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1. 发明授权

US5222484A Apparatus for shock wave treatment 失效
标题翻译：冲击波治疗装置
公开(公告)号：US5222484A
公开(公告)日：1993-06-29
申请号：US666384
申请日：1991-03-08
申请人： Werner Krauss , Helmut Wurster , Thomas Belikan , Joachim Fladl
发明人： Werner Krauss , Helmut Wurster , Thomas Belikan , Joachim Fladl
IPC分类号： A61B6/06 , A61B17/22 , A61B17/225 , A61B18/00
CPC分类号： A61B17/2251
摘要： An apparatus for shock wave treatment includes a shock wave transducer with a cup-shaped body and with an X-ray location finding device for finding the location of a bodily concretion or tissue to be treated. The X-ray device includes an extensible X-ray tube with telescoping tube sections which are sealed against an acoustic coupling medium filling the delay path of the transducer by a balloon arranged within the X-ray tube. The balloon is secured to the upper section of the tube and to the lower section thereof. Overpressure or underpressure is applied to the interior of the X-ray tube to adjust its length in order to optimise X-ray location finding on the one hand, and shock wave treatment on the other hand.
摘要翻译：用于冲击波治疗的装置包括具有杯形体的冲击波换能器和用于找到待治疗的身体结石或组织的位置的X射线定位装置。 X射线装置包括具有伸缩管部分的可伸展的X射线管，其与通过布置在X射线管内的气球填充延伸路径的声耦合介质密封。气囊被固定到管的上部和其下部。超压或负压被施加到X射线管的内部以调整其长度，以便一方面优化X射线定位，另一方面优化冲击波处理。

2. 发明授权

US5158085A Lithotripsy ultrasound locating device 失效
标题翻译： LITHOTRIPSY超声波定位装置
公开(公告)号：US5158085A
公开(公告)日：1992-10-27
申请号：US566587
申请日：1990-08-13
申请人： Thomas Belikan , Werner Krauss , Helmut Wurster
发明人： Thomas Belikan , Werner Krauss , Helmut Wurster
IPC分类号： A61B17/22 , A61B17/225
CPC分类号： A61B17/2258
摘要： A lithotripsy ultrasound locating device comprises at least one locating transducer having a plurality of focal ranges and which is associated with a therapy transducer and is axially adjustable in relation to its focus; a position indicator which generates a signal representing the distance between the sound head of the locating transducer and the focus of the therapy transducer; a computer; a monitor on which a target mark representing the focus of the therapy transducer is displayed; and an electronic transmitter/receiver arrangement controlled by the computer in order to produce an image of a concretion to be destroyed which image is constantly optimal. The computer, controls, as a function of the signal emitted by the position indicator and by way of the transmitter/receiver arrangement, the focal range of the locating transducer which, at the given distance at that moment between the sound head and the focus of the therapy transducer always lies in the range thereof. The computer further generates a signal following up the target mark on the monitor according to the signal emitted by the position indicator. The following-up signal is passed to the monitor so that, where applicable, in each axial position of the locating transducer, the image of the concretion displayed by the monitor lies in the target mark.
摘要翻译：碎石超声定位装置包括至少一个具有多个焦点范围的定位换能器，其与治疗换能器相关联并且可相对于其焦点轴向调节; 位置指示器，其产生表示定位换能器的声音头与治疗换能器的焦点之间的距离的信号; 一台电脑; 显示表示治疗传感器的焦点的目标标记的监视器; 以及由计算机控制的电子发射器/接收器装置，以产生待破坏的凝结物的图像，该图像是不断优化的。计算机根据由位置指示器发射的信号并通过发射器/接收器装置来控制定位传感器的焦距范围，定位传感器在声音头与焦点之间的给定距离处治疗传感器总是在其范围内。计算机还根据位置指示器发出的信号产生跟随监视器上的目标标记的信号。跟踪信号被传递到监视器，使得在适当的情况下，在定位换能器的每个轴向位置，由监视器显示的凝结图像位于目标标记中。

3. 发明授权

US5060634A Lithotriptor with reduced attenuation x-ray locating system 失效
标题翻译： Lithotriptor具有减少的衰减x射线定位系统
公开(公告)号：US5060634A
公开(公告)日：1991-10-29
申请号：US574330
申请日：1990-08-28
申请人： Thomas Belikan , Werner Krauss , Helmut Wurster
发明人： Thomas Belikan , Werner Krauss , Helmut Wurster
IPC分类号： A61B6/12 , A61B17/22 , A61B19/00
CPC分类号： A61B17/2251 , A61B6/12 , A61B2017/00902
摘要： In a lithotriptor a shock wave transducer is provided with a focussing cup and with a forward section containing a coupling medium shut off by means of a diaphragm for application to a patient's body. In the wall of the cup there is mounted a locating system comprising an x-ray emitter the outlet of which is located in the coupling medium. The outlet is closed by means of a balloon which can be filled with gas and which can be evacuated. When the balloon is filled with gas, it expands in the direction of radiation of the x-rays up to or almost up to the diaphragm of the forward section.
摘要翻译：在碎石机中，冲击波传感器设置有聚焦杯，并且具有包含耦合介质的前部，其通过隔膜被切断以应用于患者身体。在杯的壁上安装有一个定位系统，该定位系统包括一个x射线发射器，其出口位于耦合介质中。出口通过可以填充气体并可以抽空的气球封闭。当气囊充满气体时，其在x射线的辐射方向上扩展直到或接近正前段的隔膜。

4. 发明授权

US5113848A Apparatus for shock wave therapy 失效
标题翻译：用于冲击波治疗的装置
公开(公告)号：US5113848A
公开(公告)日：1992-05-19
申请号：US577968
申请日：1990-09-05
申请人： Werner Krauss , Helmut Wurster , Thomas Belikan
发明人： Werner Krauss , Helmut Wurster , Thomas Belikan
IPC分类号： A61B17/22 , A61B46/10
CPC分类号： A61B17/2251 , A61B46/10
摘要： Apparatus for shock wave therapy comprises an electroacoustic therapeutic transducer for generating ultrasonic shock waves, which are transmitted by way of a coupling medium shock wave transmission section of the transducer, bounded by a membrane, to the body of a patient reclining on a therapy table. In the interest of hygiene the membrane is releasably attached by its marginal area to the therapy table, being thereby exchangeable so that a new membrane can be provided for each patient. The extraction of gas from the coupling medium following exchange of the membrane is provided for.
摘要翻译：用于冲击波治疗的装置包括用于产生超声冲击波的电声治疗换能器，其通过由膜界定的换能器的耦合介质冲击波传播部分传递到躺在治疗台上的患者身体。为了卫生，膜通过其边缘区域可释放地附接到治疗台，由此可交换，使得可以为每个患者提供新的膜。提供交换膜后从耦合介质中提取气体。

5. 发明授权

US5060650A Lithotripter with X-ray and ultrasound location systems 失效
标题翻译：具有X射线和超声波定位系统的LITHOTRIPTER
公开(公告)号：US5060650A
公开(公告)日：1991-10-29
申请号：US494208
申请日：1990-03-15
申请人： Helmut Wurster , Werner Krauss , Thomas Belikan
发明人： Helmut Wurster , Werner Krauss , Thomas Belikan
IPC分类号： A61B17/22
CPC分类号： A61B17/2255 , A61B17/2258
摘要： A lithotripter comprises a transducer for generating focussed ultrasonic shock waves, and having an axis, a focus on said axis, the focus being positionable on a concretion or tissue which is to be destroyed, at least one diagnostic X-ray imaging system for locating the concretion of tissue including an X-ray emitter having an axis and an image intensifier, and at least one ultrasonic locating transducer having an axis, the X-ray emitter and the ultrasonic locating transducer being connected to the shock wave transducer in such a way that the axes of the locating systems intersect at said focus, with the axes of the locating systems preferably being offset from the axis of the shock wave transducer.
摘要翻译：碎石机包括用于产生聚焦的超声冲击波的换能器，并且具有轴，所述轴上的焦点，所述焦点可定位在待破坏的结石或组织上，至少一个诊断X射线成像系统，用于定位包括具有轴的X射线发射器和图像增强器的组织的结构以及具有轴的至少一个超声波定位换能器，X射线发射器和超声波定位换能器以冲击波换能器连接，使得定位系统的轴线在所述焦点处相交，定位系统的轴线最好偏离冲击波换能器的轴线。

6. 发明授权

US5095908A Apparatus for locating objects within a body in three dimensions and for destroying such objects 失效
标题翻译：用于在三维体内定位物体并破坏这些物体的装置
公开(公告)号：US5095908A
公开(公告)日：1992-03-17
申请号：US567493
申请日：1990-08-13
申请人： Thomas Belikan , Werner Knauss , Helmut Wurster
发明人： Thomas Belikan , Werner Knauss , Helmut Wurster
IPC分类号： A61B17/22 , A61B17/225
CPC分类号： A61B17/2258
摘要： An apparatus is described for locating objects within the body, and particularly concretions situated in body cavities, in three dimensions and for destroying them. The point of departure for this is an electro-acoustic treatment transducer for generating shock waves to be emitted to focus on the object concerned and a B-scanner connected to the treatment transducer to act as a locating transducer for locating the object, the locating transducer being adjustable relative to the treatment transducer co-focally therewith. The design proposed envisages the locating transducer being integrated into the treatment transducer so that the sound fields of both transducers travel the same distances through the same media and it is thus the correct position of the focus relative to the concretion seen in the image which is in fact shown.
摘要翻译：描述了一种用于在体内定位物体的装置，特别是位于体腔中的三维结构，并且用于破坏它们。出发点是用于产生要发射的冲击波以聚焦在有关物体上的电声处理换能器，以及连接到治疗换能器的B扫描仪，用作定位传感器以定位物体，定位换能器相对于与其共处理的处理换能器可调节。所提出的设计设想将定位换能器集成到治疗换能器中，使得两个换能器的声场在相同的介质上传播相同的距离，并且因此它是相对于在图像中看到的结块的正确位置事实显示。

7. 发明授权

US5065742A Ultrasonic wave coupler for locating transducer in a lithotriptic apparatus 失效
标题翻译：超声波耦合器，用于定位传感器在碎石仪器中
公开(公告)号：US5065742A
公开(公告)日：1991-11-19
申请号：US529975
申请日：1990-05-29
申请人： Thomas Belikan , Werner Krauss
发明人： Thomas Belikan , Werner Krauss
IPC分类号： A61B8/00 , A61B17/22 , A61B17/225
CPC分类号： A61B17/2251 , A61B8/4281 , A61B2017/2253
摘要： A diagnostic coupler is provided for transmitting ultrasonic waves from an ultrasonic locating transducer to a patient body, particularly for use in a lithotriptic apparatus having an ultrasonic shock wave transducer and at least one ultrasonic locating transducer. The coupler is a dimensionally stable body which is releasably arranged on the ultrasonic locating transducer by fitting to the shape of the ultrasound emitting end of the transducer. The material of the coupler has a characteritic wave impedance which is substantially the same as that of the patient body tissue.
摘要翻译：提供诊断耦合器，用于将超声波从超声波定位换能器发射到患者身体，特别是用于具有超声冲击波换能器和至少一个超声波定位换能器的碎石装置。耦合器是尺寸稳定的主体，其通过适配于换能器的超声发射端的形状而可释放地布置在超声波定位换能器上。耦合器的材料具有与患者身体组织基本相同的特征波阻抗。

8. 发明授权

US06391000B1 Means for supplying a medical instrument with rinsing fluid 有权
标题翻译：用于向医疗器械供应冲洗液的装置
公开(公告)号：US06391000B1
公开(公告)日：2002-05-21
申请号：US09505218
申请日：2000-02-16
申请人： Thomas Belikan , Michael Lamprecht , Gunter Rentschler
发明人： Thomas Belikan , Michael Lamprecht , Gunter Rentschler
IPC分类号： A61M3100
CPC分类号： A61M3/0233 , A61M2205/3331 , A61M2205/3386
摘要： With this device the rinsing fluid is located in a container which may be set under pressure with a gas and into which pressurised gas via a cannula may be introduced and from which rinsing fluid may be removed via another cannula. The respective filled condition of the container is acquired with a sensor, wherein the temporal course of the gas pressure in the container or of the gas flow into the container is measured and on ascertaining a gas pressure fall or gas flow rise after points in time specific to the system the means may be deactivated.
摘要翻译：使用该装置，冲洗流体位于容器中，该容器可以被设置在气体的压力下，并且经由套管的加压气体可以被引入到该容器中，并且可以通过另一插管将冲洗流体从该容器移除。用传感器获取容器的相应填充状态，其中测量容器中的气体压力或流入容器中的气体的时间过程，并且在确定时间特定值之后确定气体压力下降或气体流量上升到系统，手段可以被去激活。

9. 发明申请

US20050219376A1 Image recording device having several image recording modes 审中-公开
标题翻译：具有多个图像记录模式的图像记录装置
公开(公告)号：US20050219376A1
公开(公告)日：2005-10-06
申请号：US11075278
申请日：2005-03-08
申请人： Thomas Wittenberg , Wolfgang Heppner , Stephan Gick , Hubert Voellinger , Ulrich Osterland , Thomas Belikan , Martin Dolt , Hans Bloss , Robert Couronne
发明人： Thomas Wittenberg , Wolfgang Heppner , Stephan Gick , Hubert Voellinger , Ulrich Osterland , Thomas Belikan , Martin Dolt , Hans Bloss , Robert Couronne
IPC分类号： A61B1/04 , A61B1/267 , H04N5/228
CPC分类号： A61B1/042 , A61B1/2673
摘要： A more effective larynx or vocal fold examination is facilitated when an image recording device, preferably a color image recording device comprising three modes is made available, a face-recording recording mode with a low recording frequency or image repetition frequency, respectively, but with a high resolution, a further face-recording recording mode with a higher image repetition frequency but with a lower resolution, and a one-dimensional, for example, row-recording mode also having a higher image repetition frequency. By the switchability of the image recording device between those modes the examining doctor is capable of first getting an overview by means of the slower image recording mode, wherein this may also be done in color, as due to the slower recording frequency this mode is not subject to the illumination problems like the high-speed camera.
摘要翻译：当图像记录装置，优选地包括三种模式的彩色图像记录装置可用时，分别具有低记录频率或图像重复频率的面部记录记录模式，但是具有更有效的喉部或声音折叠检查高分辨率，具有较高图像重复频率但分辨率较低的另外的面部记录记录模式，以及还具有较高图像重复频率的一维（例如）行记录模式。通过这些模式之间的图像记录装置的可切换性，检查医生能够首先通过较慢的图像记录模式获得概览，其中这也可以在颜色中完成，因为由于较慢的记录频率，该模式不是受到诸如高速摄像机等照明问题的影响。

10. 发明授权

US06581117B1 Device and a method for the automatic control and administration of medical apparatus and installations 有权
标题翻译：医疗器械和设备的自动控制和管理的装置和方法
公开(公告)号：US06581117B1
公开(公告)日：2003-06-17
申请号：US09496300
申请日：2000-02-02
申请人： Wolfgang Klein , Martin Burger , Thomas Belikan
发明人： Wolfgang Klein , Martin Burger , Thomas Belikan
IPC分类号： G06F300
CPC分类号： G16H40/40 , G06F19/00 , G16H40/20 , G16H40/63
摘要： The automatic control and administration of program-controlled endoscopic apparatuses allocated to an operation within an operating theater belonging to a clinic region and connected amongst one another by way of a CAN-bus using the standardized layer-seven CANopen protocol for communication among one another and a master computer, is modified so that with the same CAN-bus, a double ring structure, a ring-star structure and a ring-ring structure may be logically formed, permitting peer-to-peer communication of the apparatuses, with which the apparatuses have equality of access to each other and the master computer. The apparatuses, connected to one another via the CAN-bus, of all operating theaters of a clinic communicate with and are centrally controlled by the master computer. All apparatuses are capable of informing the master computer of the occurring process data or parameters. System operation is possible at the master computer as well as at the apparatuses themselves.
摘要翻译：自动控制和管理分配给属于诊所区域的手术室内的操作并通过CAN总线相互连接的程序控制的内窥镜装置，使用标准化的七层CANopen协议来相互通信和主计算机被修改为使得通过相同的CAN总线，可以逻辑地形成双环结构，环形星形结构和环形环结构，从而允许设备的对等通信，设备具有彼此相互访问和主计算机的相等性。通过CAN总线彼此连接的设备，诊所的所有操作室与主计算机进行通信并集中控制。所有设备能够通知主计算机发生的过程数据或参数。在主计算机以及设备本身可以进行系统操作。

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