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    • 6. 发明授权
    • Ultrasound device for axial ranging
    • US6024703A
    • 2000-02-15
    • US852977
    • 1997-05-07
    • Claudio I. ZanelliJeffrey J. GibaMichael A. DavisDouglas Murphy-Chutorian
    • Claudio I. ZanelliJeffrey J. GibaMichael A. DavisDouglas Murphy-Chutorian
    • A61B17/00A61B17/22A61B18/20A61B18/24A61B8/00
    • A61B18/20A61B18/24A61B2017/00106A61B2017/00247A61B2017/22072A61B2018/00392A61B2018/00636
    • A treatment tool such as a catheter, MIS or other surgical tool apparatus for placement within a heart chamber, organ aperture or other body opening and axial ranging therein, the apparatus particularly adapted for laser-assisted percutaneous transmyocardial revascularization (MTR). At the distal end of the tool is an annular ultrasound transducer with associated structure, positioned to transmit ultrasound signals substantially axially aligned with the axis of the treatment tool to the cardiovascular tissue, the transducer further receiving returning signals from the cardiovascular tissue to be treated. In a preferred embodiment, the transducer comprises a piezoelectric crystal material. The transducer assembly is attached to the distal tip of the tool such that a laser delivery means or other functional device can be extended through the lumen of the tool and the annular ultrasound transducer. In a preferred embodiment, the invention is a modular ultrasound device capable of being detachably attached to a steerable catheter, MIS or other surgical tool apparatus. The system also comprises a signal interface extending from the ultrasound transducer and signal processing component operatively connected to the signal interface for real time determination of at least one boundary surface of cardiovascular tissue relative to one or more positions of the distal tip of the treatment tool. A method of delivering laser energy to tissue is disclosed, the method including the steps of positioning the firing tip of a laser delivery means adjacent the front surface of the tissue, delivering laser energy to the tissue, transmitting ultrasound energy to the tissue, receiving ultrasound signals reflected from at least the rear surface of the tissue, and determining the distance betwveen the firing tip of the laser delivery means and the rear surface of the tissue. In a preferred embodiment, the method includes quantitative determination of the contractility or motion of the beating heart, such that changes in the depth of tissue can be used to control the channel depth or other treatment parameters. Retrolasing can also be achieved by mechanically piercing the tissue to a determined depth based on axial ranging measurements, and retracting the treatment tool while simultaneously delivering laser energy therefrom.
    • 9. 发明授权
    • Breast stabilizing and positioning device and kit
    • 乳房稳定和定位装置和套件
    • US06846218B2
    • 2005-01-25
    • US10427252
    • 2003-04-30
    • James KermodeYumee GangCharles M. SchwimmerTammy GravelleDouglas Murphy-Chutorian
    • James KermodeYumee GangCharles M. SchwimmerTammy GravelleDouglas Murphy-Chutorian
    • A41C3/00A41C3/12A61B10/00A61F13/14
    • A61F13/145A61F2013/15016
    • A breast stabilizing and positioning device comprises a torso band for enveloping and securement about the chest of a human female patient, a breast elevating module and a breast stabilizing ring. The torso band defines a through aperture sized to receive a human breast there through. The breast elevating module is attached to the torso band, and comprises a base framing the through aperture of the torso band and a plurality of flexible, elongate tabs extending radially from the base. The breast stabilizing ring is adapted for securement about the areolar region of a human breast and defines an opening sized to receive a human breast nipple there through. The breast stabilizing ring is adapted for removable engagement with the tabs of the breast elevating module. The present devices assist in performing diagnostic procedures such as ductal lavage, or a surgical procedure, such as removal of ducts from the breast nipple.
    • 乳房稳定和定位装置包括用于围绕人类女性患者的胸部包围和固定的躯干带,乳房升降模块和乳房稳定环。 躯干带定义了一个通孔,其大小通过接收人乳房。 乳房提升模块附接到躯干带,并且包括框架通过躯干带的通孔的基部和从基部径向延伸的多个柔性细长的突出部。 乳房稳定环适用于围绕人类乳房的非极性区域的固定,并且限定了通过其容纳人乳房乳头的开口。 乳房稳定环适于与乳房升降模块的突出部可拆卸地接合。 本装置有助于执行诊断程序,例如导管灌洗或外科手术,例如从乳房乳头去除导管。
    • 10. 发明授权
    • Combined mechanical/optical system for transmyocardial revascularization
    • 用于经心肌血运重建的组合机械/光学系统
    • US5713894A
    • 1998-02-03
    • US607782
    • 1996-02-27
    • Douglas Murphy-ChutorianStuart D. Harman
    • Douglas Murphy-ChutorianStuart D. Harman
    • A61B18/20A61B17/00A61B18/24A61N5/06
    • A61B18/245A61B2017/00247A61B2018/00392
    • The method for combined mechanical/laser myocardial revascularization of a human heart includes: inserting a mechanical piercing device and an elongated flexible lasing apparatus into the chest cavity of a patient; mechanically piercing, micro-tearing or spreading the epicardium of the heart; and then lasing from beneath the epicardium through the myocardium. The apparatus is guided to an area exterior to a ventricle of the patient's heart, and the distal end of the optical fiber apparatus is placed internal to the exterior wall of the heart through an opening which has been created by mechanically piercing, micro-tearing or spreading the epicardium, so that the myocardium and not the epicardium is irradiated with laser energy to allow passage of said optical fiber distal end or said laser energy into the left ventricular cavity without causing a laser irradiation of the epicardium which might be a cause of operative bleeding and for better allowing the sealing of the epicardium after the apparatus is removed.
    • 人心脏联合机械/激光心肌血运重建的方法包括:将机械穿刺装置和细长的柔性激光装置插入患者的胸腔; 机械穿刺,微裂或散布心脏的心外膜; 然后通过心肌从心外膜下射出。 该装置被引导到患者心脏的心室的外部区域,并且光纤装置的远端通过开口被放置在心脏的外壁的内部,所述开口通过机械刺穿,微撕裂或 扩散心外膜,使得心肌而不是心外膜被激光能量照射以允许所述光纤远端或所述激光能量通过到左心室,而不引起激光照射心外膜,这可能是手术的原因 出血并且更好地允许在除去装置之后密封心外膜。