Surgical stereoscopic visualization system with movable head mounted display

    公开(公告)号:US10578852B2

    公开(公告)日:2020-03-03

    申请号:US15588198

    申请日:2017-05-05

    Abstract: A surgical stereoscopic visualization system having a microscope head, dual cameras mounted on or proximate the microscope head for real time video capture of a subject in an operative field, a video processing and display system to receive separate video streams from the cameras and to combine the separate video streams into a time-aligned stereoscopic image. The processed image is displayed on a matrix display screen in at least one movable head-mounted stereoscopic display. Movement of the head mounted display is accomplished with a support structure on a headband that accurately positions the display screen in front of the user's eyes, yet allows the user to precisely move the display screen either manually or by motorized means into and out of the user's line of sight, thereby facilitating uninterrupted use of the hands while working in the surgical suite.

    REGULATING INTERNAL PRESSURE OF A CRYOTHERAPY BALLOON CATHETER
    2.
    发明申请
    REGULATING INTERNAL PRESSURE OF A CRYOTHERAPY BALLOON CATHETER 有权
    调节压力气压导管的内压

    公开(公告)号:US20120253337A1

    公开(公告)日:2012-10-04

    申请号:US13482722

    申请日:2012-05-29

    Inventor: JAMES R. WATSON

    Abstract: A method of performing a cryotherapy procedure can include introducing a cryotherapy balloon catheter at a treatment site inside a patient's body; regulating, during a first phase of a cryotherapy procedure, flow of cryogenic fluid to and exhaust from a distal balloon portion of the cryotherapy balloon catheter to cause an initial pressure to be maintained inside the distal balloon portion that is sufficiently high to cause an outer wall of the distal balloon portion to be pressed against body tissue at the treatment site; and regulating, during a second phase of the cryotherapy procedure, flow of cryogenic fluid to and exhaust from the distal balloon portion to cause a) a temperature inside the distal balloon portion to reach a value sufficient to deliver therapeutic levels of cryotherapy to the body tissue, and b) a second-phase pressure to be maintained that is within a threshold value of the initial pressure.

    Abstract translation: 执行冷冻治疗程序的方法可以包括在患者体内的治疗部位引入冷冻治疗气囊导管; 在冷冻治疗程序的第一阶段期间调节低温流体流向冷冻治疗球囊导管的远端球囊部分并从其排出,以使远端球囊部分内的初始压力保持在足够高的高度以引起外壁 远端球囊部分在治疗部位被压靠身体组织; 并且在冷冻治疗过程的第二阶段期间调节低温流体流向远端球囊部分并从远端气囊部分排出,以使远端球囊部分内的温度达到足以将治疗水平的冷冻治疗递送至身体组织的值 ,以及b)要保持在初始压力​​的阈值内的第二相压力。

    Controlling Depth of Cryoablation
    3.
    发明申请
    Controlling Depth of Cryoablation 有权
    控制冷冻消融深度

    公开(公告)号:US20100179527A1

    公开(公告)日:2010-07-15

    申请号:US12687472

    申请日:2010-01-14

    Abstract: A method of performing cryotherapy on a patient can include positioning an outer surface of a distal portion of a cryotherapy catheter in contact with body tissue to be treated; performing a treatment phase, including regulating a temperature of the outer surface at a treatment value for a first period of time; performing a recovery phase comprising allowing the temperature of the outer surface to warm up to a recovery value that is higher than treatment value but substantially lower than a normal body temperature of the patient; and performing one or more additional treatment phases for a second period of time. Each of the first and second periods of time can be selected to allow a cold front having a cold front temperature to propagate from the outer surface and through a therapeutic portion of a thickness of the body tissue, but not substantially beyond the thickness.

    Abstract translation: 对患者进行冷冻治疗的方法可以包括将冷冻治疗导管的远端部分的外表面定位成与待治疗的身体组织接触; 执行处理阶段,包括以处理值在第一时间段内调节外表面的温度; 执行恢复阶段,包括允许外表面的温度升温至高于治疗值但显着低于患者的正常体温的恢复值; 以及在第二时间段内执行一个或多个另外的治疗阶段。 可以选择第一和第二时间段中的每一个以允许具有冷前温度的冷锋从外表面传播并通过身体组织的厚度的治疗部分传播,但基本上不超过厚度。

    Asset management system for analyzing the condition of assets and evaluating repair/replacement options
    4.
    发明授权
    Asset management system for analyzing the condition of assets and evaluating repair/replacement options 失效
    资产管理系统,用于分析资产状况和评估维修/更换期权

    公开(公告)号:US06581045B1

    公开(公告)日:2003-06-17

    申请号:US08449077

    申请日:1995-05-24

    Inventor: James R. Watson

    CPC classification number: G06Q10/06 G06Q30/0283

    Abstract: An asset management system (100) is disclosed, and is adapted for use to rate the condition of a physical asset component, such as a roof (102), estimate the service life of the asset, and provide a basis for decisions regarding the selection of repair alternatives and/or replacement options associated with the asset. Rating and evaluation of the asset is initiated by an operator (104) performing a “survey” of the asset to determine problem defects. Data representative of such defects is entered into the memory of an instrument (106) and transmitted to a central processing system (108). The central processing system (108) is adapted to allow the user to selectively review and evaluate the impact and financial feasibility of alternative repair and replacement options relating to the problems or defects associated with the asset.

    Abstract translation: 公开了一种资产管理系统(100),并且适用于对诸如屋顶(102)的物理资产组件的状况进行评估,估计资产的使用寿命,并提供关于选择的决策的基础 的与该资产相关联的修理备选方案和/或替换选项。 该资产的评级和评估是由运营商(104)对该资产进行“调查”发起的,以确定问题缺陷。 表示这种缺陷的数据被输入到仪器(106)的存储器中并被传送到中央处理系统(108)。 中央处理系统(108)适于允许用户选择性地审查和评估与资产相关的问题或缺陷相关的备选维修和替换选项的影响和财务可行性。

    Methods and apparatus for inhibiting introduction of air into the vasculature during a percutaneous procedure
    6.
    发明授权
    Methods and apparatus for inhibiting introduction of air into the vasculature during a percutaneous procedure 有权
    在经皮手术过程中抑制空气进入脉管系统的方法和装置

    公开(公告)号:US08277410B2

    公开(公告)日:2012-10-02

    申请号:US12403291

    申请日:2009-03-12

    Inventor: James R. Watson

    CPC classification number: A61M5/36 A61M39/06 A61M2039/0686 B01D19/0042

    Abstract: Apparatus and methods for inhibiting the introduction of air into the body during a percutaneous procedure. The apparatus may include an instrument passage lumen defining a degassing region with a degassing region distal end and a degassing region proximal end, a fluid inlet port at the degassing region distal end, and a fluid outlet port at the degassing region proximal end. So configured, fluid will flow only from the degassing region distal end to the degassing region proximal end.

    Abstract translation: 在经皮手术过程中抑制空气进入体内的装置和方法。 该装置可以包括仪器通道腔,其限定具有脱气区域远端和脱气区域近端的脱气区域,在脱气区域远端处的流体入口端口和脱气区域近端处的流体出口。 如此构造,流体将仅从脱气区域远端流到脱气区域近端。

    Regulating internal pressure of a cryotherapy balloon catheter
    7.
    发明授权
    Regulating internal pressure of a cryotherapy balloon catheter 有权
    调节冷冻治疗气囊导管的内部压力

    公开(公告)号:US08187261B2

    公开(公告)日:2012-05-29

    申请号:US12129046

    申请日:2008-05-29

    Inventor: James R. Watson

    Abstract: A method of performing a cryotherapy procedure can include introducing a cryotherapy balloon catheter at a treatment site inside a patient's body; regulating, during a first phase of a cryotherapy procedure, flow of cryogenic fluid to and exhaust from a distal balloon portion of the cryotherapy balloon catheter to cause an initial pressure to be maintained inside the distal balloon portion that is sufficiently high to cause an outer wall of the distal balloon portion to be pressed against body tissue at the treatment site; and regulating, during a second phase of the cryotherapy procedure, flow of cryogenic fluid to and exhaust from the distal balloon portion to cause a) a temperature inside the distal balloon portion to reach a value sufficient to deliver therapeutic levels of cryotherapy to the body tissue, and b) a second-phase pressure to be maintained that is within a threshold value of the initial pressure.

    Abstract translation: 执行冷冻治疗程序的方法可以包括在患者体内的治疗部位引入冷冻治疗气囊导管; 在冷冻治疗程序的第一阶段期间调节低温流体流向冷冻治疗球囊导管的远端球囊部分并从其排出,以使远端球囊部分内的初始压力保持在足够高的高度以引起外壁 远端球囊部分在治疗部位被压靠身体组织; 并且在冷冻治疗过程的第二阶段期间调节低温流体流向远端球囊部分并从远端气囊部分排出,以使远端球囊部分内的温度达到足以将治疗水平的冷冻治疗递送至身体组织的值 ,以及b)要保持在初始压力​​的阈值内的第二相压力。

    APPARATUS AND METHODS FOR RECAPTURING AN ABLATION BALLOON
    8.
    发明申请
    APPARATUS AND METHODS FOR RECAPTURING AN ABLATION BALLOON 审中-公开
    装置和方法用于重新排除气泡

    公开(公告)号:US20100234876A1

    公开(公告)日:2010-09-16

    申请号:US12719582

    申请日:2010-03-08

    Inventor: James R. Watson

    Abstract: A recapturing apparatus, a medical kit including the recapturing apparatus and a method for performing a medical procedure using the recapturing apparatus are provided. The recapturing apparatus includes a moveable collar and a push wire. The moveable collar comprises a proximal attachment region and a distal capture region sized to capture an expandable body therein. The push wire is configured to couple to the attachment region. The medical kit includes a sheath, a catheter having a distally-located expandable body, and the recapturing apparatus located concentrically between the sheath and the catheter. The method for performing the medical procedure includes coupling the push wire to the collar and advancing the collar distally along the catheter until the expandable body on the catheter is captured within the collar.

    Abstract translation: 提供一种重新获取装置,包括重新捕获装置的医疗工具和使用该重新捕获装置进行医疗处理的方法。 重新捕获装置包括可移动的环和推动丝。 可移动的衣领包括近端附接区域和尺寸适于在其中捕获可扩张体的远端捕获区域。 推动导线被配置成耦合到附接区域。 医疗套件包括护套,具有远端位置可扩张体的导管,以及同心地位于护套和导管之间的重新捕获装置。 用于执行医疗过程的方法包括将推动线联接到套环并且沿着导管向远侧推进套环直到导管上的可膨胀体被捕获在套环内。

    APPARATUS AND METHODS FOR RETRACTING A CATHETER BALLOON
    9.
    发明申请
    APPARATUS AND METHODS FOR RETRACTING A CATHETER BALLOON 有权
    用于回收导管气球的装置和方法

    公开(公告)号:US20100234838A1

    公开(公告)日:2010-09-16

    申请号:US12711119

    申请日:2010-02-23

    Inventor: James R. Watson

    Abstract: A balloon elongation apparatus includes an elongated hypotube with a distal end having a reduced inner diameter portion that is configured to radially expand when a mandrel is advanced through a lumen of the hypotube towards the reduced inner diameter portion. A medical kit includes a catheter having a distally-located balloon and the elongation apparatus disposed within a guide wire tube of the catheter. In use, the balloon is elongated following a procedure in order to facilitate retracting the balloon into a sheath. The balloon is elongated by first advancing the mandrel relative to the hypotube so that the hypotube radially expands and firmly engages an inner surface of the guide wire tube and then advancing the mandrel, hypotube, and distal end of the guide wire tube relative to the catheter body.

    Abstract translation: 球囊伸长装置包括细长的海波管,其远端具有减小的内径部分,其被配置为当心轴通过海波管的内腔朝向减小的内径部分前进时径向膨胀。 医疗套件包括具有远端定位的气囊的导管,并且延伸装置设置在导管的导丝管内。 在使用中,气囊是按照程序伸长的,以便于将气囊收回到护套中。 通过首先使心轴相对于海波管推进,气球被拉长,使得海波管径向膨胀并且牢固地接合导丝管的内表面,然后相对于导管推进导丝管的心轴,海波管和远端 身体。

    DELIVERY SYSTEM AND METHOD FOR BIFURCATED GRAFT
    10.
    发明申请
    DELIVERY SYSTEM AND METHOD FOR BIFURCATED GRAFT 有权
    交付系统和方法

    公开(公告)号:US20090132026A1

    公开(公告)日:2009-05-21

    申请号:US11941434

    申请日:2007-11-16

    Abstract: A delivery system and method for delivering a bifurcated intracorporeal device. The delivery system comprises a shaft having a distal section supporting a primary support member positioned to be disposed within at least a primary portion of the bifurcated intracorporeal device and a secondary support member extending within a secondary portion of the bifurcated intracorporeal device. At least one belt is configured to be circumferentially disposed about a portion of the secondary support member so to at least partially constrain the secondary portion of the bifurcated intracorporeal device. A tube defining a lumen is secured relative to the secondary support member. A release member is configured to engage and releasably secure the belt in a constraining configuration. The release member extends through at least a portion of the tube lumen such that the release member is accessible adjacent a proximal end of the tube.

    Abstract translation: 用于输送分叉的体内装置的递送系统和方法。 输送系统包括轴,其具有支撑主要支撑构件的远侧部分,该主要支撑构件定位成设置在分叉的体内装置的至少一个主要部分内;以及辅助支撑构件,其在分叉的体内装置的次级部分内延伸。 至少一个带被配置为围绕第二支撑构件的一部分周向地设置,以便至少部分地约束分叉的体内装置的次级部分。 限定内腔的管相对于次级支撑构件固定。 释放构件构造成将带接合并可释放地固定在限制构造中。 释放构件延伸穿过管腔的至少一部分,使得释放构件邻近管的近端可接近。

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