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    • 1. 发明授权
    • Sphincterotome with deflectable cutting plane and method of using the
same
    • 具有可偏转切割平面的括约肌切开术及其使用方法
    • US5810807A
    • 1998-09-22
    • US732092
    • 1996-10-15
    • Robert A. GanzJonathan KaganRicci D. SmelserBrian D. ZelicksonRobert D. Mackie
    • Robert A. GanzJonathan KaganRicci D. SmelserBrian D. ZelicksonRobert D. Mackie
    • A61B18/14A61B17/36
    • A61B18/1492A61B2018/00553A61B2018/00916
    • A sphincterotome adapted to be used in the lumen of an endoscope for cutting a sphincter in a patient's body using a cutting wire energized by an electrosurgical unit. The sphincterotome has a distal end segment and cutting plane orienting mechanism extending through the length of a sphincterotome tubular body between a handle assembly at the proximal end of the sphincterotome body and a distal end segment thereof for shifting the cutting plane laterally with respect to the longitudinal axis of the sphincterotome tubular body exiting the endoscope lumen. The lateral shift is in at least one lateral direction from an un-shifted position of the cutting plane with respect to the longitudinal axis whereby in use during a sphincterotomy, the cutting wire may be oriented into alignment with a particular feature of the sphincter, e.g. the twelve o'clock position of the sphincter of Oddi and papilla of Vater, without having to reposition the endoscope and/or withdraw and reposition the sphincterotome in the endoscope lumen.
    • 一种适于在内窥镜的内腔中使用的切口切割器,其使用由电外科单元激励的切割线来切割患者体内的括约肌。 括约肌切开机具有远端段和切割平面定向机构,其延伸穿过括约肌切开管体的长度,在括约肌切开体本体的近端处的手柄组件和其远端段之间,用于相对于纵向方向横向移动切割平面 离开内窥镜腔的括约肌切断管管体的轴线。 横向移位在切割平面相对于纵向轴线的未偏移位置的至少一个横向方向上,从而在括约肌切开术期间的使用中,切割线可以定向成与括约肌的特定特征对准,例如, Oddi括约肌和Vater乳头的十二点钟位置,而不必重新定位内窥镜和/或撤回和重新定位内窥镜腔内的括约肌切开术。