Endoscopic inflatable retraction device
    2.
    发明授权
    Endoscopic inflatable retraction device 失效
    内窥镜充气回缩装置

    公开(公告)号:US06605037B1

    公开(公告)日:2003-08-12

    申请号:US09179008

    申请日:1998-10-26

    IPC分类号: A61B1702

    摘要: An inflatable retraction apparatus is provided for retracing an organ inside a body to gain access to an adjacent tissue. The apparatus includes an able chamber formed from a single thin envelope, and capable of being collapsed for insertion through an incision and being expanded to a predetermined shape for retracing the organ. An inflation mechanism is adapted to selectively inflate the chamber to the predetermined shape. The inflation mechanism includes at least one inflation tube attached to the inflatable chamber in fluid communication theretween, and an inflatable maintaining lattice operatively enveloping the inflatable chamber and in operative association with the inflation mechanism. The inflatable maintaining lattice defines a plurality of single layered access windows around the inflatable chamber, and is configured and adapted to maintain the inflatable chamber in substantially the predetermined shape after an aperture is pierced in at least one of the plurality of access windows of the inflatable chamber.

    摘要翻译: 提供一种可充气的收缩装置,用于回收身体内的器官,以便进入邻近的组织。 该装置包括由单个薄壳体形成的能力腔室,并且能够被塌缩以插入通过切口并且被扩展到预定形状以用于回退器官。 膨胀机构适于选择性地将腔室充气至预定形状。 膨胀机构包括至少一个连接到可膨胀室的充气管,其中流体连通,并且可膨胀的维持格子可操作地包围可充气室并与膨胀机构有效连接。 可充气维护格架限定围绕可充气室的多个单层进入窗口,并且被配置和适于在可充气室的多个进入窗口中的至少一个穿孔之后将可充气室保持为基本上预定的形状 房间。

    Surgical procedures using endoscopic inflatable retraction devices
    6.
    发明授权
    Surgical procedures using endoscopic inflatable retraction devices 失效
    外科手术采用内窥镜充气回缩装置

    公开(公告)号:US5465711A

    公开(公告)日:1995-11-14

    申请号:US106285

    申请日:1993-08-13

    摘要: Retraction of an organ or tissue plane to be retracted is performed to gain access for a surgical instrument to treat an organ or tissue plane to be treated. An inflatable retractor, including a main envelope enclosing a main chamber, is provided with the main envelope in a collapsed state. The main envelope of the retractor is placed adjacent the organ or tissue plane to be retracted. The main chamber is inflated to an expanded state to retract the organ or tissue plane to be retracted. An aperture is pierced in the main envelope to provide access for the surgical instrument passed into the main chamber to contact an organ or tissue plane to be treated while the main chamber is maintained in the expanded state, notwithstanding the aperture pierced in the main envelope. The organ or tissue plane to be retracted and the organ or tissue plane to be treated may be different parts of the same organ or tissue plane. The method may be used in procedures including retracting the bowel to provide anterior access to organs, including the spinal column, the aorta and the kidneys, lying outside the peritoneum; retracting one part of the lung to provide access to another part of the lung; retracting the pericardium from the heart to provide access to the outer surface of the heart; retracting the liver to provide access to the gastro-esophagal junction; and retracting the brain from the dura mater to provide access to the brain.

    摘要翻译: 执行要缩回的器官或组织平面的缩回以获得外科器械的通路,以治疗待治疗的器官或组织平面。 包括封闭主室的主要信封的可充气牵开器具有处于折叠状态的主信封。 牵开器的主要信封放置在器官或组织平面附近以便缩回。 主室被膨胀到膨胀状态以缩回器官或组织平面以缩回。 当主室保持在膨胀状态时,尽管在主信封中刺穿了孔,但是在主信封中刺穿了孔,以便进入主室中的手术器械进入以接触待处理的器官或组织平面。 待收缩的器官或组织平面和待治疗的器官或组织平面可以是相同器官或组织平面的不同部分。 该方法可以用于包括缩回肠道以提供位于腹膜外侧的器官(包括脊柱,主动脉和肾脏)的前部通路的程序。 缩回肺的一部分以提供对另一部分肺的通路; 从心脏收回心包以提供进入心脏外表面的通路; 缩回肝脏以进入胃食管结; 并从硬脑膜回缩大脑以提供对大脑的接触。