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1. 发明授权

US08162929B2 Cryoablation segment for creating linear lesions 有权
标题翻译：用于产生线性病变的冷冻消融段
公开(公告)号：US08162929B2
公开(公告)日：2012-04-24
申请号：US11757124
申请日：2007-06-01
申请人： David J. Lentz , Jillian K. Allen , Richard J. Koerner
发明人： David J. Lentz , Jillian K. Allen , Richard J. Koerner
IPC分类号： A61B18/18
CPC分类号： A61B18/02 , A61B2018/0212 , A61B2018/0262
摘要： An applicator for cryoablating tissue to form linear (i.e. straight line and curvilinear) lesions in targeted tissue includes a fluid refrigerant delivery system having a source of a fluid refrigerant and a tubular cryoablation segment. Structurally, the segment has an open proximal end and a distal end, and is formed with a lumen. Also, the segment is formed with at least one distal port and at least one proximal port, with each port connected in fluid communication with the segment's lumen. The proximal end of the tubular segment is operably connected in fluid communication with the source of fluid refrigerant. For the system, the ports can be selectively sized to outflow liquid refrigerant through the distal and proximal ports at a substantially same mass flow rate.
摘要翻译：用于冷冻组织以在目标组织中形成线性（即直线和曲线）损伤的施加器包括具有流体制冷剂源和管状冷冻消融段的流体制冷剂输送系统。在结构上，该段具有开放的近端和远端，并且形成有内腔。而且，该段形成有至少一个远端端口和至少一个近端口，每个端口与该段的内腔流体连通。管状段的近端可与流体制冷剂源流体连通地可操作地连接。对于系统，端口可以选择性地定尺寸成以基本相同的质量流量通过远端和近端端口流出液体制冷剂。

2. 发明申请

US20080300584A1 CRYOABLATION SEGMENT FOR CREATING LINEAR LESIONS 有权
标题翻译：用于创建线性断裂的起泡部分
公开(公告)号：US20080300584A1
公开(公告)日：2008-12-04
申请号：US11757124
申请日：2007-06-01
申请人： David J. Lentz , Jillian K. Allen , Richard J. Koerner
发明人： David J. Lentz , Jillian K. Allen , Richard J. Koerner
IPC分类号： A61B18/18
CPC分类号： A61B18/02 , A61B2018/0212 , A61B2018/0262
摘要： An applicator for cryoablating tissue to form linear (i.e. straight line and curvilinear) lesions in targeted tissue includes a fluid refrigerant delivery system having a source of a fluid refrigerant and a tubular cryoablation segment. Structurally, the segment has an open proximal end and a distal end, and is formed with a lumen. Also, the segment is formed with at least one distal port and at least one proximal port, with each port connected in fluid communication with the segment's lumen. The proximal end of the tubular segment is operably connected in fluid communication with the source of fluid refrigerant. For the system, the ports can be selectively sized to outflow liquid refrigerant through the distal and proximal ports at a substantially same mass flow rate.
摘要翻译：用于冷冻组织以在目标组织中形成线性（即直线和曲线）损伤的施加器包括具有流体制冷剂源和管状冷冻消融段的流体制冷剂输送系统。在结构上，该段具有开放的近端和远端，并且形成有内腔。而且，该段形成有至少一个远端端口和至少一个近端口，每个端口与该段的内腔流体连通。管状段的近端可与流体制冷剂源流体连通地可操作地连接。对于系统，端口可以选择性地定尺寸成以基本相同的质量流量通过远端和近端端口流出液体制冷剂。

3. 发明授权

US07374553B2 System for bi-directionally controlling the cryo-tip of a cryoablation catheter 失效
标题翻译：用于双向控制冷冻消融导管的低温尖端的系统
公开(公告)号：US07374553B2
公开(公告)日：2008-05-20
申请号：US10876306
申请日：2004-06-24
申请人： Richard J. Koerner , David J. Lentz , Joseph A. O'Donnell , Alvin B. Salinas
发明人： Richard J. Koerner , David J. Lentz , Joseph A. O'Donnell , Alvin B. Salinas
IPC分类号： A61M31/00
CPC分类号： A61M25/0147 , A61B18/02 , A61B2017/003 , A61B2018/0212 , A61B2018/0262 , A61M25/0043 , A61M25/0136 , A61M25/0138 , A61M2025/0161
摘要： A bi-directional system for actively deflecting the distal tip of a catheter includes a reconfigurable tube that is positioned proximal to the catheter's distal tip. The tube is formed with slits that are arranged to allow the tube to be transformed from a relaxed, cylindrical configuration to a plurality of deflected configurations. First and second pull wires are provided, with each wire having a respective distal end that is attached to the distal end of the tube. Each wire extends to a catheter handle where it is attached to a respective reel. The reels can be rotated, back and forth, to selectively deflect or relax the tube. To ensure a smooth recovery after a relatively large deflection, a mechanism is disclosed for delaying an application of tension on one of the pull wires until at least a portion of any tension on the other pull wire is released.
摘要翻译：用于主动地偏转导管的远端的双向系统包括可重新配置的管，其位于导管的远端顶端附近。管形成有狭缝，狭缝被设置成允许管从松弛的圆柱形构型转变成多个偏转构型。提供第一和第二拉线，每条线具有附接到管的远端的相应远端。每根导线延伸到导管手柄，在其处连接到相应的卷轴上。卷轴可以来回旋转，以选择性地偏转或松弛管。为了确保在相对大的偏转之后的平稳恢复，公开了一种用于延迟在一条拉丝上施加张力的机构，直到另一拉线上的任何张力的至少一部分被释放。

4. 发明授权

US08092444B2 Catheter articulation segment with alternating cuts 失效
标题翻译：导管交叉节段交替切割
公开(公告)号：US08092444B2
公开(公告)日：2012-01-10
申请号：US12642362
申请日：2009-12-18
申请人： David J. Lentz , Richard J. Koerner
发明人： David J. Lentz , Richard J. Koerner
IPC分类号： A61M25/00
CPC分类号： A61M25/0013 , A61M25/0054 , A61M25/0138
摘要： An articulation segment for a catheter includes a tube formed with a first plurality of axially aligned slits that are respectively oriented in planes perpendicular to the axis, with each slit extending azimuthally in an arc partway around the axis. The tube is also formed with a second plurality of similarly formed slits that are axially offset and diametrically opposed relative to the slits of the first plurality to allow for a bending of the catheter in a plurality of different planes. In a particular embodiment, the slits are arranged to allow the articulation segment to be reconfigured from a straight, substantially cylindrically shaped tube to a configuration in which a portion of the articulation segment is formed in the shape of a ring.
摘要翻译：用于导管的关节节段包括形成有第一多个轴向对准的狭缝的管，其分别定向在垂直于轴线的平面中，每个狭缝围绕轴线在一半弧中方位延伸。管还形成有第二多个类似形成的狭缝，其相对于第一多个的狭缝轴向地偏置并沿直径相对，以允许导管在多个不同平面中弯曲。在特定实施例中，狭缝被布置成允许关节运动部分从直的基本上圆柱形的管重新配置到其中关节节段的一部分形成为环形的构造。

5. 发明申请

US20100100073A1 CATHETER ARTICULATION SEGMENT WITH ALTERNATING CUTS 失效
标题翻译：具有替代品的导管结构部分
公开(公告)号：US20100100073A1
公开(公告)日：2010-04-22
申请号：US12642362
申请日：2009-12-18
申请人： David J. Lentz , Richard J. Koerner
发明人： David J. Lentz , Richard J. Koerner
IPC分类号： A61M25/00
CPC分类号： A61M25/0013 , A61M25/0054 , A61M25/0138
摘要： An articulation segment for a catheter includes a tube formed with a first plurality of axially aligned slits that are respectively oriented in planes perpendicular to the axis, with each slit extending azimuthally in an arc partway around the axis. The tube is also formed with a second plurality of similarly formed slits that are axially offset and diametrically opposed relative to the slits of the first plurality to allow for a bending of the catheter in a plurality of different planes. In a particular embodiment, the slits are arranged to allow the articulation segment to be reconfigured from a straight, substantially cylindrically shaped tube to a configuration in which a portion of the articulation segment is formed in the shape of a ring.
摘要翻译：用于导管的关节节段包括形成有第一多个轴向对准的狭缝的管，其分别定向在垂直于轴线的平面中，每个狭缝围绕轴线在一半弧中方位延伸。管还形成有第二多个类似形成的狭缝，其相对于第一多个的狭缝轴向地偏置并沿直径相对，以允许导管在多个不同平面中弯曲。在特定实施例中，狭缝被布置成允许关节运动部分从直的基本上圆柱形的管重新配置到其中关节节段的一部分形成为环形的构造。

6. 发明授权

US07637903B2 Catheter articulation segment with alternating cuts 有权
标题翻译：导管交叉节段交替切割
公开(公告)号：US07637903B2
公开(公告)日：2009-12-29
申请号：US10872612
申请日：2004-06-21
申请人： David J. Lentz , Richard J. Koerner
发明人： David J. Lentz , Richard J. Koerner
IPC分类号： A61M25/00
CPC分类号： A61M25/0013 , A61M25/0054 , A61M25/0138
摘要： An articulation segment for a catheter includes a tube formed with a first plurality of axially aligned slits that are respectively oriented in planes perpendicular to the axis, with each slit extending azimuthally in an arc partway around the axis. The tube is also formed with a second plurality of similarly formed slits that are axially offset and diametrically opposed relative to the slits of the first plurality to allow for a bending of the catheter in a plurality of different planes. In a particular embodiment, the slits are arranged to allow the articulation segment to be reconfigured from a straight, substantially cylindrically shaped tube to a configuration in which a portion of the articulation segment is formed in the shape of a ring.
摘要翻译：用于导管的关节节段包括形成有第一多个轴向对准的狭缝的管，其分别定向在垂直于轴线的平面中，每个狭缝围绕轴线在一半弧中方位延伸。管还形成有第二多个类似形成的狭缝，其相对于第一多个的狭缝轴向地偏置并沿直径相对，以允许导管在多个不同平面中弯曲。在特定实施例中，狭缝被布置成允许关节运动部分从直的基本上圆柱形的管重新配置到其中关节节段的一部分形成为环形的构造。

7. 发明授权

US07285108B2 Active system for deflecting a distal portion of a catheter into a hoop configuration 有权
标题翻译：用于将导管的远端部分偏转成环形构造的主动系统
公开(公告)号：US07285108B2
公开(公告)日：2007-10-23
申请号：US10876312
申请日：2004-06-24
申请人： Richard J. Koerner , David J. Lentz , Joseph A. O'Donnell , Alvin B. Salinas
发明人： Richard J. Koerner , David J. Lentz , Joseph A. O'Donnell , Alvin B. Salinas
IPC分类号： A61M31/00 , A61B1/00
CPC分类号： A61M25/0147 , A61B2017/003 , A61B2018/0212 , A61B2018/0231 , A61B2018/0262 , A61M25/0136 , A61M2025/0161
摘要： An active system for deflecting a distal portion of a catheter into a hoop configuration includes an elongated catheter body having a proximal portion and a distal portion that is formed with a lumen. A thin-walled tube, which is typically made of a metallic material, is positioned in the lumen. The tube includes a cylindrical wall and includes a plurality of lateral slits that are typically formed in the tube wall and arranged such that the tube can be transformed between a relaxed, cylindrical configuration and a deflected configuration wherein the tube is substantially hoop shaped. One end of a deflection wire is attached to the tube and the other wire end is attached to a reel that is rotationally mounted onto a catheter handle housing. In use, the reel is rotated to axially retract the wire and transform the tube into a hoop configuration.
摘要翻译：用于将导管的远侧部分偏转成环形构造的主动系统包括具有近端部分和形成有内腔的远侧部分的细长导管主体。通常由金属材料制成的薄壁管被定位在内腔中。管包括圆柱形壁并且包括多个横向狭缝，其通常形成在管壁中并且布置成使得管可以在松弛的圆柱形构造和偏转构造之间变形，其中管基本上是环形的。偏转线的一端附接到管，另一个线端附接到旋转地安装到导管手柄壳体上的卷轴上。在使用中，卷轴旋转以轴线缩回线，并将管转变成环箍构型。

8. 发明申请

US20120265142A1 CASSETTE FOR A HIDDEN INJECTION NEEDLE 有权
标题翻译：隐形针注射针
公开(公告)号：US20120265142A1
公开(公告)日：2012-10-18
申请号：US13454531
申请日：2012-04-24
申请人： John B. Slate , Michael W. Burk , Richard J. Koerner , Corey M. Magers , Andrew C. Barnes
发明人： John B. Slate , Michael W. Burk , Richard J. Koerner , Corey M. Magers , Andrew C. Barnes
IPC分类号： A61M5/32 , A61M5/20 , A61M5/178
CPC分类号： A61M5/20 , A61M5/326 , A61M2005/208 , A61M2005/31588 , A61M2205/50 , A61M2205/6045
摘要： A system for injecting a fluid medicament into a patient includes a drive mechanism, and a cassette loaded with a pre-filled hypodermic syringe. When the cassette is loaded, the syringe is held firmly inside and the cassette can be selectively engaged with the drive mechanism. The drive mechanism has two motors. A first motor initially moves the hypodermic syringe from a position inside the cassette where its needle is concealed, to a position where the needle extends from the cassette for insertion into a patient for an injection. With the needle inserted, a second motor pushes the syringe stopper to expel a fluid medicament from the syringe. After an injection, the first motor withdraws the syringe back into concealment inside the cassette, to again firmly hold the syringe on the cassette. The cassette and syringe, in combination, can then be removed from the drive mechanism and discarded.
摘要翻译：用于将流体药物注射到患者体内的系统包括驱动机构和装有预填充的皮下注射器的盒。当盒子被装载时，注射器被牢固地保持在内部，并且盒子可以选择性地与驱动机构接合。驱动机构有两个电机。第一马达首先将皮下注射器从其中隐藏的针的盒内的位置移动到针从盒延伸以插入患者以进行注射的位置。在针插入的情况下，第二马达推动注射器止动器以从注射器排出流体药物。注射后，第一台电机将注射器放回盒内的隐藏状态，再次将注射器固定在盒式磁带上。组合的盒式磁带和注射器然后可以从驱动机构移除并被丢弃。

9. 发明授权

US4576148A Continuous passive motion hand device 失效
标题翻译：连续被动运动手动装置
公开(公告)号：US4576148A
公开(公告)日：1986-03-18
申请号：US576592
申请日：1984-02-03
申请人： Richard J. Koerner , Christopher C. Dumas , Philip J. Filia , Ronald L. Lawrence , David B. Petch
发明人： Richard J. Koerner , Christopher C. Dumas , Philip J. Filia , Ronald L. Lawrence , David B. Petch
IPC分类号： A61H1/02
CPC分类号： A61H1/0288 , Y10S482/901
摘要： A continuous passive motion therapy device with drive means carried on the patients hand or arm having a gear train extending down the patients hand and movable drive arms connectable at a plurality of locations along the gear train to selectively exercise the metacarpophalangeal joint or the interphalangeal joint.
摘要翻译：一种连续的被动运动治疗装置，其具有携带在患者手或臂上的驱动装置，其具有沿患者手伸展的齿轮系和可沿着齿轮系在多个位置连接的可动驱动臂，以选择性地运动掌指关节或指间关节。

10. 发明授权

US09925336B2 Cassette for a hidden injection needle 有权
公开(公告)号：US09925336B2
公开(公告)日：2018-03-27
申请号：US13454531
申请日：2012-04-24
申请人： John B. Slate , Michael W. Burk , Richard J. Koerner , Corey M. Magers , Andrew C. Barnes
发明人： John B. Slate , Michael W. Burk , Richard J. Koerner , Corey M. Magers , Andrew C. Barnes
IPC分类号： A61M37/00 , A61M5/20 , A61M5/32 , A61M5/315
CPC分类号： A61M5/20 , A61M5/326 , A61M2005/208 , A61M2005/31588 , A61M2205/50 , A61M2205/6045
摘要： A system for injecting a fluid medicament into a patient includes a drive mechanism, and a cassette loaded with a pre-filled hypodermic syringe. When the cassette is loaded, the syringe is held firmly inside and the cassette can be selectively engaged with the drive mechanism. The drive mechanism has two motors. A first motor initially moves the hypodermic syringe from a position inside the cassette where its needle is concealed, to a position where the needle extends from the cassette for insertion into a patient for an injection. With the needle inserted, a second motor pushes the syringe stopper to expel a fluid medicament from the syringe. After an injection, the first motor withdraws the syringe back into concealment inside the cassette, to again firmly hold the syringe on the cassette. The cassette and syringe, in combination, can then be removed from the drive mechanism and discarded.

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