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1. 发明申请

US20050165427A1 Vessel sealing devices 审中-公开
标题翻译：船舶密封装置
公开(公告)号：US20050165427A1
公开(公告)日：2005-07-28
申请号：US10763861
申请日：2004-01-22
申请人： Scott Jahns , James Keogh , Paul Pignato , Christopher Olig , Karen Montpetit , Cynthia Clague , Raymond Usher , Philip Haarstad , Gary Guenst
发明人： Scott Jahns , James Keogh , Paul Pignato , Christopher Olig , Karen Montpetit , Cynthia Clague , Raymond Usher , Philip Haarstad , Gary Guenst
IPC分类号： A61B17/00 , A61B17/04 , A61B17/11 , A61B17/32 , A61B17/08
CPC分类号： A61B17/32053 , A61B17/0482 , A61B17/11 , A61B2017/1107 , A61B2017/1135 , A61B2017/1139
摘要： A device for temporarily sealing an opening in a blood vessel is provided. The device comprises a cutting mechanism for creating an opening in a blood vessel and a seal for sealing the opening in the blood vessel. The seal is delivered through an inner lumen of a tool body coupled to the cutting mechanism. Methods for using the device to construct an anastomosis between two vessels are also provided.
摘要翻译：提供了用于临时密封血管中的开口的装置。该装置包括用于在血管中形成开口的切割机构和用于密封血管中的开口的密封件。密封件通过联接到切割机构的工具主体的内腔传送。还提供了使用该装置来构建两个血管之间的吻合的方法。

2. 发明申请

US20070073344A1 Vessel sealing devices 有权
标题翻译：船舶密封装置
公开(公告)号：US20070073344A1
公开(公告)日：2007-03-29
申请号：US11604956
申请日：2006-11-28
申请人： Scott Jahns , James Keogh , Paul Pignato , Christopher Olig , Karen Montpetit , Cynthia Clague , Raymond Usher , Philip Haarstad , Gary Guenst
发明人： Scott Jahns , James Keogh , Paul Pignato , Christopher Olig , Karen Montpetit , Cynthia Clague , Raymond Usher , Philip Haarstad , Gary Guenst
IPC分类号： A61B17/04
CPC分类号： A61B17/32053 , A61B17/0482 , A61B17/11 , A61B2017/1107 , A61B2017/1135 , A61B2017/1139
摘要： A device for temporarily sealing an opening in a blood vessel is provided. The device comprises a cutting mechanism for creating an opening in a blood vessel and a seal for sealing the opening in the blood vessel. The seal is delivered through an inner lumen of a tool body coupled to the cutting mechanism. Methods for using the device to construct an anastomosis between two vessels are also provided.
摘要翻译：提供了用于临时密封血管中的开口的装置。该装置包括用于在血管中形成开口的切割机构和用于密封血管中的开口的密封件。密封件通过联接到切割机构的工具主体的内腔传送。还提供了使用该装置来构建两个血管之间的吻合的方法。

3. 发明申请

US20070073343A1 Vessel sealing devices 审中-公开
公开(公告)号：US20070073343A1
公开(公告)日：2007-03-29
申请号：US11604932
申请日：2006-11-28
申请人： Scott Jahns , James Keogh , Paul Pignato , Christopher Olig , Karen Montpetit , Cynthia Clague , Raymond Usher , Philip Harrstad , Gary Guenst
发明人： Scott Jahns , James Keogh , Paul Pignato , Christopher Olig , Karen Montpetit , Cynthia Clague , Raymond Usher , Philip Harrstad , Gary Guenst
IPC分类号： A61B17/04
CPC分类号： A61B17/32053 , A61B17/0482 , A61B17/11 , A61B2017/1107 , A61B2017/1135 , A61B2017/1139
摘要： A device for temporarily sealing an opening in a blood vessel is provided. The device comprises a cutting mechanism for creating an opening in a blood vessel and a seal for sealing the opening in the blood vessel. The seal is delivered through an inner lumen of a tool body coupled to the cutting mechanism. Methods for using the device to construct an anastomosis between two vessels are also provided.

4. 发明申请

US20070123854A1 Electrosurgical methods and apparatus for making precise incisions in body vessels 有权
标题翻译：电动手术方法和装置，用于精确切开体内血管
公开(公告)号：US20070123854A1
公开(公告)日：2007-05-31
申请号：US11698332
申请日：2007-01-26
申请人： Cynthia Clague , Philip Haarstad , Scott Jahns , James Keogh , Christopher Olig , Raymond Usher
发明人： Cynthia Clague , Philip Haarstad , Scott Jahns , James Keogh , Christopher Olig , Raymond Usher
IPC分类号： A61B18/14
CPC分类号： A61B18/14 , A61B18/1482 , A61B2018/00386 , A61B2018/1407 , A61B2090/034 , A61B2090/036
摘要： Methods and apparatus employed in surgery involving making precise incisions in vessels of the body, particularly cardiac blood vessels in coronary revascularization procedures conducted on the stopped or beating heart are disclosed. Such incisions are created by applying an elongated electrosurgical cutting electrode to the outer surface of the vessel wall in substantially parallel alignment with the body vessel axis, the elongated electrosurgical cutting electrode having a predetermined cutting electrode length exceeding the cutting electrode width. RF energy is applied between the electrosurgical cutting electrode and the ground electrode at an energy level and for a duration sufficient to cut an elongated slit through the vessel wall where the elongated electrosurgical cutting electrode is applied to the surface of the vessel wall.
摘要翻译：公开了涉及在停止或跳动的心脏进行的冠状动脉血运重建手术中精确切开身体血管，特别是心脏血管的手术方法和装置。这种切口是通过将细长的电外科切割电极以与体血管轴线基本平行对准的方式将细长的电外科切割电极施加到血管壁的外表面而形成的，细长的电外切割电极具有超过切割电极宽度的预定切割电极长度。 RF能量在电外科切割电极和接地电极之间以能量水平施加，持续时间足以切割通过血管壁的细长狭缝，其中细长的电外科切割电极被施加到血管壁的表面。

5. 发明申请

US20050033277A1 Electrosurgical methods and apparatus for making precise incisions in body vessels 有权
公开(公告)号：US20050033277A1
公开(公告)日：2005-02-10
申请号：US10917755
申请日：2004-08-13
申请人： Cynthia Clague , Philip Haarstad , Scott Jahns , James Keogh , Christopher Olig , Raymond Usher
发明人： Cynthia Clague , Philip Haarstad , Scott Jahns , James Keogh , Christopher Olig , Raymond Usher
IPC分类号： A61B18/14 , A61B19/00 , A61B18/04
CPC分类号： A61B18/14 , A61B18/1482 , A61B2018/00386 , A61B2018/1407 , A61B2090/034 , A61B2090/036
摘要： Methods and apparatus employed in surgery involving making precise incisions in vessels of the body, particularly cardiac blood vessels in coronary revascularization procedures conducted on the stopped or beating heart are disclosed. Such incisions are created by applying an elongated electrosurgical cutting electrode to the outer surface of the vessel wall in substantially parallel alignment with the body vessel axis, the elongated electrosurgical cutting electrode having a predetermined cutting electrode length exceeding the cutting electrode width. RF energy is applied between the electrosurgical cutting electrode and the ground electrode at an energy level and for a duration sufficient to cut an elongated slit through the vessel wall where the elongated electrosurgical cutting electrode is applied to the surface of the vessel wall.

6. 发明申请

US20070005084A1 Minimally invasive coring vein harvester 有权
标题翻译：微创取芯静脉收割机
公开(公告)号：US20070005084A1
公开(公告)日：2007-01-04
申请号：US11155533
申请日：2005-06-16
申请人： Cynthia Clague , Michael Hobday , Raymond Usher , Roderick Briscoe , Katherine Jolly , Ana Buhr , Christopher Olig , Eric Meyer , Steven Christian , Tom Daigle , Robert Reetz , Jeffrey Sandstrom , James Keogh , Matthew Bonner , Scott Jahns
发明人： Cynthia Clague , Michael Hobday , Raymond Usher , Roderick Briscoe , Katherine Jolly , Ana Buhr , Christopher Olig , Eric Meyer , Steven Christian , Tom Daigle , Robert Reetz , Jeffrey Sandstrom , James Keogh , Matthew Bonner , Scott Jahns
IPC分类号： A61B17/22
CPC分类号： A61B17/22 , A61B17/00008 , A61B17/320016 , A61B17/32002 , A61B17/32053 , A61B2017/00557 , A61B2017/00778 , A61B2017/22062 , A61B2017/22068
摘要： The invention provides a system and method for harvesting a vessel section. The system comprises a vessel support member, a handle, and a tubular cutting device. The vessel support member is introduced into the vessel section to be harvested. The tubular cutting device may comprise an outer tubular member or an outer and an inner tubular member. The outer tubular member carries at least one cutting element. The tubular member or members are advanced over the vessel section and vessel support member to core out the vessel section and tissue adjoining the vessel section.
摘要翻译：本发明提供了一种收集血管部分的系统和方法。该系统包括容器支撑构件，手柄和管状切割装置。将容器支撑构件引入待收获的容器部分。管状切割装置可以包括外部管状构件或外部管状构件和内部管状构件。外部管状构件承载至少一个切割元件。管状构件在容器部分和容器支撑构件上前进，以将与容器部分相邻的容器部分和组织芯出。

7. 发明申请

US20060036274A1 One-piece vessel harvester 审中-公开
标题翻译：一体式收集机
公开(公告)号：US20060036274A1
公开(公告)日：2006-02-16
申请号：US11147618
申请日：2005-06-08
申请人： Raymond Usher , Cynthia Clague
发明人： Raymond Usher , Cynthia Clague
IPC分类号： A61B17/00
CPC分类号： A61B17/00008 , A61B17/00234 , A61B17/29 , A61B2017/22072 , A61B2017/3445
摘要： The invention provides a system and method for harvesting a vessel section. The system comprises an endoscope, a harvesting tool, and an elongated instrument including a transparent distal nose portion, an intermediate portion having a recessed working area, and a proximal portion having at least one passageway to allow the harvesting tool access to and the endoscope visualization of the working area. The method includes making an incision at a point corresponding to the proximal end of the vessel section being harvested. The endoscope is positioned in the nose portion of the instrument, and instrument is inserted through the incision and partially into the body. Tissue is bluntly dissected away from the vessel using the nose portion. The endoscope is repositioned adjacent to the recessed working area, and a harvesting tool is inserted into the working area through the passageway and visually monitored with the endoscope.
摘要翻译：本发明提供了一种收集血管部分的系统和方法。该系统包括内窥镜，收获工具和细长器械，其包括透明的远端鼻部，具有凹入的工作区域的中间部分和具有至少一个通道的近端部分，以允许收获工具进入和内窥镜可视化的工作区域。该方法包括在与收获的血管部分的近端相对应的点处进行切口。内窥镜位于仪器的鼻部，仪器通过切口插入，部分插入体内。使用鼻部将组织直接从容器中剥离出来。将内窥镜重新定位在凹进的工作区域附近，并且收集工具通过通道插入工作区域并用内窥镜视觉监测。

8. 发明申请

US20070015970A1 Vein harvesting system including dilator shaft and removable retractor housing 有权
标题翻译：静脉收获系统包括扩张器轴和可拆卸牵开器外壳
公开(公告)号：US20070015970A1
公开(公告)日：2007-01-18
申请号：US11522866
申请日：2006-09-18
申请人： Raymond Usher , Cynthia Clague
发明人： Raymond Usher , Cynthia Clague
IPC分类号： A61B1/32
CPC分类号： A61B17/00008 , A61B2017/00778
摘要： The invention provides a system and method for harvesting a vessel section. The system comprises an endoscope, at least one harvesting tool, and an elongated instrument comprising a shaft and a housing. The shaft includes a viewable region along a length of the shaft and a lumen to slidably receive the endoscope. The housing is releasably engaged with the shaft and includes an elongated opening to provide a working area adjacent to a vessel for the harvesting tool. The method includes making an incision at a point corresponding to the proximal end of the vessel section to be harvested. A shaft is inserted through the incision and adjacent to the vessel section. A housing is slidably engaged with the inserted shaft. Harvesting operations are performed in a working area defined by sidewalls of the housing. The harvesting operations are visually monitored through the shaft.
摘要翻译：本发明提供一种用于收集血管部分的系统和方法。该系统包括内窥镜，至少一个收获工具和包括轴和壳体的细长器械。轴包括沿着轴的长度的可视区域和可滑动地容纳内窥镜的内腔。壳体可释放地与轴接合并且包括细长的开口以提供与用于收获工具的容器相邻的工作区域。该方法包括在与要收获的血管部分的近端相对应的点处进行切口。轴穿过切口并与血管部分相邻。壳体与插入的轴可滑动地接合。在由壳体的侧壁限定的工作区域中进行收获操作。收割操作通过轴进行视觉监控。

9. 发明申请

US20060030756A1 Vein harvesting system including dilator shaft and removable retractor housing 有权
标题翻译：静脉收获系统包括扩张器轴和可拆卸牵开器外壳
公开(公告)号：US20060030756A1
公开(公告)日：2006-02-09
申请号：US11147927
申请日：2005-06-08
申请人： Raymond Usher , Cynthia Clague
发明人： Raymond Usher , Cynthia Clague
IPC分类号： A61B1/32
CPC分类号： A61B17/00008 , A61B2017/00778
摘要： The invention provides a system and method for harvesting a vessel section. The system comprises an endoscope, at least one harvesting tool, and an elongated instrument comprising a shaft and a housing. The shaft includes a viewable region along a length of the shaft and a lumen to slidably receive the endoscope. The housing is releasably engaged with the shaft and includes an elongated opening to provide a working area adjacent to a vessel for the harvesting tool. The method includes making an incision at a point corresponding to the proximal end of the vessel section to be harvested. A shaft is inserted through the incision and adjacent to the vessel section. A housing is slidably engaged with the inserted shaft. Harvesting operations are performed in a working area defined by sidewalls of the housing. The harvesting operations are visually monitored through the shaft.
摘要翻译：本发明提供了一种收集血管部分的系统和方法。该系统包括内窥镜，至少一个收获工具和包括轴和壳体的细长器械。轴包括沿着轴的长度的可视区域和可滑动地容纳内窥镜的内腔。壳体可释放地与轴接合并且包括细长的开口以提供与用于收获工具的容器相邻的工作区域。该方法包括在与要收获的血管部分的近端相对应的点处进行切口。轴穿过切口并与血管部分相邻。壳体与插入的轴可滑动地接合。在由壳体的侧壁限定的工作区域中进行收获操作。收割操作通过轴进行视觉监控。

10. 发明授权

US09192466B2 Mitral bioprosthesis with low ventricular profile 有权
标题翻译：二尖瓣生物假体与低心室剖面
公开(公告)号：US09192466B2
公开(公告)日：2015-11-24
申请号：US13278050
申请日：2011-10-20
申请人： Igor Kovalsky , Cynthia Clague
发明人： Igor Kovalsky , Cynthia Clague
IPC分类号： A61F2/24 , A61F2/82
CPC分类号： A61F2/2418 , A61F2220/0016 , A61F2230/0013 , A61F2230/0054 , A61F2230/008 , A61F2250/0039 , A61F2250/0063
摘要： A heart valve prosthesis configured for placement at a mitral valve in the heart is disclosed that includes a stent-like support structure for supporting a prosthetic mitral valve. The support structure is configured to have a low ventricular profile with only a short length thereof protruding into the left ventricle when deployed in vivo. The support structure includes an upstream section that is outwardly expandable to sit against the atrial wall so as to at least partially anchor the prosthesis therein and a downstream section to which the prosthetic mitral valve is coupled that extends between the left atria and ventricle through the native mitral valve. The low-ventricular profile of the prosthesis is achieved by shaping the support structure such that the downstream section extends within and overlaps with the upstream section at given regions around the circumference of the support structure in an expanded configuration.
摘要翻译：公开了一种配置用于置于心脏二尖瓣的心脏瓣膜假体，其包括用于支撑假体二尖瓣的支架状支撑结构。支撑结构被配置为具有低的心室轮廓，当在体内部署时，其仅具有短的长度突出到左心室。所述支撑结构包括上游部分，所述上游部分向外可扩张以抵靠所述心房壁，以至少部分地将所述假体锚定在其中并且所述假性二尖瓣联接的下游部分在所述左心房和心室之间延伸通过所述天然二尖瓣通过使支撑结构成形来实现假体的低心室轮廓，使得下游部分在扩展构型中在支撑结构的圆周周围的给定区域处与上游部分延伸并重叠。

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