2190results about "Laryngoscopes" patented technology

PCT No. PCT / DE97 / 00910 Sec. 371 Date May 13, 1999 Sec. 102(e) Date May 13, 1999 PCT Filed May 7, 1997 PCT Pub. No. WO97 / 41783 PCT Pub. Date Nov. 13, 1997What is described here is an instrument having a shaft element carrying an engaging element disposed on the distal end thereof, which is operated via a proximally disposed actuator element which is integrated into a handle for being mobile in such a way that the angle enclosed by the axis of said handle and by the axis of said shaft element may be varied. The invention is characterized by the provision that the handle is connected to the shaft element via a universal joint.

Visual-assisted guidance of an ultra-thin flexible endoscope to a predetermined region of interest within a lung during a bronchoscopy procedure. The region may be an opacity-identified by non-invasive imaging methods, such as high-resolution computed tomography (HRCT) or as a malignant lung mass that was diagnosed in a previous examination. An embedded position sensor on the flexible endoscope indicates the position of the distal tip of the probe in a Cartesian coordinate system during the procedure. A visual display is continually updated, showing the present position and orientation of the marker in a 3-D graphical airway model generated from image reconstruction. The visual display also includes windows depicting a virtual fly-through perspective and real-time video images acquired at the head of the endoscope, which can be stored as data, with an audio or textual account.

A system for tele-operating a robot in an environment includes a user interface for controlling the tele-operation of the robot, an imaging device associated with the robot for providing image information representative of the environment around the robot, means for transmitting the image information to the user interface, means for converting the image information to a user-perceptible image at the user interface, means for designating one or more waypoints located anywhere in the user-perceptible image towards which the robot will move, the waypoint in the user-perceptible image towards which the robot will first move being designated as the active waypoint using an icon, means for automatically converting the location of the active waypoint in the user-perceptible image into a target location having x, y, and z coordinates in the environment of the robot, means for providing real-time instructions to the robot from the user interface to move the robot from the robot's current location in the environment to the x, y, and z coordinates of the target location in the environment, and means for moving the icon representing the active waypoint in the user-perceptible image to a new location in the user-perceptible image while the robot is executing the real-time instruction, wherein the location-converting means automatically converts the new location of the icon representing the active waypoint into a new target location having x, y, and z coordinates in the environment of the robot towards which the robot will move.

Devices, systems and methods for performing image guided interventional and surgical procedures, including various procedures to treat sinusitis and other disorders of the paranasal sinuses, ears, nose or throat.

Visual-assisted guidance of an ultra-thin flexible endoscope to a predetermined region of interest within a lung during a bronchoscopy procedure. The region may be an opacity-identified by non-invasive imaging methods, such as high-resolution computed tomography (HRCT) or as a malignant lung mass that was diagnosed in a previous examination. An embedded position sensor on the flexible endoscope indicates the position of the distal tip of the probe in a Cartesian coordinate system during the procedure. A visual display is continually updated, showing the present position and orientation of the marker in a 3-D graphical airway model generated from image reconstruction. The visual display also includes windows depicting a virtual fly-through perspective and real-time video images acquired at the head of the endoscope, which can be stored as data, with an audio or textual account.

A medical instrument includes a printed sensor, a surface, at least one non-conductive material, and at least one pair of contacts. The sensor has at least one coil formed on a conductive material. The surface is suitable for receiving the printed sensor and can be placed in an EM field. The at least one non-conductive material covers the at least one coil of the sensor. The medical instrument contains multiple conductive and nonconductive layers. The at least one pair of contacts are electrically connected to the at least one coil and connectable to the conductive layer, the conductive layer coupled to a measurement device, which senses an induced electrical signal based on a magnetic flux change of the EM field. The location of the medical instrument in a coordinate system of the EM filed is identified based on the induced electrical signal in the sensor.

A method and apparatus for anchoring a medical implant device after the device has been brought to rest at a desired position within a blood vessel or other body passageway. An anchor delivery system is provided which houses one or more uniquely configured expandable anchors which are connected to the medical implant device. The anchors remain housed in a non expanded configuration until after the medical implant device has come to rest in a desired position within the body, and then the anchors are positively propelled through a body wall from a first side to a second side where each anchor expands outwardly on opposite sides of an anchor shaft. To positively propel the anchors, a drive shaft for the anchor shafts extends back to a triggering unit which, when activated, causes the drive shaft to drive the anchor shafts in a direction which results in propulsion of the anchors through the body wall.

Methods and devices for performing percutaneous surgery in a patient are provided. A retractor includes a working channel formed by a first portion coupled to a second portion. The first and second portions are movable relative to one another from an unexpanded configuration to an expanded configuration to increase the size of the working channel along the length of the working channel while minimizing trauma to skin and tissue.

Methods and apparatus for treating disorders of the ear, nose, throat or paranasal sinuses, including methods and apparatus for dilating ostia, passageways and other anatomical structures, endoscopic methods and apparatus for endoscopic visualization of structures within the ear, nose, throat or paranasal sinuses, navigation devices for use in conjunction with image guidance or navigation system and hand held devices having pistol type grips and other handpieces.

Methods and apparatus for treating disorders of the ear, nose, throat or paranasal sinuses, including methods and apparatus for dilating ostia, passageways and other anatomical structures, endoscopic methods and apparatus for endoscopic visualization of structures within the ear, nose, throat or paranasal sinuses, navigation devices for use in conjunction with image guidance or navigation system and hand held devices having pistol type grips and other handpieces.

Guides for intubation which simultaneously transport fluids and light into a body site are tube-like in structure and consist of a hollow cylindrical optical core surrounded on its inner and outer walls by a cladding of lower index of refraction. Materials comprising the optical core are selected such that the optical absorption and scatter are sufficiently small to transport light efficiently over an extended distance as fluid is transferred through the tube interior. Methods of fabrication, light coupling and light delivery using waveguide tubes are disclosed. Particular applications of waveguide tubes in the medical and industrial sectors are described.

Disclosed is an intubation imaging stylet for intubating a patient by use in a tube / imaging stylet combination, said imaging stylet comprising: a malleable stylet having a longitudinal axis and a proximal end and a distal end; a flexible image guide having a longitudinal axis and a proximal end and a distal end, said image guide being connected to said stylet such that a portion of said image guide runs parallel to a portion of said stylet along the longitudinal axis of said stylet and such that the distal end of said image guide is co-extensive with the distal end of said stylet; and at least one flexible illumination fiber having a proximal end and a distal end, said illumination fiber being connected to said stylet such that a portion of said illumination fiber runs parallel to a portion of said stylet along the longitudinal axis of said stylet and such that the distal end of said illumination fiber is co-extensive with the distal end of said stylet; such that in use, said imaging stylet is disposed within a tube for intubating a patient thereby forming an imaging stylet / tube combination which in use is held by gripping the tube in a pen-like fashion. The imaging stylet / tube combination is thus in use held in one hand, freeing the other hand of the user for other tasks if necessary, as well as permitting intubation in the conventional manner. To facilitate this, the center of gravity of the imaging stylet / tube combination is located in essentially the same location along the tube as with a conventional stylet / tube combination.

A two-piece video laryngoscope includes a disposable handle / blade unit having a handgrip portion with a cavity at the proximal end, a curved distal end portion extending from the handgrip portion terminating in a terminal face containing a LED and a lens and digital image sensor connected with a first connector in the cavity, and a tube receptacle channel extending distally along the dorsal surface of and a vacuum / oxygen passageway extending through the curved distal end portion; and a power / video module releasably engaged in the cavity having a flat panel display pivotally mounted at the proximal end thereof and containing a rechargeable battery and electrical and video circuitry connected with a second connector. An endotracheal tube is received and releasably retained in the tube receptacle channel in a preloaded condition. When assembled, the connectors are engaged to complete the electrical and video circuits and allow viewing of insertion and intubation.

A vaginal sleeve used to cover the conventional vaginal speculum, generally comprising an elastomeric sheath having a small orifice at the distal end thereof a flange adapted to cover the pubic region, wherein the vaginal sleeve improves the physician's visibility during gynecological examination and surgical procedures, removes the need for using other medical instruments, such as retractors, by shoring the walls of the vaginal, and labia, from collapse, protects the walls of the vagina, and labia, during gynecological examinations and surgical procedures involving lasers and / or electricity, and further protect the vaginal region from speculum pinching during extraction.

Everting filter devices and methods for using the devices, including using the devices as intra-vascular filters to filter thrombus, emboli, and plaque fragments from blood vessels. The filter devices include a filter body nominally tubular in shape and having a large proximal opening. The filter body can extend from a proximal first end region distally over the non-everted exterior surface of the filter, further extending distally to a distal-most region, then converging inwardly and extending proximally toward the filter second end region, forming a distal everted cavity. The degree of eversion of the filter can be controlled by varying the distance between the filter first end region near the proximal opening and the closed second end region. Bringing the filter first and second end regions closer together can bring filter material previously on the non-everted filter exterior to occupy the distal-most region. The everting process can also bring filter material previously in the distal-most position further into the distal everted cavity. The filter devices can be used to remove filtrate from body vessels, with the filtrate eventually occluding the distal-most region. The filter can then be further everted, bringing fresh, unoccluded filter material into place to provide additional filter capacity. Some everting filters have the capability of switching between occluding and filtering modes of operation, thereby allowing a treating physician to postpone the decision to use filtering or occluding devices until well after insertion of the device into the patient's body.