Endoluminal ultrasound-guided resectoscope
    6.
    发明授权
    Endoluminal ultrasound-guided resectoscope 失效
    腔内超声引导切除术

    公开(公告)号:US5957849A

    公开(公告)日:1999-09-28

    申请号:US884980

    申请日:1997-06-30

    申请人: Malcolm G. Munro

    发明人: Malcolm G. Munro

    摘要: A surgical implement, such as a surgical electrode, and an ultrasound transducer, both extend through a single elongated insertion member, typically, a catheter. The ultrasound transducer extends from the proximal region of the surgical instrument containing the instrument controls toward the distal end of the catheter from which at least the operative tip of the surgical implement and the ultrasound transducer extend. In one embodiment, the catheter also contains a fiber-optic endoscope, thus allowing visual as well as ultrasound monitoring of the surgical site, before, during and after conduct of the surgical procedures. Means are provided for rotation of the ultrasound transducer to enable generation of a circular tissue reflectivity image transverse to the axis of the ultrasound transducer. Means are also provided for selective longitudinal movement of all elements contained within the catheter. Liquid crystal or other display means are provided to facilitate visual monitoring of the ultrasound and if present the endoscope outputs in real time. In embodiments including an endoscope, an optical eyepiece is provided to facilitate monitoring of its output. An ultrasound medium within the surgical site is provided by fluid inlet and removal means through the catheter.

    摘要翻译: 诸如外科手术电极和超声换能器的手术器械都通过单个细长的插入构件(通常为导管)延伸。 超声换能器从包含仪器控制器的手术器械的近端区域延伸到导管的远端,至少手术器械的操作尖端和超声换能器从该远端伸出。 在一个实施例中,导管还包含光纤内窥镜,因此在手术过程之前,期间和之后允许对外科手术部位的视觉和超声监测。 提供了用于超声换能器的旋转的装置,以便能够产生横向于超声换能器的轴的圆形组织反射率图像。 还提供了用于选择性纵向移动包含在导管内的所有元件的装置。 提供液晶或其他显示装置以便于对超声波进行视觉监测,并且如果存在,则实时地输出内窥镜。 在包括内窥镜的实施例中,提供光学目镜以便于监视其输出。 外科手术部位的超声介质由流体入口和移除装置通过导管提供。

    Electrosurgical loop electrode instrument for laparoscopic surgery
    7.
    发明授权
    Electrosurgical loop electrode instrument for laparoscopic surgery 失效
    用于腹腔镜手术的电外科回路电极仪

    公开(公告)号:US5437665A

    公开(公告)日:1995-08-01

    申请号:US134106

    申请日:1993-10-12

    申请人: Malcolm G. Munro

    发明人: Malcolm G. Munro

    摘要: An electrosurgical selectively controllable loop electrode for laparoscopic surgery is set forth which includes a housing having a longitudinal axis and an axially extending cavity forming a passageway through the housing. A shaft member is slideably mounted to the housing within the cavity so as to permit axial and rotational displacement of the shaft member relative to the housing. A wire electrode which has a first end segment and a second end segment is in electrical communication with the shaft member and extends distally therefrom; the wire electrode also has a bridge segment integrally interconnecting the first and second end segments to form a loop. The end segments are biased by a pair of leaf springs of predetermined curvature where the springs are internally biased to open upon extension of the springs distally from the housing and to close upon external forces exerted against the springs by the housing during retraction. In another embodiment of the invention, the first and second end segments have a predetermined equilibirum shape and are self-biased to return to the equilibirum shape when displaced therefrom; the bridge segment integrally interconnecting the first and second end segments to form a loop is responsive to the internal restoring forces created when the bridge segment is displaced from equilibirum and the bridge segment articulates radially with respect to the end segments through a sequence of predetermined shapes.

    摘要翻译: 提出了一种用于腹腔镜手术的电外科可选择性控制的环形电极,其包括具有纵向轴线的壳体和形成通过壳体的通道的轴向延伸空腔。 轴构件可滑动地安装到腔体内的壳体,以便允许轴构件相对于壳体的轴向和旋转位移。 具有第一端段和第二端段的线电极与轴构件电连通并从其向远侧延伸; 线电极还具有将第一和第二端段整体互连以形成环的桥段。 端部被预定曲率的一对板簧偏压,其中弹簧被内部偏置以在弹簧从壳体向远侧延伸时打开,并且在收回期间由壳体施加在弹簧上的外力上闭合。 在本发明的另一个实施例中,第一和第二端段具有预定的平衡形状,并且当其偏移时,自偏压返回到平衡状态; 一体地互连第一和第二端段以形成环路的桥接部分响应于当桥接段从平衡位移而产生的内部恢复力,并且桥节段通过预定形状的序列相对于端部段径向地相对于第二端部段。