公开(公告)号：US06217529B1

公开(公告)日：2001-04-17

申请号：US09563102

申请日：2000-05-02

申请人： Michael S. Wax ,  Michel A. Boileau ,  Gary L. Hoffman ,  Matthew W. Hoskins ,  William G. McCoy ,  William E. Clem ,  Robert Mesaros

发明人： Michael S. Wax ,  Michel A. Boileau ,  Gary L. Hoffman ,  Matthew W. Hoskins ,  William G. McCoy ,  William E. Clem ,  Robert Mesaros

IPC分类号： A61B5103

CPC分类号： A63B24/00 ,  A61M25/10 ,  A61M2025/0002 ,  A61M2210/1067 ,  A61M2210/1078 ,  A61M2230/60 ,  A63B21/008 ,  A63B23/20 ,  A63B2071/0638 ,  A63B2220/56

摘要： A training device is disclosed for exercising the pubococcygeal or pelvic floor muscles, for example in the treatment of incontinence. The device includes a cylindrical, deformable probe for insertion into the vagina or rectum of a user. The probe is connected to a pressure transducer, which detects the pressure applied to the probe by contraction of the pelvic floor muscles and displays a pressure indicator to the user to help direct the contraction of the appropriate muscles. The pressure indicator may take the form of a series of nested figures, such as curves or concentric semi-circles, that incrementally converge toward a common point as pressure on the probe increases. The nested figures incrementally retreat from the common point as pressure on the probe decreases. The training unit guides a user through an exercise routine by tracking the overall exercise time and the timing between flexing and relaxation cycles. The training unit can include a controller, such as a microcontroller, that is coupled to the inflatable probe for detecting the pressure within the probe. The controller tracks the timing of exercises performed by the user and guides the user through alternating cycles of muscular contraction and relaxation to provide a safe and effective biofeedback regimen.

摘要翻译： 公开了用于锻炼脓胸或骨盆底肌肉的训练装置，例如在治疗失禁中。 该装置包括用于插入使用者的阴道或直肠的圆柱形可变形探针。 探头连接到压力传感器，该压力传感器通过骨盆底肌肉的收缩来检测施加到探针的压力，并向使用者显示压力指示器以帮助引导适当肌肉的收缩。 压力指示器可以采取一系列嵌套图形的形式，例如曲线或同心半圆，当探头上的压力增加时，其可以逐渐收敛到公共点。 当探头上的压力降低时，嵌套图形从普通点逐渐退缩。 训练单元通过跟踪整个运动时间和弯曲和放松周期之间的时间来引导用户通过锻炼程序。 训练单元可以包括诸如微控制器的控制器，其耦合到可充气探针，用于检测探针内的压力。 控制器跟踪用户进行的锻炼的时间，并引导用户通过肌肉收缩和放松的交替周期，以提供安全有效的生物反馈方案。

公开(公告)号：US5377691A

公开(公告)日：1995-01-03

申请号：US61443

申请日：1993-05-14

申请人： Michel A. Boileau ,  Matthew W. Hoskins

发明人： Michel A. Boileau ,  Matthew W. Hoskins

IPC分类号： A61B5/103 ,  A61B5/03

CPC分类号： A61B5/4393

摘要： A plural-characteristic-measuring radial erectometer is described for use by a male user in connection with treatment for impotency. The erectometer includes elongate band-like structure positionable around the user's flaccid penis and constructed to form a closed loop having a desired circumference corresponding to such penis. Also described is first measurement structure such as a detachable tab formed as one end of the band-like structure, and being manually movable to a first configuration providing an indication that the penis is in the flaccid condition. The detachable tab is also radially changeable to a second configuration as a result of radial-penile forces that will occur when the penis becomes erect. Also described is second measurement structure such as an elongate strip formed as the other end of the band-like structure, and also being manually movable to a first configuration providing an indication that the penis is in the flaccid condition. Like the first measurement structure, the second one is also radially changeable to a second configuration as a result of the radial-penile forces. Correlation between the first and second configurations of the tab and the strip provides an indication that the penis changed from a flaccid condition to an erect condition, and provides a measurement of a plural, different characteristics of that erect condition. Preferred characteristics are penile rigidity and tumescence.

摘要翻译： 描述了多个特征测量径向勃起计，用于男性用户与阳性治疗有关的使用。 直立计包括细长的带状结构，可定位在使用者的松弛阴茎周围，并构造成形成具有对应于这种阴茎的所需圆周的闭合环。 还描述了第一测量结构，例如形成为带状结构的一端的可拆卸突片，并且可手动地移动到提供阴茎处于松弛状态的指示的第一构造。 由于当阴茎直立时将发生的径向阴茎力，可拆卸舌片也可径向改变为第二构型。 还描述了第二测量结构，例如形成为带状结构的另一端的细长条，并且还可手动地移动到提供阴茎处于松弛状态的指示的第一构造。 与第一测量结构一样，由于径向 - 阴茎力，第二测量结构也可径向改变为第二结构。 舌片和条带的第一和第二构造之间的相关性提供阴茎从缓和状态变为直立状态的指示，并且提供该直立条件的多个不同特征的测量。 优选的特征是阴茎刚度和肿胀。

公开(公告)号：US6063045A

公开(公告)日：2000-05-16

申请号：US7122

申请日：1998-01-14

申请人： Michael S. Wax ,  Michel A. Boileau ,  Gary L. Hoffman ,  Matthew W. Hoskins ,  William G. McCoy ,  William E. Clem ,  Robert Mesaros

发明人： Michael S. Wax ,  Michel A. Boileau ,  Gary L. Hoffman ,  Matthew W. Hoskins ,  William G. McCoy ,  William E. Clem ,  Robert Mesaros

IPC分类号： A61F2/958 ,  A61M25/00 ,  A63B21/008 ,  A63B23/20 ,  A63B24/00

CPC分类号： A63B24/00 ,  A61M25/10 ,  A63B23/20 ,  A61M2025/0002 ,  A61M2210/1067 ,  A61M2210/1078 ,  A61M2230/60 ,  A63B2071/0638 ,  A63B21/008 ,  A63B2220/56

摘要： A training device is disclosed for exercising the pubococcygeal or pelvic floor muscles, for example in the treatment of incontinence. The device includes a cylindrical, deformable probe for insertion into the vagina or rectum of a user. The probe is connected to a pressure transducer, which detects the pressure applied to the probe by contraction of the pelvic floor muscles and displays a pressure indicator to the user to help direct the contraction of the appropriate muscles. The pressure indicator may take the form of a series of nested figures, such as curves or concentric semi-circles, that incrementally converge toward a common point as pressure on the probe increases. The nested figures incrementally retreat from the common point as pressure on the probe decreases. The training unit guides a user through an exercise routine by tracking the overall exercise time and the timing between flexing and relaxation cycles. The training unit can include a controller, such as a microcontroller, that is coupled to the inflatable probe for detecting the pressure within the probe. The controller tracks the timing of exercises performed by the user and guides the user through alternating cycles of muscular contraction and relaxation to provide a safe and effective biofeedback regimen.

摘要翻译： 公开了用于锻炼脓胸或骨盆底肌肉的训练装置，例如在治疗失禁中。 该装置包括用于插入使用者的阴道或直肠的圆柱形可变形探针。 探头连接到压力传感器，该压力传感器通过骨盆底肌肉的收缩来检测施加到探针的压力，并向使用者显示压力指示器以帮助引导适当肌肉的收缩。 压力指示器可以采取一系列嵌套图形的形式，例如曲线或同心半圆，当探头上的压力增加时，其可以逐渐收敛到公共点。 当探头上的压力降低时，嵌套图形从普通点逐渐退缩。 训练单元通过跟踪整个运动时间和弯曲和放松周期之间的时间来引导用户通过锻炼程序。 训练单元可以包括诸如微控制器的控制器，其耦合到可充气探针，用于检测探针内的压力。 控制器跟踪用户进行的锻炼的时间，并引导用户通过肌肉收缩和放松的交替周期，以提供安全有效的生物反馈方案。

公开(公告)号：US06039305A

公开(公告)日：2000-03-21

申请号：US10388

申请日：1998-01-21

申请人： Matthew W. Hoskins ,  Michel A. Boileau

发明人： Matthew W. Hoskins ,  Michel A. Boileau

IPC分类号： A45F3/20 ,  F16K15/14 ,  F16K31/14

CPC分类号： F16K15/145 ,  A45F3/20

摘要： A bite valve (12) for a hydration bladder (14) includes a deformable sleeve (34) and an elongate valve body (36) that is received within the deformable sleeve. The valve body includes an inlet (28) that is coupleable by a tube (26) to receive fluid (16) from the hydration bladder. The inlet has a first sealing surface (56) in sealing engagement with an inner surface of the deformable sleeve. The inlet has a flow channel (48) therethrough defined along a first axis (50). The valve body also includes an outlet (30) that is in fluid communication with the flow channel. The outlet is defined by a bulkhead flange (72) with a second sealing surface (78) that is normally in sealing engagement with the deformable sleeve. The outlet is longitudinally spaced apart from the inlet by a cylindrical stem (32). The cylindrical stem has an axis (71) that is substantially aligned with the axis of the flow channel. Deformation of the deformable sleeve toward the stem takes the deformable sleeve out of sealing engagement with the bulkhead flange, regardless of radial orientation of the deformation, to permit fluid flow through the outlet.

摘要翻译： 用于水合气囊（14）的咬合阀（12）包括可变形套筒（34）和容纳在可变形套筒内的细长阀体（36）。 阀体包括可由管（26）联接以从水合气囊接收流体（16）的入口（28）。 入口具有与可变形套筒的内表面密封接合的第一密封表面（56）。 入口具有沿着第一轴线（50）限定的流动通道（48）。 阀体还包括与流动通道流体连通的出口（30）。 出口由具有通常与可变形套筒密封接合的第二密封表面（78）的隔板凸缘（72）限定。 出口通过圆柱形杆（32）与入口纵向间隔开。 圆柱形杆具有基本上与流动通道的轴线对准的轴线（71）。 可变形套筒朝向杆的变形使可变形套管脱离与隔板凸缘的密封接合，而不管变形的径向取向，以允许流体流过出口。

公开(公告)号：US20130130871A1

公开(公告)日：2013-05-23

申请号：US13812185

申请日：2011-07-28

申请人： William G. McCoy ,  Matthew W. Hoskins ,  Michael S. Wax

发明人： William G. McCoy ,  Matthew W. Hoskins ,  Michael S. Wax

IPC分类号： A63B23/20

CPC分类号： A63B23/20 ,  A63B21/0085 ,  A63B24/0062 ,  A63B24/0075 ,  A63B2220/56 ,  A63B2220/62

摘要： A training device is disclosed for exercising the pubococcygeal or pelvic floor muscles, for example in the treatment of incontinence. The device includes a cylindrical, deformable probe for insertion into the vagina or rectum of a user. The probe is connected to a pressure transducer, which detects the pressure applied to the probe by contraction of the pelvic floor muscles and displays a-pressure indicator to the user to help direct the contraction of the appropriate muscles. The pressure indicator may take the form of a series of nested figures, such as curves or concentric semi-circles, that incrementally converge toward a common point as pressure on the probe increases. The nested figures incrementally retreat from the common point as pressure on the probe decreases. The training unit guides a user through an exercise routine by tracking the overall exercise time and the timing between flexing and relaxation cycles. The training unit can include a controller, such as a microcontroller, that is coupled to the inflatable probe for detecting the pressure within the probe. The controller tracks the timing of exercises performed by the user and guides the user through alternating cycles of muscular contraction and relaxation to provide a safe and effective biofeedback regimen

摘要翻译： 公开了用于锻炼脓胸或骨盆底肌肉的训练装置，例如在治疗失禁中。 该装置包括用于插入使用者的阴道或直肠的圆柱形可变形探针。 探针连接到压力传感器，该压力传感器通过骨盆底肌肉的收缩来检测施加到探针的压力，并向使用者显示一个压力指示器，以帮助引导适当肌肉的收缩。 压力指示器可以采取一系列嵌套图形的形式，例如曲线或同心半圆，当探头上的压力增加时，其可以逐渐收敛到公共点。 当探头上的压力降低时，嵌套图形从普通点逐渐退缩。 训练单元通过跟踪整个运动时间和弯曲和放松周期之间的时间来引导用户通过锻炼程序。 训练单元可以包括诸如微控制器的控制器，其耦合到可充气探针，用于检测探针内的压力。 控制器跟踪用户进行的锻炼的时间，并引导用户通过肌肉收缩和放松的交替周期，以提供安全有效的生物反馈方案

公开(公告)号：US4740203A

公开(公告)日：1988-04-26

申请号：US871462

申请日：1986-06-05

申请人： Matthew W. Hoskins ,  Albert K. Chin

发明人： Matthew W. Hoskins ,  Albert K. Chin

IPC分类号： A61M25/00 ,  A61F2/958 ,  A61M3/00 ,  A61M29/02

CPC分类号： A61M25/10182 ,  A61M25/1018 ,  A61M25/10186

摘要： In a refillable injection device for use with a dilation catheter, a large bore syringe is used to refill a small bore syringe without disconnecting the syringe assembly from the catheter. A one-way valve prevents fluid from moving in the opposite direction. Movement of the small bore syringe plunger produces a high pressure, low volume flow and can be repeated if necessary after the small bore syringe is refilled. Subsequent movement of the large bore syringe plunger produces a low pressure, high volume flow.

摘要翻译： 在用于扩张导管的再填充注射装置中，使用大孔注射器来重新填充小孔注射器而不将注射器组件从导管断开。 单向阀防止流体沿相反方向移动。 小口径注射器柱塞的运动产生高压，低体积流量，并且可以在小口径注射器重新填充后根据需要重复使用。 随后的大口径针筒柱塞的移动产生低压，高体积流量。

公开(公告)号：US5334185A

公开(公告)日：1994-08-02

申请号：US132118

申请日：1993-10-05

申请人： Jerry D. Giesy ,  Matthew W. Hoskins

发明人： Jerry D. Giesy ,  Matthew W. Hoskins

IPC分类号： A61B17/34 ,  A61M25/00 ,  A61M25/06 ,  A61M5/178

CPC分类号： A61M25/06 ,  A61B17/3415 ,  A61M25/0068

摘要： A surgical apparatus for the placement of an instrument within a body cavity which comprises a placement device including an elongate element with an exposable tissue piercing tip, a first coupling means adjacent to the tip, and means for selectively exposing the tip; and an elongate instrument for placement including a second coupling means adapted to be coupled to the first coupling means to effect an end to end coupling of said device and said instrument whereby said instrument is positioned within said body cavity. Preferably the instrument is a suprapubic instrument for placement within a bladder. A method for placement of a suprapubic instrument is also disclosed. Also shown is a method and apparatus for end-to-end instrument coupling in the context of guidewire instrument placement. End-to-end coupling is accomplished by loop and slot arrangements, a tail and collapsing loop arrangement, and a tail captured between two slidably disposed sleeves.

摘要翻译： 一种用于将器械放置在体腔内的手术装置，其包括放置装置，所述放置装置包括具有可暴露的组织穿刺尖端的细长元件，与所述尖端相邻的第一联接装置和用于选择性地暴露所述尖端的装置; 以及用于放置的细长器械，包括适于联接到第一联接装置的第二联接装置，以实现所述装置和所述器械的端对端联接，由此所述器械位于所述体腔内。 优选地，该仪器是用于放置在膀胱内的耻骨上仪器。 还公开了一种用于放置耻骨上器械的方法。 还示出了在导丝仪器放置的上下文中用于端到端仪器耦合的方法和装置。 端对端耦合通过环和槽布置，尾部和塌缩环布置以及在两个可滑动布置的套筒之间捕获的尾部来实现。

公开(公告)号：US4824435A

公开(公告)日：1989-04-25

申请号：US51864

申请日：1987-05-18

申请人： Jerry D. Giesy ,  Matthew W. Hoskins

发明人： Jerry D. Giesy ,  Matthew W. Hoskins

IPC分类号： A61M25/00 ,  A61M25/01 ,  A61M31/00

CPC分类号： A61M25/01 ,  A61M2025/0183 ,  A61M25/0068

摘要： Elongate flexible elements are guided into place within a tortuous body passage by providing the elements with annular guides adjacent their distal ends and sliding the elements over a guide wire extended through the passage. Column strength to move the elements through the body passage may be provided by a tubular pusher slidably received on the guide wire. The annular guides are localized at the distal ends of the members so that a plurality of members may be sequentially or simultaneously guided into place over a single guide wire.

摘要翻译： 通过使元件具有邻近其远端的环形引导件并将元件滑过延伸穿过通道的导丝，将细长的柔性元件引导到曲折的身体通道内的适当位置。 通过主体通道移动元件的柱强度可以通过可滑动地容纳在导丝上的管状推动器来提供。 环形引导件定位在构件的远端处，使得多个构件可以顺序地或同时地被引导到单个导丝上的适当位置。

公开(公告)号：US4798193A

公开(公告)日：1989-01-17

申请号：US051862

申请日：1987-05-18

申请人： Jerry D. Giesy ,  George D. Hermann ,  Matthew W. Hoskins

发明人： Jerry D. Giesy ,  George D. Hermann ,  Matthew W. Hoskins

IPC分类号： A61B1/00 ,  A61M25/01 ,  A61B1/06

CPC分类号： A61M25/013 ,  A61B1/00135 ,  A61M25/0105

摘要： An open ended tubular sheath is provided with an annular guide element to facilitate placement of the sheath within a body passage. In use a guide wire is directed into the passage and the guide element is then slid over the wire to direct the sheath into the passage. Once in place, the sheath may be used to direct instruments into the passage without significant abrasion or trauma. The guide element may take the form of a loop or tube. Column strength may be provided to the sheath either by the guide element or a stiffener engaged with the element or the sheath.

摘要翻译： 开口的管状护套设置有环形引导元件，以便于将护套放置在身体通道内。 在使用中，引导线被引导到通道中，并且引导元件然后在线上滑动以将护套引导到通道中。 一旦就位，护套可用于将仪器引导到通道中而没有显着的磨损或创伤。 引导元件可以采取环或管的形式。 柱强度可以通过引导元件或与元件或护套接合的加强件提供给护套。

公开(公告)号：US08876859B2

公开(公告)日：2014-11-04

申请号：US13324920

申请日：2011-12-13

申请人： Patricia Buehler ,  Matthew W. Hoskins

发明人： Patricia Buehler ,  Matthew W. Hoskins

IPC分类号： A61B1/32 ,  A61B17/02 ,  A61B17/28 ,  A61B17/122 ,  A61B17/04 ,  A61B17/072 ,  A61B18/00 ,  A61B19/00 ,  A61B17/32 ,  A61B18/14 ,  A61B17/00

CPC分类号： A61B17/122 ,  A61B17/0206 ,  A61B17/0482 ,  A61B17/072 ,  A61B17/1227 ,  A61B17/28 ,  A61B17/2833 ,  A61B18/1442 ,  A61B2017/00792 ,  A61B2017/07221 ,  A61B2017/07285 ,  A61B2017/1225 ,  A61B2017/2808 ,  A61B2017/320052 ,  A61B2018/00589 ,  A61B2018/00601 ,  A61B2090/065

摘要： A blepharoplasty device includes a handle member, an elongate, curved first jaw member coupled to the handle member and having a first tissue contacting surface, and an elongate, curved second jaw member coupled to the handle member and having a second tissue contacting surface. The first and second jaw members are moveable relative to one another between a closed position and an open position to capture eyelid tissue and facilitate the cutting and subsequent reattachment of the eyelid tissue.

摘要翻译： 眼睑成形术装置包括手柄构件，连接到手柄构件并具有第一组织接触表面的细长的弯曲的第一钳口构件和联接到手柄构件并具有第二组织接触表面的细长弯曲的第二钳口构件。 第一和第二钳口构件在关闭位置和打开位置之间可相对于彼此移动以捕获眼睑组织并且有助于切割并随后重新附着眼睑组织。