公开(公告)号：US06517477B1

公开(公告)日：2003-02-11

申请号：US09492448

申请日：2000-01-27

申请人： Jeffrey Michael Wendlandt

发明人： Jeffrey Michael Wendlandt

IPC分类号： A61B101

CPC分类号： A61B1/00156 ,  A61B1/00082 ,  A61B1/00094 ,  A61B1/00147 ,  A61B1/0057 ,  A61B1/0058 ,  A61B1/01 ,  A61B1/018 ,  A61B1/053 ,  A61B1/2733 ,  A61B1/31 ,  A61M25/0116 ,  A61M2210/1042

摘要： A catheter introducer system for endoscopy includes a steering section and a propulsion section located near the end of the flexible, tubular catheter that is introduced in a body cavity. The propulsion section is designed to pull the rest of the catheter inside the body cavity, so there is no need to push the catheter along from outside the body. Propulsion may be accomplished by relatively movable gripping pads that selectively apply suction to the tissue. The steering section is designed to point the end of the catheter that is introduced into the body cavity in the desired direction. The catheter can thus be made very flexible in bending, and a larger diameter catheter can be used without discomfort to the patient.

摘要翻译： 用于内窥镜检查的导管导引器系统包括转向部分和位于柔性管状导管的端部附近的推进部分，其被引入体腔中。 推进部分被设计成将导管的其余部分拉到体腔内，因此不需要将导管从身体外部推出。 可以通过相对可移动的夹板来实现推进，所述相对可动的夹板选择性地将吸力施加到组织。 转向部分被设计成将导管的端部指向所期望的方向被引入体腔内。 因此，导管可以在弯曲时变得非常柔性，并且可以使用更大直径的导管而不使患者不舒适。

公开(公告)号：US06485409B1

公开(公告)日：2002-11-26

申请号：US09646941

申请日：2000-11-13

申请人： Michael Voloshin ,  Yackov Bar-or ,  Victor Levin ,  Giora Bernat ,  Dan Oz

发明人： Michael Voloshin ,  Yackov Bar-or ,  Victor Levin ,  Giora Bernat ,  Dan Oz

IPC分类号： A61B101

CPC分类号： A61B1/05 ,  A61B1/00147 ,  A61B1/00151 ,  A61B1/0051 ,  A61B1/31 ,  A61M25/0119

摘要： Endoscopic apparatus which advances within a lumen (40) includes a probe (20) having distal and proximal ends and a flexible sleeve (26) coupled proximally to the probe. The sleeve is inflated in order to propel the probe within the lumen. The probe typically includes an imaging device (28), which captures images inside the lumen.

摘要翻译： 在内腔（40）内前进的内窥镜装置包括具有远端和近端的探针（20）和与探针近端联接的柔性套筒（26）。 套管被充气以便将探针推进腔内。 探针通常包括捕获内腔内的图像的成像装置（28）。

公开(公告)号：US06171234B2

公开(公告)日：2001-01-09

申请号：US09161352

申请日：1998-09-25

申请人： David A. White ,  Linda H. Lammerts van Bueren

发明人： David A. White ,  Linda H. Lammerts van Bueren

IPC分类号： A61B101

CPC分类号： A61B1/018 ,  A61M25/0113 ,  A61M25/09041

摘要： A tool for coaxially loading a flexible member into a lumen of a catheter. Typically, the flexible member is a flexible imaging core or similar device. The tool includes a body which has a connector, which connects the body to a hub located on the catheter. A pair of opposed rollers, disposed proximate to the connector, are used to advance the flexible member, through the connector, and into the catheter, which is connected to the connector. The flexible member is advanced by counter rotating the rollers.

摘要翻译： 用于将柔性构件同轴地装载到导管的内腔中的工具。 通常，柔性构件是柔性成像芯或类似装置。 该工具包括具有将主体连接到位于导管上的轮毂的连接器的主体。 靠近连接器设置的一对相对的辊被用于通过连接器将柔性构件推进，并且连接到连接器的导管中。 柔性构件通过反转辊来推进。

公开(公告)号：US06699179B2

公开(公告)日：2004-03-02

申请号：US10020913

申请日：2001-12-19

申请人： Jeffrey Michael Wendlandt

发明人： Jeffrey Michael Wendlandt

IPC分类号： A61B101

CPC分类号： A61B1/31 ,  A61B1/00 ,  A61B1/00156 ,  A61B1/0052 ,  A61B1/0058 ,  A61B1/018 ,  A61B1/053 ,  A61B1/2733 ,  A61M25/0116 ,  A61M25/0119 ,  A61M2210/1042

摘要： A self propelling catheter introducer system for exploring a body cavity is disclosed which includes a flexible tubular catheter, a propulsion section and a steering section located near the end of the catheter that is introduced in a body cavity. The propulsion section includes a flexible everting tube designed to push the catheter from inside the body cavity. The catheter can thus be made very flexible in bending, and a larger diameter catheter can be used without discomfort to the patient.

摘要翻译： 公开了一种用于探索体腔的自推进导管导引器系统，其包括柔性管状导管，推进部分和位于导管端部附近的转向部分，导管部分引入体腔。 推进部分包括设计成从体腔内部推动导管的柔性护套管。 因此，导管可以在弯曲时变得非常柔性，并且可以使用更大直径的导管而不使患者不舒适。

公开(公告)号：US06648814B2

公开(公告)日：2003-11-18

申请号：US09993851

申请日：2001-11-14

申请人： Byungkyu Kim ,  Young Mo Lim ,  Young Jae Lee ,  Yeh-Sun Hong ,  Soo Hyun Kim ,  Jong-Oh Park

发明人： Byungkyu Kim ,  Young Mo Lim ,  Young Jae Lee ,  Yeh-Sun Hong ,  Soo Hyun Kim ,  Jong-Oh Park

IPC分类号： A61B101

CPC分类号： A61B1/041 ,  A61B1/00156 ,  A61B34/72

摘要： A micro-robot for colonoscope with motor locomotion comprises an information detecting unit for obtaining information of the interior of the colon and a driving unit for generating its own locomotion and moving the information detecting unit without causing any damages to the walls of the colon.

公开(公告)号：US06309346B1

公开(公告)日：2001-10-30

申请号：US09605826

申请日：2000-06-29

申请人： Ashkan Farhadi

发明人： Ashkan Farhadi

IPC分类号： A61B101

CPC分类号： A61B1/00156 ,  A61B1/0051 ,  A61B1/31

摘要： Improving upon conventional endoscope patent, the proposed design (Creeping colonoscope) has a new mechanism for movement of the conventional colonoscope in the large intestine. This method of movement, which resembles climbing a ladder, where hands could assist the climbing force of the feet results from consecutive appliance of a pair of sucking arms on the tip of the colonoscope to the adjacent mucosa. The sucking arms adhere to the mucosa by vacuum power provided by an external suction device and pull the mucosa toward the tip of the fiberoptic colonoscope after mucosal adhesion. Successive repetition of this operation not only pulls the mucosa over the colonoscope but also moves the colonoscope tip onward. It should be noted that this mechanism of action is not a substitute of the primary mode of movement of the colonoscope induced by pushing of the shaft. But this minor movement help the colonoscope to pass the flexures more smoothly and with less pushing force that induce pain and discomfort for the patients. Passing the tip beyond the flexure, the endoscopist would be able to perform hooking and shortening (straightening) maneuver more easily and this leads to better transmitting of the pushing force to the tip of the colonoscope. The result is less effort and procedure time on the physicians' end and less pain and discomfort on the patients' end.

摘要翻译： 改进传统的内窥镜专利，提出的设计（爬行结肠镜）具有传统结肠镜在大肠中运动的新机制。 这种运动方式类似于爬梯，手可以帮助脚的爬升力由结肠镜的尖端上的一对吸臂的连续装置产生于邻近的粘膜。 吸附臂通过由外部抽吸装置提供的真空动力粘附到粘膜上，并且在粘膜粘附后将粘膜拉向光纤结肠镜的尖端。 连续重复这一操作不仅将粘膜拉到结肠镜上，还可以将结肠镜向前移动。 应该注意，这种作用机制不能代替通过推动轴而引起的结肠镜的主要运动模式。 但这种小动作有助于结肠镜更顺利地传递弯曲，并且具有较少的推力，从而引起患者的疼痛和不适。 将尖端穿过弯曲部，内窥镜医生能够更容易地进行钩挂和缩短（矫直）操作，并且这可以更好地将推力传递到结肠镜的尖端。 结果是减少了医生的努力和程序时间，减少了患者的痛苦和不适。

公开(公告)号：US06364826B1

公开(公告)日：2002-04-02

申请号：US09334531

申请日：1999-06-16

申请人： Cornelius Borst ,  Hendricus J. Mansvelt Beck ,  Paul F. Gründeman ,  Erik W. L. Jansen

发明人： Cornelius Borst ,  Hendricus J. Mansvelt Beck ,  Paul F. Gründeman ,  Erik W. L. Jansen

IPC分类号： A61B101

CPC分类号： A61B17/02 ,  A61B17/0206 ,  A61B90/50 ,  A61B2017/00243 ,  A61B2017/00703 ,  A61B2017/0243 ,  A61B2017/306 ,  A61B2018/00291

摘要： A method and apparatus for temporarily immobilizing a local area of tissue. In particular, the present invention provides a method and apparatus for temporarily immobilizing a local area of heart tissue to thereby permit surgery on a coronary vessel in that area without significant deterioration of the pumping function of the beating heart. The local area of heart tissue is immobilized to a degree sufficient to permit minimally invasive or micro-surgery on that area of the heart. The present invention features a suction device to accomplish the immobilization. The suction device is coupled to a source of negative pressure. The suction device has a series of suction ports on one surface. Suction through the device causes suction to be maintained at the ports. The device further is shaped to conform to the surface of the heart. Thus, when the device is placed on the surface of the heart and suction is created, the suction through the ports engages the surface of the heart. The suction device is further fixed or immobilized to a stationary object, such as an operating table or a sternal or rib retractor. Thus, the local area of the heart near the suction device is temporarily fixed or immobilized relative to the stationary object while suction is maintained. In such a fashion, the coronary artery may be immobilized even though the heart itself is still beating so that a bypass graft may be performed. In addition the suction device may be used in either a conventional, open-chest environment or in a minimally-invasive environment, e.g. endoscopic.

公开(公告)号：US06332865B1

公开(公告)日：2001-12-25

申请号：US09582853

申请日：2000-08-14

申请人： Thomas Julius Borody ,  Peter Stephenson ,  John Begg ,  Peter Ayre

发明人： Thomas Julius Borody ,  Peter Stephenson ,  John Begg ,  Peter Ayre

IPC分类号： A61B101

CPC分类号： A61B1/31 ,  A61B1/00156 ,  A61M25/01 ,  A61M25/0105 ,  A61M25/0116

摘要： A self-advancing endoscope (10) comprising an elongated flexible tubular member (12) and an elongated channel (14) defined by the tubular member (12) and having a distal end wall (16). Piston means (22) are slideably disposed in the channel (14) toward the distal end wall (16). The endoscope (10) also comprises means (24, 26) for reciprocating the piston means (22) such that the piston means (22) impacts the distal end wall (16) on an advancing stroke.

摘要翻译： 一种自行进的内窥镜（10），包括细长的柔性管状构件（12）和由所述管状构件（12）限定并具有远端壁（16）的细长通道（14）。 活塞装置（22）可滑动地设置在通道（14）中，朝向远端壁（16）。 内窥镜（10）还包括用于使活塞装置（22）往复移动的装置（24,26），使得活塞装置（22）在前进行程上冲击远端壁（16）。

公开(公告)号：US06196966B1

公开(公告)日：2001-03-06

申请号：US09222007

申请日：1998-12-30

申请人： John Kerin ,  Charles Milo ,  Julian N. Nikolchev ,  James Doty ,  Dai T. Ton ,  Richard Hill ,  Marc Schraner ,  Tom Kramer

发明人： John Kerin ,  Charles Milo ,  Julian N. Nikolchev ,  James Doty ,  Dai T. Ton ,  Richard Hill ,  Marc Schraner ,  Tom Kramer

IPC分类号： A61B101

CPC分类号： A61B1/04 ,  A61B1/0008 ,  A61B1/00082 ,  A61B1/00085 ,  A61B1/00135 ,  A61B1/00149 ,  A61B1/00165 ,  A61B1/01 ,  A61B1/07 ,  A61B1/303 ,  A61B1/32 ,  A61B5/6886 ,  A61B17/221 ,  A61B90/50 ,  A61B2017/2215 ,  A61B2090/0815

摘要： A method and apparatus are provided for imaging a narrow body lumen, the method comprising maintaining separation between a distal end of an optical viewing scope and a lumen wall with a spacing structure which extends distally from the distal end of an access catheter. Optional spacing structures include distal cages and a guidewire which is fixed to and extends distally from the access catheter body. The invention is beneficial during either retrograde imaging of the fallopian tube, and also allows antigrade imaging and advancing the access catheter and scope under the direction of the image provided, as it prevents the tubal wall from coming into such close proximity to a falloposcope as to produce “white-out” on the imaging monitor.

摘要翻译： 提供了一种用于对狭窄体腔进行成像的方法和装置，所述方法包括保持光学观察镜的远端与管腔壁之间的间隔，其具有从进入导管的远端向远端延伸的间隔结构。 可选的间隔结构包括远端保持架和导线，其被固定到远离导管主体并向远端延伸。 本发明在输卵管的逆行成像期间是有益的，并且还允许在所提供的图像的方向下进行防越级成像和推进进入导管和范围，因为它可以防止输卵管壁进入如此紧密的接近于阴道镜，以至于 在成像监视器上产生“白色”。

公开(公告)号：US06793622B2

公开(公告)日：2004-09-21

申请号：US10233405

申请日：2002-09-04

申请人： Yutaka Konomura ,  Yasuo Hirata ,  Takakazu Ishigami

发明人： Yutaka Konomura ,  Yasuo Hirata ,  Takakazu Ishigami

IPC分类号： A61B101

CPC分类号： A61B1/00048 ,  A61B1/00039 ,  A61B1/0016 ,  A61B1/0052 ,  A61B1/05 ,  A61B2560/0431 ,  G02B23/2476

摘要： An electric bending endoscope having a traction-member operating device according to the present invention has traction members each of whose one end portion is fixed to and extends from a distal end portion of a long and narrow inserting portion, a pulley forming multiple peripheral recesses in which middle parts of the traction members are wound and are located in predetermined states, respectively, a motor for rotating, in a predetermined direction, the pulley in the state where the traction members are wound and are located, an arm member having a plurality of arm members to which base end portions of the traction members wound and located in the peripheral recesses of the pulley and extended therefrom are fixed, and an operation instructing lever to which the arm member is integrally fixed and having an operating portion for changing a slanting direction and a slanting amount to instruct to move a predetermined traction member from the plurality of traction members by a predetermined amount.

摘要翻译： 具有根据本发明的牵引构件操作装置的电动弯曲内窥镜具有牵引构件，每个牵引构件的一个端部固定到长而窄的插入部分的远端部分并且从其延伸;滑轮，其形成多个周边凹部 牵引构件的中间部分被卷绕并分别位于预定状态;马达，用于在牵引构件被卷绕并定位的状态下沿预定方向旋转滑轮;臂构件，具有多个 牵引构件的基端部被卷绕并定位在滑轮的周边凹部中并从其延伸的臂构件，以及操作指示杆，臂构件整体固定到该操作杆上，并具有用于改变倾斜方向的操作部分 以及倾斜量，用于指示通过预吸附剂从多个牵引构件移动预定的牵引构件 数量。