公开(公告)号：US06419484B1

公开(公告)日：2002-07-16

申请号：US09660036

申请日：2000-09-12

申请人： Luiz B. DaSilva ,  Bill W. Colston, Jr. ,  Dale L. James

发明人： Luiz B. DaSilva ,  Bill W. Colston, Jr. ,  Dale L. James

IPC分类号： A61C100

CPC分类号： A61B5/0066 ,  A61B5/0088 ,  A61C1/0007 ,  A61C1/088 ,  G01B9/02028 ,  G01B9/02091

摘要： A dental drill that has one or multiple single mode fibers that can be used to image in the vicinity of the drill tip. It is valuable to image below the surface being drilled to minimize damage to vital or normal tissue. Identifying the boundary between decayed and normal enamel (or dentine) would reduce the removal of viable tissue, and identifying the nerve before getting too close with the drill could prevent nerve damage. By surrounding a drill with several optical fibers that can be used by an optical coherence domain reflectometry (OCDR) to image several millimeters ahead of the ablation surface will lead to a new and improved dental treatment device.

摘要翻译： 具有一个或多个单模光纤的牙钻可用于在钻尖附近成像。 在正在钻孔的表面下方成像以减少对重要或正常组织的损伤是有价值的。 识别朽烂和正常牙釉质（或牙质）之间的边界将减少活组织的去除，并且在与钻头变得太靠近之前识别神经可以防止神经损伤。 通过围绕可以通过光学相干畴反射（OCDR）使用的多个光纤的钻孔，以在切割表面之前的几毫米处成像，将导致新的和改进的牙科治疗装置。

公开(公告)号：US6090121A

公开(公告)日：2000-07-18

申请号：US474305

申请日：1999-12-29

申请人： Paul J. Weber ,  Luiz B. DaSilva ,  Michael R. Weber

发明人： Paul J. Weber ,  Luiz B. DaSilva ,  Michael R. Weber

IPC分类号： A61B17/28 ,  A61B17/32 ,  A61M1/00

CPC分类号： A61B17/320068 ,  A61M1/008 ,  A61B2017/2905 ,  A61M2202/08

摘要： The flexible cannulas are constructed of metal and plastic, with the metal cannulas having diameters of between 2.0 and 3.5 mm, and with the plastic cannulas having diameters greater than 3.5 mm (i.e., 3.5 to 6.0 mm). These long shaft flexible cannulas, when utilized in combination with a reinforced neck, allow the cannula point of entry to act as a fulcrum (with an optional interposed insert) in concert with the surgeon's guiding hand to deflect the cannulas. The cannula tip is preferably highly beveled with an adjacent set of three openings, and the cannula easily penetrates fibrous fat and may reach fat deposits relatively distant from the entrance wounds. The long shaft, highly flexible, reinforced swan neck cannulas move in an easily controllable manner within the subcutaneous tissue below the dermal envelope in an arciform fashion. Benefits include a reduced need to move a patient's body position intraoperatively. The swan neck has been reinforced to provide the needed additional stability at handle/shaft junction to help the surgeon increase leverage on the cannula shaft. The long, flexible plastic cannula shafts are provided central metal "memory" reinforcing wires of varying thicknesses along the length thereof which allow controlled rigidity of the long plastic shafts, and enable the cannulas to be bent into a semi-circle without breaking and yet return to their original shape.

摘要翻译： 柔性插管由金属和塑料构成，金属插管的直径为2.0至3.5毫米，塑料插管的直径大于3.5毫米（即3.5至6.0毫米）。 当与加强的颈部组合使用时，这些长轴柔性插管允许插管入口点与外科医生的引导手一起作为支点（具有可选插入的插入物）以使插管偏转。 套管尖端优选地具有相邻的三个开口的高度倾斜，并且套管容易地穿透纤维状脂肪并且可以达到相对远离入口伤口的脂肪沉积物。 长轴，高度灵活，加强的天鹅颈插管以一种弧形方式在皮肤信封下方的皮下组织内以容易控制的方式移动。 优点包括减少在术中移动患者身体位置的需求。 天鹅颈已经被加强，以便在手柄/轴结处提供所需的额外的稳定性，以帮助外科医生增加套管轴上的杠杆作用。 长而柔性的塑料插管轴沿着其长度设置有不同厚度的中心金属“记忆”加强线，其允许长塑料轴的受控刚度，并且使得套管能够弯曲成半圆而不破裂但仍返回 到原来的形状。

公开(公告)号：US06575965B1

公开(公告)日：2003-06-10

申请号：US09713988

申请日：2000-11-16

申请人： Joseph P. Fitch ,  Dennis L. Matthews ,  Karla G. Hagans ,  Abraham P. Lee ,  Peter Krulevitch ,  William J. Benett ,  Robert E. Clough ,  Luiz B. DaSilva ,  Peter M. Celliers

发明人： Joseph P. Fitch ,  Dennis L. Matthews ,  Karla G. Hagans ,  Abraham P. Lee ,  Peter Krulevitch ,  William J. Benett ,  Robert E. Clough ,  Luiz B. DaSilva ,  Peter M. Celliers

IPC分类号： A61B1822

CPC分类号： A61B17/12022 ,  A61B5/0084 ,  A61B17/1214 ,  A61B17/29 ,  A61B2017/00292 ,  A61B2017/00345 ,  A61B2017/12072 ,  A61B2017/12077 ,  A61B2017/2926

摘要： A medical device is constructed in the basic form of a catheter having a distal end for insertion into and manipulation within a body and a proximal end providing for a user to control the manipulation of the distal end within the body. A fiberoptic cable is disposed within the catheter and having a distal end proximate to the distal end of the catheter and a proximal end for external coupling of laser light energy. A laser-light-to-mechanical-power converter is connected to receive light from the distal end of the fiber optic cable and may include a photo-voltaic cell and an electromechanical motor or a heat-sensitive photo-thermal material. An electronic sensor is connected to receive electrical power from said distal end of the fiberoptic cable and is connected to provide signal information about a particular physical environment and communicated externally through the fiberoptic cable to the proximal end thereof. A mechanical sensor is attached to the distal end of the fiberoptic cable and connected to provide light signal information about a particular physical environment and communicated externally through the fiberoptic cable.

摘要翻译： 医疗装置构造成具有导管的基本形式，其具有用于插入体内和在体内操作的远端，并且近端为使用者提供控制体内远端的操作。 光纤电缆设置在导管内并且具有靠近导管远端的远端和用于激光光能的外部耦合的近端。 连接激光 - 光机械功率转换器以接收来自光纤电缆的远端的光，并且可以包括光电池和机电马达或热敏光热材料。 电子传感器被连接以从光纤电缆的所述远端接收电力，并且被连接以提供关于特定物理环境的信号信息，并且通过光纤电缆向外传播到其近端。 机械传感器连接到光纤电缆的远端并被连接以提供关于特定物理环境的光信号信息，并通过光纤电缆在外部通信。

公开(公告)号：US06562054B1

公开(公告)日：2003-05-13

申请号：US09625923

申请日：2000-07-26

申请人： Paul J. Weber ,  Luiz B. DaSilva ,  Michael R. Weber

发明人： Paul J. Weber ,  Luiz B. DaSilva ,  Michael R. Weber

IPC分类号： A61B1730

CPC分类号： A61B17/320068 ,  A61B2017/2905 ,  A61M1/008 ,  A61M2202/08

摘要： Highly flexible liposuction cannulas are constructed of metal and plastic, with the metal cannulas having diameters of between 2.0 and 3.5 mm, and with the plastic cannulas having diameters greater than 3.5 mm (i.e., 3.5 to 9.0 mm). These long shaft flexible cannulas, when utilized in combination with a reinforced neck, allow the cannula point of entry to act as a fulcrum (with an optional interposed insert) and in concert with the surgeon's guiding hand to deflect the cannulas. The cannula tip is preferably highly beveled with an adjacent set of three openings, and the cannula easily penetrates fibrous fat and may reach fast deposits relatively distant from the entrance wounds. The long shaft, highly flexible, reinforced swan neck cannulas move in an easily controllable manner within the subcutaneous tissue below the dermal envelope in an arciform fashion. Benefits include a reduced need to move a patient's body position intraoperatively. The swan neck has been reinforced to provide the needed additional stability at handle/shaft junction to help the surgeon increase leverage on the cannula shaft. The long, flexible plastic cannula shafts are provided central removable metal “memory” reinforcing wires of varying thicknesses along the length thereof which allow controlled rigidity of the long plastic shafts, and enable the cannulas to be bent into a semi-circle without breaking and yet return to their original shape. Removing of the memory wire during autoclaving eliminates thermal damage at plastic/metal interfaces.

摘要翻译： 高度灵活的吸脂插管由金属和塑料构成，金属插管的直径为2.0至3.5毫米，塑料插管直径大于3.5毫米（即3.5至9.0毫米）。 当与加强的颈部组合使用时，这些长轴柔性插管允许插管入口点作为支点（具有可选插入的插入件），并与外科医生的引导手协调以偏转插管。 套管尖端优选地具有相邻的三个开口的高度倾斜，并且套管容易地穿透纤维状脂肪并且可能达到相对远离入口伤口的快速沉积物。 长轴，高度灵活，加强的天鹅颈插管以一种弧形方式在皮肤信封下方的皮下组织内以容易控制的方式移动。 优点包括减少在术中移动患者身体位置的需求。 天鹅颈已经被加强，以便在手柄/轴结处提供所需的额外的稳定性，以帮助外科医生增加套管轴上的杠杆作用。 长而柔性的塑料插管轴沿其长度设置有不同厚度的中央可拆卸金属“记忆”加强线，其允许长塑料轴的受控刚度，并且使套管弯曲成半圆而不破裂 回到原来的形状。 在高压灭菌过程中取出内存线可消除塑料/金属界面的热损伤。

公开(公告)号：US20100292582A1

公开(公告)日：2010-11-18

申请号：US12778843

申请日：2010-05-12

申请人： Luiz B. DaSilva ,  Bruce Haughey

发明人： Luiz B. DaSilva ,  Bruce Haughey

IPC分类号： A61B6/00

CPC分类号： A61B5/6848 ,  A61B5/0084 ,  A61B5/0091

摘要： A single use needle-like probe contains optical fibers to deliver and collect light at the distal tip of the needle-like probe. The single use needle-like probe may connect to a handpiece that may contain sensors to monitor how the probe is being used. Sensors within the handpiece may, e.g., include a force sensor and a position sensor that detect the depth of the probe in tissue. The handpiece may include a mechanism for limiting the maximum probe velocity. The handpiece may be connected through a cable to a control unit that may include light sources, optical detectors, control electronics and one or more microprocessors to analyze the data collected.

摘要翻译： 单次使用的针状探针包含用于在针状探针的远端提供和收集光的光纤。 单用针状探针可以连接到可能包含传感器的手持件，以监测探头如何使用。 手持件内的传感器可以例如包括力传感器和位置传感器，其检测组织中的探针的深度。 手持件可以包括用于限制最大探针速度的机构。 手机可以通过电缆连接到控制单元，该控制单元可以包括光源，光学检测器，控制电子器件和一个或多个微处理器，以分析所收集的数据。

公开(公告)号：US06432101B1

公开(公告)日：2002-08-13

申请号：US09478172

申请日：2000-01-05

申请人： Paul J. Weber ,  Luiz B. DaSilva ,  Michael Robert Weber

发明人： Paul J. Weber ,  Luiz B. DaSilva ,  Michael Robert Weber

IPC分类号： A61B1818

CPC分类号： A61B18/24 ,  A61B2017/00084 ,  A61B2017/00792 ,  A61B2017/22014 ,  A61B2090/3614

摘要： A device is described that can be used by surgeons to provide quick and accurate face-lifting maneuvers that minimize the amount of tissue that has to be removed. The device comprises of a hollow undermining shaft with specially designed tip that can safely separate tissue planes and lyse fibrous tissue. Laser light can be delivered down the shaft to heat and cause tissue contraction. Device can also include a temperature sensor that can be used to control laser power. Optionally the device can also use ultrasound or electrosurgical energy to improve tissue lysing.

摘要翻译： 描述了一种可被外科医生用来提供快速和准确的提升操作的装置，其使得必须去除的组织的量最小化。 该装置包括具有专门设计的尖端的中空破坏轴，其可以安全地分离组织平面和裂解纤维组织。 激光可以沿着轴传送加热并导致组织收缩。 设备还可以包括可用于控制激光功率的温度传感器。 可选地，该装置还可以使用超声或电外科能量来改善组织裂解。