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71. 发明公开

EP0401281A1 DEVICE AND METHOD FOR INTRAVAGINAL, BARRIER-TYPE PREVENTION OF CONCEPTION AND INFECTION 失效
标题翻译：装置和方法受孕，并使用屏障感染阴道预防。
公开(公告)号：EP0401281A1
公开(公告)日：1990-12-12
申请号：EP89903370.0
申请日：1989-02-10
申请人： VANCE PRODUCTS INCORPORATED d/b/a COOK UROLOGICAL INCORPORATED and COOK OB/GYN
发明人： SHIHATA, Alfred, A.
IPC分类号： A61F6
CPC分类号： A61F6/12 , A61F6/08
摘要： On a mis au point un dispositif et un procédé de prévention intravaginal de type barrière, contre la conception et les infections par des maladies transmises sexuellement, basé sur un dispositif (8) de type barrière, comprenant un dôme cervical souple (10) comportant un rebord de voûte continu (12) définissant une ouverture dans le dome (10), ainsi qu'un bord vaginal annulaire continu (14) limitant le dôme cervical (10) auquel il est fixé, au rebord de voûte (12). Le bord vaginal (14) est replié à partir du rebord de voûte (12) et a une dimension (22), (23) augmentant de manière continue avec une symétrie de circonférence, à partir d'une extension vaginale antérieure (14c) du bord, jusqu'à une extension vaginale postérieure du bord diamétralement opposée à l'extension vaginale extérieure (14c). Le rebord de la voûte (12) se caractérise par une languette (24) s'étendant vers l'intérieur à partir de l'ouverture, vers la ligne centrale du dôme (20). Le bord (14) est courbé dans un sens opposé à partir du dôme (10).

72. 发明公开

EP2229581A2 RAPID CHILLING DEVICE FOR VITRIFICATION 审中-公开
标题翻译：快速冷却装置玻璃营运
公开(公告)号：EP2229581A2
公开(公告)日：2010-09-22
申请号：EP09702523.3
申请日：2009-01-16
申请人： Vance Products Incorporated D/B/A Cook Urological Incorporated
发明人： CHIN, Milton
IPC分类号： G01N1/42 , A01N1/02
CPC分类号： G01N1/42 , A01N1/0257 , A01N1/0289
摘要： Successful cryopreservation by the vitrification method depends on high chilling speed. Practitioners of vitrification prefer to use liquid nitrogen as the chilling cryogen due to its inherent safety and low cost. Plunging vitrification cryocontainers in to a quiescent pool of liquid nitrogen invariably results in a chilling rate less than the theoretical potential. The shortfall is attributed to the well-known Leidenfrost effect. The purpose of this invention it to provide improve chilling rates during vitrification using liquid nitrogen. One feature of this invention is a contacting device that invokes convective heat transfer principles to increase chilling speed. In another feature of this invention, cryogen velocity is derived from a self-pressurized dewar containing a saturated cryogen. The self-pressurization is achieved by ambient heating of the dewar's contents. In another embodiment, a sub-cooled cryogen, such as propane, is used in tandem with a saturated cryogen, such as LN2, in a self-pressurized dewar.

73. 发明公开

EP1971272A2 DEFLECTABLE TIP ACCESS SHEATH 审中-公开
标题翻译： WITH偏转尖端访问锁定
公开(公告)号：EP1971272A2
公开(公告)日：2008-09-24
申请号：EP07716241.0
申请日：2007-01-04
申请人： VANCE PRODUCTS INCORPORATED d/b/a COOK UROLOGICAL INCORPORATED
发明人： RYAN, Walter, N. , BUNCH, Tyler, J. , DEMARS, Bruce, J. , DREWES, David, A., Jr. , FRANKLAND, Gregory, A.
IPC分类号： A61B17/00 , A61B17/34
CPC分类号： A61B17/3421 , A61B17/22031 , A61B2017/003 , A61B2017/00424 , A61B2017/00526 , A61B2017/3445 , A61M25/0009 , A61M25/0045 , A61M25/0136 , A61M25/0662 , A61M2025/0034 , A61M2025/0036 , A61M2025/004
摘要： A disposable access sheath having a deflectable tip is provided. The access sheath is very flexible and allows a physician or other medical professional to provide diagnostic or therapeutic services to a remote body cavity. The access sheath has a deflectable tip that is able to bend at least 90 DEG or 180 DEG or more. This flexibility allows the physician or medical professional to make a very tight turn to visualize or treat the body cavity being treated. The access sheath may include a visualization system, a working channel, an irrigation channel, or other desirable features. The access sheath may include an interface at the proximal end of the working channel for insertion of an instrument for diagnosis or treatment of a human or mammalian patient.

74. 发明公开

EP0808611A3 Anti-reflux ureteral stent 失效
标题翻译：抗反流输尿管支架
公开(公告)号：EP0808611A3
公开(公告)日：1999-12-01
申请号：EP97303408.5
申请日：1997-05-19
申请人： VANCE PRODUCTS INCORPORATED d/b/a COOK UROLOGICAL INCORPORATED
发明人： Mesrobian, Hriar-George O. , Roemer, Frederick D.
IPC分类号： A61F2/04 , A61M25/00
CPC分类号： A61M27/008 , A61M25/0068
摘要： Ureteral stents are tubes which are placed in the ureter between the bladder and kidney to maintain patency when otherwise due to stone burden, invasive tumor, scarring, or whenever the ureter has become obstructed in order to provide drainage of urine from the kidney to the bladder. In the past, stents of this nature are open ended tubes and may allow for the reflux of urine back into the kidney when there is sufficient buildup of pressure within the bladder. Since urine is generally considered to be sterile when within the body, this is generally not a problem. However, if the patient has a bladder infection and/or pyrogens are present, then urine refluxed into the ureter and kidney may result in the development of sepsis in the patient and cause serious illness and even death. The stent of the present invention has a very specific design and avoids this problem by providing a stent having a closed section, i.e., the bladder end section does not contain any fluid passageways and also comprises a means for retaining the stent within the bladder after implantation.
摘要翻译：输尿管支架是放置在膀胱和肾脏之间的输尿管中的管，以在其他情况下由于结石负担，侵入性肿瘤，瘢痕形成或每当输尿管已经阻塞以便将尿从肾脏排泄至膀胱时保持通畅。过去，这种性质的支架是开口式管，当膀胱内有足够的压力积聚时，可以允许尿液回流回肾。由于尿液通常在体内被认为是无菌的，所以这通常不是问题。然而，如果患者存在膀胱感染和/或热源，则尿液回流到输尿管和肾脏可能导致患者发生败血症并导致严重疾病甚至死亡。本发明的支架具有非常具体的设计并且通过提供具有封闭部分的支架来避免该问题，即，囊端部不包含任何流体通路，并且还包括用于在植入后将支架保持在囊内的装置。

75. 发明公开

EP0763345A1 Uterine endometrial tissue sample brush 失效
标题翻译：子宫内膜异位症Musterbürste
公开(公告)号：EP0763345A1
公开(公告)日：1997-03-19
申请号：EP96306567.7
申请日：1996-09-10
申请人： VANCE PRODUCTS INCORPORATED d/b/a COOK UROLOGICAL INCORPORATED
发明人： Maksem, John A. , Tao, Liang-Che
IPC分类号： A61B10/00
CPC分类号： A61B10/0291 , A61B2010/0216
摘要： A uterine endometrial tissue sample brush 10 simultaneously possesses good ability to exfoliate endometrial tissue without trauma to the uterine canal 38 and good ability to collect the exfoliated endometrial tissue. The brush 10 includes a flexible core 12 having a proximal core end 14 and a distal core end 16, and a cylindrical brush member 18 carried adjacent the distal core end 16. The core 12 is preferably formed from a spirally wrapped pair of wires 22 and includes an atraumatic tip 26 at the distal core end 16. The brush member 18 is about 3 to 5 cm long and has a free outside diameter suited to maintain patient comfort yet comprehensively contact the undilated uterine canal 38, preferably, about 5.08 to 7.62 mm (0.2 to 0.3 in.). The brush member 18 includes a plurality of resilient bristles 20 axially spaced about 0.5 to 1.5 mm apart. A critical aspect of the brush is that the bristles 20 have a stiffness equivalent to that possessed by nylon-6,12 at a diameter of about 0.076 to 0.152 mm (0.003 to 0.006 in.). Such a stiffness unexpectedly gives the brush 10 good exfoliating and collecting abilities simultaneously, in contrast to prior devices which may possess either good exfoliating or good collecting abilities, but not both abilities at the same time. The bristles 20 are preferably composed of nylon-6,12 of about 0.127 mm (0.005 in.) diameter, and are retained between the pair of wires 22 so that they are spirally arrayed. The brush 10 also preferably includes a flexible sheath 24 adapted to slidably receive the core 12 and brush member 18 therein, to prevent the collection of undesired exocervical or vaginal fluid or material during introduction or removal of the brush 10. The sheath 24 preferably has an outside diameter of no more than about 2.8 mm, making the brush 10 especially useful for routinely and repeatedly collecting samples for cancer screening or monitoring ongoing estrogen replacement therapy.
摘要翻译：子宫内膜组织样本刷10同时具有良好的剥离子宫内膜组织的能力，而不对子宫管38造成损伤，并具有收集脱落的子宫内膜组织的良好能力。刷子10包括具有近端芯部端部14和远侧芯部端部16的柔性芯部12以及邻近远侧芯部端部16运送的圆柱形刷部件18.芯部12优选地由螺旋卷绕的一对电线22和包括在远端芯端16处的无创尖端26.刷部件18长约3至5厘米，具有适于保持患者舒适度的自由外径，但全面接触未扩张的子宫管38，优选为约5.08至7.62毫米（0.2〜0.3in。）。刷子部件18包括多个间隔开约0.5至1.5毫米的多个弹性刷毛20。刷子的关键方面是刷毛20的刚度等于尼龙-6,12所具有的直径约为0.076至0.152mm（0.003至0.006英寸）的刚度。与现有的装置相比，这种刚度意外地使刷10具有良好的剥离和收集能力，与现有的装置相比，其可以具有良好的去角质或良好的收集能力，但不能同时具有两种能力。刷毛20优选地由直径约0.127mm（0.005英寸）的尼龙-6,12组成，并且被保持在一对导线22之间，使得它们被螺旋排列。刷子10还优选地包括适于在其中可滑动地容纳纤芯12和刷构件18的柔性护套24，以防止在引入或移除刷子10期间收集不需要的外阴或阴道流体或材料。护套24优选具有外径不大于约2.8mm，使得刷10特别适用于常规和反复收集用于癌症筛选或监测正在进行的雌激素替代疗法的样品。

76. 发明授权

EP0465051B1 Surgical containment apparatus 失效
标题翻译：手术摇篮。
公开(公告)号：EP0465051B1
公开(公告)日：1995-08-16
申请号：EP91305570.3
申请日：1991-06-19
申请人： VANCE PRODUCTS INCORPORATED d/b/a COOK UROLOGICAL INCORPORATED
发明人： Clayman, Ralph Victor , Pingleton, Edward Duane
IPC分类号： A61B19/00
CPC分类号： A61B17/00234 , A61B2017/00287 , Y10S128/24

77. 发明公开

EP0541377A1 Surgical cutting instrument 失效
标题翻译： ChirurgischesSchneidgerät。
公开(公告)号：EP0541377A1
公开(公告)日：1993-05-12
申请号：EP92310144.8
申请日：1992-11-05
申请人： VANCE PRODUCTS INCORPORATED d/b/a COOK UROLOGICAL INCORPORATED and COOK OB/GYN
发明人： Pingleton, Edward D. , Thomson, Paul G.
IPC分类号： A61B17/32
CPC分类号： A61B17/32002 , A61B2217/005
摘要： A surgical cutting instrument is disclosed in FIG.4 for percutaneously debulking tissue through an access sheath. The cutting instrument includes an inner rotary member tube 401 having a cutting edge 407 at the distal end thereof for cutting and slicing tissue. The outside surface of the rotary inner cutting member tube and outer sheath 409 annularly close about the distal ends thereof for preventing perforation of the surgical tissue bag in which the tissue is contained. The inner cutting member tube includes a hollow passageway for suctioning and aspirating tissue and fluid through the tube and into a collection chamber 419 or out through a vacuum or suction line 422 attached thereto. Vacuum or suction control ports are included at the proximal end of the inner cutting member tube and stationary sheath for also controlling the amount of vacuum or suction applied to the tissue. The surgical cutting instrument includes a control handle 431 for grasping by the physician. A collection chamber is connected to a coupler connected to the stationary sheath for collecting tissue therein. The inner cutting member tube extends through the collection chamber to a drive motor 440 or to a remotely positioned rotary drive mechanism. A vacuum line is attached to the collection chamber for drawing tissue and fluid through the inner cutting member tube and into the collection chamber.
摘要翻译：在图4中公开了一种外科切割仪器，用于通过进入护套经皮减压组织。切割器具包括内部旋转构件管401，其在其远端具有切割边缘407，用于切割和切片组织。旋转内切割构件管和外护套409的外表面围绕其远端环形地靠近，以防止其中容纳组织的手术组织袋的穿孔。内部切割构件管包括中空通道，用于通过管吸引和抽吸组织和流体，并通过附接到其的真空或吸入管线422进入收集室419或出来。在内切割构件管和固定护套的近端处包括真空或吸入控制口，用于还控制施加到组织的真空量或抽吸量。外科切割仪器包括用于由医生掌握的控制手柄431。收集室连接到连接到固定护套的耦合器，用于在其中收集组织。内切割构件管延伸通过收集室到驱动马达440或远程定位的旋转驱动机构。真空管线附接到收集室，用于将组织和流体通过内切割构件管并进入收集室。

78. 发明公开

EP0502996A1 BIOPSY INSTRUMENT, STYLET AND CANNULA ASSEMBLY 失效
标题翻译：大会，由活检器械，针和STILETTO。
公开(公告)号：EP0502996A1
公开(公告)日：1992-09-16
申请号：EP91901498.0
申请日：1990-11-26
申请人： VANCE PRODUCTS INCORPORATED d/b/a COOK UROLOGICAL INCORPORATED
发明人： TERWILLIGER, Richard, A. , HEBERT, Daniell , HALL, Jack
IPC分类号： A61B10
CPC分类号： A61B10/0275 , A61B2010/0208
摘要： Instrument (10, 210) pour prélever des échantillons de tissu dans une masse de tissu (11). L'instrument (10, 210) est mû par un moteur (18), de préférence par des piles autonomes rechargeables (16), et est muni de butées déplaçables électriquement (45, 50) pour régler la profondeur de pénétration et de retrait. Un stylet intérieur (14) à encoches (14a) pénètre dans la masse de tissu (11) en passant par un tube extérieur creux ou canule disposée autour du stylet (14), et permet de détacher un échantillon de tissu (11). Les moyens de pénétration (14) et de prélèvement (13) du tissu sont reliés à un ensemble à cames rotatif (55) mû par un moteur (18), ladite liaison étant réalisée par des suiveurs de cames (60). Le mouvement rotatif de la came (55) est transformé en un mouvement séquentiel linéaire dans le moyen de pénétration (14) et de prélèvement (13) de tissu. La monture du stylet (74, 274) et celle de la canule (75, 275) possèdent toutes deux un évidement (222, 223) dans leur partie arrière afin de recevoir leur tige d'entraînement respectif (62, 262a, 262b). Un système de verrouillage facultatif est prévu, sous la forme de rainures annulaires (231, 235) disposées sur les tiges annulaires (262a, 262b) qui viennent en contact avec des protubérances tournées radialement vers l'intérieur et disposées dans les évidements des montures (274, 275) pour les immobiliser sur les tiges d'entraînement (262a, 262b).

79. 发明公开

EP0463798A1 Surgical cutting instrument 失效
标题翻译： Chirurgisches施氏仪器。
公开(公告)号：EP0463798A1
公开(公告)日：1992-01-02
申请号：EP91305569.5
申请日：1991-06-19
申请人： VANCE PRODUCTS INCORPORATED d/b/a COOK UROLOGICAL INCORPORATED
发明人： Pingleton, Edward Duane , Thomson, Paul Guy
IPC分类号： A61B17/32
CPC分类号： A61B17/32002 , A61B2217/005
摘要： A surgical cutting instrument (100) is disclosed for percutaneously debulking tissue through an access sheath commonly used in minimally invasive laparoscopic or endoscopic surgical procedures. The cutting instrument includes an inner rotary member tube (101) having a cutting edge (105) at the distal end thereof for cutting and slicing tissue. The distal end of the cutting member tube extends from the distal end of a stationary sheath (108) which prevents tissue from wrapping around the inner cutting member tube. The inner cutting member tube includes a hollow passageway (104) for suctioning and aspirating tissue and fluid through the tube and into a collection chamber (212) or out through a vacuum or suction line (216) attached thereto. The instrument further includes an outer safety shield (201) having a rounded distal end (203) for preventing the puncture of a surgical tissue bag or from unintentionally cutting tissue by the attending physician. The outer shield has a channel (207) across the distal end through the hollow passageway therein for feeding tissue into the cutting edge and controlling the vacuum applied to the tissue. Vacuum or suction control ports (210) are included at the proximal end of the inner cutting member tube and stationary sheath for also controlling the amount of vacuum or suction applied to the tissue. The surgical cutting instrument includes a control handle (118) for grasping by the physician. A removable collection chamber (212) is connected to a coupler connected to the stationary sheath for collecting tissue therein. The inner cutting member tube extends through the collection chamber to a drive motor (123) or to a remotely positioned rotary drive mechanism. A vacuum line is attached to the collection chamber for drawing tissue and fluid through the inner cutting member tube and into the collection chamber.
摘要翻译：公开了一种通过通常用于微创腹腔镜或内窥镜外科手术的通路鞘的经皮减压组织的外科切割仪器（100）。切割器具包括在其远端具有切割边缘（105）的内部旋转构件管（101），用于切割和切片组织。切割构件管的远端从固定护套（108）的远端延伸，其防止组织围绕内切割构件管缠绕。内部切割构件管包括中空通道（104），用于通过管吸入和吸入组织和流体并进入收集室（212）或通过附接到其的真空或吸入管线（216）排出。仪器还包括具有圆形远端（203）的外部安全护罩（201），用于防止外科组织袋的穿刺或由主治医师无意地切割组织。外屏蔽件通过其中的中空通道穿过远端的通道（207），用于将组织输送到切割边缘中并控制施加到组织的真空。真空或吸入控制端口（210）包括在内切割构件管和固定护套的近端处，用于还控制施加到组织的真空或抽吸量。外科切割仪器包括用于由医生抓握的控制手柄（118）。可拆卸收集室（212）连接到连接到固定护套的耦合器，用于在其中收集组织。内切割构件管延伸通过收集室到驱动马达（123）或远程定位的旋转驱动机构。真空管线附接到收集室，用于将组织和流体通过内切割构件管并进入收集室。

80. 发明公开

EP0463112A1 REMOTE FIBER OPTIC MEDICAL PROCEDURE AND DEVICE 失效
标题翻译：医疗程序和光纤进行遥控控制的设备。
公开(公告)号：EP0463112A1
公开(公告)日：1992-01-02
申请号：EP90906001.0
申请日：1990-03-20
申请人： VANCE PRODUCTS INCORPORATED d/b/a COOK UROLOGICAL INCORPORATED and COOK OB/GYN
发明人： TAKAI, Kazuo , GENTRY, Scott , ROEMER, Frederick, D.
IPC分类号： G02B23 , A61B1 , A61B17
CPC分类号： A61B1/307 , A61B1/00165 , A61B1/07 , A61B17/22 , A61B17/22031
摘要： Le procédé médical consiste à diriger l'extrémité opératoire d'un instrument médical (46) par observation par l'intermédiaire d'un faisceau de fibres optiques de petit calibre (30), à distance, et qui sont introduites au travers d'un orifice (20) d'une aiguille positionnée au préalable.

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