公开(公告)号：US20100217367A1

公开(公告)日：2010-08-26

申请号：US12520984

申请日：2007-06-25

申请人： Amir Belson

发明人： Amir Belson

IPC分类号： A61N1/05

CPC分类号： A61N1/0587 ,  A61B18/1492 ,  A61M5/00 ,  A61N1/0517 ,  A61N1/37205 ,  A61N1/375 ,  A61N5/0601 ,  A61N5/1002 ,  A61N2005/0609 ,  A61N2005/063 ,  A61N2005/0652

摘要： The present invention provides for transesophageal implantation of cardiac electrodes (102) and (104) for pacing and/or defibrillation The electronic module (110) could be implanted in the abdomen or thorax using a transesophageal, transgastric, thoracoscopic or open surgical approach In another aspect, the invention provides for transesophageal delivery of other cardiac therapies including ablation, phototherapy, radiation therapy and implantation or injection of therapeutic substances into the heart The transesophageal approach takes advantage of the proximity between the esophagus and the chambers of the heart, allowing surgical access to the heart with very low morbidity and risk of complications.

摘要翻译： 本发明提供用于起搏和/或除颤的心脏电极（102）和（104）的经食管植入。电子模块（110）可以使用经食管，经胃，胸腔镜或开放手术方法植入腹部或胸部。另一方面 方面，本发明提供了其他心脏治疗的经食管递送，包括消融，光疗法，放射治疗以及将治疗物质注入或注射到心脏中。经食道途径利用食道和心脏室之间的接近，允许外科手术 心脏发病率低，发生并发症的风险很高。

公开(公告)号：US20100133450A1

公开(公告)日：2010-06-03

申请号：US12447833

申请日：2007-11-13

申请人： Amir Belson

发明人： Amir Belson

IPC分类号： G21F3/00 ,  H01J35/16

CPC分类号： A61B6/107 ,  A61B6/4423 ,  A61B6/4441 ,  A61B6/487 ,  A61B6/589

摘要： A radiation protection device attaches to the C-arm of a fluoroscope and shields and collimates the X-ray beam between the X-ray source and the patient and between the patient and the image intensifier. One embodiment has a radiation shield of X-ray opaque material that surrounds the C-arm of the fluoroscopy system, the X-ray source and the image intensifier. A padded slot fits around the patient's body. Another embodiment has conical or cylindrical radiation shields that extend between the X-ray source and the patient and between the patient and the image intensifier. The radiation shields have length adjustments and padded ends to fit the device to the patient. The radiation protection device may be motorized to advance and withdraw the radiation shields. A blanket-like radiation shield covers the patient in the area surrounding where the X-ray beam enters the body.

摘要翻译： 辐射防护装置连接到荧光镜的C臂，并且屏蔽和准直X射线源与患者之间以及患者与图像增强器之间的X射线束。 一个实施例具有围绕荧光透视系统的C臂，X射线源和图像增强器的X射线不透明材料的辐射屏蔽。 一个填充的槽适合患者的身体。 另一实施例具有在X射线源和患者之间以及患者与图像增强器之间延伸的锥形或圆柱形辐射屏蔽。 辐射屏蔽具有长度调节和填充端，以将装置适合于患者。 辐射防护装置可以被电动以推进和撤回辐射屏蔽。 毯状辐射屏蔽覆盖X射线束进入身体周围区域的患者。

公开(公告)号：US20100121151A1

公开(公告)日：2010-05-13

申请号：US12613768

申请日：2009-11-06

申请人： Caitlin Quance Donhowe ,  Amir Belson ,  Kristoffer John Donowe ,  Kenneth Robert Krieg ,  Eric Michael Storne ,  Thomas J. Yorkey ,  Jun Zhang

发明人： Caitlin Quance Donhowe ,  Amir Belson ,  Kristoffer John Donowe ,  Kenneth Robert Krieg ,  Eric Michael Storne ,  Thomas J. Yorkey ,  Jun Zhang

IPC分类号： A61B1/008 ,  A61B1/00

CPC分类号： A61B1/0051 ,  A61B1/00006 ,  A61B1/00009 ,  A61B1/00147 ,  A61B1/008 ,  A61B5/065 ,  A61B34/20 ,  A61B90/03 ,  A61B2017/003 ,  A61B2034/107 ,  A61B2034/301

摘要： Waypoints for a steerable medical device are stored as the steerable medical device is moved within a patient. The stored waypoints are an ordered sequence of locations. The ordered sequence of locations defines a safe path within the patient for moving an articulatable portion of the steerable medical device. The articulatable portion of the steerable medical device is constrained to follow the safe path as the articulatable portion moves within the patient. For example, the articulatable portion of the steerable medical device is constrained to remain within a boundary region enclosing the safe path as the articulatable portion of the steerable medical device follows the safe path.

摘要翻译： 当可转向医疗设备在患者体内移动时，存储可转向医疗设备的路标点。 存储的路点是有序的位置序列。 位置的有序序列限定了患者内的安全路径，用于移动可转向医疗装置的可铰接部分。 可转向医疗装置的可铰接部分被限制为随着可铰接部分在患者体内移动而跟随安全路径。 例如，可转向医疗设备的可铰接部分被限制为保持在包围安全路径的边界区域内，因为可转向医疗设备的可关节部分遵循安全路径。

公开(公告)号：US20090232282A1

公开(公告)日：2009-09-17

申请号：US12313782

申请日：2008-11-21

申请人： Amir Belson ,  James J. Leary

发明人： Amir Belson ,  James J. Leary

IPC分类号： H01J35/16 ,  A61B6/04

CPC分类号： A61B6/107 ,  A61B6/4423 ,  A61B6/4441 ,  A61B6/487 ,  A61B6/589

摘要： A radiation protection device attaches to the C-arm of a fluoroscope and shields and collimates the X-ray beam between the X-ray source and the patient and between the patient and the image intensifier. One embodiment has a radiation shield of X-ray opaque material that surrounds the C-arm of the fluoroscopy system, the X-ray source and the image intensifier. A padded slot fits around the patient's body. Another embodiment has conical or cylindrical radiation shields that extend between the X-ray source and the patient and between the patient and the image intensifier. The radiation shields have length adjustments and padded ends to fit the device to the patient. The radiation protection device may be motorized to advance and withdraw the radiation shields. A blanket-like radiation shield covers the patient in the area surrounding where the X-ray beam enters the body.

摘要翻译： 辐射防护装置连接到荧光镜的C形臂，并且屏蔽和准直X射线源与患者之间以及患者与图像增强器之间的X射线束。 一个实施例具有围绕荧光透视系统的C臂，X射线源和图像增强器的X射线不透明材料的辐射屏蔽。 一个填充的槽适合患者的身体。 另一实施例具有在X射线源和患者之间以及患者与图像增强器之间延伸的锥形或圆柱形辐射屏蔽。 辐射屏蔽具有长度调节和填充端，以将装置适合于患者。 辐射防护装置可以被电动以推进和撤回辐射屏蔽。 毯状辐射屏蔽覆盖X射线束进入身体周围区域的患者。

公开(公告)号：US20070043259A1

公开(公告)日：2007-02-22

申请号：US11554165

申请日：2006-10-30

申请人： Ross Jaffe ,  Joseph Tartaglia ,  Amir Belson

发明人： Ross Jaffe ,  Joseph Tartaglia ,  Amir Belson

IPC分类号： A61B1/00

CPC分类号： A61B1/00154 ,  A61B1/00078 ,  A61B1/0008 ,  A61B1/00142 ,  A61B1/0016 ,  A61B1/0053 ,  A61B1/0055 ,  A61B1/0057 ,  A61B1/018 ,  A61B1/31 ,  A61B5/065 ,  A61B17/3421 ,  A61B2017/003 ,  A61B2017/00336 ,  A61B2017/3441 ,  A61B2034/301 ,  A61M25/0138 ,  A61M2025/0063 ,  A61M2025/0681

摘要： An endoscope having a guide tube is described herein. The assembly has an endoscope which is slidably insertable within the lumen of a guide tube. The guide tube is configured to be rigidizable along its entire length from a relaxed configuration. The endoscope has a steerable distal portion to facilitate the steering of the device through tortuous paths. In the relaxed configuration, a portion of the guide tube is able to assume the shape or curve defined by the controllable distal portion of the endoscope. Having assumed the shape or curve of the endoscope, the guide tube may be rigidized by the physician or surgeon to maintain that shape or curve while the endoscope is advanced distally through the tortuous path without having to place any undue pressure against the tissue walls.

摘要翻译： 这里描述了具有引导管的内窥镜。 组件具有可滑动地插入导管内腔内窥镜。 引导管被构造成从松弛构型沿其整个长度可固化。 内窥镜具有可操纵的远侧部分，以便于通过曲折路径对装置的转向。 在松弛构造中，导管的一部分能够呈现由内窥镜的可控远端限定的形状或曲线。 假设内窥镜的形状或曲线，导管可以被医师或外科医生硬化，以在内窥镜通过曲折路径向远侧推进而保持该形状或曲线，而不必对组织壁施加任何不适当的压力。

公开(公告)号：US20060235458A1

公开(公告)日：2006-10-19

申请号：US11107574

申请日：2005-04-15

申请人： Amir Belson

发明人： Amir Belson

IPC分类号： A61M29/00

CPC分类号： A61M25/0032 ,  A61B1/00135 ,  A61B1/018 ,  A61M2025/0025 ,  A61M2025/0034 ,  A61M2025/0036 ,  A61M2025/0058 ,  A61M2025/0063 ,  A61M2025/0064

摘要： Embodiments of the present invention are directed towards instruments for investigation, screening, diagnosis, analysis or therapy and, more particularly, towards embodiments of one or more external working channels along the instrument. In one aspect, there is provided an apparatus having an instrument having an elongate body; and an expandable lumen connected externally to the elongate body and extending from a proximal position on the elongate body to a distal position on the elongate body, the expandable lumen having a stowed configuration and a deployed configuration. Alternatives include a method of providing a working channel within the body that positioning an instrument within the body; and providing an external working channel having a lumen that extends along the working channel and outside of the instrument.

摘要翻译： 本发明的实施例涉及用于调查，筛选，诊断，分析或治疗的装置，更具体地涉及沿着仪器的一个或多个外部工作通道的实施例。 一方面，提供了一种具有细长体的仪器的装置; 以及可伸长的内腔，其连接到细长主体的外部并从细长本体上的近侧位置延伸到细长主体上的远侧位置，该可扩张内腔具有收起构型和展开构型。 替代方案包括在体内提供将器械定位在体内的工作通道的方法; 并且提供具有沿着工作通道延伸并且在仪器外部的内腔的外部工作通道。

公开(公告)号：US20060052664A1

公开(公告)日：2006-03-09

申请号：US10988212

申请日：2004-11-12

申请人： Christopher Julian ,  Amir Belson ,  Aaron Brown ,  Mark Harasym ,  Marc Kreidler ,  Robert Ohline ,  Scott Reiner ,  Enrique Romo ,  Charles Swinehart ,  Katherine Whitin

发明人： Christopher Julian ,  Amir Belson ,  Aaron Brown ,  Mark Harasym ,  Marc Kreidler ,  Robert Ohline ,  Scott Reiner ,  Enrique Romo ,  Charles Swinehart ,  Katherine Whitin

IPC分类号： A61B1/00

CPC分类号： A61B1/00128 ,  A61B1/0016 ,  A61B1/0053 ,  A61B1/0055 ,  A61B1/0057 ,  A61B1/008 ,  A61B1/31 ,  A61B2017/003 ,  A61B2017/00477

摘要： A connector assembly for controllable articles is described herein The connector assembly engages force transmission elements used to transmit force from one or more force generators with the force transmission elements used to manipulate a controllable article. Additionally, the connector assembly provides organization thereby simplifying the process of connecting a plurality of elements, usually with a quick, single movement.

摘要翻译： 本文描述了用于可控制品的连接器组件。连接器组件接合用于从一个或多个力发生器传递力的力传递元件与用于操纵可控制品的力传递元件。 另外，连接器组件提供组织，从而简化了通常以快速单一运动连接多个元件的过程。

公开(公告)号：US06800056B2

公开(公告)日：2004-10-05

申请号：US10087100

申请日：2002-03-01

申请人： Joseph M. Tartaglia ,  Amir Belson ,  Robert Matthew Ohline

发明人： Joseph M. Tartaglia ,  Amir Belson ,  Robert Matthew Ohline

IPC分类号： A61B100

CPC分类号： A61B1/31 ,  A61B1/00078 ,  A61B1/00082 ,  A61B1/0053 ,  A61B1/0055 ,  A61B1/01 ,  A61B1/07 ,  A61B5/065 ,  A61B2034/301

摘要： An endoscope with guiding apparatus is described herein. A steerable endoscope is described having an elongate body with a manually or selectively steerable distal portion, an automatically controlled portion, a flexible and passively manipulated proximal portion, and an externally controlled and manipulatable tracking rod or guide. The tracking rod or guide is positioned within a guide channel within the endoscope and slides relative to the endoscope. When the guide is in a flexible state, it can conform to a curve or path defined by the steerable distal portion and the automatically controlled portion. The guide can then be selectively rigidized to assume that curve or path. Once set, the endoscope can be advanced over the rigidized guide in a monorail or “piggy-back” fashion so that the flexible proximal portion follows the curve held by the guide until the endoscope reaches a next point of curvature within a body lumen.

摘要翻译： 本文描述了具有引导装置的内窥镜。 描述了一种可操纵的内窥镜，其具有带有手动或选择性可操纵的远端部分的细长主体，自动控制部分，柔性和被动操纵的近端部分以及外部控制和可操纵的跟踪杆或引导件。 跟踪杆或引导件位于内窥镜内的引导通道内并相对于内窥镜滑动。 当引导件处于柔性状态时，其可以符合由可转向远端部分和自动控制部分限定的曲线或路径。 然后，引导件可以选择性地刚性化以假定该曲线或路径。 一旦设定，内窥镜可以以单轨或“背部”的方式前进在刚性引导件上，使得柔性近端部分遵循由引导件保持的曲线，直到内窥镜到达体腔内的下一个曲率点。

公开(公告)号：US09078633B2

公开(公告)日：2015-07-14

申请号：US13224666

申请日：2011-09-02

申请人： Amir Belson ,  Joelle Faulkner ,  Phillip Burke ,  Eric Johnson ,  Bauback Safa

发明人： Amir Belson ,  Joelle Faulkner ,  Phillip Burke ,  Eric Johnson ,  Bauback Safa

IPC分类号： A61B17/00 ,  A61B17/06

CPC分类号： A61B17/0469 ,  A61B17/0057 ,  A61B17/0482 ,  A61B2017/00663 ,  A61B2017/00778 ,  A61B2017/06076

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。

公开(公告)号：US08845524B2

公开(公告)日：2014-09-30

申请号：US12950921

申请日：2010-11-19

申请人： Amir Belson ,  Paul DeWitt Frey ,  Christine Wei Hsien McElhaney ,  James Craig Milroy ,  Robert Matthew Ohline ,  Joseph M. Tartaglia

发明人： Amir Belson ,  Paul DeWitt Frey ,  Christine Wei Hsien McElhaney ,  James Craig Milroy ,  Robert Matthew Ohline ,  Joseph M. Tartaglia

IPC分类号： A61B1/008 ,  A61B1/005 ,  A61B1/31 ,  A61B1/00 ,  A61B5/06 ,  A61B19/00

CPC分类号： A61B1/00004 ,  A61B1/00055 ,  A61B1/0016 ,  A61B1/0053 ,  A61B1/0055 ,  A61B1/008 ,  A61B1/015 ,  A61B1/018 ,  A61B1/05 ,  A61B1/31 ,  A61B5/065 ,  A61B2034/301 ,  A61B2034/741 ,  A61B2034/742

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。