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公开(公告)号：US20130006055A1
公开(公告)日：2013-01-03
申请号：US13465757
申请日：2012-05-07
CPC分类号： A61B1/00183 , A61B1/00039 , A61B1/00066 , A61B1/00096 , A61B1/126 , A61B1/233 , A61B17/24 , A61M29/02
摘要： A variable direction of view endoscope is positionable at desired locations within the ear, nose, throat, paranasal sinuses or cranium to accomplish visualization. A method of use includes introducing the variable direction of view endoscope into a nasal cavity with the endoscope adjusted to a first direction of view between about 0 degrees and about 15 degrees relative to a longitudinal axis of the endoscope. A therapeutic device is introduced into the nasal cavity and the endoscope is adjusted to a second direction of view directed toward the sinus opening or passageway. The method also includes advancing the therapeutic device into or through the sinus opening and viewing at least one of the sinus opening or passageway or the therapeutic device using the endoscope adjusted to the second direction of view.
摘要翻译： 可变方向内窥镜可定位在耳朵，鼻子，喉部，鼻旁窦或颅骨内的期望位置处以完成可视化。 一种使用方法包括：将内窥镜的可变方向引导到相对于内窥镜的纵向轴线在约0度至约15度之间的第一方向上被调节到内窥镜。 将治疗装置引入到鼻腔中，并且将内窥镜调节到朝向窦开口或通道的第二方向。 该方法还包括将治疗装置推入或穿过窦口，并使用调整到第二方向的内窥镜观察窦口或通道或治疗装置中的至少一个。
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公开(公告)号：US20100030031A1
公开(公告)日：2010-02-04
申请号：US12502101
申请日：2009-07-13
申请人： Eric Goldfarb , Dominick L. Gatto , Thomas Jenkins , Scott Baron
发明人： Eric Goldfarb , Dominick L. Gatto , Thomas Jenkins , Scott Baron
CPC分类号： A61B1/233 , A61B1/00066 , A61B1/00096 , A61B1/00183 , A61B17/24 , G02B23/2423 , G02B26/0883
摘要： A variable direction of view endoscope is positionable at desired locations within the ear, nose, throat, paranasal sinuses or cranium to accomplish visualization. A method of use includes introducing the variable direction of view endoscope into a nasal cavity with the endoscope adjusted to a first direction of view between about 0 degrees and about 15 degrees relative to a longitudinal axis of the endoscope. A therapeutic device is introduced into the nasal cavity and the endoscope is adjusted to a second direction of view directed toward the sinus opening or passageway. The method also includes advancing the therapeutic device into or through the sinus opening and viewing at least one of the sinus opening or passageway or the therapeutic device using the endoscope adjusted to the second direction of view.
摘要翻译： 可变方向内窥镜可定位在耳朵，鼻子，喉部，鼻旁窦或颅骨内的期望位置处以完成可视化。 一种使用方法包括：将内窥镜的可变方向引导到相对于内窥镜的纵向轴线在约0度至约15度之间的第一方向上被调节到内窥镜。 将治疗装置引入到鼻腔中，并且将内窥镜调节到朝向窦开口或通道的第二方向。 该方法还包括将治疗装置推入或穿过窦口，并使用调整到第二方向的内窥镜观察窦口或通道或治疗装置中的至少一个。
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公开(公告)号：US06840909B2
公开(公告)日：2005-01-11
申请号：US10104016
申请日：2002-03-25
申请人： Dominick L. Gatto
发明人： Dominick L. Gatto
IPC分类号： A61B1/012 , A61B1/04 , A61B1/313 , A61B5/00 , A61B10/00 , A61B10/02 , A61B10/04 , A61B17/00 , A61B18/00 , A61B18/02 , A61B18/14 , A61B18/22
CPC分类号： A61B10/02 , A61B1/00135 , A61B1/012 , A61B1/0638 , A61B1/3132 , A61B5/0084 , A61B10/0041 , A61B10/04 , A61B17/320068 , A61B18/1477 , A61B18/1815 , A61B18/22 , A61B2017/008 , A61B2018/00982 , A61B2018/0212 , A61B2018/0262 , A61B2018/1425 , A61B2018/1475 , A61B2018/1861
摘要： The invention is directed toward a micro-endoscope assembly for the removal of tissue and cells from breast ducts comprising a cylindrical guide tube with a beveled distal end defining an internal cylindrical passageway and a first smaller cylindrical tube eccentrically formed in the cylindrical passageway of a smaller diameter than the tube internal cylindrical passageway and adapted to receive and guide an endoscope with a handle assembly wherein the smaller cylindrical tube together with an inner wall surface of the cylindrical guide tube forms a second passageway. A second conduit of a smaller diameter than the smaller cylindrical tube is mounted in the second passageway to divide the second passageway into two separate divided sections and is of sufficient diameter to receive a laser fiber and a micro-endoscope is mounted in the smaller cylindrical tube and a laser is mounted in the second cylindrical tube in the second passageway. The assembly is inserted into a mammary duct and the interior of the duct is viewed until an abnormality is determined in the duct. The tissue and cells from the abnormality area are dislodged, irrigated and aspirated through a suction channel to a removable collection device.
摘要翻译： 本发明涉及一种用于从乳房导管移除组织和细胞的微型内窥镜组件，其包括圆柱形导管，其具有限定内部圆柱形通道的倾斜远端和偏心地形成在较小的圆柱形通道中的第一较小圆柱形管 直径大于管内圆柱形通道并且适于容纳和引导具有手柄组件的内窥镜，其中较小的圆柱形管与圆柱形导管的内壁表面形成第二通道。 直径小于较小圆柱形管的第二导管安装在第二通道中，以将第二通道分成两个单独的分开的部分，并且具有足够的直径以接收激光光纤，并且微型内窥镜安装在较小的圆柱形管 并且激光器安装在第二通道中的第二圆柱形管中。 将组件插入乳腺管中，观察管道内部，直到在管道中确定异常。 来自异常区域的组织和细胞通过抽吸通道被移出，灌溉并吸入可移除的收集装置。
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4.发明授权Micro-endoscope assembly for intraductal brachytherapy of a mammary duct and method of using same 有权用于乳管导管内近距离放射治疗的微内窥镜组件及其使用方法公开(公告)号：US06652442B2
公开(公告)日：2003-11-25
申请号：US10127664
申请日：2002-04-23
申请人： Dominick L. Gatto
发明人： Dominick L. Gatto
IPC分类号： A61N500
CPC分类号： A61N5/1027 , A61N2005/1011
摘要： The invention is directed toward a micro-endoscope assembly for intraductal brachytherapy comprising a cylindrical guide tube with a distal end defining an internal cylindrical passageway, a first smaller cylindrical tube eccentrically formed in the cylindrical passageway of a smaller diameter than said tube internal cylindrical passageway to receive and guide an endoscope, the smaller cylindrical tube forming together with an inner wall surface of the cylindrical guide tube a second passageway. A energy transmitting cartridge is mounted in the second passageway. The assembly is inserted into a mammary duct and the interior of the duct is viewed until the abnormality to be treated is determined in the duct. The container is deposited adjacent the abnormal tissue area in the duct and left in place to produce localized radiation or other forms of energy.
摘要翻译： 本发明涉及一种用于管内近距离放射治疗的微型内窥镜组件，其包括具有限定内部圆柱形通道的远端的圆柱形引导管，在圆柱形通路中偏心地形成为比所述管内部圆柱形通道更小直径的第一较小圆柱形管， 接收和引导内窥镜，较小的圆柱形管与圆柱形导管的内壁表面一起形成第二通道。 能量传递盒安装在第二通道中。 将组件插入乳腺管内，观察管道的内部，直到在管道中确定待治疗的异常。 容器在管道中的异常组织区域附近沉积并留在原位以产生局部辐射或其他形式的能量。
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5.发明授权Method and apparatus for in VIVO treatment of mammary ducts by light induced fluorescence 失效用于通过光诱导荧光对乳腺管进行VIVO治疗的方法和装置公开(公告)号：US06846311B2
公开(公告)日：2005-01-25
申请号：US10212280
申请日：2002-08-06
申请人： Dominick L. Gatto
发明人： Dominick L. Gatto
CPC分类号： A61B18/22 , A61B1/043 , A61B1/0638 , A61B5/0071 , A61B5/0084 , A61B5/417 , A61B2018/00982
摘要： The invention is directed toward a micro-endoscope assembly for the treatment of diseased tissue in breast ducts comprising a cylindrical guide tube with a distal end defining an internal cylindrical passageway, a first smaller cylindrical tube eccentrically formed in the cylindrical passageway of a smaller diameter than said tube internal cylindrical passageway to receive and guide an endoscope, the smaller cylindrical tube forming together with an inner wall surface of the cylindrical guide tube a second passageway. A light transmitting probe is mounted in the second passageway and is connected at the distal end of the guide tube with an energy transmitting device. The light probe is activated to generate light at a particular wavelength to cause the tissue to fluoresce and is again activated to generate light at a specific wavelength to necrose the diseased tissue.
摘要翻译： 本发明涉及一种用于治疗乳房导管中的病变组织的微型内窥镜组件，其包括具有限定内部圆柱形通道的远端的圆柱形导管，在圆柱形通道中偏心地形成的直径小于 所述管内圆柱形通道用于接收和引导内窥镜，较小的圆柱形管与圆柱形导管的内壁表面一起形成第二通道。 透光探针安装在第二通道中并且在导管的远端处与能量传输装置连接。 光探针被激活以产生特定波长的光，以使组织发出荧光并再次被激活以产生特定波长的光，以使病变组织变坏。
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公开(公告)号：US06878149B2
公开(公告)日：2005-04-12
申请号：US10112954
申请日：2002-04-02
申请人： Dominick L. Gatto
发明人： Dominick L. Gatto
IPC分类号： A61B1/012 , A61B1/04 , A61B1/313 , A61B5/00 , A61B10/00 , A61B10/02 , A61B10/04 , A61B17/00 , A61B18/00 , A61B18/02 , A61B18/14 , A61B18/22 , A61B18/18
CPC分类号： A61B1/012 , A61B1/00135 , A61B1/0638 , A61B1/3132 , A61B5/0084 , A61B10/0041 , A61B10/02 , A61B10/04 , A61B17/320068 , A61B18/1477 , A61B18/1815 , A61B18/22 , A61B2017/008 , A61B2018/00982 , A61B2018/0212 , A61B2018/0262 , A61B2018/1425 , A61B2018/1475 , A61B2018/1861
摘要： The invention is directed toward a micro-endoscope assembly for the ablation of tissue in breast ducts comprising a cylindrical guide tube with a distal end defining an internal cylindrical passageway, a first smaller cylindrical tube eccentrically formed in the cylindrical passageway of a smaller diameter than said tube internal cylindrical passageway to receive and guide an endoscope, the smaller cylindrical tube forming together with an inner wall surface of the cylindrical guide tube a second passageway. A energy transmitting probe is mounted in the second passageway and is connected at the distal end of the guide tube with an energy transmitting device. The assembly is inserted into a mammary duct and the interior of the duct is viewed until an abnormality is determined in the duct. The tissue and cells from the abnormality area are ablated, irrigated and aspirated through a suction channel to a collection device.
摘要翻译： 本发明涉及一种用于消融乳房导管中的组织的微内窥镜组件，其包括具有限定内圆柱形通道的远端的圆柱形导管，该圆柱形导管偏心地形成在圆柱形通道中，该圆柱形导管的直径小于所述 管内圆柱形通道以接纳和引导内窥镜，较小的圆柱形管与圆柱形导管的内壁表面一起形成第二通道。 能量传递探针安装在第二通道中，并且在导管的远端处与能量传输装置连接。 将组件插入乳腺管中，观察管道内部，直到在管道中确定异常。 来自异常区域的组织和细胞通过抽吸通道被消融，灌注和吸入到收集装置。
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