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1. 发明申请

US20110015648A1 ENDOSCOPIC ROBOTIC CATHETER SYSTEM 审中-公开
公开(公告)号：US20110015648A1
公开(公告)日：2011-01-20
申请号：US12504559
申请日：2009-07-16
申请人： Jeffery B. Alvarez , Gregory J. Stahler , Federico Barbagli , Christopher R. Carlson
发明人： Jeffery B. Alvarez , Gregory J. Stahler , Federico Barbagli , Christopher R. Carlson
IPC分类号： A61B19/00
CPC分类号： A61B17/221 , A61B17/22031 , A61B34/30 , A61B34/37 , A61B34/71 , A61B34/76 , A61B90/361 , A61B2017/00477 , A61B2017/22035 , A61B2017/2212 , A61B2034/105 , A61B2034/301 , A61B2090/306 , A61B2090/3614 , A61B2090/376
摘要： A robotic catheter system includes a controller with a master input device. An instrument driver is in communication with the controller and has a elongate instrument interface including a plurality of instrument drive elements responsive to control signals generated, at least in part, by the master input device. An elongate instrument has a base, distal end, and a working lumen, wherein the guide instrument base is operatively coupled to the guide instrument interface. The elongate instrument preferably comprises and/or defines other lumens to accommodate instruments such as an optics bundle, a light bundle, a laser fiber, and flush irrigation. The working lumen preferably is configured to accommodate a grasping or capturing tool, such as a collapsible basket or grasper, for use in procedures such as kidney stone interventions. The elongate instrument includes a plurality of instrument control elements operatively coupled to respective drive elements and secured to the distal end of the instrument. The instrument control elements are axially moveable relative to the guide instrument such that movement of the guide instrument distal end may be controlled by the master input device.

2. 发明申请

US20110091854A1 SYSTEM AND METHOD FOR SEIZURE SIMULATION IN HEALTH TRAINING MANNEQUIN 有权
标题翻译：在健康培训中检测模拟的系统和方法
公开(公告)号：US20110091854A1
公开(公告)日：2011-04-21
申请号：US12580201
申请日：2009-10-15
申请人： Gregory J. Stahler , Jeffery B. Alvarez
发明人： Gregory J. Stahler , Jeffery B. Alvarez
IPC分类号： G09B23/28
CPC分类号： G09B23/32 , G09B23/28 , G09B23/281 , G09B23/30 , G09B23/34
摘要： Configurations for simulation of motions or movement in a health training mannequin for teaching purposes are disclosed. A seizure simulation apparatus is configured to be housed separately from but interfaced with a health training mannequin to induce oscillatory motion symptomatic of a neurological seizure or similar disorder in the mannequin. In one embodiment a system comprises a motion inducer comprising a housing, an interface structure, and an actuator, wherein the interface structure is coupled to the actuator, movable relative to the housing, and configured to interface with a portion of a health training mannequin to induce oscillatory motion in at least one portion of the health training mannequin. In another embodiment a method comprises interfacing a portion of a health training mannequin with an interface structure, the interface structure being coupled to an actuator and movable relative to a housing coupled to the actuator, the housing not being housed within a portion of the health training mannequin. Various hardware configurations are presented.
摘要翻译：公开了用于教学目的的用于模拟健康训练模特的运动或运动的配置。缉获模拟装置被配置为与健康训练模特分开但与健康训练模特接合，以诱导人体模型中的神经学发作或类似障碍的症状的振荡运动。在一个实施例中，系统包括运动诱导器，其包括壳体，接口结构和致动器，其中所述接口结构联接到所述致动器，所述致动器可相对于所述壳体移动，并且被配置为与健康训练人体模型的一部分在健康训练模特的至少一部分中诱导振荡运动。在另一个实施例中，一种方法包括将健康训练人体模型的一部分与界面结构相接合，所述界面结构联接到致动器并且可相对于联接到所述致动器的壳体移动，所述壳体不被容纳在健康训练的一部分内人体模特介绍了各种硬件配置。

3. 发明授权

US09214096B2 System and method for seizure simulation in health training mannequin 有权
标题翻译：健康训练模特的癫痫模拟系统和方法
公开(公告)号：US09214096B2
公开(公告)日：2015-12-15
申请号：US12580201
申请日：2009-10-15
申请人： Gregory J. Stahler , Jeffery B. Alvarez
发明人： Gregory J. Stahler , Jeffery B. Alvarez
IPC分类号： G09B23/28 , G09B23/32 , G09B23/30 , G09B23/34
CPC分类号： G09B23/32 , G09B23/28 , G09B23/281 , G09B23/30 , G09B23/34
摘要： One embodiment is directed to a seizure simulation system, comprising a motion inducer comprising a housing, an interface structure, and an actuator; wherein the interface structure is coupled to the actuator, movable relative to the housing, and configured to interface with a portion of a health training mannequin, from a position external to the health training mannequin, to induce motion in at least one portion of the health training mannequin.
摘要翻译：一个实施例涉及一种缉获模拟系统，包括：运动诱导器，包括壳体，接口结构和致动器; 其中所述界面结构联接到所述致动器，所述致动器可相对于所述壳体移动，并且被配置为与所述健康训练人体模型外部的位置的健康训练人体模型的一部分相接触以在所述健康的至少一部分中诱发运动训练模特

4. 发明授权

US09814862B2 Reentry catheter and method thereof 有权
公开(公告)号：US09814862B2
公开(公告)日：2017-11-14
申请号：US14128050
申请日：2012-06-29
申请人： Jeffery B. Alvarez , Christine Godleski , Wade A. Bowe , Rob Carver , Paola A. Dwelle , David S. Nevrla , Shahriar Matin , Matthew M. Magee
发明人： Jeffery B. Alvarez , Christine Godleski , Wade A. Bowe , Rob Carver , Paola A. Dwelle , Jeff Lindstrom , David S. Nevrla , Shahriar Matin , Matthew M. Magee
IPC分类号： A61M25/01 , A61B17/34 , A61M25/00 , A61B17/22
CPC分类号： A61M25/0172 , A61B17/3423 , A61B2017/22044 , A61B2017/22095 , A61M25/003 , A61M25/005 , A61M25/0069 , A61M25/0074 , A61M25/0108 , A61M25/0194 , A61M2025/0004 , A61M2025/0008 , A61M2025/0037 , A61M2025/0079 , A61M2025/018 , A61M2025/0183 , A61M2025/0197
摘要： Embodiments of the invention are directed towards a rapid exchange catheter configured for insertion into a subintimal space and crossing an occlusion in a subintimal space. The catheter includes a proximal end, a distal end, a first lumen configured to receive a first wire, the first lumen extending longitudinally through a least a lateral port of the catheter, and a second lumen having at least a portion distal of the lateral port and extending through at least the distal end of the catheter. The catheter also includes an exchange port arranged on a exterior portion of the catheter configured to the receive a second wire and second rapid exchange port in communication with the second lumen. Moreover, other embodiments of the invention are directed towards methods for using the rapid exchange catheter to cross an obstruction in a vessel, e.g., a total or partial occlusion, in a subintimal space.

5. 发明授权

US09254123B2 Flexible and steerable elongate instruments with shape control and support elements 有权
标题翻译：灵活和可操纵的细长仪器，具有形状控制和支撑元件
公开(公告)号：US09254123B2
公开(公告)日：2016-02-09
申请号：US12432683
申请日：2009-04-29
申请人： Jeffery B. Alvarez , Casey Lewis , Francis MacNamara , Enrique Romo , Neal A. Tanner , William K. Yee
发明人： Jeffery B. Alvarez , Casey Lewis , Francis MacNamara , Enrique Romo , Neal A. Tanner , William K. Yee
IPC分类号： A61B1/00 , A61M25/01 , A61B17/00 , A61B1/005 , A61B19/00
CPC分类号： A61B34/30 , A61B1/00078 , A61B1/0055 , A61B1/0057 , A61B17/00234 , A61B34/71 , A61B2017/00318 , A61B2017/00327 , A61B2034/301 , A61B2034/303 , A61M25/0136 , A61M25/0138 , A61M25/0144 , A61M25/0147 , A61M2025/015 , A61M2025/0161
摘要： An instrument having a flexible and elongated body includes at least a lumen and a flex member disposed within the lumen. The flex member may be capable of providing steering control to a first portion of the elongate body while providing load bearing support to a second portion of the elongate body. A pull wire may be disposed within the flex member, and at least a distal portion of the pull wire may be coupled to the elongate body and a proximal portion of the pull wire may be operatively coupled to a control unit. The control unit may be coupled to a proximal portion of the elongate body. In addition, a control member may be operatively coupled to the control unit such that a distal portion of the control member may be positioned near a proximal portion of the flex member. The control member may be configured to support the flex member and control the movement or displacement of the flex member. Furthermore, the flex member may be configured to selectively decouple articulation or steering forces of a first portion of the elongate body away from a second portion of the elongate body; thereby, preventing compression of the second portion of the elongate body while maintaining elasticity or flexibility of the second portion of the elongate body.
摘要翻译：具有柔性和细长主体的器械包括至少一个内腔和设置在内腔内的柔性构件。柔性构件可以能够向细长主体的第一部分提供转向控制，同时向细长主体的第二部分提供承载支撑。拉线可以设置在柔性构件内，并且牵引线的至少远端部分可以联接到细长主体，并且拉线的近侧部分可以可操作地联接到控制单元。控制单元可以联接到细长主体的近端部分。此外，控制构件可以可操作地联接到控制单元，使得控制构件的远侧部分可以定位在柔性构件的近侧部分附近。控制构件可以被配置为支撑柔性构件并且控制柔性构件的运动或位移。此外，柔性构件可以被构造成选择性地将细长体的第一部分的铰接或转向力分离离开细长体的第二部分; 从而防止细长主体的第二部分的压缩，同时保持细长主体的第二部分的弹性或柔性。

6. 发明授权

US08998936B2 Reentry catheter and method thereof 有权
公开(公告)号：US08998936B2
公开(公告)日：2015-04-07
申请号：US13229392
申请日：2011-09-09
申请人： Jeffery B. Alvarez , David S. Nevrla
发明人： Jeffery B. Alvarez , David S. Nevrla
IPC分类号： A61B17/32 , A61M25/01 , A61M25/00
CPC分类号： A61M25/0194 , A61B2017/22095 , A61M25/0138 , A61M2025/0058 , A61M2025/0096 , A61M2025/0183 , A61M2025/0197
摘要： The invention generally relates to method and apparatus for crossing an obstruction in a tubular member, and more particularly to a medical device method for crossing of a chronic occlusion in a subintimal or interstitial space of an artery.

7. 发明申请

US20130006167A1 Reentry Catheter and Method Thereof 有权
公开(公告)号：US20130006167A1
公开(公告)日：2013-01-03
申请号：US13229392
申请日：2011-09-09
申请人： Jeffery B. Alvarez , David S. Nevrla
发明人： Jeffery B. Alvarez , David S. Nevrla
IPC分类号： A61M37/00 , A61M25/098 , A61M25/00
CPC分类号： A61M25/0194 , A61B2017/22095 , A61M25/0138 , A61M2025/0058 , A61M2025/0096 , A61M2025/0183 , A61M2025/0197
摘要： The invention generally relates to method and apparatus for crossing an obstruction in a tubular member, and more particularly to a medical device method for crossing of a chronic occlusion in a subintimal or interstitial space of an artery.

8. 发明授权

US08956376B2 Reentry catheter and method thereof 有权
标题翻译：再入导管及其方法
公开(公告)号：US08956376B2
公开(公告)日：2015-02-17
申请号：US13229378
申请日：2011-09-09
申请人： Jeffery B. Alvarez , David S. Nevrla
发明人： Jeffery B. Alvarez , David S. Nevrla
IPC分类号： A61B17/32 , A61M31/00 , A61M37/00 , A61B17/20 , A61M25/01 , A61M25/00
CPC分类号： A61M25/0194 , A61B17/3207 , A61B2017/320056 , A61M25/0138 , A61M2025/0096 , A61M2025/0183 , A61M2025/0197 , A61M2205/32
摘要： The invention generally relates to method and apparatus for crossing an obstruction in a tubular member, and more particularly to a medical device method for crossing of a chronic occlusion in a subintimal or interstitial space of an artery.
摘要翻译：本发明一般涉及用于穿过管状构件中的障碍物的方法和装置，更具体地涉及用于在动脉的内膜或间质空间中交叉慢性阻塞的医疗装置方法。

9. 发明授权

US08827948B2 Steerable catheters 有权
标题翻译：导向导管
公开(公告)号：US08827948B2
公开(公告)日：2014-09-09
申请号：US13173994
申请日：2011-06-30
申请人： Enrique Romo , Jeffery B. Alvarez , Francis Macnamara , Gene Reis
发明人： Enrique Romo , Jeffery B. Alvarez , Francis Macnamara , Gene Reis
IPC分类号： A61M31/00 , A61M37/00 , A61B8/00 , A61B6/00 , A61B8/12 , G06T19/00 , A61B6/12 , A61B8/08
CPC分类号： A61B19/2203 , A61B6/12 , A61B6/4423 , A61B6/487 , A61B8/0841 , A61B8/12 , A61B8/4218 , A61B34/25 , A61B34/30 , A61B34/35 , A61B34/37 , A61B34/71 , A61B34/74 , A61B46/10 , A61B90/361 , A61B2017/00991 , A61B2034/102 , A61B2034/301 , A61B2034/715 , A61B2034/742 , G06T19/00 , G06T2210/41
摘要： Medical devices having an elongated steerable member are described herein. In one embodiment, a device includes an elongated body having a proximal section, a distal section, and a working lumen extending through the proximal and distal sections, a first coil having a distal portion, and a proximal portion, the proximal portion of the first coil being slidable relative to the proximal section of the elongated body, and being closer to a wall of the elongated body than to an axis of the elongated body, wherein a lengthwise portion of the distal portion of the first coil is anchored to the distal section of the elongated body, and a first steering wire located within a lumen of the first coil.
摘要翻译：本文描述了具有细长的可操纵构件的医疗装置。在一个实施例中，装置包括细长体，其具有近端部分，远侧部分和延伸穿过近端部分和远端部分的工作腔，具有远端部分的第一线圈和近端部分，第一部分的近端部分线圈相对于细长体的近端部分可滑动，并且比细长体的轴线更靠近细长体的壁，其中第一线圈的远端部分的纵向部分锚定到远端部分以及位于第一线圈的内腔内的第一操纵线。

10. 发明申请

US20140012276A1 LITHOTRIPSY EYE TREATMENT 有权
标题翻译：提取眼睛治疗
公开(公告)号：US20140012276A1
公开(公告)日：2014-01-09
申请号：US13711440
申请日：2012-12-11
申请人： Jeffery B. Alvarez
发明人： Jeffery B. Alvarez
IPC分类号： A61F9/007
CPC分类号： A61F9/00736 , A61B17/2202 , A61B17/22022 , A61B17/24 , A61B2017/00331 , A61B2017/22021 , A61B2017/22024 , A61B2017/22025 , A61B2017/22062 , A61F9/00745
摘要： A lithotripsy probe is used to break up cataracts, sinus blockages and other body masses, where the broken materials may be removed by suction. The lithotripsy probe may have a spark generator, a fluid motion generator, or other component for breaking up the body mass.
摘要翻译：碎石探头用于分解白内障，窦阻塞和其他身体质量，其中破碎的物质可能通过抽吸去除。碎石探针可以具有火花发生器，流体运动发生器或用于分解体重的其他部件。

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