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1.发明申请LIQUID JET SURGICAL INSTRUMENTS INCORPORATING CHANNEL OPENINGS ALIGNED ALONG THE JET BEAM 有权液体喷枪外科手术器械与喷枪结合使用通道开口公开(公告)号：US20090076440A1
公开(公告)日：2009-03-19
申请号：US12207282
申请日：2008-09-09
IPC分类号： A61M1/00
CPC分类号： A61B17/3203
摘要： Certain embodiments of the surgical instruments provided according to the invention utilize a channel positioned adjacent to and downstream of a liquid jet-forming nozzle such that at least a portion of the liquid jet passes at least one of within the channel and adjacent to and along the length of at least a portion of a longitudinally-oriented opening in the channel, when the instrument is in operation. The use of such channels in certain embodiments of the inventive surgical instruments can enable the instruments to provide enhanced control over the depth and degree of cutting and/or ablation of tissue; and/or can provide improved and enhanced functionality for cleaning, debriding, and/or trimming and cutting a tissue/surface; and/or can provide longer effective liquid jet beam cutting/ablation lengths by reducing the degree of dispersion of the jet along its length.
摘要翻译： 根据本发明提供的外科器械的某些实施例利用位于液体射流形成喷嘴附近和下游的通道，使得液体射流的至少一部分通过通道内并且沿着 当仪器运行时，通道中的纵向定向开口的至少一部分的长度。 在本发明的外科器械的某些实施例中使用这种通道可使得器械能够提供对组织的切割和/或消融的深度和程度的增强的控制; 和/或可以提供用于清洁，清除和/或修剪和切割组织/表面的改进和增强的功能; 和/或可以通过减小射流沿其长度的分散程度来提供更长的有效的液体喷射束切割/消融长度。
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公开(公告)号：US08851866B2
公开(公告)日：2014-10-07
申请号：US12074294
申请日：2008-03-03
CPC分类号： A61B17/3203 , F04B53/121 , F04B53/122 , F04B53/143 , F04B53/147
摘要： Embodiments are described for engaging a pumping cartridge with a pump drive. In certain embodiments, the cartridge, including a cylinder and a movable piston assembly, is initially assembled or subsequently positioned so that the distance between the attachment point on the piston assembly for coupling to a drive assembly, and a reference point on the cylinder, is greater than the maximal distance that will be encountered during normal oscillation of the piston during use. The cartridge, in certain embodiments, may be pressed into a drive assembly that immobilizes the cartridge and couples the piston assembly to the driveshaft. In certain embodiments, when the cartridge is fully inserted into the drive assembly, the piston is pressed into the cylinder sufficiently to establish a selected distance so that the piston shaft is in the proper position to engage with a coupling mechanism carried on the driveshaft.
摘要翻译： 描述了将泵筒与泵驱动器接合的实施例。 在某些实施例中，包括气缸和可移动活塞组件的料筒最初被组装或随后定位成使得活塞组件上的连接点与驱动组件和缸体上的参考点之间的距离是 大于在使用期间活塞的正常振荡期间将遇到的最大距离。 在某些实施例中，筒可被压入固定盒的驱动组件中，并将活塞组件连接到驱动轴上。 在某些实施例中，当盒被完全插入到驱动组件中时，活塞被充分压入气缸中以建立所选择的距离，使得活塞轴处于与承载在驱动轴上的联接机构接合的适当位置。
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公开(公告)号：US07337538B2
公开(公告)日：2008-03-04
申请号：US10756801
申请日：2004-01-13
CPC分类号： A61B17/3203 , F04B53/121 , F04B53/122 , F04B53/143 , F04B53/147
摘要： Apparatus and methods of their use are described for engaging a pumping cartridge with a pump drive. In certain embodiments, the cartridge, comprising a cylinder and a movable piston assembly, is initially assembled or subsequently positioned so that the distance between the attachment point on the piston assembly for coupling to a drive assembly, and a reference point on the cylinder, is greater than the maximal distance that will be encountered during normal oscillation of the piston during use. The cartridge, in certain embodiments may be pressed into a drive assembly having means for immobilizing the cartridge and means for coupling the piston assembly to the driveshaft. In certain embodiments, when the cartridge is fully inserted into the drive assembly, the piston is pressed into the cylinder sufficiently to establish a selected distance so that the piston shaft is in the proper position to engage with a coupling mechanism carried on the driveshaft.
摘要翻译： 描述了其使用的装置和方法，用于将泵筒与泵驱动器接合。 在某些实施例中，包括圆柱体和可移动活塞组件的料筒最初被组装或随后定位，使得活塞组件上的连接点与驱动组件和圆筒上的参考点之间的距离为 大于在使用期间活塞的正常振荡期间将遇到的最大距离。 在某些实施例中，筒可被压入具有用于固定盒的装置的驱动组件和用于将活塞组件联接到驱动轴的装置。 在某些实施例中，当盒被完全插入到驱动组件中时，活塞被充分压入气缸中以建立所选择的距离，使得活塞轴处于与承载在驱动轴上的联接机构接合的适当位置。
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公开(公告)号：US5944686A
公开(公告)日：1999-08-31
申请号：US481566
申请日：1995-06-07
CPC分类号： A61B17/3203 , A61B2017/003 , A61B2017/2927 , A61B2017/32032
摘要： An instrument for delivering a variable pressure stream of fluid as a coherent jet. The instrument may be configured for holding in the hand of a user or for manipulation by machine control. The orifices may be oriented axially, transversely or obliquely. A deflector may be provided opposite the orifice to transform the jet stream into a harmless spray. The deflector may be slidable (in the axial mode) or pivotable (in the transverse mode) to ensure a small instrument profile. The instrument may be moldable allowing the user to reshape the jet tip into a desired configuration. The instrument may be remotely steerable and enable a user to selectively alter the direction of the jet without having to remove the instrument from the surgical site.
摘要翻译： 一种用于输送可变压力流体流作为相干射流的仪器。 仪器可以被配置为保持在用户的手中或通过机器控制进行操纵。 孔可以轴向，横向或倾斜地定向。 可以在孔口对面设置偏转器，以将喷射流转换成无害喷雾。 偏转器可以是可滑动的（在轴向模式下）或可枢转的（横向模式），以确保小的仪器型材。 仪器可以是可模制的，允许使用者将喷射头重塑成所需的构型。 仪器可以是远程操纵的，并且使得使用者能够选择性地改变射流的方向，而不必从手术部位移除仪器。
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公开(公告)号：US5871462A
公开(公告)日：1999-02-16
申请号：US484008
申请日：1995-06-07
CPC分类号： A61B17/3203 , A61B17/1644 , A61B2017/00973 , A61B2017/1648 , A61B2017/32032 , A61B2018/2025 , A61B2090/3937 , A61B2090/395 , A61B2217/005 , A61B2217/007 , Y10T83/04
摘要： A method of pin-pointing a fluid jet onto a target involves pumping fluid at a low pressure through a jet creating instrument, directing the low pressure jet onto a target and pumping the fluid at a higher pressure while maintaining the jet on the target.
摘要翻译： 将流体射流引导到目标上的方法包括通过射流产生装置在低压下泵送流体，将低压射流引导到靶上，并在更高的压力下泵送流体，同时将射流保持在目标上。
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公开(公告)号：US4968300A
公开(公告)日：1990-11-06
申请号：US253678
申请日：1988-10-05
CPC分类号： A61M25/10 , A61M1/1072 , A61M25/1002
摘要： A mechanism advances to stretch an intraaortic balloon prior to insertion or removal. One embodiment includes a member which extends through a catheter from the handle to the balloon, and which advances to extend the balloon without appreciably twisting it. A spring detent assembly in the handle defines a precise amount of extension delivered by the member. The mechanism permits the balloon to be fully relaxed once it is inserted and to be recompacted, following use, for removal from the patient. The device is of particular utility for a large diameter, irregular or polygonal non-cylindrical balloon, and for inserting a balloon along an arterial path having a narrow passage or sharp curve.
摘要翻译： 一种机制在插入或移除之前促进主动脉内球囊的拉伸。 一个实施例包括从手柄延伸穿过导管到气囊的构件，并且其前进以延伸气囊而不会使其明显扭曲。 手柄中的弹簧制动器组件限定了由构件传递的精确的延伸量。 该机构允许气囊在插入后被完全松弛，并且在使用之后被重新压实以从患者中移除。 该装置对于大直径，不规则或多边形非圆柱形气囊特别有用，并且用于沿着具有窄通道或尖锐曲线的动脉路径插入球囊。
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公开(公告)号：US08572783B2
公开(公告)日：2013-11-05
申请号：US12448027
申请日：2007-12-07
申请人： Timothy E. Moutafis
发明人： Timothy E. Moutafis
CPC分类号： A47C27/081 , A47C27/10 , A61G5/1043 , A61G7/05769 , A61G7/05776
摘要： The invention provides a variety of devices for supporting at least a portion of a user's body. In some embodiments, the invention provides a support device which includes a bladder capable of containing a fluid and a post adjacent the bladder. The bladder may form a rolling diaphragm portion with the post such that when a force is applied to the bladder, the rolling diaphragm portion of the bladder rolls along the post decreasing the volume of the bladder. In some embodiments, the invention provides a post which includes a reduced cross-sectional area in comparison to an adjacent region of the post such that the resistance of the rolling diaphragm portion of the bladder to rolling movement along the post due to the applies force decreases as the bladder rolls along the reduced cross-sectional area region. In some embodiments, the support device includes a plurality of bladders and/or a plurality of posts.
摘要翻译： 本发明提供了用于支持用户身体的至少一部分的各种装置。 在一些实施例中，本发明提供了一种支撑装置，其包括能够容纳流体的囊和邻近囊的柱。 囊可以形成具有柱的滚动隔膜部分，使得当力施加到气囊时，气囊的滚动隔膜部分沿着柱体沿着柱体的体积减小。 在一些实施例中，本发明提供了一种柱，其与柱的相邻区域相比包括减小的横截面积，使得气囊的滚动膜片部分的阻力由于施加的力而沿着柱的滚动运动减小 因为气囊沿着减小的横截面积区域滚动。 在一些实施例中，支撑装置包括多个囊和/或多个柱。
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公开(公告)号：US07122017B2
公开(公告)日：2006-10-17
申请号：US10100499
申请日：2002-03-18
CPC分类号： A61B17/3203 , A61B17/32037 , A61B2017/2926 , A61B2017/32032
摘要： The invention provides a variety of surgical instruments for forming a liquid jet, which are useful for performing a wide variety of surgical procedures. In some embodiments, the invention provides surgical liquid jet instruments having a pressure lumen and an evacuation lumen, where the pressure lumen includes at least one nozzle for forming a liquid jet and where the evacuation lumen includes a jet-receiving opening for receiving the liquid jet when the instrument is in operation. In some embodiments, the pressure lumen and the evacuation lumen of the surgical liquid jet instruments are constructed and positionable relative to each other so that the liquid comprising the liquid jet, and any tissue or material entrained by the liquid jet can be evacuated through the evacuation lumen without the need for an external source of suction. The invention also provides a variety of surgical liquid jet instruments that are constructed and configured specifically for use in a surrounding liquid environment or a surrounding gaseous environment. The invention also provides a variety of surgical liquid jet instruments that are rotatably deployable from an undeployed position, for insertion into the body of a patient, to a deployed position, in which there is a separation distance between the liquid jet nozzle and the jet-receiving opening that defines a liquid jet path length. The invention also provides surgical methods utilizing the inventive surgical liquid jet instruments, and methods for forming components of the surgical liquid jet instruments.
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公开(公告)号：US06669710B2
公开(公告)日：2003-12-30
申请号：US10262274
申请日：2002-10-01
IPC分类号： A61B1732
CPC分类号： A61B17/320758 , A61B17/3203 , A61B2017/00553
摘要： The present invention provides a series of devices useful for surgical procedures utilizing rotatable components for grinding, cutting, ablating, polishing, drilling, screwing, etc., tissues of the body of a patient. The invention includes, in one aspect, a series of devices comprising surgical instruments including rotatable shafts, and surgical components drivable by the shafts that can be utilized for contact with tissue in a surgical operating field. Some preferred surgical instruments provided by the invention utilize a liquid jet-driven rotor mechanism for driving rotation of the rotatable shaft. Some preferred instruments provided by the invention include both a liquid jet-driven rotor mechanism and a nozzle at the distal end of the instrument for forming a liquid cutting jet for cutting or ablating tissue of a patient. Such instruments can include a liquid flow directing valve therein that includes a pressure-tight sealing component comprising a sealing element that is constructed and arranged to be slidably moveable within a cylinder of the valve. The invention provides methods for utilizing the inventive surgical instruments in surgical procedures involving both cutting or ablating tissue of a patient with a liquid cutting jet and grinding, cutting, or ablating tissue with a rotating surface of a surgical instrument.
摘要翻译： 本发明提供了一系列用于利用可旋转部件进行研磨，切割，消融，抛光，钻孔，旋拧等的患者体内的组织的外科手术的装置。 本发明在一个方面包括一系列装置，其包括包括可旋转轴的外科器械和可由轴驱动的手术部件，所述手术部件可用于在外科手术领域中与组织接触。 本发明提供的一些优选的手术器械利用液体喷射驱动的转子机构来驱动旋转轴的旋转。 由本发明提供的一些优选的仪器包括液体喷射驱动的转子机构和在仪器的远端处的喷嘴，用于形成用于切割或消除患者组织的液体切割射流。 这种仪器可以包括其中的液体流动导向阀，其包括耐压密封部件，该密封部件包括密封元件，密封元件构造和布置成可在阀的气缸内滑动。 本发明提供了在外科手术过程中利用本发明的外科器械的方法，其涉及用液体切割射流切割或消融患者的组织，并用外科器械的旋转表面研磨，切割或消融组织。
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公开(公告)号：US4962765A
公开(公告)日：1990-10-16
申请号：US166961
申请日：1988-03-11
CPC分类号： A61B5/01 , A61C19/043 , G01K13/002
摘要： A periodontal probe has a probe finger extending from a handle to an L-shaped distal end which includes a tip adapted for insertion into a periodontal pocket and formed of a thermally insulative material. A temperature sensing element is mounted at the extreme end of the tip. Conductive leads extend from the sensing element, through the probe tip to the handle. In a preferred embodiment, the temperature sensor is a thermocouple or thermistor, and the tip is sealed within an epoxy outer skin. The tip tapers so that the thermal mass of the probe in the vicinity of the sensing element quickly attains the temperature of surrounding tissue while minimally perturbing that temperature. The handle may contain signal processing or temperature display units, and the probe tip preferably includes graduations for indicating probe depth. Interchangeable sensor matching circuit elements adapt sensor elements having different characteristics to a common display driver. A system includes a probe and a processor with a display which indicates periodontal site locations to prompt entry of temperature measurements and to display disease indications based on those measurements. The temperatures are processed and are compared to stored tables of temperature difference distributions, to provide site-specific tissue diagnosis.
摘要翻译： 牙周探针具有从手柄延伸到L形远端的探针，所述探针指向包括适于插入牙周袋并由绝热材料形成的尖端。 温度感测元件安装在尖端的最末端。 导电引线从感测元件延伸，通过探针尖端延伸到手柄。 在优选实施例中，温度传感器是热电偶或热敏电阻，并且尖端密封在环氧树脂外皮内。 尖端变窄，使得探测元件附近的探头的热质量快速达到周围组织的温度，同时最小程度地扰乱该温度。 手柄可以包含信号处理或温度显示单元，并且探针尖端优选地包括用于指示探针深度的刻度。 可互换传感器匹配电路元件将具有不同特性的传感器元件适用于公共显示驱动器。 系统包括探针和具有显示器的处理器，所述显示器指示牙周位置位置以促进进入温度测量并基于这些测量显示疾病指示。 处理温度并将其与存储的温差分布表进行比较，以提供位点特异性组织诊断。
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