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    • 2. 发明申请
    • METHOD AND APPARATUS FOR HYSTEROSCOPY AND ENDOMETRIAL BIOPSY
    • 用于脑膜炎和子宫内膜生物学的方法和装置
    • WO2012060932A2
    • 2012-05-10
    • PCT/US2011/051982
    • 2011-09-16
    • ENDOSEE CORPORATIONOUYANG, XiaolongINDMAN, Paul, D.DECKMAN, Robert, K.WANG, Shih-Ping
    • OUYANG, XiaolongINDMAN, Paul, D.DECKMAN, Robert, K.WANG, Shih-Ping
    • A61B1/00
    • A61B1/303A61B1/00052A61B1/00087A61B1/00094A61B1/00103A61B1/00105A61B1/00108A61B1/00124A61B1/00135A61B1/00154A61B1/015A61B1/018A61B10/0291A61B18/1485A61B90/361A61B90/37A61B2017/4216A61B2018/00214A61B2018/0022A61B2018/00267A61B2018/00559A61B2018/00577A61B2018/0212A61B2018/044A61B2090/306A61B2090/309A61B2090/372A61M1/0058A61M2210/1433
    • Methods and devices are described for performing a combined hysteroscopy and endometrial sampling in a manner that requires only a single insertion of an elongate object through a cervical opening of a patient's uterus. The distal end of an elongate, hollow sampling sheath of an integrated medical device is inserted through the cervical opening and into the uterus. Fluid is infused through the hollow interior of a sampling sheath, and outward through a distal opening into the uterus. The uterus becomes distended by the positive fluid pressure, allowing visualization. The inside surface of the distended uterus is endoscopically viewed by manipulating the integrated medical device in a manner that directs an imaging module attached to the sampling sheath near the distal end to multiple viewing positions. The corresponding video images of the inside surface are viewed on an electronic display screen of the integrated medical device that is positioned near the proximal end of the sampling sheath. After the viewing, and before withdrawing the distal end of the sampling sheath from the uterus, suction is applied to the hollow interior of the sampling sheath, which causes the distending fluid in the uterus to flow back into the sampling sheath through the distal opening, which returns the uterus to a non-distended state. With the uterus in the non- distended state, suction is applied while the integrated medical device is manipulated within the uterus in a manner that causes a sample of endometrium to be sucked into the tubing. The sample of endometrium is severed by at least one sharp edge formed along the distal opening. The sample is thus trapped in the hollow interior of the sampling sheath. Methods and devices are also described for performing a combined hysteroscopy and endometrial ablation in a manner that requires only a single insertion of an elongate object through a cervical opening of a patient's uterus.
    • 描述了以仅需要通过患者子宫颈部开口单一插入细长物体的方式进行组合宫腔镜检查和子宫内膜取样的方法和装置。 集成医疗装置的细长的中空采样鞘的远端插入通过子宫颈开口并进入子宫。 流体通过采样鞘的中空内部注入,并通过远端开口进入子宫。 子宫由于积极的流体压力而膨胀,从而可视化。 扩张子宫的内表面通过以将远端附近的取样鞘的成像模块引导到多个观察位置的方式操纵集成医疗装置来内窥镜观察。 在位于采样护套的近端附近的集成医疗装置的电子显示屏上观察内表面的相应视频图像。 在观察之后,并且在从子宫拔出取样鞘的远端之前,将吸力施加到采样鞘的中空内部,这使得子宫中的膨胀流体通过远端开口回流到采样鞘中, 它将子宫返回到非扩张状态。 在子宫处于非扩张状态时,在将子宫内膜样品吸入管内的方式在子宫内操作集成的医疗装置的同时施加抽吸。 子宫内膜样本被沿着远端开口形成的至少一个锋利边缘切断。 因此样品被捕获在采样鞘的中空内部。 还描述了用于以仅需要通过患者子宫颈切口的细长物体的单次插入的方式进行组合宫腔镜检查和子宫内膜切除的方法和装置。
    • 5. 发明申请
    • ATRIAL ANNULUS ABLATION DEVICE
    • WO0056237A9
    • 2002-04-18
    • PCT/US0007271
    • 2000-03-17
    • ATRIONIX INC
    • MAGUIRE MARK APEACOCK JAMES C III
    • A61B18/20A61B17/00A61B18/00A61B18/02A61B18/04A61B18/12A61B18/14A61B18/18A61M25/00A61N7/02A61N7/00
    • A61B18/1492A61B2017/00243A61B2017/00256A61B2017/00318A61B2018/00023A61B2018/00065A61B2018/00136A61B2018/00214A61B2018/00238A61B2018/00369A61B2018/00815A61B2018/00821A61B2018/044A61B2090/3966A61N7/02Y10T29/49169Y10T29/49888Y10T29/49982
    • A medical balloon catheter assembly includes a balloon having a permeable region and a non-permeable region. The balloon is constructed at least in part from a fluid permeable tube such that the permeable region is formed from a porous material which allows a volume of pressurized fluid to pass from within a chamber formed by the balloon and into the permeable region sufficiently such that the fluid may be ablatively coupled to tissue engaged by the permeable region. The non-permeable region is adapted to substantially block the pressurized fluid from passing from within the chamber and outwardly from the balloon. Such voids may be created by expanding the fluoropolymer. The porous material extends along both the permeable and non-permeable regions. In one mode of this construction, the material is porous along the permeable region and non-porous along the non-permeable region, such as by expanding only the permeable region. The pores may also be provided along both permeable and non-permeable sections but are blocked with a dip coated, deposited, or extruded insulator material along the non-permeable section in order to prevent fluid from passing therethrough. The insulator material may in one mode be provided in many shapes on the surface of the balloon.
    • 医用气囊导管组件包括具有可渗透区域和不可渗透区域的气囊。 球囊至少部分地由流体可渗透的管构成,使得可渗透区域由多孔材料形成,该多孔材料允许一定体积的加压流体从由球囊形成的腔室内充分进入渗透区域,从而使得 流体可以与由可渗透区域接合的组织烧蚀性地偶联。 不可渗透区域适于基本上阻止加压流体从腔室内通过并从气囊向外流出。 这种空隙可以通过膨胀含氟聚合物来产生。 多孔材料沿着可渗透和不可渗透区域延伸。 在这种结构的一种模式中,材料沿着可渗透区域是多孔的并且沿着不可渗透区域是无孔的,例如通过仅扩展可渗透区域。 孔也可以沿着可渗透和不可渗透的部分提供,但是沿着不可渗透部分用浸涂,沉积或挤出的绝缘体材料来阻挡,以防止流体从其中穿过。 绝缘体材料可以以一种模式在气球的表面上以许多形状提供。