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21. 发明申请

WO0152717A3 TISSUE STABILIZATION DEVICE FOR USE WITH SURGICAL RETRACTORS 审中-公开
标题翻译：组织稳定装置，与外科手术器械一起使用
公开(公告)号：WO0152717A3
公开(公告)日：2002-01-03
申请号：PCT/US0101016
申请日：2001-01-11
申请人： ETHICON ENDO SURGERY INC
发明人： STEFANCHIK DAVID , PAPA CHRISTOPHER A , HOFFMAN DOUGLAS B , SWAYZE JEFFREY S , GEORGE CHRISTOPHER M
IPC分类号： A61B17/02 , A61B17/30 , A61B1/32
CPC分类号： A61B17/02 , A61B2017/0243 , A61B2017/306
摘要： The present invention is a device for stabilizing moving tissues or an organ such as the heart within the body during a surgical procedure such as a coronary artery bypass graft procedure. The device comprises a stem (65) having proximal and distal ends, a compressible ball (66) slideably attached onto the stem, and at least one foot (68 or 69) connected to the distal end of the stem. Each foot extends laterally from the stem and has a distal surface for placement on moving tissue (138). The device also comprises a retractor mount (20) with a first locking means for operational engagement with the compressible ball on the stem for adjustably holding the stem in a desired orientation during the surgical procedure. The device also comprises a second locking means for releaseably attaching the stem to the surgical retractor.
摘要翻译：本发明是一种在诸如冠状动脉旁路移植手术的外科手术过程中稳定运动组织或身体内的器官如心脏的装置。该装置包括具有近端和远端的杆（65），可滑动地附接到杆上的可压缩球（66）和连接到杆的远端的至少一个脚（68或69）。每个脚从杆横向延伸并且具有用于放置在移动的组织（138）上的远侧表面。该装置还包括具有第一锁定装置的牵开器支架（20），该第一锁定装置用于与杆上的可压缩球的操作接合，用于在外科手术过程中可调节地将杆保持在期望的取向。该装置还包括用于将柄可释放地附接到手术牵开器的第二锁定装置。

22. 发明申请

WO01080755A2 SUCTION STABILIZED EPICARDIAL ABLATION DEVICES 审中-公开
标题翻译：吸收稳定的腰围消除装置
公开(公告)号：WO01080755A2
公开(公告)日：2001-11-01
申请号：PCT/US2001/014163
申请日：2001-04-27
IPC分类号： A61B18/20 , A61B17/00 , A61B17/02 , A61B17/30 , A61B18/00 , A61B18/14 , A61N1/36
CPC分类号： A61B18/1492 , A61B18/1477 , A61B2017/00053 , A61B2017/00084 , A61B2017/00092 , A61B2017/00203 , A61B2017/00243 , A61B2017/00867 , A61B2017/0243 , A61B2017/306 , A61B2018/00011 , A61B2018/00291 , A61B2018/00363 , A61B2018/00577 , A61B2018/00809 , A61B2018/00839 , A61B2018/1425
摘要： A suction assisted ablation device having a support surface, suction elements disposed adjacent the support surface, at least one electrode and at least one suction conduit is provided. The device may further include fluid openings, which allow fluid to irrigate target tissue and aid in ablation. A method for ablating tissue using suction is also provided.
摘要翻译：具有支撑表面的抽吸辅助消融装置，邻近支撑表面设置的抽吸元件，至少一个电极和至少一个吸入管道。该装置还可以包括流体开口，其允许流体冲洗靶组织并有助于消融。还提供了一种使用抽吸消融组织的方法。

23. 发明申请

WO01080745A2 SUCTION RETRACTOR FOR ATTACHING TO AN ORGAN WITHIN A BODY 审中-公开
标题翻译：用于与身体内的一个有机体连接的吸引器
公开(公告)号：WO01080745A2
公开(公告)日：2001-11-01
申请号：PCT/US2001/013375
申请日：2001-04-26
IPC分类号： A61B19/00 , A61B17/00 , A61B17/02 , A61B17/30
CPC分类号： A61B17/02 , A61B2017/00243 , A61B2017/0243 , A61B2017/306
摘要： A suction retractor that provides support to and positions an organ for surgery is provided. This retractor includes a support surface, a plurality of suction elements disposed adjacent the support surface, at least one leash operatively attached to the support surface; and at least one suction tube operatively connected with the suction elements. A method for using the retractor to manipulate an organ during surgery is also provided.
摘要翻译：提供了一种为手术器官提供支撑和定位器官的抽吸牵开器。该收缩器包括支撑表面，邻近支撑表面设置的多个抽吸元件，至少一个可操作地连接到支撑表面的皮带; 以及至少一个与抽吸元件可操作地连接的抽吸管。还提供了一种在手术期间使用牵开器来操纵器官的方法。

24. 发明申请

WO01058373A1 SURGICAL DEVICES AND METHODS FOR USE IN TISSUE ABLATION PROCEDURES 审中-公开
标题翻译：外科手术和组织使用方法
公开(公告)号：WO01058373A1
公开(公告)日：2001-08-16
申请号：PCT/US2001/004235
申请日：2001-02-09
IPC分类号： A61B17/02 , A61B17/32 , A61B18/14
CPC分类号： A61B18/1492 , A61B2017/003 , A61B2017/0243 , A61B2017/22067 , A61B2017/320052 , A61B2018/00214 , A61B2018/0022 , A61B2018/00261 , A61B2018/00285 , A61B2018/00291 , A61B2018/00875 , A61B2018/1475
摘要： Devices and a method are provided to assist a surgeon in ablating conduction paths in tissue, such as a heart. A device can be configured to operate as a template that adheres to the tissue surface, and allows the surgeon to more easily sever the conduction path to form a lesion in a desired location. In particular, the template can be used to guide the surgeon's use of a surgical instrument along a desired ablation path. In some cases, the template may incorporate hardware that structurally supports the instrument for travel along the ablation path. A surgical instrument such as an ablation probe, e.g., radio frequency, laser, ultrasonic, microwave, thermal, chemical, mechanical, or cryogenic ablation probe, may be used to sever the conduction paths. Measurements made substantially contemporaneously with the conduction path ablation operation may be used to evaluate whether the desired degree of ablation has been achieved. The device may also incorporate feedback to compare the desired degree of conduction path ablation with the measured degree, and may deactivate the surgical instrument when the desired degree has been achieved. In some cases, the template device can be configured to provide local stabilization of organ tissue, particularly for a moving organ such as a beating heart. In other cases, the template device may provide little or no stabilization, but provide a guide structure for placement of the ablation probe in the same frame of motion as the moving tissue. Also, for some applications, the template device may be arranged to facilitate application of other therapeutic devices, such as diagnostic probes, pacing leads, and drug delivery devices, to the surface of a moving organ.
摘要翻译：提供了装置和方法以帮助外科医生消融诸如心脏的组织中的传导路径。装置可以被配置为作为粘附于组织表面的模板来操作，并允许外科医生更容易地切断传导路径以在期望的位置形成病变。特别地，模板可用于指导外科医生沿着期望的消融路径使用外科器械。在一些情况下，模板可以包括在结构上支持沿着消融路径行进的仪器的硬件。诸如消融探针的手术器械，例如射频，激光，超声波，微波，热，化学，机械或低温消融探针可用于切断传导路径。可以使用与传导路径消融操作大致同时进行的测量来评估是否已经实现了所需的消融程度。该装置还可以包括反馈以将所需的传导路径消融程度与所测量的程度进行比较，并且可以在达到期望的程度时使手术器械失活。在一些情况下，模板装置可以被配置成提供器官组织的局部稳定性，特别是对于运动的器官，例如跳动心脏。在其他情况下，模板装置可以提供很少或没有稳定性，但是提供用于将消融探针放置在与移动组织相同的运动框架中的引导结构。此外，对于一些应用，模板装置可以被布置成便于将其它治疗装置（例如诊断探针，起搏引线和药物递送装置）应用于移动的器官的表面。

25. 发明申请

WO0103585B1 A TISSUE STABILIZATION DEVICE FOR USE DURING SURGERY 审中-公开
标题翻译：在手术期间使用的组织稳定装置
公开(公告)号：WO0103585B1
公开(公告)日：2001-08-16
申请号：PCT/US0040323
申请日：2000-07-07
申请人： CHASE MEDICAL INC , ROGERS DANNY CARPENTER , AUSTIN SAMUEL LYNN , DAVIS ALBERT , KEYES CHARLES R JR , BAKER CLYDE
发明人： ROGERS DANNY CARPENTER , AUSTIN SAMUEL LYNN , DAVIS ALBERT , KEYES CHARLES R JR , BAKER CLYDE
IPC分类号： A61B17/00 , A61B17/02 , A61B17/30
CPC分类号： A61B17/02 , A61B2017/00243 , A61B2017/0243 , A61B2017/306
摘要： Disclosed is a device for isolating a cardiac surgical site. The device comprises a first finger (10) having a clinging accessory (30) for attaching the first finger to a heart (140), a second finger having a clinging accessory (30) for attaching the second finger (12) to the heart (140), a first joint disposed on the first finger (10) so that the first finger (10) may rotate on a surface of the heart such that said rotation stretches a surgical site, a first stopper (24) disposed on the first finger (10) for preventing undesired rotation of the first finger (10) to isolate the surgical site, and a link (18) for coupling the first finger (10) to the second finger (12). Several embodiments of the fingers and clinging accessories are disclosed. A guard (1602) is provided to protect sutures from the clinging accessory. The guard (1712) is equipped with a sprayer to wash the surgical site. Also disclosed is a method of isolating a cardiac surgical site. The method comprises the steps of disposing a first finger on a heart, clinging the first finger to the heart surface, disposing a second finger on a heart, clinging the second finger to the heart surface, and then rotating the first finger for achieving selective isolation of the heart surface.
摘要翻译：公开了一种用于分离心脏外科手术部位的装置。该装置包括具有用于将第一手指附接到心脏（140）的附着附件（30）的第一手指（10），具有用于将第二手指（12）附接到心脏的附着附件（30）的第二手指 140），设置在第一手指（10）上的第一关节，使得第一手指（10）可以在心脏的表面上旋转，使得所述旋转延伸手术部位，设置在第一手指上的第一止动件（24）（10），用于防止所述第一手指（10）不期望地旋转以隔离所述手术部位;以及用于将所述第一手指（10）联接到所述第二手指（12）的连杆（18）。公开了手指和附着附件的几个实施例。提供防护罩（1602）以保护缝线免受附着物的伤害。护卫（1712）配有喷雾器来清洗手术部位。还公开了分离心脏手术部位的方法。该方法包括以下步骤：将第一手指放置在心脏上，将第一手指附着到心脏表面，将第二手指放置在心脏上，将第二手指附着在心脏表面上，然后旋转第一指以实现选择性隔离的心脏表面。

26. 发明申请

WO0150946A2 FLEXIBLE STABILIZER ARM FOR FORCIBLY HOLDING AN OBJECT AGAINST A SURFACE 审中-公开
标题翻译：灵活的稳定器ARM强制保持对象的表面
公开(公告)号：WO0150946A2
公开(公告)日：2001-07-19
申请号：PCT/US0100865
申请日：2001-01-10
申请人： MEDIVAS LLC , CARPENTER KENNETH W , FOURMONT MICHELLE , SASAMINE KAZUO
发明人： CARPENTER KENNETH W , FOURMONT MICHELLE , SASAMINE KAZUO
IPC分类号： A61B17/00 , A61B17/02 , A61B19/00 , F16M11/40 , F16M13/02 , F21V21/32 , A61B
CPC分类号： F16M13/022 , A61B17/02 , A61B90/50 , A61B2017/00243 , A61B2017/0243 , A61B2090/571 , F16M11/40 , F21V21/32
摘要： The present invention provides a flexible stabilizer arm assembly (2) that can be positioned in a desired three-dimensioned attitude and then fixed in place to forceably holding an object against an undulating surface. In one embodiment, the invention assembly (2) comprises a mounting base (4) for attachment of the arm (3) to a stationary fixture, a flexible arm (3) of multiple articulated elongate links (16) rotatably joined to adjacent links (16), a freely rotatable turret joint (50) at the distal end of the arm (3) that is adapted to attach an appendage in freely rotatable fashion to the distal end of the arm (3).
摘要翻译：本发明提供了一种柔性稳定器臂组件（2），其可以被定位在期望的三维姿态中，然后固定在适当位置以将物体可靠地保持在起伏的表面上。在一个实施例中，本发明组件（2）包括用于将臂（3）附接到固定固定装置的安装基座（4），可旋转地连接到相邻连杆的多个铰接的细长连杆（16）的柔性臂（3）在臂（3）的远端处的可自由旋转的转台接头（50）适于将附件以可自由旋转的方式附接到臂（3）的远端。

27. 发明申请

WO0117437A2 ORGAN MANIPULATOR HAVING SUCTION MEMBER SUPPORTED WITH FREEDOM TO MOVE RELATIVE TO ITS SUPPORT 审中-公开
标题翻译：具有自愿支持自由的有吸引力成员的组织操纵员与其支持相关
公开(公告)号：WO0117437A2
公开(公告)日：2001-03-15
申请号：PCT/US0024372
申请日：2000-09-05
申请人： CARDIOTHORACIC SYS INC
发明人： PENG STEVEN , VOSS LARRY , HANCOCK DAVID , CARLSON GRACE , DAVIS JOHN , CHIN ALBERT , VARGAS JAIME
IPC分类号： A61B19/00 , A61B17/02 , A61B17/08 , A61B17/28 , A61B17/30
CPC分类号： A61B17/02 , A61B17/085 , A61B2017/0243 , A61B2017/2905 , A61B2017/2929 , A61B2017/293 , A61B2017/308
摘要： An organ manipulator including at least one suction member or adhesive disc mounted to a compliant joint, a flexible locking arm for mounting such suction member or compliant joint, and a method for retracting and suspending an organ in a retracted position using suction (or adhesive force) so that the organ is free to move normally (e.g., to beat or undergo other limited-amplitude motion) in at least the vertical direction during both steps. In preferred embodiments, a suction member exerts suction to retract a beating heart and suspend it in a retracted position during surgery. As the retracted heart beats, the compliant joint allows it to expand and contract freely (and otherwise move naturally) at least in the vertical direction so that hemodynamic function is not compromised. The suction member conforms or can be conformed to the organ anatomy, and its inner surface is preferably smooth and lined with absorbent material to improve traction without causing trauma to the organ. The compliant joint can connect the member to an arm which is adjustably mounted to a sternal retractor or operating table. The compliant joint can be a sliding ball joint, a hinged joint, a pin sliding in a slot, a universal joint, a spring assembly, or another compliant element. In preferred embodiments, the method includes the steps of affixing a suction member to a beating heart at a position concentric with the heart's apex, and applying suction to the heart while moving the member to retract the heart such that the heart has freedom to undergo normal beating motion at least in the vertical direction during retraction.
摘要翻译：一种器官操纵器，包括至少一个吸附构件或安装在顺应性接头上的粘性盘，用于安装该抽吸构件或柔顺接头的柔性锁定臂，以及使用吸力（或粘合力）将器官缩回和悬挂在缩回位置的方法），使得器官在两个步骤中至少在垂直方向上自由地正常移动（例如，以打败或经历其它有限幅度的运动）。在优选实施例中，抽吸构件进行抽吸以缩回跳动的心脏并且在手术期间将其悬挂在缩回位置。随着缩回的心脏跳动，柔顺关节允许其至少在垂直方向上自由地膨胀和自然地收缩（或自然地移动），使得血液动力学功能不受损害。抽吸构件符合或可以符合器官解剖结构，并且其内表面优选地是平滑的并且衬有吸收材料，以改善牵引力而不会对器官造成伤害。柔性接头可以将构件连接到可调节地安装到胸骨牵开器或手术台上的臂。柔性接头可以是滑动球接头，铰接接头，在槽中滑动的销，万向接头，弹簧组件或另一柔性元件。在优选实施例中，该方法包括以下步骤：将吸引构件固定在与心脏顶点同心的位置处的跳动心脏，并且在移动构件以使心脏收缩的同时向心脏施加吸力，使得心脏具有正常的自由至少在缩回过程中垂直方向进行跳动运动。

28. 发明申请

WO00010466A1 PERICARDIUM RETRACTION DEVICE FOR POSITIONING A BEATING HEART 审中-公开
标题翻译：用于定位心脏心脏的周围回缩装置
公开(公告)号：WO00010466A1
公开(公告)日：2000-03-02
申请号：PCT/CA1999/000757
申请日：1999-08-17
IPC分类号： A61B17/02 , A61B17/30
CPC分类号： A61B17/02 , A61B17/0206 , A61B2017/0243 , A61B2017/306 , A61B2017/308
摘要： A surgical apparatus (1) for retraction of tissue (PCT), the surgical apparatus (1) having a tissue-engaging member (30) for providing a negative pressure suction force on the tissue (PCT) which is sufficient to retract same, the tissue-engaging member (30) having a deformable skirt (31) defining a contacting perimeter (311) for substantially air-sealed engagement with the tissue (PCT), and wherein a negative pressure plenum is formed within the deformable skirt (31) when the tissue engaging member (30) is connected to a negative pressure source and when the contacting perimeter (311) of the deformable skirt (31) is placed against the tissue (PCT) in substantially air-sealed engagement therewith.
摘要翻译：一种用于收缩组织（PCT）的手术装置（1），所述手术装置（1）具有组织接合构件（30），用于在组织（PCT）上提供负压抽吸力足以使其缩回，组织接合构件（30）具有限定用于与所述组织（PCT）基本上气密接合的接触周边（311）的可变形裙部（31），并且其中在所述可变形裙部（31）内形成负压室，组织接合构件（30）连接到负压源并且当可变形裙部（31）的接触周边（311）相对于组织（PCT）以大体上与其空气密封接合的方式放置时。

29. 发明申请

WO00009017A1 SURGICAL SUTURE AND ASSOCIATED ANCHORING MECHANISM FOR TISSUE RETRACTION 审中-公开
标题翻译：外科手术及相关锚固机构组织回缩
公开(公告)号：WO00009017A1
公开(公告)日：2000-02-24
申请号：PCT/CA1999/000740
申请日：1999-08-10
IPC分类号： A61B17/02 , A61B17/04 , A61B17/06
CPC分类号： A61B17/0206 , A61B17/0293 , A61B17/0487 , A61B17/06061 , A61B2017/0243 , A61B2017/045 , A61B2017/0496 , A61B2017/06052
摘要： The present invention provides a tissue retractor (2) for displacing body tissue during surgery consisting of a tissue piercing member such as a surgical needle (20), a wire-like filament such as a suture line (23) affixed to the surgical needle (20), a fixed element such as an anchoring port (90) being associated with a stable surgical platform such as a sternum retractor (1), and a movable element such as an anchoring plug (25) cooperating with anchoring port (90) to engage a portion of suture line (23) after the suture line (23) is threaded through the body tissue with the surgical needle (20) and after the suture wire (20) is tensioned to effect a predetermined displacement of the body tissue. The predetermined displacement of body tissue is maintained by retention of the engaged portion of suture line (23) by the fixed anchoring portion (90) and the movable anchoring plug (25).
摘要翻译：本发明提供了一种组织牵开器（2），用于在外科手术期间移动身体组织，该组织牵开器由诸如外科用针（20）的组织穿刺构件，固定到外科用针上的缝合线（23）固定元件，例如锚固端口（90），其与诸如胸骨牵开器（1）的稳定手术平台相关联，以及可移动元件，例如与锚定端口（90）配合的锚定插塞（25）在缝合线（23）穿过身体组织之后，用外科手术针（20）和缝合线（20）被拉紧以实现身体组织的预定位移之后，接合缝合线（23）的一部分。通过固定锚固部分（90）和可移动锚固塞（25）保持缝合线（23）的被啮合部分来维持身体组织的预定位移。

30. 发明申请

WO99063895A1 AUXILIARY DEVICE FOR PULSATILE CORONARY ARTERY BYPASS 审中-公开
标题翻译：辅助器官用于脉搏型冠状动脉旁路
公开(公告)号：WO99063895A1
公开(公告)日：1999-12-16
申请号：PCT/JP1999/002977
申请日：1999-06-03
IPC分类号： A61B17/00 , A61B17/02 , A61B17/11 , A61B17/12
CPC分类号： A61B17/00234 , A61B17/02 , A61B2017/00243 , A61B2017/00557 , A61B2017/0243 , A61B2017/1135
摘要： An auxiliary device for safely and surely performing off-pump coronary artery anastomosis and low-invasive coronary artery bypass. This device consists of a means for elevating the heart to enable an operator to see the anastomosed part directly in the face and, at the same time, achieving the static state of the anastomosed part; a means for perfusing the blood in the peripheral side of the coronary artery during the anastomosis of a blood vessel for bypass; and a means for fastening the coronary artery in the central side and in the peripheral side of the anastomosed part of the coronary artery to thereby block the blood flow, thus maintaining the anastomosed part in a blood-free state.
摘要翻译：一种辅助装置，用于安全，可靠地执行非冠状动脉冠状动脉吻合术和低侵入性冠状动脉旁路。该装置包括用于升高心脏以使操作者可以直接在脸部中观察吻合部分并同时实现吻合部分的静态的装置; 用于在用于旁路的血管的吻合期间灌注冠状动脉周边侧的血液的装置; 以及用于将冠状动脉紧固在冠状动脉的吻合部分的中心侧和外周侧，从而阻止血流，从而将吻合部保持在无血液状态。

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