公开(公告)号：US08652089B2

公开(公告)日：2014-02-18

申请号：US10548950

申请日：2004-07-21

Applicant: Atul Kumar ,  Alka Kumar

Inventor： Atul Kumar ,  Alka Kumar

IPC: A61M1/00 ,  A61M31/00 ,  A61B1/00

CPC classification number: A61M3/0258 ,  A61M1/006 ,  A61M3/0216 ,  A61M3/0229 ,  A61M3/0262 ,  A61M2205/3337

Abstract: The present invention provides a system and a method for distending a body tissue cavity of a subject by continuous flow irrigation such that minimal or negligible fluid turbulence is present inside the cavity, such that any desired cavity pressure can be created and maintained for any desired outflow rate. The present invention also provides a method for accurately determining the rate of fluid loss, into the subject's body system, during any endoscopic procedure without utilizing any deficit weight or fluid volume calculation or flow rate sensor. The system and the methods of the present invention described above can be used in any endoscopic procedure requiring continuous flow irrigation few examples of such endoscopic procedures being hysteroscopic surgery, arthroscopic surgery, trans uretheral surgery, endoscopic surgery of the brain and endoscopic surgery of the spine.

Abstract translation: 本发明提供一种系统和方法，用于通过连续流动冲洗来膨胀受试者的身体组织腔，使得在腔内存在最小或可忽略的流体湍流，使得可以产生任何期望的腔压力并保持任何期望的流出 率。 本发明还提供了一种用于在任何内窥镜程序期间精确地确定流体损失进入受检者体内系统的方法，而不使用任何赤字重量或流体体积计算或流量传感器。 上述本发明的系统和方法可用于需要连续流动灌洗的任何内窥镜程序中，这种内窥镜手术的例子是宫腔镜手术，关节镜手术，经皮穿刺手术，脑内窥镜手术和脊柱内窥镜手术 。

公开(公告)号：US20080091061A1

公开(公告)日：2008-04-17

申请号：US11871051

申请日：2007-10-11

Applicant: Alka Kumar ,  Atul Kumar

Inventor： Alka Kumar ,  Atul Kumar

IPC: A61B1/015

CPC classification number: A61B1/015 ,  A61B1/00068 ,  A61B1/00071 ,  A61M1/0058 ,  A61M3/0258

Abstract: A continuous flow irrigation endoscope and a continuous flow irrigation fluid management system, both designed to be compatible to each other and meant to function as a single system. The endoscope and the fluid management system are synergistic to each other such that both enhance the efficiency of each other. The system allows a body tissue cavity to be distended by continuous flow irrigation so that the detached tissue pieces and waste fluid present inside a body tissue cavity are continuously automatically evacuated from the tissue cavity without causing the cavity to collapse at any stage and without the need of withdrawing the endoscope or a part of the endoscope from the tissue cavity.

Abstract translation: 连续流动灌溉内窥镜和连续流动灌溉流体管理系统，其被设计为彼此兼容并且意图用作单个系统。 内窥镜和流体管理系统彼此协同，从而提高彼此的效率。 该系统允许通过连续流动灌洗来扩张身体组织腔，使得存在于身体组织腔内的分离的组织片和废液不断地从组织腔排出，而不会导致腔在任何阶段崩溃，而不需要 从组织腔抽出内窥镜或内窥镜的一部分。

公开(公告)号：US20060129099A1

公开(公告)日：2006-06-15

申请号：US11240393

申请日：2005-10-03

Applicant: Atul Kumar ,  Alka Kumar

Inventor： Atul Kumar ,  Alka Kumar

IPC: A61M1/00

CPC classification number: A61M3/0258 ,  A61M3/0216

Abstract: A system for distending body tissue cavities of subjects by continuous flow irrigation during endoscopic procedures, the system including: a fluid source reservoir containing a non viscous physiologic fluid meant for cavity distension; a fluid supply conduit tube connecting the fluid source reservoir to an inlet port of a variable speed positive displacement inflow pump and an outlet port of the said inflow pump being connectable to an inflow port of an endoscope instrument through an inflow tube for pumping the fluid at a controlled flow rate into the cavity, the flow rate of the said inflow pump being termed as the inflow rate; an inflow pressure transducer being located anywhere in the inflow tube between the outlet port of the inflow pump and the inflow port of the endoscope; an outflow port of the endoscope being connectable to a waste fluid collecting container via a waste fluid carrying tube, and characterized in that an active inflow pressure pulsation dampening means is connected to the inflow tube for dampening the pressure pulsations inside the cavity created by the positive displacement inflow pump.

Abstract translation: 一种用于在内窥镜程序期间通过连续流动灌注来增加受试者的身体组织腔的系统，所述系统包括：含有用于腔膨胀的非粘性生理液的流体源储存器; 将流体源储存器连接到变速正排量流入泵的入口和所述流入泵的出口的流体供应管道，其可通过流入管连接到内窥镜器械的流入口，用于将流体泵送 进入空腔的受控流速，所述流入泵的流量被称为流入速率; 流入压力传感器位于流入管的出口与内窥镜的流入口之间的流入管的任何地方; 所述内窥镜的流出口经由废液输送管可连接到废液收集容器，其特征在于，主动流入压力脉动阻尼装置连接到所述流入管，用于阻尼所述空腔内产生的压力脉动 排量流入泵。

公开(公告)号：US20060122557A1

公开(公告)日：2006-06-08

申请号：US11211571

申请日：2005-08-26

Applicant: Atul Kumar ,  Alka Kumar

Inventor： Atul Kumar ,  Alka Kumar

IPC: A61M31/00

CPC classification number: A61M3/0237 ,  A61B1/015 ,  A61M1/0058

Abstract: The present invention provides a system and a method for distending a body tissue cavity of a subject by continuous flow irrigation by using a positive displacement pump, such as a pneumatic pump, on the inflow side and a positive displacement pump, such as a peristaltic pump, on the outflow side, such that the amplitude of the pressure pulsations created by a the two positive displacement pump inside the said tissue cavity is substantially dampened to almost negligible levels. The present invention also provides a method for accurately determining the rate of fluid loss, into the subject's body system, during any endoscopic procedure without utilizing any deficit weight or fluid volume calculation, the same being accomplished by using two fluid flow rate sensors. The present invention also provides a system of creating and maintaining any desired pressure in a body tissue cavity for any desired cavity outflow rate. The system and the methods of the present invention described above can be used in any endoscopic procedure requiring continuous flow irrigation few examples of such endoscopic procedures being hysteroscopic surgery, arthroscopic surgery, trans uretheral surgery, endoscopic surgery of the brain and endoscopic surgery of the spine.

公开(公告)号：US08512283B2

公开(公告)日：2013-08-20

申请号：US11211571

申请日：2005-08-26

Applicant: Atul Kumar ,  Alka Kumar

Inventor： Atul Kumar ,  Alka Kumar

IPC: A61M1/00 ,  A61M37/00

CPC classification number: A61M3/0237 ,  A61B1/015 ,  A61M1/0058

Abstract: The present invention provides a system and a method for distending a body tissue cavity of a subject by continuous flow irrigation by using a positive displacement pump, such as a pneumatic pump, on the inflow side and a positive displacement pump, such as a peristaltic pump, on the outflow side, such that the amplitude of the pressure pulsations created by a the two positive displacement pump inside the said tissue cavity is substantially dampened to almost negligible levels. The present invention also provides a method for accurately determining the rate of fluid loss, into the subject's body system, during any endoscopic procedure without utilizing any deficit weight or fluid volume calculation, the same being accomplished by using two fluid flow rate sensors. The present invention also provides a system of creating and maintaining any desired pressure in a body tissue cavity for any desired cavity outflow rate. The system and the methods of the present invention described above can be used in any endoscopic procedure requiring continuous flow irrigation few examples of such endoscopic procedures being hysteroscopic surgery, arthroscopic surgery, trans uretheral surgery, endoscopic surgery of the brain and endoscopic surgery of the spine.

Abstract translation: 本发明提供一种系统和方法，其通过在流入侧使用诸如气动泵的容积式泵，以及容积式泵（例如蠕动泵）来连续流动冲洗来膨胀受试者的身体组织腔 在流出侧，使得由所述组织空腔内部的两个正位移泵产生的压力脉动的振幅基本上被抑制到几乎可忽略的水平。 本发明还提供了一种用于在任何内窥镜程序中精确地确定流体损失速率的方法，而不使用任何缺陷重量或流体体积计算，这通过使用两个流体流速传感器来实现。 本发明还提供了一种在任何期望的腔体流出速率下，在身体组织腔中产生和维持任何所需压力的系统。 上述本发明的系统和方法可用于需要连续流动灌洗的任何内窥镜程序中，这种内窥镜手术的例子是宫腔镜手术，关节镜手术，经皮穿刺手术，脑内窥镜手术和脊柱内窥镜手术 。

公开(公告)号：US08388570B2

公开(公告)日：2013-03-05

申请号：US11211489

申请日：2005-08-26

Applicant: Atul Kumar ,  Alka Kumar

Inventor： Atul Kumar ,  Alka Kumar

IPC: A61M1/00 ,  A61M31/00

CPC classification number: A61B1/015 ,  A61B1/00094 ,  A61M1/0058 ,  A61M3/0258

Abstract: The present invention provides a system and a method for distending a body tissue cavity of a subject by continuous flow irrigation by using a dynamic pump, such as a centrifugal pump, on the inflow side and a positive displacement pump, such as a peristaltic pump, on the outflow side, such that the amplitude of the pressure pulsations created by a the said outflow positive displacement pump inside the said tissue cavity is substantially dampened to almost negligible levels. The present invention also provides a method for accurately determining the rate of fluid loss, into the subject's body system, during any endoscopic procedure without utilizing any deficit weight or fluid volume calculation, the same being accomplished by using two fluid flow rate sensors. The present invention also provides a system of creating and maintaining any desired pressure in a body tissue cavity for any desired cavity outflow rate. The system and the methods of the present invention described above can be used in any endoscopic procedure requiring continuous flow irrigation few examples of such endoscopic procedures being hysteroscopic surgery, arthroscopic surgery, trans uretheral surgery, endoscopic surgery of the brain and endoscopic surgery of the spine.

Abstract translation: 本发明提供一种通过在流入侧使用诸如离心泵的动态泵和诸如蠕动泵的容积式泵，通过连续流动冲洗来膨胀受试者的身体组织腔的系统和方法， 在流出侧，使得由所述组织空腔内的所述流出正位移泵产生的压力脉动的幅度基本上被抑制到几乎可忽略的水平。 本发明还提供了一种用于在任何内窥镜程序中精确地确定流体损失速率的方法，而不使用任何缺陷重量或流体体积计算，这通过使用两个流体流速传感器来实现。 本发明还提供了一种在任何期望的腔体流出速率下，在身体组织腔中产生和维持任何所需压力的系统。 上述本发明的系统和方法可用于需要连续流动灌洗的任何内窥镜程序中，这种内窥镜手术的例子是宫腔镜手术，关节镜手术，经皮穿刺手术，脑内窥镜手术和脊柱内窥镜手术 。

公开(公告)号：US20120271110A1

公开(公告)日：2012-10-25

申请号：US13540849

申请日：2012-07-03

Applicant: Alka Kumar ,  Atul Kumar

Inventor： Alka Kumar ,  Atul Kumar

IPC: A61B1/00

CPC classification number: A61B1/015 ,  A61B1/00068 ,  A61B1/00071 ,  A61M1/0058 ,  A61M3/0258

Abstract: A continuous flow irrigation endoscope and a continuous flow irrigation fluid management system, both designed to be compatible to each other and meant to function as a single system. The endoscope and the fluid management system are synergistic to each other such that both enhance the efficiency of each other. The system allows a body tissue cavity to be distended by continuous flow irrigation so that the detached tissue pieces and waste fluid present inside a body tissue cavity are continuously automatically evacuated from the tissue cavity without causing the cavity to collapse at any stage and without the need of withdrawing the endoscope or a part of the endoscope from the tissue cavity.

Abstract translation: 连续流动灌溉内窥镜和连续流动灌溉流体管理系统，其被设计为彼此兼容并且意图用作单个系统。 内窥镜和流体管理系统彼此协同，从而提高彼此的效率。 该系统允许通过连续流动灌洗来扩张身体组织腔，使得存在于身体组织腔内的分离的组织片和废液不断地从组织腔排出，而不会导致腔在任何阶段崩溃，而不需要 从组织腔抽出内窥镜或内窥镜的一部分。

公开(公告)号：US07678070B2

公开(公告)日：2010-03-16

申请号：US11240393

申请日：2005-10-03

Applicant: Atul Kumar ,  Alka Kumar

Inventor： Atul Kumar ,  Alka Kumar

IPC: A61M1/00

CPC classification number: A61M3/0258 ,  A61M3/0216

Abstract: A system for distending body tissue cavities of subjects by continuous flow irrigation during endoscopic procedures, the system including: a fluid source reservoir containing a non viscous physiologic fluid meant for cavity distension; a fluid supply conduit tube connecting the fluid source reservoir to an inlet port of a variable speed positive displacement inflow pump and an outlet port of the said inflow pump being connectable to an inflow port of an endoscope instrument through an inflow tube for pumping the fluid at a controlled flow rate into the cavity, the flow rate of the said inflow pump being termed as the inflow rate; an inflow pressure transducer being located anywhere in the inflow tube between the outlet port of the inflow pump and the inflow port of the endoscope; an outflow port of the endoscope being connectable to a waste fluid collecting container via a waste fluid carrying tube, and characterized in that an active inflow pressure pulsation dampening means is connected to the inflow tube for dampening the pressure pulsations inside the cavity created by the positive displacement inflow pump.

Abstract translation: 一种用于在内窥镜程序期间通过连续流动灌注来增加受试者的身体组织腔的系统，所述系统包括：含有用于腔膨胀的非粘性生理液的流体源储存器; 将流体源储存器连接到变速正排量流入泵的入口和所述流入泵的出口的流体供应管道，其可通过流入管连接到内窥镜器械的流入口，用于将流体泵送 进入空腔的受控流速，所述流入泵的流量被称为流入速率; 流入压力传感器位于流入管的出口与内窥镜的流入口之间的流入管的任何地方; 所述内窥镜的流出口经由废液输送管可连接到废液收集容器，其特征在于，主动流入压力脉动阻尼装置连接到所述流入管，用于阻尼所述空腔内产生的压力脉动 排量流入泵。

公开(公告)号：US10028763B2

公开(公告)日：2018-07-24

申请号：US14844640

申请日：2015-09-03

Applicant: Alka Kumar ,  Atul Kumar

Inventor： Alka Kumar ,  Atul Kumar

IPC: A61B1/00 ,  A61B17/32 ,  A61B1/012 ,  A61B1/12 ,  A61M1/00 ,  A61B90/00

Abstract: A user friendly, safe and efficient continuous flow irrigation endoscope having only a single housing sheath without an inner sheath. The exclusion of the inner sheath increases the effective lumen of the endoscope. A long hollow cylindrical tube, capable of performing a to and fro and rotary motion, is placed inside the housing sheath to function as an endoscopic instrument, but also to serve as a conduit for evacuating waste fluid and detached tissue pieces present inside a tissue cavity. A single inflow port located at the proximal end of the single housing sheath allows the irrigation fluid to enter the tissue cavity via the lumen of the said housing sheath. The invented endoscope system has a single inflow port, a single outflow port, without an inner sheath so that all waste fluid and tissue debris present inside cavity are evacuated via the same single outflow port. No type of feedback mechanism, such as mechanical or electrical feedback mechanism, is incorporated in the endoscope to facilitate the removal of detached tissue pieces or waste fluid.

公开(公告)号：US20150374400A1

公开(公告)日：2015-12-31

申请号：US14844640

申请日：2015-09-03

Applicant: Alka Kumar ,  Atul Kumar

Inventor： Alka Kumar ,  Atul Kumar

IPC: A61B17/32 ,  A61B1/12

CPC classification number: A61B17/32002 ,  A61B1/00071 ,  A61B1/012 ,  A61B1/126 ,  A61B17/320016 ,  A61B2017/320024 ,  A61B2090/3614 ,  A61B2217/005 ,  A61B2217/007 ,  A61M1/0058

Abstract: A user friendly, safe and efficient continuous flow irrigation endoscope having only a single housing sheath without an inner sheath. The exclusion of the inner sheath increases the effective lumen of the endoscope. A long hollow cylindrical tube, capable of performing a to and fro and rotary motion, is placed inside the housing sheath to function as an endoscopic instrument, but also to serve as a conduit for evacuating waste fluid and detached tissue pieces present inside a tissue cavity. A single inflow port located at the proximal end of the single housing sheath allows the irrigation fluid to enter the tissue cavity via the lumen of the said housing sheath. The invented endoscope system has a single inflow port, a single outflow port, without an inner sheath so that all waste fluid and tissue debris present inside cavity are evacuated via the same single outflow port. No type of feedback mechanism, such as mechanical or electrical feedback mechanism, is incorporated in the endoscope to facilitate the removal of detached tissue pieces or waste fluid.

Abstract translation: 用户友好，安全和有效的连续流动灌溉内窥镜，其仅具有没有内护套的单个外壳护套。 内护套的排除增加了内窥镜的有效内腔。 能够进行往复和旋转运动的长的中空圆柱形管被放置在壳体护套内部以用作内窥镜器械，而且还用作用于排出存在于组织腔内的废液和分离的组织片的导管 。 位于单个壳体护套的近端的单个流入口允许冲洗流体经由所述壳体护套的内腔进入组​​织腔。 本发明的内窥镜系统具有单个流入口，单个流出口，没有内护套，使得存在于腔内的所有废液和组织碎片经由相同的单个流出口排出。 没有类型的反馈机构，例如机械或电气反馈机构，被并入内窥镜中以便于去除分离的组织片或废液。