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公开(公告)号：US20100143861A1
公开(公告)日：2010-06-10
申请号：US12524554
申请日：2008-01-25
IPC分类号： A61C15/02
CPC分类号： A61B5/4547 , A61B5/113 , A61B8/08 , A61C5/40 , A61C19/04 , A61C19/042
摘要： Apparatus and methods for monitoring a tooth may include sensing acoustic energy propagating from regions (such as a root canal system) in and/or near a tooth. The apparatus and methods may be used with root canal cleaning treatments to determine the efficacy of the treatment and/or to reduce risk of post-treatment complications. An acoustic source (e.g., an acoustic transducer and/or a high-speed liquid jet) may be used to transmit energy into a tooth and/or regions near a tooth. An acoustic receiver may be used to detect acoustic signatures of acoustic events (e.g., acoustic echoes and/or acoustic cavitation) occurring in the tooth. The acoustic signatures may be used, for example, to determine the progress of a root canal cleaning treatment and/or the presence or movement of material toward a periapical region of the tooth. Apparatus and methods for monitoring a tooth may include detecting impact of a first jet on a tooth and actuating a second jet in response to detection of the impact.
摘要翻译： 用于监测牙齿的装置和方法可以包括感测从牙齿内和/或附近的区域（例如根管系统）传播的声能。 该设备和方法可用于根管清洁处理以确定治疗的功效和/或降低治疗后并发症的风险。 可以使用声源（例如，声换能器和/或高速液体射流）将能量传递到齿和/或牙齿附近的区域。 声学接收器可用于检测出现在牙齿中的声学事件（例如，声学回声和/或声空泡）的声学特征。 声学特征可以用于例如确定根管清洁治疗的进展和/或材料向牙根尖周区域的存在或移动。 用于监测牙齿的装置和方法可以包括检测第一射流对牙齿的影响并响应于冲击的检测而致动第二射流。
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公开(公告)号：US20120276497A1
公开(公告)日：2012-11-01
申请号：US13312709
申请日：2011-12-06
申请人： Morteza Gharib , Joshua Adams , Bjarne Bergheim , Adam E. Piotrowski , Michele Pham , Oleg Goushcha
发明人： Morteza Gharib , Joshua Adams , Bjarne Bergheim , Adam E. Piotrowski , Michele Pham , Oleg Goushcha
摘要： Apparatus and methods for root canal treatments are provided. In some embodiments, an aiming element may be used to position a high-velocity liquid jet near a desired location in the tooth. Embodiments of the aiming element may include an interrupter that deflects or impedes the liquid jet when it is not desirable for the jet to propagate from the aiming element. Embodiments of the aiming element may include an elongated member that permits passage of the liquid jet through a channel. The elongated member may include one or more openings, for example, on sides and/or ends of the member. Some root canal cleaning techniques include one or more applications of the liquid jet followed by application of a disinfectant such as, for example, an aqueous solution of sodium hypochlorite.
摘要翻译： 提供了根管治疗的装置和方法。 在一些实施例中，瞄准元件可用于将高速液体射流定位在牙齿中所需位置附近。 瞄准元件的实施例可以包括当不期望射流从瞄准元件传播时偏转或阻止液体射流的中断器。 瞄准元件的实施例可以包括允许液体射流通过通道的细长构件。 细长构件可以包括例如在构件的侧面和/或端部上的一个或多个开口。 一些根管清洁技术包括液体射流的一个或多个应用，然后施加消毒剂，例如次氯酸钠水溶液。
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公开(公告)号：US20070248932A1
公开(公告)日：2007-10-25
申请号：US11737710
申请日：2007-04-19
申请人： Morteza Gharib , Joshua Adams , Erik Hars , Bjarne Bergheim , Karl Stocks , Lance Doherty
发明人： Morteza Gharib , Joshua Adams , Erik Hars , Bjarne Bergheim , Karl Stocks , Lance Doherty
IPC分类号： A61C5/02
CPC分类号： A61C17/02 , A61C5/40 , A61C5/50 , A61C17/0202 , A61C17/16
摘要： Apparatus and methods for endodontic treatment of teeth provide effective cleaning of organic material (such as pulp and diseased tissue) from the root canal system. In an embodiment, a compressor system generates high pressure liquid (e.g., water) that flows through an orifice to produce a high-velocity collimated jet of liquid. The high-velocity jet is directed toward a surface of a tooth, for example, an exposed dentinal surface, and impingement of the jet onto the surface generates an acoustic wave that propagates throughout the tooth. The acoustic wave effectively detaches organic material from dentinal surfaces and tubules. The detached organic material is flushed from the root canal system by the liquid jet and/or by additional irrigation.
摘要翻译： 用于牙齿治疗牙齿的装置和方法提供了从根管系统有效清洁有机材料（例如纸浆和病变组织）。 在一个实施例中，压缩机系统产生流过孔口的高压液体（例如水），以产生高速准直的液体射流。 高速射流被引导到牙齿的表面，例如暴露的牙质表面，并且喷射到表面上的冲击产生在整个牙齿上传播的声波。 声波有效地从牙本质表面和小管分离有机材料。 分离的有机材料通过液体喷射从根管系统冲洗和/或通过额外的灌溉冲洗。
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公开(公告)号：US08753121B2
公开(公告)日：2014-06-17
申请号：US11737710
申请日：2007-04-19
申请人： Morteza Gharib , Joshua Adams , Erik Hars , Bjarne Bergheim , Karl Stocks , Lance Doherty
发明人： Morteza Gharib , Joshua Adams , Erik Hars , Bjarne Bergheim , Karl Stocks , Lance Doherty
CPC分类号： A61C17/02 , A61C5/40 , A61C5/50 , A61C17/0202 , A61C17/16
摘要： Apparatus and methods for endodontic treatment of teeth provide effective cleaning of organic material (such as pulp and diseased tissue) from the root canal system. In an embodiment, a compressor system generates high pressure liquid (e.g., water) that flows through an orifice to produce a high-velocity collimated jet of liquid. The high-velocity jet is directed toward a surface of a tooth, for example, an exposed dentinal surface, and impingement of the jet onto the surface generates an acoustic wave that propagates throughout the tooth. The acoustic wave effectively detaches organic material from dentinal surfaces and tubules. The detached organic material is flushed from the root canal system by the liquid jet and/or by additional irrigation.
摘要翻译： 用于牙齿治疗牙齿的装置和方法提供了从根管系统有效清洁有机材料（例如纸浆和病变组织）。 在一个实施例中，压缩机系统产生流过孔口的高压液体（例如水），以产生高速准直的液体射流。 高速射流被引导到牙齿的表面，例如暴露的牙质表面，并且喷射到表面上的冲击产生在整个牙齿上传播的声波。 声波有效地从牙本质表面和小管分离有机材料。 分离的有机材料通过液体喷射从根管系统冲洗和/或通过额外的灌溉冲洗。
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公开(公告)号：US20120237893A1
公开(公告)日：2012-09-20
申请号：US13279199
申请日：2011-10-21
摘要： Examples of apparatus, methods, and compositions for endodontic treatments are described. The apparatus can include a fluid platform configured to substantially retain fluid in a tooth chamber during treatment. The fluid platform can help maintain fluid circulation in the tooth chamber as fluid flows into and out of the tooth chamber. The apparatus can also include a pressure wave generator configured to generate acoustic waves that can be used for cleaning root canals and tooth surfaces in the tooth chamber. Examples of pressure wave generators include a liquid jet, an electromagnetic energy delivery device, and an ultrasonic device. The fluid can include antiseptic or antibacterial solutions to assist in tooth cleaning. The fluid may be degassed to have a reduced dissolved gas content (compared to non-degassed fluids used in endodontic treatments), which may improve the effectiveness of the pressure wave generation or the cleaning.
摘要翻译： 描述了用于牙髓治疗的装置，方法和组合物的实例。 该装置可以包括流体平台，该流体平台构造成在处理期间基本上将流体保持在齿室中。 当流体流入和流出齿室时，流体平台可帮助保持在齿室中的流体循环。 该装置还可以包括压力波发生器，该压力波发生器被配置为产生可用于清洁牙槽中的根管和齿表面的声波。 压力波发生器的实例包括液体射流，电磁能量输送装置和超声装置。 流体可以包括消毒或抗菌溶液以帮助牙齿清洁。 流体可以被脱气以具有降低的溶解气体含量（与用于牙髓治疗中的非脱气流体相比），这可以提高压力波产生或清洁的有效性。
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公开(公告)号：US20130040267A1
公开(公告)日：2013-02-14
申请号：US13450375
申请日：2012-04-18
CPC分类号： A61C3/03 , A61C5/40 , A61C5/50 , A61C17/0208 , A61C17/20
摘要： Examples of apparatus, methods, and compositions for endodontic treatments are described. The apparatus can include a fluid platform configured to substantially retain fluid in a tooth chamber during treatment. The fluid platform can help maintain fluid circulation in the tooth chamber as fluid flows into and out of the tooth chamber. The apparatus can also include a pressure wave generator configured to generate acoustic waves that can be used for cleaning root canals and tooth surfaces in the tooth chamber. An access opening can be formed, and the pressure wave generator can be used to remove organic material from the tooth chamber. In some treatments, after cleaning, the tooth chamber can be only partially filled by an obturation material. In other treatments, substantially the entire tooth chamber can remain unfilled by the obturation material. After cleaning the tooth, the access opening can be sealed, using, e.g., a coronal seal.
摘要翻译： 描述了用于牙髓治疗的装置，方法和组合物的实例。 该装置可以包括流体平台，该流体平台构造成在处理期间基本上将流体保持在齿室中。 当流体流入和流出齿室时，流体平台可帮助保持在齿室中的流体循环。 该装置还可以包括压力波发生器，该压力波发生器被配置为产生可用于清洁牙槽中的根管和牙齿表面的声波。 可以形成进入口，并且压力波发生器可以用于从齿室移除有机材料。 在一些处理中，在清洁之后，齿室只能被封闭材料部分地填充。 在其他处理中，基本上整个齿室可以保持未被填充材料填充。 在清洁牙齿之后，可以使用例如冠状密封来密封进入口。
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公开(公告)号：US20110117517A1
公开(公告)日：2011-05-19
申请号：US12945791
申请日：2010-11-12
IPC分类号： A61C5/02
CPC分类号： A61C5/62 , A61C5/40 , A61C17/02 , A61C17/028
摘要： Systems and methods for using a liquid jet apparatus for dental treatments are disclosed. In one implementation, the liquid jet apparatus may include a handpiece configured to deliver a high velocity liquid jet to a desired location in the mouth of a patient. The handpiece may include a positioning member having a channel through or along which the jet can propagate. The positioning member may have a distal end portion configured to be at least partially disposed in a pulp cavity, canal space, or opening in the tooth under treatment. During operation, the jet may impact an impingement surface of the distal end portion of the positioning member and be deflected as a spray through one or more openings in the distal end portion. The liquid jet apparatus may be used for root canal treatments.
摘要翻译： 公开了用于牙科治疗的液体喷射装置的系统和方法。 在一个实施方案中，液体喷射装置可以包括构造成将高速液体射流输送到患者口腔中的期望位置的手持件。 手持件可以包括定位构件，该定位构件具有通过喷射器可以传播的通道。 定位构件可以具有远端部分，其构造成至少部分地设置在纸浆腔，运河空间或处理的牙齿中的开口处。 在操作期间，射流可以冲击定位构件的远端部分的冲击表面，并且通过远端部分中的一个或多个开口作为喷射而偏转。 液体喷射装置可用于根管治疗。
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公开(公告)号：US09675426B2
公开(公告)日：2017-06-13
申请号：US13279199
申请日：2011-10-21
摘要： Examples of apparatus, methods, and compositions for endodontic treatments are described. The apparatus can include a fluid platform configured to substantially retain fluid in a tooth chamber during treatment. The fluid platform can help maintain fluid circulation in the tooth chamber as fluid flows into and out of the tooth chamber. The apparatus can also include a pressure wave generator configured to generate acoustic waves that can be used for cleaning root canals and tooth surfaces in the tooth chamber. Examples of pressure wave generators include a liquid jet, an electromagnetic energy delivery device, and an ultrasonic device. The fluid can include antiseptic or antibacterial solutions to assist in tooth cleaning. The fluid may be degassed to have a reduced dissolved gas content (compared to non-degassed fluids used in endodontic treatments), which may improve the effectiveness of the pressure wave generation or the cleaning.
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公开(公告)号：US09492244B2
公开(公告)日：2016-11-15
申请号：US12945791
申请日：2010-11-12
IPC分类号： A61C17/02 , A61C5/02 , A61C17/028
CPC分类号： A61C5/62 , A61C5/40 , A61C17/02 , A61C17/028
摘要： Systems and methods for using a liquid jet apparatus for dental treatments are disclosed. In one implementation, the liquid jet apparatus may include a handpiece configured to deliver a high velocity liquid jet to a desired location in the mouth of a patient. The handpiece may include a positioning member having a channel through or along which the jet can propagate. The positioning member may have a distal end portion configured to be at least partially disposed in a pulp cavity, canal space, or opening in the tooth under treatment. During operation, the jet may impact an impingement surface of the distal end portion of the positioning member and be deflected as a spray through one or more openings in the distal end portion. The liquid jet apparatus may be used for root canal treatments.
摘要翻译： 公开了用于牙科治疗的液体喷射装置的系统和方法。 在一个实施方案中，液体喷射装置可以包括构造成将高速液体射流输送到患者口腔中的期望位置的手持件。 手持件可以包括定位构件，该定位构件具有通过喷射器可以传播的通道。 定位构件可以具有远端部分，其构造成至少部分地设置在纸浆腔，运河空间或处理的牙齿中的开口处。 在操作期间，射流可以冲击定位构件的远端部分的冲击表面，并且通过远端部分中的一个或多个开口作为喷射而偏转。 液体喷射装置可用于根管治疗。
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公开(公告)号：US20110137408A1
公开(公告)日：2011-06-09
申请号：US12960035
申请日：2010-12-03
申请人： Bjarne Bergheim
发明人： Bjarne Bergheim
IPC分类号： A61F2/24
CPC分类号： A61F2/2427 , A61B8/12 , A61B8/445 , A61B17/04 , A61B17/068 , A61B17/3468 , A61B2017/00243 , A61B2017/00247 , A61B2017/22097 , A61B2018/00392 , A61F2/01 , A61F2/2412 , A61F2/2433 , A61F2230/0006
摘要： The invention provides methods and systems for introducing a delivery device in the heart at or near the apex of the heart, wherein the delivery device includes a prosthesis, advancing the prosthesis to the target site, and disengaging the prosthesis from the delivery device at the target site for implantation. Specifically, the present invention provides valve replacement systems for delivering a replacement heart valve to a target site in or near a heart. The valve replacement system comprises a trocar or other suitable device to penetrate the heart at or near the apex of the heart, a delivery member that is movably disposed within the trocar, and a replacement cardiac valve disposed on the delivery member. The delivery member may further comprise mechanical or inflatable expanding members to facilitate implantation of the prosthetic valve at the target site.
摘要翻译： 本发明提供了用于在心脏顶点或其附近的心脏中引入输送装置的方法和系统，其中所述输送装置包括假体，将所述假体推进到所述目标部位，以及使所述假体与所述输送装置脱离所述靶 植入部位。 具体地，本发明提供了用于将替换心脏瓣膜递送到心脏内或附近的靶部位的瓣膜置换系统。 瓣膜置换系统包括套管针或其它合适的装置，以在心脏顶点处或附近穿透心脏，可移动地设置在套管针内的输送构件和设置在输送构件上的置换心脏瓣膜。 输送构件还可以包括机械的或可膨胀的膨胀构件，以便于在目标位置植入人造瓣膜。
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