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    • 2. 发明授权
    • Method for endoscopic blood flow detection by the use of ultrasonic
energy
    • 通过使用超声能量进行内窥镜血流检测的方法
    • US4582067A
    • 1986-04-15
    • US466123
    • 1983-02-14
    • Fred E. SilversteinRoy W. MartinDavid A. Gilbert
    • Fred E. SilversteinRoy W. MartinDavid A. Gilbert
    • A61B1/015A61B1/018A61B1/273A61B8/06A61B8/12A61B17/22A61B17/32A61B17/34A61B18/14A61B10/00
    • A61B8/06A61B1/015A61B1/018A61B1/2736A61B17/22A61B8/12A61B8/445A61B17/3478A61B2017/320084A61B2018/1407A61B5/489
    • Various forms of a catheter that is sized to pass through the biopsy channel of an endoscope include an elongated catheter tube of flexible material and an ultrasonic probe carried by the catheter tube adjacent its tip. The forms include: a papillotome catheter (FIGS. 1 and 3); catheters for general endoscopic and nonendoscopic applications (FIGS. 4, 7A through 7C, 8A through 8B, 10A through 10B, and 11); and, a sclerosing catheter (FIGS. 13 through 15). These catheters may be used to determine the location of the retroduodenal artery in endoscopic papillotomy (FIGS. 2, 5, and 6), to evaluate and treat esophageal varices (FIGS. 9 and 12), or generally to detect blood flow in a biological structure within the body. Depending on the application, the ultrasonic field provided by the ultrasonic probe may be either transverse or parallel to the longitudinal axis of the catheter tube and may be either highly directional, omnidirectional, or sectorial. The ultrasonic probe is coupled to a pulsed Doppler circuit (FIG. 16) by an isolation circuit (FIGS. 17 through 20) that provides electrical isolation and RFI suppression. The Doppler circuit is designed to enhance close proximity detection of blood flow, to limit the range of the probe's ultrasonic field, and to distinguish between arterial blood flow, venous blood flow, and vessel wall motion.
    • 尺寸适于穿过内窥镜的活检通道的导管的各种形式包括:柔性材料的细长导管和由导管邻近其末端承载的超声波探头。 形式包括:乳头切开导管(图1和3); 用于一般内窥镜和非内窥镜应用的导管(图4,7A至7C,8A至8B,10A至10B和11); 和硬化导管(图13至15)。 这些导管可用于确定内视乳头切开术中再二十二指肠动脉的位置(图2,图5和图6),以评估和治疗食管静脉曲张(图9和12),或通常用于检测生物中的血液流动 体内结构。 根据应用,由超声波探头提供的超声波场可以是横向的或平行于导管的纵向轴线,并且可以是高度定向的,全向的或扇形的。 超声波探头通过提供电隔离和RFI抑制的隔离电路(图17至20)耦合到脉冲多普勒电路(图16)。 多普勒电路设计用于增强血流的近距离检测,限制探头的超声波场的范围,并区分动脉血流,静脉血流和血管壁运动。