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41. 发明授权

US09375255B2 Surgical instrument handpiece with resiliently biased coupling to modular shaft and end effector 有权
标题翻译：手术器械手柄，与模块化轴和末端执行器弹性偏置耦合
公开(公告)号：US09375255B2
公开(公告)日：2016-06-28
申请号：US13271352
申请日：2011-10-12
申请人： Kevin L. Houser , Barry C. Worrell , Stephen J. Balek , Galen C. Robertson , Frederick E. Shelton, IV , Richard W. Timm , Kyle P. Moore , Gregory W. Johnson , John B. Schulte , Daniel J. Mumaw
发明人： Kevin L. Houser , Barry C. Worrell , Stephen J. Balek , Galen C. Robertson , Frederick E. Shelton, IV , Richard W. Timm , Kyle P. Moore , Gregory W. Johnson , John B. Schulte , Daniel J. Mumaw
IPC分类号： A61B17/00 , A61B18/14 , A61B17/32 , A61B18/00 , A61B18/04 , H02J7/00 , A61B17/28 , H01M2/26 , H01M2/10 , A61B18/12 , A61B19/00 , A61B17/064 , A61B17/285 , A61B17/29
CPC分类号： A61B18/1442 , A61B17/00234 , A61B17/064 , A61B17/2812 , A61B17/285 , A61B17/320068 , A61B17/320092 , A61B18/00 , A61B18/04 , A61B18/12 , A61B18/1206 , A61B18/1233 , A61B18/14 , A61B18/1445 , A61B34/25 , A61B46/10 , A61B90/08 , A61B90/40 , A61B2017/00084 , A61B2017/00398 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2017/00482 , A61B2017/00734 , A61B2017/0084 , A61B2017/291 , A61B2017/2929 , A61B2017/293 , A61B2017/2931 , A61B2017/2933 , A61B2017/294 , A61B2018/00178 , A61B2018/0019 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/00607 , A61B2018/00791 , A61B2018/00988 , A61B2018/1226 , A61B2018/1412 , A61B2018/1455 , A61B2090/0803 , A61B2090/0813 , A61B2090/0814 , A61N7/00 , H01M2/10 , H01M2/1016 , H01M2/26 , H01M10/46 , H01M10/48 , H01M2220/30 , H02J7/0044 , H02J7/0045 , H02J7/0047 , H02J7/025 , H02J2007/005 , Y10T29/49005 , Y10T29/49895 , Y10T29/53913
摘要： An ultrasonic surgical instrument includes a reusable handle assembly and a removable and disposable transmission assembly. The handle assembly includes a trigger, a housing having a distal aperture formed in a distal end of the housing, a button disposed on a top surface of the housing, and a biasing member in communication with the button. The transmission assembly includes a proximal shaft, a rotator knob having a coupling feature, a distal shaft assembly extending distally from the proximal shaft, and an end effector at the distal end of the distal shaft assembly. The biasing member of the handle assembly is adjustably coupled to the coupling feature of the transmission assembly. Another version includes a movable yoke configured to engage an inner tube of the transmission assembly. Yet another version includes a waveguide of the transmission assembly non-threadably coupled to a transducer via a biasing force.
摘要翻译：超声波手术器械包括可重复使用的手柄组件和可拆卸和一次性传输组件。手柄组件包括触发器，具有形成在壳体的远端中的远端孔的壳体，设置在壳体的顶表面上的按钮和与按钮连通的偏置构件。变速器组件包括近端轴，具有联接特征的旋转器旋钮，从近侧轴向远侧延伸的远端轴组件以及在远侧轴组件的远端处的末端执行器。手柄组件的偏置构件可调节地联接到变速器组件的联接特征。另一个版本包括被配置为接合传动组件的内管的可移动轭。另一个版本包括通过偏置力不可螺纹地耦合到换能器的变速器组件的波导。

42. 发明授权

US09308009B2 Surgical instrument with modular shaft and transducer 有权
标题翻译：具有模块化轴和换能器的外科手术器械
公开(公告)号：US09308009B2
公开(公告)日：2016-04-12
申请号：US13270684
申请日：2011-10-11
申请人： Ashvani K. Madan , John V. Hunt , Kevin L. Houser
发明人： Ashvani K. Madan , John V. Hunt , Kevin L. Houser
IPC分类号： A61B18/14 , A61B17/28 , A61B17/00 , A61B17/32 , A61B18/00 , A61B18/04 , H02J7/00 , H01M2/26 , H01M2/10 , A61B18/12 , A61B19/00 , A61B17/064 , A61B17/285 , A61B17/29
CPC分类号： A61B18/1442 , A61B17/00234 , A61B17/064 , A61B17/2812 , A61B17/285 , A61B17/320068 , A61B17/320092 , A61B18/00 , A61B18/04 , A61B18/12 , A61B18/1206 , A61B18/1233 , A61B18/14 , A61B18/1445 , A61B34/25 , A61B46/10 , A61B90/08 , A61B90/40 , A61B2017/00084 , A61B2017/00398 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2017/00482 , A61B2017/00734 , A61B2017/0084 , A61B2017/291 , A61B2017/2929 , A61B2017/293 , A61B2017/2931 , A61B2017/2933 , A61B2017/294 , A61B2018/00178 , A61B2018/0019 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/00607 , A61B2018/00791 , A61B2018/00988 , A61B2018/1226 , A61B2018/1412 , A61B2018/1455 , A61B2090/0803 , A61B2090/0813 , A61B2090/0814 , A61N7/00 , H01M2/10 , H01M2/1016 , H01M2/26 , H01M10/46 , H01M10/48 , H01M2220/30 , H02J7/0044 , H02J7/0045 , H02J7/0047 , H02J7/025 , H02J2007/005 , Y10T29/49005 , Y10T29/49895 , Y10T29/53913
摘要： An ultrasonic surgical device comprises a detachable transducer module, a handle, and a shaft assembly. The shaft assembly includes an end effector having a harmonic blade. The transducer module is removably coupled with the shaft assembly to form an active assembly. The active assembly is removably coupled with the handle. The handle may include a resilient wall structure that deflects outwardly to receive the active assembly in a snap fit. The handle may include a pivoting latch feature to selectively retain the active assembly relative to the handle.
摘要翻译：超声手术装置包括可拆卸的换能器模块，手柄和轴组件。轴组件包括具有谐波叶片的端部执行器。换能器模块可拆卸地与轴组件联接以形成有源组件。活动组件可移除地与手柄耦合。手柄可以包括弹性壁结构，其向外偏转以以卡扣配合接收活动组件。手柄可以包括枢转闩锁特征，以相对于手柄选择性地保持活动组件。

43. 发明授权

US09247986B2 Surgical instrument with ultrasonic transducer having integral switches 有权
标题翻译：具有集成开关的超声波换能器的手术器械
公开(公告)号：US09247986B2
公开(公告)日：2016-02-02
申请号：US13274516
申请日：2011-10-17
申请人： Wells D. Haberstich , Kevin L. Houser
发明人： Wells D. Haberstich , Kevin L. Houser
IPC分类号： A61B8/14 , A61B18/14 , A61B17/00 , A61B17/32 , A61B18/00 , A61B18/04 , H02J7/00 , H01M2/26 , H01M2/10 , A61B18/12 , A61B19/00 , A61B17/064 , A61B17/285 , A61B17/29
CPC分类号： A61B18/1442 , A61B17/00234 , A61B17/064 , A61B17/2812 , A61B17/285 , A61B17/320068 , A61B17/320092 , A61B18/00 , A61B18/04 , A61B18/12 , A61B18/1206 , A61B18/1233 , A61B18/14 , A61B18/1445 , A61B34/25 , A61B46/10 , A61B90/08 , A61B90/40 , A61B2017/00084 , A61B2017/00398 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2017/00482 , A61B2017/00734 , A61B2017/0084 , A61B2017/291 , A61B2017/2929 , A61B2017/293 , A61B2017/2931 , A61B2017/2933 , A61B2017/294 , A61B2018/00178 , A61B2018/0019 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/00607 , A61B2018/00791 , A61B2018/00988 , A61B2018/1226 , A61B2018/1412 , A61B2018/1455 , A61B2090/0803 , A61B2090/0813 , A61B2090/0814 , A61N7/00 , H01M2/10 , H01M2/1016 , H01M2/26 , H01M10/46 , H01M10/48 , H01M2220/30 , H02J7/0044 , H02J7/0045 , H02J7/0047 , H02J7/025 , H02J2007/005 , Y10T29/49005 , Y10T29/49895 , Y10T29/53913
摘要： An ultrasonic surgical device comprises a handle assembly, a shaft assembly, and a removable transducer module. The transducer module includes a waveguide, a locking mechanism, and an electronics assembly including at least one button. The handle assembly includes a trigger assembly configured to actuate the button(s) of the electronics assembly when the transducer module is coupled with the handle assembly. The shaft assembly engages the waveguide of the transducer module and is disposed at the distal end of the handle assembly. The distal end of the shaft assembly includes a harmonic blade. When assembled with the handle assembly, the transducer module is capable of providing ultrasonic energy to the harmonic blade.
摘要翻译：超声手术装置包括手柄组件，轴组件和可移除换能器模块。换能器模块包括波导，锁定机构和包括至少一个按钮的电子组件。手柄组件包括触发器组件，其构造成当换能器模块与手柄组件联接时致动电子组件的按钮。轴组件接合换能器模块的波导并且设置在手柄组件的远端。轴组件的远端包括谐波叶片。当与手柄组件组装时，换能器模块能够向谐波叶片提供超声波能量。

44. 发明授权

US09095346B2 Medical device usage data processing 有权
标题翻译：医疗器械使用数据处理
公开(公告)号：US09095346B2
公开(公告)日：2015-08-04
申请号：US13276725
申请日：2011-10-19
申请人： Kevin L. Houser , Foster B. Stulen , Timothy G. Dietz , John W. Willis , Donna L. Korvick , Ashvani K. Madan , Aron O. Zingman
发明人： Kevin L. Houser , Foster B. Stulen , Timothy G. Dietz , John W. Willis , Donna L. Korvick , Ashvani K. Madan , Aron O. Zingman
IPC分类号： A61B18/00 , A61B18/14 , A61B17/00 , A61B17/32 , A61B18/04 , H02J7/00 , H01M2/26 , H01M2/10 , A61B18/12 , A61B19/00 , A61B17/064 , A61B17/285 , A61B17/29
CPC分类号： A61B18/1442 , A61B17/00234 , A61B17/064 , A61B17/2812 , A61B17/285 , A61B17/320068 , A61B17/320092 , A61B18/00 , A61B18/04 , A61B18/12 , A61B18/1206 , A61B18/1233 , A61B18/14 , A61B18/1445 , A61B34/25 , A61B46/10 , A61B90/08 , A61B90/40 , A61B2017/00084 , A61B2017/00398 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2017/00482 , A61B2017/00734 , A61B2017/0084 , A61B2017/291 , A61B2017/2929 , A61B2017/293 , A61B2017/2931 , A61B2017/2933 , A61B2017/294 , A61B2018/00178 , A61B2018/0019 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/00607 , A61B2018/00791 , A61B2018/00988 , A61B2018/1226 , A61B2018/1412 , A61B2018/1455 , A61B2090/0803 , A61B2090/0813 , A61B2090/0814 , A61N7/00 , H01M2/10 , H01M2/1016 , H01M2/26 , H01M10/46 , H01M10/48 , H01M2220/30 , H02J7/0044 , H02J7/0045 , H02J7/0047 , H02J7/025 , H02J2007/005 , Y10T29/49005 , Y10T29/49895 , Y10T29/53913
摘要： A surgical instrument includes a handle assembly having a lower portion with a hingedly attached end piece. When open, the end piece allows for receipt of a data card in a lower portion aperture. When closed, the end piece covers the aperture. In another version, the aperture is configured to receive a data card and battery pack assembly. Information is readable from and to the data card to measure a number of minutes the instrument was used during a procedure. Such information is communicated via wired or wireless communication to another device to determine a payment for the number of minutes used. Minutes are buyable from the device and writable onto the data card prior to insertion of the card into the instrument. In another version, a testing sequence is used in saline or via a tissue proxy to test the functionality of an instrument prior to a procedure.
摘要翻译：手术器械包括手柄组件，该手柄组件具有带有铰接连接的端件的下部。当打开时，端件允许在下部孔中接收数据卡。当封闭时，端部件覆盖孔。在另一个版本中，孔被配置为接收数据卡和电池组组件。信息可以从数据卡读取并传输到数据卡，以测量仪器在程序中使用的分钟数。这样的信息通过有线或无线通信传送到另一设备以确定所用分钟数的支付。在将卡插入仪器之前，分钟可从设备购买并可写入数据卡。在另一个版本中，在生理盐水或组织代谢中使用测试序列来测试仪器在程序之前的功能。

45. 发明授权

US08882792B2 Ultrasonic surgical apparatus with silicon waveguide 有权
标题翻译：超声波手术器械与硅波导
公开(公告)号：US08882792B2
公开(公告)日：2014-11-11
申请号：US12857399
申请日：2010-08-16
申请人： Timothy G. Dietz , Foster B. Stulen , William A. Olson , Kevin L. Houser , William D. Dannaher , John W. Willis , Sora Rhee
发明人： Timothy G. Dietz , Foster B. Stulen , William A. Olson , Kevin L. Houser , William D. Dannaher , John W. Willis , Sora Rhee
IPC分类号： A61B17/32 , A61N7/00 , A61B17/225 , A61B17/30
CPC分类号： A61N7/00 , A61B17/320068 , A61B2017/22015 , A61B2017/2253 , A61B2017/306 , A61B2017/320098 , A61N2007/0034 , A61N2007/0078 , A61N2007/0082 , B06B3/00
摘要： Ultrasound surgical apparatus are disclosed, including: medical ultrasound handpieces with proximally mounted ultrasound radiators configured to create a distally-focused beam of ultrasound energy, in combination with distal guide members for control of focal point depth; medical ultrasound handpieces with proximally mounted ultrasound radiators configured to create a distally-focused beam of ultrasound energy, in combination with distal rolling members for manipulability and control of focal point depth; medical ultrasound handpiece assemblies with coupled end effectors providing a probe with a probe dilation region configured to have an average outside diameter that is equal to or greater than the average outside diameter of a probe tip and neck; as well as junctions to an ultrasonically inactive probe sheath; medical ultrasound handpiece assemblies with coupled end effectors having positionable, ultrasonically inactive probe sheath ends slidably operable to both cover and expose at least a probe tip; and ultrasound transducer cores including a transducing structure affixed to a longitudinally elongated, generally planar, single crystal or polycrystalline material waveguide.
摘要翻译：公开了超声手术装置，包括：具有近端安装的超声波辐射器的医疗超声手机，其被配置为产生远端聚焦的超声能量束，与用于控制焦点深度的远端引导构件组合; 具有近端安装的超声波辐射器的医疗超声手机被配置为创建远端聚焦的超声能量束，与用于可操纵性和控制焦点深度的远侧滚动构件组合; 具有耦合端部执行器的医用超声手持组件，其提供具有构造成具有等于或大于探针尖端和颈部的平均外径的平均外径的探针扩张区域的探针; 以及到超声波无活性的探针鞘的接合处; 具有耦合端部执行器的医疗超声手持组件具有可定位的超声波无源探针护套端部，其可滑动地可操作以覆盖和暴露至少一个探针尖端; 以及超声换能器芯，包括固定在纵向细长的，大致平面的单晶或多晶材料波导上的换能结构。

46. 发明授权

US08540742B2 Ultrasonic surgical blade having transverse and longitudinal vibration 有权
标题翻译：超声波手术刀具有横向和纵向振动
公开(公告)号：US08540742B2
公开(公告)日：2013-09-24
申请号：US12821541
申请日：2010-06-23
申请人： Kevin L. Houser , Laura A. Gallagher , Jean M. Beaupre
发明人： Kevin L. Houser , Laura A. Gallagher , Jean M. Beaupre
IPC分类号： A61B17/32
CPC分类号： A61B17/22012 , A61B17/320068 , A61B2017/320072
摘要： An ultrasonic surgical blade includes an ultrasonic-surgical-blade body having a longitudinal axis, a distal tip, a proximal end adapted for longitudinal ultrasonic vibrational excitation, a most-distal longitudinal vibration node, a treatment portion extending from the distal tip toward the most-distal longitudinal vibration node, and a functional asymmetry. The functional asymmetry is asymmetric about the longitudinal axis and translates longitudinal ultrasonic vibrational movement of the proximal end into a combination of a longitudinal ultrasonic vibration and a transverse ultrasonic vibration in at least some of the treatment portion of the ultrasonic-surgical-blade body. An amplitude of the transverse ultrasonic vibration at the distal tip is less than substantially ten percent of a maximum amplitude of the transverse ultrasonic vibration of the treatment portion of the ultrasonic-surgical-blade body. An alternate embodiment of the ultrasonic surgical blade includes at least one functional asymmetry and at least one balance asymmetry.
摘要翻译：超声外科手术刀片包括具有纵向轴线的超声外科手术刀体，远侧末端，适于纵向超声波振动激励的近端，最远侧纵向振动节点，从远端延伸到最多的处理部分 - 纵向振动节点，以及功能不对称。功能不对称关于纵向轴线是不对称的，并且将超声外科手术刀体的至少一些处理部分中的近端的纵向超声振动运动转换成纵向超声波振动和横向超声波振动的组合。远侧末端的横向超声波振动的振幅小于超声外科手术刀体的处理部的横向超声波振动的最大振幅的大致百分之十。超声手术刀片的替代实施例包括至少一个功能不对称和至少一个平衡不对称。

47. 发明授权

US08486096B2 Dual purpose surgical instrument for cutting and coagulating tissue 有权
公开(公告)号：US08486096B2
公开(公告)日：2013-07-16
申请号：US12703879
申请日：2010-02-11
申请人： Galen C. Robertson , Richard W. Timm , Kevin L. Houser , Sean P. Conlon , Aron O. Zingman
发明人： Galen C. Robertson , Richard W. Timm , Kevin L. Houser , Sean P. Conlon , Aron O. Zingman
IPC分类号： A61B17/32
CPC分类号： A61B17/320068 , A61B17/3207 , A61B17/320783 , A61B2018/00589 , A61N7/00 , A61N7/022
摘要： In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that has an ultrasonic blade that protrudes from an ultrasonic transducer assembly. In some embodiments, the ultrasonic blade coaxially extends through a rotatable tissue cutting blade that is rotatably supported by a housing that supports the ultrasonic transducer assembly. In other embodiments, the ultrasonic blade and the tissue cutting blade are both selectively rotatable relative to the housing. In yet other embodiments, the tissue cutting blade and the ultrasonic blade are supported relative to each other in separate sheaths attached to the housing.

48. 发明授权

US08323302B2 Methods of using ultrasonically powered surgical instruments with rotatable cutting implements 有权
标题翻译：使用具有可旋转切割工具的超声波动力手术器械的方法
公开(公告)号：US08323302B2
公开(公告)日：2012-12-04
申请号：US12703864
申请日：2010-02-11
申请人： Galen C. Robertson , Richard W. Timm , Daniel J. Mumaw , Foster B. Stulen , Gregory W. Johnson , Jerome R. Morgan , Kevin L. Houser , Kristi M. Bodin , Mark A. Neurohr , Prasanna Malaviya , Reginald D. Fortson , Sean P. Conlon , William S. Joachim, Jr. , William D. Dannaher , Eitan T. Wiener
发明人： Galen C. Robertson , Richard W. Timm , Daniel J. Mumaw , Foster B. Stulen , Gregory W. Johnson , Jerome R. Morgan , Kevin L. Houser , Kristi M. Bodin , Mark A. Neurohr , Prasanna Malaviya , Reginald D. Fortson , Sean P. Conlon , William S. Joachim, Jr. , William D. Dannaher , Eitan T. Wiener
IPC分类号： A61B17/32
CPC分类号： A61B17/320068
摘要： In one general aspect, various embodiments are directed to methods for treating tissue within an aqueous environment. Various methods may include introducing a cutting implement of a surgical instrument into the aqueous environment. The cutting implement may have at least one cutting surface thereon and at least one ultrasonic portion thereon and be selectively rotatable within a hollow sheath. The methods may include rotating or rotatably oscillating the cutting implement within the hollow sheath for tissue cutting purposes. The cutting implement may also be retained in a position wherein the ultrasonic portion of the cutting implement may be applied to tissue and then have ultrasonic motion applied thereto.
摘要翻译：在一个一般方面，各种实施方案涉及用于在水性环境中处理组织的方法。各种方法可以包括将外科器械的切割工具引入到水性环境中。切割工具可以在其上具有至少一个切割表面和其上的至少一个超声部分，并且可在中空护套内选择性地旋转。这些方法可以包括在中空护套内旋转或可旋转地摆动切割工具以用于组织切割目的。切割工具还可以保持在切割工具的超声部分可以施加到组织上并且随之施加超声波运动的位置。

49. 发明申请

US20120289984A1 ULTRASONIC SURGICAL INSTRUMENTS 有权
标题翻译：超声外科器械
公开(公告)号：US20120289984A1
公开(公告)日：2012-11-15
申请号：US13555523
申请日：2012-07-23
申请人： Kevin L. Houser , Foster B. Stulen , Scott A. Nield , Shan Wan
发明人： Kevin L. Houser , Foster B. Stulen , Scott A. Nield , Shan Wan
IPC分类号： A61B17/32
CPC分类号： A61B17/320068 , A61B8/4209 , A61B8/4494 , A61B2017/0023 , A61B2017/00402 , A61B2017/320072 , A61B2017/320078 , A61B2017/320088 , A61B2018/00607 , A61N7/02 , H01L41/0906 , Y10T29/42 , Y10T29/49005 , Y10T29/49155
摘要： In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that comprises a transducer configured to produce vibrations along a longitudinal axis at a predetermined frequency. In various embodiments, an ultrasonic blade extends along the longitudinal axis and is coupled to the transducer. In various embodiments, the ultrasonic blade includes a body having a proximal end and a distal end, wherein the distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer.
摘要翻译：在一个一般方面，各种实施例涉及一种超声手术器械，其包括被配置为以预定频率沿着纵向轴线产生振动的换能器。在各种实施例中，超声刀片沿着纵向轴线延伸并且耦合到换能器。在各种实施例中，超声波刀片包括具有近端和远端的主体，其中远端可通过由换能器产生的振动相对于纵向轴线移动。

50. 发明授权

US08251900B2 Surgical access devices and methods providing seal movement in predefined paths 有权
标题翻译：手术进入装置和方法，以预定路径提供密封运动
公开(公告)号：US08251900B2
公开(公告)日：2012-08-28
申请号：US12399547
申请日：2009-03-06
申请人： Mark S. Ortiz , David Martin , Matthew C. Miller , Mark J. Reese , Wells D. Haberstich , Carl Shurtleff , Charles J. Scheib , Frederick E. Shelton, IV , Jerome R. Morgan , Daniel Duke , Daniel J. Mumaw , Gregory Johnson , Kevin L. Houser
发明人： Mark S. Ortiz , David Martin , Matthew C. Miller , Mark J. Reese , Wells D. Haberstich , Carl Shurtleff , Charles J. Scheib , Frederick E. Shelton, IV , Jerome R. Morgan , Daniel Duke , Daniel J. Mumaw , Gregory Johnson , Kevin L. Houser
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/0293 , A61B17/3462 , A61B2017/3445 , A61B2017/3449 , A61B2017/3466
摘要： Various methods and devices are provided for allowing multiple surgical instruments to be inserted into sealing elements of a single surgical access device. The sealing elements can be movable along predefined pathways within the device to allow surgical instruments inserted through the sealing elements to be moved laterally, rotationally, angularly, and vertically relative to a central longitudinal axis of the device for ease of manipulation within a patient's body while maintaining insufflation.
摘要翻译：提供了各种方法和装置，用于允许多个外科器械插入单个手术进入装置的密封元件中。密封元件可以沿着装置内的预定路径移动，以允许通过密封元件插入的外科器械相对于装置的中心纵向轴线横向地，旋转地，有角度地和垂直地移动，以便于在患者体内操纵，保持吹风。

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