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84 条记录 (耗时 0.065 秒)

    Endoscopic vision system
    82.
    发明授权
    Endoscopic vision system 有权

    公开(公告)号：US07004900B2

    公开(公告)日：2006-02-28

    申请号：US10722141

    申请日：2003-11-26

    申请人： Jeffrey M. Wendlandt ,  Mark L. Adams

    发明人： Jeffrey M. Wendlandt ,  Mark L. Adams

    IPC分类号： A61B1/06

    CPC分类号： A61B1/00179 ,  A61B1/00183 ,  A61B1/05 ,  A61B1/051

    摘要： The present invention relates to an endoscopic visioning system and related method for both forward and backward viewing of a body lumen. According to an embodiment, the system includes an endoscope, a vision head including a light source and a vision chip on both a proximal and a distal side of the vision head, and an extension arm for moving the vision head away from and back toward the endoscope. Alternatively, the light source and vision chip may be contained in a distal end of the endoscope. In such an alternative embodiment, the vision head is a parabolic mirror mounted on the extension arm for reflecting images, for example, from behind the distal end of the endoscope to the vision chip in the distal end of the endoscope to permit, for example, a retrograde view of the surgical site entrance.

    Endoscopic vision system
    83.
    发明授权
    Endoscopic vision system 有权
    内镜视力系统

    公开(公告)号：US06736773B2

    公开(公告)日：2004-05-18

    申请号：US09768337

    申请日：2001-01-25

    申请人： Jeffrey M. Wendlandt ,  Mark L. Adams

    发明人： Jeffrey M. Wendlandt ,  Mark L. Adams

    IPC分类号： A61B106

    CPC分类号： A61B1/00179 ,  A61B1/00183 ,  A61B1/05 ,  A61B1/051

    摘要： The present invention relates to an endoscopic visioning system and related method for both forward and backward viewing of a body lumen. According to an embodiment, the system includes an endoscope, a vision head including a light source and a vision chip on both a proximal and a distal side of the vision head, and an extension arm for moving the vision head away from and back toward the endoscope. Alternatively, the light source and vision chip may be contained in a distal end of the endoscope. In such an alternative embodiment, the vision head is a parabolic mirror mounted on the extension arm for reflecting images, for example, from behind the distal end of the endoscope to the vision chip in the distal end of the endoscope to permit, for example, a retrograde view of the surgical site entrance.

    摘要翻译： 本发明涉及一种用于向前和向后观察体腔的内窥镜视觉系统和相关方法。 根据实施例，该系统包括内窥镜，包括光源的视觉头和视觉头的近侧和远侧两侧的视觉芯片，以及延伸臂，用于将视觉头远离和向后移动 内窥镜 或者，光源和视觉芯片可以容纳在内窥镜的远端中。 在这样的替代实施例中，视觉头是安装在延伸臂上的抛物面镜，用于将例如从内窥镜的远端后面的图像反射到内窥镜的远端中的视觉芯片，以允许例如， 手术部位入口的逆行视图。

    Steerable sphincterotome and methods for cannulation, papillotomy and sphincterotomy
    84.
    发明授权
    Steerable sphincterotome and methods for cannulation, papillotomy and sphincterotomy 有权
    可导向括约肌切开术和插管，乳头切开术和括约肌切开术的方法

    公开(公告)号：US06676659B2

    公开(公告)日：2004-01-13

    申请号：US09928655

    申请日：2001-08-14

    申请人： John E. Hutchins ,  Mark L. Adams

    发明人： John E. Hutchins ,  Mark L. Adams

    IPC分类号： A61B1818

    CPC分类号： A61M25/0136 ,  A61B18/1492 ,  A61B2017/003 ,  A61B2017/0046 ,  A61B2017/22038 ,  A61B2017/22067 ,  A61B2018/00535 ,  A61B2018/00553 ,  A61B2018/1253 ,  A61B2018/1407 ,  A61B2018/144 ,  A61B2018/1861 ,  A61B2218/002

    摘要： The present invention relates to methods and devices for performing endoscopic cannulation, papillotomy and sphincterotomy and similar procedures. According to the present state of the art, endoscopic cannulation of the common bile duct and papillotomy and similar procedures are accomplished by advancing the device into an endoscope/duodenoscope so that the distal tip of the device exits the endoscope adjacent the sphincter muscles at the Papilla of Vater. The endoscope mechanisms are then manipulated to orient the distal tip of the device to the desired position for proper cannulation of the duct. Due to inconsistencies in, for example, the sphincterotome, anatomy, and endoscope manipulation, it is difficult to accurately and consistently position the sphincterotome for proper cannulation. The steerable sphincterotome of the present invention allows the physician to control the position of the distal tip of the device independently of the endoscope and adjust for inconsistencies in the device and the anatomy. According to the present invention, the handle to which the cutting wire is attached is freely rotatable relative to the catheter. The handle, secured to the cutting wire but rotatable relative to the shaft of the catheter, provides a mechanism to rotate the wire, transmitting the force to rotate the device tip. With the handle rotating independently of the shaft at the proximal end, the force can be applied directly to the distal tip without twisting the entire shaft. Also a rotation lock to maintain the orientation of the tip and/or a rotation marking, to indicate the amount of rotation may be included.

    摘要翻译： 本发明涉及用于进行内窥镜插管，乳头切开术和括约肌切开术以及类似手术的方法和装置。 根据现有技术，通过将装置进入内窥镜/十二指肠镜来实现胆总管和乳头切开术的内窥镜插管和类似的程序，使得装置的远侧末端离开与乳头附近的括约肌的内窥镜 的瓦特。 然后操纵内窥镜机构以将装置的远端定位到期望的位置，以适当地插管管道。 由于例如括约肌切开术，解剖结构和内窥镜操作的不一致，难以精确地和一致地定位括约肌切开术以进行适当的插管。 本发明的可引导的括约肌切开术允许医师独立于内窥镜来控制装置的远侧末端的位置，并且调整装置和解剖结构中的不一致性。 根据本发明，切割线附接的手柄可相对于导管自由旋转。 固定到切割线上但相对于导管的轴可旋转的手柄提供了一种使线旋转的机构，传递力以旋转装置尖端。 由于手柄在近端处独立于轴旋转，所以力可以直接施加到远端，而不会扭转整个轴。 还可以包括用于保持尖端的方位和/或旋转标记的旋转锁定，以指示旋转量。