A system is proposed for locating equipment in a surgical facility The system comprises at least one operating table or operating table transporter, wherein the operating table transporter is adapted to carry and transport at least a patient support surface of an operating table. The operating table or operating table transporter comprises a communication module configured to communicate wirelessly with a central tracking unit and to receive wireless signals from a plurality of auxiliary devices. The communication module is configured to: receive identity information identifying a sending auxiliary device from each wireless signal, determine from each wireless signal, distance data comprising information indicative of the distance between the sending auxiliary device and the patient support arrangement, and communicate distance data, and identifying information for each received wireless signal, to said central tracking unit. The central tracking unit can generate a virtual map of the surgical facility and locate the operating table or operating table transporter and any auxiliary devices in the map using the distance data and identifying information received from said patent support arrangement.
G01S 5/14 - Localisation par coordination de plusieurs déterminations de direction ou de ligne de positionLocalisation par coordination de plusieurs déterminations de distance utilisant les ondes radioélectriques déterminant des distances absolues à partir de plusieurs points espacés d'emplacement connu
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 90/98 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des moyens électromagnétiques, p. ex. transpondeurs
G01S 5/00 - Localisation par coordination de plusieurs déterminations de direction ou de ligne de positionLocalisation par coordination de plusieurs déterminations de distance
2.
RADIOPAQUE STENT AND CATHETER MARKING FOR ENHANCED FEVAR/BEVAR PLACEMENT
A secondary stent device for endovascular implantation includes a stent and radiopaque (RO) markings. The stent includes a region of interest suitable for anchoring the stent to a branch or fenestration of a primary stent device. The stent is expandable from a compressed state suitable for advancing the secondary stent device through a target anatomy to an expanded state suitable for implantation of the secondary stent device within the target anatomy. The RO markings are on the region of interest so that the region of interest is identified under visualization. When the region of interest is aligned at a location adjacent to the branch or fenestration of the primary stent device, the stent is expanded to anchor to the branch or fenestration.
A method of making expanded fluoropolymer articles thermally bonds portions of expanded fluoropolymers together, without using an adhesive or crushing force, to produce stronger bonds at the joint between the expanded fluoropolymers than the bonds within the constituent expanded fluoropolymers. The method involves placing the portions of expanded fluoropolymers to be thermally bonded together in intimate contact with each other after wet-stretching the expanded fluoropolymers, and removing the wetting agent used to wet-stretch the expanded fluoropolymers, without subsequent expansion or stretching, to yield an expanded fluoropolymer article exhibiting unexpected and superior properties that can be used in a variety of medical and industrial applications.
B29K 105/04 - Présentation, forme ou état de la matière moulée cellulaire ou poreuse
B32B 3/04 - Caractérisés par des caractéristiques de forme en des endroits déterminés, p. ex. au voisinage des bords caractérisés par une couche pliée au bord, p. ex. par-dessus une autre couche
B32B 7/02 - Propriétés physiques, chimiques ou physicochimiques
B32B 27/06 - Produits stratifiés composés essentiellement de résine synthétique comme seul composant ou composant principal d'une couche adjacente à une autre couche d'une substance spécifique
B32B 27/08 - Produits stratifiés composés essentiellement de résine synthétique comme seul composant ou composant principal d'une couche adjacente à une autre couche d'une substance spécifique d'une résine synthétique d'une sorte différente
B32B 27/32 - Produits stratifiés composés essentiellement de résine synthétique comprenant des polyoléfines
C08J 5/12 - Fixation d'un matériau macromoléculaire préformé au même matériau ou à un autre matériau compact, tel que du métal, du verre, du cuir, p. ex. en utilisant des adhésifs
4.
GRAFT WITH EXPANDABLE REGION AND METHODS OF MAKING AND USING THE SAME
A vascular graft suitable for implantation, and more particular to a vascular graft having an expandable outflow region for restoring patency of the graft after implantation into a body lumen.
A61B 17/11 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour réaliser l'anastomoseBoutons pour anastomose
A61F 2/82 - Dispositifs maintenant le passage ou évitant l’affaissement de structures tubulaires du corps, p. ex. stents
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
A61F 2/954 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes pour insérer les stents ou les endoprothèses déployables couvertes dans une bifurcation
A surgical instrument includes a mount body, a joint member, an arm, and a working end. The mount body has a top portion, a distal end, a proximal end and a bottom portion. The joint member is pivotally mounted at a distal end portion of the mount body, to allow positioning of a proximal portion of an arm extending distally from the joint member. The joint member is also configured to at least partially constrain movement of the proximal portion of the arm to a plane. The working end is mounted to a distal end portion of the arm. The surgical instrument can be configured as a heart stabilizer or a heart positioner. The joint member may further be configured as a slotted ball, a disk member, or a combination thereof.
The invention relates to an operating table comprising a stationary part (50), which is designed to stand on a floor or which is fastened to a further part of the operating table (10), and a movable part (52), which is optionally mounted on the stationary part (50) and is movable with respect to the stationary part (50), wherein one of the two parts (50, 52) has a holding element (60), wherein the other of the two parts (50, 52) has one or more fixing elements, in particular latching elements (56, 58) or stop elements, in particular two or more latching elements (56, 58), wherein the movable part (52) assumes a predefined position with respect to the stationary part (50) when the holding element (60) is fixed to one of the fixing elements, in particular is latched into one of the latching elements (56, 58), and wherein a position of at least one of the fixing elements, in particular latching elements (56, 58) or stop elements, can be adjusted, in particular can be adjusted for setting the predefined position of the movable part (52) in relation to the stationary part (50).
An expandable multi-directional hinging stent radially expands from compressed to expanded configurations. The stent includes elongated connectors and radially expandable rings (e g., at least first, second, and third rings) aligned in series along a common axis and defining a common lumen of the stent extending through the rings. The connectors extend between the rings comprising a first group including first and second elongated connectors which couple the first ring to the second ring to form a first hinging axis extending through the first and second connectors about which the stent bends in a first direction and a second group including third and fourth elongated connectors which couple the second ring to the third ring to form a second hinging axis extending through the third and fourth connectors about which the stent bends in a second direction. The first group is axially and circumferentially offset from the second group.
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
8.
MULTI-DIRECTIONAL HINGING STENT WITH ONE OR MORE FUNNEL SHAPED CONNECTORS
An expandable multi-directional hinging stent radially expands from compressed to expanded configurations. The stent includes radially expandable rings aligned in series along a common axis and defining a common lumen of the stent extending through the rings; and elongated connectors extending between adjacent ones of the rings. A first one of the connectors and a second one of the connectors are connected to and extend between a first one of the rings and an immediately adjacent second one of the rings. A shortest distance about a circumference of the stent between a connection point between the first connector and the first ring and a connection point between the second connector and the first ring is less than a shortest distance about a circumference of the stent between a connection point between the first connector and the second ring and the second connector and the second ring.
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
A stent device includes a hollow tubular member having, in an initial configuration, an initial length; a stent frame surrounding a portion of the hollow tubular member when the hollow tubular member is in a compressed configuration, a length of the hollow tubular member in the compressed configuration being less than the initial length, the stent frame having a length less than the initial length; and an elastomeric coating applied to at least one of the hollow tubular member and the stent frame. First and second ends of the hollow tubular member are inverted over first and second ends of the stent frame to form an inverted portion so that the elastomeric coating extends between an outer surface of the stent frame and the inverted portion.
Operating tables and their parts; fixed operating tables; operating table stands; surgical beds; operating table systems, namely, accessories for positioning and aligning body parts, accessories for obtaining vital signs and other patient data, namely, weight, center of gravity and body positioning, accessories for attaching and using operating room surgical instruments and robotic surgical tools to the operating room table.
A vascular graft includes an implantable tubular body defining a lumen and at least one support frame engaged to the tubular body for modifying a shape of a cross-section of at least a portion of the lumen. The tubular body and at least one support frame are configured to receive pulsatile blood flow so that as pressure of blood flowing through the lumen increases, a cross-sectional area of the portion of the lumen increases while a perimeter of the portion of the lumen remains substantially unchanged in order to dampen the pulsatile blood flow. A method of forming a vascular graft including a step of attaching at least one support frame to a tubular body defining a lumen that modifies a shape of a cross-section of at least a portion of the lumen of the tubular body is also disclosed herein.
A training system that allows a user to practice performing movements commonly performed during an endoscopic vessel harvesting surgical procedure includes a manipulation device representative of components of a vessel harvesting device. The manipulation device includes a first tool having a main handle configured to be grasped by a user and a second tool having an auxiliary handle including a shaft inserted through an opening in the main handle. The training system also includes a video display and a controller in electronic communication with sensors of the manipulation device and the video display. The controller is configured to: receive and process signals from the sensors of the manipulation device to determine movement information for the manipulation device and cause at least one visual indication to be provided on the video display at a position on the video display based, at least in part, on the determined movement information.
Provided is an endoscopic vessel harvesting system comprising a direct current (DC) power control system connected to a therapeutic tool comprising a heating element. The DC power control system may include an input connection to receive power from a power supply. A first power control circuit may supply constant output power during a first time interval to heat the heating element to a target temperature. A second power control circuit may supply pulsed output power during a second time interval to maintain a temperature of the heating element within a target temperature range. An output connection may receive the output power and may supply controlled power to the heating element by supplying the constant output power during the first time interval, the pulsed output power during the second time interval, followed by a third time interval during which no power is supplied. Methods and systems are also disclosed.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 18/08 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage à l'aide de sondes chauffées électriquement
H05K 7/14 - Montage de la structure de support dans l'enveloppe, sur cadre ou sur bâti
14.
SYSTEMS FOR POWER CONTROL FOR A THERAPEUTIC TOOL AN METHOD FOR MAKING IT
Provided is an endoscopic vessel harvesting system comprising a direct current (DC) power control system connected to a therapeutic tool comprising a heating element. The DC power control system may include an input connection to receive power from a power supply. A first power control circuit may supply constant output power during a first time interval to heat the heating element to a target temperature. A second power control circuit may supply pulsed output power during a second time interval to maintain a temperature of the heating element within a target temperature range. An output connection may receive the output power and may supply controlled power to the heating element by supplying the constant output power during the first time interval, the pulsed output power during the second time interval, followed by a third time interval during which no power is supplied. Methods and systems are also disclosed.
A61B 18/04 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage
A61B 18/08 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage à l'aide de sondes chauffées électriquement
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
G05D 23/19 - Commande de la température caractérisée par l'utilisation de moyens électriques
A chest drainage system including a collection device configured to receive fluid from the pleural cavity of a patient. A sensor is included to detect a pressure differential in the fluid. A display is configured to display a trend in occurrences of changes in pressure of the fluid over time in predetermined time increments based on a number of detections of pressure differentials that exceed a predetermined pressure differential during each of the predetermined time increments. The trend is correlative to the percentage of time that the patient is deemed to have an air leak in the pleural cavity in the predetermined time increments. The trend is derived from a ratio of the quantity of respiratory cycles of the patient for which the predetermined pressure differential is detected (QRCleak) in the predetermined time increments to the total quantity of respiratory cycles of the patient in respective predetermined time increments (QRCtotal).
A61M 1/00 - Dispositifs de succion ou de pompage à usage médicalDispositifs pour retirer, traiter ou transporter les liquides du corpsSystèmes de drainage
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/08 - Dispositifs de mesure pour examiner les organes respiratoires
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A surgical instrument for harvesting an organ includes a surgical tool and a handle. The handle includes an actuator rotatable about an actuator pivot pin and a cam connected to the actuator and rotatable in tandem with the actuator. The surgical instrument further includes an actuator rod having a distal end connected to the surgical tool and a proximal end connected to the cam. The cam defines a slot which captures a portion of the actuator rod. The portion of the actuator rod captured in the slot is slidable within the slot as the cam rotates. Sliding of the portion of the actuator rod in the slot actuates the surgical tool.
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
17.
CANNULA FOR USE WITH AN ENDOSCOPIC VESSEL HARVESTING DEVICE
A vessel harvesting device includes a handle and a cannula assembly extending distally from the handle. The cannula assembly includes an outer tube having a flange, and at least one insert extending within the outer tube. The at least one insert defines a tool path configured to receive a surgical tool therethrough, a scope path configured to receive a surgical scope therethrough, and an insufflation channel. The device further includes a cannula gasket disposed within the flange of the outer tube and defining a plurality of apertures each in alignment with one of the tool path, the scope path, and the insufflation channel. The device further includes an insufflation tube extending from the handle through cannula gasket and the insufflation channel.
A surgical instrument for harvesting an organ includes a surgical tool and a handle. The handle includes an actuator rotatable about an actuator pivot pin and a cam connected to the actuator and rotatable in tandem with the actuator. The surgical instrument further includes an actuator rod having a distal end connected to the surgical tool and a proximal end connected to the cam. The cam defines a slot which captures a portion of the actuator rod. The portion of the actuator rod captured in the slot is slidable within the slot as the cam rotates. Sliding of the portion of the actuator rod in the slot actuates the surgical tool.
A61B 18/08 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage à l'aide de sondes chauffées électriquement
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
19.
CANNULA FOR USE WITH AN ENDOSCOPIC VESSEL HARVESTING DEVICE
A vessel harvesting device includes a handle and a cannula assembly extending distally from the handle. The cannula assembly includes an outer tube having a flange, and at least one insert extending within the outer tube. The at least one insert defines a tool path configured to receive a surgical tool therethrough, a scope path configured to receive a surgical scope therethrough, and an insufflation channel. The device further includes a cannula gasket disposed within the flange of the outer tube and defining a plurality of apertures each in alignment with one of the tool path, the scope path, and the insufflation channel. The device further includes an insufflation tube extending from the handle through cannula gasket and the insufflation channel.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 90/70 - Dispositifs de nettoyage spécialement adaptés aux instruments chirurgicaux
A61M 13/00 - Insufflateurs à fins thérapeutique ou de désinfection
20.
STENT DEVICE HAVING REDUCED FORESHORTENING AND RECOIL AND METHOD OF MAKING SAME
A stent device includes generally cylindrical rings aligned along a longitudinal axis, and interconnected by interconnecting members. Each interconnecting member includes a first coupling end, a second coupling end, and an elongate portion therebetween. The first coupling end, the elongate portion, and the second coupling end combine in either a first orientation or a second orientation, which are substantially mirror images. For each interconnecting member, the first coupling end can intersect with a midpoint of a transition region of a substantially repeating curved segment on one of the rings, and the second coupling end can intersect with a midpoint of a curved segment of a different and immediately adjacent ring. The interconnecting members can be arranged in rows extending longitudinally along the device. Along each row, consecutive interconnected members alternate between the first orientation and the second orientation. A cover may be provided over the stent device.
A61F 2/89 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles les éléments filiformes comprenant au moins deux anneaux adjacents reliés de manière flexible par des éléments séparés
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
21.
SYSTEM FOR DETERMINING AND DISPLAYING LIMITATIONS WHEN OPERATING MEDICAL TABLES
System for determining and displaying limitations during the operation of an operating table, wherein the system comprises: a patient support device, in particular a surgical patient support device, for securing to an operating table column of an operating table; a display unit for displaying information about limitations during the operation of the operating table; an input unit for inputting information about a patient's weight and/or an interface for receiving electronic patient weight information from outside the system; and an evaluation unit designed to determine limitations during the operation of the operating table based on at least the patient weight, and to display the limitations on the display unit before the patient is placed on the patient support device.
The invention relates to a patient-positioning system (19) which can be used as part of a medical table (10), wherein the patient-positioning system (19) comprises: a patient-bearing device (18) for bearing a patient; and a support device (17) on which the patient-bearing device (18) rests, wherein the patient-bearing device (18) is movable relative to the support device (17) in order to move a patient thereon, wherein the support device (17) comprises a plurality of support rollers (40, 41) for bearing and moving the patient-bearing device (18), wherein the support rollers (40, 41) can be rotated independently about their corresponding axis of rotation, and wherein at least two of the support rollers (40, 41) form a first group and the support rollers (40, 41) of the first group can be pivoted only jointly with respect to other parts of the support device (17).
The invention relates to a system (200) for detecting a collision between a patient support device (18) and an object, a floor or a part of an operating table, wherein the system (200) comprises: a patient support device (18), which can be used as part of an operating table; a load sensor assembly with at least one load sensor, which outputs sensor values; a load determination unit, which determines a load on the basis of the sensor values, wherein the load comprises a load acting on the load sensor assembly or a load acting on the patient support device (18); and a detection unit, which detects a possible collision of the patient support device (18) with an object, a floor or a part of the operating table if the load determined by the load determination unit falls below a predetermined first threshold value, while the patient support device (18), or at least a segment of the patient support device (18), is moving downwards.
System for detecting an error of a sensor in an operating table and/or an error when determining a load or a load centre of gravity, comprising: an operating table with an adjustable patient bearing surface for bearing a patient; a load sensor arrangement having a plurality of load sensors which output sensor values; a load determination unit which determines at least one of the following first variables on the basis of the sensor values: a load, a centre of gravity of the load, a velocity of the load centre of gravity and an acceleration of the load centre of gravity, wherein the load is a load acting on the load sensor arrangement or a load acting on the operating table or a total load of the operating table; a calculation unit which predicts or calculates at least one expected second variable; and an error detection unit which compares the sensor values or the at least one first variable with the at least one expected second variable and detects an error and/or a possible error if the discrepancy exceeds a predefined value.
The invention relates to a system for detecting an object or accessory placed on or attached to or moved on or removed from a patient-bearing apparatus, the system comprising: a surgical patient-bearing apparatus that can be used as part of an operating table; a load sensor assembly having at least one load sensor that outputs sensor values; a load-determining unit that determines a load and/or a centre of gravity of the load based on the sensor values, the load comprising a load acting on the load sensor assembly or a load acting on the patient-bearing apparatus; and a detection unit which receives the load determined by the load-determining unit and/or the centre of gravity of the load and which, when an object or accessory is placed on or attached to or moved on or removed from the patient-bearing apparatus, thereby changing the load determined by the load-determining unit and/or the centre of gravity of the load, determines therefrom the weight and/or the centre of gravity of the object or accessory.
The invention relates to a system for determining and displaying limitations during the operation of an operating table, comprising a patient support surface (600) for securing to an operating table column of an operating table, a display unit (607) for displaying information on limitations during the operation of the operating table, and an analysis unit (606) which determines limitations during the operation of the operating table on the basis of at least the identification and/or configuration of the patient support surface (600) and displays the limitations on the display unit (607) before the patient is placed on the patient support surface (600).
A vascular graft includes an implantable tubular body defining a lumen and at least one support frame engaged to the tubular body for modifying a shape of a cross-section of at least a portion of the lumen. The tubular body and at least one support frame are configured to receive pulsatile blood flow so that as pressure of blood flowing through the lumen increases, a cross- sectional area of the portion of the lumen increases while a perimeter of the portion of the lumen remains substantially unchanged in order to dampen the pulsatile blood flow. A method of forming a vascular graft including a step of attaching at least one support frame to a tubular body defining a lumen that modifies a shape of a cross-section of at least a portion of the lumen of the tubular body is also disclosed herein.
A61F 2/962 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes possédant une gaine extérieure
A61M 1/36 - Autre traitement du sang dans une dérivation du système circulatoire naturel, p. ex. adaptation de la température, irradiation
A61L 27/50 - Matériaux caractérisés par leur fonction ou leurs propriétés physiques
A61M 39/00 - Tubes, raccords ou accouplements pour tubes, soupapes, voies d'accès ou similaires, spécialement adaptés pour un usage médical
An apparatus for harvesting a vessel from a body, includes: a cannula having a dissector for advancing along the vessel to create a tunnel, the dissector having a transparent portion; and an energy tool moveably coupled to the cannula, wherein the energy tool is configured to separate a pediculated vessel having at least a segment of the vessel and a pedicle around the segment of the vessel from surrounding tissue, and wherein at least a part of the energy tool is visible through the transparent portion of the dissector during use of the energy tool.
A61B 17/02 - Instruments, dispositifs ou procédés chirurgicaux pour maintenir les blessures ouvertes, p. ex. rétracteursÉcarteurs
A61B 18/08 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage à l'aide de sondes chauffées électriquement
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
(1) Operating tables and their parts; mobile operating tables; transfer units for transferring patients from or onto a bed and connecting the transfer unit to an operating table stand; surgical beds; mobile operating table systems, namely, accessories for positioning and aligning body parts, accessories for obtaining vital signs and other patient data, namely, weight, center of gravity and body positioning, accessories for attaching and using operating room surgical instruments and robotic surgical tools to the operating room table
(1) Operating tables and their parts; fixed operating tables; operating table stands; surgical beds; operating table systems, namely, accessories for positioning and aligning body parts, accessories for obtaining vital signs and other patient data, namely, weight, center of gravity and body positioning, accessories for attaching and using operating room surgical instruments and robotic surgical tools to the operating room table.
Operating tables and their structural parts; mobile operating tables; transfer units for transferring patients from or onto a bed and
connecting the transfer unit to an operating table stand, namely, transfer boards for mobility-impaired persons and medical laddertype device to assist physically disabled individuals in transferring from one position to another; surgical beds specially made for
medical purposes; mobile operating table systems, namely, accessory attachments specially adapted for operating tables being
supports for positioning and aligning body parts, and accessory attachments specially adapted for operating tables for attaching
and using operating room surgical instruments and robotic surgical tools with the operating room table; mobile operating table
systems composed of medical devices for monitoring and obtaining vital signs and other patient data of weight, center of gravity
and body positioning, specially adapted for attachment to operating tables
Operating tables and their parts; mobile operating tables; transfer units for transferring patients from or onto a bed and connecting the transfer unit to an operating table stand; surgical beds; mobile operating table systems, namely, accessories for positioning and aligning body parts, accessories for obtaining vital signs and other patient data, namely, weight, center of gravity and body positioning, accessories for attaching and using operating room surgical instruments and robotic surgical tools to the operating room table.
34.
A MEDICAL SYSTEM WITH AN OPERATING TABLE AND A REMOTE CONTROL, AN OPERATING TABLE AND A REMOTE CONTROL, AND A METHOD OF OPERATING A MEDICAL SYSTEM WITH AN OPERATING TABLE
A medical system comprises: an operating table (13) having a computer system (15); a remote control (17) for remotely controlling operation of the table (13), the remote control (17) comprising a screen (19); the computer system (15) and the remote control (17) being configured to communicate with each other via a communication interface (21); and the computer system (15) being configured to provide via the communication interface (21) a graphical user interface to the remote control (21), and the remote control (17) being configured to execute the graphical user interface.
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p. ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
G06F 3/0488 - Techniques d’interaction fondées sur les interfaces utilisateur graphiques [GUI] utilisant des caractéristiques spécifiques fournies par le périphérique d’entrée, p. ex. des fonctions commandées par la rotation d’une souris à deux capteurs, ou par la nature du périphérique d’entrée, p. ex. des gestes en fonction de la pression exercée enregistrée par une tablette numérique utilisant un écran tactile ou une tablette numérique, p. ex. entrée de commandes par des tracés gestuels
G06F 3/04886 - Techniques d’interaction fondées sur les interfaces utilisateur graphiques [GUI] utilisant des caractéristiques spécifiques fournies par le périphérique d’entrée, p. ex. des fonctions commandées par la rotation d’une souris à deux capteurs, ou par la nature du périphérique d’entrée, p. ex. des gestes en fonction de la pression exercée enregistrée par une tablette numérique utilisant un écran tactile ou une tablette numérique, p. ex. entrée de commandes par des tracés gestuels par partition en zones à commande indépendante de la surface d’affichage de l’écran tactile ou de la tablette numérique, p. ex. claviers virtuels ou menus
G06F 3/14 - Sortie numérique vers un dispositif de visualisation
A biological tissue monitoring system has control circuitry programmed or configured to monitor an impedance of biological tissue. The control circuitry is programmed or configured to receive or determine an impedance measurement of the biological tissue in response to power delivered to the biological tissue at a plurality of frequencies and a plurality of time points, and adjust or cause to be adjusted the power delivered to the biological tissue at a subsequent time point based on the impedance measurement at the plurality of frequencies and the plurality of time points.
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/053 - Mesure de l'impédance ou de la conductivité électrique d'une partie du corps
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
36.
DEVICE FOR MEASURING VITAL PARAMETERS WITH ADVANTAGEOUS RADIATION GUIDANCE
The present invention relates to a positioning and exposure device (1) for the defined arrangement on at least one body part (2, 3) of a living being (4) and for exposing the body part (2, 3) to radiation for determining at least one vital parameter of the living being (4). The positioning and exposure device (1) here comprises at least: a guiding and support structure (6) for delimiting an examination area (8), wherein the body part (2) can be positioned during exposure in the examination area (8), wherein the guiding and support structure (6) in a section (10) bounding the examination area (8) forms at least one radiation input area (12), wherein radiation can be introduced through the radiation input area (12) into the examination area (8) and wherein the guiding and support structure (6) forms a radiation exit area (16) in a further portion (14) delimiting the examination area (8), wherein at least part of the radiation which can be introduced through the radiation input area (12) into the examination area (8) can be guided out of the examination area (8) through the radiation exit area (16), and wherein a first elongate optical guide (18) is arranged in the path (20) of the radiation at least before entry into the examination area (8), wherein the first optical guide (18) is curved at least in sections for at least one deflection of the path (20) of the radiation which can be introduced into the first optical guide (18).
The two inflatable sleeve cushions (10) which can be arranged in the receiving tubes (9) are each connected by means of a connection (11) at the interface between sleeve part (2) and base part (3) to the pressure generation and pressure control system in the base part (3). A valve device is preferably provided on the connection (11). The channels (19) that connect the respective connection (11) to the respective sleeve cushion (20) are formed in the main body (21) of the receiving body, said main body being produced from plastic by means of injection moulding, and are covered towards the outside by means of a cover (20). The connections (11) are disposed one behind the other in the direction parallel to the axial direction of the receiving tubes (9). From there, each channel (19) is first guided upwards, then diagonally to the side, and finally downwards to the fluid access opening (22) of the respective sleeve cushion (10).
A61B 5/022 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins par application d'une pression pour fermer les vaisseaux sanguins, p. ex. contre la peauOphtalmodynamomètres
A61B 5/0225 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins par application d'une pression pour fermer les vaisseaux sanguins, p. ex. contre la peauOphtalmodynamomètres la pression étant commandée par des signaux électriques, p. ex. dérivés des bruits de Korotkoff
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
38.
PHOTOPLETHYSMOGRAPHIC BLOOD PRESSURE MEASURING DEVICE WITH REMOVABLE FINGER CUFF
The blood pressure measuring device (1) is designed as a photoplethysmographic measuring system which functions according to the “vascular unloading technique”. Metrological components and a pressure generating and pressure control system are accommodated in the base part (3). The fitted cuff part (2) has an ergonomic palm support (4), two finger supports (6) divided from one another by a web (5), and also a receiving part (7) which comprises two receiving tubes (9) for fingers. The cuff part (2) projects beyond the base part (3), both towards the front and also towards the rear, and covers the base part (3) almost completely, i.e. by more than 90%. The lateral attachment of the cable (8) facing in the direction of the forearm has the advantage that the cable can be guided along the patient's arm, the wrist does not rub against the cable (8), and in particular the carpal tunnel is also protected.
A61B 5/021 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins
A61B 5/022 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins par application d'une pression pour fermer les vaisseaux sanguins, p. ex. contre la peauOphtalmodynamomètres
A61B 5/0225 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins par application d'une pression pour fermer les vaisseaux sanguins, p. ex. contre la peauOphtalmodynamomètres la pression étant commandée par des signaux électriques, p. ex. dérivés des bruits de Korotkoff
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
An epicardial clip for reshaping the annulus of the mitral valve of a heart includes a curved member having an anterior segment configured to be positioned in the transverse sinus of the heart, a posterior segment configured to be positioned on the posterior side of the heart, such as on or inferior to the atrioventricular groove, and a lateral segment extending between the anterior segment and the posterior segment. The lateral segment includes a curve such that the first end of the member is positioned at or above the plane of the mitral valve and the second end of the member is positioned at or below the plane of the mitral valve.
A vascular graft suitable for implantation, and more particular to a vascular graft having an expandable outflow region for restoring patency of the graft after implantation into a body lumen.
A61B 17/11 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour réaliser l'anastomoseBoutons pour anastomose
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
A61F 2/82 - Dispositifs maintenant le passage ou évitant l’affaissement de structures tubulaires du corps, p. ex. stents
A61F 2/954 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes pour insérer les stents ou les endoprothèses déployables couvertes dans une bifurcation
Disclosed is an operating table (100) comprising a load sensor assembly (102) with a plurality of load sensors for measuring at least one variable from which a load acting on the load sensor assembly (102) can be ascertained, the load sensor assembly (102) being arranged between at least two parts of the operating table (100), said at least two parts essentially not being movable relative to one another.
An extracorporeal blood treatment device with a function-monitoring system, wherein the extracorporeal blood treatment device for connection to the vascular system of a patient has an input branch and an output branch. The extracorporeal blood treatment device is equipped, in a first circuit, with at least one first pump arranged between the input branch and output branch for moving the patient's blood, and, in a second circuit filled with liquid and thermally connected to the first circuit of the extracorporeal blood treatment device via a heat exchanger, it has temperature-influencing means. The function-monitoring system has, in the second circuit, two temperature sensors which are arranged upstream (TS2auf) and downstream (TS2ab), respectively, with respect to the heat exchanger, in addition, temperature sensor TS1ab is arranged in the output branch of the first circuit, downstream from the heat exchanger. The function-monitoring system moreover comprises a computer system which is operatively connected to the aforementioned temperature sensors and the temperature-influencing means and which, after the temperature has been influenced, establishes, from the detected temperature values, corresponding thermodilution curves (TDK1ab, TDK2ab, TDK2auf) and, in order to determine an indicator of the function of the extracorporeal blood treatment device, relates the TDK2ab and the TDK1ab to each other.
Medical apparatus and instruments, namely, patient monitors for critical care and surgery, apparatus for determining and displaying physiological parameters, namely, medical apparatus for monitoring blood pressure, heart rate or cardiac output; technical medical single-use articles with electronic components, namely, single-use pressure sensor devices for use with patient monitors for critical care and surgery; blood pressure measuring devices, namely, disposable blood pressure measuring devices; replacement parts for patient monitors for critical care and surgery in the nature of cables and cable connectors
44.
Broadband impedance spectroscopy and its use for tissue welding
A biological tissue monitoring system has control circuitry programmed or configured to monitor an impedance of biological tissue. The control circuitry is programmed or configured to receive or determine an impedance measurement of the biological tissue in response to power delivered to the biological tissue at a plurality of frequencies and a plurality of time points, and adjust or cause to be adjusted the power delivered to the biological tissue at a subsequent time point based on the impedance measurement at the plurality of frequencies and the plurality of time points.
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/053 - Mesure de l'impédance ou de la conductivité électrique d'une partie du corps
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
Medical apparatus and instruments, namely, patient monitors for monitoring patient physiological data, modular patient monitoring systems for monitoring patient physiological data, apparatus for determining and displaying physiological parameters and data, and accessories for the aforesaid goods
A stent device is provided. The stent device includes: at least one radially expandable body portion extending along a longitudinal axis of the stent device defining a lumen; and at least one outwardly flarable portion connected to the body portion. The outwardly flarable portion includes at least one radially expandable ring connected to the body portion and at least one flaring connector connected to the at least one ring configured to cause a crown of the at least one ring to automatically flare radially outwardly relative to other portions of the ring upon radial expansion of the body portion so as to form a flared crown. After radial expansion, the outwardly flaring portion may be held in place by a support strut that lessens its ability to collapse. A method of deploying the stent device is also provided.
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
47.
SYSTEM, COMPUTER SYSTEM AND COMPUTER PROGRAM FOR DETERMINING A CARDIOVASCULAR PARAMETER
The invention relates to a system for determining a cardiovascular parameter in a patient, wherein the system is adapted to work in conjunction with an extracorporeal blood treatment device (ECBTD) connectable to a patient's vascular system, wherein the ECBTD comprises a first circuit, the system comprising: a liquid-filled, second circuit thermally connected to the first circuit of the ECBTD via a heat exchanger, temperature changing means for generating a temperature change in the second circuit, temperature sensors TS2up and TS2down arranged in the second circuit upstream and downstream of the heat exchanger, respectively. A computer system connected to the temperature sensors and the temperature changing means is adapted to induce a temperature bolus within the first circuit of the ECBTD via the temperature changing means. From the individual temperature recorded as a function of time, temperature curves T2up(t) and T2down(t) are derived and evaluated.
A61M 1/16 - Systèmes de dialyseReins artificielsOxygénateurs du sang avec membranes
A61M 1/36 - Autre traitement du sang dans une dérivation du système circulatoire naturel, p. ex. adaptation de la température, irradiation
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
48.
System, computer system and computer program for determining a cardiovascular parameter
A61B 5/0205 - Évaluation simultanée de l'état cardio-vasculaire et de l'état d'autres parties du corps, p. ex. de l'état cardiaque et respiratoire
A61B 5/029 - Mesure du débit de sang à la sortie du cœur, p. ex. volume éjecté par minute
A61B 5/0295 - Mesure du débit sanguin utilisant la pléthysmographie, c.-à-d. par mesure des variations du volume d'une partie du corps induites par la circulation du sang qui traverse cette partie, p. ex. pléthysmographie par impédance
Medical apparatus and instruments, namely, patient monitor, modular patient monitoring systems, apparatus for determining and displaying physiological parameters, and accessories for the aforesaid goods.
50.
PORTABLE AND MODULAR TRANSPORTATION UNIT WITH IMPROVED TRANSPORT CAPABILITIES
A medical device, such as an intra-aortic balloon pump or carrier with an extendable wheel track and handle configured to be removably carried and integrated with a cart. The wheel track is configured to extend upon extension of the handle and to return to its original position upon retraction of the handle.
B62B 3/02 - Voitures à bras ayant plus d'un essieu portant les roues servant au déplacementDispositifs de direction à cet effetAppareillage à cet effet comportant des parties réglables, rabattables, attachables, détachables ou transformables
51.
PATIENT SUPPORTING SURFACE FOR AN OPERATING TABLE WITH MULTIPLE SUPPORTING SURFACE SECTIONS
The invention relates to a patient supporting surface (100) for securing to an operating table column, comprising a supporting surface main section (102) having an interface (110) for coupling to the operating table column, and one or more supporting surface plane sections (104, 106, 108), which can be detachably connected to the supporting surface main section (102), wherein the supporting surface main section (102) has at least one light source (130) and at least one detector element (132), wherein the one or more supporting surface plane sections (104, 106, 108) each have one or more light guides (140, 150, 160) and a respective marking element (143, 153, 161), which changes light in a specific manner for the respective supporting surface plane section (104, 106, 108), and wherein, if at least one part of the supporting surface plane sections (104, 106, 108) is connected to the supporting surface main section (102), the light generated by the at least one light source (130) is guided via the light guide (140, 150, 160) to the marking elements (143, 153, 161) of the supporting surface plane sections (104, 106, 108) connected to the supporting surface main section (102) and from the marking elements (143, 153, 161) to the at least one detector element (132).
To calibrate a differential pressure measurement to a geodetic height difference of (approximately) zero, a reference position determination part is led close up to the blood pressure measuring device where a calibration signal is triggered if a minimum distance is not reached between two respective points defined at the reference position determination part and a blood pressure measuring device. A control device integrated in or connected to the blood pressure measuring device performs the calibration measurement in response to the trigger signal. The triggering means are implemented, e.g., as an RFID tag on the reference position determination part-side and an associated near-field communication reader on the blood pressure measuring device-side. If the near-field communication reader detects the correctly encoded RFID tag in the reference position determination part, it triggers the calibration signal.
A61B 5/022 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins par application d'une pression pour fermer les vaisseaux sanguins, p. ex. contre la peauOphtalmodynamomètres
A61B 5/021 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/0225 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins par application d'une pression pour fermer les vaisseaux sanguins, p. ex. contre la peauOphtalmodynamomètres la pression étant commandée par des signaux électriques, p. ex. dérivés des bruits de Korotkoff
The invention relates to a measuring device for continuously determining the intra-arterial blood pressure in a finger of a hand, the measuring device comprises a base part and a cuff part. A light source for near-infrared light and a photodetector are provided for the finger. The light sources and the photodetectors are connected to an associated optical emission surface or optical collector surface via a respective so-called light pipe for coupling emitted light into the finger tissue or decoupling non-absorbed light from the finger tissue. The cuff-side and base-part-side sections of the light pipes are connected to one another via separable optical contact points at the interface between the cuff part and the base part. On the base-part side, a cover glass closes flush with the housing of the base part and is attached to the contact points.
A61B 5/022 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins par application d'une pression pour fermer les vaisseaux sanguins, p. ex. contre la peauOphtalmodynamomètres
A61B 5/0225 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins par application d'une pression pour fermer les vaisseaux sanguins, p. ex. contre la peauOphtalmodynamomètres la pression étant commandée par des signaux électriques, p. ex. dérivés des bruits de Korotkoff
54.
Multi-part appliance for non-invasive detection of vital parameters
Disclosed herein is a base device with a pump device for applying pressure to a working fluid and a body contact device that can be detachably coupled to one another. A housing of the base device has a contact surface for the body contact device where the contact surface has a passage which can be closed by means of a closing member of a valve device. A spring is provided for applying spring force to move the closing member into a position that closes the passage. The body contact device has a pressure applicator, which can be acted upon by the working fluid, to apply pressure to the finger and a sealing element for creating a fluid connection with the base device. The body contact device has a deflecting means for deflecting the closing member against the spring force in the operating configuration.
A61B 5/022 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins par application d'une pression pour fermer les vaisseaux sanguins, p. ex. contre la peauOphtalmodynamomètres
A61B 5/0225 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins par application d'une pression pour fermer les vaisseaux sanguins, p. ex. contre la peauOphtalmodynamomètres la pression étant commandée par des signaux électriques, p. ex. dérivés des bruits de Korotkoff
A61B 5/0235 - Valves spécialement adaptées à cet effet
55.
APPARATUS FOR MEASURING VITAL PARAMETERS COMPRISING AN ADVANTAGEOUS LENS DEVICE
The present invention relates to a provision device (74) for providing radiation for determining vital parameters of a living being. According to the invention, the provision device (74) comprises at least: a radiation source (76) for emitting radiation and a lens device (110), wherein the lens device (110) is positioned in the beam path (20) of the radiation from the radiation source (76), wherein the beam path (20) extends at least partly through the lens device (110), wherein the lens device (110) comprises a lens part (112) which is at least partly transparent to radiation from the radiation source (76), and a holder part (114) which at least partly surrounds the lens part (112), wherein the holder part (114) forms at least one coupling device (116), wherein the coupling device (116) is frictionally and/or form-fittingly coupled to the radiation source (76) or to a radiation source holder (77) for holding the radiation source, wherein the lens part (112) forms a converging lens.
A surgical instrument includes a mount body, a joint member, an arm, and a working end. The mount body has a top portion, a distal end, a proximal end and a bottom portion. The joint member is pivotally mounted at a distal end portion of the mount body, to allow positioning of a proximal portion of an arm extending distally from the joint member. The joint member is also configured to at least partially constrain movement of the proximal portion of the arm to a plane. The working end is mounted to a distal end portion of the arm. The surgical instrument can be configured as a heart stabilizer or a heart positioner. The joint member may further be configured as a slotted ball, a disk member, or a combination thereof.
An actuator for use in a surgical instrument, the actuator includes an upper portion configured to be actuated by one or more fingers, wherein the upper portion has an upper distal portion for operating the surgical instrument in a first mode of operation, and an upper proximal portion for operating the surgical instrument in a second mode of operation, and wherein the upper distal portion and the upper proximal portion have different respective tactile configurations for informing the user of the first and second modes of operation, respectively.
A61B 18/08 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage à l'aide de sondes chauffées électriquement
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
Components for an endoscopic vessel harvesting system suitable for harvesting target vessels such as the saphenous vein or radial artery for cardiac artery bypass graft surgery. The main components of such systems include a vessel dissector and a vessel harvester, both of which work in conjunction with a separately provided endoscope. The vessel dissector is an elongated cannula having a blunt tip for separating layers of facial around vessels. The tip may be movable, and is typically transparent to permit viewing forward of the tip using the endoscope. Internal features of the tip may reduce glare back to the endoscope. Several devices improve visibility through the tip by reducing interference from tissue or fluid on the tip. The vessel harvester also has an elongated cannula for receiving the endoscope. Several tools within the harvester permit manipulation, severing, and sealing of vessels forward of the distal end. The tool for manipulating vessels may have a low-profile for increased visibility of operation, and may be coupled to the cannula with a damping mechanism to reduce the possibility of avulsion of the vessels. Various vessel cutting and sealing devices are provided that may accommodate various sizes of vessels and improve cutting and sealing efficacy.
A61B 1/313 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour l'introduction dans des incisions chirurgicales, p. ex. laparoscopes
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
59.
DEVICE FOR MEASURING VITAL PARAMETERS WITH ADVANTAGEOUS RADIATION GUIDANCE
The present invention relates to a positioning and exposure device (1) for the defined arrangement on at least one body part (2, 3) of a living being (4) and for exposing the body part (2, 3) to radiation for determining at least one vital parameter of the living being (4). The positioning and exposure device (1) here comprises at least: a guiding and support structure (6) for delimiting an examination area (8), wherein the body part (2) can be positioned during exposure in the examination area (8), wherein the guiding and support structure (6) in a section (10) bounding the examination area (8) forms at least one radiation input area (12), wherein radiation can be introduced through the radiation input area (12) into the examination area (8) and wherein the guiding and support structure (6) forms a radiation exit area (16) in a further portion (14) delimiting the examination area (8), wherein at least part of the radiation which can be introduced through the radiation input area (12) into the examination area (8) can be guided out of the examination area (8) through the radiation exit area (16), and wherein a first elongate optical guide (18) is arranged in the path (20) of the radiation at least before entry into the examination area (8), wherein the first optical guide (18) is curved at least in sections for at least one deflection of the path (20) of the radiation which can be introduced into the first optical guide (18).
A61B 5/021 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins
A61B 5/022 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins par application d'une pression pour fermer les vaisseaux sanguins, p. ex. contre la peauOphtalmodynamomètres
A61B 5/0225 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins par application d'une pression pour fermer les vaisseaux sanguins, p. ex. contre la peauOphtalmodynamomètres la pression étant commandée par des signaux électriques, p. ex. dérivés des bruits de Korotkoff
60.
PHOTOPLETHYSMOGRAPHIC BLOOD PRESSURE MEASURING DEVICE WITH REMOVABLE FINGER CUFF
The blood pressure measuring device (1) is designed as a photoplethysmographic measuring system which functions according to the "vascular unloading technique". Metrological components and a pressure generating and pressure control system are accommodated in the base part (3). The fitted cuff part (2) has an ergonomic palm support (4), two finger supports (6) divided from one another by a web (5), and also a receiving part (7) which comprises two receiving tubes (9) for fingers. The cuff part (2) projects beyond the base part (3), both towards the front and also towards the rear, and covers the base part (3) almost completely, i.e. by more than 90%. The lateral attachment of the cable (8) facing in the direction of the forearm has the advantage that the cable can be guided along the patient's arm, the wrist does not rub against the cable (8), and in particular the carpal tunnel is also protected.
A61B 5/022 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins par application d'une pression pour fermer les vaisseaux sanguins, p. ex. contre la peauOphtalmodynamomètres
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/0225 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins par application d'une pression pour fermer les vaisseaux sanguins, p. ex. contre la peauOphtalmodynamomètres la pression étant commandée par des signaux électriques, p. ex. dérivés des bruits de Korotkoff
A61B 5/021 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins
61.
APPARATUS FOR MEASURING VITAL PARAMETERS, HAVING ADVANTAGEOUS SEAL ARRANGEMENT
The present invention relates to a delivery device (1) for delivering at least exposure radiation, in particular for determining vital parameters, the delivery device (1) having at least: a first housing part (2) and a second housing part (4), the first housing part (2) and the second housing part (4) being coupled, in particular detachably, in a defined alignment with each other; a first radiation source (6) for delivering the exposure radiation; a first detection device (8) for detecting detection radiation, the first housing part (2) and the second housing part (4) forming an accommodation space (10) for storing at least the first radiation source (6) and for storing at least the first detection device (8), a seal element (12) running around between the first housing part (2) and the second housing part (4), the seal element (12) being in contact with the first housing part (2) on a first side (14), and the seal element (12) being in contact with the second housing part (4) on a second side (16); and a line connection (18) for introducing data, electricity and/or substances into the accommodation space (10). According to the invention, the distance between the first side (14) of the seal element (12) and the second side (16) of the seal element (12) is greater in a first section (20) than in a second section (22) in the running direction (V) of the seal element (12).
A61B 5/022 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins par application d'une pression pour fermer les vaisseaux sanguins, p. ex. contre la peauOphtalmodynamomètres
A61B 5/021 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins
A61B 5/0225 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins par application d'une pression pour fermer les vaisseaux sanguins, p. ex. contre la peauOphtalmodynamomètres la pression étant commandée par des signaux électriques, p. ex. dérivés des bruits de Korotkoff
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
62.
CUFF CUSHION, CUFF PART, METHOD FOR THE PRODUCTION THEREOF AND MEASURING DEVICE
The hard-flexible layer (10a) of the cuff cushion (10) is bonded into the particular receiving tube (9) of the receiving body (7) such that the fluid access opening (22) stamped into the hard-flexible layer (10a) comes to lie on a corresponding opening of the channel system (19) formed in the receiving body (7) and so can be subjected to fluid pressure, more particularly air pressure. The preformed soft-flexible layer (10b) is hermetically sealed at the edges to the hard-flexible layer (10a) so that the intermediate space between the layers (10a, 10b) can be filled with the fluid, more particularly air.
A61B 5/021 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins
A61B 5/022 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins par application d'une pression pour fermer les vaisseaux sanguins, p. ex. contre la peauOphtalmodynamomètres
The two inflatable sleeve cushions (10) which can be arranged in the receiving tubes (9) are each connected by means of a connection (11) at the interface between sleeve part (2) and base part (3) to the pressure generation and pressure control system in the base part (3). A valve device is preferably provided on the connection (11). The channels (19) that connect the respective connection (11) to the respective sleeve cushion (20) are formed in the main body (21) of the receiving body, said main body being produced from plastic by means of injection moulding, and are covered towards the outside by means of a cover (20). The connections (11) are disposed one behind the other in the direction parallel to the axial direction of the receiving tubes (9). From there, each channel (19) is first guided upwards, then diagonally to the side, and finally downwards to the fluid access opening (22) of the respective sleeve cushion (10).
A61B 5/021 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins
A61B 5/022 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins par application d'une pression pour fermer les vaisseaux sanguins, p. ex. contre la peauOphtalmodynamomètres
A61B 5/0225 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins par application d'une pression pour fermer les vaisseaux sanguins, p. ex. contre la peauOphtalmodynamomètres la pression étant commandée par des signaux électriques, p. ex. dérivés des bruits de Korotkoff
A61M 1/00 - Dispositifs de succion ou de pompage à usage médicalDispositifs pour retirer, traiter ou transporter les liquides du corpsSystèmes de drainage
A61M 27/00 - Appareillage pour drainage des blessures
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
An endovascular fixation device includes a first portion and a second portion connected to the first portion to define a central lumen extending longitudinally through the portions. The first portion includes a first radially expandable ring and at least one first connector, connected to the first ring, configured to cause at least one first flarable crown of the first ring to flare radially outwardly relative to other portions of the first ring when the first ring is expanded from a retracted position to an expanded position. The second portion includes a second radially expandable ring and at least one second connector, connected to the second ring, configured to cause at least one second flarable crown of the second ring to flare radially outwardly relative to other portions of the second ring when the second ring is expanded from a retracted position to an expanded position.
A61B 17/11 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour réaliser l'anastomoseBoutons pour anastomose
An endovascular fixation device includes a first portion and a second portion connected to the first portion to define a central lumen extending longitudinally through the portions. The first portion includes a first radially expandable ring and at least one first connector, connected to the first ring, configured to cause at least one first flarable crown of the first ring to flare radially outwardly relative to other portions of the first ring when the first ring is expanded from a retracted position to an expanded position. The second portion includes a second radially expandable ring and at least one second connector, connected to the second ring, configured to cause at least one second flarable crown of the second ring to flare radially outwardly relative to other portions of the second ring when the second ring is expanded from a retracted position to an expanded position.
A61F 2/00 - Filtres implantables dans les vaisseaux sanguinsProthèses, c.-à-d. éléments de substitution ou de remplacement pour des parties du corpsAppareils pour les assujettir au corpsDispositifs maintenant le passage ou évitant l'affaissement de structures corporelles tubulaires, p. ex. stents
A61F 2/82 - Dispositifs maintenant le passage ou évitant l’affaissement de structures tubulaires du corps, p. ex. stents
A61F 2/89 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles les éléments filiformes comprenant au moins deux anneaux adjacents reliés de manière flexible par des éléments séparés
67.
Stent device having reduced foreshortening and recoil and method of making same
A stent device includes generally cylindrical rings aligned along a longitudinal axis, and interconnected by interconnecting members. Each interconnecting member includes a first coupling end, a second coupling end, and an elongate portion therebetween. The first coupling end, the elongate portion, and the second coupling end combine in either a first orientation or a second orientation, which are substantially mirror images. For each interconnecting member, the first coupling end can intersect with a midpoint of a transition region of a substantially repeating curved segment on one of the rings, and the second coupling end can intersect with a midpoint of a curved segment of a different and immediately adjacent ring. The interconnecting members can be arranged in rows extending longitudinally along the device. Along each row, consecutive interconnected members alternate between the first orientation and the second orientation. A cover may be provided over the stent device.
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
A61F 2/89 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles les éléments filiformes comprenant au moins deux anneaux adjacents reliés de manière flexible par des éléments séparés
A surgical apparatus and methods for severing and welding tissue, in particular blood vessels. The apparatus includes an elongated shaft having a pair of relatively movable jaws at a distal end thereof. A first heating element on one of the jaws is adapted to heat up to a first temperature and form a welded region within the tissue, while a second heating element on one of the jaws is adapted to heat up to a second temperature and sever the tissue within the welded region. The first and second heating elements may be provided on the same or opposite jaws. A control handle provided on the proximal end of the elongated shaft includes controls for opening and closing the jaws, and may include an actuator for sending current through the first and second heating elements. The first and second heating elements may be electrically connected in series, and the first heating element may be bifurcated such that it conducts about one half of the current as the second heating element. A force-limiting mechanism provided either within the control handle, in the elongated shaft, or at the jaws limits the pressure applied to the tissue by the jaws to ensure that the tissue is severed and the ends effectively welded within a short amount of time.
A61B 18/08 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage à l'aide de sondes chauffées électriquement
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
Fatty acid-based, pre-cure-derived biomaterials, methods of making the biomaterials, and methods of using them as drug delivery carriers are described. The fatty acid-derived biomaterials can be utilized alone or in combination with a medical device for the release and local delivery of one or more therapeutic agents. Methods of forming and tailoring the properties of said biomaterials and methods of using said biomaterials for treating injury in a mammal are also provided.
A61L 31/16 - Matériaux biologiquement actifs, p. ex. substances thérapeutiques
A61K 31/4353 - Composés hétérocycliques ayant l'azote comme hétéro-atome d'un cycle, p. ex. guanéthidine ou rifamycines ayant des cycles à six chaînons avec un azote comme seul hétéro-atome d'un cycle condensés en ortho ou en péri avec des systèmes hétérocycliques
A61L 31/14 - Matériaux caractérisés par leur fonction ou leurs propriétés physiques
A61F 2/82 - Dispositifs maintenant le passage ou évitant l’affaissement de structures tubulaires du corps, p. ex. stents
70.
Woven prosthesis and method for manufacturing the same
A woven prosthesis, such as a woven vascular graft, woven from warp and weft yarns. Velour warp yarns forming the prosthesis are selectively incorporated into a base layer of the prosthesis so as to provide a bulbous section without compromising the porosity of the prosthesis.
A61F 2/00 - Filtres implantables dans les vaisseaux sanguinsProthèses, c.-à-d. éléments de substitution ou de remplacement pour des parties du corpsAppareils pour les assujettir au corpsDispositifs maintenant le passage ou évitant l'affaissement de structures corporelles tubulaires, p. ex. stents
D03D 49/68 - Peignes ou peignes-battants non montés sur le battant
D03D 13/00 - Tissus caractérisés par la disposition particulière des fils de chaîne ou de trame, p. ex. avec fils de trame incurvés, avec fils de chaîne discontinus, avec fils de chaîne ou de trame en diagonale
A61F 2/90 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles
A method of making expanded fluoropolymer articles thermally bonds portions of expanded fluoropolymers together, without using an adhesive or crushing force, to produce stronger bonds at the joint between the expanded fluoropolymers than the bonds within the constituent expanded fluoropolymers. The method involves placing the portions of expanded fluoropolymers to be thermally bonded together in intimate contact with each other after wet-stretching the expanded fluoropolymers, and removing the wetting agent used to wet-stretch the expanded fluoropolymers, without subsequent expansion or stretching, to yield an expanded fluoropolymer article exhibiting unexpected and superior properties that can be used in a variety of medical and industrial applications.
B32B 3/04 - Caractérisés par des caractéristiques de forme en des endroits déterminés, p. ex. au voisinage des bords caractérisés par une couche pliée au bord, p. ex. par-dessus une autre couche
B32B 7/02 - Propriétés physiques, chimiques ou physicochimiques
B32B 27/06 - Produits stratifiés composés essentiellement de résine synthétique comme seul composant ou composant principal d'une couche adjacente à une autre couche d'une substance spécifique
B32B 27/08 - Produits stratifiés composés essentiellement de résine synthétique comme seul composant ou composant principal d'une couche adjacente à une autre couche d'une substance spécifique d'une résine synthétique d'une sorte différente
B32B 27/32 - Produits stratifiés composés essentiellement de résine synthétique comprenant des polyoléfines
C08J 5/12 - Fixation d'un matériau macromoléculaire préformé au même matériau ou à un autre matériau compact, tel que du métal, du verre, du cuir, p. ex. en utilisant des adhésifs
B29K 105/04 - Présentation, forme ou état de la matière moulée cellulaire ou poreuse
A stent device is provided. The stent device includes: at least one radially expandable body portion extending along a longitudinal axis of the stent device defining a lumen; and at least one outwardly flarable portion connected to the body portion. The outwardly flarable portion includes at least one radially expandable ring connected to the body portion and at least one flaring connector connected to the at least one ring configured to cause a crown of the at least one ring to automatically flare radially outwardly relative to other portions of the ring upon radial expansion of the body portion so as to form a flared crown. After radial expansion, the outwardly flaring portion may be held in place by a support strut that lessens its ability to collapse. A method of deploying the stent device is also provided.
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
A stent device is provided. The stent device includes: at least one radially expandable body portion extending along a longitudinal axis of the stent device defining a lumen; and at least one outwardly flarable portion connected to the body portion. The outwardly flarable portion includes at least one radially expandable ring connected to the body portion and at least one flaring connector connected to the at least one ring configured to cause a crown of the at least one ring to automatically flare radially outwardly relative to other portions of the ring upon radial expansion of the body portion so as to form a flared crown. After radial expansion, the outwardly flaring portion may be held in place by a support strut that lessens its ability to collapse. A method of deploying the stent device is also provided.
A stent device is provided. The stent device includes: at least one radially expandable body portion extending along a longitudinal axis of the stent device defining a lumen; and at least one outwardly flarable portion connected to the body portion. The outwardly flarable portion includes at least one radially expandable ring connected to the body portion and at least one flaring connector connected to the at least one ring configured to cause a crown of the at least one ring to automatically flare radially outwardly relative to other portions of the ring upon radial expansion of the body portion so as to form a flared crown. After radial expansion, the outwardly flaring portion may be held in place by a support strut that lessens its ability to collapse. A method of deploying the stent device is also provided.
The invention relates to a system for determining a cardiovascular parameter in a patient, wherein the system is adapted to work in conjunction with an extracorporeal blood treatment device (ECBTD) connectable to a patient's vascular system, wherein the ECBTD comprises a first circuit, the system comprising: a liquid-filled, second circuit thermally connected to the first circuit of the ECBTD via a heat exchanger, temperature changing means for generating a temperature change in the second circuit, temperature sensors TS2up and TS2down arranged in the second circuit upstream and downstream of the heat exchanger, respectively. A computer system connected to the temperature sensors and the temperature changing means is adapted to induce a temperature bolus within the first circuit of the ECBTD via the temperature changing means. From the individual temperature recorded as a function of time, temperature curves T2up(t) and T2down(t) are derived and evaluated.
G16H 50/30 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le calcul des indices de santéTIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour l’évaluation des risques pour la santé d’une personne
A61M 1/16 - Systèmes de dialyseReins artificielsOxygénateurs du sang avec membranes
Fatty acid-derived biomaterials, methods of making the biomaterials, and methods of using them as drug delivery carriers are described. The fatty acid-derived biomaterials can be utilized alone or in combination with a medical device for the release and local delivery of one or more therapeutic agents. Methods of forming and tailoring the properties of said biomaterials and methods of using said biomaterials for treating injury in a mammal are also provided.
A surgical implant comprising a receiver member and deployment member for clamping and sealing tissue of variable thickness, a corresponding applicator tool and surgical system for connecting, sealing, fastening and/or attaching tissue to itself, to other tissue and/or to non-tissue structures, and/or sealing the flow of fluid at and/or between structures such as tissue and vessel structures.
A61B 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération, p. ex. agrafes appliquées simultanément
A61B 17/11 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour réaliser l'anastomoseBoutons pour anastomose
A61B 17/122 - Clamps ou pinces, p. ex. pour le cordon ombilical
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
79.
SYSTEM, COMPUTER SYSTEM AND COMPUTER PROGRAM FOR DETERMINING A CARDIOVASCULAR PARAMETER
The invention relates to a table column (1) for an operating table, comprising a column head support (6), a column head (7) accommodated in the column head support (6) and height-adjustable relative to same, a lifting drive (21) for adjusting the height of the column head (7) relative to the column head support (6), and a cylindrical guide (23) which connects the column head (7) to the column head support (6) and functions to vertically guide the column head (7) during the height adjustment thereof, wherein the cylindrical guide (23) has a longitudinal groove (24) and two keys (26) engaging therein in order to secure the cylindrical guide (23) against rotation about its vertical axis, and wherein each key (26) comprises a main body and an engaging element protruding along an engaging direction, which engages into the longitudinal groove (24) in the engaging direction, wherein the engaging elements of the two keys (26) are arranged offset to one another transverse to the longitudinal axis of the longitudinal groove (24), such that a pretensioning in the cylindrical guide (23) is generated transverse to the longitudinal axis of the longitudinal groove (24).
The invention relates to an adjustable table column (1) for an operating table, comprising a column foot (2) for parking the table column (1) on the ground, a height-adjustable column shaft (3) having a stationary column shaft base (24) and a stem (40) of the column shaft that moves up and down relative to the column shaft base, a linking unit (10) for linking a patient support surface to the table column (1), wherein the linking unit (10) can swivel in relation to the stem (40) of the column shaft, and a line guide device (4) for carrying at least one power and/or data line (5) along the stem (40) of the shaft column when same is moving up and down, wherein the line guide device (4) comprises a hinged connecting rod (11) which can transmit pushing and pulling forces. The connecting rod (11) is mechanically connected by its upper end (17) to the linking unit (10) and mechanically connected by its lower end (18) to the stem (40) of the column shaft in such a way that the at least one power and/or data line (5) adjusts its position accordingly when the linking unit (10) moves.
The invention relates to a mobile operating table column (28) comprising a stand (2) and a stability system (4, 5, 29) for ensuring a secure standing of the stand (2) on uneven ground, wherein the stability system (4, 5, 29) comprises the following: four extendable and retractable floor contact elements (4a-d) in four different corners of the stand (2), and floor contact surfaces (29) and an actuation unit for extending and retracting each of the four floor contact elements (4a-d). In addition, each floor contact element (4a-d) is assigned to a respective floor contact surface (29) and can be extended and retracted relative to same. Furthermore, the stability system (4, 5, 29) can adopt at least two different operating states: i) a parked state in which the stand (2) rests on the ground on at least three of the floor contact surfaces (29) and the floor contact elements (4a-d) are retracted; and ii) a secured state in which the stand (2) rests on the ground on at least three of the floor contact surfaces (29) and the floor contact elements (4a-d) are extended such that they are in contact with the ground and thereby ensure the secure standing of the stand (2) on the ground.
A base device (1), having a pump device for pressurizing a working fluid, and a body contact device (2), for defined arrangement of a finger, are able to be releasably coupled to each other to form an operating configuration. A housing (6) of the base device (1) has a contact surface (8) for arrangement of the body contact device (2), wherein the contact surface (8) has a through-opening (14) that can be closed by means of a closure part (10) of a valve device (12). A spring (16) is provided to apply a spring force to the closure part (10), in order to transfer the closure part (10) to a position in which it closes the through-opening (14). The body contact device (2) has a pressure applicator (18), which can be acted upon by the working fluid and serves for controlled application of pressure to the finger, and a sealing element (20) for generating a fluidic connection to the base device (1). The body contact device (2) has a deflection device (22) for deflecting the closure part (10) counter to the spring force in the operating configuration.
A61B 5/022 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins par application d'une pression pour fermer les vaisseaux sanguins, p. ex. contre la peauOphtalmodynamomètres
A61B 5/024 - Mesure du pouls ou des pulsations cardiaques
A61B 5/0225 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins par application d'une pression pour fermer les vaisseaux sanguins, p. ex. contre la peauOphtalmodynamomètres la pression étant commandée par des signaux électriques, p. ex. dérivés des bruits de Korotkoff
84.
METHOD AND DEVICE FOR CORRECTING A BLOOD PRESSURE MEASUREMENT CARRIED OUT AT A MEASUREMENT LOCATION
In order to calibrate the differential pressure measurement to a geodetic height difference of (approximately) zero, the reference-location defining part (2) is led so close up to the blood pressure measuring device that, if a minimum distance between two points defined on the reference-location defining part (2) and on the blood-pressure measuring device (1), respectively, is fallen below, a calibration signal is triggered. A control device integrated into or connected to the blood-pressure measuring device (1) performs the calibration measurement as a reaction to the triggering signal. The triggering means are implemented as a reference-location-defining-part RFID tag (10) and an associated blood-pressure-measuring-device near-field communication reading device (11). If the near-field communication reading device (11) in the blood-pressure measuring device (1) detects the correctly coded RFID tag in the reference-location defining part (2), the near-field communication reading device triggers the calibration signal. The reference-location defining part (2), which is to be attached to the patient, is preferably designed, with associated increased requirements for sterility, as a disposable article. The reference-location defining part is connected to the blood-pressure measuring device by means of the tube connection (12) such that there is a continuous liquid column between a liquid reservoir (13) in the reference-location defining part (2) and a correction pressure sensor (14) in the blood-pressure measuring device (1).
The invention relates to a measuring device for continuously determining the intra-arterial blood pressure in two fingers of a hand, which measuring device comprises a base part and a cuff part, which can be connected to the base part without using tools. For each of the two fingers, a light source (23a, 23b) for near-infrared light and a photodetector (24a, 24b) are provided, which are arranged on a common circuit board (4). By means of respective light pipes (27), i.e. optical waveguides not in the form of fiber bundles, the light sources (23a, 23b) and the photodetectors (24a, 24b) are connected to an associated optical emission surface (25a, 25b) and an associated optical collector surface (26a, 26b), respectively, in order couple emitted light into the finger tissue and to couple unabsorbed light out of the finger tissue, respectively. At the interface between the cuff part (8) and the base part (18), the cuff-part segments and base-part segments of the light pipes (27) are interconnected by means of optical contact points (28) that can be disconnected. On the base part, a cover glass piece (29), e.g. mineral glass piece or sapphire glass piece, that is flush with the housing (2) of the base part (18) and that is as scratch-resistant as possible is mounted at each of the contact points.
A61B 5/022 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins par application d'une pression pour fermer les vaisseaux sanguins, p. ex. contre la peauOphtalmodynamomètres
A61B 5/0225 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins par application d'une pression pour fermer les vaisseaux sanguins, p. ex. contre la peauOphtalmodynamomètres la pression étant commandée par des signaux électriques, p. ex. dérivés des bruits de Korotkoff
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
Medical apparatus and instruments, in particular for
measuring and evaluating physiological measuring signals, in
particular blood pressure signals, and for deriving further
physiological parameters; blood pressure monitors, in
particular non-invasive blood pressure monitors; apparatus
for determining and displaying physiological parameters;
replacement parts and equipment for blood pressure monitors,
in particular for non-invasive blood pressure monitors;
replacement parts and equipment for apparatus for the
determination and display of physiological parameters;
sensors [measurement apparatus], for medical purposes, in
particular disposable products and reusable products;
equipment for the aforementioned goods.
An epicardial clip for reshaping the annulus of the mitral valve of a heart includes a curved member having an anterior segment configured to be positioned in the transverse sinus of the heart, a posterior segment configured to be positioned on the posterior side of the heart, such as on or inferior to the atrioventricular groove, and a lateral segment extending between the anterior segment and the posterior segment. The lateral segment includes a curve such that the first end of the member is positioned at or above the plane of the mitral valve and the second end of the member is positioned at or below the plane of the mitral valve.
A surgical instrument includes a mount body, a joint member, an arm, and a working end. The mount body has a top portion, a distal end, a proximal end and a bottom portion. The joint member is pivotally mounted at a distal end portion of the mount body, to allow positioning of a proximal portion of an arm extending distally from the joint member. The joint member is also configured to at least partially constrain movement of the proximal portion of the arm to a plane. The working end is mounted to a distal end portion of the arm. The surgical instrument can be configured as a heart stabilizer or a heart positioner. The joint member may further be configured as a slotted ball, a disk member, or a combination thereof.
A method and apparatus for fluid delivery enables navigation through tortuous, spatially restricted body anatomy to access narrow diameter body lumens for the continuous delivery of fluids, including therapeutic fluids, to the lumen in an atraumatic manner that avoids damage to the body lumen. The fluid delivery device can have a flexible conduit having a proximal end, a distal end, and a lumen extending along an interior of the flexible conduit providing a fluid flow path between the proximal and distal ends, where the lumen transitions into a micro-lumen exiting through a port through which a high concentration of fluid injected into the lumen exits laterally out along an image viewable zone at the distal end of the flexible conduit. The flexible conduit has a maximum outer diameter sized sufficient to navigate narrow diameter body lumens.
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61M 25/01 - Introduction, guidage, avance, mise en place ou maintien en position des cathéters
A61M 5/00 - Dispositifs pour faire pénétrer des agents dans le corps par introduction sous-cutanée, intravasculaire ou intramusculaireAccessoires à cet effet, p. ex. dispositifs de remplissage ou de nettoyage, appuis-bras
A61B 6/12 - Agencements pour détecter ou localiser des corps étrangers
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 5/055 - Détection, mesure ou enregistrement pour établir un diagnostic au moyen de courants électriques ou de champs magnétiquesMesure utilisant des micro-ondes ou des ondes radio faisant intervenir la résonance magnétique nucléaire [RMN] ou électronique [RME], p. ex. formation d'images par résonance magnétique
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61B 6/00 - Appareils ou dispositifs pour le diagnostic par radiationsAppareils ou dispositifs pour le diagnostic par radiations combinés avec un équipement de thérapie par radiations
Medical apparatus and instruments, in particular for measuring and evaluating physiological measuring signals, in particular blood pressure signals, and for deriving further physiologic parameters, namely blood pressure, blood flow, contractility and afterload parameters; blood pressure monitors, in particular non-invasive blood pressure monitors; apparatus for determining and displaying physiological parameters; replacement parts and equipment, namely blood pressure cuffs, for blood pressure monitors, in particular non-invasive blood pressure monitors; replacement parts and equipment,namely non-invasive blood pressure measurement modules, pressure valves, pressure monitor CPU units and pressure monitor boards, pressure monitor housings and cables for medical apparatus for the determination and display of physiological parameters, namely blood pressure, blood flow, contractility and afterload parameters; sensors for medical purposes, namely for monitoring and measuring blood properties and respiratory events, in particular disposable products and reusable products; equipment for the aforementioned goods, namely blood pressure cuffs and finger cuff sensors
A vessel dissector used in conjunction with an endoscope is provided with a lumen for receiving the endoscope; a blunt dissecting tip provided on a distal end of an elongated cannula permitting tissue dissection while viewing internal body structures via an objective lens of the endoscope; and a vessel severing tool extending through at least a portion of the elongated cannula and translatable longitudinally relative to the elongated cannula, and the vessel severing tool comprises an electrode-carrying member translatable circumferentially within an arcuate slot extending through an outer surface of the vessel dissector, wherein the arcuate slot comprises an inner radius, an outer radius and a central radius, wherein the outer radius is greater than the inner radius and the central radius is located between the outer radius and the inner radius so the arcuate slot provides a uniform opening through which the electrode-carrying member can extend and retract.
A61B 1/313 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour l'introduction dans des incisions chirurgicales, p. ex. laparoscopes
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 1/12 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec système de refroidissement ou de rinçage
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61B 90/70 - Dispositifs de nettoyage spécialement adaptés aux instruments chirurgicaux
92.
Stent device having reduced foreshortening and recoil and method of making same
A stent device includes generally cylindrical rings aligned along a longitudinal axis, and interconnected by interconnecting members. Each interconnecting member includes a first coupling end, a second coupling end, and an elongate portion therebetween. The first coupling end, the elongate portion, and the second coupling end combine in either a first orientation or a second orientation, which are substantially mirror images. For each interconnecting member, the first coupling end can intersect with a midpoint of a transition region of a substantially repeating curved segment on one of the rings, and the second coupling end can intersect with a midpoint of a curved segment of a different and immediately adjacent ring. The interconnecting members can be arranged in rows extending longitudinally along the device. Along each row, consecutive interconnected members alternate between the first orientation and the second orientation. A cover may be provided over the stent device.
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
A61F 2/89 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles les éléments filiformes comprenant au moins deux anneaux adjacents reliés de manière flexible par des éléments séparés
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
Produits et services
Data processing apparatus; computers; computer memory devices; computer input devices; digital input and output scanners; memory for data processing equipment; computer programs for access or entry; computer programs, recorded or downloadable; data processing programs; computer operating programs, recorded or downloadable; computer software, recorded or downloadable; computer software applications, recorded or downloadable; computer software platforms, recorded or downloadable; integrated operating table electronic and pneumatic controls; in International Class 09. Operating tables; operating table accessories; surgical table systems; parts for operating tables and surgical tables; medical and surgical equipment designed to be connectable to, attachable to, interfaced with, networked with or usable together with operating tables; tables for the examination or treatment of patients; surgical table extenders; surgical table clamps; side rails for operating tables and surgical tables; operating table supports for supporting, holding, fixing, or positioning medical devices and accessories for supporting, fixing, positioning or stretching parts of a patient's body, and devices for holding, positioning and controlling equipment used to inspect, treat or operate on patients supported by the operating tables; operating table devices for holding, positioning or controlling instruments, equipment or apparatus used to examine, treat or operate on patients supported by operating tables; instrument or medical stands, holders, trays, basins or work surfaces attachable to operating tables; operating table body supports for supporting, holding, cushioning, fixing, stretching or positioning body parts of a patient; operating table tension, traction and compression equipment; body straps and restraints; operating theater systems; operating theater system equipment; imaging tables and accessories; medical furniture specifically designed for medical purposes for the treatment or examination of patients; medical furniture for use in operating rooms, hospital emergency room or resuscitation and recovery rooms for intensive care and hospitalization; medical apparatus and instruments; surgical apparatus and instruments; accessories for operating tables, namely, head rests, arm rests, leg rests, body supports, body cushions, body straps and restraints, knee crutches, stirrups, tube holders, infusion stands, radial setting clamps, anesthesia screens, instrument trays, table extenders, secretion basins, splash guard covers, paper roll holders, side rails, PVC protective covers, x-ray cassette holders; support arms for supporting, carrying and aligning body parts of patients; support arms for supporting, carrying and aligning medical devices and medical accessories; Medical operating tables; accessories for use with medical operating tables, namely devices for supporting, fixing, positioning or stretching parts of a patient's body, and devices for holding, positioning and controlling equipment used to inspect, treat or operate on patients supported by the operating tables, in International Class 10.
An apparatus for harvesting a vessel from a body, includes: a cannula having a dissector for advancing along the vessel to create a tunnel, the dissector having a transparent portion; and an energy tool moveably coupled to the cannula, wherein the energy tool is configured to separate a pediculated vessel having at least a segment of the vessel and a pedicle around the segment of the vessel from surrounding tissue, and wherein at least a part of the energy tool is visible through the transparent portion of the dissector during use of the energy tool.
A61B 17/02 - Instruments, dispositifs ou procédés chirurgicaux pour maintenir les blessures ouvertes, p. ex. rétracteursÉcarteurs
A61B 18/08 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage à l'aide de sondes chauffées électriquement
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
An apparatus for harvesting a vessel from a body, includes: a cannula having a dissector for advancing along the vessel to create a tunnel, the dissector having a transparent portion; and an energy tool moveably coupled to the cannula, wherein the energy tool is configured to separate a pediculated vessel having at least a segment of the vessel and a pedicle around the segment of the vessel from surrounding tissue, and wherein at least a part of the energy tool is visible through the transparent portion of the dissector during use of the energy tool.
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61M 1/00 - Dispositifs de succion ou de pompage à usage médicalDispositifs pour retirer, traiter ou transporter les liquides du corpsSystèmes de drainage
96.
Graft with expandable region and methods of making and using the same
A vascular graft suitable for implantation, and more particular to a vascular graft having an expandable outflow region for restoring patency of the graft after implantation into a body lumen.
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
A61B 17/11 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour réaliser l'anastomoseBoutons pour anastomose
A61F 2/954 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes pour insérer les stents ou les endoprothèses déployables couvertes dans une bifurcation
A non-setting agent for positioning a surgical mesh prosthesis against a tissue defect during surgical hernia repair enables a surgeon to position the surgical mesh prosthesis at an optimal location against the tissue defect without pre-measuring suture location and pre-suturing. The surgical mesh prosthesis can be repositioned by removing and replacing, or by sliding, the mesh along the tissue defect without traumatizing the tissue. The positioning agent is provided with adhesion and lubricity characteristics providing an adhesion strength required to temporarily maintain the surgical mesh in place, otherwise unsupported, against tissue of a targeted tissue location, and providing a viscosity that permits removal and replacement, or slidable movement, of the surgical mesh along the tissue upon receipt of a non-gravitational external force applied to the surgical mesh so movement of the surgical mesh that is atraumatic to the tissue.
A61F 2/00 - Filtres implantables dans les vaisseaux sanguinsProthèses, c.-à-d. éléments de substitution ou de remplacement pour des parties du corpsAppareils pour les assujettir au corpsDispositifs maintenant le passage ou évitant l'affaissement de structures corporelles tubulaires, p. ex. stents
Multi-part adjustable head plate (1) for an operating table (30), comprising: a coupling arrangement (2), a positioning segment (3) for positioning the head plate (1), a head support segment (4) for supporting the head of the patient, and an unlocking device (24) for unlocking two joint arrangements (5), (6). The positioning segment (3) and the head support segment (4) are each pivotably connected to the coupling arrangement (2) and to the positioning segment (3), via a first (5) and a second (6) joint arrangement respectively. The unlocking device (24) comprises an actuating device (23) arranged on the head support segment (4), and a first unlocking mechanism (25) for unlocking the first joint arrangement (5) which mechanically couples the actuating device (23) to the first joint arrangement (5), wherein the first unlocking mechanism (25) comprises a displaceable coupling device (15). Starting from the head support segment (4), the coupling device (15) runs from the actuating device (23) as far as the second joint arrangement (6) and, when unlocked, adopts such a position that the head support segment (4) can pivot relative to the positioning segment (3) in each angular position.
A chest drainage system, including a circulation assembly having an intake for taking fluid into the system and an exhaust for exhausting fluid out of the system. An intake flow device is configured to selectively control fluid flow through the intake and an exhaust flow device is configured to selectively controlling fluid flow through the exhaust. The circulation assembly has a first configuration and a second configuration such that transitioning between the first and second configurations during operation of the circulation assembly displaces at least a portion of fluid within the system with fluid from outside the system via the intake and the exhaust. A sensor is arranged in fluid communication with the fluid within the system and configured to detect a concentration of a reference fluid in the fluid in the system.
A61M 1/00 - Dispositifs de succion ou de pompage à usage médicalDispositifs pour retirer, traiter ou transporter les liquides du corpsSystèmes de drainage
A61M 27/00 - Appareillage pour drainage des blessures
100.
INFLATABLE SURGICAL SUPPORT ACCESSORY HAVING SINGLE FAULT TOLERANCE
The invention relates to an inflatable support accessory (10) in the form of an elongate roll for supporting a patient during a kidney operation, the support accessory being intended for being laid in a suitable location on an operating table in order to serve as a support for a body part of a patient in such a way that the kidney region of the patient is brought into a stretched position necessary for the kidney operation, the support accessory comprising the following: an inflatable jacket (12), which defines the outer dimensions of the support accessory; and a first air chamber system (22), which is located within the jacket and which can be filled with air in order to inflate the jacket (12); characterized by a second air chamber system (24), which is located within the jacket (12) and which can be filled with air in order to inflate the jacket (12), and characterized in that the second air chamber system (24) is fluidically separated from the first air chamber system (22) such that a leak in the one air chamber system does not lead to a loss of air in the other air chamber system.
