公开(公告)号：US5980468A

公开(公告)日：1999-11-09

申请号：US936145

申请日：1997-09-22

申请人： David S. Zimmon

发明人： David S. Zimmon

IPC分类号： A61B10/06 ,  A61B10/00 ,  A61B10/02 ,  A61B5/00

CPC分类号： A61B10/02 ,  A61B10/0096 ,  A61B10/06 ,  A61B10/0266 ,  A61B10/0283 ,  A61B2010/0225

摘要： An apparatus and method for performing a medical procedure comprising an elongated member having an aperture extending longitudinally therethrough. The member has a proximal and an opposite distal end. An actuator is positioned within the aperture and has a proximal end and an opposite distal end. Biopsy means are connected to the distal end of the actuator for cutting and collecting biopsy specimens. Either the elongated member or the distal tip is modified to receive the cut specimens in the order of acquisition. After serial acquisition, the holding segment is separated from the remainder and closed by a cap to form a processing cassette. The cassette holds the specimens in the order of acquisition through fixation and processing to be opened for slicing or analysis.

摘要翻译： 一种用于执行医疗程序的装置和方法，包括具有纵向穿过其中延伸的孔的细长构件。 该构件具有近端和相对的远端。 致动器定位在孔内并且具有近端和相对的远端。 活检装置连接到致动器的远端，用于切割和收集活检标本。 细长构件或远端尖端被修改以按照采集的顺序接收切割的样品。 在串行获取之后，保持段与其余部分分离并由盖封闭以形成处理盒。 录像带通过固定和处理按采集的顺序保持样本，以打开切片或分析。

公开(公告)号：US5052998A

公开(公告)日：1991-10-01

申请号：US504575

申请日：1990-04-04

申请人： David S. Zimmon

发明人： David S. Zimmon

IPC分类号： A61M27/00 ,  A61F2/00 ,  A61F2/94 ,  A61M1/00 ,  A61M25/00 ,  A61M25/04

CPC分类号： A61F2/94 ,  A61M25/04 ,  A61M27/008 ,  A61F2220/0016 ,  A61F2250/0098 ,  A61M25/0041

摘要： A stent 21 is disclosed having a pigtail 33 at its distal end 35 and having a flap 23 acting as a barb at its proximal end 29. Stent 21 includes a catheter body 31 having at least one lumen 43 and having drainage holes 37, 39. The stent may be made of radiopaque polyethylene. The pigtail 33 prevents proximal migration of catheter body 31 while allowing spring action to accommodate variations in length, while flap 23 prevents entire distal migration while being radially retractable to facilitate insertion. An alternative embodiment is disclosed having multiple flaps 25, 27 acting as a barb. A method of use is also disclosed.

摘要翻译： 公开了一种支架21，其在其远端35处具有辫状物33，并且在其近端29处具有用作倒钩的襟翼23。支架21包括具有至少一个内腔43并具有排水孔37,39的导管主体31。 支架可以由不透射线的聚乙烯制成。 引导头33防止导管主体31的近端迁移，同时允许弹簧动作以适应长度的变化，而挡板23可防止整个远端移动而径向缩回以便于插入。 公开了一种替代实施例，其具有用作倒钩的多个折片25,27。 还公开了一种使用方法。

公开(公告)号：US20130345596A1

公开(公告)日：2013-12-26

申请号：US13923678

申请日：2013-06-21

申请人： David S. ZIMMON

发明人： David S. ZIMMON

IPC分类号： A61B10/02

CPC分类号： A61B10/02 ,  A61B10/0096

摘要： An apparatus and method for removing biopsy specimens from spring based spring based multiple biopsy or forceps biopsy devices by irrigating or suctioning. The apparatus collects, fixes and prepares specimens for histopathologic processing limiting manual labor, workplace risk and time previously required. After removal from the biopsy device, specimens are fixed in a histopathological processing cassette or on specimen wrapping paper for transportation to the pathology laboratory. In pathology, fixative is drained and specimens inspected for gross description followed by paper wrapping and histopathological processing with minimum handling, exposure to infectious material or toxic fixatives. After removing the biopsy specimens, the biopsy device is washed in the apparatus to eliminate contaminants and removed, ready for another biopsy sequence. A spring based spring based multiple biopsy device using these methods can collect numerous biopsy batches from different sites with segregated processing and analysis of each batch.

摘要翻译： 一种用于通过冲洗或抽吸从基于弹簧的弹簧多次活检或镊子活检装置去除活检标本的装置和方法。 该装置收集，修复和准备标本用于组织病理学处理，限制体力劳动，工作场所风险和以前需要的时间。 从活检装置取出后，将标本固定在组织病理学处理盒或标本包装纸上，运送至病理实验室。 在病理学中，固定剂被排出，标本检查总体描述，然后进行纸包装和组织病理学处理，最少处理，暴露于感染性物质或有毒固定剂。 在去除活检标本后，将活检装置在装置中洗涤以除去污染物并除去，准备用于另一活检序列。 使用这些方法的基于弹簧的弹簧多次活检装置可以从不同位置收集许多活组织检查批次，每个批次的分离处理和分析。

公开(公告)号：US06203520B1

公开(公告)日：2001-03-20

申请号：US09359485

申请日：1999-07-22

申请人： David S. Zimmon

发明人： David S. Zimmon

IPC分类号： A61M100

CPC分类号： A61M29/02 ,  A61M1/0062 ,  A61M3/0241 ,  A61M2209/082 ,  A61M2209/084 ,  A61M2210/1053

摘要： A method and apparatus for the treatment of the gastrointestinal tract. In one form of the present invention an irrigation tube is positioned through the patient's mouth, esophagus and into the stomach. An-inflatable balloon tamponade device is initially positioned around the external surface of the irrigation tube for delivery within the patient. A pushing member is utilized to move the balloon tamponade device along the outer surface of irrigation tube and into a location adjacent internal bleeding sites. The invention facilitates irrigation and aspiration of the stomach through the irrigation tube by selectively coupling an irrigation fluid reservoir and a fluid recovery reservoir. The irrigation and aspiration is conducted through a substantially closed system to accurately determine fluids present and limit health care staff exposure to bodily fluids.

摘要翻译： 一种治疗胃肠道的方法和装置。 在本发明的一种形式中，冲洗管穿过患者的口，食道并进入胃。 可充气气囊填塞装置最初位于冲洗管的外表面周围，用于在患者体内输送。 推动构件用于沿着冲洗管的外表面移动气囊填塞装置并进入邻近内部出血部位的位置。 本发明通过选择性地联接冲洗流体储存器和流体回收储器来促进通过冲洗管的胃的灌注和抽吸。 灌注和抽吸通过基本封闭的系统进行，以准确地确定存在的流体并限制医护人员暴露于体液。

公开(公告)号：US5947926A

公开(公告)日：1999-09-07

申请号：US934248

申请日：1997-09-19

申请人： David S. Zimmon

发明人： David S. Zimmon

IPC分类号： A61M1/00 ,  A61M3/02 ,  A61M29/00

CPC分类号： A61M29/02 ,  A61M3/0241 ,  A61M1/0062 ,  A61M2209/082 ,  A61M2209/084 ,  A61M2210/1053

摘要： A method and apparatus for the treatment of the gastrointestinal tract. In one form of the present invention an irrigation tube is positioned through the patient's mouth, esophagus and into the stomach. An inflatable balloon tamponade device is initially positioned around the external surface of the irrigation tube for delivery within the patient. A pushing member is utilized to move the balloon tamponade device along the outer surface of irrigation tube and into a location adjacent internal bleeding sites. The invention facilitates irrigation and aspiration of the stomach through the irrigation tube by selectively coupling an irrigation fluid reservoir and a fluid recovery reservoir. The irrigation and aspiration is conducted through a substantially closed system to accurately determine fluids present and limit health care staff exposure to bodily fluids.

摘要翻译： 一种治疗胃肠道的方法和装置。 在本发明的一种形式中，冲洗管穿过患者的口，食道并进入胃。 最初将充气气囊填塞装置定位在冲洗管的外表面周围以便在患者体内输送。 推动构件用于沿着冲洗管的外表面移动气囊填塞装置并进入邻近内部出血部位的位置。 本发明通过选择性地联接冲洗流体储存器和流体回收储器来促进通过冲洗管的胃的灌注和抽吸。 灌注和抽吸通过基本封闭的系统进行，以准确地确定存在的流体并限制医护人员暴露于体液。

公开(公告)号：US5785684A

公开(公告)日：1998-07-28

申请号：US597224

申请日：1996-02-06

申请人： David S. Zimmon

发明人： David S. Zimmon

IPC分类号： A61B17/00 ,  A61B17/12 ,  A61F2/82 ,  A61M29/00

CPC分类号： A61M29/02

摘要： A method and apparatus for the deployment of an esophagastric balloon tamponade device within a patient. In one form of the present invention an irrigation tube is positioned through the patient's mouth, esophagus and into the stomach. An inflatable balloon tamponade device is initially positioned around the external surface of the irrigation tube for delivery within the patient. A pushing member is utilized to move the balloon tamponade device along the outer surface of irrigation tube and into a location adjacent internal bleeding sites. An internal obturator passes through an aperture within the irrigation tube to minimize and/or prevent kinking of the tube during passage of the tube into the patient. A plurality of length indicators are formed on the external surface of the tube in order to apprise the practitioner of the depth of insertion of the tube. The present invention provides for the deployment of a balloon tamponade device adbsent a endoscope.

摘要翻译： 一种用于在患者体内部署食道气囊压塞装置的方法和装置。 在本发明的一种形式中，冲洗管穿过患者的口，食道并进入胃。 最初将充气气囊填塞装置定位在冲洗管的外表面周围以便在患者体内输送。 推动构件用于沿着冲洗管的外表面移动气囊填塞装置并进入邻近内部出血部位的位置。 内部闭塞器通过冲洗管内的孔，以在管进入患者期间最小化和/或防止管扭曲。 在管的外表面上形成多个长度指示器，以便使医师向管道上注意管的插入深度。 本发明提供了一种使用内窥镜的气囊填塞装置的部署。

公开(公告)号：US5707355A

公开(公告)日：1998-01-13

申请号：US558170

申请日：1995-11-15

申请人： David S. Zimmon

发明人： David S. Zimmon

IPC分类号： A61M25/00 ,  A61B17/12 ,  A61B17/22 ,  A61F2/82 ,  A61M16/04 ,  A61M25/10

CPC分类号： A61M16/04 ,  A61B17/12036 ,  A61B17/12099 ,  A61B17/12136 ,  A61B17/22 ,  A61M16/0459 ,  A61M16/0481 ,  A61B2017/22082 ,  A61M25/1011

摘要： A method and apparatus for treating esophageal varices and mucosal neoplasms. In one form of the present invention a balloon tamponade device is utilized to deliver a dressing containing a sclerosant agent to bleeding esophogeal varices. The balloon tamponade delivery results in a uniformed coating of the inflamed site with the treatment agent. The thrombosant agent penetrates the esophageal mucosa, thrombosis esophageal veins and prevents bleeding by provoking an inflammatory response which replaces the squamous esophogeal mucosa with scar tissue to prevent further bleeding from the varices. Another form of the present invention applies therapeutic agents to portions of the esophagus, rectum and/or other mucosal sites such as the urethral bladder, larynx, bronchial tube axed vagina. Therapeutic agents containing anti-neoplastic and/or corrosive agents are applied to dressings which are placed in contact with the surface area containing the mucosal neoplasm. After the dressings have been delivered to the surface area they are maintained in contact with the lesion for a period of time. In one form of the present invention the delivery of the therapeutic agents to the lesions is accomplished through a balloon tamponade device.

摘要翻译： 一种治疗食管静脉曲张和粘膜肿瘤的方法和装置。 在本发明的一种形式中，气囊填充装置用于将含有硬化剂的敷料递送至出血性非特异性静脉曲张。 气囊填塞导致发炎部位用处理剂均匀涂覆。 血栓栓剂穿透食管粘膜，血栓性食管静脉，并通过引发炎症反应来预防出血，该炎症反应用瘢痕组织代替鳞状上皮性粘膜，以防止静脉曲张进一步出血。 本发明的另一种形式将治疗剂应用于食道，直肠和/或其它粘膜部位的部分，例如尿道膀胱，喉，支气管疝阴道。 将含有抗肿瘤和/或腐蚀剂的治疗剂施用于与含有粘膜肿瘤的表面区域接触的敷料。 在敷料被输送到表面区域之后，它们与病变保持接触一段时间。 在本发明的一种形式中，治疗剂递送到损伤是通过气囊填塞装置实现的。

公开(公告)号：US20170258460A1

公开(公告)日：2017-09-14

申请号：US15607899

申请日：2017-05-30

申请人： David S. ZIMMON

发明人： David S. ZIMMON

IPC分类号： A61B10/04 ,  A61B10/06

CPC分类号： A61B10/04 ,  A61B1/00002 ,  A61B1/00105 ,  A61B1/00133 ,  A61B1/0053 ,  A61B1/018 ,  A61B10/06 ,  A61B17/29 ,  A61B17/295 ,  A61B17/32056 ,  A61B2010/0208 ,  A61B2017/00292 ,  A61B2017/00296 ,  A61B2017/320064 ,  A61B2560/0493

摘要： An automated control, a switch and automated actuator for spring-based end effectors of a medical instrument to be used by a single operator without assistance for multiple biopsy, clipping, clamping, grasping, snaring, cutting, dissecting or other operative functions with electrical connections for cautery or hot biopsy used independently or combined with a rigid or flexible endoscope of any size. The actuator may be a spring(s), gear(s), electrical solenoid or motor, air or hydraulic pressure activated piston or a combination thereof. Automated action may be initiated by a voice, hand or foot operated switch. The actuator may be disposable, attached to or separable from the end effector or permanently attached to be reusable. The actuator and end effector may be disposable, attached to or separable from the endoscope or permanently attached to be reusable. The automated device may be incorporated into an endoscope or attached to the outside.

公开(公告)号：US20140228634A1

公开(公告)日：2014-08-14

申请号：US14258117

申请日：2014-04-22

申请人： David S. ZIMMON

发明人： David S. ZIMMON

IPC分类号： A61B1/00 ,  A61B17/3205 ,  A61B17/29 ,  A61B1/018 ,  A61B10/04

CPC分类号： A61B10/04 ,  A61B1/00002 ,  A61B1/00105 ,  A61B1/00133 ,  A61B1/0053 ,  A61B1/018 ,  A61B10/06 ,  A61B17/29 ,  A61B17/295 ,  A61B17/32056 ,  A61B2010/0208 ,  A61B2017/00292 ,  A61B2017/00296 ,  A61B2017/320064 ,  A61B2560/0493

摘要： An automated switch and driver for an open biased spring-based multiple purpose end effector of a medical instrument to be used by a single operator without assistance for biopsy, clipping, clamping, grasping, snaring, cutting, dissecting or other operative functions with electrical connections for cautery or hot biopsy used independently or combined with a rigid or flexible endoscope of any size. The driver mechanism may be a spring(s), gear(s), electrical solenoid or motor, air or hydraulic pressure activated piston or a combination thereof. Automated action may be initiated by voice, hand or foot switch. The switch and driver mechanism may be disposable, attached to or separable from the operative instrument or permanently attached to be reusable. The automated end effector instrument may be combined with or incorporated into an endoscope.

摘要翻译： 一种自动开关和驱动器，用于医疗仪器的开放偏置弹簧式多用途末端执行器，由单个操作员使用，无需辅助活检，夹紧，夹紧，抓取，缠绕，切割，切割或其他具有电连接的操作功能 用于独立使用的烧灼或热活检，或与任何尺寸的刚性或柔性内窥镜结合使用。 驱动器机构可以是弹簧，齿轮，电螺线管或马达，空气或液压活动活塞或其组合。 自动动作可以由语音，手动或脚踏开关启动。 开关和驱动器机构可以是一次性的，附接到操作器械上或与操作器械分离，或者永久地附接以可重复使用。 自动化末端执行器仪器可以与内窥镜组合或并入内窥镜。

公开(公告)号：US20090124928A1

公开(公告)日：2009-05-14

申请号：US11795615

申请日：2006-01-20

申请人： David S. Zimmon

发明人： David S. Zimmon

IPC分类号： A61B10/02 ,  A61B5/00

CPC分类号： A61B10/04 ,  A61B10/0096 ,  A61B10/0283 ,  A61B2010/0225

摘要： A circumferential suction step multibiopsy apparatus for performing a medical procedure has an elongated flexible member with an aperture extending longitudinally therethrough and an actuator positioned within the aperture. The open tube shaft is connected to a side arm for suction or irrigation including radiopaque contrast and dye staining. There is a cassette removably connected to the actuator for cutting and serially collecting biopsy specimens, for in situ chemical, biological or genetic testing by immediate reaction with the biopsy specimens before metabolic changes, degradation or contamination can occur or for fixation, staining and other processing and analysis.

摘要翻译： 用于执行医疗程序的周向抽吸步骤多功能检查装置具有细长的柔性构件，其具有纵向延伸通过的孔和位于孔内的致动器。 打开的管轴连接到侧臂以进行抽吸或冲洗，包括不透射线的对比度和染色染色。 有一个可移除地连接到致动器的盒，用于切割并串联采集活检标本，用于在代谢变化之前与活组织检查样品立即反应进行原位化学，生物或基因检测，可能发生降解或污染，或用于固定，染色和其他加工 和分析。