公开(公告)号：US20080289398A1

公开(公告)日：2008-11-27

申请号：US11753975

申请日：2007-05-25

申请人： Amir H. Khashayar

发明人： Amir H. Khashayar

IPC分类号： G01M3/02

CPC分类号： A61M5/14526 ,  A61B17/3203 ,  A61F9/00736 ,  A61M39/24

摘要： The present invention accommodates differences in cracking pressures between check valves by determining a pressure on the input of a check valve that corresponds to a predetermined flow rate at the output of the check valve. A container is incrementally pressurized and the vacuum at a point on the output side of the check valve is monitored. Once fluid begins to pass through the check valve, the vacuum drops. At the predetermined flow rate, the pump cannot maintain a predetermined vacuum level since it cannot exceed a maximum speed. At this point the pressure applied to the container corresponds to the predetermined flow rate. An offset is added to the pressure to determine the minimum operating pressure.

摘要翻译： 本发明通过确定对应于止回阀的输出处的预定流量的止回阀的输入上的压力来适应止回阀之间的开启压力的差异。 容器被增量地加压，并且在止回阀的输出侧的一点处的真空被监测。 一旦液体开始通过止回阀，真空就会下降。 在预定的流速下，由于泵不能超过最大速度，泵不能保持预定的真空度。 此时，施加到容器的压力对应于预定的流量。 将压力加到压力上以确定最小工作压力。

公开(公告)号：US20080214891A1

公开(公告)日：2008-09-04

申请号：US11680781

申请日：2007-03-01

申请人： Dale E. Slenker ,  Cecil O. Lewis ,  Gerould W. Norman ,  John R. Prisco

发明人： Dale E. Slenker ,  Cecil O. Lewis ,  Gerould W. Norman ,  John R. Prisco

IPC分类号： A61B1/04

CPC分类号： A61B17/3203 ,  A61B1/00091 ,  A61B1/012 ,  A61B1/0125 ,  A61B1/015 ,  A61B1/12 ,  A61B1/227 ,  A61B1/233 ,  A61M1/0039

摘要： Systems and methods of removing bacterial biofilm from a target site using a biofilm removal endoscope. The endoscope has an insertion portion including an imaging channel terminating at a viewing window and an irrigation channel terminating at a nozzle. The imaging and irrigation channels are permanently affixed relative to one another. The insertion portion is inserted into the patient, with a working end thereof being disposed proximate the target site. The target site is imaged and a flow of fluid is dispensed via the nozzle to mechanically remove bacterial biofilm from the target site.

摘要翻译： 使用生物膜去除内窥镜从靶位点去除细菌生物膜的系统和方法。 内窥镜具有包括终端于观察窗口的成像通道和终止于喷嘴的冲洗通道的插入部分。 成像和灌溉通道相对于彼此永久地固定。 插入部分被插入患者体内，其工作端设置在目标部位附近。 成像目标部位，并通过喷嘴分配流体流，以从靶位置机械去除细菌生物膜。

公开(公告)号：US20080132888A1

公开(公告)日：2008-06-05

申请号：US11633346

申请日：2006-12-04

申请人： Koji Iida ,  Mai Wakamatsu ,  Tomoyuki Takashino

发明人： Koji Iida ,  Mai Wakamatsu ,  Tomoyuki Takashino

IPC分类号： A61B18/14

CPC分类号： A61B17/3203 ,  A61B18/14 ,  A61B2018/1472 ,  A61B2218/002 ,  A61B2218/007 ,  B05B1/3447 ,  B05B17/0607

摘要： An electrosurgical instrument comprises an elongated treatment instrument body; a nozzle portion provided at the distal side of the treatment instrument body for injecting a conductive fluid flowing to the inside of the treatment instrument body from the distal end of the treatment instrument body in the atomized state; and an electrode provided at a distal side relative to the nozzle for discharging high-frequency electric energy supplied from a power source transmitted from the proximal side to the distal side of the treatment instrument body through an electric conductive member along the atomized-state conductive fluid injected from the nozzle portion.

摘要翻译： 电外科器械包括细长的治疗仪器体; 设置在处理器具主体的远端侧的喷嘴部，用于从雾化状态的治疗器具主体的前端喷射流入治疗器具主体内部的导电性流体; 以及电极，其设置在相对于所述喷嘴的远端侧，用于沿着所述雾化状态的导电性流体，通过导电部件排出从所述治疗器具主体的基端侧向所述远端侧供给的高频电能 从喷嘴部喷射。

公开(公告)号：US07349742B2

公开(公告)日：2008-03-25

申请号：US10745341

申请日：2003-12-23

申请人： Ron Heil ,  Darrell Orvin Wagner ,  Adam W. Cates ,  Curtis Charles Lindstrom

发明人： Ron Heil ,  Darrell Orvin Wagner ,  Adam W. Cates ,  Curtis Charles Lindstrom

IPC分类号： A61N1/05

CPC分类号： A61N1/05 ,  A61B17/320068 ,  A61B17/3203 ,  A61B17/3415 ,  A61B17/3417 ,  A61B90/30 ,  A61B2017/00243 ,  A61B2017/00247 ,  A61B2017/320044 ,  A61B2017/320084 ,  A61B2018/00392 ,  A61B2090/3945 ,  A61B2217/005 ,  A61B2217/007 ,  A61N1/056 ,  A61N1/0568 ,  A61N1/0587 ,  A61N1/08 ,  A61N1/36542 ,  A61N1/36585 ,  A61N1/3956 ,  A61N1/3962

摘要： Subcutaneous systems and leads may be fixed in tissue after placement by use of one or more expanding fixation elements. An expanding fixation element is provided on an implantable lead and configured to secure one or both of a subcutaneous electrode and the lead body within subcutaneous non-intrathoracic tissue. A delivery apparatus comprising a sheath may be included that is configured to introduce the lead to a desired subcutaneous non-intrathoracic location within the patient. A method of lead delivery typically involves introducing a sheath into a subcutaneous non-intrathoracic body location of a patient, providing a lead comprising a lead body and an electrode, and advancing the lead through the sheath and to the subcutaneous non-intrathoracic body location. The method further involves fixing the lead to subcutaneous non-intrathoracic tissue using an expanding fixation element and thereafter removing the sheath from the patient.

摘要翻译： 皮下系统和引线可以在通过使用一个或多个扩张固定元件放置之后固定在组织中。 在可植入引线上设置有扩张的固定元件，并且构造成将皮下电极和引线体中的一个或两个固定在皮下非胸内组织内。 可以包括包括护套的递送装置，其被配置为将引入物导入患者体内期望的皮下非胸内位置。 引线递送的方法通常包括将鞘导入患者的皮下非胸内体位置，提供包括引线主体和电极的引线，并且使引线穿过护套和皮下非胸内体位置。 该方法还包括使用扩张的固定元件将引线固定到皮下的非胸腔内组织，然后从患者中除去鞘。

公开(公告)号：US07302294B2

公开(公告)日：2007-11-27

申请号：US10817749

申请日：2004-04-02

申请人： Apurv Kamath ,  Paul Haefner ,  Darrell Orvin Wagner ,  Marina Brockway

发明人： Apurv Kamath ,  Paul Haefner ,  Darrell Orvin Wagner ,  Marina Brockway

IPC分类号： A61N1/365

CPC分类号： A61N1/3956 ,  A61B17/320068 ,  A61B17/3203 ,  A61B17/3415 ,  A61B17/3417 ,  A61B90/30 ,  A61B2017/00243 ,  A61B2017/00247 ,  A61B2017/320044 ,  A61B2017/320084 ,  A61B2018/00392 ,  A61B2090/3945 ,  A61B2090/3979 ,  A61B2217/005 ,  A61B2217/007 ,  A61N1/05 ,  A61N1/056 ,  A61N1/0568 ,  A61N1/0587 ,  A61N1/36542 ,  A61N1/36585 ,  A61N1/37 ,  A61N1/3925 ,  A61N1/3962 ,  A61N1/3987

摘要： Cardiac systems and methods using ECG and blood information for arrhythmia detection and discrimination. Detection circuitry is configured to produce an ECG. An implantable blood sensor configured to produce a blood sensor signal is coupled to a processor. The processor is coupled to the detection and energy delivery circuitry, and used to evaluate and treat cardiac rhythms using both the cardiac electrophysiologic and blood sensor signals. The blood sensor is configured for subcutaneous non-intrathoracic placement and provided in or on the housing, on a lead coupled to the housing, and/or separate to the housing and coupled to the processor via hardwire or wireless link. The blood sensor may be configured for optical sensing, using a blood oxygen saturation sensor or pulse oximeter. A cardiac rhythm may be evaluated using the electrocardiogram signal and the blood sensor signal, and tachyarrhythmias may be treated after confirmation using the blood sense signal.

摘要翻译： 心脏系统和方法使用ECG和血液信息进行心律失常检测和辨别。 检测电路被配置为产生ECG。 构造成产生血液传感器信号的可植入血液传感器耦合到处理器。 处理器耦合到检测和能量输送电路，并且用于使用心脏电生理学和血液传感器信号来评价和治疗心律。 血液传感器被配置用于皮下非胸内放置并且设置在壳体中或外壳上，在耦合到壳体的引线上和/或分离到壳体并经由硬线或无线链路耦合到处理器。 血液传感器可以被配置为使用血氧饱和度传感器或脉搏血氧计进行光学感测。 可以使用心电图信号和血液传感器信号评估心律，并且可以在使用血液感测信号确认之后治疗快速性心律失常。

公开(公告)号：US20070190482A1

公开(公告)日：2007-08-16

申请号：US11711945

申请日：2007-02-27

申请人： Ioana Rizoiu

发明人： Ioana Rizoiu

IPC分类号： A61C17/02

CPC分类号： A61B18/201 ,  A61B17/16 ,  A61B17/3203 ,  A61B18/20 ,  A61B18/26 ,  A61B2017/22085 ,  A61B2018/00011 ,  A61B2018/00017 ,  A61B2018/00029 ,  A61B2018/1807 ,  A61B2090/0813 ,  A61B2218/005 ,  A61B2218/008 ,  A61C1/0007 ,  A61C1/0046 ,  A61C1/0061 ,  A61C17/02 ,  A61C17/0202 ,  A61C17/0208 ,  A61C17/0217 ,  A61C2201/007 ,  A61F2210/0014 ,  A61M3/0279 ,  A61N2005/0644 ,  B23K26/144 ,  B23K26/146

摘要： A fluid conditioning system is adapted to condition the fluid used in medical and dental cutting, irrigating, evacuating, cleaning, and drilling operations. The fluid may be conditioned by adding flavors, antiseptics and/or tooth whitening agents such as peroxide, medications, and pigments. In addition to the direct benefits obtained from introduction of these agents, the laser cutting properties may be varied from the selective introduction of the various agents.

摘要翻译： 流体调节系统适于调节用于医疗和牙科切割，冲洗，抽空，清洁和钻孔操作中的流体。 可以通过加入香料，防腐剂和/或牙齿增白剂如过氧化物，药物和颜料来调节流体。 除了从引入这些试剂获得的直接益处之外，激光切割性能可以从各种试剂的选择性引入中变化。

公开(公告)号：US20070149968A1

公开(公告)日：2007-06-28

申请号：US11640328

申请日：2006-12-18

申请人： Bertrand Gonon

发明人： Bertrand Gonon

IPC分类号： A61B18/14

CPC分类号： A61B17/3203 ,  A61B18/1402 ,  A61B2018/00922 ,  A61B2018/00946 ,  A61B2018/1422 ,  A61B2018/1475 ,  A61B2217/005 ,  A61B2217/007

摘要： The invention provides a surgical dissection instrument comprising an electrode suitable for use in electrosurgery and a nozzle for use in generating a pressure jet of liquid wherein the electrode has a proximal end for connection to an electrosurgery generator and an electrode tip at the distal end and wherein the nozzle has a proximal end for connection to a source of pressurised liquid and a distal end at which the pressure jet is generated; and a method of using the instrument.

摘要翻译： 本发明提供了一种包括适用于电外科的电极和用于产生液体压力射流的喷嘴的手术解剖仪器，其中所述电极具有用于连接到电外科发生器的近端和在远端处的电极末端， 喷嘴具有用于连接到加压液体源的近端和产生压力射流的远端; 以及使用该仪器的方法。

公开(公告)号：US07226433B2

公开(公告)日：2007-06-05

申请号：US10455096

申请日：2003-06-05

申请人： Michael John Bonnette ,  John Christopher Riles ,  Mark Alfred Hilse ,  Eric Joel Thor ,  Marvin Harris York

发明人： Michael John Bonnette ,  John Christopher Riles ,  Mark Alfred Hilse ,  Eric Joel Thor ,  Marvin Harris York

IPC分类号： A61M25/00

CPC分类号： A61M39/0613 ,  A61B17/22 ,  A61B17/3203 ,  A61B17/32037 ,  A61B2017/00292 ,  A61B2017/00778 ,  A61B2017/22041 ,  A61B2090/034 ,  A61M25/0097 ,  A61M39/0693 ,  A61M2039/062 ,  A61M2039/0633 ,  A61M2039/066

摘要： A thrombectomy catheter device having an improved hemostasis valve which is self-sealing and which functions as a one-way valve. The self-sealing hemostasis valve can be factory preset to automatically seal with or without the inclusion of a guidewire at a certain desired pressure or allowable leakage. Such sealing is automatic without the need to manually manipulate a hemostasis nut to obtain hemostasis. The thrombectomy catheter device can, without hemostasis nut adjustment, be positioned along and about a guidewire while yet maintaining suitable pressure for sustaining hemostasis at a preferred level. Certain embodiments of the thrombectomy catheter device having a self-sealing hemostasis valve include an adjustable hemostasis nut which can be manually tightened to restrict flow or guidewire movement or loosened to reduce friction on the guidewire and allow fluid to flow out if desired. An introducer facilitates free passage of a guidewire in either direction through the hemostasis nut and hemostasis valving and can also be incorporated to purge internal air or fluids.

摘要翻译： 一种具有改进的止血阀的血栓切除术导管装置，该止血阀是自密封的并且用作单向阀。 自密封止血阀可以在出厂预设时自动密封，包括或不包括导丝在一定的期望压力或允许的泄漏。 这种密封是自动的，而不需要手动操作止血螺母以获得止血。 血栓切除术导管装置可以在没有止血螺母调节的情况下沿着导丝定位并且围绕导丝定位，同时保持适当的压力以维持止血在优选的水平。 具有自密封止血阀的血栓切除术导管装置的某些实施例包括可调节的止血螺母，其可以手动地紧固以限制流动或导丝运动或松动以减少导丝上的摩擦并且如果需要允许流体流出。 引导器促进导线沿任一方向自由通过止血螺母和止血阀，并且还可以并入以清除内部空气或流体。

公开(公告)号：US07218966B2

公开(公告)日：2007-05-15

申请号：US10804471

申请日：2004-03-19

申请人： Paul Haefner

发明人： Paul Haefner

IPC分类号： A61N1/365

CPC分类号： A61B17/320068 ,  A61B17/3203 ,  A61B17/3415 ,  A61B17/3417 ,  A61B90/30 ,  A61B2017/00243 ,  A61B2017/00247 ,  A61B2017/320044 ,  A61B2017/320084 ,  A61B2018/00392 ,  A61B2090/3945 ,  A61B2217/005 ,  A61B2217/007 ,  A61N1/05 ,  A61N1/056 ,  A61N1/0568 ,  A61N1/0587 ,  A61N1/08 ,  A61N1/36542 ,  A61N1/36585 ,  A61N1/3956 ,  A61N1/3962

摘要： An arrhythmia discrimination device and method involves receiving electrocardiogram signals and non-electrophysiologic signals at subcutaneous locations. Both the electrocardiogram-signals and non-electrophysiologic signals are used to discriminate between normal sinus rhythm and an arrhythmia. An arrhythmia may be detected using electrocardiogram signals, and verified using the non-electrophysiologic signals. A detection window may be initiated in response to receiving the electrocardiogram signal, and used to determine whether the non-electrophysiologic signal is received at a time falling within the detection window. Heart rates may be computed based on both the electrocardiogram signals and non-electrophysiologic signals. The rates may be used to discriminate between normal sinus rhythm and arrhythmia, and used to determining absence of an arrhythmia.

摘要翻译： 心律失常鉴别装置和方法涉及在皮下位置接收心电图信号和非电生理信号。 心电图信号和非电生理信号都用于区分正常窦性心律和心律失常。 可以使用心电图信号检测心律不齐，并使用非电生理信号进行验证。 可以响应于接收到心电图信号而启动检测窗口，并且用于确定在落在检测窗口内的时间是否接收到非电生理信号。 可以基于心电图信号和非电生理信号计算心率。 这些比率可用于区分正常窦性心律和心律不齐，并用于确定不存在心律失常。

公开(公告)号：US07187822B2

公开(公告)日：2007-03-06

申请号：US10404683

申请日：2003-04-01

申请人： Ioana M. Rizoiu ,  Jeffrey W. Jones

发明人： Ioana M. Rizoiu ,  Jeffrey W. Jones

IPC分类号： G02B6/26 ,  A61B18/22 ,  A61B17/32

CPC分类号： A61B18/20 ,  A61B17/16 ,  A61B17/3203 ,  A61B18/22 ,  A61B18/26 ,  A61B2017/22085 ,  A61B2018/00017 ,  A61B2018/1861 ,  A61B2090/0813 ,  A61B2218/008 ,  A61C1/0046 ,  A61C2201/007 ,  A61F2210/0014 ,  A61M3/0279 ,  B23K26/144 ,  B23K26/146 ,  G02B6/3604 ,  G11B27/105 ,  H04L67/24

摘要： A fiber tip fluid output device is provided for holding a fiber tip in an electromagnetic energy cutting apparatus and for directing water particles over a radiation delivery end of the fiber tip. The fiber tip fluid output device includes a generally cylindrical body having an outer surface, a proximal end, a distal end, and a lumen extending between the proximal end and the distal end. The lumen is sized and shaped to accommodate a fiber tip therethrough so that the fiber tip extends through the lumen from the proximal end to the distal end of the generally cylindrical body. The fiber tip fluid output device further includes a plurality of apertures extending around the generally cylindrical body, with each of the apertures of the plurality of apertures fluidly connecting the outer surface to the lumen. Fluid is mixed around the cylindrical body, before entering the lumen through the plurality of apertures for additional mixing. The mixed fluid is then output from the lumen of the fiber tip fluid output device onto the fiber tip, for subsequent interaction with electromagnetic energy in an interaction zone above a target surface.

摘要翻译： 提供了一种纤维尖端流体输出装置，用于将光纤尖端保持在电磁能量切割装置中并用于将水粒子引导到纤维尖端的辐射传送端上。 纤维尖端流体输出装置包括具有外表面，近端，远端和在近端和远端之间延伸的内腔的大致圆柱形主体。 管腔的尺寸和形状适于容纳穿过其中的纤维尖端，使得纤维尖端从大致圆柱形主体的近端延伸穿过内腔。 纤维尖端流体输出装置还包括围绕大致圆柱形主体延伸的多个孔，多个孔中的每个孔流体地将外表面连接到内腔。 流体在圆筒体周围混合，然后通过多个孔进入内腔以进行另外的混合。 然后将混合流体从纤维尖端流体输出装置的内腔输出到纤维尖端上，以便随后与目标表面上方的相互作用区域中的电磁能量相互作用。