Maquet Cardiovascular LLC

Advanced Cardiovascular Systems, Inc.

Other

Kenny L Dang

Ryan Charles Abbott

Arthur M Lin

Liming Lau

Joseph N Lamberti

Arnold M Escano

Jerry Jarrard

Jesse McQuiston

Michael C Stewart

Justin Williams

Geoffrey H Willis

Peter L Callas

Rohit Kulbhushan Girotra

Charles J Adam

Andreina P Gomez

Samuel B Ho

Fred Ginnebaugh

Nazanine Matin

Sam Ho

Kimberly D Barkman

Henjen Ho

Su-Wen Ueng

Daniel L Cox

Orlando M Padilla

Han Juanta

Ravinder D Pamnani

Kimberly D Otto

Samnuel Ho

Jesse Mcquiston

An actuator for use in a surgical instrument, the actuator includes an upper portion configured to be actuated by one or more fingers, wherein the upper portion has an upper distal portion for operating the surgical instrument in a first mode of operation, and an upper proximal portion for operating the surgical instrument in a second mode of operation, and wherein the upper distal portion and the upper proximal portion have different respective tactile configurations for informing the user of the first and second modes of operation, respectively.

Surgical instrument and method

Components for an endoscopic vessel harvesting system suitable for harvesting target vessels such as the saphenous vein or radial artery for cardiac artery bypass graft surgery. The main components of such systems include a vessel dissector and a vessel harvester, both of which work in conjunction with a separately provided endoscope. The vessel dissector is an elongated cannula having a blunt tip for separating layers of facial around vessels. The tip may be movable, and is typically transparent to permit viewing forward of the tip using the endoscope. Internal features of the tip may reduce glare back to the endoscope. Several devices improve visibility through the tip by reducing interference from tissue or fluid on the tip. The vessel harvester also has an elongated cannula for receiving the endoscope. Several tools within the harvester permit manipulation, severing, and sealing of vessels forward of the distal end. The tool for manipulating vessels may have a low-profile for increased visibility of operation, and may be coupled to the cannula with a damping mechanism to reduce the possibility of avulsion of the vessels. Various vessel cutting and sealing devices are provided that may accommodate various sizes of vessels and improve cutting and sealing efficacy.

Endoscopic vessel harvesting system components

A surgical apparatus and methods for severing and welding tissue, in particular blood vessels. The apparatus includes an elongated shaft having a pair of relatively movable jaws at a distal end thereof. A first heating element on one of the jaws is adapted to heat up to a first temperature and form a welded region within the tissue, while a second heating element on one of the jaws is adapted to heat up to a second temperature and sever the tissue within the welded region. The first and second heating elements may be provided on the same or opposite jaws. A control handle provided on the proximal end of the elongated shaft includes controls for opening and closing the jaws, and may include an actuator for sending current through the first and second heating elements. The first and second heating elements may be electrically connected in series, and the first heating element may be bifurcated such that it conducts about one half of the current as the second heating element. A force-limiting mechanism provided either within the control handle, in the elongated shaft, or at the jaws limits the pressure applied to the tissue by the jaws to ensure that the tissue is severed and the ends effectively welded within a short amount of time.

Tissue welding and cutting apparatus and method

Apparatus and method for regulating tissue welder jaws

A surgical instrument includes an elongated body having a distal end, a proximal end, and a bore extending between the distal and proximal ends, a pair of jaws for severing vessel mounted on the distal end of the body, wherein at least one of the jaws has an electrically conductive material, and a handle coupled to the proximal end of the elongated body, wherein in a first mode of operation, the electrically conductive material is for receiving energy from a DC source, and in a second mode of operation, the electrically conductive material is for receiving energy from a RF source.

A vessel harvesting system that is suitable for harvesting target vessels such as the saphenous vein or radial artery for cardiac artery bypass graft surgery. The system includes a vessel harvesting tool with an elongated cannula and a plurality of surgical instruments therein for separating the target vessels from the surrounding tissue and side branches. The harvesting tool includes a modular handle unit with a base attached to the elongated cannula and a sled that can adapt the base to various types of vessel severing/securing tools, such as tissue welders, bipolar scissors, and bipolar bisectors. The handle unit may be relatively rigid and integrated with the various tool movement controls to facilitate one-handed operation by a user. A severing/securing tool rotation mechanism may be incorporated within the handle and operated by a thumbwheel or other such mechanism. The vessel harvesting system may also provide distal COinsufflation for enhanced maintenance of the operating cavity.

Modular vessel harvesting system and method

A surgical apparatus includes an elongated shaft having a pair of relatively movable jaws at a distal end thereof. A first heating element on one of the jaws is adapted to heat up to a first temperature and form a welded region within the tissue, while a second heating element on one of the jaws is adapted to heat up to a second temperature and sever the tissue within the welded region. The first and second heating elements may be provided on the same or opposite jaws. A control handle provided on the proximal end of the elongated shaft includes controls for opening and closing the jaws, and may include an actuator for sending current through the first and second heating elements. The first and second heating elements may be electrically connected in series.

A surgical apparatus for welding and severing tissue includes first and second elongated jaws, at least one of the jaws movable with respect to the other, and a first heating element and a second heating element, wherein the first heating element is adapted to weld tissue and the second heating element is adapted to sever tissue.

A surgical apparatus and methods for severing and welding tissue, in particular blood vessels, include a pair of relatively movable jaws at a distal end of an elongated shaft. A first heating element on one of the jaws is adapted to heat up to a first temperature and form a welded region within the tissue, while a second heating element on one of the jaws is adapted to heat up to a second temperature and sever the tissue within the welded region. A force-limiting mechanism is provided to limit the pressure applied to the tissue by the jaws to ensure that the tissue is severed and the ends effectively welded within a short amount of time.

A polymeric material such as polyurethane, PET, or ePTFE is used to cover an intravascular stent. The cover material has an overlapping portion which is slidable upon itself so that when the stent is expanded, the cover material does not contribute to stent foreshortening, if any. The cover material can be provided with holes to permit endothelialization and can be drug loaded to facilitate repair of a damaged vessel.

Covered stent assembly for reduced-shortening during stent expansion

An implantable prosthesis, for example a stent, is provided having one or more elements that form the body structure of the prosthesis. The elements have a width that is variable from a nominal or conventional width to an increased width. The elements can have depots formed in the elements and are generally located at the increased width portions of the elements. Substances such as therapeutic substances, polymeric materials, polymeric materials containing therapeutic substances, radioactive isotopes, and radiopaque materials can be deposited into the depots.

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San Jose, CA, United States of America

Kenny L Dang