Abstract:
A method for surgically removing a tumor from a woman's breast is provided. The method can include inserting an optical trocar having a working channel and a transparent tip through a skin incision, guiding the transparent tip of the trocar through breast tissue with visualization such that the transparent tip of the trocar is placed adjacent to the tumor, insufflating gas via the working channel of the trocar to create a cavity in an operative field next to the tumor, dissecting the tumor free with a surgical instrument inserted through the working channel and removing the tumor through the trocar.
Abstract:
An instrument system for minimally invasive surgery in single port technology, having a trocar and at least one instrument channel which runs at the trocar from proximal to distal and a proximal end remaining extra-corporally when the trocar is inserted into the body of a patient, and a distal end located intra-corporally, wherein a semi-flexible instrument can be inserted through the instrument channel in such a manner that the operating handle thereof remains extra-corporal and the distal working element thereof emerges distally from the instrument channel. The instrument channel is flexibly pliant, stable in the longitudinal direction thereof and arranged outside on the trocar. The distal end of the instrument channel is fixed to the trocar.
Abstract:
A trocar system, comprising a trocar, having an optical channel extending coaxially in the trocar for receiving an optical unit, and a hollow transparent distal tip of the trocar, which can be observed from the interior. The distal working end of an instrument having two working parts movable relative to one another is formed on the distal tip, wherein a first working part is an integral component of the tip and the second working part is mounted movably on the tip, wherein an actuating channel is constructed in the wall of the trocar surrounding the optical channel, which channel extends axially parallel from the proximal end of the trocar into the distal tip thereof, and wherein an actuating element is received in the actuating channel such as to be axially displaceable.
Abstract:
A trocar system, having a trocar, an optical channel extending coaxially in the trocar for receiving an optical unit, and a hollow transparent distal tip of the trocar, which can be observed from the interior by means of the optical unit, wherein at least one working channel is constructed in the wall of the trocar surrounding the optical channel, which channel extends continuously and axially parallel from the proximal end of the trocar into the distal tip and opens into an outlet opening in the region of the tip.
Abstract:
A medical instrument comprises a guide tube (10) that can be inserted into a bodily passage of a patient. An elastically flexible cannula may be displaced within an inner axial guide channel of the guide tube (10), the distal tip (52) of the cannula being able to emerge from a lateral opening at the periphery of the guide tube (10) at an angle to the axis of the guide tube (10). The guide tube (10) at its proximal end is accommodated in a handle piece (22) so as to be rotatable about the longitudinal axis of the guide tube.
Abstract:
The invention relates to an instrument for the medical examination of tight body ducts, particularly for the mammary ducts of the breast, comprising a cannula having a cannula shaft (6) and a distal cannula end (1). The distal cannula end (1) is transparent and has a point (la) that is distally arched, and a tube section (lb) connected thereto. A recess (4) is configured in the tube section (lb). An adenoid curette (2) may be axially displaced on the tube section (lb) in order to separate tissue accommodated in the recess (4). An endoscopic optical element (3) may be inserted into the cannula shaft (6), thus enabling the observation of the distal point (la) and the tube section (lb) having the recess (4) from the interior as a wide angle optical element.
Abstract:
A flexible collapsible bag is introduced into the abdominal cavity to remove larger portions of tissue from the abdominal cavity through a threaded casing introduced into the abdominal wall. The bag has a side opening through which the tissue can be moved into the bag. The bag has an end opening which remains extracorporeal to the threaded casing in the abdominal wall. After partially pulling out the bag, the side opening is located outside of the threaded casing, and the tissue, which is tightly enclosed by the portion of the bag remaining in the abdominal cavity, is cut into pieces, as by cutting filaments having portions at the bottom of the bag and extending extracorporeally through the threaded casing and the end opening of the bag.
Abstract:
An instrument system for minimally invasive surgery in the tissue of a patient, with an instrument shaft, having a distal end that can be inserted in the body of the patient and a proximal end that remains outside the body, with an inner channel extending axially and continuously in the instrument shaft, with at least one working channel extending axially and continuously in the instrument shaft, and with an obturator which can accommodate an optical system coaxially and can be inserted into the inner channel in such a manner that its transparent distal tip projects out from the beveled distal front end of the instrument shaft. The system can include a valve block at the proximal end of the instrument shaft, closing the inner channel and enabling sealed passage of the obturator or an optical system.
Abstract:
An instrument system for minimally invasive surgery in single port technology, having a trocar and at least one instrument channel which runs at the trocar from proximal to distal and a proximal end remaining extra-corporally when the trocar is inserted into the body of a patient, and a distal end located intra-corporally, wherein a semi-flexible instrument can be inserted through the instrument channel in such a manner that the operating handle thereof remains extra-corporal and the distal working element thereof emerges distally from the instrument channel. The instrument channel is flexibly pliant, stable in the longitudinal direction thereof and arranged outside on the trocar. The distal end of the instrument channel is fixed to the trocar.
Abstract:
A medical needle for endoscopic surgery has an external cannula tube in which a protective element is mounted so that it can be shifted axially against a spring. The distal, front protective surface of the protective element in a forward position projects beyond the sharp tip of the cannula tube and in a rear position is behind this tip. The protective surface of the protective element is transparent and can be observed through an optical system installed in the protective element.