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    • 1. 发明授权
    • Intravascular oximetry catheter
    • 血管内血氧饱和度测定导管
    • US5995208A
    • 1999-11-30
    • US86789
    • 1998-05-28
    • Jeffrey A. SargeScott T. TsuchitaniHarlow B. ChristiansonGerald G. VurekJohn M. SperindeDarrell H. Ogi
    • Jeffrey A. SargeScott T. TsuchitaniHarlow B. ChristiansonGerald G. VurekJohn M. SperindeDarrell H. Ogi
    • A61B5/00G01N33/48
    • A61B5/1459
    • Apparatus and a method for monitoring a percentage of the oxygen saturation in the hemoglobin of blood flowing through a blood vessel. An optical sensor that detects the percentage oxygen saturation in blood is disposed proximate a proximal end of the catheter. A thermistor is disposed adjacent to the distal end of the catheter and it is employed to detect changes in blood temperature that indicate the position of the catheter's distal end in the blood vessel. Indicia or marks visible at intervals on the outer surface of the catheter enable a medical practitioner to determine the length of the catheter that has been introduced into the blood vessel. A strain relief that is flexible and resists stretching extends along the length of the catheter. For flushing the distal end of the catheter, a fluid supply may be connected to a lumen running through the catheter to provide the flushing fluid. A removable guide wire is inserted in the lumen when positioning the distal end of the catheter at a location in the blood vessel and provides enhanced rigidity for this purpose. The catheter may be coated with an anticoagulant such as heparin, to prevent blood from coagulating on the exterior surface of the catheter.
    • 用于监测流过血管的血液的血红蛋白中的氧饱和度百分比的装置和方法。 检测血液中氧饱和度百分比的光学传感器设置在导管近端附近。 热敏电阻设置在导管的远端附近,并且用于检测指示导管远端在血管中的位置的血液温度变化。 在导管的外表面上以间隔可见的标记或标记使医生能够确定已经被导入血管的导管的长度。 柔韧且抗拉伸的应变消除部沿着导管的长度延伸。 为了冲洗导管的远端,流体供应可以连接到穿过导管的内腔,以提供冲洗液。 当将导管的远端定位在血管中的位置时,将可移除的导丝线插入内腔,并为此提供增强的刚性。 导管可以用抗凝血剂如肝素涂覆,以防止血液凝结在导管的外表面上。
    • 2. 发明授权
    • User-restricted passage in reusable portion of device for monitoring a
physiological pressure
    • 在用于监测生理压力的装置的可重复使用部分中的用户限制通道
    • US5551300A
    • 1996-09-03
    • US574206
    • 1995-12-18
    • Gerald G. VurekHarlow B. Christianson
    • Gerald G. VurekHarlow B. Christianson
    • A61B5/0215G01L7/00A61B5/02
    • A61B5/0215
    • A pressure monitoring apparatus for use in monitoring a physiological fluid pressure in successive patients. Three embodiments of the pressure monitoring apparatus (10, 100, 200) are disclosed, each of which include a disposable portion ( 12, 12', 12") and a reusable portion ( 14, 14', 14"). Fluid flows through the disposable portion and into a cavity (48) that is covered with an elastomeric membrane (46, 46'). When the disposable portion is engaged with the reusable portion, the elastomeric membrane is in contact with a corresponding elastomeric membrane (50, 50'), which covers a pressure sensing cavity (52). A pressure transducer (56) is mounted in the pressure sensing cavity, and the pressure sensing cavity is filled with a fluid and is in fluid communication with a reservoir(38) when not engaged with the disposable portion. When the disposable portion is brought into engagement with the reusable portion, a passage (54, 53) connecting the reservoir with the pressure sensing cavity is blocked, thereby minimizing the volume of fluid within the pressure sensing cavity. In this way, the compliance of the pressure sensing portion is reduced, so that its frequency response is increased. In one embodiment of the pressure monitoring apparatus (100), a slider (110) is provided for covering the elastomeric membrane used on the disposable portion so that exposure of the elastomeric membrane to a fluid pressurized to a level in excess of the rated pressure for the membrane does not damage the membrane.
    • 一种压力监测装置,用于监测连续患者的生理液压。 公开了压力监视装置(10,100,200)的三个实施例,每个实施例包括一次性部分(12,12',12“)和可重复使用部分(14,14',14”)。 流体流过一次性部分并进入被弹性膜(46,46')覆盖的空腔(48)中。 当一次性部分与可重复使用部分接合时,弹性膜与相应的弹性体膜(50,50')接触,弹性膜覆盖压力感应腔(52)。 压力传感器(56)安装在压力感测腔中,并且压力感测腔充满流体,并且当不与一次性部分接合时与压力传感器(38)流体连通。 当一次性部分与可重复使用部分接合时,将储存器与压力感测腔连接的通道(54,53)被阻挡,从而使压力感测腔内的流体体积最小化。 以这种方式,减小了压力感测部分的顺应性,使得其频率响应增加。 在压力监测装置(100)的一个实施例中,提供滑动件(110),用于覆盖在一次性部分上使用的弹性体膜,使得将弹性体膜暴露于加压到超过额定压力的水平 膜不会损坏膜。
    • 3. 发明授权
    • Calibration system and method for calibrating a blood gas sensor
    • 用于校准血液气体传感器的校准系统和方法
    • US5329804A
    • 1994-07-19
    • US962990
    • 1992-10-16
    • Cheryl D. GermanyConrad T. Oi FongSteven B. DukeGerald G. Vurek
    • Cheryl D. GermanyConrad T. Oi FongSteven B. DukeGerald G. Vurek
    • A61B5/00G01N33/00G01N33/49
    • A61B5/1495A61B5/1491G01N33/0006G01N33/4925
    • A calibration system and method for calibrating a medical sensor (16) that monitors chemical blood gases. A calibrator (12) is used in connection with a tray (14) in which the medical sensor is stored in a sterile environment, both before and during the calibration process. The medical sensor is immersed in a liquid (30) in a tonometry chamber (28) defined in the tray and covered by a membrane (120/122) that is permeable to gas, but impermeable to bacteria. During the calibration process, the tray is inserted into the calibrator, bringing a heated platen (26) into contact with the tonometry chamber, so that the liquid can be heated to a calibration temperature substantially equal to the temperature at which the medical sensor will subsequently be used. A first calibration gas is then bubbled through the liquid until a saturated condition is achieved. Once the temperature of the liquid is increased to the desired calibration temperature, as determined by a temperature sensor on the medical sensor, data for a first calibration point is taken. A second calibration gas is then bubbled through the liquid until saturation is achieved, yielding data for a second calibration point, for each of the chemical blood gas parameters. The calibration data is processed to determine calibration coefficients that will be applied to the medical sensor.
    • 一种用于校准监测化学血液气体的医疗传感器(16)的校准系统和方法。 校准器(12)结合托盘(14)使用,其中医疗传感器在校准过程之前和期间都存储在无菌环境中。 医疗传感器被浸入定义在托盘中的眼压测定室(28)中的液体(30)中,并被可渗透气体但对细菌不透过的膜(120/122)覆盖。 在校准过程中,托盘插入到校准器中,使加热的压板(26)与眼压测定室接触,使得液体可以被加热到基本上等于医疗传感器随后温度的校准温度 使用。 然后将第一校准气体鼓泡通过液体直到达到饱和状态。 一旦液体的温度升高到所需的校准温度,如由医疗传感器上的温度传感器所确定的,则采用用于第一校准点的数据。 然后将第二校准气体鼓泡通过液体,直至达到饱和,得到每个化学血气参数的第二校准点的数据。 处理校准数据以确定将应用于医疗传感器的校准系数。
    • 5. 发明授权
    • Method for joining optical fibers at the fiber interface of a beveled
angle fiber optic connector
    • 一种在斜角光纤连接器的光纤接口处连接光纤的方法
    • US5074638A
    • 1991-12-24
    • US629323
    • 1990-12-18
    • Robert G. PoliRobert A. GutcheckV. Stanton ThomasGerald G. Vurek
    • Robert G. PoliRobert A. GutcheckV. Stanton ThomasGerald G. Vurek
    • G02B6/38
    • G02B6/3822G02B6/3817G02B6/3839G02B6/3846G02B6/3847G02B6/3885G02B6/3887G02B6/389
    • A method for aligning first and second optical fibers of a fiber optic connector at a fiber interface wherein the first optical fiber has a beveled angle end face and the second optical fiber a complementary beveled angle end face, the method including the step of abutting the respective fiber end faces at an angle at the interface, cooperatively engaging a vertical reference surface associated with the first optical fiber with a vertical reference nodule associated with the second optical fiber to align the respective fiber end faces at a vertical aligned position for the connector. Respective horizontal reference surfaces associated with the first optical fiber are also cooperatively engaged with a horizontal reference node and a compressible crush rib associated with the second optical fiber to align the respective fiber end faces at a horizontal aligned position for the connector. The method also holds the respective fiber end faces in suitable connector members in abutting and full engagement at the fiber interface, within a connector enclosure, in a fixed aligned position, in which the vertical aligned position is coincident with the horizontal aligned position for the optical fibers of the connector.
    • 一种用于在光纤接口处对准光纤连接器的第一和第二光纤的方法,其中所述第一光纤具有斜角端面,所述第二光纤具有互补的倾斜角度端面,所述方法包括以下步骤: 光纤端面在界面处以一定角度,与第一光纤相关联的垂直参考表面与与第二光纤相关联的垂直参考结点协作地接合,以使相应的光纤端面对准连接器的垂直对齐位置。 与第一光纤相关联的各个水平参考表面也与水平参考节点和与第二光纤相关联的可压缩压碎肋骨协作地接合,以使相应的光纤端面对准连接器的水平对准位置。 该方法还将相应的光纤端面保持在适当的连接器部件中,在连接器外壳内的光纤接口处以固定的对准位置抵接并完全接合,其中垂直对准位置​​与用于光学器件的水平对准位置重合 连接器的光纤。
    • 6. 发明授权
    • Hydrodynamic clot flushing
    • 流体动脉血块冲洗
    • US4954129A
    • 1990-09-04
    • US224074
    • 1988-07-25
    • David GiulianiGerald G. Vurek
    • David GiulianiGerald G. Vurek
    • A61M25/00
    • A61M25/0023A61M25/0017
    • A process for flushing clots from an intravascular probe including the steps of positioning a catheter assembly in a blood vessel and then delivering a flushant through the catheter and past the probe at two rates. The flushant is first delivered at a continual rate to maintain the catheter substantially free of blood clots. Periodically, a pulse of flushant is delivered at a second flow rate that is higher than the continual rate that is effective to clear the probe of incipient clots. The hydrodynamic clot flushing system includes a cather insertable within an arterial or venous blood vessel, the cather having an internal axial bore for conducting fluid and in which a probe is slidably received. A valve delivers a flushant through the internal axial bore of the catheter and around the probe at two selected rates. A plurality of radially arrayed ribs formed on either the internal wall of the catheter or the outside of the probe or both hold the probe away from the wall and provide fluid channels for conducting flushant to the probe tip.
    • 一种用于从血管内探针冲洗凝块的方法,包括将导管组件放置在血管中,然后以两种速率将穿过导管并经过探针的冲洗液递送的步骤。 首先以持续速率递送冲洗剂以维持导管基本上没有血块。 定期地,以比能有效清除初期凝块探针的连续速率更高的第二流速输送冲洗剂脉冲。 流体动力学凝块冲洗系统包括可插入到动脉或静脉血管内的吸引器,该夹持器具有用于传导流体的内部轴向孔,并且其中可滑动地接收探针。 阀门通过导管的内部轴向孔并以两个选定的速率在探针周围输送冲洗剂。 形成在导管的内壁或探针的外部或两者上的多个径向排列的肋将探针远离壁保持,并提供流体通道以将冲洗剂引导到探针尖端。
    • 8. 发明授权
    • Armboard useable with a medical device
    • 扶手板可用于医疗设备
    • US5263497A
    • 1993-11-23
    • US775168
    • 1991-10-11
    • Richard W. GrabenkortMary M. CareyGerald G. Vurek
    • Richard W. GrabenkortMary M. CareyGerald G. Vurek
    • A61B5/00A61M25/02A61B5/02
    • A61B5/0084A61M25/02A61M2025/0213A61M2025/0246
    • An improved armboard includes receptacles for receiving and holding a medical device to be used in conjunction with the treatment of a patient. The patient's forearm is immobilized on the armboard, a sensor associated with the medical device is inserted into the patient, with a side channel of the armboard holding the medical device and a cable extending from the sensor to a fiber optic connector received in a modular unit stored in a suitable cavity and optical cable channels extending from opposite ends thereof are appropriately sized to prevent misinsertion of the modular unit into the armboard. The armboard is formed from polystyrene foam, and thus is lightweight, disposable after a single use, and the cavities provided therein are appropriately sized to receive and retain the components of the medical device associated therewith.
    • 改进的扶手板包括用于接收和保持与患者治疗结合使用的医疗装置的容器。 将患者的前臂固定在扶手板上,将与医疗装置相关联的传感器插入患者体内,扶手板的侧通道保持医疗装置,以及从传感器延伸到以模块单元接收的光纤连接器的电缆 存储在合适的空腔中,并且从其相对端延伸的光缆通道被适当地设定尺寸以防止模块化单元错误插入到扶手板中。 扶手板由聚苯乙烯泡沫形成,因此在一次使用之后是轻质的,一次性的,并且其中设置的腔适当地定尺寸以接收和保持与其相关联的医疗装置的部件。
    • 9. 发明授权
    • Sensor delivery device
    • 传感器输送装置
    • US5261892A
    • 1993-11-16
    • US843855
    • 1992-02-27
    • Francois X. BertaudRichard W. GrabenkortBeverly A. MagraneGerald G. Vurek
    • Francois X. BertaudRichard W. GrabenkortBeverly A. MagraneGerald G. Vurek
    • A61M25/01A61M5/18
    • A61M25/0111
    • A device for storing and delivering a sensor through a catheter. A sensor delivery device (10, 10') includes an elongate tube (20), which is attached to a rigid housing (22, 22'). A sensor (12), stored within a sterile environment comprising an interior of the sensor delivery device, has an attached signal line (16) that extends along the longitudinal axis of the delivery device and through its proximal end. The proximal end is open when the sensor is in its stored position. An eversible sheath (34) extends between the rigid housing and the signal line, sealingly separating the sterile environment (48) in which the sensor is stored from the open end of the rigid housing. To use the sensor, the signal line is moved into the rigid housing, causing the eversible sheath to turn inside out as the sensor is advanced through the catheter into its use position. The protection afforded by the eversible sheath permits the sensor to be withdrawn through the catheter and then reinserted without introducing contamination. A probe stop (54) abuts an inner surface of a catheter fitting (17), precisely controlling the distance that the sensor extends beyond a distal end of the catheter.
    • 用于通过导管存储和传送传感器的装置。 传感器传送装置(10,10')包括细长管(20),其连接到刚性壳体(22,22')。 存储在包括传感器传送装置内部的无菌环境中的传感器(12)具有沿着输送装置的纵向轴线并且通过其近端延伸的附接的信号线(16)。 当传感器处于其储存位置时,近端打开。 可逆护套(34)在刚性外壳和信号线之间延伸,将传感器的无菌环境(48)从刚性外壳的开口端密封地分开。 为了使用传感器,信号线被移动到刚性壳体中,当传感器通过导管前进到其使用位置时,使可逆护套向内转。 由可逆护套提供的保护允许传感器通过导管取出,然后重新插入而不引入污染物。 探针止动件(54)邻接导管配件(17)的内表面,精确地控制传感器延伸超出导管远端的距离。
    • 10. 发明授权
    • Beveled angle fiber optic connector
    • 斜角光纤连接器
    • US5134675A
    • 1992-07-28
    • US629321
    • 1990-12-18
    • Robert G. PoliRobert A. GutcheckV. Stanton ThomasGerald G. Vurek
    • Robert G. PoliRobert A. GutcheckV. Stanton ThomasGerald G. Vurek
    • G02B6/02G02B6/38G02B6/40
    • G02B6/3839G02B6/381G02B6/3833G02B6/389G02B6/3822
    • A fiber optic connector in which first and second optical fibers are aligned at a fiber interface of the connector. The first optical fiber has a beveled angle end face, and the second optical fiber has a complementary beveled angle end face. Abutting connector members are joined in a connector enclosure which enables the respective fiber end faces to abut at an angle at the fiber interface. The respective fiber end faces are joined at a vertical aligned position for the connector, also at a horizontal aligned position for the connector. Suitable alignment means provided on the connector members enable alignment of the fiber end faces at the fiber interface. In a fixed aligned position of the assembled connector, the respective fiber end faces are held in abutting and full engagement at the fiber interface, in which the vertical aligned position of the optical fibers in the connector is coincident with the horizontal aligned position thereof.
    • 一种光纤连接器,其中第一和第二光纤在连接器的光纤接口处对准。 第一光纤具有斜角端面,第二光纤具有互补的斜角端面。 接合连接器构件连接在连接器外壳中,其使得各个光纤端面能够在光纤接口处以一定角度邻接。 相应的光纤端面在用于连接器的垂直对准位置​​处连接,也在连接器的水平对准位置处。 设置在连接器构件上的合适的对准装置能使光纤端面在光纤接口处对准。 在组装的连接器的固定对准位置中,相应的光纤端面保持在光纤接口处的抵接和完全接合,其中连接器中的光纤的垂直对准位置​​与其水平对准位置重合。