , A61B2017/308 , A61M1/0066
摘要： Organ manipulation devices for atraumatically grasping the surface of an organ and repositioning the organ to allow access to a location on the organ that would otherwise be substantially inaccessible. Methods of accessing a beating heart, retracting the heart using an organ manipulation apparatus, and stabilizing a surgical target area with a stabilizer. Both the organ manipulator and stabilizer are fixed to a stationary object which may be a sternal retractor. A system for performing beating heart coronary artery bypass grafting includes a sternal retractor, organ manipulator and stabilizer.
摘要翻译：用于无创地抓住器官表面并重新定位器官的器官操纵装置，以允许进入器官的位置，否则其将基本上不可接近。访问搏动心脏的方法，使用器官操纵装置回缩心脏，以及用稳定器稳定手术对象区域。器官操纵器和稳定器都固定到可以是胸骨牵开器的静止物体上。用于执行心跳冠状动脉旁路移植的系统包括胸骨牵开器，器官操纵器和稳定器。

5. 发明授权

US06814696B1 Surgical apparatus 有权
标题翻译：手术器械
公开(公告)号：US06814696B1
公开(公告)日：2004-11-09
申请号：US10237450
申请日：2002-09-06
申请人： Tenny Chang , Charles Gresl , Harry Ino , Liming Lau , John P. Lunsford , Michael Wei
发明人： Tenny Chang , Charles Gresl , Harry Ino , Liming Lau , John P. Lunsford , Michael Wei
IPC分类号： A61B100
CPC分类号： A61B1/04 , A61B1/07 , A61B17/00234 , A61B17/3417 , A61B18/1442 , A61B90/50 , A61B2017/00907 , A61B2017/3445 , A61B2017/347 , A61B2090/306 , A61B2090/3614
摘要： An assembly of cannula and endoscope and dissection tip facilitate surgical procedures at remote surgical site in tissue of a patient. Relative rotation of the cannula about the endoscope from clamped rotational fixation of the cannula and endoscope is made possible by flexing a resilient clamping segment, and such relative rotation promotes convenient positioning of an eccentric tissue-dissecting tip about a vessel being harvested from within tissue of a patient. Color tinting of the tip or color-tinted illumination of tissue at a remote surgical site enhances contrasting visualization through the tip via the endoscope among the tissue types encountered at the surgical site within a patient. A tool bridge or lateral support mounts to a more rigid component such as an endoscope that extends from the proximal end of a cannula to support a more flexible surgical instrument also extending from the proximal end of the cannula.

6. 发明授权

US08641598B2 Organ manipulator apparatus 有权
标题翻译：器官机械手装置
公开(公告)号：US08641598B2
公开(公告)日：2014-02-04
申请号：US12338471
申请日：2008-12-18
申请人： Harry Leonard Green, II , Jon M. Tanaka , Edward A. Pineda , Dwight P. Morejohn , Liming Lau , John P Lunsford , Robert Mosley , Joshua Wallin , Iris Leon Corbin
发明人： Harry Leonard Green, II , Jon M. Tanaka , Edward A. Pineda , Dwight P. Morejohn , Liming Lau , John P Lunsford , Robert Mosley , Joshua Wallin , Iris Leon Corbin
IPC分类号： A61F13/00
CPC分类号： A61B17/0206 , A61B17/30 , A61B90/50 , A61B90/57 , A61B2017/00243 , A61B2017/0243 , A61B2017/308 , A61M1/0066
摘要： Organ manipulation devices for atraumatically grasping the surface of an organ and repositioning the organ to allow access to a location on the organ that would otherwise be substantially inaccessible. Methods of accessing a beating heart, retracting the heart using an organ manipulation apparatus, and stabilizing a surgical target area with a stabilizer. Both the organ manipulator and stabilizer are fixed to a stationary object which may be a sternal retractor. A system for performing beating heart coronary artery bypass grafting includes a sternal retractor, organ manipulator and stabilizer.
摘要翻译：用于无创地抓住器官表面并重新定位器官的器官操纵装置，以允许进入器官的位置，否则其将基本上不可接近。访问搏动心脏的方法，使用器官操纵装置回缩心脏，以及用稳定器稳定手术对象区域。器官操纵器和稳定器都固定到可以是胸骨牵开器的静止物体上。用于执行心跳冠状动脉旁路移植的系统包括胸骨牵开器，器官操纵器和稳定器。

7. 发明授权

US06471638B1 Surgical apparatus 有权
标题翻译：手术器械
公开(公告)号：US06471638B1
公开(公告)日：2002-10-29
申请号：US09560636
申请日：2000-04-28
申请人： Tenny Chang , Charles Gresl , Harry Ino , Liming Lau , John P. Lunsford , Michael Wei
发明人： Tenny Chang , Charles Gresl , Harry Ino , Liming Lau , John P. Lunsford , Michael Wei
IPC分类号： A61B100
CPC分类号： A61B1/04 , A61B1/07 , A61B17/00234 , A61B17/3417 , A61B18/1442 , A61B90/50 , A61B2017/00907 , A61B2017/3445 , A61B2017/347 , A61B2090/306 , A61B2090/3614
摘要： An assembly of cannula and endoscope and dissection tip facilitate surgical procedures at remote surgical site in tissue of a patient. Relative rotation of the cannula about the endoscope from clamped rotational fixation of the cannula and endoscope is made possible by flexing a resilient clamping segment, and such relative rotation promotes convenient positioning of an eccentric tissue-dissecting tip about a vessel being harvested from within tissue of a patient. Color tinting of the tip or color-tinted illumination of tissue at a remote surgical site enhances contrasting visualization through the tip via the endoscope among the tissue types encountered at the surgical site within a patient. A tool bridge or lateral support mounts to a more rigid component such as an endoscope that extends from the proximal end of a cannula to support a more flexible surgical instrument also extending from the proximal end of the cannula.
摘要翻译：套管和内窥镜和解剖尖端的组件有利于外科手术在患者组织中的远端手术部位。套管围绕内窥镜的相对旋转通过套管和内窥镜的夹持的旋转固定使得可以通过弯曲弹性夹持段而实现，并且这种相对旋转促进偏心组织解剖尖端围绕从第病人。尖端的颜色着色或远程外科手术部位的组织的着色照明增强了通过患者内的外科手术部位所遇到的组织类型之间的内窥镜的尖端的对比度可视化。工具桥或侧向支撑件安装到更加刚性的部件，例如从套管的近端延伸的内窥镜，以支撑也可从插管的近端延伸的更灵活的外科器械。

8. 发明授权

US07918848B2 Tissue welding and cutting apparatus and method 有权
标题翻译：组织焊接和切割设备及方法
公开(公告)号：US07918848B2
公开(公告)日：2011-04-05
申请号：US11090330
申请日：2005-03-25
申请人： Liming Lau , Arnold M. Escano , Jerry Jarrard , Sam Ho , Ryan C. Abbott , Arthur M. Lin , Jesse McQuiston , Peter L. Callas , Geoffrey H. Willis , Michael C. Stewart , Kimberly D. Barkman , Joseph N. Lamberti , Kenny L. Dang
发明人： Liming Lau , Arnold M. Escano , Jerry Jarrard , Sam Ho , Ryan C. Abbott , Arthur M. Lin , Jesse McQuiston , Peter L. Callas , Geoffrey H. Willis , Michael C. Stewart , Kimberly D. Barkman , Joseph N. Lamberti , Kenny L. Dang
IPC分类号： A61B18/04
CPC分类号： A61B18/085 , A61B17/29 , A61B18/082 , A61B18/1445 , A61B90/03 , A61B2017/00084 , A61B2017/00353 , A61B2017/00504 , A61B2017/2912 , A61B2017/2936 , A61B2017/2945 , A61B2017/3445 , A61B2018/00089 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/1432
摘要： A surgical apparatus and methods for severing and welding tissue, in particular blood vessels, include a pair of relatively movable jaws at a distal end of an elongated shaft. A first heating element on one of the jaws is adapted to heat up to a first temperature and form a welded region within the tissue, while a second heating element on one of the jaws is adapted to heat up to a second temperature and sever the tissue within the welded region. A force-limiting mechanism is provided to limit the pressure applied to the tissue by the jaws to ensure that the tissue is severed and the ends effectively welded within a short amount of time.
摘要翻译：用于切断和焊接组织，特别是血管的手术装置和方法包括在细长轴的远端处的一对相对可动的钳口。其中一个钳口上的第一加热元件适于加热至第一温度并在组织内形成焊接区域，而其中一个钳口上的第二加热元件适于加热至第二温度并切断组织在焊接区域内。提供力限制机构以限制由钳口施加到组织的压力，以确保组织被切断并且端部在短时间内有效地焊接。

9. 发明申请

US20080306335A1 Endoscopic vessel harvesting system components 有权
标题翻译：内窥镜血管收集系统部件
公开(公告)号：US20080306335A1
公开(公告)日：2008-12-11
申请号：US11446024
申请日：2006-06-01
申请人： Liming Lau , Peter L. Callas , Michael C. Stewart , Geoffrey H. Willis , Ryan C. Abbott , Charles J. Adam , Kimberly D. Barkman , Albert K. Chin , Kenny L. Dang , Joseph N. Lamberti , Arthur M. Lin , Ravi Pamnani
发明人： Liming Lau , Peter L. Callas , Michael C. Stewart , Geoffrey H. Willis , Ryan C. Abbott , Charles J. Adam , Kimberly D. Barkman , Albert K. Chin , Kenny L. Dang , Joseph N. Lamberti , Arthur M. Lin , Ravi Pamnani
IPC分类号： A61B1/015 , A61B1/018
CPC分类号： A61B17/00008 , A61B1/126 , A61B90/361 , A61B90/70 , A61B2017/320044
摘要： Components for an endoscopic vessel harvesting system suitable for harvesting target vessels such as the saphenous vein or radial artery for cardiac artery bypass graft surgery. The main components of such systems include a vessel dissector and a vessel harvester, both of which work in conjunction with a separately provided endoscope. The vessel dissector is an elongated cannula having a blunt tip for separating layers of facial around vessels. The tip may be movable, and is typically transparent to permit viewing forward of the tip using the endoscope. Internal features of the tip may reduce glare back to the endoscope. Several devices improve visibility through the tip by reducing interference from tissue or fluid on the tip. The vessel harvester also has an elongated cannula for receiving the endoscope. Several tools within the harvester permit manipulation, severing, and sealing of vessels forward of the distal end. The tool for manipulating vessels may have a low-profile for increased visibility of operation, and may be coupled to the cannula with a damping mechanism to reduce the possibility of avulsion of the vessels. Various vessel cutting and sealing devices are provided that may accommodate various sizes of vessels and improve cutting and sealing efficacy.
摘要翻译：适用于收集目标血管如隐静脉或桡动脉用于心脏动脉旁路移植手术的内窥镜血管收获系统的组件。这种系统的主要部件包括容器分离器和容器收集器，两者都与单独提供的内窥镜一起工作。血管分离器是具有钝头的细长插管，用于分隔血管周围的面部层。尖端可以是可移动的，并且通常是透明的，以允许使用内窥镜观察尖端的前方。尖端的内部特征可以减少眩光回内窥镜。几个设备通过减少尖端上的组织或液体的干扰来改善尖端的可见性。容器收割机还具有用于接收内窥镜的细长套管。收割机内的几个工具允许在远端前方操纵，切断和密封容器。用于操纵血管的工具可以具有较小的轮廓以提高手术的可视性，并且可以用阻尼机构联接到套管，以减少血管撕脱的可能性。提供了可容纳各种尺寸的容器并提高切割和密封功效的各种容器切割和密封装置。

10. 发明申请

US20060217706A1 Tissue welding and cutting apparatus and method 有权
标题翻译：组织焊接和切割设备及方法
公开(公告)号：US20060217706A1
公开(公告)日：2006-09-28
申请号：US11090750
申请日：2005-03-25
申请人： Liming Lau , Arnold Escano , Jerry Jarrard , Sam Ho , Ryan Abbott , Arthur Lin , Jesse McQuiston , Peter Callas , Geoffrey Willis , Michael Stewart , Kimberly Barkman , Joseph Lamberti , Kenny Dang
发明人： Liming Lau , Arnold Escano , Jerry Jarrard , Sam Ho , Ryan Abbott , Arthur Lin , Jesse McQuiston , Peter Callas , Geoffrey Willis , Michael Stewart , Kimberly Barkman , Joseph Lamberti , Kenny Dang
IPC分类号： A61B18/18
CPC分类号： A61B18/085 , A61B17/29 , A61B18/1445 , A61B90/03 , A61B2017/00084 , A61B2017/00353 , A61B2017/00504 , A61B2017/2912 , A61B2017/2936 , A61B2017/2945 , A61B2017/3445 , A61B2018/1432
摘要： A surgical apparatus and methods for severing and welding tissue, in particular blood vessels. The apparatus includes an elongated shaft having a pair of relatively movable jaws at a distal end thereof. A first heating element on one of the jaws is adapted to heat up to a first temperature and form a welded region within the tissue, while a second heating element on one of the jaws is adapted to heat up to a second temperature and sever the tissue within the welded region. The first and second heating elements may be provided on the same or opposite jaws. A control handle provided on the proximal end of the elongated shaft includes controls for opening and closing the jaws, and may include an actuator for sending current through the first and second heating elements. The first and second heating elements may be electrically connected in series, and the first heating element may be bifurcated such that it conducts about one half of the current as the second heating element. A force-limiting mechanism provided either within the control handle, in the elongated shaft, or at the jaws limits the pressure applied to the tissue by the jaws to ensure that the tissue is severed and the ends effectively welded within a short amount of time.
摘要翻译：用于切断和焊接组织，特别是血管的手术设备和方法。该装置包括细长轴，其在其远端具有一对相对可动的钳口。其中一个钳口上的第一加热元件适于加热至第一温度并在组织内形成焊接区域，而其中一个钳口上的第二加热元件适于加热至第二温度并切断组织在焊接区域内。第一和第二加热元件可以设置在相同或相对的夹爪上。设置在细长轴的近端的控制手柄包括用于打开和关闭钳口的控制器，并且可以包括用于通过第一和第二加热元件发送电流的致动器。第一和第二加热元件可以串联电连接，并且第一加热元件可以分叉，使得其作为第二加热元件传导大约电流的一半。设置在控制手柄，细长轴或钳口内的力限制机构限制由钳口施加到组织上的压力，以确保组织被切断并且端部在短时间内有效地焊接。

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