Patented Technology

As you would expect, a company leading the technology would have a lot of Patents. We patent much of our technology in the US as well as other selected countries. 

Here is a list of some of our Patents.

Title Abstract Inventor(s)

Ultrasonic Transducer with Shock Pulsing Masses

What is presented is an ultrasonic waveguide for the transmission of ultrasonic vibrations that establishes a plurality of node and anti-node positions that are reached along the ultrasonic waveguide's central axis. The ultrasonic waveguide comprises of a waveguide tube, which has both a proximal end and a distal end; a waveguide fitting, which has both a threaded end and an impact surface; and a spring, shock-pulsing mass, and stop. Both the spring and shock-pulsing mass are each positioned on the waveguide tube. Whereas, the stop is positioned on the waveguide tube and it is adapted to non-fixedly engage the spring and shock-pulsing mass. The impact surface of the waveguide fitting is located at an anti-node position, which is along the central axis of the ultrasonic waveguide when it is installed within an ultrasonic transducer while in operation. Bond, Geoffrey; Vaitekunas, Jeffrey J.; Baker, Charles A.

Ultrasonic Generator Systems and Methods

Embodiments shown and described herein relate, in general, to systems and methods for driving ultrasonic transducers and, more particularly, to systems and methods for controlling the output of high power ultrasonic transducers and improving performance of ultrasonic systems. Vaitekunas, Jeffrey J.; Rose, Emery S.

Ultrasonic Medical Device with Torque Limiting Frangible Link Hinge

An ultrasonic medical device can include a transducer, a coupling system, and a waveguide. The coupling system can be configured to attach and adequately torque the waveguide to the transducer for use in a medical procedure. The coupling system can be configured to detach the inner probe from the transducer upon completion of the medical procedure. Strunk, Jon Gregory; Vaitekunas, Jeffrey J.; Hemingway, Jeremy Louis

Dual Probe

A percutaneous surgical instrument for de-bulking calculi or drilling bone includes an actuator for generating vibrations at ultrasonic frequencies and a horn coupled to said actuator for amplifying the actuator vibration. A fixed probe is attached to said horn for engaging the calculi and introducing the ultrasonic frequencies thereto. A floating probe is disposed concentric to and over said fixed probe and slidable thereover. A free mass is disposed between the horn and the floating probe for oscillating therebetween, in response to actuator vibration, for causing low frequency impact with the calculi. Du, Shu; Peterson, Thomas M.; Song, Tao

Dual Probe with Floating Inner Probe

A percutaneous surgical instrument for de-bulking calculi or drilling bone includes an actuator for generating vibrations at ultrasonic frequencies and a horn coupled to said actuator for amplifying the actuator vibration. A fixed probe is attached to said horn for engaging the calculi and introducing the ultrasonic frequencies thereto. A floating probe is disposed concentric to and under said fixed probe and slidable thereover. A free mass is disposed between the horn and the floating probe for oscillating therebetween, in response to actuator vibration, for causing low frequency impact with the calculi. Du, Shu; Peterson, Thomas M.; Song, Tao; Bond, Geoff

Floating Probe for Ultrasonic Transducers

The present invention relates to a device with an ultrasonic-based probe for drilling and coring. The invention uses ultrasonic and subsonic vibrations produced by a frequency compensation coupler or free mass to produce the hammering action of a partially disengaged probe, with a relatively low axial force required. The invention can also be fitted with irrigation and aspiration capabilities. The invention can furthermore be furnished with a body sensor-feedback apparatus, which provides feedback to the operator as to the optimal frequency and power use of the generator. One embodiment of the invention also has a cooling mechanism to keep the drill or coring apparatus at an optimum temperature. Pal, Dharmendra; Peterson, Thomas; Song, Tao; Du, Shu

Floating Probe for Ultrasonic Transducers

The present invention relates to a device with an ultrasonic-based probe for drilling and coring. The invention uses ultrasonic and subsonic vibrations produced by a frequency compensation coupler or free mass to produce the hammering action of a partially disengaged probe, with a relatively low axial force required. The invention can also be fitted with irrigation and aspiration capabilities. The invention can furthermore be furnished with a body sensor-feedback apparatus, which provides feedback to the operator as to the optimal frequency and power use of the generator. One embodiment of the invention also has a cooling mechanism to keep the drill or coring apparatus at an optimum temperature.  Pal, Dharmendra; Peterson, Thomas; Song, Tao; Du, Shu

Floating Probe for Ultrasonic Transducers

The present invention relates to a novel device with an ultrasonic based drill and corer. The invention uses ultrasonic and subsonic vibrations, which is produced by a frequency compensation coupler or free mass, to produce the hammering action with relatively low axial-force required. The invention can also be fitted with irrigation and aspiration capabilities. The invention is furnished with a body sensor-feedback apparatus, which provide feedback to the operator as to the optimal frequency and power use of the generator. The assembly presented also has a coolant jacket to keep the drill or coring apparatus at optimum temperature prolonging the life of the instrument and the quality of the sample. The invention can be used in numerous applications one of such notable application is on the field of orthopedics. Pal, Dharmendra; Peterson, Thomas

Method and Apparatus for Disintegration of Urinary Calculi

A method and apparatus are provided for disintegrating urinary calculi by subjecting the urinary calculi to ultrasonic forces transmitted transversely of a wave guide in a catheter. Antonevich, John N.; Goodfriend, Roger

Apparatus for Disintegration of Urinary Calculi

A method and apparatus are provided for disintegrating urinary calculi by subjecting the urinary calculi to ultrasonic forces transmitted transversely of a wave guide in a catheter. Antonevich, John N., Goodfriend, Roger

Output Monitored Electromechanical Devices

An electromechanical device comprises a pair of like transducer units affixed to a bar having with the transducers natural frequencies of vibration so that one unit is nearer a node than the other. An impedance is connected in series with each transducer unit, and the two series circuits are paralleled. The difference current through the two impedances is directly proportioned to the displacement of the vibrating bar, both at its mechanical resonance frequency and at its mechanical plus electrical anti-resonance frequency. Antonevich, John N.

Wave Guide Attachment Means and Methods

A transducer, wave guide and attachment means are provided as a screw member adapted to fit in a threaded opening in a transducer and having a tool engaging head at one end, an axial passage therethrough, a recess around the axial passage at the end opposite the tool engaging head, a wave guide slip fitted in the passage with a solidified bonding mass such as braze alloy or solder around the end of the wave guide in the recess. Stohl, Clark E.; DeCastro, Eugene

Method and Apparatus for Disintegration of Urinary Calculi Under Direct Vision

A method and apparatus are provided for machining and disintegrating urinary calculi by subjecting the urinary calculi to ultrasonic forces transmitted by a wave guide in one passageway of a catheter while under observation through an optical system in a second parallel passage in the catheter. Goodfriend, Roger; Stohl, Clark E.

Intravascular Ultrasonic Catheter/Probe and Method for Treating Intravascular Blockage

Apparatus and method are disclosed for treating atherosclerotic plaque and thromboses by the application of ultrasonic energy to a site of intravascular blockage. The ultrasonic apparatus includes a solid wire probe having a bulbous tip at one end and coupled to an ultrasonic energy source at the other end, the probe being carried within a hollow catheter. The catheter and probe are inserted into a blood vessel and are advanced to the site of a stenosis, where the probe is extended from the catheter and caused to vibrate ultrasonically, resulting in the destruction of the arterial plaque. The ultrasonic apparatus includes a fitting for delivering a radiographic contrast solution to the probe tip by flowing the solution into the catheter, the contrast fluid being released into the blood vessel to assist in positioning the apparatus and determining the effectiveness of treatment. A physiologic solution may also be carried to the probe tip by flowing the solution through the catheter, thereby controlling the temperature of the probe tip during the procedure. DonMichael, T. Anthony; Siegel, Robert J.; DeCastro, Eugene A.

Device and Technique for Transurethral Ultrasonic Lithotripsy Using a Flexible Ureteroscope

An apparatus and method for machining or disintegrating a calculi in place in a urinary tract. The apparatus includes a flexible, hollow endoscope which can be inserted into a ureter in its flexible state and a relatively rigid hollow tube which can be inserted into a passageway through the endoscope to straighten it. Optionally, a guide wire can be inserted in the ureter to the position of the calculi before inserting the endoscope for guiding the endoscope into the ureter. The passageway through the endoscope is larger than the rigid hollow tube. An optical system that may be made up of optical fibers can be received in and extend through the endoscope to view the calculi. A wave guide wire can be extended through the relatively rigid tube and connected to a transducer to disintegrate the calculi. The relatively rigid tube can be moved laterally in the endoscope to bring the wave guide into engagement with the calculi to facilitate disintegrating the calculi. An irrigation means can be connected to the hollow endoscope. The endoscope can have several passageways. DeCastro, Eugene A.; Goodfriend, Roger

Ultrasonic Angioplasty Device Incorporating Improved Transmission Member and Ablation Probe

An ultrasonic angioplasty device comprising an elongate ultrasound transmission member having a proximal end attachable to an ultrasound generating device and a bulbous distal head or probe formed on the distal end thereof for effecting ablative treatment of an occluding lesion. The ultrasound transmission member may be formed of one or more superelastic metal alloys such as NiTi (50 at. % Ni). A guidewire lumen may be formed in the distal head or probe to permit passage of a guidewire therethrough. Portions of the ultrasound transmission member may be curved or bent. Portions of the ultrasound transmission member may be tapered or narrowed. One or more surface disruptions may be formed on the distal head or probe to improve treatment efficacy. An increased hardness coating or outer skin may be formed on the ultrasound transmission member. The device of the present invention may be incorporated into an angioscopic device. Pflueger, Russell; Nita, Henry; Bacich, Steven; Bond, Geoffrey; DeCastro, Eugene

Ultrasonic Angioplasty Device Incorporating All Ultrasound Transmission Member Made at least Partially from a Superlastic Metal Alloy

An ultrasonic angioplasty device comprising an elongate ultrasound transmission member having a proximal end attachable to an ultrasound generating device and a bulbous distal head or probe formed on the distal end thereof for effecting ablative treatment of an occluding lesion. The ultrasound transmission member may be formed of one or more superelastic metal alloys such as NiTi (50 at. % Ni). A guidewire lumen may be formed in the distal head or probe to permit passage of a guidewire therethrough. Portions of the ultrasound transmission member may be curved or bent. Portions of the ultrasound transmission member may be tapered or narrowed. One or more surface disruptions may be formed on the distal head or probe to improve treatment efficacy. An increased hardness coating or outer skin may be formed on the ultrasound transmission member. The device of the present invention may be incorporated into an angioscopic device. Pflueger, Russell; Nita, Henry

Ultrasonic Angioplasty Device Incorporating an Ultrasound Transmission Member Made at least Partially from a Superelastic Metal Alloy

An ultrasonic angioplasty device comprising an elongate ultrasound transmission member having a proximal end attachable to an ultrasound generating device and a bulbous distal head or probe formed on the distal end thereof for effecting ablative treatment of an occluding lesion. The ultrasound transmission member may be formed of one or more superelastic metal alloys such as NiTi (50 at. % Ni). A guidewire lumen may be formed in the distal head or probe to permit passage of a guidewire therethrough. Portions of the ultrasound transmission member may be curved or bent. Portions of the ultrasound transmission member may be tapered or narrowed. One or more surface disruptions may be formed on the distal head or probe to improve treatment efficacy. An increased hardness coating or outer skin may be formed on the ultrasound transmission member. The device of the present invention may be incorporated into an angioscopic device. Pflueger, Russell; Nita, Henry; Bacich, Steven; Siegel, Robert; Bond, Geoffrey; DeCastro, Eugene

Ultrasonic Angioplasty Device Having Surface Disruptions

An ultrasonic angioplasty device comprising an elongate ultrasound transmission member having a proximal end attachable to an ultrasound generating device and a bulbous distal head or probe formed on the distal end thereof for effecting ablative treatment of an occluding lesion. The ultrasound transmission member may be formed of one or more superelastic metal alloys such as NiTi (50 at. % Ni). A guidewire lumen may be formed in the distal head or probe to permit passage of a guidewire therethrough. Portions of the ultrasound transmission member may be curved or bent. Portions of the ultrasound transmission member may be tapered or narrowed. One or more surface disruptions may be formed on the distal head or probe to improve treatment efficacy. An increased hardness coating or outer skin may be formed on the ultrasound transmission member. The device of the present invention may be incorporated into an angioscopic device. Pflueger, Russell; Nita, Henry; Bacich, Steven; Siegel, Robert; Bond, Geoffrey; DeCastro, Eugene 

Transducer Assembly and Method for Coupling Ultrasonic Energy to a Body for Thrombolysis of Vascular Thrombi

A transducer assembly and method for coupling ultrasonic energy to a body for thrombolysis of vascular thrombi is provided. The assembly includes a catalytic transducer for transmitting ultrasound into a medical target transcutaneously. The catalytic transducer includes a front mass having structure which optimizes the transmission of ultrasound into the body. A reservoir for containing a cooling conductive medium between the front mass and the body surface is provided, and is contained within the housing. In addition, the catalytic transducer includes an irrigation manifold, disposed through a center of the front mass, for directing the media into the reservoir generally along a perimeter thereof. The front mass includes an apex for accumulating expelled gasses. A sloped surface of the front mass functions to direct expelled gasses toward the apex and through an outlet provided by the irrigation manifold. The medium may be circulated from a degassing tank as well as a heat exchange unit in order to maintain a desired reservoir temperature at the body surface. Peterson, Thomas M.; Dharmendra, Pal; DeCastro, Eugene

Multiple Transducer Assembly and Method for Coupling Ultrasound Energy to a Body

A multiple transducer assembly and method for coupling ultrasonic energy to a body for thrombolysis of vascular thrombi is provided. The assembly includes a catalytic transducer apparatus including a plurality of transducers for transmitting ultrasound into a medical target transcutaneously. Each transducer includes a front mass having structure which optimizes the transmission of ultrasound into the body. The transducers may share a common front mass. A reservoir for containing a cooling conductive medium between the front mass and the body surface is provided, and is contained within the housing. In addition, the catalytic transducer includes an irrigation manifold, disposed through a center of the front mass, for directing the medium into the reservoir generally along a perimeter thereof. The front mass includes an apex for accumulating expelled gasses. A sloped surface of the front mass functions to direct expelled gasses toward the apex and through an outlet provided by the irrigation manifold. The medium may be circulated from a degassing tank as well as a heat exchange unit in order to maintain a desired reservoir temperature at the body surface. In the multiple transducer arrangement, the transducers may share a common cooling reservoir. A flexible blanket may be provided for collectively housing a desired number and arrangement of transducers. Peterson, Thomas M.; Pal, Dharmendra

Method and Apparatus for Cleaning Endoscopes and the Like

A method and apparatus for ultrasonically cleaning the interior of a flexible, elongate, tubular medical instrument, such as an endoscope, laparoscope, or the like involves the generation of both longitudinal and transverse ultrasonic waves in a fluid medium within the interior channel or lumen of the instrument. The ultrasonic waves are generated within the instrument by a flexible wire resonator coupled to and responsive to an ultrasonic transducer and generator. DeCastro, Eugene

Smart-Ultrasonic/Sonic Driller/Corer

Apparatus for probing, sensing, testing penetrating and sampling a medium generally includes an actuator (12) for generating vibrations at ultrasonic frequencies and a horn (14) coupled to the actuator (12) for amplifying the actuator vibrations along with a non-rotating coring and drilling bit (16) for penetrating the medium. A bit (16) includes a drill stem (20) attached to the horn (14) and a bore (26) extends through the bit (16), horn (14) and actuator (12) for withdrawal of samples. A free mass (36) is disposed between the horn (14) and the drill stem (20) for oscillating therebetween in response to the actuator vibration for causing migration of medium debris around and through the actuator bore for effectively self-cleaning of the bit (16). The hammering action of the free mass (36) is used for penetration of the medium and for analysis of the medium though the use of spaced apart accelerometers (92 and 94). Bar-Cohen, Yoseph; Sherrit, Stewart; Dolgin, Benjamin; Peterson, Thomas M.; Pal, Dharmendra; Kroh, Jason; Krahe, Ron

Ultrasound Enhanced Chemotherapy

Apparatus and method is provided for enhancing the action of anti-cancer agents, which includes the introduction of anti-cancer agent into or proximate a tumor within a body and thereafter introducing ultrasonic energy at the solid tumor with the introduced anti-cancer agent. The ultrasonic energy is sufficient to increase the anti-cancer activity on the solid tumor without significant heating of the solid tumor or surrounding tissue. Peterson, Thomas M.; Siegel, Robert J.

Ultrasonic Resonator

An ultrasonic resonator comprising a wire member with an elongated shaft having a proximal end and a distal end, the proximal end further including a filler material disposed within the proximal end; a crimp screw with an annular end and a threaded end, the annular end adapted to receive and fixedly secure the proximal end of the wire member, the annular end being crimped after the proximal end of the wire member is inserted within the annular end of the crimp screw; an ultrasonic transducer adapted to receive the threaded end of the crimp screw; and the ultrasonic transducer operatively connected to an ultrasonic generator. Peterson, Thomas; Pal, Dharmendra

Method and Apparatus for Emergency Treatment of Patients Experiencing a Thrombotic Vascular Occlusion

Acute care method and apparatus for treating a patient experiencing thrombotic vascular occlusion includes introducing a selected dose of an active agent proximate a vascular occlusion in the patient in order to lyse te vascular occlusion and radiating the vascular occlusion and active agent. Bond, Geoffrey; Peterson, Thomas M.

Apparatus for Emergency Treatment of Patients Experiencing a Thrombotic Vascular Occlusion 

Acute care method and apparatus for treating a patient experiencing thrombotic vascular occlusion includes introducing a selected dose of an active agent proximate a vascular occlusion in the patient in order to lyse the vascular occlusion and radiating the vascular occlusion and active agent. Bond, Geoffrey; Peterson, Thomas M.

Ultrasound Medical Devices, Systems and Methods

Ultrasound medical devices, systems and methods are described. According to an example method, an absolute value of a first input to a voltage controlled oscillator (VCO) is determined. The VCO is in electrical communication with an acoustic assembly of an ultrasound medical device. If the absolute value of the first input to the VCO is in a first range, a second input to the VCO is maintained. If the absolute value of the first input to the VCO is in a second range, the second input to the VCO is adjusted by a first voltage. If the absolute value of the first input to the VCO is in a third range, the second input to the VCO is adjusted by a second voltage. Gerry, Jason; Vadala Jr., Charles; Alford, Bernard

Apparatus and Method for an Ultrasonic Probe Used with a Pharmacological Agent

The present invention provides an apparatus and a method of using an ultrasonic probe with a pharmacological agent to enhance an occlusion treating effect of the ultrasonic probe to effectively remove an occlusion. The pharmacological agent is released through a catheter to treat the occlusion and enhance an effect of a transverse ultrasonic vibration of the ultrasonic probe to effectively remove the occlusion. The pharmacological agent continues to travel downstream of the site of the occlusion and work in conjunction with the ultrasonic probe to reduce the occlusion to a size that can easily be removed from the body naturally in order to prevent reformation of the occlusion and other health risks. Rabiner, Robert A.; Hare, Bradley A.; Marciante, Rebecca I.; Buffen, Elaine S.; Gosnell, Mark R.; Senseney-Mellor, Heather L.

Ultrasonic Medical Device Operating in a Transverse Mode

An ultrasonic medical device comprises an ultrasonic vibration generator that generates vibration along its longitudinal axis. The ultrasonic vibration is transmitted through an ultrasonic coupler and a series of transformer sections that amplify the ultrasonic vibration. A flexible member is coupled to the distal end of the transformer sections, and is thus supplied with a longitudinal vibration at its base by the transformer sections. The flexible member is designed so that it converts the longitudinal vibration into a standing wave that runs along the length of the flexible member. The standing wave produces a series of nodes and anti-nodes along the length of the flexible member. Each of the anti-nodes produces cavitation in fluids in contact with the probe. The cavitation of the fluids causes destruction of adjacent tissue. In this manner, the entire length of the flexible member becomes a working surface that may be utilized for destroying tissue. Rabiner, Robert A.; Hare, Bradley A.; Fischer, David M.; Levine, Andy

Apparatus for Removing Plaque from Blood Vessels Using Ultrasonic Energy

A method and apparatus for removing plaque, fatty deposits, and other occlusions from blood vessels using ultrasonic energy. The method and apparatus has particular application in removing plaque from the carotid artery in a non-thermal manner. The apparatus is designed to have as small a cross-sectional profile as possible, therefore allowing the apparatus to be used in a minimally-invasive manner. As a result, the apparatus can be used in both surgical and outpatient treatment with minimal post-operative complications and minimal damage to areas other than the area of treatment. An ultrasonic probe may include aspiration channels on its outer surface. An aspiration sheath may surround the ultrasonic probe, such that the location of an aspiration port may be varied axially relative to the ultrasonic tip. Rabiner, Robert A.; Hare, Brad A.

Apparatus for Removing Plaque from Blood Vessels Using Ultrasonic Energy

A method and apparatus for removing plaque, fatty deposits, and other occlusions from blood vessels using ultrasonic energy. The method and apparatus has particular application in removing plaque from the carotid artery in a non-thermal manner. The apparatus is designed to have as small a cross-sectional profile as possible, therefore allowing the apparatus to be used in a minimally-invasive manner. As a result, the apparatus can be used in both surgical and outpatient treatment with minimal post-operative complications and minimal damage to areas other than the area of treatment. An ultrasonic probe may include aspiration channels on its outer surface. An aspiration sheath may surround the ultrasonic probe, such that the location of an aspiration port may be varied axially relative to the ultrasonic tip. Rabiner, Robert A.; Hare, Brad A.

Ultrasonic Medical Device Operating in a Transverse Mode

An ultrasonic medical device comprises an ultrasonic vibration generator that generates vibration along its longitudinal axis. The ultrasonic vibration is transmitted through an ultrasonic coupler and a series of transformer sections that amplify the ultrasonic vibration. A flexible member is coupled to the distal end of the transformer sections, and is thus supplied with a longitudinal vibration at its base by the transformer sections. The flexible member is designed so that it converts the longitudinal vibration into a standing wave that runs along the length of the flexible member. The standing wave produces a series of nodes and anti-nodes along the length of the flexible member. Each of the anti-nodes produces cavitation in fluids in contact with the probe. The cavitation of the fluids causes destruction of adjacent tissue. In this manner, the entire length of the flexible member becomes a working surface that may be utilized for destroying tissue. Rabiner, Robert A.; Hare, Brad A.; Fischer, David M.; Levine, Andy

Ultrasonic Device for Tissue Ablation and Sheath for Use Therewith

A transverse mode ultrasonic probe is provided which creates a cavitation area along its longitudinal length, increasing the working surface of the probe. Accessory sheaths are also provided for use with the probe to enable a user to select from features most suited to an individual medical procedure. The sheaths provide acoustic enhancing and aspiration enhancing properties, and/or can be used as surgical tools or as medical access devices, protecting tissue from physical contact with the probe. Rabiner, Robert A.; Hare Bradley A.

Ultrasonic Device for Tissue Ablation and Sheath for Use Therewith

A transverse mode ultrasonic probe is provided which creates a cavitation area along its longitudinal length, increasing the working surface of the probe. Accessory sheaths are also provided for use with the probe to enable a user to select from features most suited to an individual medical procedure. The sheaths provide acoustic enhancing and aspiration enhancing properties, and/or can be used as surgical tools or as medical access devices, protecting tissue from physical contact with the probe. Rabiner, Robert; Hare, Bradley A.

Apparatus and Method of Removing Occlusions Using Ultrasonic Medical Device Operating in a Transverse Mode

A method for removing an occlusion is provided comprising introducing a transverse mode ultrasonic probe into a blood vessel, positioning the probe in proximity to the occlusion, and transmitting ultrasonic energy to the probe, until the occlusion is removed. The probe has a small cross-sectional lumen and is articulable for navigating in a tortuous vessel path. The probe can be used with acoustic and/or aspirations sheaths to enhance destruction and removal of an occlusion. The probe can also be used with a balloon catheter. The probe, sheaths, and catheter can be provided in a sharps container which further provides a means of affixing and detaching the probe from an ultrasonic medical device. Rabiner, Robert; Hare, Bradley A.

Ultrasonic Probe Device with Rapid Attachment and Detachment Means

An ultrasonic tissue ablation device comprising a transversely vibrating elongated probe, and a coupling assembly for probe attachment detachment that enables the probe assembly and separation from the device body that includes the ultrasound energy source and a sound conductor, and a method of use for removal of vascular occlusions in blood vessels. The coupling assembly enables incorporation of elongated probes with small cross sectional lumens such as a catheter guidewires. The probe detachability allows insertion manipulation and withdrawal independently of the device body. The probe can be used with acoustic and/or aspirations sheaths to enhance destruction and removal of an occlusion. The horn assembly of the device that contains a sound conducting horn functions as an energy regulator and reservoir for the probe, and precludes loss of probe cavitation energy by its bending or damping within the blood vessel. Ranucci, Kevin; Rabiner, Robert A.; Hare, Bradley A.; Varady, Mark J.; Marciante, Rebecca I.; Robertson, Roy

Ultrasonic Medical Device For Tissue Remodeling

A method for destructing, reducing or removing mammalian tissue with an ultrasonic device IS disclosed, comprising contacting the tissue with a transverse mode ultrasonic probe, and transmitting ultrasonic energy to the probe, until the tissue is fragmented by emulsification. The probe can be used with acoustic and/or aspirations sheaths to enhance destruction and removal of an occlusion and in combination with an imaging device to effect remodeling of human tissue in medical and cosmetic surgical procedures. Rabiner, Robert A.; Hare, Bradley A.

Cervical Fitting

A one-piece cervical fitting has a passage formed therethrough which receives an elongated medical device such as an endoscope. The passage forms a fluid-tight seal with the outer surface of the medical device. The outer surface of the fitting defines a pilot portion which is of reduced outer dimension to facilitate entry of the fitting into the cervical canal of a human uterus. The pilot portion joins a tapered outer surface portion which enables the fitting to form a fluid-tight seal with uteri of different sizes. The tapered portion joins with an outer surface portion of constant outer dimension which in turn joins with an enlarged end portion. Rabiner, Robert A.

Variable Stiffness Medical Device

A medical device such as an endoscope has an elongated flexible sheath. A first sleeve has a passage there through which snugly receives the sheath, the first sheath being slide-able from its proximal end to its distal end. The sleeve is a thin-walled tube having a constant inner diameter so as to minimize the increase the outer dimension of the device at the portion upon which the sleeve is positioned. The sleeve has a length of approximately one-half the length of the sheath and may have greater stiffness than the sheath. A second sleeve may be slide-ably mounted on the first sleeve and has a snug fit therewith. The second sleeve is also a thin-walled tube having a constant outer dimension. The second sleeve has a length of approximately one-half the length of the first sleeve and may have greater stiffness than the first sleeve. Rabiner, Robert A.; Rabiner, Daniel E.

Apparatus and Method for Using a Steerable Catheter Device

A handle includes a body portion and a handle portion which is slidably and rotatably mounted on the body portion. Shoulders on the body portion and the handle portion limit relative sliding movement of the body portion and handle portion. A catheter open at both ends has one end fixed to the handle portion for movement therewith, the opposite end of the catheter having a shape memory tip. A fitting is threadedly connected to an enlarged part of the body portion. A sheath is threadedly connected to the fitting and the catheter is slidable and rotatable within the sheath. An annular channel is provided between the sheath and the catheter, this channel being in fluid communication with a bore in the fitting. The outer end of the sheath has holes therethrough in fluid communication with the channel. An irrigation inflow and aspiration outflow tube is also in fluid communication with the bore in the fitting. A first lock is provided adjacent the fitting for controlling the amount of frictional resistance to lengthwise movement of the catheter relative to the sheath and to lock the catheter in position. A medical device such as an endoscope may be received within the catheter for movement relative thereto. A second lock is supported by the handle portion for locking a medical device in position relative to the catheter. Rabiner, Robert A.; Rabiner, Daniel E.

Method for Using a Steerable Catheter Device

A handle includes a body portion and a handle portion which is slidably and rotatably mounted on the body portion. Shoulders on the body portion and the handle portion limit relative sliding movement of the body portion and handle portion. A catheter open at both ends has one end fixed to the handle portion for movement therewith, the opposite end of the catheter having a shape memory tip. A fitting is threadedly connected to an enlarged part of the body portion. A sheath is threadedly connected to the fitting and the catheter is slidable and rotatable within the sheath. An annular channel is provided between the sheath and the catheter, this channel being in fluid communication with a bore in the fitting. The outer end of the sheath has holes therethrough in fluid communication with the channel. An irrigation inflow and aspiration outflow tube is also in fluid communication with the bore in the fitting. A first lock is provided adjacent the fitting for controlling the amount of frictional resistance to lengthwise movement of the catheter relative to the sheath and to lock the catheter in position. A medical device such as an endoscope may be received within the catheter for movement relative thereto. A second lock is supported by the handle portion for locking a medical device in position relative to the catheter. Rabiner, Robert A.; Rabiner, Daniel E.

Steerable Catheter Device

A handle includes a body portion and a handle portion which is slidably and rotatably mounted on the body portion. Shoulders on the body portion and the handle portion limit relative sliding movement of the body portion and handle portion. A catheter open at both ends has one end fixed to the handle portion for movement therewith, the opposite end of the catheter having a shape memory tip. A fitting is threadedly connected to an enlarged part of the body portion. A sheath is threadedly connected to the fitting and the catheter is slidable and rotatable within the sheath. An annular channel is provided between the sheath and the catheter, this channel being in fluid communication with a bore in the fitting. The outer end of the sheath has holes therethrough in fluid communication with the channel. An irrigation inflow and aspiration outflow tube is also in fluid communication with the bore in the fitting. A first lock is provided adjacent the fitting for controlling the amount of frictional resistance to lengthwise movement of the catheter relative to the sheath and to lock the catheter in position. A medical device such as an endoscope may be received within the catheter for movement relative thereto. A second lock is supported by the handle portion for locking a medical device in position relative to the catheter. Rabiner, Robert A.; Rabiner, Daniel E.

Dispensation and Disposal Container for Medical Devices

The invention is directed to a container for storage, dispensation, transport and disposal of a medical device such a disposable ultrasonic surgical probe, that allows its dispensation for use, and for its safe storage and disposal after use, thereby protecting the user from the hazards of needle pricks and possible contamination from small-diameter probes. The container of the present invention also provides a mechanism for restricting access to the probe to prevent its reuse, and a method for its safe attachment to and detachment from an ultrasonic medical device. The container comprises a cylindrical tube having two ends and an inner surface defining a space for containing the probe. The probe is held within the cylindrical section of the container by a locking means that allows a single dispensation for its use and enables its disposal after use in an inaccessible manner, so as to enable its attachment and detachment to the non-disposable segment of the device such as an ultrasonic probe handle without requiring direct handling by the user. The user, is therefore protected from against accidental sticks from a possibly contaminated probe. The container also prevents re-use of the probe, and provides a means for its safe disposal. Rabiner, Robert A.; Hare, Bradley A.;Loper, James H.

Method for Manufacturing  Small Diameter Medical Devices

An apparatus and method for manufacturing small diameter ultrasonic probes capable of vibrating in a transverse mode that can be used in ultrasonic tissue ablation. The apparatus includes a die, a style puller which is used to engage a functional end of the medical device, and a die room puller which is used to draw the medical device through the die. The die includes a bell-shaped lead-in on a front side of the die and a bell-shaped lead-in on a back side of the die allowing for reversal of the direction of the draw. The method of manufacturing includes heat treating a large diameter medical device, drawing the large diameter device through a die and reversing the draw of the medical device through the die to provide a medical device having a varying diameter along a length of the device. The method is repeated until a final diameter is reached. Rabiner, Robert A.; Hare, Bradley A.; Prasad, Janniah S.

Apparatus and Method for Ultrasonic Medical Device with Improved Visibility in Imaging Procedures

The present invention provides an apparatus and method for an ultrasonic medical device with improved visibility in imaging procedures. A medical device comprises an elongated probe having a material of high radiopacity at an at least one predetermined location of the probe wherein the material of high radiopacity is capable of withstanding series of vibrations of the elongated probe. The material of high radiopacity allows the elongated probe to be visualized in imaging procedures when the probe is inserted into a body. The present invention provides a method of improving the visibility of an ultrasonic medical device during a medical procedure by engaging a material of high radiopacity to a small diameter elongated probe wherein the material of high radiopacity engages the probe at an at least one predetermined location. Hare, Bradley A.; Prasad, Janniah S.

Torque Limiting Wrench for an Ultrasonic Medical Device

The present invention provides an apparatus and method for a torque limiting wrench used for applying a torque to a medical device to prevent damage to the medical device by providing a predetermined torque limit to indicate when the predetermined torque is reached. The torque limiting wrench comprises a gripping mechanism for engaging a medical device, a handle extending from the gripping mechanism and a torque limiting assembly contained within a length of the handle. A predetermined torque is set by the torque limiting assembly to provide an indicator to prevent damage to the acoustic characteristics of the medical device. The torque limiting wrench comprises a material that can undergo a sterilization process. Loper, James H.

Apparatus and Method for an Ultrasonic Medical Device Operating in Torsional and Transverse Modes

The present invention provides an apparatus and a method for an ultrasonic medical device operating in a torsional mode and a transverse mode. An ultrasonic probe of the ultrasonic medical device is placed in communication with a biological material. An ultrasonic energy source is activated to produce an electrical signal that drives a transducer to produce a torsional vibration of the ultrasonic probe. The torsional vibration produces a component of force in a transverse direction relative to a longitudinal axis of the ultrasonic probe, thereby exciting a transverse vibration along the longitudinal axis causing the ultrasonic probe to undergo both a torsional vibration and a transverse vibration. The torsional vibration and the transverse vibration cause cavitation in a medium surrounding the ultrasonic probe to ablate the biological material. Rabiner, Robert A.; Hare, Bradley A.; Marciante, Rebecca I.; Varady, Mark J.

Ultrasound Medical Systems and Related Methods

Ultrasound medical systems and related methods are described. Lockhart, Joseph

Ultrasound Medical Systems and Related Methods

Ultrasound medical systems and related methods are described. Lockhart, Joseph

Ultrasonic Comb Horn and Methods for Using Same

A unitary extended width comb horn for generating ultrasonic vibrations over a width of greater than 12 inches for a frequency of 20 kHz wherein such vibrations vary by less than ±10% across the width of the horn. Also, processes utilizing this horn and related devices incorporating same. Wuchinich, David G.

Endoscopic Ultrasonic Rotary Electro-Cauterizing Aspirator

A surgical instrument having a handpiece; a vibration source within the handpiece for generating mechanical vibrations in response to current supplied thereto; an elongated tool operatively associated with the vibration source and attached to the handpiece at a point where essentially no vibrational motion occurs; the tool extending away from the handpiece to a work site, whereby vibration of the working tip of the tool causes disintegration of hydrated biological material; a motor oberatively associated with the vibration source for rotating the tool and its working tip about its circumference through at least one revolution; a support structure located within the handpiece for mounting said vibration source and capable of independent longitudinal movement relative to the handpiece; a fingergrip for longitudinally reciprocating the support structure and tool towards and away from the work site independently of moving the handpiece; an open portion for irrigating the work site with fluid to assist in withdrawing removed biological material therefrom; and an aspiration system for withdrawing irrigation fluid and removed biological material from the work site. This instrument may also include a telescope for use as an endoscopic ultrasonic aspirator. Wuchinich, David G.

Apparatus and Method for Removal of Cement from Bone Cavities

A surgical apparatus having a handpiece, a vibration source with the handpiece for generating mechanical vibrations in response to current supplied thereto, and elongated hollow tool operatively associated with the vibration source and attached to the handpiece at a point where essentially no vibrational motion occurs, the tool extending away from the handpiece to the cement to be removed. A method removing cement using the surgical apparatus by applying the tool to the cement and thereby applying mechanical vibration to the cement causing the cement to melt. Removing the cement by suction through the hollow elongated tool. Additional alternate method steps include rotating the tool to apply shear forces to the cement being removed, cooling and damping lateral vibrations at the tool end, and irrigating the cement while melting and removing it. Associated with the alternate method steps are embodiments of the apparatus including a motor for rotating the elongated tool while vibrating and a concentric tubular members for cooling, damping, irrigation and aspiration. Wuchinich, David G.