Device and method for isolating a surgical site
    82.
    发明授权
    Device and method for isolating a surgical site 有权
    用于隔离手术​​部位的装置和方法

    公开(公告)号:US6139492A

    公开(公告)日:2000-10-31

    申请号:US288279

    申请日:1999-04-08

    摘要: The invention provides a system and method for performing less-invasive surgical procedures within a body cavity. In a preferred embodiment, the invention provides a system and method for isolating a surgical site such as an anastomosis between an internal mammary artery and a coronary artery in a thoracoscopic coronary artery bypass grafting procedure. The system comprises a foot (11) pivotally coupled to the distal end of a shaft (3) by a linkage (13). The foot has first and second engaging portions (15, 17) with contact surfaces for engaging a tissue surface. The engaging portions are movable between an open position, where the contact surfaces are separated by a gap, and a collapsed position, where the foot is configured for delivery through the percutaneous penetration. An actuator, at the proximal end of the shaft, can be rotated to pivot the foot about a transverse axis so that the contact surfaces are oriented generally parallel to the surgical site to apply pressure to the tissue structure on both sides of the surgical site.

    摘要翻译: 本发明提供一种用于在体腔内执行较小侵入性外科手术的系统和方法。 在优选实施例中,本发明提供了用于在胸腔镜冠状动脉旁路移植手术中分离外科手术部位的系统和方法,例如内部乳房动脉和冠状动脉之间的吻合。 系统包括通过连杆(13)枢转地联接到轴(3)的远端的脚(11)。 脚具有第一和第二接合部分(15,17),其具有用于接合组织表面的接触表面。 接合部分可以在接触表面被间隙分开的打开位置和折叠位置之间移动,其中脚构造成通过经皮渗透进行输送。 在轴的近端处的致动器可以旋转以使脚围绕横向轴线枢转,使得接触表面大致平行于外科手术部位定向,以对手术部位两侧的组织结构施加压力。

    Retracting tip trocar assembly
    84.
    发明授权
    Retracting tip trocar assembly 失效
    缩回尖头套管针组件

    公开(公告)号:US5626598A

    公开(公告)日:1997-05-06

    申请号:US421354

    申请日:1995-04-12

    申请人: Alex T. Roth

    发明人: Alex T. Roth

    摘要: A retracting tip trocar assembly including a trocar tube and a shaft having a piercing tip at one end thereof. The device includes a retracting mechanism which allows the piercing tip to be held in a cutting position upon application of an insertion force such as when the piercing tip is pressed against a wall of a human body cavity. Upon release of the insertion force, such as when the piercing tip passes through the wall, the retracting mechanism causes the piercing tip to be retracted into the trocar tube.

    摘要翻译: 一种收回尖头套管针组件,其包括套管针管和在其一端具有穿刺尖端的轴。 该装置包括一个缩回机构,其允许穿刺尖端在施加插入力时保持在切割位置,例如当穿刺尖端被压靠人体腔壁时。 当释放插入力时,例如当穿刺尖端穿过壁时,缩回机构使穿刺尖端缩回到套管针管中。

    Method of obtaining cervical culture specimens and device and kit
therefor
    85.
    发明授权
    Method of obtaining cervical culture specimens and device and kit therefor 失效
    获取宫颈培养标本及其装置及试剂盒的方法

    公开(公告)号:US4920974A

    公开(公告)日:1990-05-01

    申请号:US181217

    申请日:1988-04-13

    IPC分类号: A61B10/00 A61B10/02 A61B17/00

    摘要: A method is provided for obtaining cervical cell culture specimens. The method makes use of a test device which may be used in conjunction with the manual cervical examination prior to delivery. The device includes an elastically resilient sheath adapted to grip a finger and a sterile pad of absorbent material on one end adapted to collect and retain the cell culture specimen. A kit is provided as well, the kit including a support member for maintaining the device in an unrolled, elongated, unrolled configuration and is designed so as to maintain sterile conditions and minimize contamination during storage and transport.

    摘要翻译: 提供了一种获得宫颈细胞培养标本的方法。 该方法使用可在交付前与手动子宫颈检查结合使用的测试装置。 该装置包括弹性弹性鞘,其适于在适于收集和保持细胞培养样本的一端上夹持手指和吸收材料的无菌垫。 还提供了试剂盒,该试剂盒包括用于将装置保持在展开的,细长的,展开的结构中的支撑构件,并被设计成保持无菌条件并使储存和运输期间的污染最小化。

    Trocar
    86.
    发明授权
    Trocar 失效
    套管针

    公开(公告)号:US4654030A

    公开(公告)日:1987-03-31

    申请号:US832742

    申请日:1986-02-24

    IPC分类号: A61B17/34 A61B19/00 A61M5/18

    摘要: A trocar assembly consisting of a trocar tube subassembly and a separable, interfitting trocar subassembly is described. The trocar tube assembly includes a hollow body having a first front opening in which a trocar tube is mounted, a second rear opening for receiving the trocar subassembly, and a manually pivotable flap valve mechanism mounted within the body. The trocar subassembly includes a head having a central bore in which are mounted the (1) rear ends of an elongated obturator having a pyramidal-shaped piercing head with a triangular-shaped base, and a concentric tubular shield having a triangular shaped front opening for the piercing head that is formed by bevels in its leading edge that have approximately the same slope as the surfaces that define the three sides of the piercing head, and (2) a coil spring backing the shield for biasing the shield between retracted and extended positions. When the two subassemblies are fit together, the obturator and concentric shield extend through the hollow body with the front wall of the head fitting within a recess in the rear wall of the hollow body such that the trocar assembly cannot be rotated without disengaging the two subassemblies. The shield has a slot in its outer wall that is engaged by the flap valve to lock the shield in its extended position. The shield may be unlocked by pivoting the flap valve out of the slot, sliding the trocar assembly rearwardly so that the front wall of the head is clear of the recess in the rear wall of the hollow body, rotating the trocar subassembly to a position in which the flap valve and slot are not aligned and sliding the front wall of the trocar assembly back into the recess in the rear wall of the hollow body.

    摘要翻译: 描述了一种套管针组件,其由套管针管子组件和可分离的配合套管针组件组成。 套管针管组件包括具有第一前开口的套管针组件,其中安装有套管针管,用于容纳套管针组件的第二后开口,以及安装在主体内的可手动枢转的瓣阀机构。 套管针组件包括具有中心孔的头部,其中安装有(1)细长闭塞器的后端,其具有三角形基部的金字塔状刺穿头部,以及具有三角形前开口的同心管状护罩, 穿刺头由其前缘中的斜面形成,其具有与限定穿刺头的三个侧面的表面大致相同的倾斜度,以及(2)螺旋弹簧,用于将护罩偏压在缩回位置和伸出位置之间 。 当两个子组件装配在一起时,闭塞器和同心屏蔽件延伸穿过中空本体,头部的前壁装配在中空本体的后壁中的凹部内,使得套管针组件不能在不分离两个子组件的情况下旋转 。 屏蔽件在其外壁上具有狭槽,其通过瓣阀接合以将屏蔽件锁定在其延伸位置。 可以通过将瓣阀枢转离开槽来解除屏蔽,使套管针组件向后滑动,使得头部的前壁远离中空体的后壁中的凹部,将套管针组件旋转到 其中瓣阀和狭槽未对准并且将套管针组件的前壁滑回到中空体的后壁中的凹部中。