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    • 49. 发明申请
    • A SURGICAL DEVICE FOR TRANSANALLY ACCESSING THE RECTUM OF A PATIENT
    • 用于跨接触患者的指征的手术装置
    • WO2008068106A1
    • 2008-06-12
    • PCT/EP2007/061122
    • 2007-10-18
    • ETHICON ENDO-SURGERY, INC.LONGO, AntonioKUHNS, Jesse J.D'ARCANGELO, MicheleBILOTTI, Federico
    • LONGO, AntonioKUHNS, Jesse J.D'ARCANGELO, MicheleBILOTTI, Federico
    • A61B17/02A61B1/31A61M29/00
    • A61B17/02A61B1/31A61B2017/00818A61B2017/3452A61M29/00
    • A surgical device (1) for transanally accessing the rectum of a patient comprises a circular anal dilator (2) having a cylindrical ring wall (6) adapted to be transanally inserted into the rectum in order to provide a transanal access opening therethrough and a connecting portion (8) arranged at a proximal end of the ring wall (6) and adapted to hold the ring wall (6) inside the rectum, an anoscope (3) comprising a first retaining wall (13) defining at least partially a working channel (14) and a window aperture (15) providing an access area (16) to the surrounding tissue from inside the working channel (14), said anoscope (3) being received by the ring wall (6) of the anal dilator (2) and having a length such that it protrudes distally from the ring wall (6), a shield member (4) comprising a second retaining wall (26) which can be arranged in a manner to partially overlap the window aperture (15) of the anoscope (3) in order to vary the tissue access area (16) thereof.
    • 用于经胃肠通道患者直肠的手术装置(1)包括圆形肛门扩张器(2),其具有圆柱形环壁(6),所述圆柱形环壁适于经由椎弓根插入到直肠中,以便提供通过其的经肛门通路口和连接 布置在环壁(6)的近端处并适于将环壁(6)保持在直肠内部的部分(8),包括第一保持壁(13)的镜(3),所述第一保持壁(13)至少部分地限定工作通道 (14)和从所述工作通道(14)内部向所述周围组织提供进入区域(16)的窗口(15),所述肛门镜(3)由所述肛门扩张器(2)的环壁(6)接纳 )并且具有使得其从所述环壁(6)向远侧突出的长度,包括第二保持壁(26)的屏蔽构件(4),所述屏蔽构件可以以与所述环形壁(6)的窗孔(15)部分重叠的方式布置 (3),以便改变其组织进入区域(16)。