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    • 3. 发明授权
    • Method and apparatus for the minimally invasive harvesting of a
saphenous vein and the like
    • 用于隐性收获隐静脉等的方法和装置
    • US6022313A
    • 2000-02-08
    • US106741
    • 1998-06-29
    • Richard GinnMike HoovenTed Richardson
    • Richard GinnMike HoovenTed Richardson
    • A61B17/00A61B1/04
    • A61B1/0014A61B17/00008A61B17/00234A61B2017/00969
    • A minimally invasive technique for harvesting saphenous veins and the like for use as autografts in coronary artery bypass grafting surgery include a microsurgical instrument adapted to be demountably secured to the distal end of an endoscope. The instrument is inserted through an entry incision in the patient's skin, at the end of the endoscope which is used by a surgeon to advance the instrument along the saphenous vein, using the vein as a guide for the instrument. The instrument is tapered to provide initial separation of surrounding tissues from the vein, and cutting means supported by the instrument and viewed via the endoscope allow dissection of all tissues and side branch vessels from the saphenous vein. The instrument further provides a protective hood which prevents tissues or skin from blocking the endoscope. The desired length of saphenous vein is transected and is extracted via the entry incision. The technique minimizes trauma to the patient and to the saphenous vein graft.
    • 在冠状动脉旁路移植手术中收获用作自体移植物的隐静脉等的微创技术包括适于可拆卸地固定到内窥镜的远端的显微外科器械。 仪器通过外科医生使用的内窥镜末端穿过患者皮肤中的入口切口插入,使用静脉作为仪器的引导件,沿着隐静脉推进仪器。 仪器是锥形的,以提供周围组织与静脉的初始分离,以及由仪器支撑并通过内窥镜观察的切割装置允许从隐静脉解剖所有组织和侧分支血管。 该仪器还提供防止组织或皮肤阻塞内窥镜的保护罩。 所需的隐静脉长度被切断,并通过入口切口提取。 该技术最大限度地减少对患者和隐静脉移植物的创伤。