公开(公告)号：US06468285B1

公开(公告)日：2002-10-22

申请号：US09389724

申请日：1999-09-03

申请人： Thomas H. S. Hsu ,  Inderbir S Gill ,  Mark S. Goodin ,  Bryan P. Byermann ,  Helmuth Kotschi

发明人： Thomas H. S. Hsu ,  Inderbir S Gill ,  Mark S. Goodin ,  Bryan P. Byermann ,  Helmuth Kotschi

IPC分类号： A61B1708

CPC分类号： A61B17/1227 ,  A61B17/062 ,  A61B17/11 ,  A61B17/1146 ,  A61B17/221 ,  A61B2017/1103 ,  A61B2017/1107 ,  A61B2017/2924 ,  A61B2017/2944

摘要： Paired vascular clamps simplify laparoscopic vascular reconstruction surgery by providing an instrument for bringing vessel ends together to a reasonable working distance under a controlled fashion. A first clamp, with a pivoted connecting arm, and a second clamp with a lock/release device for attaching the second clamp to the connecting arm, can be inserted through an trocar or other port into a surgical field and then positioned on with the first clam and the second clamp in side-by-side and substantially parallel relationship, so that said first clamp and said second clamp can hold and position one or more vessels or elongated tissues. A laparoscopic approximator-everter has extendable blades for gripping blood vessel edges or other tissue to be anamosted, and an extendable sheath that can be advanced to surround the blades. Notches in the end of the sheath automatically evert and approximate the blood vessel edges for laparoscopic clip application or suturing when the sheath is advanced to surround the blades.

摘要翻译： 配对的血管夹具通过提供一种用于将血管末端合并到合理的工作距离的仪器来简化腹腔镜血管重建手术。 具有枢转连接臂的第一夹具和具有用于将第二夹具连接到连接臂的锁定/释放装置的第二夹具可以通过套管针或其它端口插入外科手术区域中，然后与第一夹具 蛤蜊和第二夹具并排并且基本上平行的关系，使得所述第一夹具和所述第二夹具可以保持并定位一个或多个容器或细长组织。 腹腔镜近似器具有用于夹持血管边缘或其他待组织的组织的可延伸刀片，以及可前进以包围刀片的可延伸护套。 护套末端的槽口自动翻转和近似血管边缘，用于腹腔镜夹片施加或缝合时，护套前进以包围刀片。