Abstract:
A visual ureteroscope (1), comprising a ureteroscope body (10) and a ureteroscope tip (20), which is arranged in the ureteroscope body (10). The ureteroscope tip (20) comprises a tip portion (21) and an image capture device (22), wherein the tip portion (21) is arranged at a front end of a ureteroscope tube (11) of the ureteroscope body (10); the tip portion (21) has a camera end face (2101) and an aspiration end face (2102), which is located in the front of the camera end face (2101); the tip portion (21) comprises an aspiration hole (211), which is in communication with an aspiration channel (101) of the ureteroscope body (10), and an operating hole (212) for an operating component (12) to pass therethrough, the aspiration hole (211) axially extending forwards from the aspiration channel (101) to the aspiration end face (2102) to form an aspiration opening (2110), and the operating hole (212) obliquely extending forwards such that the operating component (12) that passes out from the operating hole (212), obliquely extends forwards to extend out of the tip portion (21); and the image capture device (22) comprises a camera (221), which is mounted on the camera end face (2101) of the tip portion (21), and the aspiration opening (2110) and a head portion (120) of the operating component (12) that passes out from the operating hole (212) are both within the field of view of the camera (221).
Abstract:
Described herein are shock wave devices and methods for the treatment of calcified heart valves. One variation of a shock wave device (100) may comprise an elongated flexible tube (110A-C) carried by a sheath (108). The tube (110A-C) may have a fluid input end, which may be located near a proximal end of the sheath (108). The tube (110A-C) may include a loop portion. The loop portion may be configured to be at least partially accommodated within a cusp of the heart valve (200). The tube (110A-C) may be fillable with a conductive fluid. In some variations, the shock wave device (100) may include an array of electrode pairs (330,334,338) associated with a plurality of wires positioned within the loop portion of a tube (110A-C). The electrode pairs (330,334,338) may be electrically connectable to a voltage source and configured to generate shock waves in the conductive fluid in response to voltage pulses.
Abstract:
A medical system for use in a lithotripsy procedure may include a processor configured to receive input from a first imaging device, wherein the first imaging device may be configured to send image data representative of an image captured in a lumen of a kidney, bladder, or ureter to the processor. The processor may be configured to display the image on a display device coupled to the processor, and analyze the image to sense the presence of an object within the image. If an object was sensed within the image, the processor may analyze the image to estimate a size of the object, and display the estimate on the display device.
Abstract:
A medical apparatus, including a lithotripsic device configured to break a stone into one or more fragments in a body lumen and an endoscope which is configured to obtain a captured image in the body lumen. The medical apparatus further includes an image processor which is configured to process the captured image and create a processed image for display on a monitor, and which is also configured to process and display a track of a movement of at least one of the stone or the one or more fragments.
Abstract:
A medical device and method for breaking a concretion in a body into smaller pieces are described. The device comprises a combined probe including a laser waveguide probe and a nanosecond electro-pulse lithotripter probe. The method includes applying the laser waveguide probe to the surface of the concretion, and treating the surface with laser radiation to create a defect. The method also includes applying the nanosecond electro-pulse lithotripter probe to the area of the defect created by the laser waveguide probe, to provide a spark electrical discharge through the concretion.
Abstract:
The invention relates to a cleaning system being configured for cleaning, including fragmentation, debridement, material removal, irrigation, disinfection and decontamination, of cavities (2) filled with a liquid (3). The cleaning system comprises an electromagnetic radiation system and the liquid (3). A treatment handpiece (7) and its exit component (8) are configured to irradiate the liquid (3) within the cavity (2) with the radiation beam, wherein a wavelength of the radiation beam is chosen for significant absorption of the radiation beam in the liquid (3). The electromagnetic radiation system is adapted to generate a first vapor bubble (18) within the liquid (3) by means of a corresponding first pulse (p a ) and a second vapor bubble (18') within the liquid (3) by means of a corresponding second pulse (p b ) at a location different to the location where the first vapor bubble (18) is present at the time of generating the second vapor bubble (18'). The pulse repetition time (Tp) is adjusted such, that an onset time (t 0b ) of the second vapor bubble (18') is within the first contraction phase of the first vapor bubble (18), when the first vapor bubble (18) has contracted from its maximal Volume (V max ) to a size in a range from about 0.7 to about 0.1 of the maximal Volume (V max ).
Abstract:
A dilation balloon is wrapped in one or more patterns with a wire or braided material having diamond abrasive or other abrasive material bonded thereto. The wire or braided material is vibrated in one or more ways to enhance the cutting action of the wire abrasive. The wire abrasive may be vibrated using high, low, or even ultrasonic waves transmitted to the wire abrasive via local or remote methods. Alternatively, the dilation balloon may be dilated with a contrast media that exhibits a high absorption to laser light. The contrast material is lased with a laser fiber or fibers inserted into the balloon interior, creating a substantial shockwave that vibrates the balloon and assists in the cracking or abrading of the surrounding plaque in contact with the dilation balloon. The cutting balloon may employ the abrasive coated wires described above or cutting blades.