-
公开(公告)号：US5662590A
公开(公告)日：1997-09-02
申请号：US458488
申请日：1995-06-02
CPC分类号： A61B18/26 , A61B17/22012 , A61B17/22022 , A61B2017/22008 , Y10S977/905 , Y10S977/951
摘要： A method and apparatus for dilating blood vessels in vasospasm through the use of high frequency wave, e.g., hydraulic or acoustic waves. The invention is suitable to treat any vasospasm, including any vasospasm intractable to medication, including cerebral vasospasm, which currently is not susceptible to any mechanical or chemical treatments. The apparatus for dilating blood vessels includes a catheter having a fluid-filled lumen, a wave generator arranged within the catheter lumen for generating a wave front that propagates through the fluid in the lumen and is transmitted from the distal end of the catheter to propagate through the fluid in the blood vessel, and an energy source connected to the wave generator to provide energy to produce the wave front.
摘要翻译： 通过使用高频波（例如液压或声波）来扩张血管痉挛中的血管的方法和装置。 本发明适用于治疗任何血管痉挛，包括药物难治的任何血管痉挛，包括目前对机械或化学治疗不敏感的脑血管痉挛。 用于扩张血管的装置包括具有流体填充内腔的导管，布置在导管内腔内的波发生器，用于产生波前通过腔内的流体传播并从导管的远端传播以传播通过 血管中的流体和连接到波发生器的能量源以提供能量以产生波前。
-
公开(公告)号：US5472406A
公开(公告)日：1995-12-05
申请号：US192948
申请日：1994-02-07
CPC分类号： A61B18/26 , A61B17/22012 , A61B17/22022 , A61B2017/22008 , Y10S977/905 , Y10S977/951
摘要： A method and apparatus for dilating blood vessels in vasospasm through the use of high frequency wave, e.g., hydraulic or acoustic waves. The invention is suitable to treat any vasospasm, including any vasospasm intractable to medication, including cerebral vasospasm, which currently is not susceptible to any mechanical or chemical treatments. The apparatus for dilating blood vessels includes a catheter having a fluid-filled lumen, a wave generator arranged within the catheter lumen for generating a wave front that propagates through the fluid in the lumen and is transmitted from the distal end of the catheter to propagate through the fluid in the blood vessel, and an energy source connected to the wave generator to provide energy to produce the wave front.
-
公开(公告)号：US20080154097A1
公开(公告)日：2008-06-26
申请号：US12045205
申请日：2008-03-10
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B17/0281 , A61B2017/0237
摘要： A surgical retractor includes a “swivel” having a string extending from one end and a string extending from the midpoint between the two ends. The swivel is delivered by pushing it out of a tube which is inserted through a small incision between the ribs of the patient. After the swivel is deployed, the tube is removed and the string which is attached to the center of the swivel is pulled to lift the pericardium. When the procedure is complete, the swivel is removed from the patient by pulling the string attached to the end of the swivel. According to one embodiment, the swivel is a cylinder with a blunt conical end. According to another embodiment, the swivel has a sharp end which is covered by a spring loaded collar.
摘要翻译： 手术牵开器包括具有从一端延伸的绳和从两端之间的中点延伸的绳的“旋转”。 通过将其从穿过患者肋骨之间的小切口插入的管中推出来将其转运。 在旋转装置展开之后，将管子取出，并且将牵引到旋转中心的绳子被牵拉以提起心包。 当程序完成时，通过拉动附接到旋转端的连接器的绳索将患者的旋转体移除。 根据一个实施例，旋转件是具有钝锥形端的圆筒。 根据另一个实施例，旋转件具有由弹簧加载的套环覆盖的尖端。
-
公开(公告)号：US07322935B2
公开(公告)日：2008-01-29
申请号：US10348845
申请日：2003-01-22
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B2017/00867
摘要： An endoscopic retractor includes a tube having a proximal end and a distal end with a push rod extending therethrough. The proximal ends of the push rod is provided with a threaded portion. A rotatable handle is coupled to the proximal end of the tube and threadably engages the threaded portion of the push rod such that rotation of the handle causes a translation of the push rod. The distal end of the tube is provided with a clevis through which the distal end of the push rod extends. A multi-segment canopy is coupled to the clevis and the push rod via an articulate linkage. Translation of the push rod in the distal direction causes the canopy to be moved from a starting substantially cylindrical configuration with its axis nearly collinear with the axis of the tube to an opened quasi-planar configuration. Further translation of the push rod in the distal direction causes the quasi-planar canopy to be rotated in the clevis to an angle of approximately ninety degrees relative to the axis of the tube.
摘要翻译： 内窥镜牵开器包括具有近端和远端的管，其中延伸穿过其中的推杆。 推杆的近端设有螺纹部分。 可旋转手柄联接到管的近端并且可螺纹地接合推杆的螺纹部分，使得手柄的旋转引起推杆的平移。 管的远端设置有U形夹，推杆的远端延伸穿过该U形夹。 多段罩通过铰接连接件联接到U形夹和推杆。 推杆在远端方向的翻译使得顶盖从起始的大致圆柱形构型移动，其轴线与管的轴线几乎共线至打开的准平面构型。 推杆在远端方向上的进一步平移使得准平面罩能够在U形夹中相对于管的轴线旋转大约90度的角度。
-
公开(公告)号：US07001401B1
公开(公告)日：2006-02-21
申请号：US10430118
申请日：2003-05-06
IPC分类号： A61B17/04
CPC分类号： A61B17/11 , A61B17/0469 , A61B2017/00252 , A61B2017/00946 , A61B2017/1103 , A61B2017/1107
摘要： A device for holding a blood vessel (and corresponding method of operation) includes a mandrel having a proximal end opposite a distal end. A tube houses a portion of the mandrel. A tip assembly, which is operably coupled to the distal end of the mandrel, comprises a sheath having a tapered portion and a cylindrical portion. The sheath is adapted to be inserted into a lumen of a blood vessel such that an end of the blood vessel is supported by the tapered portion. The elastic nature of the blood vessel holds the end of the blood vessel in place with respect to the tip assembly. The tapered portion includes an exterior surface with a plurality of needle-guide-grooves that extend along such exterior surface. A needle is driven through the blood vessel while being guided by a needle-guide groove such that the needle is driven through the blood vessel near the end of the blood vessel.
摘要翻译： 用于保持血管的装置（以及相应的操作方法）包括具有与远端相对的近端的心轴。 管容纳心轴的一部分。 可操作地联接到心轴的远端的尖端组件包括具有锥形部分和圆柱形部分的护套。 护套适于插入到血管的内腔中，使得血管的端部由锥形部支撑。 血管的弹性性质将血管的端部相对于尖端组件保持就位。 锥形部分包括具有沿着这样的外表面延伸的多个针导向槽的外表面。 针被引导通过血管，由针引导槽引导，使得针被驱动通过靠近血管末端的血管。
-
公开(公告)号：US07341558B2
公开(公告)日：2008-03-11
申请号：US10666707
申请日：2003-09-19
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B17/0281 , A61B2017/0237
摘要： A surgical retractor includes a “swivel” having a string extending from one end and a string extending from the midpoint between the two ends. The swivel is delivered by pushing it out of a tube which is inserted through a small incision between the ribs of the patient. After the swivel is deployed, the tube is removed and the string which is attached to the center of the swivel is pulled to lift the pericardium. When the procedure is complete, the swivel is removed from the patient by pulling the string attached to the end of the swivel. According to one embodiment, the swivel is a cylinder with a blunt conical end. According to another embodiment, the swivel has a sharp end which is covered by a spring loaded collar.
摘要翻译： 手术牵开器包括具有从一端延伸的绳和从两端之间的中点延伸的绳的“旋转”。 通过将其从穿过患者肋骨之间的小切口插入的管中推出来将其转运。 在旋转装置展开之后，将管子取出，并且将牵引到旋转中心的绳子被牵拉以提起心包。 当程序完成时，通过拉动附接到旋转端的连接器的绳索将患者的旋转体移除。 根据一个实施例，旋转件是具有钝锥形端的圆筒。 根据另一个实施例，旋转件具有由弹簧加载的套环覆盖的尖端。
-
公开(公告)号：US06582420B2
公开(公告)日：2003-06-24
申请号：US09893051
申请日：2001-06-27
IPC分类号： A61B1700
CPC分类号： A61B17/3421 , A61B17/3417 , A61B17/3462 , A61B2017/00243 , A61B2017/00703 , A61B2017/0243 , A61B2017/3405 , A61B2017/3484 , A61B2017/3492
摘要： A port device includes a tubular body sized to be inserted through a pair of ribs in a chest wall of a patient, a ball provided about the body, and a base defining a socket in which the ball is provided. Detent structure permits but limits longitudinal movement of the body relative to the ball. The base includes a clamping system which compresses the ball to lock the ball at a selected orientation within the socket and also immobilizes the port body relative to the ball. The distal end of the body includes a pair of swivels rotatably attached thereto. An obturator is extendable within the body maneuvers the swivels between a closed position (in which the swivels are oriented substantially parallel to the axis of the body), and an open position (in which the swivels are directed outward from the port).
-
8.发明授权Method of performing port off-pump beating heart coronary artery bypass surgery 有权执行端口跳动心脏冠状动脉旁路手术的方法公开(公告)号：US06503245B2
公开(公告)日：2003-01-07
申请号：US09733498
申请日：2000-12-08
IPC分类号： A61B1700
CPC分类号： A61B17/3417 , A61B17/3421 , A61B17/3462 , A61B2017/00243 , A61B2017/00703 , A61B2017/0243 , A61B2017/3405 , A61B2017/3484 , A61B2017/3492
摘要： A method for performing through-port off-pump beating heart coronary artery bypass surgery is provided. A port device is positioned in the chest wall and directed as necessary. A heart stabilizer is coupled to the port, and operated to apply a compressive force against the heart wall surrounding a location the required bypass such that the location is substantially immobilized. An instrument stabilizer includes a cannula which is inserted through a hole in the chest cavity, and the distal tip of the cannula is located adjacent the surgical site. The instrument stabilizer dampens movement of a surgical instrument, e.g., a scalpel or needle holder, extended therethrough. Once the bypass procedure is complete, the instruments, heart stabilizer, instrument stabilizers, and port are removed from the body of the patient.
摘要翻译： 提供了一种执行穿孔式抽动心脏冠状动脉旁路手术的方法。 端口装置定位在胸壁上，并根据需要定向。 心脏稳定器联接到端口，并且被操作以对围绕所需旁路的位置的心脏壁施加压缩力，使得该位置基本上被固定。 仪器稳定器包括穿过胸腔中的孔插入的套管，套管的远端位于手术部位附近。 仪器稳定器阻止手术器械的移动，例如从其延伸的手术刀或针保持器。 一旦旁路过程完成，仪器，心脏稳定器，仪器稳定器和端口从患者体内移除。
-
9.发明授权公开(公告)号：US06464690B1
公开(公告)日：2002-10-15
申请号：US09686530
申请日：2000-10-11
IPC分类号： A61B1700
CPC分类号： A61B17/3417 , A61B17/3421 , A61B17/3462 , A61B2017/00243 , A61B2017/00703 , A61B2017/0243 , A61B2017/3405 , A61B2017/3484 , A61B2017/3492
摘要： A heart stabilizer includes a shaft and two articulating arms coupled to a distal end of the shaft. At the end of each arm is a rotatable foot adapted to be angled relative to the heart wall contour and apply pressure against the wall of the heart to effectively eliminate motion of the heart wall between the feet. The stabilizer is adapted to provide a stabilized area sufficiently large to allow an accurate anastomosis to be performed. According to preferred aspects of the invention, the stabilizer is particularly adapted to be collapsible (foldable) to be inserted through the port device and locked longitudinally relative thereto. The stabilizer is also preferably adapted to be automatically deployed into its final configuration by release of a lock actuated at a proximal portion of stabilizer extending outside the port. In addition, the stabilizer is adapted to automatically fold when being pulled back through the port. According to various embodiments of the heart stabilizer, the feet of the stabilizer may be further adapted to facilitate immobilization of the heart wall between the feet.
摘要翻译： 心脏稳定器包括轴和联接到轴的远端的两个铰接臂。 在每个臂的末端是可旋转的脚，其适于相对于心脏壁轮廓成角度并且对心脏壁施加压力以有效地消除心脏壁在脚之间的运动。 稳定器适于提供足够大的稳定区域以允许进行精确的吻合。 根据本发明的优选方面，稳定器特别适于可折叠（可折叠）以插入通过端口装置并且相对于其纵向锁定。 稳定器还优选地适于通过释放在端口外部延伸的稳定器的近侧部分处致动的锁来自动地部署到其最终构造。 此外，稳定器适于在通过端口被拉回时自动折叠。 根据心脏稳定器的各种实施例，稳定器的脚可以进一步适于促进心脏壁在脚之间的固定。
-
公开(公告)号：US07850607B2
公开(公告)日：2010-12-14
申请号：US12045205
申请日：2008-03-10
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B17/0281 , A61B2017/0237
摘要： A surgical retractor includes a “swivel” having a string extending from one end and a string extending from the midpoint between the two ends. The swivel is delivered by pushing it out of a tube which is inserted through a small incision between the ribs of the patient. After the swivel is deployed, the tube is removed and the string which is attached to the center of the swivel is pulled to lift the pericardium. When the procedure is complete, the swivel is removed from the patient by pulling the string attached to the end of the swivel. According to one embodiment, the swivel is a cylinder with a blunt conical end. According to another embodiment, the swivel has a sharp end which is covered by a spring loaded collar.
摘要翻译： 手术牵开器包括具有从一端延伸的绳和从两端之间的中点延伸的绳的“旋转”。 通过将其从穿过患者肋骨之间的小切口插入的管中推出来将其转运。 在旋转装置展开之后，将管子取出，并且将牵引到旋转中心的绳子被牵拉以提起心包。 当程序完成时，通过拉动附接到旋转端的连接器的绳索将患者的旋转体移除。 根据一个实施例，旋转件是具有钝锥形端的圆筒。 根据另一个实施例，旋转件具有由弹簧加载的套环覆盖的尖端。
-
-
-
-
-
-
-
-
-
搜索结果
17 条记录 (耗时 0.031 秒)
