摘要:
The invention primarily is directed to a medical tubing adapted for insertion into a body tissue or cavity and method of manufacturing different variations of the tubing along a length of the tubing. The tubing comprises a plurality of individual, discrete, generally ring-shaped elements arranged in series and fused or bonded together forming a continuous tubular structure. The ring-shaped elements may be formed of a thermoplastic or a thermoset material. The ring-shaped elements may include plastic rings, metallic rings, un-reinforced plastic rings and/or metal reinforced plastic rings assembled along the length of the tubular structure to provide variable flexibility and kink-resistance. The tubular structure may have a cross-section of any geometric shape and it may be bent, twisted or curved without kinking. The ring-shaped elements may have different flexural modulus. The ring-shaped elements may include a combination of flexible and rigid ring-shaped elements assembled along different portions or sections of the tubular structure. The ring-shaped elements may be metallic and may be bonded with a resilient, flexible elastomeric adhesive, wherein the ring-shaped elements may have different lengths and may be fused closer or further apart to one another depending on the characteristics of a portion or section of the tubing. In another aspect of the invention, the medical tubing may further comprise a secondary lumen and a pull wire to control the tubular structure. The ring-shaped elements may be truncated to provide a bending bias. In another aspect of the invention, the ring-shaped elements may vary in diameter and/or composition in different portions or sections of the tubular structure. In yet another aspect of the invention, some of the ring-shaped elements may be radiopaque, or the ring-shaped elements may comprise of different colors to operate as indicators along the tubular structure.
摘要:
The invention is directed to a surgical instrument including a handle assembly and a shaft assembly. The handle assembly further includes a fixed handle and a pivoting handle. The shaft assembly extends from the handle assembly and further includes an outer tube and an inner actuation rod that slides coaxially with the outer tube. The shaft assembly includes a rotatable knob to provide 360° rotation. The actuation rod has a proximal end and a distal end; the proximal end has a ball end that couples with the pivoting handle to form a rotatable ball-and-socket joint. The outer tube is formed of plastic and fits over the actuation rod to function as an electrical insulator.
摘要:
A surgical digitizing apparatus and procedure will typically involve a pad having discrete segments which may be arranged in a specific order to accommodate a particular procedure. The individual segments can then be used to accomplish both diagnostic and therapeutic functions. For example, the segments can be interrogated to produce a map of body tissue and then electrosurgically energized to perform a therapeutic function in accordance with the map. Communication with the discrete segments will typically be accomplished through a microprocessor and associated switching circuits.
摘要:
A visual insufflation obturator is provided. The obturator includes seals, valves, screens and/or various other tip features to eliminate the ingress of fluids, matter and/or gas that can disrupt the visual field of the laparoscope disposed within the obturator. The obturator provides additional features such as lens and anti-fog features to further increase visibility of the scope, efficiently insufflate the patient and ultimately provide an access channel into the insufflated abdomen once the visual insufflation obturator is removed.
摘要:
An electrosurgical system (2) can include an electrosurgical generator (10), a feedback circuit (20) or controller (80), and an electrosurgical tool (40). The feedback circuit (20) can provide an electrosurgery endpoint by determining the phase end point of a tissue to be treated. The electrosurgical system (2) can include more than one electrosurgical tool (40) for different electrosurgical operations and can include a variety of user interface features and audio/visual performance indicators. The electrosurgical system (2) can also power conventional bipolar electrosurgical tools and direct current surgical appliances.
摘要:
An electrosurgical system (2) can include an electrosurgical generator (10), a feedback circuit (20) or controller (80), and an electrosurgical tool (40). The feedback circuit (20) can provide an electrosurgery endpoint by determining the phase end point of a tissue to be treated. The electrosurgical system (2) can include more than one electrosurgical tool (40) for different electrosurgical operations and can include a variety of user interface features and audio/visual performance indicators. The electrosurgical system (2) can also power conventional bipolar electrosurgical tools and direct current surgical appliances.
摘要:
An angioplasty catheter (60) for increasing the patency of a body vessel by altering an obstruction in the body vessel, includes an elongate shaft (66) having a proximal end (71), and a distal end (73). At least one electrical conductor (100) is disposed at the distal end (73), and movable from a low profile position to a high profile position in proximity to the obstruction. A non-distensible balloon (75) disposed between the conductor and the shaft (66) is inflatable from the proximal end (71) of the shaft (66) to move the conductor (100) between the low profile position and the high profile position. In the high profile position the conductor can be electro-surgically by energized to ablate the obstruction and thereby increase the patency of the body vessel. The conductor (100) may include a circuit (102) which is printed on the exterior surface (95) of the balloon (75). An overlying insulation layer (115) can be provided with a slot (117) to limit the exposure of the conductor (100) to the obstruction, thereby increasing the current density in the electro-surgical procedure.
摘要:
An angioplasty catheter (60) for increasing the patency of a body vessel by altering an obstruction in the body vessel, includes an elongate shaft (66) having a proximal end (71), and a distal end (73). At least one electrical conductor (100) is disposed at the distal end (73), and movable from a low profile position to a high profile position in proximity to the obstruction. A non-distensible balloon (75) disposed between the conductor and the shaft (66) is inflatable from the proximal end (71) of the shaft (66) to move the conductor (100) between the low profile position and the high profile position. In the high profile position the conductor can be electro-surgically by energized to ablate the obstruction and thereby increase the patency of the body vessel. The conductor (100) may include a circuit (102) which is printed on the exterior surface (95) of the balloon (75). An overlying insulation layer (115) can be provided with a slot (117) to limit the exposure of the conductor (100) to the obstruction, thereby increasing the current density in the electro-surgical procedure.