公开(公告)号：US20070244473A1

公开(公告)日：2007-10-18

申请号：US11698764

申请日：2007-01-26

申请人： Mark Thompson ,  Darrin Dickerson ,  Brett Bowman ,  Christopher Kelly ,  William Malecki ,  David Francischelli ,  Mark Stewart ,  Thomas Daigle ,  Douglas Gubbin ,  David Kim ,  Paul Rothstein ,  Adam Podbelski ,  Christopher Plott ,  Benjamin Yaffe

发明人： Mark Thompson ,  Darrin Dickerson ,  Brett Bowman ,  Christopher Kelly ,  William Malecki ,  David Francischelli ,  Mark Stewart ,  Thomas Daigle ,  Douglas Gubbin ,  David Kim ,  Paul Rothstein ,  Adam Podbelski ,  Christopher Plott ,  Benjamin Yaffe

IPC分类号： A61B18/18

CPC分类号： A61B17/00234 ,  A61B1/0055 ,  A61B17/0218 ,  A61B18/1482 ,  A61B90/30 ,  A61B2017/003 ,  A61B2017/00367 ,  A61B2017/320044 ,  A61B2090/0811

摘要： A method of surgical dissection of tissue with a dissector comprising: an elongate shaft comprising a proximal portion and a distal portion, wherein the distal portion comprises a plurality of segments that articulate with respect to one another and the plurality of segments includes a distal segment having a distal end; and a handle attached to the proximal portion of the shaft, wherein the handle comprises controls for articulating the plurality of segments of the distal portion of the shaft with respect to one another, comprising the steps of: positioning the distal end of the dissector in a body; advancing the distal end through the body to dissect tissue; and simultaneously articulating the plurality of segments with respect to one another. A method of surgical dissection of tissue and guiding a second device to a desired physiological location with a first device.

摘要翻译： 一种用分离器手术解剖组织的方法，包括：细长轴，其包括近端部分和远侧部分，其中所述远端部分包括相对于彼此铰接的多个部分，并且所述多个部分包括远侧部分， 远端 以及附接到所述轴的所述近端部分的手柄，其中所述手柄包括用于将所述轴的远侧部分的所述多个段相对于彼此铰接的控制器，包括以下步骤：将所述解剖器的远端定位在 身体; 将远端推进穿过身体解剖组织; 并且同时相对于彼此铰接多个段。 一种手术切割组织并用第一装置将第二装置引导到所需生理位置的方法。

公开(公告)号：US20080108878A1

公开(公告)日：2008-05-08

申请号：US12004937

申请日：2007-12-21

申请人： Jack Goodman ,  Tom Daigle ,  Douglas Gubbin ,  David Kim

发明人： Jack Goodman ,  Tom Daigle ,  Douglas Gubbin ,  David Kim

IPC分类号： A61B1/32

CPC分类号： A61B17/02 ,  A61B2017/00314 ,  A61B2017/2905 ,  A61B2017/306

摘要： An improved tissue engagement device such as a suction stabilizer or retractor. The stabilizer or retractor is provided with one or more suction pods mounted to the distal end of a flexible arm. The flexible arm is coupled to a base assembly, which attaches the arm to an associated retractor or other structure that is fixedly located relative to the operative site. The base assembly includes a fixed portion, which is coupled to the retractor or other fixed mounting point and a rotatable turret, allowing rotation of the arm relative to the fixed portion of the base assembly. A tensioning mechanism mounted to the turret applies tension to compress the turret around a corresponding pivot mounted to the fixed portion of the base to rotationally lock the turret and to lock the arm in its current configuration. If the device is a suction stabilizer, it may carry a spreading/tightening mechanism along with two suction pods and the tensioning mechanism may lock the relative location of the spreading/tightening mechanism relative to the arm and operate to spread the suction pods apart from one another to provide for additional stabilization at the desired anastomosis site. If the device is a suction retractor, the tensioning mechanism may lock a pivotably mounted carrier for a single enlarged suction pod so that the suction pod is held in its desired orientation relative to the arm.

摘要翻译： 改进的组织接合装置，例如吸力稳定器或牵开器。 稳定器或牵开器设置有一个或多个安装到柔性臂的远端的抽吸舱。 柔性臂联接到基部组件，其将臂附接到相对于牵开器或相对于手术部位固定定位的其他结构。 基座组件包括固定部分，该固定部分联接到牵开器或其他固定安装点以及可转动的转台，允许臂相对于基座组件的固定部分旋转。 安装到转台上的张紧机构施加张力以围绕安装到基座的固定部分的相应枢轴压缩转台，以旋转地锁定转台并将臂锁定在其当前配置中。 如果设备是吸力稳定器，则它可以与两个吸力舱一起携带扩张/紧固机构，并且张紧机构可以相对于手臂锁定扩张/紧固机构的相对位置，并且操作以将抽吸荚与一个 另一个在所需的吻合部位提供额外的稳定。 如果装置是抽吸牵开器，则张紧机构可以锁定可枢转地安装的载体以用于单个扩大的吸入舱，使得吸入舱相对于臂保持在其期望的方向。

公开(公告)号：US10098618B2

公开(公告)日：2018-10-16

申请号：US11698764

申请日：2007-01-26

申请人： Mark Thompson ,  Darrin Dickerson ,  Brett S. Bowman ,  Christopher F. Kelly ,  William W. Malecki ,  David Francischelli ,  Mark Stewart ,  Thomas Daigle ,  Douglas Gubbin ,  David Kim ,  Paul Rothstein ,  Adam Podbelski ,  Christopher Plott ,  Benjamin K. Yaffe

发明人： Mark Thompson ,  Darrin Dickerson ,  Brett S. Bowman ,  Christopher F. Kelly ,  William W. Malecki ,  David Francischelli ,  Mark Stewart ,  Thomas Daigle ,  Douglas Gubbin ,  David Kim ,  Paul Rothstein ,  Adam Podbelski ,  Christopher Plott ,  Benjamin K. Yaffe

IPC分类号： A61B18/18 ,  A61B17/00 ,  A61B1/005 ,  A61B90/30 ,  A61B17/02 ,  A61B18/14 ,  A61B17/32 ,  A61B90/00

摘要： A method of surgical dissection of tissue with a dissector comprising: an elongate shaft comprising a proximal portion and a distal portion, wherein the distal portion comprises a plurality of segments that articulate with respect to one another and the plurality of segments includes a distal segment having a distal end; and a handle attached to the proximal portion of the shaft, wherein the handle comprises controls for articulating the plurality of segments of the distal portion of the shaft with respect to one another, comprising the steps of: positioning the distal end of the dissector in a body; advancing the distal end through the body to dissect tissue; and simultaneously articulating the plurality of segments with respect to one another. A method of surgical dissection of tissue and guiding a second device to a desired physiological location with a first device.

公开(公告)号：US20080033457A1

公开(公告)日：2008-02-07

申请号：US11788261

申请日：2007-04-19

申请人： David Francischelli ,  Roderick Briscoe ,  Leonard Leuer ,  Daniel Haeg ,  Tom Daigle ,  David Kim ,  Mark Stewart ,  Andrew Olson ,  Patrick Cloutier ,  Christopher Smith ,  Michael Hobday ,  Tessy Kanayinkal ,  Douglas Gubbin ,  Paul Rothstein ,  Joseph Cardinal ,  Jessica Foley ,  Christopher Plott

发明人： David Francischelli ,  Roderick Briscoe ,  Leonard Leuer ,  Daniel Haeg ,  Tom Daigle ,  David Kim ,  Mark Stewart ,  Andrew Olson ,  Patrick Cloutier ,  Christopher Smith ,  Michael Hobday ,  Tessy Kanayinkal ,  Douglas Gubbin ,  Paul Rothstein ,  Joseph Cardinal ,  Jessica Foley ,  Christopher Plott

IPC分类号： A61B17/122

CPC分类号： A61B17/12 ,  A61B17/0057 ,  A61B17/12009 ,  A61B17/12013 ,  A61B17/122 ,  A61B17/128 ,  A61B17/1285 ,  A61B90/39 ,  A61B2017/00243 ,  A61B2017/00575 ,  A61B2017/12018 ,  A61B2017/306

摘要： Some embodiments of the invention provide a system for occluding a left atrial appendage of a patient. Some embodiments of the system can include a ring occluder that can be positioned around the left atrial appendage and a ring applicator to position the ring occluder with respect to the left atrial appendage. One embodiment discloses a method of accessing endocardial surfaces of the heart through the atrial appendage. Additional embodiments of the invention provide a clip occluder that can be positioned around the left atrial appendage. A clip applicator can position the clip occluder with respect to the left atrial appendage.

摘要翻译： 本发明的一些实施例提供一种用于闭塞患者左心耳的系统。 该系统的一些实施例可以包括可以围绕左心耳定位的环封闭器和环施加器来相对于左心耳定位环封闭器。 一个实施例公开了通过心房接近心脏心脏表面的方法。 本发明的另外的实施例提供了可以围绕左心耳定位的夹子封堵器。 夹子施放器可以相对于左心耳定位夹子封堵器。

公开(公告)号：US20070219550A1

公开(公告)日：2007-09-20

申请号：US11698807

申请日：2007-01-26

申请人： Mark Thompson ,  Darrin Dickerson ,  Brett Bowman ,  Christopher Kelly ,  William Malecki ,  David Francischelli ,  Mark Stewart ,  Thomas Daigle ,  Douglas Gubbin ,  David Kim ,  Paul Rothstein ,  Adam Podbelski ,  Christopher Plott ,  Benjamin Yaffe

发明人： Mark Thompson ,  Darrin Dickerson ,  Brett Bowman ,  Christopher Kelly ,  William Malecki ,  David Francischelli ,  Mark Stewart ,  Thomas Daigle ,  Douglas Gubbin ,  David Kim ,  Paul Rothstein ,  Adam Podbelski ,  Christopher Plott ,  Benjamin Yaffe

IPC分类号： A61B18/18

CPC分类号： A61B17/00234 ,  A61B1/0055 ,  A61B17/0218 ,  A61B18/1482 ,  A61B90/30 ,  A61B2017/003 ,  A61B2017/00367 ,  A61B2017/320044 ,  A61B2090/0811

摘要： A device for dissecting tissue and/or guidance of a second device to a desired physiological location, the device comprising: an elongate shaft comprising a proximal portion and a distal portion, wherein the distal portion comprises a plurality of segments that articulate with respect to one another; and a handle attached to the proximal portion of the shaft, wherein the handle comprises controls for articulating the plurality of segments of the distal portion of the shaft with respect to one another. A system for dissecting tissue and/or guiding a medical device to a desired physiological location.

摘要翻译： 一种用于将第二装置的组织和/或引导解剖到期望的生理位置的装置，所述装置包括：细长轴，其包括近端部分和远侧部分，其中所述远端部分包括多个相对于一个 另一个; 以及附接到所述轴的近侧部分的手柄，其中所述手柄包括用于相对于彼此铰接所述轴的远侧部分的所述多个段的控制。 一种用于将组织切割和/或将医疗装置引导到所需生理位置的系统。

公开(公告)号：US20050101840A1

公开(公告)日：2005-05-12

申请号：US11003100

申请日：2004-12-03

申请人： Jack Goodman ,  Tom Daigle ,  Douglas Gubbin ,  David Kim

发明人： Jack Goodman ,  Tom Daigle ,  Douglas Gubbin ,  David Kim

IPC分类号： A61B17/02 ,  A61B17/28 ,  A61B17/30 ,  A61B1/32

CPC分类号： A61B17/02 ,  A61B2017/00314 ,  A61B2017/2905 ,  A61B2017/306

摘要： An improved tissue engagement device such as a suction stabilizer or retractor. The stabilizer or retractor is provided with one or more suction pods mounted to the distal end of a flexible arm. The flexible arm is coupled to a base assembly, which attaches the arm to an associated retractor or other structure that is fixedly located relative to the operative site. The base assembly includes a fixed portion, which is coupled to the retractor or other fixed mounting point and a rotatable turret, allowing rotation of the arm relative to the fixed portion of the base assembly. A tensioning mechanism mounted to the turret applies tension to compress the turret around a corresponding pivot mounted to the fixed portion of the base to rotationally lock the turret and to lock the arm in its current configuration. If the device is a suction stabilizer, it may carry a spreading/tightening mechanism along with two suction pods and the tensioning mechanism may lock the relative location of the spreading/tightening mechanism relative to the arm and operate to spread the suction pods apart from one another to provide for additional stabilization at the desired anastomosis site. If the device is a suction retractor, the tensioning mechanism may lock a pivotably mounted carrier for a single enlarged suction pod so that the suction pod is held in its desired orientation relative to the arm.

摘要翻译： 改进的组织接合装置，例如吸力稳定器或牵开器。 稳定器或牵开器设置有一个或多个安装到柔性臂的远端的抽吸舱。 柔性臂联接到基部组件，其将臂附接到相对于牵开器或相对于手术部位固定定位的其他结构。 基座组件包括固定部分，该固定部分联接到牵开器或其他固定安装点以及可转动的转台，允许臂相对于基座组件的固定部分旋转。 安装到转台上的张紧机构施加张力以围绕安装到基座的固定部分的相应枢轴压缩转台，以旋转地锁定转台并将臂锁定在其当前配置中。 如果设备是吸力稳定器，则它可以与两个吸力舱一起携带扩张/紧固机构，并且张紧机构可以相对于手臂锁定扩张/紧固机构的相对位置，并且操作以将抽吸荚与一个 另一个在所需的吻合部位提供额外的稳定。 如果装置是抽吸牵开器，则张紧机构可以锁定可枢转地安装的载体以用于单个扩大的吸入舱，使得吸入舱相对于臂保持在其期望的方向。