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公开(公告)号：US06858005B2
公开(公告)日：2005-02-22
申请号：US10229577
申请日：2002-08-27
申请人： Robert M. Ohline , Joseph M. Tartaglia , Amir Belson , Alex T. Roth , Wade A. Keller , Scott C. Anderson , Chris A. Julian
发明人： Robert M. Ohline , Joseph M. Tartaglia , Amir Belson , Alex T. Roth , Wade A. Keller , Scott C. Anderson , Chris A. Julian
CPC分类号： A61B1/00128 , A61B1/00006 , A61B1/00057 , A61B1/0016 , A61B1/0053 , A61B1/0057 , A61B1/0058 , A61B1/01 , A61B1/31 , A61B5/065 , A61B2034/301 , A61B2034/741 , A61B2034/742
摘要： A steerable, tendon-driven endoscope is described herein. The endoscope has an elongated body with a manually or selectively steerable distal portion and an automatically controlled, segmented proximal portion. The steerable distal portion and the segment of the controllable portion are actuated by at least two tendons. As the endoscope is advanced, the user maneuvers the distal portion, and a motion controller actuates tendons in the segmented proximal portion so that the proximal portion assumes the selected curve of the selectively steerable distal portion. By this method the selected curves are propagated along the endoscope body so that the endoscope largely conforms to the pathway selected. When the endoscope is withdrawn proximally, the selected curves can propagate distally along the endoscope body. This allows the endoscope to negotiate tortuous curves along a desired path through or around and between organs within the body.
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公开(公告)号：US20100094088A1
公开(公告)日：2010-04-15
申请号：US12425272
申请日：2009-04-16
申请人： Robert M. Ohline , Joseph M. Tartaglia , Amir Belson , Alex T. Roth , Wade A. Keller , Scott C. Anderson , Christopher A. Julian
发明人： Robert M. Ohline , Joseph M. Tartaglia , Amir Belson , Alex T. Roth , Wade A. Keller , Scott C. Anderson , Christopher A. Julian
IPC分类号： A61B1/005
CPC分类号： A61B1/00128 , A61B1/00006 , A61B1/00057 , A61B1/0016 , A61B1/0053 , A61B1/0057 , A61B1/0058 , A61B1/01 , A61B1/31 , A61B5/065 , A61B2034/301 , A61B2034/741 , A61B2034/742
摘要： A steerable, tendon-driven endoscope is described herein. The endoscope has an elongated body with a manually or selectively steerable distal portion and an automatically controlled, segmented proximal portion. The steerable distal portion and the segment of the controllable portion are actuated by at least two tendons. As the endoscope is advanced, the user maneuvers the distal portion, and a motion controller actuates tendons in the segmented proximal portion so that the proximal portion assumes the selected curve of the selectively steerable distal portion. By this method the selected curves are propagated along the endoscope body so that the endoscope largely conforms to the pathway selected. When the endoscope is withdrawn proximally, the selected curves can propagate distally along the endoscope body. This allows the endoscope to negotiate tortuous curves along a desired path through or around and between organs within the body.
摘要翻译： 这里描述了可操纵的肌腱驱动的内窥镜。 内窥镜具有细长主体，其具有手动或选择性可操纵的远侧部分和自动控制的分段近端部分。 可操纵的远端部分和可控部分的段由至少两个腱致动。 当内窥镜前进时，使用者操纵远侧部分，并且运动控制器致动分段近端部分中的肌腱，使得近端部分呈现选择性可操纵的远侧部分的选定曲线。 通过该方法，所选择的曲线沿着内窥镜主体传播，使得内窥镜大体上符合所选择的路径。 当内窥镜向近侧收回时，所选择的曲线可沿内窥镜体向远端传播。 这允许内窥镜沿着穿过体内器官之间或之间的所需途径协商曲折曲线。
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公开(公告)号：US08721530B2
公开(公告)日：2014-05-13
申请号：US13180501
申请日：2011-07-11
申请人： Robert M. Ohline , Joseph M. Tartaglia , Amir Belson , Alex T. Roth , Wade A. Keller , Scott C. Anderson , Christopher A. Julian
发明人： Robert M. Ohline , Joseph M. Tartaglia , Amir Belson , Alex T. Roth , Wade A. Keller , Scott C. Anderson , Christopher A. Julian
IPC分类号： A61B1/00
CPC分类号： A61B1/00128 , A61B1/00006 , A61B1/00057 , A61B1/0016 , A61B1/0053 , A61B1/0057 , A61B1/0058 , A61B1/01 , A61B1/31 , A61B5/065 , A61B2034/301 , A61B2034/741 , A61B2034/742
摘要： A steerable, tendon-driven endoscope is described herein. The endoscope has an elongated body with a manually or selectively steerable distal portion and an automatically controlled, segmented proximal portion. The steerable distal portion and the segment of the controllable portion are actuated by at least two tendons. As the endoscope is advanced, the user maneuvers the distal portion, and a motion controller actuates tendons in the segmented proximal portion so that the proximal portion assumes the selected curve of the selectively steerable distal portion. By this method the selected curves are propagated along the endoscope body so that the endoscope largely conforms to the pathway selected. When the endoscope is withdrawn proximally, the selected curves can propagate distally along the endoscope body. This allows the endoscope to negotiate tortuous curves along a desired path through or around and between organs within the body.
摘要翻译： 这里描述了可操纵的肌腱驱动的内窥镜。 内窥镜具有细长主体，其具有手动或选择性可操纵的远侧部分和自动控制的分段近端部分。 可操纵的远端部分和可控部分的段由至少两个腱致动。 当内窥镜前进时，使用者操纵远侧部分，并且运动控制器致动分段近端部分中的腱，使得近端部分呈现选择性可操纵的远侧部分的选定曲线。 通过该方法，所选择的曲线沿着内窥镜主体传播，使得内窥镜大体上符合所选择的路径。 当内窥镜向近侧收回时，所选择的曲线可沿内窥镜体向远端传播。 这允许内窥镜沿着穿过体内器官之间或之间的所需途径协商曲折曲线。
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公开(公告)号：US20110306836A1
公开(公告)日：2011-12-15
申请号：US13180501
申请日：2011-07-11
申请人： Robert M. Ohline , Joseph M. Tartaglia , Amir Belson , Alex T. Roth , Wade A. Keller , Scott C. Anderson , Christopher A. Julian
发明人： Robert M. Ohline , Joseph M. Tartaglia , Amir Belson , Alex T. Roth , Wade A. Keller , Scott C. Anderson , Christopher A. Julian
IPC分类号： A61B1/00
CPC分类号： A61B1/00128 , A61B1/00006 , A61B1/00057 , A61B1/0016 , A61B1/0053 , A61B1/0057 , A61B1/0058 , A61B1/01 , A61B1/31 , A61B5/065 , A61B2034/301 , A61B2034/741 , A61B2034/742
摘要： A steerable, tendon-driven endoscope is described herein. The endoscope has an elongated body with a manually or selectively steerable distal portion and an automatically controlled, segmented proximal portion. The steerable distal portion and the segment of the controllable portion are actuated by at least two tendons. As the endoscope is advanced, the user maneuvers the distal portion, and a motion controller actuates tendons in the segmented proximal portion so that the proximal portion assumes the selected curve of the selectively steerable distal portion. By this method the selected curves are propagated along the endoscope body so that the endoscope largely conforms to the pathway selected. When the endoscope is withdrawn proximally, the selected curves can propagate distally along the endoscope body. This allows the endoscope to negotiate tortuous curves along a desired path through or around and between organs within the body.
摘要翻译： 这里描述了可操纵的肌腱驱动的内窥镜。 内窥镜具有细长主体，其具有手动或选择性可操纵的远侧部分和自动控制的分段近端部分。 可操纵的远端部分和可控部分的段由至少两个腱致动。 当内窥镜前进时，使用者操纵远侧部分，并且运动控制器致动分段近端部分中的肌腱，使得近端部分呈现选择性可操纵的远侧部分的选定曲线。 通过该方法，所选择的曲线沿着内窥镜主体传播，使得内窥镜大体上符合所选择的路径。 当内窥镜向近侧收回时，所选择的曲线可沿内窥镜体向远端传播。 这允许内窥镜沿着穿过体内器官之间或之间的所需途径协商曲折曲线。
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公开(公告)号：US20080214893A1
公开(公告)日：2008-09-04
申请号：US12042202
申请日：2008-03-04
IPC分类号： A61B1/01
CPC分类号： A61B1/00073 , A61B1/0014 , A61B1/00147 , A61B1/0053 , A61B1/0055 , A61B1/008 , A61B1/01 , A61B1/07 , A61B1/31 , A61B5/065 , A61B2017/00323 , A61B2034/301 , A61B2034/741 , A61B2034/742
摘要： An endoscope with guiding apparatus is provided. The endoscope has an elongate body with a steerable distal portion, an automatically controlled portion, a flexible and passively manipulated proximal portion, and an externally controlled and manipulatable guiding apparatus. The guiding apparatus may be positioned within the endoscope or may be positioned adjacent to the endoscope. An interlocking device is provided to slidably interlock the guiding apparatus and the endoscope. When the guide is in a flexible state, it can conform to a curve or path defined by the steerable distal portion and the automatically controlled portion. The guide can then be selectively rigidized to assume that curve or path. Once rigidized, the endoscope can be advanced along the guide in a monorail or “piggy-back” fashion so that the flexible proximal portion follows the curve held by the guide until the endoscope reaches a next point of curvature within a body lumen.
摘要翻译： 提供具有引导装置的内窥镜。 内窥镜具有细长主体，其具有可转向的远端部分，自动控制部分，柔性和被动操纵的近端部分以及外部控制和可操纵的引导装置。 引导装置可以定位在内窥镜内，或者可以定位成与内窥镜相邻。 联锁装置设置成可滑动地联动引导装置和内窥镜。 当引导件处于柔性状态时，其可以符合由可转向远端部分和自动控制部分限定的曲线或路径。 然后，引导件可以选择性地刚性化以假定该曲线或路径。 一旦刚性化，内窥镜可以沿着导轨以单轨或“背部”方式前进，使得柔性近端部分遵循由引导件保持的曲线，直到内窥镜到达体腔内的下一个曲率点。
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公开(公告)号：US06984203B2
公开(公告)日：2006-01-10
申请号：US10306580
申请日：2002-11-27
IPC分类号： A61B1/04
CPC分类号： A61B1/00073 , A61B1/0014 , A61B1/00147 , A61B1/0053 , A61B1/0055 , A61B1/008 , A61B1/01 , A61B1/07 , A61B1/31 , A61B5/065 , A61B2017/00323 , A61B2034/301 , A61B2034/741 , A61B2034/742
摘要： An endoscope with guiding apparatus is provided. The endoscope has an elongate body with a steerable distal portion, an automatically controlled portion, a flexible and passively manipulated proximal portion, and an externally controlled and manipulatable guiding apparatus. The guiding apparatus may be positioned within the endoscope or may be positioned adjacent to the endoscope. An interlocking device is provided to slidably interlock the guiding apparatus and the endoscope. When the guide is in a flexible state, it can conform to a curve or path defined by the steerable distal portion and the automatically controlled portion. The guide can then be selectively rigidized to assume that curve or path. Once rigidized, the endoscope can be advanced along the guide in a monorail or “piggy-back” fashion so that the flexible proximal portion follows the curve held by the guide until the endoscope reaches a next point of curvature within a body lumen.
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公开(公告)号：US10085880B2
公开(公告)日：2018-10-02
申请号：US13164648
申请日：2011-06-20
摘要： Methods and apparatuses for temperature modification of a patient, or selected regions thereof, including an induced state of hypothermia. The temperature modification is accomplished using an in-dwelling heat exchange catheter within which a fluid heat exchange medium circulates. A heat exchange cassette of any one of several disclosed variations is attached to the circulatory conduits of the catheter, the heat exchange cassette being sized to engage a cavity within one of various described re-usable control units. The control units include a heater/cooler device, a user input device, and a processor connected to receive input from various sensors around the body and the system. The heater/cooler device may be thermoelectric to enable both heating and 15″ cooling based on polarity. A temperature control scheme for ramping the body temperature up or down without overshoot is provided. The disposable heat exchange cassettes may include an integral pump head that engages with a pump drive mechanism within the re-usable control unit. More than one control unit may be provided to receive the same heat exchange cassette so that, for example, a large capacity control unit can be used initially, and a smaller, battery-powered unit can be substituted once the patient reaches the desired target temperature.
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8.发明授权公开(公告)号：US07879077B2
公开(公告)日：2011-02-01
申请号：US11674119
申请日：2007-02-12
IPC分类号： A61F7/00
CPC分类号： A61F7/0085 , A61B2017/00092 , A61B2017/00119 , A61B2017/00123 , A61B2017/00199 , A61B2017/22051 , A61F7/0097 , A61F7/10 , A61F7/123 , A61F2007/0054 , A61F2007/0096 , A61F2007/126 , A61M25/10 , A61M25/1011 , A61M2025/1072 , A61M2025/1086 , A61M2205/12 , A61M2205/127
摘要： Methods and apparatuses for temperature modification of a patient, or selected regions thereof, including an induced state of hypothermia. The temperature modification is accomplished using an in-dwelling heat exchange catheter within which a fluid heat exchange medium circulates. A heat exchange cassette of any one of several disclosed variations is attached to the circulatory conduits of the catheter, the heat exchange cassette being sized to engage a cavity within one of various described re-usable control units. The control units include a heater/cooler device, a user input device, and a processor connected to receive input from various sensors around the body and the system. The heater/cooler device may be thermoelectric to enable both heating and 15″ cooling based on polarity. A temperature control scheme for ramping the body temperature up or down without overshoot is provided. The disposable heat exchange cassettes may include an integral pump head that engages with a pump drive mechanism within the re-usable control unit. More than one control unit may be provided to receive the same heat exchange cassette so that, for example, a large capacity control unit can be used initially, and a smaller, battery-powered unit can be substituted once the patient reaches the desired target temperature.
摘要翻译： 包括诱导低温的状态的患者的温度改变方法和装置，或其选定区域。 使用在其中流体热交换介质循环的内部热交换导管来实现温度改变。 几个公开的变型中的任何一个的热交换盒附接到导管的循环导管，热交换盒的尺寸适于接合各种所描述的可重复使用的控制单元之一内的空腔。 控制单元包括加热器/冷却器装置，用户输入装置和连接以接收来自身体和系统周围的各种传感器的输入的处理器。 加热器/冷却器装置可以是热电，以使得能够基于极性进行加热和15“冷却。 提供了一种用于使体温上升或下降而没有过冲的温度控制方案。 一次性热交换盒可以包括与可再使用的控制单元内的泵驱动机构接合的整体泵头。 可以提供多于一个控制单元以接收相同的热交换盒，使得例如最初可以使用大容量控制单元，并且一旦患者达到期望的目标温度，可以取代较小的电池供电的单元 。
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9.发明授权公开(公告)号：US06695874B2
公开(公告)日：2004-02-24
申请号：US10061692
申请日：2002-02-01
申请人： Timothy R. Machold , Alex T. Roth , Wade A. Keller
发明人： Timothy R. Machold , Alex T. Roth , Wade A. Keller
IPC分类号： A61F700
CPC分类号： A61F7/0085 , A61B2017/00092 , A61B2017/00119 , A61B2017/00123 , A61B2017/00199 , A61B2017/22051 , A61F7/0097 , A61F7/10 , A61F7/123 , A61F2007/0054 , A61F2007/0096 , A61F2007/126 , A61M25/10 , A61M25/1011 , A61M2025/1072 , A61M2025/1086 , A61M2205/12 , A61M2205/127
摘要： Methods and apparatuses for temperature modification of a patient, or selected regions thereof, including inducing hypothermia. The temperature modification is accomplished using an in-dwelling heat exchange catheter within which a fluid heat exchange medium circulates. A heat exchange cassette of any one of several disclosed variations is attached to the circulatory flow lines of the catheter, the heat exchange cassette being sized to engage a cavity within one of various described re-usable control units. A temperature control scheme for ramping the body temperature up or down without overshoot is provided. The disposable heat exchange cassettes may include an integral pump head that engages with a pump drive mechanism within the re-usable control unit. More than one control unit may be provided to receive the same heat exchange cassette allowing substitution of a smaller, battery-powered unit for a large capacity control once the patient reaches the desired target temperature.
摘要翻译： 用于患者温度改变的方法和装置，或其选定的区域，包括诱导低体温。 使用在其中流体热交换介质循环的内部热交换导管来实现温度改变。 几个公开的变型中的任何一个的热交换盒附接到导管的循环流动管线，热交换盒的尺寸适于接合各种所描述的可重复使用的控制单元之一内的空腔。 提供了一种用于使体温上升或下降而没有过冲的温度控制方案。 一次性热交换盒可以包括与可再使用的控制单元内的泵驱动机构接合的整体泵头。 可以提供多于一个的控制单元来接收相同的热交换盒，一旦患者达到期望的目标温度，便可以更换较小的电池供电的单元进行大容量控制。
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10.发明授权公开(公告)号：US07175649B2
公开(公告)日：2007-02-13
申请号：US10645891
申请日：2003-08-20
IPC分类号： A61F7/00
CPC分类号： A61F7/0085 , A61B2017/00092 , A61B2017/00119 , A61B2017/00123 , A61B2017/00199 , A61B2017/22051 , A61F7/0097 , A61F7/10 , A61F7/123 , A61F2007/0054 , A61F2007/0096 , A61F2007/126 , A61M25/10 , A61M25/1011 , A61M2025/1072 , A61M2025/1086 , A61M2205/12 , A61M2205/127
摘要： Methods and apparatuses for temperature modification of a patient, or selected regions thereof, including an induced state of hypothermia. The temperature modification is accomplished using an in-dwelling heat exchange catheter within which a fluid heat exchange medium circulates. A heat exchange cassette of any one of several disclosed variations is attached to the circulatory flow lines of the catheter, the heat exchange cassette being sized to engage a cavity within one of various described re-usable control units. The control units include a heater/cooler device, a user input device, and a processor connected to receive input from various sensors around the body and the system. The heater/cooler device may be thermoelectric to enable both heating and cooling based on polarity. A temperature control scheme for ramping the body temperature up or down without overshoot is provided. The disposable heat exchange cassettes may include an integral pump head that engages with a pump drive mechanism within the re-usable control unit. More than one control unit may be provided to receive the same heat exchange cassette so that a large capacity control unit can be used initially, and a smaller, battery-powered unit can be substituted once the patient reaches the desired target temperature.
摘要翻译： 包括诱导低温的状态的患者的温度改变方法和装置，或其选定区域。 使用在其中流体热交换介质循环的内部热交换导管来实现温度改变。 几个公开的变型中的任何一个的热交换盒附接到导管的循环流动管线，热交换盒的尺寸适于接合各种所描述的可重复使用的控制单元之一内的空腔。 控制单元包括加热器/冷却器装置，用户输入装置和连接以接收来自身体和系统周围的各种传感器的输入的处理器。 加热器/冷却器装置可以是热电，以使得能够基于极性进行加热和冷却。 提供了一种用于使体温上升或下降而没有过冲的温度控制方案。 一次性热交换盒可以包括与可重复使用的控制单元内的泵驱动机构接合的整体泵头。 可以设置多个控制单元以接收相同的热交换盒，使得最初可以使用大容量控制单元，并且一旦患者达到期望的目标温度，可以取代较小的电池供电的单元。
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