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    • 32. 发明申请
    • APPARATUS AND METHOD FOR IN VIVO MONITORING OF PHYSIOLOGICAL PRESSURES
    • 生物压力监测中的装置和方法
    • WO1995000071A1
    • 1995-01-05
    • PCT/SE1994000636
    • 1994-06-23
    • RADI MEDICAL SYSTEMS ABTENERZ, LarsHÖK, BertilBERG, Svante
    • RADI MEDICAL SYSTEMS AB
    • A61B05/03
    • A61B5/032A61B5/4514
    • The present invention provides in one aspect an apparatus for in vivo monitoring of physiological pressures, comprising a pressure sensor (2) having a pressure sensing interface, yielding a signal indicative of the pressure differential across said interface; means (3, 13) for pressurising or depressurising the sensor interior in response to a change in the signal from said sensor; pressure measuring means (5) for measuring the pressure supplied by the pressurising means yielding a signal indicative of the pressure in the sensor interior; and means (17) for registering a total pressure as the sum of the signals from said sensor and said pressure measuring means respectively. In another aspect it provides a method of localising a damaged intervertebral disk, comprising the steps of measuring the pressure in a first disk suspected to be damaged, measuring the pressure in the disks surrounding said suspected disk, preferably simultaneously with the measurements in the first disk, registering whether there is a difference in pressure between the disks, and selecting the disk with a differing pressure to be the damaged disk.
    • 本发明在一个方面提供了用于体内监测生理压力的装置,包括具有压力传感接口的压力传感器(2),产生指示所述界面上的压差的信号; 用于响应于来自所述传感器的信号的变化而对传感器内部进行加压或减压的装置(3,13); 压力测量装置(5),用于测量由加压装置供应的压力,产生指示传感器内部压力的信号; 以及用于分别将总压力记录为来自所述传感器和所述压力测量装置的信号的总和的装置(17)。 在另一方面,本发明提供了一种定位损伤的椎间盘的方法,包括以下步骤:测量怀疑被损坏的第一盘中的压力,测量围绕所述疑似盘的盘中的压力,优选地与第一盘中的测量值同时测量 记录盘之间是否存在压力差,以及将不同压力的盘选择为损坏的盘。
    • 33. 发明申请
    • ENDOSCOPE FOR DIRECT VISUALIZATION OF THE SPINE AND EPIDURAL SPACE
    • 用于直接可视化脊柱和阑尾空间的内窥镜
    • WO1993020742A1
    • 1993-10-28
    • PCT/US1993003217
    • 1993-04-07
    • DANEK MEDICAL, INC.
    • DANEK MEDICAL, INC.KAGAN, JonathanWHITE, RogerBRUMFIELD, David, L.SMELSER, Ricci
    • A61B01/06
    • A61B1/0051A61B1/042A61B1/3135A61B5/032
    • A system (10) for direct visualization of the spine includes a catheter (12) and a fiber-optic bundle (20) disposed within the catheter (12) which is connected to a light source and camera. The optical bundle is connected (26) to the proximal end of the catheter to permit rotation of the bundle relative thereto. A mechanism for deflecting the catheter tip provides a conical viewing angle (13) for the fiber-optic bundle and assists in steering the catheter through the spinal space. The mechanism includes a deflection wire (57) extending through the catheter and affixed at the distal end (83) thereof. The proximal end of the deflection wire is affixed to a sleeve (58) slidably disposed around the catheter to contact a stop surface (59) as the catheter and deflection wire are moved. The stop surface prevents further movement of the catheter causing tension in the wire between the sleeve and the wire's securement to the catheter, thereby bending the catheter tip in the direction of the securement.
    • 用于脊柱直接可视化的系统(10)包括设置在导管(12)内的导管(12)和光纤束(20),其连接到光源和照相机。 光束被连接(26)到导管的近端以允许束相对于其旋转。 用于偏转导管末端的机构提供用于光纤束的锥形视角(13),并且有助于将导管转向脊柱空间。 该机构包括延伸穿过导管并固定在其远端(83)处的偏转线(57)。 当导管和偏转线移动时,偏转线的近端固定到可滑动地设置在导管周围的套筒(58),以接触止动表面(59)。 止动表面防止导管的进一步移动,导致套管和电线的固定件之间的电线中的张力导向导管,从而沿着固定方向弯曲导管尖端。
    • 38. 发明申请
    • DRUG INFUSION WITH PRESSURE SENSING AND NON-CONTINUOUS FLOW WITH INDENTIFICATION OF AND INJECTION INTO FLUID-FILLED ANATOMIC SPACES
    • 具有压力感知和非连续流动的药物注射,注射和注射到流体填充的解剖空间
    • WO2014007949A8
    • 2014-02-20
    • PCT/US2013045142
    • 2013-06-11
    • MILESTONE SCIENTIFIC INC
    • HOCHMAN MARK N
    • A61M5/00
    • A61M5/168A61B5/032A61F9/0008A61M19/00A61M2205/581A61M2205/583
    • An automatic injection apparatus uses non-continuous fluid-flow of drugs to identify an intended injection site and includes a drive mechanism, a sensor and a controller for establishing fluid flow and pressure and preventing fluid flow until the pressure drops below a predetermined threshold. The pressure threshold is determined based on an internal pressure generated during an injection and more fluid will not flow until it drops below a predetermined pressure. An injection is performed to establish an initial pressure threshhold and then to stop the fluid flow into a patient until the pressure drops below a predetermined pressure which allows fluid flow to resume, thus identifying a fluid filled tissue space. The initial pressure threshold is used as a control parameter to a microprocessor below which controls the rate of injection. Fluid flows below certain pressures are also used to identify a specific location within the body during injections.
    • 自动注射装置使用药物的不连续流体流动来识别预期的注射部位,并且包括驱动机构,传感器和控制器,用于建立流体流动和压力并防止流体流动,直到压力下降到预定阈值以下。 基于注射期间产生的内部压力来确定压力阈值,并且更多流体将不会流动,直到其下降到预定压力以下。 执行注射以建立初始压力阈值,然后停止流体流入患者,直到压力下降到允许流体流动恢复的预定压力以下,从而识别流体填充的组织空间。 初始压力阈值用作控制参数,控制下面的微处理器控制喷射速率。 低于一定压力的流体流动也用于在注射期间识别身体内的特定位置。
    • 39. 发明申请
    • SYSTEMS AND METHODS FOR A COMPUTATIONAL MEDICAL DEVICE IN DYNAMIC BODY SYSTEMS
    • 动态体系中计算医疗器械的系统与方法
    • WO2013159072A1
    • 2013-10-24
    • PCT/US2013/037491
    • 2013-04-19
    • RADOJICIC, Milan
    • RADOJICIC, Milan
    • A61M25/01A61M25/16A61M25/095
    • A61B5/6852A61B5/02007A61B5/02028A61B5/024A61B5/032A61B5/4839A61B2560/0223A61M25/0082A61M2025/0002A61M2025/0166
    • A computational catheter device including at least one lumen, pressure sensor(s), external sensor(s), a signal modeler, and a signal analyzer is provided. The pressure sensor generates a pressure signal for a dynamic body system, whereas the external sensor determines the fundamental frequency caused by cardiovascular pulsation or external oscillator. The signal modeler uses catheter location and the fundamental frequency to generate a predicted signal. This predicted signal may be compared to the actual pressure signal by the signal analyzer to generate a calibration. This calibration may include any of a measure of perivascular state, a waveform output which causes standing waves within the dynamic body system, a boundary condition for safe operations, and an indication of abnormal physiology for assistance in catheter navigation. The catheter device may also include an actuator which uses the calibration to achieve homeostasis by fluxing fluids and/or guiding catheter movements.
    • 提供了包括至少一个内腔,压力传感器,外部传感器,信号建模器和信号分析器的计算导管装置。 压力传感器产生用于动态体系的压力信号,而外部传感器确定由心血管搏动或外部振荡器引起的基频。 信号建模者使用导管位置和基频产生预测信号。 该预测信号可以通过信号分析仪与实际压力信号进行比较,以产生校准。 该校准可以包括血管周围状态的测量,在动态体系中引起驻波的波形输出,用于安全操作的边界条件以及用于辅助导管导航的异常生理学的指示中的任何一种。 导管装置还可以包括致动器,其使用校准来通过助熔流体和/或引导导管运动来实现体内平衡。
    • 40. 发明申请
    • MANOMETER FOR USE IN TESTING SPINAL REGION AND RELATED METHOD
    • 用于测试脊柱区域的测量仪及相关方法
    • WO2013063696A1
    • 2013-05-10
    • PCT/CA2012/050683
    • 2012-09-28
    • KIMBERLY-CLARK, INC.
    • GODARA, NeilNAJAFE, Mirvise
    • A61B5/03
    • A61B5/032A61B5/4514A61B5/4824A61B17/8805
    • A manometer for measuring a differential pressure within a patient's disc includes a housing attachable to a device that is in fluid communication with the patient's disc, a pressure transducer within the housing for measuring a pressure in the patient's disc, a memory within the manometer for saving a pressure measured by the transducer, an input device on the housing for receiving input from a user to save an initial pressure measured by the transducer in the memory, and a display on the housing. The display provides an indication of an initial pressure in the patient's disc measured by the transducer before the user provides input via the input device and an indication of a differential pressure between a subsequent pressure and the initial pressure in the patient's disc after the user provides input via the input device. Related methods are also disclosed.
    • 用于测量患者盘内的压力差的压力计包括可附接到与患者盘流体连通的装置的壳体,用于测量患者盘内的压力的壳体内的压力传感器,用于保存的压力计内的存储器 由换能器测量的压力,壳体上的输入装置,用于接收来自用户的输入,以将由换能器测量的初始压力保存在存储器中,以及在壳体上显示。 在用户通过输入设备提供输入之前,显示器提供由换能器测量的患者盘中的初始压力的指示,以及在用户提供输入之后在患者盘中的随后压力和初始压力之间的差压指示 通过输入设备。 还公开了相关方法。