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51. 发明申请

WO2008093797A1 術野確保装置审中-公开
标题翻译：外科保养装置
公开(公告)号：WO2008093797A1
公开(公告)日：2008-08-07
申请号：PCT/JP2008/051561
申请日：2008-01-31
申请人：オリンパス株式会社 , 高橋誠也
发明人：高橋誠也
IPC分类号： A61B17/00 , A61B19/00
CPC分类号： A61B17/00234 , A61B34/30 , A61B34/37 , A61B34/71 , A61B90/50 , A61B2017/00243 , A61B2017/00703 , A61B2017/0243
摘要：　心臓（５０）に接触する接触部（１０Ｂ１）と、前記心臓（５０）に対して所定の処置を施す為のマニピュレータ部（１０Ｂ２）と、前記心臓（５０）と前記マニピュレータ部（１０Ｂ２）との相対的位置を固定して前記マニピュレータ部（１０Ｂ２）を保持するマニピュレータ保持部（１０Ｂ４）と、を具備する術野確保装置。
摘要翻译：手术保持装置包括与心脏接触的接触部分（10B1），用于对心脏（50）施加预定治疗的操纵部分（10B2）;以及操纵器保持部分（10B4），其保持操纵部分（10B2），同时保持机械手部分（10B2）相对于心脏（50）的相对位置。

52. 发明申请

WO2008021111A2 SURGICAL ASSEMBLIES AND METHODS FOR VISUALIZING AND PERFORMING SURGICAL PROCEDURES IN REDUCED-ACCESS SURGICAL SITES 审中-公开
标题翻译：用于可视化手术室中可视化和执行外科手术的手术组件和方法
公开(公告)号：WO2008021111A2
公开(公告)日：2008-02-21
申请号：PCT/US2007/017592
申请日：2007-08-08
申请人： CARDIOTHORACIC SYSTEMS, INC. , LAU, Liming , WILLIS, Geoffrey, H. , DAVIS, John, W.
发明人： LAU, Liming , WILLIS, Geoffrey, H. , DAVIS, John, W.
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B90/50 , A61B2017/0243 , A61B2017/306
摘要： Assemblies and methods for carrying out a procedure on an organ or tissue in a closed or restricted space surgical site. A low profile head is configured and dimensioned to be delivered to a target location on the organ or tissue through an opening in a patient and having a contact surface configured to contact a surface of the organ or tissue at the target location. An elongated member extends proximally from the low profile head and has sufficient length so that a proximal end portion of the elongated member extends out of the opening in the patient when the contact surface of the head contacts the organ or tissue at the target location. The elongated member has a lumen extending longitudinally therethrough. An endoscope is dimensioned to be received in the lumen and has an elongated shaft of sufficient length such that when a distal tip of the endoscope extends into the head, and the contact surface contacts the organ or tissue at the target location, a proximal end portion of the elongated shaft of the endoscope extends out of the opening in the patient.
摘要翻译：用于在封闭或受限空间手术部位的器官或组织上进行手术的组件和方法。低轮廓头部被构造和定尺寸为通过患者中的开口递送到器官或组织上的目标位置，并具有接触表面，该接触表面被配置成接触位于目标位置的器官或组织的表面。细长构件从低剖面头部向近侧延伸并且具有足够的长度，使得当头部的接触表面接触目标位置处的器官或组织时，细长构件的近端部分延伸出患者的开口。细长构件具有纵向延伸穿过其中的内腔。内窥镜的尺寸被确定为被容纳在内腔中并且具有足够长度的细长轴，使得当内窥镜的远侧末端延伸到头部中并且接触表面接触目标位置处的器官或组织时，近侧端部部分内窥镜的细长轴伸出患者的开口。

53. 发明申请

WO2008005990A2 SURGICAL TOOLS FOR LVAD IMPLANTATION 审中-公开
标题翻译：手术植入手术
公开(公告)号：WO2008005990A2
公开(公告)日：2008-01-10
申请号：PCT/US2007/072759
申请日：2007-07-03
申请人： SEMMT, INC. , COHN, William, E.
发明人： COHN, William, E.
IPC分类号： A61B17/00
CPC分类号： A61B17/32 , A61B17/32053 , A61B17/34 , A61B90/50 , A61B2017/00243 , A61B2017/00278 , A61B2017/0243 , A61B2017/1135 , A61B2017/306 , A61B2017/3425 , A61B2017/3484 , A61B2017/3488 , A61M1/10 , A61M1/1008 , A61M1/12 , A61M1/122 , A61M1/3653 , A61M1/3659
摘要： Novel tools for surgery are described herein. The disclosed devices incorporate novel features which enable a surgeon to perform artificial device ( e.g. , left ventricular assist devices (LVAD)) implantations and other procedures more efficiently and easily. One embodiment of an apparatus employs a suction element that is adapted to releasably couple to a surgical connector. The suction element simultaneously positions and stabilizes the organ and the surgical connector to the organ. In an embodiment of another device, a coring system employs a balloon catheter and a coring tool which is adapted to be threaded on to a guide wire. Embodiments of the coring tool ensure removal and excision of cored tissue while preventing blood loss. In an embodiment of yet another device, an automated surgical connector employs a novel press-fit mechanism. The press-fit mechanism allows a surgeon to attach the connector to an organ without the use of sutures.
摘要翻译：本文描述了用于手术的新型工具。所公开的设备结合了新颖特征，其使得外科医生能够更有效和更容易地执行人工装置（例如，左心室辅助装置（LVAD））植入和其它手术。装置的一个实施例采用适于可释放地联接到手术连接器的抽吸元件。抽吸元件同时将器官和手术连接器定位并稳定到器官。在另一装置的一个实施例中，取芯系统采用球囊导管和取芯工具，其适于螺纹连接到导丝上。取芯工具的实施例确保了去除和切除核心组织，同时防止失血。在另一个装置的实施例中，自动手术连接器采用新的压配合机构。压合机构允许外科医生将连接器附接到器官而不使用缝合线。

54. 发明申请

WO2006127237A3 SURGICAL STABILIZERS AND METHODS FOR USE IN REDUCED-ACCESS SURGICAL SITES 审中-公开
标题翻译：手术稳定剂及其在减少手术治疗中的使用方法
公开(公告)号：WO2006127237A3
公开(公告)日：2007-09-27
申请号：PCT/US2006017454
申请日：2006-05-04
申请人： CARDIOTHORACIC SYS INC , DAVIS JOHN W
发明人： DAVIS JOHN W
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B2017/0243 , A61B2017/2926 , A61B2017/2927 , A61B2017/306
摘要： Devices and methods for stabilizing tissue within a patient's body. Such a device is adapted to assume a reduced configuration and an operating configuration. The device assumes the reduced configuration for passage through a small opening to deliver a working end of the device to a site of the tissue to be stabilized. Such a device may include first and second contact members that are mounted for rotation, with each having a contact surface adapted to contact a surface of the tissue. When the device is in the operating configuration, a largest cross-sectional dimension of the contact members may be greater than a largest dimension of an opening through which the contact members were passed.. However, when in the reduced configuration, largest cross-sectional dimension of the contact members is less than the largest dimension of the opening.
摘要翻译：用于稳定患者体内组织的装置和方法。这种装置适于采取减小的配置和操作配置。该装置采取减小的构型以通过小开口以将装置的工作端传送到待稳定的组织的部位。这种装置可以包括安装成旋转的第一和第二接触构件，每个具有适于接触组织表面的接触表面。当装置处于操作构造时，接触构件的最大横截面尺寸可以大于接触构件通过的开口的最大尺寸。然而，当处于减小构造时，最大横截面接触构件的尺寸小于开口的最大尺寸。

55. 发明申请

WO2005102232A2 SUCTION CUP STABILIZER FOOT FOR CARDIAC SURGERY 审中-公开
标题翻译：用于心脏手术的止血杯稳定器
公开(公告)号：WO2005102232A2
公开(公告)日：2005-11-03
申请号：PCT/US2005013383
申请日：2005-04-20
申请人： GENESEE BIOMEDICAL INC , WRIGHT JOHN T M
发明人： WRIGHT JOHN T M
IPC分类号： A61B17/02 , A61B17/30 , A61F2/00 , A61F13/00
CPC分类号： A61B17/02 , A61B2017/0243 , A61B2017/306
摘要： An epicardial stabilizer foot (16)comprises a frame (18)configured to reside adjacent to a target portion of a beating heart and a number of self-retaining flexible suction cups (32) attached to the frame (18)for adhering the frame (18) to the surface of the beating heart adjacent the target portion. The frame (18) may be configured to partially surround the target portion with the associated suction cups (32) surrounding the target portion as well. A method for stabilizing a target portion of a beating heart comprises pressing the suction cups (32) of the suction cup stabilizer foot (16) adjacent the target portion of a beating heart to form a partial vacuum attachment therebetween and fixing the position of the frame (18) to prevent motion of the frame (18) relative to the beating heart.
摘要翻译：心外膜稳定器脚（16）包括构架成与跳动心脏的目标部分邻接的框架（18）和附接到框架（18）上的多个自固定柔性吸盘（32），用于粘结框架 18）到靠近目标部分的跳动心脏的表面。框架（18）可以被构造成部分地围绕目标部分围绕目标部分的相关联的吸盘（32）围绕目标部分。用于稳定跳动心脏的目标部分的方法包括：将吸盘稳定器脚（16）的吸盘（32）压靠在跳动心脏的目标部分上以在其间形成部分真空附件，并固定框架的位置（18），以防止框架（18）相对于打浆心脏的运动。

56. 发明申请

WO2003092506A1 VACUUM EQUIPMENT SET FOR TEMPORARY IMMOBILISATION OF LOCAL MYOCARDIAL AREAS DURING SURGICAL INTERVENTIONS WITHOUT CARDIAC ARREST AND DEVICE FOR IMMOBILISING A LOCAL MYOCARDIAL AREA 审中-公开
标题翻译：在没有心脏病患者的手术干预期间临时使用局部肌内区域的真空设备和用于固定本地心肌梗塞的装置
公开(公告)号：WO2003092506A1
公开(公告)日：2003-11-13
申请号：PCT/RU2002/000314
申请日：2002-06-28
IPC分类号： A61B17/00
CPC分类号： A61B17/02 , A61B2017/0243 , A61B2017/306
摘要： The invention relates to medical engineering and can be used for full-scale and low-invasive surgical interventions without cardiac arrest. Said invention makes it possible to maintain, in an autonomous mode, the optimal immobilising conditions of an operated myocardial area during the total intervention period with a minimum traumatic impact on the myocardium. The inventive set comprises a vacuum source arranged in a portable body, and a device (2) for immobilising the local myocardial area fixed to a retractor (1). The device (2) for immobilising the local myocardial area comprises a unit (48) for stabilising the position of the operated myocardial area fixed to an adjustable supporting element (44). Said stabilising unit is provided with a load-bearing frame (51) assembled from two bearing clamps (52, 53) which are pivotally connected to each other and provided with two flanges (55, 56) limiting a surgical window. Each bearing clamp is provided with a vacuum cap (57) which has a working cavity open on the end thereof which is oriented towards the myocardium, and removable perforated inserts (59) arranged inside said cavity.
摘要翻译：本发明涉及医学工程，并且可以用于全面和低侵入性的外科手术而无心脏骤停。所述发明使得可以在自主模式下维持在整个干预期间操作的心肌区域的最佳固定条件，对心肌具有最小的创伤性影响。本发明的组合包括布置在便携式身体中的真空源，以及用于固定固定到牵开器（1）的局部心肌区域的装置（2）。用于固定局部心肌区域的装置（2）包括用于稳定被固定到可调节支撑元件（44）的操作的心肌区域的位置的单元（48）。所述稳定单元设置有由两个轴承夹具（52,53）组装的承载框架（51），所述承载框架彼此枢转地连接并设置有限制外科窗口的两个凸缘（55,56）。每个轴承夹具设置有真空盖（57），其具有在其端部朝向心肌定向的工作空腔，以及布置在所述腔内的可移除的穿孔插入件（59）。

57. 发明申请

WO2003049659A1 A HEART STABILIZER 审中-公开
标题翻译：心脏稳定剂
公开(公告)号：WO2003049659A1
公开(公告)日：2003-06-19
申请号：PCT/US2001/017330
申请日：2001-05-29
申请人： COMPUTER MOTION, INC.
发明人： SNOW, Edward, Ramsey
IPC分类号： A61F13/00
CPC分类号： A61B17/0218 , A61B17/06061 , A61B2017/0243 , A61B2017/306
摘要： A heart stabilizer (60) that may include a wrist (62) which couples an end effector (64) to a first linkage (66). The end effector (64) and wrist (62) may be inserted through an incision in the chest of a patient to assist in performing a minimally invasive coronary procedure. The wrist (62) provides dexterity so that the end effector (64) can be placed on the heart to stabilize the same. The end effector (64) may include a pair of manually actuated levers. The paddles (76) may have cleats that allow sutures to be attached to the stabilizer (60) during a minimally invasive procedure.
摘要翻译：心脏稳定器（60），其可以包括将末端执行器（64）联接到第一连杆机构（66）的手腕（62）。末端执行器（64）和手腕（62）可以穿过患者胸部的切口插入以帮助执行微创冠状动脉手术。手腕（62）提供灵巧性，使得末端执行器（64）可以放置在心脏上以使其稳定。末端执行器（64）可以包括一对手动致动的杠杆。桨叶（76）可以具有在微创程序期间允许缝线连接到稳定器（60）的防滑钉。

58. 发明申请

WO02034118A2 INTRACARDIOVASCULAR ACCESS (ICVA) SYSTEM 审中-公开
标题翻译： INTRACARDIOVASCULAR ACCESS（ICVA ）系统
公开(公告)号：WO02034118A2
公开(公告)日：2002-05-02
申请号：PCT/US2001/047608
申请日：2001-10-26
IPC分类号： A61B17/00 , A61B17/02 , A61B17/34 , A61B
CPC分类号： A61B17/3421 , A61B17/3498 , A61B2017/00243 , A61B2017/003 , A61B2017/0243 , A61B2017/3445 , A61B2017/3449 , A61B2017/3466 , A61B2017/3488
摘要： Apparatus is disclosed for providing access to a functioning vascular system of a patient, the apparatus comprising: a main body having sidewalls defining an interior region and an exterior region, a bottom end and a top end; a base being formed at the bottom end of the main body, securing means being configured on the base so as to allow attachment and formation of a seal between the base and the functioning vascular system of the patient, and the base being configurable to provide a passageway from the interior region of the main body to the functioning vascular system of the patient; and a cover being formed at the top end of the main body, wherein the cover provides a barrier between the interior region and the exterior region at the top end of the main body.
摘要翻译：公开了用于提供对患者的功能性血管系统的访问的装置，该装置包括：主体，其具有限定内部区域和外部区域，底部端部和顶端的侧壁; 基部形成在主体的底端，固定装置构造在基部上，以便允许在基部和患者的功能性血管系统之间的密封的附接和形成，并且基座可配置成提供从主体的内部区域到患者的功能性血管系统的通道; 以及盖，其形成在所述主体的顶端，其中所述盖在所述主体的顶端处在所述内部区域与所述外部区域之间提供阻挡层。

59. 发明申请

WO02030352A2 INSTRUMENTS AND SYSTEMS FOR PERFORMING THROUGH-PORT OFF-PUMP CORONARY ARTERY BYPASS SURGERY 审中-公开
标题翻译：用于执行通过端口离心泵冠状动脉旁路手术的仪器和系统
公开(公告)号：WO02030352A2
公开(公告)日：2002-04-18
申请号：PCT/US2001/031691
申请日：2001-10-10
IPC分类号： A61B17/00 , A61B17/02 , A61B17/34 , A61K
CPC分类号： A61B17/3403 , A61B17/3417 , A61B17/3421 , A61B17/3462 , A61B2017/0243 , A61B2017/349
摘要： A system for performing through port off-pump coronary artery bypass surgery includes a port insertable between ribs into a chest wall of a patient, a heart stabilizer extendable through and stably coupable to the port, and an instrument stabilizer adapted to dampen extraneous movement to which a surgical instrument extending through the stabilizer is subject.
摘要翻译：用于通过端口抽出冠状动脉旁路手术执行的系统包括可插入患者的胸壁的肋骨之间的端口，可延伸并稳定地与端口耦合的心脏稳定器，以及适于阻尼外部移动的器械稳定器延伸穿过稳定器的手术器械是受试者。

60. 发明申请

WO02028287A1 METHOD AND APPARATUS FOR TEMPORARILY IMMOBILIZING A LOCAL AREA OF TISSUE 审中-公开
标题翻译：用于临时固定组织局部区域的方法和装置
公开(公告)号：WO02028287A1
公开(公告)日：2002-04-11
申请号：PCT/US2001/030745
申请日：2001-10-02
IPC分类号： A61B17/00 , A61B17/02 , A61B17/30 , A61B19/00
CPC分类号： A61B17/02 , A61B2017/00243 , A61B2017/0243 , A61B2017/306
摘要： A method and apparatus for temporarily immobilizing a local area of tissue. In particular, the present invention provides a method and apparatus for temporarily immobilizing a local area of tissue within a patient's body cavity. In one embodiment, the tissue immobilized is heart tissue to thereby permit surgery on a coronary vessel in that area without significant deterioration of the pumping function of the beating heart. The local area of heart tissue is immobilized to a degree sufficient to permit minimally invasive or micro-surgery on that area of the heart. The apparatus for temporarily immobilizing a local area of tissue includes a first tissue engaging member and a second tissue engaging member coupled to a spreader. The spreader is operated by an actuator to selectively control the movement of the first tissue engager and the second tissue engager. The method for temporarily immobilizing a local area of tissue includes controlling the spreading of the first tissue engaging member and the second tissue engaging member so a selective amount of spreading occurs.
摘要翻译：一种临时固定组织局部区域的方法和装置。特别地，本发明提供了一种临时固定患者体腔内的组织局部区域的方法和装置。在一个实施方案中，固定的组织是心脏组织，从而允许在该区域的冠状血管上进行手术，而不会显着降低跳动心脏的泵送功能。心脏组织的局部区域被固定到足以允许在该区域的微创或微手术的程度。用于临时固定组织局部区域的装置包括第一组织接合构件和联接到扩展器的第二组织接合构件。扩张器由致动器操作以选择性地控制第一组织接合器和第二组织接合器的运动。用于临时固定组织局部区域的方法包括控制第一组织接合构件和第二组织接合构件的扩展，从而发生选择性的扩展。

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