Steerable endoscope and improved method of insertion

    公开(公告)号:US06468203B2

    公开(公告)日:2002-10-22

    申请号:US09790204

    申请日:2001-02-20

    申请人: Amir Belson

    发明人: Amir Belson

    IPC分类号: A61B100

    摘要: A steerable endoscope has an elongated body with a selectively steerable distal portion and an automatically controlled proximal portion. The endoscope body is inserted into a patient and the selectively steerable distal portion is used to select a desired path within the patient's body. When the endoscope body is advanced, an electronic motion controller operates the automatically controlled proximal portion to assume the selected curve of the selectively steerable distal portion. Another desired path is selected with the selectively steerable distal portion and the endoscope body is advanced again. As the endoscope body is further advanced, the selected curves propagate proximally along the endoscope body, and when the endoscope body is withdrawn proximally, the selected curves propagate distally along the endoscope body. This creates a serpentine motion in the endoscope body that allows it to negotiate tortuous curves along a desired path through or around and between organs within the body.

    Vessel access and closure device
    32.
    发明授权
    Vessel access and closure device 有权
    船舶通行和关闭装置

    公开(公告)号:US09078633B2

    公开(公告)日:2015-07-14

    申请号:US13224666

    申请日:2011-09-02

    IPC分类号: A61B17/00 A61B17/06

    摘要: A vessel access and closure device places a running suture in the wall of a blood vessel using a rotating helical suture needle that carries the suture along a helical path passing through the vessel wall, then reverses rotation to release a suture anchor attached to the distal end of the suture. A loose helical coil of suture is left behind as the helical suture needle withdraws. The device is withdrawn and replaced with a vessel dilator and an introducer sheath that opens up a larger access opening into the blood vessel and creates a pathway that passes though the helical coil of suture for introducing an interventional device into the blood vessel. After the interventional procedure is completed, the interventional device and the introducer sheath are withdrawn and the running suture is tightened and secured with a suture lock to close the access opening into the vessel.

    摘要翻译: 容器进入和关闭装置使用旋转的螺旋缝合针将运行的缝合线放置在血管壁中,旋转的螺旋缝合针沿着穿过血管壁的螺旋路径携带缝合线,然后反转旋转以释放附接到远端的缝合锚 的缝合线 当螺旋缝合针退出时,松动的缝线螺旋线圈留下。 将装置取出并用容器扩张器和导引器鞘进行替换,所述引导器护套将较大的进入开口打开到血管中并产生穿过缝合线的螺旋线圈的通道,以将介入装置引入血管。 介入手术完成后,介入装置和引导器护套被拉出,并且缝合缝合线被缝合并用缝合线固定以将进入开口关闭进入血管。

    Steerable segmented endoscope and method of insertion
    34.
    发明授权
    Steerable segmented endoscope and method of insertion 有权
    可转向分段内窥镜及插入方法

    公开(公告)号:US08845524B2

    公开(公告)日:2014-09-30

    申请号:US12950921

    申请日:2010-11-19

    摘要: A steerable endoscope has an elongated body with a selectively steerable distal portion and an automatically controlled proximal portion. The endoscope body is inserted into a patient and the selectively steerable distal portion is used to select a desired path within the patient's body. When the endoscope body is advanced, an electronic motion controller operates the automatically controlled proximal portion to assume the selected curve of the selectively steerable distal portion. Another desired path is selected with the selectively steerable distal portion and the endoscope body is advanced again. As the endoscope body is further advanced, the selected curves propagate proximally along the endoscope body, and when the endoscope body is withdrawn proximally, the selected curves propagate distally along the endoscope body. This creates a serpentine motion in the endoscope body allowing it to negotiate tortuous curves along a desired path through or around and between organs within the body.

    摘要翻译: 可操纵的内窥镜具有细长体,其具有选择性可操纵的远侧部分和自动控制的近端部分。 将内窥镜主体插入到患者体内,并且使用选择性操纵的远端部分来选择患者体内所需的路径。 当内窥镜体前进时,电子运动控制器操作自动控制的近端部分,以呈现选择性可操纵的远端部分的选定曲线。 通过选择性可转向的远端部分选择另一个期望的路径,并且内窥镜主体再次前进。 当内窥镜体进一步前进时,所选择的曲线沿内窥镜向近端传播,并且当向内侧取出内窥镜主体时,所选择的曲线沿着内窥镜主体向远端传播。 这在内窥镜主体中产生蛇形运动,允许其沿着期望的路径协商通过身体内或身体内部和之间的曲折曲线。

    Steerable endoscope and improved method of insertion
    35.
    发明授权
    Steerable endoscope and improved method of insertion 有权
    可转向内窥镜和改进插入方法

    公开(公告)号:US08834354B2

    公开(公告)日:2014-09-16

    申请号:US11129168

    申请日:2005-05-13

    申请人: Amir Belson

    发明人: Amir Belson

    IPC分类号: A61B1/00

    摘要: A steerable endoscope has an elongated body with a selectively steerable distal portion and an automatically controlled proximal portion. The endoscope body is inserted into a patient and the selectively steerable distal portion is used to select a desired path within the patient's body. When the endoscope body is advanced, an electronic motion controller operates the automatically controlled proximal portion to assume the selected curve of the selectively steerable distal portion. Another desired path is selected with the selectively steerable distal portion and the endoscope body is advanced again. As the endoscope body is further advanced, the selected curves propagate proximally along the endoscope body, and when the endoscope body is withdrawn proximally, the selected curves propagate distally along the endoscope body. This creates a serpentine motion in the endoscope body that allows it to negotiate tortuous curves along a desired path through, around, and between organs within the body.

    摘要翻译: 可操纵的内窥镜具有细长体,其具有选择性可操纵的远侧部分和自动控制的近端部分。 将内窥镜主体插入到患者体内,并且使用选择性操纵的远端部分来选择患者体内所需的路径。 当内窥镜体前进时,电子运动控制器操作自动控制的近端部分,以呈现选择性可操纵的远端部分的选定曲线。 通过选择性可转向的远端部分选择另一个期望的路径,并且内窥镜主体再次前进。 当内窥镜体进一步前进时,所选择的曲线沿内窥镜向近端传播,并且当向内侧取出内窥镜主体时,所选择的曲线沿着内窥镜主体向远端传播。 这在内窥镜主体中产生蛇形运动,允许其沿着期望的路径协商曲折的曲线,穿过身体内部,身体周围和器官之间。

    Respiratory system for inducing therapeutic hypothermia
    37.
    发明授权
    Respiratory system for inducing therapeutic hypothermia 有权
    呼吸系统诱导治疗低温

    公开(公告)号:US08402968B2

    公开(公告)日:2013-03-26

    申请号:US13326101

    申请日:2011-12-14

    申请人: Amir Belson

    发明人: Amir Belson

    IPC分类号: A62B7/02 F24F6/14

    摘要: The present invention provides a method and apparatus for controlling a patient's body temperature and in particular for inducing therapeutic hypothermia. Various embodiments of the system are described. The system includes: a source of breathing gas, which may be in the form of a compressed breathing gas mixture; a heat exchanger or other heating and/or cooling device; and a breathing interface, such as a breathing mask or tracheal tube. Optionally, the system may include additional features, such as a mechanical respirator, a nebulizer for introducing medication into the breathing gas, a body temperature probe and a feedback controller. The system can use air or a specialized breathing gas mixture, such as He/O.sub.2 or SF/O.sub.2 to increase the heat transfer rate. In addition, the system may include an ice particle generator for introducing fine ice particles into the flow of breathing gas to further increase the heat transfer rate.

    摘要翻译: 本发明提供了一种用于控制患者体温,特别是用于诱导治疗性体温的方法和装置。 描述系统的各种实施例。 该系统包括:呼吸气体源,其可以是压缩呼吸气体混合物的形式; 热交换器或其他加热和/或冷却装置; 和呼吸界面,例如呼吸面罩或气管管。 可选地,系统可以包括附加特征,例如机械呼吸器,用于将药物引入呼吸气体的雾化器,体温探针和反馈控制器。 该系统可以使用空气或专门呼吸气体混合物,例如He / O 2或SF / O 2来提高传热速率。 此外,该系统可以包括用于将细冰粒引入呼吸气体流中以进一步提高传热速率的冰粒发生器。

    Biopsy incision closure device
    38.
    发明授权
    Biopsy incision closure device 有权
    活检切口闭合装置

    公开(公告)号:US08313508B2

    公开(公告)日:2012-11-20

    申请号:US13286378

    申请日:2011-11-01

    IPC分类号: A61B17/08 A61D1/00

    摘要: A biopsy incision closure device includes a base having a frame incorporated therein. Together, the base and frame define an opening for performing a biopsy incision when the device is placed over a tissue surface. The base is typically composed of an elastomeric material and the frame comprises resilient inelastic members which can be used to close the opening in a highly uniform manner with minimum distortion and stress introduced into the tissue edges being drawn together.

    摘要翻译: 活检切开闭合装置包括其中结合有框架的底座。 一起,当装置放置在组织表面上时,底座和框架限定用于执行活检切口的开口。 底座通常由弹性体材料组成,并且框架包括弹性非弹性构件,其可用于以高度均匀的方式闭合开口,并将最小的变形和应力引入组合边缘被拉伸在一起。

    VESSEL ACCESS AND CLOSURE DEVICE
    39.
    发明申请
    VESSEL ACCESS AND CLOSURE DEVICE 有权
    船舶进入和关闭装置

    公开(公告)号:US20120143226A1

    公开(公告)日:2012-06-07

    申请号:US13224666

    申请日:2011-09-02

    IPC分类号: A61B17/062

    摘要: A vessel access and closure device places a running suture in the wall of a blood vessel using a rotating helical suture needle that carries the suture along a helical path passing through the vessel wall, then reverses rotation to release a suture anchor attached to the distal end of the suture. A loose helical coil of suture is left behind as the helical suture needle withdraws. The device is withdrawn and replaced with a vessel dilator and an introducer sheath that opens up a larger access opening into the blood vessel and creates a pathway that passes though the helical coil of suture for introducing an interventional device into the blood vessel. After the interventional procedure is completed, the interventional device and the introducer sheath are withdrawn and the running suture is tightened and secured with a suture lock to close the access opening into the vessel.

    摘要翻译: 容器进入和关闭装置使用旋转的螺旋缝合针将运行的缝合线放置在血管壁中,旋转的螺旋缝合针沿着穿过血管壁的螺旋路径携带缝合线,然后反转旋转以释放附接到远端的缝合锚 的缝合线 当螺旋缝合针退出时,松动的缝线螺旋线圈留下。 将装置取出并用容器扩张器和导引器鞘进行替换,所述引导器护套将较大的进入开口打开到血管中并产生穿过缝合线的螺旋线圈的通道,以将介入装置引入血管。 介入手术完成后,介入装置和引导器护套被拉出,并且缝合缝合线被缝合并用缝合线固定以将进入开口关闭进入血管。

    Embolic protection device
    40.
    发明授权
    Embolic protection device 有权
    栓塞保护装置

    公开(公告)号:US08114114B2

    公开(公告)日:2012-02-14

    申请号:US10493854

    申请日:2003-08-27

    申请人: Amir Belson

    发明人: Amir Belson

    IPC分类号: A61M29/00

    摘要: The embolic protection device (10) has an expandable tubular structure supporting a filter mesh material (12). The embolic protection device is compressed to a small diameter for insertion into a patient's aorta, then expanded within the aorta with the filter mesh material positioned to allow blood to enter sidebranch vessels connected to the aorta and to prevent embolic material from entering the sidebranch vessels. The filter mesh material may be configured with waves or undulations (26) for increased surface area and/or with two layers of mesh material to provide additional protection against embolization and to prevent inadvertent occlusion of the sidebranch vessels.

    摘要翻译: 栓塞保护装置(10)具有支撑过滤网材料(12)的可膨胀管状结构。 栓塞保护装置被压缩到小直径以插入患者的主动脉,然后在筛管网材料定位成在主动脉内扩张,以允许血液进入连接到主动脉的侧分支血管并防止栓塞物质进入侧支血管。 过滤网材料可以配置有用于增加表面积的波浪或起伏(26)和/或两层网状材料,以提供额外的防止栓塞的保护并防止侧支血管的无意闭塞。