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    • 55. 发明申请
    • Method and Apparatus for Measuring and Controlling Blade Depth of a Tissue Cutting Apparatus in an Endoscopic Catheter
    • 用于测量和控制内窥镜导管中组织切割装置的刀片深度的方法和装置
    • US20090005637A1
    • 2009-01-01
    • US12147804
    • 2008-06-27
    • Yem ChinJohn Griego
    • Yem ChinJohn Griego
    • A61B1/012A61B1/015
    • A61B17/3478A61B17/22032A61B17/320016A61B17/32056A61B17/320725A61B18/149A61B18/1492A61B90/39A61B2017/22067A61B2017/22082A61B2018/00535A61B2018/00601A61B2018/00738A61B2018/1407A61B2018/144A61B2090/034A61B2090/061A61B2090/3937A61B2090/397A61B2090/3983
    • According to the present state of the art, endoscopic cannulation of the common bile duct and papillotomy and/or sphincterotomy of the Papilla of Vater and/or the Sphincter of Oddi is accomplished by advancing a sphincterotome (or papillotome or cannulotome) into an endoscope/duodenoscope so that the distal tip of the sphincterotome exits the endoscope adjacent the sphincter muscles at the Papilla of Vater. The endoscope mechanisms are then manipulated to orient the distal tip of the sphincterotome to the desired position for proper cannulation of the duct. Accurate and consistent control of the length of the exposed blade is made difficult due to a number of factors. These factors include: 1) differences in the inside diameters of the outer tube and the needle knife wire, 2) the orientation of the needle knife wire within the outer tube, 3) the mismatch of tolerance of the needle knife wire and the inside diameter of the extrusion, 4) anatomy, and 5) endoscope manipulation. A sphincterotome incorporating the present invention will provide the user with an indication of the exposed blade length and will allow the physician to control the length of the exposed blade. According to one embodiment of the present invention, various visual indications are presented to the user as the needle knife is advanced from its outer sheath. These visual indications, combined with a mechanical method to hold the knife in position during catheter placement allows the user to perform precise incisions. Presently available products that may be modified according to the present invention include, but are not limited to, Boston Scientific Sphincterotomes and Needle Knives.
    • 根据现有技术,通过将括约肌切开术(或乳头切开术或插管切除术)前进到内窥镜/外科手术中来实现Vater和/或Oddi括约肌的胆总管和乳头切开术和/或括约肌切开术的内窥镜插管, 十二指肠镜,使得括约肌切开术的远端在Vater的Papilla处离开括约肌的内窥镜。 然后操作内窥镜机构以将括约肌切开的远端定向到期望的位置,以适当地插管管道。 由于许多因素,使得暴露的叶片的长度的精确和一致的控制变得困难。 这些因素包括:1)外管和针刀线内径的差异,2)外针管针线的取向,3)针刀线公差与内径不匹配 的挤压,4)解剖学,和5)内窥镜操纵。 结合本发明的括约肌切开术将为使用者提供暴露的刀片长度的指示,并且将允许医师控制暴露刀片的长度。 根据本发明的一个实施例,当针刀从其外护套前进时,向用户呈现各种视觉指示。 这些视觉指征与在导管放置期间将刀保持在适当位置的机械方法相结合允许用户执行精确的切口。 目前可以根据本发明进行修改的产品包括但不限于波士顿科学耳鼻喉科和针刀。