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    • 1. 发明申请
    • IMPROVED CLIP ADVANCER
    • 改进的CLIP ADVANCER
    • WO2011044035A3
    • 2011-06-30
    • PCT/US2010051305
    • 2010-10-04
    • ETHICON ENDO SURGERY INCNGUYEN ANTHONY T
    • NGUYEN ANTHONY T
    • A61B17/128
    • A61B17/1285A61B17/2909A61B2090/0811
    • A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one embodiment, a surgical clip applier is provided and can include a shaft having a proximal end and a distal end with opposed jaws thereon, a guide member disposed within the shaft and configured to guide a clip into the opposed jaws, the guide member having a channel formed in a surface thereof, and an advancer movably disposed within the shaft and configured to advance a clip over the guide member and into the opposed jaws, the advancer having a distal tip that slidably engages the channel for maintaining contact with a surgical clip as it is advanced into the opposed jaws. In other embodiments, the guide member can also include a proximal channel formed in a superior surface thereof. The advancer can be configured to deflect downward into the proximal channel to move proximally beneath an inferior surface of the apex of the clip to position itself proximally to the clip to advance the clip into the opposed jaws.
    • 提供了用于在外科手术过程中将外科夹子应用于脉管,导管,分流器等的手术施夹器和方法。 在一个实施例中,提供了一种手术施夹器并且可以包括具有近端和远端的轴,其上具有相对的夹爪,引导构件设置在轴内并且构造成将夹子引导到相对的夹爪中,引导构件具有 在其表面中形成的通道和推进器,所述推进器可移动地布置在所述轴内并且被构造成将夹子推进到所述引导构件上并且进入相对的夹爪中,所述推进器具有远侧末端,所述远侧末端与所述通道可滑动地接合以保持与手术夹子 因为它被推进到相对的钳口中。 在其他实施例中,引导构件还可以包括形成在其上表面中的近侧通道。 推进器可以构造成向下偏转进入近端通道以向近侧移动到夹子的顶点的下表面下方,以将其自身定位在夹子的近侧以将夹子推进到相对的夹爪中。