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：US08627992B2

公开(公告)日：2014-01-14

申请号：US10837827

申请日：2004-05-03

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

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

IPC分类号： A61B17/068

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：US20130186935A1

公开(公告)日：2013-07-25

申请号：US13556171

申请日：2012-07-23

申请人： John K. Edoga ,  Thierry Richard

发明人： John K. Edoga ,  Thierry Richard

IPC分类号： A61B17/068

CPC分类号： A61B17/068 ,  A61B17/072 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/07214

摘要： Vascular anastomotic staplers (100, 200, 300) for securing grafts to vessels and methods of using such staplers are disclosed. The staplers are capable of performing anastomoses between relatively small vessels (184, 240, 340) and grafts (186, 236, 316) such as prosthetic vascular grafts. The staplers are capable of discharging multiple staples simultaneously suitable for end-to-end anastomosis (200) and for end-to-side anastomosis (300).

摘要翻译： 公开了用于将移植物固定到血管的血管吻合吻合器（100,200,300）以及使用这种吻合器的方法。 吻合器能够在相对小的血管（184,240,340）和移植物（186,236,316）之间进行吻合，例如假体血管移植物。 吻合器能够同时排放适合于端对端吻合（200）和端对侧吻合（300）的多个钉。

公开(公告)号：US07399310B2

公开(公告)日：2008-07-15

申请号：US10737466

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： A61B17/115 ,  A61B17/068

CPC分类号： A61B17/0644 ,  A61B17/068 ,  A61B17/0684 ,  A61B17/115 ,  A61B90/39 ,  A61B2017/00557 ,  A61B2017/1157 ,  A61B2017/22051 ,  A61B2017/22052 ,  A61B2017/22069 ,  A61B2017/2905 ,  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. The stapler also includes 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 displacement mechanism may comprise a balloon adapted to be inflated and deflated positioned near the exit area. The unbent staples may be shaped as elongate W shapes, or may alternatively be straight wire segments. The staples may be bent upon discharge.

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外壳。 订书钉外壳具有用于通过其排出至少一个订书钉的出口区域。 订书机还包括适于将至少一个订书钉排放通过出口区域的致动组件和与出口区域附近的订书钉壳体可操作地关联的位移机构。 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。 位移机构可以包括适于在出口区域附近放置和放气的气囊。 未钉钉可以形成为细长的W形状，或者可替代地为直线段。 订书钉在放电时可能会弯曲。

公开(公告)号：US07201747B2

公开(公告)日：2007-04-10

申请号：US10690291

申请日：2003-10-21

申请人： John K Edoga ,  Thierry Richard

发明人： John K Edoga ,  Thierry Richard

IPC分类号： A61B17/00

CPC分类号： A61B17/02 ,  A61B46/23 ,  A61B90/50 ,  A61B2090/504

摘要： A positioning system for use during surgical procedures comprising a belt assembly adapted to be positioned about a bodily surface of a patient. The belt assembly may comprise a single module, or a first module adapted to be attached to a second module. The modules may be adapted to permit attachment of a surgical instrument thereto. The modules may also include cushioned undersides. The system may also comprise a surgical instrument retention system including a saddle adapted to be positioned on a surgical instrument, straps adapted to secure the saddle to the surgical instrument, and a pulley cord coupled to the saddle so as to selectively position the surgical instrument upon movement of the pulley cord. The modules may also include an accessory adapted to fit securely within shaped openings formed therein. The accessory may comprise a base having a locking apparatus for locking a medical device to the base.

摘要翻译： 一种在外科手术过程中使用的定位系统，包括适于围绕患者的身体表面定位的皮带组件。 带组件可以包括单个模块或适于附接到第二模块的第一模块。 模块可以适于允许手术器械附着到其上。 模块还可以包括缓冲的下侧。 该系统还可以包括外科器械保持系统，其包括适于定位在手术器械上的鞍座，适于将鞍座固定到手术器械的带子和耦合到鞍座的滑轮绳，以便将外科器械选择性地定位在 滑轮绳的运动。 模块还可以包括适于牢固地配合在其中形成的形状开口内的附件。 附件可以包括具有用于将医疗装置锁定到基座的锁定装置的底座。

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。