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    IMPROVED SURGICAL STAPLING INSTRUMENT AND METHOD THEREOF
    1.
    发明申请
    IMPROVED SURGICAL STAPLING INSTRUMENT AND METHOD THEREOF 审中-公开
    改进的外科手术仪器及其方法

    公开(公告)号：WO1997028749A1

    公开(公告)日：1997-08-14

    申请号：PCT/US1997001579

    申请日：1997-02-05

    Applicant: HEARTPORT, INC.

    Inventor： HEARTPORT, INC. ,  BOLDUC, Lee, R. ,  HECK, Christopher, F.

    IPC: A61B17/068

    CPC classification number: A61B17/1152 ,  A61B17/0644 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/00243 ,  A61B2017/00252 ,  A61B2017/081 ,  A61B2017/1103 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61F2/064

    Abstract: A method and apparatus (10) for attaching a tubular graft (20) to a body structure (332) is disclosed. The apparatus (10) includes a central rod (12) with an anvil (14) attached at a distal end (16) thereof. Driver pins (24) move distally to eject staples (210) which are housed in a cartridge (26). The staple cartridge (26) has an outer circumference sufficient to accommodate everted end (34) of tubular graft (20), and an inner diameter sufficient to accommodate a majority of the tubular graft (2) therein. Accordingly, the method includes positioning the rod (12) in the graft (20), everting an end (34) of the graft around a shoulder (36) of the staple cartridge (26), inserting the anvil (14) through an opening (334) in the body structure (332), compressing the graft (20) and the body structure (332) between the anvil (14) and shoulder (36), and moving the driver pins (24) distally to engage and drive the staples (210), thus stapling the graft (20) to the body structure (332).

    Abstract translation: 公开了一种用于将管状移植物（20）附接到身体结构（332）的方法和装置（10）。 装置（10）包括具有附接在其远端（16）处的砧座（14）的中心杆（12）。 驱动销（24）向远侧移动以排出容纳在盒（26）中的订书钉（210）。 钉仓（26）具有足以容纳管状移植物（20）的脱开端（34）的外圆周，以及足以容纳其中大多数管状移植物（2）的内径。 因此，该方法包括将杆（12）定位在移植物（20）中，使移植物的端部（34）围绕钉仓（26）的肩部（36）旋转，将砧座（14）插入开口 （332）中，在砧座（14）和肩部（36）之间压缩移植物（20）和主体结构（332），并且使驱动销（24）向远侧移动以接合和驱动 订书钉（210），从而将移植物（20）装订到身体结构（332）。

    STEREOSCOPIC ENDOSCOPE
    2.
    发明申请
    STEREOSCOPIC ENDOSCOPE 审中-公开
    立体视神经内镜

    公开(公告)号：WO1997027798A1

    公开(公告)日：1997-08-07

    申请号：PCT/US1997001372

    申请日：1997-01-31

    Applicant: HEARTPORT, INC.

    Inventor： HEARTPORT, INC. ,  LEINER, Dennis, C. ,  BRUKILACCHIO, Thomas, J.

    IPC: A61B01/00

    CPC classification number: A61B1/00193 ,  H04N13/194 ,  H04N13/239 ,  H04N13/296 ,  H04N13/341 ,  H04N13/398

    Abstract: A stereoscopic endoscope is disclosed having two laterally separated objective lens elements (66, 68) at the distal end (50) of an elongated probe for creating a left and right image. Polarizing elements (70, 72) in series with each objective lens are oriented with their principle axes perpendicular. The orthogonally polarized left and right images are combined with one another along a common optical path through the relay section (52). An image decoupling beam splitting section (56) proximal to the relay section (52) uses a polarizing beam splitter to separate the left and right images based on their orthogonal polarization states and directs them toward the left and right eyepieces in the ocular section (58). An optical hinge section (54) allows relative movement between the ocular section (58) and the distal portion of the endoscope.

    Abstract translation: 公开了在细长探针的远端（50）处具有两个横向分离的物镜元件（66,68）的立体内窥镜，用于产生左图像和右图像。 与每个物镜串联的极化元件（70,72）以它们的主轴线垂直取向。 正交偏振左和右图像沿着通过中继部分（52）的公共光路彼此组合。 靠近中继部分（52）的图像去耦束分离部分（56）使用偏振分束器基于它们的正交极化状态分离左图像和右图像，并将它们引导到眼部分中的左右目镜（58 ）。 光学铰链部分（54）允许目镜部分（58）和内窥镜的远端部分之间的相对移动。

    LESS INVASIVE DEVICES AND METHODS FOR TREATMENT OF CARDIAC VALVES
    4.
    发明申请
    LESS INVASIVE DEVICES AND METHODS FOR TREATMENT OF CARDIAC VALVES 审中-公开
    较少的入侵设备和治疗心脏瓣膜的方法

    公开(公告)号：WO1996039942A1

    公开(公告)日：1996-12-19

    申请号：PCT/US1996007970

    申请日：1996-05-30

    Applicant: HEARTPORT, INC.

    Inventor： HEARTPORT, INC. ,  GARRISON, Michi, E. ,  DONLON, Brian, S. ,  DANIEL, S., Christopher ,  STEVENS, John, H.

    IPC: A61B17/00

    CPC classification number: A61F2/2427 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/0293 ,  A61B90/40 ,  A61B2017/00243 ,  A61B2090/401 ,  A61F2/2403 ,  A61F2/2448 ,  A61F2/2466 ,  A61F2/2496

    Abstract: Device and methods are provided for less invasive surgical treatment of cardiac valves whereby the need for a gross thoracotomy or median sternotomy is eliminated. In one aspect of this invention, a delivery system (10) for a cardiac valve prosthesis such as an annuloplasty ring (90) or prosthetic valve (262) includes an elongated handle (28) configured to extend into the heart through an intercostal space from outside of the chest cavity, and a prosthesis holder (100) attached to the handle for releasably holding a prosthesis. The prosthesis holder (100) is attached to the handle (28) in such a way that the holder (100), prosthesis (90) and handle (28) have a profile with a height smaller than the width of an intercostal space when the adjacent ribs are unrectrated, preferably less than about 30 mm. In a further aspect, the invention provides a method for repairing or replacing a heart valve which includes the steps of introducing a prosthesis (262) through an intercostal space and through a penetration in a wall of the heart, and securing the prosthesis (262) to an interior wall of the heart, wherein each step is carried out without cutting, removing, or significantly retracting the ribs or sternum.

    Abstract translation: 为心脏瓣膜的较少侵入性手术治疗提供了装置和方法，因此消除了对大胸廓切开术或中位胸骨切开术的需要。 在本发明的一个方面，用于心脏瓣膜假体例如瓣环成形术环（90）或人工瓣膜（262）的输送系统（10）包括细长手柄（28），其配置成通过肋间隙 以及附接到手柄上的假体保持器（100），用于可释放地保持假体。 假体保持器（100）以使得保持器（100），假体（90）和手柄（28）具有高度小于肋间空间的宽度的轮廓的方式附接到手柄（28），当该 相邻的肋是非直立的，优选小于约30mm。 在另一方面，本发明提供了一种修复或替换心脏瓣膜的方法，其包括以下步骤：将假体（262）通过肋间空间引入穿过心脏的壁，并固定假体（262） 到心脏的内壁，其中每个步骤在不切割，移除或显着缩回肋骨或胸骨的情况下进行。

    CARDIOPLEGIA CATHETER SYSTEM
    8.
    发明申请
    CARDIOPLEGIA CATHETER SYSTEM 审中-公开
    CARDIOPLEGIA导管系统

    公开(公告)号：WO1996017644A1

    公开(公告)日：1996-06-13

    申请号：PCT/US1995015014

    申请日：1995-11-21

    Applicant: HEARTPORT, INC.

    Inventor： HEARTPORT, INC. ,  ST. GOAR, Frederick, G. ,  PETERS, William, S. ,  EVARD, Philip, C. ,  BOYD, Stephen, W. ,  ADAMS, Craig, L. ,  MUELLER, Richard, L., Jr. ,  STEVENS, John, H.

    IPC: A61M29/00

    CPC classification number: A61M25/0068 ,  A61B2017/00243 ,  A61B2018/00232 ,  A61B2018/00261 ,  A61F2/2427 ,  A61M1/3653 ,  A61M1/3659 ,  A61M25/0041 ,  A61M25/005 ,  A61M25/008 ,  A61M25/01 ,  A61M25/0125 ,  A61M25/0662 ,  A61M25/10 ,  A61M25/1002 ,  A61M2025/0031 ,  A61M2025/0034 ,  A61M2025/0036 ,  A61M2025/004 ,  A61M2025/0057 ,  A61M2025/0078 ,  A61M2025/0087 ,  A61M2025/028 ,  A61M2025/1047 ,  A61M2025/1077 ,  A61M2205/11 ,  A61M2205/366 ,  A61M2210/125

    Abstract: A catheter system is provided for accessing the coronary ostia (176, 180) transluminal from a peripheral arterial access site, such as the femoral artery, and for inducing cardioplegia arrest by direct infusion of cardioplegia solution into the coronary arteries. In a first embodiment, the catheter system is in the form of a single perfusion catheter (20) with multiple distal branches (24, 26, 28) for engaging the coronary ostia (176, 180). In a second embodiment, multiple perfusion catheters (82, 84) are delivered to the coronary ostia (176, 180) through a single arterial cannula (104). In a third embodiment, multiple perfusion catheters (112, 114, 116) are delivered to the coronary ostia (176, 180) through a single guiding catheter (126). In a fourth embodiment, multiple catheters (140, 142, 144) are delivered to the coronary ostia (176, 180) through a single guiding catheter (130) which has distal exit ports (134, 136, 138) that are arranged to direct the perfusion catheters into the coronary ostia (176, 180). In each embodiment, the catheters (20) are equipped with an occlusion means (30, 50) at the distal end of the catheter (20) for closing the coronary ostia (176, 180), and isolating the coronary arteries from the systemic blood flow.

    Abstract translation: 提供导管系统用于从外周动脉进入部位（例如股动脉）进入腔内的冠状动脉口（176,180），并通过将心麻痹液直接输注到冠状动脉中诱导停搏。 在第一实施例中，导管系统是具有用于接合冠状动脉口（176,180）的多个远端分支（24,26,28）的单个灌注导管（20）的形式。 在第二实施例中，多个灌注导管（82,84）通过单个动脉插管（104）输送到冠状动脉口（176,180）。 在第三实施例中，多个灌注导管（112,114,116）通过单个引导导管（126）输送到冠状动脉口（176,180）。 在第四实施例中，多个导管（140,142,144）通过具有远端出口（134,136,138）的单个引导导管（130）输送到冠状动脉口（176,180），所述导向导管设置成引导 灌注导管进入冠状动脉口（176,180）。 在每个实施例中，导管（20）在导管（20）的远端配备有闭塞装置（30,50），用于封闭冠状动脉口（176,180），并将冠状动脉与全身血液隔离 流。

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