公开(公告)号：US08517923B2

公开(公告)日：2013-08-27

申请号：US10850360

申请日：2004-05-19

申请人： Amir Belson ,  Robert Matthew Ohline

发明人： Amir Belson ,  Robert Matthew Ohline

IPC分类号： A61B1/00

CPC分类号： A61B1/0055 ,  A61B1/0051 ,  A61B1/0052 ,  A61B1/0053 ,  A61B1/0058 ,  A61B1/0125 ,  A61B1/018 ,  A61B1/05 ,  A61B1/31 ,  A61B18/02 ,  A61B18/1492 ,  A61B18/22 ,  A61B2017/00296 ,  A61B2017/003 ,  A61B2018/00351 ,  A61B2018/00446 ,  A61B2018/0212 ,  A61B2034/301 ,  G02B23/2469 ,  G02B23/2476 ,  G02B23/2484

摘要： Methods and apparatus for accessing and treating regions of the body are disclosed herein. Using an endoscopic device having an automatically controllable proximal portion and a selectively steerable distal portion, the device generally may be advanced into the body through an opening. The distal portion is selectively steered to assume a selected curve along a desired path within the body which avoids contact with tissue while the proximal portion is automatically controlled to assume the selected curve of the distal portion. The endoscopic device can then be used for accessing various regions of the body which are typically difficult to access and treat through conventional surgical techniques because the device is unconstrained by “straight-line” requirements. Various applications can include accessing regions of the brain, thoracic cavity, including regions within the heart, peritoneal cavity, etc., which are difficult to reach using conventional surgical procedures.

摘要翻译： 本文公开了用于进入和处理身体区域的方法和装置。 使用具有自动控制的近端部分和选择性可操纵的远端部分的内窥镜装置，该装置通常可以通过开口进入身体。 远侧部分被选择性地转向以沿着主体内的期望路径呈现出选择的曲线，其避免与组织的接触，而近端部分被自动控制以呈现远端部分的选定曲线。 然后，内窥镜装置可用于通过常规手术技术访问身体的各个区域，这些区域通常难以进入和治疗，因为该装置不受“直线”要求的约束。 各种应用可以包括进入脑，胸腔的区域，包括心脏内的区域，腹膜腔等，这些区域难以用常规外科手术达到。

公开(公告)号：US08439564B2

公开(公告)日：2013-05-14

申请号：US13344426

申请日：2012-01-05

申请人： Amir Belson ,  James L. Leary

发明人： Amir Belson ,  James L. Leary

IPC分类号： 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.

公开(公告)号：US08414482B2

公开(公告)日：2013-04-09

申请号：US13343538

申请日：2012-01-04

申请人： Amir Belson

发明人： Amir Belson

IPC分类号： A61M29/00 ,  A61F11/00

CPC分类号： A61F2/01 ,  A61F2002/011 ,  A61F2002/018 ,  A61F2230/0006 ,  A61F2230/0065 ,  A61F2230/0067 ,  A61F2230/0069 ,  A61F2250/0003 ,  A61F2250/0023 ,  A61F2250/0069

摘要： An embolic protection device for use in a patient's blood vessel, such as the aorta, has an approximately cylindrical outer structure made of a filter mesh material and an approximately conical inner structure also made of a filter mesh material. On the downstream end of the embolic protection device, the wider end of the conical inner structure is joined to the cylindrical outer structure. The upstream end of the embolic protection device is open for blood to flow between the conical inner structure and the cylindrical outer structure. The space between the conical inner structure and the cylindrical outer structure defines a collection chamber for captured emboli. The narrow upstream end of the conical inner structure has a catheter port with a resilient seal that is sized for passage of a catheter shaft. The filter mesh material may be self-supporting or it may be supported on a resilient-framework or an inflatable framework.

公开(公告)号：US20130035716A1

公开(公告)日：2013-02-07

申请号：US13648986

申请日：2012-10-10

申请人： Amir Belson

发明人： Amir Belson

IPC分类号： A61B17/22

CPC分类号： A61F2/013 ,  A61B17/00234 ,  A61B18/1492 ,  A61B2017/00243 ,  A61F2/01 ,  A61F2002/011 ,  A61F2002/016 ,  A61F2002/018 ,  A61F2210/0076 ,  A61F2230/0006 ,  A61F2230/0065 ,  A61F2230/0069 ,  A61F2250/0067

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。

公开(公告)号：US20120271109A1

公开(公告)日：2012-10-25

申请号：US13535979

申请日：2012-06-28

申请人： Amir Belson

发明人： Amir Belson

IPC分类号： A61B1/01 ,  A61B1/008 ,  A61B1/31

CPC分类号： A61B1/0051 ,  A61B1/0016 ,  A61B1/0053 ,  A61B1/0058 ,  A61B1/008 ,  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 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。

公开(公告)号：US08226546B2

公开(公告)日：2012-07-24

申请号：US11129093

申请日：2005-05-13

申请人： Amir Belson

发明人： Amir Belson

IPC分类号： A61B1/00

CPC分类号： A61B1/0051 ,  A61B1/0016 ,  A61B1/0053 ,  A61B1/0058 ,  A61B1/008 ,  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 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。

公开(公告)号：US20120109183A1

公开(公告)日：2012-05-03

申请号：US13347046

申请日：2012-01-10

申请人： Amir Belson

发明人： Amir Belson

IPC分类号： A61F2/01

CPC分类号： A61F2/013 ,  A61B17/00234 ,  A61B18/1492 ,  A61B2017/00243 ,  A61F2/01 ,  A61F2002/011 ,  A61F2002/016 ,  A61F2002/018 ,  A61F2210/0076 ,  A61F2230/0006 ,  A61F2230/0065 ,  A61F2230/0069 ,  A61F2250/0067

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。

公开(公告)号：US20120041262A1

公开(公告)日：2012-02-16

申请号：US13283170

申请日：2011-10-27

申请人： Amir Belson

发明人： Amir Belson

IPC分类号： A61B1/00

CPC分类号： A61B1/0051 ,  A61B1/0016 ,  A61B1/0053 ,  A61B1/0058 ,  A61B1/008 ,  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 that allows it to negotiate tortuous curves along a desired path through, around, and between organs within the body.

公开(公告)号：US20100094310A1

公开(公告)日：2010-04-15

申请号：US12307519

申请日：2007-05-07

申请人： Jessica Ash Warring ,  Amir Belson ,  Winfield Scott Fisher

发明人： Jessica Ash Warring ,  Amir Belson ,  Winfield Scott Fisher

IPC分类号： A61M25/01 ,  A61M31/00

CPC分类号： A61M25/09041 ,  A61M5/3232 ,  A61M5/3234 ,  A61M5/3243 ,  A61M5/3257 ,  A61M25/01 ,  A61M25/0606 ,  A61M25/0631 ,  A61M25/065 ,  A61M25/09 ,  A61M2025/09133

摘要： A catheter insertion device with a housing and an interior space. An access needle and a guide wire supported by and moveable relative to the access needle. A restraining element attached to a handle to limit the motion of the guide wire relative to the access needle. A catheter insertion device with a housing and an interior space. An access needle and a guide wire channel attached to the access needle. A guide wire supported by the guide wire channel. A handle attached to the guide wire to move the guide wire relative to the guide wire support channel. A method of introducing a catheter into a vessel by inserting a guide wire substantially contained within a housing into a vessel. Next, advance a catheter over the guide wire and into the vessel. Next, withdraw the guide wire out of the vessel and completely into the housing.

摘要翻译： 具有壳体和内部空间的导管插入装置。 进出针和导线，其相对于进入针支撑并且可移动。 附接到手柄以限制导丝相对于进入针的运动的限制元件。 具有壳体和内部空间的导管插入装置。 接入针和引导线通道，其连接到接近针。 由导丝通道支撑的导丝。 连接到导丝以相对于导丝支撑通道移动导丝的手柄。 通过将基本上容纳在壳体内的导丝插入容器中而将导管引入容器的方法。 接下来，将导管推到导丝上并进入容器。 接下来，将导线从容器中取出并完全插入外壳。

公开(公告)号：US20070135803A1

公开(公告)日：2007-06-14

申请号：US11522305

申请日：2006-09-14

申请人： Amir Belson

发明人： Amir Belson

IPC分类号： A61B17/00 ,  A61B17/32

CPC分类号： A61B17/0057 ,  A61B1/00087 ,  A61B1/00128 ,  A61B1/00154 ,  A61B1/00177 ,  A61B1/0055 ,  A61B1/0057 ,  A61B1/008 ,  A61B1/01 ,  A61B1/015 ,  A61B1/0615 ,  A61B1/31 ,  A61B1/3132 ,  A61B5/0071 ,  A61B5/0073 ,  A61B5/0075 ,  A61B5/0084 ,  A61B5/064 ,  A61B5/418 ,  A61B17/0401 ,  A61B17/064 ,  A61B17/1114 ,  A61B17/115 ,  A61B17/1155 ,  A61B17/1285 ,  A61B17/3462 ,  A61B17/3476 ,  A61B17/3478 ,  A61B34/20 ,  A61B34/70 ,  A61B34/71 ,  A61B90/36 ,  A61B90/361 ,  A61B90/50 ,  A61B2017/00106 ,  A61B2017/00278 ,  A61B2017/00296 ,  A61B2017/003 ,  A61B2017/00331 ,  A61B2017/00336 ,  A61B2017/00398 ,  A61B2017/00482 ,  A61B2017/00561 ,  A61B2017/00575 ,  A61B2017/0069 ,  A61B2017/00871 ,  A61B2017/0641 ,  A61B2017/0647 ,  A61B2017/22077 ,  A61B2017/306 ,  A61B2017/3419 ,  A61B2017/3445 ,  A61B2017/3447 ,  A61B2017/347 ,  A61B2017/3484 ,  A61B2017/3486 ,  A61B2017/3488 ,  A61B2017/349 ,  A61B2034/105 ,  A61B2034/107 ,  A61B2034/2051 ,  A61B2034/2055 ,  A61B2034/2059 ,  A61B2034/2063 ,  A61B2034/256 ,  A61B2034/301 ,  A61B2034/741 ,  A61B2034/742 ,  A61B2090/037 ,  A61B2090/062 ,  A61B2090/306 ,  A61B2090/309 ,  A61B2090/364 ,  A61B2090/508 ,  A61M13/003 ,  A61M2205/0266 ,  A61M2205/0272 ,  A61M2205/0277 ,  A61M2205/0283

摘要： The invention is directed to an apparatus for use in a transluminal procedure. The apparatus, comprising, for example, a housing having a guide lumen and a seal proximal to a distal end of the housing that extends across and completely seals the guide lumen; a fixation element in the housing and adapted to secure the distal end of the housing to tissue; and a channel extending through the side wall of the housing having an outlet in communication with the lumen distal of the seal. Methods are also provided. For example, a method includes, performing a transluminal procedure by: securing a datum and position indicator to a wall of a target lumen; forming an opening in the wall; advancing an instrument through the opening; and tracking the advancement of the instrument using the datum and position indicator.

摘要翻译： 本发明涉及一种用于腔内程序的装置。 该装置包括例如具有引导腔和壳体近端的密封件的壳体，其延伸穿过并完全密封引导内腔; 壳体中的固定元件，并且适于将外壳的远端固定到组织上; 并且延伸穿过所述壳体的侧壁的通道具有与所述密封件的远侧的所述腔连通的出口。 还提供了方法。 例如，一种方法包括：通过以下步骤执行经验程序：将基准和位置指示器固定到目标管腔的壁上; 在墙壁上形成一个开口; 通过开口推进仪器; 并使用基准和位置指示器跟踪仪器的进度。