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    • 81. 发明申请
    • MULTI-FEATURE ELECTROSURGICAL INSTRUMENT
    • 多功能电磁仪
    • WO2016196562A1
    • 2016-12-08
    • PCT/US2016/035172
    • 2016-06-01
    • FLEENOR, Richard P.
    • FLEENOR, Richard P.
    • A61B18/14
    • A61B18/1402A61B18/14A61B90/30A61B2018/00178A61B2090/309A61B2218/008
    • An improved hand-held electrosurgical instrument includes a housing, an electrosurgical electrode, supportably interconnected to and extending from a distal end of the housing in a first direction, at least one light source supportably interconnected to the housing for emitting light in the first direction, and a light tunnel member extending away from the distal end of the housing in the first direction and defining a light tunnel therethrough for receiving and directing light emitted by the light source(s) through the light tunnel and out of a distal end of the light tunnel member. The light tunnel member yields improved tissue site illumination. The electrosurgical electrode may extend through and beyond the distal end of the light tunnel member, wherein the light tunnel extends along at least a majority of a length of the electrosurgical electrode that extends distally from the housing. The light tunnel may include an open passageway that extends proximally from the distal end of the light tunnel member for use in evacuating smoke from a tissue site. The hand-held electrosurgical instrument may include a smoke evacuation passageway fluidly interconnected to and extending proximally from the open passageway of the light tunnel, wherein smoke may be drawn in to a distal end of the open passageway, and through the open passageway and smoke evacuation passageway, to yield improved tissue site visibility and an improved working environment. The smoke evacuation passageway may be defined by a tubular member adjoined to the light tunnel member for handling as a single unit.
    • 一种改进的手持式电外科器械包括壳体,电外科电极,其可沿着第一方向支撑地互连到壳体的远端并且从壳体的远端延伸;至少一个光源,其可支撑地互连到壳体,用于沿第一方向发射光; 以及光通道构件,其在所述第一方向上远离所述壳体的远端延伸并且限定穿过其的光通道,用于接收和引导由所述光源发射的光穿过所述光通道并且从所述光的远端出射 隧道成员。 光隧道构件产生改善的组织部位照明。 电外科电极可以延伸穿过光通道构件的远端并且超过光通道构件的远端,其中,光通道沿着远离壳体延伸的电外科电极的至少大部分长度延伸。 光通道可以包括从光通道构件的远端向近侧延伸的开放通道,用于从组织部位排出烟雾。 手持式电外科器械可以包括与轻型隧道的开放通道流体地相互连接并向近端延伸的排烟通道,其中烟雾可以被吸入开放通道的远端,并且通过开放通道和抽烟 通道,以产生改善的组织部位可见性和改善的工作环境。 排烟通道可以由与光通道构件相邻的管状构件限定,用于作为单个单元进行处理。
    • 83. 发明申请
    • 穿刺装置および光音響計測装置
    • 激光装置和光电测量装置
    • WO2016158060A1
    • 2016-10-06
    • PCT/JP2016/054770
    • 2016-02-19
    • 富士フイルム株式会社
    • 村越 大入澤 覚
    • A61B10/02A61B8/13
    • A61B90/35A61B1/00071A61B3/09A61B3/10A61B5/0095A61B5/0097A61B8/13A61B10/0275A61B90/37A61B2090/306A61B2090/309A61B2090/378
    • 光ファイバが連結されている穿刺針をばね等によって射出する穿刺装置、およびこの種の穿刺装置を有する光音響計測装置において、穿刺針の射出に起因する光ファイバの切断や損傷を防止する。穿刺針60の後端に揃った部位から固定部位16Fまでの光ファイバ16の長さを、穿刺針60が突出位置(穿刺位置)にある場合の穿刺針後端と、把持部55における光ファイバ固定位置55bとの間の直線距離に、予め定められた余長を加えた長さとする。その上で、穿刺針60の後端と光ファイバ固定位置55bとの間の光ファイバ16を、第1の懸架部81および第2の懸架部82により弛みが生じない状態に懸架して迂回させ、穿刺針60が退避位置と突出位置との間で移動する際にこの移動に応じて迂回長を連続的に変化させて、光ファイバ16を弛みが無く懸架している状態を維持させるファイバ送出調整機構52を設ける。
    • 为了防止在通过弹簧等喷射连接有光纤的穿刺针的穿刺装置中的穿刺针的弹出引起的光纤的切断或损坏,并且在光声中 具有这种类型的穿刺装置的测量装置,从与穿刺针60的后端对准的区域到定影区域16F的光纤16的长度被配置为通过将预先确定的额外长度加到 当穿刺针60处于突出位置(穿刺位置)时,穿刺针的后端之间的直线距离以及夹持部55中的光纤固定位置55b。另外,本发明提供一种 纤维发射调节机构52,其通过第一悬挂部81和第二部分81将穿刺针60的后端和光纤固定位置55b之间的光纤16悬挂和绕行 d悬挂部82,使得不会发生松弛,根据穿刺针60在缩回位置和突出位置之间的移动,连续地改变迂回长度,并且保持光纤悬挂而不松弛的状态。
    • 85. 发明申请
    • SURGICAL CANNULA WITH CHANNELS FOR IRRIGATION AND SUCTION
    • 具有灌溉和吸烟通道的外科手术
    • WO2016140905A1
    • 2016-09-09
    • PCT/US2016/020018
    • 2016-02-29
    • WARSAW ORTHOPEDIC, INC.
    • TONTZ, William
    • A61M1/00A61B90/30
    • A61B17/3423A61B17/02A61B17/0206A61B17/3439A61B90/30A61B2017/3458A61B2090/306A61B2090/309A61B2090/3614A61B2217/005A61B2217/007
    • A cannula body of the surgical cannula has a flange attached to a proximal end. The cannula body is defined by two complementary portions, pivotally connected together proximate the flange. The cannula body has a bore extending from the flange to the surgical site. The cannula is inserted above the surgical site, until a lower surface of the flange contacts the superficial fascia, which acts as a stop to prevent over-insertion. A thread provided on the cannula body holds the cannula in position in the body. Apertures in the flange communicate with channels within the cannula body that extend to the surgical site to provide the surgeon with additional means to provide light, irrigation, and/or suction to and from the surgical site. The two complimentary portions can be pivoted apart from one another to provide an increased amount of access to the surgical site.
    • 外科插管的套管主体具有附接到近端的凸缘。 套管主体由两个互补部分限定,靠近凸缘枢转连接在一起。 套管主体具有从凸缘延伸到手术部位的孔。 将套管插入外科手术部位上方,直到法兰的下表面接触表面筋膜为止,以防止过度插入。 设置在套管主体上的螺纹将套管保持在身体中的适当位置。 凸缘中的孔与插管主体内的通道延伸到外科手术部位,为外科医生提供额外的手段,以便向外科手术部位提供光,冲洗和/或抽吸。 两个互补部分可以彼此分开枢转以提供增加的对手术部位的访问量。