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1.发明公开Apparatus and method for interstitial laser treatment 失效Vorrichtung und Verfahren zur interstitiellen Laserbehandlung
公开(公告)号：EP0865767A2
公开(公告)日：1998-09-23
申请号：EP98108205.0
申请日：1995-06-07
IPC分类号： A61B17/36
CPC分类号： A61B18/24 , A61B2017/00119 , A61B2017/00274 , A61B2017/22077 , A61B2017/3484 , A61B2018/00011 , A61B2018/00547 , A61B2018/00982 , A61B2018/2005 , A61B2018/2238
摘要： An apparatus for performing interstitial laser coagulation comprising, in combination, a delivery tool, a flexible cannula having a proximal end, a distal end, and outer and inner tubes which can be moved together and can slide axially with respect to each other, an actuator and a waveguide having a distal end and a proximal end, wherein the delivery tool comprises an elongated double lumen tube and a handle which includes a gripping portion and a rail, the double lumen tube comprises a first lumen adapted to receive and guide a viewing endoscope and a second lumen which accomodates the flexible cannula and waveguide and has a curved distal portion, the actuator comprises a slider and a trigger, the proximal end of the outer tube of the cannula being attached to the trigger and the proximal end of the inner tube of the cannula being attacched to the slider so that movement of the trigger and slider produces corresponding movement of the outer and inner tube, respectively, the waveguide passing through a channel in the slider and into and through the inner tube of the cannula and a space between the waveguide and the inner tube defining a passageway for liquid to be delivered to the distal end of the waveguide.
摘要翻译： 一种用于执行间隙激光凝结的装置，其特征在于包括输送工具，具有近端，远端以及能够一起移动并可相对于彼此滑动地滑动的外管和内管的柔性套管，致动器 以及具有远端和近端的波导，其中所述输送工具包括细长双腔管和包括抓握部分和轨道的手柄，所述双腔管包括适于接收和引导观察内窥镜的第一腔 以及第二内腔，其适应所述柔性插管和波导并且具有弯曲的远端部分，所述致动器包括滑块和触发器，所述套管的外管的近端附接到所述触发器和所述内管的近端 所述套管被接触到所述滑块，使得所述触发器和滑块的运动分别产生所述外管和所述内管的相应运动，所述波导 穿过滑块中的通道并且穿过套管的内管并且穿过套管的内管之间的空间，并且在波导和内管之间形成用于液体输送到波导远端的通道的空间。
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公开(公告)号：EP0865767A3
公开(公告)日：2000-06-07
申请号：EP98108205.0
申请日：1995-06-07
IPC分类号： A61B18/24
CPC分类号： A61B18/24 , A61B2017/00119 , A61B2017/00274 , A61B2017/22077 , A61B2017/3484 , A61B2018/00011 , A61B2018/00547 , A61B2018/00982 , A61B2018/2005 , A61B2018/2238
摘要： An apparatus for performing interstitial laser coagulation comprising, in combination, a delivery tool, a flexible cannula having a proximal end, a distal end, and outer and inner tubes which can be moved together and can slide axially with respect to each other, an actuator and a waveguide having a distal end and a proximal end, wherein the delivery tool comprises an elongated double lumen tube and a handle which includes a gripping portion and a rail, the double lumen tube comprises a first lumen adapted to receive and guide a viewing endoscope and a second lumen which accomodates the flexible cannula and waveguide and has a curved distal portion, the actuator comprises a slider and a trigger, the proximal end of the outer tube of the cannula being attached to the trigger and the proximal end of the inner tube of the cannula being attacched to the slider so that movement of the trigger and slider produces corresponding movement of the outer and inner tube, respectively, the waveguide passing through a channel in the slider and into and through the inner tube of the cannula and a space between the waveguide and the inner tube defining a passageway for liquid to be delivered to the distal end of the waveguide.
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公开(公告)号：EP0348114B1
公开(公告)日：1991-12-18
申请号：EP89306136.6
申请日：1989-06-16
发明人： Polyak, Mark
IPC分类号： A61F2/48
CPC分类号： A61F2/004 , Y10S128/25
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公开(公告)号：EP0348114A1
公开(公告)日：1989-12-27
申请号：EP89306136.6
申请日：1989-06-16
发明人： Polyak, Mark
IPC分类号： A61F2/48
CPC分类号： A61F2/004 , Y10S128/25
摘要： Disclosed is an apparatus for controlling the discharge of materials through a body passage. The invention comprises a fluid actuated artificial sphincter mechanism that surrounds the body passage. The artificial sphincter includes an inflatable cuff (16) surrounded by a hollow resilient C-shaped reservoir ring (18). The cuff, ring and pump (20) are in fluid communication with each other. The fluid communication between the duff and reservoir ring is controlled by a flow resistor means (49). In operation, the pump draws fluid from the cuff and diverts the fluid into a reservoir ring. By pumping the fluid from the cuff, the cuff deflates opening the body passage. Pumping the fluid into the reservoir ring increases the pressure in the ring causing the ring to open. As the ring opens the ring allows the cuff to move further away from the body passage opening the body passage further. The fluid displaced in the ring is continuously diverted from the reservoir ring back to the cuff. A flow resistor controls the flow rate of fluid back into the cuff. The resistor allows the cuff to gradually re-inflate to again occlude flow through the body passage.
摘要翻译： 公开了一种用于控制通过身体通道排出物质的设备。 本发明包括围绕身体通道的流体致动人造括约肌机构。 人造括约肌包括由中空弹性C形储存环（18）围绕的可膨胀套囊（16）。 套囊，环和泵（20）彼此流体连通。 流动阻力装置（49）控制duff和储油环之间的流体连通。 在操作中，泵从套囊抽取流体并将流体转移到储存器环中。 通过从袖口泵送液体，袖口收缩打开身体通道。 将流体泵入贮存器环中会增加环中的压力，从而导致环打开。 随着环打开，环使袖带进一步远离身体通道进一步打开身体通道。 置于环中的流体不断地从贮存器环转移回到袖带。 流量电阻器控制流体回流到套囊中的流速。 电阻器允许袖带逐渐再次充气以再次阻塞流过身体通道的流动。
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公开(公告)号：EP0409592B1
公开(公告)日：1994-05-18
申请号：EP90307851.7
申请日：1990-07-18
发明人： Polyak, Mark
CPC分类号： A61F2/004 , Y10S128/25
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公开(公告)号：EP0428314A3
公开(公告)日：1992-08-12
申请号：EP90312119.2
申请日：1990-11-06
IPC分类号： A61F2/26
摘要： A penile prosthesis (10) implantable within the corpus cavernosum of the penis in order to alleviate erectile impotency includes a unique deflation valve mechanism (48) which provides an improved means for returning the prosthesis from the erect to the flaccid state. In its preferred embodiment the prosthesis is of a unitary type comprising a distal portion (16) including pump means (26), a medial portion (14) defining a pressurizable chamber (40) comprising an internal, tubular, substantially portion (46) and a concentric tubular sleeve (44), and a proximal portion (12) including a fluid reservoir (18), the latter being in fluid communication with the pump means. The deflation valve mechanism is activated in accordance with pressure differential conditions within said value which are dependent on fluid deferring means and a movable or distensible partition (66) capable of exerting an internal force within said valve to place said valve in an open mode, thereby effecting the deflation of the prosthesis or hydraulic system in which the valve mechanism is present. Means for extending the length of the prosthesis are also provided.
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公开(公告)号：EP0428314A2
公开(公告)日：1991-05-22
申请号：EP90312119.2
申请日：1990-11-06
IPC分类号： A61F2/26
摘要： A penile prosthesis (10) implantable within the corpus cavernosum of the penis in order to alleviate erectile impotency includes a unique deflation valve mechanism (48) which provides an improved means for returning the prosthesis from the erect to the flaccid state. In its preferred embodiment the prosthesis is of a unitary type comprising a distal portion (16) including pump means (26), a medial portion (14) defining a pressurizable chamber (40) comprising an internal, tubular, substantially portion (46) and a concentric tubular sleeve (44), and a proximal portion (12) including a fluid reservoir (18), the latter being in fluid communication with the pump means. The deflation valve mechanism is activated in accordance with pressure differential conditions within said value which are dependent on fluid deferring means and a movable or distensible partition (66) capable of exerting an internal force within said valve to place said valve in an open mode, thereby effecting the deflation of the prosthesis or hydraulic system in which the valve mechanism is present. Means for extending the length of the prosthesis are also provided.
摘要翻译： 为了减轻勃起功能，可植入阴茎海绵体内的阴茎假体（10）包括独特的放气阀机构（48），其提供用于使假体从直立状态恢复到松弛状态的改进装置。 在其优选实施例中，所述假体是整体型，包括包括泵装置（26）的远端部分（16），限定可加压室（40）的中间部分（14），其包括内部管状基本部分（46）和 同心管状套筒（44）和包括流体储存器（18）的近端部分（12），后者与泵装置流体连通。 放气阀机构根据所述值内的压力差条件而被激活，所述压差条件取决于液体延迟装置和能够在所述阀内施加内力以将所述阀置于打开模式的可移动或扩张的分隔件（66），从而 影响存在阀机构的假体或液压系统的放气。 还提供了用于延长假体长度的装置。
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公开(公告)号：EP0409592A1
公开(公告)日：1991-01-23
申请号：EP90307851.7
申请日：1990-07-18
发明人： Polyak, Mark
CPC分类号： A61F2/004 , Y10S128/25
摘要： This invention relates to an implantable artificial sphincter system (10) for reversibly occluding a body passageway (18), which system includes occlusion means (16), pump means (12), and the unique feature of a fluid capacitor (38) disposed on a control assembly (14) for the system (10), which is capable of increasing volume under fluid pressure. The fluid capacitor (38) is connected with the occlusion means (16) in such fashion that said occlusion means (16) will remain substantially inflated during short, but significant, pressure increases, but will at least partially deflate upon the advent of prolonged but moderate pressure increases on the body passageway (18). While in its preferred embodiment no other fluid containing component is needed, if desired a volume compensator (100) can also be included in the system. A valve (26) preferably of the magnetic type can also be included for activating or deactivating the system (10).
摘要翻译： 本发明涉及一种用于可逆闭塞身体通道（18）的可植入人造括约肌系统（10），该系统包括闭塞装置（16），泵装置（12）以及布置在其上的流体电容器（38）的独特特征 用于系统（10）的控制组件（14），其能够在流体压力下增加体积。 流体电容器（38）以这样的方式与闭塞装置（16）连接，使得所述闭塞装置（16）在短暂的但显着的压力增加期间保持基本充气，但是随着延长但是至少部分放气 身体通道（18）的中等压力增加。 尽管在其优选实施例中不需要其他含流体成分，但是如果需要的话，体积补偿器（100）也可以包含在系统中。 还可以包括优选为磁性类型的阀（26）以启动或停用系统（10）。
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9.发明公开
公开(公告)号：EP0920841A1
公开(公告)日：1999-06-09
申请号：EP98307538.3
申请日：1998-09-16
IPC分类号： A61F2/00
CPC分类号： A61F2/0009 , Y10S128/25
摘要： A device for treating leakage from an external orifice in the body of a patient which comprises a first member (1) having a body-contacting first surface (2) and an opposing second surface (3) about an aperture (4), which first surface (2) is attachable to the patient with said aperture (4) positioned over said orifice, and a second member (7) integral with said second surface (3) which second member (7) comprises a valve (17) mounted over said aperture (4), which valve (17) has a closed position which prevents leakage of fluid through the device and an open position which allows fluid to flow through said aperture (4) when desired, the closed and open positions being achievable without removing the device from the body of the patient.
摘要翻译： 一种用于处理来自患者体内的外部孔的泄漏的装置，其包括具有与孔（4）相邻的与身体接触的第一表面（2）和相对的第二表面（3）的第一构件（1），所述第一构件首先 表面（2）可连接到具有所述孔（4）定位在所述孔上的患者，以及与所述第二表面（3）成一体的第二构件（7），所述第二构件（7）包括安装在所述孔 孔（4），该阀（17）具有闭合位置，其防止流体通过该装置的泄漏和允许流体在需要时流过所述孔（4）的打开位置，所述闭合位置和打开位置是可实现的，而不会移除 装置从患者的身体。
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