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46 条记录 (耗时 0.032 秒)

    Channel-forming laser energy device
    11.
    发明授权
    Channel-forming laser energy device 失效
    通道形成激光能量装置

    公开(公告)号：US06231568B1

    公开(公告)日：2001-05-15

    申请号：US09307512

    申请日：1999-05-07

    申请人： Marvin P. Loeb ,  L. Dean Crawford ,  Samuel M. Shaolian

    发明人： Marvin P. Loeb ,  L. Dean Crawford ,  Samuel M. Shaolian

    IPC分类号： A61B1736

    CPC分类号： A61B18/24 ,  A61B2017/00199 ,  A61B2017/00247 ,  A61B2017/22075 ,  A61B2017/22077 ,  A61B2018/00392 ,  A61B2090/033

    摘要： A surgical device is provided for forming a channel through or partially through vascular tissue, including vascular tissue, utilizing both mechanical and laser energy, and, if desired, depositing a therapeutic agent therein. The device includes an optical fiber for transmission of laser energy, a housing, and a hollow guide attached to the housing through which the optical fiber extends. A needle is attached to the distal end of the optical fiber in fluid communication with a catheter surrounding the optical fiber. Additionally, an actuator is included operably connected to the optical fiber for selectively extending the needle and/or fiber from the hollow guide. Finally, a laser control device is contemplated operably connected to the optical fiber, transmitting laser energy from the distal end of the fiber after the needle has penetrated a layer of selected distance into the tissue.

    摘要翻译： 提供了一种手术装置，用于通过或部分穿过血管组织（包括血管组织），利用机械和激光能量以及如果需要在其中沉积治疗剂。 该装置包括用于传输激光能量的光纤，壳体和附接到壳体的中空导轨，光纤延伸穿过该壳体。 针与光纤的远端连接，与光纤周围的导管流体连通。 另外，包括可操作地连接到光纤的致动器，用于从中空引导件选择性地延伸针和/或纤维。 最后，设想可操作地连接到光纤的激光控制装置，在针已经穿过选定距离的层到组织中之后，从光纤的远端传送激光能量。

    Conforming valved cervical cap assembly and in-situ molding method
    12.
    发明授权
    Conforming valved cervical cap assembly and in-situ molding method 失效
    符合阀门帽组件和原位成型方法

    公开(公告)号：US4517970A

    公开(公告)日：1985-05-21

    申请号：US510278

    申请日：1983-07-01

    申请人： Robert A. Goepp ,  Uwe E. Freese ,  Marvin P. Loeb

    发明人： Robert A. Goepp ,  Uwe E. Freese ,  Marvin P. Loeb

    IPC分类号： A61F6/08 ,  A61F5/46

    CPC分类号： A61F6/08

    摘要： A conforming valved cervical cap assembly is provided with an elastomeric inner layer molded and cured in situ adjacent the exocervical surface of a cervix uteri. The inner layer is wettable, non-porous and matingly fits and resiliently complements the exocervical surface. In order to prevent the molding material from clogging or otherwise impairing operation of the valve, a valve cover is detachably connected to the valve during molding and curing.

    摘要翻译： 提供一种符合标准的宫颈帽组件，其具有在邻近子宫颈子宫颈表面的情况下模制和固化的弹性体内层。 内层是可湿润的，无孔的并且配合地配合并弹性地补充了外面的表面。 为了防止成型材料堵塞阀门或其他方式损害阀门的操作，在成型和固化期间，阀盖可拆卸地连接到阀门。

    Custom valved cervical cap with deformable margin
    13.
    发明授权
    Custom valved cervical cap with deformable margin 失效
    定制带有可变形边缘的带帽子的颈帽

    公开(公告)号：US4450836A

    公开(公告)日：1984-05-29

    申请号：US424227

    申请日：1982-09-27

    申请人： Robert A. Goepp ,  Uwe E. Freese ,  Marvin P. Loeb

    发明人： Robert A. Goepp ,  Uwe E. Freese ,  Marvin P. Loeb

    IPC分类号： A61F6/08 ,  A61F5/46

    CPC分类号： A61F6/08

    摘要： A non-invasive birth control device in the form of a custom-formed, valved cervical cap is disclosed. The cervical cap comprises a cup-shaped elastomeric shell substantially complementary with contiguous surface of portio vaginalis cervicis when in contact therewith, having an aperture at the apex of the shell, and a depending skirt that is thinner than said shell and is provided with a plurality of spaced slits. The aperture is covered by an elastomeric web secured to the shell and defines, together with the shell, a one-way valve means having a discharge port offset from the aperture. The cervical cap can be fabricated from a specially designed blank of a thermoplastic elastomeric material using a replica of cervix uteri as a mold.

    摘要翻译： 公开了一种定制形成的有颈宫颈帽形式的非侵入性避孕装置。 宫颈帽包括杯状弹性体外壳，其基本上与阴道阴道阴道的邻接表面互补，当与其接触时，在壳的顶点具有孔，以及比所述外壳更薄的悬垂裙部，并且设置有多个 间隔狭缝。 孔被被固定到外壳的弹性体网覆盖，并且与外壳一起限定具有从孔偏离的排出口的单向阀装置。 宫颈帽可以由特殊设计的热塑性弹性体材料的坯料制成，使用子宫颈子宫复制体作为模具。

    Cervical cap with foam lining
    15.
    发明授权
    Cervical cap with foam lining 失效
    宫颈帽与泡沫衬里

    公开(公告)号：US4320751A

    公开(公告)日：1982-03-23

    申请号：US122541

    申请日：1980-02-19

    申请人： Marvin P. Loeb

    发明人： Marvin P. Loeb

    IPC分类号： A61F6/08 ,  A61F5/46

    CPC分类号： A61F6/08

    摘要： A prefabricated cervical cap includes a generally dome-like flexible shell of a depth sufficient to receive therein a major portion but not all of cervix uteri and a resilient, form-assuming internal liner for the shell. The liner is integral with the shell and is deformable upon contact with cervix uteri without substantial deformation of a contiguous portion of the cervix uteri. The liner may extend beyond the shell. In a preferred embodiment the cervical cap includes a one-way valve means that accomodates the flow of a uterine discharge without need to remove the cap.

    摘要翻译： 预制的宫颈帽包括大致圆顶状的柔性外壳，其深度足以在其中容纳主要部分但不是全部宫颈子宫和用于外壳的弹性形式的内衬。 衬垫与外壳成一体，并且在子宫颈子宫接触时可变形，而子宫颈子宫的连续部分没有实质变形。 衬套可以延伸超出外壳。 在优选实施例中，颈帽包括单向阀装置，其适应子宫排出物的流动而不需要移除帽。

    External counter pulsation treatment
    16.
    发明申请
    External counter pulsation treatment 有权
    外部脉动治疗

    公开(公告)号：US20090247809A1

    公开(公告)日：2009-10-01

    申请号：US12386093

    申请日：2009-04-14

    申请人： Marvin P. Loeb ,  Ginger Johnson ,  John McCallum

    发明人： Marvin P. Loeb ,  Ginger Johnson ,  John McCallum

    IPC分类号： A61M1/10

    CPC分类号： A61H9/0078 ,  A61H2201/163 ,  A61H2201/1642 ,  A61H2205/084 ,  A61H2205/086 ,  A61H2205/10 ,  A61H2205/106 ,  A61H2205/108

    摘要： A method for treating patients suffering from left ventricular dysfunction is disclosed. The method involves applying, during diastole, for a time period of about one hour, at least five days each week for at least about six weeks, an incrementally increasing external therapeutic pressure sequentially to the patients' lower extremities from first the calves, then the thighs and last the buttocks. The initial hourly treatments are carried out at a peak diastolic/systolic pressure ratio (D/S Ratio) in the range of about 0.4:1 up to about 0.9:1, depending on the patient's left ventricular ejection fraction. The D/S Ratio is increased slightly during the next set of hourly treatments, the D/S Ratio is again increased slightly during the next following set of hourly treatments, the D/S Ratio is again increased slightly during the next set of hourly treatments, and finally the D/S Ratio is increased slightly and maintained during the remaining set of hourly treatments. The patient's cardiopulmonary functions preferably are monitored to determine if additional external therapeutic pressure treatments are needed.

    摘要翻译： 公开了治疗患有左心室功能障碍的患者的方法。 该方法包括在舒张期期间每周至少施用约1小时，至少5天的时间，至少约6周，从第一次犊牛向患者的下肢依次递增地增加外部治疗压力，然后 大腿和最后的臀部。 取决于患者的左心室射血分数，初始小时治疗在约0.4:1至约0.9:1范围内的舒张舒张/收缩压比（D / S比）峰值下进行。 在下一组小时处理期间，D / S比率略有增加，下一次小时处理期间D / S比率再次轻微增加，下一组小时处理中D / S比率再次略有增加 ，最后D / S比率略有增加，并在剩余的小时治疗期间维持。 优选监测患者的心肺功能以确定是否需要额外的外部治疗压力治疗。

    Economical, two component, thermal energy delivery and surface cooling apparatus and its method of use
    17.
    发明申请
    Economical, two component, thermal energy delivery and surface cooling apparatus and its method of use 审中-公开
    经济，双组分，热能输送和表面冷却装置及其使用方法

    公开(公告)号：US20080195085A1

    公开(公告)日：2008-08-14

    申请号：US11370659

    申请日：2006-03-07

    申请人： Marvin P. Loeb

    发明人： Marvin P. Loeb

    IPC分类号： A61B18/20

    CPC分类号： A61B18/18 ,  A61B18/1815 ,  A61B2018/1861

    摘要： The present invention is embodied in a medical device which is comprised of a thermal energy delivery component, for example, including an elongate optical fiber terminating in a lateral laser energy emitter, and an outer coolant component, which includes a cannula for receiving the thermal energy delivery component, which terminates in an energy-transmissive balloon for surrounding the thermal energy emitter and providing a tissue-contacting coolant chamber. The cannula portion of the coolant component is moveably sealed around the laser energy delivery component. In one embodiment, a retaining means prevents the thermal energy delivery component from being detached from the coolant component. In an alternate embodiment, there is no retaining means, allowing the more costly thermal energy delivery component to be removed, sterilized and later reused, whereas the less costly outer coolant component, which contacts tissue, blood and body liquids, can be discarded after use.

    摘要翻译： 本发明体现在一种医疗装置中，该医疗装置由热能传递部件组成，例如包括终端于横向激光能量发射器的细长光纤，以及外部冷却剂部件，其包括用于接收热能的套管 输送部件，其终止于用于包围热能发射器的能量传递球囊并提供组织接触的冷却剂室。 冷却剂组件的套管部分围绕激光能量传递部件可移动地密封。 在一个实施例中，保持装置防止热能输送部件与冷却剂部件分离。 在替代实施例中，没有保持装置，允许更昂贵的热能输送部件被去除，灭菌并且稍后重复使用，而接触组织，血液和体液的成本较低的外部冷却剂部件可以在使用后被丢弃 。

    Device and method for delivery of long wavelength laser energy to a tissue site
    18.
    发明授权
    Device and method for delivery of long wavelength laser energy to a tissue site 失效
    将长波长激光能量递送到组织部位的装置和方法

    公开(公告)号：US07359601B2

    公开(公告)日：2008-04-15

    申请号：US10539893

    申请日：2003-12-19

    申请人： Marvin P. Loeb

    发明人： Marvin P. Loeb

    IPC分类号： G02B6/06 ,  A61B18/18 ,  A61B1/00 ,  A61N5/06 ,  A61N1/30

    CPC分类号： A61B18/22 ,  A61B18/201 ,  A61B2017/00274 ,  A61B2018/00547 ,  A61B2218/006

    摘要： A laser energy delivery device is provided that is suitable for irradiating a body tissue with relatively long wavelength laser energy in the presence of an aqueous liquid without significant absorption of the laser energy by the liquid. The device includes an elongate hollow sheath that has an open aperture at its distal end portion and closed at its proximal end, a laser energy conduit such as an optical fiber or hollow wave guide, within the sheath, the distal end of the conduit being disposed near the open aperture at the distal end portion of the sheath, and the proximal end of the conduit being adapted for connection to a source of long wavelength laser energy. The sheath also includes an inlet port, spaced from the proximal end of the sheath, and adapted to receive and deliver a biologically compatible gas through the sheath to a body tissue site in contact with the open distal end of the sheath. In use, the open aperture at the distal end portion of the sheath is positioned in contact with a body tissue site. Gas, such as carbon dioxide, infused through the sheath displaces an aqueous liquid from the region between the distal end portion of the sheath and the tissue. Laser energy emitted from the distal end portion of the conduit passes through the substantially liquid-free region at the distal end of the sheath and impinges on the tissue to be irradiated. The laser energy can be used to ablate, vaporize, coagulate or shrink tissue at the target zone without interference from aqueous liquids, which tend to absorb relatively large amounts of long wavelength laser energy and reduce the efficiency of tissue ablation.

    摘要翻译： 提供了一种激光能量输送装置，其适用于在水性液体的存在下照射具有相对较长波长的激光能量的身体组织，而不会由液体显着吸收激光能量。 该装置包括细长的中空护套，其在其远端部分处具有开口孔并且在其近端处封闭，在护套内封闭诸如光纤或中空波导的激光能量导管，管道的远端被设置 在护套的远端部分处的开口孔附近，并且导管的近端适于连接到长波长激光能量源。 护套还包括与护套的近端隔开的入口端口，并且适于将生物相容的气体通过护套接收并输送到与护套的敞开的远端接触的身体组织部位。 在使用中，鞘的远端部分处的开口定位成与身体组织部位接触。 通过鞘注入的诸如二氧化碳的气体从护套的远端部分和组织之间的区域排出水性液体。 从导管的远端部分发射的激光能量穿过护套的远端处的基本上无液体的区域并撞击待照射的组织。 激光能量可用于在目标区域烧蚀，蒸发，凝结或收缩组织，而不会受到含水液体的干扰，这些液体倾向于吸收相当大量的长波长激光能量并降低组织消融的效率。