公开(公告)号：US07828781B2

公开(公告)日：2010-11-09

申请号：US11408903

申请日：2006-04-20

申请人： John K. Edoga ,  Thierry Richard

发明人： John K. Edoga ,  Thierry Richard

IPC分类号： A61M37/00

CPC分类号： A61M39/0208 ,  A61M1/3655 ,  A61M2039/0211

摘要： An implantable access post having a port casing core with an aperture therethrough, a patch associated with the port casing core, the patch adapted to be sewn to a vessel to connect the port casing core to the vessel to permit fluid communication from the vessel through the aperture of the port casing core, and an insert disposed within the aperture of the port casing core, the insert adapted to prevent fluid flow through the aperture. The insert may be self-sealing and may include a valve. The port may also include a port outer casing at least partially surrounding the port casing core and further including an anti-vessel-compression mechanism.

摘要翻译： 一种可植入进入柱，其具有一个具有穿过其中的孔的端口壳体芯，与端口壳体芯相连的补片，所述补片适于缝合到容器以将端口壳体芯连接到容器，以允许流体从容器通过 端口壳体芯的孔径以及设置在端口壳体芯的孔内的插入件，该插入件适于防止流体流过孔。 插入件可以是自密封的并且可以包括阀。 端口还可以包括至少部分地围绕端口壳体芯并且还包括抗容器压缩机构的端口外壳。

公开(公告)号：US20100224668A1

公开(公告)日：2010-09-09

申请号：US12555417

申请日：2009-09-08

申请人： Diego Y. Fontayne ,  John K. Edoga ,  Thierry Richard

发明人： Diego Y. Fontayne ,  John K. Edoga ,  Thierry Richard

IPC分类号： A61B17/115

CPC分类号： A61B17/115 ,  A61B17/072 ,  A61B17/1155 ,  A61B17/12013 ,  A61B2017/1107 ,  A61B2017/1157 ,  A61F2/06 ,  A61F2002/061 ,  A61F2002/065 ,  A61F2002/9517

摘要： A system is provided for joining two tubular structures by a surgical stapling procedure. The system includes a series of sizers, a specifically designed graft, a loading unit, a wand, a tourniquet, and a stapling instrument. The sizers are for determining the diameter of a target aorta and the availability of a sufficient transected aortic length to perform a stapling procedure. The loading unit holds the graft in position in the body and deploys a circumferential line of staples through the graft and an overlapping end of the aorta. The graft includes a side port by which the loading unit holds the graft during the stapling procedure, and which may be closed once the stapling procedure has been completed. The wand may be used to introduce the loading unit and graft into the body, to position them within the transected aorta, and to hold them in place during the application of the tourniquet. The tourniquet includes a band formed from a flexible material and having a width greater than its thickness so as to facilitate the formation of an annular loop. With the tourniquet holding the aorta and graft in relative overlapping positions, the wand may be removed from the loading unit and the stapling instrument includes a plurality of anvils, which may be closed to form a circle overlying the aorta, and a trigger mechanism for firing the staples. When fired, the staples are deployed radially outward through the graft and aorta, whereupon their free ends are bent inwardly by staple returns on the anvils. As a result, a plurality of staples may be simultaneously deployed quickly and accurately in a circumferential pattern so as to join together two tubular structures. The system may be used in either an open surgical procedure or laparascopically.

摘要翻译： 提供一种通过外科缝合程序连接两个管状结构的系统。 该系统包括一系列分选机，专门设计的移植物，装载单元，魔杖，止血带和吻合器械。 筛分器用于确定目标主动脉的直径以及有足够横截面的主动脉长度来执行吻合程序。 装载单元将移植物保持在体内的适当位置，并且通过移植物和主动脉的重叠端部署周向的缝合线。 移植物包括侧端口，通过该侧端口，装订单元在缝合过程期间保持移植物，并且一旦装订程序完成，其可以关闭。 可以使用魔杖将装载单元和移植物引入体内，将其定位在横切主动脉内，并在止血带的应用期间将其保持在适当位置。 止血带包括由柔性材料形成并具有大于其厚度的宽度的带，以便于形成环形环。 使用止血带将主动脉和移植物保持在相对重叠的位置，可以将魔杖从装载单元移除，并且装订器械包括多个砧座，其可以被封闭以形成覆盖主动脉的圆圈，以及用于触发的触发机构 主食。 当被发射时，缝钉通过移植物和主动脉径向向外展开，于是它们的自由端通过砧座上的缝合返回而向内弯曲。 结果，可以以周向图案快速且准确地同时展开多个钉，以便将两个管状结构连接在一起。 该系统可以用于开放式外科手术或laparoscically。

公开(公告)号：US08496700B2

公开(公告)日：2013-07-30

申请号：US12293944

申请日：2007-03-23

申请人： John K. Edoga ,  Thierry Richard

发明人： John K. Edoga ,  Thierry Richard

IPC分类号： A61F2/24

CPC分类号： A61F2/2412 ,  A61F2/2436

摘要： A device for replacement of a bioprosthetic valve having an annulus (104) and one or more leaflets (105), the device having an outer housing (106) and an inner shaft (108) with a distal end (110). The outer housing (106) is slideable relative to the inner shaft (108) such that a portion of the inner shaft (108) may be revealed. A cap (112) is associated with the distal end (110) of the inner shaft (108), the cap (112) movable between a first position adjacent the inner shaft (108) and a second position displaced from the inner shaft (108). The cap (112) is adapted to trap a skirted valve frame (102) between said cap (112) and the inner shaft (108) when in the first position. The skirted valve frame (102) may be released by the cap (112) upon sliding of the outer housing (106) relative to the inner shaft (108) to reveal the inner shaft (108) and upon movement of the cap (112) to the second position. Also disclosed are associated methods.

摘要翻译： 一种用于更换具有环（104）和一个或多个小叶（105）的生物假体瓣膜的装置，所述装置具有外壳（106）和具有远端（110）的内轴（108）。 外壳（106）能够相对于内轴（108）滑动，使得可以露出内轴（108）的一部分。 帽（112）与内轴（108）的远端（110）相关联，帽（112）可在邻近内轴（108）的第一位置和从内轴（108）移位的第二位置之间移动 ）。 当处于第一位置时，帽（112）适于将裙带式阀架（102）捕获在所述盖（112）和内轴（108）之间。 当外壳（106）相对于内轴（108）滑动以便露出内轴（108）并且当盖（112）移动时，裙带式框架（102）可以被盖（112）释放， 到第二个位置。 还公开了相关联的方法。

公开(公告)号：US20130072883A1

公开(公告)日：2013-03-21

申请号：US13555160

申请日：2012-07-22

申请人： John K. Edoga ,  Thierry Richard

发明人： John K. Edoga ,  Thierry Richard

IPC分类号： A61M1/36

CPC分类号： A61M1/3655 ,  A61M1/3653 ,  A61M1/3659 ,  A61M1/3661 ,  A61M39/0208 ,  A61M39/1011 ,  A61M2039/0211 ,  A61M2039/1027

摘要： An implantable access port in accordance with one embodiment of the invention comprises a hollow port casing having a first channel, a second channel and a third channel. A self-sealing insert may be disposed within the third channel. The implantable access port may further comprise a graft having a first branch, a second branch, and a third branch, the first branch extending from the first channel and adapted to be anastomosed to a vessel at a first location, the second branch extending from the second channel and adapted to be anastomosed to a vessel in a second location, the third branch extending at least partially into the third channel, wherein the third branch is disposed between the self-sealing insert and the hollow port casing. Methods for performing medical procedures associated with the implantable access port are also disclosed.

摘要翻译： 根据本发明的一个实施例的可植入进入口包括具有第一通道，第二通道和第三通道的中空端口壳体。 自密封插入件可以设置在第三通道内。 所述可植入进入口还可以包括具有第一分支，第二分支和第三分支的移植物，所述第一分支从所述第一通道延伸并且适于在第一位置处吻合到血管，所述第二分支从所述第一分支 第二通道并且适于在第二位置与血管吻合，所述第三分支至少部分地延伸到所述第三通道中，其中所述第三分支设置在所述自密封插入件和所述中空端口壳体之间。 还公开了用于执行与可植入访问端口相关联的医疗程序的方法。

公开(公告)号：US20130060324A1

公开(公告)日：2013-03-07

申请号：US13562085

申请日：2012-07-30

申请人： John K. Edoga ,  Thierry Richard ,  Alan Bachman

发明人： John K. Edoga ,  Thierry Richard ,  Alan Bachman

IPC分类号： A61B17/115 ,  A61F2/06

CPC分类号： A61B17/10 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/0684 ,  A61B17/115 ,  A61B90/39 ,  A61B2017/00557 ,  A61B2017/00867 ,  A61B2017/0649 ,  A61B2017/1157 ,  A61B2017/22051 ,  A61B2017/22052 ,  A61B2017/22069 ,  A61B2017/2905 ,  A61B2017/2933 ,  A61B2090/3925 ,  A61F2/07

摘要： An endovascular stapler for securing an endograft to a vessel is disclosed. The stapler includes a staple housing adapted for storing at least one staple therein, the staple housing having an exit area for discharge of the at least one staple therethrough, an actuating assembly adapted for discharging the at least one staple through the exit area, and a displacement mechanism in operative association with the staple housing near the exit area. The displacement member is operative for pushing the exit area against the endograft when discharging the at least one staple therethrough. The discharged staple forms a plurality of opposed loops connected by a central element upon discharge. Also disclosed are staples and displacement mechanisms adapted for use with surgical instruments such as the present endovascular staplers. The staples may be formed from memory metal or other metal. The displacement mechanisms disclosed include balloons and rigid offsetting devices.

摘要翻译： 公开了一种用于将内移植物固定到血管的血管内吻合器。 订书机包括适于在其中存储至少一个订书钉的订书钉壳体，订书钉机架具有用于通过其排出至少一个订书钉的出口区域，适于将至少一个订书钉排出通过出口区域的致动组件，以及 位移机构与出口区域附近的钉仓有效关联。 当排出至少一个订书钉通过其时，位移构件用于将出口区域推靠在内移器上。 排出的订书钉在排出时形成由中心元件连接的多个相对环。 还公开了适于与诸如本发明的血管内吻合器的外科器械一起使用的吻合钉和移位机构。 订书钉可以由记忆金属或其他金属形成。 所公开的位移机构包括气球和刚性偏移装置。

公开(公告)号：US07335212B2

公开(公告)日：2008-02-26

申请号：US10737630

申请日：2003-12-16

申请人： John K. Edoga ,  Thierry Richard

发明人： John K. Edoga ,  Thierry Richard

IPC分类号： A61B17/10 ,  A61B17/08 ,  A61B17/04

CPC分类号： A61B17/115 ,  A61B17/0644 ,  A61B17/1155 ,  A61B2017/00867 ,  A61B2017/0649 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2017/1157

摘要： A multiple stapling device for stapling a graft to a vessel. The device includes a body having a plurality of staple channels housing straight wire segments extending therethrough. A plurality of staple drivers, one in each of the staple channels is adapted to push the straight wire segments to form ring-shaped staples piercing the graft and the vessel. The multiple stapling device may also include one or more bolsters filling the annular space created by they ring-shaped staples. One such bolster may be formed, or otherwise connected to, the prosthesis.

摘要翻译： 一种用于将移植物吻合到血管的多重吻合装置。 该装置包括具有多个缝合通道的主体，该缝合通道容纳延伸穿过其中的直线段。 多个钉驱动器，每个钉通道中的一个，适于推动直线段以形成刺穿移植物和血管的环形钉。 多重缝合装置还可以包括填充由它们环形钉形成的环形空间的一个或多个垫块。 一个这样的枕头可以形成或以其他方式连接到假体。

公开(公告)号：US09179915B2

公开(公告)日：2015-11-10

申请号：US13562085

申请日：2012-07-30

申请人： John K. Edoga ,  Thierry Richard ,  Alan Bachman

发明人： John K. Edoga ,  Thierry Richard ,  Alan Bachman

IPC分类号： A61B17/115 ,  A61F2/95 ,  A61B17/10 ,  A61B17/064 ,  A61B17/068 ,  A61B19/00 ,  A61B17/00 ,  A61B17/22 ,  A61B17/29 ,  A61F2/07

CPC分类号： A61B17/10 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/0684 ,  A61B17/115 ,  A61B90/39 ,  A61B2017/00557 ,  A61B2017/00867 ,  A61B2017/0649 ,  A61B2017/1157 ,  A61B2017/22051 ,  A61B2017/22052 ,  A61B2017/22069 ,  A61B2017/2905 ,  A61B2017/2933 ,  A61B2090/3925 ,  A61F2/07

摘要： An endovascular stapler for securing an endograft to a vessel is disclosed. The stapler includes a staple housing adapted for storing at least one staple therein, the staple housing having an exit area for discharge of the at least one staple therethrough, an actuating assembly adapted for discharging the at least one staple through the exit area, and a displacement mechanism in operative association with the staple housing near the exit area. The displacement member is operative for pushing the exit area against the endograft when discharging the at least one staple therethrough. The discharged staple forms a plurality of opposed loops connected by a central element upon discharge. Also disclosed are staples and displacement mechanisms adapted for use with surgical instruments such as the present endovascular staplers. The staples may be formed from memory metal or other metal. The displacement mechanisms disclosed include balloons and rigid offsetting devices.

摘要翻译： 公开了一种用于将内移植物固定到血管的血管内吻合器。 订书机包括适于在其中存储至少一个订书钉的订书钉壳体，订书钉机架具有用于通过其排出至少一个订书钉的出口区域，适于将至少一个订书钉排出通过出口区域的致动组件，以及 位移机构与出口区域附近的钉仓有效关联。 当排出至少一个订书钉通过其时，位移构件用于将出口区域推靠在内移器上。 排出的订书钉在排出时形成由中心元件连接的多个相对环。 还公开了适于与诸如本发明的血管内吻合器的外科器械一起使用的吻合钉和移位机构。 订书钉可以由记忆金属或其他金属形成。 所公开的位移机构包括气球和刚性偏移装置。

公开(公告)号：US20130087596A1

公开(公告)日：2013-04-11

申请号：US13539667

申请日：2012-07-02

申请人： Diego Y. Fontayne ,  John K. Edoga ,  Thierry Richard

发明人： Diego Y. Fontayne ,  John K. Edoga ,  Thierry Richard

IPC分类号： A61B17/115

CPC分类号： A61B17/115 ,  A61B17/072 ,  A61B17/1155 ,  A61B17/12013 ,  A61B2017/1107 ,  A61B2017/1157 ,  A61F2/06 ,  A61F2002/061 ,  A61F2002/065 ,  A61F2002/9517

摘要： A system is provided for joining two tubular structures by a surgical stapling procedure. The system includes a series of sizers, a specifically designed graft, a loading unit, a wand, a tourniquet, and a stapling instrument. As a result, a plurality of staples may be simultaneously deployed quickly and accurately in a circumferential pattern so as to join together two tubular structures. The system may be used in either an open surgical procedure or laparascopically.

摘要翻译： 提供一种通过外科缝合程序连接两个管状结构的系统。 该系统包括一系列分选机，专门设计的移植物，装载单元，魔杖，止血带和吻合器械。 结果，可以以周向图案快速且准确地同时展开多个钉，以便将两个管状结构连接在一起。 该系统可以用于开放式外科手术或者腹腔镜下使用。

公开(公告)号：US08157146B2

公开(公告)日：2012-04-17

申请号：US12093637

申请日：2006-11-16

申请人： John K. Edoga ,  Thierry Richard ,  Peter Hinchliffe

发明人： John K. Edoga ,  Thierry Richard ,  Peter Hinchliffe

IPC分类号： A61B19/00 ,  A61B17/10

CPC分类号： A61B17/068 ,  A61B17/0644 ,  A61B17/072 ,  A61B2017/00867 ,  A61B2017/0647 ,  A61B2017/0649 ,  A61B2017/07214

摘要： An endovascular stapler (100) for securing an endograft to a vessel is disclosed. The stapler has a staple housing (104), an actuating mechanism (148) and an expansion mechanism (126). The staple housing (104) has a plurality of staple cartridges (128) adapted for storing at least one staple (180) therein. The staple cartridges (128) have an exit area (130) for discharging at least one of the staples (180) therethrough. The actuating assembly (148) is adapted for actuating the plurality of staple cartridges (128) to discharge the at least one staple through the exit area. The expansion mechanism (126) is in operative association with staple cartridges (128). The expansion mechanism (126) is operative for pushing the exit area (130) against the endograft when discharging the at least one staple therethrough.

摘要翻译： 公开了一种用于将内移植物固定到血管的血管内吻合器（100）。 订书机具有钉仓（104），致动机构（148）和膨胀机构（126）。 钉仓（104）具有适于在其中存储至少一个钉（180）的多个钉仓（128）。 钉仓（128）具有用于排出其中的至少一个钉（180）的出口区域（130）。 致动组件（148）适于致动多个订书钉盒（128）以将至少一个订书钉排出出口区域。 膨胀机构（126）与钉仓（128）可操作地相关联。 膨胀机构（126）用于当通过其排出至少一个订书钉时将出口区域（130）推靠在内移器上。

公开(公告)号：US07261705B2

公开(公告)日：2007-08-28

申请号：US10682222

申请日：2003-10-09

申请人： John K. Edoga ,  Thierry Richard

发明人： John K. Edoga ,  Thierry Richard

IPC分类号： A61M31/00 ,  A61M37/00

CPC分类号： A61M1/3655 ,  A61M1/3653 ,  A61M1/3659 ,  A61M1/3661 ,  A61M39/0208 ,  A61M39/1011 ,  A61M2039/0211 ,  A61M2039/1027

摘要： An implantable access port in accordance with one embodiment of the invention comprises a hollow port casing having a first channel, a second channel and a third channel. A self-sealing insert may be disposed within the third channel. The implantable access port may further comprise a graft having a first branch, a second branch, and a third branch, the first branch extending from the first channel and adapted to be anastomosed to a vessel at a first location, the second branch extending from the second channel and adapted to be anastomosed to a vessel in a second location, the third branch extending at least partially into the third channel, wherein the third branch is disposed between the self-sealing insert and the hollow port casing. Methods for performing medical procedures associated with the implantable access port are also disclosed.

摘要翻译： 根据本发明的一个实施例的可植入进入口包括具有第一通道，第二通道和第三通道的中空端口壳体。 自密封插入件可以设置在第三通道内。 所述可植入进入口还可以包括具有第一分支，第二分支和第三分支的移植物，所述第一分支从所述第一通道延伸并且适于在第一位置处吻合到血管，所述第二分支从所述第一分支 第二通道并且适于在第二位置与血管吻合，所述第三分支至少部分地延伸到所述第三通道中，其中所述第三分支设置在所述自密封插入件和所述中空端口壳体之间。 还公开了用于执行与可植入访问端口相关联的医疗程序的方法。