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    Surgical instruments for making precise incisions in a cardiac vessel
    97.
    发明授权
    Surgical instruments for making precise incisions in a cardiac vessel 有权
    用于在心脏血管中进行精确切口的手术器械

    公开(公告)号：US06387108B1

    公开(公告)日：2002-05-14

    申请号：US09541851

    申请日：2000-04-03

    Applicant: Charles S. Taylor ,  John J. Frantzen ,  Ivan Sepetka

    Inventor： Charles S. Taylor ,  John J. Frantzen ,  Ivan Sepetka

    IPC: A61B1732

    CPC classification number: A61B17/32 ,  A61B17/320016 ,  A61B2017/00243 ,  A61B2017/00703 ,  A61B2017/00778 ,  A61B2017/2925 ,  A61B2017/320052

    Abstract: The invention is surgical instruments which facilitate substantially linear incisions, especially through the wall of vessels, such as arteries, which have been specifically designed for coronary artery bypass graft procedures (CABG) on the beating heart. The instruments of the invention are particularly useful to create the incision in the artery to which the bypass graft is sewed, typically the left anterior descending artery (LAD). The instruments of the invention allow incisions to be rapidly made, precisely measured, and cleanly formed so that a bypass graft can be rapidly sewn in place. In one embodiment, the invention is comprised of a hand-held instrument with a curved cutting edge formed on the interior edge of a curved or arcuitous segment located near the end of the instrument. The tip of the instrument has a point of penetrating the vessel wall. The point may have several alternate shapes to facilitate penetration of the vessel wall while maximizing the trauma to the surrounding tissue. Another embodiment is comprised of a hand-held instrument with moveable member such that the incision is created by engaging a cutting blade against a stop with the tissue being cut therebetween. This instrument is also constructed to facilitate a rapid linear incisions in a vessel while minimizing the possibility for damage to the surrounding tissue. In another embodiment, the instrument features a motion-cancelling member which compensates for the movement of the target surface to be incised. This embodiment has a cutting blade which is manipulated form handle which is isolated from the movement of the tissue containing or proximate to the target of the incision. The instruments facilitate the invasive cardiac procedures by creating linear incisions quickly without undue trauma to surrounding tissue and without excess loss of blood.

    Abstract translation: 本发明是促进基本上线性切口的手术器械，特别是通过在搏动心脏上专门设计用于冠状动脉旁路移植手术（CABG）的血管如动脉壁。 本发明的器械特别可用于在旁路移植物缝合的动脉中形成切口，通常为左前降支动脉（LAD）。 本发明的仪器允许快速地进行切割，精确地测量和清洁地形成切口，使得旁路移植物能够快速地缝合到位。 在一个实施例中，本发明包括具有弯曲切割边缘的手持式仪器，其形成在位于靠近仪器端部的弯曲或直立部分的内边缘上。 仪器的尖端具有穿透血管壁的点。 该点可以具有几种替代形状，以促进血管壁的穿透，同时使周围组织的创伤最大化。 另一个实施例包括具有可移动构件的手持式仪器，使得通过将切割刀片接合在止动件上而在其间切割的组织而产生切口。 该仪器还构造成便于在容器中快速线性切口，同时最小化对周围组织的损伤的可能性。 在另一个实施例中，仪器具有补偿待切割的目标表面的移动的运动消除构件。 该实施例具有切割刀片，该切割刀片从手柄被操纵，所述切割刀片与包含或接近切口的靶标的组织的运动隔离。 这些仪器通过快速创建线性切口来促进侵入性心脏手术，而不会对周围组织造成不必要的创伤，而不会导致血液过多的流失。

    Instruments and methods employing thermal energy for the repair and replacement of cardiac valves
    99.
    发明授权
    Instruments and methods employing thermal energy for the repair and replacement of cardiac valves 有权
    使用热能修复和更换心脏瓣膜的仪器和方法

    公开(公告)号：US06355030B1

    公开(公告)日：2002-03-12

    申请号：US09161079

    申请日：1998-09-25

    Applicant: William N. Aldrich ,  Michael V. Morejohn ,  Richard A. Helkowski ,  Ivan Sepetka

    Inventor： William N. Aldrich ,  Michael V. Morejohn ,  Richard A. Helkowski ,  Ivan Sepetka

    IPC: A61B1804

    CPC classification number: A61B18/08 ,  A61B90/30 ,  A61B2017/00084 ,  A61B2017/00243 ,  A61B2018/046 ,  A61F2/2412 ,  A61F2/2427 ,  A61F2/2445 ,  A61F2/2463 ,  A61F2250/0059

    Abstract: The present invention is methods and devices for improving valve function in a heart. Particularly a device of the present invention comprises a an elongate member having a distal end and a proximal end, a thermal heating member fixed to the distal end of the elongate member, wherein the thermal heating member includes at least one thermal heating element adapted to supply thermal energy to a heart valve structure, and an energy source in communication with the thermal heating element. In use, a thermal heating device of the present invention is inserted into working space proximate the valve to be treated and is used to selectively contract the collagen fibers of the valve structure treated so as to improve the performance and functioning of the valve. Devices are disclosed suitable for use with a variety of access procedures on both beating and non-beating hearts, including: a minimally invasive surgical procedure, a sternotomy, a thoracotomy, an endovascular procedure, and endoscopic procedure, or a percutaneous procedure. Methods and devices are disclosed which are suitable for treatment of a chordae, leaflet, or annulus, as well as devices and methods for the replacement of heart valve with prosthetic valves.

    Abstract translation: 本发明是用于改善心脏中的瓣膜功能的方法和装置。 特别地，本发明的装置包括具有远端和近端的细长构件，固定到细长构件的远端的热加热构件，其中热加热构件包括至少一个适于供应的热加热元件 与心脏瓣膜结构的热能，以及与热加热元件连通的能量源。 在使用中，将本发明的热加热装置插入靠近待处理的阀的工作空间中，并用于选择性地收缩被处理的阀结构的胶原纤维，以改善阀的性能和功能。 公开的装置被公开适用于跳动和非跳动心脏上的各种进入程序，包括：微创外科手术，胸骨切开术，开胸手术，血管内手术和内窥镜手术或经皮手术。 公开了适用于治疗腱索，小叶或环的方法和装置，以及用人造瓣膜置换心脏瓣膜的装置和方法。

    Surgical instrument for facilitating the detachment of an artery and the like
    100.
    发明授权
    Surgical instrument for facilitating the detachment of an artery and the like 失效
    用于促进动脉等的分离的手术器械

    公开(公告)号：US06280455B1

    公开(公告)日：2001-08-28

    申请号：US09243742

    申请日：1999-02-03

    Applicant: Richard S. Ginn ,  Hani Shennib ,  Charles S. Taylor ,  Ivan Sepetka

    Inventor： Richard S. Ginn ,  Hani Shennib ,  Charles S. Taylor ,  Ivan Sepetka

    IPC: A61B1700

    CPC classification number: A61B17/00008 ,  A61B17/00234 ,  A61B17/02 ,  A61B17/320016 ,  A61B2017/00867 ,  A61B2017/00969 ,  A61B2017/2905 ,  A61B2017/2927 ,  A61B2018/00916 ,  A61B2018/1253 ,  A61B2018/1407 ,  A61B2018/1435

    Abstract: A surgical instrument is configured to aid in performing a procedure of detaching an internal mammary artery (IMA) and the like, from the connecting tissues and side branch vessels which surround the artery in its native location, wherein the detaching procedure is preliminary to the performing of a coronary artery bypass grafting procedure and wherein the IMA is detached via a minimally invasive thoracotomy. To this end, an elongated slender rod includes a handle at its proximal end and an artery engaging loop, arc, fork configuration, or hook at its distal working end. Embodiments may incorporate electrosurgical capability or electrical insulation. A surgeon thus has means for harvesting an intact and undamaged graft vessel from its native location through a minimally invasive incision with enhanced speed, visibility, and freedom of motion.

    Abstract translation: 手术器械被配置为有助于执行从其周围的动脉周围的连接组织和侧分支血管分离内部乳腺动脉（IMA）等的步骤，其中分离程序是执行的初步 的冠状动脉旁路移植手术，其中通过微创开胸术分离IMA。 为此，细长杆在其近端包括手柄，在其远端工作端处包括动脉接合环，弧形，叉形结构或钩。 实施例可以包括电外科能力或电绝缘。 因此，外科医生具有通过具有增强的速度，可见性和运动自由的微创切口从其原始位置收集完整且未损坏的移植血管的手段。

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