公开(公告)号：US06428507B1

公开(公告)日：2002-08-06

申请号：US09068665

申请日：1998-10-19

Applicant: Günther Farin ,  Klaus Fischer ,  Karl Ernst Grund ,  Helmut Wurster

Inventor： Günther Farin ,  Klaus Fischer ,  Karl Ernst Grund ,  Helmut Wurster

IPC: A61M100

CPC classification number: A61B1/126 ,  A61B1/015

Abstract: A method for rinsing a field of inspection or operation during an endoscopic procedure includes filling a proximal portion of a conduit with a fluid quantity defining a slug of liquid and accelerating the slug of liquid using gas which is fed into the conduit upstream of the fluid quantity, so as to have the slug of liquid discharged from the conduit at a high speed.

Abstract translation: 一种用于在内窥镜手术过程中冲洗检查或手术领域的方法包括用限定液体块的流体量填充导管的近端部分，并使用在流体量上游进入导管的气体加速液体块 ，以便高速地从管道排出液体。

公开(公告)号：US5591186A

公开(公告)日：1997-01-07

申请号：US615635

申请日：1996-03-13

Applicant: Helmut Wurster ,  Gerd Buess

Inventor： Helmut Wurster ,  Gerd Buess

IPC: A61B17/00 ,  A61B17/34

CPC classification number: A61B17/3494 ,  A61B17/3417 ,  A61B17/3476 ,  A61B2017/00119 ,  A61B2017/346

Abstract: A self-cutting trocar pin is provided near its distal end with active cutting tools, operated manually or motor driven. Therefore, the force which is normally needed to insert the trocar into a body is greatly reduced, and the insertion can be done under control to avoid the risk of injury during penetration of the abdominal wall. A gas flow sensor indicates opto acoustically, in connection with an opening near the distal end of the trocar pin, the penetration of the abdominal wall. The cutting tool of the trocar pin maybe, for example, a disc shaped blade, a chain knife, or manually operated straight blades.

Abstract translation: 在其远端附近提供自动切割套针针，主动切割工具手动或电动驱动。 因此，将套管针插入体内通常需要的力大大降低，并且可以在控制下进行插入以避免在腹壁穿透期间受伤的危险。 一个气体流量传感器表示光声学，与套管针销末端附近的一个开口，腹壁的穿透有关。 套针针的切割工具可以是例如盘形刀片，链刀或手动操作的直刀片。

公开(公告)号：US5095908A

公开(公告)日：1992-03-17

申请号：US567493

申请日：1990-08-13

Applicant: Thomas Belikan ,  Werner Knauss ,  Helmut Wurster

Inventor： Thomas Belikan ,  Werner Knauss ,  Helmut Wurster

IPC: A61B17/22 ,  A61B17/225

CPC classification number: A61B17/2258

Abstract: An apparatus is described for locating objects within the body, and particularly concretions situated in body cavities, in three dimensions and for destroying them. The point of departure for this is an electro-acoustic treatment transducer for generating shock waves to be emitted to focus on the object concerned and a B-scanner connected to the treatment transducer to act as a locating transducer for locating the object, the locating transducer being adjustable relative to the treatment transducer co-focally therewith. The design proposed envisages the locating transducer being integrated into the treatment transducer so that the sound fields of both transducers travel the same distances through the same media and it is thus the correct position of the focus relative to the concretion seen in the image which is in fact shown.

Abstract translation: 描述了一种用于在体内定位物体的装置，特别是位于体腔中的三维结构，并且用于破坏它们。 出发点是用于产生要发射的冲击波以聚焦在有关物体上的电声处理换能器，以及连接到治疗换能器的B扫描仪，用作定位传感器以定位物体，定位换能器 相对于与其共处理的处理换能器可调节。 所提出的设计设想将定位换能器集成到治疗换能器中，使得两个换能器的声场在相同的介质上传播相同的距离，并且因此它是相对于在图像中看到的结块的正确位置 事实显示。

公开(公告)号：US5060634A

公开(公告)日：1991-10-29

申请号：US574330

申请日：1990-08-28

Applicant: Thomas Belikan ,  Werner Krauss ,  Helmut Wurster

Inventor： Thomas Belikan ,  Werner Krauss ,  Helmut Wurster

IPC: A61B6/12 ,  A61B17/22 ,  A61B19/00

CPC classification number: A61B17/2251 ,  A61B6/12 ,  A61B2017/00902

Abstract: In a lithotriptor a shock wave transducer is provided with a focussing cup and with a forward section containing a coupling medium shut off by means of a diaphragm for application to a patient's body. In the wall of the cup there is mounted a locating system comprising an x-ray emitter the outlet of which is located in the coupling medium. The outlet is closed by means of a balloon which can be filled with gas and which can be evacuated. When the balloon is filled with gas, it expands in the direction of radiation of the x-rays up to or almost up to the diaphragm of the forward section.

Abstract translation: 在碎石机中，冲击波传感器设置有聚焦杯，并且具有包含耦合介质的前部，其通过隔膜被切断以应用于患者身体。 在杯的壁上安装有一个定位系统，该定位系统包括一个x射线发射器，其出口位于耦合介质中。 出口通过可以填充气体并可以抽空的气球封闭。 当气囊充满气体时，其在x射线的辐射方向上扩展直到或接近正前段的隔膜。

公开(公告)号：US5058590A

公开(公告)日：1991-10-22

申请号：US345439

申请日：1989-05-01

Applicant: Helmut Wurster

Inventor： Helmut Wurster

IPC: A61B17/22 ,  A61B17/225

CPC classification number: A61B17/225 ,  A61B17/22004 ,  A61B2017/22008 ,  A61B2017/22084

Abstract: Apparatus for dissolving concretions within a bodily cavity, for example in the gall bladder, under the action of a solvent fluid applied within the bodily cavity, comprises an ultrasonic transducer arranged to be coupled to the exterior of the patient's body and to be focussed on selected parts of the bodily cavity. The transducer emits ultrasonic waves within a frequency range of between 20 and 40 kHz and with just enough power to generate cavitations in bodily cavity fluid within the body cavity, or in the solvent fluid, or in both of these fluids to cause dispersion therebetween.

Abstract translation: 用于在施用在身体腔内的溶剂流体的作用下将结合物溶解在体腔内的例如胆囊内的装置包括超声波换能器，其布置成耦合到患者身体的外部并被聚焦在选定的 部分体腔。 换能器在20至40kHz的频率范围内发射超声波，并具有足够的功率以在体腔内或溶剂流体中或在这两种流体中的体液流体中产生空化，从而在其间产生分散。

公开(公告)号：US4168700A

公开(公告)日：1979-09-25

申请号：US841368

申请日：1977-10-12

Applicant: Bernd Opelt ,  Helmut Wurster

Inventor： Bernd Opelt ,  Helmut Wurster

IPC: A61B1/00 ,  A61B5/145 ,  A61M1/00 ,  G01N21/27 ,  A61B5/00

CPC classification number: A61B5/02042 ,  A61M1/006

Abstract: This disclosure relates to the determination of blood loss during endoscopic operations, particularly, during transurethral resectomy. It is known in such operations to employ continuous irrigation using sterilized water which is fed into the body cavity through the endoscope and fed out again mixed with the lost blood. According to the disclosure a method is provided wherein the specific blood content is found from one of the characteristics of the outgoing water which alters with the blood content: to determine the blood lost this specific blood content is compared with the rate of flow of the monitored outgoing flushing water.

Abstract translation: 本公开涉及在内窥镜操作期间，特别是在经尿道切除术期间的失血的确定。 在这种操作中已知使用灭菌水进行连续灌溉，其通过内窥镜进入体腔并再次与失去的血液混合。 根据本公开，提供了一种方法，其中从与血液成分变化的输出水的特征之一发现特定血液含量：为了确定血液损失，将该特定血液含量与所监测的血液的流速进行比较 流出冲洗水。

公开(公告)号：US4051431A

公开(公告)日：1977-09-27

申请号：US646445

申请日：1976-01-05

Applicant: Helmut Wurster

Inventor： Helmut Wurster

IPC: A61B5/20 ,  G01F1/00 ,  G01F1/56 ,  G01R27/26

CPC classification number: G01F1/56 ,  A61B5/208 ,  A61B5/7239 ,  G01F1/00

Abstract: This invention relates to apparatus for measuring the rate of flow F(t) of urine electrically using a measuring vessel whose filled volume V at any particular time is measured as a function V(t) of time t, so that the rate of flow F(t) = dV/dt of the urine can be obtained by differentiating the time function.In such apparatus, there is provided at least one electrical capacitor which is acted on by the amount of urine in the vessel and whose capacitance C(t) is influenced by the time-dependent amount of urine present, the urine acting both as an electrical conductor and as a di-electric, and the capacitance being used as an indication of the filled volume function which is to be differentiated electrically.

公开(公告)号：US5158085A

公开(公告)日：1992-10-27

申请号：US566587

申请日：1990-08-13

Applicant: Thomas Belikan ,  Werner Krauss ,  Helmut Wurster

Inventor： Thomas Belikan ,  Werner Krauss ,  Helmut Wurster

IPC: A61B17/22 ,  A61B17/225

CPC classification number: A61B17/2258

Abstract: A lithotripsy ultrasound locating device comprises at least one locating transducer having a plurality of focal ranges and which is associated with a therapy transducer and is axially adjustable in relation to its focus; a position indicator which generates a signal representing the distance between the sound head of the locating transducer and the focus of the therapy transducer; a computer; a monitor on which a target mark representing the focus of the therapy transducer is displayed; and an electronic transmitter/receiver arrangement controlled by the computer in order to produce an image of a concretion to be destroyed which image is constantly optimal. The computer, controls, as a function of the signal emitted by the position indicator and by way of the transmitter/receiver arrangement, the focal range of the locating transducer which, at the given distance at that moment between the sound head and the focus of the therapy transducer always lies in the range thereof. The computer further generates a signal following up the target mark on the monitor according to the signal emitted by the position indicator. The following-up signal is passed to the monitor so that, where applicable, in each axial position of the locating transducer, the image of the concretion displayed by the monitor lies in the target mark.

Abstract translation: 碎石超声定位装置包括至少一个具有多个焦点范围的定位换能器，其与治疗换能器相关联并且可相对于其焦点轴向调节; 位置指示器，其产生表示定位换能器的声音头与治疗换能器的焦点之间的距离的信号; 一台电脑; 显示表示治疗传感器的焦点的目标标记的监视器; 以及由计算机控制的电子发射器/接收器装置，以产生待破坏的凝结物的图像，该图像是不断优化的。 计算机根据由位置指示器发射的信号并通过发射器/接收器装置来控制定位传感器的焦距范围，定位传感器在声音头与焦点之间的给定距离处 治疗传感器总是在其范围内。 计算机还根据位置指示器发出的信号产生跟随监视器上的目标标记的信号。 跟踪信号被传递到监视器，使得在适当的情况下，在定位换能器的每个轴向位置，由监视器显示的凝结图像位于目标标记中。

公开(公告)号：US5083550A

公开(公告)日：1992-01-28

申请号：US369318

申请日：1989-06-20

Applicant: Werner Krauss ,  Helmut Wurster

Inventor： Werner Krauss ,  Helmut Wurster

IPC: A61B17/22 ,  A61B17/225

CPC classification number: A61B17/2251

Abstract: A device for locating and disintegrating concretions and stones in bodily cavities by means of a shock wave generator comprises a reclining surface for the patient, with an opening therein below which the generator, including a flexible precursor section, is so arranged that the fluid sealed off from the outside is in contact via the opening with the body section to be treated, either directly or indirectly via a diaphragm sealing off the precursor section. To this end, the reclining surface and the shock wave generator are displaceable with respect to each other.

公开(公告)号：US4281366A

公开(公告)日：1981-07-28

申请号：US124075

申请日：1980-02-25

Applicant: Helmut Wurster ,  Ernst Blanc

Inventor： Helmut Wurster ,  Ernst Blanc

IPC: A61B1/07 ,  F21S8/00 ,  F21V8/00 ,  G02B6/42 ,  F21V7/04

CPC classification number: A61B1/07 ,  A61B1/0669 ,  G02B6/0006 ,  G02B6/4298 ,  F21W2131/205

Abstract: This invention relates to lighting systems for use during surgical operations or examinations.The device comprises a bundle of optical fibres having an intake area into which the light from an ellipsoidal mirror having a lamp therein can be beamed. A concave lens area located in an area facing away from the optical fibre bundle is co-axially situated forwardly adjacent the light intake area of the fibre bundle.The concave area may be formed by grinding out portion of a transparent plate and the light from the mirror may be concentrated by an aspheric lens between the mirror lamp and the lens area.

Abstract translation: 本发明涉及在外科手术或检查中使用的照明系统。 该装置包括具有入射区域的光纤束，来自其中具有灯的椭圆面镜的光可以被射入。 位于远离光纤束的区域中的凹透镜区域同轴地位于纤维束的光进入区域的前方。 可以通过研磨透明板的一部分来形成凹区域，并且来自反射镜的光可以由镜子灯和透镜区域之间的非球面透镜集中。