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    • 1. 发明公开
    • Surgical cutting instrument
    • ChirurgischesSchneidgerät。
    • EP0541377A1
    • 1993-05-12
    • EP92310144.8
    • 1992-11-05
    • VANCE PRODUCTS INCORPORATED d/b/a COOK UROLOGICAL INCORPORATED and COOK OB/GYN
    • Pingleton, Edward D.Thomson, Paul G.
    • A61B17/32
    • A61B17/32002A61B2217/005
    • A surgical cutting instrument is disclosed in FIG.4 for percutaneously debulking tissue through an access sheath. The cutting instrument includes an inner rotary member tube 401 having a cutting edge 407 at the distal end thereof for cutting and slicing tissue. The outside surface of the rotary inner cutting member tube and outer sheath 409 annularly close about the distal ends thereof for preventing perforation of the surgical tissue bag in which the tissue is contained. The inner cutting member tube includes a hollow passageway for suctioning and aspirating tissue and fluid through the tube and into a collection chamber 419 or out through a vacuum or suction line 422 attached thereto. Vacuum or suction control ports are included at the proximal end of the inner cutting member tube and stationary sheath for also controlling the amount of vacuum or suction applied to the tissue. The surgical cutting instrument includes a control handle 431 for grasping by the physician. A collection chamber is connected to a coupler connected to the stationary sheath for collecting tissue therein. The inner cutting member tube extends through the collection chamber to a drive motor 440 or to a remotely positioned rotary drive mechanism. A vacuum line is attached to the collection chamber for drawing tissue and fluid through the inner cutting member tube and into the collection chamber.
    • 在图4中公开了一种外科切割仪器,用于通过进入护套经皮减压组织。 切割器具包括内部旋转构件管401,其在其远端具有切割边缘407,用于切割和切片组织。 旋转内切割构件管和外护套409的外表面围绕其远端环形地靠近,以防止其中容纳组织的手术组织袋的穿孔。 内部切割构件管包括中空通道,用于通过管吸引和抽吸组织和流体,并通过附接到其的真空或吸入管线422进入收集室419或出来。 在内切割构件管和固定护套的近端处包括真空或吸入控制口,用于还控制施加到组织的真空量或抽吸量。 外科切割仪器包括用于由医生掌握的控制手柄431。 收集室连接到连接到固定护套的耦合器,用于在其中收集组织。 内切割构件管延伸通过收集室到驱动马达440或远程定位的旋转驱动机构。 真空管线附接到收集室,用于将组织和流体通过内切割构件管并进入收集室。