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公开(公告)号：WO1996032882A1
公开(公告)日：1996-10-24
申请号：PCT/US1996003349
申请日：1996-03-12
Applicant: HEARTPORT, INC.
Inventor： HEARTPORT, INC. , STEVENS, John, H. , REITZ, Bruce, A. , ROTH, Alex, T. , PETERS, William, S. , GIFFORD, Hanson, S.
IPC: A61B05/00
CPC classification number: A61B17/00234 , A61B17/0057 , A61B17/0218 , A61B17/0467 , A61B17/0469 , A61B17/06061 , A61B17/2909 , A61B17/320016 , A61B17/3211 , A61B17/3417 , A61B17/3468 , A61B18/1442 , A61B18/1482 , A61B18/1492 , A61B90/37 , A61B90/50 , A61B2017/00053 , A61B2017/00243 , A61B2017/00247 , A61B2017/00349 , A61B2017/00575 , A61B2017/00579 , A61B2017/00592 , A61B2017/00597 , A61B2017/00606 , A61B2017/00619 , A61B2017/00623 , A61B2017/00867 , A61B2017/00907 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2943 , A61B2017/2946 , A61B2017/306 , A61B2017/3405 , A61B2017/3486 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2018/00898 , A61B2018/00982 , A61B2018/1465 , A61F2/2427 , A61M25/1011 , A61M39/0247 , A61M2025/028 , A61M2039/0279 , A61M2039/0297 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , Y10S623/904
Abstract: Devices, systems, and methods are provided for accessing the interior of the heart, and performing procedures therein while the heart is beating. A tubular access device (22) is positioned through an intercostal space and through a muscular wall of the heart. The access device (22) includes a balloon or flange for sealing (32) the penetration to prevent leakage of blood. An obturator (52) is positionable in the access device, and includes cutting means (60) located at its distal end. Elongated instruments are introduced through the access device to perform surgical procedures including septal device repair, ablation, and electrophysiological mapping.
Abstract translation: 提供了用于访问心脏内部的装置，系统和方法，以及在心脏跳动时执行其中的程序。 管状进入装置（22）通过肋间空间并通过心脏的肌肉壁定位。 进入装置（22）包括用于密封（32）穿透以防止血液泄漏的气囊或凸缘。 闭塞器52位于进入装置中，并且包括位于其远端的切割装置（60）。 通过进入装置引入细长的仪器以执行外科手术，包括中隔装置修复，消融和电生理测绘。
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公开(公告)号：WO1996040347A1
公开(公告)日：1996-12-19
申请号：PCT/US1996008078
申请日：1996-05-30
Applicant: HEARTPORT, INC.
Inventor： HEARTPORT, INC. , VALLEY, Kirsten, L. , SNOW, David, W. , CORVI, Timothy, C. , DONLON, Brian, S. , BOYD, Stephen, W. , FAN, Sylvia, W. , ROTH, Alex, T. , PETERS, William, S. , MUELLER, Richard, J., Jr. , GIFFORD, Hanson, S., III
IPC: A61M29/00
CPC classification number: A61M25/0147 , A61B17/00234 , A61B17/0218 , A61B17/0467 , A61B17/0469 , A61B17/06061 , A61B17/2909 , A61B18/1492 , A61B90/50 , A61B2017/00243 , A61B2017/00247 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2943 , A61B2017/306 , A61B2017/3405 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2090/064 , A61B2090/306 , A61F2/2427 , A61M1/3621 , A61M1/3653 , A61M1/3659 , A61M25/0023 , A61M25/0028 , A61M25/0032 , A61M25/0041 , A61M25/0054 , A61M25/0125 , A61M25/0152 , A61M25/0155 , A61M25/0662 , A61M25/10 , A61M25/1002 , A61M25/1011 , A61M25/1029 , A61M25/1034 , A61M25/1038 , A61M39/0247 , A61M2025/0002 , A61M2025/0004 , A61M2025/0031 , A61M2025/0046 , A61M2025/0078 , A61M2025/015 , A61M2025/0161 , A61M2025/028 , A61M2025/1047 , A61M2025/105 , A61M2025/1052 , A61M2025/1059 , A61M2025/1077 , A61M2025/1095 , A61M2202/047 , A61M2205/11 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , A61M2210/125 , A61M2210/127
Abstract: Devices and methods are provided for temporarily inducing cardio-plegia arrest in the heart of a patient, and for establishing cardiopulmonary bypass in order to facilitate surgical procedures onthe heart and its related blood vessels. Specifically, a catheterbased system is provided for isolating the heart and coronary blood vessels of a patient from the remainder of the arterial system(850), and for infusing a cardio-plegia agent into the patient's coronary arteries to induce cardio-plegia arrest in the heart. The system includes an endo-aortic partitioning catheter (10) having an expandable balloon (11, 161) at its distal end, which is expanded within the ascending aorta (12, 157) to occlude the aortic lumen between the coronary ostia and the brachio-cephalic artery. Means for centering the catheter tip (330) within the ascending aorta include specially curved shaft configurations (1600), eccentric (710) or shaped (792) occlusion balloons (161, 350), and a steerable catheter tip (145) which may be used separately or in combination. The shaft of the catheter may have a coaxial (106) or multilumen (602) construction.
Abstract translation: 提供了设备和方法，用于暂时诱导患者心脏中的心脏停滞，并建立心肺分流术，以促进心脏及其相关血管的外科手术。 具体地说，提供一种基于导管的系统，用于将患者的心脏和冠状动脉血管与动脉系统的其余部分（850）隔离，并将心脏 - 焦虑剂注入患者的冠状动脉以诱发心脏 - 心。 该系统包括内主动脉分隔导管（10），其在其远端具有可膨胀气囊（11,161），其在升主动脉（12,157）内扩张以阻塞冠状动脉口和臂动脉之间的主动脉腔 脑动脉。 用于使导管末端（330）在升主动脉内居中的装置包括特殊弯曲的轴构造（1600），偏心（710）或成形（792）阻塞气囊（161,350）以及可导向的导管尖端（145） 单独使用或组合使用。 导管的轴可以具有同轴（106）或多腔（602）结构。
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公开(公告)号：EP0744918B1
公开(公告)日：2004-04-21
申请号：EP95909554.8
申请日：1995-02-09
Applicant: HEARTPORT, INC.
Inventor： ROTH, Alex, T. , MILLER, Scott, H.
IPC: A61B17/00
CPC classification number: A61B17/2909 , A61B17/0469 , A61B17/1285 , A61B2017/00243 , A61B2017/2845 , A61B2017/2912 , A61B2017/2919 , A61B2017/2926 , A61B2017/2946 , A61B2017/305
Abstract: The invention provides devices and method for performing extremely small-scale, minimally-invasive microsurgery. The instruments of the invention utilize a symmetrical, forceps-like actuator (28) which provides extremely precise actuation and control of the instrument and which mimics the feel of the instruments used in conventional open surgical procedures. The instruments general include a pair of coaxially arranged shafts (22, 46), an end effector (40) at the distal ends of the shafts (22, 46), and an actuator (28) at the proximal end of the shafts (22, 46). The actuator (28) includes a pair of arms (36) pivotally coupled to one of either the outer or inner shaft, and a pair of links (52) pivotally coupled at one end to the arms (36), and at a second end to the other of the shafts. The actuator (28) may be easily adapted for either pull-type or push-type actuation, and for either outer shaft (22) or inner shaft (46) translation. The end effectors (40) may have a variety of configurations, including needle drivers, forceps, scissors, and clip appliers.
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Patent Agency Ranking
公开(公告)号：EP0836501A1
公开(公告)日：1998-04-22
申请号：EP96916816.0
申请日：1996-05-30
Applicant: HEARTPORT, INC.
Inventor： VALLEY, Kirsten, L. , SNOW, David, W. , CORVI, Timothy, C. , DONLON, Brian, S. , BOYD, Stephen, W. , FAN, Sylvia, W. , ROTH, Alex, T. , PETERS, William, S. , MUELLER, Richard, J., Jr. , GIFFORD, Hanson, S., III
CPC classification number: A61M25/0147 , A61B17/00234 , A61B17/0218 , A61B17/0467 , A61B17/0469 , A61B17/06061 , A61B17/2909 , A61B18/1492 , A61B90/50 , A61B2017/00243 , A61B2017/00247 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2943 , A61B2017/306 , A61B2017/3405 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2090/064 , A61B2090/306 , A61F2/2427 , A61M1/3621 , A61M1/3653 , A61M1/3659 , A61M25/0023 , A61M25/0028 , A61M25/0032 , A61M25/0041 , A61M25/0054 , A61M25/0125 , A61M25/0152 , A61M25/0155 , A61M25/0662 , A61M25/10 , A61M25/1002 , A61M25/1011 , A61M25/1029 , A61M25/1034 , A61M25/1038 , A61M39/0247 , A61M2025/0002 , A61M2025/0004 , A61M2025/0031 , A61M2025/0046 , A61M2025/0078 , A61M2025/015 , A61M2025/0161 , A61M2025/028 , A61M2025/1047 , A61M2025/105 , A61M2025/1052 , A61M2025/1059 , A61M2025/1077 , A61M2025/1095 , A61M2202/047 , A61M2205/11 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , A61M2210/125 , A61M2210/127
Abstract: Devices and methods are provided for temporarily inducing cardio-plegia arrest in the heart of a patient, and for establishing cardiopulmonary bypass in order to facilitate surgical procedures onthe heart and its related blood vessels. Specifically, a catheterbased system is provided for isolating the heart and coronary blood vessels of a patient from the remainder of the arterial system(850), and for infusing a cardio-plegia agent into the patient's coronary arteries to induce cardio-plegia arrest in the heart. The system includes an endo-aortic partitioning catheter (10) having an expandable balloon (11, 161) at its distal end, which is expanded within the ascending aorta (12, 157) to occlude the aortic lumen between the coronary ostia and the brachio-cephalic artery. Means for centering the catheter tip (330) within the ascending aorta include specially curved shaft configurations (1600), eccentric (710) or shaped (792) occlusion balloons (161, 350), and a steerable catheter tip (145) which may be used separately or in combination. The shaft of the catheter may have a coaxial (106) or multilumen (602) construction.
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5.发明公开METHOD AND APPARATUS FOR THORACOSCOPIC INTRACARDIAC PROCEDURES 失效方法和VORICHTUNG FOR THORASKOKOPISCHE和程序心内
公开(公告)号：EP0822777A1
公开(公告)日：1998-02-11
申请号：EP96909667.0
申请日：1996-03-12
Applicant: HEARTPORT, INC.
Inventor： STEVENS, John, H. , REITZ, Bruce, A. , ROTH, Alex, T. , PETERS, William, S. , GIFFORD, Hanson, S.
CPC classification number: A61B17/00234 , A61B17/0057 , A61B17/0218 , A61B17/0467 , A61B17/0469 , A61B17/06061 , A61B17/2909 , A61B17/320016 , A61B17/3211 , A61B17/3417 , A61B17/3468 , A61B18/1442 , A61B18/1482 , A61B18/1492 , A61B90/37 , A61B90/50 , A61B2017/00053 , A61B2017/00243 , A61B2017/00247 , A61B2017/00349 , A61B2017/00575 , A61B2017/00579 , A61B2017/00592 , A61B2017/00597 , A61B2017/00606 , A61B2017/00619 , A61B2017/00623 , A61B2017/00867 , A61B2017/00907 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2943 , A61B2017/2946 , A61B2017/306 , A61B2017/3405 , A61B2017/3486 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2018/00898 , A61B2018/00982 , A61B2018/1465 , A61F2/2427 , A61M25/1011 , A61M39/0247 , A61M2025/028 , A61M2039/0279 , A61M2039/0297 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , Y10S623/904
Abstract: Devices, systems, and methods are provided for accessing the interior of the heart, and performing procedures therein while the heart is beating. A tubular access device (22) is positioned through an intercostal space and through a muscular wall of the heart. The access device (22) includes a balloon or flange for sealing (32) the penetration to prevent leakage of blood. An obturator (52) is positionable in the access device, and includes cutting means (60) located at its distal end. Elongated instruments are introduced through the access device to perform surgical procedures including septal device repair, ablation, and electrophysiological mapping.
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公开(公告)号：EP0836501B1
公开(公告)日：2003-03-19
申请号：EP96916816.0
申请日：1996-05-30
Applicant: HEARTPORT, INC.
Inventor： VALLEY, Kirsten, L. , SNOW, David, W. , CORVI, Timothy, C. , DONLON, Brian, S. , BOYD, Stephen, W. , FAN, Sylvia, W. , ROTH, Alex, T. , PETERS, William, S. , MUELLER, Richard, J., Jr. , GIFFORD, Hanson, S., III
CPC classification number: A61M25/0147 , A61B17/00234 , A61B17/0218 , A61B17/0467 , A61B17/0469 , A61B17/06061 , A61B17/2909 , A61B18/1492 , A61B90/50 , A61B2017/00243 , A61B2017/00247 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2943 , A61B2017/306 , A61B2017/3405 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2090/064 , A61B2090/306 , A61F2/2427 , A61M1/3621 , A61M1/3653 , A61M1/3659 , A61M25/0023 , A61M25/0028 , A61M25/0032 , A61M25/0041 , A61M25/0054 , A61M25/0125 , A61M25/0152 , A61M25/0155 , A61M25/0662 , A61M25/10 , A61M25/1002 , A61M25/1011 , A61M25/1029 , A61M25/1034 , A61M25/1038 , A61M39/0247 , A61M2025/0002 , A61M2025/0004 , A61M2025/0031 , A61M2025/0046 , A61M2025/0078 , A61M2025/015 , A61M2025/0161 , A61M2025/028 , A61M2025/1047 , A61M2025/105 , A61M2025/1052 , A61M2025/1059 , A61M2025/1077 , A61M2025/1095 , A61M2202/047 , A61M2205/11 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , A61M2210/125 , A61M2210/127
Abstract: Devices and methods are provided for temporarily inducing cardio-plegia arrest in the heart of a patient, and for establishing cardiopulmonary bypass in order to facilitate surgical procedures onthe heart and its related blood vessels. Specifically, a catheterbased system is provided for isolating the heart and coronary blood vessels of a patient from the remainder of the arterial system(850), and for infusing a cardio-plegia agent into the patient's coronary arteries to induce cardio-plegia arrest in the heart. The system includes an endo-aortic partitioning catheter (10) having an expandable balloon (11, 161) at its distal end, which is expanded within the ascending aorta (12, 157) to occlude the aortic lumen between the coronary ostia and the brachio-cephalic artery. Means for centering the catheter tip (330) within the ascending aorta include specially curved shaft configurations (1600), eccentric (710) or shaped (792) occlusion balloons (161, 350), and a steerable catheter tip (145) which may be used separately or in combination. The shaft of the catheter may have a coaxial (106) or multilumen (602) construction.
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公开(公告)号：EP0744918A1
公开(公告)日：1996-12-04
申请号：EP95909554.0
申请日：1995-02-09
Applicant: HEARTPORT, INC.
Inventor： ROTH, Alex, T. , MILLER, Scott, H.
IPC: A61B17
CPC classification number: A61B17/2909 , A61B17/0469 , A61B17/1285 , A61B2017/00243 , A61B2017/2845 , A61B2017/2912 , A61B2017/2919 , A61B2017/2926 , A61B2017/2946 , A61B2017/305
Abstract: The invention provides devices and method for performing extremely small-scale, minimally-invasive microsurgery. The instruments of the invention utilize a symmetrical, forceps-like actuator (28) which provides extremely precise actuation and control of the instrument and which mimics the feel of the instruments used in conventional open surgical procedures. The instruments general include a pair of coaxially arranged shafts (22, 46), an end effector (40) at the distal ends of the shafts (22, 46), and an actuator (28) at the proximal end of the shafts (22, 46). The actuator (28) includes a pair of arms (36) pivotally coupled to one of either the outer or inner shaft, and a pair of links (52) pivotally coupled at one end to the arms (36), and at a second end to the other of the shafts. The actuator (28) may be easily adapted for either pull-type or push-type actuation, and for either outer shaft (22) or inner shaft (46) translation. The end effectors (40) may have a variety of configurations, including needle drivers, forceps, scissors, and clip appliers.
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公开(公告)号：EP0737083A1
公开(公告)日：1996-10-16
申请号：EP95905887.0
申请日：1994-12-08
Applicant: HEARTPORT, INC.
Inventor： EVARD, Philip, C. , MACHOLD, Timothy, R. , GIFFORD, Hanson, S., III , ROTH, Alex, T. , STERMAN, Wesley, D. , SIEGEL, Lawrence, C.
CPC classification number: A61B17/0218 , A61B17/00234 , A61B17/0057 , A61B17/0467 , A61B17/0469 , A61B17/06061 , A61B17/064 , A61B17/068 , A61B17/12013 , A61B17/122 , A61B17/1227 , A61B17/1285 , A61B17/29 , A61B17/2909 , A61B17/295 , A61B17/30 , A61B17/34 , A61B17/3403 , A61B18/1442 , A61B18/1492 , A61B90/50 , A61B2017/00243 , A61B2017/00247 , A61B2017/00353 , A61B2017/00544 , A61B2017/00637 , A61B2017/00663 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2905 , A61B2017/2933 , A61B2017/2943 , A61B2017/2945 , A61B2017/2946 , A61B2017/306 , A61B2017/3405 , A61B2017/3427 , A61B2017/3445 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2018/1432 , A61B2090/064 , A61F2/2427 , A61M25/01 , A61M25/1011 , A61M39/0247 , A61M2025/0003 , A61M2025/0089 , A61M2025/028 , A61M2039/0279 , A61M2202/047 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , A61M2210/127 , Y10S128/26 , A61M2230/005
Abstract: The invention provides devices and methods for thoracoscopically arresting the heart and establishing cardiopulmonary bypass, thus facilitating a variety of less invasive surgical procedures on and within the heart and great vessels of the thorax. In one embodiment, the invention provides a thoracoscopic system for arresting a patient's heart including a clamp (32) configured for introduction into the patient's thoracic cavity through a percutaneous intercostal penetration in the patient's chest. The clamp is positionable about the patient's ascending aorta between the coronary arteries and the brachio-cephalic artery. The clamp (32) is coupled to the distal end of an elongated handle means (36) for manipulating the clamp (32) from a location outside of the patient's thoracic cavity. A means for actuating the clamp (36) is coupled to the proximal end (23) of the handle means (36). When actuated, the clamp (32) blocks blood flow through the ascending aorta. A delivery cannula (44) may be used to deliver cardio-plegic fluid into the ascending aorta upstream from the clamp (32) to arrest cardiac function.
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