Ring applicator and method for applying elastic rings to anatomical tissue structures
    1.
    发明授权
    Ring applicator and method for applying elastic rings to anatomical tissue structures 失效
    环形施放器和用于将弹性环施加到解剖组织结构的方法

    公开(公告)号:US06547798B1

    公开(公告)日:2003-04-15

    申请号:US09563912

    申请日:2000-05-04

    IPC分类号: A61B1712

    摘要: A ring applicator for applying elastic rings to anatomical tissue during surgical procedures includes an inner member with a forceps movably disposed within a middle tubular member having a distal end configured to hold a plurality of elastic rings in an expanded state and a proximal end with a plurality of longitudinally spaced steps. The middle tubular member is movably disposed in an outer tubular member, and an adjustable stop mechanism is mounted on the proximal end of the outer tubular member to limit axial movement of the outer tubular member relative to the middle tubular member to select which rings are to be ejected. A distal handle is connected with the inner member via slots in the outer and middle tubular members, and a proximal handle is pivotally connected to the middle tubular member via a slot in the outer tubular member. A pusher has a distal end movable between a latched or locked position where the distal end of the pusher protrudes into apertures in the outer and middle tubular members to prevent pivotal movement of the proximal handle and an unlatched or unlocked position where the distal end of the pusher is disengaged from the aperture in the middle tubular member to permit pivotal movement of the proximal handle in order to move the outer tubular member axially relative to the middle tubular member to eject an elastic ring. Distal portions of the outer and middle tubular members are preferably transparent with scale markings formed thereon to allow the surgeon to accurately determine the length of the tissue disposed within the middle tubular member prior to ejecting a ring. A prerelease feature is also disclosed for unlocking the pusher to allow ejection of a ring when the forceps has not been completely withdrawn in to the middle tubular member.

    摘要翻译: 用于在外科手术过程中将弹性环施加到解剖组织的环形施加器包括内部构件,其具有可移动地设置在中间管状构件内的镊子,所述镊子具有构造成将多个弹性环保持在展开状态的远端,并且具有多个 的纵向间隔的台阶。 中间管状构件可移动地设置在外部管状构件中,并且可调止动机构安装在外部管状构件的近端上以限制外部管状构件相对于中间管状构件的轴向运动,以选择哪个环 被弹出。 远端手柄通过外管状构件和中管状构件中的狭槽与内构件连接,并且近侧手柄通过外管状构件中的狭槽枢转地连接到中管构构件。 推动器具有可在锁定或锁定位置之间移动的远端,其中推动器的远端突出到外管状构件和中间管状构件中的孔中,以防止近侧手柄的枢转运动以及未锁定或解锁位置, 推动器从中间管状构件中的孔脱离,以允许近侧手柄的枢转运动,以便相对于中间管状构件轴向移动外部管状构件以弹出弹性环。 外部和中部管状构件的远端部分优选是透明的,其上形成刻度标记,以允许外科医生在排出环之前准确地确定设置在中间管状构件内的组织的长度。 还公开了预释放特征,用于解锁推动器以允许当镊子未完全拉出到中间管状构件时弹出环。

    RF bipolar mesentery takedown device including improved bipolar end effector
    2.
    发明授权
    RF bipolar mesentery takedown device including improved bipolar end effector 有权
    RF双极肠系膜移植装置包括改良的双极末端执行器

    公开(公告)号:US06468275B1

    公开(公告)日:2002-10-22

    申请号:US09602903

    申请日:2000-06-23

    IPC分类号: A61B1818

    CPC分类号: A61B17/00008 A61B18/1447

    摘要: The present invention is directed to a bipolar electrosurgical instrument suitable for use in mesentery tissue and other suitable tissue structures, including vessels. A bipolar electrosurgical instrument according to the present invention includes an end effector which includes a tissue slot and electrodes arranged on either side of the tissue slot. The opposing electrodes are electrically connected such that tissue passing through the slot is electrically treated with electrosurgical current passing laterally through the tissue. An end effector according to the present invention further includes a tissue separator arranged at the end of the slot to divide tissue as it is passed through the slot and after it is treated.

    摘要翻译: 本发明涉及一种适用于肠系膜组织和其他合适组织结构(包括血管)的双极电外科器械。 根据本发明的双极电外科器械包括端部执行器,其包括组织槽和布置在组织槽两侧的电极。 相对的电极电连接,使得穿过狭槽的组织通过横向穿过组织的电外科电流进行电处理。 根据本发明的端部执行器还包括布置在槽的端部处的组织分离器,以在组织穿过狭槽时以及在处理之后分开组织。