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    • 1. 发明申请
    • ENDOSCOPIC SURGICAL ACCESS DEVICES AND METHODS OF ARTICULATING AN EXTERNAL ACCESSORY CHANNEL
    • 内窥镜手术访问装置及其外部附件通道的方法
    • WO2006033671A2
    • 2006-03-30
    • PCT/US2005/012874
    • 2005-04-15
    • WILSON-COOK MEDICAL INC.DEVIERRE, JacquesKENNEDY, Kenneth, C., II
    • DEVIERRE, JacquesKENNEDY, Kenneth, C., II
    • A61B1/018A61B1/00
    • A61B1/0014A61B1/00087A61B1/00098A61B1/00101A61B1/00128A61B1/018
    • Devices and methods for detachably engaging an insertion section of an endoscope and selectively articulating an endoscopic surgical access channel are provided. A device (10, 70, 80) comprises an articulating main body (30) having a stationary first body (31, 71, 81), an articulatable second body (32, 72, 82, 92, 112) and coupler (19) having a mounting member (37, 43, 77, 84) and an articulation link member (36, 44, 76, 78, 85) configured to articulatively couple the second body to the first body. The stationary first body has a distal end (31'), a proximal end (31"), and a first longitudinal axis (39). The articulatable second body has a proximal opening (34, 74, 84) and a distal opening (35, 75, 85) defining an accessory channel member passageway (33, 73, 83), the distal opening having a second longitudinal axis (38, 89) oriented toward a space exterior to the first body distal end, wherein the second body longitudinal axis is capable of articulating relative to the first body longitudinal axis. The devices and methods, as taught herein, provide control over the position and/or orientation of a diagnostic, monitoring, scope, sewing device, cutting device, suturing device, forceps, grabbing device, instrument, or other tool within the visual field beyond the distal opening of the endoscope.
    • 提供了用于可拆卸地接合内窥镜的插入部分并且选择性地关联内窥镜手术进入通道的装置和方法。 一种装置(10,70,80)包括具有固定的第一主体(31,71,81),可铰接的第二主体(32,72,82,92,112)和联接器(19)的铰接主体(30) 具有安装构件(37,43,77,84)和铰接连接构件(36,44,76,78,85),其构造成将所述第二主体铰接地联接到所述第一主体。 所述固定的第一主体具有远端(31'),近端(31“)和第一纵向轴线(39),所述可铰接的第二主体具有近端开口(34,74,84)和远端开口 限定附件通道构件通道(33,73,83),所述远端开口具有朝向所述第一身体远端外部的空间定向的第二纵向轴线(38,89),其中所述第二身体纵向 如本文教导的装置和方法提供对诊断,监测,范围,缝合装置,切割装置,缝合装置,镊子等的位置和/或取向的控制,所述装置和方法能够相对于第一身体纵向轴线铰接。 抓取装置,仪器或视野内的其它工具超出内窥镜的远端开口。