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41. 发明授权

US08647363B2 Robotically controlled hydraulic end effector system 有权
标题翻译：机器人控制的液压端部执行器系统
公开(公告)号：US08647363B2
公开(公告)日：2014-02-11
申请号：US13612216
申请日：2012-09-12
申请人： Richard A. Hillstead , Bryan D. Knodel
发明人： Richard A. Hillstead , Bryan D. Knodel
IPC分类号： A61B17/3201 , A61B17/26
CPC分类号： A61B17/07207 , A61B2017/00398 , A61B2017/00539 , A61B2017/00557 , A61B2017/07214 , A61B2017/2904 , A61B2017/2905 , A61B2017/2927
摘要： A hydraulically actuated medical instrument includes an elongated shaft having proximal and distal ends, a hydraulically actuated end effector at the distal end of the shaft and a fluid flow path extending through the shaft to the end effector. The end effector may be directly manually operated by way of a handle located at the proximal end of the shaft or remotely, for example, via robotic controller. Articulation joints may be provided along the shaft, between the shaft and end effector or handle, or elsewhere. The hydraulic actuation of the present invention permits multiple axis instrument articulation, miniaturization and simplified instrument fabrication.
摘要翻译：液压致动的医疗器械包括具有近端和远端的细长轴，在轴的远端处的液压致动的端部执行器和延伸穿过该轴到端部执行器的流体流动路径。端部执行器可以通过位于轴的近端处的手柄直接手动操作，或者远程例如通过机器人控制器手动操作。铰接接头可以沿着轴，在轴和端部执行器或手柄之间或其他地方设置。本发明的液压致动允许多轴仪器铰接，小型化和简化仪器制造。

42. 发明授权

US08308757B2 Hydraulically actuated robotic medical instrument 有权
标题翻译：液压驱动机器人医疗器械
公开(公告)号：US08308757B2
公开(公告)日：2012-11-13
申请号：US13042019
申请日：2011-03-07
申请人： Richard A. Hillstead , Bryan D. Knodel
发明人： Richard A. Hillstead , Bryan D. Knodel
IPC分类号： A61B17/3201 , A61B17/26
CPC分类号： A61B17/07207 , A61B2017/00398 , A61B2017/00539 , A61B2017/00557 , A61B2017/07214 , A61B2017/2904 , A61B2017/2905 , A61B2017/2927
摘要： A hydraulically actuated medical instrument includes an elongated shaft having proximal and distal ends, a hydraulically actuated end effector at the distal end of the shaft and a fluid flow path extending through the shaft to the end effector. The end effector may be directly manually operated by way of a handle located at the proximal end of the shaft or remotely, for example, via robotic controller. Articulation joints may be provided along the shaft, between the shaft and end effector or handle, or elsewhere. The hydraulic actuation of the present invention permits multiple axis instrument articulation, miniaturization and simplified instrument fabrication.
摘要翻译：液压致动的医疗器械包括具有近端和远端的细长轴，在轴的远端处的液压致动的端部执行器和延伸穿过该轴到端部执行器的流体流动路径。端部执行器可以通过位于轴的近端处的手柄直接手动操作，或者远程例如通过机器人控制器手动操作。铰接接头可以沿着轴，在轴和端部执行器或手柄之间或其它地方设置。本发明的液压致动允许多轴仪器铰接，小型化和简化仪器制造。

43. 发明申请

US20120010652A1 Medical Instrument 审中-公开
标题翻译：医疗仪器
公开(公告)号：US20120010652A1
公开(公告)日：2012-01-12
申请号：US13238361
申请日：2011-09-21
申请人： Kevin F. Hahnen , Richard A. Hillstead , Bryan D. Knodel
发明人： Kevin F. Hahnen , Richard A. Hillstead , Bryan D. Knodel
IPC分类号： A61B17/28
CPC分类号： A61B17/07207 , A61B2017/00398 , A61B2017/00539 , A61B2017/00557 , A61B2017/07214 , A61B2017/07221 , A61B2017/2904 , A61B2017/2905 , A61B2017/2927
摘要： A hydraulically actuated medical instrument includes an elongated shaft having proximal and distal ends, a hydraulically actuated end effector at the distal end of the shaft and a fluid flow path extending through the shaft to the end effector. The shaft may be capable of an angled configuration where at least a portion of the shaft is manually movable to a direction in which it extends at an angle to another portion of the shaft. The end effector is not limited to a linear configuration and at least a portion of an elongated end effector extends at an angle relative to another portion of the end effector as is needed or desirable for the particular procedure to be performed.
摘要翻译：液压致动的医疗器械包括具有近端和远端的细长轴，在轴的远端处的液压致动的端部执行器和延伸穿过该轴到端部执行器的流体流动路径。轴可以是倾斜的构型，其中轴的至少一部分可手动地移动到其与轴的另一部分成一定角度延伸的方向。末端执行器不限于线性构造，并且细长末端执行器的至少一部分相对于端部执行器的另一部分以一定角度延伸，如对于要执行的特定过程所需要或期望的。

44. 发明授权

US08043328B2 Medical instrument 有权
标题翻译：医疗仪器
公开(公告)号：US08043328B2
公开(公告)日：2011-10-25
申请号：US10871617
申请日：2004-06-18
申请人： Kevin F. Hahnen , Richard A. Hillstead , Bryan D. Knodel
发明人： Kevin F. Hahnen , Richard A. Hillstead , Bryan D. Knodel
IPC分类号： A61B17/00
CPC分类号： A61B17/07207 , A61B2017/00398 , A61B2017/00539 , A61B2017/00557 , A61B2017/07214 , A61B2017/07221 , A61B2017/2904 , A61B2017/2905 , A61B2017/2927
摘要： A hydraulically actuated medical instrument includes an elongated shaft having proximal and distal ends, a hydraulically actuated end effector at the distal end of the shaft and a fluid flow path extending through the shaft to the end effector. The shaft may be capable of an angled configuration where at least a portion of the shaft is manually movable to a direction in which it extends at an angle to another portion of the shaft. The end effector is not limited to a linear configuration and at least a portion of an elongated end effector extends at an angle relative to another portion of the end effector as is needed or desirable for the particular procedure to be performed.
摘要翻译：液压致动的医疗器械包括具有近端和远端的细长轴，在轴的远端处的液压致动的端部执行器和延伸穿过该轴到端部执行器的流体流动路径。轴可以是倾斜的构型，其中轴的至少一部分可手动地移动到其与轴的另一部分成一定角度延伸的方向。末端执行器不限于线性构造，并且细长末端执行器的至少一部分相对于末端执行器的另一部分以一定角度延伸，如对于要执行的特定过程所需要或期望的。

45. 发明授权

US06830174B2 Medical instrument 有权
标题翻译：医疗仪器
公开(公告)号：US06830174B2
公开(公告)日：2004-12-14
申请号：US09942236
申请日：2001-08-29
申请人： Richard A. Hillstead , Bryan D. Knodel
发明人： Richard A. Hillstead , Bryan D. Knodel
IPC分类号： A61B1710
CPC分类号： A61B17/07207 , A61B2017/00398 , A61B2017/00539 , A61B2017/00557 , A61B2017/07214 , A61B2017/2904 , A61B2017/2905 , A61B2017/2927
摘要： A hydraulically actuated medical instrument includes an elongated shaft having proximal and distal ends, a hydraulically actuated end effector at the distal end of the shaft and a fluid flow path extending through the shaft to the end effector. The end effector may be directly manually operated by way of a handle located at the proximal end of the shaft or remotely, for example, via robotic controller. Articulation joints may be provided along the shaft, between the shaft and end effector or handle, or elsewhere. The hydraulic actuation of the present invention permits multiple axis instrument articulation, miniaturization and simplified instrument fabrication.
摘要翻译：液压致动的医疗器械包括具有近端和远端的细长轴，在轴的远端处的液压致动的端部执行器和延伸穿过该轴到端部执行器的流体流动路径。端部执行器可以通过位于轴的近端处的手柄直接手动操作，或者远程例如通过机器人控制器手动操作。铰接接头可以沿着轴，在轴和端部执行器或手柄之间或其他地方设置。本发明的液压致动允许多轴仪器铰接，小型化和简化仪器制造。

46. 发明授权

US06659934B1 Automated system for the radiation treatment of a desired area within the body of a patient 有权
标题翻译：用于辐射治疗患者体内所需区域的自动化系统
公开(公告)号：US06659934B1
公开(公告)日：2003-12-09
申请号：US09469510
申请日：1999-12-22
申请人： James D. Hughett , Robert Michael Webster , Douglas Layland Armstrong , Byron Lee Boylston , Gregg T. Juett , Richard A. Hillstead , Jack C. Griffis, III , Andrew L. Lerohl , Mark Dehdashtian , Marvin A. Guiles
发明人： James D. Hughett , Robert Michael Webster , Douglas Layland Armstrong , Byron Lee Boylston , Gregg T. Juett , Richard A. Hillstead , Jack C. Griffis, III , Andrew L. Lerohl , Mark Dehdashtian , Marvin A. Guiles
IPC分类号： A61N500
CPC分类号： A61N5/1007 , A61N2005/1008
摘要： A transfer device usable in a system for intraluminal treatment of a selected site in a body of a patient in which the transfer device comprises an integral pump for pressurizing and circulating fluid through a fluid path defined by the transfer device and associated catheter. A removable fluid cartridge is provided including a reservoir from which fluid is drawn by the pump and into which fluid is returned after being circulated through the fluid path. The pump may be a peristaltic pump and the fluid cartridge may include an elongated fluid pick-up having an inlet through which fluid is introduced into the transfer device. The fluid pick-up is sized in length so that the inlet is always submerged in the fluid regardless of the orientation of the transfer device.
摘要翻译：一种可用于管腔内治疗患者体内的选定部位的系统中的转移装置，其中所述转运装置包括用于通过由所述输送装置和相关导管限定的流体路径加压和循环流体的整体泵。提供了可拆卸的流体盒，其包括储存器，流体由泵从该容器中被抽出，并且在通过流体路径循环之后流体返回到储存器中。泵可以是蠕动泵，并且流体盒可以包括具有入口的细长流体拾取器，流体通过入口引入到输送装置中。流体拾取器的长度尺寸使得入口总是浸没在流体中，而与传送装置的取向无关。

47. 发明授权

US5755702A Adjustable angular sheath introducer 失效
标题翻译：可调角度护套导引器
公开(公告)号：US5755702A
公开(公告)日：1998-05-26
申请号：US635496
申请日：1996-04-22
申请人： Richard A. Hillstead , Stephanie Danielle Teemer , Sherri Lynn Padgett
发明人： Richard A. Hillstead , Stephanie Danielle Teemer , Sherri Lynn Padgett
IPC分类号： A61M25/00 , A61M25/06 , A61M5/00
CPC分类号： A61M25/0662 , A61M25/0097
摘要： A sheath introducer for a catheterization or similar procedure comprises a main body having an exterior tapered sidewall, an interior lumen, a beveled top surface and an annular boss extending from the top surface; a rotating section having an exterior sidewall, an interior lumen, a beveled bottom surface having a recessed portion dimensioned so as to be received within the main body annular boss, and a top surface having an annular shoulder extending therefrom creating a recess; a cannula extending from the bottom end of the main body; and, a hemostatic valve having an access port and a fluid tight slit opening and seated within the upper portion and maintained by a cap, the valve being maintained within the rotating section recess and preferably slightly compressed when the rotating section and main body are assembled. When assembled, the rotating section can rotate up to approximately 180.degree., affording approximately a 45.degree. angle between the main body lumen and the rotating section lumen while maintaining an open passageway for insertion of catheters or other objects. Optionally, an angled sideport in fluid communication with the main body lumen extends from the main body.
摘要翻译：用于导管插入或相似程序的护套引导器包括具有外锥形侧壁，内腔，斜面顶表面和从顶表面延伸的环形凸起的主体; 具有外侧壁的旋转部分，内腔，具有凹部的斜面底面，其尺寸设计成容纳在主体环形凸台内，以及顶表面，其具有从其延伸的环形肩部，形成凹部; 从主体的底端延伸的套管; 以及具有进入口和流体密封狭缝开口并位于上部并由盖保持的止血阀，所述阀保持在旋转部分凹部内，并且优选地在旋转部分和主体组装时略微压缩。当组装时，旋转部分可以旋转大约180度，在主体腔和旋转部分腔体之间提供大致45度的角度，同时保持用于插入导管或其它物体的开放通道。可选地，与主体内腔流体连通的倾斜侧面从主体延伸。

48. 发明授权

US5509908A Angular sheath introducer 失效
标题翻译：角鞘引导器
公开(公告)号：US5509908A
公开(公告)日：1996-04-23
申请号：US230614
申请日：1994-04-21
申请人： Richard A. Hillstead , Joseph B. Muhlestein
发明人： Richard A. Hillstead , Joseph B. Muhlestein
IPC分类号： A61M25/00 , A61M25/06 , A61M5/00
CPC分类号： A61M25/0662 , A61M25/0097
摘要： A sheath introducer for a catheterization or similar procedure comprises a body having a upper portion and a lower portion, the lower portion being angled with respect to the upper portion; a curved tapering channel extending through the upper and lower portions; a cannula with a tapered distal end extending at an angle with respect to the upper portion a hemostatic valve having an access port and a fluid tight slit opening and seated within the upper portion and maintained by a cap; and an angled sideport in fluid communication with the channel. Optionally, a wiper flange extends inward within the valve access port which provide an additional fluid tight seal when a catheter is slidingly inserted, removed or maintained within the valve. A dilator can be adapted for use with the introducer by having a bend in the tube portion of the dilator.
摘要翻译：用于导管插入或类似程序的护套引导器包括具有上部和下部的主体，下部相对于上部成一定角度; 延伸穿过上部和下部的弯曲的锥形通道; 具有锥形远端的套管，所述套管具有相对于所述上部一定角度延伸的止血阀，所述止血阀具有进入口和流体密封狭缝开口，并位于所述上部内并由盖保持; 以及与通道流体连通的倾斜侧台。可选地，擦拭器凸缘在阀进入端口内向内延伸，当导管滑动地插入，移除或保持在阀内时，提供另外的流体密封。扩张器可以通过在扩张器的管部分中具有弯曲而适于与导引器一起使用。

49. 发明授权

US5366472A Dilatation balloon within an elastic sleeve 失效
标题翻译：弹性套筒内的膨胀气球
公开(公告)号：US5366472A
公开(公告)日：1994-11-22
申请号：US769005
申请日：1991-09-30
申请人： Richard A. Hillstead
发明人： Richard A. Hillstead
IPC分类号： A61F2/90 , A61M29/02 , A61M29/00
CPC分类号： A61M25/104 , A61F2/90 , A61F2/958 , A61M2025/1081 , A61M29/02
摘要： The dilatation balloon catheter assembly is adapted to be inserted into a blood vessel and comprises a single catheter body having a distal end, a distal end portion, and a proximal end, and a double wall dilatation balloon assembly including an inner inflatable balloon wall and an outer balloon wall with a space therebetween, the balloon walls each having a distal end and a proximal end, and each balloon wall surrounding and being connected at both its distal and proximal ends directly or indirectly to the distal end portion of the single catheter body.
摘要翻译：扩张球囊导管组件适于插入血管并且包括具有远端，远端部分和近端的单个导管主体，以及双壁膨胀气囊组件，其包括内部可充气球囊壁和外球囊壁之间具有空间，球囊壁各自具有远端和近端，并且每个球囊壁围绕并且在其远端和近端处直接或间接地连接到单个导管体的远端部分。

50. 发明授权

US5098440A Object retrieval method and apparatus 失效
标题翻译：对象检索方法和装置
公开(公告)号：US5098440A
公开(公告)日：1992-03-24
申请号：US567199
申请日：1990-08-14
申请人： Richard A. Hillstead
发明人： Richard A. Hillstead
IPC分类号： A61B17/22 , A61B17/28 , A61B17/30 , A61B19/00 , A61F2/06 , A61F2/84
CPC分类号： A61B17/221 , A61B17/29 , A61F2/95 , A61B17/30 , A61B2017/2212 , A61B2017/2215 , A61B2090/3614 , A61B2090/3933 , A61F2002/9528
摘要： Method and apparatus for retrieving an object such as a stent from a subject. A catheter supports two wire loops that can be manipulated from outside the subject to engage the object. By manipulating the catheter and the wire loops, the object can be captured and drawn inside a guide catheter through which the catheter is inserted. The catheter and attached stent can then be pulled from the subject.
摘要翻译：从对象中检索诸如支架的物体的方法和装置。导管支撑两个线圈，可以从受试者的外部操纵以接合物体。通过操纵导管和线环，物体可以被捕获并且被吸引到引导导管内，导管通过导管插入。然后可以从受试者中拉出导管和附着的支架。

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