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    • 4. 发明授权
    • Device to permit offpump beating heart coronary bypass surgery
    • 允许偏心跳动心脏冠状动脉旁路手术的装置
    • US06726622B2
    • 2004-04-27
    • US10025941
    • 2001-12-20
    • Paul A. SpenceWarren Williamson, IV
    • Paul A. SpenceWarren Williamson, IV
    • A61B1700
    • A61B17/0218A61B2017/00305A61B2017/00309A61B2017/0243A61B2017/308
    • A heart retractor links lifting of the heart and regional immobilization which stops one part of the heart from moving to allow expeditious suturing while permitting other parts of the heart to continue to function whereby coronary surgery can be performed on a beating heart while maintaining cardiac output unabated and uninterrupted. Circumflex coronary artery surgery can be performed using the heart retractor of the present invention. The retractor includes a plurality of flexible arms and a plurality of rigid arms as well as a surgery target immobilizing element. One form of the retractor can be used in minimally invasive surgery, while other forms of the retractor can accommodate variations in heart size and paracardial spacing.
    • 心脏牵开器连接心脏的抬起和区域性固定,其阻止心脏的一部分移动以允许快速缝合,同时允许心脏的其他部分继续发挥作用,从而可以在跳动的心脏上进行冠状动脉手术,同时保持心输出量不减 并不间断。 可以使用本发明的心脏牵开器进行环形冠状动脉手术。 牵开器包括多个柔性臂和多个刚性臂以及手术目标固定元件。 牵开器的一种形式可用于微创手术,而其他形式的牵开器可以适应心脏尺寸和心包间隔的变化。
    • 7. 发明授权
    • Device to permit offpump beating heart coronary bypass surgery
    • 允许偏心跳动心脏冠状动脉旁路手术的装置
    • US06705988B2
    • 2004-03-16
    • US10029792
    • 2001-12-28
    • Paul A. SpenceWarren Williamson, IV
    • Paul A. SpenceWarren Williamson, IV
    • A61B132
    • A61B17/0218A61B17/00491A61B17/02A61B17/0206A61B17/0293A61B17/04A61B17/064A61B17/068A61B17/29A61B2017/0243A61B2017/308
    • A system for manipulating and supporting a beating heart during cardiac surgery, including a gross support element for engaging and supporting the heart (the gross support element preferably including a head which is sized and shaped to cradle the myocardium of the left ventricle”), a suspension head configured to exert lifting force on the heart when positioned near the apical region of the heart at a position at least partially overlying the right ventricle, and a releasable attachment element for releasably attaching at least one of the gross support element and the suspension head to the heart. The releasable attachment element can be a mechanical element (such as one or more staples or sutures') or an adhesive such as glue. Alternatively, the system includes a suspension head and a releasable attachment element for releasably attaching it to the heart, but does not include a gross support element.
    • 一种用于在心脏手术期间操纵和支撑跳动心脏的系统,包括用于接合和支撑心脏的总支撑元件(大体支撑元件优选地包括尺寸和形状以摇摆左心室的心肌的头部),系统 悬架头构造成当至少部分地覆盖在右心室上的位置处定位在心脏的顶端附近时在心脏上施加提升力;以及可释放的附接元件,用于可释放地附接至少一个总支撑元件和悬架头 可释放的附接元件可以是机械元件(例如一个或多个缝钉或缝合线)或诸如胶的粘合剂。或者,该系统包括悬挂头和可释放的附接元件,用于可释放地将其附接到 心脏,但不包括总支持元素。
    • 8. 发明授权
    • System to permit offpump beating heart coronary bypass surgery
    • 系统允许偏心跳动心脏冠状动脉旁路手术
    • US06390976B1
    • 2002-05-21
    • US09109924
    • 1998-07-02
    • Paul A. SpenceWarren Williamson, IV
    • Paul A. SpenceWarren Williamson, IV
    • A61B132
    • A61B17/0218A61B17/00491A61B17/02A61B17/0206A61B17/0293A61B17/04A61B17/064A61B17/068A61B17/29A61B2017/0243A61B2017/308
    • A system for manipulating and supporting a beating heart during cardiac surgery, including a gross support element for engaging and supporting the heart (the gross support element preferably including a head which is sized and shaped to cradle the myocardium of the left ventricle), a suspension head configured to exert lifting force on the heart when positioned near the apical region of the heart at a position at least partially overlying the right ventricle, and a releasable attachment element for releasably attaching at least one of the gross support element and the suspension head to the heart. The releasable attachment element can be a mechanical element (such as one or more staples or sutures) or an adhesive such as glue. Alternatively, the system includes a suspension head and a releasable attachment element for releasably attaching it to the heart, but does not include a gross support element.
    • 一种用于在心脏手术期间操纵和支撑跳动心脏的系统,包括用于接合和支撑心脏的总体支撑元件(总体支撑元件优选地包括头部,其尺寸和形状适于摇动左心室的心肌),悬架 头部构造成当至少部分地覆盖右心室的位置处定位在心脏的顶部区域附近时在心脏上施加提升力;以及可释放的附接元件,用于将大体支撑元件和悬架头部中的至少一个可释放地附接到 心脏 可释放的附接元件可以是机械元件(例如一个或多个缝钉或缝线)或诸如胶的粘合剂。 或者,该系统包括悬挂头和可释放的附接元件,用于可释放地将其附接到心脏,但不包括总支撑元件。