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1. 发明授权

US08109947B2 Medical grafting methods and apparatus 有权
标题翻译：医疗移植方法和装置
公开(公告)号：US08109947B2
公开(公告)日：2012-02-07
申请号：US11169114
申请日：2005-06-27
申请人： Todd A Berg , Daniel J Sullivan , William J Swanson , Paul J Hindrichs
发明人： Todd A Berg , Daniel J Sullivan , William J Swanson , Paul J Hindrichs
IPC分类号： A61B17/08
CPC分类号： A61B17/064 , A61B17/11 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135 , A61B2017/1139 , A61F2/064
摘要： Methods and apparatus for delivering and installing a new length of tubing between two sections of a patient's existing body organ tubing and at least partly outside of that existing structure. For example, the new length of tubing may be for the purpose of providing the patient with a coronary bypass. The new tubing may be an artificial graft, a natural graft (harvested elsewhere from the patient), or both. The new tubing is installed at the operative site primarily by providing at least one graft location with instrumentation inserted through the patient's existing tubular body organ structure. Assistance in installing the new tubing may be provided by minimally invasive surgical access openings in the patient's chest. The tubing may be delivered through the patient's existing tubular body structure or, alternatively, through the surgical access openings.
摘要翻译：用于在患者现有身体器官管的两个部分之间并且至少部分地位于该现有结构之外递送和安装新长度的管的方法和装置。例如，新的管子长度可以用于为患者提供冠状动脉旁路。新的管道可以是人造移植物，天然移植物（从患者的其他地方收获）或两者。新的管道安装在手术部位，主要通过提供至少一个移植位置，通过患者现有的管状体器官结构插入仪器。可以通过患者胸部的微创手术进入口来提供安装新管道的帮助。管道可以通过患者现有的管状体结构输送，或者替代地通过外科进入口。

2. 发明授权

US08632555B2 Medical graft connector and methods of making and installing same 有权
标题翻译：医疗移植连接器及其制造和安装方法
公开(公告)号：US08632555B2
公开(公告)日：2014-01-21
申请号：US10637213
申请日：2003-08-07
申请人： Alex A Peterson , Paul J Hindrichs , Mark D Wahlberg , Todd A Berg , Jon P St. Germain
发明人： Alex A Peterson , Paul J Hindrichs , Mark D Wahlberg , Todd A Berg , Jon P St. Germain
IPC分类号： A61B17/08
CPC分类号： A61F2/88 , A61B17/064 , A61B17/11 , A61B2017/0641 , A61B2017/1135 , A61F2220/0008 , A61F2230/005 , A61F2230/0054
摘要： A medical graft connector for connecting an end of a tubular graft conduit to a side wall of a patient's existing tubular body conduit via an aperture in the side wall thereof has a first plurality of fingers configured to engage an interior surface of the side wall of the existing conduit. A second plurality of fingers is configured to engage an exterior surface of the side wall of the existing conduit. A third plurality of fingers is received in an interior lumen of the graft conduit, and a fourth plurality of fingers is configured to pierce the graft conduit. The connector is radially deformable between a first size and a second size.
摘要翻译：一种用于将管状移植物导管的端部经由其侧壁中的孔连接到患者现有管状导管的侧壁的医用移植物连接器，其具有构造成接合所述侧壁的内侧表面的第一多个指状物现有管道。第二多个指状物构造成接合现有导管的侧壁的外表面。第三多个指状物被接收在移植物导管的内腔中，并且第四多个指状物构造成刺穿移植物导管。连接器可在第一尺寸和第二尺寸之间径向变形。

3. 发明授权

US07361181B2 Apparatus and methods for creating anastomoses 有权
标题翻译：用于创建吻合的装置和方法
公开(公告)号：US07361181B2
公开(公告)日：2008-04-22
申请号：US10678405
申请日：2003-10-03
申请人： Paul J Hindrichs , Michael P Brenzel , Richard G Cornelius , William J Swanson
发明人： Paul J Hindrichs , Michael P Brenzel , Richard G Cornelius , William J Swanson
IPC分类号： A61B17/11 , A61B1/32
CPC分类号： A61B17/32053 , A61B17/064 , A61B17/0644 , A61B17/11 , A61B17/3209 , A61B17/3211 , A61B2017/00867 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135
摘要： Apparatus and methods for creating anastomoses are provided. An incision tool for creating an incision having a controlled length in a side wall of a patient's body tissue conduit is provided. A delivery device for inserting a hollow annular connector into an incision in a side wall of a patient's body tissue conduit is provided. The delivery device may include first and second anvil structures around which the connector may be disposed. By moving the first anvil structure away from the second anvil structure, the connector may expand to a desired configuration (e.g., non-round) within the aperture. In one example, the connector may be inserted into the aperture to hold the aperture open prior to attachment of a graft conduit to the aperture, thereby allowing a physician to inspect the aperture and the surrounding tissue.
摘要翻译：提供了用于产生吻合的装置和方法。提供了一种用于在患者身体组织导管的侧壁中产生具有受控长度的切口的切口工具。提供了一种用于将中空环形连接器插入患者身体组织导管的侧壁中的切口中的输送装置。输送装置可以包括可以设置连接器的第一和第二砧座结构。通过将第一砧座结构移动离开第二砧座结构，连接器可以扩展到孔内所需的构造（例如非圆形）。在一个示例中，连接器可以插入孔中以在将移植物导管附接到孔之前保持孔开放，从而允许医师检查孔和周围组织。

4. 发明授权

US08920434B2 Remote body tissue engaging methods and apparatus 有权
标题翻译：遥控身体组织接触方法和装置
公开(公告)号：US08920434B2
公开(公告)日：2014-12-30
申请号：US11361193
申请日：2006-02-23
申请人： Michael P Brenzel , Theodore P Dale , David M Costello , Paul J Hindrichs
发明人： Michael P Brenzel , Theodore P Dale , David M Costello , Paul J Hindrichs
IPC分类号： A61B17/08 , A61B17/32 , A61B17/34 , A61B17/00
CPC分类号： A61B17/3403 , A61B17/0057 , A61B2017/00243 , A61B2017/00575 , A61B2017/00592 , A61B2017/0061 , A61B2017/00623 , A61B2017/320052 , A61B2017/3482 , A61B2017/3484 , A61B2017/3488
摘要： Apparatus is provided that can be delivered through a catheter to a remote location in a patient's body. The apparatus may include a first structure that can be positioned in all dimensions in a controlled manner and stabilized in that desired position, a second structure that can then position a lumen axis at a desired angle relative to the first structure, and a third member that can pass through the lumen and approach and engage with force (e.g., penetrate) a desired location on the anatomy without compromising maintaining the desired position. The apparatus effectively separates the forces needed for positioning and the forces needed for tissue engagement (e.g., penetration).
摘要翻译：提供了可以通过导管输送到患者体内的远程位置的装置。该装置可以包括第一结构，该第一结构可以受控方式在所有维度中被定位并且在该期望位置处被稳定化;第二结构，其然后可以使管腔轴线相对于第一结构以期望的角度定位;以及第三构件，可以通过内腔并且接近和接合力（例如，穿透）解剖结构上的期望位置，而不会影响维持期望的位置。该装置有效地分离了定位所需的力和组织接合所需的力（例如，穿透）。

5. 发明授权

US08882787B2 Tissue anchor apparatus 有权
标题翻译：组织锚装置
公开(公告)号：US08882787B2
公开(公告)日：2014-11-11
申请号：US11361197
申请日：2006-02-23
申请人： Michael P Brenzel , Theodore P Dale , David M Costello , Paul J Hindrichs
发明人： Michael P Brenzel , Theodore P Dale , David M Costello , Paul J Hindrichs
IPC分类号： A61B17/08 , A61B19/00 , A61B17/00 , A61B17/3205
CPC分类号： A61B19/54 , A61B17/32053 , A61B90/39 , A61B2017/00243 , A61B2017/00575 , A61B2017/00623 , A61B2017/00986
摘要： A structure that can be used to provide an anchor in or adjacent to a patient's soft body tissue (rather than bone) includes an annular array of flexible members that extend between two axially spaced but aligned tubular members. The space between the tubular members can be selectively changed to affect the amount by which portions of the flexible members between the tubular member project radially outward relative to the tubular members. When the flexible members project radially out, the structure resists axial movement relative to adjacent tissue and therefore acts as an anchor. When the flexible members do not project radially out, they permit axial movement of the structure through adjacent tissue.
摘要翻译：可以用于在患者的软体组织（而不是骨骼）中或邻近提供锚的结构包括在两个轴向间隔开但对准的管状构件之间延伸的柔性构件的环形阵列。可以选择性地改变管状构件之间的空间以影响管状构件之间的柔性构件的一部分相对于管状构件径向向外突出的量。当柔性构件径向突出时，结构抵抗相对于相邻组织的轴向运动，因此用作锚固件。当柔性构件不径向伸出时，它们允许结构体通过相邻组织的轴向运动。

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