Richard Wolf Gmbh

Forschungszentrum Karlsruhe Gmbh

Erbe Elektromedizin Gmbh

Richard Wolf Medical Instruments Corp.

Forschungszcutrum Karlsruhe Gmbh

Helmut Wurster

Werner Krauss

Thomas Belikan

Rainer Trapp

Ulrich Bolg

Klaus Fischer

Felix Ams

Siegfried Hiltebrandt

Ernst Falk

Siegfried Bauer

Karl Ernst Grund

Peter Jaggy

Dagobert Schafer

Joachim Fladl

Ernst Blanc

Bernd Opelt

G&uuml;nther Farin

Peter Vallon

Werner Knauss

A method for rinsing a field of inspection or operation during an endoscopic procedure includes filling a proximal portion of a conduit with a fluid quantity defining a slug of liquid and accelerating the slug of liquid using gas which is fed into the conduit upstream of the fluid quantity, so as to have the slug of liquid discharged from the conduit at a high speed.

Method and device for rinsing

In a surgical suturing needle having opposite pointed tips and a mid-section provided with an eye for receiving and retaining a surgical thread and being bent corresponding to a path of movement of the needle when transferred between the jaws of a suturing instrument, the pointed needle tips have a cone angle of between 25 and 35.degree. for non-traumatic piercing of the tissue to be sutured and, adjacent both of its opposite pointed tips, the needle has recessed surface areas to be engaged by pressure pins disposed in the jaws of the suturing instrument for firmly retaining and engaging the needle with the jaws in a predetermined position.

Surgical suturing needle

In a device for inserting a surgical suture needle into an endoscopic suture apparatus wherein the device includes two legs which are movable relative to each other, one of the legs has a front end with means for receiving a jaw of an endoscopic suturing apparatus and the other leg has needle engagement means for holding a surgical needle in a predetermined position such that one needle tip enters a needle support of the surgical suturing apparatus jaw when the other leg holding the needle is moved toward the one leg while the one leg is disposed on the surgical suturing apparatus jaw.

Device for inserting a surgical suture needle into an endoscopic suture

In a surgical suturing device especially for endoscopic surgery, an operating mechanism is provided which includes a drive and a locking mechanism operated by a handle from which an operating rod extends to an operating mechanism which carries at its free end a suturing head comprising two jaws between which a needle with opposite needle tips and a central eye can be exchanged while being alternately locked with the two jaws, the whole procedure being controllable by a single handle.

Surgical suturing device

A video endoscope has in its distal end region an objective lens, a semi-conductor imager assigned to it and further electronic components provided for wiring it. In order to further reduce the required diameter of the endoscope shaft compared to the known designs, the electronic components are arranged on an integral ceramic substrate, on which the conductors for joining and for connecting these parts are directly placed.

Video endoscope with solid-state imaging device

Apparatus for dissolving concretions within a bodily cavity, for example in the gall bladder, under the action of a solvent fluid applied within the bodily cavity, comprises an ultrasonic transducer arranged to be coupled to the exterior of the patient's body and to be focussed on selected parts of the bodily cavity. The transducer emits ultrasonic waves within a frequency range of between 20 and 40 kHz and with just enough power to generate cavitations in bodily cavity fluid within the body cavity, or in the solvent fluid, or in both of these fluids to cause dispersion therebetween.

Dissolution of concretions in a bodily cavity

An apparatus for shock wave treatment includes a shock wave transducer with a cup-shaped body and with an X-ray location finding device for finding the location of a bodily concretion or tissue to be treated. The X-ray device includes an extensible X-ray tube with telescoping tube sections which are sealed against an acoustic coupling medium filling the delay path of the transducer by a balloon arranged within the X-ray tube. The balloon is secured to the upper section of the tube and to the lower section thereof. Overpressure or underpressure is applied to the interior of the X-ray tube to adjust its length in order to optimise X-ray location finding on the one hand, and shock wave treatment on the other hand.

Apparatus for shock wave treatment

A lithotripsy ultrasound locating device comprises at least one locating transducer having a plurality of focal ranges and which is associated with a therapy transducer and is axially adjustable in relation to its focus; a position indicator which generates a signal representing the distance between the sound head of the locating transducer and the focus of the therapy transducer; a computer; a monitor on which a target mark representing the focus of the therapy transducer is displayed; and an electronic transmitter/receiver arrangement controlled by the computer in order to produce an image of a concretion to be destroyed which image is constantly optimal. The computer, controls, as a function of the signal emitted by the position indicator and by way of the transmitter/receiver arrangement, the focal range of the locating transducer which, at the given distance at that moment between the sound head and the focus of the therapy transducer always lies in the range thereof. The computer further generates a signal following up the target mark on the monitor according to the signal emitted by the position indicator. The following-up signal is passed to the monitor so that, where applicable, in each axial position of the locating transducer, the image of the concretion displayed by the monitor lies in the target mark.

Lithotripsy ultrasound locating device

The focus of a lithotriptor comprising a transducer for generating focused ultrasonic shock waves is adapted for alignment on a concretion or tissue to be destroyed. The transducer is connected to an image-forming diagnostic X-ray system for locating the concretion or tissue, and comprising an X-ray emitter and an image intensifier disposed on a pivotable frame. The transducer is connected to the X-ray emitter, and the X-ray emitter is disposed at the center of the transducer, so that the emission axes of the transducer and the X-ray emitter coincide.

Lithotriptor with X-ray alignment system

Apparatus for shock wave therapy comprises an electroacoustic therapeutic transducer for generating ultrasonic shock waves, which are transmitted by way of a coupling medium shock wave transmission section of the transducer, bounded by a membrane, to the body of a patient reclining on a therapy table. In the interest of hygiene the membrane is releasably attached by its marginal area to the therapy table, being thereby exchangeable so that a new membrane can be provided for each patient. The extraction of gas from the coupling medium following exchange of the membrane is provided for.

Apparatus for shock wave therapy

There is disclosed, a piezoelectric transducer for generating focussed ultrasonic shock waves for use in lithotripsy. The ultrasonic shock waves are emitted in pulsed form and can be transmitted by way of a coupling medium to the body of a patient to be treated. The transducer comprises a substantial member of individual piezoelectric transducer elements of ceramic or like material which are connected to the poles of a pulse generator and are fixed to a support in mosaic form and with their sides electrically insulated from one another. The acoustic termination of the transducer elements is essentially free from reflection. An intermediate medium of at least one layer, the acoustic impedance of which lies between that of the ceramic of the transducer element and that of the coupling medium, is provided between the transducer elements and the coupling medium. The thickness d of the layer is chosen in accordance with the relationship d&gt;.tau..sub.k .multidot.c.sub.LA, where .tau..sub.k is the propagation time of sound in the piezoceramic of the transducer elements and c.sub.LA is the sound velocity in the intermediate medium.

Piezoelectric transducer

An apparatus is described for locating objects within the body, and particularly concretions situated in body cavities, in three dimensions and for destroying them. The point of departure for this is an electro-acoustic treatment transducer for generating shock waves to be emitted to focus on the object concerned and a B-scanner connected to the treatment transducer to act as a locating transducer for locating the object, the locating transducer being adjustable relative to the treatment transducer co-focally therewith. The design proposed envisages the locating transducer being integrated into the treatment transducer so that the sound fields of both transducers travel the same distances through the same media and it is thus the correct position of the focus relative to the concretion seen in the image which is in fact shown.

Apparatus for locating objects within a body in three dimensions and for

A device for locating and disintegrating concretions and stones in bodily cavities by means of a shock wave generator comprises a reclining surface for the patient, with an opening therein below which the generator, including a flexible precursor section, is so arranged that the fluid sealed off from the outside is in contact via the opening with the body section to be treated, either directly or indirectly via a diaphragm sealing off the precursor section. To this end, the reclining surface and the shock wave generator are displaceable with respect to each other.

Device for locating and disintegrating concretions in bodily cavities

A lithotripter comprises a transducer for generating focussed ultrasonic shock waves, and having an axis, a focus on said axis, the focus being positionable on a concretion or tissue which is to be destroyed, at least one diagnostic X-ray imaging system for locating the concretion of tissue including an X-ray emitter having an axis and an image intensifier, and at least one ultrasonic locating transducer having an axis, the X-ray emitter and the ultrasonic locating transducer being connected to the shock wave transducer in such a way that the axes of the locating systems intersect at said focus, with the axes of the locating systems preferably being offset from the axis of the shock wave transducer.

Lithotripter with X-ray and ultrasound location systems

In a lithotriptor a shock wave transducer is provided with a focussing cup and with a forward section containing a coupling medium shut off by means of a diaphragm for application to a patient's body. In the wall of the cup there is mounted a locating system comprising an x-ray emitter the outlet of which is located in the coupling medium. The outlet is closed by means of a balloon which can be filled with gas and which can be evacuated. When the balloon is filled with gas, it expands in the direction of radiation of the x-rays up to or almost up to the diaphragm of the forward section.

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Oberderdingen, Germany

Helmut Wurster