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    • 74. 发明授权
    • Medical instrument for locating and removing occlusive objects
    • 用于定位和移除闭塞物体的医疗仪器
    • US4046150A
    • 1977-09-06
    • US596811
    • 1975-07-17
    • Robert S. SchwartzRonald R. Pfister
    • Robert S. SchwartzRonald R. Pfister
    • A61B17/221A61B1/307A61B8/12A61B17/22
    • A61B17/22012A61B1/07A61B1/307A61B17/221A61B8/12A61B2017/2212
    • An instrument particularly useful for locating and removing ureteral calculi and other occlusive objects from body passages. The instrument includes a flexible tube or sheath which slidably receives a tightly-twisted multi-stranded cable of a length greater than that of the tube, the cable having an integral cage portion at its distal end. That cage portion, which is normally collapsed and concealed within the distal end of the tube, may be extended beyond the tube to assume an expanded helical pear-shaped configuration for ensnaring and withdrawing ureteral stones and other passage-occluding bodies. The tightly wound strands of the cable are arranged in a circumferential pattern about an axial lumen which in one embodiment is useful for fluid drainage and injection and which in other embodiments accommodates conductors for transmitting light, images, and/or ultrasonic energy. The sheath or outer tube of the instrument is transparent, thereby permitting visual inspection of the spirally-wound cable slidably disposed therein. Suitable markings on the cable, visible through the transparent wall of the sheath, indicate the extent of insertion of the instrument during an operative procedure. The instrument also includes a handle for extending and retracting the cage, and suitable means for generating and transmitting light and ultrasonic waves.
    • 特别适用于从身体通道定位和排除输尿管结石和其他闭塞物体的仪器。 仪器包括一个柔性管或护套,其可滑动地容纳长度大于管的长度的紧捻多股电缆,该电缆在其远端具有整体的笼部分。 通常在管的远端内折叠并隐藏的笼部可以延伸超过管,以呈现扩大的螺旋形梨形构造,用于捕获和取出输尿管结石和其它通道闭塞体。 电缆的紧密缠绕的线股以围绕轴向内腔的周向图案布置,在一个实施例中,它可用于流体排放和注入,而在其它实施例中,它们适用于传输光,图像和/或超声能量的导体。 仪器的护套或外管是透明的,从而允许目视检查可滑动地设置在其中的螺旋卷绕的电缆。 通过护套的透明壁可见的电缆上的合适标记表示在手术过程中仪器插入的程度。 该仪器还包括用于延伸和缩回笼子的手柄,以及用于产生和传输光和超声波的合适装置。
    • 80. 发明授权
    • Catheter for drug injection in cardiovascular system
    • 心血管系统药物注射导管
    • US06605061B2
    • 2003-08-12
    • US09880575
    • 2001-06-13
    • Robert A. VanTasselRobert S. SchwartzDavid R. Holmes
    • Robert A. VanTasselRobert S. SchwartzDavid R. Holmes
    • A61M5178
    • A61M25/0068A61B2017/00247A61B2018/00392A61M25/008A61M25/0084A61M2025/009
    • A catheter for injecting medicants into the endocardium, myocardium or other portions of the cardiovascular system is presented where the catheter has apertures therein for ejection and retraction of a needle. The catheter is designed for the apertures in the catheter to press against the tissue to be injected in the heart while the heart is beating. A needle for inserting a prescribed dose of a medicant is ejected through the aperture and a plunger, pump, or diaphragm is moved to deliver a dose of the medicant to tissue adjacent the aperture. By use of the catheter gene therapy, wherein a small does of a gene are injected into the endocardium of the right or left ventricle, can be used to grow new blood vessels in the injected area of a damaged heart. The apertures in the catheter can be spaced at a prescribed distance for the dosage of medicant to form a precise pattern of injections in the area to be treated. The catheters may be used for any treatments of a human or animal patient where injections are required in the heart, veins or arteries of the cardiovascular system.
    • 提供用于将药剂注射到心内膜,心肌或心血管系统的其它部分的导管,其中导管在其中具有孔,用于针的弹出和缩回。 该导管被设计用于在心脏跳动时将导管中的孔压在组织上以被注射到心脏中。 用于插入规定剂量的药剂的针通过孔排出,移动柱塞,泵或隔膜以将剂量的药剂递送到邻近孔的组织。 通过使用其中将小的基因注入右心室或左心室的导管基因治疗可用于在损伤的心脏的注射区域中生长新的血管。 导管中的孔可以间隔规定的距离,用于药物的剂量以在待治疗的区域中形成精确的注射模式。 导管可用于需要在心血管系统的心脏,静脉或动脉中注射的人或动物患者的任何治疗。