Dornier System Gmbh

Dornier Medizintechnik Gmbh

Wolfgang Hepp

Bernd Forssmann

Christian Chaussy

Othmar Wess

Gerold Heine

Dick Van Rijn

Klaus Ackern

Klaus Pimiskern

Werner Herbert

Walter Brendel

Hendrik Zech

Guenter Hoff

Gustav Sell

Karl-Heinz Restle

Alexander Wirtzfeld

Ernst Marlinghaus

In an arrangement for the generation and focussing of shock waves for purposes of comminution of concrements, wherein the generation is provided by a pair of electrodes, and the focussing is provided by a rotational ellipsoid; the electrodes extend from a sleeve being inserted in the body of the ellipsoid such that the electrodes center on one of the two focal points of the rotational ellipsoid; a positioning device for the electrodes includes a position indicator on the electrode sleeve such as a metal or optical marking on a mechanical actuator having a highly accurately predetermined positional relation to the electrodes; a position sensor on the body of the rotational ellipsoid has a highly accurately determined position in relation to the first focal point; and a circuit is connected to the position sensor to provide a audible and/or visible representation if, and only if, the position indicator has an accurate position related to the sensor as an indication that the electrodes are centered on the first focal point.

Device for ensuring the proper positioning of electrodes in a

An instrument for therapeutic shock waves in which the shock waves are triggered in response to the patient's heartbeat cycle or to the patient's breathing cycle or both.

Apparatus and method for triggering therapeutic shock waves

A concrement in a human body is located by an X-ray system establishing an axis through the concrement; ultrasonic equipment determines a depth coordinate value for the concrement on that axis, and a shock gyrator and focusing system is placed on that established axis for obtaining the comminution. A rest is provided for placing the body in the action zone, and for establishing a second axis in a coordinate system; the third axis is perpendicular to the latter and defines locally the direction of position change for the various types of equipment needed to carry out the aforementioned program.

Coaxial location for contact free comminution of concrements

A trigger instrument for therapeutic shock waves, in particular for comminuting kidney stones, in which the shock waves are triggered by the R pip of the EKG or by a preselected time-delay thereafter.

Apparatus and method for triggering shock waves in lithotripsy

An improved shockwave lithotripsy system includes a movable patient support carriage having a shock wave generator and focussing device mounted thereto, along with an indexing reference. An ultrasonic oscillator is also attached to a mounting arm arrangement mounted in turn to the support carriage and allowing for three dimensional adjustment of the oscillator relative to a patient on the carriage, the mounting arrangement having an additional indexing reference such that after a concrement internal to the patient is located using the ultrasonic oscillator, the shock wave generator may be brought into focus on the concrement by bringing the indexing references into registry.

Lithotripsy system having locating and orienting apparatus

In extracorporal lithotripsy a shock wave that is focussed on a concrement is followed by a pain producing pressure wave. This wave is filtered by means of a membrane bulging inwardly into the focussing chamber, closing the same and having a thickness smaller than the predominant wave length of the shock wave.

Alleviating pain during extracoporal lithotripsy

A template member made of shock wave impermeable material such as air filled foam is affixed to the body of a living being (e.g. a human patient) leaving however an opening through which shock waves from a shock wave generator can pass so that a concrement in the body will be comminuted while the template member shields sensitive organs against parasitic ultrasonic radiation.

Delineating and limiting the zone of shock waves for therapeutic purposes

An improved instrument for destroying concretions within the body of living tissue, with a focusing chamber which is a part of an ellipsoid of revolution and at one focus of which shock waves are generated by arc discharge, the improvement comprising that a pad (8) filled with degassed water and of which the front and rear sides thereof (10 and 12 respectively) are composed of shape-adapting, acoustically matched thin foils, is located between the liquid-filled focusing chamber (16) and the coupling site (6) to the body (2), the pad permitting simultaneous introduction of X-rays or ultrasonic waves to locate the concretion and to monitor the success in comminuting, and a second water pad (24) similar to the first pad is located at the body decoupling site and encloses the body over a large area, the rear side thereof being fastened by means of a damping or diffusely reflecting layer (26), for instance foam rubber, to a rigid dish (28) composed of one or more parts.

Injury-free coupling and decoupling of therapeutic shock waves

A heart stimulator adapted to be used outside the body comprising pressure wave generating means and coupling means adapted to be placed on the surface of the body in the area of the heart without an air gap.

Apparatus for heart stimulation

This invention relates to a process for producing helical oil grooves in a spherical metallic body, for example for a spiral groove bearing, which comprises exposing a photographic lacquer on the surface of said body to light under a pattern, developing the resulting image, and electrochemically etching and then chemically etching grooves in said body in the non-image areas, whereby pressure-building spiral grooves are produced having a planar groove bottom, straight walls, sharply right-angled edges, and a depth in the range of about 1 to 20 microns.

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Immenstaad, Germany

Wolfgang Hepp