公开(公告)号：US20050043780A1

公开(公告)日：2005-02-24

申请号：US10956433

申请日：2004-10-01

Applicant: Hanson Gifford ,  Ivan Sepetka ,  Mark Deem ,  Allan Will ,  Martin Dieck ,  Sunmi Chew

Inventor： Hanson Gifford ,  Ivan Sepetka ,  Mark Deem ,  Allan Will ,  Martin Dieck ,  Sunmi Chew

IPC: A61F2/00 ,  A61F2/01 ,  A61F2/90 ,  A61F2/06

CPC classification number: A61F2/07 ,  A61F2/0095 ,  A61F2/013 ,  A61F2/90 ,  A61F2/958 ,  A61F2/966 ,  A61F2/97 ,  A61F2002/018 ,  A61F2002/072 ,  A61F2002/075 ,  A61F2230/0006 ,  A61F2230/0067 ,  A61F2230/0069 ,  A61F2230/0078 ,  A61F2250/0098

Abstract: A liner is advanced through a narrowed region in a vessel such as the internal carotid artery. The liner is advanced through the narrowed region in a collapsed position. A stent is then advanced through the liner and expanded to open the narrowed region. The liner may also have an anchor which expands an end of the liner before the stent is introduced.

Abstract translation: 衬里穿过诸如颈内动脉的血管中的狭窄区域前进。 衬里在折叠位置前进通过狭窄区域。 然后将支架推进穿过衬垫并膨胀以打开变窄的区域。 衬垫还可以具有在引入支架之前膨胀衬套的端部的锚固件。

公开(公告)号：US06701930B2

公开(公告)日：2004-03-09

申请号：US10007550

申请日：2001-11-06

Applicant: Federico J. Benetti ,  Charles S. Taylor ,  Ivan Sepetka ,  Amr Salahieh ,  Robert C. Glines ,  William N. Aldrich ,  Brent Regan ,  John J. Frantzen

Inventor： Federico J. Benetti ,  Charles S. Taylor ,  Ivan Sepetka ,  Amr Salahieh ,  Robert C. Glines ,  William N. Aldrich ,  Brent Regan ,  John J. Frantzen

IPC: A61B100

CPC classification number: A61B17/0218 ,  A61B17/00234 ,  A61B17/02 ,  A61B17/0206 ,  A61B17/0642 ,  A61B17/12 ,  A61B17/3421 ,  A61B17/3423 ,  A61B90/00 ,  A61B2017/00243 ,  A61B2017/00557 ,  A61B2017/00703 ,  A61B2017/00858 ,  A61B2017/0243 ,  A61B2017/1139 ,  A61B2017/2825 ,  A61B2017/2913 ,  A61B2017/2929 ,  A61B2017/306 ,  A61B2017/349

Abstract: The invention is methods and devices which a surgeon may use to stabilize the beating heart during a surgical procedure on the heart. Pursuant to the invention, a stabilizing device is introduced through an opening in the chest and brought into contact with the beating heart. By contacting the heart with the device and by exerting a stabilizing force on the device, the motion of the heart caused by the contraction of the heart muscles is effectively eliminated such that the heart is stabilized and the site of the surgery moves only minimally if at all. Typically, in separate steps, the surgeon contacts the heart with the stabilizing device, assesses the degree of movement of the anastomosis site, and exerts a force on the stabilizing device such that the contraction of the beating heart causes only minimal excess motion at the surgery site. By fixing the position of the stabilizing device in a configuration where the motion of the beating heart is effectively eliminated, the surgeon is able to stabilize the beating heart for the duration of the procedure. The stabilizing device may be attached to a rigid support or may be attached to a semi-rigid support which is rendered motionless mechanically, chemically, or by human intervention. In certain preferred embodiments, the stabilizing device is affixed to a semi-rigid support which is caused to become rigid, by any of a variety of techniques, such that the position of the stabilizing device becomes fixed by the support, and the heart remains substantially motionless for the duration of the procedure.

Abstract translation: 本发明是外科医生可以在心脏手术过程中稳定跳动心脏的方法和装置。 根据本发明，稳定装置通过胸部的开口引入并与打浆心接触。 通过将心脏与装置接触并且通过在装置上施加稳定力，由心脏肌肉收缩引起的心脏的运动被有效地消除，使得心脏稳定，并且手术部位仅在最小程度上移动，如果在 所有。 通常，在单独的步骤中，外科医生与稳定装置接触心脏，评估吻合部位的移动程度，并且在稳定装置上施加力，使得跳动心脏的收缩在手术时仅引起极小的过度运动 现场。 通过将稳定装置的位置固定在跳动心脏的运动被有效地消除的构造中，外科医生能够在手术期间稳定跳动的心脏。 稳定装置可以附接到刚性支撑件，或者可以附接到半刚性支撑件，其通过机械，化学方式或通过人为干预使其不动。 在某些优选实施例中，稳定装置通过各种技术中的任何一种固定到刚性刚性的半刚性支撑件上，使得稳定装置的位置由支撑件固定，心脏基本保持 在程序期间不动。

公开(公告)号：US06636758B2

公开(公告)日：2003-10-21

申请号：US09847769

申请日：2001-05-01

Applicant: Diana Sanchez ,  Ivan Sepetka ,  Maureen Bensing ,  Richard A. Helkowski

Inventor： Diana Sanchez ,  Ivan Sepetka ,  Maureen Bensing ,  Richard A. Helkowski

IPC: A61B600

CPC classification number: A61B17/12113 ,  A61B6/12 ,  A61B17/12022 ,  A61B17/1214 ,  A61B90/39 ,  A61B2017/22042 ,  A61B2090/061 ,  A61B2090/063 ,  A61M25/0108

Abstract: This is a medical device, specifically used in surgery. It is a wire having distal radio-opaque markers and may be used, for instance, in endovascular procedures as a marker wire for estimating or referencing the structural attributes of internal physical features. In addition, the inventive marker wire may be used as a guide wire for a catheter used in endovascular procedures.

公开(公告)号：US06458119B1

公开(公告)日：2002-10-01

申请号：US08909004

申请日：1997-08-08

Applicant: Alejandro Berenstein ,  Ivan Sepetka

Inventor： Alejandro Berenstein ,  Ivan Sepetka

IPC: A61B1700

CPC classification number: A61B17/12022 ,  A61B17/1204 ,  A61B17/12109 ,  A61B17/1214 ,  A61B17/1215 ,  A61B17/12163 ,  A61B90/39 ,  A61B2017/00526 ,  A61B2017/00539 ,  A61B2017/12063 ,  A61B2017/1209

Abstract: An exceptionally flexible, ultra-soft vasoocclusive or embolism forming device made of a material which may be a braid, coil, or chain which forms a long, thin thread-like device having little rigidity or column strength. The device is sufficiently flexible and small that it may be hydraulically delivered to a site within the vasculature of a human body using an injected drug or fluid flush through a catheter.

Abstract translation: 一种非常灵活的超软血管收缩或栓塞形成装置，其由可能是编织物，线圈或链的材料制成，其形成具有很小刚度或柱强度的长而细的线状装置。 该装置具有足够的柔性和小度，使得其可以使用注射的药物或通过导管冲洗的流体液压递送到人体脉管系统内的部位。

公开(公告)号：US06346077B1

公开(公告)日：2002-02-12

申请号：US08789751

申请日：1997-01-27

Applicant: Charles S. Taylor ,  William N. Aldrich ,  Thomas L. Baughman ,  Federico J. Benetti ,  Brian J. Bennett ,  Michael J. Billig ,  Thomas J. Fogarty ,  John J. Frantzen ,  Richard S. Ginn ,  Robert C. Glines ,  Harry L. Green ,  Dwight P. Morejohn ,  Brent Regan ,  Eugene E. Reis ,  Amr Salahieh ,  Ivan Sepetka ,  Benjamin Sherman ,  Christian Skieller ,  Valavanur A. Subramanian ,  Gary B. Weller ,  William F. Witt

Inventor： Charles S. Taylor ,  William N. Aldrich ,  Thomas L. Baughman ,  Federico J. Benetti ,  Brian J. Bennett ,  Michael J. Billig ,  Thomas J. Fogarty ,  John J. Frantzen ,  Richard S. Ginn ,  Robert C. Glines ,  Harry L. Green ,  Dwight P. Morejohn ,  Brent Regan ,  Eugene E. Reis ,  Amr Salahieh ,  Ivan Sepetka ,  Benjamin Sherman ,  Christian Skieller ,  Valavanur A. Subramanian ,  Gary B. Weller ,  William F. Witt

IPC: A61B132

CPC classification number: A61B17/0218 ,  A61B17/00234 ,  A61B17/02 ,  A61B17/0206 ,  A61B17/0642 ,  A61B17/12 ,  A61B17/3421 ,  A61B17/3423 ,  A61B90/00 ,  A61B2017/00243 ,  A61B2017/00557 ,  A61B2017/00703 ,  A61B2017/00858 ,  A61B2017/0243 ,  A61B2017/1139 ,  A61B2017/2825 ,  A61B2017/2913 ,  A61B2017/2929 ,  A61B2017/306 ,  A61B2017/349

Abstract: The invention is methods and devices which a surgeon may use to stabilize the beating heart during a surgical procedure on the heart. Pursuant to the invention, a stabilizing device is introduced through an opening in the chest and brought into contact with the beating heart. By contacting the heart with the device and by exerting a stabilizing force on the device, the motion of the heart caused by the contraction of the heart muscles is effectively eliminated such that the heart is stabilized and the site of the surgery moves only minimally if at all. Typically, in separate steps, the surgeon contacts the heart with the stabilizing means, assesses the degree of movement of the anastomosis site, and exerts a force on the stabilizing means such that the contraction of the beating heart causes orgy minimal excess motion at the surgery site. By fixing the position of the stabilizing means in a configuration where the motion of the beating heart is effectively eliminated, the surgeon is able to stabilize the beating heart for the duration of the procedure. The stabilizing means may be attached to a rigid support or may be attached to a semi-rigid support which is rendered motionless mechanically, chemically, or by human intervention. In certain preferred embodiments, the stabilizing means is affixed to a semi-rigid support which is caused to become rigid, by any of a variety of techniques, such that the position of the stabilizing means becomes fixed by the support, and the heart remains substantially motionless for the duration of the procedure.

Abstract translation: 本发明是外科医生可以在心脏手术过程中稳定跳动心脏的方法和装置。 根据本发明，稳定装置通过胸部的开口引入并与打浆心接触。 通过将心脏与装置接触并且通过在装置上施加稳定力，由心脏肌肉收缩引起的心脏的运动被有效地消除，使得心脏稳定，并且手术部位仅在最小程度上移动，如果在 所有。 通常，在单独的步骤中，外科医生将心脏与稳定装置接触，评估吻合部位的移动程度，并对稳定装置施加力，使得跳动心脏的收缩导致手术时的最小过度运动 现场。 通过将稳定装置的位置固定在跳动心脏的运动被有效地消除的构造中，外科医生能够在手术期间稳定跳动的心脏。 稳定装置可以附接到刚性支撑件，或者可以附接到半刚性支撑件，其通过机械，化学方式或通过人为干预使其不动。 在某些优选实施例中，稳定装置通过各种技术中的任一种被固定到半刚性支撑件上，使其变得刚性，使得稳定装置的位置由支撑件固定，并且心脏基本保持 在程序期间不动。

公开(公告)号：US06315717B1

公开(公告)日：2001-11-13

申请号：US09550447

申请日：2000-04-17

Applicant: Federico J. Benetti ,  Charles S. Taylor ,  Ivan Sepetka ,  Amr Salahieh ,  Robert C. Glines ,  William N. Aldrich ,  Brent Regan ,  John J. Frantzen

Inventor： Federico J. Benetti ,  Charles S. Taylor ,  Ivan Sepetka ,  Amr Salahieh ,  Robert C. Glines ,  William N. Aldrich ,  Brent Regan ,  John J. Frantzen

IPC: A61B132

CPC classification number: A61B17/0218 ,  A61B17/00234 ,  A61B17/02 ,  A61B17/0206 ,  A61B17/0642 ,  A61B17/12 ,  A61B17/3421 ,  A61B17/3423 ,  A61B90/00 ,  A61B2017/00243 ,  A61B2017/00557 ,  A61B2017/00703 ,  A61B2017/00858 ,  A61B2017/0243 ,  A61B2017/1139 ,  A61B2017/2825 ,  A61B2017/2913 ,  A61B2017/2929 ,  A61B2017/306 ,  A61B2017/349

Abstract: Methods and devices used to stabilize a beating heart during a surgical procedure on the heart are disclosed. The stabilizing device is introduced through an opening through the chest and brought into contact with the beating heart, and by exerting a stabilizing force on the device, the motion of the heart caused by the contractions of the heart muscles is effectively eliminated. Accordingly, the heart is stabilized and movement of the site of the surgery is minimized. Typically, in separate steps, a surgeon contacts the heart with the stabilizing device, assesses the degree of movement of the anastomosis site, and exerts a force with a stabilizing device such that the contractions of the beating heart causes only minimal excess motion at the surgery site. The stabilizing device may be attached to a rigid support or may be attached to a semi-rigid support which is rendered motionless mechanically, chemically or by human intervention.

Abstract translation: 公开了用于在外科手术中心脏稳定跳动心脏的方法和装置。 稳定装置通过穿过胸部的开口被引入与打心的心脏接触，并且通过在装置上施加稳定力，有效地消除了由心脏肌肉收缩引起的心脏运动。 因此，心脏稳定并且手术部位的运动被最小化。 通常，在单独的步骤中，外科医生将心脏与稳定装置接触，评估吻合部位的移动程度，并用稳定装置施加力，使得跳动心脏的收缩在手术时仅引起极小的过度运动 现场。 稳定装置可以附接到刚性支撑件或者可以附接到半刚性支撑件，其通过机械地，化学地或通过人为干预使其静止。

公开(公告)号：US06190311B1

公开(公告)日：2001-02-20

申请号：US08850150

申请日：1997-05-02

Applicant: Robert C. Glines ,  Ivan Sepetka

Inventor： Robert C. Glines ,  Ivan Sepetka

IPC: A61B130

CPC classification number: A61B17/0293 ,  A61B17/0206 ,  A61B2017/0237

Abstract: An instrument platform and retractor, for holding and organizing cannulas, instruments and sutures during a surgical procedure, wherein the instrument platform has a platform body which is mountable to the retractor and includes a central opening and cannula notches formed therein adjacent to the central opening for securing cannulas during a surgical procedure. The platform body also includes suture grips and instrument mounts for securing surgical instruments and sutures during a surgical procedure. The retractor includes a pair of blades and a spreader mechanism detachably mounted to blade arms.

Abstract translation: 一种用于在手术过程中保持和组织插管，器械和缝合线的仪器平台和牵开器，其中所述仪器平台具有可安装到所述牵开器的平台体，并且包括邻近所述中心开口形成的中心开口和套管凹口， 在外科手术过程中确保插管。 平台体还包括缝合夹和仪器座，用于在手术过程中固定手术器械和缝合线。 牵开器包括一对刀片和可拆卸地安装到刀臂上的吊架机构。

公开(公告)号：US5944736A

公开(公告)日：1999-08-31

申请号：US903516

申请日：1997-07-30

Applicant: Charles S. Taylor ,  William N. Aldrich ,  Federico J. Benetti ,  Richard S. Ginn ,  Dwight P. Morejohn ,  Brent Regan ,  Eugene E. Reis ,  Ivan Sepetka ,  William F. Witt

Inventor： Charles S. Taylor ,  William N. Aldrich ,  Federico J. Benetti ,  Richard S. Ginn ,  Dwight P. Morejohn ,  Brent Regan ,  Eugene E. Reis ,  Ivan Sepetka ,  William F. Witt

IPC: A61B17/02 ,  A61B17/34 ,  A61B19/00

CPC classification number: A61B17/3423 ,  A61B17/0206 ,  A61B90/50 ,  A61B17/025 ,  A61B17/3476 ,  A61B2017/349

Abstract: An access platform having a first and a second blade interconnected to a spreader member that laterally drives the blades apart or together and a sternal pad interconnected to a blade. The superior blade is pivotally coupled to the spreader member such that it naturally rises as the blades are separated. Alternatively, a vertical displacement member is operably interconnected to a blade and the spreader member and is used to vertically displace the interconnected superior blade and, thus, increase a surgeon's working space and visual access for the dissection of an internal mammary artery. A tissue retractor is interconnected to the blades to draw the soft tissue around an incision away from the surgeon's working area.

公开(公告)号：US5871496A

公开(公告)日：1999-02-16

申请号：US835675

申请日：1997-04-10

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

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

IPC: A61B17/00 ,  A61B17/02 ,  A61B17/28 ,  A61B17/32 ,  A61B18/14

CPC classification number: A61B17/00008 ,  A61B17/02 ,  A61B17/00234 ,  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.

公开(公告)号：US5776154A

公开(公告)日：1998-07-07

申请号：US603329

申请日：1996-02-20

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

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

IPC: A61B17/00 ,  A61B17/28 ,  A61B17/32

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

Abstract: Surgical instruments and methods for making substantially linear incisions, especially through the wall of vessels, such as arteries, specifically designed for coronary artery bypass graft procedures (CABG) on the beating heart. The invention is particularly useful to create the incision in the artery to which a bypass graft is sewn, typically the left anterior descending artery (LAD). The instruments allow incisions to be rapidly made, precisely measured, and cleanly formed so that a bypass graft can be rapidly sewn in place, without undue trauma to surrounding tissue and excessive loss of blood. In one embodiment, a hand-held instrument has a cutting edge formed on the interior edge of a curved blade fixed near the end of the instrument. The tip of the blade has a point for penetrating the vessel wall which may have several alternate shapes to facilitate penetration of the vessel wall while minimizing trauma to the surrounding tissue. In another embodiment the hand-held instrument includes a moveable member which creates an incision by engaging a cutting blade against a stop, cutting tissue therebetween, the stop including a pointed tip similar to the previous embodiment. In another embodiment, the instrument features a motion-canceling member which compensates for the movement of the target surface to be incised. This embodiment has a cutting blade which is manipulated from a handle which is isolated from the movement of the tissue containing or proximate to the target of the incision.

Abstract translation: 用于进行基本上线性切口的手术器械和方法，特别是通过专门设计用于搏动心脏上的冠状动脉旁路移植手术（CABG）的诸如动脉的血管壁。 本发明特别有用于在缝合旁路移植物的动脉中产生切口，通常为左前降支动脉（LAD）。 这些仪器允许快速地进行切割，精确测量和清洁地形成，使得旁路移植物可以快速缝合就位，而不会对周围组织造成过度的创伤和过度的血液损失。 在一个实施例中，手持式仪器具有形成在靠近仪器端部的弯曲刀片的内边缘上的切割刃。 叶片的尖端具有穿透血管壁的点，该点可以具有若干替代形状，以促进血管壁的穿透，同时最小化对周围组织的创伤。 在另一个实施例中，手持式仪器包括可移动构件，其通过将切割刀片接合止挡件而形成切口，在其间切割组织，止动件包括类似于先前实施例的尖端。 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。 该实施例具有从手柄操纵的切割刀片，该手柄与包含或接近切口目标的组织的运动隔离。