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1.发明授权Method for measuring positions and dimensions of vaginal prolapses with a vaginal speculum having removable blades 失效用具有可移除刀片的阴道窥器测量阴道脱垂位置和尺寸的方法公开(公告)号：US06669654B2
公开(公告)日：2003-12-30
申请号：US10046674
申请日：2002-01-16
IPC分类号： A61B5103
摘要： The method of the invention for measuring positions and dimensions of vaginal prolapses is carried out with the use of a vaginal speculum having at least one removable with a scale. Measurements are carried out by manipulating the pivotally connected parts and the removable blade by inserting the moveable blade into the vagina of a female patient until contact with the reference point, e.g., the top of the cervix, and reading the number on the scale for determining the distance L1 from the reference point to the top of the cervix. The speculum is then withdrawn in a direction away from the cervix and expanded by rotating the pivotal parts for exposing the wall of the vagina on the side of the completely removable blade for observation. The exposed prolapse is evaluated with regard to its severity. The removable blade is shifted to the tip of the prolapse, and the distance L2 from the reference point to the tip of the prolapse is determined with the use of the scale. Position of the prolapse is then determined by subtracting L2 from L1.
摘要翻译： 用于测量阴道脱垂的位置和尺寸的本发明的方法是使用具有至少一个可用鳞片去除的阴道窥器进行的。 通过将可移动刀片插入女性患者的阴道直到与参考点（例如子宫颈的顶部）接触并且读取用于确定的标尺上的数字来操作可枢转地连接的部件和可移除刀片来进行测量 从参考点到子宫颈顶部的距离L1。 然后将窥器沿远离子宫颈的方向抽出，并通过旋转枢转部分而膨胀，以使完全可移除的刀片侧面的阴道壁暴露以供观察。 关于其严重程度评估暴露的脱垂。 可移除的刀片移动到脱垂的尖端，并且使用刻度确定从参考点到脱垂的尖端的距离L2。 然后通过从L1中减去L2来确定脱垂位置。
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公开(公告)号：US4907572A
公开(公告)日：1990-03-13
申请号：US329042
申请日：1989-04-18
CPC分类号： A61B17/22012 , A61B2017/320072
摘要： A vibrational method and apparatus for accelerating and increasing in efficiency of passage of stones from the ureter comprises introducing into the ureter (U) of a catheter (10) with a vibrating head (12) which imparts radial oscillations to the walls of the ureter at a distance of 0 to 30 mm from the areas where the stone (S) is lodged. Catheter (10) is a flexible tube which has a head (12) which is expandable radially and axially by means of an oscillating element (24) driven from a reciprocating vibrational drive (26). Drive (26) has a tapering end (32) which, during its reciprocations, causes expansions and constrictions of the resilient head, due to its interaction with inner projections (18) and (20). The apparatus is universal in its application and can be used without any changes for pushing the stone, located in the upper part of the ureter, back to the kidney, where the stone can be more readily disintegrated by means of subsequent extracorporeal shock wave lithotripsy. By replacing some parts, the apparatus can be converted into an ultrasonic device for accelerating passage of stones or into an ultrasonic device for destruction of stones in the ureter.
摘要翻译： 用于加速和提高输尿管通过效率的振动方法和装置包括将导管（10）的输尿管（U）引入到具有振动头（12）的输尿管（U）中，所述振动头（12）将放射状振荡施加到输尿管的壁 与石头（S）的区域相距0〜30mm的距离。 导管（10）是具有头部（12）的柔性管，头部（12）通过从往复振动驱动器（26）驱动的振动元件（24）径向和轴向地扩张。 驱动器（26）具有锥形端（32），其在其往复运动期间由于其与内突起（18）和（20）的相互作用而导致弹性头的膨胀和收缩。 该设备在其应用中是通用的，并且可以在没有任何改变的情况下使用，将位于输尿管上部的石头推回肾脏，在那里石头可以通过随后的体外冲击波碎石更容易地分解。 通过更换一些部件，该装置可以转换成用于加速石块通过的超声波装置或用于破坏输尿管中的石块的超声波装置。
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公开(公告)号：US4748971A
公开(公告)日：1988-06-07
申请号：US8660
申请日：1987-01-30
IPC分类号： A61B17/22
CPC分类号： A61B17/3207 , A61B17/22012
摘要： A vibrational method and apparatus for accelerating and increase in efficiency of passage of stones from the ureter comprises introducing into the ureter (U) of a catheter (10) with a vibrating head (12) which imparts radial oscillations to the walls of the ureter at a distance of 0 to 30 mm from the areas where the stone (S) is lodged. Catheter (10) is a flexible tube which has a head (12) which is expandable radially and axially by means of an oscillating element (24) driven from a reciprocating vibrational drive (26). Drive (26) has a tapering end (32) which, during its reciprocations, causes expansions and constrictions of the resilient head, due to its interaction with inner projections (18) and (20). The apparatus is universal in its application and can be used without any changes for pushing the stone, located in the upper part of the ureter, back to the kidney, where the stone can be more readily disintegrated by means of subsequent extracorporeal shock wave lithotripsy. By replacing some parts, the apparatus can be converted into an ultrasonic device for accelerating passage of stones or into an ultrasonic device for destruction of stones in the ureter.
摘要翻译： 用于加速和提高输尿管通过效率的振动方法和装置包括将导管（10）的输尿管（U）引入到具有振动头（12）的输尿管（U）中，所述振动头（12）将放射状振荡施加到输尿管的壁 与石头（S）的区域相距0〜30mm的距离。 导管（10）是具有头部（12）的柔性管，头部（12）通过从往复振动驱动器（26）驱动的振动元件（24）径向和轴向地扩张。 驱动器（26）具有锥形端（32），其在其往复运动期间由于其与内突起（18）和（20）的相互作用而导致弹性头的膨胀和收缩。 该设备在其应用中是通用的，并且可以在没有任何改变的情况下使用，将位于输尿管上部的石头推回肾脏，在那里石头可以通过随后的体外冲击波碎石更容易地分解。 通过更换一些部件，该装置可以转换成用于加速石块通过的超声波装置或用于破坏输尿管中的石块的超声波装置。
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4.发明授权Expandable urethral bougie comprising bendable rods with reciprocating driver 失效包括可往复式驱动器的可弯曲杆的可膨胀尿道面包
公开(公告)号：US4607626A
公开(公告)日：1986-08-26
申请号：US778760
申请日：1985-09-23
CPC分类号： A61H21/00
摘要： A mechanically-expandable instrument (bougie), especially useful for treating diseases in the urethra and the neck of the urinary bladder, comprises an adjustable-speed driving unit (20) and a probe (22) composed of two rods (64) and (66) pivotally connected together at one end thereof and attached to output sliders (54, 56) of the driving unit at their other ends. Each of the rods (64) and (66) has a semicircular cross section so that in an assembled state the probe has a complete circular cross section. Reciprocations of the sliders cause expansions and contractions of the probe, thereby to stretch urethral constrictions in the radial direction and to subject the urethra and its the surrounding tissue to massaging and vibrational actions which are extremely efficient for treating diseases of the urethra and the neck of the urinary bladder. Other embodiments of the rod employ cams, wedges, and threaded means for creating radial expansions and contractions of the probe.
摘要翻译： 特别适用于治疗膀胱尿道和颈部疾病的机械可扩张器具（bougie）包括可调节速度驱动单元（20）和由两个杆（64）和（ 66），其一端枢转地连接在一起，并在其另一端附接到驱动单元的输出滑块（54,56）。 每个杆（64）和（66）具有半圆形横截面，使得在组装状态下，探针具有完整的圆形横截面。 滑块的往复引起探头的膨胀和收缩，从而在径向方向上拉伸尿道狭窄并使尿道及其周围组织受到按摩和振动作用，这对于治疗尿道和颈部的疾病非常有效 膀胱膀胱。 杆的其他实施例采用凸轮，楔形件和螺纹装置，用于产生探针的径向膨胀和收缩。
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5.发明授权Device and a method for mechanical installation and removal of inflatable vaginal pessary 失效用于机械安装和移除充气阴道子宫托的装置和方法公开(公告)号：US06470890B1
公开(公告)日：2002-10-29
申请号：US09663650
申请日：2000-09-18
IPC分类号： A61F548
CPC分类号： A61F6/12 , A61F6/08 , Y10S128/25
摘要： An inflatable vaginal pessary of the invention, which can be mechanically inserted into and removed from the patient's vagina, comprises a tapered body inflatable at its large-diameter side and having an axial channel inflation of the pessary. This channel passes from the small-diameter end to the inflatable chamber and has a check valve at the outer end of the channel for inflation of the pessary. The pessary can be connected to and disconnected from a mechanism for insertion and removal of the pessary into and from the vaginal cavity. This mechanism has a hollow tubular housing with a funnel-like finder for engagement with the tapered end of the pessary. On the bottom of the finder the pessary installation mechanism has a threaded tubular stem that could be screwed into the threaded opening on the tapered end of the pessary. On the proximal end the mechanism has a pumping bulb for inflating the pessary via the check valve by squeezing the bulb, in the same manner as inflation of the occlusive cuff in a manually-operated blood-pressure measuring apparatus. The pessary of the invention can be easily installed into the patient's vagina by the patient herself. For this purpose, the pessary is connected to the aforementioned mechanism, inserted by the patient into an appropriate position inside her vagina, inflated to a required degree in order to fix the pessary in place, and is then disconnected from the mechanism for use during the day. In its inflated state with an increase diameter the pessary compresses the urethra through the vaginal wall and thus reduces the cross section of the urethral lumen. At the end of the day before the bed time, the patient easily reconnects the mechanism to the pessary, deflates the pessary, and removes the latter by means of the same mechanism.
摘要翻译： 本发明的可充气的阴道子宫托可以机械地插入患者的阴道中并从患者的阴道移除，其包括可在其大直径侧充气并具有子宫托的轴向通道膨胀的锥形体。 该通道从小直径端部通过到可充气室，并且在通道的外端具有止回阀，用于子宫托的充气。 子宫托可以连接到用于将子宫托插入和移出阴道腔的机构并与其分离。 该机构具有中空管状壳体，其具有用于与子宫托的锥形末端接合的漏斗状取景器。 在取景器的底部，子宫托安装机构具有螺纹管状杆，其可以拧入子宫托的锥形端部上的螺纹开口中。 在近端，机构具有泵泡，用于通过挤压灯泡，通过手动操作的血压测量装置中闭塞袖带的充气相同的方式，通过止回阀对子宫托进行充气。 本发明的子宫托可以由患者自己容易地安装到患者的阴道中。 为此，子宫托与上述机构连接，由患者插入其阴道内的适当位置，充气至需要的程度，以便将子宫托固定在适当的位置，然后将其从与之前使用的机构断开 天。 在其膨胀状态下，直径增加，子宫托通过阴道壁压缩尿道，从而减少尿道腔的横截面。 在睡前一天结束时，患者容易将机制重新连接到子宫托，放松子宫托，并通过相同的机制去除后者。
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公开(公告)号：US4829990A
公开(公告)日：1989-05-16
申请号：US66231
申请日：1987-06-25
IPC分类号： A61F2/26
CPC分类号： A61F2/26
摘要： An implantable hydraulic penile erectile device comprises a pair of occlusive cuffs (32 and 34) which are surgically implanted and wrapped around respective crura (18 and 20). The cuffs have expandable domes (56) on their inner surface (54). The domes are connected, via a check valve (44) and respective tubes (36, 38, 64, and 66), to a pump-reservoir (42). The pump-reservoir and the check valves are implanted in the scrotum. The system in general is filled with a working fluid so that when the pump-reservoir is squeezed, the working fluid is shifted to the expandable domes via the check valve. Expansion of the domes squeezes the crura of the penis and hence the deep penile veins (26a and 26b). This restricts venous blood flow from the cavernous bodies, causing engorgement of the spongy tissue and thus inducing erection. For deactivation of the device, the user squeezes the check valve so that bypass channels (68 and 70) are formed therein. Through these channels the fluid can return from the domes back to the pump-reservoir.
摘要翻译： 可植入式液压阴茎勃起装置包括一对封闭式袖口（32和34），其通过外科手术植入并缠绕在相应的小仓（18和20）周围。 袖口在其内表面（54）上具有可膨胀的圆顶（56）。 圆顶通过止回阀（44）和相应的管（36,38,64和66）连接到泵 - 储存器（42）。 泵容器和止回阀植入阴囊。 该系统通常填充有工作流体，使得当泵储存器被挤压时，工作流体通过止回阀移动到可膨胀的圆顶。 穹顶的扩张挤压阴茎的阴道，因此阴茎深静脉（26a和26b）。 这限制了海绵状体的静脉血流量，引起海绵组织充血，从而引起勃起。 为了使设备失效，用户挤压止回阀，使得旁路通道（68和70）形成在其中。 通过这些通道，流体可以从圆顶返回到泵 - 储存器。
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公开(公告)号：US4705029A
公开(公告)日：1987-11-10
申请号：US896810
申请日：1986-08-15
CPC分类号： A61H21/00
摘要： A mechanically-expandable instrument (bougie), especially useful for treating diseases in the urethra and the neck of the urinary bladder, comprises an adjustable-speed driving unit (20) and a probe (22) composed of two rods (64) and (66) pivotally connected together at one end thereof and attached to output sliders (54, 56) of the driving unit at their other ends. Each of the rods (64) and (66) has a semicircular cross section so that in an assembled state the probe has a complete circular cross section. Reciprocations of the sliders cause expansions and contractions of the probe, thereby to stretch urethral constrictions in the radial direction and to subject the urethra and its surrounding tissue to massaging and vibrational actions which are extremely efficient for treating diseases of the urethra and the neck of the urinary bladder. Other embodiments of the rod employ cams, wedges, and threaded means for creating radial expansions and contractions of the probe.
摘要翻译： 特别适用于治疗膀胱尿道和颈部疾病的机械可扩张器具（bougie）包括可调节速度驱动单元（20）和由两个杆（64）和（ 66），其一端枢转地连接在一起，并在其另一端附接到驱动单元的输出滑块（54,56）。 每个杆（64）和（66）具有半圆形横截面，使得在组装状态下，探针具有完整的圆形横截面。 滑块的往复引起探针的膨胀和收缩，从而在径向方向上拉伸尿道狭窄并使尿道及其周围组织受到按摩和振动作用，这对于治疗尿道和颈部的疾病非常有效 膀胱膀胱 杆的其他实施例采用凸轮，楔形件和螺纹装置，用于产生探针的径向膨胀和收缩。
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公开(公告)号：US4552125A
公开(公告)日：1985-11-12
申请号：US658811
申请日：1984-10-09
摘要： A combined table and portable solar water heater comprises a suitcase-like rigid casing (20) molded from a rigid plastic material which contains a pair of solar collector panels (38) and (38a) connected in series. The panels can be exposed to solar radiation when the casing is opened. Each collector panel (38) or (38a) is formed by a copper plate with the solar radiation absorbing surface and copper pipe coil (56) or (56a) in heat-transferring relationship with said copper plate. The casing is provided with compartments (40) and (40a) for accessories, such as adjustable legs (42a, 42b, etc.) for supporting the casing, adjusting its angle to incident sunlight, and for converting the casing into a table; containers for feeding cold water to the solar collector and for receiving hot water from the collector; and a tripod stand (86) for supporting the feeding container at the level above the collector and for arranging a shower set. Temperature-insulating layers (64, 64a) of the collectors are formed by separate pieces of rigid material which can be removed from the casing and assembled into a box-shaped container which can be utilized for maintaining water heated by means of the solar water heater at an elevated temperature.
摘要翻译： 组合的桌子和便携式太阳能热水器包括由刚性塑料材料模制的手提箱状刚性外壳（20），其包含串联连接的一对太阳能收集器面板（38）和（38a）。 当外壳打开时，面板可暴露于太阳辐射。 每个集电板（38）或（38a）由具有太阳辐射吸收表面的铜板和与所述铜板的热传导关系的铜管线圈（56）或（56a）形成。 壳体设置有用于附件的隔室（40）和（40a），例如用于支撑壳体的可调节支腿（42a，42b等），调节其与入射太阳光的角度并将壳体转换成桌子; 用于将冷水供给到太阳能收集器并用于从收集器接收热水的容器; 以及用于在收集器上方支撑供料容器并设置淋浴组件的三脚架（86）。 收集器的温度绝缘层（64,64a）由独立的刚性材料块形成，其可以从壳体移除并组装成盒状容器，该箱形容器可用于保持通过太阳能热水器加热的水 在高温下。
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9.发明申请Compact ready-to-use urethral catheter assembly with means for injecting therapeutic liquid into urethral channel 审中-公开紧凑型即用尿道导管组件，具有将治疗液注入尿道通道的手段公开(公告)号：US20090054876A1
公开(公告)日：2009-02-26
申请号：US11895079
申请日：2007-08-24
IPC分类号： A61M27/00
CPC分类号： A61M25/0017 , A61M25/002 , A61M25/0111
摘要： A catheter assembly suitable for intermittent catheterization comprising a cylindrical casing composed of two telescopically moveable parts one of which is connectable to and moveable with a piston which is rigidly connected to a urinary catheter. The interior of the cylindrical casing is filled with a lubricating, anesthetic, antiseptic liquid, or the like, which during catheterization is injected into the urethra and urinary bladder through the catheter under the effect of movement of the piston simultaneously with the insertion of the catheter into the urethra. The device is provided with an anti-infective cap which is inserted into the first third of the urethra and is used as a guide for inserting the catheter into the urethra without physical contact with the part if the urethra which is a harbor of infections.
摘要翻译： 适于间歇导管的导管组件包括由两个可伸缩运动部件组成的圆柱形壳体，其中一个可连接的部件可连接到刚性连接到导尿管的活塞并且可与活塞运动。 圆柱形壳体的内部填充有润滑，麻醉，防腐液体等，其在通过活塞的运动的作用下在插管导管期间通过导管注射到尿道和膀胱中，同时插入导管 进入尿道。 该装置设置有抗感染帽，其插入尿道的第一三分之一并且用作用于将导管插入尿道而不与身体接触的导向件，如果是感染港口的尿道。
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公开(公告)号：US06712761B2
公开(公告)日：2004-03-30
申请号：US10161590
申请日：2002-06-04
IPC分类号： A61B100
摘要： The invention relates to a combination of a vaginal speculum with a single-lens colposcope for use in a screening process for detecting mucosal abnormalities of cervical intraepithelial neoplasia or invasive cancer, e.g., in the vaginal cavity or on the external parts of the genitalia, as an addition to a Pap Smear screening process. The vaginal speculum is identical to a conventional speculum in its shape, dimensions, and function and differs from a conventional instrument only by having on the inner surface of the lower blade a small projection with a slot for guiding a single-loop colposcope. The latter consists of a tubular rod that can be slidingly inserted into the aforementioned slot and support on its distal end an optical lens. The lens may have a central opening for insertion of surgical instruments, e.g., a biopsy sampler. The proximal end of the tubular rod may support a rubber bulb for suction fluids from the distal end of the lower blade via the tubular rod. In use, the colposcope is inserted into the vaginal speculum through the guide slot so that the physician can manipulate with the colposcope by moving it in axial direction for focusing the lens and by turning the rod to the left or to the right for observing an area of interest. The vaginal speculum and the colposcope can be molded from plastic and can be disposable.
摘要翻译： 本发明涉及阴道窥器与单镜片阴道镜的组合，用于筛查过程中用于检测子宫颈上皮内瘤变或侵袭性癌症的粘膜异常的筛选过程，例如在阴道腔或生殖器外部，作为 除了Pap涂片筛选过程之外。 阴道窥器在其形状，尺寸和功能方面与常规窥器相同，仅与常规仪器不同之处在于，仅通过在下刀片的内表面上形成具有用于引导单环阴道镜的狭槽的小突起。 后者由可滑动地插入上述狭槽中的管状杆组成，并在其远端支撑光学透镜。 透镜可以具有用于插入外科器械的中心开口，例如活检取样器。 管状杆的近端可以支撑用于通过管状杆从下刀片的远端吸入流体的橡胶球。 在使用中，阴道镜通过导槽插入阴道窥器中，使得医师可以通过沿着阴影镜的轴向移动来操纵阴道镜，用于聚焦透镜，并将杆向左或向右转动以观察区域 出于兴趣。 阴道镜和阴道镜可以用塑料模制，可以一次性使用。
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