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    • 8. 发明授权
    • Knotmaker with curved elongate member used in tying a ligature
    • 带有弯曲细长构件的打结机,用于绑扎结扎
    • US5716368A
    • 1998-02-10
    • US479169
    • 1995-06-07
    • Roger A. de la TorreJames Stephen ScottJames E. JerivsKenneth H. Mollenauer
    • Roger A. de la TorreJames Stephen ScottJames E. JerivsKenneth H. Mollenauer
    • A61B17/04A61B17/06A61B17/00
    • A61B17/0469A61B17/0483A61B17/06066A61B17/062A61B2017/0477
    • A surgical instrument facilitates tying of a knot in a length of suture material at a remote surgical location. The instrument is comprised of an inner rod having a length of suture wrapped over the rod in a particular pattern. A needle may be secured to a free end of the suture and the pattern of wrapping the suture on the rod enables loops of suture to move off the rod end and over the needle to form a knot in the suture. The inner rod is received in an interior bore of an outer rod for manually controlled reciprocating movement therein. The inner rod is manually retracted into the interior bore of the outer rod to cause the outer rod to move the loops of suture off the inner rod end and over the needle in forming a knot in the suture. An extendable filament is contained in the inner rod and has a connector at its distal end for holding the free end of the suture. The distal end is curved, so that extending the filament from the inner rod causes it to pass the suture around and behind a tissue to be ligated where the suture may be taken from the filament by a grasper. Pairs of prongs are also provided on the distal ends of the inner and outer rods for sequentially ejecting pre-tied suture knots off the distal end of the inner rod.
    • 外科手术器械有助于在远程外科手术位置捆绑一定长度的缝合材料中的结。 该仪器由具有以特定图案包裹在杆上的缝线长度的内杆组成。 针可以固定到缝合线的自由端,并且将缝合线包裹在杆上的图案使得缝合线可以从杆端移动并在针上方以在缝合线中形成结。 内杆被容纳在外杆的内孔中,用于在其中手动控制的往复运动。 内杆被手动地缩回到外杆的内孔中,以使外杆将缝合线从内杆端和针上移动,从而在缝合线中形成结。 可伸长的细丝包含在内杆中,并且在其远端具有用于保持缝合线的自由端的连接器。 远端是弯曲的,从而使细丝从内杆延伸,使得其将缝合线穿过组织的周围和后面,以便通过抓紧器从缝合线取出缝合线。 在内杆和外杆的远端还设置有一对尖头,用于从内杆的远端顺序地将预先绑扎的缝合线排出。
    • 9. 发明授权
    • Laparoscopic access port for surgical instruments or the hand
    • 手术器械或手的腹腔镜入口
    • US06315770B1
    • 2001-11-13
    • US09371695
    • 1999-08-10
    • Roger A. de la TorreJames Stephen ScottJanine C. Robinson
    • Roger A. de la TorreJames Stephen ScottJanine C. Robinson
    • A61B1700
    • A61B17/3423A61B17/3462A61B17/3498A61B46/10A61B2017/3419A61B2017/3449A61B2017/349A61B2017/3492
    • A flexible, fluid-tight envelope provides access for a hand and surgical instruments through a body tissue incision while maintaining insufflation pressure or a pneumoperitoneum within the body. The envelope is transparent and has an interior volume with opposite proximal and distal ends. A first opening in the envelope at the proximal end adjoins the incision in the body tissue and is secured and sealed to the body tissue. The second opening at the envelope distal end is provided with a closure member that seals closed the second opening on itself or around the forearm of a surgeon or a surgical instrument inserted into the interior volume of the envelope. An access port is provided at the first opening in the envelope. The access port comprises a housing containing a valve element that is selectively opened and closed to provide access to the tissue incision while maintaining insufflation pressure in the body cavity.
    • 柔软的,流体密封的信封通过身体组织切口提供手和手术器械的通路,同时保持身体内的吹气压力或气腹。 外壳是透明的,具有相对的近端和远端的内部容积。 在近端的信封中的第一开口与身体组织中的切口相邻并被固定并密封到身体组织。 在封套远端处的第二个开口设置有封闭构件,该封闭构件封闭其本身或围绕插入到外壳的内部容积中的外科医生的前臂或外科手术器械的第二开口。 在信封中的第一个开口设有一个进出口。 进入端口包括容纳阀元件的壳体,该阀元件选择性地打开和关闭以提供对组织切口的通路,同时保持体腔内的吹入压力。